2014-08-07T16:17:10-05:00 2013-09-30 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 629012335 990 2012-10-01 370673512 IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME IROQ 8154325841 200 E FAIRMAN AVENUE WATSEKA IL 609701644 CHARLES L BOHLMANN 8154325841 2014-08-08 true DAVID SCHNAKE 6185291040 2014-08-07 2012 2015-11-30 17:44:51Z CHARLES L BOHLMANN 200E FAIRMAN AVENUE WATSEKA IL 609701644 36316456 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 8 498 385 24616 -22434 998027 785396 34801502 34932758 357811 301724 224611 244482 36381951 36264360 19800 17157 0 17868587 18742454 0 65545 17819682 18683256 35708069 37442867 673882 -1178507 32592305 32385940 10136905 11094151 22455400 21291789 X IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVCES FOR THE REGION IN A CONVENIENT CARING ENVIRONMENT. false false 30949136 17157 34941514 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 1,714,000 DURING FISCAL YEAR 2013. THIS COST WAS MITIGATED BY ILLINOIS HOSPITAL MEDICAID ASSESSMENT PROGRAM PAYMENTS, NET OF TAXES ASSESSED, IN THE AMOUNT OF 1,567,640. 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 898,000 FOR FISCAL 2013, WHILE THE COST OF PROVIDING THOSE SERVICES WAS APPROXIMATELY 439,000. IN ADDITION, THE HOSPITAL IS NOT ABLE TO COLLECT FOR ALL OF THE CARE THAT WAS CHARGED TO PATIENTS. DURING FISCAL 2013 THE HOSPITAL HAD TO WRITE-OFF 1,969,230 IN UNCOLLECTIBLE ACCOUNTS. THE COST OF PROVIDING THAT BENEFIT TO OUR PATIENTS TOTALED 976,000. 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 2013 WAS APPROXIMATELY 443,000. A PORTION OF THIS COST WAS OFFSET BY SUBSIDY PAYMENTS OF 63,000 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 30949136 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 77 0 true 498 true true true false false false false true true false false false false X 9 8 false true 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 4.00 X 25040 0 0 DENNIS WITTENBORN 23.00 X 0 0 0 STEVEN KNAPP 4.00 X 0 0 0 CINDY SUMNER 4.00 X 0 0 0 MAGGIE MARTIN 4.00 X 0 0 0 MICHAEL TILSTRA 4.00 X 0 0 0 MEL WARD 4.00 X 0 0 0 DAN TINCHER 4.00 X 0 0 0 ROGER DITTRICH 4.00 X 0 0 0 MICHAEL J STENGER 40.00 X 0 184412 45298 DAVID ROLLINS 40.00 X 0 129924 30199 LORI YELENICK 40.00 X 74997 0 14872 CHUCK BOHLMANN 40.00 X 0 0 0 ABRAHAM E FONTANILLA 40.00 X 390761 0 0 GONZALO T FLORIDO 40.00 X 305449 0 8864 ANGELITA V FONTANILLA 40.00 X 234908 0 0 CRISTANO REYES 40.00 X 197492 0 5649 EMILY S FERNANDEZ 40.00 X 162606 0 4976 1391253 314336 109858 8 false true true IROQUOIS EMERGENCY MEDICIN SPECIALIS 150 QUAIL RIDGE DRIVE WESTMONT IL 605596148 PHYSICIAN SERVI 739314 READY TECH-GO INC 1005 E 23RD ST SUITE 200 FREMONT NE 68025 AGENCY STAFFING 428969 CPSI 6600 WALL STREET MOBILE AL 366850309 COMPUTER SERV 417675 HAGEN ANESTHESIA GROUP PC 2141 E BLACKBERRY COURT WATSEKA IL 60970 CRNA SERVICES 313251 OAK ORTHOPEDICS 400 S KENNEDY DR STE 100 BRADLEY IL 60915 ORTHOPEDIC SERV 289638 18 12315 212525 560556 785396 NET PATIENT SERVICE REVENUE 34751089 34751089 OTHER PROGRAM SERVICES 101444 101444 CLINIC AND PHYSICIAN RENTAL 80225 80225 34932758 300754 300754 24000 17384 6616 6616 6616 970 970 970 970 22690 12315 10735 11955 31763 23977 7786 7786 CAFETERIA 145112 145112 OUTSIDE SERVICES 37334 37334 IHC ADMINISTRATIVE SERVICES 561000 18000 18000 17679 17679 218125 36264360 34941514 24616 500879 17157 17157 114909 25040 89869 15872005 12872196 2968065 31744 1630507 1322341 304905 3261 1125033 912402 210381 2250 100915 100915 364689 295763 68197 729 42700 34630 7985 85 3377636 2739263 631618 6755 235723 191171 44080 472 5812885 4714250 1087009 11626 255123 206905 47708 510 1487031 1205982 278075 2974 203060 164682 37972 406 43742 35475 8180 87 1770704 1436041 331122 3541 552619 448174 103340 1105 BAD DEBTS 2026135 2026135 AGENCY SERVICES 1300900 1192135 108765 IDPA PROVIDER TAX 1013216 1013216 NURSING HOME BED TAX 57400 57400 38778 38778 37442867 30949136 6428186 65545 22384 17619 3620414 1871025 4504446 4274723 22459 5974 1108721 1058901 430072 292470 40259242 25951555 14141684 14307687 8742125 10557541 32592305 32385940 3596223 4275701 4555000 4235000 1546831 2171020 438851 412430 10136905 11094151 X 14797573 13631434 7657827 7660355 22455400 21291789 32592305 32385940 -1178507 14896 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 4198 false false false 4198 false 9966906 814549 237455 1913954 9104956 7232572 1330709 2343785 940144 16 9966906 7984311 908879 148839 1809412 45 7232572 9467641 876492 99741 2459512 51 7984311 0.15920 0.83580 0.00500 true false 249035 249035 24444042 14246143 10197899 483750 437077 46673 15082415 11268335 3814080 14307687 BENEFICIAL INTEREST IN TRUST 7610355 OTHER ASSET 1926781 3RD PARTY SETTLEMENT 933921 BOND ISSUE COST 86484 10557541 DUE TO THIRD PARTY 412430 412430 INTENDED USES FOR ENDOWMENT FUNDS 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. 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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 11 true false true X X X X X false false true true 100.0 true 300.0 true X X X true true X X X X true X true X X true X false false 7 IROQUOIS REGIONAL HEALTH CENTER

200 LAIRD LANE WATSEKA IL 60970

REHAB SERVICES, HOME HEALTH, HOSPICE MULTI-SPECIALTY CLINIC

200 LAIRD LANE WATSEKA IL 60970

PHYSICIAN OFFICE IROQUOIS HOME CARE INC

200 LAIRD LANE WATSEKA IL 60970

DURABLE MEDICAL EQUIPMENT KENTLAND CLINIC

303 N SEVENTH ST KENTLAND IN 47951

PHYSICIAN OFFICE IROQUOIS WOMEN'S HEALTH

625 S 5TH WATSEKA IL 60970

PHYSICIAN OFFICE MILFORD CLINIC

207 N AXTEL AVE MILFORD IL 60953

PHYSICIAN OFFICE GILMAN CLINIC

508 E CRESCENT ST GILMAN IL 60938

PHYSICIAN OFFICE SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G THE ORGANIZATION INCLUDED COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS OB AND RESIDENTS HOME IN ITS SUBSIDIZED HEALTH SERVICES EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF 1969230 HOWEVER IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES APPLICABLE TO COMMUNITY BENEFITS COSTING METHODOLOGY EXPLANATION PART I LINE 7 A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2 RATIO OF PATIENT CARE COSTTOCHARGES 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 COMMUNITY BUILDING ACTIVITIES PART II IN ORDER TO PROMOTE THE WELLBEING 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 PURSUING CAREERS IN HEALTHCARE BAD DEBT EXPENSE EXPLANATION PART III LINE 4 FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRDPARTY 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 THIRDPARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENTS 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 SELFSUPPORTING 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 MEDICARE EXPLANATION PART III LINE 8 MEDICARE COST WAS DETERMINED USING AN OVERALL COST TO CHARGE RATIO COLLECTION PRACTICES EXPLANATION PART III LINE 9B 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 NEEDS ASSESSMENT PART VI IN PREVIOUS YEARS THE ORGANIZATION HIRED A CONSULTANT TO ASSESS THE HEALTH CARE NEED OF THE COMMUNITIES IT SERVES PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI INFORMATION REGARDING THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY IS DISTRIBUTED AT TIME OF THE PATIENT ADMISSION THE ORGANIZATION ALSO HAS SIGNAGE IN THE ADMISSIONS AREA COMMUNITY INFORMATION PART VI 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 ADDITIONAL INFORMATION PART VI 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 IROQUOIS MEMORIAL HOSPITAL LINE NUMBER 1 PART V LINE 3 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 IROQUOIS MEMORIAL HOSPITAL LINE NUMBER 1 PART V LINE 7 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 IROQUOIS MEMORIAL HOSPITAL LINE NUMBER 1 PART V LINE 20D PART V LINE 20D UNINSURED DISCOUNT OF 42 true SCHOLARSHIPS 29 15050 EMPLOYEE ASSISTANCE 7 2107 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES 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. X X X false false false false false false false false false MICHAEL J STENGER 184412 45298 229710 DAVID ROLLINS 129924 30199 160123 ABRAHAM E FONTANILLA 360026 19050 11685 390761 GONZALO T FLORIDO 247156 41057 17236 2000 6864 314313 ANGELITA V FONTANILLA 225014 1600 8294 234908 CRISTANO REYES 186371 10923 198 5649 203141 EMILY S FERNANDEZ 144664 17942 4976 167582 OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III COMPENSATION FOR INTERIM CEO AND INTERIM CFO (DAVID ROLLINS) WAS PAID BY AN UNRELATED MANAGEMENT COMPANY, QUORUM HEALTH RESOURCES. FEES ARE PAID TO QHR BY IROQUOIS MEMORIAL HOSPITAL FOR THEIR SERVIES. 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 false A false false false false false false false false false A false DR GONZALO T FLORIDO CONTINUING MEDICAL EDUCATION LOAN X 48109 5652 false true true DR EMILY FERNANDEZ EDUCATIONAL LOAN X 7500 322 true true true 5974 FIRST ACCOMPLISHMENT DESCRIPTION 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 1,714,000 DURING FISCAL YEAR 2013. THIS COST WAS MITIGATED BY ILLINOIS HOSPITAL MEDICAID ASSESSMENT PROGRAM PAYMENTS, NET OF TAXES ASSESSED, IN THE AMOUNT OF 1,567,640. 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 898,000 FOR FISCAL 2013, WHILE THE COST OF PROVIDING THOSE SERVICES WAS APPROXIMATELY 439,000. IN ADDITION, THE HOSPITAL IS NOT ABLE TO COLLECT FOR ALL OF THE CARE THAT WAS CHARGED TO PATIENTS. DURING FISCAL 2013 THE HOSPITAL HAD TO WRITE-OFF 1,969,230 IN UNCOLLECTIBLE ACCOUNTS. THE COST OF PROVIDING THAT BENEFIT TO OUR PATIENTS TOTALED 976,000. 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 2013 WAS APPROXIMATELY 443,000. A PORTION OF THIS COST WAS OFFSET BY SUBSIDY PAYMENTS OF 63,000 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 MANAGEMENT DELEGATED FORM 990, PAGE 6, PART VI, LINE 3 THE ORGANIZATION CONTRACTED WITH QYORUM HEALTH RESOURCES (QHR) FOR THE ORGANIZATION'S MANAGEMENT SERVICES EFFECTIVE FEBRUARY 1, 2010 AND ENDED THEIR SERVICES ON DECEMBER 31, 2012. QHR PROVIDED IROQUOIS MEMORIAL HOSPITAL WITH LEADERSHIP VIA THE CEO AND CFO ALONG WITH OTHER CONSULTING SERVICES ON FINANCIAL AND STAFFING NEEDS. ELECTION OF MEMBERS AND THEIR RIGHTS 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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. ENFORCEMENT OF CONFLICTS POLICY 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. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF TRUSTEES CONDUCTED A COMPENSATION REVIEW IN 2012. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE BOARD OF TRUSTEES CONDUCTED A COMPENSATION REVIEW IN 2012. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 9 REMOVAL OF IMHF PY LOSS 12,368 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 2,528 IROQUOIS MEMORIAL HOSPITAL FOUNDATI 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 56754 864006 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 117633 RETAIL PRICE IROQUOIS HOME CARE INC Q 75361 ACTUAL COST