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Lawrence County Memorial Hospital
Lawrenceville, IL 62439
| Bed count | 25 | Medicare provider number | 141344 | 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 $ 21,753,591 Total amount spent on community benefits as % of operating expenses$ 1,451,592 6.67 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 262,182 1.21 %Medicaid as % of operating expenses$ 1,189,410 5.47 %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 expensesNote: 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 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$ 2,517,879 11.57 %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 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 $ 16025079 including grants of $ 8512) (Revenue $ 23862496) THE HOSPITAL'S MISSION IS TO PROVIDE HIGH QUALITY CARE AND COST EFFECTIVE HEALTHCARE, WHICH INCLUDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO THE RESIDENTS OF LAWRENCE COUNTY, IL. ALL EXPENSES RELATE TO COSTS ASSOCIATED WITH PROVIDING THESE SERVICES, AND MAINLY INCLUDE SALARY AND WAGES TO STAFF AND COST OF SUPPLIES.
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Facility Information
LAWRENCE COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: LCMH DEVELOPED A LIST OF CONTACTS REPRESENTING INDIVIDUALS WITH SPECIFIC KNOWLEDGE OF LOCAL HEALTH NEEDS. BY SURVEYING COMMUNITY RESIDENTS, LCMH LEARNED ABOUT THE HEALTH STATUS OF THE POPULATION, IDENTIFIED AREAS FOR HEALTH IMPROVEMENT, DETERMINED FACTORS THAT CONTRIBUTE TO HEALTH ISSUES, AND IDENTIFIED ASSETS AND RESOURCES THAT CAN BE MOBILIZED TO ADDRESS PUBLIC HEALTH IMPROVEMENT.
LAWRENCE COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: AFTER DEVELOPING A LIST OF CONTACTS REPRESENTING INDIVIDUALS WITH SPECIFIC KNOWLEDGE OF LOCAL HEALTH NEEDS, LCMH LAUNCHED SURVEYS TO ASSESS SIGNIFICANT HEALTH NEEDS AND PROGRESSION TOWARDS IMPROVEMENT. REVIEW OF RELEVANT DATA RESOURCES PROVIDED QUANTITATIVE FEEDBACK ON THE LOCAL COMMUNITY. THE TOP HEALTH NEEDS INDICATED WERE MENTAL HEALTH, HEALTHCARE SERVICE(S) AFFORDABILITY, DRUG AND SUBSTANCE ABUSE, PHYSICAL PRESENCE FOR HEALTHCARE SERVICES, PREVENTION OF HEALTHCARE SERVICES, CANCER, OBESITY, AND HEART DISEASE, AMONGST OTHERS. THE ACTION PLAN TO ADDRESS THE IDENTIFIED HEALTH PRIORITIES WILL BE ORGANIZED INTO SUBGROUPS IN ORDER TO ADEQUATELY ADDRESS THE HEALTH NEEDS WITH AVAILABLE TIME AND RESOURCES. THESE SUBGROUPS ARE AS FOLLOWS: BEHAVIORAL HEALTH, HEALTHCARE ACCESS, AND CHRONIC DISEASE MANAGEMENT.BEHAVIORAL HEALTH STRATEGIES AND MEASURES: HIRING ADDITIONAL LCSW, PSYCH SPECIALIZED NP, RE-INSTATE DRUG TAKE-BACK EVENT, COLLABORATE PSYCH MODEL WITH DEACONESS, FURTHER PARTNER WITH LOCAL SCHOOLS AND THE HEALTH DEPARTMENT. MEASURES INCLUDE THE NUMBER OF BEHAVIORAL HEALTH ENCOUNTERS PER YEAR, PSYCH HOLD TIMES IN THE ER, POUNDS OF DRUGS COLLECTED AT TAKE-BACK EVENT, AND SUICIDE DEATH RATES. HEALTHCARE ACCESS STRATEGIES AND MEASURES: STRATEGIES INCLUDE HIRING ADDITIONAL PCP, EXPAND CARE COORDINATION TEAM, COMMUNITY EDUCATION ON SPECIALTY SERVICE OFFERINGS, YEARLY HEALTH FAIR, AND DEVELOP INSURANCE CONTRACTING. MEASURES INCLUDE THE NUMBER OF NON-ED OUTPATIENT VISITS PER YEAR, APPROPRIATE ED UTILIZATION, NUMBER OF HEALTH FAIR ENCOUNTERS, AND CHARITY CARE CONTRIBUTIONS. CHRONIC DISEASE MANAGEMENT STRATEGIES AND MEASURES: STRATEGIES INCLUDE A YEARLY HEALTH FAIR, BROADEN EDUCATIONAL EFFORTS, CHRONIC CARE MANAGEMENT PROGRAM, PARTNER TO GET ADDITIONAL SPECIALIST ONSITE, PLAN A 5K WITH COMMUNITY PARTNERS. MEASURES INCLUDE THE NUMBER OF PATIENTS UTILIZING CARE COORDINATION PROGRAM, MEDICARE WELLNESS VISITS, AND THE NUMBER OF MAMMOGRAPHY SCREENINGS PROVIDED.
LAWRENCE COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 13B: LCMH CHARGES THE SAME AMOUNT FOR ALL PATIENTS, AND DISCOUNTS ARE GIVEN BASED ON FEDERAL POVERTY GUIDELINES.
LAWRENCE COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 19E: LCMH USES SEARCH AMERICA WHICH MEANS THAT ADDITIONAL THIRD-PARTIES ARE NOT NEEDED BEFORE MAKING REASONABLE EFFORTS REGARDING ELIGIBILITY.
LAWRENCE COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 20E: OUTPATIENTS ARE NOTIFIED ON THE FIRST STATEMENT THEY RECEIVE THAT SHOWS ANY PATIENT BALANCE. LCMH ATTEMPTS TO NOTIFY ALL INPATIENTS AS PART OF THEIR STAY BUT WITH ALOS OF 3 DAYS. THIS IS NOT ALWAYS ACCOMPLISHED. THEY ALSO RECEIVE NOTICE ON THEIR FIRST STATEMENT OF THE FINANCIAL ASSISTANCE POLICY. ALL UNINSURED PATIENTS RECEIVE AN FA APPLICATION UPON REGISTRATION.
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Supplemental Information
PART III, LINE 2: ACCOUNTS ARE REPORTED AS BAD DEBT ONLY IF PATIENTS ARE NOT ELIGIBLE UNDER PRESUMPTIVE CHARITY OR DO NOT COMPLETE AN APPLICATION FOR FINANCIAL ASSISTANCE IF THEY CANNOT BE QUALIFIED AS PRESUMPTIVE. BAD DEBT EXPENSES ARE ACCOUNTS FOR PATIENTS THAT HAVE NOT PAID LCMH FOR THE SERVICES PROVIDED. EVERY EFFORT IS MADE TO QUALIFY THEM AS PRESUMPTIVE IF THEY DO NOT DIRECTLY REQUEST FINANCIAL ASSISTANCE. AN ELECTRONIC RESOURCE IS USED TO QUALIFY PATIENTS AS CHARITY BEFORE THE COLLECTION PROCESS IS STARTED. THE HOSPITAL PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS MEETING CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE.
PART III, LINE 8: MEDICARE REVENUE RECEIVED AND MEDICARE ALLOWABLE COSTS OF CARE WERE CALCULATED BASED OFF THE 2022 COST REPORT.
PART III, LINE 9B: ANY PATIENT BALANCE THAT HAS GONE THROUGH THE IN-HOUSE COLLECTION PROCESS WILL BE SUBMITTED TO SEARCH AMERICA PRIOR TO BECOMING BAD DEBT. SEARCH AMERICA WILL YIELD BACK FEDERAL POVERTY PERCENTAGES THAT CAN BE USED TO QUALIFY AS PRESUMPTIVE CHARITY WITHOUT APPLICATION BY THE PATIENT OR FAMILY.
PART VI, LINE 2: LCMH UTILIZED SERVICES FROM QHR TO PERFORM A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE REPORT WAS PROVIDED IN JUNE, 2022.
PART VI, LINE 3: LCMH HAS POSTERS IN ALL REGISTRATION AREAS RELATED TO ANY HOSPITAL DEPARTMENT INCLUDING OUR RURAL HEALTH CLINIC INFORMING PATIENTS THAT WE SEE ANYONE REGARDLESS OF THEIR ABILITY TO PAY AND THAT FINANCIAL ASSISTANCE IS AVAILABLE TO UNINSURED AND UNDERINSURED PERSONS. ALL ED PATIENTS ARE SEEN BY A PRACTITIONER PRIOR TO REQUEST FOR ANY FINANCIAL INFORMATION/INSURANCE AS REQUIRED BY EMTALA. ALL PATIENTS THAT DO NOT HAVE INSURANCE OR THAT HAVE A PATIENT BALANCE AFTER INSURANCE ARE CONTACTED BY OUR PATIENT FINANCIAL SERVICES REPRESENTATIVE WHO THEN PROVIDES A FINANCIAL ASSISTANCE FORM.
PART VI, LINE 4: LCMH SERVES AS A PREDOMINANTLY RURAL COUNTY IN SOUTHEASTERN ILLINOIS. 14% OF THE POPULATION HAS SOME OR NO HIGH SCHOOL EXPERIENCE, WITH ANOTHER 34.9% HAVING ONLY A HIGH SCHOOL EDUCATION. THE UNEMPLOYMENT RATE IS 8.7% COMPARED TO 9.5% IN ILLINOIS. THE PERCENTAGE OF CHILDREN IN POVERTY IS 25%, COMPARED TO 16% IN ILLINOIS. LCMH OPERATES A RURAL HEALTH CLINIC STAFFED WITH PHYSICIANS AND MID-LEVEL PRACTITIONERS TO PROVIDE A PRIMARY SOURCE OF CARE THAT IS EASILY ACCESSIBLE TO BETTER SERVE THEIR PATIENTS.
PART VI, LINE 5: "LCMH PARTICIPATES IN MANY COMMUNITY GROUPS THAT ARE DESIGNED TO IMPROVE THE HEALTH OF THE COMMUNITY. LCMH PARTNERS WITH LOCAL SCHOOLS TO PROVIDE PHYSICALS ONSITE ONCE PER YEAR. LCMH ALSO PARTICIPATES WITH OTHER COMMUNITY RESOURCES TO OFFER HEALTH FAIRS AND OTHER SCREENING OPPORTUNITIES. LCMH PROVIDERS PRESENT DIFFERENT TOPICS TO SENIOR CITIZENS THROUGH THE ""DINE WITH A DOC"" PROGRAM. LCMH IS PART OF AN ACCOUNTABLE CARE ORGANIZATION, AND PRESENTS EDUCATION ON CHRONIC CARE MANAGEMENT. LCMH LEADERSHIP SERVES ON SEVERAL BOARDS IN THE AREA TO SUPPORT ECONOMIC DEVELOPMENT. LCMH LEADERSHIP ALSO SERVES ON COMMITTES FOR ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK PROVIDING SUPPORT TO ALL CAHS IN ILLINOIS TO HELP THEM BETTER SERVE THEIR COMMUNITIES."
PART VI, LINE 6: LCMH IS AFFILIATED WITH DEACONESS HOSPITAL AS OF MAY 2019.
