2011-11-11T07:42:10-05:00 2010-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2010-01-01 351844176 METHODIST OCCUPATIONAL HEALTH CENTERS INC METH 3179624597 950 N MERIDIAN STREET SUITE 800 INDIANAPOLIS IN 46204 G DEAN RAINBOLT 2011-11-15 JENNIFER RHODERICK 3176817000 2010 2016-03-07 17:11:31Z IU HEALTH OCCUPATIONAL SERVICES THOMAS W BRINK 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 22772758 false X WWW.IUHEALTH.ORG X 1991 IN Provide occupational health services in prevention, treatment, and rehabilitation. 3 0 350 0 9059 283 0 0 20056332 22702441 48551 30920 3967 39397 20108850 22772758 0 0 0 0 13569855 15128636 0 0 0 6359892 7633406 19929747 22762042 179103 10716 10366516 10923598 1741262 2287628 8625254 8635970 X Provide occupational health services in prevention, treatment, and rehabilitation. false false 18351277 0 22741838 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. 18351277 true false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 53 0 true 350 true true true false false false false false false false false false X 3 0 true false false false true true true true true false true true true true true true true true true false false IN X CARA BREIDSTER 3179624597 950 N MERIDIAN ST SUITE 800 INDIANAPOLIS IN 46204 X JEFFREY B RADABAUGH 2.0 X 0 210706 24190 ALEX P SLABOSKY 2.0 X 0 399117 45169 ISADORE RIVAS 2.0 X 0 290510 37324 THOMAS W BRINK 55.0 X X 152510 0 19177 G DEAN RAINBOLT 5.0 X 0 184273 320449 NORMAN G TABLER JR 2.0 X 0 584679 28626 TAMMY A MOON 2.0 X 0 84925 19118 DAVID S KATZ 55.0 X 249175 0 36368 SAJIV D ALEX 55.0 X 192734 0 37099 SUSAN BURKHOLDER 55.0 X 190259 0 43817 MICHAEL C PATELLOS 55.0 X 189324 0 41578 ERIC G GUIDERO 55.0 X 180489 0 17778 1154491 1754210 670693 15 false true false SOUTH BEND MEDICAL FOUNDATION INC PO BOX 2030 MISHAWAKA IN 46546 REF. 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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 6 0 NET PATIENT SERVICE REVENUE 621111 22693382 22693382 0 MANAGEMENT FEES 900099 9059 0 9059 22702441 30920 30920 0 0 0 0 0 0 OTHER REVENUE 900099 39397 39397 39397 22772758 22732779 9059 30920 0 0 0 0 171687 141493 30194 0 11949271 9847787 2101484 649118 571301 77817 1466873 1176055 290818 891687 736419 155268 0 18801 18801 2956 2956 0 0 0 2962272 2000950 961322 206603 55091 151512 724790 474080 250710 84107 58566 25541 0 1404674 1248601 156073 109596 92065 17531 0 0 10601 10402 199 0 318907 219177 99730 161005 127262 33743 DRUGS & MEDICAL SUPPLIES 1070136 1070136 BAD DEBT 305498 305498 ALL OTHER EXPENSES 253460 216394 37066 22762042 18351277 4410765 0 1130 1381 6739692 6336851 2432319 2847117 127545 99241 5768607 4129599 1065830 1639008 10366516 10923598 1555042 1584507 186220 703121 1741262 2287628 X 8625254 8635970 8625254 8635970 10366516 10923598 10716 X false true true X false X 2527248 1678705 848543 2919614 2237394 682220 321745 213500 108245 1639008 0 INTERCOMPANY PAYABLES (NET) 474947 CAPITAL LEASE OBLIGATION 228174 703121 Schedule D, Part X - Other Liabilities Line 2 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. X X X X X false true false false false false false false false 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 Schedule J, Part I - Questions Regarding Compensation Line 4B 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. 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. 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