INDIANA REGIONAL MEDICAL CENTER: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- INDIANA REGIONAL MEDICAL CENTER (EIN 25-0965404)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201111369349306006
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T15:41:14-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ParenteBeard LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1650 Market Street Suite 4500 | AddressLine1 |
| City | Philadelphia | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 250965404 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Indiana Regional Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | INDI | NameControl |
| Phone | 7243577008 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 Hospital Road | AddressLine1 |
| City | Indiana | City |
| State | PA | State |
| ZIP Code | 15701 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Robert Gongaware | Name |
| Title | Senior VP Finance | Title |
| Phone | 7243577008 | Phone |
| Date Signed | 2011-05-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Julius Green CPA | Name |
| Phone | 2159720701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Stephen Wolfe | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 Hospital Road | AddressLine1 |
| City | Indiana | City |
| State | PA | State |
| ZIP Code | 15701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 173299512 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.indianarmc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1944 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | TO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT, AND DIGNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1537 | TotalNbrEmployees |
| Total Nbr Volunteers | 160 | TotalNbrVolunteers |
| Total Gross UBI | 2010694 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 634097 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 661200 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1660228 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 126183600 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 126023102 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -3156592 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5576442 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1664988 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3084921 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 125353196 | TotalRevenuePriorYear |
| Total Revenue Current Year | 136344693 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 74215380 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 75923738 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 51268570 | OtherExpensePriorYear |
| Other Expenses Current Year | 55139782 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 125483950 | TotalExpensesPriorYear |
| Total Expenses Current Year | 131063520 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -130754 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5281173 | RevenuesLessExpensesCY |
| Total Assets BOY | 170611336 | TotalAssetsBOY |
| Total Assets EOY | 175520117 | TotalAssetsEOY |
| Total Liabilities BOY | 69898145 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 72970602 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 100713191 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 102549515 | NetAssetsOrFundBalancesEOY |
| Mission Description | The mission of Indiana Regional Medical Center is to serve the healthcare needs of every life we touch with compassion, respect, and dignity. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 105411598 | Expense |
| Revenue | 124428416 | Revenue |
| Description | Health Diagnostic, Intervention & Treatment Service:Indiana Regional Medical Center ("IRMC") is a non-profit, community based health system that offers a wide range of services including diagnostics, medicine, surgery, pediatrics, obstetrics, geriatric behavioral healthcare and rehabilitative nursing. The medical center 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. The medical center continues to provide mobile health services to rural areas of the county. In addition to primary care physicians, Indiana Regional Medical Center was successful in recruiting two pain management physicians, emergency department physicians and a clinical psychologist.Mass Health Screening: Indiana Regional Medical Center'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, screenings 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 Indiana Regional Medical Center offers health services and education programs to the community at no-charge.Health 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. For the third year, Indiana Regional Medical Center was named one of the Best Places to Work in PA. (4,383 Participants)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. (17,175 Counts) | Description |
| Total Program Service Expense | 105411598 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 231 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1537 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Robert Gongaware | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7243577008 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 Hospital Road | AddressLine1 |
| City | Indiana | City |
| State | PA | State |
| ZIP Code | 15701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| John Dolan | ||||||||
| Chairman | 1.00 | X | X | 0 | 0 | 0 | ||
| Todd Brice | ||||||||
| Vice Chairman | 1.00 | X | X | 0 | 0 | 0 | ||
| Beverly Gazza | ||||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | ||
| Joseph Geary | ||||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 | ||
| Mark Boykiw | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Nathan Kovalchick | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Thomas McCoy | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Robert Rout | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Edward McDowell | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Mark Staszkiewicz | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Ann White | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Stephen A Wolfe | ||||||||
| President & CEO | 40.00 | X | X | 444714 | 0 | 57869 | ||
| Robert Gongaware | ||||||||
| Sr VP Fiscal Services | 40.00 | X | 185455 | 0 | 10827 | |||
| Bruce A Bush MD | ||||||||
| Sr VP Medical Director | 40.00 | 295342 | 0 | 9557 | X | |||
| Dominic Paccapaniccia | ||||||||
| Chief Operating Officer | 40.00 | 242964 | 0 | 30126 | X | |||
| Cindy Virgil | ||||||||
| Sr VP Patient Services | 40.00 | 187697 | 0 | 18344 | X | |||
| Wade Patrick | ||||||||
| SR VP Information Services | 40.00 | 193051 | 0 | 17764 | X | |||
| Larry Sedlemeyer | ||||||||
| SR VP Bus. Development & Planning | 40.00 | 169252 | 0 | 10530 | X | |||
| Luis Tomacruz | ||||||||
| Emergency Physician | 40.00 | 385032 | 0 | 18897 | X | |||
| John Polenta | ||||||||
| Emergency Physician | 40.00 | 350908 | 0 | 18761 | X | |||
| Anthony Sico | ||||||||
| Emergency Physician | 40.00 | 316169 | 0 | 19345 | X | |||
| Vineet Goel | ||||||||
| Dir. Quality Information | 40.00 | 312643 | 0 | 19284 | X | |||
| John Patrick Cawley | ||||||||
| Medical Director-Emergency Svcs | 40.00 | 304248 | 0 | 6624 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3387475 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 237928 | TotalOtherCompensation |
| Number Individuals GT100 K | 54 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Leonard S Fiore | |||||
| 5506 6th Avenue | Altoona | PA | 16602 | Construction Contractor | 4288990 |
| Lighthouse Electric | |||||
| 1957 Rt 519 South | Cannonsburg | PA | 15317 | Construction Contractor | 1178575 |
| Mayo Collaborative Services Inc | |||||
| PO Box 1450 | Minneapolis | MN | 55485 | Outside Lab Service | 976021 |
| Indiana Open MRI LLC | |||||
| PO Box 450 | New Station | PA | 15672 | MRI Service | 671696 |
| National Healing Corp | |||||
| PO Box 93340 | Atlanta | GA | 31193 | Wound Care Service | 545976 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 25 | NumberOfContractorsGT100K |
| Government Grants | 51008 | GovernmentGrants |
| All Other Contributions | 1609220 | AllOtherContributions |
| Total Contributions | 1660228 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Net Patient Scv Rev | 621990 | 123761418 | 123761418 | |
| Laboratory Revenue | 621500 | 1905275 | 1905275 | |
| Rental Revenue-Affilia | 531120 | 356409 | 356409 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 126023102 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3136764 | TotalRevenueColumn |
| Unrelated Business Revenue | 71091 | UnrelatedBusinessRevenue |
| Exclusion | $3,065,673 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 907743 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 823192 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 84551 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 84551 | TotalRevenueColumn |
| Exclusion | $84,551 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 38466173 | Securities |
| Other | 105132 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 35906997 | Securities |
| Other | 224630 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2559176 | Securities |
| Other | -119498 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2439678 | TotalRevenueColumn |
| Exclusion | $2,439,678 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Leased Employees | 900099 | 1750327 | $1,750,327 |
| Cafeteria Rev | 722210 | 524796 | $524,796 |
| Miscellaneous Rev | 900099 | 172194 | $172,194 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 553053 | TotalRevenueColumn |
| Related Or Exempt Function Income | 310589 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 34328 | UnrelatedBusinessRevenue |
| Exclusion | $208,136 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3000370 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 136344693 | TotalRevenueColumn |
| Related Or Exempt Function Income | 124428416 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2010694 | UnrelatedBusinessRevenue |
| Exclusion | $8,245,355 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1873491 | Total |
| Program Services | 784029 | ProgramServices |
| Management And General | 1089462 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55105093 | Total |
| Program Services | 43791788 | ProgramServices |
| Management And General | 11313305 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5280965 | Total |
| Program Services | 4221809 | ProgramServices |
| Management And General | 1059156 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9712536 | Total |
| Program Services | 7764580 | ProgramServices |
| Management And General | 1947956 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3951653 | Total |
| Program Services | 3159106 | ProgramServices |
| Management And General | 792547 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133652 | Total |
| Program Services | 560 | ProgramServices |
| Management And General | 133092 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86825 | Total |
| Management And General | 86825 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165000 | Total |
| Management And General | 165000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9992316 | Total |
| Program Services | 8040856 | ProgramServices |
| Management And General | 1951460 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 886961 | Total |
| Program Services | 34487 | ProgramServices |
| Management And General | 852474 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19481118 | Total |
| Program Services | 19103345 | ProgramServices |
| Management And General | 377773 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1646707 | Total |
| Program Services | 593393 | ProgramServices |
| Management And General | 1053314 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2256007 | Total |
| Program Services | 1657317 | ProgramServices |
| Management And General | 598690 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 419117 | Total |
| Program Services | 232171 | ProgramServices |
| Management And General | 186946 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1409107 | Total |
| Management And General | 1409107 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7390120 | Total |
| Program Services | 6423422 | ProgramServices |
| Management And General | 966698 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1487973 | Total |
| Program Services | 1189544 | ProgramServices |
| Management And General | 298429 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| UBI Taxes | 544507 | 544507 | |
| Bad Debt Expense | 5042890 | 5042890 | |
| Maintenance & Repairs | 2566620 | 514764 | 2051856 |
| Food | 748612 | 150142 | 598470 |
| Recruitment Costs | 451183 | 90490 | 360693 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 431067 | Total |
| Program Services | 361282 | ProgramServices |
| Management And General | 69785 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131063520 | Total |
| Program Services | 105411598 | ProgramServices |
| Management And General | 25651922 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 6191 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7326192 | BOY |
| EOY | 877376 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9051000 | BOY |
| EOY | 11147274 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1478706 | BOY |
| EOY | 1263535 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3174523 | BOY |
| EOY | 3938710 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 142638425 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 86239385 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52547181 | BOY |
| EOY | 56399040 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91027166 | BOY |
| EOY | 95973044 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 5185940 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1964520 | BOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 724982 | BOY |
| EOY | 541213 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3317066 | BOY |
| EOY | 187794 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170611336 | BOY |
| EOY | 175520117 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16199165 | BOY |
| EOY | 13207854 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32402242 | BOY |
| EOY | 29521511 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 173321 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1594000 | BOY |
| EOY | 2000000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19702738 | BOY |
| EOY | 28067916 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69898145 | BOY |
| EOY | 72970602 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98337191 | BOY |
| EOY | 99296133 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2376000 | BOY |
| EOY | 3253382 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100713191 | BOY |
| EOY | 102549515 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170611336 | BOY |
| EOY | 175520117 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | Paid part-time staff member occasionally lobbies local and federal governments specifically on healthcare reform topics. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2376000 | BeginningOfYearBalance |
| Contributions | 1812000 | Contributions |
| Other Expenditures | 935000 | OtherExpenditures |
| End Of Year Balance | 3253000 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3262000 | BeginningOfYearBalance |
| Contributions | 680036 | Contributions |
| Other Expenditures | 1566036 | OtherExpenditures |
| End Of Year Balance | 2376000 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 227375 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 2862228 | OtherCostOrOtherBasis |
| Book Value | 3089603 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39003156 | OtherCostOrOtherBasis |
| Depreciation | 22680385 | Depreciation |
| Book Value | 16322771 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 93017629 | OtherCostOrOtherBasis |
| Depreciation | 62196844 | Depreciation |
| Book Value | 30820785 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7528037 | OtherCostOrOtherBasis |
| Depreciation | 1362156 | Depreciation |
| Book Value | 6165881 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 56399040 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Post-Retirement Liability | $657,269 |
| Pension Liability | $25,374,031 |
| Estimated Third Party Payor Settlements | $683,847 |
| Due to Affiliates | $1,352,769 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 28067916 | TotalOfAmounts |
| Total Revenue | 136344693 | TotalRevenue |
| Total Expenses | 131063520 | TotalExpenses |
| Excess Or Deficit For Year | 5281173 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 4449677 | NetUnrealizedGLOnInvestments |
| Prior Period Adjustments | -344250 | PriorPeriodAdjustments |
| Other | -$7,550,276 | OtherAmount |
| Total Adjustments | -3444849 | TotalAdjustments |
| Excess Or Deficit Per FS | 1836324 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 135912735 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 4449677 | NetUnrealizedGainsInvestments |
| Other Revenues | -5704827 | OtherRevenues |
| Revenue Not Rptd F990 | -1255150 | RevenueNotRptdF990 |
| Revenue Subtotal | 137167885 | RevenueSubtotal |
| Other Revenues Not Included | -823192 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -823192 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 136344693 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 133732161 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 3089728 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 3089728 | ExpensesNotRptdF990 |
| Expenses Subtotal | 130642433 | ExpensesSubtotal |
| Other Expenses Not Included | 421087 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 421087 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 131063520 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part V, Line 4: | Description of Intended Use of Endowment Funds: | Endowment funds are used primarily to purchase capital equipment. |
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | 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 2010. The Hospital's policies are to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses. |
| Part XI, Line 8 - Other Adjustments: | Pension and Post-Retirement Liabilities Adjustment: -5283740. Transfer to affiliates: -2266536. | |
| Part XII, Line 2d - Other Adjustments: | Pension and Post-Retirement Liabilities Adjustment: -5283740. Investment Fees: -165000. Tax Expense Netted with Income on Financials: -256087. | |
| Part XII, Line 4b - Other Adjustments: | RENTAL EXPENSES: -823192. | |
| Part XIII, Line 2d - Other Adjustments: | Transfer to affiliates: 2266536. RENTAL EXPENSES: 823192. | |
| Part XIII, Line 4b - Other Adjustments: | Investment Fees: 165000. Tax Expense Netted with Income on Financials: 256087. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 100.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1600278 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1600278 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01270 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13736184 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9807589 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3928595 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03120 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15336462 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9807589 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5528873 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04390 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 536582 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 55000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 481582 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8760881 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3945469 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4815412 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03820 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 41992 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 41992 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9339455 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4000469 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5338986 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04230 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24675917 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13808058 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10867859 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08620 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 315500 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 315500 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 315500 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 315500 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,714,000 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 28902121 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 26884111 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 2018010 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Indiana Regional Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 Hospital Road | AddressLine1 |
| City | Indiana | City |
| State | PA | State |
| ZIP Code | 15701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | 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. | CostingMethodUsed |
| Subsidized Health Services Expln | Part I, Line 7g: No costs attributable to a physician clinic were included in the amount on Part I, line 7g. | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | Part I, Line 7f: The amount of bad debt expense included on Form 990, Part IX, line 25, but subtracted for purposes of calculating the percentage in this column is $5,042,890. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 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. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: The Medicare cost report was used to determine the amount reported on line 6. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: Patients are expected to pay all balances in full within seven days of a final billing. If this is not possible, patients will be counseled on the use of Medical Assistance or the present Charity Care program.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. Accounts which have been billed to Medical Assistance as a secondary payor will come to 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. | DebtCollectionPolicy |
| Patient Education Assistance | 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. At the earliest feasible time, the Medical Center personnel will attempt to determine patient eligibility for coverage of part or all of their bill.All pre-registration, registration, business office, and patient financial services staff shall 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. | PatientEducationAssistance |
| Community Information | 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 8,700 patients and accommodates another quarter-million outpatient encounters each year. As an acute care facility, IRMC is licensed for 162 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 89,605 residents spread over 831 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 1,400 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 recently 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. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: 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, enhance health of the community we serve, provide 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. We also provide numerous Health Fairs, Classes and Education Programs. The Institute for Healthy Living at Indiana Regional Medical Center offers health services and education programs to the community at no charge.Health 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.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 and provided services to 17,175 individual visits (counts).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. 432 contacts for the year.Community Classes - PACE, Tai Chi, Yoga, Cancer, Strong Women, Drop Weight, Ornish, Diabetes, Drop 10. 5,030 class hours.In this current fiscal year, Indiana Regional Medical Center opened a brand new facility offering Urgent Care Services in the Blairsville community as a response to medical services needed in that area. | CommunityBuildingActivities |
| Affiliated Health Care System | Part VI, Line 7: 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. | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stephen A Wolfe | |||||||||||||
| 371477 | 0 | 65000 | 0 | 8237 | 0 | 44449 | 0 | 13420 | 0 | 502583 | 0 | 0 | 0 |
| Robert Gongaware | |||||||||||||
| 158859 | 0 | 26596 | 0 | 0 | 0 | 9816 | 0 | 1011 | 0 | 196282 | 0 | 0 | 0 |
| Bruce A Bush MD | |||||||||||||
| 277241 | 0 | 18101 | 0 | 0 | 0 | 2891 | 0 | 6666 | 0 | 304899 | 0 | 0 | 0 |
| Dominic Paccapaniccia | |||||||||||||
| 217097 | 0 | 25867 | 0 | 0 | 0 | 13013 | 0 | 17113 | 0 | 273090 | 0 | 0 | 0 |
| Cindy Virgil | |||||||||||||
| 171169 | 0 | 16528 | 0 | 0 | 0 | 6447 | 0 | 11897 | 0 | 206041 | 0 | 0 | 0 |
| Wade Patrick | |||||||||||||
| 172078 | 0 | 20973 | 0 | 0 | 0 | 1975 | 0 | 15789 | 0 | 210815 | 0 | 0 | 0 |
| Larry Sedlemeyer | |||||||||||||
| 156511 | 0 | 12741 | 0 | 0 | 0 | 3263 | 0 | 7267 | 0 | 179782 | 0 | 0 | 0 |
| Luis Tomacruz | |||||||||||||
| 368433 | 0 | 16599 | 0 | 0 | 0 | 0 | 0 | 18897 | 0 | 403929 | 0 | 0 | 0 |
| John Polenta | |||||||||||||
| 348067 | 0 | 2841 | 0 | 0 | 0 | 0 | 0 | 18761 | 0 | 369669 | 0 | 0 | 0 |
| Anthony Sico | |||||||||||||
| 260938 | 0 | 55231 | 0 | 0 | 0 | 0 | 0 | 19345 | 0 | 335514 | 0 | 0 | 0 |
| Vineet Goel | |||||||||||||
| 307138 | 0 | 5505 | 0 | 0 | 0 | 0 | 0 | 19284 | 0 | 331927 | 0 | 0 | 0 |
| John Patrick Cawley | |||||||||||||
| 303405 | 0 | 843 | 0 | 0 | 0 | 0 | 0 | 6624 | 0 | 310872 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | Indiana Regional Medical Center pays country club membership dues for President & CEO, Stephen Wolfe, which is not included in his compensation. The membership is a corporate membership used for business purposes only. |
| Part I, Line 7 | Bonuses may be granted at the discretion of the board and are based on factors such as performance and meeting goals and objectives. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | CUSIP NumberCUSIPNumber |
|---|---|---|---|---|---|---|
| Indiana County Hospital Authority | ||||||
| 251697319 | 2003-01-15 | 10000000 | Advance refund 1992 bonds and finance capital improvements | 0 | 0 | |
| Indiana County Hospital Authority | ||||||
| 251697319 | 2004-12-08 | 10000000 | Finance capital improvements | 0 | 0 | |
| PA Economic Development Financing Authority | ||||||
| 232899801 | 2006-06-29 | 3750000 | Finance equipment | 0 | 0 | 708693AB2 |
| Indiana County Hospital Authority | ||||||
| 251697319 | 2009-02-12 | 10000000 | Finance capital projects | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|
| 10000000 | 50000 | 9950000 | 2003 | 0 | 0 | 1 | 1 |
| 10000000 | 91500 | 9908500 | 2006 | 0 | 0 | 1 | 1 |
| 3750000 | 85000 | 3650000 | 2007 | 0 | 0 | 1 | 1 |
| 10000000 | 61000 | 9939000 | 2010 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 1 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 1 | 0 | 0 | 0 | 1 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | Indiana Healthcare Corporation ("IHC") is the sole corporate member of Indiana Regional Medical Center ("IRMC"). |
| Form 990, Part VI, Section A, line 7a | IHC has the power to fill vacancies, nominate and approve the election of, and approve removal of the Board of Directors of IRMC. |
| Form 990, Part VI, Section A, line 7b | IRMC shall obtain the approval of IHC before action on any of the following matters becomes final and effective for IRMC: (1) amendment of the articles of incorporation and bylaws; (2) the sale, lease or exchange of all or substantially all of the property or assets of IRMC; (3) merger or consolidation with any other corporation; (4) dissolution of IRMC; (5) approval of an annual operating and capital budget for IRMC; (6) any other matter that by law would require the approval of members of a nonprofit corporation. |
| Form 990, Part VI, Section B, line 11 | Each board member will be contacted individually and given the opportunity to receive a copy of the complete return by e-mail, postal service, or picked up at 835 Hospital Road in the Chief Financial Officer's office. The return is also presented at a board meeting before filing with the Internal Revenue Service. |
| Form 990, Part VI, Section B, line 12c | Every member of the Board, and every individual appointed to the Board or Board committees, as well as all key management personnel and physician leaders, are required to execute a conflict of interest disclosure statement, which will be updated at least on an annual basis or as additional conflicting interests arise. In addition, every member of the Board will specifically acknowledge the conflict of interest policy and his/her attempt to abide by it by signing the acknowledgement form. Every Board committee member, officer, key management employee, and physician leader is required to sign this acknowledgement as well. The acknowledgement and disclosure forms will be kept on file by the Chief Executive Officer, and the Chairman and Vice-Chairman will be familiar with the statements that are filed by Board members in order to guide their conduct in the event a conflict arises. Every person covered by this Policy shall submit in writing to the Chief Executive Officer a Conflict of Interest Disclosure Statement listing all financial and conflicting interests. Each statement will be resubmitted with any necessary changes each year or as any additional conflicting or financial interests arise. The Chairman of the Board shall become familiar with all such disclosure statements in case a conflict arises. The Vice Chairman of the Board shall be familiar with the Disclosure Statement filed by the Chairman. Penalties for non-compliance: Failure to comply with this policy shall constitute grounds for removal from office and, in the case of Key Management Personnel, termination of employment. |
| Form 990, Part VI, Section B, line 15 | Positions for Officers and Key Employees are reviewed on an annual basis. Appropriate comparisons are made on a regional and national level in order to maintain a fair and equitable compensation structure. All recommendations are approved by the Board of Directors and documented in the Board Minutes. |
| Form 990, Part VI, Section C, line 19 | Governing documents, conflict of interest policy, and financial statements are available to the public upon request. |
| Schedule K Supplental Information | Schedule K, Part II, line 5: The amount reported on line 5 for Bond C includes the following: $45,263 of issuance costs and $39,737 of credit enhancement fees. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| Indiana Healthcare Foundation | |||||||||
| 835 Hospital Road | Indiana | PA | 15701 | 251574302 | Fundraising in Support of Indiana Regional Medical Center | PA | 501(c)(3) | Line 11a, I | N/A |
| Indiana Healthcare Corporation | |||||||||
| 835 Hospital Road | Indiana | PA | 15701 | 251547379 | Parent Corporation | PA | 501(c)(3) | Line 7 | N/A |
| Indiana Jefferson Radiation Oncology Inc | |||||||||
| 835 Hospital Road | Indiana | PA | 15701 | 900406301 | Radiation Oncology services | PA | 501(c)(3) | Line 11a, I | N/A |
| Indiana Healthcare Physician Services Inc | |||||||||
| 835 Hospital Road | Indiana | PA | 15701 | 251842046 | Provide health care | PA | 501(c)(3) | Line 3 | N/A |
| Indiana Healthcare Properties | |||||||||
| 835 Hospital Road | Indiana | PA | 15701 | 251524635 | Hold & Manage property in Support of Indiana Regional Medical Center | PA | 501(c)(3) | Line 11a, I | N/A |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Indiana Jefferson Radiation Oncology Inc | |
| O | 70950 |
| Indiana Jefferson Radiation Oncology Inc | |
| P | 944289 |
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