FERRELL HOSPITAL COMMUNITY FOUNDATION: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- FERRELL HOSPITAL COMMUNITY FOUNDATION (EIN 20-1244058)
- Tax period
- 2024-04-01 to 2025-03-31
- Filed
- 2026-02-13
- IRS object ID
- 202610449349301036
- Schema version
- 2024v5.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-02-13T15:44:22-06:00 | ReturnTs |
| Tax Period End | 2025-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 EASTPOINT PKWY SUITE 300 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40223 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201244058 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FERRELL HOSPITAL COMMUNITY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FERR | BusinessNameControlTxt |
| Phone | 6182733361 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 PINE STREET | AddressLine1Txt |
| City | ELDORADO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62930 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREG WRIGHT | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6182733361 | PhoneNum |
| Signature | 2026-02-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EMILIE M KNIERIEM CPA | PreparerPersonNm |
| PTIN | P01330194 | PTIN |
| Phone | 5029923500 | PhoneNum |
| Preparation | 2026-02-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GREG WRIGHT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 PINE STREET | AddressLine1Txt |
| City | ELDORADO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62930 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $68,780,854 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FERRELLHOSP.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | OPERATE ACUTE CARE HOSPITAL - DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE AND COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 423 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $710,254 | PYContributionsGrantsAmt |
| CY Contributions Grants | $192,873 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $56,307,541 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $57,534,834 | CYProgramServiceRevenueAmt |
| PY Investment Income | $289,605 | PYInvestmentIncomeAmt |
| CY Investment Income | $252,388 | CYInvestmentIncomeAmt |
| PY Other Revenue | $470,157 | PYOtherRevenueAmt |
| CY Other Revenue | $10,789,968 | CYOtherRevenueAmt |
| PY Total Revenue | $57,777,557 | PYTotalRevenueAmt |
| CY Total Revenue | $68,770,063 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,285,098 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,152,403 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $31,809,144 | PYOtherExpensesAmt |
| CY Other Expenses | $43,253,170 | CYOtherExpensesAmt |
| PY Total Expenses | $58,097,242 | PYTotalExpensesAmt |
| CY Total Expenses | $73,405,573 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$319,685 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,635,510 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $51,917,628 | TotalAssetsBOYAmt |
| Total Assets EOY | $56,996,654 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $45,153,681 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $51,687,327 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,763,947 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,309,327 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OPERATE ACUTE CARE HOSPITAL - DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE AND COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $56,466,928 | ExpenseAmt |
| Revenue | $68,322,243 | RevenueAmt |
| Desc | FERRELL HOSPITAL COMMUNITY FOUNDATION (FHCF) OFFERS QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. FHCF PROVIDES MEDICAL CARE TO OUTPATIENTS AND INPATIENTS AS WELL AS PROVIDES VARIOUS COMMUNITY BENEFITS TO THE COMMUNITY. | Desc |
| Total Program Service Expenses | $56,466,928 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 423 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREG WRIGHT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6182733361 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 PINE STREET | AddressLine1Txt |
| City | ELDORADO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62930 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| NATE OLDHAM MD | |||||||
| BOARD MEMBER/PHYSICIAN | 40.00 | Yes (X) | $541,331 | $0 | $56,535 | ||
| CLIFFORD EUGENE MORRIS | |||||||
| CHAIRMAN | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| E T SEELY | |||||||
| VICE-CHAIRMAN | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| BARB DEVOUS | |||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFF CAMPBELL | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| AYN BARTOK | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| NIKKI ROSER | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JARED FLORENCE | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DR JAMES PORTER MD | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| AUSTIN RAHMOELLER | |||||||
| BOARD MEMBER (TERM END 06/24)) | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CALEIGH BRUCE | |||||||
| CHIEF COMPLIANCE OFFICER | 40.00 | $114,453 | $0 | $6,526 | Yes (X) | ||
| RACHEL PRATHER | |||||||
| CHIEF NURSING OFFICER | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| TONY KEENE | |||||||
| CEO | 50.00 | $0 | $0 | $0 | Yes (X) | ||
| GREG WRIGHT | |||||||
| CFO | 50.00 | $0 | $0 | $0 | Yes (X) | ||
| JOSEPH A JACKSON MD | |||||||
| PHYSICIAN | 40.00 | $393,003 | $0 | $60,532 | Yes (X) | ||
| JANNA PATHI MD | |||||||
| SURGEON | 30.00 | $460,997 | $0 | $18,710 | Yes (X) | ||
| CALEB MITCHELL DO | |||||||
| PHYSICIAN | 40.00 | $474,921 | $0 | $56,472 | Yes (X) | ||
| CLAYTON FORD | |||||||
| PHYSICIAN | 40.00 | $388,583 | $0 | $58,854 | Yes (X) | ||
| DAVID GUNZEL | |||||||
| PHYSICIAN | 40.00 | $357,466 | $0 | $39,684 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,730,754 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $297,313 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 28 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DEACONESS HOSPITAL | |||||
| 600 MARY ST | EVANSVILLE | IN | 47747 | ER PHYSICIANS | $2,513,777 |
| MIDWEST NURSING AND VASCULAR SERVICES | |||||
| 222 W MAIN ST A | SALEM | IL | 62881 | NURSING SERVICES | $1,599,327 |
| PROGRESSIVE HEALTH OF INDIANA LLC | |||||
| PO BOX 6890 | EVANSVILLE | IN | 47719 | PHYSICAL AND OCCUPATIONAL THERAPISTS | $1,439,624 |
| ELDORADO EMERGENCY GROUP PC | |||||
| 1201 PINE STREET | ELDORADO | IL | 62930 | ER SERVICES | $1,361,776 |
| DEACONESS REGIONAL HEALTHCARE SERVICES | |||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | ER PHYSICIANS, MANAGEMENT FEES | $1,184,226 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $50,322 | FundraisingAmt |
| All Other Contributions | $142,551 | AllOtherContributionsAmt |
| Total Contributions | $192,873 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621999 | $57,066,341 | $57,066,341 |
| PHARMACY SERVICES (340B) | 621399 | $468,493 | $468,493 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $57,534,834 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $252,388 | TotalRevenueColumnAmt |
| Exclusion | $252,388 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,360 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,360 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,360 | TotalRevenueColumnAmt |
| Exclusion | $6,360 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $6,990 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $50,322 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $10,791 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,801 | TotalRevenueColumnAmt |
| Exclusion | -$3,801 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| FLOOD INSURANCE PROCEEDS | 900099 | $10,000,000 | $10,000,000 |
| IRCCO MSSP REVENUE | 900099 | $297,401 | $297,401 |
| REBATES | 900099 | $236,119 | $236,119 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $253,889 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $253,889 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,787,409 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,770,063 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $68,322,243 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $254,947 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $741,547 | TotalAmt |
| Program Services | $543,386 | ProgramServicesAmt |
| Management And General | $198,161 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,723,822 | TotalAmt |
| Program Services | $16,651,416 | ProgramServicesAmt |
| Management And General | $6,072,406 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,240 | TotalAmt |
| Program Services | $211,507 | ProgramServicesAmt |
| Management And General | $115,733 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,817,326 | TotalAmt |
| Program Services | $3,113,605 | ProgramServicesAmt |
| Management And General | $1,703,721 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,542,468 | TotalAmt |
| Program Services | $996,951 | ProgramServicesAmt |
| Management And General | $545,517 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,693,495 | TotalAmt |
| Management And General | $1,693,495 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,179 | TotalAmt |
| Program Services | $113,873 | ProgramServicesAmt |
| Management And General | $67,306 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,481 | TotalAmt |
| Program Services | $124,748 | ProgramServicesAmt |
| Management And General | $73,733 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,271,233 | TotalAmt |
| Program Services | $9,405,298 | ProgramServicesAmt |
| Management And General | $4,865,935 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,271 | TotalAmt |
| Program Services | $105,851 | ProgramServicesAmt |
| Management And General | $47,420 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $931,359 | TotalAmt |
| Program Services | $643,211 | ProgramServicesAmt |
| Management And General | $288,148 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,821 | TotalAmt |
| Program Services | $175,293 | ProgramServicesAmt |
| Management And General | $78,528 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $645,071 | TotalAmt |
| Program Services | $645,071 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,087 | TotalAmt |
| Program Services | $40,116 | ProgramServicesAmt |
| Management And General | $17,971 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,783 | TotalAmt |
| Program Services | $41,978 | ProgramServicesAmt |
| Management And General | $18,805 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $921,050 | TotalAmt |
| Program Services | $876,527 | ProgramServicesAmt |
| Management And General | $44,523 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,476,685 | TotalAmt |
| Program Services | $2,075,973 | ProgramServicesAmt |
| Management And General | $400,712 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $703,717 | TotalAmt |
| Program Services | $354,737 | ProgramServicesAmt |
| Management And General | $348,980 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $19,106,252 | $19,106,252 | |
| PROVIDER TAX | $736,984 | $736,984 | |
| REPAIRS AND MAINTENANCE | $411,706 | $193,376 | $218,330 |
| MINOR EQUIPMENT | $308,892 | $213,326 | $95,566 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,104 | TotalAmt |
| Program Services | $97,449 | ProgramServicesAmt |
| Management And General | $43,655 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,405,573 | TotalAmt |
| Program Services | $56,466,928 | ProgramServicesAmt |
| Management And General | $16,938,645 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,940,314 | BOYAmt |
| EOY | $5,113,279 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,758,208 | BOYAmt |
| EOY | $3,002,434 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,398,094 | BOYAmt |
| EOY | $5,416,622 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,178,122 | BOYAmt |
| EOY | $1,098,131 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $544,184 | BOYAmt |
| EOY | $615,318 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $50,901,273 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,222,795 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,131,686 | BOYAmt |
| EOY | $33,678,478 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,600 | BOYAmt |
| EOY | $178,446 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $927,420 | BOYAmt |
| EOY | $7,893,946 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,917,628 | BOYAmt |
| EOY | $56,996,654 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,828,460 | BOYAmt |
| EOY | $11,532,640 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,231,629 | BOYAmt |
| EOY | $33,221,709 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,773,254 | BOYAmt |
| EOY | $1,858,678 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,320,338 | BOYAmt |
| EOY | $5,074,300 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,153,681 | BOYAmt |
| EOY | $51,687,327 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,763,947 | BOYAmt |
| EOY | $5,309,327 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,763,947 | BOYAmt |
| EOY | $5,309,327 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,917,628 | BOYAmt |
| EOY | $56,996,654 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,635,510 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $3,180,890 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $16,690 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $16,690 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS DUES TO IHA AND AHA ANNUALLY. 44.6% OF THESE DUES ARE USED FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $375,541 | OtherCostOrOtherBasisAmt |
| Book Value | $375,541 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,862,969 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,212,642 | DepreciationAmt |
| Book Value | $14,650,327 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $675,540 | OtherCostOrOtherBasisAmt |
| Depreciation | $88,299 | DepreciationAmt |
| Book Value | $587,241 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,987,223 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,921,854 | DepreciationAmt |
| Book Value | $18,065,369 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $33,678,478 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $887,121 |
| ASSETS WHOSE USE IS LIMITED | $237,533 |
| ROU ASSET - FINANCE LEASE | $10,752 |
| ROU ASSET - OPERATING LEASE | $4,057,541 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $2,700,999 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,893,946 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| RELATED PARTY PAYABLE - DEACONESS CARMI CLINIC | $1,016,759 |
| ROU LIABILITY OPERATING LEASE | $4,057,541 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,074,300 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $68,770,063 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $68,770,063 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $68,770,063 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $73,405,573 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $73,405,573 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $73,405,573 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF MARCH 31, 2025 AND 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | DUELING PIANOS | Event1Nm |
| Gross Receipts Event1 | $34,822 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $34,822 | CharitableContriEvent1Amt |
| Rent Facility Costs Event1 | $2,000 | RentFacilityCostsEvent1Amt |
| Entertainment Event1 | $4,000 | EntertainmentEvent1Amt |
| Event2 | GALA | Event2Nm |
| Gross Receipts Event2 | $22,490 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $15,500 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $6,990 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $2,311 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $1,220 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $1,260 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $57,312 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $50,322 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $6,990 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,311 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,220 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $4,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,260 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $10,791 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$3,801 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $765,371 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $765,371 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01040 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,873,662 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,029,016 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,844,646 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05240 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,639,033 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,029,016 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,610,017 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06280 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,646 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,646 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,646 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,646 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,657,679 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,029,016 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,628,663 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06310 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,227,682 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $19,522,419 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $26,466,312 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,943,893 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FERRELL HOSPITAL COMMUNITY FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 PINE STREET | AddressLine1Txt |
| City | ELDORADO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62930 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | FERRELLHOSP.ORG | WebsiteAddressTxt |
| State License | 0005363 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FERRELL HOSPITAL COMMUNITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WEBSITE LISTED IN PART V, SEC. B, LINE 7D. | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WEBSITE LISTED IN PART V, SEC. B, LINE 7D. | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.FERRELLHOSPITAL.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.FERRELLHOSPITAL.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.FERRELLHOSPITAL.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FERRELL HOSPITAL COMMUNITY | PART V, SECTION B, LINE 5: THREE FOCUS GROUPS MET TO DISCUSS OVERALL HEALTH AND WELLNESS IN THE FERRELL HOSPITAL SERVICE AREA AND IDENTIFY HEALTH CONCERNS AND NEEDS IN DELIVERING HEALTHCARE AND HEALTH SERVICES 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 THESE GROUPS PROVIDED SERVICES TO UNDERSERVED AND UNSERVED PERSONS AS PART OF THEIR ROLES. THE FOCUS GROUPS' FINDINGS AND SECONDARY DATA ANALYZED BY THE CONSULTANT WERE PRESENTED TO A FOCUSED GROUP TO IDENTIFY ANDPRIORITIZE THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS.A. THREE FOCUS GROUPS WERE CONVENED AT FERRELL HOSPITAL IN OCTOBER 2024, REPRESENTING A BROAD CROSS SECTION OF THE COMMUNITY. THE GROUPS INCLUDED REPRESENTATION FROM COMMUNITY LEADERS, HOSPITAL DEPARTMENT MANAGERS AND MEDICAL PROVIDERS. FOCUS GROUP PARTICIPANTS:FOCUS GROUP ONE - COMMUNITY LEADERSPARTICIPANTS INCLUDED: LOCAL GOVERNMENT LEADERS SCHOOL DISTRICT REPRESENTATIVES COMMUNITY SERVICE PROVIDERS PUBLIC HEALTH OFFICIALS FAITH-BASED GROUPS ORGANIZATIONS SERVING UNDERSERVED/UNSERVED RESIDENTSFOCUS GROUP TWO - HOSPITAL DEPARTMENT MANAGERSINCLUDED LEADERSHIP ACROSS CLINICAL DEPARTMENTS, OPERATIONS, AND ADMINISTRATION.FOCUS GROUP THREE - MEDICAL PROVIDERSINCLUDED FAMILY MEDICINE, SPECIALTY PROVIDERS, AND CLINIC-BASED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS.B. ADDITIONAL ON SITE STAKEHOLDER GROUPS (46 TOTAL PARTICIPANTS)REPRESENTATIVES CAME FROM: CITY OF ELDORADO MEDICINE SHOPPE PHARMACY SOUTHEAST ILLINOIS COLLEGE LAKESIDE EMS EGYPTIAN HEALTH DEPARTMENT ELDORADO CUSD #4 HARRISBURG CUSD #3 YORK PHARMACY FERRELL HOSPITAL LEADERSHIP (25 PARTICIPANTS) FERRELL HOSPITAL PROVIDERS (10 PARTICIPANTS)C. PUBLIC INPUT 94 COMMUNITY MEMBERS COMPLETED A PUBLIC HEALTH NEEDS SURVEY DISTRIBUTED VIA ONLINE PLATFORMS AND SOCIAL MEDIA. COMMUNITY MEMBERS ACROSS ALL SERVICE AREA ZIP CODES PARTICIPATED.D. INTERNAL LEADERSHIP & COORDINATION DIRECTOR OF COMMUNITY RELATIONS & FOUNDATION CHIEF PEOPLE OFFICER SENIOR STAFF AND ADMINISTRATIVE TEAM ICAHN CONSULTANT (ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK) |
| FERRELL HOSPITAL COMMUNITY | PART V, SECTION B, LINE 7D: HTTPS://WWW.FERRELLHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS |
| FERRELL HOSPITAL COMMUNITY | PART V, SECTION B, LINE 11: THE TEAM PRIORITIZED TWO OF THE TOP FIVE ISSUES IDENTIFIED - COMMUNITY HEALTH IMPROVEMENT AND ACCESS TO DENTAL CARE RESOURCES. ACTION PLANNING AROUND THESE TWO PRIORITIES CAN INCLUDE BASIC NEEDS, CHRONIC DISEASE PREVENTION AND SUPPORT, AND DEVELOPING A PARTNERSHIP WITH LOCAL SCHOOLS. THEY DID NOT PRIORITIZE SUBSTANCE ABUSE AS THERE IS ALREADY AN ACTIVE SUBSTANCE ABUSE COALITION, SI-SUPRT, IN THE COMMUNITY. THEY WILL, HOWEVER, CONTINUE TO WORK WITH THIS GROUP ON THIS PRIORITY. FOR EACH OF THE PRIORITY AREAS, BROAD ACTIONS THE HOSPITAL INTENDS TO TAKE WERE IDENTIFIED ALONG WITH THE ANTICIPATED IMPACT, THE RESOURCES THE HOSPITAL INTENDS TO COMMIT TO THE ACTIONS, AND THE EXTERNAL COLLABORATORS THE HOSPITAL PLANS TO COOPERATE WITH TO ADDRESS THE NEED. THE PLAN WILL BE EVALUATED BY PERIODIC REVIEW OF MEASURABLE OUTCOME INDICATORS AND ANNUAL REVIEW AND REPORTING.FINAL PRIORITIZED COMMUNITY HEALTH NEEDS - AFTER REVIEWING ALL DATA, THE PRIORITIZATION GROUP IDENTIFIED TWO MAJOR HEALTH PRIORITIES:1. COMMUNITY HEALTH IMPROVEMENT, INCLUDING CHRONIC DISEASE PREVENTION AND MANAGEMENT- INCREASING SCREENINGS (CANCER, DIABETES, ETC.)- NUTRITION AND OBESITY- SMOKING/VAPING CESSATION- HEALTH EDUCATION AND LITERACY- PARTNERSHIPS WITH SCHOOLS FOR YOUTH WELLNESS- ACCESS TO SPECIALTY CAREACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED:- DEVELOP/CONTINUE TO PROVIDE MONTHLY EVENTS TO EDUCATE THE COMMUNITY ON CHRONIC DISEASES, THEIR CAUSES, AND THEIR MANAGEMENT. - REVIEW EDUCATIONAL DOCUMENTS FOR THE PRIMARY CARE OFFICES TO ENSURE THEY ARE COMPLETE, UP-TO-DATE, AND USEFUL FOR CHRONIC DISEASE PATIENTS.- WORK WITH PRIMARY CARE PROVIDERS TO IMPROVE THE NUMBER OF OVERALL CANCER SCREENINGS (MAMMOGRAMS, CERVICAL SCREENINGS, AND GI SCREENINGS). - WORK WITH THE SOUTHERN ILLINOIS HEALTHY COALITION ON EDUCATION TO STOP SMOKING AND VAPING.- WORK WITH COMMUNITY HEALTHCARE PARTNERS TO PROMOTE EACH OTHER'S HEALTH SCREENINGS AND EDUCATIONAL OFFERINGS. - CONTINUE NUTRITIONAL COUNSELING EFFORTS USING THE CURRENT DIETICIANS. - INVESTIGATE POTENTIAL PARTNERSHIPS WITH SCHOOLS AND LOCAL BUSINESSES ON WELLNESS PROGRAMMING.2. ACCESS TO DENTAL CARE RESOURCES, INCLUDING:- LACK OF LOCAL DENTAL PROVIDERS- INCREASED TOOTH LOSS AMONG ADULTS- POOR UTILIZATION OF PREVENTIVE DENTAL CARE- CONNECTION BETWEEN DENTAL HEALTH AND CHRONIC DISEASE- NEED FOR PEDIATRIC DENTAL ACCESS- COMMUNITY MOBILE/"DENTAL SAFARI" CLINIC SUPPORTACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED:- COOPERATE WITH THE FQHC IN THEIR EFFORTS TO PROVIDE PEDIATRIC DENTAL CLINICS. - SUPPORT THE NEW DENTISTS IN THE COMMUNITY. ASK THEM TO SERVE ON MEDICAL STAFF COMMITTEES TO ENGAGE THEM IN THE HOSPITAL'S OPERATIONS. - IMPROVE EDUCATIONAL EFFORTS TO PROMOTE DENTAL HEALTH IN THE COMMUNITY.- ASSIST WITH DENTAL SAFARI/MOBILE CLINICS TO PROMOTE ORAL HEALTH.- INVITE LOCAL DENTAL PROVIDERS TO PARTICIPATE IN FUTURE HEALTH EVENTS FOR THE COMMUNITY.OPPORTUNITIES / NEEDS IDENTIFIED:- TRANSPORTATION BARRIERS- EMS STAFFING AND TRANSFER CHALLENGES- RECRUITMENT OF SPECIALTY AND PRIMARY CARE PROVIDERS- WORKFORCE SHORTAGES- BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES- YOUTH SUPPORT AND PROGRAMMING- ECONOMIC INSTABILITY- ACCESS TO FRESH/HEALTHY FOOD- EXPANDED WELLNESS AND RECREATION OPPORTUNITIES- DAYCARE AVAILABILITY- BROADBAND/TECHNOLOGY GAPS AFFECTING TELEHEALTH |
| FERRELL HOSPITAL COMMUNITY | PART V, SECTION B, LINE 23: THE HOSPITAL CHARGES THE SAME AMOUNT FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE FOR FAP-ELIGIBLE PATIENTS AND ALL OTHER PATIENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - FERRELL HOSPITAL FAMILY PRACTICE | ||||
| 1036 MAPLE STREET | ELDORADO | IL | 62930 | RURAL HEALTH CLINIC |
| 2 - EL DORADO FAMILY MEDICINE | ||||
| 1407 LOCUST STREET | ELDORADO | IL | 62930 | RURAL HEALTH CLINIC |
| 3 - CARMI FAMILY MEDICINE | ||||
| 1340 IL HWY 1 SUITE A | CARMI | IL | 62821 | RURAL HEALTH CLINIC |
| 4 - MCLEANSBORO FAMILY MEDICINE | ||||
| 206 S WASHINGTON STREET | MCLEANSBORO | IL | 62859 | RURAL HEALTH CLINIC |
| 5 - HARRISBURG FAMILY MEDICINE | ||||
| 716 S COMMERCIAL STREET | HARRISBURG | IL | 62946 | RURAL HEALTH CLINIC |
| 6 - FERRELL HOSPITAL HARRISBURG FAMILY PRACT | ||||
| 30 VETERANS DRIVE | HARRISBURG | IL | 62946 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE HOSPITAL USED A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2; RATIO OF PATIENT CARE COST TO CHARGES INCLUDED IN THE SCHEDULE H INSTRUCTIONS TO DETERMINE THE AMOUNTS ON LINE 7A OF PART 1 OF SCHEDULE H. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | FERRELL HOSPITAL COMMUNITY FOUNDATION OFFERS VARIOUS BENEFITS TO THE COMMUNITY INCLUDING BUT NOT LIMITED TO CPR/FIRST AID, PARTICIPATION IN THE SALINE COUNTY HEALTHY COALITION, PARTICIPATION IN HEALTH FAIRS AT LOCAL HIGH SCHOOLS AND COLLEGES, POISON PREVENTION AND HEALTH CARE CAREER PRESENTATIONS TO LOCAL SCHOOLS, PROVIDE TOURS OF THE HOSPITAL, HOLD FLU VACCINATION CLINICS, PERIODIC BLOOD PRESSURE AND GLUCOSE SCREENINGS, SPEAKING ENGAGEMENTS FOR COMMUNITY ORGANIZATIONS, CO-SPONSOR THE KIDNEY MOBILE, SPONSOR THE LOCAL HIGH SCHOOL PROM, PARTICIPATE IN THE RELAY FOR LIFE, SPONSOR FUNCTIONS AT THE LOCAL SENIOR CITIZENS CENTER, HOLD WELLNESS WORKSHOPS, PROVIDE A TRAINER FOR THE LOCAL HIGH SCHOOL SPORTS TEAMS, PROVIDE FIRST AID KITS FOR LOCAL SPORTS TEAMS, PROVIDE CLOTHING FOR DOMESTIC ABUSE VICTIMS AND PARTICIPATE IN THE SAFE HAVEN PROGRAM. |
| PART III, LINE 2: | THE BAD DEBT EXPENSE IS FROM THE TRIAL BALANCE. SEE ATTACHED PRIOR YEAR FINANCIAL STMT PAGES 10 & 11 FOR METHODOLOGY. |
| PART III, LINE 3: | FINANCIAL ASSISTANCE COUNSELORS ARE IN PLACE TO CONTACT ANY PATIENT EXPRESSING INTEREST IN THE PROGRAM. PROCEDURES ARE IN PLACE TO MAKE DETERMINATIONS OF ALL PATIENTS' ELIGIBILITY AND TO PROVIDE THE APPROPRIATE ASSISTANCE. |
| PART III, LINE 4: | SEE THE PAGES 10 & 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, LINE 8: THE MEDICARE TOTAL REVENUE AND ALLOWABLE COSTS WERE BASED ON THE FYE 2025 MEDICARE COST REPORT. THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT DUE TO THE HOSPTIAL PROVIDING CARE TO MEDICARE PATIENTS AT LESS THAN THE ALLOWABLE MEDICARE COSTS. |
| PART III, LINE 9B: | FERRELL HOSPITAL COMMUNITY FOUNDATION PROVIDES ASSISTANCE TO MEET THE NEEDS OF THE UNINSURED PATIENTS TO WHICH THEY SERVE. FOR THOSE PATIENTS WHO ARE EXPECTED TO QUALIFY UNDER THEIR FINANCIAL ASSISTANCE POLICY, THE HOSPITAL ASSIGNS THE FINANCIAL CARRIER FOR CHARITY CARE AT THE TIME OF THE REQUEST FOR THE HEALTH ASSISTANCE PROGRAM (HAP) APPLICATION. ONCE ASSIGNED, SEVERAL PROCEDURES ARE IN PLACE TO COMPLETE THE PROCESS INCLUDING INVESTIGATION FOR ANY OTHER AVAILABLE FUNDING SOURCES SUCH AS MEDICAID AND INCOME VERIFICATION. THOSE THAT COMPLETE THE HAP ACCURATELY AND QUALIFY UNDER THE HOSPITALS POLICY RECEIVE FREE OR DISCOUNTED CARE. |
| PART VI, LINE 2: | FCHF IS INVOLVED IN COMMUNITY ORGANIZATIONS, INCLUDING CHURCHES, CIVIC GROUPS AND PROFESSIONAL ORGANIZATIONS. |
| PART VI, LINE 3: | OUR FINANCIAL ASSISTANCE PROGRAM IS EASILY ACCESSED THROUGH OUR WEBSITE AND HAS THE FORMS LISTED FOR THE PATIENT TO PRINT OFF IF NEEDED. THE CONTACT PHONE NUMBERS OF OUR FINANCIAL COUNSELORS ARE ALSO LISTED. THERE ARE FERRELL HOSPITAL FINANCIAL ASSISTANCE BROCHURES IN THE LOBBY AREAS OF THE HOSPITAL. ALL SELF-PAY PATIENTS IN THE HOSPITAL ARE VISITED BY THE FINANCIAL COUNSELOR AND GIVEN THE NECESSARY PAPERWORK IF THE PATIENT REQUESTS IT. IF THE FINANCIAL COUNSELOR DOES NOT GET TO SEE THE PATIENT OR FAMILY, THEN A LETTER IS MAILED ALONG WITH THE APPLICATION TO THE PATIENT. UPON REGISTRATION OF THE PATIENT, THE REGISTRATION STAFF INFORMS THE PATIENT OF THE HOSPITAL FINANCIAL ASSISTANCE PROGRAMS AND GIVES THEM A BROCHURE. IF THE PATIENT REQUESTS TO TALK TO THE FINANCIAL COUNSELOR, THEN THAT PERSON IS CALLED. |
| PART VI, LINE 4: | THE MAJORITY OF FERRELL HOSPITAL PATIENTS RESIDE IN SALINE, GALLATIN, WHITE AND HAMILTON COUNTIES. WE ALSO SEE SEVERAL PATIENTS FROM POPE AND HARDIN COUNTIES. OUR FACILITIES ARE LOCATED IN SALINE AND GALLATIN COUNTIES. THE UNEMPLOYMENT RATE AND POVERTY RATE OF THESE COUNTIES ARE HIGHER THAN THE NATIONAL AVERAGE AND VERY CLOSE TO THE STATE OF ILLINOIS AVERAGE. THE PAYER MIX IS HEAVILY MEDICAID/MEDICARE DEPENDENT. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NATE OLDHAM MD | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $413,779 | $0 | $125,374 | $0 | $2,178 | $0 | $8,244 | $0 | $48,291 | $0 | $597,866 | $0 | $0 | $0 |
| CALEB MITCHELL DO | ||||||||||||||
| PHYSICIAN | $385,735 | $0 | $89,186 | $0 | $0 | $0 | $6,836 | $0 | $49,636 | $0 | $531,393 | $0 | $0 | $0 |
| JANNA PATHI MD | ||||||||||||||
| SURGEON | $460,997 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,710 | $0 | $479,707 | $0 | $0 | $0 |
| JOSEPH A JACKSON MD | ||||||||||||||
| PHYSICIAN | $345,280 | $0 | $47,723 | $0 | $0 | $0 | $9,684 | $0 | $50,848 | $0 | $453,535 | $0 | $0 | $0 |
| CLAYTON FORD | ||||||||||||||
| PHYSICIAN | $290,012 | $0 | $81,071 | $0 | $17,500 | $0 | $8,419 | $0 | $50,435 | $0 | $447,437 | $0 | $0 | $0 |
| DAVID GUNZEL | ||||||||||||||
| PHYSICIAN | $270,097 | $0 | $62,369 | $0 | $25,000 | $0 | $5,892 | $0 | $33,792 | $0 | $397,150 | $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 | ILLINOIS FINANCE AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 861091967 | BondIssuerEIN |
| CUSIP | 000000000 | CUSIPNum |
| Bond Issued | 2019-03-27 | BondIssuedDt |
| Issue Price | $33,260,000 | IssuePriceAmt |
| Purpose | CONSTRUCTION AND EQUIPMENT FOR NEW HOSPITAL | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,147,052 | RetiredAmt |
| Total Proceeds | $33,260,000 | TotalProceedsAmt |
| Capitalized Interest | $510,877 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $308,047 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $32,441,076 | CapitalExpendituresAmt |
| Substantial Completion | 2021 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | Yes (1) | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | CLIFFORD EUGENE MORRIS AND DR. NATE OLDHAM HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 3 | EFFECTIVE JANUARY 1, 2016, THE HOSPITAL ENTERED INTO A FIVE-YEAR MANAGEMENT SERVICES AGREEMENT. MANAGEMENT SERVICES PROVIDED TO THE HOSPITAL CONSIST OF MANAGEMENT PERSONNEL INCLUDING A CEO AND CFO, FACILITY PLANNING, STRATEGIC PLANNING, RECRUITING, AND SEVERAL OTHER SUPPORT AND OVERSIGHT SERVICES. THE INITIAL TERM OF THE AGREEMENT WAS FOR A FIVE-YEAR PERIOD, WHICH COULD BE EXTENDED BEYOND THE INITIAL FIVE-YEAR PERIOD, IF SO DESIRED. FERRELL HOSPITAL ELECTED TO EXTEND THE AGREEMENT AFTER THE INITIAL FIVE-YEAR PERIOD ENDED. THE AGREEMENT COULD BE TERMINATED BY EITHER PARTY WITH A ONE HUNDRED AND EIGHTY DAY NOTICE WITHOUT RECOURSE SUBSEQUENT TO THE INITIAL FIVE-YEAR TERM. THE HOSPITAL WILL REIMBURSE THE MANAGEMENT SERVICE PROVIDER THE ACTUAL COST OF PROVIDING THE MANAGEMENT SERVICES ON A MONTHLY BASIS FOR THE YEARS ENDED MARCH 31, 2025 AND 2024. MANAGEMENT FEES INCURRED WERE $120,000 PER YEAR DURING THE FYE 2025, A PORTION OF COST REPORT PROCEEDS TOTALING $1,573,495 AND THE FOLLOWING INDIVIDUALS WERE COMPENSATED BY THE MANAGEMENT SERVICE PROVIDER: TONY KEENE, CEO, GREG WRIGHT, CFO, AND RACHEL PRATHER, CNO TOTALING $699,559.14. UNLESS OTHERWISE TERMINATED, UPON EXPIRATION OF THE INITIAL TERM THE MANAGEMENT AGREEMENT WILL THEREAFTER AUTOMATICALLY RENEW FOR ADDITIONAL CONSECUTIVE ONE YEAR PERIODS ("EXTENDED TERMS"). |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CEO AND CFO REVIEW THE COMPLETED FORM 990 AS PREPARED BY THE PAID PROVIDER FOR COMPLETENESS AND ACCURACY. THE BOARD CHAIR, THE CEO AND THE CFO SUBMIT THE FORM TO THE BOARD AT THE NEXT BOARD MEETING WHICH WILL TAKE PLACE AFTER THE 990 IS SUBMITTED FOR FYE 2025. |
| FORM 990, PART VI, SECTION B, LINE 12C | COPIES OF THE CONFLICT OF INTEREST POLICY ARE PROVIDED TO EACH DIRECTOR, OFFICER, AND MANAGEMENT PERSON AT LEAST ONCE PER YEAR, WITH REQUIREMENT THAT THEY COMPLETE A CERTIFICATE. THE CERTIFICATE CONFIRMS THAT THEY UNDERSTAND THIS POLICY, AGREE TO COMPLY, INDICATE ANY KNOWN CONFLICTS, AND HAVE NO KNOWLEDGE OF ANY ADDITIONAL VIOLATIONS OF THE POLICY. ANY PERSON WITH A CONFLICT IS REQUIRED TO COMPLETE A SPECIFIC DISCLOSURE NOTICE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO'S SALARY WAS DETERMINED BY COMPARISON WITH PRIOR PERSONS EMPLOYED IN THE POSITION, INDUSTRY COMPARISONS, RELATIVE EXPERIENCE AND KNOWLEDGE. THE CEO'S SALARY WAS APPROVED BY THE BOARD OF DIRECTORS. ALL DELIBERATIONS ARE INCLUDED IN BOARD MINUTES. THIS PROCESS WAS LAST COMPLETED IN 2016 UPON ENTERING INTO THE MANAGEMENT SERVICES AGREEMENT.THE CFO'S SALARY WAS DETERMINED AND APPROVED IN THE SAME MANNER AS THE CEO'S SALARY. ALL OTHER EXECUTIVE SALARIES ARE APPROVED BY EXECUTIVE MANAGEMENT AND ANALYZED BASED ON INDUSTRY COMPARATIVE DATA AND POSITION DESCRIPTIONS, COMMENSURATE EXPERIENCE, EXPERTISE AND TRAINING. THIS PROCESS WAS LAST COMPLETED IN 2016. |
| FORM 990, PART VI, SECTION C, LINE 19 | FERRELL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 TAX RETURNS ARE AVAILABLE TO THE PUBLIC BY REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 1,172,709. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,172,709. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,232,589. MANAGEMENT AND GENERAL EXPENSES 4,865,935. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,098,524. |
| FORM 990, PART XI, LINE 9: | CHANGE IN PRIOR YEAR NPRS AND NONOPERATING REVENUE ON FINAL AFS 3,180,890. |
| FORM 990, PART XI, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
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