IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME (EIN 37-0673512)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-12
- IRS object ID
- 201102289349301460
- Schema version
- 2009v1.7
- 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 | 2011-08-12T15:27:35-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 N BROADWAY SUITE 600 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 631022733 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370673512 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Iroquois Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | IROQ | NameControl |
| Phone | 8154325841 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E Fairman Avenue | AddressLine1 |
| City | Watseka | City |
| State | IL | State |
| ZIP Code | 609701644 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Joseph Swab | Name |
| Title | CFO | Title |
| Date Signed | 2011-08-11 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Troy A Lindsey | Name |
| Phone | 3142315544 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | 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 | & Resident Home | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GREGORY JOHNSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E FAIRMAN AVENUE | AddressLine1 |
| City | WATSEKA | City |
| State | IL | State |
| ZIP Code | 609701644 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 36425448 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.iroquoismemorial.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1914 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES FOR THE REGION IN A CONVENIENT CARING ENVIRONMENT. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 627 | TotalNbrEmployees |
| Total Nbr Volunteers | 206 | TotalNbrVolunteers |
| Total Gross UBI | 5482 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 590875 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 557926 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 36549602 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 35357120 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 219969 | InvestmentIncomePriorYear |
| Investment Income Current Year | 162473 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1289010 | OtherRevenuePriorYear |
| Other Revenue Current Year | 295957 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 38649456 | TotalRevenuePriorYear |
| Total Revenue Current Year | 36373476 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 16595 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 21549 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 20442916 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 18515977 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 217945 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 19324615 | OtherExpensePriorYear |
| Other Expenses Current Year | 19840433 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 39784126 | TotalExpensesPriorYear |
| Total Expenses Current Year | 38377959 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1134670 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2004483 | RevenuesLessExpensesCY |
| Total Assets BOY | 33715040 | TotalAssetsBOY |
| Total Assets EOY | 30906102 | TotalAssetsEOY |
| Total Liabilities BOY | 11929337 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 11171811 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 21785703 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 19734291 | NetAssetsOrFundBalancesEOY |
| Mission Description | IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES FOR THE REGION IN A CONVENIENT CARING ENVIRONMENT. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 31251615 | Expense |
| Grants | 21549 | Grants |
| Revenue | 35363720 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 31251615 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 93 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 627 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LORI YELENICK | NamePerson |
| Telephone Number | 8154327929 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E FAIRMAN AVENUE | AddressLine1 |
| City | WATSEKA | City |
| State | IL | State |
| ZIP Code | 609701644 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JOCK BRADEN | |||||||
| DIRECTOR | 4.0 | X | 0 | 0 | 0 | ||
| WILLIAM MCCARTHY MD | |||||||
| DIRECTOR | 4.0 | X | 0 | 0 | 0 | ||
| ED GOODING | |||||||
| DIRECTOR | 4.0 | X | 0 | 0 | 0 | ||
| ROGER BALL | |||||||
| DIRECTOR | 4.0 | X | 0 | 0 | 0 | ||
| PHILLIP ZUMWALT MD | |||||||
| DIRECTOR | 4.0 | X | 48605 | 0 | 0 | ||
| DENNIS WITTENBORN | |||||||
| DIRECTOR & CHAIRMAN OF BOARD | 30.0 | X | 0 | 0 | 0 | X | |
| MAGGIE MARTIN | |||||||
| DIRECTOR & SECRETARY OF BOARD | 4.0 | X | 0 | 0 | 0 | X | |
| JOHN FREDRICKSON | |||||||
| DIRECTOR | 4.0 | X | 0 | 0 | 0 | ||
| STEVE KNAPP | |||||||
| DIRECTOR & VICE-CHAIRMAN | 4.0 | X | 0 | 0 | 0 | X | |
| CYNTHIA SUMNER | |||||||
| DIRECTOR & TREASURER OF BOARD | 4.0 | X | 0 | 0 | 0 | X | |
| DAN TINCHER | |||||||
| DIRECTOR | 4.0 | X | 0 | 0 | 0 | ||
| STEVEN O LEURCK | |||||||
| PRESIDENT & CEO | 40.0 | 212554 | 0 | 17780 | X | ||
| THOMAS R PARISH | |||||||
| VP FINANCE & CFO | 40.0 | 96023 | 0 | 12023 | X | ||
| WESLEY OSWALD | |||||||
| INTERIM CEO | 40.0 | 0 | 0 | 0 | X | ||
| MICHAEL BARGER | |||||||
| INTERIM CFO | 40.0 | 0 | 0 | 0 | X | ||
| THOMAS MCGEE | |||||||
| INTERIM CFO | 40.0 | 0 | 0 | 0 | X | ||
| STEVEN H PACKARD | |||||||
| PHYSICIAN | 40.0 | 488873 | 0 | 7472 | X | ||
| GONZALO T FLORIDO | |||||||
| PHYSICIAN | 40.0 | 192621 | 0 | 17506 | X | ||
| CHRISTANO M REYES | |||||||
| PHYSICIAN | 40.0 | 189598 | 0 | 5244 | X | ||
| REBECCA C SALVANI | |||||||
| PHYSICIAN | 40.0 | 176149 | 0 | 6840 | X | ||
| WILLIAM G NUSSBAUM | |||||||
| PHARMACIST | 40.0 | 143771 | 0 | 9978 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1548194 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 76843 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | true | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| QHR | |||||
| 105 CONTINENTAL PL | BRENTWOOD | TN | 370271018 | MANAGEMENT SERVICES | 568383 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | PHYSICIAN SERVICES | 1147610 |
| IROQUOIS EMERGENCY MEDICINE SPECIAL | |||||
| 150 QUAIL RIDGE DRIVE | WESTMONT | IL | 605596148 | PHYSICIAN SERVICES | 448750 |
| CPSI | |||||
| 6600 WALL STREET | MOBILE | AL | 366850309 | COMPUTER SERVICES | 394313 |
| JJ DEVELOPMENT CO INC | |||||
| PO BOX 461 | WATSEKA | IL | 60970 | GENERAL CONTRACTOR | 344442 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 19 | NumberOfContractorsGT100K |
| Fundraising Events | 64007 | FundraisingEvents |
| Government Grants | 44183 | GovernmentGrants |
| All Other Contributions | 449736 | AllOtherContributions |
| Noncash Contributions | 248 | NoncashContributions |
| Total Contributions | 557926 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROGRAM SERVICE REVENUE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 35357120 | TotalRevenueColumn |
| Related Or Exempt Function Income | 35357120 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 35357120 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 165270 | TotalRevenueColumn |
| Unrelated Business Revenue | 5482 | UnrelatedBusinessRevenue |
| Exclusion | $159,788 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 44824 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 44824 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44824 | TotalRevenueColumn |
| Exclusion | $44,824 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 9000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 11797 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -2797 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2797 | TotalRevenueColumn |
| Exclusion | -$2,797 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 44901 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 64007 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 29464 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15437 | TotalRevenueColumn |
| Exclusion | $15,437 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 12907 | GrossSalesOfInventory |
| Cost Of Goods Sold | 10711 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2196 | TotalRevenueColumn |
| Exclusion | $2,196 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA | 722210 | 149271 | $149,271 |
| OUTSIDE SRVCS | 541900 | 44410 | $44,410 |
| INDUSTRIAL HEALTH | 623990 | 13844 | $13,844 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25975 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6600 | RelatedOrExemptFunctionIncome |
| Exclusion | $19,375 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 233500 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36373476 | TotalRevenueColumn |
| Related Or Exempt Function Income | 35363720 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 5482 | UnrelatedBusinessRevenue |
| Exclusion | $446,348 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11874 | Total |
| Program Services | 11874 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9675 | Total |
| Program Services | 9675 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 386985 | Total |
| Program Services | 48605 | ProgramServices |
| Management And General | 338380 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15431925 | Total |
| Program Services | 12452020 | ProgramServices |
| Management And General | 2884227 | ManagementAndGeneral |
| Fundraising | 95678 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55898 | Total |
| Program Services | 45104 | ProgramServices |
| Management And General | 10447 | ManagementAndGeneral |
| Fundraising | 347 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1410750 | Total |
| Program Services | 1138334 | ProgramServices |
| Management And General | 263669 | ManagementAndGeneral |
| Fundraising | 8747 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1230419 | Total |
| Program Services | 992825 | ProgramServices |
| Management And General | 229965 | ManagementAndGeneral |
| Fundraising | 7629 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 519039 | Total |
| Program Services | 418813 | ProgramServices |
| Management And General | 97008 | ManagementAndGeneral |
| Fundraising | 3218 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 231423 | Total |
| Program Services | 186735 | ProgramServices |
| Management And General | 43253 | ManagementAndGeneral |
| Fundraising | 1435 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75000 | Total |
| Program Services | 60518 | ProgramServices |
| Management And General | 14018 | ManagementAndGeneral |
| Fundraising | 464 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3860714 | Total |
| Program Services | 3115210 | ProgramServices |
| Management And General | 721568 | ManagementAndGeneral |
| Fundraising | 23936 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 269524 | Total |
| Program Services | 217479 | ProgramServices |
| Management And General | 50374 | ManagementAndGeneral |
| Fundraising | 1671 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6574889 | Total |
| Program Services | 5305278 | ProgramServices |
| Management And General | 1228847 | ManagementAndGeneral |
| Fundraising | 40764 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 238722 | Total |
| Program Services | 192625 | ProgramServices |
| Management And General | 44617 | ManagementAndGeneral |
| Fundraising | 1480 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1452227 | Total |
| Program Services | 1171802 | ProgramServices |
| Management And General | 271421 | ManagementAndGeneral |
| Fundraising | 9004 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82300 | Total |
| Program Services | 66408 | ProgramServices |
| Management And General | 15382 | ManagementAndGeneral |
| Fundraising | 510 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 122419 | Total |
| Program Services | 98780 | ProgramServices |
| Management And General | 22880 | ManagementAndGeneral |
| Fundraising | 759 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1942728 | Total |
| Program Services | 1567587 | ProgramServices |
| Management And General | 363096 | ManagementAndGeneral |
| Fundraising | 12045 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 534383 | Total |
| Program Services | 431194 | ProgramServices |
| Management And General | 99876 | ManagementAndGeneral |
| Fundraising | 3313 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| AGENCY SERVICES | 975720 | 787309 | 182362 | 6049 |
| BAD DEBTS | 2142479 | 2142479 | ||
| RECRUITING | 144508 | 116603 | 27009 | 896 |
| IDPA PROVIDER TAX | 674358 | 674358 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38377959 | Total |
| Program Services | 31251615 | ProgramServices |
| Management And General | 6908399 | ManagementAndGeneral |
| Fundraising | 217945 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20416 | BOY |
| EOY | 16494 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5736151 | BOY |
| EOY | 4205566 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4382311 | BOY |
| EOY | 4227573 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 405396 | BOY |
| EOY | 595642 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 394662 | BOY |
| EOY | 740334 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 36533672 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 22192607 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15547951 | BOY |
| EOY | 14341065 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49974 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7178179 | BOY |
| EOY | 6779428 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33715040 | BOY |
| EOY | 30906102 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4431449 | BOY |
| EOY | 4413120 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5445000 | BOY |
| EOY | 5160000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1487215 | BOY |
| EOY | 1043914 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 565673 | BOY |
| EOY | 554777 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11929337 | BOY |
| EOY | 11171811 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16046296 | BOY |
| EOY | 14032635 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5739407 | BOY |
| EOY | 5701656 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21785703 | BOY |
| EOY | 19734291 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33715040 | BOY |
| EOY | 30906102 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $13,580 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 13580 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9467641 | BeginningOfYearBalance |
| Contributions | 876492 | Contributions |
| Investment Earnings Or Losses | 99741 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 2459512 | OtherExpenditures |
| Administrative Expenses | 51 | AdministrativeExpenses |
| End Of Year Balance | 7984311 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9472567 | BeginningOfYearBalance |
| Contributions | 790769 | Contributions |
| Investment Earnings Or Losses | 248121 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 1043816 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 9467641 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.28590 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.70780 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00630 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 249035 | OtherCostOrOtherBasis |
| Book Value | 249035 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 22766827 | OtherCostOrOtherBasis |
| Depreciation | 11766126 | Depreciation |
| Book Value | 11000701 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 477850 | OtherCostOrOtherBasis |
| Depreciation | 380560 | Depreciation |
| Book Value | 97290 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12923765 | OtherCostOrOtherBasis |
| Depreciation | 10045921 | Depreciation |
| Book Value | 2877844 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 116195 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 116195 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 14341065 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER ASSETS | 894836 |
| BOND ISSUE COST | 112869 |
| DUE FROM THIRD PARTY | 120067 |
| BENEFICIAL INTEREST IN TRUST | 5651656 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6779428 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO THIRD PARTY | Description |
| Amount | $554,777 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 554777 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| INTENDED USE OF ORGANIZATION'S ENDOWMENT FUNDS | SCHEDULE D, PART V | TO SUPPORT THE ONGOING OPERATIONAL AND CAPITAL NEEDS OF THE ORGANIZATION IN MEETING THE COMMUNITY NEEDS AND SERVICES. |
| FIN 48 FOOTNOTE | PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | SHINDIG | NameOfEvent1 |
| Gross Receipts Event1 | 55165 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 43200 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 11965 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 4945 | FoodAndBeverageEvent1 |
| Name Of Event2 | GOLF OUTING | NameOfEvent2 |
| Gross Receipts Event2 | 34300 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 20807 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 13493 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 396 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 4102 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 3121 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 1385 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 5065 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 5065 | GrossRevenueOtherEvents |
| Gross Receipts Total | 94530 | GrossReceiptsTotal |
| Charitable Contributions Total | 64007 | CharitableContributionsTotal |
| Gross Revenue Total Events | 30523 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 396 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 4102 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 8066 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 1385 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 13949 | DirectExpenseSummaryEvents |
| Net Income Summary | 16574 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 979889 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 979889 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02550 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5828188 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5261764 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 566424 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01480 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6808077 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5261764 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1546313 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04030 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 110197 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 18385 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 91812 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14443 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2121 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12322 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4170115 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3424966 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 745149 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01940 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14880 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14880 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4309635 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3445472 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 864163 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02250 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11117712 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8707236 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2410476 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06280 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2274 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2274 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 161306 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 161306 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 163580 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 163580 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,164,866 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 16642270 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 20004894 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3362624 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (8 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| IROQUOIS MEMORIAL HOSPITAL | |||||||
| 200 E FAIRMAN AVE | WATSEKA | IL | 60970 | X | X | X | SKILLED NURSING FACILITY |
| IROQUOIS REGIONAL HEALTH CENTER | |||||||
| 200 LAIRD LANE | WATSEKA | IL | 60970 | REHAB SERVICES, HOME HEALTH, HOSPICE | |||
| IROQUOIS HOME CARE INC | |||||||
| 200 LAIRD LANE | WATSEKA | IL | 60970 | DURABLE MEDICAL EQUIPMENT | |||
| KENTLAND CLINIC | |||||||
| 303 N SEVENTH ST | KENTLAND | IN | 47951 | PHYSICIAN OFFICE | |||
| GILMAN CLINIC | |||||||
| 508 E CRESCENT ST | GILMAN | IL | 60938 | PHYSICIAN OFFICE | |||
| MILFORD CLINIC | |||||||
| 207 N AXTEL AVE | MILFORD | IL | 60953 | PHYSICIAN OFFICE | |||
| IROQUOIS ORTHOPEDICS & HAND SURGERY | |||||||
| 200 FAIRMAN AVE | WATSEKA | IL | 60970 | PHYSICIAN OFFICE | |||
| MULTI-SPECIALTY CLINIC | |||||||
| 200 LAIRD LANE | WATSEKA | IL | 60970 | PHYSICIAN OFFICE | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | THE COSTS REPORTED IN THE TABLE IN PART I, LINE 7 ARE COMPUTED USING THE COST ACCOUNTING APPROACH, WHICH INCLUDES TAKING CHARITY CARE, UNREIMBURSED MEDICAID AND OTHER COMMUNITY BENEFITS AT COST. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS. | CostingMethodUsed |
| Subsidized Health Services Expln | THE ORGANIZATION INCLUDED COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC IN ITS SUBSIDISED HEALTH SERVICES. THE AMOUNT INCLUDED IN PART I LINE 7G (E) IS $247,812 | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $2,142,479 REPORTED ON PART IX, LINE 25 OF THE FORM 990; HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS PART I, LINE 7, COLUMN F. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 4A. FOOTNOTE TO AUDITED FINANCIAL STATEMENTS - BAD DEBT EXPENSE THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. 4B. DESCRIPTION OF COSTING METHODOLOGY USED THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINE 2 WAS RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM INSTRUCTIONS. | BadDebtFootnote |
| Shortfall As Community Benefit | THE ORGANIZATION SUBSIDIES THE MEDICARE PROGRAM SHORTFALL. THE ORGANIZATION USED THE TOTAL HOSPITAL COST TO CHARGE RATIO X MEDICARE REVENUE. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | QUALIFICATIONS ARE BASED ON POVERTY GUIDELINES PUBLISHED. NO COLLECTION EFFORTS FOR QUALIFYING PATIENTS. PATIENTS WHO DO NOT QUALIFY RECEIVE AT LEAST 3 STATEMENTS AND GENERALLY ARE TURNED TO COLLECTIONS IF NO PAYMENTS ARE RECEIVED. | DebtCollectionPolicy |
| Needs Assessment | THE ORGANIZATION HIRED A CONSULTANT TO ASSESS THE HEALTH CARE NEED OF THE COMMUNITIES IT SERVES. THE CONSULTANT RECENTLY COMPLETED COMMUNITY AND PHYSICIAN FEEDBACK SESSION. | NeedsAssessment |
| Patient Education Assistance | INFORMATION REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS DISTRIBUTED AT TIME OF THE PATIENT ADMISSION. THE ORGANIZATION ALSO PUT SIGNAGE IN THE ADMISSIONS AREA. | PatientEducationAssistance |
| Community Information | THE COMMUNITY IS RURAL, WITH OVERALL LOW INCOME LEVELS AND HIGH LEVELS OF UNINSURED PATIENTS. MANY PATIENTS WOULD HAVE PROBLEMS WITH ACCESS TO CARE WITHOUT THE ORGANIZATION SUBSIDIZED PHYSICIAN CLINICS AND OTHER SERVICES. | CommunityInformation |
| Community Building Activities | IN ORDER TO PROMOTE THE WELL-BEING OF THE COMMUNITIES IT SERVES, THE ORGANIZATION ALLOWS VARIOUS COMMUNITY ORGANIZATIONS TO USE ITS FACILITIES AT NO COST. | CommunityBuildingActivities |
| Other Information | THE ORGANIZATION PROVIDES AN OPEN MEDICAL STAFF TO PROMOTE ACCESS TO CARE FOR THE COMMUNITY. OUR COMMUNITY BOARD SUPPORTS PROVIDING LARGE AMOUNTS OF UNCOMPENSATED OR SUBSIDIZED CARE TO THE COMMUNITY. | OtherInformation |
| Affiliated Health Care System | THE ORGANIZATION JOINTLY COMPENSATES OR PROVIDES LOCATIONS TO PROVIDE CARE FOR A LARGE NUMBER OF PHYSICIAN SPECIALISTS WHICH PROMOTES MUCH GREATER ACCESS TO CARE FOR THE COMMUNITY IT SERVES. | AffiliatedHealthCareSystem |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KCC FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 COLLEGE DRIVE | AddressLine1 |
| City | KANKAKEE | City |
| State | IL | State |
| ZIP Code | 60901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 262126437 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 11595 | AmountOfCashGrant |
| Purpose Of Grant | PTA PROGRAM | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| SCHOLARSHIPS | 13 | 8250 |
| EMPLOYEE ASSISTANCE | 5 | 1425 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS | Identifier |
| Return Reference | SCHEDULE I, LINE 2 | ReturnReference |
| Explanation | THE FINANCE DEPARTMENT MONITORS THE USE OF GRANT FUNDS BY SEPARATING THEM FROM NORMAL OPERATING EXPENSES IN THE GENERAL LEDGER AND BY ENSURING COMPLIANCE WITH TERMS AND CONDITIONS OF THE GRANTS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN O LEURCK | |||||||||||||
| 211030 | 0 | 0 | 0 | 1524 | 0 | 10968 | 0 | 6812 | 0 | 230334 | 0 | 0 | 0 |
| STEVEN H PACKARD | |||||||||||||
| 463675 | 0 | 25000 | 0 | 198 | 0 | 0 | 0 | 7472 | 0 | 496345 | 0 | 0 | 0 |
| GONZALO T FLORIDO | |||||||||||||
| 192492 | 0 | 0 | 0 | 129 | 0 | 10006 | 0 | 7500 | 0 | 210127 | 0 | 0 | 0 |
| CHRISTANO M REYES | |||||||||||||
| 189469 | 0 | 0 | 0 | 129 | 0 | 3564 | 0 | 1680 | 0 | 194842 | 0 | 0 | 0 |
| REBECCA C SALVANI | |||||||||||||
| 175768 | 0 | 0 | 0 | 381 | 0 | 3588 | 0 | 3252 | 0 | 182989 | 0 | 0 | 0 |
| WILLIAM G NUSSBAUM | |||||||||||||
| 143771 | 0 | 0 | 0 | 0 | 0 | 3750 | 0 | 6228 | 0 | 153749 | 0 | 0 | 0 |
| WESLEY OSWALD | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| MICHAEL BARGER | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| THOMAS MCGEE | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | COMPENSATION PAID BY AN UNRELATED MANAGEMENT COMPANY | Identifier |
| Explanation | THE INTERIM CEO, WESLEY OSWALD, INTERIM CFO, MICHAEL BARGER, AND INTERIM CFO, THOMAS MCGEE WERE PAID BY AN UNRELATED MANAGEMENT COMPANY, QUORUM HEALTH RESOURCES. HOWEVER, NO COMPENSATION IS CURRENTLY BEING REPORTED ON THE CURENT YEAR PART VII AND SCHEDULE J PART II. THESE INDIVIDUALS BEGAN PROVIDING SERVICES IN CALENDER YEAR 2010, AND AS A RESULT, THEY DID NOT RECEIVE ANY COMPENSATION IN CALENDER YEAR 2009, WHICH IS REPORTED ON THE CURRENT YEAR FORM 990 UNDER IRS GUDELINES. IN THE 2010 CALENDER YEAR, QHR COMPENSATED THE ABOVE INDIVIDUALS. FEES ARE PAID TO QHR BY IROQUOIS MEMORIAL HOSPITAL FOR THEIR SERVICES. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNTY OF IROQUOIS ILLINOIS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 376001070 | IssuerEIN |
| CUSIP Number | 463547AV1 | CUSIPNumber |
| Date Issued | 2003-07-29 | DateIssued |
| Issue Price | 7000000 | IssuePrice |
| Description Of Purpose | 2003 SERIES REVENUES FOR EXPANSION | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 7084189 | TotalProceeds |
| Amount In Reserve Fund | 556538 | AmountInReserveFund |
| Issuance Costs From Proceeds | 140000 | IssuanceCostsFromProceeds |
| Capital Expenditures | 6257511 | CapitalExpenditures |
| Year Of Subst Completion | 2005 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | false | BondCounselRoutinelyEngaged |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENT | PART III | DESCRIPTION OF PROGRAM SERVICES IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME PROVIDES HIGH QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF OUR COMMUNITY, SOME CARE IS PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. OTHER HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY EXIST. THESE ACTIVITIES INCLUDE PREVENTION AND WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, AND THE MEDICALLY UNDER SERVED INCLUDING A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. THE HOSPITAL IS LOCATED IN WATSEKA, ILLINOIS AND SERVES THE SURROUNDING COMMUNITIES IN IROQUOIS COUNTY AND WEST-CENTRAL INDIANA. THERE ARE OUTPATIENT CLINICS MAINTAINED IN GILMAN, MILFORD, AND WATSEKA, ILLINOIS AS WELL AS KENTLAND, INDIANA. THE HOSPITAL PROVIDES BEDS FOR ACUTE CARE, INTENSIVE CARE, NURSERY, AND LONG-TERM CARE. THE HOSPITAL ALSO PROVIDES AMBULANCE SERVICES TO MOST OF IROQUOIS COUNTY WITH STATIONS IN GILMAN AND WATSEKA. HOME HEALTH AND HOSPICE PROVIDE SERVICES TO WATSEKA AND SURROUNDING COMMUNITIES IN THE HOSPITAL'S SERVICE AREA. THE IROQUOIS REGIONAL HEALTH CENTER HOUSES PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES ALONG WITH SPORTS MEDICINE. THE HOSPITAL IS CERTIFIED TO PROVIDE CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE HOSPITAL RECORDS THESE AMOUNTS AS UNCOMPENSATED CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. ON CONSOLIDATED SYSTEM LEVEL, THE COST IN EXCESS OF CHARGES FOR PROVIDING CARE TO ILLINOIS MEDICAID AND OTHER PUBLIC AID PROGRAMS WAS $3,855,000 DURING FISCAL YEAR 2010. THIS COST WAS MITIGATED BY ILLINOIS HOSPITAL MEDICAID ASSESSMENT PROGRAM PAYMENTS, NET OF TAXES ASSESSED, IN THE AMOUNT OF $971,000. WITH THE BOARD'S PARTICIPATION AND APPROVAL, THE HOSPITAL VOLUNTARILY PROVIDES CARE TO PATIENTS AT LESS THAN ITS ESTABLISHED CHARGES FOR PATIENTS WHO ARE IN NEED AND MEET THE HOSPITAL'S CHARITY CARE CRITERIA. ON CONSOLIDATED SYSTEM LEVEL, THE CHARGES EXCLUDED FROM REVENUE UNDER THE HOSPITAL'S CHARITY CARE POLICY WERE APPROXIMATELY $1,964,000 FOR FISCAL 2010, WHILE THE COST OF PROVIDING THOSE SERVICES WAS APPROXIMATELY $1,031,000. IN ADDITION, THE HOSPITAL IS NOT ABLE TO COLLECT FOR ALL OF THE CARE THAT WAS CHARGED TO PATIENTS. ON CONSOLIDATED SYSTEM LEVEL, DURING FISCAL 2010 THE HOSPITAL HAD TO WRITE-OFF $2,192,000 IN UNCOLLECTIBLE ACCOUNTS. THE COST OF PROVIDING THAT BENEFIT TO OUR PATIENTS TOTALED $1,151,000. IROQUOIS MEMORIAL HOSPITAL PROVIDES NON-TRADITIONAL HOSPITAL BASED SERVICES SUCH AS AMBULANCE COVERAGE TO WATSEKA AND THE SURROUNDING IROQUOIS COUNTY COMMUNITIES. ON CONSOLIDATED SYSTEM LEVEL, THE COST IN EXCESS OF CHARGES, FOR PROVIDING THESE NEEDED SERVICES FOR FISCAL 2010 EXCEEDED $456,000. A PORTION OF THIS COST WAS OFFSET BY SUBSIDY PAYMENTS OF $69,000 RECEIVED FROM AREA MUNICIPALITIES AND TOWNSHIPS. IN ADDITION TO THE COSTS OF UNCOMPENSATED CARE AND OTHER NON-TRADITIONAL SERVICES, IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME COMMITTED SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND OTHER CRITICAL SERVICES WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. SOME OF THOSE PROGRAMS THAT FURTHER THE HOSPITAL'S MISSION INCLUDE: 5K WALK/RUN BLOOD DRIVES BREAST CANCER AWARENESS EVENT BREAST-FEEDING CLASSES FOR EXPECTANT MOTHERS CAMP 911 SAFETY PROGRAM FOR AREA SCHOOL CHILDREN COMMUNITY HEALTH WALK EMT-B COURSE FIRST AID FOR LOCAL COUNTY FAIRS FREE AND REDUCED FEE HEALTH SCREENINGS FREE BLOOD PRESSURE SCREENINGS FREE CPR TRAINING FOR THE PUBLIC FREE INDOOR WALKING AREA FOR THE PUBLIC GO RED HEALTHY HEART EVENT HEALTH-RELATED ARTICLES IN LOCAL PUBLICATIONS LAMAZE CLASSES LIFELINE MEALS ON WHEELS SMOKING CESSATION CLASSES SPEAKER'S BUREAU TODDLER OLYMPICS TOURS FOR AREA SCHOOL CHILDREN |
| FAMILY OR BUSINESS RELATIONSHIP WITH OFFICER, DIRECTOR, OR KEY EMPLOYEE | PART VI, SECTION A, LINE 2 | EDWARD GOODING AND PHILIP ZUMWALT HAVE A FAMILY RELATIONSHIP. |
| ORGANIZATION DELEGATION OF CONTROL OVER MANAGEMENT DUTIES | PART VI, SECTION A, LINE 3 | THE ORGANIZATION CONTRACTED QUORUM HEALTH RESOURCES (QHR) FOR THE ORGANIZATION'S MANAGEMENT SERVICES EFFECTIVE FEBRUARY 1, 2010. QHR PROVIDES IROQUOIS MEMORIAL HOSPITAL WITH LEADERSHIP VIA THE CEO AND CFO ALONG WITH OTHER CONSULTING SERVICES ON FINANCIAL AND STAFFING NEEDS. |
| MEMBERS OR STOCKHOLDERS WHO MAY ELECT MEMBERS OF THE GOVERNING BODY | PART VI, SECTION A, LINE 7A | MAYOR, COUNTY BOARD CHAIRPERSON AND DISTRICT JUDGE EACH APPOINT 3 MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES TO 3-YEAR TERMS. |
| PROCESS TO REVIEW FORM 990 | PART VI, SECTION B, LINE 11A | THE STAFF MEMBERS THAT PROVIDE INFORMATION TO THE OUTSIDE RETURN PREPARER CONDUCT A THOROUGH REVIEW OF A DRAFT OF THE RETURN. PRIOR TO FILING, THE FINAL COPY IS DISTRIBUTED TO THE BOARD OF TRUSTEES AS PART OF CONSENT AGENDA AT THEIR REGULARLY SCHEDULED BOARD MEETING. |
| COMPLIANCE WITH CONFLICT OF INTEREST POLICY | PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS DIRECTORS, OFFICERS, MANAGERS, MEDICAL STAFF MEMBERS, PHYSICIANS, EXECUTIVE STAFF MEMBERS, DEPARTMENT DIRECTORS, AND COORDINATORS. CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE COMPLETED ANNUALLY BY DIRECTORS, OFFICERS, AND HIGHLY-COMPENSATED EMPLOYEES AND ARE REVIEWED BY ADMINISTRATION. INDIVIDUALS WITH CONFLICTS OF INTEREST ARE REQUIRED TO DISCLOSE THEM AND TO REFRAIN FROM PARTICIPATION IN ANY DECISIONS THAT COULD BENEFIT THEM PERSONALLY. |
| PROCESS FOR DETERMINING COMPENSATION | PART VI, SECTION B, LINE 15A&B | THE BOARD OF TRUSTEES AND QHR, THE HOSPITAL'S MANAGEMENT COMPANY CONDUCTED THE COMPENSATION REVIEW IN 2010. |
| GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC | PART VI, SECTION C, LINE 19 | FINANCIAL DOCUMENTS AVAILABLE UPON REQUEST. CONFLICT ON INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT PUBLIC INFORMATION AT THIS TIME, HOWEVER, IF REQUESTED THE BOARD WOULD BE NOTIFIED TO DETERMINE RESPONSE. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IROQUOIS HOME CARE INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 LAIRD LANE | AddressLine1 |
| City | WATSEKA | City |
| State | IL | State |
| ZIP Code | 60970 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371121894 | EIN |
| Primary Activity | SALES/RENTAL | PrimaryActivity |
| Legal Domicile State | IL | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Share Of Total Income | 708884 | ShareOfTotalIncome |
| Share Of EOY Assets | 982133 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | true | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| IROQUOIS HOME CARE INC | |
| A | 5482 |
| IROQUOIS HOME CARE INC | |
| D | 148400 |
| IROQUOIS HOME CARE INC | |
| L | 135286 |
| IROQUOIS HOME CARE INC | |
| P | 115378 |
| IROQUOIS HOME CARE INC | |
| R | 158199 |