SWEDISHAMERICAN HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- SWEDISHAMERICAN HOSPITAL (EIN 36-2222696)
- Tax period
- 2009-06-01 to 2010-05-31
- Filed
- 2011-04-11
- IRS object ID
- 201101019349300405
- Schema version
- 2009v1.7
- 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 I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-04-11T10:46:36-05:00 | Timestamp |
| Tax Period End Date | 2010-05-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | rsm mcgladrey inc | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | one south wacker dr suite 800 | AddressLine1 |
| City | chicago | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-06-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362222696 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWEDISHAMERICAN HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SWED | NameControl |
| Phone | 8159662087 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 E state STREET | AddressLine1 |
| City | ROCKFORD | City |
| State | IL | State |
| ZIP Code | 611042298 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | william gorski md | Name |
| Title | ceo | Title |
| Phone | 8159662087 | Phone |
| Date Signed | 2011-04-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | zack fortsch | Name |
| Phone | 3126343400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | william gorski md | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1313 east state st | AddressLine1 |
| City | ROCKFORD | City |
| State | IL | State |
| ZIP Code | 61104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 486123554 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.swedishamerican.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1911 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | through excellence in healthcare and compassionate service, we care for our community. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 25 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3300 | TotalNbrEmployees |
| Total Nbr Volunteers | 391 | TotalNbrVolunteers |
| Total Gross UBI | 652622 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 371849 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1243368 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1517458 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 369806718 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 407756569 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -185274 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4763472 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 7470012 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6179586 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 378334824 | TotalRevenuePriorYear |
| Total Revenue Current Year | 420217085 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1241833 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 997867 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 179940973 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 193172438 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 181602236 | OtherExpensePriorYear |
| Other Expenses Current Year | 212707417 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 362785042 | TotalExpensesPriorYear |
| Total Expenses Current Year | 406877722 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 15549782 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 13339363 | RevenuesLessExpensesCY |
| Total Assets BOY | 386835307 | TotalAssetsBOY |
| Total Assets EOY | 414750554 | TotalAssetsEOY |
| Total Liabilities BOY | 187818441 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 196678144 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 199016866 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 218072410 | NetAssetsOrFundBalancesEOY |
| Mission Description | through excellence in healthcare and compassionate service, we care for our community. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 249362958 | Expense |
| Grants | 997887 | Grants |
| Revenue | 336888358 | Revenue |
| Description | SwedishAmerican Hospital operates two full service acute care hospitals with 386 licensed beds, and serves a 12 county area. Our vision is to develop a fully integrated healthcare delivery network that will continuously set the standard for quality care and service, accept responsibility for building a healthier population, provide regional access, improve resource utilization through collaboration with key stakeholders, and manage patient care and our resources in such a way that we create value for our patients and benefit for our community. During 2010 we cared for 17,167 inpatients and performed 633,022 outpatient procedures. This includes 69,651 emergency room visits and 2,502 deliveries. We sponsor the University of Illinois College of Medicine program and provided $4.5 million in education for primary care residents. We participate in the Illinois Excellence in Academic Medicine program and the National Surgical Adjuvant Breast and Bowel Project, which are government sponsored research. Our employees and volunteers provided over 31,000 hours in unpaid community services. SwedishAmerican recognizes its responsibility to all the people of our community, regardless of their ability to pay for care. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 66448323 | Expense |
| Revenue | 67638761 | Revenue |
| Description | SwedishAmerican Hospital employs primary care and specialty physicians who practice at 17 locations throughout our service area. We employ specialists in orthopedics, cardiology, neurology, pulmonology/critical care, oncology, obstetrics and gynecology, rheumatology, psychiatry, podiatry, otolaryngology, as well as internal medicine, family practice and pediatric physicians. During 2010 our physician encounters were 323,523. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8812685 | Expense |
| Revenue | 8538131 | Revenue |
| Description | SwedishAmerican delivers home health care services to patients in our service area. During 2010 we performed 9,467 episodes of care. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 324623966 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | 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 | 1 | 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 |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 365 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3300 | 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 |
| Nbr Voting Governing Body Members | 25 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | 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 | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DONALD HARING CFO | NamePerson |
| Telephone Number | 8159662087 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1313 east state st | AddressLine1 |
| City | ROCKFORD | City |
| State | IL | State |
| ZIP Code | 61104 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| helen chung hill | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| danny l copeland | ||||||||
| trustee | 2.00 | X | 184314 | 0 | 25639 | |||
| gordon h geddes | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| james l gingrich | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| robert l headphd | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| dennis w johnson | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| gregory jury | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| marco t lenis | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| sara fleming md - ex officio | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| fran morrissey | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| john c myers md | ||||||||
| trustee | 2.00 | X | 503979 | 0 | 14081 | |||
| JOHN SChEUB MD | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| steven c sjogren | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| james waddell | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| thomas r walsh | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| amy wilcox | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| allen williams md | ||||||||
| trustee | 2.00 | X | 207063 | 0 | 33331 | |||
| WILLIAM SCHULz md - ex officio | ||||||||
| trustee | 40.00 | X | 569932 | 0 | 38017 | |||
| patrick derry | ||||||||
| trustee | 2.00 | X | 100 | 0 | 0 | |||
| WILLIAM RGORSKI MD | ||||||||
| chief executive officer | 40.00 | X | 540222 | 0 | 208409 | X | ||
| richard walsh | ||||||||
| chief operating officer | 40.00 | X | 357167 | 0 | 113055 | X | ||
| dan loescher | ||||||||
| second v chairman/treas. | 2.00 | X | 100 | 0 | 0 | X | ||
| william roop | ||||||||
| first v chairman/secretary | 2.00 | X | 100 | 0 | 0 | X | ||
| david r rydell | ||||||||
| immediate past chairman | 2.00 | X | 1100 | 0 | 0 | X | ||
| frank walter | ||||||||
| chairman | 2.00 | X | 100 | 0 | 0 | X | ||
| donald haring | ||||||||
| vp finance/treasurer | 40.00 | 316590 | 0 | 65695 | X | |||
| kathleen kelly md | ||||||||
| vp medical affairs | 40.00 | 329816 | 0 | 50006 | X | |||
| harvey einhorn md | ||||||||
| physician | 40.00 | 808130 | 0 | 38131 | X | |||
| prakash pedapati md | ||||||||
| physician | 40.00 | 610082 | 0 | 30546 | X | |||
| howard kuafman do | ||||||||
| physician | 40.00 | 523484 | 0 | 8320 | X | |||
| merat esfahani md | ||||||||
| physician | 40.00 | 504788 | 0 | 9786 | X | |||
| sharon shipp md | ||||||||
| physician | 40.00 | 481136 | 0 | 36559 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5939603 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 671575 | TotalOtherCompensation |
| Number Individuals GT100 K | 160 | 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 |
|---|---|---|---|---|---|
| arup laboratories inc | |||||
| po box 27964 | salt lake city | UT | 84127 | lab testing | 1996002 |
| rockford anesthesiologists association | |||||
| 202 harlem rd suite 200 | loves park | IL | 61111 | physicians | 1429079 |
| hls wheeling llc | |||||
| 3723 reliable parkway | chicago | IL | 60686 | laundry services | 1057316 |
| holmstrom & KENNEDY pc | |||||
| po box 589 | ROCKFORD | IL | 61103 | ATTORNEYS | 755328 |
| infinity healthcare physicians sc | |||||
| 111 east wisconsin ave | milwaukee | WI | 53202 | physicians | 670225 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 42 | NumberOfContractorsGT100K |
| Government Grants | 1517458 | GovernmentGrants |
| Total Contributions | 1517458 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| patient services | 621990 | 217619968 | 217619968 |
| medicare/medicaid | 621990 | 186111489 | 186111489 |
| N.IL imaging JV | 621990 | 2702702 | 2702702 |
| other programs | 900099 | 1326271 | 1326271 |
| N.IL scanning JV | 621990 | -3861 | -3861 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 407756569 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4763753 | TotalRevenueColumn |
| Exclusion | $4,763,753 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 293555 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 75272 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 218283 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 218283 | TotalRevenueColumn |
| Exclusion | $218,283 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 62525666 | Securities |
| Other | 2621959 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 62495062 | Securities |
| Other | 2652844 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 30604 | Securities |
| Other | -30885 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -281 | TotalRevenueColumn |
| Exclusion | -$281 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 524915 | GrossSalesOfInventory |
| Cost Of Goods Sold | 683291 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -158376 | TotalRevenueColumn |
| Related Or Exempt Function Income | -158376 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| interdept billing | 561000 | 3268856 | 3088838 | 180018 |
| cafeteria & vending | 561000 | 1207575 | 1183846 | 23729 |
| day care center | 624410 | 1194373 | 1194373 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 448875 | TotalRevenueColumn |
| Unrelated Business Revenue | 448875 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6119679 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 420217085 | TotalRevenueColumn |
| Related Or Exempt Function Income | 413065250 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 652622 | UnrelatedBusinessRevenue |
| Exclusion | $4,981,755 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 948867 | Total |
| Program Services | 948867 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49000 | Total |
| Program Services | 49000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4242222 | Total |
| Program Services | 1534582 | ProgramServices |
| Management And General | 2707640 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 146457460 | Total |
| Program Services | 109311377 | ProgramServices |
| Management And General | 37146083 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6787187 | Total |
| Program Services | 5500339 | ProgramServices |
| Management And General | 1286848 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25649525 | Total |
| Program Services | 23561033 | ProgramServices |
| Management And General | 2088492 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10036044 | Total |
| Program Services | 7430082 | ProgramServices |
| Management And General | 2605962 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1054313 | Total |
| Management And General | 1054313 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112704 | Total |
| Management And General | 112704 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158957 | Total |
| Management And General | 158957 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 588405 | Total |
| Management And General | 588405 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17823180 | Total |
| Program Services | 16767003 | ProgramServices |
| Management And General | 1056177 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2559589 | Total |
| Program Services | 340736 | ProgramServices |
| Management And General | 2218853 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9651749 | Total |
| Program Services | 4951243 | ProgramServices |
| Management And General | 4700506 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3389047 | Total |
| Program Services | 2739434 | ProgramServices |
| Management And General | 649613 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11950822 | Total |
| Program Services | 5528734 | ProgramServices |
| Management And General | 6422088 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 223250 | Total |
| Program Services | 170783 | ProgramServices |
| Management And General | 52467 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 332832 | Total |
| Program Services | 141910 | ProgramServices |
| Management And General | 190922 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4815885 | Total |
| Program Services | 3942765 | ProgramServices |
| Management And General | 873120 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17676508 | Total |
| Program Services | 14637778 | ProgramServices |
| Management And General | 3038730 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8706836 | Total |
| Program Services | 7954792 | ProgramServices |
| Management And General | 752044 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| patient supplies | 62125769 | 61411113 | 714656 |
| BAD DEBTS | 35610846 | 35610846 | |
| purchased services | 15330856 | 9319421 | 6011435 |
| IPA Provider tax | 7842390 | 7842390 | |
| repairs & maintenence | 5782330 | 3746133 | 2036197 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6971149 | Total |
| Program Services | 1183605 | ProgramServices |
| Management And General | 5787544 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 406877722 | Total |
| Program Services | 324623966 | ProgramServices |
| Management And General | 82253756 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22747179 | BOY |
| EOY | 19654577 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65952975 | BOY |
| EOY | 61907167 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 223162 | BOY |
| EOY | 298583 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4138543 | BOY |
| EOY | 4511834 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4554836 | BOY |
| EOY | 5471495 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 337103361 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 180293887 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 158536703 | BOY |
| EOY | 156809474 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102917177 | BOY |
| EOY | 138899842 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6263628 | BOY |
| EOY | 5082146 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21501104 | BOY |
| EOY | 22115436 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 386835307 | BOY |
| EOY | 414750554 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31246574 | BOY |
| EOY | 38489895 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96116950 | BOY |
| EOY | 114603545 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25000000 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35454917 | BOY |
| EOY | 43584704 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 187818441 | BOY |
| EOY | 196678144 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 191991446 | BOY |
| EOY | 210736438 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2264487 | BOY |
| EOY | 2254696 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4760933 | BOY |
| EOY | 5081276 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 199016866 | BOY |
| EOY | 218072410 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 386835307 | BOY |
| EOY | 414750554 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | $158,957 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 158957 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | Portions of the 2009/2010 Illinois Hospital and american hospital ASsociation dues used for lobbying: $38,718. a law firm was engaged to assist with residency program funding: $105,239. a lobby firm was engaged to conduct inquiries re: legislation affecting hospitals: $15,000. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5098504 | BeginningOfYearBalance |
| Contributions | 13425 | Contributions |
| Investment Earnings Or Losses | 437938 | InvestmentEarningsOrLosses |
| Other Expenditures | 16185 | OtherExpenditures |
| End Of Year Balance | 5553681 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6059940 | BeginningOfYearBalance |
| Contributions | 14405 | Contributions |
| Investment Earnings Or Losses | -958754 | InvestmentEarningsOrLosses |
| Other Expenditures | 17087 | OtherExpenditures |
| End Of Year Balance | 5098504 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.93000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.07000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2449693 | OtherCostOrOtherBasis |
| Book Value | 2449693 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 183726992 | OtherCostOrOtherBasis |
| Depreciation | 77734331 | Depreciation |
| Book Value | 105992661 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7782353 | OtherCostOrOtherBasis |
| Depreciation | 3216782 | Depreciation |
| Book Value | 4565571 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 136825294 | OtherCostOrOtherBasis |
| Depreciation | 95152858 | Depreciation |
| Book Value | 41672436 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6319029 | OtherCostOrOtherBasis |
| Depreciation | 4189916 | Depreciation |
| Book Value | 2129113 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 156809474 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEFERRED BOND ISSUANCE COSTS | 3462897 |
| ADVANCE TO american restaurant assoc. (ARA) | 183790 |
| interest in net assets of recipient organization | 8526396 |
| goodwill | 9942353 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 22115436 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED DUE-3RD PARTY PAYORS | $16,711,731 |
| RESERVE FOr SELF INSURNACE | $11,341,369 |
| DEFERRED COMPENSATION | $7,033,693 |
| ASBESTOS RETIREMENT OBLIGATION | $486,203 |
| DUE TO AFFILIATED ORGANIZATION | $4,073,176 |
| current maturities of long term debt | $3,938,532 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 43584704 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X: | Identifier |
| Return Reference | Description of Uncertain Tax Positions Under FIN 48: | ReturnReference |
| Explanation | there is no fin 48 liability and as such the organization's consolidated financial statements do not include a fin 48 footnote. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 600.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| 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 | 8435183 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8435183 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01910 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 76889507 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 65097541 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11791966 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02670 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1402841 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1283345 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 119496 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 86727531 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 66380886 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20346645 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04600 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6807825 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 457425 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6350400 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01440 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13894541 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2348091 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11546450 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02610 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1484517 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 764703 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 719814 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 966605 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 260213 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 706392 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23153488 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3830432 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19323056 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04370 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 109881019 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 70211318 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 39669701 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08970 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $8,850,645 | BadDebtExpenseAmount |
| Amount Attributable To | 1327597 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 68286660 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 103373726 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -35087066 | 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 |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| featherstone partnership llc | |||
| ambulatory surgery center | 0.33300 | 0.00000 | 0.67000 |
| northern illinois vein clinic llc | |||
| outpatirnt physician clinic | 0.50000 | 0.00000 | 0.50000 |
Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|
| SWEDISHAMERICAN HOSPITAL | |||||||
| 1401 E STATE STREET | ROCKFORD | IL | 61104 | X | X | X | X |
| swedishamerican medical ctr belvidere | |||||||
| 1625 s state street | belvidere | IL | 61008 | X | X | X | |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subsidized Health Services Expln | Part I, Line 7g: the following subsidized health services are for physicians. These physicians are necessary to serve the community, are difficult to recruit, and the reimbursement does not cover the cost of the services. hospital based physicians specialty clinics and emergency coverage payments $8,147,224emergency department physicians $1,099,762affiliate emergency department physicians $384,496affiliate primary care clinic $166,651total $9,798,133 | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | Part I, Line 7f: the bad debt expense in part IX column a was subtracted for the purpose of calculating the percentage of expense is $35,610,846.part 1 lines 7 - lines 7a and 7f costs were calculated using the 2010 medicare cost report cost to charge ratio.lines 7b and 7c costs were calculated using the cost accounting system. the cost accounting system addresses all patient segments.all other amounts in line 7 were calculated using direct costs. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: It is our practice to identify, to the extent possible, charity cases at the time of service. If a patient provides documentation they meet our charity care policy, they are not sent to collection. Those patients who fail to apply or provide documentation are sent to collection after 90 days. The organization and its agents follow the Fair Patient Billing Act. If during the collection process we or our agents become aware of a patient qualifying for charity care or financial assistance and the patient cooperates with the requirements of the charity care policy, collection efforts are ceased, and the account is written off to charity .From the audited Financial Statements:Patient accounts receivable and due from/to third-party payers: The collection of receivables from third-party payers and patients is the Hospital's primary source of cash for operations and is critical to its operating performance. The primary collection risks relate to uninsured patient accounts and patient accounts for which the primary insurance payer has paid, but patient responsibility amounts (deductibles and co-payments) remain outstanding. Patient receivables, where a third-party payer is responsible for paying the amount, are carried at a net amount determined by the original charge for the service provided, less an estimate made for contractual adjustments or discounts provided to third-party payers.Patient receivables due directly from patients are carried at the original charge for the service provided, less amounts covered by third-party payers and less an estimated allowance for doubtful receivables. Management determines the allowance for doubtful accounts by identifying troubled accounts and by historical experience applied to an aging of accounts. Patient receivables are written off when deemed uncollectible. Recoveries of receivables previously written off are recorded when received. The past due status of receivables is determined on a case-by-case basis depending on the payer responsible. The Hospital generally does not charge interest on past due accounts. Receivables or payables related to estimated settlements on various contracts that the Hospital participates in are reported as third-party payer receivables or payables.Part III line 2 costs were calculated using the 2010 Medicare cost report cost to charge ratio.Part III line 3 swedishamerican hospital's charity policy allows a 100% charity write-off for those with household income of 200% or less of the federal poverty level and partial charity write-off for those up to 600% of the poverty level. the latest data from the u.s. census bureau indicates 13.8% of the population in winnebago county is below the poverty level and the median household income was $47,646 with a household size was 2.53. for a household size of 3 an income $36,620 is 200% of the poverty level and $109,860 is 600% of the poverty level. approximately 90% of our charity write-offs are for patients without insurance while 65% of our bad debt write-offs are for patients without insurance. in 2010 only 10% of all accounts written off to bad debt were recovered. based on this demographic and internal data we believe that a minimum of 15% of the amounts written off as bad debt would qualify for charity. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: If SwedishAmerican Hospital did not provide services to Medicare beneficiaries there would not be adequate access within the community. The services provided to Medicare beneficiaries are critical to the health of the community we serve. The reimbursement from Medicare has not kept pace with the rising cost of providing those services. The cost of care has increased due to: wages and benefits necessary to keep high demand skilled practitioners, medical supplies in particular cardiovascular and orthopedic implants and pharmaceuticals, malpractice insurance costs, and capital equipment. Due to the lack of alternatives in the community and the inability of Medicare reimbursement to keep pace with the cost of providing services, we feel the loss from services provided to Medicare beneficiaries is a part of our mission and is a benefit to our community. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: The organization and its agents follow the Fair Patient Billing Act. If during the collection process we or our agents become aware of a patient qualifying for charity care or financial assistance and the patient cooperates with the requirements of the charity care policy, collection efforts are ceased. | DebtCollectionPolicy |
| General Explanation | Part I line 6a and Part VI Line 8 - SwedishAmerican Hospital files a community benefit report with the Illinois Attorney General. the amounts and activities reported in the community benefit report include activities of SwedishAmerican Hospital and its subsidiaries. SwedishAmerican Foundation is a supporting organization to SwedishAmerican Hospital. SwedishAmerican Foundation is not a hospital, but is a tax exempt entity. All amounts on schedule H are for SwedishAmerican Hospital only, but the activities on part VI line 7 include the activities conducted through the Foundation. | GeneralExplanation |
| Needs Assessment | Part VI, Line 2: SwedishAmerican Hospital has provided a third of the monetary support for the Community Health Assessment, conducted by the Rockford Health Council. The Council consists of the major health care providers in our metropolitan area such as the three hospitals, Crusader Clinic (a federally qualified healthcare clinic), the University of Illinois College of Medicine, Janet Wattles Mental Health Center, Rosecrance Substance Abuse Center as well as several representatives of not-for-profit agencies, and members of the corporate community. Since 2001, an assessment has been completed every three years to identify and track trends as well as areas to address. These stakeholders understand the need for a comprehensive community study that is focused on the overall needs of the community. SwedishAmerican has used this data to launch innovative programs and collaborative partnerships such as cardiac screenings within minority communities. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: For services provided in the Hospital, our employees and our agents follow the Fair Patient Billing Act and provide information regarding the availability of charity and financial assistance at all points during the collection process. We have posted signage disclosing the availability of charity care and financial assistance in emergency rooms and on our website. Inpatients are provided various written communications regarding the availability of charity care and financial assistance, and any uninsured patients are screened for Medicaid and illinois uninsured discount eligibility. For services provided in physician offices, financial counselors are instructed to make the patients aware of the charity care and financial assistance policy during the collection process and educate them on the process of applying for Medicaid. For services provided by home health, social workers assist patients by screening for Medicaid eligibility and completing the application, completing charity care application, assisting in applying for Medicare and social security disability benefits, and assisting with applications for food stamp, low income energy assistance, and circuit breaker/Illinois Cares prescription programs. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: For more than 100 years, Rockford, Illinois has been known as a major industrial manufacturing center of machine tools, industrial fasteners, automotive parts and aerospace components. The Rockford metropolitan population has grown to more than 250,000 people and it serves as the regional trade center for more than 400,000 people in northern Illinois. Major employers in our service area include Chrysler, Hamilton Sundstrand, Textron, City of Rockford, Rockford Public Schools, and three area hospitals. Rockford boasts many great parks, shopping, dining, cultural activities, entertainment and educational opportunities. But like many cities in the upper Midwest, it also continues to struggle to compete in what is now a global manufacturing economy. In the 1980s, Rockford's unemployment rate reached 25 percent, the highest in the nation, and it became a symbol for the plight of a "rust belt" city. Although the economy is more diversified now, Rockford remains heavily dependent on manufacturing. Also in the 1980s, charges of discrimination were leveled at the public school district, culminating in a federal lawsuit and 12 years of federal supervision. These two major developments have had their effect on the local economy, the stability of good paying jobs and the psyche and self-esteem of the community. They also have affected Rockford's changing role and importance to the region, state, and to some degree the nation. Unquestionably, these dynamics have impacted healthcare in the community. Today, Rockford's unemployment rate of 14.5% is higher than the state and national averages. Loss of manufacturing jobs and health insurance coverage has contributed to stress and strain on employers, employees and healthcare providers. Two community surveys have identified heart disease, diabetes, cancer, pre-natal care and depression as major healthcare issues in our market.SwedishAmerican helped fund the Rockford Healthy Community Study in partnership with the University of Illinois College of Medicine at Rockford and the Rockford Health Council. The study revealed that more than 20 percent of the residents in our hospital's ZIP code live below the poverty level, and that the median household income of $25,527 is the lowest of all Rockford-area ZIP codes. Out-of-pocket healthcare costs are a problem for more than 45 percent of this area's residents, which is the highest rate in the city of rockford. Additionally, many residents in this vicinity-which is among the state's most depressed areas-are not able to receive needed physical or mental healthcare. The United Way of Rock River Valley' Community Assessment further revealed that many local residents lack health insurance and access to primary healthcare, leading to premature morbidity. The Rockford Healthy Community Study identified extremely low levels of home ownership in SwedishAmerican Hospital's immediate vicinity. According to the study, more than 60 percent of residents rented, which was much higher than the overall sample (approximately 17 percent). The study also indicated that more than 12 percent of area residents could not afford to make basic home repairs. The United Way's assessment further identified the need for more affordable permanent housing units, stating: "Even though housing in Rockford is among the most affordable in the country, many families, especially renters, cannot afford shelter." By virtue of its mission, location in the central city and relationships with other providers, SwedishAmerican serves the needs of many of the community's underserved. Finding ways to improve the health of all and to make Rockford a model community in which to live, work and worship are significant and strategic initiatives for SwedishAmerican. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: Although SwedishAmerican Hospital's community service efforts reach a broad segment of the population throughout northern Illinois, the hospital devotes a great deal of its energy and resources to serving the city's neediest people, many of whom live in the urban core where SwedishAmerican is located. Our organization contributes millions of dollars to charity and Medicaid care each year. Recognizing that healthy communities are characterized by strong interconnections between residents, infrastructure, organizations and services, we have worked in partnership with other community-based organizations as part of the non-profit Rockford Health Council Inc. The council seeks to build and improve community health through education, action, dialogue and legislative activity and serve as a catalyst and coordinator for agency and individual action to ensure access, cost effectiveness and quality. Beyond our work with the council, some of our initiatives take place in concert with other individual community organizations and healthcare providers, while others are carried out by SwedishAmerican Hospital teams. For example, SwedishAmerican has worked with the City of Rockford and other area development groups-including ZION Development, Habitat for Humanity, Kids Around the World and AMCORE Bank-to serve as a catalyst for revitalizing the area surrounding our campus with homes, green space and commerce. A large part of this movement was a $100 million campus expansion and renovation project. Despite economic and strategic pressures to move eastward, as many businesses in our area have done, SwedishAmerican joined several other area organizations and made a commitment to remain in central Rockford. One immediate benefit of our redevelopment effort was the expansion of the hospital's emergency department. Among the state's busiest, this is where many of our community's underserved residents come for medical care. SwedishAmerican Hospital's organization-led efforts to improve the quality of life in our community are not exclusively health-related. One example is the partnership we formed with a nearby elementary school in 1991 and continue to this day, where many of the students come from underserved families. The long-term and ongoing goal of our partnership with Jackson School has been to improve the academic and socio-emotional well being of the school environment and student body. While SwedishAmerican has come forward with a number of ideas and proposals for additional ways in which it can impact the students and faculty at Jackson, it always has been sensitive to the wishes and desires of the Jackson community in implementing only those programs that correspond with the schools agenda and strategic goals. Beyond large-scale, organization-led initiatives, our employees independently devote extensive amounts of time and resources to a large number of programs, services and activities throughout northern Illinois. Our mission is "through excellence in healthcare and compassionate service we care for our community." In furtherance of its exempt purpose SwedishAmerican Hospital continually invests in the surrounding community with physician acquisitions and regional expansion to assure access to health care. SwedishAmerican Hospital also established centers of excellence and alliances with other health care providers, including Crusader Clinic, a federally qualified health center, and University of Wisconsin. This assures the community we serve receives the highest quality care. We also invest in technology to assure cost effective care is delivered for which SwedishAmerican Hospital has won numerous awards for its quality of care. In addition, SwedishAmerican Hospital maintains an open medical staff and community board as part of its exempt purpose. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: SwedishAmerican Hospital is a stand alone health care provider that includes two acute care hospitals, physician clinics, physician emergency services, and home health care. SwedishAmerican Foundation is a subsidiary of SwedishAmerican Hospital and is organized for tax purposes as a supporting organization. In order to improve the low rate of home ownership identified in the Rockford Healthy Community Study, SwedishAmerican Foundation (SAF) initiated a Neighborhood Revitalization Program in a six-block area directly south of our hospital campus. SAF's neighborhood revitalization effort includes:Habitat for Humanity Homes: SAF entered into a formal agreement with the Rockford Habitat for Humanity Chapter in 2002 to construct new area homes. By the end of 2009, a total of 30 Habitat for Humanity homes have now been completed and sold to low-income home owners.New City-Built Homes: SAF purchased and razed three, additional substandard homes in the neighborhood and provided the lots to the City of Rockford. The City subsequently built three new homes on these sites for sale to moderate income families with purchase assistance.Cruise Fundraiser: Over the past 15 years, SAF's annual fundraising gala has raised more than $1,000,000, which has been reinvested into community impact initiatives, such as school physicals and immunizations for area children and cancer screenings for neighborhood residents.Neighborhood Playground: Because area children did not have a safe place to play, SAF purchased three contiguous pieces of property, removed existing commercial and residential structures and partnered with two local charities to construct a new neighborhood playground. Paint-up/Fix-up Campaign: To assist homeowners near SwedishAmerican Hospital to upgrade their homes, SAF organized and coordinated a massive "paint-up/fix-up" efforts. Activities and programs included matching grants for homeowners in need of siding, roofing, porches and garages, as well as volunteers to paint homes with donated materials. Driveway/Garage Renovation Project: Following a neighborhood-wide survey, SAF coordinated and implemented a garage construction and driveway replacement program. In addition to increasing existing home values, this program will help reduce on-street parking, thereby increasing traffic flow and making parked cars less visible/accessible to potential thieves and vandals. Reverse Home Gift Annuity Program: To help struggling elderly residents remain in their homes, SAF developed a program whereby homeowners deed physical ownership of their property to the Foundation in exchange for the right to live in their home until death or incapacity. SAF assumes responsibilities for taxes, repairs, upkeep, lawn maintenance and snow removal. Upon taking ultimate possession of a house, it will be sold to an employee or other owner occupant, to help increase [or at least maintain] a significant percentage of owner occupied homes.Homeowner Grants to Employees: Since 2004, SwedishAmerican Hospital has offered $5,000 down payment assistance to employees to help encourage home ownership in the six-block area surrounding the hospital. This initiative includes a five-year forgivable grant to employees in good standing-with no income restrictions, and a second possible $5,000 grant for low-income employees. Since inception, this program has assisted 17 employees purchase homes in the SwedishAmerican neighborhood.Home Restoration: Beginning in 2004, SAF has purchased a total of 27 homes in the neighborhood target area, rehabbed them and made them available to employees, firefighters, police officers and public school teachers, at discount (less than the cost of purchase and repairs). To date, 18 homes have been sold to employees and other eligible owner occupants. In order to alleviate first-time home buyers' concerns about the rising costs of ownership, these homes have a solid roof, siding, plumbing, electrical, and a good working furnace. This program will continue for at least four additional years. In cooperation with Rockford East High School and De la Gardie High School/Gymnasiet (Lidcoping, Sweden), the SwedishAmerican Foundation constructed two new neighborhood houses available for sale to employees or other eligible owner-occupants.In addition, The Foundation has purchased two, 12-unit apartment buildings adjacent to the hospital campus which were in a state of disrepair. Approximately three-quarters of a million dollars were invested in these two buildings to bring them to "market rate" status. Encouraged by our commitment to renovate our campus and revitalize the surrounding area, a number of commercial developments have occurred. Among them is a new Walgreen's drug store, which returned retail pharmacy services to the area for the first time in years. A three-story office building south of the new Walgreen's was completed followed by a 60,000-square-foot medical office building south of the hospital. | AffiliatedHealthCareSystem |
| Reports Filed With States | IL | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Illinois Hospital Research & Health Foundation | |||||||
| 700 South Second | Springfield | IL | 62704 | 237421930 | 501(c)(3) | 278867 | quality healthcare for illinois |
| university of illinois college of medicine | |||||||
| 1601 parkview ave | rockford | IL | 61107 | 376000511 | 501(c)(3) | 670000 | academic research |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | educational scholarship for children of non-management employees | TypeOfGrant |
| Number Of Recipients | 49 | NumberOfRecipients |
| Amount Of Cash Grant | 49000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Other Information: | Identifier |
| Return Reference | Part IV: | ReturnReference |
| Explanation | SWEDISHAMERICAN HOSPITAL ONLY MAKES DONATIONS TO OTHER TAX EXEMPT ORGANIZATION. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | 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 (13 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| danny l copeland | |||||||||||||
| 184314 | 0 | 0 | 0 | 0 | 0 | 14693 | 0 | 16636 | 0 | 215643 | 0 | 0 | 0 |
| john c myers md | |||||||||||||
| 503979 | 0 | 0 | 0 | 0 | 0 | 613 | 0 | 22463 | 0 | 527055 | 0 | 0 | 0 |
| allen williams md | |||||||||||||
| 207063 | 0 | 0 | 0 | 0 | 0 | 12557 | 0 | 23190 | 0 | 242810 | 0 | 0 | 0 |
| WILLIAM SCHULz md - ex officio | |||||||||||||
| 569932 | 0 | 0 | 0 | 0 | 0 | 17763 | 0 | 25615 | 0 | 613310 | 0 | 0 | 0 |
| WILLIAM RGORSKI MD | |||||||||||||
| 514531 | 0 | 15178 | 0 | 10513 | 0 | 193407 | 0 | 17627 | 0 | 751256 | 0 | 0 | 0 |
| richard walsh | |||||||||||||
| 334366 | 0 | 16513 | 0 | 6288 | 0 | 96103 | 0 | 19252 | 0 | 472522 | 0 | 0 | 0 |
| donald haring | |||||||||||||
| 297455 | 0 | 14482 | 0 | 4653 | 0 | 52253 | 0 | 15710 | 0 | 384553 | 0 | 0 | 0 |
| kathleen kelly md | |||||||||||||
| 325011 | 0 | 4805 | 0 | 0 | 0 | 44546 | 0 | 8522 | 0 | 382884 | 0 | 0 | 0 |
| harvey einhorn md | |||||||||||||
| 808130 | 0 | 0 | 0 | 0 | 0 | 18579 | 0 | 29650 | 0 | 856359 | 0 | 0 | 0 |
| prakash pedapati md | |||||||||||||
| 610082 | 0 | 0 | 0 | 0 | 0 | 19600 | 0 | 14872 | 0 | 644554 | 0 | 0 | 0 |
| howard kuafman do | |||||||||||||
| 523484 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12344 | 0 | 535828 | 0 | 0 | 0 |
| merat esfahani md | |||||||||||||
| 504788 | 0 | 0 | 0 | 0 | 0 | 5886 | 0 | 8604 | 0 | 519278 | 0 | 0 | 0 |
| sharon shipp md | |||||||||||||
| 481136 | 0 | 0 | 0 | 0 | 0 | 14823 | 0 | 28342 | 0 | 524301 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | The organization's other compensation for william gorski,m.d., richard walsh, and donald haring included gross up for the tax implication of an early termination split dollar policy benefit that provided no cash compensation. |
| Part I, Line 4a | PART I LINE 4B-william gorski m.d.- 457(f)-$175,645; richard walsh - 457(f)-$78,340;donald haring-457(f)-$32,652; kathleen kelly m.d.-457(f)-$26,783. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| illinois finance authority - 2004 | ||||||
| 861091967 | 45200bkq0 | 2004-12-21 | 105360720 | construction & equipment cardiac pavilion, renovate operating rm & cath lab | 0 | 0 |
| illinois finance authority - 2010 | ||||||
| 861091967 | 2010-04-19 | 25000000 | construction & equipment cardiac pavilion, renovate operating rm & cath lab | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Amount DefeasedAmountDefeased | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|
| 106458982 | 12819 | 74126290 | 4663637 | 27656236 | 2007 | 1 | 1 | 1 | 1 |
| 25000000 | 25000000 | 2010 | 1 | 1 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 1 |
| 0 | 0 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|
| na | ||||||
| 0 | 0 | 0 | 0 | na | 0 | 1 |
| na | ||||||
| 0 | 0 | 0 | 0 | na | 0 | 1 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | riverside community bank | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | dan loescher director sa hospital and riverside community bank | Relationship |
| Amount Of Transaction | 112000 | AmountOfTransaction |
| Description Of Transaction | loan commitment fee as purchaser of 2010 illinois finance authority $25,000,000 tax exempt bond | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 2 | directors william roop and james gingrich are board members of swedishamerican hospital and have a business relationship. directors dave rydell and james gingrich are board members of swedishamerican hospital and have a business relationship. |
| Form 990, Part VI, Section A, line 6 | swedishamerican health system (parent corporation) is the sole corporate member of swedishamerican hospital (hospital) and as such appoints all trustees of and has the authority to approve certain decisions of the hospital. |
| Form 990, Part VI, Section A, line 7a | swedishamerican health system (parent corporation) is the sole corporate member of swedishamerican hospital (hospital) and as such appoints all trustees of and has the authority to approve certain decisions of the hospital. |
| Form 990, Part VI, Section A, line 7b | swedishamerican health system (parent corporation) is the sole corporate member of swedishamerican hospital (hospital) and as such appoints all trustees of and has the authority to approve certain decisions of the hospital. |
| Form 990, Part VI, Section B, line 11 | a draft version of the Form 990 was reviewed by legal counsel and the chief financial officer. subsequently, the audit/compliance committee of the board of directors of swedishamerican health system (parent corporation) reviewed a final draft of the form 990 and was provided with the opportunity to comment and ask questions. the entire board of directors was provided with a copy of the form 990 before it was filed. |
| Form 990, Part VI, Section B, line 12c | the organization regularly and consistently monitors and enforces compliance with its conflict of interest policies, which apply to all members of the board of directors and to all employees. procedures are in place to indentify conflicts of both directors and employees. direct conflicts are handled by board deliberation and board vote from which the interested director is excluded. employee conflicts are handled by the compliance department and in certain instances may require separate board action. the board is provided with periodic compliance reports regarding conflicts of interest. |
| Form 990, Part VI, Section B, line 15 | all compensation decisions are made by independent persons. with respect to the president, ceo, and officers, the organization follows a compensation approval procedure annually that involves approval of proposed and final compensation arrangements by the organization's executive compensation committee using comparability data, as well as contemporaneous documentation of compensation decisions in the minutes. all physician compensation arrangements are approved by the finance committee and full board of directors using comparability data, as well as contemporaneous documentation of compensation decisions in the minutes. |
| Form 990, Part VI, Section C, line 19 | the governing documents, conflict of interest policy, and financial statements have not been made available to the public. the consolidated audited financial statements of swedishamerican hospital are available from the illinois attorney general website and from the u.s. securities and exchange commission electronic municipal market access system. |
| Schedule K Supplental Information | schedule k, part ii, line 5 : bond insurance of $3,672,397 was purchased from bond proceeds and is included as a cost of issuance. |
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 | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| SWEDISHAMERICAN HEALTH SYSTEM corporation | ||||||||||
| 1401 e state street | ROCKFORD | IL | 61104 | 363241458 | parent corp. to manage & direct activities of entitites | IL | 501(C)(3) | LINE 3 | N/A | |
| SWEDISHAMERICAN FOUNDATION | ||||||||||
| 1415 e state street | ROCKFORD | IL | 61104 | 363097493 | supporting org. for swedishamerican hospital fund raising | IL | 501(C)(3) | LINE 11a | swedishamerican hospital | |
| SWEDISHAMERICAN REALTY CORPORATION | ||||||||||
| 1313 e state street | ROCKFORD | IL | 611042298 | 363248013 | title holding company | IL | 501(C)(2) | swedishamerican health system corporation | ||
| SWEDISHAMERICAN HOSPITAL SELF INSURANCE TRUST | ||||||||||
| 1401 e state street | roCKFORD | IL | 611042333 | 366652702 | hospital malpractice trust | IL | 501(C)(3) | line 11a | swedishamerican hospital | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | northern illinois scanning | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 east state st | AddressLine1 |
| City | rockford | City |
| State | IL | State |
| ZIP Code | 61104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363868145 | EIN |
| Primary Activity | inpatient/outpatient ct diagnostics | PrimaryActivity |
| Legal Domicile State | IL | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | related | PredominantIncomeType |
| Share Of Total Income | 2050395 | ShareOfTotalIncome |
| Share Of EOY Assets | 3727034 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| 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 | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| 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 | 0 | 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 | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| northern illinois scanning | |
| D | 969002 |
| swedishamerican realty corporation | |
| J | 6348859 |
| northern illinois scanning | |
| P | 261572 |
| northern illinois scanning | |
| Q | 332163 |
| northern illinois scanning | |
| R | 1325000 |
| swedishamerican foundation | |
| C | 677444 |
| swedishamerican hospital self insurance trust | |
| Q | 4858380 |
| swedishamerican hospital self insurnace trust | |
| P | 1000910 |
Comments