St Margaret's Health-Peru: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- St Margaret's Health-Peru (EIN 36-2852553)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-06-01
- IRS object ID
- 202241529349301024
- 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 | 2022-06-01T10:18:19-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | 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 | 362852553 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Margaret's Health-Peru | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 8152233300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 925 West Street | AddressLine1Txt |
| City | Peru | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61354 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Timothy A Muntz | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Phone | 8152233300 | PhoneNum |
| Signature | 2022-06-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Timothy | PersonFirstNm |
| Person Last | Muntz | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2022-06-01 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | 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 | Timothy A Muntz | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 925 West Street | AddressLine1Txt |
| City | Peru | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61354 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $75,392,441 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.aboutsmh.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | Provide exceptional care through commitment to clinical excellence and compassion for every patient. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 656 | TotalEmployeeCnt |
| Total Volunteers | 150 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,336,464 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,220,883 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $68,493,879 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $71,366,712 | CYProgramServiceRevenueAmt |
| PY Investment Income | $904,827 | PYInvestmentIncomeAmt |
| CY Investment Income | $413,672 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$2,320,765 | PYOtherRevenueAmt |
| CY Other Revenue | -$144,212 | CYOtherRevenueAmt |
| PY Total Revenue | $79,414,405 | PYTotalRevenueAmt |
| CY Total Revenue | $74,857,055 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $13,350 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,075 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,280,134 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $38,380,183 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $40,170,670 | PYOtherExpensesAmt |
| CY Other Expenses | $43,161,531 | CYOtherExpensesAmt |
| PY Total Expenses | $80,464,154 | PYTotalExpensesAmt |
| CY Total Expenses | $81,547,789 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,049,749 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,690,734 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $68,370,653 | TotalAssetsBOYAmt |
| Total Assets EOY | $64,866,732 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $52,310,389 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $54,424,974 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,060,264 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,441,758 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | St. Margaret's Health Care, in union with the Sisters of Mary of the Presentation, is committed to the values of Catholic health care in caring for the needs of our patients and their families, the community and one another. Through our belief in God and our respect for life, we provide holistic quality health care with dignity and compassion. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $69,103,589 | ExpenseAmt |
| Grant | $6,075 | GrantAmt |
| Revenue | $71,366,712 | RevenueAmt |
| Desc | St. Margaret's Health-Peru is a 49-bed acute care hospital located in Peru, Illinois. The Hospital also operates a network of primary and specialty care physician clinics in Peru and the surrounding area. Services range from employed physicians and mid-levels in the specialties of Family Medicine, Internal Medicine, Obstetrics/Gynecology, Orthopedics, Otorhinolaryngology, and Sleep Medicine. In addition to these physician practices, the Hospital also offers the Care Today Clinic which provides a lower-cost, convenient alternative to emergency room care. Contracted physician services are provided for Emergency Medicine, Anesthesiology, Pathology and Hospitalists' services. Statement continued on Schedule O.Inpatient hospital services provided include medical and surgical services, ICU, Obstetrics, Swing Beds, Diagnostic, Rehab and Treatment Services. Outpatient services include Surgery, Emergency Room, Laboratory, Diagnostic Imaging, Rehab Services, Pain Management, Sleep Therapy, Wound Management, Respiratory Care, EKG, other diagnostic and therapeutic services. Hospice services are also provided. St. Margaret's Health - Peru is a Medicare dependent Hospital and qualifies for disproportionate share payments. The Hospital is committed to providing the highest quality of health services to all patients, regardless of their financial status or ability to pay. Statistics:- inpatient admissions: 1,729- inpatient days: 5,343- newborn deliveries: 316- inpatient surgeries: 443- outpatient surgeries: 3310- outpatient visits: 73,732- emergency room visits: 10,759- clinic visits: 53,305 | Desc |
| Total Program Service Expenses | $69,103,589 | 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 | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 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 | 53 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 656 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| 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 | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | 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 | 0 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lisa Lynch | PersonNm |
| Phone | 8157803574 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 925 West Street | AddressLine1Txt |
| City | Peru | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61354 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| James Loveland | ||||||||
| President until Dec 2020 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| James Clinard | ||||||||
| Vice President until Dec 2020 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Richard Martuzzo | ||||||||
| Secretary until Dec 2020 | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| David Sickley | ||||||||
| Treasurer until Dec 2020 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Joseph Hogan | ||||||||
| Director until Dec 2020 | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Cindy Kurkowski | ||||||||
| Director until Sept 2020 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Joel Leifheit MD | ||||||||
| Director until Dec 2020 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Kristine Paul | ||||||||
| Director until Dec 2020 | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael Rooney OD | ||||||||
| Director until Sept 2020 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| William Vlastnik | ||||||||
| Director until Dec 2020 | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Eric Santos MD | ||||||||
| Director as of Jan 2021 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Mark Fernandez MD | ||||||||
| Director as of Jan 2021 | 40.00 | 0.00 | Yes (X) | $332,349 | $0 | $38,529 | ||
| Tommy Hobbs-CEO until Dec | ||||||||
| 2020 VP of Oper as of Jan 2021 | 57.00 | 4.00 | Yes (X) | Yes (X) | $272,098 | $0 | $31,286 | |
| Kim Santman | ||||||||
| VP of Finance as of Jan 2021 | 4.00 | 57.00 | Yes (X) | Yes (X) | $0 | $283,738 | $27,805 | |
| Timothy A Muntz - Chair | ||||||||
| President & CEO as of Jan 2021 | 4.00 | 57.00 | Yes (X) | Yes (X) | $0 | $471,180 | $23,991 | |
| Lisa Lynch-CFO until Dec 2020 | ||||||||
| Asst VP Fin as of Jan 2021 | 57.00 | 4.00 | Yes (X) | $144,287 | $0 | $24,722 | ||
| Robert Mitchell DO | ||||||||
| Orthopedics | 40.00 | 0.00 | $712,363 | $0 | $30,866 | Yes (X) | ||
| Mario Cote MD | ||||||||
| Geriatric and Internal Medicine | 40.00 | 0.00 | $522,085 | $0 | $41,248 | Yes (X) | ||
| Connor Kasik DO | ||||||||
| Orthopedics | 40.00 | 0.00 | $701,378 | $0 | $35,834 | Yes (X) | ||
| Ioannis Karkatzounis MD | ||||||||
| Sleep Medicine and Hospitalist | 40.00 | 0.00 | $614,162 | $0 | $41,244 | Yes (X) | ||
| Maher Younes MD | ||||||||
| ENT | 40.00 | 0.00 | $498,227 | $0 | $18,969 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,796,949 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $754,918 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $314,494 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | 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 |
|---|---|---|---|---|---|
| Peru Emergency Physicians LLP | |||||
| PO Box 677979 | Dallas | TX | 75267 | Physician Services | $3,278,087 |
| Valley Anesthesia Services LLC | |||||
| 23273-2525 East Street | Princeton | IL | 61356 | Anesthesia Services | $1,332,250 |
| Nixon Peabody LLP | |||||
| 1300 Clinton Square | Rochester | NY | 14604 | Legal Services | $767,812 |
| Saint Frances Medical Center | |||||
| 5901 W War Memorial Drive | Peoria | IL | 61615 | Laboratory Services | $635,967 |
| Medical Referral Network Interntl | |||||
| 72877 Dinah Shore Dr Ste 103 | Rancho Mirage | CA | 92270 | Physician Services | $481,588 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $675 | RelatedOrganizationsAmt |
| Government Grants | $3,155,883 | GovernmentGrantsAmt |
| All Other Contributions | $64,325 | AllOtherContributionsAmt |
| Total Contributions | $3,220,883 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621110 | $70,683,188 | $70,683,188 |
| Transport Vehicle Revenue | 900099 | $221,336 | $221,336 |
| Management Fees | 541610 | $60,000 | $60,000 |
| Cafeteria Revenue | 721000 | $28,204 | $28,204 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $373,984 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $373,984 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $71,366,712 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,401 | TotalRevenueColumnAmt |
| Exclusion | $85,401 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $391,174 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $535,386 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$144,212 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$144,212 | TotalRevenueColumnAmt |
| Exclusion | -$144,212 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $328,271 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $328,271 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $328,271 | TotalRevenueColumnAmt |
| Exclusion | $328,271 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,857,055 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $71,366,712 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $269,460 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,075 | TotalAmt |
| Program Services | $6,075 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $675,739 | TotalAmt |
| Program Services | $368,853 | ProgramServicesAmt |
| Management And General | $306,886 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,359,299 | TotalAmt |
| Program Services | $27,497,477 | ProgramServicesAmt |
| Management And General | $3,861,822 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $827,463 | TotalAmt |
| Program Services | $725,595 | ProgramServicesAmt |
| Management And General | $101,868 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,660,783 | TotalAmt |
| Program Services | $3,211,523 | ProgramServicesAmt |
| Management And General | $449,260 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,856,899 | TotalAmt |
| Program Services | $1,630,637 | ProgramServicesAmt |
| Management And General | $226,262 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $577,645 | TotalAmt |
| Management And General | $577,645 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,000 | TotalAmt |
| Management And General | $48,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,477 | TotalAmt |
| Management And General | $22,477 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,658,557 | TotalAmt |
| Program Services | $12,883,939 | ProgramServicesAmt |
| Management And General | $4,774,618 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,804 | TotalAmt |
| Program Services | $57,976 | ProgramServicesAmt |
| Management And General | $264,828 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,674,658 | TotalAmt |
| Program Services | $4,375,063 | ProgramServicesAmt |
| Management And General | $299,595 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,579,707 | TotalAmt |
| Program Services | $1,058,404 | ProgramServicesAmt |
| Management And General | $521,303 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,064,475 | TotalAmt |
| Program Services | $2,023,049 | ProgramServicesAmt |
| Management And General | $41,426 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,033 | TotalAmt |
| Program Services | $57,770 | ProgramServicesAmt |
| Management And General | $263 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $653,973 | TotalAmt |
| Program Services | $529,718 | ProgramServicesAmt |
| Management And General | $124,255 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,860,115 | TotalAmt |
| Program Services | $1,457,832 | ProgramServicesAmt |
| Management And General | $402,283 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $995,457 | TotalAmt |
| Program Services | $869,717 | ProgramServicesAmt |
| Management And General | $125,740 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $6,677,494 | $6,677,494 | |
| Hospital Assessment Pay | $3,066,033 | $3,066,033 | |
| Repairs and Maintenance | $1,584,900 | $1,507,757 | $77,143 |
| Dues and Subscriptions | $136,441 | $60,274 | $76,167 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,180,762 | TotalAmt |
| Program Services | $1,038,403 | ProgramServicesAmt |
| Management And General | $142,359 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,547,789 | TotalAmt |
| Program Services | $69,103,589 | ProgramServicesAmt |
| Management And General | $12,444,200 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,762,599 | BOYAmt |
| EOY | $11,485,885 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,227,591 | BOYAmt |
| EOY | $11,407,530 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,084,685 | BOYAmt |
| EOY | $2,085,367 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $907,307 | BOYAmt |
| EOY | $1,117,884 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $117,769,862 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $94,940,552 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,777,616 | BOYAmt |
| EOY | $22,829,310 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,590,919 | BOYAmt |
| EOY | $7,782,178 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $302,427 | BOYAmt |
| EOY | $363,549 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,717,509 | BOYAmt |
| EOY | $7,795,029 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,370,653 | BOYAmt |
| EOY | $64,866,732 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,801,697 | BOYAmt |
| EOY | $10,013,060 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,263 | BOYAmt |
| EOY | $8,697,757 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,813,402 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,869,215 | BOYAmt |
| EOY | $20,635,388 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,819,812 | BOYAmt |
| EOY | $15,078,769 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,310,389 | BOYAmt |
| EOY | $54,424,974 | 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 | $14,787,467 | BOYAmt |
| EOY | $9,705,484 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,272,797 | BOYAmt |
| EOY | $736,274 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,060,264 | BOYAmt |
| EOY | $10,441,758 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,370,653 | BOYAmt |
| EOY | $64,866,732 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$6,690,734 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $295,703 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $240,002 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $536,523 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $22,477 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $22,477 | 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 | The Health Center pays dues to Illinois Hospital Association, American Hospital Association, and Medicare Dependent Rural Hospital Coalition. A portion of the dues paid are attributable to lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,476,235 | OtherCostOrOtherBasisAmt |
| Book Value | $1,476,235 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $53,756,101 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,275,832 | DepreciationAmt |
| Book Value | $15,480,269 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $325,067 | OtherCostOrOtherBasisAmt |
| Depreciation | $280,796 | DepreciationAmt |
| Book Value | $44,271 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,728,752 | OtherCostOrOtherBasisAmt |
| Depreciation | $55,161,521 | DepreciationAmt |
| Book Value | $5,567,231 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,483,707 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,222,403 | DepreciationAmt |
| Book Value | $261,304 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,829,310 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Dues from Affiliates | $5,722,926 |
| Interest in Illinois Valley Community Hospital Foundation | $736,274 |
| Other Assets | $1,308,263 |
| Rent Receivable | $27,566 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,795,029 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Pension Obligation | $3,347,382 |
| Estimated Third-Party Payor Settlements | $3,931,790 |
| Estimated Self-Insurance Costs | $3,660,902 |
| Due to Affiliates | $4,138,695 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,078,769 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | St. Margaret's Health - Peru is a nonprofit corporation described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code. However, the Hospital is subject to federal income tax on any unrelated business taxable income. | ExplanationTxt |
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 |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $656,651 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $656,651 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,932,346 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,098,887 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,833,459 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03470 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,588,997 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,098,887 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,490,110 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04280 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,423,871 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,072,659 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,351,212 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05340 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,423,871 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,072,659 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,351,212 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05340 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,012,868 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,171,546 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,841,322 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09620 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,591,460 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $459,146 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $15,995,334 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $17,917,832 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,922,498 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Margaret's Health - Peru | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 925 West Street | AddressLine1Txt |
| City | Peru | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61354 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | aboutsmh.org | WebsiteAddressTxt |
| State License | 0003418 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 5 rural health provider based clinics and 1 provider based clinic | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Margaret's Health - Peru | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Supplemental Information | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Supplemental Information | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://aboutsmh.org/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://aboutsmh.org/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://aboutsmh.org/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. Margaret's Health - Peru | Part V, Section B, Line 3j: Industry data related to projected growth in need for various services specific to the population of this area. |
| St. Margaret's Health - Peru | Part V, Section B, Line 5: The Community Health Needs Assessment (CHNA) stakeholders working group, comprised of members representing the broad interests of the communities served, was responsible for the CHNA process. The stakeholder group included members from St. Margaret's Health - Peru, IVCH Medical Group, La Salle County Health Dept, Alternatives for the Older Adult, North Central Behavioral Health Services, Oglesby Public Schools and Illinois Valley United Way. The working group developed a survey instrument, evaluated survey responses, collected and evaluated secondary data, synthesized the primary and secondary data, and identified and prioritized community health needs. Primary data for this assessment came from a survey developed, distributed and analyzed by the stakeholders working group specifically for CHNA. |
| St. Margaret's Health - Peru | Part V, Section B, Line 11: The community health needs assessment includes a description of the actions taken to meet needs that were identified in the community health needs assessment. The areas of concern that have been identified in the new 2018 community health needs assessment, relate to cost and quality of healthcare, access to specialists and specialized treatments, and mental health and substance abuse.Regarding cost and quality of care, St. Margaret's Health - Peru has implemented a palliative care program to reduce patient and overall cost of care while enhancing care and service to patients; promoted and provided annual wellness visits to proactively manage the health of patients; and educated and assisted patients to understand available insurance and coverages provided by Medicare and Medicaid.Regarding access to specialists and specialized care, St. Margaret's Health - Peru conducted analysis to determine more specifically what the community is seeking, and augmented a medical staff development plan to recruit orthopedic surgeon, OB/GYN physicians and neurologist.Regarding mental health and substance abuse, St. Margaret's Health - Peru has increased access to mental health treatment by providing telepsychiatry services in primary care clinics; continued focus on pediatric mental health through services offered at the hygienic institute; and increased awareness of current medication assisted therapy treatment options offered through the IVCH Medical Group. |
| Form 990, Sch H, Part V, Section B, Line 7 and 10: | CHNA:https://aboutsmh.org/community-health-needs-assessments/Implementation Strategy:https://aboutsmh.org/community-health-needs-assessments/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Center for Physical Rehabilitation | ||||
| 300 Walnut Street | Peru | IL | 61354 | Outpatient Physical Rehabilitation |
| 2 - IVCH Wound & Hyperbaric Center | ||||
| 1403 6th Street | Peru | IL | 61354 | Wound and Hyperbaric Therapy |
| 3 - IVCH Care Today | ||||
| 300 Walnut Street | Peru | IL | 61354 | Urgent Care Alternative to ER |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b was calculated using the costing methods to prepare the cost reports. The cost for subsidized health services reported on line 7g was determined using the Medicare cost report. |
| Part III, Line 2: | The amount reported on line 2 represents implicit price concessions. The Hospital determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. |
| Part III, Line 3: | An estimated 10% of implicit price concessions are assumed to be attributable to patients that would have qualified for the organization's financial assistance policy. |
| Part III, Line 4: | The financial statement footnote regarding implicit price concessions may be found on pages 10 and 11 of the audited financial statements. |
| Part III, Line 8: | St. Margaret's Health - Peru provides services to patients under the Medicare program knowing they will not recover all the costs associated with providing these services. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the Medicare shortfall is considered a community benefit.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare cost report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services. |
| Part III, Line 9b: | When a patient is in the process of applying for financial assistance the account is placed on hold and no further collection efforts are made until the request for assistance has been resolved. The application process includes facilitating the patient's application for various assistance programs, and identifying where the patient falls in the discount scale of the organization based on income level and size of family. If there is a balance remaining after charity care or other financial assistance has been applied, a mutually agreen upon payment plan is developed and the account follows the same collection procedures as all other self-pay accounts. Monthly payments are required and balances are typically expected to be paid in full within one year. Extensions may be approved for unexpected changes in ability to meet the payment schedule. Collection procedures include statements, past due notices, phone calls, and, if agreed upon payment arrangements cannot be met, the account is referred to a collection agency. |
| Part VI, Line 2: | The determination of current and future health care needs of the communities served by St. Margaret's Health - Peru is based on a combination of the following factors: existence or non-existence of appropriate services, demonstrated need, voice of the customer, collaboration with community organizations, government agencies and other health care providers, benchmarking market research, customer surveys, physician input and monitoring of state and federal guidelines. This information is reviewed and analyzed by the hospital's administrative team and incorporated into the hospital's strategic planning process. |
| Part VI, Line 3: | Documentation is provided at the time of registration informing patients that financial assistance is available and providing contact information for the patient financial services department. Basic information and contact information is also available at aboutsmh.org by selecting the home page's financial assistance button. When contacted by a patient, financial counselors work individually with each applicant to determine eligibility for charity or financial assistance. Notices about financial assistance programs are posted in the registration areas and information is also included on the patient statements. The social services department notifies each inpatient of financial assistance programs available at St. Margaret's Health - Peru as well as local, state, and federal programs they may be eligible for. |
| Part VI, Line 4: | St. Margaret's Health - Peru serves the residents of rural communities located in LaSalle, Bureau and Putnam counties, in north central Illinois. The hospital is located near the junction of interstates 80 and 39 and is 62 miles west of Joliet and 64 miles north of Bloomington. The primary service area of the hospital has a population of about 35,000 people. No population growth is projected for the area. The largest area employers are involved in transportation, warehousing, agriculture, light industry, and retail services. The service area race and ethnicity is composed of 85% White, 3% African American, 10% Hispanic, and 1% Asian. According to the Illinois department of employment security, the 2021 unemployment rate in LaSalle county was 6.0%, which was slightly lower than the state of Illinois (6.1%) and higher than the United States (5.3%). The median household income is LaSalle ($60,069), Bureau ($55,549) and Putnam ($64,694) counties were below the state of Illinois figure of $68,428. The proportion of LaSalle county residents living below the federal poverty level of 11.4% is more than the state average of 11.0%. St. Margaret's Health - Peru serves patients without regard to age, gender, income, ethnic origin, insurance coverage, or ability to pay. Approximately 66% of the hospital's gross patient service revenue was from participation in the Medicare and Medicaid programs for the year ending June 30, 2021. |
| Part VI, Line 5: | The board of directors of St. Margaret's Health - Peru have regular input on strategic planning, new services, technology, and physician recruitment. St. Margaret's Health - Peru maintains an open medical staff and is constantly recruiting new physicians to meet identified needs. All available cash flow generated by the organization is reinvested back into the hospital through the purchase of property and equipment to provide services that meet the needs of the service area. The community outreach department offers a wide variety of health and wellness programming, including Tai Chi classes, free blood pressure and glucose screenings, hemoglobin A1C screenings, lipid profile screenings, healthy heart screenings, prostate cancer screenings, smoking cessation classes, babysitting clinics, CPR instruction, and first aid. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert Mitchell DO | ||||||||||||||
| Orthopedics | $617,941 | $0 | $20,890 | $0 | $73,532 | $0 | $8,550 | $0 | $24,443 | $0 | $745,356 | $0 | $0 | $0 |
| Connor Kasik DO | ||||||||||||||
| Orthopedics | $593,137 | $0 | $51 | $0 | $108,190 | $0 | $5,586 | $0 | $31,909 | $0 | $738,873 | $0 | $0 | $0 |
| Ioannis Karkatzounis MD | ||||||||||||||
| Sleep Medicine and Hospitalist | $451,086 | $0 | $51 | $0 | $163,025 | $0 | $8,550 | $0 | $33,980 | $0 | $656,692 | $0 | $0 | $0 |
| Mario Cote MD | ||||||||||||||
| Geriatric and Internal Medicine | $255,700 | $0 | $206,453 | $0 | $59,932 | $0 | $8,550 | $0 | $33,984 | $0 | $564,619 | $0 | $0 | $0 |
| Maher Younes MD | ||||||||||||||
| ENT | $477,706 | $0 | $51 | $0 | $20,470 | $0 | $8,550 | $0 | $13,106 | $0 | $519,883 | $0 | $0 | $0 |
| Timothy A Muntz - Chair | ||||||||||||||
| President & CEO as of Jan 2021 | $0 | $398,250 | $0 | $66,930 | $0 | $6,000 | $0 | $0 | $0 | $27,631 | $0 | $498,811 | $0 | $0 |
| Mark Fernandez MD | ||||||||||||||
| Director as of Jan 2021 | $228,824 | $0 | $24,880 | $0 | $78,645 | $0 | $8,550 | $0 | $32,402 | $0 | $373,301 | $0 | $0 | $0 |
| Kim Santman | ||||||||||||||
| VP of Finance as of Jan 2021 | $0 | $257,000 | $0 | $26,738 | $0 | $0 | $0 | $0 | $0 | $31,360 | $0 | $315,098 | $0 | $0 |
| Tommy Hobbs-CEO until Dec | ||||||||||||||
| 2020 VP of Oper as of Jan 2021 | $269,941 | $0 | $351 | $0 | $1,806 | $0 | $8,384 | $0 | $24,271 | $0 | $304,753 | $0 | $0 | $0 |
| Lisa Lynch-CFO until Dec 2020 | ||||||||||||||
| Asst VP Fin as of Jan 2021 | $143,323 | $0 | $451 | $0 | $513 | $0 | $4,486 | $0 | $20,970 | $0 | $169,743 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Compensation for Tommy Hobbs, CEO until December 31, 2020, was deterimined by the Hospital. The methods on marked on Part I, line 3 were used to determine compensation. Compensation for Tim Muntz, CEO as of January 1, 2021, was determined by Sisters of Mary of the Presentation Health System (SMP Health), a related organization. Sisters of Mary of the Presentation Health System used one or more of the methods on Part I, line 3 to determine compensation. |
| Part I, Line 4b | SMP Health has a nonqualified deferred compensation plan that complies with Section 409A of the IRC. SMP Health begins contributions into the plan after the employee's first year of service. The employee is vested based on a 20 year vesting schedule or becomes fully vested in the event of death, disability or reaching the age of 65. Employee name and amounts included on Schedule J are as follows: Name Part II, column B (iii) Timothy Muntz 24,888 Kim Santman 10,792 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 2 | Illinois Valley Community Hospital, now St. Margaret's Health - Peru, St. Margaret's Hospital, IV HealthCorp, Sisters of Mary of the Presentation Health System and Illinois Valley Community Hospital Foundation entered into an Affiliation Agreement on January 1, 2021. The affliation was done to better ensure the entities and related entities could accomplish the charitable healthcare purposes for which they were organized. |
| Form 990, Part IV, Line 20b: | St. Margaret's Health - Peru is in the process of an audit of the financial statements for the 15 months ended September 30, 2021. The Hospital changed its year end from June 30 to September 30, 2021. The audited financial statements in process are for July 1, 2020 thru September 30, 2021. At the time of filing this return, the audit is not complete. The Hospital has attached a copy of its most recent audited financial statements for the year ended June 30, 2020 to the Form 990 and answered yes to Part IV, line 20b. |
| Form 990, Part VI, Section A, line 1 | Prior to the affiliation, the Board of Trustees could create an Executive Committee composed of members of the Board of Trustees. The Executive Committee served during periods when the Board was not in session. The Executive Committee was responsible for the management, supervision, and investment of the Hospital's assets and reviewed and processed all applications and requests for grants, contributions, and financial assistance and was authorized to approve charitable contributions and to take such other action as may be necessary on behalf of the Hospital; provided, that any action did not conflict with the policies and expressed desires of the Board and that the committee reported all matters acted upon to the Board at its next meeting for ratification and approval. After the affiliation agreement the Organization does not have an Executive Committee. |
| Form 990, Part VI, Section A, line 6 | St. Margaret's Health - Peru is a subsidiary of its sole corporate member, IV Health Corp, Inc. |
| Form 990, Part VI, Section A, line 7a | Members of the board of directors of the parent company, IV Health Corp, Inc., acting on behalf of the parent, have reserved powers to, as it relates to the operations of St. Margaret's Health - Peru to appoint and remove directors and to ratify and remove officers. |
| Form 990, Part VI, Section A, line 7b | Members of the board of directors of the parent company, IV Health Corp, Inc., acting on behalf of the parent, have reserved powers to, as it relates to the operations of St. Margaret's Health - Peru, to adopt, amend, or repeal the articles of incorporation and/or bylaws, adopt a plan of merger, consolidation or dissolution, approve the purchase, sale, transfer, lease encumbrance of property, approve borrowing with a term greater than a one year term or which requires a mortgage of real property, and selection or modificiation of the business/legal name of the entity. |
| Form 990, Part VI, Section B, line 11b | The CEO and VP of Finance review the Form 990 prior to submission to the IRS. The final version of the Form 990 is e-mailed or hand delivered to each board member for their review and to answer questions regarding the 990. |
| Form 990, Part VI, Section B, line 12c | The officers and directors of St. Margaret's Health - Peru are covered under the conflict of interest policy and have a duty to disclose actual or possible conflicts of interest. All persons covered under the policy are required to annually complete a conflict of interest questionnaire and disclose any interest that could give rise to conflicts. Transactions with covered persons, or entities in which a covered person has any type of interest, must be an arms length transaction. The board of directors will review any transactions in question and determine if a conflict exists. The interested person may make a presentation, but must leave the meeting during discussion of, and the vote on, the transaction. If a conflict of interest exists, the board of directors may appoint a disinterested person or committee to investigate alternatives to the proposed transaction, determine if there's a more advantageous transaction that would not give rise to a conflict, or vote to determine if the transaction is in the hospital's best interest and whether it is fair and reasonable. If the board of directors has reasonable cause to believe that a member has failed to disclose a possible conflict of interest, the board will inform the member of the basis of such belief and afford the member an opportunity to explain. Further investigation maybe be warranted, and the board shall take appropriate disciplinary and corrective action as needed. |
| Form 990, Part VI, Section B, line 15a | Prior to the affiliation agreement an adhoc committee of the board of directors (including the board president, chairperson of the personnel committee, and at least one other member) conduct an annual performance review of the CEO and determine any change/increase in the compensation, if any, based upon benchmark compensation surveys and area norms. The CEO has a written employment contract renewal of the contract or increase in compensation must be approved by a majority of the board of directors. This compensation review was completed in 2020. After the affiliation agreement the CEO and CFO are compensated by Sisters of Mary of the Presentation Health System, a related organization. |
| Form 990, Part VI, Section C, line 19 | The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. |
| Form 990, Part IX, line 11g | Purchased Services: Program service expenses 7,935,972. Management and general expenses 4,774,618. Fundraising expenses 0. Total expenses 12,710,590. Other Fees: Program service expenses 4,947,967. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,947,967. |
| Form 990, Part XI, line 9: | Change in investment of Illinois Valley Community Hospital Foundation 536,523. |
| Form 990 Part XI, Line 8: | The 2019 Form 990 was filed before the audited financial statements were finalized for 7/01/2019 - 6/30/2020 therefore a prior period adjustment of $778,925 is reported on the 2020 Form 990 due to audit adjustments after the 2019 Form 990 was submitted. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Exempt Code SectionExemptCodeSectionTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Sisters of Mary of the Presentation Health Ministry | |||||||||||
| 1202 Page Drive SW | Fargo | ND | 58106 | 813757471 | Supports SMP Health and the related entities | ND | Canonical Entity | N/A | 0 | ||
| Sisters of Mary of the Presentation Health System dba SMP Health | |||||||||||
| 1202 Page Drive SW | Fargo | ND | 58103 | 450359620 | Support related ND Catholic Health Care System | ND | Line 12a, I | 0 | 501(c)(3) | SMP Health Ministry | |
| St Aloisius Medical Center dba SMP Health - St Aloisius | |||||||||||
| 325 E Brewster St | Harvey | ND | 58341 | 450226729 | Provision of health care services | ND | Line 3 | 0 | 501(c)(3) | SMP Health | |
| St Andrew's Health Center dba SMP Health - St Andrew's | |||||||||||
| 316 Ohmer St | Bottineau | ND | 58318 | 450226426 | Provision of health care services | ND | Line 3 | 0 | 501(c)(3) | SMP Health | |
| St Andrew's Hospital Foundation dba SMP Health St Andrew's Foundation Inc | |||||||||||
| 316 Ohmer St | Bottineau | ND | 58318 | 450413201 | Support SMP Health - St. Andrew's | ND | Line 12a, I | 0 | 501(c)(3) | SMP Health | |
| Presentation Medical Center dba SMP Health - St Kateri | |||||||||||
| 213 2nd Ave NE | Rolla | ND | 58367 | 450227391 | Provision of health care services | ND | Line 3 | 0 | 501(c)(3) | SMP Health | |
| Sisters of Mary of the Presentation Prairieland Home Care dba Prairieland H | |||||||||||
| 1102 Page Drive SW | Fargo | ND | 58106 | 450391192 | Home health and supportive services | ND | Line 10 | 0 | 501(c)(3) | SMP Health | |
| Sisters of Mary of the Presentation Long Term Care dba SMP Health - Long Te | |||||||||||
| 1202 Page Drive SW | Fargo | ND | 58106 | 752999939 | Provide extended care and medically related services | ND | Line 10 | 0 | 501(c)(3) | SMP Health | |
| St Margaret's Hospital Foundation | |||||||||||
| 600 E 1st St | Spring Valley | IL | 61362 | 364042262 | Support SMP Health - St. Margaret's | IL | Line 12a, I | 0 | 501(c)(3) | SMP Health | |
| SMP Illinois Region Health System dba St Margaret's Health | |||||||||||
| 600 E 1st St | Spring Valley | IL | 61362 | 842023121 | Support related Illinois health care entities | IL | Line 12a, I | 0 | 501(c)(3) | SMP Health | |
| IV HealthCorp Inc | |||||||||||
| 925 W St | Peru | IL | 61354 | 371211890 | Support SMP affiliated entities | IL | Line 12a, I | 0 | 501(c)(3) | St Margaret's Health | |
| St Margaret's Health - Spring Valley | |||||||||||
| 600 E 1st St | Spring Valley | IL | 61362 | 362167884 | Provision of health care services | IL | Line 3 | 0 | 501(c)(3) | St Margaret's Health | |
| Illinois Valley Community Hospital Foundation | |||||||||||
| 925 W St | Peru | IL | 61354 | 371211780 | Support IV HealthCorp, Inc. | IL | Line 12a, I | 0 | 501(c)(3) | IV HealthCorp Inc | |
| Hygienic Institute Fro LaSalle Peru and Oglesby | |||||||||||
| 925 West Street | Peru | IL | 61354 | 362167742 | Provide primary health care servcies | IL | Line 10 | 0 | 501(c)(3) | IV HealthCorp Inc | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Valley Regional Health Services | |||||||||
| 4391 Venture Drive | Peru | IL | 61354 | 273891281 | Outpatient oncology services | IL | N/A | 0 | 0 |
| St Andrew's Bottineau Clinic LLC | |||||||||
| 316 Ohmer St | Bottineau | ND | 58318 | 450451306 | Health care services | ND | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Valley Health Enterprises | |||||||||||
| 925 West Street | Peru | IL | 61354 | 363476877 | Home medical equipment | IL | N/A | C | 0 | ||
| SMP Enterprises | |||||||||||
| PO Box 10007 | Fargo | ND | 58106 | 363486506 | Collection Agency | ND | N/A | C | 0 | ||
| SMP Enterprises IL | |||||||||||
| 600 E 1st St | Spring Valley | IL | 61362 | 363456566 | Healthcare management | IL | N/A | C | 0 | ||
| Illinois Valley Health Services Inc | |||||||||||
| 925 West Street | Peru | IL | 61354 | 364050682 | Inative | IL | C | 0 | St Margaret's Health - Peru | 1.00000 | |
| Health Care Building Corp | |||||||||||
| 925 West Street | Peru | IL | 61354 | 363306917 | Inactive | IL | C | 0 | St Margaret's Health - Peru | 1.00000 | |
| IVCH General Professional Liab Loss Fund | |||||||||||
| 925 West Street | Peru | IL | 61354 | 366673231 | Inactive | IL | T | 0 | St Margaret's Health - Peru | 1.00000 | |
| 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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