COMMITTED to our COMMUNITIES Community Benefit Report

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1 COMMITTED to our COMMUNITIES 206 Benefit Report

2 MISSION, VISION & VALUES Indiana University s mission is to improve the health of our patients and community through innovation and excellence in care, education, research and service. IU strives to be a preeminent leader in clinical care, education, research and service. Our excellence is measured by objective evidence and established best practices. We value: Total patient care, including mind, body and spirit Excellence in education for healthcare providers Quality of care and respect for life Charity, equality and justice in healthcare Leadership in health promotion and wellness Excellence in research An internal community of mutual trust and respect IU HEALTH S COMMUNITY IMPACT Every day, IU positively impacts our statewide community by carrying out its mission through clinical care, education, research and service. In 206, IU provided more than $584 million in community benefit and nearly $720 million in community investments, serving more than million Indiana residents. These community benefit initiatives include, but are not limited to: offering financial assistance to patients who are unable to pay, educating health professionals, engaging in innovative clinical research and conducting community outreach initiatives that improve the health of community members. As part of our commitment to provide high-quality care regardless of a patient s ability to pay, IU provided more than $67 million in free or reduced-cost healthcare to qualified patients. IU trained and continues to train the new generation of healthcare professionals, engaged thousands of clinical trials researching leading-edge medicine and breakthrough treatments and partnered with hundreds of community organizations to bring health and wellness education to people throughout the state. INDIANA UNIVERSITY HEALTH

3 Indiana University Arnett Hospital in Lafayette, Ind., is a full-service hospital that includes an adjacent outpatient surgery center and medical office building. With six technologically advanced surgical suites, IU Arnett Hospital can accommodate complex surgeries, such as open heart, neurosurgical procedures and minimally invasive davinci surgery. IU Arnett achieved Magnet status in 206. A Magnet-designated organization is an organization that has been recognized by the American Nurses Credentialing Center as demonstrating excellence in patient care within nursing practice and throughout the entire hospital. Lafayette, IN In 205, IU Arnett Hospital completed its community health needs assessment which identified its top health priorities for With a 207 budget of $8,08.97, IU Arnett Hospital will address those identified needs: Access to Affordable care: We aim to improve access to prescribed medicines, create a safe environment for high school athletes, ensure safety of child passengers and provide a community for patients and family members to discuss health concerns. Nutrition and Active Living: We aim to increase daily physical activity, decrease obesity, improve knowledge of healthy habits and increase availability of healthy and affordable foods. Behavioral : We aim to identify patients who need drug/ alcohol abuse intervention, teach community members the warning signs of those in mental crisis and provide outpatient access to community members requiring behavioral health services. $5,528,343 Financial Assistance $20,775,484 Medicaid $28,882 $,030,8 Medicare $,797,36 $70,498 $,44,644 $5,342,7 Bad Debt $3,278,258 $436,207 Research $,228,766 $47,680,22 REPORT 2

4 Indiana University Ball Memorial Hospital was founded in 929 as both a teaching hospital and regional tertiary referral center. We ve introduced healthcare to underserved populations and geographic areas such as Jay County, New Castle and Hartford City and given consumers choices in their healthcare. IU Ball Memorial Hospital is the largest non-government employer in East Central Indiana, employing nearly 2,500 people with a payroll exceeding $0 million. This not-for-profit organization boasts a clinical staff of more than 400 physicians, representing more than 45 medical specialties, and is ranked a top hospital in the nation by U.S. News & World Report. Muncie, IN In 205, IU Ball Memorial Hospital completed its community health needs assessment. IU Ball Memorial Hospital identified the following community health needs, on which we will focus our community benefit efforts from : Nutrition and y Weight: With a 207 budget of $25,000, we aim to reduce obesity and associated chronic disease rates by working with community partners to develop a broad-based collective impact model health coalition targeted at improved nutrition and increased physical activity. Infant Factors: With a 207 budget of $5,000, we aim to increase infant mortality interventions for at-risk mothers by providing expertise and resources for continued operation of the Fetal Infant Mortality Review Program and Action Teams related to infant health and collaborating with community partners to promote the ABC s of safe sleep in key locations. Access to care: With a 207 budget of $362,000, we aim to increase the number of underserved community members receiving health screenings by offering free or reduced cost screenings for lung, breast, skin and cervical cancers. $6,998,856 Financial Assistance $75,664 Medicaid $747,454 $(4,853,050) Medicare $,804,762 $85,385 $0,06,465 $3,757,49 Bad Debt $20,602,629 $,098,936 Research $377,56 $20,254,452 3 INDIANA UNIVERSITY HEALTH

