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Nonprofiteer
← HOSPITAL & MEDICAL FOUNDATION OF PARIS INC

Form 990 for tax year 2022

Filed by HOSPITAL & MEDICAL FOUNDATION OF PARIS INC.

Totals

Total revenue
$107,867,987
Total expenses
$106,663,986
Contributions and grants received
$2,230,063
Grants paid
$13,900
Program service revenue
$103,707,184
Investment income
$43,061
Other revenue
$1,887,679
Total assets, end of year
$81,984,497
Total liabilities, end of year
$30,337,739
Net assets or fund balances, end of year
$51,646,758
Program services expenses (Part IX)
$92,149,612
Management and general expenses
$14,514,374
Fundraising expenses
$0
Program service expenses (Part III)
$92,149,612

Program services were 86.4% 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.

  • 1e · Government grants (contributions)

    $573,436

  • 1f · All other contributions, gifts and grants

    $1,656,627

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $102,275,692 · related or exempt $102,275,692

  • 2b · Program service revenue: 340B PHARMACY REVENUE

    total $1,431,492 · related or exempt $1,431,492

  • 3 · Investment income

    total $45,133 · excluded $45,133

  • 6a · Gross rents

    real property $135,534

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $135,534

  • 6d · Net rental income or loss

    total $135,534 · excluded $135,534

  • 7a · Gross sales of assets other than inventory

    other assets $65,000

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

    other assets $67,072

  • 7c · Gain or loss

    other assets -$2,072

  • 7d · Net gain or loss

    total -$2,072 · excluded -$2,072

  • 11a · Other revenue: CAFETERIA REVENUE

    total $195,102 · excluded $195,102

  • 11b · Other revenue: PROFESSIONAL FEE REVENUE

    total $122,294 · excluded $122,294

  • 11c · Other revenue: PHARMACY REVENUE

    total $31,603 · related or exempt $31,603

  • 11d · All other revenue

    total $1,403,146 · related or exempt $1,403,146

  • 11e · Other revenue, total

    $1,752,145

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $13,900 · program services $13,900

  • 5 · Compensation of officers, directors and key employees

    total $2,485,115 · program services $1,984,318 · management and general $500,797

  • 7 · Other salaries and wages

    total $47,337,419 · program services $37,798,053 · management and general $9,539,366

  • 8 · Pension plan contributions

    total $837,698 · program services $668,886 · management and general $168,812

  • 9 · Other employee benefits

    total $10,550,509 · program services $8,424,386 · management and general $2,126,123

  • 10 · Payroll taxes

    total $2,528,762 · program services $2,019,170 · management and general $509,592

  • 11a · Fees: management

    total $480,814 · program services $293,485 · management and general $187,329

  • 11b · Fees: legal

    total $106,956 · program services $65,285 · management and general $41,671

  • 11c · Fees: accounting

    total $50,760 · management and general $50,760

  • 11g · Fees: other

    total $13,490,965 · program services $12,509,971 · management and general $980,994

  • 12 · Advertising and promotion

    total $633,023 · program services $615,672 · management and general $17,351

  • 13 · Office expenses

    total $503,244 · program services $493,927 · management and general $9,317

  • 16 · Occupancy

    total $1,194,833 · program services $983,114 · management and general $211,719

  • 17 · Travel

    total $371,431 · program services $361,250 · management and general $10,181

  • 20 · Interest

    total $793,878 · program services $793,878

  • 22 · Depreciation, depletion and amortization

    total $4,351,457 · program services $4,351,457

  • 23 · Insurance

    total $1,124,674 · program services $1,124,674

  • 24a · Other expenses: MEDICAL SUPPLIES AND DR

    total $15,822,250 · program services $15,822,250

  • 24b · Other expenses: PROVIDER TAX

    total $1,655,280 · program services $1,655,280

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $1,527,286 · program services $1,388,953 · management and general $138,333

  • 24d · Other expenses: RECRUITING EXPENSE

    total $189,310 · program services $184,121 · management and general $5,189

  • 24e · All other expenses

    total $614,422 · program services $597,582 · management and general $16,840

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $5,010 · end of year $15,350

  • 2 · Savings and temporary cash investments

    beginning of year $2,939,117 · end of year $910,577

  • 4 · Accounts receivable

    beginning of year $15,836,406 · end of year $16,277,857

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $780,700

  • 7 · Other notes and loans receivable

    beginning of year $78,317 · end of year $58,843

  • 8 · Inventories for sale or use

    beginning of year $2,520,522 · end of year $3,028,371

  • 9 · Prepaid expenses and deferred charges

    beginning of year $944,149 · end of year $1,032,492

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

    $105,907,673

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

    $47,232,414

  • 10c · Land, buildings and equipment, net

    beginning of year $50,533,280 · end of year $58,675,259

  • 15 · Other assets

    beginning of year $627,352 · end of year $1,205,048

  • 17 · Accounts payable and accrued expenses

    beginning of year $7,432,550 · end of year $7,905,962

  • 19 · Deferred revenue

    beginning of year $594,927 · end of year $106,038

  • 23 · Secured mortgages and notes payable

    beginning of year $13,218,672 · end of year $22,325,739

  • 25 · Other liabilities

    beginning of year $1,795,247 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $49,815,405 · end of year $51,646,758

  • 28 · Net assets with donor restrictions

    beginning of year $627,352 · end of year $0

Mission and programs · 2022

Mission

TO PROVIDE EXCELLENT PATIENT CARE AND PROMOTE WELLNESS THROUGHOUT OUR COMMUNITIES.

  • OPERATION OF A HOSPITAL AND MEDICAL CLINIC - 3,499 INPATIENT DAYS PLUS EMERGENCY, ANCILLARY, AND OUTPATIENT SERVICES FOR RESIDENTS IN PARIS, EDGAR COUNTY, EAST IL, AND CENTRAL IL.

    Expenses $92,149,612 · Grants $13,900 · Revenue $105,141,933

As filed on the 2022 return.

Listed in Part VII

  • Nolan Longest

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1
  • Mary Liz Wrigth

    VICE CHAIRWOMAN

    Total calculated
    $0
    Hours/week
    1
  • Renee Craig

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Brian Blair

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • David Frisse

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Tom Hebermehl

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Scott Hogan

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Jaime Houlihan

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Darrin Johnson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Amanda Neal

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Doug Smittkamp

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Reid Sutton

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Bruce Wright

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Rahat Sheikh MD

    CHIEF MEDICAL STAFF (BEG 2022)

    Total calculated
    $612,374
    From this org
    $579,283
    From related orgs
    $0
    Other
    $33,091
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $385,760
    Bonus
    $176,931
    Other
    $16,592
    Deferred
    $13,725
    Nontaxable benefits
    $19,366
    Filer's total
    $612,374
  • Dr Edward Rico

    CHIEF OF MEDICAL STAFF (END 2022)

    Total calculated
    $368,730
    From this org
    $340,087
    From related orgs
    $0
    Other
    $28,643
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $338,255
    Bonus
    $0
    Other
    $1,832
    Deferred
    $9,277
    Nontaxable benefits
    $19,366
    Filer's total
    $368,730
  • Oliver M Smith

    CEO

    Total calculated
    $534,207
    From this org
    $467,618
    From related orgs
    $0
    Other
    $66,589
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $361,458
    Bonus
    $75,000
    Other
    $31,160
    Deferred
    $48,725
    Nontaxable benefits
    $17,864
    Filer's total
    $534,207
  • Martin D Adams

    CFO

    Total calculated
    $341,538
    From this org
    $309,008
    From related orgs
    $0
    Other
    $32,530
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $289,310
    Bonus
    $0
    Other
    $19,698
    Deferred
    $13,725
    Nontaxable benefits
    $18,805
    Filer's total
    $341,538
  • Rachel Kelley

    CHIEF NURSING OFFICER

    Total calculated
    $243,474
    From this org
    $227,766
    From related orgs
    $0
    Other
    $15,708
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $191,766
    Bonus
    $30,000
    Other
    $6,000
    Deferred
    $5,629
    Nontaxable benefits
    $10,079
    Filer's total
    $243,474
  • Dr Anita Toussi

    CHIEF MEDICAL OFFICER

    Total calculated
    $384,790
    From this org
    $362,313
    From related orgs
    $0
    Other
    $22,477
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $347,251
    Bonus
    $0
    Other
    $15,062
    Deferred
    $4,923
    Nontaxable benefits
    $17,554
    Filer's total
    $384,790
  • Adam Schneider

    CRNA

    Total calculated
    $895,381
    From this org
    $851,828
    From related orgs
    $0
    Other
    $43,553
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $851,828
    Bonus
    $0
    Other
    $0
    Deferred
    $10,600
    Nontaxable benefits
    $32,953
    Filer's total
    $895,381
  • Dr John Ventura

    PHYSICIAN

    Total calculated
    $682,107
    From this org
    $678,117
    From related orgs
    $0
    Other
    $3,990
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $678,117
    Bonus
    $0
    Other
    $0
    Deferred
    $405
    Nontaxable benefits
    $3,585
    Filer's total
    $682,107
  • Dr Jefferey Bollenbacker

    PHYSICIAN

    Total calculated
    $845,560
    From this org
    $813,193
    From related orgs
    $0
    Other
    $32,367
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $813,193
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $32,367
    Filer's total
    $845,560
  • Dr James Harry Griggs

    PHYSICIAN

    Total calculated
    $685,882
    From this org
    $666,516
    From related orgs
    $0
    Other
    $19,366
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $666,516
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $19,366
    Filer's total
    $685,882
  • Dr Harish Kempegowda

    PHYSICIAN

    Total calculated
    $700,535
    From this org
    $674,006
    From related orgs
    $0
    Other
    $26,529
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $674,006
    Bonus
    $0
    Other
    $0
    Deferred
    $2,338
    Nontaxable benefits
    $24,191
    Filer's total
    $700,535

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

  • 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 4B
CERTAIN INDIVIDUALS LISTED ON 990, PART VII PARTICIPATED IN A SPLIT DOLLAR LIFE INSURANCE PLAN. PLEASE REFER TO SCHEDULE L FOR PARTICIPANTS, PREMIUMS AND OUTSTANDING LOAN AMOUNTS.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
13 June 2023
IRS schema version
2022v5.0
Source object
202301659349301565

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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