THOREK MEMORIAL HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
THOREK MEMORIAL HOSPITAL (EIN 36-6000085)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-03-07
IRS object ID
201800669349300775
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-03-07T12:00:09-06:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker Drive Suite 2600AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN366000085EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Thorek Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTHORBusinessNameControlTxt
Phone7735256780PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1850 W Irving Park RoadAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60613ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTim HeinrichPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Signature2018-03-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJennifer BurkePreparerPersonNm
PTINP01342224PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Tim HeinrichBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1850 W Irving Park RoadAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60613ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$85,114,215GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.thorek.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1911FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionThorek Hospital is dedicated providing quality patient care, promote wellness, and support education.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee498TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$63,676,600PYProgramServiceRevenueAmt
CY Program Service Revenue$64,895,376CYProgramServiceRevenueAmt
PY Investment Income$5,674,405PYInvestmentIncomeAmt
CY Investment Income$13,084,151CYInvestmentIncomeAmt
PY Other Revenue$1,333,860PYOtherRevenueAmt
CY Other Revenue$1,041,660CYOtherRevenueAmt
PY Total Revenue$70,684,865PYTotalRevenueAmt
CY Total Revenue$79,021,187CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,357,745PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,546,192CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$38,862,217PYOtherExpensesAmt
CY Other Expenses$39,562,240CYOtherExpensesAmt
PY Total Expenses$63,219,962PYTotalExpensesAmt
CY Total Expenses$63,108,432CYTotalExpensesAmt
PY Revenues Less Expenses$7,464,903PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,912,755CYRevenuesLessExpensesAmt
Total Assets BOY$310,681,675TotalAssetsBOYAmt
Total Assets EOY$346,891,093TotalAssetsEOYAmt
Total Liabilities BOY$28,624,599TotalLiabilitiesBOYAmt
Total Liabilities EOY$29,039,532TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$282,057,076NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$317,851,561NetAssetsOrFundBalancesEOYAmt
MissionThorek Hospital is committed to providing appropriate patient services in a caring and cost-effective manner. Thorek Hospital seeks to serve its patients, physicians, employees, and community by providing quality services and encouraging employee excellence. Thorek Hospital will support education and will act as a responsible member of our community and the healthcare system.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$50,319,077ExpenseAmt
Grant$0GrantAmt
Revenue$65,273,884RevenueAmt
DescTHOREK MEMORIAL HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THOREK HOSPITAL, WE RECOGNIZE THAT IT IS THE HOSPITAL'S MISSION TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION AND THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PAY FOR ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF OUR COMMUNITY, WE PROVIDE FREE CARE AND OR SUBSIDIZED CARE TO INDIVIDUALS WHO ARE UNABLE TO PAY FOR ESSENTIAL SERVICES, AND PROVIDE HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT OUR COMMUNITY.Desc
Total Program Service Expenses$50,319,077TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document102IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee498EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Tim HeinrichBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7739756806PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1850 W Irving Park RoadAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60613ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Peter Kamberos
Chairman and COO40.0Yes (X)Yes (X)$379,524$0$1,284
Robert J Baudino
Trustee6.0Yes (X)$21,250$0$0
Spencer Land MD
Medical Staff President (1/1/17-6/30/17)6.0Yes (X)$0$0$0
Marc Adajar MD
Medical Staff President (7/1/16-1/1/17)6.0Yes (X)$15,000$0$0
Philip Gorelick MD
Trustee6.0Yes (X)$15,000$0$0
Bonnie Phipps
TRUSTEE6.0Yes (X)$1,042$0$0
James E Nugent
Vice Chair6.0Yes (X)$21,250$0$0
Edwin C Lennox
Treasurer6.0Yes (X)$21,250$0$0
Jagan Mohan MD
Secretary6.0Yes (X)$16,250$0$0
Edward C Budd
President/CEO40.0Yes (X)$326,844$0$16,6881.0
Tim Heinrich
CFO40.0Yes (X)$238,728$0$16,688
Genevieve Presbitero
Chief Nursing Officer40.0Yes (X)$199,081$0$6,908
Anna Roth
Chief Legal Officer40.0Yes (X)$116,759$0$6,584
John Hunniford
Physician40.0$321,351$0$6,530Yes (X)
Carl Moshovitis
Chief of Interventional Cardiology40.0$292,427$0$10,697Yes (X)
King Leong
Physician40.0$291,800$0$16,046Yes (X)
Neal A Spero
Physician40.0$274,633$0$0Yes (X)
Ilysa Diamond
Physician40.0$266,723$0$0Yes (X)
Morgan Francis Murphy III
Former Secretary40.0$198,338$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,017,250TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$81,425TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K38IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CATALYST ANESTHESIA
1007 FRANKLIN AVENUERIVER FORESTIL60305PHYSICIAN FEES$525,080
EPMG OF ILLINOIS SC
2000 GREEN ROAD STE 300ANN ARBORMI481051571ER PHYSICIAN FEES$469,980
SALUD REVENUE PARTNER
323 COLUMBIA ST SUITE 300LAFAYETTEIN47901PATIENT ACCOUNTS$306,628
FRESENIUS MANAGEMENT SERVICES INC
16343 COLLECTION CENTER DRIVECHICAGOIL60693DIALYSIS$179,452
CALAMOS INVESTMENTS LLC
2020 CALAMOS COURTNAPERVILLEIL60563INVESTMENT SERVICES$124,671
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Medicare621110$16,079,207$16,079,207
Medicaid621110$12,157,732$12,157,732
Blue Cross621110$10,775,481$10,775,481
Other Payors621110$12,976,104$12,976,104
Medicaid Assessment621110$11,836,832$11,836,832

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,070,020TotalRevenueColumnAmt
Related Or Exempt Func Income$1,070,020RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$64,895,376TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,016,402TotalRevenueColumnAmt
Exclusion$6,016,402ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,055,186RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$392,034RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$663,152RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$663,152TotalRevenueColumnAmt
Exclusion$663,152ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$12,768,743SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,700,994SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,067,749SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,067,749TotalRevenueColumnAmt
Exclusion$7,067,749ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescDietary Cash SalesDesc
Business900099BusinessCd
Total Revenue Column$94,598TotalRevenueColumnAmt
Related Or Exempt Func Income$94,598RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$283,910TotalRevenueColumnAmt
Related Or Exempt Func Income$283,910RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$378,508OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$79,021,187TotalRevenueColumnAmt
Related Or Exempt Func Income$65,273,884RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,747,303ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,495,556TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,495,556ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,288,501TotalAmt
Program Services$15,078,744ProgramServicesAmt
Management And General$4,209,757ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,363,676TotalAmt
Program Services$1,090,941ProgramServicesAmt
Management And General$272,735ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,398,459TotalAmt
Program Services$1,118,767ProgramServicesAmt
Management And General$279,692ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$100,249TotalAmt
Management And General$100,249ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$699,421TotalAmt
Management And General$699,421ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,959,807TotalAmt
Program Services$2,367,846ProgramServicesAmt
Management And General$591,961ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$48,149TotalAmt
Program Services$48,149ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,465,980TotalAmt
Program Services$1,172,784ProgramServicesAmt
Management And General$293,196ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$870,736TotalAmt
Program Services$696,589ProgramServicesAmt
Management And General$174,147ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$38,061TotalAmt
Program Services$30,449ProgramServicesAmt
Management And General$7,612ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$42,461TotalAmt
Program Services$33,969ProgramServicesAmt
Management And General$8,492ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$188,142TotalAmt
Program Services$188,142ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,290,033TotalAmt
Program Services$3,432,026ProgramServicesAmt
Management And General$858,007ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,102,933TotalAmt
Program Services$1,682,346ProgramServicesAmt
Management And General$420,587ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$9,375,830$7,500,664$1,875,166
Purchased Services$7,513,885$6,011,108$1,502,777
Medicaid Assessment$4,516,794$4,516,794
Bad Debt$4,563,371$4,563,371

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$786,388TotalAmt
Program Services$786,388ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$63,108,432TotalAmt
Program Services$50,319,077ProgramServicesAmt
Management And General$12,789,355ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,163,846BOYAmt
EOY$2,389,616EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,791,807BOYAmt
EOY$6,755,808EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,349,042BOYAmt
EOY$1,285,682EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$758,828BOYAmt
EOY$291,595EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$115,248,601LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$66,374,210LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$49,791,025BOYAmt
EOY$48,874,391EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$241,525,425BOYAmt
EOY$275,866,308EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,301,702BOYAmt
EOY$11,427,693EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$310,681,675BOYAmt
EOY$346,891,093EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,307,843BOYAmt
EOY$4,493,152EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,304,942BOYAmt
EOY$8,226,085EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,011,814BOYAmt
EOY$16,320,295EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,624,599BOYAmt
EOY$29,039,532EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$282,057,076BOYAmt
EOY$317,851,561EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$282,057,076BOYAmt
EOY$317,851,561EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$310,681,675BOYAmt
EOY$346,891,093EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$15,912,755ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$19,881,730NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$24,864OtherActivitiesAmt
Total Lobbying Expenditures$24,864TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYTHOREK IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION ("AHA"), AND THE ILLINOIS HOSPITAL ASSOCIATION ("IHA"). AS A MEMBER OF THESE ORGANIZATIONS, THOREK PAYS DUES, WITH PART OF THESE DUES BEING INDIRECTLY ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THOREK DOES NOT DIRECTLY LOBBY.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYTHOREK IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION ("AHA"), AND THE ILLINOIS HOSPITAL ASSOCIATION ("IHA"). AS A MEMBER OF THESE ORGANIZATIONS, THOREK PAYS DUES, WITH PART OF THESE DUES BEING INDIRECTLY ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THOREK DOES NOT DIRECTLY LOBBY.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,137,216OtherCostOrOtherBasisAmt
Book Value$14,137,216BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,506,460OtherCostOrOtherBasisAmt
Depreciation$38,148,152DepreciationAmt
Book Value$24,358,308BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,905,101OtherCostOrOtherBasisAmt
Depreciation$26,805,489DepreciationAmt
Book Value$10,099,612BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,699,824OtherCostOrOtherBasisAmt
Depreciation$1,420,569DepreciationAmt
Book Value$279,255BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$48,874,391TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
FIXED INCOME SECURITIES$63,444,876F
EQUITY SECURITY FUNDS$197,524,504F
GOVERNMENTAL SECURITIES$10,765,280F
HEDGE FUND$4,131,648F
FieldValueIRS element (for citing)
Total Book Value Securities$275,866,308TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
SELF-INSURANCE RESERVE$12,343,911
THIRD PARTY PAYOR SETTLEMENTS$3,976,384
LINE OF CREDIT
FieldValueIRS element (for citing)
Total Liability$16,320,295TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$94,032,159TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$19,881,730NetUnrealizedGainsInvstAmt
Other Revenue-$4,563,371OtherRevenueAmt
Revenue Not Reported$15,318,359RevenueNotReportedAmt
Revenue Subtotal$78,713,800RevenueSubtotalAmt
Investment Expenses Not Incld$699,421InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$392,034OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$307,387RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$79,021,187TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$58,237,674TotExpnsEtcAuditedFinclStmtAmt
Losses Reported$392,034LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$392,034ExpensesNotReportedAmt
Expenses Subtotal$57,845,640ExpensesSubtotalAmt
Investment Expenses Not Incld2$699,421InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$4,563,371OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$5,262,792ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$63,108,432TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe Internal Revenue Service has ruled that the Hospital is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code, and accordingly, no tax provision is reflected in the financial statements. Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Hospital and recognize a tax liability if the Hospital has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS or other applicable taxing authorities. Management has analyzed the tax positions taken by the Hospital and has concluded that as of June 30, 2017, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements. The Hospital is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Hospital recognizes interest and/or penalties related to income tax matters in income tax expense. The Hospital did not have any amounts accrued for interest and penalties at June 30, 2017 and 2016. Management believes it is no longer subject to income tax examinations for years prior to June 30, 2014.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990PROVISION FOR BAD DEBT - -4563371
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsRENTAL EXPENSE - -392034
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsPROVISION FOR BAD DEBT - 4563371

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$546,876TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$546,876NetCommunityBenefitExpnsAmt
Total Expense0.0087TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,303,660TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,994,417DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$15,850,536TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,994,417DirectOffsettingRevenueAmt
Net Community Benefit Expns$546,876NetCommunityBenefitExpnsAmt
Total Expense0.0087TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$164,414TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$164,414NetCommunityBenefitExpnsAmt
Total Expense0.0026TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,838,840TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,438,178DirectOffsettingRevenueAmt
Net Community Benefit Expns$400,662NetCommunityBenefitExpnsAmt
Total Expense0.0063TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,003,254TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,438,178DirectOffsettingRevenueAmt
Net Community Benefit Expns$565,076NetCommunityBenefitExpnsAmt
Total Expense0.0090TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$17,853,790TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,432,595DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,111,952NetCommunityBenefitExpnsAmt
Total Expense0.0176TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,563,371BadDebtExpenseAmt
Reimbursed By Medicare$16,100,544ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$7,387,541CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$8,713,003MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Thorek Memorial HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1850 W Irving Park RoadAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60613ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.thorek.orgWebsiteAddressTxt
State License0005371StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Thorek Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.thorek.org/community-benefit/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLthorek.org/community-benefit/StrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTP://WWW.THOREK.ORG/FINANCIAL-ASSISTANCE/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTP://WWW.THOREK.ORG/FINANCIAL-ASSISTANCE/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTP://WWW.THOREK.ORG/FINANCIAL-ASSISTANCE/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - THOREK MEMORIAL HOSPITAL. The Hospital has consulted and received input from multiple constituents who represent the community in which the hospital serves. Management routinely meets with Lisa von Drehle from the Buena Park Neighbors (BNA), a not for profit community organization, to identify needs in the community of Buena Park. Through donations, meetings with leadership of BNA, and involvement in various activities of BNA, Thorek actively participates in the Buena Park community. Thorek also routinely receives input from Alderman Cappelman's office regarding its standing within the community as well as opportunities to provide services or resources to local community as needs are identified. Thorek also seeks and receives input from management at several local Chicago housing authority buildings within its immediate community and service area. This input primarily focuses on the geriatric needs of the community and leads to programs and services directed to meet the needs of seniors within Thorek's community.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Thorek Memorial Hospital. After considering the findings of the CHNA in the context of current community-focused activities and resources, Thorek has decided to address the following health priority areas (in no particular order) and develop detailed implementation plans as described for each area: 1) Access to Healthcare Services: Goal: Increase the proportion of persons with a usual primary care provider; increase the number of primary care visits; and reduce the proportion of persons who are unable to obtain or delay in obtaining necessary medical care/screenings. Strategies & Objectives: 1. Continue to provide access to care through 24/7 Emergency Department. 2. Continue to host Get Covered Illinois representatives on-site, helping community members enroll in a Marketplace plan. 3. Continue to operate off-site clinic offices in order to provide high quality primary care in several locations throughout the primary service areas. 4. Increase primary care hours by keeping the Primary Care Clinic open six days a week, rather than five. 5. Distribute a list of Thorek primary care physicians and locations at all Thorek sponsored events. 6. Improve website's "Find a Physician" section to make it easier for community members to find a doctor based on their unique needs and preferences. 2) Cancer: Goals: Earlier detection of breast cancer and skin cancer, allowing for timely intervention and better prognosis; and increase awareness of hospital's cancer services. Strategies & Objectives: 1. Continue offering mammograms at a reduced rate during the month of October. 2. Continue the annual Women's Health Fair event to provide information on prevention, early detection and treatment of breast cancer, as well as other women's health needs. 3. Increase mammogram reminders by sending out communications to women in the primary service areas, in addition to the reminders already sent to women who have had mammograms at Thorek in the past. 4. Implementation of an annual free Skin Cancer screening event, with support from Thorek dermatologist(s). 3) Mental Health: Goals: Improve access to and create additional capacity to address mental health needs of the community; and improve health-related quality of life and well-being for all individuals. Strategies & Objectives: 1. A new, 16-bed inpatient mental health unit was added January 1, 2017, increasing Thorek's capacity to address mental health needs. 2. Recently expanded outpatient mental health services by adding a Psychiatric Nurse Practitioner to staff. 3. Conduct outreach to patients diagnosed with depression who have not been seen for a follow up visit within the past year. 4. Hold a "De-Stress Fest" spring wellness event designed to help the community (and Thorek associates) fight off stress, while bringing attention to the mental health services offered by the hospital. 4) Oral Health: Goals: Reduce the proportion of children and adults with untreated dental decay; and increase the proportion of children and adults who have used the oral health system in the past year. Strategies & Objectives: 1. Recently added Dr. Ardita Dalipi to the Thorek staff. Dr. Dalipi specializes in family dentistry with a specific focus on pediatric dentistry. 2. Explore adding other dentistry specialists to the Thorek staff, increasing the hospital's capacity to address oral health needs. 3. Offer a number of discounted back-to-school dental exams for children entering grades K-12. 4. Collaborate with Dr. Dalipi to expand community outreach and awareness through direct communication efforts, open houses, and other community events. Please note for each of the significant health needs of the Community identified in the CHNA that Thorek will not be addressing are important and are already being addressed by numerous programs and initiatives operated by Thorek, community partners of the hospital, and/or other organizations within Thorek's primary service areas. As such, Thorek will not be directly addressing as part of the implementation plan due to limited resources and the need to focus on the four priority health needs identified above.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
China Square Clinic
2142 S Archer AvenueChicagoIL60616Clinic
South Loop Clinic
850 S Wabash Avenue Suite 210ChicagoIL60605Clinic
Ukrainian Village Clinic
2331 W Chicago AvenueChicagoIL60622Clinic
Lincoln Square Clinic
5151 N Lincoln AvenueChicagoIL60625Clinic
Ukrainian Village Clinic
2515 West ChicagoChicagoIL60622Clinic

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORTTHOREK PREPARES AND FILES THE ANNUAL NON PROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT BY DECEMBER 31 OF EACH YEAR WITH THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS.
Schedule H, Part V, Section B, Line 22 Line 22D - AMOUNTS CHARGED TO FAP- ELIGIBLE PATIENTSThorek Memorial Hospital calculates AGB under the Prospective Medicare Method, which means that Thorek determines AGB for any emergency or other medically necessary care provided to an individual eligible for financial assistance by using the billing and coding process Thorek would use if the individual were a Medicare fee-for-service beneficiary and setting the AGB for the care at the amount Medicare would allow for the care (including both the amount that would be reimbursed by Medicare and the amount the beneficiary would be personally responsible for paying in the form of co-payments, co-insurance and deductibles)."
Schedule H, Part I, Line 7g Subsidized Health ServicesTHOREK HAS NOT INCLUDED COSTS ATTRIBUTABLE TO ANY PHYSICIAN CLINIC AS PART OF SUBSIDIZED HEALTH SERVICES.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceFINANCIAL ASSISTANCE AT COST AND UNREIMBURSED MEDICAID: RATIO OF PATIENT CARE COST TO CHARGES WAS CALCULATED USING WORKSHEET 2
Schedule H, Part II Community Building ActivitiesIN 2017 THOREK FOCUSED MOST OF ITS COMMUNITY EFFORTS INTO OTHER COMMUNITY ACTIVITIES SUCH AS HEALTH FAIRS AND PROVIDING SERVICES TO CHICAGO HOUSING AUTHORITY RESIDENTS AND OTHER ACTIVITIES THAT WERE NOT "COMMUNITY BUILDING" AS DESCRIBED BY THE CATHOLIC HEALTH ASSOCIATION.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountAn allowance for uncollectible accounts is established on an aggregate basis by using historical write-off rate factors applied to unpaid accounts based on aging. Loss rate factors are based on historical loss experience and adjusted for economic conditions and other trends affecting the Hospital's ability to collect outstanding amounts. Uncollectible amounts are written off against the allowance for doubtful accounts in period they are determined to be uncollectible.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteThe provision for bad debt is based upon management's assessment of historical and expected collections of accounts receivable considering business and economic conditions, trends and healthcare coverage, and other collection indicators. Accounts receivable are written off and charged to the provision for bad debt after collection efforts have been made in accordance with the Hospital's policy. Recoveries are treated as a reduction to the provision for bad debt. Accounts receivable are reduced by an allowance for doubtful accounts. Periodically, management assesses the adequacy of the allowance for estimated collectible accounts based upon historical write-off experience by major payor category. Data about the major payor source is analyzed to establish an appropriate allowance for collectible receivables and provision for bad debt. For receivables associated with services provided to patients who have third-party coverage, contractually due amounts are analyzed and compared to actual cash collected over time to enhance the quality of the estimate of the allowance for collectible accounts and the provision for bad debt. For example, for unexpected uncollectible deductibles and copayments on accounts for which the third-party has not yet paid, or for payors who are known to be having financial difficulty that make the realization of the amounts due unlikely. For receivables associated with self-pay patients, which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill, an allowance for estimated uncollectible accounts is recorded on the basis of historical experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. An estimate of the difference between contracted rates and amounts collected, after all reasonable collection efforts have been exhausted, is charged to the provision for patient bad debt and credited to the allowance for estimated uncollectible accounts.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsMedicare costs are allocated by cost center in accordance with Medicare regulations. The costs are calculated using a cost to charge ratio.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceThorek seeks to engage patients proactively to determine if financial assistance is needed, especially at the time of service. This service is accomplished by communicating the availability of financial assistance to the patient through posted signs throughout the Hospital as well as notices on the Hospital website and all billing correspondence. Furthermore the Hospital financial counselors provide assistance ranging from assistance in completing the Hospital's financial assistance application, to providing payment plans to those without insurance or with patient responsibilities after reimbursement by the primary insurance, and seeking insurance coverage for those patients uninsured. The Hospital's financial counselors seek to make contact and work with the patient or their family to help them in any way possible to meet their financial responsibilities in a supportive manner or identify eligibility for the Hospital's charity care policy. Financial counselors work with patients in person while still an inpatient if appropriate, after an outpatient service at the Hospital, or soon after service is provided telephonically. As part of this process, the counselors attempt to determine if there are any third party payers which may be available to help the patient meet their obligations. The counselors work with our patients to determine if they are eligible for Medicaid or other state or local funded programs including crime victims, Illinois market place insurance plans, alternative insurance including cobra, worker's compensation, and/or other appropriate third party liability payor. The Hospital contracts with an outside firm to provide one full-time financial counselor and supporting staff that work with approximately 150 patient accounts per month. The collection practices to be followed for patients who are known to qualify for charity care or financial assistance begins with a phone call or meeting with the patient to complete the Hospital charity care application forms and/or provided evidence of the need for financial assistance. If the charity care application meets the Hospital charity care guidelines of 200% of the federal poverty guidelines, no further collection activity occurs and the amount is appropriately recorded as charity care and written off after the 53% initial discount is applied. If the application meets the 201%-300% of federal poverty guideline the account is discounted at additional 50% and the payment plan is initiated for the remaining balance. For patients that do not meet charity care guidelines, a 53% (based on 300% of federal poverty guidelines) initial discount is taken. The remaining amount is paid based upon an agreed payment plan with the patient or the patient receives a further discount based upon the individual patient's financial situation. Any final amount to be paid is determined and paid in full or according to an agreed upon payment plan with the patient. Every opportunity is made to ensure the patient has the chance to pay what they can afford based upon their financial situation at that time.
Schedule H, Part V, Section B, Line 16a FAP website- Thorek Memorial Hospital: Line 16a URL: HTTP://WWW.THOREK.ORG/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website- Thorek Memorial Hospital: Line 16b URL: HTTP://WWW.THOREK.ORG/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- Thorek Memorial Hospital: Line 16c URL: HTTP://WWW.THOREK.ORG/FINANCIAL-ASSISTANCE/;
Schedule H, Part VI, Line 2 Needs assessmentTHOREK UTILIZES A COMMUNITY HEALTH ASSESSMENT SURVEY (CONDUCTED IN 2016) WITH AN ASSISTANCE OF AN OUTSIDE RESEARCH FIRM IN ORDER TO CAPTURE PRIMARY AND SECONDARY DATA ON THE HEALTH STATUS AND OPPORTUNITIES FOR IMPROVEMENT OF HEALTH SERVICES IN ITS COMMUNITY. THE PRIMARY DATA WAS OBTAINED THROUGH A TELEPHONE SURVEY OF OVER 3,700 ADULTS IN THE METROPOLITAN CHICAGO HEALTHCARE CARE COUNTY REGION THROUGH A 20-25 MINUTE INTERVIEW WITH 136 INDIVIDUAL QUESTIONS THAT ADDRESSED THE FOLLOWING ISSUES: SELF-REPORTED HEALTH STATUS, PHYSICAL AND MENTAL HEALTH STATUS, INFECTIOUS & CHRONIC DISEASE, MODIFIABLE HEALTH RISKS, ACCESS TO HEALTHCARE SERVICES, HEALTH EDUCATION & OUTREACH, AND HEALTH INFORMATION SOURCES. THESE SURVEYS WERE CONDUCTED IN ENGLISH AND SPANISH. THE PRIMARY DATA WAS SUPPLEMENTED WITH SECONDARY DATA INCLUDING SUCH SOURCES AS CDC, FBI, COUNTY AND STATE PUBLIC HEALTH DEPARTMENTS, NATIONAL CENTER FOR HEALTH STATISTICS, AND THE U.S. CENSUS BUREAU DATA. THE SECONDARY DATA INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING TOPICS: LEADING CAUSES OF DEATH, AGE-ADJUSTED DEATH RATES, VACCINE-PREVENTABLE CONDITIONS, STDS, HIV, AND OTHER INFECTIOUS DISEASES, AND FBI CRIME INDEX. THOREK PLANS TO USE THE ASSESSMENT INFORMATION TO EXPAND EXISTING AND CREATE NEW COMMUNITY HEALTH PROGRAMS MOST NEEDED BY UNDERSTANDING THE PREVALENCE OF CHRONIC CONDITIONS, BARRIERS TO ACCESS, AND OTHER HEALTH ISSUES IN THE COMMUNITY. IN ADDITION TO THE SURVEY, THOREK HAS HISTORICALLY AND CONTINUES TO IDENTIFY PRIORITIES FOR COMMUNITY BENEFIT THROUGH THE FOLLOWING INTERNAL REVIEW: THE THOREK MEMORIAL HOSPITAL (TMH) COMMUNITY NEEDS ASSESSMENT IS AN ONGOING PROCESS CONDUCTED BY TMH MANAGEMENT AND SUMMARIZED ANNUALLY IN THE ANNUAL NON PROFIT HOSPITAL COMMUNITY BENEFIT PLAN REPORT SUBMITTED TO THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS. THIS PROCESS UTILIZES INFORMATION OBTAINED FROM HEALTH AGENCIES AND PRACTITIONERS, COMMUNITY ORGANIZATIONS, AND COMMUNITY REPRESENTATIVES. THIS INFORMATION HAS BEEN GATHERED EITHER THROUGH REVIEW OF PUBLISHED INFORMATION, WRITTEN FEEDBACK, OR DIRECT INTERVIEWS OR DISCUSSIONS WITH PHYSICIANS AND PATIENTS. INDIVIDUALS INCLUDED ARE PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, REPRESENTATIVES FROM THE ELDERLY POPULATION, LOCAL EMPLOYERS, AND COMMUNITY REPRESENTATIVES. FINDINGS FROM THE ASSESSMENT INDICATE: - TMH SERVES A POPULATION HAVING LIMITED ECONOMIC MEANS - THE POPULATION SERVED BY TMH IS NOT BASED ON GEOGRAPHIC PROXIMITY - THERE IS A CONSENSUS BETWEEN TMH AND ITS MEDICAL STAFF REGARDING GOALS - THERE IS LOW CONSUMER AWARENESS OF TMH SERVICES, HOWEVER, THIS IS IMPROVING THE TOP PRIORITY UNMET HEALTH NEEDS, BY AGE GROUP, ARE AS FOLLOWS. - ADULTS: ACCESS TO SERVICES (INSURANCE, COST) - SENIORS:COST; MEDICATIONS; POST-HOSPITAL SUPPORT; AND TRANSPORTATION THOREK MEMORIAL HOSPITAL HAS ADDRESSED AND/OR PLANS TO ADDRESS THESE IDENTIFIED PRIORITY NEEDS IN THE FOLLOWING WAYS IN THE COMMUNITY: IMPROVE ACCESS TO SERVICES - AMBULATORY CARE. TMH HAS FOCUSED ON THE EXPANSION AND DIFFERENTIATION OF ITS AMBULATORY CARE PROGRAMS IN ORDER TO IMPROVE ACCESS AND SERVICE. THE AMBULATORY CARE DEPARTMENT HAS BEEN PHYSICALLY EXPANDED AND SEPARATED INTO DISTINCT COMPONENTS. - CENTER FOR PRIMARY CARE. TMH OPERATES ITS CENTER FOR PRIMARY CARE. THIS NOT ONLY INCREASED THE SPACE DEVOTED TO AMBULATORY CARE, BUT PROVIDES A PHYSICALLY DISTINCT AREA DESIGNED TO HAVE THE LOOK AND FEEL OF A PRIVATE MEDICAL OFFICE RATHER THAN A "WALK-IN CLINIC". - COMMUNITY AND LOCAL EMPLOYER HEALTH FAIRS AND EDUCATION SESSIONS FOCUS ON NEEDS AND CONCERNS OF SENIORS - CHA PROGRAM. TMH PROVIDES ACCESS TO MEDICAL SERVICES FOR RESIDENTS OF FIVE NEARBY CHICAGO HOUSING AUTHORITY (CHA) RESIDENTIAL FACILITIES BY OPERATING MEDICAL OFFICES IN THESE BUILDINGS. RESIDENTS OF THESE BUILDINGS ARE PREDOMINANTLY SENIORS WHO QUALIFY FOR SUBSIDIZED HOUSING BASED ON FINANCIAL NEED. TYPICAL OFFICE STAFFING CONSISTS OF AN RN AND A PHYSICIAN. IN ADDITION, PHARMACEUTICALS NEEDED BY RESIDENTS ARE DELIVERED FREE OF CHARGE FOR THOSE RESIDENTS THAT REQUIRE THEM BASED ON AN APPROPRIATE COMPLETED SCRIPTS BY THE PHYSICIANS. IN ADDITION TO THE PROVISION OF HEALTH SERVICES, EDUCATIONAL, SOCIAL, AND OTHER ACTIVITIES ARE ARRANGED BY STAFF FOR THE PATIENTS OF CHA AT FIVE SITES ON THE NORTH SIDE OF CHICAGO, IN THOREK'S PRIMARY SERVICE AREA. NO AMOUNTS ARE BILLED BY THE HOSPITAL FOR HEALTHCARE SERVICES PROVIDED AT THESE SITES. THOREK HOSPITAL ALSO HELPS TO PROVIDE ACCESS TO SPECIALTY (CONSULTANT) PHYSICIAN SERVICES TO MEMBERS ON AN AS NEEDED BASIS. - MEDICATION. RECOGNIZING THE NEED TO PROVIDE ACCESS, EXPAND ALTERNATIVES, AND IMPROVE CONVENIENCE TO THOSE WE SERVE, TMH CONTINUES TO PROVIDE MEDICATION THROUGH ITS OUTPATIENT PHARMACY TO HOSPITAL PATIENTS AND CHA RESIDENTS. - TRANSPORTATION. TMH PROVIDES TRANSPORTATION VIA HOSPITAL VAN AND CONTRACTED TRANSPORTATION SERVICES BASED ON HOSPITAL TRANSPORTATION POLICIES TO 50+ CLUB MEMBERS AND OTHERS WITHIN DESIGNATED GEOGRAPHIC BOUNDARIES, AS DETERMINED APPROPRIATE BASED ON NEED AND CLINICAL STATUS, WHEN HOSPITAL SERVICES HAVE BEEN SCHEDULED IN ACCORDANCE WITH THE HOSPITAL'S TRANSPORTATION POLICY. INCREASE AWARENESS OF HEALTH PROGRAMS AVAILABLE - COMMUNICATION OF SERVICES TO THE COMMUNITY AND ITS ORGANIZATIONS - COMMUNITY HEALTH EDUCATION PROGRAMS DISCUSSING PREVENTION AND WELLNESS - ACCESS TO HOSPITAL AND PHYSICIAN SERVICES
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceThorek utilizes several methods to communicate its responsibility to inform and educate patients and persons who may be billed for patient care about their eligibility for financial assistance under governmental programs or the Hospital's financial assistance and charity care policies. The Hospital posts the availability of financial assistance and charity care in English and Spanish in all registration and most waiting areas throughout the hospital. Members of the business office also work with patients to see what other community resources may be available to the patient for current and future care provision. The financial counselor and most other employees in the Hospital business office and patient registration are fluent in Spanish, and phone translators are used for other languages. The availability for charity care as well as the worksheet to calculate eligibility for charity care is posted on the Hospital's website. In addition, all bills and statements sent to patients include information regarding the financial assistance and charity care opportunities in English and Spanish. The Hospital also contracts for a full time FTE to provide financial counseling to patients which includes the assistance in the Medicaid application process as well as a search for other coverage options available.
Schedule H, Part VI, Line 4 Community informationTHOREK MEMORIAL HOSPITAL IS REPRESENTATIVE OF THE WIDE CROSS-SECTION OF THE POPULATION THAT IT SERVES. ITS COMMUNITY INCLUDES A SIZABLE NUMBER OF AFRICAN AMERICAN, ASIAN, AND HISPANIC RESIDENTS AS WELL AS A VARIETY OF OTHER ETHNIC GROUPS. THOREK MEMORIAL HOSPITAL'S LONG-STANDING STATUS AS A PREFERRED PROVIDER OF MEDICAL SERVICES FOR EMPLOYERS, ALSO WITH A MULTI ETHNIC MEMBERSHIP, CONTRIBUTES TO A WELL-ESTABLISHED WORKING CLASS ETHNIC CUSTOMER BASE. THE DEMOGRAPHICS INCLUDE A LISTING THAT GIVES THE ETHNIC DISTRIBUTION OF INPATIENTS. SINCE THOREK MEMORIAL HOSPITAL'S MEDICAL STAFF ALSO REFLECTS ETHNIC DIVERSITY, WE EXPECT TO MAINTAIN A SIGNIFICANT ETHNIC CUSTOMER BASE. ALTHOUGH THOREK MEMORIAL HOSPITAL SERVES PATIENTS THROUGHOUT THE CHICAGO METROPOLITAN AREA AND EVEN AS FAR AWAY AS INDIANA AND WISCONSIN, WE HAVE DEFINED OUR COMMUNITY BASED UPON GEOGRAPHIC PROXIMITY. A PRIMARY SERVICE AREA HAS BEEN IDENTIFIED CONSISTING OF NEARBY ZIP CODE AREAS. THOREK MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF THE FOLLOWING: GRACELAND (60613),LINCOLN PARK (60614), KEDZIE-GRACE (60618), RAVENSWOOD (60625), UPTOWN (60640), LOGAN SQUARE (60647), EDGEWATER (60660), W.ROGERS PARK (60645), ROGERS PARK (60626), DIVISION (60651), AUSTIN (60644), CRAGIN (60639), GARFIELD PARK (60624), NEAR WEST (60612), HAWTHORNE (60623), PILSEN (60608), AND NEAR SOUTH (60616), AS WELL AS ZIP CODES 60653, 60615, 60621, 60637, 60620, 60619, 60649, AND 60628. THE PRIMARY NOT-FOR-PROFIT COMMUNITY HOSPITALS ALSO SERVING THIS AREA INCLUDE: WEISS MEMORIAL HOSPITAL, ILLINOIS MASONIC MEDICAL CENTER (ADVOCATE), SWEDISH COVENANT HOSPITAL, ST. JOSEPH HOSPITAL (RESURRECTION), NORWEGIAN AMERICAN HOSPITAL, METHODIST HOSPITAL, AND ST. MARY AND ST ELIZABETH HOSPITALS (RESURRECTION). APPROXIMATELY 85% OF ADMISSIONS SERVED AT THOREK ARE FEDERALLY FUNDED OR SELF PAY/CHARITY. THE HOSPITAL CONTINUES TO MEET THE CRITERIA FOR A DISPROPORTIONATE SHARE HOSPITAL FOR MEDICARE MEDICAID HIGH-VOLUME ADJUSTMENT FOR THE DEPARTMENT OF HUMAN SERVICES (PUBLIC AID).
Schedule H, Part VI, Line 5 Promotion of community healthA MAJORITY OF THE GOVERNING BODY OF THOREK IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. FURTHERMORE, THOREK EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. A NET COMMUNITY BENEFITS EXPENSE FOR THOREK IN 2016 IS AS FOLLOWS (FROM THE ANNUAL NON PROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT FILED IN ACCORDANCE WITH THE ILLINOIS ATTORNEY GENERAL GUIDELINES): CHARITY CARE AT COST - $421,308 LANGUAGE ASSISTANT SERVICES - $14,986 SUBSIDIZED HEALTH SERVICES - $1,775,545 OTHER COMMUNITY BENEFIT PROGRAMS - $98,115 THE HOSPITAL PROVIDES (FREE OF CHARGE) GUARDIANSHIP SERVICES THROUGH A LOCAL LEGAL FIRM FOR THOSE INPATIENT PSYCHIATRIC PATIENTS WHO ARE NOT ABLE TO MAKE APPROPRIATE MEDICAL DECISIONS FOR THEMSELVES. ALSO INCLUDED IN OTHER COMMUNITY BENEFIT PROGRAMS IS THE PROVISION OF TRANSPORTATION TO HOSPITAL PATIENTS THAT REQUIRE THIS SERVICE TO RECEIVE APPROPRIATE MEDICALLY NECESSARY HEALTH CARE AND PHYSICIAN SERVICES. THE TRANSPORTATION FOR THESE PATIENTS IS PERFORMED IN ACCORDANCE WITH THE HOSPITAL TRANSPORTATION POLICY. HOSPITAL ORGANIZES THAI HEALTH FAIR AND PROVIDES DIABETIC EDUCATION WITH THE GOAL OF ADVOCATING AND PROMPTING THE HEALTH OF THE COMMUNITY. TOTAL CHARITY CARE AND COMMUNITY BENEFITS: $2,294,968. IN ADDITION, THOREK REPORTED BAD DEBT EXPENSE OF $4,563,275
Schedule H, Part VI, Line 7 State filing of community benefit reportIL

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Peter Kamberos
Chairman and COO$349,379$0$30,145$0$0$0$0$0$1,284$0$380,808$0$0$0
Edward C Budd
President/CEO$296,699$0$30,145$0$0$0$0$0$16,688$0$343,532$0$0$0
Tim Heinrich
CFO$208,583$0$30,145$0$0$0$0$0$16,688$0$255,416$0$0$0
Genevieve Presbitero
Chief Nursing Officer$178,938$0$20,143$0$0$0$0$0$6,908$0$205,989$0$0$0
John Hunniford
Physician$272,598$0$48,753$0$0$0$0$0$6,530$0$327,881$0$0$0
Carl Moshovitis
Chief of Interventional Cardiology$292,391$0$36$0$0$0$0$0$10,697$0$303,124$0$0$0
King Leong
Physician$206,651$0$85,149$0$0$0$0$0$16,046$0$307,846$0$0$0
Neal A Spero
Physician$274,560$0$73$0$0$0$0$0$0$0$274,633$0$0$0
Ilysa Diamond
Physician$266,687$0$36$0$0$0$0$0$0$0$266,723$0$0$0
Morgan Francis Murphy III
Former Secretary$0$0$0$0$198,338$0$0$0$0$0$198,338$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 4a Severance or change-of-control paymentFormAndLineReferenceDesc
ExplanationMorgan Francis Murphy III received severance in the amount of $198,338 during calendar year 2016.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b Review of form 990 by governing bodyHospital Management prepares a draft of the Form 990 return with the assistance of an independent accounting and tax firm. The Hospital's independent accounting and tax firm presents this draft version of the 990 tax return to the Hospital Board of Trustees. The Board of Trustees has the opportunity to review the return, ask questions, and suggest changes. The Board of Trustees approves the final version of the return and management files this return with the Internal Revenue Service.
Form 990, Part VI, Line 12c Conflict of interest policyThe Hospital regularly and consistently monitors compliance with its conflict of interest policy through an annual review and completion of the annual board member questionnaire and conflict of interest policy by each member of the Board of Trustees. The corporate compliance officer reviews and enforces the conflict of interest policy. If a conflict arises, the Board Member abstains from voting on the relevant issue.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialAn annual review of compensation was completed for Fiscal Year 2017. The information was distributed to the Compensation Committee of the Board. The Committee will then make recommendations to the Board of Trustees on an annual basis. All decisions by the Compensation Committee are documented in the minutes of the Compensation Committee. Further, the Hospital plans to engage Sullivan and Cotter MCHC to provide a comparative salary analysis for CEO/President for Fiscal Year 2018 as done in prior Fiscal Year 2016.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesAn annual review of compensation was completed for Fiscal Year 2017. The information was distributed to the Compensation Committee of the Board. The Committee will then make recommendations to the Board of Trustees on an annual basis. All decisions by the Compensation Committee are documented in the minutes of the Compensation Committee. Further, the Hospital plans to engage Sullivan and Cotter MCHC to provide a comparative salary analysis for CEO/President for Fiscal Year 2018 as done in prior Fiscal Year 2016.
Form 990, Part VI, Line 19 Required documents available to the publicThe governing documents, conflict of interest policy, and audited financial statements are available upon request.
Form 990, Part VIII, Line 2f Other Program Service Revenue- Total Revenue: 1070020, Related or Exempt Function Revenue: 1070020, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue- Total Revenue: 283910, Related or Exempt Function Revenue: 283910, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1THOREK MEMORIAL FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1850 W IRVING PARK ROADAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60613ZIPCd
FieldValueIRS element (for citing)
EIN366124318EIN
Primary ActivitiesSUPPORT THOREK MEMORIAL HOSPITALPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusType IIPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1THOREK MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.