PROCTOR HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- PROCTOR HOSPITAL (EIN 37-0681540)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201433219349307118
- Schema version
- 2013v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T13:54:32-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 S OLD STATE CAPITOL PLZ STE 200 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | IL | State |
| ZIP Code | 627011510 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370681540 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROCTOR HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROC | BusinessNameControlTxt |
| Phone | 3096911064 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5409 N KNOXVILLE AVENUE | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 61614 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT QUIN | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 3096724893 | PhoneNum |
| Signature | 2014-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL BASS | PreparerPersonNm |
| PTIN | P00458970 | PTIN |
| Phone | 2177897700 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DEBORAH SIMON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5409 N KNOXVILLE AVENUE | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 61614 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $102,099,313 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | PROCTOR HOSPITAL PROVIDES A BROAD RANGE OF HEALTHCARE SERVICES AND ACTIVITIES TO THE COMMUNITY. THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT CARE FACILITIES TO SUPPORT MEDICAL NEEDS OF THE COMMUNITY WITHOUT REGARD TO THE INDIVIDUAL'S ABILITY TO PAY. THE HOSPITAL ALSO PROVIDES EXTENSIVE EDUCATION TO MEMBERS OF THE COMMUNITY ABOUT VARIOUS HEALTH ISSUES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 1386 | TotalEmployeeCnt |
| Total Volunteers | 242 | TotalVolunteersCnt |
| Total Gross UBI | $946,948 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$270,528 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $24 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $108,880,545 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $101,836,674 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$652,613 | PYInvestmentIncomeAmt |
| CY Investment Income | -$26,828 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$37,208 | PYOtherRevenueAmt |
| CY Other Revenue | $163,639 | CYOtherRevenueAmt |
| PY Total Revenue | $108,190,748 | PYTotalRevenueAmt |
| CY Total Revenue | $101,973,485 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $48,868,223 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $47,568,346 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $64,037,371 | PYOtherExpensesAmt |
| CY Other Expenses | $69,906,819 | CYOtherExpensesAmt |
| PY Total Expenses | $112,905,594 | PYTotalExpensesAmt |
| CY Total Expenses | $117,475,165 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,714,846 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$15,501,680 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $96,942,323 | TotalAssetsBOYAmt |
| Total Assets EOY | $88,218,639 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $87,912,761 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $78,018,169 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,029,562 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,200,470 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROCTOR HOSPITAL PROVIDES A BROAD RANGE OF HEALTHCARE SRVICES AND ACTIVITIES TO THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $86,642,530 | ExpenseAmt |
| Revenue | $101,026,537 | RevenueAmt |
| Desc | PROCTOR HOSPITAL IS AN ACUTE CARE FACILITY WHICH OPERATES 233 LICENSED BEDS IN PEORIA, ILLINOIS. TWENTY FIVE OF THE LICENSED BEDS ARE DEVOTED TO SKILLED NURSING AND ANOTHER 30 BEDS ARE DEVOTED TO A NATIONALLY UNIQUE ADDICTION RECOVERY CENTER. STATISTICS INCLUDE 29,401 PATIENT DAYS, 6,799 DISCHARGES AND 166,973 OUTPATIENT VISITS. OF TOTAL DAYS, SKILLED NURSING ACCOUNTED FOR 4,533 DAYS AND 537 DISCHARGES AND ADDICTION RECOVERY ACCOUNTED FOR 2,452 DAYS AND 376 DISCHARGES. IN ADDITION, THE ADDICTION RECOVERY CENTER HAD 6,748 PATIENT DAYS IN THEIR IADT PROGRAM. THE HOSPITAL ALSO HAS AN EMERGENCY ROOM WHICH TREATED 19,839 PATIENTS. | Desc |
