2017-07-17T11:45:07-05:00 2016-09-30 351416669 LA ROSA & CO LLC 320 N MERIDIAN ST STE 328 INDIANAPOLIS IN 46204 990 2015-10-01 371169606 ILLINOIS HEALTH AND SCIENCE ILLI 2178762107 2300 N EDWARD ST DECATUR IL 625264163 DEBORAH L BRAGG SVP, FINANCE & SEC. 2178762054 2017-05-26 true MICHAEL P MERKEL P00137280 3176348777 2017-07-17 2015 2021-01-29 14:40:06Z TIMOTHY D STONE JR 2300 N EDWARD ST DECATUR IL 625264163 6697766 false X WWW.DMHCARES.COM X 1984 IL THE ORGANIZATION'S MISSION IS TO SUPPORT AND BENEFIT DECATUR MEMORIAL HOSPITAL (A 280-BED ACUTE CARE HOSPITAL AND RELATED FACILITIES PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES) 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. 12 9 6 0 0 0 4616797 3013192 0 4616797 3013192 0 0 1245408 402317 0 0 2478557 2252828 3723965 2655145 892832 358047 47839029 43115868 1666408 2128198 46172621 40987670 X THE ORGANIZATION'S MISSION IS TO SUPPORT AND BENEFIT DECATUR MEMORIAL HOSPITAL (A 280-BED ACUTE CARE HOSPITAL AND RELATED FACILITIES PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES) 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. false false 1614557 THE ORGANIZATION SUPPORTS AND BENEFITS DECATUR MEMORIAL HOSPITAL (A 280-BED ACUTE CARE HOSPITAL AND RELATED FACILITIES PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES)BY PROVIDING FINANCIAL MANAGEMENT ASSISTANCE IN CONNECTION WITH THE HOSPITAL AND ITS AFFILIATES, AND BY HOLDING TITLE TO CERTAIN ASSETS USED IN CONNECTION WITH HOSPITAL ACTIVITIES. 1614557 true false false false false false false false false false false true false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 14 0 6 true false false false false false false false false false false X 12 9 true false false false true false false true true false false true true true true true true true true false IL X DEBORAH L BRAGG 2178762051 2300 N EDWARD STREET DECATUR IL 62526 KENNETH SMITHMIER DIRECTOR, PR 10.00 30.00 X X 495947 247947 18969 TIMOTHY D STONE JR PRES. & CEO 2.00 40.00 X X 0 433467 10409 JOHN FUNK DIRECTOR 2.00 0.00 X 0 0 0 ROY MOSSER JR DIRECTOR 2.00 0.00 X 0 0 0 BRAD WIKE DIRECTOR 2.00 0.00 X 0 0 0 JACK O'RILEY DIRECTOR 2.00 0.00 X 0 0 0 EDWARD ELLIOTT MD DIRECTOR 2.00 0.00 X 0 0 0 KELLY EVANS DIRECTOR 2.00 0.00 X 0 0 0 MARC HINCH DIRECTOR 2.00 0.00 X 0 0 0 ROBIN KING DIRECTOR 2.00 0.00 X 0 0 0 JONATHAN LOCKE MD DIRECTOR 2.00 0.00 X 0 0 0 WALTER SMITH DIRECTOR 2.00 0.00 X 0 0 0 LARRY ALTENBAUMER DIRECTOR 2.00 0.00 X 0 0 0 JAMES STECK DIRECTOR 2.00 0.00 X 0 0 0 AL NAQVI EXECUTIVE VP 20.00 30.00 X 362626 142048 5237 DAVID BAUMBERGER MD VICE PRES. 2.00 40.00 X 180632 227795 19606 DEBORAH L BRAGG SVP, FINANCE 1.00 42.00 X 0 272412 5711 KEVIN HORATH VP HUMAN RES 20.00 20.00 X 155878 97336 18926 LINDA FAHEY FORMER OFFIC 0.00 40.00 X 0 261353 5777 JOHN RIDLEY FORMER OFFIC 2.00 40.00 X 0 247279 18645 1195083 1929637 103280 4 true true false FAEGRE BAKER DANIELS LLP 75 REMITTANCE DR DEPT 6952 CHICAGO IL 60675 LEGAL SERVICES 539155 BLUM & CO INC 2417 LUCKETT AVENUE VIENNA VA 22180 FINDER'S FEE 500000 KAUFMAN HALL & ASSOCIATES 8610 SOLUTION CENTER CHICAGO IL 60677 CONSULTING SERV 234236 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 63102 CONSULTING SERV 184161 STINSON LEONARD STREET 225 N WATER ST DECATUR IL 62523 LEGAL SERVICES 150949 6 112848 112848 6584918 3684574 2900344 2900344 2900344 3013192 3013192 X 370752 185376 185376 15218 7609 7609 632 316 316 1075 538 537 14640 7320 7320 835123 835123 1410136 1410136 3443 3443 864 864 3262 3262 2655145 1614557 1040588 0 455326 151656 864 11397000 5167195 35960000 36407388 25839 1389629 47839029 43115868 1666408 2128198 1666408 2128198 X 46172621 40987670 46172621 40987670 47839029 43115868 X 358047 -2042998 -3500000 X X false true X true false X X 1 DECATUR MEMORIAL HOSPITAL DECATUR MEMORIAL HOSPITAL 370661199 3 true 1614557 0 1 1614557 0 true false false false false false false false false false false false false false false true false 36407388 C 36407388 X SCHEDULE D, PAGE 3, PART X THE SYSTEM HAD NO MATERIAL UNCERTAIN POSITIONS IN INCOME TAX LIABILITIES OR EXPENSES. X X X X false false false false false false false false false KENNETH SMITHMIER DIRECTOR, PRES., CEO 490768 247947 5179 649 3741 9851 4728 506447 256416 TIMOTHY D STONE JR PRES. & CEO 433467 3975 6434 443876 AL NAQVI EXECUTIVE VP & CFO 261284 142048 100000 1342 2074 1901 803 459 365503 144408 DAVID BAUMBERGER MD VICE PRES. 179180 221203 6592 1452 1983 1993 7149 8481 189764 238269 DEBORAH L BRAGG SVP, FINANCE & SEC. 228412 44000 3975 1736 278123 KEVIN HORATH VP HUMAN RESOURCES 104852 97336 50000 1026 1500 1373 8823 7230 166201 105939 LINDA FAHEY FORMER OFFICER 261353 3894 1883 267130 JOHN RIDLEY FORMER OFFICER 211660 35026 593 3800 14845 265924 FORM 990 - ORGANIZATION'S MISSION THE ORGANIZATION'S MISSION IS TO SUPPORT AND BENEFIT DECATUR MEMORIAL HOSPITAL (A 280-BED ACUTE CARE HOSPITAL AND RELATED FACILITIES PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES) 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. FORM 990, PAGE 6, PART VI, LINE 2 ROY MOSSER, JR. TIMOTHY STONE, JR. DIRECTOR OFFICER BUSINESS RELATIONSHIP ROY MOSSER, JR. BRAD WIKE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER JONATHAN LOCKE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROBIN KING LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP BRAD WIKE ROY MOSSER, JR. DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROY MOSSER, JR. DEBORAH BRAGG DIRECTOR OFFICER BUSINESS RELATIONSHIP LARRY ALTENBAUMER TIMOTHY STONE, JR. DIRECTOR OFFICER BUSINESS RELATIONSHIP TIMOTHY STONE, JR ROY MOSSER, JR. OFFICER DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR DEBORAH BRAGG OFFICER OFFICER BUSINESS RELATIONSHIP TIMOTHY STONE, JR LARRY ALTENBAUMER OFFICER DIRECTOR BUSINESS RELATIONSHIP DEBORAH BRAGG TIMOTHY STONE, JR. OFFICER OFFICER BUSINESS RELATIONSHIP DEBORAH BRAGG ROY MOSSER, JR. OFFICER DIRECTOR BUSINESS RELATIONSHIP JONATHAN LOCKE LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP FORM 990, PAGE 6, PART VI, LINE 6 THE ORGANIZATION'S MEMBERS ARE THE INDIVIDUALS WHO COMPRISE ITS BOARD OF DIRECTORS AT ANY POINT IN TIME. 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 SEVEN 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 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 MARCH 2014, DMH OBTAINED SUCH AN UPDATE REPORT FROM ITS INDEPENDENT COMPENSATION CONSULTING FIRM, COVERING THE FOLLOWING INDIVIDUALS: SMITHMIER (CEO), STONE (COO), NAQVI (CFO), ZIA (VPMA), FAHEY (CNO), RIDLEY (VPPS), BRAGG (SVP) AND HORATH (VP). (SMITHMIER AND NAQVI NO LONGER WORK FOR DMH AND ITS AFFILIATES. STONE WAS PROMOTED TO CEO AND RIDLEY WAS PROMOTED TO COO.) IN NOVEMBER 2015, THREE NEW EXECUTIVES WERE ADDED WITH THE EXECUTIVE COMMITTEE CONDUCTING AN IN-DEPTH TOTAL COMPENSATION AT HIRE DATE. THE THREE NEW EXECUTIVES ARE ANDERSON (VP LEGAL), SAMPLES (VP SUPPORT SERVICES), AND REISING (VP NURSING PRACTICE). ALL DETERMINATIONS OF THE BOARD AND EXECUTIVE COMMITTEE ARE THOROUGHLY AND TIMELY DOCUMENTED IN APPROPRIATE MINUTES AND SUPPORTING MATERIALS. FORM 990, PAGE 6, PART VI, LINE 15B SEE RESPONSE TO FORM 990, PART VI, SECTION B, LINE 15A ABOVE. FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL INFORMATION OF ILLINOIS HEALTH AND SCIENCE ARE AVAILABLE TO THE PUBLIC UPON SPECIFIC REQUEST TO DMH ADMINISTRATION. FORM 990, PART IX, LINE 11G CONSULTING FEES 310,213 0 0 OUTSIDE PURCHASED SERVICES 1,099,923 0 0 FORM 990, PART XI, LINE 9 TRANSFER TO AFFILIATE (DECREASE) -3,500,000 TOTAL -3,500,000 THE NET RESULT OF ALL OF THESE OTHER CHANGES IN NET ASSETS IS A DECREASE OF 3,500,000. FORM 990, PART XII ILLINOIS HEALTH AND SCIENCE WAS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ILLINOIS HEALTH AND SCIENCE AND AFFILIATED ORGANIZATIONS. DECATUR MEMORIAL HOSPITAL 2300 N EDWARD STREET DECATUR IL 62526 370661199 HOSPITAL IL 501C3 3 NA false DECATUR MEMORIAL FOUNDATION 2300 N EDWARD STREET DECATUR IL 62526 371169605 SUPP. DMH IL 501C3 11A DMH false HEARTLAND RISK MANAGEMENT 2300 N EDWARD STREET DECATUR IL 62526 454256254 SUPP. 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