DECATUR MEMORIAL HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DECATUR MEMORIAL HOSPITAL (EIN 37-0661199)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-05
IRS object ID
201302179349300705
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-05T10:17:58-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LA ROSA & CO LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1320 N MERIDIAN ST STE 328AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN370661199EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DECATUR MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDECANameControl
Phone2178762107Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 N EDWARD STAddressLine1
CityDECATURCity
StateILState
ZIP Code625264163ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBBIE BRAGGName
TitleSENIOR VICE PRESIDENT & CFOTitle
Phone2178762107Phone
Date Signed2013-06-06DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL P MERKELName
Phone3176348777Phone
Date Prepared2013-06-06DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKEN SMITHMIERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12300 N EDWARD STAddressLine1
CityDECATURCity
StateILState
ZIP Code62526ZIPCode
FieldValueIRS element (for citing)
Gross Receipts318683836GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.DMHCARES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1916YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionDMH 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 Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees2623TotalNbrEmployees
Total Nbr Volunteers607TotalNbrVolunteers
Total Gross UBI3343720TotalGrossUBI
Net Unrelated Business Txbl Income708896NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3264148ContributionsGrantsPriorYear
Contributions Grants Current Year3678004ContributionsGrantsCurrentYear
Program Service Revenue Prior Year265058381ProgramServiceRevenuePriorYear
Program Service Revenue CY264095992ProgramServiceRevenueCY
Investment Income Prior Year6572691InvestmentIncomePriorYear
Investment Income Current Year5240859InvestmentIncomeCurrentYear
Other Revenue Prior Year10521720OtherRevenuePriorYear
Other Revenue Current Year13726430OtherRevenueCurrentYear
Total Revenue Prior Year285416940TotalRevenuePriorYear
Total Revenue Current Year286741285TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1351778GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1400928GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year132904012SalariesEtcPriorYear
Salaries Etc Current Year143951214SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year153506049OtherExpensePriorYear
Other Expenses Current Year145171786OtherExpensesCurrentYear
Total Expenses Prior Year287761839TotalExpensesPriorYear
Total Expenses Current Year290523928TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2344899RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3782643RevenuesLessExpensesCY
Total Assets BOY362023608TotalAssetsBOY
Total Assets EOY368493551TotalAssetsEOY
Total Liabilities BOY102796329TotalLiabilitiesBOY
Total Liabilities EOY81124557TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY259227279NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY287368994NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionDMH 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense127033023Expense
Grants1362928Grants
Revenue166602865Revenue
DescriptionOUTPATIENT 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 273,500 OUTPATIENT TESTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense54473760Expense
Revenue71441931Revenue
DescriptionINPATIENT SERVICES: WITH 280 BEDS CURRENTLY IN SERVICE,DMH PROVIDED 45,985 DAYS OF INPATIENT CARE DURING THE FISCAL YEAR. DMH'S INPATIENTS INCLUDED THE YOUNG (NEWBORN INFANTS IN THE LEVEL I OR LEVEL II NURSERY), THE OLD (FOR EXAMPLE, PERSONS RECEIVING CARE THROUGH DMH'S SENIOR HEALTH AND WELLNESS CENTER OF EXCELLENCE), AND THE IN-BETWEEN. AREAS OF INPATIENT SERVICE INCLUDED GENERAL MEDICAL, SURGERY, ORTHOPEDICS, CARDIOLOGY, GERIATRICS,PEDIATRICS, INTENSIVE CARE, DIALYSIS, OBSTETRICS AND GYNECOLOGY, NURSERY, LONG-TERM CARE, AND TELEMETRY MONITORING. INPATIENT CARE WAS PROVIDED BY DMH'S TEAM OF HIGHLY-QUALIFIED, TALENTED STAFF (TODAY NUMBERING OVER 2,200 IN ALL), INCLUDING HOSPITALISTS, NURSES, AIDES, DIETICIANS, CASE MANAGEMENT STAFF, SOCIAL WORKERS, AND CHAPLAINS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense52546342Expense
Revenue36101285Revenue
DescriptionPROFESSIONAL SERVICES: AS THE EMPLOYER OF APPROXIMATELY 81 PHYSICIANS PLUS A COMPLEMENT OF OTHER PROVIDERS (PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS), DMH OFFERS A WIDE RANGE OF PROFESSIONAL PATIENT CARE AT APPROXIMATELY 38 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

FieldValueIRS element (for citing)
Expense187690Expense
Grants38000Grants
DescriptionEDUCATION 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 AND PROGRAMS, 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
FieldValueIRS element (for citing)
Total Of Other Program Service Exp187690TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt38000TotalOfOtherProgramServiceGrnt
Total Program Service Expense234240815TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096155NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2623NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DEBBIE BRAGG ACCOUNTINGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2178762051TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12300 N EDWARD STAddressLine1
CityDECATURCity
StateILState
ZIP Code625264163ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
STEVEN SOBOL MD
DIRECTOR/PHY40.00X1390492015863
KENNETH SMITHMIER
DIRECTOR/PRE40.00X717262015863X
LARRY ALTENBAUMER
DIRECTOR2.00X000
JAMES DAHL PHD
DIRECTOR2.00X000
WALTER SMITH
DIRECTOR2.00X000
JOHN W FUNK
DIRECTOR2.00X000
JONATHON T LOCKE MD
DIRECTOR2.00X000
ROY MOSSER JR
DIRECTOR2.00X000
JULIAN L MARSH
DIRECTOR2.00X000
THOMAS KOWA
DIRECTOR2.00X000
DAVID SMITH
DIRECTOR2.00X000
ROBIN KING
DIRECTOR2.00X000
BRAD WIKE
DIRECTOR2.00X000
SCOTT G STRIGLOS
DIRECTOR2.00X000
DAVID TYROLT
DIRECTOR2.00X000
RON DRANE
DIRECTOR2.00X000
PAULA EISSFELDT
DIRECTOR2.00X000
EDWARD ELLIOT MD
DIRECTOR2.00X000
TIMOTHY D STONE JR
EXEC. VP/COO40.00416420015863X
MICHAEL ZIA MD
VICE PRES.40.00291977015846X
LINDA FAHEY
VP/CHIEF NUR40.0024422803835X
JOHN RIDLEY
VICE PRES.40.0013435102256X
GARY G PEACOCK
SR. VP & CFO40.006750301935X
STEVEN WEBER MD
PHYSICIAN40.001425495015863X
THOMAS FULBRIGHT MD
PHYSICIAN40.0083797508153X
JOHN WATERS MD
PHYSICIAN40.00816460015863X
ROBERT KRAUS MD
40.00799763015863X
MOHAMMED HASNAIN MD
PHYSICIAN40.00758063015863X
DAVID OPPENLANDER
SENIOR VP &40.0024495802452X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8144947TotalReportableCompFromOrg
Total Other Compensation145518TotalOtherCompensation
Number Individuals GT100 K126NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DECATUR EMERGENCY MEDICAL SERVICES
334 W ELDORADODECATURIL62522PHYSICIAN FEES1220000
DENMAN LINEN SERVICES
1801 N 43RDQUINCYIL62305LINEN SERVICES1178810
CONSOCIATE GROUP
PO 1068DECATURIL62525INSURANCE SERV864704
EXECUTIVE HEALTH RESOURCE
PO BOX 822688PHILADELPHIAPA19182CLAIMS REVIEW743796
MIDWEST CREDIT
306 W ELDORADO PO BOX 445DECATURIL62525COLLECTIONS662880
FieldValueIRS element (for citing)
Number Of Contractors GT100 K153NumberOfContractorsGT100K
Related Organizations17383RelatedOrganizations
Government Grants2325171GovernmentGrants
All Other Contributions1335450AllOtherContributions
Total Contributions3678004TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INPATIENT, OUTPATIENT, & PHYS900099263856571263856571
DECATUR DIGESTIVE DISEASE CTR621990239421239421
FieldValueIRS element (for citing)
Total Program Service Revenue264095992TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4081820TotalRevenueColumn
Exclusion$4,081,820ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real332621Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real332621Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column332621TotalRevenueColumn
Exclusion$332,621ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities31437520Securities
Other369604Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities30339793Securities
Other308292Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1097727Securities
Other61312Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1159039TotalRevenueColumn
Exclusion$1,159,039ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory2747223GrossSalesOfInventory
Cost Of Goods Sold1294466CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1452757TotalRevenueColumn
Unrelated Business Revenue1452757UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
OTHER EXEMPT FUNCTION INC9000991005008910050089
WELLNESS & COSMETIC SERVICES900099824454824454
ADMIN & SUPPORT SERVICES561000488054488054

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column578455TotalRevenueColumn
Unrelated Business Revenue578455UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue11941052TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column286741285TotalRevenueColumn
Related Or Exempt Function Income274146081RelatedOrExemptFunctionIncome
Unrelated Business Revenue3343720UnrelatedBusinessRevenue
Exclusion$5,573,480ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1400928Total
Program Services1400928ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3565847Total
Program Services1446699ProgramServices
Management And General2119148ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total9816614Total
Program Services9768537ProgramServices
Management And General48077ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total102130700Total
Program Services84588945ProgramServices
Management And General17541755ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1535214Total
Program Services1271529ProgramServices
Management And General263685ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19610751Total
Program Services16242450ProgramServices
Management And General3368301ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7292088Total
Program Services6039614ProgramServices
Management And General1252474ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total714614Total
Management And General714614ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total781677Total
Management And General781677ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total55784Total
Management And General55784ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total21219270Total
Program Services10233104ProgramServices
Management And General10986166ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total961536Total
Program Services613039ProgramServices
Management And General348497ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total50899171Total
Program Services47357251ProgramServices
Management And General3541920ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4663393Total
Program Services4275092ProgramServices
Management And General388301ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total14974Total
Program Services14974ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10013684Total
Program Services6519457ProgramServices
Management And General3494227ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total841130Total
Program Services616502ProgramServices
Management And General224628ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total417214Total
Program Services219450ProgramServices
Management And General197764ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2421441Total
Program Services1576491ProgramServices
Management And General844950ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21645830Total
Program Services13582758ProgramServices
Management And General8063072ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2508375Total
Program Services1073029ProgramServices
Management And General1435346ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBT2029416020294160
STATE MEDICAID TAX50740565074056
MISCELLANEOUS EXPENSE26454772032750612727

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total290523928Total
Program Services234240815ProgramServices
Management And General56283113ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8707BOY
EOY9347EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY20245027BOY
EOY7859163EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY39437191BOY
EOY43967363EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3323072BOY
EOY3127753EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4750858BOY
EOY3674503EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis374923477LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec254746674LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY120095270BOY
EOY120176803EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY168524645BOY
EOY182904905EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5638838BOY
EOY6773714EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY362023608BOY
EOY368493551EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY35002654BOY
EOY35013222EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY157437BOY
EOY146195EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY40659393BOY
EOY15147000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY26976845BOY
EOY30818140EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY102796329BOY
EOY81124557EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY220760235BOY
EOY236946363EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY26097630BOY
EOY35813819EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY12369414BOY
EOY14608812EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY259227279BOY
EOY287368994EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY362023608BOY
EOY368493551EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3782643ReconcilationRevenueExpenses
Reconcilation Other Changes31924358ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$23,006DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$32,778OtherActivitiesAmount
Total Lobbying Expenditures IIB55784TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE C, PART II-B, LINE 1ReturnReference
ExplanationA PORTION OF THE MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION 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

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance12369414BeginningOfYearBalance
Investment Earnings Or Losses3817049InvestmentEarningsOrLosses
Grants Or Scholarships504333GrantsOrScholarships
Other Expenditures1073318OtherExpenditures
End Of Year Balance14608812EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance11963360BeginningOfYearBalance
Investment Earnings Or Losses406054InvestmentEarningsOrLosses
End Of Year Balance12369414EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10910741BeginningOfYearBalance
Investment Earnings Or Losses1977035InvestmentEarningsOrLosses
Grants Or Scholarships75407GrantsOrScholarships
Other Expenditures849009OtherExpenditures
End Of Year Balance11963360EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance17589403BeginningOfYearBalance
Investment Earnings Or Losses505233InvestmentEarningsOrLosses
Grants Or Scholarships50010GrantsOrScholarships
Other Expenditures7133885OtherExpenditures
End Of Year Balance10910741EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1337264OtherCostOrOtherBasis
Book Value1337264BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis174787426OtherCostOrOtherBasis
Depreciation101685663Depreciation
Book Value73101763BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2033382OtherCostOrOtherBasis
Depreciation10981Depreciation
Book Value2022401BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis187777569OtherCostOrOtherBasis
Depreciation147358513Depreciation
Book Value40419056BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8987836OtherCostOrOtherBasis
Depreciation5691517Depreciation
Book Value3296319BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings120176803TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASE OBLIGATIONS$14,125,001
MALPRACTICE INSURANCE$6,256,473
PENSION LIABILITY$4,464,806
DEFERRED TRUST$3,767,157
FUTURE RENT PAYMENTS$917,917
RETIREE HEALTH PLAN$736,727
RESERVE FOR A/R NOT ON BOOKS$550,059
DEFERRED ILLINOIS PROVIDER TAX
CAPTIVE INSURANCE
FieldValueIRS element (for citing)
Total Of Amounts30818140TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDSSCHEDULE D, PAGE 2, PART V, LINE 4THE ENDOWMENT FUNDS ARE USED FOR CAPITAL PURCHASES, SCHOLARSHIPS, AND ASSISTING INDIGENT PEOPLE WITH THEIR HOSPITAL BILLS.
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XTHE SYSTEM HAD NO UNCERTAIN POSITIONS IN INCOME TAX LIABILITIES OR EXPENSES.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage6.00000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense12281839TotalCommunityBenefitExpense
Net Community Benefit Expense12281839NetCommunityBenefitExpense
Percent Of Total Expense0.04540PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense29771344TotalCommunityBenefitExpense
Direct Offsetting Revenue10599981DirectOffsettingRevenue
Net Community Benefit Expense19171363NetCommunityBenefitExpense
Percent Of Total Expense0.07090PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense42053183TotalCommunityBenefitExpense
Direct Offsetting Revenue10599981DirectOffsettingRevenue
Net Community Benefit Expense31453202NetCommunityBenefitExpense
Percent Of Total Expense0.11630PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense690322TotalCommunityBenefitExpense
Net Community Benefit Expense690322NetCommunityBenefitExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2076635TotalCommunityBenefitExpense
Net Community Benefit Expense2076635NetCommunityBenefitExpense
Percent Of Total Expense0.00770PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1387738TotalCommunityBenefitExpense
Net Community Benefit Expense1387738NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense20800TotalCommunityBenefitExpense
Net Community Benefit Expense20800NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4175495TotalCommunityBenefitExpense
Net Community Benefit Expense4175495NetCommunityBenefitExpense
Percent Of Total Expense0.01550PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense46228678TotalCommunityBenefitExpense
Direct Offsetting Revenue10599981DirectOffsettingRevenue
Net Community Benefit Expense35628697NetCommunityBenefitExpense
Percent Of Total Expense0.13180PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense500TotalCommunityBuildingExpense
Net Community Building Expense500NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense38000TotalCommunityBuildingExpense
Net Community Building Expense38000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense61280TotalCommunityBuildingExpense
Net Community Building Expense61280NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense99780TotalCommunityBuildingExpense
Net Community Building Expense99780NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$5,956,336BadDebtExpenseAmount
Amount Attributable To162398AmountAttributableTo
Amount Reimbursed By Medicare75441549AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare76183567CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-742018MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1DECATUR DIG DISEASEBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityAMBULATORY ENDOSCOPY CENTERDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.50000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1DECATUR MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12300 N EDWARD STAddressLine1
CityDECATURCity
StateILState
ZIP Code62526ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherACUTE CARE & LONG TERM CAREOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DECATUR MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
OtherXOther
Needs Assessment Conducted10NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
All Needs AddressedtrueAllNeedsAddressed
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent600.0FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities9NumberOfOtherFacilities

Other Facilities OtherFacilities (9 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
DMH MEDICAL GROUP
2300 N EDWARD STDECATURIL62526OUTPATIENT CLINICS
SOUTH SHORES IMAGING CENTER
1689 S FRANKLIN STDECATURIL62521DIAGNOSTIC CENTER
CENTRAL ILLINOIS SURGERY CENTER
304 W HAY SUITE 114DECATURIL62526AMBULATORY SURGERY CENTER
FORSYTH IMAGING CENTER
389 W WEAVER ROADFORSYTHIL62535DIAGNOSTIC CENTER
DECATUR DIGESTIVE DISEASE CENTER
2 MEMORIAL DR PHYS PLAZA WESTDECATURIL62526AMBULATORY ENDOSCOPY CENTERSUITE 102
DMH CORPORATE HEALTH SERVICES
2122 NORTH 27TH STDECATURIL62526OUTPATIENT CLINIC
DMH HOME HEALTH CARE
3122 BRETTWOOD CIRCLEDECATURIL62526HOME HEALTH AGENCY
SPORTS ENHANCEMENT CENTER
2122 NORTH 27TH STDECATURIL62526PHYSICAL THERAPY
DMH HOSPICE
3122 BRETTWOOD CIRCLEDECATURIL62526HOSPICE AGENCY

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER TESTING METHODS FOR FREE OR DISCOUNTED CAREPART I LINE 3CAS 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 INFORMATIONPART I LINE 6ATHE HOSPITAL PREPARES THE ANNUAL COMMUNITY BENEFIT REPORT UNDER ITS OWN NAME
SUBSIDIZED HEALTH SERVICES EXPLANATIONPART I LINE 7GTHE HOSPITAL DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSEPART I LINE 7 COLUMN FBAD DEBT EXPENSE INCLUDED ON FORM 990 BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON LINE 7 COLUMN F IS 20294160
COSTING METHODOLOGY EXPLANATIONPART I LINE 7THE HOSPITAL DERIVED ALL NUMBERS IN LINE 7 FROM THE APPLICABLE IRS WORKSHEETS USING THE RATIO OF PATIENT COSTTOCHARGES
COMMUNITY BUILDING ACTIVITIESPART IIPART VI LINE 5 LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS DMH IS AN AVID SUPPORTER OF DEVELOPING LEADERS IN OUR COMMUNITY FOR EXAMPLE DMH DONATED 500 TO SCOUTREACH THE SCOUTREACH DIVISION OF THE BOY SCOUTS OF AMERICA EMPHASIZES SERVICE TO RURAL AND URBAN AREAS AND TO MINORITY POPULATIONS COMMUNITY HEALTH IMPROVEMENT ADVOCACY DMH DONATED 38000 TO QUALITY QUEST HEALTH OF ILLINOIS INC A NOTFORPROFIT INDEPENDENT SOURCE OF UNBIASED INFORMATION ON LOCAL HEALTHCARE QUALITY QUEST IDENTIFIES BEST PRACTICE CARE STANDARDS CARE THAT IS PROVEN BY SCIENCE TO BE EFFECTIVE BENEFICIAL AND VALUABLE AND THEY MEASURE PERFORMANCE TO DETERMINE HOW LOCAL HEALTHCARE PROVIDERS COMPARE AGAINST STANDARDS OF CARE THE GOAL IS TO IMPROVE THE QUALITY OF CARE IN OUR STATE REDUCE WASTE AND GET THE BEST VALUE FOR THE MONEY SPENT ON HEALTHCARE OTHER DMH SUPPORTS THE LOCAL HOMELESS SHELTER BY PROVIDING 61480 IN FOOD CONTRIBUTIONS OVER THE FISCAL YEAR DMH UNDERSTANDS THAT FEEDING THE HUNGRY SUPPORTS THE HEALTH OF THE INDIVIDUALS SERVED BY THE HOMELESS SHELTER DMH SUPPORTED THE LOCAL MACON COUNTY HEALTH DEPARTMENT BY DONATING AN EXAM TABLE VALUED AT 800
BAD DEBT EXPENSE EXPLANATIONPART III LINE 4FOOTNOTE 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 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 20072011 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 2011 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 FURTHER FOR THIS TAX YEAR THE AMERICAN COMMUNITY 5 YEAR ESTIMATE OF HOUSEHOLDS BELOW 200 FPG DROPPED FROM 157 TO 15 WHICH IS A 446 DECREASE WHILE THE MEDICAID AND CHARITY CARE CHARGES DROPPED ONLY 26 THESE CHANGES SIGNIFICANTLY REDUCED LINE 3 OF PART III FOR THIS TAX YEAR
MEDICARE EXPLANATIONPART III LINE 8THE HOSPITAL USED THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT IN CALCULATING THE AMOUNT ON LINE 6 OF PART III THE HOSPITAL DID RECOGNIZE THE SHORTFALL REPORTED IN PART III LINE 7 IN ITS COMMUNITY BENEFIT REPORT THE SHORTFALL IS INCLUDED IN THE GOVERNMENTSPONSORED PROGRAM SERVICES LINE OF THE COMMUNITY BENEFIT REPORT THE GOVERNMENTSPONSORED PROGRAM SERVICES LINE IS NOT INCLUDED IN SCHEDULE H
COLLECTION PRACTICES EXPLANATIONPART III LINE 9BTHE 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 ASSESSMENTPART VIPART VI LINE 2 NEEDS ASSESSMENT DECATUR MEMORIAL HOSPITAL HAS PROVIDED PERSONNEL TIME AND RESOURCES TO ASSIST IN THE MACON COUNTY HEALTH DEPARTMENT PLANNING PROCESSES INFORMATION DEFINING OUR SPECIFIC HEALTH ISSUES HAS BEEN OBTAINED THROUGH VARIOUS COMMUNITY MEETINGS AND ASSESSMENTS AS WELL AS INPUT FROM OUR PUBLIC AND COMMUNITY BOARD OF DIRECTORS FURTHER INFORMATION IS COLLECTED FROM CENSUS SURVEYS NATIONAL AND LOCAL HEALTH SURVEYS AND VARIOUS REPORTS PUBLISHED THROUGHOUT THE YEAR EMPLOYEES OF THE HOSPITAL VOLUNTEER TIME TO SERVE ON MANY LOCAL HEALTH COMMITTEES AND VOLUNTEER TO PARTICIPATE IN HEALTH FAIRS COMMUNITY HEALTH EVENTS AND OTHER COMMUNITY ORGANIZATIONS INCLUDING LEADERSHIP POSITIONS ON NOTFORPROFIT AND CIVIC BOARDS OF DIRECTORS SUCH AS THE UNITED WAY MACON COUNTY HEALTH DEPARTMENT DECATUR ECONOMIC DEVELOPMENT BOARD CENTRAL ILLINOIS HEALTH INFORMATION EXCHANGE BOARD OBESITY PREVENTION COALITION OF MACON COUNTY COME TOGETHER LETS WALK AND THE AMERICAN CANCER SOCIETY RELAY FOR LIFE FOR THE PAST FIFTEEN YEARS DMH HAS SPONSORED A DAY FOR HEARTS WITH SCREENINGS AND HEART EDUCATION FOR THE COMMUNITY ALL THESE INTERACTIONS CONTRIBUTE TO OUR UNDERSTANDING OF THE VARIOUS HEALTH CARE NEEDS OF OUR COMMUNITY COLON PROSTATE AND BREAST CANCER AWARENESS AND SCREENING PROGRAMS ATTEMPT TO IMPROVE CANCER SCREENING EARLY DIAGNOSIS AND IMPROVED OUTCOMES 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 SPECIALTISTS EVALUATION OF THE PHYSICIAN POPULATION RATIOS IN MACON COUNTY INDICATE THAT DECATUR IS UNDERSERVED IN SEVERAL SPECIALISTS BASED ON THIS INFORMATION DECATUR MEMORIAL HOSPITAL HAS RECRUITED AND CONTINUES TO RECRUIT PRIMARY AND SPECIALIST PHYSICIANS TO THE COMMUNITY COSTS OF RECRUITMENT ARE GENERALLY BORN BY THE HOSPITAL AND AMOUNTED TO SEVERAL HUNDRED THOUSAND DOLLARS LAST YEAR LAST YEAR THE HOSPITAL RECRUITED FIVE PHYSICIANS AND FIVE MIDLEVEL PRACTIONERS TO THE COMMUNITY 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 AREA 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 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 OVER 2500 HOURS OF UNCOMPENSATED TEACHING AND CLINICAL EXPERIENCE TO NURSING STUDENTS IN THE DECATUR NURSING PROGRAMS ADDITIONAL TRAINING PROGRAMS FOR OTHER ALLIED HEALTH 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 PROGRAM THE HEART FAILURE PROGRAM UTILIZIES TELEMONITORING IN ORDER TO TRACK DAILY WEIGHTS BLOOD PRESSURE OXYGEN READINGS OF 7080 HEART FAILURE PATIENTS WITH A GOAL OF IMPROVED CHRONIC DISEASE MANAGEMENT AND REDUCED HOSPITALIZATIONS THE EQUIPMENT IS DELIVERED TO THE HOME AND CLIENTS ARE TRAINED TO TAKE DAILY REDINGS WHICH ARE TRANSMITTED VIA ACCESS POINT TO A SECURE INTERNET WEBSITE A TRAINED NURSE ACCESSES THE WEBSITE DAILY TO EVALUATE EACH CLIENTS READINGS FOR THE DAY A CALL IS MADE IF THERE ARE CHANGES IN THE DATA AND QUESTIONS ASKED ABOUT ASSOCIATED SYMPTOMS IF THERE IS A NEED FOR FURTHER EDUCATION IT IS PROVIDED IN A WAY THAT IS RELEVANT TO THE CLIENTS SITUATION IF IT IS DETERMINED TO BE A SIGN OF RELAPSE A CALL IS MADE TO THE PHYSICIAN FOR FURTHER ACTION A MONTLY SUMMARY OF EACH CLIENTS READINGS AND ACTIVITY IS FAXED TO THE PHYSICIAN AT THE FIRST OF EACH MONTH IN ADDITION TO DAILY MONITORING A QUARTERLY NEWSLETTER IS SENT TO CLIENTS TO PROVIDE FURTHER EDUCATION ABOUT THE CONDITION TREATMENT AND SYMPTOMS OF HEART FAILURE THIS PROGRAM IS PROVIDED TO PATIENTS WITH HEART FAILURE WHO ARE REFERRED BY THEIR PHYSICIAN AT NO COST TO THE PATIENT ANOTHER PART OF THE HEART FAILURE PROGRAM INVOLVES COLLABORATION WITH THE PROJECT BOOST TEAM IN EVALUATION OF INPATIENTS WHO HAVE THE DIAGNOSIS OF HEART FAILURE WHEN APPROPRIATE THE TELEMONITOR IS OFFERED TO THE PATIENT FOR THE PATIENT RETURNING HOME AFTER HOSPITALIZATION WITHOUT HOME HEALTH CARE OR THE TELEMONITOR A PHONE CALL IS MADE TO REINFORCE EDUCATION GIVEN IN THE HOSPITAL AND ENSURE THE PATIENT UNDERSTANDS MEDICATIONS SIGNS AND SYMPTOMS OF EXACERBATION LOW SALT DIET AND FLUID INTAKE AND TO CONFIRM THAT FOLLOW UP APPOINTMENTS ARE MADE 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 MONTHLY SUPPORT GROUPS FOR WEIGHT MANAGEMENT AND BARIATRIC PATIENTS 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 DIABETICS 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 VARIOUS HEALTH FAIRS IN THE COMMUNITY TO SHARE INFORMATION ABOUT DIABETES AND TO GIVE INFORMATION ABOUT OUR 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 A SIXWEEK 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 IMPROVEMENT CENTER CHIC THEIR PRIMARY PATIENT BASE IS THE LOWER SOCIAL ECONOMIC GROUP OF PATIENTS OUR HOSPITALIST SERVICE CARES FOR ALL CHIC PEDIATRIC INPATIENTS AS WELL AS NEWBORNS WITHOUT A PHYSICIAN THE COST OF AMBULANCE AND TAXI FARES ARE PAID BY DMH WHEN SUCH TRANSPORTATION IS REQUIRED FOR THE CARE OF PATIENTS WITHOUT THE MEANS TO PAY FOR SUCH SERVICES ALSO FOR A NOMINAL 10 PER YEAR MEMBERS OF OUR COMMUNITY MAY ACCESS ALL THE SERVICES OF OUR PRIME TIME PROGRAM INCLUDING VAN TRANSPORTATION DUE TO THE HIGH PERCENTAGE OF INDIGENT PATIENTS SEEN IN OUR EMERGENCY ROOM DECATUR MEMORIAL HOSPITAL PROVIDES A SUBSTANTIAL SUBSIDY TO THE EMERGENCY ROOM PHYSICIANS IN ORDER TO ALLOW THEM TO PROVIDE COMPETITIVE SALARIES TO THE PROVIDERS ONCOLOGY SCREENINGS HEALTH FAIRS AND MORE DECATUR MEMORIAL HOSPITAL PARTICIPATES IN A LOCALLY SPONSORED EVENT CALLED COME TOGETHER LETS WALK THIS EVENT WHICH WAS CREATED OUT OF A GRASSROOTS EFFORT BY LOCAL VOLUNTEERS SERVES AS A FUNDRAISER FOR BREAST OVARIAN AND CERVICAL CANCER PATIENTS PROCEEDS FROM THIS EVENT ARE USED TO HELP FINANCE CANCER PREVENTION AND SCREENING PROGRAMS FOR WOMEN IN OUR COMMUNITY DMH CANCER RESEARCH AND DMH WOMENS HEALTH CENTER ALSO RECEIVE SUPPORT FROM THESE FUNDS FOR OUTREACH PROGRAMS THE DMH CANCER CARE INSTITUTE ALONG WITH CARPENTERS LOCAL 742 AND THE MACON COUNTY HEALTH DEPARTMENT SPONSOR A FREE PROSTATE CANCER SCREENING EVENT EVERY YEAR IN SEPTEMBER FOR PROSTATE CANCER AWARENESS MONTH APPROXIMATELY 300 MEN RECEIVE PSA BLOOD TESTING AND DIGITAL RECTAL EXAMS FREE OF CHARGE RESULTS ARE SCREENED AND SENT TO THE PATIENTS PHYSICIAN OF CHOICE THE DMH CANCER CARE INSTITUTE PARTICIPATES IN SEVERAL CORPORATE HEALTH FAIRS DURING THE YEAR WHERE CANCER PREVENTION EDUCATIONAL MATERIALS ARE HANDED OUT THE DMH CANCER CARE INSTITUTE ALSO PROVIDES AWARENESS OF SKIN CANCER USING THE DERMASCAN SCREENING TOOL THIS UNIT ALLOWS PARTICIPANTS TO VI
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VIPART VI LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE DECATUR MEMORIAL HOSPITALS BUSINESS OFFICE HAS FOUR 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 PATIENT FINANCIAL WORKSHEET FORMS AND PAYMENT AGREEMENT 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 THE FINANCIAL COUNSELORS TO DISCUSS PAYMENT PLAN OPTIONS
COMMUNITY INFORMATIONPART VIPART 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 MEDICAID ELIGIBLE PERSONS ARE EXPECTED TO INCREASE BY APPROXIMATELY 6000 WITH THE EXPANDED CRITERIA OF HEALTHCARE REFORM 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 150 AND 209 FOR DECATUR COMPARED TO AN ILLINOIS STATE RATE OF 131
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSEPART VIPART 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 INFORMATIONPART VIPART 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 DMH HEALTH SYSTEMS INC 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 FILEDPART VIILLINOIS
DECATUR MEMORIAL HOSPITAL LINE NUMBER 1 PART V LINE 3PART V LINE 3THE HOSPITAL CONDUCTED A FOCUS GROUP CONSISTING OF 19 PARTICIPANTS REPRESENTING KEY COMMUNITY AGENCIES AND ORGANIZATIONS INCLUDING EMPLOYERS HEALTHCARE WORKERS EDUCATORS CHURCHES AND THE CITY THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE FOCUS GROUP MIKE CASSELL DMH DIRECTOR OF MARKETING TINA CLONEY RD RHD MILLIKIN UNIVERSITY DEBBIE DURBIN RN MACON COUNTY HEALTH DEPARTMENT BEN ESPARAZ MD DMH MEDICAL STAFF LINDA FAHEY RN DMH VP AND CHIEF NURSING EXECUTIVE BILL FRANCISCO DECATUR TRADES AND LABOR LEE HALL PSYD PSYCHOLOGY SPECIALISTS PATRICK HOBAN ECONOMIC DEVELOPMENT COUNCIL RYAN MCCRADY CITY OF DECATUR JULIE MOORE DECATUR CITY COUNCIL MARTIN OPKALIKE MD DMH MEDICAL GROUP DAVID OPPENLANDER DMH SENIOR VP AND CFO DANA RAY MD CHIC CLINIC NICOLE ROPP DMH SIX SIGMA MASTER BLACK BELT DAN SMALLWOOD CARPENTERS LOCAL UNION TIMOTHY STONE DMH EXECUTIVE VP AND COO JULIE TRUEBLOOD DMH ADMINISTRATIVE ASSISTANT OVERSEER THOMAS WALKER DECATUR CHURCHES MICHAEL ZIA MD DMH VP OF QUALITY MEDICAL AFFAIRS
DECATUR MEMORIAL HOSPITAL LINE NUMBER 1 PART V LINE 11HPART V LINE 11HDMH 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 19DPART V LINE 19DDMH 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

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
SIU DECATUR FAMILY PRACTICE CENTER
250 W KENWOODDECATURIL625263760059615011362928GENERAL SUPPORT
QUALITY QUEST HEALTH OF IL
416 MAIN ST SUITE 717PEORIAIL6160226389663150138000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2ReturnReference
ExplanationSOUTHERN 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. QUALITY QUEST HEALTH OF ILLINOIS IS A SEC. 501(C)(3) ORGANIZATION WHICH IDENTIFIES BEST PRACTICE CARE STANDARDS - CARE THAT IS PROVEN BY SCIENCE TO BE EFFECTIVE, BENEFICIAL AND VALUABLE. THEY MEASURE PERFORMANCE TO DETERMINE HOW LOCAL HEALTHCARE PROVIDERS COMPARE AGAINST STANDARDS OF CARE WITH THE GOAL OF IMPROVING THE QUALITY OF CARE IN THE STATE, REDUCE WASTE, AND GET THE BEST VALUE FOR THE MONEY SPENT ON HEALTHCARE. THE GRANT FROM DMH WAS USED FOR GENERAL SUPPORT OF QUALITY QUEST. DMH OFFICER TIM STONE IS ALSO ON THE BOARD OF QUALITY QUEST HEALTH OF ILLINOIS AND RECEIVES MONTHLY FINANCIAL INFORMATION RELATED TO QUALITY QUEST, INCLUDING INFORMATION RELATED TO USE OF GRANT FUNDS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
STEVEN SOBOL MD
9950603954323675121881406355
KENNETH SMITHMIER
717262367512188733125
TIMOTHY D STONE JR
416420367512188432283
MICHAEL ZIA MD
291977367512171307823
LINDA FAHEY
2442283080755248063
STEVEN WEBER MD
9052885202073675121881441358
THOMAS FULBRIGHT MD
832975500036754478846128
JOHN WATERS MD
816460367512188832323
ROBERT KRAUS MD
619633180130367512188815626
MOHAMMED HASNAIN MD
545388212675367512188773926
DAVID OPPENLANDER
2449582452247410

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ADURING THE YEAR, DMH PAID FOR CHARTER TRAVEL IN TWO INSTANCES. IN BOTH INSTANCES, 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) 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.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4DAVID OPPENLANDER 48,077 0 0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF DECATUR MACON COUNTY IL
3760013082010-12-226280000REFUND 1996 ISSUEfalsefalsefalse
CITY OF DECATUR MACON COUNTY IL
3760013082010-12-225000000REFUND 1996 ISSUEfalsefalsefalse
CITY OF DECATUR MACON COUNTY IL
3760013082010-12-224405000REFUND 1996 ISSUEfalsefalsefalse
CITY OF DECATUR MACON COUNTY IL
3760013082010-12-222675000REFUND 1996 ISSUEfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsOther Spent ProceedsOtherSpentProceedsCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
109900062800006280000truefalsetruetrue
87500050000005000000truefalsetruetrue
77087544050004405000truefalsetruetrue
46812526750002675000truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalsefalsetrue
falsefalsefalsefalsefalsefalsetrue
falsefalsefalsefalsefalsefalsetrue
falsefalsefalsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsetruefalsefalsefalsefalse
falsetruefalsefalsefalsefalse
falsetruefalsefalsefalsefalse
falsetruefalsefalsefalsefalse

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE KReturnReference
ExplanationCITY 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 PURPOSEExplanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
HICKORY POINT BANK
SEE PART V10892INTEREST INCOMEfalse
STRIGLOS COMPANIES
SEE PART V231793OFFICE SUPPLIESfalse
CANCER CARE SPECIALISTS OF CENT IL
SEE PART V137047MED SERVICESfalse
CANCER CARE SPECIALISTS OF CENT IL
SEE PART V45480EMR SUPPORT REVfalse
BAKERS DOZEN LLC
SEE PART V479594OFFICE SPACE RENTALfalse
ROY MOSSER
SEE PART V1630584OFFICE SPACE RENTALfalse
HICKORY POINT BANK
SEE PART V761396BANK FEES, INTERESTfalse
JOHN FAHEY MD
SEE PART V204859COMPENSATION/BENEFITfalse
MILLIKIN UNIVERSITY
SEE PART V473978CLINIC & NURSING REVfalse
MILLIKIN UNIVERSITY
SEE PART V36733NURSING EDUCATIONfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE L PART VReturnReference
ExplanationPART IV LINES 1B 7B DIRECTORS KENNETH SMITHMIER AND DAVID SMITH ARE 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 JOHN FAHEY MD IS THE SPOUSE OF DMH OFFICER LINDA FAHEY PART IV LINES 9B 10B DIRECTOR JAMES DAHL IS A DEAN OF MILLIKIN UNIVERSITYExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990FORM 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 DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DEDUCATION 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 AND PROGRAMS, 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 OFFICERSFORM 990, PAGE 6, PART VI, LINE 2KENNETH SMITHMIER ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER DAVID SMITH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER PAULA EISSFELDT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER KENNETH SMITHMIER DIRECTOR DIRECTOR 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 ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID TYROLT RON DRANE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID TYROLT JAMES DAHL DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID SMITH PAULA EISSFELDT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID SMITH KENNETH SMITHMIER DIRECTOR DIRECTOR 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 THOMAS KOWA RON DRANE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JAMES DAHL DAVID TYROLT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP PAULA EISSFELDT KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP PAULA EISSFELDT DAVID SMITH 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 ROBIN KING DAVID TYROLT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JONATHON LOCKE LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN FUNK LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS DMH HEALTH SYSTEMS, INC., AN ILLINOIS NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS BEING DESCRIBED IN SEC. 501 (C)(3), IRC.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AAS THE SOLE CORPORATE MEMBER OF DMH, DMH HEALTH SYSTEMS HAS THE RIGHT TO APPROVE ALL DIRECTORS OF DMH, AND TO REMOVE ANY DIRECTOR SO APPROVED.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHE DMH BOARD OF DIRECTORS GENERALLY OVERSEES AND DIRECTS ALL ACTIVITIES, ASSETS AND OPERATIONS OF DMH, SUBJECT TO THE RIGHTS AND AUTHORITY SPECIFICALLY RESERVED TO DMH HEALTH SYSTEMS, 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 990FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE FORM 990, ALONG WITH AN EXPLANATORY NOTE, IS PROVIDED FOR REVIEW TO THE BOARD VIA AN INTRANET SITE PRIOR TO FILING. ALSO, THE FORM 990 IS REVIEWED AND DISCUSSED AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CANNUALLY, 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 OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS OF DMH HEALTH SYSTEMS (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 OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BSEE RESPONSE TO FORM 990, PART VI.B, LINE 15A ABOVE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL INFORMATION OF DMH ARE AVAILABLE TO THE PUBLIC UPON SPECIFIC REQUEST TO DMH ADMINISTRATION.
ADDITIONAL INFORMATIONFORM 990, PART VIIGARY PEACOCK (SENIOR VP AND CFO) RETIRED IN JANUARY 2010. IN SEPTEMBER 2011 MR. PEACOCK WAS REHIRED AS INTERIM SENIOR VP & CFO UNDER A THREE MONTH AGREEMENT BEGINNING IN OCTOBER THAT PAID 27,248 A MONTH. THE CONTRACT ALSO AGREED TO PAY FOR MR. PEACOCK'S COMMUTE TO AND FROM GEORGETOWN, TEXAS; LODGING WHILE STAYING IN DECATUR; AND USE OF A RENTAL CAR. DMH PAID 14,628 OVER THE CONTRACT PERIOD FOR MR. PEACOCK'S EXPENSES. MR. PEACOCK HANDLED ALL CFO DUTIES AND WAS CHARGED WITH THE RESPONSIBILITY OF ASSISTING WITH FINDING A NEW CFO. IN OCTOBER 2011 MR. PEACOCK WAS HIRED AS THE PERMANENT CFO. DMH PAID 14,009 TO MOVE MR. PEACOCK TO DECATUR. MR. PEACOCK RETIRED IN SEPTEMBER 2012. IN MARCH 2012 JOHN RIDLEY WAS PROMOTED TO VICE PRESIDENT FOR PROFESSIONAL SERVICES. DMH PAID 9,216 TO MOVE JOHN AND HIS FAMILY TO DECATUR.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5OTHER CHANGES IN NET ASSETS CONSIST OF THE FOLLOWING: BOOK/TAX DIFFERENCES IN INCOME FROM PARTNERSHIPS (INCREASE 600,607); BOOK/TAX DIFFERENCES IN INCOME BETWEEN GAAP AND THE 990 (INCREASE 283,000); CHANGE IN MINIMUM PENSION LIABILITY (DECREASE 1,321,082); TRANSFER OF CAPITAL FROM AFFILIATES (INCREASE 6,719,777); CHANGE IN VALUE OF FUNDS HELD IN TRUST (INCREASE 10,602,170); AND UNREALIZED GAINS ON INVESTMENTS (15,039,886). THE NET RESULT OF ALL THESE OTHER CHANGES IN NET ASSETS IS AN INCREASE OF 31,924,358.
ADDITIONAL INFORMATIONFORM 990, PART XIIDECATUR MEMORIAL HOSPITAL WAS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF DMH HEALTH SYSTEMS AND AFFILIATED ORGANIZATIONS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
DMH HEALTH SYSTEMS
2300 N EDWARD STDECATURIL625264163371169606SUPP. DMHIL501C311ANAfalse
DECATUR MEMORIAL FOUNDATION
2300 N EDWARD STDECATURIL625264163371169605SUPP. DMHIL501C311ANAfalse
HEARTLAND RISK MANAGEMENT
2300 N EDWARD STDECATURIL625264163454256254SUPP. DMHAZ501C311ANAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1DECATUR DIGESTIVE DISEASE CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12 MEMORIAL DRIVEAddressLine1
Address Line2SUITE 102AddressLine2
CityDECATURCity
StateILState
ZIP Code62526ZIPCode
FieldValueIRS element (for citing)
EIN161678954EIN
Primary ActivityENDOSCOPYPrimaryActivity
Legal Domicile StateILLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income240076ShareOfTotalIncome
Share Of EOY Assets194318ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.50000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1DMH WORLDWIDE LTDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12300 N EDWARD STAddressLine1
CityDECATURCity
StateILState
ZIP Code62526ZIPCode
FieldValueIRS element (for citing)
EIN271901157EIN
Primary ActivityCONSULTINGPrimaryActivity
Legal Domicile StateILLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (18 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
DECATUR MEMORIAL FOUNDATION
C7925890CASH TRANSFER
HEARTLAND RISK MANAGEMENT
B600000CASH TRANSFER
DECATUR MEMORIAL FOUNDATION
J1442806CASH PAYMENT
DECATUR MEMORIAL FOUNDATION
N158427CASH PAYMENT
DECATUR DIGESTIVE DISEASE CENTER
N473646CASH PAYMENT
DMH WORLDWIDE LTD
P303405CASH PAYMENT
DECATUR MEMORIAL FOUNDATION
P104276CASH PAYMENT
DECATUR DIGESTIVE DISEASE CTR LLC
R315000CASH TRANSFER
HEARTLAND RISK MANAGEMENT
L1633314CASH PAYMENT
DECATUR MEMORIAL FOUNDATION
C7925890CASH TRANSFER
HEARTLAND RISK MANAGEMENT
B600000CASH TRANSFER
DECATUR MEMORIAL FOUNDATION
J1442806CASH PAYMENT
DECATUR MEMORIAL FOUNDATION
N158427CASH PAYMENT
DECATUR DIGESTIVE DISEASE CENTER
N473646CASH PAYMENT
DMH WORLDWIDE LTD
P303405CASH PAYMENT
DECATUR MEMORIAL FOUNDATION
P104276CASH PAYMENT
DECATUR DIGESTIVE DISEASE CTR LLC
R315000CASH TRANSFER
HEARTLAND RISK MANAGEMENT
L1633314CASH PAYMENT

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