2024-11-20T11:17:33-06:00 2023-12-31 990 2023-01-01 362181997 FREEPORT MEMORIAL HOSPITAL FREE 8155996209 1045 W STEPHENSON ST FREEPORT IL 61032 MICHAEL C CLARK CHIEF FINANCIAL OFFICER 8155996361 2024-11-20 0 0 2023 2024-10-15 13:58:12Z MARK S GRIDLEY 1045 W STEPHENSON STREET FREEPORT IL 61032 175350247 0 X WWW.FHN.ORG X 1964 IL OUR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES, WORKING TOGETHER WITH THOSE WE SERVE. 10 10 1355 0 30405 26343 894084 1169171 167336050 173534554 655400 646522 0 0 168885534 175350247 0 0 0 0 54718409 55391773 0 0 0 97632467 98731246 152350876 154123019 16534658 21227228 106715723 101724533 29909259 31124738 76806464 70599795 X SEE SCHEDULE 0 0 0 80966171 127950182 FREEPORT MEMORIAL HOSPITAL PROVIDES INPATIENT AND OUTPATIENT HOSPITAL SERVICES TO PATIENTS IN FIVE NORTHWESTERN ILLINOIS COUNTIES. THE HOSPITAL ENSURES CONTINIUED ACCESS TO CARE BY SERVING PATIENTS IN MEDICALLY UNDERSERVED AREAS. THE HOSPITAL QUALIFIES AS A MEDICARE DISPROPORTIONATE SHARE HOSPITAL BECAUSE IT SERVES A DISPROPORTIONATELY HIGH NUMBER OF LOW-INCOME PATIENTS. 66709558 45186940 OTHER UNCOMPENSATED CARE: THE HOSPITAL IS A LICENSED MEDICARE AND MEDICAID PROVIDER WITH APPROXIMATELLY 72% OF ITS' PATIENT BASE QUALIFYING FOR AT LEAST ONE OF THESE PROGRAMS. AT PRESENT THE REIMBURSEMENT RATES OF THESE PROGRAMS DO NOT FULLY COVER THE COST OF CARE TO THESE PATIENTS. THE ESTIMATED UNFUNDED COST OF SERVICE FOR MEDICARE PATIENTS WAS APPROXIMATELY $11,790,315 AND MEDICAID PATIENTS WAS APPROXIMATELY $9,732,303 FOR THE YEAR ENDING 12/31/2023. 1737908 373027 CHARITY CARE: THE HOSPITAL PROVIDED CHARITY CARE BENEFITS FOR PATIENTS WHOSE INCOME WAS UP TO 300% OF THE FEDERALLY DETERMINED PROVERTY LEVEL. CHARGES FOREGONE FOR CHARITY CARE AMOUNTED TO APPROXIMATELY $1,737,908 IN 2023. ESTIMATED COSTS OF PROVIDING THESE SERVICES AMOUNTED TO APPROXIMATELY $373,027 IN 2023. OTHER COMMUNITY BENEFITS: THE HOSPITAL OPERATES AND SUPPORTS A NUMBER OF COMMUNITY BENEFIT PROGRAMS THAT INCLUDE BUT ARE NOT LIMITED TO COMMUNITY HEALTH EDUCATION, HEALTH CARE SUPPORT SERVICES AND HEALTH PROFESSIONAL EDUCATION. 149413637 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 80 0 1 1355 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X MICHAEL CLARK CFO 8155996209 1045 W STEPHENSON ST FREEPORT IL 61032 NEAL RICHARDSON CHAIRMAN 0.50 X 0 0 0 HEATHER MCPHERSON VICE CHAIRMAN 0.50 X 0 0 0 MARK WRIGHT TREASURER 0.50 X 0 0 0 RICH CHANG SECRETARY 0.50 X 0 0 0 GARY QUINN BOARD MEMBER 0.50 X 0 0 0 SHOKRY TAWFIK MD BOARD MEMBER 0.50 X 0 0 0 BRUCE BALDWIN BOARD MEMBER 0.50 X 0 0 0 GLENDA KOELLER BOARD MEMBER 0.50 X 0 0 0 DAN SCHMITT BOARD MEMBER 0.50 X 0 0 0 AMY BAKER BOARD MEMBER 0.50 X 0 0 0 MARK S GRIDLEY PRESIDENT/CEO 25.00 15.00 X 455110 278939 64203 MICHAEL C CLARK EXECUTIVE VP/CFO 25.00 15.00 X 218321 133810 60154 LEONARD CARTER CHIEF HUMAN RESOURCES OFFICER 25.00 15.00 X 148628 91089 38838 BETH KALNINS MD MEDICAL STAFF 40.00 X 272722 0 27649 REBECCA PEDERSEN MD CHIEF QUALITY OFFICER 1.00 40.00 X 0 394511 36663 ROBERT GELLER MD HEAD OF INFECTIOUS DISEASES 1.00 40.00 X 0 224442 27962 TIMOTHY JESSEN MD CHAIR PHYSICIAN COUNCIL 0.50 X 0 297480 38969 CLARENCE PARKS MD PRESIDENT MEDICAL STAFF 40.00 X 509041 0 20230 KATHRYN J MARTINEZ VP OF PATIENT SERVICE 40.00 X 263293 0 35121 ARSHAD SHAIKH MD PHYSICIAN 40.00 X 696233 0 31828 ZACHARY FULTON PHYSICIAN 40.00 X 284529 0 57368 DANIEL LEE MD PHYSICIAN 40.00 X 278250 0 44331 IRENA MARKOVIC MD PHYSICIAN 40.00 X 343054 0 30986 KARENMARIE MEYER MD PHYSICIAN 40.00 X 360890 0 14936 3830071 1420271 529238 82 0 1 0 FREEPORT EMERGENCY SPECIALISTS 1200 HARGER RD STE 408 OAK BROOK IL 60523 MEDICAL SERVICE 5013712 CAMELOT RADIOLOGY 3849 N PERRYVBILLE RD ROCKFORD IL 61108 RADIOLOGY PHYSICIANS 3140570 AMN HEALTH CARE 2735 COLLECTIONS CENTER DR CHICAGO IL 60693 PHYSICIAN SERVICES 2983771 ROCKFORD ANESTHESIOLOGIST ASSOC 2202 HARLEM RD STE 200 LOVES PARK IL 61111 HEALTHCARE 1824982 ILLINOIS PROVIDER TRUST 27217 NETWORK PLACE CHICAGO IL 60673 FINANCE 1586274 42 1169171 1169171 PATIENT REVENUE 621400 162943120 162912715 30405 PROVIDER TAX REVENUE 621400 10399946 10399946 OTHER INCOME 621400 141942 141942 GOVERNMENT PAYMENT 621400 39479 39479 CAFETERIA REVENUE 621400 9682 9682 385 385 173534554 640522 640522 6000 0 6000 6000 6000 175350247 173510149 30405 640522 X 2051285 1128056 923229 42219440 40907997 1311443 7982860 7970583 12277 3138188 2971814 166374 26391 26391 95636 95636 108880 108880 1303081 1303081 66890 63437 3453 172454 72811 99643 3143 3143 4396940 4306357 90583 1051006 1051006 DRUGS 14751224 14751224 CORPORATE ALLOCATION 13842742 13842742 MEDICAL SPECIALIST 13669592 13669592 SUPPLIES 13239900 13051676 188224 36003367 34323261 1680106 154123019 149413637 4709382 0 -1 46906301 42627699 21413702 21828524 1514903 1762214 3146402 2866065 3453504 3141019 105972431 87233785 19323838 18738646 3938778 4184816 7018295 6575551 106715723 101724533 22366234 23771260 7543025 7353478 29909259 31124738 X 74112259 68562934 2694205 2036861 76806464 70599795 106715723 101724533 X 21227228 1148933 -28582830 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 30977 30977 0 PART II-B, LINE 1: PORTION OF 2023 ILLINOIS HOSPITAL ASSOCIATION DUES USED FOR LOBBYING - $22,696. PORTION OF 2023 AMERICAN HOSPITAL ASSOCIATION DUES USED FOR LOBBYING - $8,281. 944945 944945 56243530 46521038 9722492 2240271 1860052 380219 45295682 38098009 7197673 1248003 754686 493317 18738646 FMH CLAIMS INSURANCE RECEIVABLE 3115236 SECURITY DEPOSIT 2571686 ROUD LEASE 888629 6575551 ACCRUED MALPRACTICE LIABILITY 900738 ASSET RETIREMENT OBLIGATION 1685777 MALPRACTICE LIABILITY LONG TERM 3806327 OTHER LIABILITY 67205 LT LEASE LIABILITY 389643 ST LEASE LIABILITY 503788 7353478 1 1 1 X 1 X 1 1 0 1 1 403639 403639 0.00260 30645931 20913628 9732303 0.06310 31049570 20913628 10135942 0.06570 141360 1061 140299 0.00090 269240 269240 0.00170 268057 268057 0.00170 42005 42005 0.00030 720662 1061 719601 0.00460 31770232 20914689 10855543 0.07030 45927 45927 0.00030 45927 45927 0.00030 1 1836297 24273312 36063627 -11790315 X 1 1 1 1 FREEPORT MEMORIAL HOSPITAL 1045 W STEPHENSON ST FREEPORT IL 61032 WWW.FHN.ORG X X X FREEPORT MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X WWW.FHN.ORG X 1 22 1 WWW.FHN.ORG 0 1 X 125.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X WWW.FHN.ORG X WWW.FHN.ORG X WWW.FHN.ORG X X X X X 1 X X 1 X X X X 1 X 0 0 PART I, LINE 7: SCHEDULE H PART I LINE 7 COLUMN(F): OUR TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN(A) WAS $154,123,019. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $8,046,805 THIS LEFT US WITH A TOTAL EXPENSE OF $146,076,214 FOR PURPOSES OF CALCULATING LINE 7, COLUMN(F). PART I, LN 7 COL(F): SCHEDULE H PART I LINE 7: OUR TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN(A) $154,123,019. THE BAD DEBT EXPENSES INCLUDED IN THIS AMOUNT WAS $8,046,805. THIS LEFT US A TOTAL EXPENSES OF $146,076,214 FOR THE PURPOSES OF CALCULATING LINE 7, COLUMN(F). SCHEDULE H PART 1 LINE 6A: ANNUAL COMMUNITY BENEFIT REPORT - OUR ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR THE FHN NETWORK AS A WHOLE AND IS INCLUDED AS A NON-AUDITED SCHEDULE ON THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 4: LINE #2: THE RATIO OF PATIENT CARE COST TO CHARGES AS DETERMINED ON WORKSHEET 2 IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2.LINE # 3: NO BAD DEBT IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY. PART III, LINE 8: COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING THE MEDICARE COST-TO-CHARGE RATIO FROM OUR FILED 12/31/23 MEDICARE COST REPORT.COMMUNITY BENEFIT: WE BELIEVE THAT ALL OF THE 11.79 MILLION SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE OF THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORDED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THIS YEAR, MEDICARE ACCOUNTED FOR 55% OF HOSPITAL REVENUES. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST OF MEDICARE BENEFICIARIES. PART III, LINE 9B: INDIVIDUALS APPROVED FOR ASSISTED CARE ARE GIVEN A CARD WHICH IS TYPICALLY VALID FOR 6 MONTHS. THEY PRESENT THE CARD WHEN THEY RECEIVE SERVICES. INDIVIDUALS APPROVED FOR ASSISTED CARE WILL BE ASKED TO MAKE A MODEST CO-PAY AT THE TIME OF SERVICE, BASED ON THE FOLLOWING SCHEDULE:HOSPITAL INPATIENT SERVICES: $50HOSPITAL EMERGENCY DEPARTMENT: $35HOSPITAL OUTPATIENT SERVICES: $25OUR COLLECTION POLICIES ARE THE SAME FOR ALL OF OUR PATIENTS. PATIENTS ARE SCREENED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE COLLECTION PROCEDURES BEGIN. IF AT ANY POINT IN THE COLLECTION PROCESS, DOCUMENTATION IS RECEIVED THAT INDICATES THE PATIENT IS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT APPLIED FOR IT, AN APPLICATION FOR ASSISTED CARE IS SENT TO THE PATIENT. AFTER A PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS EITHER PARTIALLY OR ENTIRELY WRITTEN OFF. ANY REMAINING BALANCE WOULD BE COLLECTED UNDER THE EXISTING DEBT COLLECTION POLICY. COVERAGE FOR THE ASSISTED CARE PROGRAM IS FOR 6 MONTHS AFTER WHICH TIME PATIENTS CAN REAPPLY IF THEY CONTINUE TO MEET THE GUIDELINES ESTABLISHED. PART VI, LINE 7, REPORTS FILED WITH STATES IL X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 MARK S GRIDLEY PRESIDENT/CEO 421966 258625 0 0 33144 20314 13085 8020 26721 16377 494916 303336 0 0 MICHAEL C CLARK EXECUTIVE VP/CFO 160708 98499 0 0 57613 35311 13950 8550 23345 14309 255616 156669 0 0 LEONARD CARTER CHIEF HUMAN RESOURCES OFFICER 129796 79546 0 0 18832 11543 0 0 24080 14758 172708 105847 0 0 BETH KALNINS MD MEDICAL STAFF 264228 0 3750 0 4744 0 0 0 27649 0 300371 0 0 0 REBECCA PEDERSEN MD CHIEF QUALITY OFFICER 0 354480 0 9253 0 30778 0 0 0 36663 0 431174 0 0 ROBERT GELLER MD HEAD OF INFECTIOUS DISEASES 0 170684 0 20515 0 33243 0 0 0 27962 0 252404 0 0 TIMOTHY JESSEN MD CHAIR PHYSICIAN COUNCIL 0 232688 0 29477 0 35315 0 20769 0 18200 0 336449 0 0 CLARENCE PARKS MD PRESIDENT MEDICAL STAFF 456596 0 17833 0 34612 0 17717 0 2513 0 529271 0 0 0 KATHRYN J MARTINEZ VP OF PATIENT SERVICE 242831 0 0 0 20462 0 0 0 35121 0 298414 0 0 0 ARSHAD SHAIKH MD PHYSICIAN 664993 0 29925 0 1315 0 0 0 31828 0 728061 0 0 0 ZACHARY FULTON PHYSICIAN 257647 0 3750 0 23132 0 22500 0 34868 0 341897 0 0 0 DANIEL LEE MD PHYSICIAN 241278 0 1404 0 35568 0 0 0 44331 0 322581 0 0 0 IRENA MARKOVIC MD PHYSICIAN 318066 0 3750 0 21238 0 0 0 30986 0 374040 0 0 0 KARENMARIE MEYER MD PHYSICIAN 322047 0 27615 0 11228 0 0 0 14936 0 375826 0 0 0 PART I, LINE 1A FREEPORT MEMORIAL HOSPITAL REIMBURSED A DIRECTOR/TRUSTEE FOR BUSINESS TRAVEL EXPENSES INCLUDING TRAVEL EXPENSES FOR A SPOUSE. GARY QUINN BOARD OF DIRECTORS 88788 GARY QUINN DAUGHTER-IN-LAW WORKS FOR THE ORGANIZATION. 0 MICHAEL CLARK CHIEF FINANCIAL OFFICER 55641 MICHAEL C. CLARK DAUGHTER WORKS FOR THE ORGANIZATION. 0 BRUCE BALDWIN BOARD OF DIRECTORS 20469 BRUCE BALDWIN SISTER IS EMPLOYED BY THE ORGANIZATION. 0 BRUCE BALDWIN BOARD OF DIRECTORS 70537 BRUCE BALDWIN NIECE IS EMPLOYED BY THE ORGANIZATION 0 KATHRYN MARTINEZ CHIEF OPERATING OFFICER/CHIEF NURSING OFFICER 164273 SPOUSE WORKS FOR THE ORGANIZATION 0 STEPHEN J HARWEGER CNP PLANNING FINANCE COMMITTEE 78474 SPOUSE EMPLOYED BY ORGANOZATION. 0 PART III LINE 1 FHN IS REGIONAL HEALTHCARE SYSTEM COMMITTED TO THE HEALTH AND WELL-BEING OF THE PEOPLE OF NORTHWEST ILLINOIS AND SOUTHERN WISCONSIN. WE HAVE SERVICES FOR ALL AGES, SO EVERY MEMBER OF YOUR FAMILY CAN RECEIVE CARING, PERSONAL, PROFESSIONAL HEALTHCARE. AN AVERAGE OF 1,400 PEOPLE VISIT FHN EACH DAY FOR THEIR HEALTHCARE NEEDS (THAT'S MORE THAN 525,000 PATIENTS PER YEAR). FHN IS THE ONLY HEALTHCARE PROVIDER IN OUR SERVICE AREA THAT OFFERS AFFILIATIONS WITH THREE MAJOR HOSPITALS IN ROCKFORD, ILLINOIS, AS WELL AS WITH THE UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS IN MADISON, WISCONSIN. WE SEE EACH PATIENT INTERACTION AS A SERIOUS RESPONSIBILITY THAT REQUIRES CLINICAL EXPERTISE, ACCESS TO THE LATEST IN MEDICAL TECHNOLOGY AND A LEVEL OF TRUST AND COMMITMENT THAT IS EARNED BY OUR PEOPLE, OUR PRODUCTS AND OUR PROCESS. ABOUT FHN MEMORIAL HOSPITAL: 146 LICENSED BED. 24-HOUR EMERGENCY CARE. EICU UNIT, LINKING OUR EXPERIENCED, CARING STAFF ROUND-THE-CLOCK WITH THE UNIVERSITY OF WISCONSIN E-CARE TEAM OF PROFESSIONAL INTENSIVISTS AND CRITICAL CARE NURSES. SATELLITE EDUCATION CENTER FOR THE ILLINOIS POISON CONTROL CENTER (ONE OF ONLY 12 IN THE STATE OF ILLINOIS). OVER 75 PHYSICIANS ON THE ACTIVE AND ASSOCIATED MEDICAL STAFF - 100% ARE BOARD-CERTIFIED OR BOARD-ELIGIBLE. UP-TO-THE-MINUTE EQUIPMENT AND SERVICES, INCLUDING A CARDIOVASCULAR CENTER. SURGERY CAPABILITIES FOR PROCEDURES RANGING FROM A SIMPLE TONSILLECTOMY TO SOPHISTICATED VASCULAR SURGERY. SPECIALTY SERVICE AREAS SUCH AS SLEEP CENTER, PAIN CLINIC, SPINE CENTER AND FAMILY BIRTHING CENTER. AS PART OF YOUR COMMUNITY, WE WILL PROVIDE PERSONAL, PROFESSIONAL AND CARING HEALTHCARE FOR YOUR ENTIRE FAMILY. WE WILL PROVIDE OR FIND SERVICES YOU NEED TO MAKE YOUR LIFE BETTER. WE WILL FOLLOW THROUGH AND MAKE SURE YOU ARE SATISFIED. WE ARE COMMITTED TO EXCELLENCE AND YOUR WELL-BEING IS THE REASON FOR OUR EXISTENCE. WE ARE PART OF YOUR COMMUNITY. AND WE WANT TO KEEP IT HEALTHY, BOTH ECONOMICALLY AND PHYSICALLY, AT WORK, AT PLAY, ON THE FARM, AT SCHOOL AND AT HOME. IN 2006, WE FORMED A PARTNERSHIP WITH THE STEPHENSON COUNTY HEALTH DEPARTMENT TO PROVIDE HEALTHCARE SERVICES FOR THE UNINSURED, UNDERINSURED AND MEDICALLY INDIGENT AT THE FHN COMMUNITY HEALTHCARE CENTER, LOCATED AT THE FORMER CRUSADER COMMUNITY CLINIC INSIDE THE HEALTH DEPARTMENT BUILDING. AND IN SUPPORT OF THE LOCAL UNITED WAY, EACH YEAR OUR EMPLOYEES MAKE THEIR PERSONAL CONTRIBUTIONS, AVERAGING OVER $40,000, AND ALSO SERVE IN LEADERSHIP POSITIONS FOR MANY COMMUNITY ORGANIZATIONS AND BOARDS. FHN IS A COMMUNITY HEALTHCARE SYSTEM, COMPRISED OF LOCAL EXPERTS, INSPIRED BY GLOBAL INNOVATION AND GROUNDED BY ETHICAL LEADERSHIP. FREEPORT MEMORIAL HOSPITAL COORDINATES AND INTEGRATES MEDICAL CARE SERVICES AND PROVIDES INDIVIDUALS IMPARTIAL ACCESS TO MEDICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR SOURCE OF PAYMENT. THE HOSPITAL PROVIDES MEDICALLY NECESSARY CARE TO PATIENTS REGARDLESS OF ABILITY TO PAY. THE HOSPITAL QUALIFIES AS A MEDICARE DISPROPORTIONATE SHARE HOSPITAL BECAUSE IT SERVES A DISPROPORTIONATELY HIGH NUMBER OF LOW INCOME PATIENTS. INSURED AND UNDERINSURED PATIENTS, WHO MEET CERTAIN FEDERAL POVERTY GUIDELINES AND/OR OTHER UNIQUE CIRCUMSTANCES, ARE PROVIDED FREE OR DISCOUNTED CARE AFTER A NOMINAL CO-PAYMENT. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO BE CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. DURING 2023, THE CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE HOSPITAL'S CHARITY CARE POLICY WAS $1,737,908 AT A COST OF $373,027. FREEPORT MEMORIAL HOSPITAL IS A LICENSED MEDICARE AND MEDICAID PROVIDER WITH APPROXIMATELY 72% OF ITS PATIENT BASE QUALIFYING FOR AT LEAST ONE OF THESE PROGRAMS. AT PRESENT, THE REIMBURSEMENT RATES FOR BOTH PROGRAMS DO NOT FULLY COVER THE COST OF CARE TO THESE PATIENTS. THE ESTIMATED UNFUNDED COSTS OF SERVICES FOR MEDICAID PATIENTS WERE APPROXIMATELY $9,732,303 FOR THE YEAR ENDING 12/31/2023. MEDICARE PAYMENTS WERE APPROXIMATELY $11,790,315 LESS THAN THE HOSPITAL'S COST TO PROVIDE CARE DURING THE SAME PERIOD. IN ADDITION, THE COST OF CARE PROVIDED TO PEOPLE WHO DID NOT PAY WAS $1,836,297 IN 2023. FREEPORT MEMORIAL HOSPITAL PROVIDES DISCOUNTS TO UNINSURED PATIENTS WITHOUT REGARD TO THEIR INCOME. THE ESTIMATED COSTS ATTRIBUTABLE TO THE DISCOUNTED PORTION OF THESE SERVICES WERE $281,661 FOR 2023. FREEPORT MEMORIAL HOSPITAL AND ITS RELATED ORGANIZATIONS SUPPORT AND PARTICIPATE IN MANY COMMUNITY SERVICES AND OUTREACH PROGRAMS, INCLUDING SUPPORT FOR COMMUNITY HEALTH EDUCATION PROGRAMS, COMMUNITY-BASED CLINICAL SERVICES, HEALTH PROFESSIONAL EDUCATION, RESEARCH, SPONSORSHIP OF COMMUNITY EVENTS, AND COMMUNITY-BUILDING ACTIVITIES. THE HOSPITAL CONTRIBUTED $594,900 TOWARDS THESE PROGRAMS IN 2023. PROGRAM SERVICE EXPENSES: $149,413,637 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S AUDIT COMMITTEE REVIEWS THE FORM 990 BEFORE THE TAX RETURN IS FILED. QUESTIONS AND EXPLANATIONS ARE ANSWERED BY THE FINANCE DEPARTMENT TO THE COMMITTEE'S SATSIFACTION. THE BOARD REVIEWS ALL TRANSACTIONS THAT AFFECT THE FILING OF THE ORGANIZATION'S FORM 990 AND EQUIVALENT STATE RETURNS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A DEDICATED CORPORATE COMPLIANCE OFFICER. ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE ANNUALLY A CONFLICT OF INTEREST QUESTIONNAIRE. THESE DOCUMENTS ARE REVIEWED BY THE CCO TO DETERMINE IF ANY INDIVIDUAL HAS A CONFLICT OF INTEREST THAT NEEDS TO BE ADDRESSED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS AN EXECUTIVE COMPENSATION COMMITTEE THAT REVIEWS THE CEO, TOP MANAGEMENT AND EXECUTIVE DIRECTORS COMPENSATION. THE COMMITTEE RELIES ON INTERNAL AND EXTERNAL INFORMATION TO DETERMINE THE APPROPRIATE COMPENSATION AND EMPLOYS AN INDEPENDENT THIRD PARTY TO CONDUCT THE ANNUAL EXECUTIVE COMPENSATION ANALYSIS. THIS ANALYSIS IS USED TO DETERMINE IF THE BOARD'S WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY HAS BEEN MET. THE EXECUTIVE COMPENSATION COMMITTEE ALSO RECEIVES A REASONABLENESS LETTER FROM THE THIRD PARTY. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 24E CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 12,003,818. MANAGEMENT AND GENERAL EXPENSES 293,706. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,297,524. BAD DEBTS: PROGRAM SERVICE EXPENSES 8,046,805. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,046,805. PROVIDER TAX: PROGRAM SERVICE EXPENSES 6,071,653. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,071,653. AGENCY STAFFING: PROGRAM SERVICE EXPENSES 3,481,138. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,481,138. MAINTENANCE/REPAIRS: PROGRAM SERVICE EXPENSES 3,136,046. MANAGEMENT AND GENERAL EXPENSES 217,787. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,353,833. EQUIPMENT RENTALS: PROGRAM SERVICE EXPENSES 1,492,180. MANAGEMENT AND GENERAL EXPENSES 22,814. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,514,994. COLLECTION FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 894,291. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 894,291. FOOD: PROGRAM SERVICE EXPENSES 241,075. MANAGEMENT AND GENERAL EXPENSES 13,087. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 254,162. BANK AND CREDIT CARD FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 110,145. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,145. MISC OTHER EXPENSES: PROGRAM SERVICE EXPENSES -149,454. MANAGEMENT AND GENERAL EXPENSES 128,276. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -21,178. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY TRANSFERS FROM AFFILIATE -27,925,486. NET ASSETS RELEASED FROM TEMP RESTRICTIONS -1,102,917. CONTRIBUTIONS TEMPORARY RESTRICTED 445,573. FREEPORT REGIONAL HEALTH CARE FOUNDATION 1045 WEST STEPHENSON STREET FREEPORT IL 61032 363290904 HEALTH CARE IL 501(C)(3) LINE 11 N/A 0 JANE ADDAMS INC 1045 WEST STEPHENSON STREET FREEPORT IL 61032 362879689 HEALTH CARE IL 501(C)(3) LINE 7 FREEPORT REGIONAL HEALTH CARE FOUNDATION 0 JANE ADDAMS HEALTHCARE SERVICES INC 1045 WEST STEPHENSON STREET FREEPORT IL 61032 363677357 HEALTH CARE IL 501(C)(3) LINE 11 FREEPORT REGIONAL HEALTH CARE FOUNDATION 0 MEMORIAL ENTERPRISES INC 1045 WEST STEPHENSON STREET FREEPORT IL 61032 363353871 HEALTH CARE IL FREEPORT REGIONAL HEALTH CARE FOUNDATION C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 THE EXTERNAL AUDIT REPORT WAS NOT RECEIVED UNTIL THE END OF OCTOBER. THE EFILE INFORMATION WAS NOT TRANSFERRED TO NEW EMPLOYEE UNTIL NOV 11 AND HAD PROBLEMS WITH THE EFILE SYSTEM.