UNIVERSITY PEDIATRIC ASSOCIATES INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- UNIVERSITY PEDIATRIC ASSOCIATES INC (EIN 23-7328642)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2013-12-12
- IRS object ID
- 201323469349300982
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-12-12T15:15:14-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352123203 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KSM BUSINESS SERVICES INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 40857 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 462400857 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237328642 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY PEDIATRIC ASSOCIATES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UNIV | NameControl |
| Phone | 3172741201 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 NORTH MERIDIAN STREET NO 228 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46202 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DR D WADE CLAPP | Name |
| Title | CHAIRMAN OF THE BOARD | Title |
| Phone | 3172741201 | Phone |
| Date Signed | 2013-11-26 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TERRY O'NEIL | Name |
| PTIN | P00737156 | PTIN |
| Phone | 3175802000 | Phone |
| Date Prepared | 2013-11-26 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DR D WADE CLAPP | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 N MERIDIAN ST SUITE 228 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 95923951 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO ENGAGE ACTIVELY AND CONTINUOUSLY IN MEDICAL RESEARCH AND TO PROVIDE MEDICAL EDUCATION AND MEDICAL RESEARCH IN CONJUNCTION WITH SERVING AS AN AUXILIARY TO THE OPERATION OF THE DEPARTMENT OF PEDIATRICS OF INDIANA UNIVERSITY SCHOOL OF MEDICINE AND ITS HOSPITALS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 376 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2422306 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2346861 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 69539580 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 77394398 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1820089 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1317719 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 366062 | OtherRevenuePriorYear |
| Other Revenue Current Year | 465596 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 74148037 | TotalRevenuePriorYear |
| Total Revenue Current Year | 81524574 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 33804332 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 36481581 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8933596 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 11758335 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 39344512 | OtherExpensePriorYear |
| Other Expenses Current Year | 42139256 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 82082440 | TotalExpensesPriorYear |
| Total Expenses Current Year | 90379172 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -7934403 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -8854598 | RevenuesLessExpensesCY |
| Total Assets BOY | 30459111 | TotalAssetsBOY |
| Total Assets EOY | 22916086 | TotalAssetsEOY |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 30459111 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 22916086 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO ENGAGE ACTIVELY AND CONTINUOUSLY IN MEDICAL RESEARCH AND TO PROVIDE MEDICAL EDUCATION AND MEDICAL RESEARCH IN CONJUNCTION WITH SERVING AS AN AUXILIARY TO THE OPERATION OF THE DEPARTMENT OF PEDIATRICS OF INDIANA UNIVERSITY SCHOOL OF MEDICINE AND ITS HOSPITALS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 36222744 | Expense |
| Grants | 36222744 | Grants |
| Revenue | 39473869 | Revenue |
| Description | VARIOUS CONTRIBUTIONS TO INDIANA UNIVERSITY FOUNDATION AND INDIANA UNIVERSITY SCHOOL OF MEDICINE | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 258837 | Expense |
| Grants | 258837 | Grants |
| Revenue | 282069 | Revenue |
| Description | CHARITABLE CONTRIBUTIONS TO VARIOUS MEDICAL INSTITUTIONS | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 83478 | Expense |
| Revenue | 90970 | Revenue |
| Description | THE ORGANIZATION PROVIDES ADMINISTRATIVE AND COLLECTION SERVICES FOR INDIANA UNIVERSITY FACULTY AND PHYSICIANS | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 34882274 | Expense |
| Revenue | 38013086 | Revenue |
| Description | PHYSICIAN CONTRACTS FOR RESEARCH, EDUCATION, AND PATIENT CARE | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 34882274 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 38013086 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 71447333 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 11 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 376 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HELEN BRODY ADMINISTRATIVE DIRECTO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3172741211 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 NORTH MERIDIAN STREET | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| DR RANDALL L CALDWELL | ||||||||
| SECRETARY/TREASURER | 40.00 | X | X | 209981 | 0 | 0 | ||
| DR D WADE CLAPP | ||||||||
| CHAIRMAN OF THE BOARD | 40.00 | X | X | 181888 | 0 | 0 | ||
| DR HOWARD EIGEN | ||||||||
| BOARD MEMBER | 40.00 | X | 357500 | 0 | 0 | |||
| DR ROBERT J FALLON | ||||||||
| BOARD MEMBER | 40.00 | X | 160803 | 0 | 6500 | |||
| DR SHARON P ANDREOLI | ||||||||
| BOARD MEMBER | 40.00 | X | 99021 | 0 | 0 | |||
| DR ERICA A EUGSTER | ||||||||
| BOARD MEMBER | 40.00 | X | 131363 | 0 | 4920 | |||
| DR DAVID A INGRAM JR | ||||||||
| PRESIDENT | 40.00 | X | X | 307190 | 0 | 8000 | ||
| DR EUGENIA P MOLLESTION | ||||||||
| BOARD MEMBER | 40.00 | X | 252708 | 0 | 4920 | |||
| DR JOHN C CHRISTENSON | ||||||||
| BOARD MEMBER | 40.00 | X | 161451 | 0 | 8000 | |||
| DR STEPHANIE DAVIS | ||||||||
| BOARD MEMBER | 40.00 | X | 210000 | 0 | 11420 | |||
| DR ABIGAIL F KLEMSZ | ||||||||
| BOARD MEMBER | 40.00 | X | 189858 | 0 | 9000 | |||
| DR VAUGHN I RICKERT | ||||||||
| BOARD MEMBER | 40.00 | X | 117507 | 0 | 8000 | |||
| DR MARA NITU | ||||||||
| BOARD MEMBER | 40.00 | X | 312000 | 0 | 9000 | |||
| DR KATHLEEN O'NEILL | ||||||||
| BOARD MEMBER | 40.00 | X | 176667 | 0 | 8167 | |||
| DR JAMES A LEMONS | ||||||||
| BOARD MEMBER | 40.00 | X | 208160 | 0 | 0 | |||
| DR RICHARD L SCHREINER | ||||||||
| BOARD MEMBER | 40.00 | X | 87793 | 0 | 0 | |||
| DR ALVARO J TORI | ||||||||
| PHYSICIAN | 40.00 | 320000 | 0 | 0 | X | |||
| DR ALEXANDRE T ROTTA | ||||||||
| PHYSICIAN | 40.00 | 351333 | 0 | 0 | X | |||
| DR MARK RIGBY | ||||||||
| PHYSICIAN | 40.00 | 403000 | 0 | 0 | X | |||
| DR SHEKHAR RAJ | ||||||||
| PHYSICIAN | 40.00 | 389500 | 0 | 0 | X | |||
| DR DAVID HERTZ | ||||||||
| PHYSICIAN | 40.00 | 350285 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4978008 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 77927 | TotalOtherCompensation |
| Number Individuals GT100 K | 154 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 2346861 | GovernmentGrants |
| Total Contributions | 2346861 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 77394398 | TotalRevenueColumn |
| Related Or Exempt Function Income | 77394398 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 77394398 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 453251 | TotalRevenueColumn |
| Exclusion | $453,251 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15263845 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 14399377 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 864468 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 864468 | TotalRevenueColumn |
| Exclusion | $864,468 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| ROC SURGERY CENTER K-1 | 621400 | 396000 | 396000 |
| GAIN FROM JOINT VENTURE | 621400 | 69596 | 69596 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 465596 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 81524574 | TotalRevenueColumn |
| Related Or Exempt Function Income | 77859994 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,317,719 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36481581 | Total |
| Program Services | 36481581 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5055935 | Total |
| Management And General | 5055935 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4959777 | Total |
| Management And General | 4959777 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1742623 | Total |
| Management And General | 1742623 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46437 | Total |
| Management And General | 46437 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37118 | Total |
| Management And General | 37118 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1831302 | Total |
| Program Services | 394862 | ProgramServices |
| Management And General | 1436440 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 364835 | Total |
| Management And General | 364835 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1302453 | Total |
| Management And General | 1302453 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 340419 | Total |
| Management And General | 340419 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PHYSICIAN CONTRACTS | 34570890 | 34570890 | |
| OUTSIDE SERVICE EXPENSE | 1874168 | 1874168 | |
| MALPRACTICE INSURANCE | 1070125 | 1070125 | |
| MISCELLANEOUS | 612761 | 612761 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88748 | Total |
| Management And General | 88748 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90379172 | Total |
| Program Services | 71447333 | ProgramServices |
| Management And General | 18931839 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5896014 | BOY |
| EOY | 2511332 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3123078 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 945052 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2501997 | BOY |
| EOY | 2178026 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21967769 | BOY |
| EOY | 18013801 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93331 | BOY |
| EOY | 212927 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30459111 | BOY |
| EOY | 22916086 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30459111 | BOY |
| EOY | 22916086 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30459111 | BOY |
| EOY | 22916086 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30459111 | BOY |
| EOY | 22916086 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -8854598 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1311573 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1108741 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1396376 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1749541 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2422306 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2346861 | CurrentTaxYear |
| Total | 9023825 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1108741 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1396376 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1749541 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2422306 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2346861 | CurrentTaxYear |
| Total | 9023825 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 9023825 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1160495 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 946270 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 924962 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 803349 | CurrentTaxYearMinus1Year |
| Current Tax Year | 476094 | CurrentTaxYear |
| Total | 4311170 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 13334995 | TotalSupport |
| Gross Receipts From Admissions Etc | 339205741 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.67670 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.54130 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2805822 | OtherCostOrOtherBasis |
| Depreciation | 849049 | Depreciation |
| Book Value | 1956773 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 317256 | OtherCostOrOtherBasis |
| Depreciation | 96003 | Depreciation |
| Book Value | 221253 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2178026 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 82836147 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1311573 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 1311573 | RevenueNotRptdF990 |
| Revenue Subtotal | 81524574 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 81524574 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 90379172 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 90379172 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 90379172 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | UPA IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. IN ADDITION, UPA HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE YEARS ENDED JUNE 30, 2013 AND 2012. UPA FILES U.S. FEDERAL AND STATE OF INDIANA INFORMATION RETURNS. UPA IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE OF INDIANA TAX EXAMINATIONS BY TAX AUTHORITIES FOR FISCAL YEARS BEFORE 2010. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| INDIANA UNIV FOUNDATION | |||||||
| S STATE ROAD 46 | BLOOMINGTON | IN | 47401 | 356018940 | 501(C)(3) | 36222744 | TO PROVIDE MEDICAL EDUCATION AND MEDICAL RESEARCH IN CONJUNCTION WITH SERVING AS AN AUXILIARY TO THE OPERATION OF THE DEPARTMENT OF PEDIATRICS OF INDIANA UNIVERSITY SCHOOL OF MEDICINE AND ITS HOSPITALS. |
| VARIOUS MEDICAL PROGRAMS | |||||||
| S STATE ROAD 46 | BLOOMINGTON | IN | 47401 | 258837 | TO PROVIDE MEDICAL EDUCATION AND MEDICAL RESEARCH IN CONJUNCTION WITH SERVING AS AN AUXILIARY TO THE OPERATION OF THE DEPARTMENT OF PEDIATRICS OF INDIANA UNIVERSITY SCHOOL OF MEDICINE AND ITS HOSPITALS. | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: TERESA HUTCHISON RECEIVES REQUESTS FROM PEDIATRIC DEPARTMENTS TO SET UP PURCHASE ORDERS FOR PHYSICIANS UPA SALARIES ON FEDERAL AND NON-FEDERAL GRANTS. TERESA HUTCHISON THEN REQUESTS PURCHASE ORDERS WITH APPROVAL GOING THROUGH THE REQUESTING DEPARTMENT. ONCE APPROVAL OF THE PURCHASE ORDER IS RECEIVED, TERESA BILLS BASED ON THE IU SALARY PERCENTAGE CHARGED TO THE ACCOUNT. THE REQUESTING DEPARTMENT MONITORS THE OVERALL SPENDING OF THE GRANT ACCOUNTS. THE BILLING OF THE SALARY BY TERESA CANNOT EXCEED THE AMOUNT OF THE INITIAL PURCHASE ORDER. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR RANDALL L CALDWELL | ||||||||||||||
| SECRETARY/TREASURER | 209981 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 209981 | 0 | 0 | 0 |
| DR D WADE CLAPP | ||||||||||||||
| CHAIRMAN OF THE BOARD | 181888 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 181888 | 0 | 0 | 0 |
| DR HOWARD EIGEN | ||||||||||||||
| BOARD MEMBER | 357500 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 357500 | 0 | 0 | 0 |
| DR ROBERT J FALLON | ||||||||||||||
| BOARD MEMBER | 160803 | 0 | 0 | 0 | 0 | 0 | 6500 | 0 | 0 | 0 | 167303 | 0 | 0 | 0 |
| DR DAVID A INGRAM JR | ||||||||||||||
| PRESIDENT | 307190 | 0 | 0 | 0 | 0 | 0 | 8000 | 0 | 0 | 0 | 315190 | 0 | 0 | 0 |
| DR EUGENIA P MOLLESTION | ||||||||||||||
| BOARD MEMBER | 252708 | 0 | 0 | 0 | 0 | 0 | 4920 | 0 | 0 | 0 | 257628 | 0 | 0 | 0 |
| DR JOHN C CHRISTENSON | ||||||||||||||
| BOARD MEMBER | 161451 | 0 | 0 | 0 | 0 | 0 | 8000 | 0 | 0 | 0 | 169451 | 0 | 0 | 0 |
| DR STEPHANIE DAVIS | ||||||||||||||
| BOARD MEMBER | 210000 | 0 | 0 | 0 | 0 | 0 | 11420 | 0 | 0 | 0 | 221420 | 0 | 0 | 0 |
| DR ABIGAIL F KLEMSZ | ||||||||||||||
| BOARD MEMBER | 189858 | 0 | 0 | 0 | 0 | 0 | 9000 | 0 | 0 | 0 | 198858 | 0 | 0 | 0 |
| DR MARA NITU | ||||||||||||||
| BOARD MEMBER | 312000 | 0 | 0 | 0 | 0 | 0 | 9000 | 0 | 0 | 0 | 321000 | 0 | 0 | 0 |
| DR KATHLEEN O'NEILL | ||||||||||||||
| BOARD MEMBER | 176667 | 0 | 0 | 0 | 0 | 0 | 8167 | 0 | 0 | 0 | 184834 | 0 | 0 | 0 |
| DR JAMES A LEMONS | ||||||||||||||
| BOARD MEMBER | 208160 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 208160 | 0 | 0 | 0 |
| DR ALVARO J TORI | ||||||||||||||
| PHYSICIAN | 320000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 320000 | 0 | 0 | 0 |
| DR ALEXANDRE T ROTTA | ||||||||||||||
| PHYSICIAN | 351333 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 351333 | 0 | 0 | 0 |
| DR MARK RIGBY | ||||||||||||||
| PHYSICIAN | 403000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 403000 | 0 | 0 | 0 |
| DR SHEKHAR RAJ | ||||||||||||||
| PHYSICIAN | 389500 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 389500 | 0 | 0 | 0 |
| DR DAVID HERTZ | ||||||||||||||
| PHYSICIAN | 350285 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 350285 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | COMPENSATION RELATES TO MEDICAL SERVICES PROVIDED, NOT AS COMPENSATION FOR SERVING ON THE BOARD. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990, WHICH IS PREPARED BY A CPA FIRM, IS REVIEWED IN DETAIL BY THE ORGANIZATION'S BUSINESS MANAGER, ADMINISTRATOR AND OTHER ACCOUNTING PERSONNEL. IN ADDITION, FORM 990 IS PRESENTED TO THE BOARD OF DIRECTOR'S FOR REVIEW AND APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | UPA BOARD REVIEWS AND MONITORS ALL COMPLIANCE IN ACCORDANCE WITH UPA'S CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15A | UPA BOARD WILL VOTE AND DETERMINE THE COMPENSATION BASED ON EXTERNAL AND INTERNAL FACTORS. |
| FORM 990, PART VI, SECTION C, LINE 18 | AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST |
| FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROC SURGERY LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 340 WEST 10TH STREET | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271497960 | EIN |
| Primary Activity | AMBULATORY SURGERY CENTER PERFORMING ONLY OUTPATIENT PROCEDURES | PrimaryActivity |
| Legal Domicile State | IN | LegalDomicileState |
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 396000 | ShareOfTotalIncome |
| Share Of EOY Assets | 275000 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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