2015-08-10T09:06:57-05:00 2014-09-30 430352985 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 629012335 990 2013-10-01 370673512 IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME IROQ 8154325841 200 E FAIRMAN AVENUE WATSEKA IL 609701644 CHARLES L BOHLMANN CEO 8154325841 2015-08-10 true MARK DALLAS P00187265 6185291040 2015-08-10 2013 2016-02-25 16:41:14Z CHARLES L BOHLMANN 200E FAIRMAN AVENUE WATSEKA IL 609701644 37286760 false X WWW.IROQUOISMEMORIAL.COM X 1914 IL IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVCES FOR THE REGION IN A CONVENIENT CARING ENVIRONMENT. 9 8 497 366 24616 -19510 785396 1069310 34932758 35486869 301724 267050 244482 332540 36264360 37155769 17157 16150 0 18742454 19770055 0 66432 18683256 17858799 37442867 37645004 -1178507 -489235 32385940 31883036 11094151 11080482 21291789 20802554 X IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVCES FOR THE REGION IN A CONVENIENT CARING ENVIRONMENT. false false 30708736 16150 35422964 IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME PROVIDES HIGH QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF OUR COMMUNITY, SOME CARE IS PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS CONTINUTED ON SCHEDULE 0 OTHER HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY EXIST. THESE ACTIVITIES INCLUDE PREVENTION AND WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, AND THE MEDICALLY UNDER SERVED INCLUDING A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. THE HOSPITAL IS LOCATED IN WATSEKA, ILLINOIS AND SERVES THE SURROUNDING COMMUNITIES IN IROQUOIS COUNTY AND WEST-CENTRAL INDIANA. THERE ARE OUTPATIENT CLINICS MAINTAINED IN GILMAN, MILFORD, AND WATSEKA, ILLINOIS AS WELL AS KENTLAND, INDIANA. THE HOSPITAL PROVIDES BEDS FOR ACUTE CARE, INTENSIVE CARE, NURSERY AND LONG-TERM CARE. THE HOSPITAL ALSO PROVIDES AMBULANCE SERVICES TO MOST OF IROQUOIS COUNTY WITH STATIONS IN GILMAN AND WATSEKA. HOME HEALTH AND HOSPICE PROVIDE SERVICES TO WATSEKA AND SURROUNDING COMMUNITIES IN THE HOSPITAL'S SERVICE AREA. THE IROQUOIS REGIONAL HEALTH CENTER HOUSES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES ALONG WITH SPORTS MEDICINE. THE HOSPITAL IS CERTIFIED TO PROVIDE CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE HOSPITAL RECORDS THESE AMOUNTS AS UNCOMPENSATED CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. THE COST IN EXCESS OF CHARGES FOR PROVIDING CARE TO ILLINOIS MEDICAID AND OTHER PUBLIC AID PROGRAMS WAS 2,186,000 DURING FISCAL YEAR 2014. THIS COST WAS MITIGATED BY ILLINOIS HOSPITAL MEDICAID ASSESSMENT PROGRAM PAYMENTS, NET OF TAXES ASSESSED, IN THE AMOUNT OF 1,532,079. WITH THE BOARD'S PARTICIPATION AND APPROVAL, THE HOSPITAL VOLUNTARILY PROVIDES CARE TO PATIENTS AT LESS THAN ITS ESTABLISHED CHARGES FOR PATIENTS WHO ARE IN NEED AND MEET THE HOSPITAL'S CHARITY CARE CRITERIA. CHARGES