2012-03-07T16:03:48-06:00 2011-06-30 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 462400857 990 2010-07-01 237328642 UNIVERSITY PEDIATRIC ASSOCIATES INC UNIV 3172741201 550 NORTH MERIDIAN STREET NO 228 INDIANAPOLIS IN 46202 DR D WADE CLAPP 3172741201 2012-03-07 1 TERRY O'NEIL 3175802000 2012-03-07 2010 2016-02-24 21:20:13Z DR D WADE CLAPP 550 N MERIDIAN ST SUITE 228 INDIANAPOLIS IN 46202 81473693 0 X N/A X 1973 IN 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. 14 14 308 0 0 -534871 1396376 1749541 65529036 66551342 880352 1521728 -1152852 0 66652912 69822611 33893375 32878804 0 0 4285559 6566605 0 0 0 36083599 33817676 74262533 73263085 -7609621 -3440474 36981715 37882732 0 0 36981715 37882732 X 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. 0 0 32862038 32862038 VARIOUS CONTRIBUTIONS TO INDIANA UNIVERSITY FOUNDATION AND INDIANA UNIVERSITY SCHOOL OF MEDICINE 16766 16766 CHARITABLE CONTRIBUTIONS TO VARIOUS MEDICAL INSTITUTIONS 275558 THE ORGANIZATION PROVIDES ADMINISTRATIVE AND COLLECTION SERVICES FOR INDIANA UNIVERSITY FACULTY AND PHYSICIANS 28680201 PHYSICIAN CONTRACTS FOR RESEARCH, EDUCATION, AND PATIENT CARE 28680201 61834563 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 31 0 1 308 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 1 1 IN X HELEN BRODY ADMINISTRATIVE DIRECTO 3172741211 550 NORTH MERIDIAN STREET INDIANAPOLIS IN 46204 DR RANDALL L CALDWELL 40.00 X X 162338 0 0 DR JAMES A LEMONS 40.00 X X 231877 0 0 DR D WADE CLAPP 40.00 X X 172275 0 0 DR HOWARD EIGEN 40.00 X 244140 0 0 DR ROBERT J FALLON 40.00 X 152745 0 6500 DR SHARON P ANDREOLI 40.00 X 107104 0 1844 DR ERICA A EUGSTER 40.00 X 122615 0 4920 DR DAVID A INGRAM JR 40.00 X 287026 0 9000 DR EUGENIA P MOLLESTION 40.00 X 197118 0 4920 DR JOHN C CHRISTENSON 40.00 X 150717 0 8000 DR STEPHEN M DOWNS 40.00 X 141994 0 9000 DR SUZANNE L BOWYER 40.00 X 110170 0 4920 DR ABIGAIL F KLEMSZ 40.00 X 147497 0 0 DR VAUGHN I RICKERT 40.00 X 111099 0 8000 DR ALEXANDRE T ROTTA 40.00 X 439900 0 9000 DR DAVID E HERTZ 40.00 X 344735 0 6360 DR GREGORY M SOKOL 40.00 X 310052 0 6360 DR MERVIN C YODER 40.00 X 201073 0 3717 DR CHARLES G NJINIMBAM 40.00 X 292442 0 10000 3926917 0 92541 19 0 1 0 0 1749541 1749541 PATIENT SERVICES 621110 66551342 66551342 66551342 924962 924962 12247848 11651082 596766 596766 596766 69822611 66551342 0 1521728 32878804 32878804 5054609 5054609 1511996 1511996 62279 62279 76514 76514 938375 275558 662817 112600 112600 518584 518584 4925 4925 36200 36200 73536 73536 PHYSICIAN CONTRACTS 28680201 28680201 OUTSIDE SERVICE EXPENSE 1399368 1399368 MALPRACTICE INSURANCE 959210 959210 MISCELLANEOUS 504432 504432 BANK & SETTLEMENT FEES 336034 336034 115418 115418 73263085 61834563 11428522 0 7697912 6001528 390000 390000 936277 229078 545745 707199 28348058 30784005 36981715 37882732 0 0 X 36981715 37882732 36981715 37882732 36981715 37882732 X -3440474 4341491 X 0 1 1 X 1 1 X INDIANA UNIVERSITY MEDICAL CENTER INDIANAPOLIS IN 748413 183114 565299 77841 19045 58796 110023 26919 83104 707199 69822611 73263085 -3440474 4341491 4341491 901017 74164102 4341491 4341491 69822611 0 69822611 73171155 0 73171155 91930 91930 73263085 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: UPA IS EXEMPT FROM FEDERAL INCOMES 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, 2011 AND 2010. PART XIII, LINE 4B - OTHER ADJUSTMENTS: LOSS FROM JOINT VENTURE 91,930. 1 INDIANA UNIV FOUNDATION S STATE ROAD 46 BLOOMINGTON IN 47401 356018940 501(C)(3) 32862038 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 16766 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. 4 1 X X 0 0 0 0 0 0 0 0 0 DR RANDALL L CALDWELL 162338 0 0 0 0 0 0 0 0 0 162338 0 0 0 DR JAMES A LEMONS 231877 0 0 0 0 0 0 0 0 0 231877 0 0 0 DR D WADE CLAPP 172275 0 0 0 0 0 0 0 0 0 172275 0 0 0 DR HOWARD EIGEN 244140 0 0 0 0 0 0 0 0 0 244140 0 0 0 DR ROBERT J FALLON 152745 0 0 0 0 0 6500 0 0 0 159245 0 0 0 DR DAVID A INGRAM JR 287026 0 0 0 0 0 9000 0 0 0 296026 0 0 0 DR EUGENIA P MOLLESTION 197118 0 0 0 0 0 4920 0 0 0 202038 0 0 0 DR JOHN C CHRISTENSON 150717 0 0 0 0 0 8000 0 0 0 158717 0 0 0 DR STEPHEN M DOWNS 141994 0 0 0 0 0 9000 0 0 0 150994 0 0 0 DR ALEXANDRE T ROTTA 439900 0 0 0 0 0 9000 0 0 0 448900 0 0 0 DR DAVID E HERTZ 344735 0 0 0 0 0 6360 0 0 0 351095 0 0 0 DR GREGORY M SOKOL 310052 0 0 0 0 0 6360 0 0 0 316412 0 0 0 DR MERVIN C YODER 201073 0 0 0 0 0 3717 0 0 0 204790 0 0 0 DR CHARLES G NJINIMBAM 292442 0 0 0 0 0 10000 0 0 0 302442 0 0 0 SUPPLEMENTAL INFORMATION PART III COMPENSATION RELATES TO MEDICAL SERVICES PROVIDED, NOT AS COMPENSATION FOR SERVING ON THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 FORM 990, WHICH IS PREPARED BY A CPA FIRM, IS REVIEWED IN DETAIL BY THE ORGANIZATIONS BUSINESS MANAGER, ADMINISTRATOR AND OTHER ACCOUNTING PERSONNEL IN ADDITION, FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS 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 CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 4,341,491. 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