DECATUR MEMORIAL HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- DECATUR MEMORIAL HOSPITAL (EIN 37-0661199)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-09-30
- IRS object ID
- 201432739349300518
- Schema version
- 2012v2.3
- 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) |
|---|---|---|
| Timestamp | 2014-09-30T09:43:25-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LA ROSA & CO LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370661199 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DECA | NameControl |
| Phone | 2178762107 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AL NAQVI | Name |
| Title | EXECUTIVE VICE PRESIDENT & CFO | Title |
| Phone | 2178762107 | Phone |
| Date Signed | 2014-09-24 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL P MERKEL | Name |
| Phone | 3176348777 | Phone |
| Date Prepared | 2014-09-30 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Name Of Principal Officer Person | KEN SMITHMIER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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) |
|---|---|---|
| Gross Receipts | 305584740 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.DMHCARES.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1916 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | 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). | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2560 | TotalNbrEmployees |
| Total Nbr Volunteers | 367 | TotalNbrVolunteers |
| Total Gross UBI | 3583461 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -238086 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3678004 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3280671 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 264095992 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 241842558 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5240859 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12422658 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 13726430 | OtherRevenuePriorYear |
| Other Revenue Current Year | 14653712 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 286741285 | TotalRevenuePriorYear |
| Total Revenue Current Year | 272199599 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1400928 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 932272 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 143951214 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 135018427 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 145171786 | OtherExpensePriorYear |
| Other Expenses Current Year | 121288590 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 290523928 | TotalExpensesPriorYear |
| Total Expenses Current Year | 257239289 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3782643 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 14960310 | RevenuesLessExpensesCY |
| Total Assets BOY | 368493551 | TotalAssetsBOY |
| Total Assets EOY | 391590668 | TotalAssetsEOY |
| Total Liabilities BOY | 81124557 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 80148738 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 287368994 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 311441930 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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). | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 107735501 | Expense |
| Grants | 932272 | Grants |
| Revenue | 152021177 | Revenue |
| Description | 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 49,500 VISITS TO DMH'S EMERGENCY CARE CENTER AND RECEIVED APPROXIMATELY 271,000 OUTPATIENT TESTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 47402313 | Expense |
| Revenue | 66887474 | Revenue |
| Description | INPATIENT SERVICES: WITH 280 BEDS CURRENTLY IN SERVICE,DMH PROVIDED 45,343 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 1,900 IN ALL), INCLUDING HOSPITALISTS, NURSES, AIDES, DIETICIANS, CASE MANAGEMENT STAFF, SOCIAL WORKERS, AND CHAPLAINS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 47348217 | Expense |
| Revenue | 33639265 | Revenue |
| Description | PROFESSIONAL SERVICES: AS THE EMPLOYER OF APPROXIMATELY 64 PHYSICIANS PLUS A COMPLEMENT OF OTHER PROVIDERS (PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS), DMH OFFERS A WIDE RANGE OF PROFESSIONAL PATIENT CARE AT APPROXIMATELY 28 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. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 152367 | Expense |
| Description | 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, CARDIAC SCREENINGS, OBESITY, DIABETES, INDIGENT OUTPATIENT LONGITUDINAL CARE, ONCOLOGY SCREENINGS, AND INFANT MORTALITY. 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. AS JUST ONE EXAMPLE, DMH IS SPONSORING A LOCAL VERSION OF THE PREVENTION PLAN CHALLENGE, A NATIONAL WELLNESS INITIATIVE THAT FOCUSES ON PREVENTIVE CARE TO HELP PEOPLE LIVE HEALTHIER AND LOWER HEALTHCARE COSTS WITHIN THE COMMUNITY; THROUGH THIS COMPETITION AMONG LOCAL EMPLOYERS, DMH HOPES TO SPUR COMPANIES TO BUILD HEALTHIER WORKFORCES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 152367 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 202638398 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 159 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2560 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBBIE BRAGG ACCOUNTING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2178762051 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| STEVEN SOBOL MD | |||||||||
| DIRECTOR/PHY | 40.00 | X | 1619481 | 0 | 20613 | ||||
| KENNETH SMITHMIER | |||||||||
| DIRECTOR/PRE | 40.00 | X | 718615 | 0 | 19613 | 0.20 | X | ||
| LARRY ALTENBAUMER | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| WALTER SMITH | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| JOHN W FUNK | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| JONATHON T LOCKE MD | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| ROY MOSSER JR | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| THOMAS KOWA | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| DAVID SMITH | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| ROBIN KING | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| BRAD WIKE | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| SCOTT G STRIGLOS | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| DAVID TYROLT | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| RON DRANE | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| PAULA EISSFELDT | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| EDWARD ELLIOT MD | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| TIMOTHY D STONE JR | |||||||||
| EVP & ADMINI | 40.00 | 415662 | 0 | 17373 | 0.20 | X | |||
| MICHAEL ZIA MD | |||||||||
| VICE PRES. | 40.00 | 303016 | 0 | 19441 | 0.20 | X | |||
| LINDA FAHEY | |||||||||
| VP/CHIEF NUR | 40.00 | 250726 | 0 | 4358 | X | ||||
| JOHN RIDLEY | |||||||||
| SVP PROF. SE | 40.00 | 184527 | 0 | 19535 | 0.20 | X | |||
| DEBBIE BRAGG | |||||||||
| SR. VP & CFO | 40.00 | 138274 | 0 | 2906 | 1.00 | X | |||
| KEVIN HORATH | |||||||||
| VP HUMAN RES | 40.00 | 99134 | 0 | 18065 | X | ||||
| STEVEN WEBER MD | |||||||||
| PHYSICIAN | 40.00 | 1343976 | 0 | 20613 | X | ||||
| MARVIN DERRICK MD | |||||||||
| PHYSICIAN | 40.00 | 822796 | 0 | 17671 | X | ||||
| MOHAMMED HASNAIN MD | |||||||||
| PHYSICIAN | 40.00 | 818362 | 0 | 20613 | X | ||||
| JOHN WATERS MD | |||||||||
| PHYSICIAN | 40.00 | 816290 | 0 | 11946 | X | ||||
| ROBERT KRAUS JR MD | |||||||||
| PHYSICIAN | 40.00 | 772218 | 0 | 20613 | X | ||||
| GARY G PEACOCK | |||||||||
| SR. VP & CFO | 40.00 | 265868 | 0 | 15315 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 8568945 | TotalReportableCompFromOrg |
| Total Other Compensation | 228675 | TotalOtherCompensation |
| Number Individuals GT100 K | 159 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DECATUR EMERGENCY MEDICAL SERVICES | |||||
| 334 W ELDORADO | DECATUR | IL | 62522 | PHYSICIAN FEES | 1220000 |
| DENMAN LINEN SERVICES | |||||
| 1801 N 43RD | QUINCY | IL | 62305 | LINEN SERVICES | 1209021 |
| CONSOCIATE GROUP | |||||
| PO 1068 | DECATUR | IL | 62525 | INSURANCE SERV | 862176 |
| ALLSCRIPTS LLC | |||||
| 24630 NETWORK PLACE | CHICAGO | IL | 606731246 | SOFTWARE SUPPRT | 700583 |
| EXECUTIVE HEALTH RESOURCE | |||||
| PO BOX 822688 | PHILADELPHIA | PA | 19182 | CLAIMS REVIEW | 657788 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 186 | NumberOfContractorsGT100K |
| Related Organizations | 39225 | RelatedOrganizations |
| Government Grants | 2198597 | GovernmentGrants |
| All Other Contributions | 1042849 | AllOtherContributions |
| Total Contributions | 3280671 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| INPATIENT, OUTPATIENT, & PHYS | 900099 | 241501618 | 241501618 |
| DECATUR DIGESTIVE DISEASE CTR | 621990 | 340940 | 340940 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 241842558 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4028960 | TotalRevenueColumn |
| Exclusion | $4,028,960 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 364893 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 364893 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 364893 | TotalRevenueColumn |
| Exclusion | $364,893 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 40181090 | Securities |
| Other | 391530 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 32037558 | Securities |
| Other | 141364 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 8143532 | Securities |
| Other | 250166 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8393698 | TotalRevenueColumn |
| Exclusion | $8,393,698 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 2079365 | GrossSalesOfInventory |
| Cost Of Goods Sold | 1206219 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 873146 | TotalRevenueColumn |
| Unrelated Business Revenue | 873146 | UnrelatedBusinessRevenue |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| OTHER EXEMPT FUNCTION INC | 900099 | 10705358 | 10705358 | |
| TAXABLE RELATED ENTITY INCOME | 900099 | 1081390 | 1081390 | |
| WELLNESS & COSMETIC SERVICES | 900099 | 687074 | 687074 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 941851 | TotalRevenueColumn |
| Unrelated Business Revenue | 941851 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 13415673 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 272199599 | TotalRevenueColumn |
| Related Or Exempt Function Income | 252547916 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3583461 | UnrelatedBusinessRevenue |
| Exclusion | $12,787,551 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 932272 | Total |
| Program Services | 932272 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3705703 | Total |
| Program Services | 1522829 | ProgramServices |
| Management And General | 2182874 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2732131 | Total |
| Program Services | 2708660 | ProgramServices |
| Management And General | 23471 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103078135 | Total |
| Program Services | 86592781 | ProgramServices |
| Management And General | 16485354 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1507720 | Total |
| Program Services | 1266589 | ProgramServices |
| Management And General | 241131 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17157972 | Total |
| Program Services | 14413886 | ProgramServices |
| Management And General | 2744086 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6836766 | Total |
| Program Services | 5743358 | ProgramServices |
| Management And General | 1093408 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 884921 | Total |
| Management And General | 884921 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1103867 | Total |
| Management And General | 1103867 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72057 | Total |
| Management And General | 72057 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21269511 | Total |
| Program Services | 11233877 | ProgramServices |
| Management And General | 10035634 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1006255 | Total |
| Program Services | 658821 | ProgramServices |
| Management And General | 347434 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48085049 | Total |
| Program Services | 44744856 | ProgramServices |
| Management And General | 3340193 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5202542 | Total |
| Program Services | 4800515 | ProgramServices |
| Management And General | 402027 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16307 | Total |
| Program Services | 16307 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9019353 | Total |
| Program Services | 5859417 | ProgramServices |
| Management And General | 3159936 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 786893 | Total |
| Program Services | 680502 | ProgramServices |
| Management And General | 106391 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 372503 | Total |
| Program Services | 202449 | ProgramServices |
| Management And General | 170054 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1181496 | Total |
| Program Services | 767558 | ProgramServices |
| Management And General | 413938 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21316587 | Total |
| Program Services | 13387011 | ProgramServices |
| Management And General | 7929576 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3428690 | Total |
| Program Services | 944015 | ProgramServices |
| Management And General | 2484675 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| STATE MEDICAID TAX | 5193642 | 5193642 | |
| MISCELLANEOUS EXPENSE | 2348917 | 969053 | 1379864 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 257239289 | Total |
| Program Services | 202638398 | ProgramServices |
| Management And General | 54600891 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9347 | BOY |
| EOY | 8700 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7859163 | BOY |
| EOY | 24054347 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43967363 | BOY |
| EOY | 37962067 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 2000000 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3127753 | BOY |
| EOY | 3071259 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3674503 | BOY |
| EOY | 3526214 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 377033260 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 266764710 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 120176803 | BOY |
| EOY | 110268550 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 182904905 | BOY |
| EOY | 200205996 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6773714 | BOY |
| EOY | 10493535 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 368493551 | BOY |
| EOY | 391590668 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35013222 | BOY |
| EOY | 39514372 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146195 | BOY |
| EOY | 139553 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15147000 | BOY |
| EOY | 13311000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30818140 | BOY |
| EOY | 27183813 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81124557 | BOY |
| EOY | 80148738 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 236946363 | BOY |
| EOY | 260167522 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35813819 | BOY |
| EOY | 35917359 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14608812 | BOY |
| EOY | 15357049 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 287368994 | BOY |
| EOY | 311441930 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 368493551 | BOY |
| EOY | 391590668 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 14960310 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 4108588 | ReconciliationUnrealizedInvest |
| Reconcilation Prior Adjustment | -10649 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 5014687 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $22,759 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $49,298 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 72057 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE C, PART II-B, LINE 1 | ReturnReference |
| 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. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14608812 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1893758 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 366193 | GrantsOrScholarships |
| Other Expenditures | 779328 | OtherExpenditures |
| End Of Year Balance | 15357049 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 12369414 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 3817049 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 504333 | GrantsOrScholarships |
| Other Expenditures | 1073318 | OtherExpenditures |
| End Of Year Balance | 14608812 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11963360 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 406054 | InvestmentEarningsOrLosses |
| End Of Year Balance | 12369414 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10910741 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1977035 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 75407 | GrantsOrScholarships |
| Other Expenditures | 849009 | OtherExpenditures |
| End Of Year Balance | 11963360 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 17589403 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 505233 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 50010 | GrantsOrScholarships |
| Other Expenditures | 7133885 | OtherExpenditures |
| End Of Year Balance | 10910741 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1337264 | OtherCostOrOtherBasis |
| Book Value | 1337264 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 177888419 | OtherCostOrOtherBasis |
| Depreciation | 108285594 | Depreciation |
| Book Value | 69602825 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2184936 | OtherCostOrOtherBasis |
| Depreciation | 15693 | Depreciation |
