INDIANA REGIONAL MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: INDIANA REGIONAL MEDICAL CENTER (EIN 25-0965404)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201431359349302458
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T08:38:25-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	232932984	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PARENTEBEARD LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1650 MARKET STREET SUITE 4500	AddressLine1
City	PHILADELPHIA	City
State	PA	State
ZIP Code	19103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	250965404	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	INDIANA REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	INDI	NameControl
Phone	7243577008	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	835 HOSPITAL ROAD	AddressLine1
City	INDIANA	City
State	PA	State
ZIP Code	15701	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ROBERT GONGAWARE	Name
Title	SENIOR VP FINANCE	Title
Phone	7243577008	Phone
Date Signed	2014-05-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIUS C GREEN CPA JD	Name
PTIN	P00350393	PTIN
Phone	2159720701	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	STEPHEN WOLFE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	835 HOSPITAL ROAD	AddressLine1
City	INDIANA	City
State	PA	State
ZIP Code	15701	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	171232512	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.INDIANARMC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1944	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	TO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT, AND DIGNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	1459	TotalNbrEmployees
Total Nbr Volunteers	150	TotalNbrVolunteers
Total Gross UBI	2006244	TotalGrossUBI
Net Unrelated Business Txbl Income	730133	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	361995	ContributionsGrantsPriorYear
Contributions Grants Current Year	336950	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	131919078	ProgramServiceRevenuePriorYear
Program Service Revenue CY	131597843	ProgramServiceRevenueCY
Investment Income Prior Year	4319612	InvestmentIncomePriorYear
Investment Income Current Year	4953966	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5272685	OtherRevenuePriorYear
Other Revenue Current Year	10138269	OtherRevenueCurrentYear
Total Revenue Prior Year	141873370	TotalRevenuePriorYear
Total Revenue Current Year	147027028	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	75802958	SalariesEtcPriorYear
Salaries Etc Current Year	72766060	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	59434389	OtherExpensePriorYear
Other Expenses Current Year	64309185	OtherExpensesCurrentYear
Total Expenses Prior Year	135237347	TotalExpensesPriorYear
Total Expenses Current Year	137075245	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6636023	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	9951783	RevenuesLessExpensesCY
Total Assets BOY	199971534	TotalAssetsBOY
Total Assets EOY	197378362	TotalAssetsEOY
Total Liabilities BOY	86507703	TotalLiabilitiesBOY
Total Liabilities EOY	70789651	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	113463831	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	126588711	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF INDIANA REGIONAL MEDICAL CENTER IS TO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT, AND DIGNITY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	111551020	Expense
Revenue	131597843	Revenue
Description	HEALTH DIAGNOSTIC, INTERVENTION & TREATMENT SERVICE:INDIANA REGIONAL MEDICAL CENTER ("IRMC") IS A NON-PROFIT, COMMUNITY BASED HEALTH SYSTEM THAT OFFERS A WIDE RANGE OF SERVICES INCLUDING DIAGNOSTICS, MEDICINE, SURGERY, PEDIATRICS, OBSTETRICS, GERIATRIC BEHAVIORAL HEALTHCARE AND REHABILITATIVE NURSING. IRMC DEMONSTRATES AN ONGOING COMMITMENT TO THE COMMUNITY BY CONTINUALLY REVIEWING AND IMPROVING ITS SERVICES TO ENSURE THAT THE COMMUNITY RECEIVES TOP-QUALITY, EFFICIENT, ACCESSIBLE, COST-EFFECTIVE HEALTHCARE AND QUALITY OUTREACH AND HEALTH PROMOTION SERVICES. IRMC CONTINUES TO PROVIDE MOBILE HEALTH SERVICES TO RURAL AREAS OF THE COUNTY. IN ADDITION TO PRIMARY CARE PHYSICIANS, IRMC WAS SUCCESSFUL IN RECRUITING TWO PAIN MANAGEMENT PHYSICIANS, EMERGENCY DEPARTMENT PHYSICIANS AND A CLINICAL PSYCHOLOGIST.MASS HEALTH SCREENING: IRMC'S MOBILE MEDICAL SERVICES CONTINUES TO PROVIDE FREE BLOOD PRESSURE SCREENINGS IN 19 LOCATIONS IN INDIANA COUNTY. WE ALSO CONTINUE TO PARTICIPATE IN NUMEROUS FREE COMMUNITY EVENTS PROVIDING EDUCATION, SCREENINGS PROGRAMS AND FIRST AID SERVICES.HEALTH FAIRS:THE PROVISION OF HEALTH SERVICES AND INFORMATION THROUGH HEALTH FAIRS, CLASSES AND PROGRAMS - THE INSTITUTE FOR HEALTHY LIVING AT IRMC OFFERS HEALTH SERVICES AND EDUCATION PROGRAMS TO THE COMMUNITY AT NO CHARGE.HEALTH CARE DELIVERY & MANAGEMENT:THE COMMUNITY HEALTH ADVISORY COUNCIL OF INDIANA COUNTY, WHICH WAS FORMED IN 1996, SERVES AS A STATE HEALTH IMPROVEMENT PARTNERSHIP. THE GOAL OF THE COUNCIL IS TO IDENTIFY OR DEVELOP RESOURCES TO ADDRESS TOP HEALTH PRIORITIES IN THE COUNTY. THE COUNCIL CONTINUES TO PROMOTE AN ANNUAL INFLUENZA CAMPAIGN. THE COUNCIL IMPLEMENTED A COUNTY PRESCRIPTION ASSISTANCE PROGRAM TO ASSIST RESIDENTS WITH ACCESSING PHARMACEUTICALS FREE OR AT A REDUCED COST BASED ON INCOME.HEALTH CARE PROGRAMS, GENERAL/OTHER: THE CENTER FOR DIABETES CARE CONTINUES TO OFFER FREE EDUCATION SERVICES AT VARIOUS LOCATIONS THROUGHOUT THE COUNTY. IN ADDITION, THEY CONTINUE TO BE THE PRIMARY SPONSOR OF THE COUNTY'S DIABETES WALK. EACH MONTH STAFF AND MANAGEMENT AT IRMC PROVIDE SUPPORT TO A LOCAL FOOD BANK. FOR THE THIRD YEAR, IRMC WAS NAMED ONE OF THE BEST PLACES TO WORK IN PA. PREVENTIVE HEALTH SERVICES, GENERAL/OTHER: M. DORCAS CLARK WOMEN'S IMAGING CENTER: THE WOMEN'S IMAGING CENTER AND THEIR STAFF HAVE PARTICIPATED IN NUMEROUS COMMUNITY EVENTS PROVIDING INFORMATION ABOUT THE IMPORTANCE OF BREAST HEALTH. BIRDIE'S CLOSET, A PROJECT DESIGNED TO HELP WOMEN COPE WITH APPEARANCE-RELATED SIDE-EFFECTS OF CANCER TREATMENT, WAS OPENED IN THE WOMEN'S IMAGING CENTER.	Description
Total Program Service Expense	111551020	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	226	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1459	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	ROBERT GONGAWARE SVP FINANCE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7243577008	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	835 HOSPITAL ROAD	AddressLine1
City	INDIANA	City
State	PA	State
ZIP Code	15701	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
TODD BRICE
CHAIRMAN	1.00	2.00	X	X	0	0	0
BEVERLY GAZZA ESQ
VICE CHAIRMAN	1.00	2.00	X	X	0	0	0
ANNE WHITE
SECRETARY	1.00	1.00	X	X	0	0	0
JOSEPH GEARY
TREASURER	1.00	1.00	X	X	0	0	0
STEPHEN A WOLFE
PRESIDENT & CEO	35.00	5.00	X	X	429746	0	79185
MARK BOYKIW MD
BOARD MEMBER	1.00	1.00	X		0	0	0
RUSSELL DROZDIAK MD
BOARD MEMBER	1.00		X		0	0	0
NATHAN KOVALCHICK
BOARD MEMBER	1.00		X		0	0	0
MARK R MCGOWAN PHD
BOARD MEMBER	1.00	1.00	X		0	0	0
T MICHAEL PRICE
BOARD MEMBER	1.00		X		0	0	0
GREG SIPOS
BOARD MEMBER	1.00		X		0	0	0
DAVID BIZOUSKY MD
BOARD MEMBER	1.00		X		0	0	0
ROBERT A GONGAWARE
SR VP FINANCE	38.00	2.00	X	X	220412	0	14015
BRUCE A BUSH MD
SR VP MEDICAL DIRECTOR	37.00	3.00			308153	0	17495	X
DOMINIC PACCAPANICCIA
CHIEF OPERATING OFFICER	39.00	1.00			237995	0	35172	X
CINDY VIRGIL
SR VP PATIENT SERVICES	39.00	1.00			183379	0	14512	X
WADE PATRICK
SR VP INFORMATION SERVICES	40.00				182014	0	20844	X
LARRY SEDLEMEYER
SR VP BUS. DEVELOPMENT	40.00				158885	0	18717	X
MICHAEL MERRELL
PHYSICIAN	40.00				497487	0	17051		X
DONNA BALEWICK
PHYSICIAN	40.00				405268	0	7682		X
JOHN P CAWLEY
PHYSICIAN	40.00				384083	0	7185		X
ANTHONY L SICO
PHYSICIAN	40.00				380682	0	17954		X
LUIS P TONMACRUZ
PHYSICIAN	40.00				358106	0	17954		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3746210	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	267766	TotalOtherCompensation
Number Individuals GT100 K	75	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MAYO COLLABORATIVE SERVICES INC
PO BOX 1450	MINNEAPOLIS	MN	55485	OUTSIDE LAB SERVICE	984028
REHABCARE GROUP
BOX 502096	ST LOUIS	MO	63150	REHAB CARE SERVICES	474581
MATT KLAIN MD
25 COLONY BLVD	BLAIRSVILLE	PA	15717	PHYSICIAN SERVICES	298817
JENNIFER CUNNINGHAM SPEECH SERVICES
545 CUNNINGHAM RD	INDIANA	PA	15701	SPEECH THERAPY SERVICES	281121
INDIANA OPEN MRI LLC
PO BOX 450	NEW STANTON	PA	15672	WOUND CARE SERVICES	122901

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	12	NumberOfContractorsGT100K
All Other Contributions	336950	AllOtherContributions
Total Contributions	336950	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SCV REV	621990	130959865	130959865
RENTAL REVENUE-AFFILIATES	531120	293723	293723
LIFELINE REVENUE	900099	173971	173971
HEALTH CLASSES/COUNSEL	624100	109595	109595
HOSPICE PRESCRIPTIONS	621990	60689	60689

Field	Value	IRS element (for citing)
Total Program Service Revenue	131597843	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2589958	TotalRevenueColumn
Unrelated Business Revenue	22255	UnrelatedBusinessRevenue
Exclusion	$2,567,703	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1761606	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1299257	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	462349	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	462349	TotalRevenueColumn
Exclusion	$462,349	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	25250814	Securities
Other	19421	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	22906227	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2344587	Securities
Other	19421	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2364008	TotalRevenueColumn
Exclusion	$2,364,008	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
CHART REVENUE	900099	2854574	$2,854,574
MEANINGFUL USE REVENUE	900099	2271796	$2,271,796
LABORATORY REVENUE	621500	1983989		1983989

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2565561	TotalRevenueColumn
Exclusion	$2,565,561	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	9675920	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	147027028	TotalRevenueColumn
Related Or Exempt Function Income	131597843	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2006244	UnrelatedBusinessRevenue
Exclusion	$13,085,991	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1936853	Total
Program Services	581056	ProgramServices
Management And General	1355797	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	51640642	Total
Program Services	41896320	ProgramServices
Management And General	9744322	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4966769	Total
Program Services	4033115	ProgramServices
Management And General	933654	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	10184221	Total
Program Services	8180577	ProgramServices
Management And General	2003644	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4037575	Total
Program Services	3227795	ProgramServices
Management And General	809780	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	122077	Total
Management And General	122077	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	130772	Total
Management And General	130772	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	6864	Total
Management And General	6864	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	205000	Total
Management And General	205000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	15907759	Total
Program Services	12786975	ProgramServices
Management And General	3120784	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	860498	Total
Program Services	33458	ProgramServices
Management And General	827040	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3277622	Total
Program Services	3212321	ProgramServices
Management And General	65301	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2432837	Total
Program Services	876676	ProgramServices
Management And General	1556161	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2530461	Total
Program Services	1750418	ProgramServices
Management And General	780043	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	296728	Total
Program Services	164373	ProgramServices
Management And General	132355	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	62304	Total
Program Services	62304	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	936199	Total
Management And General	936199	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	7023408	Total
Program Services	6009385	ProgramServices
Management And General	1014023	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1320626	Total
Program Services	1055760	ProgramServices
Management And General	264866	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	16794206	16468537	325669
BAD DEBT EXPENSE	7471373	7471373
MAINTENANCE & REPAIRS	2589469	2070122	519347
FOOD	862379	689420	172959

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1478603	Total
Program Services	981035	ProgramServices
Management And General	497568	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	137075245	Total
Program Services	111551020	ProgramServices
Management And General	25524225	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6530	BOY
EOY	6185	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	4275314	BOY
EOY	145769	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	11643137	BOY
EOY	13323808	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	3008324	BOY
EOY	2995705	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1501123	BOY
EOY	1837336	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3805401	BOY
EOY	4803539	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	141197744	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	87349961	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	61608557	BOY
EOY	53847783	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	94579513	BOY
EOY	101540358	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	5046470	BOY
EOY	13318241	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	7612977	BOY
EOY	446935	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	6884188	BOY
EOY	5112703	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	199971534	BOY
EOY	197378362	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	10657121	BOY
EOY	13297886	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	23496504	BOY
EOY	20679950	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	7068330	BOY
EOY	3798343	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	45285748	BOY
EOY	33013472	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	86507703	BOY
EOY	70789651	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	110276836	BOY
EOY	123617014	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3186995	BOY
EOY	2971697	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	113463831	BOY
EOY	126588711	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	199971534	BOY
EOY	197378362	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	9951783	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	2488169	ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment	-962893	ReconcilationPriorAdjustment
Reconcilation Other Changes	1647821	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$6,864	OtherActivitiesAmount
Total Lobbying Expenditures IIB	6864	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	AN EMPLOYEE OF THE MEDICAL CENTER OCCASIONALLY LOBBIES LOCAL AND FEDERAL GOVERNMENTS SPECIFICALLY ON HEALTHCARE REFORM TOPICS. THE MEDICAL CENTER IS ALSO A MEMBER OF NATIONAL AND STATE HOSPITAL AND HEALTHCARE ASSOCIATIONS THAT PERFORM LOBBYING ACTIVITIES. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS LISTED AS LOBBYING EXPENDITURES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3188000	BeginningOfYearBalance
Contributions	337000	Contributions
Other Expenditures	552000	OtherExpenditures
End Of Year Balance	2973000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3070000	BeginningOfYearBalance
Contributions	363000	Contributions
Other Expenditures	245000	OtherExpenditures
End Of Year Balance	3188000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3253000	BeginningOfYearBalance
Contributions	872000	Contributions
Other Expenditures	1055000	OtherExpenditures
End Of Year Balance	3070000	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2376000	BeginningOfYearBalance
Contributions	1812000	Contributions
Other Expenditures	935000	OtherExpenditures
End Of Year Balance	3253000	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3262000	BeginningOfYearBalance
Contributions	680036	Contributions
Other Expenditures	1566036	OtherExpenditures
End Of Year Balance	2376000	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	227375	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	2997091	OtherCostOrOtherBasis
Book Value	3224466	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	44207324	OtherCostOrOtherBasis
Depreciation	27151430	Depreciation
Book Value	17055894	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	88358453	OtherCostOrOtherBasis
Depreciation	58561087	Depreciation
Book Value	29797366	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5407501	OtherCostOrOtherBasis
Depreciation	1637444	Depreciation
Book Value	3770057	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	53847783	TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

Field	Value	IRS element (for citing)
Book Value	13318241	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	13318241	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
POST-RETIREMENT LIABILITY	$1,108,589
PENSION LIABILITY	$26,593,155
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS	$1,070,599
DUE TO AFFILIATES	$1,472,738
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	$2,224,094
DEFERRED COMPENSATION LIABILITY	$544,297

Field	Value	IRS element (for citing)
Total Of Amounts	33013472	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	144785902	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	2488169	NetUnrealizedGainsInvestments
Other Revenues	-5823552	OtherRevenues
Revenue Not Rptd F990	-3335383	RevenueNotRptdF990
Revenue Subtotal	148121285	RevenueSubtotal
Investment Expenses Not Included	205000	InvestmentExpensesNotIncluded
Other Revenues Not Included	-1299257	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-1094257	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	147027028	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	130698129	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1299257	OtherExpensesIncluded
Expenses Not Rptd F990	1299257	ExpensesNotRptdF990
Expenses Subtotal	129398872	ExpensesSubtotal
Investment Expenses Not Included2	205000	InvestmentExpensesNotIncluded2
Other Expenses Not Included	7471373	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	7676373	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	137075245	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	ENDOWMENT FUNDS ARE USED PRIMARILY TO PURCHASE CAPITAL EQUIPMENT.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 AND 2012. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THE HOSPITAL'S FEDERAL AND STATE INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION BY FEDERAL OR STATE TAXING AUTHORITIES FOR FISCAL YEARS BEFORE 2009.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		TRANSFER TO AFFILIATE -4,267,224. PENSION AND POST RETIREMENT LIABILITIES ADJUSTMENT 5,844,646. BAD DEBTS NETTED ON FINANCIAL STATEMENTS -7,471,373. INTEREST IN NET INCOME OF SUBSIDIARIES 70,399.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -1,299,257.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 1,299,257.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		BAD DEBTS NETTED ON FINANCIAL STATEMENTS 7,471,373.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	2345	PersonsServed
Total Community Benefit Expense	1764485	TotalCommunityBenefitExpense
Net Community Benefit Expense	1764485	NetCommunityBenefitExpense
Percent Of Total Expense	0.01360	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	30288	PersonsServed
Total Community Benefit Expense	14832788	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7276011	DirectOffsettingRevenue
Net Community Benefit Expense	7556777	NetCommunityBenefitExpense
Percent Of Total Expense	0.05830	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	32633	PersonsServed
Total Community Benefit Expense	16597273	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7276011	DirectOffsettingRevenue
Net Community Benefit Expense	9321262	NetCommunityBenefitExpense
Percent Of Total Expense	0.07190	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	7888	PersonsServed
Total Community Benefit Expense	2682904	TotalCommunityBenefitExpense
Direct Offsetting Revenue	440561	DirectOffsettingRevenue
Net Community Benefit Expense	2242343	NetCommunityBenefitExpense
Percent Of Total Expense	0.01730	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	42097	PersonsServed
Total Community Benefit Expense	9664964	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6314550	DirectOffsettingRevenue
Net Community Benefit Expense	3350414	NetCommunityBenefitExpense
Percent Of Total Expense	0.02590	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	49985	PersonsServed
Total Community Benefit Expense	12347868	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6755111	DirectOffsettingRevenue
Net Community Benefit Expense	5592757	NetCommunityBenefitExpense
Percent Of Total Expense	0.04320	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	82618	PersonsServed
Total Community Benefit Expense	28945141	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14031122	DirectOffsettingRevenue
Net Community Benefit Expense	14914019	NetCommunityBenefitExpense
Percent Of Total Expense	0.11510	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	2535	PersonsServed
Total Community Building Expense	325419	TotalCommunityBuildingExpense
Direct Offsetting Revenue	38663	DirectOffsettingRevenue
Net Community Building Expense	286756	NetCommunityBuildingExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	2535	PersonsServed
Total Community Building Expense	325419	TotalCommunityBuildingExpense
Direct Offsetting Revenue	38663	DirectOffsettingRevenue
Net Community Building Expense	286756	NetCommunityBuildingExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$2,402,000	BadDebtExpenseAmount
Amount Attributable To	550000	AmountAttributableTo
Amount Reimbursed By Medicare	26602319	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	25945949	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	656370	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 COSM REALTY GROUP LTD
REAL ESTATE	0.40000	0.00000	0.30000
2 INDIANA AMBULATORY SURGICAL ASSOCIATES LLC
AMBULATORY SURGERY	0.70000	0.00000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	INDIANA REGIONAL MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	835 HOSPITAL ROAD	AddressLine1
City	INDIANA	City
State	PA	State
ZIP Code	15701	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	URGENT CARE FACILITY	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	INDIANA REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	11	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	100.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 7: THE HOSPITAL USED A COST-TO-CHARGE RATIO IN DETERMINING THE FIGURES REPORTED IN THIS TABLE. THIS COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES.
PART I, LINE 7G: NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED IN THE AMOUNT ON PART I, LINE 7G.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 7471373.
PART II: OUR MISSION IS TO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT AND DIGNITY. ALL OF THE PROGRAMS OFFERED MEET COMMUNITY BENEFIT OBJECTIVES AND ARE RELATED TO OUR MISSION. IRMC OFFERS PROGRAMS THAT IMPROVE ACCESS TO HEALTH CARE SERVICES, ENHANCES HEALTH OF THE COMMUNITY WE SERVE, PROVIDES ADVANCED MEDICAL OR HEALTHCARE KNOWLEDGE AND RELIEVES SOME OF THE FINANCIAL OR PROGRAMMATIC BURDEN OF GOVERNMENT OR OUR COMMUNITY. INDIANA REGIONAL MEDICAL CENTER PROVIDES NUMEROUS COMMUNITY PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING TO OUR COMMUNITIES. OUR MOBILE MEDICAL SERVICES CONTINUES TO PROVIDE FREE BLOOD PRESSURE SCREENINGS IN 19 LOCATIONS IN INDIANA COUNTY. WE ALSO CONTINUE TO PARTICIPATE IN NUMEROUS FREE COMMUNITY EVENTS PROVIDING EDUCATION, SCREENING PROGRAMS AND FIRST AID SERVICES. OVER THE PAST YEAR, THE MOBILE MEDICAL HEALTH LOGGED OVER 2,500 PARTICIPANTS. WE ALSO PROVIDE NUMEROUS HEALTH FAIRS REACHING ALMOST 2,200 PARTICIPANTS, AND CLASSES AND EDUCATION PROGRAMS WITH OVER 4,000 PARTICIPANTS. A FEW OF THE FAIRS OR SERVICES PROVIDED ARE: ARTHRITIS, KNEE PAIN AND OSTEOPOROSIS SESSIONS PUT ON BY THE ORTHOPEDIC PHYSICIANS AND THE IRMC SUPPORT CLINICIANS, "BIKE TO SCHOOL" (SAFETY FOR CHILDREN), CHESTNUT RIDGE HEALTH FAIR, DIABETES, EXERCISE FOR SENIOR CENTERS, FIRST COMMONWEALTH BANK WEIGHT MANAGEMENT, FORTIFY YOUR SPINE, HEALTHY KIDS DAY, ROUTINE MULTIPHASIC BLOOD DRAWS FOR RURAL AREAS AND COMMUNITY MEMBERS THAT MAY NOT SEEK OUT HEALTH CARE, SERVICES PROVIDED TO NEW FLORENCE SENIOR CENTER AND NORTH CAMBRIA SENIOR CENTER (RURAL FACILITIES IN OUR SECONDARY MARKET AREA AND NO HOSPITAL CLOSE TO THEM), PROSTATE SCREENINGS, VACCINES FOR VETS (VETERANS), SKIN SCREENINGS, AS WELL AS A NUMBER OF OTHERS. THE INSTITUTE FOR HEALTHY LIVING AT INDIANA REGIONAL MEDICAL CENTER OFFERS HEALTH SERVICES AND EDUCATION PROGRAMS TO THE COMMUNITY AT NO CHARGE.THE CENTER FOR DIABETES CARE CONTINUES TO OFFER FREE EDUCATION SERVICES AT VARIOUS LOCATIONS THROUGHOUT THE COUNTY. IN ADDITION, THEY CONTINUE TO BE THE PRIMARY SPONSOR OF THE COUNTY'S DIABETES WALK. EACH MONTH STAFF AND MANAGEMENT AT IRMC PROVIDE SUPPORT TO A LOCAL FOOD BANK. PREVENTIVE HEALTH SERVICES - M. DORCAS CLARK WOMEN'S IMAGING CENTER AND THEIR STAFF HAVE PARTICIPATED IN NUMEROUS COMMUNITY EVENTS PROVIDING INFORMATION ABOUT THE IMPORTANCE OF BREAST HEALTH. BIRDIE'S CLOSET, A PROJECT DESIGNED TO HELP WOMEN COPE WITH APPEARANCE RELATED SIDE-EFFECTS OF CANCER TREATMENT WAS OPENED IN THE WOMEN'S IMAGING CENTER. SUPPORT HEALTH GROUPSFAMILY PROGRAMS - EARLY PREGNANCY, MATERNITY TOUR, DOCTOR DAD, BOF SERIES, BREASTFEEDING, ALL ABOUT BABY, LAMAZE, HOME ALONE, BABYSITTING, LET'S TALK GIRLS, BIG BROTHER, CPR, HEARTSAVER. 1,164 CONTACTS FOR THE YEAR.COMMUNITY CLASSES - PACE, TAI CHI, YOGA, CANCER, STRONG WOMEN, DROP WEIGHT, ORNISH, DIABETES, DROP 10. 3,580 CLASS HOURS.IN 2009, INDIANA REGIONAL MEDICAL CENTER OPENED A NEW FACILITY OFFERING URGENT CARE SERVICES IN THE BLAIRSVILLE COMMUNITY AS A RESPONSE TO MEDICAL SERVICES NEEDED IN THAT AREA. THIS FACILITY IS 12 MILES FROM THE HOSPITAL CAMPUS.IN 2012, INDIANA REGIONAL MEDICAL CENTER OPENED ITS SECOND URGENT CARE FACILITY TO SERVICE THE PRIMARY MARKET SHARE WHERE THERE WAS A NOTED DEMAND FOR THESE SERVICES. THE URGENT CARE CENTERS REQUIRE ADDITIONAL STAFFING ON BEHALF OF THE HOSPITAL AS IT IS A NEW/ADDED LOCATION; HOWEVER, THESE FACILITIES SIGNIFICANTLY IMPROVE THE CYCLE TIME OF THE PATIENT THROUGHOUT AND SERVICES FOR THE NON-EMERGENT SERVICES NEEDED.
PART III, LINE 4: THE FOLLOWING IS THE TEXT OF THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: "ACCOUNTS RECEIVABLE, PATIENTS, ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED ON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES."THE AMOUNTS REPORTED IN PART III, LINES 2 AND 3 ARE DERIVED BY USING THE MEDICARE COST TO CHARGE RATIO FROM THE COST REPORT.FOR ACCOUNTS WITH INSURANCE, THE CONTRACTUAL ADJUSTMENTS ARE APPLIED TO THE TOTAL ACCOUNT TO DERIVE THE EXPECTED PAYMENT. THE BAD DEBT IS TYPICALLY A PORTION OF THE CO-PAYS OR DEDUCTIBLES. ON ACCOUNTS WITH NO INSURANCE, ALL FINANCIAL ASSISTANCE ADJUSTMENTS/CHARITY CARE ADJUSTMENTS/PROMPT PAYMENT DISCOUNTS/ETC. ARE APPLIED AND THE REMAINING BALANCE IS CAPTURED AS BAD DEBT EXPENSE.A PORTION OF THE BAD DEBT SHOULD BE INCLUDED AS COMMUNITY BENEFIT AS THE HOSPITAL IS NOT ABLE TO DENY SERVICES TO ANY PATIENT PRESENTING TO THE EMERGENCY DEPARTMENT, REGARDLESS IF THE PATIENTS HAVE THE MEANS TO PAY. THE DEDUCTIBLE AND CO-INSURANCE BALANCES THAT ARE NOT PAID REDUCE THE NET REVENUES DUE TO THE HOSPITAL AS PART OF THE RESPECTIVE PATIENT'S INSURANCE COVERAGE. IN ADDITION, THERE IS A "COST" TO THE HOSPITAL FOR TREATING ALL PATIENTS. AS WITH THE UNREIMBURSED AMOUNTS OF THE MEDICAID PATIENT SERVICES, THE HOSPITAL SHOULD BE ABLE TO INCLUDE THE UNREIMBURSED COSTS OF THE SERVICES THAT RESULTED IN NO PAYMENT.
PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6.
PART III, LINE 9B: PATIENTS ARE EXPECTED TO PAY ALL BALANCES IN FULL WITHIN FIFTEEN DAYS OF A FINAL BILLING. IF THIS IS NOT POSSIBLE, PATIENTS WILL BE COUNSELED ON THE USE OF MEDICAL ASSISTANCE OR THE INDIANA CHARITY CARE PROGRAM, I-CARE.ON A MONTHLY BASIS, THE CREDIT SUPERVISOR WILL COMPILE A REPORT LISTING ALL ACCOUNTS, WHICH HAVE BEEN BILLED TO MEDICARE, AND ANY SECONDARY INSURANCE CARRIER WHERE APPLICABLE. A LISTING OF ACCOUNTS WHICH HAVE BEEN BILLED TO MEDICAL ASSISTANCE AS A SECONDARY PAYOR ARE REVIEWED BY THE CREDIT SUPERVISOR FOR AN AUTOMATIC WRITE OFF AFTER MEDICAL ASSISTANCE HAS PROCESSED THE ACCOUNT. ACCOUNTS WHICH HAVE BALANCES AFTER MEDICARE AND ALL SECONDARY PAYORS HAVE BEEN BILLED WILL BE PLACED WITH AN OUTSIDE COLLECTION AGENCY AFTER TWO UNANSWERED STATEMENTS. AN EXCEPTION WILL BE MADE IN THE EVENT A PATIENT/GUARANTOR DOES NOT FOLLOW THROUGH WITH THE MEDICAL ASSISTANCE APPLICATION PROCESS, WHEN REQUESTED TO DO SO. THE AGENCY WILL ATTEMPT TO COLLECT THE ACCOUNT FOR SIX MONTHS. AFTER THAT TIME THE ACCOUNT WILL BE WRITTEN OFF AS MEDICARE BAD DEBT.THE IRMC COLLECTION POLICY CONTAINS PROVISIONS TO PROVIDE A SOFTER APPROACH FOR THOSE THAT IRMC HAS LEARNED WOULD QUALIFY FOR FINANCIAL ASSISTANCE. UPON RECEIPT OF THE CALL FROM THE PATIENT THAT THERE IS HARDSHIP IN PAYING THE BILL, THE IRMC COLLECTION REPRESENTATIVE SHARES THE INFORMATION FOR APPLICATION FOR BOTH MEDICAL ASSISTANCE AND CHARITY CARE. WHILE THE PATIENT'S ACCOUNT IS IN THIS PROCESS, THEIR ACCOUNT WILL NOT BE PROVIDED TO THE COLLECTION AGENCY.
PART V, SECTION B, LINE 3: THE HEALTH PRIORITIES FOR THE RESIDENTS OF INDIANA COUNTY WERE IDENTIFIED BY 4 SOURCES. THE FIRST SOURCE USED WAS THE 2011 COUNTY HEALTH RANKINGS REPORT PUBLISHED BY THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. FACTORS SUCH AS COUNTY HEALTH OUTCOMES, HEALTH BEHAVIORS AND FACTORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS AND PHYSICAL ENVIRONMENT RESULTS FOR INDIANA COUNTY WERE COMPARED WITH RESULTS FOR THE STATE OF PENNSYLVANIA.THE PENNSYLVANIA DEPARTMENT OF HEALTH COUNTY HEALTH PROFILE 2010 PROVIDED DATA ON DEMOGRAPHICS, POPULATION, NATALITY AND REPORTED PREGNANCIES, MORBIDITY, CANCER INCIDENCE, MORTALITY AND DRUG AND ALCOHOL TREATMENT. THIS INFORMATION WAS ALSO COMPARED TO DATA FOR THE STATE TO DETERMINE AREAS WHERE INDIANA COUNTY UNFAVORABLY COMPARED.IN ADDITION, INDIANA REGIONAL MEDICAL CENTER PROVIDED PARTIAL FUNDING FOR AN OVERSAMPLING OF THE COUNTY ADULT RESIDENTS USING THE CENTER FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS). THE DATA WAS GATHERED THROUGH PHONE INTERVIEWS THAT WERE CONDUCTED OVER AN ENTIRE YEAR. THE SURVEY ASKED QUESTIONS ABOUT HEALTH AND HEALTH-RELATED BEHAVIORS INCLUDING GENERAL HEALTH, HEALTHCARE ACCESS, EXERCISE, TOBACCO USE, ASTHMA, DIABETES AND IMMUNIZATION. THE USE OF THIS SURVEY ALLOWS FOR COMPARISON WITH THE STATE AND NATIONAL RESULTS. FORTY ADDITIONAL QUESTIONS WERE ADDED TO THE CORE SURVEY. QUESTIONS ADDED WERE CHOSEN BY INPUT FROM MEMBERS OF THE IRMC SENIOR TEAM AND THE INDIANA COUNTY COMMUNITY HEALTH ADVISORY COUNCIL (CHAC). LOCALLY ADDED QUESTIONS ADDRESSED HEALTHY DAYS (SYMPTOMS), CARDIOVASCULAR HEALTH, ACTIONS TO CONTROL HIGH BLOOD PRESSURE, WOMEN'S HEALTH, COLORECTAL CANCER SCREENING, CANCER SURVIVORSHIP, ADULT ASTHMA HISTORY, ARTHRITIS MANAGEMENT, GENERAL PREPAREDNESS, CHILDHOOD ASTHMA PREVALENCE AND FALLS. THE RESULTS FROM THESE QUESTIONS WILL SERVE AS A BASELINE FOR FUTURE SURVEYS. THE COST OF THIS SURVEY WAS SHARED BY IRMC AND THE PENNSYLVANIA DEPARTMENT OF HEALTH.THE FOURTH SOURCE WAS PUBLIC INPUT. THIS WAS GATHERED BY PROVIDING THE COMMUNITY MEMBERS WITH THE OPPORTUNITY TO SUBMIT WRITTEN HEALTH CONCERNS OR HEALTH NEEDS TO THE HOSPITAL. AN AD WAS PLACED REQUESTING INPUT IN TWO LOCAL NEWSPAPERS, INDIANA GAZETTE AND THE BLAIRSVILLE DISPATCH FOR 2 WEEKS.	INDIANA REGIONAL MEDICAL CENTER
PART V, SECTION B, LINE 5C: MADE AVAILABLE THROUGH A COMMUNITY MAILING	INDIANA REGIONAL MEDICAL CENTER
PART V, SECTION B, LINE 7: EACH YEAR THE TOP 7 PRIORITIES ARE IDENTIFIED AND ADDRESSED.IRMC'S CHNA LOOKED AT 19 DIFFERENT ISSUES OF COMMUNITY HEALTH. ALL 19 WERE RANKED ACCORDING TO PRIORITY NEED--HIGH, MODERATE AND LOW. THE ASSIGNMENT OF EACH HEALTH CONCERN TO ONE OF THESE PRIORITY STATES WAS BASED UPON FOUR ESSENTIAL CRITERIA:1. PRIORITY VARIES SIGNIFICANTLY FROM STATE, NATIONAL AND HEALTHY PEOPLE 2020 GOALS2. RESOURCES ARE AVAILABLE WITHIN THE MEDICAL CENTER OR COMMUNITY TO ADDRESS THE PRIORITY3. ACTIONS OR INTERVENTIONS WOULD LIKELY SUCCEED IN IMPROVEMENT4. ACTIONS OR INTERVENTIONS WOULD BE ALIGNED WITH THE MISSION OF THE MEDICAL CENTERTHE DESIGNATIONS OF INDIVIDUAL RANKING, AS WELL THE DECISION TO ADDRESS ONLY THE "HIGH PRIORITY" ISSUES OVER THE NEXT THREE YEARS, REPRESENTED THE COLLECTIVE INPUT FROM 1) THE INDIANA COUNTY COMMUNITY HEALTH ADVISORY COUNCIL (CHAC), A MULTI-STAKEHOLDER GROUP COMPRISED OF REPRESENTATIVES FROM VARIOUS COMMUNITY AGENCIES, ORGANIZATIONS AND SCHOOLS. THE CHAC HAS BEEN ACTIVE SINCE 1996. 2) THE IRMC MEDICAL STAFF ALSO PROVIDED INPUT ON THE PRIORITIES. 3) THE SENIOR ADMINISTRATIVE TEAM AT IRMC. THE RESULT OF THIS INPUT JUDICIOUSLY ALLOCATED LIMITED RESOURCES TO THE GREATEST NEEDS.SOME OF THE LOW PRIORITY NEEDS WHICH WERE NOT ADDRESSED ARE LACK OF HEALTH INSURANCE; FOOD AND WATER BORNE ILLNESS; ACCESS TO HEALTHY FOODS AND RECREATIONAL FACILITIES; MENTAL HEALTH AND DEATHS DUE TO MOTOR VEHICLE CRASHES. THESE NEEDS WERE NOT ADDRESSED AS IRMC WAS FOCUSED ON HIGHER PRIORITY NEEDS.	INDIANA REGIONAL MEDICAL CENTER
PART V, SECTION B, LINE 14G: A MESSAGE IS PROVIDED ON INVOICES THAT THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE.	INDIANA REGIONAL MEDICAL CENTER
PART V, SECTION B, LINE 20D: THE MEDICAL CENTER WILL APPLY GROSS CHARGES ALSO KNOWN AS THE TOTAL CHARGES AT THE ORGANIZATION'S FULL ESTABLISHED RATES FOR THE PROVISION OF THE PATIENT CARE SERVICES BEFORE DEDUCTIONS FROM REVENUE ARE APPLIED.	INDIANA REGIONAL MEDICAL CENTER
PART V, SECTION B, LINE 22: ALL INDIVIDUALS, WHETHER APPLYING FOR CHARITY CARE OR NOT, WILL BE CHARGED THE HOSPITAL'S FULL ESTABLISHED OR GROSS RATES BEFORE ANY DEDUCTIONS FROM REVENUE ARE APPLIED.	INDIANA REGIONAL MEDICAL CENTER
PART VI, LINE 2: DURING THE PAST YEAR, IRMC HAS BEEN REVIEWING INFORMATION AND DATA ABOUT THE HEALTH OF OUR COUNTY. INFORMATION WAS COLLECTED FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM SURVEY, COUNTY HEALTH PROFILE, COUNTY HEALTH RANKINGS, COMMUNITY MEMBERS, MEDICAL STAFF AND HOSPITAL LEADERSHIP. OVERALL, THE HEALTH OF INDIANA COUNTY RESIDENTS IS BETTER OR EQUAL TO THOSE IN THE SURROUNDING COUNTIES. HOWEVER, SEVERAL AREAS WERE IDENTIFIED AS AREAS FOR IMPROVEMENT.OUR REPORT OUTLINES THE 19 COMMUNITY NEEDS ORIGINALLY IDENTIFIED THROUGH THE SURVEY AND DATA SOURCES. THE TOP SEVEN PRIORITIES THAT IRMC WILL BE FOCUSING ON IN THE NEXT THREE YEARS ARE: EARLY PRENATAL CARECHOLESTEROL TESTINGINFLUENZA/PNEUMONIA DEATHSNUMBER OF PRIMARY CARE PHYSICIANSOVERWEIGHT/OBESITY RATESDRUG ABUSEPREVENTABLE HOSPITALIZATIONS
PART VI, LINE 3: IRMC WILL POST, AT ALL POINTS OF REGISTRATION, A NOTICE OF THE CHARITY CARE POLICY. THE MEDICAL CENTER WILL ALSO PROVIDE NOTICE OF THE CHARITY CARE POLICY IN PATIENTS' BILLS AND TO LOCAL SOCIAL SERVICE AGENCIES. THE MEDICAL CENTER ALSO PROVIDES THIS INFORMATION ON THE INDIANA REGIONAL MEDICAL CENTER'S INTERNET HOME PAGE. AT THE EARLIEST FEASIBLE TIME, THE MEDICAL CENTER PERSONNEL WILL ATTEMPT TO DETERMINE PATIENT ELIGIBILITY FOR COVERAGE OF PART OR ALL OF THEIR PATIENT BILL.ALL PRE-REGISTRATION, REGISTRATION, BUSINESS OFFICE, AND PATIENT FINANCIAL SERVICES STAFF RECEIVE TRAINING AS TO THE CHARITY CARE POLICY AND ARE TO BE FAMILIAR WITH THE AVAILABILITY OF CHARITABLE ASSISTANCE AND THE CRITERIA FOR SUCH ASSISTANCE.
PART VI, LINE 4: SINCE OPENING ITS DOORS IN 1914, INDIANA REGIONAL MEDICAL CENTER (IRMC) HAS MAINTAINED A GOAL OF SERVING THE COMMUNITY WITH QUALITY, PROGRESSIVE, COMPASSIONATE PATIENT CARE. AS THE COUNTY'S SOLE, FULL-SERVICE HEALTHCARE PROVIDER, IRMC HAS CONTINUALLY RISEN TO THE CHALLENGE OF MEETING THE NEEDS OF ITS COMMUNITY. IRMC RESIDES IN INDIANA, PENNSYLVANIA IN THE HEART OF THE COUNTY. THE HOSPITAL SITS ON A 75-ACRE CAMPUS AND ADMITS OVER 7,700 PATIENTS, DELIVERS MORE THAN 600 BABIES, AND ACCOMMODATES ANOTHER QUARTER-MILLION OUTPATIENT ENCOUNTERS EACH YEAR. AS AN ACUTE CARE FACILITY, IRMC IS LICENSED FOR 164 BEDS AND PROVIDES A BROAD RANGE OF MEDICAL AND EDUCATIONAL SERVICES AT ITS MAIN CAMPUS AND SATELLITE LOCATIONS ACROSS INDIANA COUNTY. AS THE ONLY HOSPITAL LOCATED IN THIS RURAL COUNTY, IRMC PROVIDES SERVICES TO A DIVERSE POPULATION OF 89,000 RESIDENTS SPREAD OVER 830 SQUARE MILES.OVER THE YEARS, IRMC HAS DEVELOPED PROGRAMS AND SERVICES THAT ADDRESS IMPROVING ACCESS TO CARE, PREVENTIVE SERVICES, AND COMMUNITY HEALTH EDUCATION. IRMC HAS FOUND A WAY TO NOT ONLY SUCCEED WHEN OTHER RURAL HOSPITALS ARE CLOSING THEIR DOORS, BUT ALSO EXPAND AND PROVIDE CARE TO THE RESIDENTS OF FIVE SURROUNDING COUNTIES. IRMC IS THE NUMBER TWO EMPLOYER IN THE COUNTY WITH 1,300 EMPLOYEES AND CONTINUES TO ATTRACT AND RETAIN A QUALITY WORKFORCE THROUGH THE ACHIEVEMENT OF NUMEROUS RECOGNITIONS, SUCH AS THE #1 BEST PLACE TO WORK IN PA, THE #2 BEST PLACE TO WORK IN THE NATION ACCORDING TO MODERN HEALTHCARE MAGAZINE, ACHIEVED NOTABLE STATUS BY SCORING AT THE MASTERY LEVEL IN PENNSYLVANIA'S KAPE PROGRAM, AND NAMED TO FORTUNE'S 100 BEST COMPANIES TO WORK FOR. FURTHER, IRMC IS CURRENTLY PURSUING THE MALCOLM BALDRIGE NATIONAL QUALITY AWARD - A PRESTIGIOUS HONOR ACHIEVED BY FEW.
PART VI, LINE 5: IN THE MID-NINETIES, HOSPITALS AND HEALTHCARE FACILITIES BEGAN TO SHIFT THEIR ATTENTION FROM JUST SICK OR HOSPITAL BASED CARE TO INCLUDE ADDRESSING COMMUNITY HEALTH AND DISEASE PREVENTION. AS A FIRST STEP IN THAT DIRECTION, IRMC FORMED A COMMUNITY SERVICE DEPARTMENT WHOSE PURPOSE WAS TO DELIVER EDUCATION AND PREVENTATIVE SCREENINGS TO THE COMMUNITY-AT-LARGE. IN 2005, REALIZING THAT ALMOST EVERY DEPARTMENT IN THE HOSPITAL HAD OPPORTUNITIES TO PROMOTE HEALTH AND WELLNESS, IRMC CREATED THE INSTITUTE FOR HEALTHY LIVING, A VIRTUAL ORGANIZATION COORDINATING ALL ASPECTS OF COMMUNITY OUTREACH AND HEALTH IMPROVEMENT. IMPROVING AND SUSTAINING COMMUNITY HEALTH, HOWEVER, IS A COLLABORATIVE ENDEAVOR THAT INTEGRATES AS MANY KEY STAKEHOLDERS AS POSSIBLE. IN THAT REGARD, IRMC SPEARHEADED THE FORMATION OF THE INDIANA COUNTY COMMUNITY HEALTH ADVISORY COUNCIL (CHAC), AN ENTERPRISE REPRESENTING MEMBERS FROM VARIOUS COMMUNITY AGENCIES, ORGANIZATIONS AND SCHOOLS WHOSE PURPOSE IT IS TO IDENTIFY HEALTH NEEDS IN OUR COUNTY AND TO FIND WAYS TO MEET THEM. THE CHAC HAS BEEN ACTIVE SINCE 1996 AND IRMC SERVES AS ITS BASE AND CHAIRMANSHIP. THE IRMC / INSTITUTE FOR HEALTHY LIVING 2011 COMMUNITY HEALTH NEEDS ASSESSMENT AND REPORT IS THE PRODUCT OF AN 18-MONTH PROCESS THAT SOUGHT COMMUNITY INPUT, MEDICAL STAFF INPUT, INVOLVED KEY INTEREST GROUPSSUCH AS THE CHAC, AND SELECTED PRIMARY AND SECONDARY SOURCES OF SURVEY INPUT TO IDENTIFY TARGET AREAS FOR IMPROVEMENT WITH SPECIFIC ACTION PLANS.USING THE THREE SURVEY INPUTS OF THE PA BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BRFSS), THE ROBERT WOOD JOHNSON COUNTY HEALTH RANKINGS, AND THE PA DEPARTMENT OF HEALTH ANNUAL COUNTY HEALTH PROFILES, IRMC WAS ABLE TO IDENTIFY AND SET PRIORITIES AMONG 19 AREAS FOR COMMUNITY HEALTH IMPROVEMENT THAT DIFFERED SIGNIFICANTLY FROM STATE OR NATIONAL BENCHMARKS. IRMC THEN TARGETED SEVEN OF THOSE NEED AREAS FOR SPECIFIC INTERVENTION AND ACTION. INDIANA REGIONAL MEDICAL CENTER USES ITS OWN FUNDS TO ENHANCE BOTH THE CLINICAL STRATEGIES AND THE COMMUNITY STRATEGIES.CLINICAL STRATEGIES (A FEW EXAMPLES): RECRUITING ADDITIONAL PHYSICIANS FOR IDENTIFIED COMMUNITY NEEDS, EXPLORE DEVELOPMENT OF A FAMILY PRACTICE RESIDENCY PROGRAM TO FACILITATE RECRUITMENT AND RETENTION, ENLARGE THE MEDICAL FITNESS CENTER, ESTABLISH A WEIGHT LOSS TASK FORCE, DEVELOP A MEDICAL WEIGHT MANAGEMENT CENTER, PROVIDE FLU SHOTS TO ALL INPATIENTS DURING FLU SEASON, PROVIDE PNEUMONIA VACCINE TO ALL NON-VACCINATED INPATIENTS, ETC. COMMUNITY STRATEGIES (A FEW EXAMPLES): PARTNER WITH AGENCIES PROVIDING SERVICES AND EDUCATION TO YOUNG TEENS AND WOMEN, EVALUATE A PARTNERSHIP WITH EARLY HEAD START, IMPROVE VISIBILITY AND INFORMATION AVAILABLE ABOUT THE OB/GYN CLINIC, WORKED TO ESTABLISH PRACTICES IN THE MORE RURAL AREAS OF THE COUNTY THAT REQUIRE THE MEDICAL CENTER TO SUBSIDIZE DELIVERING CARE THERE, ESTABLISHED THE INDIANA AT CHESTNUT RIDGE FACILITY THAT OFFERS PRIMARY CARE AND URGENT-CARE AND WAS A SIGNIFICANT CAPITAL INVESTMENT, IMPLEMENT A PATIENT PORTAL TO IMPROVE PATIENT ACCESS TO MEDICAL RECORDS, BECAME A PROVIDER OF THE WE CAN! (WAYS TO ENHANCE CHILDREN'S ACTIVITY AND NUTRITION), PARTNERED WITH 7 ELEMENTARY SCHOOLS TO INSTALL PROJECT FIT AMERICA, IMPLEMENTED GROCERY STORE TOURS TO ASSIST PEOPLE WITH SEEKING HEALTHY CHOICES, PARTNER WITH 4 GROCERY STORES TO HAVE A DIETICIAN AVAILABLE TO HELP SHOPPERS MAKE HEALTHY CHOICES, CONDUCT THE ANNUAL "VACCINE FOR VETERANS" PROGRAM ON VETERANS DAY, EVALUATE THE POTENTIAL FOR PUBLIC PNEUMONIA VACCINE CLINICS, CONTINUE TO PROVIDE FREE FLU AND PNEUMONIA VACCINE TO HIGH-RISK, LOW INCOME RESIDENTS, ETC.
PART VI, LINE 6: INDIANA REGIONAL MEDICAL CENTER HAS THE FOLLOWING AFFILIATED ENTITIES:INDIANA HEALTHCARE FOUNDATION CONDUCTS FUNDRAISING ACTIVITIES, SUCH AS THE COLUMBUS DAY GOLF OUTING AND LOVE OF LIFE GALA, IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTER. INDIANA REGIONAL MEDICAL CENTER AND PUNXSUTAWNEY AREA HOSPITAL JOINTLY FORMED INDIANA JEFFERSON RADIATION ONCOLOGY, INC. FOR THE PURPOSE OF ENHANCING THE QUALITY AND AVAILABILITY OF RADIATION ONCOLOGY SERVICES OFFERED TO PATIENTS IN INDIANA AND JEFFERSON COUNTIES, PA AND SURROUNDING AREAS.INDIANA HEALTHCARE PHYSICIAN SERVICES, INC. IS A NON-PROFIT HOSPITAL OWNED GROUP OF PRACTICES OWNED AND OPERATED TO SERVE THE RURAL AREAS OF INDIANA AND SURROUNDING COMMUNITIES. WE PROVIDE ACCESSIBLE, COST EFFECTIVE QUALITY HEALTHCARE WITHIN THE RURAL COMMUNITIES OF INDIANA AND SURROUNDING COUNTIES. WE SUPPORT AND WORK COLLABORATIVELY WITH OTHER NON-PROFIT AGENCIES WITHIN OUR SITES.INDIANA HEALTHCARE PROPERTIES HOLDS AND MANAGES PROPERTY IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTER.
N/A		PART VI, LINE 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEPHEN A WOLFE
PRESIDENT & CEO	375395	0	47645	0	6706	0	61747	0	17438	0	508931	0	0	0
ROBERT A GONGAWARE
SR VP FINANCE	200025	0	20387	0	0	0	12735	0	1280	0	234427	0	0	0
BRUCE A BUSH MD
SR VP MEDICAL DIRECTOR	283793	0	24360	0	0	0	0	0	17495	0	325648	0	0	0
DOMINIC PACCAPANICCIA
CHIEF OPERATING OFFICER	217410	0	20585	0	0	0	17803	0	17369	0	273167	0	0	0
CINDY VIRGIL
SR VP PATIENT SERVICES	171584	0	11795	0	0	0	12473	0	2039	0	197891	0	0	0
WADE PATRICK
SR VP INFORMATION SERVICES	166408	0	15606	0	0	0	6850	0	13994	0	202858	0	0	0
LARRY SEDLEMEYER
SR VP BUS. DEVELOPMENT	151665	0	7220	0	0	0	10605	0	8112	0	177602	0	0	0
MICHAEL MERRELL
PHYSICIAN	483907	0	13580	0	0	0	0	0	17051	0	514538	0	0	0
DONNA BALEWICK
PHYSICIAN	390641	0	14627	0	0	0	0	0	7682	0	412950	0	0	0
JOHN P CAWLEY
PHYSICIAN	379745	0	4338	0	0	0	0	0	7185	0	391268	0	0	0
ANTHONY L SICO
PHYSICIAN	380510	0	172	0	0	0	0	0	17954	0	398636	0	0	0
LUIS P TONMACRUZ
PHYSICIAN	332653	0	25453	0	0	0	0	0	17954	0	376060	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	INDIANA REGIONAL MEDICAL CENTER PAYS COUNTRY CLUB MEMBERSHIP DUES FOR PRESIDENT & CEO, STEPHEN WOLFE, WHICH IS NOT INCLUDED IN HIS COMPENSATION. THE MEMBERSHIP IS A CORPORATE MEMBERSHIP USED FOR BUSINESS PURPOSES ONLY.
PART I, LINE 4B	INDIANA REGIONAL MEDICAL CENTER HAS A SUPPLEMENTAL, NONQUALIFIED RETIREMENT PLAN UNDER IRC SECTION 457(F) FOR PRESIDENT & CEO STEPHEN WOLFE. NO AMOUNTS WERE PAID TO HIM FROM THIS PLAN DURING 2012.
PART I, LINE 7	BONUSES MAY BE GRANTED AT THE DISCRETION OF THE BOARD AND ARE BASED ON FACTORS SUCH AS PERFORMANCE AND MEETING GOALS AND OBJECTIVES.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
INDIANA COUNTY HOSPITAL AUTHORITY
A	251697319	2003-01-15	10000000	FINANCE CAPITAL IMPROVEMENTS	0	0	0
INDIANA COUNTY HOSPITAL AUTHORITY
B	251697319	2004-12-08	10000000	FINANCE CAPITAL IMPROVEMENTS	0	0	0
INDIANA COUNTY HOSPITAL AUTHORITY
C	251697319	2009-02-12	10000000	FINANCE CAPITAL PROJECTS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	10000000	50000	9950000	2003	1	1
B	10000000	91500	9908500	2006	1	1
C	10000000	61000	9939000	2010	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	1
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	1
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebate	Variable Rate IssueVariableRateIssue	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	1	0	1
B	1	1	1
C	1	1	1

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING BOARD MEMBERS HAVE A BUSINESS RELATIONSHIP: TODD BRICE AND ANNE WHITE.
FORM 990, PART VI, SECTION A, LINE 6	INDIANA HEALTHCARE CORPORATION ("IHC") IS THE SOLE CORPORATE MEMBER OF INDIANA REGIONAL MEDICAL CENTER ("IRMC").
FORM 990, PART VI, SECTION A, LINE 7A	IHC HAS THE POWER TO FILL VACANCIES, NOMINATE AND APPROVE THE ELECTION OF, AND APPROVE REMOVAL OF THE BOARD OF DIRECTORS OF IRMC.
FORM 990, PART VI, SECTION A, LINE 7B	IRMC SHALL OBTAIN THE APPROVAL OF IHC BEFORE ACTION ON ANY OF THE FOLLOWING MATTERS BECOMES FINAL AND EFFECTIVE FOR IRMC: (1) AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS; (2) THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF IRMC; (3) MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION; (4) DISSOLUTION OF IRMC; (5) APPROVAL OF AN ANNUAL OPERATING AND CAPITAL BUDGET FOR IRMC; (6) ANY OTHER MATTER THAT BY LAW WOULD REQUIRE THE APPROVAL OF MEMBERS OF A NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11	EACH BOARD MEMBER WILL BE CONTACTED INDIVIDUALLY AND GIVEN THE OPPORTUNITY TO RECEIVE A COPY OF THE COMPLETE RETURN BY E-MAIL, POSTAL SERVICE, OR PICKED UP AT 835 HOSPITAL ROAD IN THE CHIEF FINANCIAL OFFICER'S OFFICE. THE RETURN IS ALSO PRESENTED AT A BOARD MEETING BEFORE FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	EVERY MEMBER OF THE BOARD, AND EVERY INDIVIDUAL APPOINTED TO THE BOARD OR BOARD COMMITTEES, AS WELL AS ALL KEY MANAGEMENT PERSONNEL AND PHYSICIAN LEADERS, ARE REQUIRED TO EXECUTE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, WHICH WILL BE UPDATED AT LEAST ON AN ANNUAL BASIS OR AS ADDITIONAL CONFLICTING INTERESTS ARISE. IN ADDITION, EVERY MEMBER OF THE BOARD WILL SPECIFICALLY ACKNOWLEDGE THE CONFLICT OF INTEREST POLICY AND HIS/HER ATTEMPT TO ABIDE BY IT BY SIGNING THE ACKNOWLEDGEMENT FORM. EVERY BOARD COMMITTEE MEMBER, OFFICER, KEY MANAGEMENT EMPLOYEE, AND PHYSICIAN LEADER IS REQUIRED TO SIGN THIS ACKNOWLEDGEMENT AS WELL. THE ACKNOWLEDGEMENT AND DISCLOSURE FORMS WILL BE KEPT ON FILE BY THE CHIEF EXECUTIVE OFFICER, AND THE CHAIRMAN AND VICE-CHAIRMAN WILL BE FAMILIAR WITH THE STATEMENTS THAT ARE FILED BY BOARD MEMBERS IN ORDER TO GUIDE THEIR CONDUCT IN THE EVENT A CONFLICT ARISES. EVERY PERSON COVERED BY THIS POLICY SHALL SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND CONFLICTING INTERESTS. EACH STATEMENT WILL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR OR AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTERESTS ARISE. THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH ALL SUCH DISCLOSURE STATEMENTS IN CASE A CONFLICT ARISES. THE VICE CHAIRMAN OF THE BOARD SHALL BE FAMILIAR WITH THE DISCLOSURE STATEMENT FILED BY THE CHAIRMAN. PENALTIES FOR NON-COMPLIANCE: FAILURE TO COMPLY WITH THIS POLICY SHALL CONSTITUTE GROUNDS FOR REMOVAL FROM OFFICE AND, IN THE CASE OF KEY MANAGEMENT PERSONNEL, TERMINATION OF EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15	POSITIONS FOR OFFICERS AND KEY EMPLOYEES ARE REVIEWED ON AN ANNUAL BASIS. APPROPRIATE COMPARISONS ARE MADE ON A REGIONAL AND NATIONAL LEVEL IN ORDER TO MAINTAIN A FAIR AND EQUITABLE COMPENSATION STRUCTURE. ALL RECOMMENDATIONS ARE APPROVED BY THE BOARD OF DIRECTORS AND DOCUMENTED IN THE BOARD MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	PHYSICIANS FEES: PROGRAM SERVICE EXPENSES 5,451,671. MANAGEMENT AND GENERAL EXPENSES 1,323,083. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,774,754. CONSULTATION FEES: PROGRAM SERVICE EXPENSES 380,490. MANAGEMENT AND GENERAL EXPENSES 92,342. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 472,832. COLLECTIONS: PROGRAM SERVICE EXPENSES 203,288. MANAGEMENT AND GENERAL EXPENSES 49,336. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 252,624. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,751,526. MANAGEMENT AND GENERAL EXPENSES 1,656,023. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,407,549.	OTHER FEES
FORM 990, PART XI, LINE 9:	TRANSFER TO AFFILIATE -4,267,224. INTEREST IN NET INCOME OF SUBSIDIARIES 70,399. PENSION AND POST RETIREMENT LIABILITIES ADJUSTMENT 5,844,646.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
INDIANA HEALTHCARE FOUNDATION
835 HOSPITAL ROAD	INDIANA	PA	15701	251574302	FUNDRAISING IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTER	PA	501(C)(3)	LINE 11A, I	INDIANA HEALTHCARE CORPORATION	0
INDIANA HEALTHCARE CORPORATION
835 HOSPITAL ROAD	INDIANA	PA	15701	251547379	PARENT CORPORATION	PA	501(C)(3)	LINE 7		0	N/A
INDIANA JEFFERSON RADIATION ONCOLOGY INC
835 HOSPITAL ROAD	INDIANA	PA	15701	900406301	RADIATION ONCOLOGY SERVICES	PA	501(C)(3)	LINE 11A, I	INDIANA REGIONAL MEDICAL CENTER	1
INDIANA HEALTHCARE PHYSICIAN SERVICES INC
835 HOSPITAL ROAD	INDIANA	PA	15701	251842046	PROVIDE HEALTH CARE	PA	501(C)(3)	LINE 3	INDIANA HEALTHCARE CORPORATION	0
INDIANA HEALTHCARE PROPERTIES
835 HOSPITAL ROAD	INDIANA	PA	15701	251524635	HOLD & MANAGE PROPERTY IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTER	PA	501(C)(3)	LINE 11A, I	INDIANA HEALTHCARE CORPORATION	0

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Code VCodeVAmount
INDIANA REHABILITATION SERVICES LLC
855 SPRINGDALE DR STE 200	EXTON	PA	19341	202214391	REHABILITATION SERVICES	PA	N/A	UNRELATED	54630	385462	0	1	0.51000
INDIANA AMBULATORY SURGICAL ASSOCIATES LLC
841 HOSPITAL ROAD	INDIANA	PA	15701	232923182	AMBULATORY SURGERY	PA		UNRELATED	143169	4368498	0	0	0.70000	INDIANA REGIONAL MEDICAL CENTER
COSM REALTY GROUP LTD
1265 WAYNE AVENUE STE 307	INDIANA	PA	15701	030439684	REAL ESTATE	PA		UNRELATED	-502411	4615104	0	0	0.40000	INDIANA REGIONAL MEDICAL CENTER	-$381,982

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
INDIANA JEFFERSON RADIATION ONCOLOGY INC
J	182088	COST
INDIANA JEFFERSON RADIATION ONCOLOGY INC
P	1958697	COST
INDIANA JEFFERSON RADIATION ONCOLOGY INC
Q	960714	COST