2025-05-15T08:57:36-05:00 2024-06-30 420714325 RSM US LLP 4650 EAST 53RD STREET DAVENPORT IA 528073479 990 2023-07-01 370808925 THE HOPEDALE MEDICAL FOUNDATION HOPE 3094493321 107 TREMONT ST HOPEDALE IL 61741 EMILY WHITSON CHIEF OPERATING OFFICER 3094493321 2025-05-14 1 0 JENIFER L CHASE P01306883 5638884000 2025-05-14 2023 2025-03-06 01:10:19Z HOPEDALE MEDICAL COMPLEX EMILY WHITSON 107 TREMONT ST HOPEDALE IL 61741 46426392 0 X WWW.HOPEDALEMC.COM X 1961 IL TO PROVIDE OUTSTANDING PHYSICIAN-DIRECTED HEALTH, WELLNESS, AND RESIDENTIAL SERVICES IN A PERSONAL, PRIVATE, FAMILY ATMOSPHERE. 9 5 435 50 836784 0 1610259 12660 36152675 37900158 522159 1129480 5128402 5385887 43413495 44428185 22473 16718 0 0 22013758 23351814 0 0 9410 13029193 13459845 35065424 36828377 8348071 7599808 67009209 74307140 19432654 18245851 47576555 56061289 X TO PROVIDE OUTSTANDING PHYSICIAN-DIRECTED HEALTH, WELLNESS, AND RESIDENTIAL SERVICES IN A PERSONAL, PRIVATE, FAMILY ATMOSPHERE. 0 0 28369571 16718 36361911 THE 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. 3044047 3774232 HOPEDALE 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. 1330844 1660359 HOPEDALE 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. 32744462 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 1 0 0 1 45 0 1 435 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 5 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 IL X EMILY WHITSON 3094493321 107 TREMONT ST HOPEDALE IL 61741 X CHRISTOPHER CAMPBELL DIRECTOR 2.00 X 0 0 0 JOAN HARRISON DIRECTOR 2.00 X 0 0 0 TOM HIESER DIRECTOR 2.00 X 0 0 0 DONALD G OSWALD DIRECTOR 2.00 X 0 0 0 ROLAND RICH DIRECTOR 2.00 X 0 0 0 ALFRED N ROSSI MD CHAIRMAN 2.00 X X 0 0 0 MATTHEW B ROSSI MD CHIEF EXECUTIVE OFFICER 2.00 X X 97046 0 15173 NICHOLAS B ROSSI MD SECRETARY/TREASURER 40.00 X X 1500000 0 0 PHILLIP J ROSSI MD DIRECTOR 2.00 X 20256 0 22720 EMILY WHITSON CHIEF OPERATING OFFICER 40.00 X 319181 0 45839 ROBERT SEIDL MD PHYSICIAN 40.00 X 334373 0 0 MICHAEL KEEDY CERTIFIED REGISTERED NURSE ANESTHETIOLOGIST 40.00 X 288203 0 33361 BRAD KAUFMANN CERTIFIED REGISTERED NURSE ANESTHETIOLOGIST 40.00 X 260721 0 40420 JASON KOBLER CERTIFIED REGISTERED NURSE ANESTHETIOLOGIST 40.00 X 260722 0 38384 ISOLINA ROSSI MD PHYSICIAN 40.00 X 214267 0 5713 3294769 0 201610 14 0 1 0 NICHOLAS ROSSI 22 SAPPHIRE POINT MORTON IL 61550 PHYSICIAN/SURGICAL SERVICES 1500000 EMERGENCY PHYSICIAN STAFFING SOLUTIONS 12528 SR 78 HAVANA IL 62644 STAFFING AGENCY 1499324 SHARED MEDICAL SERVICES 209 LIMESTONE PASS COTTAGE GROVE WI 53527 RADIOLOGY SERVICES 329430 MEDICAL OUTSOURCING SOLUTIONS 1735 DEKALB AVE SYCAMORE IL 60178 PHYSICIAN/SURGICAL SERVICES 163000 YASSER ALHAJ HUSSEIN 11634 QUARTZ CT FRANKFORT IL 60423 PHYSICIAN/SURGICAL SERVICES 162000 5 12028 632 12660 PATIENT SERVICE REVENUE 621110 31467815 31467815 NURSING HOME 623000 4372696 4372696 ASSISTED AND INDEPENDENT 623000 1751160 1751160 WELLNESS CENTER 713940 236755 236755 MASSAGE THERAPY 621110 71732 71732 37900158 1113880 72928 1040952 332964 0 332964 332964 332964 15600 0 15600 15600 15600 6658407 1998207 4660200 3968076 692124 CHILD CARE 624410 170295 170295 CAFETERIA INCOME 722514 150683 150683 MISCELLANEOUS 900099 71745 71745 392723 44428185 41796502 836784 1782239 16718 16718 1941965 1537479 404486 836693 560278 276415 17474677 16271865 1202812 306526 273527 32999 1618452 1409556 208896 1173501 1060645 112856 22077 22077 111000 111000 11697 11697 541743 499549 35618 6576 264821 4388 260433 4349510 3883914 462762 2834 75409 75409 1159376 1105673 53703 64881 30972 33909 406457 406457 2601569 2480213 121356 414277 76558 337719 SERVICES 1958927 1740725 218202 REPAIRS & MAINTENANCE 675116 625612 49504 MEDICAID PROVIDER TAXES 650759 650759 DIRECTORSHIP EXPENSE 82593 82593 69633 26981 42652 36828377 32744462 4074505 9410 22713656 28825188 523475 529769 4284376 4371469 814556 822677 443734 463782 65792443 40095322 25361309 25697121 10776801 11734654 2091302 1862480 67009209 74307140 3040525 3112478 503927 432213 12199969 11007609 3688233 3693551 19432654 18245851 X 47052474 55541305 524081 519984 47576555 56061289 67009209 74307140 X 7599808 957854 -72928 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11697 11697 0 PART II-B, LINE 1: PART II-B, LINE 1I, OTHER LOBBYING ACTIVITIES: LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED: 43.5% OF MEMBERSHIP DUES PAID TO THE ILLINOIS HOSPITAL ASSOCIATION, OR $11,697. 1 5325 11978 14598 2705 0 2583192 2583192 32579580 16645724 15933856 24121831 20337950 3783881 6507840 3111648 3396192 25697121 ASBESTOS ACCRETION LIABILITY 25000 CAPITALIZED LEASE OBLIGATIONS 562011 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 3106540 3693551 X PART IV, LINE 1B: SOME NURSING HOME PATIENTS HOLD SMALL AMOUNTS OF FUNDS ON DEPOSIT WITH THE HOPEDALE MEDICAL FOUNDATION (FOUNDATION) FOR INCIDENTALS AND LOW VALUE SERVICES, SUCH AS HAIR-CUTS. THE FOUNDATION DOES NOT RECORD THE AMOUNTS AS ASSETS OF THE FOUNDATION. PART X, LINE 2: THE HOPEDALE MEDICAL FOUNDATION (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, 2024 AND 2023, 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. 1 1 X 1 X 1 X 600.000000000000 1 1 0 0 167502 167502 0.00450 920099 323938 596161 0.01620 1087601 323938 763663 0.02070 686606 339606 347000 0.00940 686606 339606 347000 0.00940 1774207 663544 1110663 0.03010 1 1693174 10455212 10281856 173356 X 1 1 1 1 HOPEDALE MEDICAL FOUNDATION 107 TREMONT STREET HOPEDALE IL 61747 WWW.HOPEDALEMC.COM 1024 X X X X HOPEDALE MEDICAL COMPLEX 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE PART V X 1 21 1 SEE PART V 0 1 X 200.000000000000 600.000000000000 X X X 1 1 X X X X 1 X HTTPS://WWW.HOPEDALEMC.COM/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM X HTTPS://WWW.HOPEDALEMC.COM/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM X HTTPS://WWW.HOPEDALEMC.COM/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM X X X X X X 1 X 0 X X X X 1 X 0 0 HOPEDALE MEDICAL COMPLEX PART 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 COMPLEX PART V, SECTION B, LINE 6B: ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN) HOPEDALE MEDICAL COMPLEX PART 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 9 1 - HOPEDALE NURSING HOME 111 TREMONT STREET HOPEDALE IL 61747 NURSING HOME 2 - HOPEDALE COMMONS 211 221 SW RAILROAD STREET HOPEDALE IL 61747 ASSISTED AND INDEPENDENT LIVING 3 - HOPEDALE WELLNESS CENTER 107 TREMONT STREET HOPEDALE IL 61747 WELLNESS & FITNESS CENTER 4 - MEDICAL ARTS PHYSICIAN BUILDING 107 TREMONT STREET HOPEDALE IL 61747 OUTPATIENT PHYSICIAN CLINIC 5 - TREMONT MEDICAL ARTS 150 LAKE STREET TREMONT IL 61568 OUTPATIENT PHYSICIAN CLINIC 6 - DELAVAN DOCTORS' OFFICE 115 EAST 4TH STREET DELAVAN IL 61734 OUTPATIENT PHYSICIAN CLINIC 7 - ATLANTA DOCTORS' OFFICE 108 SW ARCH STREET ATLANTA IL 61723 OUTPATIENT PHYSICIAN CLINIC 8 - MACKINAW DOCTORS' OFFICE 407 S ORCHARD STREET MACKINAW IL 61755 OUTPATIENT PHYSICIAN CLINIC 9 - MANITO DOCTORS' OFFICE 101 E MASON MANITO IL 61546 OUTPATIENT PHYSICIAN CLINIC 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 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 HOPEDALE MEDICAL FOUNDATION 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 HOPEDALE MEDICAL FOUNDATION HAS A MEDICARE SURPLUS.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 4.82%, AND THE PERCENTAGE INCREASES TO 32.74% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNTY BENEFIT EXPENSE. PART III, LINE 9B: THE HOPEDALE MEDICAL FOUNDATION 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 FOUNDATION 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 HOPEDALE MEDICAL FOUNDATION (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 FOUNDATION 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 FOUNDATION'S SERVICE AREA IS COMPRISED OF APPROXIMATELY 586 SQUARE MILES WITH A POPULATION OF APPROXIMATELY 67,503 AND A POPULATION DENSITY OF 115 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, 10.08% OR 6,601 INDIVIDUALS ARE LIVING IN HOUSEHOLDS WITH INCOME BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL). PART VI, LINE 5: THE HOPEDALE MEDICAL 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 STATES IL 1 CHRISTIAN LIFE ACADEMY 222 TREMONT STREET HOPEDALE IL 61747 300465566 501(C)(3) 11250 0 GENERAL SUPPORT 1 0 SCHOLARSHIPS FOR STUDENTS ENTERING FIELDS OF HEALTHCARE OR AGRICULTURE 10 41459 PART I, LINE 2: HOPEDALE 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. PART III: HOPEDALE MEDICAL FOUNDATION'S GRANTS TO INDIVIDUALS ON THE STATEMENT OF FUNCTIONAL EXPENSES DOES NOT MATCH THE TOTAL PAYMENTS ON SCHEDULE I, PART III DUE TO AN ADJUSTMENT FOR BOOK PURPOSES IN 2023. ALL SCHOLARSHIPS AWARDED IN 2023 ARE REPORTED ON SCHEDULE I, PART III. X X X X 0 0 0 0 0 0 0 1 0 NICHOLAS B ROSSI MD SECRETARY/TREASURER 1500000 0 0 0 0 0 0 0 0 0 1500000 0 0 0 EMILY WHITSON CHIEF OPERATING OFFICER 277181 0 42000 0 0 0 11413 0 34426 0 365020 0 0 0 ROBERT SEIDL MD PHYSICIAN 334373 0 0 0 0 0 0 0 0 0 334373 0 0 0 MICHAEL KEEDY CERTIFIED REGISTERED NURSE ANESTHETI 278203 0 0 0 10000 0 10400 0 22961 0 321564 0 0 0 BRAD KAUFMANN CERTIFIED REGISTERED NURSE ANESTHETI 250721 0 0 0 10000 0 9709 0 30711 0 301141 0 0 0 JASON KOBLER CERTIFIED REGISTERED NURSE ANESTHETI 250722 0 0 0 10000 0 7621 0 30763 0 299106 0 0 0 ISOLINA ROSSI MD PHYSICIAN 214267 0 0 0 0 0 0 0 5713 0 219980 0 0 0 PART I, LINE 7 EMILY 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. A VILLAGE OF HOPEDALE 376002155 2017-10-18 8878892 CAPITAL IMPROVEMENTS AND REFUNDING REVENUE BONDS 0 0 0 B VILLAGE OF HOPEDALE 376002155 2017-11-02 2457793 CAPITAL IMPROVEMENT REVENUE BONDS 0 0 0 C VILLAGE OF HOPEDALE 376002155 2017-11-02 7013315 CAPITAL IMPROVEMENT REVENUE BOND 0 0 0 A 2997497 8878892 8664717 214175 2017 1 0 1 1 B 831649 2457793 2369948 87845 2017 1 0 1 1 C 2166171 7013315 507825 79007 6426483 2017 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 1 0 0 0 1 B 0 0 0 0 1 0 0 0 1 C 0 0 0 0 1 0 0 0 1 A 1 B 1 C 1 ALDO M ROSSI SEE BELOW IN PART V 128384 ALDO ROSSI RECEIVES COMPENSATION AS THE SENIOR DIRECTOR OF PATIENT CARE SERVICES. 0 LISA MCLAUGHLIN SEE BELOW IN PART V 162791 LISA MCLAUGHLIN RECEIVES COMPENSATION AS THE DIRECTOR OF PHARMACY. 0 JOSEPH WHITSON SEE BELOW IN PART V 146749 JOSEPH WHITSON RECEIVES COMPENSATION AS THE DIRECTOR OF PROFESSIONAL AND FACILITY SERVICES. 0 ISOLINA ROSSI MD SEE BELOW IN PART V 398769 ISOLINA ROSSI, M.D. RECEIVES COMPENSATION AS A PHYSICIAN. 0 FORM 990, SCHEDULE L, PART IV, COLUMN B: DESCRIPTION OF RELATIONSHIP - ALDO M ROSSIALDO M. ROSSI IS THE SON OF MATTHEW B. ROSSI, M.D., 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 ALFRED N. ROSSI, M.D. AND MATTHEW B. ROSSI, M.D., OFFICERS OF THE HOPEDALE MEDICAL FOUNDATION BOARD OF DIRECTORS. FORM 990, SCHEDULE L, PART IV, COLUMN B: DESCRIPTION OF RELATIONSHIP - JOSEPH WHITSONJOSEPH WHITSON IS THE SPOUSE OF EMILY WHITSON, OFFICER OF THE HOPEDALE MEDICAL FOUNDATION. FORM 990, SCHEDULE L, PART IV, COLUMN B: DESCRIPTION OF RELATIONSHIP - ISOLINA ROSSI, M.D.ISOLINA ROSSI, M.D. IS THE DAUGHER OF MATTHEW ROSSI, M.D., OFFICER OF THE HOPEDALE MEDICAL FOUNDATION. FORM 990, PART I, LINE 6: VOLUNTEERS: VOLUNTEERS CONTRIBUTE BY WORKING IN THE GIFT SHOP, TRANSPORTING PATIENTS AND RESIDENTS OF THE HOPEDALE MEDICAL COMPLEX TO/FROM APPOINTMENTS AND ASSIST WITH RESIDENT ACTIVITIES IN THE NURSING HOME AND ASSISTED LIVING FACILITY. FORM 990, PART VI, SECTION A, LINE 1A HOPEDALE MEDICAL FOUNDATION'S BYLAWS PROVIDE THAT THE EXECUTIVE COMMITTEE SHALL HAVE THE POWERS AND AUTHORITY OF THE BOARD OF DIRECTORS AND MAY ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS OF THE BOARD, SUBJECT TO SUCH LIMITATIONS AS MAY BE ESTABLISHED IN LAW, THE ARTICLES OF INCORPORATION, THE BYLAWS AND BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 2 ALFRED N. ROSSI, M.D., MATTHEW B. ROSSI, M.D., PHILLIP J ROSSI, M.D, AND NICHOLAS B. ROSSI, M.D. HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE HOPEDALE MEDICAL FOUNDATION'S CONTROLLER, CHIEF FINANCE OFFICER, AND CHIEF OPERATING OFFICER REVIEW THE FORM 990 WITH EXTERNAL ACCOUNTANTS. 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 12C THE CONFLICT OF INTEREST POLICY APPLIES TO ALL MEMBERS OF THE BOARD OF DIRECTORS AND ALL CORPORATE OFFICERS, AGENTS AND EMPLOYEES OF THE HOPEDALE MEDICAL FOUNDATION (FOUNDATION), INCLUDING INDEPENDENT CONTRACTORS AND 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 HOPEDALE MEDICAL 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. 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 15A THE 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 HOPEDALE MEDICAL FOUNDATION 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 6, 2024. THE HR DIRECTOR OVERSEES THE SALARY PROGRAM FOR ALL OTHER EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, AUDITED 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: INTEREST INCOME FROM HOPEDALE REAL ESTATE SERVICES, INC. -72,928. FORM 990, PART XII, LINE 2C: THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR. HOPEDALE REAL ESTATE SERVICES INC 107 TREMONT STREET HOPEDALE IL 61747 371406582 PROPERTY RENTAL IL HOPEDALE MEDICAL FOUNDATION C 1407796 1.00000 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 HOPEDALE REAL ESTATE SERVICES INC A 72928 FAIR MARKET VALUE