Methodist Occupational Health Centers Inc: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- Methodist Occupational Health Centers Inc (EIN 35-1844176)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-11
- IRS object ID
- 201123159349300707
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-11T07:42:10-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351844176 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST OCCUPATIONAL HEALTH CENTERS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | METH | NameControl |
| Phone | 3179624597 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 N MERIDIAN STREET SUITE 800 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | G DEAN RAINBOLT | Name |
| Title | VICE PRESIDENT | Title |
| Date Signed | 2011-11-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JENNIFER RHODERICK | Name |
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IU HEALTH OCCUPATIONAL SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS W BRINK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 N MERIDIAN ST STE 800 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 22772758 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.IUHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | Provide occupational health services in prevention, treatment, and rehabilitation. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 350 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 9059 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 283 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 20056332 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 22702441 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 48551 | InvestmentIncomePriorYear |
| Investment Income Current Year | 30920 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3967 | OtherRevenuePriorYear |
| Other Revenue Current Year | 39397 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 20108850 | TotalRevenuePriorYear |
| Total Revenue Current Year | 22772758 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 13569855 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 15128636 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6359892 | OtherExpensePriorYear |
| Other Expenses Current Year | 7633406 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 19929747 | TotalExpensesPriorYear |
| Total Expenses Current Year | 22762042 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 179103 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 10716 | RevenuesLessExpensesCY |
| Total Assets BOY | 10366516 | TotalAssetsBOY |
| Total Assets EOY | 10923598 | TotalAssetsEOY |
| Total Liabilities BOY | 1741262 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2287628 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8625254 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8635970 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Provide occupational health services in prevention, treatment, and rehabilitation. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 18351277 | Expense |
| Grants | 0 | Grants |
| Revenue | 22741838 | Revenue |
| Description | Methodist Occupational Health Centers, Inc. provides a full range of occupational health services in prevention, treatment and rehabilitation. Prevention: Methodist Occupational Health Centers, Inc. 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 American with Disabilities Act. The Organization also offers a nationally certified drug screen 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: Methodist Occupational Health Centers, Inc. 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: Methodist Occupational Health Centers, Inc. 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: Methodist Occupational Health Centers, Inc. 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 Methodist Occupational Health Centers, Inc.'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 Methodist Occupational Health Centers, Inc.'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. Methodist Occupational Health Centers, Inc. 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. Methodist Occupational Health Centers, Inc. is involved in educational programs, specifically with the Methodist Occupational Health Centers Training Institute. The Organization acts as the clinical practicum site for the physical/occupational therapy schools in Central Indiana. Methodist Occupational Health Centers, Inc.'s staff also provides lectures to local nursing schools (Indiana University School of Nursing) in the field of occupational health. Methodist Occupational Health Centers, Inc. 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 Methodist Occupational Health Centers Training Institute provides over 100 annual programs to the community on the prevention and treatment of occupational health injuries. Methodist Occupational Health Centers, Inc. 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. Methodist Occupational Health Centers 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 Expense | 18351277 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 53 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 350 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CARA BREIDSTER | NamePerson |
| Telephone Number | 3179624597 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 N MERIDIAN ST SUITE 800 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (12 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JEFFREY B RADABAUGH | |||||||
| CHAIRMAN (1/1 - 6/1) | 2.0 | X | 0 | 210706 | 24190 | ||
| ALEX P SLABOSKY | |||||||
| CHAIRMAN (6/1 - 12/31) | 2.0 | X | 0 | 399117 | 45169 | ||
| ISADORE RIVAS | |||||||
| DIRECTOR | 2.0 | X | 0 | 290510 | 37324 | ||
| THOMAS W BRINK | |||||||
| PRESIDENT/CEO/DIRECTOR | 55.0 | X | 152510 | 0 | 19177 | X | |
| G DEAN RAINBOLT | |||||||
| VICE PRESIDENT | 5.0 | 0 | 184273 | 320449 | X | ||
| NORMAN G TABLER JR | |||||||
| SECRETARY | 2.0 | 0 | 584679 | 28626 | X | ||
| TAMMY A MOON | |||||||
| TREASURER | 2.0 | 0 | 84925 | 19118 | X | ||
| DAVID S KATZ | |||||||
| MEDICAL DIRECTOR - CLINIC | 55.0 | 249175 | 0 | 36368 | X | ||
| SAJIV D ALEX | |||||||
| MEDICAL DIRECTOR - CLINIC | 55.0 | 192734 | 0 | 37099 | X | ||
| SUSAN BURKHOLDER | |||||||
| STAFF MD | 55.0 | 190259 | 0 | 43817 | X | ||
| MICHAEL C PATELLOS | |||||||
| MEDICAL DIRECTOR - CORPORATE | 55.0 | 189324 | 0 | 41578 | X | ||
| ERIC G GUIDERO | |||||||
| MEDICAL DIRECTOR - CLINIC | 55.0 | 180489 | 0 | 17778 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1154491 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1754210 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 670693 | TotalOtherCompensation |
| Number Individuals GT100 K | 15 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SOUTH BEND MEDICAL FOUNDATION INC | |||||
| PO BOX 2030 | MISHAWAKA | IN | 46546 | REF. LAB. SERVICES | 577711 |
| CATALYST CONSTRUCTION MANAGEMENT I | |||||
| 5158 E 65TH STREET | INDIANAPOLIS | IN | 46220 | CONSTRUCTION | 505208 |
| UNIVERSITY PHYSIATRIC ASSOCIATION | |||||
| 541 N CLINIC DR | INDIANAPOLIS | IN | 46202 | MEDICAL SERVICES | 228862 |
| INDIANA UNIVERSITY | |||||
| LO AB2 | INDIANAPOLIS | IN | 46202 | MEDICAL SERVICES | 224588 |
| THOMAS A BRADY SPORTS MEDICINE CEN | |||||
| 201 PENNSYLVANIA PKWY 325 | INDIANAPOLIS | IN | 46280 | MEDICAL SERVICES | 204804 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621111 | 22693382 | 22693382 | 0 |
| MANAGEMENT FEES | 900099 | 9059 | 0 | 9059 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 22702441 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30920 | TotalRevenueColumn |
| Exclusion | $30,920 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 39397 | TotalRevenueColumn |
| Related Or Exempt Function Income | 39397 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 39397 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22772758 | TotalRevenueColumn |
| Related Or Exempt Function Income | 22732779 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 9059 | UnrelatedBusinessRevenue |
| Exclusion | $30,920 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171687 | Total |
| Program Services | 141493 | ProgramServices |
| Management And General | 30194 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11949271 | Total |
| Program Services | 9847787 | ProgramServices |
| Management And General | 2101484 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 649118 | Total |
| Program Services | 571301 | ProgramServices |
| Management And General | 77817 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1466873 | Total |
| Program Services | 1176055 | ProgramServices |
| Management And General | 290818 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 891687 | Total |
| Program Services | 736419 | ProgramServices |
| Management And General | 155268 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18801 | Total |
| Management And General | 18801 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2956 | Total |
| Management And General | 2956 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2962272 | Total |
| Program Services | 2000950 | ProgramServices |
| Management And General | 961322 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206603 | Total |
| Program Services | 55091 | ProgramServices |
| Management And General | 151512 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 724790 | Total |
| Program Services | 474080 | ProgramServices |
| Management And General | 250710 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84107 | Total |
| Program Services | 58566 | ProgramServices |
| Management And General | 25541 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1404674 | Total |
| Program Services | 1248601 | ProgramServices |
| Management And General | 156073 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109596 | Total |
| Program Services | 92065 | ProgramServices |
| Management And General | 17531 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10601 | Total |
| Program Services | 10402 | ProgramServices |
| Management And General | 199 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 318907 | Total |
| Program Services | 219177 | ProgramServices |
| Management And General | 99730 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 161005 | Total |
| Program Services | 127262 | ProgramServices |
| Management And General | 33743 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| DRUGS & MEDICAL SUPPLIES | 1070136 | 1070136 | |
| BAD DEBT | 305498 | 305498 | |
| ALL OTHER EXPENSES | 253460 | 216394 | 37066 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22762042 | Total |
| Program Services | 18351277 | ProgramServices |
| Management And General | 4410765 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1130 | BOY |
| EOY | 1381 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6739692 | BOY |
| EOY | 6336851 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2432319 | BOY |
| EOY | 2847117 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127545 | BOY |
| EOY | 99241 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5768607 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4129599 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1065830 | BOY |
| EOY | 1639008 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10366516 | BOY |
| EOY | 10923598 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1555042 | BOY |
| EOY | 1584507 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 186220 | BOY |
| EOY | 703121 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1741262 | BOY |
| EOY | 2287628 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8625254 | BOY |
| EOY | 8635970 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8625254 | BOY |
| EOY | 8635970 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10366516 | BOY |
| EOY | 10923598 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 10716 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2527248 | OtherCostOrOtherBasis |
| Depreciation | 1678705 | Depreciation |
| Book Value | 848543 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2919614 | OtherCostOrOtherBasis |
| Depreciation | 2237394 | Depreciation |
| Book Value | 682220 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 321745 | OtherCostOrOtherBasis |
| Depreciation | 213500 | Depreciation |
| Book Value | 108245 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1639008 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY PAYABLES (NET) | $474,947 |
| CAPITAL LEASE OBLIGATION | $228,174 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 703121 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule D, Part X - Other Liabilities | Identifier |
| Return Reference | Line 2 | ReturnReference |
| Explanation | Methodist 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 under GAAP as IU Health does not have any material tax contingencies that required disclosures in the footnotes. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY B RADABAUGH | |||||||||||||
| 0 | 192378 | 0 | 7908 | 0 | 10420 | 0 | 16222 | 0 | 7968 | 0 | 234896 | 0 | 0 |
| ALEX P SLABOSKY | |||||||||||||
| 0 | 304185 | 0 | 32288 | 0 | 62644 | 0 | 20652 | 0 | 24517 | 0 | 444286 | 0 | 0 |
| ISADORE RIVAS | |||||||||||||
| 0 | 263750 | 0 | 13284 | 0 | 13476 | 0 | 20652 | 0 | 16672 | 0 | 327834 | 0 | 0 |
| THOMAS W BRINK | |||||||||||||
| 145370 | 0 | 0 | 0 | 7140 | 0 | 11079 | 0 | 8098 | 0 | 171687 | 0 | 0 | 0 |
| G DEAN RAINBOLT | |||||||||||||
| 0 | 117172 | 0 | 1290 | 0 | 65811 | 0 | 310109 | 0 | 10340 | 0 | 504722 | 0 | 57117 |
| NORMAN G TABLER JR | |||||||||||||
| 0 | 367950 | 0 | 132127 | 0 | 84602 | 0 | 20652 | 0 | 7974 | 0 | 613305 | 0 | 0 |
| DAVID S KATZ | |||||||||||||
| 247514 | 0 | 0 | 0 | 1661 | 0 | 18364 | 0 | 18004 | 0 | 285543 | 0 | 0 | 0 |
| SAJIV D ALEX | |||||||||||||
| 192176 | 0 | 0 | 0 | 558 | 0 | 15887 | 0 | 21212 | 0 | 229833 | 0 | 0 | 0 |
| SUSAN BURKHOLDER | |||||||||||||
| 188582 | 0 | 0 | 0 | 1677 | 0 | 16113 | 0 | 27704 | 0 | 234076 | 0 | 0 | 0 |
| MICHAEL C PATELLOS | |||||||||||||
| 188516 | 0 | 0 | 0 | 808 | 0 | 15907 | 0 | 25671 | 0 | 230902 | 0 | 0 | 0 |
| ERIC G GUIDERO | |||||||||||||
| 178875 | 0 | 0 | 0 | 1614 | 0 | 13986 | 0 | 3792 | 0 | 198267 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule J, Part I - Questions Regarding Compensation | Identifier |
| Return Reference | Line 4B | ReturnReference |
| Explanation | Alex P. Slabosky and Norman G. Tabler Jr. participate in an Indiana University Health, Inc. supplemental retirement plan G. Dean Rainbolt participate in an Indiana University Health Care Associates, Inc. supplemental executive retirement plan, 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. G. Dean Rainbolt has an amount included in column c, deferred compensation, representing the current year increase in the accrued benefit and/or current year contributions. For Alex P. Slabosky, Norman G. Tabler, Jr., and G. Dean Rainbolt, $18,007, $52,234 and $57,117, respectively, is included in column b(iii), other reportable compensation, representing the amount received under their respective supplemental executive retirement plan. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part VI, Section A - Governing Body and Management | Line 1B - Number or Voting Members That Are Independent | Methodist 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 Management | Line 2 - Family or Business Relationships | Alex P. Slabosky and Norman G. Tabler, Jr. serve on the board of directors of Clarian Health Plans, Inc. Additionally, Norman G. Tabler, Jr. is an officer of this organization. No additional compensation is provided. G. Dean Rainbolt and Thomas W. Brink serve as officers and directors of Occ-Health Revenue Systems, Inc. No additional compensation is provided. |
| Part VI, Section A - Governing Body and Management | Lines 6, 7A, and 7B - Members or Stockholders | Line 6: The sole member of Methodist Occupational Health Centers, Inc. ("MOHC") is Indiana University Health, Inc. ("IU Health"), formerly known as Clarian Health Partners, Inc., 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 Management | Line 11b - Review of Form 990 | Methodist Occupational Health Centers, Inc. has established the following process for reviewing the 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 - Policies | Lines 12, 13, and 14 | Methodist Occupational Health Centers, Inc. is part of the Indiana University Health, Inc. system. As the sole member and controlling parent of Methodist Occupational Health Centers, Inc., Indiana University Health, Inc. and its board of directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, Methodist Occupational Health Centers, Inc.'s board of directors was not required to separately adopt the conflict of interest, whistleblower, document retention and destruction and joint venture policies because Indiana University Health, Inc.'s board had already adopted and required these policies to be followed by subsidiaries. |
