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 LongestNOLAN LONGEST
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 1
-
Mary Liz WrigthMARY LIZ WRIGTH
VICE CHAIRWOMAN
- Total calculated
- $0
- Hours/week
- 1
-
Renee CraigRENEE CRAIG
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Brian BlairBRIAN BLAIR
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
David FrisseDAVID FRISSE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Tom HebermehlTOM HEBERMEHL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Scott HoganSCOTT HOGAN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Jaime HoulihanJAIME HOULIHAN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Darrin JohnsonDARRIN JOHNSON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Amanda NealAMANDA NEAL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Doug SmittkampDOUG SMITTKAMP
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Reid SuttonREID SUTTON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Bruce WrightBRUCE WRIGHT
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Rahat Sheikh MDRAHAT 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 RicoDR 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 SmithOLIVER 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 AdamsMARTIN 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 KelleyRACHEL 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 ToussiDR 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 SchneiderADAM 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 VenturaDR 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 BollenbackerDR 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 GriggsDR 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 KempegowdaDR 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.
-
PARIS COMMUNITY HOSPITAL FOUNDATION INC
501(C)(3) · FOUNDATION -SUPPORTING ORGANIZATION · IL · controlled entity
Directly controlled by HORIZON HEALTH
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 June 2023
- IRS schema version
- 2022v5.0
- Source object
- 202301659349301565
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