MIDWEST MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
MIDWEST MEDICAL CENTER (EIN 20-4560540)
Tax period
2024-10-01 to 2025-09-30
Filed
2026-08-06
IRS object ID
202632189349301108
Schema version
2024v5.5
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)
Return2026-08-06T16:02:54-05:00ReturnTs
Tax Period End2025-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN393647910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI ADVISORY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11502 LONDON ROAD SUITE 220AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55812ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN204560540EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MIDWEST MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMIDWBusinessNameControlTxt
Phone8157771340PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER DRIVEAddressLine1Txt
CityGALENACityNm
State AbbreviationILStateAbbreviationCd
ZIP61036ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTRACY BAUERPersonNm
Person TitleCEOPersonTitleTxt
Phone8157771340PhoneNum
Signature2026-08-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2026-08-06PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTRACY BAUERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER DRIVEAddressLine1Txt
CityGALENACityNm
State AbbreviationILStateAbbreviationCd
ZIP61036ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$50,814,204GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MIDWESTMEDICALCENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF THE CITY OF GALENA, ILLINOIS AND THE SURROUNDING AREA REGARDLESS OF A PATIENT'S ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee324TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$381,476PYContributionsGrantsAmt
CY Contributions Grants$423,744CYContributionsGrantsAmt
PY Program Service Revenue$43,293,566PYProgramServiceRevenueAmt
CY Program Service Revenue$49,673,614CYProgramServiceRevenueAmt
PY Investment Income$442,166PYInvestmentIncomeAmt
CY Investment Income$435,164CYInvestmentIncomeAmt
PY Other Revenue$252,732PYOtherRevenueAmt
CY Other Revenue$227,317CYOtherRevenueAmt
PY Total Revenue$44,369,940PYTotalRevenueAmt
CY Total Revenue$50,759,839CYTotalRevenueAmt
PY Grants And Similar Paid$9,118PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$10,474CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,674,868PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,035,865CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$20,160,278PYOtherExpensesAmt
CY Other Expenses$24,145,904CYOtherExpensesAmt
PY Total Expenses$41,844,264PYTotalExpensesAmt
CY Total Expenses$49,192,243CYTotalExpensesAmt
PY Revenues Less Expenses$2,525,676PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,567,596CYRevenuesLessExpensesAmt
Total Assets BOY$64,362,726TotalAssetsBOYAmt
Total Assets EOY$75,941,638TotalAssetsEOYAmt
Total Liabilities BOY$54,195,947TotalLiabilitiesBOYAmt
Total Liabilities EOY$64,207,263TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,166,779NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,734,375NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMIDWEST MEDICAL CENTER, INCLUDING THE GALENA-STAUSS SENIOR CARE COMMUNITY, WILL PROVIDE TO THE MEMBERS OF THE COMMUNITY CARING, COMPETENT, AND COST EFFECTIVE HEALTHCARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$29,863,639ExpenseAmt
Grant$10,474GrantAmt
Revenue$41,659,703RevenueAmt
DescMIDWEST MEDICAL CENTER OWNS AND OPERATES A 25-BED CRITICAL ACCESS HOSPITAL AND LEADS IN THE DELIVERY OF HEALTHCARE SERVICES TO ITS REGION WITH OVER 330 ASSOCIATES, INCLUDING 40 PHYSICIANS AND FOUR MID-LEVEL PRACTITIONERS, WHICH COORDINATE PATIENT CARE AS AN INTEGRATED UNIT. THE HOSPITAL AND ITS ASSOCIATES WORK SEAMLESSLY TO MEET THE NEEDS OF THE COMMUNITIES THEY SERVE. THE ACCOMPLISHMENTS WHICH FOLLOW ARE ATTRIBUTABLE TO THE HOSPITAL AND ALL OF ITS DEPARTMENTS AS A WHOLE. THE HOSPITAL IS A NON-PROFIT CORPORATION PROVIDING HEALTHCARE AND RESIDENTIAL SERVICES IN GALENA, ILLINOIS, AND NEIGHBORING COMMUNITIES. ALL OF THESE SERVICES ARE OFFERED UNDER THE MISSION OF THE ORGANIZATION, WHICH STATES THAT "MIDWEST MEDICAL CENTER, INCLUDING THE GALENA-STAUSS SENIOR CARE COMMUNITY, WILL PROVIDE TO THE MEMBERS OF THE COMMUNITY CARING, COMPETENT, AND COST EFFECTIVE HEALTHCARE." IN FISCAL YEAR 2025, THE HOSPITAL PROVIDED 961 ACUTE INPATIENT DAYS, 1,405 SWING BED DAYS, 4,694 EMERGENCY ROOM VISITS, 11,692 RADIOLOGY SERVICES, 136,836 LABORATORY TESTS, 50,180 PHYSICAL THERAPY TREATMENTS, AND 930 SURGICAL PROCEDURES AMONG MANY OF THE PATIENT SERVICES PROVIDED DURING THE YEAR.OUR SERVICES INCREASED AGAIN IN 2025 WHICH INCREASED PATIENT AND REVENUE GROWTH. IN SEPTEMBER WE HIRED A FULL-TIME GYNECOLOGIST. WE ALSO CONTRACT WITH AN ANESTHESIOLOGIST AND IN NOVEMBER HE STARTED A PAIN CLINIC AND IN JULY STARTED CONDUCTING RFA PROCEDURES IN OUR OR. WITH THE ADDITION OF THESE TWO PROVIDERS, THEY HAVE INCREASED OUR CLINIC VISITS BY 1,145 AND SURGERIES BY 15. WE HAVE ALSO SEEN CONTINUED GROWTH WITH OUR OTHER PROVIDERS IN BOTH PRIMARY CARE AND SPECIALTY CARE. NOT ONLY HAVE THEIR CLINIC VISITS INCREASED, BUT THEY HAVE ALSO BEEN A CONTRIBUTING FACTOR TO OUR ANCILLARY SERVICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,705,910ExpenseAmt
Grant$0GrantAmt
Revenue$4,361,904RevenueAmt
DescMIDWEST MEDICAL CENTER ALSO OPERATES TWO PHYSICIAN CLINICS KNOWN AS MIDWEST HEALTH CLINIC, ONE LOCATED IN GALENA, IL AND ONE LOCATED IN ELIZABETH, IL. THE CARE PROVIDED IN THE MIDWEST HEALTH CLINICS ARE COORDINATED WITH THE CARE OF MIDWEST MEDICAL CENTER'S HOSPITAL IN AN EFFORT TO CONTINUE TO PROVIDE LOW COST AND HIGH QUALITY PATIENT CARE FOR THE RESIDENTS OF GALENA AND ELIZABETH, IL AND THE SURROUNDING AREAS. THE HEALTH CLINICS OPERATES AS A PROVIDER-BASED RURAL HEALTH CLINIC TO MIDWEST MEDICAL CENTER'S HOSPITAL AND THE PRACTICE IS MADE UP OF FOUR FAMILY PRACTICE PHYSICIANS AND FOUR MID-LEVEL PRACTITIONERS. ADDITIONAL SERVICES ARE ALSO PROVIDED IN THE CLINIC BY BOTH EMPLOYED AND OUTREACH DOCTORS THAT PROVIDE SERVICES IN THE AREAS OF ORTHOPEDIC SURGERY, PODIATRY, UROLOGY, GYNECOLOGY, RHEUMATOLOGY, BEHAVIORAL HEALTH, CARDIOLOGY, GENERAL SURGERY, AND OPHTHALMOLOGY. THE CLINIC PROVIDERS ALSO ENGAGE IN MANY ACTIVITIES WHICH PROMOTE THE WELL-BEING OF THE COMMUNITY AND PROVIDE HEALTH EDUCATION TO THE COMMUNITY. AN EXAMPLE OF THESE SERVICES IS DR. WELLS, DR. HARMSTON, DR. MATT GULLONE AND DANIELLE SEEGMILLER PROVIDE EDUCATIONAL EXPERIENCES AND TRAINING TO MEDICAL STUDENTS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS AT MIDWEST HEALTH CLINIC FOR THOSE STUDENTS INTERESTED IN LEARNING ABOUT RURAL MEDICINE. ANOTHER EXAMPLE IS DR. MATT GULLONE, WHO SPECIALIZES IN SPORTS MEDICINE AND PROVIDES FREE CARE TO LOCAL ATHLETES DURING SPORTING EVENTS. THE CLINIC HAS ALSO BEEN VERY ACTIVE IN PROMOTING ANNUAL WELLNESS VISITS TO MEDICARE PATIENTS AND PROVIDING CHRONIC AND WOUND CARE MANAGEMENT. MIDWEST MEDICAL CENTER PARTICIPATES IN THE ILLINOIS RURAL COMMUNITY CARE ORGANIZATION (IRCCO), WHICH IS AN ACCOUNTABLE CARE ORGANIZATION (ACO). IRCCO IS A GROUP OF PHYSICIANS, HOSPITALS, AND CLINICS WHO VOLUNTARILY WORK TOGETHER WITH MEDICARE TO PROVIDE HIGH-QUALITY SERVICES AND COORDINATED CARE TO OUR MEDICARE PATIENTS THROUGH THE MEDICARE SHARED SAVINGS PROGRAM (MSSP). THE IRCCO MISSION IS TO: 1. IMPROVE THE HEALTH OF THE INDIVIDUAL SEEKING CARE AND SERVICES2. IMPROVE THE OVERALL HEALTH OF THE RURAL POPULATION SERVEDDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,088,888ExpenseAmt
Grant$0GrantAmt
Revenue$3,272,411RevenueAmt
DescMIDWEST MEDICAL CENTER RECOGNIZES THAT THE AGING AND DISABLED POPULATION OF PATIENTS ARE OFTEN AN UNDERSERVED DEMOGRAPHIC OF THE POPULATION AND TO MEET THE HEALTHCARE NEEDS OF THESE PATIENTS THE HOSPITAL OPERATES THE GALENA-STAUSS SENIOR CARE COMMUNITY. THIS SENIOR CARE CAMPUS PROVIDES SENIOR CARE SERVICES THROUGH ITS 57-BED LONG-TERM CARE FACILITY AND AN ASSISTED LIVING FACILITY. THE SENIOR CARE CAMPUS PROVIDED 14,327 DAYS OF SKILLED NURSING AND INTERMEDIATE NURSING HOME CARE DAYS IN ADDITION TO THE ASSISTED LIVING. THE SENIOR CARE CAMPUS OFFERS SKILLED NURSING TO THE RESIDENTS AND PATIENTS IN BOTH SHORT-TERM REHABILITATION PROGRAMS AND LONG-TERM CARE RESIDENT PROGRAMS. SOME OF THE SPECIALIZED CARE SERVICES OFFERED INCLUDE IV THERAPY, WOUND CARE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY AMONG MANY OF THE CARE PROGRAMS PROVIDED. THE SENIOR CARE CAMPUS OPERATES IN CONJUNCTION WITH THE MIDWEST MEDICAL CENTER HOSPITAL TO PROVIDE A SMOOTH TRANSITION FOR PATIENTS NEEDING EXTENDED REHABILITATION OR LONG-TERM CARE SERVICES. THE COORDINATION OF FACILITIES ALSO ALLOWS THE ORGANIZATION TO SHARE MANY DEPARTMENTS AND SERVICES IN MIDWEST MEDICAL CENTER'S CONTINUED EFFORT TO PROVIDE HIGH QUALITY AND LOW-COST CARE TO THE COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$41,658,437TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document60IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee324EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KELLI JACKSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8157771340PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER DRIVEAddressLine1Txt
CityGALENACityNm
State AbbreviationILStateAbbreviationCd
ZIP61036ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DR BARB SLOAN
CHAIR2.000.15Yes (X)Yes (X)$0$0$0
CARTER NEWTON
VICE CHAIR2.000.15Yes (X)Yes (X)$0$0$0
JOEL HOLLAND
TREASURER2.000.15Yes (X)Yes (X)$0$0$0
DONNA FERRY
SECRETARY2.000.15Yes (X)Yes (X)$0$0$0
MATTHEW CAROLL
BOARD MEMBER2.000.15Yes (X)$0$0$0
HELEN KILGORE
BOARD MEMBER2.000.15Yes (X)$0$0$0
DAVE KIZIOR
BOARD MEMBER2.000.15Yes (X)$0$0$0
JOHN LORENZEN
BOARD MEMBER2.000.15Yes (X)$0$0$0
LIBBY RUTHERFORD
BOARD MEMBER2.000.15Yes (X)$0$0$0
TIM VINCENT
BOARD MEMBER2.000.15Yes (X)$0$0$0
LYNN ZEHNDER
BOARD MEMBER2.000.15Yes (X)$0$0$0
TRACY BAUER
CEO50.00Yes (X)$382,907$0$15,396
KELLI JACKSON
CFO50.00Yes (X)$165,466$0$34,148
GREG DAMMANN MD
ORTHOPEDIC SURGEON40.00$707,035$0$41,887Yes (X)
MOIZ HASSAN
PODIATRIC SURGEON40.00$354,996$0$44,437Yes (X)
KENNETH SCHIFFMAN MD
ORTHOPEDIC SURGEON40.00$363,816$0$18,919Yes (X)
GREG HARMSTON MD
PHYSICIAN40.00$302,223$0$40,119Yes (X)
STEPH KLEIN
CRNA40.00$284,651$0$39,411Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,561,094TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$234,317TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K31IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MERCY RADIOLOGISTS
PO BOX 3160DUBUQUEIA52004RADIOLOGISTS$769,770
OS INC
W237 N2920 WOODGATE RD STE 100PEWAUKEEWI530723RD PARTY BILLING AGENCY$693,057
CT HORIZONS
845 N KINGSBURY ST UNIT 715CHICAGOIL60610ER PHYSICIAN$519,588
ANNA M LORENCE
17875 TWIN SPRINGS DRDURANGOIN52039ER PHYSICIAN$489,276
MICHAEL D GREEN MD
1340 W NEWPORTCHICAGOIL60657ER PHYSICIAN$403,607
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K17CntrctRcvdGreaterThan100KCnt
Fundraising$46,650FundraisingAmt
Related Organizations$43,987RelatedOrganizationsAmt
Government Grants$207,415GovernmentGrantsAmt
All Other Contributions$125,692AllOtherContributionsAmt
Total Contributions$423,744TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
HOSPITAL PATIENT REVENUE621990$41,659,703$41,659,703
SENIOR CARE REVENUE623000$4,361,904$4,361,904
CLINIC REVENUE621110$3,272,411$3,272,411
FITNESS CENTER REVENUE621990$379,596$379,596
FieldValueIRS element (for citing)
Total Program Service Revenue$49,673,614TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$439,417TotalRevenueColumnAmt
Exclusion$439,417ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$26,980RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$27,110RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$130RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$130TotalRevenueColumnAmt
Exclusion-$130ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$500OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$4,753OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$4,253OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,253TotalRevenueColumnAmt
Exclusion-$4,253ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$13,297FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$46,650ContriRptFundraisingEventAmt
Fundraising Direct Expenses$22,502FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$9,205TotalRevenueColumnAmt
Exclusion-$9,205ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA REVENUEDesc
Business722514BusinessCd
Total Revenue Column$236,652TotalRevenueColumnAmt
Exclusion$236,652ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$236,652OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,759,839TotalRevenueColumnAmt
Related Or Exempt Func Income$49,294,018RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,042,077ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$10,474TotalAmt
Program Services$10,474ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$606,006TotalAmt
Management And General$606,006ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,192,881TotalAmt
Program Services$17,447,374ProgramServicesAmt
Management And General$1,745,507ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$558,949TotalAmt
Program Services$514,020ProgramServicesAmt
Management And General$44,929ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,370,135TotalAmt
Program Services$3,005,735ProgramServicesAmt
Management And General$364,400ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,307,894TotalAmt
Program Services$1,156,437ProgramServicesAmt
Management And General$151,457ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$58,765TotalAmt
Management And General$58,765ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$86,023TotalAmt
Management And General$86,023ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$10,534TotalAmt
Management And General$10,534ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,531,512TotalAmt
Program Services$5,955,864ProgramServicesAmt
Management And General$1,575,648ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$188,319TotalAmt
Management And General$188,319ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$88,483TotalAmt
Program Services$80,568ProgramServicesAmt
Management And General$7,915ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$524,278TotalAmt
Management And General$524,278ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$638,436TotalAmt
Program Services$638,436ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$54,860TotalAmt
Program Services$53,225ProgramServicesAmt
Management And General$1,635ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,439,766TotalAmt
Program Services$1,215,311ProgramServicesAmt
Management And General$224,455ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,939,070TotalAmt
Program Services$3,324,982ProgramServicesAmt
Management And General$614,088ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$542,861TotalAmt
Management And General$542,861ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$4,292,899$4,292,825$74
SUPPLIES & OTHER$3,028,608$2,638,655$389,953
PROVISION FOR BAD DEBT$927,545$927,545
BED ASSESSMENT$664,647$275,078$389,569

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$129,298TotalAmt
Program Services$121,908ProgramServicesAmt
Management And General$7,390ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$49,192,243TotalAmt
Program Services$41,658,437ProgramServicesAmt
Management And General$7,533,806ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$800BOYAmt
EOY$800EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,794,254BOYAmt
EOY$6,673,690EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,964,121BOYAmt
EOY$5,867,060EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$206,614BOYAmt
EOY$212,556EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$502,276BOYAmt
EOY$527,879EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$400,873BOYAmt
EOY$515,151EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$99,118,432LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$43,829,489LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$45,256,470BOYAmt
EOY$55,288,943EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,212,318BOYAmt
EOY$6,050,559EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$25,000BOYAmt
EOY$805,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$64,362,726BOYAmt
EOY$75,941,638EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,235,016BOYAmt
EOY$3,214,077EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$19,074BOYAmt
EOY$20,566EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$98,515BOYAmt
EOY$114,421EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$50,193,342BOYAmt
EOY$60,858,199EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$650,000BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,195,947BOYAmt
EOY$64,207,263EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,457,421BOYAmt
EOY$9,974,593EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,709,358BOYAmt
EOY$1,759,782EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,166,779BOYAmt
EOY$11,734,375EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$64,362,726BOYAmt
EOY$75,941,638EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,567,596ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$10,534OtherActivitiesAmt
Total Lobbying Expenditures$10,534TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationMIDWEST REGIONAL MEDICAL CENTER PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE ILLINOIS HOSPITAL ASSOCIATION (IHA) AND THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND MATERIALS. THE ORGANIZATIONS RECOGNIZE THAT A PORTION OF THE ACTIVITIES CONDUCTED BY BOTH IHA AND ICAHN ARE FUNDED IN CONJUNCTION WITH THE TOTAL ANNUAL DUES PAID. MIDWEST REGIONAL MEDICAL CENTER ESTIMATED THAT $10,534 OR 44.6% OUT OF THE TOTAL DUES PAID TO IHA AND ICAHN WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT IN ILLINOIS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$375,642BeginningYearBalanceAmt
Investment Earnings Or Losses$13,342InvestmentEarningsOrLossesAmt
End Year Balance$388,984EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$360,130BeginningYearBalanceAmt
Investment Earnings Or Losses$15,512InvestmentEarningsOrLossesAmt
End Year Balance$375,642EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$347,359BeginningYearBalanceAmt
Investment Earnings Or Losses$12,771InvestmentEarningsOrLossesAmt
End Year Balance$360,130EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$341,429BeginningYearBalanceAmt
Investment Earnings Or Losses$5,930InvestmentEarningsOrLossesAmt
End Year Balance$347,359EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$335,451BeginningYearBalanceAmt
Investment Earnings Or Losses$5,978InvestmentEarningsOrLossesAmt
End Year Balance$341,429EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.51069PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.48931TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$448,597OtherCostOrOtherBasisAmt
Book Value$448,597BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,455,842OtherCostOrOtherBasisAmt
Depreciation$32,718,662DepreciationAmt
Book Value$45,737,180BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,978,271OtherCostOrOtherBasisAmt
Depreciation$11,110,827DepreciationAmt
Book Value$4,867,444BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,235,722OtherCostOrOtherBasisAmt
Book Value$4,235,722BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$55,288,943TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
BOARD DESIGNATED INVESTMENTS FOR CAPITAL IMPROVEMENTS$4,111,370C
DONOR RESTRICTED-MEDICAL SCHOLARSHIPS$1,547,226C
UNDER BOND INDENTURE AGREEMENTS$391,963C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$6,050,559TotalBookValueProgramRltdAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION HOLDS, IN TRUST, SECURITY DEPOSITS FROM THE RESIDENTS OF THE ASSISTED LIVING FACILITY. SECURITY DEPOSITS ARE REFUNDABLE UPON VACANCY.
PART V, LINE 4:THE ENDOWMENTS CONSIST OF TWO DONOR-RESTRICTED FUNDS, WHICH WERE ESTABLISHED TO PROVIDE INVESTMENT INCOME FOR MEDICAL EDUCATION SCHOLARSHIPS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$59,947GrossReceiptsEvent1Amt
Charitable Contri Event1$46,650CharitableContriEvent1Amt
Gross Revenue Event1$13,297GrossRevenueEvent1Amt
Cash Prizes Event1$1,025CashPrizesEvent1Amt
Non Cash Prizes Event1$2,594NonCashPrizesEvent1Amt
Rent Facility Costs Event1$10,348RentFacilityCostsEvent1Amt
Food And Beverage Event1$5,558FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$2,977OtherDirectExpensesEvent1Amt
Gross Receipts Total$59,947GrossReceiptsTotalAmt
Charitable Contributions Tot$46,650CharitableContributionsTotAmt
Gross Revenue Total Events$13,297GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,025CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$2,594NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$10,348RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$5,558FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$2,977OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$22,502DirectExpenseSummaryEventsAmt
Net Income Summary-$9,205NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other125.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically Available0ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$245,139TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$245,139NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,758,161TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,202,181DirectOffsettingRevenueAmt
Net Community Benefit Expns$555,980NetCommunityBenefitExpnsAmt
Total Expense0.01150TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,003,300TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,202,181DirectOffsettingRevenueAmt
Net Community Benefit Expns$801,119NetCommunityBenefitExpnsAmt
Total Expense0.01660TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,965,816TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,373,773DirectOffsettingRevenueAmt
Net Community Benefit Expns$592,043NetCommunityBenefitExpnsAmt
Total Expense0.01230TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,965,816TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,373,773DirectOffsettingRevenueAmt
Net Community Benefit Expns$592,043NetCommunityBenefitExpnsAmt
Total Expense0.01230TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,969,116TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,575,954DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,393,162NetCommunityBenefitExpnsAmt
Total Expense0.02890TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$553,892BadDebtExpenseAmt
Bad Debt Expense Attributable$276,946BadDebtExpenseAttributableAmt
Reimbursed By Medicare$14,974,207ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$15,099,384CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$125,177MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MIDWEST MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER DRIVEAddressLine1Txt
CityGALENACityNm
State AbbreviationILStateAbbreviationCd
ZIP61036ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MIDWESTMEDICALCENTER.ORGWebsiteAddressTxt
State License0005488StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherPROVIDER BASED RURAL HEALTH CLINICOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MIDWEST MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYYes (1)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION C, LINE 7DOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION C, LINE 7D:StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.MIDWESTMEDICALCENTER.ORG/PATIENTS-VISITORS/INSURANCE-PAYMENTFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.MIDWESTMEDICALCENTER.ORG/PATIENTS-VISITORS/INSURANCE-PAYMENTFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.MIDWESTMEDICALCENTER.ORG/PATIENTS-VISITORS/INSURANCE-PAYMENTFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MIDWEST MEDICAL CENTERPART V, SECTION B, LINE 5: MIDWEST MEDICAL CENTER FORMED FOCUS GROUPS REPRESENTING HEALTHCARE PROVIDERS, COMMUNITY LEADERS, COMMUNITY SERVICES PROVIDERS, SCHOOLS, A COMMUNITY COLLEGE, FAITH-BASED ORGANIZATIONS, LOCAL ELECTED OFFICIALS, PUBLIC HEALTH, AND OTHERS.
MIDWEST MEDICAL CENTERPART V, SECTION B, LINE 6B: THE CHNA WAS DEVELOPED AND CONDUCTED IN PARTNERSHIP WITH COMMUNITY REPRESENTATIVES BY A CONSULTANT PROVIDED THROUGH THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK.
MIDWEST MEDICAL CENTERPART V, SECTION B, LINE 7D: PART V, SECTION B, LINE 7A & 10A:HTTPS://WWW.MIDWESTMEDICALCENTER.ORG/PATIENTS-VISITORS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2025
MIDWEST MEDICAL CENTERPART V, SECTION B, LINE 11: BASED ON ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), MIDWEST MEDICAL CENTER (MMC) IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS: IMPROVING ACCESS TO MENTAL HEALTH CARE, IMPROVING ACCESS TO PHYSICAL HEALTH CARE, IMPROVING ACCESS TO TRANSPORTATION, INCREASING COMMUNITY AWARENESS OF AVAILABLE HEALTH AND WELLNESS SERVICES, AND INCREASING RESOURCES FOR SENIORS.MMC CONTINUES TO ADDRESS THESE NEEDS THROUGH A COMBINATION OF STRATEGIC INITIATIVES, FACILITY EXPANSION, COMMUNITY OUTREACH, AND ONGOING OPERATIONS. TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES, MMC MAINTAINS A WEB-BASED RESOURCE GUIDE FOR BEHAVIORAL HEALTH AND OTHER MEDICAL SERVICES, COMPLETED CONSTRUCTION OF A DEDICATED OUTPATIENT BEHAVIORAL HEALTH SUITE, AND EXPANDED BEHAVIORAL HEALTH STAFFING. THE BEHAVIORAL HEALTH PROGRAM NOW INCLUDES A FULL-TIME PSYCHIATRIC NURSE PRACTITIONER, LICENSED CLINICAL PROFESSIONAL COUNSELORS, PSYCHOLOGICAL SERVICES, TELEHEALTH PSYCHIATRY, AND PLANS FOR A FULL-TIME ONSITE PSYCHIATRIST BEGINNING IN SEPTEMBER 2026. MMC ALSO CONTINUES TO EVALUATE THE FEASIBILITY OF DEVELOPING INPATIENT BEHAVIORAL HEALTH SERVICES; HOWEVER, IMPLEMENTATION HAS NOT OCCURRED DUE TO THE SIGNIFICANT FINANCIAL AND OPERATIONAL RESOURCES REQUIRED FOR SUCH A PROGRAM.TO IMPROVE ACCESS TO PHYSICAL HEALTH CARE, MMC COMPLETED AN OUTPATIENT EXPANSION PROJECT THAT INCLUDED REHABILITATION, FITNESS, BEHAVIORAL HEALTH, AND INFUSION SERVICES. MMC ESTABLISHED A PAIN MANAGEMENT CLINIC IN FALL 2024, WHICH HAS EXPERIENCED INCREASING PATIENT DEMAND AND EXPANDED PROVIDER AVAILABILITY. THE INFUSION CENTER OPENED IN APRIL 2025 AND CONTINUES TO EXPERIENCE GROWTH IN UTILIZATION. MMC ALSO COLLABORATES WITH PHYSICIANS AND NEIGHBORING HEALTH CARE ORGANIZATIONS TO EXPAND ACCESS TO SPECIALTY SERVICES WHEN FEASIBLE. IN ADDITION, MMC CONTINUES TO EVALUATE OPPORTUNITIES TO ENHANCE CARDIAC REHABILITATION SERVICES AND MONITORS THE NEED FOR ADDITIONAL SPECIALTY SERVICES SUCH AS DIALYSIS. AT THIS TIME, MMC HAS DETERMINED THAT DIALYSIS SERVICES ARE ADEQUATELY AVAILABLE WITHIN THE LOCAL MARKET AND THEREFORE HAS NOT PURSUED ESTABLISHING A LOCAL DIALYSIS PROGRAM.TO INCREASE COMMUNITY AWARENESS OF AVAILABLE HEALTH AND WELLNESS SERVICES, MMC HIRED A FOUNDATION AND MARKETING DIRECTOR IN 2024 AND CONTINUES TO STRENGTHEN ITS MARKETING EFFORTS THROUGH COMMUNITY OUTREACH, DIRECT MAIL NEWSLETTERS DISTRIBUTED COUNTYWIDE, AND ONGOING EVALUATION OF ADDITIONAL MARKETING RESOURCES. MMC ALSO PARTNERS WITH COMMUNITY ORGANIZATIONS TO PROVIDE EDUCATION REGARDING MEDICARE, MEDICARE ADVANTAGE PLANS, AND OTHER AVAILABLE RESOURCES FOR SENIORS.MMC ADDRESSES THE NEEDS OF SENIORS THROUGH ITS ONGOING PROMOTION OF PREVENTIVE CARE AND ANNUAL WELLNESS VISITS, PARTNERSHIPS WITH LOCAL ORGANIZATIONS THAT PROVIDE EDUCATION AND RESOURCE NAVIGATION ASSISTANCE, AND OPERATION OF A 24-UNIT ASSISTED LIVING FACILITY AND A 57-BED SKILLED NURSING FACILITY. MMC PROVIDERS ROUTINELY ENCOURAGE APPROPRIATE PREVENTIVE SCREENINGS AND WELLNESS SERVICES FOR ELIGIBLE PATIENTS.MMC HAS ALSO EXPLORED ACCESS-RELATED NEEDS THROUGH COLLABORATION WITH NEIGHBORING HOSPITALS, SPECIALTY PROVIDERS, AND COMMUNITY ORGANIZATIONS. WHILE TRANSPORTATION CHALLENGES REMAIN A RECOGNIZED COMMUNITY CONCERN, MMC CONTINUES TO WORK WITH COMMUNITY PARTNERS AND REFERRAL NETWORKS TO HELP PATIENTS ACCESS AVAILABLE SERVICES AND RESOURCES.CERTAIN SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA ARE NOT BEING DIRECTLY ADDRESSED BY MMC. SPECIFICALLY, MMC HAS NOT IMPLEMENTED INPATIENT MENTAL HEALTH SERVICES DUE TO THE SUBSTANTIAL FINANCIAL INVESTMENT, STAFFING REQUIREMENTS, AND OPERATIONAL COMPLEXITY ASSOCIATED WITH ESTABLISHING AND SUSTAINING SUCH A PROGRAM. MMC IS ALSO NOT CURRENTLY PURSUING ONCOLOGY SERVICE EXPANSION, ALTHOUGH THE ORGANIZATION MAY EVALUATE THIS OPPORTUNITY AS PART OF FUTURE STRATEGIC PLANNING. MMC WILL CONTINUE TO SUPPORT COMMUNITY AND GOVERNMENTAL EFFORTS RELATED TO HOUSING AND OTHER SOCIAL DETERMINANTS OF HEALTH WHEN APPROPRIATE. THROUGH THESE INITIATIVES, MMC CONTINUES TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS CHNA WHILE PERIODICALLY REASSESSING COMMUNITY NEEDS, AVAILABLE RESOURCES, AND OPPORTUNITIES FOR FUTURE SERVICE EXPANSION.
MIDWEST MEDICAL CENTERPART V, SECTION B, LINE 16J: THE POLICY IS OFFERED IF A PATIENT STATES ANY PROBLEM IN REGARD TO PAYING THEIR BILL. THERE IS ALSO A REFERENCE ON ALL PATIENT STATEMENTS THAT STATES FINANCIAL ASSISTANCE IS AVAILABLE.
MIDWEST MEDICAL CENTERPART V, SECTION B, LINE 20E: PATIENTS ARE GIVEN THE OPPORTUNITY TO APPLY FOR CHARITY CARE PRIOR TO ANY COLLECTION PRACTICES NOTED EARLIER UNDER POLICIES OF MIDWEST MEDICAL CENTER. THE POLICY AND APPLICATION ARE OFFERED IF A PATIENT STATES ANY PROBLEM IN REGARD TO PAYING THEIR BILL. THERE IS ALSO A REFERENCE ON ALL PATIENT STATEMENTS THAT STATES FINANCIAL ASSISTANCE IS AVAILABLE.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - GALENA-STAUSS SENIOR CARE CAMPUS
215 SUMMIT STREETGALENAIL61036SKILLED NURSING FACILITY, ASSISTED LIVING
2 - MIDWEST HEALTH CLINIC - ELIZABETH
117 N MAIN STREETELIZABETHIL61028PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:MIDWEST MEDICAL CENTER PRIMARILY USES FEDERAL POVERTY GUIDELINES TO ESTABLISH CHARITY OR DISCOUNTED CARE TO THOSE IN NEED OF CARE IN THE COMMUNITY, HOWEVER THERE ARE OTHER CONSIDERATIONS GIVEN TO PATIENTS TO AVOID HAVING PATIENTS BE IN FINANCIAL DISTRESS DUE TO CONCERNS OVER THEIR MEDICAL BILLS. BELOW ARE THE GENERAL GUIDELINES AS DEFINED IN MIDWEST MEDICAL CENTER'S CHARITY CARE POLICY WHICH ARE FOLLOWED BY THE ORGANIZATION: PATIENT ACCOUNT GUARANTORS WITH AN ADJUSTED GROSS INCOME AT OR BELOW 125% OF THE FEDERAL POVERTY GUIDELINES FOR THE NUMBER OF DEPENDENTS IN THE DEBTOR'S HOUSEHOLD WILL BE ELIGIBLE FOR 100% CHARITY CARE. PATIENT ACCOUNT GUARANTORS WITH AN ADJUSTED GROSS INCOME GREATER THAN 125%, BUT EQUAL TO OR LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES FOR THE NUMBER OF DEPENDENTS IN THE DEBTOR'S HOUSEHOLD, WILL BE ELIGIBLE FOR PARTIAL FINANCIAL ASSISTANCE. PATIENT ACCOUNT GUARANTORS WITH INSUFFICIENT ASSETS TO PAY THE AMOUNT DUE, AND WHO DO NOT QUALIFY FOR CHARITY CARE ON THE BASIS OF THE FEDERAL POVERTY GUIDELINES, WILL BE ELIGIBLE FOR A CATASTROPHIC CHARITY ADJUSTMENT WHEN THE TOTAL AMOUNT DUE TO MIDWEST MEDICAL CENTER EQUALS AT LEAST 20% OF THE DEBTOR'S ADJUSTED GROSS INCOME. CATASTROPHIC CHARITY IS AN EIGHTY PERCENT (80%) ADJUSTMENT OFF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES.
PART I, LINE 7:THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES (EXCLUDING THE PROVISION FOR BAD DEBTS) DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990. (THE COSTING METHODOLOGY FOR SUBSIDIZED HEALTH SERVICES FOR LINE 7G OF SCHEDULE H OF THE FORM 990 IS BASED ON COST ALLOCATIONS FROM THE MEDICARE COST REPORT. THIS ALLOCATION METHOD AND PRINCIPLES OF ALLOCATION WERE USED TO DERIVE A SPECIFIC AMOUNT OF COST ALLOCATION TO THE VARIOUS PROGRAMS AND COST CENTERS OPERATED BY THE HOSPITAL.)
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES AT MIDWEST MEDICAL CENTER INCLUDES THE OPERATION OF SEVERAL DEPARTMENTS INCLUDING THE HOSPITAL INPATIENT, OBSERVATION, ADULT DAY CARE, AND ASSISTED LIVING UNITS. THE INPATIENT UNIT PROVIDES CARE TO OVERNIGHT OBSERVATION PATIENTS WHICH ARE KEPT FOR OBSERVATION IN FOLLOW UP CARE FROM THE EMERGENCY ROOM AS WELL AS PROVIDING A SIGNIFICANT NUMBER OF SWING BED SERVICES. IT IS THE GOAL OF MIDWEST MEDICAL CENTER TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY.
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 $ 927,545.
SCHEDULE H, PART I, LINE 7THE MIDWEST MEDICAL CENTER'S HOSPITAL AND CLINIC EXPANSION AND RENOVATION PROJECT INCLUDES MULTIPLE ADDITIONS AND REMODELING TO THE EXISTING FACILITY. THE PHASED PROJECT AFFECTS CLINICAL, REHAB, FITNESS, SURGERY, ATRIUM/BISTRO AREAS, AND OTHER SUPPORT SPACES. THIS CONTRACT INCLUDES GENERAL CONSTRUCTION, PLUMBING, HVAC, ELECTRICAL, AND SITE IMPROVEMENTS. THIS INVESTMENT MORE SPECIFICALLY INCLUDES THE FOLLOWING: - THE CLINIC FEATURED A DEDICATED ENTRANCE THAT PROVIDED A CENTRALIZED ACCESS POINT FOR OUTPATIENT SERVICES. THIS ENTRANCE INCLUDED A DRIVE-UNDER CANOPY FOR PATIENTS, ALONG WITH A NEW LOBBY, ATRIUM, CONFERENCE CENTER, AND RESTROOMS.- A THREE-LEVEL CLINIC ADDITION INCLUDED A LOWER AND MAIN LEVEL TO EXPAND THE REHABILITATION DEPARTMENT AND WELLNESS CENTER, AS WELL AS A SECOND-FLOOR ADDITION AND REMODEL TO EXPAND PRIMARY CARE, BEHAVIORAL HEALTH, AND SPECIALTY CLINICS, AND TO ADD SPACE FOR MEDICAL INFUSION SERVICES.- THE PRIMARY CARE, BEHAVIORAL HEALTH, AND SPECIALTY CLINICS WERE REMODELED TO SUPPORT COLLABORATIVE, TEAM-BASED CARE BETWEEN PATIENTS AND PROVIDERS. THIS APPROACH ENSURED THAT PATIENTS' NEEDS WERE ADDRESSED THROUGH A COORDINATED EFFORT AMONG MULTIPLE PROVIDERS, IMPROVING BOTH HEALTH OUTCOMES AND THE PATIENT EXPERIENCE.- THE SPECIALTY CLINIC WAS EXPANDED FROM ITS PREVIOUS LOCATION IN CONVERTED INPATIENT ROOMS. THIS EXPANSION SUPPORTED FUTURE GROWTH IN THE RECRUITMENT OF MEDICAL AND SURGICAL SPECIALTIES, IMPROVING ACCESS TO CARE FOR THE PEOPLE OF GALENA, WHO PREVIOUSLY TRAVELED OVER AN HOUR FOR THESE SERVICES. - THE REHABILITATION DEPARTMENT WAS EXPANDED AND REMODELED TO ENLARGE THE WAITING AREA, RECEPTION AREA, AND TREATMENT SPACE FOR PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND CARDIAC/PULMONARY REHABILITATION. THIS ALLEVIATED CAPACITY CONSTRAINTS AND SUPPORTED FUTURE GROWTH IN BOTH PROVIDERS AND PATIENTS SERVED.THESE CONTRIBUTIONS MAY NOT BE CAPTURED DIRECTLY WITHIN THE COMMUNITY BENEFIT CALCULATIONS AS PRESENTED IN PART I OF SCHEDULE H. HOWEVER, THE SIGNIFICANT CAPITAL INVESTMENT IN THE COMMUNITY IS CERTAINLY A COMMITMENT TO CARE THAT WILL HAVE AN ONGOING IMPACT ON HEALTH OUTCOMES OF GALENA.
PART II, COMMUNITY BUILDING ACTIVITIES:MIDWEST MEDICAL CENTER PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, THE ORGANIZATION BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. MIDWEST MEDICAL CENTER, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY.
PART III, LINE 2:THE ORGANIZATION USES THE COST TO CHARGE RATIO TO ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE.
PART III, LINE 4:IN EVALUATING THE COLLECTABILITY OF PATIENT AND RESIDENT RECEIVABLES, THE ORGANIZATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS OR RESIDENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS AND PATIENTS OR RESIDENTS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS AND RESIDENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE.
PART III, LINE 8:THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H TO THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE HOSPITAL, AND ALSO DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE HOSPITAL AS WELL AS HOSPITAL INPATIENT PHYSICIAN PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, RADIOLOGY PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN PROFESSIONAL SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT MIDWEST MEDICAL CENTER PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2025, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHO ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES IN A LOCAL SETTING, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY.
PART III, LINE 9B:UNDER THE HOSPITAL'S COLLECTION AND CHARITY CARE POLICIES, MIDWEST MEDICAL CENTER MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE HOSPITAL'S CHARITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE EITHER PRIOR TO ADMISSION OR FOLLOWING DISCHARGE. ALL INPATIENT SELF-PAY ADMISSIONS ARE SCREENED BY THE HOSPITAL'S BUSINESS OFFICE OR SOCIAL WORKERS TO ALLOW THESE PATIENTS THE ABILITY TO COMPLETE THEIR APPLICATION DURING THEIR STAY AT THE HOSPITAL, DEPENDING UPON THE PATIENT'S CONDITION, OR THE PATIENT'S RESPONSIBLE PARTY MAY BE CONTACTED TO COMPLETE AND RETURN THE FORMS AT A LATER TIME WHEN THEIR CARE ALLOWS THIS COMPLETION. DURING THE PATIENT ACCOUNT COLLECTION PROCESS, SELF-PAY PATIENTS ARE ALSO INFORMED OF THE HOSPITAL'S COLLECTION POLICIES AS WELL AS THE CHARITY CARE PROGRAM TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM.
PART VI, LINE 2:MIDWEST MEDICAL CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES AND AREAS IT SERVES BY REVIEWING LOCAL DEMOGRAPHICS AND TRENDS IN PATIENT SERVICE UTILIZATION TO DETERMINE WHICH SERVICES COULD AND SHOULD BE MADE AVAILABLE TO THE COMMUNITY IN A COST-EFFECTIVE MANNER TO BE CONSISTENT WITH MIDWEST MEDICAL CENTER'S MISSION IN THE COMMUNITY. MIDWEST MEDICAL CENTER ALSO REVIEWS STATISTICS IN THE HOSPITAL, CLINIC, AND OTHER ORGANIZATIONAL DEPARTMENTS TO REVIEW THE CURRENT SERVICES BEING OFFERED AND ENSURE THAT RESOURCES ARE BEING APPROPRIATELY ALLOCATED TO AREAS IN NEED BY COMMUNITY MEMBERS AND PATIENTS. THE ORGANIZATION ALSO MEETS WITH LOCAL COMMUNITY MEMBERS AND ITS PHYSICIAN GROUP TO DETERMINE WHICH SERVICES MAY BENEFIT THE COMMUNITY. DURING FISCAL YEAR 2025, MIDWEST MEDICAL CENTER COMPLETED A FORMALIZED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY AND CONTINUES TO ACTIVELY RECRUIT PROVIDERS TO FULFILL THE PATIENT'S NEEDS.
PART VI, LINE 3:UNINSURED AND UNDER-INSURED PATIENTS ARE ASKED TO MEET WITH THE ORGANIZATION'S REGISTRATION REPRESENTATIVE AT THE TIME SERVICE IS PROVIDED AND WHEN THE PATIENT'S BILL IS GENERATED. A REGISTRATION REPRESENTATIVE WILL EXPLAIN THE VARIOUS PAYMENT OPTIONS AVAILABLE TO THE PATIENT AS WELL AS THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND PROVIDE THE FINANCIAL ASSISTANCE APPLICATION. IF OTHER PROGRAMS ARE AVAILABLE TO THE PATIENT, SUCH AS THE ILLINOIS PUBLIC AID PROGRAMS, THESE PATIENTS ARE REFERRED TO THE APPROPRIATE GOVERNMENT AGENCY FOR FURTHER ASSISTANCE. INFORMATION ABOUT THE AVAILABILITY OF SUCH PROGRAMS IS ALSO AVAILABLE AT MIDWESTMEDICALCENTER.ORG.
PART VI, LINE 4:THE PRIMARY SERVICE AREA FOR MIDWEST MEDICAL CENTER ENCOMPASSES RESIDENTS LIVING WITHIN APPROXIMATELY A 30- TO 60-MILE RADIUS OF THE HOSPITAL. A TOTAL OF 21,851 PEOPLE LIVE WITHIN THE APPROXIMATELY 601-SQUARE-MILE SERVICE AREA. THE POPULATION DENSITY IS 36.4 PERSONS PER SQUARE MILE, SUBSTANTIALLY LOWER THAN STATE AND NATIONAL AVERAGES. THE SERVICE AREA INCLUDES SEASONAL AND PART-TIME HOUSING ASSOCIATED WITH RECREATION AND TOURISM IN THE GALENA TERRITORY AND APPLE CANYON LAKE. THE AVERAGE HOUSEHOLD SIZE IS APPROXIMATELY 2.2 PERSONS, LOWER THAN BOTH THE ILLINOIS AND U.S. AVERAGES. THE MEDIAN AGE IS 51.5 YEARS, CONSIDERABLY OLDER THAN BOTH THE ILLINOIS (39.0 YEARS) AND U.S. (38.9 YEARS) POPULATIONS. EDUCATIONAL ATTAINMENT IS CHARACTERIZED PRIMARILY BY HIGH SCHOOL GRADUATES, FOLLOWED BY RESIDENTS WITH SOME COLLEGE EDUCATION. THE UNEMPLOYMENT RATE IS APPROXIMATELY 3.7%. THE MEDIAN HOUSEHOLD INCOME IS $73,993, WHICH IS LOWER THAN THE ILLINOIS MEDIAN ($83,250) AND SLIGHTLY LOWER THAN THE U.S. MEDIAN ($83,310). APPROXIMATELY 7.8% OF RESIDENTS (ABOUT 1,700 INDIVIDUALS) LIVE BELOW THE FEDERAL POVERTY LEVEL.
PART VI, LINE 5:MIDWEST MEDICAL CENTER IS AN INDEPENDENT COMMUNITY HOSPITAL GOVERNED BY A 12-MEMBER BOARD OF DIRECTORS WHO RESIDE WITHIN THE PRIMARY SERVICE AREA. MMC MANAGES A DIABETIC PROGRAM THAT ADDRESSES INDIVIDUALS DIAGNOSED WITH DIABETES. OUR PHARMACIST, DIETICIAN AND CARE COORDINATOR WORK WITH THE PATIENTS TO GET THEIR LEVELS UNDER CONTROL AND ALSO UTILIZE THE 340B PROGRAM TO HELP THOSE PATIENTS THAT CANNOT AFFORD THEIR MEDICATION. 340B IS FOR THOSE INDIVIDUALS THAT ARE UNINSURED OR UNDERINSURED. MMC ALSO RECENTLY IMPLEMENTED A DIABETIC PREVENTION PROGRAM (DPP) FOR INDIVIDUALS THAT ARE CLOSE TO BEING DIAGNOSED WITH DIABETES, BUT NOT QUITE THERE YET. THIS PROGRAM IS DESIGNED TO IMPLEMENT A LIFESTYLE CHANGE FOR PATIENTS THAT ARE CLOSE TO DEVELOPING DIABETES OR OTHER HEALTH CONDITIONS. FOR A VERY LOW COST, THESE PATIENTS HAVE ACCESS TO A CARE COORDINATOR, FITNESS STAFF AND DIETICIAN FOR A PERIOD OF 6 MONTHS. OUR PHYSICIANS HAVE STARTED DOING FREE OUTREACH DISCUSSIONS AGAIN WITH LOCAL INDEPENDENT LIVING GROUPS AND BUSINESSES ON THE AREA OF PRACTICE THEY COVER. MMC SHARES A COLLABORATIVE SPACE WITH REHABILITATION AND FITNESS AND IF FITNESS MEMBERS HAVE ANY AREAS OF CONCERN, A PHYSICAL THERAPIST WILL DO A FREE QUICK ASSESSMENT OF INJURIES AND OFFER A RECOMMENDATION OF ANY FOLLOW UP THE MEMBER MAY NEED. OUR FITNESS CENTER HOSTS A 5K WALK/RUN EACH FALL THAT BENEFITS THE LOCAL FOOD PANTRY. MMC OFFERS DISCOUNTED LAB SCREENS 3 TIMES PER YEAR THROUGHOUT THE COUNTY AND ALSO DOES FREE BLOOD PRESSURE CHECKS. WE HOST BLOOD DRIVES A FEW TIMES A YEAR TO SUPPORT THE LOCAL BLOOD BANKS. CURRENTLY WE CONDUCT SPORTS PHYSICALS AT TWO AREA SCHOOLS AND ALL PROCEEDS FROM THOSE PHYSICALS ARE DONATED BACK TO THE SCHOOLS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeNOTES RECEIVABLE FOR SCHOLARSHIPS FORGIVENGrantTypeTxt
Recipient6RecipientCnt
Non Cash Assistance$10,474NonCashAssistanceAmt
Valuation Method UsedCURRENT NOTE RECEIVABLE BALANCEValuationMethodUsedDesc
Non Cash AssistanceFORGIVENESS OF NOTES RECEIVABLE IS GOVERNED BY THE HOSPITAL'S MEDICAL EDUCATION SCHOLARSHIP PROGRAM AND FORGIVENESS IS GRANTED IF INDIVIDUALS FULFILL FUTURE SERVICE REQUIREMENTS WITH MIDWEST MEDICAL CENTER IN HEALTH PROFESSIONAL RELATED FIELDS. THE HOSPITAL TRACKS THIS INFORMATION ANNUALLY AND AWARDS THE FORGIVENESS BASED ON THE COMPLETION OF THE REQUIRED CRITERIA OF THE PROGRAM.NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationMIDWEST MEDICAL CENTER TRACKS THE GRANTS PROVIDED THROUGH THE USE OF NOTES RECEIVABLE AS THE SCHOLARSHIP PROGRAMS ARE INTENDED TO SUPPLEMENT AND BE A FORM OF STUDENT LOANS FOR MEMBERS OF THE COMMUNITY PURSUING ADDITIONAL EDUCATION IN HEALTH RELATED FIELDS. PRIOR TO APPROVING A NOTE TO A PERSPECTIVE STUDENT, AN APPLICATION IS REVIEWED FOR APPROVAL BY THE HOSPITAL'S CONTROLLER TO ENSURE THAT ALL BACKGROUND INFORMATION ON THE CANDIDATE WAS PROVIDED. AFTER REVIEW BY THE CONTROLLER, THIS INFORMATION IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. EACH STUDENT MUST SIGN A PROMISSORY NOTE WITH MIDWEST MEDICAL CENTER THAT THEY COMMIT TO COMPLETE THE EDUCATIONAL PROGRAM AND THAT UPON GRADUATION THEY WILL PERFORM SERVICES FOR MIDWEST MEDICAL CENTER (PENDING AN AVAILABLE POSITION IN THE HOSPITAL AT THE TIME) OR THEY WILL REPAY THE NOTE WITH INTEREST. (THE REPAYMENT TERMS ENSURE THAT THE ENDOWED AND DONATED FUNDS ARE AVAILABLE IN FUTURE YEARS TO OTHER MEMBERS OF THE COMMUNITY OR THAT SERVICES ARE RETURNED TO THE COMMUNITY THROUGH SERVICE TO THE MEDICAL CENTER.) SERVICES PERFORMED AT MIDWEST MEDICAL CENTER RESULT IN FORGIVENESS OF NOTE RECEIVABLE AMOUNTS BASED ON HOURS WORKED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GREG DAMMANN MD
ORTHOPEDIC SURGEON$611,890$0$31,181$0$63,964$0$11,900$0$29,987$0$748,922$0$0$0
MOIZ HASSAN
PODIATRIC SURGEON$289,544$0$32,016$0$33,436$0$14,866$0$29,571$0$399,433$0$0$0
TRACY BAUER
CEO$304,177$0$27,000$0$51,730$0$15,396$0$0$0$398,303$0$0$0
KENNETH SCHIFFMAN MD
ORTHOPEDIC SURGEON$351,350$0$1,181$0$11,285$0$14,660$0$4,259$0$382,735$0$0$0
GREG HARMSTON MD
PHYSICIAN$251,654$0$844$0$49,725$0$12,274$0$27,845$0$342,342$0$0$0
STEPH KLEIN
CRNA$243,754$0$13,200$0$27,697$0$11,566$0$27,845$0$324,062$0$0$0
KELLI JACKSON
CFO$142,688$0$12,000$0$10,778$0$6,303$0$27,845$0$199,614$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
PAMELA SMITH
FAMILY MEMBER OF TRACY BAUER, CEO$68,580EMPLOYMENT COMPENSATION0
JASON FRANK
FAMILY MEMBER OF KELLI JACKSON, CONTROLLER$71,855EMPLOYMENT COMPENSATION0
PATRICIA BAUER
FAMILY MEMBER OF TRACY BAUER, CEO$31,309EMPLOYMENT COMPENSATION0
KAMERON KILEY
FAMILY MEMBER OF TRACY BAUER, CEO$19,852EMPLOYMENT COMPENSATION0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE CORPORATE MEMBER OF MIDWEST MEDICAL CENTER IS MIDWEST MEDICAL FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF DIRECTORS OF MIDWEST MEDICAL FOUNDATION HAVE THE RIGHT TO APPOINT MEMBERS OF THE BOARD OF DIRECTORS OR REMOVAL OF BOARD MEMBERS OF MIDWEST MEDICAL CENTER. THE MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS OF MIDWEST MEDICAL CENTER WILL ALSO BE BOARD MEMBERS OF MIDWEST MEDICAL FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE BOARD OF DIRECTORS OF MIDWEST MEDICAL CENTER PREVIOUSLY ISSUED TAX-EXEMPT BONDS THROUGH THE ILLINOIS FINANCE AUTHORITY TO FINANCE THE CONSTRUCTION OF A REPLACEMENT HOSPITAL. UNDER THE TERMS OF THE BOND AGREEMENTS, THE ORGANIZATION IS LIMITED AS TO ISSUING NEW DEBT, PURCHASING SIGNIFICANT CAPITAL ASSETS, DISPOSING OF SIGNIFICANT ASSETS, AND/OR SETTING UP NEW CORPORATIONS OR SUBSTANTIALLY RESTRUCTURING THE CURRENT ORGANIZATION WITHOUT FIRST OBTAINING APPROVAL OF THE BOND TRUSTEES. IN TAX YEAR 2018 THE ORGANIZATION DID HAVE A CHANGE IN THEIR PARENT AND PAID OFF THE TAX-EXEMPT BONDS.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD OF DIRECTORS RECEIVED A COPY OF THE FINAL 990 FOR REVIEW AND APPROVAL THROUGH POSTING TO AN ELECTRONIC SECURE WEBSITE BY MANAGEMENT OF MIDWEST MEDICAL CENTER PRIOR TO ITS SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CSINCE MIDWEST MEDICAL CENTER IS PART OF A SMALL COMMUNITY, CONFLICTS OF INTEREST ARE GENERALLY KNOWN. THE BOARD OF DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE ANNUAL DISCLOSURE STATEMENTS. THESE ARE KEPT ON FILE AT THE HOSPITAL AND ALL MEMBERS OF THE BOARD OF DIRECTORS, INCLUDING MANAGEMENT WHICH ATTEND MEETINGS, ARE TOLD OF THE CONFLICTS. ANY MEMBERS WITH KNOWN CONFLICTS ABSTAIN FROM VOTING ON THESE CONFLICTS DURING MEETINGS AND ENGAGE IN ONLY LIMITED DISCUSSIONS ON THESE TOPICS. THE BOARD AND MANAGEMENT HOLD EACH OTHER ACCOUNTABLE THROUGH OBSERVATION AND ENFORCEMENT OF THE POLICY DURING MEETINGS AND AT ORGANIZATION FUNCTIONS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS REVIEWS EVALUATIONS FOR THESE INDIVIDUALS, COMPARES DATA TO COMPETITIVE MARKET DATA OBTAINED FROM SALARY SURVEYS, AND CONSULTS WITH OUTSIDE ORGANIZATIONS AS NEEDED IN REVIEWING CONTRACTS. LEGAL AND OUTSIDE VALUATION SERVICES ARE OBTAINED IN ENSURING THE KEY EMPLOYEES, EXECUTIVES, AND PHYSICIANS' SALARIES ARE IN LINE WITH REASONABLE AND PRUDENT BUYER CONCEPTS AS WELL.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GEMERGENCY SERVICES: PROGRAM SERVICE EXPENSES 2,157,654. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,157,654. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 1,458,154. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,458,154. CLINIC SERVICES: PROGRAM SERVICE EXPENSES 702,477. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 702,477. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 193,760. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 193,760. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,443,819. MANAGEMENT AND GENERAL EXPENSES 1,575,648. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,019,467.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MIDWEST MEDICAL FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER DRIVEAddressLine1Txt
CityGALENACityNm
State AbbreviationILStateAbbreviationCd
ZIP61036ZIPCd
FieldValueIRS element (for citing)
EIN204560639EIN
Primary ActivitiesFUNDRAISINGPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Exempt Code Section501(C)3ExemptCodeSectionTxt
Public Charity StatusLINE 12A, IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MIDWEST MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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