STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ST MARGARETS HEALTH SPRING VALLEY: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ST MARGARETS HEALTH SPRING VALLEY (EIN 36-2167884)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-13
IRS object ID
202442269349302559
Schema version
2022v5.0
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)
Return2024-08-13T18:20:52-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362167884EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Margaret's Health-Spring ValleyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTMABusinessNameControlTxt
Phone8156642700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 East First StreetAddressLine1Txt
CitySpring ValleyCityNm
State AbbreviationILStateAbbreviationCd
ZIP61362ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTimothy A MuntzPersonNm
Person TitlePresident & CEOPersonTitleTxt
Phone8156642700PhoneNum
Signature2024-08-12SignatureDt
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 PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2024-08-08PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTimothy A MuntzPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 East First StreetAddressLine1Txt
CitySpring ValleyCityNm
State AbbreviationILStateAbbreviationCd
ZIP61362ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$73,421,973GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.aboutsmh.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1903FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionProvide health care services to improve the health of the people in the communityActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee819TotalEmployeeCnt
Total Volunteers1TotalVolunteersCnt
Total Gross UBI$561,889TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$255,877NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,674,957PYContributionsGrantsAmt
CY Contributions Grants$1,570,752CYContributionsGrantsAmt
PY Program Service Revenue$88,720,115PYProgramServiceRevenueAmt
CY Program Service Revenue$63,922,944CYProgramServiceRevenueAmt
PY Investment Income$898,469PYInvestmentIncomeAmt
CY Investment Income$2,033,135CYInvestmentIncomeAmt
PY Other Revenue$193,632PYOtherRevenueAmt
CY Other Revenue$203,027CYOtherRevenueAmt
PY Total Revenue$94,487,173PYTotalRevenueAmt
CY Total Revenue$67,729,858CYTotalRevenueAmt
PY Grants And Similar Paid$45,280PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$9,222CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$49,639,067PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$37,266,718CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$49,200,069PYOtherExpensesAmt
CY Other Expenses$40,021,451CYOtherExpensesAmt
PY Total Expenses$98,884,416PYTotalExpensesAmt
CY Total Expenses$77,297,391CYTotalExpensesAmt
PY Revenues Less Expenses-$4,397,243PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,567,533CYRevenuesLessExpensesAmt
Total Assets BOY$76,016,141TotalAssetsBOYAmt
Total Assets EOY$35,382,436TotalAssetsEOYAmt
Total Liabilities BOY$42,761,084TotalLiabilitiesBOYAmt
Total Liabilities EOY$28,800,778TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$33,255,057NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,581,658NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSt. Margaret's Health-Spring Valley, in union with the Sisters of Mary of the Presentation, is committed to the values of Catholic health care in caring for the needs of our patients and their families, the community and one another. Through our belief in God and our respect for life, we provide holistic quality health care with dignity and compassion.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$59,974,720ExpenseAmt
Grant$9,222GrantAmt
Revenue$63,922,944RevenueAmt
DescSt. Margaret's Health-Spring Valley (Hospital), formerly known as St. Margaret's Hospital, previously doing business as St. Margaret's Health, is a 44-bed acute care hospital located in Spring Valley, Illinois. The Hospital also operates a network of primary and specialty care physician clinics in Spring Valley and the surrounding area. St. Margaret's Health-Spring Valley has a tradition of serving the poor and others in the area surrounding Spring Valley for over 100 years. Following in the footsteps of Jesus Christ, St. Margaret's Health-Spring Valley is reaching out to the poor and those most in need. The presence of St. Margaret's Health-Spring Valley means much more than dollars and cents. (Continued on Schedule O)The value of services to those in need has been more than a financial sheet can describe, because sometimes the smaller programs do the most good and because the organization cannot possibly count up all the services. St. Margaret's Health-Spring Valley has been a leader in the community, helping others to see the need to respond to the needs of the poor.The Hospital provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Hospital does not pursue collection of these amounts, they are not reported as patient service revenue. In addition, the Hospital provides services to other medically indigent patients under certain government reimbursed public aid programs. Such programs pay providers amounts which are less than established charges for the services provided to the recipients, and for some services the payments are less than the cost of rendering the services provided. The Hospital also commits significant time and resources to endeavors and critical services which meet otherwise unfulfilled community needs. Many of these activities are sponsored with the knowledge that they will not be self-supporting or financially viable.Desc
Total Program Service Expenses$59,974,720TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
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 Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document99IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee819EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members3GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
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 Committees0MinutesOfCommitteesInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lisa LynchBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8156641328PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 East First StreetAddressLine1Txt
CitySpring ValleyCityNm
State AbbreviationILStateAbbreviationCd
ZIP61362ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Timothy A Muntz
President & CEO60.000.20Yes (X)Yes (X)$0$575,673$55,573
Kim Santman
Director-VP Finance until Feb 202240.500.20Yes (X)Yes (X)$0$132,575$6,877
Dr Eric Santos - Director
Medical Staff Pres-SMH SV0.500.00Yes (X)$0$0$0
Lisa Lynch
VP of Finance60.000.20Yes (X)$0$237,738$25,938
Dr Michael Shin MD
Physician40.000.00$1,290,303$0$47,147Yes (X)
Dr Paul Perona MD
Physician40.000.00$983,469$0$68,482Yes (X)
Dr Dale Chilson DO
Physician40.000.00$606,202$0$31,108Yes (X)
Dr Thaw Tun MD
Internal Medicine40.000.00$525,013$0$24,905Yes (X)
Dr Rahul Sampat
Family Medicine40.000.00$487,259$0$67,505Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,892,246TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$945,986TotReportableCompRltdOrgAmt
Total Other Compensation$327,535TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K74IndivRcvdGreaterThan100KCnt
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
Anesthesia Associates LTD
2540 Hanford LaneAuroraIL60502Contract Anesthesia Services$1,924,000
EPSS North Regions LLC
12528 SR 78HavanaIL62644Contract Emergency Physicians$1,290,656
Aya Healthcare Inc
5930 Cornerstone Court West SuiteSan DiegoCA92121Contract Staffing$1,068,703
Huron Consulting Services
550 W Van Buren St 1700ChicagoIL60607Consulting$945,347
Medical Solutions LLC
22 Heritage Dr Ste 108BourbonnaisIL60914Contract Staffing$914,625
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Government Grants$1,570,099GovernmentGrantsAmt
All Other Contributions$653AllOtherContributionsAmt
Total Contributions$1,570,752TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue624100$63,468,020$63,468,020
Employee Retail Pharmacy456110$130,021$130,021
Congregate Living900099$127,068$127,068
Quality Revenue900099$40,782$40,782

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$157,053TotalRevenueColumnAmt
Related Or Exempt Func Income$157,053RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$63,922,944TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$160,061TotalRevenueColumnAmt
Exclusion$160,061ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$241,986RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$38,959RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$203,027RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$203,027TotalRevenueColumnAmt
Unrelated Business Revenue$20,912UnrelatedBusinessRevenueAmt
Exclusion$182,115ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,214,645SecuritiesAmt
Other$6,311,585OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$5,653,156OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,214,645SecuritiesAmt
Other$658,429OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,873,074TotalRevenueColumnAmt
Unrelated Business Revenue$540,977UnrelatedBusinessRevenueAmt
Exclusion$1,332,097ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,729,858TotalRevenueColumnAmt
Related Or Exempt Func Income$63,922,944RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$561,889UnrelatedBusinessRevenueAmt
Exclusion$1,674,273ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$9,222TotalAmt
Program Services$9,222ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$30,267,106TotalAmt
Program Services$26,186,595ProgramServicesAmt
Management And General$4,080,511ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$805,029TotalAmt
Program Services$696,495ProgramServicesAmt
Management And General$108,534ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,958,797TotalAmt
Program Services$3,425,072ProgramServicesAmt
Management And General$533,725ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,235,786TotalAmt
Program Services$1,934,357ProgramServicesAmt
Management And General$301,429ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,120,495TotalAmt
Management And General$1,120,495ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$58,980TotalAmt
Management And General$58,980ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,947,923TotalAmt
Program Services$10,628,108ProgramServicesAmt
Management And General$7,319,815ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$344,186TotalAmt
Management And General$344,186ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,898,348TotalAmt
Program Services$2,450,158ProgramServicesAmt
Management And General$448,190ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,399,099TotalAmt
Program Services$977,753ProgramServicesAmt
Management And General$421,346ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$59,085TotalAmt
Program Services$41,865ProgramServicesAmt
Management And General$17,220ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$41,953TotalAmt
Program Services$41,639ProgramServicesAmt
Management And General$314ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$712,185TotalAmt
Program Services$497,707ProgramServicesAmt
Management And General$214,478ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,660,283TotalAmt
Program Services$3,256,811ProgramServicesAmt
Management And General$1,403,472ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$667,774TotalAmt
Program Services$667,774ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$7,287,842$7,287,842
Repairs and maintenance$2,664,225$1,826,403$837,822
Dues & Memberships$159,073$46,919$112,154

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$77,297,391TotalAmt
Program Services$59,974,720ProgramServicesAmt
Management And General$17,322,671ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,825BOYAmt
EOY$558EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$970,543BOYAmt
EOY$1,834,046EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,740,629BOYAmt
EOY$849,468EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,765,633BOYAmt
EOY$1,821,780EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,780,966BOYAmt
EOY$1,891,831EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$108,309,470LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$83,373,770LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$35,252,302BOYAmt
EOY$24,935,700EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,523,367BOYAmt
EOY$2,384,561EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$15,762,000BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$316,811BOYAmt
EOY$316,811EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,901,065BOYAmt
EOY$1,347,681EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$76,016,141BOYAmt
EOY$35,382,436EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,214,625BOYAmt
EOY$14,548,293EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$23,487,475BOYAmt
EOY$6,944,924EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,058,984BOYAmt
EOY$7,307,561EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$42,761,084BOYAmt
EOY$28,800,778EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,646,416BOYAmt
EOY$5,961,081EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$608,641BOYAmt
EOY$620,577EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,255,057BOYAmt
EOY$6,581,658EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$76,016,141BOYAmt
EOY$35,382,436EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$9,567,533ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$17,105,866OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$836,749OtherCostOrOtherBasisAmt
Book Value$836,749BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$59,941InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$70,634,418OtherCostOrOtherBasisAmt
Depreciation$49,026,640DepreciationAmt
Book Value$21,667,719BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,775InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$34,205,368OtherCostOrOtherBasisAmt
Depreciation$31,995,376DepreciationAmt
Book Value$2,215,767BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,567,219OtherCostOrOtherBasisAmt
Depreciation$2,351,754DepreciationAmt
Book Value$215,465BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$24,935,700TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Deferred compensation obligation$2,384,561
Estimated claims reserve$95,000
Estimated third-party payor settlements$4,828,000
FieldValueIRS element (for citing)
Total Liability$7,307,561TotalLiabilityAmt

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
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$544,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$544,000NetCommunityBenefitExpnsAmt
Total Expense0.00700TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,404,100TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,163,669DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,240,431NetCommunityBenefitExpnsAmt
Total Expense0.05490TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,948,100TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,163,669DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,784,431NetCommunityBenefitExpnsAmt
Total Expense0.06190TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,509,529TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,493,611DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,015,918NetCommunityBenefitExpnsAmt
Total Expense0.18130TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,509,529TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,493,611DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,015,918NetCommunityBenefitExpnsAmt
Total Expense0.18130TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,457,629TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,657,280DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,800,349NetCommunityBenefitExpnsAmt
Total Expense0.24320TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,708,392BadDebtExpenseAmt
Bad Debt Expense Attributable$270,839BadDebtExpenseAttributableAmt
Reimbursed By Medicare$9,021,523ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$14,353,254CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,331,731MedicareSurplusOrShortfallAmt

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 Line1St Margaret's Health-Spring ValleyBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 East First StreetAddressLine1Txt
CitySpring ValleyCityNm
State AbbreviationILStateAbbreviationCd
ZIP61362ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.aboutsmh.orgWebsiteAddressTxt
State License0002576StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Other12 Provider based clinicsOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Margaret's Health-Spring ValleyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
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 Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Page 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.aboutsmh.org/community-health-needs-assessments/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 Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
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
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.aboutsmh.org/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.aboutsmh.org/financial-assistance/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.aboutsmh.org/financial-assistance/FAPSummaryOnWebsiteURLTxt
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
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
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
St. Margaret's Health-Spring ValleyPart V, Section B, Line 5: The Community Health Needs Assessment (CHNA) process included representatives from St. Margaret's Health-Spring Valley, members of the Bureau, LaSalle, Marshall, and Putnam County Health Departments, and administrators from key community partner organizations. Members also consisted of individuals with special knowledge of and expertise in the healthcare of the community.
St. Margaret's Health-Spring ValleyPart V, Section B, Line 11: The following needs were identified in the 2021 community health needs assessment. - Healthy Lifestyles, nutrition, physical activity, and obesity - Substance abuse and mental healthThe Hospital and related clinics ceased operation on June 16, 2023 and filed for Chapter 11 bankruptcy in August 31, 2023. Due to staffing and financial issues the Hospital did not address the needs identified in its most recent CHNA.
St. Margaret's Health-Spring ValleyPart V, Section B, Line 13h: When balances considered for financial assistance exceed more than 25% of the income listed on the application, the applicant may be responsible to pay 25% of their income and the remaining balances will be considered financial assistance allowance. If applicant qualifies for the SNAP (food stamp) program through the state of Illinois, balances may be considered for financial assistance allowance. Presumptive financial assistance may be granted to patients with or without insurance.
St. Margaret's Health-Spring ValleyPart V, Section B, Line 15e: St. Margaret's Health-Spring Valley posts a summary of its charity care policy in the admissions/registration areas, waiting rooms, emergency rooms, and other areas the organization finds beneficial to patients. The policy and contact information on financial assistance is provided and discussed during the admission and discharge process. Each patient bill includes an explanation on how to inquire about financial assistance or an uninsured discount.
St. Margaret's Health-Spring ValleyPart V, Section B, Line 16j: Financial Assistance. Upon notification from Registration regarding Self Pay Admissions, Patient Account clerk or staff member from another department tries to contact the patient to discuss availability of financial assistance. Utilization Review distributes applications when financial assistance is requested from nursing or the patient, or upon admission in the nursing unit when possible. Clinic Clerks distribute applications when requested by the patient, or if the patient informs them of problems in paying their bills. Bills, letters regarding balances, and statements sent to the patient explain how to inquire about financial assistance or an uninsured discount. Qualified patients seeking help or options in paying bills for St. Margaret's Health-Spring Valley services, will be offered financial assistance as an option. If a patient chooses to apply for financial assistance, they are given an "Application for Financial Assistance" which is to be completed according to directions on application and returned to the Patient Accounts Center.
St. Margaret's Health-Spring ValleyPart V, Section B, Line 24: All individuals eligible under the Hospital's financial assistance policy are provided a discount for emergency and other medically necessary care. FAP-eligible patients without insurance may be charged gross charges on elective procedures.
Schedule H, Part V, Section B, Line 7a:Community Health Needs Assessment website:www.aboutsmh.org/community-health-needs-assessments/
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - St Margaret's Home Medical EquipmentBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 East First StreetAddressLine1Txt
CitySpring ValleyCityNm
State AbbreviationILStateAbbreviationCd
ZIP61362ZIPCd
FieldValueIRS element (for citing)
FacilityDurable medical equipmentFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:When balances considered for financial assistance exceed more than 25% of the income listed on the application, the applicant may be responsible to pay 25% of their income and the remaining balances will be considered financial assistance allowance. If applicant qualifies for the SNAP (food stamp) program through the state of Illinois, balances may be considered for financial assistance allowance. Presumptive financial assistance may be granted to patients with or without insurance.
Part I, Line 7:Charity care expense was converted to cost based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b and the cost for subsidized health services reported on line 7g were calculated using the costing methods used to prepare the cost reports.
Part III, Line 2:The amount reported on line 2 represents implicit price concessions. The Health Center determines its estimate of implicit price concessions based on its historical collection experience with the class of patients.
Part III, Line 3:The Hospital reasonably estimates the portion of implicit price considerations that could have qualified for charity care. An estimated 10% of implicit price concessions in 2023 are attributable to patients potentially eligible for charity care. This is based on the percentage of individuals living below the federal poverty level.
Part III, Line 4:The footnote to the organization's financial statements addressing implicit price concessions may be found on pages 13 and 14 of the attached audited financial statements.
Part III, Line 8:The Medicare program does not cover all the costs of caring for these patients. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the entire Medicare shortfall is considered a community benefit. The Organization reported only those allowable costs and Medicare reimbursements reported in the Medicare Cost Report for the year.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services.
Part III, Line 9b:The Hospital does not pursue extraordinary collection activities for 120 days from the date of service while the patient is applying for financial assistance. A 30-day notice is provided to the patient before any collection activities begin. A patient has a total of 240 days to apply for financial assistance.
Part VI, Line 2:St. Margaret's Health-Spring Valley identified unmet community health needs by participating in community coalitions, partnerships, boards, committees, commissions, advisory groups, and panels. For example, Hospital representatives met with the local health department to jointly evaluate the needs of the community. In particular, Hospital staff met with local mental health service providers to discuss unmet mental health needs in the community. On a monthly basis, the Hospital reviews its internal patient surveys. On a tri-annual basis, the Board met with select medical staff members and Hospital staff to develop a strategic plan, which addressed the demographics of the communities served. The Hospital provided health education and outreach at various locations in the community, where participants were educated on the importance of disease prevention and early detection. The Hospital supported a local free clinic by providing free lab services. This allowed employed physicians to donate their services and provide financial assistance.
Part VI, Line 3:St. Margaret's Health-Spring Valley posted a summary of its charity care policy in the admissions/registration areas, waiting rooms, emergency rooms, and other areas the organization found beneficial to patients. The policy and contact information on financial assistance was provided and discussed during the admission and discharge process. Upon notification from Registration regarding self-pay admissions, the Patient Account clerk or staff member from another department tries to contact the patient to discuss availability of financial assistance. Also, information on other programs, such as government benefits, Medicaid or state programs, are discussed with patients. Assistance is also provided for individuals applying for government benefits. Patients are encouraged to explore their options and use our resources to obtain assistance with their bills. Each patient bill includes an explanation on how to inquire about financial assistance or an uninsured discount.
Part VI, Line 4:St. Margaret's Health-Spring Valley was a 44-bed acute care hospital located in Spring Valley, IL. Spring Valley, IL is a city situated on the Illinois river in the southeastern corner of Bureau County, IL. Bureau County is located in the Northcentral region of Illinois. The population is approximately 5,582 people. Spring Valley is part of the "Illinois Valley Micropolitan" (La Salle, Peru, and Spring Valley) which total approximately 25,000 people. Common industries are retail trade, office and administration, material moving, food preparation, and health. The median household income was $50,549 and the unemployment rate was 6.3%. Medicare and public aid make up over 62% of our total patient service revenue. The nearest city with a population greater than 50,000 is Peoria, IL located 47 miles SW of Spring Valley.
Part VI, Line 5:To meet the needs of our community, the Hospital extends privileges to medical staff that are qualified and licensed. Surplus funds are invested in facility and equipment upgrades to better serve the health of our population.Our organization was committed to be involved and helpful to the community. The emergency room was open 24 hours a day and everyone was treated regardless of their ability to pay.
Part VI, Line 6:We were affiliate of the Sisters of Mary of the Presentation Health System (SMP Health). St. Margaret's Health-Spring Valley operates in accordance with the mission, vision, and values of SMP Health.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
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
Dr Michael Shin MD
Physician$784,052$0$498,111$0$8,140$0$4,800$0$44,072$0$1,339,175$0$0$0
Dr Paul Perona MD
Physician$783,217$0$188,129$0$12,123$0$25,300$0$44,907$0$1,053,676$0$0$0
Dr Dale Chilson DO
Physician$196,041$0$400,448$0$9,713$0$4,800$0$27,619$0$638,621$0$0$0
Timothy A Muntz
President & CEO$0$484,000$0$48,258$0$43,415$0$30,499$0$27,405$0$633,577$0$0
Dr Rahul Sampat
Family Medicine$280,195$0$136,825$0$70,239$0$25,300$0$43,930$0$556,489$0$0$0
Dr Thaw Tun MD
Internal Medicine$250,522$0$272,907$0$1,584$0$4,800$0$21,830$0$551,643$0$0$0
Lisa Lynch
VP of Finance$0$237,738$0$0$0$0$0$9,030$0$21,581$0$268,349$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aSt. Margaret's Health-Spring Valley provides travel for Board Member companions in the years Board Members are required to attend a retreat. The retreat is intended for education on ethics, finance and healthcare.
Part I, Line 3St. Margaret's Health-Spring Valley does not pay compensation to Timothy A. Muntz, President & CEO. This individual is compensated by SMP Health, a related organization, for his services at the Hospital. SMP Health uses one or more of the methods on Part I, question 3 to determine his compensation.
Part I, Line 4bSMP Health has a nonqualified deferred compensation plan that complies with Section 409A of the IRC. SMP Health begins contributions into the plan after the employee's first year of service. The employee is vested based on a 20 year vesting schedule or becomes fully vested in the event of death, disability or reaching the age of 65. Employee name and amounts included on Schedule J are as follows: Name Part II, column B (iii) Timothy A. Muntz 37,415

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 3St. Margaret's Health - Spring Valley ceased operations on Friday, June 16, 2023. On August 31, 2023, the hospital filed a petition for relief under Chapter 11 of the federal bankruptcy law in the United States Bankruptcy Court.
Form 990, Part IV, Line 20b:The audit of St. Margaret's Health - Spring Valley for the year ended September 30, 2022 was started in November 2022. The audit was suspended due to outstanding items and never completed. St. Margaret's Health - Spring Valley ceased operations on Friday, June 16, 2023. On August 31, 2023, the hospital filed a petition for relief under Chapter 11 of the federal bankruptcy law in the United States Bankruptcy Court. The audit for fiscal year ending September 30, 2023 was not completed. The Organization has attached a copy of its most recent audited financial statements for the years ended September 30, 2021 and 2020 to the Form 990 and answered yes to Part IV, line 20b.
Form 990, Part VI, Section A, line 6The sole member of the organization is St. Margaret's Health.
Form 990, Part VI, Section A, line 7aSt. Margaret's Health, sole member, has authority to elect and remove, with or without cause, the Board of Directors of the Corporation or any member of the Board of Directors of the Corporation.
Form 990, Part VI, Section A, line 7bSt. Margaret's Health, sole member, has exclusive right to: (a) To establish, approve, or modify the philosophy, vision, values and mission according to which the Corporation operates; (b) To lease, sell, encumber or otherwise alienate any real property or interest in real property of the Corporation; To approve any transfer, lease, sale or encumbrance of personal property of the Corporation except in the ordinary course of business; (d) To approve any purchase or other acquisition by the Corporation that is not included in its operating and capital budgets and exceeds $100,000.00; (e) To approve any borrowing or debt financing on behalf of the Corporation, to structure and restructure indebtedness of the Corporation, and to enter into and amend agreements relating to indebtedness of the Corporation; (f) To require a certified audit of the finances of the Corporation and to appoint the certified public accountant to perform any audit; (g) To approve the engagement of and to dismiss any outside legal counsel to represent the Corporation on a regular basis or in connection with any matter deemed by Member to have significance for the Member and/or its affiliates; (h) To elect and remove, with or without cause, the board of directors of the Corporation or any member of the board of directors of the Corporation; (i) To merge or consolidate the Corporation with other entities, to merge other entities into the Corporation, or to dissolve the Corporation, in accordance with applicable law; (j) To amend the bylaws and Articles of Incorporation of the Corporation in accordance with applicable law; (k) To expand, consolidate, terminate or close any of the facilities and services of the Corporation; (l) To hire, appoint, enter into an employment contract with, discipline, remove or terminate the Corporation President & CEO and to appoint and remove the Corporation Chairperson, Vice Chairperson, Secretary and Chief Financial Officer; (m) To approve strategic plan and management objectives for the Corporation, which will be developed by the Corporation and recommended to Member; (n) To adopt or modify the operating budget and capital budget for any fiscal year for the Corporation, which will be developed by the Corporation and recommended to Member; (o) To give preliminary approval prior to the development of, and to give final approval prior to the execution of, all documents to which the Corporation will be a party to joint ventures and other affiliations with third parties, and approve the creation, formation, organization, or termination of any legal entity in which the Corporation will have any ownership interest, membership interest, power to elect or appoint board members or officers, or any other formal participation arrangement, whether acting alone or in conjunction with any other person or entity; (p) To approve appointments to governing bodies of joint ventures between the Corporation and third parties and other legal entities in which the Corporation has any power to elect or appoint board members or officers; and (q) To take any and all actions deemed necessary, in the sole judgment of the Member, to protect and preserve the tax-exempt status and public charity status of the Member and any tax-exempt affiliate of the Member (including federal and state income tax exemptions, property tax exemptions, and sales tax exemptions); provided the Member has given a written request to the Corporation to take action or refrain from taking action, which would have sufficiently protected and preserved such tax-exempt and public charity status, and the Corporation has failed to promptly take such action or refrain from taking such action.
Form 990, Part VI, Section A, line 8bThe organization does not have committees with authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11bThe Form 990 is made available to the Board of Directors. The President & CEO and Vice President of Finance review the Form 990.
Form 990, Part VI, Section B, line 12cEach Director and officer must submit in writing to the Chair of the Board and the President & CEO a list of all business or other organizations of which the individual is an officer, director, trustee, member, owner (either as a sole proprietor or partner), shareholder with a 5% or greater interest in all outstanding voting shares, employee or agent, with which the organization has, or might reasonably in the future enter into, a relationship or a transaction in which the Director would have conflicting interests. Each written statement is resubmitted with any necessary changes each year. The Chair of the Board reviews the statements of the Directors and the Vice Chair of the Board reviews the statement filed by the Chair. When a conflict arises the affected Director makes known the potential conflict, whether disclosed by written statement or not, and after answering any questions, will withdraw from the meeting for as long as the matter continues under discussion. Should the matter be brought to a vote, the affected Director will not vote on it. In the event the Director does not withdraw voluntarily, the Chair of the Board as authority to require the Director to remove himself from the room during both the discussion and vote on the matter. In the event the conflict of interest affects the Chair, the Vice Chair has authority to require the Chairperson remove himself in the same matter. If the matter is the item of business for which a special meeting of the Board was called, the affected Director will not be counted to establish a quorum, and he/she will not participate in the deliberations or vote on it.
Form 990, Part VI, Section B, line 15The Organization's President & CEO and Vice President of Finance are compensated by SMP Health, a related organization. The compensation process is determined by SMP Health. SMP Health's Board of Trustees directly engages a nationally recognized independent compensation consulting firm to review the total compensation arrangements of the officers and key employees. SMP Health's Board of Trustees approves all compensation based on comparable data and documents their decision in the meeting minutes.
Form 990, Part VI, Section C, line 19The Organization's governing documents, conflict of interest policy, and financial statements are not available to the public. Financial information is available through the public disclosure copy of the 990.
Form 990, Part IX, line 11gPurchased services: Program service expenses 7,660,839. Management and general expenses 3,877,881. Fundraising expenses 0. Total expenses 11,538,720. Professional fees: Program service expenses 0. Management and general expenses 3,414,064. Fundraising expenses 0. Total expenses 3,414,064. Contract Labor: Program service expenses 2,967,269. Management and general expenses 27,870. Fundraising expenses 0. Total expenses 2,995,139.
Form 990, Part XI, line 9:Equity transfers to affiliates -17,117,703. Change in beneficial interests in assets held by others 11,837.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SMP Enterprises - ILBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 East 1st StreetAddressLine1Txt
CitySpring ValleyCityNm
State AbbreviationILStateAbbreviationCd
ZIP61362ZIPCd
FieldValueIRS element (for citing)
EIN363456566EIN
Primary ActivitiesHealthcare ManagementPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Total Income$2TotalIncomeAmt
End Of Year Assets$1,886,038EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1St Margaret's Health - Spring ValleyBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Illinois Valley Community Hospital Foundation
925 W StPeruIL61354371211780Support IV HealthCorp, Inc.IL501(c)(3)Line 12a, IIV HealthCorp Inc0
IV HealthCorp Inc
925 W StPeruIL61354371211890Support SMP affiliated entitiesIL501(c)(3)Line 12a, ISt Margaret's Health0
Presentation Medical Center dba SMP Health - St Kateri
213 2nd Ave NERollaND58367450227391Provision of health care servicesND501(c)(3)Line 3SMP Health0
Sisters of Mary of the Presentation Health Ministry
1202 Page Drive SWFargoND58106320617468Supports SMP Health and the related entitiesND501(c)(3)0N/A
Sisters of Mary of the Presentation Health System dba SMP Health
1202 Page Drive SWFargoND58103450359620Support related ND Catholic Health Care SystemND501(c)(3)Line 12a, ISMP Health Ministry0
SMP Illinois Region Health System dba St Margaret's Health
600 E 1st StSpring ValleyIL61362842023121Support related Illinois health care entitiesIL501(c)(3)Line 12a, ISMP Health0
SMP Long Term Care dba SMP Health - Long Term Care
1202 Page Drive SWFargoND58106752999939Provide extended care and medically related servicesND501(c)(3)Line 10SMP Health0
SMP Prairieland Home Care dba Prairieland Home Care
1102 Page Drive SWFargoND58106450391192Home health and supportive servicesND501(c)(3)Line 10SMP Health0
St Aloisius Medical Center dba SMP Health - St Aloisius
325 E Brewster StHarveyND58341450226729Provision of health care servicesND501(c)(3)Line 3SMP Health0
St Andrew's Health Center dba SMP Health - St Andrew's
316 Ohmer StBottineauND58318450226426Provision of health care servicesND501(c)(3)Line 3SMP Health0
St Andrew's Hospital Foundation dba SMP Health St Andrew's Foundation Inc
316 Ohmer StBottineauND58318450413201Support SMP Health - St. Andrew'sND501(c)(3)Line 12a, ISMP Health0
St Margaret's Health-Peru
925 W StPeruIL61354362852553Provision of health care servicesIL501(c)(3)Line 3IV HealthCorp Inc0
St Margaret's Hospital Foundation
600 E 1st StSpring ValleyIL61362364042262Support SMP Health - St. Margaret'sIL501(c)(3)Line 12a, ISMP Health0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
SMP Enterprises
PO Box 10007FargoND581060007363486506Collection AgencyNDN/AC0
Illinois Valley Health Services Inc
925 W StPeruIL61354364050682InactiveILN/AC0
Health Care Building Corp
925 W StPeruIL61354363306917InactiveILN/AC0
Valley Health Enterprises Inc
925 W StPeruIL61354363476877Home medical equipmentILN/AC0
IVCH General Professional Liability Loss Fund
925 W StPeruIL61354366673231InactiveILN/AT0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd