2014-08-15T09:01:16-05:00 2013-09-30 CROWE HORWATH LLP 488 MADISON AVENUE FLOOR 3 NEW YORK NY 100225722 990 2012-10-01 592496294 INDIAN RIVER MEMORIAL HOSPITAL INC INDI 7725674311 1000 36th Street Vero Beach FL 32960 GREG GARDNER 2014-08-13 true FELICIA TUCKER P00505155 2125725500 2012 2015-11-30 17:44:51Z INDIAN RIVER MEDICAL CENTER JEFFREY L SUSI 1000 36th Street Vero Beach FL 32960 220254541 false X WWW.IRMC.CC X 1984 FL INDIAN 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. 17 15 1704 517 1368223 683673 7702672 13104144 203299587 203331278 544598 1147421 2085281 2569616 213632138 220152459 0 0 0 0 105333431 108832929 0 0 0 100519868 101725816 205853299 210558745 7778839 9593714 157565665 172782672 55395759 49852973 102169906 122929699 INDIAN 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. false false 154994046 0 203506366 INDIAN 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. 154994046 true true false true false false false false true true true false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 241 0 true 1704 true true true true CJ false false false false false false false false X 17 15 false false false false true true true true true false false true true true true true true true true true true X Marcy Isola 7725674311 1000 36th Street Vero Beach FL 32960 ALAN POLACKWICH 5.00 2.00 X X 0 0 0 JEFFREY L SUSI 50.00 4.00 X X 919369 0 46908 JOHN PASTOR 5.00 2.00 X X 0 0 0 THOMAS SEGURA 5.00 2.00 X X 0 0 0 WAYNE HOCKMEYER PHD 5.00 6.00 X X 0 0 0 CHARLES CELANO MD 5.00 2.00 X 0 0 0 DR THEODORE PERRY 5.00 0 X 46000 0 0 FRAN ROSS ESQ 5.00 0 X 0 0 0 HUGH MCCRYSTAL MD 1.00 0 X 0 0 0 JACK ROGERS 5.00 2.00 X 0 0 0 JACK WEISBAUM 5.00 0 X 0 0 0 JOHN LINDENTHAL MD 5.00 2.00 X 0 0 0 KATHY HENDRIX 5.00 2.00 X 0 0 0 KEITH MORGAN 5.00 2.00 X 0 0 0 MARION KENNEDY RN 5.00 2.00 X 0 0 0 PAUL NEZI 5.00 2.00 X 0 0 0 WILLIAM KELLEY MD 5.00 2.00 X 0 0 0 CHARLES MACKETT 50.00 0 X 316555 0 28708 CYNTHIA VANEK 50.00 0 X 432786 0 36120 DAN JANICAK 50.00 0 X 260315 0 16690 GREGORY GARDNER 50.00 0 X 0 0 0 JANICE DONLAN 10.00 30.00 X 0 207436 38106 JOHN PEEPLES 50.00 0 X 164807 0 25436 LYNN HUBBARD 50.00 0 X 233903 0 22080 VALERIE LARCOMBE 50.00 0 X 305108 0 42381 WARREN FULLER 50.00 0 X 177826 0 39608 ARLEY PETER MD 40.00 0 X 681403 0 40463 CARY STOWE 40.00 0 X 795346 0 44821 FABIO ROBERTI MD 40.00 0 X 684030 0 40463 MARK MALIAS 40.00 0 X 691748 0 49017 RICHARD FRANCO 40.00 0 X 748973 0 28603 6458169 207436 499404 103 false true false PROCTOR CONSTRUCTION 2050 US HWY 1 VERO BEACH FL 32960 CONTRACTOR 8385870 VERO BEACH CARDIOVASCULAR ASSOCIATES 5503 S CONGRESS AVE ATLANTIS FL 33462 CARDIOVASCULAR SERVICES 1164000 EMERGENCY PHYSICIANS OF CENTRAL FLORIDA 1720 S COOK AVENUE ORLANDO FL 32806 EMERGENCY PHYSICIAN SERVICES 977847 QUEST DIAGNOSTICS INC 12436 COLLECTIONS CENTER DRIVE CHICAGO IL 606932436 LABORATORY SERVICES 976899 FLORIDA LINEN SERVICES 1407 SW 8TH STREET POMPANO BEACH FL 33069 LINEN SERVICES 639458 64 13104144 13104144 NET PATIENT REVENUE 900099 203331278 203331278 0 0 0 0 0 0 0 0 203331278 1147421 579464 567957 0 0 675275 102082 573193 0 573193 573193 0 0 0 0 0 0 CAFETERIA 722100 814688 814688 LIFELINE MEDICAL MONITORING 900099 217888 217888 LABORATORY 621500 751751 751751 212096 175088 37008 0 1996423 220152459 203506366 1368223 2173726 0 0 0 0 6085327 3438251 2647076 0 84269906 67653150 16616756 3233139 2554180 678959 9534140 7531970 2002169 5710417 4511229 1199188 0 606662 606662 95000 95000 0 0 0 22793149 12425122 10368027 0 0 312204 184330 127874 0 0 2659692 2022221 637471 0 0 0 0 0 10658357 5626204 5032153 7984557 318281 7666276 BAD DEBT 14617365 14617365 MEDICAL SUPPLIES 34278437 33037465 1240972 OTHER 7720393 1074277 6646116 0 0 0 0 210558745 154994046 55564699 0 0 14384573 12382464 21155152 20869879 24587947 27285806 0 0 0 3665178 3621314 2391852 2677083 259970904 168695122 75113816 91275782 5627516 2604106 8896815 9146827 0 0 1742816 2919411 157565665 172782672 14321488 22479610 0 41074271 27373363 55395759 49852973 X 98290814 122719202 3668595 0 210497 210497 102169906 122929699 157565665 172782672 X 9593714 -13750 11179829 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 15030 15030 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 THE ORGANIZATION PAYS DUES TO FLORIDA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THOSE DUES ARE USED FOR LOBBYING. 567212 111900 16263 16263 679112 504497 62715 16423 16423 567212 504497 0 16148 16148 0 504497 504497 0 16207 16207 0 504497 504497 0 13750 13750 0 504497 0.00000 1.00000 0.00000 false true true 6871531 6871531 100404713 49587688 50817025 34831262 3376592 31454670 117313273 115730842 1582431 550125 550125 91275782 0 0 INVESTMENT IN AFFILIATES 9146827 F 9146827 0 EST THIRD PARTY PAYOR SETTLEMENT 5231760 SELF INSURANCE LIABILITY 11817713 INDIGENCY FUND PAYABLE 523385 PENSION LIABILITY 9799738 DUE TO AFFILIATES 767 27373363 X Intended uses of endowment funds Schedule D, 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. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 IRMH 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. 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PHYSICIAN OFFICE INDIAN RIVER NEUROSURGERY

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PHYSICIAN OFFICE INDIAN RIVER UROLOGY

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PHYSICIAN OFFICE INDIAN RIVER GENERAL SURGERY

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PHYSICIAN OFFICE PARTNERS IN WOMEN'S HEALTH

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PHYSICIAN OFFICE VERO GASTROENTEROLOGY

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PHYSICIAN OFFICE Eligibility criteria for free or discounted care Schedule H, 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, 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 calculation Schedule H, Part I, Line 7, column(f) 14,617,365 Bad debt expense - methodology used to estimate amount Schedule H, 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 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 benefit Schedule H, 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. Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 BELOW 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 costs Schedule H, 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. 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 assistance Schedule H, 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. Community Served by Needs Assessment Schedule 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 criteria Schedule 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 Policy Schedule 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 billed Schedule 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 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, DIAGNOSTIC SCREENING, AND BEHAVIORAL HEALTH PROGRAMS. Patient education of eligibility for assistance. Schedule H, 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. 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 4 INDIAN 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 health Schedule H, Part VI, Line 5 INDIAN 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 system Schedule H, Part VI, Line 6 INDIAN 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 REPORT SCHEDULE H, PART VI, LINE 7 THE STATE OF FLORIDA DOES NOT REQUIRE HOSPITALS TO FILE A COMMUNITY BENEFIT REPORT. X true true X X X X X false true false false false false false false false ARLEY PETER MD 489718 0 191685 0 0 0 22000 0 18463 0 721866 0 0 0 CARY STOWE 795346 0 0 0 0 0 26664 0 18157 0 840167 0 0 0 CHARLES MACKETT 299304 0 17251 0 0 0 26900 0 1808 0 345263 0 0 0 CYNTHIA VANEK 233273 0 0 0 199513 0 26384 0 9736 0 468906 0 0 0 DAN JANICAK 257815 0 0 0 2500 0 0 0 16690 0 277005 0 0 0 FABIO ROBERTI MD 684030 0 0 0 0 0 22000 0 18463 0 724493 0 0 0 JANICE DONLAN 0 189386 0 18050 0 0 0 24968 0 13138 0 245542 0 0 JEFFREY L SUSI 396621 0 0 0 522748 0 26894 0 20014 0 966277 0 0 0 JOHN PEEPLES 146695 0 18112 0 0 0 23188 0 2248 0 190243 0 0 0 LYNN HUBBARD 173723 0 0 0 60180 0 7388 0 14692 0 255983 0 0 0 MARK MALIAS 607546 0 79541 0 4661 0 26384 0 22633 0 740765 0 0 0 RICHARD FRANCO 476176 0 272797 0 0 0 9900 0 18703 0 777576 0 0 0 VALERIE LARCOMBE 257218 0 47890 0 0 0 25396 0 16985 0 347489 0 0 0 WARREN FULLER 159806 0 18020 0 0 0 20331 0 19277 0 217434 0 0 0 Tax indemnification and gross-up payments Schedule J, Part I, Line 1a THE ORGANIZATION HAS PROVIDED A GROSS-UP PAYMENT IN ORDER TO COVER THE TAXES ON TAXABLE INCOME GENERATED BY SERP PAYOUTS. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b THE 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. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a THE 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 stockholders Form 990, Part VI, Section A, Line 6 THE 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 body Form 990, Part VI, Section A, Line 7a THE 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 stockholders Form 990, Part VI, Section A, Line 7b THE 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 body Form 990, Part VI, Section B, Line 11b A 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 policy Form 990, Part VI, Section B, Line 12c THE 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 official Form 990, Part VI, Section B, Line 15a THE 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 employees Form 990, Part VI, Section B, Line 15b THE 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 public 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. Other Expenses Form 990, Part IX, Line 11g CONTRACTED 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 balances Form 990 , Part XI, Line 9 CHANGE IN VALUE OF PENSION LIABILITY - 11179829; INDIAN RIVER HOSPITAL FOUNDATION INC 1000 36TH ST VERO BEACH FL 32960 FUND RAISING FL 501(C)(3) 11 - Type I IRMH true INDIAN RIVER HEALTH SERVICES INC 1000 36TH ST VERO BEACH FL 32960 HEALTHCARE FL 501(C)(3) 11 - Type I IRMH true HEALTH SYSTEMS OF INDIAN RIVER INC 1000 36TH ST VERO BEACH FL 32960 HEALTHCARE FL 501(C)(3) 11 - Type II IRMH true HOSPITAL AUXILIARY OF THE IRMH INC 1000 36TH ST VERO BEACH FL 32960 SUPPORT FL 501(C)(3) 11 - Type III - NFI IRMH true false false true true false false false false false false false false false true true false true false false INDIAN RIVER HOSPITAL FOUNDATION INC C 12978949 FMV INDIAN RIVER HEALTH SERVICES INC D 288840 FMV HEALTH SYSTEMS OF INDIAN RIVER INC D 392745 FMV HOSPITAL AUXILIARY OF THE IRMH INC C 125195 FMV