ST MARGARETS HEALTH SPRING VALLEY: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ST MARGARETS HEALTH SPRING VALLEY (EIN 36-2167884)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-13
- IRS object ID
- 201212269349301696
- Schema version
- 2010v3.4
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-13T14:18:21-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3999 PENNSYLVANIA AVE SUITE 100 | AddressLine1 |
| City | DUBUQUE | City |
| State | IA | State |
| ZIP Code | 52002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362167884 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARGARET'S HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STMA | NameControl |
| Phone | 8156642700 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST FIRST STREET | AddressLine1 |
| City | SPRING VALLEY | City |
| State | IL | State |
| ZIP Code | 61362 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TIMOTHY MUNTZ | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 8156642700 | Phone |
| Date Signed | 2012-08-03 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CARMEN KRANTZ | Name |
| Phone | 5635561790 | Phone |
| Date Prepared | 2012-08-03 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARGARET'S HEALTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TIMOTHY MUNTZ | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST FIRST STREET | AddressLine1 |
| City | SPRING VALLEY | City |
| State | IL | State |
| ZIP Code | 61362 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 67717965 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ABOUTSMH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1903 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITY | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 755 | TotalNbrEmployees |
| Total Nbr Volunteers | 200 | TotalNbrVolunteers |
| Total Gross UBI | 25006 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 462783 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 774842 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 65824872 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 66138811 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 507894 | InvestmentIncomePriorYear |
| Investment Income Current Year | 429547 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 209954 | OtherRevenuePriorYear |
| Other Revenue Current Year | 245511 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 67005503 | TotalRevenuePriorYear |
| Total Revenue Current Year | 67588711 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 42450 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 48536 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 32550815 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 33197188 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 32281557 | OtherExpensePriorYear |
| Other Expenses Current Year | 33635530 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 64874822 | TotalExpensesPriorYear |
| Total Expenses Current Year | 66881254 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2130681 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 707457 | RevenuesLessExpensesCY |
| Total Assets BOY | 58828529 | TotalAssetsBOY |
| Total Assets EOY | 61477042 | TotalAssetsEOY |
| Total Liabilities BOY | 17482761 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 18617661 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 41345768 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 42859381 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ST. MARGARET'S HEALTH, IN UNION WITH THE SISTERS OF MARY OF THE PRESENTATION, IS COMMITTED TO THE VALUES OF CATHOLIC HEALTH CARE IN CARING FOR THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES, THE COMMUNITY AND ONE ANOTHER. THROUGH OUR BELIEF IN GOD AND OUR RESPECT FOR LIFE, WE PROVIDE HOLISTIC QUALITY HEALTH CARE WITH DIGNITY AND COMPASSION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 59455914 | Expense |
| Grants | 48536 | Grants |
| Revenue | 66257816 | Revenue |
| Description | ST. MARGARET'S HEALTH HAS A TRADITION OF SERVING THE POOR AND OTHERS IN THE AREA SURROUNDING SPRING VALLEY FOR OVER 100 YEARS. THIS REPORT SUMMARIZES HOW, FOLLOWING IN THE FOOTSTEPS OF JESUS CHRIST, ST. MARGARET'S HOSPITAL IS REACHING OUT TO THE POOR AND THOSE MOST IN NEED. THE PRESENCE OF ST. MARGARET'S HOSPITAL MEANS MUCH MORE THAN DOLLARS AND CENTS. THE VALUE OF SERVICES TO THOSE IN NEED HAS BEEN MORE THAN A FINANCIAL SHEET CAN DESCRIBE, BECAUSE SOMETIMES THE SMALLER PROGRAMS DO THE MOST GOOD AND BECAUSE THE ORGANIZATION CANNOT POSSIBLY COUNT UP ALL THE SERVICES. ST. MARGARET'S HOSPITAL HAS BEEN A LEADER IN THE COMMUNITY, HELPING OTHERS TO SEE THE NEED TO RESPOND TO THE NEEDS OF THE POOR.ST. MARGARET'S HOSPITAL HAD 9,618 PATIENT DAYS IN FISCAL YEAR 2011 WITH 3,118 ADMISSIONS AND 3,133 DISCHARGES. TOTAL CLINIC VISITS WERE 94,640 AND OUTPATIENT VISITS WERE 225,377.THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. THE AMOUNT OF CHARGES FOREGONE FOR THE YEAR ENDED SEPTEMBER 30, 2011 WERE $1,293,975. THE ESTIMATED COSTS OF THE CHARGES FOREGONE, BY USING METHODOLOGY OF THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES, FOR THE YEAR ENDED SEPTEMBER 30, 2011 WERE $550,000.IN ADDITION, THE HOSPITAL PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER CERTAIN GOVERNMENT REIMBURSED PUBLIC AID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS WHICH ARE LESS THAN ESTABLISHED CHARGES FOR THE SERVICES PROVIDED TO THE RECIPIENTS, AND FOR SOME SERVICES THE PAYMENTS ARE LESS THAN THE COST OF RENDERING THE SERVICES PROVIDED. THE HOSPITAL ALSO COMMITS SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND CRITICAL SERVICES WHICH MEET OTHERWISE UNFULFILLED COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE SELF-SUPPORTING OR FINANCIALLY VIABLE. | Description |
| Total Program Service Expense | 59455914 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 77 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 755 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIM SANTMAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8156641328 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST FIRST STREET | AddressLine1 |
| City | SPRING VALLEY | City |
| State | IL | State |
| ZIP Code | 61362 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (18 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 |
|---|---|---|---|---|---|---|---|---|
| DR FRANK ZELLER | ||||||||
| CHAIRPERSON | 0.50 | X | X | 0 | 0 | 0 | ||
| DR RICHARD TWANOW | ||||||||
| VICE CHAIRPERSON | 40.00 | X | X | 305597 | 0 | 27399 | ||
| AARON ALTON | ||||||||
| DIRECTOR-PRESIDENT SMP HEALTH CORP. | 1.00 | X | 0 | 486486 | 43432 | |||
| JIM BRADY | ||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||
| DICK KOONTZ | ||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||
| DAN FITZGERALD | ||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||
| SHARON KUNKEL | ||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||
| SR ELAINE LANGE | ||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||
| SR ANNE GERMAINE PICARD | ||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||
| DR ROBERT MORROW | ||||||||
| DIRECTOR | 0.50 | X | 250119 | 0 | 22714 | |||
| TIMOTHY MUNTZ | ||||||||
| PRESIDENT/CEO | 40.00 | X | X | 0 | 352962 | 41615 | ||
| KIM SANTMAN | ||||||||
| VP OF FINANCE | 40.00 | X | 0 | 199387 | 31400 | |||
| JASON DOTSON | ||||||||
| VP OF CLINICAL OPERATIONS | 40.00 | 0 | 173733 | 26411 | X | |||
| DR PAUL PERONA | ||||||||
| PHYSICIAN | 40.00 | 1126239 | 0 | 41264 | X | |||
| DR DALE CHILSON | ||||||||
| PHYSICIAN | 40.00 | 1046446 | 0 | 24664 | X | |||
| DR THAW TUN | ||||||||
| PHYSICIAN | 40.00 | 473735 | 0 | 21674 | X | |||
| DR SHAWN BAILEY | ||||||||
| PHYSICIAN | 40.00 | 370364 | 0 | 41300 | X | |||
| DR MIKE SHIN | ||||||||
| PHYSICIAN | 40.00 | 503039 | 0 | 22983 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4075539 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1212568 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 344856 | TotalOtherCompensation |
| Number Individuals GT100 K | 28 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PHALEN STEEL CONSTRUCTION CO | |||||
| 200 N 4453RD RD | MENDOTA | IL | 61342 | CONSTRUCTION | 4754083 |
| SMP HEALTH CORPORATION | |||||
| 1202 PAGE DRIVE SW | FARGO | ND | 58106 | FACILITIES MANAGEMENT | 1365144 |
| ARAMARK FACILITIES SERVICES | |||||
| 1101 MARKET STREET | PHILADELPHIA | PA | 19107 | FACILITIES MANAGEMENT | 938001 |
| ST FRANCIS INC | |||||
| 8001 NORTH UNIVERSITY ST SUITE O | PEORIA | IL | 61615 | BIOMED, MRI AND PET SERVICES | 790700 |
| EMPIRE EMERGENCY PHYSICIANS | |||||
| 2020 N LINCOLN PARK WEST 37H | CHICAGO | IL | 60614 | CONTRACT PHYSICIANS | 531571 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 19 | NumberOfContractorsGT100K |
| Related Organizations | 629273 | RelatedOrganizations |
| Government Grants | 121104 | GovernmentGrants |
| All Other Contributions | 24465 | AllOtherContributions |
| Total Contributions | 774842 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENU | 622110 | 65353896 | 65353896 |
| SUPPORTING REVENUE | 900099 | 422773 | 422773 |
| EMPLOYEE RETAIL PHARMA | 446110 | 362142 | 362142 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 66138811 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 419007 | TotalRevenueColumn |
| Exclusion | $419,007 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 374765 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 129254 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 245511 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 245511 | TotalRevenueColumn |
| Related Or Exempt Function Income | 119005 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 25006 | UnrelatedBusinessRevenue |
| Exclusion | $101,500 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 10540 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 10540 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10540 | TotalRevenueColumn |
| Exclusion | $10,540 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67588711 | TotalRevenueColumn |
| Related Or Exempt Function Income | 66257816 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 25006 | UnrelatedBusinessRevenue |
| Exclusion | $531,047 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48536 | Total |
| Program Services | 48536 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 647659 | Total |
| Program Services | 647659 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 476300 | Total |
| Program Services | 476300 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27092954 | Total |
| Program Services | 24798495 | ProgramServices |
| Management And General | 2294459 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 622090 | Total |
| Program Services | 553256 | ProgramServices |
| Management And General | 68834 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2601651 | Total |
| Program Services | 2370555 | ProgramServices |
| Management And General | 231096 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1756534 | Total |
| Program Services | 1581008 | ProgramServices |
| Management And General | 175526 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39181 | Total |
| Management And General | 39181 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47535 | Total |
| Management And General | 47535 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11571618 | Total |
| Program Services | 8466877 | ProgramServices |
| Management And General | 3104741 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 725837 | Total |
| Management And General | 725837 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11897394 | Total |
| Program Services | 11243240 | ProgramServices |
| Management And General | 654154 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1092511 | Total |
| Program Services | 1066859 | ProgramServices |
| Management And General | 25652 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93488 | Total |
| Program Services | 50198 | ProgramServices |
| Management And General | 43290 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106141 | Total |
| Program Services | 91215 | ProgramServices |
| Management And General | 14926 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 511953 | Total |
| Program Services | 511953 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3078121 | Total |
| Program Services | 3078121 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 698866 | Total |
| Program Services | 698866 | ProgramServices |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BAD DEBT EXPENSE | Description |
| Total | 3772776 | Total |
