2011-08-12T15:27:35-05:00 2010-09-30 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2009-10-01 370673512 The Iroquois Memorial Hospital IROQ 8154325841 200 E Fairman Avenue Watseka IL 609701644 Joseph Swab 2011-08-11 true Troy A Lindsey 3142315544 2009 2016-02-24 21:20:13Z & Resident Home GREGORY JOHNSON 200 E FAIRMAN AVENUE WATSEKA IL 609701644 36425448 false X www.iroquoismemorial.com X 1914 IL IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES FOR THE REGION IN A CONVENIENT CARING ENVIRONMENT. 9 8 627 206 5482 0 590875 557926 36549602 35357120 219969 162473 1289010 295957 38649456 36373476 16595 21549 0 0 20442916 18515977 0 0 217945 19324615 19840433 39784126 38377959 -1134670 -2004483 33715040 30906102 11929337 11171811 21785703 19734291 IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES FOR THE REGION IN A CONVENIENT CARING ENVIRONMENT. false false 31251615 21549 35363720 SEE SCHEDULE O 31251615 true true false true false false false false true true false true false false false false false false true false true true true true true false false false false false false false false false false false false false false false true true false false true 93 0 true 627 true true true false false false false true true false false false 9 8 true true false false false true false true true false true true true true true true true true true true false IL X LORI YELENICK 8154327929 200 E FAIRMAN AVENUE WATSEKA IL 609701644 JOCK BRADEN 4.0 X 0 0 0 WILLIAM MCCARTHY MD 4.0 X 0 0 0 ED GOODING 4.0 X 0 0 0 ROGER BALL 4.0 X 0 0 0 PHILLIP ZUMWALT MD 4.0 X 48605 0 0 DENNIS WITTENBORN 30.0 X X 0 0 0 MAGGIE MARTIN 4.0 X X 0 0 0 JOHN FREDRICKSON 4.0 X 0 0 0 STEVE KNAPP 4.0 X X 0 0 0 CYNTHIA SUMNER 4.0 X X 0 0 0 DAN TINCHER 4.0 X 0 0 0 STEVEN O LEURCK 40.0 X 212554 0 17780 THOMAS R PARISH 40.0 X 96023 0 12023 WESLEY OSWALD 40.0 X 0 0 0 MICHAEL BARGER 40.0 X 0 0 0 THOMAS MCGEE 40.0 X 0 0 0 STEVEN H PACKARD 40.0 X 488873 0 7472 GONZALO T FLORIDO 40.0 X 192621 0 17506 CHRISTANO M REYES 40.0 X 189598 0 5244 REBECCA C SALVANI 40.0 X 176149 0 6840 WILLIAM G NUSSBAUM 40.0 X 143771 0 9978 1548194 0 76843 7 false true true QHR 105 CONTINENTAL PL BRENTWOOD TN 370271018 MANAGEMENT SERVICES 568383 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN SERVICES 1147610 IROQUOIS EMERGENCY MEDICINE SPECIAL 150 QUAIL RIDGE DRIVE WESTMONT IL 605596148 PHYSICIAN SERVICES 448750 CPSI 6600 WALL STREET MOBILE AL 366850309 COMPUTER SERVICES 394313 JJ DEVELOPMENT CO INC PO BOX 461 WATSEKA IL 60970 GENERAL CONTRACTOR 344442 19 64007 44183 449736 248 557926 PROGRAM SERVICE REVENUE 621110 35357120 35357120 35357120 165270 5482 159788 0 0 44824 44824 44824 44824 9000 11797 -2797 -2797 -2797 44901 64007 29464 15437 15437 0 12907 10711 2196 2196 CAFETERIA 722210 149271 149271 OUTSIDE SRVCS 541900 44410 44410 INDUSTRIAL HEALTH 623990 13844 13844 25975 6600 19375 233500 36373476 35363720 5482 446348 11874 11874 9675 9675 0 0 386985 48605 338380 0 15431925 12452020 2884227 95678 55898 45104 10447 347 1410750 1138334 263669 8747 1230419 992825 229965 7629 519039 418813 97008 3218 231423 186735 43253 1435 75000 60518 14018 464 0 0 0 3860714 3115210 721568 23936 269524 217479 50374 1671 6574889 5305278 1228847 40764 238722 192625 44617 1480 0 1452227 1171802 271421 9004 0 0 82300 66408 15382 510 122419 98780 22880 759 0 1942728 1567587 363096 12045 534383 431194 99876 3313 AGENCY SERVICES 975720 787309 182362 6049 BAD DEBTS 2142479 2142479 RECRUITING 144508 116603 27009 896 IDPA PROVIDER TAX 674358 674358 38377959 31251615 6908399 217945 20416 16494 5736151 4205566 4382311 4227573 405396 595642 394662 740334 36533672 22192607 15547951 14341065 49974 0 7178179 6779428 33715040 30906102 4431449 4413120 5445000 5160000 1487215 1043914 565673 554777 11929337 11171811 X 16046296 14032635 5739407 5701656 21785703 19734291 33715040 30906102 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 13580 false false false 13580 false false 9467641 876492 99741 0 2459512 51 7984311 9472567 790769 248121 0 1043816 0 9467641 0.28590 0.70780 0.00630 true false 249035 249035 22766827 11766126 11000701 477850 380560 97290 12923765 10045921 2877844 116195 0 116195 14341065 OTHER ASSETS 894836 BOND ISSUE COST 112869 DUE FROM THIRD PARTY 120067 BENEFICIAL INTEREST IN TRUST 5651656 6779428 0 DUE TO THIRD PARTY 554777 554777 INTENDED USE OF ORGANIZATION'S ENDOWMENT FUNDS SCHEDULE D, PART V TO SUPPORT THE ONGOING OPERATIONAL AND CAPITAL NEEDS OF THE ORGANIZATION IN MEETING THE COMMUNITY NEEDS AND SERVICES. FIN 48 FOOTNOTE PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS 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. SHINDIG 55165 43200 11965 4945 GOLF OUTING 34300 20807 13493 396 4102 3121 1385 1 5065 5065 94530 64007 30523 396 4102 8066 1385 13949 16574 true true true X true X true true false false 979889 979889 0.02550 5828188 5261764 566424 0.01480 6808077 5261764 1546313 0.04030 110197 18385 91812 0.00240 14443 2121 12322 0.00030 4170115 3424966 745149 0.01940 14880 14880 0.00040 4309635 3445472 864163 0.02250 11117712 8707236 2410476 0.06280 2274 2274 0.00010 161306 161306 0.00420 163580 163580 0.00430 true 1164866 0 16642270 20004894 -3362624 X true true IROQUOIS MEMORIAL HOSPITAL

