Methodist Occupational Health Centers Inc: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
Methodist Occupational Health Centers Inc (EIN 35-1844176)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-08
IRS object ID
201233139349301218
Schema version
2011v1.3
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

FieldValueIRS element (for citing)
Timestamp2012-11-08T12:35:35-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351844176EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1METHODIST OCCUPATIONAL HEALTH CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BROC BUDDEInCareOfName
Name ControlMETHNameControl
Phone3179624575Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN STREET SUITE 800AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameG DEAN RAINBOLTName
TitleVICE PRESIDENTTitle
Date Signed2012-11-08DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJENNIFER D RHODERICKName
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1IU HEALTH OCCUPATIONAL SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS W BRINKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN ST STE 800AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26909169GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.IUHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionProvide occupational health services in prevention, treatment, and rehabilitation.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees410TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI20089TotalGrossUBI
Net Unrelated Business Txbl Income627NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22702441ProgramServiceRevenuePriorYear
Program Service Revenue CY26866637ProgramServiceRevenueCY
Investment Income Prior Year30920InvestmentIncomePriorYear
Investment Income Current Year9508InvestmentIncomeCurrentYear
Other Revenue Prior Year39397OtherRevenuePriorYear
Other Revenue Current Year33024OtherRevenueCurrentYear
Total Revenue Prior Year22772758TotalRevenuePriorYear
Total Revenue Current Year26909169TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY50GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15128636SalariesEtcPriorYear
Salaries Etc Current Year16831999SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7633406OtherExpensePriorYear
Other Expenses Current Year10306729OtherExpensesCurrentYear
Total Expenses Prior Year22762042TotalExpensesPriorYear
Total Expenses Current Year27138778TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10716RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-229609RevenuesLessExpensesCY
Total Assets BOY10923598TotalAssetsBOY
Total Assets EOY11310039TotalAssetsEOY
Total Liabilities BOY2287628TotalLiabilitiesBOY
Total Liabilities EOY2903678TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8635970NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8406361NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionProvide occupational health services in prevention, treatment, and rehabilitation.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense21624023Expense
Grants50Grants
Revenue26866637Revenue
DescriptionMethodist 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.Description
Total Program Service Expense21624023TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
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Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109631NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees410NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
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Local ChaptersfalseLocalChapters
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Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBROC BUDDENamePerson
Telephone Number3179624575TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN STREET SUITE 800AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ALEX P SLABOSKY
CHAIRMAN (01/01 - 11/29)2.0X041389546047
RONALD L STIVER
CHAIRMAN (11/30 - 12/31)2.0X039546389135
ISADORE RIVAS
DIRECTOR2.0X034311437965
THOMAS W BRINK
DIRECTOR/PRESIDENT & CEO55.0X159901018999X
G DEAN RAINBOLT
VICE PRESIDENT2.0012675719373X
NORMAN G TABLER JR
SECRETARY2.0061683536471X
SAJIV D ALEX MD
MEDICAL DIRECTOR - CLINIC55.0193020041225X
IMTIAZ M AHMAD MD
MEDICAL DIRECTOR - CLINIC55.0221564038521X
MICHAEL C PATELLOS MD
MEDICAL DIRECTOR - CORPORATE55.0198292041967X
ERIC G GUIDERO MD
MEDICAL DIRECTOR - CLINIC55.0185691019022X
DAVID S KATZ MD
MEDICAL DIRECTOR - CLINIC55.0257148038182X
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Total Reportable Comp Frm Rltd Orgs1896064TotalReportableCompFrmRltdOrgs
Total Other Compensation426907TotalOtherCompensation
Number Individuals GT100 K15NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SOUTH BEND MEDICAL FOUNDATION INC
PO BOX 2030MISHAWAKAIN46546LABORATORY624399
UNIVERSITY PHYSIATRIC ASSOCIATION
541 N CLINIC DRINDIANAPOLISIN46202MEDICAL258882
HOWARD REGIONAL HEALTH SYSTEM
3500 S LAFOUNTAINKOKOMOIN46902MEDICAL236438
THOMAS A BRADY SPORTS MEDICINE CEN
201 PENNSYLVANIA PKWY 325INDIANAPOLISIN46280MEDICAL227962
RADIATION SERVICES OF INDIANA INC
422 PARK 800 DRGREENWOODIN46143RADIOGRAPHY185893
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

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NET PATIENT SERVICE REVENUE62111023800696238006960$0
SHARED SERVICES9000993065941304585220089$0
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Net Income From Gaming NetIncomeFromGaming

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Net Income Or Loss NetIncomeOrLoss

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Other Revenue Misc OtherRevenueMisc

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DescriptionALL OTHER REVENUEDescription
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Total Revenue Column33024TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
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Exclusion$33,024ExclusionAmount
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Total Other Revenue33024TotalOtherRevenue

Total Revenue TotalRevenue

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Total Revenue Column26909169TotalRevenueColumn
Related Or Exempt Function Income26846548RelatedOrExemptFunctionIncome
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Program Services50ProgramServices

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Benefits To Members BenefitsToMembers

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Comp Current Officers Directors CompCurrentOfficersDirectors

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Comp Disqual Persons CompDisqualPersons

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Total0Total

Other Salaries And Wages OtherSalariesAndWages

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Management And General2419434ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

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Management And General136844ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

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Management And General300307ManagementAndGeneral

Payroll Taxes PayrollTaxes

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Fees For Services Management FeesForServicesManagement

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Total0Total

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Fees For Services Accounting FeesForServicesAccounting

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Management And General2396ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

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Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

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Fees For Services Other FeesForServicesOther

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Advertising Advertising

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Office Expenses OfficeExpenses

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Management And General274315ManagementAndGeneral

Information Technology InformationTechnology

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Management And General65714ManagementAndGeneral

Royalties Royalties

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Occupancy Occupancy

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Management And General104293ManagementAndGeneral

Travel Travel

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Management And General29781ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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Total0Total

Conferences Meetings ConferencesMeetings

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Total0Total

Interest Interest

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Program Services10053ProgramServices
Management And General164ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

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Total0Total

Depreciation Depletion DepreciationDepletion

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Total328057Total
Program Services227364ProgramServices
Management And General100693ManagementAndGeneral

Insurance Insurance

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Total183083Total
Program Services117692ProgramServices
Management And General65391ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

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DRUGS AND MEDICAL SUPPLIES22056482205648
BAD DEBT193403193403
RECRUITMENT342918001629
INSTITUTIONAL DUES/LICENSES30623062

All Other Expenses AllOtherExpenses

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Management And General536200ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

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Management And General5514755ManagementAndGeneral
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EOY1380EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

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EOY0EOY

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BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

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BOY2847117BOY
EOY4070340EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

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BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

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BOY0BOY
EOY0EOY

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BOY0BOY
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Inventories For Sale Or Use InventoriesForSaleOrUse

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BOY0BOY
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EOY187330EOY
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Land Bldg Equipment Accum Deprec4457656LandBldgEquipmentAccumDeprec

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EOY1598033EOY

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Intangible Assets IntangibleAssets

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Other Assets Total OtherAssetsTotal

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BOY0BOY
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EOY11310039EOY

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BOY1584507BOY
EOY2625486EOY

Grants Payable GrantsPayable

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BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

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BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

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BOY0BOY
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Escrow Account Liability EscrowAccountLiability

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BOY0BOY
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Loans From Officers Directors LoansFromOfficersDirectors

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BOY0BOY
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Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

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BOY0BOY
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Other Liabilities OtherLiabilities

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BOY703121BOY
EOY94302EOY

Total Liabilities TotalLiabilities

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BOY2287628BOY
EOY2903678EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

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EOY8406361EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

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BOY0BOY
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Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

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BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8635970BOY
EOY8406361EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

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BOY10923598BOY
EOY11310039EOY
FieldValueIRS element (for citing)
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Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

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Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis534323OtherCostOrOtherBasis
Depreciation163070Depreciation
Book Value371253BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1998515OtherCostOrOtherBasis
Depreciation1598185Depreciation
Book Value400330BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3477580OtherCostOrOtherBasis
Depreciation2696401Depreciation
Book Value781179BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis45271OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value45271BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1598033TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionINTERCOMPANY RECEIVABLES (NET)Description
Book Value5452956BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets5452956TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPENSION AND OTHER RETIREMENT LIAB.Description
Amount$94,302Amount
FieldValueIRS element (for citing)
Total Of Amounts94302TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSchedule D, Part X - Other LiabilitiesIdentifier
Return ReferenceLine 2 - FIN 48 (ASC 740) FootnoteReturnReference
ExplanationMethodist 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 2011 under GAAP as IU Health does not have any material tax contingencies that required disclosures in the footnotes.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALEX P SLABOSKY
0309149042073062673020652025395045994200
RONALD L STIVER
0286774094177014512072566016569048459800
ISADORE RIVAS
0269767059840013507020652017313038107900
THOMAS W BRINK
1518800008021011718072810178900000
NORMAN G TABLER JR
035910401556270102104020652015819065330600
SAJIV D ALEX MD
1921330008870159950252300234245000
IMTIAZ M AHMAD MD
21354100080230149940235270260085000
MICHAEL C PATELLOS MD
1973260009660167280252390240259000
ERIC G GUIDERO MD
1840160001675014590044320204713000
DAVID S KATZ MD
25542500017230191500190320295330000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSchedule J, Part I - Questions Regarding CompensationIdentifier
Return ReferenceLine 4b - Supplemental Nonqualified Retirement PlanReturnReference
ExplanationAlex P. Slabosky, 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. For Alex P. Slabosky and Norman G. Tabler, Jr., $18,010 and $52,610, respectively, is included in column b(iii), other reportable compensation, representing the amount received under their respective supplemental executive retirement plan. 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part VI, Section A - Governing Body and ManagementLine 1b - Number of Voting Members that are IndependentMethodist 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 ManagementLine 2 - Family or Business RelationshipsAlex P. Slabosky serves on the Board of Directors and Norman G. Tabler, Jr. is an officer and serves on the Board of Directors of Indiana University Health Plans, Inc. No additional compensation is provided. 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 ManagementLines 6, 7A, and 7B - Members or StockholdersLine 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 ManagementLine 11b - Review of Form 990Methodist 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 - PoliciesLines 12, 13, and 14Methodist 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 - PoliciesLine 12c - Conflict of Interest PolicyMethodist 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 - PoliciesLine 15a - Process for Determining CompensationMethodist Occupational Health Centers, Inc. ("MOHC") has a process in place to determine the compensation for its President & CEO. 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 & CEO, which is then used as a guide for setting compensation by the Board of Directors. This process was last performed for the President & CEO in 2002. Since that time, the President & CEO has received increases commensurate with general employee wage increases. Compensation changes, including general employee wage increases, of the President & CEO 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 - PoliciesLine 19 - Public DisclosureMethodist 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.
Part VII, Section A - Governing Body and ManagementLine 1a, Column (B) - Average hours per weekAlex P. Slabosky is a Senior Vice President for Indiana University Health, Inc. and devotes 55 hours per week. Ronald L. Stiver is the Senior Vice President, Engagement and Public Affairs for Indiana University Health, Inc. and devotes 55 hours per week. Isadore Rivas is the Vice President, Finance for Indiana University Health, Inc. and devotes 55 hours per week. G. Dean Rainbolt is a Tax Attorney for Indiana University Health, Inc. and devotes 25 hours per week and the Vice President of Indiana University Health North Hospital, Inc. and devotes 1 hour per week. Norman G. Tabler is the Senior Vice President and General Counsel for Indiana University Health, Inc. and devotes 55 hours per week.
Form 5471 FootnoteMethodist Occupational Health Centers, Inc. (FEIN: 35-1844176) constructively owned a controlled foreign corporation in 2011 through its affiliate, Indiana University Health, Inc. (FEIN: 35-1955872). Pursuant to IRC Section 6038, the 2011 controlled foreign corporation filing requirement of Methodist Occupational Health Centers, Inc. was fulfilled on the 2011 Form 5471 filed on its behalf by: Indiana University Health, Inc. FEIN: 35-1955872 950 N. Meridian Street, Suite 800 Indianapolis, IN 46204 The 2011 Form 5471 for Indiana University Health, Inc. was filed at the following IRS processing center: Ogden, UT 84201-0012

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
M-URGENT CARE LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204271972484HEALTHCAREIN2072180MOHC
WORKPLACE HEALTH SERVICES LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204200994452HEALTHCAREIN81432681082341MOHC

Form990 Schedule R Part II Form990ScheduleRPartII (36 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BALL MEMORIAL HOSPITAL AUXILIARY INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204356025400HEALTHCAREIN501(C)(3)11 III-FIIUHBMHtrue
CLARIAN TRANSPLANT INSTITUTE INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204134350599HEALTHCAREIN501(C)(3)9IUHtrue
GOSHEN HEALTH SYSTEM INC
200 HIGH PARK AVEGOSHENIN46527351974765HEALTHCAREIN501(C)(3)11 IIUHtrue
GOSHEN HOSPITAL ASSOCIATION INC
200 HIGH PARK AVEGOSHENIN46527356001540HEALTHCAREIN501(C)(3)3GHStrue
HEALTHLINC INC
714 S ROGERS STBLOOMINGTONIN47402263571507HEALTHCAREIN501(C)(3)9IUHBtrue
INDIANA RADIOLOGY PARTNERS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204201017034HEALTHCAREIN501(C)(3)3IUHtrue
INDIANA UNIVERSITY HEALTH INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351955872HEALTHCAREIN501(C)(3)3NAfalse
IU HEALTH ARNETT FOUNDATION INC
2600 GREENBUSH STLAFAYETTEIN46204356079797FUNDRAISINGIN501(C)(3)11 IIUHAtrue
IU HEALTH ARNETT INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204263162145HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH BALL MEMORIAL HOSPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204350867958HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH BALL MEMORIAL PHYSICIANS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351925641HEALTHCAREIN501(C)(3)9IUHBMHtrue
IU HEALTH BEDFORD INC
2900 W 16TH STBEDFORDIN47421237042323HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH BLACKFORD HOSPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204010646166HEALTHCAREIN501(C)(3)3IUHBMHtrue
IU HEALTH BLOOMINGTON INC
PO BOX 1149BLOOMINGTONIN47403351720796HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH BMH FOUNDATION INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204311111784FUNDRAISINGIN501(C)(3)11 IIUHMBHtrue
IU HEALTH CARE ASSOCIATES INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351747218HEALTHCAREIN501(C)(3)9IUHtrue
IU HEALTH LAPORTE HOSPITAL INC
PO BOX 250LAPORTEIN46352351125434HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH LAPORTE PHYSICIANS INC
PO BOX 250LAPORTEIN46352311070868HEALTHCAREIN501(C)(3)3IUHLHtrue
IU HEALTH MORGAN HOSPITAL INC
2209 JOHN R WOODEN DRMARTINSVILLEIN46151273533027HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH NORTH HOSPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351932442HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH PAOLI HOSP FOUNDATION INC
PO BOX 499PAOLIIN47454310992486FUNDRAISINGIN501(C)(3)11 III-OIUHPtrue
IU HEALTH PAOLI INC
PO BOX 499PAOLIIN47454352090919HEALTHCAREIN501(C)(3)3IUHBtrue
IU HEALTH TIPTON HOSPITAL INC
1000 S MAIN STTIPTONIN46072262772226HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH WEST HOSPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351814660HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH WHITE MEMORIAL HOSPITAL INC
720 S SIXTH STMONTICELLOIN47960273532963HEALTHCAREIN501(C)(3)3IUHtrue
IU MEDICAL GROUP FOUNDATION INC
340 W 10TH ST NO FS5100INDIANAPOLISIN46202201093251FUNDRAISINGIN501(C)(3)11 IINAfalse
METHODIST HEALTH FOUNDATION INC
1800 N CAPITOL AVEINDIANAPOLISIN46202356043086FUNDRAISINGIN501(C)(3)11 IIUHtrue
METHODIST HEALTH GROUP INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204350876390HEALTHCAREIN501(C)(3)11 III-FINAfalse
METHODIST MEDICAL GROUP INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351945384HEALTHCAREIN501(C)(3)3IUHtrue
METHODIST RESEARCH INSTITUTE INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204352023710HEALTHCAREIN501(C)(3)11 IIUHtrue
MH HEALTHCARE INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351766531HEALTHCAREIN501(C)(3)3MMGtrue
MORGAN CO MEM HOSP FOUNDATION INC
2209 JOHN R WOODEN DRMARTINSVILLEIN46151352035162FUNDRAISINGIN501(C)(3)11 IIIUHMHtrue
MORGAN CO MEM HOSP GUILD INC
2209 JOHN R WOODEN DRMARTINSVILLEIN46151310886844FUNDRAISINGIN501(C)(3)11 III-FIIUHMHtrue
MORGAN HEALTH SERVICES INC
1949 HOSPITAL DRMARTINSVILLEIN46151351968564HEALTHCAREIN501(C)(3)3IUHMHtrue
UNIVERSITY FAMILY PHYSICIANS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204237427350HEALTHCAREIN501(C)(3)9IUHCAtrue
WHITE CO MEM HOSP FOUNDATION INC
PO BOX 952MONTICELLOIN47960351671806FUNDRAISINGIN501(C)(3)11 III-OIUHWMHtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (25 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
BALL OUTPATIENT SURGERY CENTER LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244270275794HEALTHCAREINBOSCHN/A00false$0false0.00000
BELTWAY SURGERY CENTERS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244352072586HEALTHCAREINIUHSCN/A00false$0false0.00000
BLOOMINGTON ENDOSCOPY CENTERS LLC
PO BOX 1149BLOOMINGTONIN47402352117943HEALTHCAREINIUHBN/A00false$0false0.00000
BMH OUTPATIENT SURGERY SERVICES LLC
2401 W UNIVERSITY AVEMUNCIEIN47303204567998HEALTHCAREINIUHBMHN/A00false$0false0.00000
BOSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454147343HEALTHCAREINIUHN/A00false$0false0.00000
CARDINAL HEALTH INITIATIVES LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204300102702PURCHASINGINIUHBMHN/A00false$0false0.00000
CHV FUND I LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204262523206VENTURE CAPITALINIUHN/A00false$0false0.00000
CHV FUND MANAGEMENT LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204262523151VENTURE CAPITALINCHVN/A00false$0false0.00000
CLARIAN HEALTH NETWORK LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204352055030HEALTHCAREINIUHN/A00false$0false0.00000
CLARIAN HEALTH NORTH LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204431980602HEALTHCAREINIUHN/A00false$0false0.00000
CLARIAN HEALTH WEST LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204431980611HEALTHCAREINIUHN/A00false$0false0.00000
CTF INTERNATIONAL GROWTH PORTFOLIO
280 CONGRESS ST STE 500BOSTONMA02210200231923INVESTMENTSMAIUHN/A00false$0false0.00000
EAGLE HIGHLANDS SURGERY CENTER LLC
3000 RIVERCAHSE GALLERIA STE 500BIRMINGHAMAL35244352259204HEALTHCAREINEHSCHN/A00false$0false0.00000
EHSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454147879HEALTHCAREINIUHN/A00false$0false0.00000
HEALTH VENTURE MANAGEMENT LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204205740218MANAGEMENTINIUHN/A00false$0false0.00000
IEC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454148032HEALTHCAREINIUHN/A00false$0false0.00000
INDIANA ENDOSCOPY CENTERS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244208398421HEALTHCAREINIECHN/A00false$0false0.00000
INDIANA LAKES MANAGED CARE ORG LLC
310 S MAIN STGOSHENIN46526351946663HEALTHCAREINGHSN/A00false$0false0.00000
IUH SURGERY CENTERS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244452314634HEALTHCAREINIUHN/A00false$0false0.00000
MID-AMERICA SURGERY CENTER LLC
2401 W UNIVERSITY AVEMUNCIEIN47303352002953HEALTHCAREINCDHVN/A00false$0false0.00000
ROC SURGERY LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244271497960HEALTHCAREINROCSHN/A00false$0false0.00000
ROCS HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454148369HEALTHCAREINIUHN/A00false$0false0.00000
SENATE STREET SURGERY CENTER LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244421709357HEALTHCAREINSSSCHN/A00false$0false0.00000
SSSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454148167HEALTHCAREINIUHN/A00false$0false0.00000
THE HEALTHCARE GROUP LLC
1776 MERIDIAN ST STE 300INDIANAPOLISIN46202352067373MANAGED CAREINIUHN/A00false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
BMH MEDICAL PAVILION ASSOCIATION INC
2525 W UNIVERSITY AVEMUNCIEIN47303351858408CONDO MANAGEMENTINIUHBMHC000.00000
CARDINAL HEALTH VENTURES INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351611424MANAGEMENTINIUHBMHC000.00000
CHV CAPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204260752507VENTURE CAPITALINIUHC000.00000
IU HEALTH ACO INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204454421020HEALTHCAREINIUHC000.00000
IU HEALTH BOARD DESIGNATED TRUST
400 HOWARD STSAN FRANCISCOCA94105306309021INVESTMENTSINIUHT000.00000
IU HEALTH NTGI S&P500 FUND CF
PO BOX 804358CHICAGOIL60680306298263INVESTMENTSINIUHT000.00000
IU HEALTH PLANS INC
1776 MERIDIAN ST STE 300INDIANAPOLISIN46202262127080HMOINIUHC000.00000
IU HEALTH RISK PURCHASING GROUP INC
151 MEETING ST STE 301CHARLESTONSC29401260202446INSURANCEINIUHC000.00000
IUH HEALTH RISK RETENTION GROUP INC
151 MEETING ST STE 301CHARLESTONSC29401201107674INSURANCESCIUHC000.00000
IU HEALTH SOUTHERN IN PHYSICIANS INC
PO BOX 1149BLOOMINGTONIN47402351913875HEALTHCAREINIUHBC000.00000
IUH ASSURANCE LTD
980395429INSURANCEIUHC000.00000720 W BAY RDPO BOX 69GRAND CAYMANCJCJ
OCC-HEALTH REVENUE SYSTEMS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204203308057WORK COMP PPOINMOHCC123598156481.00000
PARKMOR DRUG INC
1501 S MAIN STGOSHENIN46526131394980PHARMACY SALESINGHSC000.00000
PILR INC
200 HIGH PARK AVEGOSHENIN46526204294750DEVELOPMENTINGHSC000.00000
RADIATION ONCOLOGY RESOURCES INC
200 HIGH PARK AVEGOSHENIN46526262008424HEALTHCAREINGHSC000.00000
SCANS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204453080392HEALTHCAREINCHVF1C000.00000
UNIVERSITY HEALTH MANAGEMENT INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204272891143MANAGEMENTINCHVC000.00000
UNIVERSITY HEALTH MGMT (CHINA) INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204273891311MANAGEMENTINCHVC000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
IU HEALTH BALL MEMORIAL HOSPITAL INC
J120261FMV
IU HEALTH ARNETT INC
K173874FMV
IU HEALTH BALL MEMORIAL HOSPITAL INC
K276906FMV
IU HEALTH CARE ASSOCIATES INC
K163092FMV
CLARIAN HEALTH NORTH LLC
K110174FMV
CLARIAN HEALTH WEST LLC
K96204FMV
IU HEALTH BALL MEMORIAL HOSPITAL INC
L119843FMV
INDIANA RADIOLOGY PARTNERS INC
L164429FMV
IU HEALTH RISK RETENTION GROUP INC
Q162045FMV

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