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Iroquois Memorial Hospital & Resident Home
Watseka, IL 60970
| Bed count | 94 | Medicare provider number | 140167 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2020
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 33,660,729 Total amount spent on community benefits as % of operating expenses$ 4,763,199 14.15 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 325,353 0.97 %Medicaid as % of operating expenses$ 4,437,846 13.18 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2020
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 1,775,398 5.27 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2020
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2020
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 30872249 including grants of $ 0) (Revenue $ 31368759) IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME PROVIDES HIGH QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF OUR COMMUNITY, SOME CARE IS PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY EXIST. THESE ACTIVITIES INCLUDE PREVENTION AND WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, AND THE MEDICALLY UNDER SERVED INCLUDING A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.THE HOSPITAL IS LOCATED IN WATSEKA, ILLINOIS AND SERVES THE SURROUNDING COMMUNITIES IN IROQUOIS COUNTY AND WEST-CENTRAL INDIANA. THERE ARE OUTPATIENT CLINICS MAINTAINED IN GILMAN, MILFORD, AND WATSEKA, ILLINOIS AS WELL AS KENTLAND, INDIANA. THE HOSPITAL PROVIDES BEDS FOR ACUTECARE, INTENSIVE CARE, NURSERY, AND LONG-TERM CARE. THE HOSPITAL ALSO PROVIDES AMBULANCE SERVICES TO MOST OF IROQUOIS COUNTY WITH STATIONS IN GILMAN AND WATSEKA. HOME HEALTH AND HOSPICE PROVIDE SERVICES TO WATSEKA AND SURROUNDING COMMUNITIES IN THE HOSPITAL'S SERVICE AREA. THE IROQUOIS REGIONAL HEALTH CENTER HOUSES PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. THE HOSPITAL IS CERTIFIED TO PROVIDE CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE HOSPITAL RECORDS THESE AMOUNTS AS UNCOMPENSATED CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. IROQUOIS MEMORIAL HOSPITAL PROVIDES NON-TRADITIONAL HOSPITAL BASED SERVICES SUCH AS AMBULANCE COVERAGE TO WATSEKA AND THE SURROUNDING IROQUOIS COUNTY COMMUNITIES. IN ADDITION TO THE COSTS OF UNCOMPENSSATED CARE AND OTHER NON-TRADITIONAL SERVICES, IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME COMMITTED SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS ANDOTHER CRITICAL SERVICES WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. SOME OF THOSE ROGRAMS THAT FURTHER THE HOSPITAL'S MISSION INCLUDE:AMBULANCE SUPPORT FOR SPORTING EVENTS AND SURROUNDING VOLUNTEERAMBULANCE DEPARTMENTSBLOOD DRIVESBREAST CANCER AWARENESS EVENTBREAST-FEEDING CLASSES FOR EXPECTANT MOTHERSCAMP 911 SAFETY PROGRAMS FOR AREA SCHOOL CHILDRENFARM SAFETY EDUCATIONFIRST AID FOR LOCAL COMMUNITY EVENTSFREE AND REDUCED FEE HEALTH SCREENINGSFREE BLOOD PRESSURE SCREENINGSFREE CPR TRAINING FOR THE PUBLICGO RED HEALTHY HEART EVENTHEALTH-RELATED ARTICLES IN LOCAL PUBLICATIONSBIRTHING CLASSESLIFELINEMEALS ON WHEELSSPEAKER'S BUREAUTOURS FOR AREA SCHOOL CHILDREN
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Facility Information
IROQUOIS MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: IN CONDUCTING THE CHNA, INPUT WAS GATHERED FROM FOCUS GROUPS. SEVEN FOCUS GROUPS WERE CONDUCTED AND INCLUDED THE HOSPITAL'S EXECUTIVE TEAM, MANAGEMENT TEAM, MEDICAL PROVIDERS, BOARD OF TRUSTEES, FARMERS AND FAITH LEADERS, YOUNG ADULT EMPLOYERS, AND CIVIC AND BUSINESS LEADERS.
IROQUOIS MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: HTTP://WWW.IROQUOISMEMORIAL.COM/GETPAGE.PHP?NAME=COMMUNITY-HEALTH-NEEDS-ASSESSMENT&SUB=ABOUT%20US
IROQUOIS MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: PRIORITY 1--MENTAL HEALTHIROQUOIS MEMORIAL HOSPITAL HAS RE-ESTABLISHED ITS RELATIONSHIP WITH THE IROQUOIS MENTAL HEALTH CENTER TO BETTER ADDRESS THE NEEDS OF PATIENTS WITH MENTAL HEALTH NEEDS. IROQUOIS MEMORIAL HOSPITAL HIRED A CARE COORDINATOR IN 2017 TO DEVELOP CARE PLANS FOR OUR PATIENTS TO ADDRESS MEDICAL, MENTAL, AND NUTRITIONAL NEEDS.PRIORITY 2--DRUG AND ALCOHOL ABUSEIROQUOIS MEMORIAL HOSPITAL HIRED A CARE COORDINATOR IN 2017 TO DEVELOP CARE PLANS FOR OUR PATIENTS TO ADDRESS MEDICAL, MENTAL, AND NUTRITIONAL NEEDS.PRIORITY 3--DIABETESIROQUOIS MEMORIAL HOSPITAL HIRED A CARE COORDINATOR IN 2017 TO DEVELOP CARE PLANS FOR OUR PATIENTS TO ADDRESS MEDICAL, MENTAL, AND NUTRITIONAL NEEDS. IN 2017, THE HOSPITAL HIRED A NURSE PRACTITIONER WHO SPECIALIZES IN CHRONIC DISEASE MANAGEMENT. THE NURSE PRACTITIONER HAS BEEN ABLE TO PROVIDE ADDITIONAL TEACHING FOR DIABETIC PATIENTS.PRIORITY 4--OBESITYIROQUOIS MEMORIAL HOSPITAL HIRED A CARE COORDINATOR IN 2017 TO DEVELOP CARE PLANS FOR OUR PATIENTS TO ADDRESS MEDICAL, MENTAL, AND NUTRITIONAL NEEDS. IN 2017, THE HOSPITAL HIRED A NURSE PRACTITIONER WHO SPECIALIZES IN CHRONIC DISEASE MANAGEMENT. IMH ALSO EMPLOYES A DIETICIAN TO PROVIDE COUNSELING FOR CONDITIONS SUCH AS OBESITY.ALL NEEDS IDENTIFIED WERE ADDRESSED.
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Supplemental Information
PART I, LINE 7: A COST-TO-CHARGE RATIO AS CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, INCLUDED IN THE SCHEDULE H INSTRUCTIONS WAS USED TO DETERMINE THE AMOUNTS ON LINE 7B OF PART I OF SCHEDULE H. ACTUAL COSTS WERE USED TO DETERMINE THE BENEFIT EXPENSES ON LINES 7A, 7E, 7F, 7G, AND7I OF SCHEDULE H, PART I.
PART I, LINE 7G: THE ORGANIZATION INCLUDED COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC, OB, AND RESIDENT HOME IN ITS SUBSIDIZED HEALTH SERVICES.
PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION PROVIDES AN OPEN MEDICAL STAFF TO PROMOTE ACCESS TO CARE FOR THE COMMUNITY. THE BOARD SUPPORTS PROVIDING LARGE AMOUNTS OF UNCOMPENSATED OR SUBSIDIZED CARE TO THE COMMUNITY.
PART III, LINE 2: FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECITON INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE HOSPITAL USES AN OVERALL HOSPITAL COST-TO-CHARGE RATIO TO CALCULATE THE UNPAID COST OF BAD DEBT EXPENSE. IN ADDITION TO THE ABOVE COST OF UNCOMPENSATED CARE, THE HOSPITAL ALSO IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME 37-0673512 COMMITS SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND CRITICAL SERVICES WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE SELF-SUPPORTING OR FINANCIALLY VIABLE.
PART III, LINE 3: DESCRIPTION OF COSTING METHODOLOGY USED: THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINE 2 WAS A RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS.
PART III, LINE 8: MEDICARE COST WAS DETERMINED USING AN OVERALL COST-TO-CHARGE RATIO.
PART III, LINE 9B: QUALIFICATIONS ARE BASED ON POVERTY GUIDELINES PUBLISHED. NO COLLECTION EFFORTS FOR QUALIFYING PATIENTS. PATIENTS WHO DO NOT QUALIFY RECEIVE AT LEAST 3 STATEMENTS AND GENERALLY ARE TURNED TO COLLECTIONS IF NO PAYMENTS ARE RECEIVED.
PART VI, LINE 2: IN PREVIOUS YEARS, THE ORGANIZATION HIRED A CONSULTANT TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES.
PART VI, LINE 3: INFORMATION REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS DISTRIBUTED AT TIME OF THE PATIENT ADMISSION. THE ORGANIZATION ALSO HAS SIGNAGE IN THE ADMISSIONS AREA.
PART VI, LINE 4: THE COMMUNITY IS RURAL WITH OVERALL LOW INCOME LEVELS AND HIGH LEVELS OF UNINSURED PATIENTS. MANY PATIENTS WOULD HAVE PROBLEMS WITH ACCESS TO CARE WITHOUT THE ORGANIZATION SUBSIDIZED PHYSICIAN CLINICS AND OTHER SERVICES.
