2019-02-21T17:40:44-06:00 2018-09-30 430352985 KERBER ECK & BRAECKEL LLP 3401 OFFICE PARK DRIVE MARION IL 62959 990 2017-10-01 370673512 IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME IROQ 8154325841 200 E FAIRMAN AVENUE WATSEKA IL 609701644 TIM SMITH CEO 8154325841 2019-02-21 1 MARK DALLAS P00187265 6189938724 2019-02-21 64.83.254.138 2019-02-21 17:19:28 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 03690DDF2CC8DAF5F58E5446F3CD9FF125C7F3FE 2017 2019-02-21 02:37:17Z TIM SMITH 200 E FAIRMAN AVENUE WATSEKA IL 60970 35554096 0 X WWW.IMHRH.ORG X 1914 IL IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES FOR THE REGION IN A CONVENIENT CARING ENVIRONMENT. 7 7 0 0 0 0 1052412 2191920 32542993 31923018 203551 289892 1488615 1149266 35287571 35554096 13850 0 0 0 20675379 19006508 0 0 0 15903559 17006122 36592788 36012630 -1305217 -458534 28163500 27512837 10947061 11291174 17216439 16221663 X IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES FOR THE REGION IN A CONVENIENT CARING ENVIRONMENT. 0 0 32026340 31923018 IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME PROVIDES HIGH QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF OUR COMMUNITY, SOME CARE IS PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY EXIST. THESE ACTIVITIES INCLUDE PREVENTION AND WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, AND THE MEDICALLY UNDER SERVED INCLUDING A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.THE HOSPITAL IS LOCATED IN WATSEKA, ILLINOIS AND SERVES THE SURROUNDING COMMUNITIES IN IROQUOIS COUNTY AND WEST-CENTRAL INDIANA. THERE ARE OUTPATIENT CLINICS MAINTAINED IN GILMAN, MILFORD, AND WATSEKA, ILLINOIS AS WELL AS KENTLAND, INDIANA. THE HOSPITAL PROVIDES BEDS FOR ACUTE CARE, INTENSIVE CARE, NURSERY, AND LONG-TERM CARE. THE HOSPITAL ALSO PROVIDES AMBULANCE SERVICES TO MOST OF IROQUOIS COUNTY WITH STATIONS IN GILMAN AND WATSEKA. HOME HEALTH AND HOSPICE PROVIDE SERVICES TO WATSEKA AND SURROUNDING COMMUNITIES IN THE HOSPITAL'S SERVICE AREA. THE IROQUOIS REGIONAL HEALTH CENTER HOUSES PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. THE HOSPITAL IS CERTIFIED TO PROVIDE CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE HOSPITAL RECORDS THESE AMOUNTS AS UNCOMPENSATED CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. THE COST IN EXCESS OF CHARGES FOR PROVIDING CARE TO ILLINOIS MEDICAID AND OTHER PUBLIC AID PROGRAMS WAS $1,785,000 DURING FISCAL YEAR 2017. THIS COST WAS MITIGATED BY ILLINOIS HOSPITAL MEDICAID ASSESSMENT PROGRAM PAYMENTS AND HOSPITAL ACCESS IMPROVEMENT PAYMENTS, NET OF TAXES ASSESSED, IN THE AMOUNT OF $2,699,716. WITH THE BOARD'S PARTICIPATION AND APPROVAL, THE HOSPITAL VOLUNTARILY PROVIDES CARE TO PATIENTS AT LESS THAN ITS ESTABLISHED CHARGES FOR PATIENTS WHO ARE IN NEED AND MEET THE HOSPITAL'S CHARITY CARE CRITERIA. CHARGES EXCLUDED FROM REVENUE UNDER THE HOSPITAL'S CHARITY CARE POLICY WERE APPROXIMATELY $480,000 FOR FISCAL YEAR 2017, WHILE THE COST OF PROVIDING THOSE SERVICES WAS APPROXIMATELY $229,000.IN ADDITION, THE HOSPITAL IS NOT ABLE TO COLLECT FOR ALL OF THE CARE THAT WAS CHARGED TO PATIENTS. DURING FISCAL YEAR 2017 THE HOSPITAL HAD TO WRITE-OFF $2,128,507 IN UNCOLLECTIBLE ACCOUNTS. THE COST OF PROVIDING THAT BENEFIT TO OUR PATIENTS TOTALED $1,016,000.IROQUOIS MEMORIAL HOSPITAL PROVIDES NON-TRADITIONAL HOSPITAL BASED SERVICES SUCH AS AMBULANCE COVERAGE TO WATSEKA AND THE SURROUNDING IROQUOIS COUNTY COMMUNITIES. IN ADDITION TO THE COSTS OF UNCOMPENSSATED CARE AND OTHER NON-TRADITIONAL SERVICES, IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME COMMITTED SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND OTHER CRITICAL SERVICES WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. SOME OF THOSE PROGRAMS THAT FURTHER THE HOSPITAL'S MISSION INCLUDE:AMBULANCE SUPPORT FOR SPORTING EVENTS AND SURROUNDING VOLUNTEER AMBULANCE DEPARTMENTSBLOOD DRIVESBREAST CANCER AWARENESS EVENTBREAST-FEEDING CLASSES FOR EXPECTANT MOTHERSCAMP 911 SAFETY PROGRAMS FOR AREA SCHOOL CHILDRENFARM SAFETY EDUCATIONFIRST AID FOR LOCAL COMMUNITY EVENTSFREE AND REDUCED FEE HEALTH SCREENINGSFREE BLOOD PRESSURE SCREENINGSFREE CPR TRAINING FOR THE PUBLICGO RED HEALTHY HEART EVENTHEALTH-RELATED ARTICLES IN LOCAL PUBLICATIONSBIRTHING CLASSESLIFELINEMEALS ON WHEELSSPEAKER'S BUREAUTOURS FOR AREA SCHOOL CHILDREN 32026340 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X IROQUOIS MEMORIAL HOSPITAL 8154325841 200 EAST FAIRMAN AVE WATSEKA IL 60970 ROGER DITTRICH CHAIR 4.00 X 0 0 0 STEVEN KNAPP VICE-CHAIR 4.00 X 0 0 0 DANIEL TINCHER SECRETARY 4.00 X 0 0 0 MEL WARD TREASURER 4.00 X 0 0 0 RHONDA PENCE DIRECTOR 4.00 X 0 0 0 DOUG GEIGER DIRECTOR 4.00 X 0 0 0 PHILIP ZUMWALT MD DIRECTOR 4.00 X 0 0 0 TIM SMITH CEO 40.00 X 105451 0 0 LORI YELENICK CFO 40.00 X 82135 0 0 JUN KIM PHYSICIAN 40.00 X 362865 0 2604 GONZALO FLORIDO PHYSICIAN 40.00 X 273035 0 9970 RODNEY ALFORD PHYSICIAN 40.00 X 238825 0 11320 NARAN DODIA PHYSICIAN 40.00 X 235813 0 4925 CRISANTO REYES PHYSICIAN 40.00 X 222944 0 6720 1521068 0 35539 6 1 1 0 EMERGENCY DEPARTMENT ASSOC 7032 COLLECTION CENTER DR CHICAGO IL 60693 PHYSICIAN SERVICES 506808 COMPUTER PROGRAMS AND SYSTEMS PO BOX 850309 MOBILE AL 36685 COMPUTER SERVICES 492384 AMERICAN ANESTHESIA PO BOX 281034 ATLANTA GA 30384 CRNA SERVICES 383037 COMPHEALTH ASSOCIATES INC PO BOX 972670 DALLAS TX 75397 STAFFING SERVICES 349954 MEDEFIS CONSOLIDATED PO BOX 5068 NEW YORK NY 10087 STAFFING SERVICES 310076 5 1900000 291920 2191920 NET PATIENT SERVICE REVENUE 31757086 31757086 CLINIC & PHYSICIAN RENTAL 165932 165932 31923018 289892 289892 OUTSIDE SERVICES 875903 875903 CAFETERIA 145417 145417 MISCELLANEOUS 127946 127946 1149266 35554096 31923018 0 1439158 187586 187586 16426094 14619224 1806870 2392828 2129617 263211 67027 67027 45000 45000 3529152 3140945 388207 132679 132679 4862558 4327677 534881 814798 725170 89628 231760 206266 25494 1556294 1385102 171192 792000 704880 87120 BAD DEBTS 2023568 2023568 AGENCY SERVICES 1703592 1516197 187395 IDPA PROVIDER TAX 1115825 