HOPEDALE MEDICAL FOUNDATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
HOPEDALE MEDICAL FOUNDATION (EIN 37-0808925)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-15
IRS object ID
202421369349309392
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-15T13:12:55-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14650 EAST 53RD STREETAddressLine1Txt
CityDAVENPORTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP528073479ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN370808925EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE HOPEDALE MEDICAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOPEBusinessNameControlTxt
Phone3094493321PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1107 TREMONT STAddressLine1Txt
CityHOPEDALECityNm
State AbbreviationILStateAbbreviationCd
ZIP61741ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEMILY WHITSONPersonNm
Person TitleCHIEF OPERATING OFFICERPersonTitleTxt
Phone3094493321PhoneNum
Signature2024-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstEMILYPersonFirstNm
Person LastWHITSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENIFER L CHASEPreparerPersonNm
PTINP01306883PTIN
Phone5638884000PhoneNum
Preparation2024-05-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HOPEDALE MEDICAL COMPLEXBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerEMILY WHITSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1107 TREMONT STAddressLine1Txt
CityHOPEDALECityNm
State AbbreviationILStateAbbreviationCd
ZIP61741ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$45,243,525GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOPEDALEMC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1961FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO PROVIDE OUTSTANDING PHYSICIAN-DIRECTED HEALTH, WELLNESS, AND RESIDENTIAL SERVICES IN A PERSONAL, PRIVATE, FAMILY ATMOSPHERE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee470TotalEmployeeCnt
Total Volunteers54TotalVolunteersCnt
Total Gross UBI$943,744TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$412,350PYContributionsGrantsAmt
CY Contributions Grants$1,610,259CYContributionsGrantsAmt
PY Program Service Revenue$32,012,020PYProgramServiceRevenueAmt
CY Program Service Revenue$36,152,675CYProgramServiceRevenueAmt
PY Investment Income$56,619PYInvestmentIncomeAmt
CY Investment Income$522,159CYInvestmentIncomeAmt
PY Other Revenue$4,576,975PYOtherRevenueAmt
CY Other Revenue$5,128,402CYOtherRevenueAmt
PY Total Revenue$37,057,964PYTotalRevenueAmt
CY Total Revenue$43,413,495CYTotalRevenueAmt
PY Grants And Similar Paid$34,695PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$22,473CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,872,071PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$22,013,758CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$7,281CYTotalFundraisingExpenseAmt
PY Other Expenses$12,501,949PYOtherExpensesAmt
CY Other Expenses$13,029,193CYOtherExpensesAmt
PY Total Expenses$32,408,715PYTotalExpensesAmt
CY Total Expenses$35,065,424CYTotalExpensesAmt
PY Revenues Less Expenses$4,649,249PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,348,071CYRevenuesLessExpensesAmt
Total Assets BOY$57,589,315TotalAssetsBOYAmt
Total Assets EOY$67,009,209TotalAssetsEOYAmt
Total Liabilities BOY$18,648,234TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,432,654TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$38,941,081NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$47,576,555NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE OUTSTANDING PHYSICIAN-DIRECTED HEALTH, WELLNESS, AND RESIDENTIAL SERVICES IN A PERSONAL, PRIVATE, FAMILY ATMOSPHERE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$26,913,081ExpenseAmt
Grant$22,473GrantAmt
Revenue$34,316,742RevenueAmt
DescTHE HOPEDALE MEDICAL COMPLEX IS OWNED AND OPERATED BY THE NOT-FOR-PROFIT CHARITABLE CORPORATION KNOWN AS THE HOPEDALE MEDICAL FOUNDATION. THE HOPEDALE MEDICAL COMPLEX STARTED AS A 20-BED HOSPITAL IN 1955 IN HOPEDALE, ILLINOIS AND HAS EXPANDED OVER THE YEARS TO OFFER CONTINUUM OF CARE SERVICES, INCLUDING A 25-BED ACUTE CARE HOSPITAL, NURSING HOME, INDEPENDENT AND ASSISTED LIVING FACILITY AS WELL AS A WELLNESS CENTER.THE HOPEDALE HOSPITAL IS A CRITICAL ACCESS HOSPITAL AND OFFERS VIRTUALLY THE SAME SERVICES AS A LARGER, URBAN HOSPITAL, INCLUDING 24 HOUR EMERGENCY ROOM, ICU, GENERAL AND ADVANCED VASCULAR SURGERY, ORTHOPEDIC SURGERY, PLASTIC/RECONSTRUCTIVE SURGERY, OPEN MRI AND CT SCANNER. THE HOPEDALE MEDICAL COMPLEX ALSO OFFERS PHYSICIAN SERVICES THROUGH FIVE SATELLITE OFFICES IN ATLANTA, MANITO, MACKINAW, DELAVAN, AND TREMONT.HOPEDALE WELLNESS CENTER HAS AN INDOOR GYM, WALKING TRACK, THREE THERAPY POOLS, DAY CARE, PHYSICAL THERAPY DEPARTMENT AND ALL PURPOSE ROOM FOR THEIR MEMBERS TO USE. THE WELLNESS CENTER ALSO OFFERS CLUB MEMBERSHIPS TO THE RESIDENTS OF HOPEDALE AND SURROUNDING AREAS. PRESENTLY, THE WELLNESS CENTER HAS APPROXIMATELY 1,500 MEMBERS WHO ENROLLED IN VARIOUS PROGRAMS AND ACTIVITIES. A SPORTS MEDICINE PROGRAM HAS ALSO BEEN DEVELOPED FOR LOCAL SCHOOL DISTRICTS AND SPORTS TEAMS THAT THE COMPLEX SERVES TO IMPROVE CONDITIONING OF ATHLETES AND TO REDUCE SPORTS INJURIES. THE COST TO OPERATE THE WELLNESS CENTER IS MORE THAN THE REVENUE THAT IS DERIVED FROM THE HEALTH MEMBERSHIPS WITH THE DIFFERENCE REPRESENTING A BENEFIT TO THE RESIDENTS AND THE COMMUNITY.SERVICE AREATHE HOPEDALE MEDICAL COMPLEX SERVES THE MEDICAL NEEDS OF THE LOCAL CITIZENS WITHIN A 50 MILE RADIUS OF HOPEDALE, ILLINOIS. THE HOPEDALE MEDICAL COMPLEX OPERATES FIVE SATELLITE PHYSICIAN OFFICES IN ADDITION TO A PHYSICIAN'S OFFICE LOCATED ON THE MAIN CAMPUS FOR THE CONVENIENCE OF OUR PATIENTS WITHIN OUR SERVICES AREA.HOSPITAL STAFFTHE HOPEDALE MEDICAL COMPLEX HAS A DEDICATED STAFF OF TRAINED HEALTH PROFESSIONALS THAT HAVE JOINED TOGETHER AS A TEAM TO PROVIDE THE BEST POSSIBLE HEALTH CARE FOR THE PATIENTS AND RESIDENTS OF OUR COMMUNITY.FINANCIAL ASSISTANCE PROGRAMSTHE HOPEDALE MEDICAL COMPLEX HAS POLICIES IN PLACE TO ENSURE THAT NECESSARY HEALTH SERVICES ARE NOT DENIED BASED ON ABILITY TO PAY AND THAT ALL PATIENTS ARE TREATED FAIRLY AND EQUITABLY, AND WITH RESPECT AND COMPASSION. HOPEDALE MEDICAL COMPLEX ASSISTS PERSONS WITHOUT INSURANCE COVERAGE BY WAIVING ALL OR PART OF THE CHARGES FOR SERVICES IT PROVIDES. SIGNS ARE POSTED IN THE ADMITTING AREAS SO THAT HOSPITAL POLICIES ARE CLEARLY COMMUNICATED TO PATIENTS AND PROSPECTIVE PATIENTS.EMERGENCY SERVICESTHE HOPEDALE MEDICAL COMPLEX OPERATES AN EMERGENCY ROOM THAT IS OPEN 24 HOURS A DAY, 365 DAYS A YEAR. THE EMERGENCY ROOM PROVIDES SERVICE TO ALL INDIVIDUALS, REGARDLESS OF THEIR ABILITY TO PAY AND DENIES SERVICE TO NO ONE.COMMUNITY LEADERSHOPEDALE MEDICAL FOUNDATION'S BOARD OF DIRECTORS IS COMPOSED OF VARIOUS LEADERS FROM THE COMMUNITY. THE DIRECTOR'S REPRESENT DIVERSE BACKGROUNDS AND INDUSTRIES WITHIN THE COMMUNITY.MEDICAL STAFFTHE MEDICAL STAFF AT HOPEDALE MEDICAL CENTER IS OPEN AND OFFERS PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE AREA.UNCOMPENSATED CARETHE HOPEDALE MEDICAL COMPLEX PARTICIPATES IN MEDICARE, MEDICAID, CHAMPUS, TRICARE AND OTHER GOVERNMENT SPONSORED HEALTH CARE PROGRAMS. THE CONTRACTED AMOUNT FOR THE ABOVE SERVICES EXCEPT MEDICARE IS OFTEN LESS THAN THE ACTUAL COST OF THE SERVICES, WITH THE DIFFERENCE REPRESENTING A BENEFIT TO THE PATIENT AND THE COMMUNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,215,733ExpenseAmt
Revenue$3,676,810RevenueAmt
DescHOPEDALE NURSING HOME IS A 59-BED LICENSED FACILITY OFFERING 24-HOUR NURSING CARE. IT IS PHYSICALLY LOCATED ON CAMPUS AND CONNECTED TO THE HOSPITAL FOR THE CONVENIENCE OF OUR RESIDENTS AND THEIR FAMILIES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,215,716ExpenseAmt
Revenue$1,711,811RevenueAmt
DescHOPEDALE COMMONS IS A 67-BED INDEPENDENT AND ASSISTED LIVING FACILITY. IT IS ALSO LOCATED ON CAMPUS AND IS LOCATED NEAR THE HOSPITAL FOR THE CONVENIENCE OF OUR RESIDENTS AND THEIR FAMILIES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$31,344,530TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document61IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee470EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EMILY WHITSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3094493321PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1107 TREMONT STAddressLine1Txt
CityHOPEDALECityNm
State AbbreviationILStateAbbreviationCd
ZIP61741ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHRISTOPHER CAMPBELL
DIRECTOR2.00Yes (X)$0$0$0
JOAN HARRISON
DIRECTOR2.00Yes (X)$0$0$0
TOM HIESER
DIRECTOR2.00Yes (X)$0$0$0
DONALD G OSWALD
DIRECTOR2.00Yes (X)$0$0$0
ROLAND RICH
DIRECTOR2.00Yes (X)$0$0$0
ALFRED N ROSSI MD
CHAIRMAN/CHIEF EXECUTIVE OFFICER2.00Yes (X)$0$0$0Yes (X)
MATTHEW B ROSSI MD
SECRETARY/TREASURER2.00Yes (X)$97,826$0$0Yes (X)
NICHOLAS B ROSSI MD
DIRECTOR40.00Yes (X)$1,500,000$0$0
PHILLIP J ROSSI MD
DIRECTOR2.00Yes (X)$14,437$0$0
JARIE A SLACK
FORMER DIRECTOR2.00Yes (X)$0$0$0
EMILY WHITSON
CHIEF OPERATING OFFICER40.00$327,345$0$41,769Yes (X)
JEFF PIPER
FORMER CHIEF FINANCIAL OFFICER40.00$141,883$0$14,742Yes (X)
ROBERT SEIDL MD
PHYSICIAN40.00$305,448$0$0Yes (X)
MICHAEL KEEDY
CERTIFIED REGISTERED NURSE ANESTHETIST40.00$266,552$0$33,249Yes (X)
BRAD KAUFMANN
CERTIFIED REGISTERED NURSE ANESTHETIST40.00$247,052$0$40,019Yes (X)
JASON KOBLER
CERTIFIED REGISTERED NURSE ANESTHETIST40.00$247,052$0$38,426Yes (X)
TIMOTHY SONDAG
CHIEF NURSING OFFICER, VP40.00$200,603$0$27,583Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,348,198TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$195,788TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EMERGENCY PHYSICIAN STAFFING SOLUTIONS
12528 SR 78HAVANAIL62644STAFFING AGENCY$1,558,460
NICHOLAS ROSSI
22 SAPPHIRE POINTMORTONIL61550PHYSICIAN/SURGICAL SERVICES$1,500,000
CENTRAL ILLINOIS IMAGING LLC
PO BOX 741127LOS ANGELESCA90074RADIOLOGY SERVICES$269,970
YASSER ALHAJ HUSSEIN
11634 QUARTZ CTFRANKFORTIL60423PHYSICIAN/SURGICAL SERVICES$162,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$13,238GovernmentGrantsAmt
All Other Contributions$1,597,021AllOtherContributionsAmt
Noncash Contributions$1,565,000NoncashContributionsAmt
Total Contributions$1,610,259TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621110$29,869,371$29,869,371
NURSING HOME623000$4,237,873$4,237,873
ASSISTED AND INDEPENDENT623000$1,803,211$1,803,211
WELLNESS CENTER713940$177,123$177,123
MASSAGE THERAPY621110$65,097$65,097
FieldValueIRS element (for citing)
Total Program Service Revenue$36,152,675TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$522,159TotalRevenueColumnAmt
Unrelated Business Revenue$62,687UnrelatedBusinessRevenueAmt
Exclusion$459,472ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$311,032RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$311,032RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$311,032TotalRevenueColumnAmt
Exclusion$311,032ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$6,263,775GrossSalesOfInventoryAmt
Cost Of Goods Sold$1,830,030CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,433,745TotalRevenueColumnAmt
Related Or Exempt Func Income$3,617,785RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$815,960UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CHILD CARE624410$168,391$168,391
CAFETERIA INCOME722514$119,363$119,363
MISCELLANEOUS900099$95,871$95,871
FieldValueIRS element (for citing)
Other Revenue Total$383,625OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,413,495TotalRevenueColumnAmt
Related Or Exempt Func Income$39,705,363RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$943,744UnrelatedBusinessRevenueAmt
Exclusion$1,154,129ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$14,924TotalAmt
Program Services$14,924ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$7,549TotalAmt
Program Services$7,549ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,177,358TotalAmt
Program Services$1,514,437ProgramServicesAmt
Management And General$662,921ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$325,025TotalAmt
Program Services$194,605ProgramServicesAmt
Management And General$130,420ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,746,181TotalAmt
Program Services$15,805,569ProgramServicesAmt
Management And General$940,612ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$270,222TotalAmt
Program Services$239,986ProgramServicesAmt
Management And General$30,236ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,402,838TotalAmt
Program Services$1,195,932ProgramServicesAmt
Management And General$206,906ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,092,134TotalAmt
Program Services$982,543ProgramServicesAmt
Management And General$109,591ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$25,292TotalAmt
Management And General$25,292ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$151,001TotalAmt
Management And General$151,001ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$9,942TotalAmt
Management And General$9,942ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$459,828TotalAmt
Program Services$446,331ProgramServicesAmt
Management And General$6,921ManagementAndGeneralAmt
Fundraising$6,576FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$190,883TotalAmt
Program Services$13,389ProgramServicesAmt
Management And General$177,494ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,367,934TotalAmt
Program Services$4,018,029ProgramServicesAmt
Management And General$349,200ManagementAndGeneralAmt
Fundraising$705FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$48,162TotalAmt
Management And General$48,162ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,205,529TotalAmt
Program Services$1,148,424ProgramServicesAmt
Management And General$57,105ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$82,798TotalAmt
Program Services$49,217ProgramServicesAmt
Management And General$33,581ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$450,500TotalAmt
Program Services$450,500ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,377,531TotalAmt
Program Services$2,265,479ProgramServicesAmt
Management And General$112,052ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$347,991TotalAmt
Program Services$51,110ProgramServicesAmt
Management And General$296,881ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SERVICES$1,961,181$1,666,977$294,204
MEDICAID PROVIDER TAXES$638,608$638,608
REPAIRS & MAINTENANCE$618,118$581,866$36,252
OTHER HOSPITAL TAXES$34,840$34,840

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$59,055TotalAmt
Program Services$59,055ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$35,065,424TotalAmt
Program Services$31,344,530ProgramServicesAmt
Management And General$3,713,613ManagementAndGeneralAmt
Fundraising$7,281FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,370,875BOYAmt
EOY$22,713,656EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$517,735BOYAmt
EOY$523,475EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,055,643BOYAmt
EOY$4,284,376EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$818,644BOYAmt
EOY$814,556EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$342,321BOYAmt
EOY$443,734EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$63,116,166LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,754,857LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$24,752,210BOYAmt
EOY$25,361,309EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,153,854BOYAmt
EOY$10,776,801EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,578,033BOYAmt
EOY$2,091,302EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$57,589,315BOYAmt
EOY$67,009,209EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,092,524BOYAmt
EOY$3,040,525EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$473,364BOYAmt
EOY$503,927EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,358,748BOYAmt
EOY$12,199,969EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,723,598BOYAmt
EOY$3,688,233EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,648,234BOYAmt
EOY$19,432,654EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$38,423,969BOYAmt
EOY$47,052,474EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$517,112BOYAmt
EOY$524,081EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,941,081BOYAmt
EOY$47,576,555EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,589,315BOYAmt
EOY$67,009,209EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$8,348,071ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$622,947NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$335,544OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$9,942OtherActivitiesAmt
Total Lobbying Expenditures$9,942TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPART II-B, LINE 1I, OTHER LOBBYING ACTIVITIES: LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED: 37% OF MEMBERSHIP DUES PAID TO THE ILLINOIS HOSPITAL ASSOCIATION, OR $9,942.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$810BeginningBalanceAmt
Additions During Year$17,727AdditionsDuringYearAmt
Distributions During Year$13,212DistributionsDuringYearAmt
Ending Balance$5,325EndingBalanceAmt
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,583,192OtherCostOrOtherBasisAmt
Book Value$2,583,192BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,013,704OtherCostOrOtherBasisAmt
Depreciation$15,546,708DepreciationAmt
Book Value$16,466,996BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,358,878OtherCostOrOtherBasisAmt
Depreciation$19,378,659DepreciationAmt
Book Value$3,980,219BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,160,392OtherCostOrOtherBasisAmt
Depreciation$2,829,490DepreciationAmt
Book Value$2,330,902BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,361,309TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ASBESTOS ACCRETION LIABILITY$25,000
CAPITALIZED LEASE OBLIGATIONS$795,892
ESTIMATED THIRD PARTY PAYOR SETTLEMENT$2,867,341
FieldValueIRS element (for citing)
Total Liability$3,688,233TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 1B:SOME NURSING HOME PATIENTS HOLD SMALL AMOUNTS OF FUNDS ON DEPOSIT WITH THE ORGANIZATION FOR INCIDENTALS AND LOW VALUE SERVICES, SUCH AS HAIR-CUTS. THE ORGANIZATION DOES NOT RECORD THE AMOUNTS AS ASSETS OF THE ORGANIZATION.
PART X, LINE 2:THE FOUNDATION IS A NON-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE FOUNDATION FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE TAX POSTION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HOSPITALS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX-EXEMPT STATUS OF THE ENTITY, THE CONTINUED TAX EXEMPT STATUS OF BONDS ISSUED BY THE OBLIGATED GROUP, THE NATURE, THE CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME (UBI). UBI IS REPORTED ON FORM 990-T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSTION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. HOPEDALE REAL ESTATE SERVICES, INC. (HRES) IS A FOR-PROFIT CORPORATION SUBJECT TO APPLICABLE FEDERAL AND ILLINOIS TAXES ON INCOME. HRES COMPUTES DEFERRED INCOME TAXES UNDER THE LIABILITY METHOD WHEREBY DEFERRED TAX ASSETS ARE RECOGNIZED FOR DEDUCTIBLE TEMPORARY DIFFERENCES AND NET OPERATING LOSS AND TAX CREDIT CARRYFORWARDS AND DEFERRED TAX LIABILITIES ARE RECOGNIZED FOR TAXABLE TEMPORARY DIFFERENCES. TEMPORARY DIFFERENCES ARE THE DIFFERENCES BETWEEN THE REPORTED AMOUNTS OF ASSETS AND LIABILITIES AND THEIR TAX BASIS. DEFERRED TAX ASSETS ARE REDUCED BY A VALUATION ALLOWANCE WHEN, IN THE OPINION OF MANAGEMENT, IT IS MORE LIKELY THAN NOT THAT SOME OR ALL OF THE DEFERRED TAX ASSETS WILL NOT BE REALIZED. DEFERRED TAX ASSETS AND LIABILITIES ARE ADJUSTED FOR THE EFFECTS OF CHANGES IN TAX LAWS AND RATES ON THE DATE OF ENACTMENT. THE TAXABLE INCOME OF HRES AND ITS RELATED CURRENT AND DEFERRED INCOME TAXES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS AND ARE NOT, THEREFORE, SEPARATELY PRESENTED. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE DIFFERENCE BETWEEN THE BENEFIT OF A TAX POSITION RECORDED FOR FINANCIAL STATEMENT PURPOSES AND THE AMOUNT REFLECTED ON A TAX RETURN IS RECORDED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATIOIN. AS OF JUNE 30, 2023 AND 2022, THERE WERE NO UNCERTAIN TAX BENEFITS RELATED TO UNCERTAIN TAX POSITIONS IDENTIFIED AND RECORDED AS A LIABILITY. FORMS 990, 990-T AND 1120 FILED BY THE ENTITIES ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. ON JANUARY 5, 2016, THE FOURTH DISTRICT APPELLATE COURT OF ILLINOIS RULED THAT SECTION 15-86 OF THE ILLINOIS PROPERTY TAX CODE IS UNCONSTITUTIONAL. THIS VERSION WAS APPEALED TO THE ILLINOIS SUPREME COURT, WHICH ON MARCH 23, 2017, VACATED THE FOURTH DISTRICT APPELLATE COURT'S RULING, CITING A LACK OF JURISDICTION, AND REMANDED THE CASE TO CIRCUIT COURT FOR RECONSIDERATION. IN SEPTEMEBER 2018, THE ILLINOIS SUPREME COURT AFFIRMED SECTION 15-86 AS CONSTITUTIONAL, ALLOWING CERTAIN MEDICAL CENTERS TO USE CHARITY CARE TO OFFSET THEIR PROPERTY TAX BILLS. MANAGEMENT HAS CONSULTED WITH LEGAL CONSEL AND CONTINUES TO BELIEVE THAT THE FOUNDATION MEETS THE REQUIREMENTS UNDER BOTH THE ILLINOIS STATUTES AND CONSTITUTION TO MAINTAIN ITS PROPERTY AND SALES TAX EXEMPTIONS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$155,168TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$155,168NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$888,001TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$360,661DirectOffsettingRevenueAmt
Net Community Benefit Expns$527,340NetCommunityBenefitExpnsAmt
Total Expense0.01500TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$123,774TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$123,774NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,166,943TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$360,661DirectOffsettingRevenueAmt
Net Community Benefit Expns$806,282NetCommunityBenefitExpnsAmt
Total Expense0.02290TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$563,763TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$263,960DirectOffsettingRevenueAmt
Net Community Benefit Expns$299,803NetCommunityBenefitExpnsAmt
Total Expense0.00850TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$563,763TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$263,960DirectOffsettingRevenueAmt
Net Community Benefit Expns$299,803NetCommunityBenefitExpnsAmt
Total Expense0.00850TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,730,706TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$624,621DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,106,085NetCommunityBenefitExpnsAmt
Total Expense0.03140TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,202,846BadDebtExpenseAmt
Reimbursed By Medicare$10,013,724ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,825,384CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$188,340MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOPEDALE MEDICAL FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1107 TREMONT STREETAddressLine1Txt
CityHOPEDALECityNm
State AbbreviationILStateAbbreviationCd
ZIP61747ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.HOPEDALEMC.COMWebsiteAddressTxt
State License1024StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HOPEDALE MEDICAL COMPLEXBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART VOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART VStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.HOPEDALEMC.COM/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.HOPEDALEMC.COM/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAMFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.HOPEDALEMC.COM/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAMFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HOPEDALE MEDICAL COMPLEXPART V, SECTION B, LINE 5: HOPEDALE MEDICAL COMPLEX (HMC) WORKED WITH THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN) TO CONDUCT THEIR COMMUNITY HEALTH NEEDS ASSESSMENT. TWO FOCUS GROUPS MET TO DISCUSS THE STATE OF OVERALL HEALTH AND WELLNESS IN THE HMC 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, FAITH-BASED ORGANIZATIONS, LOCAL ELECTED OFFICIALS, PUBLIC HEALTH AND OTHERS. SEVERAL MEMBERS OF THE FOCUS 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.
HOPEDALE MEDICAL COMPLEXPART V, SECTION B, LINE 6B: ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN)
HOPEDALE MEDICAL COMPLEXPART V, SECTION B, LINE 11: PRIORITY #1 - IMPROVE ACCESS TO HEALTHY FOODS AND NUTRITION INFORMATION ACROSS THE SERVICE AREA: PLANNED COLLABORATION BETWEEN THE HOSPITAL AND LOCAL FOOD PANTRIES TO OFFER ASSISTANCE FOR COORDINATION OF SERVICES THROUGH THE WELLNESS CENTER, CREATION AND MAINTENANCE OF A ROBUST LIBRARY OF NUTRITION INFORMATION AND RESOURCES THAT WILL BE AVAILABLE AT A NUTRITION INFORMATION STATION AT THE WELLNESS CENTER, AND UTILIZATION OF SOCIAL AND PRINT MEDIA RESOURCES TO MAKE MORE INFORMATION AVAILABLE ABOUT ACCESS TO HEALTH FOODS AND NUTRITION INFORMATION.PRIORITY #2 - IMPROVE ACCESS TO TARGETED EDUCATION AND INFORMATION ABOUT LOCAL RESOURCES FOR ACHIEVING AND MAINTAINING WELLNESS: PLANNED COLLABORATION WITH LOCAL SCHOOLS TO PROVIDE INFORMATION ABOUT LOCAL WELLNESS RESOURCES FOR HEALTH AND WELLNESS FOR YOUTH AND THE CONTINUATION OF SOCIAL AND PRINT MEDIA EFFORTS TO PROVIDE INFORMATION ABOUT LOCAL WELLNESS RESOURCES FOR HEALTH AND WELLNESS FOR YOUTH AND ADULTS. PRIORITY #3 - RE-ESTABLISH COMMUNICATION AMONG COMMUNITY PARTNERS POST-PANDEMIC: CONTINUATION OF BROAD SOCIAL MEDIA OUTREACH WITHIN THE SERVICE AREA, UTILIZATION OF A NEWSLETTER TO INFORM THE COMMUNITY AND PARTNER ORGANIZATIONS OF DEVELOPMENTS AND OPPORTUNITIES AT HMC, AND UPDATING AND RE-ESTABLISHING LINES OF COMMUNICATION WITH PARTNER ORGANIZATIONS. PRIORITY #4 - ADDRESS TRANSPORTATION ISSUES, INCLUDING TRANSPORTATION TO AND FROM PRIMARY CARE AND EMS RESPONSE TIME: EXPLORATION OF POTENTIAL TRANSPORTATION SOLUTIONS WITH LOCAL PARTNERS AND THROUGH THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK. PRIORITY #5 - EXPAND CHRONIC CARE MANAGEMENT TO REDUCE HOSPITAL VISITS: CONTINUATION AND EXPANSION OF CRITICAL CARE MANAGEMENT BASED ON REVIEW OF PROGRESS AND IMPACT AND NEEDS ANALYSIS.
PART V, SECTION B, LINE 7A:HTTPS://WWW.HOPEDALEMC.COM/COMMUNITY-OUTREACH/COMMUNITY-SERVICES
PART V, SECTION B, LINE 10A:HTTPS://WWW.HOPEDALEMC.COM/COMMUNITY-OUTREACH/COMMUNITY-SERVICES
FieldValueIRS element (for citing)
Facility9FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - HOPEDALE NURSING HOME
111 TREMONT STREETHOPEDALEIL61747NURSING HOME
2 - HOPEDALE COMMONS
211 221 SW RAILROAD STREETHOPEDALEIL61747ASSISTED AND INDEPENDENT LIVING
3 - HOPEDALE WELLNESS CENTER
107 TREMONT STREETHOPEDALEIL61747WELLNESS & FITNESS CENTER
4 - MEDICAL ARTS PHYSICIAN BUILDING
107 TREMONT STREETHOPEDALEIL61747OUTPATIENT PHYSICIAN CLINIC
5 - TREMONT MEDICAL ARTS
150 LAKE STREETTREMONTIL61568OUTPATIENT PHYSICIAN CLINIC
6 - DELAVAN DOCTORS' OFFICE
115 EAST 4TH STREETDELAVANIL61734OUTPATIENT PHYSICIAN CLINIC
7 - ATLANTA DOCTORS' OFFICE
108 SW ARCH STREETATLANTAIL61723OUTPATIENT PHYSICIAN CLINIC
8 - MACKINAW DOCTORS' OFFICE
407 S ORCHARD STREETMACKINAWIL61755OUTPATIENT PHYSICIAN CLINIC
9 - MANITO DOCTORS' OFFICE
101 E MASONMANITOIL61546OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:NOT APPLICABLE
PART I, LINE 6A:NOT APPLICABLE
PART I, LINE 7:HOPEDALE MEDICAL FOUNDATION UTILIZED WORKSHEET 2 TO CALCULATE ITS COST-TO-CHARGE RATIO, AND THIS RATIO WAS USED IN COMPUTING THE INFORMATION REPORTED IN PART I, LINE 7.
PART I, LINE 7G:NOT APPLICABLE
PART I, LN 7 COL(F):NO BAD DEBT EXPENSE WAS INCLUDED IN THE DENOMINATOR BECAUSE BAD DEBT WAS REPORTED IN LINE 2A OF PART VIII, STATEMENT OF REVENUE. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES IS 4.94%, AND THE PERCENTAGE INCREASES TO 32.96% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNTY BENEFIT EXPENSE.
PART II, COMMUNITY BUILDING ACTIVITIES:NOT APPLICABLE
PART III, LINE 2:BAD DEBT IS REPORTED AT THE FULL-ESTABLISHED CHARGE FROM THE MOST RECENT AUDITED FINANCIAL REPORT. ANY RECOVERIES ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED.
PART III, LINE 3:NOT APPLICABLE
PART III, LINE 4:PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING ACCOUNTS ON A MONTHLY BASIS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS AND BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS. THE ORGANIZATION DOES NOT CHARGE INTEREST ON PATIENT RECEIVABLES. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED PAST DUE WHEN AN AMOUNT IS PAST DUE ACCORDING TO THE PAYORS' AGREED-UPON TERMS. PATIENT RECEIVABLES ARE WRITTEN OFF AS BAD DEBT EXPENSE WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED. AS A SERVICE TO THE PATIENT, THE ORGANIZATION BILLS THIRD-PARTY PAYORS DIRECTLY AND THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED.
PART III, LINE 8:THIS IS NOT APPLICABLE, AS THE ORGANIZATION HAS A MEDICARE SURPLUS.
PART III, LINE 9B:THE ORGANIZATION APPLIES THE FOLLOWING PROCESSES AND PROCEDURES IN ITS COLLECTION PRACTICES FOR THOSE WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE POLICY:THE DISTINCTION BETWEEN CHARITY CARE AND BAD DEBT IS THE INABILITY TO PAY VERSUS THE UNWILLINGNESS OF THE PERSON TO PAY THEIR ACCOUNT. THOSE WITH LOW INCOMES OR WITH CATASTROPHIC MEDICAL BILLS MAY BE MEDICALLY INDIGENT EVEN THOUGH THEY ARE ABLE TO MEET BASIC LIVING EXPENSES. HOPEDALE MEDICAL COMPLEX WILL NOT DENY SERVICES TO ANY PATIENT DUE TO RACE, COLOR, RELIGION, GENDER, ANCESTRY, SEXUAL ORIENTATION, FINANCIAL CLASS OR NATIONAL ORIGIN.HOPEDALE MEDICAL FOUNDATION IS COMMITTED, TO THE EXTENT RESOURCES ALLOW, TO PROVIDING QUALITY HEALTHCARE TO ITS PATIENTS AND RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY.THE HOPEDALE MEDICAL FOUNDATION FINANCIAL ASSISTANCE PROGRAM ALLOWS FOR FREE OR REDUCED MEDICAL SERVICES TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT CARE; HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY FOR PART OF THE BILL AND ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND MEET THE INCOME AND ASSETS ELIGIBILITY CRITERIA.FINANCIAL ASSISTANCE IS AVAILABLE FOR NECESSARY HOSPITAL AND PHYSICIAN CHARGES ONLY.ELIGIBILITY DETERMINATION:FINANCIAL ASSISTANCE FORMS AND INSTRUCTIONS SHALL BE FURNISHED TO PATIENTS WHEN FINANCIAL ASSISTANCE IS REQUESTED, WHEN NEED IS INDICATED, OR WHEN FINANCIAL SCREENING INDICATES POTENTIAL NEED, IN THE CASE OF PATIENTS WITHOUT HEALTH INSURANCE. ALL APPLICATIONS SHOULD BE FOLLOWED BY DOCUMENTATION TO VERIFY INCOME AMOUNTS INDICATED ON THE APPLICATION FORM. ALL INFORMATION RECEIVED RELATING TO THE APPLICATION WILL BE KEPT CONFIDENTIAL AND USED TO VERIFY FINANCIAL NEEDS. STEPS USED BY HOPEDALE MEDICAL FOUNDATION TO DETERMINE AND VERIFY FINANCIAL ASSISTANCE:1) HOSPITAL IDENTIFIES ANY UNINSURED, UNDERINSURED, OR SELF-PAY PATIENTS.2) PATIENT COMPLETES APPLICATION/FINANCIAL STATEMENT THAT INCLUDES INCOME, ASSETS, AND LIABILITIES.3) FINANCIAL COUNSELOR INTERVIEWS PATIENT TO ASSESS THE PATIENT'S ABILITY TO PAY IN FULL; ABILITY TO PAY REASONABLE MONTHLY INSTALLMENTS; AND QUALIFICATION FOR FINANCIAL ASSISTANCE.4) HOSPITAL MAKES INITIAL DETREMINATION BASED UPON APPLICATION AND ANY ORAL INFORMATION PROVIDED BY PATIENT. PATIENT SIGNS APPLICATION CONFIRMING ACCURACY OF INFORMATION PROVIDED.5) PATIENT SUPPLIES DOCUMENTATION OF RESOURCES AND OUTSTANDING OBLIGATIONS WITHIN 30 DAYS FROM DATE OF APPLICATION.6) HOSPITAL MAKES FINAL DETERMINATION REGARDING ELIGIBILITY FOR FINANCIAL ASSISTANCE.7) HOSPITAL SENDS NOTIFICATION LETTER TO THE PATIENT AND/OR FAMILY WITH THE DECISION. NOTICE WILL INCLUDE INSTRUCTIONS FOR ESTABLISHING A PAYMENT PLAN, IF NEEDED, AND REASON FOR DENIAL, IF APPLICABLE.
PART VI, LINE 2:SERVICES OFFERED BY THE FOUNDATION INCLUDE MEDICAL/SURGICAL, SWING BED, CRITICAL CARE, OUTPATIENT SURGICAL SERVICES AND A SIGNIFICANT NUMBER OF OTHER ANCILLARY SERVICES NECESSARY TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY. THE HOSPITAL ALSO OFFERS 24-HOUR EMERGENCY ROOM SERVICES, LABORATORY AND DIAGNOSTIC IMAGING, PHYSICAL THERAPY AND OUTPATIENT/AMBULATORY PROCEDURES. ALTHOUGH CARE IS RENDERED TO ALL TO THE EXTENT POSSIBLE, MIDDLE AGED TO GERIATRIC PATIENT CARE COMPOSES BOTH THE PRIMARY AND SECONDARY SERVICE AREAS AND OUR PATIENT DEMOGRAPHICS.
PART VI, LINE 3:SIGNS AND BROCHURES ARE LOCATED IN THE REGISTRATION AND MOST OTHER ENTRANCE AREAS. STAFF IN THE ADMISSIONS AND PATIENT REGISTRATION AREA ARE TRAINED TO RECOMMEND THAT PATIENTS MEET OUR PATIENT FINANCIAL COUNSELOR FOR AN APPLICATION AND TO DISCUSS BILLING AND COLLECTION PROCEDURES.
PART VI, LINE 4:HOPEDALE MEDICAL COMPLEX'S SERVICE AREA IS COMPRISED OF APPROXIMATELY 460.17 SQUARE MILES WITH A POPULATION OF APPROXIMATELY 21,271 AND A POPULATION DENSITY OF 46 PER SQUARE MILE. THE SERVICE AREA CONSISTS OF THE FOUR CITIES/TOWNS AND SIX VILLAGES. POPULATION BY GENDER IN THE REGION IS 50% MALE AND 50% FEMALE. POVERTY IS CONSIDERED A KEY DRIVER OF HEALTH STATUS. WITHIN THE REPORT AREA, 7.10% OR 1,498 INDIVIDUALS ARE LIVING IN HOUSEHOLDS WITH INCOME BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL).
