HOOPESTON COMMUNITY MEMORIAL HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: HOOPESTON COMMUNITY MEMORIAL HOSPITAL (EIN 36-3637465)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-02-10
IRS object ID: 201140419349301214
Schema version: 2009v1.7
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 J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-02-10T13:00:10-06:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ECK SCHAFER & PUNKE LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	600 East Adams Street	AddressLine1
City	Springfield	City
State	IL	State
ZIP Code	627011624	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	363637465	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	HOOPESTON COMMUNITY MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	HOOP	NameControl
Phone	2172835531	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 E ORANGE STREET	AddressLine1
City	HOOPESTON	City
State	IL	State
ZIP Code	60942	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RUSS LEIGH	Name
Title	PRESIDENT	Title
Phone	2172835531	Phone
Date Signed	2011-02-08	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Brent Leach	Name
Phone	2175251111	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RUSS LEIGH	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	701 E ORANGE STREET	AddressLine1
City	HOOPESTON	City
State	IL	State
ZIP Code	60942	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	21274943	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.hoopestonhospital.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1962	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	PROVIDE ACUTE AND SKILLED NURSING CARE FOR RESIDENTS OF HOOPESTON AND THE SURROUNDING AREAS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	306	TotalNbrEmployees
Total Nbr Volunteers	12	TotalNbrVolunteers
Total Gross UBI	21426	TotalGrossUBI
Net Unrelated Business Txbl Income	864	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	25914	ContributionsGrantsPriorYear
Contributions Grants Current Year	1005	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	20661037	ProgramServiceRevenuePriorYear
Program Service Revenue CY	21077296	ProgramServiceRevenueCY
Investment Income Prior Year	105834	InvestmentIncomePriorYear
Investment Income Current Year	110256	InvestmentIncomeCurrentYear
Other Revenue Prior Year	71557	OtherRevenuePriorYear
Other Revenue Current Year	86386	OtherRevenueCurrentYear
Total Revenue Prior Year	20864342	TotalRevenuePriorYear
Total Revenue Current Year	21274943	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	8579214	SalariesEtcPriorYear
Salaries Etc Current Year	9918245	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	10353834	OtherExpensePriorYear
Other Expenses Current Year	11304574	OtherExpensesCurrentYear
Total Expenses Prior Year	18933048	TotalExpensesPriorYear
Total Expenses Current Year	21222819	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1931294	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	52124	RevenuesLessExpensesCY
Total Assets BOY	17000329	TotalAssetsBOY
Total Assets EOY	17546086	TotalAssetsEOY
Total Liabilities BOY	11230704	TotalLiabilitiesBOY
Total Liabilities EOY	11684286	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	5769625	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	5861800	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDE ACUTE AND SKILLED NURSING CARE FOR RESIDENTS OF HOOPESTON AND THE SURROUNDING AREAS.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	16748640	Expense
Revenue	21077296	Revenue
Description	PROVIDE ACUTE INPATIENT AND OUTPATIENT HEALTHCARE SERVICES AND LONG TERM HEALTH CARE SERVICES	Description
Total Program Service Expense	16748640	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	30	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	306	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	KEN FOZDAR CONTROLLER	NamePerson
Telephone Number	2172835531	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	701 E ORANGE	AddressLine1
City	HOOPESTON	City
State	IL	State
ZIP Code	60942	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
RUSS LEIGH
PRESIDENT	1.00	X	X	0	0	0
RICHARD READ
VICE-PRESIDENT	1.00	X	X	0	0	0
LYNN GALLOWAY
SECRETARY/TREASURER	1.00	X	X	0	0	0
KARLA COON
DIRECTOR	1.00	X		0	0	0
LONI GRESS
DIRECTOR	1.00	X		0	0	0
TODD HARRIS
DIRECTOR	1.00	X		0	0	0
GREG LANE
DIRECTOR	1.00	X		0	0	0
ED LAYDEN JR
DIRECTOR	1.00	X		0	0	0
DAVE MCFADDEN
DIRECTOR	1.00	X		0	0	0
HANK HORNBECK
DIRECTOR	1.00	X		0	0	0
ANGELA TOTHEROH
BOARD MEMBER	1.00	X		0	0	0
JAY COLBERT MD
PHYSICIAN	40.00			229146	0	0	X
DR HILARY FRESCOLN
PHYSICIAN	20.00			113599	0	0	X
DENNIS PRICE
PHYSICIAN ASST	40.00			155983	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	498728	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	3	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
HOOPESTON ER MEDICAL SPECIALISTS
810 QUAIL RIDGE DRIVE	WESTMONT	IL	60559	ER & HOSPITALIST DOCTORS	1005150
CARLE FOUNDATION HOSPITAL
611 W PARK STREET	URBANA	IL	61801	REHAB PT, OT ST LABORATORY, RADIOLOGY RE	898953
QUORUM HEALTH RESOURCES
105 CONTINENTAL PLACE	BRENTWOOOD	TN	37027	HEALTHCARE MANAGEMENT SERVICES	807068
SIGHTPATH MEDICAL
5775 W OLD SHAKOPEE ROAD SUITE 90	BLOOMINGTON	MN	55437	MEDICAL/SURGICAL SUPPLIES	447661
FARNSWORTH GROUP
PO BOX 843219	KANSAS CITY	MO	64184	ENGINEERING/ARCHITECTURAL	447099

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	23	NumberOfContractorsGT100K
All Other Contributions	1005	AllOtherContributions
Total Contributions	1005	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICES	621990	20405006	20405006
OTHER	900099	672290	672290

Field	Value	IRS element (for citing)
Total Program Service Revenue	21077296	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	110256	TotalRevenueColumn
Exclusion	$110,256	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	15594	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	15594	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	15594	TotalRevenueColumn
Exclusion	$15,594	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	CAFETERIA	Description
Business Code	722320	BusinessCode
Total Revenue Column	70792	TotalRevenueColumn
Unrelated Business Revenue	21426	UnrelatedBusinessRevenue
Exclusion	$49,366	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	70792	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	21274943	TotalRevenueColumn
Related Or Exempt Function Income	21077296	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	21426	UnrelatedBusinessRevenue
Exclusion	$175,216	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	8167946	Total
Program Services	6611800	ProgramServices
Management And General	1556146	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	57866	Total
Program Services	46841	ProgramServices
Management And General	11025	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1115191	Total
Program Services	862876	ProgramServices
Management And General	252315	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	577242	Total
Program Services	465032	ProgramServices
Management And General	112210	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	444575	Total
Management And General	444575	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	20707	Total
Management And General	20707	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	76931	Total
Management And General	76931	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1870265	Total
Program Services	1870265	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	254202	Total
Program Services	232933	ProgramServices
Management And General	21269	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1832583	Total
Program Services	960935	ProgramServices
Management And General	871648	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	207914	Total
Management And General	207914	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	70297	Total
Program Services	48565	ProgramServices
Management And General	21732	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	42438	Total
Program Services	34463	ProgramServices
Management And General	7975	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	579702	Total
Program Services	457490	ProgramServices
Management And General	122212	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	788422	Total
Program Services	622207	ProgramServices
Management And General	166215	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	310651	Total
Program Services	282640	ProgramServices
Management And General	28011	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
DRUGS AND OTHER SUPPLIE	2423975	2297594	126381
BAD DEBTS	1577812	1577812
PURCHASED SERVICES/PROF	804100	377187	426913

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	21222819	Total
Program Services	16748640	ProgramServices
Management And General	4474179	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	776428	BOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1749598	BOY
EOY	2190787	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	217051	BOY
EOY	232022	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	52344	BOY
EOY	53597	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	15910498	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	6749195	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	8456950	BOY
EOY	9161303	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	2015894	BOY
EOY	1678639	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3732064	BOY
EOY	4229738	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	17000329	BOY
EOY	17546086	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2039889	BOY
EOY	2880764	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	8965498	BOY
EOY	8551776	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	225317	BOY
EOY	251746	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	11230704	BOY
EOY	11684286	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2262812	BOY
EOY	2314936	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3506813	BOY
EOY	3546864	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5769625	BOY
EOY	5861800	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	17000329	BOY
EOY	17546086	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule D IRS990ScheduleD

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10318754	OtherCostOrOtherBasis
Depreciation	3684698	Depreciation
Book Value	6634056	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4243011	OtherCostOrOtherBasis
Depreciation	2911357	Depreciation
Book Value	1331654	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1348733	OtherCostOrOtherBasis
Depreciation	153140	Depreciation
Book Value	1195593	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	9161303	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	INVESTMENTS LIMITED TO USE	Description
Book Value	1678639	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	1678639	TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
BENEFICIAL INTEREST IN PERPETUAL TRUST	3546864
DEFERRED FINANCING COSTS	370759
ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS	312115

Field	Value	IRS element (for citing)
Total Book Value Other Assets	4229738	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ASSET RETIREMENT OBLIGATION	$129,313
CASH OVERDRAFT	$122,433

Field	Value	IRS element (for citing)
Total Of Amounts	251746	TotalOfAmounts
Total Revenue	21274943	TotalRevenue
Total Expenses	21222819	TotalExpenses
Excess Or Deficit For Year	52124	ExcessOrDeficitForYear
Other	$40,051	OtherAmount
Total Adjustments	40051	TotalAdjustments
Excess Or Deficit Per FS	92175	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	21274943	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	21274943	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	21274943	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	21222819	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	21222819	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	21222819	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part X:	Description of Uncertain Tax Positions Under FIN 48:	Effective October 1, 2009, the Center adopted the new requirements related to the accounting for uncertainty in income taxes (as initially required by Financial Accounting Standards Board Financial Interpretation No. 48 and subsequently superseded by Accounting Standards Codification 740). This guidance 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 Septemeber 30, 2010 were reviewed, and it was determined that no provision for uncertain tax positions is required.
Part XI, Line 8 - Other Adjustments:		CHANGE IN VALUATION OF PERMANENTLY RESTRICTED NET ASSET

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	125.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	0	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	669	PersonsServed
Total Community Benefit Expense	712735	TotalCommunityBenefitExpense
Net Community Benefit Expense	712735	NetCommunityBenefitExpense
Percent Of Total Expense	0.03630	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	669	PersonsServed
Total Community Benefit Expense	712735	TotalCommunityBenefitExpense
Net Community Benefit Expense	712735	NetCommunityBenefitExpense
Percent Of Total Expense	0.03630	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17884	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1370	DirectOffsettingRevenue
Net Community Benefit Expense	16514	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17884	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1370	DirectOffsettingRevenue
Net Community Benefit Expense	16514	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	669	PersonsServed
Total Community Benefit Expense	730619	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1370	DirectOffsettingRevenue
Net Community Benefit Expense	729249	NetCommunityBenefitExpense
Percent Of Total Expense	0.03710	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,577,812	BadDebtExpenseAmount
Amount Attributable To	419033	AmountAttributableTo
Amount Reimbursed By Medicare	5315455	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	5557396	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-241941	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	Quorum Health Resources	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Management and Consulting	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.00000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.00000	PhysicansProfitOrOwnership

Form990 Schedule H Part V Form990ScheduleHPartV (9 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Critical Access HospitalCriticalAccessHospital	Er24 HoursEr24Hours	OtherOther
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
701 E ORANGE	HOOPESTON	IL	60942	X	X	X	X
HOOPESTON COM MEMORIAL NURSING HOM
701 E ORANGE	HOOPESTON	IL	60942					LONG TERM CARE/NURSING HOME
COUNTRY TERRACE INDEPENDENT LIVING APART
705 E ORANGE	HOOPESTON	IL	60942					SENIOR INDEPENDENT LIVING APTS
BRIDGEWAY CLINIC
843 E ORANGE	HOOPESTON	IL	60942					MEDICAL CLINIC
HOOPESTON BUSINESS OFFICE
847 E ORANGE	HOOPESTON	IL	60942					ACCTING, BO, HR, IT & MASSAGE THERAPY
ROSSVILLE MEDICAL CLINIC
112 N CHICAGO	ROSSVILLE	IL	60963					MEDICAL CLINIC
CISSNA PARK MEDICAL CLINIC
141 W GARFIELD	CISSNA PARK	IL	60924					MEDICAL CLINIC
HOOPESTON AMBULANCE SERVICES
413 E MAIN	HOOPESTON	IL	60942					AMBULANCE SERVICES
CHARLOTTE ANN RUSSELL MEDICAL CENTER
801 E ORANGE	HOOPESTON	IL	60942					MEDICAL CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Needs Assessment	Part VI, Line 2: Hoopeston Regional Health Center assesses community needs on an annual basis through a publicly advertised state of the hospital meeting, where community residents are surveyed upon entry concerning the most significant health concerns they may have in our community today. Through these assessments the hospital has initiated the following programs over the past 2 years;1. Nurse to do head checks in the local school system. We provide this service for free2. Vision and hearing testing for all schools in the region. We provide this service for free.3. Athletic trainer to care for student athletes, specializing in concussion care. We provide this service for free.4. After hours care program. We have expanded our clinic hours until 8pm during the week and offer Saturday appointments.5. Hired a general surgeon for our community.6. Free diabetes education from our Registered Dietician. Classroom and individual counseling are offered.7. Future program developments will include aging and obesity.We perform a formal 3rd party assessment once every three years and will be completed again in 2012. All surveys and assessments are discussed at our annual strategic planning sessions with the community board of directors each September.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: Patients are educated on the financial assistance policies and availability in the following ways;1. Signs are posted at all areas of patient registration for services.2. Once a bill reaches 45 days past due, our internal financial staff calls and discusses needs with the individual. We then help determine if they are available for state Medicaid or if they qualify for charity care under our policy. If so, we assist them with the application process.	PatientEducationAssistance
Community Information	Part VI, Line 4: Hoopeston Regional Health Center serves a zip code with 7,000 people. 6,000 of these people live in an urban environment while the remaining live in a rural environment. A vast majority of the people living in this area are of a white race. The estimated median household income in 2009 is $34,000. In 2009, 22% of the population have an income below the poverty line.	CommunityInformation
Community Building Activities	Part VI, Line 5: The hospitals building program will enhance the healthcare of the community by providing easier access to services and a greater number of services to be provided locally;1. New Emergency Room to be complete in 20122. New Surgery Suite to be complete in 20123. New Clinic in Rossville, IL to be complete in 20114. Replacement Nursing Home facility to be complete in 2012	CommunityBuildingActivities
Other Information	Part VI, Line 6: The hospital further health in the community by;1. Providing childrens activities throughout the year free of charge. Ie; Movie, pony rides, fireworks2. Maintains an open medical staff to encourage physician membership in our organization and provide choice for local patients3. 11 members community board serves on a volunteer basis	OtherInformation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAY COLBERT MD
229146	0	0	0	0	0	0	0	0	0	229146	0	0	0
DR HILARY FRESCOLN
113599	0	0	0	0	0	0	0	0	0	113599	0	0	0
DENNIS PRICE
155983	0	0	0	0	0	0	0	0	0	155983	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section A, line 2	Two board members, Karla Coon and Angela Totheroh, are step-mother and step-daughter.
Form 990, Part VI, Section A, line 3	The CEO of the organization is employed by Quorum Health Resources. The organization negotiated a management contract with that Firm.
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, Part VI, Section B, line 12c	Conflict of interest disclosure forms are annually completed by employees and board members.
Form 990, Part VI, Section B, line 15	The CEO of the organization is employed by Quorum Health Resources. The organization negotiated a management contract with that Firm. There is currently no CFO.
Form 990, Part VI, Section C, line 19	All documents available upon request.