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Ferrell Hospital Community Foundation

Ferrell Hospital
1201 Pine Street
El Dorado, IL 62930
Bed count25Medicare provider number141324Member of the Council of Teaching HospitalsNOChildren's hospitalNO
EIN: 201244058
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
6.06%
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$ 39,435,409
      Total amount spent on community benefits
      as % of operating expenses
      $ 2,389,363
      6.06 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 0
        0 %
        Medicaid
        as % of operating expenses
        $ 2,389,363
        6.06 %
        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
        $ 2,294,898
        5.82 %
        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
        $ 0
        0 %
    • 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 $ 34444756 including grants of $ 0) (Revenue $ 36056412)
      FERRELL HOSPITAL COMMUNITY FOUNDATION (FHCF) OFFERS QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. FHCF PROVIDES MEDICAL CARE TO OUTPATIENTS AND INPATIENTS AS WELL AS PROVIDES VARIOUS COMMUNITY BENEFITS TO THE COMMUNITY.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      FERRELL HOSPITAL COMMUNITY
      "PART V, SECTION B, LINE 5: THREE FOCUS GROUPS WERE CONVENED AT FERRELL HOSPITAL ON SEPTEMBER 29, 2021. THE GROUPS INCLUDED REPRESENTATION OF HEALTHCARE PROVIDERS, COMMUNITY LEADERS, COMMUNITY SERVICE PROVIDERS, SCHOOLS, FAITH-BASED ORGANIZATIONS, LOCAL ELECTED OFFICIALS, PUBLIC HEALTH, AND OTHERS. SEVERAL MEMBERS OF THIS GROUP PROVIDED SERVICES TO UNDERSERVED AND UNSERVED PERSONS AS ALL OR PART OF THEIR ROLE. IN RESPONSE TO A REQUEST TO IDENTITFY POSITIVE DEVELOPMENTS IN HEALTH AND HEALTHCARE IN THE SERVICE AREA OF FERRELL HOSPITAL, THE GROUPS PUT FORWARD THE FOLLOWING:FOCUS GROUP ONE - COMMUNITY LEADERS- EXPANSION OF SERVICES AT FERRELL HOSPITAL HAS RESULTED IN NEW SERVICES AND NEW OPPORTUNITIES FOR NEW CLINICAL OPPORTUNITIES FOR STUDENT AND NEW NURSES- THERE IS A NEW SOUTHEASTERN ILLINOIS CAMPUS (SIC) IN WHITE COUNTY- FERRELL HOSPITAL EXPANSION HAS IMPROVED THE NEIGHBORHOOD SURROUNDING THE NEW FACILITY- FERRELL HOSPITAL EXPANSION HAS IMPROVED THE ECONOMIC AND ECONOMIC DEVELOPMENT POSITION OF THE COMMUNITY- FERRELL HOSPITAL HAS PARTNERED WITH ELDORADO SCHOOLS TO PROVIDE MEDICAL SERVICES FOR SPORTS- THE SERVICE AREA OF FERRELL HOSPITAL HAS INCREASED AND IS PROVIDING SERVICES IN PREVIOUSLY UNDERSERVED SMALL RURAL COMMUNITIES AND AREAS- RIDES CAN ACCOMMODATE TRANSPORTATION TO DEACONESS HOSPITAL IN EVANSVILLE- TEMPORARY DAY CARE WAS DEVELOPED IN PARTNERSHIP AMONG FERRELL HOSPITAL, ELDORADO SCHOOL DISTRICT, I-DCFS, ST. MARY'S CHURCH, AND INTERESTED CITIZENS- FERRELL HOSPITAL'S EXPANSION BROUGHT INSIGHT FROM OUTSIDERS ON THE WAY THE COMMUNITY LOOKS AND FUNCTIONS- NEW ONCOLOGY CENTER- ""CHEMO BUDDIES"" PROGRAM FOCUS GROUP TWO - HOSPITAL DEPARTMENT MANAGERS- EXPANSION OF FERRELL HOSPITAL- NEW ONCOLOGY DEPARTMENT- FERRELL HOSPITAL'S RESPONSE TO COVID AND EXPANSION OF INFUSION SERVICES- FRESH PRODUCE IS AVAILABLE IN GALLATIN COUNTY AT A DOLLAR GENERAL- NEW ORTHOPEDIC PROGRAM AT FERRELL HOSPITAL- OUTPATIENT BEHAVIORAL HEALTH SERVICES ARE AVAILABLE IN SALINE COUNTY- EXPANSION OF TELEHEALTH SERVICES- THERE IS MORE COMMUNITY INVOLVEMENT IN HEALTH ISSUES AND CIVIC ISSUES IN GENERAL- FERRELL HOSPITAL'S DEPARTMENT LEADERSHIP IS SOLID- EXPANDED ACCESS TO VACCINES FOR CHILDREN- CHILDREN'S HEALTH NEEDS PROGRAM AT EGYPTIAN HEALTH DEPARTMENT- FERRELL HOSPITAL HAS BENEFITED FROM COVID RELIEF FUNDING- THERE IS STRONG COMMUNITY SUPPORT FOR FERRELL HOSPITAL- COMMUNITY ENTHUSIASM TO ADDRESS LOCAL CIRCUMSTANCES IS HIGH- INCREASED OPIOID AWARENESS, INCLUDING INCREASED NARCAN AVAILABILITY, AND MAT (MEDICATION ASSISTED TREATMENT) AVAILABILITY- FERRELL HOSPITAL IS RECEIVING A GREAT DEAL OF BENEFIT FROM ITS RELATIONSHIP WITH DEACONESS, INCLUDING IMPROVED EMS SERVICES - FERRELL HOSPITAL IS RECEIVING INCREASED BENEFIT FROM UTILIZATION OF ICAHN PROGRAMS AND SERVICES, ESPECIALLY THE LIST-SERVS- EPIC RECORDS SYSTEM AT FERRELL HOSPITAL- NEW ENTREPRENEURIAL SMALL BUSINESSES ARE OPENING- NEW CLINIC IN WHITE COUNTY- NEW CLINIC IN HARRISBURG- NEW SERVICES AT FERRELL HOSPITAL INCLUDING ENT, AUDIOLOGY, AND WOUND SERVICES- IMPROVED LEADERSHIP FROM THE MEDICAL STAFF AT FERRELL HOSPITAL FOCUS GROUP THREE - MEDICAL PROVIDERS- NEW FAMILY MEDICINE CLINIC IN CARMI- THE AVERAGE AGE OF THE MEDICAL STAFF AT FERRELL HOSPITAL HAS DROPPED FROM NEAR 60 TO NEAR 40- NEW SPECIALTY SERVICE LINES AT FERRELL HOSPITAL, INCLUDING THE WOUND CLINIC, ENT, AND ORTHOPEDICS- NEW CLINIC IN HARRISBURG- WOMEN'S HEALTH- WEEKEND HOURS AT CLINIC- NEW FACILITY AT FERRELL HOSPITAL- COMMUNICATION AMONG HOSPITALS, SKILLED CARE FACILITIES, AND PUBLIC HEALTH IS VERY GOODTHE GROUPS WERE NEXT ASKED TO IDENTIFY NEEDS CONTINUING TO FACE THE HEALTH OF THE COMMUNITY, INCLUDING PHYSICAL AND MENTAL WELLNESS AND THE DELIVERY OF HEALTH SERVICES AND CARE FOR ALL SEGMENTS AND MEMBERS.FOCUS GROUP ONE - COMMUNITY LEADERS- LOCAL ACCESS TO DIALYSIS- MANPOWER FOR AMBULANCES/EMS NEEDS- BETTER AMBULANCE PLACEMENT- RESOURCES FOR TRAINING OPPORTUNITIES FOR POTENTIAL EMPLOYEES FOR ROLES ACROSS THE COMMUNITIES- SERVICES FOR TREATMENT AND RESOURCES FOR PERSONS FACING SUBSTANCE USE DISORDERS, ESPECIALLY YOUTH AND YOUTH WITH CO-OCCURRING CONDITIONS- MOBILE SERVICES TO UNDERSERVED COMMUNITIES- HOME MEDICAL SERVICES FOR SENIORS, ESPECIALLY IN OUTLYING COMMUNITIES, RURAL AREAS- UNDERSTAND POTENTIAL LONG-TERM IMPACT OF COVID TO SPECIFIC COMMUNITIES- NEED TO CONTINUE THE MOMENTUM FOR STRONG COMMUNITY PARTNERSHIPS, PLANNING AND ACTION TO IDENTIFY AND ADDRESS EMERGING ISSUES FOCUS GROUP TWO - HOSPITAL DEPARTMENT MANAGERS- IMPROVED TRANSPORTATION TO AND FROM LOCAL MEDICAL SERVICES- LOCAL ACCESS TO OBSTETRICS SERVICES- COMMUNITY EDUCATION AROUND MEDICAID AND MEDICARE- LOCAL ACCESS TO NEUROLOGY SERVICES- ADDRESS PATIENT APATHY ABOUT THEIR OWN HEALTHCARE AND NEEDS- EXPAND ACCESS TO PROFESSIONAL COUNSELING SERVICES FOR BEHAVIORAL HEALTH AND SUBSTANCE USE ISSUES- MORE AGGRESSIVE LOCAL ECONOMIC DEVELOPMENT- EXPANDED LOCAL EDUCATION OPPORTUNITIES FOR HEALTHCARE EMPLOYMENT POSITIONS, INCLUDING TECHNICAL CERTIFICATE PROGRAMS- ACCESS TO DAY CARE- ADDRESS DWINDLING HEALTHCARE WORKFORCE- STAFF FOR IN-PATIENT TRANSPORT ER TO ER AND ER TO INPATIENT- EMERGENCY DENTAL SERVICES, ESPECIALLY FOR UNDERSERVED AND UNSERVED PATIENTS- PREVENTATIVE DENTAL CARE, ESPECIALLY FOR UNDERSERVED AND UNSERVED PATIENTS- LOCAL ACCESS TO INPATIENT PSYCHIATRIC AND SUBSTANCE REHABILITATION/RECOVERY- EMERGENT CARE IN WHITE COUNTY- ADEQUATE, RELIABLE BROAD BAND TO SUPPORT TELEHEALTH SERVICES- RESOURCES FOR HOMELESS PERSONS TO PROVIDE FOR SHELTER AND BASIC NEEDS- ACCESS TO LOCALIZED AND SPECIALIZED DATA.- EXPAND ACCESS TO IN-HOME HEALTH CARE- LOCAL ACCESS TO ENDOCRINOLOGY- FAMILY WELLNESS CENTER PROVIDING OPPORTUNITIES FOR RECREATION, EXERCISE, AND WELLNESS EDUCATION- COMMUNITY EDUCATION ON HEATH LITERACY- TEEN WELLNESS OPPORTUNITIES AND PROGRAMS FOCUS GROUP THREE - MEDICAL PROVIDERS- PSYCHIATRIC CARE FOR YOUTH- IMPROVE TRANSPORTATION TO AND FROM APPOINTMENTS- AMBULANCES AND STAFF FOR TRANSPORTS- LOCAL OBSTETRIC CARE- EXPLORE CAUSES FOR HIGH LOCAL CANCER RATES- ACCESS TO AFFORDABLE HEALTHY FOODS- THERE IS NO URGENT CARE OR EMERGENCY CARE IN IN GALLATIN, POPE, OR WHITE COUNTIES- EXPLORE A WELLNESS/COMMUNITY HEALTH CENTER- COMPREHENSIVE SERVICES FOR PERSONS WITH SUBSTANCE USE DISORDERS- ADDRESS LACK OF HEALTHY FOOD CHOICES FOR HOME AND AT RESTAURANTS- NUTRITION EDUCATION- EXPLORE IMPACT OF LOCAL GAMBLING- INCREASE ACCESS TO COUNSELORS AND SOCIAL WORKERS- INCREASE OPPORTUNITIES FOR WELLNESS AND WELLNESS EDUCATION FOR YOUTH- OPPORTUNITIES FOR SOCIALIZATION FOR SENIORS- EXPLORE SOLUTIONS FOR LOCAL UNEMPLOYMENT AND POVERTY- CONTINUE CONVERSATIONS ABOUT COMMUNITY HEALTHIN ADDITION, A PUBLIC SURVEY OF THE COMMUNITY WAS CONDUCTED THROUGH THE FERRELL HOSPITAL WEBSITE. TWENTY-FOUR PERSONS RESPONDED TO THE SURVEY ADDRESSING HEALTH AND WELLNESS ISSUES."
      FERRELL HOSPITAL COMMUNITY
      PART V, SECTION B, LINE 7D: HTTPS://WWW.FERRELLHOSP.ORG/ABOUT-US/DOCUMENTS-ABOUT-US/2021-FERRELL-HOSPITAL-CHNA-FINAL.PDF
      FERRELL HOSPITAL COMMUNITY
      "PART V, SECTION B, LINE 11: THREE FOCUS GROUPS MET TO DISCUSS THE STATE OF OVERALL HEALTH AND WELLNESS IN THE FERRELL HOSPITAL SERVICE AREA AND TO IDENTIFY HEALTH CONCERNS AND NEEDS IN THE DELIVERY OF HEALTHCARE AND HEALTH SERVICES IN ORDER TO IMPROVE WELLNESS AND REDUCE CHRONIC ILLNESS FOR ALL RESIDENTS. THE FOCUS GROUPS INCLUDED REPRESENTATION OF HEALTHCARE PROVIDERS, COMMUNITY LEADERS, COMMUNITY SERVICES PROVIDERS, SCHOOLS, A COMMUNITY COLLEGE, FAITH-BASED ORGANIZATIONS, LOCAL ELECTED OFFICIALS, PUBLIC HEALTH AND OTHERS. SEVERAL MEMBERS OF THESE GROUPS PROVIDED SERVICES TO UNDERSERVED AND UNSERVED PERSONS AS ALL OR PART OF THEIR ROLES.THE FINDINGS OF THE FOCUS GROUPS WERE PRESENTED, ALONG WITH SECONDARY DATA ANALYZED BY THE CONSULTANT, TO A THIRD GROUP FOR IDENTIFICATION AND PRIORITIZATION OF THE SIGNIFICANT HEALTH NEEDS FACING THE COMMUNITY. THE GROUP CONSISTED OF REPRESENTATIVES OF PUBLIC HEALTH, COMMUNITY LEADERS, HEALTHCARE PROVIDERS, AND COMMUNITY SERVICES PROVIDERS.AT THE CONCLUSION OF THEIR REVIEW AND DISCUSSION, THE IDENTIFICATION AND PRIORITIZATION GROUP ADVANCED THE FOLLOWING NEEDS:1. THE GROUP FIRST IDENTIFIED AND PRIORITIZED AVAILABILITY OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, INCLUDING: REDUCING THE STIGMA TOWARD MENTAL HEALTH AND SUBSTANCE USE DISORDERS ISSUES AND TREATMENT IMPROVED ACCESS TO MENTAL HEALTH AND SUBSTANCE USE CARE AT ALL LEVELS FOR YOUTH IMPROVED ACCESS TO MENTAL HEALTH AND SUBSTANCE USE CARE AT ALL LEVELS FOR ADULTS2. THE GROUP NEXT PRIORITIZED THE NEED TO REDUCE COVID VACCINE HESITANCY3. THE THIRD PRIORITIZED NEED WAS TO ADDRESS AWARENESS, STIGMA, AND FLEXIBILITY ISSUES RELATED TO PUBLIC TRANSPORTATIONTHE RESULTS OF THE ASSESSMENT PROCESS WERE THEN PRESENTED TO SENIOR STAFF AT FERRELL HOSPITAL THROUGH A FACILITATED DISCUSSION FOR DEVELOPMENT OF A PLAN TO ADDRESS THE IDENTIFIED AND PRIORITIZED NEEDS.THE GROUP ADDRESSED THE NEEDS WITH THE FOLLOWING STRATEGIES:- FERRELL HOSPITAL WILL DEVELOP A COMMERCIAL MEDIA AND SOCIAL MEDIA INFORMATION DRIVE, INCLUDING USING IN-HOUSE KIOSKS TO CREATE AWARENESS OF MENTAL HEALTH STIGMA AND ITS IMPACT- FERRELL HOSPITAL WILL DEVELOP A YOUTH-TARGETED CAMPAIGN TO ADDRESS THE STIGMA THAT OFTEN RESULTS IN FAILURE TO SEEK HELP BY YOUTH FACING SUBSTANCE USE DISORDERS PERSONALLY OR AT HOME- FERRELL HOSPITAL WILL INITIATE A PAIN MANAGEMENT PROGRAM THAT WILL INCLUDE MEDICATION ASSISTED TREATMENT TO RESPOND TO SUBSTANCE USE DISORDERS- FERRELL HOSPITAL WILL EXPLORE PARTNERSHIPS WITH SCHOOLS FOR NEW AND EXPANDED SERVICES FOR YOUTH- FERRELL HOSPITAL WILL EXPLORE WAYS TO PARTNER OR COOPERATE WITH THE STRESS AND TRAUMA CLINIC IN ELDORADO- FERRELL HOSPITAL WILL EXPLORE DEVELOPING SUPPORT GROUPS FOR PERSONS WITH MENTAL HEALTH AND/OR SUBSTANCE USE ISSUES AND THOSE THAT CARE ABOUT THEM- FERRELL HOSPITAL WILL EXPLORE INCREASING COUNSELING CAPABILITIES AT ALL CLINICS- FERRELL HOSPITAL WILL CONTINUE TO PROVIDE COUNSELING TO SENIORS- FERRELL HOSPITAL WILL EXPLORE DEVELOPING TELE-MENTAL HEALTH SERVICE FOR YOUTH AND ADULTS- FERRELL HOSPITAL WILL CONTINUE TO COLLABORATE WITH PUBLIC HEALTH AGENCIES TO DEVELOP MENTAL HEALTH MITIGATIONS- FERRELL HOSPITAL WILL CONTINUE EDUCATION EFFORTS ON VACCINATIONS AND COVID PREVENTION IN THE COMMUNITY AND AMONGST EMPLOYEES AND NEW HIRES- FERRELL HOSPITAL WILL ATTEMPT TO ADDRESS PORTIONS OF THESE SPECIFIC ISSUES BY CONTINUING TO INCREASE THE AVAILABILITY OF LOCAL MEDICAL SERVICES, THEREBY REDUCING THE NEED FOR TRANSPORTATION OUT OF THE AREA FOR CARE- WHILE WIDESCALE GENERAL PUBLIC TRANSPORTATION IS BEYOND THE ROLE AND EXPERTISE OF A CRITICAL ACCESS HOSPITAL, FERRELL HOSPITAL STANDS READY TO REASONABLY ASSIST ANY AGENCY OR ORGANIZATION THAT DETERMINES TO ATTEMPT TO RESOLVE THE ISSUES OF AWARENESS, STIGMA, AND FLEXIBILITY RELATED TO TRANSPORTATION NEEDS.FERRELL HOSPITAL BELIEVES THAT THE CONDITION OF THE LOCAL ECONOMY IS, IN PART, RESPONSIBLE FOR THE OVERALL PICTURE OF PUBLIC TRANSPORTATION IN THE AREA. ECONOMIC CONDITIONS INCLUDING DECLINE IN EMPLOYMENT OPPORTUNITIES AND RELATED IMPACTS HAVE REDUCED STABILITY OF CIRCUMSTANCES THAT IMPACT PUBLIC TRANSPORTATION FROM THE NECESSITY FOR MANY TO TRAVEL BEYOND THE LOCAL AREA FOR WORK AND OTHER NEEDS AND THE POPULATION ITSELF. FERRELL HOSPITAL IS COMMITTED TO OFFER APPROPRIATE AND REASONABLE SUPPORT TO EFFORTS OF LOCAL GOVERNMENTS, CHAMBERS OF COMMERCE, AND OTHERS TO ADDRESS ECONOMIC ISSUES AND SOCIAL DETERMINANTS OF HEALTH, INCLUDING BROADBAND.THE COMMUNITY HEALTH NEEDS PROCESS IS CONDUCTED EVERY THREE YEARS. IN RESPONSE TO ISSUES IDENTIFIED AND PRIORITIZED AND THE IMPLEMENTATION STRATEGY DEVELOPED TO ADDRESS THEM, FERRELL HOSPITAL HAS TAKEN THE FOLLOWING STEPS SINCE THE LAST CHNA.PRIORITY #1: EXPLORE THE CAUSES OF CHRONIC ILLNESS AND IMPROVING EARLY IDENTIFICATION THROUGH SCREENINGS AND OTHER METHODS, ESPECIALLY CANCER AND HEART DISEASE- STARTED CLINICS FOR PERIPHERAL ARTERIAL DISEASE (PAD) AND CONGESTIVE HEART FAILURE (CHF) FOR FERRELL HOSPITAL PATIENTS- STAFF RECEIVED TRAINING REGARDING SMOKING CESSATION CLASSES TO BE OFFERED TO THE COMMUNITY- HIRED A FULLTIME DIETITIAN TO PERFORM INPATIENT AND OUTPATIENT CONSULTATIONS.- OFFERED ""LUNCH AND LEARNS"" TO ADDRESS HEART DISEASE AND OTHER CHRONIC DISEASES TO THE COMMUNITY PRIOR TO COVID- WORKED WITH DEACONESS ON EPIC TO ENSURE FERRELL HOSPITAL WAS RECEIVING ACCURATE DATA ON PATIENTS WHO WERE IN NEED OF SCREENINGS. THIS WAS PUT ON HOLD DUE TO COVID- STARTED THE PROCESS OF THE DIABETES SELF-MANAGEMENT PROGRAMPRIORITY #2: PROVIDE EDUCATION AND GUIDANCE FOR SENIORS ON THE TOPICS OF MEDICARE, SENIOR WELLNESS, AND OTHER HEALTH SERVICES FOR OLDER ADULTS- CONTINUED TO WORK TO EXPAND THE SENIOR TRANSITIONS PROGRAM AND HIRED AN ADDITIONAL COUNSELOR- ADDED RHEUMATOLOGY AND UROLOGY SERVICESPRIORITY #3: MENTAL HEALTH- TWO NURSE PRACTITIONERS SUCCESSFULLY COMPLETED THE CERTIFICATION PROGRAM TO IMPLEMENT SUBOXONE SERVICES FOR SUBSTANCE ABUSE- PROVIDE MENTAL HEALTH EDUCATION TO PATIENTS AS NEEDED WHEN PRESENTING TO FERRELL HOSPITALPRIORITY #4: ADDRESS TEEN BIRTH RATE, LOW BIRTH RATE, AND INFANT MORTALITY THROUGH EDUCATION AND ACCESS TO CARE- BEGAN OFFERING WOMEN'S SERVICES IN SALINE AND WHITE COUNTY THROUGH FERRELL HOSPITAL'S CLINICS- CLINIC PROVIDERS OFFERED EDUCATIONAL PROGRAMS AT THE MIDDLE SCHOOLPRIORITY #5: LOCAL ACCESS TO DENTAL CARE, ESPECIALLY FOR PERSONS ON MEDICAID- EXPLORED OPTIONS OF DENTAL SERVICES WITHIN RURAL HEALTH CLINICS"
      FERRELL HOSPITAL COMMUNITY
      PART V, SECTION B, LINE 23: THE HOSPITAL CHARGES THE SAME AMOUNT FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE FOR FAP-ELIGIBLE PATIENTS AND ALL OTHER PATIENTS.
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 7:
      THE HOSPITAL USED A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2; RATIO OF PATIENT CARE COST TO CHARGES INCLUDED IN THE SCHEDULE H INSTRUCTIONS TO DETERMINE THE AMOUNTS ON LINE 7A OF PART 1 OF SCHEDULE H.
      PART II, COMMUNITY BUILDING ACTIVITIES:
      FERRELL HOSPITAL COMMUNITY FOUNDATION OFFERS VARIOUS BENEFITS TO THE COMMUNITY INCLUDING BUT NOT LIMITED TO CPR/FIRST AID, PARTICIPATION IN THE SALINE COUNTY HEALTHY COALITION, PARTICIPATION IN HEALTH FAIRS AT LOCAL HIGH SCHOOLS AND COLLEGES, POISON PREVENTION AND HEALTH CARE CAREER PRESENTATIONS TO LOCAL SCHOOLS, PROVIDE TOURS OF THE HOSPITAL, HOLD FLU VACCINATION CLINICS, PERIODIC BLOOD PRESSURE AND GLUCOSE SCREENINGS, SPEAKING ENGAGEMENTS FOR COMMUNITY ORGANIZATIONS, CO-SPONSOR THE KIDNEY MOBILE, SPONSOR THE LOCAL HIGH SCHOOL PROM, PARTICIPATE IN THE RELAY FOR LIFE, SPONSOR FUNCTIONS AT THE LOCAL SENIOR CITIZENS CENTER, HOLD WELLNESS WORKSHOPS, PROVIDE A TRAINER FOR THE LOCAL HIGH SCHOOL SPORTS TEAMS, PROVIDE FIRST AID KITS FOR LOCAL SPORTS TEAMS, PROVIDE CLOTHING FOR DOMESTIC ABUSE VICTIMS AND PARTICIPATE IN THE SAFE HAVEN PROGRAM.
      PART III, LINE 2:
      THE BAD DEBT EXPENSE IS FROM THE TRIAL BALANCE. SEE ATTACHED PY FINANCIAL STMT PAGES 9 & 10 FOR METHODOLOGY.
      PART III, LINE 3:
      FINANCIAL ASSISTANCE COUNSELORS ARE IN PLACE TO CONTACT ANY PATIENT EXPRESSING INTEREST IN THE PROGRAM. PROCEDURES ARE IN PLACE TO MAKE DETERMINATIONS OF ALL PATIENTS' ELIGIBILITY AND TO PROVIDE THE APPROPRIATE ASSISTANCE.
      PART III, LINE 4:
      SEE THE PAGES 9 & 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENT.
      PART III, LINE 8:
      THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, LINE 8: THE MEDICARE TOTAL REVENUE AND ALLOWABLE COSTS WERE BASED ON THE 2021 MEDICARE COST REPORT. THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT DUE TO THE HOSPTIAL PROVIDING CARE TO MEDICARE PATIENTS AT LESS THAN THE ALLOWABLE MEDICARE COSTS.
      PART III, LINE 9B:
      FERRELL HOSPITAL COMMUNITY FOUNDATION PROVIDES ASSISTANCE TO MEET THE NEEDS OF THE UNINSURED PATIENTS TO WHICH THEY SERVE. FOR THOSE PATIENTS WHO ARE EXPECTED TO QUALIFY UNDER THEIR FINANCIAL ASSISTANCE POLICY, THE HOSPITAL ASSIGNS THE FINANCIAL CARRIER FOR CHARITY CARE AT THE TIME OF THE REQUEST FOR THE HEALTH ASSISTANCE PROGRAM (HAP) APPLICATION. ONCE ASSIGNED, SEVERAL PROCEDURES ARE IN PLACE TO COMPLETE THE PROCESS INCLUDING INVESTIGATION FOR ANY OTHER AVAILABLE FUNDING SOURCES SUCH AS MEDICAID AND INCOME VERIFICATION. THOSE THAT COMPLETE THE HAP ACCURATELY AND QUALIFY UNDER THE HOSPITALS POLICY RECEIVE FREE OR DISCOUNTED CARE.
      PART VI, LINE 2:
      FCHF IS INVOLVED IN COMMUNITY ORGANIZATIONS, INCLUDING CHURCHES, CIVIC GROUPS AND PROFESSIONAL ORGANIZATIONS.
      PART VI, LINE 3:
      OUR FINANCIAL ASSISTANCE PROGRAM IS EASILY ACCESSED THROUGH OUR WEBSITE AND HAS THE FORMS LISTED FOR THE PATIENT TO PRINT OFF IF NEEDED. THE CONTACT PHONE NUMBERS OF OUR FINANCIAL COUNSELORS ARE ALSO LISTED. THERE ARE FERRELL HOSPITAL FINANCIAL ASSISTANCE BROUCHURES IN THE LOBBY AREAS OF THE HOSPITAL. ALL SELF PAY PATIENTS IN THE HOSPITAL ARE VISITED BY THE FINANCIAL COUNSELOR AND GIVEN THE NECESSARY PAPERWORK IF THE PATIENT REQUESTS IT. IF THE FINANCIAL COUNSELOR DOES NOT GET TO SEE THE PATIENT OR FAMILY, THEN A LETTER IS MAILED ALONG WITH THE APPLICATION TO THE PATIENT. UPON REGISTRATION OF THE PATIENT, THE REGISTRATION STAFF INFORMS THE PATIENT OF THE HOSPITAL FINANCIAL ASSISTANCE PROGRAMS AND GIVES THEM A BROCHURE. IF THE PATIENT REQUESTS TO TALK TO THE FINANCIAL COUNSELOR THEN THAT PERSON IS CALLED.
      PART VI, LINE 4:
      THE MAJORITY OF FERRELL HOSPITAL PATIENTS RESIDE IN SALINE, GALLATIN, WHITE AND HAMILTON COUNTIES. WE ALSO SEE SEVERAL PATIENTS FROM POPE AND HARDIN COUNTIES. OUR FACILITIES ARE LOCATED IN SALINE AND GALLATIN COUNTIES. THE UNEMPLOYMENT RATE AND POVERTY RATE OF THESE COUNTIES ARE HIGHER THAN THE NATIONAL AVERAGE AND VERY CLOSE TO THE STATE OF ILLINOIS AVERAGE. THE PAYER MIX IS HEAVILY MEDICAID/MEDICARE DEPENDENT.
      PART VI, LINE 7, REPORTS FILED WITH STATES
      IL