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Silver Cross Hospital and Medical Centers
New Lenox, IL 60451
Bed count | 304 | Medicare provider number | 140213 | 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 $ 485,817,461 Total amount spent on community benefits as % of operating expenses$ 23,859,050 4.91 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 4,120,000 0.85 %Medicaid as % of operating expenses$ 15,444,000 3.18 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 601,376 0.12 %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.$ 3,433,918 0.71 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 259,756 0.05 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? NO 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$ 4,195,000 0.86 %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$ 2,045,063 48.75 %- 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 $ 462772659 including grants of $ 202155) (Revenue $ 474316015) PROVISION OF INPATIENT AND OUTPATIENT HEALTH CARE SERVICES. HOSPITAL INPATIENT AND OBSERVATION DAYS FOR THE TIME PERIOD COVERED BY THIS RETURN TOTALED 106,676. TOTAL PATIENTS SERVED TOTALED 257,738.
4B (Expenses $ 601376 including grants of $ 0) (Revenue $ 132630) COMMUNITY EDUCATION PROGRAMS, HEALTH PROFESSIONAL EDUCATION PROGRAMS, STUDENT INTERNSHIPS, SUPPORT GROUPS AND SUPPORT OF FREE COMMUNITY CLINIC.
4C (Expenses $ 95087 including grants of $ 0) (Revenue $ 11025) HEALTH SCREENINGS AND WOMEN'S AND CHILDREN'S SERVICES.
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Facility Information
Schedule H, Part V, Section B, Line 3E THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.
Schedule H, Part V, Section B, Line 5 Facility 1, 1 Facility 1, 1 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS. THE HOSPITAL PARTICIPATES IN THE DEVELOPMENT OF THE COMMUNITY NEEDS ASSESSMENT THROUGH THE WILL COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) COLLABORATIVE WHICH IS COMPRISED OF A BROAD RANGE OR REPRESENTATIVES FROM THE COMMUNITY INCLUDING INDIVIDUALS FROM THE WILL COUNTY HEALTH DEPARTMENT, UNITED WAY, AUNT MARTHA'S (FQHC) AND OTHER COMMUNITY, SPIRITUAL, AND EDUCATIONAL LEADERS AND HEALTH CARE FACILITIES.
Schedule H, Part V, Section B, Line 6a Facility 1, 1 Facility 1, 1 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS. THE HOSPITAL'S CHNA WAS CONDUCTED WITH THE FOLLOWING AREA HOSPITALS: ADVENTIST BOLINGBROOK HOSPITAL, EDWARD HOSPITAL, PRESENCE HEALTH, AND PRESENCE ST. JOSEPH MEDICAL CENTER.
Schedule H, Part V, Section B, Line 6b Facility 1, 1 Facility 1, 1 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS. NON-HOSPITAL ORGANIZATIONS PARTICIPATING IN THE CHNA INCLUDE THE FOLLOWING: WILL COUNTY HEALTH DEPT., AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, ALL OUR KIDS NETWORK, AQUINO CLINICAL SERVICES, AUNT MARTHA'S YOUTH SERVICES, BRIDGES TO A NEW DAY, CATHOLIC CHARITIES, CASA OF WILL COUNTY, CENTER FOR ECONOMIC DEVELOPMENT, CHESTNUT HEALTH SYSTEMS, CHILD CARE RESOURCES AND REFERRAL, COMMUNITY SERVICE COUNCIL OF WILL COUNTY, CRETE MONEE SCHOOL DISTRICT, CRISIS LINE OF WILL AND GRUNDY COUNTY, EASTER SEALS, GREATER JOLIET AREA YMCA, GOVERNOR'S STATE UNIVERSITY, GUARDIAN ANGEL COMMUNITY SERVICES, HARVEY BROOKS FOUNDATION, HOUSING AUTHORITY OF JOLIET, IMAGE BUILDERS, JOLIET JUNIOR COLLEGE, JOLIET TOWNSHIP, JOLIET TOWNSHIP HIGH SCHOOL/TESS, LEWIS UNIVERSITY, LINDEN OAKS AT EDWARD HOSPITAL, LUTHERAN SOCIAL SERVICES, MOUNT ZION BAPTIST CHURCH, MORNING STAR MISSION, NAMI, NATIONAL HOOK-UP OF BLACK WOMEN, NEW LIFE CHURCH, NORTHERN ILLINOIS FOOD BANK, PROVENA HOME CARE, PRESENCE VILLA FRANCISCAN, RUSH UNIVERSITY, SENIOR SERVICES CENTER OF WILL COUNTY, SERVICE INC., STEPPING STONES, THREE RIVERS MANUFACTURERS' ASSOCIATION, TRINITY SERVICES, UNIVERSITY OF ILLINOIS EXTENSION, UNITED WAY, UNIVERSITY OF ST. FRANCIS, WARREN SHARPE COMMUNITY CENTER, WILL COUNTY CENTER FOR COMMUNITY CONCERNS, WILL COUNTY COMMUNITY DEVELOPMENT, WILL COUNTY COMMUNITY FOUNDATION, WILL COUNTY COMMUNITY HEALTH CENTER, WILL COUNTY EMA, WILL COUNTY EXECUTIVE'S OFFICE, WILL COUNTY FOREST PRESERVE DISTRICT, WILL COUNTY LAN, WILL COUNTY LAND USE, WILL COUNTY REGIONAL OFFICE OF EDUCATION, WILL COUNTY SHERIFF'S OFFICE, WILL COUNTY STATE'S ATTORNEY'S OFFICE, WILL GRUNDY MEDICAL CLINIC, WORKFORCE INVESTMENT BOARD OF WILL COUNTY.
Schedule H, Part V, Section B, Line 11 Facility 1, 1 Facility 1, 1 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS. In consideration of the significant needs identified through the CHNA process and taking into account the hospital's organizational resources, it was determined that Silver Cross Hospital will focus on developing and supporting strategies to 1) improve access to health services, 2) Improve access to food and nutrition, 3) Behavioral health and substance abuse disorders and 4) Stabilizing the built environment. To increase access to and awareness of health care services: The hospital advanced community outreach programs with a monthly health educational community news letters, e-blasts, videos, website, and social media platforms. The hospital provided 2,528 physician referrals and 718 referral services to patients, including 270 referrals made to Medicare and 141 made to Medicaid patients along with 27 referrals to indigent clinics; the hospital supported the Will-Grundy Medical Clinic through free services as well as $35,000 in monetary donations to the uninsured and underinsured; the hospital accepted patients from the Will-Grundy Medical Clinic for surgical procedures and related services incurring $1.6m in costs; the hospital provided over $1,816 in free physician recruitment services for Will County Community Health Center; the hospital donated time and services to Catholic Charities Annual Back to School fairs and provided free immunizations, lead screenings, dental check-ups, hair cuts, school supplies and school physicals to uninsured/underinsured children; the hospital provides care for patients regardless of insurance coverage or their ability to pay as exemplified by 28% of all visits to the emergency department are classified as non-emergent, 40% percent of those were public aid or uninsured patients; the hospital provided over $9,375 in taxi and bus services to residents who did not have transportation and the hospital has worked with Pace Transportation and city officials to upgrade the Will County public transportation system; the hospital has expanded its Rehabilitation services through partnership with Shirley Ryan Ability Lab by undertaking $74,400 in expenses for rehabilitation student interns. Silver Cross continues to offer robotic surgery services, offering the community four surgical robots including the area's only Mako Robotic Arm Assisted surgery robot and performing over 12,000 robotic procedures; the hospital continues to treat a large portion of the Medicaid and uninsured obstetric population in our community by delivering 1,148 babies which represents 37% of all Silver Cross deliveries. The hospital also provides additional level resources for newborns needing extended care in our Level 3 nursery and Neonatal Intensive Care Unit. Silver Cross continues to partner with Ann and Robert H. Lurie Childrens' Hospital to provide neonatal care for all high risk deliveries and Rush University Medical Center for high risk pregnancies. The hospital actively participates in the Joliet Area Breastfeeding Alliance (JABA) and International Lactation Consultation Association and reaches out to mothers in the community who may want to breastfeed regardless of whether they delivered their infant in our facility. The hospital provides expanded emergency and urgent care services in the ED, FEC and Urgent Care facilities serving 75,357 patients; serve as a resource hospital for the EMS system training 31 paramedics from 14 different Fire Departments at a cost of $623,565. Silver Cross Hospital also invests over $15,000 per month and another $9,000 in advertising fees in a partnership with Zipnosis, a national source for asynchronous health services, to provide patients with access to doctors 7 days a week through virtual consults from anywhere, for a small fee. Additionally, the hospital invests in language assistance services to offer interpreter services 24/7, 365 days per year to help treat over 126,000 individuals of Hispanic descent and are Spanish speaking only, but make up 18% of the overall patient population served by Silver Cross. Bilingual physician referral services are also provided on a 24/7 basis along with investing in and using universal signage to help patients, regardless of their ability to speak English, to easily navigate our campus. Silver Cross Hospital partners with Teladoc, a national source for telehealth services, to provide patients with quick access to a doctor 24 hours, 7 days a week through the convenience of phone and video consultations for a small fee. Over $54,576 in services were saved as patients received care at a discounted price by going to Teladoc instead of an ER or Urgent Care. To address the needs of seniors, Silver Cross has partnered with Senior Services of Will County on the Ovation Center, to provide senior focused care, activities, programming, advanced practitioners, health screenings, and lectures. Silver Cross also developed and implemented Connected Care to address the chronic conditions experienced by more than 70% of Medicare beneficiaries. To date over 2,846 patients are enrolled, resulting in a 35% reduction in inpatient claims and another 23% having a reduction in Emergency Department visits per year. To address heart disease within the community, Silver Cross offers affordable and discounted $49 heart scans and have made scheduling mammograms even easier to help address breast cancer diagnosis. To address cancer, Silver Cross held 93 breast and lung cancer conferences in which 623 patients were in attendance. Silver Cross continues to offer several outreach programs aimed at addressing stroke, diabetes, and obesity within its service area. 2) To address behavioral health and substance abuse, Silver Cross Hospital and US Healthvest have joined forces to offer the community a new psychiatric hospital of 110 beds on the west side of Silver Cross campus with easy access to I-355 and Route 6. The Certificate of Need application was granted and the behavioral health hospital opened on January 31, 2019. The hospital coordinated and enhanced access to behavioral and substance use disorders by providing psychiatric, behavioral, and chemical dependency services for children as young as 12 and adults 18 years and older. The hospital works with Silver Oaks to ensure patients in the emergency department are screened timely by mental health experts. The hospital continued to work with the Will County Health Department to provide adequate mental health services for patients. The hospital provided over 100 community outreach programs touching more than 200,000 residents. Silver Cross engaged the City of Joliet and Thriveworks, through this partnership Silver Cross is helping to make mental healthcare more affordable and more accessible than ever before. The Hospital also created a designated position of Sexual Assault Nurse Examiner to assist victims of sexual assault. The hospital provided educational programs for nursing homes, homeless shelters and local agencies along with participating in the HERO (Heroin Epidemic Relief Organization) and HELPS (Heroin Education Leads to Preventative Solutions) which assists in promoting awareness of the dangers of heroin and help families cope with the epidemic. 3) To address food and nutrition, the hospital has partnered with the Northern Illinois Food Bank to address food insecurity and chronic disease management. The hospital has addressed food insecurity through the mobile Rx Pantry and My Pantry Express Programs by staffing mobile pantries and having distributed over 150 meals each month to families. The hospital has partnered with Warren Sharpe Community Center to serve over 250 meals a week to needy children. The hospital works to decrease Chronic Care issues, such as cancer, stroke, diabetes, pulmonary disease and obesity, and increase awareness of available resources for healthy lifestyles in Will County through the following activities: educational e-newsletters to more than 80,000 email addresses, 400,000 informational text messages sent to community members, a website, and a monthly breast cancer support group directed toward women's health.
Schedule H, Part V, Section B, Line 11 Facility 1, 2 "Facility 1, 2 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS (CONTINUED). 4) To stabilize the built environment, The hospital continued to advance faith-driven community outreach by providing health information to over 160 parishioners through educational news letters about regular check ups and the importance of screenings and provided additional community support through the Silver Cross Healthy Community Commission (""the Commission"") which was launched with community leaders. This year Silver Cross provided approximately $225,000 to fund the Commission's work of scholarships for healthcare workforce development grants and quality of life initiatives to over 50,000 individuals. The hospital partnered with Lewis university College of Nursing to provide student loan repayment support of $27,000 for nursing graduates who pursue a nursing career. Lastly, the hospital partnered with various other organizations to promote health and wellness in the community, such as a community walk day and the promotion of health eating initiatives throughout the community."
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Supplemental Information
Schedule H, Part V, Section B Lines 1-12 SILVER CROSS HOSPITAL ANNUALLY WORKS WITH BOTH FINANCIAL AND TAX AUDITORS AS OTHER HOSPITALS AND ORGANIZATIONS TO IMPROVE BOTH THEIR CHNA REPORTS AND THEIR UNDERSTANDING OF HOW BETTER TO ADDRESS THE COMMUNITY HEALTH NEEDS OF THE COMMUNITY WE SERVE. AS WITH EACH NEW CHNA THEY DO, SILVER CROSS WILL IMPLEMENT SOME RECOMMENDATIONS FOR IMPROVEMENT AND ENHANCEMENT OF THEIR ABILITY TO PROVIDE OUTSTANDING HEALTHCARE TO THE PEOPLE IN THE WILL COUNTY AND SURROUNDING AREAS.
Schedule H, Part V, Section B LINES 13-20 SILVER CROSS HOSPITAL CONTINUALLY WORKS TO IMPROVE THEIR POLICIES AND PROCEDURES IN REGARDS TO THE FINANCIAL ASSISTANCE POLICY AND EDUCATION TO PATIENTS OF THOSE POLICIES. USING BOTH OUTSIDE CONSULTANTS AND AUDITORS, SILVER CROSS ANNUALLY LOOKS AT ITS FAP AND STRIVES TO MAKE ENHANCEMENTS AND IMPROVEMENTS TO ENSURE THAT ALL QUALIFIED PATIENTS HAVE ACCESS TO FINANCIAL ASSISTANCE AND HAVE AN UNDERSTANDING OF THE HOSPITAL'S FAP. SILVER CROSS WILL ALSO CONTINUE TO UPDATE THEIR AGB CALCULATIONS FOR BOTH CURRENT YEAR CALCULATIONS AND REVIEW PREVIOUS YEAR'S CALCULATIONS AND MAKE ANY ADJUSTMENTS IF DEEMED TO BE NECESSARY TO THE FINANCIAL ASSISTANCE POLICY.
Schedule H, Part I, Line 3c THE HOSPITAL PROVIDES CHARITY CARE ASSISTANCE TO PATIENTS WHO MAINTAIN A HOUSEHOLD INCOME UP TO 400% ABOVE THE FEDERAL POVERTY LEVEL. IN ADDITION, THE HOSPITAL PROVIDES A 50% DISCOUNT OFF OF THE STANDARD HOSPITAL CHARGES TO ALL UNINSURED PATIENTS.
Schedule H, Part I, Line 6a SILVER CROSS HOSPITAL COMPLETES AN ANNUAL COMMUNITY BENEFITS REPORT WHICH IS AVAILABLE ON THE HOSPITAL WEBSITE AND UPON REQUEST.
Schedule H, Part I, Line 7 COMMUNITY BENEFITS DATA DETAIL AND SUMMARY REPORTS ALONG WITH FINANCIAL REPORTS WERE USED TO COMPLETE THE INFORMATION ON PART I LINE 7. NO BAD DEBT IS INCLUDED IN THE CHARITY CARE AND PUBLIC AID AMOUNTS IN THIS SECTION. THE COST/CHARGE RATIO FROM THE MOST RECENT MEDICARE COST REPORT WAS USED TO CALCULATE THE COST OF CHARITY CARE AND BAD DEBT.
Schedule H, Part II THERE ARE NO COMMUNITY BUILDING ACTIVITIES COSTS TO REPORT FOR SILVER CROSS HOSPITAL THAT ARE NOT REPORTABLE IN PART I OF SCHEDULE H. THE SILVER CROSS HEALTHY COMMUNITY COMMISSION WORKS WITH SILVER CROSS HOSPITAL FOR ONGOING COMMUNITY HEALTH IMPROVEMENT ADVOCACY.
Schedule H, Part I, Line 7 COLUMN F THE HOSPITAL FILES A COMMUNITY BENEFIT REPORT IN ILLINOIS.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT SILVER CROSS HOSPITAL FILES A COMMUNITY BENEFIT REPORT IN THE STATE OF ILLINOIS.
Schedule H, Part V, Section B, Line 16a https://www.silvercross.org/app/files/public/0477a93c-65fa-45b7-adc3- 2651b935bde6/Financial%20Assistance%20Policy%20(FAP).pdf
Schedule H, Part V, Section B, Line 16c https://www.silvercross.org/app/files/public/d3b3d8ab-1fb2-4534-9f7d- d7686037889b/Plain%20Language%20Summary.pdf
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT IS CALCULATED USING COSTING METHODS INCLUDING COST TO CHARGE RATIO, USING FINANCIAL STATEMENTS TO DETERMINE COST OF CARE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology THIS IS AN ESTIMATED AMOUNT BASED ON UNINSURED PATIENTS NOT ATTEMPTING TO QUALIFY FOR CHARITY CARE. BAD DEBT IS INCLUDED AS A COMMUNITY BENEFIT BUT CALCULATED AT COST. FOR THOSE PATIENTS THAT WE BELIEVE TO BE UNABLE TO PAY, WE DO NOT SEEK OUT COLLECTION OF THE BAD DEBT AND THEREFORE BELIEVE THAT THE COST OF THE CARE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES THEIR PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF THEIR MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATIONS ANALYZE CONTRACTUALLY DUE AMOUNTS AND PROVIDE AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (E.G. FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES PATIENTS WITHOUT INSURANCE), THE CORPORATIONS RECORD A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE MEDICARE LOSS SUSTAINED IS A RESULT OF MEDICARE REIMBURSING AT LESS THAN THE OPERATING COST. COSTS WERE OBTAINED USING THE MEDICARE COST REPORT. WE BELIEVE THESE SHOULD BE CONSIDERED A COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS WHICH QUALIFY AS CHARITY CARE.
Schedule H, Part V, Section B, Line 16a FAP website 1 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS: Line 16a URL: SEE STMT;
Schedule H, Part V, Section B, Line 16b FAP Application website 1 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS: Line 16b URL: https://www.silvercross.org/app/files/public/1326/request-for-assistance-on-medical-bill.pdf;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS: Line 16c URL: SEE STMT;
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance INFORMATION REGARDING ASSISTANCE FOR CHARITY CARE IS PROVIDED TO PATIENTS BY CONDUCTING INTERVIEWS, POSTING NOTICES IN THE HOSPITAL, INFORMATION ON THE HOSPITAL'S WEBSITE, AND ON THE PATIENT BILL. REGISTRATION PERSONNEL PROVIDE FINANCIAL ASSISTANCE INFORMATION TO PATIENTS WITH NO INSURANCE COVERAGE. A FINANCIAL COUNSELING OFFICE WORKS WITH PATIENTS TO ASSIST THEM IN APPLICATIONS FOR CHARITY CARE.
Schedule H, Part VI, Line 4 Community information SILVER CROSS HOSPITAL CARES FOR PEOPLE WHO RESIDE IN AREAS PRIMARILY LOCATED IN WILL COUNTY AND PORTIONS OF GRUNDY COUNTY AND SOUTHWESTERN COOK COUNTY. MEDIAN INCOMES RANGE BROADLY THROUGHOUT THE COMMUNITY WITH DISTINCT POCKETS THAT HAVE VERY LOW INCOME LEVELS. MEDIAN INCOME IN THE SILVER CROSS SERVICE AREA IS $92,000 AND THE TOTAL POPULATION IS 785,000. OUR SERVICE AREA IS COMPOSED OF WIDELY DIVERSE CROSS SECTIONS OF THE POPULATION.
Schedule H, Part VI, Line 2 Needs assessment SILVER CROSS HOSPITAL PARTICIPATES WITH OTHER HEALTHCARE AND COMMUNITY ORGANIZATIONS TO CREATE THE WILL COUNTY HEALTH NEEDS ASSESSMENT AND PLAN THROUGH PARTICIPATION IN A COMMUNITY GROUP CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). MAPP HAS ENABLED ORGANIZATIONS TO ENGAGE IN COUNTY-WIDE STRATEGIC PROCESS TO ENSURE THAT AREA RESIDENTS RECEIVE THE BEST POSSIBLE PUBLIC HEALTH SERVICES. SILVER CROSS HOSPITAL HAS USED THE WILL COUNTY NEEDS ASSESSMENT AND STRATEGIC PLAN AS A RESOURCE TOOL TO DEVELOP ITS COMMUNITY PROGRAMMING. SILVER CROSS' PROGRAMS AND SERVICES FALL INTO THE FOLLOWING CATEGORIES: ACCESS TO HEALTHCARE, PREVENTION AND MANAGEMENT OF CHRONIC CARE ISSUES, BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERS, AND AWARENESS OF SERVICES.
Schedule H, Part VI, Line 5 Promotion of community health SILVER CROSS HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING OVER 100 COMMUNITY OUTREACH PROGRAMS WHICH PROMOTE HEALTHIER LIFESTYLES AND HEALTH IMPROVEMENT. THESE INCLUDE EDUCATIONAL SEMINARS, HEALTH PREVENTION SCREENINGS, HEALTH PREVENTION LECTURES, HEALTH FAIRS, EXPOS, CPR/FIRST AID CLASSES, PRENATAL CLASSES, INTERNSHIPS, SPEAKERS BUREAU PRESENTATIONS, AND SUPPORT GROUP MEETINGS. THROUGH THESE PROGRAMS SILVER CROSS HOSPITAL HAS TOUCHED THE LIVES OF 220,000 RESIDENTS IN OUR COMMUNITY, IMPACTING THE HEALTH OF THOUSANDS OF INDIVIDUALS.
Schedule H, Part VI, Line 6 Affiliated health care system SILVER CROSS HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
Schedule H, Part VI, Line 7 State filing of community benefit report IL