4A (Expenses $ 99297831 including grants of $ 2444) (Revenue $ 143081703)
HEALTH-CARE SERVICESPROCTOR HOSPITAL IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE PEORIA, ILLINOIS, COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. PROCTOR HOSPITAL PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, HOME HEALTH, INTENSIVE CARE AND CRITICAL CARE, MENTAL HEALTH CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, BEHAVIORAL DISORDER PROGRAMS, MATERNAL/CHILD CARE, LABORATORY, PALLIATIVE CARE, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, CHECK-UPS AND RADIOLOGY AND A NATIONALLY UNIQUE ADDICTION RECOVERY CENTER. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2021, PROCTOR HOSPITAL ADMITTED 3,069 PATIENTS RESULTING IN A TOTAL OF 20,409 PATIENT DAYS. OUTPATIENT VISITS TOTALED 53,398 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 7,660. THERE WERE ALSO 19,064 EMERGENCY ROOM VISITS.

4B (Expenses $ 3780188 including grants of $ 0) (Revenue $ 0)
COMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: PROCTOR HOSPITAL PROVIDES CHARITY CARE AND OTHER MEANS-TESTED PROGRAMS WITH THE GOAL TO IMPROVE THE COMMUNITY'S OVERALL HEALTH AND ACCESS TO CARE. THIS INCLUDES HEALTH-CARE SERVICES REGARDLESS OF THE PATIENT'S INSURANCE COVERAGE OR FINANCIAL STATUS. CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. CHARITY CARE WAS MADE AVAILABLE AT A VALUE OF $742,215 IN 2021. OFTENTIMES, PROCTOR HOSPITAL RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. PROCTOR HOSPITAL PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. PROCTOR HOSPITAL'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $2,408,233 FOR 2021. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $3,150,448.OTHER BENEFITS: PROCTOR HOSPITAL PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; CONTINUING EDUCATION FOR HEALTH PROFESSIONALS; SUBSIDIZED HEALTH SERVICES; RESEARCH; AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. PROCTOR HOSPITAL COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. PROCTOR HOSPITAL HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL OTHER BENEFITS REPORTED VALUE: $629,740.

PROCTOR HOSPITAL
PART V, SECTION B, LINE 5: THE PARTNERSHIP FOR A HEALTHY COMMUNITY (PFHC) IS A COMMUNITY-DRIVEN EFFORT TO IMPROVE HEALTH AND WELLNESS IN THE CENTRAL ILLINOIS TRI-COUNTY REGION. MULTIPLE ORGANIZATIONS, SECTORS, AND THE PUBLIC PARTICIPATE IN POPULATION HEALTH PLANNING TO IDENTIFY AND PRIORITIZE HEALTH NEEDS AND QUALITY OF LIFE ISSUES, MAP AND LEVERAGE COMMUNITY RESOURCES, AND FORM EFFECTIVE PARTNERSHIPS TO IMPLEMENT HEALTH IMPROVEMENT STRATEGIES IN PEORIA, TAZEWELL, AND WOODFORD COUNTIES. USING ACTIONABLE DATA TO IDENTIFY HEALTH NEEDS AND PRIORITIES, INCLUDING THOSE RELATED TO HEALTH DISPARITIES, HEALTH INEQUITIES, AND THE SOCIAL DETERMINANTS OF HEALTH, MEMBERS OF THE PFHC DEVELOP SUBSEQUENT COMMUNITY HEALTH IMPROVEMENT PLANS. THIS COLLABORATIVE EFFORT ALLOWS MEMBERS OF THE PFHC TO SHARE RESOURCES, TO ALIGN STRATEGIES TO ADDRESS HEALTH NEEDS AND TO WORK AS PARTNERS IN IMPROVING COMMUNITY HEALTH. A TEAM OF PROFESSIONALS FROM THE PFHC WAS CREATED TO GUIDE THE CHNA PROCESS. MEMBERS OF THE PFHC WERE CAREFULLY SELECTED TO ENSURE REPRESENTATION OF THE BROAD INTERESTS OF THE COMMUNITY. IN ADDITION, MEMBERS OF THE COLLABORATIVE TEAM CONSISTED OF INDIVIDUALS WITH SPECIAL KNOWLEDGE OF AND EXPERTISE IN THE HEALTH OF THE COMMUNITY.

PROCTOR HOSPITAL
PART V, SECTION B, LINE 6A: PROCTOR HOSPITAL, METHODIST MEDICAL CENTER OF ILLINOIS, PEKIN HOSPITAL, OSF SAINT FRANCIS MEDICAL CENTER, ADVOCATE EUREKA HOSPITAL, AND HOPEDALE MEDICAL COMPLEX.

PROCTOR HOSPITAL
PART V, SECTION B, LINE 6B: PEORIA CITY/COUNTY HEALTH DEPARTMENT, TAZEWELL COUNTY HEALTH DEPARTMENT, WOODFORD COUNTY HEALTH DEPARTMENT, HEART OF ILLINOIS UNITY WAY, HEARTLAND HEALTH SERVICES AND BRADLEY UNIVERSITY.

PROCTOR HOSPITAL
PART V, SECTION B, LINE 11: THE 2016 CHNA FOR THE TRI-COUNTY REGION IDENTIFIED FIVE SIGNIFICANT HEALTH NEEDS AND THE FOLLOWING ACTIONS WERE TAKEN TO ADDRESS THESE NEEDS.1.) HEALTHY EATING AND ACTIVE LIVING MEASUREMENT AND IMPACT- OVER 890 FREE WELLMOBILE COMMUNITY SCREENING EVENTS HAVE BEEN HELD THROUGH MAY YTD 2019 WITH NEARLY 11,000 SCREENING PARTICIPANTS.- UPH WELLNESS PERFORMED OVER 6,000 BMI SCREENS IN 2017 AND 2018. OF OVER 2,300 PARTICIPANTS THAT SCREENED FOR BOTH YEARS, OVER 1,000 REDUCED THERE BMI. OVER 2,500 HOURS OF FREE HEALTH COACHING SERVICES WERE PROVIDED.- OPTIMUM HEALTH SOLUTIONS HAS PROVIDED OVER 200 SCREENING EVENTS THROUGH MAY YTD 2019 WITH NEARLY 11,000 PARTICIPANTS.- HULT CENTER HEALTH EDUCATION PROGRAMS HAVE PROVIDED EDUCATION TO 150,000 YOUTH AND YOUNG ADULTS ON A VARIETY OF HEALTH TOPICS RELATED TO BOTH HEALTHY AND RISKY BEHAVIORS.- OVER 600 STUDENTS EDUCATED ON HEALTH AND WELLNESS THROUGH HULT DURING THE PEKIN HIGH SCHOOL HEALTH FAIR ON APRIL 2019.- HULT EDUCATED NEARLY 14,000 COMMUNITY AREA ADULTS THROUGH THE HULT CENTERS ENCORE PROGRAM ON PERTINENT HEALTH EDUCATION TOPICS TO REDUCE THEIR HEALTH RISK AND HELP MANAGE THEIR CHRONIC CONDITIONS.- HULT CENTER STAFF IMPLEMENTED AN EIGHT-WEEK, EVIDENCE-BASED 'MATTER OF BALANCE' PROGRAM OFFERED TO NEARLY 600 ADULTS TO HELP REDUCE THE RISK OF FALLS. NEARLY 100% OF PARTICIPANTS INDICATED THEY REDUCED THEIR FEAR OF FALLING AND INCREASED PHYSICAL ACTIVITY LEVELS.- PROVIDED THE YEAR-LONG, EVIDENCE-BASED NATIONAL DIABETES PREVENTION PROGRAM TO NEARLY 200 HIGHRISK, PRE-DIABETIC ADULTS TO IMPLEMENT HEALTHY LIFESTYLE CHANGES AND REDUCE THE RISK OF TYPE 2 DIABETES BY UP TO 71%. NEARLY 2,000 POUNDS HAVE BEEN LOST BY PROGRAM PARTICIPANTS, TO DATE.- INCREASED THE PHYSICAL ACTIVITY LEVEL OF NEARLY 7,000 INDIVIDUALS THROUGH HULT CENTER HEALTHY LIVING CLASSES, INCLUDING AEROBICS, STRENGTH TRAINING, YOGA, AND TAI JI.- EDUCATED OVER 36,500 YOUTH ON NUTRITION AND FITNESS THROUGH THE HULT CENTER USING EVIDENCE-BASED CATCH (COORDINATED APPROACH TO CHILD HEALTH) CURRICULUM.- FUNDED A DIETITIAN FOR NUTRITION CONSULTATIONS FOR OBESITY AND DIABETES FOR AT-RISK YOUTH ATTENDING PEORIA PUBLIC SCHOOLS DISTRICT 150.- WELLPOWER 8 WEEK CLASSES FOR NUTRITION, PHYSICAL WORKOUTS, AND WEIGHT LOSS: MARCH YTD 2019 - OVER 100 PARTICIPANTS WITH OVER 400 POUNDS LOST.- WELLNESS CENTER EVENTS AND ACTIVITIES: AVERAGED OVER 520 PARTICIPANTS PER MONTH FROM 2017 THROUGH MAY YTD 2019.2.) MENTAL HEALTH MEASUREMENT AND IMPACT- ADDED HULT CENTER PSYCHOSOCIAL COUNSELOR RESOURCE FOR AREA SCHOOLS THAT HAS PROVIDED EDUCATION, TRAINING, AND COUNSELING SERVICES TO OVER 24,000 INDIVIDUALS.- EXPANDED THE ED BEHAVIORAL HEALTH INTAKE CENTER WITH DIRECT UPH FUNDING.- ADDED FUNDING FOR 1.8 FTES OF MENTAL HEALTH CLINICIANS TO EMBED IN THE PRIMARY CARE OFFICES. THE CLINICIANS HAVE SEEN OVER 4,000 PATIENTS THROUGH MAY YTD 2019 IN THE PRIMARY CARE SETTING AND HAVE PROVIDED OVER 2,000 HOURS OF BEHAVIORAL HEALTH CONSULTATION.- THROUGH COLLABORATIVE EFFORTS - REDUCED THE UPH BEHAVIORAL HEALTH 30-DAY READMISSION RATE BY OVER 50% AS OF 1ST QUARTER 2019.- EXPANDED CAPACITY FOR ADULT OP CLINIC SERVICES WITH THE ADDITION OF 0.5 FTE APN.- UNITYPLACE FORMATION - (MARCH 20, 2019 - PEORIA, IL) - UNITYPOINT HEALTH, HUMAN SERVICE CENTER AND TAZWOOD CENTER FOR WELLNESS ANNOUNCED THE FORMATION OF UNITYPLACE, A NEW NON-PROFIT ORGANIZATION DEDICATED TO MEETING THE GROWING BEHAVIORAL HEALTH CARE NEEDS OF THE COMMUNITY. KEY GOALS IN THE FORMATION OF UNITYPLACE INCLUDE:- IMPROVE ACCESS THROUGH PROVIDER RECRUITMENT, TECHNOLOGY, AND CENTRALIZED SCHEDULING TO PROVIDE A FULLY-COORDINATED REGIONAL NETWORK OF BEHAVIORAL HEALTH CARE PROVIDERS, SPECIALISTS AND SUBSTANCE ABUSE AND REHABILITATION SERVICES- FULFILL THE URGENCY FOR THOSE WITH NEED TO BE SEEN QUICKLY- CREATE A COMPREHENSIVE COMMUNITY AND HOSPITAL-BASED SYSTEM OF BEHAVIORAL HEALTH CARE- INTEGRATE INPATIENT AND OUTPATIENT SERVICES AND UTILIZE ACTIVE POPULATION-FOCUSED HEALTH MANAGEMENT STRATEGIES- INTEGRATE PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES TO IMPROVE THE OVERALL HEALTH OF THOSE SERVED- ATTRACT AND RETAIN TALENTED PROFESSIONAL PROVIDERS- COLLABORATE WITH HEALTH CARE, SOCIAL SERVICE, EDUCATION, RELIGIOUS, AND CRIMINAL JUSTICE INSTITUTIONS UNITYPLACE RESULTS FOR CHOSEN MEASURES WILL BE TRACKED THROUGH THE END OF 2019 AND INTO THE NEXT THREE-YEAR IMPROVEMENT CYCLE.- CONTINUE WITH UPH STRATEGY FOR ADDING MENTAL HEALTH IP BED CAPACITY FOR THE COMMUNITIES SERVED.3.) ACCESS TO HEALTHCARE MEASUREMENT AND IMPACT- COLLABORATED WITH WALGREENS TO OFFER LOW COST PRESCRIPTIONS AT THE TIME OF DISCHARGE. WALGREENS MED TO BED PROGRAM HAS EXPERIENCED AN ~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

PROCTOR HOSPITAL
PART V, SECTION B, LINE 13H: PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE US. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM; WOMEN, INFANTS & CHILDREN (WIC); AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. THIRD PARTY AGENCIES ARE USED TO ASSIST WITH COLLECTIONS AND, IF THOSE AGENCIES PROVIDE A STATEMENT REGARDING A PATIENT'S LIKELY INCOME LEVEL, THAT INFORMATION IS USED IN DETERMINING THE ELIGIBILITY STATUS AND THE LEVEL OF DISCOUNT AVAILABLE. STATE LAW REQUIREMENTS THAT OFFER ADDITIONAL AND/OR MORE STRINGENT ELIGIBILITY REQUIREMENTS WILL BE FOLLOWED FOR THOSE STATES.

PART I, LINE 6A:
PROCTOR HOSPITAL'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE UNITYPOINT HEALTH COMMUNITY BENEFIT REPORT WHICH CAN BE LOCATED AT WWW.UNITYPOINT.ORG. THIS SYSTEM-WIDE REPORT IS COMPLETED IN ADDITION TO THE COMMUNITY BENEFIT REPORT FOR THE HSPITAL AND ITS REGIONAL AFFILIATES.

PART I, LINE 7:
A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A. THE AMOUNTS ON LINES 7B-7C (UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) ARE OBTAINED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO COST ACCOUNTING SYSTEM USE COST-TO-CHARGE RATIO. THE AMOUNTS FOR LINES 7E, F, H, AND I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO A COST ACCOUNTING SYSTEM USE THE COST-TO-CHARGE RATIO.

PART I, LN 7 COL(F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,780.

PART II, COMMUNITY BUILDING ACTIVITIES:
COMMUNITY BUILDING ACTIVITIES ARE ESSENTIAL ROLES FOR HEALTH-CARE ORGANIZATIONS IN THAT THEY ADDRESS MANY OF THE UNDERLYING DETERMINANTS OF HEALTH. RESEARCH HAS CONTINUALLY SHOWN THAT WHEN THE FACTORS INFLUENCING HEALTH ARE EXPLORED, HEALTH CARE ACTUALLY PLAYS THE SMALLEST ROLE PROPORTIONATELY. A REPORT IN THE JOURNAL OF AMERICAN MEDICAL ASSOCIATION AND THE CENTER FOR DISEASE CONTROL (MCGINNIS, 1996) SUGGESTS THAT THE FACTORS IMPACTING HEALTH ARE AS FOLLOWS: LIFESTYLE AND BEHAVIORS, 50%, ENVIRONMENT (HUMAN AND NATURAL), 20%, GENETICS AND HUMAN BIOLOGY, 20%, AND HEALTH CARE, 10%. COMMUNITY BUILDING ACTIVITIES HELP TO ADDRESS THE OTHER INDICATORS OUTSIDE OF THE ROLE TRADITIONALLY PLAYED BY HEALTH-CARE ORGANIZATIONS. THESE ACTIVITIES ARE ALMOST EXCLUSIVELY DONE IN SOME FORM OF PARTNERSHIP IN WHICH THE COMMUNITY OR OTHER ORGANIZATIONS ARE BETTER SUITED TO ADDRESS. HEALTH-CARE ORGANIZATIONS GENERALLY PROVIDE TIMELY AND SPECIFIC RESOURCES TO HELP THESE ISSUES. HEALTH-CARE ORGANIZATIONS CAN BE A RICH AND VALUABLE COMMUNITY RESOURCE IN WAYS NOT TYPICALLY CONSIDERED. OFTEN THE MOST EFFECTIVE WAY TO HELP IMPACT AND IMPROVE THE COMMUNITY HEALTH STATUS IS TO SUPPORT OTHER AGENCIES AND ORGANIZATIONS IN A VARIETY OF WAYS OUTSIDE OF HEALTH SERVICES. THIS IS OFTEN DONE THROUGH CASH OR IN-KIND SERVICES TO SUPPORT OTHER NON-PROFITS, DONATIONS OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO CERTAIN AGENCIES, OR THROUGH LEADERSHIP AND EDUCATIONAL EXPERTISE.

PART III, LINE 4:
THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE AMOUNT REPORTED ON LINE 2 WAS CALCULATED USING IRS WORKSHEET 2 'RATIO OF PATIENT CARE COST TO CHARGES' TO CALCULATE THE COST TO CHARGE RATIO FOR THE FINLEY HOSPITAL. THIS RATIO WAS THEN APPLIED AGAINST THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS USING IRS WORKSHEET A TO ARRIVE AT THE BAD DEBT EXPENSE AT COST REPORTED ON LINE 2.

PART III, LINE 8:
AMOUNTS ON LINE 6 WERE CALCULATED USING IRS WORKSHEET B 'TOTAL MEDICARE ALLOWABLE COSTS.' THE MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORTS AND THEN REDUCED BY ANY AMOUNTS ALREADY CAPTURED IN COMMUNITY BENEFIT EXPENSE IN PART I ABOVE.THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. HOWEVER THE MEDICARE COST REPORT DISALLOWS CERTAIN ITEMS THAT WE BELIEVE ARE LEGITIMATE EXPENSES INCURRED IN THE PROCESS OF CARING FOR OUR MEDICARE PATIENTS. EXAMPLES OF THESE ITEMS INCLUDE PROVIDER BASED PHYSICIAN EXPENSE, SELF INSURANCE EXPENSE, HOME OFFICE EXPENSE AND THE SHORTFALL FROM FEE SCHEDULE PAYMENTS. THE HOSPITAL BELIEVES THE ENTIRE AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT, MORE SPECIFICALLY, AS CHARITY CARE. THE ELDERLY CONSTITUTE A CLEARLY-RECOGNIZED CHARITABLE CLASS, AND MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR AND THUS WOULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE PROGRAM, MEDICAID OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS ABSENT THE MEDICARE PROGRAM. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. ADDITIONALLY, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS. FINALLY, THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS.

PART III, LINE 9B:
AFTER THE PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS PARTIALLY OR ENTIRELY WRITTEN OFF, AS APPROPRIATE. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY.

PART VI, LINE 4:
UNITYPOINT HEALTH-PROCTOR IS A GENERAL MEDICAL AND SURGICAL HOSPITAL IN PEORIA, IL, WITH 138 BEDS. FROM A DEMOGRAPHIC STANDPOINT, PROCTOR SERVES A POPULATION THAT DIFFERS SIGNIFICANTLY FROM ITS LARGER DOWNTOWN COMPETITORS. THE RACIAL AND ETHNIC MIX OF PROCTOR PATIENTS IS IMPACTED BY THE HOSPITAL'S NORTHSIDE LOCATION. IN 2021, PROCTOR HOSPITAL ADMITTED 3,069 PATIENTS, 53,398 OUTPATIENT VISITS, 7,660 OUTPATIENT SURGERY REGISTRATIONS AND 19,064 EMERGENCY ROOM VISITS.

PART VI, LINE 7, REPORTS FILED WITH STATES
IL

PART VI, LINE 2:
"PROCTOR HOSPITAL'S BOARD OF TRUSTEES AND MANAGEMENT TEAM DEVELOPED GOALS FOR THE COMMUNITY BENEFIT PLAN USING FEEDBACK FROM EMPLOYEES, PATIENTS, FAMILIES, PHYSICIANS, FOCUS GROUPS, STUDIES OF LOCAL AND REGIONAL HEALTH TRENDS, AND REVIEWS OF CENSUS DATA TO PROVIDE THE NECESSARY EVIDENCE FROM WHICH TO CONCENTRATE OUR EFFORTS. FROM THE RESEARCH, THREE PRIMARY GOALS WERE ESTABLISHED AND ARE NOW REVIEWED ANNUALLY. NO SUBSTANTIVE CHANGES TO THE PRIMARY GOALS WERE MADE IN 2013. PROCTOR'S MOST SIGNIFICANT GOAL WORKS TO IMPROVE ACCESS TO THE DELIVERY OF HEALTHCARE SERVICES, INCLUDES MAKING OUR FACILITIES AND STAFF AVAILABLE TO ANYONE WHO HAS A NEED FOR HEALTH CARE. THE SECOND GOAL, ENHANCING THE QUALITY OF LIFE THROUGH EDUCATION AND PREVENTION, WAS DEVELOPED TO FURTHER THE ABILITY OF PEOPLE OF ALL AGES IN OUR COMMUNITY TO LEARN ABOUT HEALTH ISSUES THAT MAY IMPACT THEIR LIVES. OUR THIRD, AND FINAL PRIMARY GOAL, IS FOR PROCTOR HOSPITAL TO ENHANCE ITS REPUTATION AS A VIRTUAL ""CORPORATE"" CITIZEN OF PEORIA AND THE SURROUNDING AREA. AS A MAJOR EMPLOYER IN OUR PRIMARY AND SECONDARY SERVICE AREAS, PROCTOR IS COMMITTED TO PROVIDING RESOURCES TO ASSIST OTHER COMMUNITY BASED, NOT-FOR-PROFIT ORGANIZATIONS THAT DEMONSTRATE NEEDS RELATING TO SOME ASPECT OF HEALTH OR QUALITY OF LIFE. REQUESTS FOR ASSISTANCE IN NON-HEALTH/PERSONAL DEVELOPMENT COMMUNITY ENDEAVORS (I.E., ZOOS, MUSEUMS, ETC.) MAY BE CONSIDERED IF ADEQUATE RESOURCES ARE AVAILABLE BUT WILL BE SECONDARY TO CAUSES THAT RELATE SPECIFICALLY TO THE HOSPITAL'S MISSION, VISION AND VALUES."

PART VI, LINE 3:
THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ALL PATIENTS AND WITHIN THE COMMUNITY. COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. THE CENTRAL BILLING OFFICE IS AVAILABLE BY PHONE TO ANSWER QUESTIONS ABOUT THE POLICY, OR PATIENTS SHOULD GO TO THE CASHIER'S OFFICE AT THE HOSPITAL TO OBTAIN THIS INFORMATION. THE PLAIN LANGUAGE SUMMARY IS OFFERED AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS AND INCLUDED WHEN A PATIENT IS SENT WRITTEN NOTICE THAT EXTRAORDINARY COLLECTION ACTIONS MAY BE TAKEN AGAINST HIM/HER. THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY, AND ALL FINANCIAL ASSISTANCE FORMS ARE AVAILABLE IN ENGLISH AND IN ANY OTHER LANGUAGE IN WHICH LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS CONSTITUTE THE LESSER OF 1,000 PERSONS OR MORE THAN 5% OF THE COMMUNITY SERVED BY THE HOSPITAL. THESE TRANSLATED DOCUMENTS WILL BE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL.

PART VI, LINE 5:
THE HOSPITAL IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITH THE GOAL OF PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES. THE HOSPITAL SUPPORTS THIS MISSION WITH A COMMUNITY BOARD, OPEN MEDICAL STAFF, AND AN EMERGENCY ROOM AVAILABLE TO PATIENTS REGARDLESS OF ABILITY TO PAY. THE BOARD OF DIRECTORS OF THE HOSPITAL IS COMPOSED OF CIVIC LEADERS WHO RESIDE IN THE SERVICE AREA OF THE HOSPITAL. THE BOARD ACTIVELY DEBATES AND SETS POLICY AND STRATEGIC DIRECTION FOR THE HOSPITAL BUT DOES NOT GET INVOLVED IN ISSUES RELATED TO THE DIRECT OPERATIONS OF THE HOSPITAL. THE BOARD TAKES A BALANCED APPROACH WHEN ADDRESSING COMMUNITY AND BUSINESS/FINANCIAL CONCERNS. THE BOARD IS ALSO THE PRIMARY GROUP FOR DETERMINING THE USE OF HOSPITAL SURPLUS FUNDS, WHICH ARE ALL USED TO FURTHER OUR CHARITABLE PURPOSE.PHYSICIAN OFFICES ARE SPREAD ACROSS THE REGION TO PROVIDE BETTER ACCESS TO A WIDE NUMBER OF PATIENTS.

PART VI, LINE 6:
THE HOSPITAL IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH). AS THE NATION'S 13TH LARGEST NONPROFIT HEALTH SYSTEM, UNITYPOINT HEALTH PROVIDES PROGRESSIVE AND HIGH QUALITY SERVICES ACROSS ITS 9 REGIONS WHICH SPAN IOWA, WESTERN ILLINOIS AND SOUTHERN WISCONSIN. THIS REGIONAL CARE MODEL HAS BEEN SUCCESSFUL IN ACHIEVING STANDARDIZED LEVELS OF PERFORMANCE AND KEEPING CARE LOCAL. WITH $4.9B IN TOTAL OPERATING REVENUE, UNITYPOINT HEALTH EMPLOYS APPROXIMATELY 33,000 TEAM MEMBERS AND OPERATES 20 REGIONAL HOSPITALS, 19 COMMUNITY NETWORK HOSPITALS AND OVER 435 CLINICS. AS A KEY COMPONENT OF UNITYPOINT HEALTH, UNITYPOINT CLINIC IS A 1,180 PROVIDER MULTISPECIALTY GROUP THAT IS BUILT ON THE FOUNDATION OF CARE DELIVERY, INNOVATION AND EXPERIENCE. REPRESENTED BY OVER 40 SPECIALTIES, UPC IS A FORWARD-THINKING DELIVERY PROVIDER AND IS ON THE LEADING EDGE OF CARE DELIVERY WITH ITS TELEHEALTH, AMBULATORY AND URGENT CARE PROGRAMS. THE DIVERSIFIED HEALTH SYSTEM ALSO INCLUDES UNITYPOINT ACCOUNTABLE CARE, UNITYPOINT HEALTH COLLEGES, UNITYPOINT AT HOME AND EXTENDS HEALTH COVERAGE THROUGH THE HEALTHPARTNERS UNITYPOINT INSURANCE PLAN. UNITYPOINT HEALTH AND ITS AFFILIATES ENGAGE IN COMMUNITY HEALTH PROGRAMS AND SERVICES AND WORK WITH VOLUNTEER AND CIVIC ORGANIZATIONS, SCHOOLS, BUSINESSES, INSURERS AND INDIVIDUALS TO SUPPORT ACTIVITIES THAT BENEFIT PEOPLE THROUGHOUT THEIR REGIONS. IN 2021, UNITYPOINT HEALTH AND ITS AFFILIATES PROVIDED MORE THAN $672 MILLION OF COMMUNITY BENEFIT. THE CONTRIBUTIONS TO THEIR COMMUNITIES BY UNITYPOINT HEALTH AND ITS AFFILIATES ARE REPORTED IN DETAIL IN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (PART III) OF THE IRS FORM 990 OF THOSE AFFILIATES.