2022-03-15T12:15:45-05:00 2021-04-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2020-05-01 440655986 JOHN FITZGIBBON MEMORIAL HOSPITAL % NANCY HARRIS JOHN 6608867431 2305 S HIGHWAY 65 MARSHALL MO 65340 NANCY HARRIS CFO 6608867431 2022-02-15 true NANCY HARRIS 999009999 Krystal K Creach P01248198 4178658701 3 2020 2022-09-23 18:48:47Z FITZGIBBON HOSPITAL ANGELA P LITTRELL 2305 S HIGHWAY 65 MARSHALL MO 65340 59122274 false X WWW.FITZGIBBON.ORG X 1923 MO TO IMPROVE THE HEALTH OF OUR COMMUNITY BY OFFERING QUALITY SERVICES, IMPROVING ACCESS AND OUTCOMES, EMPOWERING THE COMMUNITY WE SERVE, AND PARTICIPATING IN HEALTH CARE PARTNERSHIPS. 7 5 531 46 0 0 1473543 6042632 49702934 52486655 137310 218393 194656 115464 51508443 58863144 15129 42253 0 0 29278253 28908432 0 0 75066 28329624 28490936 57623006 57441621 -6114563 1421523 51236097 55603765 36350032 40071372 14886065 15532393 X TO IMPROVE THE HEALTH OF OUR COMMUNITY. false false 39595850 43227459 HOSPITAL SERVICE - FITZGIBBON HOSPITAL IS A 60 BED ACUTE CARE FACILITY SERVING MARSHALL, MO AND THE SURROUNDING COMMUNITIES. THE FACILITY PROVIDES HEALTH CARE WITH A 24 HOUR PHYSICIAN-STAFFED EMERGENCY DEPARTMENT, AN INTENSIVE CARE UNIT, IN AND OUT-PATIENT MEDICAL/SURGICAL SERVICES, AN OBSTETRICS UNIT, A BEHAVIORAL HEALTH UNIT AND A 24 HOUR HOSPITALIST PROGRAM TO SERVE IN-PATIENT NEEDS AT ALL TIMES. ANCILLARY SERVICES SUCH AS RADIOLOGY, LABORATORY, RESPIRATORY THERAPY AND REHABILITATIVE SERVICES ARE AVAILABLE ON SITE. FOR MORE INFORMATION, SEE SCHEDULE O. 7176142 7834316 CLINIC SERVICE - SPECIALTY CLINICS WITHIN THE HOSPITAL PROVIDE ORTHOPEDIC, WOUND CARE, NEUROLOGIC AND PAIN MANAGEMENT SERVICES TO BOTH IN AND OUT-PATIENTS. THESE CLINICS PROVIDED SERVICES TO 6,501 PATIENTS. THE HOSPITAL ALSO SUPPORTS A SEPARATE OUT-PATIENT CLINIC ON CAMPUS FOR FAMILY MEDICINE, OB/GYN, GENERAL SURGERY, CHIROPRACTIC, AND PSYCHIATRY STAFFED MEDICAL PROFESSIONALS PRACTICING IN THESE SPECIALTIES FOR FISCAL YEAR 2021 THIS CLINIC PROVIDED SERVICES FOR 23,132 PATIENT VISITS. FOUR SATELLITE FAMILY PRACTICE CLINICS ARE ALSO SUPPORTED BY THE HOSPITAL. THESE CLINICS PROVIDED SERVICES FOR 14,092 PATIENT VISITS. 649481 42253 709050 COMMUNITY HEALTH SERVICES - HOSPICE AND HOME HEALTH. HOSPICE PROVIDED 617 PALLIATIVE CARE VISITS AND HOME HEALTH PROVIDED 3,646 VISITS. THE HOSPITAL DONATED $15,000 TO OATS IN 2021 AND WILL BE DONATING ANNUALLY TO HELP SUSTAIN IT IN THE MARSHALL COMMUNITY. THE PROGRAM PROVIDED TRANSPORTATION FOR 812 RIDERS DURING FY 2021. 655693 715831 48077166 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false false true false false false false false true true true false false true 103 0 true 531 true false false false false false true true false false false false false false X 7 5 false false false false false true false true true false false false true true true true true false false false X NANCY HARRIS 6608313271 2305 S HIGHWAY 65 PO BOX 250 MARSHALL MO 65340 X KELLY ROSS ORTHOPEDIC SURGEON 40.0 0.0 X 569293 0 1000 DARIN HAUG EMERGENCY PHYSICIAN 40.0 0.0 X 501711 0 2600 WILLIAM J SMITH OB/GYN PHYSICIAN 30.0 0.0 X 375008 0 0 LORENZO M ROMNEY HOSPITALIST 40.0 0.0 X 339211 0 0 ANN MURPHY EMERGENCY PHYSICIAN 40.0 0.0 X 334180 0 2750 ANGELA P LITTRELL PRESIDENT/ CEO 40.0 1.0 X 298317 0 7420 NANCY K HARRIS CFO 40.0 1.0 X 181044 0 3115 DENNIS SOUSLEY VP OF CLINICAL SERVICES 28.0 1.0 X 157653 0 3100 CHRISTOPHER SPORLEDER DO DIRECTOR END 4/21 40.0 1.0 X 108425 0 1560 JACK UHRIG MD DIRECTOR/ MEDICAL DIRECTOR 1.0 1.0 X 14400 0 0 JILL HARRIMAN LILLEMAN DIRECTOR 1.0 1.0 X 0 0 0 MARY LOU PORTER DIRECTOR 1.0 1.0 X 0 0 0 JAN V STAPLETON VICE PRESIDENT 1.0 1.0 X X 0 0 0 SCOTT B HARTWIG SECRETARY/ TREASURER 1.0 1.0 X X 0 0 0 WILLIAM L SUMMERS PRESIDENT 1.0 1.0 X X 0 0 0 2879242 0 21545 45 false true false QUEST PO BOX 822531 PHILADELPHIA PA 19182 PATHOLOGY 1996610 BKD LLP 910 E ST LOUIS STREET SPRINGFIELD MO 65801 AUDIT/TAX/CONSULTING 1070811 PHARMACY SYSTEMS INC 5050 BRADENTON AVE DUBLIN OH 43017 PHARMACY MANAGEMENT 652932 AMERICOLLECT PO BOX 1566 MANITOWOC WI 54221 COLLECTION AGENCY 411863 AMERI EBO 1851 S ALVERNO RD MANITOWOC WI 54221 COLLECTION AGENCY 341879 14 5209476 833156 9475 6042632 NET PATIENT SERVICE REVENUE 900099 50936428 50936428 304(B) REVENUE 900099 1254410 1254410 CAFETERIA 722514 205482 205482 MANAGEMENT FEES 900099 60000 60000 OTHER PROGRAM SERVICE REVENUE 900099 30335 30335 52486655 149509 149509 0 0 194250 78786 115464 0 115464 115464 249228 180344 68884 68884 68884 0 0 0 0 0 0 0 0 0 0 58863144 52486655 333857 X 42253 42253 0 0 0 775034 285138 489896 0 22712491 19620166 3024438 67887 0 3919312 3371713 546717 882 1501595 1289073 208122 4400 0 21412 21412 243681 243681 0 0 0 8808905 6289550 2518905 450 104917 104917 3359566 2009051 1349068 1447 0 0 621146 536952 84194 138903 124303 14600 0 27893 26791 1102 601700 503860 97840 0 3418450 2862592 555858 618734 618734 MEDICAL SUPPLIES & DRUGS 8067718 8067718 PROVIDER TAX 2281787 2281787 RECRUITING & RETENTION 176124 147485 28639 57441621 48077166 9289389 75066 4446189 3303160 14635794 20516115 0 0 6244142 6702288 0 0 0 0 0 0 1103635 1141806 603001 813057 68393060 51701551 17995753 16691509 645610 1288189 0 0 0 0 2749883 1914623 2812090 3233018 51236097 55603765 9597073 8349911 0 0 5669289 9759877 10941523 10219949 0 0 0 0 4590699 6120200 5168114 4586422 383334 1035013 36350032 40071372 X 13120217 13180454 1765848 2351939 14886065 15532393 51236097 55603765 X 1421523 2168 -777363 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 13241 13241 false SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, AND THE SAFETY NET HOSPITALS FOR PHARMACEUTICAL ACCESS. A PORTION OF THESE DUES ARE ALLOCATED TO LOBBYING. 573306 14276 587582 587703 23955 38352 573306 819760 10420 10477 252954 587703 743657 51481 24622 819760 743732 13257 13332 743657 0.41180 0.44580 0.14240 false false 71000 71000 31309074 18661470 12647604 35447988 31690313 3757675 1564998 1349768 215230 16691509 OTHER RECEIVABLES 623058 EST AMT DUE FROM 3RD PTY PYRS 2609960 3233018 0 EST SELF INSURANCE COSTS 824366 ROU Liability 210647 1035013 58355839 5268850 5268850 53086989 5776155 5776155 58863144 57520407 78786 78786 57441621 57441621 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS: THE ORGANIZATION HAS ENDOWMENT FUNDS FROM THE L.P. ADAMS FUND. PER THE AGREEMENT, THE INCOME FROM THE FUND IS USED FOR GENERAL PURPOSES OF THE HOSPITAL. THE ORGANIZATION ALSO HAS FUNDS FROM THE BUCKNER ENDOWMENT. THESE FUNDS ARE RESTRICTED TO INVESTMENTS IN EQUIPMENT FOR THE BUCKNER WELLNESS CENTER. FINALLY, THE ORGANIZATION HAS FUNDS FROM THE NURSING ENDOWMENT SCHOLARSHIP FUND. THIS FUND WAS CREATED TO PROVIDE NURSING SCHOLARSHIPS TO SALINE COUNTY RESIDENTS ATTENDING THE NURSING PROGRAM AT THE MO VALLEY COLLEGE IN MARSHALL, MISSOURI. IN THE EVENT THAT THE MO VALLEY COLLEGE DOES NOT HAVE A NURSING PROGRAM, SCHOLARSHIPS CAN BE USED FOR NURSING PROGRAMS IN SURROUNDING AREAS. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITION: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D OTHER REVENUE INCLUDED ON LINE 1, BUT NOT FORM 990, PART VIII, LINE 12: $ 5,286,850 NET ASSETS RELEASED FROM RESTRICTION SCHEDULE D, PART XI, LINE 4B OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT LINE 1: $ 645,465 TEMPORARILY RESTRICTED CONTRIBUTIONS 5,512,816 CONTRIBUTIONS FROM CARES ACT ( 78,786) RENTAL EXPENSES ------------ $ 5,776,155 SCHEDULE D, PART XII, LINE 2D OTHER EXPENSES INCLUDED ON LINE 1, BUT NOT FORM 990, PART IX, LINE 25: $ 78,786 RENTAL EXPENSES true true X true X true X true true true false false 134968 134968 0.00230 4320054 7030080 -2710026 4455022 7030080 -2575058 0.00230 97052 97052 0.00170 145210 145210 0.00250 6814353 2897859 3916494 0.06820 42253 42253 0.00070 7098868 2897859 4201009 0.07310 11553890 9927939 1625951 0.07540 true 10386878 1630740 11822447 17080337 -5257890 X true true 1 1 JOHN FITZGIBBON MEMORIAL HOSPITAL 2305 S HIGHWAY 65 PO BOX 250 MARSHALL MO 65340 WWW.FITZGIBBON.ORG 27-56 X X X ORTHO, WOUND CARE, REHAB, ONCOLOGY, PAIN, NEUROLOGIC JOHN FITZGIBBON MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 18 true false true true X SEE PART V, SECTION C X true 18 false true false true X 100 200. X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: THE HOSPITAL LAUNCHED AN ONLINE SURVEY IN DECEMBER 2018 WITH INDIVIDUAL OUTREACH TO PERSONS AND ORGANIZATIONS ACROSS THE BROAD SPECTRUM OF COMMUNITY ORGANIZATIONS, SPECIFICALLY SEEKING INPUT FROM THE HEALTH DISPARITIES, LOW-INCOME, DISABILITIES, THE CHRONICALLY ILL, LANGUAGE BARRIERS AND VARYING SOCIO-ECONOMIC BACKGROUNDS. THOSE RECEIVING THE E-MAILED SURVEY INVITATION AND PERSONAL TELEPHONE OUTREACH INCLUDED FITZGIBBON HOSPITAL MEDICAL STAFF AND PROVIDERS, PATIENT-CENTERED MEDICAL HOME STAFF AND SOCIAL WORKERS, PATIENT CARE COUNCIL AND PATIENT CARE COORDINATORS, QUALITY IMPROVEMENT AND INFECTION PREVENTIONIST, NURSING STAFF, AUXILIARY AMBASSADORS, MARSHALL MINISTERIAL ALLIANCE, SALVATION ARMY, OTHER MINISTRIES INCLUDING JAIL, REST HOME AND JAIL, SALINE COUNTY INTERAGENCY COUNCIL AND ATTENDEES; WHICH INCLUDES THE SALINE COUNTY HEALTH DEPARTMENT, KATY TRAIL COMMUNITY HEALTH, MO VALLEY COMMUNITY ACTION AGENCY, SALINE COUNTY MENTAL HEALTH, SALT FORK YMCA AND TWENTY THREE OTHER SOCIAL SERVICE AGENCIES. SCHEDULE H, PART V, SECTION B, LINE 6B CHNA CONDUCTION: THE ORGANIZATION'S CHNA WAS CONDUCTED ALONG WITH THE FOLLOWING: - MARSHALL MINISTERIAL ALLIANCE - SALINE COUNTY INTERAGENCY COUNCIL, WHICH INCLUDES SALINE COUNTY HEALTH PUBLIC HEALTH DEPARTMENT, KATY TRAIL COMMUNITY HEALTH, MO VALLEY COMMUNITY ACTION AGENCY, SALINE COUNTY MENTAL HEALTH, SALT FORK YMCA, AND TWENTY-THREE OTHER SOCIAL SERVICE AGENCIES. SCHEDULE H, PART V, SECTION B, LINE 7A CHNA LINK: HTTPS://WWW.FITZGIBBON.ORG/ABOUT-US/OUR-COMMUNITY/COMMUNITY-HEALTH-NEEDS-A SSESSMENT SCHEDULE H, PART V, SECTION B, LINE 7D CHNA AVAILABILITY TO PUBLIC: DESCRIPTION OF THE CHNA AND ITS FINDINGS WERE DISCUSSED AT THE SALINE COUNTY INTERAGENCY COUNCIL MEETING, WHICH IS ATTENDED BY A BROAD CROSS-SECTION OF SOCIAL SERVICE AGENCY REPRESENTATIVES AND RECEIVES MEDIA COVERAGE. THE PAPER COPY AVAILABLE FOR PUBLIC INSPECTION WITHOUT CHARGE AT THE HOSPITAL FACILITY INCLUDED CONTACT INFORMATION IN THE INTRODUCTORY SECTION DESCRIBING THE FINDINGS. THE CHNA IS ALSO AVAILABLE ON THE HOSPITAL WESITE. SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING IDENTIFIED NEEDS: ADDITIONAL HEALTH NEEDS AND/OR BARRIERS TO OPTIMAL HEALTH IDENTIFIED BUT NOT DIRECTLY ADDRESSING IN THE MOST RECENTLY ADOPTED CHNA IMPLEMENTATION PLAN WERE AS FOLLOWS: - COST AND ABILITY TO PAY FOR CARE - TRANSPORTATION - CANCER - LACK OF HEALTH INSURANCE DUE TO COST - LACK OF DENTAL CARE - MENTAL HEALTH CONCERNS - POVERTY - HOUSING INSECURITY - LACK OF AVAILABILITY OF HEALTHY FOODS - TEEN PREGNANCY RATES WHILE THOSE HEALTH NEEDS WERE IDENTIFIED, THE COMMITTEE BELIEVES THAT INTERVENTIONS AROUND OVERALL PREVENTIVE CARE AND WELLNESS AS WELL AS HEALTH LITERACY IMPROVEMENT COULD HAVE A TRICKLE DOWN EFFECT ON MANY OF THE IDENTIFIED NEEDS, INCLUDING CANCER, SMOKING, MENTAL HEALTH CONCERNS AND TEEN PREGNANCY RATES. THE CHNA COMMITTEE AGGREGATED AND ANALYZED PRIMARY AND SECOND DATA SOURCES AT LENGTH AND COMPARED TO THE INVENTORY OF EXISTING SERVICES IN THE COMMUNITY AND EVALUATED PROGRAMMING WHICH ADDRESS IDENTIFIED HEALTH NEEDS. DELIBERATION IN PRIORITIZING THE HEALTH NEEDS TO TARGET INCLUDED SPECIAL CONSIDERATION OF ORGANIZATIONAL BUDGETARY CONSTRAINTS AND RESOURCE ALLOCATION, THE MISSION OF OUR ORGANIZATION, THE EVALUATION OF EXISTING OR EMERGING PROGRAMS OFFERED BY OTHER AGENCIES ENGAGED IN COMMUNITY HEALTH AND THE OVERARCHING CAPACITY OF THE ORGANIZATION TO POSITIVELY IMPACT ITS IDENTIFIED HEALTH NEEDS. SPECIAL CONSIDERATION WAS GIVEN IN REGARD TO REACHING DISPARATE SEGMENTS OF OUR COMMUNITY, ESPECIALLY THE UNDERSERVED, AND THE UNIQUE SOCIAL DETERMINANTS OF HEALTH WHICH EXIST IN OUR COMMUNITY: POVERTY AND LITERACY RATES, PHYSICAL ENVIRONMENTS, HEALTHY BEHAVIORS AND ACCESS TO HEALTH CARE SERVICES. IN SELECTING WHICH HEALTH NEEDS TO TARGET, THE CHNA COMMITTEE ALSO CONSIDERED THE FOLLOWING VARIABLES - POOR HEALTH OUTCOMES WHICH EXCEEDED STATE AND NATIONAL AVERAGES, LOCAL SURVEY RESULTS IDENTIFYING BARRIERS TO CARE, COLLABORATIVE ACTIVITIES WITH A HISTORY OF SUCCESS WHICH MAY ALREADY BE UNDERWAY OR IN CURRENT PLANNING STAGES, SELF-REPORTED SOCIAL AND ECONOMIC BARRIERS TO ACHIEVING OPTIMAL HEALTH. WE ALSO CONDUCTED A TREND ANALYSIS COMPARING ROBERT WOODS JOHNSON COUNTY HEALTH RANKINGS HEALTH OUTCOMES CITED IN PRIOR CHNAS CONDUCTED IN 2013 AND 2016 AND FINDING FROM THE CHNA ADOPTED BY OUR BOARD OF TRUSTEES IN 2019. THIS UPDATE FOR SCHEDULE H SPECIFICALLY COVERS ACTIVITIES FOR THE PERIOD MAY 1, 2020, TO APRIL 30, 2021, ADDRESSING LONGITUDINAL ACTIVITIES RESULTING FROM THE IMPLEMENTATION PLANS RESULTING FROM THE 2016 CHNA TOGETHER WITH THE CHNA AND IMPLEMENTATION PLAN ADOPTED BY THE BOARD OF TRUSTEES IN 2019. OF SPECIAL NOTE IS THAT FINAL PREPARATION OF THE 2019 CHNA WAS OCCURRING SIMULTANEOUSLY TOWARD THE END OF THAT TAX YEAR, AS DATA GATHERING OCCURRED IN LATE 2018 INTO EARLY 2019. THE CHNA WAS OFFICIALLY ADOPTED BY THE BOARD IN APRIL 2019. IN RESPONSE TO THE RESULTS OF THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY DELINEATING ACTIVITIES, BOTH INDEPENDENT AND COLLABORATIVE, WHICH COULD IMPACT THE THREE MOST-PRESSING HEALTH NEEDS IN OUR COMMUNITY, AS IDENTIFIED VIA THE PREVIOUSLY DESCRIBED PROCESS: 1) OBESITY AND RELATED CHRONIC DISEASES OF DIABETES AND HIGH BLOOD PRESSURE 2) PREVENTIVE CARE AND WELLNESS AND 3) HEALTH LITERACY IMPROVEMENT AND EARLY HEALTH EDUCATION. OBESITY - OBESITY EDUCATION AND OUTREACH PERFORMED BY A HOSPITAL-EMPLOYED REGISTERED DIETITIAN, WHO CONDUCTED DIABETES SUPPORT GROUPS AND ADDRESSED AUDIENCES AT AREA SCHOOLS AND CIVIC GROUP, COLLABORATING WITH THE YMCA AND SCHOOL DISTRICTS, TO ENCOURAGE HEALTHY EATING HABITS, GOOD NUTRITION AND CONTROL OF DIABETES. MARKETING AND PUBLIC RELATIONS STAFF FIELDED REQUESTS FROM THE PUBLIC AND COMMUNITY GROUPS TO ARRANGE SPEAKERS ON A VARIETY OF TOPICS, INCLUDING OBESITY AND RELATED CHRONIC DISEASES CAUSED BY OBESITY AND CONTINUED ACCREDITATION OF THE DIABETIC SUPPORT GROUP, WHICH PROMOTES HEALTHY HABITS AND DIABETES CONTROL. STAFF PREPARED AND PRINTED EDUCATIONAL MATERIALS PER TOPIC AND UPDATED RELEVANT FLIERS, INCLUDING THOSE PROMOTING DIABETES EDUCATION CLASSES, AND ALSO POSTED ANNOUNCEMENTS AND HEALTH INFORMATION ON SOCIAL MEDIA PLATFORMS AND WERE DISPLAYED ON THE HOSPITAL WEBSITE. SIGNAGE ALSO WAS DEPICTED ON THE INTERNAL VIDEO MESSAGING BOARDS SEEN BY PATIENTS AND EMPLOYEES. TOPICS INCLUDED DIABETES EDUCATION, HEALTH DIETS, CARDIOVASCULAR HEALTH AS IT RELATES TO OBESITY, CELIAC DISEASE AND HEALTHY LIFESTYLES, AMONG OTHER TOPICS. BECAUSE OBESITY IS ONE OF THE CO-MORBIDITIES FOR QUALIFICATION FOR THE PRIMARY CARE HEALTH HOME MODEL THAT HAS BEEN INTEGRATED IN THE HOSPITAL OPERATED RURAL HEALTH CLINICS, NURSE CARE MANAGERS ASSISTED PATIENTS WITH A DIAGNOSIS OF OBESITY OR DIABETES, ENCOURAGING THEM TO TAKE CONTROL OF THEIR WEIGHT. THEY PROVIDED GUIDANCE AND PROMOTED PERSONAL EMPOWERMENT FOR HEALTHIER CHOICES AND IDENTIFYING DIABETES COMPLICATIONS BY REGULAR MEASUREMENT OF A1C LEVELS. THE ANNUAL HEALTH FAIR ALSO OFFERED SCREENING FOR A1C AND BLOOD PRESSURE. THESE TYPES OF HEALTH FAIRS WERE OFFERED IN TWO LOCATIONS: IN MARSHALL AND AT THE CERTIFIED RURAL HEALTH CLINIC IN BRUNSWICK, MO., GRAND RIVER MEDICAL CLINIC. THE HEALTH HOME ALSO PRODUCED A MONTH NEWSLETTER FOR HEALTH HOME PATIENTS AND THEIR FAMILIES. THE NEWSLETTER IS FILLED WITH PREVENTIVE HEALTH INFORMATION, RECIPES AND OTHER HELPFUL TIPS. HOSPITAL PERSONNEL COLLABORATED WITH AREA SCHOOL DISTRICTS AS PART OF THE DISTRICT'S WELLNESS COMMITTEE AND PUBLICIZED THE AVAILABILITY OF THE ANNUAL HEALTH FAIR, WHICH OFFERS AT-COST SCREENINGS FOR CHOLESTEROL, THYROID FUNCTION, PROSTATE SPECIFIC ANTIGEN AND BLOOD SUGARS, AMONG OTHERS. HOSPITAL PERSONNEL ALSO PUBLICIZED THESE EVENTS AT THE INTERAGENCY COUNCIL, A MULTI-AGENCY GROUP REPRESENTING SOCIAL SERVICE AGENCIES REACHING ACROSS THE SPECTRUM IN OUR COMMUNITY AND COUNTY. OTHER PUBLICITY INCLUDED SHARING INFORMATION WITH THE MINISTERIAL ALLIANCE, WITH REPRESENTATION OF MORE THAN 20 CHURCHES. THEY ALSO PROVIDED HEALTH INFORMATION AT BACK-TO-SCHOOL EVENTS AT WHICH STUDENTS AND THEIR FAMILIES COLLECT FREE MATERIALS AND SUPPLIES PRIOR TO THE START OF SCHOOL IN AUGUST. HOSPITAL PERSONNEL COLLABORATED WITH AREA SCHOOL DISTRICTS BY PROVIDING FREE SCHOOL SPORTS PHYSICALS TO ENSURE THAT ANY STUDENT WHO WISHES TO PARTICIPATE IN A SPORT MAY DO SO WITHOUT THE BARRIER OF BEING ABLE TO AFFORD THE STATE-REQUIRED PHYSICAL NEEDED FOR PARTICIPATION. ANY IDENTIFIED HEALTH PROBLEMS WERE REFERRED BACK TO THE ATHLETE AND PARENT FOR FOLLOWUP. THE HOSPITAL ALSO EMPLOYS A CERTIFIED ATHLETIC TRAINER PERMANENTLY STATIONED AT MARSHALL HIGH SCHOOL TO OFFER CONCUSSION DETECTION AND PREVENTION AND TREATMENT OF THE SCHOOL'S ATHLETES ON THE SIDELINE AND AT PRACTICES. THIS LEADS AREA STUDENTS' TO BE BETTER ABLE TO LEAD ACTIVE AND HEALTHY LIFESTYLES AND ALLOWS ALL STUDENTS WHO WISH TO PARTICIPATE IN ORGANIZED SPORTS TO DO SO. ANOTHER COLLABORATIVE ACTIVITY WAS THE ADMINISTRATION OF INFLUENZA INJECTIONS AT AREA SCHOOLS, ALLOWING TEACHERS AND THEIR FAMILIES TO RECEIVE THE SHOTS ON-SITE, THUS REDUCING ILLNESS AND ABSENTEEISM. HOSPITAL PERSONNEL ALSO SIT ON THE SCHOOL DISTRICT'S WELLNESS COMMITTEE, OFFERING ADVICE AND RESOURCES TO LOCAL SCHOOLS ON TOPICS THEY REQUEST. AND HOSPITAL STAFF AND PHYSICIANS CONDUCTED COMMUNITY PRESENTATIONS TO AREA SERVICE GROUPS, SCHOOL PHYSICAL EDUCATION AND HEALTH CLASSES, AND SENIOR CITIZENS GROUPS. PREVENTIVE CARE AND WELLNESS - MARKETING STAFF ALSO PREPARED DOZENS OF EDUCATIONAL WRITTEN NEWS ARTICLES AIMED AT IMPROVING HEALTH AND EMPHASIZING THE IMPORTANCE OF PREVENTATIVE HEALTH CARE ON TOPICS INCLUDING COLONOSCOPY, HEALTHY DIETS, RISK OF VAPING AND TOBACCO USE, HEART DISEASE, HAND HYGIENE IN PREVENTION OF DISEASE, 3D MAMMOGRAPHY, CERVICAL CANCER DETECTION, GRIEF COUNSELING, SUICIDE PREVENTION, HEALTH INSURANCE MARKETPLACE OPEN ENROLLMENT, BREASTFEEDING BENEFITS, ALZHEIMER'S DISEASE SUPPORT GROUPS, THE NEED FOR CHILDHOOD IMMUNIZATIONS, AVOIDING HEAT STROKE, TICK SEASON RISKS, OPIOID RISKS, HEART HEALTH, WHEN TO SEEK CARE FOR THE FLU, SEASONAL ALLERGIES, ORGAN DONATION, SEASONAL AFFECTIVE DISORDER AND MORE TOPICS RELATED TO HEALTH PROMOTION, HEALTH LITERACY AND OBESITY PREVENTION. THESE ARTICLES WERE PRINTED IN AREA NEWS MEDIA OUTLETS, DISPLAYED ON THE HOSPITAL'S WEBSITE, LINKED TO THE HOSPITAL SOCIAL MEDIA PAGES AND DEPICTED ON INTERNAL VIDEO MESSAGING BOARDS FOR PUBLIC VIEWING AT HOSPITAL-OPERATED CLINIC SITES AND WAITING AREAS WITHIN THE HOSPITAL. AT LEAST SEVEN DIFFERENT PRINT NEWSPAPERS IN THE ADJACENT COUNTIES PRINTED SOME OF THE ARTICLES WHICH WERE SUBMITTED. WITH THE ONSET OF THE PANDEMIC, PREPAREDNESS AND EDUCATION BEGAN IN MARCH 2020 AND CONTINUED WEEKLY VIA PRINT AND ON RADIO PUBLIC SERVICE ANNOUNCEMENTS THROUGH THE END OF THE FISCAL YEAR. AS PART OF OUR GOAL TO INCREASE PREVENTIVE CARE, THE HOSPITAL LAUNCHED AND PROMOTED TELEHEALTH SERVICES, ALLOWING THOSE IN THE COMMUNITY TO SEEK CARE WITHOUT ACTUALLY COMING INTO THE CLINIC. RESOURCES DEVOTED TO EDUCATING THE COMMUNITY ABOUT THE FUNCT SCHEDULE H, PART V, SECTION C, LINES 16A-C FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY: https://www.fitzgibbon.org/patients-visitors/financial-assistance 7 FITZGIBBON PROFESSIONAL BUILDING 2301 S HWY 65 MARSHALL MO 65340 OB/GYN, CHIROPRACTIC, FAMILY PRACTICE, MENTAL HEALTH CLINIC FITZGIBBON COMMUNITY HOME HEALTH CARE 2303 S HWY 65 MARSHALL MO 65340 HOME HEALTH, HOSPICE HOMEMAKER AKEMAN MCBURNEY MEDICAL CLINIC 420 W FRONT STREET SLATER MO 65349 OFFSITE MEDICAL CLINIC GRAND RIVER MEDICAL CLINIC 815 E BROADWAY BRUNSWICK MO 65236 OFFSITE MEDICAL CLINIC BUCKNER WELLNESS CENTER 2299 S HWY 65 MARSHALL MO 65340 CARDIAC/ PULMONARY WELLNESS FITZGIBBON FAMILY HEALTH 600 W MORRISON FAYETTE MO 65248 OFFSITE MEDICAL CLINIC MID-MO FAMILY HEALTH 4 N JEFFERSON AVE MARSHALL MO 65340 OFFSITE MEDICAL CLINIC SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990. SCHEDULE H, PART 1, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1. IRS WORKSHEETS 3 AND 6 USED INTERNAL COST ACCOUNTING METHODOLOGY. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION HAS SEVERAL EMPLOYEES INVOLVED IN LOCAL COMMUNITY BOARDS AS WELL AS STATE BOARDS, WHICH ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT AND ADVOCACY. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEMS DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED APRIL 30, 2021. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. THIS AMOUNT EXPENSED BY THE ORGANIZATION IS ATTRIBUTABLE TO LOW INCOME INDIVIDUALS IN THEIR TARGET COMMUNITY AND IS CONSIDERED A COMMUNITY BENEFIT. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE CAN BE FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: MEDICARE DATA COMPUTED USING THE MEDICARE COST REPORT FILED WITH CMS WAS UTILIZED FOR THE COMPUTATIONS IN PART III, SECTION B. SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: THE ORGANIZATION'S BILLING AND PAYMENT POLICY NOTES: IF ACCOUNTS HAVE ALREADY BEEN CONSIDERED BAD DEBT BY FITZGIBBON HOSPITAL AND CLINICS, THEN FINANCIAL ASSISTANCE/CHARITY CARE IS AN OPTION UNTIL 240 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT. BAD DEBT IS DEFINED AS EXPENSES RESULTING FROM TREATMENT FOR SERVICES PROVIDED TO A PATIENT WHO HAS NOT MET THEIR FINANCIAL OBLIGATION NOR SET UP AN AGREEABLE PAYMENT ARRANGEMENT WITH FITZGIBBON HOSPITAL AND CLINICS WITHIN 120 DAYS FROM THE DATE THE PATIENT HAS BEEN MADE RESPONSIBLE FOR ANY BALANCES DUE EITHER AFTER INSURANCE HAS PAID THEIR PORTION OR WHEN NO INSURANCE IS INVOLVED. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: OUR MISSION AT FITZGIBBON HOSPITAL IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. IN ORDER TO MEET THIS MISSION WE STRIVE TO UNDERSTAND THE NEEDS OF OUR COMMUNITY IN SEVERAL DIFFERENT WAYS. OUR LEADERSHIP AND STAFF ARE MEMBERS OF CIVIC CLUBS, BOARDS, AND COMMITTEES. OUR BOARD OF TRUSTEES IS COMPRISED OF MEMBERS FROM COUNTIES THROUGHOUT OUR SERVICE AREA. WE WORK CLOSELY WITH THE HEALTH DEPARTMENT AND OTHER COMMUNITY AGENCIES. STATE, REGIONAL AND LOCAL MEDIAS ARE USED TO MONITOR NEEDS AT ALL LEVELS. WE ALSO BELONG TO MANY HEALTHCARE RELATED ORGANIZATIONS THAT PROVIDE INFORMATION REGARDING USAGE AND NEEDS OF HEALTHCARE IN OUR SERVICE AREA WHICH IS USED TO EVALUATE WHAT WE NEED TO FOCUS ON TO IMPROVE THE HEALTH IN OUR COMMUNITY. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL USES SEVERAL AVENUES TO PROVIDE PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE. ALL PATIENTS WILL BE OFFERED A PLAIN LANGUAGE SUMMARY AND AN APPLICATION FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY (FAP) AS PART OF THE INTAKE OR DISCHARGE PROCESS TO/FROM FH. INFORMATION REGARDING THE FAP MAY BE AVAILABLE THROUGH THE HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT AT (660) 831-3730, FH WEBSITE AT WWW.FITZGIBBON.ORG, OR THE FH FACILITY AT 2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340. THE PATIENT ACCOUNTS DEPARTMENT DEVELOPED A BROCHURE WHICH IS AVAILABLE TO PATIENTS AT THE TIME OF REGISTRATION. THE BROCHURE OUTLINES WHAT THE PATIENT IS TO EXPECT IN THE BILLING PROCESS, HOW TO CONTACT THE DEPARTMENT, AND WHAT ASSISTANCE IS AVAILABLE. WE HAVE A DETAILED POLICY WHICH OUTLINES PATIENT RESPONSIBILITY AND QUALIFICATIONS FOR CHARITY CARE. OUR PATIENT ACCOUNTS REPRESENTATIVES MEET WITH SELF PAY PATIENTS WHEN THEY ARE IN THE FACILITY TO DISCUSS OUR POLICY. OUR CARE COORDINATORS AND SOCIAL WORKERS ALSO EDUCATE OUR PATIENTS ON ASSISTANCE THEY MAY BE ELIGIBLE FOR UNDER FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS. WE ALSO UTILIZE AN OUTSIDE AGENCY TO MAKE CONTACT WITH PATIENTS AND IDENTIFY THOSE THAT MIGHT BE ELIGIBLE FOR ASSISTANCE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: FITZGIBBON HOSPITAL'S PRIMARY SERVICE AREA IS SALINE COUNTY, MISSOURI WHICH IS A MID-MISSOURI AGRICULTURAL REGION AND INCLUDES THE TOWNS OF MARSHALL AND SLATER, MO. THE SECONDARY SERVICE AREA IS PORTIONS OF THE CONTIGUOUS COUNTIES SURROUNDING SALINE COUNTY. A REPORT FROM THE MISSOURI CENSUS DATA CENTER, POPULATION ESTIMATES WITH COMPONENTS OF CHANGE 2010-2020, EXTRACTED ON DECEMBER 15, 2021, SHOWS THE FOLLOWING: A JULY 2020 POPULATION ESTIMATE OF 22,858. SALINE COUNTY DATA FOR 2020, ACCORDING TO A JULY 1, 2019 U.S. CENSUS BUREAU REPORT, SHOWED THE MEDIAN HOUSEHOLD INCOME WAS $44,720. THE AGE DISTRIBUTION OF THE POPULATION IN SALINE COUNTY IN 2019 SHOWED 18.7% AGED 65 AND OVER. ITS DEMOGRAPHICS ARE PRIMARILY WHITE, WITH 88.9% AS WHITE, NON-LATINO; 10.9% HISPANIC OR LATINO; 5.4% AFRICAN-AMERICAN; 2.5% TWO OR MORE RACES; 1.3% PACIFIC ISLANDER; 1% ASIAN AND .9% AMERICAN INDIAN. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: OUR FOCUS DURING THIS PERIOD OF THE COVID-19 PANDEMIC WAS IN LINE WITH OUR MISSION, `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true OATS INC 2501 MCGUIRE BLVD COLUMBIA MO 65201 431016961 501(C)(3) 15000 COMMUNITY SERVICES 1 SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANT FUNDS: THE HOSPITAL WORKS IN CONJUNCTION WITH THE LOCAL OATS TRANSPORTATION PROGRAM TO COORDINATE TRANSPORTATION FOR MEMBERS OF THE COMMUNITY. THE ORGANIZATION WITNESSES FIRSTHAND THE WORK DONE BY OATS IN THE COMMUNITY. X X X X X false false false false false false false true false ANGELA P LITTRELL PRESIDENT/ CEO 296096 0 0 0 2221 0 0 0 7420 0 305737 0 0 0 NANCY K HARRIS CFO 180864 0 0 0 180 0 0 0 3115 0 184159 0 0 0 KELLY ROSS ORTHOPEDIC SURGEON 545173 0 0 0 24120 0 0 0 1000 0 570293 0 0 0 DARIN HAUG EMERGENCY PHYSICIAN 500754 0 0 0 957 0 0 0 2600 0 504311 0 0 0 WILLIAM J SMITH OB/GYN PHYSICIAN 354583 0 0 0 20425 0 0 0 0 0 375008 0 0 0 LORENZO M ROMNEY HOSPITALIST 337485 0 0 0 1726 0 0 0 0 0 339211 0 0 0 ANN MURPHY EMERGENCY PHYSICIAN 313991 0 0 0 20189 0 0 0 2750 0 336930 0 0 0 DENNIS SOUSLEY VP OF CLINICAL SERVICES 154288 0 0 0 3365 0 0 0 3100 0 160753 0 0 0 SCHEDULE J, PART I, LINE 7 NONFIXED PAYMENTS: PHYSICIAN BONUSES WERE BASED ON THEIR INDIVIDUAL RVU BASED CONTRACTS. A INDUSTRIAL DEVELOPMENT AUTHORITY- CO OF SALINE MO 430980296 2016-03-14 7550000 REFINANCING OF SERIES 2005 BONDS false false false B INDUSTRIAL DEVELOPMENT AUTHORITY - CO OF SALINE MO 430980296 79516LBC7 2010-11-29 12218468 1998 BOND REFINANCING false false false A 1475000 0 7550000 0 0 0 170000 0 0 0 7380000 0 2016 true false true true B 5545000 0 12218468 1111417 0 11985565 232812 0 0 0 0 0 2010 true false true true A false false false false 0 false false false true B 0 A false true false false false false 0 false 0 false true B false false false true false 0 false 0 false true A true B true SCHEDULE K, PART IV, LINE 2C, COLUMN A DATE OF REBATE COMPUTATION: THE REBATE COMPUTATION OCCURRED ON JANUARY 6, 2016. SCOTT B HARTWIG OWNER OF RED CROSS PHARMACY 295807 PHARMACY false TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L, PART IV, LINE 1, COLUMN B: SCOTT HARTWIG, BOARD MEMBER, OWNS 47.5% OF RED CROSS PHARMACY. FORM 990, PART III, LINE 4A PROGRAM SERVICES ACTIVITY #1: FOR THE FISCAL YEAR ENDED APRIL 30, 2021, THE EMERGENCY ROOM EXPERIENCED 10,457 PATIENT VISITS. THE SURGICAL TEAM PERFORMED 308 IN-PATIENT PROCEDURES AND 1,502 OUT-PATIENT PROCEDURES. THE RADIOLOGY GROUP PERFORMED 13,960 PROCEDURES WHICH INCLUDE 1,838 MAMMOGRAMS, 4,845 CT SCANS, 1,667 MRI'S, 3,702 ULTRASOUND IMAGES AND 768 NUCLEAR MEDICINE SCANS. THE LABORATORY TEAM PERFORMED 199,004 TESTS. THE RESPIRATORY THERAPY DEPARTMENT CONDUCTED 8,912 PROCEDURES AND THE REHABILITATIVE SERVICES GROUP WHICH INCLUDES PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES PROVIDED 29,067 PROCEDURES. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: A CARDIO-PULMONARY WELLNESS CENTER IS LOCATED ON THE CAMPUS AND STAFFED BY A REGISTERED DIETICIAN AND A REGISTERED NURSE TO COUNSEL AND EDUCATE PATIENTS ON HEALTHY LIVING THROUGH EXERCISE AND NUTRITION WITH SPECIAL EMPHASIS ON DIABETES MANAGEMENT. THROUGHOUT THE YEAR, THE STAFF ENCOUNTERED 1,247 PATIENT VISITS AT THE FACILITY. IN ADDITION, THE STAFF EDUCATED OVER 1,500 RESIDENTS IN THE SURROUNDING COMMUNITIES AT NO CHARGE THROUGH PARTICIPATION IN HEALTH FAIRS AND OTHER SOCIAL VENUES. THE HOSPITAL OFFERS CHILDBIRTH CLASSES AT A MINIMAL FEE WHICH COVERS THE COST OF THE EDUCATIONAL MATERIAL PRESENTED TO EACH PARTICIPANT. EACH YEAR, THE HOSPITAL HOSTS A COMMUNITY HEALTH FAIR OFFERING EDUCATION ON A VARIETY OF HEALTH ISSUES AND ROUTINE HEALTH SCREENINGS. MOST TESTING IS FREE, HOWEVER, PARTICIPANTS REQUESTING CERTAIN BLOOD TESTS PAY ONLY WHAT IT COSTS THE HOSPITAL FOR LABORATORY PROCESSING. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS, STOCKHOLDERS, OR OTHER PERSONS: THE MEDICAL STAFF OF THE ORGANIZATION ELECTS THE CHIEF OF MEDICAL STAFF WHO IS A VOTING MEMBER OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT OF THE RETURN IS REVIEWED WITH MANAGEMENT BEFORE BEING FINALIZED. THE 990 IS THEN PRESENTED TO THE BOARD OF TRUSTEES AFTER IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE COMPLIANCE OFFICER MONITORS THE CONFLICT OF INTEREST POLICY AND ANNUALLY REQUIRES OFFICERS AND TRUSTEES TO SIGN A CONFLICT OF INTEREST DISCLOSURE FORM. ALL CONFLICTS MUST BE REVIEWED BY THE CEO AND/OR BOARD OF TRUSTEES. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST WOULD ABSTAIN FROM VOTING ON ANY DECISION RELATED TO THAT CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION DETERMINATION: AN INDEPENDENT COMPENSATION CONSULTANT WAS ENGAGED TO REVIEW THE COMPENSATION OF ANGELA LITTRELL AS WELL AS OTHER OFFICERS AND KEY EMPLOYEES AND THEIR REPORT WAS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ANNUAL FORM 990 INCLUDES THE ANNUAL AUDITED FINANCIAL STATEMENTS AND ARE AVAILABLE TO THE PUBLIC. THE ORGANIZATION DOES NOT MAKE THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, OR OTHER FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A TRUSTEE COMPENSATION: NO TRUSTEES RECEIVE COMPENSATION FOR THEIR DUTIES AS TRUSTEES. JACK UHRIG, MD RECEIVED NONEMPLOYEE COMPENSATION FOR OTHER CLINICAL SERVICES PROVIDED TO THE ORGANIZATION. CHRISTOPHER SPORLEDER, DO RECEIVED COMPENSATION FOR HIS ROLE AS A PROVIDER IN AN ORGANIZATION FAMILY PRACTICE CLINIC. FORM 990, PART X, LINE 20 TAX EXEMPT BONDS: JOHN FITZGIBBON MEMORIAL HOSPITAL RECEIVED QUALIFIED HOSPITAL BOND PROCEEDS FROM 2010 AND 2016 BOND ISSUES. A PORTION OF THE BOND PROCEEDS WERE ALLOCATED TO FITZGIBBON HEALTH SERVICES FOR BOOK AND AUDIT PURPOSES. INFORMATION ABOUT THE BONDS ARE REPORTED ON JOHN FITZGIBBON MEMORIAL HOSPITAL'S SCHEDULE K. FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:4873297 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:2063149 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:1061232 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICES TOTAL FEES:537480 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:153545 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL FEES TOTAL FEES:120202 FITZGIBBON HEALTH SERVICES 2506 LINDEN TREE PARKWAY MARSHALL MO 65340 431731173 NURSING HOME MO 501(C)(3) 9 JF MEM HOSP true false false false false false false false false false false false true false true true false true true false FITZGIBBON HEALTH SERVICES L 274857 FMV FITZGIBBON HEALTH SERVICES R 777363 FMV FITZGIBBON HEALTH SERVICES Q 607403 FMV