UNION HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: UNION HOSPITAL INC (EIN 35-0876396)
Tax period: 2009-09-01 to 2010-08-31
Filed: 2011-07-14
IRS object ID: 201131959349300408
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-07-14T08:57:16-05:00	Timestamp
Tax Period End Date	2010-08-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BLUE &AMP CO LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE AMERICAN SQUARE 2200	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46282	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-09-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	350876396	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	UNION HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	UNIO	NameControl
Phone	8122387000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1606 NORTH SEVENTH STREET	AddressLine1
City	TERRE HAUTE	City
State	IN	State
ZIP Code	47804	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	WAYNE HUTSON	Name
Title	CFO	Title
Phone	8122387000	Phone
Date Signed	2011-07-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CARRIE A MERRILL CPA	Name
Phone	3176334705	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WAYNE HUTSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1606 NORTH SEVENTH STREET	AddressLine1
City	TERRE HAUTE	City
State	IN	State
ZIP Code	47804	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	403827785	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.UHHG.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1892	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	We exist to serve our patients with compassionate health care of the highest quality.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	2638	TotalNbrEmployees
Total Nbr Volunteers	395	TotalNbrVolunteers
Total Gross UBI	598163	TotalGrossUBI
Net Unrelated Business Txbl Income	-203591	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5151062	ContributionsGrantsPriorYear
Contributions Grants Current Year	1278146	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	395080602	ProgramServiceRevenuePriorYear
Program Service Revenue CY	393861040	ProgramServiceRevenueCY
Investment Income Prior Year	2243787	InvestmentIncomePriorYear
Investment Income Current Year	524097	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5694911	OtherRevenuePriorYear
Other Revenue Current Year	4785924	OtherRevenueCurrentYear
Total Revenue Prior Year	408170362	TotalRevenuePriorYear
Total Revenue Current Year	400449207	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	277234	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	302195	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	143643631	SalariesEtcPriorYear
Salaries Etc Current Year	135678291	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	245924786	OtherExpensePriorYear
Other Expenses Current Year	267809859	OtherExpensesCurrentYear
Total Expenses Prior Year	389845651	TotalExpensesPriorYear
Total Expenses Current Year	403790345	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	18324711	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-3341138	RevenuesLessExpensesCY
Total Assets BOY	464930862	TotalAssetsBOY
Total Assets EOY	455384525	TotalAssetsEOY
Total Liabilities BOY	337338836	TotalLiabilitiesBOY
Total Liabilities EOY	319751492	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	127592026	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	135633033	NetAssetsOrFundBalancesEOY
Mission Description	We exist to serve our patients with compassionate health care of the highest quality.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	380861209	Expense
Grants	302195	Grants
Revenue	393646814	Revenue
Description	Union Hospital, Union Hospital Clinton, and our network of primary care physicians join together to provide comprehensive care to residents of west central Indiana and eastern Illinois. Our facilities include two hospitals and more than 40 primary and specialty care physicians and mid-level providers. We are the largest provider of health care services between Indianapolis and St. Louis along the I-70 corridor, serving Vigo, Parke, Vermillion and Clay counties in Indiana, and Clark and Edgar counties in Illinois as our primary service area. Our secondary service area includes Greene and Sullivan counties in Indiana, and Crawford County in Illinois. In the summer of 2007 hospital officials broke ground on a new 178 million dollar expansion project, which opened in January 2010.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Description	The new "Union Hospital East" will undoubtedly set the standard for health care in our community for the next 50 years. The four story 500,000-square-foot expansion connects with the existing hospital and has been strategically designed to increases access to state-of-the-art, quality patient-focused care for our communities we serve. The historic project was financed through 176.5 million in bonds sold that the hospital will pay over the next 40 years. Our employees, medical staff, boards of directors and the community generously donated more than $8 million to support this facility with pedways, a helipad and for the renovation of Union Hospital West.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Description	Some of the new technology and innovation included in the new hospital include:-Large private rooms - more space for staff, patient and families.-PICASO - touch screen system reduces documentation time by 50% giving nurses more time for patient care. A main screen at the nurses' station constantly monitors each patient's status.Continue on Schedule O:Access to health care for our communities is a challenge we have been working to meet for many years. When an impending shortage of primary care providers was identified in the 1970's, Union Hospital established a Family Medicine Residency program to train and retain doctors for service in our area. In response to health care professional shortages in rural areas, the Richard G. Lugar Center for Rural Health (formerly the Midwest Center for Rural Health) was established in 1993 as a division of the Family Medicine Residency program. This innovative Center has developed a curriculum for residents specializing in rural family medicine as well as practice models that incorporate a multidisciplinary team approach and state-of-the-art technology to ensure the satisfaction and success of professionals who choose to serve in rural areas. Since 1976, the program has placed 92 physicians in communities in Indiana, 25 in Illinois, 3 in Japan, 1 in Canada, 1 in Sudan and 43 others in communities across the United States. The Lugar Center's innovative programs and projects include partnerships with the Indiana University School of Medicine, the Indiana State University School of Nursing, the state and national Rural Health Associations, the State of Indiana, the U.S. Department of Agriculture, the U.S. Department of Health and Human Services, among many others. Grants to support its initiatives total more than $14 million to date. These grants support advancements in chronic disease management, telemedicine technology, and the funding of rural health clinics and services. The Clay City Center for Family Medicine is our model rural health clinic and training site for residents and provides vital care to the medically underserved citizens of Clay County, Indiana. Our community looks to UHI for a high level of support. In fiscal year 2010, more than $11 million was donated to the poor and the community through donations, subsidized health services, the education of medical professionals, and education for patients and the community. Annually the Union Hospital Foundation awards 20 scholarships for area students. When asked in a recent survey, more than 88% of persons in our service area associated Union Hospital with high quality community health programs. Financial commitment for these initiatives comes from the board of directors through the organization as part of the budgeting process. The Union Hospital Foundation, the Union Hospital Clinton Foundation and Guild, and the Service League of Union Hospital are actively engaged in raising funds to support these vital community services. Grant sources include: the U.S. Department of Agriculture, the U.S. Department of Health and Human Services, the State of Indiana, March of Dimes, and the Susan G. Komen Foundation, among others.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	380861209	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	180	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	2638	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	WAYNE HUTSON CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8122387000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1606 N SEVENTH STREET	AddressLine1
City	TERRE HAUTE	City
State	IN	State
ZIP Code	47804	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 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	Key EmployeeKeyEmployee
John Lukens
Chairman	2.00	X	0	0	0
Curtis Brighton
Vice Chairman	2.00	X	0	0	0
William G Grimes
Secretary	2.00	X	0	0	0
Frederick Bauer
Asst. Secretary	2.00	X	0	0	0
Dan DeBard
Treasurer	2.00	X	0	0	0
Ward Hubbard
Asst. Treasurer	2.00	X	0	0	0
Molly Callahan
Member	2.00	X	0	0	0
Robert Haerr
Member	2.00	X	0	0	0
Mark Lynch
Member	2.00	X	0	0	0
Cindy Martin
Member	2.00	X	0	0	0
Steven McDonald
Member	2.00	X	0	0	0
Robert McLaughlin
Member	2.00	X	0	0	0
Anna Zimmerman
Member	2.00	X	0	0	0
David Doerr
President/CEO	40.00	X	489408	0	22775	X
Scott Teffeteller
Vice President/COO	40.00		250680	0	21275	X
Wayne Hutson
SR VP Finance/CFO	40.00		268808	0	15058	X
Ronald Leach
Medical Director	40.00		190879	0	0	X
Kym Pfrank
Vice President	40.00		200506	0	15046	X
Carol Roesch
Vice President	40.00		186313	0	14828	X
Sally Zuel
Vice President	40.00		157331	0	8980	X
Aaron Berkey
Radiologist	40.00		817314	0	20455		X
Nabil Mnayarji
Cardiac Physician	40.00		945488	0	23018		X
Pradeep Narotam
Radiologist	40.00		930796	0	23019		X
Lingan Sidda
Radiologist	40.00		949894	0	15958		X
Ramesh Tank
Radiologist	40.00		930796	0	23019		X
Kristi Williams
System Director Pharmacy	40.00		151512	0	13708			X
Ronald King
System Director Surgery	40.00		155499	0	15393			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6625224	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	232532	TotalOtherCompensation
Number Individuals GT100 K	101	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Garmong Pepper Construction
1659 N 8th St	Terre Haute	IN	47804	CONSTRUCTION	58615355
Cardiovascular Management
2723 S 7th st	Terre Haute	IN	47802	Medical Management Services	20574450
Providence Medical Group
2723 S 7th St	Terre Haute	IN	47802	Medical Services and Rent	20517196
AP&S Clinic
221 S 6th St	Terre Haute	IN	47802	Medical Services and Rent	17208682
Ambulatory Surgery Management
221 S 6th St	Terre Haute	IN	47802	Medical Management Services	15894689

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	97	NumberOfContractorsGT100K
Related Organizations	686810	RelatedOrganizations
Government Grants	591336	GovernmentGrants
Total Contributions	1278146	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Net Patient Revenue	Description
Business Code	900099	BusinessCode
Total Revenue Column	393861040	TotalRevenueColumn
Related Or Exempt Function Income	393861040	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	393861040	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	681066	TotalRevenueColumn
Exclusion	$681,066	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1332807	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	3200982	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-1868175	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-1868175	TotalRevenueColumn
Related Or Exempt Function Income	-1868175	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	20627	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	177596	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-156969	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-156969	TotalRevenueColumn
Exclusion	-$156,969	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA REVENUE	900099	1454202	$1,454,202
AP & S Purchased Servi	900099	957222	$957,222
Methodist OCC Health C	900099	689280		689280

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3553395	TotalRevenueColumn
Related Or Exempt Function Income	964669	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	598163	UnrelatedBusinessRevenue
Exclusion	$1,990,563	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	6654099	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	400449207	TotalRevenueColumn
Related Or Exempt Function Income	393646814	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	598163	UnrelatedBusinessRevenue
Exclusion	$4,926,084	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	302195	Total
Program Services	302195	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1543492	Total
Program Services	359560	ProgramServices
Management And General	1183932	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	118376575	Total
Program Services	111972402	ProgramServices
Management And General	6404173	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6277086	Total
Program Services	5937496	ProgramServices
Management And General	339590	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1318543	Total
Program Services	1247210	ProgramServices
Management And General	71333	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8162595	Total
Program Services	7720999	ProgramServices
Management And General	441596	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	104229	Total
Program Services	98590	ProgramServices
Management And General	5639	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	88320524	Total
Program Services	83542384	ProgramServices
Management And General	4778140	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	766291	Total
Program Services	724835	ProgramServices
Management And General	41456	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	80422829	Total
Program Services	76071954	ProgramServices
Management And General	4350875	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10105846	Total
Program Services	9559120	ProgramServices
Management And General	546726	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	409377	Total
Program Services	387230	ProgramServices
Management And General	22147	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	8513504	Total
Program Services	8052923	ProgramServices
Management And General	460581	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	4260000	Total
Program Services	4029534	ProgramServices
Management And General	230466	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	21923408	Total
Program Services	20737352	ProgramServices
Management And General	1186056	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	18215012	Total
Program Services	17229580	ProgramServices
Management And General	985432	ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Bad Debt	30784528	29119085	1665443
Licenses, Dues & Subscr	548079	518428	29651

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3436232	Total
Program Services	3250332	ProgramServices
Management And General	185900	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	403790345	Total
Program Services	380861209	ProgramServices
Management And General	22929136	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	34662692	BOY
EOY	21856285	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	65894996	BOY
EOY	55239274	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2845094	BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3896518	BOY
EOY	5049617	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3776712	BOY
EOY	5284677	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	448915510	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	149859405	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	269584085	BOY
EOY	299056105	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	54171606	BOY
EOY	37666679	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	26699924	BOY
EOY	20230429	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	6120840	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3399235	BOY
EOY	4880619	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	464930862	BOY
EOY	455384525	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	44009229	BOY
EOY	43964421	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	2896156	BOY
EOY	507720	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	237729444	BOY
EOY	235025000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	24533265	BOY
EOY	25791757	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	28170742	BOY
EOY	14462594	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	337338836	BOY
EOY	319751492	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	117085734	BOY
EOY	127903123	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9537225	BOY
EOY	6783414	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	969067	BOY
EOY	946496	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	127592026	BOY
EOY	135633033	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	464930862	BOY
EOY	455384525	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$16,096	OtherActivitiesAmount
Total Lobbying Expenditures IIB	16096	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i:	Identifier
Return Reference	Explanation of Other Lobbying Activities:	ReturnReference
Explanation	5.45% of Indiana Hospital Assocation and 24.42% of American Hospital Association dues paid were attributable to lobbying expenses as defined in federal law.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	969067	BeginningOfYearBalance
Investment Earnings Or Losses	17441	InvestmentEarningsOrLosses
Grants Or Scholarships	27706	GrantsOrScholarships
Administrative Expenses	12306	AdministrativeExpenses
End Of Year Balance	946496	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1010484	BeginningOfYearBalance
Investment Earnings Or Losses	4129	InvestmentEarningsOrLosses
Grants Or Scholarships	33684	GrantsOrScholarships
Administrative Expenses	11862	AdministrativeExpenses
End Of Year Balance	969067	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16399562	OtherCostOrOtherBasis
Book Value	16399562	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	317764919	OtherCostOrOtherBasis
Depreciation	81708394	Depreciation
Book Value	236056525	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2534083	OtherCostOrOtherBasis
Depreciation	1553073	Depreciation
Book Value	981010	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	108073415	OtherCostOrOtherBasis
Depreciation	66597938	Depreciation
Book Value	41475477	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4143531	OtherCostOrOtherBasis
Book Value	4143531	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	299056105	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Pension Liability	Description
Amount	$14,462,594	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	14462594	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part V, Line 4:	Description of Intended Use of Endowment Funds:	The Corporation's endowment consists of individual funds established for a variety of purposes which were donor-restricted. Net assets associated with endowment funds, including funds designated by the Corporation to function as endowments, are classified and reported based on the existence or absence of donor-imposed restrictions.
		Form 990, Part IV line 12 has been checked no per 990 instructions. Part XI, XII, and XIII are not required as the organization is part of a consolidated financial statement. The consolidated financial statements are audited by an independent accounting firm and prepared in accordance with generally accepted accounting principles.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10479012	TotalCommunityBenefitExpense
Net Community Benefit Expense	10479012	NetCommunityBenefitExpense
Percent Of Total Expense	0.02810	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	51467784	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10236651	DirectOffsettingRevenue
Net Community Benefit Expense	41231133	NetCommunityBenefitExpense
Percent Of Total Expense	0.11050	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	61946796	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10236651	DirectOffsettingRevenue
Net Community Benefit Expense	51710145	NetCommunityBenefitExpense
Percent Of Total Expense	0.13860	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1419779	TotalCommunityBenefitExpense
Direct Offsetting Revenue	48630	DirectOffsettingRevenue
Net Community Benefit Expense	1371149	NetCommunityBenefitExpense
Percent Of Total Expense	0.00370	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7780777	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2383937	DirectOffsettingRevenue
Net Community Benefit Expense	5396840	NetCommunityBenefitExpense
Percent Of Total Expense	0.01450	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11462618	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2137958	DirectOffsettingRevenue
Net Community Benefit Expense	9324660	NetCommunityBenefitExpense
Percent Of Total Expense	0.02500	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	98857	TotalCommunityBenefitExpense
Net Community Benefit Expense	98857	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	313172	TotalCommunityBenefitExpense
Net Community Benefit Expense	313172	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21075203	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4570525	DirectOffsettingRevenue
Net Community Benefit Expense	16504678	NetCommunityBenefitExpense
Percent Of Total Expense	0.04430	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	83021999	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14807176	DirectOffsettingRevenue
Net Community Benefit Expense	68214823	NetCommunityBenefitExpense
Percent Of Total Expense	0.18290	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	805871	TotalCommunityBuildingExpense
Direct Offsetting Revenue	591227	DirectOffsettingRevenue
Net Community Building Expense	214644	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	1070478	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1070478	NetCommunityBuildingExpense
Percent Of Total Expense	0.00290	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	62083	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	62083	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	179373	TotalCommunityBuildingExpense
Direct Offsetting Revenue	68116	DirectOffsettingRevenue
Net Community Building Expense	111257	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	2117805	TotalCommunityBuildingExpense
Direct Offsetting Revenue	659343	DirectOffsettingRevenue
Net Community Building Expense	1458462	NetCommunityBuildingExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$10,968,388	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	124775978	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	139761358	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-14985380	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	OtherOther	Critical Access HospitalCriticalAccessHospital
Union Hospital Inc
1606 North Seventh Street	Terre Haute	IN	47804	X	X	X	X	Physician practices, off campus thearapy, radiology
Union Hospital Clinton
801 S Main St	Clinton	IN	47842	X			X		X

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	Part I, Line 3c: Schedule H Part I Line 3bDescription of Family Income Limit for Discounted CareThe organization provides partial assistance for income levels between 150% and 200% of Federal Poverty Guidelines, and offers discounted care on a sliding scale for income levels between 250% and 400% of Federal Poverty Guidelines.	IncomeBasedCriteria
Bad Debt Footnote	Part III, Line 4: Footnote to organization's financial statements that describes bad debt expenses: The allowance for doubtful accounts is based on management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy for uncollectible receivables based upon the payor composition and aging of receivables as of the reporting date with consideration of the historical writeoff experience by payor category. The results of these reviews are then used to make any modifications to the provision for uncollectible receivables to establish an appropriate allowance for uncollectible receivables. After satisfaction of amounts due from insurance, the Corporation follows established guidelines for placing past-due patient accounts with collection agencies.Explanation for line 2 and 3 or rational for including other bad debt amount in community benefit: The hospital has a detailed Financial Assistance Policy which states that to participate in charity care candidates must cooperate fully. In addition the hospital educates patients with limited ability to pay regarding financial assistance. For this reason the organization believes that it accurately captures all charity care deductions provided according to the financial assistance policy and the amount of bad debt expense attributable to patients eligible under the organization's charity care policy is negligible.	BadDebtFootnote
Shortfall As Community Benefit	Part III, Line 8: The source used to determine the amount of Medicare allowable costs reported for Part III, Section B, Medicare has been provided from the Year Ended August 31, 2010 report: Hospital Statement of Reimbursable Cost.	ShortfallAsCommunityBenefit
Debt Collection Policy	Part III, Line 9b: If the patient does not qualify for charity, but qualifies for limited means assistance, a reduction in charges will be made to the account and the patient will be notified via mail. At the patient's request, payment arrangements will be made for the remaining balance.	DebtCollectionPolicy
Number Of Facility Type Expln	Part V: UHI also operates 8 Family Practice Centers, 4 Outpatient Therapy Centers, 3 clinics, 1 cancer center, 1 cath lab, 1 child development center, and 1 employee access center.	NumberOfFacilityTypeExpln
General Explanation	Schedule H Part I Line 3bDescription of Family Income Limit for Discounted CareThe organization provides partial assistance for income levels between 150% and 200% of Federal Poverty Guidelines, and offers discounted care on a sliding scale for income levels between 250% and 400% of Federal Poverty Guidelines.	GeneralExplanation
Needs Assessment	Part VI, Line 2: ASSESSING THE NEEDS OF OUR COMMUNITY IS AN ONGOING ACTIVITY. ALTHOUGH A FORMALIZED ASSESSMENT TOOL IS CURRENTLY BEING EVALUATED, ONLINE DATABASES HAVE PROVED BENEFICIAL IN HELPING THE ORGANIZATION DETERMINE THE BEST WAY TO UTILIZE ITS RESOURCES. THE MOST VALUABLE OF THOSE RESOURCES BEING UNION'S 2,000 PLUS EMPLOYEES WHO DONATE THOUSANDS OF HOURS OF COMMUNITY SERVICE EACH YEAR. UHI EMPLOYS A FULL-TIME POSITION (COMMUNITY LIAISON) DEDICATED TO COMMUNITY BENEFIT ACTIVITIES FOR THE ORGANIZATION. THE COMMUNITY LIAISON TAKES ON THE LEAD ROLE IN COLLECTING DATA TO ASSIST IN ASSESSING THE NEEDS OF OUR COMMUNITY. THE WEBSITE STATSINDIANA.EDU HAS A WEALTH OF HEALTH, DEMOGRAPHIC AND INCOME DATA PROVIDING UNION WITH AN ASSESSMENT OF ALL INDIANA COUNTIES IN OUR SERVICE AREA. THE U.S. CENSUS BUREAU AND COUNTYHEALTHRANKINGS.ORG PROVIDED DATA THAT CAN BE DRILLED DOWN TO THE STATE, COUNTY AND CITY LEVELS TO HELP UHI OFFICIALS ACCURATELY ASSESS COMMUNITY HEALTH NEEDS. UNION ALSO WORKS CLOSELY WITH INDIANA STATE UNIVERSITY COLLEGE OF NURSING HEALTH AND HUMAN SERVICES, AND THE VIGO COUNTY HEALTH DEPARTMENT. THE HOSPITAL UTILIZES NATIONAL RESEARCH CORPORATION (NRC) TO CONDUCT ITS PATIENT SATISFACTION SURVEYS, AND TO PROVIDE UHI WITH COMMUNITY HEALTH NEEDS ASSESSMENT. ON AUGUST 14, 2009, PUBLIC HEALTH SYSTEM PARTNERS OF VIGO COUNTY CONVENED A MEETING TO EVALUATE HOW TO BETTER SERVE THE PUBLIC HEALTH AND HEALTHCARE NEEDS OF THE COUNTY'S ESTIMATED 106,000 RESIDENTS. THE RURAL HEALTH INNOVATION COLLABORATIVE (RHIC) HOSTED THE ALL DAY EVENT, IN PARTNERSHIP WITH THE VIGO COUNTY HEALTH DEPARTMENT. THE INDIANA STATE DEPARTMENT OF HEALTH, IN COLLABORATION WITH PURDUE UNIVERSITY'S HEALTHCARE TECHNICAL ASSISTANCE PROGRAM, WORKED TOGETHER TO CREATE THIS OPPORTUNITY FOR ALL LOCAL PUBLIC HEALTH SYSTEM PARTNERS TO IDENTIFY EXISTING STRENGTHS, AS WELL AS OPPORTUNITIES TO ESTABLISH AND FORMALIZE PUBLIC HEALTH SYSTEM INFRASTRUCTURE IN INDIANA COUNTIES. VIGO COUNTY PARTNERS MET TO COMPLETE THE CDC NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS, LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT - A NATIONALLY RECOGNIZED PUBLIC HEALTH SYSTEM ASSESSMENT TOOL. THE ASSESSMENT PROCESS AND RESULTS ENABLED GREATER UNDERSTANDING OF HOW THE COUNTY'S HEALTHCARE AND PUBLIC HEALTH ORGANIZATIONS RELATE TO ONE ANOTHER AND HOW THEY PROVIDE ESSENTIAL PUBLIC HEALTH AND HEALTHCARE SERVICES TO THE PUBLIC THEY SERVE. THE ASSESSMENT SPECIFICALLY FOCUSED ON AREAS SUCH AS COMMUNICATION, PARTNERSHIPS, LINKING PEOPLE TO NEEDED SERVICES, AND SHARING OF RESOURCES. FINDINGS OF THE ASSESSMENT REVEALED STRENGTHS OF THE SYSTEM THAT INCLUDED: -IDENTIFICATION AND SURVEILLANCE OF HEALTH THREATS, AND RESPONSE TO PUBLIC HEALTH THREATS AND EMERGENCIES -INFORMING, EDUCATING AND EMPOWERING THE PUBLIC ABOUT PUBLIC HEALTH ISSUES-ENFORCEMENT OF LAWS AND REGULATIONS THAT PROTECT HEALTH AND ENSURE SAFETY THE ASSESSMENT ALSO REVEALED IMPORTANT AREAS FOR PERFORMANCE IMPROVEMENT, INCLUDING:-MOBILIZING COMMUNITY PARTNERSHIPS TO IDENTIFY AND SOLVE HEALTH PROBLEMS -DEVELOPING COMMUNITY HEALTH IMPROVEMENT PROCESSES-USING CURRENT TECHNOLOGY TO MONITOR, MANAGE AND COMMUNICATE POPULATION HEALTH DATA-THE ASSESSMENT PROCESS CAN SERVE AS THE FOUNDATION TO FORMALIZE PROCESSES THAT STRENGTHEN LOCAL PUBLIC HEALTH SYSTEM INFRASTRUCTURE WITH THE CAPACITY AND RESOURCES TO IMPROVE QUALITY AND EFFECTIVENESS OF HEALTHCARE SERVICES IN VIGO COUNTY.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: UHI uses a variety of tools to educate patients about their eligibility for financial assistance. Signs are displayed in the Admitting areas, brochures and the financial assistance policy is attained on our statements. ClaimAid is available of point of servce onsite Medicaid eligibility advisor that assists our patients in qualifying for any Medicaid programs. All of our financial counselors are trained and scripted to communicate financial assistance programs and assist in setting up meetings for the ClaimAid staff. Financial counselors are located in the Admitting in both Union Hospital East and West facilities to assist our patients. This includes staff that can speak Spanish to assist in any interpretation for a Spanish speaking patient.	PatientEducationAssistance
Community Information	Part VI, Line 4: The communities served by UHI represent a dichotomy of urban and rural people. Terre Haute and Vigo County are largely urban and suburban with a population of 106,000. The remaining 147,000 people served by Union are located in small towns and rural farming areas throughout eight additional counties surrounding Vigo County. People in Vigo County are more racially diverse with 89.5% being Caucasian, 7% African American, 1.6% Asian and 1.5% Hispanic. The surrounding counties average 96.4% white, 2% African American and less than 1% Asian and Hispanic populations. Vigo County is younger with an average age of 35.9 compared to 39.99 in the surrounding counties with 14.5% being 65 years of age or older compared to 13.7% in Vigo County. Regardless of location, median household incomes averaging $39,250 fall far below the Indiana average of $48,010 and the US average of $52,029. More than 19% of Vigo County residents and 10.3% of surrounding county residents live in poverty. In Vigo County, one in four children lives in poverty. Vigo County ranks second in the state in poverty, and 5th in the state in poverty rank among children under the age of 18. Employment within Vigo County includes a large retail and restaurant service sector, healthcare, higher education and a diverse manufacturing sector. UHI is the largest employer in Terre Haute. The surrounding counties offer largely agricultural and mining-based employment with many residents traveling to Vigo County for employment opportunities. Unemployment in Vigo County was 9.9% in 2009, slightly lower than the state average at that time of 10.4%. A health needs assessment conducted in 2006 revealed that people in the area with incomes below 200% of the poverty level had significantly higher rates of physical impairment, depression, obesity, tobacco use, high blood pressure and diabetes. This population segment was far less likely to engage in regular physical activity. While overall rates of tobacco use in the area were slightly lower (20%) than the state average (24.9%), the demographic segment with the largest tobacco use was women of childbearing age at 24.8%. Access to health care is a challenge for those in rural areas who often must travel to Terre Haute or elsewhere for medical care and chronic disease management.	CommunityInformation
Community Building Activities	Part VI, Line 5: To better meet the needs of our communities UHI participates in community building activities to improve the health in the community. Programs have been developed to specifically help meet the needs as defined by our community health needs assessment. Many of the programs or services developed meet several defined needs and some of them are more focused on a central idea, for example partnering with our local Wabash Valley Harley Davidson dealer and offering a free prostate cancer screening to our male population. The central focus is to identify males that have an elevated PSA levels so they can get treatment before major health complications arise. Continued on Schedule O	CommunityBuildingActivities
Other Information	Part VI, Line 6: See Schedule O.	OtherInformation
Affiliated Health Care System	Part VI, Line 7: The organization was not part of an affiliated health care system during the 2009 tax year.	AffiliatedHealthCareSystem
Reports Filed With States	IN	ReportsFiledWithStates

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	IRC SectionIRCSection	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Vigo County School Corporation
PO Box 3703	Terre Haute	IN	47803	356007261	22000	General Donation
Terre Haute Boys & Girls Club
220 North Third St	Terre Haute	IN	47807	350868182	5000	General Donation	501c3
Vermillion Parke Community Health Clinic
777 S Main Street	Clinton	IN	47842	208998983		See Schedule I, Part IV	501C3	142607	Cost	Donation of Building in Cayuga, Indiana

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Procedure for Monitoring Grants in the U.S.:	Part I, Line 2:	Schedule I, Part I, Line 2: Grants to Entities in the United States: All grants are provided to 501(c)(3) public charities for general support. Union Hospital does not monitor the use of these funds by these public charities. Grants to Individuals: Union Hospital sponsors the Now program and the TAG program during the year, but both programs have been completed and closed. The organization's Education Services department determines which individuals receive funds based upon individual grade qualifications and the needs of the workforce shortage for Union Hospital. In most cases, the individuals receiving funds are in the critical education programs. Upon graduation, these individuals will be providing patient care services at Union Hospital facilities.
Other Information:	Part IV:	Part II, Line 1, Column (H): Name of Organization or Government: Union Hospital Foundation Purpose of Grant or Assistance (h): Employee Flood assistance, Capital Campaign Funds received on behalf of the foundation Name of Organization or Government: Vermillion-Parke Community Health Clinic Purpose of Grant or Assistance (h): Donation of Building to further the Exempt Purpose of the Organization

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 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
David Doerr
339694	0	124655	0	25059	0	0	0	22775	0	512183	0	0	0
Scott Teffeteller
203924	0	27825	0	18931	0	0	0	21275	0	271955	0	0	0
Wayne Hutson
198786	0	65371	0	4651	0	0	0	15058	0	283866	0	0	0
Ronald Leach
174379	0	0	0	16500	0	0	0	0	0	190879	0	0	0
Kym Pfrank
154231	0	29485	0	16790	0	0	0	15046	0	215552	0	0	0
Carol Roesch
143816	0	29350	0	13147	0	0	0	14828	0	201141	0	0	0
Sally Zuel
127082	0	20563	0	9686	0	0	0	8980	0	166311	0	0	0
Aaron Berkey
454326	0	358111	0	4877	0	0	0	20455	0	837769	0	0	0
Nabil Mnayarji
705643	0	233572	0	6273	0	0	0	23018	0	968506	0	0	0
Pradeep Narotam
438966	0	480591	0	11239	0	0	0	23019	0	953815	0	0	0
Lingan Sidda
455221	0	483340	0	11333	0	0	0	15958	0	965852	0	0	0
Ramesh Tank
438966	0	480591	0	11239	0	0	0	23019	0	953815	0	0	0
Kristi Williams
127628	0	18103	0	5781	0	0	0	13708	0	165220	0	0	0
Ronald King
119655	0	27848	0	7996	0	0	0	15393	0	170892	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

Part I, Line 1a

County Club of Terre Haute dues are paid for CEO, CFO, and COO.

Part I, Line 7

The organization provides non-fixed payments to several individuals listed on Form 990, Part VII, Section A, line 1a. These non-fixed payments are based on the organization's ability to pay and are not construed as a contract between Union and its executives. The Executive Bonus Plan is a mixture of objectives, standards and subjective standards that both the policy and the implementation of the policy by the Personnel Committee and the Board of Directors approves and awards depending on Union's ability to pay. There is no automatic right to a bonus or a specific bonus amount even if all criteria are met. The performance measure plan is linked to the Union strategic and fiscal-year business planning process. The plan is intended to focus participants' attention on mission-critical goals and key strategic priorities. The plan is also intended to enhance the performance of Union executives and the organization. Prior to the start of the fiscal year and as part of the business planning process, the Union President and CEO will finalize a list of goals, weights and measures to be used to assess performance during the fiscal year. The list is presented to and discussed with the committee. The committee reviews and approves the bonus plan goals, weights, and measures. Organization goals will be assigned to each participant hospital-wide. In addition to hospital-wide goals individual and/or functional/department goals may or may not be included. After the conclusion of each fiscal year, the President & CEO will prepare an annual Bonus plan report for the committee. The report contains: an appraisal of Union and hospital/operating unit performance during the recently-completed fiscal year; and the president & ceo's recommended payout for each plan participant. The bonus recommendations for all sr. management are received and reviewed first by the personnel commitee who then make decisions and submits to the board to vote. The committee will determine and submit the payout for the President & CEO to the board of directors who, absent the Presdient & CEO, will vote on approval. Award determinations are calculated as percentages of participant's salaries paid for time worked during the fiscal year. Payouts for president is 0% to 3%; CFO & COO are 0% to 25%; and Other executives are 0% to 20%. The excutive bonus plan payouts are to be paid when determined by the personnel committee, subject to the approval of the board of directors.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
Hospital Authority of Vigo County (Revenue Bonds Series 2007)
351656988	926742BY2	2007-07-12	176052475	Construct new hospital building	0	0
Indiana Health and Education Facility Financing Authority series 2006A
351611409	454795BL8	2006-07-14	19000000	Buildings, structures, equipment	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
176052475	15716590	2151525	158184360	2010	0	0	1	1
19000000			19000000	2009	0	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	0	0
0	0	0	0	0	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	0
0	0	0	0	0	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Physician Group
See Sch O	4695145	Sch O	0
Forest Sherer Inc
See Sch O	665829	Sch O	0
AP&S Clinic North Side
See Sch O	172086681	Sch O	0
Bunch Nurseries Inc
See Sch O	411562	Sch O	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section B, line 11	The process of reviewing the Form 990 entails a detailed review of the Form 990 by the organization's management. The governing body reviews and approves the Form 990 and the final Form 990 including requested schedules, as ultimately filed with the IRS, are provided to each voting member of the organization's governing body prior to filing.
Form 990, Part VI, Section B, line 12c	The written conflict of interest policy is regularly and consistently monitored and compliance enforced by the Corporate Compliance Officer. The scope of this policy includes directors, officers, management, and employees. The policy is in place to avoid personal interests that conflict, or may appear to conflict, with the best interests of Union and its affiliates and the communities they serve. The covered persons are to refrain from personal interests, direct or indirect with any third parties. It is the responsibility of officers, management, and employees to scrutinize their transactions and outside business interests and relationships for potential conflicts and to immediately make such disclosures and act accordingly. A self disclosure from covered persons to the Corporate Compliance Officer is required on any potential conflicts of interest. The covered persons are to refrain from participating in any deliberation or decisions on such transactions. The conflicts disclosed are reviewed and resolved by the Corporate Compliance Officer.
Form 990, Part VI, Section B, line 15a	The process for determining compensation under the By-Laws of Union Hospital includes a Board of Directors Personnel Committee whose responsibilities include being charged of doing the appropriate review of compensation for the Sr. Management Team, including the CEO. They gather information and follow the steps set forth below and in turn submit to the full Board of Directors the recommendations in terms of compensation and benefits for the CEO and Sr. Management. The Personnel Committee consists of individuals who are disinterested. The CEO is excused from the meeting when his compensation/benefits are reviewed both at the Personnel Committee level and the Board level. Note: During the current Fiscal Year, salary increases were not given to the Sr. Management team including the CEO, and thus, an analysis of compensation was not completed. In future periods, this procedure will resume as stated in this policy. The Steps include: 1. The Personnel Committee retains an outside independent consultant to (1) provide the committee with information, and (2) to review the actions and compensation/benefits to be sure that there is not excessive compensation. The consultant that has been used the past three (3) years is Sullivan Cotter & Associates, Inc. Under the process, Sullivan Cotter first are provided with the names and job descriptions for the Sr. Management Team that is being evaluated. The independent advisor then submits to the Personnel Committee comparable information, specifically: > Five commercially available executive health care compensation surveys prepared by independent firms, were referenced to obtain market data for this review - Integrated healthcare Strategies: 2009 Healthcare Executive Compensation Survey - Indiana Hospital & Health Association: 2009 Compensation Survey Report - Sullivan, Cotter, and Associates: 2009 Survey of Manager and Executive Compensation in Hospitals and Health Systems - Watson Wyatt Data Services: 2009/2010 Hospital and Healthcare Management Compensation Report - Mercer Human Resource Consulting: 2009 Integrated Health Networks Compensation Survey > Market data reflecting functionally-comparable positions were obtained for all seven executive positions > Data were abstracted for comparably-sized organizations as measured by net revenue > The data reported represented the 50th, 75th, and 90th percentiles of base salary and total cash compensation (base salary plus actual annual incentive - abbreviated TCC) > Regional market data were also collected from the published compensation surveys as well as a special cut of the following Indiana hospitals from SullivanCotter's 2009 Survey of Manager and Executive Compensation in Hospitals and Health Systems - Ball Memorial Hospital - Reid Hospital & Health Care Services - Bloomington Hospital - Riley Hospital for Children - Elkhart General Hospital - Saint John's Health System - Good Samaritan Hospital - Saint Joseph Regional Medical Center - Memorial Hospital of South Bend - Saint Mary's Medical Center - Methodist Hospitals - Terre Haute Regional Hospital - Parkview Hospital > That data was also reported with national average, regional average and Indiana average. 2. The Personnel Committee of Union Hospital's Board of Directors takes the data provided by the independent consultants and following a review of the performance of each individual submits to the full Board for approval recommendations in terms of salaries, benefits, and bonuses. Final approval is by the Board of Directors. The CEO does not take part in the discussion or action on his salary, benefits and bonus. 3. Minutes of the Personnel Committee and the Board meetings are contemporaneously kept and maintain with the Corporate Minute Books. 4. Following the action of the Board of Directors the new proposed salaries, benefits and bonuses are sent to the independent consultant (Sullivan Cotter) who submits back to the Personnel Committee their opinion in terms of the compensation being reasonable in relation to the market data and market practices. This report is also received and reviewed by the Board Personnel Committee.
Form 990, Part VI, Section C, line 19	The organization does not make the governing documents, conflict of interest policy, or financial statements available to the public.
Form 990, Part XI, Line 2c	The board of directors assumes responsibility for oversight of the audit of the financial statements and no processes have changed from prior year.	Oversight of Audit
	Schedule H, Part VI, Line 5: Richard G Lugar Center for Rural Health Richard G. Lugar Center for Rural Health: The Lugar Center's mission is to advance rural health through education, innovation and collaboration. The Lugar Center is a part of Union Hospital and its Family Medicine Residency program dedicated to preparing physicians to serve in rural communities. This program consists of hands-on curriculum for future rural health providers based on a unique hub-and-spoke structure that allows residents to work out of the main hospital-based site during their full three years of training while still gaining first-hand rural experience at a federally-designated rural health clinic and a federally qualified health center. It has developed into a policy and program leader with the development of innovative methodologies to support a workforce that is well-prepared to provide access to quality health care services in remote areas nationally and internationally. It was first established in 1993 as the Midwest Center for Rural Health to prepare primary care physicians for successful rural practice and to expose individuals not yet decided on a career to the rewards of delivering health care in a rural area. The Center was renamed in 2006 to honor U.S. Senator Richard G. Lugar a supporter of the Center's mission and an advocate for the advancement of rural healthcare. In 1993, Union set up a model rural health clinic and training site in Clay City, Indiana to provide much needed health care services to a medically underserved community. This federally designated rural health clinic (RHC) also provides a unique hands-on training site for physicians enrolled in Union Hospital's Family Medicine Residency's Rural Training Track. A multidisciplinary team of physicians, physicians assistants, nurse practitioners, mental health counselors, psychology interns, an x-ray technician, and an optometrist provide comprehensive care to all regardless of the patient's ability to pay. The clinic collaborates with the locally owned pharmacy to provide prescription services to uninsured and underinsured patients using the same discounted sliding fee scale used by the clinic. A vital component of this clinic is the 10 member Community Advisory Board. Clay City Center for Family Medicine serves as a medical home for approximately 5,000 area residents, delivering over 10,000 visits annually, in addition to house calls and in-patient hospital care. In 2001, the Lugar Center developed and implemented a chronic disease management program at the clinic that is still being integrated into care plans for patients as appropriate. This evidence based program includes five chronic diseases-hypertension, diabetes mellitus, chronic obstructive pulmonary disease, congestive heart failure, and asthma. Clay City Center for Family Medicine reached capacity as a teaching site for residents and there remains an enormous need for additional providers in the small communities surrounding UH as well as clinical training sites. Therefore, the Lugar Center is expanded training capacity for future health care providers through collaborative efforts with a rural underserved community in Vermillion County. This project focuses on the Community Health Center model or FQHC (Federally Qualified Health Center). This model delivery system began with a group of community members who serve as the Governing Board of Directors for a community-owned health care facility, receiving federal 330 funds to provide services to the uninsured. Lugar Center was instrumental in writing the application for a HRSA New Access Point grant for $1.6 million for this community in September 2007. This site serves as an integral training site for UH residents, IU School of Medicine medical students, and other learners. Our operating expenses for the fiscal year 2010 were $1,001,759. The Lugar Center also received funding from the Indiana State Departments of Health Community Health Center Grant $361,849.
	Schedule H, Part VI, Line 5: Rural Health Innovation Collaborative On Dec. 2, 2008, Union Hospital's Lugar Center helped launch a rural health collaborative aimed at improving and expanding health care in our community. What began as an informal exercise in creative problem-solving has become the Rural Health Innovation Collaborative (the RHIC). Founding partners include Indiana State University (ISU), Indiana University School of Medicine (IUSM), Union Hospital and it's Richard G. Lugar Center for Rural Health (UH), the Terre Haute Economic Development Corporation (THEDC), the City of Terre Haute (the City), and Ivy Tech Community College Wabash Valley (Ivy Tech). The mission of the Rural Health Innovation Collaborative (RHIC) is to improve and expand education and training of health care professionals and future health care professionals, especially for those committed to serving rural and underserved populations. Key components of this mission include: To promote the retention of health care professionals to serve rural and underserved populations; To invite community revitalization by promoting the enhancement of opportunities for education, training, and experience in health-related professions and fields; To promote social welfare and to encourage and coordinate community initiatives to address challenges affecting health care delivery; To promote the efficient use of public and private resources and collaborate with other entities with similar or complementary purposes; To design and implement innovative best practices and strategies that are capable of replication in other areas of the United States; and To disseminate educational information, thereby potentially or actually benefiting those other areas. A recent study commissioned by RHIC partners and conducted by Indiana University School of Medicine's Bowen Research Center, found shortages in almost every health care field in the Wabash Valley. The Wabash Valley is a region with counties in both Indiana and Illinois. Nurses and physicians top the list of shortage areas. The survey found a need for 702 to 827 additional nurses and 134 to 275 primary care physicians in an 11-county area of west-central Indiana. The eleven counties included in this region were: Clay, Fountain, Greene, Montgomery, Owen, Parke, Putnam, Sullivan, Vermillion, Vigo, and Warren. Significant shortages were also found in mentalhealth counselors, physical therapists, pharmacists, social workers, health educators, speech pathologists, physician assistants and psychologists. In more than three fourths of the professions analyzed the study projects that by 2016 the number of health care providers per 100,000 residents will be lower in the Wabash Valley than statewide. Additionally the study found a need for increased access to education programs, expanding existing programs and making new programs available. RHIC leaders envision tackling the current and worsening health care worker shortages through innovations and collaborations in health care education across the partnership. The partners are focused not just on increasing numbers of students and educational opportunities, but also on transforming our traditional education model to ensure an optimally prepared workforce, resulting in improved access to care and patient outcomes. There are several challenges to minimizing the health care workforce shortages in rural west-central Indiana and throughout the nation. One of the biggest challenges is changing the educational methodology when training future health care providers. Traditionally, our workforce is educated in "silos", rather than in interprofessional teams. Even a quick review of the literature reveals qualitative and quantitative evidence suggesting the need to change the methods that have historically been utilized to train health professionals. Yet, this is not an easy task. The RHIC partners have begun to address this challenge by embracing Interprofessional Education (IPE) as a major focus of the RHIC. One important component of the RHIC's IPE initiative is to develop a collaborative curriculum where students from multiple health care professions learn together. As a part of this effort, the RHIC envisions implementing a collaborative Simulation Center for interprofessional education and training. The primary purpose of the RHIC simulation center initiative is to establish a center dedicated to enhancing hands-on educational opportunities for teams of future health care professionals, particularly those preparing to practice in rural areas. The Center will ensure a robust, well-prepared team of health care professionals who will provide enhanced access to quality care in rural communities. In addition to more and better prepared health care professionals this collaborative will lead to additional cutting-edge training and research facilities, as well as support for business and health care service expansion. This outcome will lead the way for neighborhood revitalization and economic development in Terre Haute and in surrounding rural, underserved communities. The RHIC collaborative includes urban and rural partners as well as private, public and government partners. The leaders of each partner organization bring multiple resources and expertise to the collaborative and provide guidance as a part of a robust board of directors. Committees of the board manage activities in: communications, education, facilities, finance, economic development and resource development. Ad-hoc committees are created as needed for targeted study and work. Through this robust collaborative--including through the sharing of resources among urban, rural, government, public and private entities that are all represented within the RHIC--we will improve efficiencies, create and implementinnovative advances in curriculum and training for interprofessional teams of providers, and ensure long-term results toward improved access to quality health care in all of our communities, especially including our surrounding rural communities. No collaboration ever comes easily. Yet, it is through collaboration that we are able to achieve the most. RHIC members have hired a full-time director to assist with thoughtfully building a solid foundation for the RHIC collaborative, including through the creation of formal bylaws and other governing mechanisms. Toward this end, in December 2009, the RHIC was formally recognized by the IRS as a 501(c)(3) nonprofit entity. RHIC members come together monthly for intense meetings during what has come to be known as "RHIC Week" each month. The board is made up of members from the highest levels of leadership from each of the partner entities. In addition to RHIC committee members meeting monthly, these leaders are also coming together on a continuous, consistent basis. This sharing of time to review vision documents as well as the most mundane documents, has been invaluable in terms of moving the collaborative forward toward its ultimate goal of ensuring a robust workforce and environment to be able to provide long-term, sustainable access to quality health care. Future goals, as stated above, include creating a truly innovative interprofessional health curriculum and training program. In addition to creating a robust innovative, learning environment, the RHIC members envision creating a "District" that connects Union Hospital to the Indiana State University campus in Terre Haute. This "neighborhood", about 270 acres, between the Union Hospital and ISU campuses is a blighted neighborhood. Through this economic development initiative of the RHIC, we envision creating a mixed-use learn-live-work-play District that incorporates healthy living design features and fosters job creation and a culture of innovation, continuous learning and excellence. Toward this end, the RHIC partners have hired an architectural firm to lead a master planning process that will involve stakeholders from across the community and from across disciplines. We fully expect this "RHIC District" to become a model in the United States for innovation and excellence. Current operating expenses are funded through the RHIC member organizations. In addition, some initial federal and state grants have been secured to begin implementation. For example, a $100,000 grant was secured through the Health Resources and Services Administration to establish the collaborative Simulation Center. In addition, the RHIC's Resource Development Committee has taken a leading role to begin applying for grants to assist with program development and implementation to maximize impact and further the vision of providing a robust healthcare workforce that is sufficient to meet all of the healthcare needs in our service areas, especially including in our rural underserved communities throughout the west-central region of Indiana.
	Schedule H, Part VI, Line 5: Pre-Natal Care for Indigent Population Union Hospital serves as the community safety net to assure that prenatal and birth care is available to all pregnant women in the Wabash Valley regardless of financial status through its family medicine center. As in many areas of health care, fiscal realities affect services that can be provided. We are striving to maintain and innovatively improve services and options for the vulnerable and high risk population we serve. Each county that we serve has a higher percent of reported prenatal smoking than the 2005 reported state of Indiana average of 17.9%. There is a combined average of 27.94% for women from the five counties that we serve. We strive to address this problem as well as breastfeeding and prenatal care initiation in the first trimester. The MHC is proud to provide a multidisciplinary approach to care from physicians, resident physicians, midwives, a family nurse practitioner, nurses, social workers, a sonographer, and a substance abuse counselor. Referrals are made to appropriate community agencies with services for housing, food stamps, women infants and children nutrition program, adoption resources, dental, transportation, domestic abuse support resources, mental health counseling, bereavement, child protection, family planning, and baby supplies. We enrolled 478 new patients in the past fiscal year. In 2006-2007, 45% of our patients were assessed as being moderate to high risk socially. Approximately 95% of our clients were Medicaid funded and the majority of the other 5% are clients that are non American citizens that are unable to receive Medicaid benefits. These clients are charged on a sliding fee scale. The poverty rate in Vigo County in 2008 was 19.7%. Because of this, it is apparent that women in our area are in need of the services that the MHC provides. We are a Medicaid enrollment site, and we provide care on a sliding fee for service scale for those who are not eligible for Medicaid. First trimester care has been increased from 77% in 2007 to 81% in 2009. Breastfeeding rates have increased from 65.8% in 2007 to 69.6% in 2009. Over half of our clients who smoked when they became pregnant stopped smoking by the time their babies were born. We have recently started auricular (ear) acupressure and acupuncture in our clinic to assist in decreasing smoking rates. Women are ready to be helped during pregnancy to decrease and/or stop smoking. We have implemented home visits, education, and auricular therapy to aid in this transition. We know that women want consistent care and many want female providers. We have the care providers to do just those things. We promote and assist with breastfeeding education and support. We adopted an incentive program to motivate women to participate in educational opportunities and make positive behavior changes. Patients earn points for keeping appointments, changing diets, releasing addictions, and breastfeeding. These points can be exchanged for used clothing and household items at the nonprofit store run by The Helping Hands organization. By 2009, we plan to have our first trimester care rates at 80% and our breastfeeding at 60%. Through our options for smoking reduction, we plan to decrease this rate to 98%.
	Schedule H, Part VI, Line 5: St. Ann Medical Clinic Founded in September 1997 to provide comprehensive outpatient medical care for the poor of Vigo and surrounding counties. St. Ann Medical Clinic is a program of Providence Self Sufficiency Ministries. Clients served must be financially at or below the 125% poverty level as established by the federal guidelines, must have no insurance and no physician, and be without the resources of Medicare or Medicaid. Union's physicians, nurses and others provide volunteer service and leadership with one of our physicians serving as medical director, and leaders such as the Union Hospital Foundation director, the chairman of the board of directors and the hospital's legal counsel serving on its Advisory Committee. Hospital physicians and staff provide thousands of volunteer hours to the clinic each year. Beginning in 2007, Union Health System placed a nurse practitioner full time within the clinic. In addition, Union Hospital UHI annually provides more than $13,000 in monetary support and nearly $150,000 in in-kind support in the form of followup testing and care. Since 1997, the clinic has tallied 60,000 client visits with nearly 20,800 of those visits occurring since fiscal year 2007. The clinic operates with a staff of 105 dedicated core volunteers, including doctors, nurse practitioners, nurses, pharmacists and clerical support. The number of underserved poor in the Vigo county area is increasing rapidly as evidenced by the increasing numbers of clinic visits and decreasing economic opportunities. The clinic has decreased visits to the already overloaded hospital emergency rooms. Furthermore individuals and families, who have no other resources, would typically not seek medical care, thus resulting in higher in higher incidences of more serious medical conditions going untreated, poorer quality of life and increasing stress on the family.
	Schedule H, Part VI, Line 5: Union Hospital Clara Fairbanks Center for Wome Clara Fairbanks Center for Women provides quality care and state-of-the-art technology in mammography services for all patients of the Wabash Valley and surrounding counties. We now have three locations to serve our patients: the main center at 1711 N. 6 1/2 St., Suite 300, Hux Cancer Center in Terre Haute, second location is south of the city at Thomas Plaza, 5500 S. US Hwy. 41, Terre Haute, and the third location at Union Hospital Clinton, 801 S. Main, Clinton, IN. The services provided include: digital mammography, breast ultrasound, stereotactic and ultrasound guided breast biopsy procedures, bone density scans, and a boutique to supply special garments for patients who have undergone breast surgery. Because personalized care is as vital a part of guiding a patient through breast care, as it is important to be sure to treat each patient as an individual not just a cancer diagnosis; the Center identified the need for a Patient Navigator in 2004. The Patient Navigator helps guide the patients and their families through the sometimes-overwhelming process of a breast cancer diagnosis and treatment. She is able to accomplish this by making herself available to answer questions, schedule appointments and coordinate referrals. The staff educates the patients and community about breast care, available grant dollars, and mammography services through direct communication with the Center, community health fairs and public speaking. The Clara Fairbanks Center meets all standards set forth by the Healthcare Facilities Accreditation Program (HFAP), Federal Drug Administration (FDA), American College of Radiology (ACR), and the requirements set forth by the Indiana State Department of Health. The Center is the leading mammography facility in the Wabash Valley. Since 1998, the Center has been a major participant in the Indiana Breast and Cervical Cancer Prevention Program (BCCP), a program to assist indigent women with funding for mammography services. For the last four years, the Center has been approved for grant dollars through the Indiana Breast Cancer Awareness Trust. In 2010, the Clara Fairbanks Center provided over 16,500 mammography services (breast biopsies, ultrasounds, and mammograms). This same year, the Clara Fairbanks Center for Women diagnosed 137 women with breast cancer. The BCCP gave funds for approximately 165 mammography services. Through a Wabash Valley Komen Foundation Grant in the amount of $50,000 another 88 women and two men were assisted with additional services (mostly breast biopsy procedures and diagnostic mammography). Seventy-six women received screening mammograms from a $10,000 grant from Indiana Breast Cancer Awareness Trust. These were women and men who might not have received these services if this funding had not been available. Breast cancer shows no age boundaries; early detection is still the best prevention. With earlier diagnosis, there is less treatment cost and better prognosis for the patient. While BCCP is a worthwhile program to assist indigent women with mammography services, it only supplies funding for mammography services for women 40 years and older. We know that breast cancer has the potential to grow more rapidly in younger women: therefore it is of utmost importance to detect these cancers at the first possible sign. Since there has been an increased need for funding to include screening, diagnosis, and treatment for women under the age of 40, Clara Fairbanks will continue to partner with organizations like the Susan G. Komen Foundation. The Center will look for every opportunity to request grants to help assist not only women but men for these services. The Center will continue to educate about the importance of early detection and further enhance the hospital's "Team Approach" for breast cancer patients.
	Schedule H, Part VI, Line 5: Franklin Elementary School What began in 1983 as an Indiana State University graduate student's project to link local businesses with elementary schools has become a long-standing partnership to encourage healthy lifestyles in one of Terre Haute's poorest elementary schools. The pairing of Union Hospital with Benjamin Franklin Elementary School in Terre Haute has proven to be a "perfect partnership" in matching the needs of students with staff and volunteers from the hospital. Franklin School is located in a poor inner city neighborhood where 98% of students qualify for the federal free breakfast and lunch program. The student population is transient; 90% of students who begin elementary school at Franklin do not finish elementary school at the school due to instability in their home and family lives. For most, good nutrition, hygiene and physical fitness are not taught or encouraged in the home. Each year Union program directors meet with the principal and teachers from the school to set criteria and plan the year's activities. Engaging the classroom teacher in the planning and preparation for these activities and working with them to incorporate good health messages into their curricula is vital to the programs success. Activities may vary from year to year but two activities have remained constant: the annual health fair and the health careers day. For the student health fair students are tested on health indicators: height, weight, blood pressure, situp, sit and reach, bar hang and shuttle run. The results of each test are recorded and sent to the homes of each student. During Career Day, health professionals talk about their work and the education they've received. Physicians, pharmacists, fitness experts, nurses, therapists, nutrition services staff and many others have volunteered time to talk to the kids. This partnership is far from one-sided. For each holiday, students from the school make tray favors for patient meal trays to brighten their day. Carolers from the school at Christmas provide cheer to patients and staff. More than 350 students participate each year in these activities. Given the transient nature of this population, it is difficult to measure the long-term effects however at every Health Fair, 3-6 students are identified with significant health issues such as high blood pressure, high blood sugar, malnourishment or obesity. Follow-up is done with families to encourage further medical evaluation and link them to appropriate social services. Anecdotally, nurses and other health professionals have told us of the influence our staff had in their decision to become care providers as a result of hearing them at Franklin School. While the school has had three principles in the last 15 years, each one has kept the program growing and viable. An average of $2,000 is spent from the marketing budget each year on T-shirts, printing, ribbons, bus transportation and meals. Donations of bicycles, movie passes and shoes are obtained from local merchants. Staff donates about 60 hours each year for these activities, To help fight childhood obesity and to better combat heart disease the Franklin School health program will undergo a major overhaul in 2011. The new program titled, Union Hospital Healthy Me at Franklin Elementary will be a more formalized program that will include pre and post health testing. Building on our adoption of the Presidential Fitness Challenge in FY 2010, the Healthy Me program will include follow-up testing at the end of the school year. If the students do not eat healthy and exercise outside of school, the Healthy Me program will be less impactful. Thus, the new program will feature three family dinner nights, offering a free meal and education from a Union Hospital nutritionist and Fitness Center specialists will include families in the program.
	Schedule L, Part IV Business Transactions involving interested persons: (A) Name of Person: Physician Group (B) Relationship between interested person and organization: Robert Haerr is a Union Hospital Board Member and Physician Group member (D) Description of Transaction: The physician group provides oncology services to the hospital on an arms length basis. (A) Name of Person: Forest Sherer, Inc (B) Relationship between interested person and organization: John Lukens is the Union Hospital Board Chairman and President of Forrest Sherer, Inc. (D) Description of Transaction: The hospital purchases insurance from the independent insurance agency on an arms length basis. (A) Name of Person: AP&S Clinic Northside (B) Relationship between interested person and organization: Anna Zimmerman is a Union Hospital board member and Medical Doctor for AP&S Clinic Northside (D) Description of Transaction: The hospital has a contractual arrangement for services which are provided on an arms length basis. A) Name of Person: Bunch Nurseries, Inc. (B) Relationship between interested person and organization: Entity is more than 35% owned by husband of Cindy Martin, Union Board Member (D) Description of Transaction: Entity provided Services to the Hospital.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	IPACS Inc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1606 N seventh St	AddressLine1
City	Terre Haute	City
State	IN	State
ZIP Code	47804	ZIPCode

Field	Value	IRS element (for citing)
EIN	351720998	EIN
Primary Activities	clinic management	PrimaryActivities
Legal Domicile State	IN	LegalDomicileState
Total Income	617906	TotalIncome
EOY Assets	1736782	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	UNION HOSPITAL	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (5 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	Direct Controlling Entity NADirectControllingEntityNA
Union Hospital Foundation
1659 N Seventh St	Terre Haute	IN	47804	351642823	Fundraising	IN	501c3	line 3	UNION HOSPITAL
Union Hospital Health Services Inc
1606 N Seventh St	Terre Haute	IN	47804	351642805	Health Services	IN	501c3	line 9	UNION HOSPITAL
Visiting Nurse Association of Wabash Valley inc
400 Eight Ave	Terre Haute	IN	47804	350869064	Charitable home health	IN	501c3	line 7	UNION HOSPITAL
Center for Occupational Health
4001 Wabash Ave	Terre Haute	IN	47803	352118417	Occupational health services	IN	501c3	line 7	UNION HOSPITAL
UNION HEALTH SYSTEMS
1606 N Seventh St	terre Haute	IN	47804	270581133	MANAGEMENT ORGANIZATION	IN	501c3			N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Union Associated Physicians	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1606 N Seventh St	AddressLine1
City	Terre Haute	City
State	IN	State
ZIP Code	47804	ZIPCode

Field	Value	IRS element (for citing)
EIN	270581401	EIN
Primary Activity	physician group	PrimaryActivity
Legal Domicile State	IN	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
UNion Hospital Foundation
A	42229
Union Hospital Foundation
P	468902