Civic Intelligence

Memorial Health System

990EZ • Fiscal year 2013 • EIN 46-1037396

Oct 01, 2012 to Sep 30, 2013 • Filed on Jul 24, 2014

Organization ProfileWWW.PASSAVANTHOSPITAL.COM/FOUNDATION
1600 West Walnut StreetSpringfield, IL 62650
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

100th percentile

63.13x

Higher debt load relative to assets than 100% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Liabilities / Revenue

93rd percentile

0.67x

Higher debt load relative to revenue than 93% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Net Margin

6th percentile

-66%

Higher net margin than 6% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2013

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Balance Sheet
Liabilities / Assets100th percentile

Assets

$2,065

No earlier filing loaded for comparison.

Net Assets

-$128,300

No earlier filing loaded for comparison.

Liabilities

$130,365

No earlier filing loaded for comparison.

Revenue And Expenses
Liabilities / Revenue93rd percentileNet Margin6th percentile

Revenue

$195,354

No earlier filing loaded for comparison.

Expenses

$323,654

No earlier filing loaded for comparison.

Net Income

-$128,300

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset GrowthScore unavailable

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$6.0M$4.0M$2.0M$0-$2.0MAssets 2013: $2,065Liabilities 2013: $130,365Net Assets 2013: -$128,3002013Assets 2014: $496,298Liabilities 2014: $256,796Net Assets 2014: $239,5022014Assets 2015: $5,197,024Liabilities 2015: $45,000Net Assets 2015: $5,152,0242015

Highlighted filing

2013

Assets$2,065
Liabilities$130,365
Net Assets-$128,300
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2013: $195,354Expenses 2013: $323,654Net Income 2013: -$128,3002013Revenue 2014: $354,572Expenses 2014: $127,813Net Income 2014: $226,7592014Revenue 2015: $5,133,842Expenses 2015: $201,449Net Income 2015: $4,932,3932015

Highlighted filing

2013

Revenue$195,354
Expenses$323,654
Net Income-$128,300
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Oct 1, 2012 to Sep 30, 2013
Signed
Jul 24, 2014
Return Version
2012v2.1
Mission and Program Overview

Mission

To establish and maintain relationships that generate philanthropic support to enhance the passavant memorial area hospital association's ability to provide excellence in health care.

Filing and Contact Details

Filer

EIN
46-1037396
Raw XML Appendix214 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances110
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName0KEITH LAPE
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName1FRED OSBURN
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName2RON TENDICK
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName3MARY FERGURSON
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName4LINDA DONOVAN
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName5GINNY FANNING
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName6HOBART HINDERLITER
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName7GILBERT JOEHL
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName8GARY SCOTT
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName9TOM TEARNEY
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName10JAN TERRY
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName11PAM MARTIN
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title0PRESIDENT
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title1VICE-PRESIDENT
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title2VICE PRESIDENT OF NOMINATIONS
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title3SECRETARY / TREASURER
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title4TRUSTEE
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title5PERMANENT TRUSTEE
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title6TRUSTEE
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title7PERMANENT TRUSTEE
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title8PERMANENT TRUSTEE
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title9TRUSTEE
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title10PERMANENT TRUSTEE
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title11EXECUTIVE DIRECTOR
IRS990EZ/OperatingSchool00
IRS990EZ/Organization501c30X
IRS990EZ/OrganizationDissolvedEtc00
IRS990EZ/OrganizationHadUBI00
IRS990EZ/OtherAssetsTotal/BOY00
IRS990EZ/OtherAssetsTotal/EOY01997
IRS990EZ/OtherChangesInNetAssets00
IRS990EZ/OtherExpensesTotal028993
IRS990EZ/PartVIAHghstPaidCntrctProfSer0NONE
IRS990EZ/PartVIOfCompOfHighestPaidEmpl0NONE
IRS990EZ/PrimaryExemptPurpose0TO ESTABLISH AND MAINTAIN RELATIONSHIPS THAT GENERATE PHILANTHROPIC SUPPORT TO ENHANCE THE PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION'S ABILITY TO PROVIDE EXCELLENCE IN HEALTH CARE.
IRS990EZ/PrintingPublicationsPostage02268
IRS990EZ/ProgramServiceAccomplishment/DescriptionProgramServiceAccom0THE PASSAVANT AREA HOSPITAL FOUNDATION IS MEETING HIGH EXPECTATIONS. THE FOUNDATION SERVES TO CONNECT THE HOSPITAL WITH DONORS AND TO SECURE FUNDING FOR MISSION-CRITICAL PRIORITIES. THE FOUNDATION IS BUILDING A STRONG COMMUNITY TRADITION FOR FINANCIAL SUPPORT TO MEET LOCAL HEALTHCARE NEEDS AND DEMONSTRATING DIRECT BENEFITS.DONATIONS ARE USED TO MAKE IMPROVEMENTS ACROSS ALL HOSPITAL DEPARTMENTS, AND ULTIMATELY, RESULT IN GREATER PATIENT SATISFACTION. ADDITIONALLY, DONATIONS ALLOW FOR THE CONTINUOUS PURCHASE OF THE LATEST MEDICAL TECHNOLOGY WHICH IS AN EXPECTATION OF PATIENTS AND THE DOCTORS WHO CARE FOR THEM.
IRS990EZ/ProgramServiceAccomplishment/DescriptionProgramServiceAccom1A PUBLICITY CAMPAIGN WAS DEVELOPED WITH THE THEME OF "BUILDING A STRONG TRADITION OF COMMUNITY SUPPORT FOR LOCAL HEALTHCARE" TO INCREASE AWARENESS OF AND KNOWLEDGE ABOUT THE FOUNDATION IN OUR SEVEN-COUNTY SERVICE AREA. ONGOING INITIATIVES FOR DONOR RECOGNITION AND STEWARDSHIP CONTINUE TO BE AN INTEGRAL COMPONENT OF FUNDRAISING ACTIVITIES.
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IRS990EZ/ProgramServiceAccomplishment/ProgramServiceExpenses10
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IRS990EZ/SubjectToProxyTax00
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IRS990EZ/TanningServicesProvided00
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IRS990EZ/TaxImposedUnderIRC491200
IRS990EZ/TaxImposedUnderIRC495500
IRS990EZ/TheBooksAreInCareOf/AddressUS/AddressLine101600 W WALNUT STREET
IRS990EZ/TheBooksAreInCareOf/AddressUS/City0JACKSONVILLE
IRS990EZ/TheBooksAreInCareOf/AddressUS/State0IL
IRS990EZ/TheBooksAreInCareOf/AddressUS/ZIPCode062650
IRS990EZ/TheBooksAreInCareOf/NameBusiness/BusinessNameLine10DAVID BOLEN
IRS990EZ/TheBooksAreInCareOf/TelephoneNumber02172459541
IRS990EZ/TotalAssets/BOY00
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IRS990EZ/TotalExpenses0323654
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IRS990EZ/TotalRevenue0195354
IRS990EZ/TotNumberOfOthEmplPaidOver100k00
IRS990EZ/TotNumCntrctPdOver100KProfSer00
IRS990EZ/TrnsfrsExemptNonCharRelatedOrg00
IRS990EZ/WebSite0WWW.PASSAVANTHOSPITAL.COM/FOUNDATION/
IRS990ScheduleA/CertificationCheckbox0X
IRS990ScheduleA/ContribBy35ControlledEntity00
IRS990ScheduleA/ContribByControllingIndividual00
IRS990ScheduleA/ContributionByRelatedParty00
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IRS990ScheduleA/SupportedOrgInformation/EIN0370661230
IRS990ScheduleA/SupportedOrgInformation/ListedInGoverningDoc01
IRS990ScheduleA/SupportedOrgInformation/Name/BusinessNameLine10PASSAVANT MEMORIAL AREA HOSPITAL ASSOC
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IRS990ScheduleB/ContributorInfo/AggregateContributions0RESTRICTED
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IRS990ScheduleB/ContributorInfo/ContributorAddressUS/AddressLine20RESTRICTED
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IRS990ScheduleB/ContributorInfo/ContributorNameBusiness/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorNumber0RESTRICTED
IRS990ScheduleO/GeneralExplanation/Explanation0INTEREST INCOME 239..
IRS990ScheduleO/GeneralExplanation/Explanation1ACTIVITY CLASSIFICATION: . GRANTEE NAME: PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION. GRANTEE ADDRESS: 1600 WEST WALNUT STREET JACKSONVILLE, IL 62650. AMOUNT GIVEN: 192,208.
IRS990ScheduleO/GeneralExplanation/Explanation2DESCRIPTION: ADVERTISING. AMOUNT: 1,721. DESCRIPTION: TRAVEL. AMOUNT: 3,842. DESCRIPTION: MISCELLANEOUS. AMOUNT: 6,640. DESCRIPTION: FUNDRAISING. AMOUNT: 9,531. DESCRIPTION: DUES & SUBSCRIPTIONS. AMOUNT: 4,455. DESCRIPTION: OFFICE EXPENSES. AMOUNT: 2,804. TOTAL TO FORM 990-EZ, LINE 16: 28,993.
IRS990ScheduleO/GeneralExplanation/Explanation3DESCRIPTION: BOUND TO STAY BOUND BOOKS DONATION. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 1,997.
IRS990ScheduleO/GeneralExplanation/Explanation4DESCRIPTION: DUE TO PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 130,365.
IRS990ScheduleO/GeneralExplanation/Identifier0OTHER INVESTMENT INCOME
IRS990ScheduleO/GeneralExplanation/Identifier1GRANTS AND SIMILAR AMOUNTS PAID
IRS990ScheduleO/GeneralExplanation/Identifier2OTHER EXPENSES
IRS990ScheduleO/GeneralExplanation/Identifier3OTHER ASSETS
IRS990ScheduleO/GeneralExplanation/Identifier4OTHER LIABILITIES
IRS990ScheduleO/GeneralExplanation/ReturnReference0FORM 990-EZ, PART I, LINE 4
IRS990ScheduleO/GeneralExplanation/ReturnReference1FORM 990-EZ, PART I, LINE 10
IRS990ScheduleO/GeneralExplanation/ReturnReference2FORM 990-EZ, PART I, LINE 16
IRS990ScheduleO/GeneralExplanation/ReturnReference3FORM 990-EZ, PART II, LINE 24
IRS990ScheduleO/GeneralExplanation/ReturnReference4FORM 990-EZ, PART II, LINE 26
TransferPrsnlBnftContractsDecl/Declaration0THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/Filer/EIN0461037396
ReturnHeader/Filer/Name/BusinessNameLine10PASSAVANT AREA HOSPITAL FOUNDATION
ReturnHeader/Filer/NameControl0PASS
ReturnHeader/Filer/Phone02172459541
ReturnHeader/Filer/USAddress/AddressLine101600 WEST WALNUT STREET
ReturnHeader/Filer/USAddress/City0JACKSONVILLE
ReturnHeader/Filer/USAddress/State0IL
ReturnHeader/Filer/USAddress/ZIPCode062650
ReturnHeader/Officer/AuthorizeThirdParty01
ReturnHeader/Officer/DateSigned02014-07-24
ReturnHeader/Officer/Name0DAVID BOLEN
ReturnHeader/Officer/Phone02172459541
ReturnHeader/Officer/Title0AUTHORIZED AGENT
ReturnHeader/Preparer/DatePrepared02014-07-22
ReturnHeader/PreparerFirm/EIN0390758449
ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine10WIPFLI LLP
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine1010000 INNOVATION DRIVE SUITE 250
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City0MILWAUKEE
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State0WI
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode0532264837
ReturnHeader/Preparer/Name0JAY ADKISSON CPA
ReturnHeader/Preparer/Phone04144319300
ReturnHeader/ReturnType0990EZ
ReturnHeader/TaxPeriodBeginDate02012-10-01
ReturnHeader/TaxPeriodEndDate02013-09-30
ReturnHeader/TaxYear02012
ReturnHeader/Timestamp02014-07-24T16:16:35-05:00

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2013 • Form 990EZFacts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$2,065
Liabilities
$130,365
Net assets
-$128,300
Revenue
$195,354
Expenses
$323,654
Net income
-$128,300
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2015Detailed filing. Detailed filing data is available for this year.$5.20$0.05$5.15$5.13$0.20$4.93
2014Detailed filing. Detailed filing data is available for this year.$0.50$0.26$0.24$0.35$0.13$0.23
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.13$0.13$0.20$0.32$0.13