GRAHAM HOSPITAL ASSOCIATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: GRAHAM HOSPITAL ASSOCIATION (EIN 37-0673506)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-02-07
IRS object ID: 202220389349300712
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-02-07T08:38:48-06:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390758449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1502 LONDON ROAD SUITE 200	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55812	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	370673506	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRAHAM HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GRAH	BusinessNameControlTxt
Phone	3096475240	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	210 WEST WALNUT	AddressLine1Txt
City	CANTON	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61520	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT SENNEFF	PersonNm
Person Title	PRESIDENT AND CEO	PersonTitleTxt
Phone	3096475240	PhoneNum
Signature	2022-01-19	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ROBERT	PersonFirstNm
Person Last	SENNEFF	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2022-01-19	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ROBERT SENNEFF	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	210 WEST WALNUT	AddressLine1Txt
City	CANTON	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61520	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$144,176,128	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GRAHAMHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1905	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES, IN A RESPONSIBLE AND CHARITABLE MANNER, TO THE PEOPLE AND COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	846	TotalEmployeeCnt
Total Volunteers	47	TotalVolunteersCnt
Total Gross UBI	$246,405	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$70,713	PYContributionsGrantsAmt
CY Contributions Grants	$10,002,707	CYContributionsGrantsAmt
PY Program Service Revenue	$94,803,032	PYProgramServiceRevenueAmt
CY Program Service Revenue	$95,465,039	CYProgramServiceRevenueAmt
PY Investment Income	$3,566,207	PYInvestmentIncomeAmt
CY Investment Income	$702,062	CYInvestmentIncomeAmt
PY Other Revenue	$121,840	PYOtherRevenueAmt
CY Other Revenue	$232,072	CYOtherRevenueAmt
PY Total Revenue	$98,561,792	PYTotalRevenueAmt
CY Total Revenue	$106,401,880	CYTotalRevenueAmt
PY Grants And Similar Paid	$82,500	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$76,900	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$42,342,282	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$47,952,307	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$50,144,640	PYOtherExpensesAmt
CY Other Expenses	$54,198,448	CYOtherExpensesAmt
PY Total Expenses	$92,569,422	PYTotalExpensesAmt
CY Total Expenses	$102,227,655	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,992,370	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,174,225	CYRevenuesLessExpensesAmt
Total Assets BOY	$225,591,552	TotalAssetsBOYAmt
Total Assets EOY	$247,992,362	TotalAssetsEOYAmt
Total Liabilities BOY	$91,941,161	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$83,987,426	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$133,650,391	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$164,004,936	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES, IN A RESPONSIBLE AND CHARITABLE MANNER, TO THE PEOPLE AND COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$41,451,030	ExpenseAmt
Grant	$76,900	GrantAmt
Revenue	$46,607,678	RevenueAmt
Desc	GRAHAM HOSPITAL IS A PROVIDER OF HEALTHCARE SERVICES IN FULTON COUNTY, ELMWOOD, AND SURROUNDING AREAS. DURING THIS REPORTING PERIOD 2,215 ADULTS AND CHILDREN WERE ADMITTED AND 221 BABIES WERE BORN. THEY RECEIVED INPATIENT SERVICES IN THE ACUTE CARE FACILITY. 137 PATIENTS WERE ADMITTED FOR 4,810 DAYS OF SERVICE IN THE EXTENDED CARE FACILITY. 126,863 OUTPATIENT SERVICES WERE PROVIDED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$22,665,373	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$25,485,022	RevenueAmt
Desc	SURGICAL SERVICES - THE HOSPITAL PERFORMED 539 INPATIENT SURGERIES AND 3,447 OUTPATIENT SURGERIES IN FISCAL YEAR 2021.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$13,896,221	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$15,624,958	RevenueAmt
Desc	GRAHAM MEDICAL GROUP WHICH PROVIDES PHYSICIAN AND PROFESSIONAL HEALTH CARE SERVICES TO THE PATIENTS IN FULTON COUNTY AND ELMWOOD, ILLINOIS. THIS INCLUDES CHARITY CARE TO QUALIFIED INDIVIDUALS AND 89,512 OFFICE VISITS AND 11,159 NURSING HOME AND HOSPITAL VISITS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$6,671,072	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$7,500,976	RevenueAmt
Desc	ED PROGRAM - THE HOSPITAL OPERATES A 24-HOUR EMERGENCY DEPARTMENT WHICH HAD 11,518 PATIENTS REGISTERED TO THE EMERGENCY DEPARTMENT IN FISCAL YEAR 2021.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$6,671,072	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$7,500,976	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$84,683,696	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	108	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	846	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROBERT SENNEFF	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3096475240	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	210 WEST WALNUT	AddressLine1Txt
City	CANTON	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61520	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	OfficerOfficerInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ABENA KROW-RODNEY MD
PHYISICIAN	40.00	Yes (X)	$443,724	$0	$30,474
BRENT PARRY DPM
PODIATRIST	40.00	Yes (X)	$414,383	$0	$38,884
DEVASHISH AGARWAL
PHYSICIAN	40.00	Yes (X)	$399,905	$0	$38,846
MATTHEW MCMILLIN MD
PHYSICIAN	40.00	Yes (X)	$305,524	$0	$6,143
RYAN DEUSHANE
ANESTHETIST	40.00	Yes (X)	$249,032	$0	$34,709
DWAYNE BERNARD MD
MEDICAL DIRECTOR	40.00		$494,443	$0	$43,538	Yes (X)
KEITH IFFT MD
ANESTHETIST	40.00		$449,910	$0	$43,619	Yes (X)
ANDREW ROUDEBUSH DO
WOUND CLINIC DIRECTOR	40.00		$196,427	$0	$33,941	Yes (X)
JULIE REEDER
VP FINANCE/CFO	40.00		$295,532	$0	$53,451		Yes (X)
HOLLY HENLINE
VP ANCILLARY/CCO	40.00		$272,181	$0	$57,407		Yes (X)
TERESA MCCONKEY
VP PATIENT SERVICES	40.00		$281,326	$0	$41,830		Yes (X)
JAMES SCHREINER
VP INFO SERVICES	40.00		$262,666	$0	$38,015		Yes (X)
ALLISON SOURS
VP QUALITY	40.00		$183,451	$0	$29,291		Yes (X)
MICHELLE DALY
VP CLINIC SERVICES	40.00		$163,318	$0	$31,856		Yes (X)
ROBERT SENNEFF
PRESIDENT/CEO	40.00		$594,724	$0	$95,970		Yes (X)	Yes (X)
MIKE RENNER
CHAIRMAN	2.00		$0	$0	$0		Yes (X)	Yes (X)
ROBERT BOBELL OD
VICE CHAIRMAN	2.00		$0	$0	$0		Yes (X)	Yes (X)
BILL CARLBERG
TREASURER	2.00		$0	$0	$0		Yes (X)	Yes (X)
JANIS BLOUT
SECRETARY	2.00		$0	$0	$0		Yes (X)	Yes (X)
PAULA GRIGSBY
TRUSTEE	2.00		$0	$0	$0			Yes (X)
ANNE HOLLIS
TRUSTEE	2.00		$0	$0	$0			Yes (X)
ELIZABETH JAMES
TRUSTEE (THRU DECEMBER)	2.00		$0	$0	$0			Yes (X)
KENNETH KROCK MD
TRUSTEE	2.00		$0	$0	$0			Yes (X)
DAN'L LEE
TRUSTEE	2.00		$0	$0	$0			Yes (X)
KEVIN MEADE
TRUSTEE	2.00		$0	$0	$0			Yes (X)
JOSHUA MILLER
TRUSTEE	2.00		$0	$0	$0			Yes (X)
TERRY MOSS
TRUSTEE	2.00		$0	$0	$0			Yes (X)
PATRICK RENICK MD
TRUSTEE	2.00		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,006,546	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$617,974	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	39	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
COLEMAN MEDICAL ASSOCIATES LTD
180 SOUTH MAIN STREET	CANTON	IL	61520	PHYSICIAN SERVICES	$9,616,167
PJ HOERR INC
107 W COMMERCE	PEORIA	IL	61604	CONSTRUCTION	$5,565,523
ENDURACARE ACUTE CARE SERVICES
PO BOX 654072	DALLAS	TX	75265	REHAB SERVICES	$1,161,110
FORGOTTONIA LLC
2907 W WARDCLIFFE DRIVE	PEORIA	IL	61604	MEDICAL AND MANAGEMENT SERVICES	$637,555
DIVERSIFIED CLINICAL SERVICES
PO BOX 551187	JACKSONVILLE	FL	32255	WOUND CARE AND MANAGEMENT SERVICES	$574,074

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
Government Grants	$9,970,801	GovernmentGrantsAmt
All Other Contributions	$31,906	AllOtherContributionsAmt
Total Contributions	$10,002,707	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621990	$89,462,483	$89,462,483
340(B) REVENUE	621990	$4,669,932	$4,669,932
SCHOOL OF NURSING	621990	$481,179	$481,179
LABORATORY	621500	$210,454		$210,454

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$640,991	TotalRevenueColumnAmt
Related Or Exempt Func Income	$605,040	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$35,951	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$95,465,039	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,250,423	TotalRevenueColumnAmt
Exclusion	$2,250,423	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$374,133	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$142,061	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$232,072	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$232,072	TotalRevenueColumnAmt
Exclusion	$232,072	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$36,041,833	SecuritiesAmt
Other	$41,993	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$37,452,510	SecuritiesAmt
Other	$179,677	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,410,677	SecuritiesAmt
Other	-$137,684	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,548,361	TotalRevenueColumnAmt
Exclusion	-$1,548,361	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$106,401,880	TotalRevenueColumnAmt
Related Or Exempt Func Income	$95,218,634	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$246,405	UnrelatedBusinessRevenueAmt
Exclusion	$934,134	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$76,900	TotalAmt
Program Services	$76,900	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,662,896	TotalAmt
Program Services	$1,749,827	ProgramServicesAmt
Management And General	$1,913,069	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$33,906,236	TotalAmt
Program Services	$27,799,993	ProgramServicesAmt
Management And General	$6,106,243	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$600,849	TotalAmt
Program Services	$600,849	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,307,751	TotalAmt
Program Services	$5,777,991	ProgramServicesAmt
Management And General	$1,529,760	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,474,575	TotalAmt
Program Services	$1,940,804	ProgramServicesAmt
Management And General	$533,771	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$142,148	TotalAmt
Management And General	$142,148	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$41,393	TotalAmt
Management And General	$41,393	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$67,971	TotalAmt
Management And General	$67,971	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$20,184,570	TotalAmt
Program Services	$19,260,919	ProgramServicesAmt
Management And General	$923,651	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$186,823	TotalAmt
Program Services	$40,386	ProgramServicesAmt
Management And General	$146,437	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$404,384	TotalAmt
Program Services	$158,340	ProgramServicesAmt
Management And General	$246,044	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$757,157	TotalAmt
Program Services	$59,783	ProgramServicesAmt
Management And General	$697,374	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$911,488	TotalAmt
Program Services	$568,445	ProgramServicesAmt
Management And General	$343,043	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$30,573	TotalAmt
Program Services	$7,759	ProgramServicesAmt
Management And General	$22,814	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$26,931	TotalAmt
Program Services	$20,849	ProgramServicesAmt
Management And General	$6,082	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,446,067	TotalAmt
Program Services	$1,285,173	ProgramServicesAmt
Management And General	$160,894	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,655,419	TotalAmt
Program Services	$5,007,875	ProgramServicesAmt
Management And General	$647,544	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,088,921	TotalAmt
Management And General	$1,088,921	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$11,321,548	$11,317,989	$3,559
BAD DEBT EXPENSE	$6,965,741	$6,965,741
MEDICAID ASSESSMENT	$2,586,499		$2,586,499
DIETARY	$560,639	$547,746	$12,893

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,820,176	TotalAmt
Program Services	$1,496,327	ProgramServicesAmt
Management And General	$323,849	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$102,227,655	TotalAmt
Program Services	$84,683,696	ProgramServicesAmt
Management And General	$17,543,959	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,334,627	BOYAmt
EOY	$2,668,660	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$14,429,098	BOYAmt
EOY	$9,049,531	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,702,725	BOYAmt
EOY	$10,513,760	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,187,907	BOYAmt
EOY	$3,160,374	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,056,836	BOYAmt
EOY	$2,124,075	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,217,144	BOYAmt
EOY	$1,344,714	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$157,582,539	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$71,687,252	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$76,332,050	BOYAmt
EOY	$85,895,287	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$101,499,670	BOYAmt
EOY	$120,172,188	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$8,560,121	BOYAmt
EOY	$10,250,315	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,271,374	BOYAmt
EOY	$2,813,458	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$225,591,552	BOYAmt
EOY	$247,992,362	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,276,562	BOYAmt
EOY	$12,507,022	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$9,456,740	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$59,836,900	BOYAmt
EOY	$58,093,534	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,288,784	BOYAmt
EOY	$1,217,754	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,082,175	BOYAmt
EOY	$12,169,116	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$91,941,161	BOYAmt
EOY	$83,987,426	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$125,090,270	BOYAmt
EOY	$153,754,621	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,560,121	BOYAmt
EOY	$10,250,315	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$133,650,391	BOYAmt
EOY	$164,004,936	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$225,591,552	BOYAmt
EOY	$247,992,362	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,174,225	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$22,668,384	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,511,936	OtherChangesInNetAssetsAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$23,496	OtherActivitiesAmt
Total Lobbying Expenditures	$23,496	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED: 37% OF MEMBERSHIP DUES PAID TO THE ILLINOIS HOSPITAL ASSOCIATION, OR $22,680 AND 29.84% OF MEMBERSHIP DUES PAID TO THE ILLINOIS HEALTH CARE ASSOCIATION, OR $816.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$93,225,811	BeginningYearBalanceAmt
Contributions	$6,606,063	ContributionsAmt
Investment Earnings Or Losses	$24,959,388	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$19,250	GrantsOrScholarshipsAmt
Other Expenditures	$508,247	OtherExpendituresAmt
Administrative Expenses	$194,261	AdministrativeExpensesAmt
End Year Balance	$124,069,504	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$94,502,686	BeginningYearBalanceAmt
Contributions	$167,929	ContributionsAmt
Investment Earnings Or Losses	-$1,066,495	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$7,200	GrantsOrScholarshipsAmt
Other Expenditures	$114,228	OtherExpendituresAmt
Administrative Expenses	$256,881	AdministrativeExpensesAmt
End Year Balance	$93,225,811	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$91,454,034	BeginningYearBalanceAmt
Contributions	$860,760	ContributionsAmt
Investment Earnings Or Losses	$3,919,679	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$12,300	GrantsOrScholarshipsAmt
Other Expenditures	$256,453	OtherExpendituresAmt
Administrative Expenses	$1,463,034	AdministrativeExpensesAmt
End Year Balance	$94,502,686	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$81,121,870	BeginningYearBalanceAmt
Contributions	$621,102	ContributionsAmt
Investment Earnings Or Losses	$5,169,957	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$13,150	GrantsOrScholarshipsAmt
Other Expenditures	-$5,143,522	OtherExpendituresAmt
Administrative Expenses	$589,245	AdministrativeExpensesAmt
End Year Balance	$91,454,056	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$76,601,005	BeginningYearBalanceAmt
Contributions	$131,055	ContributionsAmt
Investment Earnings Or Losses	$8,619,102	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$10,550	GrantsOrScholarshipsAmt
Other Expenditures	$302,248	OtherExpendituresAmt
Administrative Expenses	$916,494	AdministrativeExpensesAmt
End Year Balance	$84,121,870	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.91740	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.08080	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00180	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,314,743	OtherCostOrOtherBasisAmt
Book Value	$3,314,743	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$90,820,407	OtherCostOrOtherBasisAmt
Depreciation	$37,780,001	DepreciationAmt
Book Value	$53,040,406	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,641,484	OtherCostOrOtherBasisAmt
Depreciation	$33,907,251	DepreciationAmt
Book Value	$15,734,233	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,805,905	OtherCostOrOtherBasisAmt
Book Value	$13,805,905	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$85,895,287	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ESTIMATED SELF-INSURANCE COSTS	$2,814,387
ASSET RETIREMENT OBLIGATION	$266,162
DEFERRED COMPENSATION PLAN OBLIGATIONS	$1,166,855
FMV OF SWAP OPTIONS	$3,493,232
DUE TO THIRD PARTY PAYORS	$4,428,480

Field	Value	IRS element (for citing)
Total Liability	$12,169,116	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$123,648,607	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$22,668,384	NetUnrealizedGainsInvstAmt
Other Revenue	-$5,421,657	OtherRevenueAmt
Revenue Not Reported	$17,246,727	RevenueNotReportedAmt
Revenue Subtotal	$106,401,880	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$106,401,880	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$95,403,975	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$95,403,975	ExpensesSubtotalAmt
Other Expenses Not Included	$6,823,680	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$6,823,680	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$102,227,655	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO PROVIDE SCHOLARSHIPS BASED ON STUDENT NEEDS FROM THE INCOME OF THE DONOR-RESTRICTED ENDOWMENT FUNDS. THE PERMANENT ENDOWMENT IS USED FOR THE PURCHASE OF PROPERTY AND EQUIPMENT.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 1,402,023. RENTAL EXPENSES 142,061. BAD DEBT EXPENSE -6,965,741.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 6,965,741. RENTAL EXPENSES -142,061.
PART V, LINE 3A(I)	CHARLES D INGERSOLL TRUST AND WILLIAM P INGERSOLL TRUST ARE ADMINISTERED BY MIDAMERICA NATIONAL BANK AND J.P. MORGAN

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	180.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	0	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,393,039	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,393,039	NetCommunityBenefitExpnsAmt
Total Expense	0.01360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,722,212	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,592,411	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,129,801	NetCommunityBenefitExpnsAmt
Total Expense	0.04040	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,115,251	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,592,411	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,522,840	NetCommunityBenefitExpnsAmt
Total Expense	0.05400	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$156,033	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,083	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$151,950	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,753	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,753	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$138,956	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$137,756	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$305,742	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,283	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$300,459	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,420,993	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,597,694	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,823,299	NetCommunityBenefitExpnsAmt
Total Expense	0.05690	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,265	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,265	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,265	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,265	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$2,674,150	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$20,772,972	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$24,422,226	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,649,254	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRAHAM HOSPITAL ASSOCIATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	210 WEST WALNUT STREET	AddressLine1Txt
City	CANTON	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61520	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GRAHAMHEALTHSYSTEM.ORG	WebsiteAddressTxt
State License	0000869	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GRAHAM HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C, LINE 7D	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C, LINE 7D	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	180.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GRAHAM HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 5: FOCUS GROUP 1 - COMMUNITY LEADERS AND REPRESENTATIVESRUSTY MELHOUSE FINANCIAL ADVISOR EDWARD D. JONESTRYGVE MEADE ATTORNEY/PROPRIETOR MEADE LAW OFFICEJEFF STANDARD SHERIFF FULTON COUNTY SHERIFF'S DEPARTMENTAMANDA ATCHLEY EXECUTIVE DIRECTOR CANTON AREA CHAMBER OF COMMERCEAARON AND VEANNA THUM OWNERS CRAWFORD'S HOME FURNISHINGSKATHY EDWARDS PRESIDENT GRAHAM HOSPITAL SERVICE LEAGUEROLF SILVERSTEIN SUPERINTENDENT CANTON UNION SCHOOL DISTRICT #66BROOKE DENNISTON EXECUTIVE DIRECTOR CANTON YWCAJAY SHEPLER REPRESENTATIVE ST. MARY'S FOOD PANTRYREV. KEVIN VAN TINE PASTOR COVENANT COMMUNITY FELLOWSHIP, CANTONKENT MCDOWELL MAYOR CITY OF CANTONDICK FAIRBURN PUBLIC SAFETY DIRECTOR CITY OF CANTONIDENTIFICATION AND PRIORITIZATION GROUPAMANDA ATCHLEY EXECUTIVE DIRECTOR CANTON AREA CHAMBER OF COMMERCEKENT MCDOWELL MAYOR CITY OF CANTONKATIE LYNN ADMINISTRATOR FULTON COUNTY HEALTH DEPARTMENTMISSY KOLOWSKI ADMINISTRATOR HEALTH & WELLNESS CONNECTION OF FULTON COUNTYMICHELLE LOCKE CLINICAL SOCIAL WORKER GRAHAM HOSPITALSUE LIVINGSTON DIRECTOR GRAHAM SCHOOL OF NURSINGJEFF HOWD ADMINISTRATOR THE LOFT REHAB & NURSING CENTER, CANTON
GRAHAM HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 7D: HTTPS://WWW.GRAHAMHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GRAHAM HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 11: PREVALENCE OF OBESITY AMONG YOUTH AND ADULTS IN THE COMMUNITY, AND THE NEED FOR NUTRITION EDUCATION FOR THE COMMUNITY AND ACCESS TO HEALTHY FOODS.ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED: EXPAND THE PRITIKEN CARDIAC PROGRAM THE PROGRAM WAS CLOSED DOWN FOR CLOSE TO 2 MONTHS IN FY 2020, DUE TO COVID, AND HAS TAKEN SOME TIME TO BUILD BACK UP. WE ARE STILL STRUGGLING TO GROW THIS SERVICE, AS PATIENTS SEEM TO HAVE A LESSENED INTEREST IN THE EDUCATIONAL PIECE DURING THIS PANDEMIC, AND THE REFERRALS HAVE BEEN LOWER AS WELL. IN FY2021, THE PRITIKEN CARDIAC PROGRAM HAS IMPROVED. REFERRALS HAVE INCREASED, AND PATIENTS ARE MORE ACTIVE IN THEIR PARTICIPATION. SOME OF THE SAME STRUGGLES REMAIN, BUT VOLUMES HAVE GROWN. WE ONCE AGAIN HAVE AN ONSITE DIETICIAN TO PROVIDE LIVE COOKING CLASSES AND EDUCATION, AS WELL AS A LICENSED CLINICAL SOCIAL WORKER TO PROVIDER SUPPORT AS NEEDED. CREATE A COMMUNITY BIKE SHARE PROGRAM THIS PROGRAM WENT LIVE ON APRIL 5, 2019 IN PARTNERSHIP WITH THE CANTON PARK DISTRICT. THE BIKE SHARE PROGRAM HAS 3 LOCATIONS (GRAHAM MEDICAL GROUP, WALLACE PARK, AND LAKELAND PARK) THAT RESIDENTS ARE ABLE TO RENT BIKES USING A MOBILE APP. ADDITIONAL INFORMATION CAN BE FOUND BY VISITING THE CANTON BIKE SHARE FACEBOOK PAGE. THE PROGRAM WAS SHUT DOWN DUE TO COVID BUT HAS SINCE BEEN PUT BACK INTO PLACE. COLLABORATE WITH THE YMCA TO PRESENT A HEALTHY KIDS DAY. THIS HAS BEEN POSTPONED DUE TO COVID. GROW PROGRAMS FOR BUSINESS AT THE COMMUNITY WELLNESS CENTER THIS INITIATIVE HAS BEEN TREMENDOUSLY IMPACTED DUE TO COVID. THE HOSPITAL HAS HAD THE WELLNESS CENTER CLOSED DOWN TO THESE TYPE OF OPERATIONS SINCE MARCH 2020. IT WAS RE-OPENED IN FEBRUARY 2021 AND WAS AT 18% OF PRE-COVID ENROLLMENT AT THAT TIME. CURRENTLY AT 90% OF PRE-COVID ENROLLMENT. CREATE WELLNESS CHECK PROGRAMS THIS INITIATIVE HAS BEEN TREMENDOUSLY IMPACTED DUE TO COVID. THE HOSPITAL HAS HAD THE WELLNESS CENTER CLOSED DOWN TO THESE TYPE OF OPERATIONS SINCE MARCH. IMPROVE PATIENT BMI THROUGH TRACKING AND EDUCATION AT CLINICS AND THE WELLNESS CENTER THIS INITIATIVE HAS BEEN TREMENDOUSLY IMPACTED DUE TO COVID. THE HOSPITAL HAS HAD THE WELLNESS CENTER CLOSED DOWN TO THESE TYPE OF OPERATIONS SINCE MARCH. WITH INCREASE IN PATIENT VOLUMES IN CR/PR, WE ARE ACTIVELY SEEING THIS EFFORT ADDRESSED MORE FREQUENTLY IN FY21. A HEALTH AND WELLNESS SEMINAR AS WELL AS SOME DIABETES EDUCATION WAS DEVELOPED TO BRING EDUCATION AND TRACKING TO THE COMMUNITY. IT WAS PLANNED FOR FALL 2020 BUT CANCELED DUE TO COVID RESTRICTIONS. PLANS INCLUDE RE-SCHEDULING THE SEMINAR FOR SPRING 2022. PREVALENCE OF DIABETES IN THE COMMUNITY AND THE NEED FOR PHYSICAL, HEALTH, AND NUTRITION EDUCATION FOR YOUTH AND ADULTS, AND FOR ACCESS TO REASONABLY PRICED INSULIN AND OTHER DIABETES MEDICATIONS FOR THE UNDERINSURED AND UNINSURED.ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED: EXPAND THE PRITIKEN CARDIAC PROGRAM THE PROGRAM WAS CLOSED DOWN FOR CLOSE TO 2 MONTHS IN FY 2020, DUE TO COVID, AND HAS TAKEN SOME TIME TO BUILD BACK UP. WE ARE STILL STRUGGLING TO GROW THIS SERVICE, AS PATIENTS SEEM TO HAVE A LESSENED INTEREST IN THE EDUCATIONAL PIECE DURING THIS PANDEMIC, AND THE REFERRALS HAVE BEEN LOWER AS WELL. IN FY2021, THE PRITIKEN CARDIAC PROGRAM HAS IMPROVED. REFERRALS HAVE INCREASED, AND PATIENTS ARE MORE ACTIVE IN THEIR PARTICIPATION. SOME OF THE SAME STRUGGLES REMAIN, BUT VOLUMES HAVE GROWN. EXPAND MERIT-BASED INCENTIVE PAYMENT SYSTEM ADDRESSING A1C MEASURES CONTINUE TO SUPPORT CONNECTIONS CLINIC THE HOSPITAL DONATES $5,000 MONTHLY TO THE HEALTH & WELLNESS CONNECTION OF FULTON COUNTY. THE HEALTH & WELLNESS CONNECTION OF FULTON COUNTY (HWCFC) IS A CASE MANAGEMENT FACILITY STAFFED BY DEDICATED VOLUNTEERS AND PROFESSIONALS. OUR MISSION IS TO HELP LOCAL PROVIDERS WITH QUALITY PRIMARY HEALTHCARE FOR THE UNDERINSURED PATIENTS AND UNDERSERVED RESIDENTS OF FULTON COUNTY. SERVICES INCLUDE: HELP WITH MEDICATION COSTS; HELP WITH DIABETIC SUPPLIES; HELP WITH VISION CARE COST; HELP WITH DENTAL CARE COSTS; COUNSELING; HELP WITH CERTAIN HEALTH RELATED TRANSPORTATION COSTS; FLU SHOTS CONTINUE SUPPORT OF BIO-MED CLASSROOM AND EDUCATION PROGRAMS AT CANTON HIGH SCHOOL THE HOSPITAL DONATED $25,000 TO CANTON HIGH SCHOOL TO HELP BUILD A STATE-OF-THE-ART BIO-MED CLASSROOM THAT WILL BE USED TO HOUSE THE FOLLOWING COURSES: PRINCIPLES OF BIOMEDICAL SCIENCE, BIOLOGY, BIOLOGY 11, AND HUMAN BODY SYSTEMS. MORE INFORMATION ON THIS PROJECT CAN BE FOUND HERE: HTTPS://WWW.GRAHAMHEALTHSYSTEM.ORG/NEWS/2018/10/GRAHAM-HEALTH-SYSTEM-BIOMEDICAL-LABTHE THIRD PRIORITIZED NEED WAS MENTAL HEALTH, INCLUDING: RESOURCES TO ADDRESS SUICIDE LOCAL ACCESS TO MENTAL HEALTH PROVIDERS AT ALL LEVELS LOCAL MENTAL HEALTH SUPPORT SERVICES LOCAL ACCESS TO DETOXIFICATION, REHABILITATION, AND RECOVERY FOR PERSONS FACING SUBSTANCE USE DISORDERSTHE GROUP NEXT IDENTIFIED THE NEED TO ADDRESS THE NUMBER OF LOCAL TEEN BIRTHS.ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED: EXPLORE FACE-TO-FACE EDUCATION BETWEEN MEDICAL STAFF AND STUDENTS PROVIDE SUPPORT FOR THE FULTON COUNTY HEALTH DEPARTMENT IN ITS EFFORTS TO ADDRESS THIS ISSUE DURING THE 2020 CALENDAR YEAR, THE HOSPITAL HAS BEEN ACTIVELY WORKING ON A DEDICATED BEHAVIORAL HEALTH PROGRAM TO BRING INTO OUR CLINICS. THE PROGRAM IS SET TO KICK OFF AT THE BEGINNING OF CALENDAR YEAR 2021. THE PROVIDER WILL BE AN LCSW AND WILL WORK IN TANDEM WITH THE PATIENT'S PCP. THE START DATE FOR THE SPECIALIST WAS 1/11/2021. THE BEHAVIORAL HEALTH SPECIALIST WILL COVER THE FOLLOWING: ANXIETY, DEPRESSION, ADJUSTMENT DISORDERS, AND OTHER BEHAVIORAL HEALTH DIAGNOSES SMOKING CESSATION; STRESS MANAGEMENT BEHAVIORAL INTERVENTIONS FOR WEIGHT LOSS AND HEALTHY LIFESTYLE CHANGES RELATIONSHIP ISSUES AND/OR DOMESTIC VIOLENCE CONCERNS CHRONIC PAIN AND PAIN MANAGEMENT PSYCHOTROPIC MEDICATIONS GRIEF AND BEREAVEMENT ISSUES CAREGIVER BURDEN SUBSTANCE MISUSE OR ABUSE (OR SUSPECTED) TRAUMA (BRIEF TREATMENT THEN MOST LIKELY TRIAGE) SOMATIC SYMPTOMS; NON-ADHERENCE TO TREATMENT PLAN MENTAL HEALTH CRISIS (PANIC ATTACKS, SUICIDAL OR HOMICIDAL IDEATION, SUSPECTED PHYSICAL OR MENTAL ABUSE) MONITORING OF DISCHARGED PATIENTS FROM PSYCHIATRIC IN-PATIENT UNTIL A HIGHER LEVEL OF CARE CAN BE ESTABLISHEDTHE GROUP'S FINAL IDENTIFIED NEED WAS ACCESS TO INCREASE LOCAL ACCESS TO DENTISTS FOR UNDERINSURED AND UNINSURED COMMUNITY MEMBERS.ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED: GRAHAM HOSPITAL WILL CONTINUE TO PROVIDE FINANCIAL SUPPORT FOR DENTAL SERVICES AT THE CONNECTIONS CLINIC GRAHAM HOSPITAL WILL SUPPORT, AS REASONABLY POSSIBLE, EFFORTS BY THE FULTON COUNTY HEALTH DEPARTMENT TO PROVIDE DENTAL SERVICES
GRAHAM HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 16J: THE FAP AND FAP SUMMARY ARE ONLY PROVIDED IN ENGLISH. GRAHAM HOSPITAL ASSOCIATION IS NOT REQUIRED TO PROVIDE THE FAP AND FAP SUMMARY IN LANGUAGES THAT ARE SPOKEN BY LEP POPULATIONS.
PART V, LINE 16A-C:	HTTPS://WWW.GRAHAMHEALTHSYSTEM.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - GRAHAM MEDICAL GROUP
180 SOUTH MAIN STREET	CANTON	IL	61520	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
2 - GHA HOME MEDICAL EQUIPMENT STORE
101 SOUTH MAIN STREET	CANTON	IL	61520	HOME MEDICAL EQUIPMENT RETAIL STORE
3 - GRAHAM MEDICAL GROUP - LEWISTOWN
408 SOUTH MAIN STREET	LEWISTOWN	IL	61542	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
4 - GRAHAM MEDICAL GROUP - FARMINGTON
601 EAST FORT STREET	FARMINGTON	IL	64531	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
5 - GRAHAM HOSPITAL EXTENDED CARE UNIT
210 WEST WALNUT STREET	CANTON	IL	61520	SKILLED NURSING & LONG TERM CARE UNITS
6 - GRAHAM MEDICAL GROUP - ELMWOOD
1024 NORTH MAGNOLIA STREET	ELMWOOD	IL	61529	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
7 - GRAHAM HOSPITAL SCHOOL OF NURSING
210 WEST WALNUT STREET	CANTON	IL	61520	SCHOOL OF NURSING
8 - GRAHAM CARDIAC REHABILITATION
235 WEST WALNUT	CANTON	IL	61520	CARDIAC REHAB SERVICES
9 - GRAHAM HOSPITAL PHARMACY
210 WEST WALNUT STREET	CANTON	IL	61520	PHARMACY FOR PATIENTS & RETAIL FOR EMPLOYEES
10 - GRAHAM MEDICAL GROUP - WILLIAMSFIELD
120 EAST GALE STREET	WILLIAMSFIELD	IL	61489	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
11 - GRAHAM MEDICAL GROUP - AVON
1800 23RD AVENUE	AVON	IL	61415	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	NOT APPLICABLE
PART I, LINE 7:	THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO, WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDING BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990.
PART II, COMMUNITY BUILDING ACTIVITIES:	A DONATION OF $5,000 WAS MADE TO THE SPOON RIVER PARTNERSHIP FOR ECONOMIC DEVELOPMENT. THIS ORGANIZATION FOCUSES ON BUILDING IN THE LOCAL COMMUNITY THROUGH ECONOMIC GROWTH, WHICH IMPROVES OPPORTUNITIES FOR JOBS AND INSURANCE WITHIN THE COMMUNITY. THIS DONATION HELPED SUPPORT THE LOCAL ECONOMY BY HELPING A SMALL BUSINESS. A DONATION OF $10,000 WAS MADE TO THE UNIVERSITY OF ILLINOIS FAMILY MEDICINE RURAL STUDENT PHYSICIAN PROGRAM. THIS DONATION WILL HELP GIVE OPPORTUNITY TO PHYSICIANS WHO WANT TO WORK IN RURAL HOSPITALS LIKE GRAHAM. A MONTHLY DONATION OF $5,000 WAS MADE TO THE FULTON COUNTY FREE HEALTH AND WELLNESS CLINIC. THIS CLINIC IS CONSISTENT WITH AND SUPPORTIVE OF GRAHAM'S MISSION OF PROVIDING CHARITY CARE AND HEALTH IMPROVEMENT SERVICES TO THOSE IN NEED. A DONATION OF A USED LUCAS 3.0 CHEST COMPRESSION SYSTEM WAS DONATED TO THE ELMWOOD FIRE DEPARTMENT.
PART III, LINE 2:	PATIENT RECEIVABLES ARE WRITTEN OFF AS BAD DEBT EXPENSE BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED.
PART III, LINE 3:	PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. THE HOSPITAL DOES NOT CHARGE INTEREST ON RECEIVABLES. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED PAST DUE WHEN AN AMOUNT IS PAST DUE ACCORDING TO THE PAYOR'S AGREED-UPON TERMS. PATIENT RECEIVABLES ARE WRITTEN OFF AS BAD DEBT EXPENSE BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED.
PART III, LINE 8:	THE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFITS EXPENSE BECAUSE PROVIDING MEDICAL CARE AT A SHORTFALL IMPACTS THE HOSPITAL'S OPERATIONS AND GROWTH. THE CARE IS PROVIDED BECAUSE THERE IS A NEED AND A DESIRE TO PROVIDE MEDICAL CARE IN THIS COMMUNITY.THE COSTING METHOD USED ABOVE FOR IRS FORM 990 COMPLIANCE REPORTING IS ALSO BASED ON AN OVERALL AVERAGE COST-TO-CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE) DIVIDED BY TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE. THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES WHICH ARE REIMBURSED ON A COST METHODOLOGY EXCLUDING THE FEE SCHEDULE ITEMS LIKE PHYSICIAN SERVICES AND THE HOSPITAL WOULD SHOW A LARGE LOSS ON THESE SERVICES.WHETHER THERE IS A SHORTFALL OR SURPLUS FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY.
PART III, LINE 9B:	THE COLLECTION POLICY DESCRIBES THE STEPS TAKEN TO COLLECT SELF PAY BALANCES OUTSTANDING INCLUDING NOTIFICATIONS TO THE PATIENT THROUGH STATEMENTS, FOLLOW-UP PHONE CALLS, VERIFICATION OF INSURANCE ELIGIBILITY AND ULTIMATELY AT WHAT POINT THE UNPAID BALANCE IS WRITTEN OFF AS UNCOLLECTIBLE. IN PRACTICE, WHEN A PATIENT IS IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE, A SEARCH OF ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE IS DONE AND THOSE ACCOUNTS ARE REPROCESSED.
PART VI, LINE 2:	IN ADDITION TO THE CHNA, A PHYSICIAN NEEDS ASSESSMENT IS DONE TO IDENTIFY NEEDS FOR SPECIFIC SPECIALTY SERVICES BASED ON THE SIZE OF THE CATCHMENT AREA. DATA IS ANALYZED TO IDENTIFY SERVICES THAT ARE PROVIDED TO COUNTY RESIDENTS BY OTHER FACILITIES THAT WOULD BE MORE ACCESSIBLE TO PATIENTS IF PROVIDED AT GRAHAM HEALTH SYSTEM. INPUT IS GAINED FROM PHYSICIANS AND OTHER HEALTHCARE WORKERS PROVIDING SERVICE IN THE AREA ALONG WITH INPUT PROVIDED BY THE BOARD OF DIRECTORS WHO REPRESENT THE COMMUNITY AND PROVIDE A COMMUNICATION LINK BETWEEN GRAHAM HEALTH SYSTEM AND THE COMMUNITIES WE SERVE.
PART VI, LINE 3:	THE CHARITY CARE/FINANCIAL ASSISTANCE PROGRAM IS MADE AVAILABLE TO PATIENTS UPON REGISTRATION. FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE TO PATIENTS UPON REGISTRATION OR TO ANYONE REQUESTING THE APPLICATION. THE APPLICATIONS ARE ALSO AVAILABLE ON GRAHAM HEALTH SYSTEM'S WEBSITE AT WWW.GRAHAMHEALTHSYSTEM.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE. APPOINTMENTS MAY BE MADE WITH A FINANCIAL ADVOCATE IF ASSISTANCE IS NEEDED. MEDICAID SERVICES APPLICATION ASSISTANCE IS AVAILABLE.
PART VI, LINE 4:	THE GRAHAM HEALTH SYSTEM PRIMARY CATCHMENT AREA IS LOCATED PRIMARILY IN FULTON COUNTY AND INCLUDES ALL OR PORTIONS OF THE TOWNS OF CANTON, LEWISTOWN, CUBA, ELMWOOD, FARMINGTON, HAVANA, ST. DAVID, ASTORIA, DUNFERMLINE AND BRYANT. THE RACE AND ETHNICITY MAKEUP ARE TYPICAL OF RURAL ILLINOIS BASED ON US CENSUS BUREAU DATA AND INCLUDES 91.6% WHITE, 4.0% BLACK, 3.1% HISPANIC ORIGIN, AND 1.3% OTHER. ACCORDING TO THE US CENSUS BUREAU MEDIAN HOUSEHOLD INCOME 2016 WAS $46,183. FULTON COUNTY'S AUGUST 2019 UNEMPLOYMENT RATE WAS 5.7%.
PART VI, LINE 5:	DURING EACH FISCAL YEAR VARIOUS COMMUNITY HEALTH IMPROVEMENT SERVICES ARE HELD AT A FACILITY OWNED BY GRAHAM HEALTH SYSTEM OR ITS EMPLOYEES ASSIST WITH SERVICES HELD AT VARIOUS LOCATIONS WITHIN THE CATCHMENT AREA. EXAMPLES OF THESE ACTIVITIES INCLUDE ANNUAL SPONSORSHIP OF A COMMUNITY TALK AND DINNER THAT IS FREE TO THE PUBLIC COVERING HEALTH TOPICS; FREE BLOOD PRESSURE CLINICS OFFERED ON A REGULAR BASIS; PROVIDING SPACE FOR OPERATION OF AN OUTPATIENT CLINIC THAT PROVIDES FREE HEALTHCARE SERVICES TO FULTON COUNTY RESIDENTS. CLINIC SERVICES ARE PROVIDED BY COMMUNITY VOLUNTEERS. (DUE TO COVID, THERE WAS NO EDUCATIONAL TALK AND DINNER; AND THE BLOOD PRESSURE CLINICS WERE STOPPED.) GRAHAM DID ASSIST IN SEVERAL COVID VACCINE CLINICS IN CONJUNCTION WITH THE FULTON COUNTY HEALTH DEPARTMENT DURING THE YEAR.
PART VI, LINE 6:	N/A
PART VI, LINE 7, REPORTS FILED WITH STATES	IL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
FULTON COUNTY FREE HEALTH AND WELLNESS CLINIC
103A S MAIN STREET	CANTON	IL	61520	272753264	501(C)(3)	$60,000	PROVIDE SUPPORT TO ORGANIZATION
UNIVERSITY OF ILLINOIS FOUNDATION
HARKER HALL MC 386 1305 WEST GREEN	URBANA	IL	61801	376006007	501(C)(3)	$10,000	PROVIDE SUPPORT TO ORGANIZATION	STREET
SPOON RIVER PARTNERSHIP FOR ECONOMIC DEVELOPMENT
209 EAST CHESTNUT SUITE 2	CANTON	IL	61520	050633175	501(C)(3)	$5,000	PROVIDE SUPPORT TO ORGANIZATION

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ABENA KROW-RODNEY MD
PHYISICIAN	$362,383	$0	$44,350	$0	$36,991	$0	$6,731	$0	$23,743	$0	$474,198	$0	$474,198	$0
BRENT PARRY DPM
PODIATRIST	$377,358	$0	$0	$0	$37,025	$0	$8,550	$0	$30,334	$0	$453,267	$0	$453,267	$0
DEVASHISH AGARWAL
PHYSICIAN	$340,909	$0	$47,983	$0	$11,013	$0	$8,550	$0	$30,296	$0	$438,751	$0	$438,751	$0
MATTHEW MCMILLIN MD
PHYSICIAN	$258,616	$0	$35,150	$0	$11,758	$0	$6,143	$0	$0	$0	$311,667	$0	$311,667	$0
RYAN DEUSHANE
ANESTHETIST	$207,731	$0	$12,300	$0	$29,001	$0	$7,695	$0	$27,014	$0	$283,741	$0	$283,741	$0
DWAYNE BERNARD MD
MEDICAL DIRECTOR	$418,465	$0	$68,312	$0	$7,666	$0	$8,550	$0	$34,988	$0	$537,981	$0	$537,981	$0
KEITH IFFT MD
ANESTHETIST	$414,750	$0	$60	$0	$35,100	$0	$8,550	$0	$35,069	$0	$493,529	$0	$493,529	$0
ANDREW ROUDEBUSH DO
WOUND CLINIC DIRECTOR	$125,003	$0	$34,100	$0	$37,324	$0	$6,141	$0	$27,800	$0	$230,368	$0	$230,368	$0
JULIE REEDER
VP FINANCE/CFO	$169,295	$0	$42,525	$0	$83,712	$0	$29,856	$0	$23,595	$0	$348,983	$0	$348,983	$0
HOLLY HENLINE
VP ANCILLARY/CCO	$158,578	$0	$40,163	$0	$73,440	$0	$27,169	$0	$30,238	$0	$329,588	$0	$329,588	$0
TERESA MCCONKEY
VP PATIENT SERVICES	$162,956	$0	$39,631	$0	$78,739	$0	$28,495	$0	$13,335	$0	$323,156	$0	$323,156	$0
JAMES SCHREINER
VP INFO SERVICES	$148,731	$0	$40,937	$0	$72,998	$0	$26,259	$0	$11,756	$0	$300,681	$0	$300,681	$0
ALLISON SOURS
VP QUALITY	$128,415	$0	$34,256	$0	$20,780	$0	$18,916	$0	$10,375	$0	$212,742	$0	$212,742	$0
MICHELLE DALY
VP CLINIC SERVICES	$113,576	$0	$27,788	$0	$21,954	$0	$18,444	$0	$13,412	$0	$195,174	$0	$195,174	$0
ROBERT SENNEFF
PRESIDENT/CEO	$394,407	$0	$107,705	$0	$92,612	$0	$82,049	$0	$13,921	$0	$690,694	$0	$690,694	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN IN 2020 SPONSORED BY GRAHAM HOSPITAL ASSOCIATION: ROBERT SENNEFF - $73,499, TERESA MCCONKEY - $19,945, JAMES SCHREINER - $18,332, HOLLY HENLINE - $18,836, JULIE REEDER - $21,306, MICHELLE DALY - $13,424, ALLISON SOURS - $15,269. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GRAHAM HOSPITAL ASSOCIATION ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2020. THIS INFORMATION IS INCLUDED IN DEFERRED COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN IN 2020 SPONSORED BY GRAHAM HOSPITAL ASSOCIATION: TERESA MCCONKEY - $46,246, JULIE REEDER - $52,282, HOLLY HENLINE - $42,114, AND JAMES SCHREINER - $40,001. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR DISTRIBUTION FROM THE PLAN IN 2020. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF CANTON IL
A	376000876	2015-11-04	$48,540,000	REFUND PRIOR ISSUE AND FUND BUILDING PROJECTS	0	0	0
CITY OF CANTON IL
B	376000876	2020-06-18	$17,000,000	FUND BUILDING PROJECTS AND EQUIPMENT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt
A	$6,850,001	$48,540,000	$26,755,000	$488,550	$21,296,450	2017	Yes (1)	0	Yes (1)	Yes (1)
B		$17,000,000		$207,600	$11,813,856		0	0	0	Yes (1)	$5,186,144

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)	0	0	0.15000	0.15000	Yes (1)	0	Yes (1)
B	0	0	0	0			0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
MORGAN STANLEY &
A	Yes (1)	Yes (1)	Yes (1)	BMO	25.000000000000	0	0	0	0	0
(no name)
B	0	Yes (1)	0					0	0	0	Yes (1)	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE PREPARED FORM 990 IS REVIEWED BY THE BOARD OF TRUSTEES, CEO, CFO, DIRECTOR OF ACCOUNTING, AND SENIOR ACCOUNTANT BEFORE FILING WITH THE IRS. BEFORE FILING, THE CFO PRESENTS THE FORM 990 TO THE ORGANIZATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	GRAHAM HOSPITAL REQUIRES THAT ALL TRUSTEES AND ADMINISTRATIVE OFFICERS KEEP THE BOARD OF TRUSTEES INFORMED OF POTENTIAL CONFLICTS OF INTEREST, AND THAT EACH PERSON MAKE AN ANNUAL DECLARATION OF SUCH INTEREST. A CONFLICT OF INTEREST MIGHT EXIST WHEN ORGANIZATIONS IN WHICH TRUSTEES OR OFFICERS HAVE A MATERIAL FINANCIAL INTEREST ARE EITHER DOING BUSINESS WITH, COMPETING WITH, OR HAVE A FINANCIAL INTEREST IN GRAHAM HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION OF THE ADMINISTRATIVE OFFICERS IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE ORGANIZATION UTILIZES AN OUTSIDE FIRM, SULLIVAN, COTTER AND ASSOCIATES, INC. TO PROVIDE OUTSIDE EXECUTIVE COMPENSATION INFORMATION. THE LAST REVIEW WAS COMPLETED IN JANUARY 2020.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	OUTSIDE CONTRACTORS: PROGRAM SERVICE EXPENSES 572,021. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 572,021. PHYSICIANS: PROGRAM SERVICE EXPENSES 10,426,512. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,426,512. SERVICE AGREEMENT: PROGRAM SERVICE EXPENSES 1,148,923. MANAGEMENT AND GENERAL EXPENSES 918,070. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,066,993. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 225,111. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 225,111. REPAIR AND MAINTENANCE: PROGRAM SERVICE EXPENSES 112,645. MANAGEMENT AND GENERAL EXPENSES 5,581. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 118,226. OTHER FEES: PROGRAM SERVICE EXPENSES 6,519,837. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,519,837. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 255,870. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 255,870.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 144,953. CHANGE IN BENEFICAL INTEREST IN PERPETUAL TRUSTS 1,964,960. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 1,402,023.