NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: NORTHWESTERN MEMORIAL HEALTHCARE (EIN 23-7087041)
Tax period: 2014-05-01 to 2015-04-30
Filed: 2016-01-29
IRS object ID: 201620299349301047
Schema version: 2014v6.0
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 I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-01-29T20:48:32-06:00	ReturnTs
Tax Period End	2015-04-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	114 E EVERETT	AddressLine1Txt
City	DIXON	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61021	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-05-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	237087041	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KISHWAUKEE COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	KISH	BusinessNameControlTxt
Phone	8157561521	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KISH HOSPITAL DRIVE	AddressLine1Txt
City	DEKALB	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60115	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LOREN FOELSKE	PersonNm
Person Title	VICE-PRESIDENT - FINANCE, KHS	PersonTitleTxt
Phone	8157561521	PhoneNum
Signature	2016-01-20	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KELLY JACKSON HARDY	PreparerPersonNm
PTIN	P00747242	PTIN
Phone	8152859300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	KISHWAUKEE HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	KEVIN P POORTEN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KISH HOSPITAL DRIVE	AddressLine1Txt
City	DEKALB	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60115	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$224,610,829	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.KISHHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1970	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES TO THE AREA OF DEKALB COUNTY.	ActivityOrMissionDesc
Voting Members Governing Body	3	VotingMembersGoverningBodyCnt
Voting Members Independent	2	VotingMembersIndependentCnt
Total Employee	1201	TotalEmployeeCnt
Total Volunteers	235	TotalVolunteersCnt
Total Gross UBI	$123,083	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$14,039	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$387,794	PYContributionsGrantsAmt
CY Contributions Grants	$1,112,612	CYContributionsGrantsAmt
PY Program Service Revenue	$168,636,360	PYProgramServiceRevenueAmt
CY Program Service Revenue	$173,901,890	CYProgramServiceRevenueAmt
PY Investment Income	$8,476,451	PYInvestmentIncomeAmt
CY Investment Income	$9,697,347	CYInvestmentIncomeAmt
PY Other Revenue	$2,681,773	PYOtherRevenueAmt
CY Other Revenue	$1,693,306	CYOtherRevenueAmt
PY Total Revenue	$180,182,378	PYTotalRevenueAmt
CY Total Revenue	$186,405,155	CYTotalRevenueAmt
PY Grants And Similar Paid	$408,449	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$23,611,228	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$60,369,123	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$58,116,480	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$13,217	CYTotalFundraisingExpenseAmt
PY Other Expenses	$100,450,596	PYOtherExpensesAmt
CY Other Expenses	$102,912,854	CYOtherExpensesAmt
PY Total Expenses	$161,228,168	PYTotalExpensesAmt
CY Total Expenses	$184,640,562	CYTotalExpensesAmt
PY Revenues Less Expenses	$18,954,210	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,764,593	CYRevenuesLessExpensesAmt
Total Assets BOY	$328,924,975	TotalAssetsBOYAmt
Total Assets EOY	$328,357,441	TotalAssetsEOYAmt
Total Liabilities BOY	$103,167,547	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$104,853,366	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$225,757,428	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$223,504,075	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES, INCLUDING INPATIENT ACUTE AND NONACUTE CARE, AND VARIOUS OUTPATIENT SERVICES IN THE AREA OF DEKALB COUNTY. KISHWAUKEE HOSPITAL (KH) SERVES ALL PEOPLE WITH SKILL AND COMPASSION WHILE RESPECTING THEIR DIGNITY, RIGHTS, AND CHOICES BY OFFERING ACCESS TO HIGH-QUALITY PREVENTIVE, CURATIVE, AND REHABILITATIVE CARE DELIVERED IN A COST EFFECTIVE MANNER. KISHWAUKEE HOSPITAL RECOGNIZES THE NEED TO EFFECTIVELY MANAGE RESOURCES FOR PRESENT AND FUTURE GENERATIONS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$152,993,052	ExpenseAmt
Grant	$23,611,228	GrantAmt
Revenue	$173,802,321	RevenueAmt
Desc	KISHWAUKEE HOSPITAL (KH), LOCATED IN DEKALB, ILLINOIS, SERVES THE RESIDENTS OF DEKALB COUNTY AND THE SURROUNDING AREAS BY OFFERING A NUMBER OF PROGRAMS AND SERVICES FOR COMMUNITY BENEFIT, INCLUDING CHARITY CARE.KISHWAUKEE HOSPITAL BELIEVES THAT IN ORDER TO BE A TRUE COMMUNITY HOSPITAL, WE MUST BE A RESOURCE FOR PREVENTATIVE AND CURATIVE HEALTH INFORMATION, EDUCATION AND SERVICES AND THAT WE MUST SUPPORT THE EFFORTS OF OTHERS WHO ALSO ARE DOING WORK FOR THE COMMUNITY GOOD. DOING SO HELPS BUILD TRUST, RESPECT AND LOYALTY FOR OUR HOSPITAL AND STRENGTHENS OUR ROLE AS A PARTNER IN IMPROVING THE HEALTH OUR CITIZENS AND THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE.THE COMMUNITY BENEFIT OBJECTIVES OF KISHWAUKEE HOSPITAL INCLUDE PROGRAMS TO IMPROVE ACCESS TO HEALTH SERVICES BY REDUCING GEOGRAPHIC, FINANCIAL, LANGUAGE, AND CULTURAL BARRIERS IMPROVE AND ENHANCE PUBLIC HEALTH, ADVANCE GENERAL HEALTH KNOWLEDGE, AND RELIEVE THE GOVERNMENT BURDEN OF PROVIDING HEALTH SERVICES FOR THE COMMUNITY, AND FOR THE UNINSURED AND UNDERINSURED. COMMUNITY HEALTH NEEDS ARE IDENTIFIED AND ADDRESSED THROUGH COMMUNITY OUTREACH PROGRAMS, BY ADDING NEW SERVICES AND BY EXPANDING OTHERS. NEEDS ALSO ARE MET THROUGH OPERATIONAL PROGRAMS SUCH AS CHARITY CARE, SUBSIDIZED SERVICES AND PROVIDING CASH AND IN-KIND DONATIONS TO SUPPORT ORGANIZATIONS THAT ALSO STRIVE TO MEET COMMUNITY HEALTH AND QUALITY OF LIFE NEEDS. THE HOSPITAL IDENTIFIES COMMUNITY HEALTH NEEDS IN SEVERAL WAYS.AMERICAN DIABETES ASSOCIATIONAMERICAN MEDICAL ASSOCIATIONAMERICAN UNIVERSITY SURVEYCENTERS FOR DISEASE CONTROL AND PREVENTIONCOMMUNITY NEEDS INDEXILLINOIS DEPARTMENT OF EMPLOYMENT SECURITYILLINOIS DEPARTMENT OF PUBLIC HEALTHILLINOIS DEPARTMENT OF PUBLIC HEALTH ANNUAL HOSPITAL QUESTIONNAIREILLINOIS DEPARTMENT OF PUBLIC HEALTH, BEHAVIORAL RISK FACTORS SURVEYILLINOIS DEPARTMENT OF PUBLIC HEALTH, ILLINOIS COUNTY CANCER STATISTICS REVIEW INCIDENCEILLINOIS DEPARTMENT OF PUBLIC HEALTH: BIRTH DEFECTS AND OTHER ADVERSE PREGNANCY OUTCOMES IN ILLINOIS, 2004-2008ILLINOIS HOSPITAL ASSOCIATIONILLINOIS HOSPITAL ASSOCIATION, COMP DATAILLINOIS PUBLIC HEALTH COMMUNITY MAPNATIONAL CANCER INSTITUTENATIONAL CANCER FOR HEALTH STATISTICSNATIONAL HEART LUNG AND BLOOD INSTITUTENORTHERN ILLINOIS UNIVERSITY ENROLLMENT DATAPIONEERING HEALTHIER COMMUNITIESSTATE OF ILLINOIS DATA BY ZIP CODEUS CENSUS BUREAU 2010 DATAINTERNAL REVIEW OF OUTPATIENT AND INPATIENT TRENDS, ESPECIALLY EMERGENCY DEPARTMENT USAGE*INPUT FROM OTHER COMMUNITY PROVIDERS. THIS INCLUDES PROVIDING HOSPITAL LEADERS TO SERVE ON BOARDS AND COMMITTEES THAT DIRECTLY OR INDIRECTLY IMPACT THE COMMUNITY HEALTH OR HELP THE HOSPITAL CONNECT TO UNDERSERVED OR VULNERABLE POPULATIONS.USING ALL THESE RESOURCES, THE HOSPITAL FOCUSED ON THE FOLLOWING COMMUNITY HEALTH NEEDS IN FISCAL YEAR 2015.EXPAND KISH PHYSICIAN GROUP (KPG) PRIMARY CARE PROVIDERS IN IDENTIFIED SERVICE AREAS.GOAL: PROVIDE GREATER ACCESS TO CARE IN THE COMMUNITIES WE SERVE, WHILE UTILIZING THE LATEST TECHNOLOGY, EQUIPMENT AND EDUCATION TO PROVIDE THE HIGHEST LEVEL OF CARE.- DURING THE COURSE OF THE FISCAL YEAR, KISH PHYSICIAN GROUP EXPANDED SERVICES TO TWO ADDITIONAL LOCATIONS INCLUDING AURORA AND DEKALB AND ADDED THIRTY NEW PROVIDERS. THE ADDITION OF PROVIDERS INCLUDES THE ACQUISITION OF THE DEKALB CLINIC PROVIDERS WHICH TOOK PLACE ON MARCH 2, 2015. THROUGHOUT THE FISCAL YEAR THERE WAS APPROXIMATELY A 70% INCREASE IN THE NUMBER OF PATIENT VISITS.DEFINE AND IDENTIFY OPPORTUNITIES FOR CARE COORDINATION, DISEASE MANAGEMENT, CHRONIC CARE PROGRAMS, GROUP MEDICAL VISITS AND OTHER INNOVATIVE HEALTHCARE DELIVERY OPTIONS.GOAL: PROVIDE PATIENT-CENTERED APPROACH TO HEALTH CARE DELIVERY.- DURING THE PAST YEAR MUCH WORK HAS TAKEN PLACE TO DEFINE AND IDENTIFY OPPORTUNITIES FOR CARE COORDINATION, AS KISH HEALTH SYSTEM EMPLOYEES WORK TO DEVELOP A MODEL WHICH PLACES THE FOCUS ON THE PATIENT. ADDITIONALLY, THE TEAMS WORKING ON THIS ACTION ITEM ARE FOCUSED ON REDUCING READMISSIONS FOR PATIENTS DIAGNOSED WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), CONGESTIVE HEART FAILURE (CHF) AND OTHER RESPIRATORY DISEASE. AS THE TEAM DEVELOPS THE MODEL, IT IS ANTICIPATED THAT DISEASE AND CHRONIC CARE MANAGEMENT PROGRAMS AND GROUP MEDICAL VISITS WILL BE COMPONENTS OF THE OVERALL PLAN TO ADDRESS THE HEALTH ISSUES IDENTIFIED.- REGIONAL NURSE CARE COORDINATOR PROVIDED CARE FOR 129 UNIQUE INDIVIDUALS ENROLLED IN ACE THROUGH ILLINOIS PARTNERSHIP FOR HEALTH- COMPLEX CASE MANAGEMENT OF 75 REFERRED NON-ACE PATIENTS THROUGH KISHHEALTH SYSTEM ENTITIES- CARE COORDINATION PARTNERSHIP WITH CARDIAC REHAB TO MORE EFFECTIVELY MANAGE CHRONIC CHF PATIENTS IN THE COMMUNITY- UTILIZATION OF DATA TO IDENTIFY PATIENTS FOR DISEASE MANAGEMENT PROGRAMS SUCH AS DIABETES EDUCATIONSUPPORT THE DEKALB COUNTY MENTAL HEALTH BOARD WORK ON THE MENTAL HEALTH COMMUNITY NEEDS ASSESSMENT.GOAL: PARTICIPATE IN THE COMMUNITY MENTAL HEALTH NEEDS ASSESSMENT FOR DEKALB COUNTY.- THE DEKALB COUNTY MENTAL HEALTH BOARD IDENTIFIED AN AREA OF NEED AROUND TRAINING FOR PARTNER AGENCIES ON ISSUES FOCUSED ON OR AROUND MENTAL HEALTH ISSUES. KISHHEALTH SYSTEM, BEHAVIORAL HEALTH SERVICES, IS WORKING WITH THE BOARD ON A SERIES OF WORKSHOPS AND TRAINING TO BE OFFERED. THERE WAS ONE EVENT HELD TITLED MENTAL HEALTH AND THE LAW AND THERE WERE 40 PARTICIPANTS IN ATTENDANCE.FACILITATE COMMUNICATION BETWEEN HEALTH CARE ORGANIZATIONS THROUGH THE USE OF ELECTRONIC MEDICAL RECORD (EMR) TECHNOLOGY.GOAL: IMPLEMENT TECHNOLOGY TO FOSTER SHARED INFORMATION AMONG EMR USERS.- WORK TOWARD THIS OBJECTIVE WAS ACHIEVED BY THE DEPLOYMENT OF THE MEDICITY PLATFORM WHICH WILL ALLOW THE SHARING OF INFORMATION BETWEEN EMR SYSTEMS. KISHHEALTH SYSTEM IS CONNECTED TO SEVERAL PHYSICIAN OFFICES AND WE ARE RAPIDLY EXPANDING THIS REACH. ADDITIONALLY, KISHHEALTH SYSTEM BEGINNING THE TESTING OF THE MEDITECH DIRECT FUNCTIONALITY THAT ALLOWS US TO SEND INFORMATION TO PROVIDERS THAT COMPLY WITH FEDERAL COMMUNICATION AND ENCRYPTION STANDARDS ON THEIR EMR SOLUTIONS. THIS WILL ALLOW ADDITIONAL CONNECTIONS THAT CURRENTLY DO NOT EXIST. KISHHEALTH SYSTEM EVALUATES THE CONNECTIVITY TO REGIONAL OR STATE LEVEL HEALTH INFORMATION EXCHANGES (HIES) THAT WILL ALLOWS COMMUNICATION TO OCCUR ACROSS REGIONAL OR STATE PROVIDERS OF CARE. EXPAND COORDINATED APPROACH TO CHILD HEALTH (CATCH) IN DEKALB COUNTY SCHOOL AGE CHILDREN.GOAL: PROMOTE POLICY A CHANGE IN SCHOOLS TO IMPLEMENT CATCH CURRICULUM OR AFTERSCHOOL PROGRAMS.- DURING THIS LAST YEAR, CATCH CURRICULUM WAS OFFERED TO DEKALB, SYCAMORE AND GENOA SCHOOL DISTRICTS WITH 844CLASSROOM VISITS TOOK PLACE AND 22,374 STUDENTS RECEIVED EDUCATION ON HEALTHY EATING, INCREASING PHYSICAL ACTIVITY AND DECREASING SCREEN TIME. - GENOA PARK DISTRICT ALSO IMPLEMENTED CATCH IN ITS AFTER SCHOOL PROGRAM AND SUMMER PROGRAM, WITH AN ESTIMATED 16 SESSIONS AND 800 STUDENTS RECEIVING THIS PROGRAM.- KISHWAUKEE FAMILY YMCA SUMMER PROGRAM ADDED CATCH AS A COMPONENT OF THE PROGRAM, AND IN ATTENDANCE AT THE SIX SESSIONS WERE 3,200 CHILDREN.- THERE ARE ROUGHLY 90 NIU STUDENTS THAT SERVE AS CATCH INSTRUCTORS WHICH HELP TO MAKE THIS PROGRAM SUSTAINABLE IN THE COMMUNITY.IDENTIFY AND DEVELOP PROGRAMS FOR CARDIOVASCULAR DISEASE, RESPIRATORY DISEASE AND DIABETES CONSIDERED TO BE HIGH RISK FOR READMISSION.GOAL: REDUCE READMISSIONS FOR CARDIOVASCULAR DISEASE, RESPIRATORY DISEASE AND DIABETES THROUGH A COORDINATED APPROACH.- DURING THE PAST YEAR WORK HAS TAKEN PLACE ON THIS ACTION ITEM FOCUSING ON PROGRAM DEVELOPMENT FOR CARDIOVASCULAR DISEASE, RESPIRATORY DISEASE AND DIABETES, AS IT RELATES TO HIGH RISK FOR READMISSION. - THIS PAST YEAR A PILOT PROGRAM ON CONGESTIVE HEART FAILURE WAS IMPLEMENTED WITH 56 PARTICIPANTSSUPPORT LIVE HEALTHY DEKALB COUNTY (FORMERLY PIONEERING HEALTHIER COMMUNITIES) IN ITS POLICY AND SYSTEMS CHANGES.GOAL: SUPPORT THE WORK OF LIVE HEALTHY DEKALB COUNTY THROUGH ITS POLICY AND ENVIRONMENTAL CHANGES TO MOTIVATE PEOPLE TO EAT HEALTHY AND BE PHYSICALLY ACTIVE EVERY DAY.- ON-GOING SUPPORT TO LIVE HEALTHY DEKALB COUNTY IS PROVIDED THROUGH IN-KIND STAFF TIME, AS WELL AS FINANCIAL SUPPORT. - ENVIRONMENTAL CHANGES INCLUDE AN INCREASE IN COMMUNITY GARDENS FROM 200 - 230 TO SUPPORT BARB FOOD MART (SCHOOL BASED FOOD PANTRY) AND HEALTHIER FOOD CHOICES IN SCHOOLS.- IMPLEMENTED STEPS TO ACHIEVE BIKE FRIENDLY DESIGNATION ASSESSMENT OF CRITERIA TO GATHER NEEDED RESOURCES TO BEGIN THE WORK- ENHANCED CONNECTIVITY OF BIKE TRAIL ON BETHANY ROAD BY ADDING A 300 FOOT ADDITION- EXTRA FREE FOOD DROP ADDED FOR COUNTY PANTRIES FACILITATED BY THE FOOD SECURITY COUNCILPROVIDE FREE OR LOW COST DIABETES EDUCATION CLASSES TO IDENTIFIED POPULATIONS.GOAL: EMPOWER PEOPLE TO APPROPRIATELY SELF-MANAGE DIABETES.- THROUGHOUT THE YEAR, DIABETES EDUCATION CLASSES ARE OFFERED AT REDUCED PRICE TO INDIVIDUALS AND THERE WERE 75 INDIVIDUALS THAT PARTICIPATED IN THIS VALUABLE PROGRAMMING.- WORLD DIABETES DAY EVENT WAS HELD IN NOVEMBER WITH OVER 150 PARTICIPANTS.PROVIDE FREE OR REDUCED COST CANCER SCREENINGS FOR TARGETED POPULAT	Desc
