DECATUR MEMORIAL HOSPITAL: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- DECATUR MEMORIAL HOSPITAL (EIN 37-0661199)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-07-17
- IRS object ID
- 201731989349301308
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-07-17T11:45:07-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351416669 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LA ROSA & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 N MERIDIAN ST STE 328 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370661199 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DECA | BusinessNameControlTxt |
| Phone | 2178762107 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 N EDWARD ST | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 625264163 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBORAH L BRAGG | PersonNm |
| Person Title | SR. VP FINANCE | PersonTitleTxt |
| Phone | 2178762051 | PhoneNum |
| Signature | 2017-05-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL P MERKEL | PreparerPersonNm |
| PTIN | P00137280 | PTIN |
| Phone | 3176348777 | PhoneNum |
| Preparation | 2017-07-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TIMOTHY D STONE JR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 N EDWARD | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 625264163 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $312,841,122 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DMHCARES.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1916 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | 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). | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 2507 | TotalEmployeeCnt |
| Total Volunteers | 377 | TotalVolunteersCnt |
| Total Gross UBI | $4,918,952 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,763,807 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,020,994 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,939,734 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $247,070,714 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $253,665,316 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,914,190 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,677,128 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13,334,561 | PYOtherRevenueAmt |
| CY Other Revenue | $10,000,988 | CYOtherRevenueAmt |
| PY Total Revenue | $280,340,459 | PYTotalRevenueAmt |
| CY Total Revenue | $277,283,166 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,534,594 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,542,633 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $141,595,055 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $146,158,905 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $127,547,944 | PYOtherExpensesAmt |
| CY Other Expenses | $134,899,375 | CYOtherExpensesAmt |
| PY Total Expenses | $270,677,593 | PYTotalExpensesAmt |
| CY Total Expenses | $283,600,913 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,662,866 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,317,747 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $352,960,484 | TotalAssetsBOYAmt |
| Total Assets EOY | $353,749,083 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $77,234,274 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $85,312,512 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $275,726,210 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $268,436,571 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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). | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $110,767,800 | ExpenseAmt |
| Grant | $2,542,633 | GrantAmt |
| Revenue | $153,357,839 | RevenueAmt |
| Desc | 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 37,000 VISITS TO DMH'S EMERGENCY CARE CENTER AND RECEIVED APPROXIMATELY 247,000 OUTPATIENT TESTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $53,761,677 | ExpenseAmt |
| Revenue | $74,432,954 | RevenueAmt |
| Desc | INPATIENT SERVICES: WITH 280 BEDS CURRENTLY IN SERVICE,DMH PROVIDED 40,100 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 2,200 IN ALL), INCLUDING HOSPITALISTS, NURSES, AIDES, DIETICIANS, CASE MANAGEMENT STAFF, SOCIAL WORKERS, AND CHAPLAINS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $53,289,989 | ExpenseAmt |
| Revenue | $32,442,131 | RevenueAmt |
| Desc | PROFESSIONAL SERVICES: AS THE EMPLOYER OF APPROXIMATELY 76 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. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $354,895 | ExpenseAmt |
| Desc | 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; WOMEN AND CHILDREN'S HEALTH; SENIOR BEHAVIORAL HEALTH UNIT; AND SENIOR HEALTH AND WELLNESS. 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $354,895 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $218,174,361 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 116 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2507 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBORAH L BRAGG ACCOUNTING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2178762051 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 N EDWARD ST | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 625264163 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| KENNETH SMITHMIER | ||||||||
| DIRECTOR/PRE | 30.00 | 10.00 | Yes (X) | Yes (X) | $247,947 | $495,947 | $18,969 | |
| JACK O'RILEY | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WALTER SMITH | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN W FUNK | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JONATHAN T LOCKE MD | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROY MOSSER JR | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KELLY EVANS | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LARRY ALTENBAUMER | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBIN KING | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BRAD WIKE | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARC HINCH | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES STECK | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| EDWARD ELLIOTT MD | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| AL NAQVI | ||||||||
| EVP & CFO | 30.00 | 20.00 | Yes (X) | $142,048 | $362,626 | $5,237 | ||
| TIMOTHY D STONE JR | ||||||||
| PRES. & CEO | 40.00 | 2.00 | Yes (X) | $433,467 | $0 | $10,409 | ||
| DAVID BAUMBERGER MD | ||||||||
| VICE PRES. | 40.00 | 2.00 | Yes (X) | $227,795 | $180,632 | $19,606 | ||
| DEBORAH L BRAGG | ||||||||
| SR. VP FINAN | 42.00 | 1.00 | Yes (X) | $272,412 | $0 | $5,711 | ||
| LINDA FAHEY | ||||||||
| VP/CHIEF NUR | 40.00 | 0.00 | Yes (X) | $261,353 | $0 | $5,777 | ||
| KEVIN HORATH | ||||||||
| VP HUMAN RES | 20.00 | 20.00 | Yes (X) | $97,336 | $155,878 | $18,926 | ||
| JOHN RIDLEY | ||||||||
| EVP COO | 40.00 | 0.00 | Yes (X) | $247,279 | $0 | $18,645 | ||
| ROBYN REISING | ||||||||
| VP NURSING P | 40.00 | 0.00 | Yes (X) | $188,375 | $0 | $3,689 | ||
| DAVID SAMPLES | ||||||||
| VP SUPPORT S | 40.00 | 0.00 | Yes (X) | $131,255 | $0 | $16,356 | ||
| KATHERINE ANDERSON | ||||||||
| VP LEGAL AFF | 40.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVEN SOBOL MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,413,028 | $0 | $18,160 | Yes (X) | ||
| MOHAMMED HASNAIN MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $863,784 | $0 | $19,160 | Yes (X) | ||
| JOHN WATERS MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $847,630 | $0 | $9,909 | Yes (X) | ||
| ROBERT KRAUS JR MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $804,307 | $0 | $19,160 | Yes (X) | ||
| TANSEL TURGUT MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $772,187 | $0 | $19,160 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,950,203 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,195,083 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $208,874 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 158 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| POINTCORE | |||||
| 800 NE GLEN OAK | PEORIA | IL | 61603 | COMPUTER SUPP | $4,143,351 |
| PRAIRIE EMERGENCY PHYSICIANS LLP | |||||
| PO BOX 674579 | DETROIT | MI | 48267 | PHYSICIAN FEES | $1,351,125 |
| CONSOCIATE GROUP | |||||
| PO 1068 | DECATUR | IL | 62525 | INSURANCE SERV | $1,292,293 |
| DENMAN LINEN SERVICES | |||||
| 1801 N 43RD | QUINCY | IL | 62305 | LINEN SERVICES | $1,116,499 |
| NUANCE COMMUNICATION | |||||
| ONE WAYSIDE RD | BURLINGTON | MA | 01803 | TRANSCRIPTION | $859,536 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 189 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,397,182 | GovernmentGrantsAmt |
| All Other Contributions | $1,542,552 | AllOtherContributionsAmt |
| Total Contributions | $4,939,734 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INPATIENT, OUTPATIENT, & PHYS | 900099 | $253,369,920 | $253,369,920 |
| DECATUR DIGESTIVE DISEASE CTR | 621990 | $295,396 | $295,396 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $253,665,316 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,370,864 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $1,951,781 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,419,083 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $935,727 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $935,727 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $935,727 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $469,518 | UnrelatedBusinessRevenueAmt |
| Exclusion | $466,209 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $38,630,320 | SecuritiesAmt |
| Other | $62,658 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $35,180,540 | SecuritiesAmt |
| Other | $206,174 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,449,780 | SecuritiesAmt |
| Other | -$143,516 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,306,264 | TotalRevenueColumnAmt |
| Exclusion | $3,306,264 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $896,323 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $171,242 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $725,081 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $725,081 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| OTHER EXEMPT FUNCTION INCOME | 900099 | $6,567,608 | $6,567,608 | |
| WELLNESS & COSMETIC SERVICES | 900099 | $831,580 | $831,580 | |
| TAXABLE RELATED ENTITY INC | 900099 | $357,188 | $357,188 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $583,804 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $583,804 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,340,180 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $277,283,166 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $260,232,924 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,918,952 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,191,556 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,542,633 | TotalAmt |
| Program Services | $2,542,633 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,273,189 | TotalAmt |
| Management And General | $2,273,189 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,280,638 | TotalAmt |
| Program Services | $3,280,638 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,300,812 | TotalAmt |
| Program Services | $94,336,064 | ProgramServicesAmt |
| Management And General | $19,964,748 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,882,382 | TotalAmt |
| Program Services | $1,553,589 | ProgramServicesAmt |
| Management And General | $328,793 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,839,031 | TotalAmt |
| Program Services | $13,897,783 | ProgramServicesAmt |
| Management And General | $2,941,248 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,582,853 | TotalAmt |
| Program Services | $6,258,368 | ProgramServicesAmt |
| Management And General | $1,324,485 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $822,915 | TotalAmt |
| Management And General | $822,915 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $768,130 | TotalAmt |
| Management And General | $768,130 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,113 | TotalAmt |
| Management And General | $88,113 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,244,834 | TotalAmt |
| Program Services | $14,809,084 | ProgramServicesAmt |
| Management And General | $14,435,750 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $890,253 | TotalAmt |
| Program Services | $527,116 | ProgramServicesAmt |
| Management And General | $363,137 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,038,426 | TotalAmt |
| Program Services | $45,681,764 | ProgramServicesAmt |
| Management And General | $3,356,662 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,123,273 | TotalAmt |
| Program Services | $4,918,283 | ProgramServicesAmt |
| Management And General | $204,990 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,911 | TotalAmt |
| Program Services | $18,911 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,136,645 | TotalAmt |
| Program Services | $6,826,229 | ProgramServicesAmt |
| Management And General | $4,310,416 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $596,319 | TotalAmt |
| Program Services | $463,985 | ProgramServicesAmt |
| Management And General | $132,334 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,600 | TotalAmt |
| Program Services | $198,387 | ProgramServicesAmt |
| Management And General | $57,213 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $833,005 | TotalAmt |
| Program Services | $510,592 | ProgramServicesAmt |
| Management And General | $322,413 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,569,547 | TotalAmt |
| Program Services | $10,610,988 | ProgramServicesAmt |
| Management And General | $7,958,559 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,014,827 | TotalAmt |
| Program Services | $854,342 | ProgramServicesAmt |
| Management And General | $3,160,485 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| STATE MEDICAID TAX | $9,720,380 | $9,720,380 | |
| MISCELLANEOUS EXPENSE | $3,778,197 | $1,165,225 | $2,612,972 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,600,913 | TotalAmt |
| Program Services | $218,174,361 | ProgramServicesAmt |
| Management And General | $65,426,552 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,930 | BOYAmt |
| EOY | $8,830 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,044,671 | BOYAmt |
| EOY | $13,684,428 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,464,587 | BOYAmt |
| EOY | $36,600,790 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,535,836 | BOYAmt |
| EOY | $75,723,727 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,332,710 | BOYAmt |
| EOY | $3,393,525 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,211,720 | BOYAmt |
| EOY | $2,636,676 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $421,669,336 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $316,874,079 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,309,245 | BOYAmt |
| EOY | $104,795,257 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,647,765 | BOYAmt |
| EOY | $96,610,354 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $928,530 | BOYAmt |
| EOY | $409,015 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,042,705 | BOYAmt |
| EOY | $3,183,672 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,433,785 | BOYAmt |
| EOY | $16,702,809 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $352,960,484 | BOYAmt |
| EOY | $353,749,083 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,299,575 | BOYAmt |
| EOY | $38,862,907 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $755,966 | BOYAmt |
| EOY | $651,868 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,639,000 | BOYAmt |
| EOY | $7,803,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,539,733 | BOYAmt |
| EOY | $37,994,737 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,234,274 | BOYAmt |
| EOY | $85,312,512 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,813,484 | BOYAmt |
| EOY | $220,098,717 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,856,714 | BOYAmt |
| EOY | $33,381,684 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,056,012 | BOYAmt |
| EOY | $14,956,170 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $275,726,210 | BOYAmt |
| EOY | $268,436,571 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $352,960,484 | BOYAmt |
| EOY | $353,749,083 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$6,317,747 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,077 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$979,969 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $37,454 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $50,659 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $88,113 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,056,012 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$99,842 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $14,956,170 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,420,861 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$364,849 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $15,056,012 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,357,049 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $983,585 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $294,026 | GrantsOrScholarshipsAmt |
| Other Expenditures | $625,747 | OtherExpendituresAmt |
| End Year Balance | $15,420,861 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,608,812 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,893,758 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $366,193 | GrantsOrScholarshipsAmt |
| Other Expenditures | $779,328 | OtherExpendituresAmt |
| End Year Balance | $15,357,049 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,369,414 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,817,049 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $504,333 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,073,318 | OtherExpendituresAmt |
| End Year Balance | $14,608,812 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,337,264 | OtherCostOrOtherBasisAmt |
| Book Value | $1,337,264 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $186,697,417 | OtherCostOrOtherBasisAmt |
| Depreciation | $127,148,215 | DepreciationAmt |
| Book Value | $59,549,202 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,745,014 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,383 | DepreciationAmt |
| Book Value | $2,716,631 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $221,885,571 | OtherCostOrOtherBasisAmt |
| Depreciation | $183,146,399 | DepreciationAmt |
| Book Value | $38,739,172 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,004,070 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,551,082 | DepreciationAmt |
| Book Value | $2,452,988 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $104,795,257 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $11,193,641 |
| INSURANCE PAYABLE | $7,944,721 |
| DEFERRED TRUST | $6,493,822 |
| MALPRACTICE INSURANCE | $6,474,422 |
| PENSION LIABILITY | $4,053,918 |
| FUTURE RENT PAYMENTS | $1,062,469 |
| RETIREE HEALTH PLAN | $712,330 |
| DUE TO AFFILIATES | $59,414 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $37,994,737 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. THE ENDOWMENT FUNDS USED FOR MAKING SUCH EXPENDITURES DID NOT GENERATE POSITIVE INCOME FOR THE FISCAL YEAR. THEREFORE, NO FUNDS WERE RELEASED FOR SUCH EXPENDITURES FROM THE ENDOWMENT DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2016. |
| SCHEDULE D, PAGE 3, PART X | THE SYSTEM HAD NO MATERIAL UNCERTAIN POSITIONS IN INCOME TAX LIABILITIES OR EXPENSES. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 6.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,922,823 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,922,823 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04200 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,249,504 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,436,133 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,813,371 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03460 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,172,327 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,436,133 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,736,194 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07660 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $460,852 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $460,852 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,906,564 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,906,564 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00670 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,814,306 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,814,306 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,900 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,206,622 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,206,622 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01480 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,378,949 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,436,133 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,942,816 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09140 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $185,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $185,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,000 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $68,334 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $68,334 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,810 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,810 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $280,144 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $280,144 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,510,659 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,351,993 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $73,374,127 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $76,953,683 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,579,556 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR DIG DISEASE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | AMBULATORY ENDOSCOPY CENTER | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.50000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 N EDWARD ST | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62526 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.DMHCARES.COM | WebsiteAddressTxt |
| State License | ILLINOIS 0000471 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | ACUTE CARE & LONG TERM CARE | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.DMHCARES.COM (SEE SECTION C) | OwnWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SECTION C | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 22D | DMH COMPLIES WITH THE ILLINOIS HOSPITAL UNINSURED PATIENT DISCOUNT ACT AND 501(R) OF THE INTERNAL REVENUE CODE AS ENACTED BY SECTION 9007(A) OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT BY PROVIDING "FINANCIAL ASSISTANCE" (EITHER FREE CARE OR REDUCED PATIENT FINANCIAL OBLIGATIONS) FOR HOSPITAL SERVICES TO PATIENTS WHO: (I) ARE NOT COVERED UNDER A POLICY OF HEALTH INSURANCE AND ARE NOT BENEFICIARIES UNDER A PUBLIC OR PRIVATE HEALTH INSURANCE, HEALTH BENEFIT, OR OTHER COVERAGE PROGRAM, INCLUDING HIGH DEDUCTIBLE HEALTH INSURANCE PLANS, WORKERS' COMPENSATION, ACCIDENT LIABILITY INSURANCE, OR OTHER THIRD PARTY LIABILITY; (II) FAIL TO QUALIFY FOR GOVERNMENTAL ASSISTANCE (FOR EXAMPLE, MEDICARE OR MEDICAID); AND (III) COOPERATE WITH THE HOSPITAL IN PROVIDING THE REQUESTED INFORMATION REGARDING INCOME, ASSETS AND RESIDENCY. IN ACCORDANCE WITH FEDERAL LAW, THE HOSPITAL DOES NOT BILL A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE MORE THAN AMOUNTS GENERALLY BILLED (AGB) BY THE HOSPITAL TO PATIENTS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL HAS CALCULATED ITS AGB USING THE LOOK-BACK METHOD SET FORTH IN APPLICABLE TREASURY REGULATIONS, CONSIDERING AMOUNTS PAID BY MEDICARE AND COMMERCIAL PAYORS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| DMH MEDICAL GROUP | |||||
| 2300 N EDWARD ST | DECATUR | IL | 62526 | OUTPATIENT CLINICS | |
| DMH SURGERY CENTER | |||||
| 304 W HAY SUITE 114 | DECATUR | IL | 62526 | AMBULATORY SURGERY CENTER | |
| DMH ENDOSCOPY CENTER | |||||
| 2 MEMORIAL DR PHYS PLAZA WEST | DECATUR | IL | 62526 | AMBULATORY ENDOSCOPY CENTER | SUITE 102 |
| 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 | |
| SPORTS PERFORMANCE ENHANCEMENT CTR | |||||
| 2122 NORTH 27TH ST | DECATUR | IL | 62526 | PHYSICAL THERAPY | |
| DMH HOME HEALTH CARE | |||||
| 3122 BRETTWOOD CIRCLE | DECATUR | IL | 62526 | HOME HEALTH AGENCY | |
| DMH HOSPICE | |||||
| 3122 BRETTWOOD CIRCLE | DECATUR | IL | 62526 | HOSPICE AGENCY | |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. CROSSING HEALTHCARE ACCESS CLINIC IS LOCATED WITHIN THE HOSPITAL'S EMERGENCY ROOM AREA. THE CLINIC PROVIDES HEALTH CARE TO LOW INCOME FAMILIES. COMMUNITY SUPPORT - DMH DONATED TO THE YMCA TO FURTHER THEIR CAUSE. OTHER - DMH SUPPORTS THE LOCAL HOMELESS SHELTER BY PROVIDING 25,810 IN FOOD CONTRIBUTIONS OVER THE FISCAL YEAR. DMH UNDERSTANDS THAT FEEDING THE HUNGRY SUPPORTS THE HEALTH OF THE INDIVIDUALS SERVED BY THE HOMELESS SHELTER. |
| 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 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 2010-2015 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 REPRESENT 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, 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 SURVEY -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 WAIT 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 SPECIALTY PHYSICIANS TO THE COMMUNITY. THE HOSPITAL INVESTED OVER 741,040 TOWARDS RECRUITMENT COSTS DURING FISCAL YEAR 2016. 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 3,500,000 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 HEATH 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. DURING HEART MONTH (FEBRUARY), WE OFFER A VARIETY OF PROGRAMS. IN 2016 THIS INCLUDED A SATURDAY HEART HEALTHY LUNCHEON WITH BLOOD PRESSURE SCREENINGS, REHAB, PHYSICIAN PRESENTATIONS, DIETARY INFORMATION, PSYCHOLOGISTS, ETC. 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. TO DATE OVER 250 CHILDREN HAVE PARTICIPATED IN THIS PROGRAM. 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 SCREENINGS AT LOCAL HEALTH FAIRS. FREE EDUCATION IS GIVEN O |
| 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. MEDICARE IS THE LARGEST INPATIENT CARE PAYOR CATEGORY, WITH 15% OF MACON COUNTY RESIDENTS COVERED BY MEDICAID. THE UNEMPLOYMENT RATE IN THE DECATUR METRO AREA TENDS TO BE HIGHER THAN THE U.S. AVERAGE. RECENT JOB GROWTH WAS .80% DOWN FROM .80% IN THE PREVIOUS YEAR. THE POVERTY RATE FOR MACON COUNTY IS 18.2% UP FROM 17.6% IN THE PREVIOUS YEAR. THE 2016 AVERAGE UNEMPLOYMENT RATE FOR DECATUR/MACON COUNTY WAS 6.4%. |
| 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIU DECATUR FAMILY PRACTICE CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 102 W KENWOOD | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62526 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 376005961 | RecipientEIN |
| IRC Section | 501C3 | IRCSectionDesc |
| Cash Grant | $2,542,633 | CashGrantAmt |
| Purpose Of Grant | GENERAL SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH SMITHMIER | ||||||||||||
| DIRECTOR/PRES & CEO | $247,947 | $490,768 | $5,179 | $3,741 | $649 | $4,728 | $9,851 | $256,416 | $506,447 | |||
| AL NAQVI | ||||||||||||
| EVP & CFO | $142,048 | $261,284 | $1,342 | $1,901 | $2,074 | $459 | $803 | $144,408 | $365,503 | $100,000 | ||
| TIMOTHY D STONE JR | ||||||||||||
| PRES. & CEO | $433,467 | $3,975 | $6,434 | $443,876 | ||||||||
| DAVID BAUMBERGER MD | ||||||||||||
| VICE PRES. | $221,203 | $179,180 | $1,452 | $1,993 | $1,983 | $8,481 | $7,149 | $238,269 | $189,764 | $6,592 | ||
| DEBORAH L BRAGG | ||||||||||||
| SR. VP FINANCE | $228,412 | $3,975 | $1,736 | $278,123 | $44,000 | |||||||
| LINDA FAHEY | ||||||||||||
| VP/CHIEF NURSE EXEC | $261,353 | $3,894 | $1,883 | $267,130 | ||||||||
| KEVIN HORATH | ||||||||||||
| VP HUMAN RESOURCES | $97,336 | $104,852 | $1,026 | $1,373 | $1,500 | $7,230 | $8,823 | $105,939 | $166,201 | $50,000 | ||
| JOHN RIDLEY | ||||||||||||
| EVP COO | $211,660 | $3,800 | $14,845 | $265,924 | $35,026 | $593 | ||||||
| ROBYN REISING | ||||||||||||
| VP NURSING PRACTICE | $187,928 | $2,802 | $887 | $192,064 | $447 | |||||||
| STEVEN SOBOL MD | ||||||||||||
| PHYSICIAN | $1,032,250 | $3,975 | $14,185 | $1,431,188 | $379,278 | $1,500 | ||||||
| MOHAMMED HASNAIN MD | ||||||||||||
| PHYSICIAN | $562,878 | $3,975 | $15,185 | $882,944 | $300,906 | |||||||
| JOHN WATERS MD | ||||||||||||
| PHYSICIAN | $847,630 | $3,975 | $5,934 | $857,539 | ||||||||
| ROBERT KRAUS JR MD | ||||||||||||
| PHYSICIAN | $772,136 | $3,975 | $15,185 | $823,467 | $27,471 | $4,700 | ||||||
| TANSEL TURGUT MD | ||||||||||||
| PHYSICIAN | $772,187 | $3,975 | $15,185 | $791,347 | ||||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | DMH MAINTAINED A CORPORATE MEMBERSHIP IN THE DECATUR CLUB THROUGH 12/31/15. DMH PAID THE MONTHLY DUES DIRECTLY. ALL USAGE OF THE DECATUR CLUB MEMBERSHIP WAS FOR BUSINESS PURPOSES. DMH EXECUTIVES DID NOT MAKE ANY PERSONAL USE OF THE DECATUR CLUB MEMBERSHIP. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| CITY OF DECATUR MACON COUNTY IL | |||||||
| A | 376001308 | 2010-12-22 | $6,280,000 | REFUND 1996 ISSUE | false | false | false |
| CITY OF DECATUR MACON COUNTY IL | |||||||
| B | 376001308 | 2010-12-22 | $5,000,000 | REFUND 1996 ISSUE | false | false | false |
| CITY OF DECATUR MACON COUNTY IL | |||||||
| C | 376001308 | 2010-12-22 | $4,405,000 | REFUND 1996 ISSUE | false | false | false |
| CITY OF DECATUR MACON COUNTY IL | |||||||
| D | 376001308 | 2010-12-22 | $2,675,000 | REFUND 1996 ISSUE | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|
| A | $3,611,000 | $6,280,000 | $6,280,000 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $2,875,000 | $5,000,000 | $5,000,000 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $2,532,875 | $4,405,000 | $4,405,000 | Yes (true) | false | Yes (true) | Yes (true) |
| D | $1,538,125 | $2,675,000 | $2,675,000 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | Yes (true) |
| B | false | false | false | false | false | false | Yes (true) |
| C | false | false | false | false | false | false | Yes (true) |
| D | false | false | false | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | Yes (true) | false | false | false | Yes (true) |
| B | false | false | false | false | Yes (true) | false | false | false | Yes (true) |
| C | false | false | false | false | Yes (true) | false | false | false | Yes (true) |
| D | false | false | false | false | Yes (true) | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
| C | false |
| D | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K - ADDITIONAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (10 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CANCER CARE SPECIALISTS OF CENT IL | |||
| SEE PART V | $195,648 | MED SERVICES | false |
| CANCER CARE SPECIALISTS OF CENT IL | |||
| SEE PART V | $53,168 | EMR SUPPORT REV | false |
| BAKERS DOZEN LLC | |||
| SEE PART V | $616,957 | OFFICE SPACE RENTAL | false |
| PRAIRIE ONCOLOGY MANAGEMENT SERVICE | |||
| SEE PART V | $191,678 | SUPPLY SALES | false |
| ROY MOSSER | |||
| SEE PART V | $1,037,430 | OFFICE SPACE RENTAL | false |
| KEHART TRIMBLE WISE ANDERSON BOOTH | |||
| SEE PART V | $241,716 | ATTORNEY SERVICES | false |
| KATHLEEN FAHEY | |||
| SEE PART V | $21,711 | COMPENSATION | false |
| MEGHAN SAMPLES | |||
| SEE PART V | $10,047 | COMPENSATION | false |
| JAYSON REISING | |||
| SEE PART V | $51,710 | COMPENSATION | false |
| ALLISON HINCH | |||
| SEE PART V | $36,850 | COMPENSATION | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | 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): ROY MOSSER IS A DIRECTOR OF DMH. 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): OFFICER DAVID SAMPLES' DAUGHTER. PART IV, LINE 9 (B): OFFICER ROBYN REISING'S SON. PART IV, LINE 10(B): DIRECTOR MARC HINCH'S SPOUSE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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; WOMEN AND CHILDREN'S HEALTH; SENIOR BEHAVIORAL HEALTH UNIT; AND SENIOR HEALTH AND WELLNESS. 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 | ROY MOSSER, JR. TIMOTHY STONE, JR. DIRECTOR OFFICER BUSINESS RELATIONSHIP ROY MOSSER, JR. DEBORAH BRAGG 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 LARRY ALTENBAUMER TIMOTHY STONE, JR. DIRECTOR OFFICER BUSINESS RELATIONSHIP ROBIN KING LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. ROY MOSSER, JR. OFFICER DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. LARRY ALTENBAUMER OFFICER DIRECTOR BUSINESS RELATIONSHIP BRAD WIKE ROY MOSSER, JR. DIRECTOR DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. DEBORAH BRAGG OFFICER OFFICER 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 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 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 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 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.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 5,873,997 6,015,759 0 OUTSIDE PURCHASED SERVICES 8,935,087 8,419,991 0 |
| FORM 990, PART XI, LINE 9 | TRANSFER OF CAPITAL FROM AFFILIATE (INCREASE) 3,531,671 BOOK/TAX DIFF. IN INC. FRM PARTNERSHIPS (DECREASE) -1,111,734 CHANGE IN MINIMUM PENSION LIABILITY (DECREASE) -475,095 CHANGE IN VAL. OF ASSETS HELD IN TRUST (DECREASE) -2,924,811 TOTAL -979,969 THE NET RESULT OF ALL OF THESE OTHER CHANGES IN NET ASSETS IS A DECREASE OF 979,969. |
| FORM 990, PART XII | DECATUR MEMORIAL HOSPITAL WAS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF DECATUR MEMORIAL HOSPITAL AND AFFILIATED ORGANIZATION. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ILLINOIS HEALTH AND SCIENCE | ||||||||||
| 2300 N EDWARD ST | DECATUR | IL | 625264163 | 371169606 | SUPP. DMH | IL | 501C3 | 11A | DMH | false |
| DECATUR MEMORIAL FOUNDATION | ||||||||||
| 2300 N EDWARD ST | DECATUR | IL | 625264163 | 371169605 | SUPP. DMH | IL | 501C3 | 11A | DMH | false |
| HEARTLAND RISK MANAGEMENT | ||||||||||
| 2300 N EDWARD ST | DECATUR | IL | 625264163 | 454256254 | SUPP. DMH | AZ | 501C3 | 11A | DMH | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR DIGESTIVE DISEASE CTR LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 MEMORIAL DRIVE | AddressLine1Txt |
| Address Line2 | SUITE 102 | AddressLine2Txt |
| City | DECATUR | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62526 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161678954 | EIN |
| Primary Activities | ENDOSCOPY | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DMH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $296,086 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $153,392 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.50000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DECATUR MEMORIAL FOUNDATION | ||
| K | $1,550,197 | CASH PAYMENT |
| DECATUR MEMORIAL FOUNDATION | ||
| O | $193,184 | CASH PAYMENT |
| DECATUR DIGESTIVE DISEASE CTR LLC | ||
| O | $235,670 | CASH PAYMENT |
| DECATUR DIGESTIVE DISEASE CTR LLC | ||
| S | $238,022 | CASH TRANSFER |
| HEARTLAND RISK MANAGEMENT | ||
| M | $3,859,954 | CASH PAYMENT |
| ILLINOIS HEALTH AND SCIENCE | ||
| C | $3,500,000 | CASH PAYMENT |
| DMH WORLDWIDE LTD | ||
| A | $2,909,827 | CASH PAYMENT |
| DMH WORLDWIDE LTD | ||
| O | $429,255 | CASH PAYMENT |
| DMH WORLDWIDE LTD | ||
| D | $24,543,559 | LOAN AMOUNT |
| DMH WORLDWIDE LTD | ||
| J | $673,040 | CASH PAYMENT |
| DMH WORLDWIDE LTD | ||
| P | $1,594,559 | CASH PAYMENT |
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