2025-10-21T09:08:46-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2024-01-01 371305510 TOUCHETTE REGIONAL HOSPITAL TOUC 6183323060 5900 BOND AVENUE CAHOKIA HEIGHTS IL 62207 JOHN JEFFRIES CFO 6183323060 2025-10-16 1 1 STEPHANIE MCCARTHY P01805699 3149254300 2025-10-09 2024 2025-03-06 01:10:19Z LARRY MCCULLEY 5900 BOND AVENUE CAHOKIA HEIGHTS IL 62207 102992996 0 X WWW.TOUCHETTE.ORG X 1992 IL SERVING THE INTEGRATED HEALTHCARE NEEDS FOR MEDICAL AND BEHAVIORAL HEALTH. 9 9 511 10 0 0 26107649 31104297 60746222 68780714 1109393 2242419 453944 865566 88417208 102992996 0 0 0 0 26958278 37143679 0 0 0 44809528 45503254 71767806 82646933 16649402 20346063 68965344 92164388 19523942 22358923 49441402 69805465 X PERSONALIZED CARE THAT FOSTERS HEALTHIER COMMUNITES AND LIVES. 0 0 52895611 59151414 TOUCHETTE REGIONAL HOSPITAL PROVIDES CARE TO BOTH MEDICAID AND MEDICARE PATIENTS AT OR BELOW COST WHICH REPRESENTED 86% OF THE HOSPITAL'S DISCHARGES IN 2024. 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 2024, THE HOSPITAL PROVIDED COMMUNITY BENEFITS OF APPROXIMATELY $7,500,000 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 9.4% OF THE HOSPITAL'S 2024 TOTAL COSTS. 8610913 9629300 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 2024, THE HOSPITAL CONTINUED ITS SAFETY NET ROLE IN BRINGING QUALITY HEALTH CARE TO THE UNDERSERVED COMMUNITIES BY PROVIDING 8,009 TOTAL PATIENT DAYS OF CARE, INCLUDING 7,608 BEHAVIORAL HEALTH DAYS AND 401 DAYS OF ACUTE CARE, 10,187 OUTPATIENT VISITS, AND 13,336 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. 61506524 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 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 1 113 0 1 511 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 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 CAHOKIA HEIGHTS 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 ETHEL MANAGER DIRECTOR 0.50 0.50 X 0 0 0 YVETTE MCFADDEN DIRECTOR 1.00 0.00 X 0 0 0 PAT DELANEY DIRECTOR 1.00 0.00 X 0 0 0 DANA ROSENZWEIG DIRECTOR 1.00 0.00 X 0 0 0 YVETTE TURMAN DIRECTOR 1.00 0.00 X 0 0 0 DERIENZIA JOHNSON DIRECTOR 1.00 0.00 X 0 0 0 LARRY MCCULLEY CEO 20.00 20.00 X 0 511203 24660 JOHN JEFFRIES CFO 20.00 20.00 X 252176 0 26145 KIYOKO GUTHRIE CNO 40.00 0.00 X 231240 0 29629 ROBERT FARMER VP OF MEDICAL AFFAIRS 40.00 0.00 X 405657 0 26473 ZACHARY YODER THRU 1224 COO 20.00 20.00 X 247680 0 31278 BENJAMIN SCHROEDER CIO 40.00 0.00 X 222508 0 49697 ELLIS HAWKINS PRESIDENT (THRU 02/24) 40.00 0.00 X 57232 0 7799 MALAZ SAFI PHYSICIAN 40.00 0.00 X 297443 0 36296 ALISSA HELM PHYSICIAN 40.00 0.00 X 474219 0 0 PAUL PACE PHYSICIAN 40.00 0.00 X 342515 0 11762 ROBYN HAITHCOCK PHYSICIAN 40.00 0.00 X 368225 0 23480 SAJID ALI BEHAVIORAL HEALTH RN 40.00 0.00 X 289830 0 26894 3188725 511203 294113 91 0 1 0 MIDWEST EMERGENCY DEPT SVCS 320 EAST US HIGHWAY 50 OFALLON IL 62269 EMERGENCY ROOM STAFFING 3698353 MEDEFIS CONSOLIDATED PO BOX 5068 NEW YORK NY 100875068 STAFFING MANAGEMENT SERVICES 1374641 SPECIALISTS IN ANESTESIA 2822 S BORADWAY ST LOUIS MO 63118 ANESTHESIA GROUP 1167068 CARE REV 2108 N ST STE 4037 SACRAMENTO CA 95816 HEALTHCARE STAFFING SERVICES 1046299 QUADRIS TEAM LLC 21775 E TWIN ACRES DR QUEEN CREEK AZ 85142 STAFFING SERVICES 1004500 27 30975550 128747 31104297 NET PATIENT SERVICE REVENUE 621110 68780714 68780714 68780714 2242419 2242419 CONTRACTED SERVICES TO AFFILIATES 900099 523669 523669 CAFETERIA 900099 201686 201686 MISCELLANEOUS 900099 111448 111448 28763 28763 865566 102992996 68780714 0 3107985 X 1593446 1593446 29284549 23000838 6283711 595776 484145 111631 3503218 2800484 702734 2166690 1265833 900857 81529 41995 39534 106265 106265 54136 54136 26746345 21835540 4910805 176573 2100 174473 4869726 615211 4254515 145853 111159 34694 1084261 828069 256192 137611 45592 92019 1494 1494 312094 237857 74237 2067145 1575437 491708 1761055 1349770 411285 BAD DEBT 5224775 5224775 HOSPITAL TAX 2705636 2062052 643584 OTHER TAXES 28756 25667 3089 82646933 61506524 21140409 0 7811233 8344505 32861037 54442050 1516115 1290847 4108261 4798536 394063 361838 1080880 941472 58025979 37917525 19566457 20108454 295025 295025 1332273 1581661 68965344 92164388 9117752 9910662 837658 3062790 5115079 3815860 4453453 5569611 19523942 22358923 X 15894907 18625587 33546495 51179878 49441402 69805465 68965344 92164388 X 20346063 18000 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 1 54136 54136 0 PART II-B, LINE 1: TOUCHETTE REGIONAL HOSPITAL PAID CURRY & ASSOCIATES AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION TO PERFORM SOME LOBBYING FOR CONTINUED SUBSIDIES FOR HEALTH SERVICES FROM THE STATE. ALSO, TOUCHETTE PAID MEMBERSHIP DUES TO IHA OF WHICH 37% OF THE DUES WERE USED FOR SPECIFIC LOBBYING PURPOSES. 2192647 2192647 32323209 21443152 10880057 307583 303788 3795 20747191 16170585 4576606 2455349 2455349 20108454 ASSET RETIREMENT OBLIGATION 3423220 INTERCOMPANY LIABILITY 690589 THIRD PARTY SETTLEMENTS 225195 RIGHT OF USE LIABILITY 1230607 5569611 X PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT ORGANIZATION THAT IS TAX EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS PART OF THE SECTION 501(C)(3) STATUS, THE ORGANIZATION HAS A PUBLIC CHARITY STATUS AS A 509(A)(1) SUPPORTING ENTITY TO THE COUNTY OF SUMMIT, OHIO. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA, REQUIRE THE ORGANIZATIONS MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE IRS. THE ORGANIZATIONS MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2024 AND 2023, THERE WERE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN, THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION IS NOT EXEMPT FROM TAXES DUE TO NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. NO UNRELATED BUSINESS INCOME TAX WAS PAID DURING THE YEARS ENDED JUNE 30, 2024 AND 2023. 1 1 X 1 X 1 X 600.000000000000 1 1 0 1 1 2131599 2131599 0.02580 34932815 50768999 0 0.00000 37064414 50768999 2131599 0.02580 10033256 6178480 3854776 0.04660 10033256 6178480 3854776 0.04660 47097670 56947479 5986375 0.07240 1 5224775 926819 2466457 3883016 -1416559 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 CAHOKIA HEIGHTS IL 62207 004523 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 0 1 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 HELD MEETINGS WITH LOCAL, STATE, COUNTY, AND FEDERAL ELECTED OFFICIALS ON THE COMPONENTS OF OUR TRANSFORMATION. THE OFFICIALS CONSULTED AT THE TIME OF THE PROJECT WERE 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. IN 2024, TOUCHETTE REGIONAL HOSPITAL PARTNERED TO PROVIDE OUTPATIENT BEHAVIORAL HEALTH THERAPISTS TO THE CAHOKIA SCHOOL DISTRICT. 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. IN 2024, TOUCHETTE ADDED A FULL TIME GASTROENTEROLOGIST AND ALSO PARTNERED WITH SOUTHERN ILLINOIS HEALTH CARE FOUNDATION TO PROVIDE CARDIOLOGY SERVICES THROUGH THE TRANSFORMATION GRANT TO PATIENTS IN THE EAST ST. LOUIS AREA.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:HTTPS://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 IS AVAILABLE UPON REQUEST. SCHEDULE H, PART V, SECTION B, LINE 16A THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT:HTTPS://TOUCHETTE.ORG/FINANCIAL-ASSISTANCE 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 2023 AND 2024, 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 ER 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 $5,224,775. 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. FOR OVER 60 YEARS, TOUCHETTE HAS DELIVERED SERVICES IN CARDIOPULMONARY, LABORATORY, RADIOLOGY, PHYSICAL THERAPY, 24-HOUR EMERGENCY SERVICES, AND MEDICAL AND SURGICAL. PROGRESSIVELY, NEW SERVICES HAVE BEEN ADDED TO MEET THE HEALTH NEEDS OF THE COMMUNITY INCLUDING ENHANCED BEHAVIORAL HEALTH, SLEEP LAB SERVICES, AND SUBSTANCE USE DISORDER SERVICES. IN ADDITION TO MEDICAL SERVICES, TRANSPORTATION SERVICES ARE AVAILABLE TO AND FROM THE HOSPITAL, LOCAL HEALTH CENTERS, AND PHYSICIAN OFFICES. 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 BELLEVILLE, COLLINSVILLE, GRANITE CITY, FAIRVIEW HEIGHTS, O'FALLON, AND OTHER CLOSE COMMUNITIES. 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 CEO 0 511203 0 0 0 0 0 13200 0 11460 0 535863 0 0 ALISSA HELM PHYSICIAN 474219 0 0 0 0 0 0 0 0 0 474219 0 0 0 ROBERT FARMER VP OF MEDICAL AFFAIRS 405657 0 0 0 0 0 0 0 26473 0 432130 0 0 0 ROBYN HAITHCOCK PHYSICIAN 368225 0 0 0 0 0 9308 0 14172 0 391705 0 0 0 PAUL PACE PHYSICIAN 342515 0 0 0 0 0 11762 0 0 0 354277 0 0 0 MALAZ SAFI PHYSICIAN 297443 0 0 0 0 0 12000 0 24296 0 333739 0 0 0 SAJID ALI BEHAVIORAL HEALTH RN 289830 0 0 0 0 0 7612 0 19282 0 316724 0 0 0 ZACHARY YODER THRU 1224 COO 247680 0 0 0 0 0 10316 0 20962 0 278958 0 0 0 JOHN JEFFRIES CFO 252176 0 0 0 0 0 9706 0 16439 0 278321 0 0 0 BENJAMIN SCHROEDER CIO 222508 0 0 0 0 0 8467 0 41230 0 272205 0 0 0 KIYOKO GUTHRIE CNO 231240 0 0 0 0 0 8667 0 20962 0 260869 0 0 0 RICHARD SAUGET BENEFICIARY OF TRUST WHOM LEASES BUILDING TO TOUCHETTE 196002 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 AMENDMENTS TO THE ARTICLES OR BYLAWS THAT ARE PROPOSED BY THE BOARD OF DIRECTORS, SHALL APPROVE ANY CAPITAL PURCHASES OR LEASES IN EXCESS OF $250,000, SHALL APPROVE THE DISPOSITION, SALE OR TRANSFER OF PROPERTY AND REAL PROPERTY OWNED BY THE ORGANIZATION WITH A VALUE IN EXCESS OF $250,000, SHALL APPROVE THE ANNUAL BUDGET SUBMITTED BY THE BOARD OF DIRECTORS AND SHALL APPROVE ANY RESOLUTION OF THE BOARD OF DIRECTORS AUTHORIZING THE DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY THE INDEPENDENT CPA FIRM THAT ALSO CONDUCTS THE ANNUAL AUDIT. A PRINTED AND ELECTRONIC COPY OF THE 990 WAS MADE AVAILABLE TO THE BOARD. THE CFO ALSO OFFERED TO SIT DOWN WITH ANY BOARD MEMBER WHO WANTED TO REVIEW THE 990. FINALLY, AN ELECTRONIC COPY WAS SENT TO SCOTT MOORE, LEGAL COUNSEL FOR TOUCHETTE REGIONAL HOSPITAL. 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 6,519,681. MANAGEMENT AND GENERAL EXPENSES 532,087. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,051,768. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 15,315,859. MANAGEMENT AND GENERAL EXPENSES 4,378,718. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,694,577. FORM 990, PART XI, LINE 9: EQUITY TRANSFER 18,000. FORM 990, PAGE 12, PART XII, LINE 2C THIS PROCESS DID NOT CHANGE IN CURRENT YEAR. SOUTHERN ILLINOIS HEALTHCARE FOUNDATION 2041 GOOSE LAKE RD SAUGET IL 62206 371158318 MEDICAL SERVICES IL 501(C)(3) LINE 7 N/A 0 COTTAGES GP LLC 8 SOUTH MICHIGAN AVENUE SUITE 3100 CHICAGO IL 60603 463114562 AFFORDABLE HOUSING TO LOW INCOME HOUSEHOLDS IL EXCLUDED -12 147333 0 0 0.51000 0 0 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1