2017-10-17T16:03:48-05:00 2016-12-31 BDO USA LLP 330 N Wabash Suite 3200 CHICAGO IL 60611 990 2016-01-01 362170155 Morris Hospital % DONALD W SHANHOLTZER MORR 8159422932 150 West High Street Morris IL 60450 MARK STEADHAM president/ceo 8159422932 2017-08-30 true Jacob Cook P01240455 3128569100 38.140.192.146 36189620172905000004 2017-10-17 P EB2B1C02C9534E04F62CB99F1E428011C3823D44 929F88F56CC43AAE4561ABB8BCA22E874B78A0F5 2016 2021-01-29 14:40:06Z MARK STEADHAM 150 WEST HIGH STREET MORRIS IL 60450 260187894 false X www.morrishospital.org X 1906 IL MORRIS HOSPITAL & HEALTHCARE CENTERS EXIST TO PROVIDE HEALTHCARE IN A GENERAL SHORT TERM HOSPITAL AND DELIVERING PRIMARY HEALTHCARE SERVICES IN THE OUTPATIENT SETTING. 13 11 1365 12 28679 -64008 1228971 418414 149413413 161061511 1254680 2086959 1723963 1376191 153621027 164943075 48052 74321 0 0 76045976 85254336 0 0 0 65696711 69656232 141790739 154984889 11830288 9958186 195052174 207155562 69004628 70119172 126047546 137036390 X MORRIS HOSPITAL & HEALTHCARE CENTERS EXIST TO PROVIDE HEALTHCARE IN A GENERAL SHORT TERM HOSPITAL IN ADDITION TO DELIVERING PRIMARY HEALTHCARE SERVICES IN THE OUTPATIENT SETTING. false false 134210990 74321 161158024 SHORT TERM GENERAL AND PRIMARY HEALTH CARE FOR GRUNDY COUNTY AND THE SURROUNDING AREA. SEE ALSO SCHEDULE O "2016 REPORT." 134210990 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true true false false false false false false false false false true false false false false false true true false false false true 101 0 true 1365 true true true false false false false false false false false false X 13 11 false false false false false false false true true false false true true true true true true true true true true IL X DONALD W SHANHOLTZER 8159422932 150 WEST HIGH STREET Morris IL 60450 X KELLY BEATY Chairman 1.0 0.0 X X 0 0 0 RODNEY ENGSTROM Vice Chairman 1.0 1.0 X X 0 0 0 BARRY NARVICK SECRETARY 1.0 0.0 X X 0 0 0 BRIAN ANGWIN Treasurer 1.0 0.0 X X 0 0 0 DAVID BZDILL DIRECTOR 1.0 0.0 X 0 0 0 TAMI HANSEN DIRECTOR 1.0 0.0 X 0 0 0 JACKIE GOGGINS DIRECTOR 1.0 1.0 X 0 0 0 JOHN ROTH MD DIRECTOR 1.0 1.0 X 0 0 0 PETER ROUMELIOTIS MD DIRECTOR/PHYSICIAN 40.0 0.0 X 441836 0 15831 DANIEL JURAK DO DIRECTOR 1.0 0.0 X 0 0 0 NOREEN DOLLINGER DIRECTOR 1.0 1.0 X 0 0 0 KEVIN OLSON Director 1.0 1.0 X 0 0 0 KEVIN WEBSTER MD Director 1.0 0.0 X 0 0 0 MARK STEADHAM PRESIDENT AND CEO 40.0 2.0 X 346253 0 10651 DEAN MARKETTI CFO/CIO 40.0 2.0 X 198651 0 6971 KIMBERLY LANDERS VP PATIENT CARE SRVS/CNE 40.0 1.0 X 191145 0 11648 THOMAS J DOHM VP OF PROFESSIONAL SERVICES 40.0 0.0 X 164259 0 6918 SYED AHMED PHYSICIAN 40.0 0.0 X 525481 0 4202 DOUGLAS TOUSSAINT PHYSICIAN 40.0 0.0 X 484274 0 17556 ARTHAR SAEED Physician 40.0 0.0 X 422558 0 13229 LETICIA SETRINI-BEST PHYSICIAN 40.0 0.0 X 436766 0 9540 MARK PASSERMAN PHYSICIAN 40.0 0.0 X 404397 0 9662 3615620 0 106208 86 false true false MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS MN 554809146 LABORATORY SERVICES 637169 DRINKER BIDDLE REALTH LLP ONE LOGAN SQUARE STE 2000 PHILADELPHIA PA 19103 LEGAL 445294 Nuclear Oncology 15 Salt Creek Lane Suite 119 HINSDALE IL 60521 Radiation Therapy 480000 FUSION MEDICAL STAFFING INC PO Box 82674 LINCOLN NE 685012674 AGENCY STAFFING 380107 FRESENIUS MEDICAL CARE PO BOX 16343 CHICAGO IL 60693 HEMODIALYSIS SERVICE 265993 20 396854 21560 418414 NET PATIENT REVENUE 621500 161061511 161032832 28679 161061511 1410375 1410375 0 0 850611 850611 0 850611 850611 95723951 197452 95076265 168554 647686 28898 676584 676584 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 429067 429067 INCOME FROM JOINT VENTURE 900099 59709 59709 ALL OTHER REVENUE 900099 36804 36804 525580 164943075 161129345 28679 3366637 74321 74321 0 0 0 1394163 1212922 181241 0 66691256 58021393 8669863 1234337 1073873 160464 11319043 9847567 1471476 4615537 4015517 600020 0 526084 526084 204405 204405 35653 31018 4635 0 0 10091501 8779606 1311895 342319 297818 44501 3241055 2819718 421337 2839374 2470255 369119 0 4419339 3844825 574514 323437 281390 42047 0 309498 269263 40235 994386 865116 129270 0 8717364 7584107 1133257 2154038 1874013 280025 SUPPLIES 14540100 12649887 1890213 BAD DEBT EXPENSE 5768010 5018169 749841 DRUGS 5600767 4872667 728100 MEDICAID ASSESSMENT 3390630 2949848 440782 6158272 5357697 800575 154984889 134210990 20773899 0 1939385 2224209 30586356 31565522 0 0 31339673 31143952 0 0 0 0 0 0 3538878 3789756 2182151 1924496 196839883 121500073 65451667 75339810 54230876 56453302 0 0 204827 167178 491353 272724 5087008 4274613 195052174 207155562 10830742 13453714 0 0 0 0 36930000 40280332 0 0 0 0 0 0 0 0 21243886 16385126 69004628 70119172 X 125994813 136983657 32733 32733 20000 20000 126047546 137036390 195052174 207155562 X 9958186 498301 532357 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 35653 35653 false DUES TO AMERICAN HOSPITAL ASSOCIATION & ILLINOIS HOSPITAL ASSOCIATION SCHEDULE C, PART II-B, LINE 1I 31% OF TOTAL $115,010 PAYMENT FOR 2016 DUES OWED TO ILLINOIS HOSPITAL ASSOCIATION REPRESENT LOBBYING COSTS. 9588553 9588553 79845133 39055581 40789552 6777095 4889586 1887509 100551526 77554906 22996620 77576 0 77576 75339810 0 ESTIMATED THIRD-PARTY PAYOR SETTLEMENT 7291456 ESTIMATED INSURANCE LIABILITIES 4875309 OTHER LIABILITIES 4218361 16385126 true true true X true X 600. true true true false true true 4344 2446103 2446103 0.01650 40006 20825839 17083686 3742153 0.02520 41896107 34990537 6905570 0.04650 44350 65168049 52074223 13093826 0.08820 27 18173 212880 14340 198540 0.00130 6 402 77514 68 77446 0.00050 2 139 470718 470718 0.00320 5 25677 548435 31658 516777 0.00350 40 44391 1309547 46066 1263481 0.00850 40 88741 66477596 52120289 14357307 0.09670 2 62 343696 105000 238696 0.00160 2 62 343696 105000 238696 0.00160 false 5768010 331436 34990537 41896107 -6905570 X true true DEERPATH ORTHOPEDIC SURGERY 0.4838 0.5162 1 1 MORRIS HOSPITAL 150 WEST HIGH STREET MORRIS IL 60450 WWW.MORRISHOSPITAL.ORG 0001628 X X X A MORRIS HOSPITAL 1 false false true X X X X X X X X X 16 true false true true X WWW.MORRISHOSPITAL.ORG X true 16 true www.morrishospital.org/chna false true X 150. 600. X X X X X X X true true X X X X true X www.morrishospital.org X www.morrishospital.org X X X X X X X true X false X X X X true X false false INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY SCHEDULE H, PART V, LINE 5 TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BOARD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS IDENTIFIED BY MORRIS HOSPITAL INCLUDING THE PUBLIC HEALTH ADMINISTRATION OR THE GRUNDY COUNTY HEALTH DEPARTMENT AND INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS, WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. FIFTEEN INTERVIEWS WERE COMPLETED DURING JULY - AUGUST 2016. FACILITIES THAT CHNA WAS CONDUCTED IN COOPERATION WITH SCHEDULE H, PART V, LINE 6B CHNA PLANNED AND DEVELOPED IN COOPERATION WITH THE FOLLOWING ORGANIZATION: GRUNDY COUNTY HEALTH DEPARTMENT CHNA SIGNIFICANT NEEDS ADDRESSED/NEEDS HOSPITAL HAS NOT ADDRESSED SCHEDULE H, PART V, LINE 11 MORRIS HOSPITAL HAS CREATED A THREE YEAR IMPLEMENTATION STRATEGY THAT FOCUSES ON THE FOUR PRIORITY HEALTH AREAS IDENTIFIED IN THE STUDY: ACCESS TO CARE, CHRONIC DISEASE, OVERWEIGHT AND OBESITY, AND HEALTH BEHAVIORS AND PREVENTION. MENTAL HEALTH WAS ONE NEED IDENTIFIED IN THE CHNA THAT WAS NOT SELECTED AS A PRIORITY HEALTH NEED AND THAT MORRIS HOSPITAL DOES NOT INTEND TO ACTIVELY ADDRESS. MORRIS HOSPITAL HAS CHOSEN NOT TO FOCUS ON MENTAL HEALTH AS THE HOSPITAL DOES NOT HAVE THE EXISTING INFRASTRUCTURE, IDENTIFIED ORGANIZATIONAL COMPETENCIES OR ESTABLISHED PARTNERSHIPS THAT FOCUS ON MENTAL HEALTH. MORRIS HOSPITAL WILL INDIRECTLY ADDRESS MENTAL HEALTH AND SUBSTANCE ABUSE THROUGH INCREASING ACCESS TO CARE. HOWEVER, THE CURRENT FOCUS OF THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE FOUR IDENTIFIED PRIORITY HEALTH NEEDS. PUBLICIZATION OF THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL SCHEDULE H, PART V, LINE 16J 1) INFORMATION ON FINANCIAL ASSISTANCE IS POSTED AT ALL REGISTRATION POINTS. 2) INFORMATION IS IN THE ADMITTING BOOKLET GIVEN TO PATIENTS. 3) SUMMARY INFORMATION IS ON THE MORRIS HOSPITAL WEBSITE. 4) BILLING STATEMENTS INCLUDE MENTION OF FINANCIAL ASSISTANCE AND NUMBER TO CALL. 5) FINANCIAL COUNSELORS ON FRONT END EXPLAIN THE PROGRAM TO PATIENTS AND FINANCIAL REPRESENTATIVES ON THE BACK END EXPLAIN THE PROGRAM TO CALLERS AND WALK-INS. BASIS FOR CHARGING PATIENTS & MAXIMUM CHARGED TO FAP-ELIGIBLE INDIVIDUALS SCHEDULE H, PART V, LINE 13H LINE 13H MORRIS HOSPITAL USES AN AUTOMATED CHARITY SCORING SYSTEM CALLED CONNANCE. PATIENTS MAY QUALIFY VIA THIS PATIENT ACCOUNT RANK ORDERING ("PARO") AUTOMATED SYSTEM, IF SCORED AS PRESUMPTIVE CHARITY THEN ACCOUNT IS WRITTEN OFF UNDER FINANCIAL ASSISTANCE WITHOUT PATIENT HAVING TO COMPLETE THE FINANCIAL WORKSHEET. 24 RADIATION THERAPY CENTER 1600 US RTE 6 MORRIS IL 60450 RADIATION & ONCOLOGY CLINIC MORRIS HOSPITAL OBGYN SPECIALISTS 237 W WAVERY ST MORRIS IL 60450 OB/GYN PHYSICIANS RIDGE ROAD CAMPUS 27240 W SAXONY DRIVE CHANNAHON IL 60410 IMMEDIATE CARE CENTER THE DIAGNOSTIC & REHABILITATIVE CENTER 100 WEST GORE RD MORRIS IL 60450 PHYSICAL THERAPY & IMMEDIATE CARE CENTER MINOOKA HEALTHCARE CENTER 27240 W SAXONY DRIVE CHANNAHON IL 60410 CLINIC CHANNAHON HEALTHCARE CENTER 25259 REED STREET CHANNAHON IL 60408 CLINIC MORRIS HOSPITAL CARDIOVASCULAR SPECIALIS 151 W HIGH STREET MORRIS IL 60450 CARDIOVASCULAR PHYSICIANS MORRIS HOSPITAL YORKVILLE CAMPUS 105 SARAVANOS DRIVE YORKVILLE IL 60560 CLINI, OB/GYN, PHYSICAL THERAPY & IMMEDIATE CARE CTR MORRIS HEALTHCARE CTR INTERNAL MEDICINE 1802 N DIVISION ST SUITE 703 MORRIS IL 60450 PHYSICIAN OFFICE MARSEILLES HEALTHCARE CENTER 580 SYCAMORE STREET MARSEILLES IL 61341 CLINIC MORRIS HEALTHCARE CENTER 1345 EDWARDS STREET MORRIS IL 60450 CLINIC BRAIDWOOD HEALTHCARE CENTER 389 E MAIN STREET BRAIDWOOD IL 60408 CLINIC NEUROLOGY 1499 LAKEWOOD DR SUITE 1 MORRIS IL 60450 PHYSICIAN OFFICE DWIGHT HEALTHCARE CENTER 101 S PRAIRIE AVE DWIGHT IL 60420 CLINIC MAZON HEALTHCARE CENTER 522 DEPOT STREET MAZON IL 60444 CLINIC MORRIS HOSPITAL PEDIATRICIANS 151 W HIGH ST UPPER LEVEL MORRIS IL 60450 PEDIATRICIANS OTTAWA HOSPITAL OBGYN SPECIALISTS 1300 STARLINE DRIVE OTTAWA IL 61350 OB/GYN PHYSICIANS GARDNER HEALTHCARE CENTER 109 N ROUTE 53 GARDNER IL 60424 CLINIC DWIGHT HEALTHCARE CENTER OF MORRIS HOSPI 103 S JOHN ST DWIGHT IL 60420 CLINIC, GENERAL PRACTICE MORRIS HOSPITAL OTTAWA CAMPUS 1306 GEMINI CIRCLE SUITE 1 OTTAWA IL 61350 CLINIC NEWARK HEALTHCARE CENTER 5 N JOHNSON STREET NEWARK IL 60541 CLINIC OTTAWA HOSPITAL CARDIOVASCULAR SPECIALIS 1404 AQUARIUS CIRCLE SUITE A OTTAWA IL 61350 CARDIOVASCULAR PHYSICIANS COAL CITY HC CTR OF MORRIS HOSPITAL 4 EAST NORTH STREET COAL CITY IL 60416 PHYSICIAN OFFICE MINOOKA HC CTR OF MORRIS HOSPITAL 603 W MONDAMIN ST MINOOKA IL 60447 PHYSICIAN OFFICE SCHEDULE H, PART I, LINE 3C NOT APPLICABLE AS THE ORGANIZATION DOES FOLLOW FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING CHARITY AND DISCOUNTED CARE TO LOW-INCOME UNINSURED AND UNDERINSURED INDIVIDUALS. SCHEDULE H, PART I, LINE 6A THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST AND IS PROVIDED TO THE STATE AGENCY THAT MAKES IT AVAILABLE TO THE PUBLIC. SCHEDULE H, PART I, LINE 7 CHARITY CARE IS CALCULATED BY DETERMINING THE TOTAL AMOUNT FROM PATIENT BILLING THAT IS WRITTEN OFF TO CHARITY CARE CHARGE CODES OR ALLOWANCES. THIS AMOUNT MATCHES THE NUMBER THAT IS REPORTED ON OUR YEAR ENDING 2016 AUDITED FINANCIAL STATEMENTS. THE TOTAL CHARITY CARE DOLLAR AMOUNT IS THEN REDUCED TO COST BY APPLYING THE HOSPITAL'S COST TO CHARGE RATIO AS CALCULATED ON IRS SCHEDULE H- WORKSHEET 2. SCHEDULE H, PART I, LINE 7G THE HOSPITAL HAS NOT INCLUDED ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS PART OF THEIR SUBSIDIZED HEALTH SERVICES. SCHEDULE H, PART I, LINE 7J THE PERCENT OF CHARITY CARE AND CERTAIN OTHER BENEFITS AT COST AS A PERCENT OF TOTAL EXPENSE LESS BAD DEBT IS 0.85%. SCHEDULE H, PART II - COMMUNITY COALITION AND COLLABORATIVE EFFORTS Throughout the year, Morris Hospital furthers its mission of improving the health of area residents by participating in a number of community-building activities in collaboration with other organizations. Morris Hospitals partnership with the year-old Morris Community YMCA continued to thrive in 2016. In addition to covering half of the facility operating expenses, Morris Hospital holds its senior exercise classes at the YMCA and encourages graduates of Morris Hospitals Phase II cardiac rehabilitation program to continue their exercise program at the Y so they can maintain optimal heart health. In addition to partnering on educational programs during heart month, Morris Hospital and the Morris Community YMCA partnered together in community events including an Easter egg hunt and Halloween event. In 2016, Morris Hospital launched a screening program called Rhythm of Our Youth to detect cardiac abnormalities in area high school students that could lead to sudden cardiac death. This involved collaborating with area high schools to bring the screening to the schools. In the first semester of the 2016-17 school year, the cardiac screenings were conducted at Gardner South Wilmington H.S., Morris H.S., Minooka H.S., and Coal City H.S. While its voluntary for schools to participate, this is a collaborative effort with the schools that involves education, coordinating schedules, and collective the required permission/consent forms from the students parents. The screening is an ongoing program, with Morris Hospital committed to visiting half of the high schools in its service area during odd number years and the other half during even number years. Morris Hospital continued to serve as a major sponsor for the American Cancer Societys Relay for Life event, held locally in Morris. In addition, employees from the Morris Hospital Radiation Therapy Center lead the Morris Hospital team in raising $2,683 for the American Cancer Society in support of ACS services that are offered to the local community. For the fifth year in a row, Morris Hospital participated in Coal City H.S.s Family Wellness Night by providing fruit kabobs free of charge in the food court and information about the Rhythm of Our Youth heart screening program. Each year, Morris Hospital partners with a number of area organizations to offer a Camp 911 safety program to area 4-6th graders. 2016 Camp 911 community partners included EPIC Group, Morris Emergency Medical Services, Morris Fire Department, Grundy County Sheriffs Department, Morris Police Department, Minooka Fire Department, Morris Lions Club and Lifestar, along with several independent physicians. Morris Hospital improves access to health services by providing community members free rides to medical appointments through its free Patient Transportation Service. This occurred 17,753 times in 2016. Rides are provided regardless of whether the medical provider is associated with Morris Hospital. The service was started in 1998 in response to an identified need for increased transportation service in the county. The service is available to any community member needing a ride and is especially used by seniors and low-income community members. In coordinating the rides, Morris Hospital works in cooperation with a number of other area agencies and healthcare providers when providing this service, including Illinois Valley Industries, Elliott Manor, Walnut Grove Nursing Home, Heritage Woods, Saratoga Towers, the Grundy County Health Department, Morris Senior Center, Morris Library, We Care, Hospice, Catholic Charities, Will/Grundy Medical Clinic, Grundy County Housing Authority, and the Gardner American Legion. Many of these riders have indicated that they have no other way to get to their appointment. Morris Hospital works in collaboration with Morris Mobile Meals by preparing daily, nutritious meals to people of all ages and economic circumstances, including children, the elderly, ill, disabled and homebound. The Nutrition Services staff at the Hospital cooks and prepares the meals daily, which are delivered by volunteers from Mobile Meals. While clients pay a nominal fee to Mobile Meals, Morris Hospital is reimbursed only for the cost of the food and related supplies so the meals can remain affordable for those who use the service, with Morris Hospital covering the staff time to prepare the meals. The Mobile Meals coordinator and volunteers for Mobile Meals come to Morris Hospital every day to pick up the meals and return the meal carrying cases. As part of a commitment to supporting our communitys future healthcare providers, the Hospital devotes staff time to mentoring students studying to become nurses, paramedics, respiratory therapists, pharmacists, lab and radiology technologists through Joliet Junior College, College of DuPage, Illinois Valley Community College, Kankakee Community College, Lewis University, Midwestern University, Swedish American University, University of St. Francis, and Grundy Vocational Center. It is imperative that these students have a place to complete their critical training. By helping students train in preparation for entering the healthcare workforce, we are helping to improve access to healthcare services in the future. Additionally, Morris Hospital continues to host high school students for summer internships through the Grundy Economic Development Council. This program is about giving local students exposure to career opportunities in their communities. Morris Hospital continues to provide financial donations at the request of a number of community organizations whose mission closely mirrors the Hospitals. The hospitals contributions help these organizations meet their goals of enhancing public health or relieving government burden. In 2016, over $30,000 was donated to Gardner South Wilmington H.S., Coal City H.S., Seneca H.S., Reed Custer and Morris H.S. for prom safety events; Big Brothers Big Sisters of Will and Grundy County for mentoring services; Bristol-Kendall and Channahon Fire Departments for their childrens safety program; Dwight EMS for their Camp 911 event, Will-Grundy Medical Clinic for the uninsured, Joliet Area Community Hospice and Grundy Community Hospice for their end of life and grief services; the American Cancer Society for cancer services and research; Shabbona Middle School for drug awareness education; Guardian Angel for services for victims of domestic violence; Angels of Hope for families who have lost a child, United Way of Grundy County for their many partner agencies, Minooka Athletic Boosters for sports programs, Starved Rock Regional Center for Therapy & Child Development for services for disabled children, Rainbow Council Boy Scouts for their youth programs, Greater Joliet Area YMCA for their family programs and services, Ottawa YMCA for their youth programs, and We Care of Grundy County for their mobile food pantry and fill the pantry event. In 2016, Morris Hospital made its second gift of $20,000 to the People for Channahon Parks for the Arroyo Trails project that will result in a 60 acre nature based playground for the community. Morris Hospital is specifically supporting a fit trail at the park that will include outdoor circuit workout stations. At the request of area organizations, Morris Hospital provides personnel to offer their talents and expertise by serving as volunteer leaders on boards of directors. In 2016, this included the Chief Executive Officer serving on the Grundy Economic Development Council, Channahon Economic Development Council, Metropolitan Chicago Healthcare Council, Illinois Provider Trust board of directors, and Boy Scouts board of directors, in addition to being a member of the Morris Rotary Club; the Chief Nursing Officer serving as President of the Illinois Organization of Nurse Leaders, on the Advisory Board for St. Francis School of Nursing, and on the Board of Directors for Grundy Volunteer Hospice; the Vice President of Human Resources serving on the Grundy County Chamber of Commerce Board of Directors and the Workforce Board, an employed nurse practitioner serving on the Will-Grundy Medical Clinic board of directors, the Vice President of Professional Services serving on the board of directors of the Joliet Area Hospice, and the Planning Manager serving on the United Way of Grundy County board of directors. Morris Hospital is a significant partner of the Will Grundy Medical Clinic, which provides free medical and dental care to qualifying residents. We demonstrate our support by providing free use of office space each month, volunteer time from Morris Hospital employed physicians, a $10,000 annual donation and support of other WGMC fundraising initiatives, and free hospital services to clients referred from WGMC. Morris Hospital provides laundered sheets, blankets and towels for the local PADS (Public Action to Deliver Shelter), in addition to providing pick up and delivery service, all free of charge, along with Saturday SCHEDULE H, PART III, LINE 2, LINE 3, AND LINE 4 Patients accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the collectibility of patients accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. For receivables associated with patient responsibility (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the patients are screened against the Hospital charity care policy and uninsured discount policy. For any remaining patient responsibility balance, the Hospital records a provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The allowance for doubtful accounts at December 31, 2016 and 2015 was approximately $12,861,000 and $12,118,000, respectively. SCHEDULE H, PART III, LINE 8 THE HOSPITAL CONTINUALLY STRIVES TO PROVIDE EXCELLENT PATIENT CARE IN THE MOST COST EFFECTIVE FASHION. NONETHELESS, THE MEDICARE PROGRAM, IN MANY CASES, DOES NOT PROVIDE PAYMENT THAT COVERS THE FULL COST OF THE CARE PROVIDED. SINCE IT IS THE MISSION OF THE HOSPITAL TO RESPOND TO COMMUNITY NEED, HOSPITAL MANAGEMENT CONTINUALLY ADVOCATES FOR IMPROVED MEDICARE PAYMENT SO THAT THE COST OF QUALITY CARE TO THOSE PATIENTS THAT ARE NOT ABLE TO AFFORD IT IS NOT COMPROMISED AND IS FAIRLY SUBSIDIZED BY ALL PAYERS. WHILE THIS SHORTFALL IN MEDICARE PAYMENTS IS NOT CLASSIFIED AS COMMUNITY BENEFIT BY THE IRS, WE NONETHELESS BELIEVE IT IS AN IMPORTANT CONTRIBUTION MADE BY THE HOSPITAL TO THE HEALTH AND WELL BEING OF THE COMMUNITY. OUR MISSION CALLS US TO SERVE ALL PATIENTS WITH THE HIGHEST POSSIBLE QUALITY AND EFFICIENCY, EVEN IF WE ARE NOT PAID FULLY FOR DOING SO. SCHEDULE H, PART III, LINE 9B PATIENTS ARE GIVEN ADEQUATE TIME TO APPLY FOR FINANCIAL ASSISTANCE BEFORE THE PATIENT ACCOUNT IS SENT TO COLLECTION. WE HAVE ALSO IMPLEMENTED AUTOMATED CHARITY SCORING FOR THE UNINSURED THAT ALLOWS US TO PROCESS CHARITY WITHOUT AN APPLICATION. FOR ANY ACCOUNT ALREADY PLACED WITH AN AGENCY A PATIENT CAN STILL APPLY FOR FINANCIAL ASSISTANCE AND IF THEY ARE QUALIFIED FOR CHARITY AN ADJUSTMENT IS MADE AND THE HOSPITAL NOTIFIES THE AGENCY AND THE ACCOUNT IS CANCELLED. SCHEDULE H, PART VI, LINE 2 Needs assessment. In compliance with provisions of the Patient Protection and Affordable Care Act and Internal Revenue Service regulations for tax-exempt hospitals, Morris Hospital conducted a Community Health Needs Assessment in 2016 through Biel Consulting, Inc., and through the oversight of the Grundy County Public Health Administrator, Morris Hospital Planning Manager, and Morris Hospital Education Instructor. Primary data collection was gathered through targeted interviews from persons who represent the broad interest of the community served by the hospital. This included leaders and representative of medically underserved, low-income and minority populations, including representatives from Coal City School District, Grundy County and Kendall County Health Departments, Channahon Park District, and area healthcare providers. Secondary data was collected from a variety of local, county and state sources including the US Census American Community Survey, Illinois Department of Public Health, Illinois Department of Employment Security, National Cancer Registry, County Health Rankings, Illinois Youth Survey, Illinois State Police and others. Like previous years, heart disease, cancer, stroke and lung disease continue to surface as the leading causes of death in the communities served by Morris Hospital. Whereas the last Community Health Needs Assessment showed that over one-third of adults in the counties served by Morris Hospital (Grundy, Kendall, LaSalle, Livingston and Will) were overweight and close to one-fourth were obese, new data shows a shift in those numbers, with one-quarter of adults overweight and one-third obese. Of those five counties, Livingston County now has the highest percentage of overweight and obese adults at 70%, higher than the state rate of 63.7%. Here are some of the other key findings: - Among adults, between 18.7% and 25.9% of the population in Morris HOSPITAL SERVICE AREA COUNTIES RATED THEIR MENTAL HEALTH AS GOOD' for between 1 and 7 days in the past month. Mental health ratings OF GOOD' FOR BETWEEN 8 AND 30 DAYS IN THE PAST MONTH WERE REPORTED BY for between 8 and 30 days in the past month were reported by an additional 10.4% to 15% of the population - Grundy County has the highest incidence rate for all cancers (530.2 per 100,000 persons). Grundy County also has the highest incidence rate of lung cancer (92.2), colorectal cancer (54) and esophageal cancer (8.1). LaSalle County has the highest rate of prostate cancer (176.9) and Will County has the highest rate of breast cancer (128.8). - 33.8% of adults in Livingston County have been diagnosed with arthritis, which is higher than the state rate of 25.1%. Among adults, 13.9% in Grundy County have been diagnosed with asthma, higher than the state rate of 9.1%. 10.6% of Will County adults have been diagnosed with diabetes, which is higher than the state rate of 10.2%. Livingston County (4.9%) and Will County (4.5%) have higher rates of coronary heart disease than the state (3.6%). - The rate of binge drinking (five or more drinks per occasion for males; four or more for females) in three area counties exceeds the state rate of 20.3%. - Smoking continues to be a leading cause of preventable death. Smoking prevalence among adults in Grundy County and LaSalle County is higher than the state rate of 16.7%, with 24.9% of Grundy County residents being smokers and 21.4% of LaSalle County residents. The assessment also includes the County Health Rankings which are based on adult smoking, obesity, physical inactivity, excessive drinking, sexually transmitted infections, and others. Illinois 102 counties are ranked from 1 (healthiest) to 102 (least healthy). Of the five counties served by Morris Hospital, Will County is ranked the 6th healthiest in Illinois, Kendall County is ranked 11th, LaSalle County is ranked 30th, Grundy County is ranked 32nd, and Livingston County is ranked 40th. IN RESPONSE TO THE FINDINGS, MORRIS HOSPITAL IS IN THE PROCESS OF CREATING A THREE YEAR IMPLEMENTATION STRATEGY THAT FOCUSES ON THE HEALTH PRIORITIES INDENTIFIED WITH INPUT FROM THE COMMUNITY. THE IDENTIFIED PRIORITIES INCLUDE MENTAL HEALTH SERVICES, SUBSTANCES ABUSE AND ACCESS TO CARE. AN ENTIRE COPY OF THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE FOR PUBLIC VIEWING ON THE HOSPITAL WEBSITE, WWW.MORRISHOSPITAL.ORG/CHNA. PAPER COPIES ARE AVAILABLE BY CALLING 815-705-7009, OR BY FILLING OUT THE FORM UNDER CONTACT US ON THE HOSPITAL WEBSITE AND TYPING 'COMMUNITY HEALTH NEEDS ASSESSMENT' IN THE QUESTIONS AND COMMENTS FIELD. SCHEDULE H, PART VI, LINE 3 Patient education of eligibility for assistance. As stated in the Provision of Financial Assistance policy, Morris Hospital & Healthcare Centers is a not-for-profit, tax-exempt entity with a charitable mission of providing medically necessary health care services to residents of the City of Morris and the Hospitals defined service area, regardless of their financial status and ability to pay. Processes and procedures exist for identifying and assisting patients whose care may be provided without charge or at a discount commensurate with their financial resources and ability to pay. When possible, a Financial Service Representative conducts an interview with the patient, the guarantor, and /or his or her legal representative, prior to the admission or rendering of service. If an interview is not possible prior to the admission or rendering of service, the interview is conducted upon admission or as soon as possible thereafter. In the case of an emergency admission, the evaluation of payment alternatives does not take place until the required medical care has been provided. Before beginning the application process for financial assistance from Morris Hospital, the Financial Representative will first determine if the patient qualifies for medical assistance from other existing financial resources such as Medicare, Medicaid, KidCare, FamilyCare, Will-Grundy Medical Clinic, or other state and federal programs. While it is the intention to identify patients who qualify for financial assistance at the time of registration, there are instances when it is not possible to determine the need for financial assistance at that point. As part of a strategy to reach patients with this important information, signage regarding the availability of financial assistance is posted in both English and Spanish at various locations throughout the Hospital and the offsite locations. An overview of the financial assistance program is available on the Hospitals website, along with a downloadable copy of the financial assistance application. Information on financial assistance is also included in the Patient Guide that is given to all inpatient and observation patients. In addition, patient account correspondence sent to patients includes a statement regarding the availability of the financial assistance program and a contact number. Any patient whose payment is 30 days late and has not already been denied financial assistance is sent information on the financial assistance program. SCHEDULE H, PART VI, LINE 4 Morris Hospital & Healthcare Centers serves a 19 zip code area encompassing 5 counties: Grundy, LaSalle, Kendall, Will and Livingston. According to the U.S. Census Bureau, American Community Survey, 2010-2014, the combined population of the 19 zip codes served by Morris Hospital is 112,742. Communities served are primarily rural with a few that are more suburban. The majority population (88%) in the Morris Hospital service area is White/Caucasian, and 7.8% is Hispanic/Latino, with the remaining racial/ethnic groups making up less than 5% of the population. The percentage of Caucasians is significantly higher than that of the state of Illinois. English is the most frequently spoken language (93%). 4.5% of the population speaks Spanish. Children and youth ages 0-19 make up 29.5% of the population, and 11.9% of the population are seniors age 65 and older. The percentage of seniors in the service area is less than found in the state. The average household income is $58,638. This is slightly above the state median. Of the population age 25 and over in the Morris Hospital service area, 91.8% were high school graduates or higher. This is higher than state completion rates (87.6%). Poverty rates vary considerably by community through the Morris Hospital service area, ranging from 3.2% of families with children under 18 being at poverty level in Yorkville, to 34.5% in Marseilles. Among the counties served by Morris Hospital, LaSalle County has the highest unemployment rate at 7%. Health insurance coverage is a key component to accessing health care. Among children, Livingston County has the highest rate of uninsured at 4.0%. LaSalle County has the highest rate of uninsured adults 18-64 at 15.1%. The rate of uninsured seniors if very small in all counties served by Morris Hospital. SCHEDULE H, PART VI, LINE 5 Promotion of community health In 2016, Morris Hospital invested in the community by providing free and discounted services and programs. The largest dollar amount was in the area of financial assistance, which is granted to patients who do not have the means to pay for services. In 2016, 4,344 patient accounts were discounted or forgiven, totaling $8,770,536 in charges. Without financial assistance, many of these individuals would have missed getting the medical attention they needed, or they would have experienced severe financial hardship. Another way Morris Hospital promotes the health of the community is by offering a free Patient Transportation service that provides rides to doctors and dentists offices, physical therapy, kidney dialysis, laboratory tests, and diagnostic imaging appointments, regardless of whether the service is provided by Morris Hospital. 17,753 rides were provided in 2016 free of charge to patients. This is a $435,303 investment on behalf of Morris Hospital for the cost of gas, maintenance of the buses, and salaries for paid staff who coordinate the services. As the result of a partnership with the Morris Community YMCA, Morris Hospital funds half of the YMCA facility costs annually, which totaled $36,864 in 2016. The YMCA compliments Morris Hospitals mission by keeping the community healthy through exercise. Additionally, Morris Hospital serves as an agent for Philips Lifeline and At Home Medication Dispensers, which allows community members to subscribe for these services at a more affordable rate than they would be able to otherwise. Community members are offered a discounted rate based on their ability to pay, as Morris Hospital is committed to offering these services as a benefit to the community. In 2016, Morris Hospital invested $46,391 toward these vital community services. Morris Hospital continues to retain its status as a Level II trauma center in order to best meet the health needs of the community, an investment of $424,327 for the hospital which includes the cost for the on-call trauma surgeon. Additional funds totaling $238,592 were invested in 2016 toward Morris Hospitals role as a Resource Hospital for Emergency Medical Services. By providing education and training for emergency medical technicians and paramedics in the community, Morris Hospital is further promoting the health of the community. Morris Hospital additionally promotes the health of the community by mentoring and educating students who represent the communitys local healthcare workforce. This is accomplished through participation in career fairs, direct student mentoring, and serving as the Boy Scouts Explorer Post. In 2016, Morris Hospital invested $51,898 in staff time mentoring students from area high schools and colleges who needed clinical hours, $17,684 in staff time providing educational opportunities in the clinical setting for student nurses, and over $5,200 hours orienting students and their instructors. In 2016, Morris Hospital conducted its Community Health Needs Assessment in compliance with provisions of the Patient Protection and Affordable Care Act and Internal Revenue Service regulations for tax-exempt hospitals. The plan is used to identify the highest priorities for improving the communitys health. Completing the assessment requires staff time and a consultant, at a cost of $15,302 to Morris Hospital. Another way Morris Hospital promotes the health of the community is through its free support groups facilitated by staff from Morris Hospital. New in the last quarter of 2016 was a monthly Breathers Support Group for community members with chronic lung disease. Morris Hospital also offers a monthly support group for individuals with congestive heart failure, a monthly head and neck and oral cancer support group, and a quarterly stroke and aphasia support group. Staff time to lead these groups was a $6,415 investment for Morris Hospital in 2016. Morris Hospital participates in a number of health fairs and health screenings throughout the year, including a free prostate cancer screening and free skin cancer screening, blood pressure screenings, glucose screenings, and body fat analysis. Over 1,000 community members participated in these screenings last year, with a $2,724 investment by the hospital. One of Morris Hospital major new community health promotion programs that launched in 2016 is a cardiac screening program called Rhythm of Our Youth that involves EKG screenings at area high schools to detect heart abnormalities that could lead to sudden cardiac death. While the program is staffed by volunteers and the equipment and supplies are funded through the Morris Hospital Foundation, 272 hours of staff time were required to schedule and coordinate the screenings in 2016 for a total investment of $12,971. Morris Hospital will continue to offer this program annually, going to half of the high schools in its service area in the odd years, and the other half in the even years. Additionally, the hospital promotes community health by offering a number of health education classes and programs throughout the year, including CPR Heartsaver certification, babysitting courses, and diabetes education classes at a cost of $9,873 to the hospital. In response to the Community Health Needs Assessment that shows one quarter of the Morris Hospital service area is overweight and one-third are obese, Morris Hospital offered two sessions of Diet Free weight loss program in 2016 with 91 community members participating. The registration fee was reimbursed for those who completed the program, making it completing free of charge. The community benefit from Morris Hospital was $6,213. Morris Hospital further promotes community health by offering a free exercise class for seniors. Over $25,000 of staff time is donated to the senior exercise classes, which help individuals age 55 and older improve their strength, flexibility and mobility. Each year, Morris Hospital offers a Camp 911 program to help area 3rd, 4th and 5th graders become better prepared for emergencies. While participants are charged a nominal $10 registration, in 2016, Morris Hospital invested $10,713 in staff, supplies and materials needed to make the program such a success. There were 152 participants. Morris Hospital Social Workers are often called upon as a resource for patients who have been discharged from the hospital, or in some cases, by patients who may have never used the hospital. While there is no formal social service offering in these circumstances, we are committed to helping community members. 374 hours in staff time were donated in 2016 to assist 936 people, at a cost of $13,474 to Morris Hospital. In addition to screenings, classes and support group, the hospital often uses its weekly 5-minute radio program to promote community health. While we do not know the number of listeners, the radio is much farther reaching than we are able to achieve in the classroom setting. Some of the community health topics and guests on the radio program in 2016 included awareness of diabetes and neuropathy, stroke awareness, motorcycle safety, prevention of summer injuries, summer eating guidelines for people with diabetes, education on diabetes and kidney health, sepsis education, farming/motorist safety, breast cancer awareness, antibiotic education and healthy holiday eating. In addition, Morris Hospitals HealthSource magazine mailed to over 50,000 homes in the service area included articles on heart attack IQ, pre-diabetes, breast cancer screening guidelines, and support groups and educational classes. There are a number of organizations in the community that also work to promote the health of the community, and Morris Hospital provides behind-the-scenes financial support for many of these initiatives. One example is the daily meals prepared by Morris Hospitals Nutrition Services staff for the local Mobile Meals program, for which Morris Hospital donates the staff time to prepare the meals. 7,431 meals were prepared in 2016 at a cost of $30,524 to Morris Hospital. The Hospital invests in the Grundy County PADS shelter by providing clean linens so clients have a warm and safe place to sleep during the winter months at a cost of over $19,545 to the hospital in 2016. Additionally, Morris Hospital donates office space to the Will Grundy Medical Clinic so its clients have a local place to go for free medical care. The office space is valued at $10,000 annually, although there is no charge to Will Grundy Medical Clinic. Morris Hospital also offers free use of meeting space to other nonprofit organizations in the community, with a community benefit estimated at $6,056. Morris Hospital also promotes the health of the community by making monetary donations to other nonprofit organizations that share a similar mission of improving the health of area residents. Some examples from 2016 included $10,000 to the Will Grundy Medical Clinic that provides free healthcare to the unins SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTHCARE SYSTEMS MORRIS HOSPITAL & HEALTHCARE CENTERS ARE NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT ILLINOIS true Will Grundy Medical Clinic Inc 213 East Cass Street Joliet IL 60432 363492306 501(C)(3) 10850 Medical Care for Participants CHANNAHON PARK FOUNDATION 24856 WEST EAMES STREET CHANNAHON IL 60410 264058097 501(C)(3) 20000 ARROYO TRAILS SPONSORSHIP IL Hospital Research and EducationAL Foundation 1151 E WARRENVILLE RD PO BOX 3015 NAPERVILLE IL 60566 237421930 501(C)(3) 22481 HOSPITAL MUTUAL ASSISTANCE PROGRAMS 3 0 PROCEDURES FOR MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 MORRIS HOSPITAL PROVIDES FINANCIAL DONATIONS AT THE REQUEST OF A NUMBER OF COMMUNITY ORGANIZATIONS WHOSE MISSION CLOSELY MIRRORS THE HOSPITAL'S MISSION. THE HOSPITAL'S CONTRIBUTIONS HELP THESE ORGANIZATIONS MEET THEIR GOALS OF ENHANCING PUBLIC HEALTH OR RELIEVING GOVERNMENT BURDEN. X true true X X X X X false false false false false false false false false PETER ROUMELIOTIS MD DIRECTOR/PHYSICIAN 272101 0 0 0 169735 0 7922 0 7909 0 457667 0 0 0 MARK STEADHAM PRESIDENT AND CEO 334306 0 0 0 11947 0 8745 0 1906 0 356904 0 0 0 DEAN MARKETTI CFO/CIO 193060 0 200 0 5391 0 5665 0 1306 0 205622 0 0 0 KIMBERLY LANDERS VP PATIENT CARE SRVS/CNE 177911 0 10838 0 2396 0 5770 0 5878 0 202793 0 0 0 SYED AHMED PHYSICIAN 495809 0 0 0 29672 0 0 0 4202 0 529683 0 0 0 DOUGLAS TOUSSAINT PHYSICIAN 292799 0 185107 0 6368 0 10335 0 7221 0 501830 0 0 0 ARTHAR SAEED Physician 394312 0 0 0 28246 0 7536 0 5693 0 435787 0 0 0 LETICIA SETRINI-BEST PHYSICIAN 300019 0 125169 0 11578 0 9540 0 0 0 446306 0 0 0 MARK PASSERMAN PHYSICIAN 209290 0 169911 0 25196 0 7304 0 2358 0 414059 0 0 0 THOMAS J DOHM VP OF PROFESSIONAL SERVICES 162342 0 0 0 1917 0 0 0 6918 0 171177 0 0 0 TAX INDEMNIFICATION AND GROSS UP PAYMENTS SCHEDULE J, PART I, LINE 1A THE ORGANIZATION PROVIDED A GROSS UP OF THE VALUATION OF GROUP LIFE INSURANCE REPORTED ON THE ANNUAL W-2, WHICH APPLIES TO ALL EMPLOYEES. A VILLAGE OF CHANNAHON IL 362597211 159140AC6 2003-05-28 9220000 ADVANCED REFUND FOR FACILITIES true false false B VILLAGE OF CHANNAHON IL 362597211 159140AD4 2003-05-28 5670000 CONSTRUCTION OF BIRTHING CENTER false false false C VILLAGE OF CHANNAHON IL 362597211 159140AE2 2003-05-28 5885000 RENOVATION OF ICU AND MED/SUR false false false D VILLAGE OF CHANNAHON IL 362597211 159140AF9 2003-05-28 6445000 INFRASTRUCTURE IMPROVEMENTS false false false A 4370000 0 9220000 739434 0 0 112877 0 0 0 0 0 2003 false true true true B 1465000 0 5670000 286718 0 0 42525 0 0 5340870 0 0 2004 false false true true C 1380000 0 5855000 297641 0 0 44137 0 0 5543340 0 0 2005 false false true true D 1495000 0 6445000 326058 0 0 48338 0 0 6070733 0 0 2004 false false true true A false false false false 0 true false false true B false false false false 0 true false false true C false false false false 0 true false false true D false false false false 0 true false false true A false false false true true true GOLDMAN SACHS 20. false false false 0 false true B false false false true true true GOLDMAN SACHS 29. false false false 0 false true C false false false true true true GOLDMAN SACHS 29. false false false 0 false true D false false false true true true GOLDMAN SACHS 29. false false false 0 false true A true B true C true D true A VILLAGE OF CHANNAHON IL 362597211 159140AG7 2009-04-15 6780000 SURGERY/PACU, PACS SYS AND VAR false false false B VILLAGE OF CHANNAHON IL 362597211 159140AH5 2009-04-15 8220000 CONSTRUCTION OF MED OFFICE BLD false false false C Village of Channahon IL 362597211 2013-03-12 5675000 Refund of 2001 Bonds Issued 6/13/2 false false false A 355000 0 6780000 1121 0 0 158282 0 0 6554906 0 0 2009 false false true true B 570000 0 8220000 1359 0 0 191099 0 16164 7916830 0 0 2009 false false true true C 1515000 0 5675000 0 0 0 0 0 0 0 0 0 true false true true A false false false false 0 true false false true B false false false false 0 false false false true C false false false false 0 false false false false A false false false false true true US BANK 25. false false false 0 false true B false false false false true true US BANK 25. false false false 0 false true C false false false false false false 0 false 0 false true A true B true C true Rebate Computation Date Schedule K, Part IV, Line 2C, Columns A, B, C and D (CUSIPs 159140AC6, 159140AD4, 159140AE2, 159140AF9): The next rebate (arbitrage) calculation required for the 2003 issue is 12/1/2017. BARRY NARVICK DIRECTOR 747789 SEE PART V false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV, LINE 1 THIS AMOUNT IS THE TOTAL AMOUNT OF BUSINESS THAT THE HOSPITAL HAD WITH "NARVICK BROS. LUMBER CO." IN 2016 WHICH WAS FOR VARIOUS REPAIRS/MATERIALS. THE TRANSACTIONS ARE AT "ARMS LENGTH" (FMV) AND THESE TRANSACTIONS ARE APPROVED IN ADVANCE VIA PURCHASE REQUISITION/PURCHASE ORDER PROCESS. ORGANIZATION'S MISSION AND MOST SIGNIFICANT ACTIVITIES Part I, Line 1/Part III, Line 1 Briefly describe the organizations mission or most significant activities: Morris Hospital & Healthcare centers exist to provide healthcare in a general short term hospital and delivering primary healthcare services in the outpatient setting. Part III, Line 4 Describe the organizations program service accomplishments: The mission of Morris Hospital & Healthcare Centers is to improve the health of area residents. This is the focal point that steers strategy and decision making and gives meaning and focus to staff as they go about their daily work. As long as our actions and activities are focused on improving the health of area residents, we know that we are doing whats right for our community. We carry out our mission every day by serving the hundreds of patients who walk through our doors for inpatient care, outpatient testing, emergency care, surgery and rehabilitation services. There are so many other ways we carry out our mission daily beyond traditional hospital services, including our free patient transportation service, free exercise classes for seniors, financial assistance program, education and training for pre-hospital providers, student mentoring experiences, student career exploration, free health screenings and education programs. Theres also the behind-the-scenes support that we provide for community social service agencies, including preparing daily meals for clients of Mobile Meals, providing clean linens and meals for the local PADS, meals for St. Vincent Table, and monetary support for the Will-Grundy Medical Clinic and We Care of Grundy County. Delivering quality patient care remains the highest priority at Morris Hospital & Healthcare Centers, as event by a number of significant accomplishments in 2016 including making the full conversion to electronic medication reconciliation and electronic discharge instructions. Additionally, a year-long comprehensive unit based safety program concluded on 2 South that resulted in increased reporting of errors and a decline in C. diff infections. 400 employees took the annual Patient Safety Culture Survey, which provides excellent feedback on employees perception of safety throughout the organization. Morris Hospitals commitment to quality and service is further evident in the creation of a Patient and Family Advisory Council that facilitate open relationships between patients, family members and the healthcare team while identifying opportunities for improvement. Morris Hospital also achieved a milestone for soaring above the 90th percentile for the first time for outpatient services combined on the patient satisfaction surveys. As further evidence of Morris Hospitals commitment to safety, it became one of 72 hospitals in the nation to receive its 10th consecutive A grade for patient safety from Leapfrog Group. Meanwhile, the Morris Hospital Cardiac Rehabilitation program was re-certified by the American Association of Cardiovascular and Pulmonary Rehabilitation. Indisputably, the greatest quality achievement in 2016 was the launch of a daily safety huddle in April 2016. Every day at 10 a.m., the entire management team gathers along with representatives from infection prevention and security to report on any potential safety events that have occurred in the past 24 hours, as well as any potential safety issues anticipated in the coming 24 hours. Morris Hospital continued to expand services in 2016. Two additional physician offices were added in Ottawa to accommodate Morris Hospitals expanding services in this community which now include ob/gyn, cardiologist, pediatrics, and family medicine. Dr. Mike Cichon, a general practitioner in Dwight, completed an affiliation agreement that merged his practice with Morris Hospital & Healthcare Centers, and an addition was completed on the Morris OB/GYN Specialists office resulting in four additional exam rooms to accommodate the growing practice. Eight new physicians joined the medical staff in 2016, including a family medicine physician, internal medicine physician, cardiologist, general practitioner, four pediatricians, Morris Hospital continues to be showered with accolades, and 2016 was no exception. The hospital was recognized as one of Truven Health Analytics 100 Top Hospitals, Rural Healthcare Organization of the Month by Studer Group, and Best Employer in Grundy County through the Morris Herald News readers choice awards, in addition to making Beckers Hospital Reviews 100 Great Community Hospital list. Additional recognition came from Professional Research Consultants, which awarded Morris Hospital with 9 awards in 2016 based on patients perception of their overall quality of care, including the Platinum Achievement Award for improving patient satisfaction at the Immediate Care Center in Morris. In addition, Morris Hospital was recognized with 11 physician engagement awards from Professional Research Consultants in 2016 based on results of the physician engagement survey. In the area of community, one of the biggest accomplishments of the year was the launch of the Rhythm of Our Youth free screening program at area high schools that checks students for cardiac rhythm abnormalities that may indicate risk for sudden cardiac death. More than 3,000 students were screened during the 2016-17 school year, with 2.3% requiring additional follow up. Along with quality, service and growth, Morris Hospital had another strong financial performance in 2016. The hospital maintained its BBB+ with positive outlook bond credit rating from Standard & Poors. DOCUMENTATION BY GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 8A MINUTES AND AGENDA OF THE FULL BOARD OF MORRIS HOSPITAL ARE MAINTAINED. THE FULL BOARD MEETS EVERY MONTH. MEETING DATES APPLICABLE TO 2016 ARE AS FOLLOWS: 01/25/2016 02/22/2016 03/28/2016 04/25/2016 05/23/2016 06/27/2016 07/25/2016 08/22/2016 09/26/2016 10/24/2016 11/28/2016 12/12/2016 DOCUMENTATION BY COMMITTEES FORM 990, PART VI, LINE 8B MINUTES AND AGENDA OF THE FOLLOWING COMMITTEES OF MORRIS HOSPITAL HAVE BEEN AND ARE MAINTAINED. FINANCE COMMITTEE MEETINGS: 01/25/2016 02/22/2016 03/22/2016 04/25/2016 05/23/2016 06/21/2016 07/25/2016 08/16/2016 09/19/2016 10/24/2016 11/28/2016 12/20/2016 EXECUTIVE COMMITTEE MEETING: 04/19/2016 LONG RANGE PLANNING COMMITTEE MEETINGS: 02/23/2016 03/29/2016 04/26/2016 05/24/2016 06/28/2016 07/26/2016 08/23/2016 09/27/2016 10/25/2016 11/29/2016 PI/QUALITY COMMITTEE MEETINGS: 02/15/2016 04/18/2016 06/13/2016 07/18/2016 08/15/2016 09/19/2016 10/17/2016 11/14/2016 12/12/2016 RECRUITING/RETENTION COMMITTEE MEETINGS: 01/07/2016 03/28/2016 04/25/2016 05/23/2016 06/27/2016 07/25/2016 08/22/2016 09/26/2016 10/24/2016 NOMINATING COMMITTEE MEETINGS: 05/05/2016 06/07/2016 08/02/2016 09/21/2016 PHYSICIAN COMPENSATION COMMITTEE: 06/02/2016 06/13/2016 06/29/2016 07/14/2016 07/28/2016 08/11/2016 09/29/2016 11/18/2016 REVIEW OF 990 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE 990, AS PREPARED BY BDO USA, LLP, WAS REVIEWED BY MEMBERS OF THE FINANCE COMMITTEE ALONG WITH THE CFO AND ACCOUNTING MANAGER OF MORRIS HOSPITAL. A JOINT SPECIAL BOARD MEETING OF THE MORRIS HOSPITAL, MORRIS HOSPITAL FOUNDATION AND MORRIS HOSPITAL AUXILIARY BOARDS WAS HELD TO PROVIDE A FORMAL PRESENTATION OF THE FINAL 990'S OF EACH RESPECTIVE ORGANIZATION PRIOR TO THE FILING. DISCLOSING CONFLICTS ANNUALLY FORM 990, PART VI, SECTION B, LINE 12B DIRECTORS, OFFICERS, MEMBERS OF THE BOARD, KEY AGENTS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A STATEMENT WHICH REQUIRES THE FOLLOWING: (1) DISCLOSE FOR IN THE PRIOR TWO YEARS, ANY PRODUCTS OR SERVICES THAT HE/SHE MAY HAVE PROVIDED PERSONALLY TO MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES OTHER THAN IN HIS/HER CAPACITY AS A DIRECTOR, COMMITTEE MEMBER, OFFICER, OR OTHER SENIOR MANAGEMENT POSITION. (2) DISCLOSE FOR IN THE PRIOR TWO YEARS, ANY DIRECT OR INDIRECT OWNERSHIP INTEREST THAT HE/SHE MAY HAVE IN ANY COMPANY WITH WHICH MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES CONDUCTS BUSINESS, INCLUDING THE PURCHASE OR SALE OF PRODUCTS AND SERVICES (EXCEPT OWNERSHIP OF LESS THAN 1% INTEREST IN A PUBLICLY TRADED COMPANY). (3) DISCLOSE FOR IN THE PRIOR TWO YEARS, WHETHER HE/SHE MAY HAVE SERVED AS A BOARD MEMBER, EMPLOYEE, CONSULTANT OR IN ANY OTHER CAPACITY TO A BUSINESS OR COMPANY THAT PROVIDES PRODUCTS OR SERVICES TO MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES. (4) DISCLOSE FOR IN THE PRIOR TWO YEARS, WHETHER HE/SHE HAS BEEN INVOLVED IN ANY LEGAL OR ADMINISTRATIVE PROCEEDING, REAL ESTATE OR OTHER BUSINESS TRANSACTION, INCLUDING THE PURCHASE OF GOODS OR SERVICES, INVOLVING MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES EITHER PERSONALLY OR THROUGH A COMPANY IN WHICH HE/SHE HAS A DIRECT OR INDIRECT OWNERSHIP OR FOR WHICH HE/SHE HAS SERVED AS A BOARD MEMBER, EMPLOYEE, CONSULTANT OR IN ANY OTHER CAPACITY. (5) DISCLOSE FOR IN THE PRIOR TWO YEARS, WHETHER HE/SHE HAS SERVED AS A BOARD MEMBER, EMPLOYEE, CONSULTANT OR IN ANY OTHER CAPACITY WITH RESPECT TO A BUSINESS OR COMPANY THAT PROVIDES SERVICCES IN COMPETITION WITH MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES. COMPETITION MEANING PROVIDING A PRODUCT OR SERVICE WHICH IS THE SAME AS (MATERIALLY SIMILIAR TO) A PRODUCT OR SERVICE PROVIDED BY MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES SAME GEOGRAPHIC AREA, OR TO PATIENTS IN THE SAME GEOGRAHPIC AREA. (6) DISCLOSE FOR IN THE PRIOR TWO YEARS, WHETHER HE/SHE HAS HAD ANY EMPLOYMENT, APPOINTMENT OR OTHER RELATIONSHIP WITH A GOVERNMENT ENTITY HAVING REGULATORY AUTHORITY OVER A MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES. (7) DISCLOSE FOR IN THE PRIOR TWO YEARS, WHETHER TO THE BEST OF HIS/HER KNOWLEDGE, ANY MEMBER OF HIS/HER IMMEDIATE FAMILY HAVE PERSONALLY, OR COMPANY WITH WHICH THAT INDIVIDUAL HAD AN OWNERSHIP, EMPLOYMENT, CONSULTING OR BOARD RELATIONSHIP, PROVIDED GOODS OR SERVICES TO, OR OTHERWISE CONDUCTED A BUSINESS RELATIONSHIP WITH MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES. (8) DISCLOSE FOR IN THE PRIOR YEAR, WHETHER HE/SHE HAS HAD ANY MEMBER OF HIS/HER IMMEDIATE FAMILY EMPLOYED BY MORRIS HOSPITAL AND HEALTHCARE CENTERS OR ANY OF ITS AFFILIATES. (IMMEDIATE FAMILY MEMBERS WOULD INCLUDE SPOUSE, ANCESTORS, CHILDREN, GRANDCHILDREN, GREAT-GRAND CHILDREN, SIBLINGS (WHETHER BY WHOLE OR HALF-BLOOD), AND THE SPOUSES OF CHILDREN, GRANDCHILDREN, GREAT-GRAND CHILDREN AND SIBLINGS). (9) DISCLOSE FOR IN THE PRIOR TWO YEARS, WHETHER HE/SHE HAS BEEN AWARE OF ANY OTHER EVENTS, TRANSACTIONS, ARRANGEMENTS OR OTHER SITUATIONS THAT HAVE OCCURRED OR THAT MAY OCCUR IN THE FUTURE, INCLUDING PENDING OR CONTEMPLATED TRANSACTIONS OR ARRANGEMENTS, THAT COULD BE PERCEIVED AS A CONFLICT OR DUALITY OF INTEREST OR THAT BELIEVE SHOULD BE EXAMINED BY MORRIS HOPSITAL AND HEALTHCARE CENTER'S BOARD OF DIRECTORS IN ACCORDANCE WITH THE TERMS AND INTENT OF THE MORRIS HOSPITAL AND HEALTHCARE CENTER'S CONFLICTS AND DUALITIES OF INTEREST POLICY. CONFLICT OF INTEREST DISCLOSURE FORM 990, PART VI, SECTION B, LINE 12C PERIODIC REVIEWS ARE MADE THAT AT A MINIMUM INCLUDE: (1) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S LENGTH BARGAINING (2) WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSABLE PRIVATE BENEFIT (3) WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT (4) WHETHER AGREEMENTS TO PROVIDE HEALTHCARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES AND THIRD PARTY PAYORS FURTHER CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINE 15A & 15B THE HOSPITAL HAS A COMPENSATION COMMITTEE WHICH MEETS SEVERAL TIMES PER YEAR THAT WITH THE ASSISTANCE OF INTERNAL SOURCES (HUMAN RESOURCES) AND EXTERNAL ADVISORS: ASSESSES AND EVALUATES THE APPROPRIATENESS OF THE COMPENSATION AND BENEFITS OF UPPER MANAGEMENT WHICH INCLUDES CEO, CFO AND OTHER TOP MANAGEMENT OFFICIALS WHICH INCLUDES KEY EMPLOYEES. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 CHANGE IN FAIR VALUE OF INTEREST SWAP AGREEMENTS: $145,604 NET ASSETS RELEASED FROM RESTRICTION: $386,753 TOTAL: $532,357 MORRIS HOSPITAL FOUNDATION 150 WEST HIGH STREET MORRIS IL 60450 363939156 SUPPORT HOSP IL 501(C)(3) 7 MORRIS HOSP true MORRIS HOSPITAL AUXILIARY 150 WEST HIGH STREET MORRIS IL 60450 208026364 SUPPORT HOSP IL 501(C)(3) 7 MORRIS HOSP true DEERPATH ORTHOPEDIC SURGICAL CENTER LLC 1051 WEST US RTE 6 SUITE 100 MORRIS IL 60450 800033465 SURGERY IL NA RELATED 146720 602448 false false 0.44977 false false true false false false false false false false false false false true true false false false false MORRIS HOSPITAL FOUNDATION C 396854 FMV