INDIANA REGIONAL MEDICAL CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- INDIANA REGIONAL MEDICAL CENTER (EIN 25-0965404)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201711359349308716
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T14:32:28-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY VIRCHOW KRAUSE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1650 MARKET STREET SUITE 4500 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 250965404 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDI | BusinessNameControlTxt |
| Phone | 7243577008 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 HOSPITAL ROAD | AddressLine1Txt |
| City | INDIANA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT GONGAWARE | PersonNm |
| Person Title | SENIOR VP FINANCE | PersonTitleTxt |
| Phone | 7243577008 | PhoneNum |
| Signature | 2017-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIUS C GREEN CPA | PreparerPersonNm |
| PTIN | P00350393 | PTIN |
| Phone | 2159720701 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEPHEN A WOLFE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 HOSPITAL ROAD | AddressLine1Txt |
| City | INDIANA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $173,287,897 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.INDIANARMC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1944 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT, AND DIGNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1408 | TotalEmployeeCnt |
| Total Volunteers | 130 | TotalVolunteersCnt |
| Total Gross UBI | $2,461,344 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $237,401 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $359,324 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $138,365,867 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $139,047,052 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,299,788 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,476,522 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,256,646 | PYOtherRevenueAmt |
| CY Other Revenue | $7,267,034 | CYOtherRevenueAmt |
| PY Total Revenue | $154,922,301 | PYTotalRevenueAmt |
| CY Total Revenue | $151,149,932 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,563,752 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $77,199,098 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $80,063,247 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $66,125,668 | PYOtherExpensesAmt |
| CY Other Expenses | $64,170,000 | CYOtherExpensesAmt |
| PY Total Expenses | $148,888,518 | PYTotalExpensesAmt |
| CY Total Expenses | $144,233,247 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,033,783 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,916,685 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $244,186,137 | TotalAssetsBOYAmt |
| Total Assets EOY | $239,409,301 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $105,952,724 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $126,337,454 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $138,233,413 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $113,071,847 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF INDIANA REGIONAL MEDICAL CENTER IS TO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT, AND DIGNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $132,141,967 | ExpenseAmt |
| Revenue | $139,047,052 | RevenueAmt |
| Desc | HEALTH DIAGNOSTIC, INTERVENTION & TREATMENT SERVICE:INDIANA REGIONAL MEDICAL CENTER ("IRMC") IS A NON-PROFIT, COMMUNITY BASED HEALTH SYSTEM THAT OFFERS A WIDE RANGE OF SERVICES INCLUDING DIAGNOSTICS, MEDICINE, SURGERY, PEDIATRICS, OBSTETRICS, GERIATRIC BEHAVIORAL HEALTHCARE AND REHABILITATIVE NURSING. IRMC DEMONSTRATES AN ONGOING COMMITMENT TO THE COMMUNITY BY CONTINUALLY REVIEWING AND IMPROVING ITS SERVICES TO ENSURE THAT THE COMMUNITY RECEIVES TOP-QUALITY, EFFICIENT, ACCESSIBLE, COST-EFFECTIVE HEALTHCARE AND QUALITY OUTREACH AND HEALTH PROMOTION SERVICES. IRMC CONTINUES TO PROVIDE MOBILE HEALTH SERVICES TO RURAL AREAS OF THE COUNTY. IN ADDITION TO PRIMARY CARE PHYSICIANS, IRMC WAS SUCCESSFUL IN RECRUITING AN ENT (EARS, NOSE AND THROAT) PHYSICIAN, A PODIATRIST, 2 OB/GYN DOCTORS, A UROLOGIST, AND A CARDIOLOGIST WITHIN THE IPG CORPORATION TO HELP CONTINUE TO SATISFY THE NEEDS OF THE COMMUNITY.MASS HEALTH SCREENING: IRMC'S MOBILE MEDICAL SERVICES CONTINUES TO PROVIDE FREE BLOOD PRESSURE SCREENINGS IN 19 LOCATIONS IN INDIANA COUNTY. WE ALSO CONTINUE TO PARTICIPATE IN NUMEROUS FREE COMMUNITY EVENTS PROVIDING EDUCATION, SCREENING PROGRAMS AND FIRST AID SERVICES.HEALTH FAIRS:THE PROVISION OF HEALTH SERVICES AND INFORMATION THROUGH HEALTH FAIRS, CLASSES AND PROGRAMS - THE INSTITUTE FOR HEALTHY LIVING AT IRMC OFFERS HEALTH SERVICES AND EDUCATIONAL PROGRAMS TO THE COMMUNITY AT NO CHARGE SUCH AS:INDIANA CHAMBER OF COMMERCE BUSINESS EXPOAGONY OF DEFEETBIKE TO SCHOOL DAYSTRESS TO CLARK METALCLYMER CHURCH HEALTH FAIRCOLD HANDS WARM HEARTSPIRIT OF WOMEN DAY OF DANCEDOWNTOWN INDIANA CHRISTMASFAMILY FUN FEST FAMILY FUN DAY AT CHESTNUT RIDGEFITNESS SEMINAR TO "B!WELL"FROM SHOULDERS TO FINGERTIPSSPIRIT OF WOMEN - GIRLS NIGHT OUTSOUTH OF THE BORDER - VEINS, LOW BACK PAIN & PELVIC HEALTH"B!WELL" FARMERS MARKETIRMC "B!WELL" HEALTH FAIRKEYSTONE GENERATING STATION HEALTH FAIRSLIFELINE PROGRAM TO KIWANIS AND ST. ANDREW'S VILLAGEOLYMPIC DAY & JOINT CENTER PICNICDOC - PINE GROVE - HEALTHY EATING ON A BUDGET LUNCH SEMINARPROSTATE EDUCATION SEMINAREXERCISE AT RANGE RESOURCESS&T HEALTH FAIRSMALL CHANGE BIG CHOICESSMALL CHOICES BIG CHANGETEEN TALKTORRANCE STATE HOSPITAL HEALTH FAIRHEALTH CARE DELIVERY & MANAGEMENT:THE COMMUNITY HEALTH ADVISORY COUNCIL OF INDIANA COUNTY, WHICH WAS FORMED IN 1996, SERVES AS A STATE HEALTH IMPROVEMENT PARTNERSHIP. THE GOAL OF THE COUNCIL IS TO IDENTIFY OR DEVELOP RESOURCES TO ADDRESS TOP HEALTH PRIORITIES IN THE COUNTY. THE COUNCIL CONTINUES TO PROMOTE AN ANNUAL INFLUENZA CAMPAIGN. THE COUNCIL IMPLEMENTED A COUNTY PRESCRIPTION ASSISTANCE PROGRAM TO ASSIST RESIDENTS WITH ACCESSING PHARMACEUTICALS FREE OR AT A REDUCED COST BASED ON INCOME.HEALTH CARE PROGRAMS, GENERAL/OTHER: THE CENTER FOR DIABETES CARE CONTINUES TO OFFER FREE EDUCATION SERVICES AT VARIOUS LOCATIONS THROUGHOUT THE COUNTY. IN ADDITION, THEY CONTINUE TO BE THE PRIMARY SPONSOR OF THE COUNTY'S DIABETES WALK. EACH MONTH STAFF AND MANAGEMENT AT IRMC PROVIDE SUPPORT TO A LOCAL FOOD BANK. IRMC HAS BEEN A PREVIOUS MULTI-YEAR RECIPIENT OF THE BEST PLACES TO WORK IN PA. PREVENTIVE HEALTH SERVICES, GENERAL/OTHER: M. DORCAS CLARK WOMEN'S IMAGING CENTER: THE WOMEN'S IMAGING CENTER AND THEIR STAFF HAVE PARTICIPATED IN NUMEROUS COMMUNITY EVENTS PROVIDING INFORMATION ABOUT THE IMPORTANCE OF BREAST HEALTH. BIRDIE'S CLOSET, A PROJECT DESIGNED TO HELP WOMEN COPE WITH APPEARANCE-RELATED SIDE-EFFECTS OF CANCER TREATMENT, WAS OPENED IN THE WOMEN'S IMAGING CENTER. | Desc |
| Total Program Service Expenses | $132,141,967 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 238 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1408 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT GONGAWARE SVP FINANCE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7243577008 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 HOSPITAL ROAD | AddressLine1Txt |
| City | INDIANA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BEVERLY GAZZA ESQ | |||||||||
| CHAIR | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANNE WHITE | |||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| T MICHAEL PRICE | |||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NATHAN KOVALCHICK | |||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN A WOLFE | |||||||||
| PRESIDENT & CEO | 34.00 | 6.00 | Yes (X) | Yes (X) | $416,137 | $0 | $96,493 | ||
| TODD BRICE | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK E BOYKIW MD | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RUSSELL A DROZDIAK MD | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $950 | $0 | $0 | |||
| MARK R MCGOWAN PHD | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GREG SIPOS | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID BIZOUSKY MD | |||||||||
| BOARD MEMBER/MED STAFF DIRECTOR | 1.00 | Yes (X) | $15,000 | $0 | $0 | ||||
| DOMINIC PACCAPANICCIA | |||||||||
| CHIEF OPERATING OFFICER | 38.00 | 2.00 | Yes (X) | $239,426 | $0 | $37,338 | |||
| BRUCE A BUSH MD | |||||||||
| SR VP MEDICAL DIRECTOR | 36.00 | 4.00 | $291,345 | $0 | $19,880 | Yes (X) | |||
| ROBERT A GONGAWARE | |||||||||
| SR VP FINANCE | 37.00 | 3.00 | $215,134 | $0 | $21,602 | Yes (X) | |||
| CINDY VIRGIL | |||||||||
| SR VP PATIENT SERVICES | 39.00 | 1.00 | $181,269 | $0 | $16,889 | Yes (X) | |||
| WADE PATRICK | |||||||||
| SR VP INFORMATION SERVICES | 39.00 | 1.00 | $183,868 | $0 | $17,269 | Yes (X) | |||
| LARRY SEDLEMEYER | |||||||||
| SR VP BUS. DEVELOPMENT | 40.00 | $163,338 | $0 | $22,557 | Yes (X) | ||||
| GEOFFREY PAZDER | |||||||||
| PHYSICIAN | 40.00 | $256,963 | $0 | $7,308 | Yes (X) | ||||
| ANTHONY L SICO | |||||||||
| PHYSICIAN | 40.00 | $318,713 | $0 | $37,459 | Yes (X) | ||||
| JASON RASEFSKE | |||||||||
| PHYSICIAN | 40.00 | $256,616 | $0 | $20,000 | Yes (X) | ||||
| DONNA L BALEWICK | |||||||||
| PHYSICIAN | 40.00 | $280,089 | $0 | $7,308 | Yes (X) | ||||
| JOHN P CAWLEY | |||||||||
| PHYSICIAN | 40.00 | $410,632 | $0 | $30,342 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,229,480 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $334,445 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 61 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| A MARTINI & COMPANY INC | |||||
| 320 GRANT STREET | VERONA | PA | 15147 | CONSTRUCTION SERVICES FOR NEW BUILDING | $10,784,317 |
| MAYO COLLABORATIVE SERVICS INC | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 55480 | OUTSIDE LAB SERVICES | $1,011,457 |
| CURA HOSPITALITY INC | |||||
| PO BOX 743676 | ATLANTA | GA | 30374 | OUTSIDE FOOD AND NUTRITION SERVICES | $807,166 |
| STANTEC ARCHITECTURE INC | |||||
| 13980 CENTER DRIVE | CHICAGO | IL | 60693 | ARCHITECTURAL SERVICES | $314,591 |
| REHABCARE GROUP INC | |||||
| PO BOX 502096 | ST LOUIS | MO | 63150 | REHAB CARE SERVICES | $298,485 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 29 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $359,324 | AllOtherContributionsAmt |
| Total Contributions | $359,324 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SVC REV | 621990 | $138,480,126 | $138,480,126 |
| RENTAL REVENUE-AFFILIATES | 531120 | $327,736 | $327,736 |
| HEALTH CLASSES/COUNSEL | 624100 | $150,658 | $150,658 |
| HOSPICE PRESCRIPTIONS | 621990 | $88,532 | $88,532 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $139,047,052 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,075,244 | TotalRevenueColumnAmt |
| Exclusion | $3,075,244 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,679,007 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,384,752 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $294,255 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $294,255 | TotalRevenueColumnAmt |
| Exclusion | $294,255 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,722,269 | SecuritiesAmt |
| Other | $432,222 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,218,167 | SecuritiesAmt |
| Other | $535,046 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,504,102 | SecuritiesAmt |
| Other | -$102,824 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,401,278 | TotalRevenueColumnAmt |
| Exclusion | $1,401,278 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| LAB SERVICES | 621500 | $2,087,019 | $2,087,019 | |
| LEASED EMPLOYEES | 900099 | $1,414,595 | $1,414,595 | |
| CAFETERIA REV | 722210 | $975,985 | $975,985 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,495,180 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $374,325 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,120,855 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,972,779 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $151,149,932 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $139,047,052 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,461,344 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,282,212 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,239,877 | TotalAmt |
| Program Services | $58,239,877 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,800,788 | TotalAmt |
| Program Services | $3,800,788 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,760,989 | TotalAmt |
| Program Services | $13,760,989 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,261,593 | TotalAmt |
| Program Services | $3,406,884 | ProgramServicesAmt |
| Management And General | $854,709 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $646,817 | TotalAmt |
| Management And General | $646,817 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,000 | TotalAmt |
| Management And General | $115,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,835 | TotalAmt |
| Management And General | $5,835 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,000 | TotalAmt |
| Management And General | $220,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,479,654 | TotalAmt |
| Program Services | $10,042,427 | ProgramServicesAmt |
| Management And General | $2,437,227 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,019,167 | TotalAmt |
| Program Services | $39,627 | ProgramServicesAmt |
| Management And General | $979,540 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,102,881 | TotalAmt |
| Program Services | $4,023,319 | ProgramServicesAmt |
| Management And General | $79,562 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,925,241 | TotalAmt |
| Program Services | $1,054,114 | ProgramServicesAmt |
| Management And General | $1,871,127 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,429,101 | TotalAmt |
| Program Services | $1,049,852 | ProgramServicesAmt |
| Management And General | $379,249 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,164 | TotalAmt |
| Program Services | $145,226 | ProgramServicesAmt |
| Management And General | $116,938 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,680 | TotalAmt |
| Program Services | $28,680 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,225,925 | TotalAmt |
| Management And General | $1,225,925 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,365,040 | TotalAmt |
| Program Services | $7,270,813 | ProgramServicesAmt |
| Management And General | $1,094,227 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,851,426 | TotalAmt |
| Program Services | $1,480,103 | ProgramServicesAmt |
| Management And General | $371,323 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $20,142,318 | $19,751,723 | $390,595 |
| BAD DEBT EXPENSE | $3,797,536 | $3,797,536 | |
| MAINTENANCE & REPAIRS | $2,624,461 | $2,098,096 | $526,365 |
| FOOD | $1,062,807 | $849,650 | $213,157 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,865,947 | TotalAmt |
| Program Services | $1,302,263 | ProgramServicesAmt |
| Management And General | $563,684 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,233,247 | TotalAmt |
| Program Services | $132,141,967 | ProgramServicesAmt |
| Management And General | $12,091,280 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,505 | BOYAmt |
| EOY | $7,505 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,141,520 | BOYAmt |
| EOY | $3,379,224 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,073,760 | BOYAmt |
| EOY | $12,407,997 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,842,515 | BOYAmt |
| EOY | $2,741,012 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,143,160 | BOYAmt |
| EOY | $2,438,456 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,834,301 | BOYAmt |
| EOY | $3,237,534 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $186,920,071 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $94,498,090 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,589,548 | BOYAmt |
| EOY | $92,421,981 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,253,555 | BOYAmt |
| EOY | $96,928,044 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,689,194 | BOYAmt |
| EOY | $15,613,739 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $870,126 | BOYAmt |
| EOY | $837,744 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,740,953 | BOYAmt |
| EOY | $9,396,065 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,186,137 | BOYAmt |
| EOY | $239,409,301 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,633,036 | BOYAmt |
| EOY | $18,230,947 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,934,184 | BOYAmt |
| EOY | $51,061,521 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,635,747 | BOYAmt |
| EOY | $2,050,526 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,749,757 | BOYAmt |
| EOY | $54,994,460 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,952,724 | BOYAmt |
| EOY | $126,337,454 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,148,356 | BOYAmt |
| EOY | $105,696,471 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,085,057 | BOYAmt |
| EOY | $7,375,376 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,233,413 | BOYAmt |
| EOY | $113,071,847 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,186,137 | BOYAmt |
| EOY | $239,409,301 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,916,685 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,867,543 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$25,210,708 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $5,835 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,835 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE MEDICAL CENTER IS A MEMBER OF NATIONAL AND STATE HOSPITAL AND HEALTHCARE ASSOCIATIONS THAT PERFORM LOBBYING ACTIVITIES. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS LISTED AS LOBBYING EXPENDITURES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,085,000 | BeginningYearBalanceAmt |
| Contributions | $850,000 | ContributionsAmt |
| Other Expenditures | $560,000 | OtherExpendituresAmt |
| End Year Balance | $7,375,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,057,000 | BeginningYearBalanceAmt |
| Contributions | $1,351,000 | ContributionsAmt |
| Other Expenditures | $323,000 | OtherExpendituresAmt |
| End Year Balance | $7,085,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,973,000 | BeginningYearBalanceAmt |
| Contributions | $3,099,000 | ContributionsAmt |
| Other Expenditures | $15,000 | OtherExpendituresAmt |
| End Year Balance | $6,057,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,188,000 | BeginningYearBalanceAmt |
| Contributions | $337,000 | ContributionsAmt |
| Other Expenditures | $552,000 | OtherExpendituresAmt |
| End Year Balance | $2,973,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,070,000 | BeginningYearBalanceAmt |
| Contributions | $363,000 | ContributionsAmt |
| Other Expenditures | $245,000 | OtherExpendituresAmt |
| End Year Balance | $3,188,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $119,002 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,700,339 | OtherCostOrOtherBasisAmt |
| Book Value | $2,819,341 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,531,994 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,516,967 | DepreciationAmt |
| Book Value | $40,015,027 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $100,993,598 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,981,123 | DepreciationAmt |
| Book Value | $40,012,475 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,575,138 | OtherCostOrOtherBasisAmt |
| Book Value | $9,575,138 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $92,421,981 | TotalBookValueLandBuildingsAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $15,613,739 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $15,613,739 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| POST-RETIREMENT LIABILITY | $334,652 |
| PENSION LIABILITY | $45,157,136 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $1,489,686 |
| DUE TO AFFILIATES | $3,446,839 |
| ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY | $3,549,013 |
| DEFERRED COMPENSATION LIABILITY | $1,017,134 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $54,994,460 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $121,123,310 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$6,867,543 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$24,543,831 | OtherRevenueAmt |
| Revenue Not Reported | -$31,411,374 | RevenueNotReportedAmt |
| Revenue Subtotal | $152,534,684 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$1,384,752 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$1,384,752 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $151,149,932 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $146,284,876 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $6,069,165 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $6,069,165 | ExpensesNotReportedAmt |
| Expenses Subtotal | $140,215,711 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $4,017,536 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $4,017,536 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $144,233,247 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENT FUNDS ARE USED PRIMARILY TO PURCHASE CAPITAL EQUIPMENT. |
| PART X, LINE 2: | THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2016 AND 2015. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | PENSION AND POST RETIREMENT LIABILITIES ADJUSTMENT -20,845,336. BAD DEBTS NETTED ON FINANCIAL STATEMENTS -3,797,536. CHANGE IN INTEREST IN INDIANA HEALTHCARE FOUNDATION 319,041. INVESTMENT MANAGEMENT FEES -220,000. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -1,384,752. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 1,384,752. NET TRANSFERS TO AFFILIATES 4,684,413. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBTS NETTED ON FINANCIAL STATEMENTS 3,797,536. INVESTMENT MANAGEMENT FEES 220,000. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3964 | PersonsServedCnt |
| Total Community Benefit Expns | $2,871,637 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,871,637 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02040 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 40257 | PersonsServedCnt |
| Total Community Benefit Expns | $20,124,012 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,217,354 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,906,658 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08480 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 37938 | PersonsServedCnt |
| Total Community Benefit Expns | $1,099,473 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,099,473 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00780 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 82159 | PersonsServedCnt |
| Total Community Benefit Expns | $24,095,122 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,217,354 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,877,768 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11300 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11448 | PersonsServedCnt |
| Total Community Benefit Expns | $2,089,026 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $434,464 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,654,562 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 66413 | PersonsServedCnt |
| Total Community Benefit Expns | $23,540 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $23,540 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10190 | PersonsServedCnt |
| Total Community Benefit Expns | $3,363,403 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,171,218 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,192,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01560 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 88051 | PersonsServedCnt |
| Total Community Benefit Expns | $5,475,969 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,605,682 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,870,287 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02760 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 170210 | PersonsServedCnt |
| Total Community Benefit Expns | $29,571,091 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,823,036 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,748,055 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,797,000 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $759,400 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $26,176,074 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $27,275,547 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,099,473 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 COSM REALTY GROUP LTD | |||
| REAL ESTATE | 0.40000 | 0.00000 | 0.30000 |
| 2 INDIANA AMBULATORY SURGICAL ASSOCIATES LLC | |||
| AMBULATORY SURGERY | 0.70000 | 0.00000 | 0.30000 |
| 3 INDIANA TOTAL THERAPY LLC | |||
| THERAPY SERVICES | 0.50000 | 0.00000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 HOSPITAL ROAD | AddressLine1Txt |
| City | INDIANA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 090701 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | URGENT CARE FACILITY; OFFSITE TESTING CENTERS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.INDIANARMC.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.INDIANARMC.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.INDIANARMC.ORG/FINANCIAL-SERVICES/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.INDIANARMC.ORG/FINANCIAL-SERVICES/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.INDIANARMC.ORG/FINANCIAL-SERVICES/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| INDIANA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 5: A STEERING COMMITTEE MADE UP OF SENIOR REPRESENTATIVES OF EACH HOSPITAL, AS WELL AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS, LEADING HEALTH AND SOCIAL SERVICE ORGANIZATIONS AND COUNTY GOVERNMENT PROVIDED INPUT FOR THE NEED ASSESSMENT.DURING THIS CHNA PROJECT, TWO DOZEN INDIVIDUALS WERE INTERVIEWED BY REPRESENTATIVES FROM ALL THREE HOSPITALS INCLUDING ADMINISTRATIVE AND CLINICAL STAFF FROM THE HOSPITALS, REPRESENTATIVES FROM HEALTH AND SOCIAL SERVICE AGENCIES, PUBLIC HEALTH OFFICERS, WARDEN, SCHOOL DISTRICT PERSONNEL, VETERAN'S AFFAIRS, CLERGY, AND OTHER PUBLIC AND ELECTED OFFICIALS. STRATEGY SOLUTIONS INC. ("SSI") ALSO CONDUCTED A COMMUNITY SURVEY WITH 1,144 COMPLETED SURVEYS. FINALLY INFORMATION WAS GATHERED BY THE PROJECT TEAM THROUGH A SERIES OF FOCUS GROUPS. THESE INFORMATION-GATHERING EFFORTS ALLOWED THE PROJECT TEAM AND STEERING COMMITTEES TO GAIN A BETTER UNDERSTANDING OF THE HEALTH STATUS, HEALTH CARE NEEDS, SERVICE GAPS AND BARRIERS TO CARE OF THOSE LIVING IN THE COUNTIES OF ARMSTRONG, BUTLER, CLARION, CLEARFIELD, FOREST, INDIANA, JEFFERSON AND VENANGO.SECONDARY PUBLIC HEALTH DATA ON DISEASE INCIDENCE AND MORTALITY, AS WELL AS BEHAVIORAL RISK FACTORS, WERE GATHERED FROM NUMEROUS SOURCES INCLUDING THE PENNSYLVANIA DEPARTMENT OF HEALTH, THE CENTERS FOR DISEASE CONTROL, HEALTHY PEOPLE 2020, COUNTY HEALTH RANKINGS, AS WELL AS A NUMBER OF OTHER REPORTS AND PUBLICATIONS. DATA WERE COLLECTED PRIMARILY FOR INDIANA COUNTY AND OUTLYING AREA, ALTHOUGH SOME SELECTED NATIONAL DATA IS INCLUDED WHERE LOCAL/REGIONAL DATA WAS NOT AVAILABLE. DEMOGRAPHIC DATA WERE COLLECTED FROM THE NIELSEN/CLARITAS DEMOGRAPHIC DATABASE. PRIMARY QUALITATIVE DATA COLLECTED SPECIFICALLY FOR THIS ASSESSMENT INCLUDED A TOTAL OF 24 IN-DEPTH INTERVIEWS WITH INDIVIDUALS FROM DIFFERENT CONSISTENCIES AND INTEREST GROUPS WITH EIGHT STAKEHOLDERS SPECIFICALLY REPRESENTING THE NEEDS OF THE IRMC SERVICE AREA. A COMMUNITY SURVEY WAS CONDUCTED WITH 1,144 RESPONSES RECEIVED FROM THE REGION, WITH 573 FROM INDIANA COUNTY. INADDITION TO GATHERING INPUT FROM STAKEHOLDER INTERVIEWS, INPUT AND GUIDANCE ALSO CAME FROM HOSPITAL AND COMMUNITY REPRESENTATIVES WHO SERVED ON THE IRMC STEERING COMMITTEE. |
| INDIANA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 6A: CLARION HOSPITAL AND PUNXSUTAWNEY AREA HOSPITAL |
| INDIANA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 7D: MADE AVAILABLE THROUGH A COMMUNITY MAILING |
| INDIANA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 11: EACH YEAR THE TOP PRIORITIES ARE IDENTIFIED AND ADDRESSED.IRMC'S CHNA LOOKED AT DIFFERENT ISSUES OF COMMUNITY HEALTH. ALL WERE RANKED ACCORDING TO PRIORITY NEED--HIGH, MODERATE AND LOW. THE ASSIGNMENT OF EACH HEALTH CONCERN TO ONE OF THESE PRIORITY STATES WAS BASED UPON FOUR ESSENTIAL CRITERIA:1. ACCOUNTABLE ROLE - THE EXTENT TO WHICH THE ISSUE IS AN IMPORTANT PRIORITY TO ADDRESS FOR THE HOSPITAL OR THE COMMUNITY2. MAGNITUDE OF THE PROBLEM - DEGREE TO WHICH THE PROBLEM LEADS TO DEATH, DISABILITY, OR IMPAIRED QUALITY OF LIFE3. IMPACT ON OTHER HEALTH OUTCOMES - EXTENT TO WHICH THE ISSUE IMPACTS HEALTH OUTCOMES AND/OR IS A DRIVER OF OTHER CONDITIONS4. CAPACITY TO IMPLEMENT EVIDENCE BASED SOLUTIONS - INCLUDE THE CAPACITY TO AND EASE OF IMPLEMENTING EVIDENCE BASED SOLUTIONS.TEAMS ARE ADDRESSING THE TOP PRIORITIES LISTED. SENIOR ADMINISTRATION, ALONG WITH THE BOARD OF DIRECTORS, OVERSEE AND SUPPORT EACH STRATEGY.SOME OF THE LOW PRIORITY NEEDS WHICH WERE NOT ADDRESSED ARE LACK OF HEALTH INSURANCE; FOOD AND WATER BORNE ILLNESS; ACCESS TO HEALTHY FOODS AND RECREATIONAL FACILITIES; MENTAL HEALTH AND DEATHS DUE TO MOTOR VEHICLE CRASHES. THESE NEEDS WERE NOT ADDRESSED AS IRMC WAS FOCUSED ON HIGHER PRIORITY NEEDS. |
| INDIANA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 16I: A MESSAGE IS PROVIDED ON INVOICES THAT THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE. |
| INDIANA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 22D: IRMC CALCULATES THE AMOUNT GENERALLY BILLED (AGB) USING THE LOOK-BACK METHOD BY REVIEWING MEDICARE FEE-FOR-SERVICE AND PRIVATE HEALTH INSURER CLAIMS THAT HAVE BEEN PAID IN FULL OR HAVE A $0 BALANCE FOR DATES OF SERVICE FOR THE TWELVE MONTH CALENDAR PERIOD FROM MARCH 1ST THRU FEBRUARY 28TH EACH YEAR. THE MEDICAID AND MEDICAID HMO CLAIMS ARE EXCLUDED FROM THE CALCULATION. THE CLAIMS INFORMATION IS GATHERED ON MAY 31ST TO ALLOW FOR 90 DAYS OF PAYMENTS FOR THE APPLICABLE DATES OF SERVICE. ALSO, ANY CLAIMS FROM THE PRIOR YEARS THAT WERE NOT INCLUDED IN PRIOR YEARS BECAUSE THEY WERE JUST PAID IN FULL DURING THE RESPECTIVE CALENDAR YEAR ARE ALSO REVIEWED. THE AGB IS DETERMINED BY TAKING ALL PAYMENTS FOR THE APPLICABLE CLAIMS AND ADDING IN THE FOLLOWING THAT WE SHOULD HAVE RECEIVED BUT DID NOT DUE TO VARIOUS FACTORS: ANY REFUNDS TO PATIENTS OR THE INSURANCE COMPANIES; CHARITY CARE; BAD DEBT; WHEN THE SECONDARY WILL NOT PAY US BECAUSE THE PRIMARY INSURANCE COMPANY'S CONTRACT PAYS MORE; AND OTHER MISCELLANEOUS ADJUSTMENTS. THERE IS A 30 DAY LAG FOR THE CLAIMS TO BE ANALYZED AND THE NEW RATE IF APPLICABLE BECOMES EFFECTIVE JULY 1ST. |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE HOSPITAL USED A COST-TO-CHARGE RATIO IN DETERMINING THE FIGURES REPORTED IN THIS TABLE. THIS COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES. |
| PART I, LINE 7G: | NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED IN THE AMOUNT ON PART I, LINE 7G. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,797,536. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | OUR MISSION IS TO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT AND DIGNITY. ALL OF THE PROGRAMS OFFERED MEET COMMUNITY BENEFIT OBJECTIVES AND ARE RELATED TO OUR MISSION. IRMC OFFERS PROGRAMS THAT IMPROVE ACCESS TO HEALTH CARE SERVICES, ENHANCES HEALTH OF THE COMMUNITY WE SERVE, PROVIDES ADVANCED MEDICAL OR HEALTHCARE KNOWLEDGE AND RELIEVES SOME OF THE FINANCIAL OR PROGRAMMATIC BURDEN OF GOVERNMENT OR OUR COMMUNITY. INDIANA REGIONAL MEDICAL CENTER PROVIDES NUMEROUS COMMUNITY PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING TO OUR COMMUNITIES. OUR MOBILE MEDICAL SERVICES CONTINUES TO PROVIDE FREE BLOOD PRESSURE SCREENINGS IN 19 LOCATIONS IN INDIANA COUNTY. WE ALSO CONTINUE TO PARTICIPATE IN NUMEROUS FREE COMMUNITY EVENTS PROVIDING EDUCATION, SCREENING PROGRAMS AND FIRST AID SERVICES. OVER THE PAST YEAR, THE MOBILE MEDICAL HEALTH LOGGED OVER 2,500 PARTICIPANTS. WE ALSO PROVIDE NUMEROUS HEALTH FAIRS REACHING ALMOST 2,200 PARTICIPANTS, AND CLASSES AND EDUCATION PROGRAMS WITH OVER 4,000 PARTICIPANTS. A FEW OF THE FAIRS OR SERVICES PROVIDED ARE: ARTHRITIS, KNEE PAIN AND OSTEOPOROSIS SESSIONS PUT ON BY THE ORTHOPEDIC PHYSICIANS AND THE IRMC SUPPORT CLINICIANS, "BIKE TO SCHOOL" (SAFETY FOR CHILDREN), CHESTNUT RIDGE HEALTH FAIR, DIABETES, EXERCISE FOR SENIOR CENTERS, FIRST COMMONWEALTH BANK WEIGHT MANAGEMENT, FORTIFY YOUR SPINE, HEALTHY KIDS DAY, ROUTINE MULTIPHASIC BLOOD DRAWS FOR RURAL AREAS AND COMMUNITY MEMBERS THAT MAY NOT SEEK OUT HEALTH CARE, SERVICES PROVIDED TO NEW FLORENCE SENIOR CENTER AND NORTH CAMBRIA SENIOR CENTER (RURAL FACILITIES IN OUR SECONDARY MARKET AREA AND NO HOSPITAL CLOSE TO THEM), PROSTATE SCREENINGS, VACCINES FOR VETS (VETERANS), SKIN SCREENINGS, AS WELL AS A NUMBER OF OTHERS. THE INSTITUTE FOR HEALTHY LIVING AT INDIANA REGIONAL MEDICAL CENTER OFFERS HEALTH SERVICES AND EDUCATION PROGRAMS TO THE COMMUNITY AT NO CHARGE.THE CENTER FOR DIABETES CARE CONTINUES TO OFFER FREE EDUCATION SERVICES AT VARIOUS LOCATIONS THROUGHOUT THE COUNTY. IN ADDITION, THEY CONTINUE TO BE THE PRIMARY SPONSOR OF THE COUNTY'S DIABETES WALK. EACH MONTH STAFF AND MANAGEMENT AT IRMC PROVIDE SUPPORT TO A LOCAL FOOD BANK. PREVENTIVE HEALTH SERVICES - M. DORCAS CLARK WOMEN'S IMAGING CENTER AND THEIR STAFF HAVE PARTICIPATED IN NUMEROUS COMMUNITY EVENTS PROVIDING INFORMATION ABOUT THE IMPORTANCE OF BREAST HEALTH. BIRDIE'S CLOSET, A PROJECT DESIGNED TO HELP WOMEN COPE WITH APPEARANCE RELATED SIDE-EFFECTS OF CANCER TREATMENT WAS OPENED IN THE WOMEN'S IMAGING CENTER. SUPPORT HEALTH GROUPSFAMILY PROGRAMS - EARLY PREGNANCY, MATERNITY TOUR, DOCTOR DAD, BOF SERIES, BREASTFEEDING, ALL ABOUT BABY, LAMAZE, HOME ALONE, BABYSITTING, LET'S TALK GIRLS, BIG BROTHER, CPR, HEARTSAVER. 1,164 CONTACTS FOR THE YEAR.COMMUNITY CLASSES - PACE, TAI CHI, YOGA, CANCER, STRONG WOMEN, DROP WEIGHT, ORNISH, DIABETES, DROP 10. 3,580 CLASS HOURS.IN 2009, INDIANA REGIONAL MEDICAL CENTER OPENED A NEW FACILITY OFFERING URGENT CARE SERVICES IN THE BLAIRSVILLE COMMUNITY AS A RESPONSE TO MEDICAL SERVICES NEEDED IN THAT AREA. THIS FACILITY IS 12 MILES FROM THE HOSPITAL CAMPUS.IN 2012, INDIANA REGIONAL MEDICAL CENTER OPENED ITS SECOND URGENT CARE FACILITY TO SERVICE THE PRIMARY MARKET SHARE WHERE THERE WAS A NOTED DEMAND FOR THESE SERVICES. THE URGENT CARE CENTERS REQUIRE ADDITIONAL STAFFING ON BEHALF OF THE HOSPITAL AS IT IS A NEW/ADDED LOCATION; HOWEVER, THESE FACILITIES SIGNIFICANTLY IMPROVE THE CYCLE TIME OF THE PATIENT THROUGHOUT AND SERVICES FOR THE NON-EMERGENT SERVICES NEEDED. |
| PART III, LINE 2: | THE AMOUNT REPORTED IN PART III, LINE 2 IS DERIVED BY USING THE MEDICARE COST TO CHARGE RATIO FROM THE COST REPORT. |
| PART III, LINE 3: | THE AMOUNT REPORTED IN PART III, LINE 3 IS DERIVED BY USING THE MEDICARE COST TO CHARGE RATIO FROM THE COST REPORT.A PORTION OF THE BAD DEBT SHOULD BE INCLUDED AS COMMUNITY BENEFIT AS THE HOSPITAL IS NOT ABLE TO DENY SERVICES TO ANY PATIENT PRESENTING TO THE EMERGENCY DEPARTMENT, REGARDLESS IF THE PATIENTS HAVE THE MEANS TO PAY. THE DEDUCTIBLE AND CO-INSURANCE BALANCES THAT ARE NOT PAID REDUCE THE NET REVENUES DUE TO THE HOSPITAL AS PART OF THE RESPECTIVE PATIENT'S INSURANCE COVERAGE. IN ADDITION, THERE IS A "COST" TO THE HOSPITAL FOR TREATING ALL PATIENTS. AS WITH THE UNREIMBURSED AMOUNTS OF THE MEDICAID PATIENT SERVICES, THE HOSPITAL SHOULD BE ABLE TO INCLUDE THE UNREIMBURSED COSTS OF THE SERVICES THAT RESULTED IN NO PAYMENT. |
| PART III, LINE 4: | THE FOLLOWING IS THE TEXT OF THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: "ACCOUNTS RECEIVABLE, PATIENTS, ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED ON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES." |
| PART III, LINE 8: | THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6. ANY SHORTFALL REPORTED IN LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT AS THE HOSPITAL IS PROVIDING MEDICAL CARE TO THESE PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. |
| PART III, LINE 9B: | PATIENTS ARE EXPECTED TO PAY ALL BALANCES IN FULL WITHIN FIFTEEN DAYS OF A FINAL BILLING. IF THIS IS NOT POSSIBLE, PATIENTS WILL BE COUNSELED ON THE USE OF MEDICAL ASSISTANCE OR THE INDIANA CHARITY CARE PROGRAM, I-CARE.ON A MONTHLY BASIS, THE CREDIT SUPERVISOR WILL COMPILE A REPORT LISTING ALL ACCOUNTS, WHICH HAVE BEEN BILLED TO MEDICARE, AND ANY SECONDARY INSURANCE CARRIER WHERE APPLICABLE. A LISTING OF ACCOUNTS WHICH HAVE BEEN BILLED TO MEDICAL ASSISTANCE AS A SECONDARY PAYOR ARE REVIEWED BY THE CREDIT SUPERVISOR FOR AN AUTOMATIC WRITE OFF AFTER MEDICAL ASSISTANCE HAS PROCESSED THE ACCOUNT. ACCOUNTS WHICH HAVE BALANCES AFTER MEDICARE AND ALL SECONDARY PAYORS HAVE BEEN BILLED WILL BE PLACED WITH AN OUTSIDE COLLECTION AGENCY AFTER TWO UNANSWERED STATEMENTS. AN EXCEPTION WILL BE MADE IN THE EVENT A PATIENT/GUARANTOR DOES NOT FOLLOW THROUGH WITH THE MEDICAL ASSISTANCE APPLICATION PROCESS, WHEN REQUESTED TO DO SO. THE AGENCY WILL ATTEMPT TO COLLECT THE ACCOUNT FOR SIX MONTHS. AFTER THAT TIME THE ACCOUNT WILL BE WRITTEN OFF AS MEDICARE BAD DEBT.THE IRMC COLLECTION POLICY CONTAINS PROVISIONS TO PROVIDE A SOFTER APPROACH FOR THOSE THAT IRMC HAS LEARNED WOULD QUALIFY FOR FINANCIAL ASSISTANCE. UPON RECEIPT OF THE CALL FROM THE PATIENT THAT THERE IS HARDSHIP IN PAYING THE BILL, THE IRMC COLLECTION REPRESENTATIVE SHARES THE INFORMATION FOR APPLICATION FOR BOTH MEDICAL ASSISTANCE AND CHARITY CARE. WHILE THE PATIENT'S ACCOUNT IS IN THIS PROCESS, THEIR ACCOUNT WILL NOT BE PROVIDED TO THE COLLECTION AGENCY. |
| PART VI, LINE 2: | THE HOSPITAL LEADERSHIP TEAM FORMED A STEERING COMMITTEE IN THE LOCAL SERVICE AREA THAT CONSISTED OF HOSPITAL AND COMMUNITY LEADERS WHO REPRESENTED THE BROAD INTERESTS OF THEIR LOCAL REGION. THESE INCLUDED REPRESENTATIVES WHO UNDERSTOOD THE NEEDS AND ISSUES RELATED TO VARIOUS UNDERREPRESENTED GROUPS INCLUDING MEDICALLY UNDERSERVED POPULATIONS, LOW-INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS, INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH, AND INTERNAL PROGRAM MANAGERS. THE STAFF, STEERING COMMITTEE MEMBERS AND CONSULTING TEAM MADE SIGNIFICANT EFFORTS TO ENSURE THAT THE ENTIRE REGIONAL SERVICE TERRITORY, ALL SOCIO-DEMOGRAPHIC GROUPS AND ALL POTENTIAL NEEDS, ISSUES AND UNDERREPRESENTED POPULATIONS WERE CONSIDERED IN THE ASSESSMENT.SEE PART V OF SCHEDULE H FOR FURTHER DISCUSSION ON NEEDS ASSESSMENT. |
| PART VI, LINE 3: | IRMC WILL POST, AT ALL POINTS OF REGISTRATION, A NOTICE OF THE CHARITY CARE POLICY. THE MEDICAL CENTER WILL ALSO PROVIDE NOTICE OF THE CHARITY CARE POLICY IN PATIENTS' BILLS AND TO LOCAL SOCIAL SERVICE AGENCIES. THE MEDICAL CENTER ALSO PROVIDES THIS INFORMATION ON THE INDIANA REGIONAL MEDICAL CENTER'S INTERNET HOME PAGE. AT THE EARLIEST FEASIBLE TIME, THE MEDICAL CENTER PERSONNEL WILL ATTEMPT TO DETERMINE PATIENT ELIGIBILITY FOR COVERAGE OF PART OR ALL OF THEIR PATIENT BILL.ALL PRE-REGISTRATION, REGISTRATION, BUSINESS OFFICE, AND PATIENT FINANCIAL SERVICES STAFF RECEIVE TRAINING AS TO THE CHARITY CARE POLICY AND ARE TO BE FAMILIAR WITH THE AVAILABILITY OF CHARITABLE ASSISTANCE AND THE CRITERIA FOR SUCH ASSISTANCE. |
| PART VI, LINE 4: | SINCE OPENING ITS DOORS IN 1914, INDIANA REGIONAL MEDICAL CENTER (IRMC) HAS MAINTAINED A GOAL OF SERVING THE COMMUNITY WITH QUALITY, PROGRESSIVE, COMPASSIONATE PATIENT CARE. AS THE COUNTY'S SOLE, FULL-SERVICE HEALTHCARE PROVIDER, IRMC HAS CONTINUALLY RISEN TO THE CHALLENGE OF MEETING THE NEEDS OF ITS COMMUNITY. IRMC RESIDES IN INDIANA, PENNSYLVANIA IN THE HEART OF THE COUNTY. THE HOSPITAL SITS ON A 75-ACRE CAMPUS AND ADMITS OVER 7,700 PATIENTS, DELIVERS MORE THAN 600 BABIES, AND ACCOMMODATES ANOTHER QUARTER-MILLION OUTPATIENT ENCOUNTERS EACH YEAR. AS AN ACUTE CARE FACILITY, IRMC IS LICENSED FOR 164 BEDS AND PROVIDES A BROAD RANGE OF MEDICAL AND EDUCATIONAL SERVICES AT ITS MAIN CAMPUS AND SATELLITE LOCATIONS ACROSS INDIANA COUNTY. AS THE ONLY HOSPITAL LOCATED IN THIS RURAL COUNTY, IRMC PROVIDES SERVICES TO A DIVERSE POPULATION OF 89,000 RESIDENTS SPREAD OVER 830 SQUARE MILES.OVER THE YEARS, IRMC HAS DEVELOPED PROGRAMS AND SERVICES THAT ADDRESS IMPROVING ACCESS TO CARE, PREVENTIVE SERVICES, AND COMMUNITY HEALTH EDUCATION. IRMC HAS FOUND A WAY TO NOT ONLY SUCCEED WHEN OTHER RURAL HOSPITALS ARE CLOSING THEIR DOORS, BUT ALSO EXPAND AND PROVIDE CARE TO THE RESIDENTS OF FIVE SURROUNDING COUNTIES. IRMC IS THE NUMBER TWO EMPLOYER IN THE COUNTY WITH 1,300 EMPLOYEES AND CONTINUES TO ATTRACT AND RETAIN A QUALITY WORKFORCE THROUGH THE ACHIEVEMENT OF NUMEROUS RECOGNITIONS, SUCH AS THE #1 BEST PLACE TO WORK IN PA, THE #2 BEST PLACE TO WORK IN THE NATION ACCORDING TO MODERN HEALTHCARE MAGAZINE, ACHIEVED NOTABLE STATUS BY SCORING AT THE MASTERY LEVEL IN PENNSYLVANIA'S KAPE PROGRAM, AND NAMED TO FORTUNE'S 100 BEST COMPANIES TO WORK FOR. FURTHER, IRMC IS CURRENTLY PURSUING THE MALCOLM BALDRIGE NATIONAL QUALITY AWARD - A PRESTIGIOUS HONOR ACHIEVED BY FEW. |
| PART VI, LINE 5: | IN THE MID-NINETIES, HOSPITALS AND HEALTHCARE FACILITIES BEGAN TO SHIFT THEIR ATTENTION FROM JUST SICK OR HOSPITAL BASED CARE TO INCLUDE ADDRESSING COMMUNITY HEALTH AND DISEASE PREVENTION. AS A FIRST STEP IN THAT DIRECTION, IRMC FORMED A COMMUNITY SERVICE DEPARTMENT WHOSE PURPOSE WAS TO DELIVER EDUCATION AND PREVENTATIVE SCREENINGS TO THE COMMUNITY-AT-LARGE. IN 2005, REALIZING THAT ALMOST EVERY DEPARTMENT IN THE HOSPITAL HAD OPPORTUNITIES TO PROMOTE HEALTH AND WELLNESS, IRMC CREATED THE INSTITUTE FOR HEALTHY LIVING, A VIRTUAL ORGANIZATION COORDINATING ALL ASPECTS OF COMMUNITY OUTREACH AND HEALTH IMPROVEMENT. IMPROVING AND SUSTAINING COMMUNITY HEALTH, HOWEVER, IS A COLLABORATIVE ENDEAVOR THAT INTEGRATES AS MANY KEY STAKEHOLDERS AS POSSIBLE. IN THAT REGARD, IRMC SPEARHEADED THE FORMATION OF THE INDIANA COUNTY COMMUNITY HEALTH ADVISORY COUNCIL (CHAC), AN ENTERPRISE REPRESENTING MEMBERS FROM VARIOUS COMMUNITY AGENCIES, ORGANIZATIONS AND SCHOOLS WHOSE PURPOSE IT IS TO IDENTIFY HEALTH NEEDS IN OUR COUNTY AND TO FIND WAYS TO MEET THEM. THE CHAC HAS BEEN ACTIVE SINCE 1996 AND IRMC SERVES AS ITS BASE AND CHAIRMANSHIP. THE IRMC / INSTITUTE FOR HEALTHY LIVING 2011 COMMUNITY HEALTH NEEDS ASSESSMENT AND REPORT IS THE PRODUCT OF AN 18-MONTH PROCESS THAT SOUGHT COMMUNITY INPUT, MEDICAL STAFF INPUT, INVOLVED KEY INTEREST GROUPSSUCH AS THE CHAC, AND SELECTED PRIMARY AND SECONDARY SOURCES OF SURVEY INPUT TO IDENTIFY TARGET AREAS FOR IMPROVEMENT WITH SPECIFIC ACTION PLANS.USING THE THREE SURVEY INPUTS OF THE PA BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BRFSS), THE ROBERT WOOD JOHNSON COUNTY HEALTH RANKINGS, AND THE PA DEPARTMENT OF HEALTH ANNUAL COUNTY HEALTH PROFILES, IRMC WAS ABLE TO IDENTIFY AND SET PRIORITIES AMONG THE AREAS FOR COMMUNITY HEALTH IMPROVEMENT THAT DIFFERED SIGNIFICANTLY FROM STATE OR NATIONAL BENCHMARKS. IRMC THEN TARGETED SEVEN OF THOSE NEED AREAS FOR SPECIFIC INTERVENTION AND ACTION. INDIANA REGIONAL MEDICAL CENTER USES ITS OWN FUNDS TO ENHANCE BOTH THE CLINICAL STRATEGIES AND THE COMMUNITY STRATEGIES.CLINICAL STRATEGIES (A FEW EXAMPLES): RECRUITING ADDITIONAL PHYSICIANS FOR IDENTIFIED COMMUNITY NEEDS, EXPLORE DEVELOPMENT OF A FAMILY PRACTICE RESIDENCY PROGRAM TO FACILITATE RECRUITMENT AND RETENTION, ENLARGE THE MEDICAL FITNESS CENTER, ESTABLISH A WEIGHT LOSS TASK FORCE, DEVELOP A MEDICAL WEIGHT MANAGEMENT CENTER, PROVIDE FLU SHOTS TO ALL INPATIENTS DURING FLU SEASON, PROVIDE PNEUMONIA VACCINE TO ALL NON-VACCINATED INPATIENTS, ETC. COMMUNITY STRATEGIES (A FEW EXAMPLES): PARTNER WITH AGENCIES PROVIDING SERVICES AND EDUCATION TO YOUNG TEENS AND WOMEN, EVALUATE A PARTNERSHIP WITH EARLY HEAD START, IMPROVE VISIBILITY AND INFORMATION AVAILABLE ABOUT THE OB/GYN CLINIC, WORKED TO ESTABLISH PRACTICES IN THE MORE RURAL AREAS OF THE COUNTY THAT REQUIRE THE MEDICAL CENTER TO SUBSIDIZE DELIVERING CARE THERE, ESTABLISHED THE INDIANA AT CHESTNUT RIDGE FACILITY THAT OFFERS PRIMARY CARE AND URGENT-CARE AND WAS A SIGNIFICANT CAPITAL INVESTMENT, IMPLEMENT A PATIENT PORTAL TO IMPROVE PATIENT ACCESS TO MEDICAL RECORDS, BECAME A PROVIDER OF THE WE CAN! (WAYS TO ENHANCE CHILDREN'S ACTIVITY AND NUTRITION), PARTNERED WITH 7 ELEMENTARY SCHOOLS TO INSTALL PROJECT FIT AMERICA, IMPLEMENTED GROCERY STORE TOURS TO ASSIST PEOPLE WITH SEEKING HEALTHY CHOICES, PARTNER WITH 4 GROCERY STORES TO HAVE A DIETICIAN AVAILABLE TO HELP SHOPPERS MAKE HEALTHY CHOICES, CONDUCT THE ANNUAL "VACCINE FOR VETERANS" PROGRAM ON VETERANS DAY, EVALUATE THE POTENTIAL FOR PUBLIC PNEUMONIA VACCINE CLINICS, CONTINUE TO PROVIDE FREE FLU AND PNEUMONIA VACCINE TO HIGH-RISK, LOW INCOME RESIDENTS, ETC. |
| PART VI, LINE 6: | INDIANA REGIONAL MEDICAL CENTER HAS THE FOLLOWING AFFILIATED ENTITIES:INDIANA HEALTHCARE FOUNDATION CONDUCTS FUNDRAISING ACTIVITIES, SUCH AS THE COLUMBUS DAY GOLF OUTING AND LOVE OF LIFE GALA, IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTER. INDIANA REGIONAL MEDICAL CENTER AND PUNXSUTAWNEY AREA HOSPITAL JOINTLY FORMED INDIANA JEFFERSON RADIATION ONCOLOGY, INC. FOR THE PURPOSE OF ENHANCING THE QUALITY AND AVAILABILITY OF RADIATION ONCOLOGY SERVICES OFFERED TO PATIENTS IN INDIANA AND JEFFERSON COUNTIES, PA AND SURROUNDING AREAS.INDIANA HEALTHCARE PHYSICIAN SERVICES, INC. IS A NON-PROFIT HOSPITAL OWNED GROUP OF PRACTICES OWNED AND OPERATED TO SERVE THE RURAL AREAS OF INDIANA AND SURROUNDING COMMUNITIES. WE PROVIDE ACCESSIBLE, COST EFFECTIVE QUALITY HEALTHCARE WITHIN THE RURAL COMMUNITIES OF INDIANA AND SURROUNDING COUNTIES. WE SUPPORT AND WORK COLLABORATIVELY WITH OTHER NON-PROFIT AGENCIES WITHIN OUR SITES.INDIANA HEALTHCARE PROPERTIES HOLDS AND MANAGES PROPERTY IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTER. |
| PART VI, LINE 7: | N/A |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEPHEN A WOLFE | ||||||||||||||
| PRESIDENT & CEO | $409,230 | $0 | $0 | $0 | $6,907 | $0 | $68,951 | $0 | $27,542 | $0 | $512,630 | $0 | $0 | $0 |
| DOMINIC PACCAPANICCIA | ||||||||||||||
| CHIEF OPERATING OFFICER | $239,426 | $0 | $0 | $0 | $0 | $0 | $19,154 | $0 | $18,184 | $0 | $276,764 | $0 | $0 | $0 |
| BRUCE A BUSH MD | ||||||||||||||
| SR VP MEDICAL DIRECTOR | $291,345 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,880 | $0 | $311,225 | $0 | $0 | $0 |
| ROBERT A GONGAWARE | ||||||||||||||
| SR VP FINANCE | $215,134 | $0 | $0 | $0 | $0 | $0 | $19,362 | $0 | $2,240 | $0 | $236,736 | $0 | $0 | $0 |
| CINDY VIRGIL | ||||||||||||||
| SR VP PATIENT SERVICES | $181,269 | $0 | $0 | $0 | $0 | $0 | $14,501 | $0 | $2,388 | $0 | $198,158 | $0 | $0 | $0 |
| WADE PATRICK | ||||||||||||||
| SR VP INFORMATION SERVICES | $183,868 | $0 | $0 | $0 | $0 | $0 | $11,032 | $0 | $6,237 | $0 | $201,137 | $0 | $0 | $0 |
| LARRY SEDLEMEYER | ||||||||||||||
| SR VP BUS. DEVELOPMENT | $163,338 | $0 | $0 | $0 | $0 | $0 | $11,434 | $0 | $11,123 | $0 | $185,895 | $0 | $0 | $0 |
| GEOFFREY PAZDER | ||||||||||||||
| PHYSICIAN | $256,963 | $0 | $0 | $0 | $0 | $0 | $7,308 | $0 | $0 | $0 | $264,271 | $0 | $0 | $0 |
| ANTHONY L SICO | ||||||||||||||
| PHYSICIAN | $318,713 | $0 | $0 | $0 | $0 | $0 | $11,538 | $0 | $25,921 | $0 | $356,172 | $0 | $0 | $0 |
| JASON RASEFSKE | ||||||||||||||
| PHYSICIAN | $256,616 | $0 | $0 | $0 | $0 | $0 | $20,000 | $0 | $0 | $0 | $276,616 | $0 | $0 | $0 |
| DONNA L BALEWICK | ||||||||||||||
| PHYSICIAN | $280,089 | $0 | $0 | $0 | $0 | $0 | $7,308 | $0 | $0 | $0 | $287,397 | $0 | $0 | $0 |
| JOHN P CAWLEY | ||||||||||||||
| PHYSICIAN | $410,632 | $0 | $0 | $0 | $0 | $0 | $20,000 | $0 | $10,342 | $0 | $440,974 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | INDIANA REGIONAL MEDICAL CENTER PAYS COUNTRY CLUB MEMBERSHIP DUES FOR PRESIDENT & CEO, STEPHEN WOLFE, WHICH IS NOT INCLUDED IN HIS COMPENSATION. THE MEMBERSHIP IS A CORPORATE MEMBERSHIP USED FOR BUSINESS PURPOSES ONLY. |
| PART I, LINE 4B | INDIANA REGIONAL MEDICAL CENTER HAS A SUPPLEMENTAL, NONQUALIFIED RETIREMENT PLAN UNDER IRC SECTION 457(F) FOR PRESIDENT & CEO STEPHEN WOLFE. NO AMOUNTS WERE PAID TO HIM FROM THIS PLAN DURING 2015. STEPHEN WOLFE'S CONTRIBUTION TO THE PLAN FOR 2015 WAS $40,000. THE FOLLOWING ALSO HAD CONTRIBUTIONS TO A SECTION 457(F) PLAN FOR 2015: DONNA BALEWICK - $7,308 JOHN CAWLEY - $20,000 GEOFFREY PAZDER - $7,308 JASON RASEFSKE - $20,000 ANTHONY SICO - $11,538 |
| PART I, LINE 7 | BONUSES MAY BE GRANTED AT THE DISCRETION OF THE BOARD AND ARE BASED ON FACTORS SUCH AS PERFORMANCE AND MEETING GOALS AND OBJECTIVES. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| INDIANA COUNTY HOSPITAL AUTHORITY | |||||||
| A | 251697319 | 2009-02-12 | $10,000,000 | FINANCE CAPITAL PROJECTS | 0 | 0 | 0 |
| INDIANA COUNTY HOSPITAL AUTHORITY - SERIES 2014A | |||||||
| B | 251697319 | 2014-01-01 | $25,455,000 | FINANCE CAPITAL PROJECTS, FUND RESERVES AND PAY ISSUANCE COSTS | 0 | 0 | 0 |
| INDIANA COUNTY HOSPITAL AUTHORITY - SERIES 2014B | |||||||
| C | 251697319 | 2014-01-01 | $10,200,000 | FINANCE CAPITAL PROJECTS, FUND RESERVES AND PAY ISSUANCE COSTS | 0 | 0 | 0 |
| INDIANA COUNTY HOSPITAL AUTHORITY - SERIES 2014C | |||||||
| D | 251697319 | 2014-01-01 | $12,715,000 | REFINANCING AND PAY ISSUANCE COSTS | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $4,178,000 | $10,000,000 | $61,000 | $9,939,000 | 2010 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $1,415,000 | $25,455,000 | $342,791 | $25,112,209 | 2015 | 0 | 0 | Yes (1) | Yes (1) | |
| C | $10,200,000 | $169,750 | $10,030,250 | 2015 | 0 | 0 | 0 | Yes (1) | ||
| D | $1,535,748 | $12,715,000 | $133,512 | 2013 | 0 | 0 | Yes (1) | Yes (1) | $12,581,488 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE FOLLOWING BOARD MEMBERS HAVE A BUSINESS RELATIONSHIP: TODD BRICE AND ANNE WHITE. |
| FORM 990, PART VI, SECTION A, LINE 6 | INDIANA HEALTHCARE CORPORATION ("IHC") IS THE SOLE CORPORATE MEMBER OF INDIANA REGIONAL MEDICAL CENTER ("IRMC"). |
| FORM 990, PART VI, SECTION A, LINE 7A | IHC HAS THE POWER TO FILL VACANCIES, NOMINATE AND APPROVE THE ELECTION OF, AND APPROVE REMOVAL OF THE BOARD OF DIRECTORS OF IRMC. |
| FORM 990, PART VI, SECTION A, LINE 7B | IRMC SHALL OBTAIN THE APPROVAL OF IHC BEFORE ACTION ON ANY OF THE FOLLOWING MATTERS BECOMES FINAL AND EFFECTIVE FOR IRMC: (1) AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS; (2) THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF IRMC; (3) MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION; (4) DISSOLUTION OF IRMC; (5) APPROVAL OF AN ANNUAL OPERATING AND CAPITAL BUDGET FOR IRMC; (6) ANY OTHER MATTER THAT BY LAW WOULD REQUIRE THE APPROVAL OF MEMBERS OF A NONPROFIT CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS REVIEWED IN DETAIL BY THE DIRECTOR OF FINANCE/CONTROLLER AND REVIEWED BY THE CFO. EACH BOARD MEMBER WAS NOTIFIED THAT THE RETURN WAS AVAILABLE FOR REVIEW ON THE "BOARD SHARED DRIVE" BEFORE FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | EVERY MEMBER OF THE BOARD, AND EVERY INDIVIDUAL APPOINTED TO THE BOARD OR BOARD COMMITTEES, AS WELL AS ALL KEY MANAGEMENT PERSONNEL AND PHYSICIAN LEADERS, ARE REQUIRED TO EXECUTE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, WHICH WILL BE UPDATED AT LEAST ON AN ANNUAL BASIS OR AS ADDITIONAL CONFLICTING INTERESTS ARISE. IN ADDITION, EVERY MEMBER OF THE BOARD WILL SPECIFICALLY ACKNOWLEDGE THE CONFLICT OF INTEREST POLICY AND HIS/HER ATTEMPT TO ABIDE BY IT BY SIGNING THE ACKNOWLEDGEMENT FORM. EVERY BOARD COMMITTEE MEMBER, OFFICER, KEY MANAGEMENT EMPLOYEE, AND PHYSICIAN LEADER IS REQUIRED TO SIGN THIS ACKNOWLEDGEMENT AS WELL. THE ACKNOWLEDGEMENT AND DISCLOSURE FORMS WILL BE KEPT ON FILE BY THE CHIEF EXECUTIVE OFFICER, AND THE CHAIRMAN AND VICE-CHAIRMAN WILL BE FAMILIAR WITH THE STATEMENTS THAT ARE FILED BY BOARD MEMBERS IN ORDER TO GUIDE THEIR CONDUCT IN THE EVENT A CONFLICT ARISES. EVERY PERSON COVERED BY THIS POLICY SHALL SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND CONFLICTING INTERESTS. EACH STATEMENT WILL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR OR AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTERESTS ARISE. THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH ALL SUCH DISCLOSURE STATEMENTS IN CASE A CONFLICT ARISES. THE VICE CHAIRMAN OF THE BOARD SHALL BE FAMILIAR WITH THE DISCLOSURE STATEMENT FILED BY THE CHAIRMAN. PENALTIES FOR NON-COMPLIANCE: FAILURE TO COMPLY WITH THIS POLICY SHALL CONSTITUTE GROUNDS FOR REMOVAL FROM OFFICE AND, IN THE CASE OF KEY MANAGEMENT PERSONNEL, TERMINATION OF EMPLOYMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | POSITIONS FOR OFFICERS AND KEY EMPLOYEES ARE REVIEWED ON AN ANNUAL BASIS. APPROPRIATE COMPARISONS ARE MADE ON A REGIONAL AND NATIONAL LEVEL IN ORDER TO MAINTAIN A FAIR AND EQUITABLE COMPENSATION STRUCTURE. ALL RECOMMENDATIONS ARE APPROVED BY THE BOARD OF DIRECTORS AND DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN INDIANA HEALTHCARE FOUNDATION 319,041. PENSION AND POST-RETIREMENT LIABILITIES ADJUSTMENT -20,845,336. TRANSFER FROM AFFILIATE 174,000. TRANSFER TO AFFILIATES -4,858,413. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| INDIANA HEALTHCARE FOUNDATION | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 251574302 | FUNDRAISING IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTER | PA | 501(C)(3) | LINE 11A, I | INDIANA HEALTHCARE CORPORATION | 0 | |
| INDIANA HEALTHCARE CORPORATION | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 251547379 | PARENT CORPORATION | PA | 501(C)(3) | LINE 7 | 0 | N/A | |
| INDIANA JEFFERSON RADIATION ONCOLOGY INC | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 900406301 | RADIATION ONCOLOGY SERVICES | PA | 501(C)(3) | LINE 11A, I | INDIANA REGIONAL MEDICAL CENTER | Yes (1) | |
| INDIANA HEALTHCARE PHYSICIAN SERVICES INC | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 251842046 | PROVIDE HEALTH CARE | PA | 501(C)(3) | LINE 3 | INDIANA HEALTHCARE CORPORATION | 0 | |
| INDIANA HEALTHCARE PROPERTIES | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 251524635 | HOLD & MANAGE PROPERTY IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTER | PA | 501(C)(3) | LINE 11A, I | INDIANA HEALTHCARE CORPORATION | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INDIANA REHABILITATION SERVICES LLC | |||||||||||||
| 855 SPRINGDALE DR STE 200 | EXTON | PA | 19341 | 202214391 | REHABILITATION SERVICES | PA | N/A | UNRELATED | $78,715 | 0 | 0 | 0.51000 | |
| INDIANA AMBULATORY SURGICAL ASSOCIATES LLC | |||||||||||||
| 841 HOSPITAL ROAD | INDIANA | PA | 15701 | 232923182 | AMBULATORY SURGERY | PA | UNRELATED | $16,798 | 0 | 0 | 0.70000 | INDIANA REGIONAL MEDICAL CENTER | |
| COSM REALTY GROUP LTD | |||||||||||||
| 1265 WAYNE AVENUE STE 307 | INDIANA | PA | 15701 | 030439684 | REAL ESTATE | PA | UNRELATED | $61,450 | 0 | 0 | 0.40000 | INDIANA REGIONAL MEDICAL CENTER | |
| PENNSYLVANIA MOUNTAINS HEALTHCARE ALLIANCE LLC | |||||||||||||
| 150 MCCRACKEN RUN ROAD | DUBOIS | PA | 15801 | 251852975 | HEALTHCARE SERVICES | PA | UNRELATED | $13,401 | 0 | Yes (1) | 0.08330 | INDIANA REGIONAL MEDICAL CENTER | |
| INDIANA TOTAL THERAPY LLC | |||||||||||||
| 120 IRMC DRIVE STE 160 | INDIANA | PA | 15701 | 263843582 | THERAPY SERVICES | PA | N/A | UNRELATED | $73,110 | 0 | 0 | 0.50000 | |
| MEDCARE EQUIPMENT COMPANY LLC | |||||||||||||
| 115 EQUITY DRIVE | GREENSBURG | PA | 15601 | 261361520 | EQUIPMENT | PA | N/A | UNRELATED | $192,301 | 0 | 0 | 0.01750 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA HEALTHCARE ENTERPRISES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 HOSPITAL ROAD | AddressLine1Txt |
| City | INDIANA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470973444 | EIN |
| Primary Activities | SALE OF HEALTHCARE RELATED ITEMS, GIFT SHOP | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA JEFFERSON RADIATION ONCOLOGY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionTypeTxt |
| Involved | $1,742,737 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |
Comments