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MARSHALL BROWNING HOSPITAL ASSOCIATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MARSHALL BROWNING HOSPITAL ASSOCIATION (EIN 37-0661218)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-02-27
IRS object ID
201830589349300148
Schema version
2016v3.1
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)
Return2018-02-27T16:52:00-06:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN430352985PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KERBER ECK & BRAECKEL LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11116 W MAIN STAddressLine1Txt
CityCARBONDALECityNm
State AbbreviationILStateAbbreviationCd
ZIP629012335ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN370661218EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARSHALL BROWNING HOSPITALBusinessNameLine1Txt
Business Name Line2ASSOCIATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMARSBusinessNameControlTxt
Phone6185422146PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 N WASHINGTON ST PO BOX 192AddressLine1Txt
CityDU QUOINCityNm
State AbbreviationILStateAbbreviationCd
ZIP62832ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAN EAVES CEOPersonNm
Person TitleCEOPersonTitleTxt
Phone6185422146PhoneNum
Signature2018-02-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANNA GUETERSLOHPreparerPersonNm
PTINP01315485PTIN
Phone6185291040PhoneNum
Preparation2018-02-27PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device IdE8853820BC97883E6A715588E1E70A1C8EBEA6EEAtSubmissionCreationDeviceId
At Submission Filing Device IdD5642DF4423300A4A94EB47D443012BF6EC3F5D5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAN EAVES CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 N WASHINGTON ST PO BOX 192AddressLine1Txt
CityDU QUOINCityNm
State AbbreviationILStateAbbreviationCd
ZIP62832ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,296,830GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MARSHALLBROWNINGHOSPITAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1919FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE MISSION OF MARSHALL BROWNING HOSPITAL IS TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE PEOPLE AND COMMUNITY WE SERVE WITHIN THE SCOPE OF OUR ABILITIES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee269TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$81,135PYContributionsGrantsAmt
CY Contributions Grants$87,696CYContributionsGrantsAmt
PY Program Service Revenue$18,138,944PYProgramServiceRevenueAmt
CY Program Service Revenue$20,482,625CYProgramServiceRevenueAmt
PY Investment Income-$254,519PYInvestmentIncomeAmt
CY Investment Income$380,796CYInvestmentIncomeAmt
PY Other Revenue$830,675PYOtherRevenueAmt
CY Other Revenue$962,151CYOtherRevenueAmt
PY Total Revenue$18,796,235PYTotalRevenueAmt
CY Total Revenue$21,913,268CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,265,452PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,500,294CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,036,912PYOtherExpensesAmt
CY Other Expenses$10,682,096CYOtherExpensesAmt
PY Total Expenses$20,302,364PYTotalExpensesAmt
CY Total Expenses$22,182,390CYTotalExpensesAmt
PY Revenues Less Expenses-$1,506,129PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$269,122CYRevenuesLessExpensesAmt
Total Assets BOY$22,293,085TotalAssetsBOYAmt
Total Assets EOY$22,256,090TotalAssetsEOYAmt
Total Liabilities BOY$14,644,200TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,548,691TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,648,885NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,707,399NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF MARSHALL BROWNING HOSPITAL IS TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE PEOPLE AND COMMUNITY WE SERVE WITHIN THE SCOPE OF OUR ABILITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$22,182,390ExpenseAmt
Revenue$20,482,625RevenueAmt
DescAS 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 2,947 PATIENT DAYS. 2,154 OF THOSE DAYS WERE MEDICARE PATIENT DAYS, WHILE 149 CONSISTED OF MEDICAID DAYS. DURING FY 2017 THE HOSPITAL ADMITTED 613 PATIENTS AND DISCHARGED 615. THE AVERAGE LENGTH OF STAY FOR A PATIENT IS 5 DAYS. THE HOSPITAL PROVIDED 125,532 OUTPATIENT OCCASIONS OF SERVICE WHICH INCLUDED 5,665 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 2017 THIS AMOUNTED TO 107,000 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.Desc
Total Program Service Expenses$22,182,390TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee269EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARSHALL BROWNING HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6185422146PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 N WASHINGTON STAddressLine1Txt
Address Line2PO BOX 192AddressLine2Txt
CityDU QUOINCityNm
State AbbreviationILStateAbbreviationCd
ZIP62832ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAN EAVES CEO
CEO40.00Yes (X)Yes (X)$130,436$0$0
RICHARD K HAINES
PRESIDENT1.00Yes (X)$0$0$0
KATHY WEST
VICE PRESIDE1.00Yes (X)$0$0$0
SUSAN ENGELHARDT
SECRETARY1.00Yes (X)$0$0$0
DON HOFFMAN
TREASURER1.00Yes (X)$0$0$0
GUY ALONGI
DIRECTOR1.00Yes (X)$0$0$0
ANDREW CROESSMAN
DIRECTOR1.00Yes (X)$0$0$0
BRAD GALLI RPH
DIRECTOR1.00Yes (X)$0$0$0
CHARLES GENESIO JR
DIRECTOR1.00Yes (X)$0$0$0
BILL PLACE
DIRECTOR1.00Yes (X)$0$0$0
DAVID SEARBY
DIRECTOR1.00Yes (X)$0$0$0
LAURIE KELLERMAN
CNO40.00Yes (X)$94,027$0$11,317
BRICE HARSY
CFO40.00Yes (X)$81,204$0$12,786
GLADSTONE TUCKER
PHYSICIAN40.00$243,005$0$1,853Yes (X)
MALCOM SCHULZ MD
PHYSICIAN24.00$213,325$0$9,127Yes (X)
EDWARD TRAVIS MD
PHYSICIAN40.00$188,857$0$8,517Yes (X)
KAITLIN BATTAGLIA
PHARMACIST40.00$121,473$0$14,247Yes (X)
MICHAEL STAFF
PHYSICIAN AS40.00$119,151$0$10,105Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,191,478TotalReportableCompFromOrgAmt
Total Other Compensation$67,952TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
INTEGRITAS EMERGENCY PHYSICIAN
2250 NORTH ILLINOIS AVENUECARBONDALEIL62901ER PHYSICIANS$1,114,320
MORTHLAND COLLEGE
202 EAST OAK STREETWEST FRANKFORTIL62896ER PHYSICIANS$1,045,918
AMERISOURCE BERGEN
27550 NETWORK PLACECHICAGOIL60673TPA HEALTH INS$390,963
BRIGHAM ANESTHESIA SOUTH LLC
35 ALBANY ROAD SUITE CCARBONDALEIL62903ANESTHESIA$240,000
ST LOUIS UNIVERSITY
1402 S GRAND BLVDST LOUISMO63104ENDOSCOPY SVC$206,460
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Government Grants$39,758GovernmentGrantsAmt
All Other Contributions$47,938AllOtherContributionsAmt
Total Contributions$87,696TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescINPATIENT & OUTPATIENT SVCDesc
Total Revenue Column$20,482,625TotalRevenueColumnAmt
Related Or Exempt Func Income$20,482,625RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$20,482,625TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$277,379TotalRevenueColumnAmt
Exclusion$277,379ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$486,979SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$383,562SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$103,417SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$103,417TotalRevenueColumnAmt
Related Or Exempt Func Income$103,417RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INDEPENDENT LIVING RENT$372,350$372,350
EHR REIMBURSEMENT RECOGNIZED$308,061$308,061
340B PROGRAM$88,277$88,277

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$193,463TotalRevenueColumnAmt
Related Or Exempt Func Income$193,463RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$962,151OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,913,268TotalRevenueColumnAmt
Related Or Exempt Func Income$21,548,193RelatedOrExemptFuncIncomeAmt
Exclusion$277,379ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$329,770TotalAmt
Program Services$329,770ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,409,819TotalAmt
Program Services$8,409,819ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$131,392TotalAmt
Program Services$131,392ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,997,606TotalAmt
Program Services$1,997,606ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$631,707TotalAmt
Program Services$631,707ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,125TotalAmt
Program Services$3,125ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,394,144TotalAmt
Program Services$1,394,144ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$104,147TotalAmt
Program Services$104,147ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$399,911TotalAmt
Program Services$399,911ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$352,758TotalAmt
Program Services$352,758ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$48,570TotalAmt
Program Services$48,570ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$477,497TotalAmt
Program Services$477,497ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,390,940TotalAmt
Program Services$1,390,940ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$223,577TotalAmt
Program Services$223,577ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PHYSICIANS' FEES$2,757,933$2,757,933
MEDICAL SUPPLIES$1,036,586$1,036,586
DRUGS$923,129$923,129
REPAIRS & MAINTENANCE$685,789$685,789

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$883,990TotalAmt
Program Services$883,990ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,182,390TotalAmt
Program Services$22,182,390ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,296BOYAmt
EOY$1,315,116EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,590,872BOYAmt
EOY$4,384,265EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$593,042BOYAmt
EOY$647,655EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$796,920BOYAmt
EOY$788,976EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,483,563LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,396,453LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,151,729BOYAmt
EOY$8,087,110EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,427,919BOYAmt
EOY$7,032,968EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$717,307BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,293,085BOYAmt
EOY$22,256,090EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,768,534BOYAmt
EOY$1,777,020EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$877,541BOYAmt
EOY$561,104EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,279,839BOYAmt
EOY$10,226,855EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$718,286BOYAmt
EOY$1,983,712EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,644,200BOYAmt
EOY$14,548,691EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,648,885BOYAmt
EOY$7,707,399EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,648,885BOYAmt
EOY$7,707,399EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,293,085BOYAmt
EOY$22,256,090EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$269,122ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$327,636NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,114OtherCostOrOtherBasisAmt
Book Value$3,114BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,412,669OtherCostOrOtherBasisAmt
Depreciation$3,876,431DepreciationAmt
Book Value$3,536,238BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,767,068OtherCostOrOtherBasisAmt
Depreciation$9,593,101DepreciationAmt
Book Value$4,173,967BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,300,712OtherCostOrOtherBasisAmt
Depreciation$926,921DepreciationAmt
Book Value$373,791BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,087,110TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
THIRD PARTY REIMBURSEMENT PROGRAMS$1,300,000
ACCUMULATED BENEFIT OBLIGATION$683,712
FieldValueIRS element (for citing)
Total Liability$1,983,712TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$22,240,904TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$327,636NetUnrealizedGainsInvstAmt
Revenue Not Reported$327,636RevenueNotReportedAmt
Revenue Subtotal$21,913,268RevenueSubtotalAmt
Total Revenue Per Form990$21,913,268TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,182,390TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$22,182,390ExpensesSubtotalAmt
Total Expenses Per Form990$22,182,390TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY AT JUNE 30, 2017 OR 2016.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,494TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$106,494NetCommunityBenefitExpnsAmt
Total Expense0.00480TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,602,311TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,530,064DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,072,247NetCommunityBenefitExpnsAmt
Total Expense0.04830TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,708,805TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,530,064DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,178,741NetCommunityBenefitExpnsAmt
Total Expense0.05310TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$484,170TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$484,170NetCommunityBenefitExpnsAmt
Total Expense0.02180TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$484,170TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$484,170NetCommunityBenefitExpnsAmt
Total Expense0.02180TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,192,975TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,530,064DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,662,911NetCommunityBenefitExpnsAmt
Total Expense0.07500TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,585,632BadDebtExpenseAmt
Bad Debt Expense Attributable$317,126BadDebtExpenseAttributableAmt
Reimbursed By Medicare$9,684,723ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$10,065,745CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$381,022MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARSHALL BROWNING HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 N WASHINGTON STAddressLine1Txt
CityDUQUOINCityNm
State AbbreviationILStateAbbreviationCd
ZIP62832ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherOUTPATIENT PHYSICIAN CLINICOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MARSHALL BROWNING HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MARSHALLBROWNINGHOSPITAL.COMOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.MARSHALLBROWNINGHOSPITAL.COMStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisfalseExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.MARSHALLBROWNINGHOSPITAL.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.MARSHALLBROWNINGHOSPITAL.COMFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, MARSHALL BROWNING HOSPITAL - PART V, LINE 5MBH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OVER A PERIOD OF SEVERAL WEEKS IN THE FALL AND WINTER OF 2015/2016. THE CHNA IS A SYSTEMATIC PROCESS INVOLVING THE COMMUNITY TO IDENTIFY AND ANALYZE COMMUNITY HEALTH NEEDS AS WELL AS COMMUNITY ASSETS AND RESOURCES IN ORDER TO PLAN AND ACT UPON PRIORITY COMMUNITY HEALTH NEEDS. THIS ASSESSMENT PROCESS RESULTED IN A CHNA REPORT TO ASSIST THE HOSPITAL IN PLANNING, IMPLEMENTING, AND EVALUATING HOSPITAL STRATEGIES AND COMMUNITY BENEFIT ACTIVITIES. THE CHNA WAS DEVELOPED AND CONDUCTED IN PARTNERSHIP WITH REPRESENTATIVES FROM THE COMMUNITY, BY A CONSULTANT PROVIDED THROUGH THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN). ICAHN IS A NOT-FOR-PROFIT 501(C)(3) CORPORATION, ESTABLISHED IN 2003 FOR THE PURPOSES OF SHARING RESOURCES, EDUCATION, PROMOTING OPERATIONAL EFFICIENCIES AND IMPROVING HEALTHCARE SERVICES FOR MEMBER CRITICAL ACCESS HOSPITALS AND THEIR RURAL COMMUNITIES. THE PROCESS INVOLVED THE REVIEW OF SEVERAL HUNDRED PAGES OF DEMOGRAPHIC AND HEALTH DATA SPECIFIC TO THE MARSHALL BROWNING HOSPITAL SERVICE AREA. THE SECONDARY DATA AND PREVIOUS HEALTH PLANNING CONCLUSIONS DRAW ATTENTION TO SEVERAL COMMON ISSUES OF RURAL DEMOGRAPHICS AND ECONOMIES AND DRAW EMPHASIS TO ISSSUES RELATED TO MENTAL HEALTH SERVICES, WELLNESS, OBESITY, PHYSICIAN AND SPECIALIST SUPPLY, AND RELATED ISSUES. IN ADDITION, THE PROCESS INVOLVED FOCUS GROUPS COMPRISED OF AREA HEALTHCARE PROVIDERS AND PARTNERS AND PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN PUBLIC HEALTH. MEMBERS OF MEDICALLY UNDERSERVED, LOW- INCOME, AND MINORITY POPULATIONS SERVED BY THE HOSPITAL OR INDIVIDUALS OR ORGANIZATIONS REPRESENTING THE INTERESTS OF SUCH POPULATIONS ALSO PROVIDED INPUT. THE MEDICALLY UNDERSERVED ARE MEMBERS OF A POPULATION WHO EXPERIENCE HEALTH DISPARITIES, ARE AT-RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED, AND/OR EXPERIENCING BARRIERS TO HEALTHCARE DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL, OR OTHER CHALLENGES. TWO FOCUS GROUPS MET ON NOVEMBER 9 & 10, 2015, TO DISCUSS THE OVERALL STATE OF HEALTH AND THE LOCAL DELIVERY OF HEALTHCARE AND HEALTH-RELATED SERVICES. THEY IDENTIFIED POSITIVE RECENT DEVELOPMENTS IN LOCAL SERVICES AND CARE AND ALSO IDENTIFIED ISSUES OR CONCERNS THAT THEY FELT STILL EXISTED IN THE AREA. A THIRD GROUP COMPRISED OF MEMBERS OR REPRESENTATIVES OF MEMBERS OF THE FOCUS GROUPS THEN MET AND CONSIDERED THE QUALITATIVE AND QUANTITATIVE DATA GATHERED AND ESTIMATED FEASIBILITY AND EFFECTIVENESS OF POSSIBLE INTERVENTIONS BY THE HOSPITAL TO IMPACT THESE HEALTH PRIORITIES; THE BURDEN, SCOPE, SEVERITY, OR URGENCY OF THE HEALTH NEEDS; THE HEALTH DISPARITIES ASSOCIATED WITH THE HEALTH NEEDS; AND OTHER COMMUNITY ASSETS AND RESOURCES THAT COULD BE LEVERAGED THROUGH STRATEGIC COLLABORATION IN THE HOSPITAL'S SERVICE AREA TO ADDRESS THE HEALTH NEEDS. AS AN OUTCOME OF THE PRIORITIZATION PROCESS, DISCUSSED ABOVE, SEVERAL POTENTIAL HEALTH NEEDS OR ISSUES FLOWING FROM THE PRIMARY AND SECONDARY DATA WERE NOT IDENTIFIED AS SIGNIFICANT CURRENT HEALTH NEEDS AND WERE NOT ADVANCED FOR FUTURE CONSIDERATION. SIX NEEDS WERE IDENTIFIED AS SIGNIFICANT HEALTH NEEDS AND PRIORITIZED: (1) IMPROVE ACCESS TO PRIMARY CARE, (2) ADDRESS CHRONIC DISEASE, (3)INCREASE MENTAL HEALTH SERVICES, (4)OVERCOME "SMALL HOSPITAL" PERCEPTION, (5)IMPROVE TRANSPORTATION, AND (6)INCREASE ACCESS TO DENTAL CARE.
FACILITY 1, MARSHALL BROWNING HOSPITAL - PART V, LINE 7DCOPIES ARE LOCATED IN EACH OF THE HOSPITAL'S WAITING ROOMS, MADE AVAILABLE TO THE COMMUNITY ADVISORY COMMITTEE, POSTED ON THE HOSPITAL WEBSITE AND ARE AVAILABLE UPON REQUEST.
FACILITY 1, MARSHALL BROWNING HOSPITAL - PART V, LINE 11IMPLEMENTATION STRATEGY THE IMPLEMENTATION STRATEGY WAS DEVELOPED THROUGH A FACILITATED MEETING INVOLVING KEY ADMINISTRATIVE STAFF AT MARSHALL BROWNING HOSPITAL, INCLUDING:RICHARD HAINES, PRESIDENT, BOARD OF DIRECTORS; DAVID SEARBY,BOARD MEMBER/CHAIR OF STRATEGIC PLANNING COMMITTEE;SUSAN ENGELHARDT, BOARD MEMBER/MEMBER OF STRATEGIC PLANNING COMMITTEE, AND DIRECTOR OF PERRY COUNTY COUNSELING AND FIVE STAR INDUSTRIES; DAN EAVES,CEO; LAURIE KELLERMAN,CHIEF CLINICAL OFFICER;BRICE HARSY, CHIEF FINANCIAL OFFICER; BRIAN SCHANDL,CHIEF INFORMATION OFFICER; LYLE VANZANDT DIRECTOR OF SUPPORT SERVICES; PAM LOGAN, DIRECTOR OF MARKETING; HEATHER KATTENBRAKER, EXECUTIVE ASSISTANT. THE GROUP REVIEWED THE NEEDS ASSESSMENT PROCESS COMPLETED TO THAT POINT AND CONSIDERED THE PRIORITIZED SIGNIFICANT NEEDS AND SUPPORTING DOCUMENTS. THEY DISCUSSED STEPS TAKEN TO ADDRESS THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT. THEY ALSO CONSIDERED INTERNAL AND EXTERNAL RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THE CURRENT PRIORITIZED NEEDS. THE GROUP THEN CONSIDERED EACH OF THE PRIORITIZED NEEDS. FOR EACH OF THE SIX CATEGORIES, ACTIONS THE HOSPITAL INTENDS TO TAKE WERE IDENTIFIED ALONG WITH THE ANTICIPATED IMPACT OF THE ACTIONS, THE RESOURCES THE HOSPITAL INTENDS TO COMMIT TO THE ACTIONS, AND THE EXTERNAL COLLABORATORS THE HOSPITAL PLANS TO COOPERATE WITH TO ADDRESS THE NEED. THE PLAN WILL BE EVALUATED BY PERIODIC REVIEW OF MEASURABLE OUTCOME INDICATORS IN CONJUNCTION WITH ANNUAL REVIEW AND REPORTING. PROCESS BY WHICH NEEDS WILL BE ADDRESSED: 1. IMPROVE ACCESS TO PRIMARY CARE THE GROUP PRIORITIZED NEEDS RELATED TO ACCESS TO PRIMARY CARE INCLUDING THE NEED TO RECRUIT PRIMARY CARE PHYSICIANS AND TO CREATE URGENT CARE OR EXPANDED HOURS FOR ACCESS TO CARE OUTSIDE OF THE EMERGENCY ROOM. THE NEEDS IDENTIFIED REFLECTED CONCERNS RAISED BY THE COMMUNITY-BASED FOCUS GROUP AND WERE SUPPORTED BY SECONDARY DATA REVIEWED FROM HHS, HRSA 2012. ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED: SINCE THE FOCUS GROUP MEETINGS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE CONDUCTED,MARSHALL BROWNING HOSPITAL HAS OPENED AN URGENT CARE CLINIC TO EXPAND ACCESS TO PHYSICIANS AND REDUCE AFTER-HOUR RELIANCE ON THE EMERGENCY ROOM; CONTRACTED WITH INTEGRITAS PHYSICIAN SERVICES TO PROVIDE HOSPITALIST SERVICES AND INTEGRITAS EMERGENCY PHYSICIAN SERVICES TO PROVIDE EMERGENCY ROOM PHYSICIAN SERVICES; HAVE RECRUITED SPECIALISTS IN THE AREAS OF ORTHOPEDICS, ENT, PULMONOLOGY, PAIN MANAGEMENT, RHEUMATOLOGY; AND CREATED A WOUND CARE CLINIC. ANTICIPATED IMPACT OF THESE ACTIONS: THE ACTIONS MARSHALL BROWNING HOSPITAL IS CURRENTLY TAKING AND HAS TAKEN WILL IMPROVE LOCAL ACCESS TO PRIMARY AND TO ESSENTIAL SPECIALTY SUPPORT. THE URGENT CARE CLINIC WILL ADDRESS THE EXPRESSED NEED OF EXTENDED HOUR ACCESS TO PRIMARY CARE SERVICES, AND THE CONTRACT PHYSICIANS WILL FILL IMMEDIATE AND NEAR FUTURE PHYSICIAN SUPPLY NEEDS. PROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED: ADMINISTRATION PLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS IN ADDRESSING THE HEALTH NEED: INTEGRITAS EMERGENCY PHYSICIAN SERVICES. 2. ADDRESS CHRONIC DISEASE THE GROUP NEXT RECOGNIZED CONCERNS RELATED TO OBESITY, TOBACCO USE, HEART DISEASE, AND DIABETES. THESE ISSUES WERE RAISED IN BOTH FOCUS GROUPS AND SUPPORTED BY MULTIPLE HEALTH DATA SOURCES. THE GROUP IDENTIFIED SIGNIFICANT NEEDS FOR INCREASED EDUCATION ABOUT DIET AND NUTRITION, CHRONIC DISEASE PREVENTION,AND PARENTING SKILLS IN ORDER TO BEGIN TO ADDRESS THESE ISSUES. ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED: MARSHALL BROWNING HOSPITAL WILL CONTINUE AND EXPAND THE COMMUNITY HEALTH FAIR IT CREATED IN 2015. AT THE HEALTH FAIR, THE HOSPITAL AND ITS PARTNERS PROVIDE FREE OR SHARPLY REDUCED SERVICES, INCLUDING: HEALTH SCREENINGS THAT INCLUDE LABS FOLLOWED BY A PRIVATE CONSULTATION WITH A PHYSICIAN OR MID-LEVEL PROVIDER, HEARING SCREENING, PULSE/OXYGEN, PULMONARY FUNCTION, BODY MASS INDEX, SLEEP APNEA SCREENING, DIABETIC COUNSELING, BALANCE TEST, PEDIATRIC DENTAL SCREENINGS, SMOKING CESSATION EDUCATION, CHILD SAFETY SEAT EDUCATION, SENIOR HEALTH AND LEGAL ISSUES EDUCATION, KIDNEY SCREENING, MEDICATION CONSULTATION WITH A PHARMACIST, POISON CONTROL EDUCATION, BIKE SAFETY EDUCATION, IMPAIRED DRIVING EDUCATION, BODY IMAGE FOR TEENS, AND HEALTHY FOOD DEMONSTRATIONS MARSHALL BROWNING HOSPITAL WILL CONTINUE AND EXPAND OUTREACH, INCLUDING: FREE HEALTH SCREENINGS CONDUCTED FOR THE PUBLIC AT LOCAL SCHOOL SPORTING EVENTS, FREE SCREENING PROGRAMS AT THE FAIRGROUNDS AND PARKS AT COMMUNITY EVENTS, ANNUAL FREE COLORECTAL SCREENING KITS PROGRAM, MONTHLY EDUCATIONAL PROGRAMS, EXPANDED NURSE EDUCATOR PROGRAMS TO ADDRESS ISSUES LIKE STROKE, EXPAND DIABETES EDUCATION AND SCREENING, ESTABLISH A DIABETES SUPPORT PROGRAM. MARSHALL BROWNING HOSPITAL WILL PARTICIPATE WITH THE PERRY COUNTY HEALTH DEPARTMENT IN THEIR NEW CHRONIC DISEASE MANAGEMENT PROGRAM; SUPPORT THE PERRY COUNTY HEALTH DEPARTMENT SMOKING CESSATION PROGRAM; WILL EXPLORE PARTNERING WITH CHURCH-BASED, AFTER-SCHOOL, AND WEEKEND FOOD PROGRAMS FOR YOUTH TO PROVIDE NUTRITION AND FITNESS EDUCATION IN CONJUNCTION WITH THE PROGRAMS; AND REPLACE HOSPITAL SPONSORED COMMUNITY SOCIAL EVENTS WITH COMMUNITY HEALTH EVENTS ANTICIPATED IMPACT OF THESE ACTIONS: ADDITIONAL FREE AND LOW COST SCREENINGS WILL INCREASE ACCESS TO BASELINE HEALTH INFORMATION, ESPECIALLY FOR YOUTH AND LOW INCOME COMMUNITY MEMBERS; THE INCREASED ACCESS TO SCREENINGS AT MULTIPLE PUBLIC VENUES IS ALSO EXPECTED TO INCREASE EARLY IDENTIFICATION OF CHRONIC HEALTH RISKS FOR ALL SEGMENTS OF THE COMMUNITY OF MARSHALL BROWNING HOSPITAL; EXPANDED EDUCATION PROGRAMS FROM MARSHALL BROWNING HOSPITAL AND IN PARTNERSHIP WITH OTHER ORGANIZATIONS AND AGENCIES WILL RESULT IN BETTER UNDERSTANDING OF HEALTH-RELATED ISSUES WITHIN THE COMMUNITY; AND MORE PATIENTS WILL BECOME INVOLVED IN CHRONIC DISEASE MANAGEMENT EFFORTS. PROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED: ADMINISTRATION, NURSING, MARKETING, PHARMACY, LABORATORY, AND DIETITIAN PLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS IN ADDRESSING THE HEALTH NEED:PERRY COUNTY HEALTH DEPARTMENT, PERRY COUNTY COUNSELING,DUQUOIN POLICE DEPARTMENT,CITY OF DU QUOIN, FRESENIUS DIALYSIS,ELDER LAW SERVICES,CHURCHES,AMERICAN CANCER SOCIETY, CELTIC HOSPICE AND HOME HEALTH,ALPHA HOME HEALTH,SOUTH CENTRAL TRANSIT,DENTAL SAFARI,PERRY COUNTY SHERIFF, NEW LIFE WEIGHT LOSS, BROWN BAG, ADDUS HEALTH CARE, PRAIRIE CARDIOVASCULAR, HEARTLAND WOMEN'S HEALTHCARE, ELDER LAW, PINCKNEYVILLE AMBULANCE SERVICE, ALZHEIMER'S ASSOCIATION, AND TMS MOBILITY 3. INCREASE MENTAL HEALTH SERVICES THE GROUP NEXT IDENTIFIED AND PRIORITIZED THE NEED FOR INCREASED AND IMPROVED MENTAL HEALTH SERVICES. BOTH FOCUS GROUPS IDENTIFIED THE NEED TO BETTER ADDRESS SUBSTANCE ABUSE. THE MEDICAL PROFESSIONALS AND PARTNERS FOCUS GROUP ALSO IDENTIFIED THIS NEED IN THE CONTEXT OF LACK OF TRANSFER BEDS FOR ALL MENTAL HEALTH PATIENTS FROM THE EMERGENCY ROOM AND MEDICAL FLOORS. THE COMMUNITY GROUP DISCUSSED CONCERNS WITH STRESS AND SUICIDE IN THE AREA. THE STEERING GROUP CONSIDERED ALL OF THESE NEEDS TO BE SIGNIFICANT AND ALSO NOTED THE CIRCUMSTANCES OF WAIT PERIODS AS LONG AS FOUR MONTHS FOR APPOINTMENTS WITH THE ONE PSYCHIATRIST SEEING PATIENTS IN THE AREA. THE NEED FOR INCREASED ACCESS TO MENTAL HEALTH SERVICES- ACROSS THE BOARD- WAS SUPPORTED IN THE SECONDARY DATA. ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED: SINCE THE FOCUS GROUP MEETINGS WERE CONDUCTED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT, MARSHALL BROWNING HOSPITAL HAS ENTERED INTO A CONTRACTUAL RELATIONSHIP FOR ON SITE PSYCHIATRIST SERVICES ONE DAY PER WEEK; EXPLORING WAYS TO EXPAND CONTRACTUAL PSYCHIATRIC CARE; EXPANDING EDUCATION PROGRAMMING ABOUT MEMORY LOSS CARE AND PREVENTION; WORKING WITH COMMUNITY PARTNERS AND AGENCIES TO CONTINUE AND EXPAND SUBSTANCE ABUSE EDUCATION; CONTINUE AND EXPAND SERVICES TO LOCAL SCHOOLS TO CONDUCT SCHOOL-BASED SUBSTANCE TESTING; AND PARTNER WITH PERRY COUNTY COUNSELING TO PROVIDE YOGA-BASED PROGRAMMING AT THE HOSPITAL TO HELP CITIZENS ADDRESS STRESS. ANTICIPATED IMPACT OF THESE ACTIONS: THE STEPS IDENTIFIED WILL PRESERVE AND EXPAND LOCAL ACCESS TO PSYCHIATRIST CARE AND SUBSTANCE ABUSE PREVENTION EDUCATION AND SCREENING WILL REDUCE SUBSTANCE USE. PROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED: ADMINISTRATION AND MARKETING PLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS IN ADDRESSING THE HEALTH NEED: PERRY COUNTY COUNSELING, PERRY COUNTY HEALTH DEPARTMENT, AND SOUTH CENTRAL TRANSIT 4.OVERCOMING "SMALL HOSPITAL" PERCEPTIONS THE "SMALL HOSPITAL" PERCEPTION ISSUE HAD BEEN RAISED IN THE COMMUNITY- BASED GROUP AND WAS RECOGNIZED AS A SIGNIFICANT ISSUE RELATED TO THE DELIVERY OF HEALTH SERVICES BY THE STEERING GROUP. THE GROUP IDENTIFIED THE NEED FOR BETTER COMMUNITY EDUCATION AND PRO
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARSHALL BROWNING HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MEDICAL CLINICAddressLine1Txt
Address Line2900 N WASHINGTON STREETAddressLine2Txt
CityDUQUOINCityNm
State AbbreviationILStateAbbreviationCd
ZIP62832ZIPCd
FieldValueIRS element (for citing)
FacilityRURAL HEALTH CLINICFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATIONTHE 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 METHODOLOGYTHE 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.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCEBASED 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 STATEMENTSTHE 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, 2017 AND 2016, THE HOSPITAL REPORTED BAD DEBT EXPENSE; AT COST, OF 702,000 AND 578,000, RESPECTIVELY.
PART III, LINE 8 - MEDICARE EXPLANATIONTHE SAME COST TO CHARGE RATIO CALCULATED TO DETERMINE COMMUNITY BENEFIT EXPENSES IN PART I WAS APPLIED TO MEDICARE CHARGES TO DETERMINE ESTIMATED COST. 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 EXPLANATIONTHE 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. THE FOLLOWING OUTLINES THE COLLECTION POLICY SPECIFIC TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE: 1. PATIENTS WHO ARE UNABLE TO SECURE FINANCING FOR THEIR PORTION OF HTE BILL MAY BE ELIGIBLE FOR THE FINANCIAL ASSISTANCE PROGRAM. TO QUALIFY, THE PATIENT MUST SUBMIT A REQUEST TO INCLUDE: A. COMPLETING AN APPLICATION B. COMPLETE FINANCIAL DISCLOSURE C. FULL COOPERATION IN ASSISTING HOSPITAL PERSONNEL IN DETERMINING WHETHER THE APPLICANT QUALIFIES 2. THE CONTROLLER WILL MAKE THE FINAL DETERMINATION ON WHETHER OR NOT FINANCIAL ASSISTANCE WILL BE GRANTED AND THE AMOUNT.
PART VI, LINE 2 - NEEDS ASSESSMENTMARSHALL BROWNING HOSPITAL HAS A COMMUNITY ADVISORY COMMITTEE WHICH IS COMPRISED OF 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. 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 2016. 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, 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 ASSISTANCEPATIENT 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 INFORMATIONPERRY 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 HEALTHMARSHALL 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. 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 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 SYSTEMMARSHALL 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmt
GLADSTONE TUCKER
PHYSICIAN$243,005$1,853$244,858
MALCOM SCHULZ MD
PHYSICIAN$213,325$8,663$222,452$464
EDWARD TRAVIS MD
PHYSICIAN$188,857$8,517$197,374

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 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.
FORM 990, PAGE 2, PART III, LINE 4AHEALTH 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 2,947 PATIENT DAYS. 2,154 OF THOSE DAYS WERE MEDICARE PATIENT DAYS, WHILE 149 CONSISTED OF MEDICAID DAYS. DURING FY 2017 THE HOSPITAL ADMITTED 613 PATIENTS AND DISCHARGED 615. THE AVERAGE LENGTH OF STAY FOR A PATIENT IS 5 DAYS. THE HOSPITAL PROVIDED 125,532 OUTPATIENT OCCASIONS OF SERVICE WHICH INCLUDED 5,665 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 2017 THIS AMOUNTED TO 107,000 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 11BALL 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 12CALL 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 15ATHE 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 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.
FORM 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.