Fairfield Memorial Hospital Association

“Beginning in april 2024, fairfield memorial hospital affiliated with deaconess regional healthcare network illinois, llc through a management services agreement. In this affiliation management services agreement, they employ the ceo and cfo to help manage the organization. Two members of deaconess also serve on our board of directors. Deaconess provides assistance in the evaluation of officers, provides administrative resources, consulting services, and assists with regulatory issues and education.”

“The cfo reviews the 990 after it is completed, prior to being finalized. Once reviewed, it is given to the ceo for review. After the document is reviewed by the ceo, it is available for the board to review. The 990 preparers are notified that the document is approved and ready to be filed with the irs.”

“Annually, each board member receives the corporate compliance policy which includes a conflict of interest policy, to review and sign stating they have read, and disclosed any conflict of interests; all signed documents are kept on file with the administration office.”

“In fall 2019, several market reports were compiled and reviewed, including beckers hospital review, and the ceo compensation report. The cfo requested and was provided data from the audit firm, who provided data of ceo compensation by size of hospital and region. All reports were provided by the cfo to the board president for review. The board president then supplied the documents to the compensation committee, who reviewed the documents and established a rate for the ceo. The compensation committee presented the rate to the full board for approval. The ceo's contract is in effect for 5 years. Line 15b: compensation for all other officers of the organization is determined by the board of directors based on weighted performance appraisals. This process is reviewed annually and is documented within the hr annual evaluation forms.”

“Copies of the organization's governing documents, conflict of interest policies, financial statements and the federal form 990 are available upon request from the administrative offices.”

“Purchased services: program service expenses 1,717,211. Management and general expenses 1,226,934. Fundraising expenses 0. Total expenses 2,944,145. Professional fees: program service expenses 1,498,829. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,498,829. Collection fees: program service expenses 25,018. Management and general expenses 60,476. Fundraising expenses 0. Total expenses 85,494. Physician fees: program service expenses 2,320,714. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,320,714. Diagnostic mammography services: program service expenses 187,290. Management and general expenses 0. Fundraising expenses 0. Total expenses 187,290.”