2023-02-10T14:52:48-06:00 2022-03-31 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2021-04-01 201244058 FERRELL HOSPITAL COMMUNITY FOUNDATION FERR 6182733361 1201 PINE STREET ELDORADO IL 62930 DIRK MORGAN CFO 6182733361 2023-02-07 1 DIRK MORGAN XXX-XX-XXXX EMILIE KNIERIEM CPA P01330194 5029923500 2023-02-07 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z DIRK MORGAN 1201 PINE STREET ELDORADO IL 62930 40118245 0 X WWW.FERRELLHOSP.ORG X 2004 IL OPERATE ACUTE CARE HOSPITAL - DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE AND COMMUNITIES WE SERVE. 10 9 327 29 0 0 4554106 3946873 26789321 35886460 20316 24640 186053 254157 31549796 40112130 0 0 0 0 14876140 18910553 0 0 0 14624895 20524856 29501035 39435409 2048761 676721 53152353 55088834 47514318 46853722 5638035 8235112 OPERATE ACUTE CARE HOSPITAL - DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 34444756 36056412 FERRELL HOSPITAL COMMUNITY FOUNDATION (FHCF) OFFERS QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. FHCF PROVIDES MEDICAL CARE TO OUTPATIENTS AND INPATIENTS AS WELL AS PROVIDES VARIOUS COMMUNITY BENEFITS TO THE COMMUNITY. 34444756 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 29 0 1 327 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X DIRK MORGAN 6182733361 1201 PINE STREET ELDORADO IL 62930 JANNA PATHI MD SURGEON 30.00 X 451638 0 9861 JOSEPH A JACKSON MD PHYSICIAN 40.00 X 508303 0 36359 NATE OLDHAM MD BOARD MEMBER/PHYSICIAN 40.00 X 420015 0 37340 LUKE HALL PHYSICIAN 40.00 X 265652 0 25367 CALEB MITCHELL DO PHYSICIAN 40.00 X 277050 0 33459 DAVE GUNZEL PHYSICIAN 40.00 X 214242 0 28074 RACHEL PRATHER CHIEF NURSING OFFICER 40.00 X 90680 0 27365 CALEIGH BRUCE CHIEF COMPLIANCE OFFICER 40.00 X 80128 0 7946 CLIFFORD EUGENE MORRIS CHAIRMAN 5.00 X 0 0 0 E T SEELY VICE-CHAIRMAN 5.00 X 0 0 0 BARB DEVOUS SECRETARY 2.00 X 0 0 0 JEFF CAMPBELL BOARD MEMBER 2.00 X 0 0 0 AYN BARTIK BOARD MEMBER 2.00 X 0 0 0 NIKKI ROSER BOARD MEMBER 2.00 X 0 0 0 JARED FLORENCE BOARD MEMBER 2.00 X 0 0 0 DR JAMES PORTER MD BOARD MEMBER 2.00 X 0 0 0 AUSTIN RAHMOELLER BOARD MEMBER 2.00 X 0 0 0 ALISA COLEMAN CEO 50.00 X 0 0 0 DIRK MORGAN CFO 50.00 X 0 0 0 2307708 0 205771 18 0 1 0 DEACONESS HOSPITAL 600 MARY ST EVANSVILLE IN 47747 ER PHYSICIANS 1526843 DEACONESS REGIONAL HEALTHCARE SERVICES 600 MARY ST EVANSVILLE IN 47747 ER PHYSICIANS, MANAGEMENT FEES 1456126 CROSSROADS EMERGENCY PHYSICIANS PO BOX 677979 DALLAS TX 75267 ER PHYSICIANS 1258313 SYNERGY SURGICALISTS 280 W KAGY BLVD STE D320 BOZEMAN MT 59715 ORTHO SERVICES 861958 PROGRESSIVE HEALTH OF INDIANA LLC PO BOX 6890 EVANSVILLE IN 47719 PHYSICAL AND OCCUPATIONAL THERAPIST 766145 27 57038 3179171 710664 3946873 NET PATIENT SERVICE REVENUE 621999 34461584 34461584 PHARMACY SERVICES 621399 1424876 1424876 35886460 24640 24640 11090 0 11090 11090 11090 0 57038 6115 -6115 -6115 REBATES AND MISCELLANEOUS INCOME 900099 169952 169952 EMPLOYEE CAFETERIA 722310 79230 79230 249182 40112130 36056412 0 108845 X 663474 567471 96003 14792961 12652457 2140504 178062 146409 31653 2296124 1887960 408164 979932 805737 174195 756735 647237 109498 246106 215623 30483 8731309 7799512 931797 140220 123667 16553 528088 264044 264044 148141 130653 17488 559013 493021 65992 55668 49096 6572 29341 25877 3464 860284 815761 44523 2264479 1997157 267322 422397 256118 166279 MEDICAL SUPPLIES & DRUG 4594839 4594839 PROVIDER TAX 607273 607273 MINOR EQUIPMENT 218208 192449 25759 REPAIRS AND MAINTENANCE 193682 155418 38264 169073 16977 152096 39435409 34444756 4990653 0 2139158 4495963 12619462 6789142 0 300000 1789306 4024381 0 251499 519435 907787 309162 328040 47382034 10142221 32550479 37239813 0 14600 3225351 737609 53152353 55088834 7423527 6713281 6381563 2234398 30106133 34586302 3603095 3101429 0 218312 47514318 46853722 X 5638035 7635112 600000 5638035 8235112 53152353 55088834 676721 1920356 0 X 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 10261 10261 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO IHA AND AHA ANNUALLY. 37% AND 26.47% OF THESE DUES ARE USED FOR LOBBYING. 188327 188327 16588696 2464547 14124149 43892 43009 883 30561119 7634665 22926454 37239813 THIRD PARTY PAYOR 218312 218312 X 40112130 0 40112130 0 40112130 39435409 0 39435409 0 39435409 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF MARCH 31, 2022 AND 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. DUELING PIANOS 10005 10005 1675 728 LIP SYNC FUNDRAISER 34857 34857 1920 2 12176 12176 1792 57038 57038 1675 4440 6115 -6115 1 1 1 X 1 X 1 1 0 1 1 531807 1052774 0 0.00000 5968033 3578670 2389363 0.06060 6499840 4631444 2389363 0.06060 6499840 4631444 2389363 0.06060 1 2294898 0 15370986 17217465 -1846479 X 1 1 1 1 FERRELL HOSPITAL COMMUNITY FOUNDATION 1201 PINE STREET ELDORADO IL 62930 FERRELLHOSP.ORG 0005363 X X X X FERRELL HOSPITAL COMMUNITY 0 0 1 X X X X X X X X X 21 1 0 0 1 X WEBSITE LISTED IN PART V, SEC. B, LINE 7D. X X 1 21 1 WEBSITE LISTED IN PART V, SEC. B, LINE 7D. 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X HTTPS://FERRELLHOSP.ORG/FOR-YOU/PATIENTS-VISITORS/PATIENTS/FINANCIAL-ASSIST X HTTPS://FERRELLHOSP.ORG/FOR-YOU/PATIENTS-VISITORS/PATIENTS/FINANCIAL-ASSIST X HTTPS://FERRELLHOSP.ORG/FOR-YOU/PATIENTS-VISITORS/PATIENTS/FINANCIAL-ASSIST X X X X 1 X 0 X X X X 1 X 0 0 FERRELL HOSPITAL COMMUNITY PART V, SECTION B, LINE 5: THREE FOCUS GROUPS WERE CONVENED AT FERRELL HOSPITAL ON SEPTEMBER 29, 2021. THE GROUPS INCLUDED REPRESENTATION OF HEALTHCARE PROVIDERS, COMMUNITY LEADERS, COMMUNITY SERVICE PROVIDERS, SCHOOLS, FAITH-BASED ORGANIZATIONS, LOCAL ELECTED OFFICIALS, PUBLIC HEALTH, AND OTHERS. SEVERAL MEMBERS OF THIS GROUP PROVIDED SERVICES TO UNDERSERVED AND UNSERVED PERSONS AS ALL OR PART OF THEIR ROLE. IN RESPONSE TO A REQUEST TO IDENTITFY POSITIVE DEVELOPMENTS IN HEALTH AND HEALTHCARE IN THE SERVICE AREA OF FERRELL HOSPITAL, THE GROUPS PUT FORWARD THE FOLLOWING:FOCUS GROUP ONE - COMMUNITY LEADERS- EXPANSION OF SERVICES AT FERRELL HOSPITAL HAS RESULTED IN NEW SERVICES AND NEW OPPORTUNITIES FOR NEW CLINICAL OPPORTUNITIES FOR STUDENT AND NEW NURSES- THERE IS A NEW SOUTHEASTERN ILLINOIS CAMPUS (SIC) IN WHITE COUNTY- FERRELL HOSPITAL EXPANSION HAS IMPROVED THE NEIGHBORHOOD SURROUNDING THE NEW FACILITY- FERRELL HOSPITAL EXPANSION HAS IMPROVED THE ECONOMIC AND ECONOMIC DEVELOPMENT POSITION OF THE COMMUNITY- FERRELL HOSPITAL HAS PARTNERED WITH ELDORADO SCHOOLS TO PROVIDE MEDICAL SERVICES FOR SPORTS- THE SERVICE AREA OF FERRELL HOSPITAL HAS INCREASED AND IS PROVIDING SERVICES IN PREVIOUSLY UNDERSERVED SMALL RURAL COMMUNITIES AND AREAS- RIDES CAN ACCOMMODATE TRANSPORTATION TO DEACONESS HOSPITAL IN EVANSVILLE- TEMPORARY DAY CARE WAS DEVELOPED IN PARTNERSHIP AMONG FERRELL HOSPITAL, ELDORADO SCHOOL DISTRICT, I-DCFS, ST. MARY'S CHURCH, AND INTERESTED CITIZENS- FERRELL HOSPITAL'S EXPANSION BROUGHT INSIGHT FROM OUTSIDERS ON THE WAY THE COMMUNITY LOOKS AND FUNCTIONS- NEW ONCOLOGY CENTER- "CHEMO BUDDIES" PROGRAM FOCUS GROUP TWO - HOSPITAL DEPARTMENT MANAGERS- EXPANSION OF FERRELL HOSPITAL- NEW ONCOLOGY DEPARTMENT- FERRELL HOSPITAL'S RESPONSE TO COVID AND EXPANSION OF INFUSION SERVICES- FRESH PRODUCE IS AVAILABLE IN GALLATIN COUNTY AT A DOLLAR GENERAL- NEW ORTHOPEDIC PROGRAM AT FERRELL HOSPITAL- OUTPATIENT BEHAVIORAL HEALTH SERVICES ARE AVAILABLE IN SALINE COUNTY- EXPANSION OF TELEHEALTH SERVICES- THERE IS MORE COMMUNITY INVOLVEMENT IN HEALTH ISSUES AND CIVIC ISSUES IN GENERAL- FERRELL HOSPITAL'S DEPARTMENT LEADERSHIP IS SOLID- EXPANDED ACCESS TO VACCINES FOR CHILDREN- CHILDREN'S HEALTH NEEDS PROGRAM AT EGYPTIAN HEALTH DEPARTMENT- FERRELL HOSPITAL HAS BENEFITED FROM COVID RELIEF FUNDING- THERE IS STRONG COMMUNITY SUPPORT FOR FERRELL HOSPITAL- COMMUNITY ENTHUSIASM TO ADDRESS LOCAL CIRCUMSTANCES IS HIGH- INCREASED OPIOID AWARENESS, INCLUDING INCREASED NARCAN AVAILABILITY, AND MAT (MEDICATION ASSISTED TREATMENT) AVAILABILITY- FERRELL HOSPITAL IS RECEIVING A GREAT DEAL OF BENEFIT FROM ITS RELATIONSHIP WITH DEACONESS, INCLUDING IMPROVED EMS SERVICES - FERRELL HOSPITAL IS RECEIVING INCREASED BENEFIT FROM UTILIZATION OF ICAHN PROGRAMS AND SERVICES, ESPECIALLY THE LIST-SERVS- EPIC RECORDS SYSTEM AT FERRELL HOSPITAL- NEW ENTREPRENEURIAL SMALL BUSINESSES ARE OPENING- NEW CLINIC IN WHITE COUNTY- NEW CLINIC IN HARRISBURG- NEW SERVICES AT FERRELL HOSPITAL INCLUDING ENT, AUDIOLOGY, AND WOUND SERVICES- IMPROVED LEADERSHIP FROM THE MEDICAL STAFF AT FERRELL HOSPITAL FOCUS GROUP THREE - MEDICAL PROVIDERS- NEW FAMILY MEDICINE CLINIC IN CARMI- THE AVERAGE AGE OF THE MEDICAL STAFF AT FERRELL HOSPITAL HAS DROPPED FROM NEAR 60 TO NEAR 40- NEW SPECIALTY SERVICE LINES AT FERRELL HOSPITAL, INCLUDING THE WOUND CLINIC, ENT, AND ORTHOPEDICS- NEW CLINIC IN HARRISBURG- WOMEN'S HEALTH- WEEKEND HOURS AT CLINIC- NEW FACILITY AT FERRELL HOSPITAL- COMMUNICATION AMONG HOSPITALS, SKILLED CARE FACILITIES, AND PUBLIC HEALTH IS VERY GOODTHE GROUPS WERE NEXT ASKED TO IDENTIFY NEEDS CONTINUING TO FACE THE HEALTH OF THE COMMUNITY, INCLUDING PHYSICAL AND MENTAL WELLNESS AND THE DELIVERY OF HEALTH SERVICES AND CARE FOR ALL SEGMENTS AND MEMBERS.FOCUS GROUP ONE - COMMUNITY LEADERS- LOCAL ACCESS TO DIALYSIS- MANPOWER FOR AMBULANCES/EMS NEEDS- BETTER AMBULANCE PLACEMENT- RESOURCES FOR TRAINING OPPORTUNITIES FOR POTENTIAL EMPLOYEES FOR ROLES ACROSS THE COMMUNITIES- SERVICES FOR TREATMENT AND RESOURCES FOR PERSONS FACING SUBSTANCE USE DISORDERS, ESPECIALLY YOUTH AND YOUTH WITH CO-OCCURRING CONDITIONS- MOBILE SERVICES TO UNDERSERVED COMMUNITIES- HOME MEDICAL SERVICES FOR SENIORS, ESPECIALLY IN OUTLYING COMMUNITIES, RURAL AREAS- UNDERSTAND POTENTIAL LONG-TERM IMPACT OF COVID TO SPECIFIC COMMUNITIES- NEED TO CONTINUE THE MOMENTUM FOR STRONG COMMUNITY PARTNERSHIPS, PLANNING AND ACTION TO IDENTIFY AND ADDRESS EMERGING ISSUES FOCUS GROUP TWO - HOSPITAL DEPARTMENT MANAGERS- IMPROVED TRANSPORTATION TO AND FROM LOCAL MEDICAL SERVICES- LOCAL ACCESS TO OBSTETRICS SERVICES- COMMUNITY EDUCATION AROUND MEDICAID AND MEDICARE- LOCAL ACCESS TO NEUROLOGY SERVICES- ADDRESS PATIENT APATHY ABOUT THEIR OWN HEALTHCARE AND NEEDS- EXPAND ACCESS TO PROFESSIONAL COUNSELING SERVICES FOR BEHAVIORAL HEALTH AND SUBSTANCE USE ISSUES- MORE AGGRESSIVE LOCAL ECONOMIC DEVELOPMENT- EXPANDED LOCAL EDUCATION OPPORTUNITIES FOR HEALTHCARE EMPLOYMENT POSITIONS, INCLUDING TECHNICAL CERTIFICATE PROGRAMS- ACCESS TO DAY CARE- ADDRESS DWINDLING HEALTHCARE WORKFORCE- STAFF FOR IN-PATIENT TRANSPORT ER TO ER AND ER TO INPATIENT- EMERGENCY DENTAL SERVICES, ESPECIALLY FOR UNDERSERVED AND UNSERVED PATIENTS- PREVENTATIVE DENTAL CARE, ESPECIALLY FOR UNDERSERVED AND UNSERVED PATIENTS- LOCAL ACCESS TO INPATIENT PSYCHIATRIC AND SUBSTANCE REHABILITATION/RECOVERY- EMERGENT CARE IN WHITE COUNTY- ADEQUATE, RELIABLE BROAD BAND TO SUPPORT TELEHEALTH SERVICES- RESOURCES FOR HOMELESS PERSONS TO PROVIDE FOR SHELTER AND BASIC NEEDS- ACCESS TO LOCALIZED AND SPECIALIZED DATA.- EXPAND ACCESS TO IN-HOME HEALTH CARE- LOCAL ACCESS TO ENDOCRINOLOGY- FAMILY WELLNESS CENTER PROVIDING OPPORTUNITIES FOR RECREATION, EXERCISE, AND WELLNESS EDUCATION- COMMUNITY EDUCATION ON HEATH LITERACY- TEEN WELLNESS OPPORTUNITIES AND PROGRAMS FOCUS GROUP THREE - MEDICAL PROVIDERS- PSYCHIATRIC CARE FOR YOUTH- IMPROVE TRANSPORTATION TO AND FROM APPOINTMENTS- AMBULANCES AND STAFF FOR TRANSPORTS- LOCAL OBSTETRIC CARE- EXPLORE CAUSES FOR HIGH LOCAL CANCER RATES- ACCESS TO AFFORDABLE HEALTHY FOODS- THERE IS NO URGENT CARE OR EMERGENCY CARE IN IN GALLATIN, POPE, OR WHITE COUNTIES- EXPLORE A WELLNESS/COMMUNITY HEALTH CENTER- COMPREHENSIVE SERVICES FOR PERSONS WITH SUBSTANCE USE DISORDERS- ADDRESS LACK OF HEALTHY FOOD CHOICES FOR HOME AND AT RESTAURANTS- NUTRITION EDUCATION- EXPLORE IMPACT OF LOCAL GAMBLING- INCREASE ACCESS TO COUNSELORS AND SOCIAL WORKERS- INCREASE OPPORTUNITIES FOR WELLNESS AND WELLNESS EDUCATION FOR YOUTH- OPPORTUNITIES FOR SOCIALIZATION FOR SENIORS- EXPLORE SOLUTIONS FOR LOCAL UNEMPLOYMENT AND POVERTY- CONTINUE CONVERSATIONS ABOUT COMMUNITY HEALTHIN ADDITION, A PUBLIC SURVEY OF THE COMMUNITY WAS CONDUCTED THROUGH THE FERRELL HOSPITAL WEBSITE. TWENTY-FOUR PERSONS RESPONDED TO THE SURVEY ADDRESSING HEALTH AND WELLNESS ISSUES. FERRELL HOSPITAL COMMUNITY PART V, SECTION B, LINE 7D: HTTPS://WWW.FERRELLHOSP.ORG/ABOUT-US/DOCUMENTS-ABOUT-US/2021-FERRELL-HOSPITAL-CHNA-FINAL.PDF FERRELL HOSPITAL COMMUNITY PART V, SECTION B, LINE 11: THREE FOCUS GROUPS MET TO DISCUSS THE STATE OF OVERALL HEALTH AND WELLNESS IN THE FERRELL HOSPITAL SERVICE AREA AND TO IDENTIFY HEALTH CONCERNS AND NEEDS IN THE DELIVERY OF HEALTHCARE AND HEALTH SERVICES IN ORDER TO IMPROVE WELLNESS AND REDUCE CHRONIC ILLNESS FOR ALL RESIDENTS. THE FOCUS GROUPS INCLUDED REPRESENTATION OF HEALTHCARE PROVIDERS, COMMUNITY LEADERS, COMMUNITY SERVICES PROVIDERS, SCHOOLS, A COMMUNITY COLLEGE, FAITH-BASED ORGANIZATIONS, LOCAL ELECTED OFFICIALS, PUBLIC HEALTH AND OTHERS. SEVERAL MEMBERS OF THESE GROUPS PROVIDED SERVICES TO UNDERSERVED AND UNSERVED PERSONS AS ALL OR PART OF THEIR ROLES.THE FINDINGS OF THE FOCUS GROUPS WERE PRESENTED, ALONG WITH SECONDARY DATA ANALYZED BY THE CONSULTANT, TO A THIRD GROUP FOR IDENTIFICATION AND PRIORITIZATION OF THE SIGNIFICANT HEALTH NEEDS FACING THE COMMUNITY. THE GROUP CONSISTED OF REPRESENTATIVES OF PUBLIC HEALTH, COMMUNITY LEADERS, HEALTHCARE PROVIDERS, AND COMMUNITY SERVICES PROVIDERS.AT THE CONCLUSION OF THEIR REVIEW AND DISCUSSION, THE IDENTIFICATION AND PRIORITIZATION GROUP ADVANCED THE FOLLOWING NEEDS:1. THE GROUP FIRST IDENTIFIED AND PRIORITIZED AVAILABILITY OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, INCLUDING: REDUCING THE STIGMA TOWARD MENTAL HEALTH AND SUBSTANCE USE DISORDERS ISSUES AND TREATMENT IMPROVED ACCESS TO MENTAL HEALTH AND SUBSTANCE USE CARE AT ALL LEVELS FOR YOUTH IMPROVED ACCESS TO MENTAL HEALTH AND SUBSTANCE USE CARE AT ALL LEVELS FOR ADULTS2. THE GROUP NEXT PRIORITIZED THE NEED TO REDUCE COVID VACCINE HESITANCY3. THE THIRD PRIORITIZED NEED WAS TO ADDRESS AWARENESS, STIGMA, AND FLEXIBILITY ISSUES RELATED TO PUBLIC TRANSPORTATIONTHE RESULTS OF THE ASSESSMENT PROCESS WERE THEN PRESENTED TO SENIOR STAFF AT FERRELL HOSPITAL THROUGH A FACILITATED DISCUSSION FOR DEVELOPMENT OF A PLAN TO ADDRESS THE IDENTIFIED AND PRIORITIZED NEEDS.THE GROUP ADDRESSED THE NEEDS WITH THE FOLLOWING STRATEGIES:- FERRELL HOSPITAL WILL DEVELOP A COMMERCIAL MEDIA AND SOCIAL MEDIA INFORMATION DRIVE, INCLUDING USING IN-HOUSE KIOSKS TO CREATE AWARENESS OF MENTAL HEALTH STIGMA AND ITS IMPACT- FERRELL HOSPITAL WILL DEVELOP A YOUTH-TARGETED CAMPAIGN TO ADDRESS THE STIGMA THAT OFTEN RESULTS IN FAILURE TO SEEK HELP BY YOUTH FACING SUBSTANCE USE DISORDERS PERSONALLY OR AT HOME- FERRELL HOSPITAL WILL INITIATE A PAIN MANAGEMENT PROGRAM THAT WILL INCLUDE MEDICATION ASSISTED TREATMENT TO RESPOND TO SUBSTANCE USE DISORDERS- FERRELL HOSPITAL WILL EXPLORE PARTNERSHIPS WITH SCHOOLS FOR NEW AND EXPANDED SERVICES FOR YOUTH- FERRELL HOSPITAL WILL EXPLORE WAYS TO PARTNER OR COOPERATE WITH THE STRESS AND TRAUMA CLINIC IN ELDORADO- FERRELL HOSPITAL WILL EXPLORE DEVELOPING SUPPORT GROUPS FOR PERSONS WITH MENTAL HEALTH AND/OR SUBSTANCE USE ISSUES AND THOSE THAT CARE ABOUT THEM- FERRELL HOSPITAL WILL EXPLORE INCREASING COUNSELING CAPABILITIES AT ALL CLINICS- FERRELL HOSPITAL WILL CONTINUE TO PROVIDE COUNSELING TO SENIORS- FERRELL HOSPITAL WILL EXPLORE DEVELOPING TELE-MENTAL HEALTH SERVICE FOR YOUTH AND ADULTS- FERRELL HOSPITAL WILL CONTINUE TO COLLABORATE WITH PUBLIC HEALTH AGENCIES TO DEVELOP MENTAL HEALTH MITIGATIONS- FERRELL HOSPITAL WILL CONTINUE EDUCATION EFFORTS ON VACCINATIONS AND COVID PREVENTION IN THE COMMUNITY AND AMONGST EMPLOYEES AND NEW HIRES- FERRELL HOSPITAL WILL ATTEMPT TO ADDRESS PORTIONS OF THESE SPECIFIC ISSUES BY CONTINUING TO INCREASE THE AVAILABILITY OF LOCAL MEDICAL SERVICES, THEREBY REDUCING THE NEED FOR TRANSPORTATION OUT OF THE AREA FOR CARE- WHILE WIDESCALE GENERAL PUBLIC TRANSPORTATION IS BEYOND THE ROLE AND EXPERTISE OF A CRITICAL ACCESS HOSPITAL, FERRELL HOSPITAL STANDS READY TO REASONABLY ASSIST ANY AGENCY OR ORGANIZATION THAT DETERMINES TO ATTEMPT TO RESOLVE THE ISSUES OF AWARENESS, STIGMA, AND FLEXIBILITY RELATED TO TRANSPORTATION NEEDS.FERRELL HOSPITAL BELIEVES THAT THE CONDITION OF THE LOCAL ECONOMY IS, IN PART, RESPONSIBLE FOR THE OVERALL PICTURE OF PUBLIC TRANSPORTATION IN THE AREA. ECONOMIC CONDITIONS INCLUDING DECLINE IN EMPLOYMENT OPPORTUNITIES AND RELATED IMPACTS HAVE REDUCED STABILITY OF CIRCUMSTANCES THAT IMPACT PUBLIC TRANSPORTATION FROM THE NECESSITY FOR MANY TO TRAVEL BEYOND THE LOCAL AREA FOR WORK AND OTHER NEEDS AND THE POPULATION ITSELF. FERRELL HOSPITAL IS COMMITTED TO OFFER APPROPRIATE AND REASONABLE SUPPORT TO EFFORTS OF LOCAL GOVERNMENTS, CHAMBERS OF COMMERCE, AND OTHERS TO ADDRESS ECONOMIC ISSUES AND SOCIAL DETERMINANTS OF HEALTH, INCLUDING BROADBAND.THE COMMUNITY HEALTH NEEDS PROCESS IS CONDUCTED EVERY THREE YEARS. IN RESPONSE TO ISSUES IDENTIFIED AND PRIORITIZED AND THE IMPLEMENTATION STRATEGY DEVELOPED TO ADDRESS THEM, FERRELL HOSPITAL HAS TAKEN THE FOLLOWING STEPS SINCE THE LAST CHNA.PRIORITY #1: EXPLORE THE CAUSES OF CHRONIC ILLNESS AND IMPROVING EARLY IDENTIFICATION THROUGH SCREENINGS AND OTHER METHODS, ESPECIALLY CANCER AND HEART DISEASE- STARTED CLINICS FOR PERIPHERAL ARTERIAL DISEASE (PAD) AND CONGESTIVE HEART FAILURE (CHF) FOR FERRELL HOSPITAL PATIENTS- STAFF RECEIVED TRAINING REGARDING SMOKING CESSATION CLASSES TO BE OFFERED TO THE COMMUNITY- HIRED A FULLTIME DIETITIAN TO PERFORM INPATIENT AND OUTPATIENT CONSULTATIONS.- OFFERED "LUNCH AND LEARNS" TO ADDRESS HEART DISEASE AND OTHER CHRONIC DISEASES TO THE COMMUNITY PRIOR TO COVID- WORKED WITH DEACONESS ON EPIC TO ENSURE FERRELL HOSPITAL WAS RECEIVING ACCURATE DATA ON PATIENTS WHO WERE IN NEED OF SCREENINGS. THIS WAS PUT ON HOLD DUE TO COVID- STARTED THE PROCESS OF THE DIABETES SELF-MANAGEMENT PROGRAMPRIORITY #2: PROVIDE EDUCATION AND GUIDANCE FOR SENIORS ON THE TOPICS OF MEDICARE, SENIOR WELLNESS, AND OTHER HEALTH SERVICES FOR OLDER ADULTS- CONTINUED TO WORK TO EXPAND THE SENIOR TRANSITIONS PROGRAM AND HIRED AN ADDITIONAL COUNSELOR- ADDED RHEUMATOLOGY AND UROLOGY SERVICESPRIORITY #3: MENTAL HEALTH- TWO NURSE PRACTITIONERS SUCCESSFULLY COMPLETED THE CERTIFICATION PROGRAM TO IMPLEMENT SUBOXONE SERVICES FOR SUBSTANCE ABUSE- PROVIDE MENTAL HEALTH EDUCATION TO PATIENTS AS NEEDED WHEN PRESENTING TO FERRELL HOSPITALPRIORITY #4: ADDRESS TEEN BIRTH RATE, LOW BIRTH RATE, AND INFANT MORTALITY THROUGH EDUCATION AND ACCESS TO CARE- BEGAN OFFERING WOMEN'S SERVICES IN SALINE AND WHITE COUNTY THROUGH FERRELL HOSPITAL'S CLINICS- CLINIC PROVIDERS OFFERED EDUCATIONAL PROGRAMS AT THE MIDDLE SCHOOLPRIORITY #5: LOCAL ACCESS TO DENTAL CARE, ESPECIALLY FOR PERSONS ON MEDICAID- EXPLORED OPTIONS OF DENTAL SERVICES WITHIN RURAL HEALTH CLINICS FERRELL HOSPITAL COMMUNITY PART V, SECTION B, LINE 23: THE HOSPITAL CHARGES THE SAME AMOUNT FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE FOR FAP-ELIGIBLE PATIENTS AND ALL OTHER PATIENTS. 4 1 - FERRELL HOSPITAL FAMILY PRACTICE 1036 MAPLE STREET ELDORADO IL 62930 RURAL HEALTH CLINIC 2 - ELDORADO FAMILY MEDICINE 1407 LOCUST STREET ELDORADO IL 62930 RURAL HEALTH CLINIC 3 - CARMI FAMILY MEDICINE 1340 IL HWY 1 SUITE A CARMI IL 62821 RURAL HEALTH CLINIC 4 - MCLEANSBORO FAMILY MEDICINE 206 S WASHINGTON STREET MCLEANSBORO IL 62859 RURAL HEALTH CLINIC PART I, LINE 7: THE HOSPITAL USED A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2; RATIO OF PATIENT CARE COST TO CHARGES INCLUDED IN THE SCHEDULE H INSTRUCTIONS TO DETERMINE THE AMOUNTS ON LINE 7A OF PART 1 OF SCHEDULE H. PART II, COMMUNITY BUILDING ACTIVITIES: FERRELL HOSPITAL COMMUNITY FOUNDATION OFFERS VARIOUS BENEFITS TO THE COMMUNITY INCLUDING BUT NOT LIMITED TO CPR/FIRST AID, PARTICIPATION IN THE SALINE COUNTY HEALTHY COALITION, PARTICIPATION IN HEALTH FAIRS AT LOCAL HIGH SCHOOLS AND COLLEGES, POISON PREVENTION AND HEALTH CARE CAREER PRESENTATIONS TO LOCAL SCHOOLS, PROVIDE TOURS OF THE HOSPITAL, HOLD FLU VACCINATION CLINICS, PERIODIC BLOOD PRESSURE AND GLUCOSE SCREENINGS, SPEAKING ENGAGEMENTS FOR COMMUNITY ORGANIZATIONS, CO-SPONSOR THE KIDNEY MOBILE, SPONSOR THE LOCAL HIGH SCHOOL PROM, PARTICIPATE IN THE RELAY FOR LIFE, SPONSOR FUNCTIONS AT THE LOCAL SENIOR CITIZENS CENTER, HOLD WELLNESS WORKSHOPS, PROVIDE A TRAINER FOR THE LOCAL HIGH SCHOOL SPORTS TEAMS, PROVIDE FIRST AID KITS FOR LOCAL SPORTS TEAMS, PROVIDE CLOTHING FOR DOMESTIC ABUSE VICTIMS AND PARTICIPATE IN THE SAFE HAVEN PROGRAM. PART III, LINE 2: THE BAD DEBT EXPENSE IS FROM THE TRIAL BALANCE. SEE ATTACHED PY FINANCIAL STMT PAGES 9 & 10 FOR METHODOLOGY. PART III, LINE 3: FINANCIAL ASSISTANCE COUNSELORS ARE IN PLACE TO CONTACT ANY PATIENT EXPRESSING INTEREST IN THE PROGRAM. PROCEDURES ARE IN PLACE TO MAKE DETERMINATIONS OF ALL PATIENTS' ELIGIBILITY AND TO PROVIDE THE APPROPRIATE ASSISTANCE. PART III, LINE 4: SEE THE PAGES 9 & 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENT. PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, LINE 8: THE MEDICARE TOTAL REVENUE AND ALLOWABLE COSTS WERE BASED ON THE 2021 MEDICARE COST REPORT. THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT DUE TO THE HOSPTIAL PROVIDING CARE TO MEDICARE PATIENTS AT LESS THAN THE ALLOWABLE MEDICARE COSTS. PART III, LINE 9B: FERRELL HOSPITAL COMMUNITY FOUNDATION PROVIDES ASSISTANCE TO MEET THE NEEDS OF THE UNINSURED PATIENTS TO WHICH THEY SERVE. FOR THOSE PATIENTS WHO ARE EXPECTED TO QUALIFY UNDER THEIR FINANCIAL ASSISTANCE POLICY, THE HOSPITAL ASSIGNS THE FINANCIAL CARRIER FOR CHARITY CARE AT THE TIME OF THE REQUEST FOR THE HEALTH ASSISTANCE PROGRAM (HAP) APPLICATION. ONCE ASSIGNED, SEVERAL PROCEDURES ARE IN PLACE TO COMPLETE THE PROCESS INCLUDING INVESTIGATION FOR ANY OTHER AVAILABLE FUNDING SOURCES SUCH AS MEDICAID AND INCOME VERIFICATION. THOSE THAT COMPLETE THE HAP ACCURATELY AND QUALIFY UNDER THE HOSPITALS POLICY RECEIVE FREE OR DISCOUNTED CARE. PART VI, LINE 2: FCHF IS INVOLVED IN COMMUNITY ORGANIZATIONS, INCLUDING CHURCHES, CIVIC GROUPS AND PROFESSIONAL ORGANIZATIONS. PART VI, LINE 3: OUR FINANCIAL ASSISTANCE PROGRAM IS EASILY ACCESSED THROUGH OUR WEBSITE AND HAS THE FORMS LISTED FOR THE PATIENT TO PRINT OFF IF NEEDED. THE CONTACT PHONE NUMBERS OF OUR FINANCIAL COUNSELORS ARE ALSO LISTED. THERE ARE FERRELL HOSPITAL FINANCIAL ASSISTANCE BROUCHURES IN THE LOBBY AREAS OF THE HOSPITAL. ALL SELF PAY PATIENTS IN THE HOSPITAL ARE VISITED BY THE FINANCIAL COUNSELOR AND GIVEN THE NECESSARY PAPERWORK IF THE PATIENT REQUESTS IT. IF THE FINANCIAL COUNSELOR DOES NOT GET TO SEE THE PATIENT OR FAMILY, THEN A LETTER IS MAILED ALONG WITH THE APPLICATION TO THE PATIENT. UPON REGISTRATION OF THE PATIENT, THE REGISTRATION STAFF INFORMS THE PATIENT OF THE HOSPITAL FINANCIAL ASSISTANCE PROGRAMS AND GIVES THEM A BROCHURE. IF THE PATIENT REQUESTS TO TALK TO THE FINANCIAL COUNSELOR THEN THAT PERSON IS CALLED. PART VI, LINE 4: THE MAJORITY OF FERRELL HOSPITAL PATIENTS RESIDE IN SALINE, GALLATIN, WHITE AND HAMILTON COUNTIES. WE ALSO SEE SEVERAL PATIENTS FROM POPE AND HARDIN COUNTIES. OUR FACILITIES ARE LOCATED IN SALINE AND GALLATIN COUNTIES. THE UNEMPLOYMENT RATE AND POVERTY RATE OF THESE COUNTIES ARE HIGHER THAN THE NATIONAL AVERAGE AND VERY CLOSE TO THE STATE OF ILLINOIS AVERAGE. THE PAYER MIX IS HEAVILY MEDICAID/MEDICARE DEPENDENT. PART VI, LINE 7, REPORTS FILED WITH STATES IL 0 0 0 0 0 0 0 1 0 JANNA PATHI MD SURGEON 451638 0 0 0 0 0 0 0 9861 0 461499 0 0 0 JOSEPH A JACKSON MD PHYSICIAN 361197 0 147106 0 0 0 7500 0 28859 0 544662 0 0 0 NATE OLDHAM MD BOARD MEMBER/PHYSICIAN 324722 0 95293 0 0 0 7500 0 29840 0 457355 0 0 0 LUKE HALL PHYSICIAN 264655 0 0 0 997 0 6483 0 18884 0 291019 0 0 0 CALEB MITCHELL DO PHYSICIAN 262957 0 14093 0 0 0 6089 0 27370 0 310509 0 0 0 DAVE GUNZEL PHYSICIAN 157693 0 56549 0 0 0 4160 0 23914 0 242316 0 0 0 PART I, LINE 7 PHYSICIANS ARE ELIGIBLE FOR INCENTIVE COMPENSATION. THE PHYSICIAN IS COMPENSATED FOR EACH WORK RVU PERFORMED BY A PHYSICIAN IN A YEAR IN EXCESS OF THE PHYSICIAN'S WORK RVU INCENTIVE THRESHOLD FOR THE YEAR. A ILLINOIS FINANCE AUTHORITY 861091967 000000000 2019-03-27 33260000 CONSTRUCTION AND EQUIPMENT FOR NEW HOSPITAL 0 0 0 A 32951953 510877 809783 308047 30557212 766034 2021 0 1 0 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 2 GENE MORRIS AND DR. NATE OLDHAM HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE JANUARY 1, 2016, THE HOSPITAL ENTERED INTO A FIVE-YEAR MANAGEMENT SERVICES AGREEMENT. MANAGEMENT SERVICES PROVIDED TO THE HOSPITAL CONSIST OF MANAGEMENT PERSONNEL INCLUDING A CEO AND CFO, FACILITY PLANNING, STRATEGIC PLANNING, RECRUITING, AND SEVERAL OTHER SUPPORT AND OVERSIGHT SERVICES. THE INITIAL TERM OF THE AGREEMENT IS FOR A FIVE-YEAR PERIOD, WHICH CAN BE EXTENDED BEYOND THE INITIAL FIVE-YEAR PERIOD, IF SO DESIRED. THE AGREEMENT CAN BE TERMINATED BY EITHER PARTY WITH A ONE HUNDRED AND EIGHTY DAY NOTICE WITHOUT RECOURSE SUBSEQUENT TO THE INITIAL FIVE-YEAR TERM. IF THE AGREEMENT IS TERMINATED BY THE HOSPITAL WITHIN THE INITIAL FIVE YEAR TERM OF THE AGREEMENT, THE HOSPITAL WILL BE ASSESSED A PENALTY IN THE AMOUNT OF $500,000 TO BE PAYABLE TO THE MANAGEMENT SERVICE ORGANIZATION. THE HOSPITAL WILL REIMBURSE THE MANAGEMENT SERVICE PROVIDER THE ACTUAL COST OF PROVIDING THE MANAGEMENT SERVICES ON A MONTHLY BASIS FOR THE YEARS ENDED MARCH 31, 2021 AND 2020, MANAGEMENT FEES INCURRED WERE $120,000 PER YEAR DURING THE 2020 YEAR, A PORTION OF COST REPORT PROCEEDS TOTALING $756,735 AND THE FOLLOWING INDIVIDUALS WERE COMPENSATED BY THE MANAGEMENT SERVICE PROVIDER: ALISA COLEMAN, CHIEF EXECUTIVE OFFICER AND DIRK MORGAN, CHIEF FINANCIAL OFFICER TOTALING $675,933.11. FORM 990, PART VI, SECTION B, LINE 11B THE CEO AND CFO REVIEW THE COMPLETED FORM 990 AS PREPARED BY THE PAID PROVIDER FOR COMPLETENESS AND ACCURACY. THE BOARD CHAIR AND THE CEO AND CFO SUBMIT THE FORM TO THE BOARD FOR FINAL APPROVAL IMMEDIATELY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C COPIES OF THE CONFLICT OF INTEREST POLICY ARE PROVIDED TO EACH DIRECTOR, OFFICER, AND MANAGEMENT PERSON AT LEAST ONCE PER YEAR, WITH REQUIREMENT THAT THEY COMPLETE A CERTIFICATE. THE CERTIFICATE CONFIRMS THAT THEY UNDERSTAND THIS POLICY, AGREE TO COMPLY, INDICATE ANY KNOWN CONFLICTS, AND HAVE NO KNOWLEDGE OF ANY ADDITIONAL VIOLATIONS OF THE POLICY. ANY PERSON WITH A CONFLICT IS REQUIRED TO COMPLETE A SPECIFIC DISCLOSURE NOTICE. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S SALARY WAS DETERMINED BY COMPARISON WITH PRIOR PERSONS EMPLOYED IN THE POSITION, INDUSTRY COMPARISONS, RELATIVE EXPERIENCE AND KNOWLEDGE. THE CEO'S SALARY WAS APPROVED BY THE BOARD OF DIRECTORS. ALL DELIBERATIONS ARE INCLUDED IN BOARD MINUTES. THIS PROCESS WAS LAST COMPLETED IN 2016. THE CFO'S SALARY WAS DETERMINED AND APPROVED IN THE SAME MANNER AS THE CEO'S SALARY. ALL OTHER EXECUTIVE SALARIES ARE APPROVED BY EXECUTIVE MANAGEMENT AND ANALYZED BASED ON INDUSTRY COMPARATIVE DATA AND POSITION DESCRIPTIONS, COMMENSURATE EXPERIENCE, EXPERTISE AND TRAINING. THIS PROCESS WAS LAST COMPLETED IN 2016. FORM 990, PART VI, SECTION C, LINE 19 FERRELL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 TAX RETURNS ARE AVAILABLE TO THE PUBLIC BY REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 1,208,468. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,208,468. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,591,044. MANAGEMENT AND GENERAL EXPENSES 931,797. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,522,841. FORM 990, PART XI, LINE 2C THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.