4A (Expenses $ 72252258 including grants of $ 160000) (Revenue $ 99681076)
CAMERON MEMORIAL COMMUNITY HOSPITAL, INC. (HOSPITAL), A NOT FOR PROFIT ORGANIZATION, IS A GENERAL ACUTE CARE FACILITY IN ANGOLA, INDIANA WITH 25 LICENSED BEDS AND ASSOCIATED ANCILLARY SERVICE DEPARTMENTS INCLUDING OUTPATIENT SERVICES, HOME HEALTH CARE AND AN URGENT CARE CENTER IN ANGOLA, INDIANA. THE HOSPITAL PROVIDES HEALTH CARE SERVICES PRIMARILY IN THE NORTHEAST PORTION OF INDIANA. EXPENSES RELATE TO THE PROVISION OF MEDICAL CARE AND RELATED GENERAL AND ADMINISTRATIVE COSTS.

4B (Expenses $ 0 including grants of $ 0) (Revenue $ 0)
SURGERY SERVICE IS A PROGRAM OFFERED TO PATIENTS AT THE HOSPITAL. OVER 3,700 PROCEDURES ARE PERFORMED ANNUALLY, WITH 91% OF THE PROCEDURES BEING OUTPATIENT RELATED.

4C (Expenses $ 0 including grants of $ 0) (Revenue $ 0)
OTHER PROGRAMS INCLUDE RADIOLOGY, LAB SERVICES AND EMERGENCY ROOM.RADIOLOGY SERVICE IS OFFERED TO PATIENTS AT THE HOSPITAL. ANNUALLY THE HOSPITAL PERFORMS OVER 42,500 PROCEDURES, INCLUDING GENERAL RADIOLOGY SERVICES, CT SCANS, PET SCANS AND AN OPEN BORE MRI. LAB SERVICES IS THE FOURTH LARGEST PROGRAM OFFERED TO PATIENTS AT THE HOSPITAL. OVER 233,400 ARE DONE WITH 83% BEING OUTPATIENT RELATED. EMERGENCY ROOM SERVICES IS THE THIRD LARGEST PROGRAM OFFERED TO PATIENTS AT CMCH. OVER 17,600 PATIENTS CAME THROUGH CAMERON'S EMERGENCY ROOM.

CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.
PART V, SECTION B, LINE 5: CONTRACTED WITH THE INDIANA RURAL HEALTH ASSOCIATION (IRHA) TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). IRHA FIRST IDENTIFIED THE COMMUNITY SERVED BY CMCH THROUGH CONVERSATIONS WITH THE HOSPITAL. BASED ON A REVIEW OF PATIENT ZIP CODES, THE HOSPITAL WAS ABLE TO DEFINE THE COMMUNITY SERVED AS ALL POSTAL CODES WITHIN THE GEOGRAPHIC AREA OF STEUBEN COUNTY. THE HOSPITAL PROVIDED A PRIMARY SERVICE AREA MAP WITH ZIP CODES. NEXT, A STEERING COMMITTEE OF STEUBEN COUNTY REPRESENTATIVES WAS ORGANIZED WITH THE HELP OF THE CAMERON MEMORIAL COMMUNITY HOSPITAL CEO. BUSINESS OWNERS, LOCAL OFFICIALS, HEALTHCARE PROVIDERS, MINORITY LEADERS, CLERGY, STUDENT REPRESENTATIVES, AND ANY OTHER INTERESTED PARTIES WERE INVITED TO ATTEND THE MEETING TO DISCUSS THE HEALTH-RELATED NEEDS OF THE COUNTY WITH A VIEW TO IDENTIFYING THE AREAS OF GREATEST CONCERN. FROM THE INFORMATION OBTAINED IN THE STEERING COMMITTEE, A 43-QUESTION SURVEY WAS DEVELOPED TO GAIN THE PERSPECTIVE OF THE INHABITANTS OF THE COMMUNITY. QUESTIONS INCLUDED QUERIES ABOUT THE EFFECT OF VARIOUS FACTORS (SUCH AS ILLEGAL DRUGS, TRANSPORTATION, AND POVERTY), AS WELL AS PROBES INTO THE PERCEIVED NEED FOR VARIOUS SERVICES AND FACILITIES IN THE COUNTY. THE SURVEY WAS DISSEMINATED TO THE RESIDENTS OF STEUBEN COUNTY THROUGH INCLUSION ON THE CAMERON MEMORIAL COMMUNITY HOSPITAL'S WEBSITE, FACE-TO-FACE POLLING AT THE YMCA OF STEUBEN COUNTY AND SUTTON'S DELI, A RESTAURANT ON THE TOWN SQUARE IN ANGOLA. AN ONLINE SURVEY POSTED ON SURVEYMONKEY.COM WAS ALSO MADE AVAILABLE TO THE PUBLIC.

CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.
PART V, SECTION B, LINE 6B: INDIANA RURAL HEALTH ASSOCIATION

CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.
"PART V, SECTION B, LINE 7D: SECTION B, LINE 7A:HTTPS://WWW.CAMERONMCH.COM/RESOURCES/COMMUNITY-HEALTH-ASSESSMENT/SECTION B, LINE 7D:LOCATION TO CHNA: ON THE WEB PAGE UNDER ""RESOURCES"" CLICK ON THE LINK ""ANNUAL REPORT & COMMUNITY HEALTH NEEDS ASSESSMENT"" TO ACCESS CMCH'S MOST CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT OR COPY AND ENTER THE LINK ABOVE ""SECTION B, LINE 7A"" INTO THE INTERNET BROWSER."

CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.
"PART V, SECTION B, LINE 11: THERE WERE FOUR SIGNIFICANT NEEDS IDENTIFIED IN THE HOSPITAL'S MOST RECENTLY CONDUCTED FISCAL YEAR ENDING 2019 CHNA. BELOW IS A SUMMARY OF THE NEEDS IDENTIFIED AND PRIORITIZED IN THE APPROVED IMPLEMENTATION STRATEGY WITH AN UPDATE FOR THE YEAR.NEED 1: ACCESS AND/OR EDUCATION FOR UNINSURED, UNDERINSURED, AND LOW-INCOME POPULATIONS, AS WELL AS COST OF CARE AND TRANSPARENCY.NEED IS BEING ADDRESSED DURING THE YEAR: CMCH WILL INVESTIGATE OPPORTUNITIES FOR PARTNERSHIPS WITH AREA AGENCIES AND ALL PUBLIC AID OPTIONS FOR FINANCIAL RESOURCES. WE WILL INCLUDE BUSINESS ENTITIES SUCH AS CLAIM-AID OR SIMILAR FIRMS TO EXHAUST ALL OPTIONS FOR MEDICAID ENROLLMENT. WE WILL ALSO CONSULT WITH LOCAL CLERGY TO EXPLORE FAITH BASED FINANCIAL SUPPORT PROGRAMS.UPDATE: NUMEROUS STAFF FROM CMCH ARE ON COMMUNITY BOARDS SUCH AS SCHOOL BOARDS, THE UNITED WAY OF STEUBEN COUNTY, MAYOR'S ARTS COUNCIL, SHAPE UP STEUBEN, THE ANGOLA CHAMBER, AND THE YMCA OF STEUBEN COUNTY. WE ARE REGULARLY COLLABORATING ON PROGRAMS GEARED TO EDUCATING THE COMMUNITY ON A VARIETY OF HEALTH AND WELLNESS TOPICS, INCLUDING BRINGING TELEHEALTH TO LOCAL STUDENTS AND COMMUNITY MEMBERS.CMCH'S WELLNESS COORDINATOR IS ALSO LEADING SHAPE-UP STEUBEN AND ORGANIZING MULTIPLE EDUCATIONAL OPPORTUNITIES FOR LOCAL STUDENTS THROUGHOUT THE SCHOOL YEAR. THIS POSITION IS ADDITIONALLY RESPONSIBLE TO HELP PROMOTE HEALTH AND WELLNESS INTERNALLY BY ORGANIZING WELLNESS CHALLENGES THROUGHOUT THE YEAR FOR OUR INTERNAL EMPLOYEES AND HELPING TO PROVIDE GUIDANCE WITH AGGREGATE BIOMETRIC SCREENINGS TO OFFER EDUCATIONAL OPPORTUNITIES ON HEALTH AND WELLNESS.NEED 2: EDUCATION, TREATMENT, AND PREVENTION FOR ILLEGAL DRUG USE, PRESCRIPTION DRUG/OPIOID ABUSE, ALCOHOL ABUSE, METHAMPHETAMINE, AND TOBACCO USE: NEED IS BEING ADDRESSED DURING THE YEAR: CMCH WILL COLLABORATE WITH LOCAL EXPERTS AND PROFESSIONAL RESOURCES TO OFFER EDUCATIONAL MEETINGS TO DISCUSS SUBSTANCE USE DISORDER, INCLUDING DRUG AND TOBACCO ISSUES.UPDATE: THROUGH COMMUNITY OUTREACH PROGRAMS, WE WILL CONTINUE TO WORK WITH SCHOOLS TO EDUCATE YOUTH/STUDENTS ON THE IMPORTANCE OF HEALTH AND WELLNESS, AND AVOIDING ILLEGAL DRUG, ALCOHOL, AND TOBACCO USE. EDUCATIONAL SERVICES OFFERED BY CMCH TO SERVE THOSE IN NEED WILL ALSO INCLUDE LOCAL EMPLOYERS, CHURCHES, SCHOOLS, ETC.MOST SPECIFICALLY, CAMERON HOSPITAL HAS PARTNERED WITH DRUG FREE STEUBEN TO EDUCATE OUR COMMUNITY. STAFF OF CAMERON SITS ON THE BOARD OF A NON-PROFIT COMMITTEE CALLED ""DRUG FREE STEUBEN."" THIS GROUP IS COMPRISED OF GOVERNMENT INDIVIDUALS, LAW ENFORCEMENT, JUVENILE DETENTION, PURDUE EXTENSION, MENTAL HEALTH FACILITY STAFF, LOCAL HEALTH DEPARTMENT, SCHOOL OFFICIALS FROM LOCAL AND TRINE UNIVERSITY, AND MORE. FUNDING IS ACQUIRED INTO A COMMUNITY DRUG FUND THAT IS REDISTRIBUTED BACK INTO COMMUNITY THROUGH GRANTS AWARDED TO VARIOUS ORGANIZATIONS. DOLLARS ARE GIVEN TO EFFORTS AROUND IMPROVING EDUCATION AND PREVENTION WITH ILLEGAL DRUGS IN STEUBEN COUNTY. IN 2021 2022, AROUND $22,000 WAS AWARDED TO 10 ORGANIZATIONS FOR PREVENTION, TREATMENT, AND JUSTICE. DRUG FREE STEUBEN ALSO HAS FREE EDUCATION EVENTS FOR LEADERS AND COMMUNITY MEMBERS OF STEUBEN COUNTY. DURING THIS TIME THE FOLLOWING EVENTS WERE PROMOTED. BRAIN & SCIENCE OF ADDICTION, UNDERSTANDING THE OPIOID CRISIS, DRUG RECOGNITION EXPERTISE AROUND SIGNS AND SYMPTOMS OF IMPAIRMENT AND MORE.NEED 3: MENTAL HEALTH TREATMENT AND FACILITIES.NEED IS BEING ADDRESSED DURING THE YEAR: CMCH MAKE ADDITIONAL RESOURCES AVAILABLE BY PROVIDING ADDITIONAL RESOURCES FOR MENTAL HEALTH.UPDATE: IN JUNE 2019 CAMERON PSYCHIATRY OPENED FOR PATIENTS AGES 15 AND UP TO PROVIDE COUNSELING AND CARE TO THOSE DEALING WITH EMOTIONAL AND BEHAVIORAL CHALLENGES SUCH AS DEPRESSION, ANXIETY, FAMILY ISSUES, RELATIONSHIP CONCERNS, STRESS AND MORE. ALL TREATMENT IS PROVIDED ON AN OUTPATIENT BASIS. CAMERON PSYCHIATRY CONTINUES TO BE A CATALYST FOR OUR COMMUNITY AND AN EFFECTIVE TOOL FOR MENTAL HEALTH. IN FISCAL YEAR 2021, CAMERON PSYCHIATRY BROADENED THEIR AGE GROUP WITH THE ADDITION OF ADOLESCENT THERAPY ALLOWING CAMERON TO PROVIDE CARE TO CHILDREN STARTING AT AGE 6. QPR: 1 INSTRUCTOR CERTIFIED DECEMBER 2021. 2 ADDITIONAL CERTIFIED MARCH 2022. SINCE IMPLEMENTATION OF THE QPR GATEKEEPER COURSE, WE HAVE HAD 85+ PEOPLE PARTICIPATE. INCLUDING CAMERON STAFF, CANCER CENTER EMPLOYEES, LEADERS FROM EASTERSEALS / RISE, THE HERITAGE CLUB, AND MORE.NEED 4: SERVICES FOR YOUTHNEED IS BEING ADDRESSED DURING THE YEAR: CMCH WILL COLLABORATE WITH COMMUNITY ORGANIZATIONS FOCUSED ON YOUTH TO INCLUDE HEALTHY LIVING CONCEPTS AS PART OF DAILY LIFE INCLUDING: YMCA OF STEUBEN COUNTY, SHAPE UP STEUBEN AND PURDUE EXTENSION, ALONG WITH OTHER SOCIAL ACTIVITY/CLUBS, FITNESS ORGANIZATIONS, LOCAL GATHERING PLACES, SCHOOLS AND FAITH-BASED ORGANIZATIONS. WE WILL ALSO COLLABORATE WITH COMMUNITY LEADERS AND LAW ENFORCEMENT TO SPECIFICALLY IDENTIFY AREAS WHERE YOUTH CONGREGATE; AND BASED ON THOSE DEMOGRAPHICS, DEVELOP PROGRAMS TO ORGANIZE ACTIVITIES WHICH WILL CAPTURE THEIR INTEREST.UPDATE: CMCH HAS COLLABORATED WITH PURDUE EXTENSION TO LAUNCH STRENGTHENING FAMILIES IN JUNE 2019. THIS PROGRAM IS A 7-SESSION COURSE FOR AGES 10-14. THE PROGRAM MET WEEKLY FOR 2.5 HOURS TO WORK WITH FAMILY-LIFE ISSUES, PARENT-CHILD RELATIONSHIPS, COMMUNICATION TOOLS, PEER PRESSURE AND SETTING & ACHIEVING GOALS. THE FIRST SESSION WAS OPEN ONLY FOR COURT-APPOINTMENT FAMILIES FROM THE JUVENILE DELINQUENCY PROBATION PROGRAMS. WE PLAN TO HAVE FUTURE SESSIONS OPEN TO THE PUBLIC. THIS PROGRAM WAS MADE AVAILABLE AT NO COST TO THE FAMILIES THROUGH GRANTS OBTAINED THROUGH PURDUE EXTENSION AND THE STEUBEN COUNTY COMMUNITY FOUNDATION. ADDITIONALLY, DINNER WAS PROVIDED AT NO COST AS A DONATION FROM CMCH. CAMERON IS EXCITED TO COLLABORATE WITH COMMUNITY ORGANIZATIONS FOCUSED ON YOUTH NOW THAT COVID-19 RESTRICTIONS HAVE ALLOWED FOR THESE INTERACTIONS.IMPLEMENTATION OF PET THERAPY PROGRAM. IN SEPTEMBER OF 2022. (END OF FY 22) THESE COMFORT AND THERAPY DOGS FREQUENTLY VISIT WITH ALL PATIENTS, BUT HAVE BEEN VERY HELPFUL WITH YOUTH WHILE STAYING AS AN IN-PATIENT, THERAPY, AND OFFERING COMFORT IN THE LAB.CAMERON MEDICAL GROUP IS COMMITTED TO EDUCATING OUR COMMUNITY, SPECIFICALLY PARENTS AND YOUTH. FROM TOURS OF THE HOSPITAL, PARTICIPATING IN FUN EDUCATIONAL EVENTS AT LOCAL SCHOOLS, THERAPY DOGS, ATTENDING YMCA SUMMER DAY CAMP PROVIDING HEALTHY TIPS ON WASHING HANDS, THE IMPORTANCE OF SEEING YOUR PEDIATRICIAN/FAMILY PROVIDER AND SO MUCH MORE."

CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.
PART V, SECTION B, LINE 13B: IN ADDITION TO FPG, ELIGIBILITY FOR FINANCIAL ASSISTANCE ALSO CONSIDERS THE FOLLOWING INCOME SOURCES IF PATIENTS CLAIM NO INCOME: INCOME FROM CHILD SUPPORT, PENSION, RENTAL, EDUCATION, AND OTHER FINANCIAL SUPPORT FROM FAMILY MEMBERS NOT LIVING IN THE HOUSEHOLD.

CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.
"PART V, SECTION B, LINE 16J: ON THE WEB PAGE UNDER ""RESOURCES"" CLICK ON THE LINK ""BILLING & PRICING"" TO ACCESS THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY INFORMATION."

CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.
PART V, SECTION B, LINE 20E: FOR INPATIENTS, A HOSPITAL REPRESENTATIVE VISITS THE PATIENT AND DISCUSSES WITH THEM ABOUT PAYMENT OPTIONS INCLUDING THE FINANCIAL ASSISTANCE POLICY; FOR OUTPATIENTS AND OTHER PATIENTS THE BUSINESS OFFICE CALLS AND DISCUSSES THE SAME OPTIONS.

SCHEDULE H, PART V, SECTION B, LINE 8-10
CAMERON MEMORIAL COMMUNITY HOSPITAL RECEIVED ITS 2022 CHNA RESULTS IN FALL OF 2022. KEY AREAS OF OPPORTUNITY IDENTIFIED IN THE REPORT THAT WILL BE ADDRESSED BY CAMERON, IN PARTNERSHIP WITH COMMUNITY STAKEHOLDERS, INCLUDES FOOD DESERT AND ACCESS TO HEALTH FOODS FOR LOWER INCOME FAMILIES, SUBSTANCE USE DISORDER, VAPING AND ELECTRONIC CIGARETTE USAGE, YOUTH/ADOLESCENT AND GENERAL MENTAL HEALTH SERVICES AND THE STIGMAS ASSOCIATED WITH RECEIVING MENTAL HEALTH CARE. IN AUGUST OF 2023, A GROUP OF COMMUNITY LEADERS AND ORGANIZATIONS INCLUDING CAMERON, THE STEUBEN COUNTY YMCA, THE PURDUE EXTENSION OFFICE, AND OTHERS, WILL HOST A KICKOFF MEETING AIMED AT DEVELOPING PROGRAMS THAT WILL ADDRESS THE FOOD DESERT, SUBSTANCE USE DISORDER AND VAPING DEFICIENCIES. CAMERON MEMORIAL WILL ALSO SOON ESTABLISH PROGRAMS AIMED AT ADDRESSING MENTAL HEALTH NEEDS AND STIGMAS OF MENTAL HEALTH CARE. CAMERON'S PSYCHIATRY SERVICES ARE CURRENTLY WITHOUT A PROVIDER WHOM LEFT THE ORGANIZATION AFTER FALLING ILL IN EARLY 2023 BUT A NEW PHYSICIAN AND ADVANCED PRACTICE PROVIDER ARE SCHEDULED TO JOIN THE ORGANIZATION IN OCT. OF 2023.

PART I, LINE 3C:
CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.'S FINANCIAL ASSISTANCE POLICY EXPLAINS THE FOLLOWING ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IN ADDITION TO THE FPG:INCOME LEVEL OTHER THAN FPG (E.G., CHILD SUPPORT, PENSION INCOME, RENTAL INCOME, EDUCATIONAL INCOME, AND OTHER FINANCIAL SUPPORT FROM FAMILY MEMBERS NOT LIVING IN THE HOUSEHOLD), ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY.

PART I, LINE 7, COLUMN (F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,304,441.

PART II, COMMUNITY BUILDING ACTIVITIES:
"DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES:CAMERON MEMORIAL COMMUNITY HOSPITAL HAS ROOTS IN THIS AREA DATING BACK TO 1926, HELPING GENERATION AFTER GENERATION ENJOY BETTER HEALTH AND LIVE COMFORTABLY. TODAY, WE'RE A 25-BED, NOT-FOR-PROFIT FACILITY PROUDLY SERVING ANGOLA AND STEUBEN COUNTY. THE HOSPITAL'S MISSION IS TO IMPROVE THE QUALITY OF LIFE FOR THOSE WE SERVE THROUGH RELATIONSHIPS FOCUSED ON HEALTH AND WELLNESS. OUR TEAM OF EXPERIENCED PHYSICIANS, PROFESSIONAL HEALTHCARE PROVIDERS AND KNOWLEDGEABLE STAFF STRIVE TO MEET THIS MISSION EVERY DAY BY PROVIDING OUTSTANDING, PERSONALIZED CARE BACKED BY ADVANCED TECHNOLOGY AND A COMMITMENT TO OUR COMMUNITY. WE VALUE SAFETY, COMPASSION, INTEGRITY, TEAMWORK, STEWARDSHIP, EXCELLENCE, RESPECT, AND WELLNESS.EACH YEAR, CAMERON HOSPITAL HOSTS HIGH SCHOOL STUDENTS THROUGH THE HEALTH OCCUPATIONS EDUCATION PROGRAM (HOE). THESE STUDENTS ARE SELECTED BASED ON THEIR INTERESTED IN PURSUING A CAREER IN HEALTHCARE AFTER GRADUATION. DURING THEIR SENIOR YEAR, THE STUDENTS ARE ASSIGNED TO VARIOUS DEPARTMENTS IN THE HOSPITAL, CLINICS, AND MEDICAL OFFICES TO OBSERVE AND IN MANYINSTANCES, HAVE ""HANDS-ON"" EXPERIENCE, MONITORED BY EXPERTS IN THE FIELD. THE STUDENTS ARE ALSO TRAINED IN CPR, PARTICIPATE IN HEALTH FAIRS AND SCREENINGS THROUGHOUT THE COMMUNITY. BY SUPPORTING THE HOE PROGRAM, CAMERON HOSPITAL CONTINUOUSLY ENCOURAGES AND PROMOTES QUALITY HEALTHCARE FOR OUR COMMUNITY FOR GENERATIONS TO COME.IN 2019, OUR COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED AREAS OPPORTUNITY FOR MENTAL HEALTH SUPPORT. IN 2019, CAMERON HOSPITAL ADDED CAMERON PSYCHIATRY TO OUR SERVICE LINE OFFERINGS, BRINGING A LICENSED PSYCHIATRIST WITH OVER 40 YEARS' EXPERIENCE TO STEUBEN COUNTY. AS PART OF CAMERON MEDICAL GROUP, DR. MERCADO AND HIS TEAM CARE FOR THE PSYCHOLOGICAL WELL-BEING OF PATIENTS 15 YEARS AND OLDER STRUGGLING WITH TRAUMA, ANXIETY OR DEPRESSION IN AN OUTPATIENT SETTING. IN THE PAST, CAMERON HAS OFFERED A COMMUNITY-WIDE WELLNESS SCREENING DAY AT A LOCAL HIGH SCHOOL WITH REDUCED PRICES ON LAB TESTS FOR ADULTS. WE LAUNCHED A TELEHEALTH PROGRAM WITH A LOCAL SCHOOL SYSTEM, ALLOWING CHILDREN TO BE SEEN FOR A VIDEO VISIT WITH A PEDIATRICIAN, WITH A SIGNED CONSENT FROM A PARENT/GUARDIAN ON FILE, WITH BILLING SET-UP THE SAME WAY AS IF A PARENT WERE TO BRING THEIR CHILD INTO THE SPECIALIST'S OFFICE. WE RECENTLY EXPANDED TELEHEALTH PROGRAMS WITHIN FREMONT COMMUNITY SCHOOLS AND ARE EXCITED FOR THE FUTURE WITH THIS PROGRAM.LASTLY, BECAUSE WE UNDERSTAND THE IMPORTANCE OF ACCESS TO HEALTHY FOOD AND BALANCED NUTRITION, WE CONTINUE TO OFFER THE CAMERON COMMUNITY WELLNESS GARDEN TO OUR COMMUNITY MEMBERS AT NO COST. THE GARDENERS RESERVE THEIR SPOTS AND MAINTAIN THEIR CROPS UNTIL THE FALL. FOR THE THIRD YEAR IN A ROW, WE ARE PLEASED TO PRESENT, THE PLOTS HAVE ALL BEEN FILLED. WE ALSO PLAN TO PARTNER WITH A LARGER HEALTHCARE SYSTEM TO COLLABORATE ON A FARM-TO-SCHOOL PROGRAM FOR LOCAL SCHOOLS AND HAVE REACHED OUT TO SCHOOLS TO OFFER EDUCATIONAL OPPORTUNITIES THROUGH THE CAMERON COMMUNITY WELLNESS GARDEN."

PART III, LINE 2:
MANAGEMENT REGULARLY REVIEWS DATA ABOUT THE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PAYMENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE HOSPITAL RECORDS 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 PROVISION FOR BAD DEBTS RELATING TO PATIENT SERVICE REVENUE HAS BEEN PRESENTED AT THE ACTUAL AMOUNT OF CHARGES WRITTEN OFF.

PART III, LINE 3:
THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN CHARITY CARE CANDIDATES MUST COOPERATE FULLY. IN ADDITION, THE HOSPITAL EDUCATES PATIENTS WILL LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON, THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE.

PART III, LINE 4:
"EXPLANATION OF FINANCIAL STATEMENT FOOTNOTE:SEE THE AUDITED FINANCIAL STATEMENT FOOTNOTE 1 ""PATIENT ACCOUNTS RECEIVABLE & CREDIT POLICY"" LOCATED ON PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS."

PART III, LINE 8:
THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED 9/30/2022 MEDICARE COST REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST.

PART III, LINE 9B:
THE BILLING AND COLLECTION POLICY ADDRESSES THE ACTIONS THAT MAY BE TAKEN IN THE EVENT OF NONPAYMENT FOR MEDICAL CARE, ENSURES APPROPRIATE BILLING AND COLLECTION PROCEDURES ARE UNIFORMLY FOLLOWED, AND ENSURES THAT REASONABLE EFFORTS ARE MADE TO DETERMINE WHETHER THE INDIVIDUAL(S) RESPONSIBLE FOR PAYMENT OF ALL OR A PORTION OF A PATIENT ACCOUNT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. FINANCIAL ASSISTANCE STAFF AND MANAGEMENT ARE RESPONSIBILITY FOR ENSURING REASONABLE EFFORTS HAVE BEEN MET ON APPLICABLE ACCOUNTS PRIOR TO INITIATION OF ANY EXTRAORDINARY COLLECTION ACTIONS.

PART VI, LINE 2:
DESCRIPTION OF HOW COMMUNITY HEALTH CARE NEEDS ARE ASSESSED: IN ADDITION TO CONDUCTING THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THE HOSPITAL BOARD OF DIRECTORS AND MANAGEMENT WORK ONGOING THROUGHOUT THE YEAR WITH COMMUNITY LEADERS, VOLUNTEERS, LOCAL COMMUNITY MEMBERS TO KEEP UP TO DATE ON ISSUES WITHIN THE COMMUNITY. THE HOSPITAL PROVIDES MANY EDUCATIONAL OPPORTUNITIES AND SUPPORT ACTIVITIES BEYOND ACUTE MEDICAL AND SURGICAL CARE.

PART VI, LINE 3:
"DESCRIPTION OF PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE CHARITY CARE POLICY IS AVAILABLE IN THE ER AND REGISTRATION AREAS OF THE HOSPITAL. CAMERON DISTRIBUTES AN ""IMPORTANT BILLING INFORMATION FOR UNINSURED PATIENTS"" HANDOUT TO EVERY UNINSURED PATIENT. THIS HANDOUT IS DESIGNED TO HELP PATIENTS UNDERSTAND THE BILLING PROCESS, PAYMENT OPTIONS AND FINANCIAL ASSISTANCE THAT IS AVAILABLE. WE HAVE FINANCIAL COUNSELORS AVAILABLE TO DISCUSS WITH THE PATIENTS' FEDERAL, STATE AND HOSPITAL FINANCIAL ASSISTANCE PROGRAMS AND ASSIST WITH ENROLLMENT PROGRAMS, WHEN APPLICABLE. CAMERON IS AN APPROVED INDIANA MEDICAID ENROLLMENT CENTER FOR OUR PATIENTS."

PART VI, LINE 4:
DESCRIPTION OF COMMUNITY DEMOGRAPHICS:CAMERON MEMORIAL COMMUNITY HOSPITAL WAS OPENED IN 1926 AND IS LOCATED IN ANGOLA, INDIANA. ANGOLA IS LOCATED IN STEUBEN COUNTY, APPROXIMATELY 45 MILES NORTH OF FORT WAYNE, INDIANA. SINCE CAMERON HOSPITAL IS LOCATED IN EXTREME NORTHEAST INDIANA, IT SERVES PATIENTS FROM COMMUNITIES IN SOUTHWEST MICHIGAN AND NORTHWEST OHIO AS WELL. CAMERON HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN STEUBEN COUNTY. THE HEALTH CARE SECTOR IS IMPORTANT TO THE COUNTY'S ECONOMY, AS IT EMPLOYS A LARGE NUMBER OF ITS RESIDENTS, WHO PURCHASE A LARGE AMOUNT OF GOODS AND SERVICES FROM THE BUSINESSES LOCATED IN STEUBEN COUNTY. AS OF THE 2020 CENSUS, THE CITY OF ANGOLA HAD A POPULATION OF 9,340, WHILE THE STEUBEN COUNTY POPULATION WAS 34,435. DURING THE SUMMER MONTHS THE POPULATION IN STEUBEN COUNTY DRASTICALLY INCREASES DUE TO THE NUMEROUS LAKES IN THE COUNTY. THE CHARACTERISTICS OF THE POPULATION ARE FACTORS IN DETERMINING THE HEALTH CARE SERVICES THAT OUR COMMUNITY REQUIRES. THE PERCENTAGE OF THE POPULATION IN THE COMMUNITY OVER 65 YEARS OLD IS 21.0%. IN FISCAL YEAR 2020, CAMERON HOSPITAL HAD 169,800 OUTPATIENT VISITS AND 86% OF OUR PATIENT REVENUE WAS OUTPATIENT. THE FACILITY OPERATES AS AN INDEPENDENT CRITICAL ACCESS HOSPITAL AND RECEIVES COST-BASED REIMBURSEMENT.

PART VI, LINE 5:
DESCRIPTION OF OTHER COMMUNITY HEALTH PROMOTION:THE HOSPITAL IS VERY COMMITTED TO THE COMMUNITY BY SUPPORTING VARIOUS GROUPS AND NOT-FOR-PROFIT ORGANIZATIONS. NUMEROUS HAVE BEEN PROVIDED THROUGHOUT THE YEAR, SUPPORTING THE AREAS OF HEALTH, EDUCATION, AND SAFETY. ADDITIONALLY, HOSPITAL STAFF AND PHYSICIANS DONATE MANY HOURS OF THEIR TIME TO SERVE IN THE FAITH COMMUNITY CLINIC WHICH ASSISTS THE POOR AND UNDERSERVED OF THE COMMUNITY. FINALLY, THE HOSPITAL PARTNERS WITH AREA EMERGENCY PERSONNEL TO ASSIST WITH DISASTER PREPAREDNESS IN OUR COUNTY. THE HOSPITAL FEELS THAT DISASTER PREPAREDNESS IS AN IMPORTANT ROLE FOR IT TO PLAY IN OUR COMMUNITY, ASSISTING RESIDENTS IN THE EVENT OF A NATURAL DISASTER, INDUSTRIAL ACCIDENT, OR OTHER LARGE-SCALE EMERGENCY. THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, THE HOSPITAL PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. IN ADDITION TO OUR PARTICIPATION IN THESE PROGRAMS, THE HOSPITAL ABSORBED MORE THAN $219,010 IN UNREIMBURSED MEDICARE COSTS DURING 2022. IN ADDITION, THE HOSPITAL ALSO ABSORBED $3,645,952 IN UNREIMBURSED MEDICAID COSTS DURING 2022. THE HOSPITAL ALSO PARTICIPATES IN A COMMUNITY CLINIC FOR POOR AND LOW-INCOME RESIDENTS, WHEREIN LAB, RADIOLOGY, AND REHAB COST ARE ENTIRELY WRITTEN OFF. ALTHOUGH THE PRIMARY CARE PHYSICIANS ARE NOT EMPLOYED STAFF OF THE HOSPITAL, A NUMBER OF PHYSICIANS VOLUNTEER THEIR SERVICES AT THE CLINIC. THE HOSPITAL OFFERS A COMPASSIONATE CARE PROGRAM TO ELIGIBLE PARTICIPANTS BASED ON THE FEDERAL POVERTY GUIDELINES AT THE 350% LEVEL. IN 2022, THE HOSPITAL ABSORBED $60,947 IN CHARITY CARE COSTS. CAMERON ALSO PROVIDES SCREENINGS FOR RESIDENTS WHO ARE UNINSURED OR UNDERINSURED INCLUDING: PSA SCREENINGS, SKIN CANCER SCREENINGS, BREAST CANCER SCREENINGS AND BLOOD GLUCOSE TESTING FOR DIABETES OR PRE-DIABETES. THE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED IN THE AREA. THE GOVERNING BODY (BOARD OF DIRECTORS) CONSISTS OF INDEPENDENT PEOPLE REPRESENTATIVE OF THE COMMUNITY WE SERVE. THE HOSPITAL RECEIVES STRONG SUPPORT FROM AREA RESIDENTS AS EVIDENCED BY THE LARGE BODY OF VOLUNTEERS COMMITTED TO FURTHERING THE HOSPITAL'S MISSION. CAMERON IS PROUD TO PROVIDE OUR COMMUNITY WITH AN STI CLINIC WHICH OPENED IN AUGUST 2018.

PART VI, LINE 7, REPORTS FILED WITH STATES
IN