2019-04-26T15:30:07-05:00 2018-06-30 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2017-07-01 366000085 Thorek Memorial Hospital THOR 7739756806 850 W Irving Park Road Chicago IL 60613 Tim Heinrich Chief Financial Officer 2019-04-26 true Jennifer Burke P01342224 3128997000 2017 2019-02-21 02:37:17Z Tim Heinrich 850 W Irving Park Road Chicago IL 60613 163369498 false X www.thorek.org X 1911 IL Thorek Hospital is dedicated to providing quality patient care, promoting wellness, and supporting education. 8 6 478 0 -157 -1216 0 64895376 60009014 13084151 24039860 1041660 1302001 79021187 85350875 39142 0 23546192 24329185 0 0 39562240 39326776 63108432 63695103 15912755 21655772 346891093 360598750 29039532 22207191 317851561 338391559 Thorek Hospital is committed to providing appropriate patient services in a caring and cost-effective manner. Thorek Hospital seeks to serve its patients, physicians, employees, and community by providing quality services and encouraging employee excellence. Thorek Hospital will support education and will act as a responsible member of our community and the healthcare delivery system. false false 50099468 39142 60480447 THOREK MEMORIAL HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THOREK HOSPITAL, WE RECOGNIZE THAT IT IS THE HOSPITAL'S MISSION TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION AND THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PAY FOR ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF OUR COMMUNITY, WE PROVIDE FREE CARE AND OR SUBSIDIZED CARE TO INDIVIDUALS WHO ARE UNABLE TO PAY FOR ESSENTIAL SERVICES, AND PROVIDE HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT OUR COMMUNITY. 50099468 true false false true false false false false false true true false false true true true false false false false false false false false false true true true false true false false false false false false false false false false false false false true true false false false true 95 0 true 478 true true true false false false false false true false false false X 8 6 false false false false false false false true true false false true true true true true true true true false IL X Tim Heinrich 7739756806 850 W Irving Park Road Chicago IL 60613 Peter Kamberos Chairman and COO 40.0 X X 337174 0 1284 Jagan Mohan MD Secretary 6.0 0.5 X 25000 0 0 James E Nugent Vice Chair 6.0 X 25000 0 0 Edwin C Lennox Treasurer 6.0 X 25000 0 0 Robert Baudino Trustee 6.0 X 25000 0 0 Bonnie Phipps Trustee 6.0 X 25000 0 0 Neal Spero Medical Staff President (as of 1/1/2018) 40.0 X 277063 0 0 PHILIP GORELICK TRUSTEE 6.0 X 25000 0 0 SPENCER LAND MEDICAL STAFF PRESIDENT - (UNTIL 8/2017) 6.0 X 12500 0 0 Edward Budd CEO 40.0 1.0 X 308450 0 25094 Tim Heinrich CFO 40.0 X 225365 0 25094 Genevieve Presbitero Chief Nursing Officer 40.0 X 190786 0 9118 John Hunniford Physician 40.0 X 391026 0 8476 Ilysa Diamond Physician 40.0 X 267800 0 0 Olena Gordon Physician 40.0 X 201136 0 642 Carl Moshovitis Physician 40.0 X 200057 0 0 King Leong Physician 40.0 X 191133 0 0 2752490 0 69708 36 true true false Ernst and Young 200 Plaza Drive Secaucus NJ 07094 CONSULTING 1329938 CATALYST ANESTHESIA 1007 FRANKLIN AVENUE RIVER FOREST IL 60305 PHYSICIAN FEES 522500 WALLER LANSDEN DORTCH & DAVIS LLP NASHVILLE CITY CENTER 511 Union Street Suite 2700 Nashville TN 37219 LEGAL 307777 JHD Healthcare Partners 5057 KELLER SPRINGS ADDISON TX 75001 CONSULTING 307524 SALUD REVENUE PARTNERS 323 COLUMBIA ST SUITE 300 LAFAYETTE IN 47901 PATIENT ACCOUNTS 178898 12 X 0 Medicare 621110 16022885 16022885 Medicaid 621110 17069380 17069380 Blue Cross 621110 9927739 9927739 Other Payors 621110 2963910 2963910 Medicaid Assessment 621110 10704712 10704712 3320388 3320388 0 0 60009014 7107450 -157 7107607 1250869 420301 830568 0 830568 830568 94530732 77598322 16932410 0 16932410 16932410 Dietary Cash Sales 900099 92053 92053 379380 379380 0 0 471433 85350875 60480447 -157 24870585 39142 39142 1410929 1410929 19928380 15093212 4835168 1517758 1214206 303552 1472118 1177694 294424 122671 122671 60300 60300 63750 51000 12750 636068 636068 3616181 2892945 723236 0 15193 15193 1478428 1182742 295686 1036239 828991 207248 1199671 959737 239934 44192 35354 8838 32779 26223 6556 250967 250967 3909284 3127427 781857 1859330 1487464 371866 Medical Supplies 8893212 7114570 1778642 Purchased Services 7529549 6023639 1505910 Medicaid Assessment 5124056 5124056 Bad Debt 2275932 2275932 1178974 1178974 0 0 63695103 50099468 13595635 0 2389616 1613892 6755808 6172322 0 0 0 1285682 1245920 291595 483724 116457683 70283493 48874391 46174190 275866308 299215771 0 11427693 5692931 346891093 360598750 4493152 5023461 0 8226085 7185447 16320295 9998283 29039532 22207191 X 317851561 338391559 317851561 338391559 346891093 360598750 21655772 -1115774 0 X false true X true false X false false false false false false false false true 84171 84171 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THOREK IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION ("AHA"), AND THE ILLINOIS HOSPITAL ASSOCIATION ("IHA"). AS A MEMBER OF THESE ORGANIZATIONS, THOREK PAYS DUES, WITH PART OF THESE DUES BEING INDIRECTLY ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. In addition to being a member of these aforementioned organizations, Thorek Memorial Hospital has chosen to retain a lobbyist in order to strategize and advocate on behalf of the hospital before the Illinois General Assembly and the Governor's Administration. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THOREK IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION ("AHA"), AND THE ILLINOIS HOSPITAL ASSOCIATION ("IHA"). AS A MEMBER OF THESE ORGANIZATIONS, THOREK PAYS DUES, WITH PART OF THESE DUES BEING INDIRECTLY ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. In addition to being a member of these aforementioned organizations, Thorek Memorial Hospital has chosen to retain a lobbyist in order to strategize and advocate on behalf of the hospital before the Illinois General Assembly and the Governor's Administration. 14137216 14137216 59816171 39808328 20007843 40573358 29010339 11563019 1930938 1464826 466112 46174190 FIXED INCOME SECURITIES 56977566 F EQUITY SECURITY FUNDS 225079705 F GOVERNMENTAL SECURITIES 11461266 F HEDGE FUND 5697234 F 299215771 SELF-INSURANCE RESERVE 6200040 THIRD PARTY PAYOR SETTLEMENTS 2794743 LINE OF CREDIT 1003500 9998283 X 81743402 -1115774 -2275932 -3391706 85135108 636068 -420301 215767 85350875 61203404 420301 0 420301 60783103 636068 2275932 2912000 63695103 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Internal Revenue Service has ruled that the Hospital is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code, and accordingly, no tax provision is reflected in the financial statements. Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Hospital and recognize a tax liability if the Hospital has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS or other applicable taxing authorities. Management has analyzed the tax positions taken by the Hospital and has concluded that as of June 30, 2018 and 2017, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements. The Hospital is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Hospital recognizes interest and/or penalties related to income tax matters in income tax expense. The Hospital did not have any amounts accrued for interest and penalties at June 30, 2018 and 2017. Management believes it is no longer subject to income tax examinations for years prior to June 30, 2015. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 PROVISION FOR BAD DEBT - -2275932 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements RENTAL EXPENSE - -420301 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements PROVISION FOR BAD DEBT - 2275932 true true X true X true X 600 true true false true true 664433 664433 0.0104 24594683 27774092 0 0.0 0 0.0 0 0 25259116 27774092 664433 0.0104 69524 69524 0.0011 0 0.0 1982051 1858877 123174 0.0019 0 0.0 0 0.0 0 0 2051575 1858877 192698 0.0030 0 0 27310691 29632969 857131 0.0135 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 2275932 13772220 12308280 1463940 X true true 1 1 Thorek Memorial Hospital 850 W Irving Park Road Chicago IL 60613 www.thorek.org 0005371 X X X Thorek Memorial Hospital 1 false false true X X X X X X X X X 15 true false false true X https://www.thorek.org/community/community-benefit X true 16 true https://www.thorek.org/community/community-benefit false true X 200.0 600.0 X X X true true X X X true X HTTP://WWW.THOREK.ORG/FINANCIAL-ASSISTANCE/ X HTTP://WWW.THOREK.ORG/FINANCIAL-ASSISTANCE/ X HTTP://WWW.THOREK.ORG/FINANCIAL-ASSISTANCE/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - THOREK MEMORIAL HOSPITAL. The Hospital has consulted and received input from multiple constituents who represent the community in which the hospital serves. Management routinely meets with representatives from the Buena Park Neighbors (BPN), a not for profit community organization, to identify needs in the community of Buena Park. Through donations, meetings with leadership of BPN, and involvement in various activities of BPN, Thorek actively participates in the Buena Park community. Thorek also routinely receives input from Alderman Cappelman's office regarding its standing within the community as well as opportunities to provide services or resources to local community as needs are identified. Thorek also seeks and receives input from management at several local Chicago housing authority buildings within its immediate community and service area. This input primarily focuses on the geriatric needs of the community and leads to programs and services directed to meet the needs of seniors within Thorek's community. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Thorek Memorial Hospital. After considering the findings of the CHNA in the context of current community-focused activities and resources, Thorek has decided to address the following health priority areas (in no particular order) and develop detailed implementation plans as described for each area: 1) Access to Healthcare Services: Goal: Increase the proportion of persons with a usual primary care provider; increase the number of primary care visits; and reduce the proportion of persons who are unable to obtain or delay in obtaining necessary medical care/screenings. Strategies & Objectives: 1. Continue to provide access to care through 24/7 Emergency Department. 2. Continue to host Get Covered Illinois representatives on-site, helping community members enroll in a Marketplace plan. 3. Continue to operate off-site clinic offices in order to provide high quality primary care in several locations throughout the primary service areas. 4. Increase primary care hours by keeping the Primary Care Clinic open six days a week, rather than five. 5. Distribute a list of Thorek primary care physicians and locations at all Thorek sponsored events. 6. Improve website's "Find a Physician" section to make it easier for community members to find a doctor based on their unique needs and preferences. 2) Cancer: Goals: Earlier detection of breast cancer and skin cancer, allowing for timely intervention and better prognosis; and increase awareness of hospital's cancer services. Strategies & Objectives: 1. Continue offering mammograms at a reduced rate during the month of October. 2. Continue the annual Women's Health Fair event to provide information on prevention, early detection and treatment of breast cancer, as well as other women's health needs. 3. Increase mammogram reminders by sending out communications to women in the primary service areas, in addition to the reminders already sent to women who have had mammograms at Thorek in the past. 4. Implementation of an annual free Skin Cancer screening event, with support from Thorek dermatologist(s). 3) Mental Health: Goals: Improve access to and create additional capacity to address mental health needs of the community; and improve health-related quality of life and well-being for all individuals. Strategies & Objectives: 1. A new, 16-bed inpatient mental health unit was added January 1, 2017, increasing Thorek's capacity to address mental health needs. 2. Recently expanded outpatient mental health services by adding a Psychiatric Nurse Practitioner to staff. 3. Conduct outreach to patients diagnosed with depression who have not been seen for a follow up visit within the past year. 4. Hold a "De-Stress Fest" spring wellness event designed to help the community (and Thorek associates) fight off stress, while bringing attention to the mental health services offered by the hospital. 4) Oral Health: Goals: Reduce the proportion of children and adults with untreated dental decay; and increase the proportion of children and adults who have used the oral health system in the past year. Strategies & Objectives: 1. Recently added Dr. Ardita Dalipi to the Thorek staff. Dr. Dalipi specializes in family dentistry with a specific focus on pediatric dentistry. 2. Explore adding other dentistry specialists to the Thorek staff, increasing the hospital's capacity to address oral health needs. 3. Offer a number of discounted back-to-school dental exams for children entering grades K-12. 4. Collaborate with Dr. Dalipi to expand community outreach and awareness through direct communication efforts, open houses, and other community events. Please note for each of the significant health needs of the Community identified in the CHNA that Thorek will not be addressing are important and are already being addressed by numerous programs and initiatives operated by Thorek, community partners of the hospital, and/or other organizations within Thorek's primary service areas. As such, Thorek will not be directly addressing as part of the implementation plan due to limited resources and the need to focus on the four priority health needs identified above. 4 China Square Clinic 2142 S Archer Avenue Chicago IL 60616 Clinic Ukrainian Village Clinic 2331 W Chicago Avenue Chicago IL 60622 Clinic Lincoln Square Clinic 5151 N Lincoln Avenue Chicago IL 60625 Clinic Ukrainian Village Clinic 2515 West Chicago Chicago IL 60622 Clinic Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT THOREK PREPARES AND FILES THE ANNUAL NON PROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT BY DECEMBER 31 OF EACH YEAR WITH THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS. Schedule H, Part V, Section B, Line 22 Line 22D - AMOUNTS CHARGED TO FAP- ELIGIBLE PATIENTS Thorek Memorial Hospital calculates AGB under the Prospective Medicare Method, which means that Thorek determines AGB for any emergency or other medically necessary care provided to an individual eligible for financial assistance by using the billing and coding process Thorek would use if the individual were a Medicare fee-for-service beneficiary and setting the AGB for the care at the amount Medicare would allow for the care (including both the amount that would be reimbursed by Medicare and the amount the beneficiary would be personally responsible for paying in the form of co-payments, co-insurance and deductibles)." Schedule H, Part I, Line 7g Subsidized Health Services THOREK HAS NOT INCLUDED COSTS ATTRIBUTABLE TO ANY PHYSICIAN CLINIC AS PART OF SUBSIDIZED HEALTH SERVICES. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance FINANCIAL ASSISTANCE AT COST AND UNREIMBURSED MEDICAID: RATIO OF PATIENT CARE COST TO CHARGES WAS CALCULATED USING WORKSHEET 2. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount An allowance for uncollectible accounts is established on an aggregate basis by using historical write-off rate factors applied to unpaid accounts based on aging. Loss rate factors are based on historical loss experience and adjusted for economic conditions and other trends affecting the Hospital's ability to collect outstanding amounts. Uncollectible amounts are written off against the allowance for doubtful accounts in period they are determined to be uncollectible. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The provision for bad debt is based upon management's assessment of historical and expected collections of accounts receivable considering business and economic conditions, trends and healthcare coverage, and other collection indicators. Accounts receivable are written off and charged to the provision for bad debt after collection efforts have been made in accordance with the Hospital's policy. Recoveries are treated as a reduction to the provision for bad debt. Accounts receivable are reduced by an allowance for doubtful accounts. Periodically, management assesses the adequacy of the allowance for estimated collectible accounts based upon historical write-off experience by major payor category. Data about the major payor source is analyzed to establish an appropriate allowance for collectible receivables and provision for bad debt. For receivables associated with services provided to patients who have third-party coverage, contractually due amounts are analyzed and compared to actual cash collected over time to enhance the quality of the estimate of the allowance for collectible accounts and the provision for bad debt. For example, for unexpected uncollectible deductibles and copayments on accounts for which the third-party has not yet paid, or for payors who are known to be having financial difficulty that make the realization of the amounts due unlikely. For receivables associated with self-pay patients, 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, an allowance for estimated uncollectible accounts is recorded on the basis of historical experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. An estimate of the difference between contracted rates and amounts collected, after all reasonable collection efforts have been exhausted, is charged to the provision for patient bad debt and credited to the allowance for estimated uncollectible accounts. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Medicare costs are allocated by cost center in accordance with Medicare regulations. The costs are calculated using a cost to charge ratio. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Thorek seeks to engage patients proactively to determine if financial assistance is needed, especially at the time of service. This service is accomplished by communicating the availability of financial assistance to the patient through posted signs throughout the Hospital as well as notices on the Hospital website and all billing correspondence. Furthermore the Hospital financial counselors provide assistance ranging from assistance in completing the Hospital's financial assistance application, to providing payment plans to those without insurance or with patient responsibilities after reimbursement by the primary insurance, and seeking insurance coverage for those patients uninsured. The Hospital's financial counselors seek to make contact and work with the patient or their family to help them in any way possible to meet their financial responsibilities in a supportive manner or identify eligibility for the Hospital's charity care policy. Financial counselors work with patients in person while still an inpatient if appropriate, after an outpatient service at the Hospital, or soon after service is provided telephonically. As part of this process, the counselors attempt to determine if there are any third party payers which may be available to help the patient meet their obligations. The counselors work with our patients to determine if they are eligible for Medicaid or other state or local funded programs including crime victims, Illinois market place insurance plans, alternative insurance including cobra, worker's compensation, and/or other appropriate third party liability payor. The Hospital contracts with an outside firm to provide supporting staff that work with approximately 150 patient accounts per month. The collection practices to be followed for patients who are known to qualify for charity care or financial assistance begins with a phone call or meeting with the patient to complete the Hospital charity care application forms and/or provided evidence of the need for financial assistance. If the charity care application meets the Hospital charity care guidelines of 200% of the federal poverty guidelines, no further collection activity occurs and the amount is appropriately recorded as charity care and written off after the 53% initial discount is applied. If the application meets the 201%-300% of federal poverty guideline the account is discounted at additional 50% and the payment plan is initiated for the remaining balance. For patients that do not meet charity care guidelines, a 53% (based on 300% of federal poverty guidelines) initial discount is taken. The remaining amount is paid based upon an agreed payment plan with the patient or the patient receives a further discount based upon the individual patient's financial situation. Any final amount to be paid is determined and paid in full or according to an agreed upon payment plan with the patient. Every opportunity is made to ensure the patient has the chance to pay what they can afford based upon their financial situation at that time. Schedule H, Part V, Section B, Line 16a FAP website - Thorek Memorial Hospital: Line 16a URL: HTTP://WWW.THOREK.ORG/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - Thorek Memorial Hospital: Line 16b URL: HTTP://WWW.THOREK.ORG/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Thorek Memorial Hospital: Line 16c URL: HTTP://WWW.THOREK.ORG/FINANCIAL-ASSISTANCE/; Schedule H, Part VI, Line 2 Needs assessment THOREK UTILIZES A COMMUNITY HEALTH ASSESSMENT SURVEY (CONDUCTED IN 2016) WITH AN ASSISTANCE OF AN OUTSIDE RESEARCH FIRM IN ORDER TO CAPTURE PRIMARY AND SECONDARY DATA ON THE HEALTH STATUS AND OPPORTUNITIES FOR IMPROVEMENT OF HEALTH SERVICES IN ITS COMMUNITY. THE PRIMARY DATA WAS OBTAINED THROUGH A TELEPHONE SURVEY OF OVER 3,700 ADULTS IN THE METROPOLITAN CHICAGO HEALTHCARE CARE COUNTY REGION THROUGH A 20-25 MINUTE INTERVIEW WITH 136 INDIVIDUAL QUESTIONS THAT ADDRESSED THE FOLLOWING ISSUES: SELF-REPORTED HEALTH STATUS, PHYSICAL AND MENTAL HEALTH STATUS, INFECTIOUS & CHRONIC DISEASE, MODIFIABLE HEALTH RISKS, ACCESS TO HEALTHCARE SERVICES, HEALTH EDUCATION & OUTREACH, AND HEALTH INFORMATION SOURCES. THESE SURVEYS WERE CONDUCTED IN ENGLISH AND SPANISH. THE PRIMARY DATA WAS SUPPLEMENTED WITH SECONDARY DATA INCLUDING SUCH SOURCES AS CDC, FBI, COUNTY AND STATE PUBLIC HEALTH DEPARTMENTS, NATIONAL CENTER FOR HEALTH STATISTICS, AND THE U.S. CENSUS BUREAU DATA. THE SECONDARY DATA INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING TOPICS: LEADING CAUSES OF DEATH, AGE-ADJUSTED DEATH RATES, VACCINE-PREVENTABLE CONDITIONS, STDS, HIV, AND OTHER INFECTIOUS DISEASES, AND FBI CRIME INDEX. THOREK PLANS TO USE THE ASSESSMENT INFORMATION TO EXPAND EXISTING AND CREATE NEW COMMUNITY HEALTH PROGRAMS MOST NEEDED BY UNDERSTANDING THE PREVALENCE OF CHRONIC CONDITIONS, BARRIERS TO ACCESS, AND OTHER HEALTH ISSUES IN THE COMMUNITY. IN ADDITION TO THE SURVEY, THOREK HAS HISTORICALLY AND CONTINUES TO IDENTIFY PRIORITIES FOR COMMUNITY BENEFIT THROUGH THE FOLLOWING INTERNAL REVIEW: THE THOREK MEMORIAL HOSPITAL (TMH) COMMUNITY NEEDS ASSESSMENT IS AN ONGOING PROCESS CONDUCTED BY TMH MANAGEMENT AND SUMMARIZED ANNUALLY IN THE ANNUAL NON PROFIT HOSPITAL COMMUNITY BENEFIT PLAN REPORT SUBMITTED TO THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS. THIS PROCESS UTILIZES INFORMATION OBTAINED FROM HEALTH AGENCIES AND PRACTITIONERS, COMMUNITY ORGANIZATIONS, AND COMMUNITY REPRESENTATIVES. THIS INFORMATION HAS BEEN GATHERED EITHER THROUGH REVIEW OF PUBLISHED INFORMATION, WRITTEN FEEDBACK, OR DIRECT INTERVIEWS OR DISCUSSIONS WITH PHYSICIANS AND PATIENTS. INDIVIDUALS INCLUDED ARE PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, REPRESENTATIVES FROM THE ELDERLY POPULATION, LOCAL EMPLOYERS, AND COMMUNITY REPRESENTATIVES. FINDINGS FROM THE ASSESSMENT INDICATE: - TMH SERVES A POPULATION HAVING LIMITED ECONOMIC MEANS - THE POPULATION SERVED BY TMH IS NOT BASED ON GEOGRAPHIC PROXIMITY - THERE IS A CONSENSUS BETWEEN TMH AND ITS MEDICAL STAFF REGARDING GOALS - THERE IS LOW CONSUMER AWARENESS OF TMH SERVICES, HOWEVER, THIS IS IMPROVING THE TOP PRIORITY UNMET HEALTH NEEDS, BY AGE GROUP, ARE AS FOLLOWS. - ADULTS: ACCESS TO SERVICES (INSURANCE, COST) - SENIORS:COST; MEDICATIONS; POST-HOSPITAL SUPPORT; AND TRANSPORTATION THOREK MEMORIAL HOSPITAL HAS ADDRESSED AND/OR PLANS TO ADDRESS THESE IDENTIFIED PRIORITY NEEDS IN THE FOLLOWING WAYS IN THE COMMUNITY: IMPROVE ACCESS TO SERVICES - AMBULATORY CARE. TMH HAS FOCUSED ON THE EXPANSION AND DIFFERENTIATION OF ITS AMBULATORY CARE PROGRAMS IN ORDER TO IMPROVE ACCESS AND SERVICE. THE AMBULATORY CARE DEPARTMENT HAS BEEN PHYSICALLY EXPANDED AND SEPARATED INTO DISTINCT COMPONENTS. - CENTER FOR PRIMARY CARE. TMH OPERATES ITS CENTER FOR PRIMARY CARE. THIS NOT ONLY INCREASED THE SPACE DEVOTED TO AMBULATORY CARE, BUT PROVIDES A PHYSICALLY DISTINCT AREA DESIGNED TO HAVE THE LOOK AND FEEL OF A PRIVATE MEDICAL OFFICE RATHER THAN A "WALK-IN CLINIC". - COMMUNITY AND LOCAL EMPLOYER HEALTH FAIRS AND EDUCATION SESSIONS FOCUS ON NEEDS AND CONCERNS OF SENIORS - CHA PROGRAM. TMH PROVIDES ACCESS TO MEDICAL SERVICES FOR RESIDENTS OF FIVE NEARBY CHICAGO HOUSING AUTHORITY (CHA) RESIDENTIAL FACILITIES BY OPERATING MEDICAL OFFICES IN THESE BUILDINGS. RESIDENTS OF THESE BUILDINGS ARE PREDOMINANTLY SENIORS WHO QUALIFY FOR SUBSIDIZED HOUSING BASED ON FINANCIAL NEED. TYPICAL OFFICE STAFFING CONSISTS OF AN RN AND A PHYSICIAN. IN ADDITION, PHARMACEUTICALS NEEDED BY RESIDENTS ARE DELIVERED FREE OF CHARGE FOR THOSE RESIDENTS THAT REQUIRE THEM BASED ON AN APPROPRIATE COMPLETED SCRIPTS BY THE PHYSICIANS. IN ADDITION TO THE PROVISION OF HEALTH SERVICES, EDUCATIONAL, SOCIAL, AND OTHER ACTIVITIES ARE ARRANGED BY STAFF FOR THE PATIENTS OF CHA AT FIVE SITES ON THE NORTH SIDE OF CHICAGO, IN THOREK'S PRIMARY SERVICE AREA. NO AMOUNTS ARE BILLED BY THE HOSPITAL FOR HEALTHCARE SERVICES PROVIDED AT THESE SITES. THOREK HOSPITAL ALSO HELPS TO PROVIDE ACCESS TO SPECIALTY (CONSULTANT) PHYSICIAN SERVICES TO MEMBERS ON AN AS NEEDED BASIS. - MEDICATION. RECOGNIZING THE NEED TO PROVIDE ACCESS, EXPAND ALTERNATIVES, AND IMPROVE CONVENIENCE TO THOSE WE SERVE, TMH CONTINUES TO PROVIDE MEDICATION THROUGH ITS OUTPATIENT PHARMACY TO HOSPITAL PATIENTS AND CHA RESIDENTS. - TRANSPORTATION. TMH PROVIDES TRANSPORTATION VIA HOSPITAL VAN AND CONTRACTED TRANSPORTATION SERVICES BASED ON HOSPITAL TRANSPORTATION POLICIES TO 50+ CLUB MEMBERS AND OTHERS WITHIN DESIGNATED GEOGRAPHIC BOUNDARIES, AS DETERMINED APPROPRIATE BASED ON NEED AND CLINICAL STATUS, WHEN HOSPITAL SERVICES HAVE BEEN SCHEDULED IN ACCORDANCE WITH THE HOSPITAL'S TRANSPORTATION POLICY. INCREASE AWARENESS OF HEALTH PROGRAMS AVAILABLE - COMMUNICATION OF SERVICES TO THE COMMUNITY AND ITS ORGANIZATIONS - COMMUNITY HEALTH EDUCATION PROGRAMS DISCUSSING PREVENTION AND WELLNESS - ACCESS TO HOSPITAL AND PHYSICIAN SERVICES Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Thorek utilizes several methods to communicate its responsibility to inform and educate patients and persons who may be billed for patient care about their eligibility for financial assistance under governmental programs or the Hospital's financial assistance and charity care policies. The Hospital posts the availability of financial assistance and charity care in English and Spanish in all registration and most waiting areas throughout the hospital. Members of the business office also work with patients to see what other community resources may be available to the patient for current and future care provision. The financial counselor and most other employees in the Hospital business office and patient registration are fluent in Spanish, and phone translators are used for other languages. The availability for charity care as well as the worksheet to calculate eligibility for charity care is posted on the Hospital's website. In addition, all bills and statements sent to patients include information regarding the financial assistance and charity care opportunities in English and Spanish. The Hospital also contracts for a full time FTE to provide financial counseling to patients which includes the assistance in the Medicaid application process as well as a search for other coverage options available. Schedule H, Part VI, Line 4 Community information THOREK MEMORIAL HOSPITAL IS REPRESENTATIVE OF THE WIDE CROSS-SECTION OF THE POPULATION THAT IT SERVES. ITS COMMUNITY INCLUDES A SIZABLE NUMBER OF AFRICAN AMERICAN, ASIAN, AND HISPANIC RESIDENTS AS WELL AS A VARIETY OF OTHER ETHNIC GROUPS. THOREK MEMORIAL HOSPITAL'S LONG-STANDING STATUS AS A PREFERRED PROVIDER OF MEDICAL SERVICES FOR EMPLOYERS, ALSO WITH A MULTI ETHNIC MEMBERSHIP, CONTRIBUTES TO A WELL-ESTABLISHED WORKING CLASS ETHNIC CUSTOMER BASE. THE DEMOGRAPHICS INCLUDE A LISTING THAT GIVES THE ETHNIC DISTRIBUTION OF INPATIENTS. SINCE THOREK MEMORIAL HOSPITAL'S MEDICAL STAFF ALSO REFLECTS ETHNIC DIVERSITY, WE EXPECT TO MAINTAIN A SIGNIFICANT ETHNIC CUSTOMER BASE. ALTHOUGH THOREK MEMORIAL HOSPITAL SERVES PATIENTS THROUGHOUT THE CHICAGO METROPOLITAN AREA AND EVEN AS FAR AWAY AS INDIANA AND WISCONSIN, WE HAVE DEFINED OUR COMMUNITY BASED UPON GEOGRAPHIC PROXIMITY. A PRIMARY SERVICE AREA HAS BEEN IDENTIFIED CONSISTING OF NEARBY ZIP CODE AREAS. THOREK MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF THE FOLLOWING: GRACELAND (60613),LINCOLN PARK (60614), KEDZIE-GRACE (60618), RAVENSWOOD (60625), UPTOWN (60640), LOGAN SQUARE (60647), EDGEWATER (60660), W.ROGERS PARK (60645), ROGERS PARK (60626), DIVISION (60651), AUSTIN (60644), CRAGIN (60639), GARFIELD PARK (60624), NEAR WEST (60612), HAWTHORNE (60623), PILSEN (60608), AND NEAR SOUTH (60616), AS WELL AS ZIP CODES 60653, 60615, 60621, 60637, 60620, 60619, 60649, AND 60628. THE PRIMARY NOT-FOR-PROFIT COMMUNITY HOSPITALS ALSO SERVING THIS AREA INCLUDE: WEISS MEMORIAL HOSPITAL, ILLINOIS MASONIC MEDICAL CENTER (ADVOCATE), SWEDISH COVENANT HOSPITAL, ST. JOSEPH HOSPITAL (RESURRECTION), NORWEGIAN AMERICAN HOSPITAL, METHODIST HOSPITAL, AND ST. MARY AND ST ELIZABETH HOSPITALS (RESURRECTION). APPROXIMATELY 85% OF ADMISSIONS SERVED AT THOREK ARE FEDERALLY FUNDED OR SELF PAY/CHARITY. THE HOSPITAL CONTINUES TO MEET THE CRITERIA FOR A DISPROPORTIONATE SHARE HOSPITAL FOR MEDICARE MEDICAID HIGH-VOLUME ADJUSTMENT FOR THE DEPARTMENT OF HUMAN SERVICES (PUBLIC AID). Schedule H, Part VI, Line 5 Promotion of community health THE GOVERNING BODY OF THOREK INCLUDES MEMBERS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. FURTHERMORE, THOREK EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. A NET COMMUNITY BENEFITS EXPENSE FOR THOREK IN 2017 IS AS FOLLOWS (FROM THE ANNUAL NON PROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT FILED IN ACCORDANCE WITH THE ILLINOIS ATTORNEY GENERAL GUIDELINES): CHARITY CARE AT COST - $482,032 LANGUAGE ASSISTANT SERVICES - $23,370 SUBSIDIZED HEALTH SERVICES - $1,435,743 OTHER COMMUNITY BENEFIT PROGRAMS - $68,523 THE HOSPITAL PROVIDES (FREE OF CHARGE) GUARDIANSHIP SERVICES THROUGH A LOCAL LEGAL FIRM FOR THOSE INPATIENT PSYCHIATRIC PATIENTS WHO ARE NOT ABLE TO MAKE APPROPRIATE MEDICAL DECISIONS FOR THEMSELVES. ALSO INCLUDED IN OTHER COMMUNITY BENEFIT PROGRAMS IS THE PROVISION OF TRANSPORTATION TO HOSPITAL PATIENTS THAT REQUIRE THIS SERVICE TO RECEIVE APPROPRIATE MEDICALLY NECESSARY HEALTH CARE AND PHYSICIAN SERVICES. THE TRANSPORTATION FOR THESE PATIENTS IS PERFORMED IN ACCORDANCE WITH THE HOSPITAL TRANSPORTATION POLICY. HOSPITAL ORGANIZES THAI HEALTH FAIR AND PROVIDES DIABETIC EDUCATION WITH THE GOAL OF ADVOCATING AND PROMPTING THE HEALTH OF THE COMMUNITY. TOTAL CHARITY CARE AND COMMUNITY BENEFITS: $2,010,668. IN ADDITION, THOREK REPORTED BAD DEBT EXPENSE OF $2,275,932 Schedule H, Part VI, Line 7 State filing of community benefit report IL false Buena Park Neighbors PO Box 13018 Chicago IL 60613 364185295 501(c)(3) 6000 General Operating Support Howard Brown Health Center 4025 N Sheridan Road Chicago IL 60613 362894128 501(c)(3) 5600 General Operating Support Uptown United 4753 N Boardway St STE 822 Chicago IL 60640 364028056 501(c)(3) 5150 General Operating Support 3 0 Schedule I, Part I, Line 1 Basis for Contributions Thorek Memorial Hospital makes contributions to charitable organizations within the community that it serves to help address the needs of the community and the people residing there. X X X X false false false false false false false false false Peter Kamberos Chairman and COO 337174 0 0 0 0 0 0 0 1284 0 338458 0 0 0 Neal Spero Medical Staff President (as of 1/1/2018) 277063 0 0 0 0 0 0 0 0 0 277063 0 0 0 Edward Budd CEO 308450 0 0 0 0 0 0 0 25094 0 333544 0 0 0 Tim Heinrich CFO 225365 0 0 0 0 0 0 0 25094 0 250459 0 0 0 Genevieve Presbitero Chief Nursing Officer 187677 0 3109 0 0 0 0 0 9118 0 199904 0 0 0 John Hunniford Physician 299657 0 91369 0 0 0 0 0 8476 0 399502 0 0 0 Ilysa Diamond Physician 265773 0 2027 0 0 0 0 0 0 0 267800 0 0 0 Olena Gordon Physician 201136 0 0 0 0 0 0 0 642 0 201778 0 0 0 Carl Moshovitis Physician 200057 0 0 0 0 0 0 0 0 0 200057 0 0 0 King Leong Physician 160803 0 30330 0 0 0 0 0 0 0 191133 0 0 0 Form 990, Part VI, Line 11b Review of form 990 by governing body Hospital Management prepares a draft of the Form 990 return with the assistance of an independent accounting and tax firm. The Hospital's independent accounting and tax firm presents this draft version of the 990 tax return to the Hospital Board of Trustees. The Board of Trustees has the opportunity to review the return, ask questions, and suggest changes. The Board of Trustees approves the final version of the return and management files this return with the Internal Revenue Service. Form 990, Part VI, Line 12c Conflict of interest policy The Hospital regularly and consistently monitors compliance with its conflict of interest policy through an annual review and completion of the annual board member questionnaire and conflict of interest policy by each member of the Board of Trustees. The corporate compliance officer reviews and enforces the conflict of interest policy. If a conflict arises, the Board Member abstains from voting on the relevant issue. Form 990, Part VI, Line 15a Process to establish compensation of top management official An annual review of compensation was completed for Fiscal Year 2018. The information was distributed to the Compensation Committee of the Board. The Committee will then make recommendations to the Board of Trustees on an annual basis. All decisions by the Compensation Committee are documented in the minutes of the Compensation Committee. Further, the Hospital plans to engage Sullivan and Cotter MCHC to provide a comparative salary analysis for CEO/President for Fiscal Year 2019 as done in prior Fiscal Year 2017. Form 990, Part VI, Line 15b Process to establish compensation of other employees An annual review of compensation was completed for Fiscal Year 2018. The information was distributed to the Compensation Committee of the Board. The Committee will then make recommendations to the Board of Trustees on an annual basis. All decisions by the Compensation Committee are documented in the minutes of the Compensation Committee. Further, the Hospital plans to engage Sullivan and Cotter MCHC to provide a comparative salary analysis for officers and key employees for Fiscal Year 2019 as done in prior Fiscal Year 2017. Form 990, Part VI, Line 19 Required documents available to the public The governing documents, conflict of interest policy, and audited financial statements are available upon request. Form 990, Part VIII, Line 2f Other Program Service Revenue Self Pay - Total Revenue: 3320388, Related or Exempt Function Revenue: 3320388, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: 379380, Related or Exempt Function Revenue: 379380, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; FORM 990, PART I, LINE 7A Unrelated Business Revenue THE FORM 990-T, LINE 34 SHOWS UNRELATED BUSINESS TAXABLE INCOME IN THE AMOUNT OF $(1,216). THIS AMOUNT IS COMPRISED OF DISALLOWED TRANSPORTATION FRINGE BENEFITS AS WELL AS UNRELATED BUSINESS INCOME FROM PASS THOUGH INVESTMENTS. THE INCOME FROM DISALLOWED TRANSPORTATION FRINGE BENEFITS IS NOT REFLECTED ON FORM 990, PART VIII, COLUMN C. AS A RESULT, FORM 990, PART I, LINE 7A IS $(157). THOREK MEMORIAL FOUNDATION 850 W IRVING PARK ROAD CHICAGO IL 60613 366124318 SUPPORT THOREK MEMORIAL HOSPITAL IL 501(c)(3) Type II THOREK MEMORIAL HOSPITAL true false false false false false false false false false false false false false false true false true false false