HOPEDALE MEDICAL FOUNDATION: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- HOPEDALE MEDICAL FOUNDATION (EIN 37-0808925)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-15
- IRS object ID
- 202611359349310136
- 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 I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-15T16:02:58-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 WASHINGTON AVENUE SUITE 1800 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370808925 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HOPEDALE MEDICAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOPE | BusinessNameControlTxt |
| Phone | 3094493321 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 107 TREMONT ST | AddressLine1Txt |
| City | HOPEDALE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61747 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | EMILY WHITSON | PersonNm |
| Person Title | CHIEF OPERATING OFFICER | PersonTitleTxt |
| Phone | 3094493321 | PhoneNum |
| Signature | 2026-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMBER HAMILTON | PreparerPersonNm |
| PTIN | P01251012 | PTIN |
| Phone | 3149254300 | PhoneNum |
| Preparation | 2026-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOPEDALE MEDICAL COMPLEX | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | EMILY WHITSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 107 TREMONT ST | AddressLine1Txt |
| City | HOPEDALE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $52,193,868 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOPEDALEMC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE OUTSTANDING PHYSICIAN-DIRECTED HEALTH, WELLNESS, & RESIDENTIAL SERVICES IN A PERSONAL, PRIVATE, FAMILY ATMOSPHERE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 435 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $2,792,325 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,660 | PYContributionsGrantsAmt |
| CY Contributions Grants | $69,938 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $37,900,158 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $50,211,554 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,129,480 | PYInvestmentIncomeAmt |
| CY Investment Income | $995,798 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,385,887 | PYOtherRevenueAmt |
| CY Other Revenue | $889,716 | CYOtherRevenueAmt |
| PY Total Revenue | $44,428,185 | PYTotalRevenueAmt |
| CY Total Revenue | $52,167,006 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $16,718 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $31,056 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,351,814 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,447,075 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,459,845 | PYOtherExpensesAmt |
| CY Other Expenses | $22,810,034 | CYOtherExpensesAmt |
| PY Total Expenses | $36,828,377 | PYTotalExpensesAmt |
| CY Total Expenses | $42,288,165 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,599,808 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,878,841 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $74,307,140 | TotalAssetsBOYAmt |
| Total Assets EOY | $83,857,894 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,245,851 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,971,530 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $56,061,289 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $66,886,364 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE OUTSTANDING PHYSICIAN-DIRECTED HEALTH, WELLNESS, AND RESIDENTIAL SERVICES IN A PERSONAL, PRIVATE, FAMILY ATMOSPHERE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $27,779,744 | ExpenseAmt |
| Grant | $31,056 | GrantAmt |
| Revenue | $41,992,383 | RevenueAmt |
| Desc | THE HOPEDALE MEDICAL COMPLEX IS OWNED AND OPERATED BY THE NOT-FOR-PROFIT CHARITABLE CORPORATION KNOWN AS THE HOPEDALE MEDICAL FOUNDATION.THE HOPEDALE MEDICAL COMPLEX STARTED AS A 20-BED HOSPITAL IN 1955 IN HOPEDALE, ILLINOIS AND HAS EXPANDED OVER THE YEARS TO OFFER CONTINUUM OF CARE SERVICES, INCLUDING A 25-BED ACUTE CARE HOSPITAL, NURSING HOME, INDEPENDENT AND ASSISTED LIVING FACILITY AS WELL AS A WELLNESS CENTER.THE HOPEDALE HOSPITAL IS A CRITICAL ACCESS HOSPITAL AND OFFERS VIRTUALLY THE SAME SERVICES AS A LARGER, URBAN HOSPITAL, INCLUDING 24-HOUR EMERGENCY ROOM, ICU, GENERAL AND ADVANCED VASCULAR SURGERY, ORTHOPEDIC SEURGERY, PLASTIC RECONSTRUCTIVE SURGERY, AND OPEN MRI AND CT SCANNER. THE HOPEDALE MEDICAL COMPLEX ALSO OFFERS PHYSICIAN SERVICES THROUGH FIVE SATELITE OFFICES IN ATLANTA, MANITO, MACKINAW, DELAVAN, AND TREMONT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,100,294 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,174,844 | RevenueAmt |
| Desc | HOPEDALE NURSING HOME IS A 59-BED LICENSED FACILITY OFFERING 24-HOUR NURSING CARE. IT IS PHYSICALLY LOCATED ON CAMPUS AND CONNECTED TO THE HOSPITAL FOR THE CONVENIENCE OF OUR RESIDENTS AND THEIR FAMILIES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,489,795 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,252,002 | RevenueAmt |
| Desc | HOPEDALE COMMONS IS A 67-BED INDEPENDENT AND ASSISTED LIVING FACILITY. IT IS ALSO LOCATED ON CAMPUS AND IS LOCATED NEAR THE HOSPITAL FOR THE CONVENIENCE OF OUR RESIDENTS AND THEIR FAMILIES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $31,369,833 | 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 | Yes (1) | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 44 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 435 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMILY WHITSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3094493321 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 107 TREMONT ST | AddressLine1Txt |
| City | HOPEDALE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| NICHOLAS B ROSSI MD | ||||||||
| SECRETARY/TREASURER/PHYSICIAN | 40.00 | 0.00 | Yes (X) | Yes (X) | $1,500,000 | $0 | $0 | |
| MATTHEW B ROSSI MD | ||||||||
| CHAIRMAN/CEO | 2.00 | 0.00 | Yes (X) | Yes (X) | $103,400 | $0 | $8,982 | |
| ALFRED N ROSSI MD | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| EMILY WHITSON | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | 0.00 | Yes (X) | Yes (X) | $294,283 | $0 | $36,154 | |
| PHILLIP J ROSSI MD | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $23,400 | $0 | $14,311 | ||
| CHRISTOPHER CAMPBELL | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOAN HARRISON | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TOM HIESER | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DONALD G OSWALD | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROLAND RICH | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TIMOHTY SONDAG | ||||||||
| SENIOR NURSING OFFICER | 40.00 | 0.00 | $191,366 | $0 | $13,526 | Yes (X) | ||
| ISOLINA ROSSI MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $420,000 | $0 | $11,225 | Yes (X) | ||
| MICHAEL KEEDY | ||||||||
| CERTIFIED RN ANESTHETIST | 40.00 | 0.00 | $308,712 | $0 | $24,766 | Yes (X) | ||
| BRAD KAUFMANN | ||||||||
| CERTIFIED RN ANESTHETIST | 40.00 | 0.00 | $287,614 | $0 | $24,027 | Yes (X) | ||
| JASON KOBLER | ||||||||
| CERTIFIED RN ANESTHETIST | 40.00 | 0.00 | $287,381 | $0 | $23,804 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,416,156 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $156,795 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EMERGENCY PHYSICIAN STAFFING SOLUTIONS | |||||
| 12528 SR 78 | HAVANA | IL | 62644 | STAFFING AGENCY | $1,630,211 |
| ORTHOPEDICS OF ILLINOIS | |||||
| 2200 FORT JESSE ROAD | NORMAL | IL | 61761 | PHYSICIAN AND ORTHOPEDIC SERVICES | $217,857 |
| FIDELITY ON CALL | |||||
| 9006 N INDUSTRIAL ROAD | PEORIA | IL | 616151512 | STAFFING AGENCY | $194,515 |
| 360 TRANSCRIPTION CORP | |||||
| 14977 KING RD | DANVERS | IL | 61732 | TRANSCRIPTION SERVICES | $146,717 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $9,428 | FundraisingAmt |
| All Other Contributions | $60,510 | AllOtherContributionsAmt |
| Total Contributions | $69,938 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $41,992,383 | $41,992,383 | |
| NURSING HOME | 623000 | $3,174,844 | $3,174,844 | |
| PHARMACY REVENUE | 456110 | $2,715,272 | $2,715,272 | |
| RESIDENT SERVICE REVENUE | 623000 | $2,252,002 | $2,252,002 | |
| MASSAGE THERAPY | 621300 | $77,053 | $77,053 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $50,211,554 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $992,748 | TotalRevenueColumnAmt |
| Exclusion | $992,748 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $356,544 | 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 | $356,544 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $356,544 | TotalRevenueColumnAmt |
| Exclusion | $356,544 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,050 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,050 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,050 | TotalRevenueColumnAmt |
| Exclusion | $3,050 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $6,284 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $9,428 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $12,108 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,824 | TotalRevenueColumnAmt |
| Exclusion | -$5,824 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $27,990 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $14,754 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,236 | TotalRevenueColumnAmt |
| Exclusion | $13,236 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CHILD CARE | 624410 | $176,197 | $176,197 |
| CAFETERIA AND MEALS | 722514 | $165,015 | $165,015 |
| MEDICAL RECORDS | 623000 | $125,822 | $125,822 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,726 | TotalRevenueColumnAmt |
| Exclusion | $58,726 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $525,760 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,167,006 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,419,229 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,792,325 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,885,514 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,981 | TotalAmt |
| Program Services | $17,981 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,075 | TotalAmt |
| Program Services | $13,075 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,891,500 | TotalAmt |
| Program Services | $1,599,187 | ProgramServicesAmt |
| Management And General | $292,313 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $688,101 | TotalAmt |
| Program Services | $555,600 | ProgramServicesAmt |
| Management And General | $132,501 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,554,686 | TotalAmt |
| Program Services | $9,099,613 | ProgramServicesAmt |
| Management And General | $4,455,073 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,544 | TotalAmt |
| Program Services | $267,803 | ProgramServicesAmt |
| Management And General | $33,741 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,866,047 | TotalAmt |
| Program Services | $6,040 | ProgramServicesAmt |
| Management And General | $1,860,007 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,145,197 | TotalAmt |
| Program Services | $792,231 | ProgramServicesAmt |
| Management And General | $352,966 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,387 | TotalAmt |
| Management And General | $37,387 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,000 | TotalAmt |
| Management And General | $114,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,025 | TotalAmt |
| Management And General | $12,025 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,402 | TotalAmt |
| Management And General | $45,402 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,058,214 | TotalAmt |
| Program Services | $5,727,725 | ProgramServicesAmt |
| Management And General | $1,330,489 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,133 | TotalAmt |
| Program Services | $4,071 | ProgramServicesAmt |
| Management And General | $96,062 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,048,947 | TotalAmt |
| Program Services | $3,243,353 | ProgramServicesAmt |
| Management And General | $805,594 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,536 | TotalAmt |
| Management And General | $57,536 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $889,765 | TotalAmt |
| Program Services | $799,127 | ProgramServicesAmt |
| Management And General | $90,638 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,540 | TotalAmt |
| Program Services | $72,041 | ProgramServicesAmt |
| Management And General | $26,499 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,376 | TotalAmt |
| Program Services | $379,376 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,523,103 | TotalAmt |
| Program Services | $2,370,103 | ProgramServicesAmt |
| Management And General | $153,000 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $547,967 | TotalAmt |
| Program Services | $81,648 | ProgramServicesAmt |
| Management And General | $466,319 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS AND HEALTH | $2,483,353 | $2,475,285 | $8,068 |
| BAD DEBT EXPENSE | $2,057,579 | $2,057,579 | |
| TAXES | $1,384,797 | $1,324,726 | $60,071 |
| MEAL EXPENSE | $455,320 | $269,364 | $185,956 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $516,590 | TotalAmt |
| Program Services | $213,905 | ProgramServicesAmt |
| Management And General | $302,685 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,288,165 | TotalAmt |
| Program Services | $31,369,833 | ProgramServicesAmt |
| Management And General | $10,918,332 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,825,188 | BOYAmt |
| EOY | $98,114 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $529,769 | BOYAmt |
| EOY | $39,869,341 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,371,469 | BOYAmt |
| EOY | $5,226,498 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $101,251 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $12,526 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $822,677 | BOYAmt |
| EOY | $819,930 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $463,782 | BOYAmt |
| EOY | $452,257 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $65,209,563 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $42,417,415 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,697,121 | BOYAmt |
| EOY | $22,792,148 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,734,654 | BOYAmt |
| EOY | $11,337,572 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $924,134 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,862,480 | BOYAmt |
| EOY | $2,224,123 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,307,140 | BOYAmt |
| EOY | $83,857,894 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,112,478 | BOYAmt |
| EOY | $3,557,030 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $432,213 | BOYAmt |
| EOY | $389,837 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,007,609 | BOYAmt |
| EOY | $9,780,237 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $22,779 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,693,551 | BOYAmt |
| EOY | $3,221,647 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,245,851 | BOYAmt |
| EOY | $16,971,530 | 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 | $55,541,305 | BOYAmt |
| EOY | $66,320,624 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $519,984 | BOYAmt |
| EOY | $565,740 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,061,289 | BOYAmt |
| EOY | $66,886,364 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,307,140 | BOYAmt |
| EOY | $83,857,894 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $9,878,841 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $946,234 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule 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 | $12,025 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,025 | 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 | LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED: 43.5% OF MEMBERSHIP DUES PAID TO THE ILLINOIS HOSPITAL ASSOCIATION, OR $12,025. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $2,705 | BeginningBalanceAmt |
| Additions During Year | $11,336 | AdditionsDuringYearAmt |
| Distributions During Year | $10,529 | DistributionsDuringYearAmt |
| Ending Balance | $3,512 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $157,256 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,583,192 | OtherCostOrOtherBasisAmt |
| Book Value | $2,740,448 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,277,549 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,895,063 | DepreciationAmt |
| Book Value | $14,382,486 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,117,498 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,216,481 | DepreciationAmt |
| Book Value | $901,017 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,590,441 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,305,871 | DepreciationAmt |
| Book Value | $4,284,570 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $483,627 | OtherCostOrOtherBasisAmt |
| Book Value | $483,627 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,792,148 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY PAYOR SETTLEMENT | $2,901,343 |
| ROU LIABILITY | $320,304 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,221,647 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 1B: | SOME NURSING HOME PATIENTS HOLD SMALL AMOUNTS OF FUNDS ON DEPOSIT WITH THE HOPEDALE MEDICAL FOUNDATION (FOUNDATION) FOR INCIDENTALS AND LOW VALUE SERVICES, SUCH AS HAIR-CUTS. THE FOUNDATION DOES NOT RECORD THE AMOUNTS AS ASSETS OF THE FOUNDATION. |
| PART X, LINE 2: | AT JUNE 30, 2025 AND 2024, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ANNUAL 5K RUN/WALK | Event1Nm |
| Gross Receipts Event1 | $15,712 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $9,427 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $6,285 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $625 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $350 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $11,133 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $15,712 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $9,427 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $6,285 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $625 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $350 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $11,133 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $12,108 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$5,823 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $359,874 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $359,874 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00890 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,297,200 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $320,749 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $976,451 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02430 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,657,074 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $320,749 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,336,325 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03320 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $762,844 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $323,058 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $439,786 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $762,844 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $323,058 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $439,786 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01090 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,419,918 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $643,807 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,776,111 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04410 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,057,579 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $928,773 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $10,439,741 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,439,735 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $6 | 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 | HOPEDALE MEDICAL FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 107 TREMONT STREET | AddressLine1Txt |
| City | HOPEDALE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HOPEDALEMC.COM | WebsiteAddressTxt |
| State License | 1024 | 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 | HOPEDALE MEDICAL COMPLEX | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | 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 | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | 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 |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| 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 (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HOPEDALE MEDICAL COMPLEX | PART V, SECTION B, LINE 5: HOPEDALE MEDICAL COMPLEX CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT IN PARTNERSHIP WITH THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK AND OBTAINED INPUT FROM COMMUNITY REPRESENTATIVES THROUGH FOCUS GROUPS AND A COMMUNITY STAKEHOLDER MEETING. PARTICIPANTS INCLUDED REPRESENTATIVES FROM HEALTHCARE PROVIDERS, PUBLIC HEALTH ORGANIZATIONS, COMMUNITY SERVICE ORGANIZATIONS, SCHOOLS, FAITH-BASED ORGANIZATIONS, LOCAL GOVERNMENT, AND OTHER COMMUNITY LEADERS, MANY OF WHOM SERVE UNDERSERVED POPULATIONS. THE HOSPITAL INCORPORATED THIS INPUT BY COMBINING FEEDBACK FROM THESE DISCUSSIONS WITH SECONDARY DATA ANALYSIS AND PRESENTING THE RESULTS TO A PRIORITIZATION GROUP, WHICH EVALUATED AND RANKED THE COMMUNITY'S MOST SIGNIFICANT HEALTH NEEDS AND HELPED GUIDE THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES. |
| HOPEDALE MEDICAL COMPLEX | PART V, SECTION B, LINE 6B: ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN) |
| HOPEDALE MEDICAL COMPLEX | PART V, SECTION B, LINE 11: PRIORITY #1 - IMPROVE ACCESS TO HEALTHY FOODS AND NUTRITION INFORMATION ACROSS THE SERVICE AREA: PLANNED COLLABORATION BETWEEN THE HOSPITAL AND LOCAL FOOD PANTRIES TO OFFER ASSISTANCE FOR COORDINATION OF SERVICES THROUGH THE WELLNESS CENTER, CREATION AND MAINTENANCE OF A ROBUST LIBRARY OF NUTRITION INFORMATION AND RESOURCES THAT WILL BE AVAILABLE AT A NUTRITION INFORMATION STATION AT THE WELLNESS CENTER, AND UTILIZATION OF SOCIAL AND PRINT MEDIA RESOURCES TO MAKE MORE INFORMATION AVAILABLE ABOUT ACCESS TO HEALTH FOODS AND NUTRITION INFORMATION.PRIORITY #2 - IMPROVE ACCESS TO TARGETED EDUCATION AND INFORMATION ABOUT LOCAL RESOURCES FOR ACHIEVING AND MAINTAINING WELLNESS: PLANNED COLLABORATION WITH LOCAL SCHOOLS TO PROVIDE INFORMATION ABOUT LOCAL WELLNESS RESOURCES FOR HEALTH AND WELLNESS FOR YOUTH AND THE CONTINUATION OF SOCIAL AND PRINT MEDIA EFFORTS TO PROVIDE INFORMATION ABOUT LOCAL WELLNESS RESOURCES FOR HEALTH AND WELLNESS FOR YOUTH AND ADULTS.PRIORITY #3 - RE-ESTABLISH COMMUNICATION AMONG COMMUNITY PARTNERS POST-PANDEMIC: CONTINUATION OF BROAD SOCIAL MEDIA OUTREACH WITHIN THE SERVICE AREA, UTILIZATION OF A NEWSLETTER TO INFORM THE COMMUNITY AND PARTNER ORGANIZATIONS OF DEVELOPMENTS AND OPPORTUNITIES AT HMC, AND THE HOPEDALE MEDICAL FOUNDATION 37-0808925 UPDATING AND RE-ESTABLISHING LINES OF COMMUNICATION WITH PARTNER ORGANIZATIONS.PRIORITY #4 - ADDRESS TRANSPORTATION ISSUES, INCLUDING TRANSPORTATION TO AND FROM PRIMARY CARE AND EMS RESPONSE TIME: EXPLORATION OF POTENTIAL TRANSPORTATION SOLUTIONS WITH LOCAL PARTNERS AND THROUGH THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK.PRIORITY #5 - EXPAND CHRONIC CARE MANAGEMENT TO REDUCE HOSPITAL VISITS: CONTINUATION AND EXPANSION OF CRITICAL CARE MANAGEMENT BASED ON REVIEW OF PROGRESS AND IMPACT AND NEEDS ANALYSIS. |
| PART V, SECTION B, LINE 7A - HOSPITAL WEBSITE FOR CHNA | HTTPS://HOPEDALEMC.COM/MEDIA-LIBRARY/DOCUMENTS/CHNA/HOPEDALE_MEDICAL_COMPLEX_CHNA_2025.PDF |
| PART V, SECTION B, LINE 10A - HOSPITAL'S IMPLEMENTATION STRATEGY | HTTPS://HOPEDALEMC.COM/MEDIA-LIBRARY/DOCUMENTS/CHNA/HOPEDALE_MEDICAL_COMPLEX_CHNA_2025.PDF |
| PART V, LINE 16A, FAP WEBSITE | HTTPS://HOPEDALEMC.COM/PATIENTS-VISITORS/CURRENT-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM |
| PART V, LINE 16B, FAP APPLICATION WEBSITE | HTTPS://HOPEDALEMC.COM/MEDIA-LIBRARY/DOCUMENTS/FINANCIAL-ASSISTANCE-PROGRAM-2019.PDF |
| PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE | HTTPS://HOPEDALEMC.COM/MEDIA-LIBRARY/DOCUMENTS/FINANCIAL-ASSISTANCE-SUMMARY.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - HOPEDALE NURSING HOME | ||||
| 111 TREMONT STREET | HOPEDALE | IL | 61747 | NURSING HOME |
| 2 - HOPEDALE COMMONS | ||||
| 211 221 SW RAILROAD STRET | HOPEDALE | IL | 61747 | ASSISTED AND INDEPENDENT LIVING |
| 3 - HOPEDALE WELLNESS CENTER | ||||
| 107 TREMONT STEET | HOPEDALE | IL | 61747 | WELLNESS & FITNESS CENTER |
| 4 - MEDICAL ARTS PHYSICIAN BUILDING | ||||
| 107 TREMONT STEET | HOPEDALE | IL | 61747 | OUTPATIENT PHYSICIAN CLINIC |
| 5 - TREMONT MEDICAL ARTS | ||||
| 150 LAKE STREET | TREMONT | IL | 61568 | OUTPATIENT PHYSICIAN CLINIC |
| 6 - DELAVAN DOCTORS' OFFICE | ||||
| 115 EAST 4TH STREET | DELAVAN | IL | 61734 | OUTPATIENT PHYSICIAN CLINIC |
| 7 - ATLANTA DOCTORS' OFFICE | ||||
| 108 SW ARCH STREET | ATLANTA | IL | 61723 | OUTPATIENT PHYSICIAN CLINIC |
| 8 - MACKINAW DOCTORS' OFFICE | ||||
| 407 S ORCHARD STREET | MACKINAW | IL | 61755 | OUTPATIENT PHYSICIAN CLINIC |
| 9 - MANITO DOCTORS' OFFICE | ||||
| 101 E MASON | MANITO | IL | 61546 | OUTPATIENT PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | COST TO CHARGE RATIO WAS DERIVED USING WORKSHEET 2 FROM THE IRS TO CALCULATE THE AMOUNTS INCLUDED IN SCHEDULE H, PART I, LINE 7A & &B. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS (LINE 7E) AND HEALTH PROFESSIONAL EDUCATION ARE REPORTED AT COST |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,057,579. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE HOPEDALE MEDICAL FOUNDATION MAINTAINS A WELLNESS CENTER WHICH HAS THERAPY AND EXERCISE POOLS, WEIGHT ROOM AND GYMNASIUM AREAS, A LAP TRACK, EXERCISE MACHINES AND MEETING ROOMS. WEIGHT-LOSS, NUTRITION COUNSELING, AND CHRONIC CONDITION MANAGEMENT SESSIONS ARE HELD IN THE MEETING ROOMS, AS WELL AS COMMUNITY ORGANIZATION MEETINGS. BLOOD DRIVES ARE REGULARLY SCHEDULED. |
| PART III, LINE 2: | BAD DEBT IS REPORTED AT THE FULL-ESTABLISHED CHARGE FROM THE MOST RECENT AUDITED FINANCIAL REPORT. ANY RECOVERIES ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED. |
| PART III, LINE 3: | PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING ACCOUNTS ON A MONTHLY BASIS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS AND BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS. THE HOPEDALE MEDICAL FOUNDATION DOES NOT CHARGE INTEREST ON PATIENT RECEIVABLES. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED PAST DUE WHEN AN AMOUNT IS PAST DUE ACCORDING TO THE PAYORS' AGREED-UPON TERMS. PATIENT RECEIVABLES ARE WRITTEN OFF AS BAD DEBT EXPENSE WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF THE HOPEDALE MEDICAL FOUNDATION 37-0808925 RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED. AS A SERVICE TO THE PATIENT, THE ORGANIZATION BILLS THIRD-PARTY PAYORS DIRECTLY AND THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. |
| PART III, LINE 4: | SEE THE "PATIENT SERVICE REVENUE" FOOTNOTE 2 ON PAGES 16-19 OF THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | NO BAD DEBT EXPENSE WAS INCLUDED IN THE DENOMINATOR BECAUSE BAD DEBT WAS REPORTED IN LINE 2A OF PART VIII, STATEMENT OF REVENUE. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES IS 4.82%, AND THE PERCENTAGE INCREASES TO 32.74% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNTY BENEFIT EXPENSE. |
| PART III, LINE 9B: | THE HOPEDALE MEDICAL FOUNDATION APPLIES THE FOLLOWING PROCESSES AND PROCEDURES IN ITS COLLECTION PRACTICES FOR THOSE WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE POLICY:THE DISTINCTION BETWEEN CHARITY CARE AND BAD DEBT IS THE INABILITY TO PAY VERSUS THE UNWILLINGNESS OF THE PERSON TO PAY THEIR ACCOUNT. THOSE WITH LOW INCOMES OR WITH CATASTROPHIC MEDICAL BILLS MAY BE MEDICALLY INDIGENT EVEN THOUGH THEY ARE ABLE TO MEET BASIC LIVING EXPENSES. HOPEDALE MEDICAL FOUNDATION WILL NOT DENY SERVICES TO ANY PATIENT DUE TO RACE, COLOR, RELIGION, GENDER, ANCESTRY, SEXUAL ORIENTATION, FINANCIAL CLASS OR NATIONAL ORIGIN.HOPEDALE MEDICAL FOUNDATION IS COMMITTED, TO THE EXTENT RESOURCES ALLOW, TO PROVIDING QUALITY HEALTHCARE TO ITS PATIENTS AND RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY.THE HOPEDALE MEDICAL FOUNDATION FINANCIAL ASSISTANCE PROGRAM ALLOWS FOR FREE OR REDUCED MEDICAL SERVICES TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT CARE; HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY FOR PART OF THE BILL AND ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND MEET THE INCOME AND ASSETS ELIGIBILITY CRITERIA.FINANCIAL ASSISTANCE IS AVAILABLE FOR NECESSARY HOSPITAL AND PHYSICIAN CHARGES ONLY.ELIGIBILITY DETERMINATION: FINANCIAL ASSISTANCE FORMS AND INSTRUCTIONS SHALL BE FURNISHED TO PATIENTS WHEN FINANCIAL ASSISTANCE IS REQUESTED, WHEN NEED IS INDICATED, OR WHEN FINANCIAL SCREENING INDICATES POTENTIAL NEED, IN THE CASE OF PATIENTS WITHOUT HEALTH INSURANCE. ALL APPLICATIONS SHOULD BE FOLLOWED BY DOCUMENTATION TO VERIFY INCOME AMOUNTS INDICATED ON THE APPLICATION FORM. ALL INFORMATION RECEIVED RELATING TO THE APPLICATION WILL BE KEPT CONFIDENTIAL AND USED TO VERIFY FINANCIAL NEEDS.STEPS USED BY HOPEDALE MEDICAL FOUNDATION TO DETERMINE AND VERIFY FINANCIAL ASSISTANCE:1) HOSPITAL IDENTIFIES ANY UNINSURED, UNDERINSURED, OR SELF-PAY PATIENTS.2) PATIENT COMPLETES APPLICATION/FINANCIAL STATEMENT THAT INCLUDES INCOME, ASSETS, AND LIABILITIES.3) FINANCIAL COUNSELOR INTERVIEWS PATIENT TO ASSESS THE PATIENT'S ABILITY TO PAY IN FULL; ABILITY TO PAY REASONABLE MONTHLY INSTALLMENTS; AND QUALIFICATION FOR FINANCIAL ASSISTANCE.4) HOSPITAL MAKES INITIAL DETREMINATION BASED UPON APPLICATION AND ANY ORAL INFORMATION PROVIDED BY PATIENT. PATIENT SIGNS APPLICATION CONFIRMING ACCURACY OF INFORMATION PROVIDED.5) PATIENT SUPPLIES DOCUMENTATION OF RESOURCES AND OUTSTANDING OBLIGATIONS WITHIN 30 DAYS FROM DATE OF APPLICATION.6) HOSPITAL MAKES FINAL DETERMINATION REGARDING ELIGIBILITY FOR FINANCIAL ASSISTANCE.7) HOSPITAL SENDS NOTIFICATION LETTER TO THE PATIENT AND/OR FAMILY WITH THE DECISION. NOTICE WILL INCLUDE INSTRUCTIONS FOR ESTABLISHING A PAYMENT PLAN, IF NEEDED, AND REASON FOR DENIAL, IF APPLICABLE. |
| PART VI, LINE 2: | SERVICES OFFERED BY THE HOPEDALE MEDICAL FOUNDATION (FOUNDATION) INCLUDE MEDICAL/SURGICAL, SWING BED, CRITICAL CARE, OUTPATIENT SURGICAL SERVICES AND A SIGNIFICANT NUMBER OF OTHER ANCILLARY SERVICES NECESSARY TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY. THE FOUNDATION ALSO OFFERS 24-HOUR EMERGENCY ROOM SERVICES, LABORATORY AND DIAGNOSTIC IMAGING, PHYSICAL THERAPY AND OUTPATIENT/AMBULATORY PROCEDURES. ALTHOUGH CARE IS RENDERED TO ALL TO THE EXTENT POSSIBLE, MIDDLE AGED TO GERIATRIC PATIENT CARE COMPOSES BOTH THE PRIMARY AND SECONDARY SERVICE AREAS AND OUR PATIENT DEMOGRAPHICS. |
| PART VI, LINE 3: | SIGNS AND BROCHURES ARE LOCATED IN THE REGISTRATION AND MOST OTHER ENTRANCE AREAS. STAFF IN THE ADMISSIONS AND PATIENT REGISTRATION AREA ARE TRAINED TO RECOMMEND THAT PATIENTS MEET OUR PATIENT FINANCIAL COUNSELOR FOR AN APPLICATION AND TO DISCUSS BILLING AND COLLECTION PROCEDURES. |
| PART VI, LINE 4: | HOPEDALE MEDICAL FOUNDATION'S SERVICE AREA IS COMPRISED OF APPROXIMATELY 586 SQUARE MILES WITH A POPULATION OF APPROXIMATELY 67,503 AND A POPULATION DENSITY OF 115 PER SQUARE MILE. THE SERVICE AREA CONSISTS OF THE FOUR CITIES/TOWNS AND SIX VILLAGES. POPULATION BY GENDER IN THE REGION IS 50% MALE AND 50% FEMALE. POVERTY IS CONSIDERED A KEY DRIVER OF HEALTH STATUS. WITHIN THE REPORT AREA, 10.08% OR 6,601 INDIVIDUALS ARE LIVING IN HOUSEHOLDS WITH INCOME BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL). |
| PART VI, LINE 5: | THE HOPEDALE MEDICAL FOUNDATION MAINTAINS A WELLNESS CENTER WHICH HAS THERAPY AND EXERCISE POOLS, WEIGHT ROOM AND GYMNASIUM AREAS, A LAP TRACK, EXERCISE MACHINES AND MEETING ROOMS. WEIGHT-LOSS, NUTRITION COUNSELING, AND CHRONIC CONDITION MANAGEMENT SESSIONS ARE HELD IN THE MEETING ROOMS, AS WELL AS COMMUNITY ORGANIZATION MEETINGS. BLOOD DRIVES ARE REGULARLY SCHEDULED. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IL |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTIAN LIFE ACADEMY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 TREMONT STREET | AddressLine1Txt |
| City | HOPEDALE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 300465566 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $11,250 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | GENERAL SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS FOR STUDENTS ENTERING FIELDS OF HEALTHCARE OR AGRICULTURE | GrantTypeTxt |
| Recipient | 3 | RecipientCnt |
| Cash Grant | $13,075 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | HOPEDALE MEDICAL FOUNDATION PROVIDES FUNDS TO CHRISTIAN LIFE ACADEMY TO BE USED AT ITS DISCRETION. IN KEEPING WITH THE SUPPORT OF EDUCATION OF THE YOUTH IN THE AREA COMMUNITIES, AND ENCOURAGING THEM TO ENTER THE IMPORTANT FIELDS OF HEALTHCARE AND AGRICULTURE, HOPEDALE MEDICAL FOUNDATION AWARDS SCHOLARSHIPS TO HIGH SCHOOL STUDENTS AND COLLEGE FRESHMAN. HOPEDALE MEDICAL FOUNDATION REQUIRES AN APPLICATION FROM STUDENTS FROM QUALIFYING SCHOOLS IN THE LOCAL AREA. SCHOLARSHIPS ARE AWARDED BY AN INDEPENDENT JUDGE BASED ON RECOMMENDATIONS, ACT SCORES, STUDENT NARRATIVE, AND CLASS RANKING. SCHOLARSHIP MONEY IS SENT DIRECTLY TO THE RECIPIENT'S SCHOOL TO ENSURE THE MONEY IS USED TOWARDS TUITION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NICHOLAS B ROSSI MD | ||||||||||||||
| SECRETARY/TREASURER/PHYSICIAN | $1,500,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,500,000 | $0 | $0 | $0 |
| ISOLINA ROSSI MD | ||||||||||||||
| PHYSICIAN | $390,000 | $0 | $30,000 | $0 | $0 | $0 | $6,300 | $0 | $4,925 | $0 | $431,225 | $0 | $0 | $0 |
| MICHAEL KEEDY | ||||||||||||||
| CERTIFIED RN ANESTHETIST | $298,712 | $0 | $10,000 | $0 | $0 | $0 | $10,455 | $0 | $14,311 | $0 | $333,478 | $0 | $0 | $0 |
| EMILY WHITSON | ||||||||||||||
| CHIEF OPERATING OFFICER | $294,283 | $0 | $0 | $0 | $0 | $0 | $13,017 | $0 | $23,137 | $0 | $330,437 | $0 | $0 | $0 |
| BRAD KAUFMANN | ||||||||||||||
| CERTIFIED RN ANESTHETIST | $277,614 | $0 | $10,000 | $0 | $0 | $0 | $9,716 | $0 | $14,311 | $0 | $311,641 | $0 | $0 | $0 |
| JASON KOBLER | ||||||||||||||
| CERTIFIED RN ANESTHETIST | $277,381 | $0 | $10,000 | $0 | $0 | $0 | $9,494 | $0 | $14,310 | $0 | $311,185 | $0 | $0 | $0 |
| TIMOHTY SONDAG | ||||||||||||||
| SENIOR NURSING OFFICER | $191,366 | $0 | $0 | $0 | $0 | $0 | $8,466 | $0 | $5,060 | $0 | $204,892 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | EMILY WHITSON, CHIEF OPERATING OFFICER, AND SENIOR MANAGEMENT STAFF ESTABLISHED A BONUS ARRANGEMENT BASED ON GOALS ACHIEVED DURING ANNUAL TRACKED PERFORMANCE AND PROVIDED EVIDENCE TO EMILY AS GOALS WERE MET. PERFORMANCE EVALUATION REVIEWS. EACH VICE PRESIDENT AND SENIOR MANAGER BONUSES WERE PROVIDED IN ACCORDANCE WITH THE ESTABLISHED ARRANGEMENT. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| VILLAGE OF HOPEDALE ILLINOIS | |||||||
| A | 376002155 | 2017-10-18 | $8,878,892 | REFUNDING REVENUE BONDS ISSUED 10/16/2012 | 0 | 0 | 0 |
| VILLAGE OF HOPEDALE ILLINOIS | |||||||
| B | 376002155 | 2017-11-02 | $9,471,108 | CAPITAL IMPROVEMENT AND REFUNDING REVENUE BONDS ISSUED 10/16/12 | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $4,152,621 | $8,878,892 | $8,878,892 | 2017 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $4,269,203 | $9,471,108 | $2,457,793 | 2019 | Yes (1) | 0 | Yes (1) | Yes (1) | $7,013,315 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (6 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan To OrganizationLoanToOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd | Loan From OrganizationLoanFromOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| ALDO M ROSSI | ||||||||
| SON OF MATTHEW B. ROSSI, M.D. AND BROTHER OF NICHOLAS B. ROSSI, M.D. | PHYSICIAN MONTHLY RENTS | Yes (X) | $22,779 | $22,779 | 0 | Yes (1) | Yes (1) | |
| MATTHEW B ROSSI MD | ||||||||
| BOARD MEMBER | PHYSICIAN MONTHLY RENTS | $1 | $1 | 0 | Yes (1) | Yes (1) | Yes (X) | |
| PHILLIP J ROSSI MD | ||||||||
| BOARD MEMBER | PHYSICIAN MONTHLY RENTS | $5,940 | $5,940 | 0 | Yes (1) | Yes (1) | Yes (X) | |
| TRENT PROEHL | ||||||||
| RELATED BUSINESS RELATIONSHIP WITH HMF | PHYSICIAN MONTHLY RENTS | $5,055 | $5,055 | 0 | Yes (1) | Yes (1) | Yes (X) | |
| REBECCA PROEHL | ||||||||
| RELATED BUSINESS RELATIONSHIP WITH HMF | PHYSICIAN MONTHLY RENTS | $7,471 | $7,471 | 0 | Yes (1) | Yes (1) | Yes (X) | |
| ISOLINA ROSSI | ||||||||
| DAUGHTER OF MATTHEW B. ROSSI, M.D. | PHYSICIAN MONTHLY RENTS | $95,310 | $95,310 | 0 | Yes (1) | Yes (1) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $136,556 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ALDO M ROSSI | |||
| SON OF MATTHEW B. ROSSI, M.D. AND BROTHER OF NICHOLAS B. ROSSI, M.D. | $134,740 | COMPENSATION FOR SENIOR DIRECTOR OF PATIENT CARE SERVICES | 0 |
| LISA ROSSI-MCLAUGHLIN | |||
| SISTER OF ALFRED N. ROSSI, M.D. AND MATTHEW B. ROSSI | $159,535 | COMPENSATION AS DIRECTOR OF PHARMACY | 0 |
| JOSEPH WHITSON | |||
| SPOUSE OF EMILY WHITSON | $132,501 | COMPENSATION AS THE DIRECTOR OF PROFESSIONAL AND FACILITY SERVICES | 0 |
| ISOLINA ROSSI MD | |||
| DAUGHTER OF MATTHEW B. ROSSI, M.D. | $408,718 | COMPENSATION AS A PHYSICIAN | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | HOPEDALE MEDICAL FOUNDATION'S BYLAWS PROVIDE THAT THE EXECUTIVE COMMITTEE SHALL HAVE THE POWERS AND AUTHORITY OF THE BOARD OF DIRECTORS AND MAY ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS OF THE BOARD, SUBJECT TO SUCH LIMITATIONS AS MAY BE ESTABLISHED IN LAW, THE ARTICLES OF INCORPORATION, THE BYLAWS AND BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 2 | ALFRED N. ROSSI, M.D., MATTHEW B. ROSSI, M.D., PHILLIP J ROSSI, M.D, AND NICHOLAS B. ROSSI, M.D. HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE EXECUTIVE TEAM WILL REVIEW THE FORM 990 AND AUTHORIZE IT FOR FILING. THE 990 WILL THEN BE PRESENTED TO THE BOARD AS THE 'AS FILED' 990 FOR THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY APPLIES TO ALL MEMBERS OF THE BOARD OF DIRECTORS AND ALL CORPORATE OFFICERS, AGENTS AND EMPLOYEES OF THE HOPEDALE MEDICAL FOUNDATION (FOUNDATION), INCLUDING INDEPENDENT CONTRACTORS AND PROVIDERS OF SERVICES AND MATERIALS. AN ANNUAL DISCLOSURE STATEMENT IS COMPLETED BY ALL PERSONS TO WHOM THE CONFLICT OF INTEREST POLICY APPLIES TO ASSIST THEM IN CONSIDERING ALL REAL AND APPARENT CONFLICTS OR DUALITIES IN CONNECTION WITH HOPEDALE MEDICAL FOUNDATION'S ACTIVITIES. DISCLOSURE IS ALSO REQUIRED WHENEVER CONFLICTS ARISE. THE WRITTEN DISCLOSURE NOTICES OF CONFLICTS ARE FILED WITH THE PRESIDENT OF THE FOUNDATION OR ANY OTHER PERSON DESIGNATED BY THE PRESIDENT. ALL DISCLOSURE NOTICES ARE NOTED FOR RECORD IN THE MINUTES OF A MEETING OF THE BOARD OF DIRECTORS. WHEN OFFICERS, DIRECTORS, EMPLOYEES OR AGENTS BELIEVE THEY HAVE A REAL OR APPARENT CONFLICT, THEY ABSTAIN FROM MAKING MOTIONS, VOTING, EXECUTING AGREEMENT OR TAKING ANY OTHER SIMILAR DIRECT ACTION ON BEHALF OF THE FOUNDATION. THEY ARE NOT PRECLUDED FROM DEBATE OR OTHER SIMILAR INVOLVEMENT ON BEHALF OF THE FOUNDATION. ANY VIOLATION OF THE DUTY OF THE DISCLOSURE BY DIRECTORS OR OFFICERS OF THE FOUNDATION IS GROUNDS FOR REMOVAL FROM THE OFFICE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CHIEF OPERATING OFFICER'S COMPENSATION IS REVIEWED AND APPROVED ANNUALLY BY THE COMPENSATION COMMITTEE. THE MEMBERS OF THE ENTIRE GOVERNING BODY MAKE UP THE COMPENSATION COMMITTEE. THE HOPEDALE MEDICAL FOUNDATION USES AN INDEPENDENT CONSULTANT TO GATHER COMPARABILITY DATA AND PROVIDE ADDITIONAL ANALYSIS. THE COMPENSATION COMMITTEE DOCUMENTS ITS DELIBERATIONS IN THE GOVERNING BOARD MINUTES AND ESTABLISHES A WRITTEN CONTRACT. THE PROCESS LAST TOOK PLACE AT THE BOARD MEETING ON DECEMBER 6, 2024. ALL OTHER OFFICERS ARE INCLUDED IN THE ANNUAL PAYROLL REVIEW PROCESS. THE CHIEF OPERATING OFFICER PROPOSES INCREASES BASED ON MARKET RATE ANALYSIS AND OTHER FACTORS. FINAL APPROVAL IS FROM DR. MATT ROSSI. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII, SECTION A: | REPORTABLE COMPENSATION INCLUDED IN PART VII FOR MATTHEW B. ROSSI, M.D. IS FOR SERVICES RENDERED TO HOPEDALE MEDICAL FOUNDATION AS MEDICAL DIRECTOR. NICHOLAS B. ROSSI, M.D. IS COMPENSATED FOR SERVICES RENDERED TO HOPEDALE MEDICAL FOUNDATION AS A NEURO AND SPINE PHYSICIAN. REPORTABLE COMPENSATION INCLUDED IN PART VII FOR PHILLIP J. ROSSI, M.D IS FOR SERVICES RENDERED TO HOPEDALE MEDICAL FOUNDATION AS AN EMERGENCY ROOM PHYSICIAN. NO MEMBER OF THE BOARD OF DIRECTORS IS COMPENSATED IN THEIR CAPACITY AS A DIRECTOR, AND AVERAGE HOURS PER WEEK REPORTED FOR EACH DIRECTOR IS AN ESTIMATE OF TIME SPENT IN SUCH CAPACITY ONLY. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,405,617. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,405,617. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,588,895. MANAGEMENT AND GENERAL EXPENSES 1,314,236. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,903,131. DIRECTORSHIP: PROGRAM SERVICE EXPENSES 80,220. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,220. COLLECTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 16,253. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,253. LOCUM TENENS STAFFING: PROGRAM SERVICE EXPENSES 1,652,993. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,652,993. |
| FORM 990, PART XII, LINE 2C: | THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOPEDALE REAL ESTATE SERVICES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 107 TREMONT STREET | AddressLine1Txt |
| City | HOPEDALE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371406582 | EIN |
| Primary Activities | PROPERTY RENTAL | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOPEDALE MEDICAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $153,155 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $3,066,541 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOPEDALE REAL ESTATE SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $153,000 | InvolvedAmt |
| Method Of Amount Determination | GL DETAIL | MethodOfAmountDeterminationTxt |
Comments