REPORT TO THE COMMUNITY GET SUPPORT. GET ENGAGED. GET HEALTHY. GET STRONG.

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1 GET SUPPORT. GET ENGAGED. GET HEALTHY. GET STRONG. 1

2 INTRODUCTION AND OVERVIEW OF IU HEALTH A Letter from the IU Health President and CEO Pg. 3 Indiana University Health Overview Pg. 4 Impacting Communities Pg. 5 Community Benefits Annual Report Introduction and Overview 2

3 A Letter from the IU Health President and CEO Indiana University Health is committed to delivering high-quality, patient-centered care throughout Indiana. Our nationally recognized health system, world-class clinicians and unique partnership with Indiana University School of Medicine ensure we have the strength it takes to carry out our mission of improving the health of our patients and community through innovation and excellence in care, education, research and service. As a comprehensive statewide health system, it is our responsibility to go beyond clinical care, to also lead the important work of promoting health and wellbeing for those in the communities we serve, and to partner with organizations that share our goals and mission. More than 400,000 adults and children benefited from our prevention outreach and education initiatives in As a nonprofit health system, we are committed to ensuring access to quality healthcare for all, regardless of ability to pay. In 2011, we provided over $143 million in charity care across Indiana. In total, we invested nearly $500M million in our communities, serving more than 1.3 million Indiana residents. More than 10,000 of our team members played an important role in many of these efforts by volunteering their personal time to make a difference in their local communities, as part of the IU Health Strength That Cares team volunteer program. On behalf of the Board of Directors, and the team members, physicians and volunteers of IU Health, I am pleased to share this 2011 Report to the Community with you. I look forward to continuing our long tradition of service to communities across Indiana and beyond. Best wishes, Daniel F. Evans, Jr. President and CEO Indiana University Health Community Benefits Annual Report Introduction and Overview A Letter from the IU Health President and CEO 3

4 INDIANA UNIVERSITY HEALTH OVERVIEW //////////////// With hospitals in more than a dozen Indiana communities and services across the state, Indiana University Health is the state s largest and most comprehensive health system. The system s strength lies in its unique partnership with Indiana University School of Medicine one of the nation s leading medical schools and its committed team members. Each year, millions of people across Indiana and beyond receive expert, patient-centered care at IU Health. In 2011, IU Health and its over 20,000 team members served patients through more than 143,000 admissions and over 2.3 million outpatient visits. Comprehensive 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 Indiana University Health is committed to provide a in Indiana and across the globe. Partnering with Indiana University and the Indiana Conference of the United Methodist Church, IU Health is dedicated to its mission to improve the health of its patients and community through innovation and excellence in care, education, research and service. IU Health strives to be a preeminent leader in clinical care, education, research and service. Our excellence is measured by objective evidence and established best practices. Exemplary levels of respect and dignity are given to patients and their families, while professionalism and collegiality mark relationships among team members. IU Health continues to focus on innovation and excellence through with Indiana University School of Medicine. Community Benefits Annual Report Introduction and Overview Indiana University Health Overview 4

5 IMPACTING COMMUNITIES /////////////////////// Improving the health of patients and communities is the mission of Indiana University Health. This is achieved in a number of ways by delivering innovation and excellence in clinical care, through research and in serving the communities in which we live and work. IU Health consults with community partners to identify and assess the greatest health needs in the communities we serve. In neighborhoods across Indiana, IU Health works as a driving force to improve community health and wellness by addressing these needs. IU Health follows federal guidelines for reporting community include charity care, unreimbursed costs of public programs, such as Medicaid and certain other services that provide treatment or promote health and healing in response to community needs. In 2011, IU Health provided nearly $500 million in community investments, as highlighted in the chart to the right. The system dedicated 11% of its net patient revenue toward community Category Activity Investment Charity Care $143,075,833 Unreimbursed Costs of Medicaid, HIP & CHIP $234,665,606 Community Health Improvement Services $17,696,705 Health Professions Education $61,621,992 Subsidized Health Services $14,376,865 Research $18,866,801 Financial and In-Kind Contributions $5,710,937 $496,014,739 Community Building Activities $1,241,211 Unreimbursed Costs of Medicare $115,481,938 Bad Debt $80,143,712 $196,866,861 Total Community Investment $692,881,600 Community Benefits Annual Report Introduction and Overview Impacting Communities 5

6 2011 COMMUNITY BENEFIT ////////// Financial Assistance and Unreimbursed Care Pg. 7 Community Health Improvement Services Pg. 8 Health Professions Education Subsidized Health Services Pg. 10 Research Pg. 11 Financial and In-Kind Contributions Pg. 12 Community Building Pg. 13 Community Benefits Annual Report Benefit

7 FINANCIAL ASSISTANCE AND UNREIMBURSED CARE /////////// Indiana University Health is committed to providing high-quality care regardless of a patient s individuals and those who do not have health insurance or who are under-insured have access to the quality care they need. In 2011, IU Health provided more than $143 million in free or IU Health is committed to charity, equality and justice in healthcare. Using federal poverty guidelines to determine program to ensure that all patients have access to quality, affordable care. Financial assistance, also called charity care, means providing free medical care or care at a reduced cost for people with low-incomes and those who are under- or uninsured. While there is some variation among hospitals, IU Health generally provides the Free care for those earning up to 200 percent of federal poverty guidelines. Discounted care on a sliding scale for families earning 200 to 400 percent of federal poverty guidelines, family of four. Free care to patients whose health insurance if he or she has any does not cover all medical expenses and whose medical expenses would cause them to become indigent if forced to cover all their costs. IU Health provides patients with information about In 2011, IU Health s unreimbursed costs from more than $234 million. Additionally, unreimbursed costs from Medicare patient visits exceeded $115 million, even though Medicare reimbursement shortfalls do not Medicare is not based on an applicant s ability to pay. IU Health also accepts reimbursement from several other income-based programs as payment in full, even though these payments do not cover the cost of the services provided. This includes payments from Medicaid, the Children s Health Insurance Program (CHIP), and other government programs for persons not eligible for Medicaid. Community Benefits Annual Report Benefit Financial Assistance and Unreimbursed Care 7

8 COMMUNITY HEALTH IMPROVEMENT SERVICES ////////////// In addition to providing preeminent patient care in hospitals, Indiana University Health is a partner in promoting healthier Indiana communities. System wide, IU Health invested nearly $18 million in community health initiatives, serving more than 400,000 people statewide through health risk screenings and health education presentations and programs in schools and communities. To promote good nutrition and exercise, IU Health sponsored healthy cooking demonstrations and presentations by nutrition experts. Attendees also learned how long it would take them to walk off their favorite state fair treats through a complimentary pocket guide, Eat This? Walk That!, distributed by IU Health. The IU Health Fair Fit Challenge packets to visitors and sponsored a high striker bell ringing game with the theme, the strength it takes to stay healthy. To promote bicycle safety, Riley Hospital for Children at IU Health Teens in the Muncie area learned the ins and outs of safely preparing healthy meals and snacks during a Kids in the Kitchen series sponsored by IU Health Ball Memorial Hospital. Dozens of teens attended to learn topics including kitchen safety, proper use of a kitchen knife, preparing balanced, healthy meals from all food groups, how to avoid kitchen emergencies and more. IU Health hospitals across Indiana sponsored more than 10,500 health screenings in One example, includes the Hispanic Health Fair and Women s Health Expo at IU Health La Porte Hospital that drew approximately 2,000 attendees. A variety of free health screenings were available at the fair, along with information on heart health, pharmacy services, women s imaging and maternal health. Community Benefits Annual Report Benefit Community Health Improvement Services 8

9 HEALTH PROFESSIONS EDUCATION /////////////////// Providing high-quality care and the latest treatments is only possible when there are people educated and expertly trained to deliver them. Indiana University Health takes pride in its unique partnership with Indiana University School of Medicine and works as an active partner to train and educate the next generation of healthcare professionals. IU Health also provides programming and education to increase education to over 14,000 health professionals statewide. The IU Health Learning Alliance provides accredited training programs for those interested in pursuing careers technologists, etc.). In addition to coordinating outreach programs, the alliance offers a variety of classes to the public and provides thousands of hours of continuing education and community wellness and patient education every year. Indiana University Health Ball Memorial Hospital is home to the largest graduate medical education teaching program in Indiana outside of Indianapolis. Family medicine, internal medicine, and transitional residency programs as well as a medical research department are physicians currently receive training. Clinics staffed by family medicine and internal medicine residents provide low cost medical care for nearly 25,000 patient visits each year. Many of the residents also become involved with the local community through volunteer service. The Fairbanks Center for Medical Ethics at IU Health educates physicians, nurses, allied health professionals and other professionals about contemporary ethics issues in healthcare. Educational programs include the Fairbanks Fellowship in Clinical Ethics, the Fairbanks Lecture Series, multiple practicum and internship opportunities for graduate students, law students, and medical and pediatric residents. In-service presentations for patient care staff at IU Health hospitals are also conducted. Community Benefits Annual Report Benefit Health Professions Education

10 SUBSIDIZED HEALTH SERVICES ///////////////////// Providing necessary healthcare and services that wouldn t exist in a community is an important priority of Indiana University Health. The system offers a number of programs aimed at improving the health to increase access to needed services for people in our communities, especially the most vulnerable. In 2011, IU Health provided subsidized health services totaling more than $14 milion and served approximately 17,000 people in need of essential services. Lack of mental health services is a problem plaguing most communities. Serving both children and adults, IU Health Behavioral Health offers a broad range of programming to help assure each patient s total wellbeing. Services include assessment and diagnosis, inpatient and outpatient psychiatric care and chemical dependency treatment and consultation. In every case, treatment programs and services are customized to individual needs. Part of IU Health, the Buchanan Counseling Center has provided pastoral counseling and psychological services on an outpatient basis for more than 40 years. The center s counselors are educated and trained in theology, psychology, mental health counseling and an array of treatment methods. Buchanan Counseling Center integrates faith and spirituality to promote wholeness, and physical and spiritual wellbeing. The center offers services on an adjusted fee scale, and anyone desiring services will receive them, regardless of their ability to pay. located at Indiana University Health Arnett Hospital Indiana University Health Ball Hospital Indiana University Health Bedford Hospital Indiana University Health Bloomington Hospital Indiana University Health Methodist Hospital Indiana University Health University Hospital Riley Hospital for Children at Indiana University Health Hospital provide exemplary diagnostic, treatment and educational resources to help people with diabetes learn about and manage their illness so they can enjoy a healthy life. Community Benefits Annual Report Benefit Subsidized Health Services 10

11 RESEARCH /////////////////////////////// Cultivating research excellence is an important part of the mission of Indiana University Health. Research and new treatment discovery is instrumental in improving patient care and outcomes. As an academic health center, IU Health actively supports researchers by providing access to the latest technology and facilities fostering an environment that makes innovation and breakthroughs in research possible. In 2011, in the state to implant the Trifecta valve, a new stented tissue valve replacement for diseased, damaged or malfunctioning aortic heart valves. Made of tissue from of a natural, healthy heart doesn t make the heart revolutionary design also reduces the need for multiple heart surgeries. Most other replacement valves typically last only about 15 years. This is an issue for younger patients who in the past have had to undergo multiple open-heart surgeries to replace the valves. An estimated 17 people die every day waiting for a life-saving organ for transplantation. Many believe a long-term solution will be found in xenotransplantation the transplant of living organs, tissues or cells from one species to another, such as from animals to human. For the past decade, IU Health and Indiana University School of Medicine (IUSM) have worked to build a worldrenowned team committed to saving lives by studying the human immune system s response to animal organs, tissues and cells in hopes of overcoming rejection. This team, led by IU Health s Chief of Transplantation and IUSM Associate Professor of Surgery A. Joseph Tector, MD, works to modify the genes of cloned pigs to one day use their livers as a temporary support or bridge to transplant until a human liver becomes progress in this area and are now several steps closer to understanding the human immune system and making the transplantation of pig livers a clinical reality. With support from Riley Hospital for Children at Indiana University Health, the U.S. Food and Drug Administration in late 2011 approved use of the Berlin Heart Device in the U.S. While the device was implanted extensively worldwide, it did not have FDA approval. This left North American hospitals like Riley at IU Health without access to the one mechanical heart support system designed for children. This prompted Riley at IU Health to ask the FDA for special permission to import and implant the Berlin Heart. Riley at IU Health later established a protocol for obtaining the Berlin Heart, shared that with other institutions and served as a catalyst for use of the device in North America. Seven resident physicians at IU Health Ball Memorial Hospital were recognized for outstanding research activities in The annual Department of Medical Education s Resident and Scholarly Activity & Research Symposium showcases research and scholarly activities related to the advancement of patient care and the science of medicine. Community Benefits Annual Report Benefit Research 11

12 FINANCIAL AND IN-KIND CONTRIBUTIONS //////////////// Working to improve the health of communities is a team effort. That s why Indiana University Health partners with like-minded organizations to make a greater impact on the health and well-being of people across Indiana. In 2011, IU Health selected organizations that help to enhance our community outreach efforts. Statewide, IU Health contributed over $5.7 million to more than 150 community organizations, In 2011, IU Health supported Project Health. A program of the Indianapolis Medical Society, Project Health is a community partnership aimed at improving access to healthcare for low-income, uninsured Indianapolis residents. Project Health combines donated physician care, hospital services, medication assistance and case management to maximize existing community resources and enhance coordination among service providers. When sudden cardiac arrest (SCA) strikes young athletes, time is of the essence. To provide equipment necessary to save lives, Indiana University Health Cardiovascular Indianapolis Public Schools and two to the John Stewart Foundation. John Stewart was an Indiana high school court and died from SCA. If used immediately, an AED is the only treatment that can help reverse sudden cardiac arrest making AED availability at school sporting events critical to saving young lives. Riley Hospital for Children at IU Health provided a donation to support the Juvenile Diabetes Research Foundation, the leading global organization focused on Type 1 diabetes research. The goal of JDRF is to improve the lives of people affected by Type 1 diabetes through support of the most promising opportunities to cure, better treat and prevent the disease. In 2011, IU Health West Hospital launched a multi-year Parks and Recreation. In addition to providing a permanent and Aquatic Center, the hospital offers free health and wellness education, and counseling on healthier snack bar options at the city s parks. The partnership also creates an avenue for hospital patients graduating from programs like physical therapy or cardiovascular rehabilitation to access high-quality, Community Benefits Annual Report Benefit Financial and In-Kind Contributions 12

13 COMMUNITY BUILDING ///////////////////////// To positively impact the health and wellness of vulnerable populations, Indiana University Health supports economic development across the state that targets this need. In 2011, IU Health contributed more than IU Health provided support to the Center for Leadership Development (CLD). By focusing on character, education, leadership and service, CLD works to expose African-American youth to some of the nation s richest experiences focused on inspiring youth achievement. Indy Reads serves central Indiana adults 18 years of age and older who read at or below the sixth-grade level or who are learning English as a second language. IU Health support adult literacy efforts. support was provided to Junior Achievement of Central Indiana, Inc., an organization providing learning experiences for area students centered on life skills, job skills, understanding of economics and the free enterprise system. Focused on improving the quality of life for residents living in the area, the Mid-North Quality of Life Group is comprised of six neighborhoods on the near north side of Indianapolis. IU Health is working alongside the group to improve access to health and wellness education facilities Health and other organizations, is working to establish a new health and wellness facility for area families, individuals, employees and students. IU Health has adopted an in my backyard approach to community revitalization by focusing on the neighborhoods immediately surrounding its existing (and developing) assets within the Near North community. To this end, in September 2011 IU Health partnered with Ruth Lilly Health Education Center and the Near North Community Development Corporation to host a healthy backyard barbecue for residents. Dozens of families enjoyed healthy barbecue fare, received free health screenings, learned more about the sponsoring organizations and socialized with neighbors. Community Benefits Annual Report Benefit Community Building 13

14 2011 COMMUNITY OUTREACH PRIORITIES Preventing and Reversing Obesity Pg Accessing Healthcare Pg. 17 Preventing Injuries Pg. 18 Educating our Children Pg. 19 Revitalizing our Community Pg. 20 the health of individuals and communities. Various social and environmental factors also play an important role. To identify and commit to this year s community health outreach priorities, Indiana University Health analyzed community needs assessments from local and national organizations, including the county health departments, Indiana State Department of Health, Centers for Disease Control and Prevention and United Way of Central Indiana. The health system s Health Priorities Obesity prevention Injury prevention Access to healthcare Quality of Life Priorities K-12 education Community revitalization Community Benefits Annual Report Outreach Priorities 14

15 PREVENTING AND REVERSING OBESITY ///////////////// Garden on the Go, the cornerstone of IU Health s obesity prevention strategy, is a year-round mobile produce delivery program designed to improve access to affordable, fresh fruits and vegetables for residents living in disadvantaged and underserved Indianapolis neighborhoods with food deserts. Program Highlights and Impact had a total of 8,281 transactions, serving thousands of community members by year s end. In an Indiana State Department of Health-sponsored survey, 83 percent of repeat Garden on the Go customers reported purchasing more produce because of the mobile delivery program. Before Garden on the Go, Cynthia Pierson was only able to shop for fruits and vegetables once a month. Unfortunately, she was lucky if the produce she purchased lasted more than two weeks before spoiling. Today, Pierson, who has diabetes and has lost two limbs, travels only as far as the front door of her Indianapolis apartment complex to get fresh produce each week. There s no doubt, Pierson says, that she s consumed more vegetables because of Garden on the Go a welcome sign to her doctors, given her history of high blood pressure. It s [Garden on the Go ] the best thing to happen to Lugar Tower Apartments in a long time, says Pierson. IU Health has spearheaded a number of effective community-based affordable, healthy food for Indiana residents with the greatest need. Community Benefits Annual Report Outreach Priorities Preventing Obesity 15

16 PREVENTING AND REVERSING OBESITY ///////////////// In just two months of harvest, more than 1,400 pounds of produce was grown on.5 acres and delivered to Gleaners Food Bank. 2MONTHS OF HARVEST 1400LBS OF PRODUCE = 7000 servings of vegetables In 2011 IU Health, Indy Parks & Recreation, Indianapolis Parks Foundation and Gleaners Food Bank broke ground on Indy Urban Acres (IUA) an eight-acre organic urban farm to grow fresh fruits and vegetables for food bank visitors. The farm is expected to yield thousands of pounds of organic fruit and vegetables to donate to Gleaners. The high cost of produce or lack of stores selling fresh fruits and vegetables prevents some of our most vulnerable residents from getting these nutritious foods, said Ron Stiver, senior vice president of Engagement and Public Affairs, IU Health. As a result, IU Health hospitals witness the poor health effects that result from high- convenience stores and fast-food restaurants. Indy Urban Acres will help bridge this gap by offering healthy produce to Hoosiers in need. The Riley School Gardens program involves children in growing, harvesting and preparing seasonal produce, ensuring access to nutritious food and creating a livinglearning environment for students. The Riley School Gardens grew out of a partnership between IU Health and Keep Indianapolis Beautiful (KIB). Hundreds of students received education on planting and nutritious diet and growing their own foods. Parents have also been encouraged to participate, as these gardens serve as a valuable nutrition education tool and a fresh food resource for IPS students, their families and the surrounding community. School gardens were constructed and planted at 10 IPS schools in 2011 to increase fresh vegetable consumption of low-income children. GLEANERS FOOD BANK IUA will continue to expand its planting space and add amenities and structures to support workshops, community outreach, and educational features, allowing Community Benefits Annual Report Outreach Priorities Preventing Obesity

17 ACCESSING HEALTHCARE //////////////////////// Serving the largest share of uninsured people in the Indianapolis region, IU Health provided over is also working diligently to implement proactive, consistent charity care practices across the system to increase access to quality healthcare. For more information on IU Health s, click here. than $234 million in unreimbursed costs. IN 2011, IU HEALTH PROVIDED OVER $143 MILLION IN FREE, HIGH-QUALITY MEDICAL CARE TO THOSE IN NEED SERVING MORE THAN 60,000 HOOSIERS IN THE INDIANAPOLIS REGION. Community Benefits Annual Report Outreach Priorities Accessing Healthcare 17

18 PREVENTING INJURIES ///////////////////////// Injury prevention saves lives. This is especially true when considering the number of children who are injured each year due to poor child passenger safety and bicycle safety. To help keep children safe in vehicles and at play, IU Health implemented statewide efforts to improve child passenger safety and to increase bicycle helmet use. IU Health s statewide child passenger safety campaign educates the community on the safety concerns of children traveling unrestrained or incorrectly restrained in vehicles. Coordinated with the Automotive Safety Program at Riley Hospital for Children at Indiana University Health, the campaign aims to decrease the number of preventable injuries associated with these unsafe practices. IU Health conducted eight coordinated car seat clinics in communities across the state as part of Child Passenger Safety Week and the National Car Seat Check Saturday initiative. This is something I have done before, but I found the staff to be very helpful not only by making it easy to install the seats properly and securely, but also in watching my kids while they demonstrated how to do so. I think it s something that all parents should do, Joe Martinsen, Muncie IU Health, working cooperatively with Emmis Community Outreach, engaged and educated Indiana children on the importance of bicycle safety. The campaign focused on bicycle safety education, as well as offering free properly and also held eight large community-based bicycle safety events in Indianapolis. Program Highlights and Impact In 13 communities, 4,042 children received bicycle IU Health s campaign made a positive impact at Indiana summer camps. Ninety-eight percent of parents or guardians of children who attended the safety children were still practicing or had made improvement in consistent helmet use or bicycle safety skills. Program Highlights and Impact In addition to donating 122 car seats to families, IU Health hospitals performed 205 car seat correctly re-install their child safety seats. IU Health coordinated the system-wide services of 40 Strength That Cares volunteers. Community Benefits Annual Report Outreach Priorities Preventing Injuries 18

19 EDUCATING OUR CHILDREN /////////////////////// Being healthy is more than the absence of disease. The health of individuals and communities is shaped by social and environmental factors as well. To truly improve overall health, it is essential to understand community needs and create innovative strategies to meet them. That s why IU Health is committed to impacting K-12 education and community revitalization two important ways to enhance the quality of life of our community members. In 2011 IU Health partnered with United Way to launch Kindergarten Countdown a school readiness program investment in this signature program, hundreds of soon-to-be kindergarten students received necessary vaccinations and health screenings, as well as help for their parents with school registration. Children also attended summer camps specially designed to strengthen basic skills and enhance learning readiness. With support from IU Health, the program was implemented across the Indianapolis Public Schools district and expanded into 10 additional IU Health communities. IU Health reached over 200 children through the Kindergarten Countdown camps throughout the state. The Kindergarten Countdown camps resulted in an average of a 3 point increase in the students Get Ready to Read Scores. Students who attended camps in the Indianapolis Public School district last year saw an 11 percent increase from pre- to post-camp literacy test scores. We know that getting off to a strong start in education pays great dividends, even impacting whether a student attends and successfully completes college. IU Health is pleased to partner with United Way to help ensure every Hoosier child has an opportunity to start strong. said Ron Stiver, senior vice president for Engagement & Public Affairs at IU Health. Recognizing the critical link between a strong education and good health, IU Health has contributed $100,000 to The Mind Trust s Grow What Works (GWW) campaign which drives resources to organizations committed to high-impact education reform. The Grow What Works campaign aims to help the highest impact education initiatives in Indianapolis expand to improve the lives of students and families in our community. The six GWW Project, College Summit, Teach Plus, Stand for Children, and the Summer Advantage USA programs. IU Health received the following letter from an appreciative graduate of the College Summit program. program for low-income students, works in partnership with schools, districts, and colleges to develop a sustainable model for raising college enrollment and retention rates community-wide. Dear IU Health Leadership, As a graduate of College Summit, I want to tell you how grateful I am for your generous commitment to The Mind Trust s Grow What Works campaign. With your support, the Mind Trust is investing programs like College Summit that are changing students lives each day, just as it has changed mine. Because of my participation in College Summit, I was able to graduate from Decatur Central High School and go on to Ivy Tech. I am now majoring in Communications and hope to go on to become a film director and win an Academy Award! College Summit gave me the skills, knowledge and support to succeed after high school. Their workshop was fantastic and helped me to open up and not be so shy. I am very grateful for the opportunity to have participated in this life-changing program made possible through people and organizations like IU Health. Thank you for your support! Sincerely, Jordan Staples Community Benefits Annual Report Outreach Priorities Educating Our Children

20 REVITALIZING THE COMMUNITY ///////////////////// employees participated in the third annual day of service in To help address childhood obesity and promote active lifestyles, employees constructed three new playgrounds and refurbished an additional 12 at school children across the state. The work completed in just one day made a difference in the lives of From IU Health Ball Memorial Hospital, Eric Tharp, administrative director of Radiology (foreground), Julie Livengood, technologist in Radiology, and James Hilleson, director of Pastoral Care, complete picnic tables at Mitchell Elementary School in Muncie. Dan Evans, IU Health president and CEO (left) and Mark Moore, president and CEO of IU Health Bloomington Hospital, help place a sign that will welcome children into a new playground in Bloomington. IU Health La Porte Hospital employees Jennifer Laux (top left) and Ranae Jernagan (bottom) paint a large U.S. map on a playground. Many hands make light work for downtown employees helping to build two playgrounds at Indianapolis Public Schools. Community Benefits Annual Report Outreach Priorities Revitalizing the Community 20

21 HOSPITAL HIGHLIGHTS ////////////// 1. Indiana University Health Arnett Hospital Pg Indiana University Health Ball Memorial Hospital Pg Indiana University Health Bedford Hospital Pg Indiana University Health Blackford Hospital Pg Indiana University Health Bloomington Hospital Pg Indiana University Health Goshen Hospital Pg Indiana University Health La Porte Hospital Pg Indiana University Health Methodist Hospital Pg Indiana University Health Morgan Hospital Pg Indiana University Health North Hospital Pg Indiana University Health Paoli Hospital Pg Indiana University Health Saxony Hospital Pg Indiana University Health Starke Hospital Pg Indiana University Health Tipton Hospital Pg Indiana University Health University Hospital Pg Indiana University Health West Hospital Pg Indiana University Health White Memorial Hospital Pg Riley Hospital for Children at Indiana University Health Pg. 39 Community Benefits Annual Report Hospital Highlights 21

22 INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL ///////////// Indiana University Health Arnett Hospital, located with an adjacent outpatient surgery center. The hospital features all private patient rooms, including private rooms in the neonatal intensive care unit. Six technologically advanced surgical suites extend the hospital s capabilities to complex open heart and neurosurgical procedures. IU Health Arnett Hospital promotes an atmosphere of patient-centered care and was designed with safety in mind. A few of the highlights include on-demand food service, handwashing stations along the hospital corridors, bedside patient registration and electronic medical records throughout the system. Category Community Activity Investment Charity Care $10,531,769 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community $15,632,199 $126,092 Health Professions Education $784,813 Research $298,039 Financial and In-Kind Contributions $223,284 $27,596,196 Investments Community Building Activities $23,482 Unreimbursed Costs of Medicare $19,480,114 Bad Debt $6,870,810 $26,374,406 Total Community Investment $53,970,602 Sponsored by IU Health Arnett Hospital, Power Over Pounds is a family-friendly program in which group sessions led by health and community professionals with expertise in nutrition, exercise and healthy lifestyles. inspections at no cost to area families. IU Health Arnett Hospital donated more than $50,000 to the United Way of Greater Lafayette an organization that serves more than 30,000 people Admissions 9,431 Outpatient Visits 65,729 Number of Employees 1,717 Number of Beds 191 When emergencies strike, every minute matters. In 2011, IU Health LifeLine expanded its reach for patient transports by placing into service a new air medical helicopter at IU Health Arnett Hospital. Since the hospital is home to one of only two neonatal transport teams in the state, this is a very important service enhancement for area residents. Additionally, IU Health Arnett Hospital also implemented a Level I STEMI cardiac program in 2011, expanding its capabilities to handle complex cardiac transport cases. The expanded emergency air medical transport services also allow IU Health Arnett to transport the most critically ill adult and pediatric patients to the nearest and most appropriate trauma centers. Community Benefits Annual Report Hospital Highlights Indiana University Health Arnett Hospital 22

23 INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL //////// tertiary referral center for Muncie and Delaware County, Indiana University Health Ball Memorial Hospital serves as a destination health facility for residents of east central Indiana. The hospital offers 45 medical specialties, including cancer care, cardiology, orthopedics and specialized services for women and children. The IU Health Ball Memorial Hospital Medical Education Department is home to three residencies (family medicine, internal medicine and transitional), as well as a research department. More than 50 resident physicians participate in the program. An estimated 35 percent of the clinical staff has received training through one of the hospital s residencies. Admissions 19,555 Outpatient Visits 306,231 Number of Employees 2,132 Number of Beds 371 IU Health Ball Memorial Hospital doctors and staff provided free school and sports physicals at the annual Muncie Black Expo Health Fair. Sixty-three from this service. The hospital participated in Women s Head to Toe Expo. Representatives from IU Health Ball Memorial Hospital were on hand to discuss topics such as cancer, breast health, childbirth options, weight control and nutrition. To raise awareness of obesity and healthy lifestyles, IU Health Ball Memorial Hospital participated as a partner in Muncie s non-competitive walking marathon, Walk Indiana, where over 400 residents participated. As part of the sponsorship, hospital staff offered health checks at each of the training walks leading up to the event. Blood pressure and body mass index measurements were part of the health check screenings. The Family Medicine Residency Program at IU Health childhood obesity. Awarded by the American Academy of Family Physicians (through funding from the MetLife Foundation), the grant is used by the residency program to target childhood obesity through a community partnership with the Ross Community Center in Muncie, Ind. Physicians and staff at the residency work with the Ross Center to provide families with strategies to encourage socialization at family meal times and to prepare healthy participating in the program. Category Community Activity Investment Charity Care $12,818,564 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community $5,636,031 $330,059 Health Professions Education $5,779,756 Research $533,436 Financial and In-Kind Contributions $69,326 $25,167,172 Investments Community Building Activities $149,658 Unreimbursed Costs of Medicare $2,162,197 Bad Debt $10,626,923 $12,938,778 Total Community Investment $38,105,950 Community Benefits Annual Report Hospital Highlights Indiana University Health Ball Memorial Hospital 23

24 INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL //////////// Indiana University Health Bedford Hospital is a critical access hospital with inpatient, outpatient and ambulatory care services, and 24-hour emergency room and EMS services. Serving a rural community, IU Health Bedford Hospital is a modern facility, offering state-of-the-art technology and medical care. IU Health Bedford Hospital is a modern, rural health care facility which offers up-to-date technology and medical practices. It also employs a physician group practice, Indiana University Health Bedford Physicians, which is a multi-specialty practice providing medical services in internal medicine, family practice, general surgery, orthopedics, obstetrics and gynecology, and pediatrics. Nurse practitioners in adult and pediatric primary care have been added to expand medical care. Admissions 1,312 Outpatient Visits 88,519 Number of Employees 433 Number of Beds 25 Targeting those at risk of developing diabetes, IU Health Bedford Hospital provided pre-diabetes assessments at the 2011 Lawrence County 4-H Fair, identifying over 100 individuals at risk for diabetes. IU Health Bedford Hospital donated more than 10,000 packets of sunscreen to residents at two local swimming pools, in an effort to prevent skin cancer. Category Community Activity Investment Charity Care $2,673,831 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community $4,819,279 $594,930 Health Professions Education $98,302 Research $747,598 Financial and In-Kind Contributions $1,870 $8,935,810 Investments Community Building Activities $37,344 Unreimbursed Costs of Medicare -$1,769,181 Bad Debt $51,549 -$1,680,288 Total Community Investment $7,255,522 Community Benefits Annual Report Hospital Highlights Indiana University Health Bedford Hospital 24

25 INDIANA UNIVERSITY HEALTH BLACKFORD HOSPITAL /////////// Indiana University Health Blackford Hospital provides unsurpassed care to the people of Hartford City and surrounding communities. This critical access hospital includes a specialty clinic, outpatient surgical services, cardiac and pulmonary rehabilitation, diagnostic imaging and a sleep lab. A new hospital campus, opened in 2005, building and an ambulance garage. Admissions 616 Outpatient Visits 37,405 Number of Employees 125 Number of Beds 15 Throughout the year, the hospital offers a variety of educational programs and sponsors a number of health improvement support groups. Classes such as CPR training, smoking cessation, diabetic nutrition classes, and others that positively impact the health of the community are offered throughout the year. In 2011, IU Health Blackford Hospital invested over $35,000 in community health improvement services, Category Community Activity Charity Care $987,552 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community Investment $1,369,469 $38,476 Health Professions Education $29,686 Financial and In-Kind Contributions $7,918 $2,433,101 Investments Community Building Activities $13,600 Unreimbursed Costs of Medicare -$724,312 Bad Debt $1,048,531 $337,819 Total Community Investment $2,770,920 Community Benefits Annual Report Hospital Highlights Indiana University Health Blackford Hospital 25

26 INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL ///////// Indiana University Health Bloomington Hospital has served south central Indiana for more than 105 years. Providing leading care to a patient base of more than 415,000 residents in 10 counties, IU Health Bloomington Hospital has earned the Magnet nursing designation, as bed hospital, dedicated to quality and innovation, is an accredited Chest Pain Center and received approval with commendation from the Commission on Cancer. IU Health Bloomington Hospital sponsored G.O.A.L. (Get Onboard Active Living), a free family-focused community initiative aimed at decreasing childhood obesity and encouraging healthy lifestyles for children and families. In 2011, IU Health Bloomington Hospital s community sponsorships, awards and in-kind contributions totaled more than $110,000. To encourage literacy and physical activity among children during the summer, IU Health Bloomington Hospital sponsored the summer reading program, Get Reading, Get Moving, at the Monroe County Public Library. Positive Link is the preeminent provider of comprehensive prevention and holistic social services for those impacted by HIV in south central Indiana, providing a continuum of services, at no cost, to the community to address the health and wellbeing of those infected with or at risk for HIV infection. Admissions 15,101 Outpatient Visits 113,591 Number of Employees 2,483 Number of Beds 293 The program has given my son the confidence to try new sports and information on nutrition has helped him make better food choices. Our family has become more aware of how we can make time to exercise and make better decisions about how we spend our time as a family. We have noticed a weight change in the whole family and it has encouraged us to continue to make small changes to keep seeing more results. We are setting more goals as a family to achieve success together. Category Community Mother of 12 year old son in G.O.A.L Activity Investment Charity Care $10,065,234 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community $10,787,704 $1,654,224 Health Professions Education $389,844 Subsidized Health Services $5,283,217 Financial and In-Kind Contributions $231,425 $28,874,107 Investments Community Building Activities $38,468 Unreimbursed Costs of Medicare $17,510,778 Bad Debt $8,401,462 $25,950,708 Total Community Investment $54,824,815 Community Benefits Annual Report Hospital Highlights Indiana University Health Bloomington Hospital

27 INDIANA UNIVERSITY HEALTH GOSHEN HOSPITAL //////////// Indiana University Health Goshen Hospital is recognized nationally for its excellence in patient care and colleague satisfaction. Committed to the local community, IU Health Goshen every year. The program is an effort to further the impact these organizations can make and increase the number IU Health Goshen includes Goshen Hospital, Goshen Center for Cancer Care, Goshen Home Medical, IU Health Goshen Physicians, The Retreat Women s Health Center, Center, Goshen Wound Center and Indiana Lakes Managed Care Organization. Admissions 6,055 Outpatient Visits 151,478 Number of Employees 1,500 Number of Beds 123 communities in The hospital s Community Wellness and Education department engaged 15,414 people through its programs, including health screenings, diabetes education, EMS education, childbirth education, The Fit Together program was implemented to improve outcomes for children at risk for acquiring Type 2 diabetes. The collaborative effort combines the expertise of professionals in diabetes education, Category Community Activity Investment Charity Care $3,494,774 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community $7,919,612 $903,921 Health Professions Education $215,817 Research $240,171 Financial and In-Kind Contributions $720,476 $13,494,771 Investments Community Building Activities $66,105 Unreimbursed Costs of Medicare $8,064,975 Bad Debt $6,432,793 $14,563,873 Total Community Investment $28,058,644 IU Health Goshen provides health education and screenings at the Elkhart County 4-H Fair. Community Benefits Annual Report Hospital Highlights Indiana University Health Goshen Hospital 27

28 INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL //////////// Indiana University Health La Porte Hospital is a full-service, 227-bed acute care hospital providing northwest Indiana with exceptional healthcare and an unsurpassed patient Indiana to receive the Magnet nursing designation. Admissions 6,933 Outpatient Visits 89,955 Number of Employees 1,393 Number of Beds 213 Category Community Activity Investment Charity Care $4,393,750 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community $11,984,602 $472,881 Health Professions Education $282,976 Subsidized Health Services $2,461,732 Research $427,949 Financial and In-Kind Contributions $818,321 $20,842,211 Investments Community Building Activities $72,531 Unreimbursed Costs of Medicare $17,180,323 Bad Debt $6,291,584 $23,471,907 Total Community Investment $44,314,118 Chart represents IU Health La Porte Hospital and IU Health Starke Hospital. IU Health La Porte Dental Center offered free dental exams to 52 children without dental insurance. The exams met the requirements set forth by the La Porte Community School Corporation. IU Health La Porte Hospital provided discounted heart and vascular screenings using the Heart Cart Mobile Screening equipment. Nearly 400 individuals took advantage of the Heart Cart screenings. The IU Health La Porte Community Health Center dispensed more than $1.1 million in free medications to patients through the Indigent Drug Program. The medications control patients chronic and, in some cases, life-threatening conditions. Each year, IU Health La Porte presents an Annual Women s Fair, a health fair for women, promoting wellness and providing free screenings to over 2,000 community members throughout the La Porte community. Community Benefits Annual Report Hospital Highlights Indiana University Health La Porte Hospital 28

29 INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL /////////// Indiana University Health Methodist Hospital, founded in a long-standing tradition of preeminent patient care and clinical excellence. For 10 consecutive years, IU Health Methodist Hospital has been ranked among the top 50 hospitals nationally in U.S.News & World Report s America s Best Hospitals guide. The hospital is home to a number of award-winning clinical programs, including cardiovascular, transplant and neuroscience. IU Health Methodist Hospital also hosts one of the largest critical care departments in the nation and is one of only two adult Level One Trauma Centers in Indiana. The Fairbanks Center for Medical Ethics one of the few clinically based medical ethics centers in the U.S. also is housed at IU Health Methodist Hospital. Admissions 33,684 Outpatient Visits 378,934 Number of Employees 3,739 Number of Beds 952 In 2011, dedicated staff at IU Health Methodist through educational programming such as cancer screenings and injury prevention classes. IU Health Methodist Hospital provides a 24 hour nurse line staffed by specially trained registered nurses who assess the situation and advise callers how to get the right care, at the right time, in the right setting. In 2011, over 4,000 community members received assistance from this IU Health service. Category Activity Investment Community Charity Care $86,801,077 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community $158,542,923 $12,982,295 Health Professions Education $53,819,355 Subsidized Health Services $5,573,535 Research $17,367,206 Financial and In-Kind Contributions $3,254,367 $338,340,758 Investments Community Building Activities $777,391 Unreimbursed Costs of Medicare $30.373,316 Bad Debt $29,341,886 $60,492,593 Total Community Investment $398,833,351 Chart represents IU Health Methodist Hospital, IU Health University Hospital, Riley Hospital for Children at IU Health and IU Health Saxony Hospital. Community Benefits Annual Report Hospital Highlights Indiana University Health Methodist Hospital

30 INDIANA UNIVERSITY HEALTH MORGAN HOSPITAL //////////// Located in Martinsville, Indiana University Health Morgan Hospital offers skilled and experienced physicians, the latest technology as well as innovative diagnostic and treatment services. A recipient of the American College of Surgeon s Outstanding Achievement Award the Regional Cancer Center is ranked among the top 15% in the US. IU Health Morgan Hospital is also fully accredited by the Joint Commission on the Accreditation of Healthcare Organizations, College of American Pathologist, and the American College of Radiology. Admissions 872 Outpatient Visits 27,292 Number of Employees 525 Number of Beds 106 IU Health Morgan Hospital had a successful 3rd Grade Health & Safety Fair. The annual fair taught over 300 third grade students in the Martinsville School District about useful health and safety tips, such making healthy food choices, among others. IU Health Morgan Hospital also supported the 2011 Martinsville Fall Foliage Festival. Attendees at the Mayor s Breakfast were greeted by the most recent additions to the medical staff. The Emergency Department hosted a Teddy Bear Clinic for preschoolers and the Education Department conducted A1C screenings to identify community members at risk for diabetes. Category Community Activity Charity Care $532,614 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community Investment $1,940,333 $5,624 $2,478,571 Unreimbursed Costs of Medicare $4,531,733 Bad Debt $1,211,594 $5,743,327 Total Community Investment $8,221,898 Community Benefits Annual Report Hospital Highlights Indiana University Health Morgan Hospital 30

31 INDIANA UNIVERSITY HEALTH NORTH HOSPITAL ///////////// Located in Carmel, Indiana University Health North Hospital is a full-service hospital offering patients a broad range of clinical services from expert cardiovascular care and maternity services to the renowned pediatric programs of Riley Hospital for Children at IU Health North for women, children and specialty surgery, as well as an private, including those in the neonatal and pediatric intensive care units, to ensure a comfortable, healing environment for patients and families. IU Health North Hospital is committed to offering patients a preeminent healthcare experience. Recognized both nationally and internationally for patient satisfaction, the hospital continues from year to year to perform above state and national averages in patient satisfaction as reported by the Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS). Admissions 11,156 Outpatient Visits 106,945 Number of Employees 1,069 Number of Beds 189 IU Health North Hospital provided support and volunteers for a playground enhancement project at Sheridan Elementary School in Sheridan. Additionally, the hospital supports the Trinity Free Clinic to assist in improving access to affordable healthcare to community members in need. At the Carmel Farmer s Market, IU Health North Hospital associates provided cooking demonstrations to promote good nutrition. Children s activities hosted by the hospital promoted wellness. IU Health North Hospital presented its annual Pumpkin Patch Festival featuring a 5K run/walk, bicycle safety course, interactive health information booths and family-friendly activities. Category Community Activity Investment Charity Care $2,085,612 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community $5,176,761 $251,796 Health Professions Education $10,881 Subsidized Health Services $3,824 Financial and In-Kind Contributions $58,877 $7,587,751 Investments Community Building Activities $23,304 Unreimbursed Costs of Medicare $12,509,550 Bad Debt $1,901,451 $14,434,305 Total Community Investment $22,022,056 Community benefit investments are reported at IU Health s respective ownership of IU Health North Hospital. Community Benefits Annual Report Hospital Highlights Indiana University Health North Hospital 31

32 INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL ////////////// Indiana University Health Paoli Hospital is a critical access hospital specializing in rural community-based services. The 25-bed acute care facility provides compassionate care, close to home, for the residents of Orange and surrounding counties. Admissions 687 Outpatient Visits 29,589 Number of Employees 208 Number of Beds 24 IU Health Paoli Hospital partners with area foundations and organizations to help the uninsured receive much needed preventive and diagnostic testing. The hospital has a Safe Kids chapter and works with local babysitter and car seat safety to area families. IU Health Paoli Hospital participates in kindergarten roundup through its partnership with Prevent Child Abuse Orange County. The hospital also provides poison prevention and other programs in all county school systems. Category Community Activity Charity Care $518,557 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community Investment $1,293,253 $87,125 Health Professions Education $1,757 Subsidized Health Services $306,959 Financial and In-Kind Contributions $131,206 $2,338,857 Investments Community Building Activities $31 Unreimbursed Costs of Medicare -$69,751 Bad Debt $1,192,203 $1,122,483 Total Community Investment $3,461,340 Community Benefits Annual Report Hospital Highlights Indiana University Health Paoli Hospital 32

33 INDIANA UNIVERSITY HEALTH SAXONY HOSPITAL ///////////// Indiana University Health Saxony Hospital is the newest hospital to join the IU Health system. Opened in December 2011, the 42-bed hospital, located in Fishers, is a unique specialty care hospital focusing on cardiovascular, orthopedic, spine care and emergency services. IU Health Saxony Hospital includes six technologically advanced surgical suites, an intensive care unit, three cardiac catheterization labs, a 24/7 emergency department, a LifeLine helipad for medical transport and including Riley Children s Specialists;; as well as a sleep lab, outpatient surgery center, and facilities for cardiac rehabilitation and physical, occupational and speech therapies. The hospital also offers on-site diagnostics, such as MRI, CT and nuclear medicine. A Women s Imaging Center provides mammography, ultrasound and bone density studies. Admissions 76 Outpatient Visits 1,378 Number of Employees 44 Number of Beds 42 Chart represents IU Health Methodist Hospital, IU Health University Hospital, Riley Hospital for Children at IU Health and IU Health Saxony Hospital. Public walking trails on the IU Health Saxony Hospital campus provide a place for area residents to exercise. Health and wellness tips are posted along the routes. IU Health Saxony Hospital was built according to the Green Guidelines for Healthcare (GGHC) and designation means the hospital was built with respect for the environment and to promote the health and wellbeing of patients, families, visitors and employee associates. Additionally, sustainable use efforts were pursued during the hospital s design and construction. Sustainable use projects include land use and construction practices, management of storm water runoff, planting of sustainable landscapes, and reducing transportation emissions and light pollution. Category Community Activity Investment Charity Care $86,801,077 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community $158,542,923 $12,982,295 Health Professions Education $53,819,355 Subsidized Health Services $5,573,535 Research $17,367,206 Financial and In-Kind Contributions $3,254,367 $338,340,758 Investments Community Building Activities $777,391 Unreimbursed Costs of Medicare $30.373,316 Bad Debt $29,341,886 $60,492,593 Total Community Investment $398,833,351 Community Benefits Annual Report Hospital Highlights Indiana University Health Saxony Hospital 33

34 INDIANA UNIVERSITY HEALTH STARKE HOSPITAL ///////////// Indiana University Health Starke Hospital is a 53-bed acute care facility located in Knox. As the only hospital in Starke County, IU Health Starke Hospital has a long history of serving the nearly 40,000 people who live in Knox and nearby communities. Admissions 853 Outpatient Visits 19,560 Number of Employees 161 Number of Beds 53 Approximately 30 families received car seats and education provided by IU Health Starke Hospital. Both IU Health Starke Hospital and IU Health La Porte Nearly 30 women received free screening mammograms from funding provided by the Starke Health Fund, the Indiana Breast Cancer Awareness Trust and Susan G. Komen for the Cure. Category Community Activity Investment Charity Care $4,393,750 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community $11,984,602 $472,881 Health Professions Education $282,976 Subsidized Health Services $2,461,732 Research $427,949 Financial and In-Kind Contributions $818,321 $20,842,211 Investments Community Building Activities $72,531 Unreimbursed Costs of Medicare $17,180,323 Bad Debt $6,291,584 $23,471,907 Total Community Investment $44,314,118 Chart represents IU Health La Porte Hospital and IU Health Starke Hospital. Community Benefits Annual Report Hospital Highlights Indiana University Health Starke Hospital 34

35 INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL ///////////// Indiana University Health Tipton Hospital provides leadingedge, patient-centered care to residents of Tipton County and surrounding communities. An acute care and critical access healthcare facility, IU Health Tipton Hospital offers a wide range of medical specialties and services, as well as personalized nursing care. Admissions 1,373 Outpatient Visits 39,417 Number of Employees 1,126 Number of Beds 123 The Riley Hospital for Children at IU Health Safety Store at IU Health Tipton Hospital provides low-cost injury prevention products and safety information for families and children. Some of the items include bike helmets, cabinet locks, outlet covers, life jackets and window blind cord wraps. Project Connect, launched by IU Health Tipton Hospital Foundation in 2007, is an innovative program designed to engage young people in community volunteerism, learn about career options and improve their life and leadership skills. Category Community Activity Investment Charity Care $1,106,601 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community $2,412,397 $226,821 Health Professions Education $199,841 Financial and In-Kind Contributions $72 $3,945,732 Investments Community Building Activities $2,639 Unreimbursed Costs of Medicare -$1,654,138 Bad Debt $1,631,489 -$20,010 Total Community Investment $3,925,722 Community Benefits Annual Report Hospital Highlights Indiana University Health Tipton Hospital 35

36 INDIANA UNIVERSITY HEALTH UNIVERSITY HOSPITAL /////////// Indiana University Health University Hospital, a major teaching hospital, offers patients access to the treatments, therapies and procedures found only in the most advanced academic medical centers. Patients University School of Medicine (IUSM). In fact, many of the treatment advances start in IUSM research laboratories and are incorporated into patient care through clinical programs at IU Health University Hospital. Several clinical programs at IU Health University Hospital have been consistently ranked among the best in the nation by U.S. News and World Report. IU Simon Cancer Center a collaboration between IU Health and IUSM is the state s only National Cancer Institute (NCI) designated cancer center providing patient care. IU Health University Hospital is also home to IU Health Transplant, the largest and most comprehensive center of its kind in the region and the fourth largest by volume in the nation. Admissions 15,193 Outpatient Visits 406,025 Number of Employees 2,421 Number of Beds 435 IU Health University Hospital collaborates with IUSM to develop and teach the next generation of physicians by combing the latest technology with patient-focused care. Category Community Activity Investment Charity Care $86,801,077 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community $158,542,923 $12,982,295 Health Professions Education $53,819,355 Subsidized Health Services $5,573,535 Research $17,367,206 Financial and In-Kind Contributions $3,254,367 $338,340,758 Investments Community Building Activities $777,391 Unreimbursed Costs of Medicare $30.373,316 Bad Debt $29,341,886 $60,492,593 Total Community Investment $398,833,351 Chart represents IU Health Methodist Hospital, IU Health University Hospital, Riley Hospital for Children at IU Health and IU Health Saxony Hospital. Community Benefits Annual Report Hospital Highlights Indiana University Health University Hospital

37 INDIANA UNIVERSITY HEALTH WEST HOSPITAL ////////////// Indiana University Health West Hospital was built with the comfort and needs of patients, families and visitors in mind. For patient privacy, the hospital features multiple corridors and elevators to separate patient and public areas. IU Health West Hospital provides a full range of healthcare services, including maternity, orthopedics and cancer care. Admissions 8,263 Outpatient Visits 117,982 Number of Employees 762 Number of Beds 142 Category Community Activity Investment Charity Care $6,790,997 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community $5,280,038 $5,572 Financial and In-Kind Contributions $184,595 $12,261,202 Investments Community Building Activities $35,761 Unreimbursed Costs of Medicare $8,488,225 Bad Debt $4,280,889 $12,804,875 Total Community Investment $25,066,077 Community Benefit investments are reported at IU Health s respective ownership of IU Health West Hospital. IU Health West Hospital collaborated with Habitat for Humanity in 2011 to conduct a panel build. The build, which took place on the hospital campus, the ceiling of a Habitat home. The panels are then transported to the home site. Community volunteers worked alongside hospital employee and family volunteers on this Habitat for Humanity project. In spring 2011, IU Health West Hospital started a free walking club for community members to improve their health pedometer and monthly educational web postings. The Diabetes Center at IU Health West Hospital helps newly-diagnosed or at-risk patients take an active role in managing their diabetes so they can enjoy life. diagnostic, treatment and educational resources to help patients learn more about their illness. Working with a diabetes educator is free to patients, as is all of IU Health West Hospital s diabetes education and support programming. Community Benefits Annual Report Hospital Highlights Indiana University Health West Hospital 37

38 INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL //////// Indiana University Health White Memorial Hospital is a critical access hospital located in Monticello. The 25 patient-bed facility offers a comprehensive range of services, including general medical/surgical services;; a 24-hour emergency department;; sophisticated diagnostic imaging services;; and laboratory, chemotherapy, home health and therapy services. The hospital s Labor and Delivery Suites combine a home-like setting with all of the technology needed to assist with labor, delivery and recovery. All patient rooms are private and feature warm colors and natural light to enhance comfort and healing. A family-friendly environment offers pullout beds for overnight stays and wireless Internet access. Admissions 663 Outpatient Visits 18,566 Number of Employees 229 Number of Beds 29 checks provided by IU Health White Memorial Hospital. IU Health White Memorial Hospital hosted its annual Health and Safety Fair, which attracted more than 300 people. In addition to providing free blood pressure and hearing screenings, the hospital distributed free bike helmets to health fair attendees. Category Community Activity Charity Care $274,901 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community Investment $1,678,546 $16,588 Health Professions Education $8,964 Financial and In-Kind Contributions $9,200 $1,988,199 Investments Community Building Activities $897 Unreimbursed Costs of Medicare -$601,891 Bad Debt $860,548 $259,554 Total Community Investment $2,247,753 Community Benefits Annual Report Hospital Highlights Indiana University Health White Memorial Hospital 38

39 RILEY HOSPITAL FOR CHILDREN AT INDIANA UNIVERSITY HEALTH ///// Riley Hospital for Children at Indiana University Health is one of the nation s leading children s hospitals. hospital, Riley Hospital at IU Health is nationally ranked in all 10 pediatric specialty areas rated by U.S. News and World Report. The hospital s unique partnership with Indiana University School of Medicine ensures Riley s highly skilled physicians have access to the most innovative treatments and the latest research and technology. Each year, Riley Hospital at IU Health provides comprehensive, family-centered care to more than 215,000 children through its inpatient and outpatient programs. Pediatric patients and their families travel from across Indiana, the region and the world to access Riley s nationally recognized clinical programs. In January 2011, Family Tower opened. This new 10-story inpatient building, patient satisfaction, is scheduled for completion in Admissions 10,324 Outpatient Visits 248,838 Number of Employees 1,889 Number of Beds 292 In 2011, health educators at Riley Hospital for Children at IU Health reached nearly 10,000 community members through educational programming such as Safe Sitter, CPR and injury prevention classes. Riley Community Education and Child Advocacy helps families prevent injuries to all children (including children with special needs) with child safety products and the Riley Safety Store and Safe Escape. Riley Hospital for Children POWER (Pediatric OverWeight Education and Research) at Indiana University Health program aims to improve the health of children (ages 2 18) and decrease the risks of obesity through multi-level and multi-disciplined clinical programs. Riley at IU Health provides Indiana s largest number of continuing medical education programs for physicians and other healthcare professionals. In 2011, Riley Hospital for Children at IU Health Transcatheter Pulmonary Valve implants in Indiana. The Melody valve is used to repair a blocked or leaky pulmonary heart valve that has already been replaced to correct congenital heart defects. This new treatment immediately restores pulmonary valve function and is considerably less invasive. Category Community Activity Investment Charity Care $86,801,077 Unreimbursed Costs of Medicaid, HIP & CHIP Community Health Improvement Services & Community $158,542,923 $12,982,295 Health Professions Education $53,819,355 Subsidized Health Services $5,573,535 Research $17,367,206 Financial and In-Kind Contributions $3,254,367 $338,340,758 Investments Community Building Activities $777,391 Unreimbursed Costs of Medicare $30.373,316 Bad Debt $29,341,886 $60,492,593 Total Community Investment $398,833,351 Chart represents IU Health Methodist Hospital, IU Health University Hospital, Riley Hospital for Children at IU Health and IU Health Saxony Hospital. Community Benefits Annual Report Hospital Highlights Riley Hospital for Children at Indiana University Health

40 2012 COMMUNITY OUTREACH PLAN // IU Health analyzed current health needs data and consulted with partner organizations to identify the most pressing community health needs to focus on in the coming year. For 2012, it was determined to continue work on existing priorities. A few select strategies are listed on the following pages. Obesity Prevention and Reversal Strategies Pg. 41 Injury Prevention Strategies Pg. 42 Access to Healthcare Strategies Pg. 43 K-12 Education Strategies Pg. 44 Community Revitalization Strategies Pg. 45 Community Benefits Annual Report 2012 Community Outreach Plan 40

41 OBESITY PREVENTION AND REVERSAL STRATEGIES /////////// Increase the consumption of healthy fruits and vegetables by those who are underserved through IU Health Bucks state-issued vouchers for area Farmers Markets. Improve access to affordable fresh fruits and vegetables in low-income neighborhoods through Garden on the Go, the year-round mobile delivery program sponsored by IU Health. Expand Indy Urban Acres to supply Gleaners Food Bank and community residents in need with homegrown produce. IU Health will track the number of people served through these initiatives. IU Health will measure the impact of Garden on the Go by following decreases in Body Mass Index, referrals for follow-up education and care America s Heath Rankings, United Health Foundation. Community Benefits Annual Report 2012 Community Outreach Plan Obesity Prevention and Reversal Strategies 41

42 INJURY PREVENTION STRATEGIES //////////////// Identify ways to promote falls prevention education and awareness both within IU Health hospitals and in the community. Increase safety and accessibility for seniors living at home across ten IU Health communities through partnership with the CICOA Aging & In-Home Solutions Safe at Home initiative. TIPS FOR HOME SAFETY SAFE AT HOME IU Health will monitor the number of people served by its falls prevention initiatives. In 2011 alone, IU Health saw close to 8,000 emergency department visits from DON T RUSH WEAR SUPPORTIVE SHOES COUNT TO 15 BEFORE WALKING SECURE LOOSE CLOTHING Watch an informative video on home safety modifications by visiting the following Web address: REVIEW YOUR MEDS CHECK YOUR VISION injury-prevention-video CHECK YOUR HEARING GET A MEDICAL ALERT SYSTEM Community Benefits Annual Report 2012 Community Outreach Plan Injury Prevention Strategies 42

43 ACCESS TO HEALTHCARE STRATEGIES ////////////// Increase access to primary care and acute care services by uninsured or underinsured residents through partnerships with free clinics. Engage physicians as volunteers to help increase access to healthcare for those in need. assistance policy and record the amount of charity care IU Health will determine the number of people reached through initiatives such as the free clinics and physician volunteerism program. Kaiser State Health Facts , Kaiser Family Foundation. Community Benefits Annual Report 2012 Community Outreach Plan Access to Healthcare Strategies 43

44 K-12 EDUCATION STRATEGIES ////////////////// Focus on initiatives, including Kindergarten Countdown and Pre Kindergarten Reader Program, to better prepare at-risk children to succeed in kindergarten. Invest in The Mind Trust s Grow What Works campaign, to improve educational outcomes of Indiana schools. Improve access to high quality schools in the communities we serve. IU Health will measure the number of children served through Kindergarten Countdown and the education outcomes of these children. IU Health will also track who participate. Education plays a crucial role in healthcare outcomes. Poverty negatively affects educational development, health literacy and health status. Not only does one s education level affect personal health, it can predict the health of future generations. Additionally, early educational preparation and year-round development is key for establishing the best chances for a healthy and successful future America s Heath Rankings, United Health Foundation. Community Benefits Annual Report 2012 Community Outreach Plan K-12 Education Strategies 44

45 COMMUNITY REVITALIZATION STRATEGIES //////////// Engage IU Health team members in the 2012 Day of Service by partnering with Habitat for Humanity to build 25 housing frames for Habitat homes onsite at IU Health hospital locations. Provide support to Near North Development Corporation to foster community revitalization in IU Health s backyard. IU Health will measure the number of people and families positively impacted by the 2012 Day of Service. Community Benefits Annual Report 2012 Community Outreach Plan Community Revitalization Strategies 45

46 THE STRENGTH IT TAKES ///////////// It s like filling Purdue s Ross-Ade Stadium twice Capacity 67,000 It s like filling the University of Notre Dame Stadium twice Capacity 80,000 IU Health provided nearly $500 million 1.3 million Indiana residents. The amount of community members IU Health has positively impacted equals two sold out events at each of these sports venues in Indiana. It s like filling the Indianapolis Motor Speedway twice Capacity 400,000 It s like filling Ball State s Scheumann Stadium twice Capacity 22,500 IU Health will continue to be committed to the well-being of the communities it serves throughout Indiana. Reinvesting in the health and development of our communities is central to who IU Health is as Indiana s most comprehensive healthcare system. Beyond delivering on its mission, IU Health will in the communities it serves through It s like filling Indiana University Memorial Stadium twice Capacity 52,692 It s like filling Lucas Oil Stadium twice Capacity 70,000 Community Benefits Annual Report

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48 Indiana s largest comprehensive health system and is comprised of hospitals, physicians and allied services dedicated to providing preeminent care throughout Indiana and beyond. Our unique partnership with Indiana University School of Medicine gives our highly skilled physicians access to innovative treatments using the latest research and technology. Discover the strength at iuhealth.org 2012 IUHealth 11/12