2017-02-03T09:36:26-06:00 2016-06-30 430352985 KERBER ECK & BRAECKEL LLP ONE MEMORIAL DRIVE STE 900 ST LOUIS MO 63102 990 2015-07-01 370661208 HILLSBORO AREA HOSPITAL INC HILL 2175326111 1200 EAST TREMONT STREET HILLSBORO IL 62049 REX BROWN PRESIDENT & CEO 2175326111 2017-01-24 1 STEVE ECKHARD CPA P00019710 3142316232 2015 2021-01-29 14:40:06Z REX BROWN 1200 EAST TREMONT STREET HILLSBORO IL 62049 22733418 0 X WWW.HILLSBOROAREAHOSPITAL.ORG X 1906 IL OPERATION OF HOSPITAL (INPATIENT, SWING BED AND OUTPATIENT) AND ASSISTED LIVING FACILITIES. 11 10 279 20 0 0 199415 65790 22023934 22256392 234862 251127 87147 161557 22545358 22734866 0 0 0 0 9177704 9264507 0 0 0 11159217 11514776 20336921 20779283 2208437 1955583 33086855 34359867 8289738 8213303 24797117 26146564 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. 0 0 15842283 22356056 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. 15842283 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 52 0 1 279 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X TERRI CARROLL CFO 2175324187 1200 EAST TREMONT STREET HILLSBORO IL 62049 BEN CADY DIRECTOR 1.00 X 0 0 24905 DR DOUG BYERS DIRECTOR 1.00 X 0 0 0 BRIAN KNODLE DIRECTOR 1.00 X 0 0 0 DAVE IMLER CHAIRMAN 1.00 X X 0 0 0 GREG HOLCOMB DIRECTOR 1.00 0.10 X 0 0 0 JULIE JENKINS SECRETARY 1.00 0.30 X X 0 0 0 MICHELLE ONDREY VICE CHAIR 1.00 X X 0 0 0 PATRICIA CLARKE TREASURER 1.00 0.10 X X 0 0 0 JORDAN RUPPERT DIRECTOR 1.00 X 0 0 0 TODD DEAN DIRECTOR 0.50 0.10 X 0 0 0 EARL FLACK DIRECTOR 1.00 X 0 0 0 LINDSAY WAGAHOFF DIRECTOR 1.00 X 0 0 0 BILL BRINK DIRECTOR 1.00 X 0 0 0 PATRICIA WHITWORTH DIRECTOR 1.00 X 0 0 0 REX BROWN CEO 40.00 1.30 X 0 0 0 TERRI CARROLL CFO 40.00 1.00 X 152160 0 11608 ELVIS HARRISON VP OF PATIENT CARE SERVICE 40.00 X 108375 0 19084 AGNES OTTO CLINICAL SUPERVISOR 36.00 X 109245 0 14393 ABBY BUGG TEAMWORK DIRECTOR 40.00 X 104423 0 22279 474203 0 92269 4 0 1 1 DIAGNOSTIC HEALTH SERVICES PO BOX 972288 DALLAS TX 75397 MRI SERVICES 192750 VIGILANT ANESTHESIA INC 121 LAKEWOOD DRIVE HILLSBORO IL 62049 CRNA SERVICES 184597 AUREUS RADIOLOGY LLC P O BOX 3037 OMAHA NE 68103 RADIOLOGY SERVICES 176815 PRECISE SPECIALTIES CORP PO BOX 572 HILLSBORO IL 62049 ULTRASOUND SERVICES 167183 WCP LABORATORIES INC 2326 MILLPARK DRIVE MARYLAND HEIGHTS MO 63043 PATHOLOGY SERVICES 141208 7 35909 29881 65790 PATIENT SERVICE REVENUE 900099 22256392 22256392 22256392 249679 249679 22466 0 22466 22466 22466 -1448 1448 1448 1448 OTHER INCOME 900099 87632 87632 CAFETERIA 900099 40875 40875 AMBULANCE REVENUE 900099 6762 6762 3822 3822 139091 22734866 22356056 0 313020 166153 166153 6880648 6089575 791073 156196 139268 16928 1550364 1351725 198639 511146 442662 68484 554940 26627 528313 48206 17487 30719 52910 52910 9330 9330 1838867 1457229 381638 66132 14332 51800 162799 53857 108942 722202 676189 46013 67320 50405 16915 230745 155430 75315 1533371 1116723 416648 193574 41010 152564 PHYSICIAN'S FEES 1845765 1845765 SUPPLIES 1740903 1713792 27111 BAD DEBT 1303403 1303403 MISCELLANEOUS 475917 139195 336722 668392 511012 157380 20779283 15842283 4937000 0 1719802 991465 12839551 15294354 2051873 2525261 402399 419918 247274 284012 30704882 18375966 13314967 12328916 1933857 1973617 577132 542324 33086855 34359867 2142735 2340554 5963192 5696101 183811 176648 8289738 8213303 X 23789133 25152274 722984 709290 285000 285000 24797117 26146564 33086855 34359867 X 1955583 -88371 -517765 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9330 9330 0 PART II-B, LINE 1: A PORTION OF THE DUES PAID TO THE ILLINOIS HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE CLASSIFIED AS BEING FOR LOBBYING. 410867 1921 412788 409239 1628 410867 425092 5610 21463 409239 431455 -6363 425092 429495 1960 431455 0.69040 0.30960 0 1 1 265746 265746 16450975 7739471 8711504 1687647 846852 840795 12244699 9789643 2455056 55815 55815 12328916 ASSET RETIREMENT OBLIGATION 172554 CAPITAL LEASE OBLIGATION 4094 176648 X 22646495 -88371 -88371 22734866 0 22734866 20779283 0 20779283 0 20779283 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. 1 1 X 1 X 125.000000000000 1 X 0 1 0 1 0 283450 283450 0.01460 3635380 2673845 961535 0.04940 3918830 2673845 1244985 0.06400 39563 10946 28617 0.00150 3605614 2631169 974445 0.05000 157864 157864 0.00810 3803041 2642115 1160926 0.05960 7721871 5315960 2405911 0.12360 1 560079 1 1 1 1 HILLSBORO AREA HOSPITAL 1200 EAST TREMONT STREET HILLSBORO IL 62049 WWW.HILLSBOROHEALTH.ORG X X X X HILLSBORO AREA HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X WWW.HILLSBOROHEALTH.ORG X 1 15 1 WWW.HILLSBOROHEALTH.ORG 0 0 1 X 125.000000000000 200.000000000000 X X X X 1 1 X X X X 1 X WWW.HILLSBOROHEALTH.ORG X 1 X X 1 X X X X X X 1 X 0 1 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. 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. X X X X 0 0 0 0 0 0 0 0 0 TERRI CARROLL CFO 152160 0 0 0 0 0 4106 0 7502 0 163768 0 0 0 FORM 990, PART VII, SECTION A, LINE 5: 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. A CITY OF HILLSBORO MONTGOMERY COUNTY ILLINOIS 376001658 2008-09-30 7220000 CAPITAL IMPROVEMENT PROJECT - EXPANSION CONSTRUCTION 0 0 0 A 1523899 7220000 83500 7030981 105519 2010 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 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. 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 HILLSBORO AREA HEALTH SYSTEM NFP 0 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 HILLSBORO AREA HEALTH SYSTEM NFP 0 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 1 0 1 1