| Part VI, Section B - Policies | Line 12C - Conflict of Interest Policy | Methodist Occupational Health Centers, Inc. ("MOHC") has a Conflict of Interest Policy, the purpose of which is to protect MOHC's interests when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer or director. Any director, principal officer, or member of a committee with board-delegated powers 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. |
| Part VI, Section B - Policies | Line 15a - Process for Determining Compensation | Methodist 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 C - Disclosures | Line 19 - Public Disclosure | Methodist Occupational Health Centers, Inc.'s Articles of Incorporation are available to the public through the Indiana Secretary of State's web-site. Methodist Occupational Health Centers, Inc.'s conflict of interest policy is described on Form 990, Schedule O. Methodist Occupational Health Centers, Inc. is a consolidated subsidiary in the consolidated financial statements for Indiana University Health, Inc. The consolidated financial statements for Indiana University Health, Inc. are available to the public through its bond filings. |
| Part VII, Section A - Governing Body and Management | Line 1a, Column (B) - Average hours per week | Alex P. Slabosky is a Senior Vice President for Indiana University Health, Inc. and devotes 55 hours per week. Jeffrey B. Radabaugh is the Vice President, Ambulatory Services 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 Emergency Medical Group, 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. Tammy A. Moon is the Manager, Ambulatory Operations for Indiana University Health, Inc. and devotes 45 hours per week. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| WORKPLACE HEALTH SERVICES LLC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 200994452 | HEALTHCARE | IN | 2765016 | 644925 | NA |
| M-URGENT CARE LLC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 271972484 | HEALTHCARE | IN | 93102 | 0 | NA |
Form990 Schedule R Part II Form990ScheduleRPartII (29 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| INDIANA UNIVERSITY HEALTH INC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 351955872 | HEALTHCARE | IN | 501(C)(3) | 3 | NA |
| Indiana University Health Arnett Inc | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 263162145 | HEALTHCARE | IN | 501(C)(3) | 3 | IU HEALTH |
| CLARIAN TRANSPLANT INSTITUTE INC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 134350599 | HEALTHCARE | IN | 501(C)(3) | 9 | IU HEALTH |
| EMERGENCY MEDICAL GROUP INC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 351932442 | HEALTHCARE | IN | 501(C)(3) | 3 | METH MED GRP |
| INDIANA RADIOLOGY PARTNERS INC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 201017034 | HEALTHCARE | IN | 501(C)(3) | 3 | IU HEALTH |
| METHODIST HEALTH FOUNDATION INC | |||||||||
| 1800 NORTH CAPITOL AVENUE | INDIANAPOLIS | IN | 46202 | 356043086 | FUNDRAISING | IN | 501(C)(3) | 11 I | IU HEALTH |
| METHODIST HEALTH GROUP INC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 350876390 | HEALTHCARE | IN | 501(C)(3) | 11 III-FI | NA |
| METHODIST MEDICAL GROUP INC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 351945384 | HEALTHCARE | IN | 501(C)(3) | 3 | IU HEALTH |
| METHODIST MEDICAL GROUP PHYSICIANS INC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 351814660 | HEALTHCARE | IN | 501(C)(3) | 3 | METH MED GRP |
| METHODIST RESEARCH INSTITUTE INC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 352023710 | HEALTHCARE | IN | 501(C)(3) | 11 I | IU HEALTH |
| MH HEALTHCARE INC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 351766531 | HEALTHCARE | IN | 501(C)(3) | 3 | METH MED GRP |
| IU Health Bedford Inc | |||||||||
| 2900 WEST 16TH STREET | BEDFORD | IN | 47421 | 237042323 | HEALTHCARE | IN | 501(C)(3) | 3 | IU HEALTH |
| GOSHEN HEALTH SYSTEM INC | |||||||||
| 200 HIGH PARK AVENUE | GOSHEN | IN | 46527 | 351974765 | HEALTHCARE | IN | 501(C)(3) | 11 I | IU HEALTH |
