2013-08-15T16:00:04-05:00 2012-09-30 CROWE HORWATH LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 33301 990 2011-10-01 592496294 INDIAN RIVER MEMORIAL HOSPITAL INC INDI 7725674311 1000 36th Street Vero Beach FL 32960 DAN JANICAK 2013-08-14 true Cindy Kushner P00739493 9542028600 2011 2016-02-25 16:41:14Z INDIAN RIVER MEDICAL CENTER JEFFREY L SUSI 1000 36th Street Vero Beach FL 32960 213734862 false X WWW.IRMC.CC X 1984 FL INDIAN RIVER MEDICAL CENTER SERVES AS THE AREA'S LEADING PROVIDER OF COMPREHENSIVE HIGH QUALITY HEALTH AND MEDICAL SERVICES, AND IMPROVES THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES IT SERVES. 17 16 2003 555 249351 220295 1468020 7702672 198528854 203299587 648354 544598 1169609 2085281 201814837 213632138 0 0 0 0 96485503 105333431 0 0 0 101567425 100519868 198052928 205853299 3761909 7778839 148448306 157565665 52716525 55395759 95731781 102169906 INDIAN RIVER MEDICAL CENTER SERVES AS THE AREA'S LEADING PROVIDER OF COMPREHENSIVE HIGH QUALITY HEALTH AND MEDICAL SERVICES, AND IMPROVES THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE. false false 148801773 0 203918754 INDIAN RIVER MEDICAL CENTER IS A 335-BED HOSPITAL IN VERO BEACH, FLORIDA. MORE THAN 50,000 PEOPLE ARE SEEN EACH YEAR IN ITS STATE-OF-THE-ART EMERGENCY DEPARTMENT. THE HEART CENTER, AFFILIATED WITH DUKE MEDICINE, OPENED IN 2006. ITS OUTSTANDING SURGICAL OUTCOMES HAVE EARNED IT TOP RECOGNITION FROM THE SOCIETY OF THORACIC SURGEONS, WHO NAMED IT ONE OF THE BEST CARDIAC SURGERY PROGRAMS IN AMERICA. IN FISCAL YEAR 2012, THE HOSPITAL HAD 14,696 ADMISSIONS. SERVICES WERE PROVIDED FOR 62,997 PATIENT DAYS. THE HOSPITAL HAD 555 VOLUNTEERS WHO WORKED 84,437 HOURS DURING THE YEAR. 148801773 true true false true false false false false true true true false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 217 0 true 2003 true true true true CJ false false false false false false false false X 17 16 false false false false true true true true true false false true true true true true true true true true true X Marcy Isola 7725674311 1000 36th Street Vero Beach FL 32960 X ALAN POLACKWICH 5.00 X X 0 0 0 JEFFREY L SUSI 40.00 X X 869866 0 46970 JOHN PASTOR 5.00 X X 0 0 0 RICHARD WEIL MD 5.00 X X 0 0 0 ROBERT HARRIS 5.00 X X 0 0 0 THOMAS SEGURA 5.00 X X 0 0 0 ANTHONY DONADIO 5.00 X 0 0 0 CHARLES CELANO MD 5.00 X 0 0 0 DEBORAH BROWER 5.00 X 0 0 0 HAL BROWN MD 5.00 X 0 0 0 JACK ROGERS 5.00 X 0 0 0 JOHN LINDENTHAL MD 5.00 X 0 0 0 KATHY HENDRIX 5.00 X 0 0 0 KEITH MORGAN 5.00 X 0 0 0 MARION KENNEDY RN 5.00 X 0 0 0 PAUL NEZI 5.00 X 0 0 0 W CLARK BECKETT MD 5.00 X 0 0 0 WAYNE HOCKMEYER PHD 5.00 X 0 0 0 WILLIAM KELLEY MD 5.00 X 0 0 0 CHARLES MACKETT 40.00 X 286459 0 45063 CYNTHIA VANEK 40.00 X 292087 0 36039 DAN JANICAK 40.00 X 254733 0 17722 JANICE DONLAN 10.00 X 0 207514 57981 JOHN PEEPLES 40.00 X 172661 0 23884 LYNN HUBBARD 40.00 X 182833 0 18450 VALERIE LARCOMBE 40.00 X 262497 0 60600 WARREN FULLER 40.00 X 180248 0 69327 CARY STOWE 40.00 X 902068 0 43687 CHRISTOPHER TARDIFF 40.00 X 584951 0 20797 MARK MALIAS 40.00 X 596571 0 42378 RICHARD FRANCO 40.00 X 606863 0 25691 TUDOR SCRIDON 40.00 X 434191 0 38245 5626028 207514 546834 86 false true false EMERGENCY PHYSICIANS OF CENTRAL FLORIDA 1720 S COOK AVENUE ORLANDO FL 32806 EMERGENCY PHYSICIAN SERVICES 890154 QUEST DIAGNOSTICS INC 12436 COLLECTIONS CENTER DRIVE CHICAGO IL 606932436 LABORATORY SERVICES 862506 ANESTHESIA OF INDIAN RIVER PA 1555 INDIAN RIVER BLVD B120 VERO BEACH FL 32960 ANESTHESIA SERVICES 637467 DUKE UNIVERSITY MEDICAL CENTER 103 SEELY G MUDD BLDG DURHAM NC 27710 OPEN HEART CONSULTING 513829 NATIONAL WOUND CARE DBA HEALOGICS WOUND CARE 3087 MOMENTUM PLACE CHICAGO IL 606895330 WOUND TREATMENT SERVICES 482625 21 7702672 7702672 NET PATIENT REVENUE 900099 203299587 203299587 0 0 0 0 203299587 411663 208404 203259 0 0 659961 100304 559657 0 559657 559657 135355 2420 0 132935 132935 132935 0 0 0 CAFETERIA 722100 865510 865510 LIFELINE MEDICAL MONITORING 900099 257345 257345 LABORATORY 621500 191995 191995 210774 169827 40947 0 1525624 213632138 203918754 249351 1761361 0 0 0 0 5602899 2998185 2604714 0 80217125 64972617 15244508 5557437 4390375 1167062 8371832 4395597 3976235 5584138 4411469 1172669 0 509404 509404 207411 207411 0 0 0 18485198 9387270 9097928 0 279489 181824 97665 0 0 2382074 1717642 664432 0 0 0 0 0 9723218 4926869 4796349 7382362 279722 7102640 BAD DEBT 13715592 13715592 0 MEDICAL SUPPLIES 36404246 35603554 800692 OTHER 11430874 1821057 9609817 0 0 0 0 205853299 148801773 57051526 0 0 26463921 14384573 19718163 23891907 0 0 4100041 3665178 1443752 2391852 255415589 180301773 63633590 75113816 30752239 35679483 0 0 2336600 2438856 148448306 157565665 11185131 14321488 41531394 41074271 52716525 55395759 X 92388531 98290814 3132753 3668595 210497 210497 95731781 102169906 148448306 157565665 X 7778839 -1344684 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 15030 15030 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 THE ORGANIZATION PAYS DUES TO FLORIDA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THOSE DUES ARE USED FOR LOBBYING. 504497 62715 16423 16423 567212 504497 0 16148 16148 0 504497 504497 0 16207 16207 0 504497 504497 0 13750 13750 0 504497 0.00000 1.00000 0.00000 false true true 0 1631582 1631582 0 79577825 46534626 33043199 0 3421055 3293118 127937 0 153515116 130474029 23041087 0 17270011 17270011 75113816 0 0 ASSETS WHOSE USE IS LIMITED 26782668 F INVESTMENT IN AFFILIATES AND OTHER 8896815 F 35679483 0 EST THIRD PARTY PAYOR SETTLEMENT 5117699 SELF INSURANCE LIABILITY 11547394 INDIGENCY FUND PAYABLE 556229 PENSION LIABILITY 23852377 DUE TO AFFILIATES 572 41074271 Intended uses of endowment funds Schedule D, Part V, Line 4 A PORTION OF THE ENDOWMENT ASSETS ARE HELD BY INDIAN RIVER HOSPITAL FOUNDATION, INC. (A RELATED ORGANIZATION). THE ENDOWMENT ASSETS ARE HELD TO SUPPORT THE PROGRAMS OF THE HOSPITAL INCLUDING MAINTENANCE OF THE CRITICAL CARE UNIT AS WELL AS T PROVIDE CLINICAL EXCELLENCE AWARDS. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 IRMH IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS A TAX-EXEMPT ORGANIZATION BY THE INTERNAL REVENUE SERVICE PURSUANT TO SECTION 501(C)(3) OF THE CODE. INCOME EARNED IN FURTHERANCE OF IRMH'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE CODE PROVIDES FOR TAXATION OF UNRELATED BUSINESS INCOME UNDER CERTAIN CIRCUMSTANCES. IRMH HAS NO MATERIAL UNRELATED BUSINESS INCOME; HOWEVER SUCH STATUS IS SUBJECT TO FINAL DETERMINATION UPON EXAMINATION OF THE RELATED INCOME TAX RETURNS BY THE APPROPRIATE TAXING AUTHORITY. U.S. GAAP PRESCRIBES RECOGNITION THRESHOLDS AND MEASUREMENT ATTRIBUTES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. TAX BENEFITS WILL BE RECOGNIZED ONLY IF THE TAX POSITION IS MORE-LIKELY-THAN-NOT TO BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED WILL BE THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. MANAGEMENT HAS CONCLUDED THAT THEY ARE UNAWARE OF ANY TAX BENEFITS OR LIABILITIES TO BE RECOGNIZED AT SEPTEMBER 30, 2012 AND 2011. THE HOSPITAL DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. DUE TO ITS TAX-EXEMPT STATUS, THE HOSPITAL IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE HOSPITAL'S 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF FLORIDA FOR THE LAST THREE YEARS.THE HOSPITAL RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE HOSPITAL DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT SEPTEMBER 30, 2012 AND 2011. TAX RETURNS FILED BY THE HOSPITAL ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS ENDED SEPTEMBER 30, 2008 AND PRIOR. true true X true X false true true true false true true 7285529 0 7285529 0.03790 0 0 0 0.00000 0 0 0 0.00000 0 0 7285529 0 7285529 0.03790 0 0 0 0.00000 683728 411598 272130 0.00140 10187296 7309281 2878015 0.01500 0 0 0 0.00000 0 0 0 0.00000 0 0 10871024 7720879 3150145 0.01640 0 0 18156553 7720879 10435674 0.05430 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 0 0 0 0.00000 true 13715592 3428898 78382443 78681181 -298738 X true true 1 1 INDIAN RIVER MEMORIAL HOSPITAL

1000 36TH STREET VERO BEACH FL 32960

X X INDIAN RIVER MEMORIAL HOSPITAL 1 true true 150 false true X X X X true true X true false true X false false 16 VERO INTERNAL MEDICINE

1155 35TH LANE VERO BEACH FL 32960

PHYSICIAN OFFICE POINTE WEST FAMILY MEDICINE

1960 POINTE WEST DRIVE VERO BEACH FL 32966

PHYSICIAN OFFICE PRIMARY CARE SOUTH

4165 9TH STREET VERO BEACH FL 32968

PHYSICIAN OFFICE FAMILY MEDICINE NORTH

801 WELLNESS WAY SEBASTIAN FL 32958

PHYSICIAN OFFICE BAREFOOT BAY INTERNAL MEDICINE

937 BAREFOOT BLVD BAREFOOT BAY FL 32976

PHYSICIAN OFFICE SEBASTIAN WALK IN CLINIC

801 WELLNESS WAY SEBASTIAN FL 32958

WALK IN CLINIC POINTE WEST WALK IN CLINIC

1960 POINTE WEST DRIVE VERO BEACH FL 32966

WALK IN CLINIC INDIAN RIVER CARDIOLOGY

787 37TH STREET VERO BEACH FL 32960

PHYSICIAN OFFICE INDIAN RIVER CARDIOLOGY NORTH

801 WELLNESS WAY SEBASTIAN FL 32958

PHYSICIAN OFFICE IRMC CARDIOVASCULAR DIAGNOSTIC CENTER

13060 US HIGHWAY 1 SEBASTIAN FL 32958

PHYSICIAN OFFICE IRMC CARDIOVASCULAR NORTH

13885 US HIGHWAY 1 SEBASTIAN FL 32958

PHYSICIAN OFFICE INDIAN RIVER NEUROSURGERY

1040 37TH PLACE VERO BEACH FL 32960

PHYSICIAN OFFICE INDIAN RIVER UROLOGY

3745 11TH CIRCLE VERO BEACH FL 32960

PHYSICIAN OFFICE INDIAN RIVER GENERAL SURGERY

1040 37TH PLACE VERO BEACH FL 32960

PHYSICIAN OFFICE PARTNERS IN WOMEN'S HEALTH

787 37TH STREET VERO BEACH FL 32960

PHYSICIAN OFFICE VERO GASTROENTEROLOGY

3745 11TH CIRCLE VERO BEACH FL 32960

PHYSICIAN OFFICE Eligibility criteria for free or discounted care Schedule H, Part I, Line 3c ALL UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FREE CARE RECEIVE A 30% DISCOUNT REGARDLESS OF INCOME OR ASSETS. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 13,715,592 Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 THE BAD DEBT EXPENSE REPORTED IN PART III, LINE 2 IS THE ORGANIZATION'S BAD DEBT EXPENSE AT GROSS CHARGES WRITTEN OFF. THE ORGANIZATION HAS DETERMINED THAT APPROXIMATELY 25% OF BAD DEBT WRITE-OFFS ARE ATTRIBUTABLE TO PATIENTS WHO WOULD BE ELIGIBLE FOR FINANCIAL ASSISTANCE. BELOW IS THE TEXT OF THE FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS RELATED TO ALLOWANCE FOR DOUBTFUL ACCOUNTS: "THE HOSPITAL EVALUATES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON A REVIEW OF CURRENT PAYOR STATUS AND HISTORICAL COLLECTION EXPERIENCE. THE HOSPITAL TYPICALLY DOES NOT CHARGE INTEREST ON PAST DUE ACCOUNTS." Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 THE ORGANIZATION REPORTS MEDICARE REVENUE AND ALLOWABLE COSTS IN PART III, LINES 5 AND 6 USING THE MEDICARE COST REPORT INFORMATION. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b UNDER CURRENT HOSPITAL POLICY, ONCE A PATIENT QUALIFIES FOR CHARITABLE SERVICES, NO COLLECTION IS ATTEMPTED ON THE BALANCE RELATED TO THE SERVICES PROVIDED TO THE PATIENT. Used FPG to determine eligibility for providing discounted care criteria Schedule H, Part V Section B, Line 10 (1) INDIAN RIVER MEMORIAL HOSPITAL - ALL UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FREE CARE RECEIVE A 30% DISCOUNT REGARDLESS OF INCOME OR ASSETS.; Means used to determine amounts billed Schedule H, Part V Section B, Line 19d (1) INDIAN RIVER MEMORIAL HOSPITAL - ALL UNINSURED PATIENTS RECEIVE A 30% DISCOUNT.; Needs assessment. Schedule H, Part VI, Line 2 INDIAN RIVER MEDICAL CENTER FREQUENTLY EVALUATES THE HEALTHCARE NEEDS OF THE COMMUNITY THROUGH A VARIETY OF METHODS INCLUDING PHONE SURVEYS TO RANDOMLY CHOSEN RESIDENTS, INTERVIEWS WITH COMMUNITY LEADERS AND EXECUTIVES, REVIEWING PRIMARY AND SECONDARY DATA AVAILABLE FROM MULTIPLE SOURCES; AND COMMUNITY FOCUS GROUPS. IN ADDITION, QUANTITATIVE AND QUALITATIVE DATA IS USED TO DETERMINE HISTORICAL TRENDS AND TO PREDICT FUTURE NEEDS BASED ON THOSE TRENDS. BASED ON THE FINDINGS OF THE ASSESSMENTS, INDIAN RIVER MEDICAL CENTER HAS RECENTLY OPENED A HEART FAILURE CLINIC, TWO WALK IN CLINICS, ASSISTED COMMUNITY PHYSICIANS WITH RECRUITING PHYSICIANS TO IMPROVE ACCESS TO CARE AND A 14 BED SURGICAL INTENSIVE CARE UNIT. AS A RESULT OF HEALTH ASSESSMENT FINDINGS, THE FUTURE WILL INCLUDE EXPANDING CANCER CARE, CHRONIC DISEASE MANAGEMENT, DIAGNOSTIC SCREENING, AND BEHAVIORAL HEALTH PROGRAMS. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 ALL UNINSURED PATIENTS RECEIVE FINANCIAL COUNSELING SERVICES AFTER THEY RECEIVE THE APPROPRIATE MEDICAL CARE. FINANCIAL COUNSELING INCLUDES EDUCATION ABOUT ALL FINANCIAL ASSISTANCE PROGRAMS. Community information. Schedule H, Part VI, Line 4 INDIAN RIVER MEDICAL CENTER SERVES INDIAN RIVER COUNTY. THE COUNTY IS COMPRISED OF ALMOST 140,000 PEOPLE. IT HAS SEEN STEADY GROWTH OVER THE TEN-YEAR PERIOD BETWEEN THE 2000 CENSUS AND THE 2010 CENSUS CONDUCTED BY THE US CENSUS BUREAU. JUST OVER 27% OF THE POPULATION IS 65 AND OVER. ALMOST 50% OF THE COUNTY'S POPULATION IS 50 YEARS OR OLDER. THE LARGEST POPULATION INCREASE WAS IN THE 60-64 YEAR AGE GROUP, WHILE THE LARGEST DECREASE WAS IN THE 35-39 YEAR AGE GROUP. UNEMPLOYMENT HAS REMAINED HIGH IN THE COUNTY AT ALMOST 12%. THE LARGEST EMPLOYERS IN THE COUNTY ARE IN THE RETAIL AND HEALTHCARE INDUSTRIES. SLIGHTLY MORE THAN 10% OF ALL FAMILIES IN INDIAN RIVER COUNTY LIVE BELOW THE FEDERAL POVERTY LEVEL, WITH MORE THAN 27% BEING UNDER THE AGE OF 18. THERE HAS BEEN A STEADY INCREASE IN THE NUMBER OF PEOPLE RECEIVING PUBLIC ASSISTANCE IN INDIAN RIVER COUNTY. Promotion of community health Schedule H, Part VI, Line 5 INDIAN RIVER MEDICAL CENTER PROMOTES COMMUNITY HEALTH THROUGH A BROAD VARIETY OF APPROACHES THAT INCLUDES COMMUNITY BASED BOARD OF DIRECTORS THAT ENSURE WE PROVIDE TO ACCESS TO PATIENT CARE THROUGHOUT THE YEAR, FREE OR LOW COST HEALTH FAIRS TO PROMOTE DISEASE PREVENTION, FREE EDUCATIONAL SESSIONS AND NEWSLETTERS ON DISEASE PREVENTION, FREE SUPPORT GROUPS, PARTICIPATION ON NUMEROUS COMMUNITY HEALTHCARE COLLABORATIVE COMMITTEES THAT PROMOTE AND DEVELOP CARE COORDINATION FOR OUR RESIDENTS. Affiliated health care system Schedule H, Part VI, Line 6 INDIAN RIVER MEMORIAL HOSPITAL, INC. AND ITS AFFILIATES (INDIAN RIVER HOSPITAL FOUNDATION, INDIAN RIVER HEALTH SERVICES, HEALTH SYSTEMS OF INDIAN RIVER, AND INDIAN RIVER HOSPITAL AUXILIARY) WORK TOGETHER TO SERVE AS THE AREA'S LEADING PROVIDER OF COMPREHENSIVE HIGH QUALITY HEALTH AND MEDICAL SERVICES. THE ORGANIZATION AND ITS AFFILIATES ALSO STRIVES TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES THEY SERVE. X X true true X X X X X false true false false false false false false false CARY STOWE 900262 0 0 0 1806 0 26284 0 17403 0 945755 0 0 0 CHARLES MACKETT 285357 0 0 0 1102 0 43043 0 2020 0 331522 0 0 0 CHRISTOPHER TARDIFF 579345 0 4640 0 966 0 4900 0 15897 0 605748 0 0 0 CYNTHIA VANEK 221937 0 0 0 70150 0 26284 0 9755 0 328126 0 0 0 DAN JANICAK 213922 0 0 0 40811 0 3183 0 14539 0 272455 0 0 0 JANICE DONLAN 0 205441 0 0 0 2073 0 46506 0 11475 0 265495 0 0 JEFFREY L SUSI 379252 0 0 0 490614 0 26284 0 20686 0 916836 0 0 0 JOHN PEEPLES 172661 0 0 0 0 0 22860 0 1024 0 196545 0 0 0 LYNN HUBBARD 170702 0 0 0 12131 0 7334 0 11116 0 201283 0 0 0 MARK MALIAS 595941 0 0 0 630 0 26284 0 16094 0 638949 0 0 0 RICHARD FRANCO 536199 0 68858 0 1806 0 9800 0 15891 0 632554 0 0 0 TUDOR SCRIDON 433403 0 165 0 623 0 26291 0 11954 0 472436 0 0 0 VALERIE LARCOMBE 261475 0 0 0 1022 0 45199 0 15401 0 323097 0 0 0 WARREN FULLER 177451 0 0 0 2797 0 50998 0 18329 0 249575 0 0 0 Tax indemnification and gross-up payments Schedule J, Part I, Line 1a THE ORGANIZATION HAS PROVIDED A GROSS-UP PAYMENT IN ORDER TO COVER THE TAXES ON TAXABLE INCOME GENERATED BY SERP PAYOUTS. Housing allowance or residence for personal use Schedule J, Part I, Line 1a THE ORGANIZATION PROVIDED HOUSING AND MOVING ALLOWANCES FOR NEW EXECUTIVES. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b THE ORGANIZATION MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP). THE FOLLOWING INDIVIDUALS RECEIVED TAXABLE SERP PAYMENTS DURING THE YEAR: JEFFREY L. SUSI - $488,808 LYNN HUBBARD - $10,142 CYNTHIA VANEK - $68,463 THERE WERE NO CONTRIBUTIONS TO THE SERP PLANS DURING THE YEAR. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a THE ORGANIZATION'S EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS ELECTED ANNUALLY BY THE BOARD, THE CHIEF OF STAFF, AND AT LEAST ONE INDEPENDENT DIRECTOR, APPOINTED BY THE CHAIRMAN WITH THE CONCURRENCE OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY OF THE BOARD, EXCEPT AS SUCH AUTHORITY IS LIMITED BY STATUTE OR BY RESOLUTION CREATING OR CONTROLLING THE EXECUTIVE COMMITTEE. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE INDIAN RIVER COUNTY HOSPITAL DISTRICT IS ENTITLED TO DESIGNATE ONE (1) VOTING MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a THE INDIAN RIVER COUNTY HOSPITAL DISTRICT IS ENTITLED TO DESIGNATE ONE (1) VOTING MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b THE ORGANIZATION LEASES ITS BRICKS AND MORTAR FROM THE INDIAN RIVER COUNTY HOSPITAL DISTRICT. PURSUANT TO THE ORGANIZATIONS BYLAWS AND ITS LEASE WITH THE INDIAN RIVER COUNTY HOSPITAL DISTRICT, CERTAIN BYLAW PROVISIONS AS WELL AS THE ELIMINATIONS OF CERTAIN SERVICES AND PROGRAMS REQUIRE APPROVAL BY THE DISTRICT. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b A FINAL COPY OF THE FORM 990 IS PROVIDED TO ALL GOVERNING BODY MEMBERS UTILIZING A LINK TO A PASSWORD-PROTECTED WEBSITE ON WHICH THE ENTIRE FORM 990 CAN BE VIEWED. QUESTIONS REGARDING THE FORM 990 ARE DIRECTED TO THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF LEGAL OFFICER OR OTHER LEADERSHIP MEMBERS AS APPROPRIATE. EXECUTIVE LEADERSHIP PROVIDES MEMBERS OF THE BOARD OF DIRECTORS (OR OF A SPECIFIED COMMITTEE WITH BOARD-DELEGATED POWERS) WITH AN OVERVIEW OF THE HIGHLIGHTS OF THE FORM 990 FILED ON BEHALF OF THE ORGANIZATION AT A REGULARLY SCHEDULED BOARD MEETING FOLLOWING THE FILING OF THE FORM 990. Conflict of interest policy Form 990, Part VI, Section B, Line 12c THE HOSPITAL HAS A COMPLIANCE OFFICER WHO ANNUALLY COLLECTS A SIGNED ACKNOWLEDGEMENT FROM EACH PERSON AT THE LEVEL OF MANAGER AND ABOVE, STATING THAT THE INDIVIDUAL HAS AN UNDERSTANDING OF, AND IS FULLY IN COMPLIANCE WITH, THE HOSPITAL'S CONFLICT OF INTEREST POLICY. IF A CONFLICT OF INTEREST IS DISCLOSED, THE COMPLIANCE OFFICER WILL FOLLOW-UP WITH THE INDIVIDUAL FOR ADDITIONAL INFORMATION. THIS INFORMATION IS REVIEWED BY THE ORGANIZATION'S COMPLIANCE COMMITTEE. IF A MEMBER OF THE GOVERNING BODY HAS A POTENTIAL OR ACTUAL CONFLICT OF INTEREST, THE INDIVIDUAL WILL ABSTAIN FROM VOTING ON RELATED DECISIONS. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM IS ADMINISTERED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE MEETS AS NEEDED TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES TO THE BOARD OF DIRECTORS AS APPROPRIATE. THE COMPENSATION COMMITTEE DIRECTLY, AND INDEPENDENT OF EXECUTIVE MANAGEMENT, COMMISSIONS AN ANNUAL REVIEW BY ITS INDEPENDENT CONSULTING FIRM, SULLIVAN COTTER TO EVALUATE THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM AGAINST THE COMPETITIVE MARKET UTILIZING DATA FROM COMPARABLE LOCAL ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO, FORM 990 DATA AS WELL AS REGIONAL DATA FROM SIMILAR ORGANIZATIONS. THE COMPENSATION REVIEW IS CONDUCTED NOT LESS THAN ANNUALLY AND IS INTENDED TO ENSURE THAT THE COMPENSATION PROGRAM FALLS WITHIN A REASONABLE RANGE OF COMPETITIVE PRACTICES FOR COMPARABLE POSITIONS AMONG SIMILARLY SITUATED ORGANIZATIONS. FOLLOWING THIS REVIEW, THE COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS FOR APPROVAL TO THE BOARD OF DIRECTORS THE GOALS, OBJECTIVES AND SALARY OF THE CHIEF EXECUTIVE. THE COMPENSATION COMMITTEE ALSO APPROVED THE SALARIES AND BENEFITS FOR VICE PRESIDENTS AND KEY EMPLOYEES. NOTE: COMPENSATION FOR ALL OTHER EMPLOYEES, INCLUDING DIRECTORS AND MANAGERS, IS REVIEWED AND APPROVED BY THE EXECUTIVE MANAGEMENT COMMITTEE BY UTILIZING COMPARABLE MARKET COMPENSATION DATA PROVIDED BY SULLIVAN COTTER OR OTHER INDEPENDENT COMPENSATION AND BENEFITS FIRM. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM IS ADMINISTERED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE MEETS AS NEEDED TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES TO THE BOARD OF DIRECTORS, AS APPROPRIATE. THE COMPENSATION COMMITTEE DIRECTLY, AND INDEPENDENT OF EXECUTIVE MANAGEMENT, COMMISSIONS AN ANNUAL REVIEW BY ITS INDEPENDENT CONSULTING FIRM, SULLIVAN COTTER, TO EVALUATE THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM AGAINST THE COMPETITIVE MARKET UTILIZING DATA FROM COMPARABLE LOCAL ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO, FORM 990 DATA AS WELL AS REGIONAL DATA FROM SIMILAR ORGANIZATIONS. THE COMPENSATION REVIEW IS CONDUCTED NOT LESS THAN ANNUALLY AND IS INTENDED TO ENSURE THAT THE COMPENSATION PROGRAM FALLS WITHIN A REASONABLE RANGE OF COMPETITIVE PRACTICES FOR COMPARABLE POSITIONS AMONG SIMILARLY SITUATED ORGANIZATIONS. FOLLOWING THIS REVIEW, THE COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS FOR APPROVAL TO THE BOARD OF DIRECTORS THE GOALS, OBJECTIVES AND SALARY OF THE CHIEF EXECUTIVE. THE COMPENSATION COMMITTEE ALSO APPROVES THE SALARIES AND BENEFITS FOR VICE PRESIDENTS AND KEY EMPLOYEES. NOTE, COMPENSATION FOR ALL OTHER EMPLOYEES, INCLUDING DIRECTORS AND MANAGERS, IS REVIEWED AND APPROVED BY THE EXECUTIVE MANAGEMENT COMMITTEE BY UTILIZING COMPARABLE MARKET COMPENSATION DATA PROVIDED BY SULLIVAN COTTER OR OTHER INDEPENDENT COMPENSATION AND BENEFITS FIRM. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Average number of hours devoted per week to related organization Form 990, Part VII, Section A, Column B JEFFREY L SUSI:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.0001.000, INDIAN RIVER HOSPITAL FOUNDATION, INC.- 2.000;ROBERT HARRIS:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;JOHN PASTOR:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;ALAN POLACKWICH:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;THOMAS SEGURA:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;RICHARD WEIL, M.D.:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;W. CLARK BECKETT, M.D.:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;DEBORAH BROWER:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;HAL BROWN, M.D.:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;CHARLES CELANO, M.D.:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;ANTHONY DONADIO:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;KATHY HENDRIX:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;WAYNE HOCKMEYER, PH.D.:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 5.0005.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;WILLIAM KELLEY, M.D.:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;MARION KENNEDY, R.N.:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;JOHN LINDENTHAL, M.D.:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;KEITH MORGAN:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;PAUL NEZI:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;JACK ROGERS:HEALTH SYSTEMS OF INDIAN RIVER, INC.- 1.0001.000, INDIAN RIVER HEALTH SERVICES, INC.- 1.000;JANICE DONLAN:INDIAN RIVER HOSPITAL FOUNDATION, INC.- 30.000; Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 797667; PENSION LIABILITY - -2142351; INDIAN RIVER HOSPITAL FOUNDATION INC 1000 36TH ST VERO BEACH FL 32960 590760215 FUND RAISING FL 501(C)(3) 11 - Type I IRMH true INDIAN RIVER HEALTH SERVICES INC 1000 36TH ST VERO BEACH FL 32960 650029298 HEALTHCARE FL 501(C)(3) 11 - Type I IRMH true HEALTH SYSTEMS OF INDIAN RIVER INC 1000 36TH ST VERO BEACH FL 32960 650705680 HEALTHCARE FL 501(C)(3) 11 - Type II IRMH true HOSPITAL AUXILIARY OF THE IRMH INC 1000 36TH ST VERO BEACH FL 32960 591003707 SUPPORT FL 501(C)(3) 11 - Type III - Oth IRMH true false false true true false false false false false false false false true true false true false false INDIAN RIVER HOSPITAL FOUNDATION INC C 7693860 FMV INDIAN RIVER HEALTH SERVICES INC D 777962 FMV HEALTH SYSTEMS OF INDIAN RIVER INC D 286082 FMV