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Nonprofiteer
← FREEPORT REGIONAL HEALTH CARE FOUND ATION

Form 990 for tax year 2022

Filed by FREEPORT REGIONAL HEALTH CARE FOUND ATION.

Totals

Total revenue
$42,848,160
Total expenses
$69,460,061
Contributions and grants received
$39,151
Grants paid
$0
Program service revenue
$42,301,407
Investment income
$319,998
Other revenue
$187,604
Total assets, end of year
$41,202,979
Total liabilities, end of year
$38,147,687
Net assets or fund balances, end of year
$3,055,292
Program services expenses (Part IX)
$45,197,482
Management and general expenses
$24,135,167
Fundraising expenses
$127,412
Program service expenses (Part III)
$45,197,482

Program services were 65.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $39,151

  • 2a · Program service revenue: PATIENT SERV. REVENUE

    total $22,288,979 · related or exempt $22,280,681 · unrelated business $8,298

  • 2b · Program service revenue: CORPORATE ALLOCATION

    total $18,939,767 · related or exempt $18,939,767

  • 2c · Program service revenue: OTHER MISC. REVENUE

    total $837,318 · related or exempt $837,318

  • 2d · Program service revenue: GOVERNMENT PAYMENT

    total $235,343 · related or exempt $235,343

  • 3 · Investment income

    total $316,629 · excluded $316,629

  • 6a · Gross rents

    real property $137,672

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $137,672

  • 6d · Net rental income or loss

    total $137,672 · excluded $137,672

  • 7a · Gross sales of assets other than inventory

    securities $3,369

  • 7b · Less cost or other basis and sales expenses

    securities $0

  • 7c · Gain or loss

    securities $3,369

  • 7d · Net gain or loss

    total $3,369 · related or exempt $3,369

  • 8a · Fundraising events: gross income

    $49,932

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $49,932 · excluded $49,932

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,691,594 · program services $1,092,171 · management and general $599,423

  • 7 · Other salaries and wages

    total $30,049,755 · program services $23,849,858 · management and general $5,992,688 · fundraising $207,209

  • 9 · Other employee benefits

    total $6,442,584 · program services $733,157 · management and general $5,709,427

  • 10 · Payroll taxes

    total $1,901,150 · program services $1,464,410 · management and general $421,807 · fundraising $14,933

  • 11b · Fees: legal

    total $210,823 · management and general $210,823

  • 12 · Advertising and promotion

    total $722,120 · management and general $722,120

  • 14 · Information technology

    total $1,124,552 · management and general $1,124,552

  • 16 · Occupancy

    total $456,617 · program services $212,588 · management and general $244,029

  • 17 · Travel

    total $72,559 · program services $38,736 · management and general $33,823

  • 19 · Conferences, conventions and meetings

    total $232,204 · program services $206,233 · management and general $25,590 · fundraising $381

  • 20 · Interest

    total $710,307 · management and general $710,307

  • 22 · Depreciation, depletion and amortization

    total $2,398,843 · program services $800,695 · management and general $1,596,464 · fundraising $1,684

  • 23 · Insurance

    total $1,048,442 · program services $982,038 · management and general $66,404

  • 24a · Other expenses: CORPORATE ALLOCATION

    total $5,425,930 · program services $5,425,930

  • 24b · Other expenses: CONTRACTED SERVICES

    total $4,959,145 · program services $1,710,762 · management and general $3,226,980 · fundraising $21,403

  • 24c · Other expenses: MEDICAL SPECIALIST

    total $4,303,169 · program services $4,303,169

  • 24d · Other expenses: DRUGS

    total $2,649,618 · program services $2,040,369 · management and general $609,249

  • 24e · All other expenses

    total $5,060,649 · program services $2,337,366 · management and general $2,841,481 · fundraising -$118,198

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,831,216 · end of year $2,457,481

  • 4 · Accounts receivable

    beginning of year $3,416,944 · end of year $2,723,557

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,066,591 · end of year $2,124,948

  • 10a · Land, buildings and equipment: cost or other basis

    $57,689,351

  • 10b · Land, buildings and equipment: accumulated depreciation

    $39,552,631

  • 10c · Land, buildings and equipment, net

    beginning of year $19,602,208 · end of year $18,136,720

  • 11 · Investments: publicly traded securities

    beginning of year $2,937,174 · end of year $2,466,230

  • 12 · Investments: other securities

    beginning of year $2,387,033 · end of year $2,553,695

  • 13 · Investments: program-related

    beginning of year $1,639,282 · end of year $1,639,282

  • 15 · Other assets

    beginning of year $10,767,096 · end of year $9,101,066

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,323,924 · end of year $2,914,608

  • 20 · Tax-exempt bond liabilities

    beginning of year $32,370,000 · end of year $31,350,000

  • 25 · Other liabilities

    beginning of year $4,735,151 · end of year $3,883,079

  • 27 · Net assets without donor restrictions

    beginning of year -$1,134,314 · end of year $42,281

  • 28 · Net assets with donor restrictions

    beginning of year $3,352,783 · end of year $3,013,011

Mission and programs · 2022

Mission

SEE SCHEDULE O

Activities or mission (Part I)

OUR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES, WORKING TOGETHER WITH THOSE WE SERVE.

  • FREEPORT REGIONAL HEALTH CARE FOUNDATION PROVIDES PHYSICIAN SERVICES TO PATIENTS IN FIVE NORTHWESTERN ILLINOIS COUNTIES. THE FOUNDATION ENSURES CONTINUED ACCESS TO CARE BY SERVING PATIENTS IN MEDICALLY UNDERSERVED AREAS.

    Expenses $11,954,210 · Revenue $29,752,305

  • OTHER UNCOMPENSATED CARE: THE FOUNDATION IS A LICENSED MEDICARE AND MEDICAID PROVIDER WITH APPROXIMATELY 69% OF ITS PATIENTS BASE QUALIFYING FOR AT LEAST ON OF THESE PROGRAMS. AT PRESENT THE REIMBURSEMENT RATES OF THESE PROGRAMS DO NOT FULLY COVER THE COST OF CARE TO THESE PATIENTS. THE ESTIMATED UNFUNDED COSTS OF THE SERVICES FOR MEDICARE AND MEDICAID PATIENTS WAS APPROXIMATELY $20,283,502 FOR THE YEAR ENDING 12/31/2022.

    Expenses $33,120,189 · Revenue $12,836,687

  • CHARITY CARE: THE FOUNDATION PROVIDED CARE BENEFITS UP TO 300% OF THE FEDERALLY DETERMINED PROVERTY LEVEL. CHARGES FOREGONE FOR CHARITY CARE AMOUNTED TO APPROXIMATELY $123,083 IN 2022. ESTIMATED COSTS OF PROVIDING THESE SERVICES AMOUNTED TO APPROXIMATELY $83,686 IN 2022.

    Expenses $123,083 · Revenue $83,686

  • FHN OPERATES AND/OR SUPPORTS A VARIETY OF COMMUNITY BENEFIT PROGRAMS THAT INCLUDED BUT WERE NOT LIMITED TO THE FOLLOWING:COMMUNITY HEALTH EDUCATION PROGRAMS: AS PART OF FHN'S COMMITMENT TO PROVIDING HEALTH EDUCATION TO AREA COMMUNITIES, FHN PROVIDED NUMEROUS COMMUNITY EDUCATION EVENTS AND SCHOOL HEALTH PROGRAMS AND SUPPORT GROUP EVENTS. THE ESTIMATED DIRECT AND INDIRECT COSTS OF THESE PROGRAMS AND DEVELOPMENT OF RESOURCES WERE APPROXIMATELY $38,000.COMMUNITY-BASED CLINICAL SERVICES: AS PART OF FHN'S MISSION TO IMPROVE HEALTH, FHN AND THE STEPHENSON COUNTY HEALTH DEPARTMENT HAVE PARTNERED TO PROVIDE PRIMARY HEALTH CARE SERVICES TO ANYONE IN NEED OF MEDICAL CARE AT THE FHN COMMUNITY HEALTHCARE CENTER. APPROXIMATELY 2,450 PATIENT VISITS WERE PROVIDED IN 2022. SERVICES OFFERED INCLUDE DIAGNOSIS AND TREATMENT OF COMMON ACUTE ILLNESSES AS WELL AS MANAGEMENT OF CHRONIC HEALTH PROBLEMS, INCLUDING NURSE PRACTITIONER EXAMS AND CONSULTATIONS, LAB TESTS, X-RAYS AND HEALTH EDUCATION.FHN ALSO PROVIDED 2,340 HEALTH SCREENS AND SPORTS PHYSICALS, 154 HOURS OF CONDITIONING AND TRAINING SUPPORT AND SPORTS MEDICINE TRAINERS AT 50 EVENTS. THE ESTIMATED DIRECT AND INDIRECT COSTS OF THESE PROGRAMS WERE APPROXIMATELY $478,000.HEALTH CARE SUPPORT SERVICES: SINCE COMMUNITY MEMBERS MAY REQUIRE DIFFERENT TYPES OF ASSISTANCE, FHN PROVIDES INFORMATION AND REFERRAL SERVICES, TRANSLATION SERVICES AND TRANSPORTATION ASSISTANCE. THE ESTIMATED DIRECT AND INDIRECT COSTS OF THESE PROGRAMS WERE APPROXIMATELY $85,000. HEALTH PROFESSIONAL EDUCATION: FHN SUPPORTS THE TRAINING OF HEALTH CARE PROFESSIONALS BY PROVIDING SCHOLARSHIPS, CLINICAL SETTINGS AND SUPERVISION TO NON-FHN EMPLOYEES. THE ESTIMATED DIRECT AND INDIRECT COSTS OF THESE PROGRAMS WERE APPROXIMATELY $323,000.FINANCIAL CONTRIBUTIONS: FHN RECOGNIZES THE IMPORTANCE OF GIVING BACK TO THE COMMUNITY THROUGH CHARITABLE ORGANIZATION AND OTHERS INVOLVED IN PROMOTING HEALTH AND WELLNESS IN OUR COMMUNITY. IN 2022, FHN PROVIDED SUPPORT TO A NUMBER OF COMMUNITY GROUPS THROUGH DIRECT FINANCIAL CONTRIBUTIONS AND PROVIDING ROOMS OR STAFF TIME. THE ESTIMATED DIRECT AND INDIRECT COSTS OF THESE PROGRAMS WERE APPROXIMATELY $41,000.COMMUNITY-BUILDING ACTIVITIES: FHN VALUES THE CONTRIBUTIONS AND EFFORTS OF OTHER ORGANIZATIONS IN IMPROVING THE HEALTH OF OUR COMMUNITIES. AS SUCH, FHN PROVIDED FINANCIAL AND IN-KIND SUPPORT TO ASSIST OTHER LOCAL COMMUNITY DEVELOPMENT ORGANIZATIONS. THE ESTIMATED DIRECT AND INDIRECT COSTS OF THESE PROGRAMS WERE APPROXIMATELY $35,000.

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Neal Richardson

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.5

  • Heather McPherson

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.5

  • Mark Wright

    TREASURER

    Total calculated
    $0
    Hours/week
    0.5

  • Rich Chang

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.5

  • Steven Kneubuehl

    PAST CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.5

  • Gary Quinn

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Bruce Baldwin

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Shokry Tawfik MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    40

  • Glenda Koeller

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Dan Schmitt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Amy Baker

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Mark S Gridley

    PRESIDENT & CEO

    Total calculated
    $806,248
    From this org
    $273,236
    From related orgs
    $465,241
    Other
    $67,771
    Hours/week
    14 + 26 related

    Schedule J breakdown matched by us

    Base
    $192,947 + $328,532 related
    Bonus
    $0
    Other
    $80,289 + $136,709 related
    Deferred
    $7,585 + $12,915 related
    Nontaxable benefits
    $17,490 + $29,781 related
    Filer's total
    $298,311 + $507,937 related

  • Michael Clark

    EXECUTIVE VP & CFO

    Total calculated
    $484,062
    From this org
    $155,368
    From related orgs
    $264,545
    Other
    $64,149
    Hours/week
    14 + 26 related

    Schedule J breakdown matched by us

    Base
    $104,861 + $178,547 related
    Bonus
    $0
    Other
    $50,507 + $85,998 related
    Deferred
    $7,585 + $12,915 related
    Nontaxable benefits
    $16,150 + $27,499 related
    Filer's total
    $179,103 + $304,959 related

  • Leonard M Carter

    VP - HUMAN RESOURCES

    Total calculated
    $329,754
    From this org
    $106,978
    From related orgs
    $182,151
    Other
    $40,625
    Hours/week
    14 + 26 related

    Schedule J breakdown matched by us

    Base
    $75,941 + $129,304 related
    Bonus
    $0
    Other
    $31,037 + $52,847 related
    Deferred
    $0
    Nontaxable benefits
    $15,031 + $25,594 related
    Filer's total
    $122,009 + $207,745 related

  • Clarence Parks MD

    PRESIDENT OF MEDICAL STAFF

    Total calculated
    $564,860
    From this org
    $0
    From related orgs
    $562,609
    Other
    $2,251
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $454,366 related
    Bonus
    $0 + $35,156 related
    Other
    $0 + $73,087 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $2,251 related
    Filer's total
    $0 + $564,860 related

  • Timothy Jessen MD

    CHAIR PHYSICIAN COUNCIL

    Total calculated
    $303,447
    From this org
    $253,178
    From related orgs
    $0
    Other
    $50,269
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $204,088
    Bonus
    $36,426
    Other
    $12,664
    Deferred
    $17,524
    Nontaxable benefits
    $32,745
    Filer's total
    $303,447

  • Beth Kalnins MD

    EMPLOYED PHYSICIAN

    Total calculated
    $347,566
    From this org
    $0
    From related orgs
    $318,276
    Other
    $29,290
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $277,207 related
    Bonus
    $0 + $34,378 related
    Other
    $0 + $6,691 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $29,290 related
    Filer's total
    $0 + $347,566 related

  • Rebecca Pedersen MD

    CHIEF QUALITY CONTROL

    Total calculated
    $472,127
    From this org
    $432,650
    From related orgs
    $0
    Other
    $39,477
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $388,242
    Bonus
    $43,142
    Other
    $1,266
    Deferred
    $0
    Nontaxable benefits
    $39,477
    Filer's total
    $472,127

  • Robert Geller MD

    HEAD OF INFECTIOUS DISEASE

    Total calculated
    $316,598
    From this org
    $284,883
    From related orgs
    $0
    Other
    $31,715
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $228,697
    Bonus
    $36,234
    Other
    $19,952
    Deferred
    $0
    Nontaxable benefits
    $31,715
    Filer's total
    $316,598

  • Kathryn Martinez

    CNO/COO

    Total calculated
    $375,096
    From this org
    $0
    From related orgs
    $338,246
    Other
    $36,850
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $260,021 related
    Bonus
    $0
    Other
    $0 + $78,225 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $36,850 related
    Filer's total
    $0 + $375,096 related

  • Prasad Kilaru MD

    PHYSICIAN

    Total calculated
    $1,226,030
    From this org
    $1,219,655
    From related orgs
    $0
    Other
    $6,375
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $1,219,655
    Deferred
    $0
    Nontaxable benefits
    $6,375
    Filer's total
    $1,226,030

  • Gregory Dammann MD

    PHYSICIAN

    Total calculated
    $986,129
    From this org
    $942,933
    From related orgs
    $0
    Other
    $43,196
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $822,877
    Bonus
    $118,614
    Other
    $1,442
    Deferred
    $0
    Nontaxable benefits
    $43,196
    Filer's total
    $986,129

  • Madhusudan R Malladi MD

    PHYSICIAN

    Total calculated
    $823,783
    From this org
    $763,267
    From related orgs
    $0
    Other
    $60,516
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $558,509
    Bonus
    $113,636
    Other
    $91,122
    Deferred
    $18,018
    Nontaxable benefits
    $42,498
    Filer's total
    $823,783

  • Timothy Laurie MD

    PHYSICIAN

    Total calculated
    $770,713
    From this org
    $745,932
    From related orgs
    $0
    Other
    $24,781
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $692,661
    Bonus
    $30,891
    Other
    $22,380
    Deferred
    $18,512
    Nontaxable benefits
    $6,269
    Filer's total
    $770,713

  • Terry Miller MD

    PHYSICIAN

    Total calculated
    $706,824
    From this org
    $664,379
    From related orgs
    $0
    Other
    $42,445
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $559,288
    Bonus
    $99,851
    Other
    $5,240
    Deferred
    $0
    Nontaxable benefits
    $42,445
    Filer's total
    $706,824

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Travel for companions
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
FREEPORT REGIONAL HEALTH CARE FOUNDATION REIMBURSED A DIRECTOR/TRUSTEE FOR BUSINESS TRAVEL EXPENSES INCLUDING TRAVEL EXPENSES FOR A SPOUSE.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • FREEPORT MEMORIAL HOSPITAL

    501(C)(3) · HEALTH CARE · IL

    Directly controlled by FREEPORT REGIONAL HEALTH CARE FOUNDATION

  • FREEPORT REGIONAL MANAGEMENT SERVICES

    501(C)(3) · HEALTH CARE · IL

    Directly controlled by FREEPORT REGIONAL HEALTH CARE FOUNDATION

  • FREEPORT REGIONAL HEALTHCARE SERVICES

    501(C)(3) · HEALTH CARE · IL

    Directly controlled by FREEPORT REGIONAL HEALTH CARE FOUNDATION

  • JANE ADDAMS INC

    501(C)(3) · HEALTH CARE · IL

    Directly controlled by FREEPORT REGIONAL HEALTH CARE FOUNDATION

  • JANE ADDAMS HEALTHCARE SERVICES INC

    501(C)(3) · HEALTH CARE · IL

    Directly controlled by FREEPORT REGIONAL HEALTH CARE FOUNDATION

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • MEMORIAL ENTERPRISES INC

    C · HEALTH CARE · IL · 100% owned

    Directly controlled by FREEPORT REGIONAL HEALTH CARE FOUNDATION

Provenance

Return type
form_990
Tax year
2022
Filed
22 August 2023
IRS schema version
2022v5.0
Source object
202322349349300132

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