HILLSBORO AREA HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
HILLSBORO AREA HOSPITAL INC (EIN 37-0661208)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-02-03
IRS object ID
201630359349300408
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-02-03T12:00:42-06:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN430352985PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KERBER ECK & BRAECKEL LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE MEMORIAL DRIVE STE 900AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN370661208EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HILLSBORO AREA HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHILLBusinessNameControlTxt
Phone2175326111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 EAST TREMONT STREETAddressLine1Txt
CityHILLSBOROCityNm
State AbbreviationILStateAbbreviationCd
ZIP62049ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonREX BROWNPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone2175326111PhoneNum
Signature2016-01-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEVE ECKHARD CPAPreparerPersonNm
PTINP00019710PTIN
Phone3142316232PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerREX BROWNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 EAST TREMONT STREETAddressLine1Txt
CityHILLSBOROCityNm
State AbbreviationILStateAbbreviationCd
ZIP62049ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,550,561GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HILLSBOROAREAHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1906FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionOPERATION OF HOSPITAL (INPATIENT, SWING BED AND OUTPATIENT) AND ASSISTED LIVING FACILITIES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee269TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$412,289PYContributionsGrantsAmt
CY Contributions Grants$199,415CYContributionsGrantsAmt
PY Program Service Revenue$21,316,903PYProgramServiceRevenueAmt
CY Program Service Revenue$22,023,934CYProgramServiceRevenueAmt
PY Investment Income$236,139PYInvestmentIncomeAmt
CY Investment Income$234,862CYInvestmentIncomeAmt
PY Other Revenue$86,603PYOtherRevenueAmt
CY Other Revenue$87,147CYOtherRevenueAmt
PY Total Revenue$22,051,934PYTotalRevenueAmt
CY Total Revenue$22,545,358CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,794,889PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,177,704CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,542,403PYOtherExpensesAmt
CY Other Expenses$11,159,217CYOtherExpensesAmt
PY Total Expenses$20,337,292PYTotalExpensesAmt
CY Total Expenses$20,336,921CYTotalExpensesAmt
PY Revenues Less Expenses$1,714,642PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,208,437CYRevenuesLessExpensesAmt
Total Assets BOY$31,915,109TotalAssetsBOYAmt
Total Assets EOY$33,086,855TotalAssetsEOYAmt
Total Liabilities BOY$8,757,381TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,289,738TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$23,157,728NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$24,797,117NetAssetsOrFundBalancesEOYAmt
MissionTO POSITIVELY AFFECT THE HEALTH AND WELFARE OF THE COMMUNITIES WE SERVE THROUGH THE OPERATION OF A HOSPITAL (INPATIENT, SWING BED AND OUTPATIENT) AND AN ASSISTED LIVING FACILITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,354,966ExpenseAmt
Revenue$22,064,640RevenueAmt
DescOPERATION OF A 25 BED CRITICAL ACCESS HOSPITAL (INPATIENT, SWING BED AND OUTPATIENT) WITH AN ASSISTED LIVING FACILITY. 931 ACUTE DAYS, 1,739 SWING BED DAYS, 15,768 OUTPATIENT VISITS AND 14,042 ASSISTED LIVING RESIDENT DAYS PROVIDED IN FY 2015. HILLSBORO AREA HOSPITAL ALSO PROVIDES $790,405 IN CHARITY CARE AND $2,386,695 IN OTHER COMMUNITY BENEFITS, NOT INCLUDING BAD DEBT.Desc
Total Program Service Expenses$15,354,966TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document49IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee269EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRI CARROLL CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2175324187PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 EAST TREMONT STREETAddressLine1Txt
CityHILLSBOROCityNm
State AbbreviationILStateAbbreviationCd
ZIP62049ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
BEN CADY
DIRECTOR1.00Yes (X)$0$0$40,470
BILL BRINK
SECRETARY1.00Yes (X)$0$0$0Yes (X)
BRIAN KNODLE
CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
DAVE IMLER
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
GREG HOLCOMB
DIRECTOR1.00Yes (X)$0$0$00.10
JULIE JENKINS
DIRECTOR1.00Yes (X)$0$0$00.30
MICHELLE ONDREY
DIRECTOR1.00Yes (X)$0$0$0
PATRICIA CLARKE
TREASURER1.00Yes (X)$0$0$0Yes (X)0.10
PATRICIA WHITWORTH
DIRECTOR1.00Yes (X)$0$0$0
TODD DEAN
TREASURER0.50Yes (X)$0$0$0Yes (X)0.10
EARL FLACK
DIRECTOR1.00Yes (X)$0$0$0
LINDSAY WAGAHOFF
DIRECTOR1.00Yes (X)$0$0$0
REX BROWN
CEO40.00$0$0$0Yes (X)1.30
TERRI CARROLL
CFO40.00$150,162$0$8,130Yes (X)1.00
ELVIS HARRISON
VP OF PATIENT CARE SERVICE40.00$109,038$0$21,342Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$259,200TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$69,942TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ILLINOIS EMERGENCY PHYSICIANS
4075 COPPER RIDGE DRIVETRAVERSE CITYMI49684ER COVERAGE$1,586,374
VIGILANT ANESTHESIA INC
121 LAKEWOOD DRIVEHILLSBOROIL62049CRNA SERVICES$211,161
DIAGNOSTIC HEALTH SERVICES
PO BOX 972288DALLASTX75397MRI SERVICES$192,300
PRECISE SPECIALTIES CORP
PO BOX 572HILLSBOROIL62049ULTRASOUND SERVICES$165,115
WCP LABORATORIES INC
2326 MILLPARK DRIVEMARYLAND HEIGHTSMO63043PATHOLOGY SERVICES$127,147
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$175,319GovernmentGrantsAmt
All Other Contributions$24,096AllOtherContributionsAmt
Noncash Contributions$24,096NoncashContributionsAmt
Total Contributions$199,415TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business900099BusinessCd
Total Revenue Column$22,023,934TotalRevenueColumnAmt
Related Or Exempt Func Income$22,023,934RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$22,023,934TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$234,091TotalRevenueColumnAmt
Exclusion$234,091ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$7,123RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,123RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,123TotalRevenueColumnAmt
Exclusion$7,123ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$5,974OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$5,203OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$771OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$771TotalRevenueColumnAmt
Exclusion$771ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA900099$39,318$39,318
OTHER INCOME900099$30,495$30,495
AMBULANCE REVENUE900099$5,195$5,195

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,016TotalRevenueColumnAmt
Related Or Exempt Func Income$5,016RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$80,024OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,545,358TotalRevenueColumnAmt
Related Or Exempt Func Income$22,064,640RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$281,303ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$142,129TotalAmt
Management And General$142,129ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,572,612TotalAmt
Program Services$5,803,457ProgramServicesAmt
Management And General$769,155ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$126,655TotalAmt
Program Services$109,622ProgramServicesAmt
Management And General$17,033ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,840,640TotalAmt
Program Services$1,601,340ProgramServicesAmt
Management And General$239,300ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$495,668TotalAmt
Program Services$429,007ProgramServicesAmt
Management And General$66,661ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$517,682TotalAmt
Management And General$517,682ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$31,986TotalAmt
Management And General$31,986ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,936TotalAmt
Management And General$1,936ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$10,643TotalAmt
Management And General$10,643ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,563,078TotalAmt
Program Services$1,201,519ProgramServicesAmt
Management And General$361,559ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$51,173TotalAmt
Management And General$51,173ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$165,887TotalAmt
Program Services$52,694ProgramServicesAmt
Management And General$113,193ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$679,159TotalAmt
Program Services$627,500ProgramServicesAmt
Management And General$51,659ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$50,914TotalAmt
Program Services$34,838ProgramServicesAmt
Management And General$16,076ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$241,073TotalAmt
Program Services$163,364ProgramServicesAmt
Management And General$77,709ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,816,900TotalAmt
Program Services$1,222,562ProgramServicesAmt
Management And General$594,338ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$190,528TotalAmt
Program Services$36,880ProgramServicesAmt
Management And General$153,648ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHYSICIAN'S FEES$1,834,029$1,834,029
SUPPLIES$1,609,371$1,576,291$33,080
BAD DEBT$1,087,235$1,087,235
MISCELLANEOUS$615,197$126,501$488,696

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$692,426TotalAmt
Program Services$535,362ProgramServicesAmt
Management And General$157,064ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,336,921TotalAmt
Program Services$15,354,966ProgramServicesAmt
Management And General$4,981,955ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,971,250BOYAmt
EOY$1,719,802EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,297,763BOYAmt
EOY$12,839,551EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,914,048BOYAmt
EOY$2,051,873EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$378,752BOYAmt
EOY$402,399EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$225,389BOYAmt
EOY$247,274EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$30,156,122LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,841,155LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,716,682BOYAmt
EOY$13,314,967EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,844,647BOYAmt
EOY$1,933,857EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$566,578BOYAmt
EOY$577,132EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,915,109BOYAmt
EOY$33,086,855EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,382,803BOYAmt
EOY$2,142,735EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,219,956BOYAmt
EOY$5,963,192EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$154,622BOYAmt
EOY$183,811EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,757,381BOYAmt
EOY$8,289,738EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,137,579BOYAmt
EOY$23,789,133EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$735,149BOYAmt
EOY$722,984EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$285,000BOYAmt
EOY$285,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,157,728BOYAmt
EOY$24,797,117EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,915,109BOYAmt
EOY$33,086,855EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,208,437ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$58,510NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$510,538OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$10,643OtherActivitiesAmt
Total Lobbying Expenditures$10,643TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF THE DUES PAID TO THE ILLINOIS HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE CLASSIFIED AS BEING FOR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$409,239BeginningYearBalanceAmt
Investment Earnings Or Losses$1,628InvestmentEarningsOrLossesAmt
End Year Balance$410,867EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$425,092BeginningYearBalanceAmt
Investment Earnings Or Losses$5,610InvestmentEarningsOrLossesAmt
Other Expenditures$21,463OtherExpendituresAmt
End Year Balance$409,239EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$431,455BeginningYearBalanceAmt
Investment Earnings Or Losses-$6,363InvestmentEarningsOrLossesAmt
End Year Balance$425,092EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$429,495BeginningYearBalanceAmt
Investment Earnings Or Losses$1,960InvestmentEarningsOrLossesAmt
End Year Balance$431,455EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$425,202BeginningYearBalanceAmt
Investment Earnings Or Losses$4,293InvestmentEarningsOrLossesAmt
End Year Balance$429,495EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.69370PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.30630TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$265,746OtherCostOrOtherBasisAmt
Book Value$265,746BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,369,137OtherCostOrOtherBasisAmt
Depreciation$7,267,085DepreciationAmt
Book Value$9,102,052BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,687,647OtherCostOrOtherBasisAmt
Depreciation$782,686DepreciationAmt
Book Value$904,961BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,748,902OtherCostOrOtherBasisAmt
Depreciation$8,791,384DepreciationAmt
Book Value$2,957,518BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$84,690OtherCostOrOtherBasisAmt
Book Value$84,690BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,314,967TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ASSET RETIREMENT OBLIGATION$163,342
CAPITAL LEASE OBLIGATION$20,469
FieldValueIRS element (for citing)
Total Liability$183,811TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$22,492,178TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$58,510NetUnrealizedGainsInvstAmt
Other Revenue$5,330OtherRevenueAmt
Revenue Not Reported-$53,180RevenueNotReportedAmt
Revenue Subtotal$22,545,358RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$22,545,358TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,336,921TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$20,336,921ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$20,336,921TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:PERMANENTLY RESTRICTED ENDOWMENT FUND INTEREST IS TO BE USED FOR THE HOSPITAL'S BUILDING AND MAINTENANCE.
PART X, LINE 2:THE HOSPITAL HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND SIMILAR PROVISIONS OF STATE LAW. HOWEVER, THE HOSPITAL WOULD BE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HOSPITAL FILES FEDERAL INFORMATION RETURNS. THE STATUTES OF LIMITATIONS FOR INFORMATION RETURNS FILED FOR THE YEARS ENDED JUNE 30, 2012 THROUGH 2015 HAVE NOT EXPIRED AND THEREFORE ARE SUBJECT TO EXAMINATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:TRANSFER FROM AFFILIATE HILLSBORO AREA HEALTH FOUNDATION 5,330.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other125.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically Indigent0FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically Available0ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$357,371TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$357,371NetCommunityBenefitExpnsAmt
Total Expense0.01860TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,403,076TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,972,217DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,430,859NetCommunityBenefitExpnsAmt
Total Expense0.07430TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,760,447TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,972,217DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,788,230NetCommunityBenefitExpnsAmt
Total Expense0.09290TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,406TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,660DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,746NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,588,749TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,716,052DirectOffsettingRevenueAmt
Net Community Benefit Expns$872,697NetCommunityBenefitExpnsAmt
Total Expense0.04530TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$155,921TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$155,921NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,790,076TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,728,712DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,061,364NetCommunityBenefitExpnsAmt
Total Expense0.05510TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,550,523TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,700,929DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,849,594NetCommunityBenefitExpnsAmt
Total Expense0.14800TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$491,578BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HILLSBORO AREA HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 EAST TREMONT STREETAddressLine1Txt
CityHILLSBOROCityNm
State AbbreviationILStateAbbreviationCd
ZIP62049ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.HILLSBOROHEALTH.ORGWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HILLSBORO AREA HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.HILLSBOROHEALTH.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care125.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.HILLSBOROHEALTH.ORGFAPAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Collection ActivitiesYes (1)CollectionActivitiesInd
Reporting To Credit AgencyYes (X)ReportingToCreditAgencyInd
Engaged Legal Judicial ProcessYes (X)EngagedLegalJudicialProcessInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HILLSBORO AREA HOSPITALPART 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 27, 2013. 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 27, 2013. 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 27, 2013. THE GROUP INCLUDED 18 COMMUNITY MEMBERS AND ORGANIZATION REPRESENTATIVES.
HILLSBORO AREA HOSPITALPART V, SECTION B, LINE 20E: A MINIMUM OF 2 STATEMENTS AND 2 LETTERS ARE SENT PRIOR TO SENDING THE ACCOUNT TO COLLECTIONS, EACH NOTING HOW TO CONTACT THE HOSPITAL FOR FINANCIAL ASSISTANCE.
HILLSBORO AREA HOSPITALPART V, SECTION B, LINE 24: IF A PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE, NO DISCOUNT IS APPLIED PER HOSPITAL POLICY, SO GROSS CHARGES ARE BILLED TO THOSE PATIENTS.
PART V, SECTION B LINE 11THIS IMPLEMENTATION STRATEGY WAS APPROVED AND ADOPTED BY THE BOARD OF DIRECTORS OF HILLSBORO AREA HOSPITAL. THE FOLLOWING ITEMS HAVE BEEN SELECTED AS TOP PRIORITY ITEMS (WITH THE REMAINING ITEMS TO BE ADDRESSED AS TIME, FUNDS, AND OPPORTUNITY ARISE):TOP PRIORITY CHNA ITEMS1. ADDRESS GAPS IN DELIVERY OF MENTAL HEALTH SERVICES WHEREVER POSSIBLE. HAH DID NOT FIND CONSELORS IN SUFFICIENT NUMBERS TO DEVELOP A "LIST" TO ADDRESS ACCESS TO MENTAL HEALTH SERVICES. HAH IS IN DISCUSSIONS WITH "IN TOUCH PHYSICIANS", A CHICAGO BASED PSYCHIATRIC SERVICE, FOR A TELE PSYCHIATRY PROPOSAL. 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 IS ON THE FREE AND REDUCED LUNCHES 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 PER WEEK. OVER THE SUMMER THE PROGRAM SERVED APPROXIMATELY 730 MEALS TO NEARLY 100 CHILDREN. IN 2014, THE PROGRAM WAS EXPANDED TO INCLUDE 5 DAYS PER WEEK INCLUDING A SERVICE DAY TO MENTOR CHILDREN IN GIVE BACK TO THE COMMUNITY. ALSO ADDED WERE SPEAKERS DELIVERING DIFFERENT TOPICS PROMOTING HEALTH LIFE STYLE 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. IN 2014, A BAG OF NON-PERISHABLE FOOD DISTRIBUTED TO TEH CHILDREN ON FRIDAYS WAS ADDED SO THEY WOULD EAT DURING THE WEEKEND. THESE BAGS WERE DONATED BY LOCAL CHURCH GROUPS. PACKS FILLED WITH SCHOOL SUPPLIES AND DONATED BY THE COMMUNITY WERE PRESENTED TO THE CHILDREN ON THE LAST DAY OF THE PROGRAM. IN 2014, 1227 MEALS WERE SERVED TO 130 DIFFERENT CHILDREN. 3. SUPPORT REGIONAL CARE INFORMATION FOR WEBSITE BEING DEVELOPED BY SPRINGFIELD CLINICIN 2015, HAH CONTRACTED WITH LEGATO, A COMMUNICATIONS COMPANY, TO CONSTRUCT A WEBSITE FOR THE HOSPITAL THAT WILL CONTAIN ELEMENTS OF THE REGIONAL CARE AND CONNECT TO A VARIETY OF PERTINENT WEBSITES, INCLUDING THE SPRINGFIELD CLINIC. THE WEBSITE IS NEAR COMPLETION AND ANTICIPATED RELEASE IS SPRING 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 TO INCREASE AWARENESS OF THE BENEFITS OF EARLY DETECTION AND PAYMENT OF MAMMOGRAPHY USING 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. 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.
PART V, SECTION B, LINE 16FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
HILLSBORO AREA HOSPITAL PART V, SECTION B, LINE 16A WEBSITE:WWW.HILLSBOROHEALTH.ORG

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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 $ 1,087,235.
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:TEXT OF FOOTNOTE FROM THE FINANCIAL STATEMENTSTHE HOSPITAL VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THEIR HEALTH CARE EXPENSES AS DETERMINED BY THE HOSPITAL'S CRITERIA FOR FINANCIAL ASSISTANCE.IN SOME CASES, THE HOSPITAL DOES NOT RECEIVE THE AMOUNT BILLED FOR PATIENT SERVICES EVEN THOUGH IT DID NOT RECEIVE INFORMATION NECESSARY TO DETERMINE IF THE PATIENTS MET THE CRITERIA FOR FINANCIAL ASSISTANCE. BAD DEBTS EXPENSE IS THE ESTIMATED AMOUNT OF PATIENT REVENUE THAT THE HOSPITAL WILL NOT COLLECT.THE COSTING METHODOLOGY USED WAS THE RATIO OF PATIENT CARE COST-TO-CHARGES. NO BAD DEBT AMOUNTS WERE INCLUDED IN COMMUNITY BENEFIT.
PART III, LINE 9B:ALL COLLECTION EFFORTS WILL CEASE IMMEDIATELY ON AMOUNTS APPROVED FOR SPECIAL FINANCIAL CONSIDERATIONS.
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 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 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 ASSESSEMENT ON THE HOSPITAL WEBSITE AT WWW.HILLSBOROHEALTH.ORG.
PART VI, LINE 5:DESIGNATED AS A 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, PART III, 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. FOR MANY YEARS, UNTIL MAY 2010, THE HOSPITAL 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 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 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 HOSPITAL PROVIDES THE USE OF SPACE ON OUR CAMPUS FOR THE CLASSES FREE OF CHARGE, SO THE COMBINATION OF FREE SPACE USAGE AND REDUCED TRANSPORTATION COSTS PROVIDES GREAT BENEFITS FOR THIS STATE-APPROVED PROGRAM. THE HOSPITAL ALSO HAS THE HILLSBORO AREA HOSPITAL JUNIOR BOARD WHICH IS COMPRISED OF STUDENT VOLUNTEERS AGES 9-16. THE JUNIOR BOARD MEMBERS LEARN HOW ORGANIZATIONS WORK, DEVELOP LEADERSHIP SKILLS, AND PLAN AND EXECUTE COMMUNITY IMPROVEMENT ACTIVITIES WITH THE HELP OF 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 PROVIDED PRODUCE PLANTS TO COMMUNITY MEMBERS TO PROMOTE HEALTHIER EATING HABITS AND FOOD SUSTAINABILITY. FURTHERMORE, 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
REX BROWN
CEO$0$0$0$0$0$0$0$0$0$0$0$0
TERRI CARROLL
CFO$150,162$0$0$0$0$0$0$0$8,130$0$0$0$158,292$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, PART VII, SECTION A, LINE 5:FormAndLineReferenceDesc
ExplanationHEALTHTECH MANAGEMENT SERVICES, FORMERLY BRIM HEALTHCARE, INC., WAS PAID $498,178 FOR MANAGEMENT SERVICES. CEO REX BROWN IS EMPLOYED BY HEALTHTECH MANAGEMENT SERVICES. TERRI CARROLL, CFO WAS EMPLOYED BY HEALTHTECH MANAGEMENT SERVICES UNTIL SEPTEMBER 1, 2013 WHEN SHE BECAME AN EMPLOYEE OF HILLSBORO AREA HOSPITAL.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF HILLSBORO MONTGOMERY COUNTY ILLINOISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN376001658BondIssuerEIN
Bond Issued2008-09-30BondIssuedDt
Issue Price$7,220,000IssuePriceAmt
PurposeCAPITAL IMPROVEMENT PROJECT - EXPANSION CONSTRUCTIONPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,256,808RetiredAmt
Total Proceeds$7,220,000TotalProceedsAmt
Issuance Costs From Proceeds$83,500IssuanceCostsFromProceedsAmt
Capital Expenditures$7,030,981CapitalExpendituresAmt
Other Spent Proceeds$105,519OtherSpentProceedsAmt
Substantial Completion2010SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3HILLSBORO AREA HOSPITAL DELEGATED CONTROL OVER MANAGEMENT TO HEALTHTECH MANAGEMENT SERVICES, FORMERLY BRIM HEALTHCARE, INC. - CEO IS EMPLOYED BY HEALTHTECH MANAGEMENT SERVICES. THE CEO IS UNDER THE SUPERVISION OF HEALTHTECH MANAGEMENT SERVICES.
FORM 990, PART VI, SECTION A, LINE 6HILLSBORO 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 7AONLY 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 7BTHE 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 11THE 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 12CEMPLOYEES 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 15A 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 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 3,441. CHANGE IN NET ASSETS RELEASED FROM RESTRICTIONS -19,309. TRANSFERS TO HILLSBORO AREA HEALTH SYSTEM NFP -500,000. TRANSFERS FROM AFFILIATE HILLSBORO AREA HEALTH FOUNDATION 5,330.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HILLSBORO AREA HEALTH SYSTEM NFP
1200 EAST TREMONTHILLSBOROIL62049364539688MANAGEMENT AND OVERSIGHT OF HEALTH CARE SYSTEMIL501(C)3LINE 11C, III-FI0
HILLSBORO AREA HEALTH FOUNDATION
1200 EAST TREMONTHILLSBOROIL62049371247796PROVIDE SUPPORT FOR HILLSBORO AREA HOSPITALIL501(C)3LINE 70HILLSBORO AREA HEALTH SYSTEM NFP
HILLSBORO AREA HEALTH SERVICES INC
1210 EAST TREMONTHILLSBOROIL62049371240643ESTABLISH AND OPERATE FACILITIES FOR WELLBEING OF PERSONS IN AREAIL501(C)3LINE 90HILLSBORO AREA HEALTH SYSTEM NFP
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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