MARSHALL BROWNING HOSPITAL ASSOCIATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: MARSHALL BROWNING HOSPITAL ASSOCIATION (EIN 37-0661218)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-15
IRS object ID: 202431369349314288
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-15T16:04:11-05:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390758449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1502 LONDON ROAD SUITE 200	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55812	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	370661218	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARSHALL BROWNING HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MARS	BusinessNameControlTxt
Phone	6185422146	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 N WASHINGTON ST	AddressLine1Txt
City	DU QUOIN	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62832	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	HAROLD CALDERON	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6185422146	PhoneNum
Signature	2024-05-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	HAROLD	PersonFirstNm
Person Last	CALDERON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2024-02-01	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DANIEL EAVES	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 N WASHINGTON ST	AddressLine1Txt
City	DU QUOIN	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62832	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$34,217,735	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MARSHALLBROWNINGHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1919	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	MISSION - TO IDENTIFY AND PROVIDE EXCEPTIONAL HEALTHCARE SERVICES TO THE COMMUNITY AND THE SURROUNDING AREA. VISION - TO BE THE ORGANIZATION WHERE PEOPLE WANT TO COME FOR HEALTHCARE, EMPLOYEES WANT TO WORK, AND PHYSICIANS AND OTHER PROVIDERS WANT TO PRACTICE.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	369	TotalEmployeeCnt
Total Volunteers	21	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,516,885	PYContributionsGrantsAmt
CY Contributions Grants	$1,385,422	CYContributionsGrantsAmt
PY Program Service Revenue	$28,513,989	PYProgramServiceRevenueAmt
CY Program Service Revenue	$32,757,330	CYProgramServiceRevenueAmt
PY Investment Income	$375,161	PYInvestmentIncomeAmt
CY Investment Income	$169,625	CYInvestmentIncomeAmt
PY Other Revenue	$32,374	PYOtherRevenueAmt
CY Other Revenue	-$172,848	CYOtherRevenueAmt
PY Total Revenue	$30,438,409	PYTotalRevenueAmt
CY Total Revenue	$34,139,529	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,700	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$16,000,937	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$19,088,322	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$13,987,928	PYOtherExpensesAmt
CY Other Expenses	$15,286,980	CYOtherExpensesAmt
PY Total Expenses	$29,988,865	PYTotalExpensesAmt
CY Total Expenses	$34,380,002	CYTotalExpensesAmt
PY Revenues Less Expenses	$449,544	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$240,473	CYRevenuesLessExpensesAmt
Total Assets BOY	$28,127,210	TotalAssetsBOYAmt
Total Assets EOY	$25,636,509	TotalAssetsEOYAmt
Total Liabilities BOY	$16,076,541	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$13,410,161	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$12,050,669	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$12,226,348	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MISSION - TO IDENTIFY AND PROVIDE EXCEPTIONAL HEALTHCARE SERVICES TO THE COMMUNITY AND THE SURROUNDING AREA. VISION - TO BE THE ORGANIZATION WHERE PEOPLE WANT TO COME FOR HEALTHCARE, EMPLOYEES WANT TO WORK, AND PHYSICIANS AND OTHER PROVIDERS WANT TO PRACTICE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$27,797,572	ExpenseAmt
Grant	$4,700	GrantAmt
Revenue	$32,757,330	RevenueAmt
Desc	MARSHALL BROWNING HOSPITAL OFFERS VARIOUS PROGRAMS AND SERVICES THAT SUPPORT THE HEALTH OF THE COMMUNITY. THE HOSPITAL ANNUALLY PROVIDES ATHLETIC TRAINING SERVICES TO DU QUOIN HIGH SCHOOL ATHLETES. SERVICES ARE PROVIDED AT PRACTICES AS WELL AS AT SCHOOL SPORTING EVENTS AT NO COST TO THE SCHOOL. COMMUNITY EDUCATION LUNCHEONS ARE OFFERED WITH PHYSICIANS/PROVIDERS PRESENTING PROGRAMS ON HEALTH TOPICS. THE PROGRAM AND MEAL ARE PROVIDED AT NO COST. ADDITIONALLY, HOSPITAL STAFF REACH PATIENTS WITH PRESENTATIONS ON A WIDE VARIETY OF TOPICS INCLUDING HEART HEALTH, NUTRITION, KIDNEY HEALTH, DIABETES, ALZHEIMER'S DISEASE, SLEEP APNEA, ARTHRITIS, FOOT CARE, BREAST CANCER, EXERCISE AND DIET, ETC. THE HOSPITAL OFFERS A WEEKLY COUMADIN CLINIC FOR PATIENTS TAKING COUMADIN (WARFARIN) THERAPY. THE CLINIC IS DIRECTED BY THE HOSPITAL PHARMACIST OF WHICH NO REIMBURSEMENT IS RECEIVED FOR PHARMACIST SERVICES. HOSPITAL MANAGERS ARE FREQUENTLY GUEST SPEAKERS AT SCHOOLS AND ORGANIZATIONS ON VARIOUS HEALTH TOPICS AND HEALTHCARE CAREERS. MARSHALL BROWNING HOSPITAL HAD ONE HIGH SCHOOL STUDENT WHO PARTICIPATED IN THE JOB SHADOWING PROGRAM AT THE HOSPITAL OVER THE PAST YEAR. THE HOSPITAL PROVIDED SPORTS AND SCHOOL PHYSICALS TO LOCAL STUDENTS FOR A FEE OF $10 AND RETURNED TO FEE TO THE PARTICIPATING SCHOOLS. MARSHALL BROWNING SERVES AS A CLINICAL SITE FOR JOHN A. LOGAN COLLEGE NURSING STUDENTS AND IS A CLINICAL SITE FOR OTHER COLLEGES INCLUDING SIU MEDICAL SCHOOL, SIU-C, ST. LOUIS COLLEGE OF PHARMACY, REND LAKE COLLEGE, KASKASKIA COLLEGE, CHAMBERLAIN COLLEGE, SOUTHWESTERN ILLINOIS, AND SICCM. THE HOSPITAL PROVIDES A FOUR-YEAR $1,000 SCHOLARSHIP TO A LOCAL HIGH SCHOOL SENIOR ENTERING THE HEALTHCARE FIELD EACH YEAR. MARSHALL BROWNING HOSPITAL PROVIDES A VARIETY OF COMMUNITY SERVICES TO CITIZENS AND EMPLOYEES INCLUDING THE COMMUNITY HEALTH CHECK OFFERING DEEPLY DISCOUNTED LAB TESTING EVERY TUESDAY. HOSPITAL STAFF DONATE TIME TO SCHOOL HEALTH FAIRS, FIRST AID STATIONS, CONSERVATION FAIRS, AND OTHER COMMUNITY EVENTS. THE HOSPITAL PROVIDES FREE SPACE FOR AN ORTHOPEDIC CLINIC FOR CHILDREN AS WELL AS COMMUNITY CLASSES FOR AUTOMATIC ELECTRONIC DEFIBRILLATORS (AED), BASIC LIFE SUPPORT (BLS), AND FOOD SAFETY MANAGER CLASSES.MARSHALL BROWNING ANNUALLY SUPPORTS THE DU QUOIN DISTRICT #300 SCHOOL, DU QUOIN YOUTH CLUB, NUBABILITY, AND SPECIAL OLYMPICS. THE HOSPITAL HOSTS SIX AMERICAN RED CROSS BLOOD DRIVES EACH YEAR.A MEMBER OF THE HOSPITAL'S MANAGEMENT TEAM SERVES ON THE TRANSITION2HOPE RESOURCE CENTER BOARD OF DIRECTORS. THE RESOURCE CENTER PROVIDES A FREE WEEKLY MEAL FOR THE HOMELESS AS WELL AS SHOWER FACILITIES, FOOD, AND CLOTHING. THE HOSPITAL EMPLOYEES REGULARLY DONATE ITEMS SUCH AS COATS, HATS, GLOVES, CANNED GOODS, AND PERSONAL CARE ITEMS.MARSHALL BROWNING HOSPITAL PARTNERS WITH NATIONWIDE PRESCRIPTION CONNECTION (NPC) TO HELP PATIENTS OBTAIN MEDICATIONS THEY NEED BUT CANNOT AFFORD. THIS INITIATIVE IS PAID FOR BY THE HOSPITAL AND IS FREE TO PATIENTS.MARSHALL BROWNING HOSPITAL PROVIDES A CARE COORDINATION PROGRAM THAT ORGANIZES PATIENT CARE ACTIVITIES DRIVEN BY A PATIENT-CENTERED FOCUS. TO SUPPORT CARE COORDINATION, THE HOSPITAL EMPLOYS THREE KEY TEAM MEMBERS. THE POSITIONS INCLUDE A TRANSITIONAL CARE NAVIGATOR, ANNUAL WELLNESS NURSE, AND CARE COORDINATOR. THE STAFF MEMBERS COORDINATE SAFE PATIENT TRANSITIONS BETWEEN HOSPITAL STAYS TO DISCHARGE HOME, ADDITIONAL FOLLOW-UP AFTER ED VISITS AND CHRONIC DISEASE CARE MANAGEMENT. ANNUAL WELLNESS VISITS INCLUDE A COMPREHENSIVE YEARLY HEALTH REVIEW THAT HELPS OUR PATIENTS CREATE A PERSONALIZED PREVENTION PLAN WITH THEIR PRIMARY CARE PROVIDER.THROUGH A COLLABORATIVE EFFORT WITH COMMUNITY MEMBERS, MARSHALL BROWNING HOSPITAL CREATED A COMMUNITY RESOURCE GUIDE. HARD COPIES WERE PROVIDED TO VARIOUS AGENCIES. IT IS ALSO POSTED ON THE HOSPITAL'S WEBSITE. THE VARIOUS AGENCIES ARE LISTED AS HYPERLINKS WHICH TAKE THE VIEWER TO THE AGENCY WEBSITES.MARSHALL BROWNING HOSPITAL HOSTED TWO MEETINGS OVER THE PAST YEAR WITH COMMUNITY PARTNERS TO DISCUSS THE MENTAL HEALTH CRISIS IN PERRY COUNTY. THE FIRST MEETING PROVIDED A SPEAKER FROM PERRY COUNTY COUNSELING AND THE SECOND MEETING PROVIDED A SPEAKER FROM TAKE ACTION TODAY. THE ORGANIZATIONS PROVIDED AN OVERVIEW OF THEIR SERVICES. BOTH AGENCIES PROVIDE MENTAL HEALTH COUNSELING AS WELL AS MEETING THE NEEDS OF THE RECOVERY COMMUNITY. (OCTOBER 27, 2022 AND APRIL 25, 2023)	Desc
Total Program Service Expenses	$27,797,572	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	17	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	369	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HAROLD CALDERON CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6185422146	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 N WASHINGTON ST	AddressLine1Txt
City	DU QUOIN	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62832	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
GUY ALONGI
PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID SEARBY
VICE PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
DON HOFFMAN
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM PLACE
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
ISSAC DAVISON
DIRECTOR	1.00	Yes (X)		$0	$0	$0
TRACY FENTON
DIRECTOR	1.00	Yes (X)		$0	$0	$0
BRAD GALLI RPH
DIRECTOR	1.00	Yes (X)		$0	$0	$0
CAROLYN GIBSON OD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
RICHARD K HAINES
DIRECTOR (THRU 08/22)	1.00	Yes (X)		$0	$0	$0
SANDY JONES
DIRECTOR	1.00	Yes (X)		$0	$0	$0
STEVE MAREK
DIRECTOR	1.00	Yes (X)		$0	$0	$0
DANIEL EAVES
CHIEF EXECUTIVE OFFICER	40.00		Yes (X)	$56,908	$0	$0
LARRY SPOUR
CHIEF EXECUTIVE OFFICER (THRU 08/22)	40.00		Yes (X)	$184,431	$0	$16,421
HAROLD CALDERON
CHIEF FINANCIAL OFFICER	40.00		Yes (X)	$113,720	$0	$24,638
STEPHANIE HALL
CHIEF CLINICAL OFFICER	40.00		Yes (X)	$126,586	$0	$12,192
JOANNA ELLIOTT
PERF. IMPROV. OFFICER (THRU 07/22)	40.00		Yes (X)	$61,717	$0	$2,939
CRYSTAL JOHNSON
PERFORMANCE IMPROVEMENT OFFICER	40.00		Yes (X)	$65,457	$0	$4,897
DAVID DICKINSON
PHYSICIAN	40.00			$332,062	$0	$33,293	Yes (X)
EDWARD TRAVIS
PHYSICIAN	40.00			$228,905	$0	$36,660	Yes (X)
ARIELLE LOIACONON
NURSE PRACTITIONER	40.00			$128,417	$0	$13,861	Yes (X)
MICHAEL STAFF
PHYSICIAN ASSISTANT	40.00			$164,926	$0	$24,917	Yes (X)
KURT HERMANN
PHARMACIST	40.00			$141,422	$0	$12,837	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,604,551	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$182,655	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	19	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
INTEGRITAS
2250 NORTH ILLINOIS AVENUE	CARBONDALE	IL	62901	EMERGENCY PHYSICIAN SERVICES	$1,528,664
KORTE & LUITJOHAN CONTR INC
12052 HIGHLAND RD	HIGHLAND	IL	62249	MBH EAST CLINIC RENOVATION	$1,374,823
FORTE HOSPITALIST
2250 NORTH ILLINOIS AVENUE	CARBONDALE	IL	62901	HOSPITALISTS SERVICES	$806,000
CLOUDWAVE
DEPT CH 19800	PALENTINE	IL	60055	CLOUD HOSTING SERVICES	$422,769
G & G ANESTHESIA PLLC
2023 VADALABENE DRIVE SUITE 350	MARYVILLE	IL	62062	CRNA SERVICES	$418,500

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	18	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,253,527	GovernmentGrantsAmt
All Other Contributions	$131,895	AllOtherContributionsAmt
Total Contributions	$1,385,422	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT AND OUTPATIENT SERVICES	621990	$32,098,638	$32,098,638
340B PROGRAM	621990	$384,618	$384,618
INDEPENDENT LIVING RENT	532000	$204,166	$204,166

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,908	TotalRevenueColumnAmt
Related Or Exempt Func Income	$69,908	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$32,757,330	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$216,871	TotalRevenueColumnAmt
Exclusion	$216,871	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,405	TotalRevenueColumnAmt
Exclusion	$7,405	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$7,050	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$7,050	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,050	TotalRevenueColumnAmt
Exclusion	$7,050	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$30,960	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$45,785	SecuritiesAmt
Other	$32,421	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$45,785	SecuritiesAmt
Other	-$1,461	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$47,246	TotalRevenueColumnAmt
Exclusion	-$47,246	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	LOSS ON DEBT REFINANCING	Desc
Business	900099	BusinessCd
Total Revenue Column	-$231,959	TotalRevenueColumnAmt
Exclusion	-$231,959	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$44,656	TotalRevenueColumnAmt
Exclusion	$44,656	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$187,303	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,139,529	TotalRevenueColumnAmt
Related Or Exempt Func Income	$32,757,330	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$3,223	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$4,700	TotalAmt
Program Services	$4,700	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$685,383	TotalAmt
Management And General	$685,383	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$13,607,895	TotalAmt
Program Services	$11,618,675	ProgramServicesAmt
Management And General	$1,989,220	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$201,445	TotalAmt
Program Services	$201,445	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,566,086	TotalAmt
Program Services	$3,398,251	ProgramServicesAmt
Management And General	$167,835	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,027,513	TotalAmt
Program Services	$977,264	ProgramServicesAmt
Management And General	$50,249	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$27,450	TotalAmt
Management And General	$27,450	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$8,913	TotalAmt
Management And General	$8,913	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$38,829	TotalAmt
Management And General	$38,829	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,409,049	TotalAmt
Program Services	$4,839,507	ProgramServicesAmt
Management And General	$1,569,542	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$128,839	TotalAmt
Management And General	$128,839	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$199,876	TotalAmt
Program Services	$153,770	ProgramServicesAmt
Management And General	$46,106	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,127	TotalAmt
Management And General	$8,127	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$420,062	TotalAmt
Program Services	$420,062	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$55,590	TotalAmt
Program Services	$47,084	ProgramServicesAmt
Management And General	$8,506	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$418,642	TotalAmt
Program Services	$301,380	ProgramServicesAmt
Management And General	$117,262	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,115,151	TotalAmt
Program Services	$802,796	ProgramServicesAmt
Management And General	$312,355	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$388,452	TotalAmt
Management And General	$388,452	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$1,676,992	$1,522,172	$154,820
BAD DEBT EXPENSE	$1,489,231	$1,489,231
DRUG	$1,302,157	$1,302,157
REPAIRS & MAINTENANCE	$1,117,109	$437,896	$679,213

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$482,511	TotalAmt
Program Services	$281,182	ProgramServicesAmt
Management And General	$201,329	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$34,380,002	TotalAmt
Program Services	$27,797,572	ProgramServicesAmt
Management And General	$6,582,430	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,644,760	BOYAmt
EOY	$1,617,791	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,118,322	BOYAmt
EOY	$605,678	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,323,930	BOYAmt
EOY	$6,070,596	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$587,165	BOYAmt
EOY	$641,217	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$246,481	BOYAmt
EOY	$976,767	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$26,922,215	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$19,690,814	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$5,410,476	BOYAmt
EOY	$7,231,401	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$6,866,519	BOYAmt
EOY	$7,413,907	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$929,557	BOYAmt
EOY	$1,079,152	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,127,210	BOYAmt
EOY	$25,636,509	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,948,118	BOYAmt
EOY	$2,572,269	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,190,657	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$9,964,572	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$8,254,346	BOYAmt
EOY	$140,497	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,683,420	BOYAmt
EOY	$732,823	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,076,541	BOYAmt
EOY	$13,410,161	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,050,669	BOYAmt
EOY	$12,226,348	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,050,669	BOYAmt
EOY	$12,226,348	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$28,127,210	BOYAmt
EOY	$25,636,509	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$240,473	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$429,868	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$13,716	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$8,913	OtherActivitiesAmt
Total Lobbying Expenditures	$8,913	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. IHHA DUES SUPPORT A WIDE VARIETY OF ACTIVITIES AND PROGRAMS FOCUSED ON ADVOCACY AS WELL AS OTHER BENEFITS TO THEIR MEMBERS. OF THE MEMBERSHIP DUES PAID TO IHHA, 37% WERE USED FOR LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,114	OtherCostOrOtherBasisAmt
Book Value	$3,114	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,524,676	OtherCostOrOtherBasisAmt
Depreciation	$6,982,320	DepreciationAmt
Book Value	$2,542,356	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,064,877	OtherCostOrOtherBasisAmt
Depreciation	$12,708,494	DepreciationAmt
Book Value	$2,356,383	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,329,548	OtherCostOrOtherBasisAmt
Book Value	$2,329,548	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$7,231,401	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION PLAN	$222,251
ACCUMULATED POST RETIREMENT BENEFIT OBLIGATION	$506,529
MEDICARE ACCELERATED PAYMENTS	$4,043

Field	Value	IRS element (for citing)
Total Liability	$732,823	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$33,041,337	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$429,868	NetUnrealizedGainsInvstAmt
Other Revenue	-$1,489,231	OtherRevenueAmt
Revenue Not Reported	-$1,059,363	RevenueNotReportedAmt
Revenue Subtotal	$34,100,700	RevenueSubtotalAmt
Investment Expenses Not Incld	$38,829	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$38,829	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$34,139,529	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$32,851,942	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$32,851,942	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$38,829	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$1,489,231	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,528,060	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$34,380,002	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE -1,489,231.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 1,489,231.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$130,058	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$130,058	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,010,824	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,761,454	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,249,370	NetCommunityBenefitExpnsAmt
Total Expense	0.03800	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,140,882	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,761,454	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,379,428	NetCommunityBenefitExpnsAmt
Total Expense	0.04200	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$153,937	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$153,937	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$173,251	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$173,251	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,133,313	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,943,799	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,189,514	NetCommunityBenefitExpnsAmt
Total Expense	0.15780	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,700	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,700	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,465,201	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,943,799	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,521,402	NetCommunityBenefitExpnsAmt
Total Expense	0.16790	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,606,083	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,705,253	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,900,830	NetCommunityBenefitExpnsAmt
Total Expense	0.20990	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,251	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,251	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,123,072	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,123,072	NetCommunityBenefitExpnsAmt
Total Expense	0.03410	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,125,323	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,125,323	NetCommunityBenefitExpnsAmt
Total Expense	0.03420	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$713,578	BadDebtExpenseAmt
Bad Debt Expense Attributable	$142,716	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$11,243,487	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,308,512	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$65,025	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARSHALL BROWNING HOSPITAL ASSOCIATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 N WASHINGTON ST	AddressLine1Txt
City	DU QUOIN	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62832	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MARSHALLBROWNINGHOSPITAL.COM	WebsiteAddressTxt
State License	0001388	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	OUTPATIENT PHYSICIAN CLINIC	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MARSHALL BROWNING HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C, LINE 7D	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C, LINE 7D	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MARSHALL BROWNING HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 5: MBH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FROM OCTOBER 2021 THROUGH MARCH 2022. THE CHNA IS A SYSTEMATIC PROCESS INVOLVING THE COMMUNITY TO IDENTIFY AND ANALYZE COMMUNITY HEALTH NEEDS AS WELL AS COMMUNITY ASSETS AND RESOURCES IN ORDER TO PLAN AND ACT UPON PRIORITY COMMUNITY HEALTH NEEDS. THIS ASSESSMENT PROCESS RESULTED IN A CHNA REPORT TO ASSIST THE HOSPITAL IN PLANNING, IMPLEMENTING, AND EVALUATING HOSPITAL STRATEGIES AND COMMUNITY BENEFIT ACTIVITIES. THE CHNA WAS DEVELOPED AND CONDUCTED IN PARTNERSHIP WITH REPRESENTATIVES FROM THE COMMUNITY, BY A CONSULTANT PROVIDED THROUGH THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN). ICAHN IS A NOT-FOR-PROFIT 501(C)(3) CORPORATION, ESTABLISHED IN 2003 FOR THE PURPOSES OF SHARING RESOURCES, EDUCATION, PROMOTING OPERATIONAL EFFICIENCIES AND IMPROVING HEALTHCARE SERVICES FOR MEMBER CRITICAL ACCESS HOSPITALS AND THEIR RURAL COMMUNITIES. THE PROCESS INVOLVED THE REVIEW OF SEVERAL HUNDRED PAGES OF DEMOGRAPHIC AND HEALTH DATA SPECIFIC TO THE MARSHALL BROWNING HOSPITAL SERVICE AREA. THE SECONDARY DATA AND PREVIOUS HEALTH PLANNING CONCLUSIONS DRAW ATTENTION TO SEVERAL COMMON ISSUES OF RURAL DEMOGRAPHICS AND ECONOMIES. IN ADDITION, THE PROCESS INVOLVED FOCUS GROUPS COMPRISED OF AREA HEALTHCARE PROVIDERS, PARTNERS, AND PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN PUBLIC HEALTH. MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS SERVED BY THE HOSPITAL OR INDIVIDUALS OR ORGANIZATIONS REPRESENTING THE INTERESTS OF SUCH POPULATIONS ALSO PROVIDED INPUT. THE MEDICALLY UNDERSERVED ARE MEMBERS OF A POPULATION WHO EXPERIENCE HEALTH DISPARITIES, ARE AT-RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED, AND/OR EXPERIENCING BARRIERS TO HEALTHCARE DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL, OR OTHER CHALLENGES. TWO FOCUS GROUPS MET SEPARATELY ON OCTOBER 14, 2021, AND OCTOBER 15, 2021, TO DISCUSS THE OVERALL STATE OF HEALTH AND THE LOCAL DELIVERY OF HEALTHCARE AND HEALTH-RELATED SERVICES. THEY IDENTIFIED POSITIVE RECENT DEVELOPMENTS IN LOCAL SERVICES AND CARE AND ALSO IDENTIFIED ISSUES OR CONCERNS THAT THEY FELT STILL EXISTED IN THE AREA. A THIRD GROUP COMPRISED OF MEMBERS OR REPRESENTATIVES OF MEMBERS OF THE FOCUS GROUPS THEN MET ON MARCH 7, 2022, AND CONSIDERED THE QUALITATIVE DATA GATHERED AND ESTIMATED FEASIBILITY AND EFFECTIVENESS OF POSSIBLE INTERVENTIONS BY THE HOSPITAL TO IMPACT THE HEALTH PRIORITIES; THE BURDEN, SCOPE, SEVERITY, OR URGENCY OF THE HEALTH NEED; THE HEALTH DISPARITIES ASSOCIATED WITH THE HEALTH NEEDS; AND OTHER COMMUNITY ASSETS AND RESOURCES THAT COULD BE LEVERAGED THROUGH STRATEGIC COLLABORATION IN THE HOSPITAL'S SERVICE AREA TO ADDRESS THE HEALTH NEEDS. AS AN OUTCOME OF THE PRIORITIZATION PROCESS, DISCUSSED ABOVE, SEVERAL POTENTIAL HEALTH NEEDS OR ISSUES FLOWING FROM THE PRIMARY AND SECONDARY DATA WERE NOT IDENTIFIED AS SIGNIFICANT CURRENT HEALTH NEEDS AND WERE NOT ADVANCED FOR FUTURE CONSIDERATION. FIVE NEEDS WERE IDENTIFIED AS SIGNIFICANT HEALTH NEEDS AND PRIORITIZED: (1) ISSUES SURROUNDING MENTAL HEALTH, INCLUDING A) INCREASE ACCESS AND IMPROVE TRANSPORTATION FOR LONG-TERM MENTAL HEALTHCARE OUTSIDE THE COMMUNITY, INCLUDING CARE FOR SUBSTANCE USE DISORDERS, B) IMPROVE COMMUNITY EDUCATION ABOUT RISKY BEHAVIOR AMONG YOUTH, C) INCREASE EDUCATION AND TRAINING OPPORTUNITIES ON YOUTH MENTAL HEALTH FOR SCHOOL FACULTY AND STAFF; (2) BEGIN TO ADDRESS THE ISSUES SURROUNDING YOUTH LIVING IN POVERTY; (3) STAFF PUBLIC TRANSPORTATION NEEDS TO BE AT A SUFFICIENT LEVEL TO FULLY MEET NEEDS FOR BROADER GENERAL SERVICES AND FLEXIBILITY TO ADDRESS ACCESS TO HEALTH-RELATED APPOINTMENTS AND SERVICES; (4) TELEHEALTH ACCESS FOR YOUTH IN SCHOOLS FOR PHYSICAL AND MENTAL HEALTH; (5) ADDRESS THE TEEN BIRTH RATE; (6) BETTER ACCESS TO SERVICES FROM THE DEPARTMENT OF HUMAN SERVICES.
MARSHALL BROWNING HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 7D: COPIES ARE LOCATED IN EACH OF THE HOSPITAL'S WAITING ROOMS, MADE AVAILABLE TO THE COMMUNITY ADVISORY COMMITTEE, POSTED ON THE HOSPITAL WEBSITE, AND ARE AVAILABLE UPON REQUEST.HTTP://WWW.MARSHALLBROWNINGHOSPITAL.COM/GETPAGE.PHP?NAME=CHNA
MARSHALL BROWNING HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGY--THE IMPLEMENTATION STRATEGY WAS DEVELOPED THROUGH A FACILITATED MEETING INVOLVING KEY ADMINISTRATIVE STAFF AT MARSHALL BROWNING HOSPITAL, INCLUDING: LARRY SPOUR, CHIEF EXECUTIVE OFFICER; STEPHANIE HALL, CHIEF NURSING OFFICER; HAROLD CALDERON, CHIEF FINANCIAL OFFICER; JOANNA ELLIOTT, PERFORMANCE IMPROVEMENT OFFICER; BROOKE FELTMEYER, CLINIC MANAGER; NATHAN BARTNICKI, INFORMATION TECHNOLOGY MANAGER; RYAN JUHL, DIRECTOR OF PLANT OPERATIONS; PAM LOGAN, DIRECTOR OF MARKETING/PATIENT RELATIONS; HEATHER KATTENBRAKER, EXECUTIVE ASSISTANT; AND CELENA SLOWICK, COMMUNITY CHAMPION. THE GROUP REVIEWED THE NEEDS ASSESSMENT PROCESS 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 SIX CATEGORIES, 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 IN CONJUNCTION WITH ANNUAL REVIEW AND REPORTING. PROCESS BY WHICH NEEDS WILL BE ADDRESSED: 1. ISSUES SURROUNDING MENTAL HEALTH. MARSHALL BROWNING HOSPITAL WILL COOPERATE WITH EMERGING EFFORTS OF CHRISTOPHER RURAL HEALTH CLINIC AND THE HEALTH DEPARTMENT ON NEW BEHAVIORAL HEALTH PROBLEMS; EXPLORE COOPERATIVE TRANSPORT PROGRAMS WITH SOUTH CENTRAL TRANSIT; COLLABORATE WITH AREA HOSPITALS TO DEVELOP FUNDING FOR DISTANT TRANSFER FOR INPATIENT MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT; EXPLORE EXPANDING COMMUNITY EDUCATION PROGRAMS TO LOCATIONS AWAY FROM THE HOSPITAL IN ORDER TO INCREASE ACCESS AND ATTENDANCE; EXPLORE DEVELOPING LOCAL MENTAL HEALTH FIRST AID TRAINERS AND OTHER RESOURCES FOR SCHOOL STAFF, PARENTS, AND COMMUNITY MEMBERS.FY 2023: MARSHALL BROWNING HOSPITAL AND NEIGHBORING PINCKNEYVILLE COMMUNITY HOSPITAL HELD A JOINT MEETING WITH COMMUNITY PARTNERS ON 6/23/22 TO GATHER INFORMATION ON THE GREATEST HEALTHCARE NEEDS IN THE COUNTY AND CARE COORDINATION EFFORTS AS A HOSPITAL AND AS PARTNERS. INCREASING MENTAL HEALTH SERVICES, TRANSPORTATION AND INCREASED FUNDING WERE FOUND TO BE THE MOST PREVALENT NEEDS. A SECOND MEETING WITH COMMUNITY PARTNERS WAS HELD ON 7/6/22 WHERE IT WAS DISCOVERED THAT MANY WERE UNAWARE OF MENTAL HEALTH SERVICES CURRENTLY BEING OFFERED. A THIRD MEETING WAS HELD ON 11/8/22 WITH THE DIRECTOR OF PERRY COUNTY COUNSELING PRESENTING AN OVERVIEW OF THE MENTAL HEALTH SERVICES PROVIDED. IT WAS AGREED ALL PARTNERS WOULD HELP WITH PROMOTING THEIR SERVICES. PARTNERS WERE ALSO EDUCATED ON THE SERVICES BEING OFFERED AT TRANSITION2HOPE, A NEW RESOURCE CENTER IN DU QUOIN. THE MBH MARKETING DIRECTOR SERVES ON THE BOARD OF DIRECTORS FOR THE RESOURCE CENTER. THE NEXT MEETING WAS HELD ON 4/26/23 WITH THE DIRECTOR OF TAKE ACTION TODAY PRESENTING THE SERVICES THEY PROVIDE AT TRANSITION2HOPE WHICH INCLUDE PEER-BASED RECOVERY RESOURCES FROM SUBSTANCE USE OR HOMELESSNESS. MBH PROVIDES SUPPORT TO THE RESOURCE CENTER IN PROMOTING THE SERVICES OF PERRY COUNTY COUNSELING AND TAKE ACTION TODAY AS WELL AS SUPPORTING FOOD AND CLOTHING NEEDS. THE HOSPITAL ALSO CREATED THE PERRY COUNTY RESOURCE GUIDE THAT IS AVAILABLE TO THE PUBLIC.2. BEGIN TO ADDRESS THE ISSUES SURROUNDING YOUTH LIVING IN POVERTY. MARSHALL BROWNING HOSPITAL WILL SUPPORT THE SCHOOL SYSTEM'S EFFORTS TO CREATE LOCAL CAREER OPPORTUNITIES FOR YOUTH AND YOUNG ADULTS. THE HOSPITAL WILL RE-ENGAGE AND BROADEN ITS WORK SHADOWING PROGRAM.FY 2023: THE HOSPITAL WORKED WITH TRANSITION2HOPE RESOURCE CENTER, COMMUNITY CLOTHES CLOSET AND TWO FOOD PANTRIES TO PROVIDE FOR THE NEEDS OF THE INDIGENT POPULATION. THE HOSPITAL PARTICIPATED IN CAREER DAYS WITH THE LOCAL HIGH SCHOOL AND JUNIOR COLLEGES TO EDUCATE STUDENTS ON CAREER OPPORTUNITIES AND CONTINUES TO PARTICIPATE IN THE HIGH SCHOOL JOB SHADOWING PROGRAM. THE HOSPITAL OFFERS CHARITY CARE AND FINANCIAL ASSISTANCE TO THOSE IN NEED.3. STAFF PUBLIC TRANSPORTATION NEEDS TO BE AT A SUFFICIENT LEVEL TO FULLY MEET NEEDS FOR BROADER GENERAL SERVICES AND FLEXIBILITY TO ADDRESS ACCESS TO HEALTH-RELATED APPOINTMENTS AND SERVICES. MARSHALL BROWNING HOSPITAL WILL SUPPORT SOUTH CENTRAL TRANSIT IN ITS POST-PANDEMIC REBUILDING AS IS REASONABLE AND APPROPRIATE. MARSHALL BROWNING HOSPITAL BELIEVES THAT THE SOLUTIONS TO MASS TRANSIT ISSUES MUST BE LED BY TRANSIT EXPERTS AND LEADERS. MARSHALL BROWNING HOSPITAL ANTICIPATES THAT RECENTLY ANNOUNCED STEPS TO RESTORE AND EXPAND THE LOCAL TRANSIT PROGRAM WILL ADDRESS THE ISSUES RAISED HERE. FY 2023: SOUTH CENTRAL TRANSIT EXPANDED THEIR ROUTES IN PERRY COUNTY AND THE HOSPITAL HELPED TO PROMOTE THE EXPANSION THROUGH SOCIAL MEDIA POSTS AND IN WAITING ROOMS.4. TELEHEALTH ACCESS FOR YOUTH IN SCHOOLS FOR PHYSICAL AND MENTAL HEALTH. MARSHALL BROWNING HOSPITAL WILL EXPLORE EXPANDING TELEHEALTH SERVICES TO PROVIDE REASONABLE AND APPROPRIATE ACCESS TO STAFF AND YOUTH IN SCHOOLS IN COLLABORATION WITH THE HEALTH DEPARTMENT. THE HOSPITAL ANTICIPATES THAT THIS COOPERATIVE EFFORT BETWEEN THE HOSPITAL, PUBLIC HEALTH, AND THE SCHOOLS COULD PROVIDE INCREASED ACCESS TO MENTAL AND PHYSICAL CARE FOR YOUTH. FY 2023: THE HOSPITAL WORKED IN A COOPERATIVE MANNER WITH THE HEALTH DEPARTMENT. THE HOSPITAL OFFERED THE SERVICES OF TWO NURSE PRACTITIONERS IN THE CLINIC WHO SPECIALIZED IN MENTAL HEALTH COUNSELING AND MEDICATION MANAGEMENT. ONE PROVIDER WORKED PRIMARILY WITH CHILDREN AND ONE PRIMARILY WITH ADULTS. TELEHEALTH APPOINTMENTS WERE AVAILABLE.5. ADDRESS THE TEEN BIRTH RATE. MARSHALL BROWNING HOSPITAL WILL COLLABORATE WITH THE HEALTH DEPARTMENT TO INCREASE EDUCATION ON TOPICS RELEVANT TO THIS ISSUE TO THE COMMUNITY AND INTO SCHOOLS. THE HOSPITAL ANTICIPATES THAT INCREASING COMMUNICATION ON TOPICS RELATED TO TEEN BIRTHS WILL HAVE A POSITIVE IMPACT ON THE BIRTH RATE.FY 2023: THE HOSPITAL PROVIDED A NURSE PRACTITIONER WHO WENT TO THE LOCAL HIGH SCHOOL EVERY OTHER WEEK FOR 1.5 HOURS TO MEET WITH TEENS ON SEXUAL HEALTH SERVICES, STDS, BIRTH CONTROL, ETC.6. BETTER ACCESS TO SERVICES FROM THE DEPARTMENT OF HUMAN SERVICES. MARSHALL BROWNING HOSPITAL WILL EXPLORE COLLABORATION TO PROVIDE A LIAISON FOR SERVICES THAT PRESENT AT THE HOSPITAL. THE HOSPITAL WILL EXPLORE SUPPORT OF ANY REASONABLE AND APPROPRIATE COMMUNITY-BASED EFFORT TO CONVINCE THE DEPARTMENT OF HUMAN SERVICES TO RESTORE LOCAL ACCESS TO THE DEPARTMENT IN THIS AREA, IF SUCH AN EFFORT IS INITIATED.FY 2023: THE HOSPITAL BELIEVES LOCAL ACCESS FROM THE DEPARTMENT OF HUMAN SERVICES IS CURRENTLY NOT AVAILABLE.
MARSHALL BROWNING HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 16J: 16I - ENGLISH IS THE ONLY PRIMARY LANGUAGE THEREFORE THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY HAVE NOT BEEN TRANSLATED.
SECTION B, PART V, LINES 16A-C:	HTTPS://WWW.MARSHALLBROWNINGHOSPITAL.COM/DOCS/FAPMARSHALL.PDF

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MARSHALL BROWNING HOSPITAL MEDICAL CLINI
900 N WASHINGTON ST	DU QUOIN	IL	62832	RURAL HEALTH CLINIC
2 - MARSHALL BROWNING FAMILY HEALTH CENTER
20 N WASHINGTON ST	DU QUOIN	IL	62832	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

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PART I, LINE 6A:	COPIES ARE LOCATED IN EACH OF THE HOSPITAL'S WAITING ROOMS, MADE AVAILABLE TO THE COMMUNITY ADVISORY COMMITTEE, POSTED ON THE HOSPITAL WEBSITE AND ARE AVAILABLE UPON REQUEST.
PART I, LINE 7:	THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATION'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES AT MARSHALL BROWNING HOSPITAL INCLUDE THE OPERATION OF THE INPATIENT MEDICAL SURGICAL UNIT, THE EMERGENCY DEPARTMENT, AND TWO RURAL HEALTH CLINICS. THE HOSPITAL AND CLINICS ARE OPERATED TO PROVIDE SUPPORT TO THE COMMUNITY BY PROVIDING HOSPITALIZATION, EMERGENCY, AND CLINICAL SERVICES TO THE SURROUNDING RURAL AREAS, WHICH WOULD OTHERWISE BE UNDERSERVED. IT IS THE GOAL OF MARSHALL BROWNING HOSPITAL TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE COSTING METHOD FOR SUBSIDIZED HEALTH SERVICES IS BASED ON THE COSTING METHODS USED IN THE HOSPITAL'S MEDICARE COST REPORT WHICH PROVIDES FOR A DIRECT ALLOCATION OF EXPENSES AS WELL AS PROVIDING THE SAME DATA TO THE MEDICARE PROGRAM AS WELL AS TO THE IRS FOR 990 PURPOSES.
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 $ 1,489,231.
PART II, COMMUNITY BUILDING ACTIVITIES:	MARSHALL BROWNING HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY THROUGH SEVERAL INITIATIVES. THE CEO AND DIRECTOR OF MARKETING MEET ON A QUARTERLY BASIS WITH THE COMMUNITY ADVISORY COMMITTEE WHO OPENLY DISCUSS COMMUNITY NEEDS. THE DIRECTOR OF MARKETING SERVES ON THE BOARD OF DIRECTORS FOR TRANSITION2HOPE, A PERRY COUNTY RESOURCE CENTER. THE FACILITY'S MISSION IS TO IMPROVE THE LIVES OF INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS BY PROVIDING SANCTUARY, SUPPORT, EDUCATION, TOOLS AND RESOURCES. HOSPITAL EMPLOYEES DONATE YEAR-ROUND FOR THE CENTER INCLUDING CLOTHING, PERSONAL HYGIENE ITEMS, AND FOOD. THE RESOURCE CENTER PROVIDES A FREE WEEKLY HOT MEAL AS WELL AS MENTAL HEALTH COUNSELING AND SUBSTANCE ABUSE COUNSELING SERVICES, FREE LAUNDRY, AND SHOWER FACILITIES. MARSHALL BROWNING HOSPITAL HAS DONATED MONETARILY TO THE RESOURCE CENTER. THE HOSPITAL OFFERS DEEPLY DISCOUNTED LAB TESTING ON A WEEKLY BASIS. THE COST IS $40 BUT WOULD NORMALLY BE BILLED FOR OVER $1,000. THIS GREATLY IMPROVED THE HEALTH OF INDIVIDUALS WHO COULD NOT AFFORD LAB TESTING PRIOR TO THE DISCOUNT. THE DIRECTOR OF MARKETING WORKED WITH THE COMMUNITY CHAMPION FROM A NEIGHBORING HOSPITAL IN THE COUNTY TO DISCUSS COMMUNITY CARE COORDINATION AND WAYS TO ADDRESS THE MOST SIGNIFICANT HEALTH NEEDS IN THE COUNTY. TWO MEETINGS WERE COORDINATED WITH COMMUNITY JOINT PARTNERS TO PROVIDE EDUCATION ON SERVICES AVAILABLE AT THE RESOURCE CENTER FOR MENTAL HEALTH AND SUBSTANCE USE. BOTH SERVICES ARE AVAILABLE FIVE DAYS A WEEK. MARSHALL BROWNING HOSPITAL EMPLOYS A CARE COORDINATION TEAM TO MORE EFFECTIVELY ORGANIZE PATIENT CARE ACTIVITIES, FROM CHRONIC DISEASE MANAGEMENT AND ADDITIONAL FOLLOW-UP ER VISITS TO ANNUAL WELLNESS EXAMS AND SAFE PATIENT TRANSITIONS FROM HOSPITAL TO HOME. THE HOSPITAL PROVIDES THE SERVICES OF AN ATHLETIC TRAINER AT HIGH SCHOOL PRACTICES AND SPORTING EVENTS AT NO CHARGE. THE HOSPITAL PROVIDES A WEEKLY COUMADIN CLINIC WHICH OFFERS EDUCATION, DIETARY INSTRUCTION AND ANTICOAGULATION THERAPY. THIS IS A COLLABORATIVE PRACTICE WITH NO BILLING CODES FOR THE CONSULTATION OF THE PHARMACIST WHO PROVIDES THE INSTRUCTION FOR THE PATIENTS. MONTHLY LUNCHEONS ARE PROVIDED FOR COMMUNITY MEMBERS AT NO CHARGE WITH A PROVIDER PRESENTING A HEALTHCARE TOPIC. COMMUNITY MEMBERS ARE GIVEN A FREE COLORECTAL CANCER SCREENING KIT AND PROVIDED FREE TESTING DURING COLORECTAL CANCER AWARENESS MONTH. MARSHALL BROWNING PARTNERS WITH NATIONWIDE PRESCRIPTION CONNECTION TO HELP PATIENTS OBTAIN MEDICATIONS THEY NEED BUT CANNOT AFFORD. THIS IS PAID BY THE HOSPITAL AT A COST OF $500/MONTH. ALL HOSPITAL EMPLOYEES ARE PROVIDED ANNUAL COMPREHENSIVE LAB TESTING AT NO CHARGE TO PROMOTE GOOD HEALTH. THE HOSPITAL PROVIDED FREE SCHOOLS AND SPORTS PHYSICALS AND VACCINATIONS IN 2022 AND DEEPLY DISCOUNTED PHYSICALS IN 2023.
PART III, LINE 2:	THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO, WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES EXCLUDING THE PROVISION FOR BAD DEBT, DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE YEAR TO ESTIMATE THE COST OF CARE OF PATIENTS WHO HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL. THE HOSPITAL ALSO RECOGNIZES THAT IT ALSO PROVIDES A DISCOUNT TO SELF-PAY OR UNINSURED PATIENTS. THESE AMOUNTS ARE EXCLUDED FROM GROSS PATIENT SERVICE REVENUE ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE HOSPITAL.
PART III, LINE 3:	MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER THE HOSPITAL HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE.
PART III, LINE 4:	ACCOUNTS RECEIVABLE AND CREDIT POLICY:IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES PAST RESULTS 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 UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (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 ORGANIZATION RECORDS A SIGNIFICANT 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 UNCOLLECTIBLE ACCOUNTS. THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE.
PART III, LINE 8:	THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H TO THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUE DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE ORGANIZATION AS WELL AS ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUE FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN PROFESSIONAL SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY, SURGICAL, AND CLINICAL PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT MARSHALL BROWNING HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT, 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).WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED 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:	THE ORGANIZATION'S COLLECTIONS POLICY DOES CONTAIN A PROVISION FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. WHEN IT IS DISCOVERED AND INDIVIDUAL MAY OR DOES APPLY, THERE IS A HOLD PUT ON THE ACCOUNT AND COLLECTIONS ARE NOT PURSUED UNTIL AN APPLICATION IS COMPLETE AND PROCESSED.
PART VI, LINE 2:	MARSHALL BROWNING HOSPITAL CONTINUED TO ASSESS COMMUNITY HEALTH NEEDS AND MONITOR HEALTH OUTCOMES THROUGH MANY INITIATIVES. THE CEO AND DIRECTOR OF MARKETING MEET ON A QUARTERLY BASIS WITH THE COMMUNITY ADVISORY COMMITTEE TO OPENLY DISCUSS COMMUNITY NEEDS. THE DIRECTOR OF MARKETING SERVES ON THE BOARD OF DIRECTORS FOR TRANSITION2HOPE, A PERRY COUNTY RESOURCE CENTER. THE FACILITY'S MISSION IS TO IMPROVE THE LIVES OF INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS BY PROVIDING SANCTUARY, SUPPORT, EDUCATION, TOOLS AND RESOURCES. HOSPITAL EMPLOYEES DONATE YEAR-ROUND FOR THE CENTER INCLUDING CLOTHING, PERSONAL HYGIENE ITEMS, AND FOOD. THE RESOURCE CENTER PROVIDES A FREE WEEKLY HOT MEAL AS WELL AS MENTAL HEALTH COUNSELING AND SUBSTANCE ABUSE COUNSELING SERVICES, FREE LAUNDRY, AND SHOWER FACILITIES. MARSHALL BROWNING HOSPITAL HAS DONATED MONETARILY TO THE RESOURCE CENTER. MARSHALL BROWNING HOSPITAL OFFERS DEEPLY DISCOUNTED LAB TESTING ON A WEEKLY BASIS. THE COST IS $40 BUT WOULD NORMALLY BE BILLED FOR OVER $1,000. THIS GREATLY IMPROVED THE HEALTH OF INDIVIDUALS WHO COULD NOT AFFORD LAB TESTING PRIOR TO THE DISCOUNT. THE DIRECTOR OF MARKETING WORKED WITH THE COMMUNITY CHAMPION FROM A NEIGHBORING HOSPITAL IN THE COUNTY TO EVALUATE COMMUNITY CARE COORDINATION SERVICES AND WAYS TO ADDRESS THE MOST SIGNIFICANT HEALTH NEEDS IN THE COUNTY. TWO MEETINGS WERE COORDINATED WITH COMMUNITY JOINT PARTNERS TO PROVIDE EDUCATION ON SERVICES AVAILABLE AT THE RESOURCE CENTER FOR MENTAL HEALTH AND SUBSTANCE USE. BOTH SERVICES ARE AVAILABLE FIVE DAYS A WEEK. MARSHALL BROWNING HOSPITAL EMPLOYS A CARE COORDINATION TEAM TO MORE EFFECTIVELY ORGANIZE PATIENT CARE ACTIVITIES, FROM CHRONIC DISEASE MANAGEMENT AND ADDITIONAL FOLLOW-UP ER VISITS TO ANNUAL WELLNESS EXAMS AND SAFE PATIENT TRANSITIONS FROM HOSPITAL TO HOME. THE HOSPITAL CREATED AND MAINTAINS THE PERRY COUNTY RESOURCE GUIDE LISTING ALL SERVICES IN THE COUNTY. THE GUIDE IS LOCATED ON THE HOSPITAL'S WEBSITE AND IN AREA AGENCY OFFICES.
PART VI, LINE 3:	PATIENT EDUCATION REGARDING ELIGIBILITY FOR ASSISTANCE IS PROVIDED IN THE FOLLOWING MEDIUMS: HOSPITAL BROCHURES, HOSPITAL WEBSITE, POSTED IN ADMITTING, POSTED IN THE EMERGENCY DEPARTMENT, AND PATIENTS ARE CONTACTED BY A PATIENT ACCOUNTS REPRESENTATIVE DURING AND AFTER THEIR HOSPITAL STAY REGARDING ELIGIBILITY FOR ASSISTANCE.
PART VI, LINE 4:	MARSHALL BROWNING HOSPITAL HAS DEFINED ITS PRIMARY SERVICE AREA AND POPULATIONS AS THE GENERAL POPULATION WITHIN THE GEOGRAPHIC AREA IN AND SURROUNDING DU QUOIN. THE HOSPITAL'S PATIENT POPULATION INCLUDES ALL WHO RECEIVE CARE WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR ASSISTANCE. THE HOSPITAL'S AREA OF SERVICE IS COMPRISED OF AROUND 441 SQUARE MILES, WITH A POPULATION OF APPROXIMATELY 27,900 PEOPLE AND A POPULATION DENSITY OF 63 PEOPLE PER SQUARE MILE. THE SERVICE AREAS CONSIST OF RURAL COMMUNITIES INCLUDING DU QUOIN, MULKEYTOWN, ELKVILLE, SESSER, DOWELL, TAMARAROA, CHRISTOPHER, AND PINCKNEYVILLE. THE AVERAGE HOUSEHOLD SIZE IN THE AREA, AT 2.3, IS LOWER THAN BOTH ILLINOIS (3.0) AND THE U.S. (2.5) OVERALL AVERAGE. THE LARGEST LEVEL OF EDUCATION IS SOME COLLEGE, FOLLOWED BY HIGH SCHOOL GRADUATES. THE AREA'S UNEMPLOYMENT RATE OF 5.1% IS HIGHER THAN THE STATEWIDE AND NATIONAL AVERAGE. MEDIAN FAMILY HOUSEHOLD INCOME IN THE SERVICE AREA IS LOWER THAN THE STATEWIDE AVERAGE. PERRY COUNTY HAS A HIGHER PERCENTAGE OF DISABLED POPULATION (16%) COMPARED TO THE STATE OF ILLINOIS (7.3%) AND NATIONAL AVERAGES (8.7%). THE COUNTY'S PER CAPITA INCOME ($24,442) IS LOWER THAN THE STATE OF ILLINOIS ($37,306). PERRY COUNTY HAS A HIGHER PERCENTAGE OF THE UNINSURED POPULATION (7%), AND CHILDREN IN SINGLE-PARENT HOUSEHOLDS (37%). PERRY COUNTY IS RANKED AMONG THE UNHEALTHIEST COUNTIES IN ILLINOIS (0-25%) IN HEALTH FACTORS AND AMONG THE LOWER/MIDDLE RANGE OF UNHEALTHIEST COUNTIES IN ILLINOIS (25%-50%) IN HEALTH OUTCOMES.
PART VI, LINE 5:	MARSHALL BROWNING HOSPITAL PROVIDES ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF SUPPORTING, ALTHOUGH SOME MAY BE SUPPORTED BY OUTSIDE GRANTS OR FUNDING. SOME EXAMPLES INCLUDE FREE SCHOOL PHYSICALS, SPORTS PHYSICALS, AND VACCINATIONS TO AREA STUDENTS. THE HOSPITAL PROVIDES THE SALARY OF AN ATHLETIC TRAINER TO ATTEND ALL PRACTICES AND BALLGAMES FOR ATHLETIC TRAINING SERVICES TO DU QUOIN HIGH SCHOOL ATHLETES. THE HOSPITAL PROVIDES A COUMADIN CLINIC WHICH IS AN ANTICOAGULATION THERAPY, SPECIFICALLY COUMADIN (GENERIC WARFARIN). PATIENTS ARE GIVEN EDUCATION AND DIETARY INSTRUCTION AND KNOW THEIR LAB RESULTS AND DOSAGE FOR THE WEEK FOLLOWING EACH APPOINTMENT. THIS IS A COLLABORATIVE PRACTICE WITH NO BILLING CODES FOR THE CONSULTATION OF THE PHARMACIST WHO PROVIDES THE INSTRUCTION FOR THE PATIENTS. THIS SERVICE IS DONATED BACK TO THE COMMUNITY. THE CLINIC IS HIGHLY SUCCESSFUL AND RESULTS IN THE AVOIDANCE OF ER VISITS AND ADMISSIONS TO THE HOSPITAL. MARSHALL BROWNING OFFERS FREE MONTHLY EDUCATIONAL LUNCHEON PROGRAMS FOR INDIVIDUALS WITH A PHYSICIAN OR OTHER HEALTHCARE PROVIDER PRESENTING A HEALTHCARE PROGRAM. COMMUNITY MEMBERS ARE GIVEN FREE COLORECTAL CANCER SCREENING KITS AND PROVIDED THE TESTING AT NO CHARGE DURING COLORECTAL CANCER AWARENESS MONTH. THE HOSPITAL OFFERS A COMMUNITY HEALTHCHECK PROVIDING DISCOUNTED LAB TESTING ON A WEEKLY BASIS. MARSHALL BROWNING PROVIDES CLINICAL ROTATIONS AND INTERNSHIPS FOR MEDICAL STUDENTS AND A VARIETY OF COLLEGE STUDENTS ENTERING THE HEALTHCARE FIELD. MARSHALL BROWNING OFFERS A FOUR-YEAR $1,000 SCHOLARSHIP TO A HIGH SCHOOL SENIOR EACH YEAR ENTERING THE HEALTHCARE FIELD. THE HOSPITAL HOSTS SIX COMMUNITY BLOOD DRIVES PER YEAR. THE HOSPITAL SUPPORTS MANY COMMUNITY ORGANIZATIONS EACH YEAR INCLUDING THE DU QUOIN YOUTH CLUB, NUBABILITY, SPECIAL OLYMPICS, DU QUOIN FOOD PANTRY, WESTERN EGYPTIAN FOOD PANTRY, TRANSITION2HOPE RESOURCE CENTER, AND SEVERAL SCHOOL SPORTS AND COMMUNITY ORGANIZATIONS. THE HOSPITAL PARTNERS WITH NATIONWIDE PRESCRIPTION CONNECTION (NPC) TO HELP PATIENTS OBTAIN MEDICATIONS THEY NEED BUT CANNOT AFFORD. THE HOSPITAL OFFERS A SENIOR INDEPENDENT LIVING FACILITY ON ITS CAMPUS THAT IS OFFERED AS A BREAK-EVEN SERVICE AND HAS NEVER BEEN OPERATED AS A FOR-PROFIT ENTITY. MARSHALL BROWNING PROVIDES SPACE FOR COMMUNITY MEETINGS AND EDUCATIONAL PROGRAMS. THE HOSPITAL CONTINUES TO OFFER EXTENDED WI-FI RANGE TO PROVIDE ADDITIONAL EDUCATIONAL OPPORTUNITIES FOR STUDENTS MARSHALL BROWNING HOSPITAL MAILS A COMMUNITY NEWSLETTER ON A QUARTERLY BASIS TO OVER 14,000 HOMES COMMUNICATING THE MANY SERVICES AVAILABLE INCLUDING THE DISCOUNTED LAB TESTING AND DISCOUNTED PRESCRIPTION PROGRAM.
PART VI, LINE 6:	MARSHALL BROWNING HOSPITAL WAS AFFILIATED WITH SOUTHERN ILLINOIS HEALTHCARE; HOWEVER, THE AFFILIATION AGREEMENT WAS DISSOLVED ON APRIL 26, 2021. THE BOARD OF DIRECTORS BELIEVED IT WAS NO LONGER BENEFICIAL TO THE HOSPITAL AND THAT DISSOLVING THE RELATIONSHIP WOULD ALLOW THE ESTABLISHMENT OF FUTURE RELATIONSHIPS WITH OTHER HEALTHCARE SYSTEMS. THIS HAS PROVEN TO BE TRUE AS WORKING RELATIONSHIPS WITH OTHER HEALTHCARE SYSTEMS HAVE BEEN ESTABLISHED AND BROUGHT ADDITIONAL SPECIALISTS TO THE HOSPITAL.
PART VI, LINE 7, REPORTS FILED WITH STATES	IL

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID DICKINSON
PHYSICIAN	$331,702	$0	$0	$0	$360	$0	$19,500	$0	$13,793	$0	$365,355	$0	$0	$0
EDWARD TRAVIS
PHYSICIAN	$227,260	$0	$0	$0	$1,645	$0	$27,000	$0	$9,660	$0	$265,565	$0	$0	$0
LARRY SPOUR
CHIEF EXECUTIVE OFFICER (THRU 08/22)	$119,835	$0	$0	$0	$64,596	$0	$0	$0	$16,421	$0	$200,852	$0	$0	$0
MICHAEL STAFF
PHYSICIAN ASSISTANT	$161,761	$0	$0	$0	$3,165	$0	$13,000	$0	$11,917	$0	$189,843	$0	$0	$0
KURT HERMANN
PHARMACIST	$141,230	$0	$0	$0	$192	$0	$0	$0	$12,837	$0	$154,259	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4	FormAndLineReferenceDesc
Explanation	LARRY SPOUR RECEIVED A SEVERANCE PAYMENT IN ACCORDANCE WITH HIS EMPLOYMENT CONTRACT DURING CALENDAR YEAR 2022 IN THE AMOUNT OF $64,044.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN ILLINOIS ECONOMIC DEVELOPMENT AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	844730311	BondIssuerEIN
Bond Issued	2023-05-23	BondIssuedDt
Issue Price	$10,500,000	IssuePriceAmt
Purpose	SERIES 2023 EXPANSION PROJECT REVENUE BOND	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$10,500,000	TotalProceedsAmt
Issuance Costs From Proceeds	$154,826	IssuanceCostsFromProceedsAmt
Capital Expenditures	$2,928,806	CapitalExpendituresAmt
Other Spent Proceeds	$7,416,368	OtherSpentProceedsAmt
Unspent	$1,054,152	UnspentAmt
Substantial Completion	2043	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MITCHELLE CALDERON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF HAROLD CALDERON, CFO	RelationshipDescriptionTxt
Transaction	$107,571	TransactionAmt
Transaction	EMPLOYMENT COMPENSATION	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	ALL BOARD MEMBERS ARE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW AND COMMENT BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE TO COMPLETE A CONFLICT OF INTEREST STATEMENT. EACH YEAR OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE EDUCATED ON THE DEFINITION OF A CONFLICT OF INTEREST AND HOW TO AVOID THEM. A CONFLICT SHALL BE REPORTED TO THE BOARD OF DIRECTORS TO DETERMINE IF A CONFLICT ACTUALLY EXISTS. THE INTERESTED BOARD MEMBER MAY PARTICIPATE IN DISCUSSION BUT ABSTAIN FROM VOTING ON THE ISSUE.
FORM 990, PART VI, SECTION B, LINE 15	THE CEO'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS IN WHICH THEY REVIEW MARKET WAGE DATA FOR COMPARABILITY, GET APPROVAL BY INDEPENDENT PERSONS, AND DOCUMENT THE DELIBERATION AND DECISION. ALL OTHER OFFICERS AND EMPLOYEES ARE APPROVED BY THE CEO THROUGH THE HOSPITAL'S NORMAL WAGE AND SALARY POLICY. ALL EMPLOYEES WAGES ARE COMPARED TO MARKET RATES IN THE HEALTHCARE INDUSTRY.
FORM 990, PART VI, SECTION C, LINE 19	COPIES OF THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, FINANCIAL STATEMENTS, AND THE FEDERAL FORM 990 TAX RETURN ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATIVE OFFICE.
FORM 990, PART IX, LINE 11G	EMERGENCY PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 1,241,445. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,241,445. OTHER PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,332,045. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,332,045. OTHER FEES: PROGRAM SERVICE EXPENSES 1,266,017. MANAGEMENT AND GENERAL EXPENSES 1,569,542. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,835,559.
FORM 990, PART XI, LINE 9:	POSTRETIREMENT BENEFIT ADJUSTMENT -13,716.