INDIAN RIVER MEMORIAL HOSPITAL INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- INDIAN RIVER MEMORIAL HOSPITAL INC (EIN 59-2496294)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-14
- IRS object ID
- 201842269349301459
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-14T11:21:10-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S WACKER DRIVE STE 800 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592496294 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIAN RIVER MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDI | BusinessNameControlTxt |
| Phone | 7725674311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 36TH STREET | AddressLine1Txt |
| City | VERO BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32960 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GEORGE EIGHMY | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7725674311 | PhoneNum |
| Signature | 2018-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ZACK FORTSCH | PreparerPersonNm |
| PTIN | P00052725 | PTIN |
| Phone | 3126343400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIAN RIVER MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KAREN DAVIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 36TH STREET | AddressLine1Txt |
| City | VERO BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32960 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $298,654,842 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.INDIANRIVERMEDICALCENTER.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | IRMC SERVES AS THE AREA'S LEADING PROVIDER OF COMPREHENSIVE HIGH QUALITY HEALTH AND MEDICAL SERVICES, AND IMPROVES THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 2384 | TotalEmployeeCnt |
| Total Volunteers | 519 | TotalVolunteersCnt |
| Total Gross UBI | $244,406 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $87,246 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,900,317 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,204,239 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $256,549,461 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $290,196,927 | CYProgramServiceRevenueAmt |
| PY Investment Income | $594,875 | PYInvestmentIncomeAmt |
| CY Investment Income | $768,752 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,753,301 | PYOtherRevenueAmt |
| CY Other Revenue | $1,484,924 | CYOtherRevenueAmt |
| PY Total Revenue | $269,797,954 | PYTotalRevenueAmt |
| CY Total Revenue | $298,654,842 | 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 | $139,033,230 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $158,075,010 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $122,475,419 | PYOtherExpensesAmt |
| CY Other Expenses | $138,969,821 | CYOtherExpensesAmt |
| PY Total Expenses | $261,508,649 | PYTotalExpensesAmt |
| CY Total Expenses | $297,044,831 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,289,305 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,610,011 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $231,657,367 | TotalAssetsBOYAmt |
| Total Assets EOY | $211,365,567 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $93,586,968 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $64,959,965 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $138,070,399 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $146,405,602 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | IRMC SERVES AS THE AREA'S LEADING PROVIDER OF COMPREHENSIVE HIGH QUALITY HEALTH AND MEDICAL SERVICES AND IMPROVES THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $233,760,704 | ExpenseAmt |
| Revenue | $290,322,458 | RevenueAmt |
| Desc | INDIAN RIVER MEDICAL CENTER IS A 332-BED HOSPITAL IN VERO BEACH, FLORIDA. IN FISCAL YEAR 2017, THE HOSPITAL ADMITTED 14,666 PATIENTS. SERVICES WERE PROVIDED FOR 58,926 PATIENT DAYS. THE HOSPITAL HAD 519 VOLUNTEERS WHO WORKED 75,227 HOURS DURING THE YEAR. MORE THAN 61,200 PEOPLE WERE SEEN THIS YEAR IN THE HOSPITAL'S STATE-OF-THE-ART EMERGENCY DEPARTMENT. THE MEDICAL CENTER'S THREE LARGEST PROGRAM SERVICES ARE HEART, CANCER AND ORTHOPEDICS. THE HEART CENTER, AFFILIATED WITH DUKE UNIVERSITY HEALTH SYSTEMS, OPENED IN 2006 AND TREATED OVER 1,500 PATIENTS DURING THE YEAR. ITS OUTSTANDING SURGICAL OUTCOMES HAVE EARNED IT TOP RECOGNITION FROM THE SOCIETY OF THORACIC SURGEONS, WHO NAMED IT ONE OF THE BEST CARDIAC SURGERY PROGRAMS IN AMERICA. DR. CARY STOWE, MEDICAL DIRECTOR OF CARDIOVASCULAR SURGERY SERVICES, IS RECOGNIZED AS ONE OF THE TOP 1% OF THORACIC SURGEONS IN THE UNITED STATES. THE CANCER PROGRAM AFFILIATED WITH DUKE UNIVERSITY HEALTH SYSTEMS IN 2012 WITH THE GOAL OF BRINGING WORLD CLASS CANCER TREATMENT CLOSE TO THE HOME OF PATIENTS WE SERVE. THE AFFILIATION WITH DUKE ALSO PROVIDES ACCESS TO SECOND OPINIONS FROM RECOGNIZED EXPERTS WHEN NEEDED. DURING THE YEAR, THE CANCER CENTER PERFORMED 21,950 PROCEDURES. THE ORTHOPEDIC PROGRAM PROVIDED MAJOR JOINT REPLACEMENTS TO MORE THAN 1,000 PATIENTS DURING THE YEAR. | Desc |
| Total Program Service Expenses | $233,760,704 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | 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 | 0 | TaxExemptBondsInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 519 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2384 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | 0 | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID ELSTON CONTROLLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7725674311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 36TH STREET | AddressLine1Txt |
| City | VERO BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32960 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| WAYNE HOCKMEYER PHD | ||||||||||
| CHAIRMAN | 5.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN PASTOR | ||||||||||
| VICE CHAIRMAN | 5.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| GERRI SMITH | ||||||||||
| SECRETARY | 5.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JACK WEISBAUM | ||||||||||
| TREASURER | 5.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| HAL BROWN MD | ||||||||||
| CHIEF OF STAFF | 5.00 | 2.00 | Yes (X) | $62,706 | $0 | $0 | ||||
| JOHN LINDENTHAL MD | ||||||||||
| VICE CHIEF OF STAFF | 5.00 | 2.00 | Yes (X) | $42,400 | $0 | $0 | ||||
| PRANAY RAMDEV MD | ||||||||||
| MEDICAL STAFF REPRESENTATIVE | 5.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM BAXT MD | ||||||||||
| MEMBER (THROUGH 06/30/17) | 5.00 | 2.00 | Yes (X) | $1,500 | $0 | $0 | ||||
| MICHAEL J HAMMES | ||||||||||
| MEMBER | 5.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATHY HENDRIX | ||||||||||
| MEMBER | 5.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| HUGH MCCRYSTAL MD | ||||||||||
| MEMBER | 5.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KEITH MORGAN | ||||||||||
| MEMBER | 5.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JULIETTE LOMAX-HOMIER MD | ||||||||||
| MEMBER | 5.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MATTHEW REISER | ||||||||||
| MEMBER | 5.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ANTHONY C WOODRUFF | ||||||||||
| MEMBER | 5.00 | 7.00 | Yes (X) | $0 | $0 | $0 | ||||
| DONALD LAURIE | ||||||||||
| MEMBER | 5.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JEFFREY L SUSI | ||||||||||
| PRESIDENT/CEO | 50.00 | 4.00 | Yes (X) | $935,344 | $0 | $31,208 | ||||
| GEORGE EIGHMY | ||||||||||
| SR. VP, CFO (AS OF 01/01/17) | 50.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GREGORY GARDNER | ||||||||||
| SR. VP, CFO (THROUGH 12/31/16) | 50.00 | 1.00 | Yes (X) | $628,535 | $0 | $26,703 | ||||
| MARGOT HEDENSTROM | ||||||||||
| VP, CNO(THROUGH 12/09/16) | 50.00 | $215,761 | $0 | $10,327 | Yes (X) | |||||
| VALERIE LARCOMBE | ||||||||||
| SR. VP, CLO | 50.00 | $553,061 | $0 | $19,325 | Yes (X) | |||||
| CHARLES MACKETT MD | ||||||||||
| SR. VP CHIEF MEDICAL OFFICER | 50.00 | $343,539 | $0 | $29,144 | Yes (X) | |||||
| JANICE DONLAN | ||||||||||
| VP FOUNDATION & COMMUNITY | 15.00 | 35.00 | $230,758 | $0 | $47,726 | Yes (X) | ||||
| WARREN FULLER | ||||||||||
| VP FINANCE | 50.00 | $179,302 | $0 | $46,979 | Yes (X) | |||||
| WILLIAM NEIL | ||||||||||
| VP CIO | 50.00 | $197,202 | $0 | $27,833 | Yes (X) | |||||
| CARY STOWE MD | ||||||||||
| PHYSICIAN | 50.00 | $799,555 | $0 | $27,530 | Yes (X) | |||||
| RICHARD FRANCO MD | ||||||||||
| PHYSICIAN | 50.00 | $1,205,406 | $0 | $28,574 | Yes (X) | |||||
| FABIO ROBERTI MD | ||||||||||
| PHYSICIAN | 50.00 | $910,168 | $0 | $28,757 | Yes (X) | |||||
| GEORGE NICHOLS MD | ||||||||||
| PHYSICIAN | 50.00 | $937,341 | $0 | $17,367 | Yes (X) | |||||
| DIEGO MALDONADO MD | ||||||||||
| PHYSICIAN | 50.00 | $773,697 | $0 | $28,756 | Yes (X) | |||||
| CHARLES CELANO | ||||||||||
| CHIEF OF STAFF (THROUGH 12/31/15) | 0.00 | $528,180 | $0 | $26,052 | Yes (X) | |||||
| STEVEN SAYLER | ||||||||||
| SR. VP, COO (THROUGH 12/10/15) | 0.00 | $196,153 | $0 | $0 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,740,608 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $396,281 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 120 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| BRASFIELD & GORRIE LLC | |||||
| 3021 7TH AVENUE SOUTH | BIRMINGHAM | AL | 35233 | GENERAL CONTRACTORS | $11,503,279 |
| MCKESSON TECH RELAY HEALTH AHI PARENT | |||||
| PO BOX 98347 | CHICAGO | IL | 606938347 | SOFTWARE & CONSULTING | $3,686,679 |
| PROCTOR CONSTRUCTION CO | |||||
| 2050 US HWY 1 STE 200 | VERO BEACH | FL | 32960 | GENERAL CONTRACTORS | $1,970,161 |
| PINNACLE LOCUM TENENS LLC | |||||
| 1455 LINCOLN PARKWAY STE 350 | ATLANTA | GA | 30346 | PHYSICIAN SERVICES | $1,143,508 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | PHYSICIAN SERVICES | $1,119,690 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 43 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $6,204,239 | RelatedOrganizationsAmt |
| Total Contributions | $6,204,239 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $290,196,927 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $290,196,927 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $290,196,927 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $768,752 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $4,654 | UnrelatedBusinessRevenueAmt |
| Exclusion | $764,098 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA | 722100 | $996,244 | $996,244 | |
| LABORATORY | 621500 | $214,021 | $214,021 | |
| LIFELINE MEDICAL MONITORING | 900099 | $123,397 | $123,397 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $151,262 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $125,531 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $25,731 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,484,924 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $298,654,842 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $290,322,458 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $244,406 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,883,739 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,390,108 | TotalAmt |
| Management And General | $3,390,108 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,263,381 | TotalAmt |
| Program Services | $116,950,246 | ProgramServicesAmt |
| Management And General | $18,313,135 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,028,575 | TotalAmt |
| Program Services | $2,577,550 | ProgramServicesAmt |
| Management And General | $451,025 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,251,977 | TotalAmt |
| Program Services | $7,026,329 | ProgramServicesAmt |
| Management And General | $1,225,648 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,140,969 | TotalAmt |
| Program Services | $6,632,665 | ProgramServicesAmt |
| Management And General | $1,508,304 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,539 | TotalAmt |
| Program Services | $367,539 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,605 | TotalAmt |
| Management And General | $584,605 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,076 | TotalAmt |
| Program Services | $107,576 | ProgramServicesAmt |
| Management And General | $174,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,416,688 | TotalAmt |
| Program Services | $19,213,908 | ProgramServicesAmt |
| Management And General | $12,202,780 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,260,393 | TotalAmt |
| Program Services | $83,926 | ProgramServicesAmt |
| Management And General | $1,176,467 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,125 | TotalAmt |
| Program Services | $76,902 | ProgramServicesAmt |
| Management And General | $387,223 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,074,812 | TotalAmt |
| Program Services | $6,494,624 | ProgramServicesAmt |
| Management And General | $4,580,188 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,250 | TotalAmt |
| Program Services | $93,045 | ProgramServicesAmt |
| Management And General | $91,205 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,503 | TotalAmt |
| Management And General | $260,503 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,190,132 | TotalAmt |
| Program Services | $8,452,525 | ProgramServicesAmt |
| Management And General | $5,737,607 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,817,588 | TotalAmt |
| Program Services | $489,596 | ProgramServicesAmt |
| Management And General | $4,327,992 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $49,450,723 | $49,055,447 | $395,276 |
| BAD DEBT | $13,750,214 | $13,750,214 | |
| OTHER SUPPLIES | $2,857,547 | $1,208,921 | $1,648,626 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,008,626 | TotalAmt |
| Program Services | $1,179,691 | ProgramServicesAmt |
| Management And General | $6,828,935 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,044,831 | TotalAmt |
| Program Services | $233,760,704 | ProgramServicesAmt |
| Management And General | $63,284,127 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,828,326 | BOYAmt |
| EOY | $13,594,828 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,756,210 | BOYAmt |
| EOY | $13,928,569 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,164,763 | BOYAmt |
| EOY | $38,724,058 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,147,956 | BOYAmt |
| EOY | $4,417,529 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,807,330 | BOYAmt |
| EOY | $2,427,462 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $317,623,380 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $213,103,044 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,369,254 | BOYAmt |
| EOY | $104,520,336 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,470,948 | BOYAmt |
| EOY | $6,567,513 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,595,060 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,658,575 | BOYAmt |
| EOY | $6,043,837 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,858,945 | BOYAmt |
| EOY | $21,141,435 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,657,367 | BOYAmt |
| EOY | $211,365,567 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,084,990 | BOYAmt |
| EOY | $31,882,165 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,809,878 | BOYAmt |
| EOY | $5,937,383 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,692,100 | BOYAmt |
| EOY | $27,140,417 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,586,968 | BOYAmt |
| EOY | $64,959,965 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,859,902 | BOYAmt |
| EOY | $146,195,105 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,497 | BOYAmt |
| EOY | $210,497 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,070,399 | BOYAmt |
| EOY | $146,405,602 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,657,367 | BOYAmt |
| EOY | $211,365,567 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,610,011 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $6,725,192 | 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 B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $178,943 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $178,943 | 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 HOSPITAL PAYS DUES TO FLORIDA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THOSE DUES ARE USED FOR LOBBYING. IN ADDITION, INDIAN RIVER MEDICAL CENTER HAS RETAINED SERVICES OF CONSULTANTS IN TALLAHASSEE, FLORIDA FOR THE PURPOSE OF MONITORING LEGISLATIVE AND REGULATORY HEALTHCARE RELATED ISSUES THAT MIGHT AFFECT IT OR THE COMMUNITY IT SERVES AND COMMUNICATING THE MEDICAL CENTER'S VIEWS ON THOSE ISSUES TO ELECTED OFFICIALS. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,111,662 | BeginningYearBalanceAmt |
| Contributions | $37,136 | ContributionsAmt |
| Investment Earnings Or Losses | $231,887 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $15,475 | OtherExpendituresAmt |
| End Year Balance | $2,365,210 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,929,112 | BeginningYearBalanceAmt |
| Contributions | $75,000 | ContributionsAmt |
| Investment Earnings Or Losses | $147,005 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $39,455 | OtherExpendituresAmt |
| End Year Balance | $2,111,662 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $779,112 | BeginningYearBalanceAmt |
| Contributions | $1,150,000 | ContributionsAmt |
| End Year Balance | $1,929,112 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $679,112 | BeginningYearBalanceAmt |
| Contributions | $100,000 | ContributionsAmt |
| End Year Balance | $779,112 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $567,212 | BeginningYearBalanceAmt |
| Contributions | $111,900 | ContributionsAmt |
| End Year Balance | $679,112 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.77400 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.22600 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,631,582 | OtherCostOrOtherBasisAmt |
| Book Value | $1,631,582 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $121,127,900 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,445,259 | DepreciationAmt |
| Book Value | $57,682,641 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,298,603 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,962,983 | DepreciationAmt |
| Book Value | $7,335,620 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $180,118,932 | OtherCostOrOtherBasisAmt |
| Depreciation | $145,694,802 | DepreciationAmt |
| Book Value | $34,424,130 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,446,363 | OtherCostOrOtherBasisAmt |
| Book Value | $3,446,363 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $104,520,336 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED PARTIES | $14,269,301 |
| INVESTMENTS IN JOINT VENTURES | $1,472,134 |
| INVESTMENT IN HEALTH SYSTEMS OF INDIAN RIVER | $5,400,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $21,141,435 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF INSURANCE LIABILITY | $9,386,385 |
| PENSION LIABILITY | $14,111,265 |
| INDIGENT FUND PAYABLE | $641,500 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENT | $2,140,453 |
| DUE TO AFFILIATES | $56,453 |
| INTEREST RATE SWAPS | $804,361 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $27,140,417 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | A PORTION OF THE ENDOWMENT ASSETS ARE HELD BY INDIAN RIVER HOSPITAL FOUNDATION, INC. (A RELATED ORGANIZATION). THE ENDOWMENT ASSETS ARE HELD TO SUPPORT THE PROGRAMS OF THE HOSPITAL INCLUDING MAINTENANCE OF THE CRITICAL CARE UNIT AS WELL AS TO PROVIDE CLINICAL EXCELLENCE AWARDS. |
| PART X, LINE 2: | IRMH AND ITS SUBSIDIARIES ARE NONPROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED AS TAX-EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE (IRS) PURSUANT TO SECTION 501(C)(3) OF THE CODE. INCOME EARNED IN FURTHERANCE OF THE HOSPITAL'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE CODE PROVIDES FOR TAXATION OF UNREALATED BUSINESS INCOME UNDER CERTAIN CIRCUMSTANCES. THE HOSPITAL HAS NO MATERIAL UNRELATED BUSNIESS INCOME; HOWEVER, SUCH STATUS IS SUBJECT TO FINAL DETERMINATION UPON EXAMINATION OF THE RELATED INCOME TAX RETURNS BY THE APPORPRIATE TAXING AUTHORITY. GAAP PRESCRIBES RECOGNITION THRESHOLDS AND MEASUREMENT ATTRIBUTES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. TAX BENEFITS WILL BE RECOGNIZED ONLY IF THE TAX POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED IN A TAX EXAMINATION, WITH BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSTITIONS NOT MEETING THE MORE LIKELY THAN NOT TEST, NO TAX BENEFIT WILL BE RECORDED. MANAGEMENT HAS CONCLUDED THAT THEY ARE UNAWARE OF ANY TAX BENEFITS OR LIABILITIES TO BE RECOGNIZED AT SEPTEMBER 30, 2017 AND 2016. TAX RETURNS FILED BY THE HOSPITAL ARE GENERALLY NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS ENDED SEPTEMBER 30, 2013, AND PRIOR. |
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 |
| Percent150 | Yes (X) | Percent150Ind |
| 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 | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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) |
|---|---|---|
| Total Community Benefit Expns | $8,658,492 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,337,962 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,320,530 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00820 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,466,189 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,345,581 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,120,608 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02510 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,124,681 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,683,543 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,441,138 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03330 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $356,875 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $187,588 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $169,287 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,370,682 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,111,044 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,259,638 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01150 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,727,557 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,298,632 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,428,925 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01210 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,852,238 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,982,175 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,870,063 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04540 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,750,214 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,437,554 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $118,675,087 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $117,499,215 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,175,872 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| 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 | INDIAN RIVER MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 36TH STREET | AddressLine1Txt |
| City | VERO BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32960 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.INDIANRIVERMEDICALCENTER.COM | WebsiteAddressTxt |
| State License | 4029 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIAN RIVER MEMORIAL HOSPITAL | 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 | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.INDIANRIVERMEDICALCENTER.COM/ABOUT/PUBLIC-INFORMATION/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.INDIANRIVERMEDICALCENTER.COM/ABOUT/PUBLIC-INFORMATION/ | 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 | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.INDIANRIVERMEDICALCENTER.COM/WP-CONTENT/UPLOADS/2015/05/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.INDIANRIVERMEDICALCENTER.COM/WP-CONTENT/UPLOADS/2015/05/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.INDIANRIVERMEDICALCENTER.COM/WP-CONTENT/UPLOADS/2015/05/ | 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 |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| 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 |
|---|---|
| INDIAN RIVER MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: A SERIES OF MEETINGS WITH 45 LOCAL ORGANIZATIONS THAT REPRESENT LOW INCOME/INDIGENT POPULATIONS, GOVERNMENTAL ENTITIES, CHARITABLE ORGANIZATIONS THAT FUND OR DIRECTLY SERVE THE POOR AND THOSE WITH HEALTHCARE NEEDS, CHURCHES, CHAMBERS OF COMMERCE, MAJOR EMPLOYERS, AND VOLUNTEERS WHO SERVE ON COMMUNITY AND HEALTH-ORIENTED GROUPS. IN ADDITION, TWELVE FOCUS GROUP MEETINGS WERE CONDUCTED THROUGHOUT THE COMMUNITY WHICH INCLUDED OVER 150 PARTICIPANTS. REFER TO PAGE X AND 91-92 OF THE CHNA REPORT AT WWW.INDIANRIVERMEDICALCENTER.COM FOR LIST OF THE ORGANIZATIONS INTERVIEWED. |
| INDIAN RIVER MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6B: INDIAN RIVER MEMORIAL HOSPITAL INC.'S MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS THAT ARE NOT HOSPITAL FACILITIES:211 PALM BEACH/TREASURE COASTAUDUBON SOCIETY (PELICAN ISLAND)BOYS AND GIRLS CLUBS OF INDIAN RIVER COUNTYCITY OF FELLSMERECITY OF SEBASTIANCITY OF VERO BEACHCITY OF VERO BEACH RECREATION DEPARTMENTCONSUMER - REGISTERED DIETITIANEARLY LEARNING COALITION OF INDIAN RIVER COUNTYECONOMIC OPPORTUNITIES COUNCIL OF INDIAN RIVER COUNTY, INC.ENVIRONMENTAL LEARNING CENTERFELLSMERE COMMUNITY CENTERFELLSMERE COMMUNITY PRAYER AND WORSHIP CENTERFELLSMERE ENRICHMENT CENTERFLORIDA DEPARTMENT OF HEALTH - INDIAN RIVER COUNTYGIFFORD YOUTH ACHIEVEMENT CENTERHOMELESS FAMILY CENTERINDIAN RIVER COUNTY BOARD OF COUNTY COMMISSIONERSINDIAN RIVER COUNTY COMMUNITY DEVELOPMENT DEPARTMENTINDIAN RIVER COUNTY FIRE RESCUEINDIAN RIVER COUNTY HEALTHY START COALITION, INC.INDIAN RIVER COUNTY HOSPITAL DISTRICTINDIAN RIVER COUNTY MEDICAL SOCIETYINDIAN RIVER COUNTY MINISTERIAL ASSOCIATIONINDIAN RIVER COUNTY NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLOREDPEOPLE (NAACP)INDIAN RIVER COUNTY SHERIFF'S OFFICEINDIAN RIVER IMPACT 100INDIAN RIVER NEIGHBORHOOD ASSOCIATIONJOHN'S ISLAND FOUNDATIONROTARY CLUB OF VERO BEACH OCEANSIDESCHOOL DISTRICT OF INDIAN RIVER COUNTYSEBASTIAN POLICE DEPARTMENTSEBASTIAN RIVER AREA CHAMBER OF COMMERCESENIOR RESOURCE ASSOCIATIONST. MARK'S ANGLICAN CHURCHSUBSTANCE AWARENESS CENTER OF INDIAN RIVER COUNTYTHE MENTAL HEALTH COLLABORATIVE OF INDIAN RIVER COUNTYTHE SOURCETREASURE COAST COMMUNITY HEALTHTREASURE COAST FOOD BANKTREASURE COAST HOMELESS SERVICES COUNCIL, INC.UNITED WAY OF INDIAN RIVER COUNTYVISITING NURSE ASSOCIATION OF THE TREASURE COASTWHOLE FAMILY HEALTH CENTERYOUTH GUIDANCE |
| INDIAN RIVER MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY (A) ADOPTION OF AN IMPLEMENTATION STRATEGY THAT ADDRESSES EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, (B) EXECUTION OF THE IMPLEMENTATION STRATEGY, (C) PARTICIPATION IN THE DEVELOPMENT OF A COMMUNITY-WIDE PLAN, (D) PARTICIPATION IN THE EXECUTION OF A COMMUNITY-WIDE PLAN, (E) ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, (F) PRIORITIZATION OF HEALTH NEEDS IN ITS COMMUNITY, AND (G) PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY. THE OTHER NEEDS IDENTIFIED AS PRIORITIES BY THE CHNA WILL BE LED BY OTHER FACILITIES AND OTHER ORGANIZATIONS IN COLLABORATION WITH OUR HOSPITAL. PLEASE REFER TO PAGE 2 OF OUR COMMUNITY HEALTH IMPROVEMENT PLAN AT WWW.INDIANRIVERMEDICALCENTER.COM. |
| INDIAN RIVER MEMORIAL HOSPITAL | PART V, SECTION B, LINE 13H: ALL UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FREE CARE RECEIVE DISCOUNTED HEALTH SERVICES REGARDLESS OF INCOME OR ASSETS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 27 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - INDIAN RIVER CARDIOLOGY CENTRAL | ||||
| 3450 11TH COURT SUITE 102 | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 2 - VERO RADIOLOGY ASSOCIATES | ||||
| 3725 11TH CIRCLE | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 3 - INDIAN RIVER GASTROENTEROLOGY PRACTICE | ||||
| 3450 11TH COURT SUITE 206 | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 4 - PARTNERS IN WOMENS HEALTH | ||||
| 1050 37TH PLACE SUITE 101 | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 5 - INDIAN RIVER VERO INTERNAL MEDICINE | ||||
| 3450 11TH COURT SUITE 201 | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 6 - URGENT CARE SEBASTIAN | ||||
| 801 WELLNESS WAY | SEBASTIAN | FL | 32958 | OUTPATIENT CLINIC |
| 7 - URGENT CARE POINTE WEST | ||||
| 1960 POINTE WEST DR | VERO BEACH | FL | 32966 | OUTPATIENT CLINIC |
| 9 - INDIAN RIVER MEDICAL ONCOLOGY | ||||
| 3555 10TH COURT SUITE 200B | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 10 - INDIAN RIVER GENERAL SURGERY | ||||
| 3450 11TH COURT SUITE 204 | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 11 - INDIAN RIVER CARDIOLOGY DR CELANO | ||||
| 3607 15TH AVE | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 11 - 1INDIAN RIVER RHEUMATOLOGY | ||||
| 3450 11TH COURT SUITE 302B | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 12 - INDIAN RIVER INFECTIOUS DISEASE | ||||
| 3450 11TH COURT SUITE 305A | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 13 - INDIAN RIVER UROLOGY | ||||
| 3450 11TH COURT SUITE 303 | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 14 - INDIAN RIVER NEUROLOGY | ||||
| 3450 11TH COURT SUITE 305B | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 15 - INDIAN RIVER PULMONARY | ||||
| 3450 11TH COURT SUITE 203 | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 16 - INDIAN RIVER CARDIAC SURGERY GROUP | ||||
| 3450 11TH COURT SUITE 105 | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 17 - INDIAN RIVER PRIMARY CARE SOUTH | ||||
| 4165 9TH ST SUITE 106 | VERO BEACH | FL | 32968 | OUTPATIENT CLINIC |
| 18 - INDIAN RIVER MULTISPECIALTY GROUP | ||||
| 801 WELLNESS WAY SUITE 109 | SEBASTIAN | FL | 32958 | OUTPATIENT CLINIC |
| 19 - INDIAN RIVER FAMILY PRACTICE | ||||
| 1960 POINTE WEST DR SUITE 101 | VERO BEACH | FL | 32966 | OUTPATIENT CLINIC |
| 20 - INDIAN RIVER FAMILY PRACTICE NORTH | ||||
| 801 WELLNESS WAY SUITE 200 | SEBASTIAN | FL | 32958 | OUTPATIENT CLINIC |
| 21 - INDIAN RIVER ORTHOPEDICS | ||||
| 3450 11TH COURT SUITE 302A | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 22 - INDIAN RIVER CONCIERGE | ||||
| 3450 11TH COURT SUITE 306 | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 23 - INDIAN RIVER CARDIOLOGY NORTH | ||||
| 801 WELLNESS WAY SUITE 203 | SEBASTIAN | FL | 32958 | OUTPATIENT CLINIC |
| 24 - INDIAN RIVER CARDIOVASCULAR NORTH | ||||
| 13060 US HIGHWAY 1 | SEBASTIAN | FL | 32958 | OUTPATIENT CLINIC |
| 26 - INDIAN RIVER MEDICAL DERMATOLOGY | ||||
| 3555 10TH COURT SUITE 200A | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 27 - INDIAN RIVER NEUROSURGERY | ||||
| 3450 11TH COURT SUITE301 | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
| 28 - INDIAN RIVER ELECTROPHYSIOLOGY | ||||
| 3450 11TH COURT SUITE 104A | VERO BEACH | FL | 32960 | OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | PATIENTS WITH HOUSEHOLD INCOME BETWEEN 150% AND 400% OF THE FEDERAL POVERTY GUIDELINES AND HAVE A CATASTROPHIC MEDICAL ILLNESS, WITHOUT OTHER SUBSTANTIAL FINANCIAL RESOURCES, AND NOT ELIGIBLE FOR MEDICAID OR OTHER COVERAGE (E.G. INDIAN RIVER COUNTY HOSPITAL DISTRICT COVERAGE FOR MEDICALLY INDIGENT), WILL BE GRANTED A 82% DISCOUNT. ALL UNINSURED PATIENTS THAT DO NOT QUALIFY FOR ONE OF THESE PROGRAMS WILL RECEIVE A 58% DISCOUNT WHICH IS CONSISTENT WITH PAYMENTS NEGOTIATED WITH INSURANCE COMPANIES. |
| PART I, LINE 7: | LINE 7A , COL(C) - RATIO OF COST TO CHARGE METHODOLOGY FROM THE MEDICARE COST REPORT WAS UTILIZED TO CALCULATE COMMUNITY BENEFIT EXPENSE WHICH INCLUDES ALL SERVICE LINES AND PAYORS.LINE 7B , COL(C) - RATIO OF COST TO CHARGE METHODOLOGY FROM THE MEDICAID COST REPORT WAS UTILIZED TO CALCULATE COMMUNITY BENEFIT EXPENSE WHICH INCLUDES ONLY MEDICAID PATIENTS.LINE 7F , COL(C) - RATIO OF COST TO CHARGE METHODOLOGY FROM THE MEDICARE COST REPORT WAS UTILIZED TO CALCULATE COMMUNITY BENEFIT EXPENSE WHICH INCLUDES ALL SERVICE LINES AND PAYORS.LINE 7G , COL(C) - RATIO OF COST TO CHARGE METHODOLOGY FROM THE MEDICARE COST REPORT WAS UTILIZED TO CALCULATE COMMUNITY BENEFIT EXPENSE WHICH INCLUDES ALL SERVICE LINES AND PAYORS. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 13,750,214. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | INDIAN RIVER MEDICAL CENTER PROMOTES COMMUNITY HEALTH THROUGH A BROAD VARIETY OF APPROACHES THAT INCLUDES A COMMUNITY BASED BOARD OF DIRECTORS THAT ENSURES ACCESS TO PATIENT CARE THROUGHOUT THE YEAR, FREE OR LOW COST HEALTH FAIRS TO PROMOTE DISEASE PREVENTION, FREE EDUCATIONAL SESSIONS AND NEWSLETTERS ON DISEASE PREVENTION, FREE SUPPORT GROUPS, PARTICIPATION ON NUMEROUS COMMUNITY HEALTHCARE COLLABORATIVE COMMITTEES THAT PROMOTE AND DEVELOP CARE COORDINATION FOR OUR RESIDENTS. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE MEDICAL CENTER MAINTAINS AN ORGANIZED MEDICAL STAFF WHICH PROVIDES ACCESS TO COMPETENT PROFESSIONAL SERVICES. THE ORGANIZATION PARTNERS WITH OTHER COMMUNITY GROUPS INCLUDING BUT NOT LIMITED TO VISITING NURSES ASSOCIATION, TREASURE COAST COMMUNITY HEALTH CENTER, INDIAN RIVER HEALTH DEPARTMENT, VNA HOSPICE, WHOLE FAMILY HEALTH CENTER, INDIAN RIVER COUNTY HOSPITAL DISTRICT, THE PARTNERS PROGRAM, HEALTHY START COALITION AND THE MENTAL HEALTH ASSOCIATION IN INDIAN RIVER COUNTY. |
| PART III, LINE 2: | THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS OF ACCOUNTS RECEIVABLE CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED TO THE PROVISION FOR BAD DEBTS AFTER COLLECTION EFFORTS HAVE BEEN MADE IN ACCORDANCE WITH THE HOSPITAL'S POLICIES. BAD DEBTS IS REPORTED NET OF PAYMENTS AND HEALTH SERVICES DISCOUNTS. RECOVERIES ARE TREATED AS A REDUCTION TO THE PROVISION FOR PATIENT BAD DEBTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED ON THE BASIS OF HISTORICAL EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. |
| PART III, LINE 3: | THE ORGANIZATION HAS DETERMINED THAT APPROXIMATELY 25% OF BAD DEBT WRITE-OFFS ARE ATTRIBUTABLE TO PATIENTS WHO WOULD BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON HISTORICAL ANALYSIS AND EXPERTISE. |
| PART III, LINE 4: | SEE PAGE NUMBER 13 IN THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE ORGANIZATION REPORTS MEDICARE REVENUE AND ALLOWABLE COSTS IN PART III, LINES 5 AND 6 USING THE MEDICARE COST REPORT INFORMATION AND HOSPITAL FINANCIAL INFORMATION. |
| PART III, LINE 9B: | UNDER CURRENT HOSPITAL POLICY, ONCE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, NO COLLECTION IS ATTEMPTED ON THE BALANCE RELATED TO THE SERVICES PROVIDED TO THE PATIENT. |
| PART VI, LINE 2: | INDIAN RIVER MEDICAL CENTER FREQUENTLY EVALUATES THE HEALTHCARE NEEDS OF THE COMMUNITY THROUGH A VARIETY OF METHODS INCLUDING PHONE SURVEYS TO RANDOMLY CHOSEN RESIDENTS, INTERVIEWS WITH COMMUNITY LEADERS AND EXECUTIVES, REVIEWING PRIMARY AND SECONDARY DATA AVAILABLE FROM MULTIPLE SOURCES, AND COMMUNITY FOCUS GROUPS. IN ADDITION, QUANTITATIVE AND QUALITATIVE DATA IS USED TO DETERMINE HISTORICAL TRENDS AND TO PREDICT FUTURE NEEDS BASED ON THOSE TRENDS. BASED ON THE FINDINGS OF THE ASSESSMENTS, INDIAN RIVER MEDICAL CENTER HAS RECENTLY OPENED A HEART FAILURE CLINIC, TWO WALK-IN CLINICS, ASSISTED COMMUNITY PHYSICIANS WITH RECRUITING PHYSICIANS TO IMPROVE ACCESS TO CARE AND A 14-BED SURGICAL INTENSIVE CARE UNIT. AS A RESULT OF HEALTH ASSESSMENT FINDINGS, THE FUTURE WILL INCLUDE EXPANDING CANCER CARE, CHRONIC DISEASE MANAGEMENT, AND DIAGNOSTIC SCREENING. |
| PART VI, LINE 3: | ALL UNINSURED PATIENTS RECEIVE FINANCIAL COUNSELING SERVICES AFTER THEY RECEIVE THE APPROPRIATE MEDICAL CARE. FINANCIAL COUNSELING INCLUDES EDUCATION ABOUT ALL FINANCIAL ASSISTANCE PROGRAMS INCLUDING FUNDING THROUGH INDIAN RIVER COUNTY HOSPITAL DISTRICT.INDIAN RIVER MEDICAL CENTER PROVIDES RESOURCES TO UNINSURED AND UNDERINSURED PATIENTS TO ASSIST THEM IN COMPLETING A FINANCIAL ASSISTANCE APPLICATION. OUR FINANCIAL COUNSELORS ATTEMPT TO MAKE DIRECT CONTACT WITH UNINSURED PATIENTS TO ASSIST THEM WITH THE APPLICATION PROCESS. IF DIRECT CONTACT IS NOT POSSIBLE, A LETTER IS SENT TO THE PATIENT WITH INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE APPLICATION AND POLICY ARE AVAILABLE ON THE INTERNET AS WELL AS IN THE ADMITTING OFFICE, EMERGENCY ROOM, AND OTHER REGISTRATION SITES. IN ADDITION, APPLICANTS CAN VISIT OUR FINANCIAL COUNSELORS AT THE MEDICAL CENTER TO OBTAIN AN APPLICATION OR TO RECEIVE ASSISTANCE WITH COMPLETING THE APPLICATION. PATIENTS ARE INFORMED ABOUT OUR FINANCIAL ASSISTANCE PROCESS IN A NUMBER OF WAYS: (1) PATENT ACCESS SERVICES ATTEMPTS TO CONTACT SCHEDULED PATIENTS PRIOR TO SERVICES TO EDUCATE PATIENTS REGARDING EXPECTED CHARGES, PAYMENT/DISCOUNT OPTIONS INCLUDING ELIGIBILITY FOR MEDICAID AND INDIAN RIVER COUNTY HOSPITAL DISTRICT FUNDING; (2) FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE AVAILABLE TO DISCUSS FINANCIAL ASSISTANCE WITH PATIENTS DURING THEIR STAYS AS WELL AS POST DISCHARGE VIA TELEPHONE AND HOME VISITS; (3) FINANCIAL ASSISTANCE INFORMATION IS WIDELY DISSEMINATED THROUGHOUT INDIAN RIVER COUNTY THROUGH INDIAN RIVER MEDICAL CENTER'S WEBSITE, COMMUNITY OUTREACH PROGRAMS INCLUDING ITS RELATIONSHIPS WITH OTHER MULTIPLE COMMUNITY PROVIDERS AND PARTNERS (E.G. VISITING NURSES ASSOCIATION; TREASURE COAST COMMUNITY HEALTH CENTER; INDIAN RIVER HEALTH DEPARTMENT; VNA HOSPICE; WHOLE FAMILY HEALTH CENTER; INDIAN RIVER COUNTY HOSPITAL DISTRICT; THE PARTNERS PROGRAM; HEALTHY START COALITION AND THE MENTAL HEALTH ASSOCIATION IN INDIAN RIVER COUNTY). |
| PART VI, LINE 4: | INDIAN RIVER MEDICAL CENTER SERVES INDIAN RIVER COUNTY AND IS THE HOSPITAL OF CHOICE WITHIN A 10-MILE RADIUS OF ITS MAIN CAMPUS. THE COUNTY IS COMPRISED OF 141,000 PEOPLE. IT HAS SEEN STEADY GROWTH SINCE 2009. JUST OVER 20% OF THE POPULATION IS 65 AND OVER. OVER 50% OF THE COUNTY'S POPULATION IS 50 OR OLDER. THE LARGEST POPULATION INCREASE WAS IN THE 60-64 YEAR AGE GROUP, WHILE THE LARGEST DECREASE WAS IN THE 25-34 YEAR AGE GROUP. UNEMPLOYMENT REMAINED HIGH IN THE COUNTY AT OVER 10%. THE LARGEST EMPLOYERS IN THE COUNTY ARE IN THE RETAIL, EDUCATIONAL, AND HEALTHCARE INDUSTRIES. SLIGHTLY MORE THAN 13% OF ALL FAMILIES IN INDIAN RIVER COUNTY LIVE BELOW THE FEDERAL POVERTY LEVEL, WITH MORE THAN 21% BEING UNDER THE AGE OF 18. THERE HAS BEEN A STEADY INCREASE IN THE NUMBER OF PEOPLE RECEIVING PUBLIC ASSISTANCE IN INDIAN RIVER COUNTY. |
| PART VI, LINE 5: | INDIAN RIVER MEDICAL CENTER IS MISSION BASED AND PROMOTES COMMUNITY HEALTH THROUGH A BROAD VARIETY OF APPROACHES THAT INCLUDES A COMMUNITY BASED BOARD OF DIRECTORS WHO ENSURES ACCESS TO PATIENT CARE THROUGHOUT THE YEAR, FREE OR LOW COST HEALTH FAIRS TO PROMOTE DISEASE PREVENTION, FREE EDUCATIONAL SESSIONS AND NEWSLETTERS ON DISEASE PREVENTION, FREE SUPPORT GROUPS, PARTICIPATION ON NUMEROUS COMMUNITY HEALTHCARE COLLABORATIVE COMMITTEES THAT PROMOTE AND DEVELOP CARE COORDINATION FOR OUR RESIDENTS. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. |
| PART VI, LINE 6: | INDIAN RIVER MEMORIAL HOSPITAL, INC. AND ITS AFFILIATES (INDIAN RIVER HOSPIAL FOUNDATION, INDIAN RIVER HEALTH SERVICES, HEALTH SYSTEMS OF INDIAN RIVER, AND INDIAN RIVER HOSPITAL AUXILIARY) WORK TOGETHER TO SERVE AS THE AREA'S LEADING PROVIDER OF COMPREHENSIVE HIGH QUALITY HEALTH AND MEDICAL SERVICES. THE ORGANIZATION AND ITS AFFILIATES ALSO STRIVE TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES THEY SERVE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | 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 (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY L SUSI | ||||||||||||||
| PRESIDENT/CEO | $378,665 | $0 | $25,000 | $0 | $531,679 | $0 | $10,600 | $0 | $20,608 | $0 | $966,552 | $0 | $0 | $0 |
| GREGORY GARDNER | ||||||||||||||
| SR. VP, CFO (THROUGH 12/31/16) | $253,708 | $0 | $34,800 | $0 | $340,027 | $0 | $10,600 | $0 | $16,103 | $0 | $655,238 | $0 | $0 | $0 |
| MARGOT HEDENSTROM | ||||||||||||||
| VP, CNO(THROUGH 12/09/16) | $215,047 | $0 | $0 | $0 | $714 | $0 | $5,300 | $0 | $5,027 | $0 | $226,088 | $0 | $0 | $0 |
| VALERIE LARCOMBE | ||||||||||||||
| SR. VP, CLO | $253,591 | $0 | $13,750 | $0 | $285,720 | $0 | $10,600 | $0 | $8,725 | $0 | $572,386 | $0 | $0 | $0 |
| CHARLES MACKETT MD | ||||||||||||||
| SR. VP CHIEF MEDICAL OFFICER | $324,222 | $0 | $0 | $0 | $19,317 | $0 | $28,100 | $0 | $1,044 | $0 | $372,683 | $0 | $0 | $0 |
| JANICE DONLAN | ||||||||||||||
| VP FOUNDATION & COMMUNITY | $185,924 | $0 | $24,000 | $0 | $20,834 | $0 | $27,533 | $0 | $20,193 | $0 | $278,484 | $0 | $0 | $0 |
| WARREN FULLER | ||||||||||||||
| VP FINANCE | $162,189 | $0 | $0 | $0 | $17,113 | $0 | $26,553 | $0 | $20,426 | $0 | $226,281 | $0 | $0 | $0 |
| WILLIAM NEIL | ||||||||||||||
| VP CIO | $180,001 | $0 | $0 | $0 | $17,201 | $0 | $26,758 | $0 | $1,075 | $0 | $225,035 | $0 | $0 | $0 |
| CARY STOWE MD | ||||||||||||||
| PHYSICIAN | $796,783 | $0 | $0 | $0 | $2,772 | $0 | $10,600 | $0 | $16,930 | $0 | $827,085 | $0 | $0 | $0 |
| RICHARD FRANCO MD | ||||||||||||||
| PHYSICIAN | $1,066,985 | $0 | $134,596 | $0 | $3,825 | $0 | $10,600 | $0 | $17,974 | $0 | $1,233,980 | $0 | $0 | $0 |
| FABIO ROBERTI MD | ||||||||||||||
| PHYSICIAN | $828,485 | $0 | $80,994 | $0 | $689 | $0 | $10,600 | $0 | $18,157 | $0 | $938,925 | $0 | $0 | $0 |
| GEORGE NICHOLS MD | ||||||||||||||
| PHYSICIAN | $858,238 | $0 | $75,000 | $0 | $4,103 | $0 | $5,300 | $0 | $12,067 | $0 | $954,708 | $0 | $0 | $0 |
| DIEGO MALDONADO MD | ||||||||||||||
| PHYSICIAN | $443,913 | $0 | $329,154 | $0 | $630 | $0 | $10,600 | $0 | $18,156 | $0 | $802,453 | $0 | $0 | $0 |
| CHARLES CELANO | ||||||||||||||
| CHIEF OF STAFF (THROUGH 12/31/15) | $491,666 | $0 | $31,610 | $0 | $4,904 | $0 | $10,600 | $0 | $15,452 | $0 | $554,232 | $0 | $0 | $0 |
| STEVEN SAYLER | ||||||||||||||
| SR. VP, COO (THROUGH 12/10/15) | $0 | $0 | $0 | $0 | $196,153 | $0 | $0 | $0 | $0 | $0 | $196,153 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINES 4A-B | FormAndLineReferenceDesc |
| Explanation | PART I, LINE 4A - SEVERANCE PAYMENT: PER THE TERMS OF SEVERANCE AGREEMENT, STEVEN SAYLER RECEIVED FROM THE ORGANIZATION A SEVERANCE PAYMENT THAT WAS TREATED AS TAXABLE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) IN THE AMOUNT OF $173,076. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: COMPENSATION REPORTED IN THE FORM 990, PARTICULARLY RELATING TO EXECUTIVE RETIREMENT BENEFIT COSTS, MAY BE CONFUSING, ESPECIALLY WHEN MAKING COMPARISONS FROM ONE ORGANIZATION TO ANOTHER OR EVEN FROM ONE YEAR TO ANOTHER FOR THE SAME ORGANIZATION. RETIREMENT BENEFIT COSTS MAY VARY WIDELY DEPENDING ON THE TYPE OF PLAN (DEFINED BENEFIT OR CONTRIBUTION), AND THE AGE AND TENURE OF THE EXECUTIVE. THE ORGANIZATION MAINTAINS UNFUNDED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS (SERP) - BOTH A DEFINED BENEFIT AND A DEFINED CONTRIBUTION PLAN. (FOR FURTHER DESCRIPTION OF THE SERP PLANS, SEE THE AUDITED FINANCIAL STATEMENTS). DUE TO AGE AND TENURE, THE BELOW LISTED INDIVIDUALS WHO PARTICIPATE IN THE DEFINED BENEFIT SERP VESTED AND RECEIVED A LUMP SUM TAXABLE RETIREMENT DISTRIBUTION DURING THE FISCAL YEAR. EACH LUMP SUM IS REPORTED AS OTHER REPORTABLE INCOME ON SCHEDULE J (B) (III). GREGORY GARDNER VALERIE LARCOMBE JEFFREY L. SUSI | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY: THE INDIAN RIVER COUNTY HOSPITAL DISTRICT IS ENTITLED TO DESIGNATE THREE (3) VOTING MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS: PURSUANT TO THE ORGANIZATION'S BYLAWS AND ITS LEASE WITH THE INDIAN RIVER COUNTY HOSPITAL DISTRICT, CERTAIN BYLAW PROVISIONS AS WELL AS THE ELIMINATION OF CERTAIN SERVICES AND PROGRAMS REQUIRE APPROVAL BY THE DISTRICT AS LESSOR OF THE PHYSICAL PLAN. IN ADDITION, THE DISTRICT-APPOINTED TRUSTEES ALSO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE IN THE FOLLOWING: 2 DISTRICT-APPOINTED TRUSTEES ARE ON THE NOMINATING COMMITTEE, 1 DISTRICT-APPOINTED TRUSTEE AND 1 DISTRICT-APPOINTED PERSON WHO IS NOT A TRUSTEE ARE ON THE FINANCE COMMITTEE, AND 1 DISTRICT-APPOINTED TRUSTEE IS ON THE INVESTMENT COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 11B | REVIEW OF FORM 990 BY GOVERNING BOARD: A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING UTILIZING A LINK TO A PASSWORD-PROTECTED WEBSITE ON WHICH THE ENTIRE FORM 990 CAN BE VIEWED. QUESTIONS REGARDING THE FORM 990 ARE DIRECTED TO THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF LEGAL OFFICER OR OTHER LEADERSHIP MEMBERS AS APPROPRIATE. EXECUTIVE LEADERSHIP PROVIDES MEMBERS OF THE BOARD OF DIRECTORS (OR OF A SPECIFIED COMMITTEE WITH BOARD-DESIGNATED POWERS) WITH AN OVERVIEW OF THE FORM 990 FILED ON BEHALF OF THE ORGANIZATION AT A REGULARLY SCHEDULED BOARD MEETING FOLLOWING THE FILING OF THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY: THE HOSPITAL HAS A CORPORATE COMPLIANCE OFFICER WHO ANNUALLY COLLECTS A SIGNED ACKNOWLEDGEMENT FROM EACH PERSON AT THE LEVEL OF MANAGER AND ABOVE, STATING THAT THE INDIVIDUAL HAS AN UNDERSTANDING OF, AND IS FULLY IN COMPLIANCE WITH, THE HOSPITAL'S CONFLICT OF INTEREST POLICY. IF A CONFLICT OF INTEREST IS DISCLOSED, THE COMPLIANCE OFFICER FOLLOWS UP WITH THE INDIVIDUAL FOR ADDITIONAL INFORMATION. THIS INFORMATION IS REVIEWED BY THE ORGANIZATION'S COMPLIANCE COMMITTEE. IF A MEMBER OF THE GOVERNING BODY HAS A POTENTIAL OR ACTUAL CONFLICT OF INTEREST, THE INDIVIDUAL ABSTAINS FROM VOTING ON RELATED DECISIONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL: THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM IS ADMINISTERED BY THE EXECUTIVE COMPENSATION SUB-COMMITTEE OF THE COMPLIANCE COMMITTEE (THE "COMPENSATION COMMITTEE") AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS CONSISTENT WITH APPLICABLE REGULATORY GUIDANCE. THE COMPENSATION COMMITTEE MEETS AS NEEDED TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES TO THE CORPORATE COMPLIANCE COMMITTEE AND THE BOARD OF DIRECTORS AS APPROPRIATE. THE COMPENSATION COMMITTEE DIRECTLY, AND INDEPENDENT OF EXECUTIVE MANAGEMENT, COMMISSIONS AN ANNUAL REVIEW BY ITS INDEPENDENT CONSULTING FIRM, SULLIVAN COTTER, TO EVAULATE THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM AGAINST THE COMPETITIVE MARKET UTILIZING DATA FROM COMPARABLE LOCAL ORGANIZATIONS, INCLUDING, BUT NOT LIMITED TO FORM 990 DATA AS WELL AS REGIONAL DATA FROM SIMILAR ORAGANIZATIONS. THE COMPENSATION REVIEW IS CONDUCTED NOT LESS THAN ANNUALLY AND IS INTENDED TO ENSURE THAT THE COMPENSATION PROGRAM FALLS WITHIN A REASONABLE FAIR MARKET RANGE OF COMPETITIVE PRACTICES FOR COMPARABLE POSITIONS AMONG SIMILARLY SITUATED ORGANIZATIONS. FOLLOWING THIS REVIEW, THE COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS FOR APPROVAL BY THE BOARD OF DIRECTORS THE GOALS, OBJECTIVES, AND SALARY OF THE CHIEF EXECUTIVE OFFICERS CONSISTENT WITH APPLICABLE REGULATORY GUIDELINES. THE COMPENSATION COMMITTEE ALSO APPROVES THE SALARIES AND BENEFITS FOR VICE-PRESIDENTS AND KEY EMPLOYEES. NOTE: COMPENSATION FOR ALL OTHER EMPLOYEES, INCLUDING DIRECTORS AND MANAGERS, IS REVIEWED AND APPROVED BY THE EXECUTIVE MANAGEMENT COMMITTEE BY UTILIZING COMPARABLE MARKET COMPENSATION DATA PROVIDED BY SULLIVAN COTTER OR OTHER INDEPENDENT COMPENSATION AND BENEFITS FIRM. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | PENSION LIABILITY ADJUSTMENT 5,112,536. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS 1,612,656. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERO RADIOLOGY ASSOCIATES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3725 11TH CIRCLE | AddressLine1Txt |
| City | VERO BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32960 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592755370 | EIN |
| Primary Activities | RADIOLOGY SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Total Income | $11,645,324 | TotalIncomeAmt |
| End Of Year Assets | $11,463,273 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIAN RIVER MEMORIAL HOSPITAL | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| INDIAN RIVER HOSPITAL FOUNDATION INC | ||||||||||
| 1000 36TH ST | VERO BEACH | FL | 32960 | 590760215 | FUND RAISING | FL | 501(C)(3) | LINE 12A, I | IRMH | Yes (1) |
| INDIAN RIVER HEALTH SERVICES INC | ||||||||||
| 1000 36TH ST | VERO BEACH | FL | 32960 | 650029298 | HEALTHCARE | FL | 501(C)(3) | LINE 12A, I | IRMH | Yes (1) |
| HEALTH SYSTEMS OF INDIAN RIVER INC | ||||||||||
| 1000 36TH ST | VERO BEACH | FL | 32960 | 650705680 | HEALTHCARE | FL | 501(C)(3) | LINE 12B, II | IRMH | Yes (1) |
| HOSPITAL AUXILIARY OF THE IRMH INC | ||||||||||
| 1000 36TH ST | VERO BEACH | FL | 32960 | 591003707 | SUPPORT | FL | 501(C)(3) | LINE 12C, III-FI | IRMH | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| INDIAN RIVER HOSPITAL FOUNDATION INC | ||
| C | $6,204,239 | FMV |
| HEALTH SYSTEMS OF INDIAN RIVER INC | ||
| D | $41,479,120 | FMV |
| HEALTH SYSTEMS OF INDIAN RIVER INC | ||
| K | $919,797 | FMV |
| HEALTH SYSTEMS OF INDIAN RIVER INC | ||
| R | $26,394,405 | FMV |