2022-08-31T10:02:35-05:00 2021-12-31 990 2021-01-01 363290904 FREEPORT REGIONAL HEALTH CARE FOUNDATION FREE 8155996209 1045 WEST STEPHENSON STREET FREEPORT IL 61032 MICHAEL C CLARK CHIEF FINANCIAL OFFICER 8155996361 2022-08-29 0 MICHAEL CLARK 999009999 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MARK S GRIDLEY CEO 1045 W STEPHENSON ST FREEPORT IL 61032 45662946 0 X WWW.FHN.ORG X 1984 IL OUR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES, WORKING TOGETHER WITH THOSE WE SERVE. 11 10 0 0 4001 0 240463 586449 41040786 44460933 250648 407134 -1700 -53619 41530197 45400897 0 0 0 0 37202957 40857948 0 0 219852 27845239 29092617 65048196 69950565 -23517999 -24549668 44158955 44647544 42745863 42429075 1413092 2218469 X SEE SCHEDULE O 0 0 15712409 32890118 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. 27916959 12414278 OTHER UNCOMPENSATED CARE: THE FOUNDATION IS A LICENSED MEDICARE AND MEDICAID PROVIDER WITH APPROXIMATELY 68% 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 $15,502,681 FOR THE YEAR ENDING 12/31/2021. 161550 96501 CHARITY CARE: THE FOUNDATION PROVIDED CARE BENEFITS UP TO 300% OF THE FEDERALLY DETERMINED PROVERTY LEVEL. CHARGES FOREGONE FOR CHARITY CARE AMOUNTED TO APPROXIMATELY $161,550 IN 2021. ESTIMATED COSTS OF PROVIDING THESE SERVICES AMOUNTED TO APPROXIMATELY $96,501 IN 2021. 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 $49,000.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 3,000 PATIENT VISITS WERE PROVIDED IN 2021. 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 8,138 HEALTH SCREENS AND SPORTS PHYSICALS, 500 HOURS OF CONDITIONING AND TRAINING SUPPORT AND SPORTS MEDICINE TRAINERS AT 54 EVENTS. THE ESTIMATED DIRECT AND INDIRECT COSTS OF THESE PROGRAMS WERE APPROXIMATELY $475,000.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 $94,000. 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 $322,000.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 2021, 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 $39,000.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 $34,000. 43790918 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X AMY RUNGREN 8155996940 1045 WEST STEPHENSON STREET FREEPORT IL 61032 CAROL SCHUSTER DIRECTOR 0.50 X 0 0 0 STEVEN KNEUBUEHL PAST CHAIRMAN 0.50 X 0 0 0 GARY QUINN DIRECTOR 0.50 X 0 0 0 HEATHER MCPHERSON VICE CHAIRMAN 0.50 X 0 0 0 BRUCE BALDWIN DIRECTOR 0.50 X 0 0 0 MARK WRIGHT TREASURER 0.50 X 0 0 0 NEAL RICHARDSON CHAIRMAN 0.50 X 0 0 0 RICH CHANG SECRETARY 0.50 X 0 0 0 SHOKRY TAWFIK MD DIRECTOR 40.00 X 136690 0 28875 GLENDA KOELLER DIRECTOR 0.50 X 0 0 0 DAN SCHMITT DIRECTOR 0.50 X 0 0 0 BETH KALNINS MD EMPLOYED PHYSICIAN 40.00 X 248491 0 35530 MARK S GRIDLEY PRESIDENT & CEO 14.00 26.00 X 206052 350846 55586 MICHAEL CLARK EXECUTIVE VP & CFO 14.00 26.00 X 119708 203827 53509 LEONARD M CARTER VP - HUMAN RESOURCES 14.00 26.00 X 82006 139632 35627 ROBERT GELLER MD PRESIDENT MEDICAL STAFF 40.00 X 355811 0 26330 REBECCA PEDERSEN MD CHIEF QUALITY CONTROL 40.00 X 376988 0 32311 TIMOTHY JESSEN MD CHAIR PHYSICIAN COUNCIL 40.00 X 278059 0 50204 KATHRYN MARTINEZ CNO/COO 0.00 40.00 X 0 241411 45940 TIMOTHY LAURIE MD PHYSICIAN 40.00 X 1008598 0 41372 GREGORY DAMMANN MD PHYSICIAN 40.00 X 825312 0 39183 MADHUSUDAN R MALLADI MD PHYSICIAN 40.00 X 663950 0 54434 TERRY MILLER MD PHYSICIAN 40.00 X 520336 0 42784 FARHAN KHAN MD PHYSICIAN 40.00 X 507306 0 22860 5329307 935716 564545 55 0 1 0 LABORATORY CORPORATION OF AMERICA 1447 YORK CT BURLINTON NC 27216 LAB SERVICES 792193 NORTHERN ILLINOIS TRAUMA 1235 NORTH MULFORD STE 103 ROCKFORD IL 61107 PHYSICIAN SERVICES 735764 CAMELOT RADIOLOGY ASSOCIATES LTD 3849 N PERRYVILLE ROAD ROCKFORD IL 61108 PHYSICIAN SERVICES 219915 EXCALIBUR DDPM 2829 NAVE SUITE 101 GRAND JUNCTION CO 81501 COLLECTION SERVICES 216355 ROCKFORD UROLOGICAL 351 EXECUTIVE PARKWAY ROCKFORD IL 61107 PHYSICIAN SERVICES 183344 17 586449 586449 PATIENT SERV. REVENUE 621400 23277118 23273117 4001 CORPORATE ALLOCATION 621400 19218137 19218137 OTHER MISC. REVENUE 621400 1201997 1201997 GOVERNMENT PAYMENT 621400 763681 763681 44460933 407138 407138 145273 262045 -116772 -116772 -116772 4 -4 -4 -4 63153 0 63153 63153 45400897 44456928 4001 353519 2030602 1569289 461313 31028786 24032181 6851640 144965 5934243 484720 5449523 1864317 1371736 482043 10538 192806 192806 631122 631122 996701 996701 490466 242985 247481 54402 32028 22374 216666 188089 28350 227 1017226 1017226 2549538 790526 1753209 5803 1447081 959609 487472 CORPORATE ALLOCATION 5313476 5313476 CONTRACTED SERVICES 4864822 1481249 3373487 10086 DRUGS 3148309 1912280 1236029 MEDICAL SPECIALIST 2587069 2587069 5582933 2825681 2709019 48233 69950565 43790918 25939795 219852 1636667 1831216 3328373 3416944 2119654 2066591 57046387 37444179 20989121 19602208 2652811 2937174 2042857 2387033 1639282 1639282 9750190 10767096 44158955 44647544 4548234 5323924 33370000 32370000 4827629 4735151 42745863 42429075 X -1655279 -1134314 3068371 3352783 1413092 2218469 44158955 44647544 X -24549668 463606 24891439 X X 0 1 X 1 1 1 X X X 1 FREEPORT MEMORIAL HOSPITAL 362181997 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4817072 4817072 38737385 26464508 12272877 13380763 10979671 2401092 111167 111167 19602208 2387033 F 2387033 ADVANCES TO MEMORIAL ENTERPRISES 39743 ASSETS WHOSE USE IS LIMITED 3906652 DEFERRED COMPENSATION PLAN ASSETS 3090807 DEFFERED BOND COST 250967 DUE FROM JAHS 236749 DUE FROM JANE ADDAMS 1390495 DUE FROM NIHA -1154 DUE FROM PHYSICIANS 71320 INVESTMENT IN TRI-RIVERS 1781517 10767096 ASBESTOS ASSET RETIREMENT OBLIGATION 210587 DEFERRED COMPENSATION PLAN LIABILITY 457 3090807 GIFT ANNUITY LIABILITY 254553 INTERCOMPANY PAYABLE -44148 MALPRACTICE LIABILITY CURRENT 122335 MALPRACTICE LIABILITY LONGTERM 1101017 4735151 PARTNERS IN GIVING 63153 63153 1 63153 63153 63153 X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 SHOKRY TAWFIK MD DIRECTOR 121983 0 0 0 14707 0 0 0 28875 0 165565 0 0 0 BETH KALNINS MD EMPLOYED PHYSICIAN 237646 0 0 0 10845 0 0 0 35530 0 284021 0 0 0 MARK S GRIDLEY PRESIDENT & CEO 184658 314418 0 0 21394 36428 7215 12285 13352 22734 226619 385865 0 0 MICHAEL CLARK EXECUTIVE VP & CFO 102278 174149 0 0 17430 29678 7215 12285 12583 21426 139506 237538 0 0 LEONARD M CARTER VP - HUMAN RESOURCES 73320 124842 0 0 8686 14790 0 0 13182 22445 95188 162077 0 0 ROBERT GELLER MD PRESIDENT MEDICAL STAFF 322539 0 0 0 33272 0 0 0 26330 0 382141 0 0 0 REBECCA PEDERSEN MD CHIEF QUALITY CONTROL 366522 0 0 0 10466 0 0 0 32311 0 409299 0 0 0 TIMOTHY JESSEN MD CHAIR PHYSICIAN COUNCIL 251920 0 0 0 26139 0 17524 0 32680 0 328263 0 0 0 KATHRYN MARTINEZ CNO/COO 0 239481 0 0 0 1930 0 14610 0 31330 0 287351 0 0 TIMOTHY LAURIE MD PHYSICIAN 965377 0 0 0 43221 0 38012 0 3360 0 1049970 0 0 0 GREGORY DAMMANN MD PHYSICIAN 739721 0 0 0 85591 0 26000 0 13183 0 864495 0 0 0 MADHUSUDAN R MALLADI MD PHYSICIAN 551427 0 0 0 112523 0 44018 0 10416 0 718384 0 0 0 TERRY MILLER MD PHYSICIAN 487669 0 0 0 32667 0 26000 0 16784 0 563120 0 0 0 FARHAN KHAN MD PHYSICIAN 500011 0 0 0 7295 0 19500 0 3360 0 530166 0 0 0 PART I, LINE 1A FREEPORT REGIONAL HEALTH CARE FOUNDATION REIMBURSED A DIRECTOR/TRUSTEE FOR BUSINESS TRAVEL EXPENSES INCLUDING TRAVEL EXPENSES FOR A SPOUSE. A CITY OF FREEPORT 366005886 NONEAVAIL 2001-06-20 13300000 CAPITAL EXPENDITURES 0 0 0 B CITY OF FREEPORT 366005886 NONEAVAIL 2008-06-30 8000000 CAPITAL EXPENDITURES 0 0 0 C STEPHENSON COUNTY IL 366006654 NONEAVAIL 2008-06-11 10000000 CAPITAL EXPENDITURES 0 0 0 D ILLINOIS FINANCE AUTHORITY 2014A 363290904 NC31317C1 2014-02-26 11412000 CAPITAL EXPENDITURES 0 0 0 A 13300000 266000 13300000 0 0 1 1 B 8000000 125000 8000000 0 0 1 1 C 10000000 170000 10000000 0 0 1 1 D 11412000 366548 11412000 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 C 0 0 1 0 0 0 0 0 0 D 0 0 1 0 0 0 0 0 0 A 1 B 1 C 1 D 1 A ILLINOIS FINANCE AUTHORITY 2014B 363290904 NC31315C1 2014-02-26 11412000 CAPITAL EXPENDITURES 0 0 0 A 11412000 366548 11412000 0 0 1 1 A 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 0 A 1 FORM 990, PART III, LINE 1 FHN IS A REGIONAL HEALTHCARE SYSTEM COMMITTED TO THE HEALTH AND WELL-BEING OF THE PEOPLE OF NORTHWEST ILLINOIS AND SOUTHERN WISCONSIN. WE HAVE SERVICES NEARBY FOR ALL AGES, SO EVERY MEMBER OF YOUR FAMILY CAN RECEIVE CARING, PERSONAL, PROFESSIONAL HEALTHCARE. AN AVERAGE OF 1,400 PEOPLE VISIT FHN EACH DAY FOR THEIR HEALTHCARE NEEDS (THAT'S MORE THAN 525,000 PATIENT VISITS PER YEAR). FHN IS THE ONLY HEALTHCARE PROVIDER IN OUR SERVICE AREA THAT OFFERS AFFILIATIONS WITH ALL THREE MAJOR HOSPITALS IN ROCKFORD, ILLINOIS, AS WELL AS WITH THE UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS IN MADISON, WISCONSIN. WE SEE EACH PATIENT INTERACTION AS A SERIOUS RESPONSIBILITY THAT REQUIRES CLINICAL EXPERTISE, ACCESS TO THE LATEST IN MEDICAL TECHNOLOGY AND A LEVEL OF TRUST AND COMMITMENT THAT IS EARNED BY OUR PEOPLE, OUR PRODUCTS AND OUR PROCESSES. THE FHN HEALTHCARE SYSTEM ENCOMPASSES: FHN MEMORIAL HOSPITAL, LOCATED IN FREEPORT, ILLINOIS OVER 100 MEDICAL AND ALLIED HEALTH STAFF OVER 39 SPECIALTIES 11 REGIONAL LOCATIONS IN SIX COUNTIES 4 FAMILY HEALTHCARE LOCATIONS IN FREEPORT 3 SPECIALTY CARE LOCATIONS IN FREEPORT FHN LEONARD C. FERGUSON CANCER CENTER FHN FAMILY COUNSELING CENTER OCCUPATIONAL HEALTH SERVICES HOSPICE CHIROPRACTIC CARE AND ACUPUNCTURE NORTHERN ILLINOIS HEALTH PLAN SERVING MORE THAN 17,000 INDIVIDUAL MEMBERS. FHN CONSISTENTLY RANKS HIGHER THAN THE NATIONAL AVERAGE WHEN IT COMES TO PATIENT SATISFACTION, AND WE CONTINUALLY SET EXTREMELY DEMANDING GOALS IN THIS AREA. FHN ALSO IS DEDICATED TO EMPLOYEE SATISFACTION, WHICH HELPS US ATTRACT A TALENTED AND DEDICATED WORKFORCE AND MAINTAIN A LOW EMPLOYEE TURNOVER RATE. WE'RE A PART OF YOUR COMMUNITY. AND WE WANT TO KEEP IT HEALTHY, BOTH ECONOMICALLY AND PHYSICALLY AT WORK, AT PLAY, ON THE FARM, AT SCHOOL AND AT HOME. IN 2006, WE FORMED A PARTNERSHIP WITH THE STEPHENSON COUNTY HEALTH DEPARTMENT TO PROVIDE HEALTHCARE SERVICES FOR THE UNINSURED, UNDERINSURED AND MEDICALLY INDIGENT AT THE FHN COMMUNITY HEALTHCARE CENTER, LOCATED AT THE FORMER CRUSADER COMMUNITY CLINIC INSIDE THE HEALTH DEPARTMENT BUILDING. AND IN SUPPORT OF THE LOCAL UNITED WAY, EACH YEAR OUR EMPLOYEES MAKE THEIR PERSONAL CONTRIBUTIONS, AVERAGING OVER $40,000, AND ALSO SERVE IN LEADERSHIP POSITIONS FOR MANY COMMUNITY ORGANIZATIONS AND BOARDS. FHN IS A COMMUNITY HEALTHCARE SYSTEM, COMPRISED OF LOCAL EXPERTS, INSPIRED BY GLOBAL INNOVATION AND GROUNDED BY ETHICAL LEADERSHIP. AS YOUR PARTNER IN HEALTH, YOU CAN COUNT ON US TO FOCUS ON YOUR WELL-BEING AND FURNISH YOU WITH EXCEPTIONAL HEALTHCARE EVERY STEP OF THE WAY. FREEPORT REGIONAL HEALTH CARE FOUNDATION PROVIDES MEDICALLY NECESSARY CARE TO PATIENTS REGARDLESS OF ABILITY TO PAY AND IN MEDICALLY UNDERSERVED AREAS. INSURED AND UNDERINSURED PATIENTS, WHO MEET CERTAIN FEDERAL POVERTY GUIDELINES AND/OR OTHER UNIQUE CIRCUMSTANCES, ARE PROVIDED FREE OR DISCOUNTED CARE AFTER A NOMINAL CO-PAYMENT. BECAUSE THE FOUNDATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO BE CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE FOUNDATION MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. DURING 2021, THE CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE FOUNDATION'S CHARITY CARE POLICY WAS $161,550 AT A COST OF $96,501. FREEPORT REGIONAL HEALTH CARE FOUNDATION IS A LICENSED MEDICARE AND MEDICAID PROVIDER WITH APPROXIMATELY 68% OF ITS PATIENT BASE QUALIFYING FOR AT LEAST ONE OF THESE PROGRAMS. AT PRESENT, THE REIMBURSEMENT RATES FOR BOTH PROGRAMS DO NOT FULLY COVER THE COST OF CARE TO THESE PATIENTS. THE ESTIMATED UNFUNDED COSTS OF SERVICES FOR MEDICAID PATIENTS WERE APPROXIMATELY $4,472,853 FOR THE YEAR ENDING 12/31/2021. MEDICARE PAYMENTS WERE APPROXIMATELY $11,029,828 LESS THAN THE FOUNDATION'S COST TO PROVIDE CARE DURING THE SAME PERIOD. IN ADDITION, THE COST OF CARE PROVIDED TO PEOPLE WHO DID NOT PAY WAS $534,611 IN 2021. FREEPORT REGIONAL HEALTH CARE FOUNDATION PROVIDES DISCOUNTS TO UNINSURED PATIENTS WITHOUT REGARD TO THEIR INCOME. FOR 2021 THESE DISCOUNTS TOTALED $123,477. THE ESTIMATED COSTS ATTRIBUTABLE TO THE DISCOUNTED PORTION OF THESE SERVICES WERE $82,853 FOR 2021. FREEPORT REGIONAL HEALTH CARE FOUNDATION 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. SERVICES OFFERED INCLUDE: DIAGNOSIS AND TREATMENT OF COMMON, ACUTE ILLNESSES AS WELL AS MANAGEMENT OF CHRONIC HEALTH PROBLEMS, INCLUDING NURSE PRACTITIONER EXAMS AND CONSULTING LAB TESTS, X-RAYS, AND HEALTH EDUCATION. THE ESTIMATED DIRECT AND INDIRECT COSTS OF THIS PROGRAM IN 2021 WERE $377,536. FREEPORT REGIONAL HEALTH CARE FOUNDATION AND ITS RELATED ORGANIZATIONS SUPPORT AND PARTICIPATE IN MANY COMMUNITY SERVICES AND OUTREACH PROGRAMS, INCLUDING SUPPORT FOR COMMUNITY HEALTH EDUCATION PROGRAMS, COMMUNITY-BASED CLINICAL SERVICES, HEALTH PROFESSIONAL EDUCATION, RESEARCH, SPONSORSHIP OF COMMUNITY EVENTS, AND COMMUNITY-BUILDING ACTIVITIES. THE FOUNDATION, IN COMBINATION WITH ITS RELATED ORGANIZATIONS, CONTRIBUTED $423,800 TOWARDS THESE PROGRAMS. PROGRAM SERVICE EXPENSES: $43,790,918. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE FORM 990 BEFORE THE TAX RETURN IS FILED. QUESTIONS AND EXPLANATIONS ARE ANSWERED BY THE FINANCE DEPARTMENT TO THE BOARD'S SATSIFACTION. THE BOARD REVIEWS ALL TRANSACTIONS THAT AFFECT THE FILING OF THE ORGANIZATION'S FORM 990 AND EQUIVALENT STATE RETURNS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A DEDICATED CORPORATE COMPLIANCE OFFICER. ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE ANNUALLY A CONFLICT OF INTEREST QUESTIONNAIRE. THESE DOCUMENTS ARE REVIEWED BY THE CCO TO DETERMINE IF ANY INDIVIDUAL HAS A CONFLICT OF INTEREST THAT NEEDS TO BE ADDRESSED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS AN EXECUTIVE COMPENSATION COMMITTEE THAT REVIEWS THE CEO, TOP MANAGEMENT AND EXECUTIVE DIRECTORS COMPENSATION. THE COMMITTEE RELIES ON INTERNAL AND EXTERNAL INFORMATION TO DETERMINE THE APPROPRIATE COMPENSATION AND EMPLOYS AN INDEPENDENT THIRD PARTY TO CONDUCT THE ANNUAL EXECUTIVE COMPENSATION ANALYSIS. THIS ANALYSIS IS USED TO DETERMINE IF THE BOARD'S WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY HAS BEEN MET. THE EXECUTIVE COMPENSATION COMMITTEE ALSO RECEIVES A REASONABLENESS LETTER FROM THE THIRD PARTY. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATE FMH 24,565,093. ASSETS RELEASED FROM TEMP RESTRICTED -116,512. INVESTMENT INCOME TEMP RESTRICTED 150,019. CONTRIBUTIONS AND OTHER PERM RESTRICTED 17,556. NET APPROPRIATION RESTRICTED 233,349. NET APPROPRIATION TEMP. NON-RESTRICTED 32,893. INVESTMENT INCOME NON-RESTRICTED 9,041. PART XLL LINE 2C NO CHANGES HAVE BEEN MADE O THE SELECTION PROCESS TO SELECT THE INDEPENDENT AUDITOR. FREEPORT MEMORIAL HOSPITAL 1045 WEST STEPHENSON STREET FREEPORT IL 61032 362181997 HEALTH CARE IL 501(C)(3) LINE 3 FREEPORT REGIONAL HEALTH CARE FOUNDATION 0 FREEPORT REGIONAL MANAGEMENT SERVICES 1045 WEST STEPHENSON STREET FREEPORT IL 61032 363994636 HEALTH CARE IL 501(C)(3) LINE 3 FREEPORT REGIONAL HEALTH CARE FOUNDATION 0 FREEPORT REGIONAL HEALTHCARE SERVICES 1045 WEST STEPHENSON STREET FREEPORT IL 61032 363967303 HEALTH CARE IL 501(C)(3) LINE 3 FREEPORT REGIONAL HEALTH CARE FOUNDATION 0 JANE ADDAMS INC 1045 WEST STEPHENSON STREET FREEPORT IL 61032 362879689 HEALTH CARE IL 501(C)(3) LINE 7 FREEPORT REGIONAL HEALTH CARE FOUNDATION 0 JANE ADDAMS HEALTHCARE SERVICES INC 1045 WEST STEPHENSON STREET FREEPORT IL 61032 363677357 HEALTH CARE IL 501(C)(3) LINE 11 FREEPORT REGIONAL HEALTH CARE FOUNDATION 0 MEMORIAL ENTERPRISES INC 1045 WEST STEPHENSON STREET FREEPORT IL 61032 363353871 HEALTH CARE IL FREEPORT REGIONAL HEALTH CARE FOUNDATION C 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0