SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Morris Hospital
 
Employer identification number

36-2170155
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		  3,759 5,201,697   5,201,697 4.160 %
b Medicaid (from Worksheet 3, column a) . . . . .   40,054 19,543,121 12,760,436 6,782,685 5.430 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     36,277,819 33,730,396 2,547,423 2.040 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .   43,813 61,022,637 46,490,832 14,531,805 11.630 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 21 13,056 273,743 13,546 260,197 0.210 %
f Health professions education (from Worksheet 5) . . . 5 701 96,872 720 96,152 0.070 %
g Subsidized health services (from Worksheet 6) . . . . 3 204 383,794   383,794 0.310 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 5 33,518 517,388 33,804 483,584 0.390 %
j Total. Other Benefits . . 34 47,479 1,271,797 48,070 1,223,727 0.980 %
k Total. Add lines 7d and 7j . 34 91,292 62,294,434 46,538,902 15,755,532 12.610 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support 1 47 327,108 114,000 213,108 0.170 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total 1 47 327,108 114,000 213,108 0.170 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
7,353,957
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
1,479,917
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
33,730,396
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
36,277,819
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-2,547,423
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1DEERPATH ORTHOPEDIC
  		SURGERY 50.000 % 0 % 50.000 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 MORRIS HOSPITAL
150 WEST HIGH STREET
MORRIS,IL60450
WWW.MORRISHOSPITAL.ORG
0001628 		X X         X     A
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MORRIS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................. 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): www.morrishospital.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

MORRIS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Financial Assistance Policy (FAP) Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

MORRIS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Financial Assistance Policy (FAP) Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY SCHEDULE H, PART V, LINE 5 TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BOARD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS IDENTIFIED BY MORRIS HOSPITAL INCLUDING THE PUBLIC HEALTH ADMINISTRATION OR THE GRUNDY COUNTY HEALTH DEPARTMENT AND INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS, WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. EIGHTEEN INTERVIEWS WERE COMPLETED DURING FEBRUARY - MARCH 2012.
FACILITIES THAT CHNA WAS CONDUCTED IN COOPERATION WITH SCHEDULE H, PART V, LINE 6B CHNA PLANNED AND DEVELOPED IN COOPERATION WITH THE FOLLOWING ORGANIZATIONS: GRUNDY COUNTY HEALTH DEPARTMENT EDUCATION SERVICE NETWORK UNIVERSITY OF ILLINOIS EXTENSION
CHNA SIGNIFICANT NEEDS ADDRESSED/NEEDS HOSPITAL HAS NOT ADDRESSED SCHEDULE H, PART V, LINE 11 MORRIS HOSPITAL HAS CREATED A THREE YEAR IMPLEMENTATION STRATEGY THAT FOCUSES ON THE FOUR PRIORITY HEALTH AREAS IDENTIFIED IN THE STUDY: ACCESS TO CARE, CHRONIC DISEASE, OVERWEIGHT AND OBESITY, AND HEALTH BEHAVIORS AND PREVENTION. DENTAL HEALTH WAS ONE NEED IDENTIFIED IN THE CHNA THAT WAS NOT SELECTED AS A PRIORITY HEALTH NEED AND THAT MORRIS HOSPITAL DOES NOT INTEND TO ACTIVELY ADDRESS. MORRIS HOSPITAL HAS CHOSEN NOT TO FOCUS ON DENTAL HEALTH AS THE HOSPITAL DOES NOT HAVE THE EXISTING INFRASTRUCTURE, IDENTIFIED ORGANIZATIONAL COMPETENCIES OR ESTABLISHED PARTNERSHIPS THAT FOCUS ON DENTAL HEALTH. MORRIS HOSPITAL WILL CONTINUE TO INVESTIGATE OPPORTUNITIES TO ADDRESS DENTAL HEALTH; HOWEVER, THE CURRENT FOCUS OF THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE IDENTIFIED PRIORITY HEALTH NEEDS.
PUBLICIZATION OF THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL SCHEDULE H, PART V, LINE 16I 1) INFORMATION ON FINANCIAL ASSISTANCE IS POSTED AT ALL REGISTRATION POINTS. 2) INFORMATION IS IN THE ADMITTING BOOKLET GIVEN TO PATIENTS. 3) SUMMARY INFORMATION IS ON THE MORRIS HOSPITAL WEBSITE. 4) BILLING STATEMENTS INCLUDE MENTION OF FINANCIAL ASSISTANCE AND NUMBER TO CALL. 5) FINANCIAL COUNSELORS ON FRONT END EXPLAIN THE PROGRAM TO PATIENTS AND FINANCIAL REPRESENTATIVES ON THE BACK END EXPLAIN THE PROGRAM TO CALLERS AND WALK-INS.
BASIS FOR CHARGING PATIENTS & MAXIMUM CHARGED TO FAP-ELIGIBLE INDIVIDUALS SCHEDULE H, PART V, LINE 13H AND 22D LINE 13H MORRIS HOSPITAL USES AN AUTOMATED CHARITY SCORING SYSTEM CALLED CONNANCE. PATIENTS MAY QUALIFY VIA THIS PATIENT ACCOUNT RANK ORDERING ("PARO") AUTOMATED SYSTEM, IF SCORED AS PRESUMPTIVE CHARITY THEN ACCOUNT IS WRITTEN OFF UNDER FINANCIAL ASSISTANCE WITHOUT PATIENT HAVING TO COMPLETE THE FINANCIAL WORKSHEET. LINE 22D GROSS CHARGES ARE REDUCED BY AN AMOUNT DETERMINED BY A SLIDING SCALE THAT CONSIDERS: INCOME, FAMILY SIZE AND COST TO CHARGE RATIO.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?16
Name and address Type of Facility (describe)
1 RADIATION THERAPY CENTER
1600 US RTE 6
MORRIS,IL60450 		RADIATION & ONCOLOGY CLINIC
2 RIDGE ROAD CAMPUS
27240 W SAXONY DRIVE
CHANNAHON,IL60410 		IMMEDIATE CARE CENTER
3 MORRIS HOSPITAL OBGYN SPECIALISTS
237 W WAVERLY STREET
MORRIS,IL60450 		OB/GYN PHYSICIANS
4 THE DIAGNOSTIC & REHABILITATIVE CENTER
100 WEST GORE RD
MORRIS,IL60450 		PHYSICAL THERAPY & IMMEDIATE CARE CENTER
5 MINOOKA HEALTHCARE CENTER
27240 W SAXONY DRIVE
CHANNAHON,IL60410 		CLINIC
6 MARSEILLES HEALTHCARE CENTER
580 SYCAMORE STREET
MARSEILLES,IL61341 		CLINIC
7 CHANNAHON HEALTHCARE CENTER
25259 REED STREET
CHANNAHON,IL60408 		CLINIC
8 MORRIS HOSPITAL CARDIOVASCULAR SPECIALIS
151 W HIGH STREET
MORRIS,IL60450 		CARDIOVASCULAR PHYSICIANS
9 BRAIDWOOD HEALTHCARE CENTER
389 E MAIN STREET
BRAIDWOOD,IL60408 		CLINIC
10 MORRIS HEALTHCARE CENTER
1345 EDWARDS STREET
MORRIS,IL60450 		CLINIC
11 DWIGHT HEALTHCARE CENTER
101 S PRAIRIE AVENUE
DWIGHT,IL60420 		CLINIC
12 GARDNER HEALTHCARE CENTER
409 N ROUTE 53
GARDNER,IL60424 		CLINIC
13 YORKVILLE HEALTHCARE CENTER
105 SARAVANOS DRIVE
YORKVILLE,IL60560 		IMMEDIATE CARE CLINIC
14 OTTAWA HEALTHCARE CENTER
1300 STARLINE DRIVE
OTTAWA,IL61350 		CLINIC, CARDIOVASCULAR PHYSICIANS
15 MAZON HEALTHCARE CENTER
522 DEPOT STREET
MAZON,IL60444 		CLINIC
16 NEWARK HEALTHCARE CENTER
5 N JOHNSON STREET
NEWARK,IL60541 		CLINIC
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
SCHEDULE H, PART I, LINES 3C, 6A, 7, 7F, AND 7G LINE 3C NOT APPLICABLE AS THE ORGANIZATION DOES FOLLOW FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING CHARITY AND DISCOUNTED CARE TO LOW-INCOME UNINSURED AND UNDERINSURED INDIVIDUALS. LINE 6A THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST AND IS PROVIDED TO THE STATE AGENCY THAT MAKES IT AVAILABLE TO THE PUBLIC. LINE 7 CHARITY CARE IS CALCULATED BY DETERMINING THE TOTAL AMOUNT FROM PATIENT BILLING THAT IS WRITTEN OFF TO CHARITY CARE CHARGE CODES OR ALLOWANCES. THIS AMOUNT MATCHES THE NUMBER THAT IS REPORTED ON OUR YEAR ENDING 2014 AUDITED FINANCIAL STATEMENTS. THE TOTAL CHARITY CARE DOLLAR AMOUNT IS THEN REDUCED TO COST BY APPLYING THE HOSPITAL'S COST TO CHARGE RATIO AS CALCULATED ON IRS SCHEDULE H - WORKSHEET 2. LINE 7F THE PERCENT OF CHARITY CARE AND CERTAIN OTHER BENEFITS AT COST AS A PERCENT OF TOTAL EXPENSE LESS BAD DEBT IS 0.98%. LINE 7G THE HOSPITAL HAS NOT INCLUDED ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS PART OF THEIR SUBSIDIZED HEALTH SERVICES.
SCHEDULE H, PART II - COMMUNITY COALITION AND COLLABORATIVE EFFORTS Throughout the year, Morris Hospital furthers its mission of improving the health of area residents by participating in a number of community-building activities in collaboration with other organizations. New in 2014, Morris Hospital has partnered with the Grundy County Health Department and more than 35 other community partners to start a Grundy County Teaching & Healing Garden that provides fresh produce for clients of We Care of Grundy County. In addition to making a financial contribution of $1,000, at harvest time, staff from Morris Hospital's Nutrition Services department provides healthy recipes that can be made using the produce that is grown in the garden. The garden is a perfect fit with the hospital's mission of improving the health of area residents while partnering with other community groups. Also in 2014, Morris Hospital became a Health and Medical Explorer Post for the local Boy Scouts. While the Explorer Post is a division of the Boy Scouts, it is a co-educational program developed and supervised by local community organizations. The young men and women ages 14-20 who participate in this program meet monthly at the hospital to learn more about health and medical careers from Morris Hospital employees. The Hospital CEO and two physicians provide the direction for the program. Morris Hospital took a major step in 2014 by announcing at the end of the year the formation of a formal partnership between the hospital and the Morris Community YMCA. Under the multi-year plan, the YMCA and Morris Hospital will work together to develop programs and services at the new temporary Morris Community YMCA in downtown Morris. Morris Hospital had a one-time $75,000 capital investment to help with expenses related to the facility renovation, along with a 50/50 share of facility operating expenses not to exceed $30,000 annually. Morris Hospital's commitment to partnering seemed to be the needed step that made the vision for a YMCA in Morris a reality. At the request of the Channahon Park District, Morris Hospital physicians and mid-level providers participated in Walk & Talk with a Doc on six consecutive Saturdays between September 20-October 25. Community members had an opportunity to go on a healthy walk with a provider and ask questions along the way. Additionally, Morris Hospital participated in the Channahon Park District's Celebrate Heroes event by providing a nurse to talk about the nursing profession. Annually, Morris Hospital serves as a major sponsor for the American Cancer Society's Relay for Life event, held locally in Morris. In addition, employees from the Morris Hospital Radiation Therapy Center lead the Morris Hospital team in raising funds and participating in the event, which took place in 2014 on May 31. For the third year in a row, Morris Hospital participated in Coal City High School's Family Wellness Night by providing fruit kabobs free of charge in the food court and blood pressures by a cardiovascular nurse. This growing event includes partners from many area health related businesses and effectively exposes area families to educational information and resources to help them stay healthy. At the request of Minooka H.S., Morris Hospital sent a team of employees from the Emergency Department to be part of Road to Reality on April 17, an event that educates high school students about the dangers of drinking and driving. Morris Hospital continues to offer free senior exercise classes for the community at the United Methodist Church in Minooka and at the Morris Community YMCA. The goal is to help seniors improve their mobility, flexibility and strength while providing socialization. Each year, Morris Hospital partners with a number of area organizations to offer a Camp 911 safety program to area 4-6th graders. 2014 Camp 911 community partners included EPIC Group, Morris EMS, Morris Fire Department, Grundy County Sheriff's Department, Morris Police Department, Minooka Fire Department, Superior Air, Morris Lions Club, and several independent physicians. Morris Hospital improves access to health services by providing community members free rides to medical appointments through its free Patient Transportation Service. This occurred 17,705 times in 2014. Rides are provided regardless of whether the medical provider is associated with Morris Hospital. The service was started in 1998 in response to an identified need for increased transportation service in the county. The service is available to any community member needing a ride and is especially used by seniors and low-income community members. In coordinating the rides, Morris Hospital works in cooperation with a number of other area agencies and healthcare providers when providing this service, including Illinois Valley Industries, Elliott Manor, Walnut Grove Nursing Home, Heritage Woods, Saratoga Towers, the Grundy County Health Department, Morris Senior Center, Morris Library, We Care, Hospice, Catholic Charities, Will/Grundy Medical Clinic, Grundy County Housing Authority, and the Gardner American Legion. Many of these riders have indicated that they have no other way to get to their appointment. Morris Hospital works in collaboration with Morris Mobile Meals by preparing daily, nutritious meals to people of all ages and economic circumstances, including children, the elderly, ill, disabled and homebound. The Nutrition Services staff at the Hospital cooks and prepares the meals daily, which are delivered by volunteers from Mobile Meals. While clients pay a nominal fee to Mobile Meals, Morris Hospital is reimbursed only for the cost of the food and related supplies so the meals can remain affordable for those who use the service, with Morris Hospital covering the staff time to prepare the meals. As part of a commitment to supporting our community's future healthcare providers, the Hospital devotes staff time to mentoring students studying to become nurses, paramedics, respiratory therapists, pharmacists, lab and radiology technologists through Joliet Junior College, College of DuPage, Illinois Valley Community College, Kankakee Community College, Lewis University, Midwestern University, Swedish American University, University of St. Francis, and Grundy Vocational Center. It is imperative that these students have a place to complete their critical training. By helping students train in preparation for entering the healthcare workforce, we are helping to improve access to healthcare services in the future. New in 2014, Morris Hospital hosted a high school student through the Grundy Economic Development Council's summer internship program. Morris Hospital continues to provide financial donations at the request of a number of community organizations whose mission closely mirrors the Hospital's. The hospital's contributions help these organizations meet their goals of enhancing public health or relieving government burden. In 2014, over $29,000 was donated to Gardner South Wilmington H.S., Coal City H.S., Seneca H.S., and Morris H.S. for prom safety events; Will-Grundy Medical Clinic for the uninsured, Big Brothers Big Sisters of Will and Grundy County for mentoring services; Channahon, Minooka and Morris Fire Departments and Morris Police Department for their children's safety program; Joliet Area Community Hospice and Grundy Community Hospice for their end of life and grief services; the American Cancer Society for cancer services and research; Shabbona Middle School for drug awareness education; Guardian Angel for services for victims of domestic violence; Angels of Hope for families who have lost a child, Habitat for Humanity for shelter for a local family, United Way of Grundy County for their many partner agencies, and We Care of Grundy County for their mobile food pantry and fill the pantry event. At the request of area organizations, Morris Hospital provides personnel to offer their talents and expertise by serving as volunteer leaders on boards of directors. In 2014 this included the Chief Executive Officer serving on the Grundy Economic Development Council, Channahon Economic Development Council, Metropolitan Chicago Healthcare Council, Illinois Provider Trust board of directors, and Boy Scouts board of directors; the Chief Operating Officer serving on the YMCA's Program Committee and Yorkville Economic Development Council board of directors; the Chief Nursing Officer serving on the Illinois Organization of Nurse Leaders as the region 2C Director, and the Advisory Board for Joliet Area Hospice, the Vice President of Human Resources serving on the Grundy County Chamber of Commerce Board of Directors, the Planning Manager serving on the United Way of Grundy County board of directors, and the Healthcare Centers Director serving on the Will Grundy Medical Clinic board of directors. Morris Hospital is a significant partner of the Will Grundy Medical Clinic ("WGMC"), which provides free medical and dental care to qualifying residents. We demonstrate our support by
SCHEDULE H, PART III, LINES 2, 3, 4, 8, AND 9B LINE 2 & 3 PATIENTS' ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENTS' ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH PATIENT RESPONSIBILITY (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE PATIENTS ARE SCREENED AGAINST THE HOSPITAL CHARITY CARE POLICY AND UNINSURED DISCOUNT POLICY. FOR ANY REMAINING PATIENT RESPONSIBILITY BALANCE, THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL'S ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR SELF-PAY PATIENTS, WHICH INCLUDES UNINSURED PATIENTS AND RESIDUAL COPAYMENTS AND DEDUCTIBLES FOR WHICH MANAGED CARE HAS ALREADY PAID, DECREASED FROM 98.5% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2013 TO 97.5% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2014. THE HOSPITAL HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEAR 2014 OR 2013. THE HOSPITAL DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FORM THIRD-PARTY PAYORS. THE HOSPITAL RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE FOR SERVICES PROVIDED (ON THE BASIS OF DISCOUNTED RATES, AS PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. LINE 4 THE HOSPITAL BELIEVES THAT ITS CHARITY CARE AND THE RELATED COMMUNITY BENEFIT REALIZED FROM THE CARE, IS NOT FULLY REFLECTED AT ITS TRUE VALUE BECAUSE IT DOES NOT CAPTURE ALL PATIENTS THAT COULD QUALIFY BUT FOR WHAT EVER RATIONALE, DO NOT APPLY FOR SUCH ASSISTANCE. IT IS LOGICAL THAT THE HOSPITAL'S BAD DEBT INCLUDES AN AMOUNT THAT COULD/SHOULD BE CONSIDERED AS CHARITY CARE IF THE APPLICATION FOR IT WAS COMPLETED. BAD DEBT EXPENSE AS REFLECTED ON THE HOSPITAL'S FINANCIAL STATEMENTS INCLUDES (1) WRITE-OFFS FROM THE PATIENT BILLING SYSTEM (2) RECOVERIES OF PRIOR BAD DEBTS WRITTEN OFF AND (3) ADJUSTMENTS TO THE PROVISION OF ALLOWANCE FOR BAD DEBT EXPENSE. ADJUSTMENTS TO THE ALLOWANCE ACCOUNT IS NECESSARY TO ADEQUATELY PROVIDE AN ESTIMATE OF BAD DEBT EXPENSE RELATED TO CURRENT YEAR'S PATIENT ACCOUNTS RECEIVABLE (THE ALLOWANCE ACCOUNT IS REFLECTED AS A CONTRA RECEIVABLE ACCOUNT ON THE HOSPITAL'S BALANCE SHEET). THIS ADJUSTMENT IS BASED ON THE MONITORING OF THE PRIOR YEAR'S RECEIVABLE HISTORICAL WRITE OFFS AND RECOVERIES TO USE AS AN ESTIMATE OF CURRENT YEAR EXPECTED EXPERIENCE. BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE, WHICH INCLUDES AN ALLOWANCE FOR CHARITY CARE, WAS CALCULATED USING THE COST TO CHARGE RATIO ON THE IRS SCHEDULE H WORKSHEET 2. LINE 8 THE HOSPITAL CONTINUALLY STRIVES TO PROVIDE EXCELLENT PATIENT CARE IN THE MOST COST EFFECTIVE FASHION. NONETHELESS, THE MEDICARE PROGRAM, IN MANY CASES, DOES NOT PROVIDE PAYMENT THAT COVERS THE FULL COST OF THE CARE PROVIDED. SINCE IT IS THE MISSION OF THE HOSPITAL TO RESPOND TO COMMUNITY NEED, HOSPITAL MANAGEMENT CONTINUALLY ADVOCATES FOR IMPROVED MEDICARE PAYMENT SO THAT THE COST OF QUALITY CARE TO THOSE PATIENTS THAT ARE NOT ABLE TO AFFORD IT IS NOT COMPROMISED AND IS FAIRLY SUBSIDIZED BY ALL PAYERS. WHILE THIS SHORTFALL IN MEDICARE PAYMENTS IS NOT CLASSIFIED AS COMMUNITY BENEFIT BY THE IRS, WE NONETHELESS BELIEVE IT IS AN IMPORTANT CONTRIBUTION MADE BY THE HOSPITAL TO THE HEALTH AND WELL BEING OF THE COMMUNITY. OUR MISSION CALLS US TO SERVE ALL PATIENTS WITH THE HIGHEST POSSIBLE QUALITY AND EFFICIENCY, EVEN IF WE ARE NOT PAID FULLY FOR DOING SO. LINE 9B PATIENTS ARE GIVEN ADEQUATE TIME TO APPLY FOR FINANCIAL ASSISTANCE BEFORE THE PATIENT ACCOUNT IS SENT TO COLLECTION. WE HAVE ALSO IMPLEMENTED AUTOMATED CHARITY SCORING FOR THE UNINSURED THAT ALLOWS US TO PROCESS CHARITY WITHOUT AN APPLICATION. FOR ANY ACCOUNT ALREADY PLACED WITH AN AGENCY A PATIENT CAN STILL APPLY FOR FINANCIAL ASSISTANCE AND IF THEY ARE QUALIFIED FOR CHARITY AN ADJUSTMENT IS MADE AND THE HOSPITAL NOTIFIES THE AGENCY AND THE ACCOUNT IS CANCELLED.
SCHEDULE H, PART VI, LINES 2, 3, 4, 5, 6 & 7 LINE 2. NEEDS ASSESSMENT For years, Morris Hospital & Healthcare Centers has participated in the development of a Community Health Needs Assessment and Plan in cooperation with the Grundy County Health Department, Education Service Network and University of Illinois Extension. Now, in compliance with provisions of the Patient Protection and Affordable Care Act and Internal Revenue Service regulations for tax-exempt hospitals, the hospital completed its own Community Health Needs Assessment in 2013 for the first time. The 2013 Community Health Needs Assessment continued to guide us in 2014. Morris Hospital's 2013 Community Health Needs Assessment was put together using a number of sources, including information gathered during interviews with community stakeholders, as well as data from the Illinois Department of Public Health, U.S. Census reports, County Health Rankings, Illinois Youth Survey, CDC National Health Statistics, Illinois State Police, and discharge data from Morris Hospital. Like previous years, heart disease, cancer, stroke and lung disease continue to surface as the leading causes of death in the communities served by Morris Hospital. One of the most alarming facts is that in the counties served by Morris Hospital (Grundy, Kendall, LaSalle, Livingston and Will), over one-third of adults are overweight and close to one-fourth are obese. Of those five counties, Grundy County has the highest percentage of overweight and obese adults at 68.7%. That's higher than the state rate of 64%. Additional key findings include: - The death rate for colon/rectum and lung cancers in Grundy, LaSalle, Livingston and Will Counties exceeds the state average. - At 85.7% Grundy County has the highest percentage of adequate prenatal care among the counties served by Morris Hospital, exceeding the state percentage of 80.2%. - Of the counties served by Morris Hospital, Grundy County has the highest incidence rate for all cancers (546.7 per 100,000 persons). Grundy County also has the highest incidence rate of colorectal cancer (84.7) and esophageal cancer (7.9). Will County has the highest rate of prostate cancer (169.2) and LaSalle County has the highest rate of breast cancer (132.8). - In the Morris Hospital service area, 29.7% to 31.5% of area residents obtain a flu shot. This is lower than the state rate of 34.6%. - The percent of smokers in Livingston (28.7%), Grundy (23.3%), LaSalle (21%) and Will County (19.6%) is higher than the state average of 18.8%. In response to the findings, Morris Hospital has created a three year implementation strategy that focuses on the four priority health areas identified in the study: access to care, chronic disease, overweight and obesity, and health behaviors and prevention. The plan will be reviewed and updated annually. An entire copy of the 2013 Community Health Needs Assessment and Implementation Strategy is available for public viewing on the hospital website, www.morrishospital.org/chna. Paper copies are available by calling 815-705-7009, or by filling out the form under Contact Us on the hospital's website and typing "Community Health Needs Assessment" in the questions/comments field. MORRIS HOSPITAL & HEALTHCARE CENTERS ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH OUTREACH PROGRAMS, EDUCATION, AND SCREENING FOR CHRONIC DISEASES. SOME EXAMPLES ARE LISTED BELOW: DIABETES EDUCATION, LECTURES, AND WORKSHOPS DIABETES SUPPORT GROUPS DIABETES SCREENINGS CARDIAC REHAB SUPPORT GROUPS PULMONARY EDUCATION AND REHAB SUPPORT GROUPS CANCER SCREENINGS: COLORECTAL CANCER, SKIN CANCER, PROSTATE CANCER PERIPHERAL VASCULAR DISEASE SCREENINGS HEALTH RISK ASSESSMENTS WELLNESS WEDNESDAYS LINE 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE As stated in the Provision of Financial Assistance policy, Morris Hospital & Healthcare Centers is a not-for-profit, tax-exempt entity with a charitable mission of providing medically necessary health care services to residents of the City of Morris and the Hospital's defined service area, regardless of their financial status and ability to pay. Processes and procedures exist for identifying and assisting patients whose care may be provided without charge or at a discount commensurate with their financial resources and ability to pay. When possible, a Financial Service Representative conducts an interview with the patient, the guarantor, and/or his or her legal representative, prior to the admission or rendering of service. If an interview is not possible prior to the admission or rendering of service, the interview is conducted upon admission or as soon as possible thereafter. A Financial Representative is located within the Emergency Department, as this is the first point of care for a significant number of individuals qualifying for financial assistance. This makes the Financial Representative more easily accessible to patients. However, in the case of an emergency admission, the evaluation of payment alternatives does not take place until the required medical care has been provided. Before beginning the application process for financial assistance from Morris Hospital, the Financial Representative will first determine if the patient qualifies for medical assistance from other existing financial resources such as Medicare, Medicaid, KidCare, FamilyCare, Will-Grundy Medical Clinic, or other state and federal programs. While it is the intention to identify patients who qualify for financial assistance at the time of registration, there are instances when it is not possible to determine the need for financial assistance at that point. As part of a strategy to reach patients with this important information, signage regarding the availability of financial assistance is posted in both English and Spanish at various locations throughout the Hospital and the offsite locations. An overview of the financial assistance program is available on the Hospital's website, along with a downloadable copy of the financial assistance application. Information on financial assistance is also included in the Patient Guide that is given to all inpatient and observation patients. In addition, patient account correspondence sent to patients includes a statement regarding the availability of the financial assistance program and a contact number. Any patient whose payment is 30 days late and has not already been denied financial assistance is sent information on the financial assistance program. LINE 4. COMMUNITY INFORMATION Morris Hospital & Healthcare Centers serves an 18 zip code area encompassing 5 counties: Grundy, LaSalle, Kendall, Will and Livingston. At the time of the 2010 Census, the population for the Morris Hospital service area was 74,516. Communities served are primarily rural with a few that are more suburban. The majority population (89.9%) in the Morris Hospital service area is White/Caucasian, and 7.3% is Hispanic/Latino, making Grundy County less diverse when compared to the overall population of the United States. English is the most frequently spoken language (94.6%). 3.4% of the population speaks Spanish. Children and youth ages 0-19 make up 29.9% of the population, and 10.9% of the population are seniors age 65 and older. This is a higher percentage of children and youth and a smaller percentage of seniors as compared to the state of Illinois. The average household income is $59,603. This exceeds the state in median household income. Of the population age 25 and over in the Morris Hospital service area, 90.4% were high school graduates or higher. This is higher than state completion rates (86.2%). Poverty rates vary considerably by community through the Morris Hospital service area, ranging from less than 1% of families with children under 18 being at poverty level in in South Wilmington, to 20.4% in Kinsman. Over one-third of families (34.2%) with children in Verona were in poverty. Among the counties served by Morris Hospital, Grundy County has the highest unemployment rate at 11.8% . LINE 5. PROMOTION OF COMMUNITY HEALTH In 2014, Morris Hospital invested in the community by providing free and discounted services and programs. The largest dollar amount was in the area of financial assistance, which is granted to patients who do not have the means to pay for services. A total of 3,759 patient accounts were forgiven or discounted in 2014, totaling $7,102,997 in charges. Without financial assistance, many of these individuals would have missed getting the medical attention they needed, or they would have experienced severe financial hardship. Morris Hospital further promotes community health by offering free programs and services including exercise classes for seniors. The hospital continues to offer free exercise classes to help individuals age 55 and older improve their strength, flexibility and mobility. Another way Morris Hospital promotes the health of the community is by offering a free Patient Transportation service that provides rides to doctors' a
Schedule H (Form 990) 2014
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