ANDERSON HOSPITAL: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ANDERSON HOSPITAL (EIN 37-0662561)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-07
- IRS object ID
- 201613129349301191
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-07T11:44:23-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 N BROADWAY SUITE 600 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 631022733 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370662561 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHWESTERN ILLINOIS HEALTH FACILITIES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MICHAEL MARSHALL | InCareOfNm |
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 6183916400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6800 STATE ROUTE 162 | AddressLine1Txt |
| City | MARYVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62062 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MIKE MARSHALL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6183916400 | PhoneNum |
| Signature | 2016-11-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Donna J Larson | PreparerPersonNm |
| PTIN | P00043751 | PTIN |
| Phone | 3142315544 | PhoneNum |
| Preparation | 2016-10-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERSON HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KEITH PAGE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6800 STATE ROUTE 162 | AddressLine1Txt |
| City | MARYVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62062 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $179,861,515 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ANDERSONHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | OUR COMMUNITY TURNS TO ANDERSON FIRST FOR ALL HEALTHCARE NEEDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 1448 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $209,526 | TotalGrossUBIAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $144,442,968 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $152,849,780 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,816,948 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,743,186 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,719,292 | PYOtherRevenueAmt |
| CY Other Revenue | $3,132,914 | CYOtherRevenueAmt |
| PY Total Revenue | $155,979,208 | PYTotalRevenueAmt |
| CY Total Revenue | $157,725,880 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $15,235 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $29,966 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $59,383,065 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $62,908,436 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $75,436,149 | PYOtherExpensesAmt |
| CY Other Expenses | $82,071,930 | CYOtherExpensesAmt |
| PY Total Expenses | $134,834,449 | PYTotalExpensesAmt |
| CY Total Expenses | $145,010,332 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $21,144,759 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,715,548 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $185,652,752 | TotalAssetsBOYAmt |
| Total Assets EOY | $191,133,162 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $82,140,652 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $76,789,140 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $103,512,100 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $114,344,022 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO EXCEED EXPECTATIONS IN PROVIDING PERSONAL, CONVENIENT, QUALITY HEALTHCARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $117,863,364 | ExpenseAmt |
| Grant | $29,966 | GrantAmt |
| Revenue | $153,059,306 | RevenueAmt |
| Desc | NURSING AND ANCILLARY SERVICES FOR 29,263 INPATIENT DAYS, 98,181 OUTPATIENT VISITS, 9,157 OUTPATIENT SURGERIES AND 37,662 EMERGENCY VISITS | Desc |
| Total Program Service Expenses | $117,863,364 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 62 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1448 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL MARSHALL | PersonNm |
| Phone | 6183916402 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6800 STATE ROUTE 162 | AddressLine1Txt |
| City | MARYVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62062 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MARK SHASHEK | ||||||||
| CHAIRPERSON | 1.08 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| FRANK FLANIGAN | ||||||||
| VICE CHAIRPERSON | 0.65 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT CIUFERI | ||||||||
| TREASURER | 0.27 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MILLIE BELOBRAYDIC | ||||||||
| SECRETARY | 0.44 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KAY WERNER | ||||||||
| ASST SECRETARY | 0.27 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOSEPH SMITH | ||||||||
| TRUSTEE | 0.62 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD DAWDY | ||||||||
| TRUSTEE | 0.57 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| LENDELL PHELPS JR | ||||||||
| TRUSTEE | 0.31 | 2.0 | Yes (X) | $0 | $0 | $0 | ||
| K MAX EAKIN MD | ||||||||
| TRUSTEE | 0.31 | 2.0 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH HAGERTY | ||||||||
| TRUSTEE | 0.42 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| GARY CERETTO | ||||||||
| TRUSTEE | 0.23 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK ZIMMERMANN MD | ||||||||
| TRUSTEE | 0.25 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| GREGORY COFFEY | ||||||||
| TRUSTEE | 0.42 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| LAURA BERNAIX MD | ||||||||
| TRUSTEE | 0.16 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| REV MARK MAYNARD | ||||||||
| TRUSTEE | 0.27 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY PARRES MD | ||||||||
| TRUSTEE | 0.29 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DALE SAUER | ||||||||
| TRUSTEE | 0.16 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| NANCY THOMAS | ||||||||
| TRUSTEE | 0.22 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| GINGER TRUCANO | ||||||||
| TRUSTEE | 0.25 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JUDY WIEMANN | ||||||||
| TRUSTEE | 0.29 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KEITH PAGE | ||||||||
| PRESIDENT | 40.0 | 5.0 | Yes (X) | $382,667 | $0 | $75,130 | ||
| MICHAEL MARSHALL | ||||||||
| CFO | 40.0 | 5.0 | Yes (X) | $238,330 | $0 | $39,662 | ||
| PHILLIP GREENE | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $204,943 | $0 | $19,483 | Yes (X) | ||
| RAFE HENG | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $213,942 | $0 | $10,490 | Yes (X) | ||
| SUSAN REYNOLDS | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $197,050 | $0 | $20,382 | Yes (X) | ||
| ANITA SANDHU | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $276,726 | $0 | $0 | Yes (X) | ||
| JEAN SWEARINGEN | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $210,769 | $0 | $6,088 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,724,427 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $171,235 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CENTER FOR ADVANCED ORTHO | |||||
| 6800 STATE ROUTE 162 STE 123 | MARYVILLE | IL | 62062 | PHYSICIAN SERVICES | $1,611,648 |
| GENERAL LAPARSCOPIC SURGERY ASSOC | |||||
| 6800 STATE ROUTE 162 STE 121 | MARYVILLE | IL | 62062 | PHYSICIAN SERVICES | $1,431,800 |
| FAMILY CARE SPECIALISTS | |||||
| PROFESSIONAL PARK | MARYVILLE | IL | 62062 | PHYSICIAN SERVICES | $1,166,410 |
| NEXTGEN HEALTHCARE INFO SYSTEMS | |||||
| 18111 VON KARMAN AVE | IRVINE | CA | 92612 | SOFTWARE SERVICES | $976,323 |
| QUEST DIAGNOSTICS | |||||
| 12436 COLLECTION CENTER DR | CHICAGO | IL | 60693 | LAB SERVICES | $965,918 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 48 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $152,849,780 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $152,849,780 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $152,849,780 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,045,147 | TotalRevenueColumnAmt |
| Exclusion | $2,045,147 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,022,815 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,022,815 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,022,815 | TotalRevenueColumnAmt |
| Exclusion | $2,022,815 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,833,674 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,773,020 | SecuritiesAmt |
| Other | $362,615 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $60,654 | SecuritiesAmt |
| Other | -$362,615 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$301,961 | TotalRevenueColumnAmt |
| Exclusion | -$301,961 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MEDICAL INFORMAITON RELEASE FEES | 561000 | $119,108 | $119,108 | |
| SISHA CONTRACT | 624310 | $209,526 | $209,526 | |
| SICHA BONUS REVENUE | 561000 | $48,027 | $48,027 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $733,438 | TotalRevenueColumnAmt |
| Exclusion | $733,438 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,110,099 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $157,725,880 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $152,849,780 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $209,526 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,666,574 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,966 | TotalAmt |
| Program Services | $29,966 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $735,789 | TotalAmt |
| Management And General | $735,789 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,087,015 | TotalAmt |
| Program Services | $44,037,393 | ProgramServicesAmt |
| Management And General | $8,049,622 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,429,296 | TotalAmt |
| Program Services | $1,268,291 | ProgramServicesAmt |
| Management And General | $161,005 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,028,802 | TotalAmt |
| Program Services | $4,288,812 | ProgramServicesAmt |
| Management And General | $739,990 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,627,534 | TotalAmt |
| Program Services | $3,066,928 | ProgramServicesAmt |
| Management And General | $560,606 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,010,991 | TotalAmt |
| Management And General | $1,010,991 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,803 | TotalAmt |
| Management And General | $186,803 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,076,157 | TotalAmt |
| Program Services | $15,812,837 | ProgramServicesAmt |
| Management And General | $8,263,320 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,420 | TotalAmt |
| Program Services | $16,964 | ProgramServicesAmt |
| Management And General | $322,456 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,485,276 | TotalAmt |
| Program Services | $21,844,353 | ProgramServicesAmt |
| Management And General | $3,640,923 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,132,617 | TotalAmt |
| Program Services | $7,507,840 | ProgramServicesAmt |
| Management And General | $624,777 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,315 | TotalAmt |
| Program Services | $121,408 | ProgramServicesAmt |
| Management And General | $39,907 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,058,754 | TotalAmt |
| Program Services | $2,058,754 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,845,431 | TotalAmt |
| Program Services | $6,748,518 | ProgramServicesAmt |
| Management And General | $96,913 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,941,046 | TotalAmt |
| Program Services | $507,576 | ProgramServicesAmt |
| Management And General | $2,433,470 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt Expense | $4,865,504 | $4,865,504 | |
| Taxes | $5,582,836 | $5,582,836 | |
| Dues and Subscriptions | $311,362 | $87,450 | $223,912 |
| EDUCATION | $74,418 | $17,934 | $56,484 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,010,332 | TotalAmt |
| Program Services | $117,863,364 | ProgramServicesAmt |
| Management And General | $27,146,968 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,870,246 | BOYAmt |
| EOY | $2,348,314 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,956,302 | BOYAmt |
| EOY | $3,652,844 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,829,415 | BOYAmt |
| EOY | $19,642,054 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,318,571 | BOYAmt |
| EOY | $2,280,466 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,488,553 | BOYAmt |
| EOY | $1,447,636 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $156,948,320 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $74,851,638 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,353,770 | BOYAmt |
| EOY | $82,096,682 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,868,373 | BOYAmt |
| EOY | $76,461,048 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,967,522 | BOYAmt |
| EOY | $3,204,118 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,652,752 | BOYAmt |
| EOY | $191,133,162 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,784,258 | BOYAmt |
| EOY | $9,883,869 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,427,622 | BOYAmt |
| EOY | $40,514,268 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,501,492 | BOYAmt |
| EOY | $2,235,125 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,427,280 | BOYAmt |
| EOY | $24,155,878 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,140,652 | BOYAmt |
| EOY | $76,789,140 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,512,100 | BOYAmt |
| EOY | $114,344,022 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,512,100 | BOYAmt |
| EOY | $114,344,022 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,652,752 | BOYAmt |
| EOY | $191,133,162 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $12,715,548 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,883,626 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $44,724 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $44,724 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE F | FormAndLineReferenceDesc |
| Explanation | GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES THE AMOUNT REPRESENTS THE PORTION OF DUES PAID TO PROFESSIONAL ORGANIZATIONS THAT IS ALLOCATED TO THE LOBBYING ACTIVITIES OF THOSE ORGANIZATIONS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $3,170,811 | OtherCostOrOtherBasisAmt |
| Book Value | $3,170,811 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $105,202,135 | OtherCostOrOtherBasisAmt |
| Depreciation | $39,264,396 | DepreciationAmt |
| Book Value | $65,937,739 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $624,593 | OtherCostOrOtherBasisAmt |
| Depreciation | $534,504 | DepreciationAmt |
| Book Value | $90,089 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $44,572,705 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,799,301 | DepreciationAmt |
| Book Value | $11,773,404 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $3,378,076 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,253,437 | DepreciationAmt |
| Book Value | $1,124,639 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $82,096,682 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Third Party Payers | $4,590,878 |
| Estimated Self-Insurance Costs | $19,565,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,155,878 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4 | ENDOWMENT FUNDS THE FUNDS ARE DESIGNATED FOR CAPITAL IMPROVEMENTS, TO PROVIDE SELF-INSURANCE COVERAGE, TO MEET BOND REQUIREMENTS, AND TO PROVIDE FUNDS FOR HEALTH CARE PROGRAMS. HOWEVER, NONE OF THE FUNDS MEETS THE DEFINITION OF AN ENDOWMENT FUND UNDER SFAS 117, THEREFORE, PART V HAS NOT BEEN COMPLETED. |
| PART X, LINE 2 | UNCERTAIN TAX POSITIONS UNDER FIN 48 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,266,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,266,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00900 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,165,817 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,003,611 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,162,206 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,432,317 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,003,611 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,428,706 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08900 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $657,860 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $657,860 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,649,509 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,649,509 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01200 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,966 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,966 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,337,335 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,337,335 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01700 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,769,652 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,003,611 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,766,041 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10600 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,865,504 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $30,701,823 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $35,125,735 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,423,912 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERSON HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6800 STATE ROUTE 162 | AddressLine1Txt |
| City | MARYVLLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62062 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ANDERSONHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 0004119 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERSON HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | IN CONDUCTING THE MOST RECENT CHNA, ANDERSON HOSPITAL ELICITED INPUT FROM THE COMMUNITY MEMBERS THROUGH A VARIETY OF METHODS. WE PARTNERED WITH THE MADISON COUNTY HEALTH DEPARTMENT TO HOLD FOCUS GROUPS, CONDUCT A COMMUNITY HEALTH SURVEY, AND ORGANIZE MEETINGS TO SET TOP HEALTH PRIORITIES. THE STAKEHOLDER FOCUS GROUPS ALLOWED US TO OBTAIN PERTINENT INFORMATION FROM OUR COMMUNITY LEADERS AND STAFF MEMBERS TO ESTABLISH KEY HEALTH CONCERNS. EIGHT TOTAL FOCUS GROUPS WERE HELD THROUGHOUT THE COMMUNITY IN MADISON COUNTY, WITH ONE BEING HELD AT ANDERSON HOSPITAL. THE ATTENDEES OF THE STAKEHOLDER FOCUS GROUPS WERE INDIVIDUALS WHO ARE INVOLVED WITH THE HEALTH OF THE COMMUNITY THROUGH THEIR PROFESSION OR PERSONAL INTEREST IN HEALTH AND WELLNESS. EXAMPLES INCLUDED HEALTH EDUCATORS AND ADMINISTRATORS FROM HOSPITALS AND ASSISTED LIVING FACILITIES IN THE AREA, FACULTY FROM LOCAL UNIVERSITIES AND COLLEGES, PHARMACISTS, HEALTH EDUCATORS FROM THE MADISON COUNTY HEALTH DEPARTMENT, COLLEAGUES THAT WORK WITH SPECIFIC POPULATIONS AND PERSONS WITH DISABILITIES, AND STAFF FROM ORGANIZATIONS THAT FOCUS ON THE HEALTH AND WELLBEING OF THE COMMUNITY. THE FOCUS GROUP QUESTIONS TARGETED WHAT IS IMPORTANT TO THE HEALTH OF OUR COMMUNITY, WHAT ARE THE MOST URGENT HEALTH CONCERNS, WHAT ARE THE CAUSES OF THESE PROBLEMS, WHAT ARE THE STRENGTHS OF THE SERVICES IN THE COMMUNITY, AND WHAT ARE THE GREATEST OBSTACLES. PARTICIPANTS WERE ASKED FOR FURTHER INVOLVEMENT IN PROMOTING COMPLETION OF THE COMMUNITY HEALTH SURVEY. THE COMMUNITY HEALTH SURVEY WAS DISSEMINATED ELECTRONICALLY THROUGH EMAIL AND THROUGH PAPER SURVEYS THAT WERE PLACED AROUND THE COMMUNITY AND AT ANDERSON HOSPITAL. THE SURVEY YIELDED 389 RESPONSES FROM OUR PRIMARY SERVICE AREA. QUESTIONS FOCUSED ON WHAT ARE THE MOST URGENT HEALTH CONCERNS, WHAT KEEPS PEOPLE FROM BEING HEALTHY, WHY PEOPLE DO NOT GET NEEDED HEALTH CARE, AND RATE HEALTH ISSUES ON A SCALE OF MOST URGENT TO NOT A PROBLEM. FROM THE SURVEY RESULTS, TEN TOP HEALTH CONCERNS WERE IDENTIFIED. ANDERSON HOSPITAL PARTICIPATED IN THE MADISON COUNTY HEALTH DEPARTMENT MEETINGS TO IDENTIFY THEIR TOP CONCERNS TO GAIN INSIGHT, THEN MET WITH OUR INTERNAL TEAM TO DETERMINE WHAT THE TOP CONCERNS WERE FOR OUR SPECIFIC SERVICE AREA. ANDERSON HOSPITAL'S HEALTH EDUCATION PLANNING COMMITTEE MET AND MEMBERS INDIVIDUALLY CHOSE THEIR TOP CONCERNS, AND THEN DISCUSSED EACH TOPIC AS A COMMITTEE TO ULTIMATELY DETERMINE OUR TOP 4 PRIORITY TOPICS. THE TOPICS INCLUDED CANCER, POVERTY, OBESITY, AND SUBSTANCE ABUSE. |
| SCHEDULE H, PART V, SECTION B, LINE 7A & 7D | CHNA WEBSITE: HTTP://WWW.ANDERSONHOSPITAL.ORG/ABOUT_US/COMMUNITY_HEALTH_NEEDS_ASSESSMENT .ASPX AVAILABILITY OF CHNA THE CHNA IS AVAILABLE ON THE HOSPITAL'S WEBSITE, UPON REQUEST VIA PHONE OR IN PERSON, AND HARDCOPIES ARE AVAILABLE IN LOBBY AREA AT THE HOSPITAL. THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS INCLUDED WITH THE CHNA THAT IS AVAILABLE ON THE HOSPITAL'S WEBSITE. PART V, SECTION B, 10A IMPLEMENTATION STRATEGY WEBSITE: HTTP://WWW.ANDERSONHOSPITAL.ORG/ABOUT_US/COMMUNITY_HEALTH_NEEDS_ASSESSMENT .ASPX |
| SCHEDULE H, PART V, SECTION B, LINE 22D | SELF PAY ACCOUNTS WERE DISCOUNTED AS REQUIRED BY GUIDELINES PROVIDED BY THE STATE OF ILLINOIS. WE GIVE ALL UNINSURED PATIENTS A 50% DISCOUNT OFF CHARGES, THEN BASED ON THEIR FPL%, THEY MAY BE ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE. NO UNINSURED PATIENT PAYS MORE THAN 25% OF TOTAL CHARGES. |
| SCHEDULE H, PART V, SECTION B, LINE 11 | ANDERSON HOSPITAL'S HEALTH EDUCATION PLANNING COMMITTEE FACILITATES AND MAINTAINS AN ANNUAL DASHBOARD FOCUSED ON THE TOP HEALTH PRIORITIES FOR 2016-2018 THAT WERE IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS CONDUCTED IN 2015. ANDERSON CHOSE A TOTAL OF FOUR INTERNAL AND EXTERNAL HEALTH PRIORITIES BASED ON TOP HEALTH CONCERNS IN OUR SERVICE AREA. EACH HEALTH PRIORITY HAS A LIST OF OBJECTIVES THAT WERE THE PRIMARY FOCUS OVER THE LAST THREE YEARS. ANDERSON WORKED CLOSELY WITH OUR COMMUNITY PARTNERS TO MEET THESE OBJECTIVES. ALTHOUGH THERE WERE MANY HEALTH CONCERNS IN OUR COMMUNITY THAT NEEDED TO BE ADDRESSED, WE PRIORITIZED ON THE TOP FOUR WITH THE BEST INTEREST OF IMPROVING THESE CONCERNS OVER THE THREE YEAR TIME PERIOD. THE HEALTH EDUCATION PLANNING COMMITTEE MEETS AT LEAST QUARTERLY TO UPDATE THE DASHBOARD WITH THE OBJECTIVES THAT HAVE BEEN MET, AS WELL AS DOCUMENT IF A PARTICULAR OBJECTIVE COULD NOT BE MET AND WHY. ADDITIONALLY, WE RECORD AND MAINTAIN ALL COMMUNITY BENEFIT DATA FOR ANDERSON HOSPITAL IN THE CIBSA DATABASE. WITH THIS INFORMATION, WE CAN IDENTIFY HOW WE HAVE MET OUR GOALS AND OBJECTIVES, AND FOCUS ON AREAS OF GROWTH IN THE FUTURE. |
| SCHEDULE H, PART V, SECTION B, LINE 16A, 16B & 16C | WEBSITE URL FOR FAP: THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP ARE ALL FOUND AT THE FOLLOWING LINK: HTTP://WWW.ANDERSONHOSPITAL.ORG/PATIENTS_VISITORS/FINANCIAL_ASSISTANCE.ASP X |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 13 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| ANDERSON REHAB SERVICES | ||||
| 2928 NORTH CENTER | MARYVILLE | IL | 62062 | REHAB SERVICES |
| SOUTHERN ILLINOIS SPECIALIZED HEALTH | ||||
| 53 EAST ELM | ALTON | IL | 62002 | REHAB SERVICES |
| MARYVILLE IMAGING | ||||
| 2023 VADALABENE DR | MARYVILLE | IL | 62062 | IMAGING SERVICES |
| ANDERSON SLEEP CENTER | ||||
| 2809 NORTH CENTER | MARYVILLE | IL | 62062 | SLEEP STUDY |
| COLLINSVILLE EXPRESS CARE | ||||
| 1103 BELT LINE RD | COLLINSVILLE | IL | 62234 | ER - OTHER |
| GLEN CARBON EXPRESS CARE | ||||
| 17 GINGER CREEK | GLEN CARBON | IL | 62034 | ER - OTHER |
| HIGHLAND EXPRESS CARE | ||||
| 2504 COMMERCE LN | HIGHLAND | IL | 62249 | ER - OTHER |
| WELLNESS CENTER | ||||
| 2133 VADALABENE DR | MARYVILLE | IL | 62062 | ER - OTHER |
| ANDERSON HOME HEALTH | ||||
| 6800 STATE ROUTE 162 | MARYVILLE | IL | 62062 | HOME HEALTH SERVICES |
| BETHALTO EXPRESS CARE | ||||
| 159 E MCARTHUR | BETHALTO | IL | 62010 | ER - OTHER |
| ANDERSON CANCER CENTER | ||||
| 2227 VADALABENE | MARYVILLE | IL | 62062 | CANCER TREATMENT |
| ANDERSON PEDIATRIC CENTER | ||||
| 6820 STATE ROUTE 162 | MARYVILLE | IL | 62062 | PEDIATRIC SERVICES |
| ONCOLOGY TREATMENT CENTER | ||||
| 6836 STATE ROUTE 162 | MARYVILLE | IL | 62062 | CANCER TREATMENT |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART III, SECTION A, LINE 2 & LINE 4 | BAD DEBTS ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF 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), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | MEDICARE COSTING METHODOLOGY IS BASED ON COST-TO-CHARGE RATIOS. MEDICARE SHORTFALLS SHOULD BE RECORDED AS COMMUNITY BENEFIT AS RATES ARE SET BY THE GOVERNMENT AT LEVELS SIGNIFICANTLY BELOW COSTS. 30% OR MORE OF ANDERSON'S TOTAL BUSINESS IS PATIENTS IN OUR COMMUNITY WITH MEDICARE COVERAGE. |
| SCHEDULE H, PART III, SECTION C, LINE 9B | COLLECTION PRACTICES ALL BILLING AND COLLECTION POLICIES AND PRACTICES WILL REFLECT THE MISSION AND VALUES OF ANDERSON HOSPITAL, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. ANDERSON HOSPITAL EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH WE PARTICIPATE BY ESTABLISHING SOUND BUSINESS PRACTICES. ANDERSON HOSPITAL'S BILLING AND COLLECTION PRACTICES WILL BE FAIR AND CONSISTENTLY APPLIED WITHIN EACH ENTITY. PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE PROVIDED THAT ASSISTANCE AND THEIR ACCOUNTS ARE WRITTEN OFF AND NO FURTHER COLLECTION ACTIVITY OCCURS ON THE PORTION OF THE BILL THAT QUALIFIES FOR CHARITY. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT THE COMMUNITY BENEFIT PLAN IDENTIFIES COMMUNITY HEALTH NEEDS AND GAPS THROUGH COMMUNITY, EMPLOYEE, AND VOLUNTEER SURVEYS, PERIOD MEETINGS WITH THE LOCAL MAYOR, AND COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND ALIGNS THOSE WITH THE HOSPITAL'S INITIATIVES. THE PLAN IS DEVELOPED BY THE HEALTH EDUCATION PLANNING COMMITTEE IN COLLABORATION WITH THE MADISON COUNTY PARTNERSHIP FOR COMMUNITY HEALTH AND COMMUNITY LEADERS. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FINANCIAL COUNSELORS ASSIST PATIENTS WITH THEIR HEALTH INSURANCE OR FINANCIAL ASSISTANCE NEEDS. DURING THE BILLING CYCLE, PATIENT FINANCIAL SERVICES WORKS WITH PATIENTS WHO NEED ASSISTANCE OR PAYMENT PLANS. FINANCIAL ASSISTANCE INFORMATION IS POSTED ON THE ANDERSON HOSPITAL WEBSITE. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION ANDERSON HOSPITAL SERVES PATIENTS IN MADISON COUNTY, AND THE ILLINOIS CITIES OF TROY, MARYVILLE, EDWARDSVILLE, GLEN CARBON, GRANITE CITY, AND HIGHLAND. THE COMMUNITY IS MOSTLY A WHITE COLLAR COMMUNITY WITH LITTLE INDUSTRY. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH TO CONTINUE MCPCH INVOLVEMENT WITH COMMITTEE REPRESENTATION FROM ANDERSON HOSPITAL, INCLUDING: MOTOR VEHICLE COMMITTEE, ADDICTIVE BEHAVIOR COMMITTEE, SEXUAL RISK BEHAVIORS COMMITTEE, CANCER COMMITTEE, CARDIOVASCULAR COMMITTEE, AND MCPCH COMMITTEE MEMBERS TO REPORT AT HEPC. TO CONTINUE TO INCREASE AWARENESS OF DISASTER PREPAREDNESS IN THE COMMUNITY BY: AUGMENTING MCPCH COMMUNITY DISASTER PLANS AND PRESENTING TO LOCAL BUSINESSES. TO EDUCATE AND DISSEMINATE INFORMATION TO THE COMMUNITY REGARDING INFECTION CONTROL, TARGETING MRSA, INFLUENZA A, H1N1, AND PREVENTATIVE PRACTICES AND EDUCATION OF THESE TO LOCAL SCHOOLS. TO MAINTAIN PARTNERSHIP WITH LOCAL BUSINESSES AND PUBLIC SERVICES TO MEET THEIR EMPLOYEES' SPECIFIC HEALTHCARE NEEDS. TO EXPAND HEALTH AND WELLNESS EXPOSURE AT ANDERSON HOSPITAL. TO INCREASE COMMUNITY AWARENESS RELATED TO CONGESTIVE HEART FAILURE. IN COLLABORATION WITH COMMUNITY LEADERS, ANDERSON'S COMMUNITY INCLUDES SEMI-ANNUAL MEETINGS WITH THE LOCAL MAYORS TO DISCUSS THE STRATEGIC PLAN OF THE HOSPITAL, PROVIDE UPDATES ON PLANNED CAPITAL SPENDING, DISCUSS NEW SERVICES, AND TO RECEIVE FEEDBACK FROM THE COMMUNITY REGARDING CURRENT SERVICES OR THE NEEDS FOR ADDITIONAL SERVICES. |
| SCHEDULE H, PART VI, LINE 6 | OTHER INFORMATION ANDERSON HOSPITAL WILL PROVIDE QUALITY HEALTH CARE SERVICES TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY. EACH PERSON WILL BE TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. ANDERSON HOSPITAL EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH WE PARTICIPATE AND STRIVES TO INCREASE ACCESS TO CARE FOR ALL MEMBERS OF THE COMMUNITY. ANDERSON HOSPITAL IS AN EMS RESOURCE HOSPITAL PROVIDING TRAINING AND EDUCATION TO LOCAL EMS PERSONNEL. |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT ILLINOIS |
| SCHEDULE H, PART I, LINE 7 | FINANCIAL ASSISTANCE & OTHER COMMUNITY BENEFITS THE COSTS REPORTED IN THE TABLE IN PART I, LINE 7, USED A RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM INSTRUCTIONS. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS. |
| SCHEDULE H, PART I, LINE 7, COLUMN F | FINANCIAL ASSISTANCE & OTHER COMMUNITY BENEFITS - PERCENT OF TOTAL EXPENSE THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $4,865,504 REPORTED ON PART IX, LINE 25, HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. |
| SCHEDULE H, PART I, LINE 3C | FACTORS OTHER THAN FPG IN ADDITION TO FPG, THE ORGANIZATION USES THE FOLLOWING FACTORS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES THE ORGANIZATION ONLY MAKES GRANTS TO PRE-SELECTED CHARITABLE ORGANIZATIONS. DURING 2015, NO RECIPIENT RECEIVED MORE THAN $5,000. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEITH PAGE | ||||||||||||||
| PRESIDENT | $358,587 | $0 | $0 | $0 | $24,080 | $0 | $53,148 | $0 | $21,982 | $0 | $457,797 | $0 | $0 | $0 |
| MICHAEL MARSHALL | ||||||||||||||
| CFO | $236,833 | $0 | $0 | $0 | $1,497 | $0 | $17,679 | $0 | $21,983 | $0 | $277,992 | $0 | $0 | $0 |
| PHILLIP GREENE | ||||||||||||||
| PHYSICIAN | $186,133 | $0 | $0 | $0 | $18,810 | $0 | $0 | $0 | $19,483 | $0 | $224,426 | $0 | $0 | $0 |
| RAFE HENG | ||||||||||||||
| PHYSICIAN | $205,849 | $0 | $0 | $0 | $8,093 | $0 | $0 | $0 | $10,490 | $0 | $224,432 | $0 | $0 | $0 |
| SUSAN REYNOLDS | ||||||||||||||
| PHYSICIAN | $170,852 | $0 | $0 | $0 | $26,198 | $0 | $0 | $0 | $20,382 | $0 | $217,432 | $0 | $0 | $0 |
| ANITA SANDHU | ||||||||||||||
| PHYSICIAN | $257,923 | $0 | $0 | $0 | $18,803 | $0 | $0 | $0 | $0 | $0 | $276,726 | $0 | $0 | $0 |
| JEAN SWEARINGEN | ||||||||||||||
| PHYSICIAN | $199,800 | $0 | $0 | $0 | $10,969 | $0 | $0 | $0 | $6,088 | $0 | $216,857 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4C | FormAndLineReferenceDesc |
| Explanation | KEITH PAGE PARTICIPATES IN A SEC. 457(F) PLAN. A CONTRIBUTION IN THE AMOUNT OF $34,161 WAS ACCRUED FOR 2015. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| SW IL DEV AUTHORITY SERIES 2006 | ||||||||
| A | 311234684 | 84552YFG1 | 2006-12-15 | $14,373,967 | REFINANCE CLINICAL BLDG RENOVATIO | false | false | false |
| SW IL DEVELOPMENT AUTHORITY SERIES 2011A & 2011B | ||||||||
| B | 311234684 | 2011-12-29 | $18,438,921 | CURRENT REFUNDING OF SER 1999 BOND | false | false | false | |
| VILLAGE OF MARYVILLE ILLINOIS SERIES 2011 | ||||||||
| C | 370922463 | 2011-08-04 | $10,000,000 | CONSTRUCT MEDICAL OFFICE BLDG | false | false | false | |
| VILLAGE OF MARYVILLE ILLINOIS SERIES 2012 | ||||||||
| D | 370922463 | 2012-02-17 | $6,000,000 | CONSTRUCT MEDICAL OFFICE BLDG | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $2,195,000 | $0 | $14,373,967 | $912,756 | $777,164 | $0 | $287,479 | $0 | $0 | $12,396,568 | $0 | $0 | 2008 | false | false | Yes (true) | Yes (true) |
| B | $3,703,602 | $0 | $18,438,921 | $0 | $0 | $18,175,745 | $263,176 | $0 | $0 | $0 | $0 | $0 | 2011 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $1,430,726 | $0 | $10,000,000 | $0 | $0 | $0 | $125,000 | $0 | $0 | $9,875,000 | $0 | $0 | 2012 | false | false | Yes (true) | Yes (true) |
| D | $758,706 | $0 | $6,000,000 | $0 | $0 | $0 | $56,500 | $0 | $0 | $5,943,500 | $0 | $0 | 2012 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | false | false | 0.00800 | 0.00000 | 0.00800 | false | false | 0.00000 | false | Yes (true) |
| B | 0.00000 | 0.00000 | 0.00000 | 0.00000 | ||||||||
| C | false | Yes (true) | false | false | 0.00000 | 0.00000 | 0.00000 | false | false | 0.00000 | false | Yes (true) |
| D | false | Yes (true) | false | false | 0.00000 | 0.00000 | 0.00000 | false | false | 0.00000 | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||||
| A | Yes (true) | false | false | Yes (true) | WACHOVIA BANK | 29. | Yes (true) | false | Yes (true) | |||
| 0 | ||||||||||||
| B | false | false | false | false | 0 | false | Yes (true) | false | Yes (true) | false | ||
| 0 | ||||||||||||
| C | false | false | false | false | 0 | false | Yes (true) | false | Yes (true) | false | ||
| 0 | ||||||||||||
| D | false | false | false | false | 0 | false | Yes (true) | false | Yes (true) | false | ||
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)
| Loan PurposeLoanPurposeTxt | Loan To OrganizationLoanToOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|
| BANK OF EDWARDSVILLE | ||||||
| SEE PART V | Yes (X) | $3,000,000 | $2,235,125 | false | Yes (true) | Yes (true) |
| BANK OF EDWARDSVILLE | ||||||
| SEE PART V | Yes (X) | $60,895 | $30,642 | false | Yes (true) | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $2,265,767 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| BANK OF EDWARDSVILLE | |||
| > 35% OWNED BY DIRECTOR | $532,847 | PAID INTEREST | false |
| BANK OF EDWARDSVILLE | |||
| > 35% OWNED BY DIRECTOR | $1,412,983 | EARNED INTEREST | false |
| BANK OF EDWARDSVILLE | |||
| > 35% OWNED BY DIRECTOR | $225,623 | TRUSTEE FEES | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II | FormAndLineReferenceDesc |
| Explanation | LOANS TO/FROM INTERESTED PERSONS THE BANK OF EDWARDSVILLE IS OVER 35% CONTROLLED BY MARK SHASHEK. THE PURPOSE OF THE LOAN LISTED ON LINE (1) IS TO PURCHASE REAL ESTATE. THE PURPOSE OF THE LOAN LISTED ON LINE (2) IS TO PURCHASE EQUIPMENT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS TO REVIEW THE FORM 990 THE FORM 990 IS REVIEWED BY THE CEO, CFO, AND CONTROLLER. INFORMATION FOR THE RETURN IS GATHERED BY THE HOSPITAL'S FINANCE DEPARTMENT AND GIVEN TO AN INDEPENDENT AUDITOR FOR FILING PREPARATION. A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY THE COMPLIANCE OFFICER REVIEWS AND MONITORS THE POLICY ANNUALLY. PERSONS COVERED UNDER THE POLICY INCLUDE TRUSTEES/DIRECTORS/MANAGERS, OFFICERS AND COMMITTEE MEMBERS OF THE ANDERSON ENTITIES; DEPARTMENT DIRECTORS, ADMINISTRATIVE DIRECTORS, ASSISTANT DIRECTORS, MEMBERS OF SENIOR MANAGEMENT AND MEDICAL STAFF LEADERS OF ANDERSON, MEDICAL STAFF MEMBERS AND NON-MANAGEMENT STAFF. CONFLICTS ARE REVIEWED, IDENTIFIED AND MAINTAINED BY THE COMPLIANCE OFFICER. EXPLANATION OF ANY RESTRICTIONS IMPOSED ON PERSONS WITH A CONFLICT: THE COVERED INDIVIDUAL PROMPTLY AND FULLY DISCLOSES THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT THE FOLLOWING TIMES: A. WHEN THE COVERED INDIVIDUAL FIRST BECOMES A COVERED INDIVIDUAL AND AT EVERY ANNUAL MEETING OF THE ANDERSON ENTITY THEREAFTER THROUGH THE SUBMISSION OF A CONFLICT DISCLOSURE STATEMENT AFFIRMING THAT THE COVERED INDIVIDUAL (I) RECEIVED A COPY OF THIS POLICY, (II) READ AND UNDERSTOOD THIS POLICY, AND (III) AGREES TO COMPLY WITH THIS POLICY; B. UPON ANY CHANGES IN CIRCUMSTANCES WHICH GIVE RISE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST; AND C. WHEN THE COVERED INDIVIDUAL HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO A TRANSACTION OR ARRANGEMENT BEING CONSIDERED AT A BOARD OR COMMITTEE MEETING. FOR MANAGERS AND MEDICAL STAFF LEADERS: THE COVERED INDIVIDUAL PROMPTLY AND FULLY DISCLOSES THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST TO THE COMPLIANCE OFFICER AT THE FOLLOWING TIMES: A. WHEN THE COVERED INDIVIDUAL FIRST BECOMES A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER THROUGH THE SUBMISSION OF A CONFLICT DISCLOSURE STATEMENT AFFIRMING THAT THE COVERED INDIVIDUAL (I) RECEIVED A COPY OF THIS POLICY, (II) READ AND UNDERSTOOD THIS POLICY, AND (III) AGREES TO COMPLY WITH THIS POLICY; AND B. UPON ANY CHANGES IN CIRCUMSTANCES WHICH GIVE RISE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST; C. WHEN A COVERED INDIVIDUAL HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO A TRANSACTION OR ARRANGEMENT BEING CONSIDERED ON BEHALF OF ANDERSON AND THE COVERED INDIVIDUAL IS IN A POSITION TO INFLUENCE THE OUTCOME OF THE CONSIDERATION. DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST MADE AT THE MEETING AT WHICH THE TRANSACTION OR ARRANGEMENT IS BEING CONSIDERED SHALL BE MADE TO ALL INDIVIDUALS PRESENT AT THE MEETING. FOR OTHER MEDICAL STAFF MEMBERS: DISCLOSURE OCCURS AT APPOINTMENT AND REAPPOINTMENT UNLESS THEY ARE BOARD MEMBERS - THESE PHYSICIANS FOLLOW THE BOARD OF TRUSTEE REQUIREMENTS. EMPLOYEES NOT IN MANAGEMENT POSITIONS: AT TIME OF HIRE AND AT EACH ANNUAL EMPLOYEE EVALUATION. |
| FORM 990, PART VI, SECTION B, LINE 15A | REVIEW OF CEO OR TOP MANAGEMENT OFFICIAL COMPENSATION THE CEO SALARY AND BONUS STRUCTURE IS DETERMINED ON AN ANNUAL BASIS BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF TRUSTEES, AND APPROVED BY THE FULL BOARD BASED ON AN EVALUATION DONE BY THE COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15B | REVIEW OF OTHER OFFICER OR KEY EMPLOYEE COMPENSATION THE ADMINISTRATIVE DIRECTOR SALARY STRUCTURE IS DETERMINED BY A REVIEW AND MARKET COMPENSATION STUDY BASED ON OFFICIAL SURVEYS BY SUCH COMPANIES AS TOWERS, PERRIN AND MERCER. RECOMMENDATIONS ARE MADE TO THE CEO BY HUMAN RESOURCES, AND ARE APPROVED BY THE CEO BASED ON PERFORMANCE EVALUATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SURGERY CONTRACT SERVICES TOTAL FEES:546722 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:REFERENCE LAB CONTRACT SERVICE TOTAL FEES:701333 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER MEDICAL SERVICES TOTAL FEES:3378100 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ADMIN & OTHER FACILITY SERVICE TOTAL FEES:8140205 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:11309797 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| MARYVILLE MEDICAL SERVICES LLC | |||||||||
| 6800 STATE ROUTE 162 | MARYVILLE | IL | 62062 | 200654708 | PHYS SERVICES | IL | $517,893 | $272,711 | Y |
| MARYVILLE PHYSICIAN SERVICES LLC | |||||||||
| 6800 STATE ROUTE 162 | MARYVILLE | IL | 62062 | 200802394 | PHYS SERVICES | IL | $12,534,853 | $2,093,081 | Y |
| MARYVILLE IMAGING LLC | |||||||||
| 6800 STATE ROUTE 162 | MARYVILLE | IL | 62062 | 452588783 | IMAGING SERV | IL | $3,346,655 | $1,672,604 | Y |
| ANDERSON REAL ESTATE LLC | |||||||||
| 6800 STATE ROUTE 162 | MARYVILLE | IL | 62062 | 452681347 | REAL ESTATE | IL | $649,955 | $9,334,720 | Y |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| AUXILIARY OF ANDERSON HOSPITAL | ||||||||||
| 6800 STATE ROUTE 162 | MARYVILLE | IL | 62062 | 376080063 | SUPPORT ORG | IL | 501(C)(3) | 11, III-O | NA | false |
| ANDERSON HOSPITAL FOUNDATION | ||||||||||
| 6800 STATE ROUTE 162 | MARYVILLE | IL | 62062 | 274548522 | SUPPORT ORG | IL | 501(C)(3) | 7 | SW IL HEALTH | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERSON HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | O | TransactionTypeTxt |
| Involved | $61,417 | InvolvedAmt |
| Method Of Amount Determination | BOOK VALUE | MethodOfAmountDeterminationTxt |