2018-02-27T08:08:47-06:00 2017-06-30 390758449 Wipfli LLP 3703 Oakwood Hills Pkwy Eau Claire WI 54701 990 2016-07-01 370661208 HILLSBORO AREA HOSPITAL INC HILL 2175326111 1200 EAST TREMONT STREET HILLSBORO IL 62049 REX BROWN PRESIDENT & CEO 2175326111 2018-02-20 1 PAUL M TRACZEK CPA P01368830 7158323407 2018-02-20 166.181.87.66 2018-02-20 11:43:33 CS P F91C726111BE61894B067C8320C81C46540231E8 9EE82A27147B19BA1493F570C01C41C476B4566D 2016 2021-01-29 14:40:06Z Rex Brown 1200 EAST TREMONT STREET HILLSBORO IL 62049 23882754 0 X www.hillsboroareahospital.org X 1906 IL Operation of hospital (inpatient, swing bed and outpatient) and assisted living FACILITIES. 11 10 266 20 0 0 65790 162890 22256392 23318733 251127 259828 161557 105614 22734866 23847065 0 0 0 0 9264507 9920538 0 0 0 11514776 11495806 20779283 21416344 1955583 2430721 34359867 35961012 8213303 7680124 26146564 28280888 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 15898201 23365459 OPERATION OF A 25 BED CRITICAL ACCESS HOSPITAL (INPATIENT, SWING BED, AND OUTPATIENT) WITH AN ASSISTED LIVING FACILITY. 885 ACUTE DAYS, 1,102 SWING BED DAYS, 15,290 OUTPATIENT VISITS, AND 13,547 ASSISTED LIVING RESIDENT DAYS PROVIDED IN FY 2017. HILLSBORO AREA HOSPITAL ALSO PROVIDED $694,962 IN CHARITY CARE AND $927,508 IN OTHER COMMUNITY BENEFITS, NOT INCLUDING BAD DEBT. 15898201 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 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 0 0 0 1 55 0 1 266 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X Terri Carroll CFO 2175324187 1200 East Tremont Street Hillsboro IL 62049 Dr Doug Byers Director 1.00 X 0 0 0 Dr Ben Cady Director 1.00 X 0 0 0 Earl Flack director 1.00 X 0 0 0 Greg Holcomb director 1.00 0.10 X 0 0 0 Brian Knodle director 1.00 X 0 0 0 Jordan Ruppert director 1.00 X 0 0 0 Lindsay Wagahoff director 1.00 X 0 0 0 Dave Imler Chairman 1.00 X X 0 0 0 Michelle Ondrey Vice Chair 1.00 X X 0 0 0 Patricia Clarke Treasurer 1.00 0.10 X X 0 0 0 Julie Jenkins Secretary 1.00 0.30 X X 0 0 0 Rex Brown PRESIDENT & CEO 40.00 1.30 X 0 0 0 Terri Carroll CFO 40.00 1.00 X 151914 0 20534 Elvis Harrison VP of Patient Care Services 40.00 X 118242 0 21463 Abby Bugg Teamwork Director 40.00 X 102909 0 25367 373065 0 67364 3 0 1 1 Illinois Emergency Physicians PO Box 677979 Dallas TX 752677979 Physician Coverage 1549532 Readylink PO Box 1047 Thousand Palms CA 92276 AGENCY NURSES 180517 PRECISE SPECIALTIES CORP PO BOX 572 HILLSBORO IL 62049 ULTRASOUND 169605 WCP LABORATORIES INC 2326 MILLPARK DRIVE MARYLAND HEIGHTS MO 630433530 PATHOLOGY 158444 VIGILANT ANESTHESIA INC 121 LAKEWOOD DRIVE HILLSBORO IL 62049 ANESTHESIA 139874 6 157432 5458 5458 162890 Patient Service Revenue 900099 23318733 23318733 23318733 295517 295517 15431 0 15431 15431 15431 35689 -35689 -35689 -35689 Cafeteria 722514 43457 43457 Other income 900099 41696 41696 Ambulance Revenue 900099 5030 5030 90183 23847065 23365459 0 318716 172448 172448 7366363 5539965 1826398 177024 133133 43891 1660063 1248471 411592 544640 409603 135037 559115 559115 62611 62611 53967 53967 1069699 780385 289314 73647 73647 123540 81269 42271 678550 340220 338330 56814 32270 24544 1478447 1250885 227562 212893 40597 172296 Physician Fees 1934185 1934185 Supplies 1792695 1697401 95294 Bad Debt 1126701 1126701 Purchased Services 1114334 649552 464782 1158608 633564 525044 21416344 15898201 5518143 0 991465 984937 15294354 16114309 2525261 3709403 419918 448786 284012 416611 31281857 19844679 12328916 11437178 1973617 2314471 542324 535317 34359867 35961012 2340554 2083347 5696101 5414491 176648 182286 8213303 7680124 X 25152274 27294621 709290 701267 285000 285000 26146564 28280888 34359867 35961012 X 2430721 216017 -512414 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 15709 15709 0 Part II-B, Line 1: HILLSBORO AREA HOSPITAL PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE ILLINOIS HOSPITAL ASSOCIATION (IHA), THE AMERICAN HOSPITAL ASSOCIATION (AHA), STRATEGIC HEALTHCARE, AND THE NATIONAL RURAL HEALTH ASSOCIATION (NRHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS, TO HELP WITH STAFF TRAINING, AND TO ASSIST WITH REIMBURSEMENT. HILLSBORO AREA HOSPITAL ESTIMATED THAT $15,709 OUT OF THE TOTAL DUES PAID TO IHA, AHA, STRATEGIC HEALTHARE, AND NRHA WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT IN ILLINOIS. 412788 2075 414863 410867 1921 412788 409239 1628 410867 425092 5610 21463 409239 431455 -6363 425092 0.68700 0.31300 0 1 1 295110 295110 16506311 8189488 8316823 1687647 910658 776989 12758021 10744533 2013488 34768 34768 11437178 Asset Retirement obligation 182286 182286 23847065 0 23847065 0 23847065 21416344 0 21416344 0 21416344 Part V, Line 4: INTEREST EARNED ON PERMANENTLY RESTRICTED ENDOWMENT FUNDS IS TO BE USED FOR THE HOSPITAL'S BUILDING AND MAINTENANCE. 1 1 X 1 X 125.000000000000 1 X 0 1 0 1 0 144641 144641 0.00680 3534315 2009002 1525313 0.07120 3678956 2009002 1669954 0.07800 36601 10049 26552 0.00120 3630100 3007267 622833 0.02910 176141 176141 0.00820 3842842 3017316 825526 0.03850 7521798 5026318 2495480 0.11650 1 510458 8341268 8375200 -33932 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 15 1 0 0 1 X WWW.HILLSBOROHEALTH.ORG X 1 15 1 WWW.HILLSBOROHEALTH.ORG 0 1 X 125.000000000000 200.000000000000 X X X X 1 1 X X X X 1 X WWW.HILLSBOROHEALTH.ORG X WWW.HILLSBOROHEALTH.ORG X WWW.HILLSBOROHEALTH.ORG X X X X X X 1 X X 1 X X X X X X X 1 X 0 1 Hillsboro Area Hospital Part V, Section B, Line 5: PRIMARY SOURCE INPUT WAS GATHERED THROUGH THE USE OF FOCUS GROUPS. PARTICIPANTS WERE SELECTED TO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVICED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE OF THE COMMUNITIES' HEALTH AND NEEDS: SENIORS, DAY CARE WORKERS, PERSONS WITH DISABILITIES, LOCAL HEALTH DEPARTMENT, DENTIST, OPTOMETRIST, ELECTED OFFICIALS, BOARDS OF COMMUNITY AGENCIES AND ORGANIZATIONS, AND LOCAL BUSINESS PERSONS ALL REPRESENTING THE INTEREST OF THE COMMUNITIES SERVED BY HILLSBORO AREA HOSPITAL. REPRESENTATIVES FROM THE HOSPITAL, INCLUDING MANAGERS OF ALL DEPARTMENTS WITH EXPERTISE IN THEIR FIELD OF SERVICE, ALSO PARTICIPATED.FOCUS GROUP #1 - HEALTH CARE PROFESSIONALS AND PARTNERSA FOCUS GROUP COMPRISED OF HEALTH CARE PROFESSIONALS AND PARTNERS MET ON FEBRUARY 11, 2016. THE GROUP INCLUDED THE ADMINISTRATOR OF THE MONTGOMERY COUNTY HEALTH DEPARTMENT, PHYSICIANS, A PHARMACIST, AN OPTOMETRIST, A DENTIST, NURSES, NURSING HOME ADMINISTRATORS, AND OTHERS.FOCUS GROUP #2 - COMMUNITY OFFICIALSA FOCUS GROUP COMPRISED OF COMMUNITY LEADERS AND GROUP REPRESENTATIVES MET ON FEBRUARY 11, 2016. THE GROUP CONSISTED OF 20 PARTICIPANTS, INCLUDING A MEMBER OF THE MONTGOMERY COUNTY BOARD, THE HILLSBORO MAYOR, A SCHOOL SUPERINTENDENT, A CHAMBER OF COMMERCE EXECUTIVE, AND OTHERS.FOCUS GROUP #3 - COMMUNITY MEMBERS AND ORGANIZATIONSA FOCUS GROUP COMPRISED OF COMMUNITY MEMBERS AND REPRESENTATIVES OF COMMUNITY ORGANIZATIONS MET ON FEBRUARY 11, 2016. THE GROUP INCLUDED 18 COMMUNITY MEMBERS AND ORGANIZATION REPRESENTATIVES. Hillsboro Area Hospital Part V, Section B, Line 11: A NEW CHNA WAS COMPLETED DURING TAX YEAR 2015. FOLLOWING ARE THE ACTIONS TAKEN DURING THE YEAR TO ADDRESS THE CHNA COMPLETED IN TAX YEAR 2015. TOP PRIORITY CHNA ITEMS FROM THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT1. ADDRESS GAPS IN DELIVERY OF MENTAL HEALTH SERVICES WHEREVER POSSIBLE-THE ASSESSMENT OF BUILDING A LOCAL INVENTORY OF COUNSELORS INCLUDING CLERGY, IN YEAR ONE FOR MENTAL HEALTHHILLSBORO AREA HOSPITAL DID NOT FIND COUNSELORS IN SUFFICIENT NUMBERS TO DEVELOP A LIST. HAH IS SUBMITTING A PROPOSAL FOR TELEPSYCHIATRY SERVICES WITH INTOUCH PHYSICIANS, A CHICAGO-BASED PSYCHIATRIC SERVICE, TO ADDRESS ACCESS TO MENTAL HEALTH SERVICES.2. THE SUMMER FOOD AND EXERCISE PROGRAM FOR YOUTH IMPROVE AVAILABILITY OF BASIC WELLNESS CARE OPPORTUNITIES FOR YOUTH.THE FREE SUMMER LUNCH PROGRAM WAS INSTITUTED TO PROVIDE NUTRITIOUS MEALS AND PHYSICAL ACTIVITY TO CHILDREN DURING THE SUMMER MONTHS WHEN SCHOOL IS NOT IN SESSION. THE HOSPITAL STARTED THE PROGRAM IN 2013, GIVEN THAT ABOUT 50 PERCENT OF THE HILLSBORO SCHOOL DISTRICT POPULATION WAS ON THE FREE AND REDUCED LUNCH PROGRAM DURING THE SCHOOL YEAR. THIS PROGRAM FILLS THE NEED FOR THOSE SAME STUDENTS DURING THE SUMMER MONTHS WHO MAY NOT HAVE ACCESS TO A HOT MEAL FOR LUNCH.VOLUNTEERS CONSIST OF CHURCH MEMBERS, TEACHERS, AND OTHER SERVICE ORGANIZATIONS WHICH ASSIST IN PROVIDING STAFFING FOR THE PROGRAM. TRANSPORTATION FOR THE CHILDREN IS PROVIDED BY ONE OF THE LOCAL CHURCHES. FUSION FITNESS AND AQUATICS, A SISTER ORGANIZATION TO HAH, PROVIDES FREE PHYSICAL ACTIVITIES AND SWIMMING FOR THE CHILDREN TWO DAYS A WEEK. OVER THE SUMMER, THE PROGRAM SERVED APPROXIMATELY 730 MEALS TO NEARLY 100 CHILDREN.THE PROGRAM WAS EXPANDED TO INCLUDE ACTIVITIES FIVE DAYS A WEEK, INCLUDING A SERVICE DAY TO MENTOR CHILDREN IN GIVING BACK TO THE COMMUNITY. ALSO ADDED WERE SPEAKERS DELIVERING DIFFERENT TOPICS TO PROMOTE HEALTHY LIFESTYLE CHOICES. A GARDEN PLANTED, MAINTAINED, AND HARVESTED BY THE CHILDREN TAUGHT CHILDREN HOW HEALTHY FOOD CHOICES CAN BE RAISED IN THEIR BACKYARD. LOCAL CHURCHES EXPANDED THE TRANSPORTATION OPTIONS, WITH VOLUNTEERS CONTINUING TO PROVIDE STAFFING FOR THE PROGRAM.A BAG OF NON-PERISHABLE FOOD DISTRIBUTED TO THE CHILDREN ON FRIDAYS WAS ADDED SO THEY WOULD BE ABLE TO EAT DURING THE WEEKEND. THESE BAGS WERE DONATED BY LOCAL CHURCH GROUPS. BACKPACKS FILLED WITH SCHOOL SUPPLIES WERE DONATED BY THE COMMUNITY AND PRESENTED TO THE CHILDREN ON THE LAST DAY OF THE PROGRAM.3. SUPPORT REGIONAL CARE INFORMATION FOR WEBSITE BEING DEVELOPED BY SPRINGFIELD CLINICIN 2015, HAH CONTRACTED WITH LEGATO HEALTHCARE MARKETING, A COMMUNICATIONS COMPANY, TO CONSTRUCT A WEBSITE FOR THE HOSPITAL THAT WILL CONTAIN ELEMENTS OF THE REGIONAL CARE OFFERED AND ALSO CONNECT TO A VARIETY OF PERTINENT WEBSITES, INCLUDING THE SPRINGFIELD CLINIC. THE WEBSITE BECAME AVAILABLE IN SPRING OF 2016.4. PROVIDE LOCAL CARE INFORMATION FOR YOUTHHAH USED A VARIETY OF APPROACHES TO MAKING LOCAL CARE INFORMATION AVAILABLE TO YOUTH. THE STAFF OF HAH ARE AVAILABLE TO HIGH SCHOOL COUNSELORS (2015-16), THE FOUR SCHOOL DISTRICT'S CERTIFIED NURSING ASSISTANT CLASSES (2013-16), THE JUNIOR BOARD (2014-16) INTERACT (2015-16) AND THE COUNTY'S CREATING ENTREPRENEURIAL OPPORTUNITIES (2015-16). HEALTHFUL BEHAVIORS ARE INTEGRATED INTO THE HOSPITAL'S SUMMER LUNCH PROGRAM AND THE CATCH PROGRAM THAT IS SPONSORED BY HAH.5. CREATE BUSINESS PARTNERSHIPS FOR MAMMOGRAPHYTHIS INITIATIVE WAS CREATED TO INCREASE AWARENESS OF THE BENEFITS OF EARLY DETECTION AND PAYMENT OF MAMMOGRAPHY UTILIZING THE ASSISTANCE OF LOCAL BUSINESSES. INITIALLY, THERE WAS NOT MUCH INTEREST GENERATED. HOWEVER, THE MONTGOMERY COUNTY CANCER ASSOCIATION PROVIDED FUNDS THAT COULD BE USED TO OFFSET COSTS, AND HAH CREATED AN AWARENESS PROGRAM EDUCATING THE PUBLIC ON THE BENEFITS OF 3-D MAMMOGRAPHY, WHICH ENHANCED INTEREST.6. THE CATCH PROGRAM - IMPROVE AVAILABILITY OF BASIC WELLNESS CARE OPPORTUNITIES FOR YOUTHFUSION FITNESS & AQUATICS, IN COLLABORATION WITH HILLSBORO AREA HOSPITAL, OFFERS AN AFTER-SCHOOL PROGRAM FOR CHILDREN WHO ARE AT RISK OF BECOMING OVERWEIGHT OR OBESE.CATCH KIDS CLUB IS A 2-HOUR LONG MONDAY - FRIDAY PROGRAM. EACH DAY'S SESSION INCLUDES STRUCTURED TIME FOR NUTRITION EDUCATION, HEALTHY SNACKS AND HOMEWORK FOLLOWED BY 60 MINUTES OF FUN, HIGH-ENERGY GAMES LED BY FUSION STAFF. THE ATTENDANCE FOR THE AFTER SCHOOL PROGRAM AVERAGE FROM 10-15 CHILDREN PER DAY.THE PROGRAM IS FREE FOR CHILDREN WHO QUALIFY FOR THEIR SCHOOL DISTRICT'S FREE/REDUCED PRICE LUNCH PROGRAM. THOSE CHILDREN WHO DO NOT MEET THE INCOME ELIGIBILITY REQUIREMENT PAY A FEE THAT IS ESTABLISHED ACCORDING TO FAMILY INCOME.THROUGHOUT THE SUMMER, TWO CATCH KIDS CAMPS ARE OFFERED FOR CHILDREN WHO WILL BE STARTING GRADES 3-6. CLASS SIZE IS 30 STUDENTS AND A WAITING LIST EXISTS.7. THE MARINA PROJECT - ENCOURAGE IMPROVED ACCESS TO INDOOR AND OUTDOOR RECREATION OPPORTUNITIES TO ADDRESS PUBLIC ACCESS NEEDS FOR PERSONS WITH IMPAIRMENT, DISABILITY AND/OR HANDICAP IN COMMUNITY.HAH PRESENTED THE VALUE OF IMPROVED ACCESS TO THE HILLSBORO AREA HEALTH FOUNDATION AND SUPPORTED THE CREATION OF FUND-RAISING ACTIVITIES (2014-2016) TO BUILD AND MAINTAIN AN ACCESSIBLE DOCK ON GLEN SHOALS LAKE.8. THE PROMOTION OF LOCAL RECREATIONAL RESOURCESTHROUGH ITS SISTER CORPORATION, HAH COLLABORATED WITH THE NATURAL AREA GUARDIANS TO CREATION A ACTIVITY/EXERCISE CHALLENGE FOR USE OF THE VARIOUS PROTECTED AREAS DEVELOPED AND MAINTAINED BY THE NATURAL AREA GUARDIANS (2015-16).9. PROMOTING LOCAL STUDENTS INTERESTED IN MEDICAL SCHOOL RECRUIT PRIMARY CARE PHYSICIANS AND PROVIDERS.HAH HOSTED NUMEROUS INTRODUCTORY SESSIONS WITH STUDENTS AND PARENTS (2014-2016). ONE MEDICAL RESIDENT IS PRESENTLY RECEIVING FINANCIAL SUPPORT, TWO RESIDENTS ARE BEING RECOMMENDED FOR SUPPORT AND A FOURTH STUDENT IS IN LINE TO RECEIVE SUPPORT WHEN HE GRADUATES FROM MEDICAL SCHOOL AND ENTERS A RESIDENCY PERTINENT TO THE AREA'S NEEDS.10. CONTINUE TO DEVELOP A PLAN FOR AN URGENT CARE ALTERNATIVE TO EMERGENCY ROOM CARE.HAH SUPPORTED THE EDUCATION (2013-2015) OF TWO ADVANCED PRACTICE NURSES WITH THE INTENT OF HIRING THEM TO STAFF THE URGENT CARE ALTERNATIVE. THEY ACCEPTED EMPLOYMENT ELSEWHERE. HAH REMAINS ACTIVE IN SEEKING STAFF FOR AN URGENT CARE ALTERNATIVE. 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. Hillsboro Area Hospital Part V, Section B, Line 24: IF A PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE AND DOESN'T MEET PRESUMPTIVE ELIGIBILITY REQUIREMENTS, NO DISCOUNT IS APPLIED PER HOSPITAL POLICY, SO GROSS CHARGES ARE BILLED TO THOSE PATIENTS. PART V, SECTION B, LINE 11 THE IMPLEMENTATION STRATEGY WAS DEVELOPED THROUGH A FACILITATED MEETING INVOLVING KEY ADMINISTRATIVE STAFF AT HILLSBORO AREA HOSPITAL. THE GROUP CONSIDERED EACH OF THE PRIORITIZED NEEDS. FOR EACH OF THE SIX CATEGORIES, ACTIONS THE HOSPITAL INTENDS TO TAKE WERE IDENTIFIED ALONGWITH THE ANTICIPATED IMPACT OF THE ACTIONS, THE RESOURCES THE HOSPITAL INTENDS TO COMMIT TO THE ACTIONS,AND THE EXTERNAL COLLABORATORS THE HOSPITAL PLANS TO COOPERATE WITH TO ADDRESS THE NEED. THE PLAN WILL BE EVALUATED BY PERIODIC REVIEW OF MEASURABLE OUTCOME INDICATORS IN CONJUNCTION WITH ANNUAL REVIEW AND REPORTING.PROCESS BY WHICH NEEDS WILL BE ADDRESSED:1. CANCERTHE GROUP IDENTIFIED CANCER-RELATED SERVICES AS THE PRIMARY SIGNIFICANTHEALTH NEED. THEY EXPRESSED A SPECIFIC NEED FOR INCREASED LOCAL ACCESSTO CANCER CARE SPECIALISTS. THEY ALSO FELT THAT THERE WAS A NEED FOREDUCATION TO THE COMMUNITY ABOUT CANCER RISKS, EARLY IDENTIFICATION,AND THE NEED FOR SCREENINGS. FINALLY, THEY EXPRESSED A NEED FOR THECOMMUNITY TO EXPLORE CAUSES FOR THE HIGH LOCAL CANCER RATE.ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED:- CONTINUE TO EXPLORE RELATIONSHIPS WITH SPECIALIST- CREATE AND OFFER A CANCER EDUCATION PROGRAM ON CANCER RISKS,IDENTIFICATION, AND SCREENINGS- DEVELOP A PROGRAM FOR REDUCED COST CANCER SCREENINGS, STARTING WITHCOLORECTAL CANCER- EXPLORE A PARTNERSHIP WITH ST. FRANCIS HOSPITAL AND MONTGOMERY COUNTYCANCER ASSOCIATION TO INVESTIGATE LOCAL CAUSES OF ELEVATED CANCER RATES- DEVELOP AND REPORT AT LEAST ONE MEASURE OF NUMBER OF SCREENINGS ORNUMBER OF PERSONS REACHED WITH EDUCATIONANTICIPATED IMPACT OF THESE ACTIONS:- BETTER ACCESS TO SCREENING FOR UNDERSERVED POPULATION- INCREASED AWARENESS OF CANCER RISKS, IDENTIFICATION, AND SCREENINGSAMONG THE PUBLIC- POSSIBLE IDENTIFICATION OF EXPLANATION FOR ELEVATED LOCAL CANCERRATESPROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THEHEALTH NEED:- ADMINISTRATION- COMMUNITY RELATIONSPLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES ORORGANIZATIONS:- MOVE (VETERANS' WELLNESS PROGRAM)- MONTGOMERY COUNTY CANCER ASSOCIATION- SPRINGFIELD CLINIC- BARNES-JEWISH HOSPITAL- ST. FRANCIS HOSPITALCancer: Hillsboro Area Hospital and MCCA partnered to supply sun screen and skin cancer education throughout the county at two local public pools, the Hillsboro Sport Complex, the Bremmer Sanctuary and at local community celebrations. Talks have begun between HAH and Simmons Cancer Institute at SIU to provide free/reduced cost screenings for colorectal and skin cancer.2. SUBSTANCE ABUSETHE GROUP IDENTIFIED SUBSTANCE ABUSE AS A SIGNIFICANT ISSUE ANDIDENTIFIED THE RELATED NEEDS OF COMMUNITY-WIDE PREVENTION EFFORTS ANDALTERNATIVE ACTIVITIES FOR YOUTH. THEY ALSO IDENTIFIED THE NEED TOCONCENTRATE LOCAL EFFORTS TO REDUCING THE USE OF HEROIN AND SYNTHETICDRUGS.ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED:THE HOSPITAL FEELS THAT COMMUNITY SUBSTANCE ABUSE PREVENTION IS ANISSUE THAT IS MORE APPROPRIATELY ADDRESSED BY THE COMMUNITY AS A WHOLEAND TOWARD THAT END, THE HOSPITAL WILL INITIATE AN EFFORT TO LAUNCH ACOMMUNITY COALITION TO ADDRESS THESE ISSUES ESPECIALLY HEROIN, SYNTHETIC DRUGS,AND ALCOHOL THAT WILL INCLUDE LAW ENFORCEMENT, HEALTHCARE PROVIDERS,MENTAL HEALTH SERVICES PROVIDERS, FAITH-BASED ORGANIZATIONS, YOUTHDEVELOPMENT ORGANIZATIONS, BUSINESS AND COMMUNITY LEADERS, AND OTHERS.ANTICIPATED IMPACT OF THESE ACTIONS:- A COMMUNITY-DRIVEN EFFORT TO ADDRESS SUBSTANCE ABUSE FROM PREVENTIONTHROUGH RECOVERY FOCUSING ON HEROIN, SYNTHETIC DRUGS, ALCOHOL, ANDOTHER SUBSTANCES AS DETERMINED BY THE COMMUNITY COALITIONPROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THEHEALTH NEED:- ADMINISTRATION- COMMUNITY RELATIONSPLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES ORORGANIZATIONS:- LAW ENFORCEMENT- FAITH-BASED ORGANIZATIONS- HEALTHCARE PROVIDERS- MENTAL HEALTH SERVICES PROVIDERS- COMMUNITY AND BUSINESS LEADERS- YOUTH DEVELOPMENT ORGANIZATIONS- OTHER INTERESTED CITIZENSSubstance Abuse The hospital is collaborating with other community businesses and the local police department to provide educational material and speaking opportunities throughout the local school districts concerning substance and alcohol abuse. Montgomery County Health Department is developing a community substance abuse coalition which the hospital will be participating in.3. HEART DISEASETHE GROUP IDENTIFIED HEART DISEASE AS A SIGNIFICANT HEALTH ISSUE AND IDENTIFIED THE FOLLOWING AS SIGNIFICANT NEEDS:- COMMUNITY EDUCATION ON STROKE IDENTIFICATION AND MANAGEMENT- COMMUNITY EDUCATION ON HEART ATTACK IDENTIFICATION AND MANAGEMENT ANDHEART ATTACK PREVENTIONIMPROVE GENERAL WELLNESS FOR THE COMMUNITY THROUGH:- INCREASED ACCESS TO OPPORTUNITIES FOR SPORTS AND RECREATION- COMMUNITY EDUCATION ON NUTRITION- IMPROVED ACCESS TO HEALTHY FOOD CHOICESACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED:- CONTINUE THE MOVE PROGRAM FOR VETERANS- EXPAND THE SHAPE PROGRAM- DEVELOP AND OFFER PUBLIC NUTRITION EDUCATION PROGRAMS- DEVELOP A PUBLIC EDUCATION PROGRAM FOR STROKE IDENTIFICATION ANDEARLY INTERVENTION- CONTINUE HEART ATTACK EDUCATION PROGRAMS- DEVELOP AN INCENTIVE PROGRAM TO ENCOURAGE RESTAURANTS TO INCLUDEHEALTHY FOODS ON MENUS- CONTINUE PROJECT FOR DEVELOPING AN ACCESS PIER AT GLEN SHOALS LAKE- DEVELOP AND REPORT AT LEAST ONE MEASURE OF SUCCESS OF NEW OR EXPANDEDPROGRAMMINGANTICIPATED IMPACT OF THESE ACTIONS:- IMPROVED PUBLIC AWARENESS OF STROKE IDENTIFICATION AND THE IMPORTANCEOF EARLY INTERVENTION- IMPROVED PUBLIC AWARENESS OF HEART ATTACK IDENTIFICATION- IMPROVED PUBLIC ACCESS TO NUTRITION INFORMATION- IMPROVED PUBLIC ACCESS TO HEALTHY FOODSPROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THEHEALTH NEED:- ADMINISTRATION- REHABILITATION- HILLSBORO AREA HEALTH FOUNDATIONPLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES ORORGANIZATIONS:- CITY OF HILLSBORO- IMAGINE HILLSBORO- CITIZENSHeart Disease: The stroke team attended local high school football games in Hillsboro and Nokomis, Illinois for Friday Night Lights a stroke and A-fib awareness program. Free blood pressure checks were completed as well as the distribution of informational magnets with the signs and symptoms. We continue our partnership with Illinois Telehealth Network to provide teleneurologist services. Also, The hospital partnered with the U of I Extension office to provided dietary education for "Meals for a Healthy Heart". This two part, five hour educational seminar was presented on February 16 & 23, 2017. Blood pressure checks were provided at the local community summer celebration. A free summer lunch program is provided by the hospital for the children during the summer months. Healthy food choices are provided along with education on the importance of eating healthy. This year we partnered with the U of I Extensions Office for education on "Where Your Food Comes From" by visiting local farms and teaching them to grow their own vegetables.4. SERVICES FOR SENIORSTHE GROUP RECOGNIZED A SIGNIFICANT NEED FOR INCREASED SENIOR SERVICESINCLUDING IMPROVED ACCESS TO TRANSPORTATION AND SPECIALIZEDCARE,ESPECIALLY PSYCHIATRIC SERVICES, DEMENTIA CARE, AND EXPANDEDASSISTED LIVING.ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED:- EXPLORE DEMENTIA CARE- EXPLORE EXPANDED ASSISTED LIVING- CONTINUE TO EXPLORE RELATIONSHIPS WITH SPECIALISTS- DEVELOP TELEPSYCHIATRY SERVICES- FORM NEW PARTNERSHIPS WITH HOME HEALTHCARE AND HOSPICE PROVIDERS- ALTHOUGH THE HOSPITAL IS NOT A TRANSPORTATION PROVIDER, IT WILLEXPLORE ALTERNATIVES TO IMPROVE TRANSPORTATION FOR LOCAL ANDOUT-OF-AREA HEALTHCARE SERVICES AND APPOINTMENTS- DEVELOP AND REPORT AT LEAST ONE MEASURE OF SUCCESS OF NEW OR EXPANDEDPROGRAMMINGANTICIPATED IMPACT OF THESE ACTIONS:- INCREASED ACCESS TO DEMENTIA CARE- INCREASED ACCESS TO ASSISTED LIVING- INCREASED ACCESS TO PSYCHIATRIC COUNSELING AND OTHER SERVICES- IMPROVED LOCAL HOME HEALTH AND HOSPICE ARE- IMPROVED TRANSPORTATION FOR NON-EMERGENCY SERVICESPROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THEHEALTH NEED:- ADMINISTRATION- BOARD OF DIRECTORS- COMMUNITY RELATIONSPLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES ORORGANIZATIONS:- ILLINOIS TELE-HEALTH NETWORK- ARCH CONSULTING- HOME HEALTHCARE PROVIDERS- HOSPICE PROVIDERS- COMMUNITY FAITH-BASED GROUPS AND OTHER VOLUNTEERS- PUBLIC TRANSPORTATION PROVIDERS PART V, SECTION B, LINE 11 Services for seniors: Tremont Ridge Assisted Living now provides an Adult Day Service for families caring for a loved one at home with dementia. This service allows the family member care giver some well-deserved time to run errands or attend social events.The hospital partnered with Quad City home health. Our rehab services will assist them to meet the needs of area patients and as their backup rehab providers when their increases census and vacations.5. MENTAL HEALTHACCESS TO MENTAL HEALTH SERVICES WAS ALSO IDENTIFIED AS A SIGNIFICANTNEED. THE GROUP SPECIFIED INCREASED ACCESS TO PSYCHIATRISTS,COUNSELORS, AND TRANSFER BEDS AS PRIORITY NEEDS. THEY ALSO IDENTIFIEDTHE NEED FOR COMMUNITY PREVENTION AND EDUCATION EFFORTS TO REDUCESUICIDE, ESPECIALLY AMONG YOUNG MALES AS A SIGNIFICANT MENTAL HEALTHCONCERN.ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED:- ESTABLISH TELE-HEALTH NETWORK SERVICES TO PROVIDE PSYCHIATRICSERVICES- ESTABLISH A PROGRAM TO UTILIZE DISTANCE LEARNING FOR LOCAL EDUCATIONAND PREVENTION EFFORTS FOR SUICIDE- ASSIST THE LOCAL SUICIDE SUPPORT GROUP AS REASONABLY POSSIBLE- AVAILABILITY OF TRANSFER BEDS FOR MENTAL HEALTH PATIENTS IS A MATTERBEYOND THE CONTROL OF THE HOSPITAL, BUT IT WILL CONTINUE TO EDUCATE FORTHE NEED OF ADDITIONAL MENTAL HEALTH BEDS.ANTICIPATED IMPACT OF THESE ACTIONS:- ACCESS TO PSYCHIATRIC SERVICES- ACCESS TO SUICIDE PREVENTION EDUCATION AND PREVENTION PROGRAMMINGPROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THEHEALTH NEED:- ADMINISTRATIONPLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES ORORGANIZATIONS:- SIGNS OF SUICIDE (SUICIDE PREVENTION GROUP)- TELE-HEALTH NETWORKThe hospital continues efforts to seek out Telepsych under the ITN Illinois Telehealth Network and other resources, including discussions with two other psychiatrists. At this time the hospital has not been able have a credentialed psychiatrists, but are in the early stages for credentialing one. 6. DIABETESDIABETES WAS AN ISSUE RAISED IN FOCUS GROUPS AND SUPPORTED BY SECONDARYDATA. THE IDENTIFICATION AND PRIORITIZATION GROUP DID NOT, HOWEVER,IDENTIFY IT AS A PRIORITIZED SIGNIFICANT HEALTH NEED IN ITS FINALDECISION. ON FURTHER REVIEW OF THE DATA AND FOCUS GROUP COMMENTS, THEHOSPITAL DETERMINED THAT THE DATA AROUND DIABETES WAS COMPELLING ENOUGHTO ADD THE DISEASE AS A SIGNIFICANT HEALTH NEED WORTHY OF BEINGADDRESSED. THEREFORE, WHILE NOT INITIALLY INCLUDED IN THEPRIORITIZATION, DIABETES AS A HEALTH NEED WILL BE ADDRESSED AS FOLLOWS:ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED:- DETERMINE IF HOSPITAL ENGAGEMENT IN A DIABETES PREVENTION PROGRAM HASTHE POTENTIAL TO POSITIVELY AFFECT THE HEALTH OF THE POPULATION SERVEDANTICIPATED IMPACT OF THESE ACTIONS:- INCREASED AWARENESS OF DIABETES RISK AND PREVENTION TACTICS WITH THEHOPE OF REDUCTION IN THE RATES OF NEW DIABETES CASES IN THE HOSPITAL'SSERVICE AREAPROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THEHEALTH NEED:- PARTNER WITH EXISTING EXPERTISE SO AS NOT TO DUPLICATE PREVENTIONEFFORTS IN THE SERVICE AREA- REVIEW PROVEN PREVENTION PROGRAMS- SELECT AN APPROACH TO IMPLEMENT THAT HAS A HIGH LIKELIHOOD OFSUCCESSFUL IMPACTPLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES ORORGANIZATIONS:- HAH MEDICAL STAFF- COUNTY HEALTH DEPARTMENT- FUSION FITNESS AND AQUATICS- PROVIDERS OF SUCCESSFUL DIABETES PREVENTION PROGRAMSDiabetes: Fusion Fitness & Aquatics and HAH are collaborating to provide education for individuals with diabetes. Instructor training will be completed and workshops will be scheduled and available for people that have been diagnosed, people assisting with care or, people who have a family history of diabetes. 3 1 - TREMONT RIDGE ASSISTED LIVING 801 E TREMONT STREET HILLSBORO IL 62049 ASSISTED LIVING FACILITY 2 - HILLSBORO AREA HOSPITAL - LITCHFIELD 120 W SAINT JOHN STREET SUITE 2 LITCHFIELD IL 62056 OUTPATIENT PHYSICAL THERAPY 3 - HILLSBORO AREA HOSPITAL - NOKOMIS 207 W STATE STREET NOKOMIS IL 62075 OUTPATIENT PHYSICAL THERAPY 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: THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,126,701. Part III, Line 2: THE COSTING METHODOLGY 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 collectibility 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 doubtful 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 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 for. 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 VI, Line 2: HILLSBORO AREA HOSPITAL CONDUCTS A NEEDS ASSESSMENT DURING 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 Part VI, Line 3: UNINSURED PATIENTS AND PERSONS WHO SEEK AND / OR OBTAIN SERVICES FROM THE HOSPITAL, ARE INFORMED OF THE AVALIBILITY 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: THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF PATIENTS IN THE CITY OF HILLSBORO AND THE SURROUNDING AREAS. THE HOSPITAL IS THE LEADING HEALTHCARE PROVIDER FOR THE MONTGOMERY COUNTY ILLINOIS COMMUNITY. THESE COMMUNITIES ARE MEDICALLY VULNERABLE AND HAVE A LARGE INDIGENT POPULATION. FOR FURTHER INFORMATION ABOUT THE COMMUNITY SERVED PLEASE REFER TO OUR COMMUNITY HEALTH NEEDS ASSESSMENT ON THE HOSPITAL WEBSITE AT WWW.HILLSBOROHEALTH.ORG. 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 PRIVIDES 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 ENVIROMENTAL 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. FOR MANY YEARS, UNTIL MAY 2010, THE HOPSITAL PROVIDED CLASSROOM SPACE, FREE OF CHARGE, FOR LINCOLN LAND COMMUNITY COLLEGE TO USE FOR NURSING INSTRUCTION. THE SPACE IS NOW PROVIDED BY THE HILLSBORO AREA HEALTH SYSTEM. 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 ASISTANCE 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 PROVIDE HEALTH INFORMATION TO THE PUBLIC.THE HOSPITAL RECEIVED 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 HOPSITAL 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 HOPSITAL 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 ACTIVITES WITH THE HELP OF THE HOSPITAL STAFF MEMBERS.THE HOSPITAL ALSO PARTICIPATED IN THE STATE COLORECTAL CANCER SCREENING INITATIVE, HELPED COORDINATE APPOINTMENTS FOR OTHER CANCER SCREENS IN COORDINATION WITH THE MONTOGOMERY COUNTY CANCER ASSOCIATION, AND PROVIDED PRODUCE PLANTS TO COMMUNITY MEMBERS TO PROMOTE HEALTHIER EATING HABITS AND FOOD SUSTAINABILITY. FURTHEMORE, THE HOSPITAL HAS BEEN RECOGNIZED AS HILLSBORO'S BUSINESS OF THE YEAR FOR ITS POSITIVE ECONOMIC AND CIVIC IMPACT AND ITS OVERWHELMING SUPPORT OF THE COMMUNITY. X X X X 0 0 0 0 0 0 0 0 0 Terri Carroll CFO 144535 0 7379 0 0 0 4698 0 15836 0 172448 0 0 0 FORM 990, PART VII, SECTION A, LINE 5: HEALTHTECH MANAGEMENT SERVICES, FORMERLY BRIM HEALTHCARE, INC., WAS PAID $548,989 FOR MANAGEMENT SERVICES. CEO REX BROWN IS EMPLOYED BY HEALTHTECH MANAGEMENT SERVICES. A CITY OF HILLSBORO MONTGOMERY COUNTY ILLINOIS 376001658 NoneAvail 2008-09-30 7220000 CAPITAL IMPROVEMENT PROJECT 0 0 0 A 1805509 7220000 83500 7030981 105519 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 Form 990, Part VI, Section A, line 6 HILLSBORO AREA HEATLH 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 CFO REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE 990 TO EACH MEMBER OF THE BOARD FOR REVIEW. THE BOARD THEN VOTES ON THE APPROVAL OF THE 990 AS IT IS OR CONTINGENT UPON CHANGES PRIOR TO FILING. Form 990, Part VI, Section B, line 12c EMPLOYEES COMPLETE AND SIGN AN ANNUAL DISCLOSURE STATEMENT AND THE BOARD OF DIRECTORS COMPLETE AND SIGN A CONFLICT OF INTEREST FORM ANNUALLY. THE BOARD REVIEWS THE DISCLOSURES AND TAKES APPROPRIATE ACTION TO RESOLVE ANY ISSUES. 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 XI, line 9: Transfer to Hillsboro Area Health System NFP -500,000. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 11,132. NET ASSETS RELEASED FROM RESTRICTION -23,546. HILLSBORO AREA HEALTH SYSTEM NFP 1200 EAST TREMONT 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 EAST TREMONT HILLSBORO IL 62049 371247796 PROVIDE SUPPORT FOR HILLSBORO AREA HOSPITAL IL 501(c)(3) Line 7 HILLSBORO AREA HEALTH SYSTEM NFP 0 HILLSBORO AREA HEALTH SERVICES INC 1210 EAST TREMONT HILLSBORO IL 62049 371240643 ESTABLISH AND OPERATE FACILITIES FOR WELLBEING OF PERSONS IN AREA IL 501(c)(3) Line 9 HILLSBORO AREA HEALTH SYSTEM NFP 0 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 1 0 1 1