2025-04-22T10:45:08-05:00 2024-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-07-01 370661208 HILLSBORO AREA HOSPITAL INC HILL 2175326111 1200 EAST TREMONT STREET HILLSBORO IL 62049 MICHAEL ALEXANDER PRESIDENT & CEO 2175326111 2025-01-25 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-01-25 2023 2025-03-06 01:10:19Z HILLSBORO HEALTH MICHAEL ALEXANDER 1200 EAST TREMONT STREET HILLSBORO IL 62049 41789902 0 X WWW.HILLSBOROHEALTH.ORG X 1906 IL OPERATION OF HOSPITAL (INPATIENT, SWING BED & OUTPATIENT) AND ASSISTED LIVING FACILITIES. 11 11 325 62 0 0 212241 208540 33697242 39572947 890956 1846737 123748 156854 34924187 41785078 134360 7520 0 0 14595293 15975103 0 0 0 18530998 20364692 33260651 36347315 1663536 5437763 56090682 63095164 8069779 9277633 48020903 53817531 TO POSITIVELY AFFECT THE HEALTH AND WELFARE OF THE COMMUNITIES WE SERVE THROUGH THE OPERATION OF A HOSPITAL (INPATIENT, SWING BED AND OUTPATIENT) AND AN ASSISTED LIVING FACILITY. 0 0 28722590 7520 39572947 OPERATION OF A 25-BED CRITICAL ACCESS HOSPITAL (INPATIENT, SWING BED AND OUTPATIENT) WITH AN ASSISTED LIVING FACILITY. 816 ACUTE DAYS, 554 SWING BED DAYS, 20,001 OUTPATIENT VISITS AND 12,607 ASSISTED LIVING RESIDENT DAYS PROVIDED IN FY 2024. HILLSBORO AREA HOSPITAL ALSO PROVIDED $522,415 IN CHARITY CARE AND $2,202,322 IN OTHER COMMUNITY BENEFITS AT COST, NOT INCLUDING BAD DEBT. 28722590 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 85 0 325 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X ALEX NAZARIAN 2175324187 1200 EAST TREMONT STREET HILLSBORO IL 62049 TERRI CARROLL CHIEF FINANCIAL OFFICER (THRU 02/24) 40.00 X X 214707 0 43398 ALEX NAZARIAN CHIEF FINANCIAL OFFICER (BEG 04/24) 40.00 X X 32936 0 0 MIKE ALEXANDER PRESIDENT & CEO 40.00 0.90 X X 0 0 0 EARL FLACK CHAIRMAN 1.00 X X 0 0 0 LISA WHITE VICE CHAIR 1.00 X X 0 0 0 MISTY BORROWMAN TREASURER 1.00 X X 0 0 0 JULIE JENKINS SECRETARY 1.00 0.20 X X 0 0 0 DR JOSEPH BLASER DIRECTOR 1.00 X X 0 0 0 DR BEN CADY DIRECTOR 1.00 X 0 0 0 MARY HERSCHELMAN DIRECTOR 1.00 X 0 0 0 JAMES HERTEL DIRECTOR 1.00 X 0 0 0 DAVID HOUGH DIRECTOR 1.00 X 0 0 0 DR NATHAN KIRBY DIRECTOR 1.00 X 0 0 0 JORDAN RUPPERT DIRECTOR 1.00 X 0 0 0 ANDREW OTT PODIATRIST 40.00 X 259552 0 21658 ABBY BUGG TEAMWORK REHAB DIRECTOR 40.00 X 133529 0 58014 BARBARA SMITH NURSE COORDINATOR 40.00 X 125855 0 21924 THERESA RAPP DIRECTOR OF SURGICAL SERVI 40.00 X 125195 0 3756 MARTA EDWARDS REGISTERED NURSE 5.00 X 112980 0 46980 1004754 0 195730 18 0 1 0 ILLINOIS EMERGENCY PHYSICIANS TSG RESOURCES INC DALLAS TX 752677979 PHYSICIAN COVERAGE 2360770 HEALTHTECH MANAGEMENT SERVICES INC 5110 MARYLAND WAY SUITE 200 BRENTWOOD TN 37027 MANAGEMENT & CEO SERVICES 1230593 ESP PERSONNEL 72-877 DINAH SHORE DR SUITE 103 RANCHO MIRAGE CA 92270 NURSING PERSONNEL SERVICES 758335 PRECISE SPECIALTIES CORP PO BOX 572 HILLSBORO IL 62049 ULTRASOUND SERVICES 215528 STARLIGHT ANESTHESIA LLC 8530 TERRACOTTA PLACE OFALLON IL 62269 ANESTHESIA SERVICES 208882 15 10070 198470 208540 PATIENT SERVICE REVENUE 621110 39468330 39468330 104617 104617 39572947 1849363 1849363 105200 0 105200 105200 105200 2198 4824 -2626 -2626 -2626 CAFETERIA REVENUE 722514 51654 51654 51654 41785078 39572947 0 2003591 X 7520 7520 291041 291041 12215098 10469617 1745481 272296 232284 40012 2283249 1931996 351253 913419 760653 152766 1074523 1074523 56744 1490 55254 51200 51200 15434 15434 6534087 5192801 1341286 53964 325 53639 124124 49306 74818 367468 367468 433959 397213 36746 170888 41507 129381 48799 43550 5249 123969 123969 1368724 1014874 353850 415456 67815 347641 SUPPLIES 3318415 3198836 119579 BAD DEBT EXPENSE 2944458 2944458 REPAIRS & MAINTENANCE 765531 630068 135463 MEDICAID TAX ASSESSMENT 614835 614835 1882114 1614308 267806 36347315 28722590 7624725 0 0 2504765 17765429 21991332 3536808 5121156 950821 605602 658411 631772 39454787 27927961 11036382 11526826 4236606 5245440 17255392 14718089 650833 750182 56090682 63095164 4022119 4431694 176123 39607 3444726 3070858 426811 1735474 8069779 9277633 X 47009938 52685699 1010965 1131832 48020903 53817531 56090682 63095164 X 5437763 755214 -396349 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 15434 15434 0 PART II-B, LINE 1: HILLSBORO AREA HOSPITAL PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE ILLINOIS HOSPITAL ASSOCIATION (IHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS, TO HELP WITH STAFF TRAINING, AND TO ASSIST WITH REIMBURSEMENT. HILLSBORO AREA HOSPITAL ESTIMATED THAT $15,434 OUT OF THE TOTAL DUES PAID TO IHA AND AHA WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT IN ILLINOIS. 435909 6113 442022 433479 2430 435909 430395 3084 433479 426926 3469 430395 421176 5750 426926 0.00000 0.64476 0.35524 0 1 1 330860 330860 20203159 12744092 7459067 18843678 15183869 3659809 77090 77090 11526826 CERTIFICATES OF DEPOSITS 14718089 C 14718089 ASSET RETIREMENT OBLIGATION 81636 AMOUNTS PAYBALE TO THIRD-PARTY REIMBURSEMENT PROGRAMS 1602907 DUE TO HILLSBORO AREA HEALTH FOUNDATION 50931 1735474 38804478 0 38804478 2980600 2980600 41785078 33402857 0 33402857 2944458 2944458 36347315 PART V, LINE 4: THE ENDOWMENTS ARE INTENDED TO BE USED TO SUPPORT THE MAINTENANCE AND EQUIPMENT NEEDS OF THE HOSPITAL. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 2,944,458. INVESTMENT INCOME RECORDED TO RESTRICTED NET ASSET 17,216. CONTRIBUTION FOR PROPERTY AND EQUIPMENT 18,926. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 2,944,458. 1 1 X 1 X 1 X 1 1 1 0 1 0 201837 201837 0.00600 8804498 7199847 1604651 0.04800 9006335 7199847 1806488 0.05400 14816 14816 0.00040 4295138 3577607 717531 0.02150 146527 146527 0.00440 4456481 3577607 878874 0.02630 13462816 10777454 2685362 0.08030 14217 14217 0.00040 14217 14217 0.00040 0 1137602 568801 9036409 9078949 -42540 X 1 1 1 1 HILLSBORO AREA HOSPITAL 1200 EAST TREMONT STREET HILLSBORO IL 62049 WWW.HILLSBOROHEALTH.ORG 968 X X X X HILLSBORO AREA HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X SEE PART V, SECTION C, LINE 7D X 1 23 1 SEE PART V, SECTION C, LINE 7D 0 1 X 100.000000000000 200.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X X 1 X 0 0 HILLSBORO AREA HOSPITAL PART V, SECTION B, LINE 5: HILLSBORO HEALTH ELECTED TO DO A ROBUST COMMUNITY SURVEY PROCESS TO COLLECT INPUT AND TO IDENTIFY HEALTH CONCERNS AND NEEDS IN THE DELIVERY OF HEALTHCARE AND HEALTH SERVICES TO IMPROVE WELLNESS AND REDUCE CHRONIC ILLNESS FOR ALL RESIDENTS. THE SURVEY LINK WAS EMAILED TO COUNTY OFFICIALS, INCLUDING MONTGOMERY COUNTY HEALTH DEPARTMENT, MONTGOMERY COUNTY BOARD OFFICIALS, SCHOOL DISTRICT SUPERINTENDENT/EDUCATORS, CITY ELECTED OFFICIALS, HOSPITAL AND SYSTEM BOARD MEMBERS, LOCAL LAW ENFORCEMENT AND COMMUNITY CIVIC ORGANIZATIONS. THE PUBLIC SURVEY LINK WAS POSTED FOR THE COMMUNITY AT LARGE VIA THEIR SOCIAL MEDIA CHANNELS, IN THE LOCAL PAPER AND VIA EMAIL. THE SURVEY WAS OPEN FOR 30 DAYS AND RECEIVED 214 RESPONSES. 29 TOTAL ZIP CODES WERE REPRESENTED IN AND SURROUNDING THE HILLSBORO HEALTH SERVICE AREA. 88.44% OF THE PARTICIPANTS WERE COVERED BY PRIVATE HEALTH INSURANCE, 16.34% MEDICARE AND 10.00% MEDICAID. (SOME PARTICIPANTS MAY HAVE COVERAGE IN MORE THAN ONE AREA.) HILLSBORO AREA HOSPITAL PART V, SECTION B, LINE 7D: PART V, SECTION B, LINE 7A:HTTPS://WWW.HILLSBOROHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSPART V, SECTION B, LINE 10A:HTTPS://WWW.HILLSBOROHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS HILLSBORO AREA HOSPITAL PART V, SECTION B, LINE 11: COMMUNITY HEALTH NEEDS IDENTIFIEDAT THE CONCLUSION OF THEIR REVIEW AND DISCUSSION, THE IDENTIFICATION AND PRIORITIZATION GROUP ADVANCED THE FOLLOWING NEEDS AS BEING THE SIGNIFICANT COMMUNITY HEALTH NEEDS FACING THE HILLSBORO HEALTH SERVICE AREA:1. ACCESS TO CARE THE GOAL IS TO INCREASE ACCESS TO COMPREHENSIVE, HIGH-QUALITY HEALTHCARE SERVICES, INCLUDING PRIMARY AND SPECIALTY CARE SERVICES.2. WELLNESS THE GOAL IS TO IMPROVE THE PHYSICAL AND MENTAL WELL-BEING OF THE MEMBERS OF THE COMMUNITY. THIS WILL BE DONE THROUGH EDUCATIONAL EFFORTS, INCREASING AWARENESS OF COMMUNITY RESOURCES, AND A CONTINUED FOCUS ON IMPROVING THE SOCIAL WELL-BEING OF COMMUNITY MEMBERS (FOOD ACCESS, EMOTIONAL HEALTH, ETC.)3. MENTAL HEALTH AND SUBSTANCE ABUSE ALTHOUGH BOTH THE COMMUNITY SURVEY AND SUPPORTING DATA SHOW A NEED FOR ADDITIONAL SUPPORT AND RESOURCES FOR MENTAL HEALTH AND SUBSTANCE ABUSE, THE HILLSBORO HEALTH TEAM DID NOT MOVE THIS PRIORITY TO THE ACTION PLAN PHASE. THE REASONS FOR THIS ARE AS FOLLOWS: LACK OF APPROPRIATE REIMBURSEMENT FOR MENTAL HEALTH SERVICES OVERALL. THE LEADER STATED THEIR FORMER BEHAVIORAL HEALTH SERVICE WAS OPERATING AT SUCH A LARGE LOSS THAT IT PUT THE FINANCIAL STABILITY OF THE ORGANIZATION AT RISK. DUE TO THE UNSUSTAINABLE FINANCIAL NATURE OF THE SERVICE LINE, IT WAS CLOSED THE ORGANIZATION DOES OPERATE A PAIN SERVICE THAT IS AN ALTERNATIVE TO OPIOIDS OR OTHER DRUGS FOR PAIN. THE IMPLEMENTATION STRATEGY WAS DEVELOPED THROUGH A FACILITATED MEETING INVOLVING KEY ADMINISTRATIVE STAFF AT HILLSBORO HEALTH IN MAY 2024. THE GROUP REVIEWED THE NEEDS ASSESSMENT PROCESS COMPLETED TO THAT POINT AND CONSIDERED THE PRIORITIZED SIGNIFICANT NEEDS AND SUPPORTING DOCUMENTS. THEY DISCUSSED STEPS TAKEN TO ADDRESS THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT. THEY ALSO CONSIDERED INTERNAL AND EXTERNAL RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THE CURRENT PRIORITIZED NEEDS. THE GROUP THEN CONSIDERED EACH OF THE PRIORITIZED NEEDS. FOR EACH OF THE THREE PRIORITY AREAS, ACTIONS THE HOSPITAL INTENDS TO TAKE WERE IDENTIFIED ALONG WITH THE ANTICIPATED IMPACT OF THE ACTIONS, THE RESOURCES THE HOSPITAL INTENDS TO COMMIT TO THE ACTIONS, AND THE EXTERNAL COLLABORATORS THE HOSPITAL PLANS TO COOPERATE WITH TO ADDRESS THE NEED. THE PLAN WILL BE EVALUATED BY PERIODIC REVIEW OF MEASURABLE OUTCOME INDICATORS WITH ANNUAL REVIEW AND REPORTING.IMPLEMENTATION STRATEGY:THE GROUP ADDRESSED THE NEEDS WITH THE FOLLOWING STRATEGIES:1. ACCESS TO CARE: THE GOAL IS TO INCREASE ACCESS TO COMPREHENSIVE, HIGH-QUALITY HEALTHCARE SERVICES, INCLUDING PRIMARY AND SPECIALTY CARE SERVICES.ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED: - EVALUATE FURTHER DEVELOPMENT OF AN ORTHOPEDIC SERVICE IN THE COMMUNITY BY PARTNERING WITH PROVIDERS FROM ADJACENT COMMUNITIES TO DO CLINICS AND PROCEDURES AT HILLSBORO HEALTH. - REVIEW THE CURRENT OR SPACES FOR POTENTIAL RENOVATIONS TO ACCOMMODATE SPECIALTY CARE PROCEDURES. SEEK FUNDING FOR THIS IN LONG TERM PLANNING, GRANTS OPPORTUNITIES, ETC. - SUPPORT THE PHYSICIANS IN THE COMMUNITY WHO PROVIDE OBSTETRICAL SERVICES. WHILE HILLSBORO HEALTH DOES NOT DELIVER BABIES (MOST ARE DONE IN LITCHFIELD), THESE PHYSICIANS PROVIDE PRE AND POSTNATAL CLINICS IN THE COMMUNITY. - SUPPORT A RECENTLY ADDED UROLOGY SERVICE WITH PROMOTION AND RESOURCES AS NEEDS ARE IDENTIFIED. - CONTINUE TO RECRUIT SPECIALTY PROVIDERS TO THE AREA AS SPECIFIC NEEDS ARE IDENTIFIED IN PLANNING AND BY PRIMARY CARE.INDICATORS THAT SUPPORT THIS PRIORITY: - ACCESS TO SPECIALTY CARE SERVICES WAS IN THE TOP FIVE IDENTIFIED PROBLEMS IN THE COMMUNITY RELATING THE HEALTH OR A HEALTHY LIFESTYLE. OBSTETRICS, ORTHOPEDICS AND UROLOGY WERE ALL SPECIFIED NEEDS. - THE OVERALL TEEN BIRTH RATE FOR THE SERVICE AREA (6.79/1000 FEMALES) WAS WITHIN THE NORMAL RANGE AS COMPARED TO THE STATE AND U.S. AVERAGES. HOWEVER, FAYETTE COUNTY, LOCATED IN THE EASTERN SIDE OF THE HILLSBORO HEALTH MARKET AREA, HAD A SIGNIFICANTLY INCREASED TEEN BIRTH RATE AT 88.36/1000 FEMALES. - 20% OF THE OVERALL POPULATION IS AGED 65+ INDICATING A POTENTIALLY INCREASED NEED FOR BOTH ORTHOPEDIC AND UROLOGY SPECIALTIES. OVER 50% OF HOUSEHOLDS HAVE SOMEONE AGED 65+ LIVING IN THEM. - 17.41% OF THE OVERALL POPULATION IS CONSIDERED DISABLED AND APPROXIMATELY 32% OF HOUSEHOLDS HAVE SOMEONE WITH A DISABILITY. (6889 TOTAL HOUSEHOLDS: 2213 HOUSEHOLDS WITH ANY DISABILITY). ANTICIPATED IMPACTS OF THESE ACTIONS: - PATIENTS WILL BE ABLE TO SEE ORTHOPEDIC AND UROLOGY SPECIALISTS IN THE COMMUNITY. - OB PRENATAL AND POSTNATAL CARE WILL BE PROVIDED IN THE COMMUNITY. - PROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED CHIEF EXECUTIVE OFFICER SPECIALTY CLINIC PRACTICE MANAGER PRIMARY CARE MEDICAL STAFF MARKETING RESOURCES INCLUDING ADVERTISING AND SOCIAL MEDIA PLATFORMSPLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS: SPRINGFIELD CLINIC SIU PHYSICIANS HSHS INDEPENDENT PROVIDERS 2. WELLNESS: THE GOAL IS TO IMPROVE THE PHYSICAL AND MENTAL WELL-BEING OF THE MEMBERS OF THE COMMUNITY. THIS WILL BE DONE THROUGH EDUCATIONAL EFFORTS, INCREASING AWARENESS OF COMMUNITY RESOURCES, AND A CONTINUED FOCUS ON IMPROVING THE SOCIAL WELL-BEING OF COMMUNITY MEMBERS (FOOD ACCESS, EMOTIONAL HEALTH, ETC.).ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED: - LEVERAGE THE EXISTING HILLSBORO HEALTH FITNESS AND AQUATIC CENTER RESOURCES TO ENCOURAGE COMMUNITY PARTICIPATION. ENSURE SERVICE PRICING IS REASONABLE. - INVESTIGATE WAYS TO PROVIDE FREE OR VERY LOW-COST FITNESS OPPORTUNITIES. - CONTINUE THE SUMMER LUNCH PROGRAM FOR STUDENTS WHO WOULD NORMALLY BE RECEIVING LUNCH AT SCHOOL. - WORK WITH COMMUNITY PARTNERS TO ASSURE EVERYONE IS AWARE OF THE RESOURCES WITHIN HILLSBORO HEALTH AND OTHER COMMUNITY HEALTHCARE PARTNERS TO ADDRESS HEALTH AND SOCIAL SERVICE CONCERNS. THIS WILL BE DONE THROUGH THE ANNUAL HEALTH AND WELLNESS FAIR. - PROVIDE TOOLS AND SCREENINGS THAT SUPPORT EMOTIONAL HEALTH IMPROVEMENT TO THE EMPLOYEE GROUP AND THE COMMUNITY.INDICATORS THAT SUPPORT THIS PRIORITY: - OBESITY: LACK OF ACCESS TO HEALTHY FOODS/POOR NUTRITION WAS ALSO IDENTIFIED AS ONE OF THE TOP FIVE (5) MOST IMPORTANT HEALTH ISSUES IN THE COMMUNITY. - APPROXIMATELY 2% OF THE COMMUNITY SURVEY RESPONDENTS STATE THEY HAVE EITHER ACCESSED OR NEEDED TO ACCESS A FOOD PANTRY. - ALMOST 10% OF THE COMMUNITY SURVEY RESPONDENTS STATED THEY NEEDED HELP WITH THEIR MEDICAL BILLS OR HEALTH INSURANCE. - ALTHOUGH THE SECONDARY DATA SHOWS THAT PATIENTS WHO SELF-REPORT THEMSELVES AS OBESE (BMI >30.0) ARE LOWER THAN THE STATE AND NATIONAL AVERAGES AT 22.2%, STATE AND NATIONAL TRENDS HAVE BEEN INCREASING SINCE 2004. - POOR OR FAIR HEALTH WAS REPORTED BY 17.70% OF ADULTS OVER AGE 18, AS COMPARED TO 15.43% IN ILLINOIS AND 16.10% IN THE U.S. - DIABETES INCIDENTS IN THE MEDICARE POPULATION IS 27.6% AS COMPARED TO 27% IN ILLINOIS AND THE UNITED STATES. SELECTED COUNTIES IN THE SERVICE MARKET AREA ARE AS HIGH AS 29.4% (BOND AND MACOUPIN). - ACROSS THE NATION, THE TOTAL NUMBER OF PATIENTS DIAGNOSED WITH DIABETES HAS RISEN FROM 6.6% IN 2004 TO 8.9% IN 2021. - 50% OF THE STUDENTS IN THE SERVICE MARKET AREA ARE ELIGIBLE FOR FREE OR REDUCED LUNCHES IN SCHOOL. - OVERALL FOOD INSECURITY RATES ARE GREATER THAN THE STATE AND NATIONAL NORMS (11.17%). FOOD INSECURITY IN CHILDREN IS 12.0%, WHICH IS HIGHER THAN THE U.S. NORM. - FOUR (4) ZIP CODES IN THE SOUTHERN SERVICE MARKET AREA ARE CONSIDERED FOOD DESERTS. ANTICIPATED IMPACTS OF THESE ACTIONS: - CITIZENS WILL LEARN ABOUT THE RESOURCES OFFERED BY HILLSBORO HEALTH AND OTHER HEALTH AND SOCIAL SERVICES PROVIDERS. - CITIZENS WILL HAVE ACCESS TO FITNESS PROGRAMMING THAT IS AFFORDABLE. - DIABETES EDUCATION AND SCREENING WILL BE PROVIDED FOR PATIENTS WHO ARE PREDIABETIC OR DIABETIC. THIS WILL INCLUDE MANAGEMENT, MEDICATION MANAGEMENT, EXERCISE, ETC. - STUDENTS WHO NORMALLY ARE FED WITH THE SCHOOL LUNCH PROGRAM WILL HAVE ACCESS TO HEALTHY FOOD DURING THE SUMMER. - PROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED CHIEF EXECUTIVE OFFICER HILLSBORO HEALTH FITNESS AND AQUATIC CENTER DIETICIANPLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS: COMMUNITY HEALTHCARE AND SOCIAL SERVICE PARTNERSTHE 2024 CHNA WAS PRESENTED TO THE HILLSBORO HEALTH BOARD OF DIRECTORS ON JUNE 20, 2024. IT WAS APPROVED AS PRESENTED. HILLSBORO AREA HOSPITAL PART V, SECTION B, LINE 20E: A MINIMUM OF 2 STATEMENTS AND 1 LETTER ARE SENT PRIOR TO SENDING ACCOUNT TO COLLECTIONS, EACH NOTING HOW TO CONTACT THE HOSPITAL FOR FINANCIAL ASSISTANCE. PART V, SECTION B, LINES 16A-C: HTTPS://WWW.HILLSBOROHEALTH.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE 2 1 - TREMONT RIDGE ASSISTED LIVING 801 E TREMONT STREET HILLSBORO IL 62049 ASSISTED LIVING FACILITY 2 - TEAMWORK REHAB NOKOMIS 207 W STATE STREET NOKOMIS IL 62075 OUTPATIENT PHYSICAL THERAPY PART I, LINE 3C: HILLSBORO AREA HOSPITAL USES THE FEDERAL POVERTY GUIDELINES AS ONE MEANS OF DETERMINING ELIGIBILITY FOR CHARITY CARE. THE FEDERAL POVERTY GUIDELINES ARE UPDATED AND PUBLISHED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. AS A GENERAL RULE, A PATIENT'S INCOME, BASED ON FAMILY SIZE, MUST BE AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES TO BE ELIGIBLE FOR THE CHARITY CARE PROGRAM AND AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES FOR THE UNINSURED/UNDERINSURED CHARITY DISCOUNT. A SLIDING SCALE BASED ON THE PATIENT'S INCOME LEVEL UNDER THE FEDERAL POVERTY GUIDELINES WILL BE USED TO DETERMINE THE PRECISE AMOUNT OF CHARITY CARE FOR WHICH A PATIENT WILL BE ELIGIBLE. SOME PATIENTS' INCOME MAY EXCEED THESE GUIDELINES, BUT MAY STILL BE ELIGIBLE FOR CHARITY CARE WHEN ADDITIONAL CRITERIA SUCH AS HOMELESSNESS, DECEASED WITH NO ESTATE, MENTAL INCAPACITATION WITH NO ONE TO ACT ON THEIR BEHALF, MEDICAID ELIGIBILITY NOT ON THE DATE OF SERVICE (E.G. SPENDDOWN UNMET) OR NON-COVERED SERVICE, CURRENTLY ENROLLED IN A COMMUNITY PROGRAM REQUIRING POVERTY LEVEL INCOME, INCARCERATION IN A PENAL INSTITUTION WITHOUT OTHER COVERAGE AVAILABLE, SELF-ADMINISTERED DRUGS-MEDICARE/MEDICAID DUAL ELIGIBILITY ONLY, MEDICAID DHS SERVICES ONLY (I.E., MENTAL HEALTH SERVICES ONLY), DRUG AND ALCOHOL REHAB PATIENTS, MEDICAID ELIGIBLE FOR HEALTH WOMEN'S BENEFITS (I.E., COVERAGE FOR PAPS, MAMMOGRAPHY ONLY), AND OUT OF STATE MEDICAID. PART I, LINE 7: THE COST TO CHARGES RATIO WAS USED AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES AT THE HOSPITAL INCLUDES THE OPERATION OF THE EMERGENCY ROOM. THE EMERGENCY ROOM IS OPERATED 24 HOURS A DAY, 7 DAYS A WEEK, AND IS STAFFED BY A HIGHLY TRAINED GROUP OF NURSING STAFF AND PHYSICIANS WHO DO THEIR BEST TO PROVIDE EXCEPTIONAL CARE TO MEMBERS OF THE COMMUNITY IN NEED OF EMERGENCY CARE. THE EMERGENCY DEPARTMENT HAS A LARGE AMOUNT OF FIXED EXPENSES WHICH ARE NECESSARY TO PROVIDE THE SERVICE ON A 24 HOUR A DAY BASIS, WHICH IS A REQUIREMENT OF OPERATING A CRITICAL ACCESS HOSPITAL. THE HOSPITAL TREATS ALL PATIENTS, REGARDLESS OF ABILITY TO PAY, IN ITS EMERGENCY ROOM AND FOR THESE REASONS IT IS A SUBSIDIZED SERVICE WHICH THE HOSPITAL PROVIDES AND OFFERS TO THE COMMUNITY FOR THOSE IN NEED. 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 $ 2,944,458. PART II, COMMUNITY BUILDING ACTIVITIES: COALITION WITH PANA, CARLINVILLE, AND JERSEYVILLE HOSPITALS - THIS ALLIANCE ESTABLISHED THE FRAMEWORK TO ALLOW THESE CRITICAL ACCESS HOSPITALS TO COLLABORATE ON MUTUALLY BENEFICIAL OPPORTUNITIES IN ORDER TO MAINTAIN PROFESSIONAL, COMMUNITY-BASED, HIGH QUALITY HEALTHCARE IN THEIR LOCAL COMMUNITIES. THIS ALLIANCE IS NOT A FORMAL AFFILIATION, MERGER OR ACQUISITION, AND DID NOT CHANGE THE INDEPENDENT STATUS OF EACH HOSPITAL. WHILE THE FOUR HOSPITALS SERVE DISTINCT, RURAL, SOUTH-CENTRAL ILLINOIS COMMUNITIES, THEY SHARE SIMILAR MISSIONS, GOALS AND CHALLENGES, AND CURRENTLY COLLABORATE IN A VARIETY OF WAYS. ALL FOUR HOSPITAL LEADERS ALONG WITH THEIR BOARDS OF DIRECTORS BELIEVE THAT THE HOSPITALS CAN BE STRONGER TOGETHER THROUGH THIS COLLABORATIVE ALLIANCE. CRITICAL ACCESS HOSPITALS FACE MAJOR REGULATORY, GEOGRAPHIC, SOCIAL AND ECONOMIC CHALLENGES WHICH DEMAND CREATIVE, COLLABORATIVE THINKING TO ENSURE RURAL COMMUNITIES CONTINUE TO HAVE ACCESS TO LOCAL, HIGH-QUALITY HEALTHCARE, INCLUDING NEW TECHNOLOGY AND PHYSICIAN SPECIALISTS, WHILE AT THE SAME TIME INCREASING EFFICIENCIES AND LOWERING COSTS. THIS ALLIANCE BETWEEN CARLINVILLE, HILLSBORO, PANA, AND JERSEYVILLE WILL BETTER POSITION THE FOUR HOSPITALS TO FACE CURRENT AND FUTURE CHALLENGES AND ENABLE THEM TO CONTINUE TO PROVIDE HIGH-QUALITY CARE LOCALLY. 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: PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY: PATIENT ACCOUNTS RECEIVABLE IS REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE HOSPITAL EXPECTS TO BE ENTITLED, IN EXCHANGE FOR PROVIDING PATIENT CARE SERVICES. PATIENT ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING BALANCE SHEETS NET OF CONTRACTUAL ADJUSTMENTS AND IMPLICIT PRICE CONCESSIONS WHICH REFLECTS MANAGEMENT'S ESTIMATE OF THE TRANSACTION PRICE. THE HOSPITAL ESTIMATES THE TRANSACTION PRICE BASED ON NEGOTIATED CONTRACTUAL AGREEMENTS, HISTORICAL EXPERIENCE, AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS AND IS RECORDED THROUGH A REDUCTION OF GROSS REVENUE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE.THE HOSPITAL DOES NOT HAVE A POLICY TO CHARGE INTEREST ON PAST DUE ACCOUNTS.THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. PART III, LINE 8: THE COSTING METHOD USED ABOVE FOR IRS FORM 990 COMPLIANCE REPORTING IS ALSO BASED ON AN OVERALL AVERAGE COST-TO-CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE) DIVIDED BY TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE. THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES WHICH ARE REIMBURSED ON A COST METHODOLOGY EXCLUDING THE FEE SCHEDULE ITEMS LIKE PHYSICIAN SERVICES AND THE HOSPITAL WOULD SHOW A LARGE LOSS ON THESE SERVICES.THE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFITS EXPENSE BECAUSE PROVIDING MEDICAL CARE AT A SHORTFALL IMPACTS THE HOSPITAL'S OPERATIONS AND GROWTH. THE CARE IS PROVIDED BECAUSE THERE IS A NEED AND A DESIRE TO PROVIDE MEDICAL CARE IN THIS COMMUNITY.WHETHER THERE IS A SHORTFALL OR SURPLUS FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. PART III, LINE 9B: COLLECTION ACTIONS ARE STOPPED ON PATIENT BALANCES THAT ARE DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: HILLSBORO AREA HOSPITAL CONDUCTS A NEEDS ASSESSMENT WITH ITS STRATEGIC PLANNING AND LONG-RANGE FINANCIAL PLANNING 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 AND MANAGEMENT TEAM DEVELOP A STRATEGIC PLAN. 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'S WEBSITE. PART VI, LINE 4: HILLSBORO AREA HOSPITAL DEFINED ITS PRIMARY SERVICE AREA AND POPULATIONS AS THE GENERAL POPULATION WITHIN THE GEOGRAPHIC AREA IN AND SURROUNDING THE CITY OF HILLSBORO, DEFINED IN DETAIL BELOW. THE HOSPITAL'S PATIENT POPULATION INCLUDES ALL WHO RECEIVE CARE WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR ASSISTANCE. THE SERVICE AREA CONSISTS OF THE FOLLOWING RURAL COMMUNITIES. CITIES: HILLSBORO, NOKOMIS, WITTVILLAGES AND UNINCORPORATED COMMUNITIES: FILLMORE, IRVING, COFFEEN, RAYMOND, BUTLER, DONNELLSON, AND TAYLOR SPRINGSACCORDING TO U.S. CENSUS DATA, THE POPULATION IN THE HILLSBORO AREA HOSPITAL SERVICE AREA FELL FROM 18,938 PEOPLE TO 17,488 PEOPLE BETWEEN THE YEARS 2010 AND 2020, A 7.66% DECREASE. ACCORDING TO 2022 DATA, THE POPULATION BY GENDER IN THE SERVICE AREA IS 58% MALE AND 42% FEMALE. THE PRIMARY SERVICE AREA OF HILLSBORO AND TAYLOR SPRINGS HAS 1008 PEOPLE IN THE AGES 0-14, 1008 AGES 15-24, 1376 AGES 25-34, 1218 AGES 35-44, 1095 AGES 45-54, 1054 AGES 55-64, AND 1626 AGES 65 AND OLDER. THE SERVICE AREA IS WHITE (NON-HISPANIC): 83.8%, BLACK OR AFRICAN-AMERICAN: 9.8%, ASIAN: <0.4%, AND HISPANIC OR LATINO: 3.1%. PART VI, LINE 5: DESIGNATED AS CRITICAL ACCESS HOSPITAL THE HOSPITAL USES ANY LIMITED SURPLUS FUNDS TO FURTHER ITS EXEMPT PURPOSE BY PROVIDING PROGRAMS AND ACCESS AS NOTED IN FORM 990, LINE 1 AND 4A. THE BOARD OF DIRECTORS IS MADE UP OF VOLUNTEER COMMUNITY LEADERS WITHIN ITS PRIMARY SERVICE AREA THAT ARE APPROVED BY THE MEMBER ORGANIZATION. PART VI, LINE 6: THE HOSPITAL IS PART OF A CRITICAL ACCESS NETWORK THAT INCLUDES HILLSBORO AREA HEALTH SYSTEM NFP, ITS SOLE CORPORATE MEMBER, WHICH 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.THE HOSPITAL PROVIDES THE USE OF SPACE AT NO CHARGE TO THE HILLSBORO COMMUNITY SCHOOL DISTRICT FOR A DAYCARE FACILITY AND HAS FUNDED STUDER GROUP CONSULTING FEES FOR THE SCHOOL'S COMMITMENT TO A CULTURE OF EXCELLENCE. THE HOSPITAL ALSO PROVIDES GRAND ADVANTAGE SENIOR EXERCISE CLASSES TO THE SENIORS IN THE AREA AT NO CHARGE. 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 HAS PARTICIPATED IN THE LOCAL COMMUNITY FAIR, PROVIDING HEALTH INFORMATION TO THE PUBLIC.THE HOSPITAL PROVIDES THE USE OF SPACE ON OUR CAMPUS FOR THE CERTIFIED NURSING ASSISTANT CLASSES FREE OF CHARGE TO LOCAL HIGH SCHOOLS. 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 THE ORGANIZATION WORKS, DEVELOP LEADERSHIP SKILLS, AND PLAN AND EXECUTE COMMUNITY IMPROVEMENT ACTIVITIES WITH THE HELP OF THE HOSPITAL STAFF MEMBERS.THE HOSPITAL HAS 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 HAS ASSISTED SIU SCHOOL OF MEDICINE WITH RESEARCH PROJECTS IN THE COMMUNITY RELATED TO CHILD DEVELOPMENT, LUNG CANCER SCREENINGS AND YOUTH ASSESSMENTS. FURTHERMORE, THE HOSPITAL HAS HISTORICALLY BEEN RECOGNIZED AS HILLSBORO'S BUSINESS OF THE YEAR FOR ITS POSITIVE ECONOMIC AND CIVIC IMPACT AND ITS OVERWHELMING SUPPORT OF THE COMMUNITY. X 1 1 X X X 0 0 0 0 0 0 0 0 0 ANDREW OTT PODIATRIST 178420 0 81132 0 0 0 7825 0 13833 0 281210 0 0 0 TERRI CARROLL CHIEF FINANCIAL OFFICER (THRU 02/24) 208315 0 6392 0 0 0 6639 0 36759 0 258105 0 0 0 ABBY BUGG TEAMWORK REHAB DIRECTOR 126864 0 6665 0 0 0 4258 0 53756 0 191543 0 0 0 MARTA EDWARDS REGISTERED NURSE 104980 0 8000 0 0 0 1713 0 45267 0 159960 0 0 0 PART I, LINE 1B ALL FULL-TIME EMPLOYEES HAVE THE OPTION TO BE A MEMBER OF THE HILLSBORO HEALTH FITNESS & AQUATICS CENTER WHICH THE HOSPITAL PAYS DIRECTLY TO HILLSBORO AREA HEALTH SERVICES AS A BENEFIT TO HOSPITAL EMPLOYEES. A CITY OF HILLSBORO MONTGOMERY COUNTY ILLINOIS 376001658 2008-09-30 7220000 CAPITAL IMPROVEMENT PROJECT 0 0 0 A 4508458 7220000 83500 7030981 105519 2010 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 SCHEDULE K, PART IV, LINE 2C: THE ORGANIZATION QUALIFIED FOR AN EXCEPTION TO REBATE. THE BOND QUALIFIES FOR THE 2-YEAR SPENDING EXCEPTION. FORM 990, PART VI, SECTION A, LINE 3 HEALTHTECH MANAGEMENT SERVICES, INC. DBA HEALTHTECHS3, PROVIDES MANAGEMENT AND CEO SERVICES. MICHAEL ALEXANDER, PRESIDENT & CEO OF HILLSBORO AREA HOSPITAL, IS EMPLOYED BY HEALTHTECHS3. THE AMOUNT PAID IN TOTAL TO HEALTHTECHS3 IS INCLUDED IN PART VII, SECTION B. THE SPECIFIC AMOUNT PAID FOR CEO SERVICES IN PARTICULAR WITHIN THAT TOTAL WAS $809,933. THIS ALSO INCLUDES SERVICES TO HILLSBORO AREA HOSPITAL AND OTHER RELATED PARTIES LISTED ON SCHEDULE R. FORM 990, PART VI, SECTION A, LINE 6 HILLSBORO 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 7A ONLY THE INDIVIDUAL MEMBERS CAN ELECT MEMBERS TO THE GOVERNING BODY. THE VOTING OF DIRECTORS TO THE BOARD ONLY OCCURS IN OCTOBER. IN ADDITION, THE SOLE CORPORATE MEMBER MUST APPROVE ALL BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATE MEMBER, HILLSBORO AREA HEALTH SYSTEM NFP, APPROVES ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR TO THE BYLAWS OF THE CORPORATION AND APPROVES HOSPITAL BOARD MEMBERS ELECTED. THE ONLY VOTING RIGHT OF THE INDIVIDUAL MEMBERS IS THE RIGHT TO ELECT DIRECTORS. IN ADDITION, HILLSBORO AREA HEALTH SYSTEM NFP MUST APPROVE SUCH ITEMS AS BUDGETS, STRATEGIC PLANS, LARGE UNBUDGETED CAPITAL EXPENDITURES, LAND SALES, ETC. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE 990 TO EACH MEMBER OF THE BOARD FOR REVIEW. THE BOARD THEN VOTES ON THE APPROVAL OF THE 990 AS IT IS OR CONTINGENT UPON CHANGES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, EMPLOYEES COMPLETE AND SIGN A DISCLOSURE STATEMENT AND THE BOARD OF DIRECTORS COMPLETE AND SIGN A CONFLICT OF INTEREST FORM. THE BOARD REVIEWS THE DISCLOSURES AND TAKES APPROPRIATE ACTION TO RESOLVE ANY ISSUES. IF A CONFLICT EXISTS, THE BOARD MEMBER SHALL ABSTAIN FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 A PERFORMANCE EVALUATION IS COMPLETED AND DISCUSSED IN EXECUTIVE SESSION BY THE BOARD OF DIRECTORS FOR EXECUTIVE EMPLOYEES. THE PROCESS FOR DETERMINING COMPENSATION INCLUDES REVIEWS OF SALARY RANGES FOR THE POSITIONS PER VARIOUS DATABASES AND/OR MATERIAL AVAILABLE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G EMERGENCY ROOM PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,211,301. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,211,301. OTHER PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 844,274. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 844,274. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,137,226. MANAGEMENT AND GENERAL EXPENSES 1,341,286. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,478,512. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS -522. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 104,173. TRANSFER TO HILLSBORO AREA HEALTH SYSTEM NFP -500,000. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS OF THE ORGANIZATION WORK CLOSELY WITH HILLSBORO AREA HEALTH SYSTEM NFP AND THE OTHER RELATED ENTITIES TO SELECT AND APPOINT THE AUDITOR OF THE FINANCIAL STATEMENTS. HILLSBORO AREA HEALTH SYSTEM NFP 1200 E TREMONT ST HILLSBORO IL 62049 364539688 MANAGEMENT AND OVERSIGHT OF HEALTH CARE SYSTEM IL 501(C)(3) LINE 12C, III-FI 0 HILLSBORO AREA HEALTH FOUNDATION 1200 E TREMONT ST HILLSBORO IL 62049 371247796 PROVIDE SUPPORT FOR HILLSBORO AREA HOSPITAL IL 501(C)(3) LINE 7 HILLSBORO AREA HEALTH SYSTEM NFP 1 HILLSBORO AREA HEALTH SERVICES INC 1210 E TREMONT ST HILLSBORO IL 62049 371240643 ESTABLISH AND OPERATE FACILITIES FOR WELLBEING OF PERSONS IN AREA IL 501(C)(3) LINE 10 HILLSBORO AREA HEALTH SYSTEM NFP 1 0 1 0 0 0 0 0 0 0 1 1 0 1 0 1 1 1 1 1