| GOSHEN HOSPITAL ASSOCIATION INC | |||||||||
| 200 HIGH PARK AVENUE | GOSHEN | IN | 46527 | 356001540 | HEALTHCARE | IN | 501(C)(3) | 3 | GOSH HLH SYS |
| IU Health LaPorte Hospital Inc | |||||||||
| 1007 LINCOLNWAY | LAPORTE | IN | 46350 | 351125434 | HEALTHCARE | IN | 501(C)(3) | 3 | IU HEALTH |
| IU Health LaPorte Physicians Inc | |||||||||
| 1007 LINCOLNWAY | LAPORTE | IN | 46350 | 311070868 | HEALTHCARE | IN | 501(C)(3) | 3 | LAP HLTH SYS |
| IU Health Tipton Hospital Inc | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 262772226 | HEALTHCARE | IN | 501(C)(3) | 3 | IU HEALTH |
| IU Health Ball Memorial Hospital Inc | |||||||||
| 2401 WEST UNIVERSITY AVENUE | MUNCIE | IN | 47303 | 350867958 | HEALTHCARE | IN | 501(C)(3) | 3 | IU HEALTH |
| IU Health Blackford Hospital Inc | |||||||||
| 410 PILGRIM BOULEVARD | HARTFORD CITY | IN | 47348 | 010646166 | HEATLCHARE | IN | 501(C)(3) | 3 | BALL MEM HSP |
| IU Health Poali Inc | |||||||||
| PO BOX 499 | PAOLI | IN | 47454 | 352090919 | HEALTHCARE | IN | 501(C)(3) | 3 | BLOOM HOSP |
| IU Health Blommington Inc | |||||||||
| PO BOX 1149 | BLOOMINGTON | IN | 47402 | 351720796 | HEALTHCARE | IN | 501(C)(3) | 3 | IU HEALTH |
| BALL MEMORIAL HOSPITAL AUXILIARY INC | |||||||||
| 2401 WEST UNIVERSITY AVENUE | MUNCIE | IN | 47303 | 356025400 | HEALTHCARE | IN | 501(C)(3) | 11 III-FI | BALL MEM HSP |
| IU Health Ball Memorial Physicians Inc | |||||||||
| 2401 WEST UNIVERSITY AVENUE | MUNCIE | IN | 47303 | 351925641 | HEALTHCARE | IN | 501(C)(3) | 9 | BALL MEM HSP |
| INDIANA UNIVERSITY HEALTHCARE ASSOCIATES | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 351747218 | HEALTHCARE | IN | 501(C)(3) | 9 | IU HEALTH |
| MIDWEST HEALTH STRATEGIES INC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 47204 | 611415688 | HEALTHCARE | IN | 501(C)(3) | 3 | BALL MEM HSP |
| IU Health Ball Memorial Hosp Foundation | |||||||||
| 2401 WEST UNIVERSITY AVENUE | MUNCIE | IN | 47303 | 311111784 | FUNDRAISING | IN | 501(C)(3) | 11 I | BALL MEM HSP |
| HEALTHLINC INC | |||||||||
| 200 HIGH PARK AVENUE | GOSHEN | IN | 46527 | 263571507 | HEALTHCARE | IN | 501(C)(3) | 3 | GOSH HLH SYS |
| IU HEALTH MORGAN HOSPITAL INC | |||||||||
| 2209 JOHN R WOODEN DRIVE | MARTINSVILLE | IN | 46151 | 273533027 | HEALTHCARE | IN | 501(C)(3) | 3 | IU HEALTH |
| IU HEALTH WHITE MEMORIAL HOSPITAL INC | |||||||||
| 720 SOUTH SIXTH STREET | MONTICELLO | IN | 47960 | 273532963 | HEALTHCARE | IN | 501(C)(3) | 3 | IU HEALTH |
Form990 Schedule R Part III Form990ScheduleRPartIII (15 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLARIAN HEALTH NETWORK LLC | ||||||||||||||
| 950 NORTH MERIDIAN STREET SUITE 80 | INDIANAPOLIS | IN | 46204 | 352055030 | HEALTHCARE | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| CLARIAN HEALTH NORTH LLC | ||||||||||||||
| 11700 NORTH MERIDIAN STREET | CARMEL | IN | 46032 | 431980602 | HEALTHCARE | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| CHV FUND I LLC | ||||||||||||||
| 950 NORTH MERIDIAN STREET SUITE 80 | INDIANAPOLIS | IN | 46204 | 262523206 | VENTURE CAPITAL | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| CLARIAN HEALTH WEST LLC | ||||||||||||||
| 1111 N RONALD REAGAN PARKWAY | AVON | IN | 46123 | 431980611 | HEALTHCARE | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| HEALTH VENTURE MANAGEMENT LLC | ||||||||||||||
| 950 NORTH MERIDIAN STREET SUITE 80 | INDIANAPOLIS | IN | 46204 | 205740218 | MANAGEMENT | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| INDIANA ENDOSCOPY CENTERS LLC | ||||||||||||||
| 950 NORTH MERIDIAN STREET SUITE 80 | INDIANAPOLIS | IN | 46204 | 208398421 | HEALTHCARE | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| INDIANA LAKES MANAGED CARE ORG LLC | ||||||||||||||
| PO BOX 139 | GOSHEN | IN | 46526 | 351946663 | HEALTHCARE | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| SENATE STREET SURGERY CENTER LLC | ||||||||||||||
| 950 NORTH MERIDIAN STREET SUITE 80 | INDIANAPOLIS | IN | 46204 | 421709357 | HEALTHCARE | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| THE HEALTHCARE GROUP LLC | ||||||||||||||
| 1776 N MERIDIAN STREET SUITE 300 | INDIANAPOLIS | IN | 46202 | 352067373 | MANAGED CARE | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| BALL OUTPATIENT SURGERY CENTER LLC | ||||||||||||||
| 2401 WEST UNIVERSITY AVENUE | MUNCIE | IN | 47303 | 270275794 | HEALTHCARE | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| CARDINAL HEALTH INITIATIVES LLC | ||||||||||||||
| 2401 WEST UNIVERSITY AVENUE | MUNCIE | IN | 47303 | 300102702 | HEALTHCARE | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| MID-AMERICA SURGERY CENTER LLC | ||||||||||||||
| 2401 WEST UNIVERSITY AVENUE | MUNCIE | IN | 47303 | 352002953 | HEALTHCARE | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| BMH OUTPATIENT SURGERY SERVICES LLC | ||||||||||||||
| 2401 WEST UNIVERSITY AVENUE | MUNCIE | IN | 47303 | 204567998 | HEALTHCARE | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| CHV FUND MANAGEMENT LLC | ||||||||||||||
| 950 NORTH MERIDIAN STREET SUITE 80 | INDIANAPOLIS | IN | 46204 | 262523151 | VENTURE CAPITAL | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| ROC SURGERY LLC | ||||||||||||||
| 950 NORTH MERIDIAN STREET SUITE 80 | INDIANAPOLIS | IN | 46204 | 271497960 | HEALTHCARE | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (15 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IUH ASSURANCE LTD | ||||||||||||||||
| 720 WEST BAY ROAD | PO BOX 69 | GRAND CAYMAN | CJ | 980395429 | INSURANCE | CJ | NA | C | 0 | 0 | 0.00000 | |||||
| IU HEALTH PLANS INC | ||||||||||||||||
| 262127080 | HMO | NA | C | 0 | 0 | 0.00000 | 950 N MERIDIAN STREET SUITE 800 | INDIANAPOLIS | IN | 46204 | IN | |||||
| CHV CAPITAL INC | ||||||||||||||||
| 260752507 | VENTURE CAPITAL | NA | C | 0 | 0 | 0.00000 | 950 N MERIDIAN STREET SUITE 800 | INDIANAPOLIS | IN | 46204 | IN | |||||
| CLARIAN RISK PURCHASING GROUP INC | ||||||||||||||||
| 260202446 | INSURANCE | NA | C | 0 | 0 | 0.00000 | 151 MEETING STREET SUITE 301 | CHARLESTON | SC | 29401 | IN | |||||
| CLARIAN HEALTH RISK RETENTION GRP INC | ||||||||||||||||
| 201107674 | INSURANCE | NA | C | 0 | 0 | 0.00000 | 151 MEETING STREET SUITE 301 | CHARLESTON | SC | 29401 | SC | |||||
| M-PLAN INC | ||||||||||||||||
| 351772506 | HMO | NA | C | 0 | 0 | 0.00000 | 1776 N MERIDIAN STREET SUITE 300 | INDIANAPOLIS | IN | 46202 | IN | |||||
| OCC-HEALTH REVENUE SYSTEMS INC | ||||||||||||||||
| 203308057 | WORK COMP PPO | NA | C | 91484 | 57298 | 1.00000 | 950 N MERIDIAN STREET SUITE 800 | INDIANAPOLIS | IN | 46204 | IN | |||||
| PARKMOR DRUG INC | ||||||||||||||||
| 131394980 | PHARMACY SALES | NA | C | 0 | 0 | 0.00000 | 1501 SOUTH MAIN STREET | GOSHEN | IN | 46526 | IN | |||||
| BMH MEDICAL PAVILION ASSOCIATION INC | ||||||||||||||||
| 351858408 | CONDO MANAGEMENT | NA | C | 0 | 0 | 0.00000 | 2525 WEST UNIVERSITY AVENUE | MUNCIE | IN | 47303 | IN | |||||
| CARDINAL HEALTH VENTURES INC | ||||||||||||||||
| 351611424 | MANAGEMENT | NA | C | 0 | 0 | 0.00000 | 2401 WEST UNIVERSITY AVENUE | MUNCIE | IN | 47303 | IN | |||||
| PILR INC | ||||||||||||||||
| 204294750 | DEVELOPMENT | NA | C | 0 | 0 | 0.00000 | 200 HIGH PARK AVENUE | GOSHEN | IN | 46526 | IN | |||||
| IU Health Southern Indiana Phys Inc | ||||||||||||||||
| 351913875 | HEALTHCARE | NA | C | 0 | 0 | 0.00000 | PO BOX 1149 | BLOOMINGTON | IN | 47402 | IN | |||||
| RADIATION ONCOLOGY RESOURCES INC | ||||||||||||||||
| 262008424 | HEALTHCARE | NA | C | 0 | 0 | 0.00000 | 200 HIGH PARK AVENUE | GOSHEN | IN | 46527 | IN | |||||
| UNIVERSITY HEALTH MANAGEMENT INC | ||||||||||||||||
| 272891143 | MANAGEMENT | NA | C | 0 | 0 | 0.00000 | 950 N MERIDIAN STREET SUITE 800 | INDIANAPOLIS | IN | 46204 | IN | |||||
| UNIVERSITY HEALHT MGMT (CHINA) INC | ||||||||||||||||
| 273891311 | MANAGEMENT | NA | C | 0 | 0 | 0.00000 | 950 N MERIDIAN STREET SUITE 800 | INDIANAPOLIS | IN | 46204 | IN | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| IU HEALTH BALL MEMORIAL HOSPITAL INC | |
| J | 51323 |
| IU HEALTH ARNETT INC | |
| K | 188312 |
| IU HEALTH BALL MEMORIAL HOSPITAL INC | |
| K | 444778 |
| INDIANA UNIVERSITY HEALTH CARE ASSOCIATES | |
| K | 144061 |
| CLARIAN HEALTH NORTH LLC | |
| K | 60352 |
| CLARIAN HEALTH WEST LLC | |
| K | 98575 |
| CLARIAN HEALTH RISK RETENTION GROUP INC | |
| Q | 90453 |
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