2012-11-08T14:03:32-06:00 2011-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2011-01-01 351747218 INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC % BROC BUDDE INDI 3179624575 950 N MERIDIAN STREET SUITE 800 INDIANAPOLIS IN 46204 CAROL D KARP 2012-11-08 JENNIFER D RHODERICK 3176817000 2011 2016-02-24 21:20:13Z IU HEALTH PHYSICIANS JOHN F FITZGERALD MD 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 318821457 false X WWW.IUHEALTH.ORG X 1987 IN Deliver preeminent medical care and services to our patients and communities through outstanding and innovative medical leadership and practice, while supporting excellence in education and research. 13 5 2303 0 156476 -2741 0 0 221550563 311159527 428549 139319 3562147 5937416 225541259 317236262 1700 0 0 0 163847263 246342425 0 0 0 101059936 137507062 264908899 383849487 -39367640 -66613225 44633241 68877343 82003273 48444803 -37370032 20432540 X Deliver preeminent medical care and services to our patients and communities through outstanding and innovative medical leadership and practice, while supporting excellence in education and research. false false 297905049 0 311003051 Indiana University Health Care Associates, Inc. ("IU Health Physicians") is the fastest growing, most complete multi-specialty physician group in the State of Indiana. Comprised of the most comprehensive network of primary care and specialty physicians, IU Health Physicians provides patients with the most innovative treatments and latest technologies offering more treatment options than anywhere in the state. IU Health Physicians also partners with the Indiana University School of Medicine to create unique research and teaching opportunities vital to medical advancement. IU Health Physicians is focused on providing high quality patient-centered care placing the highest priority on the needs of the patient and their families, without regard to the patient's ability to pay. 297905049 true false false true false false false false false true false false true true false false false false false false false false false false false false false false true false false false false false false false true false false false false true true true true false false true 172 0 true 2303 true true true false false false false false false false false false X 13 5 true false false false true true true true true false false true true true true true true true true true false IN X BROC BUDDE 3179624575 950 N MERIDIAN STREET SUITE 800 INDIANAPOLIS IN 46204 X RICHARD F GRAFFIS MD 2.0 X 0 842964 38489 ERIC S WILLIAMS MD 55.0 X 125480 0 4241 DAVID W CRABB MD 2.0 X 0 0 0 D WADE CLAPP MD 2.0 X 0 0 0 ROBERT J HAVLIK MD 2.0 X 0 0 0 CHARLES M SHUFFLEBARGER MD 55.0 X 327890 0 20411 MICHAEL R NIEMEIER MD 55.0 X 409930 0 42307 MARVIN G PEMBER 2.0 X 0 1010382 2436855 SAMUEL L ODLE 2.0 X 0 938189 1105593 LARRY H STEVENS MD 2.0 X 0 0 0 ISADORE RIVAS 2.0 X 0 343114 37965 ABIGAIL F KLEMSZ MD 2.0 X 0 0 0 HERBERT E CUSHING MD 15.0 X X 170810 0 14915 ARTHUR C COFFEY MD 2.0 X X 0 692461 46799 KEITH D LILLEMOE MD 2.0 X 0 0 0 JOHN F FITZGERALD MD 55.0 X 524106 0 89908 CAROL D KARP 55.0 X 184229 0 35319 KIMBERLEE C SHERBROOKE 55.0 X 302407 0 18659 STEPHEN H POLLOM MD 55.0 X 358021 0 39848 PETER W BRUNN 55.0 X 232678 0 42478 KYLE L ALLEN 55.0 X 251382 0 29464 MICHAEL O KOCH MD 55.0 X 851696 0 21964 RICHARD BIRHLE MD 55.0 X 965402 0 23125 RICHARD S FOSTER MD 55.0 X 908293 0 18756 MARK P CAIN MD 55.0 X 886635 0 29110 RICHARD RINK MD 55.0 X 820341 0 18888 7319300 3827110 4115094 523 false true false UNIVERSITY MEDICAL DIAGNOSTIC ASSOC PO BOX 44994 INDIANAPOLIS IN 46244 MEDICAL 6961454 INDIANA UNIVERSITY PO BOX 66271 INDIANAPOLIS IN 46266 MEDICAL 5743494 PER-SE TECHNOLOGIES PO BOX 403421 ATLANTA GA 30384 BILLING 1808957 LINDE HEALTHCARE STAFFING PO BOX 915241 DALLAS TX 75391 TEMPORARY STAFFING 1493541 LOGICALIS INC PO BOX 67000 DETROIT MI 48267 INFO. TECHNOLOGY 682076 36 0 NET PATIENT SERVICE REVENUE 621110 203214308 203214308 0 0 SHARED SERVICES 541900 107863406 107706930 156476 0 CLINICAL RESEARCH 541700 55205 55205 0 0 RENT FROM RELATED 501(C)(3) ORGS. 532000 28833 28833 0 0 INCOME (LOSS) FROM PARTNERSHIPS 900099 -2225 -2225 0 0 311159527 140045 140045 0 0 1120477 1558535 -438058 -438058 -438058 25934 26660 -726 -726 -726 0 0 0 ALL OTHER REVENUE 900099 6375474 0 0 6375474 6375474 317236262 311003051 156476 6076735 0 0 0 0 2876182 2542901 333281 0 202167711 178741321 23426390 13400244 11243660 2156584 17299836 12823811 4476025 10598452 8892456 1705996 228534 228534 167379 167379 144465 144465 2600 2600 0 0 64247924 21599460 42648464 322713 102070 220643 4502347 3305051 1197296 1700171 881080 819091 0 10391523 9656289 735234 214595 144161 70434 0 22967 12695 10272 88703 10356 78347 0 1978346 1364089 614257 3483287 3284377 198910 BAD DEBT 32327813 32327813 DRUGS AND MEDICAL SUPPLIES 7844435 7844435 RECRUITMENT 584196 246100 338096 INSTITUTIONAL DUES/LICENSES 27862 27862 9227202 2855062 6372140 383849487 297905049 85944438 0 9895 10695 7451900 0 0 0 27117490 46260827 0 0 0 0 369558 1413019 0 0 2102835 2579323 21884902 10937474 6481966 10947428 0 0 0 0 188318 7637 0 0 911279 7658414 44633241 68877343 27773695 38569352 0 0 0 0 0 0 0 0 0 0 0 474731 0 0 54229578 9400720 82003273 48444803 X -37370032 20432540 0 0 0 0 -37370032 20432540 44633241 68877343 X -66613225 124415797 X false false X 5726916 3040342 0 0 0 8767258 28583649 21794831 60461533 217100267 311003051 638943331 414151 137893 864798 7739538 6375474 15531854 34724716 24973066 61326331 224839805 317378525 663242443 0 0 0 0 0 0 0 3093972 27666033 45828532 76588537 0 0 3093972 27666033 45828532 76588537 586653906 487287 1087676 3817378 2619461 1260522 9272324 0 0 0 17437 0 17437 487287 1087676 3817378 2636898 1260522 9289761 35212003 26060742 65143709 227476703 318639047 672532204 0.87231 0.90549 0.01381 0.02084 X false false false false false false false false true 2600 2600 false Schedule C, Part II-B Line 1i - Other Activities Indiana University Health Care Associates, Inc. ("IU Health Physicians") paid institutional membership dues to the American Medical Group Association ("AMGA") during 2011 in the amount of $13,000. The AMGA notified IU Health Physicians that a portion of the dues it paid were used for lobbying purposes. The AMGA used 20%, or $2,600 of 2011 membership dues paid by IU Health Physicians, for lobbying expenditures. 584628 322104 262524 4717395 1363216 3354179 14492779 9209977 5282802 2090100 42177 2047923 10947428 PENSION AND OTHER RET. ASSETS 7191065 INSURANCE POLICIES (CSV) 467349 7658414 0 DUE TO INDIANA UNIVERSITY HEALTH 685304 PENSION AND OTHER RETIREMENT LIAB. 8715416 9400720 X X X X false true false false false false false true false RICHARD F GRAFFIS MD 0 524541 0 218988 0 99435 0 20652 0 17837 0 881453 0 0 CHARLES M SHUFFLEBARGER MD 312765 0 14159 0 966 0 17150 0 3261 0 348301 0 0 0 MICHAEL R NIEMEIER MD 363904 0 27736 0 18290 0 17150 0 25157 0 452237 0 0 0 MARVIN G PEMBER 0 436425 0 262280 0 311677 0 2416465 0 20390 0 3447237 0 290387 SAMUEL L ODLE 0 610071 0 262252 0 65866 0 1079478 0 26115 0 2043782 0 0 ISADORE RIVAS 0 269767 0 59840 0 13507 0 20652 0 17313 0 381079 0 0 HERBERT E CUSHING MD 161932 0 8294 0 584 0 13868 0 1047 0 185725 0 0 0 ARTHUR C COFFEY MD 0 675331 0 0 0 17130 0 20652 0 26147 0 739260 0 0 JOHN F FITZGERALD MD 401610 0 114325 0 8171 0 88756 0 1152 0 614014 0 0 0 CAROL D KARP 162193 0 14700 0 7336 0 13368 0 21951 0 219548 0 0 0 KIMBERLEE C SHERBROOKE 260100 0 31238 0 11069 0 17150 0 1509 0 321066 0 0 0 STEPHEN H POLLOM MD 300003 0 38762 0 19256 0 17150 0 22698 0 397869 0 0 0 PETER W BRUNN 205786 0 25086 0 1806 0 20632 0 21846 0 275156 0 0 0 KYLE L ALLEN 194016 0 35644 0 21722 0 21296 0 8168 0 280846 0 0 0 MICHAEL O KOCH MD 850492 0 0 0 1204 0 17150 0 4814 0 873660 0 0 0 RICHARD BIRHLE MD 964198 0 0 0 1204 0 21519 0 1606 0 988527 0 0 0 RICHARD S FOSTER MD 907089 0 0 0 1204 0 17150 0 1606 0 927049 0 0 0 MARK P CAIN MD 885991 0 0 0 644 0 21296 0 7814 0 915745 0 0 0 RICHARD RINK MD 819137 0 0 0 1204 0 17150 0 1738 0 839229 0 0 0 Schedule J, Part I - Questions Regarding Compensation Line 4b - Supplemental Nonqualified Retirement Plan Marvin G. Pember, Richard F. Graffis, M.D., Samuel L. Odle, and John F. Fitzgerald, M.D. participate in 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. With the exception of Richard F. Graffis, M.D. and Marvin G. Pember, each of these executives has an amount included in column c, deferred compensation, representing the current year increase in the accrued benefit and/or current year contributions. No amount was actually paid to these executives during the year. For Richard F. Graffis, M.D. and Marvin G. Pember, $72,782 and 290,387, respectively, is included in column b(iii), other reportable compensation, representing the amount received under his vested supplemental executive retirement plan. Schedule J, Part I - Questions Regarding Compensation Line 7 - Non-Fixed Payments Amounts disclosed in Column B(ii) include a long-term and short-term incentive for certain executives and short-term incentive for other employees. Although these plans are based on a fixed formula that has been approved by the Board of Directors based upon certain qualitative and quantitative factors and goals, all discretionary incentive plans must be approved by the Board of Directors prior to any incentive payout. CLARIAN HEALTH NORTH LLC SEE PART V 2863636 SEE PART V false CLARIAN HEALTH WEST LLC SEE PART V 2269349 SEE PART V false IU HEALTH RISK RETENTION GROUP INC SEE PART V 4223086 SEE PART V false Schedule L, Part IV - Business Transactions Involving Interested Persons Line 1, Columns (b) and (d) - Relationship and Description of Transaction Samuel L. Odle and Larry H. Stevens, M.D. serve on the board of managers of Clarian Health North, LLC. Marvin G. Pember served on the board of managers of Clarian Health North, LLC during a portion of 2011. Indiana University Health Care Associates, Inc. ("IU Health Physicians") rents space from Clarian Health North, LLC and pays for such services on an arm's length basis. Additionally, IU Health Physicians provides medical services to Clarian Health North, LLC and is compensated for such services on an arm's length basis. Samuel L. Odle and Michael R. Niemeier, M.D. serve on the board of managers of Clarian Health West, LLC. Marvin G. Pember and Isadore Rivas each served on the board of managers of Clarian Health West, LLC during a portion of 2011. IU Health Physicians provides medical services to Clarian Health West, LLC and is compensated for such on an arm's length basis. John F. Fitzgerald M.D. and Charles M. Shufflebarger, M.D. serve on the board of directors of IU Health Risk Retention Group, Inc. IU Health Physicians purchases insurance coverage from IU Health Risk Retention Group, Inc. on an arm's length basis. Part VI, Section A - Governing Body and Management Line 2 - Family or Business Relationships John F. Fitzgerald, M.D. and Marvin G. Pember serve on the board of managers of Health Venture Management, LLC. No additional compensation is provided. John F. Fitzgerald, M.D. and Marvin G. Pember serve on the board of directors of Indiana University Health Plans, Inc. No additional compensation is provided. Samuel L. Odle and Michael R. Niemier, M.D. serve on the board of managers of Clarian Health West, LLC. Marvin G. Pember and Isadore Rivas each served on the board of managers of Clarian Health West, LLC during a portion of 2011. No additional compensation is provided. Samuel L. Odle, Marvin G. Pember, and Larry H. Stevens, M.D. serve on the board of managers of Clarian Health North, LLC. No additional compensation is provided. John F. Fitzgerald, M.D. and Charles M. Shufflebarger, M.D. serve on the board of directors of IUH Assurance, Ltd. and IU Health Risk Retention Group, Inc. No additional compensation is provided. Part VI, Section A - Governing Body and Management Lines 6, 7a and 7b - Members or Stockholders Line 6: Indiana University Health Care Associates, Inc. ("IU Health Physicians") has two Members, which are designated as the Class A Member and the Class B Member. The Class A Member consists of those individuals who serve from time to time as the Trustees of Indiana University ("IU"). The Class B Member is Indiana University Health, Inc. ("IU Health"). Line 7a: The Board of Directors consists of: (a) two individuals appointed by IU as the Class A Member, (b) three individuals appointed by IU Health as the Class B Member, (c) four Associates appointed by IU as the Class A Member, and (d) four Associates appointed by IU Health as the Class B Member. A physician or any non-physician health care provider approved by IU Health Physicians may be an Associate of IU Health Physicians if he or she (a) has medical staff privileges (if applicable) and conducts a substantial practice activity at a hospital affiliated with IU Health, at William M. Wishard Hospital, Larue D. Carter Memorial Hospital or the Richard L. Roudebush Medical Center or at some other site authorized by the Corporation; (b) holds a faculty position with the Indiana University School of Medicine; and (c) is party to an employment agreement with IU Health Physicians or, if not party to an employment agreement, meets the written criteria for nonemployee Associate status approved by the Board and the members from time to time. Line 7b: Any decision by the Board of Directors to amend, supplement, or repeal all or any part of the provisions contained in the Articles of Incorporation must be duly approved by a vote of both Members. Part VI, Section A - Governing Body and Management Line 11b - Form 990 Provided to Governing Body Indiana University Health Care Associates, Inc. ("IU Health Physicians") has established the following process for the review of the Form 990 and related schedules before it is filed: The Chief Financial Officer reviewed and approved the Form 990 and related schedules. After the review and approval from the Chief Financial Officer, a complete copy of the Form 990 and related schedules was made available to each board member on a secure intranet site. Each member was informed of the availability of the Tax Department to answer any questions. Part VI, Section B - Policies Lines 12, 13, 14, and 16a Indiana University Health Care Associates, Inc. ("IU Health Physicians") is part of the Indiana University Health, Inc. ("IU Health") system. As a member of IU Health Physicians, IU Health and its Board of Directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, IU Health Physicians' Board of Directors was not required to separately adopt a conflict of interest, whistleblower, document retention and destruction and joint venture policies because IU Health's Board of Directors had already adopted and required these policies to be followed by its subsidiaries. Part VI, Section B - Policies Line 12c - Conflict of Interest Policy Indiana University Health Care Associates, Inc. ("IU Health Physicians") has a Conflict of Interest Policy, the purpose of which is to protect IU Health Physician's interests when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer, director, or employee. Each employee that is manager level or above, including officers and 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 form requires that the discloser's supervisor sign the form to indicate his/her knowledge and approval of the interest. The form is then submitted to Corporate Compliance for review. If the disclosure is by the CEO/President, it is reviewed by the board chairman for approval. If the disclosure is by a member of the board of directors, the General Counsel/Chief Compliance Officer reviews the disclosures and determines whether to consent. Board members with a conflict of interest cannot participate in any decision related to that conflict. Breach of the conflict of interest policy, including failure to complete and update the questionnaire and failure to disclose an interest that should be disclosed, may subject an individual to disciplinary action, including dismissal. Part VI, Section B - Policies Line 15 - Process for Determining Compensation Indiana University Health Care Associates, Inc. ("IU Health Physicians") has the following process in place to determine the compensation for its CEO, CFO and other executives. IU Health Physicians engages an independent compensation consultant who utilizes a variety of methods and procedures to establish market ranges for the CEO, CFO, and other executives. The market ranges provided by the independent consultant is used by the executive Compensation Committee to review and establish the yearly pay increases for the CEO. The Compensation Committee reviews the market data for the CFO and other executives and delegates the annual pay increase decision to the CEO, who uses the market data to drive the annual pay increase decisions. Part VI, Section B - Policies Line 19 - Public Disclosure Indiana University Health Care Associates, Inc.'s ("IU Health Physicians") Articles of Incorporation are available for public inspection through the Indiana Secretary of State's web-site. IU Health Physicians' conflict of interest procedures are disclosed on the Form 990, Schedule O. Part VII, Section A - Governing Body and Management Line 1a, Column (B) - Average hours per week Richard F. Graffis, M.D. is the Executive Vice President and Chief Medical Officer for Indiana University Health, Inc. and devotes 55 hours per week. Marvin G. Pember is the Executive Vice President and Chief Financial Officer for Indiana University Health, Inc. and devotes 55 hours per week. Samuel L. Odle is the Executive Vice President and Chief Operating Officer for Indiana University Health, Inc. and devotes 55 hours per week. Isadore Rivas was the Vice President, Finance for Indiana University Health, Inc. and devoted 55 hours per week. Herbert E. Cushing, M.D. is the Chief Medical Officer of University Hospital for Indiana University Health, Inc. and devotes 15 hours per week. Arthur C. Coffey, M.D. is a staff physician for Indiana University Health, Inc. and devotes 55 hours per week. Part XI - Reconciliation of Net Assets Line 5 - Other Changes in Net Assets or Fund Balances During 2011, Indiana University Health, Inc. ("IU Health"), a related 501(c)(3) tax-exempt organization, made an equity transfer to Indiana University Health Care Associates, Inc. ("IU Health Physicians") of $125,896,146 and The Indiana Clinic Support Services, LLC d/b/a Indiana University Health Physicians Support Services of -$994,278. Since IU Health Physicians joined the IU Health system, IU Health has provided funds to support IU Health Physicians' exempt purpose. Although there was never any intent for IU Health Physicians to repay IU Health, these amounts were recorded as intercompany balances rather than equity transfers. During 2011, IU Health and IU Health Physicians made adjustments to their books and records to reflect these intercompany balances as equity transfers for both book and tax purposes. Additionally during 2011, IU Health Physicians, Inc. recorded the following other changes in net assets or fund balances: Book/Tax Differences - Partnerships: 2,225 Change in Minimum Pension Liability: -488,296 ICEM LLC 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 271076521 HEALTHCARE IN 24004211 0 IUHCA ICEM-BALL LLC 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 271076389 HEALTHCARE IN 7897096 0 IUHCA ICEM-METHODIST LLC 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 271059994 HEALTHCARE IN 13440723 0 IUHCA ICEM-UNIVERSITY-RILEY LLC 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 271060212 HEALTHCARE IN 5053242 0 IUHCA ICEM-WISHARD LLC 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 271076327 HEALTHCARE IN 7513414 0 IUHCA INDIANA CLINIC-ANESTHESIA LLC 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 271321819 HEALTHCARE IN 42206 0 IUHCA INDIANA CLINIC-CRITICAL CARE LLC 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 264529552 HEALTHCARE IN 12271508 0 IUHCA INDIANA CLINIC-FAMILY 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