| Program Services | 3772776 | ProgramServices |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109 | Total |
| Management And General | 109 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66881254 | Total |
| Program Services | 59455914 | ProgramServices |
| Management And General | 7425340 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 872121 | BOY |
| EOY | 370621 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168895 | BOY |
| EOY | 168895 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9144852 | BOY |
| EOY | 10624827 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 594616 | BOY |
| EOY | 72006 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2596404 | BOY |
| EOY | 1193454 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 419437 | BOY |
| EOY | 465940 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 77037831 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 47852597 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26293646 | BOY |
| EOY | 29185234 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18084180 | BOY |
| EOY | 15132454 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 556261 | BOY |
| EOY | 2009208 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12176 | BOY |
| EOY | 547117 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85941 | BOY |
| EOY | 1707286 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58828529 | BOY |
| EOY | 61477042 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3653338 | BOY |
| EOY | 4247946 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10322885 | BOY |
| EOY | 10855925 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3506538 | BOY |
| EOY | 3513790 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17482761 | BOY |
| EOY | 18617661 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41053583 | BOY |
| EOY | 41115433 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 255185 | BOY |
| EOY | 1706948 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37000 | BOY |
| EOY | 37000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41345768 | BOY |
| EOY | 42859381 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58828529 | BOY |
| EOY | 61477042 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 707457 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 806156 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | 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 D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 353357 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 2696 | InvestmentEarningsOrLosses |
| Other Expenditures | 4223 | OtherExpenditures |
| End Of Year Balance | 351830 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 352802 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 885 | InvestmentEarningsOrLosses |
| Other Expenditures | 330 | OtherExpenditures |
| End Of Year Balance | 353357 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 356434 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1407 | InvestmentEarningsOrLosses |
| Other Expenditures | 5039 | OtherExpenditures |
| End Of Year Balance | 352802 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 385690 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 2654274 | OtherCostOrOtherBasis |
| Book Value | 3039964 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1257275 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 45135349 | OtherCostOrOtherBasis |
| Depreciation | 26643396 | Depreciation |
| Book Value | 19749228 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 15303 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 24534337 | OtherCostOrOtherBasis |
| Depreciation | 19678614 | Depreciation |
| Book Value | 4871026 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 85526 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 2970077 | OtherCostOrOtherBasis |
| Depreciation | 1530587 | Depreciation |
| Book Value | 1525016 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 29185234 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED COMPENSATION OBLIGATION | $464,318 |
| ESTIMATED HEALTH CLAIMS | $314,000 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $2,585,000 |
| CONSTRUCTION ACCOUNTS PAYABLE | $150,472 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3513790 | TotalOfAmounts |
| Total Revenue | 67588711 | TotalRevenue |
| Total Expenses | 66881254 | TotalExpenses |
| Excess Or Deficit For Year | 707457 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -498668 | NetUnrealizedGLOnInvestments |
| Other | $1,304,824 | OtherAmount |
| Total Adjustments | 806156 | TotalAdjustments |
| Excess Or Deficit Per FS | 1513613 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 66684364 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -498668 | NetUnrealizedGainsInvestments |
| Other Revenues | -94740 | OtherRevenues |
| Revenue Not Rptd F990 | -593408 | RevenueNotRptdF990 |
| Revenue Subtotal | 67277772 | RevenueSubtotal |
| Other Revenues Not Included | 310939 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 310939 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 67588711 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 66881254 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 66881254 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 66881254 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | FUNDS ARE USED FOR CANCER SPECIFIC PURPOSES. THIS YEAR THE 4,222.46 IN FUND EXPENDITURES WERE USED EXCLUSIVELY FOR A FREE MAMMOGRAPHY PROGRAM FOR PATIENTS UNABLE TO PAY FOR THE MAMMOGRAPHY. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE HOSPITAL BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE HOSPITAL WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN EQUITY OF INVESTMENT IN ST. MARGARET'S HEALTH ORGANIZATION 4,401. EQUITY TRANSFER TO SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION -53,064. CHANGE IN INTEREST IN NET ASSETS OF ST. MARGARET'S HOSPITAL FOUNDATION 1,452,947. CHANGE IN EQUITY IN INVESTMENT OF VALLEY REGIONAL HEALTH SERVICES -99,460. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTIONS 319. CHANGE IN EQUITY IN GAINS OF INVESTEES -95,059. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTIONS RESTRICTED BY DONORS INCLUDED IN REVENUE PER FORM 990 50. CAPITAL CONTRIBUTIONS AND GRANTS INCLUDED IN REVENUE PER FORM 990 310,889. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1335 | PersonsServed |
| Total Community Benefit Expense | 550000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 550000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00870 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6683 | PersonsServed |
| Total Community Benefit Expense | 9154743 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5302629 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3852114 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06100 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8018 | PersonsServed |
| Total Community Benefit Expense | 9704743 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5302629 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4402114 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06970 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 162 | NumberOfActivitiesOrPrograms |
| Persons Served | 7508 | PersonsServed |
| Total Community Benefit Expense | 41272 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5460 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 35812 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 8000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 459 | PersonsServed |
| Total Community Benefit Expense | 682520 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 385570 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 296950 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00470 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 32 | NumberOfActivitiesOrPrograms |
| Persons Served | 1966 | PersonsServed |
| Total Community Benefit Expense | 70864 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 70864 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 197 | NumberOfActivitiesOrPrograms |
| Persons Served | 9933 | PersonsServed |
| Total Community Benefit Expense | 802656 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 391030 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 411626 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00650 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 197 | NumberOfActivitiesOrPrograms |
| Persons Served | 17951 | PersonsServed |
| Total Community Benefit Expense | 10507399 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5693659 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4813740 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07620 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 16 | PersonsServed |
| Total Community Building Expense | 15653 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15653 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 20 | PersonsServed |
| Total Community Building Expense | 11449 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 11449 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 2535 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2535 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 12883 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12883 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 2029 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2029 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 20 | NumberOfActivitiesOrPrograms |
| Persons Served | 36 | PersonsServed |
| Total Community Building Expense | 44549 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 44549 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $1,310,141 | BadDebtExpenseAmount |
| Amount Attributable To | 10950 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 16521968 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 20088545 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3566577 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| 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 | ST MARGARET'S HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST FIRST STREET | AddressLine1 |
| City | SPRING VALLEY | City |
| State | IL | State |
| ZIP Code | 61362 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOT REQUIRED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 15 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (15 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| ST MARGARET'S EAR NOSE & THROAT CENTER | ||||
| 4040 PROGRESS BLVD | PERU | IL | 61354 | OUTPATIENT PHYSICIAN CLINIC |
| HAZEL MARIE BOYLE WOMEN'S HEALTH CENTER | ||||
| 600 EAST FIRST STREET | SPRING VALLEY | IL | 61362 | OUTPATIENT PHYSICIAN CLINIC |
| ST MARGARET'S GRANVILLE CLINIC | ||||
| 309 SOUTH MCCOY STREET | GRANVILLE | IL | 61326 | OUTPATIENT PHYSICIAN CLINIC |
| ST MARGARET'S HENRY CLINIC | ||||
| 528 EDWARD STREET | HENRY | IL | 61537 | OUTPATIENT PHYSICIAN CLINIC |
| ST MARGARET'S MIDTOWN HEALTH | ||||
| 1650 MIDTOWN ROAD | PERU | IL | 61354 | OUTPATIENT PHYSICIAN CLINIC |
| ST MARGARET'S OGLESBY CLINIC | ||||
| 402 WALNUT STREET | OGLESBY | IL | 61348 | OUTPATIENT PHYSICIAN CLINIC |
| ST MARGARET'S SPRING VALLEY CLINIC | ||||
| 1515 36TH STREET | SPRING VALLEY | IL | 61362 | OUTPATIENT PHYSICIAN CLINIC |
| ST MARGARET'S FAMILY HEALTH CENTER | ||||
| 415 EAST SECOND STREET | SPRING VALLEY | IL | 61362 | OUTPATIENT PHYSICIAN CLINIC |
| VALLEY ORTHOPEDICS & SPORTS MEDICINE | ||||
| 600 EAST FIRST STREET | SPRING VALLEY | IL | 61362 | ORTHOPEDIC & SPORTS MEDICINE CLINIC |
| ST MARGARET'S FAMILY ORTHOPEDIC CENTER | ||||
| 600 EAST FIRST STREET | SPRING VALLEY | IL | 61362 | ORTHOPEDIC CLINIC |
| ST MARGARET'S HENNEPIN CLINIC | ||||
| 220 EAST HIGH STREET SUITE 101 | HENNEPIN | IL | 61327 | OUTPATIENT PHYSICIAN CLINIC |
| ST MARGARET'S LASALLE CLINIC | ||||
| 535 3RD STREET | LASALLE | IL | 61301 | OUTPATIENT PHYSICIAN CLINIC |
| ST MARGARET'S PERU MALL CLINIC | ||||
| 1515 36TH STREET | PERU | IL | 61354 | OUTPATIENT PHYSICIAN CLINIC |
| ST MARGARET'S OCCUPATIONAL HEALTH CENTE | ||||
| 600 EAST FIRST STREET | SPRING VALLEY | IL | 61362 | OCCUPATIONAL HEALTH & WELLNESS CLINIC |
| ST MARGARET'S DME | ||||
| 600 EAST FIRST STREET | SPRING VALLEY | IL | 61362 | DURABLE MEDICAL EQUIPMENT |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation |
|---|
| PART I, LINE 3C: IN KEEPING WITH THE MISSION, VISION AND VALUES OF ST. MARGARET'S HOSPITAL, OUR ORGANIZATION IS COMMITTED TO GIVING A PATIENT EVERY OPPORTUNITY TO PAY THEIR MEDICAL DEBT IN FULL OR TO MAKE ARRANGEMENTS BASED ON ORGANIZATIONAL POLICY. PATIENTS ARE REQUIRED TO COMPLETE AN APPLICATION FOR FINANCIAL ASSISTANCE HOWEVER, PATIENTS ELIGIBLE FOR ILLINOIS MEDICAID THAT RECEIVE SERVICES NOT COVERED BY THE PROGRAM, MAY BE GRANTED 100% FINANCIAL ASSISTANCE FOR THOSE NON-COVERED SERVICES. PATIENTS THAT ARE HOMELESS ARE GRANTED 100% FINANCIAL ASSISTANCE. EFFORTS ARE MADE TO HAVE A COMPLETED APPLICATION. IF INFORMATION CANNOT BE OBTAINED, VERIFICATION FROM THE POLICE DEPARTMENT, OR OTHER OFFICIAL MUST BE OBTAINED VERIFYING THE PATIENT IS HOMELESS. |
| PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST TO CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. UNREIMBURSED MEDICAID ON LINE 7B WAS CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. COMMUNITY HEALTH IMPROVEMENT SERVICES, LINE 7E, HEALTH PROFESSIONS EDUCATION, LINE 7F, AND CASH AND IN-KIND DONATIONS, LINE 7I WERE REPORTED FROM ACTUAL EXPENSES IN THE GENERAL LEDGER. THE COST FOR PARATRANSIT, A SUBSIDIZED HEALTH SERVICE, REPORTED ON LINE 7G WAS DETERMINED USING THE MEDICARE COST REPORT. THE COST FOR SKILLED NURSING, A SUBSIDIZED HEALTH SERVICE, REPORTED ON LINE 7G WAS DETERMINED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. |
| PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES TO DETERMINE THE PERCENTAGE WAS $3,772,776. |
| PART II: INDIVIDUALS FROM ST. MARGARET'S HOSPITAL ATTENDED COMMUNITY BUILDING EVENTS AT THE ILLINOIS VALLEY AREA CHAMBER AND MONTHLY MEETINGS FOR COMMUNITY BETTERMENT ACTIVITIES AT THE NORTH CENTRAL REGIONAL BETTERMENT COALITION (NCRBC). MEETINGS WERE ATTENDED FOR ECONOMIC DEVELOPMENT AT THE LASALLE BUSINESS ASSOCIATION AND MEETINGS TO ADDRESS LABOR NEEDS OF THE NORTH CENTRAL ILLINOIS REGION AT NCIWORKS. ST. MARGARET'S PROVIDES COMMUNITY SUPPORT THROUGH ATTENDING IEMA MEETINGS AND WORKING ON PARTNERSHIPS FOR STATE WIDE EMERGENCY RESPONSE EFFORTS. THE ORGANIZATION MET WITH MULTIPLE COMMUNITY PARTNERS TO PLAN EMERGENCY RESPONSE EXERCISES INVOLVING THE ENTIRE COMMUNITY AND PLAN TRAINING AND EDUCATION OF VOLUNTEER RESPONDERS. TOGETHER WITH THE LOCAL EMS SYSTEM AND VOLUNTEERS, THE HOSPITAL WAS ABLE TO PROVIDE EDUCATION, TRAINING, AND PROBLEM RESOLUTION FOR EMERGENCY CARE ISSUES. ENVIRONMENTAL IMPROVEMENTS INCLUDE MEETINGS WITH MULTIPLE COMMUNITY PARTNERS TO DEVELOP RESPONSE PLANS, PROVIDE COMMUNITY EDUCATION, AND DEVELOP WORKING RELATIONSHIPS WITH LOCAL BUSINESSES THAT USE, STORE, OR SHIP CHEMICALS HAZARDOUS TO THE COMMUNITY.INDIVIDUALS FROM ST. MARGARET'S HOSPITAL WERE ON THE LOCAL ADVISORY COUNCIL THAT PLANS LOCAL TRAINING, RESPONSE AND FUNDRAISING FOR THE RED CROSS THROUGH THE BUREAU COUNTY AMERICAN RED CROSS ADVISORY COUNCIL. THESE INDIVIDUALS WERE ALSO ON SEVERAL OTHER COMMUNITY BOARDS TO PROVIDE A HEALTHCARE PERSPECTIVE IN THE PLANNING OF EMERGENCY MEDICAL RESPONSE FOR SPRING VALLEY AND THE SURROUNDING COMMUNITIES.THE HOSPITAL WAS INVOLVED IN COMMUNITY PARTNERS AGAINST SUBSTANCE ABUSE (CPASA) REPRESENTING HEALTHCARE ISSUES RELATED WITH SUBSTANCE ABUSE. THE GROUP WORKS ON PREVENTION STRATEGIES, COMMUNITY AWARENESS AND EDUCATION, AND COMMUNITY PARTNERSHIPS. THE GOAL IS TO REDUCE SUBSTANCE ABUSE IN OUR COMMUNITY.INDIVIDUALS FROM THE HOSPITAL WORKED WITH LOCAL HEALTH DEPARTMENTS AND COMMUNITY PARTNERS TO PROVIDE EDUCATION AWARENESS PROGRAMS TO THE COMMUNITY AND ASSISTED IN LINKING LOW INCOME OR UNDERINSURED WOMEN WITH RESOURCES SO THEY MAY OBTAIN PREVENTIVE HEALTHCARE. AWARENESS FOR THESE INDIVIDUALS IS ESSENTIAL TO PREVENTING DISEASE.THROUGH THE REGIONAL 3 TRANSPORTATION ADVISORY COMMITTEE THE HOSPITAL PROVIDED INPUT TO PLANNING OF REGIONAL TRANSPORTATION SERVICES AND ACCESS TO HEALTHCARE ISSUES. ST. MARGARET'S HOSPITAL WORKED TOWARD A COORDINATED TRANSPORTATION SYSTEM IN BUREAU AND PUTNAM COUNTIES THAT PROVIDES LOW COST RIDES TO THE ELDERLY, LOW INCOME, AND SPECIAL NEEDS POPULATIONS. ALSO, ASSISTANCE WAS PROVIDED IN LINKING LOW INCOME AND UNDERINSURED WOMEN WITH RESOURCES SO THEY ARE ABLE TO OBTAIN PREVENTIVE HEALTHCARE. PROVIDING THESE SERVICES INCREASES ACCESS TO HEALTH CARE FOR THESE INDIVIDUALS. |
| PART III, LINE 4: THE ORGANIZATION'S BAD DEBT EXPENSE AT COST WAS CALCULATED USING THE EXPENSE REPORTED ON THE FINANCIAL STATEMENTS AND APPLYING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2.ST. MARGARET'S HOSPITAL DETERMINES BAD DEBT EXPENSE BY ESTIMATING WHAT MAY NOT BE COLLECTIBLE FROM PATIENT BALANCES AFTER TAKING INTO ACCOUNT APPROPRIATE DISCOUNTS AND PAYMENTS (UNINSURED DISCOUNT, ELIGIBLE CHARITY CARE DISCOUNTS/ADJUSTMENTS, AND PAYMENTS RECEIVED AND EXPECTED TO BE RECEIVED). PAYMENTS ON ACCOUNTS THAT WERE WRITTEN OFF AS BAD DEBT REDUCES BAD DEBT EXPENSE.THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON AN ESTIMATE OF CHARGES FOREGONE TO GROSS PATIENT CHARGES. THE AMOUNT ON LINE 3 IS AN ESTIMATE AMOUNT THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE PROGRAM IF SUFFICIENT INFORMATION HAD BEEN OBTAINED TO MAKE A DETERMINATION OF THEIR ELIGIBILITY.FOOTNOTE TO FINANCIAL STATEMENTS:THE CARRYING AMOUNT OF PATIENT RECEIVABLES IS REDUCED BY A VALUATION ALLOWANCE THAT REFLECTS MANAGEMENT'S ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS AND THIRD-PARTY PAYORS. MANAGEMENT REVIEWS PATIENT RECEIVABLES BY PAYOR CLASS AND APPLIES PERCENTAGES TO DETERMINE ESTIMATED AMOUNTS THAT WILL NOT BE COLLECTED FROM THIRD PARTIES UNDER CONTRACTUAL AGREEMENTS AND AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS DUE TO BAD DEBTS. MANAGEMENT CONSIDERS HISTORICAL WRITE OFF AND RECOVERY INFORMATION IN DETERMINING THE ESTIMATED BAD DEBT PROVISION. MANAGEMENT ALSO REVIEWS ACCOUNTS TO DETERMINE IF CLASSIFICATION AS CHARITY CARE IS APPROPRIATE. |
| PART III, LINE 8: TOTAL REVENUE RECEIVED FROM MEDICARE IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT. BOTH TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS. |
| PART III, LINE 9B: HOMELESS PATIENTS AND ILLINOIS MEDICAID PATIENTS WILL NOT BE SUBJECT TO ANY COLLECTION EFFORTS. WHEN A PATIENT IS IN THE PROCESS OF APPLYING FOR FINANCIAL ASSISTANCE THERE WILL BE NO COLLECTION EFFORTS. AFTER A DETERMINATION OF FINANCIAL ASSISTANCE, ANY PERSONAL PORTION DUE FOLLOWS THE SAME COLLECTION PROCEDURES AS OTHER ACCOUNTS. COLLECTION PROCEDURES INCLUDES PAST DUE NOTICES AND PHONE CALLS AND THEN THE ACCOUNT IS REFERRED TO A COLLECTION AGENCY. |
| PART VI, LINE 2: ST. MARGARET'S HOSPITAL IDENTIFIES UNMET COMMUNITY HEALTH NEEDS BY PARTICIPATING IN COMMUNITY COALITIONS, PARTNERSHIPS, BOARDS, COMMITTEES, COMMISSIONS, ADVISORY GROUPS, AND PANELS. FOR EXAMPLE, HOSPITAL REPRESENTATIVES MET WITH THE LOCAL HEALTH DEPARTMENT TO JOINTLY EVALUATE THE NEEDS OF THE COMMUNITY. IN PARTICULAR, HOSPITAL STAFF MET WITH LOCAL MENTAL HEALTH SERVICE PROVIDERS TO DISCUSS UNMET MENTAL HEALTH NEEDS IN THE COMMUNITY. ON A MONTHLY BASIS, THE HOSPITAL REVIEWS ITS INTERNAL PATIENT SURVEYS. ON A TRI-ANNUAL BASIS, THE BOARD MEETS WITH SELECT MEDICAL STAFF MEMBERS AND HOSPITAL STAFF TO DEVELOP A STRATEGIC PLAN, WHICH ADDRESSES THE DEMOGRAPHICS OF THE COMMUNITIES SERVED. THE HOSPITAL PROVIDES HEALTH EDUCATION AND OUTREACH AT VARIOUS LOCATIONS OUT IN THE COMMUNITY, WHERE PARTICIPANTS ARE EDUCATED ON THE IMPORTANCE OF DISEASE PREVENTIONS AND EARLY DETECTION. THE HOSPITAL SUPPORTS A LOCAL FREE CLINIC BY PROVIDING FREE LAB SERVICES. THIS ALLOWS EMPLOYED PHYSICIANS TO DONATE THEIR SERVICES AND PROVIDE FINANCIAL ASSISTANCE. |
| PART VI, LINE 3: ST. MARGARET'S HOSPITAL POSTS ITS CHARITY CARE POLICY IN THE ADMISSIONS/REGISTRATION AREAS, WAITING ROOMS, EMERGENCY ROOMS, AND OTHER AREAS THE ORGANIZATION FINDS BENEFICIAL TO PATIENTS. THE POLICY AND CONTACT INFORMATION ON FINANCIAL ASSISTANCE IS PROVIDED AND DISCUSSED DURING THE ADMISSION AND DISCHARGE PROCESS. UPON NOTIFICATION FROM REGISTRATION REGARDING SELF PAY ADMISSIONS, THE PATIENT ACCOUNT CLERK OR STAFF MEMBER FROM ANOTHER DEPARTMENT TRIES TO CONTACT THE PATIENT TO DISCUSS AVAILABILITY OF FINANCIAL ASSISTANCE. ALSO, INFORMATION ON OTHER PROGRAMS, SUCH AS GOVERNMENT BENEFITS, MEDICAID OR STATE PROGRAMS, IS DISCUSSED WITH PATIENTS. ASSISTANCE IS ALSO PROVIDED FOR INDIVIDUALS APPLYING FOR GOVERNMENT BENEFITS. PATIENTS ARE ENCOURAGED TO EXPLORE THEIR OPTIONS AND USE OUR RESOURCES TO OBTAIN ASSISTANCE WITH THEIR BILLS. EACH PATIENT BILL INCLUDES AN EXPLANATION ON HOW TO INQUIRE ABOUT FINANCIAL ASSISTANCE OR AN UNINSURED DISCOUNT. |
| PART VI, LINE 4: ST. MARGARET'S HOSPITAL IS A 69-BED ACUTE CARE HOSPITAL LOCATED IN SPRING VALLEY, IL. SPRING VALLEY, IL IS A CITY SITUATED ON THE ILLINOIS RIVER IN THE SOUTHEASTERN CORNER OF BUREAU COUNTY, IL. BUREAU COUNTY IS LOCATED IN THE NORTHCENTRAL REGION OF ILLINOIS. THE POPULATION IS APPROXIMATELY 5,400 PEOPLE. SPRING VALLEY IS PART OF THE "ILLINOIS VALLEY MICROPOLITAN" (LA SALLE, PERU, AND SPRING VALLEY) WHICH TOTAL APPROXIMATELY 25,000 PEOPLE. WAL-MART IS THE LARGEST EMPLOYER AND HAS A LABOR FORCE FROM OVER 100 DIFFERENT ZIP CODES THAT EASILY COMMUTE TO SPRING VALLEY. IN 2009 THE MEDIAN HOUSEHOLD INCOME WAS $44,177, THE UNEMPLOYMENT RATE WAS 11.2%, AND 9.1% OF PEOPLE WERE LIVING IN POVERTY. OVER 6,500 OF OUR PATIENTS WERE LOW-INCOME MEDICAID PARTICIPANTS. MEDICARE AND PUBLIC AID MAKE UP 52% OF OUR NET REVENUES. THE NEAREST CITY WITH A POPULATION GREATER THAN 50,000 IS PEORIA, IL LOCATED 47 MILES SW OF SPRING VALLEY. |
| PART VI, LINE 6: ST. MARGARET'S HOSPITAL BOARD IS COMPRISED OF 11 MEMBERS: TIMOTHY MUNTZ, CEO, TWO SISTERS FROM THE SISTERS OF MARY OF THE PRESENTATION, TWO HOSPITAL PHYSICIANS, THE PRESIDENT OF THE SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION, A RELATED, CONTROLLING ORGANIZATION, AND FIVE COMMUNITY MEMBERS. TO MEET THE NEEDS OF OUR COMMUNITY, THE HOSPITAL EXTENDS PRIVILEGES TO MEDICAL STAFF THAT ARE QUALIFIED AND LICENSED. OUR ORGANIZATION IS COMMITTED TO BE INVOLVED AND HELPFUL TO THE COMMUNITY. OUR EMPLOYEES SERVE ON SEVERAL COMMITTEES WORKING TO IMPROVE THE HEALTH AND LIVES OF THE COMMUNITY. THE EMERGENCY ROOM IS OPEN 24 HOURS A DAY AND EVERYONE IS TREATED REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OPERATES A SEPARATE FOUNDATION WHICH CONDUCTS FUNDRAISING ACTIVITIES AND SOLICITS FUNDS THAT ARE UTILIZED TO FURTHER THE EXEMPT PURPOSE OF THE HOSPITAL. THE FOUNDATION MAKES REGULAR CONTRIBUTIONS TO THE HOSPITAL FOR ITEMS THAT DIRECTLY IMPROVE PATIENT CARE. SURPLUS FUNDS ARE REINVESTED IN PATIENT CARE AND FACILITY UPGRADES.DURING THE PAST YEAR, WE PROVIDED 1,335 PATIENTS WITH FREE OR REDUCED CHARITY CARE, INCLUDING OUR FREE MAMMOGRAM PROGRAM AND LAB SERVICES FOR PATIENTS TREATED AT BUREAU COUNTY HEALTH & WELLNESS, A FREE CLINIC IN PRINCETON. IN ADDITION TO OUR CHARITY CARE, WE ALSO SAW $3.8 MILLION IN HOSPITAL BILLS GO UNPAID. THIS AMOUNT WAS WRITTEN OFF AS BAD DEBT. THESE FIGURES SHOW THAT DESPITE OUR NATION'S COMPLEX SYSTEM OF PAYING FOR HEALTH CARE THROUGH THE GOVERNMENT, INSURANCE COMPANIES, AND THIRD-PARTY PAYORS, THERE ARE STILL MANY WHO ARE NOT COVERED BY THESE PROGRAMS. THEY ARE THE POOR WHO ARE INELIGIBLE FOR GOVERNMENTAL SUPPORT, THE UNEMPLOYED, AND THOSE EMPLOYED BY COMPANIES THAT DON'T OFFER ADEQUATE MEDICAL INSURANCE.WE ARE COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. SOME OF THE SERVICES WE PROVIDE TO THE COMMUNITY AT A REDUCED PRICE OR FREE OF CHARGE INCLUDE THE FOLLOWING:* WE PARTICIPATE IN VARIOUS HEALTH FAIRS THROUGHOUT THE AREA, PROVIDING INFORMATION ON HEALTH ISSUES.* TO HELP IN THE EARLY DETECTION OF ILLNESS, WE PROVIDE A NUMBER OF HEALTH SCREENINGS AT NO COST OR AT PRICES LESS THAN OUR COST FOR SERVICES, SUCH AS BLOOD PRESSURE, BLOOD SUGAR, AND CHOLESTEROL.WE ALSO HELP SUPPORT OTHER GROUPS IN OUR EFFORTS TO SERVE OUR COMMUNITY.* WE DONATED MONEY TO BUREAU COUNTY HEALTH & WELLNESS, A FREE CLINIC LOCATED IN PRINCETON.* WE PROVIDE FREE FOOD TO THE AREA HOMELESS SHELTER.WE ALSO WORK WITH OTHER ORGANIZATIONS TO HELP SERVE OUR COMMUNITY. SOME EXAMPLES INCLUDE THE FOLLOWING:* WE WORK EMS SERVICES IN THE AREA TO HELP COORDINATE SERVICES* WE WORK WITH THE COUNTY HEALTH DEPARTMENT TO HELP WITH EMERGENCY PREPAREDNESS. |
| PART VI, LINE 7: WE ARE AN AFFILIATE OF THE SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION. ST. MARGARET'S HOSPITAL OPERATES IN ACCORDANCE WITH THE MISSION, VISION, AND VALUES OF THE SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION. OUR ANNUAL BUDGETING PROCESS INCLUDES AN ASSESSMENT OF HOW OUR BUDGET DEMONSTRATES A COMMITMENT TO THE VALUES OF THE SYSTEM AND THE SYSTEM WORKS TO ENSURE WE ARE ALWAYS MINDFUL OF OUR DUTY TO CARE FOR THE POOR AND THOSE IN NEED. ST. MARGARET'S HOSPITAL HAS A STRATEGIC PLAN DEVELOPED FROM THEMES SET FORTH BY THE HEALTH SYSTEM FOR ALL AFFILIATES. THE STRATEGIC PLAN IS AN ACTIVE DOCUMENT WHICH ST. MARGARET'S HOSPITAL WORKS ON CONTINUOUSLY AND REPORTS BACK TO THE HEALTH SYSTEM ON OUR PROGRESS TOWARD ESTABLISHED GOALS WHICH AGAIN, ALIGN WITH THE MISSION, VISION, AND VALUES OF THE ORGANIZATION. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| DRUM CORPS INTERNATIONAL INC | |||||||
| 100 W WASHINGTON STREET SUITE C | INDIANAPOLIS | IN | 46204 | 830581521 | 501(C)(3) | 5000 | SPRING VALLEY DRUMFEST SPONSORSHIP |
| LASALLE BUSINESS ASSOCIATION | |||||||
| PO BOX 182 | LASALLE | IL | 61301 | 262000923 | 501(C)(6) | 5000 | LASALLE JAZZFEST SPONSORSHIP |
| MARCH OF DIMES | |||||||
| PO BOX 173 | LASALLE | IL | 61301 | 131846366 | 501(C)(3) | 10000 | CORPORATE SPONSORSHIP FOR FUNDRAISING EVENTS |
| BUREAU COUNTY HEALTH & WELLNESS | |||||||
| 500 ELM PLACE | PRINCETON | IL | 61356 | 300129789 | 501(C)(3) | 17000 | FREE CLINIC SUPPORT |
| ILLINOIS VALLEY COMMUNITY COLLEGE | |||||||
| 815 NORTH ORLANDO SMITH STREET | OGLESBY | IL | 61348 | 362614257 | 501(C)(3) | 8000 | NURSING EDUCATION SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: ST. MARGARET'S HOSPITAL PROVIDES DONATIONS AND SPONSORSHIPS TO LOCAL ORGANIZATIONS. ORGANIZATION'S MAKE REQUESTS AND THE BOARD MAKES A DETERMINATION OF FUNDING. EACH ORGANIZATION PROVIDES DOCUMENTATION OF WHAT THE FUNDING WAS USED FOR. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR RICHARD TWANOW | |||||||||||||
| 168901 | 0 | 60252 | 0 | 76444 | 0 | 21300 | 0 | 6099 | 0 | 332996 | 0 | 0 | 0 |
| AARON ALTON | |||||||||||||
| 0 | 383390 | 0 | 56358 | 0 | 46738 | 0 | 25876 | 0 | 23082 | 0 | 535444 | 0 | 0 |
| DR ROBERT MORROW | |||||||||||||
| 156629 | 0 | 51624 | 0 | 41866 | 0 | 4800 | 0 | 18929 | 0 | 273848 | 0 | 0 | 0 |
| TIMOTHY MUNTZ | |||||||||||||
| 0 | 290885 | 0 | 39269 | 0 | 22808 | 0 | 25448 | 0 | 19425 | 0 | 397835 | 0 | 0 |
| KIM SANTMAN | |||||||||||||
| 0 | 168900 | 0 | 18579 | 0 | 11908 | 0 | 15405 | 0 | 18209 | 0 | 233001 | 0 | 0 |
| JASON DOTSON | |||||||||||||
| 0 | 149970 | 0 | 11998 | 0 | 11765 | 0 | 10311 | 0 | 18380 | 0 | 202424 | 0 | 0 |
| DR PAUL PERONA | |||||||||||||
| 789578 | 0 | 327188 | 0 | 9473 | 0 | 21300 | 0 | 20450 | 0 | 1167989 | 0 | 0 | 0 |
| DR DALE CHILSON | |||||||||||||
| 289697 | 0 | 744389 | 0 | 12360 | 0 | 4800 | 0 | 20955 | 0 | 1072201 | 0 | 0 | 0 |
| DR THAW TUN | |||||||||||||
| 167658 | 0 | 123687 | 0 | 182390 | 0 | 4800 | 0 | 17965 | 0 | 496500 | 0 | 0 | 0 |
| DR SHAWN BAILEY | |||||||||||||
| 169581 | 0 | 100321 | 0 | 100462 | 0 | 21300 | 0 | 21331 | 0 | 412995 | 0 | 0 | 0 |
| DR MIKE SHIN | |||||||||||||
| 474052 | 0 | 5500 | 0 | 23487 | 0 | 4800 | 0 | 19063 | 0 | 526902 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | ST. MARGARET'S HOSPITAL PROVIDES TRAVEL FOR BOARD MEMBER COMPANIONS IN THE YEARS BOARD MEMBERS ARE REQUIRED TO ATTEND A RETREAT. THE RETREAT IS INTENDED FOR EDUCATION ON ETHICS, FINANCE AND HEALTHCARE. | |
| PART I, LINE 7 | THE BONUS AMOUNTS FOR AARON ALTON, TIMOTHY MUNTZ, KIM SANTMAN, AND JASON DOTSON ARE DETERMINED BY SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION, A RELATED ORGANIZATION. | |
| PART III | PART I, QUESTION 3: ST. MARGARET'S HOSPITAL DOES NOT PAY COMPENSATION TO TIMOTHY MUNTZ, PRESIDENT/CEO. THIS INDIVIDUAL IS COMPENSATED BY SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION, A RELATED ORGANIZATION, FOR HIS SERVICES AT THE HOSPITAL. SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION USES ONE OR MORE OF THE METHODS ON PART I, QUESTION 3 TO DETERMINE HIS COMPENSATION. | SUPPLEMENTAL INFORMATION |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| JB CONTRACTING CORP | |||
| BOARD MEMBER JIM BRADY IS THE OWNER | 198597 | COMPENSATION FOR CONSTRUCTION SERVICES | 0 |
| CHRISTINE SLINGSBY | |||
| SISTER TO BOARD MEMBER ROBERT MORROW, MD | 105460 | COMPENSATION AND BENEFITS AS AN EMPLOYEE | 0 |
| CINDY MUNTZ | |||
| WIFE TO TIMOTHY MUNTZ, PRESIDENT/CEO | 38627 | COMPENSATION AND BENEFITS AS AN EMPLOYEE | 0 |
| SUE MAY | |||
| SISTER-IN-LAW TO BOARD MEMBER DAN FITZGERALD | 40705 | COMPENSATION AND BENEFITS AS AN EMPLOYEE | 0 |
| DR MICHAEL MORROW | |||
| BROTHER TO BOARD MEMBER ROBERT MORROW, MD | 291508 | COMPENSATION AND BENEFITS AS AN EMPLOYEE | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | OFFICERS TIMOTHY MUNTZ AND KIM SANTMAN ARE COMPENSATED BY SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION, A RELATED EXEMPT ORGANIZATION. AARON ALTON, BOARD MEMBER FOR ST. MARGARET'S HOSPITAL, IS THE PRESIDENT OF SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION AND IS COMPENSATED FOR HIS SERVICES TO THAT ORGANIZATION AND SEVERAL RELATED ORGANIZATIONS. THEREFORE, BUSINESS RELATIONSHIPS EXIST BETWEEN THESE INDIVIDUALS. | |
| FORM 990, PART VI, SECTION A, LINE 3 | SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION, A RELATED ORGANIZATION, FACILITATES THE MANAGEMENT AND OPERATIONS OF ST. MARGARET'S HOSPITAL. THE OFFICERS OF THE ORGANIZATION ARE DIRECTLY COMPENSATED BY SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE ORGANIZATION IS THE SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER IS ENTITLED TO VOTE IN THE ELECTION OF DIRECTORS AND TO CAST ONE VOTE FOR EACH DIRECTOR TO BE ELECTED. THE MEMBER IS ALSO ENTITLED TO ONE VOTE ON EVERY OTHER MATTER TO BE VOTED ON BY THE MEMBER. VOTES CAST ON BEHALF OF THE MEMBER ARE CAST BY THE CHIEF EXECUTIVE OFFICER OF SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE AUTHORITY TO ACT ON THE FOLLOWING MATTERS ARE EXCLUSIVELY VESTED IN THE MEMBER OF THE ORGANIZATION: 1. ANY CHANGE IN THE PHILOSOPHY, OBJECTIVES AND PURPOSES OF THE ORGANIZATION; 2. AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS; 3. THE ELECTION OR REMOVAL OF THE DIRECTORS; 4. MERGER OR CONSOLIDATION WITH ANY OTHER ORGANIZATION; 5. DISSOLUTION OF THE ORGANIZATION OR THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF ITS PROPERTY OR ASSETS; 6. THE SALE, LEASE, TRANSFER OR ENCUMBRANCE OF ANY LAND, BUILDINGS OR OTHER ASSETS OWNED BY THE ORGANIZATION OR IN WHICH THE ORGANIZATION HAS OR WILL HAVE EQUITABLE OR LEGAL TITLE; 7. APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS; 8. APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER. | |
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. | |
| FORM 990, PART VI, SECTION B, LINE 11 | EACH BOARD MEMBER IS NOTIFIED WHEN THE FORM 990 IS AVAILABLE FOR REVIEW. BOARD MEMBERS ARE ENCOURAGED TO REVIEW THE FORM 990 BEFORE IT IS FILED. THE PRESIDENT AND VICE PRESIDENT OF FINANCE REVIEW THE FORM 990. | |
| EACH DIRECTOR MUST SUBMIT IN WRITING TO THE CHAIRPERSON OF THE BOARD AND THE CEO A LIST OF ALL BUSINESS OR OTHER ORGANIZATIONS OF WHICH THE INDIVIDUAL IS AN OFFICER, DIRECTOR, TRUSTEE, MEMBER, OWNER (EITHER AS A SOLE PROPRIETOR OR PARTNER), SHAREHOLDER WITH A 5% OR GREATER INTEREST IN ALL OUTSTANDING VOTING SHARES, EMPLOYEE OR AGENT, WITH WHICH THE ORGANIZATION HAS, OR MIGHT REASONABLY IN THE FUTURE ENTER INTO, A RELATIONSHIP OR A TRANSACTION IN WHICH THE DIRECTOR WOULD HAVE CONFLICTING INTERESTS. EACH WRITTEN STATEMENT IS RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR. THE CHAIRPERSON OF THE BOARD REVIEWS THE STATEMENTS OF THE DIRECTORS AND THE VICE CHAIRPERSON OF THE BOARD REVIEWS THE STATEMENT FILED BY THE CHAIRPERSON. WHEN A CONFLICT ARISES THE AFFECTED DIRECTOR MAKES KNOWN THE POTENTIAL CONFLICT, WHETHER DISCLOSED BY WRITTEN STATEMENT OR NOT, AND AFTER ANSWERING ANY QUESTIONS, WILL WITHDRAW FROM THE MEETING FOR AS LONG AS THE MATTER CONTINUES UNDER DISCUSSION. SHOULD THE MATTER BE BROUGHT TO A VOTE, THE AFFECTED DIRECTOR WILL NOT VOTE ON IT. IN THE EVENT THE DIRECTOR DOES NOT WITHDRAW VOLUNTARILY, THE CHAIRPERSON OF THE BOARD AS AUTHORITY TO REQUIRE THE DIRECTOR TO REMOVE HIMSELF FROM THE ROOM DURING BOTH THE DISCUSSION AND VOTE ON THE MATTER. IN THE EVENT THE CONFLICT OF INTEREST AFFECTS THE CHAIRPERSON, THE VICE CHAIRPERSON HAS AUTHORITY TO REQUIRE THE CHAIRPERSON REMOVE HIMSELF IN THE SAME MATTER. IF THE MATTER IS THE ITEM OF BUSINESS FOR WHICH A SPECIAL MEETING OF THE BOARD WAS CALLED, THE AFFECTED DIRECTOR WILL NOT BE COUNTED TO ESTABLISH A QUORUM, AND HE/SHE WILL NOT PARTICIPATE IN THE DELIBERATIONS OR VOTE ON IT. | FORM 990, PART VI, SECTION B, LINE 12C | |
| FORM 990, PART VI, SECTION B, LINE 15: THE ORGANIZATION'S PRESIDENT/CEO, OTHER OFFICERS, AND KEY EMPLOYEES ARE COMPENSATED BY SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION, A RELATED ORGANIZATION. THE COMPENSATION PROCESS IS DETERMINED BY SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION. THE SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION BOARD OF TRUSTEES DIRECTLY ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTING FIRM TO REVIEW THE TOTAL COMPENSATION ARRANGEMENTS OF THE OFFICERS AND KEY EMPLOYEES. THE SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION BOARD OF TRUSTEES APPROVES ALL COMPENSATION BASED ON COMPARABLE DATA AND DOCUMENTS THEIR DECISION IN THE MEETING MINUTES. | ||
| THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FINANCIAL INFORMATION IS AVAILABLE THROUGH THE PUBLIC DISCLOSURE COPY OF THE 990. | FORM 990, PART VI, SECTION C, LINE 19 | |
| AARON ALTON, PRESIDENT/CEO, PERFORMS SERVICES FOR THE RELATED HOSPITALS, HOME HEALTH AGENCY, AND FIVE RELATED LONG-TERM CARE FACILITIES. AARON DEDICATES A MINIMUM OF 40 HOURS PER WEEK TO THE RELATED ORGANIZATIONS. THE FOLLOWING INDIVIDUALS DEVOTED TIME PROVIDING SERVICES TO THE FOLLOWING RELATED ORGANIZATIONS. ST. MARGARET'S HOSPITAL FOUNDATION TIMOTHY MUNTZ .16 HOURS PER WEEK SMP ENTERPRISEES TIMOTHY MUNTZ .3 HOURS PER WEEK SISTERS OF MARY OF THE PRESENTATION MARYVALE PROVINCIAL CENTER SR. ELAINE LANGE 40 HOURS PER WEEK SR. ANNE GERMAINE PICARD 40 HOURS PER WEEK | FORM 990, PART VII, SECTION A: | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -498,668. CHANGE IN EQUITY OF INVESTMENT IN ST. MARGARET'S HEALTH ORGANIZATION 4,401. EQUITY TRANSFER TO SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION -53,064. CHANGE IN INTEREST IN NET ASSETS OF ST. MARGARET'S HOSPITAL FOUNDATION 1,452,947. CHANGE IN EQUITY IN INVESTMENT OF VALLEY REGIONAL HEALTH SERVICES -99,460. TOTAL TO FORM 990, PART XI, LINE 5: 806,156. | FORM 990, PART XI, LINE 5: |
| THE GOVERNING BOARD OF SISTERS OF MARY OF THE PRESENTATION ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT FOR ST. MARGARET'S HOSPITAL. | FORM 990, PART XII, LINE 2C: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| SISTERS OF MARY OF THE PRESENTATION HEALTH CORPORATION | ||||||||||
| 1202 PAGE DRIVE SW | FARGO | ND | 58103 | 450359620 | FACILITATES MANAGEMENT AND OPERATIONS OF TEN RELATED FACILITIES | ND | 501(C)(3) | LINE 11A, I | SMP MARYVALE PROVINCIAL CENTER | 0 |
| ST MARGARET'S HOSPITAL FOUNDATION | ||||||||||
| 600 EAST FIRST STREET | SPRING VALLEY | IL | 61362 | 364042262 | PROVIDE SUPPORT TO ST. MARGARET'S HOSPITAL | IL | 501(C)(3) | LINE 11A, I | SMP HEALTH CORPORATION | 0 |
| SMP PRAIRIELAND HOME HEALTH AGENCY | ||||||||||
| 1102 PAGE DRIVE SW | FARGO | ND | 581060007 | 450391192 | HOME HEALTH AND SUPPORTIVE SERVICES | ND | 501(C)(3) | LINE 9 | SMP HEALTH CORPORATION | 0 |
| PRESENTATION MEDICAL CENTER | ||||||||||
| 213 2ND AVENUE NE | ROLLA | ND | 583670759 | 450227391 | ACUTE CARE HOSPITAL | ND | 501(C)(3) | LINE 3 | SMP HEALTH CORPORATION | 0 |
| ST ALOISIUS HOSPITAL | ||||||||||
| 325 EAST BREWSTER STREET | HARVEY | ND | 58341 | 450226729 | PROVISION OF HEALTH CARE SERVICES | ND | 501(C)(3) | LINE 3 | SMP HEALTH CORPORATION | 0 |
| ST ANDREW'S HOSPITAL | ||||||||||
| 316 OHMER STREET | BOTTINEAU | ND | 58318 | 450226426 | ACUTE CARE CRITICAL ACCESS HOSPITAL | ND | 501(C)(3) | LINE 3 | SMP HEALTH CORPORATION | 0 |
| ST ANDREW'S HOSPITAL FOUNDATION | ||||||||||
| 316 OHMER STREET | BOTTINEAU | ND | 58318 | 450413201 | PROVIDE SUPPORT TO ST. ANDREW'S HOSPITAL | ND | 501(C)(3) | LINE 11A, I | SMP HEALTH CORPORATION | 0 |
| SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE | ||||||||||
| 1202 PAGE DR SW | FARGO | ND | 581060007 | 752999939 | PROVIDE EXTENDED CARE AND MEDICALLY RELATED SERVICES | ND | 501(C)(3) | LINE 9 | SMP HEALTH CORPORATION | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ANDREW'S BOTTINEAU CLINIC LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 316 OHMER STREET | AddressLine1 |
| City | BOTTINEAU | City |
| State | ND | State |
| ZIP Code | 58318 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450451306 | EIN |
| Primary Activity | PROVISION OF HEALTH CARE SERVICES | PrimaryActivity |
| Legal Domicile State | ND | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| SMP ENTERPRISES | ||||||||
| PO BOX 10007 | FARGO | ND | 581060007 | 363486506 | HOME HEALTH CARE SERVICES | ND | N/A | C |
| ROLETTE CLINIC INC | ||||||||
| PO BOX 759 | ROLLA | ND | 58367 | 450308335 | LEASING | ND | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |