METHODIST MEDICAL CENTER OF ILLINOIS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: METHODIST MEDICAL CENTER OF ILLINOIS (EIN 37-0661223)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201323189349300117
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T06:51:42-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	370661223	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	METHODIST MEDICAL CENTER OF ILLINOIS	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	METH	NameControl
Phone	3096725914	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	221 NE GLEN OAK AVE	AddressLine1
City	PEORIA	City
State	IL	State
ZIP Code	616360002	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ROBERT A QUIN	Name
Title	VP FINANCE/CFO	Title
Phone	3096724893	Phone
Date Signed	2013-11-09	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DEBBIE SIMON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	221 NE GLEN OAK AVE	AddressLine1
City	PEORIA	City
State	IL	State
ZIP Code	616360002	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	434804076	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.UNITYPOINT.ORG/PEORIA.ASPX	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1898	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	WE ARE COMMITTED TO DELIVERING OUTSTANDING HEALTHCARE. PERIOD.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	3682	TotalNbrEmployees
Total Nbr Volunteers	257	TotalNbrVolunteers
Total Gross UBI	4244263	TotalGrossUBI
Net Unrelated Business Txbl Income	544514	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1115092	ContributionsGrantsPriorYear
Contributions Grants Current Year	1732488	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	374216858	ProgramServiceRevenuePriorYear
Program Service Revenue CY	357076337	ProgramServiceRevenueCY
Investment Income Prior Year	6073820	InvestmentIncomePriorYear
Investment Income Current Year	7095235	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7444979	OtherRevenuePriorYear
Other Revenue Current Year	3220525	OtherRevenueCurrentYear
Total Revenue Prior Year	388850749	TotalRevenuePriorYear
Total Revenue Current Year	369124585	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1229963	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1060412	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	178149213	SalariesEtcPriorYear
Salaries Etc Current Year	165094653	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	205135403	OtherExpensePriorYear
Other Expenses Current Year	172002998	OtherExpensesCurrentYear
Total Expenses Prior Year	384514579	TotalExpensesPriorYear
Total Expenses Current Year	338158063	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	4336170	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	30966522	RevenuesLessExpensesCY
Total Assets BOY	433984380	TotalAssetsBOY
Total Assets EOY	454964929	TotalAssetsEOY
Total Liabilities BOY	314870159	TotalLiabilitiesBOY
Total Liabilities EOY	286579773	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	119114221	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	168385156	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	WE ARE COMMITTED TO DELIVERING OUTSTANDING HEALTHCARE. PERIOD.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	306662410	Expense
Grants	0	Grants
Revenue	360296862	Revenue
Description	HEALTH-CARE SERVICESMETHODIST MEDICAL CENTER OF ILLINOIS IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE CENTRAL ILLINOIS COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. METHODIST MEDICAL CENTER OF ILLINOIS PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, HOME HEALTH, INTENSIVE CARE AND CRITICAL CARE, MENTAL HEALTH CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, BEHAVIORAL DISORDER PROGRAMS, MATERNAL/CHILD CARE, LABORATORY, PALLIATIVE CARE, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, CHECK-UPS AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2012, METHODIST MEDICAL CENTER OF ILLINOIS ADMITTED 15,548 PATIENTS RESULTING IN A TOTAL OF 75,998 PATIENT DAYS. OUTPATIENT VISITS TOTALED 129,806 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 7,748. THERE WERE ALSO 56,545 EMERGENCY ROOM VISITS AND 1,737 BABIES DELIVERED.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	1060412	Expense
Grants	1060412	Grants
Revenue	0	Revenue
Description	COMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: METHODIST MEDICAL CENTER OF ILLINOIS PROVIDES CHARITY CARE AND OTHER MEANS-TESTED PROGRAMS WITH THE GOAL TO IMPROVE THE COMMUNITY'S OVERALL HEALTH AND ACCESS TO CARE. THIS INCLUDES HEALTH-CARE SERVICES REGARDLESS OF THE PATIENT'S INSURANCE COVERAGE OR FINANCIAL STATUS. CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. CHARITY CARE WAS MADE AVAILABLE AT A VALUE OF $7,970,816 IN 2012. OFTENTIMES, METHODIST MEDICAL CENTER OF ILLINOIS RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. METHODIST MEDICAL CENTER OF ILLINOIS PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. METHODIST MEDICAL CENTER OF ILLINOIS' NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $11,042,436 FOR 2012. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $19,013,252OTHER BENEFITS: METHODIST MEDICAL CENTER OF ILLINOIS PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; CONTINUING EDUCATION FOR HEALTH PROFESSIONALS; SUBSIDIZED HEALTH SERVICES; RESEARCH; AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. METHODIST MEDICAL CENTER OF ILLINOIS COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. METHODIST MEDICAL CENTER OF ILLINOIS HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL OTHER BENEFITS REPORTED VALUE: $7,733,025	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	307722822	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	1	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	3682	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	TONY MOORE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3096725914	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	221 NORTHEAST GLEN OAK AVE	AddressLine1
City	PEORIA	City
State	IL	State
ZIP Code	61636	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
BRUCE ALKIRE
BOARD VICE CHAIR	1.00	0.00	X	X	0	0	0
BRIAN COHEN MD
DIRECTOR	40.00	0.00	X		347148	0	15690
JOHN ERWIN PHD
DIRECTOR	1.00	0.00	X		0	0	0
GREG GERSTNER FR 062012
DIRECTOR	1.00	0.00	X		0	0	0
PETER JOHNSEN PHD
DIRECTOR	1.00	1.00	X		0	0	0
ALEXIS KHAZZAM
BOARD CHAIR	1.00	1.00	X	X	0	0	0
KEITH KNEPP MD
DIRECTOR/VP SYSTEM INTEGRATION/CMIO	40.00	0.00	X		287539	0	51034
PATRICK O'LEARY FR 062012
DIRECTOR	1.00	0.00	X		0	0	0
SCOTT REID DO
DIRECTOR	1.00	0.00	X		0	0	0
DEBORAH SIMON
DIRECTOR/PRESIDENT & CEO	40.00	1.00	X	X	522675	0	188883
DEVENDRA TRIVEDI MD TO 062012
DIRECTOR	1.00	1.00	X		0	14737	0
ROBERT QUIN
SECRETARY/TREASURER/CFO	40.00	1.00		X	275133	0	60631
TAMMY DUVENDACK
VP OF CARE TRANSFORMATION	40.00	0.00			200038	0	30566	X
GARY KNEPP
PRES OF MMG/VP OF PHYSICIAN INTEGRATION	40.00	0.00			248825	0	11064	X
JOHN MILLER
VP OF MEDICAL AFFAIRS	40.00	0.00			275539	0	15690	X
MIKE NAMANNY
VP OF MMG OPERATIONS	40.00	0.00			175775	0	30774	X
JEANINE SPAIN
VP OF NURSING OPERATIONS, CNO	40.00	0.00			225751	0	114129	X
TERRY WATERS
VP STRATEGY AND DEVELOPMENT	40.00	0.00			231576	0	102522	X
RICK ANDERSON TO 062012
SVP MEDICAL AFFAIRS	40.00	0.00			346084	0	93710	X
ERICK LAINE TO 022012
SENIOR VP	1.00	40.00			36951	375353	24411	X
ALEXANDER ADLER
PHYSICIAN	40.00	0.00			654880	0	52205		X
CHARLES EGLEY
PHYSICIAN	40.00	0.00			791075	0	46391		X
JOEL KUPFER
PHYSICIAN	40.00	0.00			686880	0	11184		X
JAMES LOCHER
PHYSICIAN	40.00	0.00			639659	0	21940		X
DWAYNE MCQUITTY
PHYSICIAN	40.00	0.00			952789	0	15690		X
CALVIN MACKAY
FORMER SEC/TREAS/CFO (2011)	0.00	0.00			317591	0	88132			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7215908	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	390090	TotalReportableCompFrmRltdOrgs
Total Other Compensation	974646	TotalOtherCompensation
Number Individuals GT100 K	258	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
METHODIST PHYSICIAN SERVICES
PO BOX 87	PEORIA	IL	61650	CONTRACT EMPLOYEES	12165088
MCKESSON TECHNOLOGIES INC
PO BOX 98347	CHICAGO	IL	606938347	IT SUPPLIER	3719280
PROFESSIONAL THERAPY SERVICES INC
2810 FRANK SCOTT PRKWAY WEST SUITE	BELLEVILLE	IL	62223	PHYSICAL THERAPY	3390992
PHILIPS MEDICAL SYSTEMS
PO BOX 100355	ATLANTA	GA	303840355	MAINTENANCE CONTRACT	3037663
U OF I COLLEGE OF MEDICINE AT PEORIA
PO BOX 4196	SPRINGFIELD	IL	62708	PHYSICIAN SERVICES	2814068

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	30	NumberOfContractorsGT100K
Related Organizations	751153	RelatedOrganizations
Government Grants	630058	GovernmentGrants
All Other Contributions	351277	AllOtherContributions
Total Contributions	1732488	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE	621990	237080940	237080940
LABORATORY SERVICES	621500	103142800	100219359	2923441
EDUCATION REVENUE	900099	9033322	9033322
SUBS & JOINT VENTURES	900099	3426143	3416237	9906
MANAGEMENT, IT AND SUPPORT SERVIC	561000	1493907	1493907

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2899225	TotalRevenueColumn
Related Or Exempt Function Income	1501942	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	925435	UnrelatedBusinessRevenue
Exclusion	$471,848	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	357076337	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4523136	TotalRevenueColumn
Exclusion	$4,523,136	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	68033896	Securities
Other	177680	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	65479897	Securities
Other	159580	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2553999	Securities
Other	18100	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2572099	TotalRevenueColumn
Exclusion	$2,572,099	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	52246	GrossSalesOfInventory
Cost Of Goods Sold	40014	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	12232	TotalRevenueColumn
Related Or Exempt Function Income	12232	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
MISCELLANEOUS REVENUE	900099	1303850	1183360	120490
CAFETERIA	722210	1069309	1069309
EDUCATION & RESEARCH	900099	831025	566034	264991

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4109	TotalRevenueColumn
Related Or Exempt Function Income	4109	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	3208293	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	369124585	TotalRevenueColumn
Related Or Exempt Function Income	355580751	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4244263	UnrelatedBusinessRevenue
Exclusion	$7,567,083	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1060412	Total
Program Services	1060412	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3887618	Total
Management And General	3887618	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	516061	Total
Management And General	516061	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	137140960	Total
Program Services	127865078	ProgramServices
Management And General	9275882	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	-4016409	Total
Program Services	-3744749	ProgramServices
Management And General	-271660	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	18541848	Total
Program Services	17287723	ProgramServices
Management And General	1254125	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	9024575	Total
Program Services	8414175	ProgramServices
Management And General	610400	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	564951	Total
Management And General	564951	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	6270	Total
Management And General	6270	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	35573	Total
Management And General	35573	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	374245	Total
Management And General	374245	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	56336037	Total
Program Services	48610101	ProgramServices
Management And General	7725936	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1334276	Total
Program Services	167857	ProgramServices
Management And General	1166419	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5838213	Total
Program Services	4822012	ProgramServices
Management And General	1016201	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4116180	Total
Program Services	2837583	ProgramServices
Management And General	1278597	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	13838208	Total
Program Services	11192797	ProgramServices
Management And General	2645411	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	760650	Total
Program Services	532691	ProgramServices
Management And General	227959	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2354130	Total
Program Services	2354130	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	21790441	Total
Program Services	21654150	ProgramServices
Management And General	136291	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7673439	Total
Program Services	7673439	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
INCOME TAXES	-44973	-44973
MEDICAL SUPPLIES	47323902		47323902
MEDICAID PROVIDER ASSES	9283361		9283361
MISCELLANEOUS EXPENSE	348900	29935	318965

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	69195	Total
Program Services	69195	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	338158063	Total
Program Services	307722822	ProgramServices
Management And General	30435241	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	17420123	BOY
EOY	27285483	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	56662570	BOY
EOY	55909580	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	9570726	BOY
EOY	8970666	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3166168	BOY
EOY	3807483	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7010411	BOY
EOY	2938487	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	193638845	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	26969818	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	172143738	BOY
EOY	166669027	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	130444371	BOY
EOY	148125369	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	29068326	BOY
EOY	30744592	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1500750	BOY
EOY	1165264	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	6997197	BOY
EOY	9348978	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	433984380	BOY
EOY	454964929	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	33398819	BOY
EOY	37418529	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	13427931	BOY
EOY	5209789	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	109180000	BOY
EOY	104180000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	896645	BOY
EOY	194647	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	27934212	BOY
EOY	31368721	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	130032552	BOY
EOY	108208087	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	314870159	BOY
EOY	286579773	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	106203404	BOY
EOY	154268006	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8990848	BOY
EOY	10133549	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3919969	BOY
EOY	3983601	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	119114221	BOY
EOY	168385156	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	433984380	BOY
EOY	454964929	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	30966522	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	10130114	ReconciliationUnrealizedInvest
Reconcilation Other Changes	8174299	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$35,573	OtherActivitiesAmount
Total Lobbying Expenditures IIB	35573	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	FEES PAID FOR LOBBYING FOR HOSPITAL-RELATED ISSUES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12910818	BeginningOfYearBalance
Contributions	806329	Contributions
Investment Earnings Or Losses	1233627	InvestmentEarningsOrLosses
Grants Or Scholarships	811152	GrantsOrScholarships
Other Expenditures	22471	OtherExpenditures
End Of Year Balance	14117151	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13430146	BeginningOfYearBalance
Contributions	875797	Contributions
Investment Earnings Or Losses	-485319	InvestmentEarningsOrLosses
Grants Or Scholarships	887357	GrantsOrScholarships
Other Expenditures	22449	OtherExpenditures
End Of Year Balance	12910818	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12893992	BeginningOfYearBalance
Contributions	907320	Contributions
Investment Earnings Or Losses	1009081	InvestmentEarningsOrLosses
Grants Or Scholarships	1380247	GrantsOrScholarships
End Of Year Balance	13430146	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11526661	BeginningOfYearBalance
Contributions	887757	Contributions
Investment Earnings Or Losses	1625606	InvestmentEarningsOrLosses
Grants Or Scholarships	1146032	GrantsOrScholarships
End Of Year Balance	12893992	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	15826355	BeginningOfYearBalance
Contributions	1478221	Contributions
Investment Earnings Or Losses	-4720647	InvestmentEarningsOrLosses
Grants Or Scholarships	1057268	GrantsOrScholarships
End Of Year Balance	11526661	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.28220	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.71780	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1458352	OtherCostOrOtherBasis
Book Value	1458352	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	109858987	OtherCostOrOtherBasis
Depreciation	7264523	Depreciation
Book Value	102594464	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	74094135	OtherCostOrOtherBasis
Depreciation	19063132	Depreciation
Book Value	55031003	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8227371	OtherCostOrOtherBasis
Depreciation	642163	Depreciation
Book Value	7585208	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	166669027	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (8 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
METHODIST MEDICAL CENTER FOUNDATION	18236599	F
AMERICAN HEALTHCARE SYSTEM	1290000	F
CENTRAL ILLINOIS WORK INJURY RESOURCE	1003396	F
GREATER PEORIA SPECIALTY HOSPITAL	3297027	F
CENTRAL ILLINOIS ENDOSCOPY CENTER	3602666	F
CENTRAL ILLINOIS CANCER CARE CENTER	2168495	F
REHABILITATION THERAPY SERVICES	1114409	F
MMCI ORTHOPEDIC CO-MANAGEMENT COMPANY	32000	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	30744592	TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$1,338,170
SELF-INSURANCE RESERVE	$14,920,096
LONG-TERM RETENTION INCENTIVES	$3,501,089
ASBESTOS REMOVAL LIABILITY	$1,023,680
DB RETIREMENT PLAN LIABILITY	$87,425,052

Field	Value	IRS element (for citing)
Total Of Amounts	108208087	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	378210000	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	9840190	NetUnrealizedGainsInvestments
Other Revenues	40081	OtherRevenues
Revenue Not Rptd F990	9880271	RevenueNotRptdF990
Revenue Subtotal	368329729	RevenueSubtotal
Investment Expenses Not Included	374245	InvestmentExpensesNotIncluded
Other Revenues Not Included	420611	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	794856	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	369124585	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	337824000	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	40182	OtherExpensesIncluded
Expenses Not Rptd F990	40182	ExpensesNotRptdF990
Expenses Subtotal	337783818	ExpensesSubtotal
Investment Expenses Not Included2	374245	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	374245	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	338158063	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE PERMANENT ENDOWMENTS ARE MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME, WITH THE STIPULATION THAT THE PRINCIPAL BALANCE MUST BE INVESTED AND KEPT INTACT IN PERPETUITY, WHILE ONLY THE INCOME GENERATED CAN BE USED BY THE ORGANIZATION. THE TEMPORARY ENDOWMENTS ARE MAINTAINED TO PROVIDE A SOURCE OF INCOME FOR EITHER A SPECIFIC PERIOD OF TIME OR UNTIL A SPECIFIC EVENT OCCURS. THE MAJORITY OF METHODIST'S ENDOWMENTS HAVE DESIGNATIONS FOR USE FOR HOSPICE, MEDICAL EQUIPMENT AND PEDIATRIC CARE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	IOWA HEALTH SYSTEM AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 501(C)(2) OF THE INTERNAL REVENUE CODE (THE CODE). TAX-EXEMPT ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME AS DESCRIBED UNDER PROVISIONS OF SECTION 511 OF THE CODE. THE HEALTH SYSTEM FILES FORM 990 FOR SUBSTANTIALLY ALL OF ITS OPERATING ENTITIES IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE YEARS BEFORE 2009. THE HEALTH SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. CERTAIN SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. SOME OF THESE CORPORATIONS HAVE ACCUMULATED NET OPERATING LOSS CARRYFORWARDS THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME DURING THE CARRYFORWARD PERIOD. NO INCOME TAX BENEFIT HAS BEEN RECOGNIZED FOR THE NET OPERATING LOSS CARRYFORWARDS OR OTHER POTENTIAL DEFERRED TAX ASSETS IN THE CONSOLIDATED FINANCIAL STATEMENTS BECAUSE THE HEALTH SYSTEM BELIEVES REALIZATION OF THESE BENEFITS IS UNLIKELY.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		SALES OF INVENTORY 40,014. ROUNDING 67.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		TAX REVENUES IN UNRESTRICTED FUND BALANCE 288,776. TAX REVENUES IN TEMPORARILY RESTRICTED FUND BALANCE 131,835.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		SALES OF INVENTORY 40,014. ROUNDING 168.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA/CARIBBEAN	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	0	NumberOfEmployees
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConducted
Total Expenditures	18415973	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	18415973	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	18415973	TotalAmountSpent
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	0	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	600.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7970816	TotalCommunityBenefitExpense
Net Community Benefit Expense	7970816	NetCommunityBenefitExpense
Percent Of Total Expense	0.02360	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	50274348	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39231912	DirectOffsettingRevenue
Net Community Benefit Expense	11042436	NetCommunityBenefitExpense
Percent Of Total Expense	0.03270	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	58245164	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39231912	DirectOffsettingRevenue
Net Community Benefit Expense	19013252	NetCommunityBenefitExpense
Percent Of Total Expense	0.05630	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3211154	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1891911	DirectOffsettingRevenue
Net Community Benefit Expense	1319243	NetCommunityBenefitExpense
Percent Of Total Expense	0.00390	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7917484	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4860889	DirectOffsettingRevenue
Net Community Benefit Expense	3056595	NetCommunityBenefitExpense
Percent Of Total Expense	0.00900	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4955404	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3406416	DirectOffsettingRevenue
Net Community Benefit Expense	1548988	NetCommunityBenefitExpense
Percent Of Total Expense	0.00460	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	449824	TotalCommunityBenefitExpense
Direct Offsetting Revenue	395503	DirectOffsettingRevenue
Net Community Benefit Expense	54321	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1753878	TotalCommunityBenefitExpense
Net Community Benefit Expense	1753878	NetCommunityBenefitExpense
Percent Of Total Expense	0.00520	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18287744	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10554719	DirectOffsettingRevenue
Net Community Benefit Expense	7733025	NetCommunityBenefitExpense
Percent Of Total Expense	0.02290	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	76532908	TotalCommunityBenefitExpense
Direct Offsetting Revenue	49786631	DirectOffsettingRevenue
Net Community Benefit Expense	26746277	NetCommunityBenefitExpense
Percent Of Total Expense	0.07920	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	35000	TotalCommunityBuildingExpense
Net Community Building Expense	35000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Building Expense	55000	TotalCommunityBuildingExpense
Net Community Building Expense	55000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	106500	TotalCommunityBuildingExpense
Net Community Building Expense	106500	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Total Community Building Expense	196500	TotalCommunityBuildingExpense
Net Community Building Expense	196500	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$5,608,175	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	88709763	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	83503283	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	5206480	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Research FacilityResearchFacility	Er24 HoursEr24Hours	Er OtherErOther	OtherOther
METHODIST MEDICAL CENTER OF ILLINOIS
1	221 NE GLEN OAK AVENUE	PEORIA	IL	61636	X	X	X	X
GREATER PEORIA SPECIALTY HOSPITAL
2	500 W ROMEO B GARRETT AVE	PEORIA	IL	61605	X	X			X	LONG TERM ACUTE CARE

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
METHODIST MEDICAL CENTER OF ILLINOIS
1	1	1	200.000000000000	1	600.000000000000	1	X	X	X	1	1	X	X	X	1	0	X	X	X	X	1	X	0	0
GREATER PEORIA SPECIALTY HOSPITAL
2	1	1	200.000000000000	1	600.000000000000	1	X	X	X	1	1	X	X	X	1	0	X	X	X	X	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	29	NumberOfOtherFacilities

Other Facilities OtherFacilities (29 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
METHODIST EAST CAMPUS
415 ST MARKS COURT	PEORIA	IL	61603	COLLEGE OF NURSING; DAYCARE; ADMINISTRATION
METHODIST PHYSICIANS MEDICAL PLAZA
214 NE GLEN OAK AVE	PEORIA	IL	61636	PHYSICIAN OFFICES; SLEEP LAB
METHODIST HEART LUNG AND VASCULAR INST
112 CRESCENT AVE	PEORIA	IL	61603	PHYSICIAN OFFICES; MEDICAL IMAGING; CARDIOLOGY
METHODIST ATRIUM
900 MAIN STREET	PEORIA	IL	61602	PHYSICIAN OFFICES; REHABILITATION
METHODIST FAMILY MEDICAL CENTER
815 MAIN STREET	PEORIA	IL	61602	PHYSICIAN OFFICES
MMG AT FARMINGTON
158 E FULTON AVENUE	FARMINGTON	IL	61531	PHYSICIAN OFFICES
METHODIST CENTER FOR INTEGRATIVE MED
9101 N ALLEN ROAD	PEORIA	IL	61615	PHYSICIAN OFFICES
MMG AT CHILLICOTHE
525 SWEETBRIAR	CHILLICOTHE	IL	61523	PHYSICIAN OFFICES; REHABILITATION
MMG AT METAMORA
901 W WALNUT	METAMORA	IL	61548	PHYSICIAN OFFICES
MMG AT PRINCEVILLE
223 EAST MAIN STREET	PRINCEVILLE	IL	61559	PHYSICIAN OFFICES
METHODIST NORTH
2338 WEST SUDS PKWY	PEORIA	IL	61615	PHYSICIAN OFFICES; REHABILITATION; MEDICAL IMAGING; CARDIOLOGY
MMG AT CANTON
2076 N MAIN STREET	CANTON	IL	61520	PHYSICIAN OFFICES
MMG AT LACON
1112 E FIFTH STREET	LACON	IL	61540	PHYSICIAN OFFICES
MMG AT MT HAWLEY - FAMILY MEDICINE
7725 N KNOXVILLE AVE	PEORIA	IL	61614	PHYSICIAN OFFICES
MMG AT EAST PEORIA
200 RIVER ROAD	EAST PEORIA	IL	61611	PHYSICIAN OFFICES
MMG AT KNOXVILLE
2709 N KNOXVILLE AVE	PEORIA	IL	61604	PHYSICIAN OFFICES
METHODIST GLEN OAK MEDICAL CENTER
120 NE GLEN OAK AVE	PEORIA	IL	61602	ADMINISTRATION
MMG AT STERLING
3335 N STERLING AVE	PEORIA	IL	61615	PHYSICIAN OFFICES
METHODIST MEDPOINTE AT PEORIA
8914 N KNOXVILLE AVE	PEORIA	IL	61615	PHYSICIAN OFFICES
METHODIST AT MORTON
1909 N MORTON AVE	MORTON	IL	61550	PHYSICIAN OFFICES; REHABILITATION
METHODIST AT PEKIN
1800 BROADWAY	PEKIN	IL	61554	PHYSICIAN OFFICES
MMG AT PEARTREE
6831 N PEAR TREE LANE	PEORIA	IL	61615	PHYSICIAN OFFICES
MMG ON SOUTH JEFFERSON
2127 SE JEFFERSON	PEORIA	IL	61605	PHYSICIAN OFFICES
MMG CARDIOLOGY
765 KELLOGG STREET	GALESBURG	IL	61401	PHYSICIAN OFFICES
CENTRAL ILLINOIS CANCER CARE CENTER
7309 N KNOXVILLE AVE	PEORIA	IL	61614	OUTPATIENT RADIATION THERAPY
CENTRAL ILLINOIS ENDOSCOPY CENTER
1001 MAIN ST SUITE 500B	PEORIA	IL	61606	OCCUPATIONAL ENDOSCOPY SERVICES
ILLINOIS WORK INJURY RESOURCE CENTER
736 SW WASHINGTON ST SUITE 2	PEORIA	IL	61602	OCCUPATIONAL MEDICINE
MMG AT WASHINGTON
205 CUMMINGS LANE	WASHINGTON	IL	61571	PHYSICIAN OFFICES; REHABILITATION
REHABILITATION THERAPY SERVICES
2988 COURT STREET	PEKIN	IL	61554	REHABILITATION

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 6A: THE METHODIST MEDICAL CENTER OF ILLINOIS' COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM COMMUNITY BENEFIT REPORT WHICH CAN BE LOCATED AT WWW.UNITYPOINT.ORG. THIS SYSTEM-WIDE REPORT IS COMPLETED IN ADDITION TO THE COMMUNITY BENEFIT REPORT FOR THE HOSPITAL AND ITS REGIONAL AFFILIATES.
PART I, LINE 7: A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS WAS USED TO CALCULATE THE AMOUNT IN LINES 7A-7C. THE AMOUNTS FOR LINES 7E, 7F, 7H, AND 7I ARE DERIVED FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED IN PART BY A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS WHILE OTHERS THAT ROLL UP FOR THIS CALCULATION ARE DERVIED FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZTION AND ARE BASED ON COST.
PART I, LINE 7G: METHODIST SUBSIDIZES SEVERAL PEDIATRIC HEALTH SERVICES INCLUDING PEDIATRIC GASTROENTEROLOGY ALONG WITH CHILD AND ADOLESCENT PSYCHIATRY INPATIENT HEALTH SERVICES AT THE MEDICAL CENTER. THE MEDICAL CENTER ALSO SUBSIDIZED HOSPICE, IN-SCHOOL HEALTH AND GERIATRIC SERVICES IN 2012.
PART II: COMMUNITY BUILDING ACTIVITIES ARE ESSENTIAL ROLES FOR HEALTH-CARE ORGANIZATIONS IN THAT THEY ADDRESS MANY OF THE UNDERLYING DETERMINANTS OF HEALTH. RESEARCH HAS CONTINUALLY SHOWN THAT WHEN THE FACTORS INFLUENCING HEALTH ARE EXPLORED, HEALTH CARE ACTUALLY PLAYS THE SMALLEST ROLE PROPORTIONATELY. A REPORT IN THE JOURNAL OF AMERICAN MEDICAL ASSOCIATION AND THE CENTER FOR DISEASE CONTROL (MCGINNIS, 1996) SUGGESTS THAT THE FACTORS IMPACTING HEALTH ARE AS FOLLOWS: LIFESTYLE AND BEHAVIORS, 50%, ENVIRONMENT (HUMAN AND NATURAL), 20%, GENETICS AND HUMAN BIOLOGY, 20%, AND HEALTH CARE, 10%. COMMUNITY BUILDING ACTIVITIES HELP TO ADDRESS THE OTHER INDICATORS OUTSIDE OF THE ROLE TRADITIONALLY PLAYED BY HEALTH-CARE ORGANIZATIONS. THESE ACTIVITIES ARE ALMOST EXCLUSIVELY DONE IN SOME FORM OF PARTNERSHIP IN WHICH THE COMMUNITY OR OTHER ORGANIZATIONS ARE BETTER SUITED TO ADDRESS. HEALTH-CARE ORGANIZATIONS GENERALLY PROVIDE TIMELY AND SPECIFIC RESOURCES TO HELP THESE ISSUES. HEALTH-CARE ORGANIZATIONS CAN BE A RICH AND VALUABLE COMMUNITY RESOURCE IN WAYS NOT TYPICALLY CONSIDERED. OFTEN THE MOST EFFECTIVE WAY TO HELP IMPACT AND IMPROVE THE COMMUNITY HEALTH STATUS IS TO SUPPORT OTHER AGENCIES AND ORGANIZATIONS IN A VARIETY OF WAYS OUTSIDE OF HEALTH SERVICES. THIS IS OFTEN DONE THROUGH CASH OR IN-KIND SERVICES TO SUPPORT OTHER NON-PROFITS, DONATIONS OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO CERTAIN AGENCIES, OR THROUGH LEADERSHIP AND EDUCATIONAL EXPERTISE. METHODIST CONTRIBUTES TO MANY AREA COMMUNITY BUILDING ACTIVITIES IN CENTRAL ILLINOIS. THESE ORGANIZATIONS HELP BUILD ACTIVITIES IN THE AREAS OF ECONOMIC AND HEALTHCARE IMPROVEMENT. THESE TYPES OF ACTIVITIES SPEAK TO THE BREADTH AND CAPACITY THAT THE HOSPITAL HAS IN IMPACTING THE HEALTH STATUS OF THE COMMUNITY IN A COMPREHENSIVE AND INTENTIONAL APPROACH.
PART III, LINE 4: THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.
PART III, LINE 8: AMOUNTS ON LINE 6 WERE CALCULATED USING IRS WORKSHEET B 'TOTAL MEDICARE ALLOWABLE COSTS.' THE MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORTS AND THEN REDUCED BY ANY AMOUNTS ALREADY CAPTURED IN COMMUNITY BENEFIT EXPENSE IN PART I ABOVE.THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SURPLUS REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. HOWEVER THE MEDICARE COST REPORT DISALLOWS CERTAIN ITEMS THAT WE BELIEVE ARE LEGITIMATE EXPENSES INCURRED IN THE PROCESS OF CARING FOR OUR MEDICARE PATIENTS. EXAMPLES OF THESE ITEMS INCLUDE PROVIDER BASED PHYSICIAN EXPENSE, SELF INSURANCE EXPENSE, HOME OFFICE EXPENSE AND THE SHORTFALL FROM FEE SCHEDULE PAYMENTS. THE ORGANIZATION'S COST ACCOUNTING SYSTEM CALCULATES A MEDICARE SHORTFALL OF $16,899,030.THE HOSPITAL BELIEVES THE ENTIRE AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT, MORE SPECIFICALLY, AS CHARITY CARE. THE ELDERLY CONSTITUTE A CLEARLY-RECOGNIZED CHARITABLE CLASS, AND MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR AND THUS WOULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE PROGRAM, MEDICAID OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS ABSENT THE MEDICARE PROGRAM. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. ADDITIONALLY, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS. FINALLY, THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS.METHODIST IS PAID BELOW LEVELS THAT FULLY COMPENSATE IT FOR THE UNDERLYING COSTS OF CARE TO MEDICARE BENEFICIARIES. METHODIST TREATS ITS MEDICARE SHORTFALL AS A COMMUNITY BENEFIT DUE TO THE LARGE POPULATION OF SENIORS THE HOSPITAL SERVES. THE POPULATION AT AGE 65 OR ABOVE IS MUCH HIGHER FOR METHODIST'S SERVICE AREA COMPARED TO THE REST OF ILLINOIS. THE MEDICARE SHORTFALL IS CALCULATED USING A COST ACCOUNTING SYSTEM.
PART III, LINE 9B: AFTER THE PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS PARTIALLY OR ENTIRELY WRITTEN OFF, AS APPROPRIATE. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY.IT IS THE POLICY OF METHODIST MEDICAL CENTER TO WRITE OFF ACCOUNTS AS BAD DEBT/UNCOLLECTIBLE WHEN CRITERIA FOR FINANCIAL/CHARITY ASSISTANCE IS NOT MET. METHODIST REVIEWS PATIENT BALANCES AT A NUMBER OF DIFFERENT CHECK POINTS IN THE COLLECTION PROCESS. INITIAL REVIEWS CAN OCCUR DURING THE REGISTRATION PROCESS AND OR AT THE POINT OF ADMISSION. THE FINANCIAL COUNSELOR IS AVAILABLE TO ASSIST PATIENTS WITH FINANCIAL QUESTIONS AT THE POINT OF REGISTRATION. SUBSEQUENT REVIEWS OF PATIENT BALANCES OCCUR DURING THE BACK END COLLECTION PROCESS THROUGH INTERNAL LETTER CAMPAIGNS, ASSIGNMENT TO A PRE-COLLECT AGENCY AND THEN FINALLY THROUGH INTERNAL CREDIT SCORING MECHANISMS. OUR WEBSITE ALSO HAS DETAILED INFORMATION ON OUR BILLING POLICIES AS WELL.ONCE A PATIENT IS IN THE FINANCIAL/CHARITY ASSISTANCE PROCESS, ALL COLLECTION ACTIVITY IS PLACED ON HOLD WHILE THE REVIEW PROCESS TAKES PLACE. THE PATIENT THEN RECEIVES A WRITTEN STATEMENT ONCE FINAL DETERMINATION IS REACHED. HOWEVER, IF AN INDIVIDUAL HAS CHOSEN NOT TO HONOR THEIR FINANCIAL OBLIGATION FOR RENDERED SERVICES, THOSE ACCOUNTS ARE PLACED WITH A PROFESSIONAL COLLECTION RECOVERY SERVICE.
PART V, SECTION B, LINE 20D: IF THE INDIVIDUAL APPLIES AND QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES FOR THOSE SERVICES AT THE HOSPITAL FACILITY TO DETERMINE THE AMOUNTS BILLED FOR ALL SERVICES, INCLUDING EMERGENCY OR MEDICALLY NECESSARY CARE. THIS OCCURS REGARDLESS WHETHER THE INDIVIDUAL HAS INSURANCE COVERAGE. ALSO, IF THE INDIVIDUAL HAS INSURANCE COVERAGE AND DOES NOT APPLY OR QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE INSURER'S NEGOTIATED RATE FOR THOSE SERVICES AT THE HOSPITAL FACILITY. HOWEVER, IF THE INDIVIDUAL DOES NOT HAVE INSURANCE COVERAGE AND EITHER DOES NOT APPLY OR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE GROSS RATES FOR THOSE SERVICES TO DETERMINE THE AMOUNTS BILLED. IF THE UNINSURED INDIVIDUAL AGREES TO PAY THE BILL IN FULL, THE HOSPITAL FACILITY WILL PROVIDE A 20%-30% DISCOUNT FROM THE GROSS RATES FOR THOSE INDIVIDUALS.	METHODIST MEDICAL CENTER OF ILLINOIS
PART V, SECTION B, LINE 20D: IF THE INDIVIDUAL APPLIES AND QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES FOR THOSE SERVICES AT THE HOSPITAL FACILITY TO DETERMINE THE AMOUNTS BILLED FOR ALL SERVICES, INCLUDING EMERGENCY OR MEDICALLY NECESSARY CARE. THIS OCCURS REGARDLESS WHETHER THE INDIVIDUAL HAS INSURANCE COVERAGE. ALSO, IF THE INDIVIDUAL HAS INSURANCE COVERAGE AND DOES NOT APPLY OR QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE INSURER'S NEGOTIATED RATE FOR THOSE SERVICES AT THE HOSPITAL FACILITY. HOWEVER, IF THE INDIVIDUAL DOES NOT HAVE INSURANCE COVERAGE AND EITHER DOES NOT APPLY OR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE GROSS RATES FOR THOSE SERVICES TO DETERMINE THE AMOUNTS BILLED. IF THE UNINSURED INDIVIDUAL AGREES TO PAY THE BILL IN FULL, THE HOSPITAL FACILITY WILL PROVIDE A 20%-30% DISCOUNT FROM THE GROSS RATES FOR THOSE INDIVIDUALS. INSERT STATISTICS PROVIDED BY SUSAN EYRICH ON % OF SELF PAYS (UNINSURED) WITH NO DISCOUNT CODES, ETC.	GREATER PEORIA SPECIALTY HOSPITAL
PART VI, LINE 2: THE COMMUNITY BENEFITS PLAN ADOPTED BY METHODIST IS ABOUT IMPROVING HEALTH; THE HEALTH OF EACH INDIVIDUAL, AND THE HEALTH OF THE COMMUNITY. IN DEVELOPING THE PLAN, SEVERAL SOURCES OF INFORMATION WERE UTILIZED TO HELP IDENTIFY SPECIFIC HEALTHCARE NEEDS. FIRST, ONE OF THE MORE COMPREHENSIVE LOCAL ASSESSMENTS IS LED BY THE DEPARTMENT OF PUBLIC HEALTH. THE PEORIA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED LOCAL HEALTH PRIORITIES AS CEREBROVASCULAR DISEASE (STROKE), HIP FRACTURES AND INFANT MORTALITY. THE LEADING CAUSES OF MORTALITY WERE IDENTIFIED AS HEART DISEASES. THE SECOND SOURCE WAS HEALTHY PEOPLE 2010. HEALTHY PEOPLE 2010 SET OUT NATIONAL OBJECTIVES FOR HEALTH IMPROVEMENT AND ARE BUILT AROUND THE CONCEPTS OF DISEASE PREVENTION AND HEALTH PROMOTION. OTHER SOURCES OF DATA WERE REVIEWED, HEARTLAND ALLIANCE MID-AMERICA INSTITUTE ON POVERTY, UNITED STATES CENSUS BUREAU DATA, ILLINOIS BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY DATA, METHODIST ACCESS DATA AND CENSUS BUREAU DATA. COLLECTIVELY, THESE DATA SOURCES HAVE SUPPORTED OUR ASSESSMENT OF THE COMMUNITIES NEEDS.
PART VI, LINE 3: AS A SERVICE TO OUR COMMUNITY, METHODIST MEDICAL CENTER PROVIDES CARE AT A REDUCED RATE OR WITHOUT CHARGE TO ELIGIBLE PERSONS DEMONSTRATING FINANCIAL NEED AND THE INABILITY TO PAY. THE "PATIENT GUIDE TO UNDERSTANDING YOUR BILL" IS MADE AVAILABLE TO EACH PATIENT DURING THE REGISTRATION PROCESS AND THIS GUIDE CONTAINS INFORMATION ON THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE AT METHODIST AS WELL INFORMATION ON HOW TO APPLY FOR STATE FUNDED PROGRAMS. THE GUIDE ALSO CONTAINS BOTH LOCAL AND TOLL FREE PHONES NUMBERS TO OUR BILLING OFFICES ALONG WITH OUR HOURS OF OPERATION SO THE PATIENT IS FULLY INFORMED OF WHAT INFORMATION IS AVAILABLE AND WHO THEY CAN CONTACT WITH QUESTIONS. INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAMS IS POSTED ON OUR METHODIST INTERNET HOME PAGE AND ON OUR PATIENT BILLING STATEMENTS.
PART VI, LINE 4: METHODIST IS THE SECOND LARGEST HEALTHCARE PROVIDER IN CENTRAL ILLINOIS. THE HOSPITAL IS LICENSED FOR 329 BEDS. ALONG WITH METHODIST THERE ARE TWO OTHER HOSPITALS IN THE PEORIA AREA, ALONG WITH FOUR SMALLER HOSPITALS IN OUR SERVICE AREA. IN 2011, METHODIST SERVED 17,388 INPATIENTS, 126,761 OUTPATIENTS, 58,210 EMERGENCY PATIENTS, 51,300 HOME CARE AND 303,656 PHYSICIAN VISITS. METHODIST'S PRIMARY SERVICE AREA CONSISTS OF FULTON, PEORIA, TAZEWELL AND WOODFORD COUNTIES. THIS GEOGRAPHIC REGION REPRESENTS 85% OF ALL HOSPITAL ADMISSIONS. THE SECONDARY SERVICE AREA INCLUDES 14 CENTRAL ILLINOIS COUNTIES, MOSTLY RURAL IN NATURE. COMBINED, METHODIST SERVES A POPULATION OF NEARLY ONE MILLION PEOPLE. METHODIST IS CLASSIFIED AS AN URBAN, TEACHING HOSPITAL. AS COMPARED TO THE DEMOGRAPHIC CHARACTERISTICS OF THE PEKIN/PEORIA MSA (METROPOLITAN STATISTICAL AREA), METHODIST SERVES A LARGER MINORITY AND SENIOR POPULATION. THE DEMOGRAPHICS OF METHODIST'S PATIENT POPULATION ARE A FUNCTION OF SEVERAL VARIABLES SUCH AS THE INCIDENCE AND PREVALENCE OF DISEASE AMONG AGE COHORTS, AND RACES, GEOGRAPHIC PROXIMITY TO MINORITY POPULATIONS AND OUTREACH EFFORTS TO IMPROVE ACCESS TO MEDICAL SERVICES. METHODIST'S INPATIENTS ARE: WHITE 80.4%, BLACK 15.8%, ASIAN 0.3%, HISPANIC 0.5% AND OTHER 3.0%. THIS IS COMPARED TO THE PEKIN/PEORIA MSA OF: WHITE 85.5%, BLACK 9.1%, ASIAN 1.6%, HISPANIC 2.3% AND OTHER 1.5%. METHODIST HAS THE LEAST FAVORABLE PAYOR MIX IN OUR PRIMARY SERVICE AREA. METHODIST HAS THE LARGEST MEDICAID MARKET SHARE BECAUSE OF OUR BEHAVIORAL HEALTH AND EMERGENCY PROGRAMS. THE MEDIAN AGE IN OUR SERVICE AREA IS 36.0 AS COMPARED TO 34.7 YEARS STATEWIDE. THE MEDIAN AGE IS HIGHER DUE TO A GREATER PERCENTAGE OF THE POPULATION AT AGE 65 OR ABOVE.
PART VI, LINE 5: THE HOSPITAL IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITH THE GOAL OF PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES. THE HOSPITAL SUPPORTS THIS MISSION WITH A COMMUNITY BOARD, OPEN MEDICAL STAFF, AND AN EMERGENCY ROOM AVAILABLE TO PATIENTS REGARDLESS OF ABILITY TO PAY. THE BOARD OF DIRECTORS OF THE HOSPITAL IS COMPOSED OF CIVIC LEADERS WHO RESIDE IN THE SERVICE AREA OF THE HOSPITAL. THE BOARD ACTIVELY DEBATES AND SETS POLICY AND STRATEGIC DIRECTION FOR THE HOSPITAL BUT DOES NOT GET INVOLVED IN ISSUES RELATED TO THE DIRECT OPERATIONS OF THE HOSPITAL. THE BOARD TAKES A BALANCED APPROACH WHEN ADDRESSING COMMUNITY AND BUSINESS/FINANCIAL CONCERNS. THE BOARD IS ALSO THE PRIMARY GROUP FOR DETERMINING THE USE OF HOSPITAL SURPLUS FUNDS, WHICH ARE ALL USED TO FURTHER OUR CHARITABLE PURPOSE.PHYSICIAN OFFICES ARE SPREAD ACROSS THE REGION TO PROVIDE BETTER ACCESS TO A WIDE NUMBER OF PATIENTS.
PART VI, LINE 6: THE HOSPITAL IS PART OF IOWA HEALTH SYSTEM. INITIALLY FORMED IN 1995, IOWA HEALTH SYSTEM IS THE STATE'S FIRST AND LARGEST INTEGRATED HEALTH SYSTEM, SERVING NEARLY ONE OF EVERY THREE PATIENTS IN IOWA. THROUGH RELATIONSHIPS WITH 29 HOSPITALS IN METROPOLITAN AND RURAL COMMUNITIES AND 280 PHYSICIAN CLINICS, IOWA HEALTH SYSTEM PROVIDES CARE THROUGHOUT IOWA AND ILLINOIS.IOWA HEALTH SYSTEM ENTITIES EMPLOY THE STATE'S LARGEST NONPROFIT WORKFORCE, WITH MORE THAN 24,000 EMPLOYEES WORKING TOWARD INNOVATIVE ADVANCEMENTS TO DELIVER THE BEST OUTCOME FOR EVERY PATIENT EVERY TIME. EACH YEAR, THROUGH MORE THAN 4 MILLION PATIENT VISITS, IOWA HEALTH SYSTEM HOSPITALS AND CLINICS PROVIDE A FULL RANGE OF CARE TO PATIENTS AND FAMILIES. WITH ANNUAL REVENUES OF $2.7 BILLION, IOWA HEALTH SYSTEM IS THE FOURTH LARGEST NONDENOMINATIONAL HEALTH SYSTEM IN AMERICA AND PROVIDES COMMUNITY BENEFIT PROGRAMS AND SERVICES TO IMPROVE THE HEALTH OF PEOPLE IN ITS COMMUNITIES. IOWA HEALTH SYSTEM AND ITS AFFILIATES ENGAGE IN COMMUNITY HEALTH PROGRAMS AND SERVICES THROUGHOUT IOWA, AND WORK WITH VOLUNTEER AND CIVIC ORGANIZATIONS, SCHOOLS, BUSINESSES, INSURERS AND INDIVIDUALS TO SUPPORT ACTIVITIES THAT BENEFIT PEOPLE THROUGHOUT THE STATE. IN 2012, IOWA HEALTH SYSTEM AND ITS AFFILIATES PROVIDED $421 MILLION OF COMMUNITY BENEFIT. THE CONTRIBUTIONS TO THEIR COMMUNITIES BY IOWA HEALTH SYSTEM AND ITS AFFILIATES ARE REPORTED IN DETAIL IN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (PART III) OF THE IRS FORM 990 OF THOSE AFFILIATES.
IL	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (22 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOCIATION
221 S MISSOURI AVE	MORTON	IL	61550	135613797	501(C)(3)	5000	EVENT SPONSOR
BRADLEY UNIVERSITY
1501 WEST BRADLEY	PEORIA	IL	61625	370661494	501(C)(3)	200000	CAPITAL BUILDING CAMPAIGN
BRADLEY UNIVERSITY
1501 WEST BRADLEY	PEORIA	IL	61625	370661494	501(C)(3)	201250	PROGRAM SUPPORT
COMMUNITY FOUNDATION OF ILLINOIS
331 FULTON ST SUITE 310	PEORIA	IL	61602	371283245	501(C)(3)	5000	EVENT SPONSOR
EASTER SEALS UCP
501 E ARMSTRONG AVE	PEORIA	IL	61603	370686250	501(C)(3)	28500	PROGRAM SUPPORT
HEART OF ILLINOIS UNITED WAY
509 W HIGH STREET	PEORIA	IL	61605	370661504	501(C)(3)	79000	PROGRAM SUPPORT
HEARTLAND COMMERCE & ECONOMIC DEVELOPMENT FOUNDATION
100 SW WATER ST	PEORIA	IL	61602	371271212	501(C)(3)	35000	PROGRAM SUPPORT
ICC EDUCATIONAL FOUNDATION
1 COLLEGE DRIVE	EAST PEORIA	IL	61635	371207827	501(C)(3)	21500	PROGRAM SUPPORT
JUNIOR LEAGUE OF PEORIA
256 NE RANDOLPH AVE	PEORIA	IL	61606	376032315	501(C)(3)	25000	CAPITAL BUILDING CAMPAIGN
JUVENILE DIABETES RESEARCH FOUNDATION
11 S LASALLE ST	CHICAGO	IL	60603	231907729	501(C)(3)	10000	EVENT SPONSOR
KOMEN PEORIA RACE FOR THE CURE
4700 N UNIVERSITY AVE	PEORIA	IL	61614	371286285	501(C)(3)	8500	EVENT SPONSOR
LAKEVIEW MUSEUM
1125 W LAKE AVE	PEORIA	IL	61614	370818561	501(C)(3)	65000	PROGRAM SUPPORT
MORTON COMMUNITY FOUNDATION
309 N MAIN ST STE B	MORTON	IL	61550	371397503	501(C)(3)	10000	PROGRAM SUPPORT
MORTON ECONOMIC DEVELOPMENT COUNCIL
415 W JEFFERSON ST	MORTON	IL	61550	261927395	501(C)(6)	25000	PROGRAM SUPPORT
PEORIA AREA CHAMBER OF COMMERCE
100 SW WATER ST	PEORIA	IL	61602	370459010	501(C)(3)	5000	PROGRAM SUPPORT
PEORIA PROMISE FOUNDATION
331 FULTON ST	PEORIA	IL	61602	134353454	501(C)(3)	25000	PROGRAM SUPPORT
PEORIA RIVERFRONT ASSOCIATION
405 SW COMMERCIAL	PEORIA	IL	61602	364157912	501(C)(3)	5000	PROGRAM SUPPORT
PUBLIC EMPLOYEES - COMMUNITY CONCERNS
419 FULTON ST SUITE 207	PEORIA	IL	61602	376001761	501(C)(3)	5000	EVENT SPONSOR
QUALITY QUEST FOR HEALTH
416 MAIN ST SUITE 717	PEORIA	IL	61602	263896631	501(C)(3)	75000	PROGRAM SUPPORT
UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE
PO BOX 1649	PEORIA	IL	61656	376000511	501(C)(3)	110000	CAPITAL BUILDING CAMPAIGN
WD BOYCE COUNCIL
1014 NE MADISON AVE	PEORIA	IL	61603	370661188	501(C)(3)	14000	PROGRAM SUPPORT
WASHINGTON AREA COMMUNITY CENTER
360 N WILMOR RD	WASHINGTON	IL	61571	364141385	501(C)(3)	20000	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	21	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: RECIPIENTS WERE GIVEN GRANTS BASED ON THE NEEDS OF THE MEDICAL COMMUNITY AND THE LOCAL COMMUNITY AT LARGE. COMMUNITY BENEFITS COMMITTEE AND CEO REVIEW ASSISTANCE REQUESTS AND APPROVE BASED ON NEED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRIAN COHEN MD
DIRECTOR	321830	0	0	0	25318	0	0	0	15690	0	362838	0	0	0
KEITH KNEPP MD
DIRECTOR/VP SYSTEM INTEGRATION/CMIO	268389	0	0	0	19150	0	35500	0	15534	0	338573	0	0	0
DEBORAH SIMON
DIRECTOR/PRESIDENT & CEO	361217	0	0	0	161458	0	165303	0	23580	0	711558	0	0	0
ROBERT QUIN
SECRETARY/TREASURER/CFO	218006	0	0	0	57127	0	51744	0	8887	0	335764	0	31110	0
TAMMY DUVENDACK
VP OF CARE TRANSFORMATION	164017	0	0	0	36021	0	22510	0	8056	0	230604	0	0	0
GARY KNEPP
PRES OF MMG/VP OF PHYSICIAN INTEGRAT	242047	0	0	0	6778	0	0	0	11064	0	259889	0	0	0
JOHN MILLER
VP OF MEDICAL AFFAIRS	272721	0	0	0	2818	0	0	0	15690	0	291229	0	0	0
MIKE NAMANNY
VP OF MMG OPERATIONS	161699	0	0	0	14076	0	15627	0	15147	0	206549	0	0	0
JEANINE SPAIN
VP OF NURSING OPERATIONS, CNO	180830	0	0	0	44921	0	98595	0	15534	0	339880	0	0	0
TERRY WATERS
VP STRATEGY AND DEVELOPMENT	154455	0	0	0	77121	0	96955	0	5567	0	334098	0	0	0
RICK ANDERSON TO 062012
SVP MEDICAL AFFAIRS	148523	0	0	0	197561	0	84119	0	9591	0	439794	0	0	0
ERICK LAINE TO 022012
SENIOR VP	31443	276361	0	25000	5508	73992	0	8461	2729	13221	39680	397035	0	0
ALEXANDER ADLER
PHYSICIAN	634785	0	0	0	20095	0	36515	0	15690	0	707085	0	0	0
CHARLES EGLEY
PHYSICIAN	748353	0	0	0	42722	0	30701	0	15690	0	837466	0	0	0
JOEL KUPFER
PHYSICIAN	661062	0	0	0	25818	0	6250	0	4934	0	698064	0	0	0
JAMES LOCHER
PHYSICIAN	602449	0	0	0	37210	0	6250	0	15690	0	661599	0	0	0
DWAYNE MCQUITTY
PHYSICIAN	912491	0	0	0	40298	0	0	0	15690	0	968479	0	0	0
CALVIN MACKAY
FORMER SEC/TREAS/CFO (2011)	284359	0	0	0	33232	0	76578	0	11554	0	405723	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINES 4A-B	ReturnReference
Explanation	THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING THE YEAR THAT WAS INCLUDED IN THEIR TAXABLE INCOME: RICK ANDERSON $166,151, CALVIN MACKAY $254,167. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 457(F): RICK ANDERSON $27,272, CALVIN MACKAY $12,842, DEBORAH SIMON $76,755, ROBERT QUIN $37,322. THE PLAN'S FUNDS ARE VESTED QUARTERLY TWO YEARS AFTER EACH CONTRIBUTION OR EARLIER BASED ON THE PARTICIPANT'S AGE AND YEARS OF SERVICE.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing	CUSIP NumberCUSIPNumber
ILLINOIS FINANCE AUTHORITY
A	861091967	2011-05-12	63780000	SEE PART VI	0	0	0
ILLINOIS FINANCE AUTHORITY
B	861091967	2011-05-12	51220000	SEE PART VI	0	0	0	45203HAE2

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capital ExpendituresCapitalExpenditures
A	72506422	55540033	471772	16494617	2011	1	0	1	1
B	62036639		661528	13293368	2011	0	0	1	1	48081744

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	1	1	0	0.00000	0.00000	0.00000	0	0	1
B	0	0	1	1	0	0.00000	0.01810	0.01810	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
MORGAN STANLEY
A	0	0	1	0	0	1	CAPITAL SECURITIES	33.500000000000	0	1	0	0	1
MORGAN STANLEY
B	0	0	1	0	1	1	CAPITAL SECURITIES	33.500000000000	0	1	0	0	1

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	PART I, COLUMN (F)	Identifier
Return Reference	DESCRIPTION OF PURPOSE	ReturnReference
Explanation	LINE A - REFUND THE ILLINOIS FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS, (METHODIST MEDICAL CENTER) SERIES 1998. LINE B - REFINANCE BANK LINE OF CREDIT.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (11 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CENTRAL ILLINOIS ENDOSCOPY CENTER LLC
COMMON BOARD MEMBER/OFFICER	2189000	OWNERSHIP DISTRIBUTION, MANAGEMENT FEES, SUPPLIES	0
CENTRAL ILLINOIS CANCER CARE CENTER LLC
COMMON BOARD MEMBER/OFFICER	4767000	OWNERSHIP DISTRIBUTION, PATIENT SERVICE REVENUE, MANAGEMENT FEES, LEASED EMPLOYEES, ETC.	0
DEBBIE ANDERSON
FAMILY MEMBER OF KEY EMPLOYEE RICK ANDERSON	30318	EMPLOYEE OF METHODIST MEDICAL CENTER OF ILLINOIS	0
CENTRAL ILLINOIS WORK INJURY RESOURCE CENTER LLC
COMMON BOARD MEMBER/OFFICER	3112000	OWNERSHIP DISTRIBUTION, PATIENT SERVICE REVENUE, LEASED EMPLOYEES, RENT, SUPPLIES, ETC.	0
GREATER PEORIA SPECIALTY HOSPITAL LLC
COMMON BOARD MEMBER/OFFICER	3539000	OWNERSHIP DISTRIBUTION, MANAGEMENT FEES, SUPPLIES	0
MARION WILLEMSEN-REID
FAMILY MEMBER OF BOARD MEMBER SCOTT REID	80020	EMPLOYEE OF METHODIST MEDICAL CENTER OF ILLINOIS	0
MID ILLINI SURGICAL ASSOCIATES
COMMON BOARD MEMBER/OFFICER	238590	PURCHASED SERVICES	0
METHODIST MEDICAL CENTER OF ILLINOIS ORTHOPEDIC CO-MANAGEMENT COMPANY LL
COMMON BOARD MEMBER/OFFICER	32000	PURCHASED SERVICES	0
PEORIA METRO CONSTRUCTION
COMMON BOARD MEMBER/OFFICER	661533	CONTRACTOR SERVICES	0
PEORIA-TAZEWELL PATHOLOGY GROUP
COMMON BOARD MEMBER/OFFICER	486614	PURCHASED SERVICES	0
REHABILITATION THERAPY SERVICES LLC
COMMON BOARD MEMBER/OFFICER	1743000	OWNERSHIP DISTRIBUTION, PATIENT SERVICE REVENUE, RENT, FINANCIAL SERVICES, ETC.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	GARY KNEPP; KEITH KNEPP; FAMILY RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6	METHODIST HEALTH SERVICES CORPORATION, A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	METHODIST HEALTH SERVICES CORPORATION, AS THE SOLE MEMBER, MAY APPOINT AND REMOVE ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7B	METHODIST HEALTH SERVICES CORPORATION, AS SOLE MEMBER, DIRECTS, APPROVES AND RECOMMENDS MERGERS, CONSOLIDATIONS, ACQUISITONS, DISSOLUTION, LIQUIDATION OR DISPOSITION, INIATES AND APPROVES BUDGETS AND LONG-RANGE STRATEGIC PLANS, INITIATES AND APPROVES THE FORMATION OF ANY PERSON CONTROLLED BY A SUBSIDIARY, APPROVES CONFLICT OF INTEREST POLICY, AND AMENDMENTS TO ARTICLES AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED INTERNALLY BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY THE RESPONSIBLE FUNCTIONAL AREA ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS ANNUAL REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR APPROXIMATELY THE TOP FIFTY EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (SEVERAL OF WHICH ARE EMPLOYEES OF THE FILING ORGANIZATION) AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958. THE ANNUAL REVIEW OF COMPENSATION AND BENEFITS WAS LAST PERFORMED IN 2012 FOR THE FOLLOWING INDIVIDUALS: DEBORAH SIMON. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19	IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, HAS VOLUNTARILY ADOPTED MANY OF OUR INDUSTRY'S GOVERNANCE "BEST PRACTICES." IOWA HEALTH SYSTEM HAS DONE SO TO FURTHER ASSURE OUR STAKEHOLDERS THAT OUR GOVERNANCE AND MANAGEMENT IS CONDUCTED RESPONSIBLY AND WARRANTS THE TRUST YOU PLACE IN US. IN SEPTEMBER 2003, THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS VOLUNTARILY ADOPTED OVER 40 CHANGES TO ITS GOVERNANCE STRUCTURE TO BETTER COMPLY WITH GOVERNANCE BEST PRACTICES AND THE INTENT AND APPLICABLE REQUIREMENTS OF THE SARBANES-OXLEY ACT OF 2003. IN ADDITION, GOVERNANCE POLICIES AND RELATED INFORMATION HAS BEEN ADDED TO THE IOWA HEALTH SYSTEM WEBSITE, WWW.IHS.ORG, INCLUDING BUT NOT LIMITED TO: OVER 130 CORPORATE COMPLIANCE POLICIES, INCLUDING CHARITY CARE AND CONFLICTS OF INTEREST POLICIES; GOVERNANCE BEST PRACTICE POLICIES; THE IDENTIFICATION OF BOARD MEMBERS AND BOARD COMMITTEES; COMPENSATION FOR HOSPITAL CEO'S; AND FINANCIAL INFORMATION FOR THE PAST SEVEN YEARS. COPIES OF THE DOCUMENTS ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	HEALTHCARE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 34,829,654. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,829,654. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 12,715,611. MANAGEMENT AND GENERAL EXPENSES 6,627,076. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,342,687. CBO COLLECTION FEES: PROGRAM SERVICE EXPENSES 957,940. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 957,940. OUTSIDE CONSULTANT FEES: PROGRAM SERVICE EXPENSES 106,896. MANAGEMENT AND GENERAL EXPENSES 1,098,860. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,205,756.	OTHER FEES
FORM 990, PART XI, LINE 9:	PENSION FUNDING LIABILITY 5,712,407. FOUNDATION INVESTMENT 2,461,892.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (43 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
ALLEN COLLEGE
1825 LOGAN AVENUE	WATERLOO	IA	50703	421351526	EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS	IA	501(C)(3)	170(B)(1) (A)(II)	ALLEN HEALTH SYSTEMS INC	0
ALLEN HEALTH SYSTEMS INC
1825 LOGAN AVENUE	WATERLOO	IA	50703	421201924	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
ALLEN MEMORIAL HOSPITAL CORPORATION
1825 LOGAN AVENUE	WATERLOO	IA	50703	420698265	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ALLEN HEALTH SYSTEMS INC	0
ANAMOSA AREA AMBULANCE SERVICE
101 GRANT WOOD DRIVE	ANAMOSA	IA	52205	421466284	PROVIDE AMBULANCE SERVICES	IA	501(C)(3)	509(A)(2)	ST LUKE'SJONES REGIONAL MEDICAL CENTER	0
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
1200 PLEASANT STREET	DES MOINES	IA	50309	421233759	PROPERTY HOLDING COMPANY	IA	501(C)(2)		CENTRAL IOWA HEALTH SYSTEM	0
CENTRAL IOWA HEALTH SYSTEM
1200 PLEASANT STREET	DES MOINES	IA	50309	421189791	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
CENTRAL IOWA HOSPITAL CORPORATION
1200 PLEASANT STREET	DES MOINES	IA	50309	420680452	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	CENTRAL IOWA HEALTH SYSTEM	0
FINLEY TRI-STATES HEALTH GROUP INC
350 NORTH GRANDVIEW AVENUE	DUBUQUE	IA	52001	421307495	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
HNC SERVICES
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	270987243	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(2)	IOWA HEALTH SYSTEM	0
INTRUST
11333 AURORA AVENUE	URBANDALE	IA	50322	421477471	HOME HEALTH CARE	IA	501(C)(3)	509(A)(2)	IOWA HEALTH SYSTEM	0
IOWA HEALTH FOUNDATION
1415 WOODLAND AVE SUITE E-200	DES MOINES	IA	50309	421467682	CHARITABLE FUNDRAISING	IA	501(C)(3)	509(A)(3), TYPE III	CENTRAL IOWA HEALTH SYSTEM	0
IOWA HEALTH SYSTEM
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421435199	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE III		0
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
8101 BIRCHWOOD COURT	JOHNSTON	IA	50131	421411630	PRIMARY HEALTH CARE SERVICES	IA	501(C)(3)	170(B)(1) (A)(III)	IOWA HEALTH SYSTEM	0
MEMORIAL FOUNDATION OF ALLEN HOSPITAL
1825 LOGAN AVENUE	WATERLOO	IA	50703	421201138	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	ALLEN HEALTH SYSTEMS INC	0
METHODIST HEALTH SERVICES CORPORATION
221 NORTHEAST GLEN OAK AVENUE	PEORIA	IL	61636	371111135	HEALTHCARE	IL	501(C)(3)	509(A)(3), TYPE III	IOWA HEALTH SYSTEM	0
METHODIST MEDICAL CENTER FOUNDATION
221 NORTHEAST GLEN OAK AVENUE	PEORIA	IL	61636	510186460	FUNDRAISING	IL	501(C)(3)	170(B)(1) (A)(VI)	METHODIST HEALTH SERVICES CORPORATION	0
METHODIST MEDICAL CENTER OF ILLINOIS
221 NORTHEAST GLEN OAK AVENUE	PEORIA	IL	61636	370661223	HEALTHCARE	IL	501(C)(3)	170(B)(1) (A)(III)	METHODIST HEALTH SERVICES CORPORATION	0
METHODIST SERVICES INC
221 NORTHEAST GLEN OAK AVENUE	PEORIA	IL	61636	371111134	OFFICE RENTAL	IL	501(C)(3)	509(A)(2)	METHODIST HEALTH SERVICES CORPORATION	0
NELLIE R SHERWOOD TRUST
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	426061621	PAY MEDICAL BILLS OF RETIRED TEACHERS UNABLE TO PAY	IA	501(C)(3)	509(A)(3), TYPE I	ST LUKE'S METHODIST HOSPITAL	0
NORTH CENTRAL IOWA MENTAL HEALTH CENTER INCORPORATED
720 KENYON DRIVE	FORT DODGE	IA	50501	420937390	MENTAL HEALTH CARE	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY HEALTH SYSTEMS INC	0
NORTHWEST IOWA HOSPITAL CORPORATION
2720 STONE PARK BLVD	SIOUX CITY	IA	51104	421019872	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	IOWA HEALTH SYSTEM	0
SELF INSURANCE TRUST AGREEMENT EST BY METHODIST MEDICAL CENTER OF ILLINOIS
221 NORTHEAST GLEN OAK AVENUE	PEORIA	IL	61636	376181831	FUND SELF-INSURANCE PLAN	IL	501(C)(3)	509(A)(3), TYPE I	METHODIST MEDICAL CENER OF ILLINOIS	1
SIOUXLAND PACE INC
313 COOK STREET	SIOUX CITY	IA	51103	261120134	ALL-INCLUSIVE CARE FOR THE ELDERLY	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTH SYSTEM INC	0
ST LUKE'S HEALTH RESOURCES
2720 STONE PARK BLVD	SIOUX CITY	IA	51104	421059182	OUTPATIENT CLINICS AND HEALTHCARE SERVICES	IA	501(C)(3)	509(A)(2)	ST LUKE'S HEALTH SYSTEM INC	0
ST LUKE'S HEALTH SYSTEM INC
2720 STONE PARK BLVD	SIOUX CITY	IA	51104	421294091	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE III	IOWA HEALTH SYSTEM	0
ST LUKE'S HEALTHCARE
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	421487968	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
ST LUKE'S METHODIST HOSPITAL
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	420504780	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTHCARE	0
ST LUKE'SJONES REGIONAL MEDICAL CENTER
1795 HIGHWAY 64 EAST	ANAMOSA	IA	52205	421487967	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTHCARE	0
STL CARE COMPANY
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	421276632	IMPROVE PUBLIC HEALTH SERVICES	IA	501(C)(3)	509(A)(2)	ST LUKE'S HEALTHCARE	0
THE DUBUQUE VISITING NURSE ASSOCIATION
350 NORTH GRANDVIEW AVENUE	DUBUQUE	IA	52001	420680410	PUBLIC HEALTH SERVICES/HOME CARE	IA	501(C)(3)	509(A)(2)	FINLEY TRI-STATES HEALTH GROUP INC	0
THE FINLEY HOSPITAL
350 NORTH GRANDVIEW AVENUE	DUBUQUE	IA	52001	420680354	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	FINLEY TRI-STATES HEALTH GROUP INC	0
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
2701 17TH STREET	ROCK ISLAND	IL	61201	363678909	MENTAL HEALTH CARE	IL	501(C)(3)	170(B)(1) (A)(VI)	TRINITY REGIONAL HEALTH SYSTEM	0
TRIMARK PHYSICIANS GROUP
802 KENYON ROAD	FORT DODGE	IA	50501	453791448	SUPPORT SERVICES FOR MEDICAL CARE AND HEALTH SERVICES	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY HEALTH SYSTEMS INC	0
TRINITY BUILDING CORPORATION
802 KENYON ROAD	FORT DODGE	IA	50501	421376187	PROPERTY HOLDING COMPANY	IA	501(C)(2)		TRINITY HEALTH SYSTEMS INC	0
TRINITY HEALTH FOUNDATION
802 KENYON ROAD	FORT DODGE	IA	50501	421222381	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	TRINITY HEALTH SYSTEMS INC	0
TRINITY HEALTH FOUNDATION
2701 17TH STREET	ROCK ISLAND	IL	61201	363321751	CHARITABLE FUNDRAISING	IL	501(C)(3)	170(B)(1) (A)(VI)	TRINITY REGIONAL HEALTH SYSTEM	0
TRINITY HEALTH SYSTEMS INC
802 KENYON ROAD	FORT DODGE	IA	50501	421222877	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
TRINITY MEDICAL CENTER
2701 17TH STREET	ROCK ISLAND	IL	61201	362739299	HOSPITAL	IL	501(C)(3)	170(B)(1) (A)(III)	TRINITY REGIONAL HEALTH SYSTEM	0
TRINITY REGIONAL HEALTH SYSTEM
2701 17TH STREET	ROCK ISLAND	IL	61201	363351952	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IL	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
TRINITY REGIONAL HOSPITAL AUXILIARY
802 KENYON ROAD	FORT DODGE	IA	50501	426081474	CHARITABLE FUNDRAISING AND VOLUNTEER SERVICES	IA	501(C)(3)	509(A)(2)	TRINITY REGIONAL MEDICAL CENTER	0
TRINITY REGIONAL MEDICAL CENTER
802 KENYON ROAD	FORT DODGE	IA	50501	421009175	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY HEALTH SYSTEMS INC	0
UNITY HEALTHCARE
1518 MULBERRY AVENUE	MUSCATINE	IA	52761	420680337	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY REGIONAL HEALTH SYSTEM	0
UNITY HEALTHCARE FOUNDATION
1518 MULBERRY AVENUE	MUSCATINE	IA	52761	421525031	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE I	TRINITY REGIONAL HEALTH SYSTEM	0

Form990 Schedule R Part III Form990ScheduleRPartIII (19 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA	Code VCodeVAmount
ALLEN MEMORIAL HOSPITAL ORTHOPEDIC CO-MANAGEMENT CO LLC
1825 LOGAN AVE	WATERLOO	IA	50703	453237125	ORTHOPEDIC MANAGEMENT & ADMINISTRATIVE SERVICES	IA	ALLEN MEMORIAL HOSPITAL CORPORATION	RELATED	126185	43766	0	1	0.20000
CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC
1200 PLEASANT ST	DES MOINES	IA	50309	273625869	CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES	IA	CENTRAL IOWA HOSPITAL CORPORATION	RELATED	261340	80230	0	1	0.20000
CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY
1200 PLEASANT STREET	DES MOINES	IA	50309	453017991	ONCOLOGY MANAGEMENT & ADMINISTRATIVE SERVICES	IA	CENTRAL IOWA HOSPITAL CORPORATION	RELATED	201563	101327	0	1	0.20000
DES MOINES PARKING ASSOCIATES
1200 PLEASANT ST	DES MOINES	IA	50309	382622972	PARKING DECK OPERATIONS	IA	CENTRAL IOWA HEALTH PROP CORP	RELATED	1033046		0	1	1.00000
DUBUQUE ENDOSCOPY CENTER LC
1515 DELHI STREET SUITE 500	DUBUQUE	IA	52001	201597161	AMBULATORY SURGERY CENTER	IA	THE FINLEY HOSPITAL	RELATED	636788	274391	0	0	0.51000
ENSEVA - HIAWATHA LLC
755 METZGER DRIVE	HIAWATHA	IA	52233	453437363	COLLOCATION FACILITY	IA	IOWA HEALTH SYSTEM	RELATED	-150730	2077107	0	0	0.52000
FINLEY DEPT OF SURGERY CO-MGMT CO LLC
350 N GRANDVIEW AVE	DUBUQUE	IA	52001	422808785	SURGERY DEPARTMENT MANAGEMENT SERVICES	IA	THE FINLEY HOSPITAL	RELATED	110302	155255	0	1	0.50000
HEALTH CARE AFFILIATES OF THE TRI-STATES LLC
350 N GRANDVIEW AVE	DUBUQUE	IA	52001	421428503	PROVIDE ACCESS TO LICENSED SOFTWARE	IA	THE FINLEY HOSPITAL	RELATED		14037	0	1	0.50000
HEALTH ENTERPRISES VENTURES LC
4250 GLASS ROAD NE	CEDAR RAPIDS	IA	52402	391894290	INVESTMENT VEHICLE OWNING CLINICAL JVS	IA		UNRELATED	85147	837296	0	0	0.55670	N/A	$70,249
HY-VEEIOWA HEALTH LC
5820 WESTOWN PARKWAY	WEST DES MOINES	IA	50266	263293530	PRIMARY CARE CLINIC	IA	CENTRAL IOWA HOSPITAL CORPORATION	RELATED	-186843	186116	0	1	0.50000
IOWA HEALTH SYSTEM CONTRACTING SERVICES LC
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421511142	GROUP PURCHASING	IA	IOWA HEALTH SYSTEM	RELATED	3278657	7072097	1	1	1.00000
MEDICAL LABORATORIES OF EASTERN IOWA LC
1026 A AVE NE	CEDAR RAPIDS	IA	52402	421359640	MEDICAL LABORATORY SERVICES	IA	ST LUKE'S METHODIST HOSPITAL	RELATED	466410	1180716	0	1	0.50000
MMCI ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
221 NE GLEN OAK AVE	PEORIA	IL	61636	461219459	ORTHOPEDIC MANAGEMENT & ADMINISTRATIVE SERVICES	IL	METHODIST MEDICAL CENTER OF ILLINOIS	RELATED		32000	0	1	0.20000
MR ASSOCIATES LLP
1455 SHERMAN ROAD	HIAWATHA	IA	52233	421260463	OWN AND OPERATE MR UNIT	IA	ST LUKE'S METHODIST HOSPITAL	RELATED	2526085	1348049	0	1	0.33330
REHABILITATION THERAPY SERVICES LLC
416 ST MARKS CT 110	PEORIA	IL	61603	810584193	REHABILATION THERAPY	IL	METHODIST MEDICAL CENTER OF ILLINOIS	RELATED	323118	1122254	0	0	0.60040
SLRMC CARDIOVASCULAR CO-MANAGEMENT COMPANY LLC
2720 STONE PARK BLVD	SIOUX CITY	IA	51104	455322324	CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES	IA	NORTHWEST IOWA HOSPITAL CORPORATION	RELATED	30396	47646	0	1	0.20000
THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC
1075 FIRST AVENUE SE	CEDAR RAPIDS	IA	52403	721550812	AMBULATORY SURGERY CENTER.	IA	ST LUKE'S METHODIST HOSPITAL	RELATED	3272140	5076873	0	1	0.50000
TRINITY BETTENDORF ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
4500 UTICA RIDGE RD	BETTENDORF	IA	52722	272562753	ORTHOPEDIC SERVICE LINES ADMINISTRATIVE SERVICES	IA	TRINITY MEDICAL CENTER	RELATED	235523	149417	0	1	0.50000
WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
1660 60TH STREET	WEST DES MOINES	IA	50266	271414600	ORTHOPEDIC SERVICE LINES MANAGEMENT	IA	CENTRAL IOWA HOSPITAL CORPORATION	RELATED	245617	16245	0	1	0.20000

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
BROADBAND INC
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	273819741	INFORMATION TECHNOLOGY MGMT.	IA	N/A	C	0
DELHI POINT CONDO ASSOCIATION
350 N GRANDVIEW	DUBUQUE	IA	52001	421467002	REAL ESTATE MANAGEMENT	IA	N/A	C	0
INTEGRATED CARE ORGANIZATION
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	274665007	INTEGRATED AFFILIATE CARE	IA	N/A	C	0
IOWA HEALTH SYSTEM 457 DEF COMP PLAN
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421435199	INVESTMENT	IA	N/A	T	0
MEDIMORE INC
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421414390	MANAGED CARE	IA	N/A	C	0
METHODIST HEALTH VENTURES INC
PO BOX 87	PEORIA	IL	61650	371140939	PHARMACY/OFFICE STAFFING	IL	N/A	C	0
METHODIST PHYSICIAN SERVICES INC
PO BOX 87	PEORIA	IL	61650	363858550	MEDICAL SERVICES	IL	N/A	C	0
PRECEDENCE INC
4622 PROGRESS DRIVE STE A	DAVENPORT	IA	52807	371288604	MANAGED MENTAL CARE	IA	N/A	C	0
PROVIDER RESOURCE MANAGEMENT INC
PO BOX 87	PEORIA	IL	61650	371223550	RESOURCE MANAGEMENT	IL	N/A	C	0
RURAL IOWA SPECIALTY PHYSICIAN CONSORTIUM INC
700 E UNIVERSITY AVE	DES MOINES	IA	50316	261271143	SPECIALTY PHYSICIANS MEDICAL CARE	IA	N/A	C	0
STL HEALTH RESOURCES CO
1026 A AVE NE	CEDAR RAPIDS	IA	52402	421193499	PHYSICIAN OFFICE RENTAL	IA	N/A	C	0
TRINITY HEALTH ENTERPRISES INC
2701 17TH ST	ROCK ISLAND	IL	61201	363320141	RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACY	IL	N/A	C	0
TRINITY PHYSICIAN HOSPITAL ORGANIZATION LTD
4622 PROGRESS DRIVE STE A	DAVENPORT	IA	52807	363924720	MANAGED HEALTH CARE	IA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CENTRAL ILLINOIS CANCER CARE CENTER LLC
S	650000	BASED ON GAAP, CASH, AND/OR FMV.
REHABILITATION THERAPY SERVICES LLC
S	540000	BASED ON GAAP, CASH, AND/OR FMV.
SELF INSURANCE TRUST AGREEMENT EST BY MMCI
S	3975000	BASED ON GAAP, CASH, AND/OR FMV.