2012-05-15T07:19:05-05:00 2011-06-30 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2010-07-01 250965404 INDIANA REGIONAL MEDICAL CENTER INDI 7243577008 835 HOSPITAL ROAD INDIANA PA 15701 ROBERT GONGAWARE 7243577008 2012-05-14 1 JULIUS GREEN CPA 2159720701 2010 2016-02-24 21:20:13Z STEPHEN WOLFE 835 HOSPITAL ROAD INDIANA PA 15701 158462347 0 X WWW.INDIANARMC.ORG X 1944 PA TO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT, AND DIGNITY. 12 11 1469 150 1943347 791829 1660228 871225 126023102 129136107 5576442 5077771 3084921 4947068 136344693 140032171 0 0 0 0 75923738 76965871 0 0 0 55139782 58719631 131063520 135685502 5281173 4346669 175520117 189712799 72970602 70005602 102549515 119707197 X THE MISSION OF INDIANA REGIONAL MEDICAL CENTER IS TO SERVE THE HEALTHCARE NEEDS OF EVERY LIFE WE TOUCH WITH COMPASSION, RESPECT, AND DIGNITY. 0 0 110075798 129136107 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. 110075798 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 207 0 1 1469 1 1 1 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 PA X ROBERT GONGAWARE 7243577008 835 HOSPITAL ROAD INDIANA PA 15701 X JOHN DOLAN 1.00 X X 0 0 0 TODD BRICE 1.00 X X 0 0 0 BEVERLY GAZZA 1.00 X X 0 0 0 JOSEPH GEARY 1.00 X X 0 0 0 MARK BOYKIW 1.00 X 0 0 0 NATHAN KOVALCHICK 1.00 X 0 0 0 THOMAS MCCOY 1.00 X 0 0 0 ROBERT ROUT 1.00 X 0 0 0 EDWARD MCDOWELL 1.00 X 0 0 0 MARK MCGOWAN 1.00 X 0 0 0 ANN WHITE 1.00 X 0 0 0 STEPHEN A WOLFE 36.00 X X 373839 0 59857 ROBERT GONGAWARE 38.00 X 207824 0 12097 BRUCE A BUSH MD 37.00 X 300838 0 10037 DOMINIC PACCAPANICCIA 39.00 X 220023 0 30471 CINDY VIRGIL 39.00 X 190339 0 18954 WADE PATRICK 40.00 X 188072 0 18654 LARRY SEDLEMEYER 40.00 X 156437 0 10679 LUIS P TOMACRUZ 40.00 X 450820 0 19986 DONNA BALEWICK 40.00 X 398302 0 7042 VINEET GOEL 40.00 X 390754 0 20247 ANTHONY SICO 40.00 X 385740 0 20477 JOHN PATRICK CAWLEY 40.00 X 322619 0 7116 3585607 0 235617 57 0 1 0 LIGHTHOUSE ELECTRIC 1957 RT 519 SOUTH CANNONSBURG PA 15317 CONSTRUCTION CONTRACTOR 1388074 MAYO COLLABORATIVE SERVICES INC PO BOX 1450 MINNEAPOLIS MN 55485 OUTSIDE LAB SERVICE 936027 STRAW CONSTRUCTION PO BOX 9429 FETTEROLF ROAD BOSWELL PA 15531 CONSTRUCTION CONTRACTOR 745895 DERRY CONSTRUCTION 527 RT 217 LATROBE PA 15650 CONSTRUCTION CONTRACTOR 734586 INDIANA OPEN MRI LLC PO BOX 450 NEW STANTON PA 15672 WOUND CARE SERVICES 525084 101 484759 386466 871225 NET PATIENT SCV REV 621990 128442829 128442829 RENTAL REVENUE-AFFILIA 531120 325494 325494 LIFELINE REVENUE 900099 189945 189945 HEALTH CLASSES/COUNSEL 624100 128650 128650 HOSPICE PRESCRIPTIONS 621990 49189 49189 129136107 3381652 38827 3342825 1186892 890929 295963 295963 295963 19059176 176190 17445431 93816 1613745 82374 1696119 1696119 LABORATORY REVENUE 621500 1875445 1875445 LEASED EMPLOYEES 900099 1743302 1743302 CAFETERIA REV 722210 585390 585390 446968 29075 417893 4651105 140032171 129136107 1943347 8081492 1798121 770662 1027459 53980529 42898102 11082427 5096302 4074182 1022120 12229603 9776822 2452781 3861316 3086887 774429 339162 339162 113320 113320 71979 71979 150000 150000 10333907 8315736 2018171 823690 32027 791663 20380804 19985585 395219 1783296 642613 1140683 1843458 1354249 489209 251661 139408 112253 1408342 1408342 8487284 7377067 1110217 1225248 979511 245737 UBI TAXES 111228 111228 BAD DEBT EXPENSE 5967204 5967204 MAINTENANCE & REPAIRS 2704854 2162366 542488 MA ASSESSMENT 1203415 1203415 FOOD 735701 588148 147553 785078 649835 135243 135685502 110075798 25609704 0 6191 6380 877376 5192292 11147274 11333418 1263535 1444833 3938710 3431021 147875461 89918406 56399040 57957055 95973044 97109706 5185940 5403288 541213 7656912 187794 177894 175520117 189712799 13207854 13698550 29521511 26163770 173321 2449826 2000000 28067916 27693456 72970602 70005602 X 99296133 116637715 3253382 3069482 102549515 119707197 175520117 189712799 X 4346669 12811013 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 71979 71979 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: PAID PART-TIME STAFF MEMBER 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. 3253000 872000 1055000 3070000 2376000 1812000 935000 3253000 3262000 680036 1566036 2376000 1.00000 0.00000 0.00000 0 0 227375 2997091 3224466 44038455 24700264 19338191 96346949 63863231 32483718 4265591 1354911 2910680 57957055 POST-RETIREMENT LIABILITY 1746309 PENSION LIABILITY 23513439 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 1002034 DUE TO AFFILIATES 1431674 27693456 140032171 135685502 4346669 11316280 1494733 12811013 17157682 153584113 11316280 1344733 12661013 140923100 -890929 -890929 140032171 136426431 890929 890929 135535502 150000 150000 135685502 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: 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 2011 AND 2010. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. PART XI, LINE 8 - OTHER ADJUSTMENTS: PENSION AND POST-RETIREMENT LIABILITIES ADJUSTMENT 5,146,008. IMPAIRMENT LOSS ON GOODWILL -3,443,000. GAIN ATTRIBUTABLE TO ACQUISITION OF INDIANA AMBULATORY SURGICAL ASSOC. 3,791,728. TRANSFER TO AFFILIATE -1,794,003. RESTRUCTURING COSTS RELATED TO EARLY RETIREMENT PROGRAM -2,206,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: PENSION AND POST-RETIREMENT LIABILITIES ADJUSTMENT 5,146,008. INVESTMENT FEES -150,000. RESTRUCTURING COSTS RELATED TO EARLY RETIREMENT PROGRAM -2,206,000. IMPAIRMENT LOSS ON GOODWILL -3,443,000. GAIN ATTRIBUTABLE TO ACQUISITION OF INDIANA AMBULATORY SURGICAL ASSOC. 3,791,728. TRANSFER TO AFFILIATE -1,794,003. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -890,929. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 890,929. 1 1 X 1 X 1 X 1 1 1 0 1 1 1675520 0 1675520 0.01290 15379746 9646568 5733178 0.04420 17055266 9646568 7408698 0.05710 386966 51551 335415 0.00260 2590529 0 2590529 0.02000 2977495 51551 2925944 0.02260 20032761 9698119 10334642 0.07970 447800 69800 378000 0.00290 447800 69800 378000 0.00290 0 2100000 525000 29173846 28393795 780051 X 1 1 1 1 INDIANA REGIONAL MEDICAL CENTER

835 HOSPITAL ROAD INDIANA PA 15701

X X X URGENT CARE FACILITY NA 1 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, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $5,967,204. 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 3,300 PARTICIPANTS. WE ALSO PROVIDE NUMEROUS HEALTH FAIRS REACHING ALMOST 400 PARTICIPANTS, AND CLASSES AND EDUCATION PROGRAMS WITH OVER 5,000 PARTICIPANTS. 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. 432 CONTACTS FOR THE YEAR.COMMUNITY CLASSES - PACE, TAI CHI, YOGA, CANCER, STRONG WOMEN, DROP WEIGHT, ORNISH, DIABETES, DROP 10. 5,030 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. 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 BAD DEBT EXPENSE IS RECORDED AT 75% OF GROSS CHARGES FOR THOSE ACCOUNTS THAT ARE NOT PARTICIPATING IN ANY INSURANCE COVERAGE. THESE PATIENT INVOICED AMOUNTS ARE REDUCED BY 25%. FOR THOSE BALANCES THAT ARE THE DEDUCTIBLES OR CO-PAYMENTS, AFTER THE INSURANCE PAYS, THOSE ARE RECORDED AT THAT AMOUNT. 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 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 6: 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 7: 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. PART VI, LINE 7 N/A X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 STEPHEN A WOLFE 365323 0 0 0 8516 0 44490 0 15367 0 433696 0 0 0 ROBERT GONGAWARE 196145 0 11679 0 0 0 10903 0 1194 0 219921 0 0 0 BRUCE A BUSH MD 283868 0 16970 0 0 0 2907 0 7130 0 310875 0 0 0 DOMINIC PACCAPANICCIA 215032 0 4991 0 0 0 11929 0 18542 0 250494 0 0 0 CINDY VIRGIL 177519 0 12820 0 0 0 5933 0 13021 0 209293 0 0 0 WADE PATRICK 176819 0 11253 0 0 0 1813 0 16841 0 206726 0 0 0 LARRY SEDLEMEYER 153521 0 2916 0 0 0 3178 0 7501 0 167116 0 0 0 LUIS P TOMACRUZ 416085 0 34735 0 0 0 0 0 19986 0 470806 0 0 0 DONNA BALEWICK 383157 0 15145 0 0 0 0 0 7042 0 405344 0 0 0 VINEET GOEL 377067 0 13687 0 0 0 0 0 20247 0 411001 0 0 0 ANTHONY SICO 342870 0 42870 0 0 0 0 0 20477 0 406217 0 0 0 JOHN PATRICK CAWLEY 322362 0 257 0 0 0 0 0 7116 0 329735 0 0 0 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 2010. 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. INDIANA COUNTY HOSPITAL AUTHORITY 251697319 2003-01-15 10000000 ADVANCE REFUND 1992 BONDS AND FINANCE CAPITAL IMPROVEMENTS 0 0 0 INDIANA COUNTY HOSPITAL AUTHORITY 251697319 2004-12-08 10000000 FINANCE CAPITAL IMPROVEMENTS 0 0 0 INDIANA COUNTY HOSPITAL AUTHORITY 251697319 2009-02-12 10000000 FINANCE CAPITAL PROJECTS 0 0 0 10000000 50000 9950000 2003 0 0 1 1 10000000 91500 9908500 2006 0 0 1 1 10000000 61000 9939000 2010 0 0 1 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 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 ON A REQUEST BASIS. AVERAGE HOURS WORKED FORM 990, PART VII, SECTION A THE FOLLOWING OFFICERS AND DIRECTORS WORK AN AVERAGE OF 40 HOURS PER WEEK BETWEEN INDIANA REGIONAL MEDICAL CENTER AND ALL RELATED TAX-EXEMPT ORGANIZATIONS: STEPHEN A. WOLFE DOMINIC PACCAPANICCIA CINDY VIRGIL BRUCE A. BUSH, MD ROBERT GONGAWARE THE FOLLOWING BOARD MEMBERS ARE ALSO BOARD MEMBERS OF INDIANA HEALTHCARE PHYSICIAN SERVICES, INC.: JOHN DOLAN TODD BRICE BEVERLY GAZZA JOSEPH GEARY THOMAS MCCOY ROBERT ROUT CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 11,316,280. PENSION AND POST-RETIREMENT LIABILITIES ADJUSTMENT 5,146,008. IMPAIRMENT LOSS ON GOODWILL -3,443,000. GAIN ATTRIBUTABLE TO ACQUISITION OF INDIANA AMBULATORY SURGICAL ASSOC. 3,791,728. TRANSFER TO AFFILIATE -1,794,003. RESTRUCTURING COSTS RELATED TO EARLY RETIREMENT PROGRAM -2,206,000. TOTAL TO FORM 990, PART XI, LINE 5: 12,811,013. INDIANA AMBULATORY SURGICAL ASSOCIATES LLC 835 HOSPITAL ROAD INDIANA PA 15701 232923182 AMBULATORY SURGERY PA 2522674 13085383 N/A 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 N/A 0 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 INDIANA REHABILITATION SERVICES LLC 855 SPRINGDALE DR STE 200 EXTON PA 19341 202214391 REHABILITATION SERVICES PA N/A UNRELATED 86376 246322 0 1 0.51000 0 1 0 0 0 0 0 0 1 1 0 1 0 0 1 1 0 0 INDIANA JEFFERSON RADIATION ONCOLOGY INC I 208595 COST INDIANA JEFFERSON RADIATION ONCOLOGY INC O 2033108 COST INDIANA JEFFERSON RADIATION ONCOLOGY INC P 960035 COST