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Nonprofiteer
← FREEPORT MEMORIAL HOSPITAL

Form 990 for tax year 2022

Filed by FREEPORT MEMORIAL HOSPITAL.

Totals

Total revenue
$168,885,534
Total expenses
$152,350,876
Contributions and grants received
$894,084
Grants paid
$0
Program service revenue
$167,336,050
Investment income
$655,400
Other revenue
$0
Total assets, end of year
$106,715,723
Total liabilities, end of year
$29,909,259
Net assets or fund balances, end of year
$76,806,464
Program services expenses (Part IX)
$148,223,142
Management and general expenses
$4,127,734
Fundraising expenses
$0
Program service expenses (Part III)
$148,223,142

Program services were 97.3% 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

    $894,084

  • 2a · Program service revenue: PATIENT REVENUE

    total $157,677,274 · related or exempt $157,639,863 · unrelated business $37,411

  • 2b · Program service revenue: PROVIDER TAX REVENUE

    total $8,982,608 · related or exempt $8,982,608

  • 2c · Program service revenue: GOVERNMENT PAYMENT

    total $605,276 · related or exempt $605,276

  • 2d · Program service revenue: OTHER INCOME

    total $60,777 · related or exempt $60,777

  • 2e · Program service revenue: CAFETERIA REVENUE

    total $9,684 · related or exempt $9,684

  • 2f · All other program service revenue

    total $431 · related or exempt $431

  • 3 · Investment income

    total $488,599 · excluded $488,599

  • 7a · Gross sales of assets other than inventory

    other assets $166,801

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

    other assets $0

  • 7c · Gain or loss

    other assets $166,801

  • 7d · Net gain or loss

    total $166,801 · related or exempt $166,801

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $2,292,063 · program services $1,287,623 · management and general $1,004,440

  • 7 · Other salaries and wages

    total $40,262,357 · program services $39,132,226 · management and general $1,130,131

  • 9 · Other employee benefits

    total $9,187,698 · program services $9,187,698

  • 10 · Payroll taxes

    total $2,976,291 · program services $2,831,952 · management and general $144,339

  • 11b · Fees: legal

    total $20,035 · management and general $20,035

  • 13 · Office expenses

    total $94,597 · management and general $94,597

  • 16 · Occupancy

    total $1,243,288 · program services $1,243,288

  • 17 · Travel

    total $74,547 · program services $71,824 · management and general $2,723

  • 19 · Conferences, conventions and meetings

    total $183,022 · program services $80,991 · management and general $102,031

  • 20 · Interest

    total $9,905 · management and general $9,905

  • 22 · Depreciation, depletion and amortization

    total $4,428,417 · program services $4,320,808 · management and general $107,609

  • 23 · Insurance

    total $760,863 · program services $760,863

  • 24a · Other expenses: DRUGS

    total $14,802,181 · program services $14,802,174 · management and general $7

  • 24b · Other expenses: SUPPLIES

    total $13,385,323 · program services $13,147,848 · management and general $237,475

  • 24c · Other expenses: CORPORATE ALLOCATION

    total $13,102,677 · program services $13,102,677

  • 24d · Other expenses: MEDICAL SPECIALIST

    total $12,792,536 · program services $12,792,536

  • 24e · All other expenses

    total $36,735,076 · program services $35,460,634 · management and general $1,274,442

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $64,974,007 · end of year $46,906,301

  • 4 · Accounts receivable

    beginning of year $24,902,926 · end of year $21,413,702

  • 7 · Other notes and loans receivable

    beginning of year $759,280 · end of year $1,514,903

  • 8 · Inventories for sale or use

    beginning of year $3,085,204 · end of year $3,146,402

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,600,575 · end of year $3,453,504

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

    $102,664,896

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

    $83,341,058

  • 10c · Land, buildings and equipment, net

    beginning of year $20,557,856 · end of year $19,323,838

  • 12 · Investments: other securities

    beginning of year $4,314,953 · end of year $3,938,778

  • 15 · Other assets

    beginning of year $5,076,644 · end of year $7,018,295

  • 17 · Accounts payable and accrued expenses

    beginning of year $30,587,514 · end of year $22,366,234

  • 25 · Other liabilities

    beginning of year $6,382,585 · end of year $7,543,025

  • 27 · Net assets without donor restrictions

    beginning of year $87,714,653 · end of year $74,112,259

  • 28 · Net assets with donor restrictions

    beginning of year $2,586,693 · end of year $2,694,205

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 MEMORIAL HOSPITAL PROVIDES INPATIENT AND OUTPATIENT HOSPITAL SERVICES TO PATIENTS IN FIVE NORTHWESTERN ILLINOIS COUNTIES. THE HOSPITAL ENSURES CONTINIUED ACCESS TO CARE BY SERVING PATIENTS IN MEDICALLY UNDERSERVED AREAS. THE HOSPITAL QUALIFIES AS A MEDICARE DISPROPORTIONATE SHARE HOSPITAL BECAUSE IT SERVES A DISPROPORTIONATELY HIGH NUMBER OF LOW-INCOME PATIENTS.

    Expenses $79,252,553 · Revenue $132,619,010

  • OTHER UNCOMPENSATED CARE: THE HOSPITAL IS A LICENSED MEDICARE AND MEDICAID PROVIDER WITH APPROXIMATELLY 72% OF ITS' PATIENT BASE QUALIFYING FOR AT LEAST ONE 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 COST OF SERVICE FOR MEDICARE PATIENTS WAS APPROXIMATELY $20,992,672 AND MEDICAID PATIENTS WAS APPROXIMATELY $9,547,752 FOR THE YEAR ENDING 12/31/2022.

    Expenses $65,867,266 · Revenue $35,326,842

  • CHARITY CARE: THE HOSPITAL PROVIDED CHARITY CARE BENEFITS FOR PATIENTS WHOSE INCOME WAS UP TO 300% OF THE FEDERALLY DETERMINED PROVERTY LEVEL. CHARGES FOREGONE FOR CHARITY CARE AMOUNTED TO APPROXIMATELY $3,103,323 IN 2022. ESTIMATED COSTS OF PROVIDING THESE SERVICES AMOUNTED TO APPROXIMATELY $648,870 IN 2022.

    Expenses $3,103,323 · Revenue $648,870

  • OTHER COMMUNITY BENEFITS: THE HOSPITAL OPERATES AND SUPPORTS A NUMBER OF COMMUNITY BENEFIT PROGRAMS THAT INCLUDE BUT ARE NOT LIMITED TO COMMUNITY HEALTH EDUCATION, HEALTH CARE SUPPORT SERVICES AND HEALTH PROFESSIONAL EDUCATION.

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

  • Richard Chang

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.5

  • Steven Kneubuehl

    PAST CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.5

  • Amy Baker

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • Bruce Baldwin

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • Gary Quinn

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • Glenda Koeller

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • Dan Schmitt

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • Shokry Tawfik MD

    BOARD MEMBER

    Total calculated
    $170
    From this org
    $0
    From related orgs
    $0
    Other
    $170
    Hours/week
    0.5

  • Mark S Gridley

    PRESIDENT/CEO

    Total calculated
    $806,248
    From this org
    $457,856
    From related orgs
    $280,621
    Other
    $67,771
    Hours/week
    25 + 15 related

    Schedule J breakdown matched by us

    Base
    $323,317 + $198,162 related
    Bonus
    $0
    Other
    $134,539 + $82,459 related
    Deferred
    $12,710 + $7,790 related
    Nontaxable benefits
    $29,308 + $17,963 related
    Filer's total
    $499,874 + $306,374 related

  • Michael C Clark

    EXECUTIVE VP/CFO

    Total calculated
    $484,062
    From this org
    $260,346
    From related orgs
    $159,567
    Other
    $64,149
    Hours/week
    25 + 15 related

    Schedule J breakdown matched by us

    Base
    $175,713 + $107,695 related
    Bonus
    $0
    Other
    $84,633 + $51,872 related
    Deferred
    $12,710 + $7,790 related
    Nontaxable benefits
    $27,063 + $16,586 related
    Filer's total
    $300,119 + $183,943 related

  • Leonard Carter

    CHIEF HUMAN RESOURCES OFFI

    Total calculated
    $329,753
    From this org
    $179,260
    From related orgs
    $109,869
    Other
    $40,624
    Hours/week
    25 + 15 related

    Schedule J breakdown matched by us

    Base
    $127,252 + $77,993 related
    Bonus
    $0
    Other
    $52,008 + $31,876 related
    Deferred
    $0
    Nontaxable benefits
    $25,187 + $15,437 related
    Filer's total
    $204,447 + $125,306 related

  • Beth Kalnins MD

    MEDICAL STAFF

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

    Schedule J breakdown matched by us

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

  • Rebecca Pederson MD

    CHIEF QUALITY OFFICER

    Total calculated
    $472,127
    From this org
    $0
    From related orgs
    $432,650
    Other
    $39,477
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

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

  • Robert Geller MD

    HEAD OF INFECTIOUS DISEASES

    Total calculated
    $316,597
    From this org
    $0
    From related orgs
    $284,882
    Other
    $31,715
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $228,697 related
    Bonus
    $0 + $36,234 related
    Other
    $0 + $19,951 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $31,715 related
    Filer's total
    $0 + $316,597 related

  • Timothy Jessen MD

    CHAIR PHYSICIANS COUNCEL

    Total calculated
    $303,448
    From this org
    $0
    From related orgs
    $253,178
    Other
    $50,270
    Hours/week
    0.5

    Schedule J breakdown matched by us

    Base
    $0 + $204,088 related
    Bonus
    $0 + $36,426 related
    Other
    $0 + $12,664 related
    Deferred
    $0 + $17,524 related
    Nontaxable benefits
    $0 + $32,746 related
    Filer's total
    $0 + $303,448 related

  • Clarence Parks MD

    PRESIDENT MEDICAL STAFF

    Total calculated
    $564,960
    From this org
    $562,609
    From related orgs
    $0
    Other
    $2,351
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $454,366
    Bonus
    $35,156
    Other
    $73,087
    Deferred
    $0
    Nontaxable benefits
    $2,351
    Filer's total
    $564,960

  • Kathryn J Martinez

    VP OF PATIENT SERVICE

    Total calculated
    $375,097
    From this org
    $338,247
    From related orgs
    $0
    Other
    $36,850
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $260,021
    Bonus
    $0
    Other
    $78,226
    Deferred
    $0
    Nontaxable benefits
    $36,850
    Filer's total
    $375,097

  • Arshad Shaikh MD

    PHYSICIAN

    Total calculated
    $821,828
    From this org
    $786,410
    From related orgs
    $0
    Other
    $35,418
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $626,776
    Bonus
    $92,634
    Other
    $67,000
    Deferred
    $0
    Nontaxable benefits
    $35,418
    Filer's total
    $821,828

  • Keith Martin MD

    PHYSICIAN

    Total calculated
    $473,060
    From this org
    $470,288
    From related orgs
    $0
    Other
    $2,772
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $373,667
    Bonus
    $36,893
    Other
    $59,728
    Deferred
    $0
    Nontaxable benefits
    $2,772
    Filer's total
    $473,060

  • Maajid Ekkiswala

    PHYSICIAN

    Total calculated
    $373,147
    From this org
    $334,543
    From related orgs
    $0
    Other
    $38,604
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $298,659
    Bonus
    $35,156
    Other
    $728
    Deferred
    $0
    Nontaxable benefits
    $38,604
    Filer's total
    $373,147

  • Irena Markovic MD

    PHYSICIAN

    Total calculated
    $463,559
    From this org
    $430,953
    From related orgs
    $0
    Other
    $32,606
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $394,938
    Bonus
    $35,156
    Other
    $859
    Deferred
    $0
    Nontaxable benefits
    $32,606
    Filer's total
    $463,559

  • Karenmarie Meyer MD

    PHYSICIAN

    Total calculated
    $333,281
    From this org
    $313,889
    From related orgs
    $0
    Other
    $19,392
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $293,148
    Bonus
    $0
    Other
    $20,741
    Deferred
    $0
    Nontaxable benefits
    $19,392
    Filer's total
    $333,281

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 MEMORIAL HOSPITAL 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 REGIONAL HEALTH CARE FOUNDATION

    501(C)(3) · HEALTH CARE · IL

  • FREEPORT REGIONAL HEALTHCARE SERVICES

    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

  • 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

    Directly controlled by FREEPORT REGIONAL HEALTH CARE FOUNDATION

Provenance

Return type
form_990
Tax year
2022
Filed
4 October 2023
IRS schema version
2022v5.0
Source object
202322779349300227

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