2023-11-15T14:41:30-06:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2022-01-01 371305510 TOUCHETTE REGIONAL HOSPITAL TOUC 6183323060 5900 BOND AVENUE CENTREVILLE IL 62207 JOHN JEFFRIES CFO 6183323060 2023-11-14 1 JOHN JEFFRIES 999009999 0 AMBER ROGNAN-HAMILTON P01251012 3149254300 2023-11-08 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z LARRY MCCULLEY 5900 BOND AVENUE CENTREVILLE IL 62207 82042549 0 X WWW.TOUCHETTE.ORG X 1992 IL SERVING THE INTEGRATED HEALTHCARE NEEDS FOR MEDICAL AND BEHAVIORAL HEALTH. 7 7 514 14 0 0 22869133 28682750 58437267 52864362 -961 11129 564554 484308 81869993 82042549 0 0 0 0 30807500 27427245 0 0 0 43609037 38641232 74416537 66068477 7453456 15974072 38179038 54338028 20687109 21153328 17491929 33184700 X PERSONALIZED CARE THAT FOSTERS HEALTHIER COMMUNITES AND LIVES. 0 0 43669558 0 44594375 TOUCHETTE REGIONAL HOSPITAL PROVIDES CARE TO BOTH MEDICAID AND MEDICARE PATIENTS AT OR BELOW COST WHICH REPRESENTED 85% OF THE HOSPITAL'S DISCHARGES IN 2022. 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 2022, THE HOSPITAL PROVIDED COMMUNITY BENEFITS OF APPROXIMATELY $4,700,000 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 7.1% OF THE HOSPITAL'S 2022 TOTAL COSTS. 7706393 0 7869595 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 2022, THE HOSPITAL CONTINUED ITS SAFETY NET ROLE IN BRINGING QUALITY HEALTH CARE TO THE UNDERSERVED COMMUNITIES BY PROVIDING 6,035 TOTAL PATIENT DAYS OF CARE, INCLUDING 4,987 BEHAVIORAL HEALTH DAYS, 19,426 OUTPATIENT VISITS, 1,682 HOME HEALTH ADMISSIONS AND 12,499 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. 737701 0 400392 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. 52113652 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 1 0 0 0 0 0 1 1 0 0 0 1 117 0 514 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 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 (TERM ENDED OCTOBER 22) 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 422953 21492 ALEXANDER LOVSHIN VP OF AMBULATORY & NETWORK 40.00 0.00 X 21323 0 860 JAY WILLSHER PRESIDENT 40.00 0.00 X 51949 0 3469 JOHN JEFFRIES CFO 20.00 20.00 X 208752 0 35233 KIYOKO GUTHRIE CNO 40.00 0.00 X 189413 0 34434 ROBERT FARMER VP OF MEDICAL AFFAIRS 40.00 0.00 X 350607 0 27346 ZACHARY YODER COO 20.00 20.00 X 0 218892 25339 BENJAMIN SCHROEDER CIO 40.00 0.00 X 176690 0 34634 JAMES FERNANDEZ PHYSICIAN 40.00 0.00 X 397062 0 30888 RANDY JUNG PSYCHIATRIST 40.00 0.00 X 270183 0 33751 MALAZ SAFI PHYSICIAN 40.00 0.00 X 298936 0 30688 ALEXANDER ROSE MEDICAL DIRECTOR 40.00 0.00 X 359859 0 37256 PAUL PACE PHYSICIAN 40.00 0.00 X 311516 0 11792 2636290 641845 327182 39 0 1 0 MIDWEST EMERGENCY DEPT SVCS 320 EAST US HIGHWAY 50 OFALLON IL 62269 EMERGENCY ROOM STAFFING 3739512 AVANT HEALTHCARE PROFESSIONALS LLC PO BOX 744554 ATLANTA GA 303744554 STAFFING SERVICES 2745483 MEDEFIS CONSOLIDATED PO BOX 5068 NEW YORK NY 100875068 STAFFING MANAGEMENT SERVICES 2102024 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 606731246 HEALTHCARE IT 979559 HORIZON HEALTH PO BOX 840839 DALLAS TX 752840839 BEHAVIORAL HEALTH SERVICES 926761 28 28616955 65795 28682750 NET PATIENT SERVICE REVENUE 622110 52864362 52864362 52864362 11129 11129 CAFETERIA 900099 212180 212180 CONTRACTED SERVICES TO AFFILIATES 900099 186220 186220 MISCELLANEOUS 900099 53196 53196 32712 32712 484308 82042549 52864362 0 495437 X 1134710 1134710 20553159 15714412 4838747 493085 403911 89174 3698357 2889583 808774 1547934 851540 696394 175178 110617 64561 40089 40089 52917 52917 23798662 19968858 3829804 31238 12773 18465 3690206 3069534 620672 332913 258993 73920 897716 685698 212018 102342 21757 80585 324508 252474 72034 2054561 1599227 455334 1738325 1352348 385977 BAD DEBT 3215887 3215887 HOSPITAL TAX 2153970 1675831 478139 OTHER TAXES 32720 30209 2511 66068477 52113652 13954825 0 6237497 9939977 5416867 15716421 1500000 3491192 4042834 2785116 575597 505483 766795 987083 53070088 34151681 19335370 18918407 295025 295025 1404479 9053 294845 38179038 54338028 9373013 9140443 759040 1365568 7161325 7117912 3393731 3529405 20687109 21153328 X 17347436 15953958 144493 17230742 17491929 33184700 38179038 54338028 X 15974072 -281301 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 52917 52917 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 44% OF THE DUES WERE USED FOR SPECIFIC LOBBYING PURPOSES. 2192647 2192647 31622678 19514084 12108594 307583 300857 6726 17654026 14336740 3317286 1293154 1293154 18918407 ASSET RETIREMENT OBLIGATION 3224908 INTERCOMPANY LIABILITY 140677 THIRD PARTY SETTLEMENTS 163820 3529405 1 1 X 1 X 1 X 600.000000000000 1 1 0 1 1 1504019 1504019 0.02280 34177653 42321503 0 0.00000 35681672 42321503 1504019 0.02280 8646497 4821929 3824568 0.05790 8646497 4821929 3824568 0.05790 44328169 47143432 5328587 0.08070 1 3215887 1309315 2317006 3913298 -1596292 X 1 1 1 COTTAGES GP LLC PROVIDE DECENT, SAFE & SANITARY AFFORDABLE HOUSING TO LOW-INCOME HOUSEHOLDS 0.51000 0.00000 0.00000 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 22 1 0 0 1 X SEE PART V, PAGE 8 FOR URL X 1 22 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 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 ITS SUCCESS IN USING THESE ASSESSMENTS TO SECURE COMPETITIVE GRANT FUNDING FOR BOTH ONGOING AND NEW PROJECTS.COMMUNITY INPUT WAS GATHERED THROUGH MULTIPLE MEANS. TRH STAFF PARTICIPATES IN MULTIPLE COMMUNITY-WIDE GROUPS THAT SEEK TO ENSURE COMMUNITY INPUT INTO HEALTHCARE DECISIONS. TRH HAS WORKED WITH THE ST. CLAIR COUNTY COMMUNITY IMPACT WORK GROUP TO SHARE COMMUNITY INPUT AND HEALTH DATA WITH REPRESENTATIVES OF ALL OTHER LOCAL HOSPITALS, THE ST. CLAIR COUNTY AND EAST SIDE HEALTH DEPARTMENTS, AND REPRESENTATIVES OF HEALTHIER TOGETHER. HEALTHIER TOGETHER IS A 100% VOLUNTEER DRIVEN ORGANIZATION GOVERNED BY AN INDEPENDENT COUNCIL OF PARTNERS WHOSE MEMBERS INCLUDE LEADERS IN THE HEALTHCARE, BUSINESS, FAITH, EDUCATION, AND LOCAL GOVERNMENT SECTORS. HEALTHIER TOGETHER SUPPORTS THE EFFORTS OF COMMUNITY WORK GROUPS TARGETING CHRONIC DISEASE PREVENTION, COMMUNITY SAFETY, EDUCATION, MATERNAL AND CHILD HEALTH, MENTAL HEALTH, AND SUBSTANCE USE DISORDER. HEALTHIER TOGETHER BRINGS OVER 70 ORGANIZATIONS, CURRENTLY DEDICATED TO WORKING TOGETHER TO IMPROVE COMMUNITY HEALTH AND OVERALL QUALITY OF LIFE TO THIS PROJECT. TRH STAFF SERVES DIRECTLY ON THE SENIOR COUNCIL FOR HEALTHIER TOGETHER AND IN ADDITION TO THE COLLECTIVE IMPACT MEETINGS, MEETS BI-MONTHLY TO DISCUSS WAYS TO BEST ADDRESS COMMUNITY HEALTH.BEYOND THESE EFFORTS, TRH WORKS AGAIN WITH SIHF IN ORDER TO SEEK DIRECT PATIENT INPUT THROUGHOUT THE SERVICE AREA. A CAHOKIA HEIGHTS COMMUNITY NEEDS ASSESSMENT SURVEY WAS UNDERTAKEN THROUGH ONLINE DATA COLLECTION OF RESPONSES FROM COMMUNITY RESIDENTS. THE SURVEY WAS PUBLICIZED THROUGH THE MANY TRH COMMUNITY LINKAGES AS WELL AS THROUGH DIRECT MAILINGS TO COMMUNITY RESIDENTS. AN ADDITIONAL PATIENT INPUT SURVEY WAS CONDUCTED IN CONJUNCTION WITH THE TRH METRO EAST HEALTH TRANSFORMATION PROJECT. IN PREPARATION FOR THE IMPLEMENTATION OF OUR TRANSFORMATION PROJECT TRH ENGAGED HMA CONSULTANTS TO CONDUCT ONE-ON-ONE INTERVIEWS WITH OUR ELECTED OFFICIALS, LOCAL LEADERS, CHURCH LEADERS, COMMUNITY AGENCIES, SHERIFF, MENTAL HEALTH BOARD, MEMORIAL HOSPITAL, AND THE BOARD OF DIRECTORS FOR TRH AND SIHF. THE EXISTING SERVICES, NEEDS OF THE COMMUNITIES, CARE GAPS, AND CONSIDERATIONS FOR OUR TRANSFORMATION PLANS WERE PRESENTED TO 28 INDIVIDUALS DURING THIS INPUT PROCESS.THROUGHOUT THE ABOVE PROCESSES, THE LEADERSHIP OF SIHF HAS BEEN HOLDING MEETINGS WITH LOCAL, STATE, COUNTY, AND FEDERAL ELECTED OFFICIALS ON THE COMPONENTS OF OUR TRANSFORMATION. OFFICIALS CONSULTED FOR THIS PROJECT INCLUDE: MAYOR JACKSON OF CENTREVILLE, LAMAR GENTRY OF ALORTON, CURTIS MCCALL TOWNSHIP SUPERVISOR AND FUTURE MAYOR OF CAHOKIA HEIGHTS, REPRESENTATIVE LATOYA JACKSON, SENATOR CHRIS BELT, CONGRESSMAN BOST U.S. REPRESENTATIVE FOR ILLINOIS'S 12TH CONGRESSIONAL DISTRICT, SEN. DUCKWORTH, SEN. DURBIN, AND MAYOR ROBERT EASTERN OF EAST ST. LOUIS. THESE ELECTED OFFICIALS PROVIDED INVALUABLE FEEDBACK ON NEEDS, LOCATIONS, SERVICES, AND THEIR INVOLVEMENT HAVE BEEN INCLUDED. IN FACT, SOME OF OUR PREVIOUS EFFORTS HAVE RESULTED IN CONTINUED PARTICIPATION IN OUR EFFORTS TO IMPROVE THE HEALTH OF OUR COMMUNITY. OUR MOST RECENT ENGAGEMENT WITH SOME OF THE SAME OFFICIALS LED TO EXTENSIVE FEEDBACK ON SOME OF OUR COVID TESTING AND VACCINE CLINICS. TOUCHETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 11: 1) MENTAL HEALTH - FOR THE PURPOSE OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT, TOUCHETTE REGIONAL HOSPITAL WILL CONTINUE TO EXPAND MENTAL HEALTH SERVICES.2) CHRONIC DISEASES - WHILE CHRONIC DISEASES CAN BE DIAGNOSED BY A PRIMARY CARE PHYSICIAN, PATIENTS SUFFERING FROM CHRONIC DISEASES WOULD BENEFIT MOST FROM ONGOING SPECIALIZED CARE. AS PART OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, TOUCHETTE REGIONAL HOSPITAL RECOGNIZES THAT PROVIDING ACCESS TO SPECIALISTS SUCH AS CARDIOLOGISTS, ENDOCRINOLOGISTS, ETC. FOR ITS PRIMARY POPULATION IS A PRIORITY.3) MEDICAL NEEDS OF NURSING HOME RESIDENTS - TOUCHETTE REGIONAL HOSPITAL RECOGNIZES THIS MEDICAL NEED IN THE COMMUNITY FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND WILL WORK WITH FACILITIES IN THE PRIMARY SERVICE AREA TO PROVIDE DIRECT MEDICAL CARE TO NURSING HOME RESIDENTS ON A REGULAR BASIS.4) SUBSTANCE USE DISORDERS - SUBSTANCE USE DISORDERS ARE OFTEN CATEGORIZED UNDER BEHAVIORAL HEALTH SERVICES. FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THEY CONTINUE TO BE PRIORITIZED UNDER A DISTINCT CATEGORY TO RECOGNIZE THE SIGNIFICANT IMPACT THIS 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.5) SOCIAL DETERMINANTS 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 WHICH IS AFFECTED BY MANY OF THESE. 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. TOUCHETTE REGIONAL HOSPITAL WILL ON WORKFORCE DEVELOPMENT (ECONOMIC STABILITY), AS THE UNEMPLOYMENT RATE IN THE PRIMARY SERVICE AREA IS EXTREMELY HIGH AT 12.5%, WHICH IS MORE THAN DOUBLE THAT OF THE STATEWIDE UNEMPLOYMENT RATE FOR THE SAME PERIOD (6.0%). THE SECOND FOCUS WILL BE ON SAFE AND AFFORDABLE HOUSING (NEIGHBORHOOD AND BUILD ENVIRONMENT), AS OVER 37% OF HOUSEHOLDS IN THE PRIMARY SERVICE AREA SPEND MORE THAN 30% OF THEIR TOTAL HOUSEHOLD INCOME ON HOUSING, LEAVING FEWER FUNDS AVAILABLE FOR OTHER BASIC NEEDS SUCH AS GROCERIES, TRANSPORTATION, AND MEDICAL NEEDS. 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 2022 COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT:HTTP://WWW.SIHF.ORG/MEDIA-LIBRARY/DOCUMENTS/NEEDS_ASSESSMENT_BROCHURE_2022.PDF SCHEDULE H, PART V, SECTION B, LINE 10A THE HOSPITAL'S 2022 IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTP://WWW.SIHF.ORG/MEDIA-LIBRARY/DOCUMENTS/NEEDS_ASSESSMENT_BROCHURE_2022.PDF SCHEDULE H, PART V, SECTION B, LINE 16A THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT:HTTP://WWW.SIHF.ORG/MEDIA-LIBRARY/DOCUMENTS/2021_FINANC_ASSIST_POLICY.PDF SCHEDULE H, PART V, SECTION B, LINE 16B THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION CAN BE FOUND AT:HTTPS://TOUCHETTE.ORG/MEDIA-LIBRARY/DOCUMENTS/2021_FINANC_ASSIST_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 7G WITH THE EAST ST. LOUIS COMMUNITY SUFFERING FROM SUBSTANTIAL ECONOMIC AND HEALTH DISPARITIES WHEN COMPARED TO MUCH OF ILLINOIS, THE ORGANIZATION WAS RECENTLY SELECTED BY THE ILLINOIS DEPARTMENT OF HUMAN SERVICES AS A TARGETED COMMUNITY FOR A MAJOR HEALTHCARE TRANSFORMATION INVESTMENT. THIS DESIGNATION TRIGGERS ADDITIONAL STATE FUNDING TO IMPROVE THE HEALTH AND WELL BEING OF THE LOCAL COMMUNITY TO CREATE COMMUNITY-BASED PROGRAMS IN AN EFFORT TO REDUCE HEALTH DISPARITIES AND EXPAND ACCESS TO QUALITY, AFFORDABLE HEALTHCARE. IN 2022, A PORTION OF THE FUNDS FROM THE HEALTHCARE TRANSFORMATION INVESTMENT WAS USED TO OFFSET SOME OF THE COSTS OF SERVICES THAT ARE NORMALLY CONSIDERED TO BE SUBSIDIZED BY THE ORGANIZATION. AS A RESULT, THE COMMUNITY BENEFIT PERCENTAGE ON SCHEDULE H, PART I, LINE 7 IS SLIGHTLY LOWER THAN THE ORGANIZATION'S PREVIOUS FORMS 990. AS THE HEALTHCARE TRANSFORMATION INVESTMENT IS TO BE FUNDED INITIALLY OVER A FIVE-YEAR PERIOD, A PORTION OF THE FUNDS IN THE COMING YEARS WILL ALSO LIKELY BE USED TO OFFSET SUBSIDIZED SERVICES. 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, 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 $3,215,887. 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 RATIO 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 LARRY MCCULLEY PRESIDENT & CEO 0 422953 0 0 0 0 0 12200 0 9292 0 444445 0 0 JAMES FERNANDEZ PHYSICIAN 397062 0 0 0 0 0 12200 0 18688 0 427950 0 0 0 ALEXANDER ROSE MEDICAL DIRECTOR 359859 0 0 0 0 0 12200 0 25056 0 397115 0 0 0 ROBERT FARMER VP OF MEDICAL AFFAIRS 350607 0 0 0 0 0 0 0 27346 0 377953 0 0 0 MALAZ SAFI PHYSICIAN 298936 0 0 0 0 0 12000 0 18688 0 329624 0 0 0 PAUL PACE PHYSICIAN 311516 0 0 0 0 0 11792 0 0 0 323308 0 0 0 RANDY JUNG PSYCHIATRIST 270183 0 0 0 0 0 7263 0 26488 0 303934 0 0 0 ZACHARY YODER COO 0 218892 0 0 0 0 0 8723 0 16616 0 244231 0 0 JOHN JEFFRIES CFO 208752 0 0 0 0 0 8717 0 26516 0 243985 0 0 0 KIYOKO GUTHRIE CNO 189413 0 0 0 0 0 7918 0 26516 0 223847 0 0 0 BENJAMIN SCHROEDER CIO 176690 0 0 0 0 0 7288 0 27346 0 211324 0 0 0 RICHARD SAUGET BENEFICIARY OF TRUST WHOM LEASES BUILDING TO TOUCHETTE 179628 RENT PAYMENTS 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 4,459,436. MANAGEMENT AND GENERAL EXPENSES 866,497. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,325,933. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 15,509,422. MANAGEMENT AND GENERAL EXPENSES 2,963,307. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,472,729. FORM 990, PART XI, LINE 9: EQUITY TRANSFER -281,301. 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 -12 125183 0 0 0.51000 0 0 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1