| Book Value | 2169243 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 186513951 | OtherCostOrOtherBasis |
| Depreciation | 152378600 | Depreciation |
| Book Value | 34135351 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9108690 | OtherCostOrOtherBasis |
| Depreciation | 6084823 | Depreciation |
| Book Value | 3023867 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 110268550 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $13,361,268 |
| MALPRACTICE INSURANCE | $6,247,291 |
| DEFERRED TRUST | $4,671,205 |
| PENSION LIABILITY | $1,220,726 |
| FUTURE RENT PAYMENTS | $956,331 |
| RETIREE HEALTH PLAN | $626,124 |
| RESERVE FOR A/R NOT ON BOOKS | $100,868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 27183813 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| INTENDED USES FOR ENDOWMENT FUNDS | 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. |
| LIABILITY UNDER FIN 48 FOOTNOTE | 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) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 6.00000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12148459 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 12148459 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04720 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28051375 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8701669 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19349706 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07520 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 40199834 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8701669 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 31498165 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12240 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 530590 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 530590 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 612333 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 612333 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1247973 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1247973 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00490 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23375 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 23375 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2414271 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2414271 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00950 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 42614105 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8701669 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 33912436 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13190 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 250 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 250 | NetCommunityBuildingExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 66592 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 66592 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 66842 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 66842 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $5,306,089 | BadDebtExpenseAmount |
| Amount Attributable To | 2937176 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 79757683 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 72062993 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 7694690 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR DIG DISEASE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | AMBULATORY ENDOSCOPY CENTER | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.50000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| 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 | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | ACUTE CARE & LONG TERM CARE | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Other | X | Other |
| Needs Assessment Conducted | 13 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200.0 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 600.0 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 9 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType | Address Line2Address/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 | |
| DMH CORPORATE HEALTH SERVICES | |||||
| 2122 NORTH 27TH ST | DECATUR | IL | 62526 | OUTPATIENT CLINIC | |
| DECATUR DIGESTIVE DISEASE CENTER | |||||
| 2 MEMORIAL DR PHYS PLAZA WEST | DECATUR | IL | 62526 | AMBULATORY ENDOSCOPY CENTER | SUITE 102 |
| DMH HOME HEALTH CARE | |||||
| 3122 BRETTWOOD CIRCLE | DECATUR | IL | 62526 | HOME HEALTH AGENCY | |
| SPORTS ENHANCEMENT CENTER | |||||
| 2122 NORTH 27TH ST | DECATUR | IL | 62526 | PHYSICAL THERAPY | |
| DMH HOSPICE | |||||
| 3122 BRETTWOOD CIRCLE | DECATUR | IL | 62526 | HOSPICE AGENCY | |
Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE | PART I LINE 3C | 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 PATIENTS BILLS |
| RELATED ORGANIZATION INFORMATION | PART I LINE 6A | THE HOSPITAL PREPARES THE ANNUAL COMMUNITY BENEFIT REPORT UNDER ITS OWN NAME |
| SUBSIDIZED HEALTH SERVICES EXPLANATION | PART I LINE 7G | THE HOSPITAL DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC |
| EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE | PART I LINE 7 COLUMN F | NONE PER NEWLY ISSUED GAAP DMH INCLUDES BAD DEBT EXPENSE AS PART OF PROGRAM SERVICE REVENUE ON PAGE 9 LINE 2A |
| COSTING METHODOLOGY EXPLANATION | PART I LINE 7 | THE HOSPITAL DERIVED ALL NUMBERS IN LINE 7 FROM THE APPLICABLE IRS WORKSHEETS USING THE RATIO OF PATIENT COSTTOCHARGES |
| COMMUNITY BUILDING ACTIVITIES | PART II | PART VI LINE 5 COMMUNITY SUPPORT DMH DONATED CAR SEATS TO THE NEW LIFE PREGNANCY CENTER WHICH OFFERS COMPASSIONATE SUPPORT TO WOMEN IN THE COMMUNITY WHO ARE FACING AN UNPLANNED PREGNANCY OTHER DMH SUPPORTS THE LOCAL HOMELESS SHELTER BY PROVIDING 66592 IN FOOD CONTRIBUTIONS OVER THE FISCAL YEAR DMH UNDERSTANDS THAT FEEDING THE HUNGRY SUPPORTS THE HEALTH OF THE INDIVIDUALS SERVED BY THE HOMELESS SHELTER |
| BAD DEBT EXPENSE EXPLANATION | PART III LINE 4 | 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 SYSTEMS EXTERNAL ADVISORS AND ACTUARIES IN MAKING JUDGMENTS AND ESTIMATES ACTUAL RESULTS COULD DIFFER FROM THOSE ESTIMATES THE ABOVE WORDING CAN BE FOUND IN FOOTNOTE 1 USE OF ESTIMATES SUB TITLE ON PAGE 7 AS NOTED AT THE BOTTOM OF THE PDF PAGE OF THE AUDITED FINANCIAL STATEMENTS LINE 2 OF PART III WAS CALCULATED USING THE HOSPITAL WIDE COSTTOCHARGE 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 LINE 3 OF PART III WAS CALCULATED AS FOLLOWS THE HOSPITAL USED 20082012 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 APPLIED TO THE HOSPITALS 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 COSTSTOCHARGES FROM THE APPLICABLE IRS WORKSHEET TO CALCULATE THE COST OF PROVIDING THESE SERVICES THE HOSPITALS METHODOLOGY MOST LIKELY RESULTED IN A VERY CONSERVATIVE ESTIMATE FOR A NUMBER OF REASONS FIRST IT EXCLUDES THE PATIENTS ABOVE 200 OF THE FPG THAT WERE ELIGIBLE FOR PARTIAL CHARITY ASSISTANCE FURTHERMORE THE ACTUAL 2012 PERCENTAGE OF THE HOSPITALS PATIENT BASE BELOW THE 200 OF FPG WAS LIKELY HIGHER THAN CENSUS ESTIMATES USED IN THIS CALCULATION DUE TO THE IMPACT OF THE RECENT RECESSION THEREFORE THE AMOUNT REPORTED IN PART III LINE 3 IS VERY CONSERVATIVE AND LIKELY LESS THAN THE THE ACTUAL AMOUNT OF BAD DEBT EXPENSE THAT COULD HAVE QUALIFIED FOR CHARITY ASSISTANCE HAD THE HOSPITAL RECEIVED A CHARITY CARE APPLICATION |
| MEDICARE EXPLANATION | PART III LINE 8 | THE HOSPITAL USED THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT IN CALCULATING THE AMOUNT ON LINE 6 OF PART III |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | THE HOSPITAL WILL NOT SEND A PATIENTS ACCOUNT TO A THIRDPARTY COLLECTION AGENCY PRIOR TO MAKING GOOD FAITH EFFORTS TO DETERMINE A PATIENTS 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 HISHER 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 HISHER FAMILY ANDOR GUARANTOR IF APPLICABLE HAS SUFFICIENT INCOME AND ASSETS TO MEET HISHER OBLIGATIONS UNDER THE EXISTING PAYMENT PLAN PROVIDED HOWEVER THE HOSPITAL WILL NOT PURSUE LEGAL ACTION FOR NONPAYMENT OF BILLS AGAINST ANY PATIENT RECEIVING FINANCIAL ASSISTANCE WHO HAS CLEARLY DEMONSTRATED THAT SHE DOES NOT HAVE SUFFICIENT INCOME AND ASSETS TO MEET HISHER FINANCIAL OBLIGATIONS TO THE HOSPITAL NOTWITHSTANDING THE FOREGOING THE HOSPITALS DEBT COLLECTION POLICY PLACES A MAXIMUM AMOUNT BASED UPON ANNUAL HOUSEHOLD PRETAX INCOME AND CASH BENEFITS FROM ALL SOURCES WITH CERTAIN ADJUSTMENTS THAT THE HOSPITAL OR ITS DESIGNATED THIRDPARTY COLLECTION AGENCY MAY COLLECT IN ANY TWELVE 12 MONTH PERIOD FOR HOSPITAL SERVICES FROM A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE |
| NEEDS ASSESSMENT | PART VI | 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 20132015 DECATUR MEMORIAL HOSPITAL 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 US 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 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 DECATUR MEMORIAL HOSPITALS 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 COMMUNITYS 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 APEXPH 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 2012 COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUP WAS RECORDED FOR FUTURE REFERENCE AND RESULTS WERE TALLIED TO DETERMINE THE AREAS TOP STRENGTHSVALUES BARRIERSCONCERNS AND THE TOP 3 HEALTH NEEDS THESE RESULTS WILL BE PRESENTED TO EACH FOCUS GROUP PARTICIPANT AS WELL AS DECATUR MEMORIAL HOSPITALS SENIOR LEADERSHIP TEAM STEP 6 PLANNING FOR ACTION AND MONITORING PROGRESS FOLLOWING THE COMPLETION OF THE 20132015 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 PHYSICIANS AND SPECIALISTS EVALUATION OF THE PHYSICIAN POPULATION RATIOS IN MACON COUNTY INDICATED THAT DECATUR WAS UNDERSERVED BOTH IN TERMS OF PRIMARY CARE PHYSICIANS AND SPECIALISTS THE WAITING TIME FOR A NEW PATIENT TO SEE A PRIMARY CARE PHYSICIAN IN THE COMMUNITY WAS AS LONG AS TWO TO THREE MONTHS BASED ON THIS INFORMATION DECATUR MEMORIAL HOSPITAL HAS RECRUITED AND CONTINUES TO RECRUIT PRIMARY AND SPECIALIST PHYSICIANS TO THE COMMUNITY COSTS OF RECRUITMENT WERE GENERALLY BORN BY THE HOSPITAL AND AMOUNTED TO MORE THAN 300000 DURING THE LAST FISCAL YEAR DECATUR MEMORIAL HOSPITAL ALSO SIGNIFICANTLY SUPPORTS THE SOUTHERN ILLINOIS UNIVERSITY 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 3000000 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 HAS VOLUNTEERED HOURS ON PLANNING AND CURRICULUM DESIGN AT OUR TWO NURSING SCHOOLS AND CONTRIBUTES MORE THAN 2500 HOURS OF UNCOMPENSATED TEACHING AND CLINICAL EXPERIENCE TO NURSING STUDENTS IN THE DECATUR NURSING PROGRAMS OUR MEDICAL STAFF AND PERSONNEL ALSO PARTICIPATE IN CLINICAL TRAINING AND SUPPORT FOR RESIDENT PHYSICIANS IN FAMILY MEDICINE AS WELL AS PHYSICIAN ASSISTANT STUDENTS ADDITIONAL TRAINING PROGRAMS FOR OTHER ALLIED HEATH PROFESSIONALS HAVE ALSO BEEN UNDERTAKEN AND SUPPORTED BY DECATUR MEMORIAL HOSPITAL 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 CARDIAC SCREENINGS RECOGNIZING THAT CORONARY HEART DISEASE IS THE NUMBER ONE CAUSE OF DEATH IN MACON COUNTY DECATUR MEMORIAL HOSPITAL OFFERS FREE BLOOD PRESSURE AND CHOLESTEROL SCREENINGS TO THE COMMUNITY FURTHER TO ASSIST THOSE PATIENTS WHO ARE LIVING WITH THE DIAGNOSIS OF HEART FAILURE DMH PROVIDES A FREE HEART FAILURE TELEMONITORING 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 OBESITY MACON COUNTY HAS THE HIGHEST OBESITY STATISTICS IN THE STATE OF ILLINOIS THE INCIDENCE OF OBESITY IN MACON COUNTY AS WELL AS THROUGHOUT THE COUNTRY IS ON THE RISE DECATUR MEMORIAL HOSPITAL PROVIDES EDUCATIONAL PROGRAMS RELATED TO WEIGHT AND WEIGHT CONTROL AND HAS INSTITUTED A COMPREHENSIVE WEIGHT MANAGEMENT AND BARIATRIC PROGRAM TO ASSIST THE MEMBERS OF THE COMMUNITY IN APPROPRIATE WEIGHT LOSS METHODS PROFESSIONAL DMH STAFF MEMBERS ATTEND NUMEROUS HEALTH FAIR EVENTS THROUGHOUT THE YEAR AND ARE AVAILABLE TO PROVIDE INFORMATIONAL TOPICS ON WEIGHT MANAGEMENT AND HEALTHY LIFESTYLES TO AREA RESIDENTS DMH OFFERS SUPPORT GROUPS FOR WEIGHT MANAGEMENT AND BARIATRIC CLIENTS