Civic Intelligence

Methodist Occupational Health Centers Inc

990 • Fiscal year 2014 • EIN 35-1844176

Jan 01, 2014 to Dec 31, 2014 • Filed on Nov 06, 2015

950 N Meridian Street Suite 800Indianapolis, IN 46204

(317) 962-4575

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

29th percentile

0.07x

Higher debt load relative to assets than 29% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Liabilities / Revenue

27th percentile

0.10x

Higher debt load relative to revenue than 27% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Net Margin

21st percentile

-4.1%

Higher net margin than 21% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Top Officer Pay

92nd percentile

$580,347

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 3.3% of source-year revenue.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Asset Growth

27th percentile

-1.6%

Faster asset growth than 27% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2013 to 2014

Revenue Growth

4th percentile

-51%

Faster revenue growth than 4% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2013 to 2014

Assets

Down

$23,605,814

Down $394,373 (-1.6%) from 2013

Net Assets

Down

$21,882,774

Down $722,181 (-3.2%) from 2013

Liabilities

Up

$1,723,040

Up $327,808 (+23%) from 2013

Revenue

Down

$17,687,144

Down $18,290,398 (-51%) from 2013

Expenses

Down

$18,404,347

Down $3,996,478 (-18%) from 2013

Net Income

Down

-$717,203

Down $14,293,920 (-105%) from 2013

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0Assets 2010: $10,923,598Liabilities 2010: $2,287,628Net Assets 2010: $8,635,9702010Assets 2011: $11,310,039Liabilities 2011: $2,903,678Net Assets 2011: $8,406,3612011Assets 2012: $10,684,538Liabilities 2012: $1,656,300Net Assets 2012: $9,028,2382012Assets 2013: $24,000,187Liabilities 2013: $1,395,232Net Assets 2013: $22,604,9552013Assets 2014: $23,605,814Liabilities 2014: $1,723,040Net Assets 2014: $21,882,7742014Assets 2015: $23,322,044Liabilities 2015: $1,919,047Net Assets 2015: $21,402,9972015Assets 2016: $22,782,394Liabilities 2016: $4,294,695Net Assets 2016: $18,487,6992016Assets 2017: $22,569,389Liabilities 2017: $6,849,512Net Assets 2017: $15,719,8772017Assets 2018: $22,156,543Liabilities 2018: $7,253,290Net Assets 2018: $14,903,2532018Assets 2019: $22,280,713Liabilities 2019: $8,613,786Net Assets 2019: $13,666,9272019Assets 2020: $22,548,606Liabilities 2020: $11,111,453Net Assets 2020: $11,437,1532020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2014

Assets$23,605,814
Liabilities$1,723,040
Net Assets$21,882,774

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2010: $22,762,0422010Expenses 2011: $27,138,7782011Expenses 2012: $27,512,0982012Revenue 2013: $35,977,542Expenses 2013: $22,400,825Net Income 2013: $13,576,7172013Revenue 2014: $17,687,144Expenses 2014: $18,404,347Net Income 2014: -$717,2032014Revenue 2015: $17,572,082Expenses 2015: $18,051,859Net Income 2015: -$479,7772015Revenue 2016: $16,356,535Expenses 2016: $19,271,833Net Income 2016: -$2,915,2982016Revenue 2017: $15,712,559Expenses 2017: $18,480,381Net Income 2017: -$2,767,8222017Revenue 2018: $14,447,841Expenses 2018: $15,246,568Net Income 2018: -$798,7272018Revenue 2019: $13,000,434Expenses 2019: $14,229,875Net Income 2019: -$1,229,4412019Revenue 2020: $12,298,120Expenses 2020: $14,527,894Net Income 2020: -$2,229,7742020Revenue 2021: $12,172,582Expenses 2021: $14,732,359Net Income 2021: -$2,559,7772021

Highlighted filing

2014

Revenue$17,687,144
Expenses$18,404,347
Net Income-$717,203
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 6, 2015
Return Version
2014v5.0
Gross Receipts
$17,746,695
Mission and Program Overview

Mission

To provide occupational health care to the work force through a broad spectrum of preventive, diagnostic, treatment, and therapeutic services in order to promote healthier and more productive employees.

Provide occupational health services in prevention, treatment, and rehabilitation.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$0$21,258,946▲ $21,258,946
Accounts Receivable$3,184,881$1,723,008▼ $1,461,873
Land, Buildings, and Equipment, Net$592,451$314,296▼ $278,155
Prepaid Expenses and Deferred Charges$109,844$114,346▲ $4,502
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$24,000,187$23,605,814▼ $394,373
Other Assets Total$20,113,011$195,218▼ $19,917,793
Liabilities
Accounts Payable and Accrued Expenses$1,267,408$1,723,040▲ $455,632
Mortgage Notes Payable Secured by Investment Property$127,824$0▼ $127,824
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$1,395,232$1,723,040▲ $327,808
Net Assets / Fund Balance
Unrestricted Net Assets$22,604,955$21,882,774▼ $722,181
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$22,604,955$21,882,774▼ $722,181
Total Liabilities and Net Assets / Fund Balance$24,000,187$23,605,814▼ $394,373

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$67,011$457,330$524,341
Leasehold Improvements$154,501$78,938$233,439
Other Land Buildings-$222,750$222,750
Buildings$92,784$39,765$132,549
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ted T Lai MdStaff PhysicianFT$176,608$19,652$196,260
Sherman G Ibarra MdStaff PhysicianFT$156,247$17,561$173,808
Carl B Anderson MdMedical DirectorFT$160,509$13,008$173,517
Suzanne E Montgomery MdStaff PhysicianFT$159,582$11,743$171,325
Geraldine a Darroca MdMedical DirectorFT$134,263$25,576$159,839
G Dean RainboltDirector/vice President--$79,012$79,012

Board Members and Trustees

NameTitle
Ronald L StiverChairman
Clark DayDirector/president & CEO
Norman G Tabler JrFormer Secretary
Mary Beth ClausSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Keystone Construction CorporationConstruction47 S PENNSYLVANIA STREET 10TH FLO, Indianapolis, IN 46204$817,160
Barton Associates INCStaffing10 DEARBORN ROAD, Peabody, MA 01960$574,089
Iu Health Care Asssociates INCMedical950 N MERIDIAN STREET STE 800, Indianapolis, IN 46204$395,420
South Bend Medical Foundation INCLaboratoryPO BOX 2030, Mishawaka, IN 46546$303,960
Allied Health GroupStaffingPO BOX 404691, Atlanta, GA 30384$190,696
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$17,683,855
Investment Income
$-43,374
Other Revenue
$46,663
Change in Net Assets
$-717,203
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$11,003,508
Other Expenses$7,400,839
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,139,512$1,891,947-$9,031,459
Fees for Services Other$3,647,367$484,884$0$4,132,251
Other Employee Benefits$737,322$178,474-$915,796
Payroll Taxes$521,732$140,572-$662,304
Pension Plan Contributions$322,681$71,268-$393,949
Office Expenses$234,097$90,764-$324,861
Occupancy$259,851$580-$260,431
Depreciation Depletion$190,967$35,757-$226,724
Travel$78,131$30,412-$108,543
Insurance$43,033$55,505-$98,538
Information Technology$27,943$68,910-$96,853
Advertising$73,153$6,005-$79,158
All Other Expenses$11,354$16,469-$27,823
Interest$5,847$2,014-$7,861
Fees for Services Accounting-$2,720-$2,720
Conferences and Meetings$1,473$156-$1,629
Other Expenses$744--$744
Fees for Services Legal-$102-$102
Total Functional Expenses$15,327,808$3,076,539$0$18,404,347
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Part VI, Section A, Line 1B - Number of Voting Members that are Indep.

Methodist Occupational Health Centers is part of a multi-entity hospital system controlled by IU Health, a 501(c)(3) exempt organization whose board is comprised of voting members, of which substantially all are independent community members.

Part VI, Section A, Line 2 - Family or Business Relationships

Clark Day and G. Dean Rainbolt served as Officers and on the Board of Directors of Occ-Health Revenue Systems, Inc. No additional compensation was provided to these individuals for their service.

Part VI, Section A, Lines 6, 7A and 7B - Members or Stockholders

Line 6: The sole member of Methodist Occupational Health Centers, is IU Health, a 501(c)(3) tax-exempt hospital. Line 7a: The control and management of the affairs of Methodist Occupational Health Centers is vested in a Board of Directors of not less than three (3) nor more than nine (9) Directors whom are elected by IU Health, as the sole member of the organization. Line 7b: Notwithstanding any other provisions of the Articles of Incorporation or any provision of Methodist Occupational Health Centers' Bylaws, the following matters require the approval of IU Health, as the sole member, prior to implementation: - Any amendment of the Articles of Incorporation or Bylaws of Methodist Occupational Health Centers; - Adoption or revision of any operating or capital budget of Methodist Occupational Health Centers; - A merger or consolidation of Methodist Occupational Health Centers; - Any sale, lease, exchange, conveyance, mortgage, pledge or other disposition of a substantial portion of the property, assets or interests of Methodist Occupational Health Centers, other than pursuant to a budget approved by IU Health, as sole member; - Any incurrence of debt by, or the creation of any lien upon the property or revenues of, Methodist Occupational Health Centers other than in the ordinary course of business or pursuant to a budget approved by IU Health, as sole member. Notwithstanding any other provisions of the Articles of Incorporation, or any provision of Methodist Occupational Health Centers' Bylaws, IU Health, as the sole member, shall have the power to direct the Board of Methodist Occupational Health Centers to do any of the following: - Transfer property of Methodist Occupational Health Centers in amounts sufficient to pay the principal and interest of any obligation of IU Health, as sole member; and - Take such actions as are required in order for Methodist Occupational Health Centers to comply with the covenants contained in any financing document to which IU Health, as sole member, is a party or under which IU Health is bound.

Part VI, Section B, Line 11B - Review of Form 990

The President & CEO reviewed and approved the Form 990. Following the President & CEO's review and approval, a complete copy of the Form 990 was made available to each board member prior to its filing. Each member was also informed of the availability of IU Health's Tax Department to an answer any questions.

Part VI, Section B, Lines 12, 13, 14, and 16B - Policies

Methodist Occupational Health Centers is part of the IU Health system. As the sole member and controlling parent of Methodist Occupational Health Centers, IU Health and its board of directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, Methodist Occupational Health Centers' Board of Directors was not required to separately adopt a conflict of interest, whistleblower, document retention and destruction and joint venture policies because IU Health's Board of Directors had already adopted and required these policies to be followed by its subsidiaries.

Part VI, Section B, Line 12C - Conflict of Interest Policy

Methodist Occupational Health Center's follows IU Health's Conflict of Interest policy. IU Health's Conflict of Interest Policy includes the following provisions: All IU Health employees, associates, colleagues and contracted personnel, including employed physicians and paid medical directors ("IU Health Representatives") are covered by and subject to its Conflict of Interest Policy. IU Health regularly and consistently monitors and enforces compliance with the policy through the following procedures: (a) On an annual basis, each IU Health Representative at the level of Manager or above, together with every other person designated by the Corporate Compliance Department ("Department"), must complete, sign and submit a Conflict of Interest Questionnaire ("Questionnaire") to the Department. Governing board members, committee members, corporate officers, medical staff and researchers must comply with the administrative requirements noted in the respective policies and procedures relative to those areas. (b) An IU Health Representative must supplement a Questionnaire in writing, if after completion of the original Questionnaire, a situation arises, or may reasonably be expected to arise, that would change any answer or information on the original Questionnaire if the situation had existed or been anticipated at the time of completion of the original Questionnaire. (c) If a fully and properly completed Questionnaire reveals facts or other information that might reasonably indicate a Conflict of Interest or violation of the policy, the IU Health Representative completing the questionnaire must secure approval by his/her supervisor, evidenced in writing. (d) The Department will review each Questionnaire and determine whether a Conflict of Interest exists and, if so, whether and how it should or may be eliminated, avoided or managed in order to comply with the spirit of the policy and with the best interests of IU Health and its patients. In making the determination, the Corporate Compliance Department may consult with the IU Health Representative's supervisor and other appropriate individuals and groups. (e) The scope of the policy is not limited to those who are required to complete Questionnaires. If an IU Health Representative is involved in a situation or relationship that would constitute a violation of the policy in the absence of disclosure and approval as described above, then the IU Health Representative must disclose the matter to his/her supervisor, secure his/her supervisor's approval in writing, and disclose the matter to the Department. Otherwise, the IU Health Representative is in violation of the policy and subject to corrective action, up to and including termination. (f) The Chief Compliance Officer, in consultation with onsite Compliance personnel, may from time to time appoint standing or ad hoc committees to assist in resolving issues that arise under provisions of the policy.

Part VI, Section B, Line 15A - Process for Determining Compensation

Methodist Occupational Health Centers' President & CEO is employed by IU Health. IU Health's process for determining compensation is as follows: (1) The Board of Directors has established a Committee on Personnel and Compensation. The individuals on this Committee are made up of individuals who are on the Board and who do not have a conflict of interest with IU Health. There are no physicians or employees on this Committee. This Committee develops and reviews annually the executive compensation philosophy, market analysis as to comparability and reasonableness. One of the purposes of this Committee is to review, approve and make recommendations regarding executive compensation and benefits to the IU Health Board. As deemed appropriate, this Committee also reviews the same detail with the Committee on Finance. The Committee on Finance is represented by certain members of the Board as well. (2) Each year the Committee on Personnel and Compensation engages an outside compensation consulting firm to conduct a compensation and benefits study for all senior vice presidents and above. The current compensation advisor is the Hay Group. Hay Group performs an independent compensation survey. The relevant comparability data includes: compensation and benefit levels paid by similarly situated organizations (both governmental and tax exempt) for functionally comparable positions as well as the availability of similar services in the geographic area. The Committee reviews the entire compensation package including: base compensation, short term and long term incentive plans, basic health and welfare benefits, qualified and nonqualified plans as well as any additional fringe benefits. Further, Hay Group will provide recommendations based upon the reasonable compensation information as it relates to salary increases, bonuses and benefits that are consistent with the compensation philosophy of the Committee. A separate analysis using the same methodology is done for the Chief Executive Officer. (3) The Committee reviews the salary survey and, if appropriate, makes recommendations on increases in salary and any changes in bonuses or benefits. The Committee's goal is to ensure that the total compensation and benefits package is reasonable based upon the independent data provided by Hay Group. The Committee votes on any changes in compensation or benefits. This review, discussion and vote are documented in the minutes for the meeting. There are no executives present during the final discussion and approval of compensation. (4) The Board reviews the report prepared by the Hay Group as well as the recommendations of the Committee on Personnel and Compensation as to changes in compensation approved by the Committee. As requested, the Committee on Finance also provides its review of recommendations on changes in executive compensation and benefits. This review, discussion and vote are documented in the minutes. (5) The Board then reviews the recommendations provided by the Committee on Personnel and Compensation and votes on the changes as well. No additional compensation or benefits are paid to the executives until the changes have been approved by the Committee and the Board. The discussion and approval are documented in the minutes of the meeting. There are no executives present during the final discussion and approval of compensation. The General Counsel prepares a formal written opinion reviewing the compensation and benefits approval process, comparing that process to the Intermediate Sanctions Test of IRC Section 4958 and, if the facts warrant, provides comments regarding the compensation and benefits approval process as this relates to meeting the requirements for a rebuttable presumption of reasonableness as provided in the Intermediate Sanctions Test. (6) After the end of each year, the Committee and Board also reviews the achievements of the executive group as it relates to the long-term and short-term shared and individual goals developed

Part VI, Section B, Line 19 - Public Disclosure

Methodist Occupational Health Centers Articles of Incorporation are available to the public through the Indiana Secretary of State's web-site. Methodist Occupational Health Centers' conflict of interest policy is described on Form 990, Schedule O. Methodist Occupational Health Centers is a consolidated subsidiary in the consolidated financial statements for IU Health. The consolidated financial statements for IU Health are available to the public through its bond filings.

Filing and Contact Details

Filer

Filer Name
Methodist Occupational Health Centers Inc
EIN
35-1844176
In Care Of
% BROC L BUDDE
Phone
3179624575
Address
950 N MERIDIAN STREET SUITE 800, INDIANAPOLIS, IN 46204
Doing Business As
Iu Health Occupational Services

Signing Officer

Name
Clark Day
Title
President & CEO
Signed
2015-11-06

Organization Details

Principal Officer
Clark Day
Formed
1991
Legal Domicile
In
Voting Board Members
3
Independent Board Members
0
Employees
264
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
111 MONUMENT CIRCLE SUITE 4000, INDIANAPOLIS, IN 46204
Preparer
Jennifer D Rhoderick
Phone
3176817000
Supplemental Narrative

Additional Explanations

Part XI, Line 9 - Other Changes in Net Assets or Fund Balances

During 2014, IU Health, a related 501(c)(3) tax-exempt organization, made an equity transfer of $4,978 to Methodist Occupational Health Centers. Although there was never any intent for Methodist Occupational Health Centers to repay IU Health, these amounts were recorded as intercompany balances rather than equity transfers. During 2014, IU Health and Methodist Occupational Health Centers made adjustments to their books and records to reflect these intercompany balances as equity transfers for both book and tax purposes.

Form 990 Part IX Line 11G

Description:shared services/prof. Fees total fees:4132251

Financial Statement Notes

Schedule D, Part X, Line 2 - FIN 48 (ASC 740) Footnote

Methodist Occupational Health Centers is a subsidiary in the consolidated financial statements of Indiana University Health, Inc. ("IU Health"). IU Health adopted FIN 48 in 2007. No disclosures were required in 2014 under GAAP as IU Health does not have any material tax contingencies that required disclosures in the footnotes.

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IRS990/Desc0Methodist Occupational Health Centers, Inc. ("Methodist Occupational Health Centers") delivers effective on-site employee health services to employers primarily through its disregarded entity, Workplace Health Services, LLC d/b/a IU Health Business Solutions ("IU Health Business Solutions"). IU Health Business Solutions offers customized solutions for employers including wellness and health management, on-site health, occupational health, employee assistance, and executive health programs. As part of the Indiana University Health System, Indiana's only nationally ranked healthcare system, IU Health Business Solutions is uniquely positioned to maximize employers' investment in their employees with a customized solution that brings measurable results. As a provider of occupational health services, approximately ninety-nine percent (99%) of its revenue is either received directly from the employers it contracts with or through the employers' workers' compensation insurance. Accordingly, employees that receive services are not directly responsible for payment for their care. Thus, the need for IU Health Business Solutions to provide charity care is virtually nonexistent. When medically indicated, IU Health Business Solutions will refer patients to the Indiana University Health Care System, where charity care is provided, should it be necessary. Also in furtherance of its exempt purpose, IU Health Business Solutions is involved in community educational programs and is committed to occupational health training and preventive care.
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