2014-03-07T14:35:27-06:00 2013-04-30 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2012-05-01 370692351 Pekin Memorial Hospital % PAM ROGERS PEKI 3093530700 600 South 13th Street Suite Pekin IL 61554 STEVEN C HALL 3093530700 2014-03-03 true Donna J Larson 3142315544 2012 2015-11-30 17:44:51Z STEVEN HALL CFO 600 SOUTH 13TH STREET PEKIN IL 61554 66315773 false X WWW.PEKINHOSPITAL.ORG X 1913 IL TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY AND TO DO SO WITH LOVE, COMPASSION AND EXTRAORDINARY MEDICAL CARE. 11 0 827 203 870424 628191 123277 74978387 62037561 852106 1027728 743737 3109518 77202421 66298084 0 0 0 0 34597065 34102667 0 0 0 37329283 28693091 71926348 62795758 5276073 3502326 72222391 72488354 42356114 40168202 29866277 32320152 X TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY AND TO DO SO WITH LOVE, COMPASSION AND EXTRAORDINARY MEDICAL CARE. false false 57575946 0 64439551 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. 57575946 true true false true false false false false false false true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false false true false false false false false true false false false true 75 0 true 827 true true true false false false false false false false false false X 11 0 true true false false true true true true true false false true true true true true true false false false IL X PAM ROGERS 3093530796 600 SOUTH 13TH STREET PEKIN IL 61554 X DR JAMES SMALLEY 1.0 4.0 X 0 0 0 RICHARD KRIEGSMAN 1.0 4.0 X X 0 0 0 ANDREW SPARKS 1.0 4.0 X X 0 0 0 CURTIS EETEN 1.0 4.0 X 0 0 0 JANET LANGE 1.0 4.0 X 0 0 0 DOUG PARSONS 1.0 4.0 X 0 0 0 JASON PROHEL 1.0 4.0 X 0 0 0 EDWARD SIROTAK 1.0 4.0 X 0 0 0 DR KATHRYN KRAMER 1.0 4.0 X 0 0 0 MICHAEL TIBBS 1.0 4.0 X X 0 0 0 DR ERIC V REINERTSON 1.0 4.0 X 0 0 0 KEVIN R ANDREWS 40.0 4.0 X 215110 0 2887 STEVEN C HALL 40.0 4.0 X 218266 0 44952 GARY JEPSON 40.0 4.0 X 148077 0 5134 JO ELLEN PATTERSON 40.0 0.0 X 154292 0 8847 ANNE DIERKER 20.0 20.0 X 70538 70537 26513 MICHAEL ERICKSON 40.0 0.0 X 235221 0 28244 STEVEN BOOKER 40.0 0.0 X 204672 0 43094 CAROLYN SUTTER 40.0 0.0 X 226996 0 26906 PEGGE HALL 40.0 0.0 X 217077 0 27103 MELISSA NGO 40.0 0.0 X 215080 0 10224 1905329 70537 223904 14 false true true 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 13 123277 123277 PATIENT REVENUE 621110 61143860 61143860 MEDICAL RECORD REVENUE 561000 24947 24947 REFERENCE LAB REVENUE 621500 868754 868754 62037561 752508 752508 0 0 75573 0 75573 0 75573 75573 271512 21397 0 17689 271512 3708 275220 275220 0 0 0 EHR FUNDS 900099 2400320 2400320 CAFETERIA REVENUE 722210 534978 534978 WELLNESS CENTER 621400 20587 20587 78060 1670 76390 3033945 66298084 63569127 870424 1735256 0 0 0 0 951613 332348 619265 0 0 26756578 24668506 2088072 0 1229994 1118969 111025 0 3214113 2947449 266664 0 1950369 1763230 187139 0 977055 60000 917055 0 172351 172351 0 66358 66358 0 0 0 0 6873878 6873878 0 548734 119177 429557 0 8314338 8288023 26315 0 10528 10528 0 1085455 1080028 5427 0 26367 26367 0 161500 159184 2316 0 841338 841338 0 0 3808231 3789190 19041 0 910417 734213 176204 0 MEDICAID ASSESSMENT EXPENSE 1546333 1546333 0 FOOD EXPENSE 537660 537660 0 IMPLANT FEES 1768421 1768421 0 REFERENCE LAB 553359 553359 0 490768 357745 133023 62795758 57575946 5219812 0 477162 328586 3374435 3416710 0 0 12432983 10628006 0 0 0 0 0 0 1013765 1025631 1430565 1453843 81284952 56921822 22346575 24363130 27018261 27422975 0 0 0 0 0 0 4128645 3849473 72222391 72488354 7526343 7534350 0 0 0 0 19285000 16760000 0 0 0 0 3972277 3388146 0 0 11572494 12485706 42356114 40168202 X 29353673 31787788 512604 532364 0 0 29866277 32320152 72222391 72488354 X 3502326 2180319 -3228770 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 19409 false false false 19409 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B, QUESTION 1 LOBBYING EXPENSES ARE ONLY INCURRED THROUGH ASSOCIATIONS WITH NATIONAL ORGANIZATIONS OF WHICH THE ORGANIZATION IS A MEMBER. 1449581 1449581 11585946 8477735 3108211 18297682 14177615 4120067 45311523 32677165 12634358 4640220 1589307 3050913 24363130 UNAMORTIZED FINANCING COSTS 183112 SELF-INSURANCE TRUST 249738 OTHER RESTRICTED ASSETS 2698898 DUE FROM MEDICARE 185361 PEKIN HOSPITAL FOUNDATION 532364 3849473 0 DUE TO THIRD PARTIES 3753030 MINIMUM PENSION LIABILITY 8732676 12485706 FIN 48 DISCLOSURE PART X, LINE 2 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. true true true X true X 600. false true false true true 1395813 1395813 0.02220 10832435 3364135 7468300 0.11890 12228248 3364135 8864113 0.14110 14053 14053 0.00020 14053 14053 0.00020 12242301 3364135 8878166 0.14130 true 2159000 323850 15425740 27950293 -12524553 X true true 1 1 PEKIN MEMORIAL HOSPITAL

600 SOUTH 13TH STREET PEKIN IL 61554

X X X PEKIN MEMORIAL HOSPITAL 1 true X X X X X X X X X 12 true false true X X X X X X X true false true true 150. true 600. true X X X X X true true X X X X X X X true false X X X X true X false false 1 PEKIN HOSPITAL MRI BUILDING

1300 PARK AVENUE PEKIN IL 61554

DIAGNOSTIC CENTER 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. X false false X false false false false false false false false false KEVIN R ANDREWS 214513 0 0 0 597 0 0 0 2887 0 217997 0 0 0 STEVEN C HALL 218266 0 0 0 0 0 9243 0 35709 0 263218 0 0 0 JO ELLEN PATTERSON 154292 0 0 0 0 0 7847 0 1000 0 163139 0 0 0 ANNE DIERKER 69651 69650 0 0 887 887 3180 3179 10077 10077 83795 83793 0 0 MICHAEL ERICKSON 235221 0 0 0 0 0 11667 0 16577 0 263465 0 0 0 STEVEN BOOKER 202887 0 0 0 1785 0 8513 0 34581 0 247766 0 0 0 CAROLYN SUTTER 226996 0 0 0 0 0 8968 0 17938 0 253902 0 0 0 PEGGE HALL 216753 0 0 0 324 0 8596 0 18507 0 244180 0 0 0 MELISSA NGO 214869 0 0 0 211 0 6224 0 4000 0 225304 0 0 0 GARY JEPSON 147612 0 0 0 465 0 0 0 5134 0 153211 0 0 0 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. A CITY OF PEKIN TAZEWELL COUNTY ILLINOIS 376002169 2010-03-30 23530000 REV REFUNDING BONDS SER 1993B & C false false false A 6770000 0 23530000 2625000 0 16760000 325773 0 0 0 0 0 2017 true false false true A false true false false 0.02400 0.00000 0.02400 false false false false A true false false 0 false 0 false false A false 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 RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION PART IV, LINE 3, COLUMN B 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. 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 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 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 false true true false false false false false false false false true false true true false false false false