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Notice of Privacy Practice Effective 9/9/13 Memorial Hospital, Chester, Illinois This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. Notice of Privacy Practices Notice of Privacy Practice Effective 9/9/13 Memorial Hospital, Chester, Illinois This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. Versión española de la transferencia directa de las prácticas de la aislamiento WHO WILL FOLLOW THIS NOTICE: This notice describes Memorial Hospital's practices and that of: Healthcare professionals authorized to enter information into your hospital chart. Departments and units of the hospital. Members of volunteer groups. Employee staff and other hospital personnel. OUR PLEDGE REGARDING MEDICAL INFORMATION: We understand that medical information about you/your health is personal. We are committed to protecting your medical information. We create a record of the care and services you receive at the hospital. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by the hospital, whether made by hospital personnel or your personal doctor(s). Your doctor(s) may have different policies or notices regarding the doctor's use/disclosure of your medical information created in the doctor's office/clinic. If you have any further questions about this Notice, you may contact the Privacy Officer at 6l8-826-458l Ext. 2345. We will notify you in writing when a breach in your medical information occurs. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information. We are required by law to: make sure that medical information that identifies you is kept private; give you this notice of our legal duties and privacy practices with respect to medical information about you; and follow the terms of the notice that is currently in effect. HOW WE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU. The following categories describe different ways that we use/disclose medical information. For each category of uses/disclosures we will explain what we mean and give examples. Not every use/disclosure in a category will be listed. All of the ways we are permitted to use/disclose information will fall within one of the categories. FOR TREATMENT. May use medical information about you to provide medical treatment or services. We may disclose medical information about you to doctors/nurses/technicians/ other hospital personnel who are involved in taking care of you. Example, a doctor treating you for a broken leg may need to know if you have diabetes because diabetes may slow healing process. In addition, the doctor may need to tell the dietitian if you have diabetes to arrange for appropriate meals. Various departments of the hospital also may share medical information in order to coordinate different things you need, such as prescriptions/lab data/x-rays. We also may disclose medical information about you to other entities who are involved in your medical care, such as family members, clergy or others who provide services that are part of your care, ie. your family physician, specialist, medical students, nursing home, home health agency, Randolph County Health Department or other hospital associates. FOR PAYMENT. We may use/disclose medical information about you so that treatment and services you receive at Memorial may be billed to and payment collected from you, all insurance companies or a third party. Example, we may need to give your health plan, information about surgery you received so your health plan will pay us or reimburse you for the surgery. We may also tell your health plan about a treatment you are going to receive to obtain prior approval or to determine whether your plan will cover the treatment. We may provide your protected health information (PHI) to our business associates, such as billing or claims processing companies. FOR HEALTH CARE OPERATIONS. Disclosure of health information about you may be necessary for hospital operations in order to run the hospital and make sure that patients receive quality care. Example, May use medical information to review treatment/services and evaluate performance of our staff in your care. May combine medical information we have with many hospital patients to decide what additional services should be offered, what services are not needed, and whether new treatments are effective. May also disclose information to doctors, nurses, technicians and other hospital personnel for review and learning purposes. May combine medical information we have with medical information from other hospitals to compare where to improve. May remove information that identifies you from the PHI so others may use it to study healthcare delivery without specific identification. May provide your PHI to our accountants/attorneys/consultants/accreditation bodies to assure compliance. If this facility sells/transfers assets to or consolidates/ merges with an entity who is or will be a covered entity at completion of the transaction) or use/disclose PHI in connection with such transaction, Due Diligence will be utilized in transferring records containing PHI. Uses/disclosures that are incidental to otherwise permitted use/disclosure may occur, however, such are not considered a violation of the Rule provided that the covered entity has met reasonable safeguards and minimum necessary requirements. Example: Doctors can talk to patients in semi-private rooms and can confer at nurse's stations without fear of violating the Rule if overheard by a passerby. OTHER USES/DISCLOSURES: Appointment Reminders, Follow-up Phone Calls, Post Discharge, Treatment Alternatives. Health-Related Benefits and Services. FUNDRAISING ACTIVITIES May use your PHI in an effort to raise money for the hospital. We may disclose PHI to a foundation that is raising money for the hospital. Permissible fundraising activities include appeals for money, sponsorship of events, etc. They do not include royalties or remittances for the sale of products of third parties (except auctions, rummages sales, etc.) You have the option to opt out of receiving such communications. MARKETING Must obtain an individual's written authorization to use PHI for marketing purposes. Exception Doctors/other covered entities communicating with patients about treatment options are not considered marketing. You have the option to opt out of receiving such communications. UNDERWRITING PURPOSES Memorial is not permitted to disclose genetic information for underwriting purposes. This means we will not disclose genetic information to a health plan that could disqualify you from benefits. HOSPITAL DIRECTORY May include certain limited information about you in the hospital directory while you are a patient. Information may include name, location in the hospital, your general condition (ie. fair/stable) and your religious affiliation. The directory information, except for your religious affiliation, may also be released to people who ask for you by name. Religious affiliation may be given to a member of the clergy even if they don't ask for you by name. INDIVIDUALS INVOLVED IN YOUR CARE OR PAYMENT FOR YOUR CARE. May release PHI about you to a friend/family member who is involved in your care. In addition, may disclose PHI about you to your family doctor, power of attorney for healthcare, or an entity assisting in a disaster relief effort so that your family can be notified about your condition, status and location. FOR RESEARCH PURPOSES In certain circumstances, may provide PHI in order to conduct medical research. AS REQUIRED BY LAW Will disclose PHI about you when required to do so by Law. TO AVERT A SERIOUS THREAT TO HEALTH OR SAFETY May use/disclose PHI about you when necessary to prevent a serious threat to health/safety to you or the public. Any disclosure would only be to someone able to help prevent the threat. May disclose PHI to a person subject to jurisdiction of the FDA for public health purposes related to the quality/safety/effectiveness of FDA-regulated products/ activities such as collecting/reporting adverse events/dangerous products or defects/problems with FDA-regulated products. SPECIAL SITUATIONS: ORGAN/TISSUE DONATIONS . May release PHI required by Law to organizations that handle organ/eye/tissue donation bank, procurement, and/or transplantation. WORKERS' COMPENSATION. May release PHI for workers' compensation or similar programs that provide benefits for work-related injury/illness. PUBLIC HEALTH RISKS. May disclose PHI for public health activities. These activities generally include the following: to prevent or control disease/injury/disability; to report births/deaths/child or adult abuse/neglect, medication reactions or problems with products; to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading disease; to notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect or domestic violence when required by Law. HEALTH OVERSIGHT ACTVITIES. May disclose PHI to a health oversight agency for activities authorized by law. This may include audits/investigations/inspections/licensure. Such activities are necessary for the government to monitor health care systems/government programs/compliance with civil rights laws. LAWSUITS AND DISPUTES. If you are involved in a lawsuit/dispute, we may disclose PHI about you in response to a court or administrative order, ie. subpoena, discovery requestor other lawful process by someone else involved. INMATES. If an inmate of a correctional institution or under the custody of a law enforcement official, we may release PHI to them. Release would be necessary: (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; (3) for the safety and security of the correctional institution or (4) for payment of bills. LAW ENFORCEMENT. May release PHI if asked to do so by a law enforcement official: Response to a court order, subpoena, warrant, summons or similar process; Identify/locate a suspect, fugitive, material witness or missing person; About the victim of a crime if, under certain limited circumstances, we are unable to obtain the person's agreement; About a death we believe may be the result of criminal conduct. About criminal conduct at the hospital; and In emergency circumstances to report a crime, location of the crime or the identity/ description/location of the person who committed the crime. MILITARY AND VETERANS . If you are a member of the armed forces, we may release PHI as required by military command authorities. May release medical information about foreign military personnel to foreign military authority. CORONERS, MEDICAL EXAMINERS AND FUNERAL DIRECTORS. May release PHI to a coroner/medical examiner. This may be necessary to identify a deceased person or determine the cause of death. May release PHI about patients in the hospital to funeral directors as necessary to carry out their duties. NATIONAL SECURITY/INTELLIGENCE ACTIVITIES. May release PHI to authorized Federal officials for intelligence, counterintelligence, and other National security activities authorized by law. PROTECTIVE SERVICES FOR THE PRESIDENT & OTHERS. May disclose PHI to authorized Federal officials so they may provide protection to the President/other authorized persons/foreign heads of state or to conduct special investigation. YOUR RIGHTS REGARDING MEDICAL INFORMATION WE MAINTAIN FOR YOU. RIGHT TO INSPECT/COPY. You have the right to inspect and copy PHI that may be used to make decisions about your care. This includes medical and billing records, but does not include psychotherapy notes. Instead of providing the PHI, we may provide you with a summary or explanation of the PHI as long as you agree. To inspect and copy PHI that may be used to make decisions about you, you must submit your request in writing to the Health Information Management Department. If you request a copy of the information, we may charge a fee for costs. We will respond within 30 days of receiving your request. We may deny your request to inspect/copy in certain limited circumstances. If denied access to PHI, you may request that the denial be reviewed. We will respond to the denial request within 30 days after receiving your written request for review. In certain situations we may AGAIN deny that request. If we do deny, we will tell you in writing our reasons for the denial. RIGHT TO AMEND. If you feel the PHI we have about you is incorrect/incomplete, you may ask to amend the information. You have the right to request an amendment for as long as the information is kept by or for the hospital. To request an amendment, your request must be made in writing on a specific form for such purpose and you must provide a reason that supports your request. The request must be made to the Privacy Officer. (6l8-826-4581 Ext. 2345). We may deny your request for an amendment if it is not in writing or does not include areas on to support the request. We must act upon your request within 60 days unless a one-time extension of 30 days is agreed upon and give reason for the delay. We may deny your request if you ask us to amend information that: Was not created by us, unless the person or entity that created the information is no longer available to make the amendment; Is not part of the PHI kept by or for the hospital; The information wanting changed has nothing to do with the current admission to this healthcare organization. Is accurate and complete. We will give you a written denial which includes the reason for the denial. This denial will include information as to how to complain to your organization or the Secretary of Health and Human Services. You may file a "Statement of Disagreement" of the denial giving the basis for the disagreement. A written statement must be made on a standard form provided by the hospital and must be limited to one page. This facility may give the patient a written rebuttal to the "Statement of Disagreement". The facility must link or append certain amendment request information to the patient's record, ie. Request for Amendment, Hospital Denial, Patient's Statement of Disagreement and Hospital's Rebuttal (if any). If the patient does not submit a written statement of disagreement, the hospital, upon request of the patient, must include certain amendment request information with any future disclosures of PHI of issue. If a Standard Transaction does not allow you to include the required additional information when disclosing PHI, the hospital may transmit the additional information to the recipient separately. RIGHT TO REQUEST CONFIDENTIAL COMMUNICATIONS You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail. To make this specific request, you must submit a written request to the Hospital Privacy Officer. Memorial may approve or deny the request depending upon the circumstances. RIGHT TO GET A LIST OF THE DISCLOSURES WE HAVE MADE List will not include uses/disclosures for treatment/payment/health care operations listed in this Privacy Notice. The list we will give you will include disclosures made in the last six years after the effective date of his HIPAA Compliance Requirement, unless you request a shorter time after the effective date of April 14, 2003. The list will include date of the disclosure, to whom PHI was disclosed (including their address, if known), description of the information disclosed and reason for the disclosure. Within 30 days of request, one list will be provided at no charge, for more requests in same year, a $5.00 charge will be made for each request. RIGHT TO REQUEST RESTRICTIONS You have the right to request a restriction/limitation of the PHI we use/disclose about you for treatment/payment/ healthcare operations. We cannot refuse to restrict disclosure of information about a surgery you had performed if you are going to pay in full prior to your services. We are not required to agree to your request and may not comply unless there are unusual circumstances. Prior to making the restriction, the Privacy Officer will review the request. If we do agree with your restriction, we will comply unless the information is needed to provide you emergency treatment. To request restrictions, request must be in writing to the Privacy Officer. In your request, you must tell: what information you want to limit; whether you want to limit our use, disclosure or both; and to whom you want the limits to apply, for example, disclosures to your spouse. RIGHT TO A PAPER COPY OF THIS NOTICE You have the right to a paper copy of this notice. May also obtain a copy of this notice at our website, www.mhchester.com . A paper copy of this notice may be obtained from the clerk at the Registration Desk. CHANGES TO THIS NOTICE We reserve the right to change this notice at any time and may make the revised notice effective for PHI we already have about you as well as any PHI we receive in the future. A copy of the current notice is posted with the effective date. Also, each time you register at the hospital for treatment, you will be offered or given a copy of the current notice in effect. GRIEVANCES If you believe your privacy rights have been violated, you may file a written grievance with the hospital Privacy Officer, 6l8-826-4581, ext. 2345 or Secretary of the Department of Health/Human Services, 877-696-6775. There will be no retaliation against a person who exercises privacy rights or files a grievance against the hospital. EXCLUSIONS FOR EMPLOYMENT RECORDS Employment records maintained by this hospital in its capacity as an employer are excluded from the definition of PHI. However, individually identifiable health information created, received or maintained by this facility in its health care capacity is protected health information. OTHER USES OF MEDICAL INFORMATION Other uses/disclosures of PHI not covered by this notice or the laws that apply to us will be made only with your written permission. Some information requires a special authorization such as use of psychotherapy notes, marketing or fundraising use or disclosure that constitute a sale of PHI. If you provide us permission to use/disclose PHI, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use/disclose PHI for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided. In special cases in which the minor controls his/her own health information under Illinois State Law, and that Law does not define the parents' ability to access the child's health information, a licensed health care provider continues to be able to exercise discretion to grant or deny such access. LIMITED DATA SET A limited data set may be created and disseminated (that does not include directly identifiable information) for research, public health and health care operations. The recipient must agree to limit the use of the data set for the purposes for which it was given and to ensure the security of the data, as well as not to identify the information or use it to contact any individual. 1/18/02; Revised: 1/28/02; l/30/02; 4/5/02; 5/21/02; 8/13/02; 8/30/02; 9/02/02; 2/10/02; 1/21/03 10-14-10, 8/22/13. Reviewed: 8/1/11, 11/1/12.

In addition to providing specialty consulting services at Memorial Hospital, Wesley practices at SIH Medical Group Urology-Carbondale. Wesley holds outpatient clinics at Memorial Hospital once a month on Wednesdays. Wesley Howell, PA-C Urology Wesley Howell is a PAC with SIH Medical Group. He received his certification from the University of Southern Illinois Carbondale, Physician Assistant Program, in Carbondale, Illinois. In addition to providing specialty consulting services at Memorial Hospital, Wesley practices at SIH Medical Group Urology -Carbondale. Wesley holds outpatient clinics at Memorial Hospital once a month on Wednesdays. To learn more about our specialists call Memorial Hospital Specialty Clinic at (618) 826-4581 ext. 1366 BACK TO ALL PROVIDERS Urology Out-Patient Specialty Clinic More Info

New extended hours with nurse practitioners. Both locations, currently accepting new patients. Chester Clinic & Steeleville Family Practice Family Clinics Family Providers Services & Fees Accepting New Patient Appointments Dr. Zachary Orme, D.O. Family Medicine Dr. Monica Lukose, M.D. Family Medicine Clinic Staff James Kirkpatrick, M.D., PhD Family Medicine Learn More Joseph Molnar, D.O. Family Practice Learn More Valerie Blechle, APRN, FNP-BC Advanced Practice Nurse, Family Nurse Practitioner-Board Certified Learn More Lisa Lowry-Rohlfing, M.D. Family Practice Learn More Zachary Orme, D.O. Accepting New Patient Appointments - Family Practice Learn More Cassie Chambers, APRN, FNP-BC Description Learn More Monica Lukose, M.D. Accepting New Patient Appointments - Family Practice Learn More Angela Albertini, PA-C Family Practice Physician Assistant-Certified Learn More Mindy Dudenbostel, APRN, FNP-C Family Nurse Practitioner Learn More Our Team-Based Approach Memorial Hospital's Rural Health Clinics (RHCs) strive to provide the best quality care possible this is why they are transitioning to a team-based approach. Starting February 12, 2024, the RHCs are moving to a paired system, meaning each physician is paired with an Advanced Practice Provider (APP); Nurse Practitioner or Physician Assistant. The pair works TOGETHER as a team to ensure your needs are being met with the same consistent providers every time you visit the clinic. Having a team approach allows for more patients to be seen, for collaboration in care and continuity of services. If you are unable to see your doctor on the day you need to, you will be scheduled with their APP partner. This allows staff to get you in as soon as possible with the appropriate provider who is familiar with your unique health needs. By ensuring you see the same providers every time you visit, you can have the confidence knowing that they are knowledgeable about your health history. The APP and physician work together and collaborate on your care plan. You now have a TEAM of professionals assessing your needs. Learn More To apply for financial assistance at one of the rural health clinics, follow the directions below: Print the Financial Application (Download Here ) View the Sliding Fee Scale Policy Complete and sign the application. Return the application, along with copies of supporting documentation to the Patient Accounts Department. The application may either be delivered in person or sent by mail to: Chester Clinic , Attention: Patient Accounts , 1900 State Street , Chester, IL 62233 To apply for Financial Assistance at Memorial Hospital contact patient accounts at 618-826-4581 ext. 1249. Financial Policy Persons may be eligible for financial assistance with their medical bills under the terms and conditions Chester Clinic/Steeleville Family Practice offers to qualified patients (See our Financial Policy: English , Spanish ). For more information, please contact the Patient Accounts Department at 618-826-2388 ext: 1484. Privacy Policy This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry our treatment, payment or health care operations (TPO) and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. (See our Privacy Policy ) Notice to Patients: This practice serves all patients regardless of inability to pay. Discounts for essential services are offered based on family size and income. Thank you. Aviso Para Pacientes: Esta práctica sirve a todos los pacientes, independientemente de la incapacidad de pago. Desuentos para los servicios esenciales son ofrecidos dependiendo de tamaño de la familia y de los ingresos. Usted puede solicitar un descuento en la recepción o visita nuestro sitio web. Gracias. Policy Title: Office of Civil Rights Section 1557-Nondiscrimination Notice Memorial Hospital complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, religion, sexual orientation or sex. Details . See additional languages at bottom of page.. Disclaimer: Nothing on this web site should be considered as medical advice or a recommendation. Neither the author, Memorial Hospital, its affiliates or agents, or any other party involved in the preparation or publication of the works presented are responsible for any errors or omissions in information provided. Readers are encouraged to confirm information with other reliable sources and to direct any questions concerning personal healthcare to licensed physicians or other appropriate healthcare professionals. Only your own physician can help you make decisions about your medical care.

The Illinois Critical Access Hospital Network (ICAHN) recently recognized Memorial Hospital for its ongoing commitment to exceptional quality of care, during a ceremony held November 14th at the I Hotel and Conference Center, Champaign, IL. Memorial Hospital honored for excellence in quality of care and top performance CHESTER, IL – The Illinois Critical Access Hospital Network (ICAHN) recently recognized Memorial Hospital for its ongoing commitment to exceptional quality of care, during a ceremony held November 14th at the I Hotel and Conference Center, Champaign, IL. As part of the Federal Office of Rural Health Policy Medicare Beneficiary Quality Improvement Program (MBQIP), Memorial Hospital and other critical access hospitals were asked to voluntarily participate in four defined domains of quality outcomes. These four domains include: Patient Safety/Inpatient; Patient Engagement; Care Transitions; and Outpatient Measures. “Often, in rural hospitals, having a devoted staff member to abstract and submit this data can be both time-consuming and burdensome,” said Angie Charlet, ICAHN Director of Quality, Educational Services, and Compliance. “This hospital realizes how important quality of care and an engaged staff is for its patients…From its top leadership on throughout the facility, each strives for continued quality on a daily basis, and that is what we are celebrating today.” Memorial Hospital was recognized for its quality of care outcomes (for participating in all measures in all four domains) and for demonstrating top performance over two quarters in the Care Transitions domain (as is demonstrated by a >95% quality score). “We are very proud of our team for achieving this level of excellence in health quality,” said Brett Bollmann, Memorial Hospital CEO. “This is truly a team effort that recognizes our dedication to delivering a healthcare experience that our patients and staff can be proud of.”

Memorial Hospital’s Swing Bed program provides a wide range of interdisciplinary rehabilitation services to patients with short term rehabilitation and medical needs. Memorial's Swing Bed Program Memorial Hospital’s Swing Bed program provides a wide range of interdisciplinary rehabilitation services to patients with short term rehabilitation and medical needs. P atients may be referred by physicians, acute care hospitals or other health care professional, for admission to swing bed status. Our swing bed team will meet with the patient to evaluate their condition and level of function. The team will assess the patient’s needs, plan treatment and establish an estimated time frame to meet the team’s goals. Family members are an integral part of the treatment team. They are involved in decision making, made aware of daily progress and are also invited to participate in our tri-weekly interdisciplinary patient care meetings. Printable Brochure

Dr. Steve Roodman graduated from the University of Missouri - Columbia School of Medicine in 1998. He completed his Anesthesia Residency at the University of Missouri. He currently practices with Anesthesia Associates of Southern Illinois. Steve Roodman, MD Anesthesiologist Dr. Steve Roodman graduated from the University of Missouri - Columbia School of Medicine in 1998. He completed his Anesthesia Residency at the University of Missouri. He currently practices with Anesthesia Associates of Southern Illinois. He is a member of the American Medical Association, American Society of Anesthesiologists, Illinois Society of Anesthesiologists, and Missouri Society of Anesthesiologists. To learn more about our specialists call Memorial Hospital Specialty Clinic at (618) 826-4581 ext. 1366 . BACK TO ALL PROVIDERS

Dr. Jones conducts outpatient eye surgeries at Memorial Hospital. A physician’s referral is required. To learn more about our specialists call Memorial Hospital Specialty Clinic at (618) 826-4581 ext. 1366. BACK TO ALL PROVIDERS Dr. Bart Jones, M.D. Ophthalmologists After completing his ophthalmology residency at the University of Arizona in Tucson, Dr. Bart Jones joined Quantum Eye Centers in 2001. He received his medical degree in 1997 from Southern Illinois University and is board certified by the American Board of Ophthalmology. His affiliations include American Society of Cataract and Refractive Surgeons (ASCRS), International Society of Refractive Surgeons (ISRS), American Academy of Ophthalmology (AAO), Saint Louis Ophthalmological Society (SLOS), Illinois State Medical Society (ISMS), and St. Clair Medical Society. Dr. Jones practices comprehensive ophthalmology, with a special interest in premium refractive cataract and LASIK surgery.Since joining the practice in 2001, he has successfully performed over 15,000 cataract surgeries, 4,000 LASIK refractive surgeries, and 3,000 premium refractive cataract surgeries. Dr. Bart Jones places special emphasis on personalizing treatment options. He understands everyone has unique eyes and different lifestyle needs.Dr. Bart Jones has always been on the cutting edge of technology. He was the first doctor in Southern Illinois to perform Custom Wavefront LASIK and the first in Southern Illinois to implant Verisyse phakic IOL, Crystalens Accommodative IOL and ReZoom Multifocal IOL. He is also a certified Restor and Toric intraocular lens implant specialist. Since 2001, Dr. Bart Jones has actively incorporated astigmatism relaxing incisions as part of his routine cataract surgery. For most refractive cataract surgeons, this is now considered standard of care.Dr. Bart Jones was the first Quantum Vision Center surgeon to be certified proficient in the newest generation LASIK lasers (Allegretto Wavelight excimer and FS200 femtosecond lasers). He was also the first Quantum Vision Centers surgeon to be certified in femtosecond laser assisted cataract surgery (LenSx) in October 2011.Dr. Jones conducts outpatient eye surgeries at Memorial Hospital. A physician’s referral is required.To learn more about our specialists call Memorial Hospital Specialty Clinic at (618) 826-4581 ext. 1366. Surgical Procedures Specialized Care More Info

Isabel graduated with a Masters in Speech-Language Pathology, from Fontbonne University in St. Louis, in 2020. She is from Perryville, MO and works at Memorial Hospital's Therapy Sports Rehab Center. Isabel Hotop M.S., CCC-SLP Speech-Language Pathologist Isabel graduated with a Masters in Speech-Language Pathology, from Fontbonne University in St. Louis, in 2020. Isabel is from Perryville, MO and works at Memorial Hospital's Therapy Sports Rehab Center and Ste. Genevieve Hospital. She has experience working in skilled nursing facilities and hospital settings with inpatients and outpatients. She is skilled in working with communication and swallowing disorders. Isabel says that she loves helping others achieve their goals. "Whether it's communicating better or swallowing safer, I enjoy empowering patients and families to be successful!" The Therapy & Sports Rehab Center is open: Monday, Wednesday & Friday 7am-5:30pm Tuesday & Thursday 7am-5pm To schedule an appointment call 618-826-4588 BACK TO ALL PROVIDERS Speech Therapy Therapy & Sports Rehab Center More Info Trouble Swallowing? Cancer Patients & Dysphagia: There's Help! Health Information Feb 5, 2024 376 Treatment is Available for Communication and Swallowing Disorders Health Information May 17, 2023 100 The Unique Role of Occupational Therapy in Rehabilitation of the Hand Health Information Jul 15, 2021 626 April is Occupational Therapy Month: Managing your Arthritis and Chronic Disease Health Information Apr 27, 2021 81 Regain Your Balance Health Information Mar 23, 2021 50 Healing Through Rehab Health Information Jan 26, 2021 65

Dr. Monica Lukose is a new family practice provider that will be joining Memorial Hospital's Rural Health Clinic teams in Chester and Steeleville, Illnois. She will begin seeing patients in August of 2024. BACK TO ALL PROVIDERS Dr. Monica Lukose, M.D. Family Medicine Dr. Monica Anil Lukose received her medical doctorate from Ross University School of Medicine in Barbados and is currently completing family medicine residency training at Mount Sinai Health System in Chicago. Dr. Lukose’s training at Mount Sinai has allowed her to gain experience in a variety of patient care settings of different acuity and complexity, both acute and chronic and including level one trauma. Dr. Lukose, originally from Vancouver, Canada, moved to the United States to complete her family medicine residency and remained in the U.S. after meeting her husband - Varun Varghese. As a resident at Mount Sinai Hospital- Family Medicine program, Dr. Lukose was awarded the Manthani J. Reddy, M.D. award for Resident of the Year in 2022. She was promoted to chief resident during her third year of residency. She is a member of the American Academy of Family Physicians and looks forward to board certification this Spring. Dr. Lukose’s training and experience has given her the opportunity to provide care to patients of all ages as well as those of various social and economic backgrounds. She has interests in both inpatient and outpatient family medicine and enjoys women’s health. Dr. Lukose takes a preventative approach in treating her patients, and values connecting and building relationships with them. She and her husband find reward in volunteering within their community, and in their free time love to go hiking. She is excited to complete the family medicine residency program in June, with plans to relocate to the Chester area with her husband in August 2024. NOW ACCEPTING NEW PATIENT APPOINTMENTS Call one of our rural health clinic locations to schedule an appointment: Chester Clinic 618-826-2388 Steeleville Family Practice 618-965-3382 Family Health Care Chester Clinic & Steeleville Family Practice More Info Well Baby Check-Ups Memorial Hospital's Rural Health Clinics provide care for infants as young as 3-5 days. More Info Wellness Exams Chester Clinic & Steeleville Family Practice More Info DOT Physicals Chester Clinic and Steeleville Family Practice More Info Vaccines for Children (VFC) Chester Clinic More Info Immunizations/Vaccines Chester Clinic & Steeleville Family Practice More Info Family Planning Chester Clinic & Steeleville Family Practice More Info Subdermal Birth Control Implants Chester Clinic & Steeleville Family Practice More Info Cryosurgery Chester Clinic & Steeleville Family Practice More Info Electrosurgical Procedures Chester Clinic & Steeleville Family Practice More Info Excisions Chester Clinic & Steeleville Family Practice More Info Punch Biopsy Chester Clinic & Steeleville Family Practice More Info Trigger Point Injections Chester Clinic & Steeleville Family Practice More Info Dr. Krieg Retires With 45 Years of Service Hospital News Jan 9 162 Expanding Our Team: Meet the New Family Practice Providers Joining Our Clinic! Hospital News May 15, 2024 898 Paired System = Continuity of Care Hospital News Feb 7, 2024 416 Memorial Hospital Service Awards and Newmark Award 2023 Hospital News Nov 14, 2023 282 Dr. Platt Retires With 46 Years of Service Hospital News Oct 31, 2023 391 Welcome Cassandra Chambers Hospital News Jun 8, 2023 390

Megan is a graduate of Maryville University with a Masters of Occupational Therapy. She joined the Therapy & Sports Rehab Center Team in July of 2021. She also provides Occupational Megan Stewart Occupational Therapist Megan is a graduate of Maryville University with a Masters of Occupational Therapy. She joined the Therapy & Sports Rehab Center Team in July of 2021. She also provides Occupational Therapy care at Red Bud Regional Hospital. Her favorite part about being a therapist is, "seeing patients succeed and progress with their independence. It's very rewarding." The Therapy & Sports Rehab Center is open: Monday, Wednesday & Friday 7am-5:30pm Tuesday & Thursday 7am-5pm To schedule an appointment call 618-826-4588 BACK TO ALL PROVIDERS Occupational Therapy Therapy & Sports Rehab Center More Info The Unique Role of Occupational Therapy in Rehabilitation of the Hand Health Information Jul 15, 2021 626 April is Occupational Therapy Month: Managing your Arthritis and Chronic Disease Health Information Apr 27, 2021 81 Regain Your Balance Health Information Mar 23, 2021 50 Healing Through Rehab Health Information Jan 26, 2021 65 Benefits of Manual Therapy Health Information Dec 3, 2020 46

Information on classes offered at Memorial Hospital and our Charity Care program. Resources Upcoming Events Randolph County Resource Guide Additional Resources: CMS Hospital Compare Randolph County He alth Department ComWell (formerly Human Service Center) NAMI (National Alliance on Mental Illness Southwestern Illinois) Health Communities Alliance ( Formerly SISSA: Southern Illinois Substance Abuse Allian ce) Chester Chamber of Commerce Chester Rota ry Transportati o n: Monroe Randolph Transit District , Chester Senior Center Patient Family Engagement Council It is our mission to improve outcomes, by engaging the patient and family in the plan of care, which creates a patient-centered platform and improves safety. We Need Your Help - Providing feedback in a constructive way. - Providing ideas for improvement and potential activities. Who We are Looking For - People of all ages. - Someone who has had self or family experience with healthcare. - Someone willing to communicate with a group. To Apply Call Amy Eggemeyer at 618-826-4581 ext. 1141 Susan Diddlebock at618-826-4581 ext. 1700 Memorial Hospital Board To view a list of board members, meeting dates, agendas, and minutes visit the About Us page. Auxiliary The Auxiliary of Memorial Hospital is a self-directed body of volunteers responding to the needs of the hospital community through service. Auxiliary members join together to foster a supportive family spirit that supports patient care, community services and employees: and always upholds the hospital and its mission. To learn more about the Auxiliary and Volunteer programs visit the Volunteer page. Follow our Memorial Hospital Auxiliary Page on Facebook. Financial Assistance Persons may be eligible for financial assistance with their medical bills under the terms and conditions the hospital offers to qualified patients. For more information, please contact the Patient Accounts Department at 618-826-4581 ext: 1484 . To apply for the Financial Assistance Program: Download/Print the application . Complete and sign the application. Return the application, along with copies of supporting documentation to the Patient Accounts Department. The application may either be delivered in person, or sent by mail to: Memorial Hospital Attention: Patient Accounts 1900 State St., Chester, IL 62233 To apply for financial assistance for one of the rural health clinics, please see instructions here . Your Mental Health is Just as Important as Your Physical Health Depression and other mental health issues are common, and like physical illnesses they need to be treated. Mental health issues also can affect a person’s thinking, feelings, mood, how they relate to others, and even how they function throughout the day. However, depression is a serious condition — and it is helpful to know the signs and symptoms. Speak Up™ For Your Mental Health English Information Spanish Information Mental Health & Crisis Support Illinois Call4Calm Text Line (24/7) If you or a loved one are struggling with stress related to the COVID-19 pandemic and need emotional support, text TALK to 552020 for English or HABLAR for Spanish (Message and Data Rates May Apply. See Terms and Conditions of Use). People seeking assistance remain anonymous and provide only their first name and ZIP code, which enables the service to link them to a counselor in the area who is knowledgeable about available local resources. Illinois Warm Line If you or one of you family members has mental health and/or substance use challenges and would like to receive support by phone, call the Illinois Warm Line at 866-359-7953. Wellness support specialists are professionals who have experienced mental health and/or substance use recovery in their own lives. They are trained in recovery support, mentoring, and advocacy and are ready to listen and support you. The Illinois Warm Line is not a crisis hotline but is a source of support as you recover or help a family member to recover. Illinois Warm Line hours of operation are Monday through Friday, 8 a.m. – 5 p.m., except holidays. Illinois CARES Line (24/7) If your child is a risk to themselves or others, having a mental health crisis, or if you would like a referral to services for children, youth, and families, call the 24-hour Crisis and Referral Entry Services (CARES) line to talk to a mental health professional. Call: 800-345-9049; TTY: 773-523-4504 Illinois Helpline for Opioids and Other Substances (24/7) If you or someone you know is suffering from an opioid use disorder or other substance use disorders, call the Illinois Helpline for Opioids and Other Substances at 833-2FINDHELP to speak with a trained professional for support and advice or to be directed to customized resources or visit www.HelplineIL.org . 988 Suicide Prevention Hotline (24/7; available nationally) The Illinois Department of Human Services/Division of Mental Health (IDHS-DMH) launched 988, a national three-digit dialing code for the Lifeline and for calls on July 16, 2022. Individuals experiencing a crisis or any other kind of emotional distress- whether that is related to suicide, mental health and/or substance use crisis can dial 988 for support. The Lifeline provides information and support to concerned family, friends, and caregivers. Crisis Text Line (24/7; available nationally) The Crisis Text Line serves anyone, in any type of crisis, 24 hours a day. Text HELLO to: 741741. Trained crisis counselors will respond and help you or visit their website at https://www.crisistextline.org. We Know the Feeling (Problem Gambling) If you or someone you know is suffering from gambling disorder, call 800-GAMBLER, text ILGAMB TO 53342, or visit weknowthefeeling.org to be connected to resources and to treatment programs. National Helpline | SAMHSA - Substance Abuse and Mental Health Services Administration Free and confidential treatment referral and information service available 24 hours a day, 7 days a week. 800- 622-4357 (HELP) National Runaway Safeline This 24 hour, 7 days a week national Safeline is for youth at risk of running away or already have and are looking for help. 800-Runaway (800-786-2929) or text 66008 Veteran's Crisis Line Call to reach caring, qualified responders within the U.S. Department of Veterans Affairs; many of them are veterans themselves. This free support is confidential, available 24/7, and serves all veterans, service members, National Guard and Reserve, and their families and friends. Call 800-273-8255 or text 838255, support for deaf and hard of hearing: 800-799-4889. Online chat is available at https://www.veteranscrisisline.net/ . Violence Prevention & Intervention Support Illinois Domestic Violence Hotline 877-TO END DV or 877-863-6338 (Voice), 877-863-6339 (TTY) For the Illinois Department of Human Services Service Provider Partner Abuse Intervention Program (PAIP), visit here . National Domestic Violence Hotline 800-799-SAFE (7233), 800-787-3224 (TDD), 800-787-3224 (TTY),Chat for deaf or hard of hearing individuals 855-812-1001, video for deaf callers (nationaldeafhotline@adwas.org), Español available plus another 200+ languages not specified. Find your local Illinois Rape Crisis Center at https://icasa.org/crisis-centers. Reporting of Child Abuse or Abuse of an Older Adults or Adult With a Disability Safe2Help Illinois A 24/7 program where Illinois students can use a free app, text/phone, website (www.Safe2HelpIllinois.com ), and other social media platforms to report school safety issues. Once vetted, the tips will be shared with local school officials, mental health professionals, and/or local law enforcement, depending on the nature of the tip. The program also will help local officials by connecting them with mental health or other Illinois Department of Children and Family Services Child Abuse Reporting Hotline 800-25-ABUSE or 800-252-2873; 800-358-5117 (TTY); https://dcfsonlinereporting.dcfs.illinois.gov/ Hours: 24/7/365 | Languages: English, Español; other languages not specified Illinois Department of Children and Family Services Child Abuse Reporting Hotline 800-25-ABUSE or 800-252-2873; 800-358-5117 (TTY); https://dcfsonlinereporting.dcfs.illinois.gov/ Hours: 24/7/365 | Languages: English, Español; other languages not specified Substance Misuse & Recovery Resources Al-Anon - Sparta, IL Family Group Meetings at 1:00pm 215 West Jackson Street, Sparta, IL 62286 Celebrate Recovery (First Baptist Church - Chester, IL) 12-step Christ-centered recovery program for anyone struggling with hurt, pain or addiction of any kind. 719 State Street, Chester, IL 62233 618-826-3198 https://chesterfbc.org/celebrate-recovery/ ComWell Counseling Services - help individuals, couples and families with life's challenges, including substance misuse and recovery; includes emergency counseling 24/7 for individuals contemplating suicide 24 Hour Crisis Line - 888-855-0034 2517 State Street, Chester, IL 62233 | 618-826-4547 10257 State Route 3, Red Bud, IL 62278 | 618-282-6233 104 Northtown Drive, Sparta, IL 62286 | 618-443-3045 https://comwell.us/ Life Recovery Meetings Thursdays at 6:00pm Chester, IL = 618-615-7007

Before you view the pricing information for any hospital, we wanted to provide you with some basic background information about: The provided pricing information. How it relates to a final hospital bill or pricing information included in an explanation of benefits from your health insurer. Understanding Pricing for Healthcare Services Before you view the pricing information for any hospital, we wanted to provide you with some basic background information about: The provided pricing information How it relates to a final hospital bill or pricing information included in an explanation of benefits from your health insurer While this information should help you compare prices from hospital to hospital, it is unlikely that your final bill will exactly match the prices listed. We’ll explain more about that later. Each hospital sets a “gross charge” for every individual service rendered to patients within their "chargemaster" or CDM (charge description master). These gross charges do not include any discounts that may be offered, and they serve as the starting point from which payment is negotiated with individual insurance payers for specific insurance plans. As a patient receives services throughout their visit, a charge for each service provided is generated on their account, resulting in a claim that is submitted to the patient’s insurer. You should know that patients will almost never pay the listed gross charge for healthcare services. However, under federal law, all insurers, including Medicare and Medicaid, must be billed the amount listed on the chargemaster for those services. These charges are rarely paid in full due to the contracted payment rates negotiated between hospitals and insurers. The EOB provided by individual insurers details each patient’s actual cost for services provided. Hospitals typically cannot publicly disclose the negotiated rates, making it difficult to compare final prices from one hospital to the next using the gross charge information from the chargemaster. The Information You Will See: Standard Charges & Shoppable Items Standard Charges Medicare has defined several different types of standard charges that should be available for patients to see. They are: Gross charges Discounted cash price Payer-specific negotiatedcharge De-identified minimum negotiated charge De-identified maximum negotiated charge Here’s a quick overview of each. Gross Charges The gross charge is the full list price from the hospital chargemaster. Gross charges can vary, sometimes greatly, from hospital to hospital for the same procedure or service based on how each hospital manages its charges and costs. Charges can vary based on geography, physician supply and medication preferences, the kinds of services the facility typically provides, and the expertise required to deliver these services. External factors also play a role: The cost of living in a given area can have a significant effect on wages, which is a major factor in cost calculations for hospitals. Drug and supply costs also vary greatly depending on which (if any) group purchasing organization the hospital is part of. Discounted Cash Price The second type of standard charge defined by Medicare is called a discounted cash price, which is the price offered to patients willing to pay in cash at the time of service without involving insurers. Payer-Specific Negotiated Charge The payer-specific negotiated charge is the charge that a hospital has negotiated with a third-party payer for an item or service; this is sometimes referred to as the "allowed amount" on an EOB. This charge amount will likely vary from payer to payer and even between insurance plans for the same insurance payer. De-identified Minimum Negotiated Charge The de-identified minimum negotiated charge is simply the lowest charge that a hospital has negotiated across all insurers for an item or service. De-identified Maximum Negotiated Charge The de-identified maximum negotiated charge is the highest charge that a hospital has negotiated with all insurers for an item or service. Shoppable Services The high degree of variation in charging practices and differences in reimbursement methodologies between insurance payers make it difficult for patients to get the intended full-benefit of “pricing transparency.” Medicare wanted to give patients another way to compare prices, so they’ve also asked hospitals to create a list of shoppable services. Medicare defines "shoppable services" as a service that typically can be scheduled by a patient in advance on a non-urgent basis. Medicare has identified 70 shoppable services that all hospitals should include and has asked hospitals to each choose at least 230 additional shoppable services that they perform most frequently. Every shoppable service will contain an easy-to- understand description of the item or service and standard charges information, including the gross charge, discounted cash price, average negotiated charge for each insurance payer, de-identified minimum charge, and de-identified maximum charge. You'll also see a specification for whether the procedure is done on an inpatient or outpatient basis, as procedures done on an inpatient basis may incur additional charges, such as room and board charges View Pricing Information Where Can You Get More Information? Calling your insurer is always a good idea if you're considering an elective procedure and want to get a general idea of your out-of-pocket costs. Your insurer can help you understand how your coverages and deductibles work as well as your current payment history as an essential first step. If you want to get a more general idea of costs or compare your likely costs to those incurred by others, there are a few public pricing resources to consider: The Centers for Medicare & Medicaid Services Medicare releases annual payment information for inpatient and outpatient procedures. For more information, visit cms.gov . All-Payer Claims Database Some states have large-scale databases that collect medical, pharmacy, and dental claims, as well as eligibility and provider files from private and public payers. For more information, visit apcdcouncil.org . FAIR Health Medical Cost Look-Up This is a consumer-oriented tool that provides information on out-of-pocket costs to consumers. For more information, visit fairhealthconsumer.org . If You Have Questions If you have questions about pricing or paying for procedures or services, we urge you to contact us at 618-826-4581. We will be happy to help you with any questions you may have and want to help you understand your costs for care received at our facilities.