INDIANA SKILLED NURSING INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- INDIANA SKILLED NURSING INC (EIN 99-2421431)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-12
- IRS object ID
- 202631329349303323
- Schema version
- 2024v5.5
- 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) |
|---|---|---|
| Return | 2026-05-12T11:33:21-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY ADVISORY GROUP LP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 STANWIX STREET | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 992421431 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA SKILLED NURSING INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDI | BusinessNameControlTxt |
| Phone | 7243577010 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 HOSPITAL ROAD | AddressLine1Txt |
| City | INDIANA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 157010788 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL F ICKOWSKI | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7243577010 | PhoneNum |
| Signature | 2026-05-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KELLY A BROCIOUS | PreparerPersonNm |
| PTIN | P01254262 | PTIN |
| Phone | 4126976400 | PhoneNum |
| Preparation | 2026-04-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEPHEN A WOLFE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 HOSPITAL ROAD | AddressLine1Txt |
| City | INDIANA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 157010788 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,444,215 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BEACONRIDGE.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2023 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | INDIANA SKILLED NURSING WAS ORGANIZED FOR THE PURPOSE OF OWNING & OPERATING A HEALTH CARE FACILITY TO PROVIDE SKILLED, NURSING CARE & REHABILITATION TO MEET THE NEEDS OF SENIORS IN INDIANA COUNTY PA WHO ARE NO LONGER ABLE TO LIVE ON THEIR OWN. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 96 | TotalEmployeeCnt |
| Total Volunteers | 24 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $38,841 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $546,348 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,160,687 | CYProgramServiceRevenueAmt |
| PY Investment Income | $926,123 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,989 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13,402 | PYOtherRevenueAmt |
| CY Other Revenue | $238,698 | CYOtherRevenueAmt |
| PY Total Revenue | $1,485,873 | PYTotalRevenueAmt |
| CY Total Revenue | $8,444,215 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $342,211 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,947,508 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $322,338 | PYOtherExpensesAmt |
| CY Other Expenses | $3,724,186 | CYOtherExpensesAmt |
| PY Total Expenses | $664,549 | PYTotalExpensesAmt |
| CY Total Expenses | $8,671,694 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $821,324 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$227,479 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,179,210 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,282,472 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,103,071 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,433,812 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,076,139 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,848,660 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | INDIANA SKILLED NURSING WAS ORGANIZED FOR THE PURPOSE OF OWNING & OPERATING A HEALTH CARE FACILITY TO PROVIDE SKILLED, NURSING CARE & REHABILITATION TO MEET THE NEEDS OF SENIORS IN INDIANA COUNTY PA WHO ARE NO LONGER ABLE TO LIVE ON THEIR OWN. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,301,412 | ExpenseAmt |
| Revenue | $8,160,687 | RevenueAmt |
| Desc | THE ENTITY MAINTAINS 118 LICENSED SKILLED NURSING BEDS & THE FACILITY EXPECTS TO HAVE AN AVERAGE DAILY CENSUS BETWEEN 82 & 88 RESIDENTS & SERVICES A POPULATION MADE UP OF MOSTLY LOW-INCOME RESIDENTS FROM INDIANA COUNTY, PA & SURROUNDING COMMUNITIES. APPROXIMATELY 64 PERCENT OF THE RESIDENTS ARE COVERED BY THE MEDICAID PROGRAM & APPROXIMATELY 6 PERCENT OF RESIDENTS ARE COVERED BY THE MEDICARE PROGRAM. THROUGH THE SERVICES PROVIDED BY INDIANA SKILLED NURSING, THE ELDERLY POPULATION WILL BE PROVIDED WITH ESSENTIAL NEEDS OF HOUSING, HEALTH CARE & FINANCIAL SECURITY.THE SOLE ACTIVITY OF INDIANA SKILLED NURSING IS TO PROVIDE SKILLED NURSING TO ADDRESS THE NEEDS OF A GROWING ELDERLY POPULATION. THIS FACILITY IS SPECIFICALLY DESIGNED FOR SENIOR RESIDENTS WHO ARE UNABLE TO LIVE ON THEIR OWN TO ALLOW THEM TO AGE IN A COMFORTABLE AND SAFE ENVIRONMENT. THE FACILITY EMPLOYS NURSES WHO PROVIDE RESIDENTS WITH 24 HOURS OF EMERGENCY SUPPORT, WHICH WILL GIVE THEM, THEIR FAMILIES & THEIR LOVED ONES PEACE OF MIND. IN ADDITION, OTHER PROVIDED SERVICES INCLUDE MEALS, HOUSEKEEPING, RESIDENT ACTIVITIES, WELLNESS ACTIVITIES, & SOCIAL SERVICES. | Desc |
| Total Program Service Expenses | $8,301,412 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 96 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL F ICKOWSKI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7243577010 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 HOSPITAL ROAD | AddressLine1Txt |
| City | INDIANA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 157010788 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| MICHAEL F ICKOWSKI | ||||||||
| CHAIRMAN/CHIEF FINANCIAL OFFICER | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $408,665 | $4,417 | |
| WENDY HAISLIP | ||||||||
| VICE CHAIRMAN/CHIEF NURSING OFFICER | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $219,282 | $27,279 | |
| MARK RICHARDS | ||||||||
| SECRETARY & TREASURER/CHIEF GROWTH OFFICER | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $208,484 | $32,622 | |
| STEPHEN A WOLFE | ||||||||
| PRESIDENT & CEO | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $1,005,085 | $53,066 | |
| RUSSELL DROZDIAK MD | ||||||||
| BOARD MEMBER/PHYSICIAN | 1.00 | 39.00 | Yes (X) | $0 | $175,349 | $4,882 | ||
| JAMES KINNEER | ||||||||
| BOARD MEMBER/CHIEF HUMAN RESOURCES OFFICER | 1.00 | 39.00 | Yes (X) | $0 | $266,766 | $46,745 | ||
| ROBERT GONGAWARE | ||||||||
| BOARD MEMBER/FORMER CFO | 1.00 | 0.00 | $0 | $238,963 | $32,038 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,522,594 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $201,049 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MORRISON LIVING | |||||
| PO BOX 102289 | ATLANTA | GA | 303682289 | CULINARY SERVICES | $474,026 |
| COREWORKS | |||||
| 13028 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | SUPPORT SERVICES | $237,295 |
| AFFINITY HEALTH SERVICES | |||||
| 942 PHILADELPHIA STREET | INDIANA | PA | 15701 | CONSULTING SERVICES | $216,187 |
| FUNCTIONAL PATHWAYS OF TENNESSEE LLC | |||||
| 10133 SHERRIL BLVD STE 200 | KNOXVILLE | TN | 379323347 | FUNCTIONAL THERAPY | $192,173 |
| FUSION MEDICAL STAFFING LLC | |||||
| PO BOX 30131 | OMAHA | NE | 68103 | NURSING AGENCY | $169,494 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $38,841 | AllOtherContributionsAmt |
| Total Contributions | $38,841 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENU | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $8,160,687 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,160,687 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,160,687 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,989 | TotalRevenueColumnAmt |
| Exclusion | $5,989 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | $165,729 | $165,729 |
| CAFETERIA REVENUE | 900099 | $72,969 | $72,969 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $238,698 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,444,215 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,160,687 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $244,687 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,061,739 | TotalAmt |
| Program Services | $4,061,739 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $632,075 | TotalAmt |
| Program Services | $632,075 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,694 | TotalAmt |
| Program Services | $253,694 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,000 | TotalAmt |
| Management And General | $291,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,961,797 | TotalAmt |
| Program Services | $1,961,797 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,267 | TotalAmt |
| Program Services | $11,267 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,282 | TotalAmt |
| Management And General | $79,282 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,570 | TotalAmt |
| Program Services | $177,570 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,069 | TotalAmt |
| Program Services | $13,069 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,833 | TotalAmt |
| Program Services | $26,833 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,325 | TotalAmt |
| Program Services | $110,325 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,649 | TotalAmt |
| Program Services | $106,649 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $427,844 | $427,844 |
| FOOD EXPENSE | $282,785 | $282,785 |
| DUES & SUBSCRIPTIONS | $81,606 | $81,606 |
| REPAIRS & MAINTENANCE | $51,421 | $51,421 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,738 | TotalAmt |
| Program Services | $102,738 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,671,694 | TotalAmt |
| Program Services | $8,301,412 | ProgramServicesAmt |
| Management And General | $370,282 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,426 | BOYAmt |
| EOY | $252,779 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $644,193 | BOYAmt |
| EOY | $1,778,440 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,600 | BOYAmt |
| EOY | $211,053 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,200,000 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $159,800 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,149,991 | BOYAmt |
| EOY | $5,040,200 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,179,210 | BOYAmt |
| EOY | $7,282,472 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,101,460 | BOYAmt |
| EOY | $2,433,090 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,611 | BOYAmt |
| EOY | $722 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,103,071 | BOYAmt |
| EOY | $2,433,812 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,076,139 | BOYAmt |
| EOY | $4,848,660 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,076,139 | BOYAmt |
| EOY | $4,848,660 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,179,210 | BOYAmt |
| EOY | $7,282,472 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$227,479 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $38,841 | CurrentTaxYearAmt |
| Total | $38,841 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $546,348 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,160,687 | CurrentTaxYearAmt |
| Total | $8,707,035 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $546,348 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,199,528 | CurrentTaxYearAmt |
| Total | $8,745,876 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $8,745,876 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $5,989 | CurrentTaxYearAmt |
| Total | $5,989 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $5,989 | CurrentTaxYearAmt |
| Total | $5,989 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $13,402 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $238,698 | CurrentTaxYearAmt |
| Total | $252,100 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $559,750 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,444,215 | CurrentTaxYearAmt |
| Total | $9,003,965 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $405,500 | OtherCostOrOtherBasisAmt |
| Book Value | $405,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,479,597 | OtherCostOrOtherBasisAmt |
| Depreciation | $128,310 | DepreciationAmt |
| Book Value | $4,351,287 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $314,903 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,490 | DepreciationAmt |
| Book Value | $283,413 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,040,200 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PENSION LIABILITY | Desc |
| Amt | $722 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $722 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | INDIANA SKILLED NURSING IS A TAX-EXEMPT ORGANIZATION AND NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES IN ACCORDANCE WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ON SUCH BASIS, IT WILL NOT INCUR ANY LIABILITY FOR INCOME TAXES, EXCEPT FOR POSSIBLE UNRELATED BUSINESS INCOME. MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEPHEN A WOLFE | ||||||||||||||
| PRESIDENT & CEO | $0 | $666,004 | $0 | $42,188 | $0 | $296,893 | $0 | $31,050 | $0 | $22,016 | $0 | $1,058,151 | $0 | $0 |
| MICHAEL F ICKOWSKI | ||||||||||||||
| CHAIRMAN/CHIEF FINANCIAL OFFICER | $0 | $391,262 | $0 | $13,688 | $0 | $3,715 | $0 | $3,230 | $0 | $1,187 | $0 | $413,082 | $0 | $0 |
| JAMES KINNEER | ||||||||||||||
| BOARD MEMBER/CHIEF HUMAN RESOURCES O | $0 | $254,837 | $0 | $9,413 | $0 | $2,516 | $0 | $23,470 | $0 | $23,275 | $0 | $313,511 | $0 | $0 |
| ROBERT GONGAWARE | ||||||||||||||
| BOARD MEMBER/FORMER CFO | $0 | $161,006 | $0 | $75,741 | $0 | $2,216 | $0 | $21,771 | $0 | $10,267 | $0 | $271,001 | $0 | $0 |
| WENDY HAISLIP | ||||||||||||||
| VICE CHAIRMAN/CHIEF NURSING OFFICER | $0 | $207,184 | $0 | $9,582 | $0 | $2,516 | $0 | $5,561 | $0 | $21,718 | $0 | $246,561 | $0 | $0 |
| MARK RICHARDS | ||||||||||||||
| SECRETARY & TREASURER/CHIEF GROWTH O | $0 | $199,301 | $0 | $7,529 | $0 | $1,654 | $0 | $16,177 | $0 | $16,445 | $0 | $241,106 | $0 | $0 |
| RUSSELL DROZDIAK MD | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $0 | $155,609 | $0 | $15,431 | $0 | $4,309 | $0 | $3,747 | $0 | $1,135 | $0 | $180,231 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE CEO'S COMPENSATION IS PAID BY INDIANA REGIONAL MEDICAL CENTER. INDIANA REGIONAL MEDICAL CENTER USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINE 4B | INDIANA REGIONAL MEDICAL CENTER HAS A SUPPLEMENTAL, NONQUALIFIED RETIREMENT PLAN UNDER IRC SECTION 457(F) FOR THE PRESIDENT & CEO AND KEY EMPLOYEES DURING THE CALENDAR YEAR 2024: - STEPHEN A. WOLFE: PAY OUTS TO HIM WERE $246,070, AND CONTRIBUTIONS TO THE PLAN WERE $101,252. - JAMES KINNEER: NO AMOUNTS WERE PAID TO HIM, AND CONTRIBUTIONS TO THE PLAN WERE $37,651. - MARK RICHARDS: NO AMOUNTS WERE PAID TO HIM, AND CONTRIBUTIONS TO THE PLAN WERE $25,766. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF INDIANA SKILLED NURSING IS PENNSYLVANIA MOUNTAINS CARE NETWORK (PMCN). |
| FORM 990, PART VI, SECTION A, LINE 7A | PMCN IS ENTITLED TO APPOINT AND REMOVE DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD SHALL OBTAIN THE APPROVAL OF THE CORPORATE MEMBER (PMCN) BEFORE ACTION ON ANY OF THE FOLLOWING MATTERS BECOMES FINAL AND EFFECTIVE: (I) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THIS CORPORATION OR OF THESE BYLAWS. (II) THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF THIS CORPORATION. (III) MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION. (IV) DISSOLUTION OF THIS CORPORATION. (V) APPROVAL OF AN ANNUAL BUDGET FOR THIS CORPORATION. (VI) ANY TRANSFER OF FUNDS BY GRANT, GIFT OR LOAN FROM THIS CORPORATION. (VII) ANY OTHER MATTER THAT BY LAW WOULD REQUIRE THE APPROVAL OF A MEMBER OR OTHER BODY OF A PENNSYLVANIA NONPROFIT CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT OF THE 990 WILL BE REVIEWED BY TOP MANAGEMENT AND WILL BE DISCUSSED AT A MEETING OF THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. A FINAL DRAFT IS PROVIDED TO THE FULL BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | EVERY MEMBER OF THE BOARD, AND EVERY INDIVIDUAL APPOINTED TO THE BOARD OR BOARD COMMITTEES, AS WELL AS ALL KEY MANAGEMENT PERSONNEL AND PHYSICIAN LEADERS, ARE REQUIRED TO EXECUTE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, WHICH WILL BE UPDATED AT LEAST ON AN ANNUAL BASIS OR AS ADDITIONAL CONFLICTING INTERESTS ARISE. IN ADDITION, EVERY MEMBER OF THE BOARD WILL SPECIFICALLY ACKNOWLEDGE THE CONFLICT OF INTEREST POLICY AND HIS/HER ATTEMPT TO ABIDE BY IT BY SIGNING THE ACKNOWLEDGEMENT FORM. EVERY BOARD COMMITTEE MEMBER, OFFICER, KEY MANAGEMENT EMPLOYEE, AND PHYSICIAN LEADER IS REQUIRED TO SIGN THIS ACKNOWLEDGEMENT AS WELL. THE ACKNOWLEDGEMENT AND DISCLOSURE FORMS WILL BE KEPT ON FILE BY THE CHIEF EXECUTIVE OFFICER, AND THE CHAIRMAN AND VICE-CHAIRMAN WILL BE FAMILIAR WITH THE STATEMENTS THAT ARE FILED BY BOARD MEMBERS IN ORDER TO GUIDE THEIR CONDUCT IN THE EVENT A CONFLICT ARISES. EVERY PERSON COVERED BY THIS POLICY SHALL SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND CONFLICTING INTERESTS. EACH STATEMENT WILL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR OR AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTERESTS ARISE. THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH ALL SUCH DISCLOSURE STATEMENTS IN CASE A CONFLICT ARISES. THE VICE CHAIRMAN OF THE BOARD SHALL BE FAMILIAR WITH THE DISCLOSURE STATEMENT FILED BY THE CHAIRMAN. PENALTIES FOR NON-COMPLIANCE: FAILURE TO COMPLY WITH THIS POLICY SHALL CONSTITUTE GROUNDS FOR REMOVAL FROM OFFICE AND, IN THE CASE OF KEY MANAGEMENT PERSONNEL, TERMINATION OF EMPLOYMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO'S COMPENSATION IS PAID BY INDIANA REGIONAL MEDICAL CENTER (IRMC). POSITIONS FOR OFFICERS AND KEY EMPLOYEES ARE REVIEWED ON AN ANNUAL BASIS. APPROPRIATE COMPARISONS ARE MADE ON A REGIONAL AND NATIONAL LEVEL IN ORDER TO MAINTAIN A FAIR AND EQUITABLE COMPENSATION STRUCTURE. AN EXTERNAL CONSULTANT IS UTILIZED TO PREPARE COMPARATIVE SALARY DATA FOR THE BOARD'S REVIEW. ALL RECOMMENDATIONS ARE APPROVED BY IRMC'S BOARD OF DIRECTORS AND DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,961,797. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,961,797. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| INDIANA REGIONAL MEDICAL CENTER | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 250965404 | HOSPITAL | PA | 501(C)(3) | LINE 3 | PENNSYLVANIA MOUNTAINS CARE NETWORK | 0 | |
| INDIANA JEFFERSON ONCOLOGY LLC | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 900406301 | RADIATION ONCOLOGY SERVICES | PA | 501(C)(3) | LINE 12A, I | INDIANA REGIONAL MEDICAL CENTER | 0 | |
| INDIANA HEALTHCARE FOUNDATION | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 251574302 | FUNDRAISING IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTER | PA | 501(C)(3) | LINE 12A, I | INDIANA REGIONAL MEDICAL CENTER | 0 | |
| INDIANA HEALTHCARE PHYSICIAN SERVICES INC | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 251842046 | PROVIDE HEALTH CARE | PA | 501(C)(3) | LINE 3 | INDIANA REGIONAL MEDICAL CENTER | 0 | |
| INDIANA HEALTHCARE PROPERTIES | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 251524635 | HOLD & MANAGE PROPERTY IN SUPPORT OF INDIANA REGIONAL MEDICAL CENTER | PA | 501(C)(3) | LINE 12A, I | INDIANA REGIONAL MEDICAL CENTER | 0 | |
| SPIRITLIFE INC | |||||||||||
| 170 FR MARTIN TELENSON LANE | PENN RUN | PA | 15765 | 463997001 | DETOXIFICATION AND REHABILITATIVE SERVICES | PA | 501(C)(3) | LINE 10 | INDIANA REGIONAL MEDICAL CENTER | 0 | |
| INDIANA AMBULATORY SURGICAL ASSOCIATES INC | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 232923182 | AMBULATORY SURGERY | PA | 501(C)(3) | LINE 12A, I | INDIANA REGIONAL MEDICAL CENTER | 0 | |
| PENNSYLVANIA MOUNTAINS CARE NETWORK | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 474638568 | SUPPORT FOR HEALTHCARE ORGNAIZATIONS | PA | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| PUNXSUTAWNEY AREA HOSPITAL INC | |||||||||||
| 81 HILLCREST DRIVE | PUNXSUTAWNEY | PA | 15767 | 250965210 | HOSPITAL | PA | 501(C)(3) | LINE 3 | PENNSYLVANIA MOUNTAINS CARE NETWORK | 0 | |
| PUNXSUTAWNEY AREA HOSPITAL FOUNDATION | |||||||||||
| 81 HILLCREST DRIVE | PUNXSUTAWNEY | PA | 15701 | 932244487 | TO SUPPORT THE HOSPITAL | PA | 501(C)(3) | LINE 12A, I | PUNXSUTAWNEY AREA HOSPITAL INC | 0 | |
| PUNXSUTAWNEY MEDICAL SERVICES INC | |||||||||||
| 81 HILLCREST DRIVE | PUNXSUTAWNEY | PA | 15767 | 251773035 | ANESTHESIA SERVICES | PA | 501(C)(3) | LINE 3 | PUNXSUTAWNEY AREA HOSPITAL INC | 0 | |
| INDIANA TOTAL THERAPY INC | |||||||||||
| 835 HOSPITAL ROAD | INDIANA | PA | 15701 | 263843582 | THERAPY SERVICES | PA | 501(C)(3) | LINE 10 | INDIANA HEALTHCARE PHYSICIAN SERVICES | 0 | |
| ARMSTRONG COUNTY MEMORIAL HOSPITAL | |||||||||||
| ONE NOLTE DRIVE | KITTANNING | PA | 16201 | 250965237 | HOSPITAL | PA | 501(C)(3) | LINE 3 | ARMSTRONG COUNTY MEMORIAL HOSPITAL | 0 | |
| ACMH PHYSICIAN SERVICES | |||||||||||
| ONE NOLTE DRIVE | KITTANNING | PA | 16201 | 204648195 | PRIMARY CARE | PA | 501(C)(3) | LINE 3 | ARMSTRONG COUNTY MEMORIAL HOSPITAL | 0 | |
| ARMSTRONG HEALTH & EDUCATION FOUNDATION | |||||||||||
| ONE NOLTE DRIVE | KITTANNING | PA | 16201 | 251655867 | FOUNDATION | PA | 501(C)(3) | LINE 12A, I | ARMSTRONG COUNTY MEMORIAL HOSPITAL | 0 | |
| ARMSTRONG CENTER FOR MEDICINE & HEALTH | |||||||||||
| ONE NOLTE DRIVE | KITTANNING | PA | 16201 | 204648477 | PARENT CORP. | PA | 501(C)(3) | LINE 10 | 0 | N/A | |
| GLADE RUN MEDICAL ASSOCIATES INC | |||||||||||
| ONE NOLTE DRIVE | KITTANNING | PA | 16201 | 264750523 | PHSYICIAN PRA | PA | 501(C)(3) | LINE 12A, I | ARMSTRONG COUNTY MEMORIAL HOSPITAL | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |