2025-11-13T14:13:31+00:00 2024-12-31 990 2024-01-01 010646166 Indiana University Health Blackford Inc INDI 3179634842 950 N MERIDIAN STREET 1200 INDIANAPOLIS IN 46204 Michael L Craig VP & CFO 8123539171 2025-11-13 2024 2025-03-06 01:10:19Z X JEFFREY C BIRD MD 950 N MERIDIAN STREET 1200 INDIANAPOLIS IN 46204 2184952 false X SEE SCHEDULE O X 2002 IN Lead the transformation of healthcare through quality, innovation & education, and make Indiana one of the nation's healthiest states. 15 12 8 18 0 65703 70273 18546156 765970 63325 -47140 25521 1348709 18700705 2137812 26822 0 0 8701417 1299148 0 0 15046548 2172214 23774787 3471362 -5074082 -1333550 5658757 3954668 2454243 2083704 3204514 1870964 Lead the transformation of healthcare through quality, innovation & education, and make Indiana one of the nation's healthiest states. false false 3026583 0 721396 IU HEALTH BLACKFORD OPERATEs AS AN OUTPATIENT FACILITY. 138635 0 33044 RENT FROM RELATED 501(C)(3) ORGS. 48374 0 11530 Pharmacy 3213592 true true false true false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false false false true true true false false true 0 0 8 true false false false false false false false false false false false false X 15 12 false false false false true true true true true false false false true true true true true true false false false false IN X CRAIG J JONES 3179634842 950 N MERIDIAN STREET SUITE 800 INDIANAPOLIS IN 46204 DANIEL E BORGENHEIMER DIRECTOR/CHAIR 2.0 4.0 X X 0 0 0 J STEVEN RHEA Director/Secretary/Treasurer 2.0 4.0 X X 0 0 0 JEFFREY C BIRD MD DIRECTOR/PRESIDENT (ECR) 10.0 45.0 X X 0 1005128 176317 PETER M VOSS MD DIRECTOR/VICE CHAIR 10.0 45.0 X X 0 544772 67799 WILBUR R DAVIS DIRECTOR/VICE CHAIR 2.0 4.0 X X 0 3000 0 CHARLES R ROUTH MD DIRECTOR 2.0 53.0 X 0 296767 62572 DEA BELL DIRECTOR 2.0 4.0 X 0 6000 0 DERRON L BISHOP PHD DIRECTOR 2.0 4.0 X 0 2000 0 DONALD J ENGEL DIRECTOR (PART YEAR) 2.0 4.0 X 0 0 0 GEOFFREY S MEARNS DIRECTOR 2.0 4.0 X 0 0 0 JOAN V CASTOR DIRECTOR 2.0 53.0 X 0 644641 136828 KEVIN D WOODGETT DIRECTOR (PART YEAR) 2.0 4.0 X 0 4000 0 MICHAEL J FISHER DIRECTOR 2.0 7.0 X 0 0 0 PATRICK A CLEARY MD DIRECTOR 2.0 4.0 X 0 4000 0 TERRY W BAILEY DIRECTOR 2.0 4.0 X 0 6000 0 WILLIAM W HINKLE DIRECTOR 2.0 4.0 X 0 6000 0 JONATHAN W VANATOR CFO (ECR) (PART YEAR) 10.0 45.0 X 0 468222 65683 MICHAEL L CRAIG CFO (Part Year) 5.0 50.0 X 0 375821 65857 MICHELLE R ALTOBELLA VP-General Counsel, Asst Secretary (ECR) 0.0 57.0 X 0 274361 53284 BRIAN REED VP-HUMAN RESOURCES (ECR) 10.0 45.0 X 0 211282 63512 KREIGH COOK COO (ECR) 15.0 35.0 X 0 307676 43866 MELISSA R HICKS VP & CNO (ECR) 10.0 45.0 X 0 275836 46483 RYAN M JOHNSTON MD VP & CMO (ECR) 10.0 45.0 X 0 446201 79162 HELEN A BORGENHEIMER MD FORMER Highest Compensated EMployee 50.0 0 X 0 262660 61230 JAN B MCMILLAN FORMER Highest Compensated EMployee 55.0 0.0 X 0 174093 38542 KEVIN W SCHREIBER MD FORMER HIGHEST COMPENSATED EMPLOYEE 0.0 50.0 X 0 390128 73076 THOMAS D STEWART MD FORMER Highest compensated employee 40.0 10.0 X 0 399206 78512 THOMAS M LEE MD FORMER Highest Compensated EMployee 40.0 10.0 X 0 355022 68030 0 6462816 1180753 true true false 37202 33071 70273 Net Patient Service Revenue 622110 721396 721396 Pharmacy 446110 11530 11530 Rent from Related 501(c)(3) Orgs. 532000 33044 33044 0 0 0 0 765970 84977 84977 0 84977 84977 0 47140 0 -47140 -47140 -47140 All Other Revenue 900099 1263732 1263732 0 0 0 0 1263732 2137812 765970 0 1301569 X 976228 943310 32918 37387 36126 1261 214108 206888 7220 71425 69017 2408 384 384 658424 613620 44804 0 205 205 16562 15450 1112 25051 12526 12525 402707 402707 561916 535443 26473 125219 125219 Drugs and Medical Supplies 314093 314093 All Other Expenses 67337 64110 3227 Noncapitalized Equipment 316 302 14 0 0 0 0 3471362 3213592 257770 0 31138 0 366333 0 0 0 0 0 8141 0 45887 40266 17576496 13662094 5207258 3914402 0 0 0 0 5658757 3954668 377274 432565 0 0 2076969 1651139 2454243 2083704 X 3204514 1870964 3204514 1870964 5658757 3954668 -1333550 0 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 384 384 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY IU Health Blackford Hospital paid institutional membership dues to Indiana Hospital Association ("IHA") during 2024 in the amount of $3,262, respectively. Each membership organization notified IU Health Blackford Hospital that a portion of the dues it paid were used for lobbying purposes. The IHA used 11.78%, or $384 of the 2024 membership dues paid by IU Health Blackford Hospital, for lobbying expenditures. The total membership dues paid to this organization by IU Health Blackford Hospital during 2024 that were attributable to lobbying expenditures was $384. 190324 190324 14997446 11472614 3524832 2103735 1904749 198986 284991 284731 260 3914402 0 Federal Income Taxes 0 SELF-INSURANCE LIABILITIES 0 DUE TO THIRD-PARTY PAYERS 1300528 Intercompany Payables (Net) 350611 1651139 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote IU Health Blackford is a subsidiary in Indiana University Health, Inc.'s ("IU Health") Consolidated Audited Financial Statements. The Internal Revenue Service has determined that Indiana University Health and certain of its affiliated entities are tax-exempt organizations as defined in Section 501(c)(3) of the Internal Revenue Code (IRC). Indiana University Health and its tax-exempt affiliates are, however, subject to federal and state income taxes on unrelated business income under the provisions of IRC Section 511. Deferred income taxes which, as of December 31, 2024, and 2023, have no net carrying value, reflect the net tax effect of temporary differences between the carrying amounts of assets and liabilities for financial reporting and the amounts used for income tax purposes. As of December 31, 2024, and 2023, the Indiana University Health System had gross deferred tax assets of $110,705,348, and $141,386,173, respectively, relating to net operating loss carryovers. Indiana University Health Blackford, Inc.'s portion of the December 31, 2024, and 2023 deferred tax assets is $0 and $0 respectively. Management determined that a full valuation allowance at December 31, 2024 and 2023 was necessary to reduce the deferred tax assets to the amount that would more likely than not be realized. Based on the weight of the evidence, if it is more likely than not that some portion or all of the deferred tax assets will not be realized, a valuation allowance to reduce the deferred tax assets is recorded. The decrease in the gross deferred tax asset and the valuation allowance for the current year is $30,681,000. At December 31, 2024, Indiana University Health System has available net operating loss carryforwards of $445,118,000, Indiana University Health Blackford, Inc.'s portion is $0. Net operating losses generated from 2005 through 2017 will expire between 2025 and 2037. Net operating losses generated after 2017 do not expire. X X X X false true false false false false false true false JEFFREY C BIRD MD DIRECTOR/PRESIDENT (ECR) 0 615805 0 259543 0 129780 0 123960 0 52357 0 1181445 0 103503 PETER M VOSS MD DIRECTOR/VICE CHAIR 0 448576 0 92632 0 3564 0 15124 0 52675 0 612571 0 0 JOAN V CASTOR DIRECTOR 0 383981 0 200279 0 60381 0 82880 0 53948 0 781469 0 0 CHARLES R ROUTH MD DIRECTOR 0 177352 0 112557 0 6858 0 11923 0 50649 0 359339 0 0 MICHELLE R ALTOBELLA VP-General Counsel, Asst Secretary (ECR) 0 237733 0 35399 0 1229 0 11328 0 41956 0 327645 0 0 MICHAEL L CRAIG CFO (Part Year) 0 329178 0 43079 0 3564 0 13500 0 52357 0 441678 0 0 JONATHAN W VANATOR CFO (ECR) (PART YEAR) 0 335594 0 131818 0 810 0 11803 0 53880 0 533905 0 0 KREIGH COOK COO (ECR) 0 279864 0 27326 0 486 0 12505 0 31361 0 351542 0 0 MELISSA R HICKS VP & CNO (ECR) 0 243839 0 31515 0 482 0 11225 0 35258 0 322319 0 0 RYAN M JOHNSTON MD VP & CMO (ECR) 0 392288 0 52671 0 1242 0 13800 0 65362 0 525363 0 0 BRIAN REED VP-HUMAN RESOURCES (ECR) 0 183135 0 27779 0 368 0 8888 0 54624 0 274794 0 0 HELEN A BORGENHEIMER MD FORMER Highest Compensated EMployee 0 171543 0 84259 0 6858 0 8787 0 52443 0 323890 0 0 JAN B MCMILLAN FORMER Highest Compensated EMployee 0 153037 0 20366 0 690 0 7137 0 31405 0 212635 0 0 THOMAS M LEE MD FORMER Highest Compensated EMployee 0 184755 0 159143 0 11124 0 13800 0 54230 0 423052 0 0 KEVIN W SCHREIBER MD FORMER HIGHEST COMPENSATED EMPLOYEE 0 368661 0 20657 0 810 0 13800 0 59276 0 463204 0 0 THOMAS D STEWART MD FORMER Highest compensated employee 0 256494 0 135854 0 6858 0 12331 0 66181 0 477718 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation IU HEALTH BLACKFORD'S REGIONAL PRESIDENT IS EMPLOYED BY IU HEALTH, INC. IU HEALTH, IU HEALTH BALL AND OTHER RELATED ORGANIZATIONS HAVE A PROCESS IN PLACE FOR DETERMINING THE COMPENSATION FOR THE OFFICERS AND KEY EMPLOYEES. IU HEALTH HUMAN RESOURCES USES MARKET DATA FROM MULTIPLE COMPENSATION EXPERTS/VENDORS WHO UTILIZE A VARIETY OF METHODS AND PROCEDURES TO OBTAIN COMPENSATION RANGES FOR COMPARABLE OFFICERS AND EMPLOYEE POSITONS. THIS MARKET DATA AND MULTIPLE OTHER FACTORS (INCLUDE MARKET PAY BENCHMARKS, INTERNAL EQUITY, CANDIDATE/EMPLOYEE QUALIFICATIONS AND PERFORMANCE, AND OTHER BUSINESS NEEDS) ARE USED TO RECOMMEND COMPENSATION RANGES FOR ITS OFFICERS AND OTHER EMPLOYEES, WHICH ARE THEN USED AS A GUIDE FOR SETTING REASONABLE COMPENSATION BY MANAGEMENT. PLEASE SEE SCHEDULE O FOR ADDITIONAL DETAILS. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan JEFFREY C. BIRD, M.D. AND JOAN V. CASTOR PARTICIPATE IN AN IU HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PROVISIONS OF WHICH ARE DESIGNED TO RETAIN ITS CRITICAL EMPLOYEES. THE PLAN PROVIDES FOR AN ADDITIONAL RETIREMENT BENEFIT FOR SERVICES 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. EACH OF THE EXECUTIVES LISTED ABOVE HAVE AN AMOUNT INCLUDED IN COLUMN C, DEFERRED COMPENSATION, REPRESENTING THE CURRENT YEAR UNVESTED CONTRIBUTIONS MADE UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THESE AMOUNTS WERE NOT PAID TO THE EXECUTIVES DURING THE YEAR. THE FOLLOWING EXECUTIVES HAVE AN AMOUNT INCLUDED IN COLUMN B (III), OTHER REPORTABLE COMPENSATION, REPRESENTING THE CURRENT YEAR VESTED AMOUNTS RECEIVED UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: JOAN V. CASTOR: $56,550 Schedule J, Part I, Line 7 Non-fixed payments AMOUNTS DISCLOSED IN COLUMN B(II) INCLUDE A LONG TERM INCENTIVE FOR CERTAIN EXECUTIVES. ALTHOUGH THESE PLANS ARE BASED ON A FIXED FORMULA THAT HAS BEEN APPROVED BY THE BOARD OF DIRECTORS BASED UPON CERTAIN QUALITATIVE AND QUANTITATIVE FACTORS AND GOALS, ALL DISCRETIONARY INCENTIVE PLANS MUST BE APPROVED BY THE COMMITTEE ON PERSONNEL AND COMPENSATION AND BOARD OF DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT. Line J - Web Site https://iuhealth.org/find-locations/iu-health-primary-care-400-pilgrim-blvd-hartford-city SECTION B, LINES 12, 13, 14, AND 16B - POLICIES IU HEALTH BLACKFORD HOSPITAL IS PART OF THE IU HEALTH SYSTEM. IU HEALTH BLACKFORD HOSPITAL'S SOLE MEMBER IS IU HEALTH BALL MEMORIAL HOSPITAL. IU HEALTH BALL MEMORIAL HOSPITAL'S SOLE MEMBER IS IU HEALTH, INC. IU HEALTH, INC. AND ITS BOARD OF DIRECTORS HAVE MANDATED THAT CERTAIN POLICIES BE FOLLOWED TO ENSURE GREATER STANDARDIZATION THROUGHOUT THE SYSTEM. THUS, IU HEALTH BLACKFORD HOSPITAL'S BOARD OF DIRECTORS WAS NOT REQUIRED TO SEPARATELY ADOPT A CONFLICT OF INTEREST, WHISTLEBLOWER, DOCUMENT RETENTION AND DESTRUCTION AND JOINT VENTURE POLICIES BECAUSE IU HEALTH'S BOARD OF DIRECTORS HAD ALREADY ADOPTED AND REQUIRED THESE POLICIES TO BE FOLLOWED BY ITS SUBSIDIARIES. Form 990, Part VI, Line 6 Classes of members or stockholders IU HEALTH BLACKFORD HOSPITAL HAS ONE CLASS OF MEMBERSHIP AND THE SOLE MEMBER IS IU HEALTH BALL MEMORIAL HOSPITAL, A WHOLLY OWNED SUBSIDIARY OF IU HEALTH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body the Board of Directors shall consist of such number of members not fewer than nine (9) nor more than twenty-three (23) in number as shall from time to time be fixed by resolution of IUH Ball. To be eligible for Board membership, a Director candidate shall satisfy the selection. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Notwithstanding any other provisions of the Articles of Incorporation, the following matters require the approval of IU Health Ball Memorial Hospital prior to implementation: - Approve the Governing Documents of the Hospital. - Appoint, upon the recommendation of the Board of the Hospital, or remove, with or without cause, the members of the Board of Directors of the Hospital. Removal does not require a recommendation of the Hospital's Board. - Approve the incurrence of debt of the Hospital within limits delegated to the Board of Directors from time to time by IU Health Ball Memorial Hospital - Approve and recommend the formation of legal entities, the sale, transfer or substantial change in use of all or substantially all of the assets of the Hospital or the divestiture, dissolution, closure, merger, consolidation or change in the Corporate Member of the Hospital. - Approve the transfer or encumbrance of the assets of the Hospital, except in the ordinary course of business. - Subject to approval by IU Health, approve the capital and operating budgets for Hospital. - Approve the mission and vision statements for the Hospital. Form 990, Part VI, Line 11b Review of form 990 by governing body THE CFO REVIEWED AND APPROVED THE FORM 990. FOLLOWING THE CFO'S REVIEW AND APPROVAL, A COMPLETE COPY OF THE FORM 990 WAS MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO ITS FILING. EACH MEMBER WAS ALSO INFORMED OF THE AVAILABILITY OF IU HEALTH'S TAX DEPARTMENT TO ANSWER ANY QUESTIONS. Form 990, Part VI, Line 12c Conflict of interest policy IU Health Blackford Hospital follows IU Health's Conflict of Interest Policy. IU Health's Conflict of Interest Policy includes the following provisions: All IU Health employees, associates, colleagues and contracted personnel, including employed physicians and paid medical directors ("IU Health Representatives") are covered by and subject to its Conflict-of-Interest Policy. IU Health regularly and consistently monitors and enforces compliance with the policy through the following procedures: (a) On an annual basis, each IU Health Representative at the level of Manager or above, together with every other person designated by the Corporate Compliance Department ("Department"), must complete, sign and submit a Conflict-of-Interest Questionnaire ("Questionnaire") to the Department. Governing board members, committee members, corporate officers, medical staff and researchers must comply with the administrative requirements noted in the respective policies and procedures relative to those areas. (b) An IU Health Representative must supplement a Questionnaire in writing, if after completion of the original Questionnaire, a situation arises, or may reasonably be expected to arise, that would change any answer or information on the original Questionnaire if the situation had existed or been anticipated at the time of completion of the original Questionnaire. (c) If a fully and properly completed Questionnaire reveals facts or other information that might reasonably indicate a Conflict of Interest or violation of the policy, the IU Health Representative completing the questionnaire must secure approval by his/her supervisor, evidenced in writing. (d) The Department will review each Questionnaire and determine whether a Conflict of Interest exists and, if so, whether and how it should or may be eliminated, avoided or managed in order to comply with the spirit of the policy and with the best interests of IU Health and its patients. In making the determination, the Corporate Compliance Department may consult with the IU Health Representative's supervisor and other appropriate individuals and groups. (e) The scope of the policy is not limited to those who are required to complete Questionnaires. If an IU Health Representative is involved in a situation or relationship that would constitute a violation of the policy in the absence of disclosure and approval as described above, then the IU Health Representative must disclose the matter to his/her supervisor, secure his/her supervisor's approval in writing, and disclose the matter to the Department. Otherwise, the IU Health Representative is in violation of the policy and subject to corrective action, up to and including termination. (f) The Chief Compliance Officer, in consultation with onsite Compliance personnel, may from time to time appoint standing or ad hoc committees to assist in resolving issues that arise under provisions of the policy. Form 990, Part VI, Line 19 Required documents available to the public IU Health Blackford Hospital's Articles of Incorporation are available for public inspection through the Indiana Secretary of State's web-site. IU Health Blackford Hospital's conflict of interest procedures are disclosed on the Form 990, Schedule O. IU Health Blackford Hospital is a subsidiary in IU Health's Consolidated Audited Financial Statements. IU Health's Consolidated Audited Financial Statements are available for public inspection through its bond filings and as an attachment to IU Health's Form 990. Form 990, Part IX, Line 11g Other Fees Professional fees - Total Expense: 1872, Program Service Expense: 1746, Management and General Expenses: 126, Fundraising Expenses: ; Consulting - Total Expense: 1468, Program Service Expense: 1369, Management and General Expenses: 99, Fundraising Expenses: ; Intercompany fees - Total Expense: 447462, Program Service Expense: 416820, Management and General Expenses: 30642, Fundraising Expenses: ; Contract service - Total Expense: 195416, Program Service Expense: 182298, Management and General Expenses: 13118, Fundraising Expenses: ; Other Fees - Total Expense: 12206, Program Service Expense: 11387, Management and General Expenses: 819, Fundraising Expenses: ; INDIANA HEALTH INFO EXCHANGE INC 846 N SENATE AVE INDIANAPOLIS IN 46202 364550324 HEALTHCARE IN 501(c)(3) Type I NA false IU HEALTH INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 351955872 HEALTHCARE IN 501(c)(3) 3 NA false IU HEALTH ARNETT INC 950 N MERIDIAN STREET Suite 300 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