2020-08-17T16:20:02-05:00 2019-09-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2018-10-01 370661199 DECATUR MEMORIAL HOSPITAL DECA 2178762106 2300 N EDWARD STREET DECATUR IL 625264163 DEBORAH L BRAGG AFFILIATE VP OF FINANCE 2178762051 2020-08-17 1 JESSICA A WAGENER P01622613 3128792000 170.27.135.15 2020-08-17 16:19:37 CD P A574761E55581A66682B085D8516A6DEB9E5D6D8 A574761E55581A66682B085D8516A6DEB9E5D6D8 2018 2020-09-23 17:36:50Z DREW EARLY 2300 N EDWARD STREET DECATUR IL 625264163 331539915 0 X WWW.DMHCARES.COM X 1916 IL DMH'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE OF CENTRAL ILLINOIS, SEE SCHEDULE O RELYING ON ITS CORE FOUNDATIONS OF COMMITTED PHYSICIANS, CONSTRUCTIVE CULTURE, RESPONSIBLE GOVERNANCE, PROCESS INNOVATION, MANAGERIAL COMPETENCE, AND ENGAGED EMPLOYEES. WITH A HISTORY DATING BACK TO 1916, DMH TODAY ENCOMPASSES TWELVE STATE-OF-THE-ART CENTERS OF EXCELLENCE WHICH FOCUS ON THE CUTTING EDGE OF MEDICINE TODAY AND PROVIDE THE COMMUNITY WITH AWARD-WINNING QUALITY HEALTH CARE.APPROXIMATELY 250,000 PERSONS RESIDE IN DMH'S SERVICE AREA, INCLUDING SUBSTANTIAL NUMBERS OF MEDICARE AND MEDICAID BENEFICIARIES, AS WELL AS PERSONS WHO DO NOT QUALIFY FOR EITHER PROGRAM AND THUS SEEK CARE PURSUANT TO DMH'S FINANCIAL ASSISTANCE (CHARITY CARE) PROGRAM. THE LOCAL COMMUNITY HAS BEEN HIT HARD BY THE RECENT ECONOMIC DECLINES. 14 10 2710 317 4762223 0 4533258 4424476 295624345 292993115 9120774 8103497 14548622 18457526 323826999 323978614 4527973 4617018 0 0 162213451 173451584 0 0 0 167051102 166151373 333792526 344219975 -9965527 -20241361 304698433 176222335 87197627 102925498 217500806 73296837 X DECATUR MEMORIAL HOSPITAL (DMH) SERVES THE HEALTHCARE NEEDS OF THE PEOPLE OF CENTRAL ILLINOIS THROUGH OPERATION OF A 280-BED ACUTE CARE HOSPITAL AND RELATED FACILITIES PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES. 0 0 138730112 4617018 192859127 OUTPATIENT SERVICES: DMH PROVIDES A FULL RANGE OF OUTPATIENT SERVICES (DIAGNOSTIC TESTS AND MEDICAL PROCEDURES NOT REQUIRING AN OVERNIGHT STAY). DMH DEPARTMENTS PROVIDING THE MOST SUBSTANTIAL SERVICES DURING THE YEAR INCLUDED CARDIOLOGY, LABORATORY, RADIOLOGY, ONCOLOGY, PHYSICAL THERAPY, SLEEP DISORDERS, SURGERY, GERIATRIC AND EMERGENCY MEDICINE. DURING THE FISCAL YEAR, PATIENTS MADE APPROXIMATELY 37,000 VISITS TO DMH'S EMERGENCY CARE CENTER AND RECEIVED APPROXIMATELY 251,000 OUTPATIENT TESTS. 61706727 29910657 PROFESSIONAL SERVICES: AS THE EMPLOYER OF 63 PHYSICIANS PLUS A COMPLEMENT OF OTHER PROVIDERS (PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS), DMH OFFERS A WIDE RANGE OF PROFESSIONAL PATIENT CARE AT APPROXIMATELY 30 OFFICES LOCATED THROUGHOUT THE SERVICE AREA. THESE SITES INCLUDE TWO "EXPRESS CARE" LOCATIONS OFFERING CARE FOR CASES THAT ARE TIME-SENSITIVE BUT NOT LIFE-THREATENING OR EMERGENT. 61249058 85825987 INPATIENT SERVICES: WITH 280 BEDS CURRENTLY IN SERVICE, DMH PROVIDED 42,352 DAYS OF INPATIENT CARE DURING THE FISCAL YEAR. DMH'S INPATIENTS INCLUDED THE YOUNG (NEWBORN INFANTS IN THE LEVEL I OR LEVEL II NURSERY), THE OLD (FOR EXAMPLE, PERSONS RECEIVING CARE THROUGH DMH'S SENIOR HEALTH AND WELLNESS CENTER OF EXCELLENCE), AND THE IN-BETWEEN. AREAS OF INPATIENT SERVICE INCLUDED GENERAL MEDICAL, SURGERY, ORTHOPEDICS, CARDIOLOGY, GERIATRICS, PEDIATRICS, INTENSIVE CARE, DIALYSIS, OBSTETRICS AND GYNECOLOGY, NURSERY, LONG-TERM CARE, AND TELEMETRY MONITORING. INPATIENT CARE WAS PROVIDED BY DMH'S TEAM OF HIGHLY-QUALIFIED, TALENTED STAFF (TODAY NUMBERING OVER 2,300 IN ALL), INCLUDING HOSPITALISTS, NURSES, AIDES, DIETICIANS, CASE MANAGEMENT STAFF, SOCIAL WORKERS, AND CHAPLAINS. 163950 EDUCATION AND OUTREACH: DMH HAS CONCLUDED THAT, TO FULFILL ITS MISSION OF IMPROVING HEALTH, IT MUST BECOME INVOLVED IN THE EDUCATION, AWARENESS AND PREVENTION OF DISEASE AND ILLNESS THAT NEGATIVELY IMPACT HEALTH STATUS. IN AN EFFORT TO GIVE COMMUNITY RESIDENTS THE TOOLS NECESSARY TO MAKE HEALTHY LIFESTYLE DECISIONS, DMH SEEKS OUT OPPORTUNITIES AND ACTIVELY INVOLVES ITSELF IN THE LOCAL COMMUNITY, THROUGH MEASURES RANGING FROM PROGRAMS FOR LOCAL SCHOOLS TO DMH'S POPULAR "PRIME TIME" PROGRAM FOR SENIORS. IN RECENT YEARS, DMH HAS PARTICIPATED IN VARIOUS COMMUNITY HEALTH NEEDS ASSESSMENT INITIATIVES, AS A RESULT OF WHICH DMH HAS IDENTIFIED SIGNIFICANT CONCERNS SUCH AS ACCESS TO PRIMARY CARE PHYSICIANS AND SPECIALISTS; HEART, LUNG, & STROKE SCREENINGS; CHRONIC OBSTRUCTIVE PULMONARY DISEASE; OBESITY; DIABETES; INDIGENT OUTPATIENT LONGITUDINAL CARE; ONCOLOGY SCREENINGS; HEALTH FAIRS; AND WOMEN AND CHILDREN'S HEALTH. WITH THE LEADERSHIP OF A MULTIDISCIPLINARY COMMUNITY BENEFITS COMMITTEE, INCLUDING PARTICIPATION BY A DIVERSE GROUP OF COMMUNITY REPRESENTATIVES, DMH HAS TAKEN A PRIMARY ROLE IN CONFRONTING THESE ISSUES. 163950 261849847 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 1 1 0 0 1 176 0 1 2710 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X DEBORAH L BRAGG 2178762051 2300 N EDWARD STREET DECATUR IL 62526 JONATHON T LOCKE MD BOARD MEMBER 2.00 0.00 X 0 0 0 ROBIN KING BOARD MEMBER 2.00 0.00 X 0 0 0 AIMEE FYKE BOARD MEMBER 2.00 0.00 X 0 0 0 BRAD WIKE BOARD MEMBER 2.00 0.00 X 0 0 0 JAMES STECK BOARD MEMBER 2.00 0.00 X 0 0 0 GUSSIE REED BOARD MEMBER 2.00 0.00 X 0 0 0 JOHN WADDOCK BOARD MEMBER 2.00 0.00 X 0 0 0 DENNIS WHALEN BOARD MEMBER 2.00 0.00 X 0 0 0 DOUGLAS CARLSON MD BOARD MEMBER 2.00 0.00 X 0 0 0 MARY DEPAZ MD BOARD MEMBER 2.00 0.00 X 0 0 0 CRISTOBAL VALDEZ BOARD MEMBER 2.00 0.00 X 0 0 0 KELLY EVANS BOARD MEMBER (THRU OCT 18) 2.00 0.00 X 0 0 0 EDWARD ELLIOTT MD BOARD MEMBER (THRU DEC 18) 2.00 0.00 X 0 0 0 LARRY ALTENBAUMER CHAIR 2.00 0.00 X X 0 0 0 JACK O'RILEY VICE CHAIR 2.00 0.00 X X 0 0 0 TIMOTHY STONE JR BOARD MEMBER AND PRESIDENT & CEO 30.00 12.50 X X 0 748790 11253 GREG PAGLIUZZA SVP & CFO 40.00 2.00 X 680174 0 13983 KEVIN HORATH VICE PRESIDENT HUMAN RESOURCES 20.00 20.00 X 261223 0 5777 DEBORAH BRAGG SVP FINANCE 42.00 3.00 X 254943 0 5541 LINDA FAHEY SVP COO 40.00 0.00 X 328523 0 6107 JOHN RIDLEY VP PROF SERVICES 40.00 0.00 X 297409 0 25311 ROBYN REISING VP CNO 40.00 0.00 X 181910 0 3603 SHARON NORRIS VP CNO 40.00 0.00 X 163415 0 23215 DAVID SAMPLES VP SUPPORT SERVICES 40.00 0.00 X 170431 0 23363 KATHERINE ANDERSON ESQ VP LEGAL AFFAIRS & CORP COMPLIANCE 30.00 25.00 X 0 251574 10688 MARK BURMESTER SVP STRATEGY & PERFORMANCE 40.00 0.00 X 295838 0 19288 JIM BLACKWELL VP INFORMATION TECHNOLOGY 40.00 0.00 X 147477 0 14861 MIKE EDWARDS VP REVENUE CYCLE 40.00 0.00 X 191280 0 5686 PATRICK OCONNOR VP REVENUE CYCLE 40.00 0.00 X 124169 0 0 LARRY HEGLAND MD CHIEF MEDICAL OFFICER 40.00 0.00 X 166497 0 1792 STEVEN SOBOL MD PHYSICIAN 40.00 0.00 X 1055804 0 5360 JOHN WATERS MD PHYSICIAN 40.00 0.00 X 827471 0 17334 MOHAMMED HASNAIN MD PHYSICIAN 40.00 0.00 X 800946 0 24956 ROBERT KRAUS MD PHYSICIAN 40.00 0.00 X 761334 0 24956 TANSEL TURGUT MD PHYSICIAN 40.00 0.00 X 752253 0 25372 DAVID BAUMBERGER MD FORMER OFFICER 40.00 0.00 X 481978 0 19260 7943075 1000364 287706 186 1 1 0 SHEARWATER HEALTH 20 BURTON HILLS BLVD SUITE 400 NASHVILLE TN 372156177 STAFFING 3784605 POINTCORE 800 NE GLEN OAK PEORIA IL 61603 COMPUTER SUPPORT 3231362 SURGICAL SPECIALISTS OF CENTRAL IL ONE MEMORIAL DR SUITE 300 DECATUR IL 62526 PHYSCIAN FEES 2966422 MID AMERICA EMERGENCY PHYSICIANS 701 N FIRST ST SPRINGFIELD IL 62781 PHYSCIAN FEES 2071684 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHYSCIAN FEES 1773242 198 6121 3523928 894427 4424476 PATIENT SERVICE REV 900099 292993115 292993115 292993115 4361786 2540384 1821402 945175 0 945175 945175 312144 633031 10725068 74832 7002255 55934 3722813 18898 3741711 3741711 1137091 503112 633979 633979 340B PHARMACY REVENUE 900099 6455704 6455704 CAFETERIA, CATERING & 722320 2216734 2216734 WELLNESS SERVICES 713940 935081 935081 7270853 6930218 340635 16878372 323978614 308595771 4762223 6196144 X 4617018 4617018 3779041 3779041 1401333 1401333 135055793 107100134 27955659 1893245 1501356 391889 22514037 17853780 4660257 8808135 6984909 1823226 870845 870845 884929 884929 128810 128810 47826171 32808605 15017566 827947 526155 301792 8400047 5215144 3184903 6192327 5357765 834562 630 630 12994798 8560006 4434792 488811 331998 156813 374472 241790 132682 718585 473350 245235 17206287 10074625 7131662 6706277 1226162 5480115 PATIENT SERVICE SUPPLIE 32697952 32555282 142670 PHARMACEUTICAL SUPPLIES 14684811 14630471 54340 HOSPITAL PROVIDER ASSES 9132643 9132643 RELATED PARTY BAD DEBT 4363397 4363397 1651634 1256691 394943 344219975 261849847 82370128 0 8330 7367 7491930 6904351 44074402 37920730 60319602 16650000 3123027 3189269 3224123 2967836 450607271 425876684 98924152 24730587 61100164 57375205 262991 323162 5499462 20670250 26153828 304698433 176222335 40458918 50810841 213431 319746 4131000 16479090 42287963 35422136 87197627 102925498 X 180880021 36958569 22043285 21599853 14577500 14738415 217500806 73296837 304698433 176222335 X -20241361 -1762711 20070 -122219967 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 49810 1 79000 0 0 128810 0 PART II-B, LINE 1: A PORTION OF THE MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOMECARE AND HOSPICE COUNCIL, TRAUMA CENTER ASSN OF AMERICA, AND THE ILLINOIS HOSPITAL ASSOCIATION ARE DESIGNATED AS LOBBYING EXPENSES. THE AMOUNT REPORTED ON SCHEDULE C, PART II-B, LINE 1F REPRESENTS THE AMOUNTS SO DESIGNATED. 14577500 361029 63971 136143 14738415 14996073 -418573 14577500 14956170 860660 262374 558383 14996073 15056012 -99842 14956170 15420861 -364849 15056012 1.00000 1 0 1379068 1379068 200309129 181863273 18445856 3178765 2969965 208800 235595920 231359503 4236417 10144389 9683943 460446 24730587 INSURANCE RECEIVABLE 13650544 457B ASSETS 9123025 PHYSICIANS RECEIVABLE 1287242 NURSE ASSISTANCE PROGRAM 256244 DUE FROM AFFILIATES 74285 EXCESS WC INSURANCE RECOVERIES 224360 DEFERRED TAX ASSET 1538128 26153828 INSURANCE PAYABLE 13650544 DEFERRED TRUST 8947923 MALPRACTICE INSURANCE 5677589 CREDIT A/R BALANCES 2941959 PENSION LIABILITY 2049781 FUTURE RENT PAYMENTS 1057234 RETIRE HEALTH PLAN 466842 CYCLOTRON DECOMMISSIONING 16 MEV 435500 ILL FINANCING PARTNERS 24968 ASBESTOS REMOVAL 169796 35422136 X PART X, LINE 2: THE SYSTEM HAD NO MATERIAL UNCERTAIN POSITIONS IN INCOME TAX LIABILITIES OR EXPENSES. PART V, LINE 4 THE ENDOWMENT FUNDS ARE USED FOR CAPITAL PURCHASES, SCHOLARSHIPS, AND ASSISTING INDIGENT PEOPLE WITH THEIR HOSPITAL BILLS. 1 1 X 1 X 1 X 600.000000000000 1 1 1 0 1 1 12542346 12542346 0.03640 42759491 32261163 10498328 0.03050 55301837 32261163 23040674 0.06690 390204 390204 0.00110 3952670 3952670 0.01150 2497504 2497504 0.00730 23297 23297 0.00010 6863675 6863675 0.02000 62165512 32261163 29904349 0.08690 60000 60000 0.00020 4022 4022 0.00000 37961 37961 0.00010 24093 24093 0.00010 126076 126076 0.00040 1 6923412 1833792 94023845 98923565 -4899720 X 1 1 1 1 DECATUR MEMORIAL HOSPITAL 2300 N EDWARD STREET DECATUR IL 62526 WWW.DMHCARES.COM 0000471 X X X ACUTE CARE & LONG TERM CARE DECATUR MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X SEE PART VI X 1 18 1 SEE PART VI 0 1 X 200.000000000000 600.000000000000 X 1 1 X X X 1 X WWW.DMHCARES.COM/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE/ X WWW.DMHCARES.COM/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE/ X WWW.DMHCARES.COM/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE/ X X X X X 1 X 0 X X X X 1 X 0 0 DECATUR MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: THE HOSPITAL HOSTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUP WHERE THE FOLLOWING ATTENDEES MET TO DISCUSS THE RESULTS OF A SURVEY COMPLETED BY PATIENTS AND COMMUNITY MEMBERS. EIGHT DECATUR MEMORIAL HOSPITAL EMPLOYEES AND VOLUNTEERS WERE SELECTED TO PARTICIPATE IN THE FOCUS GROUP. DURING THE ONE-HOUR SESSION, THE GROUP FOCUSED ATTENTION ON A HIGH-PRIORITY ITEM FROM THE COMMUNITY SURVEY: PATIENT ACCESS.COMMITTEE MEMBERS:DARIN BUTTZ - DMH, DIRECTOR, HEALTH AND WELLNESSSARAH MCCHESNEY, DMH, ASSISTANT TO PRESIDENTANDREW TAYLOR, ECONOMIC DEVELOPMENT CORPORATION, ECONOMIC DEVELOPMENT OFFICERERIKKA BOBBITT, DMH, CLINICAL INFORMATICS EDUCATORKAREN SCHNELLER, DMH, DIRECTOR, DECATUR MEMORIAL FOUNDATIONEMILY MOCNY, DMH, PERFORMANCE MANAGER/PLANNERFOCUS GROUP ATTENDEES:TYRONE WHITE, DMH, ENGINEERINGJAMES WASHINGTON, DMH, ENGINEERINGBONNIE ENGEL, DMH, VOLUNTEERSUE MILLARD, DMH, VOLUNTEERTINA GRACE, DMH, ENVIRONMENTAL SERVICESGAIL DANIELS, DMH, ENVIRONMENTAL SERVICES DECATUR MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE FOLLOWING STRATEGIES HAVE BEEN DEVELOPED TO ADDRESS THE IDENTIFIED TOP THREE HEALTH NEEDS OF THE COMMUNITY.1.ACCESS TO PRIMARY CARE PHYSICIANSACCESS TO PRIMARY CARE PHYSICIANS IS VITAL TO OUR COMMUNITY MEMBERS. PRIMARY CARE PHYSICIANS ARE GENERALLY THE ENTRYWAY INTO THE HEALTHCARE SYSTEM. THIS LEADS TO PREVENTION OF DISEASE AND DISABILITY, DETECTION AND TREATMENT OF HEALTH CONDITIONS, BETTER QUALITY OF LIFE, PREVENTABLE DEATH AND A GREATER LIFE EXPECTANCY. DMH ACTIVELY WORKS TO INCREASE ACCESS TO PRIMARY CARE PHYSICIANS THROUGH RECRUITMENT AND STRONG COLLABORATIVE RELATIONSHIPS.RECRUITMENT EFFORT: -ACTIVITY: DMH AND THE DMH MEDICAL GROUP WILL PROACTIVELY RECRUIT PRIMARY CARE PHYSICIANS AND ADVANCED PRACTITIONER PROVIDERS (I.E. NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS) TO JOIN THE DMH MEDICAL GROUP.-GOAL: THE DMH MEDICAL GROUP WILL RECRUIT 2-3 ADDITIONAL PRIMARY CARE PROVIDERS TO THE SERVICE AREA BY 2021. PRIMARY CARE PROVIDERS MAY INCLUDE INTERNAL MEDICINE, FAMILY MEDICINE, PEDIATRICS AND/OR OB/GYN PHYSICIANS, AS WELL AS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS.COLLABORATIVE EFFORT:-ACTIVITY: DMH AND THE DMH MEDICAL GROUP WILL CONTINUE TO COLLABORATE WITH LOCAL AND REGIONAL HEALTHCARE ORGANIZATIONS TO IMPROVE PRIMARY CARE ACCESS FOR ALL AGE GROUPS THROUGHOUT DMH'S PRIMARY AND SECONDARY SERVICE AREAS.-GOALS: 1. PARTNER WITH SIU SCHOOL OF MEDICINE IN EXPANDING DMH'S RURAL PRIMARY CARE CLINIC HOURS OF OPERATIONS AND SERVICES IN ARTHUR, SHELBYVILLE, MONTICELLO AND SULLIVAN.2. CONTINUE TO PARTNER WITH THE TWO EXISTING FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) IN THE PRIMARY SERVICE AREA, CROSSING HEALTHCARE FQHC AND SIU SCHOOL OF MEDICINE'S FQHC, TO INCREASE ON-CAMPUS PATIENT VISIT VOLUMES BY 3% - 5% 2021.3. DMH WILL PARTNER WITH SIU SCHOOL OF MEDICINE AND SPRINGFIELD CLINIC IN ESTABLISHING A COMPREHENSIVE REGIONAL DIABETES CENTER, STAFFED WITH ENDOCRINOLOGISTS, DIABETIC EDUCATORS, PHARMACISTS AND NURSE PRACTITIONERS. DIABETES CENTER WILL BE OPEN IN LATE 2019/EARLY 2020.2. ACCESS TO MEDICAL SPECIALISTSIN AN EFFORT TO MAINTAIN AND GROW APPROPRIATE HEALTHCARE SERVICES, DMH CONTINUES TO RECRUIT PROVIDERS IN A VARIETY OF SPECIALTIES AND COLLABORATES WITH OTHER HEALTHCARE ORGANIZATIONS TO INCREASE CARE OPTIONS FOR THE COMMUNITY. DMH FULLY UNDERSTANDS AND SUPPORTS THE NEED TO OFFER CARE LOCALLY. DMH HAS INVESTED IN SPECIALTY SERVICES TO ENSURE THE AVAILABILITY OF HIGH QUALITY CARE CLOSE TO HOME FOR ITS PATIENTS. WITH A MEDICAL STAFF OF NEARLY 350 PROVIDERS, DMH OFFERS 45+ SPECIALTIES.-ACTION: DMH WILL CONTINUE TO PROVIDE A COMPREHENSIVE CONTINUUM OF MEDICAL SPECIALTY SERVICES TO MEET THE GROWING HEALTHCARE NEEDS OF THE COMMUNITIES SERVED. ADDITIONALLY, DMH WILL COLLABORATE WITH OTHER REGIONAL HEALTHCARE PROVIDERS TO ENSURE ACCESS TO SPECIALTY SERVICES WITHIN THE PRIMARY SERVICE AREA.-GOALS: 1. DMH WILL INCREASE MEDICAL SUB-SPECIALTY SERVICES ACCESS THROUGH PHYSICIAN RECRUITMENT EFFORTS, EXPANDING OFFICE HOURS FOR CERTAIN SUB-SPECIALTIES, COLLABORATION WITH OTHER REGIONAL HEALTHCARE PROVIDERS, AND/OR IMPLEMENTING VIRTUAL TECHNOLOGY HEALTHCARE APPLICATIONS, (I.E. TELEHEALTH, VIRTUAL HEALTH VISITS, E-VISITS).2. INCREASE SPECIALTY VISITS BY 10% BY 2021.3. ACCESS TO MENTAL HEALTH PROVIDERS AND SERVICESON OCTOBER 1, 2015 DMH OPENED A 20-BED GERIATRIC PSYCHIATRY UNIT. WITH A MISSION IS TO IMPROVE THE MENTAL HEALTH OF INDIVIDUALS AGES 55 AND OLDER IN CENTRAL ILLINOIS, THE UNIT PROVIDES QUALITY MENTAL HEALTH SERVICES WITH STAFF WHO ARE EDUCATED ON THE MOST CURRENT TREATMENT INTERVENTIONS FOR BOTH PATIENTS AND THEIR FAMILIES. THE DIRECT ADMISSION PROCESS PREVENTS PATIENTS FROM EXPERIENCING LONG WAIT TIMES IN EMERGENCY ROOMS WHEN SUFFERING FROM CONFUSION, DEPRESSION OR OTHER FORMS OF MENTAL ILLNESS. THE UNIT'S STAFF WORK WITH A TEAM OF EXPERTS COMPOSED OF PSYCHIATRISTS, HOSPITALISTS, MEDICAL SPECIALISTS, NUTRITIONISTS, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS TO PROVIDE A MULTIDISCIPLINARY TEAM APPROACH. THE UNIT IS STAFFED 24 HOURS SEVEN DAYS A WEEK WITH REGISTERED NURSES. TWO LICENSED SOCIAL WORKERS AND A CERTIFIED RECREATIONAL THERAPIST ARE ALSO ON STAFF. DISCHARGED PATIENTS HAVE THE OPPORTUNITY TO ATTEND DMH'S INTENSIVE OUTPATIENT PROGRAM FOR CONTINUED CARE. -ACTION: DMH WILL PROVIDE SPECIFIC EDUCATIONAL INFORMATION TO AREA PROVIDERS ON MENTAL HEALTH ISSUES IMPACTING SENIORS AGE 55 AND OLDER AND HOW PROVIDERS CAN EASILY MAKE A REFERRAL TO THE PROGRAM. ALL ASSESSMENTS ARE FREE REGARDLESS IF THE PATIENT IS ADMITTED TO THE PROGRAM. TYPICALLY, INDIVIDUALS WILL ACTIVELY PARTICIPATE IN GROUP THERAPY SESSION FOR 3-6 MONTHS DEPENDING ON INDIVIDUAL NEEDS. ALL PATIENTS IN THE PROGRAM ARE SEEN FOR MEDICATION MANAGEMENT BY A PSYCHIATRIST ON A MONTHLY BASIS.-GOALS: 1. INCREASE AWARENESS OF THE INTENSIVE OUTPATIENT PROGRAM AND PROVIDE BOTH MORNING AND AFTERNOON GROUP SESSIONS.2. CONSISTENTLY RUN AT 80% CAPACITY3. HIRE ADDITIONAL PROVIDERS TO PROVIDE MEDICATION MANAGEMENT TO DISCHARGED PATIENTS IN AREA NURSING HOMES. DECATUR MEMORIAL HOSPITAL PART V, SECTION B, LINE 13H: DMH USES INCOME LEVEL AND FAMILY SIZE TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE. THE MAXIMUM QUALIFYING INCOME LEVEL INCREASES WITH THE SIZE OF THE FAMILY. SCHEDULE H, PART V, SECTION B, LINES 7 AND 10 WWW.DMHCARES.COM/PUBLIC-INFORMATION/QUALITY-DATA/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 10 1 - DMH MEDICAL GROUP 2300 N EDWARD STREET DECATUR IL 62526 OUTPATIENT CLINICS 2 - FORSYTH IMAGING CENTER 389 W WEAVER ROAD FORSYTH IL 62535 DIAGNOSTIC CENTER 3 - DMH ENDOSCOPY CENTER 2 MEMORIAL DR PHYS PLAZA WEST STE 102 DECATUR IL 62526 AMBULATORY ENDOSCOPY CENTER 4 - DMH SURGERY CENTER 304 W HAY SUITE 114 DECATUR IL 62526 AMBULATORY SURGERY CENTER 5 - SOUTH SHORES IMAGING CENTER 1689 S FRANKLIN STREET DECATUR IL 62521 DIAGNOSTIC CENTER 6 - SPORTS PERFORMANCE ENHANCEMENT CENTER 2122 N 27TH STREET DECATUR IL 62526 PHYSCIAL THERAPY 7 - DMH HOME HEALTH CARE 2870 N MAIN STREET DECATUR IL 62526 HOME HEALTH AGENCY 8 - DMH HOSPICE 2870 N MAIN STREET DECATUR IL 62526 HOSPICE AGENCY 9 - DMH OCC HEALTH & WELLNESS PARTNERS 2122 N 27TH STREET DECATUR IL 62526 OUTPATIENT CLINIC 10 - DMH HEALTH & WELLNESS CENTER 2122 N 27TH STREET DECATUR IL 62526 WELLNESS CENTER PART I, LINE 3C: AS INDICATED, THE HOSPITAL USES FEDERAL POVERTY GUIDELINES. ADDITIONALLY, THERE MAY BE INSTANCES WHERE PATIENTS HAVE INCURRED A FINANCIAL HARDSHIP, BUT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE GUIDELINES. SUCH CASES ARE REVIEWED INDIVIDUALLY AND, WHERE DEEMED APPROPRIATE, EARNINGS ON RESTRICTED FUNDS ARE USED TO PAY THE PATIENT'S BILLS. PART I, LINE 6A: THE HOSPITAL PREPARES THE ANNUAL COMMUNITY BENEFIT REPORT UNDER ITS OWN NAME. PART I, LINE 7: THE HOSPITAL DERIVED ALL NUMBERS IN LINE 7 FROM THE APPLICABLE IRS WORKSHEETS, USING THE RATIO OF PATIENT COST-TO-CHARGES. PART I, LINE 7G: THE HOSPITAL DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.SCHEDULE H, PART I, LINE 7 COLUMN (F)TOTAL EXPENSES TOTALED $344,219,975 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: ECONOMIC DEVELOPMENT - DMH SUPPORTS THE ECONOMIC DEVELOPMENT CORPORATION OF DECATUR AND MACON COUNTY (EDC). EDC IS A NON-PROFIT PUBLIC-PRIVATE PARTNERSHIP RESPONSIBLE FOR NON-RETAIL BUSINESS ATTRACTION, EXPANSION AND RETENTION EFFORTS IN DECATUR & MACON COUNTY. COMPOSED OF A COMBINATION OF LEADING PRIVATE SECTOR EMPLOYERS, LABOR, EDUCATIONAL INSTITUTIONS AND A VARIETY OF GOVERNMENTAL BODIES, THE EDC IS UNIQUELY POSITIONED TO ADDRESS THE NEEDS OF MACON COUNTY'S EXISTING BUSINESS AND EMPLOYER BASE ALONG WITH PROSPECTIVE BUSINESSES LOOKING TO LOCATE IN AND AROUND THE DECATUR, ILLINOIS AREA. PRESIDENT & CEO TIM STONE WAS CHAIRMAN OF THE EDC THROUGH SEPTEMBER 30, 2019. COMMUNITY HEALTH IMPROVEMENT ADVOCACY - DMH SUPPORTS A PROGRAM WHEREBY INDIGENT OR QUALIFYING PATIENTS WHO COULD NOT AFFORD TRANSPORTATION FOR HEALTH CARE ARE PROVIDED TAXI AND DECATUR AMBULANCE SERVICE TRANSPORTATION AT NO COST. IN ADDITION, DMH PROVIDES PHARMACY FOR THE INDIGENT AND/OR THOSE THAT QUALIFY. CROSSING HEALTHCARE ACCESS CLINIC IS LOCATED WITHIN THE HOSPITAL'S EMERGENCY ROOM AREA. THE CLINIC PROVIDES HEALTH CARE TO LOW INCOME FAMILIES. COMMUNITY SUPPORT - DMH SUPPORTED THE FRIENDS OF WILL, DECATUR CHRISTIAN SCHOOL, AND THE COMMUNITY FOUNDATION. OTHER - DMH SUPPORTED THE LOCAL HOMELESS SHELTER BY PROVIDING FOOD CONTRIBUTIONS. DMH ACTIVELY PARTICIPATED AND CONTRIBUTED TO THE WSOY COMMUNITY FOOD DRIVE. PART III, LINE 2: LINE 2 OF PART III WAS CALCULATED USING THE HOSPITAL WIDE COST-TO-CHARGE RATIO FROM APPLICABLE IRS WORKSHEET. PROVISIONS FOR BAD DEBT EXPENSE ARE CALCULATED BY TAKING THE NET ACCOUNTS RECEIVABLE BY PAYOR CLASS WHICH IS SEGREGATED INTO 10 TIME PERIOD BUCKETS AND MULTIPLYING EACH BUCKET BY A CALCULATED PRIOR YEAR ACTUAL BAD DEBT EXPENSE PERCENT. PART III, LINE 3: LINE 3 OF PART III WAS CALCULATED AS FOLLOWS: THE HOSPITAL USED 2010-2019 AMERICAN COMMUNITY 5 YEAR ESTIMATES DATA FROM THE CENSUS BUREAU TO ESTIMATE THE PERCENTAGE OF ITS PATIENT POPULATION WHOSE HOUSEHOLD INCOME WAS UNDER ITS FULL CHARITY CARE ELIGIBILITY CRITERIA OF 200% OF THE FEDERAL POVERTY GUIDELINES (FPG). ADDED TO THIS PERCENTAGE WAS AN ESTIMATED PERCENTAGE OF THE POPULATION THAT IS ABOVE THE 200% POVERTY LEVEL AND LESS THAN 600% OF THE POVERTY LEVEL. THIS COMBINED PERCENTAGE WAS THEN DECREASED BY THE PERCENTAGE OF ILLINOIS RESIDENTS WHO HAVE GAINED INSURANCE THROUGH THE AFFORDABLE CARE ACT. THIS ADJUSTED PERCENTAGE WAS APPLIED TO THE HOSPITAL'S CHARGES TO ESTIMATE THE AMOUNT OF GROSS CHARGES THAT MET ITS FINANCIAL ASSISTANCE GUIDELINES. THE HOSPITAL THEN SUBTRACTED THE CHARGES RELATED TO PATIENTS THAT WERE ELIGIBLE FOR GOVERNMENTAL ASSISTANCE PROGRAMS SUCH AS MEDICAID. HOSPITAL CHARITY CARE ADJUSTMENTS WERE ALSO REMOVED BECAUSE IT WOULD NOT HAVE RESULTED IN BAD DEBTS. THE REMAINING CHARGES RELATED TO UNINSURED PATIENTS WITH HOUSEHOLD INCOMES BELOW 600% OF THE FPG, AND IT IS REASONABLE TO ASSUME THAT IT RESULTED IN HOSPITAL BAD DEBTS. THIS TOTAL WAS THEN MULTIPLIED BY THE RATIO OF COSTS-TO-CHARGES FROM APPLICABLE IRS WORKSHEET TO CALCULATE THE COST OF PROVIDING THESE SERVICES. PART III, LINE 4: DECATUR MEMORIAL HOSPITAL'S ACCOUNTING POLICY FOR BAD DEBT EXPENSE IS DESCRIBED ON PAGE 13 OF THE NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS IN THE DECATUR MEMORIAL HOSPITAL'S CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8: THE HOSPITAL USED THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT IN CALCULATING LINE 6 OF PART III. THE HOSPITAL DID RECOGNIZE THE SHORTFALL REPORTED IN PART III, LINE 7, IN ITS COMMUNITY BENEFIT REPORT. THE SHORTFALL IS INCLUDED IN THE GOVERNMENT-SPONSORED PROGRAM SERVICES LINE OF THE COMMUNITY BENEFIT REPORT. THE SHORTFALL AMOUNT WAS CALCULATED USING INTERNAL RECORDS. PART III, LINE 9B: THE HOSPITAL WILL NOT SEND A PATIENT'S ACCOUNT TO A THIRD-PARTY COLLECTIONS AGENCY PRIOR TO MAKING GOOD FAITH EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE HOSPITAL WILL USE GOOD FAITH EFFORTS TO DETERMINE WHETHER A PATIENT IS INSURED PRIOR TO INITIATING ANY COLLECTION ACTION. THE HOSPITAL WILL NOT PURSUE LEGAL ACTION FOR NONPAYMENT OF BILLS FOR ANY PATIENT RECEIVING FINANCIAL ASSISTANCE SO LONG AS SUCH PATIENT IS MAKING PAYMENTS IN ACCORDANCE WITH HIS/HER ESTABLISHED PAYMENT PLAN AS SET FORTH IN A PAYMENT AGREEMENT. IN THE EVENT THE PATIENT IS UNABLE TO MAINTAIN SUCH PAYMENTS, THE HOSPITAL WILL CONTACT THE PATIENT TO DETERMINE WHETHER AN ADJUSTMENT IS APPROPRIATE. NOTWITHSTANDING THE FOREGOING, THE HOSPITAL MAY TAKE LEGAL ACTION AGAINST PATIENTS RECEIVING FINANCIAL ASSISTANCE TO ENFORCE THE TERMS OF AN EXISTING PAYMENT PLAN WHERE THERE IS EVIDENCE THAT THE PATIENT (OR HIS/HER FAMILY AND/OR GUARANTOR, IF APPLICABLE) HAS SUFFICIENT INCOME AND ASSETS TO MEET HIS/HER OBLIGATIONS UNDER THE EXISTING PAYMENT PLAN; PROVIDED HOWEVER, THE HOSPITAL WILL NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST ANY PATIENT RECEIVING FINANCIAL ASSISTANCE WHO HAS CLEARLY DEMONSTRATED THAT HE/SHE DOES NOT HAVE SUFFICIENT INCOME AND ASSETS TO MEET HIS/HER FINANCIAL OBLIGATIONS TO THE HOSPITAL. NOTWITHSTANDING THE FOREGOING, THE HOSPITAL'S DEBT COLLECTION POLICY PLACES A MAXIMUM AMOUNT, BASED UPON ANNUAL HOUSEHOLD PRE-TAX INCOME AND CASH BENEFITS FROM ALL SOURCES WITH CERTAIN ADJUSTMENTS THAT THE HOSPITAL (OR ITS DESIGNATED THIRD-PARTY COLLECTION AGENCY) MAY COLLECT IN ANY TWELVE (12) MONTH PERIOD FOR HOSPITAL SERVICES FROM A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: DECATUR MEMORIAL HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS TO EVALUATE THE HEALTH OF THE COMMUNITY, IDENTIFY HIGH PRIORITY HEALTH NEEDS, AND DEVELOP STRATEGIES TO ADDRESS THE NEEDS OF THE COMMUNITY. THE 2019-2021 DECATUR MEMORIAL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPRESENT A COMBINATION OF QUANTITATIVE AND QUALITATIVE INFORMATION FROM REPUTABLE STATISTICAL SOURCES AND FOCUS GROUP FEEDBACK PROVIDED BY COMMUNITY LEADERS. THE ASSESSMENT PROCESS INCLUDED A COMBINATION OF SECONDARY DATA, INCLUDING IPLAN, U.S. CENSUS DATA, AND REFERENCE TO HEALTHY PEOPLE 2020, AMONG OTHER SOURCES. VALUABLE INPUT FROM FOCUS GROUP PARTICIPANTS PROVIDED PRIMARY DATA FOR THE ASSESSMENT. DECATUR MEMORIAL HOSPITAL UTILIZED THE SIX STEP ASSESSMENT PROCESS OUTLINED BELOW. STEP 1: ESTABLISHING THE ASSESSMENT INFRASTRUCTURE PARTICIPANTS IN THE ASSESSMENT INCLUDED DECATUR MEMORIAL HOSPITAL, MILLIKIN UNIVERSITY, MACON COUNTY HEALTH DEPARTMENT, DECATUR TRADES AND LABOR, PSYCHOLOGY SPECIALISTS, ECONOMIC DEVELOPMENT CORPORATION, CITY OF DECATUR, DECATUR CITY COUNCIL, DMH MEDICAL GROUP PHYSICIANS, CROSSING HEALTHCARE, CARPENTERS LOCAL UNION #742, AND DECATUR CHURCHES. DECATUR MEMORIAL HOSPITAL'S ROLE IN THE ASSESSMENT PROCESS WAS TO COORDINATE THE OVERALL ASSESSMENT PROCESS, PROVIDE MEETING SPACE, MOTIVATE COMMUNITY ORGANIZATIONS TO PARTICIPATE IN THE ASSESSMENT PROCESS, COLLECT AND ANALYZE SECONDARY DATA, CONDUCT A FOCUS GROUP TO COLLECT PRIMARY DATA, MOTIVATE COMMUNITY ORGANIZATIONS TO ACT ON THE IDENTIFIED PRIORITY HEALTH ISSUES, IDENTIFY PRIORITY HEALTH ISSUES, AND DEVELOP AND IMPLEMENT INITIATIVES TO ADDRESS PRIORITY ISSUES. PARTNERING ORGANIZATIONS PROVIDED FOCUS GROUP PARTICIPANTS AND INPUT.STEP 2: DEFINING PURPOSE AND SCOPE (DEFINING THE COMMUNITY)THE PURPOSE OF THE ASSESSMENT WAS TO EVALUATE THE CURRENT HEALTH NEEDS OF THE COMMUNITY, THE RESOURCES CURRENTLY IN PLACE TO MEET THOSE NEEDS AS WELL AS IDENTIFYING MAJOR GAPS BETWEEN THE TWO. DATA FROM THE ASSESSMENT IS USED TO DEVELOP AN ACTION PLAN TO BRIDGE THE GAP AND BETTER MEET THE HEALTH NEEDS OF THE COMMUNITY. THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOCUSES ON PRIMARY AND SECONDARY INFORMATION FOR MACON COUNTY, ILLINOIS, INCLUDING THE CITY OF DECATUR AND NEARBY TOWNS. THIS WAS DETERMINED BECAUSE THE MAJORITY OF PATIENTS RESIDE IN MACON COUNTY (MORE THAN 70% OF PATIENTS). IN SOME INSTANCES, DATA WAS NOT AVAILABLE FOR MACON COUNTY, SO CITY OF DECATUR DATA WAS USED.STEP 3: COLLECTING AND ANALYZING DATAPRIMARY DATA WAS COLLECTED FROM JULY 30, 2018 TO AUGUST 19, 2018. THE COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUP MET ON SEPTEMBER 6, 2018, WHERE COMMUNITY LEADERS PROVIDED INPUT REGARDING COMMUNITY HEALTH STRENGTHS AND CONCERNS, AS WELL AS TOP HEALTH CONCERNS SEEN THROUGHOUT THE MACON COUNTY AREA. THIS DIVERSE GROUP OF INDIVIDUALS WAS CHOSEN TO PARTICIPATE IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUP BECAUSE OF THEIR INSIGHT TO THE COMMUNITY'S POPULATION, INCLUDING HEALTH NEEDS. SECONDARY DATA WAS COLLECTED THROUGH SEVERAL SOURCES. THE ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS (IPLAN) IS A COMMUNITY HEALTH ASSESSMENT AND PLANNING PROCESS THAT IS CONDUCTED EVERY FIVE YEARS BY LOCAL HEALTH JURISDICTIONS IN ILLINOIS. BASED ON THE ASSESSMENT PROTOCOL FOR EXCELLENCE IN PUBLIC HEALTH (APEX-PH) MODEL, IPLAN IS GROUNDED IN THE CORE FUNCTIONS OF PUBLIC HEALTH AND ADDRESSES PUBLIC HEALTH PRACTICE STANDARDS. ADDITIONAL RESOURCES WERE UTILIZED THROUGHOUT THE PROCESS, INCLUDING BUT NOT LIMITED TO, U. S. CENSUS BUREAU AMERICAN FACT FINDER, SOCIAL IMPACT RESEARCH CENTER AT HEARTLAND ALLIANCE, ILLINOIS DISTRICT REPORT CARD, AND ILLINOIS COUNTY BEHAVIORAL RISK FACTOR SURVEY.STEP 4: SELECTING PRIORITIESTHE FOCUS GROUP PARTICIPANTS DISCUSSED THE PRIORITY IN WHICH COMMUNITY HEALTH NEEDS SHOULD BE ADDRESSED AND DETERMINED IT BEST TO FOCUS ON SERVICES THAT IMPACTED THE COMMUNITY AS A WHOLE VS. PATIENT SPECIFIC SERVICES. STEP 5: DOCUMENTING AND COMMUNICATING RESULTSTHE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUP WAS RECORDED FOR FUTURE REFERENCE AND RESULTS WERE TALLIED TO DETERMINE THE AREA'S TOP STRENGTHS/VALUES, BARRIERS/CONCERNS, AND THE TOP 3 HEALTH NEEDS. THESE RESULTS WILL BE PRESENTED TO EACH FOCUS GROUP PARTICIPANT AS WELL AS DECATUR MEMORIAL HOSPITAL'S SENIOR LEADERSHIP TEAM.STEP 6: PLANNING FOR ACTION AND MONITORING PROGRESSFOLLOWING THE COMPLETION OF THE 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, AN IMPLEMENTATION PLAN WAS CREATED TO MEET THE APPLICABLE IDENTIFIED NEEDS. EFFORTS ARE MEASURED APPROPRIATELY AND PROGRESS WILL BE REPORTED REGULARLY. THE HEALTH ASSESSMENTS WE HAVE PERFORMED OVER THE PAST SEVERAL YEARS HAVE ALL INDICATED THE FOLLOWING SIGNIFICANT HEALTH CARE ACCESS AND PROVISION NEEDS WITHIN THE COMMUNITY.ACCESS TO PRIMARY CARE AND SPECIALISTS EVALUATION OF THE PHYSICIAN POPULATION RATIOS IN MACON COUNTY INDICATED THAT DECATUR WAS UNDERSERVED BOTH IN TERMS OF PRIMARY CARE PHYSICIANS AND SPECIALISTS. THE WAITING TIME FOR A NEW PATIENT TO SEE A PRIMARY CARE PHYSICIAN IN THE COMMUNITY WAS AS LONG AS TWO TO THREE MONTHS. BASED ON THIS INFORMATION, DECATUR MEMORIAL HOSPITAL HAS RECRUITED, AND CONTINUES TO RECRUIT, PRIMARY AND SPECIALIST PHYSICIANS TO THE COMMUNITY. COSTS OF RECRUITMENT WERE GENERALLY BORN BY THE HOSPITAL AND AMOUNTED TO MORE THAN $1,089,590 DURING THE LAST FISCAL YEAR.DMH ALSO SIGNIFICANTLY SUPPORTS THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE FAMILY PRACTICE RESIDENCY PROGRAM, WHICH GRADUATES UP TO SIX FAMILY PRACTITIONERS PER YEAR. THE RETENTION RATE OF THE GRADUATES WITHIN CENTRAL ILLINOIS HAS BEEN VERY HIGH. SUPPORT FOR THE RESIDENCY PROGRAM COSTS IN EXCESS OF $5,052,000 A YEAR. OUR EMPLOYED PHYSICIANS CONTRIBUTE VOLUNTEER TEACHING HOURS TOWARDS RESIDENT TRAINING.IN ADDITION TO PHYSICIANS, IT HAS BECOME APPARENT THAT OTHER HEALTH CARE PROFESSIONALS ARE ALSO IN VERY SHORT SUPPLY. PROVISION OF ADEQUATE COMMUNITY HEALTH DEPENDS ON AN ADEQUATE SUPPLY OF SUCH PROFESSIONALS. AS SUCH, DECATUR MEMORIAL HOSPITAL (DMH) HAS VOLUNTEERED HOURS ON PLANNING AND CURRICULUM DESIGN AT OUR TWO NURSING SCHOOLS AND CONTRIBUTES MORE THAN 2,500 HOURS OF UNCOMPENSATED TEACHING AND CLINICAL EXPERIENCE TO NURSING STUDENTS IN THE DECATUR NURSING PROGRAMS. OUR MEDICAL STAFF AND PERSONNEL ALSO PARTICIPATE IN CLINICAL TRAINING AND SUPPORT FOR RESIDENT PHYSICIANS IN FAMILY MEDICINE AS WELL AS PHYSICIAN ASSISTANT STUDENTS. ADDITIONAL TRAINING PROGRAMS FOR OTHER ALLIED HEALTH PROFESSIONALS HAVE ALSO BEEN UNDERTAKEN AND SUPPORTED BY DMH.HEART, LUNG AND STROKE HEART: CORONARY HEART DISEASE IS THE NUMBER ONE CAUSE OF DEATH IN MACON COUNTY. DECATUR MEMORIAL HOSPITAL (DMH) OFFERS A WIDE VARIETY OF EDUCATION TO THE COMMUNITY TO PROMOTE HEART HEALTHY LIVING. THE CARDIAC REHABILITATION DEPARTMENT OFFERS FREE MONTHLY EDUCATIONAL PROGRAM THAT IS OPEN TO THE PUBLIC. MONTHLY NUTRITION CLASSES OFFER COOKING DEMONSTRATIONS AND COMPLIMENTARY CHAIR YOGA TO ENCOURAGE HEART HEALTHY LIVING HABITS. DMH OFFERS CARDIAC INFORMATION AT MULTIPLE HEALTH FAIRS IN THE AREA, WHICH INCLUDE FREE BLOOD PRESSURE SCREENINGS. HEART DISEASE PREVENTION IS THE FOCUS AND INCLUDES TOPICS SUCH AS EXERCISE, SMOKING CESSATION, HEART HEALTHY DIET, MEDICATION MANAGEMENT AND BLOOD PRESSURE CONTROL. COMMUNITY EVENTS INCLUDE THE ANNUAL DAY FOR HEARTS OPEN HOUSE EVENT AND HEARTS AROUND THE WORLD DINNER, BOTH FOCUSED ON RAISING FUNDS TO SUPPORT THE PREVENTION OF HEART DISEASE IN OUR COMMUNITY.LUNG: THE LUNG CENTER IS CONVENIENTLY LOCATED ON THE CAMPUS OF DECATUR MEMORIAL HOSPITAL AND PROVIDES A COMPREHENSIVE PULMONARY PROGRAM. THESE SERVICES INCLUDE PULMONARY FUNCTION TESTING, SLEEP STUDIES, PULMONARY REHABILITATION AND A JCAHO ACCREDITED COPD PROGRAM. THE FOCUS OF THE COPD PROGRAM IS TO MAINTAIN A HEALTHIER LIFESTYLE WITH A CHRONIC DISEASE AND PREVENT READMISSIONS TO THE HOSPITAL. PATIENT EDUCATION IS PROVIDED FOR BOTH INPATIENTS AND OUTPATIENTS FOCUSED ON SMOKING CESSATION AND LIFESTYLE CHANGES THAT PROMOTE AN IMPROVED QUALITY OF LIFE. DAYS FOR LUNGS, IS A PULMONARY CENTERED EVENT RECOGNIZED IN OCTOBER. THIS EVENT IS OPEN TO THE COMMUNITY AND PROVIDES A VENUE TO PROMOTE EDUCATION ON LUNG DISEASE, FREE SCREENINGS, MEDICATION EDUCATION AND CURRENT TREATMENT OPTIONS. STROKE: IDENTIFICATION OF THE NEED TO EDUCATE THE COMMUNITY WE SERVE ABOUT STROKE RISK FACTORS, OPTIONS FOR TREATMENT, AND INTERVENTIONS THAT WILL HELP TO MITIGATE LONG TERM DISABILITY AFTER STROKE, HAS RESULTED IN INCREASED EFFORTS TO PROVIDE INFORMATION REGARDING GOOD LIFESTYLE AND TREATMENT CHOICES. INFORMATION IS PROVIDED AT HEALTH FAIRS ABOUT SMOKING CESSATION, HEALTHY DIET, DIABETES MONITORING, WEIGHT CONTROL, BLOOD PRESSURE CONTROL, ALONG WITH BLOOD PRESSURE SCREENING. ALL THIS COMES TOGETHER TO FORM A SOLID EDUCATIONAL FOUNDATION FOR PROMOTION OF HEALTHY LIFESTYLE ADJUSTMENTS TARGETED AT DECREASING THE CHANCE OF STROKE. PART VI, LINE 3: THE HOME PAGE OF THE HOSPITAL'S WEBSITE, WWW.DMHCARES.COM, CONTAINS LINKS TO ALL INFORMATION CONCERNING THE CHARITY CARE / FINANCIAL ASSISTANCE PROGRAM, INCLUDING THE POLICIES AND PATIENT FINANCIAL APPLICATION FORMS.POSTERS ARE PLACED IN OUR PATIENT REGISTRATION AREA IN VISIBLE LOCATIONS WHERE PATIENTS AND THEIR FAMILIES CAN SEE THEM. THESE POSTERS ARE 24" BY 31". PATIENT BROCHURES ARE PLACED IN THE PATIENT REGISTRATION BOOTHS, ACCESSIBLE TO ALL PATIENTS AND THEIR FAMILIES. PATIENT ACCOUNT STATEMENTS INCLUDE THE PHONE NUMBER FOR FINANCIAL ASSISTANCE. PART VI, LINE 4: DECATUR MEMORIAL HOSPITAL (DMH) IS LOCATED IN DECATUR, ILLINOIS. THE CITY HAS A 2010 CENSUS POPULATION OF 76,000, WHICH REPRESENTS A POPULATION DECLINE OF 5.8% SINCE 2000. MACON COUNTY, WITHIN WHICH IT RESIDES, HAS A POPULATION OF APPROXIMATELY 110,750. THE OVERALL MARKET AREA FOR DECATUR MEMORIAL HOSPITAL INCLUDES APPROXIMATELY 250,000 RESIDENTS. THE DEMOGRAPHICS OF MACON COUNTY INDICATE AN AGING POPULATION. PROJECTIONS FOR THE NEXT TEN YEARS SUGGEST RELATIVELY FLAT POPULATION GROWTH WITH A CONTINUED GRADUAL INCREASE IN THE AGED POPULATION. THE POVERTY RATE FOR MACON COUNTY IS 17.3%. THE 2017 AVERAGE UNEMPLOYMENT RATE FOR DECATUR/MACON COUNTY WAS 5.2 DOWN FROM 6.4 IN 2016. PART VI, LINE 5: BACKGROUND - DECATUR MEMORIAL HOSPITAL, SINCE ITS INCEPTION IN 1916, HAS CONTINUOUSLY RESPONDED TO THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. AS AN INDEPENDENT COMMUNITY HOSPITAL WITH A LOCAL BOARD OF DIRECTORS, THE HOSPITAL HAS ALWAYS HAD AS ITS PRIMARY FOCUS THE HEALTH CARE NEEDS OF DECATUR, MACON COUNTY AND SURROUNDING COUNTIES. AS PART OF ITS OVERALL MISSION, DECATUR MEMORIAL HOSPITAL HAS CONTINUOUSLY PROVIDED BOTH INTELLECTUAL AND FINANCIAL RESOURCES TO OUR COMMUNITIES FOR EXPERTISE AND ASSISTANCE IN ASSESSMENT OF HEALTH CARE NEEDS, SUPPORT OF VARIOUS COMMUNITY SERVICES AND AGENCIES IN ADDRESSING THE IDENTIFIED NEEDS, AND THE CONTINUAL HEALTH EDUCATION OF PATIENTS, THE COMMUNITY, AND OTHER RELEVANT PUBLICS. DECATUR MEMORIAL HOSPITAL HAS PARTICIPATED DIRECTLY IN CHARITY AND INDIGENT CARE FOR A SIGNIFICANT SEGMENT OF OUR COMMUNITY.GOALS AND OBJECTIVES FOR PROVIDING COMMUNITY BENEFITS DECATUR MEMORIAL HOSPITAL HAS EMBRACED THE PHILOSOPHY THAT TO IMPROVE THE HEALTH OF THE PEOPLE IN CENTRAL ILLINOIS, AN ORGANIZATION MUST BECOME INVOLVED IN THE EDUCATION, AWARENESS, AND PREVENTION OF DISEASE AND ILLNESS THAT NEGATIVELY IMPACT A PERSON'S HEALTH STATUS. WE STRIVE TO GIVE COMMUNITY RESIDENTS TOOLS TO EMPOWER THEM TO MAKE LIFESTYLE DECISIONS THAT WILL MAINTAIN AND ENHANCE A DESIRABLE QUALITY OF LIFE. TO HELP PEOPLE REACH THIS GOAL, DECATUR MEMORIAL HOSPITAL SEEKS OUT OPPORTUNITIES AND ACTIVELY INVOLVES ITSELF IN THE COMMUNITY. WE ACTIVELY SUPPORT LOCAL HEALTH CARE EDUCATION PROGRAMS, HEALTH FAIRS, SCREENINGS, AND LOCAL ACCESS TO ADVANCED CARE.DECATUR MEMORIAL HOSPITAL IS, AND ALWAYS HAS BEEN, VERY MINDFUL OF ITS MISSION REGARDING CHARITY CARE. BY HOSPITAL POLICY, THE THRESHOLD FOR THE PROVISION OF CHARITY CARE IS VERY LIBERAL, AND WAS FURTHER EXPANDED IN FISCAL 2009 TO SIX TIMES THE FEDERAL POVERTY GUIDELINES. FOR PATIENTS WHOSE INCOME IS ABOVE THESE THRESHOLDS, WE REVIEW THE PERTINENT FACTORS INCLUDING THE MAGNITUDE OF THE BILL AND THE INDIVIDUAL'S FINANCIAL SITUATION, AND OFFER A SLIDING SCALE DISCOUNT AND EXTENDED PAYMENT TERMS TO THOSE INDIVIDUALS. APPROVAL OR DENIAL OF THESE GUIDELINES IS MADE WITHOUT REGARD TO RACE, CREED, NATIONAL ORIGIN, SEX OR AGE. THE HOSPITAL DOES NOT PLACE LIMITS ON THE AGGREGATE AMOUNTS OF CHARITY CARE PROVIDED IN ANY YEAR. SEE ALSO RESPONSE TO PART VI, LINE 2 ABOVE FOR EXAMPLES OF MANY WAYS IN WHICH THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY. PART VI, LINE 6: AS INDICATED, THE HOSPITAL AND ITS RELATED FACILITIES PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES ALL OF WHICH BENEFIT AND PROMOTE THE HEALTH OF THE COMMUNITY. THE HOSPITAL IS AFFILIATED WITH ILLINOIS HEALTH AND SCIENCE WHICH SUPPORTS AND BENEFITS THE HOSPITAL BY PROVIDING FINANCIAL AND MANAGEMENT ASSISTANCE IN CONNECTION WITH THE ACTIVITIES OF THE HOSPITAL AND ITS AFFILIATES, AND BY HOLDING TITLE TO CERTAIN ASSETS IN CONNECTION WITH HOSPITAL ACTIVITIES. THE HOSPITAL IS ALSO AFFILIATED WITH DECATUR MEMORIAL FOUNDATION WHOSE MISSION IS TO SUPPORT AND BENEFIT THE HOSPITAL BY CONDUCTING FUND DEVELOPMENT ACTIVITIES, HOLDING TITLE TO CERTAIN ASSETS, AND OVERSEEING THEIR PRUDENT AND EFFECTIVE INVESTMENT AND MANAGEMENT. TOGETHER, THE ACTIVITIES OF THE HOSPITAL AND ITS AFFILIATES EFFECTIVELY AND EFFICIENTLY ADDRESS THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. PART VI, LINE 7, REPORTS FILED WITH STATES IL PART VI, LINE 2 CONT THE FAST (FACE, ARM, SPEECH, TIME) ACRONYM, IS TAUGHT TO OUR PATIENTS AND THE COMMUNITY TO HELP IDENTIFY SYMPTOMS OF STROKE. THE COMMUNITY IS INVITED TO AN ANNUAL EVENT, WORLD STROKE DAY, IN OCTOBER WHERE THEY CAN HEAR EXPERTS SPEAK ABOUT STROKE. WE OFFER FREE ULTRASOUND SCREENING OF THE CAROTID ARTERIES, BLOOD PRESSURE SCREENINGS AND GLUCOSE READINGS IN ORDER TO PROMOTE THE EDUCATION FOCUSED FOR STROKE AWARENESS. CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IS THE THIRD LEADING CAUSE OF DEATH IN AMERICA. COPD IS A WIDELY UNDER DIAGNOSED ILLNESS AND, HOPING TO IMPROVE DIAGNOSIS AND TREATMENT, DECATUR MEMORIAL HOSPITAL OFFERS FREE SPIROMETRY AND PULSE OXIMETRY SCREENING AT LOCAL HEALTH FAIRS. FREE EDUCATION IS GIVEN ON THE DIAGNOSIS, MANAGEMENT, AND PREVENTION OF COPD. DMH HAS PARTNERED WITH THE ILLINOIS TOBACCO QUITLINE TO PROVIDE NO COST TOBACCO CESSATION SERVICES TO THE COMMUNITY. OUR PULMONOLOGISTS AND RESPIRATORY THERAPISTS ARE ACTIVE IN SPEAKING AT EDUCATIONAL PROGRAMS. THE CARDIOPULMONARY STAFF PROVIDES ONGOING EDUCATION FOR ISSUES SURROUNDING LIVING WITH COPD. OBESITY ACROSS THE UNITED STATES, AS WELL AS IN MACON COUNTY, OVERWEIGHT AND OBESITY RATES CONTINUE TO CLIMB. DECATUR MEMORIAL HOSPITAL'S HEALTH AND WELLNESS CENTER HAS INSTITUTED COMPREHENSIVE WEIGHT MANAGEMENT AND BARIATRIC PROGRAMS TO ASSIST THE MEMBERS OF THE COMMUNITY IN APPROPRIATE WEIGHT LOSS METHODS. THESE PROGRAMS USE AN INTERDISCIPLINARY APPROACH TO PREVENTING AND TREATING NUTRITION-RELATED ILLNESSES. DMH OFFERS FACE-TO-FACE MONTHLY SUPPORT GROUPS FOR BARIATRIC PATIENTS AND WEEKLY MEETINGS FOR THE WEIGHT MANAGEMENT PARTICIPANTS, IN ADDITION TO ENROLLMENT IN SOCIAL MEDIA GROUPS FOR ACCOUNTABILITY. NUTRITION COACHING IS A SERVICE THAT IS AVAILABLE TO MEMBERS OF CROSSFIT ENHANCE AND THE HEALTH AND WELLNESS GYM. IT IS PROVIDED ONSITE BY REGISTERED DIETITIANS. PROFESSIONAL DMH STAFF MEMBERS ATTEND NUMEROUS HEALTH FAIR EVENTS, SEMINARS, AND WORKSHOPS THROUGHOUT THE YEAR TO PROVIDE INFORMATION ON WEIGHT MANAGEMENT AND HEALTHY LIFESTYLES TO LOCAL RESIDENTS. DMH HEALTH AND WELLNESS ALSO HOLDS A VARIETY OF EVENTS THROUGHOUT THE YEAR INCLUDING A 5K RACE, POWERLIFTING MEET, AND STRONGMAN COMPETITION TO PROMOTE HEALTHY BEHAVIORS FOR COMMUNITY MEMBERS.DIABETES ACCORDING TO THE CENTER FOR DISEASE CONTROL (CDC), 23.1 MILLION PEOPLE IN THE U.S. HAVE BEEN DIAGNOSED WITH EITHER TYPE 1 OR TYPE 2 DIABETES, AND AN ESTIMATED 7.2 MILLION ARE STILL UNDIAGNOSED. DECATUR MEMORIAL HOSPITAL PROVIDES DIABETIC EDUCATION AND COMMUNITY PROGRAMS. DMH OFFERS A 10-HOUR COMPREHENSIVE DIABETES EDUCATION PROGRAM (DSME) THAT IS ACCREDITED BY THE AMERICAN DIABETES ASSOCIATION. THE DSME PROGRAM CONNECTS PEOPLE WITH DIABETES EDUCATORS WHO CAN TEACH THEM THE PROBLEM SOLVING AND COPING SKILLS THEY NEED TO SUCCESSFULLY SELF-MANAGE DIABETES AND ITS COMPLICATIONS. IN ADDITION, MEDICAL NUTRITION THERAPY IS OFFERED FOR GESTATIONAL DIABETICS, PATIENTS DIAGNOSED WITH PRE-DIABETES, OR PATIENTS THAT HAVE ALREADY BEEN THROUGH THE DSME PROGRAM THROUGH GRADUATE PROGRAM. THE DSME GRADUATE PROGRAM ALSO OFFERS OPPORTUNITY TO SIT DOWN FOR 1-1 FOLLOW-UP WITH A NURSE EDUCATOR. THE NURSE EDUCATOR IS AVAILABLE FOR INSULIN INSTRUCTION AS WELL. FURTHERMORE, DMH OFFERS BOTH PROFESSIONAL AND PERSONAL USE CONTINUOUS GLUCOSE MONITORING WHICH CAN BE USED TO DETECT TRENDS, TRACKING PATTERNS, AND GLUCOSE LEVEL EXCURSIONS ABOVE OR BELOW THE DESIRED RANGE, FACILITATING THERAPY ADJUSTMENTS IN PERSONS (AGE 18 AND OLDER) WITH DIABETES. THE CGM PROVIDES MORE COMPLETE INSIGHT INTO THE PATIENTS' GLYCEMIC PROFILES. OUR DIABETES EDUCATORS ARE AVAILABLE TO OFFER EDUCATIONAL PRESENTATIONS TO COMMUNITY MEMBERS AND ATTEND NUMEROUS HEALTH FAIRS IN THE COMMUNITY TO SHARE INFORMATION ABOUT DIABETES AND TO GIVE INFORMATION ABOUT PROGRAMS THAT ARE AVAILABLE FOR DIABETES EDUCATION. DMH ALSO OFFERS A MONTHLY DIABETES SUPPORT GROUP FOR COMMUNITY MEMBERS.INDIGENT OUTPATIENT LONGITUDINAL CARE DECATUR MEMORIAL HOSPITAL (DMH) IS A STRONG SUPPORTER OF CROSSING HEALTHCARE (CROSSING). IN APRIL 2014, DMH ENTERED INTO A PARTNERSHIP WITH CROSSING TO CREATE AN ACCESS CLINIC (CROSSING AT DMH) THAT IS CLOSELY ALIGNED TO THE ACCOUNTABLE CARE ORGANIZATION MODEL. SINCE 1972, CROSSING HAS BEEN PROVIDING PRIMARY OUTPATIENT MEDICAL CARE TO MACON COUNTY AND SURROUNDING COUNTIES AND OPERATES AS A NON-PROFIT ORGANIZATION COMPRISED OF MEDICAL PROFESSIONALS WHO ARE DRIVEN TO PROVIDE QUALITY CARE AND SERVICE TO THE COMMUNITY. CROSSING EMPLOYS NEARLY 80 PEOPLE AND TREAT MORE THAN 12,000 PEOPLE EACH YEAR. CROSSING AT DMH CLINIC, LOCATED ADJACENT TO THE DECATUR MEMORIAL HOSPITAL EMERGENCY CARE CENTER, PROVIDES PRIMARY CARE SERVICES TO NON-EMERGENT PATIENTS WHO HAVE MEDICAID, OR ARE UNINSURED. PATIENTS PRESENTING AT THE EMERGENCY CARE CENTER ARE IMMEDIATELY SCREENED. IF THE PATIENT DOES NOT MEET THE CRITERIA AS AN EMERGENCY PATIENT AND IF THE PATIENT DOES NOT HAVE A PRIMARY CARE PHYSICIAN, THEY ARE GIVEN THE OPTION TO SEEK CARE AT THE CLINIC. PATIENTS WHO OPT TO BE SEEN AT THE CLINIC CAN ALSO CHOOSE TO BECOME A CROSSING PATIENT FOR ONGOING CARE. THE CROSSING AT DMH CLINIC IS DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER AND SEEKS TO PROVIDE THE CORRECT LEVEL OF HEALTHCARE AT A CONVENIENT LOCATION WHICH IMPROVES ACCESSIBILITY WHILE LOWERING COSTS. CROSSING AT DMH IS OPEN FROM 10 A.M.-8 P.M., MONDAY THROUGH SATURDAY, AND IS STAFFED BY ONE PHYSICIAN OR NON-PHYSICIAN PROVIDER, A NURSE AND A CLERICAL EMPLOYEE. THE GOAL OF THE CLINIC IS TO LINK SUCH PATIENTS MORE PERMANENTLY TO A PRIMARY CARE PROVIDER AT THE COMMUNITY CLINIC BY PROVIDING THEM IMMEDIATE CARE RIGHT NEXT TO THE EMERGENCY DEPARTMENT THEN FOLLOW-UP CARE AT THE CLINIC WITH THE SAME PROVIDER. THE HOSPITAL PROVIDES SPACE AND INITIAL STAFFING FOR MEDICAL SCREENING EXAMS TO SUPPORT THIS ACCESS CLINIC. A SPECIALLY TRAINED NURSE MUST COMPLETE A MEDICAL SCREENING EXAM ON ALL PATIENTS WHO ARRIVE AT THE EMERGENCY DEPARTMENT. EVEN THOUGH THE CLINIC IS OPEN NOW FOR 10 HOURS A DAY, THE LAW REQUIRES THAT THIS MEDICAL SCREENING EXAM BE DONE CONSISTENTLY THE SAME WAY 24/7. DATA HAS SHOWN 14.6 PERCENT OF THE PATIENTS AT THE CROSSING CLINIC DID NOT HAVE A PREVIOUSLY ESTABLISHED RELATIONSHIP WITH A PRIMARY CARE PROVIDER.FURTHERMORE, THE COST OF AMBULANCE AND TAXI FARES ARE PAID BY DMH WHEN SUCH TRANSPORTATION IS REQUIRED FOR THE CARE OF PATIENTS WITHOUT THE MEANS TO PAY FOR SUCH SERVICES. ALSO, MEMBERS OF OUR COMMUNITY MAY ACCESS ALL THE SERVICES OF OUR PRIME TIME PROGRAM, INCLUDING FREE VAN TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS. DUE TO THE HIGH PERCENTAGE OF INDIGENT PATIENTS SEEN IN OUR EMERGENCY ROOM, DMH PROVIDES A SUBSTANTIAL SUBSIDY TO THE EMERGENCY ROOM PHYSICIANS IN ORDER TO ALLOW THEM TO PROVIDE COMPETITIVE SALARIES TO THE PROVIDERS. IN A RESPONSE TO THE COMMUNITY NEEDS ASSESSMENT REGARDING CHILD AND TEENAGE HEALTH PROBLEMS, DMH CONTINUES TO EXPLORE ALTERNATE AND COMPLEMENTARY CARE DELIVERY MODELS, INCLUDING TELEMEDICINE LINKS TO SPECIALTY CARE IN SPRINGFIELD. ONCOLOGY: SCREENINGS, HEALTH FAIRS AND MORE THE DMH CANCER CARE INSTITUTE PARTICIPATES IN COMMUNITY HEALTH FAIRS AND EVENTS THROUGHOUT THE YEAR. DURING THE HEALTH FAIRS, EDUCATIONAL MATERIALS ARE PRESENTED TO RAISE AWARENESS ON SUCH TOPICS AS: COLORECTAL CANCER, LUNG CANCER, AS WELL AS MELANOMA AND SKIN CANCER. THROUGHOUT MARCH 2019, CCI INCORPORATED AN EXTENSIVE MARKETING CAMPAIGN THAT WAS HELD THROUGH THE MONTH OF MARCH THROUGH THE FIRST WEEK OF APRIL, PARTICIPATED IN THE ST. PATRICK'S DAY PARADE AND DISTRIBUTED FLYERS AND PENCILS; AND DISTRIBUTED MATERIALS AT MACON COUNTY HEALTH DEPARTMENT, DECATUR PUBLIC LIBRARY AND CROSSINGS HEALTH CARE CENTER. IN JUNE 2019, DMH PARTNERED WITH CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS AND ST. MARY'S HOSPITAL TO RECOGNIZE ABOUT 1,200 CANCER SURVIVORS AND THEIR FAMILY MEMBERS FOR NATIONAL CANCER SURVIVORS DAY (NCSD). THE EVENT IS CELEBRATION OF LIFE THAT FEATURES DINNER, GUEST SPEAKERS, AND ENCOURAGEMENT FOR THE SURVIVORS. DECATUR MEMORIAL HOSPITAL PARTICIPATES IN A LOCALLY SPONSORED EVENT CALLED COME TOGETHER, LET'S WALK. THIS EVENT TAKES PLACE IN JUNE AND WAS CREATED OUT OF A GRASSROOTS EFFORT BY LOCAL VOLUNTEERS, SERVES AS A FUNDRAISER FOR BREAST, OVARIAN AND CERVICAL CANCER PATIENTS. PROCEEDS FROM THIS BENEFIT ARE USED TO HELP FINANCE CANCER PREVENTION AND SCREENING PROGRAMS FOR WOMEN IN OUR COMMUNITY. DMH CANCER RESEARCH AND THE DMH WOMEN'S HEALTH CENTER ALSO RECEIVES SUPPORT FROM THESE FUNDS FOR OUTREACH PROGRAMS. DMH CANCER INSTITUTE PARTICIPATED IN THE MACON COUNTY RELAY FOR LIFE IN JULY 2019 WITH THE THEME OF CHRISTMAS. PART VI, LINE 2 CONT DMH ALSO CO-SPONSORED THE ANNUAL KERBYSTRONG 100 AT THE MACON SPEEDWAY IN JULY. THE PRIMARY MISSION OF THIS EVENT WAS TO EDUCATE THE COMMUNITY ABOUT COLORECTAL CANCER SCREENING; PROCEEDS FROM THE EVENT BENEFIT PATIENTS WHO NEED IMMEDIATE FINANCIAL ASSISTANCE AND TO SUPPORT A CANCER NAVIGATOR.THE DMH CANCER CARE INSTITUTE ALONG WITH THE CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, THE CARPENTERS LOCAL 742 AND THE MACON COUNTY HEALTH DEPARTMENT SPONSOR A FREE PROSTATE CANCER SCREENING EVENT EVERY YEAR IN SEPTEMBER FOR PROSTATE CANCER AWARENESS MONTH. MEN RECEIVE PSA BLOOD TESTING AND DIGITAL RECTAL EXAMS FREE OF CHARGE. RESULTS ARE SCREENED AND SENT TO THE PATIENT'S PHYSICIAN OF CHOICE. THE PROSTATE CANCER SCREENING SAW A 9% INCREASE FROM 153 PARTICIPANTS IN 2018 TO 167 PARTICIPANTS IN 2019. OF THE 167 PARTICIPANTS, 116 RECEIVED NORMAL SCREENING RESULTS AND 51 RECEIVED ABNORMAL SCREENING RESULTS. THERE A NO KNOWN CANCER DIAGNOSES AT THIS TIME. CCI SPONSORED A NEW EVENT THIS YEAR FOR WOMEN, LADIES NIGHT OUT. THIS WAS A MOVIE NIGHT THAT PARTICIPANTS GET ENTRY TO THE MOVIE, DRINK, POPCORN AND BAG WITH INFORMATION.THE EARLY DETECTION CONNECTION IS A BREAST CANCER AWARENESS EVENT HELP IN OCTOBER. COMMUNITY MEMBERS DRIVE TO ONE OF THREE LOCATIONS WHERE DMH EMPLOYEES AND VOLUNTEERS GO TO THE CAR TO DISTRIBUTE EDUCATIONAL MATERIALS, A FREE GIFT, AND A PANERA BAGEL. 1300 BAGS WERE DISTRIBUTED IN 2019.IN NOVEMBER 2019, THE DMH CANCER CARE INSTITUTE HOSTED THE SHINE A LIGHT ON LUNG CANCER EVENT AT THE CANCER CENTER. THE EVENT PROVIDES EDUCATION, INSPIRATION AND SUPPORT FOR THOSE IMPACTED BY LUNG CANCER AND THOSE AT RISK. PHYSICIAN SPEAKERS, ENTERTAINMENT, AND REFRESHMENTS ARE PROVIDED. WE HAD 55 ATTENDEES FOR THE SHINE A LIGHT EVENT IN 2019.IN DECEMBER 2019, WE GATHERED TOGETHER WITH SUPPORT GROUP MEMBERS IN AN EVENT CALLED THE COMMUNITY OF HOPE CELEBRATION. THIS CELEBRATION TAKES THE PLACE OF OUR REGULARLY SCHEDULED DECEMBER SUPPORT GROUP MEETINGS AND ALLOWS ALL GROUPS TO COME TOGETHER AND ENJOY THE HOLIDAY SEASON. WE PROVIDE LIGHT REFRESHMENTS AND ENTERTAINMENT IN THE LOBBY OF THE CANCER CARE INSTITUTE. WE HAD 65 ATTENDEES FOR THE COMMUNITY OF HOPE EVENT IN 2019.MONTHLY CANCER SUPPORT GROUPS ARE OFFERED FREE OF CHARGE FOR PATIENTS AND THEIR CAREGIVERS. IN ADDITION, BEREAVEMENT SERVICES ARE PROVIDED WEEKLY FOR CHILDREN WHO HAVE LOST A LOVED ONE AND MONTHLY FOR ADULTS, AT NO COST. 93 SUPPORT GROUPS WERE HELD IN 2019 FOR ADULTS, CHILDREN, AND CAREGIVERS10 CLASSES (2 EDUCATIONAL SERIES, "STRENGTH FOR THE JOURNEY")15 CLASSES (3 GRIEF SERIES, "GROWING THROUGH GRIEF")24 CLASSES (3 SMOKING CESSATION SERIES, "FREEDOM FROM SMOKING")2 ENHANCE CLASSES FOR WOMEN'S SKIN/HAIR CARE AFTER CANCER TREATMENT IN 2019 (NEW)1 HEALING ARTS CLASS (NEW) GROOMED FOR MEN'S HAIR/SKIN CARE VOUCHERS (NEW)MAINTAINING GOOD NUTRITION IS ESPECIALLY IMPORTANT IF YOU HAVE CANCER, AS BOTH THE ILLNESS AND THE ASSOCIATED TREATMENT CAN AFFECT YOUR APPETITE. ADDITIONALLY, CANCER AND CANCER TREATMENTS CAN ALTER YOUR BODY'S ABILITY TO TOLERATE AND UTILIZE IMPORTANT NUTRIENTS. AT THE CANCER CARE INSTITUTE, WE HAVE A TEAM OF REGISTERED DIETITIANS THAT PROVIDE COMPLIMENTARY SERVICES TO HELP PATIENTS MAINTAIN PROPER NUTRITION BEFORE, DURING AND AFTER CANCER TREATMENT. IN 2019, OVER 150 COMPLIMENTARY NUTRITIONAL VISITS WERE PROVIDED TO PATIENTS. AT THE CANCER CARE INSTITUTE, THE REGISTERED DIETITIAN WORKS WITH PATIENTS CLOSELY TO IDENTIFY AREAS OF IMPROVEMENT THROUGH NUTRITION INTERVENTIONS. THE DIETITIAN WILL COMPLETE A NUTRITION CARE PLAN THAT SUITS THE NEEDS OF THE PATIENT AND THEIR FAMILY. OUR REGISTERED DIETITIANS SEE PATIENTS ON AN INDIVIDUAL BASIS WITH FOLLOW UP AND MONITORING AS OFTEN AS DESIRED BY THE PATIENT IN ORDER TO MEET HIS OR HER NUTRITIONAL GOALS. THE REGISTERED DIETITIANS OCCASIONALLY OFFER GROUP CLASSES ON VARIETY OF NUTRITION TOPICS. WOMEN AND CHILDREN'S HEALTH REALIZING THE IMPORTANCE OF EDUCATION TO THE HEALTH OF WOMEN AND CHILDREN, DMH OFFERS FREE CLASSES TO THE COMMUNITY INCLUDING EDUCATION FOR GRANDPARENTS, SIBLINGS, NEWBORN CARE AND BREAST FEEDING, PRENATAL EDUCATION, AND INFANT CPR. STAFF FROM THE FAMILY BIRTH CENTER AND PEDIATRICS PARTICIPATES IN HEALTH FAIRS DURING THE YEAR TO PROVIDE WRITTEN EDUCATIONAL MATERIALS INCLUDING SAFE SLEEP ENVIRONMENT FOR INFANTS, NUTRITION, IMMUNIZATIONS, AND HEALTH NEEDS FOR WOMEN AND CHILDREN. RECOGNIZING THAT WOMEN ARE OFTEN THE PRIMARY DECISION MAKERS FOR MEDICAL ISSUES IN THE FAMILY UNIT, EDUCATION ABOUT MEN IS ALSO AVAILABLE DURING HEALTH FAIRS TO EDUCATE WOMEN ON THE MEDICAL NEEDS OF THEIR LOVED ONES. A LACTATION CONSULTANT AND SEVERAL LACTATION COUNSELORS PROVIDE EDUCATION BEFORE, DURING AND AFTER CHILDBIRTH. DMH PARTICIPATES IN A PROGRAM TO PROVIDE INDIGENT MOTHERS WITH BREAST PUMPS. COMMUNITY BASED CARE OUR MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE OF CENTRAL ILLINOIS BY PROVIDING THE HIGHEST QUALITY CARE OF COLLABORATING WITH PATIENTS TO IMPROVE THEIR HEALTH, PROMOTE INDEPENDENCE, AND MAINTAIN DIGNITY IN THE COMFORT OF THEIR HOME. WE DELIVER HOME CARE AND HOSPICE CARE INCLUDING SERVICES FROM NURSING, THERAPY, SOCIAL WORKER, AND BATH AIDES. OUR HOSPICE TEAM PARTICIPATES IN COMMUNITY HEALTH FAIRS THROUGHOUT THE YEAR TO PROVIDE EDUCATIONAL INFORMATION TO THE COMMUNITY. WE ARE ALSO INVOLVED WITH THE MACON COUNTY EMERGENCY MANAGEMENT AGENCY AS AN INTEGRATED PARTNER WITH DISASTER AND RECOVER PLANNING FOR OUR COMMUNITY. COMMUNITY SERVICE HOURS DMH REGULARLY SCHEDULES OUTREACH ACTIVITIES DESIGNED TO EDUCATE OUR POPULATION AS WELL AS PERFORM HEALTH-RELATED SERVICES SUCH AS SCREENINGS AND SUPPORT GROUPS. THESE EFFORTS INCLUDE EVERYTHING FROM ORGANIZING AND PARTICIPATING IN VARIOUS COMMUNITY HEALTH FAIRS, TO HOSTING SEMINARS FOR THE PUBLIC FEATURING PHYSICIANS AND SERVICES. ADDITIONALLY, STAFF VOLUNTEERS ASSIST IN PLANNING AND PARTICIPATING IN HEALTH-RELATED EVENTS TO RAISE CHARITABLE FUNDS FOR LOCAL AND NATIONAL ORGANIZATIONS SUCH AS THE AMERICAN HEART ASSOCIATION, OR COME TOGETHER, LET'S WALK, A LOCAL EFFORT TO FUND CANCER INITIATIVES FOR THE AREA. IN FISCAL YEAR 2019, DMH EMPLOYEES CONTRIBUTED 4,076 VOLUNTEER HOURS IN OUTREACH ACTIVITIES TO HELP IMPROVE THE HEALTH OF 12,332 PEOPLE OF CENTRAL ILLINOIS. 1 SIU DECATUR FAMILY PRACTICE CENTER 102 W KENWOOD DECATUR IL 62526 376005961 501(C)(3) 4617018 GENERAL SUPPORT 1 0 PART I, LINE 2: SOUTHERN ILLINOIS UNIVERSITY (SIU) SCHOOL OF MEDICINE SPONSORS AN ACGME-ACCREDITED FAMILY RESIDENCY PROGRAM FOR WHICH DMH SERVES AS A PRIMARY PARTICIPATING INSTITUTION. AS PART OF THE PROGRAM, SIU OPERATES A FAMILY MEDICINE CLINIC ADJACENT TO THE DMH CAMPUS. THE EXISTENCE AND OPERATION OF THE CLINIC BENEFITS DMH AND ITS SERVICE AREA BY ENHANCING THE RECRUITMENT OF APPROPRIATELY-TRAINED PHYSICIANS TO THE COMMUNITY, ASSISTING DMH IN PROVIDING UNDERSERVED POPULATIONS WITH ACCESS TO PRIMARY CARE MEDICAL SERVICES, AND PROVIDING OTHER SERVICES TO AND FOR THE BENEFIT OF DMH'S PATIENT POPULATION. IN RECOGNITION OF THE ABOVE, DMH SUPPORTS THE PROGRAM BY PROVIDING A BUDGETED, AGREED-UPON AMOUNT FOR EACH ACADEMIC YEAR TO FUND MEDICAL EDUCATION AND RESEARCH THROUGH THE PROGRAM, INCLUDING COSTS INCURRED BY SIU TO SUPERVISE AND TEACH THE RESIDENTS ON-SITE AT THE CLINIC AND AT DMH. THE AMOUNT IS AGREED UPON PRIOR TO THE START OF EACH YEAR. UPON COMPLETION OF EACH ACADEMIC YEAR, SIU REPORTS BACK TO DMH REGARDING HOW FUNDS WERE ACTUALLY EXPENDED IN CONNECTION WITH THE PROGRAM. X X 1 1 0 0 0 0 0 0 0 0 0 TIMOTHY STONE JR BOARD MEMBER AND PRESIDENT & CEO 0 644322 0 104468 0 0 0 4125 0 7128 0 760043 0 0 GREG PAGLIUZZA SVP & CFO 337661 0 342513 0 0 0 0 0 13983 0 694157 0 0 0 KEVIN HORATH VICE PRESIDENT HUMAN RESOURCES 216560 0 44663 0 0 0 3785 0 1992 0 267000 0 0 0 DEBORAH BRAGG SVP FINANCE 220031 0 34912 0 0 0 3824 0 1717 0 260484 0 0 0 LINDA FAHEY SVP COO 285278 0 43245 0 0 0 4125 0 1982 0 334630 0 0 0 JOHN RIDLEY VP PROF SERVICES 259406 0 38003 0 0 0 4125 0 21186 0 322720 0 0 0 ROBYN REISING VP CNO 181910 0 0 0 0 0 2704 0 899 0 185513 0 0 0 SHARON NORRIS VP CNO 153415 0 10000 0 0 0 2561 0 20654 0 186630 0 0 0 DAVID SAMPLES VP SUPPORT SERVICES 170317 0 114 0 0 0 2627 0 20736 0 193794 0 0 0 KATHERINE ANDERSON ESQ VP LEGAL AFFAIRS & CORP COMPLIANCE 0 251574 0 0 0 0 0 3773 0 6915 0 262262 0 0 MARK BURMESTER SVP STRATEGY & PERFORMANCE 295838 0 0 0 0 0 4125 0 15163 0 315126 0 0 0 JIM BLACKWELL VP INFORMATION TECHNOLOGY 147477 0 0 0 0 0 2239 0 12622 0 162338 0 0 0 MIKE EDWARDS VP REVENUE CYCLE 191280 0 0 0 0 0 0 0 5686 0 196966 0 0 0 LARRY HEGLAND MD CHIEF MEDICAL OFFICER 166497 0 0 0 0 0 0 0 1792 0 168289 0 0 0 STEVEN SOBOL MD PHYSICIAN 1001130 0 54674 0 0 0 4125 0 1235 0 1061164 0 0 0 JOHN WATERS MD PHYSICIAN 827471 0 0 0 0 0 4125 0 13209 0 844805 0 0 0 MOHAMMED HASNAIN MD PHYSICIAN 787989 0 12957 0 0 0 4125 0 20831 0 825902 0 0 0 ROBERT KRAUS MD PHYSICIAN 742726 0 17055 0 1553 0 4125 0 20831 0 786290 0 0 0 TANSEL TURGUT MD PHYSICIAN 752253 0 0 0 0 0 4125 0 21247 0 777625 0 0 0 DAVID BAUMBERGER MD FORMER OFFICER 394285 0 87693 0 0 0 4125 0 15135 0 501238 0 0 0 PART I, LINE 1A DURING THE YEAR, DMH PAID FOR CHARTER TRAVEL IN TWO INSTANCES. DMH SHARED WITH TWO OTHER HOSPITALS THE COST OF A CHARTER PLANE HIRED TO PICK UP THEIR RESPECTIVE REPRESENTATIVE (IN DMH'S CASE, TIMOTHY STONE, JR.) TO TRAVEL TO A VHA BOARD MEETING IN KANSAS CITY, MO; THE DECISION TO USE THIS MEANS OF TRAVEL WAS BASED UPON COST AND AVAILABILITY OF COMMERCIAL FLIGHTS. DMH PAID HOUSING EXPENSES FOR THE FIRST THREE MONTHS OF EMPLOYMENT FOR MR. EDWARDS, VICE PRESIDENT REVENUE CYCLE. MR. EDWARDS' 2018 W-2 INCLUDED $5,905 RELATED TO HIS HOUSING EXPENSES AND IS REPORTED IN PART II (B) COLUMN I ON SCHEDULE J. DMH PAID HOUSING EXPENSES FOR THE FIRST SEVERAL MONTHS OF EMPLOYMENT OF MR. PAGLIUZZA, SENIOR VICE PRESIDENT & CHIEF FINANCIAL OFFICER. MR. PAGLIUZZA'S 2018 W-2 BOX 5 INCLUDED $2,750 RELATED TO HIS HOUSING EXPENSES AND $4,852 FOR MOVING EXPENSES PAID ON BEHALF OF MR. PAGLIUZZA. PART I, LINE 3 THE COMPENSATION COMMITTEE OF THE ILLINOIS HEALTH & SCIENCE (IHS), A RELATED ORGANIZATION OF DECATUR MEMORIAL HOSPITAL, BOARD OF DIRECTORS ENGAGED THE SERVICES OF MERCER, AN INDEPENDENT CONSULTANT, TO DETERMINE THE BASE SALARY AND EXECUTIVE INCENTIVE PLAN FOR TIMOTHY STONE, PRESIDENT & CEO OF IHS. THE SALARY RECOMMENDATION WAS BASED UPON MARKET DATA FROM HEALTH SYSTEMS OF SIMILAR SIZE AND SCOPE. UPON RECOMMENDATION OF THE COMPENSATION COMMITTEE, THE IHS BOARD OF DIRECTORS APPROVED THIS SALARY AND INCENTIVE PLAN FOR THE PRESIDENT & CEO. KATLHEEN FAHEY EMPLOYEE; DAUGHTER OF LINDA FAHEY, SVP COO 31285 COMPENSATION 0 MEGHAN SAMPLES EMPLOYEE; DAUGHTER OF DAVID SAMPLES, VP SUPPORT SERVICES 44635 COMPENSATION 0 SARAH REISING EMPLOYEE; DAUGHTER-IN-LAW OF ROBYN REISING, VP CNO 13094 COMPENSATION 0 RYAN BRAGG EMPLOYEE; SON OF DEBORAH BRAGG, SVP FINANCE 36000 COMPENSATION 0 PART I, LINE 1 CONT IN RESPONSE TO THESE CONDITIONS, DMH HAS EXPANDED ITS THRESHOLD FOR PROVISION OF FINANCIAL ASSISTANCE TO SIX TIMES THE FEDERAL POVERTY GUIDELINES; FOR THESE AND OTHER PATIENTS, DMH OFFERS SLIDING-SCALE DISCOUNTS AND EXTENDED PAYMENT TERMS IN AN EFFORT TO ENSURE THAT PATIENTS ARE ABLE TO OBTAIN NECESSARY MEDICAL CARE. DURING THE FISCAL YEAR, DMH PROVIDED SIGNIFICANT FREE OR DISCOUNTED SERVICES TO PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE, AS WELL AS OTHER FORMS OF COMMUNITY BENEFIT PROGRAMS, GRANTS, AND SERVICES. SEE SCHEDULE H FOR MORE DETAIL. FORM 990, PART VI, SECTION A, LINE 2 DEBORAH BRAGG, KEVIN HORATH, AND TIMOTHY STONE HAVE A BUSINESS RELATIONSHIP. TIMOTHY STONE, DENNIS WHALEN, JOHN WADDOCK, AND CRISTOBAL VALDEZ HAVE A BUSINESS RELATIONSHIP. TIMOTHY STONE, GUSSIE REED, CRISTOBAL VALDEZ, AND JOHN WADDOCK HAVE A BUSINESS RELATIONSHIP. DEBORAH BRAGG, DAVID SAMPLES, KEVIN HORATH, AND ROBYN REISING HAVE A BUSINESS RELATIONSHIP. KATHERINE ANDERSON AND MARK BURMESTER HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS ILLINOIS HEALTH AND SCIENCE, AN ILLINOIS NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS BEING DESCRIBED IN SEC. 501(C)(3), IRC. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE CORPORATE MEMBER OF DMH, ILLINOIS HEALTH AND SCIENCE HAS THE RIGHT TO APPROVE ALL DIRECTORS OF DMH, AND TO REMOVE ANY DIRECTOR SO APPROVED. ALL DIRECTORS OF ILLINOIS HEALTH AND SCIENCE ARE ALSO DIRECTORS OF DMH. FORM 990, PART VI, SECTION A, LINE 7B THE DMH BOARD OF DIRECTORS GENERALLY OVERSEES AND DIRECTS ALL ACTIVITIES, ASSETS AND OPERATIONS OF DMH, SUBJECT TO THE RIGHTS AND AUTHORITY SPECIFICALLY RESERVED TO ILLINOIS HEALTH AND SCIENCE, AS THE SOLE CORPORATE MEMBER, IN THE DMH BYLAWS. THESE RIGHTS PERTAIN TO THE APPOINTMENT AND REMOVAL OF DIRECTORS, ELECTION OF THE PRESIDENT AND TREASURER, NOMINATION OF OTHER OFFICERS, AMENDMENT OF ARTICLES AND BYLAWS, APPROVAL OF BUDGETS AND LONG-RANGE PLANS, APPROVAL OF ANY MERGER OR CONSOLIDATION, APPROVAL OF SIGNIFICANT TRANSACTIONS, APPROVAL OF DISSOLUTION, CREATION OF ANY SUBSIDIARIES OR AFFILIATES, AND APPOINTMENT OF THE INDEPENDENT AUDITOR. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE ACCOUNTING DEPARTMENT OF THE HOSPITAL AND BY THE AFFILIATE VICE PRESIDENT FINANCE PRIOR TO FILING. FURTHER, A COPY OF THE FORM 990, ALONG WITH AN EXPLANATORY NOTE, IS PROVIDED FOR REVIEW TO THE BOARD VIA AN INTRANET SITE. THE FORM 990 IS ALSO REVIEWED AND DISCUSSED AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE TO THE CEO. A LIST OF POTENTIAL CONFLICTS IS PREPARED AND IS AVAILABLE FOR REFERENCE. THE ACCOUNTING DEPARTMENT MONITORS AND PERIODICALLY REVIEWS TRANSACTIONS BETWEEN THE ORGANIZATION AND BOARD MEMBERS OR ENTITIES WITH WHICH THEY ARE AFFILIATED. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL - THE BOARD OF DIRECTORS OF ILLINOIS HEALTH AND SCIENCE (THE SOLE CORPORATE MEMBER OF DMH) HAS ADOPTED AN EXECUTIVE COMPENSATION POLICY AND PROCEDURE SETTING FORTH THE AUTHORITY AND PROCESS REGARDING COMPENSATION DETERMINATIONS FOR THE TOP EXECUTIVES OF DMH AND ITS AFFILIATES (THE CEO AND THIRTEEN OTHER EXECUTIVES). PURSUANT TO THE POLICY, THE BOARD HAS DELEGATED TO THE EXECUTIVE COMMITTEE THE RESPONSIBILITY TO REVIEW INDEPENDENT MARKET DATA, ASSESS THE COMPARABILITY OF SUCH DATA, AND MAKE RECOMMENDATIONS TO THE BOARD REGARDING COMPENSATION PROPOSED TO BE PAID. IN CARRYING OUT THEIR RESPECTIVE COMPENSATION-RELATED RESPONSIBILITIES, THE BOARD AND EXECUTIVE COMMITTEE EXCLUDE ANY PERSON DEEMED TO HAVE A CONFLICT OF INTEREST WITHIN THE MEANING APPLICABLE TREASURY REGULATIONS (INCLUDING ANY PHYSICIANS EMPLOYED BY DMH OR ON ITS MEDICAL STAFF). AS PROVIDED IN THE POLICY, THE EXECUTIVE COMMITTEE CONDUCTS AN IN-DEPTH TOTAL COMPENSATION ANALYSIS USUALLY EVERY TWO YEARS WITH THE ASSISTANCE OF AN INDEPENDENT NATIONALLY-RECOGNIZED COMPENSATION CONSULTING FIRM. IN THE OFF-YEARS BETWEEN IN-DEPTH REVIEWS, THE COMMITTEE TYPICALLY HAS OBTAINED FROM ITS CONSULTING FIRM AN UPDATED ASSESSMENT TO CONFIRM CONTINUED COMPARABILITY WITH MARKET DATA. CONSISTENT WITH THE FOREGOING, IN JANUARY 2019, DMH OBTAINED SUCH AN UPDATE REPORT FROM ITS INDEPENDENT COMPENSATION CONSULTING FIRM, COVERING THE FOLLOWING INDIVIDUALS: STONE (CEO), RIDLEY (VP PROF SERVICES), HEGLAND (CMO), FAHEY (EVP & COO), BRAGG (SVP FINANCE), ANDERSON (VP LEGAL), SAMPLES (VP SUPPORT SERVICES), NORRIS (CNO), BURMESTER (SVP STRATEGY), HORATH (VP HR), PAGLIUZZA (SVP & CFO), MIKE EDWARDS (VP REV CYCLE), RANDY BRYANT (VP MED GRP) AND JIM BLACKWELL (VP OF IT). ALL DETERMINATIONS OF THE BOARD AND EXECUTIVE COMMITTEE ARE THOROUGHLY AND TIMELY DOCUMENTED IN APPROPRIATE MINUTES AND SUPPORTING MATERIALS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS OF DMH, SUCH AS ARTICLES OF INCORPORATION AND ANY AMENDMENTS THERETO, ARE AVAILABLE TO THE GENERAL PUBLIC THROUGH THE ILLINOIS SECRETARY OF STATE'S OFFICE. THESE GOVERNING DOCUMENTS, AS WELL AS THE BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE UPON REQUEST FROM THE CORPORATION. THESE DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF TIME AS SET FORTH IN IRC SECTION 6104(D). FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 18,378,832. MANAGEMENT AND GENERAL EXPENSES 14,624,065. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,002,897. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 14,423,413. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,423,413. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,360. MANAGEMENT AND GENERAL EXPENSES 393,501. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 399,861. FORM 990, PART XI, LINE 9: BOOK/TAX DIFFERENCES IN INCOME FROM PARTNERSHIPS -1,992,662. CHANGE IN MINIMUM PENSION LIABILITY -811,493. CHANGE OF VALUE OF FUNDS HELD IN TRUST 84,152. VALUATION ADJUSTMENT -119,499,964. ILLINOIS HEALTH AND SCIENCE 2300 N EDWARD STREET DECATUR IL 625264163 371169606 SUPPORTING THE HOSPITAL IL 501(C)(3) LINE 12A, I N/A 0 DECATUR MEMORIAL HEALTH FOUNDATION 2300 N EDWARD STREET DECATUR IL 625264163 371169605 SUPPORTING THE HOSPITAL IL 501(C)(3) LINE 12A, I DECATUR MEMORIAL HOSPITAL 1 HEARTLAND RISK MANAGEMENT 2300 N EDWARD STREET DECATUR IL 625264163 454256254 SUPPORTING THE HOSPITAL AZ 501(C)(3) LINE 12A, I DECATUR MEMORIAL HOSPITAL 1 DMH WORLDWIDE LTD 2300 N EDWARDS STREET DECATUR IL 62526 271901157 RADIOPHARMACY IL N/A C 0 C-MOLECULAR 2300 N EDWARDS STREET DECATUR IL 62526 473601111 RADIOPHARMACY DE N/A C 0 1 0 1 1 0 0 0 1 0 1 1 0 1 1 1 1 0 0 1 DECATUR MEMORIAL FOUNDATION K 1718429 CASH PAYMENT DECATUR MEMORIAL FOUNDATION O 216934 CASH PAYMENT HEARTLAND RISK MANAGEMENT M 4578823 CASH PAYMENT