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        <Explanation>THE COMPANY IS A NOT-FOR-PROFIT CORPORATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE AND CORRESPONDING STATE TAX PROVISIONS. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, THE COMPANY IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE COMPANY'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF INDIANA FOR THE LAST THREE YEARS. THE COMPANY DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE COMPANY RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE COMPANY DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2012 OR 2011.</Explanation>
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      <GeneralExplanation>
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        <Explanation>THE EXECUTIVE COMMITTEE SHALL CONSIST OF NOT LESS THAN 5 DIRECTORS AND SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN BOARD MEETINGS. THE EXECUTIVE SHALL ENDEAVOR TO REGULARLY MEET ON A MONTHLY BASIS.</Explanation>
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        <Identifier>Classes of members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>ESKENAZI MEDICAL GROUP HAS TWO GOVERNING BODIES, THE BOARD OF MEMBERS AND THE BOARD OF DIRECTORS. THE MEMBERS OF ESKENAZI MEDICAL GROUP'S GOVERNING BODY DO NOT ALL HAVE THE SAME VOTING RIGHTS. BELOW OUTLINES THE RIGHTS OF BOTH THE BOARD OF DIRECTORS AND THE BOARD OF MEMBERS. VOTING RIGHTS OF THE BOARD OF DIRECTORS: 1. THE BUSINESS, PROPERTY AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED AND CONTROLLED UNDER THE DIRECTION OF THE BOARD OF DIRECTORS AS FROM TIME TO TIME CONSTITUTED (THE "BOARD"). 2. THE BOARD SHALL EXERCISE ALL THE POWERS OF THE CORPORATION, SUBJECT TO THE RESTRICTIONS IMPOSED BY LAW, THE ARTICLES OF INCORPORATION AND THE CODE OF BY-LAWS. VOTING RIGHTS OF THE BOARD OF MEMBERS: 1. RATIFICATION OF THE CLASS A DIRECTORS WHO ARE ELECTED BY THE DELEGATES; 2. ELECTION OF THE CLASS B DIRECTORS WHO REPRESENT THE INDIANAPOLIS METROPOLITAN AREA BUSINESS COMMUNITY; 3. REMOVAL OF THE PRESIDENT OF THE CORPORATION; 4. APPROVAL ON AN ANNUAL BASIS OF THE CERTIFIED PUBLIC ACCOUNTING FIRM THAT AUDITS THE CORPORATION'S FINANCIAL BOOKS AND RECORDS; 5. THE APPROVAL OF, AND ONE OR MORE MATERIAL CHANGES IN, THE MISSION STATEMENT OR THE LONG-TERM STRATEGIC BUSINESS PLAN OF THE CORPORATION; 6. APPROVAL OF THE ANNUAL BUDGET OF THE CORPORATION; 7. APPROVAL OF THE SALE, LEASE, EXCHANGE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE MERGER, CONSOLIDATION OR STRATEGIC JOINT VENTURE OF THE CORPORATION WITH ANY OTHER ENTITY; AND 8. AMENDMENT, ALTERATION, OR REPEAL OF THE ARTICLES OF INCORPORATION OR THE CODE OF BY-LAWS OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Members or stockholders electing members of governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>AS OUTLINED ABOVE, THE RIGHTS OF THE MEMBERS DO INCLUDE THE ELECTION OF MEMBERS TO THE GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Decisions requiring approval by members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>THE ORGANIZATION HAS A GOVERNING BODY MADE UP OF MEMBERS CALLED THE BOARD OF MEMBERS. CERTAIN DECISIONS ARE SUBJECT TO THE APPROVAL OF THE BOARD OF MEMBERS, AS OUTLINED BELOW: 1. RATIFICATION OF THE CLASS A DIRECTORS WHO ARE ELECTED BY THE DELEGATES; 2. ELECTION OF THE CLASS B DIRECTORS WHO REPRESENT THE INDIANAPOLIS METROPOLITAN AREA BUSINESS COMMUNITY; 3. REMOVAL OF THE PRESIDENT OF THE CORPORATION; 4. APPROVAL ON AN ANNUAL BASIS OF THE CERTIFIED PUBLIC ACCOUNTING FIRM THAT AUDITS THE CORPORATION'S FINANCIAL BOOKS AND RECORDS; 5. THE APPROVAL OF, AND ONE OR MORE MATERIAL CHANGES IN, THE MISSION STATEMENT OR THE LONG-TERM STRATEGIC BUSINESS PLAN OF THE CORPORATION; 6. APPROVAL OF THE ANNUAL BUDGET OF THE CORPORATION; 7. APPROVAL OF THE SALE, LEASE, EXCHANGE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE MERGER, CONSOLIDATION OR STRATEGIC JOINT VENTURE OF THE CORPORATION WITH ANY OTHER ENTITY; AND 8. AMENDMENT, ALTERATION, OR REPEAL OF THE ARTICLES OF INCORPORATION OR THE CODE OF BY-LAWS OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of form 990 by governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>THE TAX RETURN IS PREPARED BY CROWE HORWATH LLP. THE FORM 990 IS REVIEWED BY THE CFO AND A COPY IS SENT TO EVERY VOTING MEMBER OF THE GOVERNING BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>IN ACCORDANCE WITH ESKENAZI MEDICAL GROUP'S (EMG) CONFLICT OF INTEREST POLICY, ALL EMG PROVIDERS, EMPLOYEES, OFFICERS, AND MEMBERS OF THE BOARD OF MEMBERS, BOARD OF DIRECTORS, FINANCE COMMITTEE AND COMPENSATION COMMITTEE HAVE A DUTY TO DISCLOSE ALL FACTS MATERIAL FOR A REVIEW OF THE POTENTIAL CONFLICT. ANNUALLY, ALL OF EMG'S MEMBERS, OFFICERS, DIRECTORS AND BOARD COMMITTEE MEMBERS MUST COMPLETE A WRITTEN DISCLOSURE FORM, ALONG WITH THE DUTY TO UPDATE THE FORM AS NECESSARY IF ANY NEW INTERESTS OR CHANGES IN PREVIOUSLY REPORTED INTERESTS DEVELOP. ANY SITUATION THAT COULD GIVE RISE TO A POTENTIAL CONFLICT OF INTEREST IS REVIEWED BY A DISINTERESTED EMG OFFICER, OR THE OFFICERS AS A GROUP, OR THE EMG EXECUTIVE COMMITTEE OR THE BOARD OF DIRECTORS. THE REVIEW SHALL DETERMINE WHETHER EMG, WITH REASONABLE EFFORT, SHOULD OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF SUCH A TRANSACTION OR ARRANGEMENT CAN NOT REASONABLY BE ATTAINED, THEN THE REVIEWER SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST, AND IS FAIR AND REASONABLE TO EMG. IF AN ISSUE INVOLVING A POTENTIAL CONFLICT IS BROUGHT TO THE TABLE AT A BOARD MEETING, THE PERSON WITH THE POTENTIAL CONFLICT WOULD ABSTAIN FROM VOTING ON THE ISSUE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of top management official</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15a</ReturnReference>
        <Explanation>ANNUALLY, THE COMPENSATION OF THE CEO IS REVIEWED BY THE ESKENAZI MEDICAL GROUP COMPENSATION COMMITTEE. THE COMMITTEE IS COMPRISED OF MEMBERS FROM THE FINANCE COMMITTEE WHO ARE INDEPENDENT FROM THE MANAGEMENT OF ESKENAZI MEDICAL GROUP. THE COMPENSATION COMMITTEE USES COMPENSATION STUDIES TO ENSURE THE COMPENSATION OF THE CEO IS REASONABLE. THE DECISIONS AND DELIBERATIONS ARE DOCUMENTED IN THE COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN 2012.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of other officers/key employees</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15b</ReturnReference>
        <Explanation>ANNUALLY, THE COMPENSATION OF OTHER OFFICERS IS REVIEWED BY THE ESKENAZI MEDICAL GROUP COMPENSATION COMMITTEE. THE COMMITTEE IS COMPRISED OF MEMBERS FROM THE FINANCE COMMITTEE WHO ARE INDEPENDENT FROM THE MANAGEMENT OF ESKENAZI MEDICAL GROUP. THE COMPENSATION COMMITTEE USES COMPENSATION STUDIES TO ENSURE THE COMPENSATION IS REASONABLE. THE DECISIONS AND DELIBERATIONS ARE DOCUMENTED IN THE COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN 2012.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing documents, conflict of interest policy and financial statements available to the public</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other changes in net assets or fund balances</Identifier>
        <ReturnReference>Form 990 , Part XI, Line 9</ReturnReference>
        <Explanation>ASSET DISTRIBUTION FROM IU HEALTH TO IUHP AND IU FOUNDATION - -9644413;</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="12000266" softwareVersion="v2012.1.0">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>INDIANA UNIVERSITY SCHOOL OF MEDICINE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>340 WEST 10TH STREET STE 6200</AddressLine1>
          <City>INDIANAPOLIS</City>
          <State>IN</State>
          <ZIPCode>46202</ZIPCode>
        </AddressUS>
        <PrimaryActivities>MED SCHOOL</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HEALTH AND HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3838 NORTH RURAL STREET</AddressLine1>
          <City>INDIANAPOLIS</City>
          <State>IN</State>
          <ZIPCode>46205</ZIPCode>
        </AddressUS>
        <PrimaryActivities>PUBLIC HEALTH</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
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