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Harrisburg Medical Center Inc

Harrisburg Medical Center Inc
100 Dr Warren Tuttle Drive
Harrisburg, IL 62946
Bed count78Medicare provider number140210Member of the Council of Teaching HospitalsNOChildren's hospitalNO
EIN: 237426289
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
13.12%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

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$ 48,439,582
      Total amount spent on community benefits
      as % of operating expenses
      $ 6,356,413
      13.12 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 538,738
        1.11 %
        Medicaid
        as % of operating expenses
        $ 5,817,675
        12.01 %
        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 expenses
        Note: 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
        $ 0
        0 %
        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 housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          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
        $ 1,862,536
        3.85 %
        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
        $ 620,845
        33.33 %
    • 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 agencyNot 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

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • 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 $ 29629957 including grants of $ 0) (Revenue $ 26876647)
      IN SUPPORT OF ITS MISSION, THE HOSPITAL PROVIDES CARE TO PATIENTS AT LESS THAN ITS ESTABLISHED CHARGES FOR PATIENTS THAT MEET THE HOSPITAL'S FINANCIAL ASSISTANCE CRITERIA. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THEY ARE NOT REPORTED IN NET PATIENT SERVICE REVENUE. CHARGES EXCLUDED FROM REVENUE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) WERE APPROXIMATELY $1,630,000 FOR FISCAL YEAR 2022. IN ADDITION, THE HOSPITAL PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER CERTAIN GOVERNMENT-REIMBURSED PUBLIC AID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS WHICH ARE LESS THAN ESTABLISHED CHARGES FOR THE SERVICES PROVIDED TO THE RECIPIENTS AND THE PAYMENTS ARE LESS THAN THE COST OF RENDERING CARE.
      4B (Expenses $ 9852703 including grants of $ 0) (Revenue $ 7972912)
      MULBERRY CENTER AT HARRISBURG OFFERS PATIENT-CENTERED PSYCHIATRIC CARE IN AN ENVIRONMENT WHERE COMPREHENSIVE MEDICAL CARE IS AVAILABLE. THROUGH INTERACTIVE EXPERIENCES, PATIENTS LEARN TO BETTER UNDERSTAND THEIR SYMPTOMS AND LEARN HOW TO MANAGE THEM AFTER DISCHARGE. THE INPATIENT UNIT IS DIVIDED INTO TWO WINGS. ONE IS A GENERAL ADULT UNIT, HOUSING INDIVIDUALS WITH PSYCHIATRIC DISORDERS WHICH DO NOT INVOLVE DEMENTIA. THE SECOND WING IS A GEROPSYCHIATRIC UNIT WHICH TREATS PATIENTS WHOSE ILLNESS IS COMPLICATED BY DEMENTIA AND EMPHASIS IS PLACED ON MANAGING COGNITIVE DEFICITS ASSOCIATED WITH DEMENTIA. IN BOTH WINGS, PATIENTS RECEIVE SERVICES FROM A MULTI-DISCIPLINARY TEAM UNDER THE DIRECTION OF PSYCHIATRISTS. THE MULBERRY CENTER PROVIDES FOR 24/7 EMERGENCY ADMISSIONS.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      HARRISBURG MEDICAL CENTER
      PART V, SECTION B, LINE 5: THE CHNA AND DEVELOPMENT OF ITS IMPLEMENTATION PLAN IS A WAY FOR THE HOSPITAL'S CORPORATE MEMBER, SOUTHERN ILLINOIS HOSPITAL SERVICES (SIH), AND COMMUNITY PARTNERS TO WORK COLLABORATIVELY TO IMPROVE THE HEALTH AND WELL-BEING OF ALL THE PEOPLE IN THE COMMUNITIES SERVED. SIH COLLABORATED WITH INDIVIDUALS FROM THE ELEVEN COUNTIES (FRANKLIN, JACKSON, JOHNSON, PERRY, SALINE, UNION, WILLIAMSON, WHITE, GALLATIN, POPE, AND HARDIN) TO CONDUCT THE ASSESSMENT. APPROXIMATELY 781 PEOPLE ACROSS THE ELEVEN COUNTIES PROVIDED INPUT INTO THIS PROCESS THROUGH THE FOLLOWING METHODS: 1) COMMUNITY MEMBER & COMMUNITY PARTNER SURVEY 637 SURVEY RESPONDENTS; 2) PHYSICIAN & HEALTHCARE PROVIDER/LEADER SURVEY 17 PEOPLE PARTICIPATED, INCLUDING VARIOUS PHYSICIANS AND KEY LEADERS WITHIN THE SIH HEALTHCARE SYSTEM; 3) SIH CHNA ADVISORY TEAM THE 53-MEMBER TEAM REVIEWED THE DATA, PROVIDED INPUT AND SHARED THEIR PERCEPTIONS OF OVERALL IMPACT, MAGNITUDE OF THE PROBLEM, SEVERITY, AND ABILITY AND INTEREST OF THE COMMUNITY TO ADDRESS THE ISSUES, AND VOTED ON THE TOP PRIORITY HEALTH ISSUES.
      HARRISBURG MEDICAL CENTER
      PART V, SECTION B, LINE 11: THE MOST RECENTLY CONDUCTED CHNA WAS COMPLETED IN MARCH 2022 FOR WHICH AN IMPLEMENTATION STRATEGY WAS DEVELOPED FOR THE NEXT THREE YEARS BEGINNING APRIL 1, 2022. THE INFORMATION BELOW DESCRIBES HOW THE HOSPITAL IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENT CHNA. THREE IMPLEMENTATION PLAN TEAMS WERE DEVELOPED IN ORDER TO BRING EXPERTS TOGETHER WITH EXPERTISE AND INTEREST IN EACH OF THE CHOSEN AREAS. KEY ISSUES AND NEEDS WERE IDENTIFIED AND INTERVENTION STRATEGIES WERE DEVELOPED. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WAS REVIEWED AND ADOPTED BY THE SIH BOARD OF TRUSTEES IN MARCH 2022. THE PRIORITY AREAS THROUGH THIS NEEDS ASSESSMENT WILL BE USED TO FOCUS COMMUNITY BENEFITS DEPARTMENT PLANNING FOR THE NEXT THREE YEARS. THE PRIORITY HEALTH ISSUES THAT THE FOUR HOSPITALS WILL ADDRESS FROM 2022 - 2025 ARE: SOCIAL DETERMINANTS OF HEALTH (ACCESS TO CARE, HUNGER/FOOD ACCESS, HOUSING, AND POVERTY), BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE MISUSE), AND CHRONIC DISEASE PREVENTION AND MANAGEMENT. FOR EACH HEALTH PRIORITY, STAFF WILL CONDUCT EVALUATION EFFORTS TO DEMONSTRATE IMPACT OF THE RELATED STRATEGIES AND ACTIVITIES. THESE PLANS WILL INCLUDE SPECIFIC DATA SOURCES SUCH AS PROGRAM RECORDS, HOSPITAL PATIENT DATA, AND/OR COMMUNITY-LEVEL DATA SUCH AS THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). MEASURES MAY INCLUDE (BUT NOT LIMITED TO): COMMUNITY INDICATORS, PARTNERS, FUNDING, AND PROGRAMMATIC OUTCOMES VIA PROGRAM RECORDS). DATA WILL BE REVIEWED BY THE SIH COMMUNITY BENEFITS ADVISORY COMMITTEE TO BE REPORTED AT APPROPRIATE INTERVALS.
      HARRISBURG MEDICAL CENTER
      PART V, SECTION B, LINE 13H: IF A PATIENT MEETS CERTAIN PRESUMPTIVE ELIGIBILITY CRITERIA, THE PATIENT SHALL NOT BE REQUIRED TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND SHALL BE DEEMED TO RECEIVE A 100% ALLOWANCE. PRESUMPTIVE ELIGIBILITY CATEGORIES ARE: 1) HOMELESSNESS, DEFINED AS AN INDIVIDUAL WITHOUT PERMANENT HOUSING WHO MAY LIVE ON THE STREETS, STAY IN A SHELTER, MISSION, SINGLE ROOM OCCUPANCY FACILITIES, ABANDONED BUILDING OR VEHICLE, OR IN ANY OTHER UNSTABLE OR NON-PERMANENT SITUATION; 2) DECEASED WITH NO ESTATE; 3) MENTAL INCAPACITATION WITH NO REPRESENTATIVE; 4) MEDICAID ELIGIBLE BUT NOT ON DATE OF SERVICE; 5) MEDICAID ELIGIBLE ON DATE OF SERVICE, BUT THE SERVICE IS NON-COVERED, AND 6) INCARCERATION IN A PENAL INSTITUTION.
      SCHEDULE H, PART V, SECTION B, LINE 16A
      THE FAP WAS WIDELY AVAILABLE AT:HTTPS://HARRISBURGMC.COM/WP-CONTENT/UPLOADS/2022/12/HEALTHCARE-ASSISTANCE-PROGRAM-AND-PRESUMPTIVE-HB-PI-003.PDF
      SCHEDULE H, PART V, SECTION B, LINE 16B
      THE FAP APPLICATION WAS WIDELY AVAILABLE AT:HTTPS://HARRISBURGMC.COM/WP-CONTENT/UPLOADS/2022/12/HEALTHCARE-ASSISTANCE-PROGRAM_12082022.PDF
      SCHEDULE H, PART V, SECTION B, LINE 16C
      THE FAP PLAIN LANGUAGE SUMMARY WAS WIDELY AVAILABLE AT:HTTPS://HARRISBURGMC.COM/WP-CONTENT/UPLOADS/2022/12/HEALTHCARE-ASSISTANCE-PROGRAM_12082022.PDF
      SCHEDULE H, PART V, SECTION B, LINE 7A
      THE ORGANIZATION'S MOST RECENT CHNA REPORT CAN BE FOUND AT:HTTPS://HARRISBURGMC.COM/WP-CONTENT/UPLOADS/2022/03/2021-JOINT-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
      SCHEDULE H, PART V, SECTION B, LINE 10A
      THE ORGANIZATION'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://HARRISBURGMC.COM/WP-CONTENT/UPLOADS/2022/03/2021-JOINT-IMPLEMENTATION-PLAN.PDF
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 3C:
      FACTORS OTHER THAN FEDERAL POVERTY GUIDELINES (FPG) USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE INCLUDE A) HOMELESSNESS, B) DECEASED WITH NO ESTATE, C) MENTAL INCAPACITATION WITH NO REPRESENTATIVE, D) MEDICAID ELIGIBLE BUT NOT ON DATE OF SERVICE, E) MEDICAID ELIGIBLE ON DATE OF SERVICE BUT SERVICE IS NON-COVERED, AND F) INCARCERATION IN A PENAL INSTITUTION. THESE FACTORS ARE DESCRIBED UNDER THE HOSPITAL'S PRESUMPTIVE ELIGIBILITY RULES FOR FINANCIAL ASSISTANCE. THE HOSPITAL DOES NOT USE AN ASSET TEST AS A FACTOR IN DETERMINING ELIGIBILITY.
      PART I, LINE 7:
      THE ORGANIZATION USED A COST-TO-CHARGE RATIO AS CALCULATED UTILIZING DATA FROM INTERNAL ACCOUNTING RECORDS AND USING A METHODOLOGY CONSISTENT WITH SCHEDULE H INSTRUCTIONS TO DETERMINE AMOUNTS ON LINES 7A AND 7B OF PART I SCHEDULE H.
      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 $ 1,862,536.
      PART III, LINE 2:
      THE HOSPITAL CALCULATED BAD DEBT EXPENSE AT COST USING THE COST-TO-CHARGE RATIO, AS CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT ONLY AFTER ALL COLLECTION PROCEDURES HAVE BEEN EXHAUSTED AND AFTER ALL DISCOUNTS AND PAYMENTS HAVE BEEN APPLIED.
      PART III, LINE 3:
      BASED ON THE HOSPITAL'S EXPERIENCE WITH ALL ITS PATIENTS, THE ORGANIZATION ESTIMATES THAT IT IS LIKELY THAT UP TO ONE-THIRD OF ACCOUNTS WRITTEN OFF TO BAD DEBT MAY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE, BUT THE PATIENT CHOSE NOT TO APPLY. THEREFORE, 33.333% OF THE BAD DEBT ADJUSTMENTS ARE INCLUDED ON PART III, LINE 3 AT COST.
      PART III, LINE 4:
      THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 12 OF SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES, INC CONSOLIDATED FINANCIAL REPORT WITH SUPPLEMENTARY INFORMATION MARCH 31, 2022, AND 2021.
      PART III, LINE 8:
      UNPAID COST OF MEDICARE REPRESENTS THE COST (DETERMINED USING THE OVERALL COST TO CHARGE RATIO) 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 HEALTH 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:
      "THE HOSPITAL'S COLLECTION POLICY AND FINANCIAL ASSISTANCE POLICY (FAP) CONTAIN PROVISIONS FOR COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO BE ELIGIBLE FOR FINANCIAL ASSISTANT. THESE PRACTICES ALSO APPLY BROADLY TO ALL TYPES OF PATIENTS. HOSPITAL WILL PROVIDE PATIENTS WITH A PLAIN LANGUAGE SUMMARY OF THE FAP. HOSPITAL WILL MAKE A REASONABLE EFFORT TO ORALLY NOTIFY THE INDIVIDUAL ABOUT THE FAP AND ABOUT HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FAP APPLICATION. IF HOSPITAL DETERMINES THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE, HOSPITAL WILL A) PROVIDE THE INDIVIDUAL WITH A BILLING STATEMENT THAT INDICATES THE AMOUNT HE OR SHE OWES FOR THE CARE RECEIVED, ASSUMING THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE OTHER THAN FREE CARE AND HOW THAT AMOUNT WAS DETERMINED, B) REFUND TO THE INDIVIDUAL ANY AMOUNT HE OR SHE HAS PAID THAT EXCEEDS THE AMOUNT THE INDIVIDUAL IS DETERMINED TO BE PERSONALLY RESPONSIBLE FOR PAYING, C) TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTIONS (""ECAS"") TAKEN AGAINST THE INDIVIDUAL. FOR ALL TYPES OF PATIENTS, HOSPITAL TAKES THE FOLLOWING ACTIONS AT LEAST 30 DAYS BEFORE INITIATING ECA TO OBTAIN PAYMENT FOR CARE: A) PROVIDE THE INDIVIDUAL WITH A WRITTEN NOTICE THAT INDICATES FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE INDIVIDUALS, B) IDENTIFIES THE ECA(S) THAT HOSPITAL (OR OTHER AUTHORIZED PARTY) INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE AND C) STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED THAT IS NO EARLIER THAN 30 DAYS AFTER THE DATE THAT THE WRITTEN NOTICE IS PROVIDED."
      PART VI, LINE 2:
      THE HOSPITAL ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY AND THEY MIGHT BE ADDRESSED BY PARTICIPATING IN STRATEGIC AND OPERATIONAL PLANNING SESSIONS THAT INCLUDE THE BOARD OF DIRECTORS, STATE LEGISLATORS, OFFICIALS FROM THE LOCAL COMMUNITY COLLEGE AND LOCAL CLERGY. THE CEO PARTICIPATES IN STRATEGIC PLANNING MEETINGS WITH LEADERSHIP OF HOSPITAL'S CORPORATE MEMBER. HOSPITAL LEADERSHIP MEETS WITH LEADERSHIP FROM LOCAL HEALTH DEPARTMENTS, AREA HOSPITALS, AREA LONG TERM CARE FACILITIES AND EMERGENCY PLANNERS ON AN ONGOING BASIS. THE PRESIDENT OF THE MEDICAL STAFF MEETS REGULARLY WITH PRIMARY BEHAVIORAL HEALTH CLINIC LEADERS AS WELL AS REPRESENTATIVES FROM COMMUNITY BEHAVIORAL HEALTH AND SUPPORT ORGANIZATIONS TO ASCERTAIN NEEDS AND ASSESS MEETING OF THE NEEDS. HOSPITAL DATA IS REVIEWED TO DETERMINE PATIENTS' NEEDS BY ANALYZING DIAGNOSIS, READMISSION RATES AND THE MEDICARE CASE MIX INDEX. THE HOSPITAL PARTICIPATES IN REGIONAL HAZARD ASSESSMENTS AND DRILLS.
      PART VI, LINE 3:
      "ALL PATIENTS WITHOUT THIRD PARTY COVERAGE, I.E., CONSIDERED ""SELF-PAY"", RECEIVE A COPY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM (FAP) PLAIN LANGUAGE SUMMARY DURING REGISTRATION THAT DETAILS THE FAP. HOSPITAL PATIENT BILLING STATEMENTS INCLUDE A STATEMENT EXPLAINING HOW A PATIENT MAY APPLY FOR CONDSIDERATION UNDER THE HOSPITAL'S FAP. SIGNAGE IS DISPLAYED IN REGISTRATION, PATIENT CARE, AND BUSINESS OFFICE AREAS THAT ANNOUNCES FINANCIAL HELP WITH BILLS FOR THOSE PATIENTS WHO QUALIFY. IF A PATIENT CONTACTS THE BUSINESS OFFICE REGARDING DIFFICULTY IN MAKING PAYMENTS, HOSPITAL PERSONNEL INFORMS THE PATIENT OF THE FAP. ONE FULL-TIME FINANCIAL COUNSELOR ASSISTS THE HOSPITAL'S PATIENTS IN APPLYING FOR GOVERNMENT FUNDED MEDICAL COVERAGE."
      PART VI, LINE 4:
      WHILE EACH OF THE ELEVEN COUNTIES IN THE HOSPITAL SYSTEM SERVICE AREA IS UNIQUE, ALL SHARE SIMILAR CHALLENGES. ALL HAVE ISOLATED HOUSEHOLDS, RESIDENTS WITH LOW INCOME AND LOW EDUCATIONAL LEVELS, AND HIGH RATES OF POVERTY, ILLNESS, AND MORTALITY. ALL HAVE A LARGE NUMBER OF MEDICALLY UNDERSERVED RESIDENTS. IN GENERAL, SOUTHERN ILLINOIS RESIDENTS ARE MORE PRONE TO HAVE HIGHER BMI, HIGHER BLOOD PRESSURE, INCREASED RISK FOR DIABETES AND ARE MORE APT TO SMOKE AND BE SEDENTARY THAN ALL OTHER ILLINOISANS. IMPROVEMENTS ARE NEEDED IN AREAS SUCH AS PREVENTATIVE SCREENINGS, HEALTHY EATING, AND PHYSICAL ACTIVITY. RESIDENTS FACE CONSIDERABLE BARRIERS TO ACCESS, DEMONSTRATED BY UNMET OR MISSED PRIMARY CARE APPOINTMENTS AND HIGH EMERGENCY DEPARTMENT UTILIZATION. UNEMPLOYMENT, POVERTY, FOOD INSECURITY, ACCESS TO CARE AND LACK OF TRANSPORTATION SERVE AS BARRIERS TO HEALTH AND HEALTHCARE.HARRISBURG MEDICAL CENTER PREDOMINATELY SERVES A FIVE-COUNTY AREA INCLUDING SALINE, GALLATIN, HARDIN, POPE, AND WHITE COUNTIES. EACH OF THE COUNTIES IS FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA. THE POPULATION OF THE FIVE COUNTIES IS APPROXIMATELY 50,000 AND THE POPULATION HAS SHOWN A DECLINING TREND FOR AT LEAST THE PAST TWENTY YEARS. APPROXIMATELY 17% OF THE POPULATION IS 65 YEARS OLD OR OLDER AS COMPARED TO 12% OF ALL ILLINOISANS. EIGHTY-SEVEN PERCENT OF THE POPULATION HAVE A HIGH SCHOOL DIPLOMA WHILE ONLY 16% OF THE POPULATION OVER 25 YEARS OLD HAVE EARNED A BACHELOR'S DEGREE OR HIGHER. INCOME PER CAPITAL IS $26,500 FOR THE POPULATION WHICH IS 26% LESS THAN THE INCOME PER CAPITAL OF THE STATE OF ILLINOIS AND 22% LESS THAN OF THE U.S. THE PERCENTAGE OF INDIVIDUALS IN THIS AREA LIVING IN POVERTY EXCEEDS THE PERCENTAGE FOR THE STATE OF ILLINOIS AND FOR THE UNITED STATES OF AMERICA. THIRTY-TWO PERCENT OF THE SERVICE AREA RECEIVES MEDICAID AS COMPARED TO 21% OF ILLINOISANS AND 22% OF THE U.S. POPULATION. FIFTY-NINE PERCENT OF CHILDREN LIVING IN THE 5-COUNTY SERVICE AREA ARE ELIGIBLE FOR FREE OR REDUCED-PRICE SCHOOL LUNCHES.
      PART VI, LINE 5:
      "HMC IS PASSIONATE ABOUT THE HEALTH AND WELL-BEING OF THE COMMUNITIES SERVED. HMC PARTICIPATES IN MANY COMMUNITY EVENTS TO PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY. COVID-19 SAFETY PRECAUTIONS HAVE PREVENTED THE HOSPITAL FROM HOLDING MOST OF THE COMMUNITY EVENTS NORMALLY HELD, BUT WE HAVE FOUND WAYS TO SUPPORT AND PROVIDE OUTREACH FOR OUR COMMUNITY. HMC PARTICIPATES IN MANY COMMUNITY ORGANIZATIONS EVENTS TO PROMOTE HEALTH SUCH AS HEALTH FAIRS AT THE COMMUNITY COLLEGE, LOCAL PARADES, SALINE COUNTY CHAMBER OF COMMERCE, SALINE COUNTY CHAMBER GOLF TOURNAMENT.THE HOSPITAL ACTIVELY SUPPORTS AND WORKS WITH OTHER HEALTH-RELATED ORGANIZATIONS SUCH AS HOSPICE OF SOUTHERN ILLINOIS AND EGYPTIAN HEALTH DEPARTMENT, AS WELL AS OTHER AREA HOSPITALS, AND NURSING HOMES. HMC HOSTS SEMI-ANNUAL BLOOD DRIVES FOR THE AMERICAN RED CROSS AT THE HOSPITAL. DURING THE COVID-19 PANDEMIC, THE HOSPITAL AND CLINICS HAVE SUPPORTED OUR LOCAL SCHOOLS IN SALINE COUNTY BY PROVIDING FACE MASKS, HAND SANITIZER, AND DISINFECTING WIPES FOR STUDENTS THAT ARE UNABLE TO PURCHASE THEIR OWN. THE HOSPITAL AND CLINICS HAVE ALSO CONDUCTED FOOD DRIVES FOR LOCAL FOOD PANTRIES, A BABY SUPPLY DRIVE FOR OUR LOCAL CRISIS PREGNANCY CENTER, AND COAT/GLOVE DRIVES FOR THE LOCAL KIDS. HMC CLINICS ALSO PROVIDED FOOD BASKETS TO LOCAL FAMILIES AT THANKSGIVING AND CHRISTMAS AND ALSO PURCHASED GIFTS FOR THE SCHOOLS UNDERPRIVILEGED STUDENTS. HMC IS A SPONSOR OF THE SALINE COUNTY ""CREATING ENTREPRENEURIAL OPPORTUNITIES (CEO) PROGRAM"" FOR LOCAL HIGH SCHOOL STUDENTS AND HMC'S CEO AND MARKETING DIRECTOR ARE ACTIVELY INVOLVED AS MENTORS TO THE STUDENTS THROUGHOUT THE YEAR. SALINE COUNTY CEO PROGRAM IS A MENTORING PROGRAM THAT PROVIDES EFFECTIVE NETWORKING MODEL FOR STUDENTS. HMC IS ACTIVE WITH THE GOLDEN CIRCLE SENIOR CITIZENS ORGANIZATION IN HARRISBURG. HMC'S REGISTERED DIETICIANS REVIEW AND APPROVE THEIR MENU EVERY MONTH AT NO CHARGE. OUR REGISTERED DIETICIANS ALSO PROVIDE NUTRITIONAL CONSULTS AT NO CHARGE IN THE CLINICS. HMC PROVIDES AN ATHLETIC TRAINER AND DRUG SCREENING TESTS AT NO CHARGE TO THE HARRISBURG HIGH SCHOOL."
      PART VI, LINE 6:
      THE HOSPITAL IS PART OF A LARGER SYSTEM, SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS), THAT PROVIDES HEALTH SERVICES TO THE POPULATION OF SOUTHERN ILLINOIS. SIHS PROVIDES CARE THROUGH ITS FOUR HOSPITALS AND A COMMUNITY HEALTH CENTER. THREE OF THE HOSPITALS ARE REPORTED AS SOUTHERN ILLINOIS HOSPITAL SERVICES AND ONE IS REPORTED AS HARRISBURG MEDICAL CENTER. HARRISBURG MEDICAL CENTER ALSO PROVIDES CARE THROUGH TWO RURAL HEALTH CLINICS. SOUTHERN ILLINOIS MEDICAL SERVICES (SIMS) PROVIDES CARE THROUGH PHYSICIAN PRACTICES. THESE PRACTICES ARE COMPRISED OF THE CENTER FOR MEDICAL ARTS, LOGAN PRIMARY CARE, PHYSICIAN CARE GROUP, INDIVIDUAL PHYSICIAN PRACTICES, HOSPITAL PHYSICIAN AND EMERGENCY ROOM PHYSICIANS. SIHS AND SIMS WORK TOGETHER IN PROVIDING CARE AND TREATMENT OF THE MEDICALLY SICK, INJURED OR AFFLICTED. BOTH PROVIDE QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.