SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
Indiana University Health Inc
 
Employer identification number

35-1955872
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		0 36,746 53,492,433 0 53,492,433 1.14 %
b Medicaid (from Worksheet 3, column a) . . . . . 0 142,733 1,425,990,820 846,577,743 579,413,077 12.39 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . . 0 0 0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 179,479 1,479,483,253 846,577,743 632,905,510 13.53 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 14 116,165 27,681,886 3,866,548 23,815,338 0.51 %
f Health professions education (from Worksheet 5) . . . 5 5,624 80,553,366 20,690,048 59,863,318 1.28 %
g Subsidized health services (from Worksheet 6) . . . . 2 21,915 38,764,691 27,263,351 11,501,340 0.25 %
h Research (from Worksheet 7) . 1 166,452 83,110   83,110 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 4 79,174 5,853,255 983,915 4,869,340 0.10 %
j Total. Other Benefits . . 26 389,330 152,936,308 52,803,862 100,132,446 2.14 %
k Total. Add lines 7d and 7j . 26 568,809 1,632,419,561 899,381,605 733,037,956 15.67 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 0 0 0 0 0 0 %
2 Economic development 1 1 250,000 0 250,000 0.01 %
3 Community support 0 0 0 0 0 0 %
4 Environmental improvements 0 0 0 0 0 0 %
5 Leadership development and
training for community members		 1 1 25,000 0 25,000 0 %
6 Coalition building 2 356,650 3,300 0 3,300 0 %
7 Community health improvement advocacy 0 0 0 0 0 0 %
8 Workforce development 1 2,617 55,354 0 55,354 0 %
9 Other 0 0 0 0 0 0 %
10 Total 5 359,269 333,654 0 333,654 0.01 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
15,869,263
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
336,851,194
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
446,420,469
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-109,569,275
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1BELTWAY SURGERY CENTERS LLC
  		AMBULATORY SURGERY CENTER 25.91 %   48.81 %
2SENATE STREET SURGERY CENTER LLC
  		AMBULATORY SURGERY CENTER 26.21 %   48.61 %
3INDIANA ENDOSCOPY CENTERS LLC
  		AMBULATORY SURGERY CENTER 26.01 %   24.6 %
4ROC SURGERY LLC
  		AMBULATORY SURGERY CENTER 29.7 %   41.77 %
5BALL OUTPATIENT SURGERY CENTER LLC
  		AMBULATORY SURGERY CENTER 28.18 %   32.58 %
6IU Health SW Fort Wayne ASC LLC
  		AMBULATORY SURGERY CENTER 29.55 %   45.16 %
7
8
9
10
11
12
13
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 INDIANA UNIVERSITY HEALTH
1701 N SENATE BLVD
INDIANAPOLIS,IN46202
HTTPS://IUHEALTH.ORG/
23-005051-1 		X X X X   X X   SEE PART V, SECTION C FOR ADDITIONAL INFORMATION  
Schedule H (Form 990) 2022
Page 4
Schedule H (Form 990) 2022
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
INDIANA UNIVERSITY HEALTH
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTPS://IUHEALTH.ORG/IN-THE-COMMUNITY/COMMUNITY-BENEFIT
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2022
Page 5
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
INDIANA UNIVERSITY HEALTH
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTPS://IUHEALTH.ORG/PAY-A-BILL/FINANCIAL-ASSISTANCE
b
HTTPS://IUHEALTH.ORG/PAY-A-BILL/FINANCIAL-ASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Page 6
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
INDIANA UNIVERSITY HEALTH
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Page 7
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
INDIANA UNIVERSITY HEALTH
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Page 8
Schedule H (Form 990) 2022
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3E IU HEALTH'S 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORTS INCLUDE PRIORITIZED DESCRIPTIONS OF SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. THE CHNA REPORTS IDENTIFIED THE FOLLOWING NEEDS TO BE ADDRESSED: - ACCESS TO HEALTH CARE SERVICES - Chronic disease and chronic disease management - DRUG AND SUBSTANCE ABUSE - Food insecurity and healthy eating - Health education and navigation - Maternal and infant health and child well-being - MENTAL HEALTH - Obesity, diabetes and physical inactivity - Smoking, tobacco use and exposure to secondhand smoke - SOCIAL DETERMINANTS OF HEALTH - Aging population and needs of seniors
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - IU Health Methodist Hospital, IU Health University Hospital, and Riley Hospital for Children. IU Health operates four hospital locations that are licensed as a single hospital by the Indiana State Department of Health. These hospital locations are as follows: - IU Health Methodist Hospital - IU Health University Hospital - Riley Hospital for Children at IU Health - IU Health Saxony Hospital IU Health Methodist Hospital, IU Health University Hospital, and Riley Hospital for Children are located in Indianapolis, Marion County, Indiana and are referred to as the IU Health Academic Health Center. IU Health Saxony Hospital is located in Fishers, Hamilton County, Indiana. Although licensed as a single hospital, each of these facilities serve different, although sometimes overlapping, portions of the community which present their own unique health needs. In order to take into account all of these unique health needs, IU Health conducted separate Community Health Needs Assessments ("CHNAs") for each of its four hospital locations. In conducting each of its most recent CHNAs from January 2021 through December 2021, IU Health took into account input from persons who represent the broad interests of the communities it serves by hosting four community focus groups and conducting interviews. These focus groups engaged public health officials and community-based organizations that provide services and/or reflect community members who are medically underserved, low-income, or of a minority subpopulation to discuss the health needs of the service area and what role IU Health could play in addressing the identified needs. IU Health Academic Health Center The defined community per the most recent CHNA is Marion County, where the hospital resides. Marion County - Community Meetings and Interviews In collaboration with other local health systems - Ascension St. Vincent (Indianapolis) and Community Health Network - four virtual, community meetings were held May 25-27, 2021, to receive input from stakeholders regarding the health needs in Marion County. In total, the meetings were attended by 53 community organizations that provide services and/or reflect community residents who are under or uninsured; with undocumented status; older; Limited English Proficient; low-income; use or inject drugs; experience homelessness; Black, Indigenous, and people of color; LGBTQ; and populations impacted greatly by non-medical barriers of health such as poverty, food access and affordable housing. * Allen Chapel AME Church * Anthem Medicaid * Broadway United Methodist Church * City-County Council staff * City of Indianapolis, Division of Community Nutrition and Food Policy * Coalition for Our Immigrant Neighbors * Concerned Clergy of Indianapolis * Connections IN Health, Indiana Clinical and Translational Sciences Institute (CTSI), Indiana University School of Medicine * Covering Kids & Families of Indiana * Crossroads AME Church/Common Grounds Institute * First Baptist Church North Indianapolis * Gennesaret Free Clinic * Gleaners Food Bank of Indiana * Habitat for Humanity of Greater Indianapolis * Health by Design * Horizon House * Immigrant Welcome Center * Indiana Legal Services * Indiana Native American Indian Affairs Commission * Indiana Public Health Association * Indiana Department of Health * Indiana University Richard M. Fairbanks School of Public Health * Indianapolis City Council * Indianapolis Neighborhood Housing Partnership * Indianapolis Urban League * Indy Go * Indy Hunger Network * Jump IN for Healthy Kids * Marian University/College of Osteopathic Medicine * Marion County Public Health Department * Managed Health Services (MHS) Neighborhood Christian Legal Clinic * Nine13sports * Nurse Family Partnership of Goodwill of Central and Southern Indiana * Pathway to Recovery * Playworks * Raphael Health Center, Inc. * Richard M. Fairbanks Foundation * The Julian Center * United States Congress, Representative Andre Carson (staff) * University of Indianapolis * YMCA of Greater Indianapolis/Top 10 Coalition
Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - IU Health Methodist Hospital, IU Health University Hospital, and Riley Hospital for Children(continued). Secondary data and a preliminary list of community health need priorities were presented at the meetings. Each group was then asked questions about the preliminary list, including their reactions, additions to the proposed needs, thoughts regarding the causes of the needs, impacts of the COVID-19 pandemic and others. After this discussion, participants were given the opportunity to make additional comments before being asked to vote on what they believed were the most significant needs in the county. Participants were asked to choose three to five significant health needs via an online poll during and after the meeting. Preliminary needs identified include a wide-array of topics, including the COVID-19 pandemic, food insecurity, maternal and child health, racial and ethnic disparities, mental health and access to mental health providers, obesity and physical inactivity, poverty, educational achievement, housing, crime and community safety, public health funding and others. In addition to these topics, participants focused discussion around substance abuse and treatment, transportation barriers, culturally appropriate care and services (including language barriers), affordability of healthy food, smoking and tobacco use, access to and cost of primary care, health insurance, preventive health services, lack of providers within high-need areas, childcare, chronic conditions (including diabetes and hypertension), navigating existing resources, dental health needs, child health, job opportunities and trainings, technology barriers and digital-divide, post incarceration resources and social connectedness. For those unable to attend community meetings, a separate survey was distributed to receive their input on the most significant needs. These findings were combined with those of the community meeting participants. From this process, participants identified the following needs as most significant for Marion County: *RACIAL AND ETHNIC HEALTH DISPARITIES *OBESITY CONTINUES TO BE AN ISSUE, AS WELL AS DIABETES, WITH RATES INCREASING FOR ADULTS. *INFANT AND MATERNAL MORTALITY ARE SIGNIFICANT ISSUES, WITH SOCIAL DETERMINANTS OF HEALTH IMPACTING ACCESS TO PRENATAL CARE AND OTHER NEEDED SERVICES. *HIV (HUMAN IMMUNODEFICIENCY VIRUS) IS STILL A CONCERN, WITH SOME HOPE THAT THE DISEASE CAN BE ERADICATED WITHIN THE NEXT DECADE THROUGH MODERN MEDICINE AND PREVENTION STRATEGIES SUCH AS PREP (PRE-EXPOSURE PROPHYLAXIS). *TOBACCO AND VAPING ARE ISSUES, WITH A LOW CIGARETTE TAX IN INDIANA HELPING PERPETUATE ITS USE. *ENVIRONMENTAL HEALTH - INCLUDING OLD HOUSING AND AIR POLLUTION - IS LEADING TO POOR HEALTH, INCLUDING LEAD POISONING, ARSENIC POISONING AND PEDIATRIC ASTHMA. THE NEED FOR SAFE AND STABLE HOUSING IS SIGNIFICANT. *HEALTH LITERACY IS A NEED, PARTICULARLY AFFECTING HISPANIC (OR LATINO) POPULATIONS DUE TO LANGUAGE BARRIERS. EDUCATION DISPARITIES AROUND HEALTH ARE ALSO LEADING TO GENERATIONAL PERSISTENCE OF HEALTH DISPARITIES FOR RACIAL AND ETHNIC MINORITY POPULATIONS. *ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES *FOOD INSECURITY AND ACCESS TO AFFORDABLE, HEALTHY FOOD *ACCESS TO SAFE AND AFFORDABLE HOUSING *MENTAL HEALTH *POVERTY AND ASSOCIATED COMMUNITY NEED A survey was also issued to internal providers at IU Health Methodist Hospital, asking them to identify priority needs among the patients they serve. Among 12 responses, the following issues were identified as the most significant: * Food insecurity and nutrition * Health disparities, particularly for racial and ethnic minority populations * Mental health * Poverty and income inequality The survey also asked about the impacts of the COVID-19 pandemic. Issues most often selected as significant impacts include: * Social isolation and loneliness * Health disparities * Digital divide (lack of internet or device access) * Economic disparities * Housing (inability to stay sheltered or pay rent/mortgage) Two additional interviews were conducted in May 2021 with representatives of the county public health department and minority health organization to obtain subject-matter expertise into the health needs in Marion County. The following issues were discussed as significant: * Poverty is a significant issue and impacts almost all areas of wellbeing, including housing, accessing health services, nutrition, stress and mental health, chronic disease, transportation and others. The need for a living wage for all residents is significant. * Health disparities are significant, including large disparities in social determinants of health for racial and ethnic minority populations. * Health insurance is a significant barrier to optimal health, with restrictions in coverage leading to a lack of preventive health. * Mental health is a significant issue, with depression and anxiety both widespread. Self-medication through substance abuse is common. * Obesity continues to be an issue, as well as diabetes, with rates increasing for adults. * Infant and maternal mortality are significant issues, with social determinants of health impacting access to prenatal care and other needed services. * HIV (human immunodeficiency virus) is still a concern, with some hope that the disease can be eradicated within the next decade through modern medicine and prevention strategies such as PrEP (pre-exposure prophylaxis). * Tobacco and vaping are issues, with a low cigarette tax in Indiana helping perpetuate its use. Environmental health - including old housing and air pollution - is leading to poor health, including lead poisoning, arsenic poisoning and pediatric asthma. The need for safe and stable housing is significant. * Health literacy is a need, particularly affecting Hispanic (or Latino) populations due to language barriers. Education disparities around health are also leading to generational persistence of health disparities for racial and ethnic minority populations. * Food insecurity is significant, and food pantries may have irregular hours and face huge demand. * Education needs better funding, including adequate teacher compensation. * More community collaboration is needed with health systems and social service providers to identify community improvement and planned interventions.
Schedule H, Part V, Section B, Line 5 Facility , 3 Facility , 3 - IU Health Saxony Hospital. In regard to the COVID-19 pandemic, a wide array of impacts was noted, including: Testing was a large challenge at the beginning of the COVID-19 pandemic, due to inadequate federal resources and other limits. * The COVID-19 pandemic highlighted the impact of social determinants of health, as people experiencing homelessness faced huge concerns due to the inability to socially distance in shelters and access care. Hotels were turned into isolation areas for patients with COVID-19. Racial and ethnic disparities in testing, treatment and outcomes were highlighted by the COVID-19 pandemic. Elderly Black residents were particularly affected. * Care was delayed for a lot of individuals due to fear of going to a provider and being exposed to the virus, leading to unmet needs and emergency situations. * Community collaboration among providers led to a better response, including health systems offering testing and other aid to public health organizations. More collaboration and coordination will be needed in the future. * Vaccination disparities are evident, with Black populations disproportionately unable to access the vaccine if desired. * The need for better health information sharing (including the identification of health disparities) between organizations. IU Health Saxony Hospital The defined community per the most recent CHNA is Marion, Hamilton, Hancock and Madison Counties. The hospital resides in Hamilton County. Marion County - Community Meetings and Interviews (See above information) Hamilton County - Community Meetings and Interviews In collaboration with other local health systems - Ascension St. Vincent, Community Health Network and Riverview Health - two community meetings were held on May 20 (morning and afternoon), 2021, to receive input from stakeholders regarding the health needs in Hamilton County. The meetings were attended by 82 community organizations that provide services and/or reflect community residents who are under or uninsured; with undocumented status; older; Limited English Proficient; low-income; use or inject drugs; experience homelessness; Black, Indigenous, and people of color; LGBTQ; and populations impacted greatly by non-medical barriers of health such as poverty, food access and affordable housing. * Allen Chapel AME Church * Anthem Medicaid * Ascension St. Vincent * Aspire Indiana Health * Breathe Easy Hamilton County * Broadway United Methodist Church * Carmel Clay Schools * Central Indiana Council on Aging (CICOA) * City-County Council staff City of Indianapolis * City of Indianapolis, Division of Community Nutrition and Food Policy * City of Noblesville * Coalition for Our Immigrant Neighbors * Community Health Network * Concerned Clergy of Indianapolis * Connections IN Health, Indiana Clinical and Translational Sciences Institute (CTSI), Indiana University School of Medicine * Covering Kids & Families of Indiana * Crossroads AME Church/Common Grounds Institute * First Baptist Church North Indianapolis * Fishers Health Department * Gennesaret Free Clinic * Gleaners Food Bank of Indiana * Good Samaritan Network of Hamilton County * Habitat for Humanity of Greater Indianapolis * Hamilton County Community Foundation * Hamilton County Council on Alcohol and Other Drugs * Hamilton County Government * Hamilton County Harvest Food Bank * Hamilton County Head Start * Hamilton County Health Department * Hamilton County Meals on Wheels * Hancock County Health Department * Hancock Regional Hospital HAND, Inc. * Health by Design * Heart and Soul Free Clinic * HOPE Family Care Center * Horizon House * Immigrant Welcome Center * Indiana Legal Services * Indiana Native American Indian Affairs Commission * Indiana Public Health Association * Indiana Department of Health * Indiana University Richard M. Fairbanks School of Public Health * Indianapolis City Council Indianapolis Neighborhood Housing Partnership * Indianapolis Urban League * Indy Go * Indy Hunger Network * IU Health * IU Health Indy Suburban Region * IU Health Methodist Hospital * IU Health North Hospital * IU Health Saxony Hospital * IU Health University Hospital * Jump IN for Healthy Kids * Madison County Health Department * Marian University/College of Osteopathic Medicine * Marion County Public Health Department * Managed Health Services (MHS) * Neighborhood Christian Legal Clinic * Nine13sports * Noblesville Chamber of Commerce * Noblesville Schools * Noblesville Town Council * Nurse Family Partnership of Goodwill of Central and Southern Indiana * Pathway to Recovery * Playworks Prevail, Inc. * Prime Life Enrichment Purdue Extension * Raphael Health Center, Inc. * Richard M. Fairbanks Foundation * Riverview Health * Shepherd's Center of Hamilton County * Sheridan Community Schools * St. Elizabeth Seton Parish * The Julian Center * The Villages Health Families * Trinity Free Clinic * United States Congress, Representative Andre Carson (staff) * University of Indianapolis * YMCA of Greater Indianapolis/Top 10 Coalition Secondary data and a preliminary list of community health need priorities was presented at both meetings. Each group was then asked questions about the preliminary list, including their reactions, additions to the proposed needs, thoughts regarding the causes of the needs, impacts of the COVID-19 pandemic and others. After this discussion, participants were given the opportunity to make additional comments before being asked to vote on what they believed were the most significant needs in the county. Participants were asked to choose three to five significant health needs via an online poll during and after the meeting. Preliminary needs identified include several topics, including the COVID-19 pandemic, alcohol abuse, immunization rates, elderly needs, smoking and tobacco use, access to mental health services and statewide issues, such as health disparities and obesity. In addition to these topics, participants focused discussion on substance abuse and overdoses, mental health concerns, access to care disparities for various segments of the population, aging in place resources, transportation, limited clinical hours of providers, limited mental health providers, a continuum of care between various health services and food insecurity.
Schedule H, Part V, Section B, Line 5 Facility , 4 Facility , 4 - IU Health Saxony Hospital (continued). From this process, participants identified the following needs as most significant for Hamilton County: * Access to and supply of mental health providers, particularly for low-income populations Needs of a growing senior population, including aging in place and cognitive care * Mental health * Alcohol use and excessive drinking * Access to care disparities, particularly for low-income populations A survey was also issued to internal providers at IU Health that serve Hamilton County, asking them to identify priority needs among the patients they serve. The following issues were identified as the most significant: * Healthcare and services for elderly residents * Mental health * Substance abuse * Access to healthcare services * Obesity Access to behavioral health services, including mental health and substance abuse The survey also asked about the impacts of the COVID-19 pandemic. Issues most often selected as significant impacts include: * Loss of health insurance * Social isolation and loneliness * Health disparities Two additional interviews were conducted with representatives of local public health departments to obtain subject-matter expertise into the health needs in Hamilton County. The following issues were discussed as significant: * Access to behavioral health services - both mental health and substance abuse - is a significant need, with few providers in the area and primary care physicians not often integrating behavioral health checks into care (a large increase in population has led to an undersupply of providers) * Mental health concerns are widespread, including an increase in child mental health needs (youth struggle with high expectations and stress in school) * Substance abuse and overdoses are significant concerns, with opioid usage being widespread (alcohol abuse is also common) * Transportation is a barrier in the community, with limited public options and routes * Insurance barriers are significant, with uninsured populations having few options and providers not accepting certain plans, such as Medicaid (while free and low-cost clinics exist, they cannot keep up with demand) * Food insecurity and access to healthy food is challenging for some groups, exacerbated by poverty and transportation (low-income housing is also limited) * The working poor often are vulnerable as they do not qualify for many programs but still live paycheck to paycheck (while Hamilton County compares well for poverty, the needs of low-income populations are often overlooked due to this, creating pockets of need) * Prevention is not a priority for most, and more programs and access to preventive health are needed * Sexually transmitted infections are an issue, particularly chlamydia * Cultural differences led to unmet needs for several immigrant communities including language barriers * LGBTQ+ populations are also underserved, often feeling uncomfortable going to available providers * Public health funding is limited, and service levels are impacted due to financial constraints * Time is a big barrier to optimal health, as parents are often too busy with work and children to pursue healthy living measures * More collaboration is needed between health systems, health departments, providers and social service organizations In regard to the COVID-19 pandemic, a wide array of impacts was noted, including: * A lack of resources at local health departments - both funding and staff - led to difficulties throughout the pandemic, and many other services were foregone to focus on the pandemic (a need for a more robust public health infrastructure is highlighted) * The politicization of public health was widespread, and many guidelines and measures were met with criticism * Mental health issues worsened due to isolation, with children at particular risk * STI rates rose substantially * The pandemic highlighted the need for accurate health information, and providers need to focus on maintaining communication after COVID-19 Hancock County - Interview An interview was conducted with representatives of a local public health department to obtain subject-matter expertise into the health needs in Hancock County. Participants were asked to comment on a list of unfavorable health indicators, add other needs to significant indicators and discuss barriers and resources. The following issues were discussed as significant: * Participants were not surprised about the unfavorable secondary data indicators, including drunk-driving deaths, transportation, STIs, lack of social associations, obesity and access to mental health providers (in particular, a lack of mental health providers has been a consistent issue) * While there are areas to exercise, the built environment makes them difficult to access, including a lack of sidewalks and a high number of cycling accidents * Cost of healthcare is a significant issue, as well as the cost to access exercise opportunities * Mental health, obesity and physical inactivity, substance abuse, STIs and cost of healthcare services were identified as priority areas * A lack of knowledge of available resources is a barrier, as well as intrinsic motivation to improve one's health (navigation resources are needed) * Transportation is a significant barrier in the community, with limited access to public options and most traveling outside the county for work * Mental health stigma, while improving, is still a barrier * Health education, particularly for youth, is a significant need and could improve many health issues, such as obesity, mental health, substance abuse and chronic disease Madison County - Community Meeting and Interviews In collaboration with local health systems - Ascension St. Vincent and Community Health Network - a community meeting was held in June 10, 2021, to receive input from stakeholders regarding the health needs in Madison County. Secondary data and a preliminary list of community health need priorities was presented at the meeting. Each group was then asked questions about the preliminary list, including their reactions, additions to the proposed needs, thoughts regarding the causes of the needs, impacts of the COVID-19 pandemic and others. After this discussion, participants were given the opportunity to make additional comments before being asked to vote on what they believed were the most significant needs in the county. Participants were asked to choose three to five significant health needs via an online poll during and after the meeting. Preliminary needs identified include COVID-19, food insecurity, maternal and child health, mental health and suicide, elderly needs, obesity and physical inactivity, tobacco use, poverty, educational opportunities, housing, racial and ethnic health disparities statewide, air pollution and substance abuse. In addition to these topics, participants focused discussion on access to affordable healthy foods and nutrition knowledge, access to behavioral health providers (including mental health and substance abuse), vaping, homelessness, child abuse and trauma, transportation, walkability, childcare, chronic disease and health education needs. From this process, participants identified the following needs as most significant for Madison County: Mental health and suicide Access to healthy food, nutrition and knowledge of healthy eating practices Substance abuse Transportation and walkability Poverty Racial and ethnic health disparities
Schedule H, Part V, Section B, Line 5 Facility , 5 Facility , 5 - IU Health Saxony Hospital (continued). An additional interview was conducted with a representative of a local public health department to obtain subject-matter expertise into the health needs in Madison County. The following issues were discussed as significant: * Obesity is a significant issue, with food insecurity and a lack of grocery stores contributing * Smoking is still an issue, largely tied into Madison County's culture and identity as an older, factory area * Low birthweight is a significant issue (while a problem for all mothers, clear racial disparities exist for Black infants and relatedly, prenatal care is an issue) * More health education is needed, particularly for youth * Providers and social service organizations need better collaboration and efforts to go into the community rather than expect residents to come to them (coordination is often lacking) * Transportation is a significant barrier, with few public transportation options outside of Anderson * Health inequities and disparities are prevalent, particularly for Black and Hispanic (or Latino) residents (cultural and language barriers are present for Hispanic populations) * Access to mental health care is difficult despite an adequate number of providers due to other barriers and a lack of continuum of care * Navigation of resources is difficult, with residents often unsure of where to go to meet needs In regard to the COVID-19 pandemic, several impacts were noted, including: * Disparities in vaccine coverage and uptake are clear, particularly among Black residents * All services from the health department needed to focus on the pandemic, meaning a temporary halt of others was necessary * Some business closures and issues with unemployment resulted * More focus is needed on public information dissemination as many look to the local health departments for guidance (departments need to make sure they are seen in the community and maintain communication with all partners)
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - IU Health Methodist Hospital and IU Health University Hospital. IU Health Inc. includes IU Health Methodist Hospital, IU Health University Hospital, Riley Hospital for Children at IU Health, and IU Health Saxony Hospital. The first three hospitals make up the Academic Health Center (AHC). Along with the CHNA for each hospital listed above, IU Health Inc.'s Board adopted an implementation strategy in April 2022 for each hospital in response to the 2021 CHNAs (the most recently conducted CHNA). The 2022-2024 implementation strategy outlines how each hospital plans to address the significant needs identified in its respective CHNA, including initiatives, strategies, internal/external collaborators, anticipated impact, and hospital resources. IU Health Methodist Hospital and IU Health University Hospital - Significant Needs Hospital Will Address Below is the progress of the hospitals' implementation strategy by significant need and its respective initiative(s). The hospitals are addressing the following significant needs between 2022 and 2024: access to healthcare services; behavioral health; chronic disease and chronic disease management; smoking, tobacco use and exposure to secondhand smoke; and social determinants of health. Access to Healthcare Services * Provide vaccine clinics in under-resourced communities. In 2022, through 20 community outreach events, 7 of which included vaccines clinics, IU Health provided vaccines and screenings 1,537 times to community members including 203 vaccines (flu = 92, COVID booster = 111). IU Health worked with 10 community-based organizations, sometimes on multiple events, to promote and provide screenings and vaccines to community members who are underserved by healthcare resources, under/uninsured, from different racial and ethnic groups, and low-income. * Support community members accessing healthcare services regardless of their ability to pay. IU Health Methodist and University Hospital provides financial assistance to patients each year. Additionally, IU Health Patient Financial Counselors are certified Indiana Navigators. They can assist patients with information and help them with applications for various health coverage programs. * Support community-based organizations that help community members with lower incomes access healthcare services. In 2022, the community benefit grant program awarded funding to community-based organizations including Covering Kids and Families of Indiana, Gennesaret Free Clinic, LifeSmart Youth, and Raphael Health Center to provide access to healthcare services and help community members find healthcare coverage. Additional funding went to the National Coalition of 100 Black Women Indianapolis, Indy Pride, Indianapolis Urban League, and The Links to provide health education to community members in Marion County. All these organizations provide services to children and adults who are under/uninsured, from different racial and ethnic groups, and/or low-income. Behavioral Health * Further develop and implement Behavioral Health services into varied clinical settings. In 2022, IU Health's Zero Suicide program launched in all 15 emergency departments. As a result, 214,982 patients were screened for suicidal ideation. Of those screened, 236 were referred to a Zero Suicide therapist to receive services. Another 54 patients received referrals to partner organizations in the community. A Zero Suicide Patient and Family Advisory Council was also created in 2022 to help guide program development and had 5 active participants throughout the year. IU Health team members completed a total of 19,078 trainings on suicidal ideation in 2022. In November 2022, the Zero Suicide program was put on pause due to challenges related to staff turnover and lack of engagement. Services are anticipated to relaunch to EDs in 2023 and be expanded to the primary care setting during the same time frame. No referrals were received from Methodist/University. IU Health's Stigma Reduction Campaign hosted a total of 6 lunch and learn events in 2022. These events aimed to educate IU Health team members about a range of topics related to substance use disorder and behavioral health stigma. Trainings included focus on suicidal ideation, naloxone, and the science behind addiction. In total, these trainings had over 400 participants. In addition to lunch learns, the anti-stigma campaign also published 6 articles for team member education throughout the year, which centered around topics such as substance use disorder in rural communities and alcohol use during the holiday season. The Virtual Care Peer Recovery Coaching Program and ED virtual care program are currently implemented at IU Health Methodist and University Hospital, and patients are referred to the program through hospital clinicians. The program data is managed and overseen by the IU Health Behavioral Health team. * Support community-based organizations that help community members access behavioral health services. In 2022, the community benefit grant program awarded funding to community-based organizations including Reach for Youth, Volunteers for American Fresh Start Recovery Center, Allen Chapel A.M.E. Church, Indiana Latino Institute, and Mt. Carmel Church to provide behavioral health services to community members in Marion County. All these organizations provide services to children and adults who are under/uninsured, from different racial and ethnic groups, and/or low-income. Chronic Disease and Chronic Disease Management * Plan and implement cardiovascular health initiative that focuses on reducing hypertension, including health disparities in hypertension. In 2022, IU Health's Office of Health Equity Research & Engagement (HERE) worked on a funding proposal that focuses on reducing health inequities by partnering with community organizations to address CVD health determinants in three Indianapolis communities. IU Health, along with partners, will coordinate and conduct community-based interventions to connect individuals to CVD resources, including education and treatment. IU Health HERE will know the status of funding in 2023 and start implementation of the initiative if successful in securing funding. Smoking, Tobacco Use and Exposure to Secondhand Smoke * Further implement the Centralized Tobacco Treatment Program (CTTP) (provides patients access to evidence-based tobacco treatment). Between July 2021 to March 2022, training took place in all adult primary care clinics in the IU Health System on the CTTP program, including the availability of services and how to make referrals into the free program for patients. CTTP focuses on evidence-based tobacco cessation treatment to assist patients who are trying to quit smoking including referrals to trained Tobacco Treatment Specialist (TTP - UMass Center for Tobacco Treatment Research and Training program), access to Clickotine, and using Advance Practice Providers (APP) to evaluate and prescribe medication assisted therapy (MAT) for nicotine replacement. The APP coordinates MAT communications with the primary care providers. All other outpatient clinic providers/leaders were sent educational information about electronic medical record changes which included screening for all tobacco products and to continue to refer patients for treatment through the Indiana Tobacco Quit Line. In 2022, for the Academic Health Center, there were 656 referrals to the CTTP (75% of patients scheduled counseling with a TTP because of the referral; 52% of patients completed the session). A total of 449 people, including 41 in the CTTP, enrolled in Clickotine. Also, in 2022, IU Health offered two TTP training courses with a total of 42 participants (12 were non-IU Health employees). * Support community-based organizations that help community members quit smoking. In 2022, the community benefit grant program awarded funding to the Marion County Public Health Department and Smoke Free Indy's implementation of Tobacco Free Parents - Quitting for Two, a new tobacco support program for new or expecting families in the Indianapolis community. * Monitor state tobacco related policies. The Office of Government Affairs staff monitored state tobacco related policies introduced in the 2022 session of the Indiana General Assembly though significant progress was not made with legislation.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - IU Health Methodist Hospital and IU Health University Hospital (continued). Social Determinants of Health * Implement Medical-Legal Partnership (MLP) (collaborative intervention between hospital and legal aid professionals to assist patients and their families). In 2022, the IU University-Methodist MLP conducted eleven intake interviews for service. Of those cases, ten were selected/eligible for service (91%). At the end of this year, the MLP closed eleven cases. Of those cases, all eleven were provided legal advice or representation (100%). Case types included divorce/separation/annulment; private landlord tenant; and social security disability. * Launch the Mosaic Center for Work, Life and Learning as part of the Health District Initiative. During 2022 significant progress was made to launch the work of the Mosaic Center with a "mosaic" of services to support Indianapolis youth and adults in learning new skills, further their education, and chart pathways to meaningful careers at IU Health, other healthcare settings or beyond in the healthcare field. Eight team members were hired and onboarded to support implementation and programming and moved into temporary office space. The team spent a significant amount of time learning and adapting our initial integrated coaching model including the development of standard operating procedures and tools. The team hosted three quarterly meetings of partners to streamline communication and strengthen relationships to meet the needs of Center members. The team served 209 adults and youth including the two cohorts of the high school fellowship program, 74 Medical Assistant certification program participants, 51 individuals earning job shadow or employment offers at hiring fairs and 24 new integrated coaching members. * Host the Crispus Attucks Career Development Program as part of the Health District Initiative. The IU Health High School Fellowship at Crispus Attucks High School welcomed 45 new fellows to the program this spring out of 72 applications. Due to attrition, the program includes 23 juniors in cohort 1 (88% retention) and 40 sophomores in cohort 2 (89% retention). An overview of the student demographics is as follows: Cohort 1 - 43% Black, 57% Hispanic/Latino, 87% female, 78% qualify for free or reduced lunch; Cohort 2 - 60% Black, 33% Hispanic/Latino, 83% female, 83% qualify for free or reduced lunch. The project team engaged in an extensive program review with a focus on incorporating student and parent feedback, identifying key areas for engagement, and supporting students' exploration, exposure, and employment in a diverse range of healthcare careers. Subsequently, programmatic elements have been enhanced to provide high-touch, wrap-around services to ensure students and parents are engaged and supported including a code of conduct, parent nights, a covid vaccination clinic, and an introduction to community partners. The Indiana Clinical and Translational Sciences Institute and Center for Leadership Development continued to be key partners in social enrichment programming while burgeoning partnerships with Ivy Tech and Employ Indy are underway to provide students with coaching and career readiness skills. * Support affordable housing initiatives as part of the Health District Initiative. IU Health invested staff time (through education, advocacy, and strategic partnerships) in the development of housing initiatives to bring affordable and diverse housing options to IU Health employees and community residents. Efforts focused on three residential/commercial developments including Wesley Place (244 units), Hall Place (350 units), and Excelsior (80 units). * Support community-based organizations helping community members who are food insecure. In 2022, the community benefit grant program awarded funding to community-based organizations including Community Alliance of the Far Eastside (CAFE), Ivy Endowment, Inc., Gleaners, and Light of the World to provide food to individuals and families. All these organizations provide services to children and adults who are under/uninsured, from different racial and ethnic groups, and/or low-income. * Screen and connect patients to resources that address social needs. Staff effort has been spent identifying and incorporating a social determinants of health assessment tool into patient workflows and community outreach. The Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences (PRAPARE) will be the screening tool used by IU Health. Work has been done to ensure FindHelp.org is available to all patient-facing staff. In 2022, there were 4,879 patient/community users (457 were from Marion County) and 6,748 team member users (2,165 were from IU Health hospitals in Marion County). The top needs searched were food, paying for utilities, housing, and access to healthcare/behavioral health services. * Launch Integrated Social Work Initiative in IU Health clinical settings. Integrated Social Work (ISW) virtually assists providers and patients with urgent complex situations such as abuse and neglect concerns, domestic violence, housing insecurity and social barriers to care. This team of licensed social workers is skilled in assessing and identifying social determinants of health, providing resources and making recommendations that are unique to the patient and their circumstances. ISW provides urgent medical social work services through an iPad cart to all primary care clinics throughout the system. Between March 2022 and December of 2022, in person training took place in all adult and pediatric primary care clinics. ISW performed 335 urgent consultations across the system between March and December of 2022. * Further implement the Congregation Care Network (CCN) (a program that connects patients to a congregation and community volunteers to provide companionship and other resources). CCN partners with congregations to address social isolation in the community. CCN works with individuals of all faiths, including those who do not have a faith community. Congregation volunteers, called connectors, attend training to learn the process and how to engage with our patients. Patients enrolled in the program will journey with a connector from their community. The connector connects with the patient for an hour for 12 weeks. During this time, the connector will listen to the patient's needs and concerns, connect patients to community resources, and help patients navigate the healthcare system. If connectors notice a patient has social work needs, they can refer the patient to a CCN LCSW who assists the patient to get the care they need. In 2022 for the Academic Health Center, there were 129 patients enrolled in CCN. Thirty-five of these patients completed or re-enrolled in CCN after their 12-week period. Additionally, in 2022, 67 connectors were trained to engage with our patients. * Advance community collaborations and interventions with support from the IU Health Foundation Community Impact Investment Fund (CII). Information about the 2022 CII funding opportunity was widely shared in Marion County; multiple project and partnership ideas were reviewed that would impact Marion County. The following community partners received funding for 2022 in Marion County: Gleaners Food Bank/American Heart Association/Purdue University Center for Health Equity & Innovation; Center for Interfaith Cooperation/IU Health Congregational Care Network; Peace Learning Center; Indianapolis Foundation Housing to Recovery; Indianapolis Public Transportation Foundation; and Aspire Higher Foundation. The awards focused on addressing food insecurity, health disparities, social isolation, housing for people experiencing homelessness and substance use disorders, transportation for people with disabilities, and community and social context. * Collaborate with community-based organizations to complete employee volunteer service projects that address CHNA-defined health priorities. With over 850 volunteers and 13 unique projects to choose from, team members tracked around 3,050 hours and worked with several community organizations in Central Indiana. The projects focused on priority community health needs including social determinants of health (neighborhood improvements, food insecurity, and education), access to healthcare, accessibility.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - Riley Hospital for Children at Indiana University Health. Riley Hospital for Children at IU Health - Needs Being Addressed Below is the progress of the hospital's implementation strategy by significant need and its respective initiative(s). Riley Hospital for Children at IU Health is addressing the following significant needs between 2022 and 2024: Access to Healthcare Services; Behavioral Health; Chronic Disease and Chronic Disease Management; Maternal and Infant Health and Child Well-being; Smoking, Tobacco Use and Exposure to Secondhand Smoke; and Social Determinants of Health. Access to Healthcare Services * Provide vaccine clinics in under-resourced communities. In 2022, through 20 community outreach events, 7 of which included vaccines clinics, IU Health provided vaccines and screenings 1,537 times to community members including 203 vaccines (flu = 92, COVID booster = 111). IU Health worked with 10 community-based organizations, sometimes on multiple events, to promote and provide screenings and vaccines to community members who are underserved by healthcare resources, under/uninsured, from different racial and ethnic groups, and low-income. * Support community members accessing healthcare services regardless of their ability to pay. Riley Hospital for Children provides financial assistance to patients each year. Additionally, IU Health Patient Financial Counselors are certified Indiana Navigators. They can assist patients with information and help them with applications for various health coverage programs. * Support community-based organizations that help children and families with lower incomes access healthcare services. In 2022, the community benefit grant program awarded funding to community-based organizations including Covering Kids and Families of Indiana, Gennesaret Free Clinic, LifeSmart Youth, and Raphael Health Center to provide access to healthcare services and help community members find healthcare coverage. Additional funding went to the National Coalition of 100 Black Women Indianapolis, Indy Pride, Indianapolis Urban League, and The Links to provide health education to community members. All these organizations provide services to children and adults who are under/uninsured, from different racial and ethnic groups, and/or low-income. Behavioral Health * Further develop and implement Behavioral Health services into varied clinical settings. The hospital committed to creating a statewide pediatric behavioral health strategic plan, which will be introduced and launched in 2023. In 2022, work was done to identify current services and program; identify gaps; prioritize existing services and new models of care; and review and identify policy and legislative effort to support the strategic plan. Chronic Disease and Chronic Disease Management * Continue to support Jump IN for Healthy Kids (a community wide, multi-sector effort to give children and families opportunities to make healthy choices). In 2022, the organization received a community benefit grant to support three focus areas for systems change in central Indiana: early childhood education, schools and healthy food access. Work will be done to embed nutrition and physical activity best practices into the policies, culture and day-to-day children's behavior. Also, work will be done to increase access to healthy, affordable food, as food is the primary factor contributing to a healthy weight. Maternal and Infant Health and Child Well-being * Contribute leadership and expertise to maternal, child and fetal mortality review committees in Marion County and the state. In 2022, there were nine team members who participated in the Indianapolis Health Babies Fetal Infant Mortality Review Program. In 2022, about 20 team members participated in Indiana's Perinatal Quality Improvement Collaborative's seven task forces which met a total of 48 times in 2022. Some team members participate on multiple task force. * Continue and expand home-monitoring program for pediatric patients and families. The hospital continues to provide a single ventricle home monitoring program, allowing families to take their babies home, while still providing personalized, specialized medical attention. * Implement We Care Plus (program connecting women and new mothers to resources to address social needs and maternal health). In 2022, IU Health continued serving women and infants through the WeCare program, which expanded to 8 sites across the Indianapolis metropolitan area. WeCare, Community Health Workers (CHW) offer perinatal support to address patients' unmet social services needs such access to healthy food, transportation to medical appointments, newborn essentials like diapers and bottles, and more. Additionally, CHWs provide education on safe sleep practices, breastfeeding, and contraception. Approximately 160 women (46% Black) enrolled in WeCare and 102 babies were born. Maternal outcomes included fewer meals skipped, reduced anxiety, and increased intent to breastfeed; infant outcomes included healthy birth weights. * Implement Cradle Indianapolis (collaborative effort between partners working across sectors to reduce infant mortality). In October 2022, the Director for the program was hired, provided onboarding, and met with internal and external stakeholders. * Maintain Level IV in the Indiana Department of Health Indiana Perinatal Levels of Care Program. The Indiana Department of Health has certified Riley Hospital for Children at OB Level IV and Neo IV. * Maintain the Pediatric Community Outreach Mobile Education (PCOME) team and enhance its efforts to support community hospitals' emergency readiness to treat ill and injured children. The PCOME team conducted in situ simulation visits at five different community hospital emergency departments in the state. This iteration aimed to improve the quality of pediatric acute care provided in a simulated setting and shared guidelines and resources with these hospitals. About 100 providers were included in this iteration. The goal of expanding the sites to a total of 20 sites was not accomplished given the lack of funding or mechanism to sustain this work and expand it further.
Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - Riley Hospital for Children at Indiana University Health (Continue). Smoking, Tobacco Use and Exposure to Secondhand Smoke * Further implement the Centralized Tobacco Treatment Program (CTTP) (provides patients access to evidence-based tobacco treatment). Between July 2021 to March 2022, training took place in all adult primary care clinics in the IU Health System on the CTTP program, including the availability of services and how to make referrals into the free program for patients. In 2022, for the Academic Health Center, there were 656 referrals to the CTTP (75% of patients scheduled counseling with a TTS because of the referral; 52% of patients completed the session). A total of 449 patients, including 41 in the CTTP, enrolled in Clickotine. Also, in 2022, IU Health offered two TTS training courses with a total of 42 participants (12 were non-IU Health employees). * Support community-based organizations that help youth quit smoking. In 2022, the community benefit grant program awarded funding to the Marion County Public Health Department and Smoke Free Indy's implementation of Tobacco Free Parents - Quitting for Two, a new tobacco support program for new or expecting families in the Indianapolis community. Social Determinants of Health * Implement Medical-Legal Partnership (MLP) (collaborative intervention between hospital and legal aid professionals to assist patients and their families). In 2022, the IU Health Riley MLP conducted eight intake interviews for service. Of those cases, all eight were selected/eligible for service (100%). At the end of this year, the MLP closed eight (8) cases. Of those cases, eight (8) were provided legal advice or representation (100%). Case types included public housing; minor guardianship/conservatorship; private landlord tenant; and social security disability. * Host the Crispus Attucks Career Development Program as part of the Health District Initiative. The IU Health High School Fellowship at Crispus Attucks High School welcomed 45 new fellows to the program this spring out of 72 applications. Due to attrition, the program includes 23 juniors in cohort 1 (88% retention) and 40 sophomores in cohort 2 (89% retention). An overview of the student demographics is as follows: Cohort 1 - 43% Black, 57% Hispanic/Latino, 87% female, 78% qualify for free or reduced lunch; Cohort 2 - 60% Black, 33% Hispanic/Latino, 83% female, 83% qualify for free or reduced lunch. The project team engaged in an extensive program review with a focus on incorporating student and parent feedback, identifying key areas for engagement, and supporting students' exploration, exposure, and employment in a diverse range of healthcare careers. Subsequently, programmatic elements have been enhanced to provide high-touch, wrap-around services to ensure students and parents are engaged and supported including a code of conduct, parent nights, a covid vaccination clinic, and an introduction to community partners. The Indiana Clinical and Translational Sciences Institute and Center for Leadership Development continued to be key partners in social enrichment programming while burgeoning partnerships with Ivy Tech and Employ Indy are underway to provide students with coaching and career readiness skills. * Maintain the Medical Physician Engineers, Scientists, and Clinicians Preparatory program (MPESC-Prep). This program seeks to increase and diversify the physician-scientist workforce by recruiting diverse high school and college students into STEM opportunities for professional development and mentorship with the end goal of preparing future physician-scientists, physician-engineers, biomedical researchers and clinical care providers. High school students are selected from public schools in the greater Indianapolis area. Undergraduate students are selected from three partner colleges/universities. Many students are placed with faculty mentors in laboratories, primarily at the Herman B Wells Center for Pediatric Research. The center brings new discoveries of care to patients and families at Riley. * Support community-based organizations, including the on-site Riley Food Pantry, to help patients and other community members who are food insecure. Support community-based organizations helping community members who are food insecure. In 2022, the community benefit grant program awarded funding to community-based organizations including Community Alliance of the Far Eastside (CAFE), Ivy Endowment, Inc., Gleaners, and Light of the World to provide food to individuals and families. All these organizations provide services to children and adults who are under/uninsured, from different racial and ethnic groups, and/or low-income. Also, the Riley Food Pantry started not only offering food to team members in need, but patients and their families. * Launch Integrated Social Work Initiative in IU Health clinical settings. Integrated Social Work (ISW) virtually assists providers and patients with urgent complex situations such as abuse and neglect concerns, domestic violence, housing insecurity and social barriers to care. This team of licensed social workers is skilled in assessing and identifying social determinants of health, providing resources and making recommendations that are unique to the patient and their circumstances. ISW provides urgent medical social work services thru an iPad cart to all primary care clinics throughout the system. Between March 2022 and December of 2022, in person training took place in all adult and pediatric primary care clinics. ISW performed 335 urgent consultations across the system between March and December of 2022. * Advance community collaborations and interventions with support from the IU Health Foundation Community Impact Investment Fund (CII). Information about the 2022 CII funding opportunity was widely shared in Marion County; multiple project and partnership ideas were reviewed that would impact Marion County. The following community partners received funding for 2022 in Marion County: Gleaners Food Bank/American Heart Association/Purdue University Center for Health Equity & Innovation; Center for Interfaith Cooperation/IU Health Congregational Care Network; Peace Learning Center; Indianapolis Foundation Housing to Recovery; Indianapolis Public Transportation Foundation; and Aspire Higher Foundation. The awards focused on addressing food insecurity, health disparities, social isolation, housing for people experiencing homelessness and substance use disorders, transportation for people with disabilities, and community and social context. * Collaborate with community-based organizations to complete employee volunteer service projects that address CHNA-defined health priorities. With over 850 volunteers and 13 unique projects to choose from, team members tracked around 3,050 hours and worked with several community organizations in Central Indiana. The projects focused on priority community health needs including social determinants of health (neighborhood improvements, food insecurity, and education), access to healthcare, accessibility. Riley Hospital for Children at IU Health - Needs Not Being Addressed Riley Hospital for Children at IU Health is not addressing the significant need, Health Education and Navigation. Health education and navigation refers to services and resources that are available in the community, but people do not know how to get connected to them (e.g., how to obtain health insurance, understanding insurance benefits, navigating the healthcare system, language barriers and health literacy). Riley Hospital for Children at IU Health perceives this health need as being addressed under many initiatives in Access to Healthcare Services. Riley Hospital for Children at IU Health will monitor this need to see if there are changes or opportunities in the future to address it further.
Schedule H, Part V, Section B, Line 11 Facility , 5 Facility , 5 - IU Health Saxony Hospital. IU Health Saxony Hospital - Needs Being Addressed Below is the progress of the hospital's implementation strategy by significant need and its respective initiative(s). IU Health Saxony Hospital is addressing the following significant needs between 2022 and 2024: Access to Healthcare Services; Aging Population and Needs of Seniors; Behavioral Health; Chronic Disease and Chronic Disease Management; Smoking, Tobacco Use and Exposure to Secondhand Smoke; and Social Determinants of Health. Access to Healthcare Services * Support the Trinity Free Clinic (free medical clinic providing healthcare services in the community). In 2022, IU Health Saxony provided a grant to reduce language barriers at Trinity Free Clinic. Grant dollars were used to purchase virtual interpreting services to allow clinic staff and volunteers to provide informed consent, complete patient intake forms and provide quality medical visits to un/underinsured non-English speaking patients. Over 2,000 patients used the language services. * Support Heart & Soul Clinic's operations (free medical clinic providing healthcare services in the community). - IU Health Saxony provided a grant to increase language services and access to quality healthcare at Heart & Soul Clinic. Grant dollars were used for the continuation of Language Line services as well as for hiring Spanish-speaking staff to communicate with patients. There were over 1,100 patient visits in 2022. Approximately 70 percent of these patients were non-English-speaking and used the Language Line services. * Support community members accessing healthcare services regardless of their ability to pay. In 2022, IU Health Saxony supported several local free/low-cost clinics to improve health access among low-income and un/underinsured community members in Hamilton County. IU Health Saxony supported Trinity Free Clinic, Heart & Soul Clinic and HOPE Family Care Center to ensure that individuals could access healthcare regardless of financial constraints. In 2022, Trinity Free Clinic provided over 15,000 low-cost patient visits, Heart & Soul Clinic provided 1,155 low-cost patient visits, and 175 patients received free women's health services at HOPE Family Care Center. * Provide vaccine clinics in the community. In 2022, IU Health Saxony community outreach and staff hosted ten flu/Covid-19 vaccine clinics in Hamilton County, resulting in 610 flu vaccines and 325 Covid-19 vaccines. Several of the clinics were held in underserved communities, such as food pantries and rural locations to increase vaccine access among hard-to-reach populations. In addition, many of the clinics were offered specifically to seniors and older adults to help protect the populations who are the most at-risk. Aging Population and Needs of Seniors * Support the Shepherd's Center of Hamilton County's (SCHC) geriatric counseling program (offers virtual, outpatient and home-based therapy to improve mental well-being among seniors). In 2022, IU Health Saxony provided a grant to support the growth of SCHC's geriatric counseling program. During the grant year, 344 counseling sessions were completed. 28% of clients were classified as extremely low income (under the federal poverty line) and 44% were classified as low income (between the poverty line and 185% of the poverty line). After involvement in the program for 90 days, clients reported that they had improved behavioral health symptoms, decreased feelings of isolation, and overall better quality of life. * Offer programming at the PrimeLife Enrichment (PLE) senior center. Community outreach and staff hosted three health education presentations pertaining to geriatric topics, such as memory care, oncology, and stroke awareness. 100% of attendees who completed post-program surveys reported that they had an increase in knowledge after the presentations. In addition, blood pressure screenings and two flu/Covid-19 vaccine clinics were hosted at PLE, resulting in 158 individuals vaccinated and nineteen individuals screened for hypertension. Behavioral Health Support Indiana Center for Prevention of Youth Abuse and Suicide (ICPYAS). - IU Health Saxony provided a grant to support free community youth abuse and suicide trainings throughout Hamilton County. Nearly 15,000 students across 16 Hamilton County schools completed the Child Lures body safety education program. 1,091 of these students were able to receive additional behavioral health support following the presentation. In addition, 177 adults completed the Stewards of Children child sexual abuse prevention training. 90% of attendees who completed the post-program evaluation stated that they are "very likely to take protective action necessary after training." 238 individuals completed QPR suicide prevention training. Those who completed program evaluation reported that the training increased their knowledge about suicide prevention on an average of 4.7 on a scale of 5. Support Hamilton County organizations that provide services for residents who are victims of crime, abuse and trauma or experience general behavioral health challenges. - In 2022, IU Health Saxony provided funding to Prevail of Central Indiana to provide safe and stable housing for individuals who have experienced crime or abuse. 85% of individuals who completed evaluations after receiving support indicated that they are now aware of more ways to plan for their physical and emotional safety. Additionally, 85% of individuals indicated that they are now aware of more options and resources available for how to deal with the circumstances that initially brought them to Prevail. Further implement the Virtual Care Peer Recovery Coaching Program (provides patients who have substance use concerns with virtual behavioral health services). - The Virtual Care Peer Recovery Coaching Program is currently implemented at IU Health North Hospital, and patients are referred to the program through hospital clinicians. Further implement the emergency department (ED) virtual care program (provides patients virtual access to behavioral health services). - The ED virtual care program is currently implemented at IU Health North Hospital, and patients are referred to the program through hospital clinicians. Chronic Disease and Chronic Disease Management Implement Fresh & Fit (a free 10-week fitness and nutrition program to improve overall physical and mental health). - In 2022, 70 Hamilton County community members completed the Fresh & Fit program, free of cost. Upon program completion, 77% of participants reduced their blood pressure levels, 75% of those with initial A1C measures at or above 5.7 lowered their measurements. In addition, a total of 948.1 pounds (average of 13.7 pounds per person) were lost between pre-program and post-program. On post-program assessments, over 94% of participants reported that they plan to further implement healthy habits by continuing a fitness and nutrition regimen into the future. Support Mudsock Youth Athletics (local community-based organization providing out-of-school recreational opportunities for youth). - In 2022, IU Health Saxony provided a grant to Mudsock Youth Athletics to support their Player-in-Need program, which offers scholarships to low-income families to enroll their children in recreational sports at a free or reduced cost. In addition, IU Health Saxony staff assembled over 800 first-aid kits that were donated to Mudsock Youth Athletics' coaches to ensure safety at sporting events and practices.
Schedule H, Part V, Section B, Line 11 Facility , 6 Facility , 6 - IU Health Saxony Hospital (continued). Smoking, Tobacco Use and Exposure to Secondhand Smoke Support the Tobacco Free Hamilton County Alliance (TFHC). - In 2022, IU Health Saxony supported the TFHC Community Conversation panel along with Trinity Free Clinic and the Hamilton County Health Department. The goal of this event was to increase knowledge surrounding the dangers and economic impact of tobacco, nicotine, and smokeless tobacco products. In addition, IU Health Saxony community outreach served on a monthly committee with Breathe Easy Hamilton County to discuss issues and solutions pertaining to tobacco and cessation. Further implement the Centralized Tobacco Treatment Program (CTTP) (provides patients access to evidence-based tobacco treatment). - The Centralized Tobacco Treatment Program (CTTP) program is currently implemented at IU Health Saxony Hospital, and patients are referred to the program through clinicians. The program data is managed and overseen by the IU Health Tobacco Collaborative team. In 2022, for the Indy Suburban Region (which includes IU Health Saxony), there were 11 referrals to the CTTP (64% of patients scheduled counseling with a TTS because of the referral; 55% of patients completed the session). A total of 449 patients, including 41 in the CTTP, enrolled in Clickotine. Social Determinants of Health Support Aspire Indiana Health (provides primary medical and behavioral healthcare and addresses non-medical barriers to health) - In 2022, IU Health Saxony provided a grant to support Aspire Indiana Health's Social Determinants of Health Certifications program that offers employment services, housing assistance and legal services for individuals at-risk for homelessness. 252 individuals received assistance, including career counseling, job search and placement, and opportunities to complete job certifications necessary to obtain occupations that provide sustainable income. Support access to healthy food and basic sustenance for families who are low-income and struggling to meet basic needs. - IU Health Saxony provided funding to the Fishers Farmers Market to implement the Fresh Bucks program, which allows Supplemental Nutrition Incentive Program (SNAP) recipients to purchase fresh, nutritious foods free of cost. Community members with SNAP were able to obtain 500 dollars' worth of market produce at no cost. In addition, IU Health Saxony Individual Solutions Coordinators assisted individuals and families who are low-income with enrollment in SNAP and Temporary Assistance to Needy Families (TANF) to increase the number of in-need community members who receive support. IU Health Saxony Hospital - Needs Not Being Addressed IU Health Saxony Hospital is not addressing the following significant needs between 2022 and 2024: health education and navigation and maternal and infant health and child well-being. Health Education and Navigation. Health education and navigation refers to services and resources that are available in the community, but people do not know how to get connected to them (e.g., how to obtain health insurance, understanding insurance benefits, navigating the healthcare system, language barriers and health literacy). IU Health Saxony Hospital perceives this health need as being addressed under many initiatives in Access to Healthcare Services. IU Health Saxony Hospital will monitor this need to see if there are changes or opportunities in the future to address it further. Maternal and Infant Health and Child Well-being. IU Health Saxony Hospital does not have a maternity unit, which prevents the implementation of significant efforts surrounding maternal and infant health. Additionally, there is limited infrastructure to support maternal and infant health, which are services offered at a different IU Health hospital in the same county.
Schedule H, Part V, Section B, Line 11 Facility , 7 Facility , 7 - IU Health Methodist Hospital and IU Health University Hospital (continued). IU Health Methodist Hospital and IU Health University Hospital - Significant Needs Not Being Addressed IU Health Methodist Hospital and IU Health University Hospital are not addressing the following significant needs between 2022 and 2024: health education and navigation and maternal and infant health and child well-being. Health Education and Navigation. Health education and navigation refers to services and resources that are available in the community, but people do not know how to get connected to them (e.g., how to obtain health insurance, understanding insurance benefits, navigating the healthcare system, language barriers and health literacy). IU Health Methodist Hospital perceives this health need as being addressed under many initiatives in Access to Healthcare Services. IU Health Methodist Hospital will monitor this need to see if there are changes or opportunities in the future to address it further. Maternal and Infant Health and Child Well-being. IU Health Methodist Hospital is located in downtown Indianapolis and is part of the downtown IU Health campus that also includes IU Health University Hospital and Riley Hospital for Children at IU Health. The latter hospital opened the Riley Hospital for Children Maternity Tower in November 2021. The new facility centralizes all maternity and newborn health services offered at the three downtown hospitals. For this reason, the health need will be addressed exclusively by Riley Hospital for Children at IU Health.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - INDIANA UNIVERSITY HEALTH. IN ADDITION TO FPG, IU HEALTH MAY TAKE INTO CONSIDERATION A PATIENT'S INCOME AND/OR ABILITY TO PAY IN THE CALCULATION OF A FINANCIAL ASSISTANCE AWARD.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - INDIANA UNIVERSITY HEALTH. IU Health takes into consideration several other factors in determining patient eligibility for financial assistance. These factors include the following: 1. Eligibility for Financial Assistance due to Financial or Personal Hardship In order to be eligible for Financial Assistance due to Financial or Personal Hardship under this Policy, a patient or guarantor must: - Submit a completed Financial Assistance Application with all supporting documentation and be approved in accordance with this Policy; - Be an Indiana Resident as defined in this Policy; and - If Uninsured, consult with a member of IU Health's Individual Solutions department to determine if health care coverage may be obtained from a government insurance or assistance product, the Health Insurance Marketplace, or from any other source of coverage. Financial Assistance due to Financial Hardship is only available for encounters where care was initiated via an eligible facility's emergency department, direct admission from a physician's office, or transfer from another hospital facility. 2. Financial Assistance due to Financial Hardship The FPL income threshold under this section is as follows: - If one or more adults and zero dependents are in the household, the FPL Income Threshold is 200%. - If two or more adults and one or more dependents are in the household, the FPL Income Threshold is 250%. - If one adult and one or more dependents are in the household, the FPL Income Threshold is 300%. In some instances, an adult will also qualify as a dependent. When this occurs, IU Health will treat the adult as a dependent for purposes of the FPL calculation. IU Health will utilize the most recent FPL data available and will apply the FPL data to a patient or guarantor's account balance based upon the calendar date a completed Financial Assistance Application was received, not a patient's date of service. An Uninsured Patient or their guarantor whose household income is less than or equal to the FPL income threshold may be eligible for full Financial Assistance up to 100% of Gross Charges if approved. An Underinsured Patient or their guarantor whose household income is less than or equal to the FPL income threshold may be eligible for full Financial Assistance up to 100% of Patient Responsibility if approved. 3. Financial Assistance due to Personal Hardship An Uninsured or Underinsured patient or their guarantor whose household income is above the FPL income threshold may be eligible for Financial Assistance if the patient's outstanding Patient Responsibility exceeds 20% of the patient's or their guarantor's annual household income. - If approved, the patient's balance will be reduced to 20% of the patient or guarantor's annual household income or the Amounts Generally Billed, whichever is less. - IU Health will work with the patient or guarantor to identify a reasonable payment plan on the remainder of the balance. 4. Eligibility Period If approved for financial assistance by IU Health, the patient will be guaranteed financial assistance for treatment related to the underlying condition, for which the patient was originally screened and approved, through the remainder of the calendar year. As a condition of extending the on-going Financial Assistance, the patient must comply with requests from IU Health to verify that the patient continues to meet the conditions for qualification. 5. Appeals and Assistance Granted By the Financial Assistance Committee The Financial Assistance Committee will review and make determinations on all requests for appeals related to Financial Assistance. If a patient or guarantor seeks to appeal a Financial Assistance Determination, a written request must be submitted, along with the supporting documentation. The Financial Assistance Committee will review requests for and may grant additional Financial Assistance, including but not limited to, the following: - Assistance to patients who are seeking treatment that can only be provided in Indiana by IU Health or who would benefit from continued medical services from IU Health for continuity of care; - Care approved by the IU Health Chief Medical Officer (CMO) or the Chief Executive Officer (CEO) or CMO of an IU Health facility or region, including medically necessary non-elective services for which no payment source can be identified; - Care provided when it is known no payment source exists; - International humanitarian aid; and - Other care identified by the Financial Assistance Committee that fulfills the IU Health Mission. All decisions of the Financial Assistance Committee are final. 6. Presumptive Eligibility No Financial Assistance Application is required to receive Financial Assistance under this Presumptive Eligibility section. IU Health will deem patients or their guarantors presumptively eligible for Financial Assistance if they are found to be eligible for one of the following programs and care was initiated via an eligible facility's emergency department, direct admission from a physician's office, or transfer from another hospital facility: - Medicaid (any state) - Indiana Children's Special Health Care Services - Healthy Indiana Plan - Patients who are awarded Hospital Presumptive Eligibility (HPE) - A state and/or federal program that verifies the patient or guarantor's gross household income meets the FPL income threshold. IU Health will conduct a quarterly review of all accounts placed with a collection agency partner for at least one hundred and twenty (120) days after the account is eligible for an ECA as set forth in this Policy. If the patient or guarantor's individual scoring criteria demonstrates the patient has a low likelihood and/or propensity to pay or no credit, the patient or guarantor may be deemed presumptively eligible for Financial Assistance. Financial Assistance may additionally be granted in the following circumstances: - If the patient or their guarantor is found to have filed a petition for bankruptcy. - If the patient is deceased and found to have no estate. - If the patient is deceased and was under 21 years of age at the time of death. 7. Exhaustion of Alternate Sources of Assistance Patients must exhaust all other state and federal assistance programs prior to receiving Financial Assistance due to Financial or Personal Hardship under this Policy including, but not limited to, Medicaid. Patients who may be eligible for coverage under an applicable health insurance policy must exhaust all insurance benefits. - This includes patients covered under their own policy and those who may be entitled to benefits from a third-party policy. - IU Health may request patients show proof that such a claim was properly submitted to the appropriate insurance provider before awarding Financial Assistance. Eligible patients who receive medical care from an IU Health facility as a result of an injury proximately caused by a third party, and later receive a monetary settlement or award from said third party, may receive Financial Assistance for any outstanding balance not covered by the settlement or award. In the event Financial Assistance has already been granted in the above circumstances, IU Health reserves the right to reverse the Financial Assistance Determination in an amount equal to the amount IU Health would be entitled to receive had no Financial Assistance been awarded. 8. Patient Assets There are situations where a patient or their guarantor may have significant income or assets available to pay for healthcare services such as a legal settlement. The Financial Assistance Committee may evaluate the income or assets in determining Financial Hardship. IU Health may require a list of all property owned by the patient or guarantor and adjust a Financial Assistance Determination as a result.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - INDIANA UNIVERSITY HEALTH. IU Health takes several other measures to broadly publicize its FAP within the community. These measures include the following: 1. Post this Policy, a Plain Language Summary of this Policy, and the Financial Assistance Application on its website. 2. Provide patients with a Plain Language Summary of this Policy during registration and/or discharge. 3. Post conspicuous displays in appropriate acute care settings such as emergency departments and registration areas describing the available assistance and directing eligible patients to the Financial Assistance Application. 4. Include a conspicuous written notice on all patient post-discharge billing statements notifying the patient about this Policy and the telephone number of the Customer Service Department which can assist patients with questions regarding this Policy. 5. Make available Customer Service representatives via telephone during normal business hours. 6. Mail copies of this Policy, a Plain Language Summary of this Policy, and a Financial Assistance Application to patients or their guarantor free of charge upon request. 7. Broadly communicate this Policy as a part of its general outreach efforts. 8. Educate patient-facing team members on this Policy and the process for referring patients to the program.
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2022
Page 9
Schedule H (Form 990) 2022
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?215
Name and address Type of Facility (describe)
1 IU HEALTH SIMON CANCER CTR
1030 W MICHIGAN ST
INDIANAPOLIS,IN46202 		SPECIALTY CARE
2 IU HEALTH NEUROLOGY
13000 E 136 ST SUITE 3300
FISHERS,IN46037 		SPECIALTY CARE
3 IU HEALTH NEUROSURGERY
2525 W UNIVERSITY AVE SUITE 401
MUNCIE,IN47303 		SPECIALTY CARE
4 IU HEALTH NEUROSURGERY ORTHOPEDICS AND RHEUMATOLOGY
201 PENNSYLVANIA PKWY SUITE 100
CARMEL,IN46280 		SPECIALTY CARE
5 IU HEALTH EAST WASHINGTON SURGERY CENTER
9660 E WASHINGTON ST STE 200
INDIANAPOLIS,IN46229 		AMBULATORY SURGERY
6 IU HEALTH MERIDIAN SOUTH SURGERY CENTER
8820 S MERIDIAN ST
INDIANAPOLIS,IN46217 		AMBULATORY SURGERY
7 IU HEALTH BELTWAY SURGERY CENTER
151 PENNSYLVANIA PKWY
CARMEL,IN46280 		AMBULATORY SURGERY
8 IU HEALTH SPRING MILL SURGERY CENTER
10300 N ILLINOIS ST STE 1300
CARMEL,IN46290 		AMBULATORY SURGERY
9 IU HEALTH BALL MEM OUTPATIENT SURG CTR
2401 W UNIVERSITY AVE
MUNCIE,IN47303 		AMBULATORY SURGERY
10 IU HEALTH EAGLE HIGHLANDS SURGERY CENTER
6850 PARKDALE PL
INDIANAPOLIS,IN46254 		AMBULATORY SURGERY
11 SENATE STREET SURGERY CENTER
1801 N SENATE BLVD Suite D145
INDIANAPOLIS,IN46202 		AMBULATORY SURGERY
12 INDIANA ENDOSCOPY CENTERS
1115 N RONALD REAGAN PKWY STE 3
AVON,IN46123 		AMBULATORY SURGERY
13 INDIANA ENDOSCOPY CENTERS
1801 N SENATE BLVD STE 710
INDIANAPOLIS,IN46202 		AMBULATORY SURGERY
14 GLEN LEHMAN ENDOSCOPY SUITE
550 N UNIVERSITY BLVD STE 4100
INDIANAPOLIS,IN46202 		AMBULATORY SURGERY
15 RILEY OUTPATIENT SURGERY CENTER
575 RILEY HOSPITAL DR
INDIANAPOLIS,IN46202 		AMBULATORY SURGERY
16 IU HEALTH SAXONY SURGERY CENTER
13100 E 136TH ST
FISHERS,IN46037 		AMBULATORY SURGERY
17 IU Health Meridian South Surgery Center
8820 S Meridian St
INDIANAPOLIS,IN46217 		Ambulatory Surgery
18 BLOOD & BONE MARROW STEM CELL TRANSPLANT & IMMUNE CELL THERAPY PROGRAM
1030 W MICHIGAN ST 2ND FLOOR
INDIANAPOLIS,IN46202 		SPECIALTY CARE
19 ICU SURVIVOR CENTER
1801 N SENATE BLVD STE 230
INDIANAPOLIS,IN46202 		SPECIALTY CARE
20 IU HEALTH ADVANCED HEART & LUNG CARE
1801 N SENATE BLVD STE 2000
INDIANAPOLIS,IN46202 		SPECIALTY CARE
21 IU HEALTH PAIN CENTER
888 AUTO MALL RD
BLOOMINGTON,IN47401 		SPECIALTY CARE
22 IU HEALTH CARDIOLOGY
10101 ERNST RD SUITE 1400
ROANOKE,IN46783 		SPECIALTY CARE
23 IU HEALTH CARDIOPULMONARY REHAB
10101 ERNST RD SUITE 1600
ROANOKE,IN46783 		SPECIALTY CARE
24 IU HEALTH CARDIOVASCULAR SURGERY
2651 E Discovery Pkwy
BLOOMINGTON,IN47408 		SPECIALTY CARE
25 IU HEALTH CENTER FOR LIMB LOSS
362 W 15TH ST SUITE 3800
INDIANAPOLIS,IN46202 		SPECIALTY CARE
26 IU Health Central Indiana Cancer Centers
10212 LANTERN RD
FISHERS,IN46038 		SPECIALTY CARE
27 IU HEALTH CENTRAL INDIANA CANCER CENTERS
6845 RAMA DR
INDIANAPOLIS,IN46219 		SPECIALTY CARE
28 IU Health Central Indiana Cancer Centers
1701 N SENATE BLVD C6
INDIANAPOLIS,IN46202 		SPECIALTY CARE
29 IU HEALTH PALLIATIVE CARE
1633 N CAPITOL AVE STE 301
INDIANAPOLIS,IN46202 		SPECIALTY CARE
30 IU Health Hip & Knee Center
13000 E 136TH ST SUITE 2000
FISHERS,IN46037 		SPECIALTY CARE
31 IU HEALTH INFUSION
10101 ERNST RD SUITE 1500
ROANOKE,IN46783 		SPECIALTY CARE
32 IU HEALTH LIFECARE
1633 N CAPITOL AVE STE 300
INDIANAPOLIS,IN46202 		SPECIALTY CARE
33 IU HEALTH OBSTETRICS & GYNECOLOGY
17160 DRAGONFLY DR SUITE 400
NOBLESVILLE,IN46060 		SPECIALTY CARE
34 IU HEALTH OBSTETRICS & GYNECOLOGY
2901 W JACKSON ST
MUNCIE,IN47304 		SPECIALTY CARE
35 IU HEALTH OBSTETRICS & GYNECOLOGY
1542 S BLOOMINGTON ST
GREENCASTLE,IN46135 		SPECIALTY CARE
36 IU HEALTH ORTHOPEDICS
7230 ENGLE RD SUITE 100
FORT WAYNE,IN46804 		SPECIALTY CARE
37 IU HEALTH NEUROSCIENCE CENTER
362 W 15TH ST
INDIANAPOLIS,IN46202 		SPECIALTY CARE
38 IU HEALTH ORTHOPEDICS & SPORTS MEDICINE
2598 W WHITE RIVER BLVD
MUNCIE,IN47303 		SPECIALTY CARE
39 IU HEALTH ORTHOPEDICS & SPORTS MEDICINE
2605 E CREEKS EDGE DR
BLOOMINGTON,IN47401 		SPECIALTY CARE
40 IU HEALTH ORTHOPEDICS & SPORTS MEDICINE
9660 E WASHINGTON ST SUITE 100
INDIANAPOLIS,IN46229 		SPECIALTY CARE
41 IU HEALTH OTOLARYNGOLOGY HEAD & NECK SURGERY
1115 N RONALD REAGAN PKWY SUITE
AVON,IN46123 		SPECIALTY CARE
42 IU HEALTH PHYSICAL MEDICINE & REHABILITATION
362 W 15TH ST SUITE 3800
INDIANAPOLIS,IN46202 		SPECIALTY CARE
43 IU HEALTH PHYSICAL MEDICINE & REHABILITATION
1300 E 136TH ST SUITE 3600
FISHERS,IN46037 		SPECIALTY CARE
44 IU HEALTH POSITIVE LINK
333 E Miller Dr
BLOOMINGTON,IN47401 		SPECIALTY CARE
45 IU HEALTH POSITIVE LINK
642 W Hospital Rd
PAOLI,IN47454 		SPECIALTY CARE
46 IU HEALTH POSITIVE LINK
100 Executive Dr Suite J
LAFAYETTE,IN47905 		SPECIALTY CARE
47 IU HEALTH POSITIVE LINK
100 S 7th St Lower Level
TERRE HAUTE,IN47807 		SPECIALTY CARE
48 IU HEALTH POSITIVE LINK
6000 W Kilgore Ave
MUNCIE,IN47304 		SPECIALTY CARE
49 IU HEALTH PRECISION GENOMICS PROGRAM
1030 W MICHIGAN ST STE 3307
INDIANAPOLIS,IN46202 		SPECIALTY CARE
50 IU HEALTH PRECISION MEDICINE CLINIC
550 N University Blvd Suite 2180
INDIANAPOLIS,IN46202 		SPECIALTY CARE
51 IU HEALTH REPRODUCTIVE ENDOCRINOLOGY & FERTILITY
550 N University Blvd Suite 2403
INDIANAPOLIS,IN46202 		SPECIALTY CARE
52 IU HEALTH SLEEP APNEA EDUCATION CENTER
3750 Landmark Dr Suite C
LAFAYETTE,IN47905 		SPECIALTY CARE
53 IU HEALTH SLEEP APNEA EDUCATION CENTER
6004 W KILGORE AVE
MUNCIE,IN47304 		SPECIALTY CARE
54 IU HEALTH SLEEP APNEA EDUCATION CENTER
2920 McIntire Dr Suite 150B
BLOOMINGTON,IN47403 		SPECIALTY CARE
55 IU HEALTH SLEEP APNEA EDUCATION CENTER
1411 W COUNTY LINE RD STE C
GREENWOOD,IN46142 		SPECIALTY CARE
56 IU HEALTH SLEEP APNEA EDUCATION CENTER
714 N SENATE AVE STE 110
INDIANAPOLIS,IN46202 		SPECIALTY CARE
57 IU HEALTH SLEEP APNEA EDUCATION CENTER
1115 N RONALD REAGAN PKWY STE 3
AVON,IN46123 		SPECIALTY CARE
58 IU HEALTH SLEEP APNEA EDUCATION CENTER
13100 E 136TH ST STE 3200B
FISHERS,IN46037 		SPECIALTY CARE
59 IU HEALTH SLEEP LAB
3750 LANDMARK DR SUITE A
LAFAYETTE,IN47905 		SPECIALTY CARE
60 IU HEALTH SLEEP DISORDERS CENTER
6004 W KILGORE AVE
MUNCIE,IN47304 		SPECIALTY CARE
61 IU HEALTH SLEEP DISORDERS CENTER
1504 CLINIC DR
BEDFORD,IN47421 		SPECIALTY CARE
62 IU HEALTH SLEEP DISORDERS CENTER
1411 W COUNTY LINE RD STE C
GREENWOOD,IN46142 		SPECIALTY CARE
63 IU HEALTH SLEEP DISORDERS CENTER
2920 McIntire Dr
BLOOMINGTON,IN47403 		SPECIALTY CARE
64 IU HEALTH SLEEP DISORDERS CENTER
714 N SENATE AVE STE 110
INDIANAPOLIS,IN46202 		SPECIALTY CARE
65 IU HEALTH SLEEP DISORDERS CENTER
2209 JOHN R WOODEN DR
MARTINSVILLE,IN46151 		SPECIALTY CARE
66 IU HEALTH SLEEP DISORDERS CENTER
720 S 6TH ST
MONTICELLO,IN47960 		SPECIALTY CARE
67 IU HEALTH SLEEP MEDICINE
1300 S JACKSON ST
FRANKFORT,IN46041 		SPECIALTY CARE
68 IU HEALTH SLEEP DISORDERS CENTER
500 W VOTAW ST
PORTLAND,IN47371 		SPECIALTY CARE
69 IU HEALTH SLEEP DISORDERS CENTER
642 W HOSPITAL RD
PAOLI,IN47454 		SPECIALTY CARE
70 IU HEALTH SLEEP DISORDERS CENTER
1000 S MAIN ST
TIPTON,IN46072 		SPECIALTY CARE
71 IU HEALTH SLEEP DISORDERS CENTER
1115 N RONALD REAGAN PKWY STE 3
AVON,IN46123 		SPECIALTY CARE
72 IU HEALTH SLEEP DISORDERS CENTER
11725 N ILLINOIS ST SUITE 485
CARMEL,IN46032 		SPECIALTY CARE
73 IU HEALTH SLEEP DISORDERS CENTER
11590 N MERIDIAN ST SUITE 300
CARMEL,IN46032 		SPECIALTY CARE
74 IU HEALTH SLEEP DISORDERS CENTER
13100 E 136TH ST STE 3200
FISHERS,IN46037 		SPECIALTY CARE
75 IU HEALTH VOICE CENTER
11725 N Illinois St Suite 275
CARMEL,IN46032 		SPECIALTY CARE
76 IU HEALTH WOUND CARE
1701 N SENATE BLVD AG053
INDIANAPOLIS,IN46202 		SPECIALTY CARE
77 IU Health University Hospital Interventional & Advanced Pain Therapies
550 N UNIVERSITY BLVD STE 2007
INDIANAPOLIS,IN46202 		SPECIALTY CARE
78 CONNECTED CARE-IU HEALTH SAXONY HOSPITAL
13000 E 136TH ST SUITE 3400
FISHERS,IN46037 		PRIMARY CARE
79 ADULT AMBULATORY CARE CENTER
550 N UNIVERSITY BLVD STE 3500
INDIANAPOLIS,IN46202 		PRIMARY CARE
80 IU HEALTH CONNECTED CARE-INDIANAPOLIS
7140 E WASHINGTON ST SUITE 100
INDIANAPOLIS,IN46219 		PRIMARY CARE
81 IU HEALTH FAMILY & INTERNAL MEDICINE
560 W LONGEST ST
PAOLI,IN47454 		PRIMARY CARE
82 IU HEALTH PRIMARY CARE
4870 E JACKSON ST
MUNCIE,IN47303 		PRIMARY CARE
83 IU HEALTH PRIMARY CARE
14520 W DAVIS DR
DALEVILLE,IN47334 		PRIMARY CARE
84 IU HEALTH PRIMARY CARE
10101 Ernst Rd Suite 1200
ROANOKE,IN46783 		PRIMARY CARE
85 IU HEALTH PRIMARY CARE
9650 E Washington St Suite 100
INDIANAPOLIS,IN46229 		PRIMARY CARE
86 IU HEALTH PRIMARY CARE - ALBANY
349 W 1st St
ALBANY,IN47320 		PRIMARY CARE
87 IU HEALTH PRIMARY CARE - FAMILY MEDICINE WOBSTETRICS
2901 W Jackson St
MUNCIE,IN47304 		PRIMARY CARE
88 IU HEALTH PRIMARY CARE - INTERNAL MEDICINE
2901 W Jackson St
MUNCIE,IN47304 		PRIMARY CARE
89 IU HEALTH PRIMARY CARE - YORKTOWN
1420 S PILGRIM BLVD
YORKTOWN,IN47396 		PRIMARY CARE
90 IU Health Primary Care Central Indianapolis - Family Medicine Residency
1040 Wishard Blvd
INDIANAPOLIS,IN46202 		PRIMARY CARE
91 IU Health Primary Care Fort Wayne - Hope Drive
7411 HOPE Drive Suite C
FORT WAYNE,IN46815 		PRIMARY CARE
92 IU HEALTH PRIMARY CARE FORT WAYNE - NORTH
10215 AUBURN PARK DR
FORT WAYNE,IN46825 		PRIMARY CARE
93 IU HEALTH PRIMARY CARE FORT WAYNE - SOUTHEAST
256 E PETTIT AVE
FORT WAYNE,IN46806 		PRIMARY CARE
94 IU HEALTH MORGAN WALK-IN
2209 JOHN R WOODEN DR DOOR 7
MARTINSVILLE,IN46151 		PRIMARY CARE
95 IU Health Primary Care Fort Wayne - Hope Drive
13000 E 136TH ST SUITE 3300
FISHERS,IN46037 		PRIMARY CARE
96 IU Health Adult Physical Therapy & Rehabilitation Services
13000 E 136TH ST SUITE 2100
FISHERS,IN46037 		REHABILITATION SERVICES
97 IU Health Physical Therapy & Rehabilitation
6866 W STONEGATE DR SUITE 106
ZIONSVILLE,IN46077 		REHABILITATION SERVICES
98 IU Health Physical Therapy & Rehabilitation
404 E WASHINGTON ST STE B
INDIANAPOLIS,IN46204 		REHABILITATION SERVICES
99 IU Health Adult Speech-Language Pathology
550 N UNIVERSITY BLVD
INDIANAPOLIS,IN46202 		REHABILITATION SERVICES
100 IU Health Rehabilitation & Sports Medicine
2900 16th St
BEDFORD,IN47421 		REHABILITATION SERVICES
101 IU Health Rehabilitation & Sports Medicine Center East
328 S WOODCREST DR
BLOOMINGTON,IN47401 		REHABILITATION SERVICES
102 IU Health Rehabilitation & Sports Medicine Center Spencer
926 IN-46 200
Spencer,IN47460 		REHABILITATION SERVICES
103 IU Health Rehabilitation & Sports Medicine Center West
2499 W Cota Dr
BLOOMINGTON,IN47403 		REHABILITATION SERVICES
104 IU Health Physical Therapy & Rehabilitation
4935 W ARLINGTON RD
BLOOMINGTON,IN47404 		REHABILITATION SERVICES
105 IU Health Physical Therapy & Rehabilitation
1801 N SENATE BLVD STE 240
INDIANAPOLIS,IN46202 		REHABILITATION SERVICES
106 IU Health Occupational Therapy Services
1801 N SENATE BLVD STE 530
INDIANAPOLIS,IN46202 		REHABILITATION SERVICES
107 NEUROREHABILITATION AND ROBOTICS
355 W 16TH ST STE 1078
INDIANAPOLIS,IN46202 		REHABILITATION SERVICES
108 IU HEALTH OCCUPATIONAL SERVICES
2804 16TH ST
BEDFORD,IN47421 		REHABILITATION SERVICES
109 IU HEALTH MORGAN REHABILITATION
2209 JOHN R WOODEN DR
MARTINSVILLE,IN46151 		REHABILITATION SERVICES
110 IU Health Physical Therapy & Rehabilitation
550 N UNIVERSITY BLVD RM 4175
INDIANAPOLIS,IN46202 		REHABILITATION SERVICES
111 IU Health Adult Physical Therapy & Rehabilitation Services
1801 N SENAE BLVD STE 1438
INDIANAPOLIS,IN46202 		REHABILITATION SERVICES
112 IU HEALTH REHABILITATION SERVICES
1300 S JACKSON ST
FRANKFORT,IN46141 		REHABILITATION SERVICES
113 IU Health Physical Therapy & Rehabilitation
2705 W North Street
MUNCIE,IN47303 		REHABILITATION SERVICES
114 IU Health Physical Therapy & Rehabilitation
7411 N Keystone Ave Suite B
INDIANAPOLIS,IN46240 		REHABILITATION SERVICES
115 IU Health Physical Therapy & Rehabilitation
6820 PARKDALE PL STE 120
INDIANAPOLIS,IN46254 		REHABILITATION SERVICES
116 IU Health Physical Therapy & Rehabilitation
1010 S MAIN ST SUITE 110
TIPTON,IN46072 		REHABILITATION SERVICES
117 IU Health Physical Therapy & Rehabilitation
9670 E WASHINGTON ST STE 115
INDIANAPOLIS,IN46229 		REHABILITATION SERVICES
118 IU Health Physical Therapy & Rehabilitation
8820 S Meridian St Suite 215
INDIANAPOLIS,IN46217 		REHABILITATION SERVICES
119 IU Health Physical Therapy & Rehabilitation
2476 E 116TH ST G-100
CARMEL,IN46032 		REHABILITATION SERVICES
120 IU Health Physical Therapy & Rehabilitation
410 PILGRIM BLVD
HARTFORD CITY,IN47348 		REHABILITATION SERVICES
121 IU Health Pediatric Physical Therapy & Rehabilitation
6820 PARKDALE PL STE 109
INDIANAPOLIS,IN46254 		REHABILITATION SERVICES
122 IU Health Physical Therapy & Rehabilitation
14645 HAZEL DELL RD
NOBLESVILLE,IN46062 		REHABILITATION SERVICES
123 IU HEALTH URGENT CARE - BLOOMINGTON
326 S WOODCREST DR
BLOOMINGTON,IN47401 		URGENT CARE
124 IU HEALTH URGENT CARE - GREENWOOD
996 S SR 135 SUITE P
GREENWOOD,IN46143 		URGENT CARE
125 IU HEALTH URGENT CARE - AVON
10853 E US HWY 36
AVON,IN46123 		URGENT CARE
126 IU HEALTH URGENT CARE - BROAD RIPPLE
1036 BROAD RIPPLE AVE
INDIANAPOLIS,IN46220 		URGENT CARE
127 IU HEALTH URGENT CARE - DOWNTOWN INDPLS
222 W WASHINGTON ST
INDIANAPOLIS,IN46204 		URGENT CARE
128 IU HEALTH URGENT CARE - BROWNSBURG
90 E GARNER RD STE A
BROWNSBURG,IN46112 		URGENT CARE
129 IU HEALTH URGENT CARE - NOBLESVILLE
14645 HAZEL DELL ROAD SUITE 120
NOBLESVILLE,IN46062 		URGENT CARE
130 IU HEALTH URGENT CARE - LAFAYETTE
1 WALTER SCHOLER DR
LAFAYETTE,IN47909 		URGENT CARE
131 IU HEALTH URGENT CARE - FORT WAYNE NORTH
9821 LIMA RD STE 103
FORT WAYNE,IN46818 		URGENT CARE
132 IU HEALTH URGENT CARE - WEST LAFAYETTE
253 SAGAMORE PKWY W
WEST LAFAYETTE,IN47906 		URGENT CARE
133 IU Health Urgent Care Fort Wayne - Hope Drive
7411 Hope Drive Suite A
Fort Wayne,IN46815 		Urgent Care
134 IU HEALTH RADIOLOGY
9660 E WASHINGTON ST
INDIANAPOLIS,IN46229 		RADIOLOGY
135 IU HEALTH CANCER RADIATION CENTER
9149 STATE RD 37
BEDFORD,IN47421 		RADIOLOGY
136 IU HEALTH RADIOLOGY
820 SAMUEL MOORE PKWY
MOORESVILLE,IN46158 		RADIOLOGY
137 IU HEALTH RADIOLOGY
6850 PARKDALE PL
INDIANAPOLIS,IN46254 		RADIOLOGY
138 IU HEALTH RADIOLOGY
362 W 15TH ST SUITE 4200
INDIANAPOLIS,IN46202 		RADIOLOGY
139 IU HEALTH MORGAN RADIOLOGY
2209 JOHN R WOODEN DR
MARTINSVILLE,IN46151 		RADIOLOGY
140 IU HEALTH RADIOLOGY
550 N UNIVERSITY BLVD UN 0663
INDIANAPOLIS,IN46202 		RADIOLOGY
141 IU HEALTH RADIOLOGY
404 E WASHINGTON ST STE B
INDIANAPOLIS,IN46204 		RADIOLOGY
142 IU HEALTH RADIOLOGY
1801 N SENATE BLVD RM A 1157A
INDIANAPOLIS,IN46202 		RADIOLOGY
143 IU HEALTH RADIOLOGY
2625 E 62nd St Suite 2010
INDIANAPOLIS,IN46220 		RADIOLOGY
144 IU HEALTH RADIOLOGY
7411 HOPE DR SUITE B
FORT WAYNE,IN46815 		RADIOLOGY
145 IU HEALTH RADIOLOGY
151 PENNSYLVANIA PKWY SUITE 160
INDIANAPOLIS,IN46280 		RADIOLOGY
146 IU HEALTH RADIOLOGY
720 ESKENAZI
INDIANAPOLIS,IN46202 		RADIOLOGY
147 IU HEALTH RADIOLOGY
3401 E Raymond
INDIANAPOLIS,IN46203 		RADIOLOGY
148 IU HEALTH RADIOLOGY
10101 Ernst Rd Suite 1100
ROANOKE,IN46783 		RADIOLOGY
149 IU HEALTH RADIOLOGY
4880 CENTURY PLAZA RD STE 155
INDIANAPOLIS,IN46254 		RADIOLOGY
150 IU HEALTH RADIOLOGY
2598 W WHITE RIVER BLVD
MUNCIE,IN47303 		RADIOLOGY
151 IU HEALTH RADIOLOGY
1111 N RONALD REAGAN PKWY
AVON,IN46123 		RADIOLOGY
152 IU HEALTH RADIOLOGY
8830 S MERIDIAN ST
INDIANAPOLIS,IN46217 		RADIOLOGY
153 IU HEALTH RADIOLOGY
1000 S MAIN ST
TIPTON,IN46072 		RADIOLOGY
154 IU HEALTH RADIOLOGY
1375 N GREEN ST STE 200
BROWNSBURG,IN46112 		RADIOLOGY
155 IU HEALTH RADIOLOGY
11700 N MERIDIAN ST
CARMEL,IN46032 		RADIOLOGY
156 IU HEALTH RADIOLOGY
13000 E 136TH ST
FISHERS,IN46037 		RADIOLOGY
157 IU HEALTH RADIOLOGY
1701 N SENATE BLVD Room A 1157A
INDIANAPOLIS,IN46202 		RADIOLOGY
158 IU HEALTH UNIVERSITY RETAIL PHARMACY
550 N UNIVERSITY BLVD UH1425
INDIANAPOLIS,IN46202 		PHARMACY
159 IU HEALTH METHODIST RETAIL PHARMACY
1801 N SENATE BLVD STE 105
INDIANAPOLIS,IN46202 		PHARMACY
160 Riley Retail Pharmacy at IU Health
705 RILEY HOSPITAL DR ROC 1201
INDIANAPOLIS,IN46202 		PHARMACY
161 IU HEALTH ARNETT RETAIL PHARMACY
5165 McCarty Ln Entrance 4
LAFAYETTE,IN47905 		PHARMACY
162 IU HEALTH BLACKFORD PHARMACY
400 PILGRIM BLVD
HARTFORD CITY,IN47348 		PHARMACY
163 IU HEALTH BLOOMINGTON RETAIL PHARMACY
2651 E DISCOVERY PKWY SUITE A2032
BLOOMINGTON,IN47408 		PHARMACY
164 IU HEALTH PHARMACY - JACKSON
2901 W Jackson St Suite B
MUNCIE,IN47304 		PHARMACY
165 IU HEALTH FAMILY PHARMACY
5501 W BETHEL AVE
MUNCIE,IN47304 		PHARMACY
166 IU HEALTH NORTH RETAIL PHARMACY
11700 N MERIDIAN ST STE B106
CARMEL,IN46032 		PHARMACY
167 IU HEALTH WEST RETAIL PHARMACY
1111 N RONALD REAGAN PKWY M105
AVON,IN46123 		PHARMACY
168 IU HEALTH YORKTOWN PHARMACY
1420 S PILGRIM BLVD
YORKTOWN,IN47396 		PHARMACY
169 IU HEALTH PAVILION COMMUNITY PHARMACY
2401 W UNIVERSITY AVE OMP 1635
MUNCIE,IN47303 		PHARMACY
170 IU HEALTH SAXONY RETAIL PHARMACY
13100 E 136TH ST STE 1000
FISHERS,IN46037 		PHARMACY
171 IU HEALTH ADVANCED THERAPIES PHARMACY
390 Airtech Pkwy Suite 106A
PLAINFIELD,IN46168 		PHARMACY-MAIL ORDER/SPECIALTY SERVICES
172 IU HEALTH HOME CARE
950 N MERIDIAN ST STE 700
INDIANAPOLIS,IN46204 		HOME HEALTH
173 IU HEALTH EXPRESSIONS HOME MEDICAL EQUIP
11725 N ILLINOIS ST SUITE 485
CARMEL,IN46032 		HOME HEALTH
174 IU HEALTH HOSPICE
950 N MERIDIAN ST STE 700
INDIANAPOLIS,IN46204 		HOSPICE
175 IU HEALTH DIAGNOSTIC CENTER ARLINGTON LAB
4935 W ARLINGTON RD
BLOOMINGTON,IN47404 		LAB
176 IU HEALTH ARNETT CANCER CARE LAB
420 N 26TH ST
LAFAYETTE,IN47904 		LAB
177 IU HEALTH ARNETT 2600 FERRY ST LAB
2600 FERRY ST
LAFAYETTE,IN47904 		LAB
178 IU HEALTH ARNETT GREENBUSH LAB
2600 GREENBUSH ST
LAFAYETTE,IN47904 		LAB
179 IU HEALTH ARNETT HOSPITAL LAB
5165 MCCARTY LN
LAFAYETTE,IN47905 		LAB
180 IU HEALTH ARNETT SOUTHSIDE LAB
1 WALTER SCHOLER DR
LAFAYETTE,IN47909 		LAB
181 IU HEALTH ARNETT WESTSIDE LAB
253 SAGAMORE PKWY W
WEST LAFAYETTE,IN47906 		LAB
182 IU HEALTH BALL MEMORIAL HOSPITAL LAB
2401 UNIVERSITY AVE
MUNCIE,IN47303 		LAB
183 IU HEALTH BEDFORD HOSPITAL LAB
2900 W 16TH ST
BEDFORD,IN47421 		LAB
184 IU HEALTH BETHEL LAB
5501 W BETHEL AVE
MUNCIE,IN46304 		LAB
185 IU HEALTH BLACKFORD HOSPITAL LAB
410 PILGRIM BLVD
HARTFORD CITY,IN47348 		LAB
186 IU HEALTH FRANKFORT LAB
1300 S JACKSON ST
FRANKFORT,IN46041 		LAB
187 IU HEALTH GEORGETOWN MEDICAL PLAZA LAB
4880 CENTURY PLAZA RD STE 125
INDIANAPOLIS,IN46254 		LAB
188 IU HEALTH JAY HOSPITAL OUTPATIENT LAB
500 W VOTAW ST
PORTLAND,IN47371 		LAB
189 IU HEALTH LANDMARK OUTPATIENT LAB
550 LANDMARK AVE
BLOOMINGTON,IN47403 		LAB
190 IU HEALTH MOORESVILLE LAB
820 SAMUEL MOORE PKWY
MOORESVILLE,IN46158 		LAB
191 IU HEALTH MORGAN LAB
2209 JOHN R WOODEN DR
MARTINSVILLE,IN46151 		LAB
192 IU HEALTH NORTH HOSPITAL LAB
11700 N MERIDIAN ST
CARMEL,IN46032 		LAB
193 IU HEALTH PAOLI HOSPITAL LAB
642 W HOSPITAL RD
PAOLI,IN47454 		LAB
194 IU HEALTH PATHOLOGY LAB
350 W 11TH ST
INDIANAPOLIS,IN46202 		LAB
195 IU HEALTH SAXONY HOSPITAL LAB
13000 E 136TH ST
FISHERS,IN46037 		LAB
196 IU HEALTH SIP BEDFORD LAB
2900 W 16TH ST
BEDFORD,IN47421 		LAB
197 IU HEALTH TIPTON HOSPITAL LAB
1000 S MAIN ST
TIPTON,IN46072 		LAB
198 IU HEALTH WEST HOSPITAL LAB
1111 RONALD REAGAN PKWY SUITE A11
AVON,IN46123 		LAB
199 IU HEALTH WHITE MEMORIAL HOSPITAL LAB
720 S 6TH ST
MONTICELLO,IN47960 		LAB
200 IUH BLOOMINGTON HOSPITAL MAIN CAMPUS LAB
2651 E Discovery Pkwy 1ST FLOOR
BLOOMINGTON,IN47408 		LAB
201 IUH JOE & SHELLY SCHWARZ CANCER CTR LAB
11700 N MERIDIAN ST
CARMEL,IN46032 		LAB
202 IUH METHODIST MED PLAZA BROWNSBURG LAB
1375 N GREEN ST
BROWNSBURG,IN46112 		LAB
203 IUH METHODIST MED PLAZA EAGLE HIGHLANDS
6850 PARKDALE PL
INDIANAPOLIS,IN46254 		LAB
204 IUH METHODIST MEDICAL PLAZA EAST LAB
9660 E WASHINGTON ST
INDIANAPOLIS,IN46229 		LAB
205 IUH METHODIST MEDICAL PLAZA NORTH LAB
151 PENNSYLVANIA PKWY
CARMEL,IN46280 		LAB
206 IUH METHODIST MEDICAL PLAZA SOUTH LAB
8820 S MERIDIAN ST
INDIANAPOLIS,IN46217 		LAB
207 IUH METHODIST PROFESSIONAL CENTER LAB
1801 N SENATE BLVD
INDIANAPOLIS,IN46202 		LAB
208 UNIV HOSP AMBULATORY OUTPATIENT CNTR LAB
550 N UNIVERSITY BLVD RM 1005
INDIANAPOLIS,IN46202 		LAB
209 IUH ADDICTION TREATMENT & RECOVERY CNTR
727 W 2ND ST
BLOOMINGTON,IN47403 		BEHAVIORAL HEALTH
210 IUH ADDICTION TREATMENT & RECOVERY CNTR
1758 W 100 S
PORTLAND,IN47371 		BEHAVIORAL HEALTH
211 IUH ADDICTION TREATMENT & RECOVERY CNTR
210 N TILLOTSON AVE
MUNCIE,IN47304 		BEHAVIORAL HEALTH
212 IUH ADDICTION TREATMENT & RECOVERY CNTR
1730 N Capitol Ave Suite C3
INDIANAPOLIS,IN46202 		BEHAVIORAL HEALTH
213 IUH ADDICTION TREATMENT & RECOVERY CNTR
1115 N Ronald Reagan Pkwy Suite 36
Avon,IN46123 		BEHAVIORAL HEALTH
214 IU HEALTH MORGAN
2209 JOHN R WOODEN DR
MARTINSVILLE,IN46151 		DIAGNOSTIC & OTHER OUTPATIENT
215 IU HEALTH OLCOTT CENTER
2651 E Discovery Pkwy
BLOOMINGTON,IN47408 		DIAGNOSTIC & OTHER OUTPATIENT
Schedule H (Form 990) 2022
Page 10
Schedule H (Form 990) 2022
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part V, Section A LINE 1 - NAME, ADDRESS, AND WEBSITE IU HEALTH OPERATES SEVERAL HOSPITAL LOCATIONS UNDER A SINGLE HOSPITAL LICENSE ISSUED BY THE INDIANA STATE DEPARTMENT OF HEALTH. THE NAMES, ADDRESSES, AND PRIMARY WEBSITE ADDRESSES FOR EACH OF THESE LOCATIONS ARE AS FOLLOWS: IU HEALTH METHODIST HOSPITAL 1701 N. SENATE BLVD. INDIANAPOLIS, IN 46202 HTTPS://IUHEALTH.ORG/FIND-LOCATIONS/IU-HEALTH-METHODIST-HOSPITAL IU HEALTH UNIVERSITY HOSPITAL 550 UNIVERSITY BLVD. INDIANAPOLIS, IN 46202 HTTPS://IUHEALTH.ORG/FIND-LOCATIONS/IU-HEALTH-UNIVERSITY-HOSPITAL RILEY HOSPITAL FOR CHILDREN AT IU HEALTH 705 RILEY HOSPITAL DR. INDIANAPOLIS, IN 46202 HTTPS://WWW.RILEYCHILDRENS.ORG/ IU HEALTH METHODIST HOSPITAL, IU HEALTH UNIVERSITY HOSPITAL, AND RILEY HOSPITAL FOR CHILDREN AT IU HEALTH ARE COLLECTIVELY REFERRED TO AS THE IU HEALTH ACADEMIC HEALTH CENTER. IU HEALTH SAXONY HOSPITAL 13000 E. 136TH ST. FISHERS, IN 46037 HTTPS://IUHEALTH.ORG/FIND-LOCATIONS/IU-HEALTH-SAXONY-HOSPITAL
Schedule H, Part I, Line 7c TOTAL COMMUNITY BENEFIT EXPENSE SCHEDULE H, PART I, LINE 7, COLUMN (F), PERCENT OF TOTAL EXPENSE, IS BASED ON COLUMN (E) NET COMMUNITY BENEFIT EXPENSE. THE PERCENT OF TOTAL EXPENSE BASED ON COLUMN (C) TOTAL COMMUNITY BENEFIT EXPENSE, WHICH EXCLUDES DIRECT OFFSETTING REVENUE, IS 34.92%.
Schedule H, Part I, Line 7f PERCENT OF TOTAL EXPENSE THE AMOUNT OF BAD DEBT EXPENSE SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSE ON LINE 7, COLUMN (F) IS $42,583,810 THIS AMOUNT INCLUDES THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX, LINE 25, COLUMN (A), AND IU HEALTH'S PORTION OF THE BAD DEBT ATTRIBUTABLE TO THE JOINT VENTURES REPORTED ON SCHEDULE H, PART IV. BAD DEBT EXPENSE IS REPORTED AT COST BASED ON THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
Schedule H, Part II PROMOTION OF HEALTH IN COMMUNITIES SERVED IU Health Inc. supports and/or participates in a variety of community-building activities that address the non-medical, root causes of health problems in the communities it serves. IU Health Inc. and its related hospital entities across the state of Indiana ("IU Health Statewide System") investments include economic development efforts across the state, workforce development opportunities, collaborate with like-minded organizations through coalitions that address key issues, and advocate for improvements in the health status of vulnerable populations. Some activities meet the definition of community benefit and have been reported as such. IU Health Inc. supported several different types of community building activities to promote the health of the community. These activities include: Economic Development: Due to the relationship between health, safety and economic growth, IU Health Inc. has long seen the value in supporting sustainable economic growth and quality of place in Indianapolis and the surrounding metropolitan area. IU Health Inc. provided in-kind and financial support to the Indianapolis Chamber of Commerce's Accelerate Indy For All, the economic development strategy. The pillars of the strategy include educated and talented workers; innovative and enterprising business; attractive and connected places; and a vibrant and inviting image. Workforce Development: Seeking opportunities to collaborate with educational institutes to promote the health sciences professions, IU Health Inc. has several departments that did community education and outreach to encourage students to explore and consider healthcare careers. As the healthcare industry faces workforce shortages, this presents an opportunity to inspire students, especially racial and ethnic minority students, to go to college or seek other post-secondary education alternatives. Coalition Building: IU Health team members participate on the governing boards of nonprofit organizations that seek to increase access to healthcare services, health equity, and advancing public health. Additionally, IU Health team members participate in local coalitions such as the Top 10 Coalition and Health Equity Action Team to share resources and information as well as improve community and partner capacity to address health needs and advance health equity in the community. Leadership Development/Training for Community Members: IU Health can be traced back to its two founding organizations: the United Methodist Church and Indiana University. Today, these two organizations each comprise half of the governing bodies of IU Health. This cash donation supports the values of both organization and their commitment to the community.
Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care IU Health uses several factors other than federal poverty guidelines ("FPG") in determining eligibility for free care under its FAP. These factors include the following: 1. Eligibility for Financial Assistance due to Financial or Personal Hardship In order to be eligible for Financial Assistance due to Financial or Personal Hardship under this Policy, a patient or guarantor must: - Submit a completed Financial Assistance Application with all supporting documentation and be approved in accordance with this Policy; - Be an Indiana Resident as defined in this Policy; and - If Uninsured, consult with a member of IU Health's Individual Solutions department to determine if health care coverage may be obtained from a government insurance or assistance product, the Health Insurance Marketplace, or from any other source of coverage. Financial Assistance due to Financial Hardship is only available for encounters where care was initiated via an eligible facility's emergency department, direct admission from a physician's office, or transfer from another hospital facility. 2. Financial Assistance due to Financial Hardship The FPL income threshold under this section is as follows: - If one or more adults and zero dependents are in the household, the FPL Income Threshold is 200%. - If two or more adults and one or more dependents are in the household, the FPL Income Threshold is 250%. - If one adult and one or more dependents are in the household, the FPL Income Threshold is 300%. In some instances, an adult will also qualify as a dependent. When this occurs, IU Health will treat the adult as a dependent for purposes of the FPL calculation. IU Health will utilize the most recent FPL data available and will apply the FPL data to a patient or guarantor's account balance based upon the calendar date a completed Financial Assistance Application was received, not a patient's date of service. An Uninsured Patient or their guarantor whose household income is less than or equal to the FPL income threshold may be eligible for full Financial Assistance up to 100% of Gross Charges if approved. An Underinsured Patient or their guarantor whose household income is less than or equal to the FPL income threshold may be eligible for full Financial Assistance up to 100% of Patient Responsibility if approved. 3. Financial Assistance due to Personal Hardship An Uninsured or Underinsured patient or their guarantor whose household income is above the FPL income threshold may be eligible for Financial Assistance if the patient's outstanding Patient Responsibility exceeds 20% of the patient's or their guarantor's annual household income. - If approved, the patient's balance will be reduced to 20% of the patient or guarantor's annual household income or the Amounts Generally Billed, whichever is less. - IU Health will work with the patient or guarantor to identify a reasonable payment plan on the remainder of the balance. 4. Eligibility Period If approved for financial assistance by IU Health, the patient will be guaranteed financial assistance for treatment related to the underlying condition, for which the patient was originally screened and approved, through the remainder of the calendar year. As a condition of extending the on-going Financial Assistance, the patient must comply with requests from IU Health to verify that the patient continues to meet the conditions for qualification. 5. Appeals and Assistance Granted By the Financial Assistance Committee The Financial Assistance Committee will review and make determinations on all requests for appeals related to Financial Assistance. If a patient or guarantor seeks to appeal a Financial Assistance Determination, a written request must be submitted, along with the supporting documentation. The Financial Assistance Committee will review requests for and may grant additional Financial Assistance, including but not limited to, the following: - Assistance to patients who are seeking treatment that can only be provided in Indiana by IU Health or who would benefit from continued medical services from IU Health for continuity of care; - Care approved by the IU Health Chief Medical Officer (CMO) or the Chief Executive Officer (CEO) or CMO of an IU Health facility or region, including medically necessary non-elective services for which no payment source can be identified; - Care provided when it is known no payment source exists; - International humanitarian aid; and - Other care identified by the Financial Assistance Committee that fulfills the IU Health Mission. All decisions of the Financial Assistance Committee are final. 6. Presumptive Eligibility No Financial Assistance Application is required to receive Financial Assistance under this Presumptive Eligibility section. IU Health will deem patients or their guarantors presumptively eligible for Financial Assistance if they are found to be eligible for one of the following programs and care was initiated via an eligible facility's emergency department, direct admission from a physician's office, or transfer from another hospital facility: - Medicaid (any state) - Indiana Children's Special Health Care Services - Healthy Indiana Plan - Patients who are awarded Hospital Presumptive Eligibility (HPE) - A state and/or federal program that verifies the patient or guarantor's gross household income meets the FPL income threshold. IU Health will conduct a quarterly review of all accounts placed with a collection agency partner for at least one hundred and twenty (120) days after the account is eligible for an ECA as set forth in this Policy. If the patient or guarantor's individual scoring criteria demonstrates the patient has a low likelihood and/or propensity to pay or no credit, the patient or guarantor may be deemed presumptively eligible for Financial Assistance. Financial Assistance may additionally be granted in the following circumstances: - If the patient or their guarantor is found to have filed a petition for bankruptcy. - If the patient is deceased and found to have no estate. - If the patient is deceased and was under 21 years of age at the time of death. 7. Exhaustion of Alternate Sources of Assistance Patients must exhaust all other state and federal assistance programs prior to receiving Financial Assistance due to Financial or Personal Hardship under this Policy including, but not limited to, Medicaid. Patients who may be eligible for coverage under an applicable health insurance policy must exhaust all insurance benefits. - This includes patients covered under their own policy and those who may be entitled to benefits from a third-party policy. - IU Health may request patients show proof that such a claim was properly submitted to the appropriate insurance provider before awarding Financial Assistance. Eligible patients who receive medical care from an IU Health facility as a result of an injury proximately caused by a third party, and later receive a monetary settlement or award from said third party, may receive Financial Assistance for any outstanding balance not covered by the settlement or award. In the event Financial Assistance has already been granted in the above circumstances, IU Health reserves the right to reverse the Financial Assistance Determination in an amount equal to the amount IU Health would be entitled to receive had no Financial Assistance been awarded. 8. Patient Assets There are situations where a patient or their guarantor may have significant income or assets available to pay for healthcare services such as a legal settlement. The Financial Assistance Committee may evaluate the income or assets in determining Financial Hardship. IU Health may require a list of all property owned by the patient or guarantor and adjust a Financial Assistance Determination as a result.
Schedule H, Part I, Line 7g Subsidized Health Services IU HEALTH, INC. INCLUDES COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES BUT IS NOT ABLE TO SEGREGATE THE COSTS ASSOCIATED WITH PHYSICIAN CLINICS.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 42583810
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE AMOUNT REPORTED ON LINE 2 AS BAD DEBT IS REPORTED AT COST, AS CALCULATED USING THE COST TO CHARGE RATIO METHODOLOGY.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology IU Health will deem patients or their guarantors presumptively eligible for Financial Assistance if they are found to be eligible for one of the following programs and care was initiated via an eligible facility's emergency department, direct admission from a physician's office, or transfer from another hospital facility: 1. Medicaid (any state) 2. Indiana Children's Special Health Care Services 3. Healthy Indiana Plan 4. Patients who are awarded Hospital Presumptive Eligibility (HPE) 5. A state and/or federal program that verifies the patient or guarantor's gross household income meets the FPL income threshold. No Financial Assistance Application is required to receive Financial Assistance under this Presumptive Eligibility section. IU Health will conduct a quarterly review of all accounts placed with a collection agency partner for at least one hundred and twenty (120) days after the account is eligible for an ECA as set forth in this Policy. If the patient or guarantor's individual scoring criteria demonstrates the patient has a low likelihood and/or propensity to pay or no credit, the patient or guarantor may be deemed presumptively eligible for Financial Assistance. Financial Assistance may additionally be granted in the following circumstances: a) If the patient or their guarantor is found to have filed a petition for bankruptcy. b) If the patient is deceased and found to have no estate. c) If the patient is deceased and was under 21 years of age at the time of death. Due to this comprehensive methodology, IU Health does not believe any amount of bad debt is attributable to patients who may be eligible under the financial assistance policy and no portion of bad debt is included as community benefit.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote IU HEALTH'S CONSOLIDATED FINANCIAL STATEMENTS, FOOTNOTE 5, ADDRESSES BAD DEBT EXPENSE AS FOLLOWS: The Indiana University Health System does not require collateral or other security from its patients, substantially all of whom are residents of the State, for the delivery of health care services. However, consistent with industry practice, the Indiana University Health System routinely obtains assignment of (or is otherwise entitled to receive) patients' benefits payable under their health insurance programs, plans, or policies (e.g., Medicare, Medicaid, managed care payers, and commercial insurance policies). The Indiana University Health System uses a portfolio approach to account for categories of patient contracts as a collective group, rather than recognizing revenue on an individual contract basis. The portfolios consist of major payer classes for inpatient revenue and outpatient revenue. Based on the historical collection trends and other analysis, the Indiana University Health System believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if an individual contract approach were used. In support of its mission, the Indiana University Health System provides care to uninsured and underinsured patients. The Indiana University Health System provides charity care to patients who lack the financial resources to pay for their medical care. Financial assistance is available to qualifying uninsured and underinsured patients receiving care at an Indiana University Health System hospital location. Under its financial assistance policy, the Indiana University Health System provides medically necessary care to uninsured patients. Financial assistance up to the full amount of patient financial responsibility is available for uninsured and underinsured patients receiving care via the emergency department, direct admission from a physician's office, or transfer from another hospital. The federal poverty level (FPL) thresholds are used when determining the level of financial assistance based on household makeup. Households without dependents are eligible for assistance if household income is less than or equal to 200% FPL, two adults and at least one dependent are eligible if household income is less than or equal to 250% FPL, and households with one adult and at least one dependent are eligible if household income is less than or equal to 300% FPL. Individuals with medical bills totaling more than 20% of annual household income, regardless of FPL, qualify for catastrophic assistance and are eligible for a reduction in patient financial responsibility to 20% of annual household income. Since the Indiana University Health System does not pursue collection of these amounts, the discounted amounts are not reported as patient service revenue. The Indiana University Health System uses presumptive eligibility screening procedures for some forms of financial assistance and recognizes net patient service revenue on services provided to self-pay patients at the discounted rate at the time services are rendered. The estimated cost of charity care, using the consolidated cost to charge ratio, was $88,213,000 and $133,584,000 in 2022 and 2021, respectively.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 IS CALCULATED, IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS, USING "ALLOWABLE COSTS" FROM THE IU HEALTH MEDICARE COST REPORT. "ALLOWABLE COSTS" FOR MEDICARE COST REPORT PURPOSES, HOWEVER, ARE NOT REFLECTIVE OF ALL COSTS ASSOCIATED WITH IU HEALTH'S PARTICIPATION IN MEDICARE PROGRAMS. FOR EXAMPLE, THE MEDICARE COST REPORT EXCLUDES CERTAIN COSTS SUCH AS BILLED PHYSICIAN SERVICES, THE COSTS OF MEDICARE PARTS C AND D, FEE SCHEDULE REIMBURSED SERVICES, AND DURABLE MEDICAL EQUIPMENT SERVICES. INCLUSION OF ALL COSTS ASSOCIATED WITH IU HEALTH'S PARTICIPATION IN MEDICARE PROGRAMS WOULD SIGNIFICANTLY INCREASE THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7. IU HEALTH'S MEDICARE SHORTFALL IS ATTRIBUTABLE TO REIMBURSEMENTS THAT ARE LESS THAN THE COST OF PROVIDING PATIENT CARE AND SERVICES TO MEDICARE BENEFICIARIES AND DOES NOT INCLUDE ANY AMOUNTS THAT RESULT FROM INEFFICIENCIES OR POOR MANAGEMENT. IU HEALTH ACCEPTS ALL MEDICARE PATIENTS KNOWING THAT THERE MAY BE SHORTFALLS; THEREFORE IT HAS TAKEN THE POSITION THAT ANY SHORTFALL SHOULD BE COUNTED AS PART OF ITS 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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IU Health's FAP and written debt collection policy describe the collection practices applicable to patients, including those who may qualify for financial assistance. 1. Financial Assistance Application Financial Assistance Applications must include the following documentation: - All sources of Income for the last three (3) months. - Most recent three (3) months of pay stubs or Supplemental Security Income via Social Security. - Most recent three (3) statements from checking and savings accounts, certificates of deposit, stocks, bonds and money market accounts. - Most recent state and Federal Income Tax forms including Schedules C, D, E, and F. In the event the patient or guarantor's income does not warrant the filing of a federal tax statement, the individual may submit a notarized affidavit attesting to the foregoing. - Most recent W-2 statement. - For patients or members of the Household who are currently unemployed, Wage Inquiry from WorkOne. - If applicable, divorce/dissolution decrees and child custody order. Patients or their guarantors wishing to apply for Financial Assistance due to Financial Hardship are encouraged to submit an Application within ninety (90) days of discharge. Patients or their guarantors may submit an Application up to two-hundred and forty (240) days from the date of their initial post-discharge billing statement from IU Health, however, accounts may be subject to Extraordinary Collection Actions (ECA) as soon as one-hundred and twenty (120) days after receipt of the initial post-discharge billing statement. Patients or their guarantors submitting an incomplete Financial Assistance Application will receive written notification of the Application's deficiency upon discovery by IU Health. The Application will be pended for a period of forty-five (45) days from the date the notification is mailed. IU Health will suspend any ECA until the Application is complete or the expiration of the forty-five (45) day period. Patients with limited English proficiency may request a copy of this Policy, a Financial Assistance Application, and a Plain Language Summary in one of the below languages: - Arabic; - Burmese; - Burmese - Falam; - Burmese - Hakha Chin; - Mandarin/Chinese; or - Spanish The patient, and/or their representative, such as the patient's physician, family members, legal counsel, community or religious groups, social services or hospital personnel may request a Financial Assistance Application be mailed to a patient's primary mailing address free of charge. IU Health maintains the confidentiality of all Financial Assistance Applications and supporting documentation. IU Health will deny or revoke Financial Assistance for any patient or guarantor who falsifies any portion of a Financial Assistance Application. 2. Financial Assistance Determinations IU Health will inform patients or guarantors of the results of their Application by providing the patient or guarantor with a Financial Assistance Determination within ninety (90) days of receiving a completed Application and all requested documentation. A patient's Financial Assistance Application and Financial Assistance Determination are specific to each date(s) of service and approved related encounters. If a patient or guarantor is granted less than full charity assistance and the patient or guarantor provides additional information for reconsideration, Revenue Cycle Services may amend a prior Financial Assistance Determination. 3. Extraordinary Collection Actions IU Health may refer delinquent patient accounts to a third-party collection agency after utilizing reasonable efforts to determine a patient's eligibility for assistance under this Policy. Reasonable efforts include the following: - IU Health will notify the patient of this Policy at least thirty (30) days prior to initiating an ECA. - IU Health will not initiate an ECA for at least one-hundred and twenty (120) days after the patient's initial post-discharge billing statement. - IU Health will review all Financial Assistance Applications received up to and including two-hundred and forty (240) days after the patient's initial post-discharge billing statement. IU Health will cease any ECAs it has initiated upon receipt of a Financial Assistance Application until a Financial Assistance Determination is made under this policy. - If an Application is Approved, IU Health will issue a revised statement, issue refunds, and make reasonable efforts to reverse ECAs as necessary. IU Health and its third-party collection agencies may initiate an ECA against a patient or their guarantor in accordance with this Policy and 26 C.F.R. § 1.501(r). ECAs may include the following: - Selling a patient or their guarantor's outstanding financial responsibility to a third party. - Reporting adverse information about the patient or their guarantor to consumer credit reporting agencies or credit bureaus. - Deferring or denying, or requiring a payment before providing, medically necessary care because of a patient or their guarantor's nonpayment of one or more bills for previously provided care covered under this Policy. - Actions requiring a legal or judicial process, including but not limited to placing a lien on a patient's or their guarantor's property, foreclosing on a patient's or their guarantor's real property, attaching or seizing a patient's or their guarantor's bank account or other personal property, commencing a civil action against a patient or their guarantor, causing a patient or guarantor's arrest, causing a patient and/or guarantor to be subject to a writ of body attachment, and garnishing a patient or guarantor's wages When it is necessary to engage in such action, IU Health and its third party collection agencies, will engage in fair, respectful and transparent collections activities. 4. Refunds Patients eligible for Financial Assistance under this Policy who remitted payment to IU Health in excess of their Patient Responsibility will be alerted to the overpayment as promptly after discovery as is reasonable given the nature of the overpayment. Patients with an outstanding account balance due on a separate account will have their refund applied to the outstanding balance. Patients without an outstanding account balance described above will be issued a refund check for their overpayment as soon as technically feasible.
Schedule H, Part V, Section B, Line 16a FAP website - INDIANA UNIVERSITY HEALTH: Line 16a URL: HTTPS://IUHEALTH.ORG/PAY-A-BILL/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website - INDIANA UNIVERSITY HEALTH: Line 16b URL: HTTPS://IUHEALTH.ORG/PAY-A-BILL/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - INDIANA UNIVERSITY HEALTH: Line 16c URL: HTTPS://IUHEALTH.ORG/PAY-A-BILL/FINANCIAL-ASSISTANCE;
Schedule H, Part VI, Line 2 Needs assessment Though IU Health Inc. believes its CHNA process is comprehensive, the CHNA is done on a triennial basis. Between CHNA cycles, IU Health Inc. gathers data and information to monitor the most current needs of the community. Additional sources of data and information include: * IU Health data analytics and information service teams; * Secondary data sources from Federal, state, and local entities with a focus on health behaviors, health outcomes, and social determinants of health; * Obtaining community organization and governmental agency perspectives; priority population perspectives; and other healthcare and hospital perspectives; * Reports that share findings and recommendations on certain populations within the community and/or health behaviors, health outcomes, or social determinants of health; * Evidence informed sources; and * Team member participation in partnering efforts (e.g., coalitions, advisory committees, task forces, etc.). The regular review of these sources of data and information rarely impact what the significant needs are between CHNA cycles. However, it does help influence the types or level of interventions to address the significant needs; prioritize resources to those groups or neighborhoods experiencing health disparities in the community; identify funding opportunities to support interventions; and strengthen or mobilize partnerships to improve health.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance IU Health takes several measures to inform its patients of the FAP and FAP-eligibility. These measures include the following: 1. Post this Policy, a Plain Language Summary of this Policy, and the Financial Assistance Application on its website. 2. Provide patients with a Plain Language Summary of this Policy during registration and/or discharge. 3. Post conspicuous displays in appropriate acute care settings such as emergency departments and registration areas describing the available assistance and directing eligible patients to the Financial Assistance Application. 4. Include a conspicuous written notice on all patient post-discharge billing statements notifying the patient about this Policy and the telephone number of the Customer Service Department which can assist patients with questions regarding this Policy. 5. Make available Customer Service representatives via telephone during normal business hours. 6. Mail copies of this Policy, a Plain Language Summary of this Policy, and a Financial Assistance Application to patients or their guarantor free of charge upon request. 7. Broadly communicate this Policy as a part of its general outreach efforts. 8. Educate patient-facing team members on this Policy and the process for referring patients to the program.
Schedule H, Part VI, Line 4 Community information IU HEALTH SERVES A LARGE GEOGRAPHIC AREA IN CENTRAL INDIANA. IN COMPLETING CHNAS FOR ITS IU HEALTH ACADEMIC HEALTH CENTER AND IU HEALTH SAXONY HOSPITAL LOCATIONS, IU HEALTH DEFINED "COMMUNITY" AS THE COUNTY OF RESIDENCE FOR EACH HOSPITAL LOCATION. EACH INDIVIDUAL HOSPITAL LOCATION SERVES A UNIQUE SUBSECTION OF THE COMMUNITY FOR WHICH DETAILS ARE INCLUDED BELOW: IU HEALTH ACADEMIC HEALTH CENTER THE COMMUNITY FOR IU HEALTH ACADEMIC HEALTH CENTER'S PRIMARY SERVICE AREA IS DEFINED AS MARION COUNTY, THE COMMUNITY WHERE IU HEALTH ACADEMIC HEALTH CENTER IS LOCATED. THE SECONDARY SERVICE AREA IS COMPRISED OF ALL OTHER COUNTIES WITHIN THE STATE OF INDIANA. MARION COUNTY INCLUDES ZIP CODES WITHIN THE TOWNS OF BEECH GROVE, INDIANAPOLIS, LAWRENCE, SOUTHPORT, AND SPEEDWAY, PLUS PORTIONS OF PLAINFIELD, WHICH EXTENDS INTO HENDRICKS COUNTY. BASED ON THE CENSUS BUREAU DATA ESTIMATES FOR 2022, the most recent data available, MARION COUNTY'S POPULATION WAS 969,466 AND 51.6% WERE FEMALE. THE COUNTY'S POPULATION ESTIMATES BY RACE ARE 62.4% WHITE NON-HISPANIC, 29.6% BLACK NON-HISPANIC, 11.3% HISPANIC OR LATINO, 4.2% ASIAN, 0.5% AMERICAN INDIAN OR ALASKA NATIVE, AND 3.2% PERSONS REPORTING TWO OR MORE RACES. A VERY SMALL PERCENTAGE OF THE POPULATION IS ETHNIC GROUPS OTHER THAN THOSE LISTED ABOVE. IU HEALTH SAXONY HOSPITAL THE COMMUNITY FOR IU HEALTH SAXONY HOSPITAL'S PRIMARY SERVICE AREA IS DEFINED AS HAMILTON COUNTY, THE COUNTY WHERE IU HEALTH SAXONY HOSPITAL IS LOCATED, PLUS MARION, MADISON, AND HANCOCK COUNTIES. APPROXIMATELY 67% OF INPATIENT DISCHARGES ORIGINATE FROM THE PRIMARY SERVICE AREA. HAMILTON COUNTY INCLUDES ZIP CODES WITHIN THE TOWNS OF ARCADIA, ATLANTA, CARMEL, CICERO, FISHERS, NOBLESVILLE, SHERIDAN, AND WESTFIELD. BASED ON CENSUS BUREAU ESTIMATES FOR 2022, the most recent data available, HAMILTON COUNTY'S POPULATION WAS 364,921. JUST OVER HALF (50.7%) OF THE COUNTY'S POPULATION IS FEMALE. THE COUNTY'S POPULATION ESTIMATES BY RACE ARE 85.5% WHITE NON-HISPANIC, 4.9% BLACK, 4.6% HISPANIC OR LATINO, 7% ASIAN, 0.2% AMERICAN INDIAN OR ALASKA NATIVE, AND 2.3% TWO OR MORE RACES. A VERY SMALL PERCENTAGE OF THE POPULATION IS ETHNIC GROUPS OTHER THAN THOSE LISTED ABOVE.
Schedule H, Part VI, Line 5 Promotion of community health A MAJORITY OF IU HEALTH'S BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS WHO RESIDE IN IU HEALTH'S PRIMARY SERVICE AREAS. IU HEALTH EXTENDS MEDICAL PRIVILEGES TO ALL PHYSICIANS WHO MEET THE CREDENTIALING QUALIFICATIONS NECESSARY FOR APPOINTMENT TO ITS MEDICAL STAFF. IU HEALTH DOES NOT DENY APPOINTMENT ON THE BASIS OF GENDER, RACE, CREED, OR NATIONAL ORIGIN. IU HEALTH, IN CONJUNCTION WITH THE IU SCHOOL OF MEDICINE, TRAINS THE NEXT GENERATION OF PHYSICIANS IN AN EXCEPTIONAL ENVIRONMENT, BLENDING BREAKTHROUGH RESEARCH AND TREATMENTS WITH THE HIGHEST QUALITY OF PATIENT CARE. IU HEALTH'S FIVE-YEAR STRATEGY WAS UPDATED DURING 2019. IU HEALTH'S VISION IS TO MAKE INDIANA ONE OF THE HEALTHIEST STATES IN THE NATION BY PROVIDING THE BEST CARE, DESIGNED FOR OUR PATIENTS, AND THE FIVE YEAR STRATEGY WAS DESIGNED TO HELP IU HEALTH REALIZE THIS VISION. THE ELEMENTS OF IU HEALTH'S STRATEGY COMMUNITY HEALTH: AS THE LARGEST HEALTH SYSTEM IN THE STATE, AND IN PARTNERSHIP WITH THE STATE'S LARGEST MEDICAL SCHOOL - INDIANA UNIVERSITY SCHOOL OF MEDICINE - IU HEALTH HAS A SPECIAL OBLIGATION TO BE PART OF THE SOLUTION TO INDIANA'S SERIOUS HEALTH ISSUES. FOR COMMUNITY HEALTH, IU HEALTH'S FOCUS IS ON TACKLING FOUR OF THE MOST PRESSING HEALTH ISSUES IMPACTING INDIANA COMMUNITIES: HIGH RATES OF SMOKING, OBESITY, INFANT AND MATERNAL MORTALITY, AND POOR MENTAL HEALTH. SOME OF OUR EFFORTS IN THIS AREA INCLUDE: * EXPANDING ACCESS TO BEHAVIORAL HEALTH SERVICES ACROSS OUR SYSTEM * THE CREATION OF A $100M COMMUNITY IMPACT INVESTMENT FUND TO SUPPORT PROJECTS THAT ADDRESS SERIOUS HEALTH ISSUES. POPULATION HEALTH: THIS IS THE CARE IU HEALTH PROVIDES PATIENTS FOR WHOM IU HEALTH HAS ACCEPTED SOME FINANCIAL RISK. FOR THESE PATIENTS, IU HEALTH IS REIMBURSED ON HOW WELL IU HEALTH IMPROVES PATIENT OUTCOMES AND MANAGE THE COST OF THEIR CARE, INSTEAD OF ON HOW MANY SERVICES IU HEALTH PROVIDES. FOR EXAMPLE, IU HEALTH MANAGES MORE THAN 60,000 MEDICARE PATIENTS IN OUR NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION. FOR TWO YEARS NOW, WE HAVE REDUCED THE COSTS OF CARE FOR THOSE PATIENTS, WHILE ALSO IMPROVING A RANGE OF QUALITY METRICS. THIS HAS RESULTED IN BETTER CARE OUTCOMES, AS WELL AS SAVINGS FOR IU HEALTH AND THE MEDICARE ADVANTAGE PROGRAM. DESTINATION HEALTH: IU HEALTH TAKES CARE OF PATIENTS WITH THE MOST COMPLEX ILLNESSES AND TAKES ON THE TOUGHEST CASES THAT OTHER SYSTEMS ACROSS THE STATE DO NOT HAVE THE EXPERTISE OR THE RESOURCES TO HANDLE. IMPACT: THIS IS A NEW COMPONENT OF IU HEALTH'S STRATEGY AND REFLECTS EFFORTS TO EXPAND THE IMPACT IU HEALTH HAS ON PATIENTS AND COMMUNITIES ACROSS INDIANA. THIS INCLUDES PROVIDING EXCEPTIONAL CARE TO MORE PEOPLE AT IU HEALTH FACILITIES. IU HEALTH ALSO WANTS TO CREATE PARTNERSHIPS THAT WILL EXTEND IU HEALTH SERVICES TO MORE PEOPLE ACROSS INDIANA. THIS INCLUDES PROVIDING OUR EXCEPTIONAL CARE TO MORE PEOPLE AT OUR FACILITIES. WE ALSO WANT TO CREATE PARTNERSHIPS THAT WILL ENABLE US TO EXTEND OUR SERVICES TO MORE PEOPLE ACROSS OUR STATE. FOR EXAMPLE, WE HAVE A STRONG PARTNERSHIP WITH UNION HOSPITAL IN TERRE HAUTE, WHICH USES OUR CERNER ELECTRONIC MEDICAL RECORD SYSTEM, INCLUDING OUR CARE GUIDELINES AND ORDER SETS, TO BRING IU HEALTH CALIBER CARE TO UNION HOSPITAL PATIENTS. DIVERSITY AND INCLUSION: THE MISSION OF IU HEALTH'S OFFICE FOR DIVERSITY AND INCLUSION IS TO DRIVE A CULTURE OF ACCEPTANCE, INCLUSION, MUTUAL TRUST AND RESPECT IN ORDER TO BETTER SUPPORT THE PATIENTS AND COMMUNITIES THAT IU HEALTH SERVES. THE OFFICE FOCUSES ON INTERPERSONAL, INSTITUTATIONAL AND SOCIETAL ACTION TO TRANSFORM INTERNAL AND EXTERNAL COMMUNITIES INTO A PLACE WHERE ALL WILL THRIVE AND GROW.
Schedule H, Part VI, Line 6 Affiliated health care system Indiana University Health Inc. is part of Indiana University Health ("IU Health "the healthcare system"), which is Indiana's most comprehensive healthcare system. A unique partnership with the Indiana University School of Medicine ("IU School of Medicine"), one of the nation's leading medical schools, gives patients access to innovative treatments and therapies. The healthcare system is comprised of hospitals, physicians and allied services dedicated to providing preeminent patient care and community health improvement throughout Indiana. IU Health's affiliate hospitals are divided into five regions that serve communities in Northwest, Northeast, Central and Southern Indiana. The 16 hospitals in the healthcare system include IU Health Inc. (i.e., the IU Health Academic Health Center consists of IU Health Methodist Hospital, IU Health University Hospital, Riley Hospital for Children at IU Health and IU Health Saxony Hospital); IU Health Arnett; IU Health Ball; IU Health Bedford Hospital; IU Health Blackford Hospital; IU Health Bloomington Hospital; IU Health Frankfort; IU Health Jay; IU Health North Hospital; IU Health Paoli Hospital; IU Health Tipton Hospital; IU Health West Hospital; and IU Health White Memorial Hospital. Each affiliate hospital in the healthcare system, along with community stakeholders, conducts and adopts its own community health needs assessment (CHNA) and implementation strategy. IU Health considers the sum of these CHNAs and the implementation strategies part of a system wide vision of making Indiana one of the healthiest states in the nation. The healthcare system and its affiliate hospitals are keenly aware of the positive impact it can have on improving the health of communities throughout the state of Indiana by investing in local, community-based activities. The healthcare system includes an Academic Health Center (i.e., IU Health Inc.), a regional academic health center (i.e., IU Health Bloomington Hospital) and several affiliate hospitals that work in partnership with the IU School of Medicine to train physicians, blending breakthrough research and treatments with the highest quality of patient care throughout IU Health. Each year, more than 1,000 residents and fellows receive training in affiliate hospitals. Research conducted by IU School of Medicine faculty gives IU Health physicians and patients access to the most leading-edge and comprehensive treatment options. To further promote the health of the communities served by IU Health, the system-level Community Health Division team partners with state and local community-based organizations, community coalitions and governmental agencies to focus on innovative models of care; community alliances and partnerships; anchor institution and advocacy strategies; and social determinants of health. All affiliate hospitals in the healthcare system identify and address significant needs unique to the communities they serve. These needs are identified through the CHNA process. Some of these needs are common in communities served by multiple affiliate hospitals in the healthcare system and align with system priority areas, warranting a system level strategy. The Community Health Division, along with additional internal stakeholders such as the Office of Health Equity Research and Evaluation, plans and provides technical assistance for system-level strategies that address these common needs including health equity, tobacco, behavioral health access, infant and maternal health, hypertension, and social determinants of health. Each affiliate hospital works collaboratively with the Community Health Division to align and activate local resources to support these strategies. This benefits the community each affiliate hospital serves and works towards a statewide impact (system-level) on health outcomes. As part of the Community Health Division, Community Outreach and Engagement Program's IU Health Serves, a system-level team member volunteer program, seeks to positively impact the health of communities IU Health affiliate hospitals serve and foster a culture of engagement and social responsibility. Each affiliate hospital coordinates the different initiatives of the program, including Days of Service. This is the largest volunteer event of the year, consisting of projects designed to engage each affiliate hospitals' team members in activities that address local, significant needs. The Community Impact and Investment (CII) Fund is a $200 million dollar board designated fund that is managed by the IU Health Foundation to financially support high impact community investing. The focus of these efforts will address social determinants of health and health disparities that impact marginalized and minoritized populations in the communities IU Health serves. Through the grants provided by this CII Fund, IU Health can strategically and intentionally address the social, economic, and environmental factors that impact the health of affiliate hospitals' surrounding communities. Each affiliate hospital and its team members are eligible to pursue this grant opportunity with a community organization or agency.
Schedule H, Part VI, Line 7 State filing of community benefit report IN
Schedule H (Form 990) 2022
Additional Data


Software ID: 22016089
Software Version: 2022v5.0