FERRELL HOSPITAL COMMUNITY FOUNDATION: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- FERRELL HOSPITAL COMMUNITY FOUNDATION (EIN 20-1244058)
- Tax period
- 2022-04-01 to 2023-03-31
- Filed
- 2024-02-12
- IRS object ID
- 202420439349301422
- Schema version
- 2022v5.0
- 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 J
- Schedule K
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-02-12T12:13:40-06:00 | ReturnTs |
| Tax Period End | 2023-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 EASTPOINT PKWY SUITE 300 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40223 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201244058 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FERRELL HOSPITAL COMMUNITY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FERR | BusinessNameControlTxt |
| Phone | 6182733361 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 PINE STREET | AddressLine1Txt |
| City | ELDORADO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62930 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREG WRIGHT | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6182733361 | PhoneNum |
| Signature | 2024-02-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GREG | PersonFirstNm |
| Person Last | WRIGHT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EMILIE M KNIERIEM CPA | PreparerPersonNm |
| PTIN | P01330194 | PTIN |
| Phone | 5029923500 | PhoneNum |
| Preparation | 2024-02-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GREG WRIGHT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 PINE STREET | AddressLine1Txt |
| City | ELDORADO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62930 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $46,513,845 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FERRELLHOSP.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | OPERATE ACUTE CARE HOSPITAL - DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE AND COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 352 | TotalEmployeeCnt |
| Total Volunteers | 34 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,946,873 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,044,813 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $35,886,460 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $44,070,569 | CYProgramServiceRevenueAmt |
| PY Investment Income | $24,640 | PYInvestmentIncomeAmt |
| CY Investment Income | $92,905 | CYInvestmentIncomeAmt |
| PY Other Revenue | $254,157 | PYOtherRevenueAmt |
| CY Other Revenue | $290,196 | CYOtherRevenueAmt |
| PY Total Revenue | $40,112,130 | PYTotalRevenueAmt |
| CY Total Revenue | $46,498,483 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,910,553 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,165,460 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,524,856 | PYOtherExpensesAmt |
| CY Other Expenses | $25,484,503 | CYOtherExpensesAmt |
| PY Total Expenses | $39,435,409 | PYTotalExpensesAmt |
| CY Total Expenses | $47,649,963 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $676,721 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,151,480 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $55,088,834 | TotalAssetsBOYAmt |
| Total Assets EOY | $51,664,841 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $46,853,722 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $44,581,209 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,235,112 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,083,632 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OPERATE ACUTE CARE HOSPITAL - DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE AND COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $42,000,144 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $44,278,779 | RevenueAmt |
| Desc | FERRELL HOSPITAL COMMUNITY FOUNDATION (FHCF) OFFERS QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. FHCF PROVIDES MEDICAL CARE TO OUTPATIENTS AND INPATIENTS AS WELL AS PROVIDES VARIOUS COMMUNITY BENEFITS TO THE COMMUNITY. | Desc |
| Total Program Service Expenses | $42,000,144 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 62 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 352 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREG WRIGHT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6182733361 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 PINE STREET | AddressLine1Txt |
| City | ELDORADO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62930 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| JOSEPH A JACKSON MD | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $503,916 | $0 | $54,098 | ||
| NATE OLDHAM MD | |||||||
| BOARD MEMBER/PHYSICIAN | 40.00 | $486,369 | $0 | $68,616 | Yes (X) | ||
| JANNA PATHI MD | |||||||
| SURGEON | 30.00 | Yes (X) | $470,094 | $0 | $11,741 | ||
| CALEB MITCHELL DO | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $381,824 | $0 | $50,969 | ||
| DAVID GUNZEL | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $292,511 | $0 | $42,590 | ||
| LUKE HALL | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $269,610 | $0 | $40,664 | ||
| RACHEL PRATHER | |||||||
| CHIEF NURSING OFFICER | 40.00 | $115,949 | $0 | $32,697 | Yes (X) | ||
| CALEIGH BRUCE | |||||||
| CHIEF COMPLIANCE OFFICER | 40.00 | $102,109 | $0 | $9,076 | Yes (X) | ||
| ALISA COLEMAN | |||||||
| CEO | 50.00 | $0 | $0 | $0 | Yes (X) | ||
| DIRK MORGAN | |||||||
| CFO | 50.00 | $0 | $0 | $0 | Yes (X) | ||
| CLIFFORD EUGENE MORRIS | |||||||
| CHAIRMAN | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| E T SEELY | |||||||
| VICE-CHAIRMAN | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| BARB DEVOUS | |||||||
| SECRETARY | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| JEFF CAMPBELL | |||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| AYN BARTIK | |||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| NIKKI ROSER | |||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| JARED FLORENCE | |||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| DR JAMES PORTER MD | |||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| AUSTIN RAHMOELLER | |||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,622,382 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $310,451 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DEACONESS HOSPITAL | |||||
| 600 MARY ST | EVANSVILLE | IN | 47747 | ER PHYSICIANS | $1,539,913 |
| PROGRESSIVE HEALTH OF INDIANA LLC | |||||
| PO BOX 6890 | EVANSVILLE | IN | 47719 | PHYSICAL AND OCCUPATIONAL THERAPISTS | $1,334,550 |
| ELDORADO EMERGENCY GROUP PC | |||||
| 1201 PINE STREET | ELDORADO | IL | 62930 | ER SERVICES | $872,102 |
| EGYPTIAN HEALTH DEPARTMENT | |||||
| 1412 US-45 | ELDORADO | IL | 62930 | HUMAN HEALTH SERVICES | $749,350 |
| DEACONESS REGIONAL HEALTHCARE SERVICES | |||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | ER PHYSICIANS, MANAGEMENT FEES | $655,257 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 39 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $38,997 | FundraisingAmt |
| Government Grants | $1,428,729 | GovernmentGrantsAmt |
| All Other Contributions | $577,087 | AllOtherContributionsAmt |
| Total Contributions | $2,044,813 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621999 | $43,844,476 | $43,844,476 |
| PHARMACY SERVICES | 621399 | $226,093 | $226,093 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $44,070,569 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $92,905 | TotalRevenueColumnAmt |
| Exclusion | $92,905 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,980 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,980 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,980 | TotalRevenueColumnAmt |
| Exclusion | $9,980 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $38,997 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $15,362 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$15,362 | TotalRevenueColumnAmt |
| Exclusion | -$15,362 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA SALES | 722310 | $87,368 | $87,368 | |
| REBATES | 900099 | $84,835 | $84,835 | |
| MEDICAL RECORDS REVENUE | 900099 | $13,944 | $13,944 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $109,431 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $109,431 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $295,578 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,498,483 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $44,278,779 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $174,891 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,767 | TotalAmt |
| Program Services | $202,507 | ProgramServicesAmt |
| Management And General | $34,260 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,655,259 | TotalAmt |
| Program Services | $15,100,588 | ProgramServicesAmt |
| Management And General | $2,554,671 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,708 | TotalAmt |
| Program Services | $211,897 | ProgramServicesAmt |
| Management And General | $45,811 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,821,202 | TotalAmt |
| Program Services | $2,319,699 | ProgramServicesAmt |
| Management And General | $501,503 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,194,524 | TotalAmt |
| Program Services | $982,183 | ProgramServicesAmt |
| Management And General | $212,341 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $814,818 | TotalAmt |
| Program Services | $696,916 | ProgramServicesAmt |
| Management And General | $117,902 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,688 | TotalAmt |
| Program Services | $76,827 | ProgramServicesAmt |
| Management And General | $10,861 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,620 | TotalAmt |
| Management And General | $127,620 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,731,670 | TotalAmt |
| Program Services | $9,544,131 | ProgramServicesAmt |
| Management And General | $1,187,539 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,856 | TotalAmt |
| Program Services | $125,110 | ProgramServicesAmt |
| Management And General | $16,746 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $676,857 | TotalAmt |
| Program Services | $596,954 | ProgramServicesAmt |
| Management And General | $79,903 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,638 | TotalAmt |
| Program Services | $125,800 | ProgramServicesAmt |
| Management And General | $16,838 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $747,643 | TotalAmt |
| Program Services | $659,383 | ProgramServicesAmt |
| Management And General | $88,260 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,832 | TotalAmt |
| Program Services | $43,067 | ProgramServicesAmt |
| Management And General | $5,765 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,789 | TotalAmt |
| Program Services | $40,384 | ProgramServicesAmt |
| Management And General | $5,405 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $935,477 | TotalAmt |
| Program Services | $890,954 | ProgramServicesAmt |
| Management And General | $44,523 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,480,434 | TotalAmt |
| Program Services | $2,187,618 | ProgramServicesAmt |
| Management And General | $292,816 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $502,664 | TotalAmt |
| Program Services | $304,787 | ProgramServicesAmt |
| Management And General | $197,877 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $6,628,481 | $6,628,481 | |
| PROVIDER TAX | $569,936 | $569,936 | |
| MINOR EQUIPMENT | $513,415 | $452,806 | $60,609 |
| REPAIRS AND MAINTENANCE | $182,250 | $146,245 | $36,005 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,435 | TotalAmt |
| Program Services | $93,871 | ProgramServicesAmt |
| Management And General | $12,564 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,649,963 | TotalAmt |
| Program Services | $42,000,144 | ProgramServicesAmt |
| Management And General | $5,649,819 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,495,963 | BOYAmt |
| EOY | $5,093,782 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,789,142 | BOYAmt |
| EOY | $3,757,484 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,024,381 | BOYAmt |
| EOY | $3,297,240 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,499 | BOYAmt |
| EOY | $403,568 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $907,787 | BOYAmt |
| EOY | $1,006,528 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,040 | BOYAmt |
| EOY | $407,115 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $49,837,001 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,622,655 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,239,813 | BOYAmt |
| EOY | $37,214,346 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,600 | BOYAmt |
| EOY | $14,600 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $737,609 | BOYAmt |
| EOY | $470,178 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,088,834 | BOYAmt |
| EOY | $51,664,841 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,713,281 | BOYAmt |
| EOY | $5,456,674 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,234,398 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,586,302 | BOYAmt |
| EOY | $34,264,302 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,101,429 | BOYAmt |
| EOY | $2,992,399 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,312 | BOYAmt |
| EOY | $1,867,834 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,853,722 | BOYAmt |
| EOY | $44,581,209 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,635,112 | BOYAmt |
| EOY | $7,083,632 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,235,112 | BOYAmt |
| EOY | $7,083,632 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,088,834 | BOYAmt |
| EOY | $51,664,841 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,151,480 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $13,296 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,296 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS DUES TO IHA AND AHA ANNUALLY. 37% OF THESE DUES ARE USED FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $198,327 | OtherCostOrOtherBasisAmt |
| Book Value | $198,327 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,979,743 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,000,261 | DepreciationAmt |
| Book Value | $13,979,482 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,892 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,063 | DepreciationAmt |
| Book Value | $829 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,082,205 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,579,331 | DepreciationAmt |
| Book Value | $21,502,874 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,532,834 | OtherCostOrOtherBasisAmt |
| Book Value | $1,532,834 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $37,214,346 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY PAYOR | $351,075 |
| RELATED PARTY PAYABLE | $1,516,759 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,867,834 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $46,498,483 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $46,498,483 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $46,498,483 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $47,649,963 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $47,649,963 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $47,649,963 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF MARCH 31, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | DUELING PIANOS | Event1Nm |
| Gross Receipts Event1 | $1,712 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $1,712 | CharitableContriEvent1Amt |
| Food And Beverage Event1 | $550 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,675 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $783 | OtherDirectExpensesEvent1Amt |
| Event2 | LIP SYNC FUNDRAISER | Event2Nm |
| Gross Receipts Event2 | $35,684 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $35,684 | CharitableContriEvent2Amt |
| Cash Prizes Event2 | $589 | CashPrizesEvent2Amt |
| Food And Beverage Event2 | $5,500 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $5,115 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $120 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $1,601 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $1,601 | CharitableContriOtherEventsAmt |
| Cash Prizes Other Events | $250 | CashPrizesOtherEventsAmt |
| Oth Direct Expnss Other Events | $780 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $38,997 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $38,997 | CharitableContributionsTotAmt |
| Cash Prizes Total Events | $839 | CashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $6,050 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $6,790 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,683 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $15,362 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$15,362 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $910,065 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,392,044 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,026,998 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,010,352 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,016,646 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08430 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,937,063 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,402,396 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,016,646 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08430 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,937,063 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,402,396 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,016,646 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08430 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,761,014 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $15,033,229 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $19,244,385 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,211,156 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FERRELL HOSPITAL COMMUNITY FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 PINE STREET | AddressLine1Txt |
| City | ELDORADO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62930 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | FERRELLHOSP.ORG | WebsiteAddressTxt |
| State License | 0005363 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FERRELL HOSPITAL COMMUNITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WEBSITE LISTED IN PART V, SEC. B, LINE 7D. | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WEBSITE LISTED IN PART V, SEC. B, LINE 7D. | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://FERRELLHOSP.ORG/FOR-YOU/PATIENTS-VISITORS/PATIENTS/FINANCIAL-ASSIST | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://FERRELLHOSP.ORG/FOR-YOU/PATIENTS-VISITORS/PATIENTS/FINANCIAL-ASSIST | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://FERRELLHOSP.ORG/FOR-YOU/PATIENTS-VISITORS/PATIENTS/FINANCIAL-ASSIST | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FERRELL HOSPITAL COMMUNITY | PART V, SECTION B, LINE 5: THREE FOCUS GROUPS WERE CONVENED AT FERRELL HOSPITAL ON SEPTEMBER 29, 2021. THE GROUPS INCLUDED REPRESENTATION OF HEALTHCARE PROVIDERS, COMMUNITY LEADERS, COMMUNITY SERVICE PROVIDERS, SCHOOLS, FAITH-BASED ORGANIZATIONS, LOCAL ELECTED OFFICIALS, PUBLIC HEALTH, AND OTHERS. SEVERAL MEMBERS OF THIS GROUP PROVIDED SERVICES TO UNDERSERVED AND UNSERVED PERSONS AS ALL OR PART OF THEIR ROLE. IN RESPONSE TO A REQUEST TO IDENTITFY POSITIVE DEVELOPMENTS IN HEALTH AND HEALTHCARE IN THE SERVICE AREA OF FERRELL HOSPITAL, THE GROUPS PUT FORWARD THE FOLLOWING:FOCUS GROUP ONE - COMMUNITY LEADERS- EXPANSION OF SERVICES AT FERRELL HOSPITAL HAS RESULTED IN NEW SERVICES AND NEW OPPORTUNITIES FOR NEW CLINICAL OPPORTUNITIES FOR STUDENT AND NEW NURSES- THERE IS A NEW SOUTHEASTERN ILLINOIS CAMPUS (SIC) IN WHITE COUNTY- FERRELL HOSPITAL EXPANSION HAS IMPROVED THE NEIGHBORHOOD SURROUNDING THE NEW FACILITY- FERRELL HOSPITAL EXPANSION HAS IMPROVED THE ECONOMIC AND ECONOMIC DEVELOPMENT POSITION OF THE COMMUNITY- FERRELL HOSPITAL HAS PARTNERED WITH ELDORADO SCHOOLS TO PROVIDE MEDICAL SERVICES FOR SPORTS- THE SERVICE AREA OF FERRELL HOSPITAL HAS INCREASED AND IS PROVIDING SERVICES IN PREVIOUSLY UNDERSERVED SMALL RURAL COMMUNITIES AND AREAS- RIDES CAN ACCOMMODATE TRANSPORTATION TO DEACONESS HOSPITAL IN EVANSVILLE- TEMPORARY DAY CARE WAS DEVELOPED IN PARTNERSHIP AMONG FERRELL HOSPITAL, ELDORADO SCHOOL DISTRICT, I-DCFS, ST. MARY'S CHURCH, AND INTERESTED CITIZENS- FERRELL HOSPITAL'S EXPANSION BROUGHT INSIGHT FROM OUTSIDERS ON THE WAY THE COMMUNITY LOOKS AND FUNCTIONS- NEW ONCOLOGY CENTER- "CHEMO BUDDIES" PROGRAM FOCUS GROUP TWO - HOSPITAL DEPARTMENT MANAGERS- EXPANSION OF FERRELL HOSPITAL- NEW ONCOLOGY DEPARTMENT- FERRELL HOSPITAL'S RESPONSE TO COVID AND EXPANSION OF INFUSION SERVICES- FRESH PRODUCE IS AVAILABLE IN GALLATIN COUNTY AT A DOLLAR GENERAL- NEW ORTHOPEDIC PROGRAM AT FERRELL HOSPITAL- OUTPATIENT BEHAVIORAL HEALTH SERVICES ARE AVAILABLE IN SALINE COUNTY- EXPANSION OF TELEHEALTH SERVICES- THERE IS MORE COMMUNITY INVOLVEMENT IN HEALTH ISSUES AND CIVIC ISSUES IN GENERAL- FERRELL HOSPITAL'S DEPARTMENT LEADERSHIP IS SOLID- EXPANDED ACCESS TO VACCINES FOR CHILDREN- CHILDREN'S HEALTH NEEDS PROGRAM AT EGYPTIAN HEALTH DEPARTMENT- FERRELL HOSPITAL HAS BENEFITED FROM COVID RELIEF FUNDING- THERE IS STRONG COMMUNITY SUPPORT FOR FERRELL HOSPITAL- COMMUNITY ENTHUSIASM TO ADDRESS LOCAL CIRCUMSTANCES IS HIGH- INCREASED OPIOID AWARENESS, INCLUDING INCREASED NARCAN AVAILABILITY, AND MAT (MEDICATION ASSISTED TREATMENT) AVAILABILITY- FERRELL HOSPITAL IS RECEIVING A GREAT DEAL OF BENEFIT FROM ITS RELATIONSHIP WITH DEACONESS, INCLUDING IMPROVED EMS SERVICES - FERRELL HOSPITAL IS RECEIVING INCREASED BENEFIT FROM UTILIZATION OF ICAHN PROGRAMS AND SERVICES, ESPECIALLY THE LIST-SERVS- EPIC RECORDS SYSTEM AT FERRELL HOSPITAL- NEW ENTREPRENEURIAL SMALL BUSINESSES ARE OPENING- NEW CLINIC IN WHITE COUNTY- NEW CLINIC IN HARRISBURG- NEW SERVICES AT FERRELL HOSPITAL INCLUDING ENT, AUDIOLOGY, AND WOUND SERVICES- IMPROVED LEADERSHIP FROM THE MEDICAL STAFF AT FERRELL HOSPITAL FOCUS GROUP THREE - MEDICAL PROVIDERS- NEW FAMILY MEDICINE CLINIC IN CARMI- THE AVERAGE AGE OF THE MEDICAL STAFF AT FERRELL HOSPITAL HAS DROPPED FROM NEAR 60 TO NEAR 40- NEW SPECIALTY SERVICE LINES AT FERRELL HOSPITAL, INCLUDING THE WOUND CLINIC, ENT, AND ORTHOPEDICS- NEW CLINIC IN HARRISBURG- WOMEN'S HEALTH- WEEKEND HOURS AT CLINIC- NEW FACILITY AT FERRELL HOSPITAL- COMMUNICATION AMONG HOSPITALS, SKILLED CARE FACILITIES, AND PUBLIC HEALTH IS VERY GOODTHE GROUPS WERE NEXT ASKED TO IDENTIFY NEEDS CONTINUING TO FACE THE HEALTH OF THE COMMUNITY, INCLUDING PHYSICAL AND MENTAL WELLNESS AND THE DELIVERY OF HEALTH SERVICES AND CARE FOR ALL SEGMENTS AND MEMBERS.FOCUS GROUP ONE - COMMUNITY LEADERS- LOCAL ACCESS TO DIALYSIS- MANPOWER FOR AMBULANCES/EMS NEEDS- BETTER AMBULANCE PLACEMENT- RESOURCES FOR TRAINING OPPORTUNITIES FOR POTENTIAL EMPLOYEES FOR ROLES ACROSS THE COMMUNITIES- SERVICES FOR TREATMENT AND RESOURCES FOR PERSONS FACING SUBSTANCE USE DISORDERS, ESPECIALLY YOUTH AND YOUTH WITH CO-OCCURRING CONDITIONS- MOBILE SERVICES TO UNDERSERVED COMMUNITIES- HOME MEDICAL SERVICES FOR SENIORS, ESPECIALLY IN OUTLYING COMMUNITIES, RURAL AREAS- UNDERSTAND POTENTIAL LONG-TERM IMPACT OF COVID TO SPECIFIC COMMUNITIES- NEED TO CONTINUE THE MOMENTUM FOR STRONG COMMUNITY PARTNERSHIPS, PLANNING AND ACTION TO IDENTIFY AND ADDRESS EMERGING ISSUES FOCUS GROUP TWO - HOSPITAL DEPARTMENT MANAGERS- IMPROVED TRANSPORTATION TO AND FROM LOCAL MEDICAL SERVICES- LOCAL ACCESS TO OBSTETRICS SERVICES- COMMUNITY EDUCATION AROUND MEDICAID AND MEDICARE- LOCAL ACCESS TO NEUROLOGY SERVICES- ADDRESS PATIENT APATHY ABOUT THEIR OWN HEALTHCARE AND NEEDS- EXPAND ACCESS TO PROFESSIONAL COUNSELING SERVICES FOR BEHAVIORAL HEALTH AND SUBSTANCE USE ISSUES- MORE AGGRESSIVE LOCAL ECONOMIC DEVELOPMENT- EXPANDED LOCAL EDUCATION OPPORTUNITIES FOR HEALTHCARE EMPLOYMENT POSITIONS, INCLUDING TECHNICAL CERTIFICATE PROGRAMS- ACCESS TO DAY CARE- ADDRESS DWINDLING HEALTHCARE WORKFORCE- STAFF FOR IN-PATIENT TRANSPORT ER TO ER AND ER TO INPATIENT- EMERGENCY DENTAL SERVICES, ESPECIALLY FOR UNDERSERVED AND UNSERVED PATIENTS- PREVENTATIVE DENTAL CARE, ESPECIALLY FOR UNDERSERVED AND UNSERVED PATIENTS- LOCAL ACCESS TO INPATIENT PSYCHIATRIC AND SUBSTANCE REHABILITATION/RECOVERY- EMERGENT CARE IN WHITE COUNTY- ADEQUATE, RELIABLE BROAD BAND TO SUPPORT TELEHEALTH SERVICES- RESOURCES FOR HOMELESS PERSONS TO PROVIDE FOR SHELTER AND BASIC NEEDS- ACCESS TO LOCALIZED AND SPECIALIZED DATA.- EXPAND ACCESS TO IN-HOME HEALTH CARE- LOCAL ACCESS TO ENDOCRINOLOGY- FAMILY WELLNESS CENTER PROVIDING OPPORTUNITIES FOR RECREATION, EXERCISE, AND WELLNESS EDUCATION- COMMUNITY EDUCATION ON HEATH LITERACY- TEEN WELLNESS OPPORTUNITIES AND PROGRAMS FOCUS GROUP THREE - MEDICAL PROVIDERS- PSYCHIATRIC CARE FOR YOUTH- IMPROVE TRANSPORTATION TO AND FROM APPOINTMENTS- AMBULANCES AND STAFF FOR TRANSPORTS- LOCAL OBSTETRIC CARE- EXPLORE CAUSES FOR HIGH LOCAL CANCER RATES- ACCESS TO AFFORDABLE HEALTHY FOODS- THERE IS NO URGENT CARE OR EMERGENCY CARE IN IN GALLATIN, POPE, OR WHITE COUNTIES- EXPLORE A WELLNESS/COMMUNITY HEALTH CENTER- COMPREHENSIVE SERVICES FOR PERSONS WITH SUBSTANCE USE DISORDERS- ADDRESS LACK OF HEALTHY FOOD CHOICES FOR HOME AND AT RESTAURANTS- NUTRITION EDUCATION- EXPLORE IMPACT OF LOCAL GAMBLING- INCREASE ACCESS TO COUNSELORS AND SOCIAL WORKERS- INCREASE OPPORTUNITIES FOR WELLNESS AND WELLNESS EDUCATION FOR YOUTH- OPPORTUNITIES FOR SOCIALIZATION FOR SENIORS- EXPLORE SOLUTIONS FOR LOCAL UNEMPLOYMENT AND POVERTY- CONTINUE CONVERSATIONS ABOUT COMMUNITY HEALTHIN ADDITION, A PUBLIC SURVEY OF THE COMMUNITY WAS CONDUCTED THROUGH THE FERRELL HOSPITAL WEBSITE. TWENTY-FOUR PERSONS RESPONDED TO THE SURVEY ADDRESSING HEALTH AND WELLNESS ISSUES. |
| FERRELL HOSPITAL COMMUNITY | PART V, SECTION B, LINE 7D: HTTPS://WWW.FERRELLHOSP.ORG/ABOUT-US/DOCUMENTS-ABOUT-US/2021-FERRELL-HOSPITAL-CHNA-FINAL.PDF |
| FERRELL HOSPITAL COMMUNITY | PART V, SECTION B, LINE 11: THREE FOCUS GROUPS MET TO DISCUSS THE STATE OF OVERALL HEALTH AND WELLNESS IN THE FERRELL HOSPITAL SERVICE AREA AND TO IDENTIFY HEALTH CONCERNS AND NEEDS IN THE DELIVERY OF HEALTHCARE AND HEALTH SERVICES IN ORDER TO IMPROVE WELLNESS AND REDUCE CHRONIC ILLNESS FOR ALL RESIDENTS. THE FOCUS GROUPS INCLUDED REPRESENTATION OF HEALTHCARE PROVIDERS, COMMUNITY LEADERS, COMMUNITY SERVICES PROVIDERS, SCHOOLS, A COMMUNITY COLLEGE, FAITH-BASED ORGANIZATIONS, LOCAL ELECTED OFFICIALS, PUBLIC HEALTH AND OTHERS. SEVERAL MEMBERS OF THESE GROUPS PROVIDED SERVICES TO UNDERSERVED AND UNSERVED PERSONS AS ALL OR PART OF THEIR ROLES.THE FINDINGS OF THE FOCUS GROUPS WERE PRESENTED, ALONG WITH SECONDARY DATA ANALYZED BY THE CONSULTANT, TO A THIRD GROUP FOR IDENTIFICATION AND PRIORITIZATION OF THE SIGNIFICANT HEALTH NEEDS FACING THE COMMUNITY. THE GROUP CONSISTED OF REPRESENTATIVES OF PUBLIC HEALTH, COMMUNITY LEADERS, HEALTHCARE PROVIDERS, AND COMMUNITY SERVICES PROVIDERS.AT THE CONCLUSION OF THEIR REVIEW AND DISCUSSION, THE IDENTIFICATION AND PRIORITIZATION GROUP ADVANCED THE FOLLOWING NEEDS:1. THE GROUP FIRST IDENTIFIED AND PRIORITIZED AVAILABILITY OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, INCLUDING: REDUCING THE STIGMA TOWARD MENTAL HEALTH AND SUBSTANCE USE DISORDERS ISSUES AND TREATMENT IMPROVED ACCESS TO MENTAL HEALTH AND SUBSTANCE USE CARE AT ALL LEVELS FOR YOUTH IMPROVED ACCESS TO MENTAL HEALTH AND SUBSTANCE USE CARE AT ALL LEVELS FOR ADULTS2. THE GROUP NEXT PRIORITIZED THE NEED TO REDUCE COVID VACCINE HESITANCY3. THE THIRD PRIORITIZED NEED WAS TO ADDRESS AWARENESS, STIGMA, AND FLEXIBILITY ISSUES RELATED TO PUBLIC TRANSPORTATIONTHE RESULTS OF THE ASSESSMENT PROCESS WERE THEN PRESENTED TO SENIOR STAFF AT FERRELL HOSPITAL THROUGH A FACILITATED DISCUSSION FOR DEVELOPMENT OF A PLAN TO ADDRESS THE IDENTIFIED AND PRIORITIZED NEEDS.THE GROUP ADDRESSED THE NEEDS WITH THE FOLLOWING STRATEGIES:- FERRELL HOSPITAL WILL DEVELOP A COMMERCIAL MEDIA AND SOCIAL MEDIA INFORMATION DRIVE, INCLUDING USING IN-HOUSE KIOSKS TO CREATE AWARENESS OF MENTAL HEALTH STIGMA AND ITS IMPACT- FERRELL HOSPITAL WILL DEVELOP A YOUTH-TARGETED CAMPAIGN TO ADDRESS THE STIGMA THAT OFTEN RESULTS IN FAILURE TO SEEK HELP BY YOUTH FACING SUBSTANCE USE DISORDERS PERSONALLY OR AT HOME- FERRELL HOSPITAL WILL INITIATE A PAIN MANAGEMENT PROGRAM THAT WILL INCLUDE MEDICATION ASSISTED TREATMENT TO RESPOND TO SUBSTANCE USE DISORDERS- FERRELL HOSPITAL WILL EXPLORE PARTNERSHIPS WITH SCHOOLS FOR NEW AND EXPANDED SERVICES FOR YOUTH- FERRELL HOSPITAL WILL EXPLORE WAYS TO PARTNER OR COOPERATE WITH THE STRESS AND TRAUMA CLINIC IN ELDORADO- FERRELL HOSPITAL WILL EXPLORE DEVELOPING SUPPORT GROUPS FOR PERSONS WITH MENTAL HEALTH AND/OR SUBSTANCE USE ISSUES AND THOSE THAT CARE ABOUT THEM- FERRELL HOSPITAL WILL EXPLORE INCREASING COUNSELING CAPABILITIES AT ALL CLINICS- FERRELL HOSPITAL WILL CONTINUE TO PROVIDE COUNSELING TO SENIORS- FERRELL HOSPITAL WILL EXPLORE DEVELOPING TELE-MENTAL HEALTH SERVICE FOR YOUTH AND ADULTS- FERRELL HOSPITAL WILL CONTINUE TO COLLABORATE WITH PUBLIC HEALTH AGENCIES TO DEVELOP MENTAL HEALTH MITIGATIONS- FERRELL HOSPITAL WILL CONTINUE EDUCATION EFFORTS ON VACCINATIONS AND COVID PREVENTION IN THE COMMUNITY AND AMONGST EMPLOYEES AND NEW HIRES- FERRELL HOSPITAL WILL ATTEMPT TO ADDRESS PORTIONS OF THESE SPECIFIC ISSUES BY CONTINUING TO INCREASE THE AVAILABILITY OF LOCAL MEDICAL SERVICES, THEREBY REDUCING THE NEED FOR TRANSPORTATION OUT OF THE AREA FOR CARE- WHILE WIDESCALE GENERAL PUBLIC TRANSPORTATION IS BEYOND THE ROLE AND EXPERTISE OF A CRITICAL ACCESS HOSPITAL, FERRELL HOSPITAL STANDS READY TO REASONABLY ASSIST ANY AGENCY OR ORGANIZATION THAT DETERMINES TO ATTEMPT TO RESOLVE THE ISSUES OF AWARENESS, STIGMA, AND FLEXIBILITY RELATED TO TRANSPORTATION NEEDS.FERRELL HOSPITAL BELIEVES THAT THE CONDITION OF THE LOCAL ECONOMY IS, IN PART, RESPONSIBLE FOR THE OVERALL PICTURE OF PUBLIC TRANSPORTATION IN THE AREA. ECONOMIC CONDITIONS INCLUDING DECLINE IN EMPLOYMENT OPPORTUNITIES AND RELATED IMPACTS HAVE REDUCED STABILITY OF CIRCUMSTANCES THAT IMPACT PUBLIC TRANSPORTATION FROM THE NECESSITY FOR MANY TO TRAVEL BEYOND THE LOCAL AREA FOR WORK AND OTHER NEEDS AND THE POPULATION ITSELF. FERRELL HOSPITAL IS COMMITTED TO OFFER APPROPRIATE AND REASONABLE SUPPORT TO EFFORTS OF LOCAL GOVERNMENTS, CHAMBERS OF COMMERCE, AND OTHERS TO ADDRESS ECONOMIC ISSUES AND SOCIAL DETERMINANTS OF HEALTH, INCLUDING BROADBAND.THE COMMUNITY HEALTH NEEDS PROCESS IS CONDUCTED EVERY THREE YEARS. IN RESPONSE TO ISSUES IDENTIFIED AND PRIORITIZED AND THE IMPLEMENTATION STRATEGY DEVELOPED TO ADDRESS THEM, FERRELL HOSPITAL HAS TAKEN THE FOLLOWING STEPS SINCE THE LAST CHNA.PRIORITY #1: EXPLORE THE CAUSES OF CHRONIC ILLNESS AND IMPROVING EARLY IDENTIFICATION THROUGH SCREENINGS AND OTHER METHODS, ESPECIALLY CANCER AND HEART DISEASE- STARTED CLINICS FOR PERIPHERAL ARTERIAL DISEASE (PAD) AND CONGESTIVE HEART FAILURE (CHF) FOR FERRELL HOSPITAL PATIENTS- STAFF RECEIVED TRAINING REGARDING SMOKING CESSATION CLASSES TO BE OFFERED TO THE COMMUNITY- HIRED A FULLTIME DIETITIAN TO PERFORM INPATIENT AND OUTPATIENT CONSULTATIONS.- OFFERED "LUNCH AND LEARNS" TO ADDRESS HEART DISEASE AND OTHER CHRONIC DISEASES TO THE COMMUNITY PRIOR TO COVID- WORKED WITH DEACONESS ON EPIC TO ENSURE FERRELL HOSPITAL WAS RECEIVING ACCURATE DATA ON PATIENTS WHO WERE IN NEED OF SCREENINGS. THIS WAS PUT ON HOLD DUE TO COVID- STARTED THE PROCESS OF THE DIABETES SELF-MANAGEMENT PROGRAMPRIORITY #2: PROVIDE EDUCATION AND GUIDANCE FOR SENIORS ON THE TOPICS OF MEDICARE, SENIOR WELLNESS, AND OTHER HEALTH SERVICES FOR OLDER ADULTS- CONTINUED TO WORK TO EXPAND THE SENIOR TRANSITIONS PROGRAM AND HIRED AN ADDITIONAL COUNSELOR- ADDED RHEUMATOLOGY AND UROLOGY SERVICESPRIORITY #3: MENTAL HEALTH- TWO NURSE PRACTITIONERS SUCCESSFULLY COMPLETED THE CERTIFICATION PROGRAM TO IMPLEMENT SUBOXONE SERVICES FOR SUBSTANCE ABUSE- PROVIDE MENTAL HEALTH EDUCATION TO PATIENTS AS NEEDED WHEN PRESENTING TO FERRELL HOSPITALPRIORITY #4: ADDRESS TEEN BIRTH RATE, LOW BIRTH RATE, AND INFANT MORTALITY THROUGH EDUCATION AND ACCESS TO CARE- BEGAN OFFERING WOMEN'S SERVICES IN SALINE AND WHITE COUNTY THROUGH FERRELL HOSPITAL'S CLINICS- CLINIC PROVIDERS OFFERED EDUCATIONAL PROGRAMS AT THE MIDDLE SCHOOLPRIORITY #5: LOCAL ACCESS TO DENTAL CARE, ESPECIALLY FOR PERSONS ON MEDICAID- EXPLORED OPTIONS OF DENTAL SERVICES WITHIN RURAL HEALTH CLINICS |
| FERRELL HOSPITAL COMMUNITY | PART V, SECTION B, LINE 23: THE HOSPITAL CHARGES THE SAME AMOUNT FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE FOR FAP-ELIGIBLE PATIENTS AND ALL OTHER PATIENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - FERRELL HOSPITAL FAMILY PRACTICE | ||||
| 1036 MAPLE STREET | ELDORADO | IL | 62930 | RURAL HEALTH CLINIC |
| 2 - EL DORADO FAMILY MEDICINE | ||||
| 1407 LOCUST STREET | ELDORADO | IL | 62930 | RURAL HEALTH CLINIC |
| 3 - CARMI FAMILY MEDICINE | ||||
| 1340 IL HWY 1 SUITE A | CARMI | IL | 62821 | RURAL HEALTH CLINIC |
| 4 - MCLEANSBORO FAMILY MEDICINE | ||||
| 206 S WASHINGTON STREET | MCLEANSBORO | IL | 62859 | RURAL HEALTH CLINIC |
| 5 - HARRISBURG FAMILY MEDICINE | ||||
| 30 VETERANS DRIVE | HARRISBURG | IL | 62946 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE HOSPITAL USED A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2; RATIO OF PATIENT CARE COST TO CHARGES INCLUDED IN THE SCHEDULE H INSTRUCTIONS TO DETERMINE THE AMOUNTS ON LINE 7A OF PART 1 OF SCHEDULE H. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | FERRELL HOSPITAL COMMUNITY FOUNDATION OFFERS VARIOUS BENEFITS TO THE COMMUNITY INCLUDING BUT NOT LIMITED TO CPR/FIRST AID, PARTICIPATION IN THE SALINE COUNTY HEALTHY COALITION, PARTICIPATION IN HEALTH FAIRS AT LOCAL HIGH SCHOOLS AND COLLEGES, POISON PREVENTION AND HEALTH CARE CAREER PRESENTATIONS TO LOCAL SCHOOLS, PROVIDE TOURS OF THE HOSPITAL, HOLD FLU VACCINATION CLINICS, PERIODIC BLOOD PRESSURE AND GLUCOSE SCREENINGS, SPEAKING ENGAGEMENTS FOR COMMUNITY ORGANIZATIONS, CO-SPONSOR THE KIDNEY MOBILE, SPONSOR THE LOCAL HIGH SCHOOL PROM, PARTICIPATE IN THE RELAY FOR LIFE, SPONSOR FUNCTIONS AT THE LOCAL SENIOR CITIZENS CENTER, HOLD WELLNESS WORKSHOPS, PROVIDE A TRAINER FOR THE LOCAL HIGH SCHOOL SPORTS TEAMS, PROVIDE FIRST AID KITS FOR LOCAL SPORTS TEAMS, PROVIDE CLOTHING FOR DOMESTIC ABUSE VICTIMS AND PARTICIPATE IN THE SAFE HAVEN PROGRAM. |
| PART III, LINE 2: | THE BAD DEBT EXPENSE IS FROM THE TRIAL BALANCE. SEE ATTACHED PY FINANCIAL STMT PAGES 9 & 10 FOR METHODOLOGY. |
| PART III, LINE 3: | FINANCIAL ASSISTANCE COUNSELORS ARE IN PLACE TO CONTACT ANY PATIENT EXPRESSING INTEREST IN THE PROGRAM. PROCEDURES ARE IN PLACE TO MAKE DETERMINATIONS OF ALL PATIENTS' ELIGIBILITY AND TO PROVIDE THE APPROPRIATE ASSISTANCE. |
| PART III, LINE 4: | SEE THE PAGES 9 & 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, LINE 8: THE MEDICARE TOTAL REVENUE AND ALLOWABLE COSTS WERE BASED ON THE 2022 MEDICARE COST REPORT. THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT DUE TO THE HOSPTIAL PROVIDING CARE TO MEDICARE PATIENTS AT LESS THAN THE ALLOWABLE MEDICARE COSTS. |
| PART III, LINE 9B: | FERRELL HOSPITAL COMMUNITY FOUNDATION PROVIDES ASSISTANCE TO MEET THE NEEDS OF THE UNINSURED PATIENTS TO WHICH THEY SERVE. FOR THOSE PATIENTS WHO ARE EXPECTED TO QUALIFY UNDER THEIR FINANCIAL ASSISTANCE POLICY, THE HOSPITAL ASSIGNS THE FINANCIAL CARRIER FOR CHARITY CARE AT THE TIME OF THE REQUEST FOR THE HEALTH ASSISTANCE PROGRAM (HAP) APPLICATION. ONCE ASSIGNED, SEVERAL PROCEDURES ARE IN PLACE TO COMPLETE THE PROCESS INCLUDING INVESTIGATION FOR ANY OTHER AVAILABLE FUNDING SOURCES SUCH AS MEDICAID AND INCOME VERIFICATION. THOSE THAT COMPLETE THE HAP ACCURATELY AND QUALIFY UNDER THE HOSPITALS POLICY RECEIVE FREE OR DISCOUNTED CARE. |
| PART VI, LINE 2: | FCHF IS INVOLVED IN COMMUNITY ORGANIZATIONS, INCLUDING CHURCHES, CIVIC GROUPS AND PROFESSIONAL ORGANIZATIONS. |
| PART VI, LINE 3: | OUR FINANCIAL ASSISTANCE PROGRAM IS EASILY ACCESSED THROUGH OUR WEBSITE AND HAS THE FORMS LISTED FOR THE PATIENT TO PRINT OFF IF NEEDED. THE CONTACT PHONE NUMBERS OF OUR FINANCIAL COUNSELORS ARE ALSO LISTED. THERE ARE FERRELL HOSPITAL FINANCIAL ASSISTANCE BROUCHURES IN THE LOBBY AREAS OF THE HOSPITAL. ALL SELF PAY PATIENTS IN THE HOSPITAL ARE VISITED BY THE FINANCIAL COUNSELOR AND GIVEN THE NECESSARY PAPERWORK IF THE PATIENT REQUESTS IT. IF THE FINANCIAL COUNSELOR DOES NOT GET TO SEE THE PATIENT OR FAMILY, THEN A LETTER IS MAILED ALONG WITH THE APPLICATION TO THE PATIENT. UPON REGISTRATION OF THE PATIENT, THE REGISTRATION STAFF INFORMS THE PATIENT OF THE HOSPITAL FINANCIAL ASSISTANCE PROGRAMS AND GIVES THEM A BROCHURE. IF THE PATIENT REQUESTS TO TALK TO THE FINANCIAL COUNSELOR THEN THAT PERSON IS CALLED. |
| PART VI, LINE 4: | THE MAJORITY OF FERRELL HOSPITAL PATIENTS RESIDE IN SALINE, GALLATIN, WHITE AND HAMILTON COUNTIES. WE ALSO SEE SEVERAL PATIENTS FROM POPE AND HARDIN COUNTIES. OUR FACILITIES ARE LOCATED IN SALINE AND GALLATIN COUNTIES. THE UNEMPLOYMENT RATE AND POVERTY RATE OF THESE COUNTIES ARE HIGHER THAN THE NATIONAL AVERAGE AND VERY CLOSE TO THE STATE OF ILLINOIS AVERAGE. THE PAYER MIX IS HEAVILY MEDICAID/MEDICARE DEPENDENT. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH A JACKSON MD | ||||||||||||||
| PHYSICIAN | $479,060 | $0 | $24,856 | $0 | $0 | $0 | $20,500 | $0 | $33,598 | $0 | $558,014 | $0 | $0 | $0 |
| NATE OLDHAM MD | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $478,869 | $0 | $7,500 | $0 | $0 | $0 | $20,500 | $0 | $48,116 | $0 | $554,985 | $0 | $0 | $0 |
| JANNA PATHI MD | ||||||||||||||
| SURGEON | $468,934 | $0 | $1,160 | $0 | $0 | $0 | $0 | $0 | $11,741 | $0 | $481,835 | $0 | $0 | $0 |
| CALEB MITCHELL DO | ||||||||||||||
| PHYSICIAN | $374,145 | $0 | $7,679 | $0 | $0 | $0 | $20,500 | $0 | $30,469 | $0 | $432,793 | $0 | $0 | $0 |
| DAVID GUNZEL | ||||||||||||||
| PHYSICIAN | $276,201 | $0 | $16,310 | $0 | $0 | $0 | $10,950 | $0 | $31,640 | $0 | $335,101 | $0 | $0 | $0 |
| LUKE HALL | ||||||||||||||
| PHYSICIAN | $268,450 | $0 | $1,160 | $0 | $0 | $0 | $13,810 | $0 | $26,854 | $0 | $310,274 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | PHYSICIANS ARE ELIGIBLE FOR INCENTIVE COMPENSATION. THE PHYSICIAN IS COMPENSATED FOR EACH WORK RVU PERFORMED BY A PHYSICIAN IN A YEAR IN EXCESS OF THE PHYSICIAN'S WORK RVU INCENTIVE THRESHOLD FOR THE YEAR. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILLINOIS FINANCE AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 861091967 | BondIssuerEIN |
| CUSIP | 000000000 | CUSIPNum |
| Bond Issued | 2019-03-27 | BondIssuedDt |
| Issue Price | $33,260,000 | IssuePriceAmt |
| Purpose | CONSTRUCTION AND EQUIPMENT FOR NEW HOSPITAL | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $32,951,953 | TotalProceedsAmt |
| Capitalized Interest | $510,877 | CapitalizedInterestAmt |
| Refunding Escrow | $809,783 | RefundingEscrowAmt |
| Credit Enhancement | $308,047 | CreditEnhancementAmt |
| Capital Expenditures | $31,323,246 | CapitalExpendituresAmt |
| Substantial Completion | 2021 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | Yes (1) | RefundingTaxableBondsInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | GENE MORRIS AND DR. NATE OLDHAM HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 3 | EFFECTIVE JANUARY 1, 2016, THE HOSPITAL ENTERED INTO A FIVE-YEAR MANAGEMENT SERVICES AGREEMENT. MANAGEMENT SERVICES PROVIDED TO THE HOSPITAL CONSIST OF MANAGEMENT PERSONNEL INCLUDING A CEO AND CFO, FACILITY PLANNING, STRATEGIC PLANNING, RECRUITING, AND SEVERAL OTHER SUPPORT AND OVERSIGHT SERVICES. THE INITIAL TERM OF THE AGREEMENT IS FOR A FIVE-YEAR PERIOD, WHICH CAN BE EXTENDED BEYOND THE INITIAL FIVE-YEAR PERIOD, IF SO DESIRED. THE AGREEMENT CAN BE TERMINATED BY EITHER PARTY WITH A ONE HUNDRED AND EIGHTY DAY NOTICE WITHOUT RECOURSE SUBSEQUENT TO THE INITIAL FIVE-YEAR TERM. IF THE AGREEMENT IS TERMINATED BY THE HOSPITAL WITHIN THE INITIAL FIVE YEAR TERM OF THE AGREEMENT, THE HOSPITAL WILL BE ASSESSED A PENALTY IN THE AMOUNT OF $500,000 TO BE PAYABLE TO THE MANAGEMENT SERVICE ORGANIZATION. THE HOSPITAL WILL REIMBURSE THE MANAGEMENT SERVICE PROVIDER THE ACTUAL COST OF PROVIDING THE MANAGEMENT SERVICES ON A MONTHLY BASIS FOR THE YEARS ENDED MARCH 31, 2023 AND 2022. MANAGEMENT FEES INCURRED WERE $120,000 PER YEAR DURING THE FYE 2023, A PORTION OF COST REPORT PROCEEDS TOTALING $713,422 AND THE FOLLOWING INDIVIDUALS WERE COMPENSATED BY THE MANAGEMENT SERVICE PROVIDER: ALISA COLEMAN, CHIEF EXECUTIVE OFFICER AND DIRK MORGAN, CHIEF FINANCIAL OFFICER TOTALING $631,588.04. UNLESS OTHERWISE TERMINATED, UPON EXPIRATION OF THE INITIAL TERM THE MANAGEMENT AGREEMENT WILL THEREAFTER AUTOMATIACALLY RENEW FOR ADDITIONAL CONSECUTIVE ONE YEAR PERIODS ("EXTENDED TERMS"). |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CEO AND CFO REVIEW THE COMPLETED FORM 990 AS PREPARED BY THE PAID PROVIDER FOR COMPLETENESS AND ACCURACY. THE BOARD CHAIR AND THE CEO AND CFO SUBMIT THE FORM TO THE BOARD FOR FINAL APPROVAL IMMEDIATELY PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | COPIES OF THE CONFLICT OF INTEREST POLICY ARE PROVIDED TO EACH DIRECTOR, OFFICER, AND MANAGEMENT PERSON AT LEAST ONCE PER YEAR, WITH REQUIREMENT THAT THEY COMPLETE A CERTIFICATE. THE CERTIFICATE CONFIRMS THAT THEY UNDERSTAND THIS POLICY, AGREE TO COMPLY, INDICATE ANY KNOWN CONFLICTS, AND HAVE NO KNOWLEDGE OF ANY ADDITIONAL VIOLATIONS OF THE POLICY. ANY PERSON WITH A CONFLICT IS REQUIRED TO COMPLETE A SPECIFIC DISCLOSURE NOTICE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO'S SALARY WAS DETERMINED BY COMPARISON WITH PRIOR PERSONS EMPLOYED IN THE POSITION, INDUSTRY COMPARISONS, RELATIVE EXPERIENCE AND KNOWLEDGE. THE CEO'S SALARY WAS APPROVED BY THE BOARD OF DIRECTORS. ALL DELIBERATIONS ARE INCLUDED IN BOARD MINUTES. THIS PROCESS WAS LAST COMPLETED IN 2016. THE CFO'S SALARY WAS DETERMINED AND APPROVED IN THE SAME MANNER AS THE CEO'S SALARY. ALL OTHER EXECUTIVE SALARIES ARE APPROVED BY EXECUTIVE MANAGEMENT AND ANALYZED BASED ON INDUSTRY COMPARATIVE DATA AND POSITION DESCRIPTIONS, COMMENSURATE EXPERIENCE, EXPERTISE AND TRAINING. THIS PROCESS WAS LAST COMPLETED IN 2016. |
| FORM 990, PART VI, SECTION C, LINE 19 | FERRELL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 TAX RETURNS ARE AVAILABLE TO THE PUBLIC BY REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 1,144,107. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,144,107. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,400,024. MANAGEMENT AND GENERAL EXPENSES 1,187,539. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,587,563. |
| FORM 990, PART XI, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
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