1115825 RECRUITING 74211 74211 57658 57658 36012630 32026340 3986290 0 18502 822425 2265038 4237577 4930377 1006921 987401 326775 434904 43539226 32519578 10970133 11019648 9338554 9318082 28163500 27512837 6181414 6884378 2790000 2380000 1538604 1759484 437043 267312 10947061 11291174 X 8901185 8447661 8315254 7774002 17216439 16221663 28163500 27512837 X -458534 -536242 X 0 0 0 X 0 0 0 1 0 1 1 0 0 0 0 SCHEDULE C, PART II-B, LINE 1F A PORTION OF MEMBERSHIP DUES TO PROFESSIONAL HEALTHCARE ASSOCIATIONS IS USED FOR LOBBYING ACTIVITIES. 9616693 9616693 9636792 693013 1858 714970 9616693 9654406 666442 159340 843396 9636792 9343664 769811 690576 1149645 9654406 9104956 1582760 2070 1346122 9343664 1 0 319450 319450 25855712 18091232 7764480 483750 478418 5332 16795348 13949928 2845420 84966 84966 11019648 BENEFICIAL INTEREST IN TRUST 7714002 OTHER ASSET 1036568 BOND ISSUE COST 42509 INTERCOMPANY 525003 9318082 DUE TO THIRD PARTY 267312 267312 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO SUPPORT THE ONGOING OPERATIONAL AND CAPITAL NEEDS OF THE ORGANIZATION IN MEETING THE COMMUNITY NEEDS AND SERVICES. PART X, LINE 2: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITION UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. 1 1 1 X 125.000000000000 1 X 1 1 0 0 1 X 1 1 1 1 IROQUOIS MEMORIAL HOSPITAL 200 E FAIRMAN AVE WATSEKA IL 60970 X X X IROQUOIS MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X 15 1 0 0 1 X WWW.IMHRH.ORG 1 15 1 WWW.IMHRH.ORG 0 1 X 125.000000000000 300.000000000000 1 1 X X X 1 X WWW.IMHRH.ORG X WWW.IMHRH.ORG X WWW.IMHRH.ORG X X X X X 1 X 0 X X 1 X 0 0 IROQUOIS MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: IN CONDUCTING THE CHNA, INPUT WAS GATHERED FROM FOCUS GROUPS. SEVEN FOCUS GROUPS WERE CONDUCTED AND INCLUDED THE HOSPITAL'S EXECUTIVE TEAM, MANAGEMENT TEAM, MEDICAL PROVIDERS, BOARD OF TRUSTEES, FARMERS AND FAITH LEADERS, YOUNG ADULT EMPLOYERS, AND CIVIC AND BUSINESS LEADERS. IROQUOIS MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: PRIORITY 1--MENTAL HEALTHIROQUOIS MEMORIAL HOSPITAL HAS RE-ESTABLISHED ITS RELATIONSHIP WITH THE IROQUOIS MENTAL HEALTH CENTER TO BETTER ADDRESS THE NEEDS OF PATIENTS WITH MENTAL HEALTH NEEDS. IROQUOIS MEMORIAL HOSPITAL HIRED A CARE COORDINATOR IN 2017 TO DEVELOP CARE PLANS FOR OUR PATIENTS TO ADDRESS MEDICAL, MENTAL, AND NUTRITIONAL NEEDS.PRIORITY 2--DRUG AND ALCOHOL ABUSEIROQUOIS MEMORIAL HOSPITAL HIRED A CARE COORDINATOR IN 2017 TO DEVELOP CARE PLANS FOR OUR PATIENTS TO ADDRESS MEDICAL, MENTAL, AND NUTRITIONAL NEEDS.PRIORITY 3--DIABETESIROQUOIS MEMORIAL HOSPITAL HIRED A CARE COORDINATOR IN 2017 TO DEVELOP CARE PLANS FOR OUR PATIENTS TO ADDRESS MEDICAL, MENTAL, AND NUTRITIONAL NEEDS. IN 2017, THE HOSPITAL HIRED A NURSE PRACTITIONER WHO SPECIALIZES IN CHRONIC DISEASE MANAGEMENT. THE NURSE PRACTITIONER HAS BEEN ABLE TO PROVIDE ADDITIONAL TEACHING FOR DIABETIC PATIENTS.PRIORITY 4--OBESITYIROQUOIS MEMORIAL HOSPITAL HIRED A CARE COORDINATOR IN 2017 TO DEVELOP CARE PLANS FOR OUR PATIENTS TO ADDRESS MEDICAL, MENTAL, AND NUTRITIONAL NEEDS. IN 2017, THE HOSPITAL HIRED A NURSE PRACTITIONER WHO SPECIALIZES IN CHRONIC DISEASE MANAGEMENT. IMH ALSO EMPLOYES A DIETICIAN TO PROVIDE COUNSELING FOR CONDITIONS SUCH AS OBESITY.ALL NEEDS IDENTIFIED WERE ADDRESSED 7 1 - IROQUOIS REGIONAL HEALTH CENTER 200 LAIRD LANE WATSEKA IL 60970 REHAB SERVICES, HOME HEALTH, HOSPICE 2 - IROQUOIS HOME CARE INC 200 LAIRD LANE WATSEKA IL 60970 DURABLE MEDICAL EQUIPMENT 3 - MULTI-SPECIALTY CLINIC 200 E FAIRMAN AVENUE WATSEKA IL 60970 PHYSICIAN OFFICE 4 - KENTLAND CLINIC 303 N 7TH STREET KENTLAND IN 47951 PHYSICIAN OFFICE 5 - MILFORD CLINIC 34 EAST JONES MILFORD IL 60953 PHYSICIAN OFFICE 6 - GILMAN CLINIC 508 E CRESCENT STREET GILMAN IL 60938 PHYSICIAN OFFICE 7 - IROQUOIS WOMEN'S HEALTH CENTER 625 S 5TH STREET WATSEKA IL 60970 PHYSICIAN OFFICE PART I, LINE 7: A COST-TO-CHARGE RATIO AS CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, INCLUDED IN THE SCHEDULE H INSTRUCTIONS WAS USED TO DETERMINE THE AMOUNTS ON LINE 7B OF PART I OF SCHEDULE H. ACTUAL COSTS WERE USED TO DETERMINE THE BENEFIT EXPENSES ON LINES 7A, 7E, 7F, 7G, AND 7I OF SCHEDULE H, PART I. PART I, LINE 7G: THE ORGANIZATION INCLUDED COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC, OB, AND RESIDENT HOME IN ITS SUBSIDIZED HEALTH SERVICES. PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $2,128,507, HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES APPICABLE TO COMMUNITY BENEFITS. PART II, COMMUNITY BUILDING ACTIVITIES: IN ORDER TO PROMOTE THE WELL-BEING OF THE COMMUNITIES IT SERVES, THE ORGANIZATION PROMOTES ECONOMIC AND WORK FORCE DEVELOPMENT INCLUDING RECRUITING PROVIDERS TO A MEDICALLY UNDERSERVED AREA AND PROVIDING CLINICAL EXPOSURE TO LOCAL STUDENTS PURSUING CAREERS IN HEALTHCARE. PART III, LINE 2: FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS:THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECITON INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE HOSPITAL USES AN OVERALL HOSPITAL COST-TO-CHARGE RATIO TO CALCULATE THE UNPAID COST OF BAD DEBT EXPENSE.IN ADDITION TO THE ABOVE COST OF UNCOMPENSATED CARE, THE HOSPITAL ALSO COMMITS SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND CRITICAL SERVICES WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE SELF-SUPPORTING OR FINANCIALLY VIABLE.DESCRIPTION OF COSTING METHODOLOGY USED:THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINE 2 WAS A RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS. PART III, LINE 8: MEDICARE COST WAS DETERMINED USING AN OVERALL COST-TO-CHARGE RATIO. PART III, LINE 9B: QUALIFICATIONS ARE BASED ON POVERTY GUIDELINES PUBLISHED. NO COLLECTION EFFORTS FOR QUALIFYING PATIENTS. PATIENTS WHO DO NOT QUALIFY RECEIVE AT LEAST 3 STATEMENTS AND GENERALLY ARE TURNED TO COLLECTIONS IF NO PAYMENTS ARE RECEIVED. PART VI, LINE 2: IN PREVIOUS YEARS, THE ORGANIZATION HIRED A CONSULTANT TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. PART VI, LINE 3: INFORMATION REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS DISTRIBUTED AT TIME OF THE PATIENT ADMISSION. THE ORGANIZATION ALSO HAS SIGNAGE IN THE ADMISSIONS AREA. PART VI, LINE 4: THE COMMUNITY IS RURAL WITH OVERALL LOW INCOME LEVELS AND HIGH LEVELS OF UNINSURED PATIENTS. MANY PATIENTS WOULD HAVE PROBLEMS WITH ACCESS TO CARE WITHOUT THE ORGANIZATION SUBSIDIZED PHYSICIAN CLINICS AND OTHER SERVICES. PART VI, LINE 5: THE ORGANIZATION PROVIDES AN OPEN MEDICAL STAFF TO PROMOTE ACCESS TO CARE FOR THE COMMUNITY. THE BOARD SUPPORTS PROVIDING LARGE AMOUNTS OF UNCOMPENSATED OR SUBSIDIZED CARE TO THE COMMUNITY. X X 0 0 0 0 0 0 0 1 0 JUN KIM PHYSICIAN 289716 0 73122 0 27 0 0 0 2604 0 365469 0 0 0 GONZALO FLORIDO PHYSICIAN 251453 0 21384 0 198 0 0 0 9970 0 283005 0 0 0 RODNEY ALFORD PHYSICIAN 238696 0 0 0 129 0 5320 0 6000 0 250145 0 0 0 NARAN DODIA PHYSICIAN 173232 0 62200 0 381 0 0 0 4925 0 240738 0 0 0 CRISANTO REYES PHYSICIAN 206375 0 16188 0 381 0 0 0 6720 0 229664 0 0 0 PART I, LINE 7 PROVIDERS ARE ELIGIBLE FOR QUARTERLY INCENTIVE COMPENSATION BASED UPON WORK RVU'S OR VISITS. A COUNTY OF IROQUOIS ILLINOIS 2003-07-29 7000000 0 0 0 A 2005 0 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 1 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 7A MAYOR, COUNTY BOARD CHAIRPERSON, AND DISTRICT JUDGE EACH APPOINT THREE MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES TO THREE YEAR TERMS. FORM 990, PART VI, SECTION B, LINE 11B THE STAFF MEMBERS THAT PROVIDE THE INFORMATION TO THE OUTSIDE RETURN PREPARER CONDUCT A THOROUGH REVIEW OF A DRAFT OF THE RETURN. PRIOR TO FILING, THE 990 IS DISTRIBUTED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATIONS CONFLICT OF INTEREST POLICY COVERS DIRECTORS, OFFICERS, MANAGERS, MEDICAL STAFF MEMBERS, PHYSICIANS, EXECUTIVE STAFF MEMBERS, DEPARTMENT DIRECTORS, AND COORDINATORS. CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE COMPLETED ANNUALLY BY DIRECTORS, OFFICERS, AND HIGHLY-COMPENSATED EMPLOYEES AND ARE REVIEWED BY ADMINISTRATION. INDIVIDUALS WITH CONFLICTS OF INTEREST ARE REQUIRED TO DISCLOSE THEM AND TO REFRAIN FROM PARTICIPATION IN ANY DECISION THAT COUND BENEFIT THEM PERSONALLY. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF TRUSTEES CONDUCTED A COMPENSATION REVIEW IN 2017. CEO HAS A TWO YEAR CONTRACT. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL DOCUMENTS ARE AVAILABLE UPON REQUEST. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT PUBLIC INFORMATION AT THIS TIME. HOWEVER, IF REQUESTED, THE BOARD WOULD BE NOTIFIED TO DETERMINE RESPONSE. FORM 990, PART XI, LINE 9: CHANGE IN FMV OF ASSETS -536,242. IMH FOUNDATION 200 E FAIRMAN WATSEKA IL 60970 453834535 SUPPORTING IL 501(C)(3) LINE 12A, I N/A 0 IROQUOIS HOME CARE INC 200 LAIRD LANE WATSEKA IL 60970 SALES/RENT IL N/A C 1.00000 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 IMH FOUNDATION C CASH VALUE IROQUOIS HOME CARE INC A RENT - AVG COMMRCIAL MV IROQUOIS HOME CARE INC M RETAIL PRICE IROQUOIS HOME CARE INC Q ACTUAL COST IROQUOIS HOME CARE INC S FAIR MARKET VALUE