Indiana Orthpaedic Hospital

OrthoIndy looks to loopholes for growth

May 23, 2011
J.K. Wall
OrthoIndy, the physician practice that owns the Indiana Orthopaedic Hospital, was able to open a new outpatient facility this spring by working around growth restrictions in the 2010 health care reform law. But its choices for further growth are much starker—which is why it's lobbying to repeal that provision of the law.
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Hospitals stand to gain big by hiring docs

April 7, 2010
To understand why hospitals are so eager to employ physicians—and prevent them from owning their own facilities—look no further than the latest data on how much doctors are paid compared with how much revenue they generate for hospitals.
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St. Francis sues OrthoIndy over new surgery center

December 30, 2009
Peter Schnitzler
Legal complaint alleges new $20 million facility in Greenwood breaches partnership deal struck in 2001.
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Health reform prods partnership of St. Vincent, OrthoIndy

November 13, 2009
J.K. Wall
The specter of declining reimbursement, as well as the desire for statewide growth, lie behind St. Vincent Health's decision to form a physician management firm with OrthoIndy and buy a minority stake in its Indiana Orthopaedic Hospital.
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St. Vincent, OrthoIndy form partnership

November 13, 2009
 IBJ Staff
St. Vincent Health has acquired a minority interest in Indiana Orthopaedic Hospital and is in discussions with OrthoIndy physicians and other independent doctors to create a management company that would oversee orthopaedic and spine services at St. Vincent Indianapolis. The health care providers announced the deal early Friday.
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  1. The $104K to CRC would go toward debts service on $486M of existing debt they already have from other things outside this project. Keystone buys the bonds for 3.8M from CRC, and CRC in turn pays for the parking and site work, and some time later CRC buys them back (with interest) from the projected annual property tax revenue from the entire TIF district (est. $415K / yr. from just this property, plus more from all the other property in the TIF district), which in theory would be about a 10-year term, give-or-take. CRC is basically betting on the future, that property values will increase, driving up the tax revenue to the limit of the annual increase cap on commercial property (I think that's 3%). It should be noted that Keystone can't print money (unlike the Federal Treasury) so commercial property tax can only come from consumers, in this case the apartment renters and consumers of the goods and services offered by the ground floor retailers, and employees in the form of lower non-mandatory compensation items, such as bonuses, benefits, 401K match, etc.

  2. $3B would hurt Lilly's bottom line if there were no insurance or Indemnity Agreement, but there is no way that large an award will be upheld on appeal. What's surprising is that the trial judge refused to reduce it. She must have thought there was evidence of a flagrant, unconscionable coverup and wanted to send a message.

  3. As a self-employed individual, I always saw outrageous price increases every year in a health insurance plan with preexisting condition costs -- something most employed groups never had to worry about. With spouse, I saw ALL Indiana "free market answer" plans' premiums raise 25%-45% each year.

  4. It's not who you chose to build it's how they build it. Architects and engineers decide how and what to use to build. builders just do the work. Architects & engineers still think the tarp over the escalators out at airport will hold for third time when it snows, ice storms.

  5. http://www.abcactionnews.com/news/duke-energy-customers-angry-about-money-for-nothing

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