2011-08-12T15:35:57-05:00 2010-09-30 PRICEWATERHOUSECOOPERS LLP 4221 W Boy Scout Blvd Suite 200 TAMPA FL 33607 990 2009-10-01 592496294 INDIAN RIVER MEMORIAL HOSPITAL INC INDI 7725674311 1000 36TH STREET VERO BEACH FL 32960 Dan Janicak 2011-08-12 true 8132290221 2009 2016-02-24 21:20:13Z 193495055 false X WWW.IRMH.ORG X 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. 16 12 1809 681 617656 600816 3173296 3736842 181457982 188184775 3073639 826699 2950015 645678 190654932 193393994 0 0 0 0 92955706 92982784 0 0 0 96777968 99228512 189733674 192211296 921258 1182698 184579447 142858943 90257463 47576674 94321984 95282269 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. false false 120090902 3736842 188184775 HEALTHCARE SERVICES (14,502 ADMISSIONS AND 66,068 PATIENT DAYS) AND 681 VOLUNTEERS, WHO WORKED APPROXIMATELY 94,791 HOURS DURING THE YEAR. 120090902 true true false false false false false false true true true false false false false false false false false false true false false true false false false false false false false false false false false false false true false false false true 191 0 true 1809 true true true false false false false 16 12 false false false false false true true true true false false true true true true true true true true true true FL X MARCY ISOLA 7725674311 1000 36TH STREET Vero Beach FL 32960 JEFFREY L SUSI 40.0 X X 390083 0 455570 John Lindenthal MD 5.0 X W CLARK BECKETT MD 5.0 X JAMES PRESLEY MD 5.0 X RICHARD WEIL MD 5.0 X DEBORAH BROWER 5.0 X ANTHONY DONADIO 5.0 X BERNADETTE EMERICK RN 5.0 X Keith Morgan 5.0 X ROBERT HARRIS 5.0 X ALAN S POLACKWICH 5.0 X BRADLEY W ROSSWAY 5.0 X MARION KENNEDY RN 5.0 X Paul Nezi 5.0 X WILLIAM N KELLEY MD 5.0 X Jack Rogers 5.0 X John Jack Pastor 5.0 X VALERIE LARCOMBE ESQ 40.0 X 251149 0 15270 LYNN HUBBARD RN 40.0 X 166495 12344 CYNTHIA VANEK 40.0 X 183085 0 11528 Charles Mackett 40.0 X 39711 0 196 Janice Donlan 40.0 X 47619 142856 8305 Warren Fuller 40.0 X 154205 0 12189 MARK A MALIAS MD 40.0 X 596571 0 13856 CARY L STOWE MD 40.0 X 986212 0 13856 CRISTIANA SCRIDON MD 40.0 X 423136 0 7191 RICHARD A FRANCO MD 40.0 X 399320 0 13445 BARBARA L HORNE 40.0 X X 176542 0 154659 WAEL FAKHRY 40.0 X X 219948 0 6422 CESLOVAS VAICYS MD 40.0 X X 859885 0 10996 4893961 142856 735827 80 true true false BloodNetUSA Inc PO BOX 863646 ORLANDO FL 32886 BLOOD BANK 1255290 EMERGENCY PHYSICIANS OF CENTRAL FL 1720 S COOK AVENUE ORLANDO FL 32806 EMERGENCY PHY SVCS 1218562 VERO BEACH CARDIOVASCULAR ASSOC 5503 S CONGRESS AVENUE SUITE 206 ATLANTIS FL 33462 INTERVENTIONAL CARDI 1164000 DUKE UNIVERSITY HEALTH SYSTEM 3100 TOWER BLVD SUITE 600 DURHAM NC 27707 OPEN HEART CONSULT 682740 QUEST DIAGNOSTICS PO BOX 31506 ATLANTA GA 33631 LABORATORY SERVICES 641303 19 3736842 3736842 PATIENT SVC (NET) 174136293 174136293 INDIGENT CARE 11738195 11738195 A-RADIOLOGY 8154 8154 A-MEDICAL RECORDS 1454 1454 B-LIFELINE 270128 270128 2030551 1101124 19452 909975 188184775 805234 805234 0 0 645271 100872 544399 544399 544399 0 21654 189 0 -189 21654 21465 21465 0 0 0 J-SCRAP & WASTE 2553 2553 K-PURCHASE DISC. 40571 40571 L-MISCELLANEOUS 3695 3695 54460 655 53805 101279 193393994 187302822 617656 1736674 0 0 0 0 5397155 215886 5181269 0 0 70005322 56277278 13728044 0 17580307 4113792 13466515 0 0 0 0 0 0 0 20154084 10913862 9240222 0 1651170 165117 1486053 0 0 3230166 334645 2895521 0 0 0 331446 331446 0 11151482 5814383 5337099 4919988 398027 4521961 BAD DEBT/CONTRACTUAL ALLOWANCE 13582910 13582910 MEDICAL SUPPLIES 38001747 36869295 1132452 OTHER EXPENSES 6205518 4988616 1216902 CHARITABLE CONTRIBUTIONS 1 1 192211296 120090902 72120394 0 20135479 21452924 18628937 18253710 0 1131817 4564227 4135545 1524028 1903305 229753967 165552263 69129334 64201704 66749833 30988456 3847609 791482 184579447 142858943 13261715 10194489 44013718 0 32982030 37382185 90257463 47576674 X 94024151 94984436 87336 87336 210497 210497 94321984 95282269 184579447 142858943 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 74339437 5137378 1107033 0 33108814 47475034 77829876 4235746 141740 0 7867925 74339437 0.45380 0.01060 0.53560 false false false 1631582 1631582 81187321 40850951 40336370 143583798 121466180 22117618 3351266 3235132 116134 64201704 CASH & CASH EQUIVALENTS 17240892 F COMMON STOCKS 4409904 F U.S. GOV'T AGENCY OBLIGATIONS 0 F CORPORATE OBLIGATIONS 0 F ENDOWMENT FUND 354817 F INVESTMENT IN SUBSIDIARIES 8982843 F OTHER 0 F 30988456 0 EST.3RD PARTY PAYOR SETTLEMENT 3450607 SELF INSURANCE LIABILITY 8175566 INDIGENCY FUND PAYABLE 514993 PENSION LIABILITY 21732457 OTHER ACCRUED LIABILITIES 3508562 37382185 193393994 192211296 1182698 304312 -560405 -256093 926605 193137902 304312 346896 651208 192486694 907300 907300 193393994 192211295 -1 -1 192211296 192211296 OTHER REVENUE ON BOOKS BUT NOT ON RETURN SCHEDULE D, PART XII, LINE 2D ADDITIONAL 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 BOOKS SCHEDULE D, PART XII, LINE 4B 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 -------------- TOTAL 907,300 OTHER EXPENSES ON RETURN BUT NOT ON BOOKS SCHEDULE D, PART XIII, LINE 4B EXPENSES FROM K-1: INVESTMENT/PORTFOLIO EXPENSE 1 OTHER DECREASES IN FUND BALANCES SCHEDULE D, PART XI, LINE 8 ADDITIONAL 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 true true X true X true true true false false 9477850 7355204 2122646 0.01100 15441517 12556415 2885102 0.01500 24919367 19911619 5007748 0.02600 191161 67742 123419 191161 67742 123419 25110528 19979361 5131167 0.02600 true 4399233 2199616 true true INDIAN RIVER MEMORIAL HOSPITAL

1000 36TH STREET VERO BEACH FL 32960

X 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. X true true X X X X X false true false false false false false false false JEFFREY L SUSI 351583 0 0 38500 0 448320 0 7250 0 845653 0 0 MARK A MALIAS MD 563571 0 0 33000 0 9800 0 4056 0 610427 0 0 VALERIE LARCOMBE ESQ 188649 0 24000 0 38500 0 9800 0 5470 0 266419 0 0 BARBARA L HORNE 138042 0 0 38500 0 152786 0 1873 0 331201 0 0 LYNN HUBBARD RN 144758 21737 6874 5470 178839 CYNTHIA VANEK 144585 0 0 38500 0 7458 0 4070 0 194613 0 0 WAEL FAKHRY 205963 0 0 13985 0 3958 0 2464 0 226370 0 0 Janice Donlan 47619 93848 16743 32265 7286 1019 47619 151161 Warren Fuller 114487 0 17515 0 22203 0 6053 0 6136 0 166394 0 0 CARY L STOWE MD 947712 0 0 38500 0 9800 0 4056 0 1000068 0 0 CESLOVAS VAICYS MD 789693 0 31692 0 38500 0 9800 0 1196 0 870881 0 0 CRISTIANA SCRIDON MD 398153 0 0 24983 0 4900 0 2291 0 430327 0 0 RICHARD A FRANCO MD 377320 0 0 22000 0 9800 0 3645 0 412765 0 0 SUPPLEMENTAL RETIREMENT PLAN Schedule J, Part I, Line 4(b): 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, 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. 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. 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) false false true false false false false false false false false false false true false true false false INDIAN RIVER MEM HOSPITAL FOUND INC C 3495940 HOSPITAL AUXILIARY OF THE IRMH INC C 240902 INDIAN RIVER MEM HOSPITAL FOUND INC P 1025866