2013-08-13T10:22:36-05:00 2012-09-30 411944416 MCGLADREY LLP 1 SOUTH WACKER SUITE 600 CHICAGO IL 60606 990 2011-10-01 900756744 MEMORIAL HEALTH SYSTEM GROUP MEMO 2177883000 701 NORTH FIRST STREET SPRINGFIELD IL 62781 ROBERT W KAY 2177883198 2013-08-13 1 P00052725 3126343400 2011 2016-02-24 21:20:13Z EDGAR J CURTIS 701 NORTH FIRST STREET SPRINGFIELD IL 62781 1163143274 1 0 5670 X WWW.MHSIL.COM X TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 107 73 6272 0 6519722 0 4849898 11732938 697580334 727305684 9334461 14002267 18813043 19061391 730577736 772102280 3037265 2679273 0 0 301090474 290491907 36000 0 240166 401154757 413381608 705318496 706552788 25259240 65549492 802781836 853047900 410250929 450870272 392530907 402177628 X TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 77003045 25000 94610528 CARDIOVASCULARMEMORIAL MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED AND ADOPTED CARDIOVASCULAR DISEASE AS ONE OF THE AREAS OF FOCUS IN MEETING THE NEEDS OF THE COMMUNITY. THE PROGRAMS OF MEMORIAL MEDICAL CENTER'S HEART & VASCULAR SERVICES FOCUS ON REDUCING THE INCIDENCE OF CARDIAC AND VASCULAR DISEASE. THROUGH PREVENTION PROGRAMS AND THE LATEST DIAGNOSTIC AND TREATMENT PROCEDURES, ITS GOAL IS TO WORK WITH PATIENTS TO ACHIEVE GREAT PATIENT OUTCOMES AND OPTIMUM LONG-TERM HEALTH. IN FISCAL YEAR 2012, MEMORIAL MEDICAL CENTER'S CARDIAC CATH LAB PERFORMED 3,893 HEART CATHS, 1,779 CORONARY INTERVENTIONS, 2,120 ELECTROPHYSIOLOGY (EP) PROCEDURES, AND 1,084 VASCULAR CASES. RECOGNIZED AS A LEADER AND INNOVATOR IN HEART AND VASCULAR TECHNOLOGY, THE MEMORIAL HEART & VASCULAR SERVICES TEAM ALSO PERFORMED 330 CORONARY BYPASS AND VALVE SURGERIES. OTHER SERVICES INCLUDE NON-INVASIVE CARDIAC AND VASCULAR TESTING, CARDIAC AND PULMONARY REHABILITATION, VALVE CENTER, HEART FAILURE CLINIC, NUTRITION COUNSELING, AND SUPPORT GROUPS. ONCE A PATIENT IS DIAGNOSED AND TREATED, CARDIAC REHABILITATION CARE CONTINUES. UTILIZING A TEAM OF REGISTERED NURSES, EXERCISE PHYSIOLOGISTS AND SUPPORT STAFF, THREE PHASES OF REHABILITATION ARE OFFERED. PHASE I OCCURS WITHIN 24 HOURS OF SURGERY, HELPING PATIENTS TO BECOME AMBULATORY AND PREPARE TO GO HOME; PHASE II TAKES PLACE IN THE HOSPITAL'S EXERCISE AREA, WHERE REHABILITATION EFFORTS ARE PRESCRIBED AND CLOSELY MONITORED BY THERAPISTS, PHYSIOLOGISTS, AND OTHER TEAM MEMBERS; PHASE III HAPPENS AT THE GUS AND FLORA KERASOTES YMCA, WHERE SESSIONS ARE SUPERVISED BY A REGISTERED NURSE AND INCLUDE AEROBIC CLASSES, RECUMBENT BICYCLES, TREADMILLS, STAIR MACHINES AND WHIRLPOOLS.THE LATEST ADVANCEMENT IN CONGESTIVE HEART FAILURE (CHF) MONITORING HAS BEEN MADE AVAILABLE TO PATIENTS THIS YEAR. THIS INTERACTIVE HOME MONITORING SYSTEM PROVIDES A TWO-WAY COMMUNICATION BETWEEN PATIENTS AND THEIR HEALTH CARE PROVIDERS AT MEMORIAL HEART AND VASCULAR SERVICES. THIS SYSTEM HAS BEEN ESPECIALLY BENEFICIAL FOR OUR PATIENTS IN OUTLYING AREAS TO REDUCE THE NUMBER OF TRIPS THAT ARE MADE TO THE HOSPITAL. 77762416 0 84393078 SURGICAL SERVICES DEPARTMENTTHE SURGICAL SERVICES DEPARTMENT AT MEMORIAL MEDICAL CENTER PROVIDES A WIDE VARIETY OF INPATIENT AND OUTPATIENT SERVICES IN BOTH THE MAIN SURGERY AND CARDIAC SURGERY DEPARTMENTS. BAYLIS DAY SURGERY IS UTILIZED FOR OUTPATIENT PROCEDURES. MEMORIAL MEDICAL CENTER PERFORMED 20,227 SURGICAL PROCEDURES IN FY12. MEMORIAL MEDICAL CENTER CONTINUES TO STRIVE FOR EXCELLENCE IN PATIENT CARE. IT HAS RECEIVED A RARE FIVEFOLD ACCREDITATION FOR ITS REHABILITATION SERVICES FROM THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF).MEMORIAL MEDICAL CENTER PROVIDES A WIDE RANGE OF CARDIAC, THORACIC AND VASCULAR PROCEDURES. PROCEDURES PERFORMED IN THE CARDIAC SURGERY AREA INCLUDE CORONARY ARTERY BYPASS GRAFTING, VALVE REPLACEMENTS, PACEMAKER INSERTIONS, AND OTHER VASCULAR PROCEDURES AND LUNG PROCEDURES.SURGERIES ROUTINELY PERFORMED TO ASSIST PATIENTS WITH EAR, NOSE AND THROAT CONDITIONS INCLUDE TONSILLECTOMY, ADENOIDECTOMY, MYRINGOTOMY TUBE INSERTION, SEPTOPLASTY, FUNCTIONAL ENDOSCOPIC SINUS SURGERY, AND UVULOPALATOPLASTY (FOR TREATMENT OF SLEEP APNEA), RIGID AND/OR FLEXIBLE ENDOSCOPIC TECHNIQUES ARE USED FOR ESOPHAGOSCOPY, BRONCHOSCOPY, AND DIRECT LARYNGOSCOPY PROCEDURES. MAJOR SURGERIES OF THE EAR ARE PERFORMED USING TECHNIQUES TO IMPROVE OR RESTORE HEARING LOSS. SURGERIES FOR THE DIAGNOSIS AND TREATMENT OF HEAD-AND-NECK CANCER ARE ALSO PERFORMED. AN OPERATIVE MICROSCOPE IS FREQUENTLY USED TO PROVIDE THE VISUALIZATION NECESSARY FOR MANY ENT PROCEDURES. STATE-OF-THE-ART COMPUTER-GUIDED TECHNOLOGY IS ALSO USED TO PROMOTE TREATMENT OF SOME ENT PROCEDURES. TECHNIQUES EMPLOYING THE USE OF A CO2 LASER ARE ALSO AVAILABLE.LAPAROSCOPIC TECHNOLOGY PROVIDES THE VISUALIZATION OF INTERNAL ORGANS WITH A TELESCOPE INSERTED THROUGH A SMALL ABDOMINAL INCISION. THIS TECHNOLOGY IS USED FOR DIAGNOSIS AND TREATMENT OF DISEASE. LAPAROSCOPIC TECHNIQUES ARE OFTEN USED TO REMOVE THE GALLBLADDER OR APPENDIX, OR FOR HERNIA REPAIR. A WIDE RANGE OF PROCEDURES FOR CANCER OF THE COLON, LIVER, BREAST AND OTHER ANATOMICAL SITES ARE PERFORMED IN CONJUNCTION WITH THE CARE PROVIDED TO PATIENTS WHO COME TO MEMORIAL'S REGIONAL CANCER CENTER. RADIOFREQUENCY TECHNOLOGY IS AVAILABLE TO ASSIST IN THE TREATMENT OF LIVER TUMORS. SENTINEL NODE MAPPING IS USED IN THE IDENTIFICATION OF LYMPH NODES IN BREAST AND MELANOMA CANCERS.A FULL RANGE OF SERVICES ARE AVAILABLE FOR PATIENTS NEEDING GYNECOLOGIC SURGERY. LAPAROSCOPIC PROCEDURES ARE PERFORMED FOR DIAGNOSTIC PURPOSES AND OPERATIVE TREATMENT. CO2 LASER THERAPY IS AVAILABLE FOR TREATMENT. A VARIETY OF OPERATIONS ARE COMPLETED TO ASSIST PATIENTS WITH REPRODUCTIVE DISORDERS, INCLUDING STERILIZATION REVERSAL, GIFT, AND IN-VITRO PROCEDURES. MALIGNANCIES INVOLVING THE REPRODUCTIVE ORGANS, INCLUDING CANCER OF THE CERVIX, UTERUS, AND OVARIES CAN BE TREATED WITH STATE-OF-THE-ART SURGICAL OPERATIONS, AND FACILITIES ARE AVAILABLE IN THE HOSPITAL FOR CHEMOTHERAPY OR RADIATION THERAPY.MEMORIAL'S NEUROSURGICAL SERVICE ENCOMPASSES THE AREAS OF GENERAL SPINE (CERVICAL/THORACIC/LUMBAR DISCECTOMY, LAMINECTOMY); COMPLEX SPINE (SPINAL FUSION AND INSTRUMENTATION); PERIPHERAL NERVE (CARPAL TUNNEL SYNDROME AND ULNAR DECOMPRESSION); AND BRAIN AND SPINAL-TUMOR SURGERY. STATE-OF-THE-ART TECHNOLOGY BASED ON COMPUTER GUIDANCE SERVICES KNOWN AS STEREOTACTIC RADIOIMAGING IS UTILIZED TO PROVIDE IMPROVED TREATMENTS FOR NEUROSURGICAL CONDITIONS, SUCH AS BRAIN TUMORS AND PHYSIOLOGIC-MOVEMENT DISORDERS. ALSO AVAILABLE TO OUR PHYSICIANS IS A HIGHLY SOPHISTICATED COMPUTERIZED NAVIGATIONAL TECHNIQUE REFERRED TO AS AN IMAGE-GUIDED SYSTEM. THIS SYSTEM OFFERS A THREE-DIMENSIONAL COMPUTERIZED ANATOMIC VISUALIZATION TO ASSIST THE NEUROSURGEON IN PINPOINTING THE OPERATIVE SITE AND PROMOTING PATIENT OUTCOMES.MEMORIAL MEDICAL CENTER OFFERS OUTPATIENT AND INPATIENT OPHTHALMIC SERVICES. STRABISMUS REPAIRS CORRECT EYE MUSCLE PROBLEMS IN SMALL CHILDREN. OCCULOPLASTIC PROCEDURES OFFER PLASTIC RECONSTRUCTION FOR PATIENTS OF ALL AGES. TREATMENT OPTIONS ARE AVAILABLE FOR PATIENTS WITH GLAUCOMA. CATARACT SURGERY IS FREQUENTLY PERFORMED ON PATIENTS IN THE AGING POPULATION. SPECIALTY TREATMENTS ARE AVAILABLE FOR PATIENTS WITH DISEASES AND INJURIES OF THE RETINA. THESE INCLUDE LASER THERAPY, VITRECTOMY, SCLERAL BUCKLING, PLACEMENT OF SILICONE OIL, RETINAL TACK PLACEMENT, AND CRYOTHERAPY. CORNEAL TRANSPLANTS ARE AVAILABLE FOR PATIENTS WHO HAVE SUFFERED DAMAGE TO THE CORNEA.INNOVATIVE TREATMENT OPTIONS ARE AVAILABLE FOR PATIENTS SEEKING TREATMENT FOR ORAL AND MAXILLOFACIAL PROBLEMS OR FACIAL FRACTURES. IN ADDITION TO ROUTINE DENTAL PROCEDURES, MEMORIAL OFFERS PROGRESSIVE SURGICAL TREATMENTS, INCLUDING THE USE OF A MANDIBULAR BONE TRANSPORT SYSTEM FOR TREATMENT OF PATIENTS WITH CANCER OF THE MANDIBLE. THE RIGID EXTERNAL DISTRACTION SYSTEM IS AVAILABLE FOR PATIENTS WITH CRANIOMAXILLOFACIAL ANOMALIES. ANOTHER TECHNICAL ADVANCEMENT IS THE MAXILLOFACIAL CEMENT SYSTEM USED FOR FACIAL-SKELETAL DEFORMITY REPAIRS AS WELL AS RIGID FIXATION FOR DENTAL-FACIAL DEFORMITY AND FRACTURE REPAIR.MEMORIAL PROVIDES COMPREHENSIVE CARE FOR PATIENTS SEEKING PLASTIC AND RECONSTRUCTIVE SURGERY. THESE PROCEDURES INCLUDE ROUTINE OUTPATIENT COSMETIC SURGERIES AS WELL AS EXTENSIVE RECONSTRUCTION OPERATIONS WHICH ARE AVAILABLE TO PATIENTS ADMITTED TO THE REGIONAL BURN CENTER. MICROSURGERY TECHNIQUES ARE USED ON VARIOUS PLASTIC RECONSTRUCTIVE PROCEDURES SUCH AS REATTACHMENT AND RESTORATION OF AMPUTATED DIGITS OR LIMBS. A COMPREHENSIVE PLAN OF CARE IS OFFERED FOR PATIENTS WITH SKIN OR BREAST CANCER WHICH MAY INCLUDE THE USE OF TISSUE EXPANDERS, IMPLANTS OR VARIOUS FLAP RECONSTRUCTION TECHNIQUES. 82005580 0 96651196 ORTHOPEDICSMEMORIAL MEDICAL CENTER'S ORTHOPEDICS SERVICE OFFERS STATE-OF-THE-ART INTERDISCIPLINARY CARE FOR BONE AND JOINT DISORDERS. WORKING WITH COMMUNITY ORTHOPEDIC SURGEONS, MMC'S TEAM OF HEALTHCARE PROFESSIONALS PROVIDES COMPREHENSIVE PATIENT EDUCATION, DIAGNOSTIC, SURGICAL AND REHABILITATION SERVICES FOR PATIENTS OF ALL AGES. THESE SERVICES ARE PROVIDED IN THE PREMIER TREATMENT FACILITIES IN THE REGION.MEMORIAL'S INNOVATIVE JOINTWORKS PROGRAM IS PART OF ORTHOPEDIC SERVICES. THROUGH JOINTWORKS, ABOUT 1,200 PATIENTS UNDERGO HIP AND KNEE REPLACEMENTS AT MEMORIAL MEDICAL CENTER ANNUALLY. AN EXPERIENCED TEAM OF ORTHOPEDIC SURGEONS, ANESTHESIOLOGISTS, NURSES, THERAPISTS, AND SOCIAL WORKERS GUIDE PATIENTS FROM PRE-SURGERY EDUCATION THROUGH POST-SURGERY REHABILITATION.DURING FY 12, MEMORIAL MEDICAL CENTER'S ORTHOPEDICS SERVICE COMPLETED 5,572 ORTHOPEDIC PROCEDURES. THE JOINTWORKS PROGRAM PERFORMED 834 KNEE REPLACEMENT PROCEDURES AND 476 HIP REPLACEMENTS. OTHER ORTHOPEDIC SERVICES INCLUDED 159 CERVICAL FUSION PROCEDURES, 129 CLOSED REDUCTION OF FRACTURE OF THE FEMUR, AND 270 LUMBAR FUSION PROCEDURES. 364138718 2654273 458032147 364138718 2654273 458032147 600909759 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 1 0 1 1 0 0 0 0 1 1 1 0 0 1 1 392 0 1 6272 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 X 107 73 1 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X ROBERT W KAY SVP & CFO 2177883198 701 NORTH FIRST STREET SPRINGFIELD IL 62781 MARY ROSE MOREHEAD 0.70 X 0 0 0 A PATRICK DOOLIN 0.70 X X 0 0 0 BRADLEY E NEAL 0.70 X X 0 0 0 DENNIS M CARROLL MD 0.70 X 0 0 0 NATALIE N FULK-MARQUEZ 0.70 X 0 0 0 TRACY MIZEUR 0.70 X 172677 0 29217 JOANN MCCULLOUGH 0.70 X 0 0 0 MARY BETH SPARKS 0.70 X 0 0 0 MARY CONRADY 0.70 X X 0 0 0 MARY S MCLAUGHLIN 0.70 X 0 0 0 MELISSA L COX MD 0.70 X 0 0 0 REV ANDREW NYREN 0.70 X 0 0 0 RICHARD A HAMM 0.70 X 0 0 0 RONALD SCHILLING 0.70 X X 0 0 0 STEVEN D AUGHENBAUGH 0.70 X X 0 0 0 ELAINE YOUNG 50.00 X X 0 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1109765 1109765 1109765 398456889 729841 390023346 748397 8433543 -18556 8414987 8414987 331458 233152 261861 69597 69597 REFERENCE LAB REVENUE 621500 5203330 5203330 CAFETERIA REVENUE 722320 4656065 135083 4520982 EMPLOYMENT SERVICES 561300 716896 716896 7305738 6381265 464413 460060 17882029 772102280 733686949 6519722 20162671 1947546 1947546 731727 731727 3633789 1499781 2066772 67236 62950 42356 20594 224793396 204170258 20525818 97320 13988116 12701979 1286137 32046903 29574732 2432791 39380 15966753 14373722 1583802 9229 3426141 3426141 1259713 1259713 8272 8272 70688 70688 1055967 1055967 82266165 67383516 14880003 2646 941893 13347 928546 16887617 14451765 2432774 3078 12651196 10527673 2123523 18584422 16888037 1696385 1125736 1009913 115726 97 401359 266840 134519 9276325 6005190 3271135 38724165 33668159 5056006 3928803 22059 3906744 PATIENT SERV. SUPPLIES 86611742 86611531 211 PURCHASED CONTR. SERVIC 35225176 33047845 2177331 MANAGEMENT FEE 33003233 457426 32545807 DRUGS 22470729 22470729 45462266 43043628 2397458 21180 706552788 600909759 105402863 240166 7850566 9501138 68055507 88750158 1500704 709142 128443126 151012518 129793 568857 10662837 10297698 7862118 5430789 517203930 267108816 263628648 250095114 260997893 274784593 6381443 6445861 47269201 55452032 802781836 853047900 61483167 72824400 224782 268699 5687849 351776 177033644 172051657 15070000 13170000 150751487 192203740 410250929 450870272 X 346852884 346833894 40739279 50388910 4938744 4954824 392530907 402177628 802781836 853047900 X 65549492 -55902771 X 0 1 1 X 1 1 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: MEMBERS OF THE GROUP REASON FOR PUBLIC CHARITY STATUS BELOW: MEMORIAL MEDICAL CENTER PART I LINE 3 HOSPITAL OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III). ABRAHAM LINCOLN MEMORIAL HOSPITAL PART I LINE 3 HOSPITAL OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III). TAYLORVILLE MEMORIAL HOSPITAL PART I LINE 3 HOSPITAL OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III). MEMORIAL HEALTH VENTURES PART I LINE 11 AN ORGANIZATION ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(3). B TYPE II. LINE 11E NO, 11F NO, 11G (I)(II)(III) NO, 11H (I)SUPPORTS MMC (II)37-06612203 (III) (IV) YES, (V) YES (VI) YES (VII)$0 MEMORIAL HOME SERVICES PART I LINE 9. AN ORGANIZATION THAT NORMALLY RECEIVES: (1) MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS- SUBJECT TO CERTAIN EXCEPTIONS, AND (2) NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME FROM BUSINESS ACQUIRED BY THE ORGANIZATION AFTER JUNE 30, 1975. MEMORIAL PHYSICIAN SERVICES PART I LINE 11 AN ORGANIZATION ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(3). B TYPE II. SPRINGFIELD RESIDENTIAL SERVICES PART I LINE 9. AN ORGANIZATION THAT NORMALLY RECEIVES: (1) MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS- SUBJECT TO CERTAIN EXCEPTIONS, AND (2) NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME FROM BUSINESS ACQUIRED BY THE ORGANIZATION AFTER JUNE 30, 1975. MEMORIAL MEDICAL CENTER FOUNDATION PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). TAYLORVILLE MEMORIAL HEALTHCARE FOUNDATION PART I LINE 11 AN ORGANIZATION ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1). B TYPE III. LINE 11E NO, 11F NO, 11G (I)(II)(III) NO, 11H (I)SUPPORTS TMH (II)37-06612503 (III) (IV) YES, (V) YES (VI) YES (VII)$21,541 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 70688 70688 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: MEMORIAL MEDICAL CENTER (MMC) ENGAGES LOBBYISTS TO ASSIST IN SECURING FEDERAL GRANTS AND MONITORING STATE REGULATIONS IN SUPPORT OF FURTHERING THE MEMORIAL MEDICAL CENTER MISSION WHICH IS "TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE". THIS INCLUDES ASSISTING MEMORIAL MEDICAL CENTER IN DEVELOPING PRESENTATIONS TO THE ILLINOIS CONGRESSIONAL DELEGATION REQUESTING APPROPRIATIONS FOR PRIORITY PROJECTS INVOLVING LOCAL PATIENT SAFETY, QUALITY IMPROVEMENT AND IMPROVED LOCAL ACCESS TO MEDICAL CARE. THE LOBBYISTS ALSO ASSIST MMC IN COMMUNICATING THE IMPORTANCE OF ADEQUATE MEDICAID FUNDING IN SUPPORT OF THE SUBSTANTIAL SERVICES MMC'S AFFILIATES PROVIDE TO THOSE IN POVERTY AND IN MONITORING LEGISLATIVE AND REGULATORY DEVELOPMENTS THAT WOULD AFFECT MEMORIAL MEDICAL CENTER'S ABILITY TO CONTINUE DELIVERING ITS ALREADY SUBSTANTIAL COMMUNITY BENIFIT. MEMORIAL MEDICAL CENTER (MMC) PAID FUNDS OF $41,480 TO HEALTHCARE ASSOCIATIONS TO AID AND ASSIST HOSPITALS REGARDING LEGISLATIVE CHANGES. ABRAHAM LINCOLN MEMORIAL HOSPITAL(ALMH) PAID FUNDS OF $12,145 TO HEALTHCARE ASSOCIATIONS TO AID AND ASSIST HOSPITALS REGARDING LEGISLATIVE CHANGES. TAYLORVILLE MEMORIAL HOSPITAL(TMH) PAID FUNDS OF $16,116 TO HEALTHCARE ASSOCIATIONS TO AID AND ASSIST HOSPITALS REGARDING LEGISLATIVE CHANGES. MEMORIAL HOME SERVICES(MHSVC) PAID FUNDS OF $947 TO HEALTHCARE ASSOCIATIONS TO AID AND ASSIST HEALTHCARE ORGANIZATIONS REGARDING LEGISLATIVE CHANGES. 7271242 22786 1148366 -31300 -170435 -61199 8179460 7410408 48483 -47525 -42758 -97366 7271242 5942467 1050046 599812 35500 107317 39101 7410407 5911356 35189 194785 53949 107863 37051 5942467 0.13800 0.86200 0 1 1 971929 6685570 7657499 2808690 279901352 136290051 146419991 5362222 2086773 3275449 4978 186732752 118157120 68580610 34736437 10574872 24161565 250095114 DONOR RESTRICTED ASSETS - LITTLER TRUST 26460047 UNCONSOLIDATED AFFILIATE 17719262 INSURANCE RECOVERABLES 4460114 UNAMORTIZED BOND DISCOUNTS AND ISSUE COSTS 3105231 REAL ESTATE INVESTMENT 1689620 CHARITABLE REMAINDER TRUST 821042 DUE FROM AFFILIATES 864771 CASH SURRENDER VALUE OF LIFE INSURANCE 149542 OTHER RECEIVABLES 182403 55452032 DEFERRED COMPENSATION 11841948 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 33393312 MINIMUM PENSION LIABILITY 106522953 RESERVE FOR POST EMPLOYMENT BENEFITS 10372316 SWAP LIABILITY 4836786 WORKERS' COMPENSATION AND PROFESSIONAL LIABILITY 21069467 OTHER 4166958 192203740 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: MEMORIAL HOME SERVICES HAS ONE PERMANENTLY RESTRICTED ENDOWMENT FUND WITH INCOME TO BE USED FOR OPERATING EXPENSES. MEMORIAL MEDICAL CENTER FOUNDATION'S ENDOWMENT FUNDS CONSIST OF 30 INDIVIDUAL DONOR-RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE FOUNDATION HAS A POLICY OF APPROPRIATING FOR DISTRIBUTION EACH YEAR 5% OF ITS ENDOWMENT FUND'S MOVING AVERAGE FAIR VALUE OVER THE PRIOR 36 MONTHS AS OF SEPTEMBER 30 OF THE PRECEDING FISCAL YEAR IN WHICH THE DISTRIBUTION IS PLANNED. IN ESTABLISHING THIS POLICY, THE FOUNDATION CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENTS. ACCORDINGLY, OVER THE LONG TERM, THE FOUNDATION EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT AN AVERAGE OF THE LONG-TERM RATE OF INFLATION. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: EFFECTIVE OCTOBER 1, 2008, MEMORIAL HEALTH SYSTEM ADOPTED GUIDANCE PROVIDED BY THE RECOGNITION SUBSECTION OF THE INCOME TAXES TOPIC OF THE FASB ACCOUNTING STANDARDS CODIFICATION. THIS SUBTOPIC PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ADOPTION OF THIS GUIDANCE DID NOT HAVE AN IMPACT ON THE FY 11 CONSOLIDATED BALANCE SHEETS, CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS, AND CONSOLIDATED STATEMENTS OF CASH FLOWS. FESTIVAL OF TREES (MMCF) 465102 202810 262292 38834 12279 42134 500 109576 SHARING WISHES HOS 31681 15274 16407 0 2135 6031 4825 2142 8 67827 15068 52759 599 17456 6232 3178 150 15790 564610 233152 331458 599 56290 20646 51343 5475 127508 261861 69597 1 1 X 1 X 250.000000000000 1 X 750.000000000000 1 1 1 0 1 1 3 13680 18561951 1258943 17303008 0.02450 1 78595 80571117 69539820 11031297 0.01560 7 398 292008 730352 -438344 0.00000 11 92673 99425076 71529115 27895961 0.04010 65 25739 1563655 47940 1515715 0.00210 29 3334 25598619 4768231 20830388 0.02950 1 98 4836 0 4836 0.00000 5 113 310022 1346 308676 0.00040 34 0 1138544 0 1138544 0.00160 134 29284 28615676 4817517 23798159 0.03360 145 121957 128040752 76346632 51694120 0.07370 0 0 0 0 5 0 1723 0 1723 0.00000 8 60 22558 0 22558 0.00000 0 0 0 0 0 0 0 0 3 0 1895 0 1895 0.00000 4 0 4305 0 4305 0.00000 2 0 90905 0 90905 0.00010 0 0 0 0 22 60 121386 121386 0.00010 1 4620368 0 207801459 229172524 -21371065 X 1 1 3 1 MEMORIAL MEDICAL CENTER

701 NORTH FIRST STREET SPRINGFIELD IL 62781

X X X X X 2 ABRAHAM LINCOLN MEMORIAL HOSPITAL

200 STAHLHUT DRIVE LINCOLN IL 62656

X X X X 3 TAYLORVILLE MEMORIAL HOSPITAL

201 E PLEASANT TAYLORVILLE IL 62568

X X X X MEMORIAL MEDICAL CENTER 1 1 X X X X X X X X X 11 1 1 1 X X X X X X X 0 1 1 300.000000000000 1 750.000000000000 1 X X X X X X X 1 1 X X X X X 1 0 1 X 0 0 ABRAHAM LINCOLN MEMORIAL HOSPITAL 2 1 X X X X X X X X X 11 1 1 1 X X X X X X X 0 1 1 300.000000000000 1 750.000000000000 1 X X X X X X X 1 1 X X X X X 1 0 1 X 0 0 TAYLORVILLE MEMORIAL HOSPITAL 3 1 X X X X X X X X X 11 1 1 1 X X X X X X X 0 1 1 300.000000000000 1 750.000000000000 1 X X X X X X X 1 1 X X X X X 1 0 1 X 0 0 20 SPINEWORKS PAIN CLINIC

501 NORTH FIRST STREET SPRINGFIELD IL 62702

OUTPATIENT SERVICES KOKE MILL MEDICAL ASSOCIATES

3132 OLD JACKSONVILLE RD SPRINGFIELD IL 62704

MPS PHYSICIAN FAMILY MEDICAL CENTER OF LINCOLN

515 NORTH COLLEGE STREET LINCOLN IL 62526

MPS PHYSICIAN WOMEN'S HEALTHCARE

747 NORTH RUTLEDGE SPRINGFIELD IL 62701

MPS PHYSICIAN THE WOUND HEALING CENTER

901 NORTH FIRST STREET SPRINGFIELD IL 62702

OUTPATIENT SERVICES FAMILY MEDICAL CENTER OF CHATHAM

101 EAST PLUMMER CHATHAM IL 62629

MPS PHYSICIAN CAPITOL HEALTHCARE MEDICAL ASSOCIATES

2603 SOUTH SIXTH SPRINGFIELD IL 62703

MPS PHYSICIAN JACKSONVILLE FAMILY MEDICAL ASSOCIATES

1602 WEST LAFAYETTE JACKSONVILLE IL 62650

MPS PHYSICIAN JACKSONVILLE PEDIATRIC ASSOCIATES

1600 WEST WALNUT JACKSONVILLE IL 62650

MPS PHYSICIAN MEMORIAL EXPRESSCARE AT SOUTH SIXTH

2950 SOUTH SIXTH STREET SPRINGFIELD IL 62703

ANCILLARY SERVICES MEMORIAL INDUSTRIAL REHAB

775 ENGINEERING DRIVE SPRINGFIELD IL 62703

OUTPATIENT SERVICES MEMORIAL EXPRESSCARE AT KOKE MILL

3132 OLD JACKSONVILLE RD SPRINGFIELD IL 62704

ANCILLARY SERVICES MEMORIAL EXPRESSCARE AT NORTH DIRKSEN

3220 ATLANTA STREET SPRINGFIELD IL 62702

ANCILLARY SERVICES MENARD MEDICAL CENTER

1 CENTRE DRIVE PETERSBURG IL 62675

OUTPATIENT SERVICES JACKSONVILLE FAMILY PRACTICE

800 WEST STATE STREET JACKSONVILLE IL 62650

MPS PHYSICIAN NORTH DIRKSEN MEDICAL ASSOCIATES

3220 ATLANTA STREET SPRINGFIELD IL 62707

MPS PHYSICIAN BENJAMIN MONTGOMERY MD

1606 WEST LAFAYETTE JACKSONVILLE IL 62650

MPS PHYSICIAN SOUTH SIXTH MEDICAL ASSOCIATES

2950 SOUTH SIXTH STREET SPRINGFIELD IL 62703

MPS PHYSICIAN DAVID COULTAS MD

1606 WEST LAFAYETTE JACKSONVILLE IL 62650

MPS PHYSICIAN MICHELLE COLEN MD

800 WEST STATE STREET JACKSONVILLE IL 62650

MPS PHYSICIAN PART I, LINE 6A: MEMORIAL HEALTH SYSTEM PREPARED A COMMUNITY BENEFIT ANNUAL REPORT FOR THE ENTIRE HEALTH SYSTEM. A LINK TO THE REPORT IS AVAILABLE ONLINE FROM ALL THREE HOSPITAL WEBSITES AS WELL AS THE WEBSITES OF OTHER MHS AFFILIATES. HTTPS://WWW.CHOOSEMEMORIAL.ORG/ABOUT/DOCUMENTS/COMMUNITY-BENEFIT-ANNUAL-REPORT.PDF. A PDF VERSION IS AVAILABLE TO ANYONE UPON REQUEST. PART I, LINE 7: FOR MEMORIAL MEDICAL CENTER, THE COSTING METHODOLOGY FOR CHARITY CARE, MEDICAID, AND OTHER MEANS TESTED PROGRAMS WAS DERIVED FROM MEMORIAL MEDICAL CENTER'S COST ACCOUNTING SYSTEM. THIS SYSTEM HAS THE ABILITY TO COMPUTE THE ACTUAL COST OF ALL MEDICAL PROCEDURES AT THE PATIENT-ACCOUNT LEVEL REGARDLESS OF PAYOR TYPE OR WHETHER THE PATIENT WAS INPATIENT OR OUTPATIENT. ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL UTILIZED MEDICARE COSTING DATA FROM THE FISCAL YEAR ENDED 9/30/2012 MEDICARE COST REPORT AS FILED. THE ONLY CATEGORY BY WHICH MEMORIAL MEDICAL CENTER USED A COST TO CHARGE RATIO FOR SCHEDULE H IS FOR THE DETERMINATION OF BAD DEBT EXPENSE AT COST IN PART III, SECTION A, LINE 2. PART I, L7 COL(F): MEMORIAL MEDICAL CENTER'S BAD DEBT EXPENSE AT COST WAS DETERMINED BY COMPUTING A COST TO CHARGE RATIO AND APPLYING THIS RATIO AGAINST BAD DEBT EXPENSE AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDED 9/30/2012.THE COST TO CHARGE RATIO WAS CALCULATED AS FOLLOWS:TOTAL OPERATING EXPENSES PER AUDITED FINANCIAL STMTS $538,200,615LESS:OTHER OPERATING REVENUE (BEFORE CAPITATION ADJ) (18,284,598)CAPITATION RISK SETTLEMENT 3,343,064PURCHASED MEDICAL SERVICES CAPITATION (31,656,785)HOSPITAL PROVIDER ASSESSMENT (11,329,067)BAD DEBT EXPENSE ( 0)ADJUSTED OPERATING EXPENSES $480,273,229GROSS PATIENT SERVICE REVENUE (BEFORE CAPITATION) $1,682,167,158RATIO OF COST TO CHARGES FOR BAD DEBT COSTING 28.6%ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL USED THE METHOD PRESCRIBED IN WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.FOOTNOTE 2 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MEMORIAL HEALTH SYSTEM CONTAINS A SPECIFIC FOOTNOTE RELATING TO BAD DEBT EXPENSE, AS FOLLOWS:THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED AMOUNTS TO BE COLLECTED, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ITS REVIEW OF ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING. THIS REVIEW TAKES INTO CONSIDERATION RECENT WRITE OFF EXPERIENCE BY PAYOR CATEGORY, PAYOR AGREEMENT RATE CHANGES, AND OTHER FACTORS. THE RESULTS OF THESE EVALUATIONS ARE USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, MEMORIAL HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES.THE HOSPITALS OF MEMORIAL HEALTH SYSTEM DO NOT INCLUDE BAD DEBT AMOUNTS IN COMMUNITY BENEFIT. PART VI, 4, PROMOTION OF COMMUNITY HEALTH EACH MHS HOSPITAL (MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL) HAS A BOARD OF DIRECTORS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS WHO RESIDE IN THAT HOSPITAL'S PRIMARY SERVICE AREA. THESE VOLUNTEERS GIVE NUMEROUS HOURS OF SERVICE IN THEIR OVERSIGHT ROLE AND ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, FUNDRAISING, AND GENERAL STEWARDSHIP. MORE THAN 500 PEOPLE VOLUNTEER AT THE THREE HOSPITALS AS ESCORTS, WAITING ROOM HOSTS AND HOSTESSES AND A WIDE RANGE OF OTHER VOLUNTEER ROLES. ALL MHS HOSPITALS HAVE OPEN MEDICAL STAFFS THAT ALLOW MEMBERSHIP TO ANYONE WHO MEETS CREDENTIALING REQUIREMENTS. ALL THREE HOSPITALS PARTICIPATE IN MEDICARE, MEDICAID, CHAMPUS, TRICARE AND OTHER GOVERNMENT PROGRAMS AND ARE DISPROPORTIONATE SHARE MEDICAID HOSPITALS THAT PROVIDE FINANCIAL ASSISTANCE AND SLIDING SCALE DISCOUNTS ACCORDING TO BOARD-APPROVED CHARITY CARE POLICIES.MEMORIAL MEDICAL CENTER SERVES AS THE REGIONAL BURN CENTER, SERVING ACUTELY BURNED PATIENTS FROM CENTRAL AND SOUTHERN ILLINOIS, AND IS THE REGIONAL REHABILITATION PROVIDER FOR SPINAL CORD INJURIES, CLOSED HEAD INJURIES, STROKES AND COMPREHENSIVE INPATIENT AND OUTPATIENT REHABILITATION. MMC'S REGIONAL CANCER CENTER APPLIES ITS RESOURCES AND RESEARCH TO OFFER THE VERY LATEST IN CANCER EDUCATION, DETECTION, TREATMENT AND RESEARCH TO PATIENTS FROM THROUGHOUT CENTRAL AND SOUTHERN ILLINOIS. MMC PARTNERS WITH THE ILLINOIS BREAST AND CERVICAL CANCER PROGRAM TO SCREEN UNINSURED WOMEN AND PROVIDE NEEDED CLINICAL CARE. MMC'S TRANSPLANT SERVICES HAS COMPLETED MORE THAN 800 KIDNEY AND COMBINED KIDNEY/PANCREAS TRANSPLANTS. MMC MAINTAINS A 24-HOUR EMERGENCY DEPARTMENT THAT IS PART OF THE SOUTHERN ILLINOIS (LEVEL 1) TRAUMA CENTER. THE EMERGENCY DEPARTMENT HAS TRADITIONALLY SERVED AS A SAFETY NET HEALTHCARE PROVIDER FOR THE UNINSURED AND UNDERINSURED WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. IT PROVIDES SERVICES TO ALL PEOPLE REGARDLESS OF ABILITY TO PAY. TO HELP MEET COMMUNITY NEED AND ALLEVIATE USE OF THE EMERGENCY DEPARTMENT FOR NON-EMERGENT CARE, MHS OPERATES THREE EXPRESSCARE WALK-IN FACILITIES. THESE PROMPT-CARE SITES USE THE SAME CRITERIA FOR PATIENTS AS THE EMERGENCY DEPARTMENT: THE UNINSURED AND THOSE ON PUBLIC INSURANCE PROGRAMS RECEIVE THE SAME LEVEL OF CARE AND TREATMENT AS ANY OTHER PATIENTS. CHARITY CARE IS PROVIDED AS NEEDED.MEMORIAL HEALTH SYSTEM UTILIZES SURPLUS FUNDS TO IMPROVE PATIENT CARE, MEDICAL EDUCATION AND RESEARCH.MEMORIAL MEDICAL CENTER COLLABORATES WITH COMMUNITY PROVIDERS TO SERVE THE LOW INCOME AND UNINSURED POPULATION. MMC PARTNERS WITH ST. JOHN'S HOSPITAL IN SUPPORTING CENTRAL COUNTIES HEALTH CENTER (CCHC), WHICH SERVES AS A FEDERALLY QUALIFIED HEALTH CENTER FOR SANGAMON COUNTY. MMC PROVIDES INPATIENT, IMAGING AND LABORATORY SERVICES TO ALL REFERRED CCHC PATIENTS, REGARDLESS OF THE INDIVIDUAL'S OR FAMILY'S ABILITY TO PAY. MMC ASSISTS CCHC PATIENTS IN APPLYING FOR ANY HEALTH REIMBURSEMENT PROGRAM FOR WHICH THEY MAY BE ELIGIBLE AND ACCEPTS CCHC RECOMMENDED SLIDING SCALE FEE OR, IF THE PATIENT IS NOT ABLE TO PAY HIS/HER PORTION OF THE BILL, THE AMOUNT IS FORGIVEN UNDER THE HOSPITAL'S CHARITY CARE PROGRAM. MMC ALSO PROVIDES FREE AND REDUCED-COST INPATIENT AND OUTPATIENT SERVICES TO PATIENTS OF SOUTHERN ILLINOIS UNIVERSITY CENTER FOR FAMILY MEDICINE, A PRIMARY CARE MEDICAL GROUP THAT SERVES LOW-INCOME MEDICAID AND MEDICARE POPULATIONS. IN PARTNERSHIP WITH ST. JOHN'S HOSPITAL, MMC ALSO PROVIDES OPERATING EXPENSES FOR COORDINATED ACCESS TO COMMUNITY HEALTH (CATCH), A PROGRAM THAT IS INCREASING ACCESS TO CARE, PARTICULARLY PHYSICIAN SPECIALISTS, FOR UNINSURED ADULTS IN SANGAMON COUNTY. MMC PROVIDES INPATIENT, OUTPATIENT AND DIAGNOSTIC SERVICES FOR CATCH PATIENTS AS CHARITY CARE AND PROVIDES A CASE MANAGER BASED IN THE EMERGENCY DEPARTMENT TO REFER UNINSURED PATIENTS TO CATCH. MEMORIAL MEDICAL CENTER PROVIDES TEMPORARY SUPPLIES OF FREE PHARMACEUTICAL DRUGS PRESCRIBED FOR INDIGENT PATIENTS WHO ARE DISCHARGED FROM OUR EMERGENCY ROOM AND INPATIENT HOSPITAL. IN ADDITION IT FUNDS FREE PHARMACEUTICALS FOR LOW-INCOME AND HOMELESS PERSONS SERVED BY THE KUMLER OUTREACH MINISTRIES, A PROGRAM OF KUMLER METHODIST CHURCH. MMC ALSO COVERS THE COSTS FOR AMBULANCES AND MEDICARS THAT TRANSFER DISCHARGED MEDICARE PATIENTS AND THE INDIGENT FROM THE HOSPITAL TO NURSING HOMES OR TO THEIR OWN HOMES IN THE COMMUNITY.MHS HAS A LARGE COMMITMENT TO HEALTH PROFESSIONS EDUCATION. MHS PROVIDES SIGNIFICANT FINANCIAL SUPPORT FOR SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE, A STATE UNIVERSITY THAT DOES NOT RECEIVE SUFFICIENT OPERATING SUPPORT FROM THE STATE OF ILLINOIS. MEMORIAL MEDICAL CENTER SERVES AS A MAJOR TEACHING HOSPITAL FOR SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE, WHICH HAS 215 MEDICAL STUDENTS STUDYING IN SPRINGFIELD DURING THEIR SECOND THROUGH FOURTH YEARS OF MEDICAL SCHOOL, AND MORE THAN 225 RESIDENTS AND FELLOWS PARTICIPATING IN 23 DIFFERENT SPECIALTY PROGRAMS. MMC ALSO OFFERS CLINICAL TRAINING SITES FOR MULTIPLE NURSING SCHOOLS, PROVIDING CLINICAL EXPERIENCES TO ABOUT 675 UNDERGRADUATE RN AND LPN STUDENTS ANNUALLY. CLINICAL EXPERIENCES ARE OFFERED TO STUDENTS FROM NUMEROUS OTHER UNIVERSITY AND COLLEGE HEALTH PROFESSIONAL TRAINING PROGRAMS IN THE REGION. THESE INCLUDE RADIOLOGY, PHARMACY, CERTIFIED REGISTERED NURSE ANESTHESIOLOGISTS, CLINICAL LABORATORY SCIENTISTS, SPEECH PATHOLOGISTS, PHYSICAL AND OCCUPATIONAL THERAPISTS AND OTHERS. MMC SUPPORTS CLINICAL RESEARCH AND OFFERS NUMEROUS CANCER TRIALS THROUGH THE CENTRAL ILLINOIS COMMUNITY CLINICAL ONCOLOGY PROGRAM, WHICH RECEIVES SUPPORT FROM THE NATIONAL CANCER INSTITUTE. MORE THAN 75 ACTIVE CLINICAL CANCER TRIALS ARE OPEN IN MMC'S REGION. IN ADDITION, MMC PROVIDES FUNDING AND SUPPORT FOR THE SPRINGFIELD COMMITTEE ON RESEARCH IN HUMAN SUBJECTS, THE LOCAL INSTITUTIONAL REVIEW BOARD FOR CLINICAL RESEARCH TRIALS IN SPRINGFIELD. MORE THAN 450 RESEARCH PROJECTS AND PROTOCOLS ARE OPEN AT ANY GIVEN TIME. MMC ALSO UTILIZES SURPLUS FUNDS TO IMPROVE PATIENT CARE. DURING TY11/FY12, MMC BEGAN OFFERING NEUROINTERVENTIONAL RADIOLOGY SERVICES TO TREAT STROKE PATIENTS WITH THE MINIMALLY INVASIVE TECHNOLOGY TO ELIMINATE CLOTS AND RESTORE BLOOD FLOW TO THE BRAIN FOR PATIENTS WHO WERE NOT ABLE TO GET TO THE HOSPITAL ON TIME TO RECEIVE CLOT-BUSTING DRUGS. MMC ADDED TELESTROKE TECHNOLOGY WHICH WILL ASSIST RURAL HOSPITALS WITH IMMEDIATE ACCESS TO A FELLOWSHIP-TRAINED STROKE NEUROLOGIST WHO CAN ASSESS A PATIENT THROUGH HIGH-DEFINITION AUDIO-VISUAL CONFERENCING TECHNOLOGY AND VIEW HIGH-DEFINITION IMAGING SCANS OF THE BRAIN. THE NEUROLOGIST CAN COLLABORATE WITH THE RURAL EMERGENCY DEPARTMENT PHYSICIAN TO RECOMMEND AN IMMEDIATE COURSE OF CARE, SUCH AS THE CLOT-BUSTING DRUG. MMC ALSO INVESTED IN A SIGNIFICANT RENOVATION OF ITS DAY SURGERY DEPARTMENT, UPDATING SIX OPERATING ROOMS, PRE-OP AREA, RECOVERY, DISCHARGE BAYS AND PATIENT WAITING ROOM. THE WORK IMPROVED PATIENT SAFETY AND CARE WITH UPGRADES OF EQUIPMENT, LIGHTING, FLOORING AND MORE. IN FY12 MEMORIAL'S SPORTS MEDICINE PROGRAM RELOCATED TO A NEW FACILITY ADJACENT TO SPRINGFIELD'S NEW YMCA. THE NEW SITE PROVIDES A LARGER FACILITY THAT OFFERS PHYSICIAN CLINICS, REHABILITATION, EXERCISE PHYSIOLOGY AND RADIOLOGY SERVICES AT ONE LOCATION AND ALLOWS PATIENT ACCESS TO THE YMCA'S THERAPY POOL. ALSO RELOCATED IN FY12 WAS THE MMC BARIATRIC CENTER. THE REMODELED FACILITY CENTRALIZED THE BARIATRIC PATIENT SERVICES INTO ONE LOCATION, IMPROVING PATIENT CONVENIENCE AND PRIVACY. MMC ALSO USED SURPLUS FUNDS TO PROVIDE SERVICES AND EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITIES IT SERVES THROUGH EDUCATIONAL PROGRAMS THAT PROVIDE CLASSES AND INFORMATION ON A WIDE RANGE OF WELLNESS TOPICS. MMC CONDUCTS NUMEROUS FREE AND LOW-COST HEALTH SCREENINGS AND FREE SUPPORT GROUPS FOR COMMUNITY MEMBERS DEALING WITH BREAST CANCER, PROSTATE CANCER, KIDNEY/PANCREAS TRANSPLANT, STROKE/BRAIN INJURY, HEART FAILURE AND BARIATRIC WEIGHT LOSS. ALMH IS A RURAL CRITICAL ACCESS HOSPITAL WITH 25 STAFFED BEDS. SERVICES OFFERED INCLUDE 24-HOUR EMERGENCY MEDICINE, GENERAL ACUTE INPATIENT CARE, INTENSIVE CARE, PAIN MANAGEMENT, ORTHOPEDICS, SURGERY AND FAMILY MATERNITY SUITES. ALMH ALSO OFFERS A FULL RANGE OF OUTPATIENT REHABILITATION, THERAPY, AND DIAGNOSTIC TESTING. WITH THE OPENING OF A NEW REPLACEMENT HOSPITAL IN MARCH 2011, ALMH BEGAN OFFERING WARM-WATER THERAPY FOR PHYSICAL THERAPY PATIENTS AND ARTHRITIS PATIENTS SEEKING RELIEF FROM THEIR SYMPTOMS. A FIXED MRI UNIT AND UPGRADED CT SCAN OFFER COMMUNITY MEMBERS LOCAL AND CONVENIENT ACCESS TO MANY DIAGNOSTIC TESTS. ALMH'S EMERGENCY DEPARTMENT HAS TRADITIONALLY SERVED AS A SAFETY NET HEALTHCARE PROVIDER FOR THE UNINSURED AND UNDERINSURED WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. PART II: MEMORIAL MEDICAL CENTER PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITIES THAT ARE NOT ACCOUNTED FOR ELSEWHERE ON SCHEDULE H. AS THE LARGEST LOCAL EMPLOYER OUTSIDE OF STATE GOVERNMENT, MMC IS AN IMPORTANT ECONOMIC LINK THAT PROVIDES EMPLOYMENT AND BENEFITS FOR THOUSANDS OF FAMILIES. WORKFORCE DEVELOPMENT IS A KEY AREA OF COMMUNITY BUILDING. MMC SUPPORTS ECONOMIC DEVELOPMENT THROUGH THE MID-ILLINOIS MEDICAL DISTRICT AND THROUGH THE SPRINGFIELD CHAMBER OF COMMERCE'S QUANTUM GROWTH PARTNERSHIP, A COLLABORATIVE COMMUNITY INITIATIVE WORKING TOWARD LONG-TERM IMPROVEMENT OF WORK AND EDUCATIONAL OPPORTUNITIES THROUGHOUT THE COMMUNITY. MMC COLLABORATES WITH OTHER ORGANIZATIONS TO EXPAND OPPORTUNITIES TO TRAIN AND RECRUIT HEALTHCARE PROFESSIONALS TO INCREASE ACCESS TO CARE IN RURAL AREAS. MMC ALSO SUPPORTS THE UNITED WAY OF CENTRAL ILLINOIS, WHICH FUNDS CRITICAL SERVICES SUCH AS ACCESS TO FOOD, SHELTER, HEALTHCARE AND VICTIM SERVICES, AS WELL AS A CONTINUUM OF LEARNING PROJECTS TO ENSURE RESIDENTS OF SANGAMON COUNTY ARE READY FOR LEARNING AND CAREER OPPORTUNITIES. MEMORIAL LEADERSHIP PARTICIPATED IN THE CONTINUUM AND A MEMORIAL VICE PRESIDENT SERVED AS THE PRESIDENT OF THE UNITED WAY BOARD IN TY2011. LEADERS FROM MEMORIAL MEDICAL CENTER ALSO VOLUNTEER ON OTHER NONPROFIT BOARDS SUCH AS THE HELPING HANDS HOMELESS SHELTER, CENTRAL ILLINOIS FOOD BANK, GIRL SCOUTS OF CENTRAL ILLINOIS, MID-ILLINOIS MEDICAL DISTRICT AT SPRINGFIELD, SPRINGFIELD YMCA, AND THE GREATER SPRINGFIELD CHAMBER OF COMMERCE. LEADERSHIP ALSO VOLUNTARILY SERVES ON THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH'S ABUSE PREVENTION REVIEW BOARD, THE ILLINOIS HOSPITAL ASSOCIATION, VHA MID-AMERICA, LINCOLN FOUNDATION FOR PERFORMANCE EXCELLENCE, AND AS A TRUSTEE FOR SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. MMC ALSO SUPPORTS THE FUNDRAISING ACTIVITIES OF SUCH ORGANIZATIONS AS THE SPRINGFIELD URBAN LEAGUE AND CENTRAL ILLINOIS FOOD BANK, WHICH SUPPORT HEALTH AND QUALITY OF LIFE FOR LOW-INCOME INDIVIDUALS. MMC ALSO COLLABORATES WITH LOCAL SCHOOLS TO OFFER MULTIPLE OPPORTUNITIES FOR STUDENTS TO EXPLORE HEALTHCARE CAREER OPTIONS. AS ONE OF THE LARGEST EMPLOYERS IN LOGAN COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IS AN IMPORTANT ECONOMIC LINK THAT PROVIDES EMPLOYMENT AND BENEFITS FOR 320 FAMILIES. ALMH AND ABRAHAM LINCOLN HEALTHCARE FOUNDATION (ALHF) FINANCIALLY CONTRIBUTE TO THE LOGAN COUNTY ECONOMIC DEVELOPMENTPARTNERSHIP, LINCOLN ART AND BALLOON FESTIVAL AND THE LINCOLN/LOGAN COUNTY FOOD PANTRY. SUPPORT IS ALSO PROVIDED FOR THE LOCAL MULTIPLE SCLEROSIS WALK AND THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE. ALMH IS A MEMBER OF THE LINCOLN/LOGAN COUNTY CHAMBER OF COMMERCE AND THE LOGAN COUNTY ECONOMIC DEVELOPMENT PARTNERSHIP, WHICH ARE ACTIVELY WORKING TO IMPROVE THE ECONOMIC VITALITY OF LOGAN COUNTY. AN ALMH TEAM MEMBER SITS ON EACH OF THESE BOARDS. ALMH ALSO PROVIDED IN-KIND SUPPORT IN THE FORM OF MEETING SPACE FOR THE CHAMBER'S LEADERSHIP ACADEMY. THIS EIGHT-WEEK PROGRAM PREPARES COMMUNITY MEMBERS FOR COMMUNITY LEADERSHIP ROLES. ABRAHAM LINCOLN MEMORIAL HOSPITAL'S COMMUNITY BUILDING ACTIVITIES INCLUDE STAFF WHO VOLUNTEER FOR LEADERSHIP ON LOCAL NONPROFIT BOARDS FOR ORGANIZATIONS THAT IMPACT THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITY. AMONG THESE ARE THE LINCOLN/LOGAN COUNTY CHAMBER OF COMMERCE, THE LOGAN COUNTY ECONOMIC DEVELOPMENT PARTNERSHIP, THE LINCOLN ART AND BALLOON FESTIVAL, TOGETHER FOR LINCOLN, LINCOLN ROTARY CLUB, ZONTA, LOGAN COUNTY BOARD OF HEALTH, UNITED WAY OF LOGAN COUNTY, LINCOLN/LOGAN COUNTY FOOD PANTRY, LOCAL AMERICAN CANCER SOCIETY RELAY FOR LIFE, COMMUNITY CHILD CARE CONNECTION, COMMUNITY/CHILDREN'S HEALTH FAIR PLANNING COMMITTEE, 'FROM THE GROUND UP' COMMUNITY BEAUTIFICATION TEAM, APEX AT CITY CENTER TASK FORCE, COMMUNITY ACTION PARTNERSHIP OF CENTRAL ILLINOIS' HEALTH ADVISORY COMMITTEE, PROFESSIONAL CONSULTATION COMMITTEE FOR CLINICAL PASTORAL EDUCATION AND THE LOCAL EMERGENCY PLANNING COMMITTEE.TAYLORVILLE MEMORIAL HOSPITAL (TMH) IS THE LARGEST EMPLOYER IN CHRISTIAN COUNTY AND PROVIDES EMPLOYMENT AND BENEFITS FOR 339 FAMILIES. TMH IS A MEMBER OF THE GREATER TAYLORVILLE CHAMBER OF COMMERCE AND THE CHRISTIAN COUNTY ECONOMIC DEVELOPMENT CORPORATION WHICH ARE WORKING TO IMPROVE THE ECONOMIC VITALITY OF CHRISTIAN COUNTY. TMH PROVIDES IN-KIND SUPPORT IN THE FORM OF MEETING SPACE TO VARIOUS COMMUNITY GROUPS INCLUDING TAYLORVILLE KIWANIS CLUB, TAYLORVILLE CHAMBER OF COMMERCE, TAYLORVILLE MINISTERIAL ASSOCIATION, GIRL SCOUTS, BOY SCOUTS AND AL-ANON. TMH SPONSORS MANY WELLNESS INITIATIVES IN THE SURROUNDING AREA INCLUDING PARTICIPATING IN THE YMCA HEALTH SCREENING DAY AND ATTENDING LOCAL HEALTH FAIRS SPONSORED BY OTHER BUSINESSES. TMH ALSO OFFERS BLOOD PRESSURE CHECKS AND FLU IMMUNIZATION CLINICS AT LOCAL ASSISTED-LIVING FACILITIES. CPR CLASSES FOR AREA NURSING HOMES AND EMT PROVIDERS ARE ALSO PROVIDED BY TMH. AUXILIARY MEMBERS ASSIST WITH CENTRAL ILLINOIS COMMUNITY BLOOD CENTER BLOOD DRIVES THAT SUPPLY BLOOD PRODUCTS FOR AREA HOSPITALS. THE AUXILIARY ALSO ASSISTED IN HELPING TMH REHABILITATIVE SERVICES EMPLOYEES ORGANIZE A COMMUNITY 5K RUN/WALK TO IMPROVE HEALTH AND WELLNESS. TMH ANNUALLY PROVIDES AREA FIRST GRADERS WITH A HEALTH EDUCATION FIELD TRIP TO THE HOSPITAL. ALSO, IN CONJUNCTION WITH LINCOLN LAND COMMUNITY COLLEGE, AREA EIGHTH-GRADE STUDENTS ARE INVITED TO JOB-SHADOW VARIOUS DEPARTMENTS DURING A SIX-WEEK PROGRAM. LEADERS AND EMPLOYEES SERVE ON SEVERAL COMMUNITY COMMITTEES AND BOARDS, SUCH AS TAYLORVILLE SERTOMA CLUB, ILLINOIS RESPIRATORY CARE BOARD, RELAY FOR LIFE, LOCAL EMERGENCY PLANNING COMMITTEE OF CHRISTIAN COUNTY, TAYLORVILLE DEVELOPMENT ASSOCIATION AND UNITED WAY. IN ADDITION, THE TMH CEO SERVES AS THE INFORMATION TECHNOLOGY COMMITTEE CHAIR FOR THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK. PART III, LINE 4: FOOTNOTE 2 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MEMORIAL HEALTH SYSTEM CONTAINS THE FOLLOWING FOOTNOTE RELATING TO BAD DEBT EXPENSE. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED AMOUNTS TO BE COLLECTED, CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ITS REVIEW OF ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING. THIS REVIEW TAKES INTO CONSIDERATION RECENT WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, PAYOR AGREEMENT RATE CHANGES, AND OTHER FACTORS. THE RESULTS OF THESE EVALUATIONS ARE USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, MHS FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. PART III, LINE 8: THE COSTING METHODOLOGY UTILIZED FOR THE DETERMINATION OF MEMORIAL MEDICAL CENTER'S MEDICARE ALLOWABLE COST (SCHEDULE H, PART III, LINE 6) WAS CALCULATED AS FOLLOWS:MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL UTILIZED MEDICARE COSTING DATA FROM THE FISCAL YEAR ENDED 9/30/2012 MEDICARE COST REPORT AS FILED. MEMORIAL MEDICAL CENTER WAS ABLE TO CAPTURE THE MEDICARE COSTING FOR INPATIENT MEDICAL SURGICAL, INPATIENT PSYCHIATRIC, INPATIENT REHABILITATION, AND OUTPATIENT MEDICAL SURGICAL SERVICES DURING THAT FISCAL PERIOD. THIS COSTING DATA EXCLUDED THE DIRECT MEDICAL EDUCATION COST FOR THE RESIDENCY PROGRAM ASSOCIATED WITH THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. THIS COST WAS INCLUDED IN THE HEALTH PROFESSIONS EDUCATION SECTION OF PART I, LINE 7 (F) OF SCHEDULE H.OTHER SECTIONS OF MEDICARE COST THAT WOULD NORMALLY BE EXCLUDED FROM THE MEDICARE COST REPORT BUT SHOULD BE INCLUDED FOR PURPOSES OF THIS SCHEDULE ARE THE FOLLOWING:1. MEMORIAL MEDICAL CENTER'S ESRD PROGRAM - THIS PROGRAM RELATED TO THE END-STAGE RENAL DIALYSIS PROGRAM. THE PROGRAM IS REFLECTED ON THE W/S I OF THE COST REPORT BUT DOES NOT HAVE A SETTLEMENT. 2. MEMORIAL MEDICAL CENTER'S OUTPATIENT CLINICAL LAB CHARGES - THESE MEDICARE OUTPATIENT CHARGES ARE PAID ON A FEE-FOR-SERVICE BASIS AND ARE NOT REFLECTED ON THE AS FILED MEDICARE COST REPORT. 3. MEMORIAL MEDICAL CENTER'S OUTPATIENT THERAPY SERVICES - THESE MEDICARE OUTPATIENT CHARGES RELATED TO THERAPEUTIC SERVICES, SUCH AS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY SERVICES, ARE SUBJECT TO A FEE-FOR-SERVICE PAYMENT METHOD AND NOT FILED ON THE MEDICARE COST REPORT.4. PART B PROFESSIONAL FEES - MEMORIAL MEDICAL CENTER HAS ITS PART B MEDICARE PROFESSIONAL FEES BILLED THROUGH A SEPARATE CORPORATION OF MEMORIAL HEALTH SYSTEM. THE BILLING SERVICE IS CALLED PHYSICIAN BILLING SERVICE. IT BILLS FOR THE PROFESSIONAL FEES ON BEHALF OF MEMORIAL MEDICAL CENTER AND SWEEPS THE MEDICARE PAYMENTS BACK TO IT. SOME OF THE PROFESSIONAL FEES BILLED BY PHYSICIAN BILLING SERVICE ARE CRNA, HEARING CENTER, SPINEWORKS CLINIC, HEART FAILURE CLINIC, CLINICAL PSYCHOLOGISTS, DIETARY CONSULTING, BARIATRIC SURGERY AND EKG INTERPRETATIONS. THESE SERVICES ARE TYPICALLY EXCLUDED FROM THE MEDICARE COST REPORT BUT SHOULD BE INCLUDED FOR PURPOSE OF SCHEDULE H.THE MEDICARE CHARGES ASSOCIATED WITH BULLET POINTS 1 THROUGH 4 ABOVE WERE APPLIED TO THE CALCULATED COST TO CHARGE RATIOS FROM THE MEDICARE COST REPORT TO DETERMINE ITS COST. THIS COST DATA, ALONG WITH THE COST DATA ALREADY COMPILED FROM THE AS FILED MEDICARE COST REPORT WAS THE BASIS FOR THE ALLOWABLE MEDICARE COST OF $229,172,524. THE TOTAL SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7 WAS $21,371,065. THE ENTIRE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT FOR MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL. THIS SHORTFALL REFLECTS THE EXCESS COSTS INCURRED BY MEMORIAL MEDICAL CENTER THAT CURRENT FEE-FOR-SERVICE PAYMENTS PRESENTLY DO NOT COVER. THESE ARE VITAL SERVICES TO THE COMMUNITY THESE THREE HOSPITALS SERVE THAT CURRENT MEDICARE PAYMENTS DO NOT COVER.IN THE COMMUNITY THAT MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL SERVE, MEDICARE IS AN IMPORTANT PAYOR. ACCORDINGLY, ALL THREE HOSPITALS ACCEPT MEDICARE PATIENTS REGARDLESS OF WHETHER THEIR TREATMENTS WILL RESULT IN A SURPLUS OR DEFICIT TO THE HOSPITAL. BY PROVIDING THESE SERVICES TO MEDICARE PATIENTS, THE MHS HOSPITALS PROMOTE ACCESS TO HEALTH CARE AND PROVIDE A COMMUNITY BENEFIT. ADDITIONALLY, THE ELDERLY ARE OFTEN AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE SERVICES, CMS AND THE U.S. GOVERNMENT WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY. ACCORDINGLY, MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL HAVE LESSENED THE BURDENS OF GOVERNMENT BY PROVIDING SERVICES TO THIS AT-RISK POPULATION. MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 3: MEMORIAL MEDICAL CENTERMEMORIAL HEALTH SYSTEM'S THREE HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT. RESEARCH OF COMMUNITY HEALTH NEEDS TOOK PLACE DURING THE SPRING AND SUMMER OF 2011. MHS CONTRACTED WITH HEALTHY COMMUNITIES INSTITUTE INC. TO PROVIDE MORE THAN 100 COUNTY-SPECIFIC COMMUNITY HEALTH MEASURES FOR EACH OF THE THREE COUNTIES. TO GATHER ADDITIONAL SECONDARY DATA, THE HOSPITALS REVIEWED ALL KNOWN EXISTING LOCAL COMMUNITY NEED ASSESSMENTS IN EACH COUNTY, AS WELL AS COUNTY DEMOGRAPHICS AND INFORMATION ON VULNERABLE POPULATIONS, COUNTY HEALTH RANKINGS PROVIDED BY THE UNIVERSITY OF WISCONSIN AND ROBERT WOOD JOHNSON FOUNDATION, ILLINOIS DEPARTMENT OF PUBLIC HEALTH'S 2010 STATE HEALTH IMPROVEMENT PLAN AND CRITICAL PRIORITIES OF HEALTHY PEOPLE 2020, AS DETERMINED BY THE INSTITUTE OF MEDICINE. MHS APPOINTED AN INTERNAL ADVISORY TEAM TO REVIEW THESE SECONDARY DATA SOURCES FOR CHRISTIAN, LOGAN AND SANGAMON COUNTIES AND TO CREATE A PRIORITY NEEDS LIST. THE TEAM CHARTER: THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM EXISTS TO REVIEW DATA ON COMMUNITY HEALTH NEEDS. USING THE DEFINED CRITERIA, THE TEAM WILL SELECT PRELIMINARY PRIORITIES FOR FURTHER INVESTIGATION AND, FOLLOWING REVIEW BY THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUP, MAKE RECOMMENDATIONS FOR FINAL PRIORITIES TO BE ADDRESSED IN THE MHS COMMUNITY BENEFIT PLAN.THIS TEAM NARROWED THE LIST OF ALL TOP PRIORITIES TO NINE ITEMS FOR FURTHER EXPLORATION. THE INTERNAL TEAM THEN SELECTED FIVE TOP PRIORITY AREAS FOR EACH HOSPITAL TO EXPLORE DIRECTLY WITHIN ITS COMMUNITY AND TO OBTAIN PRIMARY DATA FROM COMMUNITY MEMBERS. THESE PRIORITIES WERE (1) ACCESS TO HEALTHCARE SERVICES (2) CARDIOVASCULAR DISEASE (3) DIABETES (4) OBESITY (5) BREAST CANCER. MEMORIAL MEDICAL CENTER CONVENED AN EXTERNAL ADVISORY GROUP FOR SANGAMON COUNTY THAT INCLUDED REPRESENTATIVES FROM PUBLIC HEALTH, LOCAL HEALTHCARE PROVIDERS AND SOCIAL SERVICE GROUPS OFFERING CARE TO THE UNDERSERVED. THE TEAM CHARTER: THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUP EXISTS TO HELP MEMORIAL HEALTH SYSTEM EVALUATE THE INITIAL PRIORITIES SELECTED BY THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM. THESE GROUPS, CONVENED BY EACH MHS HOSPITAL, WILL REVIEW EXISTING DATA AND OFFER INSIGHTS INTO COMMUNITY ISSUES AFFECTING THAT DATA. THEY WILL HELP IDENTIFY LOCAL COMMUNITY ASSETS AND GAPS IN THE PRIORITY AREAS, AND WILL OFFER ADVICE ON WHICH ISSUES ARE THE HIGHEST PRIORITY. MMC'S EXTERNAL ADVISORY GROUP MET ON JUNE 10, 2011 AND JULY 14, 2011. PARTICIPANTS LEARNED WHY WE WERE CONDUCTING THE CHNA. WE HIGHLIGHTED KEY DATA ON COMMUNITY HEALTH NEEDS ON OUR TOP FIVE PRIORITIES. THE GROUP PROVIDED SPECIFIC INPUT ABOUT THESE HEALTH ISSUES, IDENTIFIED EXISTING COMMUNITY ASSETS AND GAPS THAT ADDRESS THE ISSUES, AND SUGGESTIONS FOR HOW TO ADDRESS THESE NEEDS. THE EXTERNAL ADVISORY GROUP USED A NOMINAL GROUP PROCESS AND RANKED THE FIVE HEALTH NEEDS IN ORDER OF PRIORITY IN SANGAMON COUNTY. THE GROUP INITIALLY PRIORITIZED THE NEEDS IN THE FOLLOWING ORDER: (1) OBESITY (2) CARDIOVASCULAR DISEASE (3) DIABETES (4) ACCESS TO HEALTHCARE AND (5) BREAST CANCER. DURING DIALOGUE THAT FOLLOWED THE RANKING, THE GROUP CONSENSUS WAS THAT THE FIRST THREE (OBESITY, CARDIOVASCULAR DISEASE AND DIABETES) NEEDS ON THE LIST ARE SO INTERTWINED THAT THEY REALLY COULD BE CONSIDERED AS 'TIED' FOR FIRST IN TERMS OF COMMUNITY NEED. MOREOVER, REDUCING OBESITY DIRECTLY AFFECTS CARDIOVASCULAR AND DIABETES RISK AND THEREFORE THE MOST EFFECTIVE APPROACH WOULD BE TO ADDRESS ALL THREE OF THESE ISSUES TOGETHER. GROUP CONSENSUS WAS ALSO THAT LACK OF ACCESS TO CARE FOR THE MOST DISADVANTAGED SEGMENTS OF THE SANGAMON COUNTY POPULATION IS A MAJOR OBSTACLE TO THESE PERSONS RECEIVING HELP FOR THESE CONDITIONS. THEREFORE, CONTINUING TO IMPROVE ACCESS TO CARE FOR THE MOST VULNERABLE POPULATIONS SHOULD BE A PRIORITY. REGARDING BREAST CANCER, THE GROUP CONSENSUS WAS THAT BOTH NATIONALLY AND AT THE LOCAL LEVEL, NUMEROUS RESOURCES WERE DEVOTED TO ADDRESSING BREAST CANCER, MUCH MORE SO THAN THE OTHER PRIORITIES ON THE LIST. MEMORIAL HEALTH SYSTEM RECONVENED THE INTERNAL ADVISORY TEAM ON SEPT. 26, 2011. THE COMMITTEE REVIEWED THE INPUT FROM THE EXTERNAL ADVISORY GROUP AND VOTED TO RECOMMEND TO THE MHS COMMUNITY BENEFIT COMMITTEE THAT MMC ADDRESS THE PRIORITIES OF (1) ACCESS TO HEALTHCARE (2) CARDIOVASCULAR DISEASES (3) OBESITY AND (4) DIABETES. THE MHS BOARD'S COMMUNITY BENEFIT COMMITTEE MET ON NOV. 17, 2011 TO REVIEW THE CHNA PROCESS AND DISCUSS THE RECOMMENDATIONS, VOTING TO APPROVE THE SELECTED PRIORITIES. THESE PRIORITIES WERE THEN APPROVED BY THE MEMORIAL HEALTH SYSTEM BOARD ON DEC. 14, 2011 (TY11/FY12). DURING 2012, ALL MEMORIAL HEALTH SYSTEM AFFILIATES DEVELOPED AN IMPLEMENTATION PLAN WITH GOALS AND MEASURES TO ADDRESS THE PRIORITIES. MMC MET WITH THREE KEY COMMUNITY HEALTH PROVIDERS WHO WORK WITH LOWER-INCOME POPULATIONS TO REVIEW THE PLAN AND TO ENSURE THAT GOALS AND MEASURES WOULD NOT BE AT CROSS PURPOSES WITH ANY OF THE PROGRAMS OF THESE GROUPS. THOSE FOLLOW-UP MEETINGS TOOK PLACE WITH SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH, CENTRAL COUNTIES HEALTH CENTER (A FEDERALLY QUALIFIED HEALTH CLINIC) AND SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. THE FINAL IMPLEMENTATION PLAN, CALLED THE FY13 COMMUNITY BENEFIT PLAN, WAS APPROVED BY THE MEMORIAL HEALTH SYSTEM COMMUNITY BENEFIT COMMITTEE ON AUG. 17, 2012 AND BY THE FULL MEMORIAL HEALTH SYSTEM BOARD ON SEPT. 12, 2012. THE PLAN WAS POSTED TO ALL AFFILIATE WEBSITES IN SEPTEMBER 2012. MEMORIAL MEDICAL CENTER'S EXTERNAL ADVISORY COMMITTEESANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH JAMES D. STONE, MA, CPHA, DIRECTOR OF PUBLIC HEALTHSANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH2833 SOUTH GRAND AVENUE EASTSPRINGFIELD, IL 62703WWW.SCDPH.ORGSANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH IS THE STATE'S 10TH LARGEST HEALTH DEPARTMENT SERVING A POPULATION OF MORE THAN 197,500. CENTRAL COUNTIES HEALTH CENTERSBRAD BUZZARD, BA, VICE PRESIDENT OF OPERATIONS; SERVING AT CCHC FOR 10 YEARS WITH AN ADDITIONAL FOUR YEARS OF EXPERIENCE AT A MEDICAL CENTER IN CHICAGOCENTRAL COUNTIES HEALTH CENTERS2239 E. COOK ST., SPRINGFIELD, IL 62703CENTRAL COUNTIES HEALTH CENTERS IS A FEDERALLY QUALIFIED HEALTH CENTER IN SPRINGFIELD, ILL., WHICH PROVIDES ACCESS TO PRIMARY MEDICAL AND DENTAL CARE FOR THE UNDERSERVED. SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE'S CENTER FOR FAMILY MEDICINEIRIS WESLEY, BA, ADMINISTRATIVE DIRECTORSIU CENTER FOR FAMILY MEDICINE, A DIVISION OF SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE520 N. 4TH STREET, SPRINGFIELD, IL 62702WWW.SIUCENTERFORFAMILYMEDICINE.ORGTHE MISSION OF THE SIU CENTER FOR FAMILY MEDICINE IS TO EDUCATE RESIDENTS AND MEDICAL STUDENTS TO BE CLINICALLY-ORIENTED, SELF-EDUCATING PRACTITIONERS WHILE PROVIDING COST-EFFECTIVE, HIGH QUALITY, ACCESSIBLE CARE TO THE PEOPLE OF DOWNSTATE ILLINOIS. THE CENTER IS LOCATED IN A DESIGNATED MEDICALLY UNDERSERVED AREA (MUA) AND PROVIDES A MEDICAL HOME TO A HIGH MEDICAID AND MEDICARE POPULATION. THE FACULTY AND RESIDENTS ALSO PARTICIPATE IN A NUMBER OF ACTIVITIES TO PROVIDE CHARITY CARE TO THE UNDER AND UNINSURED.ST. JOHN'S HOSPITALKIMBERLY LUZ, MS, CHES; MANAGER OF EDUCATION AND OUTREACH; CERTIFIED HEALTH EDUCATION SPECIALIST THROUGH THE NATIONAL COMMISSION FOR HEALTH EDUCATION CREDENTIALING FOR FIVE YEARS ST. JOHN'S HOSPITAL800 E CARPENTER STREETSPRINGFIELD, IL 62769WWW.ST-JOHNS.ORG ST. JOHN'S HOSPITAL IS A 431-BED CATHOLIC REGIONAL MEDICAL CENTER OFFERING A COMPREHENSIVE ARRAY OF HEALTH CARE SERVICES TO PEOPLE IN CENTRAL AND SOUTHERN ILLINOIS. ST. JOHN'S CHILDREN'S HOSPITAL IS HOME TO A LEVEL III NEONATAL INTENSIVE CARE UNIT AND PEDIATRIC INTENSIVE CARE UNIT. MENTAL HEALTH CENTERS OF CENTRAL ILLINOISJANICE GAMBACH, LCSW, MPA, PRESIDENT OF MHCCI AND BEHAVIORAL HEALTH SYSTEM ADMINISTRATOR FOR MEMORIAL HEALTH SYSTEM; COMMUNITY MENTAL HEALTH EXPERIENCE FOR OVER 25 YEARS MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS720 N. 8TH ST., SPRINGFIELD, IL 62702WWW.MHCCI.ORGMENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION PROVIDING HIGH-QUALITY, COMPREHENSIVE BEHAVIORAL HEALTH AND REHABILITATION SERVICES. AN AFFILIATE OF MEMORIAL HEALTH SYSTEM, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS ONE OF THE LARGEST PROVIDERS OF BEHAVIORAL HEALTH SERVICES IN CENTRAL ILLINOIS, SERVING MORE THAN 9,000 INDIVIDUALS EACH YEAR. SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINEJOHN F. RECORD, B.S., M.A., HEALTH SERVICES ADMINISTRATION; CERTIFICATE, COMMUNITY HEALTH LEADERSHIP, DUKE UNIVERSITY; DIRECTOR OF RURAL HEALTHSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE801 NORTH RUTLEDGESPRINGFIELD, IL 62702WWW.SIUMED.EDU ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 3: MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT. RESEARCH OF COMMUNITY HEALTH NEEDS TOOK PLACE DURING THE SPRING AND SUMMER OF 2011. MHS CONTRACTED WITH HEALTHY COMMUNITIES INSTITUTE INC. TO PROVIDE MORE THAN 100 COUNTY-SPECIFIC COMMUNITY HEALTH MEASURES FOR EACH OF THE THREE COUNTIES. TO GATHER ADDITIONAL SECONDARY DATA, THE HOSPITALS REVIEWED ALL KNOWN EXISTING LOCAL COMMUNITY NEED ASSESSMENTS IN EACH COUNTY, AS WELL AS COUNTY DEMOGRAPHICS AND INFORMATION ON VULNERABLE POPULATIONS, COUNTY HEALTH RANKINGS PROVIDED BY THE UNIVERSITY OF WISCONSIN AND ROBERT WOOD JOHNSON FOUNDATION, ILLINOIS DEPARTMENT OF PUBLIC HEALTH'S 2010 STATE HEALTH IMPROVEMENT PLAN AND CRITICAL PRIORITIES OF HEALTHY PEOPLE 2020, AS DETERMINED BY THE INSTITUTE OF MEDICINE. MHS APPOINTED AN INTERNAL ADVISORY TEAM TO REVIEW THESE SECONDARY DATA SOURCES FOR CHRISTIAN, LOGAN AND SANGAMON COUNTIES AND TO CREATE A PRIORITY NEEDS LIST. THE TEAM CHARTER: THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM EXISTS TO REVIEW DATA ON COMMUNITY HEALTH NEEDS. USING THE DEFINED CRITERIA, THE TEAM WILL SELECT PRELIMINARY PRIORITIES FOR FURTHER INVESTIGATION AND, FOLLOWING REVIEW BY THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUP, MAKE RECOMMENDATIONS FOR FINAL PRIORITIES TO BE ADDRESSED IN THE MHS COMMUNITY BENEFIT PLAN. THIS TEAM NARROWED THE LIST OF ALL TOP PRIORITIES TO NINE ITEMS FOR FURTHER EXPLORATION. THE INTERNAL TEAM THEN SELECTED FIVE TOP PRIORITY AREAS FOR EACH HOSPITAL TO EXPLORE DIRECTLY WITHIN ITS COMMUNITY AND TO OBTAIN PRIMARY DATA FROM COMMUNITY MEMBERS. THESE PRIORITIES WERE (1) ACCESS TO HEALTHCARE SERVICES (2) CARDIOVASCULAR DISEASE (3) DIABETES (4) OBESITY (5) BREAST CANCER. ABRAHAM LINCOLN MEMORIAL HOSPITAL CONVENED AN EXTERNAL ADVISORY GROUP FOR LOGAN COUNTY CONSISTING OF THE STEERING COMMITTEE OF THE LOGAN COUNTY HEALTHY COMMUNITIES PARTNERSHIP. THE HEALTHY COMMUNITIES PARTNERSHIP IS A COUNTY-WIDE COLLABORATION CONNECTING 46 LOCAL ORGANIZATIONS AND 12 CHURCHES THAT WORKS TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN LOGAN COUNTY. ITS GOALS ARE TO INCREASE HEALTHY OUTCOMES, INCREASE HEALTHY BEHAVIORS AND INCREASE ACCESS TO QUALITY HEALTHCARE SERVICES. THE TEAM CHARTER FOR THE CHNA EXTERNAL ADVISORY GROUP: THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUP EXISTS TO HELP MEMORIAL HEALTH SYSTEM EVALUATE THE INITIAL PRIORITIES SELECTED BY THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM. THESE GROUPS, CONVENED BY EACH MHS HOSPITAL, WILL REVIEW EXISTING DATA AND OFFER INSIGHTS INTO COMMUNITY ISSUES AFFECTING THAT DATA. THEY WILL HELP IDENTIFY LOCAL COMMUNITY ASSETS AND GAPS IN THE PRIORITY AREAS, AND WILL OFFER ADVICE ON WHICH ISSUES ARE THE HIGHEST PRIORITY.ALMH'S EXTERNAL ADVISORY GROUP MET ON MAY 23, 2011. THE MEETING INCLUDED A REVIEW OF THE KEY DATA ON THE TOP FIVE IDENTIFIED PRIORITIES AND DISCUSSED THE PRIORITIES IN RELATION TO THEIR ORGANIZATIONS AND THE PEOPLE THEY SERVED. THE EXTERNAL ADVISORY COMMITTEE VALIDATED THAT ACCESS TO HEALTHCARE, CARDIOVASCULAR DISEASE, DIABETES, OBESITY AND BREAST CANCER WERE ALL PRIORITY HEALTHCARE ISSUES IN LOGAN COUNTY. THEY SUGGESTED THAT SOME OF THE IDENTIFIED NEEDS WERE CURRENTLY BEING ADDRESSED BY OTHERS AND COLLABORATION WOULD BE THE BEST WAY TO ADDRESS THESE NEEDS. THE EXTERNAL ADVISORY GROUP PARTICIPATED IN A SURVEY TO IDENTIFY EXISTING COMMUNITY ASSETS AS WELL AS GAPS IN SERVICES. MEMORIAL HEALTH SYSTEM RECONVENED THE INTERNAL ADVISORY TEAM ON SEPT. 26, 2011. THE COMMITTEE REVIEWED THE INPUT FROM THE EXTERNAL ADVISORY GROUP AND VOTED TO RECOMMEND TO THE MHS COMMUNITY BENEFIT COMMITTEE THAT WE ADDRESS THE PRIORITIES OF (1) ACCESS TO HEALTHCARE (2) CARDIOVASCULAR DISEASES (3) OBESITY AND (4) DIABETES. THE MHS BOARD'S COMMUNITY BENEFIT COMMITTEE MET ON NOV. 17, 2011 TO REVIEW THE CHNA PROCESS AND DISCUSS THE RECOMMENDATIONS, VOTING TO APPROVE THE SELECTED PRIORITIES. THESE PRIORITIES WERE THEN APPROVED BY THE MEMORIAL HEALTH SYSTEM BOARD ON DEC. 14, 2011 (TY11/FY12). DURING 2012, ALL MEMORIAL HEALTH SYSTEM AFFILIATES DEVELOPED AN IMPLEMENTATION PLAN WITH GOALS AND MEASURES TO ADDRESS THE PRIORITIES. MMC MET WITH THREE KEY COMMUNITY HEALTH PROVIDERS WHO WORK WITH LOWER-INCOME POPULATIONS TO REVIEW THE PLAN AND TO ENSURE THAT GOALS AND MEASURES WOULD NOT BE AT CROSS PURPOSES WITH ANY OF THE PROGRAMS OF THESE GROUPS. THOSE FOLLOW-UP MEETINGS TOOK PLACE WITH SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH, CENTRAL COUNTIES HEALTH CENTER (A FEDERALLY QUALIFIED HEALTH CLINIC) AND SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. THE FINAL IMPLEMENTATION PLAN, CALLED THE FY13 COMMUNITY BENEFIT PLAN, WAS APPROVED BY THE MEMORIAL HEALTH SYSTEM COMMUNITY BENEFIT COMMITTEE ON AUG. 17, 2012 AND BY THE FULL MEMORIAL HEALTH SYSTEM BOARD ON SEPT. 12, 2012. THE PLAN WAS POSTED TO ALL AFFILIATE WEBSITES IN SEPTEMBER 2012. ABRAHAM LINCOLN MEMORIAL HOSPITAL'S EXTERNAL ADVISORY COMMITTEELOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH MARK HILLIARD, MPH, CHESADMINISTRATOR LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH 109 THIRD STREET, P.O. BOX 508 LINCOLN, IL 62656DIANNA HEYER, RN, BSN LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH 109 THIRD STREET, P.O. BOX 508 LINCOLN, IL 62656WWW.LCDPH.ORG LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH (LCDPH) PROVIDES HEALTH EDUCATION, INFORMATION, HOME HEALTH CARE, AND PUBLIC HEALTH SERVICES TO THE 29,776 RESIDENTS OF LOGAN COUNTY. MENTAL HEALTH CENTERS OF CENTRAL ILLINOISGENE FRIOLI, BA, MAADMINISTRATOR, LOGAN-MASON REHABILITATION, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS 760 S. POSTVILLE DRIVE LINCOLN, IL 62656 WWW.MHCCI.ORG MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION PROVIDING HIGH-QUALITY, COMPREHENSIVE BEHAVIORAL HEALTH AND REHABILITATION SERVICES. AN AFFILIATE OF MEMORIAL HEALTH SYSTEM, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS ONE OF THE LARGEST PROVIDERS OF BEHAVIORAL HEALTH SERVICES IN CENTRAL ILLINOIS, SERVING MORE THAN 9,000 INDIVIDUALS EACH YEAR. MEMORIAL PHYSICIAN SERVICES FAMILY MEDICAL CENTER OF LINCOLNSUSAN SHULL, RN, CMPEREGIONAL ADMINISTRATOR, MEMORIAL PHYSICIAN SERVICES 515 N. COLLEGE LINCOLN, IL 62656WWW.MEMORIALMD.COM AS ONE OF SIX AFFILIATES OF MEMORIAL HEALTH SYSTEM, MPS'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. MEMORIAL PHYSICIAN SERVICES IS DEDICATED TO PROVIDING HIGH-QUALITY, PATIENT-CENTERED CARE. ABRAHAM LINCOLN HEALTHCARE FOUNDATIONMARTHA AHRENDS, CRFEEXECUTIVE DIRECTOR, ABRAHAM LINCOLN HEALTHCARE FOUNDATION 200 STAHLHUT DRIVE LINCOLN, IL 62656 WWW.ALMH.ORG THE ABRAHAM LINCOLN HEALTHCARE FOUNDATION (ALHF) RAISES FUNDS TO SUPPORT THE ABRAHAM LINCOLN MEMORIAL HOSPITAL'S (ALMH) MISSION TO MAINTAIN, RESTORE AND IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. THE FOUNDATION PROVIDES ONGOING FUNDING FOR THE LOGAN COUNTY HEALTHY COMMUNITIES PARTNERSHIP. ABRAHAM LINCOLN MEMORIAL HOSPITALDOLAN DALPOAS, MPH, FACHEPRESIDENT AND CEO, ABRAHAM LINCOLN MEMORIAL HOSPITAL200 STAHLHUT DRIVE LINCOLN, IL 62656 WWW.ALMH.ORGKRISTIN LESSEN, MSDIRECTOR, HEALTHY COMMUNITIES PARTNERSHIP ABRAHAM LINCOLN HEALTHCARE FOUNDATION 200 STAHLHUT DRIVE LINCOLN, IL 62656 TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 3: MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT. RESEARCH OF COMMUNITY HEALTH NEEDS TOOK PLACE DURING THE SPRING AND SUMMER OF 2011. MHS CONTRACTED WITH HEALTHY COMMUNITIES INSTITUTE INC. TO PROVIDE MORE THAN 100 COUNTY-SPECIFIC COMMUNITY HEALTH MEASURES FOR EACH OF THE THREE COUNTIES. TO GATHER ADDITIONAL SECONDARY DATA, THE HOSPITALS REVIEWED ALL KNOWN EXISTING LOCAL COMMUNITY NEED ASSESSMENTS IN EACH COUNTY, AS WELL AS COUNTY DEMOGRAPHICS AND INFORMATION ON VULNERABLE POPULATIONS, COUNTY HEALTH RANKINGS PROVIDED BY THE UNIVERSITY OF WISCONSIN AND ROBERT WOOD JOHNSON FOUNDATION, ILLINOIS DEPARTMENT OF PUBLIC HEALTH'S 2010 STATE HEALTH IMPROVEMENT PLAN AND CRITICAL PRIORITIES OF HEALTHY PEOPLE 2020, AS DETERMINED BY THE INSTITUTE OF MEDICINE. MHS APPOINTED AN INTERNAL ADVISORY TEAM TO REVIEW THESE SECONDARY DATA SOURCES FOR CHRISTIAN, LOGAN AND SANGAMON COUNTIES AND TO CREATE A PRIORITY NEEDS LIST. THE TEAM CHARTER: THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM EXISTS TO REVIEW DATA ON COMMUNITY HEALTH NEEDS. USING THE DEFINED CRITERIA, THE TEAM WILL SELECT PRELIMINARY PRIORITIES FOR FURTHER INVESTIGATION AND, FOLLOWING REVIEW BY THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUP, MAKE RECOMMENDATIONS FOR FINAL PRIORITIES TO BE ADDRESSED IN THE MHS COMMUNITY BENEFIT PLAN. THIS TEAM NARROWED THE LIST OF ALL TOP PRIORITIES TO NINE ITEMS FOR FURTHER EXPLORATION. THE INTERNAL TEAM THEN SELECTED FIVE TOP PRIORITY AREAS FOR EACH HOSPITAL TO EXPLORE DIRECTLY WITHIN ITS COMMUNITY AND TO OBTAIN PRIMARY DATA FROM COMMUNITY MEMBERS. THESE PRIORITIES WERE (1) ACCESS TO HEALTHCARE SERVICES (2) CARDIOVASCULAR DISEASE (3) DIABETES (4) OBESITY (5) BREAST CANCER. TAYLORVILLE MEMORIAL HOSPITAL CONVENED AN EXTERNAL ADVISORY GROUP MADE UP OF PUBLIC HEALTH AND COMMUNITY REPRESENTATIVES FROM CHRISTIAN COUNTY. TEAM CHARTER: THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUPS EXIST TO HELP MEMORIAL HEALTH SYSTEM EVALUATE THE INITIAL PRIORITIES SELECTED BY THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM. THESE GROUPS, CONVENED BY EACH MHS HOSPITAL, WILL REVIEW EXISTING DATA AND OFFER INSIGHTS INTO COMMUNITY ISSUES AFFECTING THAT DATA. THEY WILL HELP IDENTIFY LOCAL COMMUNITY ASSETS AND GAPS IN THE PRIORITY AREAS, AND WILL OFFER ADVICE ON WHICH ISSUES ARE THE HIGHEST PRIORITY. TAYLORVILLE MEMORIAL HOSPITAL'S EXTERNAL ADVISORY GROUP MET ON JUNE 22, 2011 AND JULY 20, 2011. THE GROUP REVIEWED KEY DATA ON THE IDENTIFIED HEALTH NEED PRIORITIES AND PROVIDED INSIGHT INTO THE IMPACT OF THESE ISSUES ON THE PEOPLE THEY SERVE. THE GROUP PARTICIPATED IN A SURVEY TO IDENTIFY AVAILABLE COMMUNITY ASSETS IN THE PRIORITY AREAS AS WELL AS GAPS IN SERVICES. A NOMINAL GROUP PROCESS RANKED THE FIVE IDENTIFIED HEALTH NEEDS IN ORDER OF PRIORITY: (1) OBESITY (2) ACCESS TO HEALTHCARE (3) CARDIOVASCULAR DISEASE (4) BREAST CANCER (5) DIABETES. MEMORIAL HEALTH SYSTEM RECONVENED THE INTERNAL ADVISORY TEAM ON SEPT. 26, 2011. THE COMMITTEE REVIEWED THE INPUT FROM THE EXTERNAL ADVISORY GROUP AND VOTED TO RECOMMEND TO THE MHS COMMUNITY BENEFIT COMMITTEE THAT WE ADDRESS THE PRIORITIES OF (1) ACCESS TO HEALTHCARE (2) CARDIOVASCULAR DISEASES (3) OBESITY AND (4) DIABETES. THE MHS BOARD'S COMMUNITY BENEFIT COMMITTEE MET ON NOV. 17, 2011 TO REVIEW THE CHNA PROCESS AND DISCUSS THE RECOMMENDATIONS, VOTING TO APPROVE THE SELECTED PRIORITIES. THESE PRIORITIES WERE THEN APPROVED BY THE MEMORIAL HEALTH SYSTEM BOARD ON DEC. 14, 2011 (TY11/FY12). DURING 2012, ALL MEMORIAL HEALTH SYSTEM AFFILIATES DEVELOPED AN IMPLEMENTATION PLAN WITH GOALS AND MEASURES TO ADDRESS THE PRIORITIES. MMC MET WITH THREE KEY COMMUNITY HEALTH PROVIDERS WHO WORK WITH LOWER-INCOME POPULATIONS TO REVIEW THE PLAN AND TO ENSURE THAT GOALS AND MEASURES WOULD NOT BE AT CROSS PURPOSES WITH ANY OF THE PROGRAMS OF THESE GROUPS. THOSE FOLLOW-UP MEETINGS TOOK PLACE WITH SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH, CENTRAL COUNTIES HEALTH CENTER (A FEDERALLY QUALIFIED HEALTH CLINIC) AND SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. THE FINAL IMPLEMENTATION PLAN, CALLED THE FY13 COMMUNITY BENEFIT PLAN, WAS APPROVED BY THE MEMORIAL HEALTH SYSTEM COMMUNITY BENEFIT COMMITTEE ON AUG. 17, 2012 AND BY THE FULL MEMORIAL HEALTH SYSTEM BOARD ON SEPT. 12, 2012. THE PLAN WAS POSTED TO ALL AFFILIATE WEBSITES IN SEPTEMBER 2012. TAYLORVILLE MEMORIAL HOSPITAL'S EXTERNAL ADVISORY COMMITTEE CHRISTIAN COUNTY HEALTH DEPARTMENTNANCY J. MARTIN, PUBLIC HEALTH ADMINISTRATORGERRY GRIGSBY, RN, DIRECTORCHRISTIAN COUNTY HEALTH DEPARTMENT902 WEST SPRINGFIELD ROADTAYLORVILLE, IL 62568WWW.CHRISTIANCOUNTYHEALTH.ORGTHE MISSION OF THE CHRISTIAN COUNTY HEALTH DEPARTMENT IS TO ENSURE A SAFE ENVIRONMENT, WATER AND FOOD SUPPLY, PREVENT INJURY, STOP OR CONTROL THE SPREAD OF COMMUNICABLE DISEASE AND INCREASE PERSONAL HEALTH. THE CHRISTIAN COUNTY HEALTH DEPARTMENT SERVES A POPULATION OF 35,000 RESIDENTS. UNITED WAY OF CHRISTIAN COUNTYJONI BEYERS, EXECUTIVE DIRECTORUNITED WAY OF CHRISTIAN COUNTY108 W. MARKET, 2ND FLOORP.O. BOX 372TAYLORVILLE, IL 62568WWW.UNITEDWAYOFCC.ORG UNITED WAY OF CHRISTIAN COUNTY IS A NON-PROFIT ORGANIZATION SERVING 23 LOCAL MEMBER AGENCIES ACROSS CHRISTIAN COUNTY. THE MISSION AT UNITED WAY OF CHRISTIAN COUNTY IS TO IMPROVE THE ORGANIZED CAPACITY OF PEOPLE TO CARE FOR ONE ANOTHER. SENIOR CITIZENS OF CHRISTIAN COUNTYJOHN HELDMAN, EXECUTIVE DIRECTORSENIOR CITIZENS OF CHRISTIAN COUNTY701 W. ADAMS STREETTAYLORVILLE, IL 62568SENIOR CITIZENS OF CHRISTIAN COUNTY HAS SERVED SENIORS FOR MORE THAN 30 YEARS. THIS ORGANIZATION OFFERS A WIDE RANGE OF ASSISTANCE TO LOCAL SENIORS THAT HELP THEM ADDRESS HEALTH AND QUALITY OF LIFE ISSUES. CHRISTIAN COUNTY YMCACHRIS WEITTENHILLER, EXECUTIVE DIRECTOR/CEOCHRISTIAN COUNTY YMCA900 MCADAM DRIVETAYLORVILLE, IL 62568WWW.CCYMCA.ORGTHE CHRISTIAN COUNTY YMCA IS A VALUES-BASED, NOT-FOR-PROFIT ORGANIZATION THAT HAS SERVED THE PEOPLE OF CHRISTIAN COUNTY SINCE 1980. THE MISSION OF THE YMCA IS TO PUT CHRISTIAN PRINCIPLES INTO PRACTICE THROUGH PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL. PANA COMMUNITY HOSPITALROLAND R. CARLSON, PRESIDENT & CEOPANA COMMUNITY HOSPITAL101 EAST 9TH STREET PANA, IL 62557WWW.PANAHOSPITAL.COMPANA COMMUNITY HOSPITAL (PHC) IS A CRITICAL ACCESS HOSPITAL SERVING PERSONS WHO RESIDE IN PORTIONS OF FOUR COUNTIES OF ILLINOIS INCLUDING CHRISTIAN, SHELBY, FAYETTE, AND MONTGOMERY. THE HOSPITAL IS LOCATED IN THE FAR SOUTHEAST CORNER OF CHRISTIAN COUNTY. FIRST PRESBYTERIAN CHURCHREV. ROBERT SPURGIN, PASTORFIRST PRESBYTERIAN CHURCH116 EAST FRANKLIN STREETTAYLORVILLE, IL 62568TAYLORVILLEFPC.ORGFIRST PRESBYTERIAN CHURCH IN TAYLORVILLE HAS A LONG HISTORY OF LEADERSHIP ON HEALTH AND WELLNESS ISSUES IN THE COMMUNITY AND ITS LEADERSHIP IS ACTIVE IN THE LOCAL MINISTERIAL ASSOCIATION. MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 4: MEMORIAL MEDICAL CENTER CONDUCTED THE COMMUNITY HEALTH NEED ASSESSMENT WITH THE OTHER TWO HOSPITALS THAT ARE PART OF MEMORIAL HEALTH SYSTEM: ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL. ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 4: MEMORIAL MEDICAL CENTER IN SPRINGFIELD, IL, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LINCOLN, IL, AND TAYLORVILLE MEMORIAL HOSPITAL IN TAYLORVILLE, IL. TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 4: TAYLORVILLE MEMORIAL HOSPITAL CONDUCTED THE COMMUNITY HEALTH NEED ASSESSMENT WITH THE OTHER TWO HOSPITALS THAT ARE PART OF MEMORIAL HEALTH SYSTEM: MEMORIAL MEDICAL CENTER AND ABRAHAM LINCOLN MEMORIAL HOSPITAL. MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 7: REALIZING THAT IT WAS IMPOSSIBLE FOR ANY SINGLE ORGANIZATION TO ADDRESS ALL THE COMMUNITY HEALTH NEEDS THAT WOULD ARISE FROM CONDUCTING A NEEDS ASSESSMENT, MEMORIAL HEALTH SYSTEM DEFINED PRE-ESTABLISHED SELECTION CRITERIA AGAINST WHICH IT WOULD EVALUATE NEEDS AND OPPORTUNITIES THAT SURFACED DURING THE CHNA PROCESS. THESE CRITERIA HELPED SET PARAMETERS FOR WHAT WOULD ULTIMATELY BE SELECTED AS ITS FINAL PRIORITIES. THE SELECTION CRITERIA INCLUDED THE INSTITUTE OF MEDICINE'S(IOM) TRIPLE AIM WHICH STATES THAT HEALTH INITIATIVES SHOULD: (A) IMPROVE THE HEALTH OF INDIVIDUALS (B) IMPROVE THE HEALTH OF POPULATIONS AND (C) REDUCE WASTE, VARIATION AND HEALTHCARE COSTS. MHS AUGMENTED THE IOM CRITERIA TO ADD AVAILABLE COMMUNITY AND HOSPITAL ASSETS. THEREFORE, THE CRITERIA THAT THE THREE MEMORIAL HEALTH SYSTEM HOSPITALS USED FOR SELECTING AND PRIORITIZING COMMUNITY HEALTH NEEDS WERE:1. TRIPLE AIM IMPACT (IMPROVE THE HEALTH OF INDIVIDUALS, IMPROVE THE HEALTH OF POPULATIONS, REDUCE WASTE, VARIATION AND COST)2. AVAILABLE COMMUNITY ASSETS3. AVAILABLE HOSPITAL ASSETSDURING THE NEEDS ASSESSMENT, SECONDARY DATA HIGHLIGHTED NUMEROUS HEALTH NEEDS. FILTERING THESE THROUGH THE ABOVE CRITERIA RESULTED IN AN IN-DEPTH LOOK AT NINE TOP HEALTH PRIORITIES INDICATED BY THE DATA IN THE THREE COUNTIES: (1) CANCER [MULTIPLE TYPES] (2) DIABETES (3) ASTHMA (4) MOTHER/BABY (5) MENTAL HEALTH (6) ACCESS TO HEALTHCARE (7) OBESITY (8) CARDIOVASCULAR (9) IMMUNIZATIONS, FLU/PNEUMONIA. USING MEMORIAL HEALTH SYSTEM'S DEFINED CRITERIA, EACH NEED WAS REVIEWED. SOME NEEDS WERE ELIMINATED BASED ON EXISTING COMMUNITY RESOURCES THAT WERE ALREADY ADDRESSING THE ISSUE AND THE DESIRE TO AVOID DUPLICATION OF EFFORTS. ALSO, FOR SOME OF THE NEEDS, THE HOSPITAL DID NOT HAVE THE ASSETS TO ADDRESS A NEED FOR THE COMMUNITY AT LARGE. MHS IS ALREADY ADDRESSING MENTAL HEALTH ISSUES THROUGH ITS AFFILIATE MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS. CANCER STAYED ON THE LIST, BUT MHS CHOSE TO FOCUS ON BREAST CANCER INCIDENCE AND MORTALITY FOR FURTHER CONSIDERATION.THE TEAM PRIORITIZED FIVE PRELIMINARY COMMUNITY HEALTH NEEDS TO EXPLORE IN GREATER DEPTH AND TO OBTAIN ADDITIONAL PRIMARY DATA FROM COMMUNITY ORGANIZATIONS: (1) ACCESS TO HEALTHCARE SERVICES (2) CARDIOVASCULAR DISEASE (3) DIABETES (4) OBESITY AND (5) BREAST CANCER. FOLLOWING INPUT FROM THE EXTERNAL ADVISORY COMMITTEE, BREAST CANCER WAS DROPPED AS A FINAL PRIORITY. THE OTHER NEEDS WERE ADOPTED. MHS DEVELOPED AN IMPLEMENTATION PLAN, CALLED THE FY13 COMMUNITY BENEFIT PLAN, WITH GOALS AND MEASURES THAT ARE BEING ADDRESSED IN 2013. ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 7: REALIZING THAT IT WAS IMPOSSIBLE FOR ANY SINGLE ORGANIZATION TO ADDRESS ALL THE COMMUNITY HEALTH NEEDS THAT WOULD ARISE FROM CONDUCTING A NEED ASSESSMENT, MEMORIAL HEALTH SYSTEM DEFINED PRE-ESTABLISHED SELECTION CRITERIA AGAINST WHICH IT WOULD EVALUATE NEEDS AND OPPORTUNITIES THAT SURFACED DURING THE CHNA PROCESS. THESE CRITERIA HELPED SET PARAMETERS FOR WHAT WOULD ULTIMATELY BE SELECTED AS ITS FINAL PRIORITIES. THE SELECTION CRITERIA INCLUDED THE INSTITUTE OF MEDICINE'S(IOM) TRIPLE AIM WHICH STATES THAT HEALTH INITIATIVES SHOULD: (A) IMPROVE THE HEALTH OF INDIVIDUALS (B) IMPROVE THE HEALTH OF POPULATIONS AND (C) REDUCE WASTE, VARIATION AND HEALTHCARE COSTS. ALMH AUGMENTED THE IOM CRITERIA TO ADD AVAILABLE COMMUNITY AND HOSPITAL ASSETS. THEREFORE, THE CRITERIA THAT THE THREE MEMORIAL HEALTH SYSTEM HOSPITALS USED FOR SELECTING AND PRIORITIZING COMMUNITY HEALTH NEEDS WERE:1. TRIPLE AIM IMPACT (IMPROVE THE HEALTH OF INDIVIDUALS, IMPROVE THE HEALTH OF POPULATIONS, REDUCE WASTE, VARIATION AND COST) 2. AVAILABLE COMMUNITY ASSETS3. AVAILABLE HOSPITAL ASSETSDURING THE NEEDS ASSESSMENT, SECONDARY DATA HIGHLIGHTED NUMEROUS HEALTH NEEDS. FILTERING THESE THROUGH THE ABOVE CRITERIA RESULTED IN AN IN-DEPTH LOOK AT NINE TOP HEALTH PRIORITIES INDICATED BY THE DATA IN THE THREE COUNTIES: (1) CANCER [MULTIPLE TYPES] (2) DIABETES (3) ASTHMA (4) MOTHER/BABY (5) MENTAL HEALTH (6) ACCESS TO HEALTHCARE (7) OBESITY (8) CARDIOVASCULAR (9) IMMUNIZATIONS, FLU/PNEUMONIA. USING MEMORIAL HEALTH SYSTEM'S DEFINED CRITERIA, EACH NEED WAS REVIEWED. SOME NEEDS WERE ELIMINATED BASED ON EXISTING COMMUNITY RESOURCES THAT WERE ALREADY ADDRESSING THE ISSUE AND THE DESIRE TO AVOID DUPLICATION OF EFFORTS. ALSO, FOR SOME OF THE NEEDS, THE HOSPITAL DID NOT HAVE THE ASSETS TO ADDRESS A NEED FOR THE COMMUNITY AT LARGE. MHS IS ALREADY ADDRESSING MENTAL HEALTH ISSUES THROUGH ITS AFFILIATE MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS. CANCER STAYED ON THE LIST, BUT ALMH CHOSE TO FOCUS ON BREAST CANCER INCIDENCE AND MORTALITY FOR FURTHER CONSIDERATION. THE TEAM PRIORITIZED FIVE PRELIMINARY COMMUNITY HEALTH NEEDS TO EXPLORE IN GREATER DEPTH AND TO OBTAIN ADDITIONAL PRIMARY DATA FROM COMMUNITY ORGANIZATIONS: (1) ACCESS TO HEALTHCARE SERVICES (2) CARDIOVASCULAR DISEASE (3) DIABETES (4) OBESITY AND (5) BREAST CANCER. FOLLOWING INPUT FROM THE EXTERNAL ADVISORY COMMITTEE, BREAST CANCER WAS DROPPED AS A FINAL PRIORITY. THE OTHER NEEDS WERE ADOPTED. MHS DEVELOPED AN IMPLEMENTATION PLAN, CALLED THE FY13 COMMUNITY BENEFIT PLAN, WITH GOALS AND MEASURES THAT ARE BEING ADDRESSED IN 2013. TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 7: REALIZING THAT IT WAS IMPOSSIBLE FOR ANY SINGLE ORGANIZATION TO ADDRESS ALL THE COMMUNITY HEALTH NEEDS THAT WOULD ARISE FROM CONDUCTING A NEEDS ASSESSMENT, MEMORIAL HEALTH SYSTEM DEFINED PRE-ESTABLISHED SELECTION CRITERIA AGAINST WHICH IT WOULD EVALUATE NEEDS AND OPPORTUNITIES THAT SURFACED DURING THE CHNA PROCESS. THESE CRITERIA HELPED SET PARAMETERS FOR WHAT WOULD ULTIMATELY BE SELECTED AS ITS FINAL PRIORITIES. THE SELECTION CRITERIA INCLUDED THE INSTITUTE OF MEDICINE'S(IOM) TRIPLE AIM WHICH STATES THAT HEALTH INITIATIVES SHOULD: (A) IMPROVE THE HEALTH OF INDIVIDUALS (B) IMPROVE THE HEALTH OF POPULATIONS AND (C) REDUCE WASTE, VARIATION AND HEALTHCARE COSTS. TMH AUGMENTED THE IOM CRITERIA TO ADD AVAILABLE COMMUNITY AND HOSPITAL ASSETS. THEREFORE, THE CRITERIA THAT THE THREE MEMORIAL HEALTH SYSTEM HOSPITALS USED FOR SELECTING AND PRIORITIZING COMMUNITY HEALTH NEEDS WERE:1. TRIPLE AIM IMPACT (IMPROVE THE HEALTH OF INDIVIDUALS, IMPROVE THE HEALTH OF POPULATIONS, REDUCE WASTE, VARIATION AND COST) 2. AVAILABLE COMMUNITY ASSETS3. AVAILABLE HOSPITAL ASSETSDURING THE NEEDS ASSESSMENT, SECONDARY DATA HIGHLIGHTED NUMEROUS HEALTH NEEDS. FILTERING THESE THROUGH THE ABOVE CRITERIA RESULTED IN AN IN-DEPTH LOOK AT NINE TOP HEALTH PRIORITIES INDICATED BY THE DATA IN THE THREE COUNTIES: (1) CANCER [MULTIPLE TYPES] (2) DIABETES (3) ASTHMA (4) MOTHER/BABY (5) MENTAL HEALTH (6) ACCESS TO HEALTHCARE (7) OBESITY (8) CARDIOVASCULAR (9) IMMUNIZATIONS, FLU/PNEUMONIA. USING MEMORIAL HEALTH SYSTEM'S DEFINED CRITERIA, EACH NEED WAS REVIEWED. SOME NEEDS WERE ELIMINATED BASED ON EXISTING COMMUNITY RESOURCES THAT WERE ALREADY ADDRESSING THE ISSUE AND THE DESIRE TO AVOID DUPLICATION OF EFFORTS. ALSO, FOR SOME OF THE NEEDS, THE HOSPITAL DID NOT HAVE THE ASSETS TO ADDRESS A NEED FOR THE COMMUNITY AT LARGE. MHS IS ALREADY ADDRESSING MENTAL HEALTH ISSUES THROUGH ITS AFFILIATE MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS. CANCER STAYED ON THE LIST, BUT TMH CHOSE TO FOCUS ON BREAST CANCER INCIDENCE AND MORTALITY FOR FURTHER CONSIDERATION.THE TEAM PRIORITIZED FIVE PRELIMINARY COMMUNITY HEALTH NEEDS TO EXPLORE IN GREATER DEPTH AND TO OBTAIN ADDITIONAL PRIMARY DATA FROM COMMUNITY ORGANIZATIONS: (1) ACCESS TO HEALTHCARE SERVICES (2) CARDIOVASCULAR DISEASE (3) DIABETES (4) OBESITY AND (5) BREAST CANCER. FOLLOWING INPUT FROM THE EXTERNAL ADVISORY COMMITTEE, BREAST CANCER WAS DROPPED AS A FINAL PRIORITY. THE OTHER NEEDS WERE ADOPTED. MHS DEVELOPED AN IMPLEMENTATION PLAN, CALLED THE FY13 COMMUNITY BENEFIT PLAN, WITH GOALS AND MEASURES THAT ARE BEING ADDRESSED IN 2013. MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 19D: MMC, ALMH, AND TMH PROVIDE A SYSTEMATIC 70% CHARITY DISCOUNT FROM CHARGES TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME OR COOPERATION FOR ALL MEDICALLY NECESSARY HEALTH CARE SERVICES. PATIENT COOPERATION IS REQUIRED TO OBTAIN ADDITIONAL INCOME BASED DISCOUNTS AS DEFINED IN THE FAP. ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 19D: MMC, ALMH, AND TMH PROVIDE A SYSTEMATIC 70% CHARITY DISCOUNT FROM CHARGES TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME OR COOPERATION FOR ALL MEDICALLY NECESSARY HEALTH CARE SERVICES. PATIENT COOPERATION IS REQUIRED TO OBTAIN ADDITIONAL INCOME BASED DISCOUNTS AS DEFINED IN THE FAP. TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 19D: MMC, ALMH, AND TMH PROVIDE A SYSTEMATIC 70% CHARITY DISCOUNT FROM CHARGES TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME OR COOPERATION FOR ALL MEDICALLY NECESSARY HEALTH CARE SERVICES. PATIENT COOPERATION IS REQUIRED TO OBTAIN ADDITIONAL INCOME BASED DISCOUNTS AS DEFINED IN THE FAP. PART VI, LINE 2: IN ADDITION TO THE COMMUNITY HEALTH NEED ASSESSMENT PROCESS DESCRIBED IN PART V, SECTION 8, MEMORIAL HEALTH SYSTEM HAS ALWAYS REVIEWED A VARIETY OF INFORMATION TO IDENTIFY COMMUNITY NEEDS. THESE INCLUDE HOSPITAL ADMISSIONS AND DISCHARGES, LEADING CAUSES OF MORTALITY AND MORBIDITY IN EACH COUNTY AS REPORTED BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH, AND THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTHY PEOPLE 2020. ADDITIONAL INFORMATION IS GLEANED FROM CONSUMER SURVEYS, MEDICAL STAFF SURVEYS, EVALUATIONS FROM COMMUNITY EDUCATION EVENTS, REQUESTS FROM THE COMMUNITY AND GRANT APPLICATIONS TO THE MEMORIAL MEDICAL CENTER FOUNDATION. INFORMATION FROM ALL THESE SOURCES HELPED PRIORITIZE MHS'S COMMUNITY BENEFIT INITIATIVES IN TY11/FY12, AND TO ASSURE THAT THOSE INITIATIVES ARE ALIGNED WITH MHS'S MISSION, STATEMENT OF VALUES, STRATEGIC PLAN AND BUDGET. PRIORITIES ARE ESTABLISHED BASED ON OVERALL NEED, LEADING CAUSES OF DEATH, IMPACT ON HEALTH STATUS, ORGANIZATIONAL CORE COMPETENCIES, AND RESOURCES AND WHEREWITHAL TO MEANINGFULLY ADDRESS THE NEED. EACH MEMORIAL AFFILIATE HAS THE FLEXIBILITY TO DEVELOP SPECIFIC COMMUNITY BENEFIT PROGRAMS AND INITIATIVES THAT ARE DESIGNED TO RESPOND TO THE NEEDS OF ITS PARTICULAR COMMUNITY. MEMORIAL HEALTH SYSTEM UNDERSTANDS THAT COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS IS AN IMPORTANT COMPONENT OF COMMUNITY HEALTH IMPROVEMENT EFFORTS AND RESPONDS TO DIRECT COMMUNITY REQUESTS FOR PROGRAMS AND ASSISTANCE. PRIORITY FOCUS AREAS FOR FY12 COMMUNITY BENEFIT PROGRAMS WERE (1) IMPROVING ACCESS TO CARE, (2) INCREASING PUBLIC AWARENESS OF RISK FACTORS ASSOCIATED WITH CORONARY ARTERY DISEASE, (3)INCREASING PUBLIC AWARENESS OF RISK FACTORS ASSOCIATED WITH CANCER, (4) EXECUTING OTHER COMMUNITY BENEFIT PROGRAMS TO MEET DEFINED COMMUNITY NEEDS, IN COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS WHEN POSSIBLE, AND (5) COMPLETING THE COMMUNITY HEALTH NEED ASSESSMENT PROCESS TO MEET THE GUIDELINES OF THE SECTION 9007 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE REQUIREMENTS OF IRS NOTICE 2011-52. PART VI, LINE 3: MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL PROACTIVELY INFORM PATIENTS OF THEIR CHARITY CARE AND UNINSURED DISCOUNT ASSISTANCE AND THE ELIGIBILITY CRITERIA, WHICH EXTENDS UP TO 750% OF FEDERAL POVERTY GUIDELINES. A FINANCIAL ASSISTANCE/BILLING LINK ON EACH HOSPITAL WEBSITE GOES TO BILLING INFORMATION WHICH INCLUDES A LINK TO THE CHARITY CARE AND UNINSURED DISCOUNT PROGRAM INFORMATION AND APPLICATION. THE APPLICATION FORM IS AVAILABLE IN SPANISH AS WELL AS ENGLISH. FOREIGN LANGUAGE TRANSLATION ASSISTANCE IS AVAILABLE UPON REQUEST. INFORMATION ON THE AVAILABILITY OF CHARITY CARE AND UNINSURED DISCOUNT ASSISTANCE IS POSTED AT PRIMARY REGISTRATION SITES, INCLUDING THE EMERGENCY DEPARTMENT. THE "PEACE OF MIND REGARDING PAYMENT" BROCHURE IS AVAILABLE TO EVERY PATIENT AT EVERY VISIT AND IS AVAILABLE IN SPANISH. EMPLOYEES IN PATIENT REGISTRATION, PATIENT FINANCIAL SERVICES AND SOCIAL SERVICES ARE TRAINED TO UNDERSTAND THE CHARITY CARE POLICY AND KNOW HOW TO DIRECT QUESTIONS TO THE APPROPRIATE HOSPITAL REPRESENTATIVE. HOSPITAL STAFF WHO REGULARLY INTERACT WITH PATIENTS ARE TRAINED AND KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY. IF NECESSARY, THEY ARE ABLE TO DIRECT PATIENT QUESTIONS REGARDING THE POLICY TO A KNOWLEDGEABLE HOSPITAL REPRESENTATIVE WHO IS ALSO ABLE TO DISCUSS WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID OR OTHER STATE PROGRAMS, AND ASSIST THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. EACH HOSPITAL EMPLOYS PATIENT FINANCIAL COUNSELORS WHOSE PRIMARY GOAL IS TO VISIT ALL INPATIENTS WHO ARE IDENTIFIED AS SELF-PAY WITHIN 24 HOURS OF ADMISSION. THE FINANCIAL COUNSELORS PROVIDE INFORMATION ON CHARITY CARE AND UNINSURED DISCOUNTS AND, IF THE PATIENT HAS APPROPRIATE INFORMATION, COMPLETE THE CHARITY CARE APPLICATION ON THE SPOT. ANY SELF-PAY INPATIENT WHO MAY HAVE BEEN DISCHARGED WITHOUT A VISIT FROM THE FINANCIAL COUNSELOR RECEIVES A FOLLOW-UP PHONE CALL OR CHARITY CARE APPLICATION PACKET IN THE MAIL. IF INPATIENTS ARE IDENTIFIED AS BEING ELIGIBLE FOR MEDICAID OR OTHER GOVERNMENT BENEFITS, THIS APPLICATION PROCESS IS ALSO IMMEDIATELY STARTED WHILE THEY ARE PATIENTS. MEMORIAL MEDICAL CENTER EMPLOYS A FULL-TIME MEDICAID COORDINATOR(S) WHO CONTINUES TO WORK WITH PATIENTS POST-DISCHARGE TO WALK THEM THROUGH THE ENTIRE APPLICATION PROCESS. EVERY HOSPITAL BILLING STATEMENT INCLUDES FINANCIAL ASSISTANCE INFORMATION WITH A PHONE NUMBER TO CALL FOR INFORMATION. PATIENTS ARE ENCOURAGED TO INQUIRE ABOUT FINANCIAL ASSISTANCE AT ANY STAGE OF THE BILLING PROCESS.THE MHS HOSPITALS STRIVE TO HAVE A CONSISTENT AND COURTEOUS APPROACH TO COLLECTIONS. MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL OFFER FINANCIAL COUNSELING AND SCREENING TO PATIENTS TO ENSURE THAT ANY OTHER POTENTIAL THIRD PARTY COVERAGE UNDER OTHER GOVERNMENT PROGRAMS SUCH AS MEDICAID CAN BE IDENTIFIED. MEMORIAL MEDICAL CENTER WILL NOT REFER ACCOUNTS TO A COLLECTION AGENCY, FILE ANY LAWSUIT, OR GARNISH WAGES AGAINST ANY PARTICULAR PATIENT TO COLLECT MEDICAL DEBT UNTIL MMC VERIFIES THE FOLLOWING: REASONABLE BASIS FOR BELIEVING PATIENT OWES THE DEBT; MMC WILL MAKE ALL REASONABLE ATTEMPTS TO BILL THIRD PARTY PAYERS AND CONFIRM ANY REMAINING AMOUNTS ARE TRULY THE FINANCIAL RESPONSIBILITY OF THE PATIENT; WHEN THE PATIENT HAS INDICATED AN INABILITY TO PAY MMC WILL ATTEMPT TO VALIDATE THE INABILITY TO PAY AND MMC WILL OFFER A REASONABLE PAYMENT PLAN AND; THE PATIENT HAS BEEN GIVEN A REASONABLE OPPORTUNITY TO SUBMIT AN APPLICATION FOR CHARITY CARE. ALL HOSPITALS HAVE A CODE OF CONDUCT POLICY THAT SETS FORTH CERTAIN PRINCIPLES TO WHICH AGENCIES, REPRESENTATIVES AND COLLECTORS ARE EXPECTED TO ADHERE. THE AGENCIES ARE REQUIRED TO COMPLY WITH ALL OF THE RELEVANT TERMS OF THE ILLINOIS FAIR PATIENT BILLING ACT, AND, IN PARTICULAR, SECTION 30(C) WHICH ENUMERATES CERTAIN PREREQUISITE CONDITIONS WHICH MUST BE SATISFIED BEFORE AN AGENCY CAN INITIATE ANY LEGAL ACTION AGAINST A PATIENT WHICH IS RELATED TO A FAILURE BY THAT PATIENT TO PAY A HOSPITAL BILL. THE AGENCIES ARE ALSO REQUIRED TO COMPLY WITH ALL OF THE RELEVANT TERMS OF THE ACA INTERNATIONAL CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY.ONCE A CHARITY CARE DETERMINATION IS MADE, ALL COLLECTION EFFORTS CEASE. IF AN ACCOUNT IS AT A COLLECTION AGENCY, THE ACCOUNT IS RETURNED BACK TO THE HOSPITAL FOR CHARITY PROCESSING.ALL PATIENT COMPLAINTS REGARDING DISSATISFACTION WITH SERVICES RENDERED OR BILLING ISSUES ARE HANDLED PROMPTLY AND IN A COURTEOUS MANNER TO ENSURE THAT CUSTOMER SERVICE REMAINS THE FOCUS OF ANY PATIENT CONCERN. ALL COMPLAINTS ARE CONSIDERED VALID AND PATIENT FEEDBACK IS WELCOME WITH RESPECT TO DISPUTED MATTERS. PART VI, LINE 4: MEMORIAL MEDICAL CENTER, A NONPROFIT TERTIARY CARE HOSPITAL WITH 500 LICENSED BEDS, IS IN THE ILLINOIS STATE CAPITOL OF SPRINGFIELD, LOCATED IN CENTRAL ILLINOIS, SANGAMON COUNTY. MMC IS ONE OF TWO PRIMARY TEACHING HOSPITAL AFFILIATES FOR SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE, WHICH IS LOCATED ADJACENT TO THE MMC CAMPUS. MEMORIAL MEDICAL CENTER IS A MAJOR REGIONAL HEALTHCARE PROVIDER FOR CENTRAL AND SOUTHERN ILLINOIS. ITS PRIMARY SERVICE AREA INCLUDES SANGAMON COUNTY (POP. 197,465) AND SEVEN ADJACENT RURAL AGRICULTURAL COUNTIES WHOSE POPULATIONS TOTAL 204,868 (LOGAN, CHRISTIAN, MONTGOMERY, MACOUPIN, MORGAN, CASS AND MENARD COUNTIES). THERE ARE TEN OTHER HOSPITALS IN THIS PRIMARY SERVICE AREA INCLUDING ST. JOHN'S HOSPITAL (431 BEDS) AND KINDRED HOSPITAL (A 50-BED LONG-TERM ACUTE CARE FACILITY) IN SANGAMON COUNTY. OF THE OTHER EIGHT HOSPITALS IN RURAL COMMUNITIES, ONE HAS 121 BEDS AND THE OTHER SEVEN EACH HAVE FEWER THAN 50 BEDS. THERE ARE A TOTAL OF 29 MUAS (MEDICALLY UNDERSERVED AREAS) IN THE EIGHT COUNTIES THAT COMPRISE MEMORIAL MEDICAL CENTER'S PRIMARY SERVICE AREA (EIGHT OF THE MUAS ARE IN SANGAMON COUNTY). MEMORIAL MEDICAL CENTER'S SECONDARY SERVICE AREA ENCOMPASSES 31 ADDITIONAL RURAL COUNTIES IN CENTRAL AND SOUTHERN ILLINOIS.THE POPULATION OF SANGAMON COUNTY IS 83.6% WHITE, 11.8% BLACK AND 5.8% OTHER. CARDIOVASCULAR DISEASES AND CANCER ARE THE LEADING CAUSES OF DEATH IN THE COUNTY. 13.1% OF SANGAMON COUNTY RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 19.7% OF ALL CHILDREN UNDER THE AGE OF 18. DATA FROM 2007 INDICATES THAT 11.9% OF ADULTS AGED 18-64 WERE WITHOUT HEALTH INSURANCE, BUT THE NUMBERS CONTINUE TO RISE. THE MEDIAN HOUSEHOLD INCOME IS $52,581. IN FY2011, 2.59% OF THE PATIENTS SERVED AT MEMORIAL MEDICAL CENTER RECEIVED UNINSURED CHARITY CARE, AND 14.86% OF THE PATIENTS WERE ON MEDICAID. MEMORIAL MEDICAL CENTER QUALIFIES FOR MEDICARE DISPROPORTIONATE SHARE REIMBURSEMENT.ABRAHAM LINCOLN MEMORIAL HOSPITAL (ALMH) IS A RURAL CRITICAL ACCESS HOSPITAL LOCATED IN LINCOLN, ILLINOIS, APPROXIMATELY 27 MILES NORTHEAST OF THE STATE CAPITOL OF SPRINGFIELD. ALMH SERVES THE PEOPLE AND COMMUNITIES OF LOGAN AND EASTERN MASON COUNTIES, A LARGELY AGRICULTURAL AREA. ALMH IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA OF LOGAN COUNTY (POP. 30,305). RACE/ETHNICITY INCLUDES 89.1% WHITE,7.5% BLACK AND 3.4% OTHER.CARDIOVASCULAR DISEASES AND CANCER ARE THE LEADING CAUSES OF DEATH IN THE COUNTY. 13.8% OF RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 15.1% OF ALL CHILDREN UNDER AGE 18. DATA FROM 2007 INDICATES THAT 14.2% OF ADULTS AGED 18-64 ARE UNINSURED. THE MEDIAN HOUSEHOLD INCOME IS $45,722. THERE IS ONE MUA (FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS) IN LOGAN COUNTY. TAYLORVILLE MEMORIAL HOSPITAL (TMH) IS A RURAL CRITICAL ACCESS HOSPITAL LOCATED IN TAYLORVILLE, ILLINOIS, APPROXIMATELY 27 MILES SOUTHEAST OF THE STATE CAPITOL OF SPRINGFIELD.TMH IS ONE OF TWO HOSPITALS IN THE PRIMARY SERVICE AREA OF CHRISTIAN COUNTY (POP. 34,253). THE OTHER HOSPITAL IS PANA COMMUNITY HOSPITAL, A CRITICAL ACCESS FACILITY IN THE SOUTHEAST CORNER OF THE COUNTY. CHRISTIAN COUNTY RACE/ETHNICITY INCLUDES 96.6% WHITE, 1.4% BLACK AND 2% OTHER. CARDIOVASCULAR DISEASES AND CANCER ARE THE LEADING CAUSES OF DEATH IN THE COUNTY. 16.6% OF RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 28.6% OF ALL CHILDREN. THE MEDIAN HOUSEHOLD INCOME IS $43,182. PERSONS AGE 65 AND OLDER MAKE UP 17.2% OF THE POPULATION (THE STATE AVERAGE IS 12.4%). THERE ARE 9 MUAS (FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS) IN CHRISTIAN COUNTY. PART VI, LINE 5: EACH OF THE HOSPITAL'S BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS WHO RESIDE IN THAT HOSPITAL'S PRIMARY SERVICE AREA. THESE VOLUNTEERS GIVE NUMEROUS HOURS OF SERVICE IN THEIR OVERSIGHT ROLE AND ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, FUNDRAISING, AND GENERAL STEWARDSHIP. MORE THAN 500 PEOPLE VOLUNTEER AT THE THREE HOSPITALS AS ESCORTS, WAITING ROOM HOSTS AND HOSTESSES AND A WIDE RANGE OF OTHER VOLUNTEER ROLES.ALL MHS HOSPITALS HAVE OPEN MEDICAL STAFFS THAT ALLOW MEMBERSHIP TO ANYONE WHO MEETS CREDENTIALING REQUIREMENTS. ALL THREE HOSPITALS PARTICIPATE IN MEDICARE, MEDICAID, CHAMPUS, TRICARE AND OTHER GOVERNMENT PROGRAMS AND ARE DISPROPORTIONATE SHARE MEDICAID HOSPITALS THAT PROVIDE FINANCIAL ASSISTANCE AND SLIDING SCALE DISCOUNTS ACCORDING TO BOARD-APPROVED CHARITY CARE POLICIES. MEMORIAL MEDICAL CENTER SERVES AS THE REGIONAL BURN CENTER, SERVING ACUTELY BURNED PATIENTS FROM CENTRAL AND SOUTHERN ILLINOIS, AND IS THE REGIONAL REHABILITATION PROVIDER FOR SPINAL CORD INJURIES, CLOSED HEAD INJURIES, STROKES AND COMPREHENSIVE INPATIENT AND OUTPATIENT REHABILITATION.MEMORIAL MEDICAL CENTER MAINTAINS A 24-HOUR EMERGENCY DEPARTMENT THAT IS PART OF THE SOUTHERN ILLINOIS (LEVEL 1) TRAUMA CENTER. THE EMERGENCY DEPARTMENT HAS TRADITIONALLY SERVED AS A SAFETY NET HEALTHCARE PROVIDER FOR THE UNINSURED AND UNDERINSURED WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. IT PROVIDES SERVICES TO ALL PEOPLE REGARDLESS OF ABILITY TO PAY. TO HELP MEET COMMUNITY NEED AND ALLEVIATE USE OF THE EMERGENCY DEPARTMENT FOR NON-EMERGENT CARE, MHS OPERATES THREE EXPRESSCARE WALK-IN FACILITIES. THESE PROMPT-CARE SITES USE THE SAME CRITERIA FOR PATIENTS AS THE EMERGENCY DEPARTMENT: THE UNINSURED AND THOSE ON PUBLIC INSURANCE PROGRAMS RECEIVE THE SAME LEVEL OF CARE AND TREATMENT AS ANY OTHER PATIENTS. CHARITY CARE IS PROVIDED AS NEEDED.MEMORIAL MEDICAL CENTER COLLABORATES WITH COMMUNITY PROVIDERS TO SERVE THE LOW INCOME AND UNINSURED POPULATION. MMC PROVIDES DIAGNOSTIC, OUTPATIENT AND INPATIENT SERVICES FOR PATIENTS OF CENTRAL COUNTIES HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER THAT MEMORIAL MEDICAL CENTER WAS INSTRUMENTAL IN STARTING. MMC ALSO PROVIDES FREE AND REDUCED-COST INPATIENT AND OUTPATIENT SERVICES TO PATIENTS OF SOUTHERN ILLINOIS UNIVERSITY CENTER FOR FAMILY MEDICINE, A PRIMARY CARE MEDICAL GROUP THAT SERVES LOW INCOME MEDICAID AND MEDICARE POPULATIONS. MMC ALSO PROVIDES OPERATING EXPENSES FOR COORDINATED ACCESS TO COMMUNITY HEALTH (CATCH), A PROGRAM THAT IS INCREASING ACCESS TO CARE, PARTICULARLY PHYSICIAN SPECIALISTS, FOR UNINSURED ADULTS IN SANGAMON COUNTY. MMC PROVIDES CHARITY CARE FOR CATCH PATIENTS. MMC UTILIZES SURPLUS FUNDS TO IMPROVE PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. DURING FY11 MMC USED SURPLUS FUNDS TO EXPAND THE EMERGENCY DEPARTMENT BY EIGHT ROOMS TO MEET GROWING COMMUNITY NEED FOR ADDITIONAL ACCESS TO SERVICES. DURING THE PAST YEAR MMC'S REGIONAL CANCER CENTER MADE SEVERAL SIGNIFICANT RENOVATIONS,ADDING TWO NEW LINEAR ACCELERATORS TO ITS RADIATION THERAPY DEPARTMENT, DELIVERING HIGHER DOSES OF RADIATION MORE PRECISELY AND QUICKLY, REDUCING SIDE EFFECTS AND LONG-TERM COMPLICATIONS FOR CANCER PATIENTS. IT ALSO OPENED A NEW INFUSION SERVICES DEPARTMENT THAT IS DOUBLE THE SIZE OF THE PREVIOUS UNIT, OFFERING CHEMOTHERAPY AND OTHER INFUSION SERVICES TO ABOUT 1,000 PATIENTS ANNUALLY. IN FY11 MMC ALSO RENOVATED ITS OUTPATIENT IMAGING CENTER, IMPROVING ACCESS TO CARE AS WELL AS PATIENT SAFETY, PRIVACY AND COMFORT FOR MORE THAN 26,000 PATIENTS ANNUALLY, MANY WHO TRAVEL 60-75 MILES TO GET THESE SERVICES AT MMC. SURPLUS FUNDS ARE ALSO DEVOTED TO MEMORIAL'S COMMITMENT TO MEDICAL EDUCATION. MEMORIAL MEDICAL CENTER SERVES AS A TEACHING HOSPITAL FOR SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. MMC AND ALMH ALSO SERVE AS CLINICAL TRAINING SITES FOR MULTIPLE NURSING SCHOOLS AND OTHER UNIVERSITY AND COLLEGE HEALTH PROFESSIONAL TRAINING PROGRAMS IN THE REGION. THESE INCLUDE RADIOLOGY AND PHARMACY TECHNICIANS, CERTIFIED REGISTERED NURSE ANESTHESIOLOGISTS, CLINICAL LABORATORY SCIENTISTS, SPEECH PATHOLOGISTS, PHYSICAL AND OCCUPATIONAL THERAPISTS AND OTHERS. MMC ALSO SUPPORTS CLINICAL RESEARCH AND OFFERS NUMEROUS CANCER TRIALS THROUGH THE CENTRAL ILLINOIS COMMUNITY CLINICAL ONCOLOGY PROGRAM, WHICH RECEIVES SUPPORT FROM THE NATIONAL CANCER INSTITUTE. MORE THAN 450 RESEARCH PROJECTS AND PROTOCOLS ARE OPEN AT ANY GIVEN TIME. MMC PROVIDES FUNDING AND SUPPORT FOR THE SPRINGFIELD COMMITTEE ON RESEARCH IN HUMAN SUBJECTS, THE LOCAL INSTITUTIONAL REVIEW BOARD FOR CLINICAL RESEARCH TRIALS IN SPRINGFIELD.MMC, ALMH, AND TMH SURPLUS FUNDS ALSO PROVIDE SERVICES AND EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITIES WE SERVE THROUGH: EDUCATIONAL PROGRAMS THAT PROVIDE CLASSES AND INFORMATION ON A WIDE RANGE OF WELLNESS TOPICS; FREE AND LOW-COST HEALTH SCREENINGS; AND FREE SUPPORT GROUPS FOR PARTICULAR DISEASES/HEALTH ISSUES (SUCH AS BREAST CANCER, PROSTATE CANCER, KIDNEY/PANCREAS TRANSPLANT PATIENTS, STROKE/BRAIN INJURY, AND HEART FAILURE). MMC ALSO PAYS FOR PHARMACEUTICAL PRESCRIPTIONS FOR INDIGENT PATIENTS UPON DISCHARGE WHO CANNOT AFFORD TO FILL THEIR PRESCRIPTIONS. MMC SUPPORTS KUMLER OUTREACH MINISTRIES, A LOCAL PROGRAM THAT PROVIDES PHARMACEUTICAL ASSISTANCE TO THE INDIGENT. MMC ALSO COVERS THE COSTS FOR AMBULANCES AND MEDICARS THAT TRANSFER MEDICARE PATIENTS AND THE INDIGENT FROM THE HOSPITAL TO THEIR HOMES. ALMH HAS 25 STAFFED BEDS AND SERVICES OFFERED INCLUDE 24-HOUR EMERGENCY MEDICINE, GENERAL ACUTE INPATIENT CARE, INTENSIVE CARE, PAIN MANAGEMENT, ORTHOPEDICS, SURGERY AND THE FAMILY MATERNITY SUITES. ALMH ALSO OFFERS A FULL RANGE OF OUTPATIENT REHABILITATION, THERAPY, AND DIAGNOSTIC TESTING. WITH THE OPENING OF A NEW REPLACEMENT HOSPITAL IN MARCH, 2011, ALMH BEGAN OFFERING WARM-WATER THERAPY FOR PHYSICAL THERAPY PATIENTS AND ARTHRITIS PATIENTS SEEKING RELIEF FROM THEIR SYMPTOMS. A FIXED MRI UNIT AND UPGRADED CT SCAN OPENED UP A NUMBER OF NEW TESTS FOR LOCAL PATIENTS WHO PREVIOUSLY HAD TO BE TRANSFERRED OUT OF THE COUNTY FOR THESE TESTS.ABRAHAM LINCOLN MEMORIAL HOSPITAL'S EMERGENCY DEPARTMENT HAS TRADITIONALLY SERVED AS A SAFETY NET HEALTHCARE PROVIDER FOR THE UNINSURED AND UNDERINSURED WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. TO HELP MEET COMMUNITY NEED AND ALLEVIATE USE OF THE EMERGENCY DEPARTMENT FOR NON-EMERGENT CARE, ABRAHAM LINCOLN MEMORIAL HOSPITAL COLLABORATES THROUGH THE HEALTHY COMMUNITIES PARTNERSHIP WITH THE LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH AND FAMILY MEDICAL CENTER (PART OF MEMORIAL PHYSICIAN SERVICES, AN MHS AFFILIATE) TO TAKE PRIMARY AND PREVENTIVE CARE TO SMALL RURAL COMMUNITIES IN LOGAN COUNTY VIA THE H.O.P.E. MOBILE. A NURSE PRACTITIONER AND PUBLIC HEALTH NURSE STAFF THIS MOBILE UNIT WHICH MAKES WEEKLY VISITS TO OUTLYING RURAL COMMUNITIES IN LOGAN COUNTY. THIS PROGRAM, ESTABLISHED IN 1998, IS ESPECIALLY BENEFICIAL TO RURAL SENIORS: OVER 30% OF THE PATIENTS ARE AGED 61-80 YEARS OLD, AND OVER 40% ARE OVER THE AGE OF 81. IN FY2011, THE H.O.P.E. MOBILE PROVIDED 403 DENTAL APPOINTMENTS FOR LOW-INCOME CHILDREN AND PREGNANT WOMEN, AND 1,993 OTHER PRIMARY- AND PREVENTIVE-CARE MEDICAL SERVICES. ABRAHAM LINCOLN MEMORIAL HOSPITAL EMPLOYS THE PROGRAM COORDINATOR AND OVERSEES MAINTENANCE OF THE UNIT. ABRAHAM LINCOLN HEALTHCARE FOUNDATION CONTRIBUTES FUNDING AND ONGOING SUPPORT THAT MAKES THE PROGRAM POSSIBLE.TAYLORVILLE MEMORIAL HOSPITAL USES SURPLUS FUNDS TO CONTINUALLY IMPROVE PATIENT CARE. IN MARCH 2011 THE HOSPITAL OPENED A 32,000-SQUARE-FOOT FACILITY THAT IS HOME TO A NEW EMERGENCY DEPARTMENT, RADIOLOGY SERVICES AND OUTPATIENT SURGERY CENTER. THE NEW FACILITY IS DESIGNED FOR OUTPATIENT SERVICES, OFFERS CLOSE PARKING, AND IMPROVES PATIENT SAFETY. THE NEW EMERGENCY DEPARTMENT OFFERS 10 TREATMENT ROOMS, INCLUDING TWO LEVEL-TWO TRAUMA BAYS AND AN ISOLATION ROOM WITH NEGATIVE AIR FLOW FOR PATIENTS WHO ARE AT RISK OF AIRBORNE TRANSMISSION OF CONTAGIOUS DISEASES. CONVENIENTLY NEAR THE EMERGENCY DEPARTMENT IS THE NEW RADIOLOGY SERVICES AREA WHICH ADDED A NEW MRI UNIT. FOR THE PAST 20 YEARS THE HOSPITAL RELIED ON A MOBILE MRI THAT HAD LIMITED AVAILABILITY. OTHER SERVICES OFFERED INCLUDE CT, DIGITAL MAMMOGRAPHY, ECHOCARDIOLOGY, ULTRASOUND/SONOGRAPHY AND NUCLEAR MEDICINE. THE NEW OUTPATIENT SURGERY CENTER OFFERS THREE OPERATING ROOMS WITH ADVANCED TECHNOLOGY AND NEW EQUIPMENT FOR A VARIETY OF OUTPATIENT SURGICAL PROCEDURES. TWO INDIVIDUAL PATIENT ASSESSMENT ROOMS OFFER A PLACE FOR PRIVATE INTERVIEWS. AN ADDITIONAL INVESTMENT THE HOSPITAL MADE WAS IMPROVING SAFETY IN ACCESSING THE HOSPITAL. A NEW ROADWAY NOW DIRECTLY CONNECTS THE HOSPITAL WITH ROUTE 29, PROVIDING AMBULANCES A MORE DIRECT AND SAFER ROUTE, AND DIVERTING THE MAJORITY OF THE HOSPITAL TRAFFIC AWAY FROM THE RESIDENTIAL AND SCHOOL AREA THAT PREVIOUSLY WAS THE ONLY WAY TO ACCESS THE HOSPITAL. PART VI, LINE 6: MEMORIAL HEALTH SYSTEM, A 501(C)(3) CORPORATION, IS THE SOLE CORPORATE MEMBER OF ABRAHAM LINCOLN MEMORIAL HOSPITAL, A RURAL CRITICAL ACCESS HOSPITAL; TAYLORVILLE MEMORIAL HOSPITAL, A RURAL CRITICAL ACCESS HOSPITAL; AND MEMORIAL MEDICAL CENTER, A 500-BED TERTIARY CARE HOSPITAL THAT OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES. OTHER AFFILIATES INCLUDE: MEMORIAL PHYSICIAN SERVICES, A PRIMARY CARE PHYSICIAN NETWORK THAT INCLUDES SEVERAL CLINICS LOCATED IN MEDICALLY UNDERSERVED OR HEALTH MANPOWER SHORTAGE AREAS; MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, A MULTI-COUNTY OUTPATIENT MENTAL HEALTH NETWORK THAT PROVIDES SERVICE BASED ON A SLIDING-SCALE FEE SCHEDULE AND FREE CARE TO A WIDE RANGE OF PATIENTS WITH PSYCHIATRIC DISORDERS; MEMORIAL HOME SERVICES, A MULTI-COUNTY HOME CARE AND HOSPICE PROGRAM; A CHILD CARE CENTER; AND THREE HOSPITAL FOUNDATIONS, ALL OF WHICH ARE 501(C)(3) ENTITIES. HEALTH SYSTEM AFFILIATES INTEGRATE SERVICES TO PROVIDE IMPROVED ACCESS AND STREAMLINED TRANSITIONS BETWEEN THE DOCTORS' OFFICES, HOSPITAL, HOME HEALTH AGENCY, NURSING HOME AND MENTAL HEALTH CLINICS. MEMORIAL HEALTH SYSTEM'S AFFILIATES ENGAGE IN A WIDE RANGE OF COMMUNITY BENEFIT ACTIVITIES. IN ADDITION TO THE HOSPITAL ACTIVITIES FOR MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL MENTIONED IN PART VI, LINE 5, OTHER AFFILIATE COMMUNITY BENEFITS INCLUDE THE FOLLOWING. MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS PROVIDES NUMEROUS COMMUNITY BENEFITS. JUST A FEW OF THESE INCLUDE PSYCHIATRIC CRISIS INTERVENTION WITH LOCAL SCHOOLS DEALING WITH SUICIDE OR OTHER TRAUMATIC EVENTS; CRISIS INTERVENTION TRAINING FOR LOCAL LAW ENFORCEMENT DEALING WITH MENTALLY ILL INDIVIDUALS; AND MENTALLY ILL HOMELESS PERSONS ADVOCACY AND COUNSELING. IN FY11, MHCCI DEVELOPED A SUICIDE PREVENTION TRAINING/WEBINAR FOR SCHOOL PERSONNEL AND ALSO RAISED AWARENESS ABOUT MENTAL ILLNESS THROUGH COMMUNITY EVENTS AND PRESENTATIONS. MHCCI IS COLLABORATING WITH LOCAL PARTNERS ON A PROJECT TO DEVELOP A PLAN FOR A COMMUNITY-BASED SYSTEM OF CARE THAT WILL TRANSFORM AND IMPROVE THE WAY MENTAL HEALTH SERVICES ARE PROVIDED TO CHILDREN AND YOUTH IN SPRINGFIELD.MEMORIAL PHYSICIAN SERVICES PROVIDES MEDICAL EDUCATION OPPORTUNITIES FOR PHYSICIANS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. A PHYSICIAN FROM MPS WORKED WITH THE SPRINGFIELD SCHOOL DISTRICT TO PROVIDE STRESS COPING TRAINING FOR TEACHERS (FUNDING CAME FROM THE MEMORIAL MEDICAL CENTER FOUNDATION).MEMORIAL HOME SERVICES PROVIDES HOME HOSPICE CARE IN 14 ILLINOIS COUNTIES, OFFERING MEDICAL, SPIRITUAL AND EMOTIONAL SUPPORT FOR BOTH PATIENTS AND THEIR FAMILIES. MEMORIAL HOME SERVICES ALSO PROVIDED 129 FREE HEALTH SCREENING EVENTS THROUGHOUT THE YEAR, OFFERING 2,342 FREE BLOOD PRESSURE AND 1,000 GLUCOSE SCREENINGS IN A WIDE VARIETY OF COMMUNITY LOCATIONS; 21% OF THE BLOOD PRESSURE SCREENINGS AND 12% OF THE GLUCOSE SCREENINGS WERE ABNORMAL. THOSE PARTICIPANTS ARE REFERRED TO THEIR PHYSICIANS FOR FOLLOW-UP CARE. MEMORIAL HOME SERVICES ALSO DONATES WHEELCHAIRS AND OXYGEN TANKS FOR MULTIPLE LAND OF LINCOLN HONOR FLIGHTS WHICH TAKE WORLD WAR II AND KOREAN WAR VETERANS ON FREE TOURS OF WAR MEMORIALS IN WASHINGTON, D.C.THE MEMORIAL MEDICAL CENTER FOUNDATION (MMCF) PROVIDES GRANTS FOR PATIENT CARE, EDUCATION AND RESEARCH. ELEVEN GRANTS WERE AWARDED IN FY11. THESE GRANTS INCLUDED FUNDING FOR A STROKE TELEMEDICINE PROGRAM FOR RURAL PATIENTS; A STUDY TO PREDICT AND TEST FOR THE PRESENCE OF CHLAMYDIA AND GONORRHEA IN WOMEN WHO VISIT THE MEDICAL CENTER'S EMERGENCY DEPARTMENT; SUPPORT FOR AN INDIGENT PHARMACEUTICAL PROGRAM; MEDICATION RECONCILIATIONS FOR SENIOR CITIZENS DISCHARGED FROM HOSPITALIZATION; A STUDY COMPARING RESULTS OF SURGICAL AND NON-SURGICAL TREATMENTS OF HAND FRACTURES; PURCHASE OF A PORTABLE PERIPHERAL BONE DENSITOMETER TO USE IN COMMUNITY HEALTH SCREENINGS; AND TRAINING FOR ELEMENTARY SCHOOL TEACHERS TO TEACH THEIR STUDENTS CRITICAL COPING SKILLS FOR CLASSROOM READINESS. MANY OF THE RESEARCH GRANTS WERE PROVIDED TO SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. THE FOUNDATION ALSO ADMINISTERS A CANCER PATIENT ASSISTANCE FUND THAT ASSISTS CANCER PATIENTS WITH UTILITIES, RENT AND OTHER BASIC EXPENSES WHILE UNDERGOING CANCER TREATMENT AND A TRANSPLANT PATIENT ASSISTANCE FUND THAT ASSISTS KIDNEY TRANSPLANT PATIENTS WITH THE COSTS OF ANTI-REJECTION MEDICATIONS. IN FY11, MMCF SUPPORTED A COMMUNITY-WIDE WOMEN'S HEALTH FAIR TO PROVIDE A VARIETY OF HEALTH SCREENINGS AND TO EDUCATE WOMEN ABOUT HEALTH ISSUES RANGING FROM CANCER TO BLOOD PRESSURE. THE ABRAHAM LINCOLN HEALTHCARE FOUNDATION (ALHF) UNDERWRITES THE OPERATING EXPENSES OF THE LOGAN COUNTY HEALTHY COMMUNITIES PARTNERSHIP AND THE H.O.P.E. MOBILE. IN VISITING RURAL COMMUNITIES, 1,993 PRIMARY AND PREVENTIVE HEALTH SERVICES WERE PROVIDED BY THE H.O.P.E MOBILE IN FY11. DENTAL APPOINTMENTS FOR LOW-INCOME CHILDREN AND PREGNANT WOMEN WERE ALSO PROVIDED BY THE H.O.P.E. MOBILE. THE HEALTHY COMMUNITIES PARTNERSHIP ALSO COLLABORATIVELY ADDRESSES ALCOHOL AND DRUG USE, TEEN PREGNANCY, DOMESTIC ABUSE, SENIOR HEALTH ISSUES, PARISH NURSING AND EDUCATION ON THE LOCAL COMMUNITY LEVEL. ALHF'S CONTRIBUTION TO THE HEALTHY COMMUNITIES PARTNERSHIP IN FY2011 WAS $104,231. THE ABRAHAM LINCOLN HEALTHCARE FOUNDATION ALSO PROVIDED $5,500 IN HEALTHCARE SCHOLARSHIPS TO LOCAL RESIDENTS PREPARING FOR A PHARMACY AND A NURSING DEGREE, $8,863 FOR PAIN MEDICATION FOR HOSPICE PATIENTS, $10,000 IN SUPPORT FOR A MEDICAR TRANSPORTATION SERVICE FOR WHEELCHAIR-BOUND RESIDENTS, AND PROVIDED OVER $9,600 IN PHARMACEUTICAL ASSISTANCE TO DISCHARGED PATIENTS WHO COULD NOT AFFORD TO FILL THEIR PRESCRIPTIONS. AN ACTIVE LIFELINE PROGRAM, WHICH PLACES EMERGENCY CALL AND RESPONSE UNITS IN THE HOMES OF SENIORS, IS MANAGED BY ALMH STAFF AND FUNDED BY THE FOUNDATION. TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION CONTINUES TO SUPPORT PROGRAMS WHICH ASSIST IN THE TRAINING OF FUTURE HEALTHCARE PROVIDERS IN ITS SERVICE AREA. IN ADDITION, A WIDE RANGE OF COMMUNITY HEALTH SCREENINGS, CLASSES, AND OTHER EDUCATIONAL EVENTS ARE REGULARLY UNDERTAKEN. REPORTS FILED WITH STATES PART VI, LINE 7 IL 1 SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 SIU 6700 HOMELESS HEALTH CLINIC MEMORIAL HOME SERVICES 720 NORTH BOND STREET SPRINGFIELD IL 62702 370714225 501 (C) (3) 9339 PROVIDE GENERAL SUPPORT SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 SIU 60800 SKIN HYBRID GRAFT SYSTEM MEMORIAL PHYSICAN SERVICES 3132 OLD JACKSONVILLE ROAD STE 200 SPRINGFIELD IL 62704 379999999 501 (C) (3) 66700 PROVIDE COPING SKILLS TRAINING FOR TEACHERS MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD IL 62781 370661220 501 (C) (3) 5355 NURSING RESEARCH CONFERENCE SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 SIU 13818 PROVIDE GENERAL SUPPORT SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 SIU 37488 PROVIDE STD SCREENING IN THE EMERGENCY ROOM MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD IL 62781 370661220 501 (C) (3) 73762 STUDY OF DEPARTMENT OVERUSE BY PATIENTS MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD IL 62781 370661220 501 (C) (3) 8187 PROVIDE GENERAL SUPPORT SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 SIU 18669 STEM CELL TRANSPLANTATION SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 SIU 27060 ANATOMY OF THE VOLAR PLATE SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 SIU 24025 TISSUE ENGINEERING FOR CARTILAGE REPAIR MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD IL 62781 370661220 501 (C) (3) 30240 PROVIDE EQUIPMENT AND SUPPLIES MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS 8TH STREET SPRINGFIELD IL 62702 370646367 501 (C) (3) 56079 IMPACT STUDY OF DEPRESSION SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 SIU 22000 STEM CELLS FOR GASTROINTESTINAL CANCER SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE PO BOX 19620 SPRINGFIELD IL 62794 376005961 SIU 1272963 SEE PART IV MEMORIAL MEDICAL CENTER FOUNDATION 1 MEMORIAL PLAZA SPRINGFIELD IL 62781 371110301 501 (C) (3) 41000 SEE PART IV KUMLER OUTREACH MINISTRIES 303 NORTH GRAND AVENUE EAST SPRINGFIELD IL 62702 370695489 501 (C) (3) 24000 PHARMACEUTICAL ASSISTANCE AMERICAN HEART ASSOCIATION 2524 FARRAGUT DRIVE SUITE A SPRINGFIELD IL 62704 370673511 501 (C) (3) 25000 SPONSORSHIP OF THE SPRINGFIELD, IL HEART WALK SANGAMON COUNTY MEDICAL SOCIETY 230 WEST CARPENTER STREET SPRINGFIELD IL 62702 376027693 501 (C) (3) 25000 FUND COORDINATED ACCESS TO COMMUNITY HEALTH PROGRAM (CATCH) RADIOLOGY ONCOLOGY SYSTEMS INC 6725 MESA RIDGE ROAD SUITE 100 SAN DIEGO CA 92121 208092514 28860 SEE PART IV MEMORIAL MEDICAL CENTER 1 MEMORIAL PLAZA SPRINGFIELD IL 62781 371364980 501 (C) (3) 44349 PROVIDE SUPPORT FOR EDUCATION ELIZABETH ANN SETON 700 N 7TH STREET SPRINGFIELD IL 62702 371364890 501 (C) (3) 20000 HEALTHY FAMILIES PROGRAM EDUCATIONAL GRANTS 144 340928 TUITION REIMBURSEMENT 178 247354 SCHOLARSHIPS FOR EMPLOYEES 18 77950 EMPLOYEE ASSISTANCE WITH CATASTROPHIC EVENTS 39 30030 SHELTER AND UTILITY ASSISTANCE FOR PATIENTS 26 6440 DIRECT CASH ASSISTANCE TO PATIENTS 23 4849 PRESCRIPTION DRUG ASSISTANCE 39 6211 TRANSPORTATION ASSISTANCE FOR PATIENTS 73 15865 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ALL GRANTS AND ASSISTANCE ARE PROVIDED TO LOCALLY MANAGED, NON-PROFIT 501(C)(3) ORGANIZATIONS OR EMPLOYEES WHO MEET THE CRITERIA FOR FINANCIAL ASSISTANCE. EMPLOYEES ASSIST IN OVERSIGHT AS VOLUNTEER MEMBERS OF LOCAL AGENCY BOARD OF DIRECTORS. THE CAMPUS OF SIU SCHOOL OF MEDICINE IS ADJACENT TO THE MEMORIAL MEDICAL CENTER CAMPUS. GRANTS AND ASSISTANCE PROVIDED TO THE MEDICAL SCHOOL ARE MONITORED BY THE EXECUTIVE DIRECTOR OF MEMORIAL MEDICAL CENTER FOUNDATION. PART II, COLUMN H SOUTHERN ILLINOIS UNIVERSITY MEMORIAL MEDICAL CENTER IS AN ACUTE CARE, TEACHING HOSPITAL THAT IS A PRIMARY TEACHING HOSPITAL FOR THE SOUTHERN ILLINOIS SCHOOL OF MEDICINE. MMC RECEIVES THE EXCELLENCE IN ACADEMIC MEDICINE AWARD FROM THE ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES AND CHOOSES TO PASS THE MEDICAL RESEARCH AND DEVELOPMENT FUND ON TO THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE WITH THE PURPOSE THAT THE FUNDS WILL BE USED FOR MEDICAL RESEARCH. THE POST-TERTIARY CLINICAL SERVICES FUND APPLICATION EXPLICITLY LISTED THREE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE CANCER PROGRAMS. MMC IS THE PASS THROUGH AGENCY FOR THESE PROGRAM-RESTRICTED FUNDS AND THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE'S CANCER PROGRAMS ARE LISTED AS THE BENEFICIARIES. MMC ALSO CONTRIBUTES TO THE SOUTHERN ILLINOIS UNIVERSITY FOUNDATION'S ANNUAL FUNDRAISER. PART II, COLUMN H MEMORIAL MEDICAL CENTER FOUNDATION AS A SPECIAL GIFT OF REMEMBRANCE, MMC MAKES A DONATION TO THE MEMORIAL MEDICAL CENTER FOUNDATION IN MEMORY OF EMPLOYEES AND CERTAIN EMPLOYEE FAMILY MEMBERS UPON THEIR DEATHS. MMC ALSO CONTRIBUTED MONEY TO THE MEMORIAL MEDICAL CENTER FOUNDATION FOR THE LEONIA COLE SURGICAL TECHNOLOGIST SCHOLARSHIP FUND WHICH IS AWARDED TO A CANDIDATE PURSUING AN ASSOCIATE DEGREE IN SURGICAL TECHNOLOGY AT LINCOLN LAND COMMUNITY COLLEGE. PART II, COLUMN H RADIOLOGY ONCOLOGY SYSTEMS, INC MMC DONATED A PIECE OF EQUIPMENT TO A HOSPITAL IN BRAZIL. IN ORDER TO SHIP THE EQUIPMENT, MMC GAVE THE EQUIPMENT TO RADIOLOGY ONCOLOGY SYSTEMS WHO THEN SHIPPED THE EQUIPMENT. RADIOLOGY ONCOLOGY SYSTEMS PURCHASED A WORKSTATION FOR THE EQUIPMENT TO FUNCTION FOR THE HOSPITAL AND BILLED MMC FOR THE WORKSTATION. 1 X X X X 0 1 0 0 0 0 0 1 0 TRACY MIZEUR 127314 0 45171 0 192 0 13656 0 15561 0 201894 0 0 0 ELAINE YOUNG 0 198216 0 39321 0 10436 0 26543 0 5944 0 280460 0 0 KEVIN ENGLAND 0 252688 0 50500 0 14671 0 33917 0 15608 0 367384 0 0 THOMAS WESTRICK 0 170463 0 17274 0 1290 0 0 0 11480 0 200507 0 0 DOLAN DALPOAS 0 210679 0 41778 0 50238 0 28181 0 218 0 331094 0 0 DANIEL RAAB 0 185014 0 37499 0 17073 0 25352 0 15254 0 280192 0 0 J ERIC BLEYER MD 314075 0 95133 0 333 0 23473 0 39796 0 472810 0 0 0 EDGAR CURTIS 0 668771 0 233557 0 46065 0 165681 0 15114 0 1129188 0 0 ROBERT KAY 0 351388 0 0 0 20302 0 196378 0 16794 0 584862 0 0 MARK HANSEN MD 385440 0 112233 0 1140 0 34759 0 48627 0 582199 0 0 0 MARSHALL HALE MD 356226 0 32144 0 1539 0 22887 0 41886 0 454682 0 0 0 PAUL KASA MD 193709 0 26618 0 1323 0 6580 0 33656 0 261886 0 0 0 DOUGLAS RAHN 408940 0 113362 0 15030 0 68337 0 82273 0 687942 0 0 0 JANICE GAMBACH 0 150500 0 15899 0 1290 0 0 0 16605 0 184294 0 0 CHARLES CALLAHAN 225485 0 45813 0 16672 0 30690 0 15014 0 333674 0 0 0 TRAVIS DOWELL 194179 0 40572 0 27032 0 27388 0 16236 0 305407 0 0 0 ELENA KEZELIS 0 145063 0 14835 0 690 0 0 0 14352 0 174940 0 0 MARSHA PRATER 241723 0 67633 0 29563 0 41182 0 5881 0 385982 0 0 0 SCOTT KIRIAKOS 239756 0 48675 0 26736 0 32858 0 11333 0 359358 0 0 0 DAVID J JOERGER 172903 0 18322 0 1291 0 0 0 16551 0 209067 0 0 0 HARRY SCHMIDT 145189 0 29368 0 28696 0 19553 0 1035 0 223841 0 0 0 FERDINAND SALVACION MD 468056 0 69334 0 77752 0 84808 0 52407 0 752357 0 0 0 DAVID SANDERCOCK MD 304507 0 117450 0 4193 0 34261 0 45673 0 506084 0 0 0 JAMES GILDNER MD 455125 0 114004 0 1022 0 71109 0 60720 0 701980 0 0 0 JAMES BOHAN 359787 0 33039 0 1731 0 19555 0 39606 0 453718 0 0 0 STEVEN LILLPOP 357063 0 33521 0 3062 0 35597 0 44218 0 473461 0 0 0 ROBERT CLARKE 0 0 0 0 511823 0 0 0 0 0 511823 0 0 0 PART I, LINE 4B PART I, LINE 4B THE ORGANIZATION PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO THE FOLLOWING OFFICERS AND KEY EMPLOYEES: EDGAR J. CURTIS, $353,433, ROBERT W. KAY, $184,860, DOUGLAS L. RAHN, $48,372, FORREST G. HESTER, $25,781, MITCHELL L. JOHNSON, $18,515, ELAINE L. YOUNG, $21,527, KEVIN R. ENGLAND, $12,884, ANNA N. EVANS, $38,780, MARK E. WEAVER, M.D., $69,501, AND DAVID GRAHAM, M.D., $33,625. THESE BENEFITS ARE PROVIDED THROUGH A NONQUALIFIED DEFERRED COMPENSATION PLAN, UNDER WHICH THE BENEFITS BEING EARNED ARE SUBJECT TO A "SUBSTANTIAL RISK OF FORFEITURE." THE SUPPLEMENTAL RETIREMENT BENEFITS ARE STRUCTURED TO PROVIDE A RETENTION INCENTIVE THAT HAS BEEN DETERMINED BY THE LEADERSHIP COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM TO BE OF SUBSTANTIAL VALUE TO THE ORGANIZATION. TO BECOME ENTITLED TO THE BENEFITS PROVIDED, EACH COVERED EMPLOYEE MUST MEET SUBSTANTIAL REQUIREMENTS RELATING TO FURTHER EMPLOYMENT. UNTIL THOSE REQUIREMENTS ARE SATISFIED, IF EVER, THE EMPLOYEE IS NOT ENTITLED TO THESE AMOUNTS. IF THE EMPLOYEE WERE TO HAVE TERMINATED EMPLOYMENT VOLUNTARILY IN THE YEAR TO WHICH THIS RETURN APPLIES AND NOT MET THESE SUBSTANTIAL REQUIREMENTS, THESE SUPPLEMENTAL RETIREMENT BENEFITS WOULD HAVE BEEN FORFEITED. THESE SUPPLEMENTAL RETIREMENT BENEFITS ARE PART OF A RETIREMENT PROGRAM THAT PROVIDES RETIREMENT INCOME FOR ALL YEARS OF SERVICE THAT THE EMPLOYEE PROVIDES TO THE ORGANIZATION. ACCORDINGLY, ANY RETIREMENT BENEFITS SHOULD BE VIEWED AS APPLYING TO THE ENTIRE LENGTH OF THE EMPLOYEE'S SERVICE. THE LEADERSHIP COMPENSATION COMMITTEE OF THE MHS BOARD APPROVES ALL RETIREMENT BENEFITS, TOGETHER WITH ALL OTHER FORMS OF COMPENSATION AND BENEFITS FOR THESE AND OTHER SENIOR LEADERS, IN A MANNER INTENDED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL INCOME TAX LAW. PART I, LINE 7 MEMBERS OF SENIOR MANAGEMENT RECEIVE INCENTIVE COMPENSATION UNDER THE ANNUAL INCENTIVE COMPENSATION PLANS SPONSORED BY MEMORIAL HEALTH SYSTEM. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II). THE PLANS ARE DESIGNED TO CONDITION A PORTION OF COMPENSATION ON PERFORMANCE AGAINST PRE-DETERMINED ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM. THE LEADERSHIP COMPENSATION COMMITTEE OF THE BOARD HAS REVIEWED THE REASONABLENESS OF ALL SUCH PAYMENTS, AND HAS CONCLUDED, AS THE RESULT OF A PROCESS THAT IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER FEDERAL TAX LAW, THAT ALL SUCH AMOUNTS ARE REASONABLE AND DO NOT EXCEED FAIR MARKET VALUE FOR THE SERVICES PROVIDED. HARRY SCHMIDT KEY EMPLOYEE 1194 TUITION REIMBURSE SUSAN K CURTIS SUNLEY EMPLOYEE; DAUGHTER OF EDGAR J. CURTIS, CEO OF MEMORIAL HEALTH SYSTEM 42356 MEMORIAL MEDICAL CENTER PAID COMPENSATION AND BENEFITS OF $42,356 TO SUSAN K. CURTIS SUNLEY RELATED TO EMPLOYMENT SERVICES FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2012. SUSAN K. CURTIS SUNLEY IS THE DAUGHTER OF EDGAR J. CURTIS, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF MEMORIAL HEALTH SYSTEM AND A MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED. 0 SORLING NORTHRUP HANNA CULLEN & COCHRAN LTD BOARD MEMBER IS COO AT SORLING, NORTHRUP, HANNA, CULLEN & COCHRAN, LTD 131518 MEMORIAL MEDICAL CENTER PAID FEES TO THE LAW OFFICE OF SORLING, NORTHRUP, HANNA, CULLEN & COCHRAN, LTD. FOR LEGAL SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2012 IN THE AMOUNT OF $131,518. MARK H. FERGUSON IS A MEMBER OF THE BOARD OF DIRECTORS AND IS A PARTNER AND CHIEF OPERATING OFFICER AT SORLING, NORTHRUP, HANNA, CULLEN, & COCHRAN, LTD. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED. 0 SPRINGFIELD CLINIC LLP BOARD MEMBER IS EMPLOYEE AND BOARD MEMBER OF SPRINGFIELD CLINIC. LLP 2131217 MEMORIAL MEDICAL CENTER PAID FEES TO SPRINGFIELD CLINIC, LLP FOR THE YEAR ENDED SEPTEMBER 30, 2012 IN THE AMOUNT OF $2,131,217. A PHYSICIAN AND BOARD MEMBER OF THIS COMPANY, MICHAEL A. PICK, M.D., IS ALSO A MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS. ALL FEES ARE NEGOTIATED AT ARM'S LENGTH AND ARE AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED. 0 SANGAMON PROFESSIONAL BUILDING LLC OWNER'S WIFE IS A BOARD MEMBER 527931 MEMORIAL MEDICAL CENTER LEASED PROPERTY FROM SANGAMON PROFESSIONAL BUILDING LLC FOR THE YEAR ENDED SEPTEMBER 30, 2012 IN THE AMOUNT OF $527,931. THE OWNER OF SANGAMON PROFESSIONAL BUILDING LLC IS THE HUSBAND OF CAROL J. HANSEN POSEGATE, A MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS. THE LEASE IS UNDERTAKEN AT ARM'S LENGTH AND IS AT FAIR MARKET VALUE. 0 MID-AMERICA EMERGENCY PHYSICIANS INC BRD MEMBER IS A VOTING BOARD MEMBER OF MID-AMERICA EMERGENCY PHYSICIANS INC 4896282 MEMORIAL MEDICAL CENTER PAID MID-AMERICA EMERGENCY PHYSICIANS INC. $4,896,282 DURING FISCAL YEAR 2012. ALL FEES ARE NEGOTIATED AT ARM'S LENGTH AND ARE AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED. 0 SPRINGFIELD ELECTRIC SUPPLY BOARD MEMBER IS OWNER OF SPRINGFIELD ELECTRIC SUPPLY 171292 MEMORIAL MEDICAL CENTER PAID FEES TO SPRINGFIELD ELECTRIC SUPPLY FOR GOODS AND SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2012 IN THE AMOUNT OF $171,292. RANDALL S. GERMERAAD IS A MEMBER OF THE BOARD OF DIRECTORS AND AN OWNER OF SPRINGFIELD ELECTRIC SUPPLY. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED. 0 GRANT MEADOWS ASSOCIATES BOARD MEMBERS HALE & BOHAN ARE OWNERS OF GRANT MEADOWS ASSOCIATES 118938 GRANT MEADOWS ASSOCIATES LEASES A MEDICAL OFFICE BUILDING LOCATED IN JACKSONVILLE, IL TO MEMORIAL PHYSICIAN SERVICES. THE AMOUNTS TRANSACTED REFLECT THE FAIR MARKET VALUE OF GOODS AND SERVICES RECEIVED. 0 FORM 990, PART VI, SECTION A, LINE 2 MARK H. FERGUSON AND WILLIAM R. ENLOW, BOTH MEMORIAL MEDICAL CENTER BOARD MEMBERS, ARE PARTNERS AT THE SAME LAW FIRM, SORLING, NORTHRUP, HANNA, CULLEN & COCHRAN, LTD. FORM 990, PART VI, SECTION A, LINE 6 MEMORIAL HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF THE AFFILIATES REPORTED IN THIS GROUP RETURN. MEMORIAL HEALTH SYSTEM CORPORATION CONTAINS 100 INDIVIDUAL MEMBERS WHO ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 A FINAL DRAFT COPY OF THE MHS GROUP FORM 990 AND ALL ATTACHMENTS IS PROVIDED TO ALL OF THE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS AND A BOARD COMMITTEE PRIOR TO FILING. AT THE BOARD MEETING, A PRESENTATION IS MADE BY THE CFO TO THE BOARD, FOLLOWED BY A QUESTION AND ANSWER SESSION. PRESENTATIONS ARE MADE TO THE AFFILIATE MEMBERS' BOARDS IN THE SAME TIME FRAME, ALTHOUGH COPIES OF THE COMPLETE FORM 990 AND ALL ATTACHMENTS ARE NOT PROVIDED PRIOR TO THOSE MEETINGS, EXCEPT TO BOARD MEMBERS WHO REQUEST COMPLETE COPIES. ALL QUESTIONS AND COMMENTS ARISING FROM THESE REVIEWS ARE ADDRESSED PRIOR TO SUBMISSION OF THE RETURN TO THE APPROPRIATE TAXING AUTHORITIES. FORM 990, PART VI, SECTION B, LINE 12C MEMORIAL HEALTH SYSTEM AND ITS SUBORDINATES MONITOR AND ENFORCE THEIR CONFLICT OF INTEREST POLICY BY IDENTIFYING ANY POTENTIAL CONFLICTS AT THE TIME EACH MEETING AGENDA IS PREPARED. ANY OFFICER OR DIRECTOR WHO HAS A CONFLICT IS NOTIFIED OF SUCH CONFLICT, AS WELL AS THEIR OBLIGATION TO ABSTAIN FROM THE DISCUSSION AND VOTE ON ANY CONFLICTED ISSUES(S). SUCH ABSTENTION(S), IF REQUIRED, ARE DOCUMENTED IN THE MINUTES OF EACH MEETING. BOARD MEMBERS ARE ALSO REQUIRED TO UPDATE THEIR CONFLICT OF INTEREST DISCLOSURE STATEMENTS PROMPTLY IN THE EVENT OF ANY CHANGE IN PERSONAL OR BUSINESS ACTIVITIES THAT WOULD REQUIRE SUCH DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 THE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS HAS APPOINTED A LEADERSHIP COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS, AND HAS DELEGATED TO IT THE RESPONSIBILITY OF ADMINISTERING, OVERSEEING AND APPROVING ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVE LEADERSHIP, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE BOARD HAS ADOPTED A LEADERSHIP COMPENSATION PHILOSOPHY STATEMENT DESCRIBING THE ROLE AND RESPONSIBILITIES OF THE COMMITTEE. THIS PHILOSOPHY EXPRESSLY STATES THE COMMITTEE'S INTENT, ON BEHALF OF THE CORPORATION, TO TAKE ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. THE COMMITTEE ANALYZES EVERY ELEMENT OF COMPENSATION (INCLUDING CURRENT, INCENTIVE AND DEFERRED COMPENSATION) AND BENEFITS (INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS). THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. IN CONNECTION WITH THE MOST RECENT REVIEW AND APPROVAL PROCESS, THE COMMITTEE RECEIVED PROFESSIONAL ADVICE FROM AN INDEPENDENT CONSULTANT AND OUTSIDE LEGAL COUNSEL. THE COMMITTEE CONSISTS ENTIRELY OF DISINTERESTED MEMBERS OF THE BOARD OR DISINTERESTED COMMITTEE MEMBERS WHO UNDER STATE CORPORATE LAW MAY SERVE ON SUCH A COMMITTEE. THE COMMITTEE WORKS WITH ITS COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, SUCH AS ARTICLES OF INCORPORATION AND ANY AMENDMENTS THERETO, ARE AVAILABLE TO THE GENERAL PUBLIC THROUGH THE ILLINOIS SECRETARY OF STATE'S OFFICE. THESE GOVERNING DOCUMENTS, AS WELL AS THE BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 24,092,866. CHANGE IN MINIMUM PENSION LIABILITY -51,721,762. TRANSFERS -20,461,622. OTHER 7,816,185. NET ASSETS ALHF -15,675,488. BOOK TAX DIFFERENCE 47,050. TOTAL TO FORM 990, PART XI, LINE 5: -55,902,771. 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