2017-07-27T13:44:01-05:00 2016-09-30 430352985 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 629012335 990 2015-10-01 370673512 IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME IROQ 8154325841 200 E FAIRMAN AVENUE WATSEKA IL 609701644 TIM SMITH CEO 8154325841 2017-07-17 true BRENT KOCHEL P01055927 6185291040 2017-07-27 2015 2021-01-29 14:40:06Z TIM SMITH 200 E FAIRMAN AVENUE WATSEKA IL 60970 36173846 false 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 6 542 253 26367 554854 553849 35928667 34007549 230834 220999 901823 1340309 37616178 36122706 8950 14600 0 21819800 20353082 0 65892 17332025 17146224 39160775 37513906 -1544597 -1391200 30569167 29064368 10611388 10542712 19957779 18521656 X IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES FOR THE REGION IN A CONVENIENT CARING ENVIRONMENT. false false 30680245 14600 34022726 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. DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED ON SCHEDULE 0 OTHER HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT 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 1,642,000 DURING FISCAL YEAR 2016. THIS COST WAS MITIGATED BY ILLINOIS HOSPITAL MEDICAID ASSESSMENT PROGRAM PAYMENTS AND HOSPITAL ACCESS IMPROVEMENT PAYMENTS, NET OF TAXES ASSESSED, IN THE AMOUNT OF 2,690,609. 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 670,000 FOR FISCAL 2016, WHILE THE COST OF PROVIDING THOSE SERVICES WAS APPROXIMATELY 309,000. IN ADDITION, THE HOSPITAL IS NOT ABLE TO COLLECT FOR ALL OF THE CARE THAT WAS CHARGED TO PATIENTS. DURING FISCAL 2016 THE HOSPITAL HAD TO WRITE-OFF 1,779,393 IN UNCOLLECTIBLE ACCOUNTS. THE COST OF PROVIDING THAT BENEFIT TO OUR PATIENTS TOTALED 820,000. 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 UNCOMPENSATED 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 DEPARTMENTS BLOOD DRIVES BREAST CANCER AWARENESS EVENT BREAST-FEEDING CLASSES FOR EXPECTANT MOTHERS CAMP 911 SAFETY PROGRAMS FOR AREA SCHOOL CHILDREN FARM SAFETY EDUCATION FIRST AID FOR LOCAL COMMUNITY EVENTS FREE AND REDUCED FEE HEALTH SCREENINGS FREE BLOOD PRESSURE SCREENINGS FREE CPR TRAINING FOR THE PUBLIC GO RED HEALTHY HEART EVENT HEALTH-RELATED ARTICLES IN LOCAL PUBLICATIONS BIRTHING CLASSES LIFELINE MEALS ON WHEELS SPEAKER'S BUREAU TOURS FOR AREA SCHOOL CHILDREN 30680245 true true false true false false false false false true true false false true true true false true false false false false false false true false true true false true true true false false false false false false false false false false false false false false false true true true false false true 68 0 true 542 true true true false false false false false false false false false false false X 7 6 false false false false false true false true true false false true true true true true true true false false IL X IROQUOIS MEMORIAL HOSPITAL 8154327929 200 EAST FAIRMAN AVENUE WATSEKA IL 60970 PHILIP ZUMWALT MD DIRECTOR 40.00 X 100015 0 0 STEVEN KNAPP VICE CHAIR 4.00 X 0 0 0 DOUG GEIGER DIRECTOR 4.00 X 0 0 0 MEL WARD TREASURER 4.00 X 0 0 0 DAN TINCHER SECRETARY 4.00 X 0 0 0 ROGER DITTRICH CHAIR 4.00 X 0 0 0 RHONDA PENCE DIRECTOR 4.00 X 0 0 0 CHARLES L BOHLMANN CEO 40.00 X 161943 0 3876 LORI YELENICK CFO 40.00 X 81341 0 7916 JUN KIM PHYSICIAN 40.00 X 350247 0 2004 GONZALO FLORIDO PHYSICIAN 40.00 X 246998 0 9220 NARAN DODIA PHYSICIAN 40.00 X 246653 0 3876 TERESITA TORRES PHYSICIAN 40.00 X 228404 0 2004 TRESSA TAYLOR PHYSICIAN 40.00 X 220251 0 2527 1635852 31423 18 false true false IROQUOIS EMERGENCY MEDICIN SPECIALIS 150 QUAIL RIDGE DRIVE WESTMONT IL 60559 PHYSICIAN SERVI 598496 PRESENCE HEALTH 25872 NETWORK PLACE CHICAGO IL 60673 MGMT SERVICES 595429 IROQUOIS ANESTHESIA SERVICE 1120 ASH ROAD HOFFMAN ESTATES IL 60169 PHYSICIAN SERVI 406589 OAK ORTHOPEDICS 400 S KENNEDY DRIVE STE 100 BRADLEY IL 60915 ORTHO SERV 345150 HAGEN ANESTHESIA GROUP 2141 E BLACKBERRY COURT WATSEKA IL 60970 CRNA SERVICES 328511 5 22795 300000 231054 553849 NET PATIENT SERVICE REVENUE 33785166 33785166 CLINIC & PHYSICIAN RENTAL 120361 120361 OTHER PROGRAM SERVICES 102022 102022 34007549 220911 220911 24000 15633 8367 8367 8367 88 88 88 88 22795 9629 -9629 40967 25878 15089 15089 OUTSIDE SERVICES 1116057 1116057 CAFETERIA 155334 155334 INDUSTRIAL HEALTH 18999 18999 36092 18000 18092 1326482 36122706 34022726 26367 1529393 200 200 14400 14400 355091 355091 16919924 13722058 3164026 33840 1857238 1506220 347304 3714 1220829 990092 228295 2442 101995 101995 41000 41000 3136213 2543469 586472 6272 122588 122588 5689302 4614024 1063899 11379 273862 222102 51212 548 1594162 1292866 298108 3188 52728 42763 9860 105 34648 28100 6479 69 1711411 1387954 320034 3423 455771 369630 85229 912 BAD DEBTS 1756805 1756805 AGENCY SERVICES 1036445 927680 108765 IDPA PROVIDER TAX 1029158 1029158 NURSING HOME BED TAX 58646 58646 51490 51490 37513906 30680245 6767769 65892 13836 15351 1938436 2031946 4634401 4393833 1087834 1030639 321521 361340 42301474 30772794 12624768 11528680 9948371 9702579 30569167 29064368 4928053 5720657 3550000 3180000 1342914 1491488 790421 150567 10611388 10542712 X 11597602 10206402 8360177 8315254 19957779 18521656 30569167 29064368 -1391200 -44923 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 100 false false false 100 false SCHEDULE C, PART II-B, LINE 1 A PORTION OF MEMBERSHIP DUES TO PROFESSIONAL HEALTHCARE ASSOCIATIONS IS USED FOR LOBBYING ACTIVITIES. 9654406 666442 159340 843396 9636792 9343664 769811 690576 1149645 9654406 9104956 1582760 2070 1346122 9343664 9966906 814549 237455 1913954 9104956 7232572 1330709 2343785 940144 16 9966906 0.13820 0.85660 0.00520 true false 291325 291325 25545656 16621802 8923854 483750 473079 10671 15980743 13677913 2302830 11528680 BENEFICIAL INTEREST IN TRUST 8255254 OTHER ASSET 1387226 BOND ISSUE COST 60099 9702579 DUE TO THIRD PARTY 150567 150567 X SCHEDULE D, PAGE 2, 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. SCHEDULE D, PAGE 3, PART X 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. GOLF OUTING 22795 22795 1866 4453 3310 22795 22795 1866 4453 3310 9629 -9629 true true true X 1.250000000000 true X true true false true true 1820768 1820768 0.04850 6507393 6441976 65417 0.00170 8328161 6441976 1886185 0.05030 51611 9835 41776 0.00110 11800 11800 0.00030 6260436 4048329 2212107 0.05900 34790 1900 32890 0.00090 6358637 4060064 2298573 0.06130 14686798 10502040 4184758 0.11160 1738 1738 51490 51490 0.00140 53228 53228 0.00140 true 624211 9528930 10041183 -512253 X true true 1 1 IROQUOIS MEMORIAL HOSPITAL 200 E FAIRMAN AVE WATSEKA IL 60970 X X X IROQUOIS MEMORIAL HOSPITAL 1 false false true X X X X X X X X X X 15 true false false true X WWW.IMHRH.ORG true 15 true WWW.IMHRH.ORG false false true X 125.000000000000 300.000000000000 true true X X X true X WWWIMHRHORG X WWWIMHRHORG X WWWIMHRHORG X X X X true X true X X true X false false FACILITY 1, IROQUOIS MEMORIAL HOSPITAL - PART V, 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 EMPLOYEES; AND CIVIC AND BUSINESS LEADERS. FACILITY 1, IROQUOIS MEMORIAL HOSPITAL - PART V, LINE 11 PRIORITY 1--MENTAL HEALTH IROQUOIS 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. RECOGNIZING THE SHORTAGE OF MENTAL HEALTH PROFESSIONALS IN THE AREA, THE HOSPITAL IS WORKING WITH PRESENCE HEALTH TO MAKE TELE- PSYCHOLOGY SERVICES AVAILABLE. PRIORITY 2--DRUG AND ALCOHOL ABUSE IROQUOIS MEMORIAL HOSPITAL HIRED A CARE COORDINATOR IN 2017 TO DEVELOP CARE PLANS FOR OUR PATIENTS TO ADDRESS MEDICAL, MENTAL AND NUTRITIONAL NEEDS. PRIORITY 3--DIABETES IROQUOIS 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 ALSO HIRED A NURSE PRACTITIONER WHO SPECIALIZES IN CHRONIC DISEASE MANAGEMENT. PRIORITY 4--OBESITY IROQUOIS 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 ALSO HIRED A NURSE PRACTITIONER WHO SPECIALIZES IN CHRONIC DISEASE MANAGEMENT. ALL NEEDS IDENTIFIED WERE ADDRESSED. FACILITY 1, IROQUOIS MEMORIAL HOSPITAL - PART V, LINE 22D UNINSURED DISCOUNT OF 46% 7 IROQUOIS REGIONAL HEALTH CENTER 200 LAIRD LANE WATSEKA IL 60970 REHAB SERVICES, HOME HEALTH, HOSPICE IROQUOIS HOME CARE INC 200 LAIRD LANE WATSEKA IL 60970 DURABLE MEDICAL EQUIPMENT MULTI-SPECIALTY CLINIC 200 E FAIRMAN AVE WATSEKA IL 60970 PHYSICIAN OFFICE KENTLAND CLINIC 303 N SEVENTH ST KENTLAND IN 47951 PHYSICIAN OFFICE MILFORD CLINIC 207 N AXTEL AVE MILFORD IL 60953 PHYSICIAN OFFICE GILMAN CLINIC 508 E CRESCENT ST GILMAN IL 60938 PHYSICIAN OFFICE IROQUOIS WOMEN'S HEALTH CLINIC 625 SOUTH FIFTH STREET WATSEKA IL 60970 PHYSICIAN OFFICE PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION 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 1,779,393 HOWEVER IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES APPLICABLE TO COMMUNITY BENEFITS. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION 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 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 PURSING CAREERS IN HEALTHCARE. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY 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 COLLECTION 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 CIRCUMSTANCE 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 RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS. PART III, LINE 8 - MEDICARE EXPLANATION MEDICARE COST WAS DETERMINED USING AN OVERALL COST TO CHARGE RATIO. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION 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 - NEEDS ASSESSMENT IN PREVIOUS YEARS THE ORGANIZATION HIRED A CONSULTANT TO ASSESS THE HEALTH CARE NEED OF THE COMMUNITIES IT SERVES. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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 - COMMUNITY INFORMATION 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 - PROMOTION OF COMMUNITY HEALTH 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. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM THE ORGANIZATION JOINTLY COMPENSATES OR PROVIDES LOCATIONS TO PROVIDE CARE FOR A LARGE NUMBER OF PHYSICIAN SPECIALISTS WHICH PROMOTES MUCH ACCESS TO CARE FOR THE COMMUNITY IT SERVES. false SCHOLARSHIPS 13 11400 EMPLOYEE ASSISTANCE 8 3000 SCHEDULE I, PAGE 1, PART I, LINE 2 THE FINANCE DEPARTMENT MONITORS THE USE OF GRANT FUNDS BY SEPARATING THEM FROM NORMAL OPERATING EXPENSES IN THE GENERAL LEDGER AND BY ENSURING COMPLIANCE WITH TERMS AND CONDITIONS OF THE GRANTS. X X false false false false false false false true false CHARLES L BOHLMANN CEO 161131 812 3876 165819 JUN KIM PHYSICIAN 273014 77186 47 2004 352251 GONZALO FLORIDO PHYSICIAN 246780 218 9220 256218 NARAN DODIA PHYSICIAN 176127 70125 401 3876 250529 TERESITA TORRES PHYSICIAN 228003 401 2004 230408 TRESSA TAYLOR PHYSICIAN 208596 11655 2527 222778 SCHEDULE J, PAGE 1, 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 false false false A 2005 false false false false A false false false false false false false A false true false false true false false false false A false FORM 990, PAGE 2, PART III, LINE 4A 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 1,642,000 DURING FISCAL YEAR 2016. THIS COST WAS MITIGATED BY ILLINOIS HOSPITAL MEDICAID ASSESSMENT PROGRAM PAYMENTS AND HOSPITAL ACCESS IMPROVEMENT PAYMENTS, NET OF TAXES ASSESSED, IN THE AMOUNT OF 2,690,609. 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 670,000 FOR FISCAL 2016, WHILE THE COST OF PROVIDING THOSE SERVICES WAS APPROXIMATELY 309,000. IN ADDITION, THE HOSPITAL IS NOT ABLE TO COLLECT FOR ALL OF THE CARE THAT WAS CHARGED TO PATIENTS. DURING FISCAL 2016 THE HOSPITAL HAD TO WRITE-OFF 1,779,393 IN UNCOLLECTIBLE ACCOUNTS. THE COST OF PROVIDING THAT BENEFIT TO OUR PATIENTS TOTALED 820,000. 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 UNCOMPENSATED 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 DEPARTMENTS BLOOD DRIVES BREAST CANCER AWARENESS EVENT BREAST-FEEDING CLASSES FOR EXPECTANT MOTHERS CAMP 911 SAFETY PROGRAMS FOR AREA SCHOOL CHILDREN FARM SAFETY EDUCATION FIRST AID FOR LOCAL COMMUNITY EVENTS FREE AND REDUCED FEE HEALTH SCREENINGS FREE BLOOD PRESSURE SCREENINGS FREE CPR TRAINING FOR THE PUBLIC GO RED HEALTHY HEART EVENT HEALTH-RELATED ARTICLES IN LOCAL PUBLICATIONS BIRTHING CLASSES LIFELINE MEALS ON WHEELS SPEAKER'S BUREAU TOURS FOR AREA SCHOOL CHILDREN FORM 990, PAGE 6, PART VI, LINE 7A MAYOR, COUNTY BOARD CHAIRPERSON AND DISTRICT JUDGE EACH APPOINT 3 MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES TO 3-YEAR TERMS. FORM 990, PAGE 6, PART VI, LINE 11B THE STAFF MEMBERS THAT PROVIDE 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, PAGE 6, PART VI, 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 COULD BENEFIT THEM PERSONALLY. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF TRUSTEES CONDUCTED A COMPENSATION REVIEW IN 2012. CEO AND COO HAVE TWO YEAR CONTRACTS. . FORM 990, PAGE 6, PART VI, 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 VALUE OF RESTRICTED ASSETS -44,923 TOTAL -44,923 IMH FOUNDATION 200 E FAIRMAN WATSEKA IL 60970 453834535 SUPPORTING IL 501C3 11A N/A false IROQUOIS HOME CARE INC 200 LAIRD LANE WATSEKA IL 60970 SALES/RENT IL N/A C CORP 790972 441330 1.00000 false true false true false false false false false false true false false true true false false true false false IMH FOUNDATION C 300000 CASH VALUE IROQUOIS HOME CARE INC A 24000 RENT - AVG COMMERCIAL MV IROQUOIS HOME CARE INC M 132588 RETAIL PRICE IROQUOIS HOME CARE INC Q 112729 ACTUAL COST