| Total Program Service Expenses | $86,642,530 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 183 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1386 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT QUIN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3096724893 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 221 NE GLEN OAK | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 61603 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 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 |
|---|---|---|---|---|---|---|---|---|
| DEBORAH SIMON | ||||||||
| CEO | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $618,876 | $141,555 | |
| BRUCE ALKIRE | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PATRICK O'LEARY | ||||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRIAN COHEN MD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| FRANK CRESPO | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JILL DAUGHTERY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN ERWIN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GREG GERSTNER MD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| VAUGHN HANNA MD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PETER JOHNSEN PHD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ALEXIS KHAZZAM | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAY MARINO | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES MAXEY MD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN BARBIER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES VERGON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID WALTY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT QUIN | ||||||||
| TREASURER | 1.00 | 40.00 | Yes (X) | $0 | $332,124 | $62,653 | ||
| PAUL MACEK | ||||||||
| VICE PRESIDENT | 16.00 | 24.00 | Yes (X) | $156,740 | $235,111 | $103,148 | ||
| ANDREW BLAND | ||||||||
| COO | 40.00 | $233,193 | $0 | $10,875 | Yes (X) | |||
| MARTY DORGAN | ||||||||
| CNO | 40.00 | $203,522 | $0 | $20,241 | Yes (X) | |||
| TODD BAKER | ||||||||
| VP | 40.00 | $168,719 | $0 | $25,513 | Yes (X) | |||
| STEPHEN BONOMO | ||||||||
| PHARMACIST | 40.00 | $161,668 | $0 | $12,044 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $923,842 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,186,111 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $376,029 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 22 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EMERGENCY PHYSICIAN STAFFING SOLUTIONS | |||||
| 12528 SR 78 | HAVANA | IL | 62644 | ER STAFFING | $2,408,893 |
| FULBRIGHT AND JAWORSKI | |||||
| 190 CARDONDELET PLAZA | ST LOUIS | MO | 63105 | LEGAL | $1,437,193 |
| PROFESSIONAL THERAPY SERVICES | |||||
| 2810 FRANK SCOTT PARKWAY WEST | BELLEVILLE | IL | 62223 | THERAPY | $1,342,132 |
| UNIDINE CORPORATION | |||||
| PO BOX 60479 | CHAROLTTE | NC | 28260 | CONTRACT SERVICES | $1,270,680 |
| CACI | |||||
| PO BOX 270480 | ST LOUIS | MO | 63127 | COLLECTION SERVICES | $1,158,011 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 35 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621500 | $94,503,568 | $94,503,568 | |
| OTHER OPERATING REVENUE | 621500 | $7,333,106 | $6,556,756 | $776,350 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $101,836,674 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $89,373 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $99,000 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$9,627 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$9,627 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$9,627 | RelatedOrExemptFuncIncomeAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $26,828 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$26,828 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$26,828 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$26,828 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| DAYCARE REVENUE | 622410 | $163,911 | $163,911 | |
| LAUNDRY REVENUE | 812300 | $6,687 | $6,687 | |
| CAFETERIA REVENUE | 621500 | $2,668 | $2,668 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $173,266 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $101,973,485 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $101,026,537 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $946,948 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,740 | TotalAmt |
| Management And General | $156,740 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,090,353 | TotalAmt |
| Program Services | $27,190,378 | ProgramServicesAmt |
| Management And General | $9,899,975 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $963,048 | TotalAmt |
| Program Services | $703,025 | ProgramServicesAmt |
| Management And General | $260,023 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,612,730 | TotalAmt |
| Program Services | $4,827,293 | ProgramServicesAmt |
| Management And General | $1,785,437 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,745,475 | TotalAmt |
| Program Services | $2,004,197 | ProgramServicesAmt |
| Management And General | $741,278 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,027,389 | TotalAmt |
| Program Services | $1,479,994 | ProgramServicesAmt |
| Management And General | $547,395 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,114 | TotalAmt |
| Program Services | $119,073 | ProgramServicesAmt |
| Management And General | $44,041 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,738,582 | TotalAmt |
| Program Services | $2,729,165 | ProgramServicesAmt |
| Management And General | $1,009,417 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $989,567 | TotalAmt |
| Program Services | $722,384 | ProgramServicesAmt |
| Management And General | $267,183 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,106,911 | TotalAmt |
| Program Services | $808,044 | ProgramServicesAmt |
| Management And General | $298,867 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,443,708 | TotalAmt |
| Program Services | $1,053,907 | ProgramServicesAmt |
| Management And General | $389,801 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,318 | TotalAmt |
| Program Services | $126,522 | ProgramServicesAmt |
| Management And General | $46,796 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,438,637 | TotalAmt |
| Management And General | $1,438,637 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,727,569 | TotalAmt |
| Program Services | $4,181,125 | ProgramServicesAmt |
| Management And General | $1,546,444 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,598,498 | TotalAmt |
| Program Services | $1,166,904 | ProgramServicesAmt |
| Management And General | $431,594 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $24,060,962 | $17,564,502 | $6,496,460 |
| CONTRACT SERVICES | $11,356,820 | $8,290,479 | $3,066,341 |
| BAD DEBT EXPENSE | $7,169,867 | $7,169,867 | |
| OTHER EXPENSES | $4,457,771 | $3,254,174 | $1,203,597 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,454,106 | TotalAmt |
| Program Services | $3,251,497 | ProgramServicesAmt |
| Management And General | $1,202,609 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,475,165 | TotalAmt |
| Program Services | $86,642,530 | ProgramServicesAmt |
| Management And General | $30,832,635 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,065 | BOYAmt |
| EOY | $4,185,560 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,666,170 | BOYAmt |
| EOY | $33,305,204 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,442,714 | BOYAmt |
| EOY | $3,498,104 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,363,773 | BOYAmt |
| EOY | $2,652,168 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $146,384,320 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $110,728,358 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,642,692 | BOYAmt |
| EOY | $35,655,962 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,965,441 | BOYAmt |
| EOY | $1,865,735 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,255 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,640,213 | BOYAmt |
| EOY | $7,055,906 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,942,323 | BOYAmt |
| EOY | $88,218,639 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,542,036 | BOYAmt |
| EOY | $34,946,345 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,465,601 | BOYAmt |
| EOY | $30,026,540 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,905,124 | BOYAmt |
| EOY | $13,045,284 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,912,761 | BOYAmt |
| EOY | $78,018,169 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,311,087 | BOYAmt |
| EOY | $3,072,942 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $510,619 | BOYAmt |
| EOY | $6,651,778 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,207,856 | BOYAmt |
| EOY | $475,750 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,029,562 | BOYAmt |
| EOY | $10,200,470 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,942,323 | BOYAmt |
| EOY | $88,218,639 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$15,501,680 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,770 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $16,668,818 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $27,004 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $27,004 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PROCTOR HOSPITAL PAYS DUES TO IHA. THE AMOUNT OF DUES PAID IN 2013 WAS $79,423 OF WHICH 34% OR $27,004 WAS USED FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,081,907 | OtherCostOrOtherBasisAmt |
| Book Value | $6,081,907 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $63,595,770 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,388,191 | DepreciationAmt |
| Book Value | $18,207,579 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $429,739 | OtherCostOrOtherBasisAmt |
| Depreciation | $154,885 | DepreciationAmt |
| Book Value | $274,854 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,931,867 | OtherCostOrOtherBasisAmt |
| Depreciation | $65,185,282 | DepreciationAmt |
| Book Value | $10,746,585 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $345,037 | OtherCostOrOtherBasisAmt |
| Book Value | $345,037 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $35,655,962 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEFERRED CHARGES | $13,330 |
| BENEFICIAL INTEREST IN PERPETUAL TRUST | $7,042,576 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,055,906 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| MINIMUM PENSION LIABILITY | $11,454,436 |
| CAPITAL LEASE OBLIGATIONS | $11,470 |
| RETIREMENT PLAN ACCRUAL | $1,579,378 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,045,284 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | UNITY POINT HEALTH (PARENT) AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 501(C)(2) OF THE INTERNAL REVENUE CODE (THE CODE). TAX-EXEMPT ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME AS DESCRIBED UNDER PROVISIONS OF SECTION 511 OF THE CODE. THE SYSTEM FILES FORM 990 FOR SUBTANTIALLY ALL OF ITS OPERATING ENTITIES IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE YEARS BEFORE 2010. THE SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $765,384 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $765,384 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,251,085 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,818,896 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,432,189 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02920 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,016,469 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,818,896 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,197,573 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03570 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,878 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,878 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,663,250 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,355,374 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,307,876 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02820 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,746,128 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,355,374 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,390,754 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02890 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,762,597 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,174,270 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,588,327 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06460 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,495,899 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $31,832,879 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $41,002,511 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,169,632 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 | PROCTOR HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5409 N KNOXVILLE AVENUE | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 61614 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | PROCTOR HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | 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 | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PROCTOR HOSPITAL | PART V, SECTION B, LINE 3: THE CHNA INCLUDED DETAILED ANALYSES OF SECONDARY DATA TO ASSESS INFORMATION REGARDING THE HEALTH STATUS OF THE COMMUNITIES. IN ORDER TO PERFORM THESE ANALYSES, INFORMATION WAS COLLECTED FROM NUMEROUS SECONDARY SOURCES, INCLUDING PUBLICALLY AVAILIABLE SOURCES, SUCH AS COUNTY-BASED DATA, AS WELL AS PRIVATE SOURCES OF DATA, SUCH AS HOSPITAL-SPECIFIC DATA. SPECIFICALLY, FINDINGS FROM THE SECONDARY SOURCES OF DATA HIGHLIGHTED SEVERAL CRITICAL AREAS OF COMMUNITY NEEDS.TO COLLECT DATA, THREE SURVEYING TECHINQUES WERE USED- ONLINE, PAPER, AND STRUCTURED INTERVIEWS.THE HOSPITALS THEN IDENTIFIED AND PRIORITIZED THE MOST IMPORTANT HEALTH-RELATED ISSUES IN THE TRI-COUNTY REGION. AFTER SUMMARIZING ALL OF THE ISSUES OF THE CHNA, A COMPREHENSIVE ASSESSMENT OF EXISTING COMMUNITY RESOURCES WAS PERFORMED TO IDENTIFY THE EFFICACY TO WHICH HEALTH-RELATED ISSUES WERE ALREADY BEING ADDRESSED. FINALLY, A COLLABORATIVE EFFORT OF LEADERS IN THE HEALTHCARE COMMUNITY USED AN IMPORTANCE/URGENCY METHODOLOGY TO IDENTIFY THE MOST CRITICAL ISSUES IN THE AREA. TEAM MEMBERS FOR THIS NEEDS ASSESSMENT INCLUDED TWO REPRESENTATIVES FROM EACH OF THE THREE PEORIA HOSPITALS, ADMINISTRATORS FROM THE THREE COUNTY HEALTH DEPARTMENTS, PHYSICIANS/ADMINISTRATORS FROM CLINICS SERVING THE AT-RISK POPULATION, REPRESENTATION FROM THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE AND THE HEART OF ILLINOIS UNITED WAY. |
| PROCTOR HOSPITAL | PART V, SECTION B, LINE 4: PROCTOR HOSPITAL'S CHNA WAS A COLLABORATIVE UNDERTAKING BY PROCTOR HOSPITAL, METHODIST MEDICAL CENTER OF ILLINOIS AND OSF SAINT FRANCIS MEDICAL CENTER TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN PEORIA, TAZEWELL, AND WOODFORD COUNTIES. |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $7,169,867. |
| PART III, LINE 4: | PATIENT RECEIVABLES DUE FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS, BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS AND BY CONSIDERING THE PATIENT'S FINANCIAL HISTORY, CREDIT HISTORY, AND CURRENT ECONOMIC CONDITIONS. INTEREST IS NOT CHARGED ON PATIENT RECEIVABLES. PATIENT RECEIVABLES ARE WRITTEN OFF AS A BAD DEBT WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED. |
| PART III, LINE 9B: | NO COLLECTION EFFORTS WILL BE MADE BY PROCTOR HOSPITAL OR ITS DESIGNATED AGENTS ON ACCOUNTS WHERE PATIENTS HAVE COMPLETED THE FINANCIAL ASSISTANCE APPLICATION PROCESS AND ESTABLISHED THEIR ELIGIBILITY FOR CHARITY CARE. |
| PART VI, LINE 2: | PROCTOR HOSPITAL'S BOARD OF TRUSTEES AND MANAGEMENT TEAM DEVELOPED GOALS FOR THE COMMUNITY BENEFIT PLAN USING FEEDBACK FROM EMPLOYEES, PATIENTS, FAMILIES, PHYSICIANS, FOCUS GROUPS, STUDIES OF LOCAL AND REGIONAL HEALTH TRENDS, AND REVIEWS OF CENSUS DATA TO PROVIDE THE NECESSARY EVIDENCE FROM WHICH TO CONCENTRATE OUR EFFORTS. FROM THE RESEARCH, THREE PRIMARY GOALS WERE ESTABLISHED AND ARE NOW REVIEWED ANNUALLY. NO SUBSTANTIVE CHANGES TO THE PRIMARY GOALS WERE MADE IN 2013. PROCTOR'S MOST SIGNIFICANT GOAL WORKS TO IMPROVE ACCESS TO THE DELIVERY OF HEALTHCARE SERVICES, INCLUDES MAKING OUR FACILITIES AND STAFF AVAILABLE TO ANYONE WHO HAS A NEED FOR HEALTH CARE. THE SECOND GOAL, ENHANCING THE QUALITY OF LIFE THROUGH EDUCATION AND PREVENTION, WAS DEVELOPED TO FURTHER THE ABILITY OF PEOPLE OF ALL AGES IN OUR COMMUNITY TO LEARN ABOUT HEALTH ISSUES THAT MAY IMPACT THEIR LIVES. OUR THIRD, AND FINAL PRIMARY GOAL, IS FOR PROCTOR HOSPITAL TO ENHANCE ITS REPUTATION AS A VIRTUAL "CORPORATE" CITIZEN OF PEORIA AND THE SURROUNDING AREA. AS A MAJOR EMPLOYER IN OUR PRIMARY AND SECONDARY SERVICE AREAS, PROCTOR IS COMMITTED TO PROVIDING RESOURCES TO ASSIST OTHER COMMUNITY BASED, NOT-FOR-PROFIT ORGANIZATIONS THAT DEMONSTRATE NEEDS RELATING TO SOME ASPECT OF HEALTH OR QUALITY OF LIFE. REQUESTS FOR ASSISTANCE IN NON-HEALTH/PERSONAL DEVELOPMENT COMMUNITY ENDEAVORS (I.E., ZOOS, MUSEUMS, ETC.) MAY BE CONSIDERED IF ADEQUATE RESOURCES ARE AVAILABLE BUT WILL BE SECONDARY TO CAUSES THAT RELATE SPECIFICALLY TO THE HOSPITAL'S MISSION, VISION AND VALUES. |
| PART VI, LINE 3: | PROCTOR HOSPITAL HAS POSTED A SIGN IN ALL ADMISSION AND REGISTRATION AREAS WITH THE FOLLOWING NOTICE:"YOU MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE TERMS AND CONDITIONS THE HOSPITAL OFFERS TO QUALIFIED PATIENTS. FOR MORE INFORMATION CONTACT A PATIENT FINANCIAL SERVICE REPRESENTATIVE AT 309-691-1083."THE SIGN IS IN ENGLISH AND ANY OTHER LANGUAGE THAT IS THE PRIMARY LANGUAGE OF AT LEAST 5% OF THE PATIENTS SERVICED BY THE HOSPITAL ANNUALLY.A NOTICE WAS PLACED ON THE PROCTOR HOSPITAL WEBSITE IN A PROMINENT LOCATION THAT (1)NOTIFIED PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE AT THE HOSPITAL, (2)DESCRIBED THE FINANCIAL ASSISTANCE APPLICATION PROCESS, AND (3)PROVIDED A COPY OF THE FINANCIAL ASSISTANCE APPLICATION. |
| PART VI, LINE 4: | FROM A DEMOGRAPHIC STANDPOINT, PROCTOR SERVES A POPULATION THAT DIFFERS SIGNIFICANTLY FROM ITS LARGER DOWNTOWN COMPETITORS. THE RACIAL AND ETHNIC MIX OF PROCTOR PATIENTS IS IMPACTED BY THE HOSPITAL'S NORTHSIDE LOCATION. |
| PART VI, LINE 5: | WE BELIEVE THAT GENERAL KNOWLEDGE OF HEALTH RELATED ISSUES IS LACKING. OUR FOCUS ON EDUCATION AND PREVENTION, THROUGH AN IMPRESSIVE ARRAY OF OPPORTUNITIES, WILL HELP PROVIDE INDIVIDUALS WITH INFORMATION NEEDED TO ASSIST IN MAKING NECESSARY LIFESTYLE CHANGES TO PREVENT DISEASE WHEN POSSIBLE. IF DISEASE CANNOT BE PREVENTED, OUR PLAN IS TO PROVIDE METHODS THAT PROVIDE OPTIONS FOR SOUND DECISION MAKING. RESEARCH CLEARLY STATES THAT EARLY DETECTION IS IMPERATIVE TO DISEASE PREVENTION AND THAT HEALTHY LIFESTYLE CHANGES POSITIVELY IMPACT ATTITUDES OF INDIVIDUALS AND FAMILIES. |
| PART VI, LINE 6: | PROCTOR HEALTH CARE INCORPORATED (CORPORATION), PROCTOR HEALTH CARE FOUNDATION (FOUNDATION), BELCREST SERVICES, LTD. (BELCREST), PROCTOR HEALTH SYSTEMS (PHS), PROFESSIONAL MEDICAL ASSOCIATES (PMA), HEALTH PLUS, INC., AND HULT HEALTH EDUCATIONAL CENTER (HULT) (COLLECTIVELY REFERRED TO HEREIN AS "PROCTOR" OR "PROCTOR HEALTH CARE INCORPORATED AND RELATED ORGANIZATIONS")ARE AFFILIATED WITH PROCTOR HOSPITAL (HOSPITAL).THE HOSPITAL IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL WHICH PROVIDES HEALTH CARE SERVICES THROUGH ITS INPATIENT AND OUTPATIENT FACILITIES LOCATED IN AND AROUND PEORIA, ILLINOIS. THE FOUNDATION AND CORPORATION ARE NOT-FOR-PROFIT CORPORATIONS WHOSE PRIMARY PURPOSES ARE TO SUPPORT AND ENCOURAGE HEALTH CARE RELATED SERVICES BY PROVIDING FINANCIAL AND MANAGEMENT ASSISTANCE TO THE HOSPITAL. THE HOSPITAL IS CONTROLLED BY THE CORPORATION AND IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION. BELCREST IS A WHOLLY-OWNED SUBSIDIARY OF THE CORPORATION, ESTABLISHED AS A FOR-PROFIT CORPORATION TO PROVIDE HEALTH CARE RELATED SERVICES. PHS IS A WHOLLY-OWNED SUBSIDIARY OF THE CORPORATION, ESTABLISHED TO PROVIDE PHYSICIAN PRACTICE MANAGEMENT SERVICES ON BEHALF OF THE PROCTOR HEALTH CARE DELIVERY SYSTEM. PMA WAS ESTABLISHED TO PROVIDE PROFESSIONAL MEDICAL SERVICES AND IS CONTROLLED BY THE CORPORATION. HEALTH PLUS, INC. IS A MANAGED CARE COMPANY, WHICH CONTRACTS WITH PROVIDERS AND INSURERS OF HEALTHCARE IN THE CENTRAL ILLINOIS MARKET. HEALTH PLUS, INC. IS A WHOLLY-OWNED SUBSIDIARY OF THE CORPORATION. THE HOSPITAL IS THE SOLE CORPORATE MEMBER OF HULT, A COMMUNITY EDUCATIONAL CENTER LOCATED ON THE HOSPITAL'S CAMPUS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEBORAH SIMON | ||||||||||||||
| CEO | $0 | $368,577 | $0 | $81,803 | $0 | $168,496 | $0 | $116,938 | $0 | $24,617 | $0 | $760,431 | $0 | $0 |
| ROBERT QUIN | ||||||||||||||
| TREASURER | $0 | $229,581 | $0 | $39,377 | $0 | $63,166 | $0 | $53,766 | $0 | $8,887 | $0 | $394,777 | $0 | $0 |
| PAUL MACEK | ||||||||||||||
| VICE PRESIDENT | $156,740 | $235,111 | $0 | $0 | $0 | $0 | $34,260 | $51,390 | $6,999 | $10,499 | $197,999 | $297,000 | $0 | $0 |
| ANDREW BLAND | ||||||||||||||
| COO | $49,956 | $0 | $0 | $0 | $183,237 | $0 | $698 | $0 | $10,177 | $0 | $244,068 | $0 | $0 | $0 |
| MARTY DORGAN | ||||||||||||||
| CNO | $203,522 | $0 | $0 | $0 | $0 | $0 | $4,392 | $0 | $15,849 | $0 | $223,763 | $0 | $0 | $0 |
| TODD BAKER | ||||||||||||||
| VP | $168,719 | $0 | $0 | $0 | $0 | $0 | $4,492 | $0 | $21,021 | $0 | $194,232 | $0 | $0 | $0 |
| STEPHEN BONOMO | ||||||||||||||
| PHARMACIST | $161,668 | $0 | $0 | $0 | $0 | $0 | $4,250 | $0 | $7,794 | $0 | $173,712 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINES 4A-B | FormAndLineReferenceDesc |
| Explanation | PROCTOR'S COO ANDREW BLAND SEPARATED FROM PROCTOR. HE RECEIVED A SEVERANCE PAYMENT OF $183,237. PROCTOR ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING 2011 FOR ITS CHIEF EXECUTIVE OFFICER PAUL MACEK. THE AMOUNT OF THE CONTRIBUTION FOR 2013 WAS $78,000. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY-SERIES 2006A | ||||||||
| A | 861091674 | 45200BYW2 | 2006-05-11 | $22,525,000 | REFUND 1991 BONDS | 0 | 0 | 0 |
| ILLINOIS FINANCE AUTHORITY-SERIES 2010A | ||||||||
| B | 861091674 | 2010-12-16 | $15,500,000 | PAYOFF 2006B AND NEW MONEY | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | In Reserve FundInReserveFundAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $22,323,401 | $19,564,161 | $446,468 | $21,876,933 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $15,500,000 | $178,659 | $14,890,157 | Yes (1) | 0 | Yes (1) | Yes (1) | $431,184 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 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 | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | EFFECTIVE NOVEMBER 7, 2013 METHODIST HEALTH SERVICES (MHSC) ENTERED INTO AN AFFILIATION AGREEMENT WITH PROCTOR HEALTH CARE INCORPORATED (PHCI) UNDER WHICH PHCI BECAME AN AFFILIATE OF MHSC. PHCI IS THE SOLE MEMBER OF PROCTOR (PROCTOR) HOSPITAL. CHANGES TO THE NUMBER AND COMPOSITION OF VOTING MEMBERS, OFFICERS OR KEY EMPLOYEES BECAUSE OF THIS AFFILIATION AGREEMENT ARE AS FOLLOWS: - THE NUMBER OF PROCTOR DIRECTORS SHALL NOT BE MORE THAN SIXTEEN (16) OR LESS THAN ELEVEN (11) AS DETERMINED FROM TIME TO TIME BY MHSC. THE MHSC BOARD, AFTER CONSIDERING THE RECOMMENDATIONS OF THE MHSC GOVERNANCE COMMITTEE, SHALL ELECT THE NUMBER OF PROCTOR DIRECTORS REQUIRED TO FILL THE VACANCIES COMING OPEN ON THE DATE OF THE ANNUAL MEETING OF THE MHSC BOARD WHO ARE NOT EX OFFICIO VOTING MEMBERS, TO HOLD OFFICE FOR A TERM OF THREE (3) YEARS AND UNTIL THEIR SUCCESSORS ARE ELECTED AND QUALIFIED. TERMS SHALL BE STAGGERED SO THAT NO MORE THAN ONE THIRD (1/3) OF THE PROCTOR DIRECTORS SHALL BE ELIGIBLE FOR RE-ELECTION ANNUALLY. THE MHSC BOARD SHALL ELECT THE SAME INDIVIDUALS TO SERVE AS PROCTOR DIRECTORS AND MMCI DIRECTORS FOR IDENTICAL TERMS ON THE PROCTOR BOARD AND THE MMCI BOARD RESPECTIVELY. NO PERSON OTHER THAN THE PRESIDENT MAY SERVE MORE THAN FOUR (4) CONSECUTIVE THREE (3) YEAR TERMS ON THE PROCTOR BOARD. A PERSON WHO HAS SERVED FOUR (4) CONSECUTIVE THREE (3) YEAR TERMS ON THE PROCTOR BOARD WILL BE ELIGIBLE TO SERVE ON THE PROCTOR BOARD FOR AN ADDITIONAL FOUR (4) CONSECUTIVE THREE (3) YEAR TERMS IF THE PERSON IS NOT ON THE PROCTOR BOARD FOR ONE (1) YEAR. -THE PRESIDENT AND CEO OF MHSC SHALL BE THE CEO OF PROCTOR. -THE CFO OF MHSC SHALL BE THE TREASURER OF PROCTOR. |
| FORM 990, PART VI, SECTION A, LINE 6 | PROCTOR HEALTH CARE INCORPORATED IS THE SOLE MEMBER OF PROCTOR HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | PROCTOR HEALTH CARE INCORPORATED PER THE BYLAWS HAS THE RIGHT TO "ELECT, REPLACE OR REMOVE AT ANY TIME AND FROM TIME TO TIME AND WITHOUT CAUSE, MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION." |
| FORM 990, PART VI, SECTION A, LINE 7B | THE DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY ITS MEMBER, PROCTOR HEALTH CARE INCORPORATED. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY MEMBERS OF THE BOARD EXECUTIVE COMMITTEE AND SENIOR MANAGEMENT PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | A STANDING AGENDA ITEM FOR EACH BOARD MEETING WILL REQUEST FROM MEMBERS IF THERE ARE ANY RECENT EVENTS TO BE REPORTED UNDER THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS ESTABLISHED BY A COMMITTEE MADE UP OF MEMBERS OF PROCTOR HOSPITAL'S BOARD. VARIOUS METHODS ARE USED BY THIS COMMITTTEE TO ESTABLISH THE COMPENSATION. EXAMPLES OF THESE METHODS INCLUDE AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION STUDY OR SURVEY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 24E | RENT & LEASE EXPENSES: PROGRAM SERVICE EXPENSES 2,789,075. MANAGEMENT AND GENERAL EXPENSES 1,031,576. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,820,651. REPAIRS & MANTENANCE: PROGRAM SERVICE EXPENSES 462,422. MANAGEMENT AND GENERAL EXPENSES 171,033. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 633,455. |
| FORM 990, PART XI, LINE 9: | ASSETS RELEASED FROM RESTRICTION 384,278. CHANGE IN MINIMUM PENSION LIABILITY 15,875,487. CHANGE IN TEMPORARILY RESTRICTED ASSETS 6,141,159. CHANGE IN PERMANENTLY RESTRICTED ASSETS -5,732,106. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| PROCTOR HEALTH CARE INCORPORATED | ||||||||||
| 5409 N KNOXVILLE AVENUE | PEORIA | IL | 61614 | 371133412 | PROVISION OF MANAGEMENT SERVICES AND SUPPORT TO PROCTOR HOSPITAL | IL | 501(C)(3) | 170(B)(1)(A)(III) | 0 | |
| PROCTOR HEALTH CARE FOUNDATION | ||||||||||
| 5409 N KNOXVILLE AVENUE | PEORIA | IL | 61614 | 371133429 | SOLICIT AND RECEIVE GIFTS | IL | 501(C)(3) | 509(A)(3) TYPE I | Yes (1) | PROCTOR HOSPITAL |
| PROCTOR HEALTH SYSTEMS | ||||||||||
| 5409 N KNOXVILLE AVENUE | PEORIA | IL | 61614 | 364147437 | PROVIDE HEALTH CARE | IL | 501(C)(3) | 170(B)(1)(A)(III) | Yes (1) | PROCTOR HEALTH CARE INCORPORATED |
| HULT HEALTH EDUCATION CENTER | ||||||||||
| 5409 N KNOXVILLE AVENUE | PEORIA | IL | 61614 | 371295532 | PROVIDE HEALTH EDUCATION TO THE COMMUNITY | IL | 501(C)(3) | 170(B)(1)(A)(VI) | Yes (1) | PROCTOR HOSPITAL |
| METHODIST MEDICAL CENTER | ||||||||||
| 221 NE GLEN OAK AVENUE | PEORIA | IL | 61636 | 370661223 | HOSPITAL | IL | 501(C)(3) | 170(B)(1)(A)(III) | 0 | |
| METHODIST HEALTH SERVICES CORPORATION | ||||||||||
| 221 NE GLEN OAK AVENUE | PEORIA | IL | 61636 | 371111135 | SUPPORT AFFILIATES MISSION TO IMPROVE HEALTH CARE | IL | 501(C)(3) | 509(A)(3) TYPE III | 0 | |
| METHODIST MEDICAL CENTER FOUNDATION | ||||||||||
| 221 NE GLEN OAK AVENUE | PEORIA | IL | 61636 | 510186460 | CHARITABLE FUNDRAISING | IL | 501(C)(3) | 170(B)(1)(A)(VI) | 0 | |
| METHODIST SERVICES INC | ||||||||||
| 221 NE GLEN OAK AVENUE | PEORIA | IL | 61636 | 371111134 | OFFICE RENTAL | IL | 501(C)(3) | 509(A)(2) | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BELCREST LTD | ||||||||||||
| 5409 N KNOXVILLE AVENUE | PEORIA | IL | 61614 | 371196307 | MEDICAL SERVICES | IL | PROCTOR HEALTH CARE INCORPORATED | C | $6,728,737 | $5,629,339 | 1.00000 | 0 |
| HEALTH PLUS INC | ||||||||||||
| 5409 N KNOXVILLE AVENUE | PEORIA | IL | 61614 | 371295532 | MANAGED CARE ADMINISTRATION | IL | PROCTOR HEALTH CARE INCORPORATED | C | $5,414 | 1.00000 | 0 | |
| METHODIST HEALTH VENTURES INC | ||||||||||||
| PO BOX 87 | PEORIA | IL | 61650 | 371140939 | PHARMACY/OFFICE STAFFING | IL | C | 0 | ||||
| METHODIST PHYSICIAN SERVICES INC | ||||||||||||
| PO BOX 87 | PEORIA | IL | 61650 | 363858550 | MEDICAL SERVICES | IL | C | 0 | ||||
| PROVIDER RESOURCE MANAGEMENT INC | ||||||||||||
| PO BOX 87 | PEORIA | IL | 61650 | 371223550 | RESOURCE MANAGEMENT | IL | C | 0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PROCTOR HEALTH CARE FOUNDATION | ||
| K | $656,688 | FMV |
| PROCTOR HEALTH CARE FOUNDATION | ||
| P | $76,046 | FMV |
| PROCTOR HEALTH CARE FOUNDATION | ||
| Q | $805,688 | FMV |
| PROCTOR HEALTH CARE INCORPORATED | ||
| P | $37,628 | FMV |
| PROCTOR HEALTH SYSTEMS | ||
| O | $2,566,759 | FMV |
| BELCREST LTD | ||
| O | $2,824,957 | FMV |
| HEALTH EDUCATION CENTER | ||
| O | $699,676 | FMV |
| HEALTH PLUS INC | ||
| O | $57,311 | FMV |