HERRICK MEMORIAL HOSPITAL INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1989

Legal Domicile

Principal Officer

LOUIS ROBICHAUX

Phone

4192525772

Tax Period

2021-01-01 to 2021-12-31

Mission

THE HERRICK MEMORIAL HOSPITAL, INC. IS AN ACUTE CARE CRITICAL ACCESS HOSPITAL THAT PROVIDES HEALTH CARE DEDICATED TO IMPROVING HUMAN LIFE, AND IS DEVOTED TO THE PATIENTS AND FAMILIES WE SERVE THROUGH INNOVATIVE CARE, SUPERIOR QUALITY, AND PREMIER CUSTOMER SERVICE.

Program Service Accomplishments

Program 1

HERRICK MEMORIAL HOSPITAL, INC. IS CURRENTLY AN INACTIVE ENTITY. - SEE SCHEDULE O, PART III, LINE 3A DISCLOSURE

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2021)

Revenue Breakdown

Contributions & Grants $0

Program Service Revenue $0

Investment Income $0

Other Revenue $0

TOTAL REVENUE $0

Expense Breakdown

Grants Paid $0

Salaries & Benefits $0

Fundraising Expenses $0

Other Expenses $0

TOTAL EXPENSES $0

Year-over-Year Comparison

	2021	2020	Change
Revenue	N/A	$19,226,299	-1.0%
Expenses	N/A	$21,194,724	-1.0%
Net Income	N/A	$-1,968,425	N/A

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

N/A

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$12,873,504

Total Directors

$2,919,169

Key Employees

$1,127,624

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
MARCY L BROWN	CHAIRMAN	1.00	Officer Director	$0	$0	$0
JULIE K YAROCH DO	PRES., EX OFFICIO	1.00	Officer Director	$0	$29,767	$443,023
DAWN M BUSKEY	EX OFFICIO, PRES. ACUTE CARE	1.00	Director	$0	$49,161	$854,660
MICHAEL B ADAMS	TRUSTEE	1.00	Director	$0	$0	$0
JOHN C AKENS	TRUSTEE	1.00	Director	$0	$0	$0
CHRISTI L ANSBERG	TRUSTEE,VP, PHILANTHROPY	1.00	Director	$0	$23,900	$237,020
DARRIN ARQUETTE	TRUSTEE, PRES. REGIONAL ACUTE CARE	1.00	Director	$0	$38,136	$519,316
MARCIA J BOYNTON JD	TRUSTEE	1.00	Director	$0	$0	$0
VICTOR J CHERFAN DO	TRUSTEE (PARTIAL YEAR), PHYSICIAN	1.00	Director	$0	$20,698	$532,222
MARSHA L DAVIS	TRUSTEE	1.00	Director	$0	$0	$0
RUSSELL L DEMPSEY	TRUSTEE	1.00	Director	$0	$0	$0
FRANK DICK	TRUSTEE	1.00	Director	$0	$0	$0
EDWARD J ENGLE	TRUSTEE (PARTIAL YEAR)	1.00	Director	$0	$0	$0
GRACE M GARNO	TRUSTEE	1.00	Director	$0	$0	$0
PAUL E GIETZEN MD	TRUSTEE, PHYSICIAN	1.00	Director	$0	$21,753	$332,928
ELIZABETH A KENNEDY	TRUSTEE	1.00	Director	$0	$0	$0
RICK K KNIERIM	TRUSTEE	1.00	Director	$0	$0	$0
GARY E MCDOWELL	TRUSTEE	1.00	Director	$0	$0	$0
DENNIS M SMOKE	TRUSTEE	1.00	Director	$0	$0	$0
AARON D SWIGGUM	TRUSTEE	1.00	Director	$0	$0	$0
MICHAEL J UCKELE	TRUSTEE	1.00	Director	$0	$0	$0
PAULA K HOLTZ	VICE CHAIRMAN	1.00	Director	$0	$0	$0
RANDALL OOSTRA	PHS PRES. & CEO	1.00	Officer	$0	$300,344	$7,456,116
JEFFREY C KUHN	SECRETARY, CHIEF LEGAL OFFICER	1.00	Officer	$0	$68,186	$1,415,801
STEVEN M CAVANAUGH	TREASURER, CFO	1.00	Officer	$0	$60,660	$3,558,564
DEANA SIEVERT	SR VP, PAT CARE/CNO, SYSTEM	1.00	Key Emp	$0	$33,176	$563,690
GARY W AKENBERGER	COO, ACUTE CARE & SVP, DIAG	0.00	Key Emp	$0	$38,467	$563,934
ALAN M SATTLER	FORMER TREASURER, VP BUSINESS DEV.	0.00		$0	$37,223	$306,850

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2021	No data	No data	$5,820,562	No data
2020	$19,226,299	$21,194,724	$5,946,601	$-1,968,425
2019	$26,626,752	$28,760,250	$79,610,197	$-2,133,498
2018	$30,125,530	$31,049,065	$82,318,502	$-923,535