INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL INC (EIN 35-0867958)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201133149349302533
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-10T13:58:23-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN350867958EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1INDIANA UNIVERSITY HEALTH BALL MEMORIALBusinessNameLine1
Business Name Line2HOSPITAL INC F/K/A BALL MEM HOSP INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlINDINameControl
Phone7657512795Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameCAROL E SEALSName
TitleCFOTitle
Date Signed2011-11-02DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJENNIFER RHODERICKName
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL E HALEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12401 W UNIVERSITY AVENUEAddressLine1
CityMUNCIECity
StateINState
ZIP Code47303ZIPCode
FieldValueIRS element (for citing)
Gross Receipts326355390GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.IUHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1926YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH CARE IN EAST CENTRAL INDIANA THROUGH PATIENT CARE, HEALTH EDUCATION AND MEDICAL RESEARCHActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees2956TotalNbrEmployees
Total Nbr Volunteers660TotalNbrVolunteers
Total Gross UBI11303894TotalGrossUBI
Contributions Grants Prior Year1181740ContributionsGrantsPriorYear
Contributions Grants Current Year3566619ContributionsGrantsCurrentYear
Program Service Revenue Prior Year274316414ProgramServiceRevenuePriorYear
Program Service Revenue CY310846468ProgramServiceRevenueCY
Investment Income Prior Year-3530262InvestmentIncomePriorYear
Investment Income Current Year733268InvestmentIncomeCurrentYear
Other Revenue Prior Year10654647OtherRevenuePriorYear
Other Revenue Current Year7835807OtherRevenueCurrentYear
Total Revenue Prior Year282622539TotalRevenuePriorYear
Total Revenue Current Year322982162TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year120841675SalariesEtcPriorYear
Salaries Etc Current Year124192961SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year170096089OtherExpensePriorYear
Other Expenses Current Year183084559OtherExpensesCurrentYear
Total Expenses Prior Year290937764TotalExpensesPriorYear
Total Expenses Current Year307277520TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-8315225RevenuesLessExpensesPriorYear
Revenues Less Expenses CY15704642RevenuesLessExpensesCY
Total Assets BOY297470086TotalAssetsBOY
Total Assets EOY296215938TotalAssetsEOY
Total Liabilities BOY208873484TotalLiabilitiesBOY
Total Liabilities EOY203764491TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY88596602NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY92451447NetAssetsOrFundBalancesEOY
Mission DescriptionIU Health BALL MEMORIAL HOSPITAL WILL PROMOTE WELLNESS AND IMPROVE THE HEALTH STATUS OF THE PEOPLE OF EAST CENTRAL INDIANA AND SURROUNDING AREAS THROUGH PATIENT CARE, HEALTH EDUCATION AND MEDICAL RESEARCH.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense286226972Expense
Revenue317578487Revenue
DescriptionIU Health BALL MEMORIAL HOSPITAL, INC. OPERATES A 396 BED FULL SERVICE HOSPITAL FOR PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE STAFF OF MORE THAN 400 PHYSICIANS REPRESENTS OVER 45 MEDICAL SPECIALTIES. IU Health BALL MEMORIAL HOSPITAL, INC. PROVIDES TOP-QUALITY CARE AND INCLUDES ONE OF THE LARGEST PHYSICIAN-TEACHING PROGRAMS IN INDIANA WITH FOUR RESIDENCY PROGRAMS AND 62 PHYSICIANS IN TRAINING. THE TRAINING CLINICS PROVIDE LOW COST MEDICAL CARE FOR 25,000 PATIENT VISITS EACH YEAR.Description
Total Program Service Expense286226972TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096190NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2956NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCARA BREIDSTERNamePerson
Telephone Number3179624597TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MICHAEL E HALEY
PRES & CEO55.0XX4930230130596
DANIEL F EVANS JR
CHAIRMAN5.0XX01252646828133
PETER M VOSS MD
VICE-CHAIRMAN5.0XX220500
TERRY L WALKER
VICE-CHAIRMAN5.0XX000
JAMES FISHER
VICE-CHAIRMAN5.0XX000
MICHAEL L COX
SECRETARY/TREASURER5.0XX000
PATRICK A CLEARY MD PHD
DIRECTOR5.0X000
GORDON D COX
DIRECTOR5.0X000
WILBUR R DAVIS
DIRECTOR5.0X000
MARY L DOLLISON
DIRECTOR (JAN-DEC 2010)5.0X000
CHRISTINA C DRUMMOND MD
DIRECTOR5.0X030679245105
MICHAEL B GALLIHER
DIRECTOR5.0X000
JO ANN M GORA PHD
DIRECTOR5.0X000
BRUCE M GRAHAM MD
DIRECTOR5.0X2000000
JOHN K JACKSON
DIRECTOR5.0X000
JOHN D LITTLER
DIRECTOR5.0X000
ELIZABETH P MARSHALL
DIRECTOR (JAN-DEC 2010)5.0X000
TERRI E MATCHETT
DIRECTOR5.0X000
J STEVEN RHEA
DIRECTOR5.0X000
D KAYE WHITEHEAD
DIRECTOR5.0X000
JEFFREY A HEAVILON MD
DIRECTOR5.0X000
HAROLD L BERFIEND
CFO55.0X240784051063
DOREEN C JOHNSON RN
CHEIF NURSING OFFICER55.0174820033908X
RICHARD HELSPER
COO (Jan-Aug 2010)55.026804916208620X
TERRY PENCE
VP CLINICAL SERVICES55.0143808018369X
ALVIS E FOSTER
SENIOR RAD PHYSICIST55.0187095015245X
JOSEPH R BUTTS
SENIOR RAD PHYSICIST55.0166438023052X
CHARLES SANDERS MD
PHYSICIAN55.0249053049559X
DAVID A SCHWARTZ
REGISTERED NURSE55.015924506370X
MICHELLE R ALTOBELLA
VP GENERAL COUNSEL55.0149979031352X
BRENT L BATMAN
PRESIDENT0.040079503030X
ROBERT E GILDERSLEEVE
FINANCE OFFICER0.032284510691X
KELLY N STANLEY
CHAIRMAN/CEO0.082501606859X
TERRY ALLEN
SENIOR VP HUMAN RESOURCES0.041498702113X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4218142TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1561058TotalReportableCompFrmRltdOrgs
Total Other Compensation1264065TotalOtherCompensation
Number Individuals GT100 K55NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LAB CORP OF AMERICA HOLDING
PO BOX 12140BURLINGTONNC272162140LABORATORY SERVICE3695408
UNITED HOSPITAL SERVICES
3005 RELIABLE PARKWAYCHICAGOIL606860001LAUNDRY SERVICES569533
EXECUTIVE HEALTH RESOURCES
PO BOX 822688PHILADELPHIAPA191822688PHYSICIAN ADVISORS510385
MUNCIE MEDICAL ASSOCIATES CORP
5301 W PINERIDGE ROADMUNCIEIN47304PERFUSIONIST SERVICE494886
REHABCARE GROUP INC
PO BOX 502096ST LOUISMO631502096POST-ACUTE SERVICES470450
FieldValueIRS element (for citing)
Number Of Contractors GT100 K26NumberOfContractorsGT100K
Related Organizations3187086RelatedOrganizations
Government Grants379533GovernmentGrants
Total Contributions3566619TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE621110274189522274189522
SUPPORT SERVICES54190014445010133023081142702
CARELINE EMERGENCY SERVICES624210324921324921
PHARMACY44611021887015121341839752832
FieldValueIRS element (for citing)
Total Program Service Revenue310846468TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column686416TotalRevenueColumn
Exclusion$686,416ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3119603Real

Less Rental Expenses LessRentalExpenses

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Real2506336Real

Rental Income Or Loss RentalIncomeOrLoss

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Real613267Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column613267TotalRevenueColumn
Exclusion$613,267ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities19632Securities
Other426874Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other399654Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities19632Securities
Other27220Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column46852TotalRevenueColumn
Exclusion$46,852ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory309666GrossSalesOfInventory
Cost Of Goods Sold467238CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-157572TotalRevenueColumn
Exclusion-$157,572ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA REVENUE7222101700829$1,700,829
FITNESS CENTER90009965625$65,625
INCOME FROM JOINT VENTURES90009949710914562731408360

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column642567TotalRevenueColumn
Exclusion$642,567ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7380112TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column322982162TotalRevenueColumn
Related Or Exempt Function Income304513665RelatedOrExemptFunctionIncome
Unrelated Business Revenue11303894UnrelatedBusinessRevenue
Exclusion$3,597,984ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1201511Total
Program Services1167077ProgramServices
Management And General34434ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total96254965Total
Program Services93496412ProgramServices
Management And General2758553ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6846662Total
Program Services6650445ProgramServices
Management And General196217ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12686958Total
Program Services12323365ProgramServices
Management And General363593ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7202865Total
Program Services6996439ProgramServices
Management And General206426ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1750301Total
Management And General1750301ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total494068Total
Program Services52800ProgramServices
Management And General441268ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total300035Total
Program Services300035ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total38577163Total
Program Services29562604ProgramServices
Management And General9014559ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total375232Total
Program Services374377ProgramServices
Management And General855ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1278256Total
Program Services1213227ProgramServices
Management And General65029ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8199349Total
Program Services6273438ProgramServices
Management And General1925911ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total11060434Total
Program Services8983322ProgramServices
Management And General2077112ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total232074Total
Program Services147815ProgramServices
Management And General84259ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1213Total
Program Services593ProgramServices
Management And General620ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5897771Total
Program Services5895191ProgramServices
Management And General2580ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total19451534Total
Program Services19440734ProgramServices
Management And General10800ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1001130Total
Program Services482172ProgramServices
Management And General518958ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES & EQUIPMENT6111880061118800
BAD DEBT27413792274042059587
RECRUITING48070569003411702
BANK/CREDIT CARD FEES18334610522172824
UBI TAX EXPENSE-855870-855870

All Other Expenses AllOtherExpenses

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Total6125226Total
Program Services4264396ProgramServices
Management And General1860830ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

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Total307277520Total
Program Services286226972ProgramServices
Management And General21050548ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

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BOY709701BOY
EOY14329EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

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BOY9549068BOY
EOY23607463EOY

Accounts Receivable AccountsReceivable

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BOY31690489BOY
EOY30142285EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY1274000BOY
EOY318500EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY854617BOY
EOY2280354EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6129997BOY
EOY6188468EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2766125BOY
EOY1024799EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis413811932LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec232180019LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY195349773BOY
EOY181631913EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY25210715BOY
EOY26529934EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1509018BOY
EOY1353757EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY19722958BOY
EOY19802457EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY39948BOY
EOY27666EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2663677BOY
EOY3294013EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY297470086BOY
EOY296215938EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY32110538BOY
EOY29412548EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY3144316EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY107830825BOY
EOY104261673EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6010311BOY
EOY6224113EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY62921810BOY
EOY60721841EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY208873484BOY
EOY203764491EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY77053232BOY
EOY80908077EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11543370BOY
EOY11543370EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY88596602BOY
EOY92451447EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY297470086BOY
EOY296215938EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses15704642ReconcilationRevenueExpenses
Reconcilation Other Changes-11849797ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2580410OtherCostOrOtherBasis
Book Value2580410BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis251465656OtherCostOrOtherBasis
Depreciation106044779Depreciation
Book Value145420877BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2103740OtherCostOrOtherBasis
Depreciation1599548Depreciation
Book Value504192BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis152602250OtherCostOrOtherBasis
Depreciation123530186Depreciation
Book Value29072064BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5059876OtherCostOrOtherBasis
Depreciation1005506Depreciation
Book Value4054370BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings181631913TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (6 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
RANDOLPH COUNTY HOSPITAL2499305C
CARDINAL HEALTH ALLIANCE2439858C
BMH OUTPATIENT SURGERY SERVICE0C
THE BMH FOUNDATION, INC.11543370C
BMH AUXILIARY, INC.549C
BALL OUTPATIENT SURGERY CENTER3319375C
FieldValueIRS element (for citing)
Total Of Book Value Program Related19802457TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
LT LIABILITY - CONDITIONAL ASSET OBLIGATIONS$598,200
PAYABLE TO RELATED ENTITIES$972,060
SELF INSURANCE LIABILITY$361,266
PENSION LIABILITY$54,166,773
DUE TO/FROM M-CARE$4,623,542
FieldValueIRS element (for citing)
Total Of Amounts60721841TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPART XIdentifier
Return ReferenceOTHER LIABILITIESReturnReference
ExplanationBALL MEMORIAL HOSPITAL, INC. AND SUBSIDIARIES ADOPTED FIN 48 IN 2007. NO DISCLOSURES WERE REQUIRED UNDER GAAP AS BALL MEMORIAL HOSPITAL, INC. AND SUBSIDIARIES DO NOT HAVE ANY MATERIAL TAX CONTINGENCIES THAT REQUIRED DISCLOSURES IN THE FOOTNOTES.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense14336019TotalCommunityBenefitExpense
Net Community Benefit Expense14336019NetCommunityBenefitExpense
Percent Of Total Expense0.05000PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense46304174TotalCommunityBenefitExpense
Direct Offsetting Revenue30771764DirectOffsettingRevenue
Net Community Benefit Expense15532410NetCommunityBenefitExpense
Percent Of Total Expense0.05420PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense60640193TotalCommunityBenefitExpense
Direct Offsetting Revenue30771764DirectOffsettingRevenue
Net Community Benefit Expense29868429NetCommunityBenefitExpense
Percent Of Total Expense0.10420PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs36NumberOfActivitiesOrPrograms
Persons Served14913PersonsServed
Total Community Benefit Expense350007TotalCommunityBenefitExpense
Direct Offsetting Revenue6453DirectOffsettingRevenue
Net Community Benefit Expense343554NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served2647PersonsServed
Total Community Benefit Expense9668676TotalCommunityBenefitExpense
Direct Offsetting Revenue2201002DirectOffsettingRevenue
Net Community Benefit Expense7467674NetCommunityBenefitExpense
Percent Of Total Expense0.02610PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served390PersonsServed
Total Community Benefit Expense225614TotalCommunityBenefitExpense
Direct Offsetting Revenue40535DirectOffsettingRevenue
Net Community Benefit Expense185079NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served8761PersonsServed
Total Community Benefit Expense103963TotalCommunityBenefitExpense
Direct Offsetting Revenue30000DirectOffsettingRevenue
Net Community Benefit Expense73963NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs48NumberOfActivitiesOrPrograms
Persons Served26711PersonsServed
Total Community Benefit Expense10348260TotalCommunityBenefitExpense
Direct Offsetting Revenue2277990DirectOffsettingRevenue
Net Community Benefit Expense8070270NetCommunityBenefitExpense
Percent Of Total Expense0.02820PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs48NumberOfActivitiesOrPrograms
Persons Served26711PersonsServed
Total Community Benefit Expense70988453TotalCommunityBenefitExpense
Direct Offsetting Revenue33049754DirectOffsettingRevenue
Net Community Benefit Expense37938699NetCommunityBenefitExpense
Percent Of Total Expense0.13240PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served20PersonsServed
Total Community Building Expense2151TotalCommunityBuildingExpense
Net Community Building Expense2151NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served410PersonsServed
Total Community Building Expense7706TotalCommunityBuildingExpense
Net Community Building Expense7706NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served321PersonsServed
Total Community Building Expense11933TotalCommunityBuildingExpense
Net Community Building Expense11933NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served59PersonsServed
Total Community Building Expense1676TotalCommunityBuildingExpense
Net Community Building Expense1676NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served2333PersonsServed
Total Community Building Expense25457TotalCommunityBuildingExpense
Direct Offsetting Revenue50DirectOffsettingRevenue
Net Community Building Expense25407NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served3143PersonsServed
Total Community Building Expense48923TotalCommunityBuildingExpense
Direct Offsetting Revenue50DirectOffsettingRevenue
Net Community Building Expense48873NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$8,732,344BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare103716945AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare114091711CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-10374766MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
BALL OUTPT SURG CTR
AMBULATORY SURGERY CENTER0.529410.029410.44118
BMH OUTPT SURG SVCS
AMBULATORY SURGERY CENTER0.515350.027500.45715
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Ball Memorial Hospital IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12401 West University AvenueAddressLine1
CityMuncieCity
StateINState
ZIP Code47303ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Ball Memorial Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities17NumberOfOtherFacilities

Other Facilities OtherFacilities (17 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
The Cancer Center at IU Health Ball
200 FOREST RIDGE PARK SUITE 120NEW CASTLEIN47362CANCER CENTER
IU Health Ball Wound Healing Center
2901 W JACKSON STREETMUNCIEIN47303WOUND HEALING/REHABILITATION
KENMORE HEALTHCARE PHARMACY
205 N TILLOSTON AVENUE STE 201MUNCIEIN47304RETAIL PHARMACY
SOUTHWAY HEALTHCARE PHARMACY
3813 SOUTH MADISON STREETMUNCIEIN47302RETAIL PHARMACY
BMH REHAB SRVCS & UPLAND HLTHCARE PHARM
1809 S MAIN STREETUPLANDIN46989REHABILITATION & RETAIL PHARMACY
BLACKFORD COMMUNITY HEALTHCARE PHARMACY
400 PILGRIM BOULEVARDHARTFORD CITYIN47348RETAIL PHARMACY
ALBANY HEALTHCARE PHARMACY
349 W 1ST STREETALBANYIN47320RETAIL PHARMACY
PAIN MGMT CTRFAMILY HLTH CARE PHARMACY
5501 W BETHEL AVENUEMUNCIEIN47304PAIN MANAGEMENT CENTER RETAIL PHARMACY
BMH REHABYORKTOWN PHARMACY
1420 S PILGRIM BOULEVARDYORKTOWNIN47396REHABILITATION RETAIL PHARMACY
BALL STATE HEALTHCENTER PHARMACY
1500 NEELY AVENUEMUNCIEIN47306RETAIL PHARMACY
FAMILY PRACTICE CLINIC
221 N CELIAMUNCIEIN47303FAMILY CLINIC
BREAST CENTER SERVICE
2598 W WHITE RIVERMUNCIEIN47303IMAGING CENTER
BMH PEDIATRIC REHABILITATOIN CENTER
205 N TILLOTSON AVENUEMUNCIEIN47304PEDIATRIC REHABILIATION CTR
BMH REHABILITATION SERVICES
3300 WEST COMMUNITY DRIVEMUNCIEIN47304REHABILITATION CENTER
BMH OUTPATIENT CT SERVICES
800 SOUTH TILLOTSON AVENUE STE AMUNCIEIN47304IMAGING CENTER
BMH REHABILITATION SERVICES
3600 WEST BETHEL AVENUEMUNCIEIN47303REHABILITATION CENTER
BMH SLEEP LAB
6000 WEST KILGORE AVENUEMUNCIEIN47304SLEEP LAB

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FINANCIAL ASSISTANCEPART I, LINE 3C:N/A
COMMUNITY BENEFIT REPORTPART I, LINE 6A:The Ball Memorial Hospital, Inc. d/b/a IU Health Ball Memorial Hospital ("IU Health Ball Memorial")community benefit investments are included in the Indiana Univeristy Health, Inc. ("IU Health") Community Benefit Report that is made available to the public on its website at iuhealth.org. The Community Benefit Report is also distributed to numerous key organizations throughout the state of Indiana to broadly share IU Health's community benefit efforts and investments statewide.
SUBSIDIZED HEALTH SERVICESPART I, LINE 7G:IU HEALTH BALL MEMORIAL DOES NOT INCLUDE ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
BAD DEBT EXPENSEPART I, LINE 7, COLUMN F:THE BAD DEBT EXPENSE OF $27,413,792 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES.
GROSS COMMUNITY BENEFIT EXPENSEPART I, LINE 7:PERCENTAGE OF TOTAL EXPENSES LISTED ON SCHEDULE H, PART I, LINE 7, COLUMN (F) IS CALCULATED BASED ON NET COMMUNITY BENEFIT EXPENSE. THE PERCENTAGE OF TOTAL EXPENSES CALCULATED BASED ON TOTAL COMMUNITY BENEFIT EXPENSE IS 26.28%
COMMUNITY BUILDING ACTIVITIESPART II:In 2010, IU Health Ball Memorial Hospital provided expertise and resources to local community initiatives that addressed economic development, community health improvement, and workforce development. Outreach activities included job fairs and interview seminars; participation in an economic development council and chamber of commerce; and collaborative partnerships to improve community health. IU Health Ball Memorial Hospital collaborated with other community groups to implement Walk Indiana, a community-wide health improvement initiative that engaged local residents in an ongoing walking program, culminating in a day-long walking marathon with participation by over 400 individuals. As a part of a large-scale initiative to improve access to healthy food and safe places for physical activity, IU Health built three community gardens, enhanced 13 community parks and built a 2,500 square foot KaBOOM! playground in IU Health communities across the state during the 2010 Day of Community Service. As part of the IU Health system, IU Health Ball Memorial leaders participate in a wide array of community-building activities that address the underlying quality of life in the communities IU Health serves. Hospitals throughout the IU Health system invest in economic development efforts in their communities which results in collaborations through coalitions across the state, with like-minded organizations that address key issues, and advocates for improvements in the health status of vulnerable populations. In 2010, IU Health as a system spent over a million dollars on community-building activities that served over 50,000 individuals in need. Specifically, IU Health Ball Memorial invested over $48,000 serving over 3,100 people in the Muncie community.
BAD DEBT FOOTNOTE AND COSTING METHODOLOGYPART III, LINE 4:THE BAD DEBT EXPENSE REPORTED ON LINE 2 IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. IU HEALTH BALL MEMORIAL PROVIDES HEALTH CARE SERVICES THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER MATTERS, TO ENHANCE THE HEALTH OF THE COMMUNITY AND IMPROVE THE HEALTH OF LOW-INCOME PATIENTS. IN ADDITION, IU HEALTH BALL MEMORIAL PROVIDES SERVICES INTENDED TO BENEFIT THE POOR AND UNDERSERVED, INCLUDING THOSE PERSONS WHO CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES OR ARE UNINSURED OR UNDERINSURED. FINANCIAL STATEMENT FOOTNOTE The Ball Memorial System does not require collateral or other security for the delivery of healthcare services from its patients, substantially all of whom are residents of Muncie, Indiana, and the surrounding communities. However, assignment of benefit payments payable under patients' health insurance programs and plans (e.g., Medicare, Medicaid, health maintenance organizations, and commercial insurance policies) is routinely obtained, consistent with industry practice. The provision for uncollected patient accounts is based upon management's assessment of historical and expected net collections considering business and economic conditions, changes and trends in health care coverage, and other collection indicators. Periodically, management assesses the adequacy of the allowance for uncollectible accounts based upon accounts receivable payor composition and aging, the significance of individual payors to outstanding accounts receivable balances, and historical write-off experience by payor category, as adjusted for collection indicators. The results of this review are then used to make any modifications to the provision for uncollected patient accounts and the allowance for uncollectible accounts. In addition, the Ball Memorial System follows established guidelines for placing certain past due patient balances with collection agencies. Patient accounts that are uncollected, including those placed with collection agencies, are initially charged against the allowance for uncollectible accounts in accordance with collection policies of the Ball Memorial System and, in certain cases, are reclassified to charity care if deemed to otherwise meet financial assistance policies of the Ball Memorial System.
MEDICAREPART III, LINE 8:Substantial shortfalls arise from payments that are less than the cost to provide the care or services and do not include any amounts that result from inefficiencies or poor management. IU Health Ball Memorial accepts all Medicare patients knowing that there may be shortfalls; therefore it has taken the position that they should be counted as part of the community benefit. Additionally, it is implied in Internal Revenue Service Revenue Ruling 69-545 that treating Medicare patients is a community benefit. Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with governmental health benefits, including medicare, then this is an indication that the hospital operates to promote the health of the community. The Medicare costs disclosed in Part III, Line 6 do not represent the total amount of IU Health Ball Memorial's cost of providing care to Medicare patients. The allowable costs in Part III, Line 6 do not include various costs, including but not limited to managed care, noncovered charges, and non-reimbursable cost centers.
COLLECTION PRACTICESPART III, LINE 9B:If a patient cannot satisfy standard payment expectations, financial assistance screening for alternative sources of balance resolution are completed. Those resolutions may include: a discount on charges; Medicaid enrollment, interest-free loan or application for charity care. If a patient does not apply for charity care but meets the charity care guidelines established by IU Health Ball Memorial, IU Health Ball Memorial will waive charges and treat the costs of services as charity care.
NEEDS ASSESSMENTPART VI, LINE 2:Communities are multifaceted and so are their health needs. IU Health Ball Memorial understands that the health of individuals and communities are shaped by various social and environmental factors, along with health behaviors and additional influences. IU Health Ball Memorial assessed the healthcare needs of the areas it serves by utilizing the detailed community needs assessments undertaken by organizations such as the Delaware County Health Department, the Indiana State Department of Health, the Centers for Disease Control and Prevention and the United Way.
FINANCIAL ASSISTANCE POLICYPART VI, LINE 3:IU Health Ball Memorial goes to great lengths to ensure patients know that IU Health Ball Memorial treats all patients regardless of their ability to pay. IU Health Ball Memorial shares financial assistance information with patients during the admission process, billing process and online. Helping patients understand that financial support for their care is a part of IU Health Ball Memorial's commitment to its mission. IU Health Ball Memorial's financial assistance policy exists to serve those in need by providing financial relief to patients who ask for assistance after care has been provided. During the admissions process, opportunities for financial assistance are discussed with patients who are identified as a self-pay patient, or requests assistance information. The patient is also provided with an Admissions Packet that provides information regarding IU Health Ball Memorial's financial assistance program. Financial counselors are onsite to assist with financial concerns or questions during the patient's stay. Patient Financial Services - Customer Service representatives can help patients apply for financial assistance, understand their bills, explain what they can expect during the billing process, accept payment (if needed), update their insurance or payor information, and update their address or other demographics. A summary of the financial assistance policy is printed on the back of each patient statement, while the financial assistance application is mailed to all uninsured IU Health Ball Memorial patients at the conclusion of their treatment along with a summary of the incurred charges. Additionally, on the back of each patient statement is a phone number that will allow patients the ability to request financial assistance. Uninsured patients are also made aware of this process at the time of registration. The IU Health statewide system website (iuhealth.org) has a page dedicated to financial assistance and offers and online application and phone numbers for customer service representatives to assist with the application process. IU Health Ball Memorial has an expansive financial assistance policy, which aligns with the IU Health's policy, which utilizes the federal poverty guidelines to determine eligibility; making access to quality care within a patient's reach. The IU Health Financial Assistance policy provides the following support to patients that qualify. * Free care for those earning up to 200 percent of federal poverty guidelines; * Discounted care on a sliding scale for families earning from 200 to 400 percent of federal poverty guidelines, and * Financial assistance to patients whose health insurance coverage, if any, does not provide full coverage for all of their medical expenses and whose medical expenses would make them indigent if they were forced to pay full charges. Patients are guided through their course of care with particular sensitivity, reviewing changing circumstances and allowing for financial assistance at any point during the relationship and billing process with the patient. For those inpatients that may qualify for the Medicaid program and have not applied, IU Health financial counselors will assist patients with the Medicaid application. If a patient does not apply for financial assistance, but meets the charity care guidelines established by IU Health Ball Memorial, IU Health Ball Memorial will waive charges and treat the cost of services as charity care.
COMMUNITY INFORMATIONPART VI, LINE 4:Located in Muncie, Indiana, IU Health Ball Memorial serves a seven-county geographic area including inpatients from Delaware County (66.7%) and the surrounding counties of Blackford, Grant, Henry, Jay, Madison & Randolph (29.6%), while 3.6% of inpatients came from other geographical areas. IU Health Ball Memorial also monitors and classifies its cases by age, gender & race. Overall, 57% and 43% of Ball Memorial Hospital inpatients were female & male, respectively. In addition, the race of IU Health Ball Memorial inpatients was White (92%), Black (6%), Hispanic (0.5%), Asian (0.2%), Native American (0.1%), or Other (0.9%).
PROMOTION OF COMMUNITY HEALTHPART VI, LINE 5:IU Health Ball Memorial's Board of Directors is composed of 19 members, of which substantially all are community members. A majority of the board resides in IU Health Ball Memorial's primary service area. IU Health Ball Memorial also extends medical staff privileges to all qualified physicians in the community. One of the ways IU Health Ball Memorial strives to improve quality is by conducting medical research. Medical research conducted 103 clinical trials in 2010 at IU Health Ball Memorial, exploring new methodologies and treatments in the fields of urology, nephrology, surgery, pain management, radiation oncology and general medicine with ultimate goal of improving the quality and cost-effectiveness of medical care. IU Health Ball Memorial is also home to the largest graduate medical education teaching program in Indiana outside of Indianapolis. More than 60 physicians received training at IU Health Ball Memorial, and clinics staffed by family medicine and internal medicine residents provided low-cost medical care for 2,000 patient visits in 2010.
AFFILIATED HEALTH CARE SYSTEMPART VI, LINE 6:IU Health Ball Memorial is a part of the IU Health statewide healthcare system which continues to broaden its reach and positive impact throughout the state of Indiana. IU Health is Indiana's most comprehensive academic medical center and consists of IU Health Methodist Hospital, IU Health University Hospital, Riley Hospital for Children at IU Health, IU Health West Hospital, IU Health North Hospital, IU Health Ball Memorial, IU Health Blackford Hospital, IU Health Bloomington Hospital, IU Health Paoli Hospital, IU Health Bedford Hospital, IU Health Tipton Hospital, IU Health La Porte Hospital, IU Health Starke Hospital and IU Health Goshen Hospital. Although each IU Health hospital prepares and submits its own community benefits plan relative to the local community, IU Health considers its community benefit plan as part of an overall vision for strengthening Indiana's overall health. A comprehensive three-prong community outreach strategy and community benefit plan is in place that encompasses the academic medical center downtown Indianapolis, suburban Indianapolis and statewide entities around priority areas that focus on health improvement efforts statewide. IU Health is keenly aware of the positive impact it can have on the communities of need in the state of Indiana by focusing on the most pressing needs in a systematic and strategic way. After taking a careful look at the communities we serve, and by utilizing the detailed community needs assessments undertaken by public health officials and community partners, IU Health identified the following community health needs. Access to Affordable Healthcare One of the first steps to improved health outcomes is having access to healthcare resources. A recent study out of Oregon indicated that people with health insurance were 25% more likely to report their health as good or excellent, 60% more likely to have a mammogram, 20% more likely to have their cholesterol checked and 25% less likely to have a bill sent to a collection agency than those without insurance. To show its commitment to providing affordable healthcare access, IU Health Ball Memorial treats all patients regardless of their ability to pay. IU Health Ball Memorial is also working to raise awareness and working to identify individuals within our communities that have barriers to care and connect these individuals with better access and consistency of healthcare resources to meet their needs. To help meet the needs in the community and further its mission, IU Health Ball Memorial partners with the Gateway Health Clinic, which provides free care to patients that meet eligibility requirements who could not otherwise afford quality health care. Obesity Prevention To improve the lifestyle of Indiana residents, IU Health has utilized best practice methods to attack obesity in our communities. IU Health is working to improve access to nutritious foods and physical activity in low-income neighborhoods, in addition to providing traditional health education and public advocacy efforts. With these initiatives, IU Health strives to prevent chronic diseases such as obesity and diabetes and increase the awareness of the importance of making healthy choices, since thirty-six percent of Hoosier adults are overweight and 29.5% are obese, costing the nation billions of dollars each year to treat these chronic health conditions. Thousands of uninsured families benefited from receiving primary medical care no-charge, physical examinations and immunizations at the clinic last year. Additionally, more than 400 residents reaped the rewards of participating in the WALK Indiana program. The motivating walking program encouraged Muncie community members to establish a healthy and active lifestyle through monthly walks, community-based health screenings and a non-competitive marathon event. The program kicked off at the Muncie Mall last April and provided monthly walks on the Cardinal Greenway in Muncie to instill healthy habits and prepare participants for a noncompetitive walking marathon in September. Throughout the training walks, participants received weight, blood pressure and other health checks to track progress and success. Most of the participants had not walked more than a few miles consecutively and were very eager to meet the ambitious goal of walking an entire marathon! Walk Indiana would not have been possible without the strong collaboration of the Star Press, local universities, bus system, the Cardinal Greenway, IU Health Ball Memorial and other community partners. Injury Prevention IU Health strives to create safe communities by helping to reduce preventable injuries such as bicycle, motor vehicle, and fall related injuries, as injuries are the leading cause of death for people 1 - 44 years old. The CDC reports 160,000 people die and 50 million people are injured each year, costing over $80 billion in medical costs. IU Health works to provide the necessary to tools, such as helmets and education to communities of need to prevent injuries for youth and adults. Additionally, IU Health supports the advocacy of policies, such as the texting while driving ban, to help provide infrastructure to instill the awareness of injury prevention in our communities. IU Health Ball Memorial also recognized that it can extend its impact farther by strategically supporting the efforts of community partners who share IU Health's mission of improving the health and well-being of our neighbors and our neighborhoods. In 2010, IU Health Ball Memorial directly invested in partners to carry out such diverse activities as providing access to healthy foods to school children, and offering health education, and providing free care to patients that need it most.
STATE FILING OF COMMUNITY BENEFIT REPORT990 SCHEDULE H, PART VIIN,

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRENT L BATMAN
00004007950003030040382504007950
MICHAEL E HALEY
4577430003528001040500265460623619000
ROBERT E GILDERSLEEVE
00322845010691333536322845
HAROLD L BERFIEND
2308090009975043210078530291847000
KELLY N STANLEY
1271060006979100006859083187503611520
DANIEL F EVANS JR
0981359021535805592908047850233480208077900
CHRISTINA C DRUMMOND MD
02820420300024450021296023809035189700
DOREEN C JOHNSON RN
164426000103940212240126840208728000
RICHARD HELSPER
2186651500004938412079095461650276123216600
ALVIS E FOSTER
182773000432207496077490202340000
TERRY ALLEN
446160003703710002113041710001903000
JOSEPH R BUTTS
1595100006928068380162140189490000
TERRY PENCE
142938000870060230123460162177000
CHARLES SANDERS MD
23150800017545042073074860298612000
DAVID A SCHWARTZ
159245000006370000165615000
MICHELLE R ALTOBELLA
149700000279021881094710181331000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part ILine 3Michael E. Haley, CEO of IU Health Ball Memorial Hospital, Inc. was compensated by Indiana University Health, Inc. for his services at Ball Memorial Hospital, Inc. Indiana University Health, Inc. has a process in place to determine the compensation of IU Health Ball Memorial Hospital, Inc.'s CEO. The process includes a compensation survey or study conducted by an independent compensation consultant, review by the compensation committee, a written employment contract, and approval by the board.
Line 4A & 4BLine 4A - Severance Payment or Change-of-Control Payment Brent L. Batman, Robert Gildersleeve, Kelly Stanley, Terry Allen, and Richard Helsper received severance payments from Ball Memorial Hospital, Inc. in the amounts of $400,795, $322,845, $361,152, $190,300, and $1,500 respectively. These amounts are included in column b (iii), other reportable compensation. Line 4B - Supplemental Nonqualified Retirement Plan Harold Berfiend, Doreen Johnson, and Michele Altobella are participants in a IU Health Ball Memorial Hospital, Inc. 457(f) executive supplemental benefit plan, provisions of which are designed to retain critical employees. The plan provides for additional benefits for service through normal retirement or other key dates. If the executive leaves prior to retirement or other key dates, the benefit may be forfeited or reduced. Daniel F. Evans, Jr. and Michael Haley participate in a Indiana University Health, Inc. supplemental executive retirement plan, provisions of which are designed to retain critical employees. Included in column c, deferred compensation, is an amount that represents the current year increase in the accrued benefit and/or current year deposits. The plan provides for an additional retirement benefit for service through normal retirement or other key dates. If the executive leaves prior to retirement or other key dates, the benefit may be forfeited or reduced.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Hospital Authority of Delaware County Indiana
351836279245834CA22006-05-31777634632006 Term Bonds - See Part Vfalsefalsefalse
Hospital Authority of Delaware County Indiana
351836279245834cl82009-12-08242579612009A Term Bonds - See Part Vfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetired
824993596826250937213747358942009falsefalsetruetrue
242579612470000456086truefalsetruetrue2630000

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementstrueAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Any Research AgreementstrueAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSchedule K, Part I:Identifier
Return ReferenceLines A and B, Column (F)ReturnReference
ExplanationLine A, Column (F) - 2006 Series Bond - The 2006 Series bond was issued in order to provide funding for new construction of buildings and structures and purchase of equipment. Line B, Column (F) - 2009A Series Bond - The 2009A seried bond was issued in order to refund the 1998 series bond. The 1998 series bond was issued on March 11, 1998.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonBALL OUTPT SGRY CTRNamePerson
Purpose Of LoanLINE OF CREDITPurposeOfLoan
Loan To OrganizationXLoanToOrganization
Original Principal$1,274,000OriginalPrincipalAmount
Balance Due318500BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due318500TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
OLD NATIONAL TRUST
SEE PART V389484SEE PART Vfalse
MEDICAL CONSULTANTS PC
SEE PART V341846SEE PART Vfalse
MERIDIAN SERVICES CORPORATION
SEE PART V866863SEE PART Vfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierPART IVIdentifier
Return ReferenceBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSReturnReference
ExplanationKelly N. Stanley is the former CEO of Ball Memorial Hospital, Inc. and during 2010 served as chairman of the board of Old National Trust. Old National Trust provided investment advisory and management services for Ball Memorial Hospital, Inc.'s investment portfolio. Bruce M. Graham, M.D. serves on the board of directors of Ball Memorial Hospital, Inc. and serves on the board of directors of Medical Consultants, PC. Ball Memorial Hospital, Inc. and Medical Consultants, PC have agreements for Medical Consultants, PC to provide various medical and management services such as a Hospitalist employee lease, Cancer Program Medical Director, and Hospitalist billing. Terri E. Matchett serves on the board of directors of Ball Memorial Hospital, Inc. and serves on the board of Meridian Services Corporation. Ball Memorial Hospital, Inc. and Meridian Services Corporation have agreements for Meridian Services Corporation to use space within Ball Memorial Hospital and provide psychiatric services for patients of Ball Memorial Hospital, Inc.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part VI, Section A - Governing Body and ManagementLINE 2 - FAMILY OR BUSINESS RELATIONSHIPSDaniel F. Evans, Jr. is an Officer of and serves on the board of directors of Indiana University Health, Inc. Richard Helsper is a former key employee of Indiana University Health, Inc. Harold Berfiend and Richard Helsper serve on the board of directors of Cardinal Health Initiatives, LLC. No additional compensation is provided. Michael L. Cox, Michael E. Haley, John D. Littler, and Harold Berfiend serve on the board of directors for Cardinal Health Ventures, Inc. No additional compensation is provided.
Part VI, Section A - Governing Body and ManagementLine 4 - Significant Changes to Organizational DocumentsIndiana University Health Ball Memorial Hospital, Inc. filed Articles of Amendment to the Articles of Incorporation with the Indiana Secretary of State's Office effective November 1, 2011 to change the legal name of the organization from "Ball Memorial Hospital, Inc." to "Indiana University Health Ball Memorial Hospital, Inc." See attached Articles of Amendment.
Part VI, Section A - Governing Body and ManagementLine 6, 7a, and 7b - Members or StockholdersLine 6: IU Health Ball Memorial Hospital, Inc. has one class of membership and the sole member is Indiana University Health, Inc. ("IU Health") Line 7a: IU Health elects one more than one-half of the total number of Directors. Immediately following such election the remainder are elected by the Directors, excluding those whose terms are set to expire. Line 7b: Notwithstanding any other provisions of the Articles of Incorporation, the following matters require the written approval of IU Health prior to implementation: -Authorization for the establishment or acquisition of any subsidiaries, affiliates or joint venture arrangements or acquisition of all or substantially all of the assets of any other business or entity; -Approval or amendment to any operating or capital budget; -Authorization of any unbudgeted operating or capital budget items or deviations, including any issuance or guarantee of any unbudgeted debt, greater than the budgeted amount by $1 million for any individual item or $3 million per fiscal year in the aggregate; -Authorization of any agreement to act as primary obligor, or to serve as a guarantor, surety or co-obligor with respect to the indebtedness of any other party, to borrow amounts from third-party lenders, or to loan money to any person or entity; -Approval of strategic plans and amendments, which will be integrated with IU Health's strategic plan; -Amendment or repeal of the Corporation's or an Affiliate's articles of incorporation or bylaws (or other corresponding organizational documents of an Affiliate that is not a corporation); -Authorization of any merger, consolidation, reorganization, sale or transfer of all or substantially all of the Corporation's assets; -Authorization of any voluntary declaration of bankruptcy, plan of dissolution, any liquidating distribution of assets or other action related to its dissolution or liquidation; -Authorization of any pledge of, or grant any security interest or mortgage in, or otherwise encumber, any tangible assets of the Corporation in excess of $2,000,000, other than in the ordinary course of business or pursuant to a budget or strategic plan approved by IU Health; -Approval of any management agreement for the management of all or a substantial part of the Corporation's operations; or -Appointment or removal of any of the Corporation's Directors with or without cause.
Part VI, Section A - Governing Body and ManagementLine 11B - Form 990 Provided to Governing BodyIU Health Ball Memorial Hospital, Inc. has established the following process for reviewing the Form 990: The Form 990 and related schedules are reviewed by the Chief Financial Officer and General Counsel. After the Chief Financial Officer and General Counsel approve the Form 990 and related schedules, a finalized complete Form 990 is made available to each board member on a protected intranet site prior to filing the form with the IRS. Each member is informed of the availability of the tax department to answer any questions.
Part VI, Section B - PoliciesLINE 12, 13, 14 AND 16BIndiana University Health Ball Memorial Hospital, Inc. is part of the Indiana University Health, Inc. system. As the sole member and controlling parent of Indiana University Health Ball Memorial Hospital, Inc., Indiana University Health, Inc. and its board of directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, Indiana University Health Ball Memorial Hospital, Inc.'s board of directors was not required to separately approve the conflict of interest, whistleblower, document retention and destruction and joint venture policies because Indiana University Health's board had already approved and required these policies to be followed by subsidiaries.
Part VI, Section B - PoliciesLine 12c - Conflict of Interest PolicyIU Health Ball Memorial Hospital, Inc. has a Conflict of Interest Policy, the purpose of which is, to protect IU Health Ball Memorial Hospital, Inc.'s interests and integrity when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer, director, or employee. Each employee that is manager level or above, as well as officers and directors are required to annually sign a statement which affirms that such person (1) has received a copy of the conflict of interest policy; (2) has read and understands the policy; (3) has agreed to comply with the policy; and (4) understands and acknowledges that the Corporation is a tax-exempt organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. If an interest is disclosed, the form requires that the discloser's supervisor sign the form to indicate his/her knowledge and approval of the interest. The IU Health Ball Memorial Hospital Compliance Officer and the Indiana University Health, Inc., Corporate Compliance Department (collectively the "Department") will review the form and determine how the conflict should be managed in order to comply with the spirit of the policy. The Department, in consultation with the Chief Compliance Officer of Indiana University Health, Inc. may appoint standing or ad hoc committees to assist in resolving issues that arise under the provisions of the policy. Breach of the conflict of interest policy, including failure to complete and update the questionnaire and failure to disclose interest that should be disclosed, may subject an individual to disciplinary action, including dismissal.
Part VI, Section B - PoliciesLine 15 - Process for Determining CompensationThe CEO/top management official for IU Health Ball Memorial Hospital, Inc. is employed by Indiana University Health, Inc, whom has the following process for determining compensation. 1. The Board of Directors has established a Committee on Personnel and Compensation. The individuals on this Committee are made up of individuals who are on the Board and who do not have a conflict of interest with Indiana University Health, Inc. ("IU Health"). There are no physicians or employees on this Committee. This Committee develops and reviews annually the executive compensation philosophy, market analysis as to comparability and reasonableness. One of the purposes of this Committee is to review, approve and make recommendations regarding executive compensation and benefits to the IU Health Board. As deemed appropriate, this Committee also reviews the same detail with the Committee on Finance, Planning and Human Resources. The Committee on Finance, Planning and Human Resources is represented by certain members of the Board as well. 2. Each year the Committee on Personnel and Compensation engages an outside compensation consulting firm to conduct a compensation and benefits study for all senior vice presidents and above. The current compensation advisor is the Hay Group. Hay Group performs an independent compensation survey. The relevant comparability data includes: compensation and benefit levels paid by similarly situated organizations (both taxable and tax exempt) for functionally comparable positions as well as the availability of similar services in the geographic area. The Committee reviews the entire compensation package including: base compensation, short term and long term incentive plans, basic health and welfare benefits, qualified and nonqualified plans as well as any additional fringe benefits. Further, Hay Group will provide recommendations based upon the reasonable compensation information as it relates to salary increases, bonuses and benefits that are consistent with the compensation philosophy of the Committee. A separate analysis using the same methodology is done for the Chief Executive Officer. 3. The Committee reviews the salary survey and, if appropriate, makes recommendations on increases in salary and any changes in bonuses or benefits. The Committee's goal is to ensure that the total compensation and benefits package is reasonable based upon the independent data provided by Hay Group. The Committee votes on any changes in compensation or benefits. This review, discussion and vote are documented in the minutes for the meeting. There are no executives present during the final discussion and approval of compensation. 4. The Board reviews the report prepared by the Hay Group as well as the recommendations of the Committee on Personnel and Compensation along with the President and Chief Executive Officer's recommendations for all Senior Vice Presidents and Executive Vice Presidents as to changes in compensation that are within the ranges approved by the Committee. The Committee may also review its recommendation with the Committee on Finance, Planning and Human Resources as to any changes to the President and Chief Executive Officer's compensation and benefits. As requested, the Finance, Planning and Human Resources Committee also provides its review of recommendations on changes in executive compensation and benefits. This review, discussion and vote are documented in the minutes. 5. The Board then reviews the recommendations provided by the Committee on Personnel and Compensation and votes on the changes as well. No additional compensation or benefits are paid to the executives until the changes have been approved by the Committee and the Board. The discussion and approval are documented in the minutes of the meeting. There are no executives present during the final discussion and approval of compensation. The General Counsel prepares a formal written opinion reviewing the compensation and benefits approval process, comparing that process to the Intermediate Sanctions Test of IRC Section 4958 and, if the facts warrant, provides comments regarding the compensation and benefits approval process as this relates to meeting the requirements for a rebuttable presumption of reasonableness as provided in the Intermediate Sanctions Test. 6. After the end of each year, the Committee and Board also review the achievements of the executive group as it relates to the long-term and short-term shared and individual goals developed by the executive and the Board. These achievements may also be reviewed with the Committee on Finance, Planning and Human Resources. The Board, at its discretion, may approve bonus payments based upon the achievement of the goals and the compensation survey. The discussion and vote of the Committee and Board is documented in the minutes for each such meeting. The bonuses are not paid until approval is made by the Board. 7. The Committee on Personnel and Compensation and Audit Committee also review the required Form 990 disclosures related to executive compensation and benefits as well as compensation practices and approval processes prior to the filing of the Form 990 return with the Internal Revenue Service. IU Health Ball Memorial Hospital, Inc. also has a process in place to determine the compensation for its other officers and key employees. IU Health Ball Memorial Hospital, Inc. uses an independent compensation consultant who utilizes a variety of methods and procedures to obtain compensation ranges for comparable officer and employee positions. The independent compensation consultant provides IU Health Ball Memorial Hospital, Inc. with recommended compensation ranges for its officers and other employees, which are then used as a guide for setting reasonable compensation by management. Management decisions with regard to determining compensation are subject to the review and approval of the Board of Directors, Compensation Committee, and/or Corporate member.
Part VI, Section C - DisclosureLine 19 - Public DisclosureIU Health Ball Memorial Hospital, Inc.'s Articles of Incorporation are available for public inspection through the Indiana Secretary of State's web-site. IU Health Ball Memorial Hospital, Inc.'s conflict of interest procedures are disclosed on the Form 990, Schedule O. IU Health Ball Memorial Hospital, Inc. consolidated financial statements are available to the public through its bond filings.
Part VII, Section ALine 1a, column(b) - Estimated Average Hours per WeekDaniel F. Evans, Jr. is the President & CEO for Indiana University Health, Inc. and devotes 55 hours per week. Christina C. Drummond, M.D. is a physician for Emergency Medical Group, Inc. and devotes 45 hours per week.
Part XI - Reconciliation of Net AssetsLine 5 - Other changes in net assetsOther changes in Net Assets of $(11,849,797) includes: -Partnership income book/tax difference $(1,082,745) -Unrealized gain/loss on investments $( 10,997) -Change in pension obligation $(6,900,722) -Net asset transfer to affiliate $(3,855,333)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (29 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Indiana University Health Inc
950 N Meridian St Ste 800IndianapolisIN46204351955872HealthcareIN501(C)(3)3NA
IU Health Arnett Inc
950 N Meridian St Ste 800IndianapolisIN46204263162145HealthcareIN501(C)(3)3IU Health
Clarian Transplant Institute Inc
950 N Meridian St Ste 800IndianapolisIN46204134350599HEALTHCAREIN501(C)(3)9IU Health
Emergency Medical Group Inc
950 N Meridian St Ste 800IndianapolisIN46204351932442HEALTHCAREIN501(C)(3)3IU Health
Indiana Radiology Partners Inc
950 N Meridian St Ste 800IndianapolisIN46204201017034HEALTHCAREIN501(C)(3)3IU Health
Methodist Health Foundation Inc
1800 North Capital AvenueIndianapolisIN46202356043086FundraisingIN501(C)(3)11 IIU Health
Methodist Health Group Inc
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204350876390HEALTHCAREIN501(C)(3)11 III-FINA
Methodist Medical Group Physicians Inc
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351814660HEALTHCAREIN501(C)(3)3Meth Med Grp
Methodist Medical Group Inc
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351945384HEALTHCAREIN501(C)(3)3IU Health
Methodist Occupational Health Ctrs Inc
950 N MERIDIAN ST STE 800INDIANAPOLISIN47303351844176HEALTHCAREIN501(C)(3)3IU Health
Methodist Research Institute Inc
950 N Meridian St Ste 800IndianapolisIN46204352023710HEALTHCAREIN501(C)(3)11 IIU Health
MH Healthcare Inc
950 N Meridian St Ste 800IndianapolisIN46204351766531HEALTHCAREIN501(C)(3)3Meth Med Grp
IU Health Bedford Inc
2900 West 16th StreetBedfordIN47421237042323HEALTHCAREIN501(C)(3)3IU Health
Goshen Health System Inc
200 High Park AvenueGoshenIN46527351974765HEALTHCAREIN501(C)(3)11 IIU Health
Goshen Hospital Association Inc
200 High Park AvenueGoshenIN46527356001540HEALTHCAREIN501(C)(3)3Gosh Hlh Sys
IU Health LaPorte Hospital Inc
1007 LINCOLNWAYLAPORTEIN46350351125434HEALTHCAREIN501(C)(3)3IU Health
IU Health LaPorte Physicians Inc
1007 LINCOLNWAYLAPORTEIN46350311070868HEALTHCAREIN501(C)(3)3Lap Hlth Sys
IU Health Tipton Hospital Inc
950 N Meridian St Ste 800INDIANAPOLISIN46204262772226HealthcareIN501(C)(3)3IU Health
IU Health Blackford Hospital Inc
410 Pilgrim BoulevardHartford CityIN47348010646166HEALTHCAREIN501(C)(3)3Ball Mem Hsp
IU Health Paoli Inc
PO Box 499PaoliIN47454352090919HEALTHCAREIN501(C)(3)3Bloom Hosp
IU Health Bloomington Inc
PO Box 1149BloomingtonIN47402351720796HEALTHCAREIN501(C)(3)3IU Health
Ball Memorial Hospital Auxiliary Inc
2401 West University AvenueMuncieIN47303356025400HEALTHCAREIN501(C)(3)11 III-FIBall Mem Hsp
IU Health Ball Memorial Physicians Inc
2401 West University AvenueMuncieIN47303351925641HEALTHCAREIN501(C)(3)9Ball Mem Hsp
Indiana University Healthcare Associates
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351747218HEALTHCAREIN501(C)(3)9IU Health
Midwest Health Strategies Inc
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204611415688HEALTHCAREIN501(C)(3)3Ball Mem Hsp
IU Health Ball Memorial Hosp Foundation
2401 West University AvenueMuncieIN47303311111784FundraisingIN501(C)(3)11 IBall Mem Hsp
Healthlinc INc
200 HIGH PARK AVENUEGOSHENIN46527263571507HEALTHCAREIN501(C)(3)3Gosh Hlh Sys
IU HEALTH MORGAN HOSPITAL INC
2209 JOHN R WOODEN DRIVEMARTINSVILLEIN46151273533027HEALTHCAREIN501(C)(3)3IU Health
IU HEALTH WHITE HOSPITAL INC
720 SOUTH SIXTH STREETMONTICELLOIN47960273532963HEALTHCAREIN501(C)(3)3IU Health

Form990 Schedule R Part III Form990ScheduleRPartIII (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Clarian Health Network LLC
950 N Meridian Street Ste 800IndianapolisIN46204352055030HealthcareINNAN/A00false$0false0.00000
Clarian Health North LLC
11700 North Meridian StreetCarmelIN46032431980602HEALTHCAREINNAN/A00false$0false0.00000
CHV Fund I LLC
950 N Meridian St Ste 800IndianapolisIN46204262523206Venture CapitalINNAN/A00false$0false0.00000
Clarian Health West LLC
1111 North Ronald Reagan ParkwayAvonIN46123431980611HEALTHCAREINNAN/A00false$0false0.00000
Health Venture Management LLC
950 N Meridian St Ste 800IndianapolisIN46204205740216Mgmt ServicesINNAN/A00false$0false0.00000
Indiana Endoscopy Centers LLC
950 N MERIDIAN STREET SUITE 800INDIANAPOLISIN46204208398421HealthcareINNAN/A00false$0false0.00000
IN Lakes Managed Care Org LLC
310 S Main StreetGoshenIN46526351946663HEALTHCAREINNAN/A00false$0false0.00000
Senate Street Surgery Center LLC
950 N MERIDIAN STREET SUITE 800INDIANAPOLISIN46204421709357HealthcareINNAN/A00false$0false0.00000
The Healthcare Group LLC
8802 N Meridian St Ste 100INDIANAPOLISIN46260352067373Managed CareINNAN/A00false$0false0.00000
Ball Outpatient Surgery Center LLC
2401 West University AvenueMuncieIN47303270275794HEALTHCAREINBMHRelated27904615811422false$0false0.52941
Cardinal Health Initiatives LLC
2401 West University AvenueMuncieIN47303300102702PurchasingINBall Mem HospRelated1189655791399false$299,960false0.90250
Mid-America Surgery Center LLC
2401 West University AvenueMunciIN47303352002953HealthcareINBMHN/A00false$0false0.00000
BMH Outpatient Surgery Services LLC
2401 West University AvenueMuncieIN47303204567998HEALTHCAREINBMHRelated-31752201681false$0false0.63257
CHV FUND MANAGEMENT LLC
950 N MERIDIAN STREET SUITE 800INDIANAPOLISIN46204262523151Venture CapitalINNAN/A00false$0false0.00000
ROC SURGERY LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204271497960HEALTHCAREINNAN/A00false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/Country
BMH MEDICAL PAVILION ASSOCIATION INC
2525 WEST UNIVERSITY AVENUEMUNCIEIN47303351858408CONDO MGMTINNAC CORP000.56100
CARDINAL HEALTH VENTURES INC
2401 WEST UNIVERSITY AVENUEMUNCIEIN47303351611424MGMTINNAC CORP000.00000
IUH ASSURANCE LTD
980396429INSURANCEINNAC CORP000.000003RD FLOOR BARCLAYS HOUSEGEORGETOWNGRAND CAYMANCJ
IU HEALTH PLANS INC
950 N MERIDIAN STREET SUITE 800INDIANAPOLISIN46204262127080HMOINNAC CORP000.00000
CHV CAPITAL INC
950 N MERIDIAN STREET SUITE 800INDIANAPOLISIN46204260752507VENTURE CAP.INNAC CORP000.00000
CLARIAN HEALTH RISK RETENTION GROUP
151 MEETING STREET SUITE 301CHARLESTONSC29401201107674INSURANCEINNAC CORP000.00000
M-PLAN INC
1776 N MERIDIAN STREET SUITE 300INDIANAPOLISIN46202351772506HMOINNAC CORP000.00000
OCC-HEALTH REVENUE SYSTEMS INC
950 N MERIDIAN STREET SUITE 800INDIANAPOLISIN46204203308057WORK COMP PPOINNAC CORP000.00000
PARKMOR DRUG INC
1501 SOUTH MAIN STREETGOSHENIN46526131394980PHARM SALESINNAC CORP000.00000
PILR INC
200 HIGH PARK AVENUEGOSHENIN46527204294750DEVELOPMENTINNAC CORP000.00000
IU Health Sothern Indiana Phys Inc
PO BOX 1149BLOOMINGTONIN47402351913875HEALTHCAREINNAC CORP000.00000
CLARIAN RISK PUR GRP INC
151 MEETING STREET SUITE 301CHARLESTONSC29401201107674INSURANCEINNAC CORP000.00000
RADIATION ONCOLOGY RESOURCES INC
200 HIGH PARK AVENUEGOSHENIN46527262008424HEALTHCAREINNAC CORP000.00000
UNIVERSITY HEALTH MGMT INC
950 N MERIDIAN STREET SUITE 800INDIANAPOLISIN46204272891143MGMTINNAC CORP000.00000
UNIVERSITY HEALTH MGMT (CHINA) INC
950 N MERIDIAN STREET SUITE 800INDIANAPOLISIN46204273891311MGMTINNAC CORP000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
IU HEALTH BLACKFORD HOSPITAL INC
K1959598
IU HEALTH BLACKFORD HOSPITAL INC
N1026517
IU HEALTH BALL MEMORIAL HOSP FOUNDATION
C2172003
IU HEALTH BALL MEMORIAL HOSP FOUNDATION
J1253660
IU HEALTH BALL MEMORIAL HOSP FOUNDATION
K182229
BALL OUTPATIENT SURGERY CENTER LLC
A6573
BALL OUTPATIENT SURGERY CENTER LLC
D1194375
BALL OUTPATIENT SURGERY CENTER LLC
I697973
BALL OUTPATIENT SURGERY CENTER LLC
K925979
BALL OUTPATIENT SURGERY CENTER LLC
N1632587
CARDINAL HEALTH PARTNERS INC
I172236
CARDINAL HEALTH PARTNERS INC
J65537
CARDINAL HEALTH PARTNERS INC
K375135
CARDINAL HEALTH VENTURES INC
K126088

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