GIBSON AREA HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- GIBSON AREA HOSPITAL (EIN 37-0647938)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-17
- IRS object ID
- 201522299349301917
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-17T10:20:11-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 371335003 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ECK SCHAFER & PUNKE LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 South Seventh Street | AddressLine1 |
| City | Springfield | City |
| State | IL | State |
| ZIP Code | 62701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370647938 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gibson Community Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GIBS | BusinessNameControlTxt |
| Phone | 2177844251 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1120 North Melvin | AddressLine1 |
| City | Gibson City | City |
| State | IL | State |
| ZIP Code | 60936 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Rob Schmitt | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2177844251 | PhoneNum |
| Signature | 2015-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brent Leach | PreparerPersonNm |
| PTIN | P00331592 | PTIN |
| Phone | 2175251111 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Rob Schmitt | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1120 North Melvin | AddressLine1 |
| City | Gibson City | City |
| State | IL | State |
| ZIP Code | 60936 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $74,072,807 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://www.gibsonhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1952 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | Health care and related services | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 690 | TotalEmployeeCnt |
| Total Volunteers | 211 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $99,758 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $63,245,626 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $70,970,179 | CYProgramServiceRevenueAmt |
| PY Investment Income | $70,649 | PYInvestmentIncomeAmt |
| CY Investment Income | $89,530 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,193,649 | PYOtherRevenueAmt |
| CY Other Revenue | $2,873,361 | CYOtherRevenueAmt |
| PY Total Revenue | $65,514,924 | PYTotalRevenueAmt |
| CY Total Revenue | $74,032,828 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $25,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $20,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $37,850,437 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $41,442,369 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $28,310,976 | PYOtherExpensesAmt |
| CY Other Expenses | $32,372,592 | CYOtherExpensesAmt |
| PY Total Expenses | $66,186,413 | PYTotalExpensesAmt |
| CY Total Expenses | $73,834,961 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$671,489 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $197,867 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $39,593,664 | TotalAssetsBOYAmt |
| Total Assets EOY | $44,231,359 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,912,951 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $25,571,881 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,680,713 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $18,659,478 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide personalized, professional services to the residents of the communities we serve. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $62,759,717 | ExpenseAmt |
| Grant | $20,000 | GrantAmt |
| Revenue | $73,843,540 | RevenueAmt |
| Desc | The organization provides for inpatient and outpatient health care along with long-term care for members of the community and surrounding areas. | Desc |
| Total Program Service Expenses | $62,759,717 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 46 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 690 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rob Schmitt | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2177844251 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1120 North Melvin | AddressLine1 |
| City | Gibson City | City |
| State | IL | State |
| ZIP Code | 60936 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Jim Hood | |||||||
| President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Margo Martin | |||||||
| Vice-President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Tracy Epps | |||||||
| Treasurer | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Ellen Lee | |||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Carl Hudson Jr | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Steve Kelly | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| David J Hagan MD | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Marty Nuss | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Mark Spangler MD | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Nancy Krumwiede | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| John Leonard | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael Young | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Kathy Bennett | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Ted Swanson | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Rob Schmitt | |||||||
| CEO | 40.00 | Yes (X) | $244,861 | $0 | $14,428 | ||
| John Jacobson | |||||||
| CFO | 40.00 | Yes (X) | $150,117 | $0 | $10,106 | ||
| Robin Rose | |||||||
| COO | 40.00 | Yes (X) | $197,843 | $0 | $11,215 | ||
| Mike Meunier | |||||||
| CCO | 40.00 | Yes (X) | $164,614 | $0 | $8,783 | ||
| Richard Foellner DO | |||||||
| Physician | 40.00 | $532,663 | $0 | $43,568 | Yes (X) | ||
| William Price MD | |||||||
| Physician | 40.00 | $603,049 | $0 | $24,872 | Yes (X) | ||
| Benjamin Brewer MD | |||||||
| Physician | 40.00 | $399,582 | $0 | $20,568 | Yes (X) | ||
| Anthony San Diego MD | |||||||
| Physician | 40.00 | $452,253 | $0 | $23,456 | Yes (X) | ||
| Joseph Chung MD | |||||||
| Physician | 40.00 | $449,920 | $0 | $18,904 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,194,902 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $175,900 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 35 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| All Inclusive Medical Services | |||||
| Orland Park Illinois | Orland Park | IL | 60462 | ER Hospitalist Physicians | $1,741,609 |
| Cardinal Health Pharmacy Management | |||||
| 1330 Enclave Parkway | Houston | TX | 77077 | Pharmacy Management | $1,703,734 |
| Gary W Kerber MD | |||||
| 1002 S Busey Ave | Urbana | IL | 61801 | Radiologist | $548,600 |
| Petry-Kuhne Co | |||||
| 2110 Clearlake Boulevard 101 | Champaign | IL | 61822 | Construction | $286,860 |
| CPSI | |||||
| 6600 Wall Street | Mobile | AL | 36695 | Computer Services | $245,882 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $99,758 | AllOtherContributionsAmt |
| Total Contributions | $99,758 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Service | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $70,970,179 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,970,179 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $70,970,179 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,649 | TotalRevenueColumnAmt |
| Exclusion | $86,649 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $42,860 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $39,979 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,881 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,881 | TotalRevenueColumnAmt |
| Exclusion | $2,881 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Miscellaneous | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,873,361 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,873,361 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,873,361 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,032,828 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73,843,540 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $89,530 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,000 | TotalAmt |
| Program Services | $20,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $451,677 | TotalAmt |
| Program Services | $383,925 | ProgramServicesAmt |
| Management And General | $67,752 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,897,206 | TotalAmt |
| Program Services | $27,112,626 | ProgramServicesAmt |
| Management And General | $4,784,580 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,093,486 | TotalAmt |
| Program Services | $7,729,463 | ProgramServicesAmt |
| Management And General | $1,364,023 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,256,546 | TotalAmt |
| Program Services | $3,618,064 | ProgramServicesAmt |
| Management And General | $638,482 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,388 | TotalAmt |
| Program Services | $361,580 | ProgramServicesAmt |
| Management And General | $63,808 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $588,565 | TotalAmt |
| Program Services | $500,280 | ProgramServicesAmt |
| Management And General | $88,285 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,315,627 | TotalAmt |
| Program Services | $1,968,283 | ProgramServicesAmt |
| Management And General | $347,344 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,054,440 | TotalAmt |
| Program Services | $896,274 | ProgramServicesAmt |
| Management And General | $158,166 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $8,596,759 | $7,307,245 | $1,289,514 |
| Purchased Services | $6,507,043 | $5,530,987 | $976,056 |
| Bad Debts | $3,467,315 | $2,947,218 | $520,097 |
| Other | $2,155,509 | $1,829,183 | $326,326 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,005,400 | TotalAmt |
| Program Services | $2,554,589 | ProgramServicesAmt |
| Management And General | $450,811 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,834,961 | TotalAmt |
| Program Services | $62,759,717 | ProgramServicesAmt |
| Management And General | $11,075,244 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $706,708 | BOYAmt |
| EOY | $1,128,930 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,142,869 | BOYAmt |
| EOY | $14,287,674 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $642,754 | BOYAmt |
| EOY | $629,649 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $509,719 | BOYAmt |
| EOY | $503,233 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $47,073,079 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $28,780,988 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,952,524 | BOYAmt |
| EOY | $18,292,091 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,117,420 | BOYAmt |
| EOY | $1,584,341 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,212 | BOYAmt |
| EOY | $201,843 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,279,458 | BOYAmt |
| EOY | $7,603,598 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,593,664 | BOYAmt |
| EOY | $44,231,359 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,842,039 | BOYAmt |
| EOY | $7,250,596 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,760,184 | BOYAmt |
| EOY | $16,698,609 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,310,728 | BOYAmt |
| EOY | $1,622,676 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,912,951 | BOYAmt |
| EOY | $25,571,881 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,523,558 | BOYAmt |
| EOY | $18,510,124 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,155 | BOYAmt |
| EOY | $149,354 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,680,713 | BOYAmt |
| EOY | $18,659,478 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,593,664 | BOYAmt |
| EOY | $44,231,359 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $197,867 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $21,346 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $759,552 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $544,832 | OtherCostOrOtherBasisAmt |
| Book Value | $544,832 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,250,155 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,994,575 | DepreciationAmt |
| Book Value | $11,255,580 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,932,751 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,844,740 | DepreciationAmt |
| Book Value | $6,088,011 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,345,341 | OtherCostOrOtherBasisAmt |
| Depreciation | $941,673 | DepreciationAmt |
| Book Value | $403,668 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,292,091 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Bond Issuance Costs | $228,540 |
| Construction in Progress | $7,375,058 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,603,598 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Capital lease payable | $209,741 |
| Estimated Third pary Settlements | $1,412,935 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,622,676 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | GAHHS follows accounting principles generally accepted in the United States of America which sets a minimum threshold for financial statement recognition of the benefit of a tax position taken or expected to be taken in a tax return. Tax positions for the open tax years as of September 30, 2014 were reviewed, and it was determined that no provision for uncertain tax positions is required. GAHHS information income tax returns for years subsequent to fiscal year 2010 are open, by statute, for review by authorities. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,750,635 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $325,892 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,424,743 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01930 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,499,984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,580,655 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,919,329 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05310 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,250,619 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,906,547 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,344,072 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07240 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $114,210 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $114,210 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,871,713 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,254,763 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,616,950 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04900 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $546,249 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $545,249 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,532,172 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,255,763 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,276,409 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05790 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,782,791 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,162,310 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,620,481 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,467,315 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $173,366 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $15,948,656 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,432,950 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,484,294 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 15 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (15 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|
| Gibson Community Hospital | ||||||||
| 1 | 1120 North Melvin | Gibson City | IL | 60936 | Yes (X) | Yes (X) | Yes (X) | Long-term care |
| Paxton Clinic | ||||||||
| 2 | 227 N Market | Paxton | IL | 60957 | Physician clinic | |||
| Onarga Clinic | ||||||||
| 3 | 109 N Chestnut | Onarga | IL | 60955 | Physician clinic | |||
| Family Healthcare of Hoopeston | ||||||||
| 4 | 837 E Orange | Hoopeston | IL | 60942 | Physician clinic | |||
| Family Health Care of Farmer City | ||||||||
| 5 | 1230 S George Rock Dr | Farmer City | IL | 61842 | Physician clinic | |||
| Prairie Family Medicine and Obstetrics | ||||||||
| 6 | 122 E Wabash | Forrest | IL | 60936 | Physician clinic | |||
| Gibson Area Hospital Orthopedics | ||||||||
| 7 | 10 Doctors Park | Gibson City | IL | 60936 | Physician clinic | |||
| Gibson Area Ambulance Service | ||||||||
| 8 | 1120 North Melvin | Gibson City | IL | 60936 | Ambulance service | |||
| Gibson Area Hospital Surgery Clinic | ||||||||
| 9 | 1 Doctors Park | Gibson City | IL | 60936 | Physician clinic | |||
| Family Health Care of Fairbury | ||||||||
| 10 | 401 S Clay Street | Fairbury | IL | 61739 | Physician clinic | |||
| Family Health Care of Gibson City | ||||||||
| 11 | 7 Doctors Park | Gibson City | IL | 60936 | Physician clinic | |||
| Gibson Cosmetology | ||||||||
| 12 | 1117 N Melvin Street | Gibson City | IL | 60936 | Physician clinic | |||
| Family Health Care of Potomac | ||||||||
| 13 | 106 E State Street | Potomac | IL | 61865 | Physician clinic | |||
| Mahomet Specialty Clinic | ||||||||
| 14 | 1504 Patton Drive Suite 2 | Mahomet | IL | 61853 | Physician clinic | |||
| GAH Cardiology | ||||||||
| 15 | 10 Doctors Park | Gibson City | IL | 60936 | Physician clinic | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gibson Area Hospital and Health Services | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.gibsonhospital.org | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Gibson Area Hospital and Health Services | Part V, Section B, Line 3: In conducting the CHNA, three focus groups were utilized. The first consisted of community officials including the Ford County Board, Gibson City Officials, School District officials, and others. The second group consisted of Health Care Professionals such as physicians, pharmacists, nursing home representatives, public health department officials and others. The third group consisted of community leaders such as farmers, local business owners, clergy, and others. |
| Gibson Area Hospital and Health Services | Part V, Section B, Line 4: The CHNA was conducted including all of the facilities listed on Part V Section A. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Cost to charge ratio was obtained using Cost Accounting System. This system does address all patient segments and it is used to calculate the overall cost to charge ratio for the hospital. |
| Part III, Line 4: | Cost methodology for numbers in 2, and 3: 2 - actual bad debt expenses recorded in FY 2013 times 53.7% cost to charge ratio. 3 - 5% of total bad debt expense. Patient Financial Services works towards getting charity eligible patients qualified several times during the collection process. Unpaid patient accounts are turned over to agencies that try to collect the patient monies left unpaid. Patients are never turned over to a credit reporting agency nor are they sued over amounts due. |
| Part III, Line 8: | Part of the shortfall is settled after the CMS intermediary finalizes the cost report. |
| Part III, Line 9b: | To the extent patients are eligible for charity care and financial assistance, no further collection actions are taken. |
| Part VI, Line 2: | The hospital is currently working on a community needs assessment outlined by CMS guidelines. |
| Part VI, Line 3: | Charity care/financial assistance is posted on the hospital website. It is also discussed during the pre-registration process for all self pay and patients with a high deductible. Informational packets are distributed from each registration area [including ED] for self pay & high deductible. The informational packets have a application, cover letter about the program, and contact info on who/where to call for more info or assistance. Each self pay patient is contacted by Financial Healthcare Resources to discuss the government programs they may be eligible for and/or charity care. Charity care is also offered on the first statement that the patient receives. |
| Part VI, Line 4: | The hospital is located Ford County, IL. The hospital also has clinics in Livingston, DeWitt, and Iroquois counties, as well as serving Vermillion County. The hospital and clinics serve areas that are all considered rural; small towns and farmland. Of the counties listed above, as of 2008, percentage of persons below poverty level: Ford, 9.8%; Livingston 11.4%; DeWitt 10.2%; Iroquois 10.8%; Vermillion 14.6%; State level is 12.2% . Median Income, 2008: Ford, $51,313; Livingston, $50,972, DeWitt, $47,645; Iroquois, $46,529; Vermillion $41,292; State level is $56,230. Percent of population enrolled with HFS for benefits as of 2009: Ford, 18.8%; Livingston, 17.2%; DeWitt 18.7%; Iroquois 19.6%; Vermillion 27.1%. Closest hospital facilities are 30 miles to the southeast in Champaign/Urbana (Carle, Provena), and 35 miles to the west in Bloomington/Normal (OSF, Advocate/BroMenn). |
| Part VI, Line 5: | The entire Board of Directors is comprised of persons who reside in our primary service area, as do the Administrative Staff of the hospital. All of the physicians in the community have privileges at the hospital. The organization has also recruited and placed physicians in other rural communities, that also have privileges at the hospital. The hospital runs and maintains EMS services to several rural communities, which the organization runs at a loss every year. Any surplus funds are used to improve medical equipment, purchase needed supplies and pharmaceuticals, recruit providers for needed services, pay for staff to attend educational workshops, and other needed items and services for the betterment of the community. No excess of revenue over expenses are used to pay any shareholders or investors. This organization does not have either of the latter. |
| Part VI, Line 6: | Gibson Hospital is not part of an affiliated healthcare system. |
| Part VI, Line 7, Reports Filed With States | IL |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Telecare | |||||||
| 215 E 3rd St | Gibson City | IL | 60936 | 237353001 | 501(c)3 | $20,000 | Community Benefit |
| (no name) | |||||||
| Community Benefit | |||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Grants are made to 501 (c)(3) organizations to provide community benefit. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rob Schmitt | ||||||||||||||
| CEO | $244,861 | $0 | $0 | $0 | $0 | $0 | $11,360 | $0 | $3,068 | $0 | $259,289 | $0 | $0 | $0 |
| John Jacobson | ||||||||||||||
| CFO | $150,117 | $0 | $0 | $0 | $0 | $0 | $7,038 | $0 | $3,068 | $0 | $160,223 | $0 | $0 | $0 |
| Robin Rose | ||||||||||||||
| COO | $197,843 | $0 | $0 | $0 | $0 | $0 | $11,215 | $0 | $0 | $0 | $209,058 | $0 | $0 | $0 |
| Mike Meunier | ||||||||||||||
| CCO | $164,614 | $0 | $0 | $0 | $0 | $0 | $8,783 | $0 | $0 | $0 | $173,397 | $0 | $0 | $0 |
| Richard Foellner DO | ||||||||||||||
| Physician | $532,663 | $0 | $0 | $0 | $0 | $0 | $40,500 | $0 | $3,068 | $0 | $576,231 | $0 | $0 | $0 |
| William Price MD | ||||||||||||||
| Physician | $603,049 | $0 | $0 | $0 | $0 | $0 | $23,000 | $0 | $1,872 | $0 | $627,921 | $0 | $0 | $0 |
| Benjamin Brewer MD | ||||||||||||||
| Physician | $327,032 | $0 | $72,550 | $0 | $0 | $0 | $17,500 | $0 | $3,068 | $0 | $420,150 | $0 | $0 | $0 |
| Anthony San Diego MD | ||||||||||||||
| Physician | $433,459 | $0 | $18,794 | $0 | $0 | $0 | $20,388 | $0 | $3,068 | $0 | $475,709 | $0 | $0 | $0 |
| Joseph Chung MD | ||||||||||||||
| Physician | $375,351 | $0 | $74,569 | $0 | $0 | $0 | $17,500 | $0 | $1,404 | $0 | $468,824 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The City of Gibson City | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 376000811 | BondIssuerEIN |
| Bond Issued | 2010-12-01 | BondIssuedDt |
| Issue Price | $11,720,000 | IssuePriceAmt |
| Purpose | Refinancing of prior bonds, costs associated with facility renovation | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,554,932 | RetiredAmt |
| Total Proceeds | $13,306,062 | TotalProceedsAmt |
| In Reserve Fund | $858,896 | InReserveFundAmt |
| Capitalized Interest | $77,708 | CapitalizedInterestAmt |
| Refunding Escrow | $11,398,979 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $281,280 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $689,199 | CapitalExpendituresAmt |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | 0 | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark Spangler MD | PersonNm |
| Loan Purpose | Start-up costs for his practice | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $345,000 | OriginalPrincipalAmt |
| Balance Due | $70,696 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $70,696 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark Spangler MD | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Current board member of the Organization | RelationshipDescriptionTxt |
| Transaction | $131,706 | TransactionAmt |
| Transaction | Pays the Organization a monthly fee for management services for his office. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Mark Spangler has a outstanding loan with the Hospital. |
| Form 990, Part VI, Section A, line 3 | The hospital is in a contract with a managment company but the CEO remains employed by the hospital. |
| Form 990, Part VI, Section A, line 6 | The Hospital has association members. These members are any individual who contributed $100 or more to the Hospital during the fiscal year and Life Members - Being those who have contributed a sum of One Thousand ($1,000) dollars or more to further the objectives of the Hospital. |
| Form 990, Part VI, Section A, line 7a | The Association's members are allowed to vote annually at the member meeting. |
| Form 990, Part VI, Section A, line 7b | At the annual meeting, the members are asked to vote on the approval of the Board of Directors acting on the member's behalf. |
| Form 990, Part VI, Section B, line 11 | Form 990 is prepared by our independent accountants and provided to the governing body prior to filing. Form 990 is reviewed in detail by the Controller and CFO. |
| Form 990, Part VI, Section B, line 12c | Yearly conflict of interest agreements are signed by board members. There is also a quarterly compliance review of these agreeements. |
| Form 990, Part VI, Section B, line 15 | Top management and key employees' compensation is determined based on a review of current market comparables, experience level, and competitive compensation packages. The CEO is responsible for all compensation negotiations. |
| Form 990, Part VI, Section C, line 19 | All documents are available to the public upon request. |
| Form 990, Part XI, line 9: | Transfer of Net Assets from Gibson Area Hospital Foundation #36-4311943 759,552. |
| Form 990, Part IV, Line 12 | The Hospital received an unmodified GAAP opinion on financial statements that were combined with the Gibson Area Hospital Foundation. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Gibson Area Hospital Foundation | ||||||||||
| 1120 N Melvin | Gibson City | IL | 60936 | 364311943 | Support of the Hospital | IL | 501(c)3 | 509(a)2 | N/A | 0 |
| Gibson Community Hospital Auxiliary | ||||||||||
| 1120 N Melvin | Gibson City | IL | 60936 | 371150282 | Scholarships, Giftshop, Gala Fundraiser | IL | 501(c)3 | 509(a)2 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |