INDIAN RIVER MEMORIAL HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- INDIAN RIVER MEMORIAL HOSPITAL INC (EIN 59-2496294)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-14
- IRS object ID
- 201242279349300919
- Schema version
- 2010v3.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-14T08:49:03-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRICEWATERHOUSECOOPERS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4221 W Boy Scout Blvd Suite 200 | AddressLine1 |
| City | TAMPA | City |
| State | FL | State |
| ZIP Code | 33607 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592496294 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIAN RIVER MEMORIAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | INDI | NameControl |
| Phone | 7725674311 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 36TH STREET | AddressLine1 |
| City | VERO BEACH | City |
| State | FL | State |
| ZIP Code | 32960 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Dan Janicak | Name |
| Title | Senior VP & CFO | Title |
| Date Signed | 2012-08-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS LEE | Name |
| Phone | 8132290221 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 201993773 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.IRMH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Activity Or Mission Description | IRMC will serve as the area's leading provider of comprehensive high quality health and medical services, and will meet the healthcare needs of individuals and the overall community. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1929 | TotalNbrEmployees |
| Total Nbr Volunteers | 588 | TotalNbrVolunteers |
| Total Gross UBI | 598666 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 581826 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3736842 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1468020 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 188184775 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 198528854 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 826699 | InvestmentIncomePriorYear |
| Investment Income Current Year | 648354 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 645678 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1169609 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 193393994 | TotalRevenuePriorYear |
| Total Revenue Current Year | 201814837 | 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 | 92982784 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 96485503 | 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 | 99228512 | OtherExpensePriorYear |
| Other Expenses Current Year | 101567425 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 192211296 | TotalExpensesPriorYear |
| Total Expenses Current Year | 198052928 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1182698 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3761909 | RevenuesLessExpensesCY |
| Total Assets BOY | 142858943 | TotalAssetsBOY |
| Total Assets EOY | 148448306 | TotalAssetsEOY |
| Total Liabilities BOY | 47576674 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 52716525 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 95282269 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 95731781 | NetAssetsOrFundBalancesEOY |
| Mission Description | IRMC WILL SERVE AS THE AREA'S LEADING PROVIDER OF COMPREHENSIVE HIGH QUALITY HEALTH AND MEDICAL SERVICES, AND WILL DISTINGUISH ITSELF AS THE COUNTY'S COMMUNITY HOSPITAL WITH COMMITMENT TO ASSESS AND MEET THE HEALTHCARE NEEDS OF INDIVIDUALS AND THE OVERALL COMMUNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 119525963 | Expense |
| Grants | 1468020 | Grants |
| Revenue | 198528854 | Revenue |
| Description | HEALTHCARE SERVICES (14,522 ADMISSIONS AND 61,988 PATIENT DAYS) AND 588 VOLUNTEERS, WHO WORKED APPROXIMATELY 100,742 HOURS DURING THE YEAR. | Description |
| Total Program Service Expense | 119525963 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 267 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1929 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | FL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARCY ISOLA | NamePerson |
| Telephone Number | 7725674311 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 36TH STREET | AddressLine1 |
| City | Vero Beach | City |
| State | FL | State |
| ZIP Code | 32960 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JEFFREY L SUSI | |||||||
| PRESIDENT/CEO | 40.0 | X | X | 420337 | 0 | 455590 | |
| John Lindenthal MD | |||||||
| CHIEF OF STAFF | 5.0 | X | |||||
| W CLARK BECKETT MD | |||||||
| CHIEF OF STAFF | 5.0 | X | |||||
| RICHARD WEIL MD | |||||||
| CHAIRMAN | 5.0 | X | |||||
| DEBORAH BROWER | |||||||
| VICE CHAIRMAN | 5.0 | X | |||||
| ANTHONY DONADIO | |||||||
| DIRECTOR | 5.0 | X | |||||
| Keith Morgan | |||||||
| DIRECTOR | 5.0 | X | |||||
| ROBERT HARRIS | |||||||
| TREASURER | 5.0 | X | |||||
| ALAN S POLACKWICH | |||||||
| SECRETARY | 5.0 | X | |||||
| MARION KENNEDY RN | |||||||
| DIRECTOR | 5.0 | X | |||||
| Paul Nezi | |||||||
| DIRECTOR | 5.0 | X | |||||
| WILLIAM N KELLEY MD | |||||||
| DIRECTOR | 5.0 | X | |||||
| Jack Rogers | |||||||
| DIRECTOR | 5.0 | X | |||||
| John Jack Pastor | |||||||
| DIRECTOR | 5.0 | X | |||||
| THOMAS SEGURA | |||||||
| VICE CHAIRMAN | 5.0 | X | |||||
| HAL BROWN MD | |||||||
| MEDICAL STAFF REPRESENTATIVE | 5.0 | X | |||||
| WAYNE HOCKMEYER PHD | |||||||
| DIRECTOR | 5.0 | X | |||||
| VALERIE LARCOMBE ESQ | |||||||
| SR VP CHIEF LEGAL COUNSEL | 40.0 | X | 257786 | 0 | 15015 | ||
| LYNN HUBBARD RN | |||||||
| VP CHIEF NURSING OFFICER | 40.0 | X | 174817 | 0 | 10041 | ||
| CYNTHIA VANEK | |||||||
| SR VP & COO | 40.0 | X | 252284 | 0 | 13180 | ||
| Charles Mackett | |||||||
| VP Chief Medical Officer | 40.0 | X | 288483 | 0 | 10289 | ||
| Janice Donlan | |||||||
| VP FOUNDATION & Comm. Rel. | 10.0 | X | 36715 | 157102 | 8130 | ||
| Warren Fuller | |||||||
| VP Finance | 40.0 | X | 162640 | 0 | 12134 | ||
| JOHN F PEEPLES | |||||||
| VP HUMAN RESOURCES | 40.0 | X | 50038 | 0 | 0 | ||
| DAN C JANICAK | |||||||
| SR VP CFO | 40.0 | X | 0 | 0 | 0 | ||
| MARK A MALIAS MD | |||||||
| CARDIOVASC THORACIC SURGEON | 40.0 | 596571 | 13856 | X | |||
| CARY L STOWE MD | |||||||
| MED DIR CARDIOVASCULAR SURGERY | 40.0 | 995142 | 0 | 16466 | X | ||
| CRISTIANA SCRIDON MD | |||||||
| PHYSICIAN | 40.0 | 424930 | 0 | 10736 | X | ||
| RICHARD A FRANCO MD | |||||||
| MEDICAL DIRECTOR,INTERNAL MED | 40.0 | 410241 | 0 | 13466 | X | ||
| CHRISTOPHER TARDIFF MD | |||||||
| PHYSICIAN | 40.0 | 219839 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4289823 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 157102 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 578903 | TotalOtherCompensation |
| Number Individuals GT100 K | 85 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BloodNetUSA Inc | |||||
| PO BOX 863646 | ORLANDO | FL | 32886 | BLOOD BANK | 1252955 |
| EMERGENCY PHYSICIANS OF CENTRAL FL | |||||
| 1720 S COOK AVENUE | ORLANDO | FL | 32806 | EMERGENCY PHY SVCS | 855986 |
| VERO BEACH CARDIOVASCULAR ASSOC | |||||
| 5503 S CONGRESS AVENUE SUITE 206 | ATLANTIS | FL | 33462 | INTERVENTIONAL CARDI | 1156500 |
| DUKE UNIVERSITY HEALTH SYSTEM | |||||
| 3100 TOWER BLVD SUITE 600 | DURHAM | NC | 27707 | OPEN HEART CONSULT | 724348 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 31506 | ATLANTA | GA | 33631 | LABORATORY SERVICES | 692126 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
| Related Organizations | 1468020 | RelatedOrganizations |
| Total Contributions | 1468020 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| PATIENT SVC (NET) | 186323067 | 186323067 |
| INDIGENT CARE | 10295813 | 10295813 |
| A-RADIOLOGY | 3585 | 3585 |
| A-MEDICAL RECORDS | 2052 | 2052 |
| B-LIFELINE | 262927 | 262927 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1641410 | TotalRevenueColumn |
| Related Or Exempt Function Income | 760719 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 658 | UnrelatedBusinessRevenue |
| Exclusion | $880,033 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 198528854 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 727985 | TotalRevenueColumn |
| Exclusion | $727,985 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 654384 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 99305 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 555079 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 555079 | TotalRevenueColumn |
| Unrelated Business Revenue | 555079 | UnrelatedBusinessRevenue |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2922 | Securities |
| Other | 76709 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -2922 | Securities |
| Other | -76709 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -79631 | TotalRevenueColumn |
| Exclusion | -$79,631 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| J-SCRAP & WASTE | 3859 | 3859 |
| K-PURCHASE DISC. | 23749 | 23749 |
| L-MISCELLANEOUS | 543847 | 543847 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 43075 | TotalRevenueColumn |
| Related Or Exempt Function Income | 146 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 42929 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 614530 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 201814837 | TotalRevenueColumn |
| Related Or Exempt Function Income | 198219764 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 598666 | UnrelatedBusinessRevenue |
| Exclusion | $1,528,387 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4533978 | Total |
| Program Services | 2388181 | ProgramServices |
| Management And General | 2145797 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74008469 | Total |
| Program Services | 58525897 | ProgramServices |
| Management And General | 15482572 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17943056 | Total |
| Program Services | 4178938 | ProgramServices |
| Management And General | 13764118 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19110042 | Total |
| Program Services | 10950823 | ProgramServices |
| Management And General | 8159219 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1872602 | Total |
| Program Services | 1831030 | ProgramServices |
| Management And General | 41572 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2886239 | Total |
| Program Services | 277079 | ProgramServices |
| Management And General | 2609160 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9926727 | Total |
| Program Services | 5603637 | ProgramServices |
| Management And General | 4323090 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9609328 | Total |
| Program Services | 467974 | ProgramServices |
| Management And General | 9141354 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| BAD DEBT/CONTRACTUAL ALLOWANCE | 14902684 | 14902684 | |
| MEDICAL SUPPLIES | 35361401 | 785023 | 34576378 |
| OTHER EXPENSES | 7898223 | 7172376 | 725847 |
| CHARITABLE CONTRIBUTIONS | 179 | 179 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198052928 | Total |
| Program Services | 119525963 | ProgramServices |
| Management And General | 78526965 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21452924 | BOY |
| EOY | 26463921 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18253710 | BOY |
| EOY | 19718163 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1131817 | BOY |
| EOY | 1884894 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4135545 | BOY |
| EOY | 4100041 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1903305 | BOY |
| EOY | 1443752 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 235724197 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 172090607 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64201704 | BOY |
| EOY | 63633590 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30988456 | BOY |
| EOY | 30752239 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 791482 | BOY |
| EOY | 451706 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142858943 | BOY |
| EOY | 148448306 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10194489 | BOY |
| EOY | 11185131 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37382185 | BOY |
| EOY | 41531394 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47576674 | BOY |
| EOY | 52716525 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94984436 | BOY |
| EOY | 92388531 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87336 | BOY |
| EOY | 3132753 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 210497 | BOY |
| EOY | 210497 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95282269 | BOY |
| EOY | 95731781 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142858943 | BOY |
| EOY | 148448306 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3761909 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -3312397 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | false | 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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 47475034 | BeginningOfYearBalance |
| Contributions | 13464484 | Contributions |
| Investment Earnings Or Losses | 171632 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 6855417 | OtherExpenditures |
| End Of Year Balance | 54255733 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 74339437 | BeginningOfYearBalance |
| Contributions | 5137378 | Contributions |
| Investment Earnings Or Losses | 1107033 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 33108814 | OtherExpenditures |
| End Of Year Balance | 47475034 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 77829876 | BeginningOfYearBalance |
| Contributions | 4235746 | Contributions |
| Investment Earnings Or Losses | 141740 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 7867925 | OtherExpenditures |
| End Of Year Balance | 74339437 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.39840 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00929 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.59220 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1631582 | OtherCostOrOtherBasis |
| Book Value | 1631582 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 81940861 | OtherCostOrOtherBasis |
| Depreciation | 43741972 | Depreciation |
| Book Value | 38198889 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 148730699 | OtherCostOrOtherBasis |
| Depreciation | 125084496 | Depreciation |
| Book Value | 23646203 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3421055 | OtherCostOrOtherBasis |
| Depreciation | 3264139 | Depreciation |
| Book Value | 156916 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 63633590 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (4 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CASH & CASH EQUIVALENTS | 17242483 | F |
| COMMON STOCKS | 4481742 | F |
| ENDOWMENT FUND | 362743 | F |
| INVESTMENT IN SUBSIDIARIES | 8665271 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 30752239 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| EST.3RD PARTY PAYOR SETTLEMENT | $4,430,492 |
| SELF INSURANCE LIABILITY | $9,496,459 |
| INDIGENCY FUND PAYABLE | $549,009 |
| PENSION LIABILITY | $22,644,614 |
| OTHER ACCRUED LIABILITIES | $4,410,820 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 41531394 | TotalOfAmounts |
| Total Revenue | 201814837 | TotalRevenue |
| Total Expenses | 198052928 | TotalExpenses |
| Excess Or Deficit For Year | 3761909 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -48937 | NetUnrealizedGLOnInvestments |
| Other | -$6,308,876 | OtherAmount |
| Total Adjustments | -6357813 | TotalAdjustments |
| Excess Or Deficit Per FS | -2595904 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 195456845 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -48937 | NetUnrealizedGainsInvestments |
| Other Revenues | -5489750 | OtherRevenues |
| Revenue Not Rptd F990 | -5538687 | RevenueNotRptdF990 |
| Revenue Subtotal | 200995532 | RevenueSubtotal |
| Other Revenues Not Included | 819305 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 819305 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 201814837 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 198052749 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | -179 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | -179 | ExpensesNotRptdF990 |
| Expenses Subtotal | 198052928 | ExpensesSubtotal |
| Total Expenses Per Form990 | 198052928 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER REVENUE ON BOOKS BUT NOT ON RETURN | SCHEDULE D, PART XII, LINE 2D | ADDITIONAL MINIMUM PENSION LIABILITY (5,689,497) OTHER 199,747 -------------- TOTAL ($5,489,750) |
| OTHER REVENUE ON RETURN BUT NOT ON BOOKS | SCHEDULE D, PART XII, LINE 4B | BOOK TO TAX DIFFERENCE IN INVESTMENTS IN OCEAN HEALTH ASSOCIATES, LTD 555,661 BOOK TO TAX DIFFERENCE IN INVESTMENTS IN PREMIER PURCHASING PARTNERS, LP 62,823 BOOK TO TAX DIFFERENCE IN INVESTMENTS IN VERO RADIOLOGY ASSOCIATES, INC 200,821 -------------- TOTAL 819,305 |
| OTHER EXPENSES ON RETURN BUT NOT ON BOOKS | SCHEDULE D, PART XIII, LINE 4B | EXPENSES FROM K-1: INVESTMENT/PORTFOLIO EXPENSE 179 |
| OTHER DECREASES IN FUND BALANCES | SCHEDULE D, PART XI, LINE 8 | ADDITIONAL MINIMUM PENSION LIABILITY (5,689,497) OTHER 199,747 BOOK TO TAX DIFFERENCE IN INVESTMENTS IN OCEAN HEALTH ASSOCIATES, LTD (555,661) BOOK TO TAX DIFFERENCE IN INVESTMENTS IN PREMIER PURCHASING PARTNERS, LP (62,823) BOOK TO TAX DIFFERENCE IN INVESTMENTS IN VERO RADIOLOGY ASSOCIATES, INC (200,821) EXPENSES FROM K-1: INVESTMENT/PORTFOLIO EXPENSE 179 -------------- TOTAL ($6,308,876) |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8715613 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7471472 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1244141 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8715613 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7471472 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1244141 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01000 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 457463 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 260039 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 197424 | NetCommunityBenefitExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 457463 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 260039 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 197424 | NetCommunityBenefitExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9173076 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7731511 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1441565 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $4,894,638 | BadDebtExpenseAmount |
| Amount Attributable To | 1223659 | AmountAttributableTo |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| 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 | INDIAN RIVER MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 36TH STREET | AddressLine1 |
| City | VERO BEACH | City |
| State | FL | State |
| ZIP Code | 32960 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIAN RIVER MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | COLLECTION POLICY | Identifier |
| Return Reference | Part III, Line 9B | ReturnReference |
| Explanation | Under current hospital policy, once a patient qualifies for charitable services, no collection is attempted on the balance related to the services provided to the patient. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | 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 Related OrgsCompReportPrior990RelatedOrgs | Bonus Filing OrgBonusFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY L SUSI | ||||||||||||
| 381853 | 0 | 0 | 38484 | 0 | 448320 | 0 | 7270 | 0 | 875927 | 0 | 0 | |
| MARK A MALIAS MD | ||||||||||||
| 563587 | 32984 | 9800 | 4056 | 610427 | ||||||||
| VALERIE LARCOMBE ESQ | ||||||||||||
| 195290 | 0 | 0 | 37496 | 0 | 9800 | 0 | 5215 | 0 | 272801 | 0 | 0 | 25000 |
| LYNN HUBBARD RN | ||||||||||||
| 156188 | 0 | 0 | 18629 | 0 | 7033 | 0 | 3008 | 0 | 184858 | 0 | 0 | |
| CYNTHIA VANEK | ||||||||||||
| 213800 | 0 | 0 | 38484 | 0 | 9800 | 0 | 3380 | 0 | 265464 | 0 | 0 | |
| Charles Mackett | ||||||||||||
| 236262 | 0 | 0 | 37000 | 0 | 9800 | 0 | 489 | 0 | 298772 | 0 | 0 | 15221 |
| Janice Donlan | ||||||||||||
| 36715 | 110145 | 16032 | 30925 | 0 | 0 | 36715 | 157102 | 0 | ||||
| Warren Fuller | ||||||||||||
| 125319 | 0 | 0 | 21078 | 0 | 6078 | 0 | 6056 | 0 | 174774 | 0 | 0 | 16243 |
| CARY L STOWE MD | ||||||||||||
| 956658 | 0 | 0 | 38484 | 0 | 9800 | 0 | 6666 | 0 | 1011608 | 0 | 0 | |
| CRISTIANA SCRIDON MD | ||||||||||||
| 391504 | 0 | 0 | 32986 | 0 | 9800 | 0 | 936 | 0 | 435666 | 0 | 0 | 440 |
| RICHARD A FRANCO MD | ||||||||||||
| 388241 | 0 | 0 | 22000 | 0 | 9800 | 0 | 3666 | 0 | 423707 | 0 | 0 | |
| CHRISTOPHER TARDIFF MD | ||||||||||||
| 219839 | 0 | 0 | 0 | 0 | 1506 | 0 | 221345 | 0 | 0 | |||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL RETIREMENT PLAN | Identifier |
| Return Reference | Schedule J, Part I, Line 4(b): | ReturnReference |
| Explanation | In 1999, the Hospital adopted The Supplemental Executive Retirement Program (the "SERP") for a select group of full-time management. The SERP provides for a target level of annual retirement income including a 3% cost-of-living increase after retirement. The benefit was payable as a lump sum at retirement with distributions during employment for the purpose of paying income taxes upon reaching the vesting date. Effective March 22, 2006, the plan was amended and restated to comply with Internal Revenue Code Section 409A. Under the current plan, annuities will be purchased annually based on the accrued benefit or the increase in accrued benefit, as applicable. An annuity is purchased equal to 60% of the accrued benefit (or the increase in accrued benefit, as applicable) with the remaining value set aside for income tax withholding. During the years ended September 30, 2011 and 2010, the SERP's increase in accrued benefit of $567,000 and $584,000 was paid through annuity purchases and income tax withholdings. At September 30, 2011, the SERP has no accumulated benefit obligation. Although the annuity purchase does not reflect anticipated future compensation levels, the resulting projected benefit obligation is not significant. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Conflict of Interest Policy | Form 990, Part VI, Section B, Line 12(c): | The Hospital has a Compliance Officer who annually collects a signed acknowledgement from each person at the level of Manager and above, stating that the individual has an understanding of, and is fully in compliance with, the Hospital's conflict of interest policy. |
| Compensation Determination | Form 990, Part VI, Section B, Line 15(b): | The Organization's executive compensation program is administered by the Compensation Committee of the Board of Directors. The Compensation Committee meets as needed to review the executive compensation program and make recommendations for any changes to the Board of Directors, as appropriate. The Compensation Committee directly, and independent of executive management, commissions an annual review by its independent consulting firm, Sullivan Cotter, to evaluate the Organization's executive compensation program against the competitive market utilizing data from comparable local organizations including, but not limited to, Form 990 data as well as regional data from like organizations. The compensation review is conducted not less than annually and is intended to ensure that the compensation program falls within a reasonable range of competitive practices for comparable positions among similarly situated organizations. Following this review, the Compensation Committee reviews and recommends for approval to the Board of Directors the goals, objectives and salary of the Chief Executive. The Compensation Committee also approves the salaries and benefits for Vice Presidents and key employees. Note, compensation for all other employees, including Directors and Managers, is reviewed and approved by the Executive Management Committee by utilizing comparable market compensation data provided by Sullivan Cotter or other independent compensation and benefits firm. |
| Document Availability | Form 990, Part VI, Section C, Line 19: | The Hospital makes its governing documents, conflicts of interest policy and financial statements available to the public by request. |
| Electing Members | Form 990, Part VI, Section A, Question 7(a): | The Indian River County Hospital District is entitled to designate one (1) voting member of the Organization's Board of Directors. |
| Decisions of the Governing Body | Form 990, Part VI, Section A, Question 7(b): | The Organization leases its bricks and mortar from the Indian River County Hospital District. Pursuant to the Organizations Bylaws and its Lease with the Indian River County Hospital District, certain Bylaw provisions as well as the elimination of certain services and programs require approval by the District. |
| Process of Form 990 Review | Form 990, Part VI, Section A, Question 10: | A final copy of the Form 990 is provided to all governing body members utilizing a link to a password-protected website on which the entire Form 990 can be viewed. Questions regarding the Form 990 are directed to the Chief Executive Officer, Chief Financial Officer, Chief Legal Officer or other leadership member as appropriate. Executive leadership provides members of the Board of Directors (or of a specified committee with Board-delegated powers) with an overview of the highlights of the Form 990 filed on behalf of IRMC at a regularly scheduled Board meeting following the filing of the Form 990. |
| OTHER CHANGES IN NET ASSETS OR FUND BALANCES | Form 990, Part XI, LINE 5: | Unrealized (Losses) Gains (48,937) Additional Min Pension Liability (5,689,497) Other 199,746 Premier Purchasing K-1 Income (62,823) Ocean Health K-1 Income (555,661) Vero Radiology K-1 Income (200,821) Premier Purchasing K-1 Expenses 179 Change in Temporarily Restricted Net Assets 3,045,417 --------------- (3,312,397) |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Janice Donlan TITLE:VP FOUNDATION & Comm. Rel. HOURS:30 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus |
|---|---|---|---|---|---|---|---|---|
| INDIAN RIVER MEM HOSPITAL FOUND INC | ||||||||
| 1000 36TH STREET | VERO BEACH | FL | 32960 | 590760215 | FUNDRAISING | FL | 501(c)(3) | 509(A)(3)-1 |
| INDIAN RIVER HEALTH SERVICES INC | ||||||||
| 1000 36TH STREET | VERO BEACH | FL | 32960 | 650029298 | HEALTHCARE | FL | 501(c)(3) | 509(A)(3)-1 |
| HEALTH SYSTEMS OF INDIAN RIVER INC | ||||||||
| 1000 36TH STREET | VERO BEACH | FL | 32960 | 650705680 | HEALTHCARE | FL | 501(c)(3) | 509(A)(3)-2 |
| HOSPITAL AUXILIARY OF THE IRMH INC | ||||||||
| 1000 36TH STREET | VERO BEACH | FL | 32960 | 591003707 | SUPPORTING | FL | 501(c)(3) | 509(A)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| INDIAN RIVER MEM HOSPITAL FOUND INC | |
| C | 1436878 |
| HOSPITAL AUXILIARY OF THE IRMH INC | |
| C | 31142 |