TOUCHETTE REGIONAL HOSPITAL INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- TOUCHETTE REGIONAL HOSPITAL INC (EIN 37-1305510)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-03
- IRS object ID
- 202003089349302345
- Schema version
- 2019v5.1
- 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 | 2020-11-03T15:44:30-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 BRONZE POINTE | AddressLine1Txt |
| City | BELLEVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62226 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371305510 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOUCHETTE REGIONAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TOUC | BusinessNameControlTxt |
| Phone | 6183323060 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5900 BOND AVENUE | AddressLine1Txt |
| City | CENTREVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62207 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS CHAUNDY | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6183323060 | PhoneNum |
| Signature | 2020-10-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFF PARKER | PreparerPersonNm |
| PTIN | P00970069 | PTIN |
| Phone | 6182331200 | PhoneNum |
| Preparation | 2020-10-28 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-10-28 | IPDt |
| IP Tm | 13:52:10 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DBE5E9100BD705C5801F05FB9419F1388E8E9FDA | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 09B458923962BDC3F648E71E9A05B76033A94988 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LARRY MCCULLEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5900 BOND AVENUE | AddressLine1Txt |
| City | CENTREVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62207 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $56,731,187 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TOUCHETTE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | SERVING THE INTEGRATED HEALTHCARE NEEDS FOR MEDICAL AND BEHAVIORAL HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 607 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $328,524 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,051,201 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $58,493,968 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $55,273,428 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,515 | PYInvestmentIncomeAmt |
| CY Investment Income | -$34,757 | CYInvestmentIncomeAmt |
| PY Other Revenue | $403,220 | PYOtherRevenueAmt |
| CY Other Revenue | $396,935 | CYOtherRevenueAmt |
| PY Total Revenue | $59,234,227 | PYTotalRevenueAmt |
| CY Total Revenue | $56,686,807 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $32,071,234 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $29,497,025 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $29,374,324 | PYOtherExpensesAmt |
| CY Other Expenses | $30,187,307 | CYOtherExpensesAmt |
| PY Total Expenses | $61,445,558 | PYTotalExpensesAmt |
| CY Total Expenses | $59,684,332 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,211,331 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,997,525 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,623,242 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,539,949 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $19,760,468 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,654,040 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,862,774 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,885,909 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PERSONALIZED CARE THAT FOSTERS HEALTHIER COMMUNITES AND LIVES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $42,732,605 | ExpenseAmt |
| Revenue | $48,479,003 | RevenueAmt |
| Desc | TOUCHETTE REGIONAL HOSPITAL PROVIDES CARE TO BOTH MEDICAID AND MEDICARE PATIENTS AT OR BELOW COST WHICH REPRESENTED 88% OF THE HOSPITAL'S DISCHARGES IN 2019. THE HOSPITAL ALSO PROVIDES SERVICES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE OR FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES AS A PART OF ITS COMMUNITY BENEFITS. DURING 2019, THE HOSPITAL PROVIDED COMMUNITY BENEFITS OF APPROXIMATELY $5,800,000 WHICH CONSISTS OF THE COST OF CARE PROVIDED TO INDIGENT PATIENTS, SUBSIDIZED HEALTH SERVICES, UNCOMPENSATED COSTS OF GOVERNMENT SPONSORED INDIGENT HEALTH CARE AND OTHER FORGONE CHARGES AS WELL AS VARIOUS INITIATIVES. THESE COMMUNITY BENEFITS AMOUNT TO 10.2% OF THE HOSPITAL'S 2019 TOTAL COSTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,827,173 | ExpenseAmt |
| Revenue | $6,610,773 | RevenueAmt |
| Desc | THE PRIMARY MISSION OF TOUCHETTE REGIONAL HOSPITAL IS TO IMPROVE THE OVERALL HEALTH OF THE STATUS OF THE COMMUNITIES WE SERVE AS PART OF A COMPREHENSIVE NETWORK MEETING HEALTH NEEDS INCLUDING LIFESTYLE ISSUES, ENVIRONMENTAL ISSUES, EDUCATION, PREVENTION, PRIMARY CARE AND ALL OTHER ASPECTS OF HEALTHCARE. THE HOSPITAL ACCOMPLISHES THIS BY: A) SERVING AS PART OF A REGIONAL SAFETY NET HEALTHCARE SYSTEM BY PROVIDING ACCESS TO CARE FOR THE VULNERABLE POPULATION THAT HAVE LOW INCOME OR ARE EITHER UNINSURED OR UNDERINSURED; B) OPERATING AN EMERGENCY ROOM 24 HOURS EACH DAY OF THE YEAR FOR ALL PERSONS REGARDLESS OF ABILITY TO PAY; C) PARTICIPATING IN GOVERNMENT-SPONSORED HEALTHCARE PROGRAMS SUCH AS MEDICAID, MEDICARE, CHAMPUS AND TRICARE; D) PROVIDING STAFFING TO ASSIST PATIENTS IN APPLYING FOR CHARITY CARE BENEFITS AND FINANCIAL ASSISTANCE; AND E) REACHING BEYOND THE WALLS OF THE HOSPITAL AND OTHER FACILITIES WITH COMMUNITY BENEFIT INITIATIVES.DURING 2019, THE HOSPITAL CONTINUED ITS SAFETY NET ROLE IN BRINGING QUALITY HEALTH CARE TO THE UNDERSERVED COMMUNITIES BY PROVIDING 8,502 TOTAL PATIENT DAYS OF CARE, INCLUDING 79 WOMEN'S HEALTH AND 7,096 BEHAVIORAL HEALTH DAYS, 18,659 OUTPATIENT VISITS, 108 HOME HEALTH ADMISSIONS AND 13,940 EMERGENCY ROOM VISITS.TOUCHETTE REGIONAL HOSPITAL HAS LONG BEEN AN ADVOCATE FOR THE NEEDS OF ITS PATIENTS. THE HOSPITAL WORKS HARD TO RAISE AWARENESS OF THE PROBLEM FACED BY POOR RESIDENTS IN UNDERSERVED COMMUNITIES WHO DO NOT HAVE ACCESS TO ADEQUATE HEALTH CARE PLANS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $791,298 | ExpenseAmt |
| Revenue | $183,652 | RevenueAmt |
| Desc | SOUTHERN ILLINOIS HOME CARE DELIVERS SAFE AND SUPPORTIVE SERVICES RIGHT AT HOME TO RECOVERING, DISABLED, OR CHRONICALLY ILL PATIENTS IN MADISON, MONROE, AND ST. CLAIR COUNTIES. HOME CARE SERVICES ALLOW YOU OR YOUR LOVED ONE TO STAY IN THE COMFORT OF YOUR OWN HOME WHILE RECEIVING MEDICAL ATTENTION AND REHABILITATIVE SERVICES.AN INDIVIDUAL MAY RECEIVE A SINGLE TYPE OF HOME CARE SERVICE OR A COMBINATION OF SERVICES, DEPENDING ON THE COMPLEXITY OF THEIR NEEDS AND WHEN PRESCRIBED BY A PHYSICIAN. THOSE SERVICES INCLUDE: SKILLED NURSING, SOCIAL SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $49,351,076 | 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 | 0 | 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 | 91 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 607 | 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 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 | THOMAS CHAUNDY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6183325400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5900 BOND AVENUE | AddressLine1Txt |
| City | CENTREVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62207 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| RICHARD SAUGET SR | ||||||||
| CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KENNETH HALL JR | ||||||||
| VICE CHAIRPERSON | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | 0.50 | |
| LUTHER JACKSON | ||||||||
| SECRETARY (TERM ENDED 4/19) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JED DEETS | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WILLIE B NELSON SR | ||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | 0.50 | ||
| ETHEL MANAGER | ||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | 0.50 | ||
| YVETTE MCFADDEN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN REED | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DANA ROSENZWEIG | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LARRY MCCULLEY | ||||||||
| PRESIDENT & CEO | 20.00 | Yes (X) | $0 | $395,260 | $27,925 | 20.00 | ||
| SULBRENA DAY | ||||||||
| COO | 40.00 | Yes (X) | $205,631 | $0 | $24,237 | |||
| CHARLIE DUMONTIER | ||||||||
| VP OF MEDICAL AFFAIRS | 40.00 | Yes (X) | $129,488 | $0 | $0 | |||
| THOMAS CHAUNDY | ||||||||
| CFO | 40.00 | Yes (X) | $177,662 | $0 | $7,380 | |||
| JOE JANSEN | ||||||||
| PRESIDENT | 40.00 | Yes (X) | $239,511 | $0 | $14,907 | |||
| MOUNGAR COOPER | ||||||||
| PHYSICIAN | 40.00 | $318,768 | $0 | $6,753 | Yes (X) | |||
| PIERRE GILLES | ||||||||
| PHYSICIAN | 40.00 | $308,520 | $0 | $15,080 | Yes (X) | |||
| JAMES FERNANDEZ | ||||||||
| PHYSICIAN | 40.00 | $281,799 | $0 | $14,472 | Yes (X) | |||
| RANDY JUNG | ||||||||
| PSYCHIATRIST | 40.00 | $246,672 | $0 | $25,670 | Yes (X) | |||
| TRACI SMALL | ||||||||
| REGISTERED NURSE | 40.00 | $147,488 | $0 | $20,292 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,055,539 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $395,260 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $156,716 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 40 | 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 |
|---|---|---|---|---|---|
| EPMG OF ILLINOIS LLC | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | HEALTHCARE PROVIDERS | $2,484,050 |
| ALLSCRIPTS | |||||
| 24630 NETWORK PLACE | CHICAGO | IL | 606731246 | HEALTHCARE IT | $1,053,694 |
| SPECIALISTS IN ANESTHESIA | |||||
| 500 SOUTH MERAMEC AVENUE | ST LOUIS | MO | 63105 | ANESTHESIA | $900,312 |
| HORIZON HEALTH | |||||
| PO BOX 840839 | DALLAS | TX | 752840839 | BEHAVIORAL HEALTH SERVICES | $799,465 |
| MIDWEST EMERGENCY DEPT SVCS | |||||
| 320 EAST US HIGHWAY 50 | OFALLON | IL | 62269 | EMERGENCY ROOM STAFFING | $746,397 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $19,520 | RelatedOrganizationsAmt |
| Government Grants | $974,876 | GovernmentGrantsAmt |
| All Other Contributions | $56,805 | AllOtherContributionsAmt |
| Total Contributions | $1,051,201 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $55,256,256 | $55,256,256 |
| RENTAL INCOME | 622110 | $17,172 | $17,172 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $55,273,428 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,623 | TotalRevenueColumnAmt |
| Exclusion | $9,623 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $44,380 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$44,380 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$44,380 | TotalRevenueColumnAmt |
| Exclusion | -$44,380 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 900099 | $255,623 | $255,623 |
| CONTRACTED SERVICES TO AFFILIATES | 900099 | $86,652 | $86,652 |
| MEDICAL RECORDS | 900099 | $37,439 | $37,439 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,221 | TotalRevenueColumnAmt |
| Exclusion | $17,221 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $396,935 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,686,807 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $55,273,428 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $362,178 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $798,816 | TotalAmt |
| Management And General | $798,816 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,843,407 | TotalAmt |
| Program Services | $18,326,538 | ProgramServicesAmt |
| Management And General | $4,516,869 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,835 | TotalAmt |
| Program Services | $489,322 | ProgramServicesAmt |
| Management And General | $91,513 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,533,697 | TotalAmt |
| Program Services | $2,968,981 | ProgramServicesAmt |
| Management And General | $564,716 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,740,270 | TotalAmt |
| Program Services | $1,057,704 | ProgramServicesAmt |
| Management And General | $682,566 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,775 | TotalAmt |
| Program Services | $37,748 | ProgramServicesAmt |
| Management And General | $64,027 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,696 | TotalAmt |
| Management And General | $75,696 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,514 | TotalAmt |
| Management And General | $47,514 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,272,153 | TotalAmt |
| Program Services | $13,973,999 | ProgramServicesAmt |
| Management And General | $1,298,154 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,436 | TotalAmt |
| Program Services | $1,203 | ProgramServicesAmt |
| Management And General | $30,233 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,264,654 | TotalAmt |
| Program Services | $2,758,811 | ProgramServicesAmt |
| Management And General | $505,843 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,800,328 | TotalAmt |
| Program Services | $1,462,984 | ProgramServicesAmt |
| Management And General | $337,344 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $741,017 | TotalAmt |
| Program Services | $583,144 | ProgramServicesAmt |
| Management And General | $157,873 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,856 | TotalAmt |
| Program Services | $30,527 | ProgramServicesAmt |
| Management And General | $88,329 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $800 | TotalAmt |
| Program Services | $405 | ProgramServicesAmt |
| Management And General | $395 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $498,103 | TotalAmt |
| Program Services | $407,785 | ProgramServicesAmt |
| Management And General | $90,318 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,782,320 | TotalAmt |
| Program Services | $1,459,143 | ProgramServicesAmt |
| Management And General | $323,177 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,719,424 | TotalAmt |
| Program Services | $1,417,287 | ProgramServicesAmt |
| Management And General | $302,137 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $2,744,959 | $2,744,959 | |
| HOSPITAL TAX | $1,964,982 | $1,608,684 | $356,298 |
| OTHER TAXES | $23,290 | $21,852 | $1,438 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,684,332 | TotalAmt |
| Program Services | $49,351,076 | ProgramServicesAmt |
| Management And General | $10,333,256 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $325,722 | BOYAmt |
| EOY | $376,184 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,787,164 | BOYAmt |
| EOY | $2,525,448 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,025,124 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,866,155 | BOYAmt |
| EOY | $3,474,107 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,502 | BOYAmt |
| EOY | $318,365 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $523,141 | BOYAmt |
| EOY | $631,346 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $48,261,732 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $28,591,081 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,183,892 | BOYAmt |
| EOY | $19,670,651 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,340 | BOYAmt |
| EOY | $293,792 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,326 | BOYAmt |
| EOY | $224,932 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,623,242 | BOYAmt |
| EOY | $28,539,949 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,845,658 | BOYAmt |
| EOY | $6,451,521 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,025,124 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,581,099 | BOYAmt |
| EOY | $9,062,677 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,333,711 | BOYAmt |
| EOY | $3,114,718 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,760,468 | BOYAmt |
| EOY | $19,654,040 | 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 | $11,718,543 | BOYAmt |
| EOY | $8,741,416 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,231 | BOYAmt |
| EOY | $144,493 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,862,774 | BOYAmt |
| EOY | $8,885,909 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,623,242 | BOYAmt |
| EOY | $28,539,949 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,997,525 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,259 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $19,401 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | $47,514 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $47,514 | 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 | TOUCHETTE REGIONAL HOSPITAL PAID CURRY & ASSOCIATES AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION TO PERFORM SOME LOBBYING FOR CONTINUED SUBSIDIES FOR HEALTH SERVICES FROM THE STATE. ALSO, TOUCHETTE PAID MEMBERSHIP DUES TO IHA, OF WHICH 37% OF THE DUES WERE USED FOR SPECIFIC LOBBYING PURPOSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,222,647 | OtherCostOrOtherBasisAmt |
| Book Value | $2,222,647 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,677,647 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,093,920 | DepreciationAmt |
| Book Value | $14,583,727 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $307,583 | OtherCostOrOtherBasisAmt |
| Depreciation | $275,547 | DepreciationAmt |
| Book Value | $32,036 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,567,290 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,221,614 | DepreciationAmt |
| Book Value | $2,345,676 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $486,565 | OtherCostOrOtherBasisAmt |
| Book Value | $486,565 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,670,651 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ASSET RETIREMENT OBLIGATION | $2,927,440 |
| INTERCOMPANY LIABILITY | $95 |
| THIRD PARTY SETTLEMENTS | $187,183 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,114,718 | TotalLiabilityAmt |
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 | $3,005,088 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,005,088 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05280 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,537,354 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,912,047 | 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 | $32,542,442 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,912,047 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,005,088 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05280 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,499,573 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,402,121 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,097,452 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03680 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,499,573 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,402,121 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,097,452 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03680 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,042,015 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,314,168 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,102,540 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08960 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,744,959 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $389,852 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,814,797 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,423,364 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$608,567 | 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 | 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 | TOUCHETTE REGIONAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5900 BOND AVENUE | AddressLine1Txt |
| City | CENTREVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62207 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | DISPORPORTIONATE SHARE/SAFETY NET HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOUCHETTE REGIONAL HOSPITAL | 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 |
| CHNA Conducted | 19 | 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 PART V, PAGE 8 FOR URL | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 FOR URL | 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 FOR URL | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 FOR URL | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 FOR URL | 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 |
| 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 | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| TOUCHETTE REGIONAL HOSPITAL | PART V, SECTION B, LINE 5: TOUCHETTE REGIONAL HOSPITAL CONTINUES TO EMPLOY A COLLABORATIVE APPROACH TO ENSURE THE COMMUNITY HEALTH NEEDS ASSESSMENT IS COMPLETED THOROUGHLY. THEREFORE, WE REQUESTED INPUT FROM KEY STAKEHOLDERS IN THE COMMUNITY. STAKEHOLDER INPUT, ALONG WITH QUANTITATIVE DATA, WAS USED TO IDENTIFY PRIMARY COMMUNITY HEALTH NEEDS AND TO PRIORITIZE THESE ISSUES. THE EAST SIDE ALIGNED ROADMAP, EAST SIDE HEALTH DISTRICT NEEDS ASSESSMENT, AND ST. CLAIR COUNTY HEALTH DISTRICT INFORMATION WERE ALSO USED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT. EAST SIDE HEALTH DISTRICT'S POPULATION SERVED IS VIRTUALLY SYNONYMOUS WITH THE PRIMARY SERVICE AREA OF TOUCHETTE REGIONAL HOSPITAL. DATA ANALYSIS WAS PROVIDED BY PLANNING AND DEVELOPMENT STAFF AT THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC). THE FQHC IS RECOGNIZED FOR THEIR PROFICIENCY OF CONDUCTING SUCH ASSESSMENTS. FOR MANY YEARS, THE PLANNING AND DEVELOPMENT DEPARTMENT HAS COLLABORATED WITH SEVERAL LOCAL ORGANIZATIONS ASSISTING IN THE PERFORMANCE OF NEEDS ASSESSMENTS WITHIN THE COMMUNITY. THE FQHC IS ALSO NOTED FOR THEIR SUCCESS IN USING THESE ASSESSMENTS TO SECURE COMPETITIVE GRANT FUNDING FOR BOTH ONGOING AND NEW PROJECTS. ADDITIONALLY, EVERY THREE YEARS TOUCHETTE REGIONAL HOSPITAL HOSTS A COMMUNITY PARTNERS ROUND TABLE TO OBTAIN INPUT FOR THE COMMUNITY NEEDS ASSESSMENT. REPRESENTATIVES FROM AGENCIES THAT PROVIDE HEALTH AND SOCIAL SERVICES TO THE EAST ST. LOUIS AREA ARE INVITED TO PARTICIPATE. THE WORK BEING DONE IN THE COMMUNITY BY OTHER GROUPS AND INDIVIDUALS OFTEN REVEALS SIGNIFICANT NEEDS NOT ALWAYS OBSERVED BY THE HOSPITAL. THE PRIMARY GOAL OF THE MEETING IS TO GATHER INSIGHT AND PERSPECTIVES FROM THESE OUTSIDE RESOURCES. THE ROUNDTABLE PROVIDES A FORUM FOR KEY INFORMANTS AND HOSPITAL PERSONNEL TO EXPLORE AND IDENTIFY COMMUNITY HEALTH NEEDS. PARTICIPANTS IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS INCLUDED A VARIETY OF GROUPS DEDICATED TO SERVING THE EAST ST. LOUIS POPULATION. THESE AGENCIES PROVIDE SERVICES IN AREAS OF HEALTHCARE, SOCIAL SERVICES, EDUCATION, AND MORE. FOR THE EAST ST. LOUIS COMMUNITY, THESE ARE IMPORTANT DETERMINANTS WHICH PLAY A SIGNIFICANT ROLE IN THE OVERALL QUALITY OF LIFE FOR THE POPULATION.AMONG THE STAKEHOLDERS, THERE WAS A GENERAL CONSENSUS OF AGREEMENT AROUND THE DATA REGARDING DEMOGRAPHICS, SOCIOECONOMIC FACTORS, AND HEALTH TRENDS. ADDITIONAL CONCERNS ABOUT PROBLEMS LIKELY CONTRIBUTING TO THE POOR HEALTH STATUS OF THE COMMUNITY WERE ALSO RAISED. DURING THE COMMUNITY ROUND TABLE, THE PARTIES PRESENT BRAINSTORMED DIFFERENT METHODS TO ADDRESS THESE HEALTH ISSUES. THE COMMUNITY AGENCIES PARTICIPATING IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS INCLUDE: HOYLETON MINISTRIES/PUENTES DE ESPERANZA, ST. CLAIR COUNTY MENTAL HEALTH BOARD, SIHF HEALTHCARE HEALTHY START INITIATIVE, WINDSOR HEALTH CENTER, CATHOLIC URBAN PROGRAMS, AND LESSIE BATES DAVIS NEIGHBORHOOD HOUSE. |
| TOUCHETTE REGIONAL HOSPITAL | PART V, SECTION B, LINE 11: 1) MENTAL HEALTH - TOUCHETTE REGIONAL HOSPITAL WILL ADDRESS ADULT AND YOUTH MENTAL HEALTH SERVICES. ADDITIONALLY, A CONTINUING FOCUS ON TRAUMA-INFORMED CARE WILL BE APPLIED DUE TO THE CONTINUED NEED FOR EDUCATION, TRAINING, AND SPECIFIED SERVICES RELATED TO THIS TOPIC. 2) SUBSTANCE USE DISORDERS - SUBSTANCE USE DISORDERS ARE OFTEN CATEGORIZED UNDER BEHAVIORAL HEALTH SERVICES. FOR THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT, THEY ARE PRIORITIZED UNDER A DISTINCT CATEGORY TO RECOGNIZE THE IMPACT THIS GROWING EPIDEMIC HAS ON THE HOSPITAL'S PRIMARY POPULATION. THE HOSPITAL ALSO RECOGNIZES THE LIKELIHOOD OF CO-OCCURRING MENTAL ILLNESS AND SUBSTANCE USE DISORDERS AND THE IMPORTANCE OF TRAUMA-INFORMED CARE WHEN TREATING BOTH. 3) CHRONIC DISEASES - CHRONIC DISEASES CAN BE SUCCESSFULLY CONTROLLED THROUGH DAILY MANAGEMENT ACTIVITIES SUCH AS MEDICATION MANAGEMENT, STEADY MONITORING OF APPROPRIATE MEASURES (I.E. GLUCOSE LEVELS FOR DIABETES PATIENTS), AND BEHAVIORAL MODIFICATIONS (I.E. BENEFITS OF ALTERING FOOD CONSUMPTION CHOICES BY OBESE INDIVIDUALS). AS PART OF THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT, TOUCHETTE REGIONAL HOSPITAL RECOGNIZES THAT FURTHER PATIENT EDUCATION ON CHRONIC DISEASES IS NECESSARY IF PATIENTS ARE EXPECTED TO UNDERSTAND AND APPLY DISEASE MANAGEMENT IN THEIR DAILY LIVES.4) SOCIAL DETERMINATS OF HEALTH - SOCIAL DETERMINANTS OF HEALTH DO NOT ADDRESS A SPECIFIC HEALTH ISSUE OR DISEASE, BUT RATHER ARE FACTORS THAT INFLUENCE THE OVERALL HEALTH OF THE PATIENT POPULATION. THE PRIMARY SERVICE AREA IS AFFECTED BY MANY OF THESE, INCLUDING POVERTY, FOOD INSECURITY, EDUCATIONAL ATTAINMENT, AFFORDABLE AND SAFE HOUSING, AND VIOLENCE AND CRIME. FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT, TOUCHETTE REGIONAL HOSPITAL RECOGNIZES THE SIGNIFICANT IMPACT ON THE PRIMARY PATIENT POPULATION OF SOCIAL DETERMINANTS OF HEALTH AND AIMS TO EXPLORE WAYS THE HOSPITAL CAN HAVE A SIGNIFICANT IMPACT IN THIS AREA. 5) COORDINATION OF SOCIAL SERVICES - BY COORDINATING SERVICES WITH OTHER AGENCIES IN THE COMMUNITY, TOUCHETTE REGIONAL HOSPITAL CAN PLAY AN IMPORTANT ROLE IN ENSURING PATIENTS CAN RECEIVE RESOURCES AFFECTING THEIR SOCIAL DETERMINANTS OF HEALTH. TOUCHETTE REGIONAL HOSPITAL RECOGNIZES THE IMPACT THAT SOCIAL DETERMINANTS HAVE ON PATIENTS' HEALTH AND THAT COORDINATION OF SOCIAL SERVICES CAN HAVE A SIGNIFICANT, POSITIVE IMPACT ON THE PRIMARY POPULATION'S HEALTH OUTCOMES. |
| PART V, SECTION B, LINE 22D | THE HOSPITAL FACILITY USES THE AVERAGE NEGOTIATED COMMERCIAL INSURANCE RATES FOR THEIR PRIMARY COMMERCIAL INSURANCE PAYORS. |
| SCHEDULE H, PART V, SECTION B, LINE 7A | THE HOSPITAL'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT:TOUCHETTE.ORG/MEDIA-LIBRARY/DOCUMENTS/TOUCHETTE_FILES/NEEDS_ASSESSMENT_BROCHURE.PDF |
| SCHEDULE H, PART V, SECTION B, LINE 10A | THE HOSPITAL'S 2019 IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTP://SIHF.ORG/MEDIA-LIBRARY/DOCUMENTS/NEEDS_ASSESSMENT_BROCHURE.PDF |
| SCHEDULE H, PART V, SECTION B, LINE 16A | THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT:HTTP://TOUCHETTE.ORG/MEDIA-LIBRARY/DOCUMENTS/BO1006_FAP_POLICY_(2018).PDF |
| SCHEDULE H, PART V, SECTION B, LINE 16B | THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION CAN BE FOUND AT:HTTP://TOUCHETTE.ORG/MEDIA-LIBRARY/DOCUMENTS/TOUCHETTE_FILES/2016-FINANCIAL-ASSISTANCE-APP_ENGLISH.PDF |
| SCHEDULE H, PART V, SECTION B, LINE 16C | THE HOSPITAL'S PLAIN LANGUAGE SUMMARY OF ITS FAP CAN BE FOUND AT:HTTP://TOUCHETTE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COST TO CHARGES RATIO WAS USED AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES INCLUDE OB, ER, PHYSICIAN CLINIC, HOME HEALTH AND BHU. |
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR THE PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,744,959. EVEN THOUGH THE IRS DOESN'T ALLOW SCHEDULE H, PART 1, LINE 7, COLUMN F TO BE A NEGATIVE PERCENTAGE, WE BELIEVE THAT REPORTING A NEGATIVE PERCENTAGE IN COLUMN F UNDERSTATES THE TRUE AMOUNT OF COMMUNITY BENEFIT/CHARITY CARE PROVIDED BY THE ORGANIZATION. FURTHERMORE, WE BELIEVE THAT COLUMN E, NET COMMUNITY BENEFIT EXPENSE, UNDERSTATES THE TRUE AMOUNT OF COMMUNITY BENEFIT EXPENSE. |
| PART III, LINE 3: | THE HOSPITAL UTILIZES PRESUMPTIVE CHARITY ELIGIBILITY HOWEVER BELIEVES THAT THE COMMUNITY BENEFIT OBTAINED FROM ITS CHARITY CARE IS UNDERSTATED DUE TO PATIENTS THAT COULD QUALIFY FOR CHARITY CARE BUT DO NOT APPLY OR PROVIDE INCOMPLETE INFORMATION. SOME CARE PROVIDED TO PATIENTS IS NOT CLASSIFIED AS CHARITY CARE DUE TO PATIENTS MISSING DOCUMENTATION THAT PROVES THEY QUALIFY FOR CHARITY CARE. THE HOSPITALS BAD DEBT DOES INCLUDE AMOUNTS THAT COULD BE CLASSIFIED AS CHARITY CARE IF THE PATIENTS WOULD APPLY OR PROVIDE THE APPROPRIATE INFORMATION TO COMPLETE THE CARE APPLICATION. |
| PART III, LINE 4: | THE HOSPITAL VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THEIR HEALTH CARE EXPENSES AS DETERMINED BY THE HOSPITAL'S CRITERIA FOR FINANCIAL ASSISTANCE. IN SOME CASES, THE HOSPITAL DOES NOT RECEIVE THE AMOUNT BILLED FOR PATIENT SERVICES EVEN THOUGH IT DID NOT RECEIVE INFORMATION NECESSARY TO DETERMINE IF THE PATIENTS MET THE CRITERIA FOR FINANCIAL ASSISTANCE. BAD DEBTS EXPENSE IS THE ESTIMATED AMOUNT OF PATIENT REVENUE THAT THE HOSPITAL WILL NOT COLLECT.THE COSTING METHODOLOGY USED WAS THE RATIO OF PATIENT CARE COST-TO CHARGES, EXCEPT COST FOR THE MEDICARE PROGRAM WHICH IS OBTAINED FROM FILED COST REPORTS. NO BAD DEBT AMOUNTS WERE INCLUDED IN COMMUNITY BENEFIT. FOR PATIENTS WITH ONE OR MORE PAYOR SOURCES AND AFTER THE ACCOUNT IS FULLY ADJUDICATED BY THE PAYOR(S), WE ATTEMPT TO CONTACT THE PATIENT FOR 120 DAYS LISTING THE REMAINING AMOUNT DUE BY THE PATIENT. IF THE PATIENT DOES NOT RESPOND WITH 120 DAYS, THE ACCOUNT IS SENT TO COLLECTIONS FOR FURTHER FOLLOW-UP. IF THE PATIENT CANNOT BE CONTACTED OR IS UNRESPONSIVE, WE ADJUST THE ACCOUNT TO BAD DEBTS AFTER 120 DAYS. FOR PATIENTS WITHOUT A PAYOR SOURCE, WE NOTIFY THE PATIENT AT TIME OF REGISTRATION OUR CHARITY PROGRAM. IF THE PATIENT DOES NOT RESPOND WITH 90 DAYS, THE ACCOUNT IS SENT TO COLLECTIONS FOR FURTHER FOLLOW-UP AND THE CHARITY PROGRAM IS OFFERED AGAIN. IF THE PATIENT CANNOT BE CONTACTED OR IS UNRESPONSIVE, WE ADJUST THE ACCOUNT TO BAD DEBTS AFTER 120 DAYS. |
| PART III, LINE 8: | THE HOSPITAL'S OBJECTIVE IS TO PROVIDE COST EFFECTIVE CARE FOR ITS PATIENTS. THE MEDICARE PROGRAM, HOWEVER, DOES NOT PROVIDE PAYMENT THAT COVERS ALL OF THE COST OF THE CARE PROVIDED. MANAGEMENT ADVOCATES FOR IMPROVED MEDICARE PAYMENTS. THE HOSPITAL IS CONCERNED WITH THE COMMUNITY NEED AND WANTS TO BE SURE THAT QUALITY CARE TO THE PATIENTS IS NOT COMPROMISED. ALTHOUGH THE IRS DOES NOT CLASSIFY THE SHORTFALL OF MEDICARE REVENUE AS COMMUNITY BENEFIT, WE BELIEVE THAT IT IS IMPORTANT TO THE HEALTH OF THE COMMUNITY. EVEN IF WE ARE NOT PAID FOR IT WE BELIEVE THAT WE SHOULD PROVIDE QUALITY CARE TO ALL PATIENTS. THE COSTING METHODOLOGY USED WAS THE RATION OF PATIENT CARE COST-TO-CHARGES. |
| PART III, LINE 9B: | IF THE PATIENT WAS QUALIFIED FOR ANY PORTION OF CHARITY CARE AN ADJUSTMENT WILL BE MADE TO THE PATIENT'S ACCOUNT. IF THE PATIENT DID NOT QUALIFY FOR CHARITY AND DID NOT HAVE INSURANCE AT THE TIME, TOUCHETTE REGIONAL CHARGES WILL BE DISCOUNTED 30% PRIOR TO BILLING AND MAY BE ELIGIBLE FOR ADDITIONAL DISCOUNTS. ANY REMAINING BALANCE AFTER ALL CONSIDERATIONS BECOMES THE RESPONSIBILITY OF THE PATIENT. |
| PART VI, LINE 2: | TOUCHETTE REGIONAL HOSPITAL CONSIDERS THE COMMUNITY NEEDS EACH YEAR AS THE ORGANIZATION PERFORMS THEIR PLANNING/BUDGETING FOR THE NEXT YEAR. THIS PROCESS INCLUDES OBTAINING AND ANALYZING VARIOUS DATA AND MARKET DEMOGRAPHICS. THE DATA IS THEN SUPPLEMENTED WITH VIEWS AND CONCERNS FROM OUR COMMUNITY BOARD MEMBERS, OTHER COMMUNITY OUTREACH RELATIONSHIPS AND OTHER COMMON ORGANIZATIONS. ONE SUCH PROGRAM WHICH HAS BEEN DEVELOPED RECENTLY THROUGH THIS PROCESS IS THE BREAST AND CERVICAL CANCER PROGRAM WHERE THE COMMUNITY NEED BECAME APPARENT FOR THOSE THAT ARE UNINSURED. ALSO, THE BEHAVIORAL HEALTH SERVICES WERE EXPANDED. THE PLANNING FOR THIS WAS COMPLETED AND THE SERVICES WERE AWARDED A CON FOR IN 2014. CONSTRUCTION STARTED IN 2015 AND WAS COMPLETED DURING 2016. |
| PART VI, LINE 3: | UNINSURED PATIENTS AND PERSONS WHO SEEK AND/OR OBTAIN SERVICES FROM THE HOSPITAL, ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE VIA SIGNAGE THROUGHOUT THE PATIENT ACCESS AREAS OF THE FACILITY, BROCHURES, ADMISSION PACKETS, DISCLOSURE ON THE PATIENT BILL, IN PERSON AND TELEPHONE ASSISTED CUSTOMER SERVICE, AS WELL AS INFORMATION SUCH AS THE GUIDELINES AND APPLICATION BEING PREDOMINATELY POSTED ON THE HOSPITAL WEBSITE. |
| PART VI, LINE 4: | THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF THE ILLINOIS ZIP CODES OF 62201-62207 AND THE CITIES WITHIN THESE ZIP CODES SUCH AS EAST ST. LOUIS, FAIRMOUNT CITY, CENTREVILLE, WASHINGTON PARK, CAHOKIA, SAUGET AND ALORTON. THESE COMMUNITIES ARE MEDICALLY VULNERABLE AND HAVE A LARGE INDIGENT POPULATION. |
| PART VI, LINE 5: | DESIGNATED AS A DISPROPORTIONATE SHARE HOSPITAL, THE HOSPITAL USES ANY LIMITED SURPLUS FUNDS TO FURTHER ITS EXEMPT PURPOSE BY PROVIDING PROGRAMS AND ACCESS AS NOTED IN FORM 990, PART III, LINE 1 AND 4A AND CONTINUED ON SCHEDULE O. THE BOARD OF DIRECTORS IS MADE UP FROM COMMUNITY LEADERS WITHIN ITS PRIMARY SERVICE AREA THAT ARE APPOINTED BY THE MEMBER ORGANIZATION. |
| PART VI, LINE 6: | THE HOSPITAL IS PART OF A COMPREHENSIVE SAFETY NET NETWORK THAT INCLUDES SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, ITS SOLE MEMBER, WHICH PROVIDES HEALTH AND SUPPORTIVE SERVICE TO THE COMMUNITIES THEY SERVE. MANY OF THE BENEFITS PROVIDED ARE REPORTED TO THE STATE OF ILLINOIS WITHIN THE "ANNUAL NON PROFIT HOSPITAL COMMUNITY BENEFIT PLAN REPORT". |
| 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 |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LARRY MCCULLEY | ||||||||||||||
| PRESIDENT & CEO | $0 | $395,260 | $0 | $0 | $0 | $0 | $0 | $11,200 | $0 | $16,725 | $0 | $423,185 | $0 | $0 |
| SULBRENA DAY | ||||||||||||||
| COO | $205,631 | $0 | $0 | $0 | $0 | $0 | $8,177 | $0 | $16,060 | $0 | $229,868 | $0 | $0 | $0 |
| THOMAS CHAUNDY | ||||||||||||||
| CFO | $177,662 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,380 | $0 | $185,042 | $0 | $0 | $0 |
| JOE JANSEN | ||||||||||||||
| PRESIDENT | $239,511 | $0 | $0 | $0 | $0 | $0 | $8,687 | $0 | $6,220 | $0 | $254,418 | $0 | $0 | $0 |
| MOUNGAR COOPER | ||||||||||||||
| PHYSICIAN | $308,768 | $0 | $10,000 | $0 | $0 | $0 | $0 | $0 | $6,753 | $0 | $325,521 | $0 | $0 | $0 |
| PIERRE GILLES | ||||||||||||||
| PHYSICIAN | $308,520 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $15,080 | $0 | $323,600 | $0 | $0 | $0 |
| JAMES FERNANDEZ | ||||||||||||||
| PHYSICIAN | $281,799 | $0 | $0 | $0 | $0 | $0 | $3,692 | $0 | $10,780 | $0 | $296,271 | $0 | $0 | $0 |
| RANDY JUNG | ||||||||||||||
| PSYCHIATRIST | $244,172 | $0 | $2,500 | $0 | $0 | $0 | $9,657 | $0 | $16,013 | $0 | $272,342 | $0 | $0 | $0 |
| TRACI SMALL | ||||||||||||||
| REGISTERED NURSE | $142,693 | $0 | $4,795 | $0 | $0 | $0 | $5,196 | $0 | $15,096 | $0 | $167,780 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS ONE MEMBER, SOUTHERN ILLINOIS HEALTHCARE FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER APPOINTS THE DIRECTORS TO THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER SHALL APPROVE ALL CAPITAL PURCHASES OR LEASES IN EXCESS OF $100,000, DISPOSITIONS, SALES OR TRANSFERS OF PROPERTY WITH A VALUE IN EXCESS OF $10,000, DISPOSITIONS, SALES OR TRANSFERS OF ANY LAND AND APPROVE THE ANNUAL BUDGET. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 WILL BE HAND DELIVERED OR MAILED TO ALL BOARD MEMBERS PRIOR TO FILING. THE 990 IS PREPARED BY THE INDEPENDENT CPA FIRM THAT ALSO CONDUCTS THE ANNUAL AUDIT. THE CFO AND ACCOUNTING MANAGER PERFORM AN IN DEPTH REVIEW OF THE 990 AS WELL AS RESPOND TO ALL QUESTIONS AND COMMENTS REGARDING THE 990 BY THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL MEMBERS OF THE BOARD MUST SIGN A CONFLICT OF INTEREST POLICY ANNUALLY AND DISCLOSE ANY CONFLICTS THAT MAY EXIST. BOARD MEMBERS MUST DISCLOSE AND BUSINESS CONDUCTED WITH THE ORGANIZATION AND RECUSE THEMSELVES OF ANY VOTE IN WHICH A CONFLICT ARISES AS A RESULT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE MEETS ANNUALLY, AND REVIEWS/APPROVES THE COMPENSATIONS OF THOSE EXECUTIVES THAT MAKE 90K OR MORE ANNUALLY. AN EXECUTIVE IS DEFINED AS THOSE PERSONS HOLDING POSITIONS MEETING THE DEFINITION OF A "DISQUALIFIED PERSON" UNDER IRC SECTION 4958. MORE COMMONLY, THESE ARE PEOPLE IN UPPER MANAGEMENT WHO HAVE SUBSTANTIAL INFLUENCE AND/OR MANAGE A SEGMENT OR ACTIVITY OF TRH THAT REPRESENTS A SUBSTANTIAL PORTION OF THE ACTIVITIES. THESE CONCLUSIONS ARE BASED UPON THE FINDINGS AND RECOMMENDATIONS OF OUR INDEPENDENT EXTERNAL COMPENSATION CONSULTANT. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,801,040. MANAGEMENT AND GENERAL EXPENSES 215,049. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,016,089. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 10,172,959. MANAGEMENT AND GENERAL EXPENSES 1,083,105. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,256,064. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER 9,383. CHANGE IN VALUE OF AFFILIATE 10,018. |
| FORM 990, PAGE 12, PART XII, LINE 2C | THIS PROCESS DID NOT CHANGE IN CURRENT YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHERN ILLINOIS HEALTHCARE FOUNDATION | |||||||||||
| 8080 STATE STREET | EAST ST LOUIS | IL | 62203 | 371158318 | MEDICAL SERVICES | IL | 501(C)(3) | LINE 7 | N/A | 0 | |
| ARCHVIEW HEALTH SUPPORT INC | |||||||||||
| 5900 BOND AVENUE | CENTREVILLE | IL | 62207 | 260582374 | SUPPORT OF TOUCHETTE REGIONAL HOSPITAL | IL | 501(C)(3) | LINE 12A, I | Yes (1) | TOUCHETTE REGIONAL HOSPITAL | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COTTAGES GP LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 SOUTH MICHIGAN AVENUE SUITE 3100 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60603 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463114562 | EIN |
| Primary Activities | AFFORDABLE HOUSING TO LOW INCOME HOUSEHOLDS | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Predominant Income Type | EXCLUDED | PredominantIncomeTypeTxt |
| Share Of Total Income | -$12 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $88,603 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
| 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 | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |