PEKIN MEMORIAL HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PEKIN MEMORIAL HOSPITAL (EIN 37-0692351)
- Tax period
- 2012-05-01 to 2013-04-30
- Filed
- 2014-03-07
- IRS object ID
- 201430669349300628
- Schema version
- 2012v2.3
- 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 K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-03-07T14:35:27-06:00 | Timestamp |
| Tax Period End Date | 2013-04-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 N BROADWAY SUITE 600 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 631022733 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-05-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370692351 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pekin Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % PAM ROGERS | InCareOfName |
| Name Control | PEKI | NameControl |
| Phone | 3093530700 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 South 13th Street | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Pekin | City |
| State | IL | State |
| ZIP Code | 61554 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEVEN C HALL | Name |
| Title | CFO | Title |
| Phone | 3093530700 | Phone |
| Date Signed | 2014-03-03 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Donna J Larson | Name |
| Phone | 3142315544 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STEVEN HALL CFO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOUTH 13TH STREET | AddressLine1 |
| City | PEKIN | City |
| State | IL | State |
| ZIP Code | 61554 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 66315773 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PEKINHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1913 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY AND TO DO SO WITH LOVE, COMPASSION AND EXTRAORDINARY MEDICAL CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 827 | TotalNbrEmployees |
| Total Nbr Volunteers | 203 | TotalNbrVolunteers |
| Total Gross UBI | 870424 | TotalGrossUBI |
| Contributions Grants Prior Year | 628191 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 123277 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 74978387 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 62037561 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 852106 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1027728 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 743737 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3109518 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 77202421 | TotalRevenuePriorYear |
| Total Revenue Current Year | 66298084 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 34597065 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 34102667 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 37329283 | OtherExpensePriorYear |
| Other Expenses Current Year | 28693091 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 71926348 | TotalExpensesPriorYear |
| Total Expenses Current Year | 62795758 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5276073 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3502326 | RevenuesLessExpensesCY |
| Total Assets BOY | 72222391 | TotalAssetsBOY |
| Total Assets EOY | 72488354 | TotalAssetsEOY |
| Total Liabilities BOY | 42356114 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 40168202 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 29866277 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 32320152 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY AND TO DO SO WITH LOVE, COMPASSION AND EXTRAORDINARY MEDICAL CARE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 57575946 | Expense |
| Grants | 0 | Grants |
| Revenue | 64439551 | Revenue |
| Description | PEKIN MEMORIAL HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY SERVICES TO PATIENTS IN PEKIN, ILLINOIS AND SURROUNDING AREAS. THE HOSPITAL OPERATES A LICENSED 98 ACUTE CARE BED FACILITY. PATIENT DAYS WERE 14,790; ADJUSTED PATIENT DAYS WERE 40,658; CASE MIX INDEX WAS 1.2379. SEE SCHEDULE O. | Description |
| Total Program Service Expense | 57575946 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 75 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 827 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PAM ROGERS | NamePerson |
| Telephone Number | 3093530796 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOUTH 13TH STREET | AddressLine1 |
| City | PEKIN | City |
| State | IL | State |
| ZIP Code | 61554 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| DR JAMES SMALLEY | |||||||||
| TRUSTEE | 1.0 | 4.0 | X | 0 | 0 | 0 | |||
| RICHARD KRIEGSMAN | |||||||||
| CHAIRMAN | 1.0 | 4.0 | X | 0 | 0 | 0 | X | ||
| ANDREW SPARKS | |||||||||
| VICE-CHAIRMAN | 1.0 | 4.0 | X | 0 | 0 | 0 | X | ||
| CURTIS EETEN | |||||||||
| TRUSTEE | 1.0 | 4.0 | X | 0 | 0 | 0 | |||
| JANET LANGE | |||||||||
| TRUSTEE | 1.0 | 4.0 | X | 0 | 0 | 0 | |||
| DOUG PARSONS | |||||||||
| TRUSTEE | 1.0 | 4.0 | X | 0 | 0 | 0 | |||
| JASON PROHEL | |||||||||
| TRUSTEE | 1.0 | 4.0 | X | 0 | 0 | 0 | |||
| EDWARD SIROTAK | |||||||||
| TRUSTEE | 1.0 | 4.0 | X | 0 | 0 | 0 | |||
| DR KATHRYN KRAMER | |||||||||
| TRUSTEE | 1.0 | 4.0 | X | 0 | 0 | 0 | |||
| MICHAEL TIBBS | |||||||||
| SECRETARY/TREASURER | 1.0 | 4.0 | X | 0 | 0 | 0 | X | ||
| DR ERIC V REINERTSON | |||||||||
| TRUSTEE | 1.0 | 4.0 | X | 0 | 0 | 0 | |||
| KEVIN R ANDREWS | |||||||||
| FORMER CEO | 40.0 | 4.0 | 215110 | 0 | 2887 | X | |||
| STEVEN C HALL | |||||||||
| CFO | 40.0 | 4.0 | 218266 | 0 | 44952 | X | |||
| GARY JEPSON | |||||||||
| CEO | 40.0 | 4.0 | 148077 | 0 | 5134 | X | |||
| JO ELLEN PATTERSON | |||||||||
| CNO | 40.0 | 0.0 | 154292 | 0 | 8847 | X | |||
| ANNE DIERKER | |||||||||
| VP HOSPITAL SERVICES | 20.0 | 20.0 | 70538 | 70537 | 26513 | X | |||
| MICHAEL ERICKSON | |||||||||
| CRNA | 40.0 | 0.0 | 235221 | 0 | 28244 | X | |||
| STEVEN BOOKER | |||||||||
| DIRECTOR OF ANESTHESIA/CRNA | 40.0 | 0.0 | 204672 | 0 | 43094 | X | |||
| CAROLYN SUTTER | |||||||||
| CRNA | 40.0 | 0.0 | 226996 | 0 | 26906 | X | |||
| PEGGE HALL | |||||||||
| CRNA | 40.0 | 0.0 | 217077 | 0 | 27103 | X | |||
| MELISSA NGO | |||||||||
| CRNA | 40.0 | 0.0 | 215080 | 0 | 10224 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1905329 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 70537 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 223904 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | true | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| RIVERCITY CONSTRUCTION | |||||
| 101 HOFFER LANE | EAST PEORIA | IL | 61611 | CONSTRUCTION | 1343222 |
| PROFESSIONAL THERAPY SERVICES | |||||
| 2810 FRANK SCOTT PARKWAY STE 824 | BELLEVILLE | IL | 62223 | REHAB SERVICES | 1166774 |
| QHR | |||||
| 105 CONTINENTAL PLACE | PEORIA | IL | 61615 | CONSULTING | 917055 |
| ARAMARK FACILITIES | |||||
| 22506 NETWORK | CHICAGO | IL | 60673 | EQUIPMENT SERVICES | 636944 |
| ARAMARK FOOD | |||||
| PO BOX 651009 | CHARLOTTE | NC | 28265 | DIETARY | 544958 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Related Organizations | 123277 | RelatedOrganizations |
| Total Contributions | 123277 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT REVENUE | 621110 | 61143860 | 61143860 | |
| MEDICAL RECORD REVENUE | 561000 | 24947 | 24947 | |
| REFERENCE LAB REVENUE | 621500 | 868754 | 868754 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 62037561 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 752508 | TotalRevenueColumn |
| Exclusion | $752,508 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 75573 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 75573 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 75573 | TotalRevenueColumn |
| Exclusion | $75,573 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 271512 | Securities |
| Other | 21397 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 17689 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 271512 | Securities |
| Other | 3708 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 275220 | TotalRevenueColumn |
| Exclusion | $275,220 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| EHR FUNDS | 900099 | 2400320 | 2400320 | |
| CAFETERIA REVENUE | 722210 | 534978 | $534,978 | |
| WELLNESS CENTER | 621400 | 20587 | $20,587 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 78060 | TotalRevenueColumn |
| Unrelated Business Revenue | 1670 | UnrelatedBusinessRevenue |
| Exclusion | $76,390 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3033945 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 66298084 | TotalRevenueColumn |
| Related Or Exempt Function Income | 63569127 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 870424 | UnrelatedBusinessRevenue |
| Exclusion | $1,735,256 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 951613 | Total |
| Program Services | 332348 | ProgramServices |
| Management And General | 619265 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26756578 | Total |
| Program Services | 24668506 | ProgramServices |
| Management And General | 2088072 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1229994 | Total |
| Program Services | 1118969 | ProgramServices |
| Management And General | 111025 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3214113 | Total |
| Program Services | 2947449 | ProgramServices |
| Management And General | 266664 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1950369 | Total |
| Program Services | 1763230 | ProgramServices |
| Management And General | 187139 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 977055 | Total |
| Program Services | 60000 | ProgramServices |
| Management And General | 917055 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172351 | Total |
| Management And General | 172351 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66358 | Total |
| Management And General | 66358 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6873878 | Total |
| Program Services | 6873878 | ProgramServices |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 548734 | Total |
| Program Services | 119177 | ProgramServices |
| Management And General | 429557 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8314338 | Total |
| Program Services | 8288023 | ProgramServices |
| Management And General | 26315 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10528 | Total |
| Program Services | 10528 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1085455 | Total |
| Program Services | 1080028 | ProgramServices |
| Management And General | 5427 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26367 | Total |
| Program Services | 26367 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 161500 | Total |
| Program Services | 159184 | ProgramServices |
| Management And General | 2316 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 841338 | Total |
| Program Services | 841338 | ProgramServices |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3808231 | Total |
| Program Services | 3789190 | ProgramServices |
| Management And General | 19041 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 910417 | Total |
| Program Services | 734213 | ProgramServices |
| Management And General | 176204 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising |
|---|---|---|---|
| MEDICAID ASSESSMENT EXPENSE | 1546333 | 1546333 | 0 |
| FOOD EXPENSE | 537660 | 537660 | 0 |
| IMPLANT FEES | 1768421 | 1768421 | 0 |
| REFERENCE LAB | 553359 | 553359 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 490768 | Total |
| Program Services | 357745 | ProgramServices |
| Management And General | 133023 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62795758 | Total |
| Program Services | 57575946 | ProgramServices |
| Management And General | 5219812 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 477162 | BOY |
| EOY | 328586 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3374435 | BOY |
| EOY | 3416710 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12432983 | BOY |
| EOY | 10628006 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1013765 | BOY |
| EOY | 1025631 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1430565 | BOY |
| EOY | 1453843 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 81284952 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 56921822 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22346575 | BOY |
| EOY | 24363130 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27018261 | BOY |
| EOY | 27422975 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4128645 | BOY |
| EOY | 3849473 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72222391 | BOY |
| EOY | 72488354 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7526343 | BOY |
| EOY | 7534350 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19285000 | BOY |
| EOY | 16760000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3972277 | BOY |
| EOY | 3388146 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11572494 | BOY |
| EOY | 12485706 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42356114 | BOY |
| EOY | 40168202 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29353673 | BOY |
| EOY | 31787788 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 512604 | BOY |
| EOY | 532364 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29866277 | BOY |
| EOY | 32320152 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72222391 | BOY |
| EOY | 72488354 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3502326 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 2180319 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -3228770 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $19,409 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 19409 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART II-B, QUESTION 1 | ReturnReference |
| Explanation | LOBBYING EXPENSES ARE ONLY INCURRED THROUGH ASSOCIATIONS WITH NATIONAL ORGANIZATIONS OF WHICH THE ORGANIZATION IS A MEMBER. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1449581 | OtherCostOrOtherBasis |
| Book Value | 1449581 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11585946 | OtherCostOrOtherBasis |
| Depreciation | 8477735 | Depreciation |
| Book Value | 3108211 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18297682 | OtherCostOrOtherBasis |
| Depreciation | 14177615 | Depreciation |
| Book Value | 4120067 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 45311523 | OtherCostOrOtherBasis |
| Depreciation | 32677165 | Depreciation |
| Book Value | 12634358 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4640220 | OtherCostOrOtherBasis |
| Depreciation | 1589307 | Depreciation |
| Book Value | 3050913 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 24363130 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| UNAMORTIZED FINANCING COSTS | 183112 |
| SELF-INSURANCE TRUST | 249738 |
| OTHER RESTRICTED ASSETS | 2698898 |
| DUE FROM MEDICARE | 185361 |
| PEKIN HOSPITAL FOUNDATION | 532364 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3849473 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO THIRD PARTIES | $3,753,030 |
| MINIMUM PENSION LIABILITY | $8,732,676 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12485706 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 DISCLOSURE | Identifier |
| Return Reference | PART X, LINE 2 | ReturnReference |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 600. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | false | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1395813 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1395813 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02220 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10832435 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3364135 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7468300 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11890 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12228248 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3364135 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8864113 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14110 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14053 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14053 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14053 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14053 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12242301 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3364135 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8878166 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14130 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,159,000 | BadDebtExpenseAmount |
| Amount Attributable To | 323850 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 15425740 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 27950293 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -12524553 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEKIN MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOUTH 13TH STREET | AddressLine1 |
| City | PEKIN | City |
| State | IL | State |
| ZIP Code | 61554 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEKIN MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 150. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 600. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEKIN HOSPITAL MRI BUILDING | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 PARK AVENUE | AddressLine1 |
| City | PEKIN | City |
| State | IL | State |
| ZIP Code | 61554 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | DIAGNOSTIC CENTER | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COST METHODOLOGY | PART I, LINE 7 | THE COSTS REPORTED IN THE TABLE IN PART I, LINE 7 USED A RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM INSTRUCTIONS. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS. |
| BAD DEBT METHODOLOGY | PART III, LINE 2 | THE COST OF BAD DEBT EXPENSE TO THE ORGANIZATION IS DETERMINED BY COMPUTING A RATIO OF COST (TOTAL OPERATING EXPENSE) TO GROSS CHARGES AND THEN MULTIPLYING THAT RATIO BY THE BAD DEBT EXPENSE REPORTED FOR THE HOSPITAL. |
| BAD DEBT INCLUDED IN COMMUNITY BENEFIT | PART III, LINE 3 | THE ORGANIZATION USED A LOXOGON TEST IN REPORT YEAR 2010. IN 2011, DUE TO CHANGES AND BEING ABLE TO DETERMINE UP FRONT CHARITY PATIENTS, THE AMOUNT WAS REDUCED TO 15% OF THE COST OF BAD DEBT. THE HOSPITAL COMMITS SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND CRITICAL SERVICES WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE SELF-SUPPORTING OR FINANCIALLY VIABLE. ADDITIONALLY, AMOUNTS IN LINE 3 EXIST DUE TO THE NUMBER OF PATIENTS WHO DID NOT TAKE THE TIME TO APPLY FOR CHARITY CARE, BUT OTHERWISE QUALIFIED. |
| BAD DEBT EXPENSE | PART III, LINE 4 | ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF 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), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| SHORTFALL | PART III, LINE 8 | LINE 6 IS TAKEN FROM MCR COST REPORT - COST TO CHARGE RATIO. THE MEDICARE COST REPORT IS FILED FOLLOWING THE COST REPORT GUIDELINES. MEDICARE PAYMENT SHORTFALLS SHOULD BE REFLECTED AS COMMUNITY BENEFIT AS THE FEDERAL GOVERNMENT PROSPECTIVELY SETS THE HOSPITAL PAYMENT RATES; THE RATES ARE NOT NEGOTIABLE AND CONSEQUENTLY, NO LONGER COVER THE HOSPITAL'S COST TO PROVIDE SERVICES TO MEDICARE BENEFICIARIES. |
| DEBT COLLECTION POLICY | PART III, LINE 9B | PEKIN FOLLOWS THE CHARITY POLICY, REGARDLESS OF THEIR INSURANCE SITUATION. FOR EXAMPLE, IF THE PERSON HAS A FORM OF INSURANCE, THE INSURANCE COMPANY PAYS, AND PEKIN APPLIES CHARITY CARE BENEFITS TO THE SELF-PAY PORTION REMAINING AFTER THE INSURANCE PAYMENT. |
| CHNA - INPUT FROM PERSONS REPRESENTING THE COMMUNITY | PART V, LINE 3 | WE RECEIVED COMMUNITY INPUT FROM 341 AREA RESIDENTS; OCTOBER 23, 2012 THROUGH NOVEMBER 13, 2012. INFORMATION ANALYSIS AUGMENTED BY LOCAL OPINIONS SHOWED HOW TAZEWELL COUNTY RELATES TO ITS PEERS IN TERMS OF PRIMARY AND CHRONIC NEEDS, AS WELL AS OTHER ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS; RESPONDENTS COMMENTED ON IF THEY BELIEVE CERTAIN POPULATION GROUPS (OR PEOPLE WITH CERTAIN SITUATIONS) NEED HELP TO IMPROVE THEIR CONDITION. |
| PUBLISHING OF FINANCIAL ASSISTANCE POLICY | PART V, SECTION B, LINE 14G | THE POLICY IS ALSO AVAILABLE IN COMMON AREAS OF THE HOSPITAL. |
| DETERMINING MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS | PART V, SECTION B, LINE 20D | IF THE PATIENT QUALIFIES, THE HOSPITAL WILL GIVE A DISCOUNT TO REDUCE THE BILL TO 135% OF COST. THE REDUCTION WILL BE DETERMINED YEARLY USING OUR MOST CURRENTLY FILED MEDICARE COST REPORT. |
| NEEDS ASSESSMENT | PART VI, LINE 2 | PEKIN HOSPITAL CONTRACTED WITH QHR, ITS MANAGEMENT CONSULTANT, TO ASSIST WITH THE CREATION OF ITS STRATEGIC PLAN. THE COMMUNITY ASSESSMENT WAS PERFORMED THROUGH A SERIES OF FOCUS GROUPS, COMMUNITY SURVEYS, PHYSICIAN PANEL DISCUSSIONS, INTERNAL STATISTICAL DATA, AND COUNTY AND SERVICE AREA DEMOGRAPHICS. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI, LINE 3 | PEKIN'S CHARITY CARE POLICY IS ON ITS OUR WEB-SITE. IT IS ALSO POSTED IN MOST OF THE COMMON AREAS THROUGHOUT THE FACILITY, AND IS VISIBLY POSTED IN THE REGISTRATION AND PATIENT ACCOUNTS AREAS. |
| COMMUNITY INFORMATION | PART VI, LINE 4 | PEKIN HOSPITAL PRIMARILY SERVES TAZEWELL, MASON AND PEORIA COUNTIES IN THE STATE OF ILLINOIS. IT IS ONE OF THE LARGEST EMPLOYERS IN THE CITY OF PEKIN AND IN TAZEWELL COUNTY. THE SERVICE AREA SITS TO THE SOUTH AND EAST OF THE GREATER PEORIA AREA, WHERE CATERPILLAR IS A MAJOR INDUSTRIAL EMPLOYER. ITS PRIMARY SERVICE AREA HAS A POPULATION OF JUST OVER 60,000 WITH A SECONDARY SERVICE AREA OF APPROXIMATELY 14,000. THE MEDIAN AGE OF ITS SERVICE AREA IS 40 YEARS, WHILE THE MEDIAN HOUSEHOLD INCOME IS $41,000 |
| PROMOTION OF COMMUNITY HEALTH | PART VI, LINE 5 | PEKIN HOSPITAL PROVIDES MANY FREE HEALTH SCREENINGS THROUGHOUT THE YEAR TO PROMOTE EARLY DETECTION AND PREVENTION. THIS INCLUDES BUT IS NOT LIMITED TO MAMMOGRAPHY, BONE DENSITY, BLOOD PRESSURE, COLON, OBESITY AND SPIROMETRY. PEKIN HOSPITAL HAS ENGAGED ITS PHYSICIANS TO SPEAK AT DIFFERENT COMMUNITY ORGANIZATIONS, TO SHARE INFORMATION ON HEALTH AND WELL-BEING. IT HAS ALSO SENT REPRESENTATIVES OUT TO DISCUSS HEALTHCARE REFORM. IN FY 2012, PEKIN HOSPITAL HAD CONSOLIDATED COST OF BAD DEBT, CHARITY CARE, AND UNREIMBURSED MEDICAID COSTS TOTALING $8,737,000. IN FY 2013 THAT NUMBER INCREASED TO $11,293,000. THIS MEANS THAT IN FY 2013, PEKIN HOSPITAL DELIVERED $11,293,000 OF FREE CARE TO THE COMMUNITY. |
| AFFILIATED HEALTH CARE SYSTEM | PART VI, LINE 6 | PROGRESSIVE HEALTH SYSTEM IS THE SOLE MEMBER OF PEKIN HOSPITAL, PEKIN HOSPITAL FOUNDATION, PARK COURT LIMITED, AND PRO HEALTH INC. PEKIN HOSPITAL IS A NOT-FOR-PROFIT ENTITY AND IS THE ONLY HOSPITAL UNDER THE PROGRESSIVE HEALTH SYSTEM UMBRELLA. THE FOUNDATION IS A NOT-FOR-PROFIT ENTITY THAT RAISES FUNDS ON BEHALF OF PEKIN HOSPITAL TO ASSIST WITH PURCHASES OF CAPITAL EQUIPMENT AND OTHER LARGE EXPENSES FOR MEDICAL CARE. PARK COURT LIMITED IS A NOT-FOR-PROFIT ENTITY THAT FUNCTIONS AS A PROPERTY HOLDING COMPANY WHICH LEASES MEDICAL OFFICE SPACE TO MEDICAL CARE PROVIDERS. PRO HEALTH INC. IS A FOR-PROFIT PHYSICIAN CLINIC THAT EMPLOYS PHYSICIANS TO CARE FOR ITS PATIENTS AND WHO ALSO HAS ADMITTING RIGHTS TO PEKIN HOSPITAL. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | PART VI, LINE 7 | ILLINOIS ONLY |
| DIRECT WEBSITE URL | PART V, SECTION B, LINE 5 | THE IMPLEMENTATION STRATEGY WAS ALSO POSTED TO THE WEBSITE WITH THE CHNA. THE DIRECT WEBSITE URL IS HTTP://WWW.PEKINHOSPITAL.ORG/DATA/FILES/COMMUNITYHEALTHNEEDSASSESSMENT2.PD F |
| BAD DEBT | PART I, LINE 7, COLUMN (F) | NO BAD DEBT EXPENSE WAS INCLUDED IN PART IX, LINE 25. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | false | WrittenPolicyReTAndEExpenses |
| Substantiation Required | false | SubstantiationRequired |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEVIN R ANDREWS | ||||||||||||||
| FORMER CEO | 214513 | 0 | 0 | 0 | 597 | 0 | 0 | 0 | 2887 | 0 | 217997 | 0 | 0 | 0 |
| STEVEN C HALL | ||||||||||||||
| CFO | 218266 | 0 | 0 | 0 | 0 | 0 | 9243 | 0 | 35709 | 0 | 263218 | 0 | 0 | 0 |
| JO ELLEN PATTERSON | ||||||||||||||
| CNO | 154292 | 0 | 0 | 0 | 0 | 0 | 7847 | 0 | 1000 | 0 | 163139 | 0 | 0 | 0 |
| ANNE DIERKER | ||||||||||||||
| VP HOSPITAL SERVICES | 69651 | 69650 | 0 | 0 | 887 | 887 | 3180 | 3179 | 10077 | 10077 | 83795 | 83793 | 0 | 0 |
| MICHAEL ERICKSON | ||||||||||||||
| CRNA | 235221 | 0 | 0 | 0 | 0 | 0 | 11667 | 0 | 16577 | 0 | 263465 | 0 | 0 | 0 |
| STEVEN BOOKER | ||||||||||||||
| DIRECTOR OF ANESTHESIA/CRNA | 202887 | 0 | 0 | 0 | 1785 | 0 | 8513 | 0 | 34581 | 0 | 247766 | 0 | 0 | 0 |
| CAROLYN SUTTER | ||||||||||||||
| CRNA | 226996 | 0 | 0 | 0 | 0 | 0 | 8968 | 0 | 17938 | 0 | 253902 | 0 | 0 | 0 |
| PEGGE HALL | ||||||||||||||
| CRNA | 216753 | 0 | 0 | 0 | 324 | 0 | 8596 | 0 | 18507 | 0 | 244180 | 0 | 0 | 0 |
| MELISSA NGO | ||||||||||||||
| CRNA | 214869 | 0 | 0 | 0 | 211 | 0 | 6224 | 0 | 4000 | 0 | 225304 | 0 | 0 | 0 |
| GARY JEPSON | ||||||||||||||
| CEO | 147612 | 0 | 0 | 0 | 465 | 0 | 0 | 0 | 5134 | 0 | 153211 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES | PART I, LINE 1(A) | KEVIN ANDREWS, THE FORMER CEO, AND GARY JEPSON, THE NEW CEO, ARE THE ONLY INDIVIDUALS THAT RECEIVED PAYMENT FOR HEALTH/SOCIAL CLUB MEMBERSHIP DUES. THE ORGANIZATION ONLY PAYS FOR EXPENSES RELATED TO THE BUSINESS USE OF THE MEMBERSHIP. |
| WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT | PART I, LINE 1(B) | THE COUNTRY CLUB DOES NOT ALLOW MEMBERSHIPS TO BE IN THE NAME OF ANY BUSINESS, THEREFORE, THE ORGANIZATION IS USING THE NAME OF ITS CEO. THE ORGANIZATION ONLY PAYS FOR EXPENSES RELATED TO THE BUSINESS USE OF THE MEMBERSHIP. |
| COMPENSATION PAID BY AN UNRELATED MANAGEMENT COMPANY | THE FORMER CEO, KEVIN ANDREWS, AND THE NEW CEO, GARY JEPSON, ARE PAID BY AN UNRELATED MANAGEMENT COMPANY, QUORUM HEALTH RESOURCES. QUORUM PROVIDED KEVIN ANDREWS AND GARY JEPSON WITH COMPENSATION IN THE AMOUNT OF $217,997 AND $153,211 RESPECTIVELY. ALL FEES ARE PAID TO QUORUM BY PEKIN MEMORIAL HOSPITAL. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF PEKIN TAZEWELL COUNTY ILLINOIS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 376002169 | IssuerEIN |
| Date Issued | 2010-03-30 | DateIssued |
| Issue Price | 23530000 | IssuePrice |
| Description Of Purpose | REV REFUNDING BONDS SER 1993B & C | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 6770000 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 23530000 | TotalProceeds |
| Amount In Reserve Fund | 2625000 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 16760000 | RefundingEscrow |
| Issuance Costs From Proceeds | 325773 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 0 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2017 | YearOfSubstCompletion |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | false | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | true | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.02400 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.02400 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | false | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedProp |
| Remedial Action Taken | false | RemedialActionTaken |
| Non Qualified Bond Remed Procdrs | false | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | true | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | false | ProcToUndertkCorrectiveAction |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| PEKIN INSURANCE | |||
| R KRIEGSMAN & C EETEN | 924415 | PAYMENTS RECEIVED FOR HEALTH | false |
| TRUSTEES FOR THE INSURANCE CO | |||
| ARE TRUSTEES OF THE ORG | INSURANCE CLAIMS | ||
| PROHEALTH INC | |||
| SEE PART V | 125000 | SHARED EMPLOYEES | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION | Identifier |
| Return Reference | PART IV, LINE 3, COLUMN B | ReturnReference |
| Explanation | PROHEALTH, INC. IS A TAXABLE ENTITY RELATED TO PEKIN MEMORIAL HOSPITAL. ALL BOARD MEMBERS OF PEKIN MEMORIAL HOSPITAL ARE ALSO BOARD MEMBERS OF PROHEALTH, INC. NONE OF THE BOARD MEMBERS HAVE A FINANCIAL INTEREST IN PROHEALTH, INC. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (15 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FAMILY AND BUSINESS RELATIONSHIPS | FORM 990, PART VI, SECTION A, LINE 2 | JANET LANGE AND RICHARD KRIEGSMAN HAVE A FAMILY RELATIONSHIP; CURTIS EETEN HAS A BUSINESS RELATIONSHIP WITH RICHARD KRIEGSMAN. ALL BOARD MEMBERS AND OFFICERS HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER AS A RESULT OF ALL SERVING AS BOARD MEMBERS OR OFFICERS OF PEKIN PROHEALTH, INC., A FOR-PROFIT AFFILIATE OF THE ORGANIZATION. |
| DELEGATING AUTHORITY | FORM 990, PART VI, SECTION A, LINE 3 | THE BOARD OF DIRECTORS HAS CONTRACTED WITH QUORUM HEALTH RESOURCES (QHR) TO SERVE AS A MANAGEMENT CORPORATION TO ASSIST IN THE LEADERSHIP OF THE HOSPITAL. QHR PROVIDES PEKIN HOSPITAL WITH LEADERSHIP VIA THE CEO ALONG WITH OTHER CONSULTING SERVICES ON FINANCIAL AND STAFFING NEEDS. |
| PROCESS TO REVIEW 990 | FORM 990, PART VI, SECTION A, LINE 11B | FORM 990 WAS REVIEWED BY THE CEO, CFO, AND CONTROLLER. PRIOR TO FILING, THE 990 WAS PROVIDED TO THE BOARD OF DIRECTORS ELECTRONICALLY, AND REVIEWED INDEPENDENTLY BY EACH MEMBER. QUESTIONS BY BOARD MEMBERS WERE HANDLED ON AN INDIVIDUAL BASIS WITH MANAGEMENT. |
| ORGANIZATION'S POLICY FOR MONITORING COMPLIANCE | FORM 990, PART VI, SECTION B, LINE 12C | PERIODIC SURVEYS ARE PERFORMED REQUESTING DISCLOSURES OF CONFLICTS OF INTEREST. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE EMPLOYEE WILL BE REQUIRED TO RELINQUISH EITHER THE OUTSIDE BUSINESS INTEREST/ARRANGEMENT OR HIS/HER PHS EMPLOYMENT. THE CONFLICT OF INTEREST POLICIES APPLY TO INDIVIDUALS WHO SERVE AS TRUSTEES, MANAGERS (DEPARTMENT HEADS AND ABOVE), CHIEFS OF CLINICAL DEPARTMENTS, AND ANY OTHER EMPLOYEE, MEDICAL STAFF MEMBER OR NON-EMPLOYED CONTRACTOR ACTING IN A MANAGERIAL OR CLINICAL LEADERSHIP CAPACITY DEEMED BY AN ADMINISTRATIVE OFFICER OR CHIEF OF SERVICE TO BE IN A POSITION TO INFLUENCE DECISION-MAKING FOR THE ORGANIZATION. DISCLOSURE WILL OCCUR THROUGH AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT AND THE DISCLOSURE OF OTHER ACTUAL OR POTENTIAL CONFLICTS AS THEY ARISE. POTENTIAL CONFLICTS OF INTEREST SHOULD BE REPORTED TO AN IMMEDIATE SUPERVISOR, WHO, IN TURN, IS OBLIGATED TO REPORT THE MATTER TO THE CORPORATE COMPLIANCE OFFICER. THE CORPORATE COMPLIANCE OFFICER IS EXPECTED TO INVESTIGATE REPORTED CONFLICTS AND MAKE A REPORT TO THE COMPLIANCE COMMITTEE ON A QUARTERLY BASIS. ALL BOARD MEMBERS ARE REQUIRED TO REPORT ANY POTENTIAL CONFLICTS OF INTEREST TO THE BOARD OR AN APPLICABLE COMMITTEE OF THE BOARD. AFTER EXCUSING THE MEMBER WITH A POTENTIAL CONFLICT, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DISCUSS AND DECIDE IF A CONFLICT EXISTS, BOARD MEMBERS FOUND TO HAVE A CONFLICT ARE REQUIRED TO EXCUSE THEMSELVES FROM ANY DISCUSSIONS REGARDING A TRANSACTION RELATED TO A POTENTIAL CONFLICT AND ARE PROHIBITED FROM VOTING ON ANY SUCH MATTER. |
| COMPENSATION REVIEW | FORM 990, PART VI, SECTION B, LINE 15A | THE CEO IS EMPLOYED BY AN OUTSIDE MANAGEMENT COMPANY. |
| COMPENSATION REVIEW | FORM 990, PART VI, SECTION B, LINE 15B | HUMAN RESOURCES AND THE CEO REVIEW THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ON AN ANNUAL BASIS. |
| DISCLOSURE | FORM 990, PART VI, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| INDEPENDENT VOTING MEMBERS | FORM 990, PART VI, LINE 1B | ALL BOARD MEMBERS ARE NOT CONSIDERED INDEPENDENT DUE TO THE FACT THAT THEY ARE LISTED IN A TRANSACTION REPORTED ON SCHEDULE L INVOLVING A TAXABLE RELATED ENTITY. IF NOT FOR THE REQUIREMENT TO REPORT THIS TRANSACTION, THERE WOULD BE 9 INDEPENDENT VOTING MEMBERS. |
| MEMBERS AND STOCKHOLDERS | FORM 990, PART VI, SECTION A, LINE 6 | PROGRESSIVE HEALTH SYSTEMS IS THE SOLE MEMBER OF THE ORGANIZATION |
| ELECTION OF GOVERNING BODY | FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER, PROGRESSIVE HEALTH SYSTEMS, HAS THE POWER TO ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF THE ORGANIZATION. |
| APPROVAL BY MEMBERS | FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER, PROGRESSIVE HEALTH SYSTEMS, HAS THE RIGHT TO APPROVE THE FOLLOWING DECISIONS BY THE GOVERNING BODY: A) ESTABLISHMENT OR MODIFICATION OF COMPENSATION AND BENEFIT POLICIES; B) DEVELOPMENT OR MODIFICATION OF CORPORATE COMPLIANCE PROGRAMS, INCLUDING PROGRAMS DESIGNED TO DETECT OR PREVENT HEALTH CARE FRAUD OR IMPROPER THIRD PARTY BILLING, ACTIVITIES REGARDING LEGAL AND REGULATORY COMPLIANCE RELATING TO THE CODE, ENVIRONMENTAL ISSUES, OCCUPATIONAL SAFETY AND HEALTH, ANTITRUST, FEDERAL ELECTION LAWS, AND ALL OTHER LAWS APPLICABLE TO THE CORPORATION. VARIOUS OTHER POWERS ARE RESERVED EXCLUSIVELY TO THE SOLE MEMBER, AS OUTLINED IN THE BYLAWS OF THE ORGANIZATION. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 9 | CHANGE IN MINIMUM PENSION LIABILITY <625,823> TRANSFERS TO AFFILIATES <2,622,707> CHANGE IN INVESTMENT IN FOUNDATION 19,760 ------------- TOTAL OTHER CHANGE IN NET ASSETS <3,228,770> |
| STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENT | FORM 990, SUPPLEMENT TO PART III, LINE 4A | PROGRESSIVE HEALTH SYSTEMS PEKIN HOSPITAL COMPREHENSIVE COMMUNITY BENEFIT REPORT FOR THE YEAR-ENDED APRIL 30, 2013 MISSION STATEMENT: TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY AND TO DO SO WITH LOVE, COMPASSION AND EXTRAORDINARY MEDICAL CARE. OUR VISION: PEKIN HOSPITAL WILL CONSISTENTLY PROVIDE A SUPERIOR HEALTH CARE EXPERIENCE THAT EARNS THE TRUST OF OUR COMMUNITY. PEKIN HOSPITAL IS: ACCREDITED BY: JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS LICENSED BY: THE STATE OF ILLINOIS DEPARTMENT OF PUBLIC HEALTH AFFILIATED WITH: OSF HEALTHCARE SYSTEM UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE AT PEORIA PROFESSIONAL THERAPY SERVICES ILLINOIS CENTRAL COLLEGE BRADLEY UNIVERSITY QUORUM HEALTH RESOURCES MEMBER OF: AMERICAN HOSPITAL ASSOCIATION AMERICAN RED CROSS PEORIA REGIONAL BLOOD PROGRAM COMMUNITY AREA INSTITUTIONAL REVIEW BOARD CONSORTIUM FOR TOTAL HEALTH CARE ILLINOIS ASSOCIATION OF HOME CARE (IAHC) ILLINOIS HOSPITAL ASSOCIATION ILLINOIS MATERNAL CHILD HEALTH COUNCIL PEKIN CHAMBER OF COMMERCE REGION IB TRAUMA AND PERINATAL NETWORKS CERTIFIED BY ILLINOIS DEPARTMENT OF PUBLIC HEALTH DESIGNATED AFFILIATE TRAUMA HOSPITAL EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS (EDAP) COMMUNITY BENEFIT PLAN - GOALS AND OBJECTIVES A. MEDICATION RECONCILIATION TO FURTHER PROMOTE PATIENT SAFETY, PEKIN HOSPITAL'S MEDICATION RECONCILIATION TEAM WILL HEIGHTEN COMMUNITY AWARENESS OF THE IMPORTANCE OF HAVING AN ACCURATE LISTING OF THEIR MEDICATIONS, AS WELL AS ANY HERBALS, SUPPLEMENTS, OVER-THE-COUNTERS, ETC. B. COMMUNITY EDUCATION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE, PEKIN HOSPITAL WILL OFFER A VARIETY OF EDUCATIONAL OPPORTUNITIES FOR AREA RESIDENTS INCLUDING LECTURES AND CLASSROOM SESSIONS. C. COMMUNITY SUPPORT UNITED WAY - PEKIN HOSPITAL CONTRIBUTES TO THE ANNUAL CAMPAIGN. D. COMMUNITY EMERGENCY RESPONSE E. PROVIDING CARE BASED ON NEED 1. CHARITY CARE 2. MEDICAID 3. MEDICARE F. COMMUNITY INVOLVEMENT 1. SERVICE GROUPS PEKIN HOSPITAL WILL ENCOURAGE EMPLOYEE MEMBERSHIP OF THE MANY COMMUNITY ORGANIZATIONS, INCLUDING THE FOLLOWING: KIWANIS CLUB OF PEKIN, PEKIN AREA CHAMBER OF COMMERCE, KNIGHTS OF COLUMBUS, PEKIN REGISTERED NURSES GROUP, ROTARY CLUB, AMONG OTHERS. 2. PEKIN AREA CHAMBER OF COMMERCE PEKIN HOSPITAL WILL CONTINUE ITS ACTIVE ROLE WITH THE CHAMBER OF COMMERCE, AND WILL ENCOURAGE EMPLOYEE PARTICIPATION IN THEIR MANY EVENTS AND/OR VOLUNTEER ROLES. 3. COMMUNITY LEADERSHIP ACADEMY PEKIN HOSPITAL IS DEDICATED TO IDENTIFYING AND PROMOTING FUTURE COMMUNITY LEADERS AND WILL CONTINUE TO ENROLL EMPLOYEES IN THE PEKIN AREA CHAMBER OF COMMERCE ANNUAL COMMUNITY LEADERSHIP ACADEMY. THE ACADEMY AIMS TO INFORM AND EDUCATE EXISTING AND EMERGING LEADERS OF THE LOCAL COMMUNITY, AND TO MOTIVATE THEM TOWARD LEADERSHIP RESPONSIBILITIES BY EXPOSING THEM TO THE REALITIES, OPPORTUNITIES AND CHALLENGES OF THE LOCAL COMMUNITY. G. COMMUNITY SCREENINGS TO FURTHER PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE, PEKIN HOSPITAL IS COMMITTED TO OFFERING FREE COMMUNITY SCREENINGS EACH MONTH. POPULATIONS AND COMMUNITIES SERVED BY THE HOSPITAL PEKIN HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF THE THREE PEKIN ZIP CODES (INCLUDES SOUTH PEKIN) AND SEVEN ADDITIONAL ZIP CODES LOCATED WEST, SOUTH AND EAST OF PEKIN WITH A TOTAL POPULATION OF APPROXIMATELY 60,165. PEKIN HOSPITAL'S SECONDARY SERVICE AREA IS COMPRISED OF FIVE ZIP CODES LOCATED NORTHWEST, NORTHEAST AND EAST OF PEKIN WITH A TOTAL POPULATION OF APPROXIMATELY 14,313. MEDIAN AGE PRIMARY SERVICE AREA: 40.1 YEARS MEDIAN AGE SECONDARY SERVICE AREA: 41.9 YEARS MEDIAN AGE ILLINOIS: 37.1 YEARS COMPARED TO THE STATE OF ILLINOIS OVERALL, THE PRIMARY SERVICE AREA RESIDENTS HAVE LESS HOUSEHOLD INCOME AND THE SECONDARY SERVICE AREA RESIDENTS HAVE MORE HOUSEHOLD INCOME. MEAN HOUSEHOLD INCOME PRIMARY SERVICE AREA: $41,193 MEAN HOUSEHOLD INCOME SECONDARY SERVICE AREA: $60,193 MEAN HOUSEHOLD INCOME ILLINOIS: $53,462 CHARITY CARE MEDICAL CARE IS AVAILABLE TO PATIENTS, BASED ON MEDICAL NECESSITY, REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS MAY REQUEST CHARITY ASSISTANCE APPLICATIONS BY TELEPHONE OR IN PERSON. PEKIN HOSPITAL WAIVES CHARGES BASED ON REVIEW OF THE PATIENT'S FINANCIAL STATUS COMPARED TO FEDERAL POVERTY GUIDELINES. INFORMATION REGARDING CHARITY CARE MAY BE FOUND THROUGHOUT THE HOSPITAL INCLUDING IN PATIENT REGISTRATION, OUTPATIENT DEPARTMENTS, EMERGENCY DEPARTMENT, AND THE PATIENT SERVICE DEPARTMENTS. INFORMATION REGARDING FINANCIAL PROGRAMS, INCLUDING CHARITY CARE, CAN ALSO BE FOUND ON THE HOSPITAL'S WEBSITE AT WWW.PEKINHOSPITAL.ORG. CHARITY CARE DOES NOT INCLUDE BAD DEBT OR UNREIMBURSED COSTS OF MEDICARE, MEDICAID OR OTHER GOVERNMENT PROGRAMS. THE COST OF PROVIDING CHARITY CARE FOR THE FISCAL YEAR ENDING APRIL 30, 2013 WAS $1,431,000 COMMUNITY BENEFITS A. LANGUAGE ASSISTANT SERVICES BASED ON THE NEEDS OF OUR NON-ENGLISH SPEAKING GUESTS, PEKIN HOSPITAL PROVIDES INTERPRETER PHONE SERVICES FOR A VARIETY OF LANGUAGES. PEKIN ALSO HAS INTERNAL INTERPRETERS. B. GOVERNMENT SPONSORED INDIGENT HEALTH CARE UNREIMBURSED CARE PROVIDED TO PATIENTS UNDER MEDICARE AND PUBLIC AID PROGRAMS, ELIGIBILITY WHICH IS BASED ON FINANCIAL NEED. INPATIENT AND OUTPATIENTS COSTS ARE INCLUDED. UNREIMBURSED CARE FROM MEDICARE WAS $7,745,000 AND PUBLIC AID WAS $7,468,000 FOR FISCAL YEAR ENDING APRIL 30, 2013 FOR A TOTAL OF $15,213,000. C. DIRECT SUPPORT OF OTHER COMMUNITY ORGANIZATIONS 1. CONFERENCE SPACE: OVER 1,000 HOURS WERE DONATED FOR CONFERENCE ROOMS - LOCAL CHURCH GROUPS, ALZHEIMER'S SUPPORT GROUP, LOSS AND GRIEF SUPPORT GROUP, BOY SCOUTS, AWAKE (SLEEP APNEA SUPPORT GROUP), COMPASSIONATE FRIENDS GROUP, CULTURAL CLUB, KIWANIS CLUB, AND OTHERS. 2. UNITED WAY OF PEKIN: $13,549 WAS DONATED IN SUPPORT OF THE 2012 UNITED WAY CAMPAIGN. D. VOLUNTEERS 1. VOLUNTEER HOURS - 29,530.5 2. VOLUNTEER HOURS FROM SCREENINGS - 342 E. SCREENINGS/HEALTH FAIRS 1. COMMUNITY SCREENINGS: FROM MAY 1, 2012 THROUGH APRIL 30, 2013, PEKIN HOSPITAL PROVIDED A VARIETY OF FREE COMMUNITY SCREENINGS TO 1,037 INDIVIDUALS IN THE PEKIN AREA. OF THE 1,037 INDIVIDUALS SCREENED, 165 HAD ABNORMAL RESULTS. THE FOLLOWING SCREENINGS WERE PROVIDED: BONE DENSITY, BLOOD PRESSURE CHECKS, BODY COMPOSITION, CHOLESTEROL CHECKS, HEMOGLOBIN, PULMONARY FUNCTION TESTING, PHYSICAL THERAPY, DISTANT ACUITY, AND COGNITION ASSESSMENT. AS PART OF NATIONAL MAMMOGRAPHY DAY 2012, PEKIN HOSPITAL PARTNERED WITH TAZEWELL COUNTY HEALTH DEPARTMENT TO OFFER FREE MAMMOGRAMS TO TAZEWELL COUNTY WOMEN AGES 40 AND OVER WHO ARE UNINSURED. 45 FREE MAMMOGRAMS WERE PROVIDED, WITH 8 ABNORMAL RESULTS. THIS WAS THE 11TH YEAR FOR THE ANNUAL EVENT. 2. HEALTH FAIRS: PEKIN HOSPITAL PARTICIPATED BY PROVIDING SCREENINGS AT A NUMBER OF LOCAL HEALTH FAIRS. A. CHEMTURA HEALTH FAIR: 9 PARTICIPANTS RECEIVED BLOOD PRESSURE SCREENINGS AND BODY COMPOSITION SCREENINGS. B. TIMBERCREEK HEALTHCARE CAR SHOW: 12 PARTICIPANTS WERE SCREENED FOR BLOOD PRESSURES AND 6 WERE SCREENED FOR SPIROMETRY. C. MIDWEST GENERATION HEALTH FAIR: 21 PARTICIPANTS RECEIVED BLOOD PRESSURE SCREENINGS D. SPIRIT GIRLS' NIGHT OUT: 36 WERE SCREENED FOR ACHILLES, 37 FOR BLOOD PRESSURES, 20 FOR SPIROMETRY, 3 FLU SHOTS WERE GIVEN, AND 13 SIGNED UP FOR MAMMOGRAMS. E. WOMEN'S LIFESTYLE SHOW: 37 PARTICIPANTS RECEIVED BONE DENSITY SCREENINGS. F. WOODCARVERS QUILT & CRAFT SHOW: 31 BLOOD PRESSURE SCREENINGS WERE PERFORMED. G. AVENTINE HEALTH FAIR: 21 BLOOD PRESSURE SCREENINGS WERE PERFORMED, 6 BONE DENSITY SCREENINGS, AND 21 BMI SCREENINGS. H. DIABETES SCREENING: 19 PARTICIPANTS RECEIVED GLUCOSE SCREENINGS, 17 RECEIVED BLOOD PRESSURE SCREENINGS, AND 16 RECEIVED BMI SCREENINGS. I. FOUNDATIONS FOR HEALTH (DONOR HEALTH FAIR): OVER A TWO-DAY PERIOD, 156 PARTICIPANTS RECEIVED BONE DENSITY TESTING, BODY COMPOSITION, SPIROMETRY, AND BLOOD PRESSURES. J. DIABETIC FOOT SCREENING: 16 PARTICIPANTS RECEIVED BLOOD PRESSURE SCREENINGS, 14 RECEIVED GLUCOSE SCREENINGS, 16 RECEIVED BMI SCREENINGS, AND 16 RECEIVED FOOT SCREENINGS. K. FAMILY & BUSINESS SHOWCASE: 51 PARTICIPANTS RECEIVED BLOOD PRESSURE SCREENINGS, 15 RECEIVED BONE DENSITY SCREENINGS, AND 14 RECEIVED BMI SCREENINGS. L. TREMONT UNITED METHODIST CHURCH: 17 PARTICIPANTS RECEIVED BMI SCREENINGS, 24 RECEIVED SPIROMETRY SCREENINGS, AND 25 RECEIVED BONE DENSITY SCREENINGS. |
| F. COMMUNITY EDUCATION | 1. DIABETES EDUCATION: TWO (NINE-HOUR) COMMUNITY DIABETES CLASSES WERE OFFERED TO INCLUDE A TOTAL OF 10 PARTICIPANTS. TWO ADDITIONAL DIABETES PROGRAMS WERE OFFERED TO THE COMMUNITY ABOUT DIABETES CARE. THESE PROGRAMS WERE ATTENDED BY A TOTAL OF 37 PERSONS. 2. CPR CLASSES: MONTHLY COMMUNITY CLASSES ARE OFFERED TO OUR COMMUNITY MEMBERS. IN ADDITION, PEKIN HOSPITAL STAFF MEMBERS ALSO PROVIDE CPR TRAINING TO PEKIN COMMUNITY HIGH SCHOOL STUDENTS. 3. MEDICATION RECONCILIATION: TO RAISE COMMUNITY AWARENESS ON THIS TOPIC, WALLET CARDS THAT ASSIST PATIENTS IN KEEPING ACCURATE LISTS OF MEDICATIONS WERE PLACED IN ALL INPATIENT FOLDERS. THE WALLET CARDS WERE ALSO PROVIDED AT OUR RETAIL PHARMACY, SENIOR EXPO EVENTS, AND OTHER COMMUNITY EVENTS. 4. PUBLIC LECTURES: A. SPIRIT GIRLS' NIGHT OUT: IN OCTOBER 2012, AT PEKIN MOOSE LODGE, PUBLIC LECTURES WERE OFFERED ON THE FOLLOWING TOPICS: PLASTIC AND NON-PLASTIC ALTERNATIVES TO WEIGHT LOSS, BONE AND JOINT HEALTH, AND WEIGHT MANAGEMENT STRATEGIES. B. CARDIOVASCULAR DISEASE PRESENTATION: IN MARCH 2013 AT PEKIN HOSPITAL, A PUBLIC LECTURE WAS OFFERED ON CARDIOVASCULAR DISEASE, AS WELL AS BLOOD PRESSURE SCREENINGS. G. TRAUMA AND EMERGENCY SERVICES 1. EMS/AMBULANCE EDUCATION: A. CONTINUED AGREEMENT WITH THE PEORIA AREA EMS SYSTEM TO ALLOW STUDENTS TO COME TO PEKIN HOSPITAL FOR CLINICAL EXPERIENCE AND EDUCATION. B. STUDENTS ARE GIVEN 24HOUR AVAILABILITY TO ALLOW MORE OPPORTUNITIES FOR EDUCATION. C. BOTH BASIC AND PARAMEDIC STUDENTS WORK DIRECTLY WITH THE NURSING STAFF TO OBTAIN TRAINING IN THE CARE OF PATIENTS. WE ARE AVAILABLE TO PRECEPT ON ALL SHIFTS. 2. DISASTER TRAINING AND PREPAREDNESS: A. JUNE 19-21, 2012: SENT REPRESENTATIVES OF THE EMERGENCY MANAGEMENT COMMITTEE TO ATTEND THE INTEGRATED PUBLIC HEALTH AND MEDICAL PREPAREDNESS SUMMIT. B. AUGUST 3, 2012: PARTICIPATED IN REGION 2 RHCC MEETING. C. AUGUST 4, 2012: PEKIN HOSPITAL EXPERIENCES A CODE UTILITY - ELECTRICAL & TELEPHONES. A STORM DISRUPTED BOTH ELECTRICAL FEEDS TO THE HOSPITAL CAUSING THE HOSPITAL TO BE ON GENERATOR POWER FOR APPROXIMATELY TWO HOURS. D. AUGUST 22, 2012: CODE BLACK - INMATE ELOPEMENT. HOSPITAL RAN A DRILL WITH THE LOCAL PRISON AND POLICE DEPARTMENT ON THE ESCAPE OF A PRISONER ON HOSPITAL PROPERTY. E. SEPTEMBER 17-18, 2012: RE-CERTIFICATION CLASSES HELD FOR DECON TEAM. 18 STAFF MEMBERS WERE RECERTIFIED. F. OCTOBER 5, 2012: PARTICIPATED IN REGION 2 RHCC MEETING. G. NOVEMBER 2012: PARTICIPATED IN THE REGIONAL STARCOM 21 DRILL H. NOVEMBER 7 & 8, 2012: NEW VOLUNTEER DECON TRAINING CLASS. 12 NEW MEMBERS WERE ADDED TO THE DECON TEAM. I. DECEMBER 5, 2012: MET WITH JIM BALDI TO REVIEW HOSPITAL MASS FATALITY PLAN. J. DECEMBER 6, 2012: MET WITH NICK MAGGIONCAIDA TO REVIEW COUNTY HVA PLAN. K. DECEMBER 7, 2012: PARTICIPATED IN REGION 2 RHCC MEETING. L. DECEMBER 28, 2012: CODE SILVER INCIDENT. A MAN THREATENING TO SHOOT A TENANT CREATED AN EMERGENCY SITUATION AT THE HOSPITAL AND CAUSED THE HOSPITAL TO RESEARCH ACTIVE SHOOTER POLICIES. THE CODE SILVER POLICY WAS WRITTEN AND INTRODUCED TO THE STAFF. M. JANUARY 2013: PARTICIPATED IN THE REGIONAL STARCOM 21 DRILL N. JANUARY 30, 2013: PARTICIPATED IN THE TAZEWELL COUNTY EMERGENCY PREPAREDNESS COMMITTEE MEETING. O. FEBRUARY 1, 2013: PARTICIPATED IN REGION 2 RHCC MEETING. P. FEBRUARY 22, 2013: PARTICIPATED IN ALL-HAZARDS WORKSHOP PRESENTED BY TAZEWELL COUNTY. EXERCISE EXAMINED HOW THE COUNTY AND REGIONAL AGENCIES WORKED DURING AN EMERGENCY. Q. MARCH 2013: PARTICIPATED IN THE REGIONAL STARCOM 21 DRILL R. MARCH 13, 2013: PARTICIPATED IN RHCC REGION 2 TABLE TOP DRILL. THIS EXERCISE EXAMINED THE MED SURGE CAPABILITIES OF THE HOSPITAL AND LOOKED AT MASS FATALITY AND UTILITY INTERRUPTIONS. S. MARCH 27, 2013: PARTICIPATED IN THE IDPH TABLE TOP DRILL. THIS EXERCISE EXAMINED THE HOSPITAL CAPACITIES DURING A MASS EPIDEMIC AND DEALT WITH MED SURGE, MASS FATALITY, AND INFORMATION SHARING T. APRIL 5, 2013: PARTICIPATED IN REGION 2 RHCC MEETING. U. APRIL 8, 2013: PARTICIPATED IN TAZEWELL COUNTY EOC WORKSHOP. V. APRIL 18, 2013: PARTICIPATED IN THE TAZEWELL COUNTY EOC IN PREPARATION FOR THE FLOODING IN THE AREA. W. APRIL 21, 2013: PARTICIPATED IN THE TAZEWELL COUNTY EOC PERTAINING TO THE RECENT FLOOD. X. ONGOING: ALL NEW EMPLOYEES ARE ASSIGNED TO A HEALTH STREAM LEARNING MODULE THAT INCLUDED A 45 MINUTE PRESENTATION OF OUR EMERGENCY OPERATION PLAN. H. SUPPORT GROUPS EDUCATION, SUPPORT AND FELLOWSHIP ARE KEY TO A THRIVING, HEALTHY COMMUNITY. THAT'S WHY PEKIN HOSPITAL OFFERS SEVERAL OPPORTUNITIES FOR INDIVIDUALS WITHIN THE COMMUNITY TO LEARN TOGETHER, SHARE JOYS AND SORROWS, AND SIMPLY ENJOY GOOD TIMES. PEKIN HOSPITAL OFFERS THE FOLLOWING SUPPORT GROUPS: 1. ALZHEIMER'S SUPPORT GROUP 2. THE COMPASSIONATE FRIENDS GROUP 3. LOSS AND GRIEF SUPPORT GROUP 4. STROKE SUPPORT GROUP 5. MOM'S WHOLEHEARTED SUPPORT GROUP 6. MOTHERLINK IS AN UMBRELLA ORGANIZATION AIMED AT BRINGING FAMILIES TOGETHER TO CELEBRATE THE EXPERIENCES OF PARENTHOOD; MOTHERLINK CONTINUES TO PROVIDE SUPPORT AND COMPREHENSIVE EDUCATION LONG AFTER THE BABY'S BIRTH. MOTHERLINK SERVES AS A VALUABLE RESOURCE FOR DEVELOPING FRIENDSHIPS, FINDING SUPPORT IN SPECIAL CIRCUMSTANCES, AND FOSTERING EDUCATION. UNDER THE MOTHERLINK UMBRELLA ARE THE FOLLOWING: BREASTFEEDING SUPPORT: THIS GROUP ENABLES NEW MOTHERS THE OPPORTUNITY TO SHARE THEIR EXPERIENCES OF BREASTFEEDING AND BEING A NEW MOTHER. A PROFESSIONAL LACTATION CONSULTANT IS ALSO AVAILABLE DURING CERTAIN MEETINGS. THE GROUP MEETS WEDNESDAYS FROM 10 A.M. TO NOON AND EVERY FIRST AND THIRD MONDAY FROM 7 TO 9 P.M. IN THE PARK COURT CONFERENCE CENTER. CHILDBIRTH EDUCATION CLASS: LEARN ABOUT SIGNS OF LABOR, COMFORT MEASURES, PAIN RELIEF OPTIONS, WHAT TO EXPECT DURING AND AFTER CHILDBIRTH AND BASIC BABY CARE. SIBLING CLASS: HELPS CHILDREN PREPARE FOR A NEW ADDITION TO THE FAMILY. CHILDREN LEARN ABOUT BECOMING A BIG BROTHER OR SISTER. BAD DEBT UNCOLLECTIBLE AMOUNTS, EXCLUSIVE OF CHARITY CARE, WRITTEN OFF DURING THE FISCAL YEAR ENDING APRIL 30, 2013 WERE $8,673,275. INTRODUCTION IN 1986, PEKIN HOSPITAL RESTRUCTURED, AND PROGRESSIVE HEALTH SYSTEMS WAS FORMED. PROGRESSIVE HEALTH SYSTEMS HAS ALLOWED US TO OFFER PREVENTIVE CARE, ADVANCED MEDICAL TREATMENT, HEALTH EDUCATION AND MUCH MORE TO MEET THE COMMUNITY'S HEALTH NEEDS WELL BEYOND THE PEKIN HOSPITAL CAMPUS. MEMBERS OF PROGRESSIVE HEALTH SYSTEMS INCLUDE... PEKIN HOSPITAL - WE CONTINUE GROWING AND INCREASING OUR PROGRAMS AND SERVICES - FROM CANCER TREATMENT TO URGENT CARE - TO MEET OUR COMMUNITY'S NEEDS. WE DO SO WHILE MAINTAINING AN AVERAGE COST OF INPATIENT STAY THAT IS WELL BELOW THOSE OF OTHER HOSPITALS IN OUR AREA. (37-0692351) PROHEALTH INC. - PROHEALTH OPERATES PRIMARY-CARE PHYSICIANS' OFFICES IN PEKIN; PARK COURT PHARMACY IN PEKIN HOSPITAL; AND PHYSICIAN MANAGEMENT SERVICES. PROHEALTH ALSO OPERATES PROCARE HOME HEALTH SERVICES, A MEDICAL EQUIPMENT COMPANY AT TWO LOCATIONS OFFERING A COMPLETE LINE OF PRODUCTS, FREE DELIVERY, PROFESSIONAL SET-UP AND HOME FOLLOW-UP, 24-HOUR AVAILABILITY AND QUALIFIED SERVICE TECHNICIANS AND RESPIRATORY THERAPISTS ON STAFF. (37-1117052) HOME HEALTH - STAFFED BY REGISTERED NURSES AND CERTIFIED NURSING ASSISTANTS, PEKIN HOSPITAL HOME HEALTH PROVIDES EXPERT NURSING CARE FOR PATIENTS IN THE COMFORT OF THEIR OWN HOME. (PEKIN HOSPITAL) PEKIN HOSPITAL FOUNDATION - THE FOUNDATION OFFERS SUPPORT BY RAISING VITAL FUNDS FOR SPECIAL PROJECTS, FACILITY MODERNIZATION AND IMPROVEMENTS, MEDICAL EQUIPMENT AND PROGRAMMING NEEDS. IN ADDITION, THE FOUNDATION COLLABORATES WITH COMMUNITY LEADERS, AGENCIES, BUSINESSES AND OTHER ORGANIZATIONS TO PROMOTE PEKIN HOSPITAL AND THE PEKIN COMMUNITY. (37-1200267) PARK COURT LTD. - PARK COURT LTD. OWNS REAL-ESTATE HOLDINGS, INCLUDING PARK COURT MEDICAL CENTER FOR PROGRESSIVE HEALTH SYSTEMS. (37-1178386) | |
| OTHER FEES FOR SERVICES | PART IX, LINE 11G | PHYSICIAN FEES 358,949 BLOOD PROCESSING FEES 566,036 RADIOISOTOPES 293,248 THERAPY FEES 984,151 CLINICAL ENGINEERING 625,704 COLLECTION AGENCY FEES 518,079 CONTRACT LABOR AND OTHER PURCHASED SERVICES 3,527,711 ---------------------------------------------------------- TOTAL 6,873,878 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| PROGRESSIVE HEALTH SYSTEMS | ||||||||||
| 600 SOUTH 13TH STREET | PEKIN | IL | 61554 | 371200263 | SUPPORT ORG | IL | 501(C)3 | 11 - I | NA | false |
| PARK COURT LIMITED | ||||||||||
| 600 SOUTH 13TH STREET | PEKIN | IL | 61554 | 371178386 | SUPPORT ORG | IL | 501(C)3 | 11 - II | PROG HEALTH | false |
| PEKIN MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 600 SOUTH 13TH STREET | PEKIN | IL | 61554 | 371200267 | SUPPORT ORG | IL | 501(C)3 | 11 - II | PROG HEALTH | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRO HEALTH INC (PHI) | ||||||||||||
| 600 SOUTH 13TH STREET | PEKIN | IL | 61554 | 371117052 | CLINIC | IL | PROG HEALTH | C CORP | 0 | 0 | 0.00000 | false |
| MARIGOLD CITY LAND TRUST NO ONE | ||||||||||||
| 2956 COURT STREET | PEKIN | IL | 61554 | 272750273 | PROPERTY MGMT | IL | PARK COURT | TRUST | 0 | 0 | 0.00000 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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