2021-06-28T10:12:13-05:00 2020-09-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2019-10-01 204560540 MIDWEST MEDICAL CENTER MIDW 8157771340 ONE MEDICAL CENTER DRIVE GALENA IL 61036 TRACY BAUER CEO 8157771340 2021-06-02 1 MICHAEL J PETERSON CPA P01833529 2187224705 2021-05-17 2019 2022-09-23 18:48:47Z TRACY BAUER ONE MEDICAL CENTER DRIVE GALENA IL 61036 28749328 0 X WWW.MIDWESTMEDICALCENTER.ORG X 2006 IL TO PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF THE CITY OF GALENA, ILLINOIS AND THE SURROUNDING AREA REGARDLESS OF A PATIENT'S ABILITY TO PAY. 11 11 290 12 0 0 114525 3628969 25414941 24933291 133697 168298 651569 -37450 26314732 28693108 5564 8156 0 0 12276419 12895614 0 0 0 13421442 13202748 25703425 26106518 611307 2586590 34962942 41226329 39243881 42920678 -4280939 -1694349 X MIDWEST MEDICAL CENTER, INCLUDING THE GALENA-STAUSS SENIOR CARE COMMUNITY, WILL PROVIDE TO THE MEMBERS OF THE COMMUNITY CARING, COMPETENT, AND COST EFFECTIVE HEALTHCARE. 0 0 14378368 8156 19887799 MIDWEST MEDICAL CENTER OWNS AND OPERATES A 25-BED CRITICAL ACCESS HOSPITAL AND LEADS IN THE DELIVERY OF HEALTHCARE SERVICES TO ITS REGION WITH OVER 260 ASSOCIATES, INCLUDING 35 PHYSICIANS AND TWO MID-LEVEL PRACTITIONERS, WHICH COORDINATE PATIENT CARE AS AN INTEGRATED UNIT. THE HOSPITAL AND ITS ASSOCIATES WORK SEAMLESSLY TO MEET THE NEEDS OF THE COMMUNITIES THEY SERVE. THE ACCOMPLISHMENTS WHICH FOLLOW ARE ATTRIBUTABLE TO THE HOSPITAL AND ALL OF ITS DEPARTMENTS AS A WHOLE. THE HOSPITAL IS A NON-PROFIT CORPORATION PROVIDING HEALTHCARE AND RESIDENTIAL SERVICES IN GALENA, ILLINOIS, AND NEIGHBORING COMMUNITIES. ALL OF THESE SERVICES ARE OFFERED UNDER THE MISSION OF THE ORGANIZATION, WHICH STATES THAT "MIDWEST MEDICAL CENTER, INCLUDING THE GALENA-STAUSS SENIOR CARE COMMUNITY, WILL PROVIDE TO THE MEMBERS OF THE COMMUNITY CARING, COMPETENT, AND COST EFFECTIVE HEALTHCARE." IN FISCAL YEAR 2020, THE HOSPITAL PROVIDED 572 ACUTE INPATIENT DAYS, 1,724 SWING BED DAYS, 3,588 EMERGENCY ROOM VISITS, 6,127 RADIOLOGY SERVICES, 99,508 LABORATORY TESTS, 32,345 PHYSICAL THERAPY TREATMENTS, AND 454 SURGICAL PROCEDURES AMONG MANY OF THE PATIENT SERVICES PROVIDED DURING THE YEAR.OR SERVICES INCREASED AGAIN IN 2020 WHICH INCREASED PATIENT AND REVENUE GROWTH. OUR CONTRACTED ORTHOPEDIC SURGEON THAT VISITED OUR FACILITY TWICE A MONTH ENDED IN FEBRUARY, BUT MMC WAS ABLE TO CONTRACT WITH ANOTHER ORTHOPEDIC SURGEON TO PROVIDE 80 HOURS OF SERVICE EACH MONTH WHICH STARTED IN JUNE 2020. 3880931 0 3036168 MIDWEST MEDICAL CENTER RECOGNIZES THAT THE AGING AND DISABLED POPULATION OF PATIENTS ARE OFTEN AN UNDERSERVED DEMOGRAPHIC OF THE POPULATION AND TO MEET THE HEALTHCARE NEEDS OF THESE PATIENTS THE HOSPITAL OPERATES THE GALENA-STAUSS SENIOR CARE COMMUNITY. THIS SENIOR CARE CAMPUS PROVIDES SENIOR CARE SERVICES THROUGH ITS 57-BED LONG-TERM CARE FACILITY, AN ASSISTED LIVING FACILITY AS WELL AS ADULT DAY CARE SERVICES. THE SENIOR CARE CAMPUS PROVIDED 14,705 DAYS OF SKILLED NURSING AND INTERMEDIATE NURSING HOME CARE DAYS IN ADDITION TO THE ASSISTED LIVING AND ADULT DAY CARE SERVICES. THE SENIOR CARE CAMPUS OFFERS SKILLED NURSING TO THE RESIDENTS AND PATIENTS IN BOTH SHORT-TERM REHABILITATION PROGRAMS AND LONG-TERM CARE RESIDENT PROGRAMS. SOME OF THE SPECIALIZED CARE SERVICES OFFERED INCLUDE IV THERAPY, WOUND CARE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY AMONG MANY OF THE CARE PROGRAMS PROVIDED. THE SENIOR CARE CAMPUS OPERATES IN CONJUNCTION WITH THE MIDWEST MEDICAL CENTER HOSPITAL TO PROVIDE A SMOOTH TRANSITION FOR PATIENTS NEEDING EXTENDED REHABILITATION OR LONG-TERM CARE SERVICES. THE COORDINATION OF FACILITIES ALSO ALLOWS THE ORGANIZATION TO SHARE MANY DEPARTMENTS AND SERVICES IN MIDWEST MEDICAL CENTER'S CONTINUED EFFORT TO PROVIDE HIGH QUALITY AND LOW-COST CARE TO THE COMMUNITY. 3632195 0 1724447 MIDWEST MEDICAL CENTER ALSO OPERATES TWO PHYSICIAN CLINICS KNOWN AS MIDWEST HEALTH CLINIC, ONE LOCATED IN GALENA, IL AND ONE LOCATED IN ELIZABETH, IL. THE CARE PROVIDED IN THE MIDWEST HEALTH CLINICS ARE COORDINATED WITH THE CARE OF MIDWEST MEDICAL CENTER'S HOSPITAL IN AN EFFORT TO CONTINUE TO PROVIDE LOW COST AND HIGH QUALITY PATIENT CARE FOR THE RESIDENTS OF GALENA, ILLINOIS, ELIZABETH, IL AND THE SURROUNDING AREAS. THE HEALTH CLINICS OPERATES AS A PROVIDER-BASED RURAL HEALTH CLINIC TO MIDWEST MEDICAL CENTER'S HOSPITAL AND THE PRACTICE IS MADE UP OF FOUR FAMILY PRACTICE PHYSICIANS, AN INTERNAL MEDICINE PHYSICIAN, AND TWO MID-LEVEL PRACTITIONERS. ADDITIONAL SERVICES ARE ALSO PROVIDED IN THE CLINIC BY OUTREACH DOCTORS THAT PROVIDE SERVICES ON A LIMITED BASIS IN THE AREAS OF ORTHOPEDIC SURGERY, GENERAL SURGERY, PODIATRY, OTOLARYNGOLOGY, OPHTHALMOLOGY, GASTROENTEROLOGY, AND PLASTIC SURGERY. THE CLINIC PROVIDERS ALSO ENGAGE IN MANY ACTIVITIES WHICH PROMOTE THE WELL-BEING OF THE COMMUNITY AND PROVIDE HEALTH EDUCATION TO THE COMMUNITY. AN EXAMPLE OF THESE SERVICES IS DR. WELLS, DR. HARMSTON, DR. MATT GULLONE, DR. RICHARD FARRELL, AND PEG DITTMAR PROVIDE EDUCATIONAL EXPERIENCES AND TRAINING TO MEDICAL STUDENTS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS AT MIDWEST HEALTH CLINIC FOR THOSE STUDENTS INTERESTED IN LEARNING ABOUT RURAL MEDICINE. ANOTHER EXAMPLE IS DR. MATT GULLONE, WHO SPECIALIZES IN SPORTS MEDICINE AND PROVIDES FREE CARE TO LOCAL ATHLETES DURING SPORTING EVENTS. THE CLINIC HAS ALSO BEEN VERY ACTIVE IN PROMOTING ANNUAL WELLNESS VISITS TO MEDICARE PATIENTS AS WELL AS PROVIDING CHRONIC CARE MANAGEMENT. MIDWEST MEDICAL CENTER PARTICIPATES IN THE ILLINOIS RURAL COMMUNITY CARE ORGANIZATION (IRCCO), WHICH IS AN ACCOUNTABLE CARE ORGANIZATION (ACO). IRCCO IS A GROUP OF PHYSICIANS, HOSPITALS, AND CLINICS WHO VOLUNTARILY WORK TOGETHER WITH MEDICARE TO PROVIDE HIGH-QUALITY SERVICES AND COORDINATED CARE TO OUR MEDICARE PATIENTS THROUGH THE MEDICARE SHARED SAVINGS PROGRAM (MSSP). THE IRCCO MISSION IS TO: 1. IMPROVE THE HEALTH OF THE INDIVIDUAL SEEKING CARE AND SERVICES2. IMPROVE THE OVERALL HEALTH OF THE RURAL POPULATION SERVED 21891494 1 1 0 1 0 0 0 0 1 1 1 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 51 0 290 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X KELLI JACKSON 8157771340 ONE MEDICAL CENTER DRIVE GALENA IL 61036 X RICHARD FARRELL MD PHYSICIAN 40.00 X 336930 0 32759 GREG HARMSTON MD PHYSICIAN 40.00 X 273778 0 29881 MICHAEL WELLS MD PHYSICIAN 40.00 X 193597 0 26512 KRISTEN HEIMBUCH CRNA CRNA 40.00 X 194190 0 21070 MATTHEW GULLONE MD PHYSICIAN 40.00 X 199251 0 14658 TRACY BAUER CEO 50.00 0.15 X 266256 0 29375 KELLI JACKSON CONTROLLER 50.00 X 40460 0 7212 MARY SHEAHEN RN CHAIR 2.00 0.15 X X 0 0 0 DR BARB SLOAN VICE CHAIR 2.00 0.15 X X 0 0 0 DAVID HEY TREASURER 2.00 0.15 X X 0 0 0 GARRY THOMPSON SECRETARY 2.00 0.15 X X 0 0 0 CHRIS ALLENDORF BOARD MEMBER 2.00 0.15 X 0 0 0 MATTHEW CAROLL BOARD MEMBER 2.00 0.15 X 0 0 0 DONNA FERRY BOARD MEMBER 2.00 0.15 X 0 0 0 JOEL HOLLAND BOARD MEMBER 2.00 0.15 X 0 0 0 HELEN KILGORE BOARD MEMBER 2.00 0.15 X 0 0 0 JOHN LORENZEN BOARD MEMBER 2.00 0.15 X 0 0 0 CARTER NEWTON BOARD MEMBER 2.00 0.15 X 0 0 0 1504462 0 161467 10 0 1 0 RALPH LOSEY MD 207 SOUTH PROSPECT GALENA IL 61036 EMERGENCY ROOM PHYSCIAN, CMO 319825 MERCY RADIOLOGISTS OF DUBUQUE PO BOX 3160 DUBUQUE IA 520043160 RADIOLOGISTS 293564 MICHAEL D GREEN MD 1340 W NEWPORT CHICAGO IL 60657 EMERGENCY ROOM PHYSICIAN 229721 CT HORIZONS INC 845 NORTH KINGSBURY ST UNIT 715 CHICAGO IL 60610 EMERGENCY ROOM PHYSICIAN 227198 THOMSAS OH MD 3607 OTHELLO DR NAPERVILLE IL 60564 EMERGENCY ROOM PHYSICIAN 215518 8 12500 3590563 25906 3628969 HOSPITAL PATIENT REVENUE 621990 19887799 19887799 SENIOR CARE REVENUE 623000 3036168 3036168 CLINIC REVENUE 621110 1724447 1724447 CAFETERIA REVENUE 621990 187608 187608 FITNESS CENTER REVENUE 621990 97269 97269 24933291 181240 181240 5828 43278 -37450 -37450 -37450 12942 -12942 -12942 -12942 28693108 24648414 0 415725 X 8156 8156 407663 407663 9955395 8880831 1074564 265338 232722 32616 1570329 1333312 237017 696889 581878 115011 62643 62643 58070 58070 4429266 3913764 515502 98045 98045 52345 47703 4642 307981 307981 450919 450919 41250 33499 7751 1350963 1161182 189781 2434579 2092574 342005 308293 308293 SUPPLIES & OTHER 1955067 1792792 162275 MEDICAL SUPPLIES 981535 981484 51 BED ASSESSMENT 412954 125014 287940 PROVISION FOR BAD DEBT 226907 226907 31931 28757 3174 26106518 21891494 4215024 0 17172 26829 2372408 10193927 4899659 3993771 226340 207001 359581 374165 141854 150902 55266475 32955670 23056785 22310805 3882582 3962367 6561 6562 34962942 41226329 2106986 2066068 309159 1158973 87904 84703 36469832 36912834 270000 2698100 39243881 42920678 X -5825883 -3253438 1544944 1559089 -4280939 -1694349 34962942 41226329 2586590 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 22100 22100 0 PART II-B, LINE 1: MIDWEST REGIONAL MEDICAL CENTER PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE ILLINOIS HOSPITAL ASSOCIATION (IHA) AND THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND MATERIALS. THE ORGANIZATIONS RECOGNIZE THAT A PORTION OF THE ACTIVITIES CONDUCTED BY BOTH IHA AND ICAHN ARE FUNDED IN CONJUNCTION WITH THE TOTAL ANNUAL DUES PAID. MIDWEST REGIONAL MEDICAL CENTER ESTIMATED THAT $22,100 OR 39% OUT OF THE TOTAL DUES PAID TO IHA AND ICAHN WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT IN ILLINOIS. 0 1 X 331333 9809 341142 325642 5691 331333 322959 2683 325642 329934 1965 8940 322959 344116 2251 16433 329934 0.00000 0.59220 0.40780 0 0 448597 448597 42824620 24205684 18618936 11785088 8749986 3035102 208170 208170 22310805 BOARD DESIGNATED INVESTMENTS FOR CAPITAL IMPROVEMENTS 2607694 C DONOR RESTRICTED-MEDICAL SCHOLARSHIPS 1354673 C 3962367 AMOUNTS PAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAMS 300000 SBA - PPP LOAN PAYABLE 2398100 2698100 PART IV, LINE 2B: THE ORGANIZATION HOLDS, IN TRUST, SECURITY DEPOSITS FROM THE RESIDENTS OF THE ASSISTED LIVING FACILITY. SECURITY DEPOSITS ARE REFUNDABLE UPON VACANCY. PART V, LINE 4: THE ENDOWMENTS CONSIST OF TWO DONOR-RESTRICTED FUNDS, WHICH WERE ESTABLISHED TO PROVIDE INVESTMENT INCOME FOR MEDICAL EDUCATION SCHOLARSHIPS. 1 1 X 1 X 125.000000000000 1 X 1 1 1 0 0 224814 224814 0.00860 4722659 2928241 1794418 0.06870 4947473 2928241 2019232 0.07730 3884956 3064737 820219 0.03140 2141 2141 0.00010 3887097 3064737 822360 0.03150 8834570 5992978 2841592 0.10880 0 159417 79708 8948843 9029345 -80502 X 1 1 1 1 MIDWEST MEDICAL CENTER ONE MEDICAL CENTER DRIVE GALENA IL 61036 WWW.MIDWESTMEDICALCENTER.ORG 0005488 X X X X PROVIDER BASED RURAL HEALTH CLINIC MIDWEST MEDICAL CENTER 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X SEE SUPPLEMENTAL INFORMATION X 1 18 1 SEE SUPPLEMENTAL INFORMATION 0 1 X 150.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X HTTP://WWW.MIDWESTMEDICALCENTER.ORG/WORDPRESS/INSURANCE-PAYMENT/ X HTTP://WWW.MIDWESTMEDICALCENTER.ORG/WORDPRESS/INSURANCE-PAYMENT/ X HTTP://WWW.MIDWESTMEDICALCENTER.ORG/WORDPRESS/INSURANCE-PAYMENT/ X X X X X X X 1 X 0 X X X X X 1 X 0 0 MIDWEST MEDICAL CENTER PART V, SECTION B, LINE 5: MIDWEST MEDICAL CENTER FORMED THREE FOCUS GROUPS COMPRISED OF AREA HEALTHCARE PROFESSIONALS/PARTNERS, LOCAL OFFICIALS, COMMUNITY LEADERS, AND COMMUNITY OFFICIALS. EACH FOCUS GROUP SESSION RESULTED IN A LIST OF PRIORITIZED HEALTH NEEDS AND ISSUES. MIDWEST MEDICAL CENTER PART V, SECTION B, LINE 11: THERE WERE MANY TOPICS IDENTIFIED THROUGH THE PROCESS OF COMPLETING THE COMMUNITY HEALTH NEEDS ASSESSMENT BY MIDWEST MEDICAL CENTER. THESE TOPICS WERE PRIORITIZED WITH THE FOCUS GROUPS AND THE FOLLOWING CORE HEALTH RELATED TOPICS WERE DISCUSSED AS BEING THE HIGHEST LEVEL OF CONCERN FOR COMMUNITY MEMBERS AND LEADERS: MENTAL HEALTH SERVICES, EMERGENCY MEDICAL SERVICES, SENIOR RESOURCES, IMPROVED PUBLIC TRANSPORTATION, AFFORDABLE HEALTH INSURANCE, PATIENT EDUCATION, AND ACCESS TO DENTAL CARE IN AN INCREASINGLY CHALLENGING ECONOMY. MIDWEST MEDICAL CENTER REVIEWED THE ACTIVITIES AND DETERMINED THE FOLLOWING TOPICS NEEDED FURTHER REVIEW BY THE ORGANIZATION AND TOOK THE FOLLOWING ACTION STEPS THROUGH ITS IMPLEMENTATION PLAN AS WELL AS ONGOING MISSION AND OPERATIONS OF THE ORGANIZATION. MMC IS COLLABORATING WITH REGROUP TO OFFER TELEPYSCH SERVICES TO CHILDREN AND ADULTS THROUGH ITS SPECIALTY CLINIC IN 2020. MMC WILL CONTINUE TO WORK WITH COUNTY ON EMS ISSUES TO BETTER STAFF THE AMBULANCES. MMC PLANS TO EXPAND THE "WELCOME TO MEDICARE" PROGRAMS FOR SENIORS AS WELL AS EDUCATE PROVIDERS ABOUT LOCAL SERVICES FOR SENIORS. EXPANDING JO DAVIESS TRANSIT IS KEY TO IMPROVING PUBLIC TRANSPORTATION FOR THE LOCAL POPULATION. MMC IS CONTINUING TO LOOK INTO OFFERING LOCAL COVERAGE TO BE OFFERED TO THE COMMUNITY AT AN AFFORDABLE PRICE. MMC IS EXPANDING ITS CHRONIC CARE MANAGEMENT PROGRAM AS WELL AS WELLNESS AND NUTRITION EDUCATION, AND REDUCED FEE LAB AND BLOOD PRESSURE CHECK PROGRAMS. FINALLY, MMC IS READY TO PARTNER OR PARTICIPATE WITH A DENTAL CARE PROVIDER TO PROVIDE SUPPORT TO THE UNDERINSURED OR UNINSURED MEMBERS OF THE COMMUNITY. MMC HAS STARTED A DIABETES PROGRAM IN 2020 WHICH HAS BENEFITED THE PATIENTS IN NUMEROUS WAYS IN TERMS OF COST, CARE COORDINATION, AND ACCESSIBILITY. MIDWEST MEDICAL CENTER PART V, SECTION B, LINE 16J: THE POLICY IS OFFERED IF A PATIENT STATES ANY PROBLEM IN REGARD TO PAYING THEIR BILL. THERE IS ALSO A REFERENCE ON ALL PATIENT STATEMENTS THAT STATES FINANCIAL ASSISTANCE IS AVAILABLE. MIDWEST MEDICAL CENTER PART V, SECTION B, LINE 20E: PATIENTS ARE GIVEN THE OPPORTUNITY TO APPLY FOR CHARITY CARE PRIOR TO ANY COLLECTION PRACTICES NOTED EARLIER UNDER POLICIES OF MIDWEST MEDICAL CENTER. THE POLICY AND APPLICATION ARE OFFERED IF A PATIENT STATES ANY PROBLEM IN REGARD TO PAYING THEIR BILL. THERE IS ALSO A REFERENCE ON ALL PATIENT STATEMENTS THAT STATES FINANCIAL ASSISTANCE IS AVAILABLE. PART V, SECTION B, LINE 7A: HTTP://WWW.MIDWESTMEDICALCENTER.ORG/WORDPRESS/WP-CONTENT/UPLOADS/2019/10/MIDWEST-MEDICAL-CENTER-CHNA.PDF PART V, SECTION B, LINE 10: HTTP://WWW.MIDWESTMEDICALCENTER.ORG/WORDPRESS/WP-CONTENT/UPLOADS/2019/10/MIDWEST-MEDICAL-CENTER-CHNA.PDF 2 1 - GALENA-STAUSS SENIOR CARE CAMPUS 215 SUMMIT STREET GALENA IL 61036 SKILLED NURSING FACILITY, ASSISTED LIVING, AND ADULT DAY CARE 2 - MIDWEST HEALTH CLINIC - ELIZABETH 117 N MAIN STREET ELIZABETH IL 61028 PHYSICIAN CLINIC PART I, LINE 3C: MIDWEST MEDICAL CENTER PRIMARILY USES FEDERAL POVERTY GUIDELINES TO ESTABLISH CHARITY OR DISCOUNTED CARE TO THOSE IN NEED OF CARE IN THE COMMUNITY, HOWEVER THERE ARE OTHER CONSIDERATIONS GIVEN TO PATIENTS TO AVOID HAVING PATIENTS BE IN FINANCIAL DISTRESS DUE TO CONCERNS OVER THEIR MEDICAL BILLS. BELOW ARE THE GENERAL GUIDELINES AS DEFINED IN MIDWEST MEDICAL CENTER'S CHARITY CARE POLICY WHICH ARE FOLLOWED BY THE ORGANIZATION:PATIENT ACCOUNT GUARANTORS WITH AN ADJUSTED GROSS INCOME AT OR BELOW 125% OF THE FEDERAL POVERTY GUIDELINES FOR THE NUMBER OF DEPENDENTS IN THE DEBTOR'S HOUSEHOLD WILL BE ELIGIBLE FOR 100% CHARITY CARE.PATIENT ACCOUNT GUARANTORS WITH AN ADJUSTED GROSS INCOME GREATER THAN 125%, BUT EQUAL TO OR LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES FOR THE NUMBER OF DEPENDENTS IN THE DEBTOR'S HOUSEHOLD, WILL BE ELIGIBLE FOR PARTIAL FINANCIAL ASSISTANCE.PATIENT ACCOUNT GUARANTORS WITH INSUFFICIENT ASSETS TO PAY THE AMOUNT DUE, AND WHO DO NOT QUALIFY FOR CHARITY CARE ON THE BASIS OF THE FEDERAL POVERTY GUIDELINES, WILL BE ELIGIBLE FOR A CATASTROPHIC CHARITY ADJUSTMENT WHEN THE TOTAL AMOUNT DUE TO MIDWEST MEDICAL CENTER EQUALS AT LEAST 20% OF THE DEBTOR'S ADJUSTED GROSS INCOME. CATASTROPHIC CHARITY IS AN EIGHTY PERCENT (80%) ADJUSTMENT OFF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES. PART I, LINE 7: THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES (EXCLUDING THE PROVISION FOR BAD DEBTS) DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990. (THE COSTING METHODOLOGY FOR SUBSIDIZED HEALTH SERVICES FOR LINE 7G OF SCHEDULE H OF THE FORM 990 IS BASED ON COST ALLOCATIONS FROM THE MEDICARE COST REPORT. THIS ALLOCATION METHOD AND PRINCIPLES OF ALLOCATION WERE USED TO DERIVE A SPECIFIC AMOUNT OF COST ALLOCATION TO THE VARIOUS PROGRAMS AND COST CENTERS OPERATED BY THE HOSPITAL.) PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES AT MIDWEST MEDICAL CENTER INCLUDES THE OPERATION OF SEVERAL DEPARTMENTS. THE INPATIENT UNIT ALSO PROVIDES CARE TO OVERNIGHT OBSERVATION PATIENTS WHICH ARE KEPT FOR OBSERVATION IN FOLLOW UP CARE FROM THE EMERGENCY ROOM AS WELL AS PROVIDING A SIGNIFICANT NUMBER OF SWING BED SERVICES. IT IS THE GOAL OF MIDWEST MEDICAL CENTER TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY. PART II, COMMUNITY BUILDING ACTIVITIES: WHILE THERE IS A GROWING ARGUMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITAL'S "COMMUNITY BENEFIT," THESE EFFORTS CONTINUE TO BE A WORK IN PROGRESS. MIDWEST MEDICAL CENTER PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, THE ORGANIZATION BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. MIDWEST MEDICAL CENTER, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY. PART III, LINE 4: IN EVALUATING THE COLLECTABILITY OF PATIENT AND RESIDENT RECEIVABLES, THE ORGANIZATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS OR RESIDENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS AND PATIENTS OR RESIDENTS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS AND RESIDENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. PART III, LINE 8: THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H TO THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE HOSPITAL, AND ALSO DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE HOSPITAL AS WELL AS HOSPITAL INPATIENT PHYSICIAN PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, RADIOLOGY PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN PROFESSIONAL SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT MIDWEST MEDICAL CENTER PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2020, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHO ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES IN A LOCAL SETTING, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. PART III, LINE 9B: UNDER THE HOSPITAL'S COLLECTION AND CHARITY CARE POLICIES, MIDWEST MEDICAL CENTER MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE HOSPITAL'S CHARITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE EITHER PRIOR TO ADMISSION OR FOLLOWING DISCHARGE. ALL INPATIENT SELF-PAY ADMISSIONS ARE SCREENED BY THE HOSPITAL'S BUSINESS OFFICE OR SOCIAL WORKERS TO ALLOW THESE PATIENTS THE ABILITY TO COMPLETE THEIR APPLICATION DURING THEIR STAY AT THE HOSPITAL, DEPENDING UPON THE PATIENT'S CONDITION, OR THE PATIENT'S RESPONSIBLE PARTY MAY BE CONTACTED TO COMPLETE AND RETURN THE FORMS AT A LATER TIME WHEN THEIR CARE ALLOWS THIS COMPLETION. DURING THE PATIENT ACCOUNT COLLECTION PROCESS, SELF-PAY PATIENTS ARE ALSO INFORMED OF THE HOSPITAL'S COLLECTION POLICIES AS WELL AS THE CHARITY CARE PROGRAM TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM. PART VI, LINE 2: MIDWEST MEDICAL CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES AND AREAS IT SERVES BY REVIEWING LOCAL DEMOGRAPHICS AND TRENDS IN PATIENT SERVICE UTILIZATION TO DETERMINE WHICH SERVICES COULD AND SHOULD BE MADE AVAILABLE TO THE COMMUNITY IN A COST-EFFECTIVE MANNER TO BE CONSISTENT WITH MIDWEST MEDICAL CENTER'S MISSION IN THE COMMUNITY. MIDWEST MEDICAL CENTER ALSO REVIEWS STATISTICS IN THE HOSPITAL, CLINIC, AND OTHER ORGANIZATIONAL DEPARTMENTS TO REVIEW THE CURRENT SERVICES BEING OFFERED AND ENSURE THAT RESOURCES ARE BEING APPROPRIATELY ALLOCATED TO AREAS IN NEED BY COMMUNITY MEMBERS AND PATIENTS. THE ORGANIZATION ALSO MEETS WITH LOCAL COMMUNITY MEMBERS AND ITS PHYSICIAN GROUP TO DETERMINE WHICH SERVICES MAY BENEFIT THE COMMUNITY. DURING FISCAL YEAR 2019 MIDWEST MEDICAL CENTER COMPLETED A FORMALIZED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY. PART VI, LINE 3: UNINSURED AND UNDER-INSURED PATIENTS ARE ASKED TO MEET WITH THE ORGANIZATION'S REGISTRATION REPRESENTATIVE AT THE TIME SERVICE IS PROVIDED AND WHEN THE PATIENT'S BILL IS GENERATED. A REGISTRATION REPRESENTATIVE WILL EXPLAIN THE VARIOUS PAYMENT OPTIONS AVAILABLE TO THE PATIENT AS WELL AS THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND PROVIDE THE FINANCIAL ASSISTANCE APPLICATION. IF OTHER PROGRAMS ARE AVAILABLE TO THE PATIENT, SUCH AS THE ILLINOIS PUBLIC AID PROGRAMS, THESE PATIENTS ARE REFERRED TO THE APPROPRIATE GOVERNMENT AGENCY FOR FURTHER ASSISTANCE. INFORMATION ABOUT THE AVAILABILITY OF SUCH PROGRAMS IS ALSO AVAILABLE AT MIDWESTMEDICALCENTER.ORG. PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR MIDWEST MEDICAL CENTER ENCOMPASSES ALL PERSONS LIVING WITHIN A 30 TO 60 MILE RADIUS OF THE HOSPITAL. PART VI, LINE 5: MIDWEST MEDICAL CENTER IS AN INDEPENDENT COMMUNITY HOSPITAL GOVERNED BY A 11-MEMBER BOARD OF DIRECTORS WHO RESIDE WITHIN THE PRIMARY SERVICE AREA. 1 NOTES RECEIVABLE FOR SCHOLARSHIPS FORGIVEN 4 8156 CURRENT NOTE RECEIVABLE BALANCE FORGIVENESS OF NOTES RECEIVABLE IS GOVERNED BY THE HOSPITAL'S MEDICAL EDUCATION SCHOLARSHIP PROGRAM AND FORGIVENESS IS GRANTED IF INDIVIDUALS FULFILL FUTURE SERVICE REQUIREMENTS WITH MIDWEST MEDICAL CENTER IN HEALTH PROFESSIONAL RELATED FIELDS. THE HOSPITAL TRACKS THIS INFORMATION ANNUALLY AND AWARDS THE FORGIVENESS BASED ON THE COMPLETION OF THE REQUIRED CRITERIA OF THE PROGRAM. PART I, LINE 2: MIDWEST MEDICAL CENTER TRACKS THE GRANTS PROVIDED THROUGH THE USE OF NOTES RECEIVABLE AS THE SCHOLARSHIP PROGRAMS ARE INTENDED TO SUPPLEMENT AND BE A FORM OF STUDENT LOANS FOR MEMBERS OF THE COMMUNITY PURSUING ADDITIONAL EDUCATION IN HEALTH RELATED FIELDS. PRIOR TO APPROVING A NOTE TO A PERSPECTIVE STUDENT, AN APPLICATION IS REVIEWED FOR APPROVAL BY THE HOSPITAL'S CONTROLLER TO ENSURE THAT ALL BACKGROUND INFORMATION ON THE CANDIDATE WAS PROVIDED. AFTER REVIEW BY THE CONTROLLER, THIS INFORMATION IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. EACH STUDENT MUST SIGN A PROMISSORY NOTE WITH MIDWEST MEDICAL CENTER THAT THEY COMMIT TO COMPLETE THE EDUCATIONAL PROGRAM AND THAT UPON GRADUATION THEY WILL PERFORM SERVICES FOR MIDWEST MEDICAL CENTER (PENDING AN AVAILABLE POSITION IN THE HOSPITAL AT THE TIME) OR THEY WILL REPAY THE NOTE WITH INTEREST. (THE REPAYMENT TERMS ENSURE THAT THE ENDOWED AND DONATED FUNDS ARE AVAILABLE IN FUTURE YEARS TO OTHER MEMBERS OF THE COMMUNITY OR THAT SERVICES ARE RETURNED TO THE COMMUNITY THROUGH SERVICE TO THE MEDICAL CENTER.) SERVICES PERFORMED AT MIDWEST MEDICAL CENTER RESULT IN FORGIVENESS OF NOTE RECEIVABLE AMOUNTS BASED ON HOURS WORKED. X X X 0 0 0 0 0 0 0 1 0 RICHARD FARRELL MD PHYSICIAN 336930 0 0 0 0 0 14007 0 18752 0 369689 0 0 0 GREG HARMSTON MD PHYSICIAN 273778 0 0 0 0 0 11129 0 18752 0 303659 0 0 0 MICHAEL WELLS MD PHYSICIAN 193597 0 0 0 0 0 8177 0 18335 0 220109 0 0 0 KRISTEN HEIMBUCH CRNA CRNA 194190 0 0 0 0 0 8126 0 12944 0 215260 0 0 0 MATTHEW GULLONE MD PHYSICIAN 199251 0 0 0 0 0 6861 0 7797 0 213909 0 0 0 TRACY BAUER CEO 266256 0 0 0 0 0 11040 0 18335 0 295631 0 0 0 PART I, LINE 7 A SIGN ON BONUS IN THE AMOUNT OF $25,000 WAS PAID OUT TO RICHARD FARRELL, MD PER HIS EMPLOYMENT CONTRACT. PAMELA SMITH FAMILY MEMBER OF TRACY BAUER, CEO 50017 EMPLOYMENT COMPENSATION 0 PATRICIA BAUER FAMILY MEMBER OF TRACY BAUER, CEO 20164 EMPLOYMENT COMPENSATION 0 REBECCA ANDERSON FAMILY MEMBER OF TRACY BAUER, CEO 44112 EMPLOYMENT COMPENSATION 0 JASON FRANK FAMILY MEMBER OF KELLI JACKSON, CONTROLLER 13155 EMPLOYMENT COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF MIDWEST MEDICAL CENTER IS MIDWEST MEDICAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF MIDWEST MEDICAL FOUNDATION HAVE THE RIGHT TO APPOINT MEMBERS OF THE BOARD OF DIRECTORS OR REMOVAL OF BOARD MEMBERS OF MIDWEST MEDICAL CENTER. THE MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS OF MIDWEST MEDICAL CENTER WILL ALSO BE BOARD MEMBERS OF MIDWEST MEDICAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS OF MIDWEST MEDICAL CENTER PREVIOUSLY ISSUED TAX-EXEMPT BONDS THROUGH THE ILLINOIS FINANCE AUTHORITY TO FINANCE THE CONSTRUCTION OF A REPLACEMENT HOSPITAL. UNDER THE TERMS OF THE BOND AGREEMENTS, THE ORGANIZATION IS LIMITED AS TO ISSUING NEW DEBT, PURCHASING SIGNIFICANT CAPITAL ASSETS, DISPOSING OF SIGNIFICANT ASSETS, AND/OR SETTING UP NEW CORPORATIONS OR SUBSTANTIALLY RESTRUCTURING THE CURRENT ORGANIZATION WITHOUT FIRST OBTAINING APPROVAL OF THE BOND TRUSTEES. IN TAX YEAR 2018 THE ORGANIZATION DID HAVE A CHANGE IN THEIR PARENT AND PAID OFF THE TAX-EXEMPT BONDS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS RECEIVED A COPY OF THE FINAL 990 FOR REVIEW AND APPROVAL THROUGH POSTING TO AN ELECTRONIC SECURE WEBSITE BY MANAGEMENT OF MIDWEST MEDICAL CENTER PRIOR TO ITS SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C SINCE MIDWEST MEDICAL CENTER IS PART OF A SMALL COMMUNITY, CONFLICTS OF INTEREST ARE GENERALLY KNOWN. THE BOARD OF DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE ANNUAL DISCLOSURE STATEMENTS. THESE ARE KEPT ON FILE AT THE HOSPITAL AND ALL MEMBERS OF THE BOARD OF DIRECTORS, INCLUDING MANAGEMENT WHICH ATTEND MEETINGS, ARE TOLD OF THE CONFLICTS. ANY MEMBERS WITH KNOWN CONFLICTS ABSTAIN FROM VOTING ON THESE CONFLICTS DURING MEETINGS AND ENGAGE IN ONLY LIMITED DISCUSSIONS ON THESE TOPICS. THE BOARD AND MANAGEMENT HOLD EACH OTHER ACCOUNTABLE THROUGH OBSERVATION AND ENFORCEMENT OF THE POLICY DURING MEETINGS AND AT ORGANIZATION FUNCTIONS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWS EVALUATIONS FOR THESE INDIVIDUALS, COMPARES DATA TO COMPETITIVE MARKET DATA OBTAINED FROM SALARY SURVEYS, AND CONSULTS WITH OUTSIDE ORGANIZATIONS AS NEEDED IN REVIEWING CONTRACTS. LEGAL AND OUTSIDE VALUATION SERVICES ARE OBTAINED IN ENSURING THE KEY EMPLOYEES, EXECUTIVES, AND PHYSICIANS' SALARIES ARE IN LINE WITH REASONABLE AND PRUDENT BUYER CONCEPTS AS WELL. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: EXPLANATION OF HOURS WORKED: THE BOARD OF DIRECTORS OF MIDWEST MEDICAL CENTER ALSO SERVES AS THE BOARD OF DIRECTORS FOR THE MIDWEST REGIONAL HEALTH SYSTEM. NO ADDITIONAL HOURS OF SERVICE ARE DEDICATED TO THE BOARD POSITIONS ON THE MIDWEST REGIONAL HEALTH SYSTEM. THE MIDWEST REGIONAL HEALTH SYSTEM WAS ORGANIZED TO SERVE AS A SUPPORTING ORGANIZATION FOR MIDWEST MEDICAL CENTER AND MIDWEST REGIONAL HEALTH FOUNDATION. ADDITIONALLY, SOME OFFICERS AND BOARD MEMBERS ALSO SERVE AS BOARD MEMBERS OF MIDWEST REGIONAL HEALTH FOUNDATION. THE HOURS OF SERVICE PROVIDED TO THIS ORGANIZATION IS REFLECTED ON LINE 2 OF COLUMN B. FORM 990, PART IX, LINE 11G EMERGENCY SERVICES: PROGRAM SERVICE EXPENSES 1,752,878. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,752,878. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 785,998. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 785,998. CLINIC SERVICES: PROGRAM SERVICE EXPENSES 583,975. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 583,975. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 193,195. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 193,195. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 597,718. MANAGEMENT AND GENERAL EXPENSES 515,502. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,113,220. MIDWEST MEDICAL FOUNDATION ONE MEDICAL CENTER DRIVE GALENA IL 61036 204560639 FUNDRAISING IL 501(C)3 LINE 12C, III-FI N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0