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Northwest Memorial Healthcare
Woodstock, IL 60098
Bed count | 190 | Medicare provider number | 140176 | 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: 2018
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 $ 10,682,726 Total amount spent on community benefits as % of operating expenses$ 799,722 7.49 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 249,657 2.34 %Medicaid as % of operating expenses$ 550,065 5.15 %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: 2018
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$ 1,668,787 15.62 %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: 2018
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: 2018
- 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 $ 8908327 including grants of $ 0) (Revenue $ 7199691)
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Facility Information
ACCOUNT INPUT FROM PERSON WHO REPRESENT THE COMMUNITY FORM SCH H PART V LINE 5 IN PURSUIT OF A HEALTHIER COMMUNITY, THE 2017 MCHENRY COUNTY HEALTHY COMMUNITY PARTNERS COMMISSIONED A SET OF STUDIES TO MEASURE AND MONITOR THE OVERALL HEALTH OF THE COUNTY. WITH THE INTENT OF IDENTIFYING THE MOST PRESSING NEEDS, THE SIX FUNDING PARTNERS IN CONJUNCTION WITH 25 ADDITIONAL COMMUNITY ORGANIZATIONS, KNOWN COLLECTIVELY AS THE MAPP AGENCIES, WILL USE THE STUDIES' FINDINGS TO ASSESS MULTIPLE DIMENSIONS OF LIFE IN MCHENRY COUNTY. SIMILAR NEEDS ASSESSMENTS WERE COMPLETED IN 2006, 2010 AND 2014. THE MAPP (MOBILIZING FOR ACTION THROUGH PARTNERSHIPS AND PLANNING) PROCESS HAS BEEN USED SINCE 2010. EACH OF THE THREE STUDIES WAS DESIGNED TO EXAMINE THE HEALTH OF MCHENRY COUNTY FROM A DIFFERENT PERSPECTIVE;, THE IMPRESSIVE VOLUME OF REPLIES DEMONSTRATES THE VALUE OF BROAD AND MULTI-LAYER PROMOTION ABOUT THE SURVEY. FOCUS GROUPS SOUGHT INFORMATION THROUGH DISCUSSION WITH TARGET POPULATIONS AND COMMUNITY LEADERS. TARGET POPULATION FOCUS GROUPS INCLUDED 1) PERSONS WITH MENTAL ILLNESS, SUBSTANCE ABUSE, DISABILITIES, AND THEIR PARENTS, 2) HISPANICS/LATINOS 3) VETERANS 4) LOW-INCOME
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Supplemental Information
FINANCIAL ASSISTANCE FORM SCH H PART I LINE 7 LINE 7A-7C AMOUNTS ARE CALCULATED USING THE MEDICARE COST TO CHARGE RATIO. LINE 7E-7I AMOUNTS ARE CALCULATED FROM COMMUNITY BENEFIT REPORTS THAT ARE SUBMITTED BY THE HOSPITAL DEPARTMENTS FOR VARIOUS ACTIVITIES AND SUPPORT GROUPS THAT BENEFIT THE COMMUNITY. METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE FORM SCH H PART III LINE 2 THE ORGANIZATION USES AN ANALYSIS BASED ON HISTOY OF THE TYPE OF PAYER AND THE DAYS OUTSTANDING OF THE RECEIVABLE TO DETERMINE AN ESTIMATE OF THE AMOUNT THAT WILL BE UNCOLLECTIBLE. BAD DEBT EXPENSE FORM SCH H PART III LINE 4 IN ESTIMATING ALLOWANCES FOR DOUBTFUL ACCOUNTS, THE HEALTH SYSTEM ANALYZES PAST HISTORY, EXISTING TRENDS, AND PAYER SOURCES TO DETERMINE THE RESERVES NEEDED. EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT FORM SCH H PART III LINE 8 THE AMOUNT SHOWN IN LINE 6 REPRESENTS THE ACTUAL COSTS INCURRED TO TREAT MEDICARE PATIENTS AND IS CALCULATED BY APPLYING THE MEDICARE COST-TO-CHARGE RATIO. THEREFORE, THE ENTIRE AMOUNT OF LINE 7 CONSTITUTES A COMMUNITY BENEFIT.
CENTEGRA HEALTH SYSTEM IDENTIFIES COMMUNITY HEALTH CARE PRIORITIES AND DEVELOPS ACTIVITIES AND STRATEGIES TO MEET THE HEALTH CARE NEEDS OF AT RISK POPULATIONS WITHIN ITS SERVICE AREA. THESE COMMUNITY BENEFIT PROGRAMS PROMOTE COMMUNITY WELLNESS AND DISEASE PREVENTION, ENHANCE COMMUNITY HEALTH EDUCATION,EDUCATION. IN 2016, CENTEGRA HEALTH SYSTEM PARTNERED WITH THE MCHENRY COUNTY HEALTH DEPARTMENT AND OTHER HOSPITALS AND ORGANIZATIONS TO CONDUCT THE 2017 MCHENRY COUNTY HEALTHY COMMUNITY STUDY. THE INTENT OF THE NEEDS ASSESSMENT WAS TO UNDERSTAND AND ADDRESS THE COUNTY'S MOST PRESSING NEEDS, INVOLVING PARTNERS FROM DIVERSE ORGANIZATIONS, IN ORDER TO IMPROVE THE HEALTH OF COUNTY RESIDENTS. A THOROUGH UNDERSTANDING OF THE COUNTY'S HEALTH WAS MEASURED USING FOUR ASSESSMENTS, EACH FROM A DIFFERENT PERSPECTIVE INCLUDING RESIDENTS, POPULATIONS IN NEED OF SERVICES, COMMUNITY LEADERS, AND DESCRIPTORS USING SECONDARY DATA SOURCES. THROUGH THE ASSESSMENTS, KNOWLEDGE WAS GAINED ABOUT THE CURRENT HEALTH STATUS OF COUNTY RESIDENTS, DEMOGRAPHIC TRENDS, SOCIAL AND ECONOMIC INDICATORS, HEALTH BEHAVIORS, AND UTILIZATION OF HEALTH SERVICES. THE ASSESSMENTS ALSO ATTEMPTED TO UNDERSTAND THE PERCEPTIONS OF COMMUNITY STRENGTHS AND WEAKNESSES AS WELL AS ANSWER QUESTIONS ABOUT THE HEALTH AND HUMAN SERVICES DELIVERY SYSTEM, UNMET NEEDS, GAPS, AND BARRIERS TO CARE.
"UNINSURED PATIENTS ARRIVING AT OUR EMERGENCY DEPARTMENT AND/OR DIRECT ADMITS ARE SCREENED AT TIME OF SERVICE BY EITHER AN EMERGENCY DEPARTMENT FINANCIAL COUNSELOR OR THE HEALTH SYSTEM'S IN-PATIENT FINANCIAL COUNSELING TEAM, PUBLIC AID REPRESENTATIVES, AND A MEDICATION ASSISTANCE COORDINATOR TO IDENTIFY ELIGIBILITY GUIDELINES FOR FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS, AS WELL AS CHARITY CARE. CHS'S SELF-PAY PROCESS INCLUDES A SCREENING WHICH IS COMPLETED BY USING HOSPITAL FORM C910050 03-09 PROMPTING AN INTERVIEW OFFERING PAYMENT OPTIONS ANO ELIGIBILITY GUIDELINES. IT IS AT THIS TIME THAT A PATIENT BECOMES AWARE OF THE HOSPITAL UNINSURED PATIENT DISCOUNT ACT, MEDICAID, MEDICATION ASSISTANCE PROGRAMS, CRIME VICTIMS, IBCCP, CASH PAY FEE SCHEDULES, AND ""OTHER HOSPITAL DISCOUNT INCENTIVES. PATIENTS ARE ADVISED OF TIMELINE FOR COMPLETING APPLICATION PROCESSES AT TIME OF SERVICE IN PERSON. APPROPRIATE SCRIPTING IS FOLLOWED BY CHS ASSOCIATES. DISCOUNTS WERE ESTABLISHED FOLLOWING THE 200%, 350% AND 600% FEDERAL POVERTY GUIDELINES TO ASSIST IN DETERMINING CHARITY ADJUSTMENTS. APPLICATIONS WERE DESIGNED"
CENTEGRA HEALTH SYSTEM DEFINES ITS PRIMARY SERVICE AREA AS MCHENRY COUNTY, AN AREA OF APPROXIMATELY 603 SQUARE MILES AND APPROXIMATELY 309,122 RESIDENTS IN 2017*. IN 2017, THE AGE DISTRIBUTION OF THE POPULATION WAS AS FOLLOWS: 29.5% AGES 0-18, 56.5% AGES 18-65, 14.0% AGES 65 AND OLDER*. MCHENRY COUNTY HAS RELATIVELY HIGH SOCIOECONOMIC STATUS COMPARED TO THE REST OF ILLINOIS. IN 2013-2017 (IN 2017 DOLLARS), THE MEDIAN HOUSEHOLD INCOME OF THE HOUSEHOLDS IN MCHENRY COUNTY WAS $82,230 COMPARED TO THE ILLINOIS STATE AVERAGE OF $61,229*. THE 2017 PERCENTAGE OF CIVILIANS IN LABOR FORCE AGES 16+ WAS 70.8%, WHICH WAS HIGHER THAN THE STATE OF ILLINOIS AT 65.2%. THE 2017 PERCENTAGE OF PERSONS IN POVERTY IN MCHENRY COUNTY WAS LOWER THAN THAT OF THE STATE OF ILLINOIS, AT 6.1% COMPARED TO 12.6%* IN 2017, THE PERCENTAGE OF THE COUNTY'S POPULATION HOLDING A HIGH SCHOOL
PLEASE SEE SCHEDULE O FOR A DETAILED DESCRIPTION OF THE MEDICAL CENTER S PROGRAM SERVICE ACCOMPLISHMENTS
MEMORIAL MEDICAL CENTER OF WOODSTOCK, IL IS AFFILIATED WITH THE TWO HOSPITALS OF NORTHERN ILLINOIS MEDICAL CENTER OF MCHENRY, IL. ALL THREE HOSPITALS ARE ACUTE CARE FACILITIES SERVING THE GREATER MCHENRY COUNTY AREA. CENTEGRA HEALTH SYSTEM IS THE PARENT OF BOTH NORTHERN ILLINOIS MEDICAL CENTER AND MEMORIAL MEDICAL CENTER. MEMORIAL MEDICAL CENTER IS AFFILIATED WITH HEALTH BRIDGE FITNESS CENTERS IN CRYSTAL LAKE, AND THE MEDICAL CENTER PROVIDES OUTPATIENT PHYSICAL REHABILITATION SERVICES TO THE COMMUNITY FROM A CLINIC WITHIN THAT LOCATION. THE CENTEGRA HEALTH SYSTEM FOUNDATION SUPPORTS HOSPITAL OPERATIONS THROUGH FUNDRAISING ACTIVITIES.
IL
"PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS FORM SCH H PART III LINE 9B CENTEGRA PROVIDES PATIENTS WITH CONSISTENT INFORMATION ON PAYMENT EXPECTATIONS AND ASSISTS THEM IN MEETING THEIR FINANCIAL OBLIGATIONS. A WRITTEN EXPLANATION OF THE PAYMENT REQUIREMENTS CATEGORIZED BY TYPE OF PAYOR IS GIVEN PRIOR TO ADMISSION/REGISTRATION OR UPON ADMISSION/REGISTRATION OF EACH CENTEGRA HEALTH SYSTEM (CHS) PATIENT. CENTEGRA WILL BILL THE PATIENT'S INSURANCE CARRIER. PROCEDURES WILL BE IMPLEMENTED OVER TIME AND BY AREA TO COLLECT AS MUCH AS POSSI3LE OF THE TIME OF SERVICE UNLESS PAYOR CONTRACTS REQUIRE BILLING (I.E., NO ASSIGNMENTS). 1. ADMISSION RESERVATION/OUTPATIENT APPOINTMENT MADE BY PHYSICIAN/PATIENT. WALK-IN AND EMERGENCY DEPARTMENT PATIENTS PRESENT FOR SERVICE. 2- PERFORM THE PATIENT PRE-REGISTRATION FOR APPLICABLE SCHEDULED REGISTRATIONS. 3. PATIENT VERBAL CONSENT OBTAINED AND ANNOTATED EXCEPT WHERE PROHIBITED BY LAW. """"ON (DATE) AT ABOUT (TIME), (PATIENT OR REPRESENTATIVE) ORALLY AUTHORIZED (SITE NAME) TO RELEASE INFORMATION CONCERNING THE PATIENT'S MEDICAL CARE, TREATMENT AND DIAGNOSIS TO EMPLOYERS, INSURANCE COMPANIES, GOVERNMENT AGENCIES OR THIRD-PARTY PAYORS AND THEIR AGENTS, FOR VERIFICATION OF BENEFITS AND PRE-CERTIFICATION. I (THE PRE-REGISTRAR) DID NOT OBTAIN A WRITTEN CONSENT SIGNED BY THE PATIENT, DUE TO THE PATIENT NOT BEING PHYSICALLY PRESENT AND LIMITED TIME CONSTRAINTS."""""