Critical access hospital · Fairfield, Illinois · 25 beds · CMS certification number 141311
Fairfield Memorial Hospital
Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS August 29, 2025. 25 years on file, all shown below. Also on the 340B covered-entity register.
Enrolled with Medicare by Fairfield Memorial Hospital Association.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $3.9M in its first year on file (2001) to $48.5M in 2025.
- Its result from patient care: −$1.3M (2023), −$8.8M (2024), −$3.4M (2025).
- 2 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
- Medicaid paid for 0.2% of its inpatient days and Medicare for 57.0%.
25 years of filings
2001 as submitted margin 1.9% $3.9M $3.9M
2002 settled margin 3.6% $17.5M $16.8M
2003 settled margin 1.4% $17.9M $17.6M
2004 settled margin −4.0% $17.4M $18.1M
2005 settled margin 5.0% $20.8M $19.8M
2006 settled with audit margin −4.3% $20.6M $21.4M
2007 settled margin 11.3% $23.8M $21.1M
2008 reopened margin 20.8% $24.5M $19.4M
2009 reopened margin 17.7% $26.7M $22.0M
2010 reopened margin 18.8% $27.0M $21.9M
2011 settled margin 14.0% $27.9M $24.0M
2012 settled margin −0.2% $24.9M $25.0M
2013 settled margin −1.9% $25.1M $25.6M
2014 settled margin −1.7% $25.7M $26.1M
2015 settled margin −0.6% $27.4M $27.5M
2016 settled margin −0.5% $28.7M $28.9M
2017 settled margin −1.4% $28.4M $28.8M
2018 settled margin −2.8% $29.9M $30.7M
2019 settled margin −1.8% $31.5M $32.0M
2020 settled margin −12.8% $30.6M $34.5M
2021 settled margin −2.3% $36.2M $37.0M
2022 settled margin 1.4% $43.5M $42.9M
2023 settled margin −2.6% $50.8M $52.1M
2024 settled margin −19.4% $45.1M $53.9M
2025 as submitted margin −7.0% $48.5M $51.9M
Beside its peers
Critical access hospitals in Illinois with 25 to 49 beds, fiscal year 2025.
Hospital Beds Net patient revenue Operating expenses Margin
Fairfield Memorial Hospital 25 $48,515,496 $51,929,545 −7.0%
Carle Eureka Hospital, Eureka 25 $33,442,659 $31,215,676 6.7%
Community Hospital of Staunton, Staunton 25 $29,036,790 $23,365,935 19.5%
OSF Saint Paul Medical Center, Mendota 25 $65,140,047 $63,955,626 1.8%
Midwest Medical Center, Galena 25 $44,409,156 $49,181,907 −10.8%
Boyd Healthcare Services, Carrollton 25 $17,573,180 $19,761,600 −12.4%
Patients and payers
- Discharges 534 S-3 line 14, col 15
- Inpatient days 2,467 S-3 line 14, col 8
- Beds in use, on an average day 6.8 days ÷ days in year
- Occupancy 27.0% days ÷ bed days
- Medicare share of days 57.0% S-3 cols 6 ÷ 8
- Medicaid share of days 0.2% S-3 cols 7 ÷ 8
Who owns it
Related organizations on its own cost report: DSSI (15%), mri; DEACONESS HLTH; DEASONESS HOSP.
Control: voluntary nonprofit, other.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION (employer identification number 370661202) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $6,060,891 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $905,825 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $4,770,033 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $5,675,858 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $385,033 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.1164 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202431289349301538. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION (employer identification number 370661202) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| ALEXIS KING | CRNA | Highest-compensated employee | $342,472 | $0 | $9,373 |
| AMY MARSH GRAY | CFO | Officer | $134,151 | $0 | $3,537 |
| ANITA POND | SECRETARY/TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| CHRISTOPHER BALLARD | PHYSICIAN | Highest-compensated employee | $359,333 | $0 | $15,483 |
| D JAMIE POLLARD | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| DANA TAYLOR | COO | Officer | $139,234 | $0 | $9,039 |
| DONNA MASTERSON | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| DOUG WILSON | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| HAZEL VEST | CNO (END 07/22) | Officer | $93,907 | $0 | $11,465 |
| JOEY HUNGERFORD | VICE PRESIDENT | Trustee/director, Officer | $0 | $0 | $0 |
| JOSH SCOTT | DIRECTOR (BEG 01/23) | Trustee/director | $0 | $0 | $0 |
| KATHERINE BUNTING | CEO | Officer | $353,526 | $0 | $15,856 |
| KORY BLANK | ORTHOPEDIC SURGEON | Highest-compensated employee | $731,776 | $0 | $3,167 |
| LOUIS REMYNSE | UROLOGIST | Highest-compensated employee | $440,887 | $0 | $5,690 |
| MARLA LAFIKES | PHYSICIAN | Highest-compensated employee | $307,287 | $0 | $17,377 |
| MATTHEW SENG | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| MICHAEL COPELAND | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| PATRICK MOLT MD | PRESIDENT/CMO | Trustee/director, Officer | $104,670 | $0 | $0 |
| RACHEL EWING | CNO (BEG 09/22) | Officer | $110,733 | $0 | $7,605 |
| TOBY HUCKER | DIRECTOR (END 07/22) | Trustee/director | $0 | $0 | $0 |
E-file object id 202431289349301538. The IRS archive it was read from.
Follow Fairfield Memorial Hospital, free
More critical access hospitals in Illinois
File HOSP10FY2024.ZIP, form CMS-2552-10, CMS certification number 141311.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read August 29, 2025.
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