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INDIAN RIVER MEMORIAL HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
INDIAN RIVER MEMORIAL HOSPITAL INC (EIN 59-2496294)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-12
IRS object ID
201112289349300036
Schema version
2009v1.7
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

FieldValueIRS element (for citing)
Timestamp2011-08-12T15:35:57-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14221 W Boy Scout Blvd Suite 200AddressLine1
CityTAMPACity
StateFLState
ZIP Code33607ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592496294EIN

Name Name

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 36TH STREETAddressLine1
CityVERO BEACHCity
StateFLState
ZIP Code32960ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDan JanicakName
TitleSenior VP & CFOTitle
Date Signed2011-08-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8132290221Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts193495055GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.IRMH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission DescriptionIRMC 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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1809TotalNbrEmployees
Total Nbr Volunteers681TotalNbrVolunteers
Total Gross UBI617656TotalGrossUBI
Net Unrelated Business Txbl Income600816NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3173296ContributionsGrantsPriorYear
Contributions Grants Current Year3736842ContributionsGrantsCurrentYear
Program Service Revenue Prior Year181457982ProgramServiceRevenuePriorYear
Program Service Revenue CY188184775ProgramServiceRevenueCY
Investment Income Prior Year3073639InvestmentIncomePriorYear
Investment Income Current Year826699InvestmentIncomeCurrentYear
Other Revenue Prior Year2950015OtherRevenuePriorYear
Other Revenue Current Year645678OtherRevenueCurrentYear
Total Revenue Prior Year190654932TotalRevenuePriorYear
Total Revenue Current Year193393994TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year92955706SalariesEtcPriorYear
Salaries Etc Current Year92982784SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year96777968OtherExpensePriorYear
Other Expenses Current Year99228512OtherExpensesCurrentYear
Total Expenses Prior Year189733674TotalExpensesPriorYear
Total Expenses Current Year192211296TotalExpensesCurrentYear
Revenues Less Expenses Prior Year921258RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1182698RevenuesLessExpensesCY
Total Assets BOY184579447TotalAssetsBOY
Total Assets EOY142858943TotalAssetsEOY
Total Liabilities BOY90257463TotalLiabilitiesBOY
Total Liabilities EOY47576674TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY94321984NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY95282269NetAssetsOrFundBalancesEOY
Mission DescriptionIRMC 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense120090902Expense
Grants3736842Grants
Revenue188184775Revenue
DescriptionHEALTHCARE SERVICES (14,502 ADMISSIONS AND 66,068 PATIENT DAYS) AND 681 VOLUNTEERS, WHO WORKED APPROXIMATELY 94,791 HOURS DURING THE YEAR.Description
Total Program Service Expense120090902TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096191NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1809NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARCY ISOLANamePerson
Telephone Number7725674311TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 36TH STREETAddressLine1
CityVero BeachCity
StateFLState
ZIP Code32960ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JEFFREY L SUSI
PRESIDENT/CEO40.0XX3900830455570
John Lindenthal MD
VICE CHIEF OF STAFF5.0X
W CLARK BECKETT MD
VICE CHIEF OF STAFF5.0X
JAMES PRESLEY MD
MEDICAL STAFF REPRESENTATIVE5.0X
RICHARD WEIL MD
CHAIRMAN5.0X
DEBORAH BROWER
VICE CHAIRMAN5.0X
ANTHONY DONADIO
DIRECTOR5.0X
BERNADETTE EMERICK RN
DIRECTOR5.0X
Keith Morgan
DIRECTOR5.0X
ROBERT HARRIS
TREASURER5.0X
ALAN S POLACKWICH
SECRETARY5.0X
BRADLEY W ROSSWAY
VICE CHAIRMAN5.0X
MARION KENNEDY RN
DIRECTOR5.0X
Paul Nezi
TREASURER5.0X
WILLIAM N KELLEY MD
DIRECTOR5.0X
Jack Rogers
DIRECTOR5.0X
John Jack Pastor
DIRECTOR5.0X
VALERIE LARCOMBE ESQ
SR VP CHIEF LEGAL COUNSEL40.0X251149015270
LYNN HUBBARD RN
VP CHIEF NURSING OFFICER40.0X16649512344
CYNTHIA VANEK
SR VP & COO40.0X183085011528
Charles Mackett
VP Chief Medical Officer40.0X397110196
Janice Donlan
VP FOUNDATION & Comm. Rel.40.0X476191428568305
Warren Fuller
VP Finance40.0X154205012189
MARK A MALIAS MD
CARDIOVASC THORACIC SURGEON40.0596571013856X
CARY L STOWE MD
MED DIR CARDIOVASCULAR SURGERY40.0986212013856X
CRISTIANA SCRIDON MD
PHYSICIAN40.042313607191X
RICHARD A FRANCO MD
MEDICAL DIRECTOR,INTERNAL MED40.0399320013445X
BARBARA L HORNE
VP HUMAN RESOURCES40.0X1765420154659X
WAEL FAKHRY
SR VP & CFO40.0X21994806422X
CESLOVAS VAICYS MD
PHYSICIAN-NEUROSURGERY40.0859885010996XX
FieldValueIRS element (for citing)
Total Reportable Comp From Org4893961TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs142856TotalReportableCompFrmRltdOrgs
Total Other Compensation735827TotalOtherCompensation
Number Individuals GT100 K80NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BloodNetUSA Inc
PO BOX 863646ORLANDOFL32886BLOOD BANK1255290
EMERGENCY PHYSICIANS OF CENTRAL FL
1720 S COOK AVENUEORLANDOFL32806EMERGENCY PHY SVCS1218562
VERO BEACH CARDIOVASCULAR ASSOC
5503 S CONGRESS AVENUE SUITE 206ATLANTISFL33462INTERVENTIONAL CARDI1164000
DUKE UNIVERSITY HEALTH SYSTEM
3100 TOWER BLVD SUITE 600DURHAMNC27707OPEN HEART CONSULT682740
QUEST DIAGNOSTICS
PO BOX 31506ATLANTAGA33631LABORATORY SERVICES641303
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
Related Organizations3736842RelatedOrganizations
Total Contributions3736842TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SVC (NET)174136293174136293
INDIGENT CARE1173819511738195
A-RADIOLOGY81548154
A-MEDICAL RECORDS14541454
B-LIFELINE270128270128

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column2030551TotalRevenueColumn
Related Or Exempt Function Income1101124RelatedOrExemptFunctionIncome
Unrelated Business Revenue19452UnrelatedBusinessRevenue
Exclusion$909,975ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue188184775TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column805234TotalRevenueColumn
Exclusion$805,234ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real645271Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real100872Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real544399Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column544399TotalRevenueColumn
Unrelated Business Revenue544399UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities0Securities
Other21654Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities189Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-189Securities
Other21654Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column21465TotalRevenueColumn
Exclusion$21,465ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
J-SCRAP & WASTE25532553
K-PURCHASE DISC.4057140571
L-MISCELLANEOUS36953695

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column54460TotalRevenueColumn
Related Or Exempt Function Income655RelatedOrExemptFunctionIncome
Unrelated Business Revenue53805UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue101279TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column193393994TotalRevenueColumn
Related Or Exempt Function Income187302822RelatedOrExemptFunctionIncome
Unrelated Business Revenue617656UnrelatedBusinessRevenue
Exclusion$1,736,674ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5397155Total
Program Services215886ProgramServices
Management And General5181269ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total70005322Total
Program Services56277278ProgramServices
Management And General13728044ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total17580307Total
Program Services4113792ProgramServices
Management And General13466515ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total20154084Total
Program Services10913862ProgramServices
Management And General9240222ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1651170Total
Program Services165117ProgramServices
Management And General1486053ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3230166Total
Program Services334645ProgramServices
Management And General2895521ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total331446Total
Management And General331446ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11151482Total
Program Services5814383ProgramServices
Management And General5337099ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4919988Total
Program Services398027ProgramServices
Management And General4521961ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
BAD DEBT/CONTRACTUAL ALLOWANCE1358291013582910
MEDICAL SUPPLIES38001747113245236869295
OTHER EXPENSES620551812169024988616
CHARITABLE CONTRIBUTIONS11

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total192211296Total
Program Services120090902ProgramServices
Management And General72120394ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY20135479BOY
EOY21452924EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18628937BOY
EOY18253710EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY1131817EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4564227BOY
EOY4135545EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1524028BOY
EOY1903305EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis229753967LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec165552263LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY69129334BOY
EOY64201704EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY66749833BOY
EOY30988456EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3847609BOY
EOY791482EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY184579447BOY
EOY142858943EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13261715BOY
EOY10194489EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY44013718BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY32982030BOY
EOY37382185EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY90257463BOY
EOY47576674EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY94024151BOY
EOY94984436EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY87336BOY
EOY87336EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY210497BOY
EOY210497EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY94321984BOY
EOY95282269EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY184579447BOY
EOY142858943EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance74339437BeginningOfYearBalance
Contributions5137378Contributions
Investment Earnings Or Losses1107033InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures33108814OtherExpenditures
End Of Year Balance47475034EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance77829876BeginningOfYearBalance
Contributions4235746Contributions
Investment Earnings Or Losses141740InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures7867925OtherExpenditures
End Of Year Balance74339437EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.45380BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.01060PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.53560TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1631582OtherCostOrOtherBasis
Book Value1631582BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis81187321OtherCostOrOtherBasis
Depreciation40850951Depreciation
Book Value40336370BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis143583798OtherCostOrOtherBasis
Depreciation121466180Depreciation
Book Value22117618BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3351266OtherCostOrOtherBasis
Depreciation3235132Depreciation
Book Value116134BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings64201704TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (7 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CASH & CASH EQUIVALENTS17240892F
COMMON STOCKS4409904F
U.S. GOV'T AGENCY OBLIGATIONS0F
CORPORATE OBLIGATIONS0F
ENDOWMENT FUND354817F
INVESTMENT IN SUBSIDIARIES8982843F
OTHER0F
FieldValueIRS element (for citing)
Total Of Book Value Securities30988456TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
EST.3RD PARTY PAYOR SETTLEMENT$3,450,607
SELF INSURANCE LIABILITY$8,175,566
INDIGENCY FUND PAYABLE$514,993
PENSION LIABILITY$21,732,457
OTHER ACCRUED LIABILITIES$3,508,562
FieldValueIRS element (for citing)
Total Of Amounts37382185TotalOfAmounts
Total Revenue193393994TotalRevenue
Total Expenses192211296TotalExpenses
Excess Or Deficit For Year1182698ExcessOrDeficitForYear
Net Unrealized GL On Investments304312NetUnrealizedGLOnInvestments
Other-$560,405OtherAmount
Total Adjustments-256093TotalAdjustments
Excess Or Deficit Per FS926605ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt193137902TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments304312NetUnrealizedGainsInvestments
Other Revenues346896OtherRevenues
Revenue Not Rptd F990651208RevenueNotRptdF990
Revenue Subtotal192486694RevenueSubtotal
Other Revenues Not Included907300OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt907300RevenueNotRptdOnFinStmt
Total Revenue Per Form990193393994TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt192211295TotExpensesEtcAuditedFinclStmt
Other Expenses Included-1OtherExpensesIncluded
Expenses Not Rptd F990-1ExpensesNotRptdF990
Expenses Subtotal192211296ExpensesSubtotal
Total Expenses Per Form990192211296TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER REVENUE ON BOOKS BUT NOT ON RETURNSCHEDULE D, PART XII, LINE 2DADDITIONAL MINIMUM PENSION LIABILITY (1,256,386) LOSS ON BOND FUNDING 768,616 OTHER 140,874 -------------- TOTAL ($346,896)
OTHER REVENUE ON RETURN BUT NOT ON BOOKSSCHEDULE D, PART XII, LINE 4BBOOK TO TAX DIFFERENCE IN INVESTMENTS IN OCEAN HEALTH ASSOCIATES, LTD 546,594 BOOK TO TAX DIFFERENCE IN INVESTMENTS IN PREMIER PURCHASING PARTNERS, LP 41,170 BOOK TO TAX DIFFERENCE IN INVESTMENTS IN VERO RADIOLOGY ASSOCIATES, INC 319,536 -------------- TOTAL 907,300
OTHER EXPENSES ON RETURN BUT NOT ON BOOKSSCHEDULE D, PART XIII, LINE 4BEXPENSES FROM K-1: INVESTMENT/PORTFOLIO EXPENSE 1
OTHER DECREASES IN FUND BALANCESSCHEDULE D, PART XI, LINE 8ADDITIONAL MINIMUM PENSION LIABILITY (1,256,386) LOSS ON BOND FUNDING 768,616 OTHER 140,874 BOOK TO TAX DIFFERENCE IN INVESTMENTS IN OCEAN HEALTH ASSOCIATES, LTD 546,594 BOOK TO TAX DIFFERENCE IN INVESTMENTS IN PREMIER PURCHASING PARTNERS, LP 41,170 BOOK TO TAX DIFFERENCE IN INVESTMENTS IN VERO RADIOLOGY ASSOCIATES, INC 319,536 EXPENSES FROM K-1: INVESTMENT/PORTFOLIO EXPENSE 1 -------------- TOTAL $560,406

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense9477850TotalCommunityBenefitExpense
Direct Offsetting Revenue7355204DirectOffsettingRevenue
Net Community Benefit Expense2122646NetCommunityBenefitExpense
Percent Of Total Expense0.01100PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense15441517TotalCommunityBenefitExpense
Direct Offsetting Revenue12556415DirectOffsettingRevenue
Net Community Benefit Expense2885102NetCommunityBenefitExpense
Percent Of Total Expense0.01500PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense24919367TotalCommunityBenefitExpense
Direct Offsetting Revenue19911619DirectOffsettingRevenue
Net Community Benefit Expense5007748NetCommunityBenefitExpense
Percent Of Total Expense0.02600PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense191161TotalCommunityBenefitExpense
Direct Offsetting Revenue67742DirectOffsettingRevenue
Net Community Benefit Expense123419NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense191161TotalCommunityBenefitExpense
Direct Offsetting Revenue67742DirectOffsettingRevenue
Net Community Benefit Expense123419NetCommunityBenefitExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense25110528TotalCommunityBenefitExpense
Direct Offsetting Revenue19979361DirectOffsettingRevenue
Net Community Benefit Expense5131167NetCommunityBenefitExpense
Percent Of Total Expense0.02600PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$4,399,233BadDebtExpenseAmount
Amount Attributable To2199616AmountAttributableTo
Costing Methodology UsedCostingMethodologyUsed
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

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

Address Address

FieldValueIRS element (for citing)
Address Line11000 36TH STREETAddressLine1
CityVERO BEACHCity
StateFLState
ZIP Code32960ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Debt Collection PolicyUnder 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.DebtCollectionPolicy

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBonus Filing OrgBonusFilingOrg
JEFFREY L SUSI
3515830038500044832007250084565300
MARK A MALIAS MD
56357100330000980004056061042700
VALERIE LARCOMBE ESQ
1886490038500098000547002664190024000
BARBARA L HORNE
1380420038500015278601873033120100
LYNN HUBBARD RN
1447582173768745470178839
CYNTHIA VANEK
14458500385000745804070019461300
WAEL FAKHRY
20596300139850395802464022637000
Janice Donlan
476199384816743322657286101947619151161
Warren Fuller
1144870022203060530613601663940017515
CARY L STOWE MD
947712003850009800040560100006800
CESLOVAS VAICYS MD
7896930038500098000119608708810031692
CRISTIANA SCRIDON MD
39815300249830490002291043032700
RICHARD A FRANCO MD
37732000220000980003645041276500

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL RETIREMENT PLANIdentifier
Return ReferenceSchedule J, Part I, Line 4(b):ReturnReference
ExplanationIn 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, 2010 and 2009, the SERP's increase in accrued benefit of $584,000 and $604,000 was paid through annuity purchases and income tax withholdings. At September 30, 2010, 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 (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Conflict of Interest PolicyForm 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 DeterminationForm 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 AvailabilityForm 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 MembersForm 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 BodyForm 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 ReviewForm 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatus
INDIAN RIVER MEM HOSPITAL FOUND INC
1000 36TH STREETVERO BEACHFL32960590760215FUNDRAISINGFL501(C)(3)509(A)(3)-1
INDIAN RIVER HEALTH SERVICES INC
1000 36TH STREETVERO BEACHFL32960650029298HEALTHCAREFL501(C)(3)509(A)(3)-1
HEALTH SYSTEMS OF INDIAN RIVER INC
1000 36TH STREETVERO BEACHFL32960650705680HEALTHCAREFL501(C)(3)509(A)(3)-2
HOSPITAL AUXILIARY OF THE IRMH INC
1000 36TH STREETVERO BEACHFL32960591003707SUPPORTINGFL501(C)(3)509(A)(3)
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
INDIAN RIVER MEM HOSPITAL FOUND INC
C3495940
HOSPITAL AUXILIARY OF THE IRMH INC
C240902
INDIAN RIVER MEM HOSPITAL FOUND INC
P1025866