STRATEGY STUDIO / PUBLIC DATA EXPLORER

DECATUR MEMORIAL HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
DECATUR MEMORIAL HOSPITAL (EIN 37-0661199)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-06
IRS object ID
201902189349300115
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-06T10:04:36-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351416669PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LA ROSA & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1320 N MERIDIAN ST STE 328AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN370661199EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DECATUR MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDECABusinessNameControlTxt
Phone2178762106PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 N EDWARD STAddressLine1Txt
CityDECATURCityNm
State AbbreviationILStateAbbreviationCd
ZIP625264163ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIMOTHY D STONE JRPersonNm
Person TitleDIRECTOR/PRES. & CEOPersonTitleTxt
Phone2178762051PhoneNum
Signature2018-07-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNEAL R STEGEMILLERPreparerPersonNm
PTINP00516588PTIN
Phone3176348777PhoneNum
Preparation2019-07-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.189.105.194IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-07-11IPDt
IP Tm15:45:39IPTm
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6484667E1FB4365B4EBFDD8941AF2918C59488A0AtSubmissionCreationDeviceId
At Submission Filing Device Id8D83A2B626FCE5403B87C3B0DC55F5BC4E560610AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTIMOTHY D STONE JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 N EDWARD STAddressLine1Txt
CityDECATURCityNm
State AbbreviationILStateAbbreviationCd
ZIP625264163ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$329,768,154GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DMHCARES.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1916FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionDMH 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. (SCHEDULE 0).ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2652TotalEmployeeCnt
Total Volunteers372TotalVolunteersCnt
Total Gross UBI$5,019,544TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$5,493,318NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,208,353PYContributionsGrantsAmt
CY Contributions Grants$4,533,258CYContributionsGrantsAmt
PY Program Service Revenue$274,852,692PYProgramServiceRevenueAmt
CY Program Service Revenue$295,624,345CYProgramServiceRevenueAmt
PY Investment Income$9,858,860PYInvestmentIncomeAmt
CY Investment Income$9,120,774CYInvestmentIncomeAmt
PY Other Revenue$10,613,414PYOtherRevenueAmt
CY Other Revenue$14,548,622CYOtherRevenueAmt
PY Total Revenue$300,533,319PYTotalRevenueAmt
CY Total Revenue$323,826,999CYTotalRevenueAmt
PY Grants And Similar Paid$4,021,169PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,527,973CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$152,055,195PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$162,213,451CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$171,031,812PYOtherExpensesAmt
CY Other Expenses$167,051,102CYOtherExpensesAmt
PY Total Expenses$327,108,176PYTotalExpensesAmt
CY Total Expenses$333,792,526CYTotalExpensesAmt
PY Revenues Less Expenses-$26,574,857PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,965,527CYRevenuesLessExpensesAmt
Total Assets BOY$327,107,746TotalAssetsBOYAmt
Total Assets EOY$304,698,433TotalAssetsEOYAmt
Total Liabilities BOY$87,269,005TotalLiabilitiesBOYAmt
Total Liabilities EOY$87,197,627TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$239,838,741NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$217,500,806NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionDMH 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. (SCHEDULE 0).MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$133,419,865ExpenseAmt
Grant$4,527,973GrantAmt
Revenue$189,478,906RevenueAmt
DescOUTPATIENT 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 38,000 VISITS TO DMH'S EMERGENCY CARE CENTER AND RECEIVED APPROXIMATELY 251,000 OUTPATIENT TESTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$61,285,879ExpenseAmt
Revenue$87,036,374RevenueAmt
DescINPATIENT SERVICES: WITH 280 BEDS CURRENTLY IN SERVICE,DMH PROVIDED 42,776 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 2,600 IN ALL), INCLUDING HOSPITALISTS, NURSES, AIDES, DIETICIANS, CASE MANAGEMENT STAFF, SOCIAL WORKERS, AND CHAPLAINS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$56,622,529ExpenseAmt
Revenue$30,442,564RevenueAmt
DescPROFESSIONAL SERVICES: AS THE EMPLOYER OF 79 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.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$128,047ExpenseAmt
DescEDUCATION 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.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$128,047TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$251,456,320TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document158IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2652EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEBORAH L BRAGG ACCOUNTINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2178762051PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 N EDWARD STAddressLine1Txt
CityDECATURCityNm
State AbbreviationILStateAbbreviationCd
ZIP625264163ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
TIMOTHY D STONE JR
DIRECTOR/PRE30.0012.50Yes (X)Yes (X)$48,200$489,455$9,985
JACK O'RILEY
DIRECTOR2.00Yes (X)$0$0$0
WILLIAM MACLEOD
DIRECTOR2.00Yes (X)$0$0$0
AIMEE FYKE
DIRECTOR2.00Yes (X)$0$0$0
JONATHAN T LOCKE MD
DIRECTOR2.00Yes (X)$0$0$0
THOMAS BAYER
DIRECTOR2.00Yes (X)$0$0$0
KELLY EVANS
DIRECTOR2.00Yes (X)$0$0$0
LARRY ALTENBAUMER
DIRECTOR2.00Yes (X)$0$0$0
ROBIN KING
DIRECTOR2.00Yes (X)$0$0$0
BRAD WIKE
DIRECTOR2.00Yes (X)$0$0$0
GUSSIE REED
DIRECTOR2.00Yes (X)$0$0$0
JAMES STECK
DIRECTOR2.00Yes (X)$0$0$0
DENNIS WHALEN
DIRECTOR2.00Yes (X)$0$0$0
JOHN WADDOCK
DIRECTOR2.00Yes (X)$0$0$0
EDWARD ELLIOTT MD
DIRECTOR2.00Yes (X)$0$0$0
ANTHONY RISPOLI
EVP & CFO40.002.00Yes (X)$397,278$0$0
DAVID BAUMBERGER MD
VP CMO40.000.20Yes (X)$393,041$0$18,423
MARK BURMESTER
SVP STRATEGY40.000.00Yes (X)$353,833$0$25,049
LINDA FAHEY
SVP COO40.000.00Yes (X)$286,219$0$5,759
KATHERINE ANDERSON
VP LEGAL AFF30.0025.00Yes (X)$28,979$222,202$8,606
JOHN RIDLEY
VP PROF SERV40.000.00Yes (X)$234,931$0$22,994
ROBYN REISING
VP CNO40.000.00Yes (X)$221,070$0$4,023
DEBORAH L BRAGG
SVP FINANCE42.003.00Yes (X)$220,231$0$4,842
KEVIN HORATH
VP HUMAN RES20.0020.00Yes (X)$204,768$0$4,879
DAVID SAMPLES
VP SUPPORT S40.000.00Yes (X)$153,738$0$21,382
JIM BLACKWELL
VP INFO TECH40.000.00Yes (X)$137,857$0$13,782
JULIE BRILLEY
VP PHYSICIAN40.000.00Yes (X)$116,518$0$19,368
GREG PAGLIUZZA
SVP & CFO40.002.00Yes (X)$29,891$0$0
MIKE EDWARDS
VP REV CYCLE40.000.00Yes (X)$10,673$0$5,528
LARRY HEGLAND MD
CMO40.000.00Yes (X)$0$0$0
STEVEN SOBOL MD
PHYSICIAN40.000.00$1,316,403$0$13,599Yes (X)
MOHAMMED HASNAIN MD
PHYSICIAN40.000.00$1,065,267$0$23,677Yes (X)
MARVIN DERRICK MD
PHYSICIAN40.000.00$1,024,994$0$22,677Yes (X)
JOHN WATERS MD
PHYSICIAN40.000.00$821,336$0$12,565Yes (X)
MADHU JYOTHANAGARAM MD
PHYSICIAN40.000.00$769,019$0$23,677Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,834,246TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$711,657TotReportableCompRltdOrgAmt
Total Other Compensation$260,815TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K169IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
POINTCORE
800 NE GLEN OAKPEORIAIL61603COMPUTER SUPP$2,969,747
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397PHYSICIAN FEES$2,178,129
SURGICAL SPECIALISTS OF CENTRAL IL
ONE MEMORIAL DR SUITE 300DECATURIL62526PHYSICIAN FEES$1,447,110
CONSOCIATE GROUP
PO 1068DECATURIL62525INSURANCE SERV$1,368,581
SHEARWATER HEALTH
20 BURTON HILLS BLVD SUITE 400NASHVILLETN372156177STAFFING$1,325,865
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K197CntrctRcvdGreaterThan100KCnt
Related Organizations$25,500RelatedOrganizationsAmt
Government Grants$3,093,018GovernmentGrantsAmt
All Other Contributions$1,414,740AllOtherContributionsAmt
Total Contributions$4,533,258TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescINPATIENT, OUTPATIENT, & PHYSDesc
Business900099BusinessCd
Total Revenue Column$295,624,345TotalRevenueColumnAmt
Related Or Exempt Func Income$295,624,345RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$295,624,345TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,467,449TotalRevenueColumnAmt
Unrelated Business Revenue$2,613,680UnrelatedBusinessRevenueAmt
Exclusion$2,853,769ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,262,641RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,262,641RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,262,641TotalRevenueColumnAmt
Unrelated Business Revenue$453,382UnrelatedBusinessRevenueAmt
Exclusion$809,259ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,105,980SecuritiesAmt
Other$26,945OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,477,739SecuritiesAmt
Other$1,861OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,628,241SecuritiesAmt
Other$25,084OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,653,325TotalRevenueColumnAmt
Exclusion$3,653,325ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$774,682GrossSalesOfInventoryAmt
Cost Of Goods Sold$461,555CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$313,127TotalRevenueColumnAmt
Unrelated Business Revenue$313,127UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
OTHER EXEMPT FUNCTION INCOME900099$11,333,499$11,333,499
WELLNESS & COSMETIC SERVICES900099$946,655$946,655
REFERENCE LABORATORY541380$323,045$323,045

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$369,655TotalRevenueColumnAmt
Unrelated Business Revenue$369,655UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$12,972,854OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$323,826,999TotalRevenueColumnAmt
Related Or Exempt Func Income$306,957,844RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,019,544UnrelatedBusinessRevenueAmt
Exclusion$7,316,353ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,527,973TotalAmt
Program Services$4,527,973ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,891,813TotalAmt
Management And General$2,891,813ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$3,218,304TotalAmt
Program Services$3,218,304ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$125,553,720TotalAmt
Program Services$101,181,520ProgramServicesAmt
Management And General$24,372,200ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,885,667TotalAmt
Program Services$1,519,626ProgramServicesAmt
Management And General$366,041ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,239,781TotalAmt
Program Services$16,310,881ProgramServicesAmt
Management And General$3,928,900ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,424,166TotalAmt
Program Services$6,788,886ProgramServicesAmt
Management And General$1,635,280ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$307,685TotalAmt
Management And General$307,685ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$911,207TotalAmt
Management And General$911,207ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$89,391TotalAmt
Management And General$89,391ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$41,093,218TotalAmt
Program Services$26,402,817ProgramServicesAmt
Management And General$14,690,401ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$892,784TotalAmt
Program Services$568,764ProgramServicesAmt
Management And General$324,020ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$55,509,253TotalAmt
Program Services$52,294,686ProgramServicesAmt
Management And General$3,214,567ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,716,999TotalAmt
Program Services$4,949,047ProgramServicesAmt
Management And General$767,952ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$10,445TotalAmt
Program Services$10,445ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,870,448TotalAmt
Program Services$8,066,072ProgramServicesAmt
Management And General$4,804,376ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$596,183TotalAmt
Program Services$403,892ProgramServicesAmt
Management And General$192,291ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$424,434TotalAmt
Program Services$227,237ProgramServicesAmt
Management And General$197,197ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$744,023TotalAmt
Program Services$466,289ProgramServicesAmt
Management And General$277,734ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,387,767TotalAmt
Program Services$10,179,626ProgramServicesAmt
Management And General$7,208,141ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,807,317TotalAmt
Program Services$1,095,067ProgramServicesAmt
Management And General$4,712,250ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
STATE MEDICAID TAX$10,364,254$10,364,254
RELATED PARTY BAD DEBT$8,420,686$8,420,686
MISCELLANEOUS EXPENSE$5,905,008$2,880,934$3,024,074

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$333,792,526TotalAmt
Program Services$251,456,320ProgramServicesAmt
Management And General$82,336,206ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,555BOYAmt
EOY$8,330EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,938,127BOYAmt
EOY$7,491,930EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$50,486,105BOYAmt
EOY$44,074,402EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$61,060,905BOYAmt
EOY$60,319,602EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,249,490BOYAmt
EOY$3,123,027EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,848,863BOYAmt
EOY$3,224,123EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$450,414,773LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$351,490,621LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$108,176,939BOYAmt
EOY$98,924,152EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$69,553,678BOYAmt
EOY$61,100,164EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$371,504BOYAmt
EOY$262,991EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$5,499,462BOYAmt
EOY$5,499,462EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,914,118BOYAmt
EOY$20,670,250EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$327,107,746BOYAmt
EOY$304,698,433EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$39,611,606BOYAmt
EOY$40,458,918EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$504,253BOYAmt
EOY$319,746EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,967,000BOYAmt
EOY$4,131,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,000,000BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,186,146BOYAmt
EOY$42,287,963EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$87,269,005BOYAmt
EOY$87,197,627EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$193,029,414BOYAmt
EOY$180,880,021EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$31,813,254BOYAmt
EOY$22,043,285EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,996,073BOYAmt
EOY$14,577,500EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$239,838,741BOYAmt
EOY$217,500,806EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$327,107,746BOYAmt
EOY$304,698,433EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$9,965,527ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$490,085NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$11,882,323OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$38,202DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$51,189OtherActivitiesAmt
Total Lobbying Expenditures$89,391TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationA PORTION OF THE MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOMECARE AND HOSPICE COUNCIL, AND THE ILLINOIS HOSPITAL ASSOCIATION ARE DESIGNATED AS LOBBYING EXPENSES. THE AMOUNT REPORTED ON SCHEDULE C, PART II-B, LINE 1I REPRESENTS THE AMOUNTS SO DESIGNATED.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,996,073BeginningYearBalanceAmt
Investment Earnings Or Losses-$418,573InvestmentEarningsOrLossesAmt
End Year Balance$14,577,500EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,956,170BeginningYearBalanceAmt
Investment Earnings Or Losses$860,660InvestmentEarningsOrLossesAmt
Grants Or Scholarships$262,374GrantsOrScholarshipsAmt
Other Expenditures$558,383OtherExpendituresAmt
End Year Balance$14,996,073EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,056,012BeginningYearBalanceAmt
Investment Earnings Or Losses-$99,842InvestmentEarningsOrLossesAmt
End Year Balance$14,956,170EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,420,861BeginningYearBalanceAmt
Investment Earnings Or Losses-$364,849InvestmentEarningsOrLossesAmt
End Year Balance$15,056,012EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,357,049BeginningYearBalanceAmt
Investment Earnings Or Losses$983,585InvestmentEarningsOrLossesAmt
Grants Or Scholarships$294,026GrantsOrScholarshipsAmt
Other Expenditures$625,747OtherExpendituresAmt
End Year Balance$15,420,861EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,379,068OtherCostOrOtherBasisAmt
Book Value$1,379,068BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$196,397,785OtherCostOrOtherBasisAmt
Depreciation$140,097,740DepreciationAmt
Book Value$56,300,045BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,178,994OtherCostOrOtherBasisAmt
Depreciation$39,644DepreciationAmt
Book Value$3,139,350BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$239,640,550OtherCostOrOtherBasisAmt
Depreciation$203,904,612DepreciationAmt
Book Value$35,735,938BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,818,376OtherCostOrOtherBasisAmt
Depreciation$7,448,625DepreciationAmt
Book Value$2,369,751BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$98,924,152TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INSURANCE RECEIVABLE$10,560,169
OTHER$8,578,323
PHYSICIANS RECEIVABLE$1,286,170
NURSE ASSISTANCE PROGRAM$190,172
DUE FROM AFFILIATES$55,416
FieldValueIRS element (for citing)
Total Book Value Other Assets$20,670,250TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATIONS$10,622,810
INSURANCE PAYABLE$10,560,169
DEFERRED TRUST$8,549,322
MALPRACTICE INSURANCE$6,908,742
CREDIT A/R BALANCES$2,380,000
PENSION LIABILITY$1,583,219
FUTURE RENT PAYMENTS$1,088,426
RETIREE HEALTH PLAN$595,275
FieldValueIRS element (for citing)
Total Liability$42,287,963TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4THE ENDOWMENT FUNDS ARE USED FOR CAPITAL PURCHASES, SCHOLARSHIPS, AND ASSISTING INDIGENT PEOPLE WITH THEIR HOSPITAL BILLS. THE ENDOWMENT FUNDS USED FOR THE MAKING OF SUCH EXPENDITURES DID NOT GENERATE POSITIVE INCOME FOR THE FISCAL YEAR. THEREFORE, NO FUNDS WERE RELEASED FOR SUCH EXPENDITURES FROM THE ENDOWMENT DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2018.
SCHEDULE D, PAGE 3, PART XTHE SYSTEM HAD NO MATERIAL UNCERTAIN POSITIONS IN INCOME TAX LIABILITIES OR EXPENSES.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other6.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,203,613TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,203,613NetCommunityBenefitExpnsAmt
Total Expense0.03960TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,881,295TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,470,633DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,410,662NetCommunityBenefitExpnsAmt
Total Expense0.01920TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$57,084,908TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,470,633DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,614,275NetCommunityBenefitExpnsAmt
Total Expense0.05880TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$360,355TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$360,355NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,868,273TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,868,273NetCommunityBenefitExpnsAmt
Total Expense0.01160TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,678,696TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,678,696NetCommunityBenefitExpnsAmt
Total Expense0.00500TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,225TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,225NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,924,549TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,924,549NetCommunityBenefitExpnsAmt
Total Expense0.01780TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,009,457TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,470,633DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,538,824NetCommunityBenefitExpnsAmt
Total Expense0.07660TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$60,000NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,250TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,250NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,873TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$60,873NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$123,123TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$123,123NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$5,562,806BadDebtExpenseAmt
Bad Debt Expense Attributable$1,313,723BadDebtExpenseAttributableAmt
Reimbursed By Medicare$90,828,870ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$95,812,765CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,983,895MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DECATUR MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 N EDWARD STAddressLine1Txt
CityDECATURCityNm
State AbbreviationILStateAbbreviationCd
ZIP62526ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.DMHCARES.COMWebsiteAddressTxt
State LicenseILLINOIS 0000471StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherACUTE CARE & LONG TERM CAREOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DECATUR MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.DMHCARES.COM (SEE SECTION C)OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.000000000000FPGFamilyIncmLmtDscntCarePct
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 3EADDRESSING COMMUNITY HEALTH NEEDS THE FOLLOWING STRATEGIES HAVE BEEN DEVELOPED TO ADDRESS THE IDENTIFIED TOP THREE HEALTH NEEDS OF THE COMMUNITY. 1.ACCESS TO PRIMARY CARE PHYSICIANS ACCESS 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 (IE. 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 SPECIALISTS IN 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 SERVICES ON 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% CAPACITY 3. HIRE ADDITIONAL PROVIDERS TO PROVIDE MEDICATION MANAGEMENT TO DISCHARGED PATIENTS IN AREA NURSING HOMES.
FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 5THE HOSPITAL AND MACON COUNTY HEALTH DEPARTMENT HOSTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUP WHERE THE FOLLOWING ATTENDEES PROVIDED INPUT REGARDING COMMUNITY HEALTH STRENGTHS AND CONCERNS, AS WELL AS TOP HEALTH CONCERNS SEEN THROUGHOUT THE MACON COUNTY AREA. THESE INDIVIDUALS WERE CHOOSEN TO PARTICIPATE IN THE FOCUS GROUP BECAUSE OF THEIR INSIGHT TO THE COMMUNITY'S POPULATION, INCLUDING HEALTH NEEDS. DARIN BUTTZ - DIRECTOR, HEALTH AND WELLNESS JOHN RIDLEY - EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER JULIE BRILLEY - ADMINISTRATIVE DIRECTOR, MEDICAL STAFF MIKE CASSELL - DIRECTOR OF MARKETING MARSHA CORDTS - DIRECTOR OF SURGERY CENTER DON HENDRIAN - DECISION SUPPORT ANALYST BETTY HUGHES - EXECUTIVE DIRECTOR OF DMH MEDICAL GROUP CAROL PEARSON - PATIENT CENTERED MEDICAL HOME COORDINATOR FRANCES SPERRY - ANALYTICS AND PERFORMANCE MANAGER PAIGE TOTH - DIRECTOR OF LEGAL AFFAIRS REV. BROHARD - EXECUTIVE DIRECTOR, THE GOOD SMARITAN INN SIGNE KIMMEL - DECATUR MEMORIAL HOSPITAL JERRY BAUER - ASSISTANT CITY MANAGER, CITY OF DECATUR TANYA ANDRICKS - EXECUTIVE DIRECTOR, CROSSING HEALTHCARE DANA COIT - DIRECTOR, EVERGREEN SENIOR LIVING SHELITH HANSBRO - WARDEN, DECATUR CORRECTIONAL CENTER BRUCE JEFFERY - EXECUTIVE DIRECTOR, BOYS AND GIRLS CLUB BILL CLEVENGER - EXECUTIVE DIRECTOR, DECATUR PARK DISTRICT JONATAN LOCKE, MD - MEDICAL STAFF PRESIDENT, DMH JOHN BRADLEY, MD - SIU SCHOOL OF MEDICINE LISA MCGREGORY - EXECUTIVE DIRECTOR OF PUBLIC INFORMATION, RICHLAND COMMUNITY COLLEGE JULIE MOORE - MAYOR, CITY OF DECATUR WOLE ADEOYE - PRESIDENT, VICTORY PHARMACY LINDA REED-THOMPSON, SOCIAL SERVICES DIRECTOR, SALVATION ARMY KIM WOLPERT - ONOCOLOGY SERVICE LINE LEADER JIM GETZ - LIEUTENANT, DECATUR POLICE DEPARTMENT TIMOTHY STONE, JR - PRESIDENT AND CEO, DMH
FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 6BMACON COUNTY HEALTH DEPARTMENT
FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 7DTHE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT: HTTPS://WWW.DMHCARES.COM/PUBLIC-INFORMATION/QUALITY-DATA/COMMUNITY-HEALTH- NEEDS-ASSESSMENT/ SCHEDULE H, PART V, SECTION B, LINE 10A: THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION CAN BE FOUND AT: HTTPS://WWW.DMHCARES.COM/PUBLIC-INFORMATION/QUALITY-DATA/COMMUNITY-HEALTH- NEEDS-ASSESSMENT-IMPLEMENTATION-PLAN/ SCHEDULE H, PART V, SECTION B, LINE 16A: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT: HTTPS://WWW.DMHCARES.COM/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL- ASSISTANCE/SUMMARY-FINANCIAL-ASSISTANCE-POLICY/ THEN SEE FINANCIAL ASSISTANCE POLICY PDF LINE 16B: THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION FORM CAN BE FOUND AT: HTTPS://WWW.DMHCARES.COM/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL- ASSISTANCE/SUMMARY-FINANCIAL-ASSISTANCE-POLICY/ THEN SEE FINANCIAL ASSISTANCE APPLICATION LINK TO PDF LINE 16C: THE HOSPITAL'S PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT: HTTPS://WWW.DMHCARES.COM/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL- ASSISTANCE/SUMMARY-FINANCIAL-ASSISTANCE-POLICY/
FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 11ADDRESSING COMMUNITY HEALTH NEEDS THE FOLLOWING STRATEGIES HAVE BEEN DEVELOPED TO ADDRESS THE IDENTIFIED TOP THREE HEALTH NEEDS OF THE COMMUNITY. 1.ACCESS TO PRIMARY CARE PHYSICIANS ACCESS 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 (IE. 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 SPECIALISTS IN 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 SERVICES ON 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% CAPACITY 3. HIRE ADDITIONAL PROVIDERS TO PROVIDE MEDICATION MANAGEMENT TO DISCHARGED PATIENTS IN AREA NURSING HOMES.
FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 13HDMH USES INCOME LEVEL AND FAMILY SIZE TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE. THE MAXIMUM QUALIFYING INCOME LEVEL INCREASES WITH THE SIZE OF THE FAMILY.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
DMH MEDICAL GROUP
2300 N EDWARD STDECATURIL62526OUTPATIENT CLINICS
DMH ENDOSCOPY CENTER
2 MEMORIAL DR PHYS PLAZA WESTDECATURIL62526AMBULATORY ENDOSCOPY CENTERSUITE 102
DMH SURGERY CENTER
304 W HAY SUITE 114DECATURIL62526AMBULATORY SURGERY CENTER
FORSYTH IMAGING CENTER
389 W WEAVER ROADFORSYTHIL62535DIAGNOSTIC CENTER
SOUTH SHORES IMAGING CENTER
1689 S FRANKLIN STDECATURIL62521DIAGNOSTIC CENTER
SPORTS PERFORMANCE ENHANCEMENT CTR
2122 NORTH 27TH STDECATURIL62526PHYSICAL THERAPY
DMH HOME HEALTH CARE
2870 NORTH MAIN STDECATURIL62526HOME HEALTH AGENCY
DMH OCC HEALTH & WELLNESS PARTNERS
2122 NORTH 27TH STDECATURIL62526OUTPATIENT CLINIC
DMH HOSPICE
2870 NORTH MAIN STDECATURIL62526HOSPICE AGENCY
DMH HEALTH AND WELLNESS CENTER
2122 NORTH 27TH STDECATURIL62526WELLNESS CENTER

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CAREAS 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 - RELATED ORGANIZATION INFORMATIONTHE HOSPITAL PREPARES THE ANNUAL COMMUNITY BENEFIT REPORT UNDER ITS OWN NAME.
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATIONTHE HOSPITAL DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSENONE. PER NEWLY ISSUED GAAP, DMH INCLUDES BAD DEBT EXPENSE AS PART OF PROGRAM SERVICE REVENUE ON PAGE 9, LINE 2A.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATIONTHE HOSPITAL DERIVED ALL NUMBERS IN LINE 7 FROM THE APPLICABLE IRS WORKSHEETS, USING THE RATIO OF PATIENT COST-TO-CHARGES.
PART II - COMMUNITY BUILDING ACTIVITIESPART VI, LINE 5 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 IS CHAIRMAN OF THE EDC. 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 GIRL SCOUT DIAMONDS AND DESSERTS FUNDRAISER, RICHLAND COMMUNITY COLLEGE'S KITCHEN WARRIORS FUNDRAISER, AND HOLY FAMILY CATHOLIC SCHOOL.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYLINE 2 OF PART III WAS CALCULATED USING THE HOSPITAL WIDE COST-TO-CHARGE RATIO FROM THE 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 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCELINE 3 OF PART III WAS CALCULATED AS FOLLOWS: THE HOSPITAL USED 2010-2018 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 THE PATIENTS THAT WERE ELIGIBLE FOR GOVERNMENTAL ASSISTANCE PROGRAMS SUCH AS MEDICAID. HOSPITAL CHARITY CARE ADJUSTMENTS WERE ALSO REMOVED BECAUSE THEY TOO WOULD NOT HAVE RESULTED IN BAD DEBTS. THE REMAINING CHARGES RELATED TO UNINSURED PATIENTS WITH HOUSEHOLD INCOMES BELOW 600% OF FPG, AND IT IS REASONABLE TO ASSUME THAT THEY RESULTED IN BAD DEBTS. THIS TOTAL WAS THEN MULTIPLIED BY THE RATIO OF COSTS-TO-CHARGES FROM THE APPLICABLE IRS WORKSHEET TO CALCULATE THE COST OF PROVIDING THESE SERVICES.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTSFOOTNOTE DESCRIBING BAD DEBT (NOTE THAT THE AUDITED FINANCIAL STATEMENTS DID NOT INCLUDE A SEPARATE FOOTNOTE WHICH APPLIED SOLELY TO BAD DEBT. THE FOLLOWING IS AN EXCERPT FROM A BROADER FOOTNOTE CONTAINED IN THE FINANCIAL STATEMENTS): THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS CONSOLIDATED FINANCIAL STATEMENTS, INCLUDING PROVISIONS FOR BAD DEBT. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE, ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES, AND RECOMMENDATIONS MADE BY THE SYSTEM'S EXTERNAL ADVISORS AND ACTUARIES IN MAKING JUDGMENTS AND ESTIMATES. ACTUAL RESULTS COULD DIFFER FROM THOSE ESTIMATES. THE ABOVE WORDING CAN BE FOUND IN FOOTNOTE 1, USE OF ESTIMATES SUB TITLE, ON PAGE 7 AS NOTED AT THE BOTTOM OF THE PDF PAGE OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8 - MEDICARE EXPLANATIONTHE 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 - COLLECTION PRACTICES EXPLANATIONTHE HOSPITAL WILL NOT SEND A PATIENT'S ACCOUNT TO A THIRD-PARTY COLLECTION 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 - NEEDS ASSESSMENTDECATUR 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 2016-2018 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, AND INFORMATION FROM A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY. 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 COMMUNITY LEADER FOCUS GROUP AND FOCUS GROUP SURVEY INCLUDED DECATUR MEMORIAL HOSPITAL, RICHLAND COMMUNITY COLLEGE, MACON COUNTY HEALTH DEPARTMENT, SOUTHERN ILLINOIS UNIVERSITY, CITY OF DECATUR, BOYS AND GIRLS CLUB, CROSSING HEALTHCARE, DMH MEDICAL STAFF PHYSICIANS, GOOD SAMARITAN INN, DECATUR POLICE DEPARTMENT, VICTORY PHARMACY, EVERGREEN SENIOR LIVING, DECATUR CORRECTIONAL CENTER, DECATUR PARK DISTRICT AND SALVATION ARMY. DECATUR MEMORIAL HOSPITAL'S ROLE: -COORDINATE THE OVERALL ASSESSMENT PROCESS -PROVIDE THE MEETING SPACE FOR THE COMMUNITY LEADER FOCUS GROUP -MOTIVATE OTHER COMMUNITY ORGANIZATIONS TO PARTICIPATE -COLLECT AND ORGANIZE SECONDARY DATA -CONDUCT A COMMUNITY LEADER FOCUS GROUP TO COLLECT PRIMARY DATA -DESIGN, IMPLEMENT AND ANALYZE A COMMUNITY MEMBER SURVEY -IDENTIFY PRIORITY ISSUES -DEVELOP AND IMPLEMENT INITIATIVES TO ADDRESS PRIORITY ISSUES PARTNER ORGANIZATIONS, CONTRIBUTIONS, AND ROLES: -ALL ORGANIZATIONS PROVIDE PARTICIPANTS AND INPUT KEY FACTORS IN DEVELOPING AND MAINTAINING PARTNERSHIPS: -MAINTAINING MUTUAL RESPECT AND A COMMON LANGUAGE -FOLLOWING THROUGH ON COMMITMENTS 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 DATA PRIMARY DATA CONSISTS OF A COMMUNITY SURVEY AND A FOCUS GROUP SURVEY. THE PRIMARY DATA COLLECTION OF THE COMMUNITY SURVEY DATA BEGAN ON JULY 7, 2015 AND EXTENDED THROUGH OCTOBER 5, 2015. FURTHERMORE, ON NOVEMBER 10, 2015, DECATUR MEMORIAL HOSPITAL AND MACON COUNTY HEALTH DEPARTMENT HOSTED A COMMUNITY LEADER FOCUS GROUP TO DISCUSS COMMUNITY HEALTH NEEDS. AFTER REVIEWING LOCAL DATA WITH THE FOCUS GROUP ATTENDEES, THE SURVEY PREVIOUSLY SENT TO COMMUNITY MEMBERS, WAS ADMINISTERED. 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 PRIORITIES THE 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 RESULTS THE FINAL REPORT, INCLUDING RESULTS, WILL BE COMMUNICATED TO ATTENDEES AND THE GENERAL PUBLIC THROUGH BOUND COPIES OF THE REPORT AND ONLINE ACCESS. ONLINE ACCESS INCLUDES POSTING TO THE DECATUR MEMORIAL HOSPITAL WEBSITE. STEP 6: PLANNING FOR ACTION AND MONITORING PROGRESS FOLLOWING THE COMPLETION OF THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, AN IMPLEMENTATION PLAN WAS CREATED TO MEET THE APPLICABLE IDENTIFIED NEEDS. EFFORTS WILL BE MEASURED APPROPRIATELY AND PROGRESS WILL BE REPORTED REGULARLY. 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 893,336 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 4,500,000 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. THE HOSPITAL ALSO SUPPORTS THE PARISH NURSE PROGRAM. THIS PROGRAM HAS SUBSTANTIALLY IMPROVED THE ABILITY OF COMMUNITY MEMBERS TO OBTAIN BASIC HEALTH INFORMATION AND SCREENING FROM TRAINED PARISH NURSES. HEART, LUNG AND STROKE HEART: RECOGNIZING THAT 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 A FREE MONTHLY EDUCATIONAL PROGRAM THAT IS OPEN TO THE PUBLIC. DMH OFFERS CARDIAC INFORMATION AT MULTIPLE HEALTH FAIRS IN THE AREA WHICH ALSO INCLUDES FREE BLOOD PRESSURE SCREENINGS. THE EDUCATIONAL FOCUS IS ON HEART DISEASE PREVENTION, INCLUDING EXERCISE, SMOKING CESSATION, HEART HEALTHY DIET AND MEDICATION MANAGEMENT. COMMUNITY EVENTS INCLUDE THE ANNUAL HEART WALK AND HEARTS AROUND THE WORLD, BOTH WITH THE FOCUS ON RAISING FUNDS TO SUPPORT THE PREVENTION OF HEART DISEASE. 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. 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. ADDITIONALLY, A "KIDS CAN BE HEROES" PROGRAM FOR 4-5-6 GRADERS TEACHES THESE CHILDREN ABOUT STROKE RISK FACTORS AND THE FAST (FACE, ARM, SPEECH, TIME) ACRONYM, WHICH WILL HELP THEM TO IDENTIFY SYMPTOMS OF STROKE. THESE CHILDREN ARE GIVEN THE 'ASSIGNMENT' OF GOING HOME AND TEACHING TW
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE 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 APPLICATON 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 - COMMUNITY INFORMATIONPART VI, LINE 4 POPULATIONS AND COMMUNITIES SERVED -- 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 105,801. 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 14.3%. THE 2018 AVERAGE UNEMPLOYMENT RATE FOR DECATUR/MACON COUNTY WAS 5.3% UP FROM 5.2% IN 2017.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHBACKGROUND -- DECATUR MEMORIAL HOSPITAL, SINCE IT'S INCEPTION IN 1916, HAS CONTINUOUSLY RESPONDED TO THE HEALTH CARE NEEDS OF 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 THE 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 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 - AFFILIATED HEALTH CARE SYSTEMAS 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 USED 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 - STATE FILING OF COMMUNITY BENEFIT REPORTILLINOIS

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SIU DECATUR FAMILY PRACTICE CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1102 W KENWOODAddressLine1Txt
CityDECATURCityNm
State AbbreviationILStateAbbreviationCd
ZIP62526ZIPCd
FieldValueIRS element (for citing)
Recipient EIN376005961RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$4,527,973CashGrantAmt
Purpose Of GrantGENERAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationSOUTHERN 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmt
TIMOTHY D STONE JR
DIRECTOR/PRES. & CEO$48,200$489,455$726$3,249$1,365$4,645$50,291$497,349
ANTHONY RISPOLI
EVP & CFO$397,278$397,278
DAVID BAUMBERGER MD
VP CMO$392,791$4,050$14,373$411,464$250
MARK BURMESTER
SVP STRATEGY$325,293$25,049$378,882$28,540
LINDA FAHEY
SVP COO$272,238$4,050$1,709$291,978$13,981
KATHERINE ANDERSON
VP LEGAL AFFAIRS$28,979$222,202$2,612$1,349$4,645$30,328$229,459
JOHN RIDLEY
VP PROF SERVICES$233,546$3,575$19,419$257,925$1,385
ROBYN REISING
VP CNO$207,009$3,080$943$225,093$14,061
DEBORAH L BRAGG
SVP FINANCE$220,131$3,300$1,542$225,073$100
KEVIN HORATH
VP HUMAN RESOURCES$204,142$3,055$1,824$209,647$626
DAVID SAMPLES
VP SUPPORT SERVICES$152,853$2,360$19,022$175,120$885
JIM BLACKWELL
VP INFO TECH$137,857$2,113$11,669$151,639
STEVEN SOBOL MD
PHYSICIAN$1,146,795$4,050$9,549$1,330,002$169,608
MOHAMMED HASNAIN MD
PHYSICIAN$804,310$4,050$19,627$1,088,944$260,957
MARVIN DERRICK MD
PHYSICIAN$863,076$4,050$18,627$1,047,671$161,918
JOHN WATERS MD
PHYSICIAN$821,136$4,050$8,515$833,901$200
MADHU JYOTHANAGARAM MD
PHYSICIAN$705,994$4,050$19,627$792,696$63,025

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PAGE 1, PART I, LINE 1AFormAndLineReferenceDesc
ExplanationDURING THE YEAR, DMH PAID FOR CHARTER TRAVEL IN THREE INSTANCES. DMH SHARED WITH ONE OTHER HOSPITAL 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 SEVEN MONTHS OF EMPLOYMENT FOR MR. BURMESTER, SENIOR VICE PRESIDENT STRATEGY AND PERFORMANCE IMPROVEMENT. MR. BURMESTER'S 2017 W-2 INCLUDED 28,540 RELATED TO HIS HOUSING EXPENSES AND IS REPORTED IN PART II (B) COLUMN III ON SCHEDULE J. DMH ALSO PAID 10,676 IN MOVING EXPENSES ON BEHALF OF MR. BURMESTER. MOVING EXPENSES ARE NOT TAXABLE FOR EXPENSES INCURRED IN 2017, BUT ARE INCLUDED IN PART II COLUMN D ON SCHEDULE J. DMH PAID MOVING EXPENSES OF 5,528 ON BEHALF OF MR EDWARDS, VICE PRESIDENT REVENUE CYCLE. MOVING EXPENSES ARE NOT TAXABLE FOR EXPENSES INCURRED IN 2017, BUT WOULD HAVE BEEN INCLUDED IN PART II COLUMN D ON SCHEDULE J IF MR. EDWARDS' SALARY HAD MET THE SCHEDULE J THRESHOLD IN 2017. DMH PAID HOUSING EXPENSES FOR THE FIRST MONTH OF EMPLOYMENT OF MR. PAGLIUZZA, SENIOR VICE PRESIDENT & CHIEF FINANCIAL OFFICER. MR. PAGLIUZZA'S 2017 W-2 BOX 5 INCLUDED 3,738 RELATED TO HIS HOUSING EXPENSES AND WOULD HAVE BEEN INCLUDED IN PART II COLUMN B ON SCHEDULE J IF MR. PAGLIUZZA'S SALARY HAD MET THE SCHEDULE J THRESHOLD IN 2017.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF DECATUR MACON COUNTY IL
A3760013082010-12-22$6,280,000REFUND 1996 ISSUEfalsefalsefalse
CITY OF DECATUR MACON COUNTY IL
B3760013082010-12-22$5,000,000REFUND 1996 ISSUEfalsefalsefalse
CITY OF DECATUR MACON COUNTY IL
C3760013082010-12-22$4,405,000REFUND 1996 ISSUEfalsefalsefalse
CITY OF DECATUR MACON COUNTY IL
D3760013082010-12-22$2,675,000REFUND 1996 ISSUEfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,867,000$6,280,000$6,280,000Yes (true)falseYes (true)Yes (true)
B$3,875,000$5,000,000$5,000,000Yes (true)falseYes (true)Yes (true)
C$3,413,875$4,405,000$4,405,000Yes (true)falseYes (true)Yes (true)
D$2,073,125$2,675,000$2,675,000Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalsefalsefalsefalsefalseYes (true)
BfalsefalsefalsefalsefalsefalseYes (true)
CfalsefalsefalsefalsefalsefalseYes (true)
DfalsefalsefalsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalsefalsefalseYes (true)falsefalsefalseYes (true)
BfalsefalsefalsefalseYes (true)falsefalsefalseYes (true)
CfalsefalsefalsefalseYes (true)falsefalsefalseYes (true)
DfalsefalsefalsefalseYes (true)falsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse
Cfalse
Dfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K - ADDITIONAL INFORMATIONFormAndLineReferenceDesc
ExplanationCITY OF DECATUR, MACON COUNTY, IL PART I, COLUMN C: NONE OF THE BOND ISSUES IN PART I HAD A CUSIP NUMBER AND, THEREFORE, THE RESPONSE IN COLUMN C FOR EACH IS "NONE" ACCORDING TO IRS INSTRUCTIONS. HOWEVER, ENTERING "NONE" IN COLUMN C CREATES AN E-FILE ERROR. THEREFORE, COLUMN C HAS BEEN LEFT BLANK, BUT AS INDICATED, SHOULD BE "NONE" FOR EACH ISSUE. SCHEDULE K - OTHER INFORMATION: AS INDICATED IN COLUMN G, EACH ISSUE IN PART I WAS A CURRENT REFUNDING ISSUE USED TO REFINANCE 1996 BONDS. ALL PROCEEDS OF EACH ISSUE WERE USED EXCLUSIVELY FOR THIS PURPOSE.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (12 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
CANCER CARE SPECIALISTS OF CENT IL
SEE PART V$201,134MED SERVICESfalse
CANCER CARE SPECIALISTS OF CENT IL
SEE PART V$2,081TELEPHONE SERV REVfalse
BAKERS DOZEN LLC
SEE PART V$632,919OFFICE SPACE RENTALfalse
PRAIRIE ONCOLOGY MANAGEMENT SERVICE
SEE PART V$281,055SUPPLY SALES/STORAGEfalse
PRAIRIE ONCOLOGY MANAGEMENT SERVICE
SEE PART V$387COURIER SERVICESfalse
EDWARD ELLIOTT MD
SEE PART V$225,000COMPENSATIONfalse
AMEREN ILLINOIS
SEE PART V$1,611,740ELEC/GAS UTILITIESfalse
KATHLEEN FAHEY
SEE PART V$48,482COMPENSATIONfalse
MEGHAN SAMPLES
SEE PART V$19,769COMPENSATIONfalse
SARAH REISING
SEE PART V$82,653COMPENSATIONfalse
BUSEY BANK
SEE PART V$187,492BANK & FARM FEESfalse
BUSEY BANK
SEE PART V$1,718INTEREST INCOMEfalse

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE L, PART IVBUSEY BANK 187,492 SEE PART V BANK & FARM FEES BUSEY BANK 1,718 SEE PART V INTEREST INCOME
SCHEDULE L, PART VPART IV, LINES 1(B), 2(B), 3(B), 4(B), 5(B): DIRECTOR EDWARD ELLIOTT IS AN OWNER OF CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, BAKER'S DOZEN, LLC., AND PRAIRIE ONCOLOGY MANAGEMENT SERVICE. PART IV, LINE 6(B): DIRECTOR EDWARD ELLIOTT'S SON. PART IV, LINE 7(B): DIRECTOR GUSSIE REED IS DIRECTOR OF OPERATIONS FOR DIVISION III OF AMEREN ILLINOIS. PART IV, LINE 8 (B): OFFICER LINDA FAHEY'S DAUGHTER. PART IV, LINE 9 (B): OFFICER DAVID SAMPLES' DAUGHTER. PART IV, LINE 10(B): OFFICER ROBYN REISING'S DAUGHTER-IN-LAW. PART IV, LINE 11(B), 12(B): DIRECTOR JOHN WADDOCK IS EVP MARKET PRESIDENT OF BUSEY BANK.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990FORM 990, PART I, ITEM 1 AND FORM 990, PART III, ITEM 1: DMH'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE OF CENTRAL ILLINOIS, 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 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. 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, PAGE 2, PART III, LINE 4DEDUCATION 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.
FORM 990, PAGE 6, PART VI, LINE 2LARRY ALTENBAUMER ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP EDWARD ELLIOTT JONATHAN LOCKE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROBIN KING LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JONATHAN LOCKE EDWARD ELLIOTT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. DEBORAH BRAGG OFFICER OFFICER BUSINESS RELATIONSHIP TIMOTHY STONE, JR. KEVIN HORATH OFFICER OFFICER BUSINESS RELATIONSHIP TIMOTHY STONE, JR. DENNIS WHALEN DIRECTOR DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. GUSSIE REED DIRECTOR DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. JOHN WADDOCK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DENNIS WHALEN TIMOTHY STONE, JR. DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DENNIS WHALEN GUSSIE REED DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DENNIS WHALEN JOHN WADDOCK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP GUSSIE REED TIMOTHY STONE, JR. DIRECTOR DIRECTOR BUSINESS RELATIONSHIP GUSSIE REED DENNIS WHALEN DIRECTOR DIRECTOR BUSINESS RELATIONSHIP GUSSIE REED JOHN WADDOCK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN WADDOCK TIMOTHY STONE, JR. DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN WADDOCK DENNIS WHALEN DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN WADDOCK GUSSIE REED DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DEBORAH BRAGG TIMOTHY STONE, JR. OFFICER OFFICER BUSINESS RELATIONSHIP DEBORAH BRAGG DAVID SAMPLES OFFICER OFFICER BUSINESS RELATIONSHIP DEBORAH BRAGG KEVIN HORATH OFFICER OFFICER BUSINESS RELATIONSHIP DEBORAH BRAGG ROBYN REISING OFFICER OFFICER BUSINESS RELATIONSHIP DAVID SAMPLES DEBORAH BRAGG OFFICER OFFICER BUSINESS RELATIONSHIP DAVID SAMPLES KEVIN HORATH OFFICER OFFICER BUSINESS RELATIONSHIP DAVID SAMPLES ROBYN REISING OFFICER OFFICER BUSINESS RELATIONSHIP KEVIN HORATH DEBORAH BRAGG OFFICER OFFICER BUSINESS RELATIONSHIP KEVIN HORATH DAVID SAMPLES OFFICER OFFICER BUSINESS RELATIONSHIP KEVIN HORATH ROBYN REISING OFFICER OFFICER BUSINESS RELATIONSHIP KEVIN HORATH TIMOTHY STONE, JR. OFFICER DIRECTOR BUSINESS RELATIONSHIPS ROBYN REISING DEBORAH BRAGG OFFICER OFFICER BUSINESS RELATIONSHIP ROBYN REISING DAVID SAMPLES OFFICER OFFICER BUSINESS RELATIONSHIP ROBYN REISING KEVIN HORATH OFFICER OFFICER BUSINESS RELATIONSHIP KATHERINE ANDERSON JULIE BRILLEY OFFICER OFFICER BUSINESS RELATIONSHIP JULIE BRILLEY KATHERINE ANDERSON OFFICER OFFICER BUSINESS RELATIONSHIP
FORM 990, PAGE 6, PART VI, LINE 6THE 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, PAGE 6, PART VI, LINE 7AAS 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, PAGE 6, PART VI, LINE 7BTHE 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 AFFILITATES, AND APPOINTMENT OF THE INDEPENDENT AUDITOR.
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE ACCOUNTING DEPARTMENT OF THE HOSPITAL AND BY THE SENIOR 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, PAGE 6, PART VI, LINE 12CANNUALLY, 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 CFO'S OFFICE MONITORS AND PERIODICALLY REVIEWS TRANSACTIONS BETWEEN THE ORGANIZATION AND BOARD MEMBERS OR ENTITIES WITH WHICH THEY ARE AFFILIATED.
FORM 990, PAGE 6, PART VI, LINE 15ATHE 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 TEN 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 OF 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 AUGUST 2017, DMH OBTAINED SUCH AN UPDATE REPORT FROM ITS INDEPENDENT COMPENSATION CONSULTING FIRM, COVERING THE FOLLOWING INDIVIDUALS: STONE (CEO), RIDLEY (COO), BAUMBERGER (CMO), FAHEY (CIO), BRAGG(SVP FINANCE), ANDERSON (VP LEGAL), SAMPLES (VP SUPPORT SERVICES), REISING (CNO), BRILLEY (VP PHYSICIANS), BURMESTER (SVP STRATEGY), AND HORATH (VP HR). THE COMMITTEE USED AN UPDATED ASSESSMENT WHEN OFFERING POSITIONS TO HEGLAND (CMO), PAGLIUZZA (SVP & CFO), FAHEY (COO), RIDLEY (VP PROF SERVICES), MIKE EDWARDS (VP REV CYCLE), AND JIM BLACKWELL (VP OF IT). ALL DETERMINATIONS OF THE BOARD AND EXECUTIVE COMMITTEE ARE THROROUGHLY AND TIMELY DOCUMENTED IN APPROPRIATE MINUTES AND SUPPORTING MATERIALS.
FORM 990, PAGE 6, PART VI, LINE 15BSEE RESPONSE TO FORM 990, PART VI.B, LINE 15A ABOVE.
FORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL INFORMATION OF DMH ARE AVAILABLE TO THE PUBLIC UPON SPECIFIC REQUEST TO DMH ADMINISTRATION.
FORM 990, PART IX, LINE 11GOTHER FEES FOR SERVICES 2,154,696 6,616,240 0 OUTSIDE PURCHASED SERVICES 12,016,876 8,074,161 0 PHYSICIAN FEES 12,231,245 0 0 TOTAL 26,402,817 14,690,401 0
FORM 990, PART XI, LINE 9CHANGE IN MINIMUM PENSION LIABILITY (INCREASE) 752,102 BOOK/TAX DIFF. IN INC. FRM PARTNERSHIPS (DECREASE) -2,261,436 TRANSFER GRADY FARM TO DMF FOUNDATION (DECREASE) -10,305,316 VALUE OF FUNDS HELD IN TRUST (DECREASE) -67,673 TOTAL -11,882,323 THE NET RESULT OF ALL OF THESE OTHER CHANGES IN NET ASSETS IS A DECREASE OF 11,882,323.
FORM 990, PART XIIDECATUR MEMORIAL HOSPITAL WAS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF DECATUR MEMORIAL HOSPITAL AND AFFILIATED ORGANIZATION.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ILLINOIS HEALTH AND SCIENCE
2300 N EDWARD STDECATURIL625264163371169606SUPP. DMHIL501C312ADMHfalse
DECATUR MEMORIAL FOUNDATION
2300 N EDWARD STDECATURIL625264163371169605SUPP. DMHIL501C312ADMHfalse
HEARTLAND RISK MANAGEMENT
2300 N EDWARD STDECATURIL625264163454256254SUPP. DMHAZ501C312ADMHfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
DMH WORLDWIDE LTD
2300 N EDWARD STDECATURIL62526271901157RADIOPHARMILN/Afalse
C-MOLECULAR INC
2300 N EDWARD STDECATURIL62526473601111RADIOPHARMDEN/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DECATUR MEMORIAL FOUNDATION
K$1,669,590CASH PAYMENT
DECATUR MEMORIAL FOUNDATION
O$223,843CASH PAYMENT
DECATUR MEMORIAL FOUNDATION
B$10,305,316CASH PAYMENT
HEARTLAND RISK MANAGEMENT
F$1,000,000CASH PAYMENT
HEARTLAND RISK MANAGEMENT
M$4,390,758CASH PAYMENT
DMH WORLDWIDE LTD
A$3,817,060ACCRUED INTEREST
DMH WORLDWIDE LTD
O$164,180CASH PAYMENT
DMH WORLDWIDE LTD
D$9,973,116LOAN AMOUNT
DMH WORLDWIDE LTD
J$741,304CASH PAYMENT
DMH WORLDWIDE LTD
P$2,298,755CASH PAYMENT
DMH WORLDWIDE LTD
S$24,000,000LOAN CHARGE-OFF