2021-02-09T06:30:01-06:00 2020-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2019-07-01 370661208 HILLSBORO AREA HOSPITAL INC HILL 2175326111 1200 EAST TREMONT STREET HILLSBORO IL 62049 REX BROWN PRESIDENT & CEO 2175326111 2021-01-27 1 MICHAEL J PETERSON CPA P01833529 2187224705 2021-01-27 2019 2022-09-23 18:48:47Z REX BROWN 1200 EAST TREMONT STREET HILLSBORO IL 62049 31431186 0 X WWW.HILLSBOROAREAHOSPITAL.ORG X 1906 IL OPERATION OF HOSPITAL (INPATIENT, SWING BED & OUTPATIENT) AND ASSISTED LIVING FACILITIES. 11 11 305 51 0 0 46106 3140649 25630247 27471083 687451 704480 122113 114974 26485917 31431186 0 115297 0 0 11064714 11752165 0 0 0 12872959 13601425 23937673 25468887 2548244 5962299 41262184 53665107 8351263 15738725 32910921 37926382 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. 0 0 20714507 115297 27474533 OPERATION OF A 25 BED CRITICAL ACCESS HOSPITAL (INPATIENT, SWING BED AND OUTPATIENT) WITH AN ASSISTED LIVING FACILITY. 722 ACUTE DAYS, 1,701 SWING BED DAYS, 14,782 OUTPATIENT VISITS AND 12,654 ASSISTED LIVING RESIDENT DAYS PROVIDED IN FY 2020. HILLSBORO AREA HOSPITAL ALSO PROVIDED $658,663 IN CHARITY CARE AND $1,973,608 IN OTHER COMMUNITY BENEFITS, NOT INCLUDING BAD DEBT. 20714507 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 62 0 305 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X TERRI CARROLL 2175324187 1200 EAST TREMONT STREET HILLSBORO IL 62049 ANDREW OTT PODIATRIST 40.00 X 241218 0 20893 ELVIS HARRISON VP OF PATIENT CARE SERVICE 40.00 X 163804 0 26583 ABBY BUGG TEAMWORK REHAB DIRECTOR 40.00 X 114037 0 45962 ANGELA LEGENDRE OCCUPATIONAL THERAPIST 40.00 X 100434 0 4107 TERRI CARROLL VP OF FINANCIAL SERVICES 40.00 1.00 X 173869 0 32469 REX BROWN PRESIDENT & CEO 40.00 1.30 X 0 0 0 LINDSAY WAGAHOFF CHAIRMAN 1.00 X X 0 0 0 LISA WHITE VICE CHAIR 1.00 X X 0 0 0 EARL FLACK TREASURER 1.00 X X 0 0 0 PATRICIA CLARK TREASURER (THRU SEPT) 1.00 X X 0 0 0 JULIE JENKINS SECRETARY 1.00 0.10 X X 0 0 0 MISTY BORROWMAN DIRECTOR 1.00 X 0 0 0 DR DOUG BYERS DIRECTOR 1.00 X 0 0 0 DR BEN CADY DIRECTOR 1.00 X 0 0 0 GREG HOLCOMB DIRECTOR 1.00 X 0 0 0 DAVID HOUGH DIRECTOR 1.00 X 0 0 0 BRIAN KNODLE DIRECTOR (THRU SEPT) 1.00 X 0 0 0 JORDAN RUPPERT DIRECTOR 1.00 X 0 0 0 BRAD YOUNG DIRECTOR 1.00 X 0 0 0 793362 0 130014 5 0 1 0 ILLINOIS EMERGENCY PHYSICIANS LLP 200 CORPORATE BLVD LAFAYETTE LA 70508 PHYSICIAN COVERAGE 1859950 HEALTHTECH MANAGEMENT SERVICES 5110 MARYLAND WAY STE 200 BRENTWOOD TN 37027 MANAGEMENT & CEO SERVICES 612303 AUREUS RADIOLOGY PO BOX 3037 OMAHA NE 68103 LAB PERSONNEL SERVICES 193681 PRECISE SPECIALTIES CORP PO BOX 572 HILLSBORO IL 62049 ULTRASOUND SERVICES 184945 MEDICAL OUTSOURCING SOLUTIONS 1735 DEKALB AVE SYCAMORE IL 60178 NUCLEAR MEDICINE 180000 11 3108624 32025 3140649 PATIENT SERVICE REVENUE 621110 27291720 27291720 179363 179363 27471083 704060 704060 76054 0 76054 76054 76054 420 0 420 420 420 CAFETERIA REVENUE 722514 35470 35470 AMBULANCE FEES 900099 3450 3450 38920 31431186 27474533 0 816004 X 115297 115297 206338 206338 9000047 7719618 1280429 228014 188819 39195 1662951 1367580 295371 654815 529861 124954 627068 627068 48376 48376 44008 44008 4873642 4266467 607175 54273 54273 123193 42925 80268 368338 349905 18433 54981 41789 13192 29360 25852 3508 176663 176663 1057451 778123 279328 350814 46538 304276 SUPPLIES 2097756 2041495 56261 BAD DEBT EXPENSE 1901110 1901110 REPAIRS & MAINTENANCE 698915 594022 104893 MEDICAID TAX ASSESSMENT 444144 444144 651333 528443 122890 25468887 20714507 4754380 0 1254654 9148054 12192719 17014885 3139308 2510756 532890 557250 453684 479184 34686873 23232152 10728646 11454721 3000504 3544582 9439503 8408712 520276 546963 41262184 53665107 2402979 2660870 0 1100851 4807480 4486305 0 1835100 1140804 5655599 8351263 15738725 X 31939083 36932314 971838 994068 32910921 37926382 41262184 53665107 X 5962299 37826 -984664 X X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10982 10982 0 PART II-B, LINE 1: 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 $10,982 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. 421176 5750 426926 418430 2746 421176 414863 3567 418430 412788 2075 414863 410867 1921 412788 0.00000 0.66760 0.33240 0 1 1 355860 355860 19411122 10626364 8784758 14877584 12605788 2271796 42307 42307 11454721 CERTIFICATES OF DEPOSITS 8408712 C 8408712 ASSET RETIREMENT OBLIGATION 72947 AMOUNTS PAYBALE TO THIRD-PARTY REIMBURSEMENT PROGRAMS 5582652 5655599 29523182 0 29523182 1908004 1908004 31431186 23567777 0 23567777 1901110 1901110 25468887 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 1,901,110. INVESTMENT INCOME RECORDED TO RESTRICTED NET ASSET 6,894. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,901,110. 1 1 X 1 X 1 X 1 1 0 1 0 295360 295360 0.01250 4505732 3542815 962917 0.04090 4801092 3542815 1258277 0.05340 19970 7310 12660 0.00050 4238677 3312397 926280 0.03930 258628 258628 0.01100 4517275 3319707 1197568 0.05080 9318367 6862522 2455845 0.10420 8532 8532 0.00040 8532 8532 0.00040 0 852503 426252 9583053 9598437 -15384 X 1 1 1 1 HILLSBORO AREA HOSPITAL 1200 EAST TREMONT STREET HILLSBORO IL 62049 WWW.HILLSBOROHEALTH.ORG 968 X X X X HILLSBORO AREA HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X SEE PART V, PAGE 8 X 1 18 1 SEE PART V, PAGE 8 0 1 X 100.000000000000 200.000000000000 X X X X 1 1 X X X X 1 X HTTP://WWW.HILLSBOROAREAHOSPITAL.ORG/PATIENT-BILLING/FINANCIAL-ASSISTANCE/ X HTTP://WWW.HILLSBOROAREAHOSPITAL.ORG/PATIENT-BILLING/FINANCIAL-ASSISTANCE/ X HTTP://WWW.HILLSBOROAREAHOSPITAL.ORG/PATIENT-BILLING/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X X 1 X 0 0 HILLSBORO AREA HOSPITAL PART V, SECTION B, LINE 5: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN PUBLIC HEALTH (LOCAL, REGIONAL, STATE AND/OR TRIBAL). MEMBERS OF THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS SERVED BY THE HOSPITAL OR INDIVIDUALS OR ORGANIZATIONS REPRESENTING THE INTERESTS OF SUCH POPULATIONS ALSO PROVIDED INPUT. THE MEDICALLY UNDERSERVED ARE MEMBERS OF A POPULATION WHO EXPERIENCE HEALTH DISPARITIES, ARE AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED, AND/OR EXPERIENCING BARRIERS TO HEALTH CARE DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL, OR OTHER BARRIERS. MONTGOMERY COUNTY PUBLIC HEALTH PARTICIPATED IN THE PROCESS. FOCUS GROUP#1 - THE GROUP CONSISTED OF MEDICAL PROFESSIONALS AND PARTNERS, INCLUDING REPRESENTATIVES OF GROUPS THAT REPRESENT OR SERVE PERSONS THAT MAY BE UNDERSERVED BY LOCAL MEDICAL SERVICES. THE GROUP INCLUDED PHYSICIANS, A NURSE PRACTITIONER, A PHARMACIST, AN ANESTHESIOLOGIST, AN OPTOMETRIST, NURSES, AND REPRESENTATIVES OF SENIOR CARE FACILITIES. THE GROUP MET ON OCTOBER 17, 2018 AT HILLSBORO AREA HOSPITAL.FOCUS GROUP#2 - THE GROUP CONSISTED OF COMMUNITY LEADERS AND REPRESENTATIVES OF GROUPS THAT REPRESENT OR SERVE PERSONS THAT MAY BE UNDERSERVED BY LOCAL MEDICAL SERVICES. THE GROUP INCLUDED SCHOOL OFFICIALS, THE COUNTY PUBLIC HEALTH ADMINISTRATOR, A REPRESENTATIVE OF THE SHERIFF'S OFFICE, LOCAL COMMUNITY DEVELOPMENT LEADERS, UNIVERSITY OF ILLINOIS EXTENSION, COMMUNITY ORGANIZATION MEMBERS, AND OTHERS. THE GROUP MET ON OCTOBER 17, 2018 AT HILLSBORO AREA HOSPITAL.FOCUS GROUP#3 - THE GROUP CONSISTED OF COMMUNITY LEADERS AND REPRESENTATIVES OF GROUPS THAT REPRESENT OR SERVE PERSONS THAT MAY BE UNDERSERVED BY LOCAL MEDICAL SERVICES. THE GROUP INCLUDED LEADERS OF VOLUNTEER ORGANIZATIONS, SENIOR CITIZENS, THE MAYOR OF HILLSBORO, AND OTHERS. THE GROUP MET ON OCTOBER 17, 2018 AT HILLSBORO 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: 1. MENTAL HEALTH A. EDUCATION FOR PARENTS ABOUT MENTAL HEALTH ISSUES FACING YOUTH.OUR FIRST STEP WAS A SEND HOME EXPLANATION OF THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE DEPARTMENT OF POPULATION SCIENCE AND POLICY (SIU SOM DPS&P) TWO-SESSION SURVEY THAT OCCURRED IN NOVEMBER 2019. B. ADDRESS TEEN SUICIDEASSESSING THE MIDDLE AND HIGH SCHOOL STUDENTS TO REDUCE TEEN SUICIDE WAS THE TARGET OF THE RESEARCH CONTRACT WITH SIU SOM DPS&P. IN NOVEMBER OF 2019, APPROXIMATELY 750 STUDENTS PARTICIPATED IN A TWO SESSION SURVEY. A COMMUNITY STEERING COMMITTEE WAS FORMED TO ASSESS THE DATA AS PRESENTED BY THE POPULATION SCIENCE AND POLICY RESEARCHERS. THE STEERING COMMITTEE THEN STUDIED PROGRAMS ACROSS THE NATION THAT HAD PROVEN TO BE SUCCESSFUL IN DEALING WITH YOUTH'S ISSUES SURROUNDING SUICIDE. TWO PROGRAMS WERE SELECTED. C. COMMUNITY AWARENESS EDUCATION ON MENTAL HEALTHIN FEBRUARY, 2020 THE STEERING COMMITTEE WAS ABLE TO RAISE ABOUT $37,000 AT AN EVENT SPONSORED BY THE HILLSBORO AREA HEALTH FOUNDATION. ADDITIONAL FUNDS HAVE BEEN ADDED DURING THE 2020 YEAR AND THERE IS NOW SUFFICIENT FUNDING TO SUPPORT THE TWO PROGRAMS FOR A NUMBER OF YEARS. IN PREPARATION FOR FUND-RAISING THE COMMUNITY AWARENESS WAS ADDRESSED AND WAS SUCCESSFUL AS MEASURED BY SIGNIFICANT FUNDS RAISED. D. EDUCATION ON AWARENESS AND UNDERSTANDING OF SELF ESTEEMTHE EDUCATION ON AWARENESS AND UNDERSTANDING OF SELF-ESTEEM WILL START WHEN THE "SOURCES OF STRENGTH" PROGRAM LAUNCHES IN OCTOBER, 2020. THE SECOND INITIATIVE THAT OPERATES UNDER THE NAME "BLUES PROGRAM" WILL BEGIN IN LATE JANUARY 2021. CONTRACT NEGOTIATIONS FOR THAT PROGRAM BEGAN IN JUNE 2020 AND ARE EXPECTED TO CONCLUDE EARLY ENOUGH IN JANUARY 2021 TO HAVE THE PROGRAM COMMENCE ON SCHEDULE. E. ADDRESS MENTAL HEALTH DISORDER "TRIGGERS"THE TWO PROGRAMS ARE DESIGNED TO ADDRESS MENTAL HEALTH TRIGGERS. THEY WILL BE TAUGHT AT THE HIGH SCHOOL LEVEL THROUGH 2021. SOURCES OF STRENGTH WILL BEGIN IN THE MIDDLE SCHOOL IN 2021. THE STEERING COMMITTEE HAS ALSO RAISED SUFFICIENT FUNDS TO EXPAND THE PROGRAM TO THE NOKOMIS SCHOOL DISTRICT, WHICH LIES IN THE HOSPITAL'S SECONDARY SERVICE AREA. THE HOSPITAL ALSO ADDED TWO PROFESSIONALS TO THE INTEGRATED BEHAVIORAL MEDICINE STAFF IN 2020. THE FOUR PERSON DEPARTMENT IS OVERSEEN BY BOTH HOSPITAL NURSING AND OUR CONTRACTED PSYCHIATRIST. PATIENTS ARE BEING SEEN AND TREATED AND AN AREA HEALTH SYSTEM IS IN DISCUSSIONS WITH THE HOSPITAL TO EXPAND INTO ONE OF THEIR SERVICE AREAS TO OUR SOUTH. PURSUIT OF TELEPSYCH SERVICES HAS BEEN ACTIVE BUT UNSUCCESSFUL TO THIS POINT. ATTEMPTS TO CONTRACT FOR THIS SERVICE HAVE FAILED WHEN THE CONTRACTING AGENCY IS UNABLE TO FIND QUALIFIED STAFF. 2. FLEXIBLE TRANSPORTATION IN THE AREAA. EXPLORE A PARTNERSHIP WITH MACOUPIN COUNTY PUBLIC HEALTH AND OTHER HOSPITALS TO EXPAND PUBLIC TRANSPORTATIONB. EXPLORE VOUCHER AGREEMENTS WITH LOCAL TAXI SERVICESAVAILABLE TRANSPORTATION CONTINUES TO BE A STRUGGLE IN OUR RURAL COMMUNITY. THERE HAS BEEN BROAD BASED NETWORKING TO FIND SUCCESSFUL TRANSPORTATION MODELS IN OTHER RURAL COMMUNITIES. WE ARE RESEARCHING POSSIBLE PARTNERSHIPS WITH LOCAL CHURCHES TO UTILIZE THEIR VANS; HOWEVER, NO SOLUTION HAS YET BEEN IMPLEMENTED. WE ASSIST WITH SCHEDULING RIDES WITH QUAD COUNTY HEALTH AND CENTRAL ILLINOIS PUBLIC TRANSPORTATION. WHEN THIS IS NOT POSSIBLE AND THE PATIENT CANNOT AFFORD TO PAY, THE HOSPITAL ASSISTS WITH PAYMENT TO THE TAXI SERVICE SERVING THE WESTERN SECTION OF THE COUNTY. JULY 2019-TRANSPORTATION FOR THE FREE SUMMER LUNCH PROGRAM WAS PROVIDED BY THE HILLSBORO SCHOOL DISTRICT BUS SERVICE, AND THE HOSPITAL REIMBURSES THEM FOR THIS SERVICE. MANY CHILDREN WOULD NOT BE ABLE TO PARTICIPATE IN THE SUMMER LUNCH PROGRAM IF TRANSPORTATION WAS NOT PROVIDED.JUNE JULY 2020 - DUE TO COVID-19, THE SUMMER LUNCH PROGRAM WAS REDESIGNED. VOLUNTEERS DELIVERED BAGS OF GROCERIES TO FAMILIES IN NEED IN 7 COMMUNITIES (HILLSBORO, WITT, IRVING, COFFEEN, BUTLER, DONNELLSON, & PANAMA). 3700 MEALS WERE PROVIDED.3. EXPAND HOSPITAL INVOLVEMENT WITH YOUTH AND SCHOOLS IN ORDER TO IMPROVE AWARENESS OF HEALTH ISSUES, HEALTHY LIVING AND LIFESTYLES, AND HEALTH CAREERS.A. EXPAND AN IN-HOUSE PILOT EMPLOYEE WELLNESS PROGRAM TO CREATE A BEHAVIORAL HEALTH WELLNESS MODEL FOR BUSINESSES IN THE COMMUNITY TO ADDRESS HEALTHY FOODS, EXERCISE, AND FINANCIAL ADVICE.WORKPLACE WELLNESS CONTINUES AT THE HOSPITAL AS PART OF THE EMPLOYEE HEALTH PLAN TO ENCOURAGE PHYSICAL AND MENTAL HEALTH WITH A POINT SYSTEM TO PROVIDE HEALTH INSURANCE DISCOUNT RATES FOR PARTICIPATION.AN EMPLOYEE WELLNESS PROGRAM FROM ALLSCRIPTS WAS ADDED IN DECEMBER 2019. THE ALLSCRIPTS WELLNESS PLAN PROVIDES WELLNESS BENEFITS TO PARTICIPANTS BY OFFERING A PERSONALIZED COACHING EXPERIENCE. THE COACH CAN HELP TEAM MEMBERS WITH MANY DIFFERENT ASPECTS OF THEIR HEALTH, INCLUDING WEIGHT MANAGEMENT, HEALTHY EATING, DIABETES, HYPERTENSION, SMOKING CESSATION AND MANY MORE. EACH TEAM MEMBER WAS PROVIDED A SCALE, BLOOD PRESSURE CUFF, AND ACTIVITY TRACKER. THE DATA IS TRACKED THROUGH APPS THAT ARE VIEWABLE BY THE WELLNESS COACH.B. EXPLORE AFTER-SCHOOL AND SUMMER PROGRAMS TO CREATE AWARENESS OF HEALTH PROFESSIONS, WELLNESS, AND OTHER ISSUES FOR YOUTH. JULY 2019 SPECIAL PRESENTATIONS WERE PROVIDED FOR THE SUMMER LUNCH PARTICIPANTS ON HEALTH PROFESSIONS AND LIVING A HEALTHY LIFE. SPECIAL ATTENTION WAS PAID TO PROVIDING LUNCHES TO CHILDREN THAT WERE WELL BALANCED AND INCLUDED FRESH FRUIT AND VEGETABLES. WE FOCUSED ON THE IMPORTANCE OF EXERCISE BY ALLOWING THE CHILDREN TO SWIM 4 DAYS A WEEK AND EXERCISE IN THE GYM ONE DAY A WEEK.JUNE & JULY 2020 DUE TO COVID-19, WE WERE UNABLE TO BRING THE CHILDREN INTO THE HOSPITAL FOR LUNCH. A BAG OF GROCERIES WITH HEALTHY MENU OPTIONS WERE DELIVERED TO FAMILIES IN NEED WEEKLY. NOV. 2019 - PASSPORT FOR A HEALTHY LIFE - HAH PARTNERS WITH FUSION FITNESS AND AQUATICS AND SPRINGFIELD CLINIC TO PROVIDE A HEALTH FAIR DESIGNED FOR ELEMENTARY SCHOOL AGE CHILDREN. THIS FAIR PROVIDES 20-25 STATIONS TO EDUCATE STUDENTS AND THEIR PARENTS ON HEALTHY LIFESTYLES. HEALTH CAREER EXPLORATION IS A PROGRAM FOR HIGH SCHOOL STUDENTS WHO WANT TO LEARN MORE ABOUT SPECIFIC HEALTH CAREERS AND OBSERVE THE WORKPLACE OF VARIOUS HEALTHCARE PROFESSIONALS. EXPLORERS MAY ATTEND MONTHLY MEETINGS WHERE THEY CAN STUDY HEALTH-RELATED TOPICS AND COMPLETE RELATED ACTIVITIES. IT IS ALSO AN OPPORTUNITY TO FIND INDIVIDUALS WHO WOULD BE AN ASSET TO THE ORGANIZATION AND COULD BE UTILIZED AS INTERNS.SESSIONS WERE OFFERED EVENINGS AND DURING THE DAY ON NON-SCHOOL DAYS. STUDENTS WERE ABLE TO VISIT VARIOUS DEPARTMENTS, LOOK AT DIFFERENT SKILLS AND DEPARTMENTS AND REALLY EXPLORE HEALTH CAREERS. COMMUNITY EDUCATION NOVEMBER 20, 2019 DR. KATE ENDICOTT COMPLETED WHAT WAS THE FIRST OF A SERIES OF HEALTH TOPICS AS LUNCH AND LEARNS FOR THE COMMUNITY. THE PRESENTATION TITLED "AN APPLE A DAY KEEPS THE DOCTOR AWAY" FOCUSED ON HEALTHY DIETS AND EATING HABITS. DUE TO COVID-19, ALL ADDITIONAL PRESENTATIONS WERE POSTPONED. MARCH 3, 2020 GIRLS' NIGHT OUT SESSION WITH THE TOPIC OF "WORKOUTS FOR ALL AGES & FITNESS LEVELS". THE APRIL EVENT WAS POSTPONED BECAUSE OF COVID-19.4. INCREASE LOCAL ACCESS TO URGENT CARE.THE HOSPITAL RECOGNIZES A CONTINUING NEED FOR SERVICES FOR PERSONS WHO ARE UNDERINSURED AND UNINSURED AND WILL EXPLORE THE CREATION OF A MEDICAID PROVIDER'S OFFICE THAT WILL OFFER WALK-IN SERVICES.HAH HAS BEEN UNABLE TO RECRUIT A PHYSICIAN TO ESTABLISH SUCH A SERVICE. THIS EFFORT WILL CONTINUE.5. ADDRESS CHRONIC ILLNESSES AND CAUSES, INCLUDING OBESITY, DIABETES, HEART DISEASE, CANCER, AND CHRONIC OBSTRUCTIVE PULMONARY DISORDER.A. EXPAND WELLNESS PROGRAMMING TO BUSINESSES AND THE COMMUNITY.B. EXPAND NUTRITION EDUCATION PROGRAMMINGC. CONTINUE PARTICIPATION IN A STUDY OF LOCAL CANCER WITH SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE.D. CONTINUE A RELATIONSHIP WITH A PULMONOLOGIST.LUNG CANCER IN 2019 HAH PARTNERED WITH SIU SCHOOL OF MEDICINE TO CONDUCT A LUNG CANCER RESEARCH SURVEY. THERE WERE 270 SURVEYS COMPLETED AND RESULTS WILL BE USED FOR THE CONTINUED RESEARCH BY SIU SCHOOL OF MEDICINE. THE RESEARCH FOCUSED ON THE HIGH RATE OF LUNG CANCER IN OUR COMMUNITY AND THE DETRIMENTS OF NOT BEING SCREENED OR TREATED. EDUCATIONAL MATERIAL WAS DEVELOPED TO EDUCATE THE COMMUNITY ABOUT THE IMPORTANCE OF LUNG CANCER SCREENING. A BILLBOARD WILL BE INSTALLED IN DEC. 2020 TO BRING AWARENESS TO THE COMMUNITY.HAH HAS CONTINUED THE CONTRACTUAL RELATIONSHIP WITH A PULMONOLOGIST FROM SPRINGFIELD CLINIC. HILLSBORO AREA HOSPITAL PART V, SECTION B, LINE 20E: A MINIMUM OF 2 STATEMENTS AND 1 LETTER ARE SENT PRIOR TO SENDING THE ACCOUNT TO COLLECTIONS, EACH NOTING HOW TO CONTACT THE HOSPITAL FOR FINANCIAL ASSISTANCE. 3 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 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 (IE 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 (IE. MENTAL HEALTH SERVICES ONLY), DRUG AND ALCOHOL REHAB PATIENTS, MEDICAID ELIGIBLE FOR HEALTH WOMEN'S BENEFITS (IE. 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 $ 1,901,110. SCHEDULE H, PART I, LINE 6A ALTHOUGH NOT REQUIRED TO BE COMPLETED AS A CRITICAL ACCESS HOSPITAL, AN INFORMAL COMMUNITY BENEFITS REPORT IS PREPARED ANNUALLY. PART II, COMMUNITY BUILDING ACTIVITIES: COVID-19 RESPONSE DURING FY 2020 - HILLSBORO AREA HOSPITAL HAS BEEN IMPLEMENTING PROCESSES TO ENSURE THE SAFETY AND WELLNESS OF OUR TEAM MEMBERS, PATIENTS, AND THE COMMUNITY. THROUGH THE EMERGENCY DEPARTMENT, THE HOSPITAL HAD THE ONLY DAILY COVID-19 TESTING SITE IN HILLSBORO. 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 AND CARLINVILLE HOSPITALS - THIS ALLIANCE WILL ESTABLISH 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 WILL NOT CHANGE THE INDEPENDENT STATUS OF EACH HOSPITAL. WHILE THE THREE HOSPITALS SERVE DISTINCT, RURAL, SOUTH-CENTRAL ILLINOIS COMMUNITIES, THEY SHARE SIMILAR MISSIONS, GOALS AND CHALLENGES, AND CURRENTLY COLLABORATE IN A VARIETY OF WAYS. ALL THREE 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 AND PANA WILL BETTER POSITION THE THREE 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: IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS AND PATIENTS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. PART III, LINE 8: THE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFITS EXPENSE BECAUSEPROVIDING MEDICAL CARE AT A SHORTFALL IMPACTS THE HOSPITAL'S OPERATIONSAND GROWTH. THE CARE IS PROVIDED BECAUSE THERE IS A NEED AND A DESIRE TOPROVIDE MEDICAL CARE IN THIS COMMUNITY.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.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. THE HISPANIC POPULATION IN BOND COUNTY INCREASED BY 294 (116.21%), INCREASED IN CHRISTIAN COUNTY BY 126 (36.52%), INCREASED IN FAYETTE COUNTY BY 130 (74.71%), INCREASED IN MACOUPIN COUNTY BY 113 (37.05%), AND INCREASED IN MONTGOMERY COUNTY BY 133 (40.8%). IN BOND COUNTY, ADDITIONAL POPULATION CHANGES WERE AS FOLLOWS: WHITE 0.89%, BLACK -17.3%, AMERICAN INDIAN/ALASKA NATIVE 13.58%, ASIAN 47.83%, AND NATIVE HAWAIIAN/PACIFIC ISLANDER -62.5%. IN CHRISTIAN COUNTY, ADDITIONAL POPULATION CHANGES WERE AS FOLLOWS: WHITE -1.37%, BLACK -34.7%, AMERICAN INDIAN/ALASKA NATIVE -10.53%, ASIAN 26.52%, AND NATIVE HAWAIIAN/PACIFIC ISLANDER -27.27% 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 ALSO PROVIDES GRAND ADVANTAGE SENIOR EXERCISE CLASSES TO THE SENIORS IN THE AREA AT NO CHARGE AND PROVIDES 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 PROVIDES A BOOTH AT THE LOCAL COMMUNITY FAIR EACH YEAR WHERE EMPLOYEES TAKE BLOOD PRESSURES AND PROVIDES 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 ITS 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 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. 1 SIU SCHOOL OF MEDICINE DEPT OF POPULATION SCIENCE AND POLICY 201 E MADISON ST SPRINGFIELD IL 62794 364143823 UNIV 62794 ASSISTANCE WITH COMMUNITY RESEARCH PROJECTS RE. CHILD BRAIN DEVELOPMENT, LUN HILLSBORO COMMUNITY SCHOOL DISTRICT 1311 VANDALIA ROAD HILLSBORO IL 62049 376014445 GOV 44065 ASSISTANCE WITH CONSULTING FEES FOR SCHOOL'S COMMITMENT TO A CULTURE OF EXCE 2 0 PART I, LINE 2: THE ORGANIZATION PROVIDES FINANCIAL ASSISTANCE FOR CERTAIN COMMUNITY PROGRAMS AS APPROVED BY THE BOARD OF DIRECTORS. X 1 1 X X X 0 0 0 0 0 0 0 0 0 ANDREW OTT PODIATRIST 216218 0 25000 0 0 0 7209 0 13684 0 262111 0 0 0 ELVIS HARRISON VP OF PATIENT CARE SERVICE 159511 0 4293 0 0 0 1489 0 25094 0 190387 0 0 0 ABBY BUGG TEAMWORK REHAB DIRECTOR 108241 0 5796 0 0 0 3792 0 42170 0 159999 0 0 0 TERRI CARROLL VP OF FINANCIAL SERVICES 168660 0 5209 0 0 0 5333 0 27136 0 206338 0 0 0 PART I, LINE 1B 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. A CITY OF HILLSBORO MONTGOMERY COUNTY ILLINOIS 376001658 2008-09-30 7220000 CAPITAL IMPROVEMENT PROJECT 0 0 0 A 2733694 7220000 83500 7030981 105519 2010 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 SCHEDULE K, PART IV, LINE 2C: THE ORGANIZATION QUALIFIED FOR AN EXCEPTION TO REBATE. THE BOND QUALIFIES FOR THE 2-YEAR SPENDING EXCEPTION. 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. THE DELIBERATION AND DECISION BY THE BOARD OF DIRECTORS IS DOCUMENTED IN THE EXECUTIVE SESSION BOARD MINUTES. 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 2,236,358. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,236,358. OTHER PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 439,290. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 439,290. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,590,819. MANAGEMENT AND GENERAL EXPENSES 607,175. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,197,994. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS -11,351. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 26,687. TRANSFER TO HILLSBORO AREA HEALTH SYSTEM NFP -1,000,000. 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. HILLSBORO AREA HEALTH SYSTEM NFP 1200 E TREMONT ST HILLSBORO WI 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 HILLSBORO AREA HEALTH SYSTEM NFP 1 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 HILLSBORO AREA HEALTH SYSTEM NFP 1 0 1 0 0 0 0 0 0 0 1 1 0 1 0 1 1 1 1 1