200 E FAIRMAN AVE WATSEKA IL 60970

X X X SKILLED NURSING FACILITY 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 KENTLAND CLINIC

303 N SEVENTH ST KENTLAND IN 47951

PHYSICIAN OFFICE GILMAN CLINIC

508 E CRESCENT ST GILMAN IL 60938

PHYSICIAN OFFICE MILFORD CLINIC

207 N AXTEL AVE MILFORD IL 60953

PHYSICIAN OFFICE IROQUOIS ORTHOPEDICS & HAND SURGERY

200 FAIRMAN AVE WATSEKA IL 60970

PHYSICIAN OFFICE MULTI-SPECIALTY CLINIC

200 LAIRD LANE WATSEKA IL 60970

PHYSICIAN OFFICE THE COSTS REPORTED IN THE TABLE IN PART I, LINE 7 ARE COMPUTED USING THE COST ACCOUNTING APPROACH, WHICH INCLUDES TAKING CHARITY CARE, UNREIMBURSED MEDICAID AND OTHER COMMUNITY BENEFITS AT COST. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS. THE ORGANIZATION INCLUDED COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC IN ITS SUBSIDISED HEALTH SERVICES. THE AMOUNT INCLUDED IN PART I LINE 7G (E) IS $247,812 THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $2,142,479 REPORTED ON PART IX, LINE 25 OF THE FORM 990; HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS PART I, LINE 7, COLUMN F. 4A. FOOTNOTE TO AUDITED FINANCIAL STATEMENTS - BAD DEBT EXPENSE THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, 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 PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. 4B. 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 INSTRUCTIONS. THE ORGANIZATION SUBSIDIES THE MEDICARE PROGRAM SHORTFALL. THE ORGANIZATION USED THE TOTAL HOSPITAL COST TO CHARGE RATIO X MEDICARE REVENUE. 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. THE ORGANIZATION HIRED A CONSULTANT TO ASSESS THE HEALTH CARE NEED OF THE COMMUNITIES IT SERVES. THE CONSULTANT RECENTLY COMPLETED COMMUNITY AND PHYSICIAN FEEDBACK SESSION. INFORMATION REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS DISTRIBUTED AT TIME OF THE PATIENT ADMISSION. THE ORGANIZATION ALSO PUT SIGNAGE IN THE ADMISSIONS AREA. 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. IN ORDER TO PROMOTE THE WELL-BEING OF THE COMMUNITIES IT SERVES, THE ORGANIZATION ALLOWS VARIOUS COMMUNITY ORGANIZATIONS TO USE ITS FACILITIES AT NO COST. THE ORGANIZATION PROVIDES AN OPEN MEDICAL STAFF TO PROMOTE ACCESS TO CARE FOR THE COMMUNITY. OUR COMMUNITY BOARD SUPPORTS PROVIDING LARGE AMOUNTS OF UNCOMPENSATED OR SUBSIDIZED CARE TO THE COMMUNITY. THE ORGANIZATION JOINTLY COMPENSATES OR PROVIDES LOCATIONS TO PROVIDE CARE FOR A LARGE NUMBER OF PHYSICIAN SPECIALISTS WHICH PROMOTES MUCH GREATER ACCESS TO CARE FOR THE COMMUNITY IT SERVES. true KCC FOUNDATION 100 COLLEGE DRIVE KANKAKEE IL 60901 262126437 501(C)(3) 11595 PTA PROGRAM 1 SCHOLARSHIPS 13 8250 EMPLOYEE ASSISTANCE 5 1425 ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS SCHEDULE 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 X false false false false false false false false