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

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