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An industry leader at one of Indiana’s largest health systems urged fellow hospital stakeholders to donate to gubernatorial candidate Brad Chambers over competitors, saying he is “deeply concerned about the next four years if one of the other candidates is our next republican candidate for governor.”
The email also included directions on how to wire money to a “policy” not-for-profit that doesn’t disclose donors and has no contribution limits.
Dennis Murphy, the CEO and president of Indiana University Health, emailed two dozen of his peers Sunday detailing a “shared concern” about actions from General Assembly leadership concerning hospitals, perceived mischaracterizations and a fear that the “upcoming gubernatorial (election) has the potential to make these set of issues even worse.”
(A full version of the letter, with Murphy’s personal cell redacted, is included at the bottom of the story.)
“One candidate has been willing to meet with hospital and health system leaders and truly talk openly about the issues facing our state and our industry, Brad Chambers,” Murphy wrote in a letter obtained by the Indiana Capital Chronicle from two sources.
Specifically, Murphy points to U.S. Sen. Mike Braun and Fort Wayne businessman Eric Doden’s proposals as potentially harmful to the industry.
The letter asks each “large system” to contribute $2,000 from each of their top 25 leaders for a total of $50,000. Freestanding systems were directed to raise $2,000 from their top five leaders, or $10,000 — though Murphy said he “hope(d) that some organizations will do significantly more.”
IU Health said the letter was a personal effort and that Murphy didn’t want to expound further, a sentiment Murphy repeated in a message from his personal email.
Letter contents
Murphy opens the missive about a “shared concern that our legislative leaders do not believe that we as hospital and health systems play a vital role in the health and well-being of our communities.
“Rather, our legislative leaders see us only as a cost to be managed, entities who do not fulfill their not-for-profit status, or the sole reason for the poor health outcomes that exist in our state.”
The references appear to be referring to a rash of legislation from the General Assembly attempting to tackle high health care costs spurred by a 2022 letter from House Speaker Todd Huston and Senate Pro Tem Rodric Bray to health insurers and health care systems.
Leaders warned the health entities to lower their prices or risk lawmaker intervention.
In 2023, lawmakers passed a bill that would require the Department of Insurance to compare prices at several non-profit hospital systems with 285% of Medicare — which authors admitted was targeted at certain entities. Initially, the bill would have penalized those systems.
Murphy combated those moves by highlighting “the true good that occurs in each and every one of your organizations every day” in his letter but shared a concern that two candidates “have gone on the record to put forward ideas that would be very harmful to our industry and to our individual institutions.”
He didn’t specify what about the proposals from Doden and Braun he disliked but called Chambers “balanced” in his approach. Chambers’ campaign needed an infusion of cash to counter monies from Hoosiers for Affordable Healthcare, which Murphy said had “raised significant funds on behalf of candidates who will continue to push forward harmful legislation to hospitals and health systems.”
A campaign finance search for Al Hubbard, the chair of Hoosiers for Affordable Healthcare; Matt Bell, the organization’s lobbyist; and the entity itself doesn’t reveal any gubernatorial donations in this election cycle.
Donation instructions
Murphy directed leaders to make their donations via Win Red, a Republican fundraising platform. The majority of hospital CEOs emailed didn’t have a history of political donations on the Secretary of State’s campaign finance portal, including Murphy himself. Some had a smattering of contributions to Friends of Indiana Hospitals, the political action committee for the Indiana Hospital Association (IHA).
Messages to three, smaller hospital entities didn’t receive a response on Tuesday.
In a statement, IHA said the fund made contributions to various candidates — which includes dozens of Republican and Democratic Statehouse incumbents — but hadn’t yet donated to any of the declared gubernatorial candidates in this election cycle.
Two CEOs had contributions to Suburban Health Organization Political Action Committee, LLC and one donated to HEALTHPAC — the latter of which has contributed a combined $3,500 to Lt. Gov. Suzanne Crouch since November 2022.
Crouch, a Republican, launched her gubernatorial campaign in December of 2022.
However, Murphy also included instructions for donating via the Indiana Innovation Council, which is a 501(c)(4) company that isn’t required to disclose contributions. The new organization has just a bare bones website.
Such entities include the National Rifle Association and Sierra Club, which aren’t supposed to be exclusively dedicated to politics but rather “social welfare” — as detailed by Open Secrets, a campaign finance transparency organization. Open Secrets notes that 501(c)(4) groups aren’t required to report all of their spending or identify their donors, which is one of the forms of “dark money” fundraising in politics that obscures funding sources.
Notably, such organizations also don’t have maximum caps in their donations to political campaigns.
Murphy’s email said the Indiana Innovation Council is “is promoting Brad’s economic agenda.”
The address affiliated with the entity is the same as the consultant firm for Chambers’ senior strategist, Marty Obst.
The state of the race
Neither Crouch nor former Attorney General Curtis Hill have a dedicated section on their websites for health policies. Jamie Reitenour dedicates a portion of her platform to health freedom but not prices.
Braun’s website says “the high cost of healthcare in Indiana is a glaring weakness,” calling for transparency and more against “the powerful healthcare lobby.” Many of the one-term senator’s efforts have been focused on health care policy, including a wide-ranging national price transparency initiative.
“IU Health CEO Dennis Murphy is donating to my opponents and asking his friends in Big Healthcare to join him because he knows nobody will work harder to lower their prices than I will. Hoosiers are tired of paying some of the highest prices in the country and the CEO of the state’s largest hospital system has made it clear he’s for the status quo. I am not,” Braun said in a statement.
“Indiana will lower healthcare prices through transparency, competition, and empowering healthcare consumers, not the hospital lobby. As Governor, I will work with anyone willing to help Hoosiers see lower prices for their healthcare,” he concluded.
Doden’s campaign appeared to agree with the criticism from Murphy, drawing from its website section on hospital transparency for reference.
“Dennis Murphy made $4 million last year as the head of a hospital that makes billions of dollars off Hoosiers but pays no state taxes. He’s right, Hoosiers looking to maintain special tax status for hospitals and the status quo in health care should vote for one of the career politicians running,” his campaign said in a statement. “As Governor, Eric Doden will implement a plan to ensure hospitals provide full transparency in pricing and their use of taxpayer funding, and incentivize non-profit hospitals to invest a portion of their billions in profits – which are currently on Wall Street – back into the Main Streets of the communities they serve.”
Lastly, while Brad Chambers has released a handful of detailed plans on specific areas — including education, China and online safety — none yet address his health policy initiatives.
In a response to the Indiana Capital Chronicle, Chambers said, “We must work together to improve health outcomes for Hoosiers at prices they can afford. Increased competition and price transparency are an important part of the equation, but there is more we can do. As governor, I’ll bring all stakeholders to the table to take a holistic approach with the goal of increasing access to high quality care at affordable prices, with an overall focus on improving the average health of Hoosiers.”
Last month Chambers loaned another $2 million to his campaign on top of the $5 million he loaned last year.
Murphy concludes his letter by urging his peers to make their donations soon, within the next week or so, “if we collectively want to have an impact on this race.”
“I am asking you to help your organization and our industry by ensuring we have a true voice at the table in this next administration,” he said.
The Republican primary is May 7 and Republicans will convene in a June convention to select their nominee for lieutenant governor.
A copy of the letter, as shared with the Indiana Capital Chronicle, with Murphy’s personal cell redacted:
Dear Hospital and Health System Colleagues,
I am writing to you as a fellow leader concerned about the state of healthcare in Indiana. Specifically, our shared concern that our legislative leaders do not believe that we as hospital and health systems play a vital role in the health and well-being of our communities. Rather, our legislative leaders see us only as a cost to be managed, entities who do not fulfill their not-for-profit status, or the sole reason for the poor health outcomes that exist in our state. I have personally struggled as being characterized in any of these ways because of the true good that occurs in each and every one of your organizations every day. This happens solely because of the hard work of committed healthcare professionals. My fear is that this upcoming gubernatorial has the potential to make these set of issues even worse. Two of the candidates running in the republican primary (Braun and Doden) have gone on record to put forward ideas that would be very harmful to our industry and to our individual institutions.
One candidate has been willing to meet with hospital and health system leaders and truly talk openly about the issues facing our state and our industry, Brad Chambers. He has been balanced while also acknowledging we need to be doing more as a state to improve the health of Hoosiers. That is why I am writing to ask your help to raise money for Brad’s campaign for governor. This is urgent as this race will be decided in the republican primary, which is now just 60 days away. It remains a close race and Senators Young and Braun were in a similar poling position as Brad just 60 days before primaries that they won. The key to their primary victories was a very strong media presence in the closing days of the election. I believe that we as an industry can make a difference in this election.
I am sending this to each of you to ask you, your executive teams, and your boards to contribute to Brad’s campaign. The Hoosiers for Affordable Healthcare is actively involved in other campaigns and has raised significant funds on behalf of candidates who will continue to push forward harmful legislation to hospitals and health systems. If we want to have a voice in the state house, we must be fiscally significant to move legislation in our favor and stop harmful legislation. I am asking that each of our large systems raise $2000 from each of their top 25 leaders in their executive teams ($50,000) and each of our freestanding institutions to raise $2000 from the top 5 leaders on their teams ($10,000). I hope that some organizations will do significantly more.
There are two ways that you can ask your teams to contribute. The first is through the formal campaign site (Support Brad Chambers for Indiana Today! (winred.com)). When donating, the individuals can note their employer which will help to go towards our collective contribution. The second option is to give to the Indiana Innovation Council (The Indiana Innovation Council), the 501c4 public policy committee that is promoting Brad’s economic agenda. I’ve attached information on this option but as a 501c4, contributions to IIC can be unlimited from an individual or corporation, and those contributions are not disclosed for reporting purposes. Either vehicle will help increase our voice in the next legislative session.
If we collectively want to have an impact on this race, our funding needs to happen in the next 7 to 10 days. I am deeply concerned about the next four years if one of the other candidates is our next republican candidate for governor. I am asking you to help your organization and our industry by ensuring we have a true voice at the table in this next administration. I am happy to answer any questions you may have. My person cell phone is XXX-XXX-XXXX. Thank you for your consideration.
Best,
Dennis Murphy
The Indiana Capital Chronicle is an independent, not-for-profit news organization that covers state government, policy and elections.
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Well, all of the other Republican options are just terrible. Generally, gubernatorial elections in Indiana are much less of a clown show. Braun is taking his RNC money to bring the rat race to Indiana. Shameful.
We don’t want any of you!! Or your buddies!
IU Health’s operation is quickly deteriorating as evidence by alarming departures of key researchers, physicians, nurses and administrators. What was once a shining star for Indiana is quickly becoming a 2nd class hospital and medical provider with dismal performance. Murphy’s embarrassing entry into the election of our Governor is a desperate attempt to avoid the fact that IU Health has some of the highest hospital costs in the nation that puts us among the bottom of healthy citizens.
When you continue to carry this Not for Profit banner but yet making millions of dollars in profit each year plus have your C-Suite make millions of dollars a year in salaries/bonuses, etc. plus own real estate worth billions of dollars, isn’t it fair that the State government (or someone) monitors to make sure you still deserve the Not for Profit status? “ Murphy opens the missive about a “shared concern that our legislative leaders do not believe that we as hospital and health systems play a vital role in the health and well-being of our communities.” I think everyone agrees with Murphy that the hospital systems play a vital role – but they are very very well compensated for that role…very compensated!! If you don’t think your prices are substantially higher, then just take a look at a simple MRI and compare. Create a hospital policy where you will match the lowest price but that will never happen. Finally, don’t forget how much money hospitals profited during Covid while the rest of us were struggling big time.
Chambers and Murphy both reek of desperation.
This isn’t about the cost of IU Health’s services. Realistically, nobody is going to reign in IU Health’s costs without federal reform. IU Health knows that.
The subtext is that the populist Rs on the ballot are likely to ban/restrict procedures that they don’t understand.
Robert H:
If it takes Federal legislation then why are Indiana’s hospital prices presently so much higher than other States? Same Federal legislations today.
What procedures are not understood?
From all the ads they are running on air, I thought the only issue any of the Republican candidates for governor was interested in is the southern U.S. border.
I thought IU health was a part and funded by the State of Indiana as part of our public college system. For the Exec to take part in partisan politics seems very inappropriate to me. Plus, if a not-for -profit, there used to be rules about contributions. Perhaps the state should pull any and all funds, and replace the CEO??