Total Program Service Expenses	$152,993,052	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	0	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	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	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	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	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	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	110	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1201	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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	3	GoverningBodyVotingMembersCnt
Independent Voting Member	2	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	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	0	CompensationProcessCEOInd
Compensation Process Other	0	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	LOREN FOELSKE VP OF FINANCE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8157561521	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KISH HOSPITAL DRIVE	AddressLine1Txt
City	DEKALB	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60115	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS MATYA
CHAIR	2.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL CULLEN
VICE CHAIR	2.00	9.00	Yes (X)	Yes (X)	$0	$0	$0
KEVIN POORTEN
PRESIDENT & CEO, KISHHEALTH SYSTEM	9.00	46.00	Yes (X)	Yes (X)	$0	$872,800	$129,696
LOREN FOELSKE
VP FINANCE - KISHHEALTH SYSTEM	22.00	30.00		Yes (X)	$0	$328,625	$87,932
BRAD COPPLE
PRESIDENT - KH & VWH	23.00	30.00		Yes (X)	$0	$377,347	$59,520
PAM DUFFY
CNO & VP PATIENT CARE SVCS	10.00	35.00			$0	$276,999	$31,324	Yes (X)
JOESPH DANT
VP BUSINESS DEVELOPMENT	0.00	47.00			$0	$289,274	$42,457	Yes (X)
MICHAEL KOKOTT
ASST VP MKTG & PLANNING	10.00	35.00			$0	$200,015	$28,844	Yes (X)
ROGER HEATH BELL
VP AND CIO	10.00	37.00			$0	$292,428	$44,585	Yes (X)
DR MICHAEL KULISZ
CHIEF MEDICAL OFFICER	15.00	37.00			$0	$467,070	$73,919	Yes (X)
DAVID PROULX
ASSISTANT VP OPERATIONS	8.00	45.00			$0	$184,897	$55,158	Yes (X)
MICHELE MCCLELLAND
VP OF HUMAN RESOURCES	20.00	30.00			$0	$237,252	$40,669	Yes (X)
ANJU VOHRA
TECHNICAL DIRECTOR - ECHO	45.00				$139,584	$0	$32,971		Yes (X)
THOMAS WARZECHA
DIRECTOR OF PHARMACY	45.00				$152,380	$0	$33,754		Yes (X)
LISA ACKLAND
DIRECTOR OF NURSING	45.00				$155,391	$0	$41,012		Yes (X)
CYNTHIA TUCKER
DIRECTOR OF REHAB SERVICES	45.00				$135,736	$0	$31,946		Yes (X)
CHESTER SIMMONS
PHARMACIST	45.00				$134,048	$0	$32,649		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$717,139	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,526,707	TotReportableCompRltdOrgAmt
Total Other Compensation	$766,436	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	42	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
KISHHEALTH SYSTEM
ONE KISH HOSPITAL DRIVE	DEKALB	IL	60115	MANAGEMENT SERVICES	$13,246,643
DOCTORS OF EMERGENCY MEDICINE
5N327 SWITCHGRAS LANE	ST CHARLES	IL	60175	MEDICAL SERVICES	$9,120,107
SIDDIQUI SABET MD PC
13 VENNARD CT	LOMBARD	IL	60148	MEDICAL SERVICES	$1,700,001
SODEXO INC & AFFILIATES
4880 PAYSPHERE CIRCLE	CHICAGO	IL	60674	FOOD SERVICES	$1,466,117
MAYO MEDICAL LABORATORIES
200 1ST STREET SW	ROCHESTER	MN	55905	LABORATORY SERVICES	$813,458

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	31	CntrctRcvdGreaterThan100KCnt
Membership Dues	$1,280	MembershipDuesAmt
Related Organizations	$1,051,057	RelatedOrganizationsAmt
Government Grants	$18,982	GovernmentGrantsAmt
All Other Contributions	$41,293	AllOtherContributionsAmt
Noncash Contributions	$240	NoncashContributionsAmt
Total Contributions	$1,112,612	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$173,901,890	TotalRevenueColumnAmt
Related Or Exempt Func Income	$173,802,321	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$99,569	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$173,901,890	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,079,040	TotalRevenueColumnAmt
Exclusion	$7,079,040	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$695,190	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$727,583	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$32,393	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$32,393	TotalRevenueColumnAmt
Exclusion	-$32,393	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$39,707,781	SecuritiesAmt
Other	$329,189	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$37,308,752	SecuritiesAmt
Other	$109,911	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,399,029	SecuritiesAmt
Other	$219,278	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,618,307	TotalRevenueColumnAmt
Exclusion	$2,618,307	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$119,104	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$59,428	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$59,676	TotalRevenueColumnAmt
Exclusion	$59,676	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA SALES	621110	$731,387	$0	$731,387
INCOME PASSTHROUGH - MIDLAND SURG	621110	$379,389		$379,389
OTHER SERVICES	621110	$347,854	$23,514	$324,340

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$207,393	TotalRevenueColumnAmt
Exclusion	$207,393	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,666,023	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$186,405,155	TotalRevenueColumnAmt
Related Or Exempt Func Income	$173,802,321	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$123,083	UnrelatedBusinessRevenueAmt
Exclusion	$11,367,139	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$23,590,189	TotalAmt
Program Services	$23,590,189	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$21,039	TotalAmt
Program Services	$21,039	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$44,012,654	TotalAmt
Program Services	$42,245,932	ProgramServicesAmt
Management And General	$1,766,722	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,238,358	TotalAmt
Program Services	$2,148,507	ProgramServicesAmt
Management And General	$89,851	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,523,024	TotalAmt
Program Services	$1,461,888	ProgramServicesAmt
Management And General	$61,136	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,342,444	TotalAmt
Program Services	$9,927,286	ProgramServicesAmt
Management And General	$415,158	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$18,253,073	TotalAmt
Management And General	$18,253,073	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$115,709	TotalAmt
Management And General	$115,709	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$5,817	TotalAmt
Management And General	$5,817	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$564,542	TotalAmt
Management And General	$564,542	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$18,807,022	TotalAmt
Program Services	$17,458,096	ProgramServicesAmt
Management And General	$1,348,926	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$379,948	TotalAmt
Program Services	$46,751	ProgramServicesAmt
Management And General	$330,735	ManagementAndGeneralAmt
Fundraising	$2,462	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,048,239	TotalAmt
Program Services	$3,362,866	ProgramServicesAmt
Management And General	$678,315	ManagementAndGeneralAmt
Fundraising	$7,058	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,634,993	TotalAmt
Program Services	$642,001	ProgramServicesAmt
Management And General	$992,992	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,566,818	TotalAmt
Program Services	$3,417,178	ProgramServicesAmt
Management And General	$149,640	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$134,123	TotalAmt
Program Services	$129,697	ProgramServicesAmt
Management And General	$4,426	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,435,371	TotalAmt
Management And General	$3,435,371	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,278,053	TotalAmt
Program Services	$10,278,053	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,004,989	TotalAmt
Program Services	$829,288	ProgramServicesAmt
Management And General	$3,175,701	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
UNRELATED BUSINESS INCO	$3,359	$3,359
MEDICAL SUPPLIES	$25,054,356	$10,505	$25,043,851
BAD DEBT EXPENSE	$8,209,875		$8,209,875
FEDERAL AND STATE ASSES	$3,403,628		$3,403,628

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,012,939	TotalAmt
Program Services	$776,927	ProgramServicesAmt
Management And General	$232,315	ManagementAndGeneralAmt
Fundraising	$3,697	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$184,640,562	TotalAmt
Program Services	$152,993,052	ProgramServicesAmt
Management And General	$31,634,293	ManagementAndGeneralAmt
Fundraising	$13,217	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,006,542	BOYAmt
EOY	$11,539,399	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$721,854	BOYAmt
EOY	$122,759	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$25,581,608	BOYAmt
EOY	$26,643,574	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,803,727	BOYAmt
EOY	$3,745,229	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,855,211	BOYAmt
EOY	$2,444,675	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$181,017,805	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$94,648,710	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$92,124,980	BOYAmt
EOY	$86,369,095	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$171,588,222	BOYAmt
EOY	$182,412,996	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,515,154	BOYAmt
EOY	$7,496,478	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$890,392	BOYAmt
EOY	$848,849	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,837,285	BOYAmt
EOY	$6,734,387	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$328,924,975	BOYAmt
EOY	$328,357,441	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,614,254	BOYAmt
EOY	$12,002,612	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$48,203	BOYAmt
EOY	$72,556	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,065,000	BOYAmt
EOY	$59,775,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,245,038	BOYAmt
EOY	$1,070,121	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,195,052	BOYAmt
EOY	$31,933,077	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$103,167,547	BOYAmt
EOY	$104,853,366	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$221,656,823	BOYAmt
EOY	$219,234,259	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,100,605	BOYAmt
EOY	$4,269,816	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$225,757,428	BOYAmt
EOY	$223,504,075	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$328,924,975	BOYAmt
EOY	$328,357,441	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,764,593	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,958,212	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,059,734	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	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	Yes (1)	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$32,846	OtherActivitiesAmt
Total Lobbying Expenditures	$32,846	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	LOBBYING EXPENSES ARE ALLOCATED THROUGH MEMBERSHIP DUES WITH ILLINOIS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. NO OTHER LOBBYING ACTIVITIES WERE CONDUCTED.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,060,255	OtherCostOrOtherBasisAmt
Book Value	$6,060,255	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$114,947,337	OtherCostOrOtherBasisAmt
Depreciation	$46,228,212	DepreciationAmt
Book Value	$68,719,125	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$657,467	OtherCostOrOtherBasisAmt
Depreciation	$368,752	DepreciationAmt
Book Value	$288,715	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,442,193	OtherCostOrOtherBasisAmt
Depreciation	$48,051,746	DepreciationAmt
Book Value	$8,390,447	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,910,553	OtherCostOrOtherBasisAmt
Book Value	$2,910,553	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$86,369,095	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
THIRD PARTY PAYABLES	$24,646,469
DUE TO AFFILIATES	$4,078,911
ACCRUED INTEREST PAYABLE	$280,280
OTHER PAYABLES - LONG TERM	$2,927,417

Field	Value	IRS element (for citing)
Total Liability	$31,933,077	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$168,805,720	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$787,011	OtherRevenueAmt
Revenue Not Reported	$787,011	RevenueNotReportedAmt
Revenue Subtotal	$168,018,709	RevenueSubtotalAmt
Other Revenues Not Included	$18,386,446	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$18,386,446	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$186,405,155	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$154,126,412	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$787,011	OtherExpensesIncludedAmt
Expenses Not Reported	$787,011	ExpensesNotReportedAmt
Expenses Subtotal	$153,339,401	ExpensesSubtotalAmt
Other Expenses Not Included	$31,301,161	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$31,301,161	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$184,640,562	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	KISHWAUKEE HOSPITAL IS A TAX-EXEMPT ORGANIZATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. KISHWAUKEE HOSPITAL FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF THE ENTITY AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). UBIT IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING STATEMENTS OF FINANCIAL POSITION ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AT APRIL 30, 2015 AND 2014, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	COST OF GOODS SOLD 59,428. RENTAL EXPENSES 727,583.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BOOK/TAX DIFFERENCE ON INCOME FROM PASSTHROUGH ENTITIES - KISH AREA PHO 6,261. CONTRIBUTION REVENUE FROM KISHHEALTH FOUNDATION 1,051,057. BOOK/TAX DIFFERENCE ON INCOME FROM PASSTHROUGH ENTITIES - MIDLAND SURGICAL 21,673. NONOPERATING INCOME 9,097,580. BAD DEBT EXPENSE 8,209,875.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	COST OF GOODS SOLD 59,428. RENTAL EXPENSES 727,583.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	EQUITY DISTRIBUTION TO KISHHEALTH SYSTEM 23,091,286. BAD DEBT EXPENSE 8,209,875.

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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,524,258	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,524,258	NetCommunityBenefitExpnsAmt
Total Expense	0.02000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,744,739	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,970,891	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,773,848	NetCommunityBenefitExpnsAmt
Total Expense	0.03270	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,268,997	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,970,891	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,298,106	NetCommunityBenefitExpnsAmt
Total Expense	0.05270	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,184,137	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,690	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,158,447	NetCommunityBenefitExpnsAmt
Total Expense	0.02360	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,114,028	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,310	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,101,718	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,440,836	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$651,788	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,789,048	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$584,437	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$584,437	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,323,438	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$689,788	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,633,650	NetCommunityBenefitExpnsAmt
Total Expense	0.04320	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,592,435	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,660,679	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,931,756	NetCommunityBenefitExpnsAmt
Total Expense	0.09590	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,209,875	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$31,228,443	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$47,016,841	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,788,398	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
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	KISHWAUKEE HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KISH HOSPITAL DRIVE	AddressLine1Txt
City	DEKALB	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60115	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.KISHHEALTH.ORG	WebsiteAddressTxt
State License	0005470	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	KISHWAUKEE 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	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.KISHHEALTH.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.KISHHEALTH.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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	600.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
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
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.KISHHEALTH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.KISHHEALTH.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
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
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
KISHWAUKEE HOSPITAL	PART V, SECTION B, LINE 5: INDIVIDUALS REPRESENTING KISHWAUKEE HOSPITAL, VALLEY WEST HOSPITAL, DEKALB COUNTY HEALTH DEPARTMENT AND LIVE HEALTHY DEKALB COUNTY (FORMERLY KNOWN AS PIONEERING HEALTHIER COMMUNITIES), SERVED AS STEERING COMMITTEE MEMBERS. STEERING COMMITTEE MEMBERS MET MONTHLY FROM MAY 2012 TO NOVEMBER 2012 AND REVIEWED POPULATION DEMOGRAPHICS, BIRTH AND DEATH DATA AND SOCIAL AND HEALTH INDICATORS IN ORDER TO PRIORITIZE HEALTH PROBLEMS FOR THE DEKALB COUNTY COMMUNITY HEALTH PLAN AND KISHWAUKEE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT. THE STEERING COMMITTEE WAS CHARGED WITH FURTHER PRIORITIZING THESE ISSUES BASED ON A MORE IN-DEPTH EXPLORATION AND A STANDARDIZED PROCESS. IN SEPTEMBER OF 2012, THE STEERING COMMITTEE PRESENTED HEALTH PRIORITIES TO THE EXTERNAL COMMITTEE MEMBERS, WHO INCLUDED A VARIETY OF INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES, LEADERS FROM COMMUNITY BASED ORGANIZATIONS, FOUNDATIONS, SCHOOL DISTRICTS, COLLEGES, AND LOCAL NON-PROFIT ORGANIZATIONS. THESE PARTICIPANTS ARE EXPERTS IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH AND HEALTH AND SOCIAL SERVICES. THE INPUT FROM THE EXTERNAL GROUP HELPED TO ENSURE THAT NEEDS WERE IDENTIFIED AND WILL BE RESPONDED TO. AFTER THOROUGH REVIEW OF THE DATA, KISHHEALTH SYSTEM COMMUNITY BENEFIT TEAM MEMBERS WERE GIVEN THE OPPORTUNITY TO DISCUSS THE INFORMATION AND FURTHER REVIEW HEALTH PROBLEMS FACING THE COUNTY. FOLLOWING A LENGTHY DISCUSSION, KISHHEALTH SYSTEM COMMUNITY BENEFIT TEAM MEMBERS IDENTIFIED PRIORITIES FOR CONSIDERATION FOR THE COMMUNITY BENEFIT IMPLEMENTATION PLAN. THE FULL LIST OF PARTICIPANTS IN THE ASSESSMENT PROCESS INCLUDES:STEERING COMMITTEE MEMBERS (PARTICIPANTS LISTED ALPHABETICALLY)* BETH BUSCHING, MANAGER, COMMUNITY WELLNESS, KISHWAUKEE HOSPITAL* BETTE CHILTON, DEAN OF HEALTH AND EDUCATION, KISHWAUKEE COMMUNITY COLLEGE* DAWN ROZNOWSKI, COMMUNITY ENGAGEMENT ADVISOR, KISHHEALTH SYSTEM* JANE LUX, DIRECTOR, DEKALB COUNTY HEALTH DEPARTMENT* KIM JASS-RAMIREZ, SENIOR DIRECTOR OF HEALTHY LIVING, KISHWAUKEE YMCA* LISA CUMINGS, COMMUNITY HEALTH LIAISON, KISHWAUKEE HOSPITAL* MARCY ZANELLATO, HEALTH EDUCATION DIVISION, DEKALB COUNTY HEALTH DEPARTMENT* SHELLY JOHNSON, DIRECTOR, COMMUNITY CARES CLINIC AND CENTER FOR FAMILY HEALTH, EMPLOYEE HEALTH, COMMUNITY WELLNESS, KISHHEALTH SYSTEMEXTERNAL COMMITTEE MEMBERS* ERICA BARNES, LCPC, COUNSELOR/OUTREACH COORDINATOR, NORTHERN ILLINOIS UNIVERSITY COUNSELING AND STUDENT DEVELOPMENT* JAMES BRISCOE, SUPERINTENDENT, DEKALB SCHOOL DISTRICT #428* CINDY CAPEK, EXECUTIVE DIRECTOR, DEKALB PARK DISTRICT* BETTE CHILTON, DEAN OF HEALTH & EDUCATION, KISHWAUKEE COMMUNITY COLLEGE* BRENDA COURTNEY, DIRECTOR OF ADMINISTRATIVE SERVICES, DEKALB COUNTY HEALTH DEPARTMENT* KATHY COUNTRYMAN, SUPERINTENDENT, SYCAMORE SCHOOL DISTRICT #427* MICHAEL KOKOTT, ASSISTANT VICE PRESIDENT, MARKETING & PLANNING, KISHHEALTH SYSTEM* DAWN LITLEFIELD, EXECUTIVE DIRECTOR, KISHWAUKEE YMCA* CRISTY MEYER, PRINCIPAL, JEFFERSON ELEMENTARY SCHOOL* DONNA MOULTON, EXECUTIVE DIRECTOR, COMMUNITY MENTAL HEALTH BOARD & COMMUNITY SERVICES, DEKALB COUNTY* GABRIELA ORTIZ, PUBLIC HEALTH NURSE, DEKALB COUNTY HEALTH DEPARTMENT* MARY PRITCHARD, PHD., ASSOCIATE DEAN, NORTHERN ILLINOIS UNIVERSITY, COLLEGE OF HEALTH & HUMAN SCIENCES* TED STRACK, PRESIDENT, SYCAMORE PARK DISTRICT* DAN TEMPLIN, EXECUTIVE DIRECTOR, DEKALB COUNTY COMMUNITY FOUNDATION * ROB WILKINSON, CEO, KISHWAUKEE YMCAKISHHEALTH SYSTEM COMMITTEE MEMBERS* KEVIN POORTEN, PRESIDENT & CEO, KISHHEALTH SYSTEM* ALLISON BRYAN, COMMUNITY RELATIONS, VALLEY WEST HOSPITAL* BECKIE FRIEDERS, EMPLOYEE WELLNESS COORDINATOR, KISHHEALTH SYSTEM* BETH BUSCHING, MANAGER, COMMUNITY WELLNESS, KISHWAUKEE HOSPITAL* BETH GALE, DIRECTOR, CONTINUITY OF CARE* CINDY JOHNSTON, DIRECTOR, COMMUNITY WELLNESS, VALLEY WEST HOSPITAL* DAVID WESTER, PHYSICIAN ASSISTANT, CENTER FOR FAMILY HEALTH* DAWN ROZNOWSKI, COMMUNITY ENGAGEMENT ADVISOR, KISHHEALTH SYSTEM* DR. MICHAEL KULISZ, PHYSICIAN, CHIEF MEDICAL OFFICER, KISHHEALTH SYSTEM* JENNIFER RENFER, READMISSION NURSE* KAREN ROUSE, DIRECTOR, OUTPATIENT CLINICS* MICHAEL KOKOTT, ASSISTANT VICE PRESIDENT OF MARKETING AND PLANNING, KISHHEALTH SYSTEM* PAMELA DUFFY, VICE PRESIDENT, PATIENT CARE SERVICES AND CHIEF NURSING OFFICER* SHELLY JOHNSON, DIRECTOR, COMMUNITY CARES CLINIC AND CENTER FOR FAMILY HEALTH, EMPLOYEE HEALTH, COMMUNITY WELLNESS, KISHHEALTH SYSTEM* THERESA KOMITAS, COMMUNITY RELATIONS, KISHWAUKEE HOSPITAL
KISHWAUKEE HOSPITAL	PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES INCLUDE VALLEY WEST HOSPITAL.
KISHWAUKEE HOSPITAL	PART V, SECTION B, LINE 11: SEE FORM 990, PART III, LINE 4A FOR A DETAILED DESCRIPTION OF THE ACTIONS TAKEN BY KISHWAUKEE COMMUNITY HOSPITAL DURING THE FISCAL YEAR TO ADDRESS COMMUNITY HEALTH NEEDS.NINE OTHER TOPIC AREAS (ACCIDENTS, ALCOHOL/DRUG USE, ALLERGIES, CRIME, JOB AVAILABILITY, ORAL HEALTH, SUICIDE AND UNEMPLOYMENT) WERE IDENTIFIED FOR DATA COLLECTION, REVIEW AND PRIORITY SETTING. BELOW ARE THE AREAS IDENTIFIED AND A BRIEF DESCRIPTION WHY THE HOSPITAL DID NOT SELECT TO ADDRESS.PRIORITY IDENTIFIED: ACCIDENTSEXPLANATION FOR NOT ADDRESSING: KISHWAUKEE HOSPITAL DOES NOT HAVE THE EXPERTISE OR INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS AREA OF NEED.PRIORITY IDENTIFIED: ALCOHOL/DRUG USE EXPLANATION FOR NOT ADDRESSING: KISHWAUKEE HOSPITAL DOES NOT HAVE THE EXPERTISE OR INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS AREA OF NEED. KISHWAUKEE HOSPITAL WILL SUPPORT COMMUNITY AGENCIES SUCH AS BEN GORDON CENTER YOUTH SERVICES BUREAU, DCPSAFE AND OTHER COMMUNITY PROGRAMS TO ADDRESS ISSUES NOT DIRECTLY ADDRESSED BY THE HEALTH SYSTEM.PRIORITY IDENTIFIED: ALLERGIES EXPLANATION FOR NOT ADDRESSING: KISHWAUKEE HOSPITAL DID NOT CHOOSE THIS AS A PRIORITY TO ADDRESS, HOWEVER, IT MAY BE INDIRECTLY ADDRESSED AS A RESULT OF WORK ON OTHER IDENTIFIED HEALTH PRIORITIES LIKE ACCESS TO CARE, CARDIOVASCULAR DISEASE, RESPIRATORY DISEASE AND OVERWEIGHT/OBESITY IN ADULTS/CHILDREN.PRIORITY IDENTIFIED: CRIMEEXPLANATION FOR NOT ADDRESSING: KISHWAUKEE HOSPITAL DOES NOT HAVE THE EXPERTISE OR INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS AREA OF NEED.PRIORITY IDENTIFIED: JOB AVAILABILITYEXPLANATION FOR NOT ADDRESSING: KISHWAUKEE HOSPITAL DOES NOT HAVE THE EXPERTISE OR INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS AREA OF NEED. KISHWAUKEE HOSPITAL WILL SUPPORT COMMUNITY AGENCIES SUCH AS ILLINOIS EMPLOYMENT TRAINING CENTER, DEKALB COUNTY ECONOMIC DEVELOPMENT CORPORATION AND OTHER COMMUNITY PROGRAMS TO ADDRESS ISSUES NOT DIRECTLY ADDRESSED BY THE HEALTH SYSTEM.PRIORITY IDENTIFIED: ORAL HEALTHEXPLANATION FOR NOT ADDRESSING: KISHWAUKEE HOSPITAL DOES NOT HAVE THE EXPERTISE OR INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS AREA OF NEED. PRIORITY IDENTIFIED: SUICIDEEPLANATION FOR NOT ADDRESSING: KISHWAUKEE HOSPITAL DOES NOT HAVE THE EXPERTISE OR INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS AREA OF NEED. KISHWAUKEE HOSPITAL WILL SUPPORT COMMUNITY AGENCIES SUCH AS BEN GORDON CENTER YOUTH SERVICES BUREAU, DCPSAFE AND OTHER COMMUNITY PROGRAMS TO ADDRESS ISSUES NOT DIRECTLY ADDRESSED BY THE HEALTH SYSTEM.PRIORITY IDENTIFIED: UNEMPLOYMENTEXPLANATION FOR NOT ADDRESSING: KISHWAUKEE HOSPITAL DOES NOT HAVE THE EXPERTISE OR INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS AREA OF NEED. KISHWAUKEE HOSPITAL WILL SUPPORT COMMUNITY AGENCIES SUCH AS ILLINOIS EMPLOYMENT TRAINING CENTER, DEKALB COUNTY ECONOMIC DEVELOPMENT CORPORATION AND OTHER COMMUNITY PROGRAMS TO ADDRESS ISSUES NOT DIRECTLY ADDRESSED BY THE HEALTH SYSTEM.
KISHWAUKEE HOSPITAL	PART V, SECTION B, LINE 13B: IN ADDITION TO FEDERAL POVERTY GUIDELINES, A PERSON MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON THEIR FAMILY INCOME RELATIVE TO FAMILY SIZE AND OTHER FACTORS SUCH AS CURRENT FINANCIAL OBLIGATIONS AND LIVING EXPENSES.
KISHWAUKEE HOSPITAL	PART V, SECTION B, LINE 20E: POSTING OF FINANCIAL ASSISTANCE POLICY TO SYSTEM'S WEBSITE.
KISHWAUKEE HOSPITAL	PART V, SECTION B, LINE 22D: BASED ON COMPLIANCE WITH LAWS OF STATE OF ILLINOIS, SPECIFICALLY THE UNINSURED PATIENT DISCOUNT ACT.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
KISHWAUKEE HOSPITAL PART V, SECTION B, LINE 16B WEBSITE:	WWW.KISHHEALTH.ORG
KISHWAUKEE HOSPITAL PART V, SECTION B, LINE 16C WEBSITE:	WWW.KISHHEALTH.ORG

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ADDITION TO FPG GUIDELINES, KISHWAUKEE HOSPITAL UTILIZES OTHER FACTORS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PER THE ORGANIZATION'S CHARITY CARE POLICY, THESE FACTORS INCLUDE:* FAMILY INCOME RELATIVE TO FAMILY SIZE AND OTHER RELATED FACTORS SUCH AS CURRENT FINANCIAL OBLIGATIONS* EMPLOYMENT STATUS, INCLUDING, BUT NOT LIMITED TO, FUTURE EARNING CAPACITY WITH CONSIDERATION OF THE LIKELIHOOD OF A FINANCIAL CAPACITY SUFFICIENT TO MEET THE PATIENT'S FINANCIAL OBLIGATIONS IN AN ACCEPTABLE PERIOD OF TIME* FUTURE AND CURRENT ABILITY TO PAY* MEDICAL EXPENSES, INCLUDING PHARMACEUTICAL EXPENSES, AS A PERCENTAGE OF A PATIENT'S ANNUAL GROSS INCOME, THE AMOUNT OF TOTAL MEDICAL BILLS OUTSTANDING, AND THE FREQUENCY OF PAYMENTS TO BE MADE IN RELATION TO THE FACTORS ABOVE* CREDIT REPORT INFORMATION* ACTUAL COST OF CARE PROVIDED* OTHER FACTORS DEEMED APPROPRIATE BY THE HEALTH SYSTEMKISHWAUKEE HOSPITAL DOES NOT CONSIDER THE PATIENT'S ASSETS IN DETERMINING ABILITY TO PAY OR ELIGIBILTY FOR CHARITY CARE.
PART I, LINE 7:	THE RESPECTIVE IRS WORKSHEET, AS PROVIDED IN THE INSTRUCTIONS FOR SCHEDULE H, WERE USED TO CALCULATE THE COSTS OF ITEMS WITHIN THE TABLE ABOVE.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES INCLUDE HOSPITALIST SERVICES, DIABETES TREATMENT, EMS SERVICES, ANESTHESIA SERVICES AND CHILD DEVELOPMENT PROGRAMS
PART I, LN 7 COL(F):	SEE FOOTNOTE 4 AND FOOTNOTE 5 (BEGINNING ON PAGE 17) IN THE ATTACHED FINANCIAL STATEMENTS FOR A DESCRIPTION OF BAD DEBT EXPENSE.
PART III, LINE 2:	SEE FOOTNOTE 4 AND FOOTNOTE 5 (BEGINNING ON PAGE 17) IN THE ATTACHED FINANCIAL STATEMENTS FOR A DESCRIPTION OF BAD DEBT EXPENSE.
PART III, LINE 3:	INTERNAL REVENUE SERVICE WORKSHEET 2 (PER SCHEDULE H INSTRUCTIONS) WAS UTILIZED TO DETERMINE THE COST OF BAD DEBTS ATTRIBUTABLE TO PATIENT ACCOUNTS AND THE RELATED COMMUNITY BENEFIT.
PART III, LINE 8:	FOR THE 4/30/15 FISCAL YEAR, KH PROVIDED BILLED CHARGES TO MEDICARE PATIENTS TOTALING $51,600,000. HOWEVER, DUE TO THE MEDICARE INPATIENT AND OUTPATIENT PAYMENT METHODOLOGIES, THE ACTUAL CASH PAYMENTS RECEIVED FROM PROVIDING CARE TO THOSE PATIENTS WAS JUST $12,800,000, OR 24.7% OF BILLED CHARGES. THE COST OF PROVIDING THIS CARE, PER THE MEDICARE COST REPORT, WAS $18,700,000. THUS, THE PAYMENTS RECEIVED FROM MEDICARE WERE $5,900,000 LESS THAN COST, OR 68% OF COST. TRULY THIS $5,900,000 SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. AS APPROXIMATELY 46% OF ALL KISHWAUKEE HOSPITAL CHARGES GENERATED ARE FROM MEDICARE PATIENTS, THIS SHORTFALL PLACES A TREMENDOUS FINANCIAL BURDEN ON OUR HOSPITAL.KISHWAUKEE HOSPITAL, LIKE OTHER NOT-FOR-PROFIT HOSPITALS, MUST ACCEPT MEDICARE PAYMENTS AS PAYMENT IN FULL FOR SERVICES PROVIDED, WITH THE EXCEPTION OF COLLECTING ON DEDUCTIBLES AND CO-INSURANCE AMOUNTS. HOSPITALS CANNOT BILL MEDICARE PATIENTS FOR THE DIFFERENCE BETWEEN THE BILLED CHARGES AND MEDICARE PAYMENTS.KISHWAUKEE HOSPITAL PROVIDES SERVICES TO ALL PATIENTS WHO NEED CARE, ABIDING BY THE FEDERAL EMERGENCY MEDICAL TREATMENT AND LABOR ACT (EMTALA) REGULATION. IT REQUIRES HOSPITALS AND AMBULANCE SERVICES TO PROVIDE CARE TO ANYONE NEEDING EMERGENCY HEALTHCARE TREATMENT REGARDLESS OF CITIZENSHIP, LEGAL STATUS OR ABILITY TO PAY.KH UTILIZED THE CALCULATION OF MEDICARE COST FROM THE ANNUAL MEDICARE COST REPORT. THIS APPROACH ALLOCATES COST FROM NON REVENUE PRODUCING DEPARTMENTS TO THE REVENUE GENERATING DEPARTMENTS, BASED ON STEP DOWN STATISTICAL COST FINDING. WHILE NOT AS COMPREHENSIVE AS A TRUE COST ACCOUNTING SYSTEM, THIS PROCESS RESULTS IN AN ACCEPTABLE BASIS OF THE DEPARTMENTAL COST FOR PROVIDING SERVICES. RECALL THAT PRIOR TO MEDICARE PROSPECTIVE PAYMENT SYSTEM (PPS), THIS METHODOLOGY WAS THE BASIS FOR THE REIMBURSEMENT TO HOSPITALS.
PART III, LINE 9B:	COLLECTION ACTIONS INVOLVING UNINSURED PATIENTS. KHS (KISHHEALTH SYSTEM, PARENT ORGANIZATION OF KISHWAUKEE HOSPITAL) SHALL NOT PURSUE A COLLECTION ACTION AGAINST AN UNINSURED PATIENT, UNLESS THE PATIENT HAS BEEN GIVEN THE OPPORTUNITY TO ASSESS THE ACCURACY OF THE BILL APPLY FOR FINANCIAL ASSISTANCE UNDER THE KHS FINANCIAL ASSISTANCE POLICY AND PROCEDURE AND AVAIL HIMSELF OR HERSELF OF A REASONABLE PAYMENT PLAN. NOTWITHSTANDING THIS, KHS MAY NOT PURSUE THE COLLECTION ACTION UNDER THE FOLLOWING CIRCUMSTANCES: (A) IF THE PATIENT HAS INDICATED AN INABILITY TO PAY THE FULL AMOUNT OF THE DEBT IN ONE PAYMENT, UNTIL KHS HAS OFFERED THE PATIENT A PAYMENT PLAN. KHS MAY REQUIRE THE PATIENT TO PROVIDE REASONABLE VERIFICATION OF HIS OR HER INABILITY TO PAY THE FULL AMOUNT OF THE DEBT IN ONE PAYMENT.(B) IF KHS HAS REASON TO BELIEVE THE PATIENT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, UNTIL KHS HAS GIVEN THE PATIENT AT LEAST 60 DAYS FOLLOWING THE DATE OF DISCHARGE OR RECEIPT OF OUTPATIENT CARE TO SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE. (C) IF THE PATIENT HAS AGREED TO A PAYMENT PLAN, UNTIL THE PATIENT HAS FAILED TO MAKE PAYMENTS IN ACCORDANCE WITH THAT PAYMENT PLAN. (D) IF THE PATIENT INFORMS KHS THAT HE OR SHE HAS APPLIED FOR HEALTH CARE COVERAGE UNDER MEDICAID, KIDCARE, OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAM (AND THERE IS A REASONABLE BASIS TO BELIEVE THAT THE PATIENT WILL QUALIFY FOR SUCH PROGRAM), BUT THE PATIENT'S APPLICATION IS DENIED.
PART VI, LINE 2:	IN 2012, KISHWAUKEE HOSPITAL PARTNERED WITH DEKALB COUNTY HEALTH DEPARTMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS A PRIMARY TOOL USED BY THE HOSPITAL TO DETERMINE ITS COMMUNITY BENEFIT PLAN, WHICH OUTLINES HOW THE HOSPITAL WILL GIVE BACK TO THE COMMUNITY IN THE FORM OF HEALTH CARE AND OTHER COMMUNITY SERVICES TO ADDRESS UNMET COMMUNITY HEALTH NEEDS. IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, KISHHEALTH SYSTEM SPONSORED AN ONLINE SURVEY WHICH WAS A QUESTIONNAIRE STYLE, SELF-ADMINISTERED SURVEY, AVAILABLE ONLINE, IN BOTH ENGLISH AND SPANISH. THE PROCESS FOLLOWED A CROSS SECTIONAL RESEARCH DESIGN, TAKING A SNAPSHOT OF DEKALB COUNTY RESIDENTS AT A SINGLE MOMENT IN TIME. LASTLY, THE COMMUNITY NEEDS INDEX IDENTIFIES THE SEVERITY OF HEALTH DISPARITIES FOR EVERY ZIP CODE IN THE UNITED STATES AND DEMONSTRATES THE LINK BETWEEN COMMUNITY NEED, ACCESS TO CARE, AND PREVENTABLE HOSPITALIZATIONS. REVIEW OF THE COMMUNITY NEEDS INDEX WAS USED TO IDENTIFY COMMUNITIES OF HIGHEST NEED AND PLAN FOR DIRECT A RANGE OF POTENTIAL COMMUNITY HEALTH OUTREACH EFFORTS. INDIVIDUALS REPRESENTING KISHWAUKEE HOSPITAL, VALLEY WEST HOSPITAL, DEKALB COUNTY HEALTH DEPARTMENT AND PIONEERING HEALTHIER COMMUNITIES, SERVED AS STEERING COMMITTEE MEMBERS. STEERING COMMITTEE MEMBERS MET MONTHLY FROM MAY 2012 TO AUGUST 2012 AND REVIEWED POPULATION DEMOGRAPHICS, BIRTH AND DEATH DATA AND SOCIAL AND HEALTH INDICATORS IN ORDER TO PRIORITIZE HEALTH PROBLEMS FOR THE DEKALB COUNTY COMMUNITY HEALTH PLAN AND KISHWAUKEE HOSPITAL BENEFIT PLAN. THE STEERING COMMITTEE AND KISHHEALTH SYSTEM BENEFIT TEAM MEMBERS WERE CHARGED WITH FURTHER PRIORITIZING THESE ISSUES BASED ON A MORE IN-DEPTH EXPLORATION AND A STANDARDIZED PROCESS. AFTER THOROUGH REVIEW OF THE DATA, KISHHEALTH SYSTEM COMMUNITY BENEFIT TEAM MEMBERS WERE GIVEN THE OPPORTUNITY TO DISCUSS THE INFORMATION AND IDENTIFY HEALTH PROBLEMS FACING THE COUNTY. FOLLOWING A LENGTHY DISCUSSION, KISHHEALTH SYSTEM COMMUNITY BENEFIT TEAM MEMBERS IDENTIFIED THE FOLLOWING PRIORITIES FOR CONSIDERATION. AFTER THOROUGH REVIEW OF THE DATA AND FURTHER ANALYSIS, THE PRIORITIES OF FOCUS ARE HIGHLIGHTED.DATA COLLECTION AND COMMUNITY HEALTH NEEDS ASSESSMENT:ADMINISTRATION OF THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENT ONLINE SURVEY WAS NOT RANDOMIZED, BUT ANALYSIS OF RESPONDENT CHARACTERISTICS INDICATED THAT PARTICIPANTS RESPONDING TO THE SURVEY WERE REPRESENTATIVE OF THE COUNTY'S POPULATION.THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENT ONLINE SURVEY WAS A QUESTIONNAIRE STYLE, SELF-ADMINISTERED SURVEY, AVAILABLE ONLINE, IN BOTH ENGLISH AND SPANISH. THE PROCESS FOLLOWED A CROSS SECTIONAL RESEARCH DESIGN, TAKING A SNAPSHOT OF DEKALB COUNTY RESIDENTS AT A SINGLE MOMENT IN TIME. THE ONLINE SURVEY WAS SPONSORED AND HOSTED BY KISHHEALTH SYSTEM. THE RESULTS OF THE ONLINE SURVEY, IS AVAILABLE ON THE KISH HEALTH SYSTEM'S WEBSITE.SECONDARY DATA COLLECTION:DATA NECESSARY FOR THE DECISION-MAKING PROCESS WAS PROVIDED BY JOEL COWEN, RETIRED FACULTY MEMBER OF HEALTH SYSTEMS RESEARCH OF THE UNIVERSITY OF ILLINOIS - COLLEGE OF MEDICINE, AT ROCKFORD. LOCAL, COUNTY, STATE AND FEDERAL SOURCES WERE COLLECTED TO PRESENT A COMMUNITY PROFILE, BIRTH AND DEATH CHARACTERISTICS, ACCESS TO HEALTH CARE,CHRONIC DISEASE, SOCIAL ISSUES AND SCHOOL AND STUDENT CHARACTERISTICS. WHEN PERTINENT, THESE DATA SETS ARE PRESENTED IN THE CONTEXT OF DEKALB COUNTY AND THE STATE OF ILLINOIS. ANALYSES WERE CONDUCTED AT THE MOST LOCAL LEVEL POSSIBLE FOR VALLEY WEST HOSPITAL PRIMARY SERVICE AREA, GIVEN THE AVAILABILITY OF THE DATA. RESOURCES UTILIZED INCLUDE:AMERICAN DIABETES ASSOCIATIONAMERICAN MEDICAL ASSOCIATIONAMERICAN UNIVERSITY SURVEYCENTERS FOR DISEASE CONTROL AND PREVENTIONCOMMUNITY NEEDS INDEXILLINOIS DEPARTMENT OF EMPLOYMENT SECURITYILLINOIS DEPARTMENT OF PUBLIC HEALTHILLINOIS DEPARTMENT OF PUBLIC HEALTH ANNUAL HOSPITAL QUESTIONNAIREILLINOIS DEPARTMENT OF PUBLIC HEALTH, BEHAVIORAL RISK FACTOR SURVEYILLINOIS DEPARTMENT OF PUBLIC HEALTH, ILLINOIS COUNTY CANCER STATISTICS REVIEW INCIDENCEILLINOIS DEPARTMENT OF PUBLIC HEALTH: BIRTH DEFECTS AND OTHER ADVERSE PREGNANCY OUTCOMES IN ILLINOIS, 2004-2008ILLINOIS HOSPITAL ASSOCIATIONILLINOIS HOSPITAL ASSOCIATION, COMPDATAILLINOIS PUBLIC HEALTH COMMUNITY MAPNATIONAL CANCER INSTITUTENATIONAL CENTER FOR HEALTH STATISTICSNATIONAL HEART LUNG AND BLOOD INSTITUTENORTHERN ILLINOIS UNIVERSITY ENROLLMENT DATAPIONEERING HEALTHIER COMMUNITIESSTATE OF ILLINOIS DATA BY ZIP CODE*U.S. CENSUS BUREAU 2010 DATATHE FULL REPORT OF PRIMARY AND SECONDARY DATA SOURCES AND DATES UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR KISHWAUKEE HOSPITAL, VALLEY WEST COMMUNITY HOSPITAL AND DEKALB COUNTY HEALTH DEPARTMENT AND IS AVAILABLE ON KISH HEALTH SYSTEM WEBSITE.COMMUNITY NEEDS INDEX:THE COMMUNITY NEEDS INDEX IDENTIFIES THE SEVERITY OF HEALTH DISPARITIES FOR EVERY ZIP CODE IN THE UNITED STATES AND DEMONSTRATES THE LINK BETWEEN COMMUNITY NEED, ACCESS TO CARE, AND PREVENTABLE HOSPITALIZATIONS. FOR EACH ZIP CODE IN THE US, THE COMMUNITY NEEDS INDEX AGGREGATES FIVE SOCIOECONOMIC INDICATORS/BARRIERS TO HEALTH CARE ACCESS THAT ARE KNOWN TO CONTRIBUTE TO HEALTH DISPARITIES RELATED TO INCOME, EDUCATION,CULTURE/LANGUAGE, INSURANCE AND HOUSING. REVIEW OF THE COMMUNITY NEEDS INDEX WAS USED TO IDENTIFY COMMUNITIES OF HIGHEST NEED AND PLAN FOR DIRECT A RANGE OF POTENTIAL COMMUNITY HEALTH OUTREACH EFFORTS. DATA ANALYSIS:AFTER THOROUGH REVIEW OF THE DATA, AND DETAILED ANALYSIS IT WAS DECIDED THAT COMPONENTS OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS BE UTILIZED TO HELP FURTHER DETERMINE THE PRIORITIES TO ESTABLISH FOR KISHHEALTH SYSTEM AS A WHOLE AND VALLEY WEST HOSPITAL. MAPP IS A STRATEGIC APPROACH TO COMMUNITY HEALTH IMPROVEMENT.FURTHER VETTING OF PRIMARY AND SECONDARY DATA INCLUDED STATISTICAL ANALYSIS OF TRENDS AND COMPARISONS, HEALTH INDICATORS, ISSUES THAT ARE OCCURRING THAT AFFECT THE HEALTH OF THE COMMUNITY, AND EXISTING PROGRAMS/SERVICES THAT CONTRIBUTE TO/OR IMPROVE THE QUALITY OF LIFE AND/OR OVERALL HEALTH OF THE COMMUNITY.USING PRIMARY AND SECONDARY DATA COLLECTION, PARTICIPANTS WERE ASKED TO REVIEW AND IDENTIFY THE HEALTH PRIORITIES FOR THE COMMUNITY THAT THEY BELIEVED TO BE THE MOST SIGNIFICANT TO THE OVERALL HEALTH OF THE COMMUNITY. USING A NOMINAL GROUP PROCESS, PRIORITIES WERE DISCUSSED AND RECOMMENDATIONS MADE.
PART VI, LINE 3:	INFORMATION IS PROVIDED AT REGISTRATION, VIA THE HOSPITAL WEBSITE, THROUGH CONSULTATIONS WITH FINANCIAL COUNSELORS FOR SOME OUTPATIENTS AS WELL AS INPATIENTS, DURING THE BILLING PROCESS ON STATEMENTS AND VIA PHONE CONVERSATIONS.
PART VI, LINE 4:	KISHWAUKEE HOSPITAL SERVES THE LARGEST PORTION OF DEKALB COUNTY RESIDENTS, WITH ROUGHLY 58.4% OF THE COUNTY'S ENTIRE POPULATION FOUND IN THE CITIES OF DEKALB AND SYCAMORE. UTILIZING ILLINOIS HOSPITAL ASSOCIATION COMP DATA, WHICH MEASURES HOSPITAL ADMISSIONS KISHWAUKEE HOSPITAL, HAD 5,775 ADMISSIONS, 156,418 OUTPATIENT VISITS AND 31,399 EMERGENCY DEPARTMENT VISITS IN FISCAL YEAR 2015. IN THE HOSPITAL SERVICE AREA, ESTIMATED AT 105,000 PEOPLE, THE INPATIENT MARKET SHARE IS ROUGHLY 59.95%.
PART VI, LINE 5:	KISHWAUKEE HOSPITAL IN DEKALB, IL, IS PART OF KISHHEALTH SYSTEM. THE HEALTH SYSTEM IS GOVERNED BY AN APPOINTED VOLUNTEER BOARD OF DIRECTORS, INDEPENDENT COMMUNITY LEADERS WHO RESIDE IN THE PRIMARY MARKETS SERVED BY THE HEALTH SYSTEM'S TWO HOSPITALS. THESE INDIVIDUALS ARE SELECTED FOR THE BOARD DUE TO THEIR INTEREST AND EXPERTISE IN VARIOUS AREAS THAT CAN HELP MANAGEMENT CARRY OUT THE MISSION OF THE HEALTH SYSTEM. MEMBERS OF THE BOARD ARE NOT COMPENSATED FOR THEIR TIME. THE MEDICAL STAFF IS OPEN TO PHYSICIANS THAT MEET CRITERIA ESTABLISHED BY MEDICAL STAFF BY-LAWS. PHYSICIANS ARE GIVEN THE OPPORTUNITY TO VOLUNTEER TO DO FREE COMMUNITY WELLNESS PROGRAMS ON HEALTH TOPICS. SURPLUS FUNDS GO BACK INTO THE ORGANIZATION TO SUPPORT OPERATIONS, CAPITAL IMPROVEMENTS, THE HEALTH SYSTEM'S COMMITMENT TO EDUCATION AND INNOVATION, AND TO PROVIDE MEDICAL CARE TO ALL REGARDLESS OF ABILITY TO PAY. EFFORTS TO PROMOTE HEALTH WITHIN THE COMMUNITY ARE OFTEN FACILITATED BY THE COMMUNITY WELLNESS DEPARTMENT. THERE ARE FOUR HEALTH PROMOTION SPECIALISTS AND A HEALTHY CULINARY INSTRUCTOR THAT ARE EMPLOYED TO COLLABORATE WITH COMMUNITY PARTNERS, SCHOOLS, AND BUSINESSES TO PROMOTE HEALTHY LIFESTYLES THROUGH INDIVIDUAL AND ENVIRONMENTAL CHANGE. THERE ARE OTHER DEPARTMENTS AND PROGRAMS WITHIN THE HOSPITAL, SUCH AS BEHAVIORAL HEALTH SERVICES, THE ONCOLOGY DEPARTMENT, AND DIABETES EDUCATION THAT ALSO SPEND TIME ENGAGED IN PROMOTING COMMUNITY HEALTH. THE PRIMARY GOALS OF THESE ACTIVITIES WERE TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY, IMPROVE ACCESS TO CARE, AND REACH OUT TO SPECIAL POPULATIONS.SEE FORM 990, PART III, LINE 4A FOR SOME OF THE ACTIVITIES OR SERVICES THAT WERE PROVIDED TO WORK TOWARD A HEALTHY COMMUNITY DURING THE FISCAL YEAR.
PART VI, LINE 6:	KISH HEALTH SYSTEM AND ITS NON PROFIT AFFILIATES, KISHWAUKEE HOSPITAL, VALLEY WEST HOSPITAL, KISH HEALTH SYSTEM HOSPICE, KISH HEALTH SYSTEM HOMECARE, CENTER FOR FAMILY HEALTH MALTA, COMMUNITY CARES CLINIC, KISH HEALTH SYSTEM PHYSICIANS GROUP, AND KISH HEALTH SYSTEM FOUNDATION, ALL PROMOTE THE HEALTH OF COMMUNITIES IN OUR REGION THROUGH DIRECT SERVICES, DONATIONS OF LEADERSHIP TIME ON VARIOUS COMMITTEES AND BOARDS, AND THROUGH CASH CONTRIBUTIONS. KISH HEALTH SYSTEM UNDERWROTE $20,750,000 FOR KISH HEALTH SYSTEM PHYSICAN GROUP FOR OPERATIONAL LOSSES (APPROXIMATELY $6,775,000) AND FUNDING FOR THE PURCHASE OF DEKALB CLINIC. IN ADDITION, KISH HEALTH SYSTEM UNDERWROTE $300,000 FOR THE CENTER FOR FAMILY HEALTH-MALTA AND $250,000 FOR KISH HEALTH SYSTEM HOMECARE FOR OPERATIONAL LOSSES IN FISCAL YEAR 2015, ALL VITAL SERVICES FOR THE HEALTH OF THE COMMUNITY. IN ADDITION TO CONTRIBUTIONS MADE BY KISHWAUKEE HOSPITAL AND VALLEY WEST HOSPITAL TO OTHER ORGANIZATIONS WITHIN THEIR COMMUNITIES, KISH HEALTH SYSTEM CONTRIBUTED $25,800 TO OTHER ORGANIZATIONS WITHIN THE COMMUNITY. KISH HEALTH SYSTEM EMPLOYEES CONTRIBUTED MORE THAN 1,423 HOURS OF IN-KIND SERVICE TO COMMUNITY ORGANIZATIONS, EDUCATIONAL INSTITUTIONS AND OTHER ACTIVITIES THAT PROMOTE HEALTH, EDUCATION, AND QUALITY OF LIFE. VALLEY WEST HOSPITAL IS A CRITICAL ACCESS HOSPITAL IN SANDWICH, IL. KISH HEALTH SYSTEM HOSPICE IN DEKALB, IL PROVIDES FREE CARE AND SUPPORT FOR THE TERMINALLY ILL AS WELL AS GRIEF SUPPORT TO THE PUBLIC. CENTER FOR FAMILY HEALTH CLINIC IN MALTA IS A PRIMARY CLINIC FOR MEDICAID AND UNINSURED KISH HEALTH SYSTEM PHYSICIAN GROUP PROVIDES ACCESS TO MEDICAL SERIVCES, ESPECIALLY THE RURAL AREAS AND ACCEPTS MEDICAID AND UNINSURED PATIENTS, AND KISH HEALTH FOUNDATION IN DEKALB, IL RAISES MONEY FOR KISHWAUKEE HOSPITAL, VALLEY WEST HOSPITAL, KISH HEALTH SYSTEM HOSPICE, AND THE CENTER FOR FAMILY HEALTH AND FUNDS EQUIPMENT PURCHASES AND PATIENT SERVICES PARTICULARLY IN THE AREA OF CANCER CARE FOR THOSE WHO CANNOT AFFORD IT.
PART VI, LINE 7, REPORTS FILED WITH STATES	IL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
AMERICAN CANCER SOCIETY
143 FIRST STREET	BATAVIA	IL	60510	131788491	501(C)(3)	$12,500	TO PROVIDE FINANCIAL ASSISTANCE FOR ACTIVITIES RELATED TO CANCER RESEARCH AND EDUCATION
AMERICAN HEART ASSOCIATION
PO BOX 4002902	DES MOINES	IA	50340	135613797	501(C)(3)	$15,000	TO PROVIDE FINANCIAL ASSISTANCE FOR ACTIVITIES RELATED TO HEART HEALTH RESEARCH AND EDUCATION
BEN GORDON CENTER FOUNDATION
12 HEALTH SERVICES DRIVE	DEKALB	IL	60115	362771343	501(C)(3)	$50,000	TO PROVIDE FINANCIAL ASSISTANCE FOR MENTAL HEALTH SERVICES FOR UNDER OR UNINSURED
DEKALB COUNTY YOUTH SERVICES BUREAU
330 GROVE STREET	DEKALB	IL	60115	363034427	501(C)(3)	$7,500	TO PROVIDE FINANCIAL ASSISTANCE FOR ACTIVITIES RELATED TO YOUTH SERVICES
GENOA CHAMBER OF COMMERCE
111 N SYCAMORE ST	GENOA	IL	60135	362355846	501(C)(6)	$6,300	TO PROVIDE FINANCIAL ASSISTANCE FOR ACTIVITIES RELATED TO PROMOTION OF GENOA AREA ECONOMIC DEVELOPMENT
KISHWAUKEE FAMILY YMCA
2500 BETHANY ROAD	SYCAMORE	IL	60178	362379643	501(C)(3)	$25,930	TO PROVIDE FINANCIAL ASSISTANCE RELATED TO HEALTH AND FITNESS ACTIVITES FOR LOW INCOME CHILDREN AND FAMILIES
SYCAMORE CHAMBER OF COMMERCE
407 W STATE STREET STE 10	SYCAMORE	IL	60178	361848940	501(C)(6)	$7,000	TO PROVIDE FINANCIAL ASSISTANCE TO PROMOTE BUSINESSES AND ORGANIZATIONS IMPACTING THE COMMUNITY HEALTH AND SAFETY.
CASA DEKALB COUNTY INC
407 W STATE STREET STE 6	SYCAMORE	IL	60178	363903898	501(C)(3)	$10,000	SUPPORT PROGRAMS OFFERED TO CHILDREN IN DEKALB COUNTY THAT ARE ABUSED OR NEGLECTED.
FAMILY SERVICE AGENCY
14 HEALTH SERVICES DRIVE	DEKALB	IL	60115	362360012	501(C)(3)	$25,000	TO SUPPORT A COMPREHENSIVE, CHILD APPROPRIATE AND MULTIDISCIPLINARY RESPONSE TO REPORTS OF CHILD SEXUAL AND SEVERE PHYSICAL ABUSE IN DEKALB COUNTY.
SAFE PASSAGE
PO BOX 621	DEKALB	IL	60115	363108372	501(C)(3)	$10,000	FUNDING TO SUPPORT EMERGENCY SHELTER, TRANSITIONAL HOUSING, CRISIS INTERVENTION, TO WOMEN AND CHILDREN WHO ARE VICTIMS OF DOMESTIC VIOLENCE.
FAMILIES FOR HOPE HAVEN
1145 RUSHMORE DRIVE	DEKALB	IL	60115	363537762	501(C)(3)	$10,000	FUNDING FOR FOOD, SHELTER, SUPPORTIVE SERVICES TO HOMELESS INDIVIDUALS AND FAMILIES OF DEKALB COUNTY.
SYCAMORE PARK DISTRICT
940 EAST STATE STREET	SYCAMORE	IL	60178	366006122	GOVERNMENT ENTITY	$5,300	FUNDING SUPPORT EVENTS AND PURCHASE SUPPLIES/EQUIPMENT FOR PROGRAMS OFFERED.
DEKALB COUNTY CHAMBER OF COMMERCE
164 E LINCOLN HIGHWAY	DEKALB	IL	60115	360981630	501(C)(6)	$7,000	TO PROVIDE FINANCIAL ASSISTANCE TO PROMOTE BUSINESSES AND ORGANIZATIONS IMPACTING THE COMMUNITY HEALTH AND SAFETY.
DEKALB COUNTY EDC
421 N CALIFORNIA STREET BUILDING 1B	SYCAMORE	IL	60178	363524353	501(C)(3)	$12,500	FUNDING TO SUPPORT WORKFORCE DEVELOPMENT FOR DEKALB COUNTY RESIDENTS.	SUITE 200
KISHHEALTH SYSTEM
ONE KISH HOSPITAL DRIVE	DEKALB	IL	60115	363649080	501(C)(3)	$23,091,286	TO PROVIDE FINANCIAL ASSISTANCE IN SUPPORT OF COMMUNITY SOCIAL SERVICES
KISHWAUKEE COLLEGE FOUNDATION
21193 MALTA ROAD	MALTA	IL	60150	237433940	501(C)(3)	$22,500	FUNDING FOR EDUCATION SCHOLARSHIPS, SPECIFIC TO HEALTH CARE EDUCATION FOR STUDENTS ATTENDING THE COLLEGE.
NORTHERN PUBLIC RADIO
801 N FIRST STREET	DEKALB	IL	60115	366086819	501(C)(3)	$10,078	THE MISSION OF NORTHERN PUBLIC RADIO IS TO ENRICH, INSPIRE, AND INFORM ADULTS IN NORTHERN ILLINOIS THROUGH PROGRAMS AND SERVICES THAT SHARE IDEAS, ENCOURAGE THOUGHT, GIVE PLEASURE, AND CREATE COMMUNITY.
OSF SAINT ANTHONY FOUNDATION
5666 E STATE ST	ROCKFORD	IL	61108	371259284	501(C)(3)	$7,500	FUNDING TO SUPPORTS THE ANIMAL ASSISTED PRGRAMS AND LEVEL 3 TRAUMA BURN PROGRAM.
DEKALB PUBLIC LIBRARY
309 OAK STREET	DEKALB	IL	60115	366005846	GOVERNMENT ENTITY	$100,000	FUNDING TO SUPPORT THE PROGRAM EXPANSION OF DEKALB LIBRARY'S COMPUTER LAB THAT IS AVAIALBALBE TO THE GENERAL PUBLIC USE.

Field	Value	IRS element (for citing)
Total501c3 Org	16	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	KISHWAUKEE HOSPITAL AUXILIARY SCHOLARSHIP PROGRAM	GrantTypeTxt
Recipient	20	RecipientCnt
Cash Grant	$21,039	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION MAINTAINS SPECIFIC POLICIES AND QUALIFICATIONS FOR ALL GRANTS AVAILABLE. APPLICANTS MUST APPLY FOR THE RESPECTIVE GRANT AND BE APPROVED BY THE FUNDS GOVERNING BOARD. THE USE OF THE FUNDS IS MONITORED BY THE GOVERNING BOARD OF KISHWAUKEE HOSPITAL. REQUESTS FOR FINANCIAL ASSISTANCE FROM OTHER CHARITABLE ORGANIZATIONS ARE REVIEWED AND APPROVED BY THE VP - FINANCE OF KISHHEALTH SYSTEM. IF NECESSARY DUE TO THE DOLLAR AMOUNT OF THE REQUEST, THESE ITEMS MAY ALSO BE PRESENTED TO THE BOARD OF DIRECTORS. A BUDGET IS SET ANNUALLY FOR CHARITABLE ASSISTANCE TO OTHER ORGANIZATIONS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	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 (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN POORTEN
PRESIDENT & CEO, KISHHEALTH SYSTEM	$0	$616,000	$0	$196,800	$0	$60,000	$0	$108,400	$0	$21,296	$0	$1,002,496	$0	$0
LOREN FOELSKE
VP FINANCE - KISHHEALTH SYSTEM	$0	$277,525	$0	$51,100	$0	$0	$0	$69,300	$0	$18,632	$0	$416,557	$0	$0
BRAD COPPLE
PRESIDENT - KH & VWH	$0	$318,347	$0	$59,000	$0	$0	$0	$38,900	$0	$20,620	$0	$436,867	$0	$0
PAM DUFFY
CNO & VP PATIENT CARE SVCS	$0	$225,599	$0	$51,400	$0	$0	$0	$23,808	$0	$7,516	$0	$308,323	$0	$0
JOESPH DANT
VP BUSINESS DEVELOPMENT	$0	$234,774	$0	$54,500	$0	$0	$0	$22,538	$0	$19,919	$0	$331,731	$0	$0
MICHAEL KOKOTT
ASST VP MKTG & PLANNING	$0	$175,715	$0	$24,300	$0	$0	$0	$16,075	$0	$12,769	$0	$228,859	$0	$0
ROGER HEATH BELL
VP AND CIO	$0	$246,628	$0	$45,800	$0	$0	$0	$19,416	$0	$25,169	$0	$337,013	$0	$0
DR MICHAEL KULISZ
CHIEF MEDICAL OFFICER	$0	$366,770	$0	$100,300	$0	$0	$0	$54,000	$0	$19,919	$0	$540,989	$0	$0
DAVID PROULX
ASSISTANT VP OPERATIONS	$0	$162,297	$0	$22,600	$0	$0	$0	$35,475	$0	$19,683	$0	$240,055	$0	$0
MICHELE MCCLELLAND
VP OF HUMAN RESOURCES	$0	$199,252	$0	$38,000	$0	$0	$0	$20,942	$0	$19,727	$0	$277,921	$0	$0
ANJU VOHRA
TECHNICAL DIRECTOR - ECHO	$139,584	$0	$0	$0	$0	$0	$8,594	$0	$24,377	$0	$172,555	$0	$0	$0
THOMAS WARZECHA
DIRECTOR OF PHARMACY	$152,380	$0	$0	$0	$0	$0	$9,359	$0	$24,395	$0	$186,134	$0	$0	$0
LISA ACKLAND
DIRECTOR OF NURSING	$139,393	$0	$8,078	$0	$7,920	$0	$8,871	$0	$32,141	$0	$196,403	$0	$0	$0
CYNTHIA TUCKER
DIRECTOR OF REHAB SERVICES	$121,611	$0	$14,125	$0	$0	$0	$7,064	$0	$24,882	$0	$167,682	$0	$0	$0
CHESTER SIMMONS
PHARMACIST	$134,048	$0	$0	$0	$0	$0	$8,262	$0	$24,387	$0	$166,697	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE METHODS DESCRIBED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION.

PART I, LINE 4B

THE ORGANIZATION'S EXECUTIVES PARTICIPATE IN A NONQUALIFIED DEFERRED COMPENSATION PLAN. CONTRIBUTIONS FOR CALENDAR YEAR 2014 RELATED TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF KISHHEALTH FOUNDATION WERE $273,900. THIS CONTRIBUTION REFLECTS AMOUNTS DUE FOR THE FISCAL YEAR ENDING APRIL 30, 2015. THE ORGANIZATION'S CEO PARTICIPATES IN TWO ADDITIONAL NONQUALIFIED DEFERRED COMPENSATION PLAN. CONTRIBUTIONS FOR CALENDAR YEAR 2014 WERE $60,000. DURING FY15, THE CEO TOOK A DISTRIBUTION FROM THE DEFERRED COMPENSATION PLAN IN THE AMOUNT OF $60,000. THIS DISTRIBUTION IS INCLUDED AS W-2 WAGES, HOWEVER THE ACCRUAL OF THE DEFERRED COMPENSATION PAYMENTS HAS ALSO BEEN INCLUDED AS OTHER COMPENSATION ON PRIOR YEAR FORM 990S.

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	ILLINOIS FINANCE AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	861091967	BondIssuerEIN
CUSIP	452032AJ4	CUSIPNum
Bond Issued	2008-08-22	BondIssuedDt
Issue Price	$63,685,000	IssuePriceAmt
Purpose	CURRENT REFUNDING OF 2005 BONDS FOR CONSTRUCTION OF NEW FACILITY FOR KCH	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	Yes (1)	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$3,910,000	RetiredAmt
Total Proceeds	$63,371,994	TotalProceedsAmt
Issuance Costs From Proceeds	$328,434	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$63,043,560	OtherSpentProceedsAmt
Substantial Completion	2008	SubstantialCompletionYr
Current Refunding	Yes (1)	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	Yes (1)	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	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2013	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	KISHHEALTH SYSTEM IS THE SOLE MEMBER OF KISHWAUKEE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	AS THE SOLE MEMBER AND PARENT ORGANIZATION OF KISHWAUKEE HOSPITAL, KISHHEALTH SYSTEM HAS THE RIGHT TO APPROVE THE ELECTION OF MEMBERS OF THE HOSPITAL'S GOVERNING BOARD, PER THE HOSPITAL'S BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7B	KISHHEALTH SYSTEM (KHS) SERVES AS THE SOLE MEMBER AND PARENT ORGANIZATION OF KISHWAUKEE HOSPITAL (KH). PER THE BYLAWS, WITH RESPECT TO THE GOVERNANCE OF KH, THE FOLLOWING POWERS SHALL BE RESERVED TO THE SOLE CORPORATE MEMBER. PER THE BYLAWS, WITH RESPECT TO THE GOVERNANCE OF KH, THE FOLLOWING POWERS SHALL BE RESERVED TO THE SOLE CORPORATE MEMBER: A. ELECTING THE MEMBERS OF THE KH BOARD B. APPROVING, EVALUATING AND/OR REMOVING THE PRESIDENT AND CEO AND REVIEWING AND APPROVING THE EMPLOYMENT CONTRACT OF THE PRESIDENT AND CEO AND ESTABLISHING COMPENSATION FOR SUCH OFFICE C. APPROVING THE STRATEGIC PLAN FOR KH D. APPROVING THE DISPOSITION OF ANY ASSETS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS FOR KH E. APPROVING ANY CHANGE IN MEMBERSHIP OF KH F. APPROVING THE ADOPTION OF AND AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS, INCLUDING THE ARTICLES OF INCORPORATION AND BYLAWS OF KH G. APPROVING A PLAN OF MERGER OR A PLAN OF CONSOLIDATION OF KH OR ESTABLISHING A NEW SUBSIDIARY OR SISTER ENTITY H. APPROVING A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF KH I. INITIATING, TAKING ANY AND ALL ACTIONS, AND EXERCISING ALL APPROVAL RIGHTS OF THE DIRECTORS PURSUANT TO THE APPLICABLE MEDICAL STAFF BYLAWS J. IMPLEMENTING AND MONITORING KH OPERATIONAL QUALITY IMPROVEMENT POLICIES AND PROGRAMS K. ACCEPTING GIFTS, GRANTS, BEQUESTS AND DONATIONS ON BEHALF OF KH L. APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS FOR KH M. EXERCISING ANY RIGHTS THAT KH HAS AS A SHAREHOLDER OR MEMBER OF ANY SUBSIDIARY ENTITY N. APPROVING ANY AFFILIATIONS OF KH O. APPROVING AND/OR DETERMINING (I) THE CREATION OF NEW HEALTH SERVICES TO BE PROVIDED AND THE LOCATION OF SUCH HEALTH SERVICES AND (II) THE DISCONTINUANCE OF ANY HEALTH SERVICE P. AUTHORIZING THE SALE, LEASE, EXCHANGE OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF KH Q. AUTHORIZING THE VOLUNTARY DISSOLUTION OF KH, OR REVOKING THE PROCEEDINGS THEREOF R. REQUIRING MINUTES OF MEETINGS, FINANCIAL RECORDS, AND SUCH OTHER INFORMATION AS MAY BE NECESSARY TO PROPERLY EVALUATE THE PERFORMANCE OF KH S. INITIATING ACTION TO REMOVE OR REINSTATE A DIRECTOR WHEN, IN THE OPINION OF THE KHS BOARD, IT IS IN THE BEST INTERESTS OF KHS OR KH. ANY ACTION TO REMOVE OR REINSTATE SHALL REQUIRE A MAJORITY VOTE OF THOSE KHS DIRECTORS THEN IN OFFICE PRESENT AND VOTING AT A MEETING OF THE KHS BOARD AT WHICH A QUORUM IS PRESENT. IN ANY ACTION(S) TO REMOVE TAKEN BY THE KHS BOARD, THE DIRECTOR IN QUESTION SHALL BE ADVISED AT LEAST TWENTY (20) DAYS PRIOR TO THE MEETING THAT THE ACTION WILL BE CONSIDERED AND SHALL BE GIVEN THE OPPORTUNITY TO MAKE A STATEMENT, PRESENT WITNESSES ON HIS/HER BEHALF AND QUESTION THOSE PRESENTING REASONS FOR HIS/HER REMOVAL. ALL ACTIONS TO REMOVE SHALL BE TAKEN IN CLOSED SESSIONS OF THE KHS BOARD AND T. TRANSFERRING MONEY OR PROPERTY AMONG KH, KHS AND/OR ONE OR MORE SUBSIDIARY CORPORATIONS AND TRANSFERRING MONEY OR PROPERTY FROM A SUBSIDIARY CORPORATION, INCLUDING REQUIRING THE DIRECTORS, OFFICERS, OR TRUSTEES OF ANY SUBSIDIARY CORPORATION TO TRANSFER MONEY OR OTHER PROPERTY TO KHS. SUBJECT TO THE POWERS OF THE BOARD OF DIRECTORS OF EACH SUBSIDIARY CORPORATION, THE KHS BOARD MAY INITIATE AND TAKE THE FOREGOING ACTIONS ON BEHALF OF KHS AND THE SUBSIDIARY CORPORATIONS.
FORM 990, PART VI, SECTION B, LINE 11	A DRAFT COPY OF FORM 990 IS PROVIDED TO THE GOVERNING BODY (BOARD OF DIRECTORS) AND THE GOVERANCE COMMITTEE FOR REVIEW BY THE RETURN PREPARER PRIOR TO FILING. THE ORGANIZATION'S CEO, CFO, AND OTHER MEMBERS OF THE ACCOUNTING DEPARTMENT ARE ALSO PROVIDED A COPY OF THE RETURN FOR THEIR REVIEW. THE CHAIR OF THE AUDIT COMMITTEE AND THE AUDIT COMMITTEE MEMBERS ARE ALSO PROVIDED DRAFT COPIES AND REVIEW. IF CHANGES ARE NECESSARY, THEY ARE REPORTED TO THE RETURN PREPARER AND INCORPORATED INTO THE FINAL RETURN.
FORM 990, PART VI, SECTION B, LINE 12C	INDIVIDUALS COVERED BY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND CONSIDERED INTERESTED PERSONS, INCLUDE MEMBERS OF THE BOARD OF DIRECTORS OF ANY ENTITY WITHIN THE HEALTH SYSTEM, KISHHEALTH SYSTEM OFFICERS, ANY COMMITTEE MEMBER, ANY INDIVIDUAL WITH ULTIMATE RESPONSIBILITY FOR IMPLEMENTING BOARD DECISIONS OR SUPERVISING THE MANAGEMENT, ADMINISTRATION, OR OPERATION OF THE ORGANIZATION, AND IMMEDIATE FAMILY MEMBERS OF THOSE LISTED. IT IS THE DUTY OF THESE INTERESTED PERSONS TO SELF-DISCLOSE ANY CONFLICTS OF INTEREST. CONFLICTS OF INTEREST ARE INVESTIGATED BY APPOINTED MEMBERS OF THE KISHHEALTH SYSTEM GOVERNANCE COMMITTEE ON AN ONGOING BASIS. IF IT IS DETERMINED THAT AN INDIVIDUAL FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL INFORM THE INDIVIDUAL OF SUCH A BELIEF AND AFFORD HIM AN OPPORTUNITY TO EXPLAIN. AFTER SAID EXPLANATION, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION AS DEEMED NECESSARY. AN INTERESTED PERSON DEEMED TO HAVE A CONFLICT MUST NOT BE PRESENT DURING DISCUSSION OR VOTES RELATED TO THE TRANSACTION. THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD ANNUALLY AND UPDATED AS NEEDED.
FORM 990, PART VI, SECTION B, LINE 15	KISHWAUKEE HOSPITAL IS NOT DIRECTLY INVOLVED IN DETERMINING THE COMPENSATION OF THE CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT, AS THE INDIVIDUALS ARE EMPLOYED THROUGH KISHHEALTH SYSTEM. KISHHEALTH SYSTEM DOES COMPLY WITH THE REQUIREMENTS NOTED ABOVE. THROUGH THE OVERSIGHT OF THE BOARD OF DIRECTORS EXECUTIVE COMPENSATION COMMITTEE, THE KISHHEALTH SYSTEM EXECUTIVE TOTAL COMPENSATION PROGRAM WILL BE COMPETITIVELY POSITIONED IN THE MARKET PLACE OF RELEVANT ORGANIZATIONS AND FALL WITHIN THE SAFE HARBOR GUIDELINES ESTABLISHED BY THE INTERMEDIATE SANCTIONS RULES. THE EXECUTIVE COMPENSATION COMMITTEE IS MADE UP OF THREE MEMBERS OF THE BOARD OF DIRECTORS WHO MEET THE BOARD APPROVED DEFINITION OF INDEPENDENT DIRECTORS. ANNUALLY THE EXECUTIVE COMPENSATION COMMITTEE CONTRACTS WITH SULLIVAN, COTTER AND ASSOCIATES, AN INDEPENDENT HUMAN RESOURCES CONSULTING FIRM TO PROVIDE THE COMMITTEE ANALYSIS AND COMPARABILITY DATA. USING THE SUPPLIED DATA THE COMPENSATION COMMITTEE APPROVES EACH EXECUTIVE'S TOTAL CASH COMPENSATION AND PROVIDES CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. TOTAL CASH COMPENSATION IS DEFINED AS THE SUM OF BASE SALARIES PLUS INCENTIVE AWARDS. BASED ON THE COMPARABILITY DATA AND THE PERFORMANCE OF EACH EXECUTIVE IN MEETING GOALS AND STRATEGIC OBJECTIVES, THE EXECUTIVE COMPENSATION COMMITTEE APPROVES INCREASES AND INCENTIVE AWARDS FOR EACH EXECUTIVE WITHIN THE GUIDELINES ESTABLISHED. THE EXECUTIVE COMPENSATION COMMITTEE REPORTS ON ALL COMPENSATION MATTERS TO THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED PERSONNEL: PROGRAM SERVICE EXPENSES 322,431. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 322,431. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,803,026. MANAGEMENT AND GENERAL EXPENSES 246,743. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,049,769. OTHER CONSULTING: PROGRAM SERVICE EXPENSES 16,496. MANAGEMENT AND GENERAL EXPENSES 286,173. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 302,669. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 695,448. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 695,448. LAB FEES: PROGRAM SERVICE EXPENSES 943,340. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 943,340. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 9,611,630. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,611,630. PHYSICIAN RECRUITMENT: PROGRAM SERVICE EXPENSES 974,898. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 974,898. COLLECTION FEES: PROGRAM SERVICE EXPENSES 25,758. MANAGEMENT AND GENERAL EXPENSES 816,010. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 841,768. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 1,065,069. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,065,069.
FORM 990, PART XI, LINE 9:	CHANGE OF INTEREST IN NET ASSETS OF KISHHEALTH FOUNDATION -548,057. BOOK/TAX DIFFERENCES IN K-1 PASSTHROUGH ENTITIES -27,934. OTHER ADJUSTMENTS -116,832. LIABILITIES GROUPED WITH EXPENSES ON FINANCIAL STATEMENT -34,372. EQUITY ADJUSTMENT -332,539.
FORM 990, PART XI, LINE 3C: RESPONSIBILITY FOR OVERSIGHT OF FINANCIAL STMTS	NO CHANGES IN THIS PROCESS WERE MADE DURING THE TAX YEAR. THE ORGANIZATION MAINTAINS AN INDEPENDENT AUDIT COMMITTEE WHICH IS RESPONSIBLE FOR OVERSIGHT OF THE AUDITED FINANCIAL STATEMENTS. THIS COMMITTEE IS ALSO RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT AUDITOR. MEMBERS OF THE AUDIT COMMITTEE ARE ALSO MEMBERS OF THE KISHHEALTH SYSTEM BOARD OF DIRECTORS. KISHEALTH SYSTEM IS THE PARENT CORPORATION OF KISHWAUKEE HOSPITAL.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KISHHEALTH SYSTEM
ONE KISH HOSPITAL DRIVE	DEKALB	IL	60115	363649080	PARENT ORGANIZATION OF 501(C)(3) HEALTH SYSTEM	IL	501(C)(3)	11B	N/A	0
VALLEY WEST COMMUNITY HOSPITAL
ONE KISH HOSPITAL DRIVE	DEKALB	IL	60115	364244337	HEALTHCARE SERVICES, PRIMARILY ACUTE CARE	IL	501(C)(3)	3		0	KISHHEALTH SYSTEM
DEKALB COUNTY HOSPICE
ONE KISH HOSPITAL DRIVE	DEKALB	IL	60115	363164329	HEALTHCARE SERVICES, HOSPICE SERVICES	IL	501(C)(3)	7		0	KISHHEALTH SYSTEM
KISHHEALTH FOUNDATION
ONE KISH HOSPITAL DRIVE	DEKALB	IL	60115	363649077	SUPPORT OF KISHWAUKEE HEALTH SYSTEM NOT FOR PROFIT ENTITIES	IL	501(C)(3)	7		0	KISHHEALTH SYSTEM
COMMUNITY CARES CLINIC
ONE KISH HOSPITAL DRIVE	DEKALB	IL	60115	800424001	HEALTHCARE SERVICES, PRIMARY CARE	IL	501(C)(3)	3		0	KISHHEALTH SYSTEM
KISHWAUKEE PHYSICIANS GROUP INC
2240 GATEWAY DRIVE	SYCAMORE	IL	60178	651293967	HEALTHCARE SERVICES, PRIMARILY FAMILY PRACTICE	IL	501(C)(3)	3		0	KISHHEALTH SYSTEM
CENTER FOR FAMILY HEALTH - MALTA
ONE KISH HOSPITAL DRIVE	DEKALB	IL	60115	800869393	HEALTHCARE SERVICES, PRIMARILY ACUTE CARE	IL	501(C)(3)	3		0	KISHHEALTH SYSTEM
KISHHEALTH SYSTEM HOME CARE
ONE KISH HOSPITAL DRIVE	DEKALB	IL	60115	371703513	HEALTHCARE SERVICES, HOME CARE	IL	501(C)(3)	3		0	KISHHEALTH SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
KISHWAUKEE AREA PHO
ONE KISH HOSPITAL DRIVE	DEKALB	IL	60115	364205273	MEDICARE SERVICES	IL	KISHWAUKEE COMMUNITY HOSPITAL	INVESTMENT	-$20,055	$3,091	0	0	0.50000
THE MIDLAND SURGICAL CENTER LLC
3085 WOLF COURT	DEKALB	IL	60115	352194610	SURGICAL SERVICES	IL	KISHWAUKEE COMMUNITY HOSPITAL	INVESTMENT	$716,167	$691,999	0	0	0.74500
HEALTH VENTURES LLC
ONE KISH HOSPITAL DRIVE	DEKALB	IL	60115	753255958	RENTAL REAL ESTATE PROVIDED TO HEALTHCARE RELATED BUSINESSES	IL								N/A
ILLINOIS REGIONAL CANCER CENTER
10 HEALTH SERVICES DRIVE	DEKALB	IL	60115	363847273	CANCER TREATMENT SERVICES	IL								N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH PROGRESS INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KISH HOSPITAL DRIVE	AddressLine1Txt
City	DEKALB	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60115	ZIPCd

Field	Value	IRS element (for citing)
EIN	363824138	EIN
Primary Activities	INVESTMENT IN HEALTHCARE RELATED SMALL BUSINESS	PrimaryActivitiesTxt
Legal Domicile State	IL	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	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	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd