HILLSBORO AREA HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- HILLSBORO AREA HOSPITAL INC (EIN 37-0661208)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-02-03
- IRS object ID
- 201730349349300123
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-02-03T09:36:26-06:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 430352985 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KERBER ECK & BRAECKEL LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MEMORIAL DRIVE STE 900 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370661208 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILLSBORO AREA HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HILL | BusinessNameControlTxt |
| Phone | 2175326111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 EAST TREMONT STREET | AddressLine1Txt |
| City | HILLSBORO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62049 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | REX BROWN | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 2175326111 | PhoneNum |
| Signature | 2017-01-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEVE ECKHARD CPA | PreparerPersonNm |
| PTIN | P00019710 | PTIN |
| Phone | 3142316232 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | REX BROWN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 EAST TREMONT STREET | AddressLine1Txt |
| City | HILLSBORO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62049 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,733,418 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HILLSBOROAREAHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1906 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | OPERATION OF HOSPITAL (INPATIENT, SWING BED AND OUTPATIENT) AND ASSISTED LIVING FACILITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 279 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $199,415 | PYContributionsGrantsAmt |
| CY Contributions Grants | $65,790 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,023,934 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,256,392 | CYProgramServiceRevenueAmt |
| PY Investment Income | $234,862 | PYInvestmentIncomeAmt |
| CY Investment Income | $251,127 | CYInvestmentIncomeAmt |
| PY Other Revenue | $87,147 | PYOtherRevenueAmt |
| CY Other Revenue | $161,557 | CYOtherRevenueAmt |
| PY Total Revenue | $22,545,358 | PYTotalRevenueAmt |
| CY Total Revenue | $22,734,866 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,177,704 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,264,507 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,159,217 | PYOtherExpensesAmt |
| CY Other Expenses | $11,514,776 | CYOtherExpensesAmt |
| PY Total Expenses | $20,336,921 | PYTotalExpensesAmt |
| CY Total Expenses | $20,779,283 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,208,437 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,955,583 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $33,086,855 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,359,867 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,289,738 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,213,303 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,797,117 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,146,564 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO POSITIVELY AFFECT THE HEALTH AND WELFARE OF THE COMMUNITIES WE SERVE THROUGH THE OPERATION OF A HOSPITAL (INPATIENT, SWING BED AND OUTPATIENT) AND AN ASSISTED LIVING FACILITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $15,842,283 | ExpenseAmt |
| Revenue | $22,356,056 | RevenueAmt |
| Desc | OPERATION OF A 25 BED CRITICAL ACCESS HOSPITAL (INPATIENT, SWING BED AND OUTPATIENT) WITH AN ASSISTED LIVING FACILITY. 971 ACUTE DAYS, 1,253 SWING BED DAYS, 15,402 OUTPATIENT VISITS AND 12,868 ASSISTED LIVING RESIDENT DAYS PROVIDED IN FY 2016. HILLSBORO AREA HOSPITAL ALSO PROVIDED $659,638 IN CHARITY CARE AND $1,992,753 IN OTHER COMMUNITY BENEFITS, NOT INCLUDING BAD DEBT. | Desc |
| Total Program Service Expenses | $15,842,283 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 52 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 279 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERRI CARROLL CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2175324187 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 EAST TREMONT STREET | AddressLine1Txt |
| City | HILLSBORO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62049 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BEN CADY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $24,905 | |||
| DR DOUG BYERS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN KNODLE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVE IMLER | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GREG HOLCOMB | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 0.10 | ||
| JULIE JENKINS | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | 0.30 | |
| MICHELLE ONDREY | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PATRICIA CLARKE | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | 0.10 | |
| JORDAN RUPPERT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TODD DEAN | ||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | 0.10 | ||
| EARL FLACK | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LINDSAY WAGAHOFF | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BILL BRINK | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA WHITWORTH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| REX BROWN | ||||||||
| CEO | 40.00 | $0 | $0 | $0 | Yes (X) | 1.30 | ||
| TERRI CARROLL | ||||||||
| CFO | 40.00 | $152,160 | $0 | $11,608 | Yes (X) | 1.00 | ||
| ELVIS HARRISON | ||||||||
| VP OF PATIENT CARE SERVICE | 40.00 | $108,375 | $0 | $19,084 | Yes (X) | |||
| AGNES OTTO | ||||||||
| CLINICAL SUPERVISOR | 36.00 | $109,245 | $0 | $14,393 | Yes (X) | |||
| ABBY BUGG | ||||||||
| TEAMWORK DIRECTOR | 40.00 | $104,423 | $0 | $22,279 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $474,203 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $92,269 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DIAGNOSTIC HEALTH SERVICES | |||||
| PO BOX 972288 | DALLAS | TX | 75397 | MRI SERVICES | $192,750 |
| VIGILANT ANESTHESIA INC | |||||
| 121 LAKEWOOD DRIVE | HILLSBORO | IL | 62049 | CRNA SERVICES | $184,597 |
| AUREUS RADIOLOGY LLC | |||||
| P O BOX 3037 | OMAHA | NE | 68103 | RADIOLOGY SERVICES | $176,815 |
| PRECISE SPECIALTIES CORP | |||||
| PO BOX 572 | HILLSBORO | IL | 62049 | ULTRASOUND SERVICES | $167,183 |
| WCP LABORATORIES INC | |||||
| 2326 MILLPARK DRIVE | MARYLAND HEIGHTS | MO | 63043 | PATHOLOGY SERVICES | $141,208 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $35,909 | GovernmentGrantsAmt |
| All Other Contributions | $29,881 | AllOtherContributionsAmt |
| Total Contributions | $65,790 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $22,256,392 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,256,392 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,256,392 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $249,679 | TotalRevenueColumnAmt |
| Exclusion | $249,679 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,466 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,466 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,466 | TotalRevenueColumnAmt |
| Exclusion | $22,466 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$1,448 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,448 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,448 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,448 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OTHER INCOME | 900099 | $87,632 | $87,632 | |
| CAFETERIA | 900099 | $40,875 | $40,875 | |
| AMBULANCE REVENUE | 900099 | $6,762 | $6,762 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,822 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,822 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $139,091 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,734,866 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,356,056 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $313,020 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,153 | TotalAmt |
| Management And General | $166,153 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,880,648 | TotalAmt |
| Program Services | $6,089,575 | ProgramServicesAmt |
| Management And General | $791,073 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,196 | TotalAmt |
| Program Services | $139,268 | ProgramServicesAmt |
| Management And General | $16,928 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,550,364 | TotalAmt |
| Program Services | $1,351,725 | ProgramServicesAmt |
| Management And General | $198,639 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $511,146 | TotalAmt |
| Program Services | $442,662 | ProgramServicesAmt |
| Management And General | $68,484 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $554,940 | TotalAmt |
| Program Services | $26,627 | ProgramServicesAmt |
| Management And General | $528,313 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,206 | TotalAmt |
| Program Services | $17,487 | ProgramServicesAmt |
| Management And General | $30,719 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,910 | TotalAmt |
| Management And General | $52,910 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,330 | TotalAmt |
| Management And General | $9,330 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,838,867 | TotalAmt |
| Program Services | $1,457,229 | ProgramServicesAmt |
| Management And General | $381,638 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,132 | TotalAmt |
| Program Services | $14,332 | ProgramServicesAmt |
| Management And General | $51,800 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,799 | TotalAmt |
| Program Services | $53,857 | ProgramServicesAmt |
| Management And General | $108,942 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $722,202 | TotalAmt |
| Program Services | $676,189 | ProgramServicesAmt |
| Management And General | $46,013 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,320 | TotalAmt |
| Program Services | $50,405 | ProgramServicesAmt |
| Management And General | $16,915 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,745 | TotalAmt |
| Program Services | $155,430 | ProgramServicesAmt |
| Management And General | $75,315 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,533,371 | TotalAmt |
| Program Services | $1,116,723 | ProgramServicesAmt |
| Management And General | $416,648 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,574 | TotalAmt |
| Program Services | $41,010 | ProgramServicesAmt |
| Management And General | $152,564 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHYSICIAN'S FEES | $1,845,765 | $1,845,765 | |
| SUPPLIES | $1,740,903 | $1,713,792 | $27,111 |
| BAD DEBT | $1,303,403 | $1,303,403 | |
| MISCELLANEOUS | $475,917 | $139,195 | $336,722 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $668,392 | TotalAmt |
| Program Services | $511,012 | ProgramServicesAmt |
| Management And General | $157,380 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,779,283 | TotalAmt |
| Program Services | $15,842,283 | ProgramServicesAmt |
| Management And General | $4,937,000 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,719,802 | BOYAmt |
| EOY | $991,465 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,839,551 | BOYAmt |
| EOY | $15,294,354 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,051,873 | BOYAmt |
| EOY | $2,525,261 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $402,399 | BOYAmt |
| EOY | $419,918 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,274 | BOYAmt |
| EOY | $284,012 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $30,704,882 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $18,375,966 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,314,967 | BOYAmt |
| EOY | $12,328,916 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,933,857 | BOYAmt |
| EOY | $1,973,617 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $577,132 | BOYAmt |
| EOY | $542,324 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,086,855 | BOYAmt |
| EOY | $34,359,867 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,142,735 | BOYAmt |
| EOY | $2,340,554 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,963,192 | BOYAmt |
| EOY | $5,696,101 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,811 | BOYAmt |
| EOY | $176,648 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,289,738 | BOYAmt |
| EOY | $8,213,303 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,789,133 | BOYAmt |
| EOY | $25,152,274 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $722,984 | BOYAmt |
| EOY | $709,290 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,000 | BOYAmt |
| EOY | $285,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,797,117 | BOYAmt |
| EOY | $26,146,564 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,086,855 | BOYAmt |
| EOY | $34,359,867 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,955,583 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$88,371 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$517,765 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $9,330 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $9,330 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PORTION OF THE DUES PAID TO THE ILLINOIS HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE CLASSIFIED AS BEING FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $410,867 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,921 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $412,788 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $409,239 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,628 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $410,867 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $425,092 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,610 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $21,463 | OtherExpendituresAmt |
| End Year Balance | $409,239 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $431,455 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$6,363 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $425,092 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $429,495 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,960 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $431,455 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.69040 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.30960 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $265,746 | OtherCostOrOtherBasisAmt |
| Book Value | $265,746 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,450,975 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,739,471 | DepreciationAmt |
| Book Value | $8,711,504 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,687,647 | OtherCostOrOtherBasisAmt |
| Depreciation | $846,852 | DepreciationAmt |
| Book Value | $840,795 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,244,699 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,789,643 | DepreciationAmt |
| Book Value | $2,455,056 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,815 | OtherCostOrOtherBasisAmt |
| Book Value | $55,815 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,328,916 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ASSET RETIREMENT OBLIGATION | $172,554 |
| CAPITAL LEASE OBLIGATION | $4,094 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $176,648 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $22,646,495 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$88,371 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$88,371 | RevenueNotReportedAmt |
| Revenue Subtotal | $22,734,866 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $22,734,866 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,779,283 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $20,779,283 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,779,283 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | INTEREST EARNED ON PERMANENTLY RESTRICTED ENDOWMENT FUNDS IS TO BE USED FOR THE HOSPITAL'S BUILDING AND MAINTENANCE. |
| PART X, LINE 2: | THE HOSPITAL HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND SIMILAR PROVISIONS OF STATE LAW. HOWEVER, THE HOSPITAL WOULD BE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HOSPITAL FILES FEDERAL INFORMATION RETURNS. THE STATUTES OF LIMITATIONS FOR INFORMATION RETURNS FILED FOR THE YEARS ENDED JUNE 30, 2013 THROUGH 2016 HAVE NOT EXPIRED AND THEREFORE ARE SUBJECT TO EXAMINATION. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 125.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | 0 | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $283,450 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $283,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01460 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,635,380 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,673,845 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $961,535 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04940 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,918,830 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,673,845 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,244,985 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06400 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,563 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,946 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,617 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,605,614 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,631,169 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $974,445 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $157,864 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $157,864 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,803,041 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,642,115 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,160,926 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05960 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,721,871 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,315,960 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,405,911 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12360 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $560,079 | BadDebtExpenseAmt |
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILLSBORO AREA HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 EAST TREMONT STREET | AddressLine1Txt |
| City | HILLSBORO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62049 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HILLSBOROHEALTH.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILLSBORO AREA HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.HILLSBOROHEALTH.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.HILLSBOROHEALTH.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.HILLSBOROHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Engaged Legal Judicial Process | Yes (X) | EngagedLegalJudicialProcessInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HILLSBORO AREA HOSPITAL | PART V, SECTION B, LINE 5: PRIMARY SOURCE INPUT WAS GATHERED THROUGH THE USE OF FOCUS GROUPS. PARTICIPANTS WERE SELECTED TO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVICED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE OF THE COMMUNITIES' HEALTH AND NEEDS: SENIORS, DAY CARE WORKERS, PERSONS WITH DISABILITIES, LOCAL HEALTH DEPARTMENT, DENTIST, OPTOMETRIST, ELECTED OFFICIALS, BOARDS OF COMMUNITY AGENCIES AND ORGANIZATIONS, AND LOCAL BUSINESS PERSONS ALL REPRESENTING THE INTEREST OF THE COMMUNITIES SERVED BY HILLSBORO AREA HOSPITAL. REPRESENTATIVES FROM THE HOSPITAL, INCLUDING MANAGERS OF ALL DEPARTMENTS WITH EXPERTISE IN THEIR FIELD OF SERVICE, ALSO PARTICIPATED.FOCUS GROUP #1 - HEALTH CARE PROFESSIONALS AND PARTNERSA FOCUS GROUP COMPRISED OF HEALTH CARE PROFESSIONALS AND PARTNERS MET ON FEBRUARY 11, 2016. THE GROUP INCLUDED THE ADMINISTRATOR OF THE MONTGOMERY COUNTY HEALTH DEPARTMENT, PHYSICIANS, A PHARMACIST, AN OPTOMETRIST, A DENTIST, NURSES, NURSING HOME ADMINISTRATORS, AND OTHERS.FOCUS GROUP #2 - COMMUNITY OFFICIALSA FOCUS GROUP COMPRISED OF COMMUNITY LEADERS AND GROUP REPRESENTATIVES MET ON FEBRUARY 11, 2016. THE GROUP CONSISTED OF 20 PARTICIPANTS, INCLUDING A MEMBER OF THE MONTGOMERY COUNTY BOARD, THE HILLSBORO MAYOR, A SCHOOL SUPERINTENDENT, A CHAMBER OF COMMERCE EXECUTIVE, AND OTHERS.FOCUS GROUP #3 - COMMUNITY MEMBERS AND ORGANIZATIONSA FOCUS GROUP COMPRISED OF COMMUNITY MEMBERS AND REPRESENTATIVES OF COMMUNITY ORGANIZATIONS MET ON FEBRUARY 11, 2016. THE GROUP INCLUDED 18 COMMUNITY MEMBERS AND ORGANIZATION REPRESENTATIVES. |
| PART V, SECTION B LINE 11 | A NEW CHNA WAS COMPLETED DURING TAX YEAR 2015. FOLLOWING ARE THE ACTIONS TAKEN DURING THE YEAR TO ADDRESS THE CHNA COMPLETED IN TAX YEAR 2012.TOP PRIORITY CHNA ITEMS FROM THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENT1. ADDRESS GAPS IN DELIVERY OF MENTAL HEALTH SERVICES WHEREVER POSSIBLE-THE ASSESSMENT OF BUILDING A LOCAL INVENTORY OF COUNSELORS INCLUDING CLERGY, IN YEAR ONE FOR MENTAL HEALTHHILLSBORO AREA HOSPITAL DID NOT FIND COUNSELORS IN SUFFICIENT NUMBERS TO DEVELOP A LIST. HAH IS SUBMITTING A PROPOSAL FOR TELEPSYCHIATRY SERVICES WITH INTOUCH PHYSICIANS, A CHICAGO-BASED PSYCHIATRIC SERVICE, TO ADDRESS ACCESS TO MENTAL HEALTH SERVICES. 2. THE SUMMER FOOD AND EXERCISE PROGRAM FOR YOUTH - IMPROVE AVAILABILITY OF BASIC WELLNESS CARE OPPORTUNITIES FOR YOUTH. THE FREE SUMMER LUNCH PROGRAM WAS INSTITUTED TO PROVIDE NUTRITIOUS MEALS AND PHYSICAL ACTIVITY TO CHILDREN DURING THE SUMMER MONTHS WHEN SCHOOL IS NOT IN SESSION. THE HOSPITAL STARTED THE PROGRAM IN 2013, GIVEN THAT ABOUT 50 PERCENT OF THE HILLSBORO SCHOOL DISTRICT POPULATION WAS ON THE FREE ANDREDUCED LUNCH PROGRAM DURING THE SCHOOL YEAR. THIS PROGRAM FILLS THE NEED FOR THOSE SAME STUDENTS DURING THE SUMMER MONTHS WHO MAY NOT HAVE ACCESS TO A HOT MEAL FOR LUNCH. VOLUNTEERS CONSIST OF CHURCH MEMBERS, TEACHERS, AND OTHER SERVICE ORGANIZATIONS WHICH ASSIST IN PROVIDING STAFFING FOR THE PROGRAM. TRANSPORTATION FOR THE CHILDREN IS PROVIDED BY ONE OF THE LOCAL CHURCHES. FUSION FITNESS AND AQUATICS, A SISTER ORGANIZATION TO HAH, PROVIDES FREE PHYSICAL ACTIVITIES AND SWIMMING FOR THE CHILDREN TWO DAYS A WEEK. OVER THE SUMMER, THE PROGRAM SERVED APPROXIMATELY 730 MEALS TO NEARLY 100 CHILDREN.IN 2014, THE PROGRAM WAS EXPANDED TO INCLUDE ACTIVITIES FIVE DAYS A WEEK, INCLUDING A SERVICE DAY TO MENTOR CHILDREN IN GIVING BACK TO THE COMMUNITY. ALSO ADDED WERE SPEAKERS DELIVERING DIFFERENT TOPICS TO PROMOTE HEALTHY LIFESTYLE CHOICES. A GARDEN PLANTED, MAINTAINED, AND HARVESTED BY THE CHILDREN TAUGHT CHILDREN HOW HEALTHY FOOD CHOICES CAN BE RAISED IN THEIR BACKYARD. LOCAL CHURCHES EXPANDED THE TRANSPORTATION OPTIONS, WITH VOLUNTEERS CONTINUING TO PROVIDE STAFFING FOR THE PROGRAM. ALSO, IN 2014, A BAG OF NON-PERISHABLE FOOD DISTRIBUTED TO THE CHILDREN ON FRIDAYS WAS ADDED SO THEY WOULD BE ABLE TO EAT DURING THE WEEKEND. THESE BAGS WERE DONATED BY LOCAL CHURCH GROUPS. BACKPACKS FILLED WITH SCHOOL SUPPLIES WERE DONATED BY THE COMMUNITY AND PRESENTED TO THE CHILDREN ON THE LAST DAY OF THE PROGRAM. IN 2014, 1,227 MEALS WERE SERVED TO 130 DIFFERENT CHILDREN.3. SUPPORT REGIONAL CARE INFORMATION FOR WEBSITE BEING DEVELOPED BY SPRINGFIELD CLINICIN 2015, HAH CONTRACTED WITH LEGATO HEALTHCARE MARKETING, A COMMUNICATIONS COMPANY, TO CONSTRUCT A WEBSITE FOR THE HOSPITAL THAT WILL CONTAIN ELEMENTS OF THE REGIONAL CARE OFFERED AND ALSO CONNECT TO A VARIETY OF PERTINENT WEBSITES, INCLUDING THE SPRINGFIELD CLINIC. THE WEBSITE BECAME AVAILABLE IN SPRING OF 2016.4. PROVIDE LOCAL CARE INFORMATION FOR YOUTHHAH USED A VARIETY OF APPROACHES TO MAKING LOCAL CARE INFORMATION AVAILABLE TO YOUTH. THE STAFF OF HAH ARE AVAILABLE TO HIGH SCHOOL COUNSELORS (2015-16), THE FOUR SCHOOL DISTRICT'S CERTIFIED NURSING ASSISTANT CLASSES (2013-16), THE JUNIOR BOARD (2014-16) INTERACT (2015-16) AND THE COUNTY'S CREATING ENTREPRENEURIAL OPPORTUNITIES (2015-16). HEALTHFUL BEHAVIORS ARE INTEGRATED INTO THE HOSPITAL'S SUMMER LUNCH PROGRAM AND THE CATCH PROGRAM THAT IS SPONSORED BY HAH. 5. CREATE BUSINESS PARTNERSHIPS FOR MAMMOGRAPHYTHIS INITIATIVE WAS CREATED TO INCREASE AWARENESS OF THE BENEFITS OF EARLY DETECTION AND PAYMENT OF MAMMOGRAPHY UTILIZING THE ASSISTANCE OF LOCAL BUSINESSES. INITIALLY, THERE WAS NOT MUCH INTEREST GENERATED. HOWEVER, THE MONTGOMERY COUNTY CANCER ASSOCIATION PROVIDED FUNDS THAT COULD BE USED TO OFFSET COSTS, AND HAH CREATED AN AWARENESS PROGRAM EDUCATING THE PUBLIC ON THE BENEFITS OF 3-D MAMMOGRAPHY, WHICH ENHANCED INTEREST. 6. THE CATCH PROGRAM - IMPROVE AVAILABILITY OF BASIC WELLNESS CARE OPPORTUNITIES FOR YOUTHFUSION FITNESS & AQUATICS, IN COLLABORATION WITH HILLSBORO AREA HOSPITAL, OFFERS AN AFTER-SCHOOL PROGRAM FOR CHILDREN WHO ARE AT RISK OF BECOMING OVERWEIGHT OR OBESE.CATCH KIDS CLUB IS A 2-HOUR LONG MONDAY - FRIDAY PROGRAM. EACH DAY'S SESSION INCLUDES STRUCTURED TIME FOR NUTRITION EDUCATION, HEALTHY SNACKS AND HOMEWORK FOLLOWED BY 60 MINUTES OF FUN, HIGH-ENERGY GAMES LED BY FUSION STAFF. THE ATTENDANCE FOR THE AFTER SCHOOL PROGRAM AVERAGE FROM 10-15 CHILDREN PER DAY.THE PROGRAM IS FREE FOR CHILDREN WHO QUALIFY FOR THEIR SCHOOL DISTRICT'S FREE/REDUCED PRICE LUNCH PROGRAM. THOSE CHILDREN WHO DO NOT MEET THE INCOME ELIGIBILITY REQUIREMENT PAY A FEE THAT IS ESTABLISHED ACCORDING TO FAMILY INCOME.THROUGHOUT THE SUMMER, TWO CATCH KIDS CAMPS ARE OFFERED FOR CHILDREN WHO WILL BE STARTING GRADES 3-6. CLASS SIZE IS 30 STUDENTS AND A WAITING LIST EXISTS. 7. THE MARINA PROJECT - ENCOURAGE IMPROVED ACCESS TO INDOOR AND OUTDOOR RECREATION OPPORTUNITIES TO ADDRESS PUBLIC ACCESS NEEDS FOR PERSONS WITH IMPAIRMENT, DISABILITY AND/OR HANDICAP IN COMMUNITY.HAH PRESENTED THE VALUE OF IMPROVED ACCESS TO THE HILLSBORO AREA HEALTH FOUNDATION AND SUPPORTED THE CREATION OF FUND-RAISING ACTIVITIES (2014-2016) TO BUILD AND MAINTAIN AN ACCESSIBLE DOCK ON GLEN SHOALS LAKE. 8. THE PROMOTION OF LOCAL RECREATIONAL RESOURCESTHROUGH ITS SISTER CORPORATION, HAH COLLABORATED WITH THE NATURAL AREA GUARDIANS TO CREATION A ACTIVITY/EXERCISE CHALLENGE FOR USE OF THE VARIOUS PROTECTED AREAS DEVELOPED AND MAINTAINED BY THE NATURAL AREA GUARDIANS (2015-16). 9. PROMOTING LOCAL STUDENTS INTERESTED IN MEDICAL SCHOOL - RECRUIT PRIMARY CARE PHYSICIANS AND PROVIDERS.HAH HOSTED NUMEROUS INTRODUCTORY SESSIONS WITH STUDENTS AND PARENTS (2014-2016). ONE MEDICAL RESIDENT IS PRESENTLY RECEIVING FINANCIAL SUPPORT, TWO RESIDENTS ARE BEING RECOMMENDED FOR SUPPORT AND A FOURTH STUDENT IS IN LINE TO RECEIVE SUPPORT WHEN HE GRADUATES FROM MEDICAL SCHOOL AND ENTERS A RESIDENCY PERTINENT TO THE AREA'S NEEDS.10. CONTINUE TO DEVELOP A PLAN FOR AN URGENT CARE ALTERNATIVE TO EMERGENCY ROOM CARE. HAH SUPPORTED THE EDUCATION (2013-2015) OF TWO ADVANCED PRACTICE NURSES WITH THE INTENT OF HIRING THEM TO STAFF THE URGENT CARE ALTERNATIVE. THEY ACCEPTED EMPLOYMENT ELSEWHERE. HAH REMAINS ACTIVE IN SEEKING STAFF FOR AN URGENT CARE ALTERNATIVE. |
| PART V, SECTION B LINE 11 | THE IMPLEMENTATION STRATEGY WAS DEVELOPED THROUGH A FACILITATED MEETING INVOLVING KEY ADMINISTRATIVE STAFF AT HILLSBORO AREA HOSPITAL. THE GROUP CONSIDERED EACH OF THE PRIORITIZED NEEDS. FOR EACH OF THE SIX CATEGORIES, ACTIONS THE HOSPITAL INTENDS TO TAKE WERE IDENTIFIED ALONG WITH THE ANTICIPATED IMPACT OF THE ACTIONS, THE RESOURCES THE HOSPITAL INTENDS TO COMMIT TO THE ACTIONS,AND THE EXTERNAL COLLABORATORS THE HOSPITAL PLANS TO COOPERATE WITH TO ADDRESS THE NEED. THE PLAN WILL BE EVALUATED BY PERIODICREVIEW OF MEASURABLE OUTCOME INDICATORS IN CONJUNCTION WITH ANNUAL REVIEW AND REPORTING.PROCESS BY WHICH NEEDS WILL BE ADDRESSED:1. CANCERTHE GROUP IDENTIFIED CANCER-RELATED SERVICES AS THE PRIMARY SIGNIFICANT HEALTH NEED. THEY EXPRESSED A SPECIFIC NEED FOR INCREASED LOCAL ACCESS TO CANCER CARE SPECIALISTS. THEY ALSO FELT THAT THERE WAS A NEED FOR EDUCATION TO THE COMMUNITY ABOUT CANCER RISKS, EARLY IDENTIFICATION, AND THE NEED FOR SCREENINGS. FINALLY, THEY EXPRESSED A NEED FOR THE COMMUNITY TO EXPLORE CAUSES FOR THE HIGH LOCAL CANCER RATE.ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED:- CONTINUE TO EXPLORE RELATIONSHIPS WITH SPECIALIST- CREATE AND OFFER A CANCER EDUCATION PROGRAM ON CANCER RISKS, IDENTIFICATION, AND SCREENINGS- DEVELOP A PROGRAM FOR REDUCED COST CANCER SCREENINGS, STARTING WITH COLORECTAL CANCER- EXPLORE A PARTNERSHIP WITH ST. FRANCIS HOSPITAL AND MONTGOMERY COUNTY CANCER ASSOCIATION TO INVESTIGATE LOCAL CAUSES OF ELEVATED CANCER RATES- DEVELOP AND REPORT AT LEAST ONE MEASURE OF NUMBER OF SCREENINGS OR NUMBER OF PERSONS REACHED WITH EDUCATIONANTICIPATED IMPACT OF THESE ACTIONS:- BETTER ACCESS TO SCREENING FOR UNDERSERVED POPULATION- INCREASED AWARENESS OF CANCER RISKS, IDENTIFICATION, AND SCREENINGS AMONG THE PUBLIC- POSSIBLE IDENTIFICATION OF EXPLANATION FOR ELEVATED LOCAL CANCER RATESPROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED:- ADMINISTRATION- COMMUNITY RELATIONSPLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS:- MOVE (VETERANS' WELLNESS PROGRAM)- MONTGOMERY COUNTY CANCER ASSOCIATION- SPRINGFIELD CLINIC- BARNES-JEWISH HOSPITAL- ST. FRANCIS HOSPITAL2. SUBSTANCE ABUSETHE GROUP IDENTIFIED SUBSTANCE ABUSE AS A SIGNIFICANT ISSUE AND IDENTIFIED THE RELATED NEEDS OF COMMUNITY-WIDE PREVENTION EFFORTS AND ALTERNATIVE ACTIVITIES FOR YOUTH. THEY ALSO IDENTIFIED THE NEED TO CONCENTRATE LOCAL EFFORTS TO REDUCING THE USE OF HEROIN AND SYNTHETIC DRUGS.ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED:THE HOSPITAL FEELS THAT COMMUNITY SUBSTANCE ABUSE PREVENTION IS AN ISSUE THAT IS MORE APPROPRIATELY ADDRESSED BY THE COMMUNITY AS A WHOLE AND TOWARD THAT END, THE HOSPITAL WILL INITIATE AN EFFORT TO LAUNCH A COMMUNITYCOALITION TO ADDRESS THESE ISSUES ESPECIALLY HEROIN, SYNTHETIC DRUGS, AND ALCOHOL THAT WILL INCLUDE LAW ENFORCEMENT, HEALTHCARE PROVIDERS, MENTAL HEALTH SERVICES PROVIDERS, FAITH-BASED ORGANIZATIONS, YOUTH DEVELOPMENT ORGANIZATIONS, BUSINESS AND COMMUNITY LEADERS, AND OTHERS.ANTICIPATED IMPACT OF THESE ACTIONS:- A COMMUNITY-DRIVEN EFFORT TO ADDRESS SUBSTANCE ABUSE FROM PREVENTION THROUGH RECOVERY FOCUSING ON HEROIN, SYNTHETIC DRUGS, ALCOHOL, AND OTHER SUBSTANCES AS DETERMINED BY THE COMMUNITY COALITIONPROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED:- ADMINISTRATION- COMMUNITY RELATIONSPLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS:- LAW ENFORCEMENT- FAITH-BASED ORGANIZATIONS- HEALTHCARE PROVIDERS- MENTAL HEALTH SERVICES PROVIDERS- COMMUNITY AND BUSINESS LEADERS- YOUTH DEVELOPMENT ORGANIZATIONS- OTHER INTERESTED CITIZENS3. HEART DISEASETHE GROUP IDENTIFIED HEART DISEASE AS A SIGNIFICANT HEALTH ISSUE AND IDENTIFIED THE FOLLOWING AS SIGNIFICANT NEEDS:- COMMUNITY EDUCATION ON STROKE IDENTIFICATION AND MANAGEMENT- COMMUNITY EDUCATION ON HEART ATTACK IDENTIFICATION AND MANAGEMENT AND HEART ATTACK PREVENTION IMPROVE GENERAL WELLNESS FOR THE COMMUNITY THROUGH:- INCREASED ACCESS TO OPPORTUNITIES FOR SPORTS AND RECREATION- COMMUNITY EDUCATION ON NUTRITION- IMPROVED ACCESS TO HEALTHY FOOD CHOICESACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED:- CONTINUE THE MOVE PROGRAM FOR VETERANS- EXPAND THE SHAPE PROGRAM- DEVELOP AND OFFER PUBLIC NUTRITION EDUCATION PROGRAMS- DEVELOP A PUBLIC EDUCATION PROGRAM FOR STROKE IDENTIFICATION AND EARLY INTERVENTION- CONTINUE HEART ATTACK EDUCATION PROGRAMS- DEVELOP AN INCENTIVE PROGRAM TO ENCOURAGE RESTAURANTS TO INCLUDE HEALTHY FOODS ON MENUS- CONTINUE PROJECT FOR DEVELOPING AN ACCESS PIER AT GLEN SHOALS LAKE- DEVELOP AND REPORT AT LEAST ONE MEASURE OF SUCCESS OF NEW OR EXPANDED PROGRAMMINGANTICIPATED IMPACT OF THESE ACTIONS:- IMPROVED PUBLIC AWARENESS OF STROKE IDENTIFICATION AND THE IMPORTANCE OF EARLY INTERVENTION- IMPROVED PUBLIC AWARENESS OF HEART ATTACK IDENTIFICATION- IMPROVED PUBLIC ACCESS TO NUTRITION INFORMATION- IMPROVED PUBLIC ACCESS TO HEALTHY FOODSPROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED:- ADMINISTRATION- REHABILITATION- HILLSBORO AREA HEALTH FOUNDATIONPLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS:- CITY OF HILLSBORO- IMAGINE HILLSBORO- CITIZENS4. SERVICES FOR SENIORSTHE GROUP RECOGNIZED A SIGNIFICANT NEED FOR INCREASED SENIOR SERVICES INCLUDING IMPROVED ACCESS TO TRANSPORTATION AND SPECIALIZED CARE,ESPECIALLY PSYCHIATRIC SERVICES, DEMENTIA CARE, AND EXPANDED ASSISTED LIVING.ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED:- EXPLORE DEMENTIA CARE- EXPLORE EXPANDED ASSISTED LIVING- CONTINUE TO EXPLORE RELATIONSHIPS WITH SPECIALISTS- DEVELOP TELEPSYCHIATRY SERVICES- FORM NEW PARTNERSHIPS WITH HOME HEALTHCARE AND HOSPICE PROVIDERS- ALTHOUGH THE HOSPITAL IS NOT A TRANSPORTATION PROVIDER, IT WILL EXPLORE ALTERNATIVES TO IMPROVE TRANSPORTATION FOR LOCAL AND OUT-OF-AREA HEALTHCARE SERVICES AND APPOINTMENTS- DEVELOP AND REPORT AT LEAST ONE MEASURE OF SUCCESS OF NEW OR EXPANDED PROGRAMMINGANTICIPATED IMPACT OF THESE ACTIONS:- INCREASED ACCESS TO DEMENTIA CARE- INCREASED ACCESS TO ASSISTED LIVING- INCREASED ACCESS TO PSYCHIATRIC COUNSELING AND OTHER SERVICES- IMPROVED LOCAL HOME HEALTH AND HOSPICE ARE- IMPROVED TRANSPORTATION FOR NON-EMERGENCY SERVICESPROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED:- ADMINISTRATION- BOARD OF DIRECTORS- COMMUNITY RELATIONSPLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS:- ILLINOIS TELE-HEALTH NETWORK- ARCH CONSULTING- HOME HEALTHCARE PROVIDERS- HOSPICE PROVIDERS- COMMUNITY FAITH-BASED GROUPS AND OTHER VOLUNTEERS- PUBLIC TRANSPORTATION PROVIDERS5. MENTAL HEALTHACCESS TO MENTAL HEALTH SERVICES WAS ALSO IDENTIFIED AS A SIGNIFICANT NEED. THE GROUP SPECIFIED INCREASED ACCESS TO PSYCHIATRISTS, COUNSELORS, AND TRANSFER BEDS AS PRIORITY NEEDS. THEY ALSO IDENTIFIED THE NEED FOR COMMUNITY PREVENTION AND EDUCATION EFFORTS TO REDUCE SUICIDE, ESPECIALLY AMONG YOUNG MALES AS A SIGNIFICANT MENTAL HEALTH CONCERN.ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED:- ESTABLISH TELE-HEALTH NETWORK SERVICES TO PROVIDE PSYCHIATRIC SERVICES- ESTABLISH A PROGRAM TO UTILIZE DISTANCE LEARNING FOR LOCAL EDUCATION AND PREVENTION EFFORTS FOR SUICIDE- ASSIST THE LOCAL SUICIDE SUPPORT GROUP AS REASONABLY POSSIBLE- AVAILABILITY OF TRANSFER BEDS FOR MENTAL HEALTH PATIENTS IS A MATTER BEYOND THE CONTROL OF THE HOSPITAL, BUT IT WILL CONTINUE TO EDUCATE FOR THE NEED OF ADDITIONAL MENTAL HEALTH BEDS.ANTICIPATED IMPACT OF THESE ACTIONS:- ACCESS TO PSYCHIATRIC SERVICES- ACCESS TO SUICIDE PREVENTION EDUCATION AND PREVENTION PROGRAMMINGPROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED:- ADMINISTRATIONPLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS:- SIGNS OF SUICIDE (SUICIDE PREVENTION GROUP)- TELE-HEALTH NETWORK6. DIABETES DIABETES WAS AN ISSUE RAISED IN FOCUS GROUPS AND SUPPORTED BY SECONDARY DATA. THE IDENTIFICATION AND PRIORITIZATION GROUP DID NOT, HOWEVER, IDENTIFY IT AS A PRIORITIZED SIGNIFICANT HEALTH NEED IN ITS FINAL DECISION. ON FURTHER REVIEW OF THE DATA AND FOCUS GROUP COMMENTS, THE HOSPITAL DETERMINED THAT THE DATA AROUND DIABETES WAS COMPELLING ENOUGH TO ADD THE DISEASE AS A SIGNIFICANT HEALTH NEED WORTHY OF BEING ADDRESSED. THEREFORE, WHILE NOT INITIALLY INCLUDED IN THE PRIORITIZATION, DIABETES AS A HEALTH NEED WILL BE ADDRESSED AS FOLLOWS:ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED:- DETERMINE IF HOSPITAL ENGAGEMENT IN A DIABETES PREVENTION PROGRAM HAS THE POTENTIAL TO POSITIVELY AFFECT THE HEALTH OF THE POPULATION SERVED |
| PART V, SECTION B LINE 11 | ANTICIPATED IMPACT OF THESE ACTIONS:- INCREASED AWARENESS OF DIABETES RISK AND PREVENTION TACTICS WITH THE HOPE OF REDUCTION IN THE RATES OF NEW DIABETES CASES IN THE HOSPITAL'S SERVICE AREAPROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED:- PARTNER WITH EXISTING EXPERTISE SO AS NOT TO DUPLICATE PREVENTION EFFORTS IN THE SERVICE AREA- REVIEW PROVEN PREVENTION PROGRAMS- SELECT AN APPROACH TO IMPLEMENT THAT HAS A HIGH LIKELIHOOD OF SUCCESSFUL IMPACTPLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS:- HAH MEDICAL STAFF- COUNTY HEALTH DEPARTMENT- FUSION FITNESS AND AQUATICS- PROVIDERS OF SUCCESSFUL DIABETES PREVENTION PROGRAMS |
| PART V, SECTION B LINE 20E | A MINIMUM OF 2 STATEMENTS AND 1 LETTER ARE SENT PRIOR TO SENDING THE ACCOUNT TO COLLECTIONS, EACH NOTING HOW TO CONTACT THE HOSPITAL FOR FINANCIAL ASSISTANCE. |
| PART V, SECTION B LINE 24 | IF A PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE AND DOESN'T MEET PRESUMPTIVE ELIGIBILITY REQUIREMENTS, NO DISCOUNT IS APPLIED PER HOSPITAL POLICY, SO GROSS CHARGES ARE BILLED TO THOSE PATIENTS. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
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| PART I, LINE 7: | THE COST TO CHARGES RATIO WAS USED AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,303,403. |
| PART III, LINE 2: | THE COSTING METHODOLOGY USED WAS THE RATIO OF PATIENT CARE COST-TO-CHARGES.PART III, LINE 3:THE HOSPITAL BELIEVES THAT THE COMMUNITY BENEFIT OBTAINED FROM ITS CHARITY CARE IS UNDERSTATED DUE TO PATIENTS THAT COULD QUALIFY FOR CHARITY CARE BUT DO NOT APPLY OR PROVIDE INCOMPLETE INFORMATION. SOME CARE PROVIDED TO PATIENTS IS NOT CLASSIFIED AS CHARITY CARE DUE TO PATIENTS MISSING DOCUMENTATION THAT PROVES THEY QUALIFY FOR CHARITY CARE. THE HOSPITAL'S BAD DEBT DOES INCLUDE AMOUNTS THAT COULD BE CLASSIFIED AS CHARITY CARE IF THE PATIENTS WOULD APPLY OR PROVIDE THE APPROPRIATE INFORMATION TO COMPLETE THE CHARITY CARE APPLICATION. |
| PART III, LINE 4: | TEXT OF FOOTNOTE FROM THE FINANCIAL STATEMENTSTHE HOSPITAL VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THEIR HEALTH CARE EXPENSES AS DETERMINED BY THE HOSPITAL'S CRITERIA FOR FINANCIAL ASSISTANCE.IN SOME CASES, THE HOSPITAL DOES NOT RECEIVE THE AMOUNT BILLED FOR PATIENT SERVICES EVEN THOUGH IT DID NOT RECEIVE INFORMATION NECESSARY TO DETERMINE IF THE PATIENTS MET THE CRITERIA FOR FINANCIAL ASSISTANCE. BAD DEBTS EXPENSE IS THE ESTIMATED AMOUNT OF PATIENT REVENUE THAT THE HOSPITAL WILL NOT COLLECT.THE COSTING METHODOLOGY USED WAS THE RATIO OF PATIENT CARE COST-TO-CHARGES. NO BAD DEBT AMOUNTS WERE INCLUDED IN COMMUNITY BENEFIT. |
| PART III, LINE 9B: | ALL COLLECTION EFFORTS WILL CEASE IMMEDIATELY ON AMOUNTS APPROVED FOR SPECIAL FINANCIAL CONSIDERATIONS. |
| PART VI, LINE 2: | HILLSBORO AREA HOSPITAL CONDUCTS A NEEDS ASSESSMENT DURING ITS STRATEGIC PLANNING AND LONG RANGE BUDGETING PROCESS. THIS PROCESS INCLUDES OBTAINING AND ANALYZING VARIOUS DATA AND MARKET DEMOGRAPHICS. THE DATA IS THEN SUPPLEMENTED WITH VIEWS AND CONCERNS FROM OUR COMMUNITY BOARD MEMBERS, OTHER COMMUNITY OUTREACH RELATIONSHIPS AND OTHER COMMUNITY ORGANIZATIONS. |
| PART VI, LINE 3: | UNINSURED PATIENTS AND PERSONS WHO SEEK AND / OR OBTAIN SERVICES FROM THE HOSPITAL, ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE VIA SIGNAGE THROUGHOUT THE PATIENT ACCESS AREAS OF THE FACILITY, BROCHURES, ADMISSION PACKETS, DISCLOSURE ON THE PATIENT BILL, IN PERSON AND TELEPHONE ASSISTED CUSTOMER SERVICE, AS WELL AS INFORMATION SUCH AS THE GUIDELINES AND APPLICATION BEING PREDOMINATELY POSTED ON THE HOSPITAL WEBSITE. |
| PART VI, LINE 4: | THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF PATIENTS IN THE CITY OF HILLSBORO AND THE SURROUNDING AREAS. THE HOSPITAL IS THE LEADING HEALTHCARE PROVIDER FOR THE MONTGOMERY COUNTY ILLINOIS COMMUNITY. THESE COMMUNITIES ARE MEDICALLY VULNERABLE AND HAVE A LARGE INDIGENT POPULATION. FOR FURTHER INFORMATION ABOUT THE COMMUNITY SERVED PLEASE REFER TO OUR COMMUNITY HEALTH NEEDS ASSESSEMENT ON THE HOSPITAL WEBSITE AT WWW.HILLSBOROHEALTH.ORG. |
| PART VI, LINE 5: | DESIGNATED AS A CRITICAL ACCESS HOSPITAL, THE HOSPITAL USES ANY LIMITED SURPLUS FUNDS TO FURTHER ITS EXEMPT PURPOSE BY PROVIDING PROGRAMS AND ACCESS AS NOTED IN FORM 990, PART III, LINE 1 AND 4A. THE BOARD OF DIRECTORS IS MADE UP OF VOLUNTEER COMMUNITY LEADERS WITHIN ITS PRIMARY SERVICE AREA THAT ARE APPROVED BY THE MEMBER ORGANIZATION. |
| PART VI, LINE 6: | THE HOSPITAL IS PART OF A CRITICAL ACCESS NETWORK THAT INCLUDES HILLSBORO AREA HEALTH SYSTEM NFP, ITS SOLE CORPORATE MEMBER, WHICH PROVIDES HEALTH AND SUPPORTIVE SERVICES TO THE COMMUNITIES THEY SERVE.THE HOSPITAL ALSO COMMITS SIGNIFICANT TIME AND RESOURCES TO ACTIVITIES AND SERVICES THAT MEET UNMET COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE SELF-SUPPORTING OR FINANCIALLY VIABLE. SUCH PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO, HEALTH FAIRS AND EVENTS, HEALTH SCREENINGS AND ASSESSMENTS, SPACE FOR DAYCARE PROGRAMS OFFERED BY THE LOCAL SCHOOL SYSTEM, SUPPORT FOR VITAL COMMUNITY SERVICES, TRAUMA CARE, AND VARIOUS COMMUNITY EDUCATIONAL SERVICES. HILLSBORO AREA HOSPITAL RECEIVED LEED CERTIFICATION FOR THE BUILDING ADDITION COMPLETED IN JULY 2010. THE ENVIRONMENTAL BENEFITS OF LEED INCLUDE: REDUCTION OF WASTE SENT TO LANDFILLS, CONSERVATION OF ENERGY AND WATER, REDUCTION OF HARMFUL GREENHOUSE GASES, AND A HEALTHIER AND SAFER PLACE FOR EMPLOYEES, PATIENTS, AND THE ENVIRONMENT. THE HOSPITAL IS ALSO A MEMBER OF THE CHAMBER OF COMMERCE AND PARTNERS WITH THE MONTGOMERY COUNTY ECONOMIC DEVELOPMENT CORPORATION TO OBTAIN GRANTS AND EXPAND THE SERVICES NEEDED IN THE COMMUNITY. THE HOSPITAL PROVIDES THE USE OF SPACE AT NO CHARGE TO THE HILLSBORO COMMUNITY SCHOOL DISTRICT FOR A DAYCARE FACILITY. FOR MANY YEARS, UNTIL MAY 2010, THE HOSPITAL PROVIDED CLASSROOM SPACE, FREE OF CHARGE, FOR LINCOLN LAND COMMUNITY COLLEGE TO USE FOR NURSING INSTRUCTION. THE SPACE IS NOW PROVIDED BY THE HILLSBORO AREA HEALTH SYSTEM. THE HOSPITAL ALSO PROVIDES GRAND ADVANTAGE SENIOR EXERCISE CLASSES TO THE SENIORS IN THE AREA AT NO CHARGE, AND PROVIDES THE DIAMOND CLUB TO SENIORS FOR ASSISTANCE WITH THE UNDERSTANDING AND ORGANIZATION OF MEDICAL BILLS AND INSURANCE. HOSPITAL EMPLOYEES ALSO SHARE THEIR EXPERTISE THROUGH COMMUNITY SPEAKING AT LOCAL ORGANIZATIONS AND EVENTS. SEVERAL MONETARY DONATIONS ARE MADE BY THE HOSPITAL THROUGHOUT THE YEAR TO OTHER NON-PROFIT ORGANIZATIONS. AN AUTOMATIC BLOOD PRESSURE MACHINE IS LOCATED IN THE HOSPITAL LOBBY WHERE THE COMMUNITY MEMBERS CAN USE IT FREE OF CHARGE, AND THE HOSPITAL PROVIDES A BOOTH AT THE LOCAL COMMUNITY FAIR EACH YEAR WHERE EMPLOYEES TAKE BLOOD PRESSURES AND PROVIDE HEALTH INFORMATION TO THE PUBLIC.THE HOSPITAL RECEIVED A USDA DISTANCE LEARNING & TELEMEDICINE GRANT TO EXPAND CERTIFIED NURSING ASSISTANT INSTRUCTION TO HIGH SCHOOL STUDENTS IN OUR COMMUNITY. IN COMBINATION WITH THE HOSPITAL'S MATCHING FUNDS, VIDEO CONFERENCING EQUIPMENT WAS PURCHASED AND PLACED IN 4 COMMUNITY HIGH SCHOOLS SO THAT THE STUDENTS CAN REMAIN IN THEIR OWN CLASSROOMS INSTEAD OF BEING TRANSPORTED TO THE HOSPITAL'S CAMPUS FOR CNA INSTRUCTION. IN ADDITION, THE HOSPITAL PROVIDES THE USE OF SPACE ON OUR CAMPUS FOR THE CLASSES FREE OF CHARGE, SO THE COMBINATION OF FREE SPACE USAGE AND REDUCED TRANSPORTATION COSTS PROVIDES GREAT BENEFITS FOR THIS STATE-APPROVED PROGRAM. THE HOSPITAL ALSO HAS THE HILLSBORO AREA HOSPITAL JUNIOR BOARD WHICH IS COMPRISED OF STUDENT VOLUNTEERS AGES 9-16. THE JUNIOR BOARD MEMBERS LEARN HOW ORGANIZATIONS WORK, DEVELOP LEADERSHIP SKILLS, AND PLAN AND EXECUTE COMMUNITY IMPROVEMENT ACTIVITIES WITH THE HELP OF HOSPITAL STAFF MEMBERS.THE HOSPITAL ALSO PARTICIPATED IN THE STATE COLORECTAL CANCER SCREENING INITIATIVE, HELPED COORDINATE APPOINTMENTS FOR OTHER CANCER SCREENS IN COORDINATION WITH THE MONTGOMERY COUNTY CANCER ASSOCIATION, AND PROVIDED PRODUCE PLANTS TO COMMUNITY MEMBERS TO PROMOTE HEALTHIER EATING HABITS AND FOOD SUSTAINABILITY. FURTHERMORE, THE HOSPITAL HAS BEEN RECOGNIZED AS HILLSBORO'S BUSINESS OF THE YEAR FOR ITS POSITIVE ECONOMIC AND CIVIC IMPACT AND ITS OVERWHELMING SUPPORT OF THE COMMUNITY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRI CARROLL | PersonNm |
| Title | CFO | TitleTxt |
| Base Compensation Filing Org | $152,160 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $4,106 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $7,502 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $163,768 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, PART VII, SECTION A, LINE 5: | FormAndLineReferenceDesc |
| Explanation | HEALTHTECH MANAGEMENT SERVICES, FORMERLY BRIM HEALTHCARE, INC., WAS PAID $554,940 FOR MANAGEMENT SERVICES. CEO REX BROWN IS EMPLOYED BY HEALTHTECH MANAGEMENT SERVICES. TERRI CARROLL, CFO WAS EMPLOYED BY HEALTHTECH MANAGEMENT SERVICES UNTIL SEPTEMBER 1, 2013 WHEN SHE BECAME AN EMPLOYEE OF HILLSBORO AREA HOSPITAL. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF HILLSBORO MONTGOMERY COUNTY ILLINOIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 376001658 | BondIssuerEIN |
| Bond Issued | 2008-09-30 | BondIssuedDt |
| Issue Price | $7,220,000 | IssuePriceAmt |
| Purpose | CAPITAL IMPROVEMENT PROJECT - EXPANSION CONSTRUCTION | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,523,899 | RetiredAmt |
| Total Proceeds | $7,220,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $83,500 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $7,030,981 | CapitalExpendituresAmt |
| Other Spent Proceeds | $105,519 | OtherSpentProceedsAmt |
| Substantial Completion | 2010 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | HILLSBORO AREA HOSPITAL DELEGATED CONTROL OVER MANAGEMENT TO HEALTHTECH MANAGEMENT SERVICES, FORMERLY BRIM HEALTHCARE, INC. - CEO IS EMPLOYED BY HEALTHTECH MANAGEMENT SERVICES. THE CEO IS UNDER THE SUPERVISION OF HEALTHTECH MANAGEMENT SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 6 | HILLSBORO AREA HEALTH SYSTEM NFP, A NOT FOR PROFIT CORPORATION IS THE SOLE CORPORATE MEMBER OF HILLSBORO AREA HOSPITAL, INC. THE HOSPITAL ALSO HAS INDIVIDUAL MEMBERS. THERE ARE TWO CLASSES OF INDIVIDUAL MEMBERS. ANNUAL(REGULAR) AND LIFE MEMBERS MAKE UP THE CLASSES OF INDIVIDUAL MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | ONLY THE INDIVIDUAL MEMBERS CAN ELECT MEMBERS TO THE GOVERNING BODY. THE VOTING OF DIRECTORS TO THE BOARD ONLY OCCURS IN OCTOBER. IN ADDITION, THE SOLE CORPORATE MEMBER MUST APPROVE ALL BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE CORPORATE MEMBER, HILLSBORO AREA HEALTH SYSTEM NFP, APPROVES ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR TO THE BYLAWS OF THE CORPORATION AND APPROVES HOSPITAL BOARD MEMBERS ELECTED. THE ONLY VOTING RIGHT OF THE INDIVIDUAL MEMBERS IS THE RIGHT TO ELECT DIRECTORS. IN ADDITION, HILLSBORO AREA HEALTH SYSTEM NFP MUST APPROVE SUCH ITEMS AS BUDGETS, STRATEGIC PLANS, LARGE UNBUDGETED CAPITAL EXPENDITURES, LAND SALES, ETC. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CFO REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE 990 TO EACH MEMBER OF THE BOARD FOR REVIEW. THE BOARD THEN VOTES ON THE APPROVAL OF THE 990 AS IT IS OR CONTINGENT UPON CHANGES PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EMPLOYEES COMPLETE AND SIGN AN ANNUAL DISCLOSURE STATEMENT AND THE BOARD OF DIRECTORS COMPLETE AND SIGN A CONFLICT OF INTEREST FORM ANNUALLY. THE BOARD REVIEWS THE DISCLOSURES AND TAKES APPROPRIATE ACTION TO RESOLVE ANY ISSUES. |
| FORM 990, PART VI, SECTION B, LINE 15 | A PERFORMANCE EVALUATION IS COMPLETED AND DISCUSSED IN EXECUTIVE SESSION BY THE BOARD OF DIRECTORS FOR EXECUTIVE EMPLOYEES. THE PROCESS FOR DETERMINING COMPENSATION INCLUDES REVIEWS OF SALARY RANGES FOR THE POSITIONS PER VARIOUS DATABASES AND/OR MATERIAL AVAILABLE. THE DELIBERATION AND DECISION BY THE BOARD OF DIRECTORS IS DOCUMENTED IN THE EXECUTIVE SESSION BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 6,789. CHANGE IN NET ASSETS RELEASED FROM RESTRICTIONS -24,554. TRANSFERS TO HILLSBORO AREA HEALTH SYSTEM NFP -500,000. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| HILLSBORO AREA HEALTH SYSTEM NFP | ||||||||||
| 1200 EAST TREMONT | HILLSBORO | IL | 62049 | 364539688 | MANAGEMENT AND OVERSIGHT OF HEALTH CARE SYSTEM | IL | 501(C)3 | LINE 11C, III-FI | 0 | |
| HILLSBORO AREA HEALTH FOUNDATION | ||||||||||
| 1200 EAST TREMONT | HILLSBORO | IL | 62049 | 371247796 | PROVIDE SUPPORT FOR HILLSBORO AREA HOSPITAL | IL | 501(C)3 | LINE 7 | 0 | HILLSBORO AREA HEALTH SYSTEM NFP |
| HILLSBORO AREA HEALTH SERVICES INC | ||||||||||
| 1210 EAST TREMONT | HILLSBORO | IL | 62049 | 371240643 | ESTABLISH AND OPERATE FACILITIES FOR WELLBEING OF PERSONS IN AREA | IL | 501(C)3 | LINE 9 | 0 | HILLSBORO AREA HEALTH SYSTEM NFP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |