FURP.ORG / PUBLIC DATA EXPLORER

MARSHALL BROWNING HOSPITAL ASSOCIATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MARSHALL BROWNING HOSPITAL ASSOCIATION (EIN 37-0661218)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-01
IRS object ID
201100329349300710
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-02-01T13:03:07-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KERBER ECK & BRAECKEL LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11116 W MAIN STAddressLine1
CityCARBONDALECity
StateILState
ZIP Code629012335ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN370661218EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARSHALL BROWNING HOSPITALBusinessNameLine1
Business Name Line2ASSOCIATIONBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlMARSNameControl
Phone6185422146Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 N WASHINGTON ST PO BOX 192AddressLine1
CityDU QUOINCity
StateILState
ZIP Code62832ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM HUFFName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone6185422146Phone
Date Signed2010-10-29DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID SCHNAKEName
Phone6185291040Phone
Date Prepared2011-02-01DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM HUFFNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1900 N WASHINGTON ST PO BOX 192AddressLine1
CityDU QUOINCity
StateILState
ZIP Code62832ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16368656GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.MARSHALLBROWNINGHOSPITAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1919YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF MARSHALL BROWNING HOSPITAL IS TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE PEOPLE AND COMMUNITY WE SERVE WITHIN THE SCOPE OF OUR ABILITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees235TotalNbrEmployees
Total Nbr Volunteers80TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2259606ContributionsGrantsPriorYear
Contributions Grants Current Year76889ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15677578ProgramServiceRevenuePriorYear
Program Service Revenue CY15502960ProgramServiceRevenueCY
Investment Income Prior Year-316790InvestmentIncomePriorYear
Investment Income Current Year243232InvestmentIncomeCurrentYear
Other Revenue Prior Year517875OtherRevenuePriorYear
Other Revenue Current Year545575OtherRevenueCurrentYear
Total Revenue Prior Year18138269TotalRevenuePriorYear
Total Revenue Current Year16368656TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8372344SalariesEtcPriorYear
Salaries Etc Current Year8281356SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8404305OtherExpensePriorYear
Other Expenses Current Year8267238OtherExpensesCurrentYear
Total Expenses Prior Year16776649TotalExpensesPriorYear
Total Expenses Current Year16548594TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1361620RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-179938RevenuesLessExpensesCY
Total Assets BOY21548308TotalAssetsBOY
Total Assets EOY20869531TotalAssetsEOY
Total Liabilities BOY14138332TotalLiabilitiesBOY
Total Liabilities EOY13644053TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7409976NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7225478NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF MARSHALL BROWNING HOSPITAL IS TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE PEOPLE AND COMMUNITY WE SERVE WITHIN THE SCOPE OF OUR ABILITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense16548594Expense
Revenue16368656Revenue
DescriptionAS 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 2,926 PATIENT DAYS. 2,380 OF THOSE DAYS WERE MEDICARE PATIENT DAYS, WHILE 201 CONSISTED OF MEDICAID DAYS. DURING FY 2010 THE HOSPITAL ADMITTED 618 PATIENTS AND DISCHARGED 612. THE AVERAGE LENGTH OF STAY FOR A PATIENT IS 5 DAYS. THE HOSPITAL PROVIDED 97,367 OUTPATIENT OCCASIONS OF SERVICE WHICH INCLUDED 6,187 EMERGENCY ROOM VISITS. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, PROVIDING SERVICES TO BOTH MEDICARE AND MEDICAID PATIENTS. CHARITY CARE IS ALSO PROVIDED THROUGH THE HOSPITAL'S INTERNAL POLICY AND IN FY 2010 THIS AMOUNTED TO 170,000. 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. HOSPTIAL 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 HOPSITAL 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 FIVE 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.Description
Total Program Service Expense16548594TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees235NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARSHALL BROWNING HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6185422146TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1900 N WASHINGTON STAddressLine1
Address Line2PO BOX 192AddressLine2
CityDU QUOINCity
StateILState
ZIP Code62832ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
HAROLD RICE
PRESIDENT1.00X000
CHARLES GENESIO
DIRECTOR1.00X000
MARK MACLIN
SECRETARY1.00X000
DAN EAVES
VICE PRESIDE1.00X000
SUSAN ENGELHARDT
DIRECTOR1.00X000
CRAIG FURRY
DIRECTOR1.00X000
RICHARD K HAINES
TREASURER1.00X000
DON HOFFMAN
DIRECTOR1.00X000
DAVID MARSDEN
DIRECTOR1.00X000
DAVID SEARBY
DIRECTOR1.00X000
KATHY WEST
DIRECTOR1.00X000
WILLIAM HUFF
CEO40.0015044208714X
LAURIE KELLERMAN
CNO40.008952705709X
BRICE HARSY
CFO40.005851104641X
TERRENCE HALL
PHYSICIAN40.0028670309025X
JERRY PRIOR
ANESTHESIOLO40.0018202408451X
GLADSTONE TUCKER
PHYSICIAN60.0017020307197X
SYED JAFRI
PHYSICIAN40.0012243706325X
ALAN MORRIS
PHARMACIST40.0011879707206X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1178644TotalReportableCompFromOrg
Total Other Compensation57268TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ACUTE CARE INC
PO BOX 4130DES MOINESIA50333ER PHYSICIANS854719
SLU SCHOOL OF MED
1402 S GRANDST LOUISMO63104PHYSICIAN SERVI175557
NUMED INC
PO BOX 1098DENTONTX76202NUCLEAR MEDICIN144606
LABCORP
PO BOX 12140BURLINGTONNC272162140LAB SERVICES128231
HEALTHCARE MANAGEMENT SYS INC
3102 WEST END AVE STE 400NASHVILLETN37203SYSTEM MANAGEME124378
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants76889GovernmentGrants
Total Contributions76889TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionINPATIENT & OUTPATIENT SVCDescription
Total Revenue Column15502960TotalRevenueColumn
Related Or Exempt Function Income15502960RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15502960TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column243232TotalRevenueColumn
Exclusion$243,232ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
INDEPENDENT LIVING RENT302964$302,964
MISC INCOME128884$128,884
PHARMACY65496$65,496

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column48231TotalRevenueColumn
Exclusion$48,231ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue545575TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16368656TotalRevenueColumn
Related Or Exempt Function Income15502960RelatedOrExemptFunctionIncome
Exclusion$788,807ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total298480Total
Program Services298480ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6269242Total
Program Services6269242ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total91725Total
Program Services91725ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1147799Total
Program Services1147799ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total474110Total
Program Services474110ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32040Total
Program Services32040ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total44085Total
Program Services44085ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total905465Total
Program Services905465ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total370143Total
Program Services370143ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total52028Total
Program Services52028ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total680017Total
Program Services680017ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1240954Total
Program Services1240954ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total231917Total
Program Services231917ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BAD DEBT13560871356087
PHYSICIANS' FEES10692211069221
PROFESSIONAL SERVICES827650827650
DRUGS507573507573
REPAIRS & MAINTENANCE396355396355

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total553703Total
Program Services553703ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16548594Total
Program Services16548594ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY631497BOY
EOY179423EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2154438BOY
EOY2412113EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY317540BOY
EOY324660EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY240587BOY
EOY229112EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20672729LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9632067LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11266216BOY
EOY11040662EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6745797BOY
EOY5754423EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY192233BOY
EOY929138EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21548308BOY
EOY20869531EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1284270BOY
EOY1418157EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY10005000BOY
EOY9750000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2849062BOY
EOY2475896EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14138332BOY
EOY13644053EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7409976BOY
EOY7225478EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7409976BOY
EOY7225478EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21548308BOY
EOY20869531EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3114OtherCostOrOtherBasis
Book Value3114BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8571357OtherCostOrOtherBasis
Depreciation3003610Depreciation
Book Value5567747BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1080918OtherCostOrOtherBasis
Depreciation456649Depreciation
Book Value624269BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11017340OtherCostOrOtherBasis
Depreciation6171808Depreciation
Book Value4845532BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11040662TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
INTEREST RATE SWAP CONTRACTS$1,191,200
ACCUMULATED BENEFIT OBLIGATION$635,346
CURRENT OBLIG-CAPITAL LEASES$299,151
L-T OBLIGATION-CAPITAL LEASES$285,629
THIRD PARTY REIMBURSEMENT PROGRAMS$36,570
CURRENT ACCUM BENEFIT OBLIGATION$28,000
FieldValueIRS element (for citing)
Total Of Amounts2475896TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL FINANCIAL INFORMATIONIdentifier
Return ReferenceSCHEDULE D, PAGE 4, PART XIVReturnReference
ExplanationSCHEDULE D PART X, LINE 2. TEXT FROM FOOTNOTE OF THE ORGANIZATION'S FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY UPON THE ADOPTION OF ASC TOPIC 740-10-25 OR AT JUNE 30, 2010.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense92398TotalCommunityBenefitExpense
Net Community Benefit Expense92398NetCommunityBenefitExpense
Percent Of Total Expense0.00560PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense2725077TotalCommunityBenefitExpense
Direct Offsetting Revenue1350472DirectOffsettingRevenue
Net Community Benefit Expense1374605NetCommunityBenefitExpense
Percent Of Total Expense0.08310PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2817475TotalCommunityBenefitExpense
Direct Offsetting Revenue1350472DirectOffsettingRevenue
Net Community Benefit Expense1467003NetCommunityBenefitExpense
Percent Of Total Expense0.08860PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense168655TotalCommunityBenefitExpense
Net Community Benefit Expense168655NetCommunityBenefitExpense
Percent Of Total Expense0.01020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense168655TotalCommunityBenefitExpense
Net Community Benefit Expense168655NetCommunityBenefitExpense
Percent Of Total Expense0.01020PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2986130TotalCommunityBenefitExpense
Direct Offsetting Revenue1350472DirectOffsettingRevenue
Net Community Benefit Expense1635658NetCommunityBenefitExpense
Percent Of Total Expense0.09880PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$739,067BadDebtExpenseAmount
Amount Attributable To147814AmountAttributableTo
Amount Reimbursed By Medicare7355476AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare7499664CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-144188MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARSHALL BROWNING HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1900 N WASHINGTON STAddressLine1
CityDUQUOINCity
StateILState
ZIP Code62832ZIPCode
FieldValueIRS element (for citing)
Childrens HospitalXChildrensHospital
Critical Access HospitalXCriticalAccessHospital

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedTHE 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.CostingMethodUsed
Bad Debt FootnoteTHE ASSOCAITION 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. BASED ON THE ASSOCIATION'S EXPEREINCE WITH ALL ITS PATIENTS, THEY ESTIMATE THAT IT IS LIKELY THAT UP TO 20% OF THE PATIENTS ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOOSE NOT TO APPLY. THEREFORE, 20% OF THE BAD DEBT EXPENSE WAS INCLUDED ON PART III, LINE 3 AT COST. THE ASSOCIATION'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE THAT SPECIFICALLY ADDRESSES BAD DEBTS HOWEVER THE PROVISION FOR BAD DEBTS IS CLEARLY OUTLINED ON THE STATEMENT OF OPERATIONS. THE PROVISION FOR BAD DEBTS REPRESENTS UNCOMPENSATED CARE FOR PATIENTS OF WHICH A MAJORITY ARE UNINSURED OR UNDERINSURED, BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE.BadDebtFootnote
Shortfall As Community BenefitFISCAL YEAR 2010 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.ShortfallAsCommunityBenefit
Debt Collection PolicyTHE MARSHALL BROWNING HOSPITAL ASSOCIATION APPLIES ITS COLLECTION PRACTICES EQUALLY TO ALL PATIENTS, BOTH CHARITY CARE ELIGIBLE AND NON-CHARITY CARE 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 OR POSSIBLE HILL-BURTON GRANT. E.IF IT IS DETERMINED THAT THE PATIENT'S NEEDS WOULD BE BETTER SERVED THROUGH DPA AND H/B APPLICATION, THEN THE PATIENT CARE COORDINATOR'S OFFICE IS NOTIFIED FOR COMPLETION OF DPA AND H/B APPLICATIONS. 2.PATIENT CARE COORDINATOR: A.PATIENT CARE COORDINATOR INTERVIEWS PATIENT/FAMILY AND COMPLETES FORMS FOR DPA AND HILL-BURTON. B.IF PATIENT IS DENIED DPA ASSISTANCE AND HILL-BURTON IS AVAILABLE FOR ACCOUNT, CREDIT AND COLLECTION MANAGER OR CHIEF FINANCIAL OFFICER IS TO BE NOTIFIED PRIOR TO PATIENT/FAMILY FOR FINAL APPROVAL. C.REASONS FOR DPA DENIAL AND POSSIBLE HILL-BURTON CHARITY GRANT: 1.IF DPA DENIES FOR: FAILURE TO KEEP AN APPOINTMENT - HILL-BURTON REJECTION 2.IF DPA DENIES FOR: TOO MANY ASSETS - HILL-BURTON REJECTION 3.IF DPA DENIED OR NO APPLICATION MADE - HILL-BURTON REJECTIONDebtCollectionPolicy
Number Of Facility Type Expln1 RURAL HEALTH CLINICNumberOfFacilityTypeExpln
Needs AssessmentMARSHALL BROWNING HOSPITAL HAS A COMMUNITY BENEFITS TEAM WHICH IS COMPRISED OF HOSPITAL EMPLOYEES FROM VARIOUS DEPARTMENTS OF THE HOSPITAL. THE MISSION OF THE TEAM IS TO PROVIDE ONGOING ASSESSMENTS OF THE HEALTHCARE NEEDS OF PERRY COUNTY AND THE SURROUNDING COMMUNITIES AND STRIVE TO MEET THE NEEDS IDENTIFIED. THE TEAM MEETS PERIODICALLY TO PLAN AND DISCUSS EDUCATIONAL SEMINARS AND EVENTS TO HELP MEET THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY. THE HOSPITAL ALSO UNDERWENT A STRATEGIC PLAN AND MARKET ANALYSIS IN 2010 WHICH PROVIDED VALUABLE INFORMATION LINKING THE HOSPITAL STRATEGIC PLAN WITH SPECIAL ATTENTION GIVEN TO THOSE MOST IN NEED IN THE COMMUNITY. THE DIRECTOR OF MARKETING, DIRECTOR OF INFECTION CONTROL/EMPLOYEE HEALTH, AND DIRECTOR OF REHAB SERVE ON THE PERRY COUNTY COMMUNITY WELLNESS AND HEALTH COALITION. THE ASSISTANT DIRECTOR OF NURSING, DIRECTOR OF EDUCATION, AND CFO SERVE ON THE BOARD OF DIRECTORS FOR THE PERRY COUNTY DEPARTMENT OF PUBLIC HEALTH. THE DIRECTOR OF INFECTION CONTROL SERVES ON THE PERRY COUNTY INTERAGENCY COUNCIL. PARTICIPATION IN EACH OF THESE GROUPS ASSISTS THE HOSPITAL IN CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITY.NeedsAssessment
Patient Education AssistancePATIENT EDUCATION REGARDING ELIGIBILITY FOR ASSISTANCE PROVIDED IN THE FOLLOWING MEDIUMS: - HOSPITAL BROCHURE - HOSPITAL WEBSITE - POSTED IN ADMITTING - PATIENTS ARE CONTACTED BY A PATIENT ACCOUNTS REPRESENTATIVE DURING THEIR HOSPITAL STAY REGARDING ELIGIBILITY FOR ASSISTANCEPatientEducationAssistance
Community InformationPERRY COUNTY IS A RURAL AREA WITH AN ESTIMATED POPULATION OF 22,562. THE AVERAGE HOUSEHOLD INCOME (IN 2008 INFLATION ADJUSTED DOLLARS) WAS 40,751. THE PERCENTAGE OF INDIVIDUALS BELOW POVERTY LEVEL WAS 11.2%. PINCKNEYVILLE COMMUNITY HOSPITAL, LOCATED 12 MILES AWAY, ALSO SERVES THE HEALTHCARE NEEDS OF PERRY COUNTY RESIDENTS. MARSHALL BROWNING HOSPITAL PRIMARILY SERVES RESIDENTS IN RURAL AREAS OF SEVEN ZIP CODES (PRIMARILY BUT NOT EXCLUSIVELY WITHIN PERRY COUNTY) WHICH COMPRISED APPROXIMATELY 88% OF THE HOSPITAL'S 692 INPATIENT DISCHARGES IN CALENDAR YEAR 2009. THOSE ZIP CODES ARE: 62832(DUQUOIN); 62888 (TAMAROA); 62274 (PINCKNEYVILLE); 62932 (ELKVILLE); 62927(DOWELL); 62884 (SESSER); AND 62865 (MULKEYTOWN). THIS PRIMARY SERVICE AREA HAD A POPULATION OF 26,764 IN THE YEAR 2006 AND IS PROJECTED TO HAVE A POPULATION OF 27,247 IN 2011. AGE DISTRIBUTION OF POPULATION IN THE PRIMARY SERVICE AREA IN YEAR 2006 INCLUDED: UNDER 15 (17%), 15-24 (13%), 25-44(26%), 45-64 (28%), 65-74 (7%), AND OVER 75 (9%). AGE DISTRIBUTION OF POPULATION PROJECTED FOR 2015 IS: UNDER 15 (15%), 15-24 (13%), 25-44 (27%),45-64 (27%), 65-74 (10%), AND OVER 75 (8%). DESPITE THE EXPECTED FLAT TOTAL POPULATION GROWTH THROUGH 2015, THE PERCENTAGE OF THE POPULATION IN THE HIGHEST HEALTH CARE DEMAND AGE GROUPS IS INCREASING. THE PROPORTION OF PEOPLE IN THE OVER 65 AGE GROUP IS EXPECTED TO INCREASE FROM 16% IN 2006 TO 18% IN 2015 IN THE PRIMARY SERVICE AREAS. (SOURCES: COMPDATA AND U.S.CENSUS BUREAU)CommunityInformation
Other InformationMARSHALL 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 DONATED BACK TO THE STUDENT'S SCHOOL. ALL PHYSICIANS AND STAFF DONATE THEIR TIME. 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. THE HOSPITAL EMPLOYEES ALSO COLLECT MONEY OR FOOD ON AN ANNUAL BASIS FOR THE LOCAL FOOD PANTRY. THE HOSPITAL ALSO OFFERED A HEALTH FAIR FOR THE COMMUNITY IN APRIL 2009 WHICH PROVIDED FREE SCREENINGS (SLEEP APNEA, SKIN CANCER, PULMONARY FUNCTION, BLOOD PRESSURE, CHILD ID, LIPID PROFILE, BLOOD GLUCOSE) AND HEALTH INFORMATION. THE HOSPITAL PROVIDES A TWO-DAY HEALTH FAIR FOR GENERAL CABLE (MANUFACTURING COMPANY) EMPLOYEES. MBH EMPLOYEES ALSO PARTICIPATED IN COLLECTING MONEY FOR THE ALZHEIMER'S ASSOCIATION, AMERICAN CANCER SOCIETY, AND AMERICAN HEART ASSOCIATION. MARSHALL BROWNING HOSPITAL PARTICIPATES WITH THE PERRY COUNTY HEALTH DEPARTMENT IN PROVIDING PSA TESTING FOR THEIR MEN'S HEALTH FAIR. THE HOSPITAL OFFERS MANY FREE CLASSES THROUGHOUT THE YEAR INCLUDING TOPICS SUCH AS DIABETES, BETTER BREATHERS, BASIC LIFE SUPPORT, HEALTHY GRIEVING, SLEEP APNEA, SMOKING CESSATION, EXERCISE AND DIET, BUILDING A BETTER MEMORY, COPD, HEART HEALTH, SKIN CANCER, NUTRITION, ALZHEIMER'S DISEASE, ILLINOIS CARES RX AND CIRCUIT BREAKER PROGRAM, PNEUMONIA VACCINE, CPAP/BIPAP CLINICS, MEDICARE DRUG COVERAGE CLASSES, ETC. THE HOSPITAL OFFERS DISCOUNTED MAMMOGRAMS DURING THE MONTH OF OCTOBER IN HONOR OF BREAST CANCER AWARENESS MONTH. THE REHAB DEPARTMENT EACH YEAR SPONSORS A 5K RUN/WALK TO PROMOTE THE IMPORTANCE OF FITNESS. THE HOSPITAL SUPPLIES A REGISTERED NURSE FOR THREE DAYS FOR THE DEPARTMENT OF SOIL AND WATER CONSERVATION'S "CONSERVATION FAIR" FOR AREA SCHOOL CHILDREN. THE REGISTERED NURSE MAINTAINS A FIRST AID STATION THROUGHOUT THE FAIR. THE HOSPITAL PROVIDES FREE AED TRAINING FOR THE POLICE DEPARTMENT, PERRY COUNTY COUNSELING CENTER, AND OTHER AGENCIES WHEN REQUESTED. THE HOSPITAL PROVIDES RANDOM DRUG SCREENS FOR HIGH SCHOOL STUDENTS AT COST. MARSHALL BROWNING REHAB STAFF PROVIDES EXERCISE CLASSES FOR THE RESIDENTS OF OUR INDEPENDENT LIVING FACILITY. THE HOSPITAL PROVIDED SLEEP SCREENS FOR THE PERRY COUNTY FLU CLINIC AND PROVIDED BLOOD PRESSURE CHECKS AT THE FARMERS MARKET AND OTHER COMMUNITY EVENTS. THE HOSPITAL WAS A CO-SPONSOR OF THE "INSPIRECONFERENCE." THE HOSPITAL PROVIDES A FREE SPORTS INJURY CHECK EACH SATURDAY MORNING DURING FOOTBALL SEASON. THE HOSPITAL HOSTS SIX BLOOD DRIVES AT THEIR FACILITY EACH YEAR. PUBLIC SERVICE ANNOUNCEMENTS ARE PROVIDED THROUGH WDQN RADIO STATION TO EDUCATE THE COMMUNITY ABOUT BREAST CANCER. MARSHALL BROWNING HOSPITAL PROVIDES OVERHEAD AND SPACE FOR COMMUNITY ORGANIZATION MEETINGS. MARSHALL BROWNING HOSPITAL PROVIDES EDUCATIONAL PROGRAMS TO CAMPERS DURING CAMPING CONVENTIONS AT THE DU QUOIN STATE FAIR (DIABETES, HEART HEALTH).OtherInformation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
WILLIAM HUFF
15044230445670159156
TERRENCE HALL
28670338365189295728
JERRY PRIOR
18202436684783190475
GLADSTONE TUCKER
17020333213876177400

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF DUQUOIN ILLINOISBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN376001789IssuerEIN
CUSIP Number263540AA4CUSIPNumber
Date Issued2006-11-20DateIssued
Issue Price10250000IssuePrice
Description Of PurposeTO CONSTRUCT A HOSPIDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds9750000TotalProceeds
Amount In Reserve Fund281358AmountInReserveFund
Issuance Costs From Proceeds184138IssuanceCostsFromProceeds
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1MORGAN STANLEYBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge24.0TermOfHedge
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITSFORM 990, PAGE 1, PART I, LINE 6VOLUNTEERS ARE PART OF THE HOSPITAL AUXILIARY WHO RUN FUNDRAISERS ON BEHALF OF THE HOSPITAL AND OPERATE THE GIFT SHOP.
FIRST ACHIEVEMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4AKEEPING 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 2,926 PATIENT DAYS. 2,380 OF THOSE DAYS WERE MEDICARE PATIENT DAYS, WHILE 201 CONSISTED OF MEDICAID DAYS. DURING FY 2010 THE HOSPITAL ADMITTED 618 PATIENTS AND DISCHARGED 612. THE AVERAGE LENGTH OF STAY FOR A PATIENT IS 5 DAYS. THE HOSPITAL PROVIDED 97,367 OUTPATIENT OCCASIONS OF SERVICE WHICH INCLUDED 6,187 EMERGENCY ROOM VISITS. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, PROVIDING SERVICES TO BOTH MEDICARE AND MEDICAID PATIENTS. CHARITY CARE IS ALSO PROVIDED THROUGH THE HOSPITAL'S INTERNAL POLICY AND IN FY 2010 THIS AMOUNTED TO 170,000. 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. HOSPTIAL 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 HOPSITAL 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 FIVE 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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11ALL BOARD MEMBERS ARE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW AND COMMENT BEFORE IT IS FILED.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CMARSHALL BROWNING HOSPITAL REQUIRES ALL DIRECTORS AND KEY EMPLOYEES TO ANNUALLY FILL OUT A CONFLICT OF INTEREST FORM. THE FORMS ARE REVIEWED ON AN AS NEEDED BASIS THROUGHOUT THE YEAR AND ANY ARISING ISSUES ARE ADDRESSED BY THE BOARD OF DIRECTORS.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE CEO'S SALARY IS DETERMINED BY THE BOARD OF DIRECTOR'S IN WHICH THEY REVIEW MARKET WAGE DATA FOR COMPARABILITY.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BALL 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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19COPIES 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1DUQUOIN CLINIC INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14 WEST MAIN STAddressLine1
Address Line2PO BOX 192AddressLine2
CityDUQUOINCity
StateILState
ZIP Code62832ZIPCode
FieldValueIRS element (for citing)
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StateILLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityC CORPTypeOfEntity
Share Of Total Income26671ShareOfTotalIncome
Share Of EOY Assets228832ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg