2013-11-14T08:09:02-06:00 2012-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2012-01-01 351844176 METHODIST OCCUPATIONAL HEALTH CENTERS INC % BROC BUDDE METH 3179624575 950 N MERIDIAN STREET SUITE 800 Suite INDIANAPOLIS IN 46204 CLARK DAY 2013-11-13 JENNIFER D RHODERICK 3176817000 2012 2016-02-24 21:20:13Z IU HEALTH OCCUPATIONAL SERVICES CLARK DAY 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 28400659 false X WWW.IUHEALTH.ORG X 1991 IN Provide occupational health services in prevention, treatment, and rehabilitation. 3 0 372 0 12828 253 0 0 26866637 27814721 9508 -253993 33024 573247 26909169 28133975 50 0 0 0 16831999 16630394 0 0 0 10306729 10881704 27138778 27512098 -229609 621877 11310039 10684538 2903678 1656300 8406361 9028238 X Provide occupational health services in prevention, treatment, and rehabilitation. false false 22048832 0 27814721 Methodist Occupational Health Centers, Inc. ("MOHC") provides a full range of occupational health services in prevention, treatment and rehabilitation. Prevention: MOHC performs a wide variety of pre-placement physical examinations specific to the job for which the individual is being considered, and in accordance with the Americans with Disabilities Act, in matching potential job applicants with the essential functions of their jobs. This assistance is critical to employers as they comply with the Americans with Disabilities Act. The Organization also offers a nationally certified drug screening program which is operated in compliance with guidelines established by the National Institute for Drug Abuse. Further, the Organization provides on-site medical monitoring examination protocol development, e.g., assisting companies with their compliance under Occupational Safety and Health Administration guidelines, ergonomic compliance assistance, and assistance in compliance with the Americans with Disabilities Act reasonable accommodation guidelines. Additionally, the Organization provides industrial hygiene services to assist in analyzing noise levels, indoor air quality, and other mandated surveillance programs under the authorization of the Occupational Safety and Health Administration. Treatment: MOHC specializes in the treatment of workers' compensation injuries and offers services complementary to the basic treatment of an injury, such as hand surgery, physiatry, orthopedic, neurology, and ophthalmology, as well as in-house pharmacy services. The concept of the Organization's treatment plan is centered on the early intervention/early return to work concept. Through early intervention and a variety of treatment and rehabilitative modalities, patients are assured better treatment outcomes, and the most expeditious return to work, thus saving the employers tremendous expense in lost productivity, overtime, training costs, etc. Rehabilitation: MOHC provides both physical and occupational therapy on-site at each location. The therapists are trained in rehabilitation of work related injuries and are supervised by the Organization's occupational health physicians. The focus of the therapist is to return the injured worker to the job. During physical therapy rehabilitation, the injured worker is taught proper techniques to avoid re-injury. The Occupational Therapy Department specializes in hand rehabilitation, utilizing various exercises and splints that assist in expediting the recovery process. Relationship of Activities to the Accomplishment of the Exempt Purpose: MOHC meets the occupational health care needs of employers in the areas of prevention, treatment, and rehabilitation. These services are delivered with an emphasis on cost containment through early intervention and expert case management. All of MOHC's clinics are equipped to conduct basic injury care, physical examinations, and the following ancillary services: X-ray, collection of specimens for laboratory analysis, pulmonary function testing, audiometry, electrocardiogram (EKG), and vision screening. Certain services are contracted in the treatment process. Hand surgery, neurology, physiatry, orthopedics, and ophthalmology are all contracted with individual physicians and/or specialty groups who provide their services on MOHC's premises to assure streamlined communication with the physician and the employer/insurance carrier, thereby providing coordinated care for the patient producing better clinical outcomes. MOHC is committed to cost containment for its employer clients and/or their insurance carriers. Since the Organization specializes in occupational health, approximately ninety-nine percent (99%) of the fees for all cases are paid either through the employers' workers' compensation insurance or directly by the employers. Due to the unique field in the medical continuum, occupational health providers charge the fees for care to the employers' workers' compensation insurance or the employers. The employees are not directly responsible for payment for their care. Thus, the need to provide charity care by the Organization itself is virtually nonexistent. The Organization will refer patients, when medically indicated, to the Indiana University Health, Inc. health care system where charity care is provided, should it be necessary. MOHC is involved in educational programs, specifically with the MOHC Training Institute. The Organization acts as the clinical practicum site for the physical/occupational therapy schools in Central Indiana. MOHC's staff also provides lectures to local nursing schools (Indiana University School of Nursing) in the field of occupational health. Methodist MOHC also provides clinical rotations and internships for health related courses of education to a variety of educational programs within Indiana including: Indiana University, University of Indianapolis, Ivy Tech, Indiana Business College, Kaplan, and ITT Technical Institute. The Organization is deeply committed to occupational health training and preventive health care. Thus, the MOHC Training Institute provides over 100 annual programs to the community on the prevention and treatment of occupational health injuries. MOHC has created a clinical database of the treatment of occupational health injuries and conducts clinical outcomes research with the aim of adding to the body of clinical knowledge to improve the care and outcomes of the prevention and treatment of occupational injuries. MOHC also supports community non-profits by providing certain services to non-profits at below cost or at no cost. For example, Department of Transportation Commercial Drivers License physical exams are provided at no charge to church bus drivers who drive church members to church activities. 22048832 true false false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 32 0 true 372 true true true false false false false false false false false false X 3 0 true false false false true true true true true false false true true true true true true true false false IN X BROC BUDDE 3179624575 950 N MERIDIAN STREET SUITE 800 INDIANAPOLIS IN 46204 RONALD L STIVER 2.0 55.0 X X 0 433079 102659 THOMAS W BRINK 55.0 0.0 X X 159511 0 21245 G DEAN RAINBOLT 2.0 25.0 X X 0 124059 19913 ISADORE RIVAS 2.0 55.0 X 0 323333 20980 NORMAN G TABLER JR 2.0 55.0 X 0 584258 639156 DAVID S KATZ MD 55.0 0.0 X 262422 0 41086 IMTIAZ M AHMAD MD 55.0 0.0 X 220851 0 46769 MICHAEL C PATELLOS MD 55.0 0.0 X 202959 0 46645 CRAIG S NADELSON DO 55.0 0.0 X 198798 0 43385 SAJIV D ALEX MD 55.0 0.0 X 196181 0 43372 1240722 1464729 1025210 17 false true false SOUTH BEND MEDICAL FOUNDATION INC PO BOX 2030 MISHAWAKA IN 46546 LABORATORY 513109 INDIANA UNIVERSITY PO BOX 66271 INDIANAPOLIS IN 46266 MEDICAL 282296 HOWARD REGIONAL HEALTH SYSTEM 3500 S LAFOUNTAIN KOKOMO IN 46902 MEDICAL 265932 UNIVERSITY PHYSIATRIC ASSOCIATES I 541 N CLINIC DR INDIANAPOLIS IN 46202 MEDICAL 265375 THOMAS A BRADY SPORTS MEDICINE CEN 201 PENNSYLVANIA PKWY 325 INDIANAPOLIS IN 46280 MEDICAL 215522 8 0 NET PATIENT SERVICE REVENUE 621110 25141806 25141806 0 0 SHARED SERVICES 900099 2672915 2660087 12828 0 27814721 12691 12691 0 0 0 0 0 266684 -266684 -266684 -266684 0 0 0 ALL OTHER REVENUE 900099 573247 0 0 573247 573247 28133975 27801893 12828 319254 0 0 0 0 180756 180756 0 13136398 11303052 1833346 746857 612607 134250 1642984 1315810 327174 923399 791165 132234 0 13282 13282 2085 2085 0 0 0 5488226 3382212 2106014 18862 3967 14895 739068 485946 253122 210339 156420 53919 0 1311675 1139120 172555 144029 103213 40816 0 4356 4296 60 13178 11939 1239 0 290887 187477 103410 154006 105014 48992 DRUGS AND MEDICAL SUPPLIES 2119055 2119055 BAD DEBT 256100 256100 RECRUITMENT 7321 7321 NONCAPITALIZED EQUIPMENT 2187 2187 107048 61931 45117 27512098 22048832 5463266 0 1380 1530 0 0 0 0 4070340 3458318 0 0 0 0 0 0 0 0 187330 211995 5927528 4543551 1598033 1383977 0 0 0 0 0 0 0 0 5452956 5628718 11310039 10684538 2625486 1404291 0 0 0 0 0 0 0 0 0 0 183890 164182 0 0 94302 87827 2903678 1656300 X 8406361 9028238 0 0 0 0 8406361 9028238 11310039 10684538 621877 0 0 0 0 0 X false true X true false X 534323 194943 339380 2004501 1637978 366523 3081871 2446186 635685 306833 264444 42389 1383977 INTERCOMPANY RECEIVABLES (NET) 5628718 5628718 0 PENSION AND OTHER RETIREMENT LIABILITIES 87827 87827 Schedule D, Part X - Other Liabilities Line 2 - FIN 48 (ASC 740) Footnote Methodist Occupational Health Centers, Inc. is a subsidiary in the consolidated financial statements of Indiana University Health, Inc. ("IU Health"). IU Health adopted FIN 48 in 2007. No disclosures were required in 2012 under GAAP as IU Health does not have any material tax contingencies that required disclosures in the footnotes. X true true false false false false false false false RONALD L STIVER 0 327538 0 89603 0 15938 0 80410 0 22249 0 535738 0 0 THOMAS W BRINK 154720 0 0 0 4791 0 12795 0 8450 0 180756 0 0 0 ISADORE RIVAS 0 102842 0 8250 0 212241 0 2063 0 18917 0 344313 0 0 NORMAN G TABLER JR 0 361474 0 117125 0 105659 0 620101 0 19055 0 1223414 0 0 DAVID S KATZ MD 260660 0 0 0 1762 0 21020 0 20066 0 303508 0 0 0 IMTIAZ M AHMAD MD 219953 0 0 0 898 0 20670 0 26099 0 267620 0 0 0 MICHAEL C PATELLOS MD 201993 0 0 0 966 0 18933 0 27712 0 249604 0 0 0 CRAIG S NADELSON DO 198429 0 0 0 369 0 18446 0 24939 0 242183 0 0 0 SAJIV D ALEX MD 195273 0 0 0 908 0 17911 0 25461 0 239553 0 0 0 Schedule J, Part I - Questions Regarding Compensation Line 4a - Severance or Change-of-Control Payments Isadore Rivas received 2012 severance of $169,616 from Indiana University Health, Inc. This amount is included in column b (iii), other reportable compensation. Norman G. Tabler, Jr. entered into a severance agreement in 2012 with Indiana University Health, Inc. Included in column C, other deferred compensation is $599,081 of deferred compensation and benefits. Schedule J, Part I - Questions Regarding Compensation Line 4b - Supplemental Nonqualified Retirement Plan Ronald L. Stiver, and Norman G. Tabler, Jr. participate in a supplemental executive retirement plan of Indiana University Health, Inc., the provisions of which are designed to retain these critical employees. The plan provides for an additional retirement benefit for service through normal retirement or other key dates. If the executive leaves prior to retirement or other key dates, the benefit may be forfeited or reduced. Ronald L. Stiver has an amount included in column c, deferred compensation, representing the current year increase in the accrued benefit and/or current contributions. No amount was actually paid to this executive during the year. For Norman G. Tabler, Jr., $54,935, is included in column b(iii), other reportable compensation, representing the amount received under their respective supplemental executive retirement plan. Part VI, Section A - Governing Body and Management Line 1b - Number of Voting Members that are Independent Methodist Occupational Health Centers, Inc. is part of a multi-entity hospital system controlled by Indiana University Health, Inc., a 501(c)(3) exempt organization whose board is comprised of voting members, of which substantially all are independent community members. Part VI, Section A - Governing Body and Management Line 2 - Family or Business Relationships Thomas W. Brink and G. Dean Rainbolt serve as Officers and on the Board of Directors of Occ-Health Revenue Systems, Inc. No additional compensation is provided. Part VI, Section A - Governing Body and Management Lines 6, 7A, and 7B - Members or Stockholders Line 6: The sole member of Methodist Occupational Health Centers, Inc. ("MOHC") is Indiana University Health, Inc. ("IU Health"), a 501(c)(3) tax-exempt hospital. Line 7A: The control and management of the affairs of MOHC is vested in a Board of Directors of not less than three (3) nor more than nine (9) Directors whom are elected by IU Health, as the sole member of the organization. Line 7B: Notwithstanding any other provisions of the Articles of Incorporation or any provision of MOHC's Bylaws, the following matters require the approval of IU Health, as the sole member, prior to implementation: - Any amendment of the Articles of Incorporation or Bylaws of MOHC; - Adoption or revision of any operating or capital budget of MOHC; - A merger or consolidation of MOHC; - Any sale, lease, exchange, conveyance, mortgage, pledge or other disposition of a substantial portion of the property, assets or interests of MOHC, other than pursuant to a budget approved by IU Health, as sole member; - Any incurrence of debt by, or the creation of any lien upon the property or revenues of, MOHC other than in the ordinary course of business or pursuant to a budget approved by IU Health, as sole member. Notwithstanding any other provisions of the Articles of Incorporation, or any provision of MOHC's Bylaws, IU Health, as the sole member, shall have the power to direct the Board of MOHC to do any of the following: - Transfer property of MOHC in amounts sufficient to pay the principal and interest of any obligation of IU Health, as sole member; and - Take such actions as are required in order for MOHC to comply with the covenants contained in any financing document to which IU Health, as sole member, is a party or under which IU Health is bound. Part VI, Section A - Governing Body and Management Line 11b - Review of Form 990 Methodist Occupational Health Centers, Inc. has established the following process for reviewing Form 990: The Form 990 and related schedules are reviewed by the Vice President. After the Vice President approves the Form 990 and related schedules, a finalized complete Form 990 is made available to each board member on a protected intranet site prior to filing the form with the IRS. Each member is informed of the availability of the tax department to answer any questions. Part VI, Section B - Policies Lines 12, 13, and 14 Methodist Occupational Health Centers Inc. ("MOHC") is part of the Indiana University Health, Inc. ("IU Health") system. As the sole member and controlling parent of MOHC, IU Health and its board of directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, MOHC's Board of Directors was not required to separately adopt a conflict of interest, whistleblower, document retention and destruction and joint venture policies because IU Health's Board of Directors had already adopted and required these policies to be followed by its subsidiaries. Part VI, Section B - Policies Line 12c - Conflict of Interest Policy Methodist Occupational Health Centers, Inc. has a Conflict of Interest Policy, the purpose of which is, to protect Methodist Occupational Health Centers, Inc's interests when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer or director. Each employee, including those employed by related entities, officer and member of the board of directors is required to annually sign a statement which affirms that such person (1) has received a copy of the conflict of interest policy; (2) has read and understands the policy; (3) has agreed to comply with the policy; and (4) understands and acknowledges that the Corporation is a tax-exempt organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. If an interest is disclosed, the board of directors or committee meets to discuss the interest to determine if a conflict exists. If a conflict is found to exist, the chairperson of the board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the board of directors or committee shall determine whether or not to move forward with any arrangement that gives rise to the conflict. If there are any violations of the Conflict of Interest policy, a hearing is held to determine if appropriate disciplinary and corrective action needs to be taken. Board members with a conflict of interest cannot participate in any decision related to that conflict. Part VI, Section B - Policies Line 15a - Process for Determining Compensation Methodist Occupational Health Centers, Inc. ("MOHC") has a process in place to determine the compensation for its President. MOHC uses an independent compensation consultant who utilizes a variety of methods and procedures to obtain reasonable compensation ranges for comparable officer and employee positions. The independent compensation consultant provides MOHC with recommended compensation ranges for its President, which is then used as a guide for setting compensation by the Board of Directors. This process was last performed for the President in 2002. Since that time, the President has received increases commensurate with general employee wage increases. Compensation changes, including general employee wage increases, of the President are subject to the review and approval of the Board of Directors. The Board's decisions are documented in the Board's minutes. Part VI, Section B - Policies Line 19 - Public Disclosure Methodist Occupational Health Centers, Inc.'s ("MOHC") Articles of Incorporation are available to the public through the Indiana Secretary of State's web-site. MOHC's conflict of interest policy is described on Form 990, Schedule O. MOHC is a consolidated subsidiary in the consolidated financial statements for Indiana University Health, Inc. ("IU Health"). The consolidated financial statements for IU Health are available to the public through its bond filings. 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