PROCTOR HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PROCTOR HOSPITAL (EIN 37-0681540)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201333189349304848
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T14:36:19-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 S OLD STATE CAPITOL PLZ STE 200 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | IL | State |
| ZIP Code | 627011510 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370681540 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROCTOR HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PROC | NameControl |
| Phone | 3096911064 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5409 N KNOXVILLE AVENUE | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 61614 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAUL MACEK | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 3096911064 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL BASS | Name |
| PTIN | P00458970 | PTIN |
| Phone | 2177897700 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PAUL MACEK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5409 N KNOXVILLE AVENUE | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 61614 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 119093206 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1958 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | PROCTOR HOSPITAL PROVIDES A BROAD RANGE OF HEALTHCARE SERVICES AND ACTIVITIES TO THE COMMUNITY. THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT CARE FACILITIES TO SUPPORT MEDICAL NEEDS OF THE COMMUNITY WITHOUT REGARD TO THE INDIVIDUAL'S ABILITY TO PAY. THE HOSPITAL ALSO PROVIDES EXTENSIVE EDUCATION TO MEMBERS OF THE COMMUNITY ABOUT VARIOUS HEALTH ISSUES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1317 | TotalNbrEmployees |
| Total Nbr Volunteers | 218 | TotalNbrVolunteers |
| Total Gross UBI | 558484 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -204008 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 190 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 24 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 110497765 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 108880545 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 106818 | InvestmentIncomePriorYear |
| Investment Income Current Year | -652613 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 91150 | OtherRevenuePriorYear |
| Other Revenue Current Year | -37208 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 110695923 | TotalRevenuePriorYear |
| Total Revenue Current Year | 108190748 | 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 | 49632726 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 48868223 | 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 | 61844416 | OtherExpensePriorYear |
| Other Expenses Current Year | 64037371 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 111477142 | TotalExpensesPriorYear |
| Total Expenses Current Year | 112905594 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -781219 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4714846 | RevenuesLessExpensesCY |
| Total Assets BOY | 101292333 | TotalAssetsBOY |
| Total Assets EOY | 96942323 | TotalAssetsEOY |
| Total Liabilities BOY | 88617978 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 87912761 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12674355 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9029562 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROCTOR HOSPITAL PROVIDES A BROAD RANGE OF HEALTHCARE SRVICES AND ACTIVITIES TO THE COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 82724804 | Expense |
| Revenue | 107600069 | Revenue |
| Description | PROCTOR HOSPITAL IS AN ACUTE CARE FACILITY WHICH OPERATES 233 LICENSED BEDS IN PEORIA, ILLINOIS. TWENTY FIVE OF THE LICENSED BEDS ARE DEVOTED TO SKILLED NURSING AND ANOTHER 30 BEDS ARE DEVOTED TO A NATIONALLY UNIQUE ADDICTION RECOVERY CENTER. STATISTICS INCLUDE 29,414 PATIENT DAYS, 7,296 DISCHARGES AND 177,392 OUTPATIENT VISITS. OF TOTAL DAYS, SKILLED NURSING ACCOUNTED FOR 589 DAYS AND 541 DISCHARGES AND ADDICTION RECOVERY ACCOUNTED FOR 2,973 DAYS AND 487 DISCHARGES. IN ADDITION, THE ADDICTION RECOVERY CENTER HAD 10,572 PATIENT DAYS IN THEIR IADT PROGRAM. THE HOSPITAL ALSO HAS AN EMERGENCY ROOM WHICH TREATED 20,575 PATIENTS. IN NOVEMBER 2012 THE HOSPITAL OPENED AN 18-BED INPATIENT GERO PYSCH UNIT. IT IS EXPECTED THAT THE HOSPITAL WILL SEE 360 PATIENTS IN 2013 IN THIS UNDERSERVED POPULATION. | Description |
| Total Program Service Expense | 82724804 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 121 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1317 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEPHEN CIRONE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3096911064 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5409 N KNOXVILLE AVENUE | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 61614 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MARY PILLE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| THOMAS SPURGEON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| LINDSAY MA MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| VICTOR LENZI MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JAMES DEBORD MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAVID MUELLER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| WAYNE BAUM | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DALE BURKLUND | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| R PARKER MCRAE JR MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| TIMOTHY PFLEDERER MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL QUINE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JAMES SULLIVAN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DENNIS TRIGGS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JAMES VERGON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| FRANK CRESPO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JAMES MAXEY MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAVID WALTY | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DONALD GRONEWALD | |||||||
| HONORARY TRUSTEE | 0.00 | X | 0 | 0 | 0 | ||
| SARAH SNYDER | |||||||
| HONORARY TRUSTEE | 0.00 | X | 0 | 0 | 0 | ||
| ROBERT WILKINS | |||||||
| HONORARY TRUSTEE | 0.00 | X | 0 | 0 | 0 | ||
| PAUL MACEK | |||||||
| PRESIDENT/CEO | 40.00 | 171582 | 230437 | 100186 | X | ||
| ROGER ARMSTRONG | |||||||
| CFO | 40.00 | 106165 | 156027 | 8151 | X | ||
| ANDREW BLAND | |||||||
| CMO | 40.00 | 291434 | 0 | 26810 | X | ||
| TIMOTHY FULTON | |||||||
| PERFUSIONIST | 40.00 | 172076 | 0 | 28298 | X | ||
| MARTY DORGAN | |||||||
| CNO | 40.00 | 151282 | 0 | 5818 | X | ||
| LINDA BUCK | |||||||
| VP HR | 40.00 | 143717 | 0 | 20470 | X | ||
| DARSHNA PATEL | |||||||
| NURSE | 40.00 | 139486 | 0 | 11984 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1175742 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 386464 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 201717 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| INSTITUTE OF PHYSICAL MEDICINE & REHABIL | |||||
| 6501 N SHERIDAN ROAD | PEORIA | IL | 61615 | THERAPY SERVICES | 1258918 |
| UNIDINE CORPORATION | |||||
| PO BOX 60479 | CHARLOTTE | NC | 28260 | CONTRACT SERVICES | 1065963 |
| SCOT R RICHMAN | |||||
| 511 W TETON | PEORIA | IL | 61614 | CONSTRUCTION | 800023 |
| ACCELECARE WOUND CARE | |||||
| PO BOX 671242 | DALLAS | TX | 75267 | WOUND CARE MANAGEMENT | 567352 |
| CENTRAL STATE MEDIAMGMT INC | |||||
| 2006 W ALTORFER DRIVE | PEORIA | IL | 61615 | ADVERTISING/MARKETING | 490841 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| All Other Contributions | 24 | AllOtherContributions |
| Total Contributions | 24 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE REVENU | 621500 | 104895843 | 104895843 | |
| OTHER OPERATING REVENUE | 621500 | 3984702 | 3432911 | 551791 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 108880545 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 32171 | TotalRevenueColumn |
| Exclusion | $32,171 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 54067 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 114000 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -59933 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -59933 | TotalRevenueColumn |
| Related Or Exempt Function Income | -59933 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10103674 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9888386 | Securities |
| Other | 900072 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 215288 | Securities |
| Other | -900072 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -684784 | TotalRevenueColumn |
| Related Or Exempt Function Income | -684784 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CAFETERIA REVENUE | 621500 | 15218 | 15218 | |
| LAUNDRY REVENUE | 812300 | 6687 | 6687 | |
| DAYCARE REVENUE | 622410 | 6 | 6 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 814 | TotalRevenueColumn |
| Related Or Exempt Function Income | 814 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 22725 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 108190748 | TotalRevenueColumn |
| Related Or Exempt Function Income | 107600069 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 558484 | UnrelatedBusinessRevenue |
| Exclusion | $32,171 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38844426 | Total |
| Program Services | 28356431 | ProgramServices |
| Management And General | 10487995 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 812453 | Total |
| Program Services | 593091 | ProgramServices |
| Management And General | 219362 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6348457 | Total |
| Program Services | 4634374 | ProgramServices |
| Management And General | 1714083 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2862887 | Total |
| Program Services | 2089908 | ProgramServices |
| Management And General | 772979 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191619 | Total |
| Program Services | 139882 | ProgramServices |
| Management And General | 51737 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90000 | Total |
| Program Services | 65700 | ProgramServices |
| Management And General | 24300 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87311 | Total |
| Program Services | 87311 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3474531 | Total |
| Program Services | 2536408 | ProgramServices |
| Management And General | 938123 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 921422 | Total |
| Program Services | 672638 | ProgramServices |
| Management And General | 248784 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 642067 | Total |
| Program Services | 468708 | ProgramServices |
| Management And General | 173359 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1582318 | Total |
| Program Services | 1155092 | ProgramServices |
| Management And General | 427226 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 227641 | Total |
| Program Services | 166178 | ProgramServices |
| Management And General | 61463 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1629770 | Total |
| Management And General | 1629770 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6179521 | Total |
| Program Services | 4511050 | ProgramServices |
| Management And General | 1668471 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 927630 | Total |
| Program Services | 677170 | ProgramServices |
| Management And General | 250460 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 25068313 | 18299868 | 6768445 |
| CONTRACT SERVICES | 7752912 | 5659626 | 2093286 |
| BAD DEBTS | 5443997 | 5443997 | |
| REPAIRS & MANTENANCE | 4263028 | 3112010 | 1151018 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5555291 | Total |
| Program Services | 4055362 | ProgramServices |
| Management And General | 1499929 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112905594 | Total |
| Program Services | 82724804 | ProgramServices |
| Management And General | 30180790 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 646928 | BOY |
| EOY | 125065 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32008094 | BOY |
| EOY | 38666170 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3619589 | BOY |
| EOY | 3442714 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1755972 | BOY |
| EOY | 1363773 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 147991747 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 106349055 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44106057 | BOY |
| EOY | 41642692 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6804513 | BOY |
| EOY | 4965441 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5951538 | BOY |
| EOY | 96255 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6399642 | BOY |
| EOY | 6640213 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101292333 | BOY |
| EOY | 96942323 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27306181 | BOY |
| EOY | 29542036 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35554401 | BOY |
| EOY | 32465601 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25757396 | BOY |
| EOY | 25905124 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88617978 | BOY |
| EOY | 87912761 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6624444 | BOY |
| EOY | 2311087 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145305 | BOY |
| EOY | 510619 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5904606 | BOY |
| EOY | 6207856 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12674355 | BOY |
| EOY | 9029562 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101292333 | BOY |
| EOY | 96942323 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -4714846 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 194269 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 875784 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $30,220 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 30220 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | PROCTOR HOSPITAL PAYS DUES TO IHA. THE AMOUNT OF DUES PAID IN 2012 WAS $77,486 OF WHICH 39% OR $30,220 WAS USED FOR LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6081907 | OtherCostOrOtherBasis |
| Book Value | 6081907 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 62646881 | OtherCostOrOtherBasis |
| Depreciation | 43654554 | Depreciation |
| Book Value | 18992327 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 446309 | OtherCostOrOtherBasis |
| Depreciation | 136979 | Depreciation |
| Book Value | 309330 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 78776817 | OtherCostOrOtherBasis |
| Depreciation | 62557522 | Depreciation |
| Book Value | 16219295 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39833 | OtherCostOrOtherBasis |
| Book Value | 39833 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 41642692 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEFERRED CHARGES | 432357 |
| BENEFICIAL INTEREST IN PERPETUAL TRUST | 6207856 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6640213 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| MINIMUM PENSION LIABILITY | $25,633,314 |
| CAPITAL LEASE OBLIGATIONS | $193,810 |
| RETIREMENT PLAN ACCRUAL | $78,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 25905124 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. AMOUNTS REQUIRING RECOGNITION UNDER THE GUIDANCE ARE REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED OR RECORDED AS A LIABILITY AS OF DECEMBER 31, 2012 AND 2011. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 623609 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 623609 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00550 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5733825 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2313993 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3419832 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03030 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6357434 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2313993 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4043441 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03580 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 131449 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 131449 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3809212 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1774807 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2034405 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01800 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3950661 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1774807 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2175854 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01930 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10308095 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4088800 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6219295 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05510 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,553,172 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 32955950 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 40506663 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -7550713 | 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 | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | 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 | PROCTOR HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5409 N KNOXVILLE AVENUE | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 61614 | 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 | PROCTOR HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | 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 | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 600.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | 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 |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $5,443,997. | ||
| PART III, LINE 4: PATIENT RECEIVABLES DUE FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS, BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS AND BY CONSIDERING THE PATIENT'S FINANCIAL HISTORY, CREDIT HISTORY, AND CURRENT ECONOMIC CONDITIONS. INTEREST IS NOT CHARGED ON PATIENT RECEIVABLES. PATIENT RECEIVABLES ARE WRITTEN OFF AS A BAD DEBT WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED. | ||
| PART III, LINE 9B: NO COLLECTION EFFORTS WILL BE MADE BY PROCTOR HOSPITAL OR ITS DESIGNATED AGENTS ON ACCOUNTS WHERE PATIENTS HAVE COMPLETED THE FINANCIAL ASSISTANCE APPLICATION PROCESS AND ESTABLISHED THEIR ELIGIBILITY FOR CHARITY CARE. | ||
| PART V, SECTION B, LINE 3: THE CHNA INCLUDED DETAILED ANALYSES OF SECONDARY DATA TO ASSESS INFORMATION REGARDING THE HEALTH STATUS OF THE COMMUNITIES. IN ORDER TO PERFORM THESE ANALYSES, INFORMATION WAS COLLECTED FROM NUMEROUS SECONDARY SOURCES, INCLUDING PUBLICALLY AVAILIABLE SOURCES, SUCH AS COUNTY-BASED DATA, AS WELL AS PRIVATE SOURCES OF DATA, SUCH AS HOSPITAL-SPECIFIC DATA. SPECIFICALLY, FINDINGS FROM THE SECONDARY SOURCES OF DATA HIGHLIGHTED SEVERAL CRITICAL AREAS OF COMMUNITY NEEDS.TO COLLECT DATA, THREE SURVEYING TECHINQUES WERE USED- ONLINE, PAPER, AND STRUCTURED INTERVIEWS.THE HOSPITALS THEN IDENTIFIED AND PRIORITIZED THE MOST IMPORTANT HEALTH-RELATED ISSUES IN THE TRI-COUNTY REGION. AFTER SUMMARIZING ALL OF THE ISSUES OF THE CHNA, A COMPREHENSIVE ASSESSMENT OF EXISTING COMMUNITY RESOURCES WAS PERFORMED TO IDENTIFY THE EFFICACY TO WHICH HEALTH-RELATED ISSUES WERE ALREADY BEING ADDRESSED. FINALLY, A COLLABORATIVE EFFORT OF LEADERS IN THE HEALTHCARE COMMUNITY USED AN IMPORTANCE/URGENCY METHODOLOGY TO IDENTIFY THE MOST CRITICAL ISSUES IN THE AREA. TEAM MEMBERS FOR THIS NEEDS ASSESSMENT INCLUDED TWO REPRESENTATIVES FROM EACH OF THE THREE PEORIA HOSPITALS, ADMINISTRATORS FROM THE THREE COUNTY HEALTH DEPARTMENTS, PHYSICIANS/ADMINISTRATORS FROM CLINICS SERVING THE AT-RISK POPULATION, REPRESENTATION FROM THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE AND THE HEART OF ILLINOIS UNITED WAY. | PROCTOR HOSPITAL | |
| PART V, SECTION B, LINE 4: PROCTOR HOSPITAL'S CHNA WAS A COLLABORATIVE UNDERTAKING BY PROCTOR HOSPITAL, METHODIST MEDICAL CENTER OF ILLINOIS AND OSF SAINT FRANCIS MEDICAL CENTER TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN PEORIA, TAZEWELL, AND WOODFORD COUNTIES. | PROCTOR HOSPITAL | |
| PART VI, LINE 2: PROCTOR HOSPITAL'S BOARD OF TRUSTEES AND MANAGEMENT TEAM DEVELOPED GOALS FOR THE COMMUNITY BENEFIT PLAN USING FEEDBACK FROM EMPLOYEES, PATIENTS, FAMILIES, PHYSICIANS, FOCUS GROUPS, STUDIES OF LOCAL AND REGIONAL HEALTH TRENDS, AND REVIEWS OF CENSUS DATA TO PROVIDE THE NECESSARY EVIDENCE FROM WHICH TO CONCENTRATE OUR EFFORTS. FROM THE RESEARCH, THREE PRIMARY GOALS WERE ESTABLISHED AND ARE NOW REVIEWED ANNUALLY. NO SUBSTANTIVE CHANGES TO THE PRIMARY GOALS WERE MADE IN 2012. PROCTOR'S MOST SIGNIFICANT GOAL WORKS TO IMPROVE ACCESS TO THE DELIVERY OF HEALTHCARE SERVICES, INCLUDES MAKING OUR FACILITIES AND STAFF AVAILABLE TO ANYONE WHO HAS A NEED FOR HEALTH CARE. THE SECOND GOAL, ENHANCING THE QUALITY OF LIFE THROUGH EDUCATION AND PREVENTION, WAS DEVELOPED TO FURTHER THE ABILITY OF PEOPLE OF ALL AGES IN OUR COMMUNITY TO LEARN ABOUT HEALTH ISSUES THAT MAY IMPACT THEIR LIVES. OUR THIRD, AND FINAL PRIMARY GOAL, IS FOR PROCTOR HOSPITAL TO ENHANCE ITS REPUTATION AS A VIRTUAL "CORPORATE" CITIZEN OF PEORIA AND THE SURROUNDING AREA. AS A MAJOR EMPLOYER IN OUR PRIMARY AND SECONDARY SERVICE AREAS, PROCTOR IS COMMITTED TO PROVIDING RESOURCES TO ASSIST OTHER COMMUNITY BASED, NOT-FOR-PROFIT ORGANIZATIONS THAT DEMONSTRATE NEEDS RELATING TO SOME ASPECT OF HEALTH OR QUALITY OF LIFE. REQUESTS FOR ASSISTANCE IN NON-HEALTH/PERSONAL DEVELOPMENT COMMUNITY ENDEAVORS (I.E., ZOOS, MUSEUMS, ETC.) MAY BE CONSIDERED IF ADEQUATE RESOURCES ARE AVAILABLE BUT WILL BE SECONDARY TO CAUSES THAT RELATE SPECIFICALLY TO THE HOSPITAL'S MISSION, VISION AND VALUES. | ||
| PART VI, LINE 3: PROCTOR HOSPITAL HAS POSTED A SIGN IN ALL ADMISSION AND REGISTRATION AREAS WITH THE FOLLOWING NOTICE:"YOU MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE TERMS AND CONDITIONS THE HOSPITAL OFFERS TO QUALIFIED PATIENTS. FOR MORE INFORMATION CONTACT A PATIENT FINANCIAL SERVICE REPRESENTATIVE AT 309-691-1083."THE SIGN IS IN ENGLISH AND ANY OTHER LANGUAGE THAT IS THE PRIMARY LANGUAGE OF AT LEAST 5% OF THE PATIENTS SERVICED BY THE HOSPITAL ANNUALLY.A NOTICE WAS PLACED ON THE PROCTOR HOSPITAL WEBSITE IN A PROMINENT LOCATION THAT (1)NOTIFIED PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE AT THE HOSPITAL, (2)DESCRIBED THE FINANCIAL ASSISTANCE APPLICATION PROCESS, AND (3)PROVIDED A COPY OF THE FINANCIAL ASSISTANCE APPLICATION. | ||
| PART VI, LINE 4: FROM A DEMOGRAPHIC STANDPOINT, PROCTOR SERVES A POPULATION THAT DIFFERS SIGNIFICANTLY FROM ITS LARGER DOWNTOWN COMPETITORS. THE RACIAL AND ETHNIC MIX OF PROCTOR PATIENTS IS IMPACTED BY THE HOSPITAL'S NORTHSIDE LOCATION. | ||
| PART VI, LINE 5: WE BELIEVE THAT GENERAL KNOWLEDGE OF HEALTH RELATED ISSUES IS LACKING. OUR FOCUS ON EDUCATION AND PREVENTION, THROUGH AN IMPRESSIVE ARRAY OF OPPORTUNITIES, WILL HELP PROVIDE INDIVIDUALS WITH INFORMATION NEEDED TO ASSIST IN MAKING NECESSARY LIFESTYLE CHANGES TO PREVENT DISEASE WHEN POSSIBLE. IF DISEASE CANNOT BE PREVENTED, OUR PLAN IS TO PROVIDE METHODS THAT PROVIDE OPTIONS FOR SOUND DECISION MAKING. RESEARCH CLEARLY STATES THAT EARLY DETECTION IS IMPERATIVE TO DISEASE PREVENTION AND THAT HEALTHY LIFESTYLE CHANGES POSITIVELY IMPACT ATTITUDES OF INDIVIDUALS AND FAMILIES. | ||
| PART VI, LINE 6: PROCTOR HEALTH CARE INCORPORATED (CORPORATION), PROCTOR HEALTH CARE FOUNDATION (FOUNDATION), BELCREST SERVICES, LTD. (BELCREST), PROCTOR HEALTH SYSTEMS (PHS), PROFESSIONAL MEDICAL ASSOCIATES (PMA), HEALTH PLUS, INC., AND HULT HEALTH EDUCATIONAL CENTER (HULT) (COLLECTIVELY REFERRED TO HEREIN AS "PROCTOR" OR "PROCTOR HEALTH CARE INCORPORATED AND RELATED ORGANIZATIONS")ARE AFFILIATED WITH PROCTOR HOSPITAL (HOSPITAL).THE HOSPITAL IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL WHICH PROVIDES HEALTH CARE SERVICES THROUGH ITS INPATIENT AND OUTPATIENT FACILITIES LOCATED IN AND AROUND PEORIA, ILLINOIS. THE FOUNDATION AND CORPORATION ARE NOT-FOR-PROFIT CORPORATIONS WHOSE PRIMARY PURPOSES ARE TO SUPPORT AND ENCOURAGE HEALTH CARE RELATED SERVICES BY PROVIDING FINANCIAL AND MANAGEMENT ASSISTANCE TO THE HOSPITAL. THE HOSPITAL IS CONTROLLED BY THE CORPORATION AND IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION. BELCREST IS A WHOLLY-OWNED SUBSIDIARY OF THE CORPORATION, ESTABLISHED AS A FOR-PROFIT CORPORATION TO PROVIDE HEALTH CARE RELATED SERVICES. PHS IS A WHOLLY-OWNED SUBSIDIARY OF THE CORPORATION, ESTABLISHED TO PROVIDE PHYSICIAN PRACTICE MANAGEMENT SERVICES ON BEHALF OF THE PROCTOR HEALTH CARE DELIVERY SYSTEM. PMA WAS ESTABLISHED TO PROVIDE PROFESSIONAL MEDICAL SERVICES AND IS CONTROLLED BY THE CORPORATION. HEALTH PLUS, INC. IS A MANAGED CARE COMPANY, WHICH CONTRACTS WITH PROVIDERS AND INSURERS OF HEALTHCARE IN THE CENTRAL ILLINOIS MARKET. HEALTH PLUS, INC. IS A WHOLLY-OWNED SUBSIDIARY OF THE CORPORATION. THE HOSPITAL IS THE SOLE CORPORATE MEMBER OF HULT, A COMMUNITY EDUCATIONAL CENTER LOCATED ON THE HOSPITAL'S CAMPUS. | ||
| IL | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL MACEK | ||||||||||||||
| PRESIDENT/CEO | 154416 | 230437 | 0 | 0 | 17166 | 0 | 31000 | 46500 | 9074 | 13612 | 211656 | 290549 | 0 | 0 |
| ROGER ARMSTRONG | ||||||||||||||
| CFO | 104018 | 156027 | 0 | 0 | 2147 | 0 | 1686 | 2528 | 1575 | 2362 | 109426 | 160917 | 0 | 0 |
| ANDREW BLAND | ||||||||||||||
| CMO | 290859 | 0 | 0 | 0 | 575 | 0 | 3893 | 0 | 22917 | 0 | 318244 | 0 | 0 | 0 |
| TIMOTHY FULTON | ||||||||||||||
| PERFUSIONIST | 171894 | 0 | 0 | 0 | 182 | 0 | 5281 | 0 | 23017 | 0 | 200374 | 0 | 0 | 0 |
| MARTY DORGAN | ||||||||||||||
| CNO | 148381 | 0 | 0 | 0 | 2901 | 0 | 0 | 0 | 5818 | 0 | 157100 | 0 | 0 | 0 |
| LINDA BUCK | ||||||||||||||
| VP HR | 141588 | 0 | 0 | 0 | 2129 | 0 | 4387 | 0 | 16083 | 0 | 164187 | 0 | 0 | 0 |
| DARSHNA PATEL | ||||||||||||||
| NURSE | 139438 | 0 | 0 | 0 | 48 | 0 | 4222 | 0 | 7762 | 0 | 151470 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINES 4A-B | ReturnReference |
| Explanation | PROCTOR'S CFO ROGER ARMSTRONG SEPARATED FROM PROCTOR IN JUNE 2012. HE RECEIVED A SEVERANCE PAYMENT OF $211,099. PROCTOR ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING 2011 FOR ITS CHIEF EXECUTIVE OFFICER PAUL MACEK. THE AMOUNT OF THE CONTRIBUTION FOR 2012 WAS $70,000. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY-SERIES 2006A | ||||||||
| A | 861091674 | 45200BYW2 | 2006-05-11 | 22525000 | REFUND 1991 BONDS | 0 | 0 | 0 |
| ILLINOIS FINANCE AUTHORITY-SERIES 2010A | ||||||||
| B | 861091674 | 2010-12-16 | 15500000 | PAYOFF 2006B AND NEW MONEY | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|
| A | 22323401 | 2252500 | 19564161 | 446468 | 19624433 | 1 | 0 | 1 | 1 |
| B | 15500000 | 1016970 | 178659 | 14304371 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | PROCTOR HEALTH CARE INCORPORATED IS THE SOLE MEMBER OF PROCTOR HOSPITAL. | |
| FORM 990, PART VI, SECTION A, LINE 7A | PROCTOR HEALTH CARE INCORPORATED PER THE BYLAWS HAS THE RIGHT TO "ELECT, REPLACE OR REMOVE AT ANY TIME AND FROM TIME TO TIME AND WITHOUT CAUSE, MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION." | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY ITS MEMBER, PROCTOR HEALTH CARE INCORPORATED. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY MEMBERS OF THE BOARD EXECUTIVE COMMITTEE AND SENIOR MANAGEMENT PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | A STANDING AGENDA ITEM FOR EACH BOARD MEETING WILL REQUEST FROM MEMBERS IF THERE ARE ANY RECENT EVENTS TO BE REPORTED UNDER THE CONFLICT OF INTEREST POLICY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS ESTABLISHED BY A COMMITTEE MADE UP OF MEMBERS OF PROCTOR HOSPITAL'S BOARD. VARIOUS METHODS ARE USED BY THIS COMMITTTEE TO ESTABLISH THE COMPENSATION. EXAMPLES OF THESE METHODS INCLUDE AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION STUDY OR SURVEY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART XI, LINE 9: | ASSETS RELEASED FROM RESTRICTION 604,813. CHANGE IN MINIMUM PENSION LIABILITY -3,397,593. CHANGE IN TEMPORARILY RESTRICTED ASSETS 365,314. CHANGE IN PERMANENTLY RESTRICTED ASSETS 303,250. INTERCOMPANY FUNDS TRANSFER 3,000,000. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PAGE 12, PART XII, LINE C | THE PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR. | SELECTION OF INDEPENDENT ACCOUNTANT AND OVERSIGHT OF AUDIT |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| PROCTOR HEALTH CARE INCORPORATED | ||||||||||
| 5409 N KNOXVILLE AVENUE | PEORIA | IL | 61614 | 371133412 | PROVISION OF MANAGEMENT SERVICES AND SUPPORT TO PROCTOR HOSPITAL | IL | 501(C)(3) | 170(B)(1)(A)(III) | 0 | |
| PROCTOR HEALTH CARE FOUNDATION | ||||||||||
| 5409 N KNOXVILLE AVENUE | PEORIA | IL | 61614 | 371133429 | SOLICIT AND RECEIVE GIFTS | IL | 501(C)(3) | 509(A)3 TYPE I | 1 | PROCTOR HOSPITAL |
| PROCTOR HEALTH SYSTEMS | ||||||||||
| 5409 N KNOXVILLE AVENUE | PEORIA | IL | 61614 | 364147437 | PROVIDE HEALTH CARE | IL | 501(C)(3) | 170(B)(1)(A)(III) | 1 | PROCTOR HEALTH CARE INCORPORATED |
| HULT HEALTH EDUCATION CENTER | ||||||||||
| 5409 N KNOXVILLE AVENUE | PEORIA | IL | 61614 | 371295532 | PROVIDE HEALTH EDUCATION TO THE COMMUNITY | IL | 501(C)(3) | 170(B)(1)(A)(VI) | 1 | PROCTOR HOSPITAL |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BELCREST LTD | ||||||||||||
| 5409 N KNOXVILLE AVENUE | PEORIA | IL | 61614 | 371196307 | MEDICAL SERVICES | IL | PROCTOR HEALTH CARE INCORPORATED | C | 7083337 | 6204046 | 1.00000 | 0 |
| HEALTH PLUS INC | ||||||||||||
| 5409 N KNOXVILLE AVENUE | PEORIA | IL | 61614 | 371295532 | MANAGED CARE ADMINISTRATION | IL | PROCTOR HEALTH CARE INCORPORATED | C | 5 | 5414 | 1.00000 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| PROCTOR HEALTH CARE FOUNDATION | ||
| K | 583710 | FMV |
| PROCTOR HEALTH CARE FOUNDATION | ||
| O | 103458 | FMV |
| PROCTOR HEALTH CARE FOUNDATION | ||
| Q | 909145 | FMV |
| PROCTOR HEALTH CARE INCORPORATED | ||
| P | 224943 | FMV |
| PROCTOR HEALTH SYSTEMS | ||
| O | 2201224 | FMV |
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