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About Us - Community Health Care

Fitzgibbon Hospital’s Community Investment Report for FY 2022

The following figures are based on Fitzgibbon Hospital’s 2022 fiscal year, which runs from May 1, 2021, to April 30, 2022.*

 *(Figures taken from audited financial reports available in 3rd Quarter, 2022)

Fitzgibbon Hospital’s mission is “To Improve the Health of Our Community.”  This means we have devoted significant resources to improving the physical, mental, spiritual and economic health of our city, county, region and the lives of those who live here. The Fitzgibbon organization makes an investment in our communities by boosting not only the local economy as one of the region’s largest employers, but also by providing essential health care services. We provide these services without regard to the individual’s ability to pay – whether uninsured, underinsured, or insured - and we support programs collaboratively with other community philanthropic, service and healthcare organizations who share in our mission of improving health.

 Additionally, Fitzgibbon Hospital employees give personally of their time by taking part in many outreach activities aimed at helping our friends, neighbors and the most vulnerable in our communities:  activities which may not be highlighted through the normal course of providing hospital services. These volunteer activities outside of our organization include serving on school, social service and community boards and engaging in community-building activities that improve the quality of life for all. Examples of volunteer boards with representatives of Fitzgibbon Hospital include the Salt Fork YMCA, the Western Missouri Workforce Development Board, American Cancer Society’s Relay for Life, the Marshall-Saline Development Corporation, the Miami, Malta Bend and other school district boards, and many church-related organizations. Fitzgibbon Hospital strives to offer medical services and programs that build a synergy of compassionate caring that only a local, independent, not-for-profit hospital can provide.

Community Benefit

Medicare, Medicaid, Uncompensated Care and Charity Care

This figure includes the unpaid costs of providing care to individuals covered by Medicare, Medicaid and to those without insurance. It represents the shortfall between the cost of providing care and the payments received by the government and covered patients. It also represents the cost of care provided to those patients who are either unwilling or unable to pay for their care. As part of Fitzgibbon’s mission of caring for our community, we offer a Financial Assistance Policy, scheduled payment arrangements and discounted care to those who are eligible, who submit an application and who have a documented financial need.

As part of our mission of caring for our community, during FY 2022, Fitzgibbon forgave $493,374 in charges from healthcare provided to patients in need. These patients include persons considered among the most vulnerable in our community and who may be experiencing significant obstacles to health care such as extreme poverty, language barriers, transportation issues and other socio-economic factors.

Health Professionals Education and Research

This figure is the investment in our dedicated staff and includes the cost of providing continuing education and training for our physicians, nurses and other health care professionals. It also includes unreimbursed expenses associated with research studies in which Fitzgibbon may participate.

Financial Contributions and In-Kind Donations

This figure includes cash and in-kind donations to support community organizations, healthy lifestyle programs, patient advocacy and community event sponsorships. It is Fitzgibbon Hospital’s mission to improve the health of our community and to collaborate with other health-related, not-for-profit organizations to ensure the neediest in our area receive essential care and services. These include providing school physicals on-site free of charge for area high school athletes, providing testing and vaccines for Covid-19 during the height of the pandemic and providing education regarding healthy lifestyle and preventive care. We also host annual health fairs, which provide essential screenings, in many of our communitites. It is also within our mission to assist other civic organizations in supporting schools, groups and activities that improve the quality of life we all enjoy.

This includes Fitzgibbon Hospital’s placement of a Certified Athletic Trainer within the Marshall Public School District to ensure the health and safety of high school athletes. We also provide collaborative support to Missouri Valley College, which offers a Bachelor’s Degree in Nursing. The program is housed on the Fitzgibbon Hospital campus, and Fitzgibbon provides guest lecturers, nurse preceptors and practicum opportunities for students. We also provide significant support to entities that improve the health, education and quality of life in our region, such as the Salt Fork YMCA, Marshall Philharmonic Orchestra, United Way, American Cancer Society’s Relay for Life, OATS transportation service, Saline County Fair Association, area schools and student organizations and other worthwhile programs.

Total Community Benefit FY2022:  $4,419,682

Economic Investment

Capital Investments

Fitzgibbon Hospital and the clinics we operate are not-for-profit entities. We are not part of a larger system, and we receive no tax levy from a hospital district or municipality. Therefore, any revenues received come only from the services we provide. Any excess revenues are reinvested into the facility to ensure the availability of essential health care services.

A large part of this reinvestment is in medical equipment and health information technology improvements related to electronic health records. This amount includes the total annual investment made through purchasing and leasing these vital items, as well as rental of medical office space. It is our goal to continually improve the services we offer and the facilities occupied by Fitzgibbon Hospital to ensure our patients receive care in a safe, pleasant and up-to-date environment.

Payroll and Benefits

This includes the cost of payroll and employee benefits for our team of dedicated health care providers and support staff for the hospital, our physician clinics and nursing home. As one of the largest employers in the area, Fitzgibbon Hospital and The Living Center nursing home employs 422 full- and part-time employees organization-wide. This figure also includes the ever-increasing cost of retaining specially-trained contract personnel in various medical specialties to ensure our community receives the highest quality health care available in our area.

Total Economic Investment FY2022:  $34,601,217

Total Investment in our Community through

Community Benefit plus Economic Investment:


Fitzgibbon Facts

The following are facts about the broad scope of services offered at Fitzgibbon Hospital. (For fiscal year May 1, 2021, through April 30, 2022):

Number of Emergency Room Visits: 13,774
Number of Babies Born in The Women’s Center: 267
Medical Specialties Represented: 23
Inpatient Hospitalizations: 1,995
Outpatient Visits: 97,882

Access to Care:

Increasing and ensuring access to health care by placing physicians/providers in otherwise underserved surrounding communities ensures vulnerable populations in the most isolated areas have access to essential health care services.

The Fitzgibbon Hospital Community Cancer Center delivers vital radiation therapy and medical oncology services in a patient-friendly environment utilizing the medical expertise of Missouri Cancer Associates, based in Columbia, Mo. Marshall Women’s Care offers both obstetrical and surgical care from board-certified OB/Gyn’s and certified nurse midwives, and Fitzgibbon Orthopedics and Marshall Surgical Associates offer diagnosis and treatment of a broad variety of illnesses and accidents – from treatment of broken bones to detection of colon cancers. And Fitzgibbon Mental Health provides compassionate care and counseling for a variety of behavioral health issues.

As certified Rural Health Clinics, community-based clinics utilize advanced practice nurses in collaboration with physicians to ensure access to health care services and operate under the same licensure, governance and professional supervision as the hospital. These sites also follow the Patient-Centered Medical Home model of care, in which a team of caregivers engage both patient and family to assist in management of chronic health conditions, helping to reduce unnecessary hospitalizations, overuse of the emergency room and to ensure that care is delivered in the most appropriate setting:

*Marshall Family Practice – Marshall, Mo.

Missouri Valley Physicians – Marshall, Mo. (effective Jan. 1, 2023)

*Mid-Missouri Family Health at Fitzgibbon – Marshall, Mo.

*Grand River Medical Clinic – Brunswick, Mo.

*Akeman-McBurney Medical Clinic – Slater, Mo.

*Fitzgibbon Family Health – Fayette, Mo.

*Pilot Grove Medical Clinic at Fitzgibbon – Pilot Grove, Mo.

*Medicare- certified Rural Health Clinic, a safety net provider

For information about this report, please contact Amy Weber, Business Development Director and Governmental Relations executive, at 660-831-3204.