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St Margaret's Health-Spring Valley
St Margarets Health - Spring Valley
600 East First StSpring Valley, IL 61362
| Bed count | 90 | Medicare provider number | 140143 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
EIN: 362167884
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
27.88%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 98,884,416 Total amount spent on community benefits as % of operating expenses$ 27,565,148 27.88 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 635,000 0.64 %Medicaid as % of operating expenses$ 5,631,779 5.70 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 21,298,369 21.54 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 2,728,367 2.76 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 349,231 12.80 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 81329906 including grants of $ 45280) (Revenue $ 88720115) St. Margaret's Health-Spring Valley (Hospital), formerly known as St. Margaret's Hospital, previously doing business as St. Margaret's Health, is a 44-bed acute care hospital located in Spring Valley, Illinois. The Hospital also operates a network of primary and specialty care physician clinics in Spring Valley and the surrounding area. St. Margaret's Health-Spring Valley has a tradition of serving the poor and others in the area surrounding Spring Valley for over 100 years. Following in the footsteps of Jesus Christ, St. Margaret's Health-Spring Valley is reaching out to the poor and those most in need. The presence of St. Margaret's Health-Spring Valley means much more than dollars and cents. (Continued on Schedule O)The value of services to those in need has been more than a financial sheet can describe, because sometimes the smaller programs do the most good and because the organization cannot possibly count up all the services. St. Margaret's Health-Spring Valley has been a leader in the community, helping others to see the need to respond to the needs of the poor.St. Margaret's Health-Spring Valley had 5,403 patient days in fiscal year 2022 with 1,215 admissions and 1,213 discharges. Total Clinic visits were 131,849 and outpatient visits were 166,981.The Hospital provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Hospital does not pursue collection of these amounts, they are not reported as patient service revenue. The estimated cost of providing these services was $635,000 for the year ended September 30, 2022 calculated by multiplying the ratio of cost to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care to its patients.In addition, the Hospital provides services to other medically indigent patients under certain government reimbursed public aid programs. Such programs pay providers amounts which are less than established charges for the services provided to the recipients, and for some services the payments are less than the cost of rendering the services provided. The Hospital also commits significant time and resources to endeavors and critical services which meet otherwise unfulfilled community needs. Many of these activities are sponsored with the knowledge that they will not be self-supporting or financially viable.
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Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
St. Margaret's Health-Spring Valley Part V, Section B, Line 5: The Community Health Needs Assessment (CHNA) process included representatives from St. Margaret's Health-Spring Valley, members of the Bureau, LaSalle, Marshall, and Putnam County Health Departments, and administrators from key community partner organizations. Members also consisted of individuals with special knowledge of and expertise in the healthcare of the community.
St. Margaret's Health-Spring Valley "Part V, Section B, Line 11: Two needs were identified in the 2019 CHNA. The following are the activities addressed for fiscal year 2022. Nutrition, Physical Activity & Obesity1. Kids Camp provided health, nutrition and safety education to Kindergarten through 8th grade students. 2. Kids Camp was organized by St. Margaret's Health in collaboration with Illinois Valley Community College and University of Illinois Extension Service.3. Developed the Chronic Care Management Program to assist patients with their chronic illnesses.4. Began diabetic prevention program called ""Prevent Type 2 Diabetes"".5. Provided Tai Chi classes to the public.6. Provided Nutrition classes taught by registered dieticians.7. Real Results weight loss program offered twice a year for 12 weeks.Substance Abuse and Behavioral Health Services1. Two grants were applied for and received to create the Center for Holistic Health & Wellness in Princeton, Illinois.2. Developed a partnership with Aruka Institute of Healing to provide behavior health services.3. Developed satellite offices for Center for Holistic Health & Wellness in Peru and Spring Valley.4. Assisted with random drug testing of high school students, to discourage substance abuse.5. Continued working with the Perfectly Flawed Foundation to provide educational programs on opioid addiction and also to distribute Naloxone for reversal of opioid overdose.The 2021 Community Health Needs Assessment identified two significant health needs. These needs will not be addressed as the Hospital closed as of June 16, 2023.1. Healthy lifestyles, nutrition, physical activity, and obesity2. Substance abuse and mental health"
St. Margaret's Health-Spring Valley Part V, Section B, Line 13h: When balances considered for financial assistance exceed more than 25% of the income listed on the application, the applicant may be responsible to pay 25% of their income and the remaining balances will be considered financial assistance allowance. If applicant qualifies for the SNAP (food stamp) program through the state of Illinois, balances may be considered for financial assistance allowance. Presumptive financial assistance may be granted to patients with or without insurance.
St. Margaret's Health-Spring Valley "Part V, Section B, Line 16j: Brochures are displayed at points of registration discussing availability of Financial Assistance. Upon notification from Registration regarding Self Pay Admissions, Patient Account clerk or staff member from another department tries to contact the patient to discuss availability of financial assistance. Utilization Review distributes applications when financial assistance is requested from nursing or the patient, or upon admission in the nursing unit when possible. Clinic Clerks distribute applications when requested by the patient, or if the patient informs them of problems in paying their bills. Bills, letters regarding balances, and statements sent to the patient explain how to inquire about financial assistance or an uninsured discount. Qualified patients seeking help or options in paying bills for St. Margaret's Health-Spring Valley services, will be offered financial assistance as an option. If a patient chooses to apply for financial assistance, they are given an ""Application for Financial Assistance"" which is to be completed according to directions on application and returned to the Patient Accounts Center."
Schedule H, Part V, Section B, Line 7a: Community Health Needs Assessment website:www.aboutsmh.org/community-health-needs-assessments/
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Supplemental Information
Schedule H (Form 990) Part VI
Part I, Line 3c: When balances considered for financial assistance exceed more than 25% of the income listed on the application, the applicant may be responsible to pay 25% of their income and the remaining balances will be considered financial assistance allowance. If applicant qualifies for the SNAP (food stamp) program through the state of Illinois, balances may be considered for financial assistance allowance. Presumptive financial assistance may be granted to patients with or without insurance.
Part I, Line 6a: The community benefit report is available to the public upon request.
Part I, Line 7: Charity care expense was converted to cost based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b was calculated using the costing methods to prepare the cost reports. The cost for subsidized health services reported on line 7g was determined using the Medicare Cost Report.
Part II, Community Building Activities: The Hospital worked with EMS services in the area to help coordinate services and worked with the county health department to help with emergency preparedness.
Part III, Line 2: The amount reported on line 2 represents implicit price concessions. The Health Center determines its estimate of implicit price concessions based on its historical collection experience with the class of patients.
Part III, Line 3: The Hospital reasonably estimates the portion of implicit price considerations that could have qualified for charity care. An estimated 12.8% of implicit price concessions in 2022 are attributable to patients potentially eligible for charity care. This is based on the percentage of individuals living below the federal poverty level.
Part III, Line 4: The footnote to the organization's financial statements addressing implicit price concessions may be found on page 14 of the attached audited financial statements.
Part III, Line 8: The Medicare program does not cover all the costs of caring for these patients. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the entire Medicare shortfall is considered a community benefit. The Organization reported only those allowable costs and Medicare reimbursements reported in the Medicare Cost Report for the year.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services.
Part III, Line 9b: The Hospital does not pursue extraordinary collection activities for 120 days from the date of service while the patient is applying for financial assistance. A 30-day notice is provided to the patient before any collection activities begin. A patient has a total of 240 days to apply for financial assistance.
Part VI, Line 2: St. Margaret's Health-Spring Valley identifies unmet community health needs by participating in community coalitions, partnerships, boards, committees, commissions, advisory groups, and panels. For example, Hospital representatives met with the local health department to jointly evaluate the needs of the community. In particular, Hospital staff met with local mental health service providers to discuss unmet mental health needs in the community. On a monthly basis, the Hospital reviews its internal patient surveys. On a tri-annual basis, the Board meets with select medical staff members and Hospital staff to develop a strategic plan, which addresses the demographics of the communities served. The Hospital provides health education and outreach at various locations out in the community, where participants are educated on the importance of disease preventions and early detection. The Hospital supports a local free clinic by providing free lab services. This allows employed physicians to donate their services and provide financial assistance.
Part VI, Line 3: St. Margaret's Health-Spring Valley posts a summary of its charity care policy in the admissions/registration areas, waiting rooms, emergency rooms, and other areas the organization finds beneficial to patients. The policy and contact information on financial assistance is provided and discussed during the admission and discharge process. Upon notification from Registration regarding self-pay admissions, the Patient Account clerk or staff member from another department tries to contact the patient to discuss availability of financial assistance. Also, information on other programs, such as government benefits, Medicaid or state programs, are discussed with patients. Assistance is also provided for individuals applying for government benefits. Patients are encouraged to explore their options and use our resources to obtain assistance with their bills. Each patient bill includes an explanation on how to inquire about financial assistance or an uninsured discount.
Part VI, Line 5: St. Margaret's Health-Spring Valley Board is comprised of 11 members. To meet the needs of our community, the Hospital extends privileges to medical staff that are qualified and licensed. Surplus funds are invested in facility and equipment upgrades to better serve the health of our population.Our organization is committed to be involved and helpful to the community. Our employees serve on several committees working to improve the health and lives of the community. The emergency room is open 24 hours a day and everyone is treated regardless of their ability to pay.
Part VI, Line 4: "St. Margaret's Health-Spring Valley is a 44-bed acute care hospital located in Spring Valley, IL. Spring Valley, IL is a city situated on the Illinois river in the southeastern corner of Bureau County, IL. Bureau County is located in the Northcentral region of Illinois. The population is approximately 5,582 people. Spring Valley is part of the ""Illinois Valley Micropolitan"" (La Salle, Peru, and Spring Valley) which total approximately 25,000 people. Common industries are retail trade, office and administration, material moving, food preparation, and health. The median household income was $50,549 and the unemployment rate was 6.3%. Medicare and public aid make up over 62% of our total patient service revenue. The nearest city with a population greater than 50,000 is Peoria, IL located 47 miles SW of Spring Valley."
Part VI, Line 6: We are an affiliate of the Sisters of Mary of the Presentation Health System (SMP Health). St. Margaret's Health-Spring Valley operates in accordance with the mission, vision, and values of SMP Health. Our annual budgeting process includes an assessment of how our budget demonstrates a commitment to the values of the system and the system works to ensure we are always mindful of our duty to care for the poor and those in need. St. Margaret's Health-Spring Valley has a Strategic Plan developed from themes set forth by SMP Health for all affiliates. The strategic plan is an active document which St. Margaret's Health-Spring Valley works on continuously and reports back to SMP Health on our progress toward established goals which again, align with the mission, vision, and values of the organization.
