MORRIS HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MORRIS HOSPITAL (EIN 36-2170155)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-14
- IRS object ID
- 201312879349300906
- Schema version
- 2012v2.1
- 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 B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-14T17:13:02-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 N Wabash Suite 3200 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60611 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362170155 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Morris Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % DONALD W SHANHOLTZER | InCareOfName |
| Name Control | MORR | NameControl |
| Phone | 8159422932 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 West High Street | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Morris | City |
| State | IL | State |
| ZIP Code | 60450 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARK STEADHAM | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 8159422932 | Phone |
| Date Signed | 2013-10-06 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rebekuh Eley | Name |
| Phone | 3128569100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARK STEADHAM | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 WEST HIGH STREET | AddressLine1 |
| City | MORRIS | City |
| State | IL | State |
| ZIP Code | 60450 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 149515637 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.morrishospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1906 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | MORRIS HOSPITAL & HEALTHCARE CENTERS EXIST TO PROVIDE HEALTHCARE IN A GENERAL SHORT TERM HOSPITAL IN ADDITION TO DELIVERING PRIMARY HEALTHCARE SERVICES IN THE OUTPATIENT SETTING. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1066 | TotalNbrEmployees |
| Total Nbr Volunteers | 600 | TotalNbrVolunteers |
| Total Gross UBI | 32238 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -13078 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 14081 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2102251 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 115049546 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 120044828 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1384875 | InvestmentIncomePriorYear |
| Investment Income Current Year | 985511 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 915190 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1044464 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 117363692 | TotalRevenuePriorYear |
| Total Revenue Current Year | 124177054 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 54538842 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 60674993 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 418 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 58628760 | OtherExpensePriorYear |
| Other Expenses Current Year | 56432322 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 113168020 | TotalExpensesPriorYear |
| Total Expenses Current Year | 117107315 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4195672 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 7069739 | RevenuesLessExpensesCY |
| Total Assets BOY | 159550592 | TotalAssetsBOY |
| Total Assets EOY | 169141567 | TotalAssetsEOY |
| Total Liabilities BOY | 69028992 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 70340830 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 90521600 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 98800737 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MORRIS HOSPITAL & HEALTHCARE CENTERS EXIST TO PROVIDE HEALTHCARE IN A GENERAL SHORT TERM HOSPITAL IN ADDITION TO DELIVERING PRIMARY HEALTHCARE SERVICES IN THE OUTPATIENT SETTING. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 102767696 | Expense |
| Revenue | 121923513 | Revenue |
| Description | SHORT TERM GENERAL AND PRIMARY HEALTH CARE FOR GRUNDY COUNTY AND THE SURROUNDING AREA. SEE ALSO SCHEDULE O "2012 REPORT." | Description |
| Total Program Service Expense | 102767696 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 89 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1066 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DONALD W SHANHOLTZER | NamePerson |
| Telephone Number | 8159422932 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 WEST HIGH STREET | AddressLine1 |
| City | Morris | City |
| State | IL | State |
| ZIP Code | 60450 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| BRUCE BAKER | ||||||||
| PRESIDENT | 1.0 | X | X | 0 | 0 | 0 | ||
| MICHAEL RITTOF | ||||||||
| VICE PRESIDENT | 1.0 | X | X | 0 | 0 | 0 | ||
| BARRY NARVICK | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| KELLY BEATY | ||||||||
| TREASURER | 1.0 | X | X | 0 | 0 | 0 | ||
| CATHY MACCHIETTO | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| SHELDON SOBOL | ||||||||
| SECRETARY | 1.0 | X | X | 0 | 0 | 0 | ||
| RODNEY ENGSTROM | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JACKIE GOGGINS | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JOHN ROTH MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| PETER ROUMELIOTIS MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| TAMI HANSEN | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| DANIEL JURAK DO | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| THOMAS MEYER | ||||||||
| CFO | 40.0 | X | 201371 | 0 | 6449 | |||
| MARK STEADHAM | ||||||||
| PRESIDENT AND CEO | 40.0 | X | 377771 | 0 | 7120 | |||
| CAROL HAVEL | ||||||||
| VP nursing | 40.0 | 177704 | 0 | 6141 | X | |||
| BEATRIZ SETRINI | ||||||||
| PHYSICIAN | 40.0 | 348892 | 0 | 8877 | X | |||
| MOHAN GOUNDER | ||||||||
| PHYSICIAN | 40.0 | 259577 | 0 | 6569 | X | |||
| IAN BEST | ||||||||
| PHYSICIAN | 40.0 | 315002 | 0 | 4670 | X | |||
| BELINDA SERRANO | ||||||||
| PHYSICIAN | 40.0 | 274843 | 0 | 4427 | X | |||
| MARK PASSERMAN | ||||||||
| PHYSICIAN | 40.0 | 265719 | 0 | 4859 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2220879 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 49112 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DR ERIK MURASKAS MD | |||||
| 8747 EAST HANSEL RD | CHANNAHON | IL | 60410 | FOREGIVENESS OF DEBT | 550054 |
| MAYO COLLABORATIVE SERVICES INC | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 554809146 | LABORATORY SERVICES | 528001 |
| OSWALT GENERAL SURGERY PC | |||||
| 942 W US RT 6 | MORRIS | IL | 60450 | FORGIVENESS OF DEBT | 425848 |
| CANCER TREATMENT GROUP | |||||
| 128 SHORE DRIVE | OGDEN DUNES | IN | 46368 | ONCOLOGY SERVICES | 348000 |
| EPIC GROUP SC SLOT 303125 | |||||
| PO BOX 66973 | CHICAGO | IL | 606060973 | HEALTH SERVICES | 293553 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 15 | NumberOfContractorsGT100K |
| Government Grants | 2087857 | GovernmentGrants |
| All Other Contributions | 14394 | AllOtherContributions |
| Total Contributions | 2102251 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE | Description |
| Business Code | 621500 | BusinessCode |
| Total Revenue Column | 120044828 | TotalRevenueColumn |
| Related Or Exempt Function Income | 120012590 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 32238 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 120044828 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1523959 | TotalRevenueColumn |
| Exclusion | $1,523,959 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 135975 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 135975 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 135975 | TotalRevenueColumn |
| Exclusion | $135,975 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 24779864 | Securities |
| Other | 20271 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 25184694 | Securities |
| Other | 153889 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -404830 | Securities |
| Other | -133618 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -538448 | TotalRevenueColumn |
| Exclusion | -$538,448 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA | 900099 | 375731 | $375,731 |
| ALL OTHER REVENUE | 900099 | 532758 | $532,758 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 908489 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 124177054 | TotalRevenueColumn |
| Related Or Exempt Function Income | 120012590 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 32238 | UnrelatedBusinessRevenue |
| Exclusion | $2,029,975 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 776556 | Total |
| Program Services | 675604 | ProgramServices |
| Management And General | 100952 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47373255 | Total |
| Program Services | 41214732 | ProgramServices |
| Management And General | 6158523 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9137225 | Total |
| Program Services | 7949386 | ProgramServices |
| Management And General | 1187839 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3387957 | Total |
| Program Services | 2947523 | ProgramServices |
| Management And General | 440434 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 401095 | Total |
| Program Services | 348953 | ProgramServices |
| Management And General | 52142 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 160477 | Total |
| Program Services | 139615 | ProgramServices |
| Management And General | 20862 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 455829 | Total |
| Program Services | 396571 | ProgramServices |
| Management And General | 59258 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8442616 | Total |
| Program Services | 7345076 | ProgramServices |
| Management And General | 1097540 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3670852 | Total |
| Program Services | 3193641 | ProgramServices |
| Management And General | 477211 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2384290 | Total |
| Program Services | 2074332 | ProgramServices |
| Management And General | 309958 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1630737 | Total |
| Program Services | 1418741 | ProgramServices |
| Management And General | 211996 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8121411 | Total |
| Program Services | 7065628 | ProgramServices |
| Management And General | 1055783 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1900557 | Total |
| Program Services | 1653485 | ProgramServices |
| Management And General | 247072 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 12410628 | 10797246 | 1613382 |
| BAD DEBT EXPENSE | 6802543 | 6802543 | |
| TRANSFERS | 810787 | 705385 | 105402 |
| FOOD | 371919 | 323570 | 48349 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8868581 | Total |
| Program Services | 7715665 | ProgramServices |
| Management And General | 1152916 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117107315 | Total |
| Program Services | 102767696 | ProgramServices |
| Management And General | 14339619 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1062368 | BOY |
| EOY | 1326424 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10031170 | BOY |
| EOY | 14051664 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16392418 | BOY |
| EOY | 19024165 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3498923 | BOY |
| EOY | 3444298 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1987916 | BOY |
| EOY | 1287805 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 161801679 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 92797517 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71388576 | BOY |
| EOY | 69004162 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47864388 | BOY |
| EOY | 53370387 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 738577 | BOY |
| EOY | 349504 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6586256 | BOY |
| EOY | 7283158 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159550592 | BOY |
| EOY | 169141567 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9801927 | BOY |
| EOY | 10044872 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44424162 | BOY |
| EOY | 42747159 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14802903 | BOY |
| EOY | 17548799 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69028992 | BOY |
| EOY | 70340830 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90468867 | BOY |
| EOY | 98748004 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32733 | BOY |
| EOY | 32733 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20000 | BOY |
| EOY | 20000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90521600 | BOY |
| EOY | 98800737 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159550592 | BOY |
| EOY | 169141567 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 7069739 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1478563 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -269165 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $34,497 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 34497 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DUES TO AMERICAN HOSPITAL ASSOCIATION & ILLINOIS HOSPITAL ASSOCIATION | Identifier |
| Return Reference | SCH C PART II-B | ReturnReference |
| Explanation | 34% OF TOTAL $21,761 PAYMENT FOR 2013 DUES OWED TO AMERICAN HOSPITAL ASSOCIATION REPRESENT LOBBYING COSTS. 34% OF TOTAL $79,702 PAYMENT FOR 2013 DUES OWED TO AMERICAN HOSPITAL ASSOCIATION REPRESENT LOBBYING COSTS. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6550097 | OtherCostOrOtherBasis |
| Book Value | 6550097 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 65109024 | OtherCostOrOtherBasis |
| Depreciation | 28857369 | Depreciation |
| Book Value | 36251655 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1585734 | OtherCostOrOtherBasis |
| Depreciation | 95431 | Depreciation |
| Book Value | 1490303 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 80357495 | OtherCostOrOtherBasis |
| Depreciation | 59697042 | Depreciation |
| Book Value | 20660453 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8199329 | OtherCostOrOtherBasis |
| Depreciation | 4147675 | Depreciation |
| Book Value | 4051654 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 69004162 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $7,119,888 |
| ESTIMATED INSURANCE LIABILITIES | $5,424,896 |
| OTHER LIABILITIES | $5,004,015 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 17548799 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ASC SUBTOPIC 740-10 | Identifier |
| Explanation | ASC SUBTOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109, ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, THE HOSPITAL MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURES. AS OF DECEMBER 31, 2012 AND 2011, THE HOSPITAL DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 600. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4922 | PersonsServed |
| Total Community Benefit Expense | 3740973 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3740973 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03420 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 30530 | PersonsServed |
| Total Community Benefit Expense | 13833849 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8572344 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5261505 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04820 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 35930885 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 30161913 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5768972 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05280 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 35452 | PersonsServed |
| Total Community Benefit Expense | 53505707 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38734257 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14771450 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13520 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 25 | NumberOfActivitiesOrPrograms |
| Persons Served | 14834 | PersonsServed |
| Total Community Benefit Expense | 198073 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8003 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 190070 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 839 | PersonsServed |
| Total Community Benefit Expense | 87015 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 87015 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 122 | PersonsServed |
| Total Community Benefit Expense | 337352 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 337352 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00310 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 28472 | PersonsServed |
| Total Community Benefit Expense | 439189 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 28340 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 410849 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 40 | NumberOfActivitiesOrPrograms |
| Persons Served | 44267 | PersonsServed |
| Total Community Benefit Expense | 1061629 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 36343 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1025286 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00940 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 40 | NumberOfActivitiesOrPrograms |
| Persons Served | 79719 | PersonsServed |
| Total Community Benefit Expense | 54567336 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38770600 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15796736 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14460 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 4069 | PersonsServed |
| Total Community Building Expense | 332497 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 98000 | DirectOffsettingRevenue |
| Net Community Building Expense | 234497 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 28 | PersonsServed |
| Total Community Building Expense | 5102 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5102 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 3878 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3878 | NetCommunityBuildingExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 50 | PersonsServed |
| Total Community Building Expense | 521 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 521 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 4147 | PersonsServed |
| Total Community Building Expense | 341998 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 98000 | DirectOffsettingRevenue |
| Net Community Building Expense | 243998 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $6,802,543 | BadDebtExpenseAmount |
| Amount Attributable To | 1702956 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 30161913 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 35930885 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5768972 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEERPATH ORTHOPEDIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | SURGERY | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.48000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.52000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MORRIS HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 WEST HIGH STREET | AddressLine1 |
| City | MORRIS | City |
| State | IL | State |
| ZIP Code | 60450 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MORRIS HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 150. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 600. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 11 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (11 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| RADIATION THERAPY CENTER | ||||
| 1600 US RTE 6 | MORRIS | IL | 60450 | RADIATION & ONCOLOGY CLINIC |
| RIDGE ROAD CAMPUS | ||||
| 27240 W SAXONY DRIVE | CHANNAHON | IL | 60410 | IMMEDIATE CARE CENTER |
| MINOOKA HEALTHCARE CENTER | ||||
| 27240 W SAXONY DRIVE | CHANNAHON | IL | 60410 | CLINIC |
| THE DIAGNOSTIC & REHABILITATIVE CENTER | ||||
| 100 WEST GORE RD | MORRIS | IL | 60450 | PHYSICAL THERAPY & IMMEDIATE CARE CENTER |
| MARSEILLES HEALTHCARE CENTER | ||||
| 580 SYCAMORE STREET | MARSEILLES | IL | 61341 | CLINIC |
| CHANNAHON HEALTHCARE CENTER | ||||
| 25259 REED STREET | CHANNAHON | IL | 60408 | CLINIC |
| BRAIDWOOD HEALTHCARE CENTER | ||||
| 389 E MAIN STREET | BRAIDWOOD | IL | 60408 | CLINIC |
| MORRIS HEALTHCARE CENTER | ||||
| 1345 EDWARDS STREET | MORRIS | IL | 60450 | CLINIC |
| DWIGHT HEALTHCARE CENTER | ||||
| 101 S PRAIRIE AVENUE | DWIGHT | IL | 60420 | CLINIC |
| GARDNER HEALTHCARE CENTER | ||||
| 409 N ROUTE 53 | GARDNER | IL | 60424 | CLINIC |
| NEWARK HEALTHCARE CENTER | ||||
| 5 N JOHNSON STREET | NEWARK | IL | 60541 | CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE H, PART I | LINES 3C, 6A, 7G, 7F, AND 7 | LINE 3C NOT APPLICABLE AS THE ORGANIZATION DOES FOLLOW FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING CHARITY AND DISCOUNTED CARE TO LOW-INCOME UNINSURED AND UNDERINSURED INDIVIDUALS. LINE 6A THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST AND IS AVAILABLE ON THE HOSPITAL'S WEBSITE. LINE 7G THE HOSPITAL HAS NOT INCLUDED ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINIC AS PART OF THEIR SUBSIDIZED HEALTH SERVICES. LINE 7F THE PERCENT OF CHARITY CARE AND CERTAIN OTHER BENEFITS AT COST AS A PERCENT OF TOTAL EXPENSE LESS BAD DEBT IS 0.87%. LINE 7 CHARITY CARE IS CALCULATED BY DETERMINING THE TOTAL AMOUNT FROM PATIENT BILLING THAT IS WRITTEN OFF TO CHARITY CARE CHARGE CODES OR ALLOWANCES. THIS AMOUNT MATCHES THE NUMBER THAT IS REPORTED ON OUR YEAR ENDING 2012 AUDITED FINANCIAL STATEMENTS. THE TOTAL CHARITY CARE DOLLAR AMOUNT IS THEN REDUCED TO COST BY APPLYING THE HOSPITAL'S COST TO CHARGE RATIO AS CALCULATED ON IRS SCHEDULE H - WORKSHEET 2. |
| SCHEDULE H, PART II | COMMUNITY COALITION AND COLLABORATIVE EFFORTS | Throughout the year, Morris Hospital furthers its mission of improving the health of area residents by participating in a number of community-building activities in collaboration with other organizations. Currently, Morris Hospital offers free senior exercise classes for the community at the Coal City Public Library, Mazon Grade School and the United Methodist Church in Minooka. The goal is to help seniors improve their mobility, flexibility and strength while providing socialization. The hospital's investment in staff salaries to teach the exercise classes was $57,927 in 2012. Each year, Morris Hospital partners with a number of area organizations to offer a Camp 911 safety program to area 4-6th graders. 2012 Camp 911 community partners included Morris EMS, Morris Fire Department, Grundy County Sheriff's Department, Morris Police Department, Minooka Fire Department, and Superior Air. In 2012, Morris Hospital partnered with the Grundy County Coroner's office by hosting a "don't drink and drive" display in the parking lot at the hospital's Ridge Road Campus. The display was timed with Super Bowl weekend. The hospital also partnered with the Morris H.S. art club on painting a mural in a stairwell at the hospital that is intended to encourage the use of stairs for employees. The high school art club provided the tools and talent to create the mural in supportive of Morris Hospital's employee wellness initiatives. Morris Hospital improves access to health services by providing community members free rides to medical appointments through its free Patient Transportation Service. This occurred 16,000 times in 2012. Rides are provided regardless of whether the medical provider is associated with Morris Hospital. The service was started in 1998 in response to an identified need for increased transportation service in the county. The service is available to any community member needing a ride and is especially used by seniors and low-income community members. In coordinating the rides, Morris Hospital works in cooperation with a number of other area agencies and healthcare providers when providing this service, including Illinois Valley Industries, Elliott Manor, Walnut Grove Nursing Home, Heritage Woods, Saratoga Towers, the Grundy County Health Department, Morris Senior Center, Morris Library, We Care, Hospice, Catholic Charities, Will/Grundy Medical Clinic, Grundy County Housing Authority, and the Gardner American Legion. Many of these riders have indicated that they have no other way to get to their appointment. Morris Hospital works in collaboration with Morris Mobile Meals by preparing daily, nutritious meals to people of all ages and economic circumstances, including children, the elderly, ill, disabled and homebound. The Nutrition Services staff at the Hospital cooks and prepares the meals daily, which are delivered by volunteers from Mobile Meals. Over 11,000 meals were prepared in 2012. While clients pay a nominal fee to Mobile Meals, Morris Hospital is reimbursed only for the cost of the food and related supplies so the meals can remain affordable for those who use the service, with Morris Hospital donating $55,000 in staff time. As part of a commitment to supporting our community's future healthcare providers, the Hospital devoted over $56,000 in staff time mentoring students studying to become nurses, paramedics, respiratory therapists, pharmacists, lab and radiology technologists through Joliet Junior College, College of DuPage, Illinois Valley Community College, Kankakee Community College, Lewis University, Midwestern University, Swedish American University, University of St. Francis, and Grundy Vocational Center. It is imperative that these students have a place to complete their critical training. By helping students train in preparation for entering the healthcare workforce, we are helping to improve access to healthcare services in the future. Morris Hospital continues to provide financial donations at the request of a number of community organizations whose mission closely mirrors the Hospital's. The hospital's contributions help these organizations meet their goals of enhancing public health or relieving government burden. In 2012, over $26,888 was donated to Gardner South Wilmington H.S., Coal City H.S., Seneca H.S., and Morris H.S. for prom safety events; Big Brothers Big Sisters of Will and Grundy County for mentoring services; Newark Fire Department, Morris Fire Department, Channahon Fire Department, Minooka Fire Department, Marseilles Fire Department, and Morris Police Department for their children's safety program; Joliet Area Community Hospice and Grundy Community Hospice for their end of life and grief services; the American Cancer Society for cancer services and research; Running for Life for ovarian cancer awareness; Shabbona Middle School for drug awareness education, and Community Foundation of Grundy County for a post traumatic stress disorder seminar in conjunction with Behavioral Health Alliance. At the request of area organizations, Morris Hospital provides personnel to offer their talents and expertise by serving as volunteer leaders on boards of directors. In 2012 this included the Chief Executive Officer serving on the Grundy Economic Development Council Board of Directors, the Chief Operating Officer serving on the YMCA's Program Committee, the Chief Nursing Officer serving on the Illinois Organization of Nurse Leaders as the region 2C President, and the Vice President of Human Resources serving on the Grundy County Chamber of Commerce Board of Directors. Morris Hospital is a significant partner of the Will Grundy Medical Clinic, which provides free medical and dental care to qualifying residents. We demonstrate our support by providing a staff member to serve on the clinic's Board of Directors, free use of office space each month, volunteer time from Morris Hospital employed physicians, a $10,000 annual donation and support of other WGMC fundraising initiatives, and free hospital services to clients referred from WGMC. Morris Hospital has enthusiastically responded to the call for help from several area social service agencies, including PADS (Public Action to Deliver Shelter) for which Morris Hospital launders sheets, blankets and towels, in addition to providing pick up and delivery service, all free of charge. In 2012, Morris Hospital began providing Saturday and Sunday meals for PADS clients. Along with PADS, Morris Hospital helped fund We Care's mobile food pantries in Gardner and Mazon in 2012, along with financially sponsoring "fill the pantry" to help stock the shelves at We Care's Morris pantry. The hospital's commitment to these projects also involves providing the manpower to unload, stock and distribute thousands of pounds of food through employee volunteerism. The Morris Hospital's Nutrition Services department also prepared meals for patrons of St. Vincent's Table six times a year in 2012, along with staff to serve the meals. In July 2012, Morris Hospital was an active participant in the Grundy County back-to-school fair for low income families. The event was spearheaded by We Care of Grundy County and Operation St. Nick's. Morris Hospital provided physicians, nurses and support staff to give free sports and school physicals. All services were provided free of charge and would otherwise be the responsibility of the government funded Medicaid program. As a Resource Hospital within Illinois Region VII Emergency Medical Services (EMS), Morris Hospital is licensed to provide initial education and continuing training for area emergency medical technicians and paramedics, working side by side with local EMS providers to ensure the very best pre-hospital care for local communities. Morris Hospital also serves as the Resource Hospital for Coal City Fire Department, Minooka Fire Department, Morris EMS, Morris Fire Department, Newark EMS, Dwight EMS, Dwight Fire Department, Lisbon Seward Fire Protection, Braceville Fire Protection District, and Lyondell Basell, assuring that ambulances are appropriately stocked with supplies and equipment; that EMS personnel meet all of the specified licensure qualifications, and that EMS providers comply with standard policies and protocol. Morris Hospital staff also helps to coordinate area disaster drills working in collaboration with the Grundy County Emergency Management Agency. |
| SCHEDULE H, PART III | LINE 4, 8, AND 9B | LINE 4 THE HOSPITAL BELIEVES THAT ITS CHARITY CARE AND THE RELATED COMMUNITY BENEFIT REALIZED FROM THE CARE, IS NOT FULLY REFLECTED AT ITS TRUE VALUE BECAUSE IT DOES NOT CAPTURE ALL PATIENTS THAT COULD QUALIFY BUT FOR WHAT EVER RATIONALE, DO NOT APPLY FOR SUCH ASSISTANCE. IT IS LOGICAL THAT THE HOSPITAL'S BAD DEBT INCLUDES AN AMOUNT THAT COULD/SHOULD BE CONSIDERED AS CHARITY CARE IF THE APPLICATION FOR IT WAS COMPLETED. BAD DEBT EXPENSE AS REFLECTED ON THE HOSPITAL'S FINANCIAL STATEMENTS INCLUDES (1) WRITE-OFFS FROM THE PATENT BILLING SYSTEM (2) RECOVERIES OF PRIOR BAD DEBTS WRITTEN OFF AND (3) ADJUSTMENTS TO THE PROVISION OF ALLOWANCE FOR BAD DEBT EXPENSE. ADJUSTMENTS TO THE ALLOWANCE ACCOUNT IS NECESSARY TO ADEQUATELY PROVIDE AN ESTIMATE OF BAD DEBT EXPENSE RELATED TO CURRENT YEAR'S PATIENT ACCOUNTS RECEIVABLE (THE ALLOWANCE ACCOUNT IS REFLECTED AS A CONTRA RECEIVABLE ACCOUNT ON THE HOSPITAL'S BALANCE SHEET). THIS ADJUSTMENT IS BASED ON THE MONITORING OF THE PRIOR YEAR'S RECEIVABLE HISTORICAL WRITE OFFS AND RECOVERIES TO USE AS AN ESTIMATE OF CURRENT YEAR EXPECTED EXPERIENCE. BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE, WHICH INCLUDES AN ALLOANCE FOR CHARITY CARE, WAS CALCULATED USING THE COST TO CHARGE RATIO ON THE IRS SCHEDULE H WORKSHEET 2. LINE 8 THE HOSPITAL CONTINUALLY STRIVES TO PROVIDE EXCELLENT PATIENT CARE IN THE MOST COST EFFECTIVE FASHION. NONETHELESS, THE MEDICARE PROGRAM, IN MANY CASES, DOES NOT PROVIDE PAYMENT THAT COVERS THE FULL COST OF THE CARE PROVIDED. SINCE IT IS THE MISSION OF THE HOSPITAL TO RESPOND TO COMMUNITY NEED, HOSPITAL MANAGEMENT CONTINUALLY ADVOCATES FOR IMPROVED MEDICARE PAYMENT SO THAT THE COST OF QUALITY CARE TO THOSE PATIENTS THAT ARE NOT ABLE TO AFFORD IT IS NOT COMPROMISED AND IS FAIRLY SUBSIDIZED BY ALL PAYERS. WHILE THIS SHORTFALL IN MEDICARE PAYMENTS IS NOT CLASSIFIED AS COMMUNITY BENEFIT BY THE IRS, WE NONETHELESS BELIEVE IT IS AN IMPORTANT CONTRIBUTION MADE BY THE HOSPITAL TO THE HEALTH AND WELL BEING OF THE COMMUNITY. OUR MISSION CALLS US TO SERVE ALL PATIENTS WITH THE HIGHEST POSSIBLE QUALITY AND EFFICIENCY, EVEN IF WE ARE NOT PAID FULLY FOR DOING SO. LINE 9B PATIENTS ARE GIVEN ADEQUATE TIME TO APPLY FOR FINANCIAL ASSISTANCE BEFORE THE PATIENT ACCOUNT IS SENT TO COLLECTION. WE HAVE ALSO IMPLEMENTED AUTOMATED CHARITY SCORING FOR THE UNINSURED THAT ALLOWS US TO PROCESS CHARITY WITHOUT AN APPLICATION. FOR ANY ACCOUNT ALREADY PLACED WITH AN AGENCY A PATIENT CAN STILL APPLY FOR FINANCIAL ASSISTANCE AND IF THEY ARE QUALIFIED FOR CHARITY AN ADJUSTMENT IS MADE AND THE HOSPITAL NOTIFIES THE AGENCY AND THE ACCOUNT IS CANCELLED. |
| SCHDULE H, PART V, LINE 12H AND 20D | LINE 12H MORRIS HOSPITAL USES AN AUTOMATED CHARITY SCORING SYSTEM CALLED CONNANCE. PATIENTS MAY QUALIFY VIA THIS PARO (PATIENT ACCOUNT RANK ORDERING) AUTOMATED SYSTEM. IF SCORED AS PRESUMPTIVE CHARITY THEN ACCOUNT IS WRITTEN OFF UNDER FINANCIAL ASSISTANCE WITHOUT PATIENT HAVING TO COMPLETE THE FINANCIAL WORKSHEET. LINE 20D GROSS CHARGES ARE REDUCED BY AN AMOUNT DETERMINED BY A SLIDING SCALE THAT CONSIDERS: INCOME, FAMILY SIZE AND COST TO CHARGE RATIO. | |
| SCHEDULE H, PART VI | LINES 2, 3, 4, 5, 6 & 7 | Line 2. Needs assessment. Over the past several years, Morris Hospital & Healthcare Centers has partnered with the Grundy County Health Department to conduct a Community Health Needs Assessment and Plan approximately every five years. The most current document is titled "Grundy County Community Analysis 2011." The previous plan served the time frame of 2005-2011. The 2011 Analysis was prepared by Health Systems Research for the Grundy County Health Department and IPlan Steering Committee, which Morris Hospital serves on along with other community agencies. The study was funded through a grant awarded by Morris Hospital Foundation to the Grundy County Health Department. The data sources used by Health Systems Research for the 2011 plan include the U.S. Census, Illinois Department of Public Health, Illinois Department of Employment Security, Illinois Uniform Crime Reporting Program, Illinois Hospital Association COMPdata, Illinois Youth Survey and National Center for Health Statistics. The report includes information on population descriptors and migration, housing, education and employment, income and poverty, crime and safety, births and deaths, and health status, behaviors and utilization. The completed analysis shows cancer, heart disease, stroke, accidents, respiratory disease and diabetes are the top causes of death in Grundy County. In fact, almost one-half of Grundy County deaths are due to heart disease or cancer. While the Steering Committee is currently working on developing a plan that addresses the health problems outlined in the analysis, Morris Hospital also uses this data in its own strategic planning process. For example, over the past several years, Morris Hospital has placed emphasis on cardiac services by adding angioplasty and stenting treatment capabilities, regularly offering a cardiac health risk assessment, working with EMS providers to add EKG transmitting capabilities from the field, and adding a support group for women with heart disease. The 2011 analysis did show a decrease in the heart disease death rate in Grundy County since the completion of the last community health needs assessment. The Grundy County Board of Health exercises authority over the IPlan Steering Committee and completion and execution of an action plan related to the 2011 analysis. Line 3. Patient education of eligibility for assistance. As stated in the Provision of Financial Assistance policy, Morris Hospital & Healthcare Centers is a not-for-profit, tax-exempt entity with a charitable mission of providing medically necessary health care services to residents of the City of Morris and the Hospital's defined service area, regardless of their financial status and ability to pay. Processes and procedures exist for identifying and assisting patients whose care may be provided without charge or at a discount commensurate with their financial resources and ability to pay. When possible, a Financial Service Representative conducts an interview with the patient, the guarantor, and /or his or her legal representative, prior to the admission or rendering of service. If an interview is not possible prior to the admission or rendering of service, the interview is conducted upon admission or as soon as possible thereafter. A Financial Representative is located within the Emergency Department, as this is the first point of care for a significant number of individuals qualifying for financial assistance. This makes the Financial Representative more easily accessible to patients. However, in the case of an emergency admission, the evaluation of payment alternatives does not take place until the required medical care has been provided. Before beginning the application process for financial assistance from Morris Hospital, the Financial Representative will first determine if the patient qualifies for medical assistance from other existing financial resources such as Medicare, Medicaid, KidCare, FamilyCare, Will-Grundy Medical Clinic, or other state and federal programs. While it is the intention to identify patients who qualify for financial assistance at the time of registration, there are instances when it is not possible to determine the need for financial assistance at that point. As part of a strategy to reach patients with this important information, signage regarding the availability of financial assistance is posted in both English and Spanish at various locations throughout the Hospital and the offsite locations. An overview of the financial assistance program is available on the Hospital's website, along with a downloadable copy of the financial assistance application. Information on financial assistance is also included in the Patient Guide that is given to all inpatient and observation patients. In addition, patient account correspondence sent to patients includes a statement regarding the availability of the financial assistance program and a contact number. Any patient whose payment is 30 days late and has not already been denied financial assistance is sent information on the financial assistance program. 4. Community information. Morris Hospital & Healthcare Centers serves an 18 zip code area encompassing 5 counties: Grundy, LaSalle, Kendall, Will and Livingston. At the time of the 2010 Census, the population for the Morris Hospital service area was 74,516. Communities served are primarily rural with a few that are more suburban. The majority population (89.9%) in the Morris Hospital service area is White/Caucasian, and 7.3% is Hispanic/Latino, making Grundy County less diverse when compared to the overall population of the United States. English is the most frequently spoken language (94.6%). 3.4% of the population speaks Spanish. Children and youth ages 0-19 make up 29.9% of the population, and 10.9% of the population are seniors age 65 and older. This is a higher percentage of children and youth and a smaller percentage of seniors as compared to the state of Illinois. The average household income is $59,603. This exceeds the state in median household income. Poverty rates vary considerably by community through the Morris Hospital service area, ranging from less than 0% of families with children under 18 being at poverty level in South Wilmington, to over 34% in Verona. Among the counties served by Morris Hospital, Grundy County has the highest unemployment rate at 11.8% . Line 5. Promotion of community health: In 2012, Morris Hospital invested over $5.4 million in community health by providing free and discounted services and programs. The largest dollar amount was in the area of financial assistance granted to patients who do not have the means to pay for services. A total of 4,922 patient accounts were forgiven or discounted in 2012, a $4.2 million investment on behalf of the hospital. Without financial assistance, many of these individuals would have missed getting the medical attention they needed, or they would have experienced severe financial hardship, including Jim of Newark, IL, who says he and his wife would have lost their home if it were not for Morris Hospital. Morris Hospital further promotes community health by offering free programs and services including exercise classes for seniors. 11,000 senior exercise sessions were held in 2012 to help individuals age 55 and older improve their strength, flexibility and mobility. The hospital invested $58,000 in instructor salaries, and there was no cost to the participants. Another way Morris Hospital promotes the health of the community is by offering a free Patient Transportation service that provides rides to doctors' and dentists' offices, physical therapy, kidney dialysis, laboratory tests, and diagnostic imaging appointments, regardless of whether the service is provided by Morris Hospital. 16,000 rides were provided in 2012 free of charge. The Hospital invested $321,000 in this service last year to cover staff salaries, gas, maintenance and repairs. Morris Hospital is committed to retaining its status as a Level II trauma center in order to best meet the health needs of the community. Salaries and other expenses to retain this certification cost the Hospital $320,000. An additional $234,000 was invested in Morris Hospital's role as a Resource Hospital for Emergency Medical Services. By providing education and training for emergency medical technicians and paramedics in the community, Morris Hospital is further promoting the health of the community. Morris Hospital additionally promotes the health of the community by mentoring and educating the community's local healthcare workforce. More than 1,582 hours of staff time was devoted to mentoring students from Joliet Junior College, the Grundy Vocational Center, and other educational institutions, an $82,000 investment on behalf of the hospital. Another way Morris Hospital promotes the health of the community is through its free, monthly support groups facilitated by staff from Morris Hospital for women with heart diseas |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS MEYER | ||||||||||||||
| CFO | 192263 | 0 | 0 | 0 | 9108 | 0 | 5868 | 0 | 581 | 0 | 207820 | 0 | 0 | 0 |
| MARK STEADHAM | ||||||||||||||
| PRESIDENT AND CEO | 277978 | 0 | 81378 | 0 | 18415 | 0 | 6250 | 0 | 870 | 0 | 384891 | 0 | 0 | 0 |
| CAROL HAVEL | ||||||||||||||
| VP nursing | 171476 | 0 | 0 | 0 | 6228 | 0 | 5662 | 0 | 479 | 0 | 183845 | 0 | 0 | 0 |
| BEATRIZ SETRINI | ||||||||||||||
| PHYSICIAN | 314113 | 0 | 0 | 0 | 34779 | 0 | 8125 | 0 | 752 | 0 | 357769 | 0 | 0 | 0 |
| MOHAN GOUNDER | ||||||||||||||
| PHYSICIAN | 235839 | 0 | 0 | 0 | 23738 | 0 | 5955 | 0 | 614 | 0 | 266146 | 0 | 0 | 0 |
| IAN BEST | ||||||||||||||
| PHYSICIAN | 152033 | 0 | 125080 | 0 | 37889 | 0 | 4266 | 0 | 404 | 0 | 319672 | 0 | 0 | 0 |
| BELINDA SERRANO | ||||||||||||||
| PHYSICIAN | 175471 | 0 | 66036 | 0 | 33336 | 0 | 3982 | 0 | 445 | 0 | 279270 | 0 | 0 | 0 |
| MARK PASSERMAN | ||||||||||||||
| PHYSICIAN | 160611 | 0 | 79598 | 0 | 25510 | 0 | 4457 | 0 | 402 | 0 | 270578 | 0 | 0 | |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE J, PART 1, LINE 1A | Identifier |
| Return Reference | TAX INDEMNIFICATION AND GROSS UP PAYMENTS | ReturnReference |
| Explanation | THE ORGANIZATION PROVIDED A GROSS UP OF THE VALUATION OF GROUP LIFE INSURANCE REPORTED ON THE ANNUAL W-2, WHICH APPLIES TO ALL EMPLOYEES. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| VILLAGE OF CHANNAHON IL | ||||||||
| A | 362597211 | 159140AC6 | 2003-05-28 | 9220000 | ADVANCED REFUND FOR FACILITIES | true | false | false |
| VILLAGE OF CHANNAHON IL | ||||||||
| B | 362597211 | 159140AD4 | 2003-05-28 | 5670000 | CONSTRUCTION OF BIRTHING CENTER | false | false | false |
| VILLAGE OF CHANNAHON IL | ||||||||
| C | 362597211 | 159140AE2 | 2003-05-28 | 5885000 | RENOVATION OF ICU AND MED/SUR | false | false | false |
| VILLAGE OF CHANNAHON IL | ||||||||
| D | 362597211 | 159140AF9 | 2003-05-28 | 6445000 | INFRASTRUCTURE IMPROVEMENTS | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 2985000 | 0 | 9220000 | 739125 | 0 | 0 | 112877 | 0 | 0 | 0 | 0 | 0 | 2003 | false | true | true | true |
| B | 1020000 | 0 | 5670000 | 286598 | 0 | 0 | 42525 | 0 | 0 | 5340870 | 0 | 0 | 2004 | false | false | true | true |
| C | 915000 | 0 | 5885000 | 297516 | 0 | 0 | 44137 | 0 | 0 | 5543340 | 0 | 0 | 2005 | false | false | true | true |
| D | 990000 | 0 | 6445000 | 325921 | 0 | 0 | 48338 | 0 | 0 | 6070733 | 0 | 0 | 2004 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true | false | false | true |
| B | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true | false | false | true |
| C | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true | false | false | true |
| D | false | false | false | false | 0 | true | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GOLDMAN SACHS | ||||||||||||
| A | false | false | false | true | true | 20. | false | false | false | 0 | false | true |
| GOLDMAN SACHS | ||||||||||||
| B | false | false | false | true | true | 29. | false | false | false | 0 | false | true |
| GOLDMAN SACHS | ||||||||||||
| C | false | false | false | true | true | 29. | false | false | false | 0 | false | true |
| GOLDMAN SACHS | ||||||||||||
| D | false | false | false | true | true | 29. | false | false | false | 0 | false | true |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | true |
| B | true |
| C | true |
| D | true |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| VILLAGE OF CHANNAHON IL | ||||||||
| A | 362597211 | 159140AG7 | 2009-04-15 | 6780000 | SURGERY/PACU, PACS SYS AND VAR | false | false | false |
| VILLAGE OF CHANNAHON IL | ||||||||
| B | 362597211 | 159140AH5 | 2009-04-15 | 8220000 | CONSTRUCTION OF MED OFFICE BLD | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Year Of Subst CompletionYearOfSubstCompletion |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 6780000 | 25478 | 0 | 0 | 158282 | 0 | 0 | 6062687 | 0 | 492207 | false | false | false | true | |
| B | 0 | 0 | 8220000 | 30889 | 0 | 0 | 191099 | 0 | 16164 | 6971993 | 0 | 944814 | false | false | false | true | 2009 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true | false | false | true |
| B | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| US BANK | ||||||||||||
| A | false | false | false | true | true | 25. | false | false | false | 0 | false | true |
| US BANK | ||||||||||||
| B | false | false | false | true | true | 25. | false | false | false | 0 | false | true |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | true |
| B | true |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BARRY NARVICK | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | DIRECTOR | Relationship |
| Amount Of Transaction | 402770 | AmountOfTransaction |
| Description Of Transaction | SEE PART V | DescriptionOfTransaction |
| Sharing Of Revenues | true | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L, PART IV, LINE 1 | ReturnReference |
| Explanation | THIS AMOUNT IS THE TOTAL AMOUNT OF BUSINESS THAT THE HOSPITAL HAD WITH "NARVICK BROS. LUMBER CO." IN 2012 WHICH WAS FOR VARIOUS REPAIRS/MATERIALS. THE TRANSACTIONS ARE AT "ARMS LENGTH" (FMV), THESE TRANSACTIONS ARE APPROVED IN ADVANCE VIA PURCHASE REQUISITION/PURCHASE ORDER PROCESS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 2012 REPORT | FORM 990, PAGE 2, PART III, PROGRAM SERVICE ACCOMPLISHMENTS | Morris Hospital & Healthcare Centers' 2012 year-end quality, service and financial outcomes demonstrated that success is achievable as in independent, stand alone community hospital. Here is a summary of accomplishments from 2012: Morris Hospital & Healthcare Centers' quality scores for heart attack, heart failure, pneumonia and surgical care were at an all time high, nearing the 100 percent compliance mark. When it comes to service, more patients gave Morris Hospital an overall rating of 9 or 10 on the Centers for Medicare & Medicaid Services' HCAHPS patient survey as compared to other area hospitals. Computerized physician order entry (CPOE) was adopted in 2012. This involves physicians entering their patient orders directly into the computer with a goal of reducing errors related to handwriting and transcription, duplicate testing, and delays in care. In 2012, Morris Hospital received national recognition for outstanding patient safety by being named on Consumer Reports Top 10 list for patient safety and by receiving an "A" rating on Leapfrog Group's Hospital Safety Score report. Both honors are further evidence of the hospital's commitment to provide patients the safest possible environment to receive care. Morris Hospital was one of 20 hospitals in the nation to receive the Healthcare Advisory Board's 2012 Excellence in Employee Engagement Award. One of the highlights of 2012 was the completion of a $1.2 million replacement cardiac cath lab to assure continued excellence for patients needing angioplasty and stents, pacemakers, defibrillators, angiography and interventional radiology procedures. Nearly $500,000 of the project was funded with community support via the Morris Hospital Auxiliary and Foundation. In December 2012, the emergency and cardiac teams at Morris Hospital achieved a record-setting 12 minute door-to-balloon time, which means it took 12 minutes from the time a heart attack victim arrived at the hospital until the blocked artery was opened using balloon angioplasty. While 90 minutes or less is the recommended door-to-balloon time, the average at Morris Hospital is 57 minutes. Prior to December 19, the hospital's record was 23 minutes. Morris Hospital began offering breast MRI and MRI-guided breast biopsies in 2012 and obtained its own stereotactic breast biopsy technology Having stereotactic breast biopsy available on a full-time basis has allowed Morris Hospital to provide a much improved service for women in the community. In support of an initiative to reduce readmissions to the hospital, Morris hospital launched a Medication Dispensing Program to assist individuals with complicated medication schedules. Individuals who use the Philips medication dispenser correctly are compliant with their medications 98.6 percent of the time, meaning they are less likely to miss doses, take incorrect amounts of medication, or take medicine at the wrong time. Studies show approximately one out of 10 hospital admissions among seniors are the result of incorrect use of medications. A Pulmonary Rehabilitation program was launched for the first time, aimed at improving the well-being and overall quality of life for people with chronic breathing problems. A laboratory draw site opened in Ottawa, adding convenience for individuals in the communities in the western region of the Morris Hospital service area. |
| GOVERNING BODY AND MANAGEMENT | REGARDING PART VI, SECTION A | QUESTION 8A MINUTES AND AGENDA OF THE FULL BOARD OF MORRIS HOSPITAL ARE MAINTAINED. THE FULL BOARD MEETS NEARLY EVERY MONTH. MEETING DATES APPLICABLE TO 2012 ARE AS FOLLOWS: 01/23/2012 02/07/2012 03/26/2012 04/23/2012 06/25/2012 07/23/2012 08/27/2012 09/24/2012 10/22/2012 11/14/2012 11/26/2012 12/17/2012 PART VI, SECTION A, QUESTION 8B MINUTES AND AGENDA OF THE FOLLOWING COMMITTEES OF MORRIS HOSPITAL HAVE BEEN AND ARE MAINTAINED. FINANCE COMMITTEE 02/27/2012 03/26/2012 04/16/2012 05/23/2012 06/19/2012 07/23/2012 08/27/2012 09/19/2012 10/15/2012 10/22/2012 11/19/2012 12/17/2012 JOINT EXECUTIVE COMMITTEE 03/07/2012 LONG RANGE PLANNING COMMITTEE 05/22/2012 NOMINATING COMMITTEE NO MEETINGS IN 2012. PHYSICIAN COMPENSATION COMMITTEE 10/22/2012 PI/QUALITY COMMITTEE 01/12/2012 02/28/2012 03/29/2012 05/02/2012 06/12/2012 07/16/2012 08/13/2012 09/17/2012 10/15/2012 11/19/2012 RECRUITMENT/RETENTION COMMITTEE 02/07/2012 04/27/2012 07/19/2012 09/06/2012 11/27/2012 COMPENSATION COMMITTEE 05/03/2012 05/08/2012 11/11/2012 EXECUTIVE COMMITTEE 01/11/2012 01/31/2012 05/08/2012 05/17/2012 05/23/2012 07/24/2012 |
| POLICIES | PART VI, SECTION B | QUESTION 11B A DRAFT OF THE 990, AS PREPARED BY BDO USA, LLP, WAS REVIEWED BY MEMBERS OF THE FINANCE COMMITTEE ALONG WITH THE CFO AND ACCOUNTING MANAGER OF MORRIS HOSPITAL. A JOINT SPECIAL BOARD MEETING OF THE MORRIS HOSPITAL, MORRIS HOSPITAL FOUNDATION AND MORRIS HOSPITAL AUXILIARY BOARDS WAS HELD TO PROVIDE A FORMAL PRESENTATION OF THE FINAL 990'S OF EACH RESPECTIVE ORGANIZATION PRIOR TO THE FILING. QUESTION 12C DIRECTORS, OFFICERS, MEMBERS OF THE BOARD, KEY AGENTS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A STATEMENT WHICH REQUIRES THE FOLLOWING: (1) DISCLOSE FOR IN THE PRIOR TWO YEARS, ANY PRODUCTS OR SERVICES THAT HE/SHE MAY HAVE PROVIDED PERSONALLY TO MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES OTHER THAN IN HIS/HER CAPACITY AS A DIRECTOR, COMMITTEE MEMBER, OFFICER, OR OTHER SENIOR MANAGEMENT POSITION. (2) DISCLOSE FOR IN THE PRIOR TWO YEARS, ANY DIRECT OR INDIRECT OWNERSHIP INTEREST THAT HE/SHE MAY HAVE IN ANY COMPANY WITH WHICH MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES CONDUCTS BUSINESS, INCLUDING THE PURCHASE OR SALE OF PRODUCTS AND SERVICES (EXCEPT OWNERSHIP OF LESS THAN 1% INTEREST IN A PUBLICLY TRADED COMPANY). (3) DISCLOSE FOR IN THE PRIOR TWO YEARS, WHETHER HE/SHE MAY HAVE SERVED AS A BOARD MEMBER, EMPLOYEE, CONSULTANT OR IN ANY OTHER CAPACITY TO A BUSINESS OR COMPANY THAT PRODVIDES PRODUCTS OR SERVICES TO MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES. (4) DISCLOSE FOR IN THE PRIOR TWO YEARS, WHETHER HE/SHE HAS BEEN INVOLVED IN ANY LEGAL OR ADMINISTRATIVE PROCEEDING, REAL ESTATE OR OTHER BUSINESS TRANSACTION, INCLUDING THE PURCHASE OF GOODS OR SERVICES, INVOLVING MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES EITHER PERSONALLY OR THROUGH A COMPANY IN WHICH HE/SHE HAS A DIRECT OR INDIRECT OWNERSHIP OR FOR WHICH HE/SHE HAS SERVED AS A BOARD MEMBER, EMPLOYEE, CONSULTANT OR IN ANY OTHER CAPACITY. (5) DISCLOSE FOR IN THE PRIOR TWO YEARS, WHETHER HE/SHE HAS SERVED AS A BOARD MEMBER, EMPLOYEE, CONSULTANT OR IN ANY OTHER CAPACITY WITH RESPECT TO A BUSINESS OR COMPANY THAT PROVIDES SERVICES IN COMPETITION WITH MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES. COMPETITION MEANING PROVIDING A PRODUCT OR SERVICE WHICH IS THE SAME AS (MATERIALLY SIMILAR TO) A PRODUCT OR SERVICE PROVIDED BY MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES SAME GEOGRAPHIC AREA, OR TO PATIENTS IN THE SAME GEOGRAPHIC AREA. (6) DISCLOSE FOR IN THE PRIOR TWO YEARS, WHETHER TO THE BEST OF HIS/HER KNOWLEDGE, ANY MEMBER OF HIS/HER IMMEDIATE FAMILY HAVE PERSONALLY, OR COMPANY WITH WHICH THAT INDIVIDUAL HAD AN OWNERSHIP, EMPLOYMENT, CONSULTING OR BOARD RELATIONSHIP, PROVIDED GOODS OR SERVICES TO, OR OTHERWISE CONDUCTED A BUSINESS RELATIONSHIP WITH MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES. (8) DISCLOSE FOR IN THE PRIOR YEAR, WHETHER HE/SHE HAS HAD ANY MEMBER OF HIS/HER IMMEDIATE FAMILY EMPLOYED BY MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES (IMMEDIATE FAMILY MEMBERS WOULD INCLUDE SPOUSE, ANCESTORS, CHILDREN, GRANDCHILDREN, GREAT-GRAND CHILDREN, SIBLINGS (WHETHER BY WHOLE OR HALF-BLOOD), AND THE SPOUSES OF CHILDREN, GRANDCHILDREN, GREAT GRANDCHILDREN AND SIBLINGS). (9) DISCLOSE FOR IN THE PRIOR TWO YEARS, WHETHER HE/SHE HAS BEEN AWARE OF ANY OTHER EVENTS, TRANSACTIONS, ARRANGEMENTS OR OTHER SITUATIONS THAT HAVE OCCURRED OR THAT MAY OCCUR IN THE FUTURE, INCLUDING PENDING OR CONTEMPLATED TRANSACTIONS OR ARRANGEMENTS, THAT COULD BE PERCEIVED AS A CONFLICT OR DUALITY OF INTEREST OR THAT BELIEVE SHOULD BE EXAMINED BY MORRIS HOSPITAL AND HEALTHCARE CENTER'S BOARD OF DIRECTORS IN ACCORDANCE WITH THE TERMS AND INTENT OF THE MORRIS HOSPITAL AND HEALTHCARE CENTER'S CONFLICTS AND DUALITIES OF INTEREST POLICY. PERIODIC REVIEWS ARE MADE THAT AT A MINIMUM INCLUDE: (1) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S LENGTH BARGAINING (2) WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSABLE PRIVATE BENEFIT (3) WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSABLE PRIVATE BENEFIT (4) WHETHER AGREEMENTS TO PROVIDE HEALTHCARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES AND THIRD PARTY PAYORS FURTHER CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSABLE PRIVATE BENEFIT PART VI, SECTION B, QUESTION 15A & B THE HOSPITAL HAS A COMPENSATION COMMITTEE WHICH MEETS SEVERAL TIMES PER YEAR THAT WITH THE ASSISTANCE OF INTERNAL SOURCES (HUMAN RESOURCES) AND EXTERNAL ADVISORS; ASSESSES AND EVALUATES THE APPROPRIATENESS OF THE COMPENSATION AND BENEFITS OF UPPER MANAGEMENT WHICH INCLUDES CEO, CFO AND OTHER TOP MANAGEMENT OFFICIALS WHICH INCLUDES KEY EMPLOYEES. PART VI, SECTION C, QUESTION 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| RECONCILIATION OF NET ASSETS | PART XI, LINE 9 | change in fair value of derivative instruments (269,165) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| MORRIS HOSPITAL FOUNDATION | ||||||||||
| 150 WEST HIGH STREET | MORRIS | IL | 60450 | 363939156 | SUPPORT HOSP | IL | 501(C)(3) | 7 | NA | true |
| MORRIS HOSPITAL AUXILIARY | ||||||||||
| 150 WEST HIGH STREET | MORRIS | IL | 60450 | 208026364 | SUPPORT HOSP | IL | 501(C)(3) | 7 | NA | true |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEERPATH ORTHOPEDIC SURGICAL CENTER LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1051 WEST US RTE 6 SUITE 100 | AddressLine1 |
| City | MORRIS | City |
| State | IL | State |
| ZIP Code | 60450 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800033465 | EIN |
| Primary Activity | SURGERY | PrimaryActivity |
| Legal Domicile State | IL | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeType |
| Share Of Total Income | 365217 | ShareOfTotalIncome |
| Share Of EOY Assets | 396578 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Percentage Ownership | 0.48000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |