INDIANA REGIONAL MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- INDIANA REGIONAL MEDICAL CENTER (EIN 25-0965404)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-10
- IRS object ID
- 202321309349302137
- Schema version
- 2021v4.2
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-10T12:56:02-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 STANWIX STREET | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 250965404 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDI | BusinessNameControlTxt |
| Phone | 7243577008 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 HOSPITAL ROAD | AddressLine1Txt |
| City | INDIANA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT A GONGAWARE | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 7243577008 | PhoneNum |
| Signature | 2023-03-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ROBERT | PersonFirstNm |
| Person Last | GONGAWARE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFFREY J PETRELL | PreparerPersonNm |
| PTIN | P00138808 | PTIN |
| Phone | 4126976400 | PhoneNum |
| Preparation | 2023-03-15 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEPHEN A WOLFE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 HOSPITAL ROAD | AddressLine1Txt |
| City | INDIANA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $180,827,123 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.INDIANARMC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1944 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT, AND DIGNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1283 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $469,878 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $400,404 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $242,239 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,990,336 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $170,491,382 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $164,057,306 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,688,734 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,260,452 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,647,168 | PYOtherRevenueAmt |
| CY Other Revenue | $4,320,789 | CYOtherRevenueAmt |
| PY Total Revenue | $184,069,523 | PYTotalRevenueAmt |
| CY Total Revenue | $179,628,883 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $75,020,547 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $79,189,639 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $99,275,660 | PYOtherExpensesAmt |
| CY Other Expenses | $83,483,876 | CYOtherExpensesAmt |
| PY Total Expenses | $174,296,207 | PYTotalExpensesAmt |
| CY Total Expenses | $162,673,515 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,773,316 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $16,955,368 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $273,249,507 | TotalAssetsBOYAmt |
| Total Assets EOY | $279,036,107 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $144,152,396 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $134,263,654 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $129,097,111 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $144,772,453 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF INDIANA REGIONAL MEDICAL CENTER IS TO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT, AND DIGNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $130,251,311 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $164,057,306 | RevenueAmt |
| Desc | IRMC 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: 3 SIGN OF HEART DISEASE TO NEVER IGNOREABI SCREENINGAGONY OF DE'FEETBLOOD PRESSURE CLINICBONE DENSITY SCREENINGBOTHERED BY BUNIONS EVENTCONTINUED ON SCHEDULE O.BREAST HEALTH EVENT DR. CLARK VIRTUAL EVENTCHEERS TO YOUR HEARTCHOLESTEROL SCREENINGCOLORECTAL EDUCATION SEMINARCOMMUNITY HEALTH COACHINGDIABETES EDUCATIONDR. QURESHI SKIN CARE SEMINARDR. TRALE KNEE PAIN EVENTDR. SCHOLL - VIRTUAL CHRONIC PAIN EVENTFIT NOT FADFARMERS MARKET TABLEFREE S&T WELLNESS GYM MEMBERSHIPSGET YOUR REAR IN GEAR COLORECTAL WALKGINGERBREAD MAN SPORTS NUTRITION GIRLS NIGHT OUTGROCERS FIGHT CANCERGROCERY STORE TOURHC SOCIAL EMOTION LEARNING DAYHEART BREAK IN A BOTTLE - PRESCRIPTION DRUG ABUSE HEART 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 SCREENINGMEET THE CRAMERSMENTAL NOTES - MENTAL HEALTH SEMINARPARKINSON SUPPORT GROUP EDUCATIONPELVIC FLOOR SEMINARPROSTATE SCREENINGSENIOR EXPOSMOKING CESSATION PROGRAMSTROKE EDUCATION EVENTTORRANCE HEALTH FAIRTOUCHDOWN FOR HEALTH ORTHOPEDIC EDUCATIONUNTIL THERE'S A CURE - WOMEN'S CANCER EDUCATIONWALK WITH THE DOCSWOMEN'S HEALTH EDUCATION ZOOMYOU ARE THE ONE IN 2021 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 | $130,251,311 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 242 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1283 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT A GONGAWARE CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7243577008 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 HOSPITAL ROAD | AddressLine1Txt |
| City | INDIANA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| NATHAN KOVALCHICK | |||||||||
| CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| T MICHAEL PRICE | |||||||||
| VICE CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FRANK ROBERTS | |||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BECKY STAPLETON | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN A WOLFE | |||||||||
| PRESIDENT & CEO | 34.00 | 6.00 | Yes (X) | Yes (X) | $671,890 | $0 | $133,974 | ||
| TODD BRICE | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HILLARY CREELY | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RUSSELL A DROZDIAK MD | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $77,735 | $0 | $128 | |||
| MATTHEW N KLAIN MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LAURI A KUZNESKI | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHRISTINA B LUBOLD MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $37,920 | $0 | $0 | ||||
| JAMES R MARTIN | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TIMOTHY CLARK SIMPSON MD | |||||||||
| BOARD MEMBER | 1.00 | 39.00 | Yes (X) | $0 | $393,089 | $21,107 | |||
| ROBERT A GONGAWARE | |||||||||
| CHIEF FINANCIAL OFFICER | 34.00 | 6.00 | Yes (X) | $290,502 | $0 | $24,384 | |||
| RICHARD NEFF MD | |||||||||
| CHIEF MEDICAL OFFICER | 34.00 | 6.00 | Yes (X) | $377,869 | $0 | $20,501 | |||
| BRETT BRAUN | |||||||||
| CHIEF OPERATING OFFICER | 34.00 | 6.00 | Yes (X) | $203,690 | $0 | $26,230 | |||
| WENDY HAISLIP | |||||||||
| CHIEF NURSING OFFICER | 34.00 | 6.00 | $250,891 | $0 | $13,087 | Yes (X) | |||
| JAMES KINNEER | |||||||||
| CHIEF HUMAN RESOURCE OFFICER | 20.00 | 20.00 | $190,606 | $0 | $28,369 | Yes (X) | |||
| MARK VOLOVIC | |||||||||
| CHIEF INFORMATION OFFICER | 34.00 | 6.00 | $251,457 | $0 | $28,325 | Yes (X) | |||
| ADENIRAN HAASTRUP MD | |||||||||
| PHYSICIAN | 40.00 | $305,436 | $0 | $4,537 | Yes (X) | ||||
| TOLUTOPE OZAH | |||||||||
| PHYSICIAN | 40.00 | $285,585 | $0 | $8,910 | Yes (X) | ||||
| PATRICK SHANNON DO | |||||||||
| PHYSICIAN | 40.00 | $272,130 | $0 | $47,745 | Yes (X) | ||||
| JASON RASEFSKE DO | |||||||||
| PHYSICIAN | 40.00 | $236,865 | $0 | $18,774 | Yes (X) | ||||
| GLORIA KOLONICH CRNA | |||||||||
| PHYSICIAN | 40.00 | $214,646 | $0 | $20,333 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,667,222 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $393,089 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $396,404 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 62 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CENTER FOR ORTHO & SPORTS MEDICINE | |||||
| 120 IRMC DR STE 160 | INDIANA | PA | 15701 | ORTHOPEDIC SERVICES | $3,708,851 |
| MAYO COLLABORATIVE SERVICES INC | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 554809146 | REFERENCE LAB SERVICES | $1,327,918 |
| AHN ERHOSPITALIST GROUP | |||||
| 4535 DRESSLER RD NW | CANTON | OH | 44718 | HOSPITALISTS | $1,295,357 |
| BUTLER HEALTHCARE PROVIDERS | |||||
| ONE HOSPITAL WAY | BUTLER | PA | 16001 | HEALTHCARE SERVICES | $887,413 |
| INDIANA ANESTHESIA ASSOCIATES INC | |||||
| 835 HOSPITAL RD | INDIANA | PA | 15701 | ANESTHESIA SERVICES | $702,896 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 28 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,790,084 | GovernmentGrantsAmt |
| All Other Contributions | $200,252 | AllOtherContributionsAmt |
| Total Contributions | $5,990,336 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SVC REV | 621990 | $163,936,600 | $163,936,600 |
| HEALTH CLASSES/COUNSEL | 624100 | $75,537 | $75,537 |
| RENTAL REVENUE-AFFILIATES | 531120 | $40,942 | $40,942 |
| HOSPICE PRESCRIPTIONS | 621990 | $4,227 | $4,227 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $164,057,306 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,213,182 | TotalRevenueColumnAmt |
| Exclusion | $2,213,182 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,627 | TotalRevenueColumnAmt |
| Exclusion | $5,627 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,688,298 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,156,239 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $532,059 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $532,059 | TotalRevenueColumnAmt |
| Exclusion | $532,059 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,063,141 | SecuritiesAmt |
| Other | $26,130 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $42,001 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,063,141 | SecuritiesAmt |
| Other | -$15,871 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,047,270 | TotalRevenueColumnAmt |
| Exclusion | $3,047,270 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA REV | 900099 | $713,826 | $713,826 |
| PURCH DISC & REBATES | 900099 | $683,746 | $683,746 |
| MANAGEMENT FEES | 900099 | $651,732 | $651,732 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,733,799 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $469,878 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,263,921 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,783,103 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $179,628,883 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $164,057,306 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $469,878 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,111,363 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,469,600 | TotalAmt |
| Program Services | $1,974,198 | ProgramServicesAmt |
| Management And General | $495,402 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,173,358 | TotalAmt |
| Program Services | $48,102,582 | ProgramServicesAmt |
| Management And General | $12,070,776 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,185,487 | TotalAmt |
| Program Services | $2,546,478 | ProgramServicesAmt |
| Management And General | $639,009 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,226,640 | TotalAmt |
| Program Services | $7,375,776 | ProgramServicesAmt |
| Management And General | $1,850,864 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,134,554 | TotalAmt |
| Program Services | $3,305,162 | ProgramServicesAmt |
| Management And General | $829,392 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,927 | TotalAmt |
| Management And General | $116,927 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,375 | TotalAmt |
| Management And General | $271,375 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,325 | TotalAmt |
| Management And General | $157,325 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,777 | TotalAmt |
| Management And General | $2,777 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,000 | TotalAmt |
| Management And General | $259,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,776,397 | TotalAmt |
| Program Services | $16,718,768 | ProgramServicesAmt |
| Management And General | $4,057,629 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $737,836 | TotalAmt |
| Program Services | $28,702 | ProgramServicesAmt |
| Management And General | $709,134 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,300,255 | TotalAmt |
| Program Services | $1,275,030 | ProgramServicesAmt |
| Management And General | $25,225 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,458,173 | TotalAmt |
| Program Services | $1,606,726 | ProgramServicesAmt |
| Management And General | $2,851,447 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,662,998 | TotalAmt |
| Program Services | $1,221,638 | ProgramServicesAmt |
| Management And General | $441,360 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,426 | TotalAmt |
| Program Services | $165,328 | ProgramServicesAmt |
| Management And General | $133,098 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,719 | TotalAmt |
| Program Services | $22,719 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,755,779 | TotalAmt |
| Program Services | $1,755,779 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,001,836 | TotalAmt |
| Program Services | $9,562,796 | ProgramServicesAmt |
| Management And General | $1,439,040 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,618,012 | TotalAmt |
| Program Services | $2,092,839 | ProgramServicesAmt |
| Management And General | $525,173 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $30,182,457 | $29,596,917 | $585,540 |
| BAD DEBT EXPENSE | $4,262,580 | $0 | $4,262,580 |
| CLEANING SVCS & SUPPLIE | $1,204,348 | $962,756 | $241,592 |
| DIETARY/FOOD | $925,862 | $740,134 | $185,728 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,468,794 | TotalAmt |
| Program Services | $1,196,983 | ProgramServicesAmt |
| Management And General | $271,811 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,673,515 | TotalAmt |
| Program Services | $130,251,311 | ProgramServicesAmt |
| Management And General | $32,422,204 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $7,259 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,284,389 | BOYAmt |
| EOY | $14,185,735 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,072,867 | BOYAmt |
| EOY | $18,802,310 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,987,251 | BOYAmt |
| EOY | $3,168,324 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,973,683 | BOYAmt |
| EOY | $1,968,905 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $218,222,049 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $113,133,502 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,921,543 | BOYAmt |
| EOY | $105,088,547 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,697,756 | BOYAmt |
| EOY | $89,831,542 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,093,146 | BOYAmt |
| EOY | $15,027,284 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,594 | BOYAmt |
| EOY | $194,770 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,996,278 | BOYAmt |
| EOY | $30,761,431 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,249,507 | BOYAmt |
| EOY | $279,036,107 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,655,843 | BOYAmt |
| EOY | $29,608,459 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,171,329 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,635,487 | BOYAmt |
| EOY | $32,069,404 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $18,633,723 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,861,066 | BOYAmt |
| EOY | $48,780,739 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,152,396 | BOYAmt |
| EOY | $134,263,654 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,197,487 | BOYAmt |
| EOY | $137,321,182 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,899,624 | BOYAmt |
| EOY | $7,451,271 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,097,111 | BOYAmt |
| EOY | $144,772,453 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,249,507 | BOYAmt |
| EOY | $279,036,107 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $16,955,368 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$14,963,829 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $13,683,803 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,777 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,777 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE MEDICAL CENTER IS A MEMBER OF NATIONAL AND STATE HOSPITAL AND HEALTHCARE ASSOCIATIONS THAT PERFORM LOBBYING ACTIVITIES. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS LISTED AS LOBBYING EXPENDITURES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,899,000 | BeginningYearBalanceAmt |
| Contributions | $987,000 | ContributionsAmt |
| Investment Earnings Or Losses | $350,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $787,000 | OtherExpendituresAmt |
| End Year Balance | $7,449,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,554,000 | BeginningYearBalanceAmt |
| Contributions | $146,000 | ContributionsAmt |
| Investment Earnings Or Losses | $234,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $35,000 | OtherExpendituresAmt |
| End Year Balance | $6,899,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,090,000 | BeginningYearBalanceAmt |
| Contributions | $99,000 | ContributionsAmt |
| Other Expenditures | $635,000 | OtherExpendituresAmt |
| End Year Balance | $6,554,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,333,000 | BeginningYearBalanceAmt |
| Contributions | $2,035,000 | ContributionsAmt |
| Other Expenditures | $278,000 | OtherExpendituresAmt |
| End Year Balance | $7,090,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,432,000 | BeginningYearBalanceAmt |
| Contributions | $1,079,000 | ContributionsAmt |
| Other Expenditures | $1,178,000 | OtherExpendituresAmt |
| End Year Balance | $5,333,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,282,303 | OtherCostOrOtherBasisAmt |
| Book Value | $3,282,303 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $77,302,255 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,258,511 | DepreciationAmt |
| Book Value | $43,043,744 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $132,837,133 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,876,295 | DepreciationAmt |
| Book Value | $56,960,838 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,800,358 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,998,696 | DepreciationAmt |
| Book Value | $1,801,662 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $105,088,547 | TotalBookValueLandBuildingsAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $15,027,284 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $15,027,284 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MALPRACTICE INSURANCE RECOVERIES | $3,536,987 |
| DEFERRED COMPENSATION | $763,529 |
| OTHER ASSETS | $3,390,517 |
| DUE FROM AFFILIATES | $19,527,065 |
| OPERATING LEASE RIGHT OF USE ASSETS | $3,543,333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $30,761,431 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED 3RD PARTY | $800,000 |
| OPERATING LEASE OBLIGATIONS | $3,800,577 |
| MALPRACTICE LIABILITY | $4,964,526 |
| PENSION LIABILITY | $25,951,152 |
| POST-RETIREMENT LIABILITY | $21,612 |
| DEFERRED COMPENSATION LIABILITY | $1,226,427 |
| CAPITAL LEASE OBLIGATIONS | $2,735,773 |
| CONTRACT LIABILITIES | $9,280,672 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $48,780,739 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $200,513,871 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$14,963,829 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $34,692,578 | OtherRevenueAmt |
| Revenue Not Reported | $19,728,749 | RevenueNotReportedAmt |
| Revenue Subtotal | $180,785,122 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$1,156,239 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$1,156,239 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $179,628,883 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $184,834,142 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $26,687,151 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $26,687,151 | ExpensesNotReportedAmt |
| Expenses Subtotal | $158,146,991 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $4,526,524 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $4,526,524 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $162,673,515 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENT FUNDS ARE USED PRIMARILY TO PURCHASE CAPITAL EQUIPMENT. |
| PART X, LINE 2: | 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 787,251. CHANGE IN INTEREST IN INDIANA HEALTHCARE FOUNDATION 351,396. CHANGE IN PENSION AND POST-RETIREMENT LIABILITIES 8,662,245. OTHER CHANGES TO NET ASSETS 4,686. INVESTMENT MGT. FEES NETTED AGAINST REVENUE ON FINANCIALS -259,000. BAD DEBTS NETTED AGAINST REVENUE ON FINANCIALS -4,267,524. AFFILIATE REVENUE NOT REPORTED WITH MC 29,413,524. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -1,156,239. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 1,156,239. LOSS ON REFINANCING 700,954. AFFILIATE EXPENSES NOT REPORTED WITH MC 24,829,958. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | INVESTMENT MANAGEMENT FEES NETTED AGAINST REVENUE ON FINANCIALS 259,000. BAD DEBTS NETTED AGAINST REVENUE ON FINANCIALS 4,267,524. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4015 | PersonsServedCnt |
| Total Community Benefit Expns | $2,241,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,241,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 46910 | PersonsServedCnt |
| Total Community Benefit Expns | $21,621,618 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,081,601 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,540,017 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03500 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 105924 | PersonsServedCnt |
| Total Community Benefit Expns | $4,965,407 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,965,407 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03130 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 156849 | PersonsServedCnt |
| Total Community Benefit Expns | $28,828,025 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,081,601 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,746,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08040 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 27030 | PersonsServedCnt |
| Total Community Benefit Expns | $3,182,817 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $160,151 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,022,666 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01910 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 42 | PersonsServedCnt |
| Total Community Benefit Expns | $72,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $72,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 9804 | PersonsServedCnt |
| Total Community Benefit Expns | $18,840,682 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,415,667 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,425,015 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05950 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 36876 | PersonsServedCnt |
| Total Community Benefit Expns | $22,095,499 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,575,818 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,519,681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07910 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 193725 | PersonsServedCnt |
| Total Community Benefit Expns | $50,923,524 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,657,419 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,266,105 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15950 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,268,000 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $416,100 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $26,295,203 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $30,910,610 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,615,407 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 COSM REALTY GROUP LTD | |||
| REAL ESTATE | 0.40000 | 0.00000 | 0.30000 |
| 2 INDIANA REHABILITATION SERVICES | |||
| REHABILITATION SERVICES | 0.51000 | 0.00000 | 0.49000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 HOSPITAL ROAD | AddressLine1Txt |
| City | INDIANA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.INDIANARMC.ORG | WebsiteAddressTxt |
| State License | 090701 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | URGENT CARE FACILITY; OFFSITE TESTING CENTERS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | IRMC.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | PAH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | IRMC.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.IRMC.ORG/PATIENTS-AND-VISITORS/FINANCIAL-SERVICES/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.IRMC.ORG/PATIENTS-AND-VISITORS/FINANCIAL-SERVICES/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.IRMC.ORG/PATIENTS-AND-VISITORS/FINANCIAL-SERVICES/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| INDIANA REGIONAL MEDICAL CENTER | PART 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 CENTER | PART V, SECTION B, LINE 6A: THE COMMUNITY NEEDS ASSESSMENT SERVED INDIANA REGIONAL MEDICAL CENTER AND PUNXSUTAWNEY AREA HOSPITAL. |
| INDIANA REGIONAL MEDICAL CENTER | PART 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 CENTER | PART V, SECTION B, LINE 16J: DIRECT MAILING TO THE COMMUNITY. |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE HOSPITAL USED A COST-TO-CHARGE RATIO IN DETERMINING THE FIGURES REPORTED IN THIS TABLE. THIS COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES 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 $4,262,580. |
| 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 19 LOCATIONS IN INDIANA COUNTY. WE ALSO CONTINUE TO PARTICIPATE IN NUMEROUS FREE COMMUNITY EVENTS PROVIDING EDUCATION, SCREENING PROGRAMS AND FIRST AID SERVICES. OVER THE PAST YEAR, THE MOBILE MEDICAL HEALTH LOGGED OVER 2,500 PARTICIPANTS.WE ALSO PROVIDE NUMEROUS HEALTH FAIRS REACHING ALMOST 2,200 PARTICIPANTS, AND CLASSES AND EDUCATION PROGRAMS WITH OVER 4,000 PARTICIPANTS. A FEW OF THE FAIRS OR SERVICES PROVIDED ARE: ARTHRITIS, KNEE PAIN AND OSTEOPOROSIS SESSIONS PUT ON BY THE ORTHOPEDIC PHYSICIANS AND THE IRMC SUPPORT CLINICIANS, "BIKE TO SCHOOL" (SAFETY FOR CHILDREN), CHESTNUT RIDGE HEALTH FAIR, DIABETES, EXERCISE FOR SENIOR CENTERS, FIRST COMMONWEALTH BANK WEIGHT MANAGEMENT, FORTIFY YOUR SPINE, HEALTHY KIDS DAY, ROUTINE MULTIPHASIC BLOOD DRAWS FOR RURAL AREAS AND COMMUNITY MEMBERS THAT MAY NOT SEEK OUT HEALTH CARE, SERVICES PROVIDED TO NEW FLORENCE SENIOR CENTER AND NORTH CAMBRIA SENIOR CENTER (RURAL FACILITIES IN OUR SECONDARY MARKET AREA AND NO HOSPITAL CLOSE TO THEM), PROSTATE SCREENINGS, VACCINES FOR VETS (VETERANS), SKIN SCREENINGS, AS WELL AS A NUMBER OF OTHERS. THE INSTITUTE FOR HEALTHY LIVING AT INDIANA REGIONAL MEDICAL CENTER OFFERS HEALTH SERVICES AND EDUCATION PROGRAMS TO THE COMMUNITY AT NO CHARGE.THE CENTER FOR DIABETES CARE CONTINUES TO OFFER FREE EDUCATION SERVICES AT VARIOUS LOCATIONS THROUGHOUT THE COUNTY. IN ADDITION, THEY CONTINUE TO BE THE PRIMARY SPONSOR OF THE COUNTY'S DIABETES WALK. EACH MONTH STAFF AND MANAGEMENT AT IRMC PROVIDE SUPPORT TO A LOCAL FOOD BANK.PREVENTIVE HEALTH SERVICES - M. DORCAS CLARK WOMEN'S IMAGING CENTER AND THEIR STAFF HAVE PARTICIPATED IN NUMEROUS COMMUNITY EVENTS PROVIDING INFORMATION ABOUT THE IMPORTANCE OF BREAST HEALTH. BIRDIE'S CLOSET, A PROJECT DESIGNED TO HELP WOMEN COPE WITH APPEARANCE RELATED SIDE-EFFECTS OF CANCER TREATMENT WAS OPENED IN THE WOMEN'S IMAGING CENTER. SUPPORT HEALTH GROUPSFAMILY PROGRAMS - EARLY PREGNANCY, MATERNITY TOUR, DOCTOR DAD, BOF SERIES, BREASTFEEDING, ALL ABOUT BABY, LAMAZE, HOME ALONE, BABYSITTING, LET'S TALK GIRLS, BIG BROTHER, CPR, HEARTSAVER. 1,164 CONTACTS FOR THE YEAR.COMMUNITY CLASSES - PACE, TAI CHI, YOGA, CANCER, STRONG WOMEN, DROP WEIGHT, ORNISH, DIABETES, DROP 10. 3,580 CLASS HOURS.IN 2009, INDIANA REGIONAL MEDICAL CENTER OPENED A NEW FACILITY OFFERING URGENT CARE SERVICES IN THE BLAIRSVILLE COMMUNITY AS A RESPONSE TO MEDICAL SERVICES NEEDED IN THAT AREA. THIS FACILITY IS 12 MILES FROM THE HOSPITAL CAMPUS.IN 2012, INDIANA REGIONAL MEDICAL CENTER OPENED ITS SECOND URGENT CARE FACILITY TO SERVICE THE PRIMARY MARKET SHARE WHERE THERE WAS A NOTED DEMAND FOR THESE SERVICES. THE URGENT CARE CENTERS REQUIRE ADDITIONAL STAFFING ON BEHALF OF THE HOSPITAL AS IT IS A NEW/ADDED LOCATION; HOWEVER, THESE FACILITIES SIGNIFICANTLY IMPROVE THE CYCLE TIME OF THE PATIENT THROUGHOUT AND SERVICES FOR THE NON-EMERGENT SERVICES NEEDED. |
| PART III, LINE 2: | THE AMOUNT REPORTED IN PART III, LINE 2 IS 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEPHEN A WOLFE | ||||||||||||||
| PRESIDENT & CEO | $525,013 | $0 | $146,877 | $0 | $0 | $0 | $89,500 | $0 | $44,474 | $0 | $805,864 | $0 | $0 | $0 |
| TIMOTHY CLARK SIMPSON MD | ||||||||||||||
| BOARD MEMBER | $0 | $373,589 | $0 | $0 | $0 | $19,500 | $0 | $1,828 | $0 | $19,279 | $0 | $414,196 | $0 | $0 |
| RICHARD NEFF MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $343,286 | $0 | $27,255 | $0 | $7,328 | $0 | $2,060 | $0 | $18,441 | $0 | $398,370 | $0 | $0 | $0 |
| PATRICK SHANNON DO | ||||||||||||||
| PHYSICIAN | $268,730 | $0 | $0 | $0 | $3,400 | $0 | $28,062 | $0 | $19,683 | $0 | $319,875 | $0 | $0 | $0 |
| ROBERT A GONGAWARE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $256,443 | $0 | $34,059 | $0 | $0 | $0 | $12,822 | $0 | $11,562 | $0 | $314,886 | $0 | $0 | $0 |
| ADENIRAN HAASTRUP MD | ||||||||||||||
| PHYSICIAN | $206,686 | $0 | $83,750 | $0 | $15,000 | $0 | $0 | $0 | $4,537 | $0 | $309,973 | $0 | $0 | $0 |
| TOLUTOPE OZAH | ||||||||||||||
| PHYSICIAN | $229,586 | $0 | $25,000 | $0 | $30,999 | $0 | $0 | $0 | $8,910 | $0 | $294,495 | $0 | $0 | $0 |
| MARK VOLOVIC | ||||||||||||||
| CHIEF INFORMATION OFFICER | $220,012 | $0 | $31,445 | $0 | $0 | $0 | $8,800 | $0 | $19,525 | $0 | $279,782 | $0 | $0 | $0 |
| WENDY HAISLIP | ||||||||||||||
| CHIEF NURSING OFFICER | $215,015 | $0 | $25,876 | $0 | $10,000 | $0 | $6,150 | $0 | $6,937 | $0 | $263,978 | $0 | $0 | $0 |
| JASON RASEFSKE DO | ||||||||||||||
| PHYSICIAN | $236,865 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,774 | $0 | $255,639 | $0 | $0 | $0 |
| GLORIA KOLONICH CRNA | ||||||||||||||
| PHYSICIAN | $214,646 | $0 | $0 | $0 | $0 | $0 | $13,371 | $0 | $6,962 | $0 | $234,979 | $0 | $0 | $0 |
| BRETT BRAUN | ||||||||||||||
| CHIEF OPERATING OFFICER | $178,213 | $0 | $25,477 | $0 | $0 | $0 | $7,129 | $0 | $19,101 | $0 | $229,920 | $0 | $0 | $0 |
| JAMES KINNEER | ||||||||||||||
| CHIEF HUMAN RESOURCE OFFICER | $169,118 | $0 | $21,488 | $0 | $0 | $0 | $8,456 | $0 | $19,913 | $0 | $218,975 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | INDIANA 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 4B | INDIANA 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 $75,000 DURING CALENDAR YEAR 2021. INDIANA HEALTHCARE PHYSICIAN SERVICES HAS A 457(F) PLAN AVAILABLE FOR THEIR PHYSICIANS. FOLLOWING PHYSICIANS WERE MEMBERS OF THE PLAN DURING THE CALENDAR YEAR 2021: - 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA COUNTY HOSPITAL AUTHORITY - SERIES 2018 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 251697319 | BondIssuerEIN |
| Bond Issued | 2018-06-01 | BondIssuedDt |
| Issue Price | $36,200,000 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $3,820,000 | RetiredAmt |
| Total Proceeds | $36,200,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $369,993 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $35,830,007 | OtherSpentProceedsAmt |
| Substantial Completion | 2020 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | Yes (1) | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE 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 COSTS | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATTHEW KLAIN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | DIRECTOR | RelationshipDescriptionTxt |
| Transaction | $693,314 | TransactionAmt |
| Transaction | SEE PART V | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV: | FormAndLineReferenceDesc |
| Explanation | MATTHEW 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | PENNSYLVANIA MOUNTAINS CARE NETWORK ("PMCN") IS THE SOLE CORPORATE MEMBER OF INDIANA REGIONAL MEDICAL CENTER ("IRMC"). |
| FORM 990, PART VI, SECTION A, LINE 7A | THE 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 7B | PMCN 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 11B | THE RETURN WAS REVIEWED IN DETAIL BY THE DIRECTOR OF FINANCE/CONTROLLER AND THE CFO. EACH BOARD MEMBER WAS PROVIDED ACCESS TO THE FORM 990 ON THE "BOARD SHARED DRIVE" BEFORE FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | EVERY MEMBER OF THE BOARD, AND EVERY INDIVIDUAL APPOINTED TO THE BOARD OR BOARD COMMITTEES, AS WELL AS ALL KEY MANAGEMENT PERSONNEL AND PHYSICIAN LEADERS, ARE REQUIRED TO EXECUTE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, WHICH WILL BE UPDATED AT LEAST ON AN ANNUAL BASIS OR AS ADDITIONAL CONFLICTING INTERESTS ARISE. IN ADDITION, EVERY MEMBER OF THE BOARD WILL SPECIFICALLY ACKNOWLEDGE THE CONFLICT OF INTEREST POLICY AND HIS/HER ATTEMPT TO ABIDE BY IT BY SIGNING THE ACKNOWLEDGEMENT FORM. EVERY BOARD COMMITTEE MEMBER, OFFICER, KEY MANAGEMENT EMPLOYEE, AND PHYSICIAN LEADER IS REQUIRED TO SIGN THIS ACKNOWLEDGEMENT AS WELL. THE ACKNOWLEDGEMENT AND DISCLOSURE FORMS WILL BE KEPT ON FILE BY THE CHIEF EXECUTIVE OFFICER, AND THE CHAIRMAN AND VICE-CHAIRMAN WILL BE FAMILIAR WITH THE STATEMENTS THAT ARE FILED BY BOARD MEMBERS IN ORDER TO GUIDE THEIR CONDUCT IN THE EVENT A CONFLICT ARISES. EVERY PERSON COVERED BY THIS POLICY SHALL SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND CONFLICTING INTERESTS. EACH STATEMENT WILL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR OR AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTERESTS ARISE. THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH ALL SUCH DISCLOSURE STATEMENTS IN CASE A CONFLICT ARISES. THE VICE CHAIRMAN OF THE BOARD SHALL BE FAMILIAR WITH THE DISCLOSURE STATEMENT FILED BY THE CHAIRMAN. PENALTIES FOR NON-COMPLIANCE: FAILURE TO COMPLY WITH THIS POLICY SHALL CONSTITUTE GROUNDS FOR REMOVAL FROM OFFICE AND, IN THE CASE OF KEY MANAGEMENT PERSONNEL, TERMINATION OF EMPLOYMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | POSITIONS FOR OFFICERS AND KEY EMPLOYEES ARE REVIEWED ON AN ANNUAL BASIS. APPROPRIATE COMPARISONS ARE MADE ON A REGIONAL AND NATIONAL LEVEL IN ORDER TO MAINTAIN A FAIR AND EQUITABLE COMPENSATION STRUCTURE. AN EXTERNAL CONSULTANT IS UTILIZED TO PREPARE COMPARATIVE SALARY DATA FOR THE BOARD'S REVIEW. ALL RECOMMENDATIONS ARE APPROVED BY THE BOARD OF DIRECTORS AND DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIANS FEES: PROGRAM SERVICE EXPENSES 6,773,075. MANAGEMENT AND GENERAL EXPENSES 1,643,820. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,416,895. CONSULTATION FEES: PROGRAM SERVICE EXPENSES 2,077,244. MANAGEMENT AND GENERAL EXPENSES 504,145. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,581,389. COLLECTIONS: PROGRAM SERVICE EXPENSES 861,221. MANAGEMENT AND GENERAL EXPENSES 209,017. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,070,238. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,146,184. MANAGEMENT AND GENERAL EXPENSES 763,576. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,909,760. PRINTING & MICROFILMING: PROGRAM SERVICE EXPENSES 49,466. MANAGEMENT AND GENERAL EXPENSES 12,005. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,471. OUTSIDE MEDICAL FEES: PROGRAM SERVICE EXPENSES 1,520,634. MANAGEMENT AND GENERAL EXPENSES 369,056. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,889,690. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 1,991,910. MANAGEMENT AND GENERAL EXPENSES 483,435. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,475,345. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 299,034. MANAGEMENT AND GENERAL EXPENSES 72,575. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 371,609. |
| FORM 990, PART XI, LINE 9: | TRANSFER (TO)/FROM AFFILIATES 787,251. CHANGE IN INTEREST IN INDIANA HEALTHCARE FOUNDATION 351,396. CHANGE IN PENSION AND POST-RETIREMENT LIABILITIES 8,662,245. OTHER CHANGES TO NET ASSETS 299. LOSS ON REFINANCING -700,954. CHANGE IN VALUE OF IJO 4,583,566. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| INDIANA JEFFERSON ONCOLOGY LLC | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 900406301 | RADIATION ONCOLOGY SERVICES | PA | 501(C)(3) | LINE 12A, I | 0 | ||
| INDIANA TOTAL THERAPY INC | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 263843582 | THERAPY SERVICES | PA | 501(C)(3) | LINE 10 | 0 | INDIANA HEALTHCARE PHYSICIAN SERVICES | |
| INDIANA HEALTHCARE FOUNDATION | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 251574302 | FUNDRAISING IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTER | PA | 501(C)(3) | LINE 12A, I | Yes (1) | INDIANA REGIONAL MEDICAL CENTER | |
| INDIANA HEALTHCARE PHYSICIAN SERVICES INC | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 251842046 | PROVIDE HEALTH CARE | PA | 501(C)(3) | LINE 3 | Yes (1) | INDIANA REGIONAL MEDICAL CENTER | |
| 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 12A, I | Yes (1) | INDIANA REGIONAL MEDICAL CENTER | |
| SPIRITLIFE INC | |||||||||||
| 170 FR MARTIN TELENSON LANE | PENN RUN | PA | 15765 | 463997001 | DETOXIFICATION AND REHABILITATIVE SERVICES | PA | 501(C)(3) | LINE 10 | Yes (1) | INDIANA REGIONAL MEDICAL CENTER | |
| INDIANA AMBULATORY SURGICAL ASSOCIATES INC | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 232923182 | AMBULATORY SURGERY | PA | 501(C)(3) | LINE 12A, I | Yes (1) | INDIANA REGIONAL MEDICAL CENTER | |
| PENNSYLVANIA MOUNTAINS CARE NETWORK | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 474638568 | SUPPORT FOR HEALTHCARE ORGNAIZATIONS | PA | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| PUNXSUTAWNEY AREA HOSPITAL INC | |||||||||||
| 81 HILLCREST DRIVE | PUNXSUTAWNEY | PA | 15767 | 250965210 | HOSPITAL | PA | 501(C)(3) | LINE 3 | 0 | PENNSYLVANIA MOUNTAINS CARE NETWORK | |
| IRMC BHS MULTISPECIALTY PHYSICIAN GROUP | |||||||||||
| ONE HOSPITAL WAY | BUTLER | PA | 16001 | 813115773 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 3 | 0 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COSM REALTY GROUP LTD | ||||||||||||||
| 1265 WAYNE AVENUE STE 307 | INDIANA | PA | 15701 | 030439684 | REAL ESTATE | PA | INDIANA REGIONAL MEDICAL CENTER | RELATED | $47,098 | $3,351,438 | 0 | 0 | 0.48750 | |
| INDIANA REHABILITATION SERVICES LLC | ||||||||||||||
| 855 SPRINGDALE DR STE 200 | EXTON | PA | 19341 | 202214391 | REHABILITATION SERVICES | PA | UNRELATED | $56,342 | $79,424 | 0 | 0 | 0.51000 | N/A | |
| MEDCARE EQUIPMENT COMPANY LLC | ||||||||||||||
| 115 EQUITY DRIVE | GREENSBURG | PA | 15601 | 261361520 | EQUIPMENT | PA | UNRELATED | $384,035 | $1,334,357 | 0 | 0 | 0.01750 | N/A | |
| PENNSYLVANIA MOUNTAINS HEALTHCARE ALLIANCE LLC | ||||||||||||||
| 150 MCCRACKEN RUN ROAD | DUBOIS | PA | 15801 | 251852975 | HEALTHCARE SERVICES | PA | INDIANA REGIONAL MEDICAL CENTER | UNRELATED | $30,501 | $256,932 | 0 | Yes (1) | 0.09760 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |