HILLSBORO AREA HOSPITAL INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HILLSBORO AREA HOSPITAL INC (EIN 37-0661208)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-01-30
- IRS object ID
- 202320309349300807
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-01-30T08:14:27-06:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370661208 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILLSBORO AREA HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HILL | BusinessNameControlTxt |
| Phone | 2175326111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 EAST TREMONT STREET | AddressLine1Txt |
| City | HILLSBORO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62049 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRI CARROLL | PersonNm |
| Person Title | VP OF FINANCIAL SERVICES | PersonTitleTxt |
| Phone | 2175326111 | PhoneNum |
| Signature | 2023-01-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TERRI | PersonFirstNm |
| Person Last | CARROLL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2023-01-25 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-03-07 01:45:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | EARL FLACK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 EAST TREMONT STREET | AddressLine1Txt |
| City | HILLSBORO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62049 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $35,050,483 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HILLSBOROAREAHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1906 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | OPERATION OF HOSPITAL (INPATIENT, SWING BED & OUTPATIENT) AND ASSISTED LIVING FACILITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 306 | TotalEmployeeCnt |
| Total Volunteers | 51 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,948,145 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,040,064 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $31,627,496 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $33,458,653 | CYProgramServiceRevenueAmt |
| PY Investment Income | $346,169 | PYInvestmentIncomeAmt |
| CY Investment Income | $425,645 | CYInvestmentIncomeAmt |
| PY Other Revenue | $112,785 | PYOtherRevenueAmt |
| CY Other Revenue | $126,121 | CYOtherRevenueAmt |
| PY Total Revenue | $35,034,595 | PYTotalRevenueAmt |
| CY Total Revenue | $35,050,483 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $148,421 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $127,857 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,705,232 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,906,121 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,651,870 | PYOtherExpensesAmt |
| CY Other Expenses | $17,136,435 | CYOtherExpensesAmt |
| PY Total Expenses | $29,505,523 | PYTotalExpensesAmt |
| CY Total Expenses | $31,170,413 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,529,072 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,880,070 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $55,765,297 | TotalAssetsBOYAmt |
| Total Assets EOY | $57,293,181 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,830,788 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,923,138 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $43,934,509 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $46,370,043 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO POSITIVELY AFFECT THE HEALTH AND WELFARE OF THE COMMUNITIES WE SERVE THROUGH THE OPERATION OF A HOSPITAL (INPATIENT, SWING BED AND OUTPATIENT) AND AN ASSISTED LIVING FACILITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $25,398,440 | ExpenseAmt |
| Grant | $127,857 | GrantAmt |
| Revenue | $33,462,152 | RevenueAmt |
| Desc | OPERATION OF A 25-BED CRITICAL ACCESS HOSPITAL (INPATIENT, SWING BED AND OUTPATIENT) WITH AN ASSISTED LIVING FACILITY. 889 ACUTE DAYS, 394 SWING BED DAYS, 18,910 OUTPATIENT VISITS AND 7,138 ASSISTED LIVING RESIDENT DAYS PROVIDED IN FY 2022. HILLSBORO AREA HOSPITAL ALSO PROVIDED $552,650 IN CHARITY CARE AND $2,832,888 IN OTHER COMMUNITY BENEFITS, NOT INCLUDING BAD DEBT. | Desc |
| Total Program Service Expenses | $25,398,440 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 64 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 306 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRI CARROLL | PersonNm |
| Phone | 2175324187 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 EAST TREMONT STREET | AddressLine1Txt |
| City | HILLSBORO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62049 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| EARL FLACK | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LINDSAY WAGAHOFF | ||||||||
| CHAIRMAN (THRU OCT '21) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LISA WHITE | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MISTY BORROWMAN | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JULIE JENKINS | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | 0.10 | |
| DR DOUG BYERS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR BEN CADY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES HERTEL | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID HOUGH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR NATHAN KIRBY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JORDAN RUPPERT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BRAD YOUNG | ||||||||
| DIRECTOR (THRU NOV '21) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TERRI CARROLL | ||||||||
| VP OF FINANCIAL SERVICES | 40.00 | Yes (X) | $195,136 | $0 | $35,389 | |||
| REX BROWN | ||||||||
| PRESIDENT & CEO | 40.00 | Yes (X) | $0 | $0 | $0 | 0.90 | ||
| ANDREW OTT | ||||||||
| PODIATRIST | 40.00 | $265,573 | $0 | $23,072 | Yes (X) | |||
| ELVIS HARRISON | ||||||||
| VP OF PATIENT CARE SERVICES | 40.00 | $157,282 | $0 | $28,959 | Yes (X) | |||
| ABBY BUGG | ||||||||
| TEAMWORK REHAB DIRECTOR | 40.00 | $125,652 | $0 | $48,388 | Yes (X) | |||
| SUZANNE TATHAM | ||||||||
| INF PREV/ORG DEV MANAGER | 40.00 | $125,598 | $0 | $13,826 | Yes (X) | |||
| THERESA RAPP | ||||||||
| DIRECTOR OF SURGICAL SERVICES | 40.00 | $120,452 | $0 | $3,620 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $989,693 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $153,254 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ILLINOIS EMERGENCY PHYSICIANS | |||||
| TSG RESOURCES INC | DALLAS | TX | 752677979 | PHYSICIAN COVERAGE | $2,052,723 |
| REDITUS LABORATORIES | |||||
| 200 ENTERPRISE DR | PEKIN | IL | 61554 | COVID TESTING | $922,100 |
| HEALTHTECH MANAGEMENT | |||||
| SERVICES INC | BRENTWOOD | TN | 37027 | MANAGEMENT & CEO SERVICES | $663,676 |
| ESP PERSONNEL | |||||
| 72-877 DINAH SHORE DR | RANCHO MIRAGE | CA | 92270 | NURSING PERSONNEL SERVICES | $254,234 |
| WCP LABORATORIES INC | |||||
| 2326 MILLPARK DRIVE | MARYLAND HEIGHTS | MO | 630433530 | PATHOLOGY SERVICES | $198,004 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $695,953 | GovernmentGrantsAmt |
| All Other Contributions | $344,111 | AllOtherContributionsAmt |
| Total Contributions | $1,040,064 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $33,100,526 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,100,526 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $358,127 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $358,127 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $33,458,653 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $425,645 | TotalRevenueColumnAmt |
| Exclusion | $425,645 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $84,133 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $84,133 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $84,133 | TotalRevenueColumnAmt |
| Exclusion | $84,133 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722514 | $38,489 | $38,489 | |
| AMBULANCE FEES | 621910 | $3,499 | $3,499 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $41,988 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,050,483 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,462,152 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $548,267 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,857 | TotalAmt |
| Program Services | $127,857 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,509 | TotalAmt |
| Management And General | $234,509 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,531,390 | TotalAmt |
| Program Services | $8,963,196 | ProgramServicesAmt |
| Management And General | $1,568,194 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,348 | TotalAmt |
| Program Services | $225,975 | ProgramServicesAmt |
| Management And General | $43,373 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,087,684 | TotalAmt |
| Program Services | $1,736,536 | ProgramServicesAmt |
| Management And General | $351,148 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $783,190 | TotalAmt |
| Program Services | $642,427 | ProgramServicesAmt |
| Management And General | $140,763 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $712,615 | TotalAmt |
| Management And General | $712,615 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,827 | TotalAmt |
| Management And General | $43,827 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,700 | TotalAmt |
| Management And General | $44,700 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,234,083 | TotalAmt |
| Program Services | $5,306,426 | ProgramServicesAmt |
| Management And General | $927,657 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,676 | TotalAmt |
| Management And General | $52,676 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,590 | TotalAmt |
| Program Services | $47,829 | ProgramServicesAmt |
| Management And General | $75,761 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,554 | TotalAmt |
| Program Services | $347,104 | ProgramServicesAmt |
| Management And General | $27,450 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,583 | TotalAmt |
| Program Services | $31,047 | ProgramServicesAmt |
| Management And General | $14,536 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,442 | TotalAmt |
| Program Services | $28,573 | ProgramServicesAmt |
| Management And General | $4,869 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,412 | TotalAmt |
| Program Services | $151,412 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,186,744 | TotalAmt |
| Program Services | $873,706 | ProgramServicesAmt |
| Management And General | $313,038 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $371,843 | TotalAmt |
| Program Services | $54,104 | ProgramServicesAmt |
| Management And General | $317,739 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $2,944,262 | $2,894,804 | $49,458 |
| BAD DEBT EXPENSE | $2,753,063 | $2,753,063 | |
| REPAIRS & MAINTENANCE | $782,626 | $669,461 | $113,165 |
| MEDICAID TAX ASSESSMENT | $465,123 | $465,123 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $816,292 | TotalAmt |
| Program Services | $544,920 | ProgramServicesAmt |
| Management And General | $271,372 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,170,413 | TotalAmt |
| Program Services | $25,398,440 | ProgramServicesAmt |
| Management And General | $5,771,973 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,784,304 | BOYAmt |
| EOY | $4,382,290 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,162,955 | BOYAmt |
| EOY | $26,480,109 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,939,988 | BOYAmt |
| EOY | $2,566,827 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $896,227 | BOYAmt |
| EOY | $908,482 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $439,629 | BOYAmt |
| EOY | $471,698 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $36,456,672 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $25,410,318 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,324,919 | BOYAmt |
| EOY | $11,046,354 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,536,840 | BOYAmt |
| EOY | $3,807,937 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,133,802 | BOYAmt |
| EOY | $6,973,680 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $546,633 | BOYAmt |
| EOY | $655,804 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,765,297 | BOYAmt |
| EOY | $57,293,181 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,195,398 | BOYAmt |
| EOY | $4,677,643 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,607 | BOYAmt |
| EOY | $128,867 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,152,745 | BOYAmt |
| EOY | $3,806,321 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,458,038 | BOYAmt |
| EOY | $2,310,307 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,830,788 | BOYAmt |
| EOY | $10,923,138 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,938,211 | BOYAmt |
| EOY | $45,363,268 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $996,298 | BOYAmt |
| EOY | $1,006,775 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,934,509 | BOYAmt |
| EOY | $46,370,043 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,765,297 | BOYAmt |
| EOY | $57,293,181 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,880,070 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$953,125 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$491,411 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $13,325 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,325 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | HILLSBORO 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 $13,325 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $430,395 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,084 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $433,479 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $426,926 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,469 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $430,395 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $421,176 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,750 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $426,926 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $418,430 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,746 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $421,176 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $414,863 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,567 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $418,430 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.65750 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.34250 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $355,860 | OtherCostOrOtherBasisAmt |
| Book Value | $355,860 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,770,120 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,684,372 | DepreciationAmt |
| Book Value | $8,085,748 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,208,291 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,725,946 | DepreciationAmt |
| Book Value | $2,482,345 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $122,401 | OtherCostOrOtherBasisAmt |
| Book Value | $122,401 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,046,354 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CERTIFICATES OF DEPOSITS | Desc |
| Book Value | $6,973,680 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $6,973,680 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ASSET RETIREMENT OBLIGATION | $79,315 |
| AMOUNTS PAYBALE TO THIRD-PARTY REIMBURSEMENT PROGRAMS | $2,199,446 |
| DUE TO HILLSBORO AREA HEALTH FOUNDATION | $25,867 |
| DUE TO HILLSBORO AREA HEALTH SERVICES | $5,679 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,310,307 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $32,295,532 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $32,295,532 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,754,951 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,754,951 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $35,050,483 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $28,417,350 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $28,417,350 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,753,063 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,753,063 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $31,170,413 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2,753,063. INVESTMENT INCOME RECORDED TO RESTRICTED NET ASSET 1,888. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 2,753,063. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | 0 | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $226,608 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $226,608 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,465,008 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,729,586 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,735,422 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06110 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,691,616 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,729,586 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,962,030 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06910 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,106 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,948,538 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,386,641 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $561,897 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01980 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $268,933 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $268,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00950 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,224,577 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,386,641 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $837,936 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02960 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,916,193 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,116,227 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,799,966 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09870 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $405 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,719 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,719 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,124 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,124 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,128,862 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $564,431 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,679,339 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,608,497 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $70,842 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILLSBORO AREA HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 EAST TREMONT STREET | AddressLine1Txt |
| City | HILLSBORO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62049 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HILLSBOROAREAHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 968 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILLSBORO AREA HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C, LINE 7D | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C, LINE 7D | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HILLSBORO AREA HOSPITAL | PART 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. 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 HOSPITAL | PART V, SECTION B, LINE 6A: -HSHS ST. FRANCIS-CARLINVILLE AREA HOSPITAL |
| HILLSBORO AREA HOSPITAL | PART 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 HOSPITAL | PART 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 IS 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 SECTION 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. 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. 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. 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. 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. 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. APPROVAL:THIS IMPLEMENTATION PLAN WAS ADOPTED BY THE HILLSBORO AREA HOSPITAL BOARD OF DIRECTORS ON JUNE 23, 2022. |
| HILLSBORO AREA HOSPITAL | PART 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/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - TREMONT RIDGE ASSISTED LIVING | ||||
| 801 E TREMONT STREET | HILLSBORO | IL | 62049 | ASSISTED LIVING FACILITY |
| 2 - TEAMWORK REHAB NOKOMIS | ||||
| 207 W STATE STREET | NOKOMIS | IL | 62075 | OUTPATIENT PHYSICAL THERAPY |
| 3 - TEAMWORK REHAB LITCHFIELD | ||||
| 120 W SAINT JOHN STREET SUITE 2 | LITCHFIELD | IL | 62056 | OUTPATIENT PHYSICAL & OCCUPATIONAL THERAPY |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 (I.E. 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, MAMM, 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 $ 2,753,063. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COVID-19 RESPONSE DURING FY 2021 CONTINUING IN FY 2022 - HILLSBORO AREA HOSPITAL HAS CONTINUED IMPLEMENTING PROCESSES TO ENSURE THE SAFETY AND WELLNESS OF OUR TEAM MEMBERS, PATIENTS, AND THE COMMUNITY. THE HOSPITAL MAINTAINS A DAILY COVID-19 TESTING SITE, AND OUR TEAM MEMBERS HAVE UNDERGONE TRAINING TO RESPOND TO THE PANDEMIC AND PROVIDE SERVICES TO PATIENTS WHILE MAINTAINING THEIR OWN SAFETY AND THE SAFETY OF OTHERS IN THE HOSPITAL AND COMMUNITY. HOSPITAL LEADERS HAVE WORKED TIRELESSLY WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT AND OTHERS IN THE COMMUNITY TO ENSURE THAT PROCEDURES ARE IN PLACE TO RESPOND TO OUTBREAKS AND ALSO INFORM THE PUBLIC OF HEALTH PRECAUTIONS. 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 AS ITS STRATEGIC PLANNING AND LONG-RANGE BUDGETING PROCESS. THIS PROCESS INCLUDES OBTAINING AND ANALYZING VARIOUS DATA AND MARKET DEMOGRAPHICS. THE DATA IS THEN SUPPLEMENTED WITH VIEWS AND CONCERNS FROM OUR COMMUNITY BOARD MEMBERS, OTHER COMMUNITY OUTREACH RELATIONSHIPS, AND OTHER COMMUNITY ORGANIZATIONS TO DEVELOP AN IMPLEMENTATION 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, DONNELLSONACCORDING TO U.S. CENSUS DATA, THE POPULATION IN THE HILLSBORO AREA HOSPITAL SERVICE AREA FELL FROM 19,425 PEOPLE TO 18,938 PEOPLE BETWEEN THE YEARS 2000 AND 2010, A 2.51% DECREASE. ACCORDING TO U.S. CENSUS DATA, THE POPULATION BY GENDER IN THE SERVICE AREA IS 55% MALE AND 45% FEMALE. THE REGION HAS 902 PEOPLE IN THE AGES 0-4, 2580 AGES 5-17, 1504 AGES 18-24, 2787 AGES 25-34, 2,400 AGES 25-44, 2,492 AGES 45-54, 2527 AGES 55-64, AND 3,545 AGES 65 AND OLDER. THE SERVICE AREA IS WHITE (NON-HISPANIC): 93.3% - BLACK OR AFRICAN-AMERICAN: 0.04% - NATIVE AMERICAN OR ALASKAN NATIVE: <0.0% - ASIAN: <0.0% - HISPANIC OR LATINO: 0.02%IN CALENDAR YEAR 2020, 40.52% OF THE PATIENTS SERVED WERE MALE AND 59.48% WERE FEMALE. THE PATIENTS IN 2020 WERE 98.04% NON-HISPANIC OR LATINO, 0.44% HISPANIC OR LATINO, AND 1.52% DECLINED TO RESPOND. IN ADDITION, 90.45% OF THE PATIENTS SERVED IN CALENDAR YEAR 2020 WERE OLDER THAN 18 YEARS AND 9.55% WERE 18 YEARS OR YOUNGER. |
| 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 FUNDS STUDER GROUP CONSULTING FEES FOR THE SCHOOL'S COMMITMENT TO A CULTURE OF EXCELLENCE. THE HOSPITAL HAS PROVIDED GRAND ADVANTAGE SENIOR EXERCISE CLASSES TO THE SENIORS IN THE AREA AT NO CHARGE AND THE DIAMOND CLUB TO SENIORS FOR ASSISTANCE WITH THE UNDERSTANDING AND ORGANIZATION OF MEDICAL BILLS AND INSURANCE. HOSPITAL EMPLOYEES ALSO SHARE THEIR EXPERTISE THROUGH COMMUNITY SPEAKING AT LOCAL ORGANIZATIONS AND EVENTS. SEVERAL MONETARY DONATIONS ARE MADE BY THE HOSPITAL THROUGHOUT THE YEAR TO OTHER NON-PROFIT ORGANIZATIONS. AN AUTOMATIC BLOOD PRESSURE MACHINE IS LOCATED IN THE HOSPITAL LOBBY WHERE THE COMMUNITY MEMBERS CAN USE IT FREE OF CHARGE, AND THE HOSPITAL HAS PROVIDED A BOOTH AT THE LOCAL COMMUNITY FAIR EACH YEAR WHERE EMPLOYEES TAKE BLOOD PRESSURES AND PROVIDE 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 CAN REMAIN IN THEIR OWN CLASSROOMS INSTEAD OF BEING TRANSPORTED TO THE HOSPITAL'S CAMPUS FOR CNA INSTRUCTION. IN ADDITION, THE HOSPITAL PROVIDES THE USE OF SPACE ON OUR CAMPUS FOR THE CLASSES FREE OF CHARGE, SO THE COMBINATION OF FREE SPACE USAGE AND REDUCED TRANSPORTATION COSTS PROVIDES GREAT BENEFITS FOR THIS STATE-APPROVED PROGRAM. THE HOSPITAL ALSO HAS THE HILLSBORO AREA HOSPITAL JUNIOR BOARD WHICH IS COMPRISED OF STUDENT VOLUNTEERS AGES 9-16. THE JUNIOR BOARD MEMBERS LEARNED HOW THE ORGANIZATION WORK, DEVELOP LEADERSHIP SKILLS, AND PLAN AND EXECUTE COMMUNITY IMPROVEMENT ACTIVITIES WITH THE HELP OF THE HOSPITAL STAFF MEMBERS.THE HOSPITAL ALSO PARTICIPATED IN THE STATE COLORECTAL CANCER SCREENING INITIATIVE, HELPED COORDINATE APPOINTMENTS FOR OTHER CANCER SCREENS IN COORDINATION WITH THE MONTGOMERY COUNTY CANCER ASSOCIATION, AND 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| SIU SCHOOL OF MEDICINE DEPT OF POPULATION SCIENCE AND POLICY | ||||||||
| 201 E MADISON STREET | SPRINGFIELD | IL | 62794 | 364143823 | UNIVERSITY | $90,109 | $0 | ASSISTANCE WITH COMMUNITY RESEARCH PROJECTS RE. CHILD BRAIN DEVELOPMENT, LUNG CANCER AND YOUTH ASSESSMENT. |
| HILLSBORO COMMUNITY SCHOOL DISTRICT | ||||||||
| 1311 VANDALIA ROAD | HILLSBORO | IL | 62049 | 376014445 | GOVERNMENT | $31,080 | $0 | ASSISTANCE WITH CONSULTING FEES FOR SCHOOL'S COMMITMENT TO A CULTURE OF EXCELLENCE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PROVIDES DONATIONS FOR FINANCIAL ASSISTANCE FOR CERTAIN COMMUNITY PROGRAMS AS APPROVED BY THE BOARD OF DIRECTORS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDREW OTT | ||||||||||||||
| PODIATRIST | $212,979 | $0 | $52,594 | $0 | $0 | $0 | $8,028 | $0 | $15,044 | $0 | $288,645 | $0 | $0 | $0 |
| TERRI CARROLL | ||||||||||||||
| VP OF FINANCIAL SERVICES | $189,393 | $0 | $5,743 | $0 | $0 | $0 | $6,043 | $0 | $29,346 | $0 | $230,525 | $0 | $0 | $0 |
| ELVIS HARRISON | ||||||||||||||
| VP OF PATIENT CARE SERVICES | $154,127 | $0 | $3,155 | $0 | $0 | $0 | $1,624 | $0 | $27,335 | $0 | $186,241 | $0 | $0 | $0 |
| ABBY BUGG | ||||||||||||||
| TEAMWORK REHAB DIRECTOR | $117,144 | $0 | $8,508 | $0 | $0 | $0 | $4,067 | $0 | $44,321 | $0 | $174,040 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 1B | FormAndLineReferenceDesc |
| Explanation | ALL 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF HILLSBORO MONTGOMERY COUNTY ILLINOIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 376001658 | BondIssuerEIN |
| Bond Issued | 2008-09-30 | BondIssuedDt |
| Issue Price | $7,220,000 | IssuePriceAmt |
| Purpose | CAPITAL IMPROVEMENT PROJECT | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $346,424 | RetiredAmt |
| Total Proceeds | $7,220,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $83,500 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $7,030,981 | CapitalExpendituresAmt |
| Other Spent Proceeds | $105,519 | OtherSpentProceedsAmt |
| Substantial Completion | 2010 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART IV, LINE 2C: | FormAndLineReferenceDesc |
| Explanation | THE 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | HEALTHTECH MANAGEMENT SERVICES, INC. DBA HEALTHTECHS3, PROVIDES MANAGEMENT AND CEO SERVICES. REX BROWN, PRESIDENT & CEO OF HILLSBORO AREA HOSPITAL, IS EMPLOYED BY HEALTHTECHS3. THE AMOUNT PAID IN TOTAL TO HEALTHTECHS3 IS INCLUDED IN PART VII, SECTION B. |
| FORM 990, PART VI, SECTION A, LINE 6 | HILLSBORO AREA HEALTH SYSTEM NFP, A NOT-FOR-PROFIT CORPORATION IS THE SOLE CORPORATE MEMBER OF HILLSBORO AREA HOSPITAL, INC. THE HOSPITAL ALSO HAS INDIVIDUAL MEMBERS. THERE ARE TWO CLASSES OF INDIVIDUAL MEMBERS. ANNUAL (REGULAR) AND LIFE MEMBERS MAKE UP THE CLASSES OF INDIVIDUAL MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | ONLY THE INDIVIDUAL MEMBERS CAN ELECT MEMBERS TO THE GOVERNING BODY. THE VOTING OF DIRECTORS TO THE BOARD ONLY OCCURS IN OCTOBER. IN ADDITION, THE SOLE CORPORATE MEMBER MUST APPROVE ALL BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE CORPORATE MEMBER, HILLSBORO AREA HEALTH SYSTEM NFP, APPROVES ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR TO THE BYLAWS OF THE CORPORATION AND APPROVES HOSPITAL BOARD MEMBERS ELECTED. THE ONLY VOTING RIGHT OF THE INDIVIDUAL MEMBERS IS THE RIGHT TO ELECT DIRECTORS. IN ADDITION, HILLSBORO AREA HEALTH SYSTEM NFP MUST APPROVE SUCH ITEMS AS BUDGETS, STRATEGIC PLANS, LARGE UNBUDGETED CAPITAL EXPENDITURES, LAND SALES, ETC. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE VP OF FINANCIAL SERVICES REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE 990 TO EACH MEMBER OF THE BOARD FOR REVIEW. THE BOARD THEN VOTES ON THE APPROVAL OF THE 990 AS IT IS OR CONTINGENT UPON CHANGES PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, 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 15 | A PERFORMANCE EVALUATION IS COMPLETED AND DISCUSSED IN EXECUTIVE SESSION BY THE BOARD OF DIRECTORS FOR EXECUTIVE EMPLOYEES. THE PROCESS FOR DETERMINING COMPENSATION INCLUDES REVIEWS OF SALARY RANGES FOR THE POSITIONS PER VARIOUS DATABASES AND/OR MATERIAL AVAILABLE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | EMERGENCY ROOM PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,307,368. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,307,368. OTHER PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 560,302. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 560,302. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,438,756. MANAGEMENT AND GENERAL EXPENSES 927,657. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,366,413. |
| FORM 990, PART XI, LINE 9: | NET ASSETS RELEASED FROM RESTRICTIONS -582. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 9,171. TRANSFER TO HILLSBORO AREA HEALTH SYSTEM NFP -500,000. |
| FORM 990, PART XII, LINE 2C | THE 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| HILLSBORO AREA HEALTH SYSTEM NFP | ||||||||||
| 1200 E TREMONT ST | HILLSBORO | IL | 62049 | 364539688 | MANAGEMENT AND OVERSIGHT OF HEALTH CARE SYSTEM | IL | 501(C)(3) | LINE 12C, III-FI | 0 | |
| HILLSBORO AREA HEALTH FOUNDATION | ||||||||||
| 1200 E TREMONT ST | HILLSBORO | IL | 62049 | 371247796 | PROVIDE SUPPORT FOR HILLSBORO AREA HOSPITAL | IL | 501(C)(3) | LINE 7 | Yes (1) | HILLSBORO AREA HEALTH SYSTEM NFP |
| HILLSBORO AREA HEALTH SERVICES INC | ||||||||||
| 1210 E TREMONT ST | HILLSBORO | IL | 62049 | 371240643 | ESTABLISH AND OPERATE FACILITIES FOR WELLBEING OF PERSONS IN AREA | IL | 501(C)(3) | LINE 10 | Yes (1) | HILLSBORO AREA HEALTH SYSTEM NFP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Comments