2018-08-14T11:21:10-05:00 2017-09-30 420714325 RSM US LLP 1 S WACKER DRIVE STE 800 CHICAGO IL 60606 990 2016-10-01 592496294 INDIAN RIVER MEMORIAL HOSPITAL INC INDI 7725674311 1000 36TH STREET VERO BEACH FL 32960 GEORGE EIGHMY CFO 7725674311 2018-08-13 1 ZACK FORTSCH P00052725 3126343400 2016 2022-09-23 18:48:47Z INDIAN RIVER MEDICAL CENTER KAREN DAVIS 1000 36TH STREET VERO BEACH FL 32960 298654842 0 X WWW.INDIANRIVERMEDICALCENTER.COM X 1984 FL 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. 15 13 2384 519 244406 87246 10900317 6204239 256549461 290196927 594875 768752 1753301 1484924 269797954 298654842 0 0 0 0 139033230 158075010 0 0 0 122475419 138969821 261508649 297044831 8289305 1610011 231657367 211365567 93586968 64959965 138070399 146405602 X 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. 0 0 233760704 290322458 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. 233760704 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 519 0 1 2384 1 1 1 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X DAVID ELSTON CONTROLLER 7725674311 1000 36TH STREET VERO BEACH FL 32960 WAYNE HOCKMEYER PHD CHAIRMAN 5.00 2.00 X X 0 0 0 JOHN PASTOR VICE CHAIRMAN 5.00 2.00 X X 0 0 0 GERRI SMITH SECRETARY 5.00 2.00 X X 0 0 0 JACK WEISBAUM TREASURER 5.00 2.00 X X 0 0 0 HAL BROWN MD CHIEF OF STAFF 5.00 2.00 X 62706 0 0 JOHN LINDENTHAL MD VICE CHIEF OF STAFF 5.00 2.00 X 42400 0 0 PRANAY RAMDEV MD MEDICAL STAFF REPRESENTATIVE 5.00 2.00 X 0 0 0 WILLIAM BAXT MD MEMBER (THROUGH 06/30/17) 5.00 2.00 X 1500 0 0 MICHAEL J HAMMES MEMBER 5.00 2.00 X 0 0 0 KATHY HENDRIX MEMBER 5.00 2.00 X 0 0 0 HUGH MCCRYSTAL MD MEMBER 5.00 2.00 X 0 0 0 KEITH MORGAN MEMBER 5.00 2.00 X 0 0 0 JULIETTE LOMAX-HOMIER MD MEMBER 5.00 2.00 X 0 0 0 MATTHEW REISER MEMBER 5.00 2.00 X 0 0 0 ANTHONY C WOODRUFF MEMBER 5.00 7.00 X 0 0 0 DONALD LAURIE MEMBER 5.00 2.00 X 0 0 0 JEFFREY L SUSI PRESIDENT/CEO 50.00 4.00 X 935344 0 31208 GEORGE EIGHMY SR. VP, CFO (AS OF 01/01/17) 50.00 1.00 X 0 0 0 GREGORY GARDNER SR. VP, CFO (THROUGH 12/31/16) 50.00 1.00 X 628535 0 26703 MARGOT HEDENSTROM VP, CNO(THROUGH 12/09/16) 50.00 X 215761 0 10327 VALERIE LARCOMBE SR. VP, CLO 50.00 X 553061 0 19325 CHARLES MACKETT MD SR. VP CHIEF MEDICAL OFFICER 50.00 X 343539 0 29144 JANICE DONLAN VP FOUNDATION & COMMUNITY 15.00 35.00 X 230758 0 47726 WARREN FULLER VP FINANCE 50.00 X 179302 0 46979 WILLIAM NEIL VP CIO 50.00 X 197202 0 27833 CARY STOWE MD PHYSICIAN 50.00 X 799555 0 27530 RICHARD FRANCO MD PHYSICIAN 50.00 X 1205406 0 28574 FABIO ROBERTI MD PHYSICIAN 50.00 X 910168 0 28757 GEORGE NICHOLS MD PHYSICIAN 50.00 X 937341 0 17367 DIEGO MALDONADO MD PHYSICIAN 50.00 X 773697 0 28756 CHARLES CELANO CHIEF OF STAFF (THROUGH 12/31/15) 0.00 X 528180 0 26052 STEVEN SAYLER SR. VP, COO (THROUGH 12/10/15) 0.00 X 196153 0 0 8740608 0 396281 120 1 1 0 BRASFIELD & GORRIE LLC 3021 7TH AVENUE SOUTH BIRMINGHAM AL 35233 GENERAL CONTRACTORS 11503279 MCKESSON TECH RELAY HEALTH AHI PARENT PO BOX 98347 CHICAGO IL 606938347 SOFTWARE & CONSULTING 3686679 PROCTOR CONSTRUCTION CO 2050 US HWY 1 STE 200 VERO BEACH FL 32960 GENERAL CONTRACTORS 1970161 PINNACLE LOCUM TENENS LLC 1455 LINCOLN PARKWAY STE 350 ATLANTA GA 30346 PHYSICIAN SERVICES 1143508 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN SERVICES 1119690 43 6204239 6204239 NET PATIENT REVENUE 621990 290196927 290196927 290196927 768752 4654 764098 CAFETERIA 722100 996244 996244 LABORATORY 621500 214021 214021 LIFELINE MEDICAL MONITORING 900099 123397 123397 151262 125531 25731 1484924 298654842 290322458 244406 1883739 3390108 3390108 135263381 116950246 18313135 3028575 2577550 451025 8251977 7026329 1225648 8140969 6632665 1508304 367539 367539 584605 584605 282076 107576 174500 31416688 19213908 12202780 1260393 83926 1176467 464125 76902 387223 11074812 6494624 4580188 184250 93045 91205 260503 260503 14190132 8452525 5737607 4817588 489596 4327992 MEDICAL SUPPLIES 49450723 49055447 395276 BAD DEBT 13750214 13750214 OTHER SUPPLIES 2857547 1208921 1648626 8008626 1179691 6828935 297044831 233760704 63284127 0 13828326 13594828 17756210 13928569 31164763 38724058 4147956 4417529 2807330 2427462 317623380 213103044 133369254 104520336 6470948 6567513 2595060 6658575 6043837 12858945 21141435 231657367 211365567 31084990 31882165 25809878 5937383 36692100 27140417 93586968 64959965 X 137859902 146195105 210497 210497 138070399 146405602 231657367 211365567 X 1610011 6725192 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 178943 178943 0 PART II-B, LINE 1: 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. 2111662 37136 231887 15475 2365210 1929112 75000 147005 39455 2111662 779112 1150000 1929112 679112 100000 779112 567212 111900 679112 0.77400 0.22600 0 1 1 1631582 1631582 121127900 63445259 57682641 11298603 3962983 7335620 180118932 145694802 34424130 3446363 3446363 104520336 DUE FROM RELATED PARTIES 14269301 INVESTMENTS IN JOINT VENTURES 1472134 INVESTMENT IN HEALTH SYSTEMS OF INDIAN RIVER 5400000 21141435 SELF INSURANCE LIABILITY 9386385 PENSION LIABILITY 14111265 INDIGENT FUND PAYABLE 641500 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 2140453 DUE TO AFFILIATES 56453 INTEREST RATE SWAPS 804361 27140417 X 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 8658492 6337962 2320530 0.00820 21466189 14345581 7120608 0.02510 30124681 20683543 9441138 0.03330 356875 187588 169287 0.00060 10370682 7111044 3259638 0.01150 10727557 7298632 3428925 0.01210 40852238 27982175 12870063 0.04540 1 13750214 3437554 118675087 117499215 1175872 X 1 1 1 1 INDIAN RIVER MEMORIAL HOSPITAL 1000 36TH STREET VERO BEACH FL 32960 WWW.INDIANRIVERMEDICALCENTER.COM 4029 X X X INDIAN RIVER MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 0 1 1 X HTTPS://WWW.INDIANRIVERMEDICALCENTER.COM/ABOUT/PUBLIC-INFORMATION/ X 1 15 1 HTTPS://WWW.INDIANRIVERMEDICALCENTER.COM/ABOUT/PUBLIC-INFORMATION/ 0 1 X 150.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X WWW.INDIANRIVERMEDICALCENTER.COM/WP-CONTENT/UPLOADS/2015/05/ X WWW.INDIANRIVERMEDICALCENTER.COM/WP-CONTENT/UPLOADS/2015/05/ X WWW.INDIANRIVERMEDICALCENTER.COM/WP-CONTENT/UPLOADS/2015/05/ X X X X X X 1 X 0 X X X X 1 X 0 0 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. 27 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 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. 1 X X X X X 1 1 0 0 0 0 0 0 0 JEFFREY L SUSI PRESIDENT/CEO 378665 0 25000 0 531679 0 10600 0 20608 0 966552 0 0 0 GREGORY GARDNER SR. VP, CFO (THROUGH 12/31/16) 253708 0 34800 0 340027 0 10600 0 16103 0 655238 0 0 0 MARGOT HEDENSTROM VP, CNO(THROUGH 12/09/16) 215047 0 0 0 714 0 5300 0 5027 0 226088 0 0 0 VALERIE LARCOMBE SR. VP, CLO 253591 0 13750 0 285720 0 10600 0 8725 0 572386 0 0 0 CHARLES MACKETT MD SR. VP CHIEF MEDICAL OFFICER 324222 0 0 0 19317 0 28100 0 1044 0 372683 0 0 0 JANICE DONLAN VP FOUNDATION & COMMUNITY 185924 0 24000 0 20834 0 27533 0 20193 0 278484 0 0 0 WARREN FULLER VP FINANCE 162189 0 0 0 17113 0 26553 0 20426 0 226281 0 0 0 WILLIAM NEIL VP CIO 180001 0 0 0 17201 0 26758 0 1075 0 225035 0 0 0 CARY STOWE MD PHYSICIAN 796783 0 0 0 2772 0 10600 0 16930 0 827085 0 0 0 RICHARD FRANCO MD PHYSICIAN 1066985 0 134596 0 3825 0 10600 0 17974 0 1233980 0 0 0 FABIO ROBERTI MD PHYSICIAN 828485 0 80994 0 689 0 10600 0 18157 0 938925 0 0 0 GEORGE NICHOLS MD PHYSICIAN 858238 0 75000 0 4103 0 5300 0 12067 0 954708 0 0 0 DIEGO MALDONADO MD PHYSICIAN 443913 0 329154 0 630 0 10600 0 18156 0 802453 0 0 0 CHARLES CELANO CHIEF OF STAFF (THROUGH 12/31/15) 491666 0 31610 0 4904 0 10600 0 15452 0 554232 0 0 0 STEVEN SAYLER SR. VP, COO (THROUGH 12/10/15) 0 0 0 0 196153 0 0 0 0 0 196153 0 0 0 PART I, LINES 4A-B 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 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. 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