2016-03-31T08:51:35-05:00 2015-06-30 430352985 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 629012335 990 2014-07-01 370661218 MARSHALL BROWNING HOSPITAL ASSOCIATION MARS 6185422146 900 N WASHINGTON ST PO BOX 192 DU QUOIN IL 62832 DAN EAVES CEO 6185422146 2016-02-04 true ANNA GUETERSLOH P01315485 6185291040 2016-03-29 2014 2016-08-17 19:52:53Z X DAN EAVES INTERIM CEO 900 N WASHINGTON ST PO BOX 192 DU QUOIN IL 62832 17330623 false X WWW.MARSHALLBROWNINGHOSPITAL.COM X 1919 IL THE MISSION OF MARSHALL BROWNING HOSPITAL IS TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE PEOPLE AND COMMUNITY WE SERVE WITHIN THE SCOPE OF OUR ABILITIES. 11 11 221 70 0 78630 70493 17610353 15654923 630141 540224 526901 1064983 18846025 17330623 4000 0 0 9272461 9100388 0 0 9704293 8271298 18980754 17371686 -134729 -41063 23378946 23646497 13644725 14423857 9734221 9222640 X THE MISSION OF MARSHALL BROWNING HOSPITAL IS TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE PEOPLE AND COMMUNITY WE SERVE WITHIN THE SCOPE OF OUR ABILITIES. false false 17371686 16720406 AS A NON-FOR-PROFIT COMMUNITY HOSPITAL, MARSHALL BROWNING HOSPITAL IS A CHARITABLE ORGANIZATION THAT EXISTS TO ADVANCE THE HEALTH OF THE RESIDENTS OF DUQUOIN AND THE SURROUNDING COMMUNITIES. MARSHALL BROWNING HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MARSHALL BROWNING HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH THIS CORPORATION'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, ARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR INDIVIDUAL'S INABILITY TO PAY COEXISTS. THE COMMUNITY BENEFITS CAN BE MEASURED IN MANY WAYS INCLUDING: DIRECT PATIENT CARE, SCREENINGS, EDUCATION, FUNDRAISING AND COMMUNITY SERVICE EFFORTS OF OUR COLLEAGUES. MARSHALL BROWNING HOSPITAL RECORDED 2,493 PATIENT DAYS. 1,750 OF THOSE DAYS WERE MEDICARE PATIENT DAYS, WHILE 148 CONSISTED OF MEDICAID DAYS. DURING FY 2015 THE HOSPITAL ADMITTED 473 PATIENTS AND DISCHARGED 475. THE AVERAGE LENGTH OF STAY FOR A PATIENT IS 5 DAYS. THE HOSPITAL PROVIDED 107,350 OUTPATIENT OCCASIONS OF SERVICE WHICH INCLUDED 5,926 EMERGENCY ROOM VISITS. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, PROVIDING SERVICES TO BOTH MEDICARE AND MEDICAID PATIENTS. FINANCIAL ASSISTANCE IS ALSO PROVIDED THROUGH THE HOSPITAL'S INTERNAL POLICY AND IN FY 2015 THIS AMOUNTED TO 88,000 AT COST. MARSHALL BROWNING HOSPITAL OFFERS VARIOUS PROGRAMS AND SERVICES THAT SUPPORT THE HEALTH OF OUR COMMUNITY. HERE ARE A FEW EXAMPLES: AS PART OF OUR MISSION, THE HOSPITAL ANNUALLY PROVIDES ATHLETIC TRAINING SERVICES TO DUQUOIN HIGH SCHOOL ATHLETES. SERVICES ARE PROVIDED AT PRACTICES AS WELL AS AT SCHOOL SPORTING EVENTS AT NO COST TO THE SCHOOL. THE HOSPITAL ALSO PROVIDES RANDOM DRUG TESTING SERVICES AT COST-ONLY TO THE LOCAL HIGH SCHOOL. HOSPITIAL MANAGERS ARE FREQUENTLY GUEST SPEAKERS AT SCHOOLS ON VARIOUS HEALTH TOPICS AND HEALTHCARE CAREERS. HIGH SCHOOL STUDENTS PARTCIPATE IN JOB SHADOWING AND COOPERATIVE EDUCATION PROGRAMS AT THE HOSPITAL. MARSHALL BROWNING HOSPITAL ANNUALLY PROVIDES TWO SPORTS PHYSICAL CLININCS TO AREA JUNIOR HIGH AND HIGH SCHOOL STUDENTS AT A COST OF 10. THE FEE IS THEN RETURNED TO THE SCHOOLS. THE HOSPITAL ALSO SERVES AS A CLINICAL SITE FOR JOHN A. LOGAN COLLEGE NURSING STUDENTS. MARSHALL BROWNING HOSPITAL PROVIDES A VARIETY OF COMMUNITY SERVICES TO CITIZENS AND EMPLOYEES FOR WHICH WE RECEIVE NO REIMBURSEMENT SUCH AS HEALTH FAIRS, FIRST AID STATIONS, AND CLASSES FOR AUTOMATIC ELECTRONIC DEFIBULATOR'S (AED) AND BASIC LIFE SUPPORT (BLS). ADDITIONALLY, COLLEAGUES FROM MBH REACH HUNDREDS OF PEOPLE WITH PRESENTATIONS ON A WIDE VARIETY OF TOPICS INCLUDING HEART HEALTH, NUTRITION, ASTHMA, DIABETES, ALZHEIMER'S DISEASE, SLEEP APNEA, HEALTHLY GRIEVING, ARTHRITUS, BREAST CANCER, EXCERCISE AND DIET, SMOKING CESSATION, PNEUMONIA VACCINE, CIRCUIT BREAKER, AND IL CARE RX TO NAME A FEW. THE HOSPITAL ANNUALLY PROVIDES A FOUR-YEAR 1,000 SCHOLARSHIP TO A LOCAL HIGH SCHOOL SENIOR ENTERING THE HEALTHCARE FIELD. WE ALSO SPONSER A 5K RUN/WALK, GOLF TOURNAMENT, SPEAKERS FOR CAMPING CONVENTIONS AND SCREENINGS FOR LOCAL MANUFACTURING COMPANIES. THE HOSPITAL HOSTS SIX AMERICAN RED CROSS BLOOD DRIVES EACH YEAR. MBH EMPLOYEES CONTINUE TO GROW THEIR TRADITION OF SUPPORTING THE COMMUNITY THROUGH PARTICIPATION IN A VARIETY OF FUNDRAISING WALKS FOR AMERICAN HEART ASSOCAITION AND AMERICAN CANCER SOCIETY. THEY ALSO FREQUENTLY RAISE FUNDS FOR THE LOCAL FOOD PANTRY AND HUMANE SHELTER. 17371686 true true false false false false false false false false true false false false true true true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 23 0 221 true false false false false false true true false false false false X 11 11 false false false false false false false true true false false true true true true true true true true false IL X MARSHALL BROWNING HOSPITAL 6185422146 900 N WASHINGTON ST PO BOX 192 DU QUOIN IL 62832 RICHARD ZIMMERMAN DC DIRECTOR 1.00 X 0 0 0 CHARLES GENESIO JR DIRECTOR 1.00 X 0 0 0 MARK MACLIN SECRETARY 1.00 X 0 0 0 DAN EAVES PRESIDENT 1.00 X 0 0 0 SUSAN ENGELHARDT DIRECTOR 1.00 X 0 0 0 CRAIG FURRY MD DIRECTOR 1.00 X 0 0 0 RICHARD K HAINES VICE-PRESIDE 1.00 X 0 0 0 DON HOFFMAN DIRECTOR 1.00 X 0 0 0 BRAD GALLI RPH DIRECTOR 1.00 X 0 0 0 DAVID SEARBY DIRECTOR 1.00 X 0 0 0 KATHY WEST TREASURER 1.00 X 0 0 0 EDWIN GAST CEO 40.00 X 149527 0 15160 LAURIE KELLERMAN CNO 40.00 X 88759 0 12756 BRICE HARSY CFO 40.00 X 65562 0 11152 TERRENCE HALL PHYSICIAN 40.00 X 274159 0 18255 GLADSTONE TUCKER PHYSICIAN 40.00 X 243531 0 1936 ALAN MORRIS PHARMACIST 40.00 X 124998 0 13735 946536 72994 4 false true false ACUTE CARE INC 1609 N ANKENY BLVD STE 200 ANKENY IA 50023 HOSPITALIST SRV 1394736 BRIGHAM ANESTHESIA SOUTH LLC 35 ALBANY ROAD SUITE C CARBONDALE IL 62903 ANESTHESIA 240000 ST LOUIS UNIVERSITY 1402 S GRAND BLVD ST LOUIS MO 63104 PHYSICIAN SERVI 192000 NUMED INC PO BOX 1098 DENTON TX 76202 NUCLEAR MEDICIN 122145 4 44250 26243 70493 INPATIENT & OUTPATIENT SVC 15654923 15654923 15654923 539724 539724 500 500 500 500 EHR REIMBURSEMENT 404809 404809 INDEPENDENT LIVING RENT 305401 305401 DR HALL-SHARED EXP 183546 183546 171227 171227 1064983 17330623 16720406 539724 342916 342916 6776462 6776462 119428 119428 1360834 1360834 500748 500748 1929 1929 45290 45290 838308 838308 77527 77527 241337 241337 302563 302563 69115 69115 627174 627174 1337010 1337010 267059 267059 PHYSICIANS' FEES 1859475 1859475 DRUGS 638973 638973 MEDICAL SUPPLIES 622710 622710 REPAIRS & MAINTENANCE 530660 530660 812168 812168 17371686 17371686 0 0 246894 1086261 3308167 2815092 484173 546090 268393 2201868 22439366 12804044 10664215 9635322 7612493 6962673 794611 399191 23378946 23646497 1217046 1535011 34107 1212849 10551285 9870291 1842287 1805706 13644725 14423857 X 9734221 9222640 9734221 9222640 23378946 23646497 -41063 -492575 22057 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 48400 3114 51514 7406858 3321835 4085023 13679098 8673972 5005126 1301896 808237 493659 9635322 INTEREST RATE SWAP CONTRACTS 1059382 ACCUMULATED BENEFIT OBLIGATION 651640 THIRD PARTY REIMBURSEMENT PROGRAMS 94684 1805706 X 16860105 -492575 22057 -470518 17330623 17330623 17371686 17371686 17371686 SCHEDULE D, PAGE 3, PART X THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY AT JUNE 30, 2015 OR 2014. SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN INTEREST RATE SWAP 22,057 true true true X true X true true false true true 87670 87670 0.00500 3798411 3083675 714736 0.04110 3886081 3083675 802406 0.04620 497172 497172 0.02860 497172 497172 0.02860 4383253 3083675 1299578 0.07480 true 859394 171879 6972678 7004230 -31552 X true true 1 1 MARSHALL BROWNING HOSPITAL 900 N WASHINGTON ST DUQUOIN IL 62832 X X X X OUTPATIENT PHYSICIAN CLINIC MARSHALL BROWNING HOSPITAL 1 false false true X X X X X X X X X X 13 true false false true X WWW.MARSHALLBROWNINGHOSPITAL.COM X true 13 false false false true X 150.000000000000 300.000000000000 false true X X X true X X X X X true X X true X X X X X X true X false false FACILITY 1, MARSHALL BROWNING HOSPITAL - PART V, LINE 5 SEVERAL MBH STAFF ACTIVELY PARTICIPATE IN THE PERRY COUNTY HEALTHY COMMUNITY COALITION, A GRASSROOTS ORGANIZATION WHOSE MEMBERS FOSTER COLLABORATION AND LEVERAGE THEIR COLLECTIVE RESOURCES TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF PERRY COUNTY RESIDENTS. INPUT FROM MEMBERS INCLUDES HEALTH AND WELLNESS IN ALL ITS VARIOUS ASPECTS INCLUDING PHYSICAL, SPIRITUAL, OCCUPATIONAL, SOCIAL, INTELLECTUAL, EMOTIONAL, ENVIRONMENTAL, FINANCIAL, MENTAL AND MEDICAL. IT SHARES RESOURCES WITH A NETWORK OF OTHER AREA COALITIONS SUCH AS CONNECT SI ON LOCAL AND REGIONAL PROGRAMS AND THROUGH THE DELTA REGIONAL AUTHORITY. MEMBERSHIP INCLUDES REPRESENTATIVES FROM MARSHALL BROWNING HOSPITAL, PINCKNEYVILLE COMMUNITY HOSPITAL, FIRE DEPARTMENT, POLICE DEPARTMENT, CHILD ADVOCACY CENTER, DISTRICT 300 SCHOOL DISTRICT, PERRY COUNTY COUNSELING CENTER, STATE OF ILLINOIS DIETITIAN, DOC ZS FITNESS AND CHIROPRACTIC,AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, AMERICAN RED CROSS,PERRY COUNTY HEALTH DEPARTMENT, FIVE STAR INDUSTRIES,AND SOUTHERN ILLINOIS HEALTHCARE. FACILITY 1, MARSHALL BROWNING HOSPITAL - PART V, LINE 7D COPIES ARE ALSO LOCATED IN EACH OF THE HOSPITAL'S WAITING ROOMS AND ARE AVAILABLE UPON REQUEST. FACILITY 1, MARSHALL BROWNING HOSPITAL - PART V, LINE 11 THE HOSPITAL IS CONTINUALLY WORKING TO MEET THE NEEDS IDENTIFIED THROUGH COMMUNITY EDUCATION PROGRAMS, HEALTH SCREENINGS, AND OTHER EVENTS. THE HOSPITAL IS NOT ABLE TO MEET EVERY NEED SUCH AS MENTAL ILLNESS AND SUBSTANCE ABUSE DISORDERS BECAUSE THEY DO NOT HAVE THOSE SERVICES AVAILABLE. FACILITY 1, MARSHALL BROWNING HOSPITAL - PART V, LINE 22D THE HOSPITAL OFFERS A 10% DISCOUNT IF PAID IF FULL WITHIN 7 DAYS OF THE FIRST BILLING STATEMENT. 1 MARSHALL BROWNING HOSPITAL MEDICAL CLINIC 900 N WASHINGTON STREET DUQUOIN IL 62832 RURAL HEALTH CLINIC PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE MARSHALL BROWNING HOSPITAL ASSOCIATION (THE ASSOCIATION) USED A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, INCLUDED IN THE SCHEDULE H INSTRUCTIONS TO DETERMINE THE AMOUNTS ON LINES 7A AND 7B OF PART I OF SCHEDULE H. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE ASSOCIATION CALCULATED BAD DEBT EXPENSE AT COST USING THE COST TO CHARGE RATIO AS CALCULATED USING WORSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT ONLY AFTER ALL COLLECTION PROCEDURES HAVE BEEN EXHAUSTED AS OUTLINED IN SCHEDULE H, PART III, LINE 9B. PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER ALL DISCOUNTS AND PAYMENTS HAVE BEEN APPLIED. THE FOLLOWING DESCRIPTION OF BAD DEBT EXPENSE (UNCOMPENSATED CARE)IS INCLUDED IN THE COMMUNITY BENEFIT NOTE TO THE ASSOCIATIONS AUDITED FINANCIAL STATEMENTS: THE HOSPITAL ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED ABOVE, BUT IS REPORTED ON THE STATEMENT OF OPERATIONS AS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANY OF THOSE PATIENTS ARE UNINSURED OR UNDERINSURED, BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE. DURING THE YEAR ENDED JUNE 30, 2015, THE HOSPITAL REPORTED BAD DEBT EXPENSE; AT COST, OF 859,000. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE BASED ON THE ASSOCIATION'S EXPEREINCE WITH ALL IT'S PATIENTS, THEY ESTIMATE THAT IT IS LIKELY THAT UP TO 20% OF THE PATIENTS ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR FINANCIAL OR OTHER ASSISTANCE BUT CHOOSE NOT TO APPLY. THEREFORE, 20% OF THE BAD DEBT EXPENSE WAS INCLUDED ON PART III, LINE 3 AT COST. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS THE HOSPITAL ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED ABOVE, BUT IS REPORTED ON THE STATEMENT OF OPERATIONS AS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANY OF THOSE PATIENTS ARE UNINSURED OR UNDERINSURED, BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE. DURING THE YEARS ENDED JUNE 30, 2015 AND 2014, THE HOSPITAL REPORTED BAD DEBT EXPENSE; AT COST, OF 859,000 AND 938,000, RESPECTIVELY. PART III, LINE 8 - MEDICARE EXPLANATION FISCAL YEAR 2015 MEDICARE COST REPORT WAS USED TO DETERMINE THE UNPAID COST OF MEDICARE. UNPAID COST OF MEDICARE REPRESENTS THE COST OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM, IN EXCESS OF PAYMENTS FOR THOSE SERVICES. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION THE MARSHALL BROWNING HOSPITAL ASSOCIATION APPLIES ITS COLLECTION PRACTICES EQUALLY TO ALL PATIENTS, BOTH FINANCIAL ASSISTANCE ELIGIBLE AND NON-FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. THE PROCEDURES FOR COLLECTION ON PATIENT ACCOUNTS ARE AS FOLLOWS: IT IS THE RESPONSIBILITY OF THE CREDIT AND COLLECTION MANAGER WITHIN THE PATIENT ACCOUNTS OFFICE, TO SECURE PAYMENT ARRANGEMENTS FOR ALL ACCOUNTS ON WHICH INSURANCE BENEFITS ARE NOT AVAILABLE, OR IF BENEFITS HAVE BEEN APPLIED AND A BALANCE IS DUE FROM THE PATIENT. 1.CREDIT AND COLLECTION MANAGER: A.CREDIT AND COLLECTION MANAGER REVIEWS ALL ADMISSION FOLDERS FOR INSURANCE INFORMATION OR ABILITY TO PAY (MONDAY - SATURDAY). B.CREDIT AND COLLECTION MANAGER CHECKS WITH RN ON THE PATIENT UNIT REGARDING THE PATIENT'S CONDITION OR FAMILY WHEREABOUTS (IF PATIENT IS A MINOR OR UNABLE PHYSICALLY OR MENTALLY TO MAKE A FINANCIAL DECISION). C.AFTER AN INTERVIEW WITH PATIENT OR FAMILY, CREDIT AND COLLECTION MANAGER DETERMINES APPROPRIATE PAYMENT ARRANGEMENT WITH THE BEST INTERESTS OF THE PATIENT AND THE HOSPITAL IN MIND. D.CREDIT AND COLLECTION MANAGER DETERMINES IF PATIENT'S NEEDS WOULD BE BETTER SERVED BY DEPARTMENT OF PUBLIC AID ASSISTANCE E.IF IT IS DETERMINED THAT THE PATIENT'S NEEDS WOULD BE BETTER SERVED THROUGH DPA THEN THE PATIENT CARE COORDINATOR'S OFFICE IS NOTIFIED FOR COMPLETION OF DPA APPLICATION. PART VI, LINE 2 - NEEDS ASSESSMENT MARSHALL BROWNING HOSPITAL HAS A COMMUNITY BENEFITS TEAM WHICH IS COMPRISED OF HOSPITAL EMPLOYEES FROM VARIOUS DEPARTMENTS AS WELL AS COMMUNITY MEMBERS INCLUDING THE ADMINISTRATOR OF THE PERRY COUNTY HEALTH DEPARTMENT. MARSHALL BROWNING HOSPITAL IS ALSO AN ACTIVE PARTICIPANT IN THE PERRY COUNTY HEALTHY COMMUNITY COALITION AND HOSTS COALITION MEETINGS ON A MONTHLY BASIS. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED TO IDENTIFY THE MOST IMPORTANT HEALTH ISSUES IN PERRY COUNTY, PARTICULARLY FOR VULNERABLE AND UNDER-REPRESENTED POPULATIONS, TO ENSURE THAT PROGRAMS AND SERVICES CLOSELY MATCH THE PRIORITIES AND NEEDS OF THE COMMUNITY, AND TO STRATEGICALLY ADDRESS THOSE NEEDS TO IMPROVE THE HEALTH OF THE COMMUNITY WE SERVE. MARSHALL BROWNING HOSPITAL CONDUCTED A CHNA FOR 2013. THE ASSESSMENT WAS DONE USING MANY SOURCES INCLUDING A BROAD REPRESENTATION OF THE COMMUNITY THROUGH THE PERRY COUNTY HEALTHY COMMUNITY COALITION AND AN INTERNAL TEAM CONSISTING OF THE PERRY COUNTY HEALTH DEPARTMENT ADMINISTRATOR, PASTOR OF LIBERTY CHURCH, SCHOOL NURSE, DIRECTOR OF FIVE STAR INDUSTRIES, MARSHALL BROWNING HOSPITAL BOARD MEMBER, HOSPITAL ER DIRECTOR, HOSPITAL CFO, HOSPITAL CHIEF NURSE EXECUTIVE, HOSPITAL DIRECTOR OF SENIOR INDEPENDENT LIVING FACILITY, HOSPITAL CEO AND HOSPITAL DIRECTOR OF MARKETING. MARSHALL BROWNING HOSPITAL WAS ASSISTED BY THE COMMUNITY BENEFITS DEPARTMENT OF SOUTHERN ILLINOIS HEALTHCARE AS A SOURCE OF INFORMATION SINCE BOTH FACILITIES SERVE THE RESIDENTS OF PERRY COUNTY. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENT EDUCATION REGARDING ELIGIBILITY FOR ASSISTANCE IS PROVIDED IN THE FOLLOWING MEDIUMS: - HOSPITAL BROCHURE - HOSPITAL WEBSITE - POSTED IN ADMITTING - PATIENTS ARE CONTACTED BY A PATIENT ACCOUNTS REPRESENTATIVE DURING AND AFTER THEIR HOSPITAL STAY REGARDING ELIGIBILITY FOR ASSISTANCE PART VI, LINE 4 - COMMUNITY INFORMATION PERRY COUNTY IS A RURAL AREA WITH AN ESTIMATED POPULATION OF 22,350. THE AVERAGE HOUSEHOLD INCOME (ACCORDING TO US CENSUS BUREAU IN 2010) WAS 40,696. THERE WERE 22.64% OF CHILDREN IN THE COUNTY LIVING IN POVERTY IN 2011 WHICH IS CONSIDERABLY HIGHER THAN 17.68% OVERALL IN ILLINOIS. PINKNEYVILLE COMMUNITY HOSPITAL, LOCATED 12 MILES AWAY, ALSO SERVES THE HEALTHCARE NEEDS OF PERRY COUNTY RESIDENTS. MARSHALL BROWNING HOSPITAL PRIMARILY SERVES RESIDENTS OF PERRY COUNTY. HOWEVER A SMALL PORTION OF SURROUNDING COMMUNITIES IS SERVED AND INCLUDES THE FOLLOWING ZIP CODES: 62832(DUQUOIN); 62888 (TAMAROA); 62274 (PINCKNEYVILLE); 62932 (ELKVILLE); 62927(DOWELL); 62884 (SESSER); AND 62865 (MULKEYTOWN). PERRY COUNTY HAD A POPULATION OF 22,350 IN THE YEAR 2010 WHICH IS A DECREASE OF 3.2% FROM 2000. AGE DISTRIBUTION OF POPULATION IN PERRY COUNTY IN YEAR 2010 (US CENSUS BUREAU) INCLUDED: AGE 0-4 (1,152), AGE 5-17 (3,376), AGE 18-24 (2,476), 25 -34(2,966), 35-44 (3,124), 45-54 (3,212), AGE 55-64 (2,661) AND OVER 65 (3,521). PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH MARSHALL BROWNING HOSPITAL PROVIDES ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE SUPPORTED BY OUTSIDE GRANTS OR FUNDING. SOME EXAMPLES INCLUDE FREE OR LOW-COST CLINICS SUCH AS THE SPORTS PHYSICAL CLINIC WHEREBY THE FEES ARE ONLY 10 AND DONATED BACK TO THE STUDENT'S SCHOOL. ALL PHYSICIANS AND STAFF DONATE THEIR TIME TO THE CLINICS. THE HOSPITAL PROVIDES THE SALARY OF OUR ATHLETIC TRAINER TO ATTEND ALL PRACTICES AND BALLGAMES FOR ATHLETIC TRAINING SERVICES TO DU QUOIN HIGH SCHOOL ATHLETES AND PROVIDES A FREE SPORTS INJURY CLINIC EACH SATURDAY MORNING THROUGHOUT THE FALL SEASON. THE HOSPITAL ESTABLISHED A COUMADIN CLINIC WHICH IS AN ANTICOAGULATION CLINIC HELD EACH WEDNESDAY. THE CLINIC PROVIDES ONE-ON-ONE CARE TO ASSIST PATIENTS WITH THE CONTROL OF THEIR ANTICOAGULATION THERAPY, SPECIFICALLY COUMADIN (GENERIC WARFARIN). PATIENTS ARE GIVEN EDUCATION AND DIETARY INSTRUCTION AND KNOW THEIR RESULTS AND DOSAGE FOR THE WEEK FOLLOWING EACH APPOINTMENT. THIS IS A COLLABORATIVE PRACTICE WITH NO BILLING CODES FOR THE CONSULTATION OF THE PHARMACIST OR LAB DIRECTOR WHO PROVIDE THE INSTRUCTION FOR THE PATIENTS. THIS SERVICE IS DONATED BACK TO THE COMMUNITY. THE CLINIC IS HIGHLY SUCCESSFUL AND RESULTS IN THE AVOIDANCE OF ER VISITS AND ADMISSIONS TO THE HOSPITAL. MARSHALL BROWNING HOSPITAL OFFERS A MONTHLY "SECOND ACT" LUNCHEON PROGRAM FOR INDIVIDUALS AGE 50 AND OLDER WITH A PHYSICIAN OR OTHER HEALTHCARE PROVIDER PRESENTING A HEALTHCARE PROGRAM. THE HOSPITAL PROVIDES A HEALTH FAIR FOR EATON'S B-LINE BUSINESS (MANUFACTURING PLANT) EMPLOYEES EACH YEAR AND OFFERS FREE HEALTH SCREENINGS AT THE COMMUNITY'S ANNUAL HOME AND GARDEN SHOW. COMMUNITY MEMBERS ARE GIVEN FREE COLON CANCER SCREENING KITS AND PROVIDE THE TESTING AT NO CHARGE DURING COLON CANCER AWARENESS MONTH. THE HOSPITAL HOSTS MANY FREE EDUCATIONAL PROGRAMS TO THE COMMUNITY THROUGHOUT THE YEAR ON TOPICS SUCH AS DIABETES, CERVICAL AND OVARIAN CANCER, SLEEP APNEA, PROSTATE CANCER, SKIN CANCER, HEART DISEASE, HIGH BLOOD PRESSURE, ALZHEIMER'S DISEASE, GRIEF, EXERCISE AND DIET, COPD, ANEMIA, EYE DISEASES, FIRST AID/CPR/AED CLASSES, CHANGES IN LAWS FOR SENIORS AND PROVIDES SPEAKERS FOR VARIOUS COMMUNITY ORGANIZATIONS. THE HOSPITAL PROVIDES FREE SPACE EVERY OTHER MONTH FOR WEIGHT LOSS PROGRAMS PRESENTED BY A BARIATRIC SURGEON AT HERRIN HOSPITAL. THE HOSPITAL OFFERED A LARGE COMMUNITY HEALTH FAIR WITH REDUCED FEE LAB TESTING AS WELL AS MANY OTHER FREE HEALTH SCREENINGS. MARSHALL BROWNING PROVIDES CLINICAL ROTATIONS AND INTERNSHIPS FOR MEDICAL STUDENTS AND A VARIETY OF COLLEGE STUDENTS ENTERING THE HEALTHCARE FIELD. MARSHALL BROWNING HOSPITAL OFFERS A FOUR-YEAR 1,000 SCHOLARSHIP TO A HIGH SCHOOL SENIOR EACH YEAR ENTERING THE HEALTHCARE FIELD. THE HOSPITAL HOSTS SIX COMMUNITY BLOOD DRIVES PER YEAR. THE COMMUNITY IS OFFERED A REDUCED RATE MAMMOGRAM EACH YEAR FOR INDIVIDUALS WITH NO HEALTH INSURANCE OR WHO HAVE HIGH DEDUCTIBLES IN OCTOBER DURING BREAST CANCER AWARENESS MONTH. THE HOSPITAL CONDUCTS A 5K RUN/WALK EACH YEAR TO PROMOTE EXERCISE AND FITNESS. THE HOSPITAL PROVIDES DRUG TESTING FOR HIGH SCHOOL ATHLETES AT COST. THE HOSPITAL PROVIDES A FIRST AID STATION AT THE LOCAL CONSERVATION FAIR FOR AREA SCHOOL CHILDREN. THE HOSPITAL DONATES EACH YEAR TO THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, DU QUOIN YOUTH CLUB, DU QUOIN FOOD PANTRY AND VARIOUS OTHER NEEDS IN THE COMMUNITY. THE HOSPITAL OFFERS A SENIOR INDEPENDENT LIVING FACILITY ON ITS CAMPUS THAT IS OFFERED AS A BREAK-EVEN SERVICE AND HAS NEVER BEEN OPERATED AS A FOR-PROFIT ENTITY. MARSHALL BROWNING HOSPITAL PROVIDES OVERHEAD AND SPACE FOR COMMUNITY MEETINGS. THE HOSPITAL PROVIDES EDUCATIONAL PROGRAMS FREE OF CHARGE TO CAMPERS UTILIZING THE DU QUOIN STATE FAIRGROUNDS FOR CAMPING CONVENTIONS. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM MARSHALL BROWNING HOSPITAL IS AFFILIATED WITH SOUTHERN ILLINOIS HEALTHCARE TO ENHANCE SERVICES FOR THE RESIDENTS OF PERRY COUNTY. IT IS NOT A MERGER OR ACQUISITION BUT IS A PARTNERSHIP TO PROVIDE EDUCATIONAL, ADMINISTRATIVE AND CLINICAL OPPORTUNITIES FOR HEALTHCARE STAFF, DEVELOP LINKAGES AMONG HEALTHCARE PROVIDERS, PROVIDE BETTER COORDINATION OF CARE AND SERVICES AND EXPAND THE POOL OF SPECIALISTS. SINCE THE AFFILIATION, MARSHALL BROWNING HOSPITAL HAS EXPANDED THE NUMBER OF SPECIALISTS OFFERING CLINICS AT THE HOSPITAL, BEGAN OFFERING SECOND ACT COMMUNITY EDUCATION PROGRAMS, COLLABORATED ON THE CHNA, ESTABLISHED DIGITAL MAMMOGRAPHY SERVICES, INITIATED A LEAN DAILY MANAGEMENT PROGRAM, OFFER UROLOGIC SURGICAL PROCEDURES, ESTABLISHED A MORE EFFICIENT EMAIL SYSTEM AND COLLABORATION ON IMPLEMENTING ELECTRONIC HEALTH RECORD. X X false false false false false false false false false EDWIN GAST CEO 149527 4658 10502 164687 TERRENCE HALL PHYSICIAN 274159 8280 9975 292414 GLADSTONE TUCKER PHYSICIAN 243531 1936 245467 FORM 990, PAGE 1, ITEM B AMENDED SCHEDULE H TO CORRECT CALCULATION OF UNREIMBURSED MEDICAID. ORIGINAL RETURN SHOWED ENHANCED MEDICAID PAYMENTS TWICE, THUS OVERSTATING PAYMENTS FROM MEDICAID. SPECIFICALLY, THE DIRECT OFFSETTING REVENUE ON SCHEDULE H, LINE 7B, COLUMN D WAS CHANGED TO 3,083,675. FORM 990, PAGE 1, PART I, LINE 6 VOLUNTEERS ARE PART OF THE HOSPITAL AUXILIARY WHO RUN FUNDRAISERS ON BEHALF OF THE HOSPITAL AND OPERATE THE GIFT SHOP. FORM 990, PAGE 2, PART III, LINE 4A HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR INDIVIDUAL'S INABILITY TO PAY COEXISTS. THE COMMUNITY BENEFITS CAN BE MEASURED IN MANY WAYS INCLUDING: DIRECT PATIENT CARE, SCREENINGS, EDUCATION, FUNDRAISING AND COMMUNITY SERVICE EFFORTS OF OUR COLLEAGUES. MARSHALL BROWNING HOSPITAL RECORDED 2,493 PATIENT DAYS. 1,750 OF THOSE DAYS WERE MEDICARE PATIENT DAYS, WHILE 148 CONSISTED OF MEDICAID DAYS. DURING FY 2015 THE HOSPITAL ADMITTED 473 PATIENTS AND DISCHARGED 475. THE AVERAGE LENGTH OF STAY FOR A PATIENT IS 5 DAYS. THE HOSPITAL PROVIDED 107,350 OUTPATIENT OCCASIONS OF SERVICE WHICH INCLUDED 5,926 EMERGENCY ROOM VISITS. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, PROVIDING SERVICES TO BOTH MEDICARE AND MEDICAID PATIENTS. FINANCIAL ASSISTANCE IS ALSO PROVIDED THROUGH THE HOSPITAL'S INTERNAL POLICY AND IN FY 2015 THIS AMOUNTED TO 88,000 AT COST. MARSHALL BROWNING HOSPITAL OFFERS VARIOUS PROGRAMS AND SERVICES THAT SUPPORT THE HEALTH OF OUR COMMUNITY. HERE ARE A FEW EXAMPLES: AS PART OF OUR MISSION, THE HOSPITAL ANNUALLY PROVIDES ATHLETIC TRAINING SERVICES TO DUQUOIN HIGH SCHOOL ATHLETES. SERVICES ARE PROVIDED AT PRACTICES AS WELL AS AT SCHOOL SPORTING EVENTS AT NO COST TO THE SCHOOL. THE HOSPITAL ALSO PROVIDES RANDOM DRUG TESTING SERVICES AT COST-ONLY TO THE LOCAL HIGH SCHOOL. HOSPITIAL MANAGERS ARE FREQUENTLY GUEST SPEAKERS AT SCHOOLS ON VARIOUS HEALTH TOPICS AND HEALTHCARE CAREERS. HIGH SCHOOL STUDENTS PARTCIPATE IN JOB SHADOWING AND COOPERATIVE EDUCATION PROGRAMS AT THE HOSPITAL. MARSHALL BROWNING HOSPITAL ANNUALLY PROVIDES TWO SPORTS PHYSICAL CLININCS TO AREA JUNIOR HIGH AND HIGH SCHOOL STUDENTS AT A COST OF 10. THE FEE IS THEN RETURNED TO THE SCHOOLS. THE HOSPITAL ALSO SERVES AS A CLINICAL SITE FOR JOHN A. LOGAN COLLEGE NURSING STUDENTS. MARSHALL BROWNING HOSPITAL PROVIDES A VARIETY OF COMMUNITY SERVICES TO CITIZENS AND EMPLOYEES FOR WHICH WE RECEIVE NO REIMBURSEMENT SUCH AS HEALTH FAIRS, FIRST AID STATIONS, AND CLASSES FOR AUTOMATIC ELECTRONIC DEFIBULATOR'S (AED) AND BASIC LIFE SUPPORT (BLS). ADDITIONALLY, COLLEAGUES FROM MBH REACH HUNDREDS OF PEOPLE WITH PRESENTATIONS ON A WIDE VARIETY OF TOPICS INCLUDING HEART HEALTH, NUTRITION, ASTHMA, DIABETES, ALZHEIMER'S DISEASE, SLEEP APNEA, HEALTHLY GRIEVING, ARTHRITUS, BREAST CANCER, EXCERCISE AND DIET, SMOKING CESSATION, PNEUMONIA VACCINE, CIRCUIT BREAKER, AND IL CARE RX TO NAME A FEW. THE HOSPITAL ANNUALLY PROVIDES A FOUR-YEAR 1,000 SCHOLARSHIP TO A LOCAL HIGH SCHOOL SENIOR ENTERING THE HEALTHCARE FIELD. WE ALSO SPONSER A 5K RUN/WALK, GOLF TOURNAMENT, SPEAKERS FOR CAMPING CONVENTIONS AND SCREENINGS FOR LOCAL MANUFACTURING COMPANIES. THE HOSPITAL HOSTS SIX AMERICAN RED CROSS BLOOD DRIVES EACH YEAR. MBH EMPLOYEES CONTINUE TO GROW THEIR TRADITION OF SUPPORTING THE COMMUNITY THROUGH PARTICIPATION IN A VARIETY OF FUNDRAISING WALKS FOR AMERICAN HEART ASSOCAITION AND AMERICAN CANCER SOCIETY. THEY ALSO FREQUENTLY RAISE FUNDS FOR THE LOCAL FOOD PANTRY AND HUMANE SHELTER. FORM 990, PAGE 6, PART VI, LINE 11B ALL BOARD MEMBERS ARE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW AND COMMENT BEFORE IT IS FILED. FORM 990, PAGE 6, PART VI, LINE 12C ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST STATEMENT EACH YEAR. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE EDUCATED EACH YEAR ON THE DEFINITION OF A CONFLICT OF INTEREST AND HOW TO AVOID THEM. FORM 990, PAGE 6, PART VI, LINE 15A THE CEO'S SALARY IS DETERMINED BY THE BOARD OF DIRECTOR'S IN WHICH THEY REVIEW MARKET WAGE DATA FOR COMPARABILITY. FORM 990, PAGE 6, PART VI, LINE 15B ALL OTHER OFFICERS AND EMPLOYEES ARE APPROVED BY THE CEO THROUGH THE HOSPITAL'S NORMAL WAGE AND SALARY POLICY. ALL EMPLOYEES WAGES ARE COMPARED TO MARKET RATES IN THE HEALTHCARE INDUSTRY. FORM 990, PAGE 6, PART VI, LINE 19 COPIES OF THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, FINANCIAL STATEMENTS, AND THE FEDERAL FORM 990 TAX RETURN ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATIVE OFFICE. FORM 990, PART XI, LINE 9 CHANGE IN INTEREST RATE SWAP 22,057