2024-05-15T16:04:11-05:00 2023-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-07-01 370661218 MARSHALL BROWNING HOSPITAL ASSOCIATION MARS 6185422146 900 N WASHINGTON ST DU QUOIN IL 62832 HAROLD CALDERON CFO 6185422146 2024-05-15 1 HAROLD CALDERON 999009999 0 MICHAEL J PETERSON CPA P01833529 2187224705 2024-02-01 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DANIEL EAVES 900 N WASHINGTON ST DU QUOIN IL 62832 34217735 0 X WWW.MARSHALLBROWNINGHOSPITAL.COM X 1919 IL 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. 10 10 369 21 0 0 1516885 1385422 28513989 32757330 375161 169625 32374 -172848 30438409 34139529 0 4700 0 0 16000937 19088322 0 0 0 13987928 15286980 29988865 34380002 449544 -240473 28127210 25636509 16076541 13410161 12050669 12226348 X 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. 0 0 27797572 4700 32757330 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) 27797572 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 17 0 369 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X HAROLD CALDERON CFO 6185422146 900 N WASHINGTON ST DU QUOIN IL 62832 GUY ALONGI PRESIDENT 1.00 X X 0 0 0 DAVID SEARBY VICE PRESIDENT 1.00 X X 0 0 0 DON HOFFMAN TREASURER 1.00 X X 0 0 0 WILLIAM PLACE SECRETARY 1.00 X X 0 0 0 ISSAC DAVISON DIRECTOR 1.00 X 0 0 0 TRACY FENTON DIRECTOR 1.00 X 0 0 0 BRAD GALLI RPH DIRECTOR 1.00 X 0 0 0 CAROLYN GIBSON OD DIRECTOR 1.00 X 0 0 0 RICHARD K HAINES DIRECTOR (THRU 08/22) 1.00 X 0 0 0 SANDY JONES DIRECTOR 1.00 X 0 0 0 STEVE MAREK DIRECTOR 1.00 X 0 0 0 DANIEL EAVES CHIEF EXECUTIVE OFFICER 40.00 X 56908 0 0 LARRY SPOUR CHIEF EXECUTIVE OFFICER (THRU 08/22) 40.00 X 184431 0 16421 HAROLD CALDERON CHIEF FINANCIAL OFFICER 40.00 X 113720 0 24638 STEPHANIE HALL CHIEF CLINICAL OFFICER 40.00 X 126586 0 12192 JOANNA ELLIOTT PERF. IMPROV. OFFICER (THRU 07/22) 40.00 X 61717 0 2939 CRYSTAL JOHNSON PERFORMANCE IMPROVEMENT OFFICER 40.00 X 65457 0 4897 DAVID DICKINSON PHYSICIAN 40.00 X 332062 0 33293 EDWARD TRAVIS PHYSICIAN 40.00 X 228905 0 36660 ARIELLE LOIACONON NURSE PRACTITIONER 40.00 X 128417 0 13861 MICHAEL STAFF PHYSICIAN ASSISTANT 40.00 X 164926 0 24917 KURT HERMANN PHARMACIST 40.00 X 141422 0 12837 1604551 0 182655 19 0 1 0 INTEGRITAS 2250 NORTH ILLINOIS AVENUE CARBONDALE IL 62901 EMERGENCY PHYSICIAN SERVICES 1528664 KORTE & LUITJOHAN CONTR INC 12052 HIGHLAND RD HIGHLAND IL 62249 MBH EAST CLINIC RENOVATION 1374823 FORTE HOSPITALIST 2250 NORTH ILLINOIS AVENUE CARBONDALE IL 62901 HOSPITALISTS SERVICES 806000 CLOUDWAVE DEPT CH 19800 PALENTINE IL 60055 CLOUD HOSTING SERVICES 422769 G & G ANESTHESIA PLLC 2023 VADALABENE DRIVE SUITE 350 MARYVILLE IL 62062 CRNA SERVICES 418500 18 1253527 131895 1385422 INPATIENT AND OUTPATIENT SERVICES 621990 32098638 32098638 340B PROGRAM 621990 384618 384618 INDEPENDENT LIVING RENT 532000 204166 204166 69908 69908 32757330 216871 216871 7405 7405 7050 0 7050 7050 7050 30960 45785 32421 -45785 -1461 -47246 -47246 LOSS ON DEBT REFINANCING 900099 -231959 -231959 44656 44656 -187303 34139529 32757330 0 -3223 X 4700 4700 685383 685383 13607895 11618675 1989220 201445 201445 3566086 3398251 167835 1027513 977264 50249 27450 27450 8913 8913 38829 38829 6409049 4839507 1569542 128839 128839 199876 153770 46106 8127 8127 420062 420062 55590 47084 8506 418642 301380 117262 1115151 802796 312355 388452 388452 MEDICAL SUPPLIES 1676992 1522172 154820 BAD DEBT EXPENSE 1489231 1489231 DRUG 1302157 1302157 REPAIRS & MAINTENANCE 1117109 437896 679213 482511 281182 201329 34380002 27797572 6582430 0 4644760 1617791 4118322 605678 5323930 6070596 587165 641217 246481 976767 26922215 19690814 5410476 7231401 6866519 7413907 929557 1079152 28127210 25636509 2948118 2572269 1190657 0 0 9964572 8254346 140497 3683420 732823 16076541 13410161 X 12050669 12226348 12050669 12226348 28127210 25636509 X -240473 429868 -13716 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8913 8913 0 PART II-B, LINE 1: 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. 3114 3114 9524676 6982320 2542356 15064877 12708494 2356383 2329548 2329548 7231401 DEFERRED COMPENSATION PLAN 222251 ACCUMULATED POST RETIREMENT BENEFIT OBLIGATION 506529 MEDICARE ACCELERATED PAYMENTS 4043 732823 33041337 429868 -1489231 -1059363 34100700 38829 38829 34139529 32851942 0 32851942 38829 1489231 1528060 34380002 PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -1,489,231. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,489,231. 1 1 X 1 X 1 X 1 1 0 1 1 130058 130058 0.00400 6010824 4761454 1249370 0.03800 6140882 4761454 1379428 0.04200 153937 153937 0.00470 173251 173251 0.00530 14133313 8943799 5189514 0.15780 4700 4700 0.00010 14465201 8943799 5521402 0.16790 20606083 13705253 6900830 0.20990 2251 2251 0.00010 1123072 1123072 0.03410 1125323 1125323 0.03420 0 713578 142716 11243487 11308512 -65025 X 1 1 1 1 MARSHALL BROWNING HOSPITAL ASSOCIATION 900 N WASHINGTON ST DU QUOIN IL 62832 WWW.MARSHALLBROWNINGHOSPITAL.COM 0001388 X X X X OUTPATIENT PHYSICIAN CLINIC MARSHALL BROWNING HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE PART V, SECTION C, LINE 7D X X 1 21 1 SEE PART V, SECTION C, LINE 7D 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X 1 X 0 X X X X 1 X 0 0 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 2 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 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 X X 0 0 0 0 0 0 0 0 0 DAVID DICKINSON PHYSICIAN 331702 0 0 0 360 0 19500 0 13793 0 365355 0 0 0 EDWARD TRAVIS PHYSICIAN 227260 0 0 0 1645 0 27000 0 9660 0 265565 0 0 0 LARRY SPOUR CHIEF EXECUTIVE OFFICER (THRU 08/22) 119835 0 0 0 64596 0 0 0 16421 0 200852 0 0 0 MICHAEL STAFF PHYSICIAN ASSISTANT 161761 0 0 0 3165 0 13000 0 11917 0 189843 0 0 0 KURT HERMANN PHARMACIST 141230 0 0 0 192 0 0 0 12837 0 154259 0 0 0 PART I, LINE 4 LARRY SPOUR RECEIVED A SEVERANCE PAYMENT IN ACCORDANCE WITH HIS EMPLOYMENT CONTRACT DURING CALENDAR YEAR 2022 IN THE AMOUNT OF $64,044. A SOUTHERN ILLINOIS ECONOMIC DEVELOPMENT AUTHORITY 844730311 2023-05-23 10500000 SERIES 2023 EXPANSION PROJECT REVENUE BOND 0 0 0 A 10500000 154826 2928806 7416368 1054152 2043 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 MITCHELLE CALDERON FAMILY MEMBER OF HAROLD CALDERON, CFO 107571 EMPLOYMENT COMPENSATION 0 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.