2025-03-13T12:02:01+00:00 2024-04-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-05-01 431731173 Fitzgibbon Health Services FITZ 6608313271 2506 LINDEN TREE PARKWAY MARSHALL MO 65340 NANCY HARRIS CFO 6608313271 2025-03-13 true true Brian Todd P00422601 4178658701 2025-03-13 2023 2025-03-06 01:10:19Z THE LIVING CENTER ANGELA P LITTRELL 2305 S HIGHWAY 65 PO BOX 250 MARSHALL MO 65340 5901411 false X WWW.FITZGIBBON.ORG X 1995 MO TO PROMOTE QUALITY OF LIFE THROUGH CARE AND SERVICES TO RESIDENTS, THEIR FAMILIES AND THE COMMUNITY WE SERVE IN AS HOME LIKE, LEAST RESTRICTIVE ENVIRONMENT AS POSSIBLE. 7 5 100 5 0 0 0 459753 5527232 5441658 0 0 0 0 5527232 5901411 0 0 0 0 3022037 3533431 0 0 0 4940401 3011806 7962438 6545237 -2435206 -643826 2009391 1753998 2694547 1924717 -685156 -170719 To promote quality of life through care and services to residents, their families and the community we serve in as home like, least restrictive environment as possible. false false 6029455 0 5441658 FITZGIBBON HEALTH SERVICES IS A 99 BED ELDER CARE FACILITY WHICH IS 46% MEDICAID AND 10% MEDICARE DEPENDENT WITH RESPECT TO NET REVENUE. THE FACILITY OFFERS A 9 BED SKILLED CARE UNIT AND A 21 BED ALZHEIMER'S UNIT IN ADDITION TO THE 69 BED REGULAR CARE UNIT. THIS FACILITY ADJOINS FITZGIBBON HOSPITAL IN THE EVENT THAT MEDICAL ATTENTION IS NEEDED IMMEDIATELY. SEE SCHEDULE O FOR A DESCRIPTION OF THE SERVICES PROVIDED. 6029455 true true false false false false false true false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true X 1 0 true 100 true false false false false false false false false false false false false X 7 5 false false false false false false false true true false false false true true true true true false false false X NANCY HARRIS 6608313271 2305 S HIGHWAY 65 PO BOX 250 MARSHALL MO 65340 JAN V STAPLETON VICE PRESIDENT 1.0 1.0 X X 0 0 0 SCOTT HARTWIG SECRETARY/TREASURER 1.0 1.0 X X 0 0 0 WILLIAM SUMMERS PRESIDENT 1.0 1.0 X X 0 0 0 JACK UHRIG MD DIRECTOR/MEDICAL DIRECTOR 1.0 40.0 X 0 302860 30778 JASON GAULT PRESIDENT OF MEDICAL STAFF 1.0 32.0 X 0 341126 30006 JILL HARRIMAN LILLEMAN DIRECTOR 1.0 1.0 X 0 0 0 MARY LOU PORTER DIRECTOR 1.0 1.0 X 0 0 0 ANGELA LITTRELL PRESIDENT/CEO 1.0 40.0 X 0 390335 49095 NANCY K HARRIS CFO 1.0 40.0 X 0 244492 14282 0 1278813 124161 0 false true false 0 459753 459753 NET PATIENT SERVICE REVENUE 623000 5440000 5440000 MISCELLANEOUS 623000 1658 1658 0 0 0 0 5441658 0 0 0 0 0 0 0 0 0 5901411 5441658 0 0 X 2699537 2492497 207040 636613 584185 52428 197281 182151 15130 60000 60000 23655 23655 1392685 1367574 25111 0 452870 425049 27821 102559 102559 23031 22942 89 5266 3330 1936 107023 89621 17402 178670 149617 29053 51030 51030 PROVIDER TAXES 341923 341923 MEDICAL SUPPLIES & DRUGS 261505 261505 LICENSES, DUES, SUBSCRIPTION 11589 6502 5087 0 0 0 0 6545237 6029455 515782 0 250 250 18260 24509 958453 806600 0 0 0 0 6377 0 6471275 5548636 1006568 922639 0 0 14473 0 5010 0 2009391 1753998 257666 193478 459753 0 1934766 1682384 8244 8244 0 0 34118 40611 2694547 1924717 X -689999 -175562 4843 4843 -685156 -170719 2009391 1753998 X -643826 1158263 X false true X true true true X 90995 462432 254932 0 459753 1268112 5011006 4812614 4731902 5527232 5441658 25524412 0 0 0 5102001 5275046 4986834 5527232 5901411 26792524 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26792524 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5102001 5275046 4986834 5527232 5901411 26792524 1 1.0 0 0.0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true X 15000 15000 4950349 4392446 557903 1491069 1141626 349443 14857 14564 293 922639 ESTIMATED SELF INSURANCE COSTS 40611 40611 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part IV, Line 2b Explanation of escrow agreement FITZGIBBON HEALTH SERVICES PROVIDES EACH RESIDENT WITH AN OPPORTUNITY TO DEPOSIT HIS/HER PERSONAL FUNDS INTO RESIDENT TRUST ACCOUNT HELD BY FITZGIBBON HEALTH SERVICES. THE RESIDENT OR THEIR RESPONSIBLE PARTY MUST AUTHORIZE IN WRITING WHO HAS PERMISSION (OTHER THAN FITZGIBBON HEALTH SERVICES) TO HANDLE OR WITHDRAW-IF APPROPRIATE- FROM THESE FUNDS. A COPY IS PLACED IN THE RESIDENT'S FINANCIAL FILE. NO ADDITIONAL SERVICE CHARGE WILL BE LEVIED AGAINST THE RESIDENT. THE COST OF SUCH SERVICE IS INCLUDED IN FITZGIBBON HEALTH SERVICES' BASIC ROOM RATE. FUNDS IN EXCESS OF FIFTY (50) DOLLARS WILL BE DEPOSITED IN AN INTEREST-BEARING ACCOUNT THAT IS SEPARATE FROM THE FACILITY'S OPERATING EXPENSES. ANY INTEREST EARNED ON THIS POOLED ACCOUNT IS PRO-RATED AND POSTED PER INDIVIDUAL ON THE BASIS OF ACTUAL EARNINGS OR END-OF QUARTER BALANCE. THE RESIDENT SHALL HAVE ACCESS TO FUNDS OF FIFTY (50) DOLLARS OR LESS WITHIN TWENTY-FOUR (24) HOURS OF REQUEST. REQUESTS FOR FUNDS IN EXCESS OF FIFTY (50) DOLLARS SHALL BE HONORED WITHIN THREE (3) BUSINESS DAYS. THE RESIDENT OR THEIR RESPONSIBLE PARTY WILL RECEIVE A CONFIDENTIAL STATEMENT QUARTERLY OF FUNDS. false false false false false false false false false JASON GAULT PRESIDENT OF MEDICAL STAFF 0 340256 0 0 0 870 0 0 0 30006 0 371132 0 0 JACK UHRIG MD DIRECTOR/MEDICAL DIRECTOR 0 302860 0 0 0 0 0 0 0 30778 0 333638 0 0 ANGELA LITTRELL PRESIDENT/CEO 0 388010 0 0 0 2325 0 1300 0 47795 0 439430 0 0 NANCY K HARRIS CFO 0 244141 0 0 0 351 0 1950 0 12332 0 258774 0 0 Schedule J, Part I, Line 3 ESTABLISHING CEO COMPENSATION JOHN FITZGIBBON MEMORIAL HOSPITAL, A RELATED ORGANIZATION, USES A WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS REHABILITATION SERVICES ARE AVAILABLE WHICH INCLUDE PHYSICAL, RESPIRATORY, SPEECH AND OCCUPATIONAL THERAPIES. THE THERAPISTS COORDINATE EFFORTS WITH THE PHYSICIANS AND NURSING STAFF TO ENSURE THAT EACH RESIDENT'S THERAPY NEEDS ARE BEING MET. DIETARY SERVICES ARE UNDER THE DIRECTION OF A REGISTERED DIETICIAN. DIETARY NEEDS ARE ASSESSED, PLANNED AND IMPLEMENTED TO PROMOTE ADEQUATE NUTRITIONAL INTAKE AND TAKING INTO ACCOUNT RESIDENTS PREFERENCES. THE ACTIVITY DEPARTMENT ASSESSES, PLANS AND IMPLEMENTS DAILY ACTIVITY PROGRAMS BASED ON THE RESIDENTS' NEEDS AND DESIRES. IN ADDITION, SPECIAL WEEKLY ACTIVITIES ARE PLANNED WHICH INCLUDE CHURCH, BIBLE STUDY, BINGO, SOCIAL HOUR, BIRTHDAY PARTIES, MUSICAL ENTERTAINMENT, CRAFT CLUB, AND WALKS OUTSIDE THE FACILITY (WEATHER PERMITTING). THE CENTER ENCOURAGES FAMILIES TO COME AND HAVE SPECIAL GATHERINGS WITH THEIR LOVED ONES. THE FACILITY ALSO HAS A PERMANENT LIVE BIRD DISPLAY AND WELCOMES VISITS FROM CATS AND DOGS TO INTERACT WITH RESIDENTS, ALL IN AN EFFORT TO PROVIDE A MORE HOMELIKE ATMOSPHERE. Form 990, Part IV, Line 24a & PART X, LINE 20: TAX EXEMPT BONDS THE ORGANIZATION'S RELATED ENTITY, JOHN FITZGIBBON MEMORIAL HOSPITAL, RECEIVED QUALIFIED HOSPITAL BOND PROCEEDS FROM 2010 AND 2016 BOND ISSUES. A PORTION OF THE BOND PROCEEDS WERE ALLOCATED TO FITZGIBBON HEALTH SERVICES FOR AUDIT AND TAX PURPOSES. INFORMATION ABOUT THE BONDS ARE REPORTED ON JOHN FITZGIBBON MEMORIAL HOSPITAL'S SCHEDULE K. Form 990, Part V, Line 1a NUMBER OF 1099S JOHN FITZGIBBON MEMORIAL HOSPITAL, A RELATED ORGANIZATION, FILES ALL REQUIRED 1099S FOR THE FITZGIBBON HEALTH SERVICES. THE NUMBER REPORTED ON FORM 990, PART V, LINE 1A REPRESENTS THE NUMBER OF 1099S FILED ON BEHALF OF THE ORGANIZATION. Form 990, Part VI, Line 6 & 7A: MEMBERS OR STOCKHOLDERS THE ORGANIZATION IS AFFILIATED WITH FITZGIBBON MEMORIAL HOSPITAL BY HAVING A COMMON BOARD OF TRUSTEES. ALSO, THE MEDICAL STAFF VOTES ON THE CHIEF OF THE MEDICAL STAFF WHO IS A VOTING MEMBER OF THE BOARD. Form 990, Part VI, Line 15 COMPENSATION DETERMINATION: JOHN FITZGIBBON MEMORIAL HOSPITAL, A RELATED ORGANIZATION, USES AN INDEPENDENT COMPENSATION CONSULTANT WHICH WAS ENGAGED TO REVIEW THE COMPENSATION OF ANGELA LITTRELL AS WELL AS OTHER OFFICERS AND KEY EMPLOYEES AND THEIR REPORT WAS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT OF THE RETURN IS REVIEWED BY THE PRESIDENT/CEO AND CFO/COO BEFORE BEING FINALIZED. THE 990 IS PRESENTED TO THE BOARD AFTER IT IS FILED. Form 990, Part VI, Line 12c Conflict of interest policy THE COMPLIANCE OFFICER MONITORS THE CONFLICT OF INTEREST POLICY AND ANNUALLY REQUIRES OFFICERS, DIRECTORS AND KEY EMPLOYEES TO SIGN A CONFLICT OF INTEREST DISCLOSURE FORM. ALL CONFLICTS MUST BE REVIEWED BY THE PRESIDENT/CEO AND/OR BOARD OF DIRECTORS. A BOARD MEMBER WITH ANY CONFLICT OF INTEREST WOULD ABSTAIN FROM VOTING ON ANY DECISION RELATED TO THAT CONFLICT OF INTEREST. Form 990, Part VI, Line 19 Required documents available to the public THE ANNUAL FORM 990 OF THE RELATED ORGANIZATION, JOHN FITZGIBBON MEMORIAL HOSPITAL, INCLUDES THE ANNUAL AUDITED FINANCIAL STATEMENTS AND ARE AVAILABLE TO THE PUBLIC. THE ORGANIZATION DOES NOT MAKE THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, OR OTHER FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. Form 990, Part VII, Section A BOARD MEMBER COMPENSATION NO TRUSTEES RECEIVED COMPENSATION FOR THEIR DUTIES AS TRUSTEES. JACK UHRIG, MD, RECEIVED COMPENSATION FOR OTHER CLINICAL SERVICES PROVIDED TO JOHN FITZGIBBON MEMORIAL HOSPITAL. JASON GAULT, DO RECEIVED COMPENSATION FOR HIS ROLE AS A PROVIDER IN JOHN FITZGIBBON MEMORIAL HOSPITAL'S SURGICAL SERVICES. Form 990, Part IX, Line 11g Other Fees CONTRACT SERVICES - Total Expense: 1341373, Program Service Expense: 1341373, Management and General Expenses: 0, Fundraising Expenses: ; OUTSIDE SERVICES - Total Expense: 51312, Program Service Expense: 26201, Management and General Expenses: 25111, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER FROM AFFILIATE - 1158263; JOHN FITZGIBBON MEMORIAL HOSPITAL 2305 S HIGHWAY 65 PO BOX 250 MARSHALL MO 65340 440655986 HEALTHCARE MO 501(c)(3) 3 NA false false false false false false false false false false false false false true true true true true false false