2018-08-08T07:07:19-05:00 2017-09-30 351416669 LA ROSA & CO LLC 320 N MERIDIAN ST STE 328 INDIANAPOLIS IN 46204 990 2016-10-01 370661199 DECATUR MEMORIAL HOSPITAL DECA 2178762106 2300 N EDWARD ST DECATUR IL 625264163 TIMOTHY D STONE JR DIRECTOR/PRES. & CEO 2178762051 2018-07-18 true MICHAEL P MERKEL P00137280 3176348777 2018-07-19 2016 2022-09-23 18:48:47Z TIMOTHY D STONE JR 2300 N EDWARD ST DECATUR IL 625264163 333003172 false X WWW.DMHCARES.COM X 1916 IL DMH SERVES THE HEALTHCARE NEEDS OF THE PEOPLE OF CENTRAL ILLINOIS THROUGH OPERATION OF A 280-BED ACUTE CARE HOSPITAL AND RELATED FACILITIES PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES. (SCHEDULE 0). 12 10 2508 371 5126829 2324086 4939734 5208353 253665316 274852692 8677128 9858860 10000988 10613414 277283166 300533319 2542633 4021169 0 146158905 152055195 0 0 134899375 171031812 283600913 327108176 -6317747 -26574857 353749083 327107746 85312512 87269005 268436571 239838741 X DMH SERVES THE HEALTHCARE NEEDS OF THE PEOPLE OF CENTRAL ILLINOIS THROUGH OPERATION OF A 280-BED ACUTE CARE HOSPITAL AND RELATED FACILITIES PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES. (SCHEDULE 0). false false 118478191 4021169 168395207 OUTPATIENT SERVICES: DMH PROVIDES A FULL RANGE OF OUTPATIENT SERVICES (DIAGNOSTIC TESTS AND MEDICAL PROCEDURES NOT REQUIRING AN OVERNIGHT STAY). DMH DEPARTMENTS PROVIDING THE MOST SUBSTANTIAL SERVICES DURING THE YEAR INCLUDED CARDIOLOGY, LABORATORY, RADIOLOGY, ONCOLOGY, PHYSICAL THERAPY, SLEEP DISORDERS, SURGERY, GERIATRIC AND EMERGENCY MEDICINE. DURING THE FISCAL YEAR, PATIENTS MADE APPROXIMATELY 38,000 VISITS TO DMH'S EMERGENCY CARE CENTER AND RECEIVED APPROXIMATELY 253,000 OUTPATIENT TESTS. 57532984 81772676 INPATIENT SERVICES: WITH 280 BEDS CURRENTLY IN SERVICE,DMH PROVIDED 42,750 DAYS OF INPATIENT CARE DURING THE FISCAL YEAR. DMH'S INPATIENTS INCLUDED THE YOUNG (NEWBORN INFANTS IN THE LEVEL I OR LEVEL II NURSERY), THE OLD (FOR EXAMPLE, PERSONS RECEIVING CARE THROUGH DMH'S SENIOR HEALTH AND WELLNESS CENTER OF EXCELLENCE), AND THE IN-BETWEEN. AREAS OF INPATIENT SERVICE INCLUDED GENERAL MEDICAL, SURGERY, ORTHOPEDICS, CARDIOLOGY, GERIATRICS,PEDIATRICS, INTENSIVE CARE, DIALYSIS, OBSTETRICS AND GYNECOLOGY, NURSERY, LONG-TERM CARE, AND TELEMETRY MONITORING. INPATIENT CARE WAS PROVIDED BY DMH'S TEAM OF HIGHLY-QUALIFIED, TALENTED STAFF (TODAY NUMBERING OVER 2,250 IN ALL), INCLUDING HOSPITALISTS, NURSES, AIDES, DIETICIANS, CASE MANAGEMENT STAFF, SOCIAL WORKERS, AND CHAPLAINS. 60874808 32017120 PROFESSIONAL SERVICES: AS THE EMPLOYER OF APPROXIMATELY 71 PHYSICIANS PLUS A COMPLEMENT OF OTHER PROVIDERS (PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS), DMH OFFERS A WIDE RANGE OF PROFESSIONAL PATIENT CARE AT APPROXIMATELY 29 OFFICES LOCATED THROUGHOUT THE SERVICE AREA. THESE SITES INCLUDE TWO "EXPRESS CARE" LOCATIONS OFFERING CARE FOR CASES THAT ARE TIME-SENSITIVE BUT NOT LIFE-THREATENING OR EMERGENT. 157193 EDUCATION AND OUTREACH: DMH HAS CONCLUDED THAT, TO FULFILL ITS MISSION OF IMPROVING HEALTH, IT MUST BECOME INVOLVED IN THE EDUCATION, AWARENESS AND PREVENTION OF DISEASE AND ILLNESS THAT NEGATIVELY IMPACT HEALTH STATUS. IN AN EFFORT TO GIVE COMMUNITY RESIDENTS THE TOOLS NECESSARY TO MAKE HEALTHY LIFESTYLE DECISIONS, DMH SEEKS OUT OPPORTUNITIES AND ACTIVELY INVOLVES ITSELF IN THE LOCAL COMMUNITY, THROUGH MEASURES RANGING FROM PROGRAMS FOR LOCAL SCHOOLS TO DMH'S POPULAR "PRIME TIME" PROGRAM FOR SENIORS. IN RECENT YEARS, DMH HAS PARTICIPATED IN VARIOUS COMMUNITY HEALTH NEEDS ASSESSMENT INITIATIVES, AS A RESULT OF WHICH DMH HAS IDENTIFIED SIGNIFICANT CONCERNS SUCH AS ACCESS TO PRIMARY CARE PHYSICIANS AND SPECIALISTS; HEART, LUNG, & STROKE SCREENINGS; CHRONIC OBSTRUCTIVE PULMONARY DISEASE; OBESITY; DIABETES; INDIGENT OUTPATIENT LONGITUDINAL CARE; ONCOLOGY SCREENINGS; HEALTH FAIRS; AND WOMEN AND CHILDREN'S HEALTH. WITH THE LEADERSHIP OF A MULTIDISCIPLINARY COMMUNITY BENEFITS COMMITTEE, INCLUDING PARTICIPATION BY A DIVERSE GROUP OF COMMUNITY REPRESENTATIVES, DMH HAS TAKEN A PRIMARY ROLE IN CONFRONTING THESE ISSUES. 157193 237043176 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true true false false false false false false false true true true false false false false false true true true false false true 148 0 true 2508 true true true false false false false false false false false false X 12 10 true false false false true true true true true false false true true true true true true true true true true IL X DEBORAH L BRAGG ACCOUNTING 2178762051 2300 N EDWARD ST DECATUR IL 625264163 TIMOTHY D STONE JR DIRECTOR/PRE 30.00 12.50 X X 543792 0 10784 JACK O'RILEY DIRECTOR 2.00 0.00 X 0 0 0 WILLIAM MACLEOD DIRECTOR 2.00 0.00 X 0 0 0 AIMEE FYKE DIRECTOR 2.00 0.00 X 0 0 0 JONATHAN T LOCKE MD DIRECTOR 2.00 0.00 X 0 0 0 THOMAS BAYER DIRECTOR 2.00 0.00 X 0 0 0 KELLY EVANS DIRECTOR 2.00 0.00 X 0 0 0 LARRY ALTENBAUMER DIRECTOR 2.00 0.00 X 0 0 0 ROBIN KING DIRECTOR 2.00 0.00 X 0 0 0 BRAD WIKE DIRECTOR 2.00 0.00 X 0 0 0 MARC HINCH DIRECTOR 2.00 0.00 X 0 0 0 JAMES STECK DIRECTOR 2.00 0.00 X 0 0 0 EDWARD ELLIOTT MD DIRECTOR 2.00 0.00 X 0 0 0 DAVID BAUMBERGER MD VP CMO 40.00 0.20 X 419090 0 16525 LINDA FAHEY SVP CIO 40.00 0.00 X 267458 0 5664 JOHN RIDLEY EVP COO 40.00 0.20 X 238823 0 21096 DEBORAH L BRAGG SVP FINANCE 42.00 3.00 X 234602 0 5431 KEVIN HORATH VP HUMAN RES 20.00 20.00 X 221019 0 14125 KATHERINE ANDERSON VP LEGAL AFF 30.00 25.00 X 188217 0 3603 ROBYN REISING VP CNO 40.00 0.00 X 186636 0 3691 DAVID SAMPLES VP SUPPORT S 40.00 0.00 X 149724 0 19331 JULIE BRILLEY VP PHYSICIAN 40.00 0.00 X 84806 0 12974 ANTHONY RISPOLI EVP & CFO 40.00 2.00 X 31068 0 0 MARK BURMESTER SVP STRATEGY 40.00 0.00 X 23585 0 0 STEVEN SOBOL MD PHYSICIAN 40.00 0.00 X 1183351 0 21650 MARVIN DERRICK MD PHYSICIAN 40.00 0.00 X 872772 0 20650 JOHN WATERS MD PHYSICIAN 40.00 0.00 X 820521 0 10998 MOHAMMED HASNAIN MD PHYSICIAN 40.00 0.00 X 803917 0 21650 ROBERT KRAUS JR MD PHYSICIAN 40.00 0.00 X 747306 0 21650 KENNETH SMITHMIER FORMER DIR/P 30.00 10.00 X 128801 0 963 7145488 210785 157 true true false POINTCORE 800 NE GLEN OAK PEORIA IL 61603 COMPUTER SUPP 2895133 PRAIRIE EMERGENCY PHYSICIANS LLP PO BOX 674579 DETROIT MI 48267 PHYSICIAN FEES 1461474 CONSOCIATE GROUP PO 1068 DECATUR IL 62525 INSURANCE SERV 1411288 LINDE HEALTHCARE STAFFING PO BOX 915241 DALLAS TX 753915241 PHYSICIAN FEES 1116459 DENMAN LINEN SERVICES 1801 N 43RD QUINCY IL 62305 LINEN SERVICES 1075216 190 3909266 1299087 5208353 INPATIENT, OUTPATIENT, & PHYS 900099 274852692 274852692 274852692 4935842 2492751 2443091 1122825 1122825 1122825 475800 647025 37166657 32243639 4923018 4923018 4923018 1113350 226214 887136 887136 OTHER EXEMPT FUNCTION INCOME 900099 7332311 7332311 WELLNESS & COSMETIC SERVICES 900099 827591 827591 REFERENCE LABORATORY 541380 264140 264140 179411 179411 8603453 300533319 282185003 5126829 8013134 X 4021169 4021169 2318788 2318788 3352665 3352665 117494735 98333851 19160884 2075625 1737135 338490 18942480 15853366 3089114 7870902 6587326 1283576 545406 545406 998525 998525 84643 84643 32922587 20355823 12566764 907435 556734 350701 52586362 49331555 3254807 5681614 5476624 204990 21309 21309 11982541 7344723 4637818 834901 591265 243636 327724 230597 97127 757214 464136 293078 18168208 10608300 7559908 5277966 947187 4330779 RELATED PARTY BAD DEBT 25889944 25889944 STATE MEDICAID TAX 10771242 10771242 MISCELLANEOUS EXPENSE 3274191 458169 2816022 327108176 237043176 90065000 0 8830 8555 13684428 7938127 36600790 50486105 75723727 61060905 3393525 3249490 2636676 2848863 442510109 334333170 104795257 108176939 96610354 69553678 409015 371504 3183672 5499462 16702809 17914118 353749083 327107746 38862907 39611606 651868 504253 7803000 5967000 5000000 37994737 36186146 85312512 87269005 X 220098717 193029414 33381684 31813254 14956170 14996073 268436571 239838741 353749083 327107746 X -26574857 -687248 -1335725 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 34498 false true 50145 84643 false SCHEDULE C, PART II-B, LINE 1 A PORTION OF THE MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOMECARE AND HOSPICE COUNCIL, AND THE ILLINOIS HOSPITAL ASSOCIATION ARE DESIGNATED AS LOBBYING EXPENSES. THE AMOUNT REPORTED ON SCHEDULE C, PART II-B, LINE 1I REPRESENTS THE AMOUNTS SO DESIGNATED. 14956170 860660 262374 558383 14996073 15056012 -99842 14956170 15420861 -364849 15056012 15357049 983585 294026 625747 15420861 14608812 1893758 366193 779328 15357049 1.00000 true false 1337264 1337264 194364217 133783701 60580516 2768269 34713 2733556 234674415 193522526 41151889 9365944 6992230 2373714 108176939 INSURANCE RECEIVABLE 8255924 OTHER 8204011 PHYSICIANS RECEIVABLE 1254265 NURSE ASSISTANCE PROGRAM 134732 DUE FROM AFFILIATES 65186 17914118 CAPITAL LEASE OBLIGATIONS 10391568 INSURANCE PAYABLE 8255924 DEFERRED TRUST 7793579 MALPRACTICE INSURANCE 5740708 PENSION LIABILITY 2239740 FUTURE RENT PAYMENTS 1073764 RETIREE HEALTH PLAN 673538 DUE TO AFFILIATES 17325 36186146 X SCHEDULE D, PAGE 2, PART V, LINE 4 THE ENDOWMENT FUNDS ARE USED FOR CAPITAL PURCHASES, SCHOLARSHIPS, AND ASSISTING INDIGENT PEOPLE WITH THEIR HOSPITAL BILLS. SCHEDULE D, PAGE 3, PART X THE SYSTEM HAD NO MATERIAL UNCERTAIN POSITIONS IN INCOME TAX LIABILITIES OR EXPENSES. true true X true X true X 6.000000000000 true true true false true true 13429191 13429191 0.04110 43843416 36400769 7442647 0.02280 57272607 36400769 20871838 0.06390 375484 375484 0.00110 3317841 3317841 0.01010 2059790 2059790 0.00630 14625 14625 5767740 5767740 0.01750 63040347 36400769 26639578 0.08140 60000 60000 0.00020 57270 57270 0.00010 171 171 117441 117441 0.00030 true 3011378 2969551 84100868 86434635 -2333767 X true true 1 1 DECATUR MEMORIAL HOSPITAL 2300 N EDWARD ST DECATUR IL 62526 WWW.DMHCARES.COM ILLINOIS 0000471 X X X ACUTE CARE & LONG TERM CARE DECATUR MEMORIAL HOSPITAL 1 false false true X X X X X X X X 16 true false true true X WWW.DMHCARES.COM (SEE SECTION C) X true 16 true SEE SECTION C false false true X 200.000000000000 600.000000000000 X true true X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X true X false X X X X true X X X X false false FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 5 THE HOSPITAL AND MACON COUNTY HEALTH DEPARTMENT HOSTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUP WHERE THE FOLLOWING ATTENDEES PROVIDED INPUT REGARDING COMMUNITY HEALTH STRENGTHS AND CONCERNS, AS WELL AS TOP HEALTH CONCERNS SEEN THROUGHOUT THE MACON COUNTY AREA. THESE INDIVIDUALS WERE CHOOSEN TO PARTICIPATE IN THE FOCUS GROUP BECAUSE OF THEIR INSIGHT TO THE COMMUNITY'S POPULATION, INCLUDING HEALTH NEEDS. DARIN BUTTZ - DIRECTOR, HEALTH AND WELLNESS JOHN RIDLEY - EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER JULIE BRILLEY - ADMINISTRATIVE DIRECTOR, MEDICAL STAFF MIKE CASSELL - DIRECTOR OF MARKETING MARSHA CORDTS - DIRECTOR OF SURGERY CENTER DON HENDRIAN - DECISION SUPPORT ANALYST BETTY HUGHES - EXECUTIVE DIRECTOR OF DMH MEDICAL GROUP CAROL PEARSON - PATIENT CENTERED MEDICAL HOME COORDINATOR FRANCES SPERRY - ANALYTICS AND PERFORMANCE MANAGER PAIGE TOTH - DIRECTOR OF LEGAL AFFAIRS REV. BROHARD - EXECUTIVE DIRECTOR, THE GOOD SMARITAN INN SIGNE KIMMEL - DECATUR MEMORIAL HOSPITAL JERRY BAUER - ASSISTANT CITY MANAGER, CITY OF DECATUR TANYA ANDRICKS - EXECUTIVE DIRECTOR, CROSSING HEALTHCARE DANA COIT - DIRECTOR, EVERGREEN SENIOR LIVING SHELITH HANSBRO - WARDEN, DECATUR CORRECTIONAL CENTER BRUCE JEFFERY - EXECUTIVE DIRECTOR, BOYS AND GIRLS CLUB BILL CLEVENGER - EXECUTIVE DIRECTOR, DECATUR PARK DISTRICT JONATAN LOCKE, MD - MEDICAL STAFF PRESIDENT, DMH JOHN BRADLEY, MD - SIU SCHOOL OF MEDICINE LISA MCGREGORY - EXECUTIVE DIRECTOR OF PUBLIC INFORMATION, RICHLAND COMMUNITY COLLEGE JULIE MOORE - MAYOR, CITY OF DECATUR WOLE ADEOYE - PRESIDENT, VICTORY PHARMACY LINDA REED-THOMPSON, SOCIAL SERVICES DIRECTOR, SALVATION ARMY KIM WOLPERT - ONOCOLOGY SERVICE LINE LEADER JIM GETZ - LIEUTENANT, DECATUR POLICE DEPARTMENT TIMOTHY STONE, JR - PRESIDENT AND CEO, DMH FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 6B MACON COUNTY HEALTH DEPARTMENT FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 7D THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT: HTTPS://WWW.DMHCARES.COM/WP- CONTENT/UPLOADS/2016/05/COMMUNITYHEALTHNEEDSASSESSMENT-1.PDF SCHEDULE H, PART V, SECTION B, LINE 10A: THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION CAN BE FOUND AT: HTTPS://WWW.DMHCARES.COM/WP-CONTENT/UPLOADS/2016/03/IMPLEMENTATIONPLAN.PDF SCHEDULE H, PART V, SECTION B, LINE 16A: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT: HTTPS://WWW.DMHCARES.COM/WP-CONTENT/UPLOADS/2016/08/SIGNED-FINANCIAL-ASST- POLICY-093016_1.PDF LINE 16B: THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION FORM CAN BE FOUND AT: HTTPS://WWW.DMHCARES.COM/WP-CONTENT/UPLOADS/2016/08/FINANCIAL-ASSISTANCE- APPLICATION-FORM-1.PDF LINE 16C: THE HOSPITAL'S PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT: HTTPS://WWW.DMHCARES.COM/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL- ASSISTANCE/SUMMARY-FINANCIAL-ASSISTANCE-POLICY/ FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 11 ADDRESSING COMMUNITY HEALTH NEEDS THE FOLLOWING STRATEGIES HAVE BEEN DEVELOPED TO ADDRESS THE MAJOR HEALTH NEEDS OF THE COMMUNITY. 1. ACCESS TO PRIMARY CARE PHYSICIANS ACCESS TO PRIMARY CARE PHYSICIANS IS VITAL TO OUR COMMUNITY MEMBERS. PRIMARY CARE PHYSICIANS ARE GENERALLY THE ENTRYWAY INTO THE HEALTHCARE SYSTEM, LEADING TO PREVENTION OF DISEASE AND DISABILITY, DETECTION AND TREATMENT OF HEALTH CONDITIONS, BETTER QUALITY OF LIFE, PREVENTABLE DEATH AND A GREATER LIFE EXPECTANCY. DMH ACTIVELY WORKS TO INCREASE ACCESS TO PRIMARY CARE PHYSICIANS THROUGH RECRUITMENT AND A STRONG COLLABORATIVE RELATIONSHIP WITH CROSSING HEALTHCARE. RECRUITMENT EFFORTS FOR DMH MEDICAL GROUP .. ACTIVITY: DMH IS AGGRESSIVELY RECRUITING PRIMARY CARE PHYSICIANS TO JOIN THE DMH MEDICAL GROUP. .. GOAL: THE DMH MEDICAL GROUP WILL ADD 3 PRIMARY CARE PHYSICIANS TO THE SERVICE AREA BY 2018. COLLABORATIVE EFFORT WITH CROSSING HEALTHCARE .. ACTIVITY: WITH THE ABILITY AND DRIVE TO ENHANCE LONG-TERM ORGANIZATIONAL SUSTAINABILITY, BY ANTICIPATING AND PREPARING FOR INDUSTRY REFORM, DMH HAS COLLABORATED AND WILL CONTINUE TO COLLABORATE WITH OTHER AREA AGENCIES INCLUDING CROSSING HEALTHCARE. THESE EFFORTS GREATLY ENHANCE THE HEALTHCARE OPTIONS FOR MEMBERS OF THE COMMUNITY. COMMUNITY HEALTH IMPROVEMENT CENTER (CHIC) AT DMH NOW KNOWN AS CROSSING HEALTHCARE AT DMH .. GOAL: CROSSING HEALTHCARE AT DMH WILL TREAT 9,000 PATIENTS A YEAR. 2. ACCESS TO MEDICAL SPECIALISTS IN AN EFFORT TO MAINTAIN AND GROW APPROPRIATE HEALTHCARE SERVICES, DMH CONTINUES TO RECRUIT PROVIDERS IN A VARIETY OF SPECIALTIES AND COLLABORATES WITH OTHER HEALTHCARE ORGANIZATIONS TO INCREASE CARE OPTIONS FOR THE COMMUNITY. DMH FULLY UNDERSTANDS AND SUPPORTS THE NEED TO OFFER CARE, LOCALLY. DMH HAS INVESTED IN SPECIALTY SERVICES TO ENSURE THE AVAILABILITY OF HIGH QUALITY CARE, CLOSE TO HOME FOR ITS PATIENT BASE. WITH A MEDICAL STAFF OF NEARLY 400 PROVIDERS, DMH OFFERS A VARIETY OF SPECIALTIES, INCLUDING VASCULAR SURGERY, CARDIOTHORACIC SURGERY, INTERVENTIONAL RADIOLOGY, GASTROENTEROLOGY, ORTHOPEDIC SURGERY, PODIATRY, RADIOLOGY, ONCOLOGY, UROLOGY, NEPHROLOGY, OBSTETRICS AND GYNECOLOGY,GENERAL SURGERY, COLORECTAL SURGERY, NEUROLOGY, NEUROSURGERY, ALLERGY AND IMMUNOLOGY, PLASTICS AND RECONSTRUCTIVE SURGERY, OTOLARYNGOLOGY,PRIMARY CARE, PEDIATRICS, HOSPITALIST MEDICINE, EMERGENCY MEDICINE, AND SEVERAL NEWLY AVAILABLE PEDIATRIC SUB-SPECIALTIES. COLLABORATIVE EFFORTS WITH OTHER AREA HEALTHCARE PROVIDERS .. ACTION: DMH HAS PARTNERED WITH CARLE FOUNDATION HOSPITAL FOR EASE OF TRANSFERRING PATIENTS AND ADDITIONAL NEUROSURGERY SERVICES OFFERED ON THE DMH CAMPUS; SIU HEALTHCARE FOR FAMILY MEDICINE RESIDENCY AND PHYSICIAN ASSISTANT TRAINING PROGRAMS LOCATED ON THE DMH CAMPUS, A VARIETY OF ADDITIONAL RESIDENCY PROGRAMS EXPECTED IN THE NEAR FUTURE, AND PEDIATRIC AND ADULT SUB-SPECIALTIES; VRAD TELERADIOLOGY FOR ADDITIONAL RADIOLOGY SERVICES; SPECIALISTS ON CALL FOR NEUROLOGY TELEMEDICINE SERVICES; CROSSING HEALTHCARE FOR AN ACCESS CLINIC OUTSIDE OF THE EMERGENCY CARE CENTER, AND ECI FOR EMERGENCY MEDICINE SERVICES. .. GOAL: DMH WILL INCREASE SUB-SPECIALTY SERVICES, OFFERED IN THE SERVICE AREA, BY 10% BY 2018. 3. ACCESS TO MENTAL HEALTH PROVIDERS AND SERVICES ON OCTOBER 1, 2015 DECATUR MEMORIAL HOSPITAL OPENED A 20-BED GERIATRIC PSYCHIATRY UNIT, WITH DR. CHOUDARY KAVURI AS MEDICAL DIRECTOR. THE ADDITION OF THE GERIATRIC PSYCHIATRY SERVICE WILL FILL A VITAL COMMUNITY NEED. INCREASE ACCESS TO GERIATRIC PSYCHIATRIC SERVICES (SENIOR BEHAVIORAL HEALTH) .. ACTION: DMH WILL WORK WITH AREA PROVIDERS TO INCREASE AWARENESS OF THE SERVICES OFFERED THROUGH THE SENIOR BEHAVIORAL HEALTH UNIT. .. GOAL: THE AVERAGE DAILY SENIOR BEHAVIORAL HEALTH UNIT CENSUS WILL BE 15 PATIENTS BY 2018. FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 13H DMH USES INCOME LEVEL AND FAMILY SIZE TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE. THE MAXIMUM QUALIFYING INCOME LEVEL INCREASES WITH THE SIZE OF THE FAMILY. 10 DMH MEDICAL GROUP 2300 N EDWARD ST DECATUR IL 62526 OUTPATIENT CLINICS DMH ENDOSCOPY CENTER 2 MEMORIAL DR PHYS PLAZA WEST SUITE 102 DECATUR IL 62526 AMBULATORY ENDOSCOPY CENTER DMH SURGERY CENTER 304 W HAY SUITE 114 DECATUR IL 62526 AMBULATORY SURGERY CENTER FORSYTH IMAGING CENTER 389 W WEAVER ROAD FORSYTH IL 62535 DIAGNOSTIC CENTER SOUTH SHORES IMAGING CENTER 1689 S FRANKLIN ST DECATUR IL 62521 DIAGNOSTIC CENTER DMH CORPORATE HEALTH SERVICES 2122 NORTH 27TH ST DECATUR IL 62526 OUTPATIENT CLINIC DMH HOME HEALTH CARE 3122 BRETTWOOD CIRCLE DECATUR IL 62526 HOME HEALTH AGENCY SPORTS PERFORMANCE ENHANCEMENT CTR 2122 NORTH 27TH ST DECATUR IL 62526 PHYSICAL THERAPY DMH HOSPICE 3122 BRETTWOOD CIRCLE DECATUR IL 62526 HOSPICE AGENCY DMH HEALTH AND WELLNESS CENTER 2122 NORTH 27TH ST DECATUR IL 62526 WELLNESS CENTER PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE AS INDICATED, THE HOSPITAL USES FEDERAL POVERTY GUIDELINES. ADDITIONALLY, THERE MAY BE INSTANCES WHERE PATIENTS HAVE INCURRED A FINANCIAL HARDSHIP, BUT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE GUIDELINES. SUCH CASES ARE REVIEWED INDIVIDUALLY AND, WHERE DEEMED APPROPRIATE, EARNINGS ON RESTRICTED FUNDS ARE USED TO PAY THE PATIENT'S BILLS. PART I, LINE 6A - RELATED ORGANIZATION INFORMATION THE HOSPITAL PREPARES THE ANNUAL COMMUNITY BENEFIT REPORT UNDER ITS OWN NAME. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION THE HOSPITAL DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE NONE. PER NEWLY ISSUED GAAP, DMH INCLUDES BAD DEBT EXPENSE AS PART OF PROGRAM SERVICE REVENUE ON PAGE 9, LINE 2A. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE HOSPITAL DERIVED ALL NUMBERS IN LINE 7 FROM THE APPLICABLE IRS WORKSHEETS, USING THE RATIO OF PATIENT COST-TO-CHARGES. PART II - COMMUNITY BUILDING ACTIVITIES PART VI, LINE 5 ECONOMIC DEVELOPMENT - DMH SUPPORTS THE ECONOMIC DEVELOPMENT CORPORATION OF DECATUR AND MACON COUNTY (EDC). EDC IS A NON-PROFIT PUBLIC-PRIVATE PARTNERSHIP RESPONSIBLE FOR NON-RETAIL BUSINESS ATTRACTION, EXPANSION AND RETENTION EFFORTS IN DECATUR & MACON COUNTY. COMPOSED OF A COMBINATION OF LEADING PRIVATE SECTOR EMPLOYERS, LABOR, EDUCATIONAL INSTITUTIONS AND A VARIETY OF GOVERNMENTAL BODIES, THE EDC IS UNIQUELY POSITIONED TO ADDRESS THE NEEDS OF MACON COUNTY'S EXISTING BUSINESS AND EMPLOYER BASE ALONG WITH PROSPECTIVE BUSINESSES LOOKING TO LOCATE IN AND AROUND THE DECATUR, ILLINOIS AREA. PRESIDENT & CEO TIM STONE IS CHAIRMAN OF THE EDC. COMMUNITY HEALTH IMPROVEMENT ADVOCACY - DMH SUPPORTS A PROGRAM WHEREBY INDIGENT OR QUALIFYING PATIENTS WHO COULD NOT AFFORD TRANSPORTATION FOR HEALTH CARE ARE PROVIDED TAXI AND DECATUR AMBULANCE SERVICE TRANSPORTATION AT NO COST. IN ADDITION, DMH PROVIDES PHARMACY FOR THE INDIGENT AND/OR THOSE THAT QUALIFY. CROSSING HEALTHCARE ACCESS CLINIC IS LOCATED WITHIN THE HOSPITAL'S EMERGENCY ROOM AREA. THE CLINIC PROVIDES HEALTH CARE TO LOW INCOME FAMILIES. OTHER - DMH SUPPORTED THE LOCAL HOMELESS SHELTER BY PROVIDING FOOD CONTRIBUTIONS. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY FOOTNOTE DESCRIBING BAD DEBT (NOTE THAT THE AUDITED FINANCIAL STATEMENTS DID NOT INCLUDE A SEPARATE FOOTNOTE WHICH APPLIED SOLELY TO BAD DEBT. THE FOLLOWING IS AN EXCERPT FROM A BROADER FOOTNOTE CONTAINED IN THE FINANCIAL STATEMENTS): THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS CONSOLIDATED FINANCIAL STATEMENTS, INCLUDING PROVISIONS FOR BAD DEBT. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE, ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES, AND RECOMMENDATIONS MADE BY THE SYSTEM'S EXTERNAL ADVISORS AND ACTUARIES IN MAKING JUDGMENTS AND ESTIMATES. ACTUAL RESULTS COULD DIFFER FROM THOSE ESTIMATES. THE ABOVE WORDING CAN BE FOUND IN FOOTNOTE 1, USE OF ESTIMATES SUB TITLE, ON PAGE 7-8 AS NOTED AT THE BOTTOM OF THE PDF PAGE OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 2: LINE 2 OF PART III WAS CALCULATED USING THE HOSPITAL WIDE COST-TO-CHARGE RATIO FROM THE APPLICABLE IRS WORKSHEET. PROVISIONS FOR BAD DEBT EXPENSE ARE CALCULATED BY TAKING THE NET ACCOUNTS RECEIVABLE BY PAYOR CLASS WHICH IS SEGREGATED INTO 10 TIME PERIOD BUCKETS AND MULTIPLYING EACH BUCKET BY A CALCULATED PRIOR YEAR ACTUAL BAD DEBT EXPENSE PERCENT. PART III, LINE 3: LINE 3 OF PART III WAS CALCULATED AS FOLLOWS: THE HOSPITAL USED 2010-2017 AMERICAN COMMUNITY 5 YEAR ESTIMATES DATA FROM THE CENSUS BUREAU TO ESTIMATE THE PERCENTAGE OF ITS PATIENT POPULATION WHOSE HOUSEHOLD INCOME WAS UNDER ITS FULL CHARITY CARE ELIGIBILITY CRITERIA OF 200% OF THE FEDERAL POVERTY GUIDELINES (FPG). THIS PERCENTAGE WAS THEN DECREASED BY THE PERCENTAGE OF ILLINOIS RESIDENTS WHO HAVE GAINED INSURANCE THROUGH THE AFFORDABLE CARE ACT. THIS ADJUSTED PERCENTAGE WAS APPLIED TO THE HOSPITAL'S CHARGES TO ESTIMATE THE AMOUNT OF GROSS CHARGES THAT MET ITS FINANCIAL ASSISTANCE GUIDELINES. THE HOSPITAL THEN SUBTRACTED THE CHARGES RELATED TO THE PATIENTS THAT WERE ELIGIBLE FOR GOVERNMENTAL ASSISTANCE PROGRAMS SUCH AS MEDICAID. HOSPITAL CHARITY CARE ADJUSTMENTS WERE ALSO REMOVED BECAUSE THEY TOO WOULD NOT HAVE RESULTED IN BAD DEBTS. THE REMAINING CHARGES RELATED TO UNINSURED PATIENTS WITH HOUSEHOLD INCOMES BELOW 200% OF FPG, AND IT IS REASONABLE TO ASSUME THAT THEY RESULTED IN BAD DEBTS. THIS TOTAL WAS THEN MULTIPLIED BY THE RATIO OF COSTS-TO-CHARGES FROM THE APPLICABLE IRS WORKSHEET TO CALCULATE THE COST OF PROVIDING THESE SERVICES. PART III, LINE 8 - MEDICARE EXPLANATION THE HOSPITAL USED THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT IN CALCULATING LINE 6 OF PART III. THE HOSPITAL DID RECOGNIZE THE SHORTFALL REPORTED IN PART III, LINE 7, IN ITS COMMUNITY BENEFIT REPORT. THE SHORTFALL IS INCLUDED IN THE GOVERNMENT-SPONSORED PROGRAM SERVICES LINE OF THE COMMUNITY BENEFIT REPORT. THE SHORTFALL AMOUNT WAS CALCULATED USING INTERNAL RECORDS. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION THE HOSPITAL WILL NOT SEND A PATIENT'S ACCOUNT TO A THIRD-PARTY COLLECTION AGENCY PRIOR TO MAKING GOOD FAITH EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE HOSPITAL WILL USE GOOD FAITH EFFORTS TO DETERMINE WHETHER A PATIENT IS INSURED PRIOR TO INITIATING ANY COLLECTION ACTION. THE HOSPITAL WILL NOT PURSUE LEGAL ACTION FOR NONPAYMENT OF BILLS FOR ANY PATIENT RECEIVING FINANCIAL ASSISTANCE SO LONG AS SUCH PATIENT IS MAKING PAYMENTS IN ACCORDANCE WITH HIS/HER ESTABLISHED PAYMENT PLAN AS SET FORTH IN A PAYMENT AGREEMENT. IN THE EVENT THE PATIENT IS UNABLE TO MAINTAIN SUCH PAYMENTS, THE HOSPITAL WILL CONTACT THE PATIENT TO DETERMINE WHETHER AN ADJUSTMENT IS APPROPRIATE. NOTWITHSTANDING THE FOREGOING, THE HOSPITAL MAY TAKE LEGAL ACTION AGAINST PATIENTS RECEIVING FINANCIAL ASSISTANCE TO ENFORCE THE TERMS OF AN EXISTING PAYMENT PLAN WHERE THERE IS EVIDENCE THAT THE PATIENT (OR HIS/HER FAMILY AND/OR GUARANTOR, IF APPLICABLE) HAS SUFFICIENT INCOME AND ASSETS TO MEET HIS/HER OBLIGATIONS UNDER THE EXISTING PAYMENT PLAN; PROVIDED HOWEVER, THE HOSPITAL WILL NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST ANY PATIENT RECEIVING FINANCIAL ASSISTANCE WHO HAS CLEARLY DEMONSTRATED THAT SHE DOES NOT HAVE SUFFICIENT INCOME AND ASSETS TO MEET HIS/HER FINANCIAL OBLIGATIONS TO THE HOSPITAL. NOTWITHSTANDING THE FOREGOING, THE HOSPITAL'S DEBT COLLECTION POLICY PLACES A MAXIMUM AMOUNT, BASED UPON ANNUAL HOUSEHOLD PRE-TAX INCOME AND CASH BENEFITS FROM ALL SOURCES WITH CERTAIN ADJUSTMENTS, THAT THE HOSPITAL (OR ITS DESIGNATED THIRD-PARTY COLLECTION AGENCY) MAY COLLECT IN ANY TWELVE (12) MONTH PERIOD FOR HOSPITAL SERVICES FROM A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART VI, LINE 2 - NEEDS ASSESSMENT DECATUR MEMORIAL HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS TO EVALUATE THE HEALTH OF THE COMMUNITY, IDENTIFY HIGH PRIORITY HEALTH NEEDS, AND DEVELOP STRATEGIES TO ADDRESS THE NEEDS OF THE COMMUNITY. THE 2016-2018 DECATUR MEMORIAL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPRESENTS A COMBINATION OF QUANTITATIVE AND QUALITATIVE INFORMATION FROM REPUTABLE STATISTICAL SOURCES, FOCUS GROUP FEEDBACK PROVIDED BY COMMUNITY LEADERS, AND INFORMATION FROM A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY. THE ASSESSMENT PROCESS INCLUDED A COMBINATION OF SECONDARY DATA, INCLUDING IPLAN, U.S. CENSUS DATA, AND REFERENCE TO HEALTHY PEOPLE 2020, AMONG OTHER SOURCES. VALUABLE DATA FROM A COMMUNITY MEMBER SURVEY, AND A COMMUNITY LEADER FOCUS GROUP SURVEY, PROVIDED PRIMARY DATA FOR THE ASSESSMENT. DECATUR MEMORIAL HOSPITAL UTILIZED THE SIX STEP ASSESSMENT PROCESS OUTLINED BELOW. STEP 1: ESTABLISHING THE ASSESSMENT INFRASTRUCTURE PARTICIPANTS IN THE COMMUNITY LEADER FOCUS GROUP AND FOCUS GROUP SURVEY INCLUDED DECATUR MEMORIAL HOSPITAL, RICHLAND COMMUNITY COLLEGE, MACON COUNTY HEALTH DEPARTMENT, SOUTHERN ILLINOIS UNIVERSITY, CITY OF DECATUR, BOYS AND GIRLS CLUB, CROSSING HEALTHCARE, DMH MEDICAL STAFF PHYSICIANS, GOOD SAMARITAN INN, DECATUR POLICE DEPARTMENT, VICTORY PHARMACY, EVERGREEN SENIOR LIVING, DECATUR CORRECTIONAL CENTER, DECATUR PARK DISTRICT AND SALVATION ARMY. DECATUR MEMORIAL HOSPITAL'S ROLE: -COORDINATE THE OVERALL ASSESSMENT PROCESS -PROVIDE THE MEETING SPACE FOR THE COMMUNITY LEADER FOCUS GROUP -MOTIVATE OTHER COMMUNITY ORGANIZATIONS TO PARTICIPATE -COLLECT AND ORGANIZE SECONDARY DATA -CONDUCT A COMMUNITY LEADER FOCUS GROUP TO COLLECT PRIMARY DATA -DESIGN, IMPLEMENT AND ANALYZE A COMMUNITY MEMBER SURVERY -IDENTIFY PRIORITY ISSUES -DEVELOP AND IMPLEMENT INITIATIVES TO ADDRESS PRIORITY ISSUES PARTNER ORGANIZATIONS, CONTRIBUTIONS, AND ROLES: -ALL ORGANIZATIONS PROVIDE PARTICIPANTS AND INPUT KEY FACTORS IN DEVELOPING AND MAINTAINING PARTNERSHIPS: -MAINTAINING MUTUAL RESPECT AND A COMMON LANGUAGE -FOLLOWING THROUGH ON COMMITMENTS STEP 2: DEFINING PURPOSE AND SCOPE (DEFINING THE COMMUNITY) THE PURPOSE OF THE ASSESSMENT WAS TO EVALUATE THE CURRENT HEALTH NEEDS OF THE COMMUNITY, THE RESOURCES CURRENTLY IN PLACE TO MEET THOSE NEEDS AS WELL AS IDENTIFYING MAJOR GAPS BETWEEN THE TWO. DATA FROM THE ASSESSMENT IS USED TO DEVELOP AN ACTION PLAN TO BRIDGE THE GAP AND BETTER MEET THE HEALTH NEEDS OF THE COMMUNITY. THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOCUSES ON PRIMARY AND SECONDARY INFORMATION FOR MACON COUNTY, ILLINOIS, INCLUDING THE CITY OF DECATUR AND NEARBY TOWNS. THIS WAS DETERMINED BECAUSE THE MAJORITY OF PATIENTS RESIDE IN MACON COUNTY (MORE THAN 70% OF PATIENTS). IN SOME INSTANCES, DATA WAS NOT AVAILABLE FOR MACON COUNTY, SO CITY OF DECATUR DATA WAS USED. STEP 3: COLLECTING AND ANALYZING DATA PRIMARY DATA CONSISTS OF A COMMUNITY SURVEY AND A FOCUS GROUP SURVEY. THE PRIMARY DATA COLLECTION OF THE COMMUNITY SURVEY DATA BEGAN ON JULY 7, 2015 AND EXTENDED THROUGH OCTOBER 5, 2015. FURTHERMORE, ON NOVEMBER 10, 2015, DECATUR MEMORIAL HOSPITAL AND MACON COUNTY HEALTH DEPARTMENT HOSTED A COMMUNITY LEADER FOCUS GROUP TO DISCUSS COMMUNITY HEALTH NEEDS. AFTER REVIEWING LOCAL DATA WITH THE FOCUS GROUP ATTENDEES, THE SURVEY PREVIOUSLY SENT TO COMMUNITY MEMBERS, WAS ADMINISTERED. SECONDARY DATA WAS COLLECTED THROUGH SEVERAL SOURCES. THE ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS (IPLAN) IS A COMMUNITY HEALTH ASSESSMENT AND PLANNING PROCESS THAT IS CONDUCTED EVERY FIVE YEARS BY LOCAL HEALTH JURISDICTIONS IN ILLINOIS. BASED ON THE ASSESSMENT PROTOCOL FOR EXCELLENCE IN PUBLIC HEALTH (APEX-PH) MODEL, IPLAN IS GROUNDED IN THE CORE FUNCTIONS OF PUBLIC HEALTH AND ADDRESSES PUBLIC HEALTH PRACTICE STANDARDS. ADDITIONAL RESOURCES WERE UTILIZED THROUGHOUT THE PROCESS, INCLUDING BUT NOT LIMITED TO, U. S. CENSUS BUREAU AMERICAN FACT FINDER, SOCIAL IMPACT RESEARCH CENTER AT HEARTLAND ALLIANCE, ILLINOIS DISTRICT REPORT CARD, AND ILLINOIS COUNTY BEHAVIORAL RISK FACTOR SURVEY. STEP 4: SELECTING PRIORITIES THE LEADERSHIP TEAM AT DECATUR MEMORIAL HOSPITAL DETERMINED THE TOP 3 COMMUNITY HEALTH NEEDS FOLLOWING CAREFUL DISCUSSION OF THE PRIMARY AND SECONDARY DATA. STEP 5: DOCUMENTING AND COMMUNICATING RESULTS THE FINAL REPORT, INCLUDING RESULTS, WILL BE COMMUNICATED TO ATTENDEES AND THE GENERAL PUBLIC THROUGH BOUND COPIES OF THE REPORT AND ONLINE ACCESS. ONLINE ACCESS INCLUDES POSTING TO THE DECATUR MEMORIAL HOSPITAL WEBSITE. STEP 6: PLANNING FOR ACTION AND MONITORING PROGRESS FOLLOWING THE COMPLETION OF THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, AN IMPLEMENTATION PLAN WAS CREATED TO MEET THE APPLICABLE IDENTIFIED NEEDS. EFFORTS WILL BE MEASURED APPROPRIATELY AND PROGRESS WILL BE REPORTED REGULARLY. ACCESS TO PRIMARY CARE AND SPECIALISTS EVALUATION OF THE PHYSICIAN POPULATION RATIOS IN MACON COUNTY INDICATED THAT DECATUR WAS UNDERSERVED BOTH IN TERMS OF PRIMARY CARE PHYSICIANS AND SPECIALISTS. THE WAITING TIME FOR A NEW PATIENT TO SEE A PRIMARY CARE PHYSICIAN IN THE COMMUNITY WAS AS LONG AS TWO TO THREE MONTHS. BASED ON THIS INFORMATION, DECATUR MEMORIAL HOSPITAL HAS RECRUITED, AND CONTINUES TO RECRUIT, PRIMARY AND SPECIALIST PHYSICIANS TO THE COMMUNITY. COSTS OF RECRUITMENT WERE GENERALLY BORN BY THE HOSPITAL AND AMOUNTED TO MORE THAN 1,089,590 DURING THE LAST FISCAL YEAR. DMH ALSO SIGNIFICANTLY SUPPORTS THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE FAMILY PRACTICE RESIDENCY PROGRAM, WHICH GRADUATES UP TO SIX FAMILY PRACTITIONERS PER YEAR. THE RETENTION RATE OF THE GRADUATES WITHIN CENTRAL ILLINOIS HAS BEEN VERY HIGH. SUPPORT FOR THE RESIDENCY PROGRAM COSTS IN EXCESS OF 5,052,000 A YEAR. OUR EMPLOYED PHYSICIANS CONTRIBUTE VOLUNTEER TEACHING HOURS TOWARDS RESIDENT TRAINING. IN ADDITION TO PHYSICIANS, IT HAS BECOME APPARENT THAT OTHER HEALTH CARE PROFESSIONALS ARE ALSO IN VERY SHORT SUPPLY. PROVISION OF ADEQUATE COMMUNITY HEALTH DEPENDS ON AN ADEQUATE SUPPLY OF SUCH PROFESSIONALS. AS SUCH, DECATUR MEMORIAL HOSPITAL (DMH) HAS VOLUNTEERED HOURS ON PLANNING AND CURRICULUM DESIGN AT OUR TWO NURSING SCHOOLS AND CONTRIBUTES MORE THAN 2,500 HOURS OF UNCOMPENSATED TEACHING AND CLINICAL EXPERIENCE TO NURSING STUDENTS IN THE DECATUR NURSING PROGRAMS. OUR MEDICAL STAFF AND PERSONNEL ALSO PARTICIPATE IN CLINICAL TRAINING AND SUPPORT FOR RESIDENT PHYSICIANS IN FAMILY MEDICINE AS WELL AS PHYSICIAN ASSISTANT STUDENTS. ADDITIONAL TRAINING PROGRAMS FOR OTHER ALLIED HEALTH PROFESSIONALS HAVE ALSO BEEN UNDERTAKEN AND SUPPORTED BY DMH. THE HOSPITAL ALSO SUPPORTS THE PARISH NURSE PROGRAM. THIS PROGRAM HAS SUBSTANTIALLY IMPROVED THE ABILITY OF COMMUNITY MEMBERS TO OBTAIN BASIC HEALTH INFORMATION AND SCREENING FROM TRAINED PARISH NURSES. HEART, LUNG AND STROKE RECOGNIZING THAT CORONARY HEART DISEASE IS THE NUMBER ONE CAUSE OF DEATH IN MACON COUNTY; DECATUR MEMORIAL HOSPITAL (DMH) OFFERS FREE BLOOD PRESSURE SCREENINGS TO THE COMMUNITY. THE CARDIAC AND PULMONARY REHAB DEPARTMENT OFFERS A FREE MONTHLY EDUCATIONAL PROGRAM THAT IS OPEN TO THE PUBLIC. DMH OFFERS CARDIAC INFORMATION AT HEALTH FAIRS. WE ALSO HAVE SPEAKERS AVAILABLE FOR EDUCATIONAL PROGRAMS. IDENTIFICATION OF THE NEED TO EDUCATE THE COMMUNITY WE SERVE ABOUT STROKE RISK FACTORS, OPTIONS FOR TREATMENT, AND INTERVENTIONS THAT WILL HELP TO MITIGATE LONG TERM DISABILITY AFTER STROKE, HAS RESULTED IN INCREASED EFFORTS TO PROVIDE INFORMATION REGARDING GOOD LIFE-STYLE AND TREATMENT CHOICES. INFORMATION IS PROVIDED AT HEALTH FAIRS ABOUT SMOKING CESSATION, HEALTHY DIET, DIABETES MONITORING, WEIGHT CONTROL, BLOOD PRESSURE CONTROL, ALONG WITH BLOOD PRESSURE SCREENING. ALL THIS COMES TOGETHER TO FORM A GOOD EDUCATIONAL FOUNDATION FOR PROMOTION OF HEALTHY LIFE-STYLE ADJUSTMENTS TARGETED AT DECREASING THE CHANCE OF STROKE. ADDITIONALLY, A "KIDS CAN BE HEROES" PROGRAM FOR 4-5-6 GRADERS TEACHES THESE CHILDREN ABOUT STROKE RISK FACTORS, AND THE FAST (FACE, ARM, SPEECH, TIME) ACRONYM, WHICH WILL HELP THEM TO IDENTIFY SYMPTOMS OF STROKE. THESE CHILDREN ARE GIVEN THE 'ASSIGNMENT' OF GOING HOME AND TEACHING TWO ADULTS WHAT THEY HAVE LEARNED. A COLORING BOOK WHICH TELLS THE STORY AND REINFORCES THE USEFULNESS OF THE FAST ACRONYM IS GIVEN TO EACH CHILD. WORLD STROKE DAY IS AN ANNUAL EVENT IN OCTOBER. WE INVITE THE COMMUNITY TO HEAR EXPERTS SPEAK ABOUT STROKE. WE OFFER FREE ULTRASOUND SCREENING OF THE CAROTID ARTERIES AT THIS EVENT. CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IS THE THIRD LEADING CAUSE OF DEATH IN AMERICA. COPD IS A WIDELY UNDER DIAGNOSED ILLNESS AND, HOPING TO IMPROVE DIAGNOSIS AND TREATMENT, DECATUR MEMORIAL HOSPITAL OFFERS FREE SPIROMETRY AND PULSE OXIMETRY SCREENING AT LOCAL HEALTH FAIRS. FREE EDUCATION IS GIVEN ON THE DIAGNOSIS, MANAGEMENT, AND PREVENTION OF COPD. DMH HAS PARTNERED WITH THE ILLINOIS TOBACCO QUITLINE TO PROVIDE NO COST TOBACCO CESSATION SERVICES TO THE COMMUNITY. OUR PULMONOLOGISTS AND RESPIRATORY THERAPISTS ARE ACTIVE IN SPEAKING PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE HOME PAGE OF THE HOSPITAL'S WEBSITE, WWW.DMHCARES.COM, CONTAINS LINKS TO ALL INFORMATION CONCERNING THE CHARITY CARE / FINANCIAL ASSISTANCE PROGRAM, INCLUDING THE POLICIES AND PATIENT FINANCIAL APPLICATON FORMS. POSTERS ARE PLACED IN OUR PATIENT REGISTRATION AREA IN VISIBLE LOCATIONS WHERE PATIENTS AND THEIR FAMILIES CAN SEE THEM. THESE POSTERS ARE 24" BY 31". IN ADDITION TO OUR PATIENT REGISTRATION AREA IN KIRKLAND LOBBY, WE ALSO PLACED POSTERS IN OUR EMERGENCY CARE CENTER AND IN OUR IMAGING CENTERS IN SOUTH SHORES AND FORSYTH. TENT CARDS AND PATIENT BROCHURES ARE PLACED IN THE PATIENT REGISTRATION BOOTHS, ACCESSIBLE TO ALL PATIENTS AND THEIR FAMILIES. PATIENT ACCOUNT STATEMENTS INCLUDE THE PHONE NUMBER FOR "FINANCIAL ASSISTANCE." PART VI, LINE 4 - COMMUNITY INFORMATION PART VI, LINE 4 POPULATIONS AND COMMUNITIES SERVED -- DECATUR MEMORIAL HOSPITAL (DMH) IS LOCATED IN DECATUR, ILLINOIS. THE CITY HAS A 2010 CENSUS POPULATION OF 76,000, WHICH REPRESENTS A POPULATION DECLINE OF 5.8% SINCE 2000. MACON COUNTY, WITHIN WHICH IT RESIDES, HAS A POPULATION OF APPROXIMATELY 110,750. THE OVERALL MARKET AREA FOR DECATUR MEMORIAL HOSPITAL INCLUDES APPROXIMATELY 250,000 RESIDENTS. THE DEMOGRAPHICS OF MACON COUNTY INDICATE AN AGING POPULATION. PROJECTIONS FOR THE NEXT TEN YEARS SUGGEST RELATIVELY FLAT POPULATION GROWTH WITH A CONTINUED GRADUAL INCREASE IN THE AGED POPULATION. THE POVERTY RATE FOR MACON COUNTY IS 17.3%. THE 2017 AVERAGE UNEMPLOYMENT RATE FOR DECATUR/MACON COUNTY WAS 5.2 DOWN FROM 6.4 IN 2016. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH BACKGROUND -- DECATUR MEMORIAL HOSPITAL, SINCE IT'S INCEPTION IN 1916, HAS CONTINUOUSLY RESPONDED TO THE HEALTH CARE NEEDS OF COMMUNITIES IT SERVES. AS AN INDEPENDENT COMMUNITY HOSPITAL WITH A LOCAL BOARD OF DIRECTORS, THE HOSPITAL HAS ALWAYS HAD AS ITS PRIMARY FOCUS THE HEALTH CARE NEEDS OF DECATUR, MACON COUNTY AND SURROUNDING COUNTIES. AS PART OF ITS OVERALL MISSION, DECATUR MEMORIAL HOSPITAL HAS CONTINUOUSLY PROVIDED BOTH INTELLECTUAL AND FINANCIAL RESOURCES TO OUR COMMUNITIES FOR EXPERTISE AND ASSISTANCE IN ASSESSMENT OF HEALTH CARE NEEDS, SUPPORT OF VARIOUS COMMUNITY SERVICES AND AGENCIES IN ADDRESSING THE IDENTIFIED NEEDS, AND THE CONTINUAL HEALTH EDUCATION OF PATIENTS, THE COMMUNITY, AND THE OTHER RELEVANT PUBLICS. DECATUR MEMORIAL HOSPITAL HAS PARTICIPATED DIRECTLY IN CHARITY AND INDIGENT CARE FOR A SIGNIFICANT SEGMENT OF OUR COMMUNITY. GOALS AND OBJECTIVES FOR PROVIDING COMMUNITY BENEFITS -- DECATUR MEMORIAL HOSPITAL HAS EMBRACED THE PHILOSOPHY THAT TO IMPROVE THE HEALTH OF PEOPLE IN CENTRAL ILLINOIS, AN ORGANIZATION MUST BECOME INVOLVED IN THE EDUCATION, AWARENESS, AND PREVENTION OF DISEASE AND ILLNESS THAT NEGATIVELY IMPACT A PERSON'S HEALTH STATUS. WE STRIVE TO GIVE COMMUNITY RESIDENTS TOOLS TO EMPOWER THEM TO MAKE LIFESTYLE DECISIONS THAT WILL MAINTAIN AND ENHANCE A DESIRABLE QUALITY OF LIFE. TO HELP PEOPLE REACH THIS GOAL, DECATUR MEMORIAL HOSPITAL SEEKS OUT OPPORTUNITIES AND ACTIVELY INVOLVES ITSELF IN THE COMMUNITY. WE ACTIVELY SUPPORT LOCAL HEALTH CARE EDUCATION PROGRAMS, HEALTH FAIRS, SCREENINGS, AND LOCAL ACCESS TO ADVANCED CARE. DECATUR MEMORIAL HOSPITAL IS, AND ALWAYS HAS BEEN, VERY MINDFUL OF ITS MISSION REGARDING CHARITY CARE. BY HOSPITAL POLICY, THE THRESHOLD FOR THE PROVISION OF CHARITY CARE IS VERY LIBERAL, AND WAS FURTHER EXPANDED IN FISCAL 2009 TO SIX TIMES THE FEDERAL POVERTY GUIDELINES. FOR PATIENTS WHOSE INCOME IS ABOVE THESE THRESHOLDS, WE REVIEW THE PERTINENT FACTORS INCLUDING THE MAGNITUDE OF THE BILL AND THE INDIVIDUAL'S FINANCIAL SITUATION, AND OFFER A SLIDING SCALE DISCOUNT AND EXTENDED PAYMENT TERMS TO THOSE INDIVIDUALS. APPROVAL OR DENIAL OF THESE GUIDELINES IS MADE WITHOUT REGARD TO RACE, CREED, NATIONAL ORIGIN, SEX OR AGE. THE HOSPITAL DOES NOT PLACE LIMITS ON THE AGGREGATE AMOUNTS OF CHARITY CARE PROVIDED IN ANY YEAR. SEE ALSO RESPONSE TO PART VI, LINE 2 ABOVE FOR EXAMPLES OF MANY WAYS IN WHICH THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM AS INDICATED, THE HOSPITAL AND ITS RELATED FACILITIES PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES ALL OF WHICH BENEFIT AND PROMOTE THE HEALTH OF THE COMMUNITY. THE HOSPITAL IS AFFILIATED WITH ILLINOIS HEALTH AND SCIENCE WHICH SUPPORTS AND BENEFITS THE HOSPITAL BY PROVIDING FINANCIAL AND MANAGEMENT ASSISTANCE IN CONNECTION WITH THE ACTIVITIES OF THE HOSPITAL AND ITS AFFILIATES, AND BY HOLDING TITLE TO CERTAIN ASSETS USED IN CONNECTION WITH HOSPITAL ACTIVITIES. THE HOSPITAL IS ALSO AFFILIATED WITH DECATUR MEMORIAL FOUNDATION WHOSE MISSION IS TO SUPPORT AND BENEFIT THE HOSPITAL BY CONDUCTING FUND DEVELOPMENT ACTIVITIES, HOLDING TITLE TO CERTAIN ASSETS, AND OVERSEEING THEIR PRUDENT AND EFFECTIVE INVESTMENT AND MANAGEMENT. TOGETHER, THE ACTIVITIES OF THE HOSPITAL AND ITS AFFILIATES EFFECTIVELY AND EFFICIENTLY ADDRESS THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT ILLINOIS true SIU DECATUR FAMILY PRACTICE CENTER 102 W KENWOOD DECATUR IL 62526 376005961 501C3 4021169 GENERAL SUPPORT 1 SCHEDULE I, PAGE 1, PART I, LINE 2 SOUTHERN ILLINOIS UNIVERSITY (SIU) SCHOOL OF MEDICINE SPONSORS AN ACGME-ACCREDITED FAMILY RESIDENCY PROGRAM FOR WHICH DMH SERVES AS A PRIMARY PARTICIPATING INSTITUTION. AS PART OF THE PROGRAM, SIU OPERATES A FAMILY MEDICINE CLINIC ADJACENT TO THE DMH CAMPUS. THE EXISTENCE AND OPERATION OF THE CLINIC BENEFITS DMH AND ITS SERVICE AREA BY ENHANCING THE RECRUITMENT OF APPROPRIATELY-TRAINED PHYSICIANS TO THE COMMUNITY, ASSISTING DMH IN PROVIDING UNDERSERVED POPULATIONS WITH ACCESS TO PRIMARY CARE MEDICAL SERVICES, AND PROVIDING OTHER SERVICES TO AND FOR THE BENEFIT OF DMH'S PATIENT POPULATION. IN RECOGNITION OF THE ABOVE, DMH SUPPORTS THE PROGRAM BY PROVIDING A BUDGETED, AGREED-UPON AMOUNT FOR EACH ACADEMIC YEAR TO FUND MEDICAL EDUCATION AND RESEARCH THROUGH THE PROGRAM, INCLUDING COSTS INCURRED BY SIU TO SUPERVISE AND TEACH THE RESIDENTS ON-SITE AT THE CLINIC AND AT DMH. THE AMOUNT IS AGREED UPON PRIOR TO THE START OF EACH YEAR. UPON COMPLETION OF EACH ACADEMIC YEAR, SIU REPORTS BACK TO DMH REGARDING HOW FUNDS WERE ACTUALLY EXPENDED IN CONNECTION WITH THE PROGRAM. X true true X X X X false false false false false false false false false TIMOTHY D STONE JR DIRECTOR/PRES. & CEO 418423 125369 3975 6809 554576 DAVID BAUMBERGER MD VP CMO 392588 26502 3975 12550 435615 LINDA FAHEY SVP CIO 251836 15622 3975 1689 273122 JOHN RIDLEY EVP COO 224914 13909 3659 17437 259919 DEBORAH L BRAGG SVP FINANCE 219935 14667 3520 1911 240033 KEVIN HORATH VP HUMAN RESOURCES 197019 24000 3245 10880 235144 KATHERINE ANDERSON VP LEGAL AFFAIRS 188217 3603 191820 ROBYN REISING VP CNO 186636 2775 916 190327 DAVID SAMPLES VP SUPPORT SERVICES 149724 2280 17051 169055 STEVEN SOBOL MD PHYSICIAN 994522 188829 3975 17675 1205001 MARVIN DERRICK MD PHYSICIAN 701272 171500 3975 16675 893422 JOHN WATERS MD PHYSICIAN 819521 1000 3975 7023 831519 MOHAMMED HASNAIN MD PHYSICIAN 543457 260460 3975 17675 825567 ROBERT KRAUS JR MD PHYSICIAN 743256 4050 3975 17675 768956 KENNETH SMITHMIER FORMER DIR/PRES/CEO 128801 963 129764 SCHEDULE J, PAGE 1, PART I, LINE 1A DURING THE YEAR, DMH PAID FOR CHARTER TRAVEL IN THREE INSTANCES. DMH SHARED WITH TWO OTHER HOSPITALS THE COST OF A CHARTER PLANE HIRED TO PICK UP THEIR RESPECTIVE REPRESENTATIVES (IN DMH'S CASE, TIMOTHY STONE, JR.) TO TRAVEL TWICE TO A VHA BOARD MEETING IN KANSAS CITY, MO, AND ONCE TO BRANSON, MO, FOR A VHA RETREAT; THE DECISION TO USE THIS MEANS OF TRAVEL WAS BASED UPON COST AND AVAILABILITY OF COMMERCIAL FLIGHTS. A CITY OF DECATUR MACON COUNTY IL 376001308 2010-12-22 6280000 REFUND 1996 ISSUE false false false B CITY OF DECATUR MACON COUNTY IL 376001308 2010-12-22 5000000 REFUND 1996 ISSUE false false false C CITY OF DECATUR MACON COUNTY IL 376001308 2010-12-22 4405000 REFUND 1996 ISSUE false false false D CITY OF DECATUR MACON COUNTY IL 376001308 2010-12-22 2675000 REFUND 1996 ISSUE false false false A 4239000 6280000 6280000 true false true true B 3375000 5000000 5000000 true false true true C 2973375 4405000 4405000 true false true true D 1805625 2675000 2675000 true false true true A false false false false false false true B false false false false false false true C false false false false false false true D false false false false false false true A false false false false true false false false true B false false false false true false false false true C false false false false true false false false true D false false false false true false false false true A false B false C false D false SCHEDULE K - ADDITIONAL INFORMATION CITY OF DECATUR, MACON COUNTY, IL PART I, COLUMN C: NONE OF THE BOND ISSUES IN PART I HAD A CUSIP NUMBER AND, THEREFORE, THE RESPONSE IN COLUMN C FOR EACH IS "NONE" ACCORDING TO IRS INSTRUCTIONS. HOWEVER, ENTERING "NONE" IN COLUMN C CREATES AN E-FILE ERROR. THEREFORE, COLUMN C HAS BEEN LEFT BLANK, BUT AS INDICATED, SHOULD BE "NONE" FOR EACH ISSUE. SCHEDULE K - OTHER INFORMATION: AS INDICATED IN COLUMN G, EACH ISSUE IN PART I WAS A CURRENT REFUNDING ISSUE USED TO REFINANCE 1996 BONDS. ALL PROCEEDS OF EACH ISSUE WERE USED EXCLUSIVELY FOR THIS PURPOSE. CANCER CARE SPECIALISTS OF CENT IL SEE PART V 197317 MED SERVICES false CANCER CARE SPECIALISTS OF CENT IL SEE PART V 20413 EMR SUPPORT REV false BAKERS DOZEN LLC SEE PART V 628428 OFFICE SPACE RENTAL false PRAIRIE ONCOLOGY MANAGEMENT SERVICE SEE PART V 246773 SUPPLY SALES/STORAGE false EDWARD ELLIOTT MD SEE PART V 250000 COMPENSATION false KEHART TRIMBLE WISE ANDERSON BOOTH SEE PART V 171002 ATTORNEY SERVICES false KATHLEEN FAHEY SEE PART V 41642 COMPENSATION false TERRY GRAHAM MD SEE PART V 240000 COMPENSATION false JAYSON REISING SEE PART V 31854 COMPENSATION false ALLISON HINCH SEE PART V 53550 COMPENSATION false KATHY DERRICK SEE PART V 115500 COMPENSATION false SCHEDULE L, PART IV KATHY DERRICK 115,500 SEE PART V COMPENSATION SCHEDULE L, PART V PART IV, LINES 1(B), 2(B), 3(B), 4(B): DIRECTOR EDWARD ELLIOTT IS AN OWNER OF CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, BAKER'S DOZEN, LLC., AND PRAIRIE ONCOLOGY MANAGEMENT SERVICES. PART IV, LINE 5(B): DIRECTOR EDWARD ELLIOTT'S SON. PART IV, LINE 6(B): OFFICER KATHERINE ANDERSON IS A PARTNER WITH KEHART, TRIMBLE, WISE, ANDERSON & BOOTH ATTORNEYS AT LAW. PART IV, LINE 7 (B): OFFICER LINDA FAHEY'S DAUGHTER. PART IV, LINE 8 (B): DIRECTOR MARC HINCH'S BROTHER-IN-LAW. PART IV, LINE 9 (B): OFFICER ROBYN REISING'S SON. PART IV, LINE 10(B): DIRECTOR MARC HINCH'S SPOUSE. PART IV, LINE 11(B): HIGHEST COMPENSATED MARVIN DERRICK'S SPOUSE. FORM 990 FORM 990, PART I, ITEM 1 AND FORM 990, PART III, ITEM 1: DMH'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE OF CENTRAL ILLINOIS, RELYING ON ITS CORE FOUNDATIONS OF COMMITTED PHYSICIANS, CONSTRUCTIVE CULTURE, RESPONSIBLE GOVERNANCE, PROCESS INNOVATION, MANAGERIAL COMPETENCE, AND ENGAGED EMPLOYEES. WITH A HISTORY DATING BACK TO 1916, DMH TODAY ENCOMPASSES TWELVE STATE-OF-THE-ART CENTERS OF EXCELLENCE WHICH FOCUS ON THE CUTTING EDGE OF MEDICINE TODAY AND PROVIDE THE COMMUNITY WITH AWARD-WINNING HEALTH CARE. APPROXIMATELY 250,000 PERSONS RESIDE IN DMH'S SERVICE AREA, INCLUDING SUBSTANTIAL NUMBERS OF MEDICARE AND MEDICAID BENEFICIARIES, AS WELL AS PERSONS WHO DO NOT QUALIFY FOR EITHER PROGRAM AND THUS SEEK CARE PURSUANT TO DMH'S FINANCIAL ASSISTANCE (CHARITY CARE) PROGRAM. THE LOCAL COMMUNITY HAS BEEN HIT HARD BY THE RECENT ECONOMIC DECLINES. IN RESPONSE TO THESE CONDITIONS, DMH HAS EXPANDED ITS THRESHOLD FOR PROVISION OF FINANCIAL ASSISTANCE TO SIX TIMES THE FEDERAL POVERTY GUIDELINES; FOR THESE AND OTHER PATIENTS, DMH OFFERS SLIDING SCALE DISCOUNTS AND EXTENDED PAYMENT TERMS IN AN EFFORT TO ENSURE THAT PATIENTS ARE ABLE TO OBTAIN NECESSARY MEDICAL CARE. DURING THE FISCAL YEAR, DMH PROVIDED SIGNIFICANT FREE OR DISCOUNTED SERVICES TO PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE AS WELL AS OTHER FORMS OF COMMUNITY BENEFIT PROGRAMS, GRANTS AND SERVICES. SEE SCHEDULE H FOR MORE DETAIL. FORM 990, PAGE 2, PART III, LINE 4D EDUCATION AND OUTREACH: DMH HAS CONCLUDED THAT, TO FULFILL ITS MISSION OF IMPROVING HEALTH, IT MUST BECOME INVOLVED IN THE EDUCATION, AWARENESS AND PREVENTION OF DISEASE AND ILLNESS THAT NEGATIVELY IMPACT HEALTH STATUS. IN AN EFFORT TO GIVE COMMUNITY RESIDENTS THE TOOLS NECESSARY TO MAKE HEALTHY LIFESTYLE DECISIONS, DMH SEEKS OUT OPPORTUNITIES AND ACTIVELY INVOLVES ITSELF IN THE LOCAL COMMUNITY, THROUGH MEASURES RANGING FROM PROGRAMS FOR LOCAL SCHOOLS TO DMH'S POPULAR "PRIME TIME" PROGRAM FOR SENIORS. IN RECENT YEARS, DMH HAS PARTICIPATED IN VARIOUS COMMUNITY HEALTH NEEDS ASSESSMENT INITIATIVES, AS A RESULT OF WHICH DMH HAS IDENTIFIED SIGNIFICANT CONCERNS SUCH AS ACCESS TO PRIMARY CARE PHYSICIANS AND SPECIALISTS; HEART, LUNG, & STROKE SCREENINGS; CHRONIC OBSTRUCTIVE PULMONARY DISEASE; OBESITY; DIABETES; INDIGENT OUTPATIENT LONGITUDINAL CARE; ONCOLOGY SCREENINGS; HEALTH FAIRS; AND WOMEN AND CHILDREN'S HEALTH. WITH THE LEADERSHIP OF A MULTIDISCIPLINARY COMMUNITY BENEFITS COMMITTEE, INCLUDING PARTICIPATION BY A DIVERSE GROUP OF COMMUNITY REPRESENTATIVES, DMH HAS TAKEN A PRIMARY ROLE IN CONFRONTING THESE ISSUES. FORM 990, PAGE 6, PART VI, LINE 2 JACK O'RILEY BRAD WIKE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER JONATHAN LOCKE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER TIMOTHY STONE, JR. DIRECTOR OFFICER BUSINESS RELATIONSHIP ROBIN KING LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. LARRY ALTENBAUMER OFFICER DIRECTOR BUSINESS RELATIONSHIP BRAD WIKE JACK O'RILEY DIRECTOR DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. DEBORAH BRAGG OFFICER OFFICER BUSINESS RELATIONSHIP DEBORAH BRAGG TIMOTHY STONE, JR. OFFICER OFFICER BUSINESS RELATIONSHIP JONATHAN LOCKE LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JONATHAN LOCKE EDWARD ELLIOTT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER EDWARD ELLIOTT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP EDWARD ELLIOTT LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIPS EDWARD ELLIOTT JONATHAN LOCKE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP FORM 990, PAGE 6, PART VI, LINE 6 THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS ILLINOIS HEALTH AND SCIENCE, AN ILLINOIS NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS BEING DESCRIBED IN SEC. 501 (C)(3), IRC. FORM 990, PAGE 6, PART VI, LINE 7A AS THE SOLE CORPORATE MEMBER OF DMH, ILLINOIS HEALTH AND SCIENCE HAS THE RIGHT TO APPROVE ALL DIRECTORS OF DMH, AND TO REMOVE ANY DIRECTOR SO APPROVED. ALL DIRECTORS OF ILLINOIS HEALTH AND SCIENCE ARE ALSO DIRECTORS OF DMH. FORM 990, PAGE 6, PART VI, LINE 7B THE DMH BOARD OF DIRECTORS GENERALLY OVERSEES AND DIRECTS ALL ACTIVITIES, ASSETS AND OPERATIONS OF DMH, SUBJECT TO THE RIGHTS AND AUTHORITY SPECIFICALLY RESERVED TO ILLINOIS HEALTH AND SCIENCE, AS THE SOLE CORPORATE MEMBER, IN THE DMH BYLAWS. THESE RIGHTS PERTAIN TO THE APPOINTMENT AND REMOVAL OF DIRECTORS, ELECTION OF THE PRESIDENT AND TREASURER, NOMINATION OF OTHER OFFICERS, AMENDMENT OF ARTICLES AND BYLAWS, APPROVAL OF BUDGETS AND LONG RANGE PLANS, APPROVAL OF ANY MERGER OR CONSOLIDATION, APPROVAL OF SIGNIFICANT TRANSACTIONS, APPROVAL OF DISSOLUTION, CREATION OF ANY SUBSIDIARIES OR AFFILITATES, AND APPOINTMENT OF THE INDEPENDENT AUDITOR. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE ACCOUNTING DEPARTMENT OF THE HOSPITAL AND BY THE SENIOR VICE PRESIDENT FINANCE PRIOR TO FILING. FURTHER, A COPY OF THE FORM 990, ALONG WITH AN EXPLANATORY NOTE,IS PROVIDED FOR REVIEW TO THE BOARD VIA AN INTRANET SITE. THE FORM 990 IS ALSO REVIEWED AND DISCUSSED AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C ANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE TO THE CEO. A LIST OF POTENTIAL CONFLICTS IS PREPARED AND IS AVAILABLE FOR REFERENCE. THE SENIOR VICE PRESIDENT FINANCE AND THE DIRECTOR OF ACCOUNTING MONITOR AND PERIODICALLY REVIEW TRANSACTIONS BETWEEN THE ORGANIZATION AND BOARD MEMBERS OR ENTITIES WITH WHICH THEY ARE AFFILIATED. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS OF ILLINOIS HEALTH AND SCIENCE (THE SOLE CORPORATE MEMBER OF DMH) HAS ADOPTED AN EXECUTIVE COMPENSATION POLICY AND PROCEDURE SETTING FORTH THE AUTHORITY AND PROCESS REGARDING COMPENSATION DETERMINATIONS FOR THE TOP EXECUTIVES OF DMH AND ITS AFFILIATES (THE CEO AND TWELVE OTHER EXECUTIVES). PURSUANT TO THE POLICY, THE BOARD HAS DELEGATED TO THE EXECUTIVE COMMITTEE THE RESPONSIBILITY TO REVIEW INDEPENDENT MARKET DATA, ASSESS THE COMPARABILITY OF SUCH DATA, AND MAKE RECOMMENDATIONS TO THE BOARD REGARDING COMPENSATION PROPOSED TO BE PAID. IN CARRYING OUT THEIR RESPECTIVE COMPENSATION-RELATED RESPONSIBILITIES, THE BOARD AND EXECUTIVE COMMITTEE EXCLUDE ANY PERSON DEEMED TO HAVE A CONFLICT OF INTEREST WITHIN THE MEANING OF APPLICABLE TREASURY REGULATIONS (INCLUDING ANY PHYSICIANS EMPLOYED BY DMH OR ON ITS MEDICAL STAFF). AS PROVIDED IN THE POLICY, THE EXECUTIVE COMMITTEE CONDUCTS AN IN-DEPTH TOTAL COMPENSATION ANALYSIS USUALLY EVERY TWO YEARS WITH THE ASSISTANCE OF AN INDEPENDENT NATIONALLY-RECOGNIZED COMPENSATION CONSULTING FIRM. IN THE OFF-YEARS BETWEEN IN-DEPTH REVIEWS, THE COMMITTEE TYPICALLY HAS OBTAINED FROM ITS CONSULTING FIRM AN UPDATED ASSESSMENT TO CONFIRM CONTINUED COMPARABILITY WITH MARKET DATA. CONSISTENT WITH THE FOREGOING, IN AUGUST 2017, DMH OBTAINED SUCH AN UPDATE REPORT FROM ITS INDEPENDENT COMPENSATION CONSULTING FIRM, COVERING THE FOLLOWING INDIVIDUALS: STONE (CEO), RIDLEY (COO), BAUMBERGER (CMO), FAHEY (CIO), BRAGG(SVP), ANDERSON (VP LEGAL), SAMPLES (VP SUPPORT SERVICES), REISING (CNO), BRILLEY (VP PHYSICIANS), BURMESTER (SVP STRATEGY), AND HORATH (VP HR). AT THE TIME OF THE COMPENSATION UPDATE, THE CFO POSITION WAS FILLED WITH INTERIM RISPOLI AND THE VP REVENUE WAS FILLED WITH INTERIM NUESKE. ALL DETERMINATIONS OF THE BOARD AND EXECUTIVE COMMITTEE ARE THROROUGHLY AND TIMELY DOCUMENTED IN APPROPRIATE MINUTES AND SUPPORTING MATERIALS. FORM 990, PAGE 6, PART VI, LINE 15B SEE RESPONSE TO FORM 990, PART VI.B, LINE 15A ABOVE. FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL INFORMATION OF DMH ARE AVAILABLE TO THE PUBLIC UPON SPECIFIC REQUEST TO DMH ADMINISTRATION. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES 1,704,255 5,893,575 0 OUTSIDE PURCHASED SERVICES 10,247,216 6,673,189 0 PHYSICIAN FEES 8,404,352 0 0 TOTAL 20,355,823 12,566,764 0 FORM 990, PART XI, LINE 9 CHANGE IN MINIMUM PENSION LIABILITY (INCREASE) 2,065,903 CHANGE IN VALUE OF FUNDS HELD IN TRUST (INCREASE) 625,180 BOOK/TAX DIFF. IN INC. FRM PARTNERSHIPS (DECREASE) -216,807 TRANSFER OF CAPITAL FROM AFFILIATES (DECREASE) -3,810,001 TOTAL -1,335,725 THE NET RESULT OF ALL OF THESE OTHER CHANGES IN NET ASSETS IS A DECREASE OF 1,335,725. FORM 990, PART XII DECATUR MEMORIAL HOSPITAL WAS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF DECATUR MEMORIAL HOSPITAL AND AFFILIATED ORGANIZATION. ILLINOIS HEALTH AND SCIENCE 2300 N EDWARD ST DECATUR IL 625264163 371169606 SUPP. DMH IL 501C3 12A DMH false DECATUR MEMORIAL FOUNDATION 2300 N EDWARD ST DECATUR IL 625264163 371169605 SUPP. DMH IL 501C3 12A DMH false HEARTLAND RISK MANAGEMENT 2300 N EDWARD ST DECATUR IL 625264163 454256254 SUPP. DMH AZ 501C3 12A DMH false DMH WORLDWIDE LTD 2300 N EDWARD ST DECATUR IL 62526 271901157 RADIOPHARM IL N/A false C-MOLECULAR INC 2300 N EDWARD ST DECATUR IL 62526 473601111 RADIOPHARM DE N/A false true true false true false false false false false true true true true true true true false false true DECATUR MEMORIAL FOUNDATION K 1619635 CASH PAYMENT DECATUR MEMORIAL FOUNDATION O 207322 CASH PAYMENT HEARTLAND RISK MANAGEMENT B 60000 CASH PAYMENT HEARTLAND RISK MANAGEMENT M 3482635 CASH PAYMENT ILLINOIS HEALTH AND SCIENCE B 3750000 CASH PAYMENT DMH WORLDWIDE LTD A 3520392 CASH PAYMENT DMH WORLDWIDE LTD O 198583 CASH PAYMENT DMH WORLDWIDE LTD D 7351556 LOAN AMOUNT DMH WORLDWIDE LTD J 706348 CASH PAYMENT DMH WORLDWIDE LTD P 2550165 CASH PAYMENT