2021-11-15T09:50:21-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 475 REGENCY PARK SUITE 175 OFALLON IL 62269 990 2020-01-01 371305510 TOUCHETTE REGIONAL HOSPITAL TOUC 6183323060 5900 BOND AVENUE CENTREVILLE IL 62207 JOHN JEFFRIES CFO 6183323060 2021-11-12 1 JOHN JEFFRIES 999009999 JEFF PARKER P00970069 6182331200 2021-11-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z LARRY MCCULLEY 5900 BOND AVENUE CENTREVILLE IL 62207 60940753 0 X WWW.TOUCHETTE.ORG X 1992 IL SERVING THE INTEGRATED HEALTHCARE NEEDS FOR MEDICAL AND BEHAVIORAL HEALTH. 8 8 592 14 0 0 1051201 8021637 55273428 52542139 -34757 9012 396935 367965 56686807 60940753 0 0 0 0 29497025 27774284 0 0 0 30187307 31974909 59684332 59749193 -2997525 1191560 28539949 49108805 19654040 39088336 8885909 10020469 X PERSONALIZED CARE THAT FOSTERS HEALTHIER COMMUNITES AND LIVES. 0 0 41639215 0 46264971 TOUCHETTE REGIONAL HOSPITAL PROVIDES CARE TO BOTH MEDICAID AND MEDICARE PATIENTS AT OR BELOW COST WHICH REPRESENTED 89% OF THE HOSPITAL'S DISCHARGES IN 2020. THE HOSPITAL ALSO PROVIDES SERVICES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE OR FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES AS A PART OF ITS COMMUNITY BENEFITS. DURING 2020, THE HOSPITAL PROVIDED COMMUNITY BENEFITS OF APPROXIMATELY $6,100,000 WHICH CONSISTS OF THE COST OF CARE PROVIDED TO INDIGENT PATIENTS, SUBSIDIZED HEALTH SERVICES, UNCOMPENSATED COSTS OF GOVERNMENT SPONSORED INDIGENT HEALTH CARE AND OTHER FORGONE CHARGES AS WELL AS VARIOUS INITIATIVES. THESE COMMUNITY BENEFITS AMOUNT TO 10.3% OF THE HOSPITAL'S 2020 TOTAL COSTS. 5146420 0 5718142 THE PRIMARY MISSION OF TOUCHETTE REGIONAL HOSPITAL IS TO IMPROVE THE OVERALL HEALTH OF THE STATUS OF THE COMMUNITIES WE SERVE AS PART OF A COMPREHENSIVE NETWORK MEETING HEALTH NEEDS INCLUDING LIFESTYLE ISSUES, ENVIRONMENTAL ISSUES, EDUCATION, PREVENTION, PRIMARY CARE AND ALL OTHER ASPECTS OF HEALTHCARE. THE HOSPITAL ACCOMPLISHES THIS BY: A) SERVING AS PART OF A REGIONAL SAFETY NET HEALTHCARE SYSTEM BY PROVIDING ACCESS TO CARE FOR THE VULNERABLE POPULATION THAT HAVE LOW INCOME OR ARE EITHER UNINSURED OR UNDERINSURED; B) OPERATING AN EMERGENCY ROOM 24 HOURS EACH DAY OF THE YEAR FOR ALL PERSONS REGARDLESS OF ABILITY TO PAY; C) PARTICIPATING IN GOVERNMENT-SPONSORED HEALTHCARE PROGRAMS SUCH AS MEDICAID, MEDICARE, CHAMPUS AND TRICARE; D) PROVIDING STAFFING TO ASSIST PATIENTS IN APPLYING FOR CHARITY CARE BENEFITS AND FINANCIAL ASSISTANCE; AND E) REACHING BEYOND THE WALLS OF THE HOSPITAL AND OTHER FACILITIES WITH COMMUNITY BENEFIT INITIATIVES.DURING 2020, THE HOSPITAL CONTINUED ITS SAFETY NET ROLE IN BRINGING QUALITY HEALTH CARE TO THE UNDERSERVED COMMUNITIES BY PROVIDING 6,851 TOTAL PATIENT DAYS OF CARE, INCLUDING 17 WOMEN'S HEALTH AND 5,414 BEHAVIORAL HEALTH DAYS, 27,811 OUTPATIENT VISITS, 2,881 HOME HEALTH ADMISSIONS AND 11,062 EMERGENCY ROOM VISITS.TOUCHETTE REGIONAL HOSPITAL HAS LONG BEEN AN ADVOCATE FOR THE NEEDS OF ITS PATIENTS. THE HOSPITAL WORKS HARD TO RAISE AWARENESS OF THE PROBLEM FACED BY POOR RESIDENTS IN UNDERSERVED COMMUNITIES WHO DO NOT HAVE ACCESS TO ADEQUATE HEALTH CARE PLANS. 1141911 0 559026 SOUTHERN ILLINOIS HOME CARE DELIVERS SAFE AND SUPPORTIVE SERVICES RIGHT AT HOME TO RECOVERING, DISABLED, OR CHRONICALLY ILL PATIENTS IN MADISON, MONROE, AND ST. CLAIR COUNTIES. HOME CARE SERVICES ALLOW YOU OR YOUR LOVED ONE TO STAY IN THE COMFORT OF YOUR OWN HOME WHILE RECEIVING MEDICAL ATTENTION AND REHABILITATIVE SERVICES.AN INDIVIDUAL MAY RECEIVE A SINGLE TYPE OF HOME CARE SERVICE OR A COMBINATION OF SERVICES, DEPENDING ON THE COMPLEXITY OF THEIR NEEDS AND WHEN PRESCRIBED BY A PHYSICIAN. THOSE SERVICES INCLUDE: SKILLED NURSING, SOCIAL SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY. 47927546 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 90 0 592 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X JOHN JEFFRIES 6183325400 5900 BOND AVENUE CENTREVILLE IL 62207 RICHARD SAUGET SR CHAIRPERSON 1.00 0.00 X X 0 0 0 KENNETH HALL JR VICE CHAIRPERSON 0.50 0.50 X X 0 0 0 JED DEETS TREASURER 1.00 0.00 X X 0 0 0 WILLIE B NELSON SR DIRECTOR 0.50 0.50 X 0 0 0 ETHEL MANAGER DIRECTOR 0.50 0.50 X 0 0 0 YVETTE MCFADDEN DIRECTOR 1.00 0.00 X 0 0 0 JOHN REED SECRETARY 1.00 0.00 X X 0 0 0 DANA ROSENZWEIG DIRECTOR 1.00 0.00 X 0 0 0 LARRY MCCULLEY PRESIDENT & CEO 20.00 20.00 X 0 412766 16879 SULBRENA DAY COO 40.00 0.00 X 212338 0 26420 CHARLIE DUMONTIER VP OF MEDICAL AFFAIRS 40.00 0.00 X 45161 0 0 THOMAS CHAUNDY CFO 40.00 0.00 X 213750 0 14333 ALEXANDER LOVSHIN VP OF AMBULATORY & NETWORKING SERVICES 40.00 0.00 X 154294 0 7100 JAY WILLSHER PRESIDENT 40.00 0.00 X 147779 0 7841 JOHN JEFFRIES CFO (TERM BEGAN AFTER 12/20) 40.00 0.00 X 0 0 0 MOUNGAR COOPER PHYSICIAN 40.00 0.00 X 243555 0 5589 JAMES FERNANDEZ PHYSICIAN 40.00 0.00 X 413453 0 29160 RANDY JUNG PSYCHIATRIST 40.00 0.00 X 254410 0 25122 TRACI SMALL REGISTERED NURSE 40.00 0.00 X 135111 0 22531 BENJAMIN SCHROEDER CORPORATE DIRECTOR IT 40.00 0.00 X 137337 0 31901 1957188 412766 186876 9 0 1 0 MIDWEST EMERGENCY DEPT SVCS 320 EAST US HIGHWAY 50 OFALLON IL 62269 EMERGENCY ROOM STAFFING 3185028 HORIZON HEALTH PO BOX 840839 DALLAS TX 752840839 BEHAVIORAL HEALTH SERVICES 983085 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 606731246 HEALTHCARE IT 981542 CARDINAL HEALTH PHARMACY SOLUTIONS 7000 CARDINAL PLACE DUBLIN OH 43047 PHARMACY SOLUTIONS 821681 SPECIALISTS IN ANESTHESIA 500 SOUTH MERAMEC AVENUE ST LOUIS MO 63105 ANESTHESIA 762920 29 18000 7583421 420216 64 8021637 NET PATIENT SERVICE REVENUE 622110 52524967 52524967 RENTAL INCOME 622110 17172 17172 52542139 9012 9012 CAFETERIA 900099 222912 222912 CONTRACTED SERVICES TO AFFILIATES 900099 96636 96636 MEDICAL RECORDS 900099 29881 29881 18536 18536 367965 60940753 52542139 0 376977 X 829016 829016 22131357 17459468 4671889 548042 447219 100823 2578583 2097930 480653 1687286 999557 687729 203892 103688 100204 75663 75663 53389 53389 15920197 13657314 2262883 37927 12700 25227 3376160 2867376 508784 2336004 1796309 539695 776201 597432 178769 85843 38529 47314 115 91 24 461541 365361 96180 1821725 1442099 379626 1691962 1345489 346473 BAD DEBT 3020171 3020171 HOSPITAL TAX 2086026 1651323 434703 OTHER TAXES 28093 25490 2603 59749193 47927546 11821647 0 376184 6155926 2525448 17978005 1025124 3474107 3369154 318365 399031 631346 1018419 49917107 30313650 19670651 19603457 293792 295025 224932 289788 28539949 49108805 6451521 5654945 1025124 14164661 9062677 8130702 6010100 3114718 5127928 19654040 39088336 X 8741416 9875976 144493 144493 8885909 10020469 28539949 49108805 X 1191560 -57000 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 53389 53389 0 PART II-B, LINE 1: TOUCHETTE REGIONAL HOSPITAL PAID CURRY & ASSOCIATES AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION TO PERFORM SOME LOBBYING FOR CONTINUED SUBSIDIES FOR HEALTH SERVICES FROM THE STATE. ALSO, TOUCHETTE PAID MEMBERSHIP DUES TO IHA, OF WHICH 37% OF THE DUES WERE USED FOR SPECIFIC LOBBYING PURPOSES. 2222647 2222647 30956449 17232179 13724270 307583 289841 17742 15834528 12791630 3042898 595900 595900 19603457 ASSET RETIREMENT OBLIGATION 3026596 INTERCOMPANY LIABILITY 95 THIRD PARTY SETTLEMENTS 2101237 5127928 1 1 X 1 X 1 X 600.000000000000 1 1 0 1 1 2536998 2536998 0.04250 28659825 38035071 0 0.00000 31196823 38035071 2536998 0.04250 8149182 4683769 3465413 0.05800 8149182 4683769 3465413 0.05800 39346005 42718840 6002411 0.10050 1 3020171 272219 3744434 4702864 -958430 X 1 1 1 1 TOUCHETTE REGIONAL HOSPITAL 5900 BOND AVENUE CENTREVILLE IL 62207 X X X DISPORPORTIONATE SHARE/SAFETY NET HOSPITAL TOUCHETTE REGIONAL HOSPITAL 1 0 0 1 X X X X X X X X 19 1 0 0 1 X SEE PART V, PAGE 8 FOR URL X 1 19 1 SEE PART V, PAGE 8 FOR URL 0 1 X 200.000000000000 600.000000000000 X X X 1 1 X X X 1 X SEE PART V, PAGE 8 FOR URL X SEE PART V, PAGE 8 FOR URL X SEE PART V, PAGE 8 FOR URL X X X X 1 X 0 X X X X 1 X 0 0 TOUCHETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 5: TOUCHETTE REGIONAL HOSPITAL CONTINUES TO EMPLOY A COLLABORATIVE APPROACH TO ENSURE THE COMMUNITY HEALTH NEEDS ASSESSMENT IS COMPLETED THOROUGHLY. THEREFORE, WE REQUESTED INPUT FROM KEY STAKEHOLDERS IN THE COMMUNITY. STAKEHOLDER INPUT, ALONG WITH QUANTITATIVE DATA, WAS USED TO IDENTIFY PRIMARY COMMUNITY HEALTH NEEDS AND TO PRIORITIZE THESE ISSUES. THE EAST SIDE ALIGNED ROADMAP, EAST SIDE HEALTH DISTRICT NEEDS ASSESSMENT, AND ST. CLAIR COUNTY HEALTH DISTRICT INFORMATION WERE ALSO USED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT. EAST SIDE HEALTH DISTRICT'S POPULATION SERVED IS VIRTUALLY SYNONYMOUS WITH THE PRIMARY SERVICE AREA OF TOUCHETTE REGIONAL HOSPITAL. DATA ANALYSIS WAS PROVIDED BY PLANNING AND DEVELOPMENT STAFF AT THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC). THE FQHC IS RECOGNIZED FOR THEIR PROFICIENCY OF CONDUCTING SUCH ASSESSMENTS. FOR MANY YEARS, THE PLANNING AND DEVELOPMENT DEPARTMENT HAS COLLABORATED WITH SEVERAL LOCAL ORGANIZATIONS ASSISTING IN THE PERFORMANCE OF NEEDS ASSESSMENTS WITHIN THE COMMUNITY. THE FQHC IS ALSO NOTED FOR THEIR SUCCESS IN USING THESE ASSESSMENTS TO SECURE COMPETITIVE GRANT FUNDING FOR BOTH ONGOING AND NEW PROJECTS. ADDITIONALLY, EVERY THREE YEARS TOUCHETTE REGIONAL HOSPITAL HOSTS A COMMUNITY PARTNERS ROUND TABLE TO OBTAIN INPUT FOR THE COMMUNITY NEEDS ASSESSMENT. REPRESENTATIVES FROM AGENCIES THAT PROVIDE HEALTH AND SOCIAL SERVICES TO THE EAST ST. LOUIS AREA ARE INVITED TO PARTICIPATE. THE WORK BEING DONE IN THE COMMUNITY BY OTHER GROUPS AND INDIVIDUALS OFTEN REVEALS SIGNIFICANT NEEDS NOT ALWAYS OBSERVED BY THE HOSPITAL. THE PRIMARY GOAL OF THE MEETING IS TO GATHER INSIGHT AND PERSPECTIVES FROM THESE OUTSIDE RESOURCES. THE ROUNDTABLE PROVIDES A FORUM FOR KEY INFORMANTS AND HOSPITAL PERSONNEL TO EXPLORE AND IDENTIFY COMMUNITY HEALTH NEEDS. PARTICIPANTS IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS INCLUDED A VARIETY OF GROUPS DEDICATED TO SERVING THE EAST ST. LOUIS POPULATION. THESE AGENCIES PROVIDE SERVICES IN AREAS OF HEALTHCARE, SOCIAL SERVICES, EDUCATION, AND MORE. FOR THE EAST ST. LOUIS COMMUNITY, THESE ARE IMPORTANT DETERMINANTS WHICH PLAY A SIGNIFICANT ROLE IN THE OVERALL QUALITY OF LIFE FOR THE POPULATION.AMONG THE STAKEHOLDERS, THERE WAS A GENERAL CONSENSUS OF AGREEMENT AROUND THE DATA REGARDING DEMOGRAPHICS, SOCIOECONOMIC FACTORS, AND HEALTH TRENDS. ADDITIONAL CONCERNS ABOUT PROBLEMS LIKELY CONTRIBUTING TO THE POOR HEALTH STATUS OF THE COMMUNITY WERE ALSO RAISED. DURING THE COMMUNITY ROUND TABLE, THE PARTIES PRESENT BRAINSTORMED DIFFERENT METHODS TO ADDRESS THESE HEALTH ISSUES. THE COMMUNITY AGENCIES PARTICIPATING IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS INCLUDE: HOYLETON MINISTRIES/PUENTES DE ESPERANZA, ST. CLAIR COUNTY MENTAL HEALTH BOARD, SIHF HEALTHCARE HEALTHY START INITIATIVE, WINDSOR HEALTH CENTER, CATHOLIC URBAN PROGRAMS, AND LESSIE BATES DAVIS NEIGHBORHOOD HOUSE. TOUCHETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 11: 1) MENTAL HEALTH - TOUCHETTE REGIONAL HOSPITAL WILL ADDRESS ADULT AND YOUTH MENTAL HEALTH SERVICES. ADDITIONALLY, A CONTINUING FOCUS ON TRAUMA-INFORMED CARE WILL BE APPLIED DUE TO THE CONTINUED NEED FOR EDUCATION, TRAINING, AND SPECIFIED SERVICES RELATED TO THIS TOPIC. 2) SUBSTANCE USE DISORDERS - SUBSTANCE USE DISORDERS ARE OFTEN CATEGORIZED UNDER BEHAVIORAL HEALTH SERVICES. FOR THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT, THEY ARE PRIORITIZED UNDER A DISTINCT CATEGORY TO RECOGNIZE THE IMPACT THIS GROWING EPIDEMIC HAS ON THE HOSPITAL'S PRIMARY POPULATION. THE HOSPITAL ALSO RECOGNIZES THE LIKELIHOOD OF CO-OCCURRING MENTAL ILLNESS AND SUBSTANCE USE DISORDERS AND THE IMPORTANCE OF TRAUMA-INFORMED CARE WHEN TREATING BOTH. 3) CHRONIC DISEASES - CHRONIC DISEASES CAN BE SUCCESSFULLY CONTROLLED THROUGH DAILY MANAGEMENT ACTIVITIES SUCH AS MEDICATION MANAGEMENT, STEADY MONITORING OF APPROPRIATE MEASURES (I.E. GLUCOSE LEVELS FOR DIABETES PATIENTS), AND BEHAVIORAL MODIFICATIONS (I.E. BENEFITS OF ALTERING FOOD CONSUMPTION CHOICES BY OBESE INDIVIDUALS). AS PART OF THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT, TOUCHETTE REGIONAL HOSPITAL RECOGNIZES THAT FURTHER PATIENT EDUCATION ON CHRONIC DISEASES IS NECESSARY IF PATIENTS ARE EXPECTED TO UNDERSTAND AND APPLY DISEASE MANAGEMENT IN THEIR DAILY LIVES.4) SOCIAL DETERMINATS OF HEALTH - SOCIAL DETERMINANTS OF HEALTH DO NOT ADDRESS A SPECIFIC HEALTH ISSUE OR DISEASE, BUT RATHER ARE FACTORS THAT INFLUENCE THE OVERALL HEALTH OF THE PATIENT POPULATION. THE PRIMARY SERVICE AREA IS AFFECTED BY MANY OF THESE, INCLUDING POVERTY, FOOD INSECURITY, EDUCATIONAL ATTAINMENT, AFFORDABLE AND SAFE HOUSING, AND VIOLENCE AND CRIME. FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT, TOUCHETTE REGIONAL HOSPITAL RECOGNIZES THE SIGNIFICANT IMPACT ON THE PRIMARY PATIENT POPULATION OF SOCIAL DETERMINANTS OF HEALTH AND AIMS TO EXPLORE WAYS THE HOSPITAL CAN HAVE A SIGNIFICANT IMPACT IN THIS AREA. 5) COORDINATION OF SOCIAL SERVICES - BY COORDINATING SERVICES WITH OTHER AGENCIES IN THE COMMUNITY, TOUCHETTE REGIONAL HOSPITAL CAN PLAY AN IMPORTANT ROLE IN ENSURING PATIENTS CAN RECEIVE RESOURCES AFFECTING THEIR SOCIAL DETERMINANTS OF HEALTH. TOUCHETTE REGIONAL HOSPITAL RECOGNIZES THE IMPACT THAT SOCIAL DETERMINANTS HAVE ON PATIENTS' HEALTH AND THAT COORDINATION OF SOCIAL SERVICES CAN HAVE A SIGNIFICANT, POSITIVE IMPACT ON THE PRIMARY POPULATION'S HEALTH OUTCOMES. PART V, SECTION B, LINE 22D THE HOSPITAL FACILITY USES THE AVERAGE NEGOTIATED COMMERCIAL INSURANCE RATES FOR THEIR PRIMARY COMMERCIAL INSURANCE PAYORS. SCHEDULE H, PART V, SECTION B, LINE 7A THE HOSPITAL'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT:TOUCHETTE.ORG/MEDIA-LIBRARY/DOCUMENTS/TOUCHETTE_FILES/NEEDS_ASSESSMENT_BROCHURE.PDF SCHEDULE H, PART V, SECTION B, LINE 10A THE HOSPITAL'S 2019 IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTP://SIHF.ORG/MEDIA-LIBRARY/DOCUMENTS/NEEDS_ASSESSMENT_BROCHURE.PDF SCHEDULE H, PART V, SECTION B, LINE 16A THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT:HTTP://TOUCHETTE.ORG/MEDIA-LIBRARY/DOCUMENTS/BO1006_FAP_POLICY_(2018).PDF SCHEDULE H, PART V, SECTION B, LINE 16B THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION CAN BE FOUND AT:HTTP://TOUCHETTE.ORG/MEDIA-LIBRARY/DOCUMENTS/TOUCHETTE_FILES/2016-FINANCIAL-ASSISTANCE-APP_ENGLISH.PDF SCHEDULE H, PART V, SECTION B, LINE 16C THE HOSPITAL'S PLAIN LANGUAGE SUMMARY OF ITS FAP CAN BE FOUND AT:HTTPS://TOUCHETTE.ORG/FINANCIAL-ASSISTANCE PART I, LINE 7: THE COST TO CHARGES RATIO WAS USED AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE OB, ER, PHYSICIAN CLINIC, HOME HEALTH AND BHU. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR THE PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $3,020,171. EVEN THOUGH THE IRS DOESN'T ALLOW SCHEDULE H, PART 1, LINE 7, COLUMN F TO BE A NEGATIVE PERCENTAGE, WE BELIEVE THAT REPORTING A NEGATIVE PERCENTAGE IN COLUMN F UNDERSTATES THE TRUE AMOUNT OF COMMUNITY BENEFIT/CHARITY CARE PROVIDED BY THE ORGANIZATION. FURTHERMORE, WE BELIEVE THAT COLUMN E, NET COMMUNITY BENEFIT EXPENSE, UNDERSTATES THE TRUE AMOUNT OF COMMUNITY BENEFIT EXPENSE. PART III, LINE 3: THE HOSPITAL UTILIZES PRESUMPTIVE CHARITY ELIGIBILITY HOWEVER BELIEVES THAT THE COMMUNITY BENEFIT OBTAINED FROM ITS CHARITY CARE IS UNDERSTATED DUE TO PATIENTS THAT COULD QUALIFY FOR CHARITY CARE BUT DO NOT APPLY OR PROVIDE INCOMPLETE INFORMATION. SOME CARE PROVIDED TO PATIENTS IS NOT CLASSIFIED AS CHARITY CARE DUE TO PATIENTS MISSING DOCUMENTATION THAT PROVES THEY QUALIFY FOR CHARITY CARE. THE HOSPITALS BAD DEBT DOES INCLUDE AMOUNTS THAT COULD BE CLASSIFIED AS CHARITY CARE IF THE PATIENTS WOULD APPLY OR PROVIDE THE APPROPRIATE INFORMATION TO COMPLETE THE CARE APPLICATION. PART III, LINE 4: THE HOSPITAL VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THEIR HEALTH CARE EXPENSES AS DETERMINED BY THE HOSPITAL'S CRITERIA FOR FINANCIAL ASSISTANCE. IN SOME CASES, THE HOSPITAL DOES NOT RECEIVE THE AMOUNT BILLED FOR PATIENT SERVICES EVEN THOUGH IT DID NOT RECEIVE INFORMATION NECESSARY TO DETERMINE IF THE PATIENTS MET THE CRITERIA FOR FINANCIAL ASSISTANCE. BAD DEBTS EXPENSE IS THE ESTIMATED AMOUNT OF PATIENT REVENUE THAT THE HOSPITAL WILL NOT COLLECT.THE COSTING METHODOLOGY USED WAS THE RATIO OF PATIENT CARE COST-TO CHARGES, EXCEPT COST FOR THE MEDICARE PROGRAM WHICH IS OBTAINED FROM FILED COST REPORTS. NO BAD DEBT AMOUNTS WERE INCLUDED IN COMMUNITY BENEFIT. FOR PATIENTS WITH ONE OR MORE PAYOR SOURCES AND AFTER THE ACCOUNT IS FULLY ADJUDICATED BY THE PAYOR(S), WE ATTEMPT TO CONTACT THE PATIENT FOR 120 DAYS LISTING THE REMAINING AMOUNT DUE BY THE PATIENT. IF THE PATIENT DOES NOT RESPOND WITH 120 DAYS, THE ACCOUNT IS SENT TO COLLECTIONS FOR FURTHER FOLLOW-UP. IF THE PATIENT CANNOT BE CONTACTED OR IS UNRESPONSIVE, WE ADJUST THE ACCOUNT TO BAD DEBTS AFTER 120 DAYS. FOR PATIENTS WITHOUT A PAYOR SOURCE, WE NOTIFY THE PATIENT AT TIME OF REGISTRATION OUR CHARITY PROGRAM. IF THE PATIENT DOES NOT RESPOND WITH 90 DAYS, THE ACCOUNT IS SENT TO COLLECTIONS FOR FURTHER FOLLOW-UP AND THE CHARITY PROGRAM IS OFFERED AGAIN. IF THE PATIENT CANNOT BE CONTACTED OR IS UNRESPONSIVE, WE ADJUST THE ACCOUNT TO BAD DEBTS AFTER 120 DAYS. PART III, LINE 8: THE HOSPITAL'S OBJECTIVE IS TO PROVIDE COST EFFECTIVE CARE FOR ITS PATIENTS. THE MEDICARE PROGRAM, HOWEVER, DOES NOT PROVIDE PAYMENT THAT COVERS ALL OF THE COST OF THE CARE PROVIDED. MANAGEMENT ADVOCATES FOR IMPROVED MEDICARE PAYMENTS. THE HOSPITAL IS CONCERNED WITH THE COMMUNITY NEED AND WANTS TO BE SURE THAT QUALITY CARE TO THE PATIENTS IS NOT COMPROMISED. ALTHOUGH THE IRS DOES NOT CLASSIFY THE SHORTFALL OF MEDICARE REVENUE AS COMMUNITY BENEFIT, WE BELIEVE THAT IT IS IMPORTANT TO THE HEALTH OF THE COMMUNITY. EVEN IF WE ARE NOT PAID FOR IT WE BELIEVE THAT WE SHOULD PROVIDE QUALITY CARE TO ALL PATIENTS. THE COSTING METHODOLOGY USED WAS THE RATION OF PATIENT CARE COST-TO-CHARGES. PART III, LINE 9B: IF THE PATIENT WAS QUALIFIED FOR ANY PORTION OF CHARITY CARE AN ADJUSTMENT WILL BE MADE TO THE PATIENT'S ACCOUNT. IF THE PATIENT DID NOT QUALIFY FOR CHARITY AND DID NOT HAVE INSURANCE AT THE TIME, TOUCHETTE REGIONAL CHARGES WILL BE DISCOUNTED 30% PRIOR TO BILLING AND MAY BE ELIGIBLE FOR ADDITIONAL DISCOUNTS. ANY REMAINING BALANCE AFTER ALL CONSIDERATIONS BECOMES THE RESPONSIBILITY OF THE PATIENT. PART VI, LINE 2: TOUCHETTE REGIONAL HOSPITAL CONSIDERS THE COMMUNITY NEEDS EACH YEAR AS THE ORGANIZATION PERFORMS THEIR PLANNING/BUDGETING FOR THE NEXT YEAR. THIS PROCESS INCLUDES OBTAINING AND ANALYZING VARIOUS DATA AND MARKET DEMOGRAPHICS. THE DATA IS THEN SUPPLEMENTED WITH VIEWS AND CONCERNS FROM OUR COMMUNITY BOARD MEMBERS, OTHER COMMUNITY OUTREACH RELATIONSHIPS AND OTHER COMMON ORGANIZATIONS. ONE SUCH PROGRAM WHICH HAS BEEN DEVELOPED RECENTLY THROUGH THIS PROCESS IS THE BREAST AND CERVICAL CANCER PROGRAM WHERE THE COMMUNITY NEED BECAME APPARENT FOR THOSE THAT ARE UNINSURED. ALSO, THE BEHAVIORAL HEALTH SERVICES WERE EXPANDED. THE PLANNING FOR THIS WAS COMPLETED AND THE SERVICES WERE AWARDED A CON FOR IN 2014. CONSTRUCTION STARTED IN 2015 AND WAS COMPLETED DURING 2016. PART VI, LINE 3: UNINSURED PATIENTS AND PERSONS WHO SEEK AND/OR OBTAIN SERVICES FROM THE HOSPITAL, ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE VIA SIGNAGE THROUGHOUT THE PATIENT ACCESS AREAS OF THE FACILITY, BROCHURES, ADMISSION PACKETS, DISCLOSURE ON THE PATIENT BILL, IN PERSON AND TELEPHONE ASSISTED CUSTOMER SERVICE, AS WELL AS INFORMATION SUCH AS THE GUIDELINES AND APPLICATION BEING PREDOMINATELY POSTED ON THE HOSPITAL WEBSITE. PART VI, LINE 4: THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF THE ILLINOIS ZIP CODES OF 62201-62207 AND THE CITIES WITHIN THESE ZIP CODES SUCH AS EAST ST. LOUIS, FAIRMOUNT CITY, CENTREVILLE, WASHINGTON PARK, CAHOKIA, SAUGET AND ALORTON. THESE COMMUNITIES ARE MEDICALLY VULNERABLE AND HAVE A LARGE INDIGENT POPULATION. PART VI, LINE 5: DESIGNATED AS A DISPROPORTIONATE SHARE HOSPITAL, THE HOSPITAL USES ANY LIMITED SURPLUS FUNDS TO FURTHER ITS EXEMPT PURPOSE BY PROVIDING PROGRAMS AND ACCESS AS NOTED IN FORM 990, PART III, LINE 1 AND 4A AND CONTINUED ON SCHEDULE O. THE BOARD OF DIRECTORS IS MADE UP FROM COMMUNITY LEADERS WITHIN ITS PRIMARY SERVICE AREA THAT ARE APPOINTED BY THE MEMBER ORGANIZATION. PART VI, LINE 6: THE HOSPITAL IS PART OF A COMPREHENSIVE SAFETY NET NETWORK THAT INCLUDES SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, ITS SOLE MEMBER, WHICH PROVIDES HEALTH AND SUPPORTIVE SERVICE TO THE COMMUNITIES THEY SERVE. MANY OF THE BENEFITS PROVIDED ARE REPORTED TO THE STATE OF ILLINOIS WITHIN THE "ANNUAL NON PROFIT HOSPITAL COMMUNITY BENEFIT PLAN REPORT". PART VI, LINE 7, REPORTS FILED WITH STATES IL X X X X X 0 0 0 0 0 0 0 0 0 JAMES FERNANDEZ PHYSICIAN 413453 0 0 0 0 0 11200 0 17960 0 442613 0 0 0 LARRY MCCULLEY PRESIDENT & CEO 0 412666 0 100 0 0 0 9500 0 7379 0 429645 0 0 RANDY JUNG PSYCHIATRIST 254410 0 0 0 0 0 7162 0 17960 0 279532 0 0 0 MOUNGAR COOPER PHYSICIAN 243555 0 0 0 0 0 0 0 5589 0 249144 0 0 0 SULBRENA DAY COO 212338 0 0 0 0 0 8460 0 17960 0 238758 0 0 0 THOMAS CHAUNDY CFO 213750 0 0 0 0 0 6286 0 8047 0 228083 0 0 0 BENJAMIN SCHROEDER CORPORATE DIRECTOR IT 137337 0 0 0 0 0 5750 0 26151 0 169238 0 0 0 ALEXANDER LOVSHIN VP OF AMBULATORY & NETWORKING SERVIC 154294 0 0 0 0 0 0 0 7100 0 161394 0 0 0 TRACI SMALL REGISTERED NURSE 132774 0 2337 0 0 0 5629 0 16902 0 157642 0 0 0 JAY WILLSHER PRESIDENT 147779 0 0 0 0 0 2159 0 5682 0 155620 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, SOUTHERN ILLINOIS HEALTHCARE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER APPOINTS THE DIRECTORS TO THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER SHALL APPROVE ALL CAPITAL PURCHASES OR LEASES IN EXCESS OF $100,000, DISPOSITIONS, SALES OR TRANSFERS OF PROPERTY WITH A VALUE IN EXCESS OF $10,000, DISPOSITIONS, SALES OR TRANSFERS OF ANY LAND AND APPROVE THE ANNUAL BUDGET. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE HAND DELIVERED OR MAILED TO ALL BOARD MEMBERS PRIOR TO FILING. THE 990 IS PREPARED BY THE INDEPENDENT CPA FIRM THAT ALSO CONDUCTS THE ANNUAL AUDIT. THE CFO AND ACCOUNTING MANAGER PERFORM AN IN DEPTH REVIEW OF THE 990 AS WELL AS RESPOND TO ALL QUESTIONS AND COMMENTS REGARDING THE 990 BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD MUST SIGN A CONFLICT OF INTEREST POLICY ANNUALLY AND DISCLOSE ANY CONFLICTS THAT MAY EXIST. BOARD MEMBERS MUST DISCLOSE AND BUSINESS CONDUCTED WITH THE ORGANIZATION AND RECUSE THEMSELVES OF ANY VOTE IN WHICH A CONFLICT ARISES AS A RESULT. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE MEETS ANNUALLY, AND REVIEWS/APPROVES THE COMPENSATIONS OF THOSE EXECUTIVES THAT MAKE 90K OR MORE ANNUALLY. AN EXECUTIVE IS DEFINED AS THOSE PERSONS HOLDING POSITIONS MEETING THE DEFINITION OF A "DISQUALIFIED PERSON" UNDER IRC SECTION 4958. MORE COMMONLY, THESE ARE PEOPLE IN UPPER MANAGEMENT WHO HAVE SUBSTANTIAL INFLUENCE AND/OR MANAGE A SEGMENT OR ACTIVITY OF TRH THAT REPRESENTS A SUBSTANTIAL PORTION OF THE ACTIVITIES. THESE CONCLUSIONS ARE BASED UPON THE FINDINGS AND RECOMMENDATIONS OF OUR INDEPENDENT EXTERNAL COMPENSATION CONSULTANT. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,756,886. MANAGEMENT AND GENERAL EXPENSES 703,704. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,460,590. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 9,900,428. MANAGEMENT AND GENERAL EXPENSES 1,559,179. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,459,607. FORM 990, PART XI, LINE 9: EQUITY TRANSFER -57,000. FORM 990, PAGE 12, PART XII, LINE 2C THIS PROCESS DID NOT CHANGE IN CURRENT YEAR. SOUTHERN ILLINOIS HEALTHCARE FOUNDATION 8080 STATE STREET EAST ST LOUIS IL 62203 371158318 MEDICAL SERVICES IL 501(C)(3) LINE 7 N/A 0 ARCHVIEW HEALTH SUPPORT INC 5900 BOND AVENUE CENTREVILLE IL 62207 260582374 SUPPORT OF TOUCHETTE REGIONAL HOSPITAL IL 501(C)(3) LINE 12A, I TOUCHETTE REGIONAL HOSPITAL 1 COTTAGES GP LLC 8 SOUTH MICHIGAN AVENUE SUITE 3100 CHICAGO IL 60603 463114562 AFFORDABLE HOUSING TO LOW INCOME HOUSEHOLDS IL EXCLUDED -11 88592 0 0 0.51000 0 0 1 1 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1