GRAHAM HOSPITAL ASSOCIATION: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: GRAHAM HOSPITAL ASSOCIATION (EIN 37-0673506)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-03-14
IRS object ID: 202630739349300603
Schema version: 2024v5.5
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	2026-03-14T07:36:53-05:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	393647910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI ADVISORY LLC	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	2024-07-01	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	ALLISON SOURS	PersonNm
Person Title	PRESIDENT AND CEO	PersonTitleTxt
Phone	3096475240	PhoneNum
Signature	2026-03-05	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2026-03-05	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ALLISON SOURS	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	$179,782,243	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GRAHAMHEALTHSYSTEM.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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	1015	TotalEmployeeCnt
Total Volunteers	74	TotalVolunteersCnt
Total Gross UBI	$309,321	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$31,493	PYContributionsGrantsAmt
CY Contributions Grants	$478,855	CYContributionsGrantsAmt
PY Program Service Revenue	$128,078,803	PYProgramServiceRevenueAmt
CY Program Service Revenue	$143,689,098	CYProgramServiceRevenueAmt
PY Investment Income	$6,108,274	PYInvestmentIncomeAmt
CY Investment Income	$6,631,591	CYInvestmentIncomeAmt
PY Other Revenue	$446,725	PYOtherRevenueAmt
CY Other Revenue	$191,855	CYOtherRevenueAmt
PY Total Revenue	$134,665,295	PYTotalRevenueAmt
CY Total Revenue	$150,991,399	CYTotalRevenueAmt
PY Grants And Similar Paid	$171,315	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$163,452	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$72,111,042	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$79,908,406	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$58,649,904	PYOtherExpensesAmt
CY Other Expenses	$67,428,706	CYOtherExpensesAmt
PY Total Expenses	$130,932,261	PYTotalExpensesAmt
CY Total Expenses	$147,500,564	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,733,034	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,490,835	CYRevenuesLessExpensesAmt
Total Assets BOY	$284,979,304	TotalAssetsBOYAmt
Total Assets EOY	$299,362,116	TotalAssetsEOYAmt
Total Liabilities BOY	$102,186,750	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$103,764,738	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$182,792,554	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$195,597,378	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	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$55,291,396	ExpenseAmt
Grant	$163,452	GrantAmt
Revenue	$64,520,899	RevenueAmt
Desc	GRAHAM HOSPITAL IS A PROVIDER OF HEALTHCARE SERVICES IN FULTON, KNOX, MCDONOUGH, MASON AND PEORIA COUNTY. DURING THIS REPORTING PERIOD 2,112 ADULTS AND CHILDREN WERE ADMITTED AND 237 BABIES WERE BORN. THEY RECEIVED INPATIENT SERVICES IN THE ACUTE CARE FACILITY. 173 PATIENTS WERE ADMITTED FOR 8,020 DAYS OF SERVICE IN THE EXTENDED CARE FACILITY. 124,390 OUTPATIENT SERVICES WERE PROVIDED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$34,403,535	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$40,146,338	RevenueAmt
Desc	SURGICAL SERVICES - THE HOSPITAL PERFORMED 463 INPATIENT SURGERIES AND 5,237 OUTPATIENT SURGERIES IN FISCAL YEAR 2025.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$22,116,558	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$25,808,360	RevenueAmt
Desc	GRAHAM MEDICAL GROUP WHICH PROVIDES PHYSICIAN AND PROFESSIONAL HEALTH CARE SERVICES TO THE PATIENTS IN FULTON, KNOX, MCDONOUGH, MASON AND PEORIA COUNTY. THIS INCLUDES CHARITY CARE TO QUALIFIED INDIVIDUALS AND 162,721 OFFICE VISITS AND 18,004 NURSING HOME AND HOSPITAL VISITS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$11,058,280	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$12,904,180	RevenueAmt
Desc	ED PROGRAM - THE HOSPITAL OPERATES A 24 HOUR EMERGENCY DEPARTMENT WHICH HAD 13,295 PATIENTS REGISTERED TO THE EMERGENCY DEPARTMENT IN FISCAL YEAR 2025.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$11,058,280	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$12,904,180	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$122,869,769	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	139	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1015	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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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	ALLISON SOURS	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 (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
ALYSSA CRAWFORD MD
OB-GYN	40.00	Yes (X)	$865,380	$0	$99,208
BRETT BARNHART MD
ORTHOPEDIC SURGEON	40.00	Yes (X)	$819,775	$0	$109,833
BRENT PARRY DPM
PODIATRIST	40.00	Yes (X)	$583,505	$0	$104,371
DAVID CAO MD
UROLOGIST	40.00	Yes (X)	$594,494	$0	$57,721
JAMES QUEENAN III DO
ORTHOPEDIC SURGEON	40.00	Yes (X)	$604,047	$0	$34,350
ROBERT SENNEFF
PRESIDENT/CEO	40.00		$565,250	$0	$37,695	Yes (X)	Yes (X)
JULIE REEDER
VP FINANCE/CFO	40.00		$406,055	$0	$86,890		Yes (X)
HOLLY HENLINE
VP ANCILLARY/CCO	40.00		$361,203	$0	$82,672		Yes (X)
ALLISON SOURS
PRESIDENT/CEO	40.00		$356,398	$0	$64,962		Yes (X)
MICHELLE DALY
VP CLINIC SERVICES	40.00		$274,058	$0	$72,577		Yes (X)
TERESA MCCONKEY
VP PATIENT SERVICES	40.00		$276,348	$0	$53,094		Yes (X)
MIKE RENNER
CHAIRMAN (THRU DECEMBER 2024)	2.00		$0	$0	$0	Yes (X)	Yes (X)
KEVIN MEADE
CHAIRMAN	2.00		$0	$0	$0	Yes (X)	Yes (X)
TERRY MOSS
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)
ERIN BAILEY MD
TRUSTEE	2.00		$0	$0	$0	Yes (X)
LAURA FIDLER
TRUSTEE	2.00		$0	$0	$0	Yes (X)
PAULA GRIGSBY
TRUSTEE (THRU DECEMBER 2024)	2.00		$0	$0	$0	Yes (X)
ANNE HOLLIS
TRUSTEE	2.00		$0	$0	$0	Yes (X)
SARAH KEEFER
TRUSTEE	2.00		$0	$0	$0	Yes (X)
KENNETH KROCK MD
TRUSTEE	2.00		$0	$0	$0	Yes (X)
JANET KRULAC
TRUSTEE	2.00		$0	$0	$0	Yes (X)
DAN'L LEE
TRUSTEE	2.00		$0	$0	$0	Yes (X)
JOSHUA MILLER
TRUSTEE	2.00		$0	$0	$0	Yes (X)
VAL RAMIREZ
TRUSTEE	2.00		$0	$0	$0	Yes (X)
CHUCK TAYLOR
TRUSTEE	2.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,706,513	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$803,373	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	92	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
PJ HOERR INC
107 W COMMERCE	PEORIA	IL	61604	CONSTRUCTION	$10,490,213
COLEMAN MEDICAL ASSOCIATES LTD
180 SOUTH MAIN STREET	CANTON	IL	61520	PHYSICIAN SERVICES	$8,019,840
FORGOTTONIA LLC
2907 W WARDCLIFFE DRIVE	PEORIA	IL	61604	PHYSICIAN SERVICES	$658,901
PARK PLACE INTERNATIONAL
8401 CHAGRIN ROAD SUITE 6B	CHAGRIN FALLS	OH	44023	HEALTHCARE IT SERVICES	$607,198
QUEST DIAGNOSTICS
PO BOX 775460	CHICAGO	IL	606775460	LABORATORY SERVICES	$559,180

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	41	CntrctRcvdGreaterThan100KCnt
Related Organizations	$167,486	RelatedOrganizationsAmt
All Other Contributions	$311,369	AllOtherContributionsAmt
Total Contributions	$478,855	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621990	$134,319,837	$134,319,837
340(B) REVENUE	621990	$6,661,636	$6,661,636
SCHOOL OF NURSING	621990	$236,062	$236,062
LABORATORY	621500	$213,046		$213,046

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,258,517	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,162,242	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$96,275	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$143,689,098	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,798,017	TotalRevenueColumnAmt
Exclusion	$2,798,017	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$453,831	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$261,976	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$191,855	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$191,855	TotalRevenueColumnAmt
Exclusion	$191,855	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$32,354,806	SecuritiesAmt
Other	$7,636	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$28,491,065	SecuritiesAmt
Other	$37,803	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,863,741	SecuritiesAmt
Other	-$30,167	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,833,574	TotalRevenueColumnAmt
Exclusion	$3,833,574	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$150,991,399	TotalRevenueColumnAmt
Related Or Exempt Func Income	$143,379,777	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$309,321	UnrelatedBusinessRevenueAmt
Exclusion	$6,823,446	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	$163,452	TotalAmt
Program Services	$163,452	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,637,199	TotalAmt
Program Services	$337,443	ProgramServicesAmt
Management And General	$2,299,756	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$59,758,559	TotalAmt
Program Services	$49,509,311	ProgramServicesAmt
Management And General	$10,249,248	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,222,031	TotalAmt
Program Services	$1,096,264	ProgramServicesAmt
Management And General	$125,767	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,006,315	TotalAmt
Program Services	$9,827,798	ProgramServicesAmt
Management And General	$2,178,517	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,284,302	TotalAmt
Program Services	$3,453,905	ProgramServicesAmt
Management And General	$830,397	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$103,397	TotalAmt
Management And General	$103,397	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$37,162	TotalAmt
Management And General	$37,162	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$136,212	TotalAmt
Management And General	$136,212	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$33,624	TotalAmt
Management And General	$33,624	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$23,613,708	TotalAmt
Program Services	$22,515,107	ProgramServicesAmt
Management And General	$1,098,601	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$119,479	TotalAmt
Program Services	$26,908	ProgramServicesAmt
Management And General	$92,571	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$473,459	TotalAmt
Program Services	$176,615	ProgramServicesAmt
Management And General	$296,844	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$594,688	TotalAmt
Program Services	$20,416	ProgramServicesAmt
Management And General	$574,272	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,877,069	TotalAmt
Program Services	$1,402,775	ProgramServicesAmt
Management And General	$474,294	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$88,007	TotalAmt
Program Services	$3,306	ProgramServicesAmt
Management And General	$84,701	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$7,484	TotalAmt
Program Services	$4,982	ProgramServicesAmt
Management And General	$2,502	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,711,641	TotalAmt
Program Services	$2,403,393	ProgramServicesAmt
Management And General	$308,248	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,211,734	TotalAmt
Program Services	$5,489,922	ProgramServicesAmt
Management And General	$721,812	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,396,589	TotalAmt
Management And General	$1,396,589	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$15,302,596	$15,302,596
BAD DEBT EXPENSE	$8,330,047	$8,330,047
MEDICAID ASSESSMENT	$3,219,256		$3,219,256
DIETARY	$869,566	$847,337	$22,229

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,302,988	TotalAmt
Program Services	$1,958,192	ProgramServicesAmt
Management And General	$344,796	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$147,500,564	TotalAmt
Program Services	$122,869,769	ProgramServicesAmt
Management And General	$24,630,795	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,031,461	BOYAmt
EOY	$1,510,024	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,834,304	BOYAmt
EOY	$1,956,611	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,706,426	BOYAmt
EOY	$16,070,414	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,209,081	BOYAmt
EOY	$1,996,684	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,593,845	BOYAmt
EOY	$3,383,191	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,947,418	BOYAmt
EOY	$2,395,751	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$196,378,375	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$79,744,704	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$106,992,863	BOYAmt
EOY	$116,633,671	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$136,170,939	BOYAmt
EOY	$135,485,216	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$9,630,817	BOYAmt
EOY	$10,024,137	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,862,150	BOYAmt
EOY	$9,906,417	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$284,979,304	BOYAmt
EOY	$299,362,116	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,557,511	BOYAmt
EOY	$15,964,989	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$75,594,493	BOYAmt
EOY	$73,336,264	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$34,878	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,999,868	BOYAmt
EOY	$14,463,485	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$102,186,750	BOYAmt
EOY	$103,764,738	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	$173,161,737	BOYAmt
EOY	$185,573,241	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,630,817	BOYAmt
EOY	$10,024,137	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$182,792,554	BOYAmt
EOY	$195,597,378	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$284,979,304	BOYAmt
EOY	$299,362,116	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,490,835	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,680,850	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$633,139	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	$33,624	OtherActivitiesAmt
Total Lobbying Expenditures	$33,624	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: 44.6% OF MEMBERSHIP DUES PAID TO THE ILLINOIS HOSPITAL ASSOCIATION, OR $32,533.92; 31.46% OF MEMBERSHIP DUES PAID TO THE ILLINOIS HEALTH CARE ASSOCIATION, OR $1,090.28.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$130,389,692	BeginningYearBalanceAmt
Contributions	$752,653	ContributionsAmt
Investment Earnings Or Losses	$15,348,751	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$14,900	GrantsOrScholarshipsAmt
Other Expenditures	$6,135,674	OtherExpendituresAmt
Administrative Expenses	$19,185	AdministrativeExpensesAmt
End Year Balance	$140,321,337	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$121,264,634	BeginningYearBalanceAmt
Contributions	$403,956	ContributionsAmt
Investment Earnings Or Losses	$14,286,521	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$13,170	GrantsOrScholarshipsAmt
Other Expenditures	$5,505,351	OtherExpendituresAmt
Administrative Expenses	$46,898	AdministrativeExpensesAmt
End Year Balance	$130,389,692	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$114,136,949	BeginningYearBalanceAmt
Contributions	$10,635,144	ContributionsAmt
Investment Earnings Or Losses	$9,559,117	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$13,800	GrantsOrScholarshipsAmt
Other Expenditures	$12,982,559	OtherExpendituresAmt
Administrative Expenses	$70,217	AdministrativeExpensesAmt
End Year Balance	$121,264,634	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$124,069,504	BeginningYearBalanceAmt
Contributions	$32,530,350	ContributionsAmt
Investment Earnings Or Losses	-$15,370,244	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$16,900	GrantsOrScholarshipsAmt
Other Expenditures	$26,444,450	OtherExpendituresAmt
Administrative Expenses	$631,311	AdministrativeExpensesAmt
End Year Balance	$114,136,949	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.93000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.07000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	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	$9,386,538	OtherCostOrOtherBasisAmt
Book Value	$9,386,538	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$133,636,394	OtherCostOrOtherBasisAmt
Depreciation	$47,643,607	DepreciationAmt
Book Value	$85,992,787	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$52,477,259	OtherCostOrOtherBasisAmt
Depreciation	$32,101,097	DepreciationAmt
Book Value	$20,376,162	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$878,184	OtherCostOrOtherBasisAmt
Book Value	$878,184	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$116,633,671	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ESTIMATED SELF-INSURANCE COSTS	$6,767,293
ASSET RETIREMENT OBLIGATION	$146,119
DEFERRED COMPENSATION PLAN OBLIGATIONS	$2,436,820
FMV OF SWAP OPTIONS	$514,184
DUE TO THIRD PARTY PAYORS	$4,599,069

Field	Value	IRS element (for citing)
Total Liability	$14,463,485	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$151,249,487	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$8,680,850	NetUnrealizedGainsInvstAmt
Other Revenue	-$8,422,762	OtherRevenueAmt
Revenue Not Reported	$258,088	RevenueNotReportedAmt
Revenue Subtotal	$150,991,399	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$150,991,399	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$139,432,493	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$139,432,493	ExpensesSubtotalAmt
Other Expenses Not Included	$8,068,071	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$8,068,071	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$147,500,564	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 -187,205. BAD DEBT EXPENSE -8,330,047. CONTRIBUTIONS TO RESTRICTED NET ASSETS -167,486. RENTAL EXPENSES 261,976.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 8,330,047. RENTAL EXPENSES -261,976.
PART V, LINE 3A(I)	CHARLES D INGERSOLL TRUST AND WILLIAM P INGERSOLL TRUST ARE ADMINISTERED BY MIDAMERICA NATIONAL BANK.

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	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$2,124,885	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,124,885	NetCommunityBenefitExpnsAmt
Total Expense	0.01520	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,963,035	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,995,703	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,967,332	NetCommunityBenefitExpnsAmt
Total Expense	0.04280	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,087,920	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,995,703	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,092,217	NetCommunityBenefitExpnsAmt
Total Expense	0.05800	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$148,711	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,476	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$147,235	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102,275	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,775	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$310,986	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,976	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$304,010	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,398,906	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,002,679	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,396,227	NetCommunityBenefitExpnsAmt
Total Expense	0.06020	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,128	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,128	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,628	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,628	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$3,022,896	BadDebtExpenseAmt
Reimbursed By Medicare	$22,351,497	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$24,046,624	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,695,127	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	24	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	24	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
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
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: GRAHAM HEALTH SYSTEM CONDUCTED THE CHNA IN PARTNERSHIP WITH THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN), AN EXPERIENCED RURAL HEALTH AND PUBLIC HEALTH CONSULTANT. - TWO IN-PERSON FOCUS GROUPS WERE HELD IN SEPTEMBER 2025 WITH 33 PARTICIPANTS REPRESENTING HEALTHCARE PROVIDERS, PUBLIC HEALTH, COMMUNITY SERVICE ORGANIZATIONS, SCHOOLS, FAITH-BASED ORGANIZATIONS, LOCAL GOVERNMENT, AND OTHER COMMUNITY STAKEHOLDERS. - PARTICIPANTS INCLUDED INDIVIDUALS WITH DIRECT EXPERIENCE SERVING UNDERSERVED AND AT-RISK POPULATIONS. - QUANTITATIVE PUBLIC HEALTH DATA FROM FEDERAL, STATE, AND LOCAL SOURCES (INCLUDING CDC, CMS, IDPH, U.S. CENSUS, AND COUNTY HEALTH RANKINGS) WERE REVIEWED ALONGSIDE COMMUNITY INPUT. - FINDINGS FROM FOCUS GROUPS AND SECONDARY DATA ANALYSIS WERE PRESENTED TO A COMMUNITY PRIORITIZATION GROUP TO IDENTIFY AND RANK SIGNIFICANT HEALTH NEEDS.
GRAHAM HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 7D: LINES 7A & 10A:HTTPS://WWW.GRAHAMHEALTHSYSTEM.ORG/COMMUNITY-RESOURCE-GUIDE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GRAHAM HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 11: ADDRESSING SIGNIFICANT COMMUNITY HEALTH NEEDS:GRAHAM HEALTH SYSTEM IDENTIFIED THREE SIGNIFICANT PRIORITY HEALTH NEEDS THROUGH ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT: CLINICAL WORKFORCE DEVELOPMENT, AFFORDABLE HOUSING, AND COMPREHENSIVE MENTAL HEALTH SERVICES. THESE PRIORITIES WERE SELECTED BASED ON COMMUNITY INPUT, FOCUS GROUP FINDINGS, AND ANALYSIS OF QUANTITATIVE HEALTH AND SOCIAL DETERMINANT DATA. THE HOSPITAL HAS ADOPTED A MULTI-YEAR IMPLEMENTATION STRATEGY TO ADDRESS EACH NEED, LEVERAGING INTERNAL RESOURCES AND COMMUNITY PARTNERSHIPS. 1. CLINICAL WORKFORCE DEVELOPMENT:GRAHAM HEALTH SYSTEM IDENTIFIED CLINICAL WORKFORCE SHORTAGES AS A CRITICAL BARRIER TO ACCESS TO CARE, PARTICULARLY IN ITS RURAL SERVICE AREA. INDICATORS INCLUDE HIGH VACANCY RATES, LONG TIME-TO-FILL POSITIONS, AN AGING WORKFORCE NEARING RETIREMENT, AND INCREASED RELIANCE ON CONTRACT AND TRAVEL STAFF.TO ADDRESS THIS NEED, GRAHAM HEALTH SYSTEM IS ACTIVELY PARTNERING WITH LOCAL AND REGIONAL COLLEGES OF NURSING, COMMUNITY COLLEGES, TRADE SCHOOLS, AND SCHOOL DISTRICTS TO SUPPORT THE DEVELOPMENT OF FUTURE CLINICAL AND NON-CLINICAL HEALTHCARE WORKERS. THE HOSPITAL CONTINUES TO PROVIDE FINANCIAL SUPPORT THROUGH CAREER AND TUITION ASSISTANCE PROGRAMS AND HAS COMMITTED ENDOWMENT FUNDING TO SUPPORT WORKFORCE DEVELOPMENT INITIATIVES.THESE ACTIONS ARE INTENDED TO STABILIZE STAFFING, ENSURE CONTINUED ACCESS TO CARE, PROMOTE HEALTH EQUITY IN UNDERSERVED RURAL COMMUNITIES, AND REDUCE BURNOUT AND TURNOVER THAT CAN NEGATIVELY IMPACT PATIENT SAFETY AND QUALITY OF CARE. 2. AFFORDABLE HOUSING:SAFE AND AFFORDABLE HOUSING WAS IDENTIFIED AS A MAJOR SOCIAL DETERMINANT OF HEALTH AFFECTING BOTH COMMUNITY MEMBERS AND THE HOSPITAL'S ABILITY TO RECRUIT AND RETAIN STAFF. FULTON COUNTY HAS LOWER AVERAGE HOUSEHOLD INCOME THAN STATE AND NATIONAL AVERAGES, ELEVATED POVERTY RATES, OLDER HOUSING STOCK, AND LIMITED AFFORDABLE HOUSING OPTIONS.GRAHAM HEALTH SYSTEM IS ADDRESSING THIS NEED BY PROVIDING DIRECT FINANCIAL ASSISTANCE TO SUPPORT EMPLOYEE HOUSING AND SUBSIDIZED APARTMENT OPTIONS. THE HOSPITAL IS ALSO COLLABORATING WITH THE CITY OF CANTON AND PRIVATE PARTNERS TO SUPPORT SUBDIVISION DEVELOPMENT OR EXPANSION AIMED AT INCREASING HOUSING AVAILABILITY.THESE EFFORTS ARE EXPECTED TO IMPROVE WORKFORCE RECRUITMENT AND RETENTION, REDUCE HOUSING-RELATED FINANCIAL STRESS, AND SUPPORT IMPROVED PHYSICAL AND MENTAL HEALTH OUTCOMES BY INCREASING HOUSING STABILITY. WHILE THE HOSPITAL DOES NOT DIRECTLY DEVELOP OR MANAGE HOUSING PROJECTS, IT PLAYS A CONVENING AND SUPPORTIVE ROLE CONSISTENT WITH ITS MISSION AND AVAILABLE RESOURCES. 3. COMPREHENSIVE MENTAL HEALTH SERVICES:ACCESS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES WAS IDENTIFIED AS THE MOST SIGNIFICANT HEALTH CONCERN BY COMMUNITY PARTICIPANTS. ALTHOUGH ACCESS HAS IMPROVED SINCE THE PRIOR CHNA, PROVIDER AVAILABILITY REMAINS WELL BELOW STATE AND NATIONAL LEVELS, AND RATES OF DEPRESSION AND BEHAVIORAL HEALTH NEEDS REMAIN ELEVATED.GRAHAM HEALTH SYSTEM IS ADDRESSING THIS NEED BY CONTINUING TO EXPAND ITS BEHAVIORAL HEALTH WORKFORCE, INCLUDING THE ADDITION OF PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONERS (PMHNPS), LICENSED CLINICAL SOCIAL WORKERS (LCSWS), AND LICENSED CLINICAL PROFESSIONAL COUNSELORS (LCPCS). THE HOSPITAL COLLABORATES WITH NORTH CENTRAL BEHAVIORAL HEALTH, FULTON COUNTY HEALTH DEPARTMENT, SCHOOLS, AND OTHER COMMUNITY PARTNERS TO PROVIDE CRISIS INTERVENTION, SCHOOL-BASED MENTAL HEALTH SERVICES, EMERGENCY DEPARTMENT SUPPORT, AND CARE COORDINATION.ADDITIONAL STRATEGIES INCLUDE EXPANDED TELEHEALTH OPTIONS, IMPROVED REFERRAL NETWORKS FOR INPATIENT AND SPECIALTY CARE, AND COMMUNITY EDUCATION REGARDING AVAILABLE MENTAL HEALTH RESOURCES. THESE ACTIONS ARE DESIGNED TO IMPROVE ACCESS, REDUCE EMERGENCY DEPARTMENT UTILIZATION FOR BEHAVIORAL HEALTH CRISES, AND SUPPORT EARLIER INTERVENTION. NEEDS NOT BEING DIRECTLY ADDRESSED:THE CHNA IDENTIFIED ADDITIONAL COMMUNITY CONCERNS SUCH AS HOMELESSNESS, FOOD INSECURITY, AND EMPLOYMENT OPPORTUNITIES. GRAHAM HEALTH SYSTEM RECOGNIZES THESE AS IMPORTANT ISSUES BUT DOES NOT DIRECTLY ADDRESS THEM THROUGH HOSPITAL-LED PROGRAMS DUE TO LIMITATIONS IN SCOPE, EXPERTISE, AND RESOURCES. INSTEAD, THE HOSPITAL SUPPORTS COLLABORATIVE, COMMUNITY-WIDE APPROACHES BY PARTNERING WITH ORGANIZATIONS SUCH AS LOCAL GOVERNMENTS, UNITED WAY, SALVATION ARMY, SCHOOLS, AND SOCIAL SERVICE AGENCIES. THE HOSPITAL'S ROLE IS PRIMARILY SUPPORTIVE AND FACILITATIVE RATHER THAN OPERATIONAL FOR THESE BROADER SOCIAL NEEDS.
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/PATIENT-VISITOR-RESOURCES/BILLING-FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	15	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 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 - GRAHAM HOSPITAL EXTENDED CARE UNIT
210 WEST WALNUT STREET	CANTON	IL	61520	SKILLED NURSING & LONG TERM CARE UNITS
3 - GHA HOME MEDICAL EQUIPMENT STORE
101 SOUTH MAIN STREET	CANTON	IL	61520	HOME MEDICAL EQUIPMENT RETAIL STORE
4 - GRAHAM MEDICAL GROUP - LEWISTOWN
408 SOUTH MAIN STREET	LEWISTOWN	IL	61542	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
5 - GRAHAM MEDICAL GROUP - CENTER FOR AMBULA
2028 NORTH SEMINARY STREET	GALESBURG	IL	61401	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
6 - GRAHAM MEDICAL GROUP - CANTON CONVENIENT
126 NORTH 5TH AVENUE	CANTON	IL	61520	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
7 - GRAHAM MEDICAL GROUP - MACOMB
1630 E JACKSON	MACOMB	IL	61455	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
8 - GRAHAM MEDICAL GROUP - FARMINGTON
601 EAST FORT STREET	FARMINGTON	IL	61531	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
9 - GRAHAM CARDIAC REHABILITATION
235 WEST WALNUT	CANTON	IL	61520	CARDIAC REHAB SERVICES
10 - GRAHAM MEDICAL GROUP - ELMWOOD
1024 NORTH MAGNOLIA STREET	ELMWOOD	IL	61529	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
11 - GRAHAM MEDICAL GROUP - GALESBURG B
530 N SEMINARY ST	GALESBURG	IL	61401	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
12 - GRAHAM MEDICAL GROUP - WILLIAMSFIELD
120 EAST GALE STREET	WILLIAMSFIELD	IL	61489	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
13 - GRAHAM MEDICAL GROUP - GALESBURG SOUTH
455 EAST 3RD STREET	GALESBURG	IL	61401	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
14 - GRAHAM MEDICAL GROUP - GLASFORD
201 EAST MAIN STREET	GLASFORD	IL	61533	MULTI-SPECIALTY OUTPATIENT PHYSICIAN CLINIC
15 - GRAHAM HOSPITAL PHARMACY
211 WEST WALNUT STREET	CANTON	IL	61521	PHARMACY FOR PATIENTS & RETAIL FOR EMPLOYEES

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 8,330,047.
PART II, COMMUNITY BUILDING ACTIVITIES:	A DONATION OF $17,500 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 KNOX COUNTY AREA 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 HEALTH AND WELLNESS CONNECTION OF FULTON COUNTY. 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 $2,877.23 WAS MADE TO THE ELMWOOD COMMUNITY FOUNDATION. THIS DONATION HELPED WITH THE FUNDING FOR THE WELLNESS CENTER AND YMCA. A DONATION OF $50,000 WAS MADE TO THE CARL SANDBURG FOUNDATION. THIS DONATION WILL HELP PROVIDE SCHOLARSHIP MONEY FOR STUDENT'S PURSUING A CAREER IN HEALTHCARE. A DONATION OF $5,000 WAS MADE TO THE CANTON FAMILY YMCA. THIS DONATION HELPED PROVIDE FUNDING FOR A SECURITY CAMERA PROJECT. A DONATION OF $5,000 WAS MADE TO THE GALESBURG DISCOVERY DEPOT CHILDREN'S MUSEUM. A DONATION FOR $1,000 WAS MADE TO THE SPOON RIVER CEO PROGRAM, WHICH PROVIDES HIGH SCHOOL STUDENTS IN FULTON COUNTY HANDS-ON BUSINESS EXPERIENCE AND MENTORSHIP PROGRAMS.CURRENT YEAR:CARL SANDBURG COLLEGE FOUNDATION - $50,000UNIVERSITY OF IL - $10,000HEALTH AND WELLNESS CONNECTION OF FULTON COUNTY - $60,000 ($60,000 340 B)ELMWOOD COMMUNITY FOUNDATION - $2,877.23SPOON RIVER PARTNERSHIP - $17,500; CANTON FAMILY YMCA $5,000; SPOON RIVER CEO $1,000KNOX COUNTY PARTNERSHIP FOR ECONOMIC DEVELOPMENT - $10,000GALESBURG DISCOVERY DEPOT - $5,000
PART III, LINE 2:	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 HTTPS://WWW.GRAHAMHEALTHSYSTEM.ORG/PATIENT-VISITOR-RESOURCES/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, KNOX COUNTY, MCDONOUGH COUNTY, MASON COUNTY AND PEORIA COUNTY AND INCLUDES ALL OR PORTIONS OF THE TOWNS OF ABINGDON, ASTORIA, AVON, BANNER, BRYANT, BUSHNELL, CANTON, CUBA, DUNFERMLINE, ELLISVILLE, ELMWOOD, FAIRVIEW, FARMINGTON, FULTON, GALESBURG, GLASFORD, HAVANA, IPAVA, KNOX, KNOXVILLE, LEWISTOWN, LIVERPOOL, LONDON MILLS, MACOMB, MARIETTA, MASON, MCDONOUGH, NORRIS, PEORIA, SAINT DAVID, SMITHFIELD, TABLE GROVE, VERMONT, WILLIAMSFIELD, YATES CITY. THE RACE AND ETHNICITY MAKEUP ARE TYPICAL OF RURAL ILLINOIS BASED ON US CENSUS BUREAU DATA AND INCLUDES 91.7% WHITE, 3.3% BLACK, AND 5.0% OTHER. ACCORDING TO THE US CENSUS BUREAU MEDIAN HOUSEHOLD INCOME WAS $53,441. FULTON COUNTY'S UNEMPLOYMENT RATE WAS 4.8%.
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.)
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	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
FULTON COUNTY HEALTH AND WELLNESS CLINIC
103A S MAIN STREET	CANTON	IL	61520	272753264	501(C)(3)	$60,000	$0	PROVIDE SUPPORT TO ORGANIZATION
UNIVERSITY OF ILLINOIS FOUNDATION
ONE ILLINI DRIVE ATTN KIM DEETS	PEORIA	IL	61605	376006007	501(C)(3)	$10,000	$0	PROVIDE SUPPORT TO ORGANIZATION
SPOON RIVER PARTNERSHIP FOR ECONOMIC DEVELOPMENT
48 N MAIN ST	CANTON	IL	61520	050633175	501(C)(3)	$17,500	$0	PROVIDE SUPPORT TO ORGANIZATION
CARL SANDBURG FOUNDATION
2400 TOM L WILSON BLVD	GALESBURG	IL	61401	370896983	501(C)(3)	$50,000	$0	PROVIDE SUPPORT TO ORGANIZATION
KNOX COUNTY AREA PARTNERSHIP FOR ECONOMIC DEVELOPMENT
200 E MAIN ST SUITE 200	GALESBURG	IL	61401	371356170	501(C)(3)	$10,000	$0	PROVIDE SUPPORT TO ORGANIZATION

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	ALL FUNDS DONATED BY GRAHAM HEALTH SYSTEM TO DESERVING ORGANIZATIONS AND INDIVIDUALS ARE REVIEWED AND APPROVED BY THE PRESIDENT & CEO. FUNDS ARE DONATED TO ORGANIZATIONS AND INDIVIDUALS THAT ALIGN WITH GRAHAM HEALTH SYSTEM'S PRIORITIES TO PROMOTE HEALTH AND WELL-BEING, EDUCATION, AND ECONOMIC DEVELOPMENT WITHIN THE COMMUNITIES WE SERVE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
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 (11 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
ALYSSA CRAWFORD MD
OB-GYN	$731,630	$0	$0	$0	$133,750	$0	$24,000	$0	$75,208	$0	$964,588	$0	$0	$0
BRETT BARNHART MD
ORTHOPEDIC SURGEON	$633,994	$0	$17,620	$0	$168,161	$0	$34,350	$0	$75,483	$0	$929,608	$0	$0	$0
BRENT PARRY DPM
PODIATRIST	$407,599	$0	$0	$0	$175,906	$0	$34,350	$0	$70,021	$0	$687,876	$0	$0	$0
DAVID CAO MD
UROLOGIST	$548,839	$0	$0	$0	$45,655	$0	$31,298	$0	$26,423	$0	$652,215	$0	$0	$0
JAMES QUEENAN III DO
ORTHOPEDIC SURGEON	$473,337	$0	$9,577	$0	$121,133	$0	$34,350	$0	$0	$0	$638,397	$0	$0	$0
ROBERT SENNEFF
PRESIDENT/CEO	$487,260	$0	$0	$0	$77,990	$0	$10,350	$0	$27,345	$0	$602,945	$0	$0	$0
JULIE REEDER
VP FINANCE/CFO	$226,438	$0	$72,202	$0	$107,415	$0	$37,730	$0	$49,160	$0	$492,945	$0	$0	$0
HOLLY HENLINE
VP ANCILLARY/CCO	$191,356	$0	$64,832	$0	$105,015	$0	$34,936	$0	$47,736	$0	$443,875	$0	$0	$0
ALLISON SOURS
PRESIDENT/CEO	$254,701	$0	$60,529	$0	$41,168	$0	$40,028	$0	$24,934	$0	$421,360	$0	$0	$0
MICHELLE DALY
VP CLINIC SERVICES	$187,882	$0	$58,313	$0	$27,863	$0	$22,114	$0	$50,463	$0	$346,635	$0	$0	$0
TERESA MCCONKEY
VP PATIENT SERVICES	$186,324	$0	$51,660	$0	$38,364	$0	$30,608	$0	$22,486	$0	$329,442	$0	$0	$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 2024 SPONSORED BY GRAHAM HOSPITAL ASSOCIATION: JULIE REEDER - $27,380.08, ALLISON SOURS - $29,678.56, TERESA MCCONKEY - $22,352.72, MICHELLE DALY - $22,113.52, HOLLY HENLINE - $24,585.60, ALYSSA CRAWFORD - $24,000.08, BRETT BARNHART - $24,000.08, JAMES QUEENAN III - $24,000.08, DAVID CAO - $24,000.08, BRENT PARRY - $24,000.08. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GRAHAM HOSPITAL ASSOCIATION ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2024. THIS INFORMATION IS INCLUDED IN DEFERRED COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF CANTON IL
A	376000876	2019-09-26	$44,500,000	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
CITY OF CANTON IL
C	376000876	2023-06-21	$12,000,000	FUND BUILDING PROJECTS AND EQUIPMENT	0	0	0
CITY OF CANTON IL
D	376000876	2024-05-15	$11,322,000	FUND BUILDING PROJECTS AND EQUIPMENT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	UnspentUnspentAmt
A	$9,144,999	$44,500,000	$44,500,000	2017	Yes (1)	Yes (1)	Yes (1)
B	$1,390,000	$17,000,000	$16,792,400	2022	0	Yes (1)	Yes (1)	$207,600
C	$140,000	$12,000,000	$11,817,533	2024	0	Yes (1)	Yes (1)	$182,467
D		$11,322,000	$8,466,000		0	0	Yes (1)	$143,098	$2,712,902

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)
C	0	0	0	0	0	0	Yes (1)
D	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	0	Yes (1)	Yes (1)
C	Yes (1)	0	Yes (1)	Yes (1)
D	Yes (1)	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	GRAHAM ADDED TWO NEW CLINIC LOCATIONS IN GALESBURG.
FORM 990, PART VI, SECTION B, LINE 11B	THE PREPARED FORM 990 IS REVIEWED BY THE BOARD OF TRUSTEES, PRESIDENT AND CEO, CFO, DIRECTOR OF ACCOUNTING, VICE PRESIDENT OF ACCOUNTING AND SUPPORT SERVICES AND SENIOR ACCOUNTANT BEFORE FILING WITH THE IRS. BEFORE FILING, THE VICE PRESIDENT OF ACCOUNTING AND SUPPORT SERVICES PRESENTS THE FORM 990 TO THE ORGANIZATION'S BOARD OF TRUSTEES.
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 1,389,453. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,389,453. PHYSICIANS: PROGRAM SERVICE EXPENSES 13,052,481. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,052,481. SERVICE AGREEMENT: PROGRAM SERVICE EXPENSES 3,021,663. MANAGEMENT AND GENERAL EXPENSES 286,298. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,307,961. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 97,779. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 97,779. REPAIR AND MAINTENANCE: PROGRAM SERVICE EXPENSES 60,661. MANAGEMENT AND GENERAL EXPENSES 1,748. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,409. OTHER FEES: PROGRAM SERVICE EXPENSES 4,570,651. MANAGEMENT AND GENERAL EXPENSES 810,555. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,381,206. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 322,419. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 322,419.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 386,151. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 601,679. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -187,205. CONTRIBUTIONS TO RESTRICTED NET ASSETS -167,486.