DECATUR MEMORIAL HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: DECATUR MEMORIAL HOSPITAL (EIN 37-0661199)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-08-05
IRS object ID: 201532179349301108
Schema version: 2013v4.0
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	2015-08-05T12:49:05-05:00	ReturnTs
Tax Period End	2014-09-30	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	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	320 N MERIDIAN ST STE 328	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	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	BusinessNameLine1

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	AddressLine1
City	DECATUR	City
State	IL	State
ZIP Code	625264163	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AL NAQVI	PersonNm
Person Title	EXECUTIVE VICE PRESIDENT & CFO	PersonTitleTxt
Phone	2178762107	PhoneNum
Signature	2015-05-14	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	2015-05-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KEN SMITHMIER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2300 N EDWARD ST	AddressLine1
City	DECATUR	City
State	IL	State
ZIP Code	625264163	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$307,313,289	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.DMHCARES.ORG	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	13	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	2431	TotalEmployeeCnt
Total Volunteers	352	TotalVolunteersCnt
Total Gross UBI	$4,672,960	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$707,976	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,280,671	PYContributionsGrantsAmt
CY Contributions Grants	$3,574,565	CYContributionsGrantsAmt
PY Program Service Revenue	$241,842,558	PYProgramServiceRevenueAmt
CY Program Service Revenue	$252,800,020	CYProgramServiceRevenueAmt
PY Investment Income	$12,422,658	PYInvestmentIncomeAmt
CY Investment Income	$9,197,007	CYInvestmentIncomeAmt
PY Other Revenue	$14,653,712	PYOtherRevenueAmt
CY Other Revenue	$13,405,352	CYOtherRevenueAmt
PY Total Revenue	$272,199,599	PYTotalRevenueAmt
CY Total Revenue	$278,976,944	CYTotalRevenueAmt
PY Grants And Similar Paid	$932,272	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,263,671	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$135,018,427	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$131,819,160	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$121,288,590	PYOtherExpensesAmt
CY Other Expenses	$133,289,463	CYOtherExpensesAmt
PY Total Expenses	$257,239,289	PYTotalExpensesAmt
CY Total Expenses	$266,372,294	CYTotalExpensesAmt
PY Revenues Less Expenses	$14,960,310	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,604,650	CYRevenuesLessExpensesAmt
Total Assets BOY	$391,590,668	TotalAssetsBOYAmt
Total Assets EOY	$369,934,112	TotalAssetsEOYAmt
Total Liabilities BOY	$80,148,738	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$79,008,802	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$311,441,930	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$290,925,310	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	$113,050,707	ExpenseAmt
Grant	$1,263,671	GrantAmt
Revenue	$160,339,734	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 45,000 VISITS TO DMH'S EMERGENCY CARE CENTER AND RECEIVED APPROXIMATELY 252,000 OUTPATIENT TESTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$48,722,989	ExpenseAmt
Revenue	$69,103,779	RevenueAmt
Desc	INPATIENT SERVICES: WITH 280 BEDS CURRENTLY IN SERVICE,DMH PROVIDED 40,900 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 2,000 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	$47,542,010	ExpenseAmt
Revenue	$31,884,244	RevenueAmt
Desc	PROFESSIONAL SERVICES: AS THE EMPLOYER OF APPROXIMATELY 58 PHYSICIANS PLUS A COMPLEMENT OF OTHER PROVIDERS (PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS), DMH OFFERS A WIDE RANGE OF PROFESSIONAL PATIENT CARE AT APPROXIMATELY 26 OFFICES LOCATED THROUGHOUT THE SERVICE AREA. THESE SITES INCLUDE THREE "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	$180,738	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; WOMEN AND CHILDREN'S HEALTH; 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	$180,738	TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses	$209,496,444	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	152	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2431	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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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	DEBBIE BRAGG ACCOUNTING	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	2178762051	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2300 N EDWARD ST	AddressLine1
City	DECATUR	City
State	IL	State
ZIP Code	625264163	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (25 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	10.00	30.00	Yes (X)	Yes (X)	$716,504	$0	$17,808
JACK O'RILEY
DIRECTOR	2.00		Yes (X)		$0	$0	$0
WALTER SMITH
DIRECTOR	2.00		Yes (X)		$0	$0	$0
JOHN W FUNK
DIRECTOR	2.00		Yes (X)		$0	$0	$0
JONATHON T LOCKE MD
DIRECTOR	2.00		Yes (X)		$0	$0	$0
ROY MOSSER JR
DIRECTOR	2.00		Yes (X)		$0	$0	$0
THOMAS KOWA
DIRECTOR	2.00		Yes (X)		$0	$0	$0
DAVID SMITH
DIRECTOR	2.00		Yes (X)		$0	$0	$0
ROBIN KING
DIRECTOR	2.00		Yes (X)		$0	$0	$0
BRAD WIKE
DIRECTOR	2.00		Yes (X)		$0	$0	$0
DAVID TYROLT
DIRECTOR	2.00		Yes (X)		$0	$0	$0
PAULA EISSFELDT
DIRECTOR	2.00		Yes (X)		$0	$0	$0
EDWARD ELLIOT MD
DIRECTOR	2.00		Yes (X)		$0	$0	$0
TIMOTHY D STONE JR
EVP & ADMINI	40.00	0.00		Yes (X)	$417,423	$0	$9,580
MICHAEL ZIA MD
VICE PRES.	40.00	0.00		Yes (X)	$301,511	$0	$17,655
JOHN RIDLEY
SVP PROF. SE	40.00	2.00		Yes (X)	$253,586	$0	$17,981
LINDA FAHEY
VP/CHIEF NUR	40.00	0.00		Yes (X)	$250,843	$0	$4,686
DEBBIE BRAGG
SR. VP & CFO	40.00	3.00		Yes (X)	$219,001	$0	$4,195
KEVIN HORATH
VP HUMAN RES	20.00	20.00		Yes (X)	$140,299	$0	$16,918
AL NAQVI
EVP & CFO	20.00	30.00		Yes (X)	$38,373	$0	$0
STEVEN SOBOL MD
PHYSICIAN	40.00				$1,444,659	$0	$18,808	Yes (X)
MARVIN DERRICK MD
PHYSICIAN	40.00				$859,835	$0	$18,808	Yes (X)
MOHAMMED HASNAIN MD
PHYSICIAN	40.00				$859,200	$0	$18,808	Yes (X)
ROBERT KRAUS JR MD
PHYSICIAN	40.00				$824,601	$0	$18,808	Yes (X)
JOHN WATERS MD
PHYSICIAN	40.00				$818,519	$0	$9,580	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,144,354	TotalReportableCompFromOrgAmt
Total Other Compensation	$173,635	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	129	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
DECATUR EMERGENCY MEDICAL SERVICES
334 W ELDORADO	DECATUR	IL	62522	PHYSICIAN FEES	$1,220,000
DENMAN LINEN SERVICES
1801 N 43RD	QUINCY	IL	62305	LINEN SERVICES	$1,169,246
CONSOCIATE GROUP
PO 1068	DECATUR	IL	62525	INSURANCE SERV	$1,079,864
MIDWEST CREDIT
306 W ELDORADO PO BOX 445	DECATUR	IL	62525	COLLECTIONS	$993,521
EXECUTIVE HEALTH RESOURCE
PO BOX 822688	PHILADELPHIA	PA	19182	CLAIMS REVIEW	$801,860

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	182	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,289,819	GovernmentGrantsAmt
All Other Contributions	$1,284,746	AllOtherContributionsAmt
Total Contributions	$3,574,565	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT, OUTPATIENT, & PHYS	900099	$252,501,866	$252,501,866
DECATUR DIGESTIVE DISEASE CTR	621990	$298,154	$298,154

Field	Value	IRS element (for citing)
Total Program Service Revenue	$252,800,020	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,108,570	TotalRevenueColumnAmt
Unrelated Business Revenue	$140,961	UnrelatedBusinessRevenueAmt
Exclusion	$4,967,609	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$840,727	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$840,727	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$840,727	TotalRevenueColumnAmt
Unrelated Business Revenue	$495,111	UnrelatedBusinessRevenueAmt
Exclusion	$345,616	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$31,139,600	SecuritiesAmt
Other	$64,018	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$27,040,702	SecuritiesAmt
Other	$74,479	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,098,898	SecuritiesAmt
Other	-$10,461	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,088,437	TotalRevenueColumnAmt
Exclusion	$4,088,437	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$2,349,671	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,221,164	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,128,507	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,128,507	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
OTHER EXEMPT FUNCTION INC	900099	$8,527,737	$8,527,737
TAXABLE RELATED ENTITY INCOME	900099	$1,205,164		$1,205,164
WELLNESS & COSMETIC SERVICES	900099	$817,241		$817,241

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$885,976	TotalRevenueColumnAmt
Unrelated Business Revenue	$885,976	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$11,436,118	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$278,976,944	TotalRevenueColumnAmt
Related Or Exempt Func Income	$261,327,757	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,672,960	UnrelatedBusinessRevenueAmt
Exclusion	$9,401,662	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,263,671	TotalAmt
Program Services	$1,263,671	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,835,597	TotalAmt
Management And General	$2,835,597	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$4,092,652	TotalAmt
Program Services	$4,092,652	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$102,876,083	TotalAmt
Program Services	$86,773,343	ProgramServicesAmt
Management And General	$16,102,740	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,591,558	TotalAmt
Program Services	$1,342,438	ProgramServicesAmt
Management And General	$249,120	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,550,370	TotalAmt
Program Services	$11,429,390	ProgramServicesAmt
Management And General	$2,120,980	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,872,900	TotalAmt
Program Services	$5,797,115	ProgramServicesAmt
Management And General	$1,075,785	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$987,458	TotalAmt
Management And General	$987,458	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,008,228	TotalAmt
Management And General	$1,008,228	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$73,931	TotalAmt
Management And General	$73,931	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$23,649,777	TotalAmt
Program Services	$11,742,501	ProgramServicesAmt
Management And General	$11,907,276	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$903,055	TotalAmt
Program Services	$548,802	ProgramServicesAmt
Management And General	$354,253	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$48,317,284	TotalAmt
Program Services	$45,196,318	ProgramServicesAmt
Management And General	$3,120,966	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,084,689	TotalAmt
Program Services	$4,789,679	ProgramServicesAmt
Management And General	$295,010	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$16,495	TotalAmt
Program Services	$16,495	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,967,394	TotalAmt
Program Services	$6,238,930	ProgramServicesAmt
Management And General	$3,728,464	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$672,937	TotalAmt
Program Services	$519,642	ProgramServicesAmt
Management And General	$153,295	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$440,386	TotalAmt
Program Services	$187,307	ProgramServicesAmt
Management And General	$253,079	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$990,854	TotalAmt
Program Services	$620,209	ProgramServicesAmt
Management And General	$370,645	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,447,853	TotalAmt
Program Services	$11,850,911	ProgramServicesAmt
Management And General	$7,596,942	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,468,141	TotalAmt
Program Services	$978,372	ProgramServicesAmt
Management And General	$2,489,769	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
STATE MEDICAID TAX	$14,021,413	$14,021,413
MISCELLANEOUS EXPENSE	$4,239,568	$2,087,256	$2,152,312

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$266,372,294	TotalAmt
Program Services	$209,496,444	ProgramServicesAmt
Management And General	$56,875,850	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,700	BOYAmt
EOY	$8,825	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$24,054,347	BOYAmt
EOY	$19,528,191	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$37,962,067	BOYAmt
EOY	$36,616,836	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,000,000	BOYAmt
EOY	$15,800,678	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,071,259	BOYAmt
EOY	$3,042,368	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,526,214	BOYAmt
EOY	$3,782,234	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$384,485,818	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$282,935,414	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$110,268,550	BOYAmt
EOY	$101,550,404	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$200,205,996	BOYAmt
EOY	$180,621,387	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$696,017	BOYAmt
EOY	$942,947	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,042,705	BOYAmt
EOY	$1,042,705	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,754,813	BOYAmt
EOY	$6,997,537	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$391,590,668	BOYAmt
EOY	$369,934,112	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$39,514,372	BOYAmt
EOY	$37,506,418	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$139,553	BOYAmt
EOY	$826,526	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$13,311,000	BOYAmt
EOY	$11,475,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,183,813	BOYAmt
EOY	$29,200,858	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$80,148,738	BOYAmt
EOY	$79,008,802	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$260,167,522	BOYAmt
EOY	$238,706,571	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,917,359	BOYAmt
EOY	$36,797,878	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,357,049	BOYAmt
EOY	$15,420,861	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$311,441,930	BOYAmt
EOY	$290,925,310	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$391,590,668	BOYAmt
EOY	$369,934,112	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,604,650	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,077,611	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$37,198,881	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	$23,663	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$50,268	OtherActivitiesAmt
Total Lobbying Expenditures	$73,931	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	$15,357,049	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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,963,360	BeginningYearBalanceAmt
Investment Earnings Or Losses	$406,054	InvestmentEarningsOrLossesAmt
End Year Balance	$12,369,414	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,910,741	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,977,035	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$75,407	GrantsOrScholarshipsAmt
Other Expenditures	$849,009	OtherExpendituresAmt
End Year Balance	$11,963,360	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	$181,320,824	OtherCostOrOtherBasisAmt
Depreciation	$114,088,124	DepreciationAmt
Book Value	$67,232,700	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,280,366	OtherCostOrOtherBasisAmt
Depreciation	$20,154	DepreciationAmt
Book Value	$2,260,212	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$191,013,290	OtherCostOrOtherBasisAmt
Depreciation	$163,242,626	DepreciationAmt
Book Value	$27,770,664	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,534,074	OtherCostOrOtherBasisAmt
Depreciation	$5,584,510	DepreciationAmt
Book Value	$2,949,564	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$101,550,404	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
CAPITAL LEASE OBLIGATIONS	$12,665,263
MALPRACTICE INSURANCE	$7,562,325
DEFERRED TRUST	$5,403,898
PENSION LIABILITY	$1,971,940
FUTURE RENT PAYMENTS	$1,001,399
RETIREE HEALTH PLAN	$596,033
RESERVE FOR A/R NOT ON BOOKS

Field	Value	IRS element (for citing)
Total Liability	$29,200,858	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.
SCHEDULE D, PAGE 3, PART X	THE SYSTEM HAD NO 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	$17,796,311	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,796,311	NetCommunityBenefitExpnsAmt
Total Expense	0.06680	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,394,463	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,545,688	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,848,775	NetCommunityBenefitExpnsAmt
Total Expense	0.06700	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,190,774	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,545,688	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,645,086	NetCommunityBenefitExpnsAmt
Total Expense	0.13380	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$417,338	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$417,338	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$993,604	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$993,604	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,247,973	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,247,973	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,600	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,600	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,673,515	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,673,515	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,864,289	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,545,688	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,318,601	NetCommunityBenefitExpnsAmt
Total Expense	0.14390	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$850	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$850	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,998	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$46,998	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,039	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$59,039	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$166,887	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$166,887	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,814,998	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,804,137	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$78,033,955	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$71,874,042	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$6,159,913	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

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	BusinessNameLine1

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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2300 N EDWARD ST	AddressLine1
City	DECATUR	City
State	IL	State
ZIP Code	62526	ZIPCode

Field	Value	IRS element (for citing)
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	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.DMHCARES.ORG (SEE SECTION C)	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
All Needs Addressed	Yes (true)	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	600.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Other Factors	Yes (X)	OtherFactorsInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 3	THE HOSPITAL 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. TANYA ANDRICKS - ADMINISTRATIVE DIRECTOR DMH HOME HEALTH SERVICES JULIE BRILLEY - ADMINISTRATIVE DIRECTOR MEDICAL STAFF MIKE CASSELL - DMH DIRECTOR OF MARKETING NIKKI DAMERY - COORDINATOR, CANCER CARE INSTITUTE JULIE MOORE - DIRECTOR OF COMMUNITY RELATIONS FRANCES SPERRY - ANALYTICS AND PERFORMANCE MANAGER PAIGE TOTH - DIRECTOR OF LEGAL AFFAIRS PAUL STANZIONE - EXECUTIVE DIRECTOR, GREATER DECATUR YMCA JULIE MOORE - COUNCILWOMAN, CITY OF DECATUR RYAN MCCRADY - CITY MANAGER, CITY OF DECATUR BILL CLEVENGER, EXECUTIVE DIRECTOR, DECATUR PARK DISTRICT TINA CLONEY, R.D., PH.D. - PROFESSOR, MILLIKIN UNIVERSITY PATRICK HOBAN - VICE PRESIDENT, ECONOMIC DEVELOPMENT CORPORATION JULIE AUBERT - ADMINISTRATOR, MACON COUNTY HEALTH DEPARTMENT DANA RAY, M.D. - PHYSICAN, CHIC CLINIC LEE HALL, PSY.D. - CLINICAL PSYCHOLOGIST, PSYCHOLOGY SPECIALISTS MICHAEL ZIA M.D. - VP OF QUALITY & MEDICAL AFFAIRS, DMH LINDA FAHEY R.N. - VP AND CHIEF NURSING EXECUTIVE, DMH KAY GOWDAR M.D. - PEDIATRICIAN, DMH TIMOTHY STONE, JR - EXECUTIVE VP AND COO, DMH SIX ADDITIONAL COMMUNITY LEADERS WERE INVITED TO ATTEND THE FOCUS GROUP, BUT WERE UNABLE TO ATTEND. THESE INDIVIDUALS WERE ENCOURAGED TO COMPLETE A SHORT SURVEY OF TOP COMMUNITY HEALTH NEEDS.
FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 5C	THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT HTTP://WWW.DMHCARES.ORG/PATIENT/ASSESSMENT/COMMUNITYHEALTHNEEDSASSESSMENT20 13-2015.PDF
FACILITY 1, DECATUR MEMORIAL HOSPITAL - PART V, LINE 12I	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 20D	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.

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/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt	Address Line2USAddress/AddressLine2
DMH MEDICAL GROUP
2300 N EDWARD ST	DECATUR	IL	62526	OUTPATIENT CLINICS
SOUTH SHORES IMAGING CENTER
1689 S FRANKLIN ST	DECATUR	IL	62521	DIAGNOSTIC CENTER
DMH SURGERY CENTER
304 W HAY SUITE 114	DECATUR	IL	62526	AMBULATORY SURGERY CENTER
FORSYTH IMAGING CENTER
389 W WEAVER ROAD	FORSYTH	IL	62535	DIAGNOSTIC CENTER
DECATUR DIGESTIVE DISEASE CENTER
2 MEMORIAL DR PHYS PLAZA WEST	DECATUR	IL	62526	AMBULATORY ENDOSCOPY CENTER	SUITE 102
DMH CORPORATE HEALTH SERVICES
2122 NORTH 27TH ST	DECATUR	IL	62526	OUTPATIENT CLINIC
DMH HOME HEALTH CARE
3122 BRETTWOOD CIRCLE	DECATUR	IL	62526	HOME HEALTH AGENCY
SPORTS PERFORMANCE ENHANCEMENT CTR
2122 NORTH 27TH ST	DECATUR	IL	62526	PHYSICAL THERAPY
DMH HOSPICE
3122 BRETTWOOD CIRCLE	DECATUR	IL	62526	HOSPICE AGENCY

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. OFFICER 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. COMMUNITY SUPPORT - DMH DONATED A DESK, TWO ROUND TABLES, AND FIFTEEN STACKABLE CHAIRS TO PASSING THE TORCH OF THE AFRICAN AMERICAN VOICE WHICH IS A COMMUNITY-DRIVEN NEWSPAPER THAT INFORMS, ENLIGHTENS, AND ENGAGES AFRICAN AMERICANS WITH STORIES AND PERSPECTIVES THAT APPEAL TO THEM AND SATISFIES THE DESIRE TO STAY CONNECTED WITH THE COMMUNITY. DMH DONATED A COPIER AND OFFICE FURNITURE TO EBENEZER BAPTIST CHURCH. OTHER - DMH SUPPORTS THE LOCAL HOMELESS SHELTER BY PROVIDING 56,175 IN FOOD CONTRIBUTIONS OVER THE FISCAL YEAR. DMH UNDERSTANDS THAT FEEDING THE HUNGRY SUPPORTS THE HEALTH OF THE INDIVIDUALS SERVED BY THE HOMELESS SHELTER. DMH PROVIDED 2,864 IN ASSISTANCE TO PATIENTS WITH GUARDIANSHIP ISSUES.
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 8 AS NOTED AT THE BOTTOM OF THE PDF PAGE OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 2: LINE 2 OF PART III WAS CALCULATED USING THE HOSPITAL WIDE COST-TO-CHARGE RATIO FROM THE APPLICABLE IRS WORKSHEET. PROVISIONS FOR BAD DEBT EXPENSE ARE CALCULATED BY TAKING THE NET ACCOUNTS RECEIVABLE BY PAYOR CLASS WHICH IS SEGREGATED INTO 10 TIME PERIOD BUCKETS AND MULTIPLYING EACH BUCKET BY A CALCULATED PRIOR YEAR ACTUAL BAD DEBT EXPENSE PERCENT. PART III, LINE 3: LINE 3 OF PART III WAS CALCULATED AS FOLLOWS: THE HOSPITAL USED 2010-2014 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 THE AMOUNT ON LINE 6 OF PART III.
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 2013-2015 COMMUNITY HEALTH NEEDS ASSESSMENT REPRESENT A COMBINATION OF QUANTITATIVE AND QUALITATIVE INFORMATION FROM REPUTABLE STATISTICAL SOURCES AND FOCUS GROUP FEEDBACK PROVIDED BY COMMUNITY LEADERS. THE ASSESSMENT PROCESS INCLUDED A COMBINATION OF SECONDARY DATA, INCLUDING IPLAN, U.S. CENSUS DATA, AND REFERENCE TO HEALTHY PEOPLE 2020, AMONG OTHER SOURCES. VALUABLE INPUT FROM FOCUS GROUP PARTICIPANTS 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 ASSESSMENT INCLUDED DECATUR MEMORIAL HOSPITAL (DMH), MILLIKIN UNIVERSITY, MACON COUNTY HEALTH DEPARTMENT, DECATUR TRADES AND LABOR, PSYCHOLOGY SPECIALISTS, ECONOMIC DEVELOPMENT CORPORATION, CITY OF DECATUR, DECATUR CITY COUNCIL, DMH MEDICAL GROUP PHYSICIANS, CHIC CLINIC, CARPENTERS LOCAL UNION 742, AND DECATUR CHURCHES. DMH'S ROLE IN THE ASSESSMENT PROCESS WAS TO COORDINATE THE OVERALL ASSESSMENT PROCESS, PROVIDE MEETING SPACE, MOTIVATE COMMUNITY ORGANIZATIONS TO PARTICIPATE IN THE ASSESSMENT PROCESS, COLLECT AND ANALYZE SECONDARY DATA, CONDUCT A FOCUS GROUP TO COLLECT PRIMARY DATA, MOTIVATE COMMUNITY ORGANIZATIONS TO ACT ON THE IDENTIFIED PRIORITY HEALTH ISSUES, IDENTIFY PRIORITY HEALTH ISSUES, AND DEVELOP AND IMPLEMENT INITIATIVES TO ADDRESS PRIORITY ISSUES. PARTNERING ORGANIZATIONS PROVIDED FOCUS GROUP PARTICIPANTS AND INPUT. 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 WAS COLLECTED ON SEPTEMBER 4, 2012 BY HOLDING A COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUP, WHERE COMMUNITY LEADERS PROVIDED INPUT REGARDING COMMUNITY HEALTH STRENGTHS AND CONCERNS, AS WELL AS TOP HEALTH CONCERNS SEEN THROUGHOUT THE MACON COUNTY AREA. THIS DIVERSE GROUP OF INDIVIDUALS WAS CHOSEN TO PARTICIPATE IN THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUP BECAUSE OF THEIR INSIGHT TO THE COMMUNITY'S POPULATION, INCLUDING HEALTH NEEDS. 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 FOCUS GROUP PARTICIPANTS DISCUSSED THE PRIORITY IN WHICH COMMUNITY HEALTH NEEDS SHOULD BE ADDRESSED AND DETERMINED IT BEST TO FOCUS ON SERVICES THAT IMPACTED THE COMMUNITY AS A WHOLE VS. PATIENT SPECIFIC SERVICES. STEP 5: DOCUMENTING AND COMMUNICATING RESULTS THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUP WAS RECORDED FOR FUTURE REFERENCE AND RESULTS WERE TALLIED TO DETERMINE THE AREA'S TOP STRENGTHS/VALUES, BARRIERS/CONCERNS, AND THE TOP 3 HEALTH NEEDS. THESE RESULTS WERE PRESENTED TO EACH FOCUS GROUP PARTICIPANT AS WELL AS DECATUR MEMORIAL HOSPITAL'S SENIOR LEADERSHIP TEAM. STEP 6: PLANNING FOR ACTION AND MONITORING PROGRESS FOLLOWING THE COMPLETION OF THE 2013-2015 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, AN IMPLEMENTATION PLAN WAS CREATED TO MEET THE APPLICABLE IDENTIFIED NEEDS. EFFORTS ARE MEASURED APPROPRIATELY AND PROGRESS WILL BE REPORTED REGULARLY. THE HEALTH ASSESSMENTS WE HAVE PERFORMED OVER THE PAST SEVERAL YEARS HAVE ALL INDICATED THE FOLLOWING SIGNIFICANT HEALTH CARE ACCESS AND PROVISION NEEDS WITHIN THE COMMUNITY. ACCESS TO PRIMARY CARE AND SPECIALISTS EVALUATION OF THE PHYSICIAN POPULATION RATIOS IN MACON COUNTY INDICATED THAT DECATUR WAS UNDERSERVED BOTH IN TERMS OF PRIMARY CARE PHYSICIANS AND SPECIALISTS. THE WAITING TIME FOR A NEW PATIENT TO SEE A PRIMARY CARE PHYSICIAN IN THE COMMUNITY WAS AS LONG AS TWO TO THREE MONTHS. BASED ON THIS INFORMATION, DECATUR MEMORIAL HOSPITAL (DMH) HAS RECRUITED, AND CONTINUES TO RECRUIT, PRIMARY AND SPECIALIST PHYSICIANS TO THE COMMUNITY. COSTS OF RECRUITMENT WERE GENERALLY BORN BY THE HOSPITAL AND AMOUNTED TO MORE THAN 600,000 DURING THE LAST FISCAL YEAR. DMH ALSO SIGNIFICANTLY SUPPORTS THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE FAMILY PRACTICE RESIDENCY PROGRAM, WHICH GRADUATES UP TO SIX FAMILY PRACTITIONERS PER YEAR. THE RETENTION RATE OF THE GRADUATES WITHIN CENTRAL ILLINOIS HAS BEEN VERY HIGH. SUPPORT FOR THE RESIDENCY PROGRAM COSTS IN EXCESS OF 3,000,000 A YEAR. OUR EMPLOYED PHYSICIANS CONTRIBUTE VOLUNTEER TEACHING HOURS TOWARDS RESIDENT TRAINING. IN ADDITION TO PHYSICIANS, IT HAS BECOME APPARENT THAT OTHER HEALTH CARE PROFESSIONALS ARE ALSO IN VERY SHORT SUPPLY. PROVISION OF ADEQUATE COMMUNITY HEALTH DEPENDS ON AN ADEQUATE SUPPLY OF SUCH PROFESSIONALS. AS SUCH, DECATUR MEMORIAL HOSPITAL (DMH) HAS VOLUNTEERED HOURS ON PLANNING AND CURRICULUM DESIGN AT OUR TWO NURSING SCHOOLS AND CONTRIBUTES MORE THAN 2,500 HOURS OF UNCOMPENSATED TEACHING AND CLINICAL EXPERIENCE TO NURSING STUDENTS IN THE DECATUR NURSING PROGRAMS. OUR MEDICAL STAFF AND PERSONNEL ALSO PARTICIPATE IN CLINICAL TRAINING AND SUPPORT FOR RESIDENT PHYSICIANS IN FAMILY MEDICINE AS WELL AS PHYSICIAN ASSISTANT STUDENTS. ADDITIONAL TRAINING PROGRAMS FOR OTHER ALLIED HEALTH PROFESSIONALS HAVE ALSO BEEN UNDERTAKEN AND SUPPORTED BY DMH. THE HOSPITAL ALSO SUPPORTS THE PARISH NURSE PROGRAM. THIS PROGRAM HAS SUBSTANTIALLY IMPROVED THE ABILITY OF COMMUNITY MEMBERS TO OBTAIN BASIC HEALTH INFORMATION AND SCREENING FROM TRAINED PARISH NURSES. HEART, LUNG AND STROKE RECOGNIZING THAT CORONARY HEART DISEASE IS THE NUMBER ONE CAUSE OF DEATH IN MACON COUNTY, DECATUR MEMORIAL HOSPITAL (DMH) OFFERS FREE BLOOD PRESSURE SCREENINGS TO THE COMMUNITY. THE CARDIAC AND PULMONARY REHAB DEPARTMENT OFFERS A FREE MONTHLY EDUCATIONAL PROGRAM THAT IS OPEN TO THE PUBLIC. FURTHER TO ASSIST THOSE PATIENTS WHO ARE LIVING WITH THE DIAGNOSIS OF HEART FAILURE, DMH PROVIDES A FREE HEART FAILURE TELE-MONITORING PROGRAM. THIS PROGRAM ASSISTS PATIENTS AND THEIR CAREGIVERS IN MONITORING DAILY VITAL SIGNS OF HEART FAILURE PATIENTS ALLOWING THEM BETTER ONGOING STABILITY AND PROACTIVE MANAGEMENT OF THEIR CONDITION. DMH OFFERS CARDIAC INFORMATION AT HEALTH FAIRS. WE ALSO HAVE SPEAKERS AVAILABLE FOR EDUCATIONAL PROGRAMS. IDENTIFICATION OF THE NEED TO EDUCATE THE COMMUNITY WE SERVE ABOUT STROKE RISK FACTORS, OPTIONS FOR TREATMENT, AND INTERVENTIONS THAT WILL HELP TO MITIGATE LONG TERM DISABILITY AFTER STROKE, HAS RESULTED IN INCREASED EFFORTS TO PROVIDE INFORMATION REGARDING GOOD LIFE-STYLE AND TREATMENT CHOICES. INFORMATION IS PROVIDED AT HEALTH FAIRS ABOUT SMOKING CESSATION, HEALTHY DIET, DIABETES MONITORING, WEIGHT CONTROL, BLOOD PRESSURE CONTROL, ALONG WITH BLOOD PRESSURE SCREENING. ALL THIS COMES TOGETHER TO FORM A GOOD EDUCATIONAL FOUNDATION FOR PROMOTION OF HEALTHY LIFE-STYLE ADJUSTMENTS TARGETED AT DECREASING THE CHANCE OF STROKE. ADDITIONALLY, A "KIDS CAN BE HEROES" PROGRAM FOR 4-5-6 GRADERS TEACHES THESE CHILDREN ABOUT STROKE RISK FACTORS, AND THE FAST (FACE, ARM, SPEECH, TIME) ACRONYM, WHICH WILL HELP THEM TO IDENTIFY SYMPTOMS OF STROKE. THESE CHILDREN ARE GIVEN THE 'ASSIGNMENT' OF GOING HOME AND TEACHING TWO ADULTS WHAT THEY HAVE LEARNED. A COLORING BOOK WHICH TELLS THE STORY AND REINFORCES THE USEFULNESS OF THE FAST ACRONYM IS GIVEN TO EACH CHILD. 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 S
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	DECATUR MEMORIAL HOSPITAL'S BUSINESS OFFICE HAS FIVE FINANCIAL COUNSELORS WHO REVIEW PATIENT ACCOUNTS FOR POSSIBLE CHARITY/FINANCIAL ASSISTANCE CONSIDERATION. 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 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. THERE ARE APPROXIMATELY 20,000 MEDICAID RECIPIENTS LOCATED IN MACON COUNTY. MEDICARE IS THE LARGEST INPATIENT CARE PAYOR CATEGORY. THE UNEMPLOYMENT RATE IN THE DECATUR METRO AREA TENDS TO BE HIGHER THAN THE U.S. AVERAGE. RECENT JOB GROWTH WAS 1.43%. THE POVERTY RATE FOR MACON COUNTY IS 21.8% AND 23.1% FOR DECATUR. THE 2014 AVERAGE UNEMPLOYMENT RATE FOR DECATUR/MACON COUNTY WAS 9.9%, DOWN FROM 12.2% IN 2013.
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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 W KENWOOD	AddressLine1
City	DECATUR	City
State	IL	State
ZIP Code	62526	ZIPCode

Field	Value	IRS element (for citing)
Recipient EIN	376005961	RecipientEIN
IRC Section	501C3	IRCSectionDesc
Cash Grant	$1,263,671	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)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
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 (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
KENNETH SMITHMIER
DIRECTOR/PRES & CEO	$714,350	$2,154	$3,825	$13,983	$734,312
TIMOTHY D STONE JR
EVP & ADMINISTRATOR	$417,423		$3,825	$5,755	$427,003
MICHAEL ZIA MD
VICE PRES.	$301,511		$3,825	$13,830	$319,166
JOHN RIDLEY
SVP PROF. SERV.	$202,288	$51,298	$3,130	$14,851	$271,567
LINDA FAHEY
VP/CHIEF NURSE EXEC	$250,843		$3,749	$937	$255,529
DEBBIE BRAGG
SR. VP & CFO	$219,001		$3,300	$895	$223,196
KEVIN HORATH
VP HUMAN RESOURCES	$140,299		$2,163	$14,755	$157,217
STEVEN SOBOL MD
PHYSICIAN	$995,471		$3,825	$14,983	$1,463,467	$449,188
MARVIN DERRICK MD
PHYSICIAN	$832,335		$3,825	$14,983	$878,643	$27,500
MOHAMMED HASNAIN MD
PHYSICIAN	$544,190	$750	$3,825	$14,983	$878,008	$314,260
ROBERT KRAUS JR MD
PHYSICIAN	$618,301	$8,600	$3,825	$14,983	$843,409	$197,700
JOHN WATERS MD
PHYSICIAN	$816,919	$1,600	$3,825	$5,755	$828,099

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PAGE 1, PART I, LINE 1A	FormAndLineReferenceDesc
Explanation	DURING THE YEAR, DMH PAID FOR CHARTER TRAVEL IN ONE INSTANCE. DMH SHARED WITH ONE OTHER HOSPITAL THE COST OF A CHARTER PLANE HIRED TO PICK UP THEIR RESPECTIVE REPRESENTATIVES (IN DMH'S CASE, TIMOTHY STONE, JR.) TO TRAVEL TO A VHA BOARD MEETING IN KANSAS CITY, MO; THE DECISION TO USE THIS MEANS OF TRAVEL WAS BASED UPON COST AND AVAILABILITY OF COMMERCIAL FLIGHTS. DMH MAINTAINS A CORPORATE MEMBERSHIP IN THE DECATUR CLUB, IN THE NAME OF DMH. THE INVOICE FOR ANNUAL DUES IS SENT TO DMH. THE INVOICE FOR MONTHLY DUES IS SENT TO DMH, ATTN: KEN SMITHMIER (CEO). DMH PAYS THE MONTHLY DUES DIRECTLY. ALL USAGE OF THE DECATUR CLUB MEMBERSHIP IS FOR BUSINESS PURPOSES, WHETHER BY MR. SMITHMIER OR OTHER EXECUTIVES, WITH MONTHLY STATEMENTS DOCUMENTING ACTUAL USAGE. NEITHER MR. SMITHMIER NOR ANY OTHER DMH EXECUTIVE MAKE ANY PERSONAL USE OF THE DECATUR CLUB MEMBERSHIP. DMH PAID FOR AIRLINE TICKETS AND MEALS FOR ONE BUSINESS TRIP TAKEN BY MR. SMITHMIER, CEO, WHERE HE WAS ACCOMPANIED BY HIS SPOUSE. MR. SMITHMIER'S W-2 INCLUDED 2,154 RELATED TO HIS SPOUSE'S SHARE OF COST OF ATTENDING THE TRIP. DMH PAID HOUSING EXPENSES FOR THE FIRST SEVEN MONTHS OF EMPLOYMENT OF MR. NAQVI, EVP & CFO. MR. NAQVI'S 2013 W-2 INCLUDED 6,696 RELATED TO HIS HOUSING EXPENSES. AS A CONDITION OF MR. RIDLEY'S PROMOTION TO OFFICER, MR. RIDLEY AGREED TO OBTAIN AN ADVANCED DEGREE. IN EXCHANGE FOR MR. RIDLEY'S AGREEMENT, DMH AGREED TO PAY TUITION PLUS TAXES RELATED TO THE TUITION ON BEHALF OF MR. RIDLEY. MR. RIDLEY'S 2013 W-2 INCLUDED 51,298 OF GROSS UP PAYMENTS RELATED TO HIS TUITION ASSISTANCE. DMH DID EXEMPT 5,250 OF THE TUITION PAID ON MR. RIDLEY'S BEHALF BASED ON IRS ALLOWED EXEMPTIONS.	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	$2,355,000	$6,280,000	$6,280,000	Yes (true)	false	Yes (true)	Yes (true)
B	$1,875,000	$5,000,000	$5,000,000	Yes (true)	false	Yes (true)	Yes (true)
C	$1,651,875	$4,405,000	$4,405,000	Yes (true)	false	Yes (true)	Yes (true)
D	$1,003,125	$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)

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
HICKORY POINT BANK
SEE PART V	$2,151	INTEREST INCOME	false
DUNN COMPANY
SEE PART V	$232,664	ASPHALT SERVICES	false
CANCER CARE SPECIALISTS OF CENT IL
SEE PART V	$160,576	MED SERVICES	false
CANCER CARE SPECIALISTS OF CENT IL
SEE PART V	$49,694	EMR SUPPORT REV	false
BAKERS DOZEN LLC
SEE PART V	$594,930	OFFICE SPACE RENTAL	false
PRAIRIE ONCOLOGY MANAGEMENT SERVICE
SEE PART V	$154,399	SUPPLY SALES	false
ROY MOSSER
SEE PART V	$1,693,555	OFFICE SPACE RENTAL	false
HICKORY POINT BANK
SEE PART V	$494,676	BANK FEES, INTEREST	false
FIRST BUSEY CORP SUBSIDIARIES
SEE PART V	$201,124	BANK AND BOND FEES	false
FIRST BUSEY CORP SUBSIDIARIES
SEE PART V	$6,316	INTEREST INCOME	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)& 8(B): DIRECTOR KENNETH SMITHMIER IS ON THE HICKORY POINT BANK BOARD OF DIRECTORS. PART IV, LINE 2(B): DIRECTOR DAVID TYROLT OWNS DUNN COMPANY. PART IV, LINES 3(B), 4(B), 5(B), 6(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 7(B): ROY MOSSER IS A DIRECTOR OF DMH. PART IV, LINE 9(B)& 10(B): DIRECTOR JOHN FUNK IS A DIRECTOR OF FIRSTECH, INC WHICH IS A SUBSIDIARY OF BUSEY BANK AND BUSEY BANK IS A SUBSIDIARY OF FIRST BUSEY CORPORATION. DIRECTOR DAVID TYROLT IS A DIRECTOR OF BUSEY WEALTH MANAGEMENT WHICH IS A SUBSIDIARY OF FIRST BUSEY CORPORATION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 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; WOMEN AND CHILDREN'S HEALTH; 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	DAVID TYROLT ROY MOSSER, JR. DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID TYROLT TIMOTHY STONE, JR. DIRECTOR OFFICER BUSINESS RELATIONSHIP DAVID TYROLT JOHN FUNK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID TYROLT THOMAS KOWA DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID TYROLT KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID TYROLT JACK O'RILEY DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID TYROLT JOHN RIDLEY DIRECTOR OFFICER BUSINESS RELATIONSHIP ROY MOSSER, JR. DAVID TYROLT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROY MOSSER, JR. TIMOTHY STONE, JR. DIRECTOR OFFICER BUSINESS RELATIONSHIP ROY MOSSER, JR. JOHN FUNK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROY MOSSER, JR. THOMAS KOWA DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROY MOSSER, JR. KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROY MOSSER, JR. EDWARD ELLIOT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP PAULA EISSFELDT KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN FUNK DAVID TYROLT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN FUNK ROY MOSSER, JR. DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN FUNK TIMOTHY STONE, JR. DIRECTOR OFFICER BUSINESS RELATIONSHIP JOHN FUNK THOMAS KOWA DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN FUNK KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN FUNK EDWARD ELLIOT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP THOMAS KOWA DAVID TYROLT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP THOMAS KOWA ROY MOSSER, JR. DIRECTOR DIRECTOR BUSINESS RELATIONSHIP THOMAS KOWA TIMOTHY STONE, JR. DIRECTOR OFFICER BUSINESS RELATIONSHIP THOMAS KOWA JOHN FUNK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP THOMAS KOWA KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP TOMAS KOWA EDWARD ELLIOT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER DAVID TYROLT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER ROY MOSSER, JR. DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER PAULA EISSFELDT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER JOHN FUNK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER THOMAS KOWA DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER EDWARD ELLIOT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP EDWARD ELLIOT KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP EDWARD ELLIOT JOHN FUNK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP EDWARD ELLIOT THOMAS KOWA DIRECTOR DIRECTOR BUSINESS RELATIONSHIP EDWARD ELLIOT ROY MOSSER, JR. DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROBIN KING KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN RIDLEY DAVID TYROLT OFFICER DIRECTOR BUSINESS RELATIONSHIP JACK O'RILEY DAVID TYROLT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. JOHN FUNK OFFICER DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. ROY MOSSER, JR. OFFICER DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. THOMAS KOWA OFFICER DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. EDWARD ELLIOTT, MD OFFICER DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER TIMOTHY STONE, JR. DIRECTOR OFFICER BUSINESS RELATIONSHIP TIMOTHY STONE, JR. DAVID TYROLT OFFICER DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. KENNETH SMITHMIER OFFICER DIRECTOR BUSINESS RELATIONSHIP EDWARD ELLIOTT, MD TIMOTHY STONE, JR. DIRECTOR OFFICER BUSINESS REALTIONSHIP
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 CHIEF FINANCIAL OFFICER 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 PRIOR TO EACH BOARD AND COMMITTEE MEETING. THE CFO'S OFFICE MONITORS AND PERIODICALLY REVIEWS 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 FIVE OTHER EXECUTIVES). PURSUANT TO THE POLICY, THE BOARD HAS DELEGATED TO THE EXECUTIVE COMMITTEE THE RESPONSIBILITY TO REVIEW INDEPENDENT MARKET DATA, ASSESS THE COMPARABILITY OF SUCH DATA, AND MAKE RECOMMENDATIONS TO THE BOARD REGARDING COMPENSATION PROPOSED TO BE PAID. IN CARRYING OUT THEIR RESPECTIVE COMPENSATION-RELATED RESPONSIBILITIES, THE BOARD AND EXECUTIVE COMMITTEE EXCLUDE ANY PERSON DEEMED TO HAVE A CONFLICT OF INTEREST WITHIN THE MEANING OF APPLICABLE TREASURY REGULATIONS (INCLUDING ANY PHYSICIANS EMPLOYED BY DMH OR ON ITS MEDICAL STAFF). AS PROVIDED IN THE POLICY, THE EXECUTIVE COMMITTEE CONDUCTS AN IN-DEPTH TOTAL COMPENSATION ANALYSIS USUALLY EVERY TWO YEARS WITH THE ASSISTANCE OF AN INDEPENDENT NATIONALLY-RECOGNIZED COMPENSATION CONSULTING FIRM. IN THE OFF-YEARS BETWEEN IN-DEPTH REVIEWS, THE COMMITTEE TYPICALLY HAS OBTAINED FROM ITS CONSULTING FIRM AN UPDATED ASSESSMENT TO CONFIRM CONTINUED COMPARABILITY WITH MARKET DATA. CONSISTENT WITH THE FOREGOING, IN AUGUST 2012, DMH OBTAINED SUCH AN UPDATE REPORT FROM ITS INDEPENDENT COMPENSATION CONSULTING FIRM, COVERING THE FOLLOWING INDIVIDUALS: SMITHMIER (CEO), STONE (COO), PEACOCK (FORMER CFO), ZIA (VPMA), FAHEY (CNO), AND RIDLEY (VPPS). 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 XI, LINE 9	BOOK/TAX DIFF. IN INC. FRM PARTNERSHIPS (INCREASE) 185,408 CHANGE IN VAL. OF ASSETS HELD IN TRUST (INCREASE) 552,474 TRANSFER OF CAPITAL FROM AFFILIATE (INCREASE) 39,903 TRANSFER OF CAPITAL FROM AFFILIATE (DECREASE) 36,831,437 TRANSFER OF CAPITAL FROM AFFILIATE (DECREASE) 295,000 CHANGE IN MINIMUM PENSION LIABILITY (DECREASE) 850,229 THE NET RESULT OF ALL OF THESE OTHER CHANGES IN NET ASSETS IS A DECREASE OF 37,198,881.
FORM 990, PART XII	DECATUR MEMORIAL HOSPITAL WAS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ILLINOIS HEALTH AND SCIENCE AND AFFILIATED ORGANIZATIONS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
ILLINOIS HEALTH AND SCIENCE
2300 N EDWARD ST	DECATUR	IL	625264163	371169606	SUPP. DMH	IL	501C3	11A	NA	false
DECATUR MEMORIAL FOUNDATION
2300 N EDWARD ST	DECATUR	IL	625264163	371169605	SUPP. DMH	IL	501C3	11A	NA	false
HEARTLAND RISK MANAGEMENT
2300 N EDWARD ST	DECATUR	IL	625264163	454256254	SUPP. DMH	AZ	501C3	11A	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	DECATUR DIGESTIVE DISEASE CENTER	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2 MEMORIAL DRIVE	AddressLine1
Address Line2	SUITE 102	AddressLine2
City	DECATUR	City
State	IL	State
ZIP Code	62526	ZIPCode

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	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$298,457	ShareOfTotalIncomeAmt
Share Of EOY Assets	$180,891	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.50000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	DMH WORLDWIDE LTD	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2300 N EDWARD ST	AddressLine1
City	DECATUR	City
State	IL	State
ZIP Code	62526	ZIPCode

Field	Value	IRS element (for citing)
EIN	271901157	EIN
Primary Activities	RADIOPHARM	PrimaryActivitiesTxt
Legal Domicile State	IL	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	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	Yes (true)	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	false	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 (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
DECATUR MEMORIAL FOUNDATION
K	$1,495,266	CASH PAYMENT
DECATUR MEMORIAL FOUNDATION
O	$153,893	CASH PAYMENT
DECATUR DIGESTIVE DISEASE CENTER
O	$494,402	CASH PAYMENT
DMH WORLDWIDE LTD
B	$295,000	CASH TRANSFER
DECATUR DIGESTIVE DISEASE CTR LLC
S	$365,000	CASH TRANSFER
HEARTLAND RISK MANAGEMENT
M	$1,914,000	CASH PAYMENT
ILLINOIS HEALTH AND SCIENCE
B	$36,831,437	CASH & SECURITIES
DMH WORLDWIDE LTD
A	$773,703	CASH PAYMENT
DMH WORLDWIDE LTD
O	$1,465,933	CASH PAYMENT
DMH WORLDWIDE LTD
D	$7,457,412	LOAN AMOUNT
DMH WORLDWIDE LTD
J	$3,081,596	CASH PAYMENT
DMH WORLDWIDE LTD
H	$1,007,160	CASH PAYMENT