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Boone Memorial Hospital Inc
Madison, WV 25130
Bed count | 25 | Medicare provider number | 511313 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 65,156,148 Total amount spent on community benefits as % of operating expenses$ 15,616,290 23.97 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 91,830 0.14 %Medicaid as % of operating expenses$ 15,368,912 23.59 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 155,548 0.24 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 742,530 1.14 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 222,000 29.90 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 51846855 including grants of $ 155548) (Revenue $ 63097379) IN PERFORMING ITS MISSION, BOONE MEMORIAL HOSPITAL, INC. HAD 1,064 ACUTE CARE ADMISSIONS AND 149 SKILLED NURSING CARE ADMISSIONS. THE HOSPITAL ALSO HAD 18 RESPITE CARE PATIENTS, 16,105 EMERGENCY ROOM VISITS, 51,251 OUT-PATIENT VISITS AND 54,240 VISITS IN ITS TWO RURAL HEALTH CLINICS.BMH RESPITE CARE PROGRAM. THE HOSPITAL HAD 18 RESPITE CARE ADMISSIONS AND 398 RESPITE DAYS FOR ITS 6/30/22 FISCAL YEAR. THE RESPITE CARE PROGRAM IS A CASH ONLY PROGRAM AND IS NOT BILLED TO INSURANCE. WE OFFER THIS AS A COMMUNITY BENEFIT.
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Facility Information
BOONE MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 5: THE BMH PROJECT TEAM COMPLETED THE COMMUNITY NEEDS ASSESSMENT DURING FISCAL YEAR 2022 USING THE FOLLOWING STRATEGIES:-ASSEMBLED AN ADVISORY PANEL COMPRISED OF REPRESENTATIVES FROM COMMUNITY LEADERS, HEALTH CARE PROVIDERS, AND LOCAL CITIZENS TO ASSIST WITH THE ASSESSMENT PROCESS.-CONDUCTED PRIMARY DATA COLLECTION THROUGH SURVEYS OF PROVIDERS, KEY INFORMANTS, AND THE GENERAL POPULATION. PHONE INTERVIEWS WERE ALSO CONDUCTED.-COLLECTED SECONDARY DATA SOURCES SUCH AS INFORMATION FROM THE BOONE COUNTY HEALTH DEPARTMENT COMMUNITY NEEDS ASSESSMENT, STATE HEALTH STATISTICS AND BEHAVIORAL RISK ASSESSMENTS, US CENSUS DATA, CENTERS FOR DISEASE CONTROL STATISTICS AND DATA, ETC.-CREATED A COMPREHENSIVE DATABASE INCLUDING ANSWERS TO EACH SURVEY QUESTION WHICH WAS USED TO TRACK AND CALCULATE THE DATA.-HELD FOCUS GROUPS, SOME OF WHICH INCLUDED YOUTH REPRESENTATION IN ORDER TO OBTAIN A DIVERSE RANGE OF RESPONSES IN AN OPEN DISCUSSION FORMAT.
BOONE MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 11: BOONE MEMORIAL HOSPITAL DEVELOPED AN IMPLEMENTATION PLAN THAT ADDRESSED THE MAJORITY OF THE SIGNIFICANT COMMUNITY NEEDS IDENTIFIED IN THE CHNA. THE AREAS ADDRESSED INCLUDED ALCOHOL AND DRUG ABUSE, DRUNK DRIVING AND LACK OF RECREATIONAL PROGRAMS. THE HOSPITAL SPONSORED MULTIPLE COMMUNITY EVENTS/EDUCATIONAL SEMINARS THAT INCLUDED HEALTH FAIRS, MONTHLY DIABETIC EDUCATIONAL CLASSES, DRUG AND ALCOHOL ABUSE PREVENTION FORUMS AND A LOW COST FITNESS CENTER PROGRAM FOR THE COMMUNITY. AS WITH MOST HEALTH CARE FACILITIES, WE HAVE LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES.
BOONE MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 16J: THE FOLLOWING MEASURES ARE USED TO PUBLICIZE THE FINANCIAL ASSISTANCE AVAILABLE FROM BMH TO THE COMMUNITY AND PATIENTS IN ACCORDANCE WITH FEDERAL AND STATE LAW:A. PROVIDING INFORMATION WHEN A PATIENT CALLS BMH AT (304) 369-1230;B. ANNUALLY POSTING AN ARTICLE IN A NEWSPAPER OF LOCAL CIRCULATION AND/OR OTHER MEANS AS DEEMED REASONABLY NECESSARY;D. POSTING OF A NOTICE IN THE EMERGENCY DEPARTMENT ADMITTING AREAS AND BUSINESS OFFICES AT BMH; AND/ORE. FINANCIAL COUNSELORS VISITING WITH BMH INPATIENTS.
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Supplemental Information
PART I, LINE 3C: "PATIENTS MUST PROVIDE THEIR ""TOTAL YEARLY INCOME"" IN ORDER TO BE CONSIDERED FOR FINANCIAL ASSISTANCE.A. ADULTS: IF THE PATIENT IS AN ADULT, THE TERM ""TOTAL YEARLY INCOME"" MEANS THE SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE.B. MINORS: IF THE PATIENT IS A MINOR, THE TERM ""TOTAL YEARLY INCOME"" MEANS THE SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT, THE PATIENT'S MOTHER AND THE PATIENT'S FATHER. THE PATIENT, IMMEDIATE FAMILY MEMBER OR PATIENT REPRESENTATIVE SHALL VERIFY THE PATIENT'S REPORTED TOTAL YEARLY INCOME, AS PROVIDED ON THE APPLICATION. THE TOTAL YEARLY INCOME MAY BE VERIFIED THROUGH ANY OF THE FOLLOWING MECHANISMS:A. INCOME INDICATORS. BY THE PROVISION OF THIRD PARTY FINANCIAL DOCUMENTATION INCLUDING IRS FORM W-2, WAGES AND TAX STATEMENT; PAY CHECK REMITTANCE; INDIVIDUAL TAX RETURN; TELEPHONE VERIFICATION BY EMPLOYER; BANK STATEMENTS; SOCIAL SECURITY PAYMENT REMITTANCE; WORKER'S COMPENSATION PAYMENT REMITTANCE; UNEMPLOYMENT INSURANCE PAYMENT NOTICE; UNEMPLOYMENT COMPENSATION DETERMINATION LETTERS; OR OTHER APPROPRIATE INDICATORS OF THE PATIENT'S TOTAL YEARLY INCOME. B. PARTICIPATION IN A BENEFIT PROGRAM. BY THE PROVISION OF DOCUMENTATION SHOWING CURRENT PARTICIPATION IN A PUBLIC BENEFIT PROGRAM SUCH AS MEDICAID; FOOD STAMPS; WIC; OR OTHER SIMILAR MEANS TESTED PROGRAMS. PROOF OF PARTICIPATION IN ANY OF THE ABOVE PROGRAMS INDICATES THAT THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE, IS NOT REQUIRED TO PROVIDE HIS OR HER INCOME ON THE ASSISTANCE APPLICATION.C. IN CASES WHERE THE PATIENT OR RESPONSIBLE PARTY IS UNABLE TO PROVIDE THIRD PARTY VERIFICATION OF PATIENT'S TOTAL YEARLY INCOME, VERIFICATION OF THE PATIENT'S TOTAL YEARLY INCOME CAN BE DONE IN EITHER OF THE FOLLOWING WAYS:1. OBTAINING THE PATIENT'S OR RESPONSIBLE PARTY'S WRITTEN ATTESTATION. BY OBTAINING AN APPLICATION SIGNED BY THE PATIENT OR RESPONSIBLE PARTY ATTESTING TO THE VERACITY OF THE PATIENT'S TOTAL YEARLY INCOME INFORMATION PROVIDED: OR 2. OBTAINING THE PATIENT'S OR RESPONSIBLE PARTY'S VERBAL ATTESTATION. THROUGH THE WRITTEN ATTESTATION OF THE BMH EMPLOYEE COMPLETING THE ASSISTANCE APPLICATION THAT THE PATIENT OR RESPONSIBLE PARTY VERBALLY VERIFIED THE PATIENT'S TOTAL YEARLY INCOME INFORMATION PROVIDED. 3. IN INSTANCES WHERE THE PATIENT OR RESPONSIBLE PARTY IS UNABLE TO PROVIDE THE REQUESTED THIRD PARTY VERIFICATION OF PATIENT'S TOTAL YEARLY INCOME, THE PATIENT OR RESPONSIBLE PARTY IS REQUIRED TO PROVIDE A REASONABLE EXPLANATION OF WHY THE PATIENT OR RESPONSIBLE PARTY IS UNABLE TO PROVIDE THE REQUIRED THIRD PARTY VERIFICATION. SOUND BUSINESS PRACTICES WILL BE EMPLOYED TO VERIFY PATIENT'S ATTESTATION AND SUPPORTING INFORMATION. UNMARRIED EXPIRED PATIENTS MAY BE DEEMED TO HAVE NO INCOME FOR PURPOSES OF CALCULATION OF TOTAL YEARLY INCOME. DOCUMENTATION OF TOTAL YEARLY INCOME IS NOT REQUIRED FOR EXPIRED PATIENTS; HOWEVER, DOCUMENTATION OF ESTATE ASSETS MAY BE REQUIRED. IF AN EXPIRED PATIENT IS MARRIED, THE SURVIVING SPOUSE MAY APPLY FOR FINANCIAL ASSISTANCE. PATIENTS, IMMEDIATE FAMILY MEMBERS OR PATIENT REPRESENTATIVES APPLYING FOR FINANCIAL ASSISTANCE MUST VERIFY THE NUMBER OF PEOPLE IN THE PATIENT'S HOUSEHOLD ""NUMBER IN HOUSEHOLD"").A. ADULTS: IN CALCULATING THE NUMBER IN HOUSEHOLD, INCLUDE THE PATIENT, THE PATIENT'S SPOUSE, AND ANY DEPENDENTS (AS DEFINED BY THE INTERNAL REVENUE CODE). B. MINORS: IN CALCULATING THE NUMBER IN HOUSEHOLD, INCLUDE THE PATIENT, THE PATIENT'S MOTHER, THE PATIENT'S FATHER, DEPENDENTS OF THE PATIENT'S MOTHER, AND DEPENDENTS OF THE PATIENT'S FATHER. DURING THE VERIFICATION PROCESS, WHILE INFORMATION TO DETERMINE A PATIENT'S TOTAL YEARLY INCOME IS BEING COLLECTED, THE PATIENT MAY BE TREATED AS A PRIVATE PAY PATIENT."
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 742,530.
PART III, LINE 2: COST OF BAD DEBT AS REPORTED ON AUDITED FINANCIAL STATEMENTS.
PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE CARRIED AT THE ORIGINAL CHARGE LESS AN ESTIMATE MADE FOR DOUBTFUL OR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE IS BASED UPON A REVIEW OF THE OUTSTANDING BALANCES AGED BY FINANCIAL CLASS. MANAGEMENT USES COLLECTION PERCENTAGES BASED UPON BOTH CURRENT AND HISTORICAL COLLECTION EXPERIENCE TO DETERMINE COLLECTIBILITY. MANAGEMENT ALSO REVIEWS TROUBLED, AGED ACCOUNTS TO DETERMINE COLLECTION POTENTIAL. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO BAD DEBT EXPENSE WHEN RECEIVED. INTEREST IS NOT CHARGED ON PATIENT ACCOUNTS RECEIVABLE.
PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE DERIVED FROM THE MEDICARE CARE COST REPORT FOR THE PERIOD ENDED 6/30/22.
PART III, LINE 9B: AFTER THE PATIENT'S ACCOUNT IS REDUCED BY THE DISCOUNTS BASED ON THE FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINES, THE PATIENT IS RESPONSIBLE FOR THE REMAINDER OF THEIR OUTSTANDING ACCOUNT. PATIENTS WILL BE INVOICED FOR ANY REMAINING AMOUNTS IN ACCORDANCE WITH OTHER BMH DEBT COLLECTION POLICIES REGARDING THIS MATTER.
PART VI, LINE 3: MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY:THE FOLLOWING MEASURES ARE USED TO PUBLICIZE THE FINANCIAL ASSISTANCE AVAILABLE FROM BMH TO THE COMMUNITY AND PATIENTS IN ACCORDANCE WITH FEDERAL AND STATE LAW: A. POSTING ON THE BMH WEBSITE AT THE FOLLOWING LOCATION: WWW.BMH.ORG; B. PROVIDING INFORMATION WHEN A PATIENT CALLS BMH AT (304) 369-1230; C. ANNUALLY POSTING AN ARTICLE IN A NEWSPAPER OF LOCAL CIRCULATION AND/OR OTHER MEANS AS DEEMED REASONABLY NECESSARY; D. POSTING OF A NOTICE IN THE EMERGENCY DEPARTMENT ADMITTING AREAS AND BUSINESS OFFICES AT BMH; AND/OR E. FINANCIAL COUNSELORS VISITING WITH BMH INPATIENTS.
PART VI, LINE 4: BMH SERVES PRIMARILY BOONE COUNTY, WV AND THE SURROUNDING COMMUNITIES.BOONE COUNTY HAD AN ESTIMATED POPULATION OF 24,224 IN 2013. THE MEDIAN HOUSEHOLD INCOME WAS $41,359 WITH 18.9% BELOW THE FEDERAL POVERTY GUIDELINE. 15% OF THE POPULATION IS OVER 65 AND 28.9% IS UNDER 18 WITH 40.7 YEARS AS THE MEDIAN AGE. 79% OF THE HOSPITAL'S PATIENTS WERE FROM BOONE COUNTY IS FY 13.
PART VI, LINE 7, REPORTS FILED WITH STATES WV
PART VI, LINE 2: THE BMH PROJECT TEAM COMPLETED THE COMMUNITY NEEDS ASSESSMENT DURING FISCAL YEAR 2022 USING THE FOLLOWING STRATEGIES:-ASSEMBLED AN ADVISORY PANEL COMPRISED OF REPRESENTATIVES FROM COMMUNITY LEADERS, HEALTH CARE PROVIDERS, AND LOCAL CITIZENS TO ASSIST WITH THE ASSESSMENT PROCESS.-CONDUCTED PRIMARY DATA COLLECTION THROUGH SURVEYS OF PROVIDERS, KEY INFORMANTS, AND THE GENERAL POPULATION. PHONE INTERVIEWS WERE ALSO CONDUCTED.-COLLECTED SECONDARY DATA SOURCES SUCH AS INFORMATION FROM THE BOONE COUNTY HEALTH DEPARTMENT COMMUNITY NEEDS ASSESSMENT, STATE HEALTH STATISTICS AND BEHAVIORAL RISK ASSESSMENTS, US CENSUS DATA, CENTERS FOR DISEASE CONTROL STATISTICS AND DATA, ETC.-CREATED A COMPREHENSIVE DATABASE INCLUDING ANSWERS TO EACH SURVEY QUESTION WHICH WAS USED TO TRACK AND CALCULATE THE DATA.-HELD FOCUS GROUPS, SOME OF WHICH INCLUDED YOUTH REPRESENTATION IN ORDER TO OBTAIN A DIVERSE RANGE OF RESPONSES IN AN OPEN DISCUSSION FORMAT.
PART VI, LINE 5: THE MAJORITY OF THE BOARD OF DIRECTORS ARE LOCAL, LIFELONG BOONE COUNTY RESIDENTS. THE EMERGENCY ROOM IS ALWAYS AVAILABLE TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. BOONE MEMORIAL HEALTH HAS MADE THE MOST RECENT COMMUNITY NEEDS ASSESSMENT REPORT AVAILABLE ON ITS WEBSITE FOR ALL PATIENTS TO HAVE EASY ACCESS TO READ. BMH OFFERS PATIENTS ACCESS TO STATE OF THE ART MRI EQUIPMENT SEVEN DAYS A WEEK WHICH PROVIDES TOP QUALITY CARE CLOSE TO HOME WHICH IS A DIFFERENTIATING SERVICE LINE WHEN COMPARED TO OTHER CRITICAL ACCESS HOSPITALS THROUGHOUT WV. WE HAVE A FULLY DIGITAL RADIOLOGY DEPARTMENT WITH A PACS SYSTEM. OUR LAB HAS JUST RECENTLY EXPANDED TO INCORPORATE ADDITIONAL TESTING EQUIPMENT. WE ALSO OPERATE MULTIPLE RURAL HEALTH CLINICS THROUGHOUT THE REGION WITH EXTENDED / WEEKEND SERVICE HOURS TO HELP SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY.