2011-11-10T13:58:23-06:00 2010-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2010-01-01 350867958 INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL INC F/K/A BALL MEM HOSP INC INDI 7657512795 950 N MERIDIAN STREET SUITE 800 INDIANAPOLIS IN 46204 CAROL E SEALS 2011-11-02 JENNIFER RHODERICK 3176817000 2010 2016-03-07 17:11:31Z MICHAEL E HALEY 2401 W UNIVERSITY AVENUE MUNCIE IN 47303 326355390 false X WWW.IUHEALTH.ORG X 1926 IN PROVIDE HEALTH CARE IN EAST CENTRAL INDIANA THROUGH PATIENT CARE, HEALTH EDUCATION AND MEDICAL RESEARCH 19 14 2956 660 11303894 1181740 3566619 274316414 310846468 -3530262 733268 10654647 7835807 282622539 322982162 0 0 0 0 120841675 124192961 0 0 0 170096089 183084559 290937764 307277520 -8315225 15704642 297470086 296215938 208873484 203764491 88596602 92451447 IU 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. false false 286226972 317578487 IU 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. 286226972 true true false false false false false false false true false true false true false false true false false false false false false false false true false false false true true false false false false false true false false false true false false false false false true true true false false true 190 0 true 2956 true true true false false false false false false false false false X 19 14 true false true false true true true true true false true true true true true true true true true true true true IN X CARA BREIDSTER 3179624597 950 N MERIDIAN STREET SUITE 800 INDIANAPOLIS IN 46204 X MICHAEL E HALEY 55.0 X X 493023 0 130596 DANIEL F EVANS JR 5.0 X X 0 1252646 828133 PETER M VOSS MD 5.0 X X 2205 0 0 TERRY L WALKER 5.0 X X 0 0 0 JAMES FISHER 5.0 X X 0 0 0 MICHAEL L COX 5.0 X X 0 0 0 PATRICK A CLEARY MD PHD 5.0 X 0 0 0 GORDON D COX 5.0 X 0 0 0 WILBUR R DAVIS 5.0 X 0 0 0 MARY L DOLLISON 5.0 X 0 0 0 CHRISTINA C DRUMMOND MD 5.0 X 0 306792 45105 MICHAEL B GALLIHER 5.0 X 0 0 0 JO ANN M GORA PHD 5.0 X 0 0 0 BRUCE M GRAHAM MD 5.0 X 20000 0 0 JOHN K JACKSON 5.0 X 0 0 0 JOHN D LITTLER 5.0 X 0 0 0 ELIZABETH P MARSHALL 5.0 X 0 0 0 TERRI E MATCHETT 5.0 X 0 0 0 J STEVEN RHEA 5.0 X 0 0 0 D KAYE WHITEHEAD 5.0 X 0 0 0 JEFFREY A HEAVILON MD 5.0 X 0 0 0 HAROLD L BERFIEND 55.0 X 240784 0 51063 DOREEN C JOHNSON RN 55.0 X 174820 0 33908 RICHARD HELSPER 55.0 X 268049 1620 8620 TERRY PENCE 55.0 X 143808 0 18369 ALVIS E FOSTER 55.0 X 187095 0 15245 JOSEPH R BUTTS 55.0 X 166438 0 23052 CHARLES SANDERS MD 55.0 X 249053 0 49559 DAVID A SCHWARTZ 55.0 X 159245 0 6370 MICHELLE R ALTOBELLA 55.0 X 149979 0 31352 BRENT L BATMAN 0.0 X 400795 0 3030 ROBERT E GILDERSLEEVE 0.0 X 322845 10691 KELLY N STANLEY 0.0 X 825016 0 6859 TERRY ALLEN 0.0 X 414987 0 2113 4218142 1561058 1264065 55 true true false LAB CORP OF AMERICA HOLDING PO BOX 12140 BURLINGTON NC 272162140 LABORATORY SERVICE 3695408 UNITED HOSPITAL SERVICES 3005 RELIABLE PARKWAY CHICAGO IL 606860001 LAUNDRY SERVICES 569533 EXECUTIVE HEALTH RESOURCES PO BOX 822688 PHILADELPHIA PA 191822688 PHYSICIAN ADVISORS 510385 MUNCIE MEDICAL ASSOCIATES CORP 5301 W PINERIDGE ROAD MUNCIE IN 47304 PERFUSIONIST SERVICE 494886 REHABCARE GROUP INC PO BOX 502096 ST LOUIS MO 631502096 POST-ACUTE SERVICES 470450 26 3187086 379533 3566619 NET PATIENT SERVICE 621110 274189522 274189522 SUPPORT SERVICES 541900 14445010 13302308 1142702 CARELINE EMERGENCY SERVICES 624210 324921 324921 PHARMACY 446110 21887015 12134183 9752832 310846468 686416 686416 0 0 3119603 2506336 613267 613267 613267 19632 426874 399654 19632 27220 46852 46852 0 0 309666 467238 -157572 -157572 CAFETERIA REVENUE 722210 1700829 1700829 FITNESS CENTER 900099 65625 65625 INCOME FROM JOINT VENTURES 900099 4971091 4562731 408360 642567 642567 7380112 322982162 304513665 11303894 3597984 0 0 0 0 1201511 1167077 34434 0 96254965 93496412 2758553 6846662 6650445 196217 12686958 12323365 363593 7202865 6996439 206426 0 1750301 1750301 494068 52800 441268 0 0 300035 300035 38577163 29562604 9014559 375232 374377 855 1278256 1213227 65029 8199349 6273438 1925911 0 11060434 8983322 2077112 232074 147815 84259 0 1213 593 620 5897771 5895191 2580 0 19451534 19440734 10800 1001130 482172 518958 MEDICAL SUPPLIES & EQUIPMENT 61118800 61118800 BAD DEBT 27413792 27404205 9587 RECRUITING 480705 69003 411702 BANK/CREDIT CARD FEES 183346 10522 172824 UBI TAX EXPENSE -855870 -855870 6125226 4264396 1860830 307277520 286226972 21050548 0 709701 14329 9549068 23607463 31690489 30142285 1274000 318500 854617 2280354 6129997 6188468 2766125 1024799 413811932 232180019 195349773 181631913 25210715 26529934 1509018 1353757 19722958 19802457 39948 27666 2663677 3294013 297470086 296215938 32110538 29412548 0 3144316 107830825 104261673 6010311 6224113 62921810 60721841 208873484 203764491 X 77053232 80908077 11543370 11543370 88596602 92451447 297470086 296215938 X 15704642 -11849797 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2580410 2580410 251465656 106044779 145420877 2103740 1599548 504192 152602250 123530186 29072064 5059876 1005506 4054370 181631913 RANDOLPH COUNTY HOSPITAL 2499305 C CARDINAL HEALTH ALLIANCE 2439858 C BMH OUTPATIENT SURGERY SERVICE 0 C THE BMH FOUNDATION, INC. 11543370 C BMH AUXILIARY, INC. 549 C BALL OUTPATIENT SURGERY CENTER 3319375 C 19802457 0 LT LIABILITY - CONDITIONAL ASSET OBLIGATIONS 598200 PAYABLE TO RELATED ENTITIES 972060 SELF INSURANCE LIABILITY 361266 PENSION LIABILITY 54166773 DUE TO/FROM M-CARE 4623542 60721841 PART X OTHER LIABILITIES BALL 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. true true X true X true X true true true false true true 14336019 14336019 0.05000 46304174 30771764 15532410 0.05420 60640193 30771764 29868429 0.10420 36 14913 350007 6453 343554 0.00120 5 2647 9668676 2201002 7467674 0.02610 1 390 225614 40535 185079 0.00060 6 8761 103963 30000 73963 0.00030 48 26711 10348260 2277990 8070270 0.02820 48 26711 70988453 33049754 37938699 0.13240 1 20 2151 2151 1 410 7706 7706 1 321 11933 11933 1 59 1676 1676 2 2333 25457 50 25407 0.00010 6 3143 48923 50 48873 0.00010 false 8732344 0 103716945 114091711 -10374766 X true true BALL OUTPT SURG CTR AMBULATORY SURGERY CENTER 0.52941 0.02941 0.44118 BMH OUTPT SURG SVCS AMBULATORY SURGERY CENTER 0.51535 0.02750 0.45715 1 1 Ball Memorial Hospital Inc

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CANCER CENTER IU Health Ball Wound Healing Center

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WOUND HEALING/REHABILITATION KENMORE HEALTHCARE PHARMACY

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RETAIL PHARMACY ALBANY HEALTHCARE PHARMACY

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FAMILY CLINIC BREAST CENTER SERVICE

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REHABILITATION CENTER BMH SLEEP LAB

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SLEEP LAB FINANCIAL ASSISTANCE PART I, LINE 3C: N/A COMMUNITY BENEFIT REPORT PART 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 SERVICES PART I, LINE 7G: IU HEALTH BALL MEMORIAL DOES NOT INCLUDE ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES. BAD DEBT EXPENSE PART 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 EXPENSE PART 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 ACTIVITIES PART 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 METHODOLOGY PART 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. MEDICARE PART 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 PRACTICES PART 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 ASSESSMENT PART 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 POLICY PART 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 INFORMATION PART 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 HEALTH PART 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 SYSTEM PART 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 REPORT 990 SCHEDULE H, PART VI IN, true true false false false false false false false BRENT L BATMAN 0 0 0 0 400795 0 0 0 3030 0 403825 0 400795 0 MICHAEL E HALEY 457743 0 0 0 35280 0 104050 0 26546 0 623619 0 0 0 ROBERT E GILDERSLEEVE 0 0 322845 0 10691 333536 322845 HAROLD L BERFIEND 230809 0 0 0 9975 0 43210 0 7853 0 291847 0 0 0 KELLY N STANLEY 127106 0 0 0 697910 0 0 0 6859 0 831875 0 361152 0 DANIEL F EVANS JR 0 981359 0 215358 0 55929 0 804785 0 23348 0 2080779 0 0 CHRISTINA C DRUMMOND MD 0 282042 0 300 0 24450 0 21296 0 23809 0 351897 0 0 DOREEN C JOHNSON RN 164426 0 0 0 10394 0 21224 0 12684 0 208728 0 0 0 RICHARD HELSPER 218665 1500 0 0 49384 120 7909 546 165 0 276123 2166 0 0 ALVIS E FOSTER 182773 0 0 0 4322 0 7496 0 7749 0 202340 0 0 0 TERRY ALLEN 44616 0 0 0 370371 0 0 0 2113 0 417100 0 190300 0 JOSEPH R BUTTS 159510 0 0 0 6928 0 6838 0 16214 0 189490 0 0 0 TERRY PENCE 142938 0 0 0 870 0 6023 0 12346 0 162177 0 0 0 CHARLES SANDERS MD 231508 0 0 0 17545 0 42073 0 7486 0 298612 0 0 0 DAVID A SCHWARTZ 159245 0 0 0 0 0 6370 0 0 0 165615 0 0 0 MICHELLE R ALTOBELLA 149700 0 0 0 279 0 21881 0 9471 0 181331 0 0 0 Part I Line 3 Michael 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 & 4B Line 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. Hospital Authority of Delaware County Indiana 351836279 245834CA2 2006-05-31 77763463 2006 Term Bonds - See Part V false false false Hospital Authority of Delaware County Indiana 351836279 245834cl8 2009-12-08 24257961 2009A Term Bonds - See Part V false false false 82499359 6826250 937213 74735894 2009 false false true true 2630000 24257961 2470000 456086 true false true true false true true true true true false false false false false false false false false false false false Schedule K, Part I: Lines A and B, Column (F) Line 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. BALL OUTPT SGRY CTR LINE OF CREDIT X 1274000 318500 false true true 318500 OLD NATIONAL TRUST SEE PART V 389484 SEE PART V false MEDICAL CONSULTANTS PC SEE PART V 341846 SEE PART V false MERIDIAN SERVICES CORPORATION SEE PART V 866863 SEE PART V false PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS Kelly 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. Part VI, Section A - Governing Body and Management LINE 2 - FAMILY OR BUSINESS RELATIONSHIPS Daniel 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 Management Line 4 - Significant Changes to Organizational Documents Indiana 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 Management Line 6, 7a, and 7b - Members or Stockholders Line 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 Management Line 11B - Form 990 Provided to Governing Body IU 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 - Policies LINE 12, 13, 14 AND 16B Indiana 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 - Policies Line 12c - Conflict of Interest Policy IU 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 - Policies Line 15 - Process for Determining Compensation The 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 - Disclosure Line 19 - Public Disclosure IU 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 A Line 1a, column(b) - Estimated Average Hours per Week Daniel 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 Assets Line 5 - Other changes in net assets Other 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) Indiana University Health Inc 950 N Meridian St Ste 800 Indianapolis IN 46204 351955872 Healthcare IN 501(C)(3) 3 NA IU Health Arnett Inc 950 N Meridian St Ste 800 Indianapolis IN 46204 263162145 Healthcare IN 501(C)(3) 3 IU Health Clarian Transplant Institute Inc 950 N Meridian St Ste 800 Indianapolis IN 46204 134350599 HEALTHCARE IN 501(C)(3) 9 IU Health Emergency Medical Group Inc 950 N Meridian St Ste 800 Indianapolis IN 46204 351932442 HEALTHCARE IN 501(C)(3) 3 IU Health Indiana Radiology Partners Inc 950 N Meridian St Ste 800 Indianapolis IN 46204 201017034 HEALTHCARE IN 501(C)(3) 3 IU Health Methodist Health Foundation Inc 1800 North Capital Avenue Indianapolis IN 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