2026-05-12T11:31:41-05:00 2025-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 20 STANWIX STREET PITTSBURGH PA 15222 990 2024-07-01 263843582 INDIANA TOTAL THERAPY INC INDI 7243883538 120 IRMC DRIVE INDIANA PA 15701 MICHAEL F ICKOWSKI CFO 7243883538 2026-05-07 1 1 KELLY A BROCIOUS P01254262 4126976400 2026-04-08 X 2024 2025-03-06 01:10:19Z STEPHEN A WOLFE 120 IRMC DRIVE INDIANA PA 15701 3999737 0 X WWW.INDIANARMC.ORG X 2018 PA MANAGES REHABILITATION THERAPY SERVICES IN THE REGION. 6 0 42 0 0 0 0 0 3779933 3889578 127 31 57900 28058 3837960 3917667 0 0 0 0 2747186 2897427 0 0 0 1474521 1337081 4221707 4234508 -383747 -316841 2227514 1815883 1099575 898426 1127939 917457 X INDIANA TOTAL THERAPY IS COMMITTED TO PROVIDING OUR COMMUNITY WITH A HIGHLY SKILLED, DEDICATED, AND CARING TEAM OF PROFESSIONALS GIVING THE BEST POSSIBLE REHABILITATION CARE AVAILABLE ANYWHERE. 0 0 3944766 3889578 INDIANA TOTAL THERAPY (ITT) IS COMMITTED TO PROVIDING OUR COMMUNITY WITH A HIGHLY SKILLED, DEDICATED, AND CARING TEAM OF PROFESSIONALS WHO PROVIDE THE BEST REHABILITATION CARE AVAILABLE IN THE REGION AT OUR THREE LOCATIONS, ITT AT THE HMI BUILDING, ITT WEST, AND ITT BLAIRSVILLE.INDIANA TOTAL THERAPY PROVIDES PHYSICAL THERAPY FOR INJURIES AND TOTAL JOINT REHAB FOR PATIENTS WITH JOINT REPLACEMENTS, AS WELL AS SUPPLYING BRACING, ORTHOTICS, AND PROSTHETICS FOR MANY PATIENTS. INDIANA TOTAL THERAPY ALSO PROVIDES THERAPY SERVICES LIKE OCCUPATIONAL, SPEECH, AQUATIC, AND PEDIATRIC THERAPY.ITT ALSO SUPPLIES SERVICES FOR IMPACT CONCUSSION TESTING, BALANCE AND VESTIBULAR, WOMEN'S HEALTH, LYMPHEDEMA MANAGEMENT, IASTM, AND NEURO REHABILITATION. IN ADDITION, ITT PROFESSIONALS PROVIDE ATHLETIC AND SPORTS TRAINING TO OUR LOCAL INDIANA COUNTY SCHOOL DISTRICTS. 3944766 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 42 1 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X MICHAEL F ICKOWSKI CFO 7243883538 120 IRMC DRIVE INDIANA PA 15701 MARK RICHARDS CHAIR/CHIEF GROWTH OFFICER 1.00 39.00 X X 0 208484 32622 JAMES KINNEER VICE CHAIR/CHIEF HUMAN RESOURCES OFFICER 1.00 39.00 X X 0 266766 46745 MICHAEL F ICKOWSKI SECRETARY/CHIEF FINANCIAL OFFICER 1.00 39.00 X X 0 408665 4417 DARLA DECARLO RITENOUR BOARD MEMBER/SUPERVISOR OF RADIOLOGY 1.00 39.00 X 0 105034 10059 BRIAN STONE DO BOARD MEMBER/PHYSICIAN 1.00 39.00 X 0 163092 3318 DENNIS SCHULTZ BOARD MEMBER/PHYSICAL THERAPIST 40.00 X 149397 0 26890 STEPHEN A WOLFE PRESIDENT & CEO 1.00 39.00 X 0 1005085 53066 VINCENT SPELLANE PHYSICAL THERAPIST 40.00 X 117188 0 9167 ROBERT A GONGAWARE FORMER CFO 0.00 0.00 X 0 238963 32038 266585 2396089 218322 2 1 1 0 JENNIFER CUNNINGHAM SPEECH SERVICES 545 CUNNINGHAM ROAD INDIANA PA 15701 SPEECH THERAPIST SERVICES 255138 1 NET PATIENT SERVICE RE 621990 3889578 3889578 3889578 31 31 90000 82070 7930 7930 7930 CONTRACT REVENUE 900099 20000 20000 MISC. REVENUE 900099 128 128 20128 3917667 3889578 0 28089 176287 176287 2259796 2168274 91522 27164 24448 2716 302046 296042 6004 132134 118921 13213 211934 211934 736 736 241059 241059 477134 477134 3990 3990 3817 3817 176616 176616 9712 9712 BAD DEBT EXPENSE 155225 155225 MEDICAL SUPPLIES 19969 19969 REPAIRS & MAINTENANCE 18342 18342 EQUIPMENT LEASE 6400 6400 12147 12147 4234508 3944766 289742 0 775 775 28607 11323 337570 287891 130073 115485 5468 5444 2733027 2491088 216415 241939 595832 476666 912774 676360 2227514 1815883 186801 222066 912774 676360 1099575 898426 X 1127939 917457 1127939 917457 2227514 1815883 X -316841 106359 X 0 1 X 1 0 X X X 1 INDIANA HEALTHCARE PHYSICIAN SERVICES 251842046 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 19088 5726 13362 2713939 2485362 228577 241939 OPERATING LEASE RIGHT-OF-USE ASSETS 676360 676360 OPERATING LEASE OBLIGATIONS 676360 676360 X PART X, LINE 2: INDIANA TOTAL THERAPY, INC. 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. 0 1 0 0 0 0 0 0 0 STEPHEN A WOLFE PRESIDENT & CEO 0 666004 0 42188 0 296893 0 31050 0 22016 0 1058151 0 0 MICHAEL F ICKOWSKI SECRETARY/CHIEF FINANCIAL OFFICER 0 391262 0 13688 0 3715 0 3230 0 1187 0 413082 0 0 JAMES KINNEER VICE CHAIR/CHIEF HUMAN RESOURCES OFF 0 254837 0 9413 0 2516 0 23470 0 23275 0 313511 0 0 ROBERT A GONGAWARE FORMER CFO 0 161006 0 75741 0 2216 0 21771 0 10267 0 271001 0 0 MARK RICHARDS CHAIR/CHIEF GROWTH OFFICER 0 199301 0 7529 0 1654 0 16177 0 16445 0 241106 0 0 DENNIS SCHULTZ BOARD MEMBER/PHYSICAL THERAPIST 147969 0 0 0 1428 0 4696 0 22194 0 176287 0 0 0 BRIAN STONE DO BOARD MEMBER/PHYSICIAN 0 162544 0 0 0 548 0 2394 0 924 0 166410 0 0 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. FORM 990, PART V, LINES 1 AND 2: THE ORGANIZATION DOES NOT FILE FORMS 1096 OR W-3. ALL VENDORS AND ALL EMPLOYEES ARE PAID THROUGH A COMMON PAYMASTER/REPORTING AGENT. THE COMMON PAYMASTER/REPORTING AGENT IS INDIANA REGIONAL MEDICAL CENTER, EIN: 25-0965404. INDIANA REGIONAL MEDICAL CENTER IS A RELATED, TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 INDIANA HEALTHCARE PHYSICIAN SERVICES ("IHPS") IS THE SOLE CORPORATE MEMBER OF INDIANA TOTAL THERAPY, INC. ("ITT"). FORM 990, PART VI, SECTION A, LINE 7A IHPS HAS THE POWER TO FILL VACANCIES, NOMINATE AND APPROVE THE ELECTION OF, AND APPROVE REMOVAL OF THE BOARD OF DIRECTORS OF ITT. FORM 990, PART VI, SECTION A, LINE 7B ITT SHALL OBTAIN THE APPROVAL OF IHPS BEFORE ACTION ON ANY OF THE FOLLOWING MATTERS BECOMES FINAL AND EFFECTIVE FOR ITT: (1) AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS; (2) THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF ITT; (3) MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION; (4) DISSOLUTION OF ITT; (5) APPROVAL OF AN ANNUAL BUDGET FOR ITT; (6) ANY TRANSFER OF FUNDS BY GRANT, GIFT, OR LOAN FROM ITT; (7) ANY OTHER MATTER THAT BY LAW WOULD REQUIRE THE APPROVAL OF MEMBERS OF A 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 XI, LINE 9: TRANSFERS FROM AFFILIATES 106,359. 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 N/A 0 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 SKILLED NURSING INC 835 HOSPITAL ROAD INDIANA PA 15701 992421431 SKILLED NURSING FACILITY PA 501(C)(3) LINE 10 INDIANA REGIONAL MEDICAL CENTER 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 N/A 0 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 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0