HILLSBORO AREA HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
HILLSBORO AREA HOSPITAL INC (EIN 37-0661208)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-02-13
IRS object ID
202410449349301856
Schema version
2022v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-02-13T11:07:41-06:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11502 LONDON ROAD SUITE 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55812ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN370661208EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HILLSBORO AREA HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHILLBusinessNameControlTxt
Phone2175326111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 EAST TREMONT STREETAddressLine1Txt
CityHILLSBOROCityNm
State AbbreviationILStateAbbreviationCd
ZIP62049ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRI L CARROLLPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone2175326111PhoneNum
Signature2024-02-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTERRIPersonFirstNm
Person LastCARROLLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2024-02-06PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL ALEXANDERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 EAST TREMONT STREETAddressLine1Txt
CityHILLSBOROCityNm
State AbbreviationILStateAbbreviationCd
ZIP62049ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$34,930,993GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HILLSBOROHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1906FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionOPERATION OF HOSPITAL (INPATIENT, SWING BED & OUTPATIENT) AND ASSISTED LIVING FACILITIES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee294TotalEmployeeCnt
Total Volunteers62TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,040,064PYContributionsGrantsAmt
CY Contributions Grants$212,241CYContributionsGrantsAmt
PY Program Service Revenue$33,458,653PYProgramServiceRevenueAmt
CY Program Service Revenue$33,697,242CYProgramServiceRevenueAmt
PY Investment Income$425,645PYInvestmentIncomeAmt
CY Investment Income$890,956CYInvestmentIncomeAmt
PY Other Revenue$126,121PYOtherRevenueAmt
CY Other Revenue$123,748CYOtherRevenueAmt
PY Total Revenue$35,050,483PYTotalRevenueAmt
CY Total Revenue$34,924,187CYTotalRevenueAmt
PY Grants And Similar Paid$127,857PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$134,360CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,906,121PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,595,293CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$17,136,435PYOtherExpensesAmt
CY Other Expenses$18,530,998CYOtherExpensesAmt
PY Total Expenses$31,170,413PYTotalExpensesAmt
CY Total Expenses$33,260,651CYTotalExpensesAmt
PY Revenues Less Expenses$3,880,070PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,663,536CYRevenuesLessExpensesAmt
Total Assets BOY$57,293,181TotalAssetsBOYAmt
Total Assets EOY$56,090,682TotalAssetsEOYAmt
Total Liabilities BOY$10,923,138TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,069,779TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$46,370,043NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$48,020,903NetAssetsOrFundBalancesEOYAmt
MissionTO POSITIVELY AFFECT THE HEALTH AND WELFARE OF THE COMMUNITIES WE SERVE THROUGH THE OPERATION OF A HOSPITAL (INPATIENT, SWING BED AND OUTPATIENT) AND AN ASSISTED LIVING FACILITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$26,535,417ExpenseAmt
Grant$134,360GrantAmt
Revenue$33,698,066RevenueAmt
DescOPERATION OF A 25-BED CRITICAL ACCESS HOSPITAL (INPATIENT, SWING BED AND OUTPATIENT) WITH AN ASSISTED LIVING FACILITY. 859 ACUTE DAYS, 671 SWING BED DAYS, 20,958 OUTPATIENT VISITS AND 9,899 ASSISTED LIVING RESIDENT DAYS PROVIDED IN FY 2023. HILLSBORO AREA HOSPITAL ALSO PROVIDED $126,756 IN CHARITY CARE AND $1,939,796 IN OTHER COMMUNITY BENEFITS AT COST, NOT INCLUDING BAD DEBT.Desc
Total Program Service Expenses$26,535,417TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document69IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee294EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTERRI L CARROLLPersonNm
Phone2175324187PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 EAST TREMONT STREETAddressLine1Txt
CityHILLSBOROCityNm
State AbbreviationILStateAbbreviationCd
ZIP62049ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
EARL FLACK
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
LISA WHITE
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
MISTY BORROWMAN
TREASURER1.00Yes (X)Yes (X)$0$0$0
JULIE JENKINS
SECRETARY1.00Yes (X)Yes (X)$0$0$00.10
DR JOSEPH BLASER
DIRECTOR (BEG 03/2023)1.00Yes (X)$0$0$0
DR DOUG BYERS
DIRECTOR (THRU 02/2023)1.00Yes (X)$0$0$0
DR BEN CADY
DIRECTOR1.00Yes (X)$0$0$0
JAMES HERTEL
DIRECTOR1.00Yes (X)$0$0$0
MARY HERSCHELMAN
DIRECTOR (BEG 10/2022)1.00Yes (X)$0$0$0
DAVID HOUGH
DIRECTOR1.00Yes (X)$0$0$0
DR NATHAN KIRBY
DIRECTOR1.00Yes (X)$0$0$0
JORDAN RUPPERT
DIRECTOR1.00Yes (X)$0$0$0
TERRI CARROLL
CHIEF FINANCIAL OFFICER40.00Yes (X)$200,204$0$37,105
REX BROWN
PRESIDENT & CEO (THRU 12/2022)40.00Yes (X)$0$0$00.90
MIKE ALEXANDER
PRESIDENT & CEO (BEG 01/2023)40.00Yes (X)$0$0$00.90
ANDREW OTT
PODIATRIST40.00$290,258$0$24,106Yes (X)
ELVIS HARRISON
VP OF PATIENT CARE SERVICES40.00$167,147$0$31,297Yes (X)
ABBY BUGG
TEAMWORK REHAB DIRECTOR40.00$138,024$0$51,879Yes (X)
BARBARA SMITH
NURSE COORDINATOR40.00$116,586$0$19,158Yes (X)
THERESA RAPP
DIRECTOR OF SURGICAL SERVICES40.00$117,275$0$4,178Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,029,494TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$167,723TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ILLINOIS EMERGENCY PHYSICIANS
TSG RESOURCES INCDALLASTX752677979PHYSICIAN COVERAGE$2,360,770
HEALTHTECH MANAGEMENT SERVICES INC
5110 MARYLAND WAY SUITE 200BRENTWOODTN37027MANAGEMENT & CEO SERVICES$1,436,076
ESP PERSONNEL
72-877 DINAH SHORE DR SUITE 103RANCHO MIRAGECA92270NURSING PERSONNEL SERVICES$758,335
PRECISE SPECIALTIES CORP
PO BOX 572HILLSBOROIL62049ULTRASOUND SERVICES$215,528
STARLIGHT ANESTHESIA LLC
8530 TERRACOTTA PLACEOFALLONIL62269ANESTHESIA SERVICES$208,882
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Government Grants$83,510GovernmentGrantsAmt
All Other Contributions$128,731AllOtherContributionsAmt
Total Contributions$212,241TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621110BusinessCd
Total Revenue Column$33,490,379TotalRevenueColumnAmt
Related Or Exempt Func Income$33,490,379RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$206,863TotalRevenueColumnAmt
Related Or Exempt Func Income$206,863RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$33,697,242TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$897,762TotalRevenueColumnAmt
Exclusion$897,762ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$79,313RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$79,313RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$79,313TotalRevenueColumnAmt
Exclusion$79,313ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$6,806OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$6,806OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,806TotalRevenueColumnAmt
Exclusion-$6,806ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA REVENUEDesc
Business722514BusinessCd
Total Revenue Column$43,611TotalRevenueColumnAmt
Exclusion$43,611ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$824TotalRevenueColumnAmt
Related Or Exempt Func Income$824RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$44,435OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,924,187TotalRevenueColumnAmt
Related Or Exempt Func Income$33,698,066RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,013,880ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$134,360TotalAmt
Program Services$134,360ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$237,002TotalAmt
Management And General$237,002ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,028,594TotalAmt
Program Services$9,254,479ProgramServicesAmt
Management And General$1,774,115ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$272,588TotalAmt
Program Services$225,048ProgramServicesAmt
Management And General$47,540ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,244,535TotalAmt
Program Services$1,831,554ProgramServicesAmt
Management And General$412,981ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$812,574TotalAmt
Program Services$655,593ProgramServicesAmt
Management And General$156,981ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$937,521TotalAmt
Management And General$937,521ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$90,978TotalAmt
Program Services$10,271ProgramServicesAmt
Management And General$80,707ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,200TotalAmt
Management And General$51,200ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$14,133TotalAmt
Management And General$14,133ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,021,456TotalAmt
Program Services$6,244,347ProgramServicesAmt
Management And General$777,109ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$54,849TotalAmt
Management And General$54,849ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$103,434TotalAmt
Program Services$31,800ProgramServicesAmt
Management And General$71,634ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$325,695TotalAmt
Management And General$325,695ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$400,420TotalAmt
Program Services$371,227ProgramServicesAmt
Management And General$29,193ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$136,521TotalAmt
Program Services$79,809ProgramServicesAmt
Management And General$56,712ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$38,776TotalAmt
Program Services$37,090ProgramServicesAmt
Management And General$1,686ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$136,241TotalAmt
Program Services$136,241ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,245,512TotalAmt
Program Services$923,515ProgramServicesAmt
Management And General$321,997ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$401,234TotalAmt
Program Services$58,898ProgramServicesAmt
Management And General$342,336ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$3,067,515$3,001,739$65,776
BAD DEBT EXPENSE$2,450,543$2,450,543
REPAIRS & MAINTENANCE$785,551$669,000$116,551
MEDICAID TAX ASSESSMENT$572,954$572,954

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$696,465TotalAmt
Program Services$419,903ProgramServicesAmt
Management And General$276,562ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,260,651TotalAmt
Program Services$26,535,417ProgramServicesAmt
Management And General$6,725,234ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,382,290BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$26,480,109BOYAmt
EOY$17,765,429EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,566,827BOYAmt
EOY$3,536,808EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$908,482BOYAmt
EOY$950,821EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$471,698BOYAmt
EOY$658,411EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$37,685,977LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,649,595LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,046,354BOYAmt
EOY$11,036,382EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,807,937BOYAmt
EOY$4,236,606EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,973,680BOYAmt
EOY$17,255,392EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$655,804BOYAmt
EOY$650,833EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$57,293,181BOYAmt
EOY$56,090,682EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,677,643BOYAmt
EOY$4,022,119EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$128,867BOYAmt
EOY$176,123EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,806,321BOYAmt
EOY$3,444,726EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,310,307BOYAmt
EOY$426,811EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,923,138BOYAmt
EOY$8,069,779EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$45,363,268BOYAmt
EOY$47,009,938EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,006,775BOYAmt
EOY$1,010,965EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,370,043BOYAmt
EOY$48,020,903EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,293,181BOYAmt
EOY$56,090,682EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,663,536ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$491,855NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$504,531OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$14,133OtherActivitiesAmt
Total Lobbying Expenditures$14,133TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationHILLSBORO AREA HOSPITAL PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE ILLINOIS HOSPITAL ASSOCIATION (IHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS, TO HELP WITH STAFF TRAINING, AND TO ASSIST WITH REIMBURSEMENT. HILLSBORO AREA HOSPITAL ESTIMATED THAT $14,133 OUT OF THE TOTAL DUES PAID TO IHA AND AHA WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT IN ILLINOIS.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$433,479BeginningYearBalanceAmt
Investment Earnings Or Losses$2,430InvestmentEarningsOrLossesAmt
End Year Balance$435,909EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$430,395BeginningYearBalanceAmt
Investment Earnings Or Losses$3,084InvestmentEarningsOrLossesAmt
End Year Balance$433,479EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$426,926BeginningYearBalanceAmt
Investment Earnings Or Losses$3,469InvestmentEarningsOrLossesAmt
End Year Balance$430,395EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$421,176BeginningYearBalanceAmt
Investment Earnings Or Losses$5,750InvestmentEarningsOrLossesAmt
End Year Balance$426,926EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$418,430BeginningYearBalanceAmt
Investment Earnings Or Losses$2,746InvestmentEarningsOrLossesAmt
End Year Balance$421,176EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.65381PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.34619TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$330,860OtherCostOrOtherBasisAmt
Book Value$330,860BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,899,051OtherCostOrOtherBasisAmt
Depreciation$12,210,457DepreciationAmt
Book Value$7,688,594BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,316,767OtherCostOrOtherBasisAmt
Depreciation$14,439,138DepreciationAmt
Book Value$2,877,629BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$139,299OtherCostOrOtherBasisAmt
Book Value$139,299BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,036,382TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCERTIFICATES OF DEPOSITSDesc
Book Value$17,255,392BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$17,255,392TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ASSET RETIREMENT OBLIGATION$81,638
AMOUNTS PAYBALE TO THIRD-PARTY REIMBURSEMENT PROGRAMS$321,894
DUE TO HILLSBORO AREA HEALTH FOUNDATION$20,919
DUE TO HILLSBORO AREA HEALTH SERVICES$2,360
FieldValueIRS element (for citing)
Total Liability$426,811TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$32,464,923TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$32,464,923RevenueSubtotalAmt
Other Revenues Not Included$2,459,264OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,459,264RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$34,924,187TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$30,810,108TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$30,810,108ExpensesSubtotalAmt
Other Expenses Not Included$2,450,543OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,450,543ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$33,260,651TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ENDOWMENTS ARE INTENDED TO BE USED TO SUPPORT THE MAINTENANCE AND EQUIPMENT NEEDS OF THE HOSPITAL.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 2,450,543. INVESTMENT INCOME RECORDED TO RESTRICTED NET ASSET 8,721.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 2,450,543.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically Available0ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$126,756TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$126,756NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,857,627TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,040,519DirectOffsettingRevenueAmt
Net Community Benefit Expns$817,108NetCommunityBenefitExpnsAmt
Total Expense0.02650TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,984,383TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,040,519DirectOffsettingRevenueAmt
Net Community Benefit Expns$943,864NetCommunityBenefitExpnsAmt
Total Expense0.03060TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,088TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,088NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,563,956TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,750,218DirectOffsettingRevenueAmt
Net Community Benefit Expns$813,738NetCommunityBenefitExpnsAmt
Total Expense0.02640TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$291,822TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$291,822NetCommunityBenefitExpnsAmt
Total Expense0.00950TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,857,866TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,750,218DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,107,648NetCommunityBenefitExpnsAmt
Total Expense0.03600TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,842,249TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,790,737DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,051,512NetCommunityBenefitExpnsAmt
Total Expense0.06660TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,040TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,040NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,040TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,040NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$1,075,188BadDebtExpenseAmt
Bad Debt Expense Attributable$537,594BadDebtExpenseAttributableAmt
Reimbursed By Medicare$9,030,376ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,080,654CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$50,278MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HILLSBORO AREA HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 EAST TREMONT STREETAddressLine1Txt
CityHILLSBOROCityNm
State AbbreviationILStateAbbreviationCd
ZIP62049ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.HILLSBOROHEALTH.ORGWebsiteAddressTxt
State License968StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HILLSBORO AREA HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted20CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION C, LINE 7DOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION C, LINE 7DStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HILLSBORO AREA HOSPITALPART V, SECTION B, LINE 5: HILLSBORO AREA HOSPITAL (HAH) PARTNERED WITH HSHS ST. FRANCIS (SFL) AND CARLINVILLE AREA HOSPITAL & CLINICS (CAH&C), LOCAL HEALTH CARE ORGANIZATIONS THAT SHARE THE SAME SERVICE AREA: MACOUPIN AND MONTGOMERY COUNTIES. THE ASSESSMENT WAS LED BY THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE DEPARTMENT OF POPULATION SCIENCE AND POLICY (PSP). THE THREE FORMS OF PRIMARY DATA COLLECTION WERE A DEMOGRAPHIC SURVEY, A COMMUNITY ADVISORY COUNCIL MEETING AND FOCUS GROUPS.DEMOGRAPHIC SURVEY: THE DEMOGRAPHIC SURVEY DOCUMENTED HOW PARTICIPANTS REPRESENTED THE GENERAL COMMUNITY. EVERYONE ON THE COMMUNITY ADVISORY COUNCIL AND THOSE WHO PARTICIPATED IN THE FOCUS GROUPS TOOK THE 17-ITEM DEMOGRAPHIC SURVEY. IT WAS ADMINISTERED VIA ZOOM SESSIONS BY PROVIDING A LINK TO TAKE THE SURVEY ON REDCAP. COMMUNITY ADVISORY COUNCIL MEETING: A MEETING OF STAKEHOLDERS FROM MONTGOMERY AND MACOUPIN COUNTY WAS HELD ON FEBRUARY 24, 2021 VIA ZOOM. OUT OF 24 INVITED STAKEHOLDERS, 20 STAKEHOLDERS CONSENTED TO MEET WITH REPRESENTATIVES FROM SFL, HAH, CAH&C AND PSP. A TOTAL OF 18 (38.9% FEMALE) TOOK THE DEMOGRAPHIC SURVEY. THEY REPRESENTED VARIOUS FIELDS (E.G., MINISTRY, EDUCATION, HEALTH, LAW ENFORCEMENT) AS WELL AS SPECIAL POPULATION GROUPS (E.G., RURAL, AT-RISK, AND YOUTH). YOUTH PARTICIPANTS PARTICIPATED VIRTUALLY. THE AVERAGE AGE OF PARTICIPANTS WAS 46.1 YEARS (SD = 17.3) WITH A RANGE OF 15 YEARS TO 71 YEARS. THIS DIVERSE GROUP OF INDIVIDUALS HELPS ENSURE THE CONVERSATION ABOUT AND VOTING ON COMMUNITY HEALTH NEEDS WAS DETERMINED BY A BROAD REPRESENTATION OF THE COMMUNITY AND NOT JUST THOSE IN THE HOSPITALS OR IN POSITIONS OF POWER. THE COMMUNITY ADVISORY COUNCIL MEETING MET FOR 120 MINUTES.FOCUS GROUPS: THE HOSPITALS HOSTED FOUR ONLINE FOCUS GROUPS ON MARCH 4, 5, 15 AND 17, 2021. FIFTEEN OUT OF THE 29 COMMUNITY MEMBERS INVITED CONSENTED TO PARTICIPATE. THE FOCUS GROUPS WERE FACILITATED BY PSP VIA ZOOM AND SCHEDULED BOTH DURING AND OUTSIDE OF TYPICAL BUSINESS HOURS TO ACCOMMODATE WORK/SCHOOL SCHEDULES. THE SESSIONS WERE RECORDED AND TRANSCRIPTIONS WERE PRODUCED BY WINDY CITY TRANSCRIPTION TO USE FOR ANALYSIS. THE MAJORITY OF THE PARTICIPANTS WERE FEMALE (73.3%). THE AVERAGE AGE WAS 55.47 YEARS (SD = 20.99) WITH A RANGE OF 15 YEARS TO 76 YEARS. ONCE AGAIN, THE DISCUSSIONS ABOUT AND VOTING ON COMMUNITY HEALTH NEEDS WAS DETERMINED BY A BROAD REPRESENTATION OF THE COMMUNITY AND NOT JUST THOSE IN THE HOSPITAL OR IN POSITIONS OF POWER. EACH FOCUS GROUP WAS 60 MINUTES LONG.INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY:THE INVOLVED HOSPITALS ARE COMMITTED TO ADDRESS COMMUNITY HEALTH NEEDS IN COLLABORATION WITH LOCAL ORGANIZATIONS AND OTHER AREA HEALTH CARE INSTITUTIONS. THE FY2021 ASSESSMENT SOUGHT INPUT FROM A BROAD SECTION OF COMMUNITY STAKEHOLDERS. INPUT FROM COMMUNITY STAKEHOLDERS:THE FY2021 ASSESSMENT WAS DESIGNED TO BETTER DOCUMENT COMMUNITY INCLUSION. PSP CREATED AN ELECTRONIC DEMOGRAPHIC SURVEY FOR THE COMMUNITY ADVISORY COUNCIL (CAC) AND FOCUS GROUP PARTICIPANTS TO DOCUMENT THESE INCLUSION EFFORTS. THIS SURVEY DOCUMENTED BASIC INFORMATION SUCH AS GENDER, AGE, AND PROFESSION. IN TOTAL, 33 INDIVIDUALS COMPLETED THE SURVEY. WHILE THE CAC WAS MOSTLY MALE AND THE FOCUS GROUPS WERE MAJORITY FEMALE, THE GENDER DISPERSION WAS NEARLY EVEN (45.5% MALE; 54.5% FEMALE). NO PARTICIPANTS IDENTIFIED AS TRANSGENDER OR NONCONFORMING. THE AGE RANGE ACROSS ALL PARTICIPANTS WAS FROM 15 YEARS OLD TO 71 YEARS OLD, WITH AN AVERAGE AGE OF 50.4 YEARS OLD AND A MEDIAN AGE OF 51 YEARS OLD. ALMOST 67% OF CAC MEMBERS WORKED OUTSIDE OF HEALTH CARE (E.G., HOSPITALS, CLINICS, PUBLIC HEALTH DEPARTMENTS) AND 100% OF THE FOCUS GROUP PARTICIPANTS WORKED OUTSIDE OF HEALTH CARE. IN ADDITION TO THE NINE RETIREES, PARTICIPANTS WORKED IN MINISTRY, LAW ENFORCEMENT, PUBLIC EDUCATION, FARM BUREAU, SOCIAL WORK, PUBLIC HOUSING AND ECONOMIC DEVELOPMENT. THIS INFORMATION DEMONSTRATES THE MAJORITY OF THE STAKEHOLDERS WERE NOT EMPLOYED BY THE HOSPITALS. INPUT FROM MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS:TO BEST UNDERSTAND THE REASONS FOR AND SOLUTIONS TO THE GREATEST HEALTH PRIORITIES CONCERNING THE COMMUNITY, THE HOSPITALS INVITED A DIVERSE GROUP OF INDIVIDUALS WHO WOULD BE DIRECTLY IMPACTED TO BE PART OF THE CAC AND FOCUS GROUPS. YOUTH WERE INCLUDED FOR THE FIRST TIME IN FY2021 TO BETTER LEARN ABOUT THEIR HEALTH CONCERNS FIRSTHAND. OUT OF THE 33 PARTICIPANTS, 15.5% WERE YOUTH. FY2021 WAS ALSO THE FIRST YEAR DEMOGRAPHIC DATA WAS COLLECTED FROM CAC AND FOCUS GROUP PARTICIPANTS TO CAPTURE HOW IT PROVIDES A GOOD REPRESENTATION OF THE POPULATION. ALL PARTICIPANTS HAD VOTING POWER AND TIME TO DISCUSS THEIR THOUGHTS AND OPINIONS ON THE PRIORITY AREAS AND THE DATA ASSOCIATED WITH IT. ACROSS ADULT AND YOUTH PARTICIPANTS, BOTH RACIAL/ETHNIC MINORITIES AND SEXUAL MINORITIES WERE REPRESENTED: 3.03% IDENTIFIED AS NATIVE AMERICAN AND 3.03% IDENTIFIED AS AFRICAN AMERICAN/BLACK. ADDITIONALLY, 9.10% REPORTED BEING A MEMBER OF THE LGBTQ2+ COMMUNITY. ALL PARTICIPANTS REPORTED HAVING MEDICAL INSURANCE; HOWEVER, THERE WAS ALSO SOME DIFFERENCES IN SOCIOECONOMIC STATUS AS INDICATED BY INCOME, EMPLOYMENT, AND EDUCATION. AMONG ALL PARTICIPANTS, 18.20% REPORTED A HOUSEHOLD INCOME LEVEL LESS THAN $49,999, BUT ONLY 3.03% REPORTED THEIR HOUSEHOLD INCOME FELL BELOW THE FEDERAL POVERTY LINE. OUT OF THE ADULT PARTICIPANTS, 10.71% REPORTED THEIR EMPLOYMENT STATUS AS DISABLED. IN ADDITION, 7.14% INDICATED THEY WERE NOT HOMEOWNERS. FINALLY, WHILE ADULT EDUCATION WAS HIGHER ON AVERAGE THAN THE GENERAL POPULATION, 7.14% OF ADULT PARTICIPANTS HAD COMPLETED SOME HIGH SCHOOL AND 17.9% HAD COMPLETED SOME COLLEGE, THUS INDICATING THAT NOT ALL PARTICIPANTS WERE FROM POSITIONS OF POWER OR PRIVILEGE.
HILLSBORO AREA HOSPITALPART V, SECTION B, LINE 6A: -HSHS ST. FRANCIS-CARLINVILLE AREA HOSPITAL
HILLSBORO AREA HOSPITALPART V, SECTION B, LINE 7D: PART V, SECTION B, LINE 7A:HTTP://WWW.HILLSBOROAREAHOSPITAL.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/PART V, SECTION B, LINE 10A:HTTP://WWW.HILLSBOROAREAHOSPITAL.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/
HILLSBORO AREA HOSPITALPART V, SECTION B, LINE 11: AN INTERNAL ADVISORY COUNCIL FROM THE HOSPITALS REVIEWED THE PRIORITIES IDENTIFIED IN THE RESULTS FROM THE SURVEY AND CAC AND FOCUS GROUP SESSIONS. BASED ON THE CHNA PLANNING AND DEVELOPMENT PROCESS DESCRIBED, THE FOLLOWING COMMUNITY HEALTH NEEDS WERE IDENTIFIED: ACCESS TO MENTAL AND BEHAVIORAL HEALTH TREATMENT, WORKFORCE DEVELOPMENT, AND FOOD INSECURITY. ACCESS TO MENTAL HEALTH AND BEHAVIORAL HEALTH SERVICES MENTAL AND BEHAVIORAL HEALTH ARE A CHALLENGE FOR BOTH ADULTS AND YOUTH IN THIS SERVICE AREA. MENTAL HEALTH SURFACED AS A PRIORITY FOR SFL IN FY2015 AND FY2018. IT ALSO EMERGED AS A PRIORITY FOR HAH IN FY2019 AND AS A PRIORITY FOR CAH&C IN 2016. DATA FOR ADULTS SUGGESTS THERE ARE TWO TIMES AS MANY SUICIDES FOR MONTGOMERY COUNTY AND FOUR TIMES AS MANY SUICIDES FOR MACOUPIN COUNTY THAN STATE LEVELS. IN ADDITION, THERE WERE MORE OPIOID OVERDOSE DEATHS AMONG ADULTS IN BOTH COUNTIES THAN COCAINE AND ALCOHOL OVERDOSE DEATHS COMBINED. THESE ISSUES PERSIST IN YOUTH WITH AROUND ONE IN FOUR YOUTH IN MIDDLE SCHOOL AND ONE IN THREE HIGH SCHOOL STUDENTS IN HILLSBORO REPORTING MODERATE TO VERY SEVERE DEPRESSION. ADDITIONALLY, AROUND ONE IN FIVE YOUTH VAPED OR CONSUMED ALCOHOL RECENTLY AND ONE IN 10 YOUTH USED MARIJUANA. PART OF THE REASONS THESE ISSUES COULD HAVE PERSISTED OVER THE YEARS IS THAT THERE IS LITTLE ACCESS TO SOCIAL WORKERS, PSYCHOLOGISTS AND PSYCHIATRISTS IN THIS AREA COMPARED TO STATE AVERAGES. FOCUS GROUPS CONFIRMED THE CHALLENGES OF OBTAINING MENTAL HEALTH ACCESS IN A TIMELY MANNER AND ALSO SHARED THE VIEW THAT WHEN SERVICES ARE AVAILABLE THERE IS NOT ALWAYS A SUPPORTIVE NETWORK ENCOURAGING TREATMENT. WORKFORCE DEVELOPMENT LESS THAN ONE IN FIVE ADULTS HAS A COLLEGE DEGREE. APPROXIMATELY 50% OF RESIDENTS HAVE A HIGH SCHOOL DEGREE OR LESS. THIS SUGGESTS THERE IS A GAP IN THE MARKET FOR SPECIALTY TRAINING JOBS. ALTERNATIVELY, IT COULD MEAN THERE ARE NOT ENOUGH JOBS THAT REQUIRE A COLLEGE EDUCATION TO KEEP RESIDENTS IN THE COMMUNITY. THE AVERAGE AGE IN BOTH COUNTIES IS HIGHER THAN THE STATE AVERAGE WHICH SHOWS IT IS A CHALLENGE TO KEEP YOUNGER POPULATIONS IN THE COMMUNITY. PARTICIPANTS IN THE FOCUS GROUP CONVERSATIONS NOTED THE ONLY HIGH PAYING JOBS ARE IN THE SCHOOL DISTRICT, THE HOSPITALS OR THE PRISON. WORKFORCE DEVELOPMENT ISSUES MAY BE EXACERBATED BY THE LACK OF INTERNET ACCESS. A LARGE SEGMENT OF THE POPULATION DOES NOT OWN A COMPUTER OR LACKS INTERNET ACCESS COMPARED TO THE STATE LEVEL. WHILE THIS MAY BE BECAUSE THE AVERAGE AGE OF THE POPULATION IS HIGHER AND LESS FAMILIAR NAVIGATING THE INTERNET, IT CAN ALSO RESULT IN A NUMBER OF CONSEQUENCES. SPECIFICALLY, LACK OF INTERNET ACCESS POSES BARRIERS TO TELEHEALTH TREATMENT, E-LEARNING OPPORTUNITIES AND APPLYING FOR JOBS. FOCUS GROUP PARTICIPANTS REPORTED SEEING INDIVIDUALS GO TO FAST FOOD RESTAURANTS AND LIBRARY PARKING LOTS TO ACCESS THE INTERNET AND APPLY FOR JOBS. FOCUS GROUP PARTICIPANTS BELIEVE WORKFORCE DEVELOPMENT IS RELATED TO MENTAL AND BEHAVIORAL HEALTH AND THAT MORE PEOPLE WOULD STAY IN THE COMMUNITY IF INTERNET ACCESS IMPROVED. FOOD INSECURITY FOOD INSECURITY IMPACTS ALL AGES, BUT ESPECIALLY THE YOUTH. NEARLY ONE IN FIVE CHILDREN WERE FOUND TO BE FOOD INSECURE, AND ONE IN 10 PEOPLE OVERALL. A LACK OF ACCESS TO GROCERY STORES ONLY COMPOUNDS THE PROBLEM. FOCUS GROUP DISCUSSIONS REVEALED THE CHALLENGES AROUND ACCESSING NUTRITIOUS FOOD AND REPORTED RESIDENTS OFTEN RELY ON CONVENIENCE STORES TO PURCHASE STUDENT LUNCH SUPPLIES. WHILE LARGE GROCERY STORES WITH FRESH PRODUCE CAN BE FOUND IN CITIES NEARBY, NOT EVERYONE MAY HAVE THE TIME OR TRANSPORTATION TO TRAVEL. FOCUS GROUP PARTICIPANTS MENTIONED SHORT-TERM FOOD INSECURITY IS BEING ADDRESSED BY LOCAL FOOD PANTRIES, MEALS OFFERED AT CHURCHES AND NEIGHBORHOOD INITIATIVES TO SHARE EXCESS FOOD. HOWEVER, MORE LONG-TERM AND COHESIVE SOLUTIONS ARE NEEDED.COMMUNITY HEALTH NEEDS ASSESSMENT NOTES THE COMMUNITY SURVEY WAS CONDUCTED TO CREATE AN IMPLEMENTATION STRATEGY TO CONTINUE THE FY2021 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR ST. FRANCIS HOSPITAL, HILLSBORO AREA HOSPITAL, AND CARLINVILLE AREA HOSPITAL & CLINICS. THE HILLSBORO AREA HOSPITAL BOARD SELECTED THE STRATEGIES TO BE IMPLEMENTED FROM THE CHNA. AS A NOTE TO READERS, THE PLANNING PROCESS IDENTIFIED MENTAL AND BEHAVIORAL HEALTH DATA THAT SUGGESTS THAT ONE IN EIGHT PARTICIPANTS WERE LIKELY TO HAVE MAJOR DEPRESSION. ADDITIONALLY, ONLY 44.7% OF RESPONDENTS REPORTED THAT THEIR DOCTOR HAD TALKED TO THEM ABOUT MENTAL HEALTH DURING THEIR LAST APPOINTMENT. THESE FINDINGS RESULTED IN STRATEGIES THAT HAD NOT BEEN PINPOINTED IN EARLIER IMPLEMENTATION PLANS. IMPLEMENTATION PLAN (FY 2022-2024) COLLABORATE WITH EXISTING PROVIDERS, ORGANIZATIONS, AND AGENCIES TO BETTER RESPOND TO COMMUNITY NEEDS. HAH WILL CONTINUE TO DEVELOP ITS INTEGRATED BEHAVIORAL HEALTH SERVICES, INCLUDING INCREASING ACCESS TO TELEHEALTH AND SPECIFICALLY FOCUS ON TELEPSYCHIATRY. IF POSSIBLE, ALIGN WITH THE ILLINOIS TELEHEALTH NETWORK EFFORTS TO PROVIDE A MORE ROBUST ACCESS BEYOND REQUIRING USERS TO TRAVEL TO A HOSPITAL SITE TO BENEFIT FROM THE TELEPSYCHIATRY OFFERINGS. IN COLLABORATION WITH THE HILLSBORO SCHOOL DISTRICT, HAH WILL CONTINUE TO SUPPORT THE EVIDENCE-BASED SUICIDE PREVENTION PROGRAMMING FOR YOUTH IN THE AREA HIGH SCHOOL. THE COMMUNITY LED STEERING COMMITTEE WILL PROVIDE THE LEADERSHIP AS TO HOW AND WHAT SHOULD BE ACCOMPLISHED, AND THE HOSPITAL WILL FIND THE RESOURCES TO SUPPORT THEIR DECISIONS. FY2023 UPDATE: THE STEERING COMMITTEE CONTINUES TO MEET AND DISCUSS OPPORTUNITIES TO SUPPORT THE LOCAL SCHOOL DISTRICT WITH MENTAL HEALTH PROGRAMMING FOR CHILDREN IN THE COMMUNITY. THE SOURCES OF STRENGTH PROGRAM HAS BEEN A SUCCESS IN THE HILLSBORO HIGH SCHOOL, AND THE PROGRAM HAS BEEN EXPANDED TO THE HILLSBORO JUNIOR HIGH SCHOOL WHERE IT HAS ALSO BEEN SUCCESSFUL IN ENGAGING STUDENTS IN POSITIVE ACTIVITIES. IN COLLABORATION WITH THE NOKOMIS SCHOOL DISTRICT, EXPAND RESEARCH TO THE COUNTY'S THIRD LARGEST SCHOOL SYSTEM AND PROVIDE RESOURCES FOR THAT COMMUNITY TO SELECT EVIDENCE-BASED SUICIDE PREVENTION PROGRAM(S) FOR THEIR YOUTH. INTEGRATE THIS PLAN INTO THE HOSPITAL'S STRATEGIC PLAN AND BUDGET PLANNING TO ASSURE THERE IS SUPPORT AND FINANCIAL RESOURCES TO FOLLOW THROUGH WITH THE IMPLEMENTATION PLAN. FY2023 UPDATE: IN COLLABORATION WITH SIU, THE SIU SCHOOL OF MEDICINE ADMINISTERED A RISK ASSESSMENT SURVEY IN THE NOKOMIS SCHOOL DISTRICT TO DETERMINE THE NEEDS OF THE STUDENTS. A COMMUNITY-BASED STEERING COMMITTEE WAS CREATED TO CHOOSE THE PROGRAMMING BASED ON THE SURVEY RESULTS, AND THE HOSPITAL PROVIDED FUNDING FOR THE INITIAL PURCHASE OF THE PROGRAMS AT THE JUNIOR HIGH AND HIGH SCHOOL. THESE PROGRAMS ARE NOW SUSTAINED BY THE STEERING COMMITTEE AND THE SCHOOL DISTRICT. REMAIN IN COMMUNICATION WITH HSHS ST. FRANCIS-LITCHFIELD AND CARLINVILLE AREA HOSPITAL TO BE ABLE TO ASSESS ANY DEVELOPMENTS THAT WOULD BENEFIT OUR COMMUNITIES THROUGH COLLABORATION, AND ACT WHERE COLLABORATION IS DEEMED FEASIBLE. FY2023 UPDATE: HILLSBORO AREA HOSPITAL COLLABORATES WITH CARLINVILLE AREA HOSPITAL AND 2 OTHER RURAL HOSPITALS THROUGH THE SOUTH CENTRAL HOSPITAL ALLIANCE TO BRING SERVICES TO THE AREA THAT IT WOULD NOT BE ABLE TO WITHOUT THE PARTICIPATION OF THE OTHER HOSPITALS. A MEDICAL DIRECTOR IS SHARED AMONG THE 4 HOSPITALS, AND A SHARED NURSING EDUCATION POSITION WAS DEVELOPED AND WILL BE STARTING IN FY2024. HAH WILL SEEK TO ESTABLISH RELATIONSHIPS, IN PARTICULAR WITH HSHS ST. FRANCIS-LITCHFIELD TO CREATE OPPORTUNITIES IN HILLSBORO TO ADDRESS THE HEALTHCARE AND COMMUNITY WORKFORCE SHORTAGES. FY2023 UPDATE: WHILE HAH WAS UNABLE TO PARTNER WITH HSHS ST. FRANCIS-LITCHFIELD, IT DID BEGIN DISCUSSIONS WITH AYA TO PARTNER TO SUPPORT OUR WORKFORCE SHORTAGES, COMPLETING AN AGREEMENT IN FY2024. HAH WILL CONTINUE TO SEEK COLLABORATIVE OPPORTUNITIES TO IMPROVE THE CHRONIC HEALTH ISSUES FACED BY LARGE SEGMENTS OF THE POPULATION, E.G., DIABETES, STROKE, CANCER SCREENING. FY2023 UPDATE: NO COLLABORATIVE OPPORTUNITIES WERE IDENTIFIED. HAH DID CONTINUE THE TELE-STROKE PROGRAM WITH ST. JOHN'S IN SPRINGFIELD IN THE EMERGENCY DEPARTMENT. HAH WILL PARTNER WITH ST. FRANCIS HOSPITAL RELATED TO A COMBINED APPROACH TO ADDRESSING FOOD INSUFFICIENCY WHILE CONTINUING OUR SUPPORT OF THE SUMMER FOOD PROGRAM FOR YOUTH UNDER 18. FY2023 UPDATE: WHILE HAH DID NOT IDENTIFY AN OPPORTUNITY TO PARTNER WITH ST. FRANCIS HOSPITAL, THE SUMMER LUNCH PROGRAM HAS CONTINUED TO PROVIDE MEALS TO FAMILIES IN NEED OVER THE SUMMER MONTHS WHEN CHILDREN ARE NOT IN SCHOOL. DURING THE SUMMER OF 2023, FAMILIES THROUGHOUT THE HILLSBORO SCHOOL DISTRICT THAT REQUESTED ASSISTANCE RECEIVED GROCERY PACKAGES EACH WEEK. OVER 800 MEALS WERE PACKAGED AND PROVIDED TO THE FAMILIES EACH WEEK. HAH PLANS TO CONTINUE THIS PROGRAM IN THE FUTURE TO ASSIST WITH THE SUMMER LUNCH NEEDS OF CHILDREN IN THE COMMUNITY.THIS IMPLEMENTATION PLAN WAS ADOPTED BY THE HAH BOARD OF DIRECTORS ON 06/30/22.
HILLSBORO AREA HOSPITALPART V, SECTION B, LINE 20E: A MINIMUM OF 2 STATEMENTS AND 1 LETTER ARE SENT PRIOR TO SENDING ACCOUNT TO COLLECTIONS, EACH NOTING HOW TO CONTACT THE HOSPITAL FOR FINANCIAL ASSISTANCE.
PART V, SECTION B, LINES 16A-C:HTTP://WWW.HILLSBOROAREAHOSPITAL.ORG/PATIENT-BILLING/FINANCIAL-ASSISTANCE/
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - TREMONT RIDGE ASSISTED LIVING
801 E TREMONT STREETHILLSBOROIL62049ASSISTED LIVING FACILITY
2 - TEAMWORK REHAB NOKOMIS
207 W STATE STREETNOKOMISIL62075OUTPATIENT PHYSICAL THERAPY

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:HILLSBORO AREA HOSPITAL USES THE FEDERAL POVERTY GUIDELINES AS ONE MEANS OF DETERMINING ELIGIBILITY FOR CHARITY CARE. THE FEDERAL POVERTY GUIDELINES ARE UPDATED AND PUBLISHED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. AS A GENERAL RULE, A PATIENT'S INCOME, BASED ON FAMILY SIZE, MUST BE AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES TO BE ELIGIBLE FOR THE CHARITY CARE PROGRAM AND AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINES FOR THE UNINSURED/UNDERINSURED CHARITY DISCOUNT. A SLIDING SCALE BASED ON THE PATIENT'S INCOME LEVEL UNDER THE FEDERAL POVERTY GUIDELINES WILL BE USED TO DETERMINE THE PRECISE AMOUNT OF CHARITY CARE FOR WHICH A PATIENT WILL BE ELIGIBLE. SOME PATIENTS' INCOME MAY EXCEED THESE GUIDELINES, BUT MAY STILL BE ELIGIBLE FOR CHARITY CARE WHEN ADDITIONAL CRITERIA SUCH AS HOMELESSNESS, DECEASED WITH NO ESTATE, MENTAL INCAPACITATION WITH NO ONE TO ACT ON THEIR BEHALF, MEDICAID ELIGIBILITY NOT ON THE DATE OF SERVICE (E.G. SPENDDOWN UNMET) OR NON-COVERED SERVICE, CURRENTLY ENROLLED IN A COMMUNITY PROGRAM REQUIRING POVERTY LEVEL INCOME, INCARCERATION IN A PENAL INSTITUTION WITHOUT OTHER COVERAGE AVAILABLE, SELF-ADMINISTERED DRUGS-MEDICARE/MEDICAID DUAL ELIGIBILITY ONLY, MEDICAID DHS SERVICES ONLY (I.E., MENTAL HEALTH SERVICES ONLY), DRUG AND ALCOHOL REHAB PATIENTS, MEDICAID ELIGIBLE FOR HEALTH WOMEN'S BENEFITS (I.E., COVERAGE FOR PAPS, MAMMOGRAPHY ONLY), AND OUT OF STATE MEDICAID.
PART I, LINE 7:THE COST TO CHARGES RATIO WAS USED AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES AT THE HOSPITAL INCLUDES THE OPERATION OF THE EMERGENCY ROOM. THE EMERGENCY ROOM IS OPERATED 24 HOURS A DAY, 7 DAYS A WEEK, AND IS STAFFED BY A HIGHLY TRAINED GROUP OF NURSING STAFF AND PHYSICIANS WHO DO THEIR BEST TO PROVIDE EXCEPTIONAL CARE TO MEMBERS OF THE COMMUNITY IN NEED OF EMERGENCY CARE. THE EMERGENCY DEPARTMENT HAS A LARGE AMOUNT OF FIXED EXPENSES WHICH ARE NECESSARY TO PROVIDE THE SERVICE ON A 24 HOUR A DAY BASIS, WHICH IS A REQUIREMENT OF OPERATING A CRITICAL ACCESS HOSPITAL. THE HOSPITAL TREATS ALL PATIENTS, REGARDLESS OF ABILITY TO PAY, IN ITS EMERGENCY ROOM AND FOR THESE REASONS IT IS A SUBSIDIZED SERVICE WHICH THE HOSPITAL PROVIDES AND OFFERS TO THE COMMUNITY FOR THOSE IN NEED.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,450,543.
PART II, COMMUNITY BUILDING ACTIVITIES:COALITION WITH PANA, CARLINVILLE, AND JERSEYVILLE HOSPITALS - THIS ALLIANCE ESTABLISHED THE FRAMEWORK TO ALLOW THESE CRITICAL ACCESS HOSPITALS TO COLLABORATE ON MUTUALLY BENEFICIAL OPPORTUNITIES IN ORDER TO MAINTAIN PROFESSIONAL, COMMUNITY-BASED, HIGH QUALITY HEALTHCARE IN THEIR LOCAL COMMUNITIES. THIS ALLIANCE IS NOT A FORMAL AFFILIATION, MERGER OR ACQUISITION, AND DID NOT CHANGE THE INDEPENDENT STATUS OF EACH HOSPITAL. WHILE THE FOUR HOSPITALS SERVE DISTINCT, RURAL, SOUTH-CENTRAL ILLINOIS COMMUNITIES, THEY SHARE SIMILAR MISSIONS, GOALS AND CHALLENGES, AND CURRENTLY COLLABORATE IN A VARIETY OF WAYS. ALL FOUR HOSPITAL LEADERS ALONG WITH THEIR BOARDS OF DIRECTORS BELIEVE THAT THE HOSPITALS CAN BE STRONGER TOGETHER THROUGH THIS COLLABORATIVE ALLIANCE. CRITICAL ACCESS HOSPITALS FACE MAJOR REGULATORY, GEOGRAPHIC, SOCIAL AND ECONOMIC CHALLENGES WHICH DEMAND CREATIVE, COLLABORATIVE THINKING TO ENSURE RURAL COMMUNITIES CONTINUE TO HAVE ACCESS TO LOCAL, HIGH-QUALITY HEALTHCARE, INCLUDING NEW TECHNOLOGY AND PHYSICIAN SPECIALISTS, WHILE AT THE SAME TIME INCREASING EFFICIENCIES AND LOWERING COSTS. THIS ALLIANCE BETWEEN CARLINVILLE, HILLSBORO, PANA, AND JERSEYVILLE WILL BETTER POSITION THE FOUR HOSPITALS TO FACE CURRENT AND FUTURE CHALLENGES AND ENABLE THEM TO CONTINUE TO PROVIDE HIGH-QUALITY CARE LOCALLY.
PART III, LINE 2:THE COSTING METHODOLOGY USED WAS THE RATIO OF PATIENT CARE COST-TO-CHARGES.
PART III, LINE 3:THE HOSPITAL BELIEVES THAT THE COMMUNITY BENEFIT OBTAINED FROM ITS CHARITY CARE IS UNDERSTATED DUE TO PATIENTS THAT COULD QUALIFY FOR CHARITY CARE BUT DO NOT APPLY OR PROVIDE INCOMPLETE INFORMATION. SOME CARE PROVIDED TO PATIENTS IS NOT CLASSIFIED AS CHARITY CARE DUE TO PATIENTS MISSING DOCUMENTATION THAT PROVES THEY QUALIFY FOR CHARITY CARE. THE HOSPITAL'S BAD DEBT DOES INCLUDE AMOUNTS THAT COULD BE CLASSIFIED AS CHARITY CARE IF THE PATIENTS WOULD APPLY OR PROVIDE THE APPROPRIATE INFORMATION TO COMPLETE THE CHARITY CARE APPLICATION.
PART III, LINE 4:PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY: PATIENT ACCOUNTS RECEIVABLE IS REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE HOSPITAL EXPECTS TO BE ENTITLED, IN EXCHANGE FOR PROVIDING PATIENT CARE SERVICES. PATIENT ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING BALANCE SHEETS NET OF CONTRACTUAL ADJUSTMENTS AND IMPLICIT PRICE CONCESSIONS WHICH REFLECTS MANAGEMENT'S ESTIMATE OF THE TRANSACTION PRICE. THE HOSPITAL ESTIMATES THE TRANSACTION PRICE BASED ON NEGOTIATED CONTRACTUAL AGREEMENTS, HISTORICAL EXPERIENCE, AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS AND IS RECORDED THROUGH A REDUCTION OF GROSS REVENUE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE.THE HOSPITAL DOES NOT HAVE A POLICY TO CHARGE INTEREST ON PAST DUE ACCOUNTS.THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE.
PART III, LINE 8:THE COSTING METHOD USED ABOVE FOR IRS FORM 990 COMPLIANCE REPORTING IS ALSO BASED ON AN OVERALL AVERAGE COST-TO-CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE) DIVIDED BY TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE. THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES WHICH ARE REIMBURSED ON A COST METHODOLOGY EXCLUDING THE FEE SCHEDULE ITEMS LIKE PHYSICIAN SERVICES AND THE HOSPITAL WOULD SHOW A LARGE LOSS ON THESE SERVICES.THE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFITS EXPENSE BECAUSE PROVIDING MEDICAL CARE AT A SHORTFALL IMPACTS THE HOSPITAL'S OPERATIONS AND GROWTH. THE CARE IS PROVIDED BECAUSE THERE IS A NEED AND A DESIRE TO PROVIDE MEDICAL CARE IN THIS COMMUNITY.WHETHER THERE IS A SHORTFALL OR SURPLUS FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY.
PART III, LINE 9B:COLLECTION ACTIONS ARE STOPPED ON PATIENT BALANCES THAT ARE DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:HILLSBORO AREA HOSPITAL CONDUCTS A NEEDS ASSESSMENT WITH ITS STRATEGIC PLANNING AND LONG-RANGE FINANCIAL PLANNING PROCESS. THIS PROCESS INCLUDES OBTAINING AND ANALYZING VARIOUS DATA AND MARKET DEMOGRAPHICS. THE DATA IS THEN SUPPLEMENTED WITH VIEWS AND CONCERNS FROM OUR COMMUNITY BOARD MEMBERS AND MANAGEMENT TEAM DEVELOP A STRATEGIC PLAN.
PART VI, LINE 3:UNINSURED PATIENTS AND PERSONS WHO SEEK AND / OR OBTAIN SERVICES FROM THE HOSPITAL, ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE VIA SIGNAGE THROUGHOUT THE PATIENT ACCESS AREAS OF THE FACILITY, BROCHURES, ADMISSION PACKETS, DISCLOSURE ON THE PATIENT BILL, IN PERSON AND TELEPHONE ASSISTED CUSTOMER SERVICE, AS WELL AS INFORMATION SUCH AS THE GUIDELINES AND APPLICATION BEING PREDOMINATELY POSTED ON THE HOSPITAL'S WEBSITE.
PART VI, LINE 4:HILLSBORO AREA HOSPITAL DEFINED ITS PRIMARY SERVICE AREA AND POPULATIONS AS THE GENERAL POPULATION WITHIN THE GEOGRAPHIC AREA IN AND SURROUNDING THE CITY OF HILLSBORO, DEFINED IN DETAIL BELOW. THE HOSPITAL'S PATIENT POPULATION INCLUDES ALL WHO RECEIVE CARE WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR ASSISTANCE. THE SERVICE AREA CONSISTS OF THE FOLLOWING RURAL COMMUNITIES. CITIES: HILLSBORO, NOKOMIS, WITTVILLAGES AND UNINCORPORATED COMMUNITIES: FILLMORE, IRVING, COFFEEN, RAYMOND, BUTLER, DONNELLSON, AND TAYLOR SPRINGSACCORDING TO U.S. CENSUS DATA, THE POPULATION IN THE HILLSBORO AREA HOSPITAL SERVICE AREA FELL FROM 18,938 PEOPLE TO 17,488 PEOPLE BETWEEN THE YEARS 2010 AND 2020, A 7.66% DECREASE. ACCORDING TO 2022 DATA, THE POPULATION BY GENDER IN THE SERVICE AREA IS 58% MALE AND 42% FEMALE. THE PRIMARY SERVICE AREA OF HILLSBORO AND TAYLOR SPRINGS HAS 1008 PEOPLE IN THE AGES 0-14, 1008 AGES 15-24, 1376 AGES 25-34, 1218 AGES 35-44, 1095 AGES 45-54, 1054 AGES 55-64, AND 1626 AGES 65 AND OLDER. THE SERVICE AREA IS WHITE (NON-HISPANIC): 83.8%, BLACK OR AFRICAN-AMERICAN: 9.8%, ASIAN: <0.4%, AND HISPANIC OR LATINO: 3.1%.
PART VI, LINE 5:DESIGNATED AS CRITICAL ACCESS HOSPITAL THE HOSPITAL USES ANY LIMITED SURPLUS FUNDS TO FURTHER ITS EXEMPT PURPOSE BY PROVIDING PROGRAMS AND ACCESS AS NOTED IN FORM 990, LINE 1 AND 4A. THE BOARD OF DIRECTORS IS MADE UP OF VOLUNTEER COMMUNITY LEADERS WITHIN ITS PRIMARY SERVICE AREA THAT ARE APPROVED BY THE MEMBER ORGANIZATION.
PART VI, LINE 6:THE HOSPITAL IS PART OF A CRITICAL ACCESS NETWORK THAT INCLUDES HILLSBORO AREA HEALTH SYSTEM NFP, ITS SOLE CORPORATE MEMBER, WHICH PROVIDES HEALTH AND SUPPORTIVE SERVICES TO THE COMMUNITIES THEY SERVE. THE HOSPITAL ALSO COMMITS SIGNIFICANT TIME AND RESOURCES TO ACTIVITIES AND SERVICES THAT MEET UNMET COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE SELF-SUPPORTING OR FINANCIALLY VIABLE. SUCH PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO, HEALTH FAIRS AND EVENTS, HEALTH SCREENINGS AND ASSESSMENTS, SPACE FOR DAYCARE PROGRAMS OFFERED BY THE LOCAL SCHOOL SYSTEM, SUPPORT FOR VITAL COMMUNITY SERVICES, TRAUMA CARE, AND VARIOUS COMMUNITY EDUCATIONAL SERVICES.HILLSBORO AREA HOSPITAL RECEIVED LEED CERTIFICATION FOR THE BUILDING ADDITION COMPLETED IN JULY 2010. THE ENVIRONMENTAL BENEFITS OF LEED INCLUDE: REDUCTION OF WASTE SENT TO LANDFILLS, CONSERVATION OF ENERGY AND WATER, REDUCTION OF HARMFUL GREENHOUSE GASES, AND A HEALTHIER AND SAFER PLACE FOR EMPLOYEES, PATIENTS, AND THE ENVIRONMENT. THE HOSPITAL IS ALSO A MEMBER OF THE CHAMBER OF COMMERCE AND PARTNERS WITH THE MONTGOMERY COUNTY ECONOMIC DEVELOPMENT CORPORATION TO OBTAIN GRANTS AND EXPAND THE SERVICES NEEDED IN THE COMMUNITY.THE HOSPITAL PROVIDES THE USE OF SPACE AT NO CHARGE TO THE HILLSBORO COMMUNITY SCHOOL DISTRICT FOR A DAYCARE FACILITY AND HAS FUNDED STUDER GROUP CONSULTING FEES FOR THE SCHOOL'S COMMITMENT TO A CULTURE OF EXCELLENCE. THE HOSPITAL ALSO PROVIDES GRAND ADVANTAGE SENIOR EXERCISE CLASSES TO THE SENIORS IN THE AREA AT NO CHARGE. HOSPITAL EMPLOYEES ALSO SHARE THEIR EXPERTISE THROUGH COMMUNITY SPEAKING AT LOCAL ORGANIZATIONS AND EVENTS. SEVERAL MONETARY DONATIONS ARE MADE BY THE HOSPITAL THROUGHOUT THE YEAR TO OTHER NON-PROFIT ORGANIZATIONS. AN AUTOMATIC BLOOD PRESSURE MACHINE IS LOCATED IN THE HOSPITAL LOBBY WHERE THE COMMUNITY MEMBERS CAN USE IT FREE OF CHARGE, AND THE HOSPITAL HAS PARTICIPATED IN THE LOCAL COMMUNITY FAIR, PROVIDING HEALTH INFORMATION TO THE PUBLIC.THE HOSPITAL UTILIZED A USDA DISTANCE LEARNING & TELEMEDICINE GRANT TO EXPAND CERTIFIED NURSING ASSISTANT INSTRUCTION TO HIGH SCHOOL STUDENTS IN OUR COMMUNITY. IN COMBINATION WITH THE HOSPITAL'S MATCHING FUNDS, VIDEO CONFERENCING EQUIPMENT WAS PURCHASED AND PLACED IN 4 COMMUNITY HIGH SCHOOLS SO THAT THE STUDENTS COULD REMAIN IN THEIR OWN CLASSROOMS INSTEAD OF BEING TRANSPORTED TO THE HOSPITAL'S CAMPUS FOR CNA INSTRUCTION. IN ADDITION, THE HOSPITAL PROVIDES THE USE OF SPACE ON OUR CAMPUS FOR THE CLASSES FREE OF CHARGE, SO THE COMBINATION OF FREE SPACE USAGE AND REDUCED TRANSPORTATION COSTS PROVIDES GREAT BENEFITS FOR THIS STATE-APPROVED PROGRAM. THE HOSPITAL ALSO HAS THE HILLSBORO AREA HOSPITAL JUNIOR BOARD WHICH IS COMPRISED OF STUDENT VOLUNTEERS AGES 9-16. THE JUNIOR BOARD MEMBERS LEARN HOW THE ORGANIZATION WORKS, DEVELOP LEADERSHIP SKILLS, AND PLAN AND EXECUTE COMMUNITY IMPROVEMENT ACTIVITIES WITH THE HELP OF THE HOSPITAL STAFF MEMBERS.THE HOSPITAL HAS ALSO PARTICIPATED IN THE STATE COLORECTAL CANCER SCREENING INITIATIVE, HELPED COORDINATE APPOINTMENTS FOR OTHER CANCER SCREENS IN COORDINATION WITH THE MONTGOMERY COUNTY CANCER ASSOCIATION, AND HAS ASSISTED SIU SCHOOL OF MEDICINE WITH RESEARCH PROJECTS IN THE COMMUNITY RELATED TO CHILD DEVELOPMENT, LUNG CANCER SCREENINGS AND YOUTH ASSESSMENTS. FURTHERMORE, THE HOSPITAL HAS HISTORICALLY BEEN RECOGNIZED AS HILLSBORO'S BUSINESS OF THE YEAR FOR ITS POSITIVE ECONOMIC AND CIVIC IMPACT AND ITS OVERWHELMING SUPPORT OF THE COMMUNITY.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
SIU SCHOOL OF MEDICINE DEPT OF POPULATION SCIENCE AND POLICY
201 E MADISON STREETSPRINGFIELDIL62794364143823UNIVERSITY$95,625$0ASSISTANCE WITH COMMUNITY RESEARCH PROJECTS RE. CHILD BRAIN DEVELOPMENT, LUNG CANCER AND YOUTH ASSESSMENT.
HILLSBORO COMMUNITY SCHOOL DISTRICT
1311 VANDALIA ROADHILLSBOROIL62049376014445GOVERNMENT$31,080$0ASSISTANCE WITH CONSULTING FEES FOR SCHOOL'S COMMITMENT TO A CULTURE OF EXCELLENCE.
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PROVIDES DONATIONS FOR FINANCIAL ASSISTANCE FOR CERTAIN COMMUNITY PROGRAMS AS APPROVED BY THE BOARD OF DIRECTORS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANDREW OTT
PODIATRIST$213,415$0$76,843$0$0$0$8,755$0$15,351$0$314,364$0$0$0
TERRI CARROLL
CHIEF FINANCIAL OFFICER$198,175$0$2,029$0$0$0$6,195$0$30,910$0$237,309$0$0$0
ELVIS HARRISON
VP OF PATIENT CARE SERVICES$162,130$0$5,017$0$0$0$1,722$0$29,575$0$198,444$0$0$0
ABBY BUGG
TEAMWORK REHAB DIRECTOR$130,692$0$7,332$0$0$0$4,415$0$47,464$0$189,903$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1BFormAndLineReferenceDesc
ExplanationALL FULL-TIME EMPLOYEES HAVE THE OPTION TO BE A MEMBER OF THE HILLSBORO AREA HEALTH SERVICES' FUSION WELLNESS FACILITY WHICH THE HOSPITAL PAYS DIRECTLY TO HILLSBORO AREA HEALTH SERVICES AS A BENEFIT TO HOSPITAL EMPLOYEES.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF HILLSBORO MONTGOMERY COUNTY ILLINOISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN376001658BondIssuerEIN
Bond Issued2008-09-30BondIssuedDt
Issue Price$7,220,000IssuePriceAmt
PurposeCAPITAL IMPROVEMENT PROJECTPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$361,596RetiredAmt
Total Proceeds$7,220,000TotalProceedsAmt
Issuance Costs From Proceeds$83,500IssuanceCostsFromProceedsAmt
Capital Expenditures$7,030,981CapitalExpendituresAmt
Other Spent Proceeds$105,519OtherSpentProceedsAmt
Substantial Completion2010SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART IV, LINE 2C:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION QUALIFIED FOR AN EXCEPTION TO REBATE. THE BOND QUALIFIES FOR THE 2-YEAR SPENDING EXCEPTION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3HEALTHTECH MANAGEMENT SERVICES, INC. DBA HEALTHTECHS3, PROVIDES MANAGEMENT AND CEO SERVICES. REX BROWN, PRESIDENT & CEO OF HILLSBORO AREA HOSPITAL THROUGH DECEMBER 2022, AND MICHAEL ALEXANDER, CURRENT PRESIDENT & CEO OF HILLSBORO AREA HOSPITAL SINCE JANUARY 2023, ARE EMPLOYED BY HEALTHTECHS3. THE AMOUNT PAID IN TOTAL TO HEALTHTECHS3 IS INCLUDED IN PART VII, SECTION B.
FORM 990, PART VI, SECTION A, LINE 6HILLSBORO AREA HEALTH SYSTEM NFP, A NOT-FOR-PROFIT CORPORATION IS THE SOLE CORPORATE MEMBER OF HILLSBORO AREA HOSPITAL, INC. THE HOSPITAL ALSO HAS INDIVIDUAL MEMBERS. THERE ARE TWO CLASSES OF INDIVIDUAL MEMBERS. ANNUAL (REGULAR) AND LIFE MEMBERS MAKE UP THE CLASSES OF INDIVIDUAL MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7AONLY THE INDIVIDUAL MEMBERS CAN ELECT MEMBERS TO THE GOVERNING BODY. THE VOTING OF DIRECTORS TO THE BOARD ONLY OCCURS IN OCTOBER. IN ADDITION, THE SOLE CORPORATE MEMBER MUST APPROVE ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BTHE CORPORATE MEMBER, HILLSBORO AREA HEALTH SYSTEM NFP, APPROVES ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR TO THE BYLAWS OF THE CORPORATION AND APPROVES HOSPITAL BOARD MEMBERS ELECTED. THE ONLY VOTING RIGHT OF THE INDIVIDUAL MEMBERS IS THE RIGHT TO ELECT DIRECTORS. IN ADDITION, HILLSBORO AREA HEALTH SYSTEM NFP MUST APPROVE SUCH ITEMS AS BUDGETS, STRATEGIC PLANS, LARGE UNBUDGETED CAPITAL EXPENDITURES, LAND SALES, ETC.
FORM 990, PART VI, SECTION B, LINE 11BTHE CFO REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE 990 TO EACH MEMBER OF THE BOARD FOR REVIEW. THE BOARD THEN VOTES ON THE APPROVAL OF THE 990 AS IT IS OR CONTINGENT UPON CHANGES PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, EMPLOYEES COMPLETE AND SIGN A DISCLOSURE STATEMENT AND THE BOARD OF DIRECTORS COMPLETE AND SIGN A CONFLICT OF INTEREST FORM. THE BOARD REVIEWS THE DISCLOSURES AND TAKES APPROPRIATE ACTION TO RESOLVE ANY ISSUES. IF A CONFLICT EXISTS, THE BOARD MEMBER SHALL ABSTAIN FROM VOTING ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15A PERFORMANCE EVALUATION IS COMPLETED AND DISCUSSED IN EXECUTIVE SESSION BY THE BOARD OF DIRECTORS FOR EXECUTIVE EMPLOYEES. THE PROCESS FOR DETERMINING COMPENSATION INCLUDES REVIEWS OF SALARY RANGES FOR THE POSITIONS PER VARIOUS DATABASES AND/OR MATERIAL AVAILABLE.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GEMERGENCY ROOM PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,739,229. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,739,229. OTHER PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 984,590. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 984,590. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,520,528. MANAGEMENT AND GENERAL EXPENSES 777,109. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,297,637.
FORM 990, PART XI, LINE 9:NET ASSETS RELEASED FROM RESTRICTIONS -1,199. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -3,332. TRANSFER TO HILLSBORO AREA HEALTH SYSTEM NFP -500,000.
FORM 990, PART XII, LINE 2CTHE BOARD OF DIRECTORS OF THE ORGANIZATION WORK CLOSELY WITH HILLSBORO AREA HEALTH SYSTEM NFP AND THE OTHER RELATED ENTITIES TO SELECT AND APPOINT THE AUDITOR OF THE FINANCIAL STATEMENTS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HILLSBORO AREA HEALTH SYSTEM NFP
1200 E TREMONT STHILLSBOROIL62049364539688MANAGEMENT AND OVERSIGHT OF HEALTH CARE SYSTEMIL501(C)(3)LINE 12C, III-FI0
HILLSBORO AREA HEALTH FOUNDATION
1200 E TREMONT STHILLSBOROIL62049371247796PROVIDE SUPPORT FOR HILLSBORO AREA HOSPITALIL501(C)(3)LINE 7Yes (1)HILLSBORO AREA HEALTH SYSTEM NFP
HILLSBORO AREA HEALTH SERVICES INC
1210 E TREMONT STHILLSBOROIL62049371240643ESTABLISH AND OPERATE FACILITIES FOR WELLBEING OF PERSONS IN AREAIL501(C)(3)LINE 10Yes (1)HILLSBORO AREA HEALTH SYSTEM NFP
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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