2021-03-15T14:54:05-05:00 2020-04-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2019-05-01 440655986 JOHN FITZGIBBON MEMORIAL HOSPITAL % NANCY HARRIS JOHN 6608867431 2305 S HIGHWAY 65 MARSHALL MO 65340 NANCY HARRIS CFO 2021-02-23 true Brian D Todd P00422601 4178658701 2019 2022-09-23 18:48:47Z FITZGIBBON HOSPITAL ANGELA P LITTRELL 2305 S HIGHWAY 65 MARSHALL MO 65340 51632496 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 5 545 58 0 439554 1473543 49691976 49702934 155470 137310 148549 194656 50435549 51508443 20760 15129 0 0 29640716 29278253 0 0 95938 27050685 28329624 56712161 57623006 -6276612 -6114563 46616921 51236097 24862997 36350032 21753924 14886065 X TO IMPROVE THE HEALTH OF OUR COMMUNITY. false false 38871281 40571848 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. 7430790 7755878 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 8,666 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 2020 THIS CLINIC PROVIDED SERVICES FOR 22,799 PATIENT VISITS. FOUR SATELLITE FAMILY PRACTICE CLINICS ARE ALSO SUPPORTED BY THE HOSPITAL. THESE CLINICS PROVIDED SERVICES FOR 9,606 PATIENT VISITS. 653568 15129 682160 COMMUNITY HEALTH SERVICES - HOSPICE, HOME HEALTH, AND HOMEMAKER SERVICES. HOSPICE PROVIDED 1,224 PALLIATIVE CARE VISITS, HOME HEALTH PROVIDED 3,590 VISITS AND HOMEMAKER PERFORMED 4 HOURS OF SERVICE TO RESIDENTS. THE COMMUNITY SERVICES GROUP ALSO COORDINATES PARTICIPATION IN THE OATS TRANSPORTATION PROGRAM BY PERFORMING THE SCHEDULING FOR ALL RIDERS. THE HOSPITAL DONATED $14,850 TO OATS IN 2020 AND WILL BE DONATING ANNUALLY TO HELP SUSTAIN IT IN THE MARSHALL COMMUNITY. THE PROGRAM PROVIDED TRANSPORTATION FOR 969 RIDERS DURING FY 2020. 663999 693048 47619638 true true false true false false false false false true true false false true true false false true false false false false false false true false true true true false true true false false false false false false false false false false true true false false false true true true false false true 108 0 true 545 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 572291 0 0 DARIN HAUG DO PRESIDENT/CEO END 02/20 40.0 1.0 X 452849 0 1950 ANN MURPHY EMERGENCY PHYSICIAN 40.0 0.0 X 357298 0 2650 RAVINDER ARORA NEUROLOGIST 40.0 0.0 X 355734 0 2650 LORENZO M ROMNEY HOSPITALIST 40.0 0.0 X 325205 0 282 JOHN BRIZENDINE GENERAL SURGEON 40.0 0.0 X 325000 0 0 ANGELA P LITTRELL CFO/COO; PRES/CEO BEG 02/20 40.0 1.0 X 186227 0 11450 CHRISTOPHER SPORLEDER DIRECTOR/PRESIDENT OF MEDICAL 40.0 1.0 X 187454 0 1300 DENNIS SOUSLEY VP OF CLINICAL SERVICES 40.0 1.0 X 174750 0 3034 NANCY K HARRIS CFO BEG 02/20 40.0 1.0 X 118330 0 3051 JACK UHRIG MD DIRECTOR/MEDICAL DIRECTOR 1.0 1.0 X 14400 0 0 WILLIAM L SUMMERS PRESIDENT 1.0 1.0 X X 0 0 0 JAN V STAPLETON VICE PRESIDENT 1.0 1.0 X X 0 0 0 SCOTT HARTWIG SECRETARY/TREASURER 1.0 1.0 X X 0 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 3069538 0 26367 49 false true false BKD LLP 910 E ST LOUIS STREET SPRINGFIELD MO 65801 AUDIT/TAX/CONSULTING 826564 PHARMACY SYSTEMS INC 5050 BRADENTON AVE DUBLIN OH 43017 PHARMACY MANAGEMENT 548652 PAUL BRIZENDINE MD 485 NW RIVEN ROCK TRAIL LEES SUMMIT MO 64081 ED PHYSICIAN 305217 RAWMEDICAL LLC 3706 CROSS TIMBER CT COLUMBIA MO 65203 ORTHOPEDIC SURGEON 244750 QUEST DIAGNOSTIC PO BOX 822531 PHILADELPHIA PA 19182 PATHOLOGY 2002590 13 26116 971960 475467 45573 1473543 NET PATIENT SERVICE REVENUE 624100 48131869 48131869 304(B) REVENUE 446110 929845 929845 CAFETERIA 722514 263553 263553 MANAGEMENT FEES 561000 60000 60000 OTHER REVENUE 900099 317667 317667 49702934 136810 136810 0 0 297394 99144 198250 0 198250 198250 500 500 500 500 21315 26116 24909 -3594 -3594 0 0 0 0 0 0 0 51508443 49702934 331966 X 15129 15129 0 0 0 1154795 380938 773857 0 22492607 19889818 2517080 85709 0 4123349 3591809 530617 923 1507502 1303120 198312 6070 0 56453 56453 236656 236656 0 0 0 7998930 5039507 2958973 450 117777 117777 3715824 2011418 1701620 2786 0 0 657653 566295 91358 133534 117177 16357 0 87841 63263 24578 632425 529590 102835 0 3432241 2874141 558100 831687 831687 MEDICAL SUPPLIES & DRUGS 8453049 8453049 PROVIDER TAX 1834949 1834949 RECRUITING & RETENTION 140605 117748 22857 57623006 47619638 9907430 95938 X 544556 4446189 7215735 14635794 0 0 9848132 6244142 0 0 0 0 0 0 1022793 1103635 600891 603001 67477470 49481717 19996623 17995753 1407059 645610 0 0 0 0 3574848 2749883 2406284 2812090 46616921 51236097 7994584 9597073 0 0 0 5669289 11622719 10941523 0 0 0 0 4744094 4590699 0 5168114 501600 383334 24862997 36350032 X 20045636 13120217 1708288 1765848 21753924 14886065 46616921 51236097 X -6114563 41437 -794733 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 18915 18915 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. 587703 23955 38352 573306 819760 10420 10477 252954 587703 743657 51481 24622 819760 743732 13257 13332 743657 724023 23258 3549 743732 0.41510 0.43940 0.14550 false false 71000 71000 31552901 17591584 13961317 34017748 30596033 3421715 1835821 1294100 541721 17995753 INTEREST RECEIVABLE 3558 OTHER RECEIVABLES 127402 EST AMT DUE FROM 3RD PTY PYRS 2681130 2812090 0 EST SELF INSURANCE COSTS 383334 383334 51574936 1388403 1388403 50186533 1321910 1321910 51508443 57747059 124053 124053 57623006 57623006 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: $ 1,388,403 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: $( 24,909) SPECIAL EVENTS EXPENSES 474,003 TEMPORARILY RESTRICTED CONTRIBUTIONS 971,960 CONTRIBUTIONS FROM CARES ACT ( 99,144) RENTAL EXPENSES ------------ $ 1,321,910 SCHEDULE D, PART XII, LINE 2D OTHER REVENUE INCLUDED ON LINE 1, BUT NOT FORM 990, PART VIII, LINE 12: $ 24,909 SPECIAL EVENTS EXPENSE 99,144 RENTAL EXPENSES ------------ $ 124,053 PINK OUT 20811 9636 11175 6709 GOLF TOURNAMENT 26620 16480 10140 6745 3418 3630 1692 2715 0 47431 26116 21315 6745 3418 3630 1692 9424 24909 -3594 true true X true X true X true true true false false 206723 206723 0.00360 3845249 4668182 -822933 4051972 4668182 -616210 0.00000 43569 43569 0.00080 145260 145260 0.00250 10190460 4812599 5377861 0.09330 15129 15129 0.00030 10394418 4812599 5581819 0.09690 14446390 9480781 4965609 0.09690 15129 15129 0.00030 15129 15129 0.00030 true 10570347 1659544 12934301 14036777 -1102476 X true true 1 1 JOHN FITZGIBBON MEMORIAL HOSPITAL 2305 S HIGHWAY 65 MARSHALL MO 65340 WWW.FITZGIBBON.ORG 27 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 X true 19 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. SCHEDUEL H, PART V, SECTION B, LINE 7A CHNA LINK: HTTPS://WWW.FITZGIBBON.ORG/CONTENT/UPLOADS/FITZGIBBON.ORG/FILES/FITZGIBBON %20HOSPITAL%202019%20CHNA%20(APPROVED%204.23.19).PDF. 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. 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, 2019, TO APRIL 30, 2020, 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. HOSPITAL PERSONNEL COLLABORATED WITH AREA SCHOOL DISTRICTS AS PART OF THE DISTRICTS 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. 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 PRESSER. 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. 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, ALZHEIMERS 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 HOSPITALS 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 FUNCTION AND AVAILABILITY OF TELEHEALTH SERVICES INCLUDED NEWS ARTICLES, SOCIAL MEDIA POSTS, PUBLIC SERVICE ANNOUNCEMENTS AND PAID ADVERTISEMENT. 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 SCHOOLS 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 DISTRICTS WELLNESS COMMITTEE, OFFERING ADVICE AND RESOURCES TO LOCAL SCHOOLS ON TOPICS THEY REQUEST. AND HOSPITAL STAFF AND PHYSICIAN SCHEDULE H, PART V, SECTION C, LINES 16A-C FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY: HTTPS://WWW.FITZGIBBON.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, LINE 16I LEP FAP TRANSLATIONS: THERE ARE NO GROUPS WITH LIMITED ENGLISH PROFICIENCY THAT RISE TO THE THRESHOLD REQUIRED UNDER IRC SECTION 501(R). HOWEVER, A LANGUAGE TRANSLATION LINE IS AVAILABLE TO OUR PATIENTS AT NO COST. THIS SERVICE IS AVAILABLE THROUGHOUT THE HOSPITAL AND CLINICS WHEN PATIENTS HAVE QUESTIONS OR NEED INFORMATION TRANSLATED. THIS WOULD BE USED WITH A PATIENT THAT WOULD NEED THE FAP INFORMATION TRANSLATED TO THEM AND TO ANSWER ANY QUESTIONS WHICH THEY MAY HAVE. IN ADDITION, THE EXTENDED BUSINESS OFFICE HAS STAFF WHICH TRANSLATE FOR PATIENTS. 7 FITZGIBBON PROFESSIONAL BUILDING 2301 S HWY 65 MARSH MO 65340 OB/GYN, SURGERY, CHIROPRACTIC, FAMILY PRACTICE, MENTAL HEALTH CLINIC FITZGIBBON COMMUNITY HOME HEALTH CARE 2303 S HWY 65 MARSHALL MO 65340 HOME HEALTH, HOSPICE 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, 2020. 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 2010-2018, EXTRACTED ON FEBRUARY 19, 2020, SHOWS THE FOLLOWING: A JULY 2018 POPULATION ESTIMATE OF 22,895. SALINE COUNTY DATA FOR 2018, ACCORDING TO A JULY 1, 2018 U.S. CENSUS BUREAU REPORT, SHOWED THE MEDIAN HOUSEHOLD INCOME WAS $41,567. THE AGE DISTRIBUTION OF THE POPULATION IN SALINE COUNTY IN 2018 SHOWED 17.8% AGED 65 AND OVER. ITS DEMOGRAPHICS ARE PRIMARILY WHITE, WITH 89.5% AS WHITE, NON-LATINO; 10.1% HISPANIC OR LATINO; 5.3% AFRICAN-AMERICAN; 2.5% TWO OR MORE RACES; 1.0% PACIFIC ISLANDER AND .9% ASIAN. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: FITZGIBBON HOSPITAL ENGAGED IN NUMEROUS ACTIVITIES RELATED TO ITS MISSION, IMPROVING THE HEALTH OF OUR COMMUNITY. WHILE MANY OF THESE ACTIVITIES WERE GUIDED BY THE IMPLEMENTATION PLAN AS A RESULT OF A COMMUNITY HEALTH NEEDS ASSESSMENT PUBLISHED IN 2013, 2016 AND 2019, MANY HEALTH PROMOTION ACTIVITIES OCCUR IN THE COURSE OF DOING BUSINESS AND ARE A RESULT OF COMPREHENSIVE PATIENT CARE PROGRAMS WHICH ENCOURAGE WELLNESS, PATIENT SAFETY AND FAMILY ENGAGEMENT. HOSPITAL EMPLOYEES SERVE VOLUNTARILY OF BOARDS OF THE YMCA, WHICH PROMOTES HEALTHY LIFESTYLES, THE SALINE COUNTY CHAPTER OF THE AMERICAN CANCER SOCIETY, THE MARSHALL SCHOOL DISTRICTS WELLNESS COMMITTEE AND OTHER COMMUNITY-FACING INITIATIVES AND COMMITTEES AIMED AT IMPROVING THE QUALITY OF LIFE AND HEALTH OF OUR COMMUNITIES. WE EMPLOY AN ATHLETIC TRAINER WHOSE JOB IS ENTIRELY BASED AT MARSHALL HIGH SCHOOL. SHE OVERSEES ANNUAL SPORTS PHYSICALS PROVIDED WITHOUT CHARGE TO STUDENTS TO ENSURE ANY ATHLETE WISHING TO PARTICIPATE IN SPORTS MAY DO SO WITHOUT THE BARRIER OF COST. THE TRAINER ALSO SERVES ALL SPORTS TEAMS AND DOES CONCUSSION TESTING AND ADMINISTERS RETURN-TO PLAY PROTOCOLS. THIS SERVICE IS PROVIDED AT NO COST TO THIS HIGH SCHOOLS MORE THAN 100 ATHLETES. OUR EMPLOYEES ALSO VOLUNTARILY CONTRIBUTE MORE THAN 2 TONS OF FOOD ANNUALLY TO THE MARSHALL FOOD PANTRY DURING A HOLIDY FOOD DRIVE, FOR DISTRIBUTION TO NEEDY FAMILIES. TO ENCOURAGE BROAD ACCESS TO CARE, MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ANY QUALIFIED PHYSICIAN WHO APPLIES AND MEETS THE HOSPITAL CREDENTIALING STANDARDS. CREDENTIALING IS REQUIRED TO ENSURE PROPER TRAINING, LICENSURE AND MALPRACTICE INSURANCE COVERAGE AND HELPS TO ENSURE THE SAFETY OF THE HOSPITAL'S PATIENTS. FITZGIBBON IS LOCATED WITHIN A HEALTH PROFESSIONAL SHORTAGE AREA SCORED AS A 17 FOR PRIMARY CARE AND MENTAL HEALTH AND WELCOMES THE ADDITION OF NEW PHYSICIANS TO ITS STAFF. ENSURING ACCESS TO HIGH QUALITY HEALTH CARE IS A VITAL PART OF ITS MISSION AND IS EVIDENCED BY THE OPERATION OF FOUR CERTIFIED RURAL HEALTH CLINICS, THREE OF WHICH ARE LOAN REPAYOR SITES FOR THE HRSA NATIONAL HEALTH SERVICES CORPS. ANY SURPLUS FUNDS ARE USED TO IMPROVE PATIENT CARE AND MEDICAL EDUCATION. SOME ACTIVITIES INCLUDE SCHOLARSHIPS AND PRECEPTOR COLLABORATION FOR A BACHELOR'S DEGREE PROGRAM IN NURSING AT A LOCAL LIBERAL ARTS COLLEGE, MISSOURI VALLEY COLLEGE. IMPROVING PATIENT CARE IS THE HOSPITAL'S OVERRIDING CONCERN AS EVIDENCED BY THE RESOURCES DEDICATED TO TRAINING IN SUCH AREAS AS INFECTION CONTROL, BEST PRACTICE PATIENT CARE, REDUCING HOSPITAL READMISSIONS, QUALITY IMPROVEMENT ACTIVITIES SUCH AS ANTIBIOTIC STEWARDSHIP AND SEPSIS PREVENTION. ENSURING THAT LANGUAGE TRANSLATIONS OCCUR IN A CULTURALLY COMPETENT MANNER, OFTEN THROUGH A TELEPHONE TRANSLATION SERVICE, IS ALSO PART OF PROMOTING THE HEALTH OF THE COMMUNITY. IN EVERYTHING FITZGIBBON HOSPITAL UNDERTAKES, IMPROVEMENT IN THE HEALTH OF THE COMMUNITY REMAINS THE GUIDING PRINCIPLE. PARTICIPATION IN PROCESS IMPROVEMENT TRAINING, EDUCATION AND COLLABORATING WITH OTHER HEALTH ENTITIES IS VITAL TO ENSURING PROMOTION OF COMMUNITY AND PUBLIC HEALTH. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: THE AFFILIATED HEALTH SYSTEM INCLUDES THE ACTIVITIES OF JOHN FITZGIBBON MEMORIAL HOSPITAL AND FITZGIBBON HEALTH SERVICES, DOING BUSINESS AS THE LIVING CENTER, (COLLECTIVELY, THE "COMPANIESTHE "HOSPITAL"). JOHN FITZGIBBON MEMORIAL HOSPITAL PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY CARE, PSYCHIATRIC AND SKILLED NURSING SERVICES TO PATIENTS IN THE MARSHALL, MISSOURI, AREA. IT ALSO OPERATES A HOME HEALTH AGENCY IN THE SAME GEOGRAPHIC AREA. IT IS DESIGNATED AS A MEDICARE DEPENDENT HOSPITAL BY MEDICARE EFFECTIVE JANUARY 1, 2007. IN MARCH 2012, THE HOSPITAL WAS DESIGNATED AS A SOLE COMMUNITY HOSPITAL BY MEDICARE. THE COMPANIES ALSO OPERATE A LONG-TERM CARE FACILITY IN MARSHALL, MISSOURI, DOING BUSINESS AS THE LIVING CENTER. true OATS INC 2501 MCGUIRE BLVD COLUMBIA MO 65201 431016961 501(C)(3) 14850 COMMUNITY SERVICES 1 SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANT FUNDS: THE HOYPITAL 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 CHRISTOPHER SPORLEDER DO DIRECTOR/PRESIDENT OF MEDICAL 186957 0 0 0 497 0 0 0 1300 0 188754 0 0 0 DARIN HAUG DO PRESIDENT/CEO END 02/20 452573 0 0 0 276 0 0 0 1950 0 454799 0 0 0 ANGELA P LITTRELL CFO/COO; PRES/CEO BEG 02/20 184192 0 0 0 2035 0 0 0 11450 0 197677 0 0 0 LORENZO M ROMNEY HOSPITALIST 322589 0 0 0 2616 0 0 0 282 0 325487 0 0 0 KELLY ROSS ORTHOPEDIC SURGEON 545841 0 0 0 26450 0 0 0 0 0 572291 0 0 0 RAVINDER ARORA NEUROLOGIST 250847 0 83387 0 21500 0 0 0 2650 0 358384 0 0 0 ANN MURPHY EMERGENCY PHYSICIAN 337957 0 0 0 19341 0 0 0 2650 0 359948 0 0 0 JOHN BRIZENDINE GENERAL SURGEON 324880 0 0 0 120 0 0 0 0 0 325000 0 0 0 DENNIS SOUSLEY VP OF CLINICAL SERVICES 167194 0 0 0 7556 0 0 0 3034 0 177784 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 79516lBC7 2010-11-29 12218468 REFINANCING OF SERIES 2005 BONDS false false false B INDUSTRIAL DEVELOPMENT AUTHORITY - CO OF SALINE MO 430980296 2016-03-14 7550000 REFINANCING OF SERIES 2005 BONDS false false false A 4875000 0 12218468 1111417 0 11985656 232812 0 0 0 0 0 2010 true false true true B 1175000 0 7550000 0 0 0 170000 0 0 0 7380000 0 2016 true false true true A 0 B false false false false 0 false false false true A false false true false false 0 false 0 false true B false true false false false 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. X 8 2205 COST X 9057 COST X 73 11298 COST X 55 23012 COST false true false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS WAS DETERMINED BY THE NUMBER OF ITEMS CONTRIBUTED FOR EACH TYPE OF ITEM. FORM 990, PART III, LINE 4A PROGRAM SERVICES ACTIVITY #1: FOR THE FISCAL YEAR ENDED APRIL 30, 2020, THE EMERGENCY ROOM EXPERIENCED 11,535 PATIENT VISITS. THE SURGICAL TEAM PERFORMED 332 IN-PATIENT PROCEDURES AND 1,616 OUT-PATIENT PROCEDURES. THE RADIOLOGY GROUP PERFORMED 25,771 PROCEDURES WHICH INCLUDE 1,774 MAMMOGRAMS, 4,705 CT SCANS, 1,756 MRI'S, 3,333 ULTRASOUND IMAGES AND 757 NUCLEAR MEDICINE SCANS. THE LABORATORY TEAM PERFORMED 131,649 TESTS. THE RESPIRATORY THERAPY DEPARTMENT CONDUCTED 15,660 PROCEDURES AND THE REHABILITATIVE SERVICES GROUP WHICH INCLUDES PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES PROVIDED 24,909 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 1,206 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: JOHN FITZGIBBON MEMORIAL HOSPITAL, A RELATED ORGANIZATION, USES INDUSTRY DATA IN DETERMINING COMPENSATION FOR THE CEO AND OTHER OFFICERS/KEY EMPLOYEE. THE COMPENSATION FOR DARIN HAUG WAS ESTABLISHED BY UTILIZING BENCHMARK DATA FROM THREE SOURCES. FITZGIBBON HOSPITAL HAD AN AGREEMENT WITH BOONE HOSPITAL CENTER WHICH ALLOWED BOONE HOSPITAL TO OVERSEE AND ASSIST IN EVALUATION OF THE WORK AND PERFORMANCE OF THE PRESIDENT OF THE HOSPITAL AND IN DETERMINING THE COMPENSATION AND BENEFITS TO WHICH THE PRESIDENT WILL BE ENTITLED. THE COMPENSATION WAS DETERMINED BY FITZGIBBON HOSPITAL BOARD REPRESENTATIVE FROM BOONE HOSPITAL CENTER IN CONSULTATION WITH THE FITZGIBBON HOSPITAL BOARD PRESIDENT AND FITZGIBBON HOSPITAL'S FORMER PRESIDENT/CEO. 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:2968225 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:2060087 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:1468848 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:756124 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:653274 FITZGIBBON HEALTH SERVICES 2506 LINDEN TREE PARKWAY MARSHALL MO 65340 431731173 NURSING HOME MO 501(C)(3) 10 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 68412 FMV FITZGIBBON HEALTH SERVICES Q 613358 FMV FITZGIBBON HEALTH SERVICES R 794733 FMV