TO THE COMMUNITY MONTHLY THE DMH WELLNESS CENTER HOLDS A 5K RACE FOR WEIGHT MANAGEMENT CLIENTS AND COMMUNITY MEMBERS AS AN ANNUAL EXERCISE EVENT DIABETES LIFETIME RISK FOR DEVELOPING DIABETES IN THIS COUNTRY IS NOW APPROACHING 40 LOWER SOCIAL ECONOMIC GROUPS HAVE ADDITIONAL CHALLENGES IN TERMS OF APPROPRIATE DIET CONTROL AND EDUCATION DECATUR MEMORIAL HOSPITAL PROVIDES DIABETIC EDUCATION AND COMMUNITY PROGRAMS DMH OFFERS A 10HOUR COMPREHENSIVE DIABETES EDUCATION PROGRAM THAT IS ACCREDITED BY THE AMERICAN DIABETES ASSOCIATION OUR DIABETES EDUCATORS ARE AVAILABLE TO OFFER EDUCATIONAL PRESENTATIONS TO COMMUNITY MEMBERS AND ATTEND NUMEROUS HEALTH FAIRS IN THE COMMUNITY TO SHARE INFORMATION ABOUT DIABETES AND TO GIVE INFORMATION OUT ABOUT PROGRAMS THAT ARE AVAILABLE FOR DIABETES EDUCATION THE DIABETES EDUCATORS HAVE DEVELOPED A PREDIABETES EDUCATION PROGRAM AND HAVE PARTNERED WITH THE DECATUR YMCA TO OFFER THIS 6WEEK PROGRAM THERE AS WELL AS AT DMH DMH ALSO OFFERS A MONTHLY DIABETES SUPPORT GROUP FOR COMMUNITY MEMBERS INDIGENT OUTPATIENT LONGITUDINAL CARE DECATUR MEMORIAL HOSPITAL HAS SUPPORTED THE COMMUNITY HEALTH |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | PART VI LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE DECATUR MEMORIAL HOSPITALS BUSINESS OFFICE HAS FIVE FINANCIAL COUNSELORS WHO REVIEW PATIENT ACCOUNTS FOR POSSIBLE CHARITYFINANCIAL ASSISTANCE CONSIDERATION THE HOME PAGE OF THE HOSPITALS WEBSITE WWWDMHCARESCOM 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 |
| COMMUNITY INFORMATION | PART VI | PART VI LINE 4 POPULATIONS AND COMMUNITIES SERVED DECATUR MEMORIAL HOSPITAL IS LOCATED IN DECATUR ILLINOIS THE CITY HAS A 2010 CENSUS POPULATION OF 76000 WHICH REPRESENTS A POPULATION DECLINE OF 58 SINCE 2000 MACON COUNTY WITHIN WHICH IT RESIDES HAS A POPULATION OF APPROXIMATELY 110750 THE OVERALL MARKET AREA FOR DECATUR MEMORIAL HOSPITAL INCLUDES APPROXIMATELY 250000 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 20000 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 US AVERAGE RECENT JOB GROWTH WAS 034 THE POVERTY RATE FOR MACON COUNTY IS 162 AND 209 FOR DECATUR THE 2013 AVERAGE UNEMPLOYMENT RATE FOR DECATURMACON COUNTY WAS 122 |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | PART VI LINE 5 BACKGROUND DECATUR MEMORIAL HOSPITAL SINCE ITS INCEPTION IN 1916 HAS CONTINUOUSLY RESPONDED TO THE HEALTH CARE NEEDS OF COMMUNITIES IT SERVES AS AN INDEPENDENT COMMUNITY HOSPITAL WITH A LOCAL COMMUNITY 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 AN ORGANIZATION MUST BECOME INVOLVED IN THE EDUCATION AWARENESS AND PREVENTION OF DISEASE AND ILLNESS THAT NEGATIVELY IMPACT A PERSONS 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 INDIVIDUALS 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 |
| AFFILIATED HEALTH CARE INFORMATION | PART VI | PART VI LINE 6 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 |
| LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED | PART VI | ILLINOIS |
| DECATUR MEMORIAL HOSPITAL LINE NUMBER 1 PART V LINE 3 | 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 COMMUNITYS 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 RD PHD PROFESSOR MILLIKIN UNIVERSITY PATRICK HOBAN VICE PRESIDENT ECONOMIC DEVELOPMENT CORPORATION JULIE AUBERT ADMINISTRATOR MACON COUNTY HEALTH DEPARTMENT DANA RAY MD PHYSICAN CHIC CLINIC LEE HALL PSYD CLINICAL PSYCHOLOGIST PSYCHOLOGY SPECIALISTS MICHAEL ZIA MD VP OF QUALITY MEDICAL AFFAIRS DMH LINDA FAHEY RN VP AND CHIEF NURSING EXECUTIVE DMH KAY GOWDAR MD 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 |
| DECATUR MEMORIAL HOSPITAL LINE NUMBER 1 PART V LINE 5C | PART V LINE 5C | THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT WWWDMHCARESORGPATIENTASSESSMENTCNASSESSMENT20132015PDF |
| DECATUR MEMORIAL HOSPITAL LINE NUMBER 1 PART V LINE 12H | PART V LINE 12H | 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 |
| DECATUR MEMORIAL HOSPITAL LINE NUMBER 1 PART V LINE 20D | PART V LINE 20D | DMH COMPLIES WITH THE ILLINOIS HOSPITAL UNINSURED PATIENT DISCOUNT ACT AND 501R OF THE INTERNAL REVENUE CODE AS ENACTED BY SECTION 9007A 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIU DECATUR FAMILY PRACTICE CENTER | BusinessNameLine1 |
Address US AddressUS
| 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) |
|---|---|---|
| EIN Of Recipient | 376005961 | EINOfRecipient |
| IRC Section | 501C3 | IRCSection |
| Amount Of Cash Grant | 932272 | AmountOfCashGrant |
| Purpose Of Grant | GENERAL SUPPORT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES | Identifier |
| Return Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | ReturnReference |
| 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg |
|---|---|---|---|---|---|---|
| STEVEN SOBOL MD | ||||||
| DIRECTORPHYSICIAN | 996250 | 623231 | 3750 | 16863 | 1640094 | |
| KENNETH SMITHMIER | ||||||
| DIRECTORPRES & CEO | 718615 | 3750 | 15863 | 738228 | ||
| TIMOTHY D STONE JR | ||||||
| EVP & ADMINISTRATOR | 415662 | 3750 | 13623 | 433035 | ||
| MICHAEL ZIA MD | ||||||
| VICE PRES | 303016 | 3750 | 15691 | 322457 | ||
| LINDA FAHEY | ||||||
| VPCHIEF NURSE EXEC | 250726 | 3745 | 613 | 255084 | ||
| JOHN RIDLEY | ||||||
| SVP PROF SERV | 184527 | 2858 | 16677 | 204062 | ||
| STEVEN WEBER MD | ||||||
| PHYSICIAN | 896574 | 447402 | 3750 | 16863 | 1364589 | |
| MARVIN DERRICK MD | ||||||
| PHYSICIAN | 795296 | 27500 | 1808 | 15863 | 840467 | |
| MOHAMMED HASNAIN MD | ||||||
| PHYSICIAN | 544702 | 273660 | 3750 | 16863 | 838975 | |
| JOHN WATERS MD | ||||||
| PHYSICIAN | 816290 | 3750 | 8196 | 828236 | ||
| ROBERT KRAUS JR MD | ||||||
| PHYSICIAN | 619462 | 143606 | 3750 | 16863 | 792831 | 9150 |
| GARY G PEACOCK | ||||||
| SR VP & CFO | 242397 | 23471 | 3750 | 11565 | 281183 | |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FRINGE OR EXPENSE EXPLANATION | Identifier |
| Return Reference | SCHEDULE J, PAGE 1, PART I, LINE 1A | ReturnReference |
| Explanation | DURING THE YEAR, DMH PAID FOR CHARTER TRAVEL IN ONE INSTANCE. DMH SHARED WITH SEVERAL OTHER HOSPITALS THE COST OF A CHARTER PLANE HIRED TO PICK UP THEIR RESPECTIVE REPRESENTATIVES (IN DMH'S CASE, TIMOTHY STONE, JR., AND KENNETH SMITHMIER) 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. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CITY OF DECATUR MACON COUNTY IL | |||||||
| A | 376001308 | 2010-12-22 | 6280000 | REFUND 1996 ISSUE | false | false | false |
| CITY OF DECATUR MACON COUNTY IL | |||||||
| B | 376001308 | 2010-12-22 | 5000000 | REFUND 1996 ISSUE | false | false | false |
| CITY OF DECATUR MACON COUNTY IL | |||||||
| C | 376001308 | 2010-12-22 | 4405000 | REFUND 1996 ISSUE | false | false | false |
| CITY OF DECATUR MACON COUNTY IL | |||||||
| D | 376001308 | 2010-12-22 | 2675000 | REFUND 1996 ISSUE | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Other Spent ProceedsOtherSpentProceeds | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|
| A | 1727000 | 6280000 | 6280000 | true | false | true | true |
| B | 1375000 | 5000000 | 5000000 | true | false | true | true |
| C | 1211375 | 4405000 | 4405000 | true | false | true | true |
| D | 735625 | 2675000 | 2675000 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | false | true |
| B | false | false | false | false | false | false | false | true |
| C | false | false | false | false | false | false | false | true |
| D | false | false | false | false | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | true | false | false | false | false |
| B | false | false | false | false | true | false | false | false | false |
| C | false | false | false | false | true | false | false | false | false |
| D | false | false | false | false | true | false | false | false | false |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | false | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE K | ReturnReference |
| 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 EFILE 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 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| HICKORY POINT BANK | |||
| SEE PART V | 1233 | INTEREST INCOME | false |
| STRIGLOS COMPANIES | |||
| SEE PART V | 260098 | OFFICE SUPPLIES | false |
| CANCER CARE SPECIALISTS OF CENT IL | |||
| SEE PART V | 153578 | MED SERVICES | false |
| CANCER CARE SPECIALISTS OF CENT IL | |||
| SEE PART V | 45342 | EMR SUPPORT REV | false |
| BAKERS DOZEN LLC | |||
| SEE PART V | 594398 | OFFICE SPACE RENTAL | false |
| ROY MOSSER | |||
| SEE PART V | 1654596 | OFFICE SPACE RENTAL | false |
| HICKORY POINT BANK | |||
| SEE PART V | 529368 | BANK FEES, INTEREST | false |
| FIRST BUSEY CORP SUBSIDIARIES | |||
| SEE PART V | 170116 | BANK AND BOND FEES | false |
| FIRST BUSEY CORP SUBSIDIARIES | |||
| SEE PART V | 4048 | INTEREST INCOME | false |
| JOHN FAHEY MD | |||
| SEE PART V | 15577 | COMPENSATION/BENEFIT | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE L PART V | ReturnReference |
| Explanation | PART IV LINES 1B 7B DIRECTOR KENNETH SMITHMIER IS ON THE HICKORY POINT BANK BOARD OF DIRECTORS PART IV LINE 2B DIRECTOR SCOTT STRIGLOS OWNS STRIGLOS COMPANIES INC PART IV LINES 3B 4B 5B DIRECTOR EDWARD ELLIOTT IS AN OWNER OF CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS HE IS ALSO AN OWNER OF BAKERS DOZEN LLC PART IV LINE 6B ROY MOSSER IS A DIRECTOR OF DMH PART IV LINE 8B 9B DIRECTOR RON DRANE IS EVP MANAGING DIRECTOR WITH BUSEY WEALTH MANAGEMENT WHICH IS A SUBSIDIARY OF FIRST BUSEY CORPORATION 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 PART IV LINE 10B JOHN FAHEY MD IS THE SPOUSE OF DMH OFFICER LINDA FAHEY | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| AMENDED RETURN EXPLANATION | FORM 990, PAGE 1, ITEM B | THIS RETURN IS BEING AMENDED FOR THE FOLLOWING REASONS: FORM 990, PART X, LINES 7B & 15; SCHEDULE R, LINES 1D, 1R, & 2: SUBSEQUENT TO FILING THE ORIGINAL FORM 990, DECATUR MEMORIAL HOSPITAL DETERMINED THAT 2,000,000 INCLUDED IN OTHER ASSETS AND SHOWN ON FORM 990, PART X, LINE 15B SHOULD HAVE BEEN CLASSIFIED AS NOTES AND LOANS RECEIVABLE AND REPORTED INSTEAD ON FORM 990, PART X, LINE 7B AT SEPTEMBER 30, 2013. THIS AMOUNT REPRESENTED A LOAN MADE BY DECATUR MEMORIAL HOSPITAL TO DMH WORLDWIDE, LTD. (A WHOLLY-OWNED RELATED TAXABLE CORPORATION). THEREFORE LINES 7B AND 15B OF FORM 990, PART X HAVE BEEN AMENDED TO REPORT THE PROPER CLASSIFICATION OF THIS LOAN. FURTHER, SCHEDULE R, LINES 1D AND 2 HAVE BEEN AMENDED TO SHOW THIS LOAN AMOUNT. ADDITIONALLY, DECATUR MEMORIAL HOSPITAL MADE CERTAIN ADVANCES TO DMH WORLDWIDE LTD IN THE AMOUNT OF 3,137,878 WHICH DECATUR MEMORIAL HOSPITAL HAS PROPERLY SHOWN AS AN OTHER ASSET ON FORM 990, PART X, LINE 15B, BUT WHICH WERE INADVERTENTLY OMITTED FROM SCHEDULE R, LINES 1R AND 2 WHEN IT WAS ORIGINALLY FILED. THESE LINES ON SCHEDULE R ARE ALSO BEING AMENDED FOR THIS ITEM. SCHEDULE O: SCHEDULE O IS BEING AMENDED TO CLARIFY THE DESCRIPTION PROVIDED IN THE ORIGINAL FORM 990 TO PART VI, LINE 11B RELATED TO THE PROCESS USED BY THE ORGANIZATION TO REVIEW THE ORIGINAL FORM 990. SEE SCHEDULE O FOR THIS CLARIFICATION. |
| ADDITIONAL INFORMATION | 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. |
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | 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, CARDIAC SCREENINGS, OBESITY, DIABETES, INDIGENT OUTPATIENT LONGITUDINAL CARE, ONCOLOGY SCREENINGS, AND INFANT MORTALITY. 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. AS JUST ONE EXAMPLE, DMH IS SPONSORING A LOCAL VERSION OF THE PREVENTION PLAN CHALLENGE, A NATIONAL WELLNESS INITIATIVE THAT FOCUSES ON PREVENTIVE CARE TO HELP PEOPLE LIVE HEALTHIER AND LOWER HEALTHCARE COSTS WITHIN THE COMMUNITY; THROUGH THIS COMPETITION AMONG LOCAL EMPLOYERS, DMH HOPES TO SPUR COMPANIES TO BUILD HEALTHIER WORKFORCES. |
| RELATED PARTY INFORMATION AMONG OFFICERS | FORM 990, PAGE 6, PART VI, LINE 2 | KENNETH SMITHMIER ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER PAULA EISSFELDT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER TIMOTHY STONE, JR. DIRECTOR OFFICER BUSINESS RELATIONSHIP LARRY ALTENBAUMER ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER PAULA EISSFELDT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER JONATHON LOCKE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER JOHN FUNK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID TYROLT RON DRANE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID TYROLT JOHN RIDLEY DIRECTOR OFFICER BUSINESS RELATIONSHIP ROY MOSSER, JR. RON DRANE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP RON DRANE DAVID TYROLT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP RON DRANE ROY MOSSER, JR. DIRECTOR DIRECTOR BUSINESS RELATIONSHIP RON DRANE THOMAS KOWA DIRECTOR DIRECTOR BUSINESS RELATIONSHIP RON DRANE JOHN FUNK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP THOMAS KOWA RON DRANE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP PAULA EISSFELDT KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP PAULA EISSFELDT LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROBIN KING LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROBIN KING KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JONATHON LOCKE LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN FUNK LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN FUNK RON DRANE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR LARRY ALTENBAUMER OFFICER DIRECTOR BUSINESS RELATIONSHIP JOHN RIDLEY DAVID TYROLT OFFICER DIRECTOR BUSINESS RELATIONSHIP |
| CLASSES OF MEMBERS OR STOCKHOLDERS | 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. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | 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. |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | 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. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | 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. THE BOARD TYPICALLY REVIEWS AND DISCUSSES THE FORM 990 PRIOR TO FILING THE FORM, BUT BECAUSE OF THE TIMING OF THE CLOSEST BOARD MEETING TO THE FILING DATE THIS YEAR, THE RETURN WAS FILED BEFORE BOARD REVIEW. HOWEVER, THE BOARD DID REVIEW AND DISCUSS IN DETAIL THE FORM 990 AT ITS NEXT REGULARLY-SCHEDULED BOARD MEETING. IT IS ANTICIPATED, AS HAS BEEN THE STANDARD PRACTICE OF THE ORGANIZATION IN THE PAST, THAT FUTURE FORMS 990 WILL BE REVIEWED BY THE BOARD PRIOR TO FILING. |
| ENFORCEMENT OF CONFLICTS POLICY | 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. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | 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 (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. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | SEE RESPONSE TO FORM 990, PART VI.B, LINE 15A ABOVE. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | 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. |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 9 | BOOK/TAX DIFF. IN INC. FROM PARTNERSHIPS (INCREASE 94,706 CHANGE IN MINIMUM PENSION LIAB. (INCREASE) 3,367,590 CHANGE IN VAL. OF ASSETS HELD IN TRUST (INCREASE) 2,325,046 TRANSFER OF CAPITAL FROM AFFILIATES (DECREASE) 772,655 THE NET RESULT OF ALL THESE OTHER CHANGES IN NET ASSETS IS AN INCREASE OF 5,014,687. |
| ADDITIONAL INFORMATION | FORM 990, PART XII | DECATUR MEMORIAL HOSPITAL WAS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF DMH HEALTH SYSTEMS AND AFFILIATED ORGANIZATIONS. DMH HEALTH SYSTEMS AND AFFILIATED ORGANIZATIONS BECAME ILLINOIS HEALTH AND SCIENCE EFFECTIVE JUNE 25, 2013. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | DMH | false |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR DIGESTIVE DISEASE CENTER | BusinessNameLine1 |
Address US AddressUS
| 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 Activity | ENDOSCOPY | PrimaryActivity |
| Legal Domicile State | IL | LegalDomicileState |
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 | PredominantIncomeType |
| Share Of Total Income | 341365 | ShareOfTotalIncome |
| Share Of EOY Assets | 198155 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Percentage Ownership | 0.50000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DMH WORLDWIDE LTD | BusinessNameLine1 |
Address US AddressUS
| 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 Activity | CONSULTING | PrimaryActivity |
| Legal Domicile State | IL | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DMH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Share Of Total Income | -359527 | ShareOfTotalIncome |
| Share Of EOY Assets | 2453760 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | true | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (22 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| DECATUR MEMORIAL FOUNDATION | ||
| K | 1465144 | CASH PAYMENT |
| DECATUR MEMORIAL FOUNDATION | ||
| O | 152957 | CASH PAYMENT |
| DECATUR DIGESTIVE DISEASE CENTER | ||
| O | 476692 | CASH PAYMENT |
| DMH WORLDWIDE LTD | ||
| B | 800000 | CASH PAYMENT |
| DECATUR DIGESTIVE DISEASE CTR LLC | ||
| S | 350000 | CASH TRANSFER |
| HEARTLAND RISK MANAGEMENT | ||
| M | 1995688 | CASH PAYMENT |
| ILLINOIS HEALTH AND SCIENCE | ||
| B | 100000 | CASH PAYMENT |
| DMH WORLDWIDE LTD | ||
| A | 75016 | CASH PAYMENT |
| DMH WORLDWIDE LTD | ||
| O | 1006373 | CASH PAYMENT |
| DMH WORLDWIDE LTD | ||
| D | 2000000 | LOAN AMOUNT |
| DMH WORLDWIDE LTD | ||
| R | 3137878 | CASH ADVANCES |
| DECATUR MEMORIAL FOUNDATION | ||
| K | 1465144 | CASH PAYMENT |
| DECATUR MEMORIAL FOUNDATION | ||
| O | 152957 | CASH PAYMENT |
| DECATUR DIGESTIVE DISEASE CENTER | ||
| O | 476692 | CASH PAYMENT |
| DMH WORLDWIDE LTD | ||
| B | 800000 | CASH PAYMENT |
| DECATUR DIGESTIVE DISEASE CTR LLC | ||
| S | 350000 | CASH TRANSFER |
| HEARTLAND RISK MANAGEMENT | ||
| M | 1995688 | CASH PAYMENT |
| ILLINOIS HEALTH AND SCIENCE | ||
| B | 100000 | CASH PAYMENT |
| DMH WORLDWIDE LTD | ||
| A | 75016 | CASH PAYMENT |
| DMH WORLDWIDE LTD | ||
| O | 1006373 | CASH PAYMENT |
| DMH WORLDWIDE LTD | ||
| D | 2000000 | LOAN AMOUNT |
| DMH WORLDWIDE LTD | ||
| R | 3137878 | CASH ADVANCES |
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