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INDIAN RIVER MEMORIAL HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
INDIAN RIVER MEMORIAL HOSPITAL INC (EIN 59-2496294)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201412279349300341
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-15T09:01:16-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1488 MADISON AVENUEAddressLine1
Address Line2FLOOR 3AddressLine2
CityNEW YORKCity
StateNYState
ZIP Code100225722ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592496294EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1INDIAN RIVER MEMORIAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlINDINameControl
Phone7725674311Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 36th StreetAddressLine1
CityVero BeachCity
StateFLState
ZIP Code32960ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGREG GARDNERName
TitleCFOTitle
Date Signed2014-08-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFELICIA TUCKERName
PTINP00505155PTIN
Phone2125725500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1INDIAN RIVER MEDICAL CENTERBusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1JEFFREY L SUSIBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 36th StreetAddressLine1
CityVero BeachCity
StateFLState
ZIP Code32960ZIPCode
FieldValueIRS element (for citing)
Gross Receipts220254541GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.IRMC.CCWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionINDIAN RIVER MEDICAL CENTER 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 IT SERVES.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees1704TotalNbrEmployees
Total Nbr Volunteers517TotalNbrVolunteers
Total Gross UBI1368223TotalGrossUBI
Net Unrelated Business Txbl Income683673NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7702672ContributionsGrantsPriorYear
Contributions Grants Current Year13104144ContributionsGrantsCurrentYear
Program Service Revenue Prior Year203299587ProgramServiceRevenuePriorYear
Program Service Revenue CY203331278ProgramServiceRevenueCY
Investment Income Prior Year544598InvestmentIncomePriorYear
Investment Income Current Year1147421InvestmentIncomeCurrentYear
Other Revenue Prior Year2085281OtherRevenuePriorYear
Other Revenue Current Year2569616OtherRevenueCurrentYear
Total Revenue Prior Year213632138TotalRevenuePriorYear
Total Revenue Current Year220152459TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year105333431SalariesEtcPriorYear
Salaries Etc Current Year108832929SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year100519868OtherExpensePriorYear
Other Expenses Current Year101725816OtherExpensesCurrentYear
Total Expenses Prior Year205853299TotalExpensesPriorYear
Total Expenses Current Year210558745TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7778839RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9593714RevenuesLessExpensesCY
Total Assets BOY157565665TotalAssetsBOY
Total Assets EOY172782672TotalAssetsEOY
Total Liabilities BOY55395759TotalLiabilitiesBOY
Total Liabilities EOY49852973TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY102169906NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY122929699NetAssetsOrFundBalancesEOY
Mission DescriptionINDIAN RIVER MEDICAL CENTER 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense154994046Expense
Grants0Grants
Revenue203506366Revenue
DescriptionINDIAN RIVER MEDICAL CENTER IS A 335-BED HOSPITAL IN VERO BEACH, FLORIDA. MORE THAN 50,000 PEOPLE ARE SEEN EACH YEAR IN ITS STATE-OF-THE-ART EMERGENCY DEPARTMENT. THE HEART CENTER, AFFILIATED WITH DUKE MEDICINE, OPENED IN 2006. 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. IN FISCAL YEAR 2013, THE HOSPITAL HAD 14,261 ADMISSIONS. SERVICES WERE PROVIDED FOR 62,294 PATIENT DAYS. THE HOSPITAL HAD 517 VOLUNTEERS WHO WORKED 80,453 HOURS DURING THE YEAR.Description
Total Program Service Expense154994046TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096241NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1704NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Marcy IsolaBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7725674311TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 36th StreetAddressLine1
CityVero BeachCity
StateFLState
ZIP Code32960ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ALAN POLACKWICH
Secretary5.002.00XX000
JEFFREY L SUSI
President/CEO50.004.00XX919369046908
JOHN PASTOR
Treasurer5.002.00XX000
THOMAS SEGURA
Chairman5.002.00XX000
WAYNE HOCKMEYER PHD
Vice Chair5.006.00XX000
CHARLES CELANO MD
Chief of Staff5.002.00X000
DR THEODORE PERRY
Medical Staff Representative5.000X4600000
FRAN ROSS ESQ
Member5.000X000
HUGH MCCRYSTAL MD
Member-Partial Year1.000X000
JACK ROGERS
Member5.002.00X000
JACK WEISBAUM
MEMBER5.000X000
JOHN LINDENTHAL MD
Vice Chief of Staff5.002.00X000
KATHY HENDRIX
Member5.002.00X000
KEITH MORGAN
Member5.002.00X000
MARION KENNEDY RN
Member5.002.00X000
PAUL NEZI
Member5.002.00X000
WILLIAM KELLEY MD
Member5.002.00X000
CHARLES MACKETT
VP Chief Medical Officer50.000X316555028708
CYNTHIA VANEK
Sr VP, Chief Nursing Officer - Partial year50.000X432786036120
DAN JANICAK
Sr VP, CFO - Partial year50.000X260315016690
GREGORY GARDNER
Sr. VP & CFO -Partial Year50.000X000
JANICE DONLAN
VP Foundation & Community Relations10.0030.00X020743638106
JOHN PEEPLES
VP Human Resources - Partial year50.000X164807025436
LYNN HUBBARD
VP, Chief Nursing Officer50.000X233903022080
VALERIE LARCOMBE
Sr VP, Chief Legal Counsel50.000X305108042381
WARREN FULLER
VP Finance50.000X177826039608
ARLEY PETER MD
Physician40.000681403040463X
CARY STOWE
Physician40.000795346044821X
FABIO ROBERTI MD
Physician40.000684030040463X
MARK MALIAS
Physician40.000691748049017X
RICHARD FRANCO
Physician40.000748973028603X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6458169TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs207436TotalReportableCompFrmRltdOrgs
Total Other Compensation499404TotalOtherCompensation
Number Individuals GT100 K103NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PROCTOR CONSTRUCTION
2050 US HWY 1VERO BEACHFL32960CONTRACTOR8385870
VERO BEACH CARDIOVASCULAR ASSOCIATES
5503 S CONGRESS AVEATLANTISFL33462CARDIOVASCULAR SERVICES1164000
EMERGENCY PHYSICIANS OF CENTRAL FLORIDA
1720 S COOK AVENUEORLANDOFL32806EMERGENCY PHYSICIAN SERVICES977847
QUEST DIAGNOSTICS INC
12436 COLLECTIONS CENTER DRIVECHICAGOIL606932436LABORATORY SERVICES976899
FLORIDA LINEN SERVICES
1407 SW 8TH STREETPOMPANO BEACHFL33069LINEN SERVICES639458
FieldValueIRS element (for citing)
Number Of Contractors GT100 K64NumberOfContractorsGT100K
Related Organizations13104144RelatedOrganizations
Total Contributions13104144TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE900099203331278203331278
0
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue203331278TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1147421TotalRevenueColumn
Unrelated Business Revenue579464UnrelatedBusinessRevenue
Exclusion$567,957ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real675275Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real102082Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real573193Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column573193TotalRevenueColumn
Exclusion$573,193ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA722100814688$814,688
LIFELINE MEDICAL MONITORING900099217888$217,888
LABORATORY621500751751751751

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column212096TotalRevenueColumn
Related Or Exempt Function Income175088RelatedOrExemptFunctionIncome
Unrelated Business Revenue37008UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1996423TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column220152459TotalRevenueColumn
Related Or Exempt Function Income203506366RelatedOrExemptFunctionIncome
Unrelated Business Revenue1368223UnrelatedBusinessRevenue
Exclusion$2,173,726ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6085327Total
Program Services3438251ProgramServices
Management And General2647076ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total84269906Total
Program Services67653150ProgramServices
Management And General16616756ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3233139Total
Program Services2554180ProgramServices
Management And General678959ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9534140Total
Program Services7531970ProgramServices
Management And General2002169ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5710417Total
Program Services4511229ProgramServices
Management And General1199188ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total606662Total
Management And General606662ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total95000Total
Management And General95000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total22793149Total
Program Services12425122ProgramServices
Management And General10368027ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total312204Total
Program Services184330ProgramServices
Management And General127874ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2659692Total
Program Services2022221ProgramServices
Management And General637471ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10658357Total
Program Services5626204ProgramServices
Management And General5032153ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7984557Total
Program Services318281ProgramServices
Management And General7666276ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT1461736514617365
MEDICAL SUPPLIES34278437330374651240972
OTHER772039310742776646116

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total210558745Total
Program Services154994046ProgramServices
Management And General55564699ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14384573BOY
EOY12382464EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY21155152BOY
EOY20869879EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY24587947BOY
EOY27285806EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3665178BOY
EOY3621314EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2391852BOY
EOY2677083EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis259970904LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec168695122LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY75113816BOY
EOY91275782EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5627516BOY
EOY2604106EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY8896815BOY
EOY9146827EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1742816BOY
EOY2919411EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY157565665BOY
EOY172782672EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14321488BOY
EOY22479610EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY41074271BOY
EOY27373363EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY55395759BOY
EOY49852973EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY98290814BOY
EOY122719202EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3668595BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY210497BOY
EOY210497EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY102169906BOY
EOY122929699EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY157565665BOY
EOY172782672EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses9593714ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-13750ReconciliationUnrealizedInvest
Reconcilation Other Changes11179829ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$15,030OtherActivitiesAmount
Total Lobbying Expenditures IIB15030TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationTHE ORGANIZATION PAYS DUES TO FLORIDA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THOSE DUES ARE USED FOR LOBBYING.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance567212BeginningOfYearBalance
Contributions111900Contributions
Investment Earnings Or Losses16263InvestmentEarningsOrLosses
Grants Or Scholarships16263GrantsOrScholarships
End Of Year Balance679112EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance504497BeginningOfYearBalance
Contributions62715Contributions
Investment Earnings Or Losses16423InvestmentEarningsOrLosses
Grants Or Scholarships16423GrantsOrScholarships
End Of Year Balance567212EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance504497BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses16148InvestmentEarningsOrLosses
Grants Or Scholarships16148GrantsOrScholarships
Other Expenditures0OtherExpenditures
End Of Year Balance504497EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance504497BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses16207InvestmentEarningsOrLosses
Grants Or Scholarships16207GrantsOrScholarships
Other Expenditures0OtherExpenditures
End Of Year Balance504497EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance504497BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses13750InvestmentEarningsOrLosses
Grants Or Scholarships13750GrantsOrScholarships
Other Expenditures0OtherExpenditures
End Of Year Balance504497EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6871531OtherCostOrOtherBasis
Book Value6871531BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis100404713OtherCostOrOtherBasis
Depreciation49587688Depreciation
Book Value50817025BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis34831262OtherCostOrOtherBasis
Depreciation3376592Depreciation
Book Value31454670BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis117313273OtherCostOrOtherBasis
Depreciation115730842Depreciation
Book Value1582431BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis550125OtherCostOrOtherBasis
Book Value550125BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings91275782TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value0BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value0BookValue

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENT IN AFFILIATESDescription
Book Value9146827BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities9146827TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
EST THIRD PARTY PAYOR SETTLEMENT$5,231,760
SELF INSURANCE LIABILITY$11,817,713
INDIGENCY FUND PAYABLE$523,385
PENSION LIABILITY$9,799,738
DUE TO AFFILIATES$767
FieldValueIRS element (for citing)
Total Of Amounts27373363TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4A 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.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2IRMH IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS A TAX-EXEMPT ORGANIZATION BY THE INTERNAL REVENUE SERVICE PURSUANT TO SECTION 501(C)(3) OF THE CODE. INCOME EARNED IN FURTHERANCE OF IRMH'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE CODE PROVIDES FOR TAXATION OF UNRELATED BUSINESS INCOME UNDER CERTAIN CIRCUMSTANCES. IRMH HAS NO MATERIAL UNRELATED BUSINESS INCOME; HOWEVER, SUCH STATUS IS SUBJECT TO FINAL DETERMINATION UPON EXAMINATION OF THE RELATED INCOME TAX RETURNS BY THE APPROPRIATE TAXING AUTHORITY. U.S. 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 A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED WILL BE THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS 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, 2013 AND 2012. THE HOSPITAL DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. DUE TO ITS TAX-EXEMPT STATUS, THE HOSPITAL IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE HOSPITAL'S 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF FLORIDA FOR THE LAST THREE YEARS. THE HOSPITAL RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE HOSPITAL DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT SEPTEMBER 30, 2013 AND 2012. TAX RETURNS FILED BY THE HOSPITAL ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS ENDED SEPTEMBER 30, 2009 AND PRIOR.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7222952TotalCommunityBenefitExpense
Direct Offsetting Revenue6193871DirectOffsettingRevenue
Net Community Benefit Expense1029081NetCommunityBenefitExpense
Percent Of Total Expense0.00530PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense15914139TotalCommunityBenefitExpense
Direct Offsetting Revenue13704895DirectOffsettingRevenue
Net Community Benefit Expense2209244NetCommunityBenefitExpense
Percent Of Total Expense0.01130PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense23137091TotalCommunityBenefitExpense
Direct Offsetting Revenue19898766DirectOffsettingRevenue
Net Community Benefit Expense3238325NetCommunityBenefitExpense
Percent Of Total Expense0.01660PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense624572TotalCommunityBenefitExpense
Direct Offsetting Revenue373263DirectOffsettingRevenue
Net Community Benefit Expense251309NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense7663498TotalCommunityBenefitExpense
Direct Offsetting Revenue5540379DirectOffsettingRevenue
Net Community Benefit Expense2123119NetCommunityBenefitExpense
Percent Of Total Expense0.01080PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense8288070TotalCommunityBenefitExpense
Direct Offsetting Revenue5913642DirectOffsettingRevenue
Net Community Benefit Expense2374428NetCommunityBenefitExpense
Percent Of Total Expense0.01210PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense31425161TotalCommunityBenefitExpense
Direct Offsetting Revenue25812408DirectOffsettingRevenue
Net Community Benefit Expense5612753NetCommunityBenefitExpense
Percent Of Total Expense0.02870PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$14,617,365BadDebtExpenseAmount
Amount Attributable To3654341AmountAttributableTo
Amount Reimbursed By Medicare77582140AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare79036416CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1454276MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1INDIAN RIVER MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11000 36TH STREETAddressLine1
CityVERO BEACHCity
StateFLState
ZIP Code32960ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.IRMC.CCWebsiteAddress
Licensed HospitalXLicensedHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1INDIAN RIVER MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent150FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities16NumberOfOtherFacilities

Other Facilities OtherFacilities (16 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
VERO INTERNAL MEDICINE
1155 35TH LANEVERO BEACHFL32960PHYSICIAN OFFICE
POINTE WEST FAMILY MEDICINE
1960 POINTE WEST DRIVEVERO BEACHFL32966PHYSICIAN OFFICE
PRIMARY CARE SOUTH
4165 9TH STREETVERO BEACHFL32968PHYSICIAN OFFICE
FAMILY MEDICINE NORTH
801 WELLNESS WAYSEBASTIANFL32958PHYSICIAN OFFICE
BAREFOOT BAY INTERNAL MEDICINE
937 BAREFOOT BLVDBAREFOOT BAYFL32976PHYSICIAN OFFICE
SEBASTIAN WALK IN CLINIC
801 WELLNESS WAYSEBASTIANFL32958WALK IN CLINIC
POINTE WEST WALK IN CLINIC
1960 POINTE WEST DRIVEVERO BEACHFL32966WALK IN CLINIC
INDIAN RIVER CARDIOLOGY
787 37TH STREETVERO BEACHFL32960PHYSICIAN OFFICE
INDIAN RIVER CARDIOLOGY NORTH
801 WELLNESS WAYSEBASTIANFL32958PHYSICIAN OFFICE
IRMC CARDIOVASCULAR DIAGNOSTIC CENTER
13060 US HIGHWAY 1SEBASTIANFL32958PHYSICIAN OFFICE
IRMC CARDIOVASCULAR NORTH
13885 US HIGHWAY 1SEBASTIANFL32958PHYSICIAN OFFICE
INDIAN RIVER NEUROSURGERY
1040 37TH PLACEVERO BEACHFL32960PHYSICIAN OFFICE
INDIAN RIVER UROLOGY
3745 11TH CIRCLEVERO BEACHFL32960PHYSICIAN OFFICE
INDIAN RIVER GENERAL SURGERY
1040 37TH PLACEVERO BEACHFL32960PHYSICIAN OFFICE
PARTNERS IN WOMEN'S HEALTH
787 37TH STREETVERO BEACHFL32960PHYSICIAN OFFICE
VERO GASTROENTEROLOGY
3745 11TH CIRCLEVERO BEACHFL32960PHYSICIAN OFFICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Eligibility criteria for free or discounted careSchedule H, Part I, Line 3cPATIENTS 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, WILL BE GRANTED A 70% DISCOUNT. ALL UNINSURED PATIENTS THAT DO NOT QUALIFY FOR ONE OF THE THESE PROGRAMS WILL RECEIVE A 30% DISCOUNT WHICH IS CONSISTENT WITH PAYMENTS NEGOTIATED WITH INSURANCE COMPANIES.
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)14,617,365
Bad debt expense - methodology used to estimate amountSchedule H, Part III, Line 2THE 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 DEBT IS REPORTED NET OF PAYMENTS AND HEALTH SERVICES DISOCUNTS. 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 DEDUCTIBLE 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.
Bad debt expense - methodology used to estimate amount as community benefitSchedule H, Part III, Line 3THE 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.
Bad debt expense - financial statement footnoteSchedule H, Part III, Line 4BELOW IS THE TEXT OF THE FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS RELATED TO ALLOWANCE FOR DOUBTFUL ACCOUNTS: "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. RECOVERIES ARE TREATED AS A REDUCTION TO THE PROVISION FOR PATIENT BAD DEBTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY MAJOR PAYOR CATEGORY. DATA ABOUT THE MAJOR PAYOR SOURCES OF REVENUE IS ANALYZED TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES AND PROVISION FOR PATIENT BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, CONTRACTUALLY DUE AMOUNTS ARE ANALYZED AND COMPARED TO ACTUAL CASH COLLECTED OVER TIME TO ENHANCE THE QUALITY OF THE ESTIMATE OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR PATIENT BAD DEBTS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE 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. AN ESTIMATE OF THE DIFFERENCE BETWEEN CONTRACTED RATES AND AMOUNTS ACTUALLY COLLECTED, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS CHARGED TO THE PROVISION FOR PATIENT BAD DEBTS AND CREDITED TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS."
Community benefit & methodology for determining medicare costsSchedule H, Part III, Line 8THE ORGANIZATION REPORTS MEDICARE REVENUE AND ALLOWABLE COSTS IN PART III, LINES 5 AND 6 USING THE MEDICARE COST REPORT INFORMATION. THE MEDICARE SHORTFALL IS RELATED TO SERVICES PROVIDED TO THE COMMUNITY THAT ARE NOT AVAILABLE TO PATIENTS ELSE WHERE OR FOR SERVICES WHERE MEDICARE PAYS LESS THAN COST FOR PROVIDING THE SERVICE.
Collection practices for patients eligible for financial assistanceSchedule H, Part III, Line 9bUNDER 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.
Community Served by Needs AssessmentSchedule H, Part V Section B, Line 3(1) INDIAN RIVER MEMORIAL HOSPITAL - RANDOM TELEPHONE INTERVIEWS WERE CONDUCTED WITH 400 COMMUNITY RESIDENTS. TELEPHONE INTERVIEWS WERE CONDUCTED WITH 26 COMMUNITY LEADERS THAT REPRESENT HEALTHCARE PROVIDERS FOR 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. CANCER FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY INDIVIDUALS WHO HAVE OR HAVE HAD CANCER OR WHO HAVE BEEN AFFECTED BY FAMILY MEMBERS WHO HAVE OR HAD CANCER.;
Used FPG to determine eligibility for providing discounted care criteriaSchedule H, Part V Section B, Line 11(1) INDIAN RIVER MEMORIAL HOSPITAL - ALL UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FREE CARE RECEIVE DISCOUNTED HEALTH SERVICES REGARDLESS OF INCOME OR ASSETS.;
Other ways hospital publicized Financial Assistance PolicySchedule H, Part V Section B, Line 14g(1) INDIAN RIVER MEMORIAL HOSPITAL - THE ORGANIZATION IS IN THE PROCESS OF UPDATING ITS FINANCIAL ASSISTANCE POLICY. THE REVISED POLICY WILL OUTLINE HOW THE HOSPITAL PUBLICIZES THE FINANCIAL ASSISTANCE POLICY. CURRENTLY, THE HOSPITAL POSTS THE POLICY ON THE WEBSITE AND POSTS IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS AND ADMISSIONS OFFICERS. ;
Means used to determine amounts billedSchedule H, Part V Section B, Line 20d(1) INDIAN RIVER MEMORIAL HOSPITAL - THE AMOUNTS CHARGED TO UNINSURED PATIENTS IS CONSISTENT WITH AMOUNTS CHARGED TO INSURANCE COMPANIES.;
Needs assessment.Schedule H, Part VI, Line 2INDIAN 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, DIAGNOSTIC SCREENING, AND BEHAVIORAL HEALTH PROGRAMS.
Patient education of eligibility for assistance.Schedule H, Part VI, Line 3ALL UNINSURED PATIENTS RECEIVE FINANCIAL COUNSELING SERVICES AFTER THEY RECEIVE THE APPROPRIATE MEDICAL CARE. FINANCIAL COUNSELING INCLUDES EDUCATION ABOUT ALL FINANCIAL ASSISTANCE PROGRAMS. INDIAN RIVER MEDICAL CENTER PROVIDES RESOURCES TO UNINSURED AND UNDERINSURED PATIENTS TO ASSISTANCE 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: * FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE AVAILABLE TO PATIENTS DURING THEIR STAY. * PATIENT ACCESS SERVICES ATTEMPTS TO CONTACT SCHEDULED PATIENTS PRIOR TO SERVICES TO PROVIDE PATIENTS WITH THEIR EXPECTED AMOUNTS DUE AND DISCUSS PAYMENT/DISCOUNT OPTIONS. * DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING TO PATIENTS ON THE PHONE ABOUT THEIR ACCOUNT BALANCES. * INFORMATION REGARDING OUR FINANCIAL ASSISTANCE POLICY IS LOCATED ON OUR WEBSITE.
Community information.Schedule H, Part VI, Line 4INDIAN RIVER MEDICAL CENTER SERVES INDIAN RIVER COUNTY AND IS THE ONLY HOSPITAL WITHIN A 10 MILE RADIUS OF OUR LOCATION. THE COUNTY IS COMPRISED OF ALMOST 140,000 PEOPLE. IT HAS SEEN STEADY GROWTH OVER THE TEN-YEAR PERIOD BETWEEN THE 2000 CENSUS AND THE 2010 CENSUS CONDUCTED BY THE US CENSUS BUREAU. JUST OVER 27% OF THE POPULATION IS 65 AND OVER. ALMOST 50% OF THE COUNTY'S POPULATION IS 50 YEARS OR OLDER. THE LARGEST POPULATION INCREASE WAS IN THE 60-64 YEAR AGE GROUP, WHILE THE LARGEST DECREASE WAS IN THE 35-39 YEAR AGE GROUP. UNEMPLOYMENT HAS REMAINED HIGH IN THE COUNTY AT ALMOST 12%. THE LARGEST EMPLOYERS IN THE COUNTY ARE IN THE RETAIL AND HEALTHCARE INDUSTRIES. SLIGHTLY MORE THAN 10% OF ALL FAMILIES IN INDIAN RIVER COUNTY LIVE BELOW THE FEDERAL POVERTY LEVEL, WITH MORE THAN 27% BEING UNDER THE AGE OF 18. THERE HAS BEEN A STEADY INCREASE IN THE NUMBER OF PEOPLE RECEIVING PUBLIC ASSISTANCE IN INDIAN RIVER COUNTY.
Promotion of community healthSchedule H, Part VI, Line 5INDIAN RIVER MEDICAL CENTER PROMOTES COMMUNITY HEALTH THROUGH A BROAD VARIETY OF APPROACHES THAT INCLUDES COMMUNITY BASED BOARD OF DIRECTORS THAT ENSURE WE PROVIDE TO 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. IN ADDITION, MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY.
Affiliated health care systemSchedule H, Part VI, Line 6INDIAN RIVER MEMORIAL HOSPITAL, INC. AND ITS AFFILIATES (INDIAN RIVER HOSPITAL 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 STRIVES TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES THEY SERVE.
COMMUNITY BENEFIT REPORTSCHEDULE H, PART VI, LINE 7THE STATE OF FLORIDA DOES NOT REQUIRE HOSPITALS TO FILE A COMMUNITY BENEFIT REPORT.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ARLEY PETER MD
PHYSICIAN4897180191685000220000184630721866000
CARY STOWE
PHYSICIAN79534600000266640181570840167000
CHARLES MACKETT
VP CHIEF MEDICAL OFFICER29930401725100026900018080345263000
CYNTHIA VANEK
SR VP, CHIEF NURSING OFFICER - PARTIAL YEAR233273000199513026384097360468906000
DAN JANICAK
SR VP, CFO - PARTIAL YEAR2578150002500000166900277005000
FABIO ROBERTI MD
PHYSICIAN68403000000220000184630724493000
JANICE DONLAN
VP FOUNDATION & COMMUNITY RELATIONS018938601805000024968013138024554200
JEFFREY L SUSI
PRESIDENT/CEO3966210005227480268940200140966277000
JOHN PEEPLES
VP HUMAN RESOURCES - PARTIAL YEAR14669501811200023188022480190243000
LYNN HUBBARD
VP, CHIEF NURSING OFFICER17372300060180073880146920255983000
MARK MALIAS
PHYSICIAN607546079541046610263840226330740765000
RICHARD FRANCO
PHYSICIAN476176027279700099000187030777576000
VALERIE LARCOMBE
SR VP, CHIEF LEGAL COUNSEL257218047890000253960169850347489000
WARREN FULLER
VP FINANCE159806018020000203310192770217434000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Tax indemnification and gross-up paymentsSchedule J, Part I, Line 1aTHE ORGANIZATION HAS PROVIDED A GROSS-UP PAYMENT IN ORDER TO COVER THE TAXES ON TAXABLE INCOME GENERATED BY SERP PAYOUTS.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTHE ORGANIZATION MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP). THE FOLLOWING INDIVIDUALS RECEIVED TAXABLE SERP PAYMENTS DURING THE YEAR: JEFFREY L. SUSI - $522,748 LYNN HUBBARD - $60,180 CYNTHIA VANEK - $199,513 THERE WERE NO CONTRIBUTIONS TO THE SERP PLANS DURING THE YEAR.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Delegate broad authority to a committeeForm 990, Part VI, Section A, Line 1aTHE ORGANIZATION'S EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS ELECTED ANNUALLY BY THE BOARD, THE CHIEF OF STAFF, AND AT LEAST ONE INDEPENDENT DIRECTOR, APPOINTED BY THE CHAIRMAN WITH THE CONCURRENCE OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY OF THE BOARD, EXCEPT AS SUCH AUTHORITY IS LIMITED BY STATUTE OR BY RESOLUTION CREATING OR CONTROLLING THE EXECUTIVE COMMITTEE.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE INDIAN RIVER COUNTY HOSPTIAL DISTRICT IS A MEMBER OF INDIAN RIVER MEMORIAL HOSPITAL BECAUSE IS ENTITLED TO DESIGNATE ONE (1) VOTING MEMBER OF THE HOSPITAL'S BOARD OF DIRECTORS.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aTHE INDIAN RIVER COUNTY HOSPITAL DISTRICT IS ENTITLED TO DESIGNATE ONE (1) VOTING MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bTHE ORGANIZATION LEASES ITS BRICKS AND MORTAR FROM THE INDIAN RIVER COUNTY HOSPITAL DISTRICT. PURSUANT TO THE ORGANIZATIONS BYLAWS AND ITS LEASE WITH THE INDIAN RIVER COUNTY HOSPITAL DISTRICT, CERTAIN BYLAW PROVISIONS AS WELL AS THE ELIMINATIONS OF CERTAIN SERVICES AND PROGRAMS REQUIRE APPROVAL BY THE DISTRICT.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bA FINAL COPY OF THE FORM 990 IS PROVIDED TO ALL GOVERNING BODY MEMBERS 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-DELEGATED POWERS) WITH AN OVERVIEW OF THE HIGHLIGHTS OF THE FORM 990 FILED ON BEHALF OF THE ORGANIZATION AT A REGULARLY SCHEDULED BOARD MEETING FOLLOWING THE FILING OF THE FORM 990.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cTHE HOSPITAL HAS A 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 WILL FOLLOW-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 WILL ABSTAIN FROM VOTING ON RELATED DECISIONS.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM IS ADMINISTERED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE MEETS AS NEEDED TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES TO 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 EVALUATE 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 ORGANIZATIONS. THE COMPENSATION REVIEW IS CONDUCTED NOT LESS THAN ANNUALLY AND IS INTENDED TO ENSURE THAT THE COMPENSATION PROGRAM FALLS WITHIN A REASONABLE RANGE OF COMPETITIVE PRACTICES FOR COMPARABLE POSITIONS AMONG SIMILARLY SITUATED ORGANIZATIONS. FOLLOWING THIS REVIEW, THE COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS FOR APPROVAL TO THE BOARD OF DIRECTORS THE GOALS, OBJECTIVES AND SALARY OF THE CHIEF EXECUTIVE. THE COMPENSATION COMMITTEE ALSO APPROVED 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.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bTHE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM IS ADMINISTERED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE MEETS AS NEEDED TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES TO 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 EVALUATE 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 ORGANIZATIONS. THE COMPENSATION REVIEW IS CONDUCTED NOT LESS THAN ANNUALLY AND IS INTENDED TO ENSURE THAT THE COMPENSATION PROGRAM FALLS WITHIN A REASONABLE RANGE OF COMPETITIVE PRACTICES FOR COMPARABLE POSITIONS AMONG SIMILARLY SITUATED ORGANIZATIONS. FOLLOWING THIS REVIEW, THE COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS FOR APPROVAL TO THE BOARD OF DIRECTORS THE GOALS, OBJECTIVES AND SALARY OF THE CHIEF EXECUTIVE. 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.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Other ExpensesForm 990, Part IX, Line 11gCONTRACTED SERVICES - TOTAL EXPENSE: 8963065, PROGRAM SERVICE EXPENSE: 6770083, MANAGEMENT AND GENERAL EXPENSES: 2192982, FUNDRAISING EXPENSES: ; PROFESSIONAL FEES - TOTAL EXPENSE: 2132584, PROGRAM SERVICE EXPENSE: 1327624, MANAGEMENT AND GENERAL EXPENSES: 804960, FUNDRAISING EXPENSES: ; PURCHASED SERVICES - TOTAL EXPENSE: 11697500, PROGRAM SERVICE EXPENSE: 4327415, MANAGEMENT AND GENERAL EXPENSES: 7370085, FUNDRAISING EXPENSES: ;
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9CHANGE IN VALUE OF PENSION LIABILITY - 11179829;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
INDIAN RIVER HOSPITAL FOUNDATION INC
1000 36TH STVERO BEACHFL32960FUND RAISINGFL501(C)(3)11 - Type IIRMHtrue
INDIAN RIVER HEALTH SERVICES INC
1000 36TH STVERO BEACHFL32960HEALTHCAREFL501(C)(3)11 - Type IIRMHtrue
HEALTH SYSTEMS OF INDIAN RIVER INC
1000 36TH STVERO BEACHFL32960HEALTHCAREFL501(C)(3)11 - Type IIIRMHtrue
HOSPITAL AUXILIARY OF THE IRMH INC
1000 36TH STVERO BEACHFL32960SUPPORTFL501(C)(3)11 - Type III - NFIIRMHtrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
INDIAN RIVER HOSPITAL FOUNDATION INC
C12978949FMV
INDIAN RIVER HEALTH SERVICES INC
D288840FMV
HEALTH SYSTEMS OF INDIAN RIVER INC
D392745FMV
HOSPITAL AUXILIARY OF THE IRMH INC
C125195FMV