PART VI, LINE 5:THE FOUNDATION MAINTAINS A WELLNESS CENTER WHICH HAS THERAPY AND EXERCISE POOLS, WEIGHT ROOM AND GYMNASIUM AREAS, A LAP TRACK, EXERCISE MACHINES AND MEETING ROOMS. WEIGHT-LOSS, NUTRITION COUNSELING, AND CHRONIC CONDITION MANAGEMENT SESSIONS ARE HELD IN THE MEETING ROOMS, AS WELL AS COMMUNITY ORGANIZATION MEETINGS. BLOOD DRIVES ARE REGULARLY SCHEDULED.
PART VI, LINE 6:NOT APPLICABLE
PART VI, LINE 7, REPORTS FILED WITH STATESIL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTIAN LIFE ACADEMYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1222 TREMONT STREETAddressLine1Txt
CityHOPEDALECityNm
State AbbreviationILStateAbbreviationCd
ZIP61747ZIPCd
FieldValueIRS element (for citing)
Recipient EIN300465566RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$11,093CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantGENERAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPS FOR STUDENTS ENTERING FIELDS OF HEALTHCARE OR AGRICULTUREGrantTypeTxt
Recipient6RecipientCnt
Cash Grant$7,549CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationHOPEDALE MEDICAL FOUNDATION PROVIDES FUNDS TO CHRISTIAN LIFE ACADEMY TO BE USED AT ITS DISCRETION. IN KEEPING WITH THE SUPPORT OF EDUCATION OF THE YOUTH IN THE AREA COMMUNITIES, AND ENCOURAGING THEM TO ENTER THE IMPORTANT FIELDS OF HEALTHCARE AND AGRICULTURE, HOPEDALE MEDICAL FOUNDATION AWARDS SCHOLARSHIPS TO HIGH SCHOOL STUDENTS AND COLLEGE FRESHMAN. HOPEDALE MEDICAL FOUNDATION REQUIRES AN APPLICATION FROM STUDENTS FROM QUALIFYING SCHOOLS IN THE LOCAL AREA. SCHOLARSHIPS ARE AWARDED BY AN INDEPENDENT JUDGE BASED ON RECOMMENDATIONS, ACT SCORES, STUDENT NARRATIVE, AND CLASS RANKING. SCHOLARSHIP MONEY IS SENT DIRECTLY TO THE RECIPIENT'S SCHOOL TO ENSURE THE MONEY IS USED TOWARDS TUITION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
NICHOLAS B ROSSI MD
DIRECTOR$1,500,000$0$0$0$0$0$0$0$0$0$1,500,000$0$0$0
EMILY WHITSON
CHIEF OPERATING OFFICER$285,345$0$42,000$0$0$0$11,375$0$30,394$0$369,114$0$0$0
ROBERT SEIDL MD
PHYSICIAN$305,448$0$0$0$0$0$0$0$0$0$305,448$0$0$0
MICHAEL KEEDY
CERTIFIED REGISTERED NURSE ANESTHETI$266,552$0$0$0$0$0$9,598$0$23,651$0$299,801$0$0$0
BRAD KAUFMANN
CERTIFIED REGISTERED NURSE ANESTHETI$247,052$0$0$0$0$0$9,168$0$30,851$0$287,071$0$0$0
JASON KOBLER
CERTIFIED REGISTERED NURSE ANESTHETI$247,052$0$0$0$0$0$7,465$0$30,961$0$285,478$0$0$0
TIMOTHY SONDAG
CHIEF NURSING OFFICER, VP$188,103$0$12,500$0$0$0$6,334$0$21,249$0$228,186$0$0$0
JEFF PIPER
FORMER CHIEF FINANCIAL OFFICER$123,633$0$18,250$0$0$0$5,059$0$9,683$0$156,625$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationEMILY WHITSON, CHIEF OPERATING OFFICER, AND SENIOR MANAGEMENT STAFF ESTABLISHED A BONUS ARRANGEMENT BASED ON GOALS ACHIEVED DURING ANNUAL PERFORMANCE EVALUATION REVIEWS. EACH VICE PRESIDENT AND SENIOR MANAGER TRACKED PERFORMANCE AND PROVIDED EVIDENCE TO EMILY AS GOALS WERE MET. BONUSES WERE PROVIDED IN ACCORDANCE WITH THE ESTABLISHED ARRANGEMENT.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
VILLAGE OF HOPEDALE
A3760021552017-10-18$8,878,892CAPITAL IMPROVEMENTS AND REFUNDING REVENUE BONDS000
VILLAGE OF HOPEDALE
B3760021552017-11-02$2,457,793CAPITAL IMPROVEMENT REVENUE BONDS000
VILLAGE OF HOPEDALE
C3760021552017-11-02$7,013,315CAPITAL IMPROVEMENT REVENUE BOND000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtCapital ExpendituresCapitalExpendituresAmt
A$2,420,275$8,878,892$8,664,717$214,1752017Yes (1)0Yes (1)Yes (1)
B$672,053$2,457,793$2,369,948$87,8452017Yes (1)0Yes (1)Yes (1)
C$1,690,466$7,013,3152017000Yes (1)$507,825$79,007$6,426,483

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0000Yes (1)000Yes (1)
B0000Yes (1)000Yes (1)
C0000Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ALDO M ROSSI
SEE BELOW IN PART V$161,287ALDO ROSSI RECEIVES COMPENSATION AS THE SENIOR DIRECTOR OF PATIENT CARE SERVICES.0
LISA MCLAUGHLIN
SEE BELOW IN PART V$163,738LISA MCLAUGHLIN RECEIVES COMPENSATION AS THE DIRECTOR OF PHARMACY.0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE L, PART IV, COLUMN B:DESCRIPTION OF RELATIONSHIP - ALDO M ROSSIALDO M. ROSSI IS THE SON OF DR. MATTHEW B. ROSSI, OFFICER OF THE HOPEDALE MEDICAL FOUNDATION BOARD OF DIRECTORS AND BROTHER OF NICHOLAS B. ROSSI, M.D., DIRECTOR OF THE HOPEDALE MEDICAL FOUNDATION BOARD OF DIRECTORS.
FORM 990, SCHEDULE L, PART IV, COLUMN B:DESCRIPTION OF RELATIONSHIP - LISA MCLAUGHLINLISA MCLAUGHLIN IS THE SISTER OF DR. ALFRED N. AND DR. MATTHEW B. ROSSI, OFFICERS OF THE HOPEDALE MEDICAL FOUNDATION BOARD OF DIRECTORS.

Schedule M IRS990ScheduleM

Real Estate Other RealEstateOtherGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,565,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6:VOLUNTEERS: VOLUNTEERS CONTRIBUTE BY WORKING IN THE GIFT SHOP, TRANSPORTING PATIENTS AND RESIDENTS OF THE COMPLEX TO/FROM APPOINTMENTS AND ASSIST WITH RESIDENT ACTIVITIES IN THE NURSING HOME AND ASSISTED LIVING FACILITY.
FORM 990, PART VI, SECTION A, LINE 2ALFRED N. ROSSI, MATTHEW B. ROSSI, PHILLIP J ROSSI, AND NICHOLAS B. ROSSI HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S CONTROLLER, CHIEF FINANCE OFFICER, AND CHIEF OPERATING OFFICER REVIEW THE FORM 990 WITH EXTERNAL ACCOUNTANTS. THE BOARD WILL ALSO BE INVOLVED WITH THE REVIEW PROCESS. THE BOARD IS THEN PROVIDED A FINAL COPY OF THE FORM 990 AFTER IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY APPLIES TO ALL MEMBERS OF THE BOARD OF DIRECTORS AND ALL CORPORATE OFFICERS, AGENTS AND EMPLOYEES OF THE FOUNDATION, INCLUDING INDEPENDENT CONTRACTORS, PROVIDERS OF SERVICES AND MATERIALS. AN ANNUAL DISCLOSURE STATEMENT IS COMPLETED BY ALL PERSONS TO WHOM THE CONFLICT OF INTEREST POLICY APPLIES TO ASSIST THEM IN CONSIDERING ALL REAL AND APPARENT CONFLICTS OR DUALITIES IN CONNECTION WITH THE FOUNDATION'S ACTIVITIES. DISCLOSURE IS ALSO REQUIRED WHENEVER CONFLICTS ARISE. THE WRITTEN DISCLOSURE NOTICES OF CONFLICTS ARE FILED WITH THE PRESIDENT OF THE FOUNDATION OR ANY OTHER PERSON DESIGNATED BY THE PRESIDENT. ALL DISCLOSURE NOTICES ARE NOTED FOR RECORD IN THE MINUTES OF A MEETING OF THE BOARD OF DIRECTORS. WHEN OFFICERS, DIRECTORS, EMPLOYEES OR AGENTS BELIEVE THEY HAVE A REAL OR APPARENT CONFLICT, THEY ABSTAIN FROM MAKING MOTIONS, VOTING, EXECUTING AGREEMENT OR TAKING ANY OTHER SIMILAR DIRECT ACTION ON BEHALF OF THE FOUNDATION. THEY ARE NOT PRECLUDED FROM DEBATE OR OTHER SIMILAR INVOLVEMENT ON BEHALF OF THE FOUNDATION. THEY ARE NOT PRECLUDED FROM DEBATE OR OTHER SIMILAR INVOLVEMENT ON BEHALF OF THE FOUNDATION. ANY VIOLATION OF THE DUTY OF THE DISCLOSURE BY DIRECTORS OR OFFICERS OF THE FOUNDATION IS GROUNDS FOR REMOVAL FROM THE OFFICE.
FORM 990, PART VI, SECTION B, LINE 15ATHE CHIEF OPERATING OFFICER'S COMPENSATION IS REVIEWED AND APPROVED ANNUALLY BY THE COMPENSATION COMMITTEE. THE MEMBERS OF THE ENTIRE GOVERNING BODY MAKE UP THE COMPENSATION COMMITTEE. THE ORGANIZATION USES AN INDEPENDENT CONSULTANT TO GATHER COMPARABILITY DATA AND PROVIDE ADDITIONAL ANALYSIS. THE COMPENSATION COMMITTEE DOCUMENTS ITS DELIBERATIONS IN THE GOVERNING BOARD MINUTES AND ESTABLISHES A WRITTEN CONTRACT. THE PROCESS LAST TOOK PLACE AT THE BOARD MEETING ON DECEMBER 1, 2023. THE HR DIRECTOR OVERSEES THE SALARY PROGRAM FOR ALL OTHER EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII:VOLUNTEER BOARD OF DIRECTORS: FORM 990, PART VII, SECTION A: REPORTABLE COMPENSATION INCLUDED IN PART VII FOR MATTHEW B. ROSSI, M.D. IS FOR SERVICES RENDERED TO HOPEDALE MEDICAL FOUNDATION AS MEDICAL DIRECTOR. NICHOLAS B. ROSSI, M.D. IS COMPENSATED FOR SERVICES RENDERED TO HOPEDALE MEDICAL FOUNDATION AS A NEURO AND SPINE PHYSICIAN. REPORTABLE COMPENSATION INCLUDED IN PART VII FOR PHILLIP J. ROSSI, M.D IS FOR SERVICES RENDERED TO HOPEDALE MEDICAL FOUNDATION AS AN EMERGENCY ROOM PHYSICIAN. NO MEMBER OF THE BOARD OF DIRECTORS IS COMPENSATED IN THEIR CAPACITY AS A DIRECTOR, AND AVERAGE HOURS PER WEEK REPORTED FOR EACH DIRECTOR IS AN ESTIMATE OF TIME SPENT IN SUCH CAPACITY ONLY.
FORM 990, PART XI, LINE 9:CHANGE IN INVESTMENT IN HOPEDALE REAL ESTATE SERVICES -272,857. INTEREST INCOME FROM HOPEDALE REAL ESTATE SERVICES, INC. -62,687.
FORM 990, PART XII, LINE 2C:THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HOPEDALE REAL ESTATE SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1107 TREMONT STREETAddressLine1Txt
CityHOPEDALECityNm
State AbbreviationILStateAbbreviationCd
ZIP61747ZIPCd
FieldValueIRS element (for citing)
EIN371406582EIN
Primary ActivitiesPROPERTY RENTALPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOPEDALE MEDICAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income-$272,859ShareOfTotalIncomeAmt
Share Of EOY Assets$1,417,579ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HOPEDALE REAL ESTATE SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeATransactionTypeTxt
Involved$62,687InvolvedAmt
Method Of Amount DeterminationFAIR MARKET VALUEMethodOfAmountDeterminationTxt

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