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INDIANA REGIONAL MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
INDIANA REGIONAL MEDICAL CENTER (EIN 25-0965404)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-13
IRS object ID
202411349349307656
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-13T15:27:52-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line120 STANWIX STREETAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15222ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN250965404EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL F ICKOWSKIPersonNm
Person TitleCFOPersonTitleTxt
Phone7243577008PhoneNum
Signature2024-05-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHAELPersonFirstNm
Person LastICKOWSKIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY J PETRELLPreparerPersonNm
PTINP00138808PTIN
Phone4126976400PhoneNum
Preparation2024-05-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEPHEN A WOLFEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 HOSPITAL ROADAddressLine1Txt
CityINDIANACityNm
State AbbreviationPAStateAbbreviationCd
ZIP15701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$218,868,486GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.INDIANARMC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1944FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT, AND DIGNITY.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee1257TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$382,748TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$377,895NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,990,336PYContributionsGrantsAmt
CY Contributions Grants$8,717,956CYContributionsGrantsAmt
PY Program Service Revenue$164,057,306PYProgramServiceRevenueAmt
CY Program Service Revenue$198,591,030CYProgramServiceRevenueAmt
PY Investment Income$5,260,452PYInvestmentIncomeAmt
CY Investment Income$4,382,506CYInvestmentIncomeAmt
PY Other Revenue$4,320,789PYOtherRevenueAmt
CY Other Revenue$6,299,042CYOtherRevenueAmt
PY Total Revenue$179,628,883PYTotalRevenueAmt
CY Total Revenue$217,990,534CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$79,189,639PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$89,405,319CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$83,483,876PYOtherExpensesAmt
CY Other Expenses$113,366,012CYOtherExpensesAmt
PY Total Expenses$162,673,515PYTotalExpensesAmt
CY Total Expenses$202,771,331CYTotalExpensesAmt
PY Revenues Less Expenses$16,955,368PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,219,203CYRevenuesLessExpensesAmt
Total Assets BOY$279,036,107TotalAssetsBOYAmt
Total Assets EOY$256,016,534TotalAssetsEOYAmt
Total Liabilities BOY$134,263,654TotalLiabilitiesBOYAmt
Total Liabilities EOY$116,089,369TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$144,772,453NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$139,927,165NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF INDIANA REGIONAL MEDICAL CENTER IS TO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT, AND DIGNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$161,886,245ExpenseAmt
Revenue$198,591,030RevenueAmt
DescIRMC CONTINUES TO BE A RESOURCE TO THE COMMUNITY PROVIDING FREE HEALTHCARE RELATED EVENTS PROMOTING EDUCATION, SCREENING PROGRAMS AND FIRST AID SERVICE. THE INSTITUTE FOR HEALTHY LIVING AT IRMC OFFERS HEALTH SERVICES AND EDUCATIONAL PROGRAMS AT NO CHARGE SUCH AS: BLOOD PRESSURE CLINICBONE DENSITY SCREENINGBOTHERED BY BUNIONS EVENTBREAST HEALTH EVENT DR. CLARK VIRTUAL EVENTCHEERS TO YOUR HEARTCHOLESTEROL SCREENINGCOLORECTAL EDUCATION SEMINARCOMMUNITY HEALTH COACHINGDIABETES EDUCATIONDR. SCHOLL - VIRTUAL CHRONIC PAIN EVENTFARMERS MARKET TABLEFREE S&T WELLNESS GYM MEMBERSHIPSGET YOUR REAR IN GEAR COLORECTAL WALKGINGERBREAD MAN SPORTS NUTRITION SOCIAL EMOTION LEARNING DAYHEART HEALTH EDUCATION AND PILATES - DR. LINTON FRAZIERHEART HEALTH EXPOHERNIA SCREENINGIMPERFECT HEART SEMINARINDIANA CHAMBER OF COMMERCE WOMEN'S SUMMITINDIANA COUNTY FAIRIUP HEALTH FAIRLISTEN TO YOUR HEART - HEART HEALTH SCREENINGMENTAL NOTES - MENTAL HEALTH SEMINARPARKINSON SUPPORT GROUP EDUCATIONPELVIC FLOOR SEMINARPROSTATE SCREENINGSENIOR EXPOSMOKING CESSATION PROGRAMSTROKE EDUCATION EVENTTOUCHDOWN FOR HEALTH ORTHOPEDIC EDUCATIONUNTIL THERE'S A CURE - WOMEN'S CANCER EDUCATIONWALK WITH THE DOCSWOMEN'S HEALTH EDUCATION ZOOMYOU ARE THE ONE IN 2022 HEALTH EDUCATION SERIESPREVENTIVE HEALTH SERVICES, GENERAL/OTHER: M. DORCAS CLARK WOMEN'S IMAGING CENTER: THE WOMEN'S IMAGING CENTER AND THEIR STAFF HAVE PARTICIPATED IN NUMEROUS COMMUNITY EVENTS PROVIDING INFORMATION ABOUT THE IMPORTANCE OF BREAST HEALTH. BIRDIE'S CLOSET, A PROJECT DESIGNED TO HELP WOMEN COPE WITH APPEARANCE-RELATED SIDE-EFFECTS OF CANCER TREATMENT, WAS OPENED IN THE WOMEN'S IMAGING CENTER.Desc
Total Program Service Expenses$161,886,245TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document254IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1257EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBERT A GONGAWARE CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7243577008PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
NATHAN KOVALCHICK
CHAIRMAN1.001.00Yes (X)Yes (X)$0$0$0
T MICHAEL PRICE
VICE CHAIRMAN1.001.00Yes (X)Yes (X)$0$0$0
FRANK ROBERTS
SECRETARY1.001.00Yes (X)Yes (X)$0$0$0
BECKY STAPLETON
TREASURER1.00Yes (X)Yes (X)$0$0$0
STEPHEN A WOLFE
PRESIDENT & CEO34.006.00Yes (X)Yes (X)$802,111$0$42,593
TODD BRICE
BOARD MEMBER1.001.00Yes (X)$0$0$0
HILLARY CREELY
BOARD MEMBER1.001.00Yes (X)$0$0$0
RUSSELL A DROZDIAK MD
BOARD MEMBER40.001.00Yes (X)$159,630$0$3,362
MATTHEW N KLAIN MD
BOARD MEMBER1.00Yes (X)$0$0$0
LAURIE A KUZNESKI
BOARD MEMBER1.00Yes (X)$0$0$0
CHRISTINA B LUBOLD MD
BOARD MEMBER5.00Yes (X)$37,920$0$0
JAMES R MARTIN
BOARD MEMBER1.001.00Yes (X)$0$0$0
TIMOTHY CLARK SIMPSON MD
BOARD MEMBER1.0039.00Yes (X)$0$497,409$19,946
ROBERT A GONGAWARE
CHIEF FINANCIAL OFFICER34.006.00Yes (X)$323,825$0$34,321
RICHARD NEFF MD
CHIEF MEDICAL OFFICER34.006.00Yes (X)$397,918$0$28,299
BRETT BRAUN
CHIEF OPERATING OFFICER34.006.00Yes (X)$220,307$0$29,609
WENDY HAISLIP
CHIEF NURSING OFFICER34.006.00$227,299$0$24,264Yes (X)
JAMES KINNEER
CHIEF HUMAN RESOURCE OFFICER20.0020.00$227,352$0$34,514Yes (X)
MARK VOLOVIC
CHIEF INFORMATION OFFICER34.006.00$280,240$0$32,304Yes (X)
ADENIRAN HAASTRUP MD
PHYSICIAN40.00$559,271$0$22,356Yes (X)
TOLUTOPE OZAH MD
PHYSICIAN40.00$492,728$0$21,848Yes (X)
PATRICK SHANNON DO
PHYSICIAN40.00$430,726$0$27,721Yes (X)
BENJAMIN L PARK DO
PHYSICIAN40.00$483,874$0$18,007Yes (X)
KYUNG PARK MD
PHYSICIAN40.00$336,451$0$11,518Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,979,652TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$497,409TotReportableCompRltdOrgAmt
Total Other Compensation$350,662TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K70IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CENTER FOR ORTHO & SPORTS MEDICINE
120 IRMC DR STE 160INDIANAPA15701ORTHOPEDIC SERVICES$3,712,677
AHN ERHOSPITALIST GROUP
4535 DRESSLER RD NWCANTONOH44718HOSPITALISTS$1,725,436
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146MINNEAPOLISMN554809146REFERENCE LAB SERVICES$1,465,820
COSM REALTY GROUP LTD
120 IRMC DR STE 160INDIANAPA15701RENT$870,421
MATTHEW KLAIN GROUP
1265 WAYNE AVENUE SUITE 102INDIANAPA15701PHYSICIAN SERVICES$775,321
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K32CntrctRcvdGreaterThan100KCnt
Government Grants$6,697,198GovernmentGrantsAmt
All Other Contributions$2,020,758AllOtherContributionsAmt
Total Contributions$8,717,956TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SVC REV621990$198,451,919$198,451,919
HEALTH CLASSES/COUNSEL624100$86,064$86,064
RENTAL REVENUE-AFFILIATES531120$40,942$40,942
HOSPICE PRESCRIPTIONS621990$12,105$12,105
FieldValueIRS element (for citing)
Total Program Service Revenue$198,591,030TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,906,833TotalRevenueColumnAmt
Exclusion$2,906,833ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,988TotalRevenueColumnAmt
Exclusion$7,988ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,693,963RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$792,663RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,901,300RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,901,300TotalRevenueColumnAmt
Exclusion$1,901,300ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,560,962SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$85,289OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,560,962SecuritiesAmt
Other-$85,289OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,475,673TotalRevenueColumnAmt
Exclusion$1,475,673ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA REV900099$768,556$768,556
CHART REVENUE900099$754,293$754,293
MANAGEMENT FEES900099$624,351$624,351

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,242,554TotalRevenueColumnAmt
Unrelated Business Revenue$382,748UnrelatedBusinessRevenueAmt
Exclusion$1,859,806ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,389,754OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$217,990,534TotalRevenueColumnAmt
Related Or Exempt Func Income$198,591,030RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$382,748UnrelatedBusinessRevenueAmt
Exclusion$10,298,800ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,905,868TotalAmt
Management And General$2,905,868ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$65,389,059TotalAmt
Program Services$54,411,689ProgramServicesAmt
Management And General$10,977,370ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,130,646TotalAmt
Program Services$3,302,038ProgramServicesAmt
Management And General$828,608ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,851,658TotalAmt
Program Services$10,456,891ProgramServicesAmt
Management And General$2,394,767ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,128,088TotalAmt
Program Services$3,299,994ProgramServicesAmt
Management And General$828,094ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$450,280TotalAmt
Management And General$450,280ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$402,397TotalAmt
Management And General$402,397ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$314,382TotalAmt
Management And General$314,382ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$108,828TotalAmt
Management And General$108,828ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$273,411TotalAmt
Management And General$273,411ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,495,922TotalAmt
Program Services$23,735,368ProgramServicesAmt
Management And General$5,760,554ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$800,752TotalAmt
Program Services$31,149ProgramServicesAmt
Management And General$769,603ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,923,498TotalAmt
Program Services$1,886,182ProgramServicesAmt
Management And General$37,316ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,711,246TotalAmt
Program Services$1,697,933ProgramServicesAmt
Management And General$3,013,313ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$946,438TotalAmt
Program Services$695,253ProgramServicesAmt
Management And General$251,185ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$445,552TotalAmt
Program Services$246,836ProgramServicesAmt
Management And General$198,716ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$21,131TotalAmt
Program Services$21,131ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,305,489TotalAmt
Program Services$2,305,489ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,586,397TotalAmt
Program Services$10,070,896ProgramServicesAmt
Management And General$1,515,501ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,656,061TotalAmt
Program Services$2,123,255ProgramServicesAmt
Management And General$532,806ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$44,778,046$43,909,352$868,694
BAD DEBT EXPENSE$7,556,208$7,556,208
CLEANING SVCS & SUPPLIE$1,429,684$1,142,889$286,795
DIETARY/FOOD$1,012,626$809,493$203,133

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,147,664TotalAmt
Program Services$1,740,407ProgramServicesAmt
Management And General$407,257ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$202,771,331TotalAmt
Program Services$161,886,245ProgramServicesAmt
Management And General$40,885,086ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,259BOYAmt
EOY$7,308EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,185,735BOYAmt
EOY$2,808,230EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,802,310BOYAmt
EOY$24,271,534EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,168,324BOYAmt
EOY$3,136,769EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,968,905BOYAmt
EOY$1,709,339EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$227,970,224LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$126,477,180LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$105,088,547BOYAmt
EOY$101,493,044EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$89,831,542BOYAmt
EOY$91,889,776EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$15,027,284BOYAmt
EOY$17,803,094EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$194,770BOYAmt
EOY$166,945EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$30,761,431BOYAmt
EOY$12,730,495EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$279,036,107BOYAmt
EOY$256,016,534EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,608,459BOYAmt
EOY$23,973,258EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,171,329BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,069,404BOYAmt
EOY$31,054,253EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$18,633,723BOYAmt
EOY$17,870,585EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$48,780,739BOYAmt
EOY$43,191,273EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$134,263,654BOYAmt
EOY$116,089,369EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$137,321,182BOYAmt
EOY$130,656,719EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,451,271BOYAmt
EOY$9,270,446EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$144,772,453BOYAmt
EOY$139,927,165EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$279,036,107BOYAmt
EOY$256,016,534EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$15,219,203ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,928,691NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$21,993,182OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$75,240DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,308OtherActivitiesAmt
Total Lobbying Expenditures$78,548TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE MEDICAL CENTER IS A MEMBER OF NATIONAL AND STATE HOSPITAL AND HEALTHCARE ASSOCIATIONS THAT PERFORM LOBBYING ACTIVITIES. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS LISTED AS LOBBYING EXPENDITURES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,282,303OtherCostOrOtherBasisAmt
Book Value$3,282,303BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,791,599OtherCostOrOtherBasisAmt
Depreciation$37,003,548DepreciationAmt
Book Value$41,788,051BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$139,480,565OtherCostOrOtherBasisAmt
Depreciation$86,220,244DepreciationAmt
Book Value$53,260,321BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,415,757OtherCostOrOtherBasisAmt
Depreciation$3,253,388DepreciationAmt
Book Value$3,162,369BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$101,493,044TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$17,803,094BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$17,803,094TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
ESTIMATED 3RD PARTY$515,192
OPERATING LEASE OBLIGATIONS$6,291,920
MALPRACTICE LIABILITY$5,283,386
PENSION LIABILITY$20,191,470
DEFERRED COMPENSATION LIABILITY$1,481,049
CAPITAL LEASE OBLIGATIONS$2,919,266
CONTRACT LIABILITIES$6,508,990
FieldValueIRS element (for citing)
Total Liability$43,191,273TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$219,200,734TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,928,691NetUnrealizedGainsInvstAmt
Other Revenue$7,111,128OtherRevenueAmt
Revenue Not Reported$9,039,819RevenueNotReportedAmt
Revenue Subtotal$210,160,915RevenueSubtotalAmt
Other Revenues Not Included$7,829,619OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$7,829,619RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$217,990,534TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$195,734,375TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$792,663OtherExpensesIncludedAmt
Expenses Not Reported$792,663ExpensesNotReportedAmt
Expenses Subtotal$194,941,712ExpensesSubtotalAmt
Other Expenses Not Included$7,829,619OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$7,829,619ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$202,771,331TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:INDIANA REGIONAL MEDICAL CENTER IS A TAX-EXEMPT ORGANIZATION AND NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES IN ACCORDANCE WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ON SUCH BASIS, IT WILL NOT INCUR ANY LIABILITY FOR INCOME TAXES, EXCEPT FOR POSSIBLE UNRELATED BUSINESS INCOME. MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:TRANSFER (TO)/FROM AFFILIATES 55,716. CHANGE IN INTEREST IN INDIANA HEALTHCARE FOUNDATION 692,708. CHANGE IN PENSION AND POST-RETIREMENT LIABILITIES 5,570,041. RENTAL EXPENSES 792,663.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBTS NETTED AGAINST REVENUE ON FINANCIALS 7,556,208. INVESTMENT MGT. FEES NETTED AGAINST REVENUE ON FINANCIALS 273,411.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 792,663.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT MANAGEMENT FEES NETTED AGAINST REVENUE ON FINANCIALS 273,411. BAD DEBTS NETTED AGAINST REVENUE ON FINANCIALS 7,556,208.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served1419PersonsServedCnt
Total Community Benefit Expns$1,844,212TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,844,212NetCommunityBenefitExpnsAmt
Total Expense0.00940TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served53975PersonsServedCnt
Total Community Benefit Expns$25,589,280TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,602,402DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,986,878NetCommunityBenefitExpnsAmt
Total Expense0.03580TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Persons Served128748PersonsServedCnt
Total Community Benefit Expns$4,911,521TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,911,521NetCommunityBenefitExpnsAmt
Total Expense0.02520TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served184142PersonsServedCnt
Total Community Benefit Expns$32,345,013TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,602,402DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,742,611NetCommunityBenefitExpnsAmt
Total Expense0.07040TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served22925PersonsServedCnt
Total Community Benefit Expns$1,673,479TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$166,994DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,506,485NetCommunityBenefitExpnsAmt
Total Expense0.00770TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served48PersonsServedCnt
Total Community Benefit Expns$257,091TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$257,091NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served9878PersonsServedCnt
Total Community Benefit Expns$21,522,615TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,171,066DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,351,549NetCommunityBenefitExpnsAmt
Total Expense0.05300TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served32851PersonsServedCnt
Total Community Benefit Expns$23,453,185TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,338,060DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,115,125NetCommunityBenefitExpnsAmt
Total Expense0.06200TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served216993PersonsServedCnt
Total Community Benefit Expns$55,798,198TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,940,462DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,857,736NetCommunityBenefitExpnsAmt
Total Expense0.13240TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$7,556,208BadDebtExpenseAmt
Bad Debt Expense Attributable$736,700BadDebtExpenseAttributableAmt
Reimbursed By Medicare$26,574,681ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$31,199,566CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,624,885MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 COSM REALTY GROUP LTD
REAL ESTATE0.400000.000000.30000
2 INDIANA REHABILITATION SERVICES
REHABILITATION SERVICES0.510000.000000.49000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1INDIANA REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLIRMC.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLPAH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLIRMC.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.IRMC.ORG/PATIENTS-AND-VISITORS/FINANCIAL-SERVICES/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.IRMC.ORG/PATIENTS-AND-VISITORS/FINANCIAL-SERVICES/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.IRMC.ORG/PATIENTS-AND-VISITORS/FINANCIAL-SERVICES/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
INDIANA REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 5: IN THE FALL OF 2020, INDIANA REGIONAL MEDICAL CENTER (IRMC) AND PUNXSUTAWNEY AREA HOSPITAL (PAH) FORMALIZED A COLLABORATION UNDER ONE GOVERNING BOARD OF DIRECTORS CALLED THE PENNSYLVANIA MOUNTAINS CARE NETWORK (PMCN). THIS COLLABORATION HELPS TO SUSTAIN A HIGH LEVEL OF PATIENT CARE RESIDENTS ALREADY RECEIVE IN BOTH INDIANA AND JEFFERSON COUNTY.THE HOSPITAL WORKED WITH A CONSULTING FIRM, STRATEGY SOLUTIONS, INC. (SSI). THE PROCESS WAS LED BY THE VP OF PROFESSIONAL AND CORPORATE SERVICES. THE 2021 IRMC AND PAH CHNA WAS CONDUCTED TO IDENTIFY PRIMARY HEALTH ISSUES, CURRENT HEALTH STATUS AND NEEDS TO PROVIDE CRITICAL INFORMATION TO THOSE IN A POSITION TO MAKE A POSITIVE IMPACT ON THE HEALTH OF THE REGION'S RESIDENTS. THE RESULTS ENABLE COMMUNITY MEMBERS TO MORE STRATEGICALLY ESTABLISH PRIORITIES, DEVELOP INTERVENTIONS, AND DIRECT RESOURCES TO IMPROVE THE HEALTH OF PEOPLE LIVING IN THE COMMUNITY.IRMC IDENTIFIED COMMUNITY HEALTH NEEDS THROUGH A COLLABORATIVE PROCESS WITH PENNSYLVANIA MOUNTAIN HEALTH CARE NETWORK (PMCN) HOSPITALS. BUILDING PAST INITIATIVES, THE FY2021 PROCESS INCLUDED A COMPREHENSIVE SURVEY PROCESS, A IRMC CHNA TEAM PRIORITIZATION EXERCISE TO DETERMINE PRIORITIES AND ASSESSMENT OF PAST SUCCESSES AND FAILURES. AS THE CHNA LEVERAGED AND UTILIZED THE HOSPITAL'S PLANNING STAFF, A MULTI-PART PROCESS WAS EMPLOYED TO DEVELOP THIS IMPLEMENTATION STRATEGY AND COMMUNITY BENEFIT PLAN, INCLUDING THE FOLLOWING:- QUANTITATIVE DATA REVIEW AND ANALYSIS:- LITERATURE REVIEWS TO IDENTITY STATE AND NATIONAL BENCHMARKS, AND EVIDENCE BASED STRATEGIES THAT RELATED TO THE INDICATORS/METRICS MEASURED THROUGH THE QUANTITATIVE DATA SOURCES- QUALITATIVE DATA PROVIDED THROUGH THE SURVEY PROCESS AND DIALOGUES WITH COMMUNITY AND HEALTHCARE LEADERS IN THE REGION. THE CHNA UTILIZATIONS OF MULTIPLE TYPES OF RESEARCH ALLOWED FOR DATA COLLECTION ACROSS A BROAD RANGE OF INDICATORS RELATED TO OVERALL POPULATION HEALTH, SOCIAL DETERMINANTS OF HEALTH INCLUDED GEOGRAPHIC LOCATION DIFFERENCES IN HEALTH OUTCOMES AND THE NEEDS OF DISADVANTAGED POPULATIONS INCLUDING UNINSURED PERSON, LOW INCOME PERSONS AND MINORITY GROUPS WITHIN THE REGION. THE PENNSYLVANIA MOUNTAIN HEALTH CARE NETWORK HOSPITALS ARE COMMITTED TO SERVING PATIENTS IN THE REGION AND ARE USING SOUND AVAILABLE DATA TO GUIDE THE PLANNING PROCESS. IN ADDITION TO DATA COLLECTION AND RESEARCH, THE IRMC CHNA TEAM CONDUCTED A COMPREHENSIVE ONLINE SURVEY TO ASSESS THE NEEDS OF THE COMMUNITY AND IDENTIFY HEALTH PRIORITIES AT THE LOCAL LEVEL.IN ADDITION TO THE ASSESSMENT IRMC CHNA ALSO REVIEWED ITS EXISTING COMMUNITY BENEFIT ACTIVITIES- BOTH INTERNALLY AND IN CONJUNCTION WITH ITS PMCN PARTNERS TO ASSESS WHETHER THESE SERVICES WERE PROVIDING VALUE CONSISTENT WITH THE NEEDS OF THE COMMUNITY AND ITS RESIDENTS. SPECIFICALLY, THESE CONSIDERED KEY HEALTH FACTORS AND OUTCOMES RESULTANT FROM ASSOCIATED DEMOGRAPHIC, SOCIAL AND ECONOMIC IMPACTS, THE PHYSICAL ENVIRONMENT, HEALTHCARE ACCESS AND RESOURCE COORDINATION AND BEHAVIORAL TRENDS. BASICALLY CONNECTING THE REGIONS NEEDS TO THAT OF STATE AND NATION. WITH HEALTHY PEOPLE 2020, AND THE CMS STRATEGY CONNECTED TO THE PENNSYLVANIA DEPARTMENT OF HEALTH PRIORITIES, THIS CHNA IS CONNECTED TO EVIDENCE AND DATA BASED PRIORITIES.
INDIANA REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 6A: THE COMMUNITY NEEDS ASSESSMENT SERVED INDIANA REGIONAL MEDICAL CENTER AND PUNXSUTAWNEY AREA HOSPITAL.
INDIANA REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 11: DURING JULY AND AUGUST 2022 AND THEN OCTOBER 2022, IRMC CONDUCTED AN EVALUATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGIES THAT HAVE BEEN UNDERWAY OVER THE FIRST YEAR OF THE IMPLEMENTATION PLAN (JULY 1, 2021, THROUGH JUNE 2022). THE EVALUATION PROCESS INCLUDED SUBMISSION AND REVIEW OF THE OUTCOMES AND IMPACT DATA THAT WAS TRACKED AND REPORTED DURING THE LAST FISCAL YEAR.GOAL 1: IMPROVE HEALTH STATUS BY INCREASING PARTICIPATION IN EDUCATION AND WELLNESS, FOCUSING ON OVERWEIGHT/OBESITY IRMC HAS CONTINUED TO OFFER OUR WELLNESS PROGRAM TO EMPLOYEES AND COMMUNITY PARTNERS - 1,327 PARTICIPANTS THIS YEAR - 833.6 TOTAL POUNDS LOST BY PROGRAM PARTICIPANTS, WITH AN AVERAGE WEIGHT LOSS OF 6.4 POUNDS - OFFERED 25 NUTRITIONAL CHALLENGES WITH 700 PARTICIPANTS, OF WHICH 75 COMPLETED THE CHALLENGE (10.7%)- PROVIDED 245 HEALTH COACHING SESSIONS AND HAD 15 EDUCATIONAL ENCOUNTERS IRMC HAS CONTINUED TO PROMOTE HEALTH AND WELLNESS TO THE COMMUNITY AT-LARGE - 901 PARTICIPANTS IN CORPORATE BEWELL PROGRAM - 15,179 VISITS TO S&T WELLNESS CENTER WITH 1,264 VISITS ON AVERAGE PER MONTH - PROVIDED MEDICAL NUTRITION THERAPY TO 891 PARTICIPANTS WHO LOST A TOTAL OF 25 POUNDS - PROVIDED SERVICES THROUGH THE BARIATRIC CENTER 323 NEW PATIENTS OF WHICH 55 WERE SURGICALFOLLOWED UP WITH 255 PATIENTS PERFORMED 8 BARIATRIC PROCEDURES SURGICAL PATIENTS LOST A TOTAL OF 161.3 POUNDS - OFFERED 23 EDUCATIONAL SESSIONS WITH A TOTAL OF 299 PARTICIPANTS - CONTINUED LEAN WEIGHT MANAGEMENT PROGRAM ONLINE WITH 34 PARTICIPANTS, WITH AVERAGE WEIGHT LOSS OF 11.7 POUNDSGOAL 2: INCREASE ACCESS TO MENTAL HEALTH SERVICES AND SUPPORTS IRMC SERVED A COMMUNITY NEED BY IMPLEMENTING A BH OUTREACH PROGRAM TO CONNECT EMERGENCY DEPARTMENT BH PATIENTS WITH OUTPATIENT - AMBULATORY SOCIAL WORKERS MADE 1,088 REFERRALS - AMBULATORY SOCIAL WORKERS CONNECTED WITH 158 PATIENTS - SPOKE WITH 55 BH PATIENTS POST-DISCHARGE - THE EMERGENCY DEPARTMENT HAD 1,209 BH RELATED VISITS (68% WERE FROM INDIANA COUNTY), WITH AVERAGE WAIT TIME TO TRANSFER TO MENTAL HEALTH FACILITY OF 14.86 HOURS IRMC CONTINUES TO PROVIDE EDUCATION AND OUTREACH - PARTICIPATED IN MENTAL HEALTH AWARENESS MONTH, HAD A TABLE OF RESOURCES AVAILABLE AT IRMC PARK AND ENGAGED IN CONVERSATIONS WITH COMMUNITY MEMBERS - IRMC IS AN ACTIVE MEMBER OF THE SUICIDE TASKFORCE AND INTERVENTION SUBCOMMITTEE IRMC MADE ONLINE RESOURCES AVAILABLE THROUGH THE HOSPITAL'S WEBPAGE AND ADDED LINKS TO OUTSIDE RESOURCESGOAL 3: DECREASE DRUG AND ALCOHOL USE IN INDIANA COUNTY BY CONTINUING TO COLLABORATE WITH THE ARMSTRONG-INDIANA-CLARION DRUG & ALCOHOL COMMISSION AND ARMOT ON PREVENTION, EDUCATION, INTERVENTION AND TREATMENT STRATEGIES IRMC CONTINUES OUR RELATIONSHIP WITH LOCAL PARTNERS - PARTICIPATED IN 7 COMMUNITY COLLABORATIVES - DISTRIBUTED 12 NARCAN KITS IN THE ED- ED LEADERSHIP AND ARMOT COLLABORATED TO DEVELOP STANDARD PROTOCOL FOR THOSE WHO SHOW UP IN ED OF AN OVERDOSE/RECEIVE SUBSTANCE USE DISORDER DIAGNOSIS. PROCESS CHANGED FROM OPT IN TO OPT OUT WHICH INCREASED THE NUMBER OF REFERRALS. - 307 PATIENTS PRESENTED TO THE ED WITH SUBSTANCE USE AS A FACTOR IRMC HAS CONTINUED TO REFER ED PATIENTS TO COMMUNITY PARTNERS - 245 REFERRED TO ARMOT - 85 COMPLETED TREATMENT - 18 PATIENTS RECEIVED BUPRENORPHINE IN THE ED- 8 PATIENTS REFERRED TO OPEN DOOR OR CROSSROADS BY ARMOTIRMC PROVIDES EDUCATION TO STAFF, PROVIDERS AND THE BROADER COMMUNITY IN AN EFFORT TO REDUCE STIGMA - 101 EDUCATIONAL EVENTS WITH 1,117 PARTICIPANTS - 1,117 NARCAN KITS DISTRIBUTED - EDUCATED 61 IRMC STAFF ON STIGMA REDUCTION WITH 100% REPORTING REDUCED STIGMA PRE/POST TRAINING IRMC HAS INCREASED ACCESS TO INPATIENT REHAB THROUGH LOCAL PARTNERSHIPS - 43 PATIENTS CONNECTED TO INPATIENT TREATMENT- 6 PATIENTS REFERRED TO OUTPATIENT TREATMENT- ARMOT PROGRAM HELPS TO INCREASE ACCESS TO INPATIENT TREATMENT FOR PATIENTS AT IRMC IRMC IS WORKING TO INCREASE AWARENESS OF AVAILABLE SERVICES - MARKETING EFFORTS TO PROMOTE WARMLINE FOR 24/7 ACCESS TO SERVICES - MEDIA CAMPAIGN TO PROMOTE AICDAC SERVICES. IRMC MADE ONLINE RESOURCES AVAILABLE THROUGH THE HOSPITAL WEBPAGE WITH LINKS TO EXTERNAL RESOURCES
INDIANA REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 16J: DIRECT MAILING TO THE COMMUNITY.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE HOSPITAL USED A COST-TO-CHARGE RATIO IN DETERMINING THE FIGURES REPORTED IN THIS TABLE. THIS COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES AND AS CALCULATED AND REPORTED ON THE MEDICARE COST REPORT. COMMUNITY PROGRAMS ARE RECORDED IN SPECIFIC GENERAL LEDGER COST CENTERS AND STRUCTURE ON THE COMMUNITY BENEFIT FORMS WITH NUMBER OF PERSONS SERVED.
PART I, LINE 7G:NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED IN THE AMOUNT ON PART I, LINE 7G.
PART I, LN 7 COL(F):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 $7,556,208.
PART II, COMMUNITY BUILDING ACTIVITIES:OUR MISSION IS TO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT AND DIGNITY. ALL OF THE PROGRAMS OFFERED MEET COMMUNITY BENEFIT OBJECTIVES AND ARE RELATED TO OUR MISSION. IRMC OFFERS PROGRAMS THAT IMPROVE ACCESS TO HEALTH CARE SERVICES, ENHANCES HEALTH OF THE COMMUNITY WE SERVE, PROVIDES ADVANCED MEDICAL OR HEALTHCARE KNOWLEDGE AND RELIEVES SOME OF THE FINANCIAL OR PROGRAMMATIC BURDEN OF GOVERNMENT ON 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 VARIOUS OUTLYING AREAS IN INDIANA COUNTY, INCLUDING STRONGSTOWN, SHELOCTA, BLACKLICK, AND SMICKSBURG. WE ALSO CONTINUE TO PARTICIPATE IN NUMEROUS FREE COMMUNITY EVENTS PROVIDING EDUCATION, SCREENING PROGRAMS, SOCIAL SERVICES, AND FIRST AID SERVICES. OVER THE PAST YEAR, THE MOBILE MEDICAL HEALTH AND/OR COMMUNITY PROGRAMS LOGGED OVER 2,000 PARTICIPANTS.WE ALSO PROVIDE NUMEROUS HEALTH FAIRS REACHING ALMOST 2,000 PARTICIPANTS, AND CLASSES AND EDUCATION PROGRAMS WITH OVER 2,000 PARTICIPANTS. A FEW OF THE FAIRS OR SERVICES PROVIDED ARE: FREE PROSTATE SCREENING, SKIN CANCER SCREENING, WEIGHT CHECKS, ORTHOPEDIC/JOINT REPLACEMENT SEMINAR, BREAST HEALTH SEMINAR, DIABETES EDUCATION PROGRAMS, PHYSICIAN/PROVIDER COMMUNITY MEET AND GREET, BARIATRIC SURGERY SEMINAR, WEIGHT LOSS SUPPORT GROUP, BREAST CANCER SUPPORT GROUP, COMMUNITY CHOLESTEROL SCREENING, COLORECTAL CANCER EVENT, BARIATRIC SURGERY SUPPORT GROUP, STROKE EDUCATION EVENT, HEALTHY KIDS CAMP, HEALTHY KIDS DAY, "BIKE TO SCHOOL" (SAFETY FOR CHILDREN), LUNCH AND LEARN FOR KEYSTONE GENERATING STATION, LUNCH AND LEARN FOR MOOREHEAD PLACE, SERVICES AT LOCAL SENIOR CENTERS, IRMC PARK EVENTS, AS WELL AS NUMEROUS OTHERS. THE INSTITUTE FOR HEALTHY LIVING AT INDIANA REGIONAL MEDICAL CENTER OFFERS HEALTH SERVICES AND EDUCATION PROGRAMS TO THE COMMUNITY AT NO CHARGE.THE DIABETES EDUCATION CENTER CONTINUES TO OFFER FREE EDUCATION SERVICES AT VARIOUS LOCATIONS THROUGHOUT THE COUNTY. EACH MONTH STAFF AND MANAGEMENT AT IRMC PROVIDE SUPPORT TO A LOCAL FOOD BANK (ICAAP). THE DIABETES EDUCATION CENTER PROVIDES DIABETIC COMPETENCY TRAININGS FOR EMPLOYEES OF PERSONAL CARE HOMES, ASSISTED LIVING FACILITIES AND HOME HEALTH AGENCIES. CENTER ALSO PROVIDES COMMUNITY SUPPORT PROGRAMS AT NO COST FOR INSULIN PUMP TRAINING, GLUCOSE MONITORING, AND MORE. PREVENTIVE HEALTH SERVICES - M. DORCAS CLARK WOMEN'S IMAGING CENTER/COMPREHENSIVE BREAST 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. WEIGHT LOSS SUPPORT SERVICES THE IRMC WEIGHT MANAGEMENT & BARIATRIC SURGERY INSTITUTE OPENED IN 2021. INSTITUTE FOR HEALTHY LIVING'S REGISTERED DIETITIANS ARE DEPLOYED TO THE INSTITUTE TO MEET WITH PATIENTS ON ONE AS PART OF THEIR PRE-SURGICAL REQUIREMENTS. REGISTERED DIETITIANS ALSO SUPPORT PATIENTS BY LEADING BARIATRIC SUPPORT GROUPS AND INFORMATIONAL SESSIONS. IRMC'S CONGESTIVE HEART FAILURE PROGRAM SUPPORTS PATIENTS WITH CARDIAC MONITORING.SUPPORT HEALTH GROUPSFAMILY PROGRAMS BREASTFEEDING BASICS, CHILDBIRTH PREP, NEWBORN BASICSCOMMUNITY CLASSES POP PILATES, JOURNEY TO LEAN, WALK WITH A DOC, AND THOSE LISTED ABOVEIN 2009, INDIANA REGIONAL MEDICAL CENTER OPENED A NEW FACILITY OFFERING URGENT CARE SERVICES IN THE BLAIRSVILLE COMMUNITY AS A RESPONSE TO MEDICAL SERVICES NEEDED IN THAT AREA. THIS FACILITY IS 12 MILES FROM THE HOSPITAL CAMPUS.IN 2012, INDIANA REGIONAL MEDICAL CENTER OPENED ITS SECOND URGENT CARE FACILITY TO SERVICE THE PRIMARY MARKET SHARE WHERE THERE WAS A NOTED DEMAND FOR THESE SERVICES. THE URGENT CARE CENTERS REQUIRE ADDITIONAL STAFFING ON BEHALF OF THE HOSPITAL AS IT IS A NEW/ADDED LOCATION; HOWEVER, THESE FACILITIES SIGNIFICANTLY IMPROVE THE CYCLE TIME OF THE PATIENT THROUGHOUT AND SERVICES FOR THE NON-EMERGENT SERVICES NEEDED.
PART III, LINE 2:THE AMOUNT REPORTED IN PART III, LINE 2 IS ACTUAL BAD DEBTS (AT NET, NOT GROSS CHARGES) FOR THE YEAR.
PART III, LINE 3:THE AMOUNT REPORTED IN PART III, LINE 3 IS DERIVED BY USING THE MEDICARE COST TO CHARGE RATIO FROM THE COST REPORT.A PORTION OF THE BAD DEBT SHOULD BE INCLUDED AS COMMUNITY BENEFIT AS THE HOSPITAL IS NOT ABLE TO DENY SERVICES TO ANY PATIENT PRESENTING TO THE EMERGENCY DEPARTMENT, REGARDLESS IF THE PATIENTS HAVE THE MEANS TO PAY. THE DEDUCTIBLE AND CO-INSURANCE BALANCES THAT ARE NOT PAID REDUCE THE NET REVENUES DUE TO THE HOSPITAL AS PART OF THE RESPECTIVE PATIENT'S INSURANCE COVERAGE. IN ADDITION, THERE IS A "COST" TO THE HOSPITAL FOR TREATING ALL PATIENTS. AS WITH THE UNREIMBURSED AMOUNTS OF THE MEDICAID PATIENT SERVICES, THE HOSPITAL SHOULD BE ABLE TO INCLUDE THE UNREIMBURSED COSTS OF THE SERVICES THAT RESULTED IN NO PAYMENT.
PART III, LINE 4:THE FOLLOWING IS THE TEXT OF THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: PATIENTS ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE AT THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED OR UNDERINSURED PATIENTS IN ACCORDANCE WITH ORGANIZATION'S POLICIES, AND/OR IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED OR UNDERINSURED PATIENTS AND DO NOT BEAR INTEREST. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT REVENUES IN THE PERIOD OF THE CHANGE.
PART III, LINE 8:100% OF THE SHORTFALL IS A COMMUNITY BENEFIT. THE MEDICARE PROGRAM WAS DESIGNED TO COVER THE COSTS OF THE HOSPITALS USING THE COST BASE YEAR(S). IRMC IS A VERY LOW COST PROVIDER AND IS NOT ABLE TO COVER COSTS SINCE THE SEQUESTRATION REDUCTION, THE LESS ALL THE OTHER DOWNWARD ADJUSTMENTS TO THE NET MBI WHILE THE COSTS OF DRUGS, SUPPLIES, IMPLANTS, CLINCAL STAFF AND HEALTH BENEFITS CONTINUE TO INCREASE 5-20%. IRMC IS A SOLE COMMUNITY PROVIDER NOT RECEIVING SUFFICIENT SCH ADD ON TO COVER COSTS FOR ALL CARE NEEDED (BASE YEAR WAS TOO LONG AGO AND NOT AS RELEVANT TO CURRENT COSTS) TO BE PROVIDED AS THE ONLY PROVIDER IN THE DEFINED GEOGRAPHICAL AREA. ACTUAL AMOUNTS PER THE MEDICARE COST REPORT THAT DETERMINE THE REIMBURSEMENTS, PAYMENTS RECEIVED (THUS SETTLEMENTS) AND COSTS.
PART III, LINE 9B:PATIENTS ARE EXPECTED TO PAY ALL BALANCES IN FULL WITHIN FIFTEEN DAYS OF A FINAL BILLING. IF THIS IS NOT POSSIBLE, PATIENTS WILL BE COUNSELED ON THE USE OF MEDICAL ASSISTANCE OR THE INDIANA CHARITY CARE PROGRAM, I-CARE.ON A MONTHLY BASIS, THE CREDIT SUPERVISOR WILL COMPILE A REPORT LISTING ALL ACCOUNTS, WHICH HAVE BEEN BILLED TO MEDICARE, AND ANY SECONDARY INSURANCE CARRIER WHERE APPLICABLE. A LISTING OF ACCOUNTS WHICH HAVE BEEN BILLED TO MEDICAL ASSISTANCE AS A SECONDARY PAYOR ARE REVIEWED BY THE CREDIT SUPERVISOR FOR AN AUTOMATIC WRITE OFF AFTER MEDICAL ASSISTANCE HAS PROCESSED THE ACCOUNT. ACCOUNTS WHICH HAVE BALANCES AFTER MEDICARE AND ALL SECONDARY PAYORS HAVE BEEN BILLED WILL BE PLACED WITH AN OUTSIDE COLLECTION AFTER TWO UNANSWERED STATEMENTS. AN EXCEPTION WILL BE MADE IN THE EVENT A PATIENT/GUARANTOR DOES NOT FOLLOW THROUGH WITH THE MEDICAL ASSISTANCE APPLICATION PROCESS, WHEN REQUESTED TO DO SO. THE AGENCY WILL ATTEMPT TO COLLECT THE ACCOUNT FOR SIX MONTHS. AFTER THAT TIME THE ACCOUNT WILL BE WRITTEN OFF AS MEDICARE BAD DEBT.THE IRMC COLLECTION POLICY CONTAINS PROVISIONS TO PROVIDE A SOFTER APPROACH FOR THOSE THAT IRMC HAS LEARNED WOULD QUALIFY FOR FINANCIAL ASSISTANCE. UPON RECEIPT OF THE CALL FROM THE PATIENT THAT THERE IS HARDSHIP IN PAYING THE BILL, THE IRMC COLLECTION REPRESENTATIVE SHARES THE INFORMATION FOR APPLICATION FOR BOTH MEDICAL ASSISTANCE AND CHARITY CARE. WHILE THE PATIENT'S ACCOUNT IS IN THIS PROCESS, THEIR ACCOUNT WILL NOT BE PROVIDED TO THE COLLECTION AGENCY.
PART VI, LINE 2:THE IRMC CHNA WAS CONDUCTED TO IDENTIFY PRIMARY HEALTH ISSUES, CURRENT HEALTH STATUS, AND HEALTH NEEDS TO PROVIDE CRITICAL INFORMATION TO THOSE IN A POSITION TO MAKE A POSITIVE IMPACT ON THE HEALTH OF THE REGION'S RESIDENTS. THE RESULTS ENABLE COMMUNITY MEMBERS TO MORE STRATEGICALLY ESTABLISH PRIORITIES, DEVELOP INTERVENTIONS, AND DIRECT RESOURCES TO IMPROVE THE HEALTH OF PEOPLE LIVING IN THE COMMUNITY.TO GUIDE THIS ASSESSMENT, THE LEADERSHIP AT IRMC FORMED A STEERING COMMITTEE THAT CONSISTED OF HOSPITAL AND COMMUNITY LEADERS WHO REPRESENTED THE BROAD INTERESTS OF THEIR LOCAL REGION. THESE INCLUDED REPRESENTATIVES WHO UNDERSTOOD THE NEEDS AND ISSUES RELATED TO VARIOUS UNDERREPRESENTED GROUPS INCLUDING MEDICALLY UNDERSERVED POPULATIONS, LOW-INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS, INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH, AND INTERNAL PROGRAM MANAGERS. THE IRMC STEERING COMMITTEE MET TWO TIMES BETWEEN MARCH 2021 AND APRIL 2021 TO PROVIDE GUIDANCE ON THE VARIOUS COMPONENTS OF THE CHNA.SEE PART V OF SCHEDULE H FOR FURTHER DISCUSSION ON NEEDS ASSESSMENT.
PART VI, LINE 3:AT REGISTRATION, PATIENTS WITHOUT INSURANCE ARE PHYSICALLY PROVIDED INFORMATION ABOUT MEDICAID AND OUR CHARITY CARE POLICY AND ENCOURAGED TO ENROLL (WE ARE AVAILABLE TO ASSIST THE CUSTOMER WITH ENROLLMENT). SIGNAGE IS ALSO POSTED THROUGHOUT THE FACILITY OUTLINING OUR CHARITY CARE PROGRAM. ALSO, ALL PATIENT STATEMENTS REFLECT INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS AVAILABLE TO THE PATIENTS. CHARITY CARE INFORMATION IS ALSO REFERENCED ON THE HOSPITAL'S WEB SITE.
PART VI, LINE 4:THE POPULATION IN INDIANA COUNTY HAS BEEN DECREASING AND IS PROJECTED TO CONTINUE TO DECREASE INTO 2026. THE POPULATION IS PREDOMINATELY CAUCASIAN (94.3%) AND THERE IS A COMPARABLE NUMBER OF MALES (50.1%) AND FEMALES (49.9%). THE MEDIAN AGE IS 40.2 AND IS PROJECTED TO REMAIN STEADY OVER THE NEXT FIVE YEARS. JUST UNDER HALF OF THE POPULATION IS MARRIED (47.1%), WHILE 9.1% ARE DIVORCED AND 5.6% ARE WIDOWED. ONE IN TEN RESIDENTS (9.7%) DID NOT GRADUATE HIGH SCHOOL, WHILE 42.7% ARE HIGH SCHOOL OR EQUIVALENT GRADUATES. ONE IN TEN (11.0%) HAVE AN ADVANCED DEGREE. THE AVERAGE HOUSEHOLD INCOME IS $65,781, WITH A MEDIAN INCOME OF $50,130. MOST OF THE LABOR FORCE IS EMPLOYED (94.1%), WITH APPROXIMATELY HALF OF THOSE EMPLOYED HOLDING WHITE COLLAR OCCUPATIONS (49.2%).
PART VI, LINE 5:IN THE MID-NINETIES, HOSPITALS AND HEALTHCARE FACILITIES BEGAN TO SHIFT THEIR ATTENTION FROM JUST SICK OR HOSPITAL BASED CARE TO INCLUDE ADDRESSING COMMUNITY HEALTH AND DISEASE PREVENTION. AS A FIRST STEP IN THAT DIRECTION, IRMC FORMED A COMMUNITY SERVICE DEPARTMENT WHOSE PURPOSE WAS TO DELIVER EDUCATION AND PREVENTATIVE SCREENINGS TO THE COMMUNITY-AT-LARGE. IN 2005, REALIZING THAT ALMOST EVERY DEPARTMENT IN THE HOSPITAL HAD OPPORTUNITIES TO PROMOTE HEALTH AND WELLNESS, IRMC CREATED THE INSTITUTE FOR HEALTHY LIVING, A VIRTUAL ORGANIZATION COORDINATING ALL ASPECTS OF COMMUNITY OUTREACH AND HEALTH IMPROVEMENT. IMPROVING AND SUSTAINING COMMUNITY HEALTH, HOWEVER, IS A COLLABORATIVE ENDEAVOR THAT INTEGRATES AS MANY KEY STAKEHOLDERS AS POSSIBLE. IN THAT REGARD, IRMC SPEARHEADED THE FORMATION OF THE INDIANA COUNTY COMMUNITY HEALTH ADVISORY COUNCIL (CHAC), AN ENTERPRISE REPRESENTING MEMBERS FROM VARIOUS COMMUNITY AGENCIES, ORGANIZATIONS AND SCHOOLS WHOSE PURPOSE IT IS TO IDENTIFY HEALTH NEEDS IN OUR COUNTY AND TO FIND WAYS TO MEET THEM. THE CHAC HAS BEEN ACTIVE SINCE 1996 AND IRMC SERVES AS ITS BASE AND CHAIRMANSHIP. INDIANA REGIONAL MEDICAL CENTER USES ITS OWN FUNDS TO ENHANCE BOTH THE CLINICAL STRATEGIES AND THE COMMUNITY STRATEGIES.CLINICAL STRATEGIES (A FEW EXAMPLES): RECRUITING ADDITIONAL PHYSICIANS FOR IDENTIFIED COMMUNITY NEEDS, EXPLORE DEVELOPMENT OF A FAMILY PRACTICE RESIDENCY PROGRAM TO FACILITATE RECRUITMENT AND RETENTION, ENLARGE THE MEDICAL FITNESS CENTER, ESTABLISH A WEIGHT LOSS TASK FORCE, DEVELOP A MEDICAL WEIGHT MANAGEMENT CENTER, PROVIDE FLU SHOTS TO ALL INPATIENTS DURING FLU SEASON, PROVIDE PNEUMONIA VACCINE TO ALL NON-VACCINATED INPATIENTS, ETC. COMMUNITY STRATEGIES (A FEW EXAMPLES): PARTNER WITH AGENCIES PROVIDING SERVICES AND EDUCATION TO YOUNG TEENS AND WOMEN, EVALUATE A PARTNERSHIP WITH EARLY HEAD START, IMPROVE VISIBILITY AND INFORMATION AVAILABLE ABOUT THE OB/GYN CLINIC, WORKED TO ESTABLISH PRACTICES IN THE MORE RURAL AREAS OF THE COUNTY THAT REQUIRE THE MEDICAL CENTER TO SUBSIDIZE DELIVERING CARE THERE, ESTABLISHED THE INDIANA AT CHESTNUT RIDGE FACILITY THAT OFFERS PRIMARY CARE AND URGENT-CARE AND WAS A SIGNIFICANT CAPITAL INVESTMENT, IMPLEMENT A PATIENT PORTAL TO IMPROVE PATIENT ACCESS TO MEDICAL RECORDS, BECAME A PROVIDER OF THE WE CAN! (WAYS TO ENHANCE CHILDREN'S ACTIVITY AND NUTRITION), PARTNERED WITH 7 ELEMENTARY SCHOOLS TO INSTALL PROJECT FIT AMERICA, IMPLEMENTED GROCERY STORE TOURS TO ASSIST PEOPLE WITH SEEKING HEALTHY CHOICES, PARTNER WITH 4 GROCERY STORES TO HAVE A DIETICIAN AVAILABLE TO HELP SHOPPERS MAKE HEALTHY CHOICES, CONDUCT THE ANNUAL "VACCINE FOR VETERANS" PROGRAM ON VETERANS DAY, EVALUATE THE POTENTIAL FOR PUBLIC PNEUMONIA VACCINE CLINICS, CONTINUE TO PROVIDE FREE FLU AND PNEUMONIA VACCINE TO HIGH-RISK, LOW INCOME RESIDENTS, ETC.
PART VI, LINE 6:INDIANA REGIONAL MEDICAL CENTER HAS THE FOLLOWING AFFILIATED ENTITIES:INDIANA HEALTHCARE FOUNDATION CONDUCTS FUNDRAISING ACTIVITIES, SUCH AS THE COLUMBUS DAY GOLF OUTING AND LOVE OF LIFE GALA, IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTER. INDIANA REGIONAL MEDICAL CENTER AND PUNXSUTAWNEY AREA HOSPITAL JOINTLY FORMED INDIANA JEFFERSON RADIATION ONCOLOGY, INC. FOR THE PURPOSE OF ENHANCING THE QUALITY AND AVAILABILITY OF RADIATION ONCOLOGY SERVICES OFFERED TO PATIENTS IN INDIANA AND JEFFERSON COUNTIES, PA AND SURROUNDING AREAS.INDIANA HEALTHCARE PHYSICIAN SERVICES, INC. IS A NON-PROFIT HOSPITAL OWNED GROUP OF PRACTICES OWNED AND OPERATED TO SERVE THE RURAL AREAS OF INDIANA AND SURROUNDING COMMUNITIES. WE PROVIDE ACCESSIBLE, COST EFFECTIVE QUALITY HEALTHCARE WITHIN THE RURAL COMMUNITIES OF INDIANA AND SURROUNDING COUNTIES. WE SUPPORT AND WORK COLLABORATIVELY WITH OTHER NON-PROFIT AGENCIES WITHIN OUR SITES.INDIANA HEALTHCARE PROPERTIES HOLDS AND MANAGES PROPERTY IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTER.
PART VI, LINE 7:N/A

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEPHEN A WOLFE
PRESIDENT & CEO$607,396$0$93,339$0$101,376$0$23,994$0$18,599$0$844,704$0$0$0
ADENIRAN HAASTRUP MD
PHYSICIAN$480,771$0$78,500$0$0$0$3,956$0$18,400$0$581,627$0$0$0
TIMOTHY CLARK SIMPSON MD
BOARD MEMBER$0$464,480$0$12,429$0$20,500$0$0$0$19,946$0$517,355$0$0
TOLUTOPE OZAH MD
PHYSICIAN$473,728$0$19,000$0$0$0$3,782$0$18,066$0$514,576$0$0$0
BENJAMIN L PARK DO
PHYSICIAN$462,874$0$21,000$0$0$0$0$0$18,007$0$501,881$0$0$0
PATRICK SHANNON DO
PHYSICIAN$295,784$0$0$0$134,942$0$8,572$0$19,149$0$458,447$0$0$0
RICHARD NEFF MD
CHIEF MEDICAL OFFICER$359,873$0$38,045$0$0$0$9,150$0$19,149$0$426,217$0$0$0
ROBERT A GONGAWARE
CHIEF FINANCIAL OFFICER$297,705$0$26,120$0$0$0$21,386$0$12,935$0$358,146$0$0$0
KYUNG PARK MD
PHYSICIAN$304,946$0$31,505$0$0$0$0$0$11,518$0$347,969$0$0$0
MARK VOLOVIC
CHIEF INFORMATION OFFICER$254,522$0$25,718$0$0$0$13,155$0$19,149$0$312,544$0$0$0
JAMES KINNEER
CHIEF HUMAN RESOURCE OFFICER$206,778$0$20,574$0$0$0$15,365$0$19,149$0$261,866$0$0$0
WENDY HAISLIP
CHIEF NURSING OFFICER$204,559$0$22,740$0$0$0$6,453$0$17,811$0$251,563$0$0$0
BRETT BRAUN
CHIEF OPERATING OFFICER$199,570$0$20,737$0$0$0$10,893$0$18,716$0$249,916$0$0$0
RUSSELL A DROZDIAK MD
BOARD MEMBER$159,611$0$0$0$19$0$2,325$0$1,037$0$162,992$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AINDIANA REGIONAL MEDICAL CENTER PAYS COUNTRY CLUB MEMBERSHIP DUES FOR THE PRESIDENT & CEO, WHICH IS NOT INCLUDED IN HIS COMPENSATION. THE MEMBERSHIP IS A CORPORATE MEMBERSHIP USED FOR BUSINESS PURPOSES ONLY.
PART I, LINE 4BINDIANA REGIONAL MEDICAL CENTER HAS A SUPPLEMENTAL, NONQUALIFIED RETIREMENT PLAN UNDER IRC SECTION 457(F) FOR PRESIDENT & CEO, STEPHEN A. WOLFE. NO AMOUNTS WERE PAID TO HIM, AND CONTRIBUTIONS TO THE PLAN WERE $90,000 DURING CALENDAR YEAR 2022. INDIANA HEALTHCARE PHYSICIAN SERVICES HAS A 457(F) PLAN AVAILABLE FOR THEIR PHYSICIANS. FOLLOWING PHYSICIANS WERE MEMBERS OF THE PLAN DURING THE CALENDAR YEAR 2022: - DR. PATRICK SHANNON: NO AMOUNTS WERE PAID TO HIM, AND CONTRIBUTIONS TO THE PLAN WERE $20,000.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
INDIANA COUNTY HOSPITAL AUTHORITY - SERIES 2018
A2516973192018-06-01$36,200,000SEE PART VI000
INDIANA COUNTY HOSPITAL AUTHORITY - SERIES 2022
B2516973192022-06-27$18,873,900REFINANCING OF 2014A BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,850,000$36,200,000$369,993$35,830,0072020Yes (1)Yes (1)Yes (1)Yes (1)
B$777,266$18,873,900$242,897$18,631,0032022Yes (1)Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePct
A000000Yes (1)
B000000Yes (1)0.000000.000000.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART I, BOND ISSUES:FormAndLineReferenceDesc
Explanation(A) ISSUER NAME: INDIANA COUNTY HOSPITAL AUTHORITY - SERIES 2018 (F) DESCRIPTION OF PURPOSE: PAYMENT OF 2009 S&T NOTE, 2011 DEBT, 2014B BONDS, 2014C NOTE, FINANCE CAPITAL PROJECTS, AND PAY ISSUANCE COSTSExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MATTHEW KLAINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionDIRECTORRelationshipDescriptionTxt
Transaction$774,746TransactionAmt
TransactionSEE PART VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV:FormAndLineReferenceDesc
ExplanationMATTHEW KLAIN IS A DIRECTOR OF THE IRMC BOARD. HE IS THE OWNER OF THE MATTHEW KLAIN GROUP WHICH IS COMPENSATED FOR PHYSICIAN SERVICES PROVIDED TO IRMC.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6PENNSYLVANIA MOUNTAINS CARE NETWORK ("PMCN") IS THE SOLE CORPORATE MEMBER OF INDIANA REGIONAL MEDICAL CENTER ("IRMC").
FORM 990, PART VI, SECTION A, LINE 7ATHE INDIVIDUALS WHO SERVE AS DIRECTORS OF PMCN SHALL CONSTITUTE THE BOARD OF THIS CORPORATION. THEIR TERM OF OFFICE SHALL COINCIDE WITH THEIR TERM OF OFFICE AS DIRECTORS OF PMCN. RESIGNATION OR REMOVAL AS A DIRECTOR OF PMCN SHALL CONSTITUTE RESIGNATION OR REMOVAL AS A DIRECTOR OF THIS CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BPMCN SHALL POSSESS ALL OF THE RIGHTS OF A MEMBER, AS DEFINED BY THE PENNSYLVANIA NONPROFIT CORPORATION LAW, AND SHALL EXERCISE THE FOLLOWING RESERVED POWERS WITH RESPECT TO THIS CORPORATION: (A) AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION; (B) THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF THIS CORPORATION; (C) MERGER OR CONSOLIDATION OF THIS CORPORATION WITH ANY OTHER CORPORATION; (D) DISSOLUTION OF THIS CORPORATION; (E) APPROVAL OF THE OPERATING AND CAPITAL BUDGETS FOR THIS CORPORATION; AND (F) ANY OTHER MATTER RELATING TO THIS CORPORATION THAT BY LAW REQUIRES THE APPROVAL OF THE MEMBERS OF A NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT OF THE 990 WILL BE REVIEWED BY TOP MANAGEMENT AND WILL BE DISCUSSED AT A MEETING OF THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. A FINAL DRAFT IS PROVIDED TO THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CEVERY MEMBER OF THE BOARD, AND EVERY INDIVIDUAL APPOINTED TO THE BOARD OR BOARD COMMITTEES, AS WELL AS ALL KEY MANAGEMENT PERSONNEL AND PHYSICIAN LEADERS, ARE REQUIRED TO EXECUTE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, WHICH WILL BE UPDATED AT LEAST ON AN ANNUAL BASIS OR AS ADDITIONAL CONFLICTING INTERESTS ARISE. IN ADDITION, EVERY MEMBER OF THE BOARD WILL SPECIFICALLY ACKNOWLEDGE THE CONFLICT OF INTEREST POLICY AND HIS/HER ATTEMPT TO ABIDE BY IT BY SIGNING THE ACKNOWLEDGEMENT FORM. EVERY BOARD COMMITTEE MEMBER, OFFICER, KEY MANAGEMENT EMPLOYEE, AND PHYSICIAN LEADER IS REQUIRED TO SIGN THIS ACKNOWLEDGEMENT AS WELL. THE ACKNOWLEDGEMENT AND DISCLOSURE FORMS WILL BE KEPT ON FILE BY THE CHIEF EXECUTIVE OFFICER, AND THE CHAIRMAN AND VICE-CHAIRMAN WILL BE FAMILIAR WITH THE STATEMENTS THAT ARE FILED BY BOARD MEMBERS IN ORDER TO GUIDE THEIR CONDUCT IN THE EVENT A CONFLICT ARISES. EVERY PERSON COVERED BY THIS POLICY SHALL SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND CONFLICTING INTERESTS. EACH STATEMENT WILL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR OR AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTERESTS ARISE. THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH ALL SUCH DISCLOSURE STATEMENTS IN CASE A CONFLICT ARISES. THE VICE CHAIRMAN OF THE BOARD SHALL BE FAMILIAR WITH THE DISCLOSURE STATEMENT FILED BY THE CHAIRMAN. PENALTIES FOR NON-COMPLIANCE: FAILURE TO COMPLY WITH THIS POLICY SHALL CONSTITUTE GROUNDS FOR REMOVAL FROM OFFICE AND, IN THE CASE OF KEY MANAGEMENT PERSONNEL, TERMINATION OF EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15POSITIONS FOR OFFICERS AND KEY EMPLOYEES ARE REVIEWED ON AN ANNUAL BASIS. APPROPRIATE COMPARISONS ARE MADE ON A REGIONAL AND NATIONAL LEVEL IN ORDER TO MAINTAIN A FAIR AND EQUITABLE COMPENSATION STRUCTURE. AN EXTERNAL CONSULTANT IS UTILIZED TO PREPARE COMPARATIVE SALARY DATA FOR THE BOARD'S REVIEW. ALL RECOMMENDATIONS ARE APPROVED BY IRMC'S BOARD OF DIRECTORS AND DOCUMENTED IN THE BOARD MINUTES.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPHYSICIANS FEES: PROGRAM SERVICE EXPENSES 10,021,522. MANAGEMENT AND GENERAL EXPENSES 2,432,215. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,453,737. CONSULTATION FEES: PROGRAM SERVICE EXPENSES 2,281,610. MANAGEMENT AND GENERAL EXPENSES 553,745. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,835,355. COLLECTIONS: PROGRAM SERVICE EXPENSES 1,498,759. MANAGEMENT AND GENERAL EXPENSES 363,747. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,862,506. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,890,020. MANAGEMENT AND GENERAL EXPENSES 1,186,804. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,076,824. PRINTING & MICROFILMING: PROGRAM SERVICE EXPENSES 39,059. MANAGEMENT AND GENERAL EXPENSES 9,480. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,539. OUTSIDE MEDICAL FEES: PROGRAM SERVICE EXPENSES 1,939,763. MANAGEMENT AND GENERAL EXPENSES 470,779. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,410,542. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 2,425,806. MANAGEMENT AND GENERAL EXPENSES 588,741. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,014,547. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 638,829. MANAGEMENT AND GENERAL EXPENSES 155,043. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 793,872.
FORM 990, PART XI, LINE 9:TRANSFER (TO)/FROM AFFILIATES -28,336,540. CHANGE IN INTEREST IN INDIANA HEALTHCARE FOUNDATION 692,708. CHANGE IN PENSION AND POST-RETIREMENT LIABILITIES 5,570,041. OTHER CHANGES TO NET ASSETS 80,609.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
INDIANA JEFFERSON ONCOLOGY LLC
835 HOSPITAL ROADINDIANAPA15701900406301RADIATION ONCOLOGY SERVICESPA501(C)(3)LINE 12A, IINDIANA REGIONAL MEDICAL CENTERYes (1)
INDIANA TOTAL THERAPY INC
835 HOSPITAL ROADINDIANAPA15701263843582THERAPY SERVICESPA501(C)(3)LINE 10INDIANA HEALTHCARE PHYSICIAN SERVICES0
INDIANA HEALTHCARE FOUNDATION
835 HOSPITAL ROADINDIANAPA15701251574302FUNDRAISING IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTERPA501(C)(3)LINE 12A, IINDIANA REGIONAL MEDICAL CENTERYes (1)
INDIANA HEALTHCARE PHYSICIAN SERVICES INC
835 HOSPITAL ROADINDIANAPA15701251842046PROVIDE HEALTH CAREPA501(C)(3)LINE 3INDIANA REGIONAL MEDICAL CENTERYes (1)
INDIANA HEALTHCARE PROPERTIES
835 HOSPITAL ROADINDIANAPA15701251524635HOLD & MANAGE PROPERTY IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTERPA501(C)(3)LINE 12A, IINDIANA REGIONAL MEDICAL CENTERYes (1)
SPIRITLIFE INC
170 FR MARTIN TELENSON LANEPENN RUNPA15765463997001DETOXIFICATION AND REHABILITATIVE SERVICESPA501(C)(3)LINE 10INDIANA REGIONAL MEDICAL CENTERYes (1)
INDIANA AMBULATORY SURGICAL ASSOCIATES INC
835 HOSPITAL ROADINDIANAPA15701232923182AMBULATORY SURGERYPA501(C)(3)LINE 12A, IINDIANA REGIONAL MEDICAL CENTERYes (1)
PENNSYLVANIA MOUNTAINS CARE NETWORK
835 HOSPITAL ROADINDIANAPA15701474638568SUPPORT FOR HEALTHCARE ORGNAIZATIONSPA501(C)(3)LINE 12A, I0N/A
PUNXSUTAWNEY AREA HOSPITAL INC
81 HILLCREST DRIVEPUNXSUTAWNEYPA15767250965210HOSPITALPA501(C)(3)LINE 3PENNSYLVANIA MOUNTAINS CARE NETWORK0
PUNXSUTAWNEY AREA HOSPITAL FOUNDATION
81 HILLCREST DRIVEPUNXSUTAWNEYPA15701932244487TO SUPPORT THE HOSPITALPA501(C)(3)LINE 12A, IPUNXSUTAWNEY AREA HOSPITAL INC0
PUNXSUTAWNEY MEDICAL SERVICES INC
81 HILLCREST DRIVEPUNXSUTAWNEYPA15767251773035ANESTHESIA SERVICESPA501(C)(3)LINE 3PUNXSUTAWNEY AREA HOSPITAL INC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1INDIANA REHABILITATION SERVICES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1855 SPRINGDALE DR STE 200AddressLine1Txt
CityEXTONCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19341ZIPCd
FieldValueIRS element (for citing)
EIN202214391EIN
Primary ActivitiesREHABILITATION SERVICESPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1INDIANA REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeUNRELATEDPredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.51000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
INDIANA HEALTHCARE PHYSICIAN SERVICES INC
P$1,413,538FMV
INDIANA HEALTHCARE PHYSICIAN SERVICES INC
Q$911,942FMV
INDIANA HEALTHCARE PROPERTIES
P$51,696FMV