EXCLUDED FROM REVENUE UNDER THE HOSPITAL'S CHARITY CARE POLICY WERE APPROXIMATELY 868,000 FOR FISCAL 2014, WHILE THE COST OF PROVIDING THOSE SERVICES WAS APPROXIMATELY 418,000. IN ADDITION, THE HOSPITAL IS NOT ABLE TO COLLECT FOR ALL OF THE CARE THAT WAS CHARGED TO PATIENTS. DURING FISCAL 2014 THE HOSPITAL HAD TO WRITE-OFF 2,066,664 IN UNCOLLECTIBLE ACCOUNTS. THE COST OF PROVIDING THAT BENEFIT TO OUR PATIENTS TOTALED 999,000. IROQUOIS MEMORIAL HOSPITAL PROVIDES NON-TRADITIONAL HOSPITAL BASED SERVICES SUCH AS AMBULANCE COVERAGE TO WATSEKA AND THE SURROUNDING IROQUOIS COUNTY COMMUNITIES. THE COST OF PROVIDING THESE NEEDED SERVICES FOR FISCAL 2014 WAS APPROXIMATELY 480,000. A PORTION OF THIS COST WAS OFFSET BY SUBSIDY PAYMENTS OF 61,000 RECEIVED FROM AREA MUNICIPALITIES AND TOWNSHIPS. IN ADDITION TO THE COSTS OF UNCOMPENSATED CARE AND OTHER NON-TRADITIONAL SERVICES, IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME COMMITTED SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND OTHER CRITICAL SERVICES WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. SOME OF THOSE PROGRAMS THAT FURTHER THE HOSPITAL'S MISSION INCLUDE: 5K WALK/RUN BLOOD DRIVES BREAST CANCER AWARENESS EVENT BREAST-FEEDING CLASSES FOR EXPECTANT MOTHERS CAMP 911 SAFETY PROGRAMS FOR AREA SCHOOL CHILDREN COMMUNITY HEALTH WALK EMT-B COURSE FIRST AID FOR LOCAL COUNTY FAIRS FREE AND REDUCED FEE HEALTH SCREENINGS FREE BLOOD PRESSURE SCREENINGS FREE CPR TRAINING FOR THE PUBLIC GO RED HEALTHY HEART EVENT HEALTH-RELATED ARTICLES IN LOCAL PUBLICATIONS LAMAZE CLASSES LIFELINE MEALS ON WHEELS SMOKING CESSATION CLASSES SPEAKER'S BUREAU TOURS FOR AREA SCHOOL CHILDREN 30708736 true true false true false false false false false true true false false true true false false true false false false false false false true false true true false true true true false false false false false true false false false false false false false false false true true true false false true 81 0 true 497 true true true false false false false true true false false false false false false X 9 8 false false false false false true false true true false false true true true true true true true true false IL X IROQUOIS MEMORIAL HOSPITAL 8154327929 200 EAST FAIRMAN AVENUE WATSEKA IL 60970 PHILIP ZUMWALT MD DIRECTOR 4.00 X 23340 0 0 STEVEN KNAPP VICE CHAIR 4.00 X 0 0 0 CINDY SUMNER DIRECTOR 4.00 X 0 0 0 DOUG GEIGER DIRECTOR 4.00 X 0 0 0 MEL WARD TREASURER 4.00 X 0 0 0 DAN TINCHER SECRETARY 4.00 X 0 0 0 ROGER DITTRICH CHAIR 4.00 X 0 0 0 MICHAEL TILSTRA DIRECTOR 4.00 X 0 0 0 RHONDA PENCE DIRECTOR 4.00 X 0 0 0 CHARLES L BOHLMANN CEO 40.00 X 159092 0 4345 LORI YELENICK INTERIM CFO 40.00 X 76085 0 7836 ABRAHAM E FONTANILLA PHYSICIAN 40.00 X 374900 0 618 GONZALO T FLORIDO PHYSICIAN 40.00 X 313236 0 9349 DOUGLAS A LANOUE PHYSICIAN 40.00 X 239548 0 2628 ANGELITA V FONTANILLA PHYSICIAN 40.00 X 232228 0 7101 CRISTANO REYES PHYSICIAN 40.00 X 202693 0 6918 1621122 38795 6 false true false IROQUOIS EMERGENCY MEDICIN SPECIALIS 150 QUAIL RIDGE DRIVE WESTMONT IL 60559 PHYSICIAN SERVI 791383 READY TECH-GO INC 1005 E 23RD ST SUITE 200 FREMONT NE 68025 AGENCY STAFFING 361170 TRU BRIDGE PO BOX 850309 MOBILE AL 36685 COMPUTER SERV 323346 OAK ORTHOPEDICS 400 S KENNEDY DRIVE STE 100 BRADLEY IL 60915 ORTHO SERV 320600 HAGEN ANESTHESIA GROUP 2141 E BLACKBERRY COURT WATSEKA IL 60970 CRNA SERVICES 309768 5 11490 82858 974962 1069310 NET PATIENT SERVICE REVENUE 35242666 35242666 CLINIC AND PHYSICIAN RENTAL 144594 144594 OTHER PROGRAM SERVICES 99609 99609 35486869 342352 342352 24000 17384 6616 6616 6616 75302 -75302 -75302 -75302 11000 11490 10229 771 39473 28076 11397 11397 CAFETERIA 157374 157374 OUTSIDE SERVICES 112798 112798 IHC ADMINISTRATIVE SERVICES 561000 18000 18000 25584 25584 313756 37155769 35422964 24616 638108 16150 16150 270698 23340 247358 16356018 13264731 3058575 32712 1960563 1590017 366625 3921 1182776 959231 221179 2366 143000 143000 95999 95999 63380 63380 3626551 2941133 678165 7253 166635 166635 5876166 4765571 1098843 11752 240780 195272 45026 482 1610317 1305967 301129 3221 87423 70900 16348 175 45103 36579 8434 90 1753046 1421720 327820 3506 476951 386807 89190 954 BAD DEBTS 2066664 2066664 IDPA PROVIDER TAX 994772 994772 AGENCY SERVICES 463173 354408 108765 RECRUITING 82161 82161 66678 66678 37645004 30708736 6869836 66432 17619 8581 1871025 2322173 4274723 4862854 5974 322 1058901 1106013 292470 234931 41500972 27348893 14307687 14152079 10557541 9196083 32385940 31883036 4275701 4446745 4235000 3900000 2171020 2006458 412430 727279 11094151 11080482 X 13631434 13142199 7660355 7660355 21291789 20802554 32385940 31883036 -489235 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 16421 false false false 16421 false 9104956 1582760 2070 1346122 9343664 9966906 814549 237455 1913954 9104956 7232572 1330709 2343785 940144 16 9966906 7984311 908879 148839 1809412 45 7232572 9467641 876492 99741 2459512 51 7984311 0.18050 0.81450 0.00500 true false 291325 291325 25457049 14968015 10489034 483750 451632 32118 15268848 11929246 3339602 14152079 BENEFICIAL INTEREST IN TRUST 7610355 OTHER ASSET 1508039 BOND ISSUE COST 77689 3RD PARTY SETTLEMENT 9196083 DUE TO THIRD PARTY 727279 727279 SCHEDULE D, PAGE 2, PART V, LINE 4 THE ENDOWMENT FUNDS ARE USED TO SUPPORT THE ONGOING OPERATIONAL AND CAPITAL NEEDS OF THE ORGANIZATION IN MEETING THE COMMUNITY NEEDS AND SERVICES. GOLF OUTING 22490 11490 11000 188 7679 2362 22490 11490 11000 188 7679 2362 10229 771 true true true X true X true true false false 2062392 2062392 0.05790 5502107 4438384 1063723 0.02990 7564499 4438384 3126115 0.08780 59231 13167 46064 0.00130 14400 14400 0.00040 6707404 4251090 2456314 0.06890 35899 2030 33869 0.00090 6816934 4266287 2550647 0.07150 14381433 8704671 5676762 0.15930 1891 1891 0.00010 97225 97225 0.00260 99116 99116 0.00260 true 751440 10586912 10640701 -53789 X true true 1 1 IROQUOIS MEMORIAL HOSPITAL 200 E FAIRMAN AVE WATSEKA IL 60970 X X X IROQUOIS MEMORIAL HOSPITAL 1 true X X X X X X X X X X 13 true false true X WWW.IROQUOISMEMORIAL.COM X X X X false false true true 100.000000000000 true 300.000000000000 true X X X true true X X X X true true X X true X false false FACILITY 1, IROQUOIS MEMORIAL HOSPITAL - PART V, LINE 3 IN CONDUCTING THE CHNA, INPUT WAS GATHERED FROM FOCUS GROUPS. THREE FOCUS GROUPS WERE CONDUCTED THROUGHOUT THE COMMUNITY. THE FIRST GROUP WAS COMPRISED OF COMMUNITY LEADERS, BUSINESS LEADERS, A PARK DISTRICT ADMINISTRATOR AND OTHERS. THE SECOND GROUP WERE COMMUNITY OFFICIALS AND INCLUDED, MEMBERS OF THE IROQUOIS COUNTY BOARD, THE WATSEKA MAYOR, AND THE IROQUOIS COUNTY SHERIFF. THE THIRD GROUP WERE HEALTH PROFESSIONALS AND PARTNERS THAT INCLUDED, A REPRESENTATIVE FROM THE IROQUOIS CONTY HEALTH DEPARTMENT, A SCHOOL NURSE, AND A SENIOR CARE ADMINISTRATOR. FACILITY 1, IROQUOIS MEMORIAL HOSPITAL - PART V, LINE 7 THE ISSUE OF TEEN PREGNANCY HAS NOT BEEN ADDRESSED DUE TO THE DISSOLUTION OF THE FORD IROQUOIS PUBLIC HEALTH DEPARTMENT AND LIMITED RESOURCES AVAILABLE FROM PRESENCE HEALTH BECAUSE OUR ANTICIPATED FULL AFFILIATION HAS BEEN DELAYED. THE ISSUE OF MENTAL HEALTH SERVICES HAS NOT BEEN ADDRESSED DUE TO LACK OF FUNDING AT OUR LOCAL MENTAL HEALTH DEPARTMENT AND OUR INITIAL USDA GRANT FUNDING REQUEST BEING DENIED. FACILITY 1, IROQUOIS MEMORIAL HOSPITAL - PART V, LINE 20D UNINSURED DISCOUNT OF 42% 7 IROQUOIS REGIONAL HEALTH CENTER 200 LAIRD LANE WATSEKA IL 60970 REHAB SERVICES, HOME HEALTH, HOSPICE IROQUOIS HOME CARE INC 200 LAIRD LANE WATSEKA IL 60970 DURABLE MEDICAL EQUIPMENT MULTI-SPECIALTY CLINIC 200 LAIRD LANE WATSEKA IL 60970 PHYSICIAN OFFICE KENTLAND CLINIC 303 N SEVENTH ST KENTLAND IN 47951 PHYSICIAN OFFICE MILFORD CLINIC 207 N AXTEL AVE MILFORD IL 60953 PHYSICIAN OFFICE GILMAN CLINIC 508 E CRESCENT ST GILMAN IL 60938 PHYSICIAN OFFICE IROQUOIS ORTHOPEDICS & HAND SURGERY 200 E FAIRMAN AVE WATSEKA IL 60970 PHYSICIAN OFFICE PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION THE ORGANIZATION INCLUDED COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC, OB AND RESIDENT HOME IN ITS SUBSIDIZED HEALTH SERVICES. PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF 2,066,664 HOWEVER IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES APPLICABLE TO COMMUNITY BENEFITS. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, INCLUDED IN THE SCHEDULE H INSTRUCTIONS WAS USED TO DETERMINE THE AMOUNTS ON LINE 7B OF PART I OF SCHEDULE H. ACTUAL COSTS WERE USED TO DETERMINE THE BENEFIT EXPENSES ON LINES 7A, 7E, 7F, 7G AND 7I OF SCHEDULE H, PART I. PART II - COMMUNITY BUILDING ACTIVITIES IN ORDER TO PROMOTE THE WELL-BEING OF THE COMMUNITIES IT SERVES, THE ORGANIZATION PROMOTES ECONOMIC AND WORK FORCE DEVELOPMENT INCLUDING, RECRUITING PROVIDERS TO A MEDICALLY UNDERSERVED AREA AND PROVIDING CLINICAL EXPOSURE TO LOCAL STUDENTS PURSING CAREERS IN HEALTHCARE. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCE OF THE ACCOUNT. THE HOSPITAL USES AN OVERALL HOSPITAL COST TO CHARGE RATIO TO CALCULATE THE UNPAID COST OF BAD DEBT EXPENSE. IN ADDITION TO THE ABOVE COST OF UNCOMPENSATED CARE, THE HOSPITAL ALSO COMMITS SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND CRITICAL SERVICES WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE SELF-SUPPORTING OR FINANCIALLY VIABLE. DESCRIPTION OF COSTING METHODOLOGY USED: THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINE 2 WAS RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS. PART III, LINE 8 - MEDICARE EXPLANATION MEDICARE COST WAS DETERMINED USING AN OVERALL COST TO CHARGE RATIO. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION QUALIFICATIONS ARE BASED ON POVERTY GUIDELINES PUBLISHED. NO COLLECTION EFFORTS FOR QUALIFYING PATIENTS. PATIENTS WHO DO NOT QUALIFY RECEIVE AT LEAST 3 STATEMENTS AND GENERALLY ARE TURNED TO COLLECTIONS IF NO PAYMENTS ARE RECEIVED. PART VI, LINE 2 - NEEDS ASSESSMENT IN PREVIOUS YEARS THE ORGANIZATION HIRED A CONSULTANT TO ASSESS THE HEALTH CARE NEED OF THE COMMUNITIES IT SERVES. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE INFORMATION REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS DISTRIBUTED AT TIME OF THE PATIENT ADMISSION. THE ORGANIZATION ALSO HAS SIGNAGE IN THE ADMISSIONS AREA. PART VI, LINE 4 - COMMUNITY INFORMATION THE COMMUNITY IS RURAL, WITH OVERALL LOW INCOME LEVELS AND HIGH LEVELS OF UNINSURED PATIENTS. MANY PATIENTS WOULD HAVE PROBLEMS WITH ACCESS TO CARE WITHOUT THE ORGANIZATION SUBSIDIZED PHYSICIAN CLINICS AND OTHER SERVICES. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM THE ORGANIZATION JOINTLY COMPENSATES OR PROVIDES LOCATIONS TO PROVIDE CARE FOR A LARGE NUMBER OF PHYSICIAN SPECIALISTS WHICH PROMOTES MUCH ACCESS TO CARE FOR THE COMMUNITY IT SERVES. ADDITIONAL INFORMATION THE ORGANIZATION PROVIDES AN OPEN MEDICAL STAFF TO PROMOTE ACCESS TO CARE FOR THE COMMUNITY. THE BOARD SUPPORTS PROVIDING LARGE AMOUNTS OF UNCOMPENSATED OR SUBSIDIZED CARE TO THE COMMUNITY. false SCHOLARSHIPS 33 14400 EMPLOYEE ASSISTANCE 6 1750 SCHEDULE I, PAGE 1, PART I, LINE 2 THE FINANCE DEPARTMENT MONITORS THE USE OF GRANT FUNDS BY SEPARATING THEM FROM NORMAL OPERATING EXPENSES IN THE GENERAL LEDGER AND BY ENSURING COMPLIANCE WITH TERMS AND CONDITIONS OF THE GRANTS. false false false false false false false false false CHARLES L BOHLMANN CEO 159092 4345 163437 ABRAHAM E FONTANILLA PHYSICIAN 360006 6650 8244 618 375518 GONZALO T FLORIDO PHYSICIAN 256000 40109 17127 129 9220 322585 DOUGLAS A LANOUE PHYSICIAN 220002 19546 24 2604 242176 ANGELITA V FONTANILLA PHYSICIAN 224994 1700 5534 381 6720 239329 CRISTANO REYES PHYSICIAN 196923 5750 20 198 6720 209611 A COUNTY OF IROQUOIS ILLINOIS 2003-07-29 7000000 false false false A false false false false A false false false false false false false A false false false false false false false false false DR EMILY FERNANDEZ EDUCATIONAL LOAN X 7500 322 true true true 322 FORM 990, PAGE 2, PART III, LINE 4A THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY EXIST. THESE ACTIVITIES INCLUDE PREVENTION AND WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, AND THE MEDICALLY UNDER SERVED INCLUDING A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. THE HOSPITAL IS LOCATED IN WATSEKA, ILLINOIS AND SERVES THE SURROUNDING COMMUNITIES IN IROQUOIS COUNTY AND WEST-CENTRAL INDIANA. THERE ARE OUTPATIENT CLINICS MAINTAINED IN GILMAN, MILFORD, AND WATSEKA, ILLINOIS AS WELL AS KENTLAND, INDIANA. THE HOSPITAL PROVIDES BEDS FOR ACUTE CARE, INTENSIVE CARE, NURSERY AND LONG-TERM CARE. THE HOSPITAL ALSO PROVIDES AMBULANCE SERVICES TO MOST OF IROQUOIS COUNTY WITH STATIONS IN GILMAN AND WATSEKA. HOME HEALTH AND HOSPICE PROVIDE SERVICES TO WATSEKA AND SURROUNDING COMMUNITIES IN THE HOSPITAL'S SERVICE AREA. THE IROQUOIS REGIONAL HEALTH CENTER HOUSES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES ALONG WITH SPORTS MEDICINE. THE HOSPITAL IS CERTIFIED TO PROVIDE CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE HOSPITAL RECORDS THESE AMOUNTS AS UNCOMPENSATED CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. THE COST IN EXCESS OF CHARGES FOR PROVIDING CARE TO ILLINOIS MEDICAID AND OTHER PUBLIC AID PROGRAMS WAS 2,186,000 DURING FISCAL YEAR 2014. THIS COST WAS MITIGATED BY ILLINOIS HOSPITAL MEDICAID ASSESSMENT PROGRAM PAYMENTS, NET OF TAXES ASSESSED, IN THE AMOUNT OF 1,532,079. WITH THE BOARD'S PARTICIPATION AND APPROVAL, THE HOSPITAL VOLUNTARILY PROVIDES CARE TO PATIENTS AT LESS THAN ITS ESTABLISHED CHARGES FOR PATIENTS WHO ARE IN NEED AND MEET THE HOSPITAL'S CHARITY CARE CRITERIA. CHARGES EXCLUDED FROM REVENUE UNDER THE HOSPITAL'S CHARITY CARE POLICY WERE APPROXIMATELY 868,000 FOR FISCAL 2014, WHILE THE COST OF PROVIDING THOSE SERVICES WAS APPROXIMATELY 418,000. IN ADDITION, THE HOSPITAL IS NOT ABLE TO COLLECT FOR ALL OF THE CARE THAT WAS CHARGED TO PATIENTS. DURING FISCAL 2014 THE HOSPITAL HAD TO WRITE-OFF 2,066,664 IN UNCOLLECTIBLE ACCOUNTS. THE COST OF PROVIDING THAT BENEFIT TO OUR PATIENTS TOTALED 999,000. IROQUOIS MEMORIAL HOSPITAL PROVIDES NON-TRADITIONAL HOSPITAL BASED SERVICES SUCH AS AMBULANCE COVERAGE TO WATSEKA AND THE SURROUNDING IROQUOIS COUNTY COMMUNITIES. THE COST OF PROVIDING THESE NEEDED SERVICES FOR FISCAL 2014 WAS APPROXIMATELY 480,000. A PORTION OF THIS COST WAS OFFSET BY SUBSIDY PAYMENTS OF 61,000 RECEIVED FROM AREA MUNICIPALITIES AND TOWNSHIPS. IN ADDITION TO THE COSTS OF UNCOMPENSATED CARE AND OTHER NON-TRADITIONAL SERVICES, IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME COMMITTED SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND OTHER CRITICAL SERVICES WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. SOME OF THOSE PROGRAMS THAT FURTHER THE HOSPITAL'S MISSION INCLUDE: 5K WALK/RUN BLOOD DRIVES BREAST CANCER AWARENESS EVENT BREAST-FEEDING CLASSES FOR EXPECTANT MOTHERS CAMP 911 SAFETY PROGRAMS FOR AREA SCHOOL CHILDREN COMMUNITY HEALTH WALK EMT-B COURSE FIRST AID FOR LOCAL COUNTY FAIRS FREE AND REDUCED FEE HEALTH SCREENINGS FREE BLOOD PRESSURE SCREENINGS FREE CPR TRAINING FOR THE PUBLIC GO RED HEALTHY HEART EVENT HEALTH-RELATED ARTICLES IN LOCAL PUBLICATIONS LAMAZE CLASSES LIFELINE MEALS ON WHEELS SMOKING CESSATION CLASSES SPEAKER'S BUREAU TOURS FOR AREA SCHOOL CHILDREN FORM 990, PAGE 6, PART VI, LINE 7A MAYOR, COUNTY BOARD CHAIRPERSON AND DISTRICT JUDGE EACH APPOINT 3 MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES TO 3-YEAR TERMS. FORM 990, PAGE 6, PART VI, LINE 11B THE STAFF MEMBERS THAT PROVIDE INFORMATION TO THE OUTSIDE RETURN PREPARER CONDUCT A THOROUGH REVIEW OF A DRAFT OF THE RETURN. PRIOR TO FILING, THE 990 IS DISTRIBUTED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT. FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATIONS CONFLICT OF INTEREST POLICY COVERS DIRECTORS, OFFICERS, MANAGERS, MEDICAL STAFF MEMBERS, PHYSICIANS, EXECUTIVE STAFF MEMBERS, DEPARTMENT DIRECTORS, AND COORDINATORS. CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE COMPLETED ANNUALLY BY DIRECTORS, OFFICERS, AND HIGHLY-COMPENSATED EMPLOYEES AND ARE REVIEWED BY ADMINISTRATION. INDIVIDUALS WITH CONFLICTS OF INTEREST ARE REQUIRED TO DISCLOSE THEM AND TO REFRAIN FROM PARTICIPATION IN ANY DECISION THAT COULD BENEFIT THEM PERSONALLY. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF TRUSTEES CONDUCTED A COMPENSATION REVIEW IN 2012. CEO AND COO HAVE TWO YEAR CONTRACTS. . FORM 990, PAGE 6, PART VI, LINE 15B THE BOARD OF TRUSTEES CONDUCTED A COMPENSATION REVIEW IN 2012. FORM 990, PAGE 6, PART VI, LINE 19 FINANCIAL DOCUMENTS ARE AVAILABLE UPON REQUEST. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT PUBLIC INFORMATION AT THIS TIME. HOWEVER, IF REQUESTED, THE BOARD WOULD BE NOTIFIED TO DETERMINE RESPONSE. IMH FOUNDATION 200 E FAIRMAN WATSEKA IL 60970 453834535 SUPPORTING IL 501C3 11A N/A false IROQUOIS HOME CARE INC 200 LAIRD LANE WATSEKA IL 60970 SALES/RENT IL N/A C CORP 92345 450636 1.00000 false true false false false false false false false false true false false true true false false true false false IROQUOIS HOME CARE INC A 24000 RENT - AVG COMMERCIAL MV IROQUOIS HOME CARE INC M 160258 RETAIL PRICE IROQUOIS HOME CARE INC Q 115981 ACTUAL COST IMH FOUNDATION C 718731 CASH VALUE