PROCTOR HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PROCTOR HOSPITAL (EIN 37-0681540)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201233199349301928
Schema version
2011v1.2
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T09:50:22-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line115 S OLD STATE CAPITOL PLAZA STE 20AddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code627011510ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN370681540EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PROCTOR HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPROCNameControl
Phone3096911064Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15409 N KNOXVILLE AVENUEAddressLine1
CityPEORIACity
StateILState
ZIP Code61614ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAUL MACEKName
TitlePRESIDENT/CEOTitle
Phone3096911064Phone
Date Signed2012-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL BASSName
PTINP00458970PTIN
Phone2177897700Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPAUL MACEKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15409 N KNOXVILLE AVENUEAddressLine1
CityPEORIACity
StateILState
ZIP Code61614ZIPCode
FieldValueIRS element (for citing)
Gross Receipts110885739GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionPROCTOR 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 Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees1481TotalNbrEmployees
Total Nbr Volunteers182TotalNbrVolunteers
Total Gross UBI164363TotalGrossUBI
Net Unrelated Business Txbl Income-30329NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year190ContributionsGrantsCurrentYear
Program Service Revenue Prior Year110642192ProgramServiceRevenuePriorYear
Program Service Revenue CY110497765ProgramServiceRevenueCY
Investment Income Prior Year297714InvestmentIncomePriorYear
Investment Income Current Year106818InvestmentIncomeCurrentYear
Other Revenue Prior Year463477OtherRevenuePriorYear
Other Revenue Current Year91150OtherRevenueCurrentYear
Total Revenue Prior Year111403383TotalRevenuePriorYear
Total Revenue Current Year110695923TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year47390840SalariesEtcPriorYear
Salaries Etc Current Year49632726SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year61797696OtherExpensePriorYear
Other Expenses Current Year61844416OtherExpensesCurrentYear
Total Expenses Prior Year109188536TotalExpensesPriorYear
Total Expenses Current Year111477142TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2214847RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-781219RevenuesLessExpensesCY
Total Assets BOY101495724TotalAssetsBOY
Total Assets EOY101292333TotalAssetsEOY
Total Liabilities BOY76376342TotalLiabilitiesBOY
Total Liabilities EOY88617978TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY25119382NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12674355NetAssetsOrFundBalancesEOY
Mission DescriptionPROCTOR HOSPITAL PROVIDES A BROAD RANGE OF HEALTHCARE SRVICES AND ACTIVITIES TO THE COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense81298039Expense
Revenue110350582Revenue
DescriptionPROCTOR HOSPITAL IS AN ACUTE CARE FACILITY WHICH OPERATES 223 LICENSED BEDS IN PEORIA, ILLINOIS. THIRTY OF THE LICENSED BEDS ARE DEVOTED TO SKILLED NURSING AND ANOTHER 30 BEDS ARE DEVOTED TO A NATIONALLY UNIQUE ADDICTION RECOVERY CENTER. STATISTICS INCLUDE 31,192 PATIENT DAYS, 7,193 DISCHARGES AND 179,510 OUTPATIENT VISITS. OF TOTAL DAYS, SKILLED NURSING ACCOUNTED FOR 4,809 DAYS AND 589 DISCHARGES AND ADDICTION RECOVERY ACCOUNTED FOR 2,979 DAYS AND 505 DISCHARGES. IN ADDITION, THE ADDICTION RECOVERY CENTER HAD 8,223 PATIENT DAYS IN THEIR IADT PROGRAM. THE HOSPITAL ALSO HAS AN EMERGENCY ROOM WHICH TREATED 20,128 PATIENTS.Description
Total Program Service Expense81298039TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096188NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1481NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1STEPHEN CIRONEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3096911064TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15409 N KNOXVILLE AVENUEAddressLine1
CityPEORIACity
StateILState
ZIP Code61614ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MARY PILLE
BOARD MEMBER1.00X000
LINDSAY MA MD
BOARD MEMBER1.00X000
VICTOR LENZI MD
BOARD MEMBER1.00X000
HENRY ALLOVIO
BOARD MEMBER1.00X000
WAYNE BAUM
BOARD MEMBER1.00X000
DALE BURKLUND
BOARD MEMBER1.00X000
R PARKER MCRAE JR MD
BOARD MEMBER1.00X000
TIMOTHY PLFEDERER MD
BOARD MEMBER1.00X000
MIKE QUINE
BOARD MEMBER1.00X000
DENNIS TRIGGS
BOARD MEMBER1.00X000
JAMES VERGON
BOARD MEMBER1.00X000
STEVE WUNNING
BOARD MEMBER1.00X000
THOMAS SPURGEON
CHAIRMAN1.00000X
JAMES DEBORD MD
VICE CHAIRMAN1.00000X
DAVID MUELLER
SECRETARY1.00000X
PAUL MACEK
PRESIDENT/CEO40.00152507228761153003X
JIM SULLIVAN
PAST CHAIRMAN1.00000X
ROGER ARMSTRONG
CFO40.009429414144214239X
TIMOTHY FULTON
CERTIFIED CLINICAL PERFUSI40.00183086021250X
ERIC ZEHR
VP/CNO40.0014680809682X
CAROL LINETT
VP/NURSING40.00141717011857X
STEPHEN BONOMO
PHARMACIST40.00139972018639X
LINDA BUCK
VP/HUMAR RESOURCES40.00137780022329X
FieldValueIRS element (for citing)
Total Reportable Comp From Org996164TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs370203TotalReportableCompFrmRltdOrgs
Total Other Compensation250999TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EMERGENCY PHYSICIANS STAFFING SOLUTINS
PO BOX 260180BATON ROUGELA70826PHYSICIAN STAFFING2470351
INSTITUTE OF PHYSICAL MEDICINE & REHABIL
6501 N SHERIDAN ROADPEORIAIL61615PROFESSIONAL REHAB1358931
QUEST DIAGNOSTICS
PO BOX 12989CHICAGOIL60693LAB FEES407108
ADVANCED MOBILE DIAGNOSTICS INC
PO BOX 3733PEORIAIL61614NONINVASIVE EXAMS348637
CRESCENT LAUNDRY
2422 ROCKINGHAM ROADDAVENPORTIA52802LAUNDRY SERVICE325681
FieldValueIRS element (for citing)
Number Of Contractors GT100 K22NumberOfContractorsGT100K
All Other Contributions190AllOtherContributions
Total Contributions190TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENU621500106366523106366523
OTHER OPERATING REVENU6215004131242403275798485
FieldValueIRS element (for citing)
Total Program Service Revenue110497765TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column68120TotalRevenueColumn
Exclusion$68,120ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real52954Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real114000Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-61046Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-61046TotalRevenueColumn
Related Or Exempt Function Income-61046RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities86215Securities
Other28299Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities75816Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities10399Securities
Other28299Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column38698TotalRevenueColumn
Related Or Exempt Function Income10399RelatedOrExemptFunctionIncome
Exclusion$28,299ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA REVENUE62150084369$84,369
DAYCARE REVENUE6224106178361783
LAUNDRY REVENUE81230040954095

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1949TotalRevenueColumn
Related Or Exempt Function Income1949RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue152196TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column110695923TotalRevenueColumn
Related Or Exempt Function Income110350582RelatedOrExemptFunctionIncome
Unrelated Business Revenue164363UnrelatedBusinessRevenue
Exclusion$180,788ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total246801Total
Management And General246801ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total38714584Total
Program Services28441811ProgramServices
Management And General10272773ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1162960Total
Program Services848961ProgramServices
Management And General313999ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6635595Total
Program Services4843984ProgramServices
Management And General1791611ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2872786Total
Program Services2097134ProgramServices
Management And General775652ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total236211Total
Program Services172434ProgramServices
Management And General63777ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total67454Total
Program Services49241ProgramServices
Management And General18213ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3870896Total
Program Services2825754ProgramServices
Management And General1045142ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total938114Total
Program Services684823ProgramServices
Management And General253291ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total639353Total
Program Services466727ProgramServices
Management And General172626ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1849118Total
Program Services1349856ProgramServices
Management And General499262ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total247933Total
Program Services180991ProgramServices
Management And General66942ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1697057Total
Management And General1697057ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6217315Total
Program Services4538640ProgramServices
Management And General1678675ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2169008Total
Program Services1583376ProgramServices
Management And General585632ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES24328110177595206568590
CONTRACT SERVICES611149144613881650103
BAD DEBTS42910244291024
REPAIRS & MANTENANCE423119030887691142421

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4950142Total
Program Services3613606ProgramServices
Management And General1336536ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total111477142Total
Program Services81298039ProgramServices
Management And General30179103ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3582867BOY
EOY646928EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY28275018BOY
EOY32008094EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3367750BOY
EOY3619589EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY978139BOY
EOY1755972EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis146283788LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec102177731LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY42399986BOY
EOY44106057EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9966289BOY
EOY6804513EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY6063213BOY
EOY5951538EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6862462BOY
EOY6399642EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY101495724BOY
EOY101292333EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22943852BOY
EOY27306181EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY37868201BOY
EOY35554401EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY15564289BOY
EOY25757396EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY76376342BOY
EOY88617978EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18746901BOY
EOY6624444EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY67734BOY
EOY145305EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6304747BOY
EOY5904606EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25119382BOY
EOY12674355EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY101495724BOY
EOY101292333EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-781219ReconcilationRevenueExpenses
Reconcilation Other Changes-11663808ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$24,073OtherActivitiesAmount
Total Lobbying Expenditures IIB24073TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationPROCTOR HOSPITAL PAYS DUES TO IHA. THE AMOUNT OF DUES PAID IN 2011 WAS $75,229 OF WHICH 32% OR $24,073 WAS USED FOR LOBBYING.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6081907OtherCostOrOtherBasis
Book Value6081907BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis59129655OtherCostOrOtherBasis
Depreciation41701399Depreciation
Book Value17428256BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis446309OtherCostOrOtherBasis
Depreciation115492Depreciation
Book Value330817BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis74743888OtherCostOrOtherBasis
Depreciation60360840Depreciation
Book Value14383048BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5882029OtherCostOrOtherBasis
Book Value5882029BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings44106057TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENTSDescription
Book Value5951538BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities5951538TotalOfBookValueSecurities

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED CHARGES495036
BENEFICIAL INTEREST IN PERPETUAL TRUST5904606
FieldValueIRS element (for citing)
Total Book Value Other Assets6399642TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
MINIMUM PENSION LIABILITY$25,204,981
CAPITAL LEASE OBLIGATIONS$502,415
RETIREMENT PLAN ACCRUAL$50,000
FieldValueIRS element (for citing)
Total Of Amounts25757396TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE 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, 2011 AND 2010.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense826408TotalCommunityBenefitExpense
Net Community Benefit Expense826408NetCommunityBenefitExpense
Percent Of Total Expense0.00770PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense2925886TotalCommunityBenefitExpense
Direct Offsetting Revenue1828911DirectOffsettingRevenue
Net Community Benefit Expense1096975NetCommunityBenefitExpense
Percent Of Total Expense0.01020PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense3752294TotalCommunityBenefitExpense
Direct Offsetting Revenue1828911DirectOffsettingRevenue
Net Community Benefit Expense1923383NetCommunityBenefitExpense
Percent Of Total Expense0.01790PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense375618TotalCommunityBenefitExpense
Direct Offsetting Revenue50990DirectOffsettingRevenue
Net Community Benefit Expense324628NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense13104921TotalCommunityBenefitExpense
Direct Offsetting Revenue9084878DirectOffsettingRevenue
Net Community Benefit Expense4020043NetCommunityBenefitExpense
Percent Of Total Expense0.03750PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense58493TotalCommunityBenefitExpense
Net Community Benefit Expense58493NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense13539032TotalCommunityBenefitExpense
Direct Offsetting Revenue9135868DirectOffsettingRevenue
Net Community Benefit Expense4403164NetCommunityBenefitExpense
Percent Of Total Expense0.04100PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense17291326TotalCommunityBenefitExpense
Direct Offsetting Revenue10964779DirectOffsettingRevenue
Net Community Benefit Expense6326547NetCommunityBenefitExpense
Percent Of Total Expense0.05890PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,525,745BadDebtExpenseAmount
Amount Reimbursed By Medicare35515199AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare43553369CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-8038170MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1PROCTOR HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line15409 N KNOXVILLE AVENUEAddressLine1
CityPEORIACity
StateILState
ZIP Code61614ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PROCTOR HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent600.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Uninsured DiscountXUninsuredDiscount
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Permit Body AttachmentXPermitBodyAttachment
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7, COLUMN (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 $ 4291024.
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 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 2011. 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)NOTIFYED 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.
ILREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PAUL MACEK
1525072287610000529407941082611239221370832056300
ROGER ARMSTRONG
94294141442000027614141293544029999014998500
TIMOTHY FULTON
1830860000055970156530204336000
ERIC ZEHR
146808000004346053360156490000
CAROL LINETT
141717000004220076370153574000
STEPHEN BONOMO
1399720000013012056270158611000
LINDA BUCK
13778000000100490122800160109000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationPROCTOR ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING 2011 FOR ITS CHIEF EXECUTIVE OFFICER PAUL MACEK IN THE AMOUNT OF $125,000.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
ILLINOIS FINANCE AUTHORITY-SERIES 2006A
86109167445200BYW22006-05-1122525000REFUND 1991 BONDS000
ILLINOIS FINANCE AUTHORITY-SERIES 2010A
8610916742010-12-1615500000PAYOFF 2006B AND NEW MONEY000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
22323401225250019564161446468196244331011
155000002916893178659124044481011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000.000000.000000.000000
00000.000000.000000.000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000001
010001

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6PROCTOR HEALTH CARE INCORPORATED IS THE SOLE MEMBER OF PROCTOR HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7APROCTOR 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 7BTHE DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY ITS MEMBER, PROCTOR HEALTH CARE INCORPORATED.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY MEMBERS OF THE BOARD EXECUTIVE COMMITTEE AND SENIOR MANAGEMENT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CA 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 15THE 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -227,479. ASSETS RELEASED FROM RESTRICTION 811,368. CHANGE IN MINIMUM PENSION LIABILITY -11,925,127. CHANGE IN TEMPORARILY RESTRICTED ASSETS 77,571. CHANGE IN PERMANENTLY RESTRICTED ASSETS -400,141. TOTAL TO FORM 990, PART XI, LINE 5: -11,663,808.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PAGE 12, PART XII, LINE CTHE 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
PROCTOR HEALTH CARE INCORPORATED
5409 N KNOXVILLE AVENUEPEORIAIL61614371133412PROVISION OF MANAGEMENT SERVICES AND SUPPORT TO PROCTOR HOSPITALIL501(C)(3)170(B)(1)(A)(III)0
PROCTOR HEALTH CARE FOUNDATION
5409 N KNOXVILLE AVENUEPEORIAIL61614371133429SOLICIT AND RECEIVE GIFTSIL501(C)(3)509(A)3 TYPE I1PROCTOR HOSPITAL
PROCTOR HEALTH SYSTEMS
5409 N KNOXVILLE AVENUEPEORIAIL61614364147437PROVIDE HEALTH CAREIL501(C)(3)170(B)(1)(A)(III)1PROCTOR HEALTH CARE INCORPORATED
HULT HEALTH EDUCATION CENTER
5409 N KNOXVILLE AVENUEPEORIAIL61614371295532PROVIDE HEALTH EDUCATION TO THE COMMUNITYIL501(C)(3)170(B)(1)(A)(VI)1PROCTOR HOSPITAL

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
BELCREST LTD
5409 N KNOXVILLE AVENUEPEORIAIL61614371196307MEDICAL SERVICESILPROCTOR HEALTH CARE INCORPORATEDC700012259452041.00000
HEALTH PLUS INC
5409 N KNOXVILLE AVENUEPEORIAIL61614371295532MANAGED CARE ADMINISTRATIONILPROCTOR HEALTH CARE INCORPORATEDC15289254141.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
PROCTOR HEALTH CARE FOUNDATION
J566607
PROCTOR HEALTH CARE FOUNDATION
O94222
PROCTOR HEALTH CARE FOUNDATION
P935976
PROCTOR HEALTH CARE INCORPORATED
O235743
PROCTOR HEALTH SYSTEMS
N2130728

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