HSHS HOLY FAMILY HOSPITAL INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HSHS HOLY FAMILY HOSPITAL INC (EIN 37-0792770)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-08-22
- IRS object ID
- 201232359349300128
- Schema version
- 2011v1.2
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-22T15:32:32-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 WASHINGTON AVENUE SUITE 1800 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370792770 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREENVILLE REGIONAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GREE | NameControl |
| Phone | 6186641230 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HEALTH CARE DRIVE | AddressLine1 |
| City | GREENVILLE | City |
| State | IL | State |
| ZIP Code | 622461156 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHERRY KOEHLER | Name |
| Title | CFO | Title |
| Phone | 6186641230 | Phone |
| Date Signed | 2012-08-22 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFF PARKER | Name |
| PTIN | P00970069 | PTIN |
| Phone | 3149254300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL ZILM | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HEALTH CARE DRIVE | AddressLine1 |
| City | GREENVILLE | City |
| State | IL | State |
| ZIP Code | 622461156 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 38005953 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GREENVILLEREGIONALHOSPITAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1956 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE COMPASSIONATE CARE AND EXCELLENT SERVICE IN A MODERN AND EFFICIENT HEALTHCARE ORGANIZATION STAFFED BY HIGHLY TRAINED PROFESSIONALS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 552 | TotalNbrEmployees |
| Total Nbr Volunteers | 750 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 457198 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 276732 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 30405442 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 36621899 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 52083 | InvestmentIncomePriorYear |
| Investment Income Current Year | 48090 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1141907 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1013575 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 32056630 | TotalRevenuePriorYear |
| Total Revenue Current Year | 37960296 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 325000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 310000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 16830172 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20489590 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 24000 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 31645 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 16666346 | OtherExpensePriorYear |
| Other Expenses Current Year | 17788423 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 33821518 | TotalExpensesPriorYear |
| Total Expenses Current Year | 38612013 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1764888 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -651717 | RevenuesLessExpensesCY |
| Total Assets BOY | 30568777 | TotalAssetsBOY |
| Total Assets EOY | 32824669 | TotalAssetsEOY |
| Total Liabilities BOY | 15865444 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 18436775 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 14703333 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 14387894 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROVIDE COMPASSIONATE CARE AND EXCELLENT SERVICE IN A MODERN AND EFFICIENT HEALTHCARE ORGANIZATION STAFFED BY HIGHLY TRAINED PROFESSIONALS. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 31566987 | Expense |
| Grants | 310000 | Grants |
| Revenue | 35245662 | Revenue |
| Description | GREENVILLE REGIONAL HOSPITAL IS A FULL-SERVICE, ACUTE CARE FACILITY OFFERING 42 LICENSED BEDS, A GERIATRIC BEHAVIORAL HEALTH UNIT, A 24-HOUR EMERGENCY DEPARTMENT, FAMILY BIRTH CENTER, SURGERY DEPARTMENT, REHABILITATION DEPARTMENT, SLEEP DISORDERS CENTER, OUTPATIENT PSYCHIATRIC/MENTAL HEALTH SERVICES, AND OUTPATIENT SPECIALTY CLINICS. DIAGNOSTIC SERVICES INCLUDE A LABORATORY, CARDIOPULMONARY DEPARTMENT, AND IMAGING SERVICES DEPARTMENT. THE HOSPITAL IS CERTIFIED BY THE HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP). IN ADDITION TO PROVIDING INPATIENT ACUTE CARE, GREENVILLE REGIONAL HOSPITAL OFFERS "SWING BEDS". MEDICARE PATIENTS QUALIFYING FOR TRANSITIONAL CARE CAN RECEIVE TREATMENT AT GREENVILLE REGIONAL THROUGH THE "SWING BED" PROGRAM. THE GERIATRIC BEHAVIORAL HEALTH UNIT IS A 10-BED INPATIENT UNIT INTENDED FOR SENIORS NEEDING MEDICATION ADJUSTMENT AND THERAPY PROGRAMS DESIGNED FOR BEHAVIORAL ISSUES. THE GERIATRIC BEHAVIORAL HEALTH UNIT SERVES SENIOR PATIENTS FROM A 150-MILE RADIUS. A PSYCHIATRIST DIRECTS THE CARE PROVIDED. WHITE OAKS SENIOR WELLNESS IS AN OUTPATIENT, GERIATRIC DAY-CARE PROGRAM INTENDED FOR PATIENTS DISCHARGED FROM A BEHAVIORAL HEALTH UNIT, OR THOSE EXPERIENCING BEHAVIORAL ISSUES. MEDICARE PATIENTS QUALIFYING FOR OUTPATIENT BEHAVIORAL HEALTH TREATMENTS CAN RECEIVE CARE THROUGH THE WHITE OAKS PROGRAM. THE HOSPITAL OWNS THREE CLINIC STRUCTURES ON THE HOSPITAL CAMPUS, AS WELL AS THREE CLINICS LOCATED IN NEARBY, RURAL COMMUNITIES. ALL SIX FACILITIES ARE CERTIFIED RURAL HEALTH CLINICS. THE CLINICS ARE UTILIZED BY PRIMARY CARE AND SPECIALTY PHYSICIANS, AS WELL AS MID-LEVEL PRACTITIONERS. BOND COUNTY EMERGENCY MEDICAL SERVICES IS BASED AT AND OPERATED BY THE HOSPITAL. THE SERVICE PROVIDES ADVANCED CARDIAC LIFE SUPPORT (ACLS) AND THE ORGANIZATION HAS ALSO ACHIEVED "RESOURCE HOSPITAL" STATUS. SOME YEARS AGO, THE HOSPITAL WAS ASKED BY THE BOND COUNTY BOARD TO ASSUME OPERATION OF THE AMBULANCE SERVICE AND PROVIDE EMERGENCY MEDICAL TREATMENT AT THE SCENE AFTER IT BECAME APPARENT THAT A PRIVATE COMPANY COULD NO LONGER REMAIN OPERATIONAL. THE HOSPITAL EMERGENCY DEPARTMENT IS STAFFED 24-HOURS PER DAY BY A PHYSICIAN. FOUR MAJOR TRAUMA SUITES, THREE EXAMINATION ROOMS, A TRIAGE ROOM, AND AN IV THERAPY ROOM ARE LOCATED WITHIN THE DEPARTMENT. WHEN NEEDED, HELICOPTER AMBULANCE SERVICE IS AVAILABLE. IN 2011, 205 INFANTS WERE DELIVERED AT THE GREENVILLE REGIONAL FAMILY BIRTH CENTER. PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPY ARE OFFERED ON BOTH AN INPATIENT AND OUTPATIENT BASIS. THE HOSPITAL HAS THE STATE-OF-THE-ART BIONESS FOOT DROP SYSTEM AVAILABLE. THE HOSPITAL IS THE ONLY FACILITY IN THE IMMEDIATE AREA OFFERING THIS TECHNOLOGY. THE HOSPITAL OUTPATIENT SPECIALTY CLINIC OFFERS 16 MEDICAL SPECIALTIES AND CONTAINS 13 EXAMINATION ROOMS. FOUR CLINICS CAN BE IN OPERATION SIMULTANEOUSLY. THE HOSPITAL MAY HOST AS MANY AS 100 CLINICS IN JUST 27 WORKING DAYS. FOR THE CONVENIENCE OF PATIENTS, SATURDAY CARDIOLOGY APPOINTMENTS ARE AVAILABLE. MEDICAL SPECIALTIES AVAILABLE AT THE HOSPITAL'S OUTPATIENT CLINIC ARE: CARDIOLOGY, OBSTETRICS/GYNECOLOGY, NEPHROLOGY, SPORTS MEDICINE, MEMORY, ORTHOPEDICS, ONCOLOGY, PULMONARY MEDICINE, EARS/NOSE/THROAT, HAND SURGERY, GASTROENTEROLOGY, NERVE CONDUCTION, UROLOGY, GENERAL AND VASCULAR SURGERY, ALLERGIES, AND SLEEP DISORDERS. THE HOSPITAL'S LABORATORY CAN PERFORM A WIDE ARRAY OF BLOOD, TISSUE, AND FLUID TESTING. THE IMAGING SERVICES DEPARTMENT OFFERS IN-HOUSE X-RAY, CAT SCAN, MRI, ULTRASOUND, NUCLEAR SCAN, BONE DENSITY, AND DIGITAL MAMMOGRAPHY TECHNOLOGY. MOBILE PET SCANS ARE ALSO AVAILABLE. THE HOSPITAL HAS THE CAPABILITY OF TRANSMITTING IMAGES TO ON-CALL RADIOLOGISTS FOR SCANS PERFORMED AFTER NORMAL BUSINESS HOURS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | FAIR OAKS IS A 108-BED, MEDICARE AND MEDICAID CERTIFIED, SHORT-TERM REHABILITATION AND LONG-TERM CARE FACILITY ADJOINING THE HOSPITAL. ADULT DAY CARE AND RESPITE CARE ARE ALSO PROVIDED AT FAIR OAKS. EMERALD POINTE IS AN INDEPENDENT, SENIOR LIVING DEVELOPMENT LOCATED ON THE HOSPITAL CAMPUS. THE DEVELOPMENT CONSISTS OF A 15-UNIT APARTMENT BUILDING, FIVE DUPLEX STRUCTURES, AND A SINGLE UNIT PROVIDING 11 RESIDENCES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | THE GREENVILLE REGIONAL HOSPITAL AUXILIARY SUPPORTS THE HEALTH CARE MISSION OF GREENVILLE REGIONAL HOSPITAL AND ITS AFFILIATED DIVISIONS. THE VOLUNTEER ORGANIZATION WAS FORMED IN 1957, THREE YEARS BEFORE THE HOSPITAL OPENED, AND HAS A PAID MEMBERSHIP OF APPROXIMATELY 750 INDIVIDUALS. THE AUXILIARY SUPPORTS THE HOSPITAL WITH VOLUNTEER SERVICE, AS WELL AS CHARITABLE CONTRIBUTIONS THAT ARE USED TO PURCHASE MEDICAL EQUIPMENT, CONSTRUCT NEW PATIENT CARE AREAS, AND RENOVATE EXISTING FACILITIES. ANNUALLY, IT IS ESTIMATED THAT APPROXIMATELY 1,000 BOND COUNTY RESIDENTS PARTICIPATE IN A GREENVILLE REGIONAL HOSPITAL AUXILIARY VOLUNTEER SERVICE OR FUND RAISING PROJECT. VOLUNTEERS ASSIST THE HOSPITAL BY SERVING AS LOBBY HOSTS AND HOSTESSES, AS WELL AS SURGICAL DEPARTMENT HOSTS AND HOSTESSES. THEY ASSIST AT COMMUNITY EDUCATION PROGRAMS, WHEN NEEDED. HOSPITAL AUXILIARY VOLUNTEERS PROVIDE A VARIETY OF SERVICES AT THE GREENVILLE REGIONAL HOSPITAL HEALTH FAIR, HELD EACH YEAR. THE VOLUNTEERS REGISTER ATTENDEES, SERVE AS GUIDES, STAFF INFORMATION AND HEALTH TESTING BOOTHS, AND PREPARE BLOOD TEST RESULTS FOR MAILING. DURING THE 2011 HEALTH FAIR, APPROXIMATELY 3,800 COMPREHENSIVE BLOOD TESTS WERE PERFORMED AND RETURNED TO PARTICIPANTS. IN 2011, THE HOSPITAL AUXILIARY SPONSORED OVER 20 FUND RAISING PROJECTS THAT INCLUDED: OPERATION OF A 22,000 SQUARE-FOOT THRIFT SHOP; OPERATION OF A HOSPITAL GIFT SHOP; A HOLIDAY BAZAAR; A BOOK FAIR; A BARBEQUE COOKOUT; FOUR, NEW BOOKS SALES; AN APPLE BUTTER PROJECT; A PEACH BUTTER PROJECT; THE LIGHT A LUMINARY FOR A LOVED ONE OR FRIEND PROJECT; TWO BAKE SALES; THREE CHOCOLATE SALES; TWO MICHE BAG SALES; A PANCAKE DAY CRAFT SALE; A "MINI BAZAAR"; CARD FLIGHTS; AND APPLE DAY SALES. PROCEEDS FROM THESE FUND RAISING PROJECTS RESULTED IN A GIFT OF $300,000 THAT WAS DESIGNATED FOR PHASE II IMPLEMENTATION OF AN ELECTRONIC HEALTH RECORDS' SYSTEM. WITHOUT THE CHARITABLE FINANCIAL SUPPORT PROVIDED BY THE HOSPITAL AUXILIARY, THE PURCHASE OF MEDICAL EQUIPMENT AND FACILITY RENOVATION WOULD NOT BE POSSIBLE AT GREENVILLE REGIONAL HOSPITAL. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 31566987 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | 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 | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 1 | 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 | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | 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 | 24 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 552 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | 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 | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHERRY KOEHLER CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6186641230 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HEALTH CARE DRIVE | AddressLine1 |
| City | GREENVILLE | City |
| State | IL | State |
| ZIP Code | 622461156 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MORRIS BOND | |||||||
| CHAIRMAN OF THE BOARD. INTERIM CEO | 5.00 | X | X | 0 | 0 | 0 | |
| DR RICHARD FUNNEMAN | |||||||
| BOARD MEMBER/STAFF PHYSICI | 1.00 | X | 193268 | 0 | 3735 | ||
| LEONARD TAYLOR | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JEFF MOLLET | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DOUG STROUD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| SALLY BOLEN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BART CALDIERARO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BETTY IMBODEN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DR SUSAN HUGHEY-RASLER | |||||||
| BOARD MEMBER | 1.00 | X | 13528 | 0 | 0 | ||
| FRANK JOY | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JILL YOUNG | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ROSEMARY YORK | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ERNIE CHAPPEL | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DR RANDALL BERGEN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BILLY BRUCE | |||||||
| CEO | 40.00 | X | 268597 | 0 | 18958 | ||
| SHERRY KOEHLER | |||||||
| CFO | 40.00 | X | 165112 | 0 | 1261 | ||
| SARA MCPEAK | |||||||
| CNO | 40.00 | X | 137518 | 0 | 3978 | ||
| DR DAWN MCDAID | |||||||
| OB/GYN | 40.00 | 321760 | 0 | 3735 | X | ||
| DR OME NWANZE | |||||||
| HOSPITALIST | 40.00 | 224103 | 0 | 4918 | X | ||
| DR RAYMOND RYAN | |||||||
| SURGEON | 40.00 | 300128 | 0 | 1417 | X | ||
| DR ANNE BORWICK | |||||||
| HOSPITALIST | 40.00 | 221921 | 0 | 3735 | X | ||
| DR CHRISTINA DOTHAGER | |||||||
| OB/GYN | 40.00 | 263711 | 0 | 304 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2109646 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 42041 | TotalOtherCompensation |
| Number Individuals GT100 K | 18 | 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 |
|---|---|---|---|---|---|
| MIDWEST EMERGENCY DEPARTMENT SVCS | |||||
| 320 HIGHWAY 50 | OFALLON | IL | 62269 | ER PHYSICIAN COVERAGE | 1397078 |
| SELECT REHABILITATION | |||||
| PO BOX 809056 | CHICAGO | IL | 606809056 | THERAPY SERVICES | 923332 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 14730 | ST LOUIS | MO | 631504730 | REFERENCE LABS | 227453 |
| SPECIALCARE HOSPITAL MANAGEMENT | |||||
| 502 EARTH CITY PLAZA | EARTH CITY | MO | 63045 | MEDICAL STABILIZATION SVCS | 198750 |
| L & K FIRE PROTECTION | |||||
| 1501 E MAIN | MARION | IL | 62959 | CONSTRUCTION CONTRACTOR | 119157 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Related Organizations | 227675 | RelatedOrganizations |
| Government Grants | 49057 | GovernmentGrants |
| Total Contributions | 276732 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUES | 621110 | 34881275 | 34881275 |
| EHR REIMBURSEMENTS | 621110 | 1376237 | 1376237 |
| LABORATORY | 621500 | 194140 | 194140 |
| PHARMACEUTICALS | 446110 | 170247 | 170247 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 36621899 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 74109 | TotalRevenueColumn |
| Exclusion | $74,109 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 424601 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 424601 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 424601 | TotalRevenueColumn |
| Exclusion | $424,601 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 19638 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 45657 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -26019 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -26019 | TotalRevenueColumn |
| Exclusion | -$26,019 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| GIFT SHOP | 453220 | 420918 | $420,918 |
| CAFETERIA | 722210 | 106074 | $106,074 |
| LIFE RESIDENCY FEES | 623990 | 61982 | $61,982 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 588974 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 37960296 | TotalRevenueColumn |
| Related Or Exempt Function Income | 36621899 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,061,665 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310000 | Total |
| Program Services | 310000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 764496 | Total |
| Program Services | 76450 | ProgramServices |
| Management And General | 680401 | ManagementAndGeneral |
| Fundraising | 7645 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15653912 | Total |
| Program Services | 12547962 | ProgramServices |
| Management And General | 3105950 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132252 | Total |
| Program Services | 106011 | ProgramServices |
| Management And General | 26241 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2831972 | Total |
| Program Services | 2270070 | ProgramServices |
| Management And General | 561902 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1106958 | Total |
| Program Services | 887322 | ProgramServices |
| Management And General | 219636 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72268 | Total |
| Management And General | 72268 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72964 | Total |
| Management And General | 72964 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12544 | Total |
| Program Services | 12544 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24000 | Total |
| Fundraising | 24000 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151559 | Total |
| Program Services | 121488 | ProgramServices |
| Management And General | 30071 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4566936 | Total |
| Program Services | 3660794 | ProgramServices |
| Management And General | 906142 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 266781 | Total |
| Program Services | 213848 | ProgramServices |
| Management And General | 52933 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1640845 | Total |
| Program Services | 1315279 | ProgramServices |
| Management And General | 325566 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111548 | Total |
| Program Services | 89415 | ProgramServices |
| Management And General | 22133 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 468693 | Total |
| Program Services | 375698 | ProgramServices |
| Management And General | 92995 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1937585 | Total |
| Program Services | 1937585 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 679394 | Total |
| Program Services | 544593 | ProgramServices |
| Management And General | 134801 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTED SERVICES | 2929970 | 2348624 | 581346 |
| PROVISION FOR BAD DEBT | 2327766 | 2327766 | |
| PHYSICIAN SERVICES | 1967512 | 1967512 | |
| EQUIPMENT & REPAIRS | 252251 | 202201 | 50050 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 329807 | Total |
| Program Services | 251825 | ProgramServices |
| Management And General | 77982 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38612013 | Total |
| Program Services | 31566987 | ProgramServices |
| Management And General | 7013381 | ManagementAndGeneral |
| Fundraising | 31645 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1463542 | BOY |
| EOY | 549376 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4333979 | BOY |
| EOY | 6363703 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70493 | BOY |
| EOY | 55298 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 429912 | BOY |
| EOY | 446145 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 557519 | BOY |
| EOY | 1075847 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 41797079 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 20381874 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22064435 | BOY |
| EOY | 21415205 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1421656 | BOY |
| EOY | 2771251 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 227241 | BOY |
| EOY | 147844 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30568777 | BOY |
| EOY | 32824669 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3354677 | BOY |
| EOY | 4441732 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 745644 | BOY |
| EOY | 643666 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8930000 | BOY |
| EOY | 9997358 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54478 | BOY |
| EOY | 148237 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2780645 | BOY |
| EOY | 3205782 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15865444 | BOY |
| EOY | 18436775 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14697560 | BOY |
| EOY | 14378524 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5773 | BOY |
| EOY | 9370 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14703333 | BOY |
| EOY | 14387894 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30568777 | BOY |
| EOY | 32824669 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -651717 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 336278 | 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 | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $12,544 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 12544 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31919527 | OtherCostOrOtherBasis |
| Depreciation | 13467959 | Depreciation |
| Book Value | 18451568 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9560209 | OtherCostOrOtherBasis |
| Depreciation | 6913915 | Depreciation |
| Book Value | 2646294 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 317343 | OtherCostOrOtherBasis |
| Book Value | 317343 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 21415205 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| LIFE RESIDENCY FEES | $1,626,235 |
| ASSET RETIREMENT OBLIGATION | $302,547 |
| DUE TO THIRD PARTY PAYORS | $1,277,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3205782 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE CONSOLIDATED AFFILIATES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE, THUS THERE IS NO PROVISION FOR INCOME TAXES AT DECEMBER 31, 2011 AND 2010. THE HOSPITAL APPLIES THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE CONSOLIDATED AFFILIATES INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE HOSPITAL IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS AND IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE FISCAL YEARS 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. | Explanation |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Individual | PATRICIA BOND | NameOfIndividual |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1303 SPRING DRIVE | AddressLine1 |
| City | GREENVILLE | City |
| State | IL | State |
| ZIP Code | 62246 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | GRANT WRITING & APPLICATION | Activity |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFunds |
| Gross Receipts | 0 | GrossReceipts |
| Amount Retained By Contractor | 24000 | AmountRetainedByContractor |
| Net To Organization | -24000 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | 24000 | TotalRetainedByContractors |
| Total Net To Organization | -24000 | TotalNetToOrganization |
| Licensed States | IL | LicensedStates |
Form990 Schedule G Part IV Form990ScheduleGPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROFESSIONAL FUNDRAISING | Identifier |
| Return Reference | SCHEDULE G; PART I; LINE 2 | ReturnReference |
| Explanation | GREENVILLE REGIONAL HOSPITAL, INC. EMPLOYS A PROFESSIONAL FUNDRAISER AND REPORTS THE SALARIES OF THIS INDIVIDUAL ON THIS RETURN. THE REVENUE GENERATED FROM THE FUNDRAISERS EFFORTS ARE RECORDED UNDER UTLAUT MEMORIAL FOUNDATION, A SISTER CORPORATION OF THE HOSPITAL. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 534140 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 534140 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01470 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 5331795 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2511515 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2820280 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07770 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 5865935 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2511515 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3354420 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09240 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 4095 | PersonsServed |
| Total Community Benefit Expense | 140354 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 184960 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -44606 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 28723 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 28723 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 9184559 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7228654 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1955905 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05390 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 46798 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 46798 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 4095 | PersonsServed |
| Total Community Benefit Expense | 9400434 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7413614 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1986820 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05600 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 4095 | PersonsServed |
| Total Community Benefit Expense | 15266369 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9925129 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5341240 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14840 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 115 | PersonsServed |
| Total Community Building Expense | 679 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 679 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 115 | PersonsServed |
| Total Community Building Expense | 679 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 679 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $981,736 | BadDebtExpenseAmount |
| Amount Attributable To | 98174 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 9076150 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 9263832 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -187682 | 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 | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | 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 | GREENVILLE REGIONAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HEALTHCARE DRIVE | AddressLine1 |
| City | GREENVILLE | City |
| State | IL | State |
| ZIP Code | 62246 | 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 | GREENVILLE REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 150.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | 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 |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 0 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| FAIR OAKS NURSING HOME | ||||
| 200 HEALTH CARE DRIVE | GREENVILLE | IL | 62246 | SKILLED NURSING FACILITY |
| GREENVILLE FAMILY WELLNESS CENTER | ||||
| 150 HEALTH CARE DRIVE | GREENVILLE | IL | 62246 | PHYSICIAN CLINIC |
| GREENVILLE MEDICAL ASSOCIATES | ||||
| 101 HEALTHCARE DRIVE | GREENVILLE | IL | 62246 | PHYSICIAN CLINIC |
| MCHCRACKEN-DAWDY-HALL FAMILY PRACTICE | ||||
| 201 HEALTHCARE DRIVE | GREENVILLE | IL | 62246 | PHYSICIAN CLINIC |
| EMERALD POINTE | ||||
| 105 HONEY LOCUST LANE | GREENVILLE | IL | 62246 | INDEPENDENT LIVING FACILITY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 6A: THE UTLAUT MEMORIAL FOUNDATION'S ANNUAL REPORT CONTAINS THE COMMUNITY BENEFIT INFORMATION. | |
| PART I, LINE 7: THE COST TO CHARGE RATIO SHOWN IN THE MEDICARE COST REPORT IS APPLIED TO THE GROSS AMOUNTS FOR CHARITY, MEDICAID, ETC. TO DETERMINE THE TRUE COST OF THESE PROGRAMS. FOR THE OTHER SUBSIDIZED PROGRAMS, SOME COSTS ARE ESTIMATED BASED ON CERTAIN ALLOCATIONS: SQUARE FOOTAGE, STATISTICS, STAFF TIME, SUPPLIES USED, AND OTHER VARIOUS FACTORS. | |
| PART I, LINE 7G: THE SERVICE OF PHYSICIAN PRACTICE OPERATIONS INCLUDES COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. SOME OF THE COSTS INCLUDED IN THIS SUBSIDIZED SERVICE ARE SALARIES, BENEFITS, SUPPLIES, OUTSOURCED PHYSICIAN FEES, AND OTHER VARIOUS EXPENSES. | |
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2327766. | |
| PART II: GREENVILLE REGIONAL HOSPITAL HOSTS A VARIETY OF COMMUNITY EVENTS. A NUMBER OF HOSPITAL ROOMS ARE USED FOR HEALTH-RELATED COMMUNITY FUNCTIONS. SUPPORT GROUPS THAT MEET WITHIN THE HOSPITAL INCLUDE: DIABETES; DEMENTIA CAREGIVERS; PARKINSON'S DISEASE; AND LOOK GOOD, FEEL BETTER. GOOD HEALTH, HEALTH IMPROVEMENT, AND QUALITY OF LIFE ARE PROMOTED THROUGH THE EDUCATION, INFORMATION, AND SUPPORT THAT IS PROVIDED DURING THE SESSIONS LISTED. INDIVIDUALS AFFLICTED WITH DIABETES AND PARKINSON'S DISEASE HAVE THE OPPORTUNITY TO RECEIVE IMPORTANT INFORMATION RELATED TO THEIR ILLNESS. TREATMENT REGIMES, MEDICATIONS AVAILABLE, AND SUGGESTIONS FOR COPING WITH THE DISEASES ARE OFFERED. PATIENTS DIAGNOSED WITH THESE DISEASES CAN INTERACT WITH OTHERS WHO ARE AFFLICTED WITH THESE CONDITIONS. INDIVIDUALS PROVIDING ASSISTANCE TO THOSE WITH DEMENTIA-RELATED CONDITIONS OR ALZHEIMER'S DISEASE ATTEND THE DEMENTIA CAREGIVERS SUPPORT GROUP. FAMILY MEMBERS ARE WELCOME TO ATTEND THE SUPPORT GROUP SESSIONS AND BENEFIT FROM THE INFORMATION PRESENTED AND THE SOCIAL INTERACTION THAT TAKES PLACE. WOMEN UNDERGOING TREATMENT FOR CANCER ARE INVITED TO THE LOOK GOOD, FEEL BETTER SUPPORT GROUP. COSMETICS, WIGS, HEAD COVERINGS, AND FASHION SUGGESTIONS ARE AMONG THE TOPICS COVERED DURING THESE SESSIONS. THOSE ATTENDING CAN ALSO GAIN VALUABLE PSYCHOLOGICAL REINFORCEMENT BY INTERACTING WITH OTHERS EXPERIENCING SIMILAR APPEARANCE-ALTERING SIDE EFFECTS CAUSED BY CHEMOTHERAPY AND RADIATION TREATMENTS. | |
| PART III, LINE 4: THE COST TO CHARGE RATIO FROM THE MOST RECENT MEDICARE COST REPORT IS APPLIED TO THE ORGANIZATION'S BAD DEBT EXPENSE FOR THE FISCAL YEAR. THE ORGANIZATION EMPLOYS A FINANCIAL COUNSELOR THAT WORKS WITH ALL SELF-PAY PATIENTS. BASED ON REVIEW OF TAX RETURNS, BANK STATEMENTS, AND OTHER FINANCIAL DOCUMENTS PROVIDED BY THE PATIENT, AN ESTIMATE EQUAL TO 10% OF BAD DEBT PATIENTS WOULD QUALIFY FOR CHARITY CARE BUT FAILED TO PROVIDE THE APPROPRIATE LEVEL OF DOCUMENTATION AND INFORMATION. | |
| PART III, LINE 8: THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT IS UTILIZED IN DETERMINING THE ORANIZATION'S COMMUNITY BENEFIT. | |
| PART V, SECTION B, LINE 19D: IF THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE AND HE/SHE REQUESTS A DISCOUNT, GREENVILLE REGIONAL HOSPITAL AWARDS A 38% REDUCTION. A "PROMPT PAY" MARKDOWN IS ALSO GRANTED (UP TO 20%) IF THE PATIENT PAYS WITHIN 10 DAYS OF SERVICE DATE. | GREENVILLE REGIONAL HOSPITAL |
| PART V, SECTION B, LINE 21: ALL PATIENTS ARE CHARGED THE SAME AMOUNT (GROSS CHARGES) AND ANY APPLICABLE DISCOUNTS FOR CHARITY CARE, PROMPT PAY, UNINSURED, MANAGED CARE, ETC. ARE APPLIED AFTER THE FACT. | GREENVILLE REGIONAL HOSPITAL |
| PART VI, LINE 2: GREENVILLE REGIONAL HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES USING A VARIETY OF FORMAL AND INFORMAL METHODS. NRC PICKER SURVEYS WERE UTILIZED TO MONITOR THE QUALITY OF SERVICES PROVIDED AT THE HOSPITAL. FEEDBACK REGARDING HEALTH CARE NEEDS IS RECEIVED CONTINUALLY FROM FREQUENT INTERACTION AND ENCOUNTERS WITHIN THE COMMUNITY. SERVING A CLOSELY-KNIT AREA, GREENVILLE REGIONAL HOSPITAL'S MANAGEMENT TEAM IS INVOLVED IN MANY COMMUNITY CLUBS, ORGANIZATIONS, CHURCHES, TEAMS, AND COMMITTEES. THE BOARD OF DIRECTORS REPRESENTS A DIVERSE, CROSS SECTION OF THE COMMUNITY. BOARD MEMBERS RECEIVE AND SHARE COMMENTS RELATED TO HEALTH CARE NEEDS AND NEW SERVICES DESIRED. AN EVALUATION FORM IS SENT TO EACH HEALTH FAIR PARTICIPANT. THESE INDIVIDUALS ARE AFFORDED THE OPPORTUNITY TO PROVIDE FEEDBACK REGARDING THE EVENT AND THEIR NEED FOR LOW COST HEALTH SCREENINGS AND TESTING. ANY HEALTH TRENDS DETECTED THROUGH THE TESTING OFFERED AT THE HEALTH FAIR CAN BE ASSESSED AND USED TO SHAPE SERVICES PROVIDED BY THE HOSPITAL. MONTHLY MEDICAL STAFF MEETINGS OFFER PHYSICIANS THE OPPORTUNITY TO INTERACT WITH HOSPITAL MANAGEMENT AND DISCUSS SERVICES NEEDED BY THEIR PATIENTS. IN 2011, THE HOSPITAL UTILIZED A CONSULTANT TO CONDUCT A MARKET RESEARCH SURVEY. THE STUDY GENERATED CONSUMER INFORMATION REGARDING HEALTH ISSUES, UNMET MEDICAL NEEDS, PHYSICIAN SHORTAGES, AND DESIRED SERVICES. PLANNING IS UNDERWAY TO PERFORM A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. THE PROJECT WILL BEGIN IN LATE 2012 AND WILL BE COMPLETED DURING 2013. | |
| PART VI, LINE 3: THE HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO WORKS WITH ALL SELF-PAY PATIENTS. THE COUNSELOR ASSESSES THE PATIENTS FINANCIAL POSITION AND WILL ASSIST THE PATIENT IN COMPLETING THE NECESSARY PAPERWORK TO APPLY FOR MEDICAID OR CHARITY CARE ASSISTANCE (IF APPLICABLE). | |
| PART VI, LINE 4: GREENVILLE REGIONAL HOSPITAL SERVES THE RESIDENTS OF BOND COUNTY AND THE SURROUNDING FOUR COUNTIES (FAYETTE, CLINTON, MONTGOMERY, AND MADISON). THE HOSPITAL HAS A PRIMARY AND SECONDARY MARKET AREA CONSISTING OF APPROXIMATELY 30,000 TO 32,000 INDIVIDUALS. THE MARKET AREA INCLUDES AN ABOVE AVERAGE NUMBER OF SENIOR CITIZENS. WHILE THE NATIONAL AND STATE AVERAGE FOR THOSE OVER THE AGE OF 60 IS APPROXIMATELY 12 PERCENT, THOSE OVER THE AGE OF 60 IN THE HOSPITAL'S PRIMARY MARKET AREA IS 22 PERCENT. THE MARKET AREA IS RURAL IN ITS COMPOSITION. THE AGRICULTURAL ECONOMY IS SIGNIFICANT WITHIN THE AREA. SOME MANUFACTURING DOES EXIST IN THE LOCAL COMMUNITIES. MEDICARE, MEDICAID, AND UNCOMPENSATED CARE PATIENTS COMPRISE A MAJORITY OF THOSE SERVED BY THE HOSPITAL. THE INCOME LEVELS OF THE MARKET AREA ARE NOT HIGH. MANY OF THE RESIDENTS IN THE REGION RELY ON THE HOSPITAL TO PROVIDE ROUTINE DIAGNOSTIC SERVICES SUCH AS LAB AND IMAGING SERVICES. THE HOSPITAL IS THE PRIMARY SOURCE OF AMBULANCE, EMERGENCY, AND REHABILITATION SERVICES. GREENVILLE REGIONAL IS THE ONLY FACILITY IN THE COUNTY, AND ONE OF ONLY TWO HOSPITALS IN THE AREA, THAT PROVIDES OBSTETRICAL SERVICES. THE NEXT CLOSEST OB UNIT WOULD REQUIRE A MINIMUM DRIVE TIME OF 30-40 MINUTES. THE HOSPITAL PROVIDES INFANT DELIVERY SERVICES FOR PATIENTS SPANNING AN 80 MILE RADIUS. GREENVILLE REGIONAL HOSPITAL IS THE LARGEST EMPLOYER IN BOND COUNTY WITH APPROXIMATELY 475 FULL- AND PART-TIME STAFF MEMBERS. THE FACILITY'S ANNUAL PAYROLL IS OVER $16.4 MILLION WITHOUT BENEFITS AND $20.5 MILLION WITH BENEFITS. THE HOSPITAL'S ECONOMIC IMPACT EXCEEDS $74 MILLION. | |
| PART VI, LINE 5: GREENVILLE REGIONAL HOSPITAL, AND ITS AFFILIATED DIVISIONS, EXISTS ONLY TO PROVIDE HEALTH CARE SERVICES FOR RESIDENTS OF THE AREA. IN 2011, THE HOSPITAL'S COMMUNITY BENEFIT TOTAL WAS DETERMINED TO BE APPROXIMATELY $6.3 MILLION. THE HOSPITAL IS INTENTIONALLY STRUCTURED AS A NOT-FOR-PROFIT ORGANIZATION IN THAT ITS ONLY PURPOSE IS TO SERVE OTHERS. NO SINGLE INDIVIDUAL OR GROUP OF INVESTORS PROFITS FROM THE ACTIVITIES OF THE HOSPITAL. AS IS EVIDENT BY THE FINANCIAL LOSSES REPORTED IN THIS DOCUMENT, THE HOSPITAL BOARD OF DIRECTORS IS COMMITTED TO SERVING THE HEALTH CARE NEEDS OF THE REGION. MEDICAL SERVICES CRITICAL TO THE HEALTH AND WELL-BEING OF THOSE SERVED BY THE HOSPITAL ARE PROVIDED EVEN THOUGH THE REVENUES GENERATED MAY NOT COVER THE OPERATIONAL COSTS. THE HOSPITAL'S "NOT-FOR-PROFIT" STATUS IS VITAL TO THE ORGANIZATION'S EXISTENCE. GREENVILLE REGIONAL ADHERES TO A "NON-DISCRIMINATION TREATMENT POLICY". REGARDLESS OF A PATIENT'S FINANCIAL OR HEALTH INSURANCE STATUS, CARE IS PROVIDED. NO PATIENT IS REFUSED TREATMENT BASED UPON THEIR ABILITY TO PAY. GREENVILLE REGIONAL HOSPITAL FUNDS ITS OWN "HEALTH CARE ASSISTANCE PROGRAM". IN 2011, $534,140 IN CHARITY ASSISTANCE (AT COST) WAS PROVIDED TO PATIENTS WHO QUALIFIED FOR BILLING REDUCTIONS UP TO 100 PERCENT. INCOME GUIDELINES AND FAMILY SIZE ARE USED TO DETERMINE ELIGIBILITY FOR THIS SELF-FUNDED PROGRAM. A COMMITTEE MAKES THE FINAL DETERMINATION OF ELIGIBILITY. THE HOSPITAL-OWNED, OBSTETRICS/GYNECOLOGY (OB/GYN) PROVIDER PRACTICE LOST $436,000 IN 2011. THE PRACTICE CONSISTS OF TWO OB/GYN SPECIALISTS AND TWO MIDWIVES. OBSTETRICAL PATIENTS FROM A WIDE GEOGRAPHICAL RADIUS USE THE GREENVILLE REGIONAL OBSTETRICAL DEPARTMENT. GREENVILLE REGIONAL IS ONE OF ONLY TWO HOSPITALS IN THE IMMEDIATE AREA THAT PROVIDE INFANT DELIVERY SERVICES. AN ANNUAL LOSS ASSOCIATED WITH PROVIDING INFANT DELIVERIES HAS BECOME AN EXPECTED PRACTICE. THE HOSPITAL'S BOARD OF DIRECTORS HAS ACCEPTED THE LOSS AS A RESULT OF THE PAYER MIX AND THE LACK OF OBSTETRICAL SERVICES WITHIN THE AREA. SEVEN OF EVERY TEN BIRTHS AT THE HOSPITAL ARE OF MEDICAID STATUS. THE STATE OF ILLINOIS MEDICAID PROGRAM DOES NOT MEET THE COST OF PROVIDING CARE. THE MEDICAID PAYMENT CYCLE RANGES FROM SEVEN TO EIGHT MONTHS, CREATING A CASH FLOW CRISIS. THE "LOW AND SLOW" CHALLENGE HAS BEEN A PROBLEM IN ILLINOIS FOR OVER 30 YEARS. THE BOARD OF DIRECTORS BELIEVES THAT THE AVAILABILITY OF INFANT DELIVERY SERVICES IS VITALLY IMPORTANT FOR THE HEALTH AND WELL BEING OF THE MULTI-COUNTY AREA SERVED BY THE HOSPITAL. GREENVILLE REGIONAL PROVIDES OUTPATIENT PSYCHIATRIC AND MENTAL HEALTH SERVICES, INCLUDING COUNSELING. THESE SERVICES ARE HIGHLY UTILIZED AS A RESULT OF NEED AND LIMITED AVAILABILITY WITHIN THE REGION. THE HOSPITAL-OWNED FAMILY, OB/GYN, PSYCHIATRIC, SPORTS MEDICINE, ONCOLOGY, PULMONOLOGY, AND SURGERY PRACTICES EXPERIENCED A LOSS OF $1.5M IN 2011. DURING THE 2011 FISCAL YEAR, THE OPERATIONAL LOSS AT FAIR OAKS NURSING HOME WAS $537K. THE BOARD OF DIRECTORS HAS COMMITTED TO THE EXISTENCE OF FAIR OAKS, EVEN THOUGH THE FACILITY OPERATES AT A LOSS OF APPROXIMATELY $1,471 PER DAY. THE RESIDENT PAYER MIX IS A SIGNIFICANT CAUSE OF THE LOSS. APPROXIMATELY 50 TO 60 PERCENT OF THE RESIDENTS ARE COVERED BY THE MEDICAID PROGRAM. THE ILLINOIS MEDICAID LONG-TERM CARE REIMBURSEMENT RATE RANKS 49TH LOWEST IN THE NATION. FAIR OAKS IS ONE OF ONLY TWO NURSING HOMES LOCATED IN BOND COUNTY. IF THE FAIR OAKS BEDS WERE NOT AVAILABLE, THE REMAINING FACILITY WOULD NOT BE ABLE TO ABSORB THE DISPLACED RESIDENTS. FAIR OAKS IS "HOME" FOR THE FACILITY'S APPROXIMATELY 65 RESIDENTS. THE BOARD OF DIRECTORS VIEWS THE NEED FOR THE FAIR OAKS SERVICES AS AN IMPORTANT PART OF THE ORGANIZATION'S MISSION. BOND COUNTY EMERGENCY MEDICAL SERVICES IS OPERATED BY THE HOSPITAL AND REPRESENTS A UNIQUE PRIVATE - PUBLIC PARTNERSHIP. GREENVILLE REGIONAL HOSPITAL IS A "COMMUNITY RESOURCE" THAT IMPROVES THE HEALTH AND QUALITY OF LIFE FOR THOSE RESIDING IN THE AREA. IN ADDITION TO THE AVAILABILITY OF EMERGENCY, DIAGNOSTIC, TREATMENT, AND REHABILITATION SERVICES, GREENVILLE REGIONAL HOSPITAL OFFERS MONTHLY SUPPORT MEETINGS AT NO CHARGE TO THE PARTICIPANTS. SUPPORT GROUPS ARE OFFERED ON THE TOPICS OF DEMENTIA, DIABETES, PARKINSON'S DISEASE, CHILDBIRTH EDUCATION, AND CANCER. DURING THE YEAR, THE HOSPITAL SPONSORS A STROKE SCREENING CLINIC, BREAST CANCER AWARENESS PROGRAM, DIABETES PROGRAM, AND A LOOK GOOD / FEEL BETTER PROGRAM FOR WOMEN AFFLICTED BY CANCER. A "WOMEN'S WELLNESS" PROGRAM IS HELD EACH YEAR. NO-COST LANGUAGE TRANSLATION IS PROVIDED FOR PATIENTS IN NEED OF THIS SERVICE. THE HOSPITAL OWNS MEDICAL CLINICS IN THREE, NEIGHBORING, SMALL COMMUNITIES. THESE MEDICAL OFFICES SAVE TIME AND COSTS FOR MANY WHO WOULD HAVE TO DRIVE GREATER DISTANCES TO RECEIVE PRIMARY CARE. ACCESS TO A PHYSICIAN IS MADE POSSIBLE BECAUSE OF THE CLINIC BUILDINGS OWNED BY THE HOSPITAL. THE FACILITIES ARE CERTIFIED RURAL HEALTH CLINICS. MID - LEVEL PRACTITIONERS AND PHYSICIANS STAFF THE OUTREACH FACILITIES. FOR THE PAST 30 YEARS, GREENVILLE REGIONAL HOSPITAL HAS SPONSORED A MULTI-FACETED HEALTH FAIR. THE EVENT IS ONE OF THE LARGEST HEALTH FAIRS IN THE ST. LOUIS METROPOLITAN AREA. THE EVENT FEATURES 14 FREE HEALTH TESTS, FOUR, LOW-COST COMPREHENSIVE BLOOD TESTS, AND PARTICIPATION BY OVER 40 NATIONAL, STATE, AND LOCAL ORGANIZATIONS. THE OPPORTUNITY COST INCURRED BY GREENVILLE REGIONAL HOSPITAL FOR OFFERING THESE DISCOUNTED SERVICES WAS $1,377,512. THE ORGANIZATION CONSIDERS THE OPPORTUNITY COST AS THE REDUCTION IN REVENUE THAT WOULD HAVE BEEN RECEIVED HAD THE HEALTH FAIR TESTING BEEN PROVIDED AT TYPICAL RETAIL PRICING. IN 2011, APPROXIMATELY 3,800 BLOOD TESTS WERE PERFORMED IN CONJUNCTION WITH THE HEALTH FAIR. THE PARTICIPANTS RECEIVE THE DIRECT COMMUNITY BENEFIT OF THE FREE AND REDUCED PRICE TESTING OFFERED BY THE HOSPITAL. PARTICIPANTS COULD CHOOSE FROM A COMPREHENSIVE BLOOD TEST, PROSTATE SPECIFIC ANTIGEN BLOOD TEST (PSA), HEMOGLOBIN A1-C, VITAMIN D BLOOD TEST, OR A COMBINATION OF THE FOUR BLOOD TESTS. MORE THAN 250 VOLUNTEERS ASSIST WITH THE EVENT. IN ADDITION TO THE SERVICES PROVIDED ON THE DAY OF THE HEALTH FAIR, THE HOSPITAL ALSO PERFORMS THE LOW-COST BLOOD TESTS AT 12 OFF-SITE LOCATIONS FOR THE EMPLOYEES OF AREA SCHOOLS, BUSINESSES, AND MANUFACTURERS. EMPLOYEES FROM SMALLER ENTERPRISES ARE INVITED TO PARTICIPATE IN A "BUSINESS EXPRESS" BLOOD TESTING DAY HELD AT THE HOSPITAL. ON THREE DISTINCT DAYS, GREENVILLE REGIONAL IS THE SITE FOR EMPLOYEES OF LOCAL BANKS, HOSPITAL STAFF MEMBERS, AND HEALTH FAIR VOLUNTEERS WHO HAVE A DESIRE TO RECEIVE THE LOW-COST BLOOD TESTS. THESE ADDED FEATURES, OFFERED FOR THE CONVENIENCE OF THE COMMUNITY, INCREASE ACCESS TO THE BENEFITS PROVIDED BY THE HEALTH FAIR. THROUGH THE YEARS, A NUMBER OF LIFE-THREATENING AND SERIOUS MEDICAL CONDITIONS HAVE BEEN DISCOVERED BY TESTING PERFORMED IN ASSOCIATION WITH THE EVENT. THE $797,310 VIOLA THOMPSON SCHOLARSHIP FUND, ADMINISTERED BY GREENVILLE REGIONAL HOSPITAL, PROVIDES TUITION ASSISTANCE FOR INDIVIDUALS PURSUING A HEALTH OR MEDICAL CAREER. IN 2011, SCHOLARSHIPS TOTALING $28,200 WERE AWARDED. NURSING STUDENTS, MEDICAL STUDENTS, PHYSICIAN RESIDENTS, AND GREENVILLE COLLEGE PSYCHOLOGY STUDENTS UTILIZE THE HOSPITAL AND SENIOR CARE FACILITIES FOR TRAINING AND LEARNING OPPORTUNITIES. THE HOSPITAL IS OFFERED AS A TRAINING SITE AT NO COST TO THE STUDENTS. THE HOSPITAL IS ALSO THE SITE OF REGULARLY SCHEDULED BLOOD COLLECTION DRIVES. THE SHRINERS CONDUCT AN ANNUAL, FREE, ORTHOPEDIC SCREENING CLINIC FOR CHILDREN. THESE ORGANIZATIONS ARE NOT CHARGED FOR USE OF THE HOSPITAL. THE LEMUAL RHODES CANCER FUND BOARD OF DIRECTORS MEETS AT THE HOSPITAL AND AWARDS FUNDING TO PATIENTS UNDERGOING TREATMENT FOR CANCER. EXERCISE CLASSES, RETIRED TEACHERS, COMMUNITY CLUBS, AND ORGANIZATIONS MEET AT THE HOSPITAL. NO FUNDS ARE PAID FOR USE OF THE FACILITY. TWO SCOREBOARDS LOCATED AT THE LOCAL HIGH SCHOOL ARE CO - SPONSORED BY THE HOSPITAL. GREENVILLE REGIONAL HOSPITAL SUPPORTS VARIOUS COMMUNITY ORGANIZATIONS AND ACTIVITIES THAT PROMOTE HEALTHY LIFESTYLES AND WORK TO IMPROVE QUALITY OF LIFE ISSUES.GREENVILLE REGIONAL HOSPITAL HAS A STRONG AND VIBRANT RELATIONSHIP WITH A NUMBER OF PUBLIC, PRIVATE, AND MEDICAL PROVIDERS WHO PARTNER WITH THE ORGANIZATION DURING THE YEAR. THE COOPERATING AGENCIES ASSIST WITH BOTH ON - GOING, AS WELL AS SPECIAL, PROJECTS. THE HOSPITAL PARTNERS WITH COUNTY GOVERNMENT TO OPERATE BOND COUNTY EMERGENCY MEDICAL SERVICES. THE BOND COUNTY HEALTH DEPARTMENT AND UNIVERSITY OF ILLINOIS COOPERATIVE EXTENSION JOIN WITH THE HOSPITAL IN SPONSORING THE ANNUAL "WOMEN'S WELLNESS" PROGRAM. THE HOSPITAL PARTNERS WITH THE BOND COUNTY HEALTH DEPARTMENT IN CONDUCTING THE "STROKE PREVENTION CLINIC" OFFERED IN MAY. THE AMERICAN CANCER SOCIETY SUPPORTS THE LOOK GOOD / FEEL BETTER PROGRAM SPONSORED BY THE HOSPITAL. GREENVILLE COLLEGE AND THE BOND COUNTY COMMUNITY UNIT TWO SCHOOL DISTRICT PARTNER | |
| PART VI, LINE 6: THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UTLAUT MEMORIAL FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HEALTH CARE DRIVE | AddressLine1 |
| City | GREENVILLE | City |
| State | IL | State |
| ZIP Code | 62246 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 371140166 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 310000 | AmountOfCashGrant |
| Purpose Of Grant | HOSPITAL / AUXILIARY ACTIVITY | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | SCHEDULE I, PART I, LINE 2 GRANTS ARE GIVEN FROM THE HOSPITAL / AUXILIARY TO THE FOUNDATION. OUR GENERAL LEDGER PROGRAM MONITORS THESE TRANSACTIONS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 (8 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 FUNNEMAN | |||||||||||||
| 192266 | 0 | 0 | 0 | 1002 | 0 | 0 | 0 | 3735 | 0 | 197003 | 0 | 0 | 0 |
| BILLY BRUCE | |||||||||||||
| 195562 | 0 | 0 | 0 | 73035 | 0 | 0 | 0 | 18958 | 0 | 287555 | 0 | 0 | 0 |
| SHERRY KOEHLER | |||||||||||||
| 155527 | 0 | 0 | 0 | 9585 | 0 | 0 | 0 | 1261 | 0 | 166373 | 0 | 0 | 0 |
| DR DAWN MCDAID | |||||||||||||
| 321265 | 0 | 0 | 0 | 495 | 0 | 0 | 0 | 3735 | 0 | 325495 | 0 | 0 | 0 |
| DR OME NWANZE | |||||||||||||
| 223545 | 0 | 0 | 0 | 558 | 0 | 0 | 0 | 4918 | 0 | 229021 | 0 | 0 | 0 |
| DR RAYMOND RYAN | |||||||||||||
| 298783 | 0 | 0 | 0 | 1345 | 0 | 0 | 0 | 1417 | 0 | 301545 | 0 | 0 | 0 |
| DR ANNE BORWICK | |||||||||||||
| 221101 | 0 | 0 | 0 | 820 | 0 | 0 | 0 | 3735 | 0 | 225656 | 0 | 0 | 0 |
| DR CHRISTINA DOTHAGER | |||||||||||||
| 263506 | 0 | 0 | 0 | 205 | 0 | 0 | 0 | 304 | 0 | 264015 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 1A | ReturnReference |
| Explanation | THE HOSPITAL PROVIDES COUNTRY CLUB MEMBERSHIP DUES AND A DISCRETIONARY SPENDING ACCOUNT IN THE AMOUNT OF $300 PER MONTH TO THE CEO. THIS MEMBERSHIP AND SPENDING ACCOUNT IS USED IN BUSINESS MATTERS FOR THE HOSPITAL. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CITY OF GREENVILLE | |||||||
| 376000403 | 396097AV0 | 2003-04-01 | 12000000 | ADDITION TO BUILDING | 1 | 0 | 0 |
| CITY OF GREENVILLE | |||||||
| 376000403 | 2011-10-20 | 10000000 | REFUND A PRIOR ISSUE (04/01/03) CONSTRUCTION/ REMODEL PROJECTS AND EQUIPMENT | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 510000 | 8420000 | 12000000 | 357086 | 11642914 | 2004 | 0 | 0 | 1 | 1 | |||
| 2642 | 10000000 | 110681 | 2013 | 1 | 0 | 0 | 1 | 952249 | 7119136 | 1817934 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 1 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | GREENVILLE REGIONAL HOSPITAL, INC. PURCHASED THE ASSETS OF A PRIVATE PHYSICIAN PRACTICE: MCCRACKEN, DAWDY, HALL FAMILY PRACTICE CENTER. THE PHYSICIAN OFFICE NOW OPERATES ENTIRELY UNDER THE HOSPITAL'S TAX ID. |
| FORM 990, PART VI, SECTION B, LINE 11 | REVIEWED BY KEY EMPLOYEES (CFO, CEO, CNO) AND DISTRIBUTED TO THE BOARD OF DIRECTORS VIA EMAIL BEFORE FINAL SUBMISSION. AMPLE TIME IS ALLOWED FOR BOARD MEMBERS TO REVIEW THE 990 AND SUGGEST ANY CHANGES PRIOR TO FINAL SUBMISSION. | |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR, THE BOARD OF DIRECTORS AND ANY KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND MEMBERS OF MANAGEMENT COMPLETE A RELATIONSHIP/CONFLICT OF INTEREST QUESTIONAIRE. ANY CONFLICTS THAT ARISE ARE DEALT WITH ACCORDINGLY BY THE ORGANIZATION'S OFFICERS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE OF THE BOARD AND THE HOSPITAL'S HUMAN RESOURCES' COLLABORATE AND MAKE A FINAL DETERMINATION BY REVIEWING COMPARABLE SALARIES OF THE REGION. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GREENVILLE REGIONAL HOSPITAL MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST, BUT ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET TRANSFERS BETWEEN AFFILIATE 336,278. TOTAL TO FORM 990, PART XI, LINE 5: 336,278. |
| SELECTION OF AUDITORS AND OVERSIGHT OF AUDIT | FORM 990, PAGE 12, PART XII, LINE 2C | THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT OVERSEES THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. |
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 | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| GREENVILLE REGIONAL HEALTHCARE INC | ||||||||||
| 200 HEALTHCARE DRIVE | GREENVILLE | IL | 62246 | 371139987 | HEALTHCARE | IL | 501(C)(3) | LINE 11B, II | N/A | 0 |
| UTLAUT MEMORIAL FOUNDATION INC | ||||||||||
| 200 HEALTHCARE DRIVE | GREENVILLE | IL | 62246 | 371140166 | FUNDRAISING | IL | 501(C)(3) | LINE 11B, II | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | 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 | 1 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | 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 | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| GREENVILLE REGIONAL HEALTHCARE INC | |
| C | 130465 |
| UTLAUT MEMORIAL FOUNDATION INC | |
| C | 97210 |
| UTLAUT MEMORIAL FOUNDATION INC | |
| B | 310000 |