5 Indiana University Bedford Hospital operates as a critical access hospital with inpatient, outpatient and ambulatory care services, including a 24-hour emergency room and emergency medical services. IU Bedford Hospital is a modern healthcare facility approved by The Joint Commission on the Accreditation of care Organizations. It offers advanced technology and medical services in internal medicine, family practice, general surgery, orthopedics, gynecology and pediatrics. In 205, IU Bedford Hospital completed its Buck vouchers that are given out as two community events to discuss the negative community health needs assessment. IU well as cashed in over the year. For evaluation effects of tobacco use. Bedford Hospital identified the following community health needs, on which we will focus our community benefit efforts from : Obesity Prevention: With a 207 budget of $,300, we aim to have educational pieces and information present at the Farmers Market two weekends in 207. In addition, we will increase by 3% the number of purposes, we plan to measure the number of WIC and SNAP program participants who cash in their $5 Buck voucher from IU Bedford Hospital. Substance Abuse: With a 207 budget of $,300, we aim to increase the number of participants in the Beat Tobacco class in 207 and participate in one to Behavioral : We aim to increase the number of participants in IU Bedford Hospital s Grief Support Group and offer group information at one to two community events in 207. Bedford, IN $652,366 Financial Assistance $3,55 $3,296,625 Medicaid $(,05,450) Medicare 2 2 As a critical access hospital, IU Bedford $252,827 $4,732 $229,248 $669,274 Bad Debt $4,554,90 Hospital is reimbursed by Medicare at a rate of 0 percent of its allowable cost in order to ensure access to care in rural communities. $,758 $6,634 Subsidized Services $4,2,529 REPORT 4

6 Indiana University Blackford Hospital serves the needs of area residents. Our facility provides unsurpassed care to the people of Blackford County and boasts a specialty clinic, outpatient surgical services and a paramedic-level ambulance service. At IU Blackford Hospital, patients and their loved ones can experience superior care in a familiar community atmosphere. Hartford City, IN In 205, IU Blackford Hospital completed its community health needs assessment. IU Blackford Hospital identified the following community health needs, on which we will focus our community benefit efforts from : Exercise, Nutrition and y Weight: With a 207 budget of $300-$,000 per year, we aim to increase the number of days per week that families eat fresh fruits or vegetables with meals during a 5-month period through the IU Blackford Hospital Families at the Farmers Market Program. With a 207 budget of $,800, we aim to increase the number of elementary school children taught healthy lifestyle behaviors through the Active After School Program. Infant Factors: With a 207 budget of $5,000, we aim to reduce the incidents of co-sleeping by offering Pack n- Play infant beds plus Halo SleepSacks in conjunction with educational programming to families at risk for unsafe sleep practices, and we plan to measure the number of at-risk families identified and provided with education and beds each year. Access to care: With a 207 budget of $7,800, we aim to increase the number of underserved community members receiving health screenings by offering free or reduced cost screenings for lung, breast, skin and cervical cancers. $479,73 Financial Assistance $2,279,602 Medicaid $96,65 $5,596 $9,540 $5,856 $4,880 $2,986,940 $2,635,486 $(725,628) Medicare 2 $359,294 Bad Debt 2 As a critical access hospital, IU Blackford Hospital is reimbursed by Medicare at a rate of 0 percent of its allowable cost in order to ensure access to care in rural communities. 5 INDIANA UNIVERSITY HEALTH

7 Indiana University Bloomington Hospital serves the South Central Indiana population of more than 460,000 people across counties and offers a comprehensive array of inpatient and outpatient healthcare services. Accredited by The Joint Commission, the facility is a Magnet-designated hospital. In 205, IU Bloomington Hospital identified the Substance Abuse: With a 207 budget of services by extending preventive care and education, following community health needs, on which we will $30,000, we aim to increase awareness of substance and increase health literacy. focus our community benefit efforts from : Obesity and Chronic Desease: With 207 $60,000 budget, we plan to increase understanding of healthy behaviors, expand access to healthy and affordable food and increase physical activity by increasing the number of walkers in the walking group who attend six or more times, reporting positive changes in GOAL program participant behaviors and measuring the AC after diabetes selfmanagement education. abuse across all populations, expand access to services, increase the number of individuals identified for early interventions and referrals, and decrease the number of infections and disease spread through IV drug use. Equity: With a 207 $50,000 budget, we plan to increase the number of community members accessing healthcare services including health screenings and vaccinations, decrease this population s use of healthcare through emergency Behavioral : With a 207 budget of $30,000, we plan to improve attendance at community education classes, provide services to clients in a timely manner and improve housing unit allocations. Senior : With a 207 budget of $20,000, we hope to help our senior population live independently longer, decrease futile medical services and improve access to services in a timely manner. Bloomington, IN $4,929,546 Financial Assistance $25,775 $6,08,994 Medicaid $0,990,60 Medicare $3,4,869 $3,058,066 Bad Debt $607,067 $893,200 $7,007,702 Subsidized Services $5,55 Research $70,600 $32,747,493 $47,0,494 REPORT 6

8 ACADEMIC HEALTH CENTER The Indiana University Adult and Pediatric Academic Center is comprised of IU Methodist Hospital, IU University Hospital, IU Saxony Hospital, IU Morgan and Riley Hospital for Children at Indiana University. As national and regional healthcare leaders, the staff strives to improve the health of our patients and community through innovation and excellence in care, education, research and service. In 205, IU hospitals completed the the Days of Service activities and will provide a free vulnerable and at-risk populations. We tracked the community health needs assessments. The IU Adult and Pediatric Academic Center hospitals Playworks training and equipment packages for summer youth camp providers. In addition, we will number of screenings provided at the 206 Black and Minority Fair at the Indiana Black Expo. Indianapolis, IN identified four community health needs on which we will focus our community benefit efforts from With a 207 budget of approximately $629,000, our strategies are as follows: fund $55,000 in healthy food access grants to local urban farms. Behavioral and Substance Abuse: We will grant funding to organizations to support Revitalization: The Impact Fund grants supported various youthemployment programs. We provided funding, support and volunteers to Habitat for Humanity and Operation Nutrition and y Weight: We will fund the behavioral health programs. Winter Ready, in collaboration with Indianapolis IU Strong Schools program, which provides grants to schools across the state to increase students physical activity levels. We also support Access to care: We aim to increase the access to preventive screenings, especially to Public Safety Foundation and Horizon House. $36,998,73 Financial Assistance $6,450 $26,442,300 Medicaid $25,3,738 Medicare $9,500,463 $28,895,839 Bad Debt $702,468 $64,890,934 $2,254,883 Subsidized Services $28,43,27 Research $2,85,700 $436,748,678 $490,764,705 7 INDIANA UNIVERSITY HEALTH

9 Indiana University North Hospital has provided leading family-centered care in Carmel, Ind., since As a full-service hospital for adults and children with an attached medical office building, IU North Hospital brings together inpatient and outpatient healthcare services where compassionate caregivers provide excellence in care. IU North Hospital has five core maxims, which are principles guiding the behavior expectations of the hospital team members. These maxims include: show kindness, connect fully, take ownership, create joy and do more. among area residents by offering the Fresh & Fit Behavioral : In 205, IU North Hospital identified the following community health needs, in which we will focus our community benefit efforts from : Exercise, Nutrition, and y Weight: With a 207 budget of $7,000, we aim to provide underprivileged children with fitness and educational opportunities through Junior Civic Theatre Summer Camp scholarships, increase public knowledge of ways to use local produce Step Challenge and participation incentives. Access to care: With a 207 budget of $56,000, we aim to increase the number of underserved community members receiving health services at local clinics IU North supports through funding, increase the number of insured individuals and families in Hamilton County, and provide free screenings for Hamilton With a 207 budget of $27,000, we aim to increase the number of underserved community members who receive needed behavioral healthcare and services via partner organizations and increase the number of community members who can identify and help eradicate child sexual abuse by providing Stewards of Children training (via Chaucie s Place) for IU North team members. Carmel, IN in new recipes, and increase physical activity County residents. $,87,665 Financial Assistance $2,572 $0,443,898 Medicaid $8,434,298 Medicare $88,0 $06,62 $476,930 $,058,28 Bad Debt $3,886,936 $4,033 Research $65,688 $23,38,934 REPORT 8

10 Indiana University Paoli Hospital specializes in rural, community-based services to serve south central Indiana. IU Paoli includes a 24-hour emergency department with air transport availability, services, community outreach programs, physical/occupational/speech therapy, medical imaging, laboratory, outpatient surgery and visiting specialist services. In 205, IU Paoli Hospital completed its Access to care: community members who receive needed community health needs assessment. IU Paoli Hospital identified the following community health needs, in which we will focus our community benefit efforts from : With a 207 budget of $30,40, we aim to increase the number of underserved community members receiving health services, including primary care and connecting to healthcare behavioral healthcare and access substance abuse programs and services, and increase the number of teens connected with mental health and substance abuse services. Nutrition and y Weight: With a 207 budget of $5,000, we aim to provide healthy fruits and vegetables to at-risk children in local elementary schools during the school year through the Orange County Backpacks resources, increase understanding of healthcare system and coverage plans, and increase the number of underserved community members receiving vaccinations. Behavioral : Paoli, IN program. We aim to increase the number of underserved $669,52 Financial Assistance $,394 $2,327,292 Medicaid $(788,790) Medicare 2 2 As a critical access hospital, IU Paoli Hospital $375,068 $7,020 $88,537 $555,98 Bad Debt $3,75,699 is reimbursed by Medicare at a rate of 0 percent of its allowable cost in order to ensure access to care in rural communities. $93,669 $54,60 Subsidized Services $3,484,22 9 INDIANA UNIVERSITY HEALTH

11 Indiana University Tipton Hospital has provided patient-centered care to residents of Tipton County and surrounding communities for more than 65 years. IU Tipton Hospital is an acute care hospital offering personalized care and a wide range of medical specialties and services. IU Tipton Hospital is fully accredited by The Joint Commission and is also a member of the American Hospital Association, the Indiana Hospital Association and the Indiana Rural care Association. In 205, IU Tipton Hospital identified the following community health needs, on which we will offering these services at no charge at local health fairs. Station, decrease sports-related injuries through our Coaches Clinic and by placing athletic Tipton, IN focus our community benefit efforts from : Access to care and Chronic Disease Control: Nutrition and Active Living: With a 207 budget of $5,000, we aim to increase access to fresh fruits and vegetables, increase trainers in schools and increase access to first aid equipment by providing schools with supplies. Behavioral and Substance Abuse: With a 207 budget of $2,000, we aim to knowledge around healthy eating and exercise, We aim to generate awareness of behavioral health increase the number of insured individuals and increase physical activity. services provided in our community by partnering through the IU Individual Solutions Program, increase access to healthcare for students by providing low-cost sports physicals and increase access to health screenings by Injury Prevention: With a 207 budget of $,000, we aim to increase car seat safety through our Car Seat Fitting with Four County Counseling Center and increase education on drug abuse and risk by partnering with local schools. $503,089 Financial Assistance $4,736 $3,673,059 Medicaid $(859,94) Medicare 2 2 As a critical access hospital, IU Tipton Hospital $225,333 $298,469 Bad Debt is reimbursed by Medicare at a rate of 0 percent of its allowable cost in order to ensure access to care in $85,040 $2,508 $4,589,029 rural communities. $4,032,293 REPORT 0

12 Indiana University West Hospital is privileged to provide the highest level of care and service to the residents of Hendricks County, Ind., and beyond. Our team is proud that our commitment to service extends beyond the hospital walls. In 205, IU West Hospital completed its Physical Activity and Nutrition: medical services and general community community health needs assessment. IU West Hospital identified the following community health needs, on which we will focus our community benefit efforts from : With a 207 budget of $50,000, we aim to increase WIC/SNAP utilization at affiliated markets, increase overall participation in affiliated markets by 0%, increase participation members provided training through Hamilton Center and conduct pre/post-test scoring of violent behaviors recognition. Avon, IN Accessing and Utilizing care: With a 207 budget of $40,000, we aim to maintain or increase the number of patients in promoted walk/run events and increase individuals supported with membership fees for the Plainfield Parks & Recreation Center. served at Hope Center, reduce Level 5 Mental/Behavioral : emergency department visits among identified/ targeted patient groups and increase health screenings during the calendar year. With a 207 budget of $30,000, we aim to increase the number of providers, emergency $3,356,470 Financial Assistance $60,520 $7,427,583 Medicaid $3,700,732 Medicare $907,884 $29,560 $234,873 $,978,57 Bad Debt $2,6,907 $08 Research $205,429 $7,90,676 INDIANA UNIVERSITY HEALTH

13 Indiana University White Memorial Hospital is located in Monticello, Ind., and has served the White County region for more than 55 years. The 25-bed critical access hospital offers a comprehensive array of services ranging from surgery to emergency care. IU White Memorial Hospital is accredited by the care Facilities Accreditation Program (HFAP). IU White Memorial Hospital offers the following programs to benefit the residents of White County: walking groups, health fairs, farmers market, car seat safety checks, Safe Sitter classes, Kindergarten Countdown, Day of Service, CPR / AED Classes and Women, Infants & Children (WIC) program. Monticello, IN In 205, IU White Memorial Hospital completed its community health needs assessment. With a 207 budget of $0,675, IU White Memorial Hospital identified the following community health needs, on which we will focus our community benefit efforts from : Access to Affordable care: We aim to increase the number of underserved community members receiving health services, including primary care and connecting to healthcare resources, increase understanding of healthcare system and coverage plans, and increase the number of underserved community members receiving vaccinations and health screenings. Nutrition and Active Living: We aim to increase physical activity, increase overall health and well-being for families and children, and provide nutrition education. Behavioral : We aim to increase the number of underserved community members who receive needed be havioral healthcare and access to substance abuse programs and services. We also provide a tobacco cessation program,.800.quit.now. $722,744 Financial Assistance $,600,93 Medicaid $09,98 $,374 $275,937 $,432 $5,469 Subsidized Services $87,799 $(580,473) Medicare 2 $705,54 Bad Debt $2,827,850 $3,040,330 2 As a critical access hospital, IU White Memorial Hospital is reimbursed by Medicare at a rate of 0 percent of its allowable cost in order to ensure access to care in rural communities. REPORT 2

14 INDIANA UNIVERSITY HEALTH GOSHEN HOSPITAL IU Goshen Hospital separated from IU as of December 3, 206. INDIANA UNIVERSITY HEALTH LAPORTE HOSPITAL AND INDIANA UNIVERSITY HEALTH STARKE HOSPITAL IU LaPorte Hospital and IU Starke Hospital transferred ownership on March, 206. The reported numbers are for community investments in January and February $3,786,6 Financial Assistance $3,689,032 Medicaid $823,905 $24,95 $645,637 $762,230 $9,732,330 $40,0,752 INDIANA UNIVERSITY HEALTH $376,422 $20,779,95 Medicare $9,23,085 Bad Debt SYSTEM TOTALS $67,838,260 Financial Assistance $338,45,895 Medicaid $30,277,327 $,660,553 $79,55,79 $9,589,444 $582,75,349 $720,467,870 Subsidized Services $29,699,05 Research $5,989,00 $,599,603 Building $74,755,326 Medicare $6,36,592 Bad Debt $,340,64 Financial Assistance $4,905,449 Medicaid $350,203 $5,37 $8,734 $20,000 $6,99,40 $6,47,876 Subsidized Services $,035 Research $78,058 $49,204 $3,69,004 Medicare $5,560,258 Bad Debt investment is unpaid patient expenses, at cost, as

15 Indiana University invites community members to review the community health needs assessments and provide comments to For a full, detailed listing of each IU implementation strategy, visit:

16 Named among the Best Hospitals in America by U.S. News & World Report for 9 consecutive years, Indiana University is dedicated to providing a unified standard of preeminent, patient-centered care. A unique partnership with Indiana University School of Medicine one of the nation s leading medical schools gives our highly skilled physicians access to innovative treatments using the latest research and technology. iuhealth.org

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