false STEVEN O LEURCK 211030 0 0 0 1524 0 10968 0 6812 0 230334 0 0 0 STEVEN H PACKARD 463675 0 25000 0 198 0 0 0 7472 0 496345 0 0 0 GONZALO T FLORIDO 192492 0 0 0 129 0 10006 0 7500 0 210127 0 0 0 CHRISTANO M REYES 189469 0 0 0 129 0 3564 0 1680 0 194842 0 0 0 REBECCA C SALVANI 175768 0 0 0 381 0 3588 0 3252 0 182989 0 0 0 WILLIAM G NUSSBAUM 143771 0 0 0 0 0 3750 0 6228 0 153749 0 0 0 WESLEY OSWALD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MICHAEL BARGER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 THOMAS MCGEE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMPENSATION PAID BY AN UNRELATED MANAGEMENT COMPANY THE INTERIM CEO, WESLEY OSWALD, INTERIM CFO, MICHAEL BARGER, AND INTERIM CFO, THOMAS MCGEE WERE PAID BY AN UNRELATED MANAGEMENT COMPANY, QUORUM HEALTH RESOURCES. HOWEVER, NO COMPENSATION IS CURRENTLY BEING REPORTED ON THE CURENT YEAR PART VII AND SCHEDULE J PART II. THESE INDIVIDUALS BEGAN PROVIDING SERVICES IN CALENDER YEAR 2010, AND AS A RESULT, THEY DID NOT RECEIVE ANY COMPENSATION IN CALENDER YEAR 2009, WHICH IS REPORTED ON THE CURRENT YEAR FORM 990 UNDER IRS GUDELINES. IN THE 2010 CALENDER YEAR, QHR COMPENSATED THE ABOVE INDIVIDUALS. FEES ARE PAID TO QHR BY IROQUOIS MEMORIAL HOSPITAL FOR THEIR SERVICES. COUNTY OF IROQUOIS ILLINOIS 376001070 463547AV1 2003-07-29 7000000 2003 SERIES REVENUES FOR EXPANSION false false 7084189 556538 140000 6257511 2005 false false true true false false false false false true false true false false false false STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENT PART III DESCRIPTION OF PROGRAM SERVICES 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. 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 ALONG WITH SPORTS MEDICINE. 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. ON CONSOLIDATED SYSTEM LEVEL, THE COST IN EXCESS OF CHARGES FOR PROVIDING CARE TO ILLINOIS MEDICAID AND OTHER PUBLIC AID PROGRAMS WAS $3,855,000 DURING FISCAL YEAR 2010. THIS COST WAS MITIGATED BY ILLINOIS HOSPITAL MEDICAID ASSESSMENT PROGRAM PAYMENTS, NET OF TAXES ASSESSED, IN THE AMOUNT OF $971,000. 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. ON CONSOLIDATED SYSTEM LEVEL, THE CHARGES EXCLUDED FROM REVENUE UNDER THE HOSPITAL'S CHARITY CARE POLICY WERE APPROXIMATELY $1,964,000 FOR FISCAL 2010, WHILE THE COST OF PROVIDING THOSE SERVICES WAS APPROXIMATELY $1,031,000. IN ADDITION, THE HOSPITAL IS NOT ABLE TO COLLECT FOR ALL OF THE CARE THAT WAS CHARGED TO PATIENTS. ON CONSOLIDATED SYSTEM LEVEL, DURING FISCAL 2010 THE HOSPITAL HAD TO WRITE-OFF $2,192,000 IN UNCOLLECTIBLE ACCOUNTS. THE COST OF PROVIDING THAT BENEFIT TO OUR PATIENTS TOTALED $1,151,000. IROQUOIS MEMORIAL HOSPITAL PROVIDES NON-TRADITIONAL HOSPITAL BASED SERVICES SUCH AS AMBULANCE COVERAGE TO WATSEKA AND THE SURROUNDING IROQUOIS COUNTY COMMUNITIES. ON CONSOLIDATED SYSTEM LEVEL, THE COST IN EXCESS OF CHARGES, FOR PROVIDING THESE NEEDED SERVICES FOR FISCAL 2010 EXCEEDED $456,000. A PORTION OF THIS COST WAS OFFSET BY SUBSIDY PAYMENTS OF $69,000 RECEIVED FROM AREA MUNICIPALITIES AND TOWNSHIPS. 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: 5K WALK/RUN BLOOD DRIVES BREAST CANCER AWARENESS EVENT BREAST-FEEDING CLASSES FOR EXPECTANT MOTHERS CAMP 911 SAFETY PROGRAM FOR AREA SCHOOL CHILDREN COMMUNITY HEALTH WALK EMT-B COURSE FIRST AID FOR LOCAL COUNTY FAIRS FREE AND REDUCED FEE HEALTH SCREENINGS FREE BLOOD PRESSURE SCREENINGS FREE CPR TRAINING FOR THE PUBLIC FREE INDOOR WALKING AREA FOR THE PUBLIC GO RED HEALTHY HEART EVENT HEALTH-RELATED ARTICLES IN LOCAL PUBLICATIONS LAMAZE CLASSES LIFELINE MEALS ON WHEELS SMOKING CESSATION CLASSES SPEAKER'S BUREAU TODDLER OLYMPICS TOURS FOR AREA SCHOOL CHILDREN FAMILY OR BUSINESS RELATIONSHIP WITH OFFICER, DIRECTOR, OR KEY EMPLOYEE PART VI, SECTION A, LINE 2 EDWARD GOODING AND PHILIP ZUMWALT HAVE A FAMILY RELATIONSHIP. ORGANIZATION DELEGATION OF CONTROL OVER MANAGEMENT DUTIES PART VI, SECTION A, LINE 3 THE ORGANIZATION CONTRACTED QUORUM HEALTH RESOURCES (QHR) FOR THE ORGANIZATION'S MANAGEMENT SERVICES EFFECTIVE FEBRUARY 1, 2010. QHR PROVIDES IROQUOIS MEMORIAL HOSPITAL WITH LEADERSHIP VIA THE CEO AND CFO ALONG WITH OTHER CONSULTING SERVICES ON FINANCIAL AND STAFFING NEEDS. MEMBERS OR STOCKHOLDERS WHO MAY ELECT MEMBERS OF THE GOVERNING BODY PART VI, SECTION A, LINE 7A MAYOR, COUNTY BOARD CHAIRPERSON AND DISTRICT JUDGE EACH APPOINT 3 MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES TO 3-YEAR TERMS. PROCESS TO REVIEW FORM 990 PART VI, SECTION B, LINE 11A 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 FINAL COPY IS DISTRIBUTED TO THE BOARD OF TRUSTEES AS PART OF CONSENT AGENDA AT THEIR REGULARLY SCHEDULED BOARD MEETING. COMPLIANCE WITH CONFLICT OF INTEREST POLICY PART VI, SECTION B, LINE 12C THE ORGANIZATION'S 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 DECISIONS THAT COULD BENEFIT THEM PERSONALLY. PROCESS FOR DETERMINING COMPENSATION PART VI, SECTION B, LINE 15A&B THE BOARD OF TRUSTEES AND QHR, THE HOSPITAL'S MANAGEMENT COMPANY CONDUCTED THE COMPENSATION REVIEW IN 2010. GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC PART VI, SECTION C, LINE 19 FINANCIAL DOCUMENTS AVAILABLE UPON REQUEST. CONFLICT ON INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT PUBLIC INFORMATION AT THIS TIME, HOWEVER, IF REQUESTED THE BOARD WOULD BE NOTIFIED TO DETERMINE RESPONSE. IROQUOIS HOME CARE INC 200 LAIRD LANE WATSEKA IL 60970 371121894 SALES/RENTAL IL NA C CORP 708884 982133 1.00000 true false false true false true false false true false false true true true false true false true IROQUOIS HOME CARE INC A 5482 IROQUOIS HOME CARE INC D 148400 IROQUOIS HOME CARE INC L 135286 IROQUOIS HOME CARE INC P 115378 IROQUOIS HOME CARE INC R 158199