THOREK MEMORIAL HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- THOREK MEMORIAL HOSPITAL (EIN 36-6000085)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-02
- IRS object ID
- 202241229349301229
- Schema version
- 2020v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-02T12:10:47-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 S RIVERSIDE PLAZA 9TH FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 366000085 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THOREK MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | THOR | BusinessNameControlTxt |
| Phone | 7739756806 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 850 W IRVING PARK ROAD | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60613 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIM HEINRICH | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 7739756806 | PhoneNum |
| Signature | 2022-04-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TIM | PersonFirstNm |
| Person Last | HEINRICH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 3122071040 | PhoneNum |
| Preparation | 2022-04-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TIM HEINRICH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 850 W IRVING PARK ROAD | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60613 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $164,257,493 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.THOREK.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1911 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | PROVIDING QUALITY PATIENT CARE, PROMOTING WELLNESS, AND SUPPORTING EDUCATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 923 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $2,242 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,618,460 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,519,214 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $83,862,267 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $95,900,979 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,196,796 | PYInvestmentIncomeAmt |
| CY Investment Income | $16,475,581 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,686,757 | PYOtherRevenueAmt |
| CY Other Revenue | $3,026,722 | CYOtherRevenueAmt |
| PY Total Revenue | $96,364,280 | PYTotalRevenueAmt |
| CY Total Revenue | $127,922,496 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $32,000 | 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 | $38,932,124 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $39,602,210 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $45,972,482 | PYOtherExpensesAmt |
| CY Other Expenses | $53,036,716 | CYOtherExpensesAmt |
| PY Total Expenses | $84,936,606 | PYTotalExpensesAmt |
| CY Total Expenses | $92,638,926 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,427,674 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $35,283,570 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $402,112,917 | TotalAssetsBOYAmt |
| Total Assets EOY | $512,859,760 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,672,509 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $32,210,249 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $370,440,408 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $480,649,511 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THOREK MEMORIAL HOSPITAL IS COMMITTED TO PROVIDING APPROPRIATE PATIENT SERVICES IN A CARING & COST-EFFECTIVE MANNER. THOREK MEMORIAL HOSPITAL SEEKS TO SERVE ITS PATIENTS, PHYSICIANS, EMPLOYEES, & COMMUNITY BY PROVIDING QUALITY SERVICES & ENCOURAGING EMPLOYEE EXCELLENCE. THOREK MEMORIAL HOSPITAL WILL SUPPORT EDUCATION AND WILL ACT AS A RESPONSIBLE MEMBER OF OUR COMMUNITY AND THE HEALTHCARE DELIVERY SYSTEM. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $73,381,705 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $98,927,701 | RevenueAmt |
| Desc | THOREK MEMORIAL HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICE RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THOREK MEMORIAL HOSPITAL, WE RECOGNIZE THAT IT IS THE HOSPITAL'S MISSION TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION AND THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PAY FOR ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF OUR COMMUNITY, WE PROVIDE FREE CARE AND OR SUBSIDIZED CARE TO INDIVIDUALS WHO ARE UNABLE TO PAY FOR ESSENTIAL SERVICES, AND PROVIDE HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT OUR COMMUNITY. | Desc |
| Total Program Service Expenses | $73,381,705 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 135 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 923 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIM HEINRICH CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7739756806 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 850 WEST IRVING PARK ROAD | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60613 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| PHILIP GORELICK MD | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | Yes (X) | $521,792 | $0 | $321 | |||
| PETER KAMBEROS | |||||||||
| CHAIRMAN & COO | 40.00 | 0.00 | Yes (X) | $491,070 | $0 | $1,284 | Yes (X) | ||
| JAMES E NUGENT | |||||||||
| VICE CHAIR | 6.00 | 0.00 | Yes (X) | $25,000 | $0 | $0 | Yes (X) | ||
| JAGAN MOHAN MD | |||||||||
| SECRETARY | 6.00 | 1.00 | Yes (X) | $25,000 | $0 | $0 | Yes (X) | ||
| EDWIN C LENNOX | |||||||||
| TREASURER | 6.00 | 0.00 | Yes (X) | $25,000 | $0 | $0 | Yes (X) | ||
| ROBERT BAUDINO | |||||||||
| TRUSTEE | 6.00 | 0.00 | Yes (X) | $25,000 | $0 | $0 | |||
| BONNIE PHIPPS | |||||||||
| TRUSTEE | 6.00 | 0.00 | Yes (X) | $25,000 | $0 | $0 | |||
| NEAL SPERO MD | |||||||||
| TRUSTEE & MEDICAL STAFF PRESIDENT | 14.00 | 0.00 | Yes (X) | $65,212 | $0 | $0 | |||
| EDWARD BUDD | |||||||||
| CEO | 40.00 | 1.00 | $473,167 | $0 | $16,686 | Yes (X) | |||
| TIM HEINRICH | |||||||||
| CFO | 40.00 | 0.00 | $364,986 | $0 | $16,686 | Yes (X) | |||
| GENEVIEVE PRESBITERO | |||||||||
| CHIEF NURSING OFFICER | 40.00 | 0.00 | $331,302 | $0 | $7,291 | Yes (X) | |||
| JOHN HUNNIFORD MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $437,687 | $0 | $6,649 | Yes (X) | |||
| SUZANNE CHAN | |||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $195,161 | $0 | $5,776 | Yes (X) | |||
| JULIA DYER MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $207,082 | $0 | $0 | Yes (X) | |||
| NAYNA NAVIK | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $206,352 | $0 | $6,649 | Yes (X) | |||
| SEEMA ELAHI | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $242,687 | $0 | $12,548 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,661,498 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $73,890 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 78 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| CHICAGO CENTRAL EMERGENCY | |||||
| PO BOX 677979 | DALLAS | TX | 752677979 | PHYSICIAN FEES | $1,126,006 |
| UNITED MAINTENANCE SERVICE | |||||
| 1550 S INDIANA AVE SUITE 300 | CHICAGO | IL | 60605 | SERVICE CONTRACTS | $724,888 |
| UIC DEPARTMENT OF SURGERY | |||||
| 840 S WOOD ST SUITE 619V | CHICAGO | IL | 606127322 | PHYSICIAN FEES | $641,323 |
| NORTHERN TRUST COMPANY | |||||
| 50 S LA SALLE ST | CHICAGO | IL | 60603 | INVESTMENT MANAGEMENT | $579,988 |
| CATALYST ANESTHESIA GROUP LLC | |||||
| 1007 FRANKLIN AVENUE | RIVER FOREST | IL | 60305 | PHYSICIAN FEES | $503,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $12,519,214 | GovernmentGrantsAmt |
| Total Contributions | $12,519,214 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROGRAM SERVICE REVENUE | 621110 | $65,585,056 | $65,585,056 |
| MEDICAID ASSESSMENT | 621110 | $27,635,315 | $27,635,315 |
| RESIDENT FEES | 621110 | $2,680,608 | $2,680,608 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $95,900,979 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,257,703 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $2,242 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,255,461 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,099,881 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $346,142 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $753,739 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $753,739 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $753,739 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $45,206,733 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $35,988,855 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,217,878 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,217,878 | TotalRevenueColumnAmt |
| Exclusion | $9,217,878 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| DIETARY CASH SALES | 900099 | $79,745 | $79,745 |
| MEDICAL RECORD FEES | 900099 | $2,111 | $2,111 |
| X-RAY FILM FEES | 900099 | $1,340 | $1,340 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,189,787 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,189,787 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,272,983 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $127,922,496 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $98,927,701 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,242 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,473,339 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,414,797 | TotalAmt |
| Management And General | $2,414,797 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,736,775 | TotalAmt |
| Program Services | $24,498,466 | ProgramServicesAmt |
| Management And General | $7,238,309 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,039,293 | TotalAmt |
| Program Services | $2,431,434 | ProgramServicesAmt |
| Management And General | $607,859 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,411,345 | TotalAmt |
| Program Services | $1,929,076 | ProgramServicesAmt |
| Management And General | $482,269 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,482 | TotalAmt |
| Management And General | $157,482 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,069 | TotalAmt |
| Management And General | $142,069 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,747 | TotalAmt |
| Management And General | $134,747 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $731,530 | TotalAmt |
| Management And General | $731,530 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,562,927 | TotalAmt |
| Program Services | $5,358,139 | ProgramServicesAmt |
| Management And General | $1,204,788 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,981 | TotalAmt |
| Program Services | $51,981 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,281,194 | TotalAmt |
| Program Services | $1,824,955 | ProgramServicesAmt |
| Management And General | $456,239 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,176,989 | TotalAmt |
| Program Services | $941,591 | ProgramServicesAmt |
| Management And General | $235,398 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,375 | TotalAmt |
| Program Services | $4,300 | ProgramServicesAmt |
| Management And General | $1,075 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,299 | TotalAmt |
| Program Services | $21,039 | ProgramServicesAmt |
| Management And General | $5,260 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,033 | TotalAmt |
| Program Services | $59,226 | ProgramServicesAmt |
| Management And General | $14,807 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,680,949 | TotalAmt |
| Program Services | $3,680,949 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,205,602 | TotalAmt |
| Program Services | $2,564,482 | ProgramServicesAmt |
| Management And General | $641,120 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTED LABOR | $11,459,979 | $9,167,983 | $2,291,996 |
| CLINICAL EXPENSES | $11,079,123 | $8,863,298 | $2,215,825 |
| MEDICAID ASSESSMENT | $8,138,773 | $8,138,773 | |
| BAD DEBT | $3,111,205 | $3,111,205 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,016,459 | TotalAmt |
| Program Services | $734,808 | ProgramServicesAmt |
| Management And General | $281,651 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,638,926 | TotalAmt |
| Program Services | $73,381,705 | ProgramServicesAmt |
| Management And General | $19,257,221 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,686,676 | BOYAmt |
| EOY | $17,233,678 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,700,876 | BOYAmt |
| EOY | $916,099 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,869,628 | BOYAmt |
| EOY | $6,446,672 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,932,354 | BOYAmt |
| EOY | $2,541,535 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $591,237 | BOYAmt |
| EOY | $487,938 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $151,465,609 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $81,750,472 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,124,840 | BOYAmt |
| EOY | $69,715,137 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,104,753 | BOYAmt |
| EOY | $402,446,929 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,778,937 | BOYAmt |
| EOY | $8,433,433 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,323,616 | BOYAmt |
| EOY | $4,638,339 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $402,112,917 | BOYAmt |
| EOY | $512,859,760 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,780,331 | BOYAmt |
| EOY | $7,733,578 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,275,482 | BOYAmt |
| EOY | $9,343,999 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,092,741 | BOYAmt |
| EOY | $3,899,774 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,523,955 | BOYAmt |
| EOY | $11,232,898 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,672,509 | BOYAmt |
| EOY | $32,210,249 | 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 | $370,236,431 | BOYAmt |
| EOY | $480,445,534 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,977 | BOYAmt |
| EOY | $203,977 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $370,440,408 | BOYAmt |
| EOY | $480,649,511 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $402,112,917 | BOYAmt |
| EOY | $512,859,760 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $35,283,570 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $74,925,533 | NetUnrlzdGainsLossesInvstAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $134,747 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $134,747 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THOREK IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION ("AHA"), AND THE ILLINOIS HOSPITAL ASSOCIATION ("IHA"). AS A MEMBER OF THESE ORGANIZATIONS, THOREK PAYS DUES, WITH PART OF THESE DUES BEING INDIRECTLY ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. IN ADDITION TO BEING A MEMBER OF THESE AFOREMENTIONED ORGANIZATIONS, THOREK MEMORIAL HOSPITAL HAS CHOSEN TO RETAIN A LOBBYIST IN ORDER TO STRATEGIZE AND ADVOCATE ON BEHALF OF THE HOSPITAL BEFORE THE ILLINOIS GENERAL ASSEMBLY AND THE GOVERNOR'S ADMINISTRATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,737,216 | OtherCostOrOtherBasisAmt |
| Book Value | $34,737,216 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $65,514,474 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,093,881 | DepreciationAmt |
| Book Value | $20,420,593 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,314,824 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,088,827 | DepreciationAmt |
| Book Value | $9,225,997 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,899,095 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,567,764 | DepreciationAmt |
| Book Value | $5,331,331 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $69,715,137 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF-INSURANCE RESERVE | $6,602,912 |
| THIRD PARTY PAYOR SETTLEMENTS | $2,902,355 |
| CONSTRUCTION PAYABLE | $1,727,631 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,232,898 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $199,351,436 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $74,925,533 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $346,142 | OtherRevenueAmt |
| Revenue Not Reported | $75,271,675 | RevenueNotReportedAmt |
| Revenue Subtotal | $124,079,761 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $731,530 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $3,111,205 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $3,842,735 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $127,922,496 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $89,142,333 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $346,142 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $346,142 | ExpensesNotReportedAmt |
| Expenses Subtotal | $88,796,191 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $731,530 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $3,111,205 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,842,735 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $92,638,926 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND, IS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3), AND, ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL AND HAS CONCLUDED THAT, AS OF JUNE 30, 2021 AND 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE HOSPITAL RECOGNIZES INTEREST OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE HOSPITAL DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT JUNE 30, 2021 AND 2020. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2018. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 346,142. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBT 3,111,205. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 346,142. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBT 3,111,205. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $354,400 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $354,400 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,409,789 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,087,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,764,189 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,087,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $354,400 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,401 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,401 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,242,229 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,856,899 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $385,330 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,246,630 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,856,899 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $389,731 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,010,819 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $55,944,399 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $744,131 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00830 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,111,205 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $13,672,671 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,449,812 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,222,859 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|
| THOREK MEMORIAL HOSPITAL | |||||||||
| 1 | 850 W IRVING PARK ROAD | CHICAGO | IL | 60613 | WWW.THOREK.ORG | 0005371 | Yes (X) | Yes (X) | Yes (X) |
| THOREK MEMORIAL HOSPITAL ANDERSONVILLE | |||||||||
| 2 | 5025 NORTH PAULINA STREET | CHICAGO | IL | 60640 | HTTPS://THOREKANDERSONVILLE.ORG/ | 0000125 | Yes (X) | Yes (X) | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Prospective Medicare MedicaidProspectiveMedicareMedicaidInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd |
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| THOREK MEMORIAL HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| THOREK MEMORIAL HOSPITAL ANDERSONVILLE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | HTTPS://TINYURL.COM/4PSDJEMK | Yes (X) | Yes (1) | 19 | Yes (1) | HTTPS://TINYURL.COM/4PSDJEMK | 0 | Yes (1) | Yes (X) | 200.000000000000 | 600.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | HTTPS://TINYURL.COM/26NXPCYB | Yes (X) | HTTPS://TINYURL.COM/26NXPCYB | Yes (X) | TINYURL.COM/26NXPCYB | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | Yes (X) |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| THOREK MEMORIAL HOSPITAL ANDERSONVILLE | PART V, SECTION B, LINE 2: THOREK MEMORIAL HOSPITAL ANDERSONVILLE (F.K.A. METHODIST HOSPITAL OF CHICAGO) WAS ACQUIRED BY THOREK MEMORIAL HOSPITAL ON SEPTEMBER 30, 2019. |
| THOREK MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: THE HOSPITAL HAS CONSULTED AND RECEIVED INPUT FROM MULTIPLE CONSTITUENTS WHO REPRESENT THE COMMUNITY IN WHICH THE HOSPITAL SERVES. MANAGEMENT ROUTINELY MEETS WITH REPRESENTATIVES FROM THE BUENA PARK NEIGHBORS (BPN), A NOT FOR PROFIT COMMUNITY ORGANIZATION, TO IDENTIFY NEEDS IN THE COMMUNITY OF BUENA PARK. THROUGH DONATIONS, MEETINGS WITH LEADERSHIP OF BPN, AND INVOLVEMENT IN VARIOUS ACTIVITIES OF BPN, THOREK ACTIVELY PARTICIPATES IN THE BUENA PARK COMMUNITY. THOREK ALSO ROUTINELY RECEIVES INPUT FROM ALDERMAN CAPPELMAN'S OFFICE REGARDING ITS STANDING WITHIN THE COMMUNITY AS WELL AS OPPORTUNITIES TO PROVIDE SERVICES OR RESOURCES TO THE LOCAL COMMUNITY AS NEEDS ARE IDENTIFIED. THOREK ALSO SEEKS AND RECEIVES INPUT FROM MANAGEMENT AT SEVERAL LOCAL CHICAGO HOUSING AUTHORITY BUILDINGS WITHIN ITS IMMEDIATE COMMUNITY AND SERVICE AREA. THIS INPUT PRIMARILY FOCUSES ON THE GERIATRIC NEEDS OF THE COMMUNITY AND LEADS TO PROGRAMS AND SERVICES DIRECTED TO MEET THE NEEDS OF SENIORS WITHIN THOREK'S COMMUNITY. ADDITIONALLY, THOREK UTILIZES A COMMUNITY HEALTH ASSESSMENT SURVEY (CONDUCTED DURING THE 2018 TAX YEAR) WITH ASSISTANCE OF AN OUTSIDE RESEARCH FIRM IN ORDER TO CAPTURE PRIMARY AND SECONDARY DATA ON THE HEALTH STATUS AND OPPORTUNITIES FOR IMPROVEMENT OF HEALTH SERVICES IN ITS COMMUNITY. THE PRIMARY DATA WAS OBTAINED THROUGH A TELEPHONE SURVEY OF OVER 3,700 ADULTS IN THE METROPOLITAN CHICAGO HEALTHCARE CARE COUNTY REGION THROUGH A 20-25 MINUTE INTERVIEW WITH 136 INDIVIDUAL QUESTIONS THAT ADDRESSED THE FOLLOWING ISSUES: SELF REPORTED HEALTH STATUS, PHYSICAL AND MENTAL HEALTH STATUS, INFECTIOUS & CHRONIC DISEASE, MODIFIABLE HEALTH RISKS, ACCESS TO HEALTHCARE SERVICES, HEALTH EDUCATION & OUTREACH, AND HEALTH INFORMATION SOURCES. THESE SURVEYS WERE CONDUCTED IN ENGLISH AND SPANISH. THE PRIMARY DATA WAS SUPPLEMENTED WITH SECONDARY DATA INCLUDING SUCH SOURCES AS CDC, FBI, COUNTY AND STATE PUBLIC HEALTH DEPARTMENTS, NATIONAL CENTER FOR HEALTH STATISTICS, AND THE U.S. CENSUS BUREAU DATA. THE SECONDARY DATA INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING TOPICS: LEADING CAUSES OF DEATH, AGE-ADJUSTED DEATH RATES, VACCINE-PREVENTABLE CONDITIONS, STDS, HIV, AND OTHER INFECTIOUS DISEASES, AND FBI CRIME INDEX. THOREK PLANS TO USE THE ASSESSMENT INFORMATION TO EXPAND EXISTING AND CREATE NEW COMMUNITY HEALTH PROGRAMS MOST NEEDED BY UNDERSTANDING THE PREVALENCE OF CHRONIC CONDITIONS, BARRIERS TO ACCESS, AND OTHER HEALTH ISSUES IN THE COMMUNITY. |
| THOREK MEMORIAL HOSPITAL ANDERSONVILLE | PART V, SECTION B, LINE 5: THE HOSPITAL HAS CONSULTED AND RECEIVED INPUT FROM MULTIPLE CONSTITUENTS WHO REPRESENT THE COMMUNITY IN WHICH THE HOSPITAL SERVES. MANAGEMENT ROUTINELY MEETS WITH REPRESENTATIVES FROM THE BUENA PARK NEIGHBORS (BPN), A NOT FOR PROFIT COMMUNITY ORGANIZATION, TO IDENTIFY NEEDS IN THE COMMUNITY OF BUENA PARK. THROUGH DONATIONS, MEETINGS WITH LEADERSHIP OF BPN, AND INVOLVEMENT IN VARIOUS ACTIVITIES OF BPN, THOREK ACTIVELY PARTICIPATES IN THE BUENA PARK COMMUNITY. THOREK ALSO ROUTINELY RECEIVES INPUT FROM ALDERMAN CAPPELMAN'S OFFICE REGARDING ITS STANDING WITHIN THE COMMUNITY AS WELL AS OPPORTUNITIES TO PROVIDE SERVICES OR RESOURCES TO THE LOCAL COMMUNITY AS NEEDS ARE IDENTIFIED. THOREK ALSO SEEKS AND RECEIVES INPUT FROM MANAGEMENT AT SEVERAL LOCAL CHICAGO HOUSING AUTHORITY BUILDINGS WITHIN ITS IMMEDIATE COMMUNITY AND SERVICE AREA. THIS INPUT PRIMARILY FOCUSES ON THE GERIATRIC NEEDS OF THE COMMUNITY AND LEADS TO PROGRAMS AND SERVICES DIRECTED TO MEET THE NEEDS OF SENIORS WITHIN THOREK'S COMMUNITY. ADDITIONALLY, THOREK UTILIZES A COMMUNITY HEALTH ASSESSMENT SURVEY (CONDUCTED DURING THE 2018 TAX YEAR) WITH ASSISTANCE OF AN OUTSIDE RESEARCH FIRM IN ORDER TO CAPTURE PRIMARY AND SECONDARY DATA ON THE HEALTH STATUS AND OPPORTUNITIES FOR IMPROVEMENT OF HEALTH SERVICES IN ITS COMMUNITY. THE PRIMARY DATA WAS OBTAINED THROUGH A TELEPHONE SURVEY OF OVER 3,700 ADULTS IN THE METROPOLITAN CHICAGO HEALTHCARE CARE COUNTY REGION THROUGH A 20-25 MINUTE INTERVIEW WITH 136 INDIVIDUAL QUESTIONS THAT ADDRESSED THE FOLLOWING ISSUES: SELF REPORTED HEALTH STATUS, PHYSICAL AND MENTAL HEALTH STATUS, INFECTIOUS & CHRONIC DISEASE, MODIFIABLE HEALTH RISKS, ACCESS TO HEALTHCARE SERVICES, HEALTH EDUCATION & OUTREACH, AND HEALTH INFORMATION SOURCES. THESE SURVEYS WERE CONDUCTED IN ENGLISH AND SPANISH. THE PRIMARY DATA WAS SUPPLEMENTED WITH SECONDARY DATA INCLUDING SUCH SOURCES AS CDC, FBI, COUNTY AND STATE PUBLIC HEALTH DEPARTMENTS, NATIONAL CENTER FOR HEALTH STATISTICS, AND THE U.S. CENSUS BUREAU DATA. THE SECONDARY DATA INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING TOPICS: LEADING CAUSES OF DEATH, AGE-ADJUSTED DEATH RATES, VACCINE-PREVENTABLE CONDITIONS, STDS, HIV, AND OTHER INFECTIOUS DISEASES, AND FBI CRIME INDEX. THOREK PLANS TO USE THE ASSESSMENT INFORMATION TO EXPAND EXISTING AND CREATE NEW COMMUNITY HEALTH PROGRAMS MOST NEEDED BY UNDERSTANDING THE PREVALENCE OF CHRONIC CONDITIONS, BARRIERS TO ACCESS, AND OTHER HEALTH ISSUES IN THE COMMUNITY. |
| THOREK MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: AFTER CONSIDERING THE FINDINGS OF THE CHNA IN THE CONTEXT OF CURRENT COMMUNITY-FOCUSED ACTIVITIES AND RESOURCES, THOREK HAS DECIDED TO ADDRESS THE FOLLOWING HEALTH PRIORITY AREAS (IN NO PARTICULAR ORDER) AND DEVELOP DETAILED IMPLEMENTATION PLANS AS DESCRIBED FOR EACH AREA:1) ACCESS TO HEALTH CARE SERVICES:GOAL: INCREASE THE PROPORTION OF PERSONS WITH A USUAL PRIMARY CARE PROVIDER; INCREASE THE NUMBER OF PRIMARY CARE VISITS; AND REDUCE THE PROPORTION OF PERSONS WHO ARE UNABLE TO OBTAIN OR DELAY IN OBTAINING NECESSARY MEDICAL CARE/SCREENINGS.STRATEGIES & OBJECTIVES:1. CONTINUE TO PROVIDE ACCESS TO CARE THROUGH 24/7 EMERGENCY DEPARTMENT.2. CONTINUE TO HOST GET COVERED ILLINOIS REPRESENTATIVES ON-SITE, HELPING COMMUNITY MEMBERS ENROLL IN A MARKETPLACE PLAN.3. CONTINUE TO OPERATE OFF-SITE CLINIC OFFICES IN ORDER TO PROVIDE HIGH QUALITY PRIMARY CARE IN SEVERAL LOCATIONS THROUGHOUT THE PRIMARY SERVICE AREAS.4. INCREASE PRIMARY CARE HOURS BY KEEPING THE PRIMARY CARE CLINIC OPEN SIX DAYS A WEEK, RATHER THAN FIVE.5. DISTRIBUTE A LIST OF THOREK PRIMARY CARE PHYSICIANS AND LOCATIONS AT ALL THOREK SPONSORED EVENTS.6. IMPROVE WEBSITE'S "FIND A PHYSICIAN" SECTION TO MAKE IT EASIER FOR COMMUNITY MEMBERS TO FIND A DOCTOR BASED ON THEIR UNIQUE NEEDS AND PREFERENCES.2) CANCER:GOALS: EARLIER DETECTION OF BREAST CANCER AND SKIN CANCER, ALLOWING FOR TIMELY INTERVENTION AND BETTER PROGNOSIS; AND INCREASE AWARENESS OF HOSPITAL'S CANCER SERVICES.STRATEGIES & OBJECTIVES:1. CONTINUE OFFERING MAMMOGRAMS AT A REDUCED RATE DURING THE MONTH OF OCTOBER.2. CONTINUE THE ANNUAL WOMEN'S HEALTH FAIR EVENT TO PROVIDE INFORMATION ON PREVENTION, EARLY DETECTION AND TREATMENT OF BREAST CANCER, AS WELL AS OTHER WOMEN'S HEALTH NEEDS.3. INCREASE MAMMOGRAM REMINDERS BY SENDING OUT COMMUNICATIONS TO WOMEN IN THE PRIMARY SERVICE AREAS, IN ADDITION TO THE REMINDERS ALREADY SENT TO WOMEN WHO HAVE HAD MAMMOGRAMS AT THOREK IN THE PAST.4. IMPLEMENTATION OF AN ANNUAL FREE SKIN CANCER SCREENING EVENT, WITH SUPPORT FROM THOREK DERMATOLOGIST(S).3) MENTAL HEALTH:GOALS: IMPROVE ACCESS TO AND CREATE ADDITIONAL CAPACITY TO ADDRESS MENTAL HEALTH NEEDS OF THE COMMUNITY; AND IMPROVE HEALTH-RELATED QUALITY OF LIFE AND WELL-BEING FOR ALL INDIVIDUALS.STRATEGIES & OBJECTIVES:1. A NEW, 16-BED INPATIENT MENTAL HEALTH UNIT WAS ADDED JANUARY 1, 2017, INCREASING THOREK'S CAPACITY TO ADDRESS MENTAL HEALTH NEEDS.2. RECENTLY EXPANDED OUTPATIENT MENTAL HEALTH SERVICES BY ADDING A PSYCHIATRIC NURSE PRACTITIONER TO STAFF.3. CONDUCT OUTREACH TO PATIENTS DIAGNOSED WITH DEPRESSION WHO HAVE NOT BEEN SEEN FOR A FOLLOW UP VISIT WITHIN THE PAST YEAR.4. HOLD A "DE-STRESS FEST" SPRING WELLNESS EVENT DESIGNED TO HELP THE COMMUNITY (AND THOREK ASSOCIATES) FIGHT OFF STRESS, WHILE BRINGING ATTENTION TO THE MENTAL HEALTH SERVICES OFFERED BY THE HOSPITAL.4) ORAL HEALTH:GOALS: REDUCE THE PROPORTION OF CHILDREN AND ADULTS WITH UNTREATED DENTAL DECAY; AND INCREASE THE PROPORTION OF CHILDREN AND ADULTS WHO HAVE USED THE ORAL HEALTH SYSTEM IN THE PAST YEAR.STRATEGIES & OBJECTIVES:1. RECENTLY ADDED DR. ARDITA DALIPI TO THE THOREK STAFF. DR. DALIPI SPECIALIZES IN FAMILY DENTISTRY WITH A SPECIFIC FOCUS ON PEDIATRIC DENTISTRY.2. EXPLORE ADDING OTHER DENTISTRY SPECIALISTS TO THE THOREK STAFF, INCREASING THE HOSPITAL'S CAPACITY TO ADDRESS ORAL HEALTH NEEDS.3. OFFER A NUMBER OF DISCOUNTED BACK-TO-SCHOOL DENTAL EXAMS FOR CHILDREN ENTERING GRADES K-12.4. COLLABORATE WITH DR. DALIPI TO EXPAND COMMUNITY OUTREACH AND AWARENESS THROUGH DIRECT COMMUNICATION EFFORTS, OPEN HOUSES, AND OTHER COMMUNITY EVENTS. PLEASE NOTE FOR EACH OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA THAT THOREK WILL NOT BE ADDRESSING ARE IMPORTANT AND ARE ALREADY BEING ADDRESSED BY NUMEROUS PROGRAMS AND INITIATIVES OPERATED BY THOREK, COMMUNITY PARTNERS OF THE HOSPITAL, AND/OR OTHER ORGANIZATIONS WITHIN THOREK'S PRIMARY SERVICE AREAS. AS SUCH,THOREK WILL NOT BE DIRECTLY ADDRESSING AS PART OF THE IMPLEMENTATION PLAN DUE TO LIMITED RESOURCES AND THE NEED TO FOCUS ON THE FOUR PRIORITY HEALTH NEEDS IDENTIFIED ABOVE. |
| THOREK MEMORIAL HOSPITAL ANDERSONVILLE | PART V, SECTION B, LINE 11: AFTER CONSIDERING THE FINDINGS OF THE CHNA IN THE CONTEXT OF CURRENT COMMUNITY-FOCUSED ACTIVITIES AND RESOURCES, THOREK HAS DECIDED TO ADDRESS THE FOLLOWING HEALTH PRIORITY AREAS (IN NO PARTICULAR ORDER) AND DEVELOP DETAILED IMPLEMENTATION PLANS AS DESCRIBED FOR EACH AREA:1) ACCESS TO HEALTH CARE SERVICES:GOAL: INCREASE THE PROPORTION OF PERSONS WITH A USUAL PRIMARY CARE PROVIDER; INCREASE THE NUMBER OF PRIMARY CARE VISITS; AND REDUCE THE PROPORTION OF PERSONS WHO ARE UNABLE TO OBTAIN OR DELAY IN OBTAINING NECESSARY MEDICAL CARE/SCREENINGS.STRATEGIES & OBJECTIVES:1. CONTINUE TO PROVIDE ACCESS TO CARE THROUGH 24/7 EMERGENCY DEPARTMENT.2. CONTINUE TO HOST GET COVERED ILLINOIS REPRESENTATIVES ON-SITE, HELPING COMMUNITY MEMBERS ENROLL IN A MARKETPLACE PLAN.3. CONTINUE TO OPERATE OFF-SITE CLINIC OFFICES IN ORDER TO PROVIDE HIGH QUALITY PRIMARY CARE IN SEVERAL LOCATIONS THROUGHOUT THE PRIMARY SERVICE AREAS.4. INCREASE PRIMARY CARE HOURS BY KEEPING THE PRIMARY CARE CLINIC OPEN SIX DAYS A WEEK, RATHER THAN FIVE.5. DISTRIBUTE A LIST OF THOREK PRIMARY CARE PHYSICIANS AND LOCATIONS AT ALL THOREK SPONSORED EVENTS.6. IMPROVE WEBSITE'S "FIND A PHYSICIAN" SECTION TO MAKE IT EASIER FOR COMMUNITY MEMBERS TO FIND A DOCTOR BASED ON THEIR UNIQUE NEEDS AND PREFERENCES.2) CANCER:GOALS: EARLIER DETECTION OF BREAST CANCER AND SKIN CANCER, ALLOWING FOR TIMELY INTERVENTION AND BETTER PROGNOSIS; AND INCREASE AWARENESS OF HOSPITAL'S CANCER SERVICES.STRATEGIES & OBJECTIVES:1. CONTINUE OFFERING MAMMOGRAMS AT A REDUCED RATE DURING THE MONTH OF OCTOBER.2. CONTINUE THE ANNUAL WOMEN'S HEALTH FAIR EVENT TO PROVIDE INFORMATION ON PREVENTION, EARLY DETECTION AND TREATMENT OF BREAST CANCER, AS WELL AS OTHER WOMEN'S HEALTH NEEDS.3. INCREASE MAMMOGRAM REMINDERS BY SENDING OUT COMMUNICATIONS TO WOMEN IN THE PRIMARY SERVICE AREAS, IN ADDITION TO THE REMINDERS ALREADY SENT TO WOMEN WHO HAVE HAD MAMMOGRAMS AT THOREK IN THE PAST.4. IMPLEMENTATION OF AN ANNUAL FREE SKIN CANCER SCREENING EVENT, WITH SUPPORT FROM THOREK DERMATOLOGIST(S).3) MENTAL HEALTH:GOALS: IMPROVE ACCESS TO AND CREATE ADDITIONAL CAPACITY TO ADDRESS MENTAL HEALTH NEEDS OF THE COMMUNITY; AND IMPROVE HEALTH-RELATED QUALITY OF LIFE AND WELL-BEING FOR ALL INDIVIDUALS.STRATEGIES & OBJECTIVES:1. A NEW, 16-BED INPATIENT MENTAL HEALTH UNIT WAS ADDED JANUARY 1, 2017, INCREASING THOREK'S CAPACITY TO ADDRESS MENTAL HEALTH NEEDS.2. RECENTLY EXPANDED OUTPATIENT MENTAL HEALTH SERVICES BY ADDING A PSYCHIATRIC NURSE PRACTITIONER TO STAFF.3. CONDUCT OUTREACH TO PATIENTS DIAGNOSED WITH DEPRESSION WHO HAVE NOT BEEN SEEN FOR A FOLLOW UP VISIT WITHIN THE PAST YEAR.4. HOLD A "DE-STRESS FEST" SPRING WELLNESS EVENT DESIGNED TO HELP THE COMMUNITY (AND THOREK ASSOCIATES) FIGHT OFF STRESS, WHILE BRINGING ATTENTION TO THE MENTAL HEALTH SERVICES OFFERED BY THE HOSPITAL.4) ORAL HEALTH:GOALS: REDUCE THE PROPORTION OF CHILDREN AND ADULTS WITH UNTREATED DENTAL DECAY; AND INCREASE THE PROPORTION OF CHILDREN AND ADULTS WHO HAVE USED THE ORAL HEALTH SYSTEM IN THE PAST YEAR.STRATEGIES & OBJECTIVES:1. RECENTLY ADDED DR. ARDITA DALIPI TO THE THOREK STAFF. DR. DALIPI SPECIALIZES IN FAMILY DENTISTRY WITH A SPECIFIC FOCUS ON PEDIATRIC DENTISTRY.2. EXPLORE ADDING OTHER DENTISTRY SPECIALISTS TO THE THOREK STAFF, INCREASING THE HOSPITAL'S CAPACITY TO ADDRESS ORAL HEALTH NEEDS.3. OFFER A NUMBER OF DISCOUNTED BACK-TO-SCHOOL DENTAL EXAMS FOR CHILDREN ENTERING GRADES K-12.4. COLLABORATE WITH DR. DALIPI TO EXPAND COMMUNITY OUTREACH AND AWARENESS THROUGH DIRECT COMMUNICATION EFFORTS, OPEN HOUSES, AND OTHER COMMUNITY EVENTS. PLEASE NOTE FOR EACH OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA THAT THOREK WILL NOT BE ADDRESSING ARE IMPORTANT AND ARE ALREADY BEING ADDRESSED BY NUMEROUS PROGRAMS AND INITIATIVES OPERATED BY THOREK, COMMUNITY PARTNERS OF THE HOSPITAL, AND/OR OTHER ORGANIZATIONS WITHIN THOREK'S PRIMARY SERVICE AREAS. AS SUCH,THOREK WILL NOT BE DIRECTLY ADDRESSING AS PART OF THE IMPLEMENTATION PLAN DUE TO LIMITED RESOURCES AND THE NEED TO FOCUS ON THE FOUR PRIORITY HEALTH NEEDS IDENTIFIED ABOVE. |
| SCHEDULE H, PART V, SECTION B, LINE 22D: | THOREK MEMORIAL HOSPITAL CALCULATES AGB UNDER THE PROSPECTIVE MEDICARE METHOD, WHICH MEANS THAT THOREK DETERMINES AGB FOR ANY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE PROVIDED TO AN INDIVIDUAL ELIGIBLE FOR FINANCIAL ASSISTANCE BY USING THE BILLING AND CODING PROCESS THOREK WOULD USE IF THE INDIVIDUAL WERE A MEDICARE FEE-FOR-SERVICE BENEFICIARY AND SETTING THE AGB FOR THE CARE AT THE AMOUNT MEDICARE WOULD ALLOW FOR THE CARE (INCLUDING BOTH THE AMOUNT THAT WOULD BE REIMBURSED BY MEDICARE AND THE AMOUNT THE BENEFICIARY WOULD BE PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, COINSURANCE AND DEDUCTIBLES). |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CHINA SQUARE CLINIC | ||||
| 2142 S ARCHER AVENUE | CHICAGO | IL | 60616 | CLINIC |
| 2 - CHICAGO AVENUE CLINIC | ||||
| 2331 W CHICAGO AVENUE | CHICAGO | IL | 60622 | CLINIC |
| 3 - UKRAINIAN VILLAGE CLINIC | ||||
| 2515 WEST CHICAGO | CHICAGO | IL | 60622 | CLINIC |
| 4 - LINCOLN SQUARE CLINIC | ||||
| 5151 N LINCOLN AVENUE | CHICAGO | IL | 60625 | CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THOREK PREPARES AND FILES THE ANNUAL NON PROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT BY DECEMBER 31 OF EACH YEAR WITH THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,111,205. |
| PART III, LINE 2: | AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. |
| PART III, LINE 4: | ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. |
| PART III, LINE 8: | MEDICARE COSTS ARE ALLOCATED BY COST CENTER IN ACCORDANCE WITH MEDICARE REGULATIONS. THE COSTS ARE CALCULATED USING A COST TO CHARGE RATIO. |
| PART III, LINE 9B: | THOREK SEEKS TO ENGAGE PATIENTS PROACTIVELY TO DETERMINE IF FINANCIAL ASSISTANCE IS NEEDED, ESPECIALLY AT THE TIME OF SERVICE. THIS SERVICE IS ACCOMPLISHED BY COMMUNICATING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO THE PATIENT THROUGH POSTED SIGNS THROUGHOUT THE HOSPITAL AS WELL AS NOTICES ON THE HOSPITAL WEBSITE AND ALL BILLING CORRESPONDENCE. FURTHERMORE THE HOSPITAL FINANCIAL COUNSELORS PROVIDE ASSISTANCE RANGING FROM ASSISTANCE IN COMPLETING THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION, TO PROVIDING PAYMENT PLANS TO THOSE WITHOUT INSURANCE OR WITH PATIENT RESPONSIBILITIES AFTER REIMBURSEMENT BY THE PRIMARY INSURANCE, AND SEEKING INSURANCE COVERAGE FOR THOSE PATIENTS UNINSURED. THE HOSPITAL'S FINANCIAL COUNSELORS SEEK TO MAKE CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP THEM IN ANY WAY POSSIBLE TO MEET THEIR FINANCIAL RESPONSIBILITIES IN A SUPPORTIVE MANNER OR IDENTIFY ELIGIBILITY FOR THE HOSPITAL'S CHARITY CARE POLICY.FINANCIAL COUNSELORS WORK WITH PATIENTS IN PERSON WHILE STILL AN INPATIENT IF APPROPRIATE, AFTER AN OUTPATIENT SERVICE AT THE HOSPITAL, OR SOON AFTER SERVICE IS PROVIDED TELEPHONICALLY. AS PART OF THIS PROCESS, THE COUNSELORS ATTEMPT TO DETERMINE IF THERE ARE ANY THIRD-PARTY PAYERS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS. THE COUNSELORS WORK WITH OUR PATIENTS TO DETERMINE IF THEY ARE ELIGIBLE FOR MEDICAID OR OTHER STATE OR LOCAL FUNDED PROGRAMS INCLUDING CRIME VICTIMS, ILLINOIS MARKET PLACE INSURANCE PLANS, ALTERNATIVE INSURANCE INCLUDING COBRA, WORKER'S COMPENSATION, AND/OR OTHER APPROPRIATE THIRD-PARTY LIABILITY PAYOR. THE HOSPITAL CONTRACTS WITH AN OUTSIDE FIRM TO PROVIDE SUPPORTING STAFF THAT WORK WITH PATIENT ACCOUNTS IN THIS PROCESS. THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE BEGINS WITH A PHONE CALL OR MEETING WITH THE PATIENT TO COMPLETE THE HOSPITAL CHARITY CARE APPLICATION FORMS AND/OR PROVIDED EVIDENCE OF THE NEED FOR FINANCIAL ASSISTANCE. IF THE CHARITY CARE APPLICATION MEETS THE HOSPITAL CHARITY CARE GUIDELINES OF 200% OF THE FEDERAL POVERTY GUIDELINES, NO FURTHER COLLECTION ACTIVITY OCCURS, AND THE AMOUNT IS APPROPRIATELY RECORDED AS CHARITY CARE AND WRITTEN OFF AFTER THE 53% INITIAL DISCOUNT IS APPLIED. IF THE APPLICATION MEETS THE 201%-300% OF FEDERAL POVERTY GUIDELINE THE ACCOUNT IS DISCOUNTED AT ADDITIONAL 50% AND THE PAYMENT PLAN IS INITIATED FOR THE REMAINING BALANCE. FOR PATIENTS THAT DO NOT MEET CHARITY CARE GUIDELINES, A 53% (BASED ON 300% OF FEDERAL POVERTY GUIDELINES) INITIAL DISCOUNT IS TAKEN. THE REMAINING AMOUNT IS PAID BASED UPON AN AGREED PAYMENT PLAN WITH THE PATIENT OR THE PATIENT RECEIVES A FURTHER DISCOUNT BASED UPON THE INDIVIDUAL PATIENT'S FINANCIAL SITUATION. ANY FINAL AMOUNT TO BE PAID IS DETERMINED AND PAID IN FULL OR ACCORDING TO AN AGREED UPON PAYMENT PLAN WITH THE PATIENT. EVERY OPPORTUNITY IS MADE TO ENSURE THE PATIENT HAS THE CHANCE TO PAY WHAT THEY CAN AFFORD BASED UPON THEIR FINANCIAL SITUATION AT THAT TIME. |
| PART VI, LINE 2: | IN ADDITION TO THE CHNA, THOREK MEMORIAL HOSPITAL HAS HISTORICALLY AND CONTINUES TO IDENTIFY PRIORITIES FOR COMMUNITY BENEFIT THROUGH THE FOLLOWING INTERNAL REVIEW: THE THOREK MEMORIAL HOSPITAL (TMH) COMMUNITY NEEDS ASSESSMENT IS AN ONGOING PROCESS CONDUCTED BY TMH MANAGEMENT AND SUMMARIZED ANNUALLY IN THE ANNUAL NON-PROFIT HOSPITAL COMMUNITY BENEFIT PLAN REPORT SUBMITTED TO THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS. THIS PROCESS UTILIZES INFORMATION OBTAINED FROM HEALTH AGENCIES AND PRACTITIONERS, COMMUNITY ORGANIZATIONS, AND COMMUNITY REPRESENTATIVES. THIS INFORMATION HAS BEEN GATHERED EITHER THROUGH REVIEW OF PUBLISHED INFORMATION, WRITTEN FEEDBACK, OR DIRECT INTERVIEWS OR DISCUSSIONS WITH PHYSICIANS AND PATIENTS. INDIVIDUALS INCLUDED ARE PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, REPRESENTATIVES FROM THE ELDERLY POPULATION, LOCAL EMPLOYERS, AND COMMUNITY REPRESENTATIVES. FINDINGS FROM THE ASSESSMENT INDICATE:- TMH SERVES A POPULATION HAVING LIMITED ECONOMIC MEANS- THE POPULATION SERVED BY TMH IS NOT BASED ON GEOGRAPHIC PROXIMITY- THERE IS A CONSENSUS BETWEEN TMH AND ITS MEDICAL STAFF REGARDING GOALS- THERE IS LOW CONSUMER AWARENESS OF TMH SERVICES, HOWEVER, THIS IS IMPROVING.THE TOP PRIORITY UNMET HEALTH NEEDS, BY AGE GROUP, ARE AS FOLLOWS:- ADULTS: ACCESS TO SERVICES (INSURANCE, COST)- SENIORS: COST; MEDICATIONS; POST-HOSPITAL SUPPORT; AND TRANSPORTATIONTHOREK MEMORIAL HOSPITAL HAS ADDRESSED AND/OR PLANS TO ADDRESS THESE IDENTIFIED PRIORITY NEEDS IN THE FOLLOWING WAYS IN THE COMMUNITY:- IMPROVE ACCESS TO SERVICES- AMBULATORY CARE. TMH HAS FOCUSED ON THE EXPANSION AND DIFFERENTIATION OF ITS AMBULATORY CARE PROGRAMS IN ORDER TO IMPROVE ACCESS AND SERVICE. THE AMBULATORY CARE DEPARTMENT HAS BEEN PHYSICALLY EXPANDED AND SE PARA TED INTO DISTINCT COMPONENTS.- CENTER FOR PRIMARY CARE. TMH OPERATES ITS CENTER FOR PRIMARY CARE. THIS NOT ONLY INCREASED THE SPACE DEVOTED TO AMBULATORY CARE BUT PROVIDES A PHYSICALLY DISTINCT AREA DESIGNED TO HAVE THE LOOK AND FEEL OF A PRIVATE MEDICAL OFFICE RATHER THAN A "WALK-IN CLINIC".- COMMUNITY AND LOCAL EMPLOYER HEALTH FAIRS AND EDUCATION SESSIONS FOCUS ON NEEDS AND CONCERNS OF SENIORS- CHA PROGRAM. TMH PROVIDES ACCESS TO MEDICAL SERVICES FOR RESIDENTS OF FIVE NEARBY CHICAGO HOUSING AUTHORITY (CHA) RESIDENTIAL FACILITIES BY OPERATING MEDICAL OFFICES IN THESE BUILDINGS. RESIDENTS OF THESE BUILDINGS ARE PREDOMINANTLY SENIORS WHO QUALIFY FOR SUBSIDIZED HOUSING BASED ON FINANCIAL NEED. TYPICAL OFFICE STAFFING CONSISTS OF AN RN AND A PHYSICIAN. IN ADDITION, PHARMACEUTICALS NEEDED BY RESIDENTS ARE DELIVERED FREE OF CHARGE FOR THOSE RESIDENTS THAT REQUIRE THEM BASED ON AN APPROPRIATE COMPLETED SCRIPTS BY THE PHYSICIANS. IN ADDITION TO THE PROVISION OF HEALTH SERVICES, EDUCATIONAL, SOCIAL, AND OTHER ACTIVITIES ARE ARRANGED BY STAFF FOR THE PATIENTS OF CHA AT FIVE SITES ON THE NORTH SIDE OF CHICAGO, IN THOREK'S PRIMARY SERVICE AREA. NO AMOUNTS ARE BILLED BY THE HOSPITAL FOR HEALTHCARE SERVICES PROVIDED AT THESE SITES. THOREK MEMORIAL HOSPITAL ALSO HELPS TO PROVIDE ACCESS TO SPECIALTY (CONSULTANT) PHYSICIAN SERVICES TO MEMBERS ON AN AS NEEDED BASIS.- MEDICATION. RECOGNIZING THE NEED TO PROVIDE ACCESS, EXPAND ALTERNATIVES, AND IMPROVE CONVENIENCE TO THOSE WE SERVE, TMH CONTINUES TO PROVIDE MEDICATION THROUGH ITS OUTPATIENT PHARMACY TO HOSPITAL PATIENTS AND CHA RESIDENTS.-TRANSPORTATION. TMH PROVIDES TRANSPORTATION VIA HOSPITAL VAN AND CONTRACTED TRANSPORTATION SERVICES BASED ON HOSPITAL TRANSPORTATION POLICIES TO 50+ CLUB MEMBERS AND OTHERS WITHIN DESIGNATED GEOGRAPHIC BOUNDARIES, AS DETERMINED APPROPRIATE BASED ON NEED AND CLINICAL STATUS, WHEN HOSPITAL SERVICES HAVE BEEN SCHEDULED IN ACCORDANCE WITH THE HOSPITAL'S TRANSPORTATION POLICY.INCREASE AWARENESS OF HEALTH PROGRAMS AVAILABLE:- COMMUNICATION OF SERVICES TO THE COMMUNITY AND ITS ORGANIZATIONS.- COMMUNITY HEALTH EDUCATION PROGRAMS DISCUSSING PREVENTION AND WELLNESS- ACCESS TO HOSPITAL AND PHYSICIAN SERVICES |
| PART VI, LINE 3: | THOREK UTILIZES SEVERAL METHODS TO COMMUNICATE ITS RESPONSIBILITY TO INFORM AND EDUCATE PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER GOVERNMENTAL PROGRAMS OR THE HOSPITAL'S FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES. THE HOSPITAL POSTS THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE IN ENGLISH AND SPANISH IN ALL REGISTRATION AND MOST WAITING AREAS THROUGHOUT THE HOSPITAL. MEMBERS OF THE BUSINESS OFFICE ALSO WORK WITH PATIENTS TO SEE WHAT OTHER COMMUNITY RESOURCES MAY BE AVAILABLE TO THE PATIENT FOR CURRENT AND FUTURE CARE PROVISION. THE FINANCIAL COUNSELOR AND MOST OTHER EMPLOYEES IN THE HOSPITAL'S BUSINESS OFFICE AND PATIENT REGISTRATION ARE FLUENT IN SPANISH, AND PHONE TRANSLATORS ARE USED FOR OTHER LANGUAGES. THE AVAILABILITY FOR CHARITY CARE AS WELL AS THE WORKSHEET TO CALCULATE ELIGIBILITY FOR CHARITY CARE IS POSTED ON THE HOSPITAL'S WEBSITE. IN ADDITION, ALL BILLS AND STATEMENTS SENT TO PATIENTS INCLUDE INFORMATION REGARDING THE FINANCIAL ASSISTANCE AND CHARITY CARE OPPORTUNITIES IN ENGLISH AND SPANISH. THE HOSPITAL ALSO CONTRACTS FOR A FULL TIME FTE TO PROVIDE FINANCIAL COUNSELING TO PATIENTS WHICH INCLUDES THE ASSISTANCE IN THE MEDICAID APPLICATION PROCESS AS WELL AS A SEARCH FOR OTHER COVERAGE OPTIONS AVAILABLE. |
| PART VI, LINE 4: | THOREK MEMORIAL HOSPITAL IS REPRESENTATIVE OF THE WIDE CROSS-SECTION OF THE POPULATION THAT IT SERVES. ITS COMMUNITY INCLUDES A SIZABLE NUMBER OF AFRICAN AMERICAN, ASIAN, AND HISPANIC RESIDENTS AS WELL AS A VARIETY OF OTHER ETHNIC GROUPS. THOREK MEMORIAL HOSPITAL'S LONG-STANDING STATUS AS A PREFERRED PROVIDER OF MEDICAL SERVICES FOR EMPLOYERS, ALSO WITH A MULTL ETHNIC MEMBERSHIP, CONTRIBUTES TO A WELL-ESTABLISHED WORKING CLASS ETHNIC CLIENT BASE. THE DEMOGRAPHICS INCLUDE A LISTING THAT GIVES THE ETHNIC DISTRIBUTION OF INPATIENTS. SINCE THOREK MEMORIAL HOSPITAL'S MEDICAL STAFF ALSO REFLECTS ETHNIC DIVERSITY, WE EXPECT TO MAINTAIN A SIGNIFICANT ETHNIC CUSTOMER BASE. AL THOUGH THOREK MEMORIAL HOSPITAL SERVES PATIENTS THROUGHOUT THE CHICAGO METROPOLITAN AREA AND EVEN AS FAR AWAY AS INDIANA AND WISCONSIN, WE HAVE DEFINED OUR COMMUNITY BASED UPON GEOGRAPHIC PROXIMITY. A PRIMARY SERVICE AREA HAS BEEN IDENTIFIED CONSISTING OF NEARBY ZIP CODE AREAS. THOREK MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF THE FOLLOWING: GRACELAND (60613),LINCOLN PARK (60614), KEDZIE-GRACE (60618), RAVENSWOOD (60625), UPTOWN (60640), LOGAN SQUARE (60647), EDGEWATER (60660), W.ROGERS PARK (60645), ROGERS PARK (60626), DIVISION (60651 ), AUSTIN (60644), BELMONT CRAGIN (60639), GARFIELD PARK (60624), NEAR WEST (60612), HAWTHORNE (60623), PILSEN (60608), AND NEAR SOUTH (60616), AS WELL AS ZIP CODES 60653, 60615, 60621, 60637, 60620, 60619, 60649, AND 60628.THE PRIMARY NOT-FOR-PROFIT COMMUNITY HOSPITALS ALSO SERVING THIS AREA INCLUDE: WEISS MEMORIAL HOSPITAL, ILLINOIS MASONIC MEDICAL CENTER (ADVOCATE), SWEDISH HOSPITAL (NORTHSHORE), ST. JOSEPH HOSPITAL (AMITA), HUMBOLDT PARK HEALTH, AND ST. MARY AND ST ELIZABETH HOSPITALS (AMITA). APPROXIMATELY 85% OF ADMISSIONS SERVED AT THOREK ARE FEDERALLY FUNDED OR SELF PAY/CHARITY. THE HOSPITAL CONTINUES TO MEET THE CRITERIA FOR A DISPROPORTIONATE SHARE HOSPITAL FOR MEDICARE/MEDICAID HIGH-VOLUME ADJUSTMENT FOR THE DEPARTMENT OF HUMAN SERVICES (PUBLIC AID). |
| PART VI, LINE 5: | THE GOVERNING BODY OF THOREK INCLUDES MEMBERS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. FURTHERMORE, THOREK EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. A NET COMMUNITY BENEFITS EXPENSE FOR THOREK IN 2020 IS AS FOLLOWS (FROM THE ANNUAL NON PROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT FILED IN ACCORDANCE WITH THE ILLINOIS ATTORNEY GENERAL GUIDELINES): CHARITY CARE AT COST - $354,400; LANGUAGE ASSISTANT SERVICES - $4,401; SUBSIDIZED HEALTH SERVICES - $385,330. THE HOSPITAL PROVIDES (FREE OF CHARGE) GUARDIANSHIP SERVICES THROUGH A LOCAL LEGAL FIRM FOR THOSE INPATIENT PSYCHIATRIC PATIENTS WHO ARE NOT ABLE TO MAKE APPROPRIATE MEDICAL DECISIONS FOR THEMSELVES. ALSO INCLUDED IN OTHER COMMUNITY BENEFIT PROGRAMS IS THE PROVISION OF TRANSPORTATION TO HOSPITAL PATIENTS THAT REQUIRE THIS SERVICE TO RECEIVE APPROPRIATE MEDICALLY NECESSARY HEALTH CARE AND PHYSICIAN SERVICES. THE TRANSPORTATION FOR THESE PATIENTS IS PERFORMED IN ACCORDANCE WITH THE HOSPITAL TRANSPORTATION POLICY. THOREK ORGANIZES THAI HEALTH FAIR AND PROVIDES DIABETIC EDUCATION WITH THE GOAL OF ADVOCATING AND PROMPTING THE HEALTH OF THE COMMUNITY. TOTAL CHARITY CARE AND COMMUNITY BENEFITS: $744,131. IN ADDITION, THOREK REPORTED BAD DEBT EXPENSE OF $3,111,205. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHILIP GORELICK MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $426,517 | $0 | $95,275 | $0 | $0 | $0 | $0 | $0 | $321 | $0 | $522,113 | $0 | $0 | $0 |
| PETER KAMBEROS | ||||||||||||||
| CHAIRMAN & COO | $407,897 | $0 | $83,173 | $0 | $0 | $0 | $0 | $0 | $1,284 | $0 | $492,354 | $0 | $0 | $0 |
| EDWARD BUDD | ||||||||||||||
| CEO | $385,102 | $0 | $88,065 | $0 | $0 | $0 | $0 | $0 | $16,686 | $0 | $489,853 | $0 | $0 | $0 |
| JOHN HUNNIFORD MD | ||||||||||||||
| PHYSICIAN | $337,948 | $0 | $99,739 | $0 | $0 | $0 | $0 | $0 | $6,649 | $0 | $444,336 | $0 | $0 | $0 |
| TIM HEINRICH | ||||||||||||||
| CFO | $295,461 | $0 | $69,525 | $0 | $0 | $0 | $0 | $0 | $16,686 | $0 | $381,672 | $0 | $0 | $0 |
| GENEVIEVE PRESBITERO | ||||||||||||||
| CHIEF NURSING OFFICER | $273,364 | $0 | $57,938 | $0 | $0 | $0 | $0 | $0 | $7,291 | $0 | $338,593 | $0 | $0 | $0 |
| SEEMA ELAHI | ||||||||||||||
| PHYSICIAN | $242,687 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,548 | $0 | $255,235 | $0 | $0 | $0 |
| NAYNA NAVIK | ||||||||||||||
| PHYSICIAN | $206,352 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,649 | $0 | $213,001 | $0 | $0 | $0 |
| JULIA DYER MD | ||||||||||||||
| PHYSICIAN | $207,082 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $207,082 | $0 | $0 | $0 |
| SUZANNE CHAN | ||||||||||||||
| NURSE PRACTITIONER | $195,161 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,776 | $0 | $200,937 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | AS INDICATED IN SCHEDULE J, PART II, CERTAIN OFFICERS AND HIGHEST COMPENSATED EMPLOYEES OF THE ORGANIZATION RECEIVED A BONUS BASED ON PERFORMANCE GOALS AND THE FINANCIAL RESULTS OF THE ORGANIZATION. THIS BONUS WAS APPROVED BY THE COMPENSATION COMMITTEE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DID NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF TRUSTEES RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. MANAGEMENT REVIEWS THE COMPLETED FORM 990 AND SUBSEQUENTLY PRESENTS A COPY TO THE HOSPITAL BOARD OF TRUSTEES ALONG WITH THE INDEPENDENT CPA FIRM. THE BOARD OF TRUSTEES HAS THE OPPORTUNITY TO REVIEW THE RETURN, ASK QUESTIONS, AND SUGGEST CHANGES. THE BOARD OF TRUSTEES APPROVES THE FINAL VERSION OF THE RETURN AND MANAGEMENT FILES THIS RETURN WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE HOSPITAL REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL REVIEW AND COMPLETION OF THE ANNUAL BOARD MEMBER QUESTIONNAIRE AND CONFLICT OF INTEREST POLICY BY EACH MEMBER OF THE BOARD OF TRUSTEES. THE CORPORATE COMPLIANCE OFFICER REVIEWS AND ENFORCES THE CONFLICT OF INTEREST POLICY. IF A CONFLICT ARISES, THE BOARD MEMBER ABSTAINS FROM VOTING ON THE RELEVANT ISSUE. |
| FORM 990, PART VI, SECTION B, LINE 15 | AN ANNUAL REVIEW OF COMPENSATION WAS COMPLETED FOR FISCAL YEAR 2021. THE INFORMATION WAS DISTRIBUTED TO THE COMPENSATION COMMITTEE OF THE BOARD. THE COMMITTEE WILL THEN MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES ON AN ANNUAL BASIS. ALL DECISIONS BY THE COMPENSATION COMMITTEE ARE DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE. THE HOSPITAL ENGAGED CROWE LLP TO PROVIDE A COMPARATIVE SALARY ANALYSIS FOR ALL EMPLOYEES FOR FISCAL YEAR 2021. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THOREK MEMORIAL FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 850 W IRVING PARK ROAD | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60613 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 366124318 | EIN |
| Primary Activities | SUPPORT THOREK MEMORIAL HOSPITAL | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12B, II | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THOREK MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| 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 | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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