KEWANEE HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: KEWANEE HOSPITAL (EIN 36-2167767)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-07-15
IRS object ID: 201111969349301356
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-07-15T16:25:36-05:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RSM McGladrey Inc	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 N Harrison Street Suite 300	AddressLine1
City	Davenport	City
State	IA	State
ZIP Code	528011999	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	362167767	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	KEWANEE HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	KEWA	NameControl
Phone	3098527500	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1051 WEST SOUTH STREET	AddressLine1
City	KEWANEE	City
State	IL	State
ZIP Code	61443	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARGARET GUSTAFSON	Name
Title	CEO	Title
Phone	3098527500	Phone
Date Signed	2011-07-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	John J Romano	Name
Phone	5638884000	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARGARET GUSTAFSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1051 WEST SOUTH STREET	AddressLine1
City	KEWANEE	City
State	IL	State
ZIP Code	61443	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	37995789	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.KEWANEEHOSPITAL.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1902	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	Operates a 25 bed critical access hospital plus related health care services.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	357	TotalNbrEmployees
Total Nbr Volunteers	90	TotalNbrVolunteers
Total Gross UBI	643	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	99271	ContributionsGrantsPriorYear
Contributions Grants Current Year	129521	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	32619839	ProgramServiceRevenuePriorYear
Program Service Revenue CY	29661283	ProgramServiceRevenueCY
Investment Income Prior Year	-18887	InvestmentIncomePriorYear
Investment Income Current Year	745997	InvestmentIncomeCurrentYear
Other Revenue Prior Year	417264	OtherRevenuePriorYear
Other Revenue Current Year	140120	OtherRevenueCurrentYear
Total Revenue Prior Year	33117487	TotalRevenuePriorYear
Total Revenue Current Year	30676921	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	17935	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	14571	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	14935695	SalariesEtcPriorYear
Salaries Etc Current Year	13520381	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	19099888	OtherExpensePriorYear
Other Expenses Current Year	17906601	OtherExpensesCurrentYear
Total Expenses Prior Year	34053518	TotalExpensesPriorYear
Total Expenses Current Year	31441553	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-936031	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-764632	RevenuesLessExpensesCY
Total Assets BOY	61705161	TotalAssetsBOY
Total Assets EOY	61234580	TotalAssetsEOY
Total Liabilities BOY	34503568	TotalLiabilitiesBOY
Total Liabilities EOY	34353976	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	27201593	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	26880604	NetAssetsOrFundBalancesEOY
Mission Description	To improve the health and care of those we serve focusing on quality of care regardless of ability to pay.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	1	SignificantChange
Expense	18833750	Expense
Grants	14571	Grants
Revenue	28468185	Revenue
Description	Kewanee Hospital is a 501(c)(3) not-for-profit corporation licensed as a 25-bed Critical Access Hospital (CAH) located in a rural community in Illinois. Kewanee Hospital strives to provide quality health care to all patients regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Many of the community members would have no access to health care without Kewanee Hospital. The patients and their families ability to travel 50+ miles to a larger tertiary center is compromised by a lack of mobility, a lack of income, and a lack of transportation. Many of the services provided by Kewanee Hospital are reimbursed at or below the cost to provide care. Kewanee Hospital offers a wide variety of services including inpatient acute and critical care, skilled level care through swing beds, diagnostic capabilities including radiology, laboratory and cardiopulmonary, inpatient and outpatient rehabilitation and treatment, inpatient and outpatient surgical services, and primary care services through the Family Health Clinic (FHC). During FY 2010 Kewanee Hospital provided 3,440 days of inpatient care, 273 days of swing bed care, and 243 nursery days in 2010. Kewanee Hospital provided a wide scope of outpatient services which provided care to 35,521 outpatients. The emergency department (ED) is a safety net to the rural community of Kewanee and the surrounding area. The ED is staffed 24/7 by dedicated emergency department physicians; during FY 2010 the ED treated 9,373 patients, with over 50% of them paying less than the cost of the care received. The Hospital offers a variety of surgical services including general, orthopedic, urology, ophthalmologic, endoscopy and gastroenterology. In FY 2010 the Hospital provided a total of 1,026 surgical procedures.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	2577198	Expense
Revenue	1272823	Revenue
Description	Kewanee Hospital staffs a multi-disciplinary outpatient Family Health Clinic (FHC) with a compliment of both physician and mid-level providers employed by the Hospital. The FHC provides an array of services including primary care (adults and pediatrics) and surgical services. The FHC is a licensed Rural Health Clinic and provides many needed services to the community. The FHC is one of the only clinics in the area to accept the treatment and care of children with Attention Deficit Disorder. The providers in the FHC have participated in several outreach efforts including diabetic health, smoking cessation, medication management, and health and nutrition. In FY 2010 the FHC providers brought their services to the area high school to provide free sports physicals. Because of the high poverty level in the Kewanee district, many students have difficulty traveling to provider offices for their physicals and most cannot pay the cost. Kewanee Hospital made the decision to outreach to these students in order to ensure they can take part in sport activities and receive their needed physical exam. The FHC practices the medical home model through the Illinois Health Connect program. The nurse practitioners provide after-hours call in order to ensure patients have the ability to access a provider after-hours and on weekends when needed. The FHC Practitioners continually collaborate with the area schools and providers of other health services in order to provide the best care possible to the area community.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	21410948	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	19	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	357	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	0	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	PRESTON BECKER	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3098527522	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1051 W SOUTH STREET	AddressLine1
City	KEWANEE	City
State	IL	State
ZIP Code	61443	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
MICHAEL AHEARN MD
TRUSTEE	2.00	X	0	0	0
DAVID BOSWELL
TRUSTEE	2.00	X	0	0	0
DANIEL CONGREVE MD
TRUSTEE	40.00	X	198567	0	10655
MARGARET M GUSTAFSON
CEO	40.00	X	211547	0	48595	X
RITA HUNGATE MD
TRUSTEE	2.00	X	0	0	0
HOLLY MAES MD
TRUSTEE	40.00	X	132982	0	36730
RUSSELL MEDLEY
TRUSTEE	2.00	X	0	0	0
MARY KAY NORTH
SECRETARY	2.00	X	0	0	0	X
WILLIAM OWENS
TRUSTEE	2.00	X	0	0	0
GARY PHEIFFER
CHAIRPERSON	2.00	X	0	0	0	X
MARK REWERTS
VICE CHAIRMAN	2.00	X	0	0	0	X
FRANK TOCHA
TRUSTEE	2.00	X	0	0	0
JENNIFER M COOMBES
CFO	40.00		105449	0	34108	X
LYNN A FULTON
COO	40.00		115472	0	50324	X
JENNIFER JUNIS
CNO	40.00		99376	0	13070	X
CATHY HERRMANN CRNA
CRNA	40.00		103425	0	11266		X
ELDON M SAMUEL MD
PHYSICIAN	40.00		257737	0	40585		X
ELOISE SKELTON MD
PHYSICIAN	40.00		308485	0	31823		X
JEREMY SMITH MD
PHYSICIAN	40.00		107014	0	31873		X
ANGELA WALKER MD
PHYSICIAN	40.00		298872	0	21674		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1938926	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	330703	TotalOtherCompensation
Number Individuals GT100 K	11	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
EPSS
12528 SR 78	HAVANA	IL	62644	ED PHYSICIANS STAFFING	1340904
SYCAMORE ANESTHESIA SERVICES
942 WEST STATE STREET 500	SYCAMORE	IL	60178	ANESTHESIA SERVICES	620971
CPS INC
6409 QUAIL HOLLOW ROAD	MEMPHIS	TN	38120	PHARMACY MANAGEMENT SERVICES	297424
SAINT FRANCIS INC
8001 N UNIVERSITY SUITE C	PEORIA	IL	61615	MRI SERVICES	288090
METHODIST REFERENCE LABORATORY
221 NE GLEN OAK	PEORIA	IL	61636	LAB TESTING	242429

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	13	NumberOfContractorsGT100K
Fundraising Events	30221	FundraisingEvents
Government Grants	62118	GovernmentGrants
All Other Contributions	37182	AllOtherContributions
Noncash Contributions	6225	NoncashContributions
Total Contributions	129521	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU	900099	29562262	29562262
CAFETERIA MEALS	900099	87484	87484
MASSAGE THERAPY	900099	11075	11075
MEDICAL RECORDS	900099	462	462

Field	Value	IRS element (for citing)
Total Program Service Revenue	29661283	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	575947	TotalRevenueColumn
Exclusion	$575,947	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	63618	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1011	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	62607	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	62607	TotalRevenueColumn
Exclusion	$62,607	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	7333423	Securities
Other	102164	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	7194828	Securities
Other	70709	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	138595	Securities
Other	31455	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	170050	TotalRevenueColumn
Exclusion	$170,050	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	6542	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	30221	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	10753	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-4211	TotalRevenueColumn
Exclusion	-$4,211	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	42923	GrossSalesOfInventory
Cost Of Goods Sold	41567	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1356	TotalRevenueColumn
Exclusion	$1,356	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISC OPERATING REVENUE	900099	46967	46967
MEDICAL STAFF	900099	18375	18375
AUXILIARY REVENUE	900099	6571	6571

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	8455	TotalRevenueColumn
Related Or Exempt Function Income	7812	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	643	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	80368	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	30676921	TotalRevenueColumn
Related Or Exempt Function Income	29741008	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	643	UnrelatedBusinessRevenue
Exclusion	$805,749	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	11471	Total
Program Services	11471	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	3100	Total
Program Services	3100	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1056875	Total
Management And General	1056875	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	9887708	Total
Program Services	8122133	ProgramServices
Management And General	1765575	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	395781	Total
Program Services	293715	ProgramServices
Management And General	102066	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1257022	Total
Program Services	932854	ProgramServices
Management And General	324168	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	922995	Total
Program Services	684968	ProgramServices
Management And General	238027	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	121371	Total
Management And General	121371	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	83458	Total
Management And General	83458	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	18078	Total
Management And General	18078	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	121917	Total
Management And General	121917	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	390978	Total
Program Services	215633	ProgramServices
Management And General	175345	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	438943	Total
Program Services	28199	ProgramServices
Management And General	410744	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	142000	Total
Program Services	64074	ProgramServices
Management And General	77926	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	35496	Total
Program Services	14208	ProgramServices
Management And General	21288	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1602987	Total
Program Services	622921	ProgramServices
Management And General	980066	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2749239	Total
Program Services	1068124	ProgramServices
Management And General	1681115	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	522041	Total
Program Services	279827	ProgramServices
Management And General	242214	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PURCHASED SERVICES	2991203	1974254	1016949
BAD DEBT EXPENSE	2682569	2682569
MEDICAL PROFESSIONAL FE	2029870	2029870
MEDICAL SUPPLIES	1572406	1549164	23242
MISCELLANEOUS	1361906	179233	1182673

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1042139	Total
Program Services	654631	ProgramServices
Management And General	387508	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	31441553	Total
Program Services	21410948	ProgramServices
Management And General	10030605	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	9193615	BOY
EOY	7814578	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	6488882	BOY
EOY	4741569	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	250381	BOY
EOY	113325	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	4346347	BOY
EOY	3132629	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	294442	BOY
EOY	291706	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	275287	BOY
EOY	263168	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	43611608	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	12035310	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	33552282	BOY
EOY	31576298	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	4592508	BOY
EOY	4089022	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	929196	BOY
EOY	7662142	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1782218	BOY
EOY	1550143	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	61705161	BOY
EOY	61234580	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3773568	BOY
EOY	2963701	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	851973	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	30730000	BOY
EOY	29935000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	603302	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	34503568	BOY
EOY	34353976	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	26281089	BOY
EOY	26154137	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	249745	BOY
EOY	52958	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	670759	BOY
EOY	673509	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	27201593	BOY
EOY	26880604	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	61705161	BOY
EOY	61234580	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$10	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$500	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$17,568	OtherActivitiesAmount
Total Lobbying Expenditures IIB	18078	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part II-B, Line 1i:	Explanation of Other Lobbying Activities:	The lobbying efforts by Kewanee Hospital for FY 2010 consisted of several letters and E-mails to area legislators regarding pending legislation. Annually, a portion of the American Hospital Association (AHA) and Illinois Hospital Association (IHA) dues are allocated to lobbying efforts both organizations exert on behalf of hospitals at the national and state level. According to the AHA and IHA, 25% and 31% respectively, of our annual dues went towards lobbying; this represents $17,568 for the year.
Part IV, Supplemental Information:		PART II-B, LINE 1(G), DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENTAL OFFICIALS, OR A LEGISLATIVE BODY: Margaret Gustafson, CEO; Jennifer Coombes, CFO; Jenny Pierce-Smith, Marketing and Gary Pheiffer, Board Chair attended the IHA's lobbying days in Springfield, IL in FY 2010.

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5191411	BeginningOfYearBalance
Contributions	2790	Contributions
Investment Earnings Or Losses	1420588	InvestmentEarningsOrLosses
Other Expenditures	179243	OtherExpenditures
End Of Year Balance	6435546	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5597772	BeginningOfYearBalance
Contributions	20	Contributions
Investment Earnings Or Losses	-406381	InvestmentEarningsOrLosses
End Of Year Balance	5191411	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.89370	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.10470	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00160	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1248863	OtherCostOrOtherBasis
Book Value	1248863	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20513891	OtherCostOrOtherBasis
Depreciation	2747626	Depreciation
Book Value	17766265	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	25127	OtherCostOrOtherBasis
Depreciation	25127	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	21820164	OtherCostOrOtherBasis
Depreciation	9262557	Depreciation
Book Value	12557607	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3563	OtherCostOrOtherBasis
Book Value	3563	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	31576298	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	OTHER INVESTMENTS	Description
Book Value	7662142	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	7662142	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	OTHER LIABILITIES	Description
Amount	$603,302	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	603302	TotalOfAmounts
Total Revenue	30676921	TotalRevenue
Total Expenses	31441553	TotalExpenses
Excess Or Deficit For Year	-764632	ExcessOrDeficitForYear
Net Unrealized GL On Investments	443643	NetUnrealizedGLOnInvestments
Total Adjustments	443643	TotalAdjustments
Excess Or Deficit Per FS	-320989	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	31142440	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	443643	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	443643	RevenueNotRptdF990
Revenue Subtotal	30698797	RevenueSubtotal
Other Revenues Not Included	-21876	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-21876	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	30676921	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	31463429	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	21876	OtherExpensesIncluded
Expenses Not Rptd F990	21876	ExpensesNotRptdF990
Expenses Subtotal	31441553	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	31441553	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part V, Line 4:	Description of Intended Use of Endowment Funds:	THE INTENDED USe OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO PROVIDE FUNDING FOR HOSPITAL RELATED PROGRAMS AND SCHOLARSHIPS. BOARD DESIGNATED ENDOWMENT FUNDS ARE TO BE USED AT THE BOARD'S DISCRETION TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION.
Part X:	Description of Uncertain Tax Positions Under FIN 48:	The Hospital is an Illinois not-for-profit corporation exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. Kewanee Hospital files a Form 990 (Return of Hospital Exempt from Income Tax) annually. When these returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the tax position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to hospitals include such matters as the following: the tax exempt status and various positions relative to potential sources of unrelated business income tax (UBIT). UBIT is reported on Form 990T, as appropriate. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50% likely to be realized on settlement with the applicable taxing authority. The difference between the benefit of a tax position recorded for financial statement purposes in accordance with the guidance and the amount reflected on a tax return is recorded as a liability for uncertain tax benefits in the accompanying balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. As of September 30, 2010 and 2009, there were no uncertain tax benefits related to uncertain tax positions identified and recorded as a liability. Forms 990 filed by Kewanee Hospital are subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Forms 990 filed by Kewanee Hospital are no longer subject to examination for the years ended September 30, 2006 and prior.
Part XII, Line 4b - Other Adjustments:		GAIN/LOSS ON SALE OF FIXED ASSETS: 31455. COST OF GOODS SOLD: -41567. SPECIAL EVENTS EXPENSES INCLUDED WITH REVENUE ON RETURN: -10753. RENTAL EXPENSES INCLUDED WITH REVENUE ON RETURN: -1011.
Part XIII, Line 2d - Other Adjustments:		COST OF GOODS SOLD: 41567. GAIN/LOSS ON SALE OF FIXED ASSETS: -31455. SPECIAL EVENT EXPENSES INCLUDED WITH REVENUE ON RETURN: 10753. RENTAL EXPENSES INCLUDED WITH REVENUE ON RETURN: 1011.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	LININGER GOLF OUTING	NameOfEvent1
Gross Receipts Event1	36763	GrossReceiptsEvent1
Charitable Contributions Event1	30221	CharitableContributionsEvent1
Gross Revenue Event1	6542	GrossRevenueEvent1
Cash Prizes Event1	5675	CashPrizesEvent1
Food And Beverage Event1	1250	FoodAndBeverageEvent1
Other Direct Expenses Event1	3828	OtherDirectExpensesEvent1
Gross Receipts Total	36763	GrossReceiptsTotal
Charitable Contributions Total	30221	CharitableContributionsTotal
Gross Revenue Total Events	6542	GrossRevenueTotalEvents
Cash Prizes Total Events	5675	CashPrizesTotalEvents
Food And Beverage Total Events	1250	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	3828	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	10753	DirectExpenseSummaryEvents
Net Income Summary	-4211	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	603564	TotalCommunityBenefitExpense
Net Community Benefit Expense	603564	NetCommunityBenefitExpense
Percent Of Total Expense	0.02100	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6416613	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3477595	DirectOffsettingRevenue
Net Community Benefit Expense	2939018	NetCommunityBenefitExpense
Percent Of Total Expense	0.10220	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7020177	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3477595	DirectOffsettingRevenue
Net Community Benefit Expense	3542582	NetCommunityBenefitExpense
Percent Of Total Expense	0.12320	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	202106	TotalCommunityBenefitExpense
Net Community Benefit Expense	202106	NetCommunityBenefitExpense
Percent Of Total Expense	0.00700	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3100	TotalCommunityBenefitExpense
Net Community Benefit Expense	3100	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	57733	TotalCommunityBenefitExpense
Net Community Benefit Expense	57733	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	262939	TotalCommunityBenefitExpense
Net Community Benefit Expense	262939	NetCommunityBenefitExpense
Percent Of Total Expense	0.00910	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7283116	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3477595	DirectOffsettingRevenue
Net Community Benefit Expense	3805521	NetCommunityBenefitExpense
Percent Of Total Expense	0.13230	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,269,472	BadDebtExpenseAmount
Amount Attributable To	166324	AmountAttributableTo
Amount Reimbursed By Medicare	12831466	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	12106641	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	724825	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	KEWANEE HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1051 WEST SOUTH STREET PO BOX 747	AddressLine1
City	KEWANEE	City
State	IL	State
ZIP Code	61443	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours
Other	HOMECARE, HOSPICE, DME, RURAL HEALTH CLINIC	Other

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	Part I, Line 3c:	IncomeBasedCriteria
Annual Community Benefit Expln	Part I, Line 6a:	AnnualCommunityBenefitExpln
Costing Method Used	Part I, Line 7: Kewanee Hospital utilized Worksheet 2 to calculate its cost-to-charge ratio. This ratio was used to calculate the amounts reported in Part I, Line 7.	CostingMethodUsed
Subsidized Health Services Expln	Part I, Line 7g:	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Part I, Line 7f: $2,682,569 OF BAD DEBT EXPENSE IS SUBTRACTED FOR PURPOSES OF COMPUTING THE PERCENTAGE IN PART I, LINE 7K, COLUMN F. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES, LESS BAD DEBT, IS 25.33%, AND THE PERCENTAGE INCREASES TO 67.43% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNTY BENEFIT EXPENSE.	PercentOfTotalExpenseExpln
Bad Debt Footnote	Part III, Line 4: Patient accounts receivable, due directly from the patients, are carried at the original charge for the service provided, less amounts covered by third-party payors and less an estimated allowance for doubtful receivables based on a review of all outstanding amounts on a monthly basis. Management determines the allowance for doubtful accounts by identifying troubled accounts, by historical experience applied to an aging of accounts and by considering the patient's financial history, credit history and current economic conditions. The Hospital does not charge interest on patient receivables. Patient receivables are written off as bad debt expense when deemed uncollectible. Recoveries of receivables previously written off are recorded as a reduction of bad debt expense when received.	BadDebtFootnote
Shortfall As Community Benefit	Part III, Line 8: The hospital followed Medicare's prescribed methods of determining costs payable under title XVIII (Medicare) in completing its annual Medicare cost report (cost report) using data available from the institution's basic accounts, as usually maintained, to arrive at equitable and proper payment for services. The cost report was completed using the hospital's trial balance of expenses, as well as other statistical and financial records maintained by the hospital. As required by Medicare regulations, certain reclassifications and adjustments to costs were included in the cost report to determine Medicare allowable costs.After Medicare allowable costs are determined, the cost report provides for the step down method of cost finding. This method provides for allocating the cost of services rendered by each general service cost center to other cost centers, which utilize the services. Once the costs of a general service cost center have been allocated, that cost center is considered closed. Once closed, it does not receive any of the costs subsequently allocated from the remaining general service cost centers. After all costs of the general service cost centers have been allocated to the remaining cost centers, the total costs of these remaining cost centers are further distributed to the departmental classification to which they pertain, e.g., hospital general inpatient routine, subprovider, ancillary, etc.After the step-down process, the cost report provides for the apportionment of costs to the Medicare program based on a number of different methodologies including per patient day, per visit, and percentage of charges, as most prevalent. Medicare costs as determined by the cost report methodologies described previously were utilized to complete the applicable Medicare allowable costs of care for Schedule H (Form 990) Part III Section B Line 6.	ShortfallAsCommunityBenefit
Debt Collection Policy	Part III, Line 9b: It is the policy of Kewanee Hospital to extend a full or partial discount from charges to qualifying patients whose care is not covered by other financial aid or government healthcare programs. Kewanee Hospital utilizes a number of methods for communicating financial assistance, including Charity Care, to patients and the community including:a.Signs stating the availability of financial assistance are posted in the Emergency Department, Registration and Admitting Areas and the Cashiers Office. Brochures with information regarding charity care are also available. b.Notice of the availability of charity care is included on the hospitals web site.c.Patient Financial Services staff is knowledgeable about the policy and process.d.The staffs of the outsourced self pay billing service and bad debt collection agency are also knowledgeable about the policy and process.e.Notice of the availability of financial assistance is included on or with hospital billing statements to guarantors.Kewanee Hospital attempts to identify uninsured patients eligible for charity care prior to or at time of service. Financial Assistance information and applications may be obtained from the Financial Counselors. Completed applications and documentation will be reviewed and processed. Applicants will then receive a written determination of eligibility.	DebtCollectionPolicy
Number Of Facility Type Expln	Part V: All health care facilities were reported in Part V.	NumberOfFacilityTypeExpln
Needs Assessment	Part VI, Line 2: Kewanee Hospital continually strives to meet the health care needs of the community served and performs ongoing assessments in order to best allocate the Hospitals scarce resources. The Hospital evaluates the needs of the Kewanee community through internal evaluation of market data, community demographics, CDC and other health related data, analysis of patients served through the Hospitals Family Health Clinic, review of emergency department visits, and collaborative meetings with the area school districts and the county health department. Kewanee Hospital works with a number of community volunteers through the Hospitals Development Council. The Community Relations Committee is charged with needed education for the community and utilizes the information gained as topics for education. Through the ongoing assessment process the Hospital has identified and provided outreach for diabetic education, suicide prevention educational series for teachers and parents, health and nutrition for at-risk populations, importance of preventative screening, skin-cancer prevention, and a positive parenting series.Through collaboration with Kewanee Hospitals regional partners, including the Henry County Health Department, the Hospital identified Disaster Preparedness as a community need. As a rural community, Kewanee has few city resources. Citizens view the Hospital as the mainstay or community cornerstone and thus would look to Kewanee Hospital in an emergency. The Hospital leadership team, staff and providers have gone through education and training on Incident Command and in June of 2010 led a city-wide disaster exercise.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: Kewanee Hospital provided over $600,000 in Charity Care to needy community members in FY 2010. Kewanee Hospital communicates to patients about their financial obligations throughout the health care experience. It is the Hospitals goal to assess financial need as soon as possible in the care process. Patients setting up diagnostic testing through centralized scheduling discuss the payment obligations prior to visiting the Hospital, allowing for patients needing assistance to start the process right then. The Family Health Clinic (FHC) patients benefit from having FHC staff talk with them about obligations related to procedures, diagnostics, etc. and are often able to access financial assistance prior to the procedure. Kewanee Hospital staff is trained to recognize potential need and to proactively discuss payment arrangements. The Hospital promotes financial assistance throughout the organization and through various publications. Information about the Hospitals Charity Care and Financial Assistance programs is posted through: - Signage (admissions/registration at main entrance, emergency department admissions, admission booths). - Kewanee Hospitals website, www.kewaneehospital.com- Direct mail pieces including quarterly newsletters and community benefit report- Henry County Tourism Video/Web-Site Link - Radio program, Monday morning Tuned-In, WKEI- Patient education throughout the care process- Financial Assistance brochures at cashiers window- Patient bill for service. - Identification of need and education through centralized scheduling, admissions staff, FHC staff, cashiers office, financial counselors, providers of services, and other staff as they become aware of the patients need.- Announcements and booths at free community education and outreach conducted by Kewanee Hospital.	PatientEducationAssistance
Community Information	Part VI, Line 4: Kewanee Hospital is located in a rural area of northern west-central Illinois, about 10 miles south of Interstate 80 and between the larger urban areas of Peoria, Illinois and the Quad Cities (located about 50-55 miles from each). The Hospital serves the primary market area (population approximately 19,700) of Kewanee and the surrounding rural communities including Galva and Toulon. The overall market (population approximately 29,000) includes the three county portions of Henry, Bureau, and Stark in rural Illinois. The largest percentages of Kewanee Hospitals patients are derived from the Kewanee zip code of 61443. The population of Kewanee is aging and poor with the greatest numbers in the over 65 and under 18. In 2000, 12.8% of the population was below the poverty level. The Kewanee School District reported over 85% of children attending school on the free and reduced lunch program. Subsequently that leaves few citizens in the middle where a community typically sees the working class. As a result of the demographics, Kewanee Hospital sees a high proportion of patients reliant on Medicaid and uninsured. Following the national trend, the highest concentration is in the emergency department and the Hospitals Family Health Clinic (FHC). FY 2010 reported 33% of patients in the emergency department were reliant on Medicaid while 14% were uninsured. The Family Health Clinic reported 53% of patients were reliant on Medicaid and 9% were uninsured. The overall hospital reported 21% reliant on Medicaid and 8% uninsured.	CommunityInformation
Community Building Activities	Part VI, Line 5: Community Services/Community Outreach:Kewanee Hospital provides a great deal of free community services and community outreach. The Hospital recognizes the difficulty in reaching the at-risk population and has made a practice to use a variety of notification mechanisms to make the community aware of outreach and educational opportunities. Depending on the target audience, the Hospital utilizes local media (newspaper and radio), community bulletin boards (grocery store, Churches, senior citizens center, community center at the local housing authority, etc.), web-site, e-mail notifications, postings at the Hospital and in the Family Health Clinic (FHC), and direct mail. The Hospital provides free sports physicals for the area athletes at the school to assist them in meeting the Illinois High School Association requirements. Many of the Kewanee athletes would not be able to make it to the Hospital or area physician offices. Kewanee Hospital Rehabilitation Services provides free athletic training services to the Kewanee sports programs. The athletic trainer works collaboratively with the coaches to ensure a safe environment for the athletes. The Rehabilitation Department has also started a Competitive Edge, sports strengthening program. Understanding that many of the athletes in the Kewanee area do not have the financial means to participate in the program, the Hospital has offered scholarships to assist athletes into the program. The program not only helps the athletes' physical abilities, but also gives some of these kids added confidence. The Hospital has provided a variety of free screening opportunities including cholesterol, blood pressure, blood glucose, etc. so that community members can take an active role in their health without feeling the fiscal constraints. Recently Kewanee Hospital hosted a Ladies' Night Out and offered discounted mammograms, free food, and free mini manicures and massages to promote early detection and prevention. The Hospital has also provided a variety of free educational dinner programs to area citizens on topics such as healthy eating, diabetes, and cancer awareness (colorectal, skin, and breast), as well as a series on positive parenting and suicide prevention, targeting parents of school-age children. The event was coordinated with the Kewanee Schools and invites were distributed through the area schools to the parents. At the beginning of December the Hospital offered a free smoking cessation program along with discounted smoking cessation aids. The program is ongoing and several participants are still smoke-free four months later. Support of Local Service Agencies:Kewanee Hospital supports several area service agencies and other not-for-profits both through volunteer hours and monetary support. Many hospital staff members actively participate in local Kiwanis, Rotary, and Lion's service clubs. The Hospital provides space free of charge to Freedom House, a service agency supporting battered woman and children. Kewanee Hospital has supported the Good Fellows baskets through Hospital sponsored labor hours. In 2010 the Good Fellows delivered over 300 baskets of food to needy area families. The Hospital regularly supports the Salvation Army, Food Pantry, Big Brothers/Big Sisters, American Cancer Society and Relay for Life, Senior Citizens Center and Junior Achievement. Kewanee Hospital has provided free meeting space to area support groups including Alzheimer's, Grief Support, Cancer Survivors, and Multiple Sclerosis. The local Food Pantry is always in need of donations as more and more local families are reliant on their services. The Hospital had a contest with other regional hospitals for their respective food pantry organizations on who could donate the most food and Kewanee Hospital won with over 1,500 pounds of food donated to the Kewanee Food Pantry. The Hospital supports local economic development and is an active participant in the community wide planning effort; committing meeting space, A/V equipment, food, and leadership hours to the effort in order to support positive growth in the community. Disaster Preparedness:A comprehensive disaster preparedness program was started by the Hospital a few years ago with ongoing efforts to work collaboratively with the county health department, local city agencies, and the region to build on that program. The leadership team has been through the Incident Command System (ICS) education and has used the ICS structure for several area emergencies including a chemical spill, H1N1 Pandemic. The team has practiced the structure, participating in drills at the local and regional level. Last June the Hospital participated in a comprehensive city-wide disaster exercise. During the planning of the new hospital, it was identified that a fixed indoor decontamination unit would be beneficial. Kewanee is surrounded by agriculture with the ongoing risk of chemical exposure as well as experiencing an increase in the number of local meth labs. The Hospital has identified and trained a "Decon Team" that has used the unit several times in the three years the new hospital has been open. Kewanee Hospital knows that the community will rely on them in the face of a disaster or local emergency and wants to have plans in place to ensure continued operations to the best of their ability. Environmental Awareness:Kewanee Hospital believes in being a good steward to the community and setting the standard for environmental awareness in their area. In FY 2010 a goal was set to eliminate Styrofoam usage in the Cafe and to replace those products with biodegradable options. Overall paper usage in the Cafe was decreased through a "green" tax on to-go orders. The environmental services department furthered a recycling initiative and saved over 230 trees and 97,000 gallons of water. Overall energy use was decreased by scaling back heating/cooling in non-patient areas after hours. Many light bulbs have been changed to greener options utilizing less energy. The Hospital continues to transition chemicals to greener alternatives as they become available. Bike racks were installed so employees and visitors can bike to the hospital and save fuel. Tiling was installed on the adjoining farm ground to prevent runoff of precious topsoil. The Hospital has challenged other organizations in Kewanee to join them in lowering their carbon footprint. Health and Wellness:As one of the largest employers, Kewanee Hospital believes that in order to better care for patients and the community, the Hospital needs to be a leader in health and wellness. The Hospital has focused on health and wellness for their employees with plans to roll out a program to the community. In FY 2010 the wellness endeavor was started with a "Know Your Numbers" campaign. Employees were offered free screenings for cholesterol, blood glucose, blood pressure, BMI and waist measurement. Employees in warning categories were provided free follow-up visits in the Hospital's Family Health Clinic. Employees retested six months later and showed marked improvement in all areas. A weight loss competition was started patterned off the popular show, "Biggest Loser". There were 84 participants who lost a combined total of 750 pounds and improved their overall health status. The wellness team has rolled out a number of free services to employees to assist them in their wellness endeavor including: personal training sessions, off-hours access to the fitness center, consultations with the FHC providers, ongoing testing, smoking cessation, EAP program, and a program on budgeting and finance. The Hospital has started linking this information to other community education to inform the community of the wellness initiative and to entice community members to take an active role in their own health.	CommunityBuildingActivities
Other Information	Part VI, Line 6: Kewanee Hospital has an open medical staff and welcomes physicians and mid-level providers to practice and provide care in the Kewanee community. The Board of Trustees is made up of community members from the local service area who are committed to their role in keeping quality health care local. The Hospital provides many services that would otherwise be unavailable, particularly to those community members unable to travel for services or unable to pay. The Hospital continually works with area students pursuing medical related careers and partners with the area community college and regional colleges and universities to offer clinical and administrative experiences. This includes pre-med, nursing, lab, radiology, cardiopulmonary, finance, and administration.In order to recruit and retain physicians and mid-level providers to the rural community, Kewanee Hospital must offer competitive employment opportunities. Employing physicians is an expensive undertaking which includes taking the risk of practice development and assuming the expense and risk for liability insurance.Currently the FHC providers struggle to access specialists for their patients when needed. There is a reluctance of out-of-town specialists to accept patients reliant on Medicaid. Illinois' current Medicaid crisis has caused those specialists once willing to take new Medicaid patients to cease because they cannot determine when they will receive payment. The children under the care of the FHC are turned down by ENT's, Psychiatrist, and other needed specialist because of their reliance on Medicaid. Because of the size of the community, the demographics and the current physician shortage, Kewanee Hospital is unable to recruit specialists such as ENT, Psychiatrists, Orthopedics, etc. to the area. The FHC providers therefor have to rely on out-of-town specialists for referral. The FHC has started a Patient Assistance program that reaches out to organizations, programs, foundations, etc. to match patients so they can access specialty care, treatment, or medications that are needed. Kewanee Hospital continues the commitment to their mission of improving the health and care of those they serve within their communities. FY 2011 continues a focus on health education, disease management, prevention, and wellness. Despite growing economic hardships due to continued decrease in the number of commercially insured individuals, the growth in patients reliant on Medicaid, and the increase in uninsured patients, the Hospital will continue to provide community outreach to assist those in need. The Hospital's value to the community well exceeds the nearly $4 million contributed in FY 2010. The Hospital is there 24 hours a day, 7 days a week, for community members in their time of need-whether for a child who is sick throughout the night, a parent experiencing chest pains, a grandmother with the warning signs of a stroke, or the victims of a traumatic car accident. Kewanee Hospital stands ready to take care of those community members in need and continues to work towards their vision of setting the standard for local health care with a team of compassionate professionals who are focused on clinical excellence and customer service.	OtherInformation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	IL HOSPITAL RESEARCH & EDUCATION FOUNDATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1151 E WARRENVILLE	AddressLine1
City	NAPERVILLE	City
State	IL	State
ZIP Code	60566	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	237421930	EINOfRecipient
IRC Section	501(c)(3)	IRCSection
Amount Of Cash Grant	11471	AmountOfCashGrant
Purpose Of Grant	TO ADDRESS THE DISPARATE AND NEGATIVE EFFECTS OF THE ILLINOIS MEDICAID PROGRAM	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: FOR GRANTS GIVEN TO ORGANIZATIONS, SUBSTANTIATION IS REQUIRED PRIOR TO DISBURSEMENT OF ALL FUNDS. FOR SCHOLARSHIPS, ALL INDIVIDUALS MUST SIGN A SUPPORT AGREEMENT VERIFYING THEIR OBLIGATIONS AS AWARD RECIPIENTS AND THE RAMIFICATIONS IF THE AGREEMENT IS NOT MET.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DANIEL CONGREVE MD
198567	0	0	0	0	0	0	0	10655	0	209222	0	0	0
MARGARET M GUSTAFSON
211547	0	0	0	0	0	26500	0	22095	0	260142	0	0	0
HOLLY MAES MD
132982	0	0	0	0	0	19575	0	17155	0	169712	0	0	0
LYNN A FULTON
115472	0	0	0	0	0	22893	0	27431	0	165796	0	0	0
ELDON M SAMUEL MD
257737	0	0	0	0	0	19747	0	20838	0	298322	0	0	0
ELOISE SKELTON MD
308485	0	0	0	0	0	16500	0	15323	0	340308	0	0	0
ANGELA WALKER MD
298872	0	0	0	0	0	13085	0	8589	0	320546	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	ILLINOIS FINANCE AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	861091967	IssuerEIN
CUSIP Number	45200BH27	CUSIPNumber
Date Issued	2006-08-31	DateIssued
Issue Price	32114451	IssuePrice
Description Of Purpose	SEE SCHEDULE O	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	33978645	TotalProceeds
Amount In Reserve Fund	2352650	AmountInReserveFund
Issuance Costs From Proceeds	642289	IssuanceCostsFromProceeds
Capital Expenditures	33336356	CapitalExpenditures
Year Of Subst Completion	2008	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Bond Counsel Routinely Engaged	1	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00600	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00600	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	1	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1

Field	Value	IRS element (for citing)
Regulatory Safe Harbor Satisfied	1	RegulatorySafeHarborSatisfied
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part III, line 3	Changes in Program Services	Kewanee Hospital made the difficult decision in FY 2010 to close the obstetric service line due to excessive financial losses resulting from inadequate reimbursement. In three years, the Hospital had lost close to two-million dollars providing obstetric services. The Hospital staff and leadership believe deeply in living the mission of improving the health and care of those served, but realized that continuing the service was jeopardizing the existence of the overall organization. Upon review of the community members served, obstetrics was less than 3% of the overall patients treated-but used a disproportionate share of the resources. The Hospital worked proactively with expectant mothers and area providers for a delivery plan. Tertiary providers in Peoria and Galesburg stated that they were willing to accept all of the patients from Kewanee and could handle the increased volume. Kewanee Hospital has referred patients to them when needed and facilitated any transfer needs. The service closed as of July 31, 2010. The Hospital's Family Health Clinic continues to care for young mothers and their children after delivery.
Form 990, Part VI, Section A, line 8b		THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Section B, line 11		The Strategic Planning and Finance Committee (SPF) is the Board of Trustee level committee charged with reviewing the final form 990 prior to its filing. The entire Board is invited to the SPF committee meeting where the 990 will be presented to participate in the review. The tax return preparer conducts the overview of the Form 990, projecting the 990 on the screen and explaining the pertinent schedules. Each Board member is provided a copy of the 990 for their review. The Board members are given the opportunity to ask questions and make comments. The 990 is not filed until after the Board of Trustees meeting where the 990 will be approved and accepted.
Form 990, Part VI, Section B, line 12c		ANY INTERESTED PERSON WHO HAS A PERSONAL OR PRIVATE INTEREST IN A MEASURE, CONTRACT, RESOLUTION, OR OTHER TRANSACTION PRESENTED TO THE BOARD OR A COMMITTEE THEREOF FOR DELIBERATION, AUTHORIZATION, APPROVAL, OR RATIFICATION, OR ANY INTERESTED PERSON WHO REASONABLY BELIEVES SUCH AN INTEREST EXISTS IN ANOTHER PERSON, SHALL MAKE A PROMPT, FULL, AND FRANK DISCLOSURE IN WRITING OF THE PERSONAL OR PRIVATE INTEREST TO THE BOARD OR COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. THE INTERESTED PERSON SHALL DISCLOSE THE EXISTENCE OF HIS OR HER PERSONAL OR PRIVATE INTEREST AND ALL MATERIAL FACTS, KNOWN TO HIM OR HER ABOUT THE PERSONAL OR PRIVATE INTEREST AND POTENTIAL CONFLICT OF INTEREST.
Form 990, Part VI, Section B, line 15		The Executive Committee of the Hospital Board of Trustees acts as the Compensation Committee for Kewanee Hospital. Annually the Executive Committee of the Board meets to review and approve compensation for the Executive Team which includes the Chief Executive Officer, Chief Operating Officer, Chief Financial Officer and Chief Nursing Officer. Resource data for this review comes from salary surveys from a number of sources including Sullivan Cotter, Central Illinois Society for Healthcare Human Resource Administration (CISHRA), IHA Executive and Management Salary Survey, and a 990 review through Guidestar.org of local and regional organizations. The surveys are analyzed by reviewing applicable cuts of the survey including Critical Access Hospitals, Hospitals with like revenue, and similarly staffed organizations. Surveys are also reviewed at regional and national levels. Compensation is proposed to the committee taking into consideration the median range of all salary sources, education/degree, training, certification, and experience. The committee reviews the salary proposal for reasonableness based on the data sources. The Chief Executive Officer makes recommendations for the salaries of the other executives (COO, CFO and CNO). THIS PROCESS WAS LAST COMPLETED IN 2010.
Form 990, Part VI, Section C, line 19		THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 2C		THE ORGANIZATION'S BOARD OF TRUSTEES ENGAGES THE INDEPENDENT ACCOUNTANTS TO PERFORM THE AUDIT. THE BOARD MEETS WITH THE AUDITORS TO GO OVER THE AUDIT REPORT.
		FORM 990, SCHEDULE K, PART I, LINE A DESCRIPTION OF PURPOSE In response to Part I, line A (f), the purpose of the $32,205,000 Illinois Finance Authority Revenue Bonds, Series 2006 (Kewanee Hospital Project) (the "Bonds") was, together with certain other amounts available to Kewanee Hospital, to (a) pay or reimburse Kewanee Hospital for the payment of the cost of acquiring, constructing, renovating, remodeling and equipping certain of its health facilities, (b) provide funded interest for the Bonds, and (c) pay certain expenses incurred in connection with the issuance of the Bonds.
		FORM 990, SCHEDULE K, PART IV, LINE 1 FORM 8038-T FILING In response to Part IV, line 1, the filing of the Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate is in process as it is not due until five years and 60 days after the bond issue date.
		FORM 990, SCHEDULE K, PART IV, LINES 4B & 4C NAME OF GIC PROVIDER AND TERM OF GIC TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY - GIC PROVIDER FOR PROCEEDS DEPOSITED IN A PROJECT FUND - 1.61 YEARS CITIGROUP FINANCIAL PRODUCTS, INC. - GIC PROVIDER FOR GROSS PROCEEDS DEPOSITED IN A DEBT SERVICE RESERVE FUND - 4.90 YEARS - TERMINATED ON JANUARY 9, 2009