INDIANA REGIONAL MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
INDIANA REGIONAL MEDICAL CENTER (EIN 25-0965404)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-16
IRS object ID
201621379349307477
Schema version
2014v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-16T14:43:47-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11650 MARKET STREET SUITE 4500AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN250965404EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INDIANA REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINDIBusinessNameControlTxt
Phone7243577008PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 HOSPITAL ROADAddressLine1Txt
CityINDIANACityNm
State AbbreviationPAStateAbbreviationCd
ZIP15701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT GONGAWAREPersonNm
Person TitleSENIOR VP FINANCEPersonTitleTxt
Phone7243577008PhoneNum
Signature2016-05-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIUS C GREEN CPA JDPreparerPersonNm
PTINP00350393PTIN
Phone2159720701PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEPHEN WOLFEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 HOSPITAL ROADAddressLine1Txt
CityINDIANACityNm
State AbbreviationPAStateAbbreviationCd
ZIP15701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$180,954,773GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.INDIANARMC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1944FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT, AND DIGNITY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1556TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$2,704,658TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$561,385NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$657,238PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$139,354,508PYProgramServiceRevenueAmt
CY Program Service Revenue$138,365,867CYProgramServiceRevenueAmt
PY Investment Income$7,482,940PYInvestmentIncomeAmt
CY Investment Income$8,299,788CYInvestmentIncomeAmt
PY Other Revenue$3,658,744PYOtherRevenueAmt
CY Other Revenue$8,256,646CYOtherRevenueAmt
PY Total Revenue$151,153,430PYTotalRevenueAmt
CY Total Revenue$154,922,301CYTotalRevenueAmt
PY Grants And Similar Paid$3,976,472PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,563,752CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$76,246,357PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$77,199,098CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$68,794,657PYOtherExpensesAmt
CY Other Expenses$66,125,668CYOtherExpensesAmt
PY Total Expenses$149,017,486PYTotalExpensesAmt
CY Total Expenses$148,888,518CYTotalExpensesAmt
PY Revenues Less Expenses$2,135,944PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,033,783CYRevenuesLessExpensesAmt
Total Assets BOY$246,491,050TotalAssetsBOYAmt
Total Assets EOY$244,186,137TotalAssetsEOYAmt
Total Liabilities BOY$102,960,106TotalLiabilitiesBOYAmt
Total Liabilities EOY$105,952,724TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$143,530,944NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$138,233,413NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$122,857,003ExpenseAmt
Grant$5,563,752GrantAmt
Revenue$138,365,867RevenueAmt
DescHEALTH 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 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$122,857,003TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document229IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1556EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBERT GONGAWARE SVP FINANCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7243577008PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 HOSPITAL ROADAddressLine1Txt
CityINDIANACityNm
State AbbreviationPAStateAbbreviationCd
ZIP15701ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BEVERLY GAZZA ESQ
CHAIRMAN1.002.00Yes (X)Yes (X)$0$0$0
ANNE WHITE
VICE CHAIRMAN1.001.00Yes (X)Yes (X)$0$0$0
NATHAN KOVALCHICK
SECRETARY1.001.00Yes (X)Yes (X)$0$0$0
JOSEPH GEARY
TREASURER1.001.00Yes (X)Yes (X)$0$0$0
TODD BRICE
BOARD MEMBER1.002.00Yes (X)$0$0$0
MARK BOYKIW MD
BOARD MEMBER1.001.00Yes (X)$1,500$0$0
RUSSELL DROZDIAK MD
BOARD MEMBER1.001.00Yes (X)$1,500$0$0
MARK R MCGOWAN PHD
BOARD MEMBER1.001.00Yes (X)$0$0$0
T MICHAEL PRICE
BOARD MEMBER1.00Yes (X)$0$0$0
GREG SIPOS
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID BIZOUSKY MD
BOARD MEMBER1.00Yes (X)$15,000$0$0
STEPHEN A WOLFE
PRESIDENT & CEO34.006.00Yes (X)Yes (X)$400,117$0$94,279
DOMINIC PACCAPANICCIA
CHIEF OPERATING OFFICER38.002.00Yes (X)$229,495$0$40,689
BRUCE A BUSH MD
SR VP MEDICAL DIRECTOR36.004.00$283,064$0$23,429Yes (X)
ROBERT A GONGAWARE
SR VP FINANCE37.003.00$210,161$0$15,469Yes (X)
CINDY VIRGIL
SR VP PATIENT SERVICES39.001.00$178,954$0$20,866Yes (X)
WADE PATRICK
SR VP INFORMATION SERVICES39.001.00$175,303$0$16,775Yes (X)
LARRY SEDLEMEYER
SR VP BUS. DEVELOPMENT40.00$158,039$0$20,447Yes (X)
GEOFFREY PAZDER
PHYSICIAN40.00$438,075$0$3,451Yes (X)
ANTHONY L SICO
PHYSICIAN40.00$412,372$0$22,556Yes (X)
MICHAEL F STALTERI
PHYSICIAN40.00$400,160$0$21,497Yes (X)
DONNA L BALEWICK
PHYSICIAN40.00$397,687$0$8,822Yes (X)
JOHN P CAWLEY
PHYSICIAN40.00$379,779$0$8,701Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,681,206TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$296,981TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K56IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
A MARTINI & COMPANY INC
320 GRANT STREETVERONAPA15147CONSTRUCTION SERVICES FOR NEW BUILDING$16,209,990
HOLSINGER CLARK & ARMSTRONG
832 PHILADELPHIA STREETINDIANAPA15701LEGAL SERVICES$1,142,973
CURA HOSPITALITY INC
PO BOX 743676ATLANTAGA30374OUTSIDE FOOD AND NUTRITION SERVICES$840,773
MAYO COLLABORATIVE SERVICS INC
PO BOX 9146MINNEAPOLISMN55480OUTSIDE LAB SERVICES$817,800
REHABCARE GROUP INC
PO BOX 502096ST LOUISMO63150REHAB CARE SERVICES$354,955
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K24CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SVC REV621990$137,679,303$137,679,303
RENTAL REVENUE-AFFILIATES531120$276,378$276,378
LIFELINE REVENUE900099$184,383$184,383
HEALTH CLASSES/COUNSEL624100$161,581$161,581
HOSPICE PRESCRIPTIONS621990$64,222$64,222
FieldValueIRS element (for citing)
Total Program Service Revenue$138,365,867TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,540,713TotalRevenueColumnAmt
Exclusion$3,540,713ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,756,282RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,095,247RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$661,035RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$661,035TotalRevenueColumnAmt
Exclusion$661,035ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$29,696,300SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$24,911,145SecuritiesAmt
Other$26,080OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,785,155SecuritiesAmt
Other-$26,080OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,759,075TotalRevenueColumnAmt
Exclusion$4,759,075ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
LAB SERVICES621500$2,037,621$2,037,621
MEANINGFUL USE REVENUE900099$1,500,000$1,500,000
LEASED EMPLOYEES900099$1,459,612$1,459,612

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,598,378TotalRevenueColumnAmt
Unrelated Business Revenue$667,037UnrelatedBusinessRevenueAmt
Exclusion$1,931,341ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,595,611OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$154,922,301TotalRevenueColumnAmt
Related Or Exempt Func Income$138,365,867RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,704,658UnrelatedBusinessRevenueAmt
Exclusion$13,851,776ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,563,752TotalAmt
Program Services$5,563,752ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,919,944TotalAmt
Program Services$991,676ProgramServicesAmt
Management And General$928,268ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$54,465,721TotalAmt
Program Services$43,990,269ProgramServicesAmt
Management And General$10,475,452ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,867,102TotalAmt
Program Services$2,364,156ProgramServicesAmt
Management And General$502,946ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,675,845TotalAmt
Program Services$10,953,031ProgramServicesAmt
Management And General$2,722,814ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,270,486TotalAmt
Program Services$3,413,994ProgramServicesAmt
Management And General$856,492ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$341,797TotalAmt
Management And General$341,797ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$90,000TotalAmt
Management And General$90,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$9,819TotalAmt
Program Services$9,819ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$250,000TotalAmt
Management And General$250,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,127,639TotalAmt
Program Services$12,977,975ProgramServicesAmt
Management And General$3,149,664ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$714,971TotalAmt
Program Services$27,800ProgramServicesAmt
Management And General$687,171ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,597,239TotalAmt
Program Services$3,527,482ProgramServicesAmt
Management And General$69,757ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,679,114TotalAmt
Program Services$965,422ProgramServicesAmt
Management And General$1,713,692ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,933,847TotalAmt
Program Services$1,420,651ProgramServicesAmt
Management And General$513,196ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$282,814TotalAmt
Program Services$156,666ProgramServicesAmt
Management And General$126,148ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$63,419TotalAmt
Program Services$63,419ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$666,743TotalAmt
Management And General$666,743ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,587,889TotalAmt
Program Services$6,595,321ProgramServicesAmt
Management And General$992,568ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,761,368TotalAmt
Program Services$1,408,107ProgramServicesAmt
Management And General$353,261ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$17,591,516$17,250,386$341,130
BAD DEBT EXPENSE$6,954,982$6,954,982
MAINTENANCE & REPAIRS$2,672,341$2,136,373$535,968
RECRUITMENT/RETENTION C$1,193,945$954,486$239,459

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,606,225TotalAmt
Program Services$1,131,236ProgramServicesAmt
Management And General$474,989ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$148,888,518TotalAmt
Program Services$122,857,003ProgramServicesAmt
Management And General$26,031,515ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,405BOYAmt
EOY$7,505EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,123,545BOYAmt
EOY$2,141,520EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,761,625BOYAmt
EOY$13,073,760EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,995,408BOYAmt
EOY$2,842,515EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,946,696BOYAmt
EOY$2,143,160EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,400,672BOYAmt
EOY$2,834,301EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$171,230,524LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$90,640,976LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$62,774,523BOYAmt
EOY$80,589,548EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$133,479,989BOYAmt
EOY$117,253,555EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$15,816,730BOYAmt
EOY$15,689,194EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$952,508BOYAmt
EOY$870,126EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,232,949BOYAmt
EOY$6,740,953EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$246,491,050BOYAmt
EOY$244,186,137EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,640,890BOYAmt
EOY$15,633,036EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,788,959BOYAmt
EOY$52,934,184EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,230,195BOYAmt
EOY$2,635,747EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,300,062BOYAmt
EOY$34,749,757EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$102,960,106BOYAmt
EOY$105,952,724EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$137,475,232BOYAmt
EOY$131,148,356EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,055,712BOYAmt
EOY$7,085,057EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$143,530,944BOYAmt
EOY$138,233,413EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$246,491,050BOYAmt
EOY$244,186,137EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,033,783ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$5,836,683NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$5,494,631OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$9,819OtherActivitiesAmt
Total Lobbying Expenditures$9,819TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Beginning Year Balance$6,057,000BeginningYearBalanceAmt
Contributions$1,351,000ContributionsAmt
Other Expenditures$323,000OtherExpendituresAmt
End Year Balance$7,085,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,973,000BeginningYearBalanceAmt
Contributions$3,099,000ContributionsAmt
Other Expenditures$15,000OtherExpendituresAmt
End Year Balance$6,057,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,188,000BeginningYearBalanceAmt
Contributions$337,000ContributionsAmt
Other Expenditures$552,000OtherExpendituresAmt
End Year Balance$2,973,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,070,000BeginningYearBalanceAmt
Contributions$363,000ContributionsAmt
Other Expenditures$245,000OtherExpendituresAmt
End Year Balance$3,188,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,253,000BeginningYearBalanceAmt
Contributions$872,000ContributionsAmt
Other Expenditures$1,055,000OtherExpendituresAmt
End Year Balance$3,070,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$119,002InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,004,591OtherCostOrOtherBasisAmt
Book Value$3,123,593BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,076,995OtherCostOrOtherBasisAmt
Depreciation$31,585,583DepreciationAmt
Book Value$47,491,412BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$88,606,542OtherCostOrOtherBasisAmt
Depreciation$59,055,393DepreciationAmt
Book Value$29,551,149BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$423,394OtherCostOrOtherBasisAmt
Book Value$423,394BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$80,589,548TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$15,689,194BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$15,689,194TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
POST-RETIREMENT LIABILITY$523,792
PENSION LIABILITY$26,170,734
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$1,431,788
DUE TO AFFILIATES$2,636,521
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY$3,126,247
DEFERRED COMPENSATION LIABILITY$860,675
FieldValueIRS element (for citing)
Total Liability$34,749,757TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$131,917,500TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$5,836,683NetUnrealizedGainsInvstAmt
Other Revenue-$18,263,365OtherRevenueAmt
Revenue Not Reported-$24,100,048RevenueNotReportedAmt
Revenue Subtotal$156,017,548RevenueSubtotalAmt
Other Revenues Not Included-$1,095,247OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$1,095,247RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$154,922,301TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$137,215,030TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,095,247OtherExpensesIncludedAmt
Expenses Not Reported$1,095,247ExpensesNotReportedAmt
Expenses Subtotal$136,119,783ExpensesSubtotalAmt
Other Expenses Not Included$12,768,734OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$12,768,734ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$148,888,517TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2015 AND 2014. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THE HOSPITAL'S FEDERAL AND STATE INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION BY FEDERAL OR STATE TAXING AUTHORITIES FOR FISCAL YEARS BEFORE 2011.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PENSION AND POST RETIREMENT LIABILITIES ADJUSTMENT -6,845,415. BAD DEBTS NETTED ON FINANCIAL STATEMENTS -6,954,982. CHANGE IN INTEREST IN INDIANA HEALTHCARE FOUNDATION 631,784. INVESTMENT MANAGEMENT FEES -250,000. TRANSFERS TO AFFILIATES -5,563,752. TRANSFER FROM AFFILIATE 719,000.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES -1,095,247.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 1,095,247.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBTS NETTED ON FINANCIAL STATEMENTS 6,954,982. TRANSFERS TO AFFILIATES 5,563,752. INVESTMENT MANAGEMENT FEES 250,000.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served3277PersonsServedCnt
Total Community Benefit Expns$1,923,600TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,923,600NetCommunityBenefitExpnsAmt
Total Expense0.01360TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served31726PersonsServedCnt
Total Community Benefit Expns$16,008,907TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,065,292DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,943,615NetCommunityBenefitExpnsAmt
Total Expense0.05600TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Persons Served47180PersonsServedCnt
Total Community Benefit Expns$519,193TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$519,193NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served82183PersonsServedCnt
Total Community Benefit Expns$18,451,700TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,065,292DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,386,408NetCommunityBenefitExpnsAmt
Total Expense0.07330TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served7945PersonsServedCnt
Total Community Benefit Expns$2,396,038TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$272,151DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,123,887NetCommunityBenefitExpnsAmt
Total Expense0.01500TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served44666PersonsServedCnt
Total Community Benefit Expns$12,987,393TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,902,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,084,743NetCommunityBenefitExpnsAmt
Total Expense0.04990TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served52611PersonsServedCnt
Total Community Benefit Expns$15,383,431TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,174,801DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,208,630NetCommunityBenefitExpnsAmt
Total Expense0.06490TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served134794PersonsServedCnt
Total Community Benefit Expns$33,835,131TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,240,093DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,595,038NetCommunityBenefitExpnsAmt
Total Expense0.13820TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,364,700BadDebtExpenseAmt
Bad Debt Expense Attributable$677,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$25,006,231ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$25,251,248CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$245,017MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 COSM REALTY GROUP LTD
REAL ESTATE0.400000.000000.30000
2 INDIANA AMBULATORY SURGICAL ASSOCIATES LLC
AMBULATORY SURGERY0.700000.000000.30000
3 INDIANA TOTAL THERAPY LLC
THERAPY SERVICES0.500000.000000.50000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INDIANA REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 HOSPITAL ROADAddressLine1Txt
CityINDIANACityNm
State AbbreviationPAStateAbbreviationCd
ZIP15701ZIPCd
FieldValueIRS element (for citing)
State License090701StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherURGENT CARE FACILITY; OFFSITE TESTING CENTERSOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1INDIANA REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.INDIANARMC.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.INDIANARMC.ORG/MEDIA/1210/COMMUNITY_ASSESSMENT_FINAL_PUBLISH.PDFStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTP://WWW.INDIANARMC.ORG/FINANCIAL-SERVICES/I-CARE-FUND/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTP://WWW.INDIANARMC.ORG/FINANCIAL-SERVICES/I-CARE-FUND/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTP://WWW.INDIANARMC.ORG/FINANCIAL-SERVICES/I-CARE-FUND/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
INDIANA REGIONAL MEDICAL CENTERPART 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 CENTERPART V, SECTION B, LINE 6A: CLARION HOSPITAL AND PUNXSUTAWNEY AREA HOSPITAL
INDIANA REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 7D: MADE AVAILABLE THROUGH A COMMUNITY MAILING
INDIANA REGIONAL MEDICAL CENTERPART 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. PRIORITY VARIES SIGNIFICANTLY FROM STATE, NATIONAL AND HEALTHY PEOPLE 2020 GOALS2. RESOURCES ARE AVAILABLE WITHIN THE MEDICAL CENTER OR COMMUNITY TO ADDRESS THE PRIORITY3. ACTIONS OR INTERVENTIONS WOULD LIKELY SUCCEED IN IMPROVEMENT4. ACTIONS OR INTERVENTIONS WOULD BE ALIGNED WITH THE MISSION OF THE MEDICAL CENTERTEAMS 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 CENTERPART V, SECTION B, LINE 16I: A MESSAGE IS PROVIDED ON INVOICES THAT THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE.
INDIANA REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 22D: THE MEDICAL CENTER WILL APPLY GROSS CHARGES ALSO KNOWN AS THE TOTAL CHARGES AT THE ORGANIZATION'S FULL ESTABLISHED RATES FOR THE PROVISION OF THE PATIENT CARE SERVICES BEFORE DEDUCTIONS FROM REVENUE ARE APPLIED.
PART V, SECTION B, LINE 16FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
INDIANA REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE:HTTP://WWW.INDIANARMC.ORG/FINANCIAL-SERVICES/I-CARE-FUND/
INDIANA REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE:HTTP://WWW.INDIANARMC.ORG/FINANCIAL-SERVICES/I-CARE-FUND/
INDIANA REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE:HTTP://WWW.INDIANARMC.ORG/FINANCIAL-SERVICES/I-CARE-FUND/

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $ 6,954,982.
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 IRMC STEERING COMMITTEE MET THREE TIMES BETWEEN APRIL 2015 AND JUNE 2015 TO PROVIDE GUIDANCE ON THE VARIOUS COMPONENTS OF THE CHNA. 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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1INDIANA HEALTHCARE PHYSICIANS SERVICESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 HOSPITAL ROADAddressLine1Txt
CityINDIANACityNm
State AbbreviationPAStateAbbreviationCd
ZIP15701ZIPCd
FieldValueIRS element (for citing)
Recipient EIN251842046RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$5,563,752CashGrantAmt
Valuation Method UsedCASHValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantRELATED PARTY ASSISTANCEPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationASSISTANCE IS PROVIDED TO RELATED ENTITIES FOR FINANCIAL SUPPORT. MANAGEMENT OF THE MEDICAL CENTER OVERSEES THE USE OF FUNDS AT THE AFFILIATED ENTITIES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEPHEN A WOLFE
PRESIDENT & CEO$394,019$0$0$0$6,098$0$66,646$0$27,633$0$494,396$0$0$0
DOMINIC PACCAPANICCIA
CHIEF OPERATING OFFICER$229,495$0$0$0$0$0$18,609$0$22,080$0$270,184$0$0$0
BRUCE A BUSH MD
SR VP MEDICAL DIRECTOR$283,064$0$0$0$0$0$0$0$23,429$0$306,493$0$0$0
ROBERT A GONGAWARE
SR VP FINANCE$210,161$0$0$0$0$0$13,689$0$1,780$0$225,630$0$0$0
CINDY VIRGIL
SR VP PATIENT SERVICES$178,954$0$0$0$0$0$14,089$0$6,777$0$199,820$0$0$0
WADE PATRICK
SR VP INFORMATION SERVICES$175,303$0$0$0$0$0$10,718$0$6,057$0$192,078$0$0$0
LARRY SEDLEMEYER
SR VP BUS. DEVELOPMENT$158,039$0$0$0$0$0$11,109$0$9,338$0$178,486$0$0$0
GEOFFREY PAZDER
PHYSICIAN$427,590$0$10,485$0$0$0$0$0$3,451$0$441,526$0$0$0
ANTHONY L SICO
PHYSICIAN$411,642$0$730$0$0$0$0$0$22,556$0$434,928$0$0$0
MICHAEL F STALTERI
PHYSICIAN$393,921$0$6,239$0$0$0$0$0$21,497$0$421,657$0$0$0
DONNA L BALEWICK
PHYSICIAN$386,371$0$11,316$0$0$0$0$0$8,822$0$406,509$0$0$0
JOHN P CAWLEY
PHYSICIAN$379,779$0$0$0$0$0$0$0$8,701$0$388,480$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AINDIANA 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 4BINDIANA 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 2014. STEPHEN WOLFE'S CONTRIBUTION TO THE PLAN FOR 2014 WAS $39,000.
PART I, LINE 7BONUSES 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
INDIANA COUNTY HOSPITAL AUTHORITY
A2516973192009-02-12$10,000,000FINANCE CAPITAL PROJECTS000
INDIANA COUNTY HOSPITAL AUTHORITY - SERIES 2014A
B2516973192014-01-01$25,455,000FINANCE CAPITAL PROJECTS, FUND RESERVES AND PAY ISSUANCE COSTS000
INDIANA COUNTY HOSPITAL AUTHORITY - SERIES 2014B
C2516973192014-01-01$10,200,000FINANCE CAPITAL PROJECTS, FUND RESERVES AND PAY ISSUANCE COSTS000
INDIANA COUNTY HOSPITAL AUTHORITY - SERIES 2014C
D2516973192014-01-01$12,715,000REFINANCING AND PAY ISSUANCE COSTS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndUnspentUnspentAmtOther Spent ProceedsOtherSpentProceedsAmt
A$3,479,000$10,000,000$61,000$9,939,000201000Yes (1)Yes (1)
B$860,000$25,455,000$342,791$25,112,209201500Yes (1)Yes (1)
C$10,200,000$169,750$132,508000Yes (1)$9,897,742
D$900,000$12,715,000$133,512201300Yes (1)Yes (1)$12,581,488

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)00000Yes (1)
B0Yes (1)000000Yes (1)
C0Yes (1)00Yes (1)000Yes (1)
D00Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2THE FOLLOWING BOARD MEMBERS HAVE A BUSINESS RELATIONSHIP: TODD BRICE AND ANNE WHITE.
FORM 990, PART VI, SECTION A, LINE 6INDIANA HEALTHCARE CORPORATION ("IHC") IS THE SOLE CORPORATE MEMBER OF INDIANA REGIONAL MEDICAL CENTER ("IRMC").
FORM 990, PART VI, SECTION A, LINE 7AIHC 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 7BIRMC 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 11THE RETURN WAS REVIEWED IN DETAIL BY THE DIRECTOR OF FINANCE/CONTROLLER AND REVIEWED BY THE CFO. THE RETURN WAS ALSO PROVIDED TO ALL BOARD MEMBERS FOR REVIEW AT A BOARD MEETING BEFORE FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CEVERY 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 15POSITIONS 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 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPHYSICIANS FEES: PROGRAM SERVICE EXPENSES 5,415,953. MANAGEMENT AND GENERAL EXPENSES 1,314,414. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,730,367. CONSULTATION FEES: PROGRAM SERVICE EXPENSES 476,890. MANAGEMENT AND GENERAL EXPENSES 115,738. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 592,628. COLLECTIONS: PROGRAM SERVICE EXPENSES 168,086. MANAGEMENT AND GENERAL EXPENSES 40,793. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 208,879. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,917,046. MANAGEMENT AND GENERAL EXPENSES 1,678,719. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,595,765.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN INDIANA HEALTHCARE FOUNDATION 631,784. PENSION AND POST-RETIREMENT LIABILITIES ADJUSTMENT -6,845,415. TRANSFER FROM AFFILIATE 719,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
INDIANA HEALTHCARE FOUNDATION
835 HOSPITAL ROADINDIANAPA15701251574302FUNDRAISING IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTERPA501(C)(3)LINE 11A, IINDIANA HEALTHCARE CORPORATION0
INDIANA HEALTHCARE CORPORATION
835 HOSPITAL ROADINDIANAPA15701251547379PARENT CORPORATIONPA501(C)(3)LINE 70N/A
INDIANA JEFFERSON RADIATION ONCOLOGY INC
835 HOSPITAL ROADINDIANAPA15701900406301RADIATION ONCOLOGY SERVICESPA501(C)(3)LINE 11A, IINDIANA REGIONAL MEDICAL CENTERYes (1)
INDIANA HEALTHCARE PHYSICIAN SERVICES INC
835 HOSPITAL ROADINDIANAPA15701251842046PROVIDE HEALTH CAREPA501(C)(3)LINE 3INDIANA HEALTHCARE CORPORATION0
INDIANA HEALTHCARE PROPERTIES
835 HOSPITAL ROADINDIANAPA15701251524635HOLD & MANAGE PROPERTY IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTERPA501(C)(3)LINE 11A, IINDIANA HEALTHCARE CORPORATION0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
INDIANA REHABILITATION SERVICES LLC
855 SPRINGDALE DR STE 200EXTONPA19341202214391REHABILITATION SERVICESPAN/AUNRELATED$103,775000.51000
INDIANA AMBULATORY SURGICAL ASSOCIATES LLC
841 HOSPITAL ROADINDIANAPA15701232923182AMBULATORY SURGERYPAUNRELATED$238,836000.70000INDIANA REGIONAL MEDICAL CENTER
COSM REALTY GROUP LTD
1265 WAYNE AVENUE STE 307INDIANAPA15701030439684REAL ESTATEPAUNRELATED$33,754000.40000INDIANA REGIONAL MEDICAL CENTER
PENNSYLVANIA MOUNTAINS HEALTHCARE ALLIANCE LLC
150 MCCRACKEN RUN ROADDUBOISPA15801251852975HEALTHCARE SERVICESPAUNRELATED$21,0250Yes (1)0.08330INDIANA REGIONAL MEDICAL CENTER
INDIANA TOTAL THERAPY LLC
120 IRMC DRIVE STE 160INDIANAPA15701263843582THERAPY SERVICESPAN/AUNRELATED$276,745000.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1INDIANA HEALTHCARE ENTERPRISESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 HOSPITAL ROADAddressLine1Txt
CityINDIANACityNm
State AbbreviationPAStateAbbreviationCd
ZIP15701ZIPCd
FieldValueIRS element (for citing)
EIN470973444EIN
Primary ActivitiesSALE OF HEALTHCARE RELATED ITEMS, GIFT SHOPPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
INDIANA JEFFERSON RADIATION ONCOLOGY INC
J$93,721COST
INDIANA JEFFERSON RADIATION ONCOLOGY INC
P$1,948,708COST
INDIANA JEFFERSON RADIATION ONCOLOGY INC
Q$971,771COST

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