4A (Expenses $ 189752653 including grants of $ 8624) (Revenue $ 223335162)
JAVON BEA HOSPITAL (JBH) IS A NOT-FOR-PROFIT CHARITABLE HEALTHCARE INSTITUTION THAT FUNCTIONS IN ACCORDANCE WITH ALL APPLICABLE LAWS AND REGULATIONS. IN THE COURSE OF OPERATIONS, JBH IS COMMITTED TO PROVIDING SUPERIOR CARE EVERY DAY FOR ALL ITS PATIENTS. JBH IS A 285 LICENSED BED, REGIONAL REFERRAL HOSPITAL WHICH INCLUDES A LEVEL 1 TRAUMA CENTER, LEVEL III NEONATAL INTENSIVE CARE UNIT AND LEVEL III REGIONAL PERINATAL CENTER. IN FISCAL YEAR 2022, PATIENT CARE WAS RENDERED TO 9,446 INDIVIDUALS WHO PRESENTED THEMSELVES FOR INPATIENT SERVICES, 877 INFANT DELIVERIES AND 1,467 INPATIENT SURGERIES ALONG WITH SUPPORTING 29,697 EMERGENCY ROOM VISITS. THE SUBACUTE LONG-TERM CARE INPATIENT DEPARTMENT PROVIDED LONG-TERM CARE TO 86 PATIENTS RELEASED FROM BASIC HOSPITAL CARE BUT NOT READY TO GO HOME OR TO MOVE ON TO A REHAB OR NURSING FACILITY.

4B (Expenses $ 147827070 including grants of $ 8624) (Revenue $ 164389898)
JAVON BEA HOSPITAL (JBH) IS DESIGNATED BY THE IL DEPT OF PUBLIC HEALTH AS THE DISASTER POD HOSPITAL FOR THE NORTHERN IL EMS REGION. AS A LEVEL I TRAUMA CENTER, JBH PROVIDES PATIENT CARE AND DIAGNOSTIC SERVICES 24/7 TO ALL WHO PRESENT THEMSELVES FOR SERVICE.IN FISCAL YEAR 2022, THAT INCLUDED 1,330 VISITS TO THE SLEEP LAB; 81,848 DIAGNOSTIC RADIOLOGY PROCEDURES; 5,501 RADIATION ONCOLOGY TREATMENTS; 36,209 CARDIAC PROCEDURES OR TESTS; 6,508 VISITS TO THE PAIN CLINIC; AND 124,969 RESPIRATORY THERAPY TREATMENTS.JBH HAS AN IN-HOUSE LABORATORY THAT PROVIDES TESTING FOR ALL WHO PRESENT THEMSELVES AT THE HOSPITAL FOR TREATMENT.IN FISCAL YEAR 2022, JBH PERFORMED 881,269 TESTS.

4C (Expenses $ 14818874 including grants of $ 901935) (Revenue $ 874473)
JBH HAS PROVIDED HEALTH EDUCATION AND OUTREACH IN A VARIETY OF FORMS WITHIN THE ELEVEN COUNTY AREA THAT INCLUDES SEVERAL SCHOOL PARTNERSHIPS, MENTORING, HEALTH PROGRAMS, TEACHING, JOB SHADOWING AND VOLUNTEERING. JBH HOSTS SUPPORT GROUPS, TRAINING CLASSES AND LECTURES SERIES FOR HEALTH AND SAFETY RELATED TOPICS. EMPLOYEES STAFF COMMUNITY HEALTH FAIRS AND OPEN HEALTH SCREENINGS. THE RONALD MCDONALD CARE MOBILE WHICH PROVIDES FREE DENTAL AND MEDICAL CARE TO UNINSURED AND UNDERINSURED CHILDREN IN FIVE NORTHERN COUNTIES. THE 40-FOOT, 26,000 POUND MOBILE UNIT HOUSES TWO PATIENT EXAM ROOMS, A CENTRAL WAITING ROOM , AND A STERILIZATION AREA AND HAS PROVIDED CARE TO MORE THAN 9,537 CHILDREN SINCE THE INCEPTION OF THE PROGRAM IN 2003. THIS TOTALS MORE THAN $3.03 MILLION IN FREE CARE OVER THE LIFE OF THE PROGRAM. THE CARE MOBILE IS COMPLETELY FUNDED BY PHILANTHROPY FROM THE MERCYHEALTH DEVELOPMENT FOUNDATION, JAVON BEA HOSPITAL AUXILIARY AND THE RONALD MCDONALD CHARITIES OF MADISON. JBH ALSO PROVIDES LANGUAGE ASSISTANCE TO PATIENTS AND THEIR FAMILIES WHO NEED TO COMMUNICATE WITH MEDICAL PERSONNEL FOR TREATMENT AND MEETING SPACE FOR VARIOUS MEDICAL AND SOCIAL SERVICE SUPPORT GROUPS. FUNDS WERE ALSO USED TO SUPPORT HEALTHCARE CONDITIONS THROUGHOUT THE STATE OF ILLINOIS.

4D (Expenses $ 110318 including grants of $ 100200) (Revenue $ 158145)
THROUGH MERCYHEALTH VOLUNTEER ASSOCIATION, JBH IS ABLE TO PROVIDE EXTRA FUNDS AND SERVICES TO SUPPORT ITS MISSION.THE VOLUNTEER ASSOCIATION HAS 150 VOLUNTEERS WHO LOGGED APPROXIMATELY 16,350 HOURS WHILE ASSISTING WITH GREETING VISITORS, TRANSPORTING PATIENTS, FLORAL OR GIFT DELIVERIES, THRIFT SHOP AND GIFT SHOP ACTIVITIES, AND OTHER SERVICES AS REQUESTED.THE VOLUNTEERS' EFFORTS PROVIDE EXTRA FUNDS AND ENHANCE THE OVERALL HOSPITAL EXPERIENCE FOR PATIENTS, VISITORS, AND STAFF.

JAVON BEA HOSPITAL
PART V, SECTION B, LINE 5: JAVON BEA HOSPITAL COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT THAT COLLABORATED WITH AND REFERENCED A VARIETY OF SOURCES TO BETTER UNDERSTAND COMMUNITY NEEDS. ONE EXTENSIVE DATA SOURCE REFERENCED WAS THE ROCKFORD REGIONAL HEALTH COUNCIL 2020 HEALTHY COMMUNITY STUDY. THIS STUDY COMPLEMENTED OTHER DATA SOURCES AND LED TO A STRATEGIC PLAN WITH IDENTIFIED GOALS AND PRIORITIES. THE ROCKFORD REGIONAL HEALTH COUNCIL IS A NON-PARTISAN ORGANIZATION THAT FOCUSES ON IMPROVING THE QUALITY OF OUR REGION'S HEALTH. THE FOCUS OF THE COUNCIL IS ON IMPROVING THE QUALITY OF OUR REGION'S HEALTH THROUGH DATA GATHERING AND ANALYSIS, EDUCATION, ACTION AND ADVOCACY. THE COUNCIL WORKED WITH A STEERING COMMITTEE CONSISTING OF BOONE COUNTY HEALTH DEPARTMENT, MERCYHEALTH (JAVON BEA HOSPITAL), OSF HEALTHCARE, SWEDISHAMERCIAN HEALTH SYSTEM, UNITED WAY OF ROCK RIVER VALLEY, UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE ROCKFORD, DEPARTMENT OF FAMILY & COMMUNITY MEDICINE AND THE DIVISION OF HEALTH POLICY AND SOCIAL SCIENCE RESEARCH TO PLAN, COMPLETE, AND ANALYZE THE RESULTS OF THE 2020 HEALTHY COMMUNITY STUDY. THIS WIDE ARRAY OF ORGANIZATIONS WHO SPECIALIZE IN HEALTHCARE AND MEETING COMMUNITY NEEDS COVERS A LARGE PORTION OF THE WINNEBAGO COUNTY COMMUNITY WHO PARTNERED TOGETHER TO CONDUCT THIS STUDY AND TO COLLECTIVELY IDENTIFY AREAS OF THE COMMUNITY WHERE THERE ARE PUBLIC HEALTH CONCERNS. SUBSEQUENTLY, JAVON BEA HOSPITAL COMPLETED AN INDIVIDUAL REPORT BASED ON THESE FINDINGS AND INPUT. JAVON BEA HOSPITAL ALSO CREATED AN IMPROVEMENT PLAN SPECIFIC TO THE HOSPITAL'S EFFORTS. THE HEALTHY COMMUNITY STUDY INCLUDED A COMMUNITY SURVEY WHICH RECEIVED 1,677 ANONYMOUS RESPONSES FROM INDIVIDUALS. THE SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH, AND WAS DISTRIBUTED VIA EMAIL, SOCIAL MEDIA, AND A PAPER SURVEY. TO ENCOURAGE INPUT FROM MEDICALLY UNDERSERVED POPULATIONS, THE PAPER SURVEY WAS DISTRIBUTED AT SITES INCLUDING ELEMENTARY SCHOOLS, PUBLIC HOUSING PROVIDERS, FEDERALLY QUALIFIED HEALTH CENTER CLINICS, AND A FOOD PANTRY.THE HEALTHY COMMUNITY STUDY ALSO INCLUDED A FACILITATED DISCUSSION WITH 38 LOCAL ORGANIZATIONS REPRESENTING THE LOCAL COMMUNITY TO EXAMINE THE STRENGTHS, WEAKNESSES, AND OPPORTUNITIES FOR GROWTH IN THE LOCAL PUBLIC HEALTH SYSTEM. THESE ORGANIZATIONS INCLUDED BOONE COUNTY HEALTH DEPARTMENT, CITY OF ROCKFORD HEAD START, CRUSADER CLINIC, HARLEM SCHOOL DISTRICT #122, ILLINOIS DEPARTMENT OF PUBLIC HEALTH, NAMI NORTHERN ILLINOIS, PECATONICA COMMUNITY SCHOOL DISTRICT, ROCKFORD RESCUE MISSION, ROCKFORD PUBLIC SCHOOLS, ROSECRANCE, ROCKFORD FIRE DEPARTMENT, AND THE WINNEBAGO COUNTY HEALTH DEPARTMENT.

VANMATRE HEALTH SOUTH
PART V, SECTION B, LINE 5: VAN MATRE SOUTH COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT THAT COLLABORATED WITH AND REFERENCED A VARIETY OF SOURCES TO BETTER UNDERSTAND COMMUNITY NEEDS. ONE EXTENSIVE DATA SOURCE REFERENCED WAS THE ROCKFORD REGIONAL HEALTH COUNCIL 2020 HEALTHY COMMUNITY STUDY. THIS STUDY COMPLEMENTED OTHER DATA SOURCES AND LED TO A STRATEGIC PLAN WITH IDENTIFIED GOALS AND PRIORITIES. THE ROCKFORD REGIONAL HEALTH COUNCIL IS A NON-PARTISAN ORGANIZATION THAT FOCUSES ON IMPROVING THE QUALITY OF OUR REGION'S HEALTH. THE FOCUS OF THE COUNCIL IS ON IMPROVING THE QUALITY OF OUR REGION'S HEALTH THROUGH DATA GATHERING AND ANALYSIS, EDUCATION, ACTION AND ADVOCACY. THE COUNCIL WORKED WITH A STEERING COMMITTEE CONSISTING OF BOONE COUNTY HEALTH DEPARTMENT, MERCYHEALTH (JAVON BEA HOSPITAL), OSF HEALTHCARE, SWEDISHAMERCIAN HEALTH SYSTEM, UNITED WAY OF ROCK RIVER VALLEY, UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE ROCKFORD, DEPARTMENT OF FAMILY & COMMUNITY MEDICINE AND THE DIVISION OF HEALTH POLICY AND SOCIAL SCIENCE RESEARCH TO PLAN, COMPLETE, AND ANALYZE THE RESULTS OF THE 2020 HEALTHY COMMUNITY STUDY. THIS WIDE ARRAY OF ORGANIZATIONS WHO SPECIALIZE IN HEALTHCARE AND MEETING COMMUNITY NEEDS COVERS A LARGE PORTION OF THE WINNEBAGO COUNTY COMMUNITY WHO PARTNERED TOGETHER TO CONDUCT THIS STUDY AND TO COLLECTIVELY IDENTIFY AREAS OF THE COMMUNITY WHERE THERE ARE PUBLIC HEALTH CONCERNS. SUBSEQUENTLY, VAN MATRE SOUTH COMPLETED AN INDIVIDUAL REPORT BASED ON THESE FINDINGS AND INPUT. VAN MATRE SOUTH ALSO CREATED AN IMPROVEMENT PLAN SPECIFIC TO THE HOSPITAL'S EFFORTS.THE HEALTHY COMMUNITY STUDY INCLUDED A COMMUNITY SURVEY WHICH RECEIVED 1,677 ANONYMOUS RESPONSES FROM INDIVIDUALS. THE SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH, AND WAS DISTRIBUTED VIA EMAIL, SOCIAL MEDIA, AND A PAPER SURVEY. TO ENCOURAGE INPUT FROM MEDICALLY UNDERSERVED POPULATIONS, THE PAPER SURVEY WAS DISTRIBUTED AT SITES INCLUDING ELEMENTARY SCHOOLS, PUBLIC HOUSING PROVIDERS, FEDERALLY QUALIFIED HEALTH CENTER CLINICS, AND A FOOD PANTRY.THE HEALTHY COMMUNITY STUDY ALSO INCLUDED A FACILITATED DISCUSSION WITH 38 LOCAL ORGANIZATIONS REPRESENTING THE LOCAL COMMUNITY TO EXAMINE THE STRENGTHS, WEAKNESSES, AND OPPORTUNITIES FOR GROWTH IN THE LOCAL PUBLIC HEALTH SYSTEM. THESE ORGANIZATIONS INCLUDED BOONE COUNTY HEALTH DEPARTMENT, CITY OF ROCKFORD HEAD START, CRUSADER CLINIC, HARLEM SCHOOL DISTRICT #122, ILLINOIS DEPARTMENT OF PUBLIC HEALTH, NAMI NORTHERN ILLINOIS, PECATONICA COMMUNITY SCHOOL DISTRICT, ROCKFORD RESCUE MISSION, ROCKFORD PUBLIC SCHOOLS, ROSECRANCE, ROCKFORD FIRE DEPARTMENT, AND THE WINNEBAGO COUNTY HEALTH DEPARTMENT.

JAVON BEA HOSPITAL
PART V, SECTION B, LINE 6B: ROCKFORD REGIONAL HEALTH COUNCIL

VANMATRE HEALTH SOUTH
PART V, SECTION B, LINE 6B: ROCKFORD REGIONAL HEALTH COUNCIL AND WINNEBAGO COUNTY HEALTH DEPARTMENT

JAVON BEA HOSPITAL
PART V, SECTION B, LINE 11: JAVON BEA HOSPITAL CREATED AN INDEPENDENT IMPLEMENTATION PLAN TO MEET COMMUNITY NEEDS BASED ON THE RESULTS OF THE 2020 HEALTHY COMMUNITY STUDY AND OTHER DATA SOURCES. THE RESULT WAS A MULTIFACETED COMMUNITY BENEFIT PLAN TO IMPROVE THE HEALTH AND WELLBEING OF RESIDENTS IN THE PRIMARY SERVICE AREA.THE SURVEY IDENTIFIED MULTIPLE NEEDS WITHIN THE COMMUNITY. THE NEEDS IDENTIFIED INCLUDED ALCOHOL, OPIOID & OTHER SUBSTANCE ABUSE ISSUES, CHRONIC DISEASE, MATERNAL/PRENATAL/EARLY CHILDHOOD HEALTH, GERIATRIC HEALTH NEEDS, HEALTH EQUITY, AND A SHORTAGE OF MENTAL HEALTH SERVICES, JOB TRAINING AND EMPLOYMENT FOR PEOPLE WITH DISABILITIES.THE IMPLEMENTATION PLAN FOCUSES ON MANY OF THE AREAS IDENTIFIED TO HELP TO IMPROVE THE GENERAL HEALTH OF INDIVIDUALS LIVING IN THE PRIMARY SERVICE AREA INCLUDING:1. IMPROVE HEALTH CARE ACCESS BY DEVELOPING AND OFFERING VARIOUS ACCESS SITES AND VENUES FOR PRIMARY CARE MEDICAL SERVICES. 2. ESTABLISH PHYSICIAN RESIDENCY PROGRAMS IN ROCKFORD. 3. SUPPORT BRIDGE CLINIC SERVICES AND THE RONALD MCDONALD CARE MOBILE FOR NON- AND UNDER-INSURED PATIENTS AND CHILDREN.4. SAFE CARE COMMITMENT - IN RESPONSE TO COVID-19 TO EFFECTIVELY CARE FOR THE NEEDS OF OUR COMMUNITY AND TO ENSURE UP-TO-DATE EDUCATION AND PREPAREDNESS DURING A PANDEMIC, COORDINATE WITH LOCAL, REGIONAL, AND STATE ORGANIZATIONS REGARDING EMS SURGE PLANNING, RESPONSE AND INFORMATION SHARING. PROVIDE ALTERNATIVE EDUCATION FOR EMERGENCY MEDICAL SERVICES, INCLUDING: - ENHANCED SAFETY AND TREATMENT PROTOCOLS BY OUR EMS SYSTEM AND THE REACT AIR MEDICAL CRITICAL CARE TRANSPORT PROGRAM. - EXPAND TELEMEDICINE SERVICES TO INCREASE VIRTUAL ACCESS FOR OUR PATIENTS. HAVE PROVIDERS ON CALL THAT ARE AVAILABLE TO ASSIST EMS CREWS IN THE FIELD WITH TRAUMA-RELATED EMERGENCIES AND CRITICAL ILLNESSES. - EXPAND COVID 19 RESPONSE, SCREENING, AND EFFECTIVE TRANSPORT OF PATIENTS SUSPECTED OR CONFIRMED FOR COVID-19. - REASSURE PATIENTS OF EXTRA SAFETY PRECAUTIONS TAKEN TO ENSURE THE HEALTH AND SAFETY OF OUR PATIENTS INCLUDING ENHANCED CLEANING, MASKING, SCREENING AND SOCIAL DISTANCING.THE IMPLEMENTATION PLAN DOES NOT ADDRESS ISSUES AROUND VIOLENCE IN THE COMMUNITY, AS THIS NEED IS BETTER ADDRESSED BY ORGANIZATIONS MORE VERSED IN THE MULTIDIMENSIONAL FACTORS AFFECTING COMMUNITY VIOLENCE & CRIME.

VANMATRE HEALTH SOUTH
PART V, SECTION B, LINE 11: JAVON BEA HOSPITAL CREATED AN INDEPENDENT IMPLEMENTATION PLAN TO MEET COMMUNITY NEEDS BASED ON THE RESULTS OF THE 2020 HEALTHY COMMUNITY STUDY AND OTHER DATA SOURCES. THE RESULT WAS A MULTIFACETED COMMUNITY BENEFIT PLAN TO IMPROVE THE HEALTH AND WELLBEING OF RESIDENTS IN THE PRIMARY SERVICE AREA.THE SURVEY IDENTIFIED MULTIPLE NEEDS WITHIN THE COMMUNITY. THE NEEDS IDENTIFIED INCLUDED ALCOHOL, OPIOID & OTHER SUBSTANCE ABUSE ISSUES, CHRONIC DISEASE, MATERNAL/PRENATAL/EARLY CHILDHOOD HEALTH, GERIATRIC HEALTH NEEDS, HEALTH EQUITY, AND A SHORTAGE OF MENTAL HEALTH SERVICES, JOB TRAINING AND EMPLOYMENT FOR PEOPLE WITH DISABILITIES.THE IMPLEMENTATION PLAN FOCUSES ON MANY OF THE AREAS IDENTIFIED TO HELP TO IMPROVE THE GENERAL HEALTH OF INDIVIDUALS LIVING IN THE PRIMARY SERVICE AREA INCLUDING:1. ENHANCE QUALITY OF CARE BY FOCUSING ON CARE COORDINATION BETWEEN HOSPITAL, PRIMARY CARE, AND INPATIENT REHAB FACILITY. 2. REDUCE LIKELIHOOD OF OPIOID ADDICTION BEGINNING AND/OR CONTINUING. 3. INCREASE ACCURACY OF DISPOSITION TO ENSURE CARE IS DELIVERED IN THE RIGHT SETTING.4. SAFE CARE COMMITMENT - IN RESPONSE TO COVID-19 TO EFFECTIVELY CARE FOR THE NEEDS OF OUR COMMUNITY AND TO ENSURE UP-TO-DATE EDUCATION AND PREPAREDNESS DURING A PANDEMIC, COORDINATE WITH LOCAL, REGIONAL, AND STATE ORGANIZATIONS REGARDING SURGE PLANNING, RESPONSE, AND INFORMATION SHARING, INCLUDING:- ENHANCED SAFETY AND TREATMENT PROTOCOLS. EXPAND COVID 19 RESPONSE, SCREENING, AND EFFECTIVE TRANSPORT OF PATIENTS SUSPECTED OR CONFIRMED FOR COVID-19. - REASSURE PATIENTS OF EXTRA SAFETY PRECAUTIONS TAKEN TO ENSURE THE HEALTH AND SAFETY OF OUR PATIENTS INCLUDING ENHANCED CLEANING, MASKING, SCREENING, AND SOCIAL DISTANCING.

PART V, SECTION B, LINE 22D:
JAVON BEA HOSPITALTHE HOSPITAL FACILITY USED A LOOK-BACK METHOD BASED ON CLAIMS ALLOWED BY MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE HOSPITAL FACILITY DURING A PRIOR 12-MONTH PERIOD.

PART I, LINE 7:
THE HOSPITAL UTILIZED BOTH THE MEDICARE COST REPORT CCR (COST-TO-CHARGE RATIO) AND OUR COST ACCOUNTING SYSTEM TO DETERMINE THE COST OF CHARGES, BAD DEBT AND CHARITY CARE EXPENSE INCLUDED IN LINE 7. THE SUBSIDIZED PROGRAMS ALSO INCLUDE THE COSTS (BASED ON A CALCULATED CCR) FROM THE RELATED COMPANY ROCKFORD HEALTH PHYSICIANS (RHPH) BECAUSE THERE ARE NO PHYSICIANS COSTS INCLUDED IN THE HOSPITAL COST ACCOUNTING ANALYSIS. BAD DEBT AND CHARITY AT COST HAVE BEEN REMOVED FROM LINES 7A/7F/7G SINCE THOSE COSTS WERE PREVIOUSLY INCLUDED.

PART III, LINE 2:
ALL CHARGES FOR ANY SERVICE PROVIDED BY JAVON BEA HOSPITAL ARE THE VERY SAME FOR EVERY INDIVIDUAL, REGARDLESS OF WHETHER IT IS FOR EMERGENCY OR STANDARD CARE AND REGARDLESS OF THE PATIENT'S ABILITY TO PAY. EACH PATIENT IS THEN ASSESSED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BASED ON PREDEFINED CRITERIA OF FINANCIAL STATUS AND INCOME LEVEL. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE EXPECTED REIMBURSEMENT IS BASED ON CHARITY CARE POLICY GUIDELINES. THE ORGANIZATION MAINTAINS A BAD DEBT RESERVE ON THE BALANCE SHEET. ANY BAD DEBT WRITE-OFFS OF PATIENT ACCOUNTS WILL GO AGAINST THE BED DEBT RESERVE. AT EACH MONTH END BASED ON THE ACCOUNTS RECEIVABLE BY FINANCIAL CLASS AND AGING BUCKET, THE RESERVE AMOUNT IS RE-EVALUATED. THE AMOUNT NEEDED TO MAINTAIN THE APPROPRIATE RESERVE LEVEL IS THE BAD DEBT EXPENSE. ANY PAYMENTS RECEIVED ON PATIENT ACCOUNTS PREVIOUSLY WRITTEN OFF TO BAD DEBT WILL OFFSET THE BAD DEBT EXPENSE.

PART III, LINE 4:
BAD DEBT EXPENSE IS ACCOUNTED FOR IN THE FOLLOWING MANNER (AS DETAILED IN NOTE 1 OF THE AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH CORPORATION). GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE CORPORATION ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE CORPORATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDED JUNE 30, 2022 AND 2021, WAS NOT SIGNIFICANT. CONSISTENT WITH THE CORPORATION'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE CORPORATION HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE CORPORATION EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. THE CORPORATION'S POLICY IS TO PROVIDE A DISCOUNT FROM ESTABLISHED CHARGES TO UNINSURED PATIENTS. THIS POLICY DID NOT CHANGE IN 2022 AND 2021.

PART III, LINE 8:
REPORTED ON LINE 6 ARE ALLOWABLE MEDICARE COSTS PROVIDED BY THE COST REPORT. MEDICARE COSTS ARE ELIMINATED FROM THE SUBSIDIZED PROGRAMS ON PART 1, LN 7G AS CALCULATED BY OUR COST ACCOUNTING ANALYSIS. A COMBINATION OF COST ACCOUNTING AND THE MEDICARE CCR WAS USED FOR THE COMPUTATION OF SUBSIDIZED PROGRAMS.

PART III, LINE 9B:
JAVON BEA HOSPITAL HAS A STRONG COMMITMENT TO PROVIDE QUALITY PATIENT CARE FOR ALL INDIVIDUALS. OUR MISSION IS TO PROVIDE HEALTH CARE TO EVERYONE WHO COMES TO OUR DOOR, REGARDLESS OF THEIR ABILITY TO PAY. WE HELP PATIENTS APPLY FOR INSURANCE ASSISTANCE INCLUDING: AUTOMOBILE ACCIDENTS, CRIME VICTIMS, WORKERS COMPENSATION, MEDICAID, COBRA, LOCAL ASSISTANCE AND/OR HOSPITAL FINANCIAL ASSISTANCE, AND COPAY ASSISTANCE PROGRAMS. IF PATIENTS DO NOT QUALIFY FOR ANY OF THESE, WE MAY EXTEND PAYMENT OPTIONS SUCH AS MONTHLY PAYMENTS, CREDIT CARD PAYMENTS OR FINANCIAL ASSISTANCE. PER OUR POLICY, MERCYHEALTH WILL SUSPEND ANY EFFORT TO COLLECT PAYMENT FOR CARE WHEN A PATIENT SUBMITS AN APPLICATION FOR FINANCIAL ASSISTANCE UNTIL EITHER (I) MERCYHEALTH HAS DETERMINED WHETHER THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON A COMPLETE APPLICATION; OR (II) IN THE CASE OF AN INCOMPLETE APPLICATION, THE INDIVIDUAL HAS FAILED TO RESPOND TO REQUESTS FOR ADDITIONAL INFORMATION AND/OR DOCUMENTATION WITHIN A REASONABLE PERIOD OF TIME GIVEN TO RESPOND TO SUCH REQUESTS. IF THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, MERCYHEALTH WILL: (I) REFUND TO THE PATIENT ANY AMOUNT HE OR SHE HAS PAID FOR CARE THAT EXCEEDS THE PATIENT'S CALCULATED PERSONAL RESPONSIBILITY; (II) PROVIDE THE PATIENT A BILLING STATEMENT THAT INDICATES THE AMOUNT THE PATIENT OWES FOR THE CARE AS A FINANCIAL ASSISTANCE ELIGIBLE PATIENT AND AN EXPLANATION OF HOW THE AMOUNT WAS CALCULATED, INCLUDING A DESCRIPTION OF HOW THE PATIENT CAN GET INFORMATION REGARDING THE AMOUNT GENERALLY BILLED (AS DEFINED IN MERCYHEALTH HOSPITAL FINANCIAL ASSISTANCE POLICY); AND (III) TAKE ALL REASONABLY AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTIONS (ECAS) (EXCEPT THE SALE OF DEBT) TAKEN AGAINST THE PATIENT TO OBTAIN PAYMENT FOR THE CARE.

PART VI, LINE 3:
ALL UNINSURED PATIENTS ARE NOTIFIED OF MERCY'S FINANCIAL ASSISTANCE POLICY UPON REGISTRATION. INFORMATION IS ALSO AVAIABLE AT THE HEALTH SYSTEMS' WEBSITE, IN OUR EMERGENCY ROOMS, FINANCIAL ASSISTANCE OFFICES, AND WITH THE PATIENT FINANCIAL COUNSELORS. APPROPRIATE PERSONNEL HAVE BEEN TRAINED ON HOW TO INTERACT WITH PATIENTS ABOUT FINANCIAL AID AVAILABILITY, AND HOW TO DIRECT PATIENTS TO APPROPRIATE FINANCIAL AID STAFF. THE HOSPITALS HAVE TRANSLATION SERVICES AVAILABLE AS NEEDED.

PART VI, LINE 7, REPORTS FILED WITH STATES
IL

PART VI, LINE 2:
IN ADDITION TO THE HEALTH NEEDS ASSESSMENT - MERCY HEALTH IS WORKING TO: - WORK WITH OTHER COMMUNITY SERVICES AND THROUGH MEDICARE ACO TO PROACTIVELY MANAGE AND IMPROVE THE CHRONIC DISEASE STATE OF OUR PATIENTS, AND TO CONTINUE MEDICARE ACO WELLNESS VISITS TO PROACTIVELY MANAGE THE HEALTH OF MEDICARE PATIENTS. - MAINTAIN CLINICAL TEAMS TO WORK WITH SELECTED NURSING HOME PATIENTS TO ENSURE APPROPRIATE TRANSITIONAL CARE AND MANAGE AND PROVIDE INTERVENTIONS AS NECESSARY FOR VARIOUS ACUTE AND CHRONIC DISEASES. - IN ADDITION, SUB-ACUTE CARE WAS ADDED TO ALLOW PATIENTS TO TRANSITION AFTER A MAJOR ILLNESS OR INJURY AND MAINTAIN A HEALTHY LIFESTYLE.- MAINTAIN MULTIDISCIPLINARY PALLIATIVE CARE SERVICES FOR ADULTS TO FORMULATE PLANS OF CARE, IDENTIFY RESOURCES, AND PROVIDE SUPPORT FOR BOTH PATIENTS AND FAMILIES FOR VARIOUS CHRONIC AND ACUTE DISEASES.- IMPROVE THE HEALTH OF PATIENTS WITH SPECIFIC NEEDS, INCLUDING GERIATRIC HEALTH NEEDS AND SUBSTANCE ABUSE BY OFFERING A WIDE ARRAY OF COMMUNITY EDUCATIONAL HEALTH & SCREENING PROGRAMS.- REDUCE THE LIKELIHOOD OF OPIOID ADDICTION BEGINNING OR CONTINUING BY MONITORING OPIOID PRESCRIPTIONS AMONG PHYSICIANS, OFFERING PROVIDER EDUCATION, AND OFFERING ADDICTION COUNSELING.- MAINTAIN OUR COMMITMENT TO THE WOMEN AND CHILDREN OF THE COMMUNITY AS A PROVIDER OF COMPREHENSIVE TERTIARY SERVICES AND TO ENSURE EXCELLENT OUTCOMES FOR MOTHERS AND INFANTS BY REMAINING THE STATE OF IL REGIONAL PERINATAL CENTER FOR 11 COUNTIES AND PARTICIPATING IN ILPQC (ILLINOIS PERINATAL QUALITY COLLABORATIVE) INITIATIVES LIKE PROMOTING VAGINAL BIRTH FOR LOW RISK FIRST PREGNANCY WOMEN, MAINTAINING THE HYPERTENSION BUNDLE TO ASSESS QUICK RESPONSE TO INCREASED BLOOD PRESSURES OF PERIPARTUM MOTHERS, AND THE NEONATAL ABSTINENCE SYNDROME (NAS) BUNDLE FOCUSING ON INTERVENTION FOR BABIES OF ADDICTED MOTHERS.- PROVIDE JOB TRAINING AND EMPLOYMENT OPPORTUNITIES TO DISABLED YOUNG ADULT COMMUNITY MEMBERS IN COLLABORATION WITH RAMP AND THE ILLINOIS DEPARTMENT OF HUMAN SERVICES BY ESTABLISHING PROJECT SEARCH.

PART VI, LINE 4:
JAVON BEA HOSPITAL IS LOCATED IN ROCKFORD, IL (WINNEBAGO COUNTY). ACCORDING TO THE US CENSUS BUREAU FROM THE 2020 CENSUS THE POPULATION OF WINNEBAGO COUNTY WAS MEASURED AT 285,350. LOCATED IN NORTHERN ILLINOIS, THE COUNTY IS CHARACTERIZED AS LARGELY RURAL AND POPULATED WITH VERY SMALL COMMUNITIES WITH THE EXCEPTION OF THE NEIGHBORING CITIES OF ROCKFORD, LOVES PARK, AND MACHESNEY PARK WHICH COMPRISE APPROXIMATELY 195,000 INDIVIDUALS. THE VAST MAJORITY OF THE POPULATION RESIDE IN URBAN AREAS AND THE MAJORITY OF PATIENTS RESIDE IN WINNEBAGO COUNTY. AS A COMMUNITY THAT RELIES HEAVILY ON MANUFACTURING COMPANIES AND SMALL BUSINESSES, THE AREA WAS PARTICULARLY HARD HIT IN RECENT YEARS. CURRENTLY, THE LARGEST EMPLOYERS INCLUDE THE ROCKFORD PUBLIC SCHOOLS AND THE THREE ROCKFORD HEALTH CARE PROVIDERS. THE MOST RECENT MEDIAN HOUSEHOLD INCOMES IN WINNEBAGO COUNTY WERE $57,779 COMPARED TO THE STATE MEDIAN HOUSEHOLD INCOME OF $72,563 AND THE NATIONAL MEDIAN INCOME OF $69,021. THESE DISPARITIES ARE ALSO REFLECTED IN EDUCATION AND POVERTY RATES. UNEMPLOYMENT RATES AS OF JUNE 30, 2022 FIGURES FOR WINNEBAGO COUNTY AT 6.6% BUT ARE HIGH IN COMPARISON TO THE STATE AT 4.5% AND THE NATION AT 3.6%. ONLY 23.3% OF WINNEBAGO COUNTY RESIDENTS ATTAIN A BACHELOR'S DEGREE OR HIGHER COMPARED WITH THOSE IN THE STATE AT 36.2% AND 33.7% IN THE NATION. MORE THAN 14.2% OF THE RESIDENTS IN WINNEBAGO COUNTY LIVE BELOW THE POVERTY LINE COMPARED TO STATE LEVELS OF 11.6% AND NATIONAL LEVELS OF 12.1%. THIS IS IMPORTANT BECAUSE POVERTY CREATES BARRIERS TO ACCESS INCLUDING HEALTH SERVICES, HEALTHY FOOD, AND OTHER NECESSITIES THAT CONTRIBUTE TO POOR HEALTH STATUS AS WELL THE LACK OF INTERNET ACCESS FOR AN ESTIMATED 14.5% OF THE HOUSEHOLDS IN WINNEBAGO COUNTY.

PART VI, LINE 5:
LED BY A GOVERNING BODY COMPRISED OF A MAJORITY OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY, JAVON BEA HOSPITAL (JBH) AND ITS AFFILIATES ARE VERY INVOLVED IN PROMOTING A HEALTHIER COMMUNITY. AS ONE OF ROCKFORD'S LARGEST EMPLOYERS, THE ORGANIZATION TAKES A LEADING ROLE IN FINANCIALLY SUPPORTING NOT ONLY HEALTH-RELATED INITIATIVES, BUT ALSO COMMUNITY-BUILDING ACTIVITIES ACROSS THE REGION. THIS INCLUDES PROVIDING FINANCIAL SUPPORT AND TALENT FOR ECONOMIC DEVELOPMENT AND BUSINESS RELATED ACTIVITIES. AS WELL AS QUALITY OF LIFE AND EDUCATIONAL INITIATIVES. EMPLOYEES PARTICIPATE ON COMMUNITY BOARDS AND ARE ACTIVELY INVOLVED IN PROMOTING THE REGION AND ITS ASSETS. BASED ON THE RESULTS OF THE ROCKFORD HEALTH COUNCILS 2020 HEALTHY COMMUNITY STUDY, THE COMMUNITY BENEFIT IMPLEMENTATION PLAN IDENTIFIED SEVERAL KEY AREAS TO FOCUS EFFORTS. FOR EXAMPLE, AS THE PREDOMINANT PROVIDER OF PEDIATRIC SERVICES, JBH MAINTAINS ITS COMMITMENT TO THE CHILDREN OF OUR COMMUNITY. THIS IS EVIDENT IN OUR SUPPORT OF THE RONALD MCDONALD CARE MOBILE WHICH PROVIDES FREE DENTAL AND MEDICAL CARE TO UNINSURED AND UNDERINSURED CHILDREN IN FIVE NORTHERN COUNTIES. THE 40-FOOT, 26,000 POUND MOBILE UNIT HOUSES TWO PATIENT EXAM ROOMS, A CENTRAL WAITING ROOM, AND A STERILIZATION AREA AND HAS PROVIDED CARE TO MORE THAN 9,537 CHILDREN SINCE THE INCEPTION OF THE PROGRAM IN 2003. THIS TOTALS MORE THAN $3.03 MILLION IN FREE CARE OVER THE LIFE OF THE PROGRAM. THE CARE MOBILE IS COMPLETELY FUNDED BY PHILANTHROPY FROM THE MERCYHEALTH DEVELOPMENT FOUNDATION, JAVON BEA HOSPITAL AUXILIARY AND THE RONALD MCDONALD CHARITIES OF MADISON. THE BRIDGE CLINIC IS YET ANOTHER VENUE FOR UN- AND UNDER-INSURED ADULTS TO RECEIVE FREE MEDICAL TREATMENT FOR CHRONIC MEDICAL ISSUES. SINCE ITS OPENING IN 2008, HUNDREDS OF PEOPLE FROM OUR COMMUNITY HAVE RECEIVED CARE. MANY PHYSICIANS AND OTHER HEALTH CARE PROVIDERS GIVE FREELY OF THEIR TIME TO PROVIDE THESE SERVICES TO THE LESS FORTUNATE INDIVIDUALS IN OUR COMMUNITY TO BETTER MANAGE THEIR CHRONIC CONDITIONS. SINCE 2012, JBH CONTINUES TO PARTNER WITH A SILVER LINING FOUNDATION TO PROVIDE FREE BREAST HEALTH SERVICES TO THE UN- UNDER-INSURED WOMEN IN THE COMMUNITY. OVER 620 WOMEN HAVE RECEIVED FREE SCREENING MAMMOGRAMS AND OTHER BREAST RELATED SERVICES AND PROCEDURES SINCE THE PROGRAM'S INCEPTION. THESE ARE ONLY SOME OF THE MANY CONTRIBUTIONS THAT JBH MAKES TO PROMOTE AND IMPROVE THE HEALTH OF THE COMMUNITY. JBH REMAINS COMMITTED TO EDUCATING THE PUBLIC ABOUT VARIOUS HEALTH CARE ISSUES AND INITIATIVES AND IMPROVING THE LIVES OF OUR CITIZENS. JBH DOES NOT RESTRICT ADMISSION OF PROVIDERS AND PROVIDES AN OPEN MEDICAL STAFF.