METHODIST MEDICAL CENTER OF ILLINOIS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
METHODIST MEDICAL CENTER OF ILLINOIS (EIN 37-0661223)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201213199349300221
Schema version
2011v1.2
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)
Timestamp2012-11-14T07:35:24-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN370661223EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1METHODIST MEDICAL CENTER OF ILLINOISBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMETHNameControl
Phone3096725914Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1221 NE GLEN OAK AVEAddressLine1
CityPEORIACity
StateILState
ZIP Code616360002ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT A QUINName
TitleVP FINANCE/CFOTitle
Phone3096724893Phone
Date Signed2012-10-16DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDEBBIE SIMONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1221 NE GLEN OAK AVEAddressLine1
CityPEORIACity
StateILState
ZIP Code616360002ZIPCode
FieldValueIRS element (for citing)
Gross Receipts427948799GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MYMETHODIST.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1898YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionWE ARE COMMITTED TO DELIVERING OUTSTANDING HEALTHCARE. PERIOD.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees3595TotalNbrEmployees
Total Nbr Volunteers240TotalNbrVolunteers
Total Gross UBI4085867TotalGrossUBI
Net Unrelated Business Txbl Income648476NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1441759ContributionsGrantsPriorYear
Contributions Grants Current Year1115092ContributionsGrantsCurrentYear
Program Service Revenue Prior Year362131206ProgramServiceRevenuePriorYear
Program Service Revenue CY374216858ProgramServiceRevenueCY
Investment Income Prior Year-6957243InvestmentIncomePriorYear
Investment Income Current Year6073820InvestmentIncomeCurrentYear
Other Revenue Prior Year3167780OtherRevenuePriorYear
Other Revenue Current Year7444979OtherRevenueCurrentYear
Total Revenue Prior Year359783502TotalRevenuePriorYear
Total Revenue Current Year388850749TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year650000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1229963GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year168178915SalariesEtcPriorYear
Salaries Etc Current Year178149213SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year185980469OtherExpensePriorYear
Other Expenses Current Year205135403OtherExpensesCurrentYear
Total Expenses Prior Year354809384TotalExpensesPriorYear
Total Expenses Current Year384514579TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4974118RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4336170RevenuesLessExpensesCY
Total Assets BOY463563224TotalAssetsBOY
Total Assets EOY433984380TotalAssetsEOY
Total Liabilities BOY293639417TotalLiabilitiesBOY
Total Liabilities EOY314870159TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY169923807NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY119114221NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE ARE COMMITTED TO DELIVERING OUTSTANDING HEALTHCARE. PERIOD.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense355214966Expense
Grants1229963Grants
Revenue381661837Revenue
DescriptionPLEASE SEE COMMUNITY BENEFIT STATEMENT IN SCHEDULE O.Description
Total Program Service Expense355214966TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3595NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TONY MOOREBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3096725914TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1221 NORTHEAST GLEN OAK AVEAddressLine1
CityPEORIACity
StateILState
ZIP Code61636ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BRUCE ALKIRE
DIRECTOR1.00X000
W MICHAEL BRYANT TO 072011
DIRECTOR/PRESIDENT & CEO40.00X5470730139174X
BRIAN COHEN MD
DIRECTOR1.00X419193058001
JOHN ERWIN PHD
DIRECTOR1.00X000
PETER JOHNSEN PHD FR 062011
DIRECTOR1.00X000
ALEXIS KHAZZAM
BOARD CHAIR1.00X000X
KEITH KNEPP MD FR 062011
DIRECTOR1.00X245390014665
THOMAS MULVEY MD TO 052011
DIRECTOR1.00X000
MARK PETERSEN TO 052011
DIRECTOR1.00X000
SCOTT REID DO
DIRECTOR1.00X000
DEBORAH SIMON FR 072011
DIRECTOR/PRESIDENT & CEO40.00X4341490146051X
DEVENDRA TRIVEDI MD
BOARD VICE CHAIR1.00X036880X
CALVIN MACKAY TO 072011
SECRETARY/TREASURER/CFO40.00511771078421X
ROBERT QUIN FR 072011
SECRETARY/TREASURER/CFO40.00254512049330X
RICK ANDERSON
SENIOR VP MEDICAL AFFAIRS40.00372503082040X
ERICK LAINE
SENIOR VP40.00311128039284X
ALEXANDER ADLER
PHYSICIAN40.00663591043324X
CHARLES EGLEY
PHYSICIAN40.00647268045707X
KISHORE KARAMCHANDANI
PHYSICIAN40.00621802011094X
JOEL KUPFER
PHYSICIAN40.00672313016576X
DWAYNE MCQUITTY
PHYSICIAN40.00930722020600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6631415TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3688TotalReportableCompFrmRltdOrgs
Total Other Compensation744267TotalOtherCompensation
Number Individuals GT100 K234NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
METHODIST PHYSICIAN SERVICES
PO BOX 87PEORIAIL61650CONTRACT EMPLOYEES11908671
MCKESSON TECHNOLOGIES INC
PO BOX 98347CHICAGOIL606938347IT SUPPLIER5323936
PROFESSIONAL THERAPY SERVICES INC
2810 FRANK SCOTT PRKWAY WEST SUITEBELLEVILLEIL62223PHYSICAL THERAPY3426483
PHILIPS MEDICAL SYSTEMS
PO BOX 100355ATLANTAGA303840355MAINTENANCE CONTRACT2817296
U OF I COLLEGE OF MEDICINE AT PEORIA
PO BOX 4196SPRINGFIELDIL62708PHYSICIAN SERVICES2432051
FieldValueIRS element (for citing)
Number Of Contractors GT100 K33NumberOfContractorsGT100K
Related Organizations639574RelatedOrganizations
Government Grants92085GovernmentGrants
All Other Contributions383433AllOtherContributions
Total Contributions1115092TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE621990244348434244348434
LABORATORY SERVICES6215101138982351111841102714125
EDUCATION REVENUE90009977837257783725
SUBS & JOINT VENTURES9000993727096369518631910
MANAGEMENT, IT AND SUP56100016232811623281

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column2836087TotalRevenueColumn
Related Or Exempt Function Income1472521RelatedOrExemptFunctionIncome
Unrelated Business Revenue916659UnrelatedBusinessRevenue
Exclusion$446,907ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue374216858TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5053194TotalRevenueColumn
Exclusion$5,053,194ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities40020757Securities
Other59300Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities38985343Securities
Other74088Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1035414Securities
Other-14788Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1020626TotalRevenueColumn
Exclusion$1,020,626ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory42284GrossSalesOfInventory
Cost Of Goods Sold38619CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3665TotalRevenueColumn
Related Or Exempt Function Income3665RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
FMV PURCHASE ACCOUNTIN90000139999113999911
MISCELLANEOUS REVENUE90009916967651577217119548
CAFETERIA722210984382984382

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column760256TotalRevenueColumn
Related Or Exempt Function Income456631RelatedOrExemptFunctionIncome
Unrelated Business Revenue303625UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue7441314TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column388850749TotalRevenueColumn
Related Or Exempt Function Income377129063RelatedOrExemptFunctionIncome
Unrelated Business Revenue4085867UnrelatedBusinessRevenue
Exclusion$6,520,727ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1229963Total
Program Services1229963ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2693889Total
Management And General2693889ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total1393634Total
Management And General1393634ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total134655500Total
Program Services126102128ProgramServices
Management And General8553372ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8740086Total
Program Services8184912ProgramServices
Management And General555174ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total21823758Total
Program Services20437503ProgramServices
Management And General1386255ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8842346Total
Program Services8280676ProgramServices
Management And General561670ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total776819Total
Management And General776819ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total210788Total
Management And General210788ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total71880Total
Management And General71880ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total326715Total
Management And General326715ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total53274343Total
Program Services46455918ProgramServices
Management And General6818425ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1503453Total
Program Services153666ProgramServices
Management And General1349787ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total34976304Total
Program Services34011267ProgramServices
Management And General965037ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4291272Total
Program Services2972365ProgramServices
Management And General1318907ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total11448215Total
Program Services11075091ProgramServices
Management And General373124ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total791744Total
Program Services504322ProgramServices
Management And General287422ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3331714Total
Program Services3331714ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total22559277Total
Program Services21924078ProgramServices
Management And General635199ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total9225980Total
Program Services9225980ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
INCOME TAXES896817896817
BAD DEBT EXPENSE2334051523340515
MEDICAL SUPPLIES1945683419456834
MEDICAID PROVIDER ASSES93145639314563

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9338170Total
Program Services9213471ProgramServices
Management And General124699ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total384514579Total
Program Services355214966ProgramServices
Management And General29299613ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY42770819BOY
EOY17420123EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY47489944BOY
EOY56662570EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1257735BOY
EOY9570726EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2926623BOY
EOY3166168EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6949638BOY
EOY7010411EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis177508730LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5364992LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY181458105BOY
EOY172143738EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY148528088BOY
EOY130444371EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY23626158BOY
EOY29068326EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1681997BOY
EOY1500750EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6874117BOY
EOY6997197EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY463563224BOY
EOY433984380EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY32604005BOY
EOY33398819EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY14327262BOY
EOY13427931EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY54400640BOY
EOY109180000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY49565003BOY
EOY896645EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY25666897BOY
EOY27934212EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY117075610BOY
EOY130032552EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY293639417BOY
EOY314870159EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY156493661BOY
EOY106203404EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9523186BOY
EOY8990848EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3906960BOY
EOY3919969EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY169923807BOY
EOY119114221EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY463563224BOY
EOY433984380EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4336170ReconcilationRevenueExpenses
Reconcilation Other Changes-55145756ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

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)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$71,880OtherActivitiesAmount
Total Lobbying Expenditures IIB71880TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationFEES PAID FOR LOBBYING FOR HOSPITAL RELATED ISSUES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance13430146BeginningOfYearBalance
Contributions875797Contributions
Investment Earnings Or Losses-485319InvestmentEarningsOrLosses
Grants Or Scholarships887357GrantsOrScholarships
Other Expenditures22449OtherExpenditures
End Of Year Balance12910818EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance12893992BeginningOfYearBalance
Contributions907320Contributions
Investment Earnings Or Losses1009081InvestmentEarningsOrLosses
Grants Or Scholarships1380247GrantsOrScholarships
End Of Year Balance13430146EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11526661BeginningOfYearBalance
Contributions887757Contributions
Investment Earnings Or Losses1625606InvestmentEarningsOrLosses
Grants Or Scholarships1146032GrantsOrScholarships
End Of Year Balance12893992EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15826355BeginningOfYearBalance
Contributions1478221Contributions
Investment Earnings Or Losses-4720647InvestmentEarningsOrLosses
Grants Or Scholarships1057268GrantsOrScholarships
End Of Year Balance11526661EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.30360PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.69640TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1458352OtherCostOrOtherBasis
Book Value1458352BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis106019629OtherCostOrOtherBasis
Depreciation1410217Depreciation
Book Value104609412BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis745530OtherCostOrOtherBasis
Depreciation19016Depreciation
Book Value726514BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis54909768OtherCostOrOtherBasis
Depreciation3021610Depreciation
Book Value51888158BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14375451OtherCostOrOtherBasis
Depreciation914149Depreciation
Book Value13461302BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings172143738TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (7 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
METHODIST MEDICAL CENTER FOUNDATION15774707F
AMERICAN HEALTHCARE SYSTEM1226000F
CENTRAL ILLINOIS WORK INJURY RESOURCE650396F
GREATER PEORIA SPECIALTY HOSPITAL3974796F
CENTRAL ILLINOIS ENDOSCOPY CENTER3699454F
CENTRAL ILLINOIS CANCER CARE CENTER2347764F
REHABILITATION THERAPY SERVICES1395209F
FieldValueIRS element (for citing)
Total Of Book Value Program Related29068326TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$137,774
SELF-INSURANCE RESERVE$18,967,790
LONG-TERM RETENTION INCENTIVES$3,240,781
ASBESTOS REMOVAL LIABILITY$1,023,680
DEFINED BENEFIT RETIREMENT PLAN LIA$106,662,527
FieldValueIRS element (for citing)
Total Of Amounts130032552TotalOfAmounts
Total Revenue388850749TotalRevenue
Total Expenses384514579TotalExpenses
Excess Or Deficit For Year4336170ExcessOrDeficitForYear
Net Unrealized GL On Investments-8519067NetUnrealizedGLOnInvestments
Other-$46,626,689OtherAmount
Total Adjustments-55145756TotalAdjustments
Excess Or Deficit Per FS-50809586ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE PERMANENT ENDOWMENTS ARE MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME, WITH THE STIPULATION THAT THE PRINCIPAL BALANCE MUST BE INVESTED AND KEPT INTACT IN PERPETUITY, WHILE ONLY THE INCOME GENERATED CAN BE USED BY THE ORGANIZATION. THE TEMPORARY ENDOWMENTS ARE MAINTAINED TO PROVIDE A SOURCE OF INCOME FOR EITHER A SPECIFIC PERIOD OF TIME OR UNTIL A SPECIFIC EVENT OCCURS. THE MAJORITY OF METHODIST'S ENDOWMENTS HAVE DESIGNATIONS FOR USE FOR HOSPICE, MEDICAL EQUIPMENT AND PEDIATRIC CARE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:IOWA HEALTH SYSTEM AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 501(C)(2) OF THE INTERNAL REVENUE CODE (THE CODE). TAX-EXEMPT ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME AS DESCRIBED UNDER PROVISIONS OF SECTION 511 OF THE CODE. THE HEALTH SYSTEM FILES FORM 990 FOR SUBSTANTIALLY ALL OF ITS OPERATING ENTITIES IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE YEARS BEFORE 2008. THE HEALTH SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. CERTAIN SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. SOME OF THESE CORPORATIONS HAVE ACCUMULATED NET OPERATING LOSS CARRYFORWARDS THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME DURING THE CARRYFORWARD PERIOD. NO INCOME TAX BENEFIT HAS BEEN RECOGNIZED FOR THE NET OPERATING LOSS CARRYFORWARDS OR OTHER POTENTIAL DEFERRED TAX ASSETS IN THE CONSOLIDATED FINANCIAL STATEMENTS BECAUSE THE HEALTH SYSTEM BELIEVES REALIZATION OF THESE BENEFITS IS UNLIKELY.
PART XI, LINE 8 - OTHER ADJUSTMENTS:PENSION FUNDING LIABILITY -29,545,070. FOUNDATION INVESTMENT 59,699. CHANGE IN BARKER TRUST -654,840. FUND BALANCE TRANSFERS -16,486,478. TOTAL TO SCHEDULE D, PART XI, LINE 8: -46,626,689.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA/CARIBBEANRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConducted
Total Expenditures19452963TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent19452963SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent19452963TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7179784TotalCommunityBenefitExpense
Net Community Benefit Expense7179784NetCommunityBenefitExpense
Percent Of Total Expense0.01990PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense59582618TotalCommunityBenefitExpense
Direct Offsetting Revenue41837179DirectOffsettingRevenue
Net Community Benefit Expense17745439NetCommunityBenefitExpense
Percent Of Total Expense0.04910PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense66762402TotalCommunityBenefitExpense
Direct Offsetting Revenue41837179DirectOffsettingRevenue
Net Community Benefit Expense24925223NetCommunityBenefitExpense
Percent Of Total Expense0.06900PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4211263TotalCommunityBenefitExpense
Direct Offsetting Revenue2327415DirectOffsettingRevenue
Net Community Benefit Expense1883848NetCommunityBenefitExpense
Percent Of Total Expense0.00520PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense5317227TotalCommunityBenefitExpense
Direct Offsetting Revenue4338503DirectOffsettingRevenue
Net Community Benefit Expense978724NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense9406160TotalCommunityBenefitExpense
Direct Offsetting Revenue7536712DirectOffsettingRevenue
Net Community Benefit Expense1869448NetCommunityBenefitExpense
Percent Of Total Expense0.00520PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1711021TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1711021NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense20645671TotalCommunityBenefitExpense
Direct Offsetting Revenue14202630DirectOffsettingRevenue
Net Community Benefit Expense6443041NetCommunityBenefitExpense
Percent Of Total Expense0.01780PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense87408073TotalCommunityBenefitExpense
Direct Offsetting Revenue56039809DirectOffsettingRevenue
Net Community Benefit Expense31368264NetCommunityBenefitExpense
Percent Of Total Expense0.08680PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense152000TotalCommunityBuildingExpense
Net Community Building Expense152000NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense50000TotalCommunityBuildingExpense
Net Community Building Expense50000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense277125TotalCommunityBuildingExpense
Net Community Building Expense277125NetCommunityBuildingExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense10000TotalCommunityBuildingExpense
Net Community Building Expense10000NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense489125TotalCommunityBuildingExpense
Net Community Building Expense489125NetCommunityBuildingExpense
Percent Of Total Expense0.00130PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$3,499,315BadDebtExpenseAmount
Amount Attributable To8748287AmountAttributableTo
Amount Reimbursed By Medicare80065047AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare109143528CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-29078481MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalResearch FacilityResearchFacilityEr24 HoursEr24HoursOtherOther
METHODIST MEDICAL CENTER OF ILLINOIS
1221 NE GLEN OAK AVENUEPEORIAIL61636XXXX
GREATER PEORIA SPECIALTY HOSPITAL
2500 W ROMEO B GARRETT AVEPEORIAIL61605XLONG TERM ACUTE CARE

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAttached To InvoicesAttachedToInvoicesAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentPermit Report To Credit AgencyPermitReportToCreditAgencyPermit LawsuitPermitLawsuitPermit Lien On ResidencePermitLienOnResidencePermit Other ActionsPermitOtherActionsCollection ActivitiesCollectionActivitiesReport To Credit AgencyReportToCreditAgencyLawsuitLawsuitLien On ResidenceLienOnResidenceNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyLowest Negotiated RatesLowestNegotiatedRatesUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesOther ReasonOtherReason
METHODIST MEDICAL CENTER OF ILLINOIS
111200.0000000000001200.0000000000001XXX11XXX1XXXX1XXXXXXX1XX01
GREATER PEORIA SPECIALTY HOSPITAL
211200.0000000000001200.0000000000001XXX11XXX1XXXX1XXXXXXX0X01X

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities29NumberOfOtherFacilities

Other Facilities OtherFacilities (29 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
METHODIST EAST CAMPUS
415 ST MARKS COURTPEORIAIL61603COLLGE OF NURSING; DAYCARE; ADMINISTRATION
METHODIST PHYSICIANS MEDICAL PLAZA
214 NE GLEN OAK AVEPEORIAIL61636PHYSICIAN OFFICES; SLEEP LAB
METHODIST HEART LUNG AND VASCULAR INST
112 CRESCENT AVEPEORIAIL61603PHYSICIAN OFFICES; MEDICAL IMAGING; CARDIOLOGY
METHODIST ATRIUM
900 MAIN STREETPEORIAIL61602PHYSICIAN OFFICES; REHABILITATION
METHODIST FAMILY MEDICAL CENTER
815 MAIN STREETPEORIAIL61602PHYSICIAN OFFICES
MMG AT FARMINGTON
158 E FULTON AVENUEFARMINGTONIL61531PHYSICIAN OFFICES
METHODIST CENTER FOR INTEGRATIVE MED
9101 N ALLEN ROADPEORIAIL61615PHYSICIAN OFFICES
MMG AT CHILLICOTHE
525 SWEETBRIARCHILLICOTHEIL61523PHYSICIAN OFFICES; REHABILITATION
MMG AT METAMORA
901 W WALNUTMETAMORAIL61548PHYSICIAN OFFICES
MMG AT PRINCEVILLE
223 EAST MAIN STREETPRINCEVILLEIL61559PHYSICIAN OFFICES
METHODIST NORTH
2338 WEST SUDS PKWYPEORIAIL61615PHYSICIAN OFFICES; REHABILITATION; MEDICAL IMAGING; CARDIOLOGY
MMG AT CANTON
2076 N MAIN STREETCANTONIL61520PHYSICIAN OFFICES
MMG AT LACON
1112 E FIFTH STREETLACONIL61540PHYSICIAN OFFICES
MMG AT MT HAWLEY - FAMILY MEDICINE
7725 N KNOXVILLE AVEPEORIAIL61614PHYSICIAN OFFICES
MMG AT EAST PEORIA
200 RIVER ROADEAST PEORIAIL61611PHYSICIAN OFFICES
MMG AT KNOXVILLE
2709 N KNOXVILLE AVEPEORIAIL61604PHYSICIAN OFFICES
METHODIST GLEN OAK MEDICAL CENTER
120 NE GLEN OAK AVEPEORIAIL61602ADMINISTRATION
MMG AT STERLING
3335 N STERLING AVEPEORIAIL61615PHYSICIAN OFFICES
METHODIST MEDPOINTE AT PEORIA
8914 N KNOXVILLE AVEPEORIAIL61615PHYSICIAN OFFICES
METHODIST AT MORTON
1909 N MORTON AVEMORTONIL61550PHYSICIAN OFFICES; REHABILITATION
METHODIST AT PEKIN
1800 BROADWAYPEKINIL61554PHYSICIAN OFFICES
MMG AT PEARTREE
6831 N PEAR TREE LANEPEORIAIL61615PHYSICIAN OFFICES
MMG ON SOUTH JEFFERSON
2127 SE JEFFERSONPEORIAIL61605PHYSICIAN OFFICES
MMG CARDIOLOGY
765 KELLOGG STREETGALESBURGIL61401PHYSICIAN OFFICES
CENTRAL ILLINOIS CANCER CARE CENTER
7309 N KNOXVILLE AVEPEORIAIL61614OUTPATIENT RADIATION THERAPY
CENTRAL ILLINOIS ENDOSCOPY CENTER
1001 MAIN ST SUITE 500BPEORIAIL61606OCCUPATIONAL ENDOSCOPY SERVICES
ILLINOIS WORK INJURY RESOURCE CENTER
736 SW WASHINGTON ST SUITE 2PEORIAIL61602OCCUPATIONAL MEDICINE
MMG AT WASHINGTON
205 CUMMINGS LANEWASHINGTONIL61571PHYSICIAN OFFICES; REHABILITATION
REHABILITATION THERAPY SERVICES
2988 COURT STREETPEKINIL61554REHABILITATION

Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 6A: THE HOSPITALS'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM COMMUNITY BENEFIT REPORT WHICH CAN BE LOCATED AT WWW.IHS.ORG. THIS SYSTEM-WIDE REPORT IS COMPLETED IN ADDITION TO THE COMMUNITY BENEFIT REPORT FOR THE HOSPITAL AND ITS REGIONAL AFFILIATES. METHODIST PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT TO THE STATE OF ILLINOIS. IT IS MADE AVAILABLE ON METHODIST'S WEBSITE.
PART I, LINE 7: A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS WAS USED TO CALCULATE THE AMOUNT IN LINES 7A-7C. THE AMOUNTS FOR LINES 7E, 7F, 7G AND 7I ARE DERIVED FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED IN PART BY A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS WHILE OTHERS THAT ROLL UP FOR THIS CALCULATION ARE DERVIED FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST.
PART I, LINE 7G: METHODIST SUBSIDIZES SEVERAL PEDIATRIC HEALTH SERVICES INCLUDING PEDIATRIC GASTROENTEROLOGY ALONG WITH CHILD AND ADOLESCENT PSYCHIATRY INPATIENT HEALTH SERVICES AT THE MEDICAL CENTER. THE MEDICAL CENTER ALSO SUBSIDIZED HOSPICE AND REHABILITATION SERVICES IN 2011.
PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $23,340,515.
PART II: COMMUNITY BUILDING ACTIVITIES ARE ESSENTIAL ROLES FOR HEALTH-CARE ORGANIZATIONS IN THAT THEY ADDRESS MANY OF THE UNDERLYING DETERMINANTS OF HEALTH. RESEARCH HAS CONTINUALLY SHOWN THAT WHEN THE FACTORS INFLUENCING HEALTH ARE EXPLORED, HEALTH CARE ACTUALLY PLAYS THE SMALLEST ROLE PROPORTIONATELY. A REPORT IN THE JOURNAL OF AMERICAN MEDICAL ASSOCIATION AND THE CENTER FOR DISEASE CONTROL (MCGINNIS, 1996) SUGGESTS THAT THE FACTORS IMPACTING HEALTH ARE AS FOLLOWS: LIFESTYLE AND BEHAVIORS, 50%, ENVIRONMENT (HUMAN AND NATURAL), 20%, GENETICS AND HUMAN BIOLOGY, 20%, AND HEALTH CARE, 10%. COMMUNITY BUILDING ACTIVITIES HELP TO ADDRESS THE OTHER INDICATORS OUTSIDE OF THE ROLE TRADITIONALLY PLAYED BY HEALTH-CARE ORGANIZATIONS. THESE ACTIVITIES ARE ALMOST EXCLUSIVELY DONE IN SOME FORM OF PARTNERSHIP IN WHICH THE COMMUNITY OR OTHER ORGANIZATIONS ARE BETTER SUITED TO ADDRESS. HEALTH-CARE ORGANIZATIONS GENERALLY PROVIDE TIMELY AND SPECIFIC RESOURCES TO HELP THESE ISSUES. HEALTH-CARE ORGANIZATIONS CAN BE A RICH AND VALUABLE COMMUNITY RESOURCE IN WAYS NOT TYPICALLY CONSIDERED. OFTEN THE MOST EFFECTIVE WAY TO HELP IMPACT AND IMPROVE THE COMMUNITY HEALTH STATUS IS TO SUPPORT OTHER AGENCIES AND ORGANIZATIONS IN A VARIETY OF WAYS OUTSIDE OF HEALTH SERVICES. THIS IS OFTEN DONE THROUGH CASH OR IN-KIND SERVICES TO SUPPORT OTHER NON-PROFITS, DONATIONS OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO CERTAIN AGENCIES, OR THROUGH LEADERSHIP AND EDUCATIONAL EXPERTISE. METHODIST CONTRIBUTES TO MANY AREA COMMUNITY BUILDING ACTIVITIES IN CENTRAL ILLINOIS. THESE ORGANIZATIONS HELP BUILD ACTIVITIES IN THE AREAS OF ECONOMIC AND HEALTHCARE IMPROVEMENT. THESE TYPES OF ACTIVITIES SPEAK TO THE BREADTH AND CAPACITY THAT THE HOSPITAL HAS IN IMPACTING THE HEALTH STATUS OF THE COMMUNITY IN A COMPREHENSIVE AND INTENTIONAL APPROACH.
PART III, LINE 4: THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.
PART III, LINE 8: METHODIST IS PAID BELOW LEVELS THAT FULLY COMPENSATE IT FOR THE UNDERLYING COSTS OF CARE TO MEDICARE BENEFICIARIES. METHODIST TREATS ITS MEDICARE SHORTFALL AS A COMMUNITY BENEFIT DUE TO THE LARGE POPULATION OF SENIORS THE HOSPITAL SERVES. THE POPULATION AT AGE 65 OR ABOVE IS MUCH HIGHER FOR METHODIST'S SERVICE AREA COMPARED TO THE REST OF ILLINOIS. THE MEDICARE SHORTFALL IS CALCULATED USING A COST ACCOUNTING SYSTEM.
PART III, LINE 9B: AFTER THE PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS PARTIALLY OR ENTIRELY WRITTEN OFF, AS APPROPRIATE. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY.IT IS THE POLICY OF METHODIST MEDICAL CENTER TO WRITE OFF ACCOUNTS AS BAD DEBT/ UNCOLLECTIBLE WHEN CRITERIA FOR FINANCIAL/CHARITY ASSISTANCE IS NOT MET. METHODIST REVIEWS PATIENT BALANCES AT A NUMBER OF DIFFERENT CHECK POINTS IN THE COLLECTION PROCESS. INITIAL REVIEWS CAN OCCUR DURING THE REGISTRATION PROCESS AND OR AT THE POINT OF ADMISSION. THE FINANCIAL COUNSELOR IS AVAILABLE TO ASSIST PATIENTS WITH FINANCIAL QUESTIONS AT THE POINT OF REGISTRATION. SUBSEQUENT REVIEWS OF PATIENT BALANCES OCCUR DURING THE BACK END COLLECTION PROCESS THROUGH INTERNAL LETTER CAMPAIGNS, ASSIGNMENT TO A PRE-COLLECT AGENCY AND THEN FINALLY THROUGH INTERNAL CREDIT SCORING MECHANISMS. OUR WEBSITE ALSO HAS DETAILED INFORMATION ON OUR BILLING POLICIES AS WELL.ONCE A PATIENT IS IN THE FINANCIAL/CHARITY ASSISTANCE PROCESS, ALL COLLECTION ACTIVITY IS PLACED ON HOLD WHILE THE REVIEW PROCESS TAKES PLACE. THE PATIENT THEN RECEIVES A WRITTEN STATEMENT ONCE FINAL DETERMINATION IS REACHED. HOWEVER, IF AN INDIVIDUAL HAS CHOSEN NOT TO HONOR THEIR FINANCIAL OBLIGATION FOR RENDERED SERVICES, THOSE ACCOUNTS ARE PLACED WITH A PROFESSIONAL COLLECTION RECOVERY SERVICE.
PART V, SECTION B, LINE 9: LESS THAN 200% OF FPG (UNLESS THEY MEET THE ASSET EXCLUSION).METHODIST MEDICAL CENTER OF ILLINOIS
PART V, SECTION B, LINE 10: LESS THAN 200% OF FPG (UNLESS THEY MEET THE ASSET EXCLUSION).METHODIST MEDICAL CENTER OF ILLINOIS
PART V, SECTION B, LINE 18D: IF THE INDIVIDUAL APPLIES AND QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES FOR THOSE SERVICES AT THE HOSPITAL FACILITY TO DETERMINE THE AMOUNTS BILLED FOR ALL SERVICES, INCLUDING EMERGENCY OR MEDICALLY NECESSARY CARE. THIS OCCURS REGARDLESS WHETHER THE INDIVIDUAL HAS INSURANCE COVERAGE. ALSO, IF THE INDIVIDUAL HAS INSURANCE COVERAGE AND DOES NOT APPLY OR QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE INSURER'S NEGOTIATED RATE FOR THOSE SERVICES AT THE HOSPITAL FACILITY. HOWEVER, IF THE INDIVIDUAL DOES NOT HAVE INSURANCE COVERAGE AND EITHER DOES NOT APPLY OR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE GROSS RATES FOR THOSE SERVICES TO DETERMINE THE AMOUNTS BILLED. IF THE UNINSURED INDIVIDUAL AGREES TO PAY THE BILL IN FULL, THE HOSPITAL FACILITY WILL PROVIDE A 20%-30% DISCOUNT FROM THE GROSS RATES FOR THOSE INDIVIDUALS. INSERT STATISTICS PROVIDED BY SUSAN EYRICH ON % OF SELF PAYS (UNINSURED) WITH NO DISCOUNT CODES, ETC.GREATER PEORIA SPECIALTY HOSPITAL
PART V, SECTION B, LINE 19D: IF THE INDIVIDUAL APPLIES AND QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES FOR THOSE SERVICES AT THE HOSPITAL FACILITY TO DETERMINE THE AMOUNTS BILLED FOR ALL SERVICES, INCLUDING EMERGENCY OR MEDICALLY NECESSARY CARE. THIS OCCURS REGARDLESS WHETHER THE INDIVIDUAL HAS INSURANCE COVERAGE. ALSO, IF THE INDIVIDUAL HAS INSURANCE COVERAGE AND DOES NOT APPLY OR QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE INSURER'S NEGOTIATED RATE FOR THOSE SERVICES AT THE HOSPITAL FACILITY. HOWEVER, IF THE INDIVIDUAL DOES NOT HAVE INSURANCE COVERAGE AND EITHER DOES NOT APPLY OR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE GROSS RATES FOR THOSE SERVICES TO DETERMINE THE AMOUNTS BILLED. IF THE UNINSURED INDIVIDUAL AGREES TO PAY THE BILL IN FULL, THE HOSPITAL FACILITY WILL PROVIDE A 20%-30% DISCOUNT FROM THE GROSS RATES FOR THOSE INDIVIDUALS. INSERT STATISTICS PROVIDED BY SUSAN EYRICH ON % OF SELF PAYS (UNINSURED) WITH NO DISCOUNT CODES, ETC.METHODIST MEDICAL CENTER OF ILLINOIS
PART V, SECTION B, LINE 19D: IF THE INDIVIDUAL APPLIES AND QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES FOR THOSE SERVICES AT THE HOSPITAL FACILITY TO DETERMINE THE AMOUNTS BILLED FOR ALL SERVICES, INCLUDING EMERGENCY OR MEDICALLY NECESSARY CARE. THIS OCCURS REGARDLESS WHETHER THE INDIVIDUAL HAS INSURANCE COVERAGE. ALSO, IF THE INDIVIDUAL HAS INSURANCE COVERAGE AND DOES NOT APPLY OR QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE INSURER'S NEGOTIATED RATE FOR THOSE SERVICES AT THE HOSPITAL FACILITY. HOWEVER, IF THE INDIVIDUAL DOES NOT HAVE INSURANCE COVERAGE AND EITHER DOES NOT APPLY OR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE GROSS RATES FOR THOSE SERVICES TO DETERMINE THE AMOUNTS BILLED. IF THE UNINSURED INDIVIDUAL AGREES TO PAY THE BILL IN FULL, THE HOSPITAL FACILITY WILL PROVIDE A 20%-30% DISCOUNT FROM THE GROSS RATES FOR THOSE INDIVIDUALS. INSERT STATISTICS PROVIDED BY SUSAN EYRICH ON % OF SELF PAYS (UNINSURED) WITH NO DISCOUNT CODES, ETC.GREATER PEORIA SPECIALTY HOSPITAL
PART V, SECTION B, LINE 21: AS DESCRIBED IN SCHEDULE H, PART V, LINE 19, IF THE PATIENT DOES NOT APPLY OR QUALIFY FOR FINANCIAL ASSISTANCE AND ALSO IS UNINSURED OR RECEIVES NO BENEFIT FROM THEIR INSURANCE ON A SERVICE PROVIDED BY THE HOSPITAL FACILITY, THEY WOULD BE CHARGED AMOUNTS EQUAL TO GROSS CHARGES FOR THE SERVICES PROVIDED TO THE PATIENT. HOWEVER, IF THE PATIENT AGREES TO PAY IN FULL, THEY WILL RECEIVE A 20%-30% DISCOUNT FROM THE GROSS CHARGES. INSERT STATISTICS PROVIDED BY SUSAN EYRICH ON % OF SELF PAYS (UNINSURED) WITH NO DISCOUNT CODES, ETC.METHODIST MEDICAL CENTER OF ILLINOIS
PART V, SECTION B, LINE 21: AS DESCRIBED IN SCHEDULE H, PART V, LINE 19, IF THE PATIENT DOES NOT APPLY OR QUALIFY FOR FINANCIAL ASSISTANCE AND ALSO IS UNINSURED OR RECEIVES NO BENEFIT FROM THEIR INSURANCE ON A SERVICE PROVIDED BY THE HOSPITAL FACILITY, THEY WOULD BE CHARGED AMOUNTS EQUAL TO GROSS CHARGES FOR THE SERVICES PROVIDED TO THE PATIENT. HOWEVER, IF THE PATIENT AGREES TO PAY IN FULL, THEY WILL RECEIVE A 20%-30% DISCOUNT FROM THE GROSS CHARGES. INSERT STATISTICS PROVIDED BY SUSAN EYRICH ON % OF SELF PAYS (UNINSURED) WITH NO DISCOUNT CODES, ETC.GREATER PEORIA SPECIALTY HOSPITAL
PART VI, LINE 2: THE COMMUNITY BENEFITS PLAN ADOPTED BY METHODIST IS ABOUT IMPROVING HEALTH; THE HEALTH OF EACH INDIVIDUAL, AND THE HEALTH OF THE COMMUNITY. IN DEVELOPING THE PLAN, SEVERAL SOURCES OF INFORMATION WERE UTILIZED TO HELP IDENTIFY SPECIFIC HEALTHCARE NEEDS. FIRST, ONE OF THE MORE COMPREHENSIVE LOCAL ASSESSMENTS IS LED BY THE DEPARTMENT OF PUBLIC HEALTH. THE PEORIA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED LOCAL HEALTH PRIORITIES AS CEREBROVASCULAR DISEASE (STROKE), HIP FRACTURES AND INFANT MORTALITY. THE LEADING CAUSES OF MORTALITY WERE IDENTIFIED AS HEART DISEASES. THE SECOND SOURCE WAS HEALTHY PEOPLE 2010. HEALTHY PEOPLE 2010 SET OUT NATIONAL OBJECTIVES FOR HEALTH IMPROVEMENT AND ARE BUILT AROUND THE CONCEPTS OF DISEASE PREVENTION AND HEALTH PROMOTION. OTHER SOURCES OF DATA WERE REVIEWED, HEARTLAND ALLIANCE MID-AMERICA INSTITUTE ON POVERTY, UNITED STATES CENSUS BUREAU DATA, ILLINOIS BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY DATA, METHODIST ACCESS DATA AND CENSUS BUREAU DATA. COLLECTIVELY, THESE DATA SOURCES HAVE SUPPORTED OUR ASSESSMENT OF THE COMMUNITIES NEEDS.
PART VI, LINE 3: AS A SERVICE TO OUR COMMUNITY, METHODIST MEDICAL CENTER PROVIDES CARE AT A REDUCED RATE OR WITHOUT CHARGE TO ELIGIBLE PERSONS DEMONSTRATING FINANCIAL NEED AND THE INABILITY TO PAY. THE "PATIENT GUIDE TO UNDERSTANDING YOUR BILL" IS MADE AVAILABLE TO EACH PATIENT DURING THE REGISTRATION PROCESS AND THIS GUIDE CONTAINS INFORMATION ON THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE AT METHODIST AS WELL INFORMATION ON HOW TO APPLY FOR STATE FUNDED PROGRAMS. THE GUIDE ALSO CONTAINS BOTH LOCAL AND TOLL FREE PHONES NUMBERS TO OUR BILLING OFFICES ALONG WITH OUR HOURS OF OPERATION SO THE PATIENT IS FULLY INFORMED OF WHAT INFORMATION IS AVAILABLE AND WHO THEY CAN CONTACT WITH QUESTIONS. INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAMS IS POSTED ON OUR METHODIST INTERNET HOME PAGE AND ON OUR PATIENT BILLING STATEMENTS.
PART VI, LINE 4: METHODIST IS THE SECOND LARGEST HEALTHCARE PROVIDER IN CENTRAL ILLINOIS. THE HOSPITAL IS LICENSED FOR 329 BEDS. ALONG WITH METHODIST THERE ARE TWO OTHER HOSPITALS IN THE PEORIA AREA, ALONG WITH FOUR SMALLER HOSPITALS IN OUR SERVICE AREA. IN 2011, METHODIST SERVED 17,388 INPATIENTS, 126,761 OUTPATIENTS, 58,210 EMERGENCY PATIENTS, 51,300 HOME CARE AND 303,656 PHYSICIAN VISITS. METHODIST'S PRIMARY SERVICE AREA CONSISTS OF FULTON, PEORIA, TAZEWELL AND WOODFORD COUNTIES. THIS GEOGRAPHIC REGION REPRESENTS 85% OF ALL HOSPITAL ADMISSIONS. THE SECONDARY SERVICE AREA INCLUDES 14 CENTRAL ILLINOIS COUNTIES, MOSTLY RURAL IN NATURE. COMBINED, METHODIST SERVES A POPULATION OF NEARLY ONE MILLION PEOPLE. METHODIST IS CLASSIFIED AS AN URBAN, TEACHING HOSPITAL. AS COMPARED TO THE DEMOGRAPHIC CHARACTERISTICS OF THE PEKIN/PEORIA MSA (METROPOLITAN STATISTICAL AREA), METHODIST SERVES A LARGER MINORITY AND SENIOR POPULATION. THE DEMOGRAPHICS OF METHODIST'S PATIENT POPULATION ARE A FUNCTION OF SEVERAL VARIABLES SUCH AS THE INCIDENCE AND PREVALENCE OF DISEASE AMONG AGE COHORTS, AND RACES, GEOGRAPHIC PROXIMITY TO MINORITY POPULATIONS AND OUTREACH EFFORTS TO IMPROVE ACCESS TO MEDICAL SERVICES. METHODIST'S INPATIENTS ARE: WHITE 80.4%, BLACK 15.8%, ASIAN 0.3%, HISPANIC 0.5% AND OTHER 3.0%. THIS IS COMPARED TO THE PEKIN/PEORIA MSA OF: WHITE 85.5%, BLACK 9.1%, ASIAN 1.6%, HISPANIC 2.3% AND OTHER 1.5%. METHODIST HAS THE LEAST FAVORABLE PAYOR MIX IN OUR PRIMARY SERVICE AREA. METHODIST HAS THE LARGEST MEDICAID MARKET SHARE BECAUSE OF OUR BEHAVIORAL HEALTH AND EMERGENCY PROGRAMS. THE MEDIAN AGE IN OUR SERVICE AREA IS 36.0 AS COMPARED TO 34.7 YEARS STATEWIDE. THE MEDIAN AGE IS HIGHER DUE TO A GREATER PERCENTAGE OF THE POPULATION AT AGE 65 OR ABOVE.
PART VI, LINE 5: THE HOSPITAL IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITH THE GOAL OF PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES. THE HOSPITAL SUPPORTS THIS MISSION WITH A COMMUNITY BOARD, OPEN MEDICAL STAFF, AND AN EMERGENCY ROOM AVAILABLE TO PATIENTS REGARDLESS OF ABILITY TO PAY. THE BOARD OF DIRECTORS OF THE HOSPITAL IS COMPOSED OF CIVIC LEADERS WHO RESIDE IN THE SERVICE AREA OF THE HOSPITAL. THE BOARD ACTIVELY DEBATES AND SETS POLICY AND STRATEGIC DIRECTION FOR THE HOSPITAL BUT DOES NOT GET INVOLVED IN ISSUES RELATED TO THE DIRECT OPERATIONS OF THE HOSPITAL. THE BOARD TAKES A BALANCED APPROACH WHEN ADDRESSING COMMUNITY AND BUSINESS/FINANCIAL CONCERNS. THE BOARD IS ALSO THE PRIMARY GROUP FOR DETERMINING THE USE OF HOSPITAL SURPLUS FUNDS, WHICH ARE ALL USED TO FURTHER OUR CHARITABLE PURPOSE.PHYSICIAN OFFICES ARE SPREAD ACROSS THE REGION TO PROVIDE BETTER ACCESS TO A WIDE NUMBER OF PATIENTS. SEE ATTACHED COMPREHENSIVE COMMUNITY BENEFIT STATEMENT (SCHEDULE O).
PART VI, LINE 6: THE HOSPITAL IS PART OF IOWA HEALTH SYSTEM. INITIALLY FORMED IN 1995, IOWA HEALTH SYSTEM IS THE STATE'S FIRST AND LARGEST INTEGRATED HEALTH SYSTEM, SERVING NEARLY ONE OF EVERY THREE PATIENTS IN IOWA. THROUGH RELATIONSHIPS WITH 25 HOSPITALS IN METROPOLITAN AND RURAL COMMUNITIES AND MORE THAN 140 PHYSICIAN CLINICS, IOWA HEALTH SYSTEM PROVIDES CARE THROUGHOUT IOWA AND WESTERN ILLINOIS.IOWA HEALTH SYSTEM ENTITIES EMPLOY THE STATE'S LARGEST NONPROFIT WORKFORCE, WITH NEARLY 20,000 EMPLOYEES WORKING TOWARD INNOVATIVE ADVANCEMENTS TO DELIVER THE BEST OUTCOME FOR EVERY PATIENT EVERY TIME. EACH YEAR, THROUGH MORE THAN 2.5 MILLION PATIENT VISITS, IOWA HEALTH SYSTEM HOSPITALS AND CLINICS PROVIDE A FULL RANGE OF CARE TO PATIENTS AND FAMILIES. WITH ANNUAL REVENUES OF $2.3 BILLION, IOWA HEALTH SYSTEM IS THE SIXTH LARGEST NONDENOMINATIONAL HEALTH SYSTEM IN AMERICA AND PROVIDES COMMUNITY BENEFIT PROGRAMS AND SERVICES TO IMPROVE THE HEALTH OF PEOPLE IN ITS COMMUNITIES. IOWA HEALTH SYSTEM AND ITS AFFILIATES ENGAGE IN COMMUNITY HEALTH PROGRAMS AND SERVICES THROUGHOUT IOWA, AND WORK WITH VOLUNTEER AND CIVIC ORGANIZATIONS, SCHOOLS, BUSINESSES, INSURERS AND INDIVIDUALS TO SUPPORT ACTIVITIES THAT BENEFIT PEOPLE THROUGHOUT THE STATE. IN 2010, IOWA HEALTH SYSTEM AND ITS AFFILIATES PROVIDED MORE THAN $152 MILLION OF COMMUNITY BENEFIT. THE CONTRIBUTIONS TO THEIR COMMUNITIES BY IOWA HEALTH SYSTEM AND ITS AFFILIATES ARE REPORTED IN DETAIL IN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (PART III) OF THE IRS FORM 990 OF THOSE AFFILIATES.
ILREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (23 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BRADLEY UNIVERSITY
1501 WEST BRADLEYPEORIAIL61625370661494501(C)(3)200000CAPITAL BUILDING CAMPAIGN
HEARTLAND COMMUNITY HEALTH CLINIC
1701 WEST GARDEN STPEORIAIL61605371270794501(C)(3)10000PROGRAM SUPPORT
HEARTLAND COMMERCE & ECONOMIC DEVELOPMENT FOUNDATION
100 SW WATER STPEORIAIL61602371271212501(C)(3)152000PROGRAM SUPPORT
MORTON ECONOMIC DEVELOPMENT COUNCIL
415 W JEFFERSON STMORTONIL61550261927395501(C)(6)25000PROGRAM SUPPORT
PEORIA CHARTER SCHOOL INITIATIVE
100 SW WATER STPEORIAIL61602270681058501(C)(3)25000PROGRAM SUPPORT
PEORIA DISTRICT 150 FOUNDATION
3202 N WISCONSIN AVEPEORIAIL61603364200821501(C)(3)15000PROGRAM SUPPORT
UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE
PO BOX 1649PEORIAIL61656376000511501(C)(3)100000PROGRAM SUPPORT
QUALITY QUEST FOR HEALTH
416 MAIN ST SUITE 717PEORIAIL61602263896631501(C)(3)250000PROGRAM SUPPORT
HEART OF ILLINOIS UNITED WAY
509 W HIGH STREETPEORIAIL61605370661504501(C)(3)79000PROGRAM SUPPORT
BRADLEY UNIVERSITY
1501 WEST BRADLEYPEORIAIL61625370661494501(C)(3)142060PROGRAM SUPPORT
EASTER SEALS UCP
501 E ARMSTRONG AVEPEORIAIL61603370686250501(C)(3)26000PROGRAM SUPPORT
ICC EDUCATIONAL FOUNDATION
1 COLLEGE DRIVEEAST PEORIAIL61635371207827501(C)(3)9400PROGRAM SUPPORT
KOMEN PEORIA RACE FOR THE CURE
4700 N UNIVERSITY AVEPEORIAIL61614371286285501(C)(3)8500EVENT SPONSOR
LINCOLN FOUNDATION FOR PERFORMANCE EXCELLANCE
1415 W DIEHL RDNAPERVILLEIL60563363952696501(C)(3)5000EVENT SPONSOR
PEORIA ART GUILD
203 HARRISON CTPEORIAIL61602237063821501(C)(3)5000EVENT SPONSOR
PEORIA PROMISE FOUNDATION
331 FULTON STPEORIAIL61602134353454501(C)(3)25000PROGRAM SUPPORT
WD BOYCE COUNCIL
1014 NE MADISON AVEPEORIAIL61603370661188501(C)(3)19500PROGRAM SUPPORT
ILLINOIS CANCER CARE FOUNDATION
8940 N WOOD SAGE RDPEORIAIL61615371331017501(C)(3)5000EVENT SPONSOR
JUVENILE DIABETES RESEARCH FOUNDATION
11 S LASALLE STCHICAGOIL60603231907729501(C)(3)8000EVENT SPONSOR
COMMUNITY FOUNDATION OF ILLINOIS
331 FULTON ST SUITE 310PEORIAIL61602371283245501(C)(3)5000EVENT SPONSOR
PUBLIC EMPLOYEES - COMMUNITY CONCERNS
419 FULTON ST SUITE 207PEORIAIL61602376001761501(C)(3)5000EVENT SPONSOR
WASHINGTON COMMUNITY HIGH SCHOOL
115 BONDURANT STWASHINGTONIL61571376004693501(C)(3)12500PROGRAM SUPPORT
HEART OF ILLINOIS SENIOR GAMES
2218 N PROSPECTPEORIAIL61603376001768501(C)(3)5000EVENT SPONSOR
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants22TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: RECIPIENTS WERE GIVEN GRANTS BASED ON THE NEEDS OF THE MEDICAL COMMUNITY AND THE LOCAL COMMUNITY AT LARGE. COMMUNITY BENEFITS COMMITTEE AND CEO REVIEW ASSISTANCE REQUESTS AND APPROVE BASED ON NEED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
W MICHAEL BRYANT TO 072011
417845000129228012338601578806862470790880
BRIAN COHEN MD
396025000231680433460146550477194000
KEITH KNEPP MD FR 062011
2276450001774502250144400260055000
DEBORAH SIMON FR 072011
32994900010420001348090112420580200000
CALVIN MACKAY TO 072011
300710000211061067425010996059019201037000
ROBERT QUIN FR 072011
19353300060979040572087580303842000
RICK ANDERSON
311920000605830668140152260454543000
ERICK LAINE
269920000412080241250151590350412000
ALEXANDER ADLER
645671000179200288490144750706915000
CHARLES EGLEY
607336000399320312320144750692975000
KISHORE KARAMCHANDANI
5996870002211506125049690632896000
JOEL KUPFER
64884500023468061250104510688889000
DWAYNE MCQUITTY
89141400039308061250144750951322000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1A
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 457(F): W.MICHAEL BRYANT $95,124, DEBORAH SIMON $52,755, CALVIN MACKAY $189,603, RICK ANDERSON $55,315, AND ROBERT QUIN $42,719. THE PLAN'S FUNDS ARE VESTED QUARTERLY TWO YEARS AFTER EACH CONTRIBUTION OR EARLIER BASED ON THE PARTICIPANT'S AGE AND YEARS OF SERVICE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancingCUSIP NumberCUSIPNumber
ILLINOIS FINANCE AUTHORITY
8610919672011-05-1263780000SEE PART VI000
ILLINOIS FINANCE AUTHORITY
8610919672011-05-1251220000SEE PART VI00045203HAE2

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
72506422555400334717721649461720111011
62036639661528132933682011001148081744

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001100.000000.000000.000001
001100.000000.018100.018101

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsBusiness Name Line2NameOfHedgeProvider/BusinessNameLine2Term Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
MORGAN STANLEY
001CAPITAL SECURITIES33.50000000000001001
MORGAN STANLEY
011CAPITAL SECURITIES33.50000000000001001
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierPART I, COLUMN (F)Identifier
Return ReferenceDESCRIPTION OF PURPOSEReturnReference
ExplanationLINE A - REFUND THE ILLINOIS FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS, (METHODIST MEDICAL CENTER) SERIES 1998. LINE B - REFINANCE BANK LINE OF CREDIT.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DEBBIE ANDERSON
FAMILY MEMBER OF KEY EMPLOYEE RICK ANDERSON39171EMPLOYEE OF METHODIST MEDICAL CENTER OF ILLINOIS0
ELYSE BRYANT
FAMILY MEMBER OF OFFICER W. MICHAEL BRYANT10446EMPLOYEE OF METHODIST MEDICAL CENTER OF ILLINOIS0
MARION WILLEMSEN-REID
FAMILY MEMBER OF BOARD MEMBER SCOTT REID67578EMPLOYEE OF METHODIST MEDICAL CENTER OF ILLINOIS0
MID ILLINI SURGICAL ASSOCIATES
COMMON BOARD MEMBER/OFFICER483194PURCHASED SERVICES0
PEORIA METRO CONSTRUCTION
COMMON BOARD MEMBER/OFFICER336312CONTRACTOR SERVICES0
PEORIA-TAZEWELL PATHOLOGY GROUP
COMMON BOARD MEMBER/OFFICER534511PURCHASED SERVICES0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSPART III, LINE 4ATHE METHODIST MEDICAL CENTER OF ILLINOIS IS A NON-PROFIT ORGANIZATION FOUNDED IN 1900. THE MEDICAL CENTER IS LICENSED FOR 329 BEDS. METHODIST IS A FULLY-INTEGRATED HEALTHCARE ORGANIZATION OFFERING ACUTE CARE, POST-ACUTE CARE, WELLNESS AND PREVENTION, PHYSICIAN OFFICES, OUTPATIENT CLINICS, HOME CARE AND HOSPICE. WITH 2,979 FULL AND PART-TIME EMPLOYEES, METHODIST IS THE THIRD LARGEST EMPLOYER IN THE PEORIA/PEKIN MSA. AS MEASURED BY BOTH REVENUE AND ACTIVITY, METHODIST IS THE SECOND LARGEST HEALTHCARE PROVIDER IN CENTRAL ILLINOIS. IN 2011, METHODIST SERVED 17,388 INPATIENTS; 126,761 OUTPATIENT VISITS; 58,210 EMERGENCY VISITS; 51,300 HOME CARE VISITS; AND 303,656 PHYSICIAN VISITS. THE MEDICAL CENTER'S PRIMARY SERVICE AREA CONSISTS OF FULTON, PEORIA, TAZEWELL, AND WOODFORD COUNTIES. THIS GEOGRAPHIC REGION REPRESENTS 85% OF ALL HOSPITAL ADMISSIONS. THE SECONDARY SERVICE AREA INCLUDES 14 CENTRAL ILLINOIS COUNTIES. COMBINED, METHODIST SERVES A POPULATION OF NEARLY 1.0 MILLION PEOPLE. AS COMPARED TO THE DEMOGRAPHIC CHARACTERISTICS OF THE PEKIN/PEORIA MSA, METHODIST SERVES A LARGER MINORITY AND SENIOR POPULATION. THE DEMOGRAPHICS OF METHODIST'S PATIENT POPULATION ARE A FUNCTION OF SEVERAL VARIABLES SUCH AS THE INCIDENCE AND PREVALENCE OF DISEASE AMONG AGE COHORTS AND RACES, GEOGRAPHIC PROXIMITY TO MINORITY POPULATIONS AND OUTREACH EFFORTS TO IMPROVE ACCESS TO MEDICAL SERVICES. METHODIST INPATIENTS PEKIN-PEORIA MSA WHITE 80.4% 85.5% BLACK 15.8% 9.1% ASIAN 0.3% 1.6% HISPANIC 0.5% 2.3% OTHER 3.0% 1.5% CHARITY CARE PROVISION OF CHARITY CARE IS IDENTIFIED THROUGH CAREFUL MONITORING OF ECONOMIC TRENDS AND AVAILABILITY OF INSURANCE FROM VARIOUS SOURCES. SCREENING OF INDIVIDUALS IDENTIFIED AS UNABLE TO PAY THE FULL COST OF SERVICES IS INITIATED BY FINANCIAL COUNSELORS. IN ADDITION, ANY EMPLOYEE MAY IDENTIFY A POTENTIAL CHARITY NEED AS A RESULT OF UNANTICIPATED MEDICAL CARE COMBINED WITH THE INABILITY TO PAY. COMMUNICATION OF THE AVAILABILITY OF THIS PROGRAM OCCURS THROUGH BROCHURES DISTRIBUTED TO PATIENTS AT VARIOUS LOCATIONS WITHIN METHODIST, SIGNS AT CERTAIN LOCATIONS, PATIENT STATEMENTS, TELEPHONE COMMUNICATIONS, METHODIST WEBSITE AND FINANCIAL SCREENING ACTIVITIES. IN ADDITION, IDENTIFICATION MAY OCCUR DURING BILLING AND COLLECTION FUNCTIONS THAT IDENTIFY INABILITY TO PAY. ACCESS TO THIS PROGRAM IS AVAILABLE THROUGH EVERY POINT OF ENTRY INTO METHODIST INCLUDING THE EMERGENCY DEPARTMENT, OUTPATIENT SERVICES AREAS, INPATIENT REGISTRATION AND THROUGH VARIOUS HOSPITAL-OPERATED CLINICS AND PHYSICIAN OFFICES. DURING THE CHARITY CARE APPLICATION PROCESS, THE PATIENT IS ASKED TO DOCUMENT THEIR CURRENT ECONOMIC STATUS. THE PATIENT OR RESPONSIBLE PARTY MAY REQUEST A FINANCE ASSISTANCE FORM AND GUIDELINES FOR CHARITABLE CONSIDERATION AT ANY TIME, AND AT ANY POINT OF ENTRY INTO THE METHODIST SYSTEM, I.E. PRIOR TO OR AT THE TIME OF ADMISSION/REGISTRATION, UPON RECEIPT OF FINAL BILL OR FIRST STATEMENT, AND AT ANY POINT DURING THE COLLECTION PROCESS. METHODIST WILL WAIVE SOME OR ALL CHARGES BASED ON THE COMPARISON OF THE PATIENT'S CURRENT ECONOMIC STATUS TO THE CURRENT FEDERAL POVERTY GUIDELINES AND/OR REVIEW OF CREDIT RATING REPORTS. IN 2011, METHODIST'S TOTAL COST OF UNCOMPENSATED CHARITY CARE PROVIDED WAS $7,179,784. LANGUAGE ASSISTANCE SERVICES METHODIST PROVIDES INTERPRETERS OR THE USE OF A LANGUAGE ASSISTANCE TELEPHONE SERVICE FOR IT'S NON ENGLISH SPEAKING PATIENTS. IN 2011, METHODIST PROVIDED $13,582 IN LANGUAGE ASSISTANCE SERVICES TO ITS PATIENTS. EXCESS OF COSTS OVER REIMBURSEMENT FOR GOVERNMENT SPONSORED PROGRAMS METHODIST PROVIDES CARE TO CERTAIN PATIENTS UNDER PAYMENT ARRANGEMENTS WITH MEDICARE, MEDICAID, AND CERTAIN OTHER GOVERNMENT-SPONSORED PROGRAMS. SERVICES PROVIDED UNDER THESE ARRANGEMENTS ARE PAID AT PREDETERMINED RATES AS DEFINED BY THE PROGRAMS. THE MEDICARE AND MEDICAID PROGRAMS ACCOUNTED FOR 62% OF METHODIST'S GROSS PATIENT REVENUE IN 2011. METHODIST IS PAID BELOW LEVELS THAT FULLY COMPENSATE IT FOR THE UNDERLYING COSTS TO PROVIDE CARE TO MEDICARE AND MEDICAID BENEFICIARIES. IN 2011, THE EXCESS OF COST OVER REIMBURSEMENT WAS $29,078,481 FOR MEDICARE AND WAS $17,745,439 FOR MEDICAID. DONATIONS SPONSORSHIPS & COMMUNITY BENEFIT - METHODIST PROVIDED DIRECT FINANCIAL SUPPORT TO VARIOUS COMMUNITY ORGANIZATIONS IN 2011, IN ADDITION TO SPONSORING SPECIFIC ACTIVITIES WITHIN CHARITABLE ORGANIZATIONS. THE TOTAL AMOUNT OF THIS SUPPORT WAS $1,646,047. EXAMPLES OF ORGANIZATIONS THAT BENEFITED FROM THIS SUPPORT INCLUDE THE KOMEN FOUNDATION, HEART OF ILLINOIS UNITED WAY, AND EASTER SEAL. WELLMOBILE - THE METHODIST WELLMOBILE IS A VAN THAT PROVIDES COMMUNITY EDUCATION AND FREE OR LOW COST HEALTH SCREENINGS THROUGHOUT CENTRAL ILLINOIS. IN 2011, THE WELLMOBILE SERVED APPROXIMATELY 6,600 PARTICIPANTS. THESE SCREENINGS IDENTIFIED 2,189 PEOPLE WITH ABNORMAL BLOOD PRESSURE, 958 WITH ABNORMAL BLOOD GLUCOSE SCORES AND 1,387 WITH ABNORMAL CHOLESTEROL RATIO. PARTICIPANTS ARE INFORMED ABOUT THE WELLMOBILE LOCATIONS THROUGH PUBLIC SERVICE ANNOUNCEMENTS, WWW.WELLMOBILE.ORG, COMMUNITY SCREENING BROCHURES THAT ARE AVAILABLE IN DOCTOR OFFICES, AND HEALTH FAIRS. UNITED WAY - METHODIST WAS THE SECOND LARGEST FINANCIAL SUPPORTER OF THE HEART OF ILLINOIS UNITED WAY CAMPAIGN IN 2011, WHICH PROVIDES FINANCIAL SUPPORT ANNUALLY TO 47 AREA HEALTH AND SOCIAL SERVICES PROGRAMS IN A CENTRAL ILLINOIS. HEART OF ILLINOIS UNITED WAY (2011 CAMPAIGN AMBASSADOR) - THE HEART OF ILLINOIS UNITED WAY CAMPAIGN FUNCTIONS WITH A SMALL CORE STAFF, AND A RECRUITED GROUP OF VOLUNTEER CAMPAIGN AMBASSADORS THAT SUPPLEMENT THE COMPLETION OF ANNUAL CAMPAIGN-RELATED TASKS. CAMPAIGN AMBASSADORS ARE "LOANED" TO THE UNITED WAY OFFICE FOR THREE MONTHS. THE CAMPAIGN AMBASSADOR PROVIDES FULL-TIME ASSISTANCE WITH THE UNITED WAY'S ANNUAL CAMPAIGN IN CENTRAL ILLINOIS, AND SERVES AS A VITAL LINK BETWEEN THE UNITED WAY AND AREA COMPANIES WITH FUND-RAISING CAMPAIGNS. METHODIST FINANCIALLY SPONSORED A 2011 CAMPAIGN AMBASSADOR. UNITED WAY DAY OF CARING - THE DAY OF CARING IS AN EVENT SPONSORED BY THE HEART OF ILLINOIS UNITED WAY WITH COORDINATION FROM THE UNITED WAY MARKETING & COMMUNICATIONS COMMITTEE, WHERE A METHODIST LEADER IS A MEMBER. AGENCIES IDENTIFY HOME PROJECTS FOR NEEDY FAMILIES SUCH AS PAINTING OR YARD WORK. VOLUNTEERS FOR THE PROJECTS ARE RECRUITED FROM AREA BUSINESSES, INCLUDING METHODIST. INSTITUTIONAL REVIEW BOARD - THE IRB IS MADE UP OF LOCAL HEALTH CARE ENTITIES, WHICH SET PROTOCOLS AND REVIEW MEDICAL RESEARCH PROJECTS FOR THE LOCAL AREA. METHODIST'S MEDICAL RESEARCH FUNDING FOR IRB WAS $27,125 IN 2011. DONATED OFFICE SPACE - METHODIST DONATED THE USE OF OFFICE SPACE TO CENTRAL ILLINOIS FRIENDS OF PEOPLE WITH AIDS. THE AMOUNT OF SUPPORT FOR THE CIFPWA OFFICE SPACE WAS $19,610 IN 2011. VOLUNTEER SERVICES FOR 2011, NON-EMPLOYEE VOLUNTEERS CONTRIBUTED 42,839 HOURS OR APPROXIMATELY $353,422 OF LABOR DOLLARS AT METHODIST. IN ADDITION, METHODIST EMPLOYEES VOLUNTEERED 16,130 HOURS OR APPROXIMATELY $133,073 OF LABOR DOLLARS FOR VARIOUS CHARITABLE CAUSES THROUGHOUT OUR COMMUNITY. EDUCATION RESIDENCY PROGRAM - IN 2011, METHODIST MEDICAL CENTER'S FAMILY PRACTICE RESIDENCY PROGRAM EMPLOYED 30 RESIDENTS AND FELLOWS THROUGHOUT THE YEAR WHILE METHODIST'S PSYCHOLOGY RESIDENCY EMPLOYED 3 RESIDENTS. METHODIST HAS AGREEMENTS WITH SEVERAL AREA CLINICS AND ORGANIZATIONS TO ROTATE RESIDENTS TO PROVIDE SERVICES FOR THE COMMUNITY AT NO COST. THE NET UNREIMBURSED COST INCURRED BY METHODIST FOR THE 2011 RESIDENCY PROGRAM WAS $939,021. INTERNSHIPS - IN 2011, METHODIST PROVIDED 13 INTERNSHIPS IN FIELDS VARYING FROM STUDENT NURSES TO PHARMACISTS. THE UNREIMBURSED COST TO METHODIST TO PROVIDE THESE INTERNSHIPS WAS $32,910. SUBSIDIZED HEALTH SERVICES METHODIST PROVIDES SUBSIDIZED HEALTHCARE TO PATIENTS IN ITS REHABILITATION, BEHAVIORAL HEALTH, PEDIATRIC, AND EMERGENCY SERVICES. THE UNREIMBURSED COST TO METHODIST IN 2011 WAS $3,205,050 FOR THE SERVICES LISTED BELOW (OF THIS, $1,335,602 IS REPORTED UNDER COMMUNITY HEALTH IMPROVEMENT SERVICES ON THE FORM 990 SCHEDULE H): PEDIATRICS, PEDIATRIC GI, CHILD & ADOLESCENT PSYCHIATRY, REHABILITATION, MENTAL HEALTH CLINIC, GERIATRIC SERVICES, HOSPICE AND IN SCHOOL HEALTH. BAD DEBT FOR A VARIETY OF REASONS, INCLUDING, BUT NOT LIMITED TO, INCOME LEVEL AND LACK OF ADEQUATE INSURANCE COVERAGE, METHODIST MAY WRITE OFF PATIENT CHARGES IT DEEMS TO BE UNCOLLECTIBLE. IN 2011, THE COST OF THIS UNCOMPENSATED CARE, EXCLUSIVE OF AMOUNTS INCLUDED IN CHARITY CARE, WAS $8,748,287.
OTHER COMMUNITY BENEFITS METHODIST INN - THE METHODIST INN PROVIDES NO-COST OVERNIGHT ACCOMMODATIONS IN A "HOTEL-LIKE" SETTING WITHIN THE HOSPITAL FOR PATIENTS' FAMILIES, PATIENTS, AND LOVED ONES. THE INN WAS STARTED AS A SERVICE TO PATIENTS AND THEIR FAMILIES SEVERAL YEARS AGO. THE INN'S ROOMS ARE FULLY FURNISHED WITH TWIN BEDS AND OTHER AMENITIES. A LOUNGE IS LOCATED IN THE INN AREA FOR THE GUEST'S USE. A SMALL BREAKFAST NOOK HAS A MICROWAVE AND VENDING MACHINES. A CONTINENTAL BREAKFAST IS PROVIDED EACH MORNING FOR THE GUESTS OF THE METHODIST INN. IN 2011, METHODIST PROVIDED 1,873 NIGHTS OF LODGING IN THE METHODIST INN WITHOUT CHARGE. USING COMPARABLE AREA HOTEL RATES, THESE NIGHTS HAD A VALUE OF $116,551. SENIOR SERVICES - METHODIST'S SENIOR SERVICE DEPARTMENT OFFERS ENCORE!, WHICH IS A FREE MEMBERSHIP PROGRAM FOR PEOPLE 55 YEARS OF AGE AND OLDER REGARDLESS OF WHAT HOSPITAL THEY USE OR INSURANCE THEY HAVE. THE PURPOSE OF THE PROGRAM IS TO DEMONSTRATE IN REAL TERMS THE COMMITMENT OF METHODIST MEDICAL CENTER TO THE OVERALL HEALTH AND WELLNESS OF THE SENIOR POPULATION IN A 5 COUNTY REGION AROUND PEORIA. TO ACCOMPLISH THIS, ENCORE! PROVIDES EDUCATIONAL EVENTS AND SEMINARS ON A WIDE VARIETY OF TOPICS WHICH ARE PERTINENT TO THE MATURE ADULT, SUCH AS: MEDICARE EDUCATION, FINANCIAL PLANNING, UNDERSTANDING MEDICAL DIRECTIVES, NUTRITION, MEDICAL/CHRONIC DISEASE EDUCATION, HOME SAFETY, EXERCISE AND AGING, FALL PREVENTION, AND MUCH MORE. ADDITIONALLY, METHODIST MEDICAL CENTER PROVIDES FREE MEDICAL SCREENING TESTS AND PRESCRIPTION REVIEWS. FINALLY, ENCORE! AIDS THE MATURE ADULT IN FINDING RESOURCES TO MEET THEIR PERSONAL HEALTH AND WELLNESS NEEDS AND TO ENCOURAGE AND PROMOTE THE USE OF PROGRAMS, BOTH STATE AND FEDERAL, THAT HELP WITH PREVENTION AND AWARENESS. THE MEMBERSHIP OF ENCORE! GREW TO 3008 MEMBERS BY THE END OF 2011. OVER THE COURSE OF THE YEAR 110 EVENTS AND SEMINARS WERE OFFERED. ATTENDANCE AT THESE EVENTS HAS CONTINUALLY INCREASED AND THE HIGH RATINGS ON EVALUATIONS DEMONSTRATE THAT MEMBERS FIND THE PROGRAM TO BE OUTSTANDING AND HELPFUL. OUR WELLMOBILE OFFERED NUMEROUS SCREENING OPPORTUNITIES AND OUR PHARMACIST CONTINUED OFFERING THE PRESCRIPTION REVIEWS FOR MEMBERS. STRATEGIC PARTNERSHIPS WITH SENIOR NET, THE PEORIA PARK DISTRICT AND BRADLEY UNIVERSITY'S OSHER LIFE-LONG LEARNING INSTITUTE WERE DEVELOPED IN 2011 PROVIDING A DIRECT CONNECTION TO THE BEST COMPUTER TRAINING FOR SENIORS, THE BEST FITNESS AND EXERCISE OFFERINGS FOR SENIORS AND THE BEST LIFE-LONG LEARNING PROGRAM IN OUR AREA. 2011 SAW THE INAUGURATION OF A NEW PROGRAM WHICH MATCHED ENCORE! MEMBERS WITH METHODIST COLLEGE NURSING STUDENTS. THE GOAL OF THE PROGRAM IS FOR NURSING STUDENTS TO BE MORE AWARE OF THE WHOLE SPECTRUM OF MATURE ADULTS PHYSICALLY, MENTALLY AND MEDICALLY THROUGH REGULAR CONTACT WITH THE MEMBER AND , FOR MATURE ADULTS TO HELP EDUCATE NURSING STUDENTS ABOUT AGING. 90 MEMBERS AND NURSING STUDENTS WERE PAIRED AND WE HAVE RECEIVED MUCH POSITIVE FEEDBACK ON THE VALUE OF THIS PROGRAM. ADDITIONALLY, METHODIST ENCORE! WAS A MAJOR FINANCIAL SPONSOR AND PROVIDER OF VOLUNTEERS AND PARTICIPANTS FOR THE HEART OF ILLINOIS SENIOR GAMES AND FINE ARTS FESTIVAL. IN 2011, THE DEPARTMENT HAD UNREIMBURSED COSTS OF $92,229. PASTORAL CARE - METHODIST MEDICAL CENTER PROVIDES A COMPREHENSIVE PASTORAL CARE DEPARTMENT STAFFED BY AN INTERFAITH TEAM OF CLERGY WHO ARE TRAINED IN HOSPITAL MINISTRY. PASTORAL CARE SERVICES ARE AVAILABLE 24 HOURS A DAY 7 DAYS A WEEK. IN 2011, THE PASTORAL CARE DEPARTMENT HAD UNREIMBURSED COSTS OF $346,755. CHAPLAIN ASSISTANT VOLUNTEER TRAINING - THE CHAPLAIN ASSISTANT VOLUNTEER TRAINING PROGRAM WAS STARTED BY THE METHODIST PASTORAL CARE DEPARTMENT TO TRAIN PEOPLE FROM AREA CONGREGATIONS TO PROMOTE HEALTH IN OUR COMMUNITIES AND CONGREGATIONS AND TO INVITE CHURCH MEMBERS TO BECOME PART OF OUR METHODIST PASTORAL COMMUNITY VISITING AND SUPPORTING PATIENTS, THEIR FAMILIES, AND OUR STAFF. THE DIRECTOR OF THE DEPARTMENT OVERSEES THE TRAINING AND COORDINATES THE VOLUNTEERS' CLINICAL WORK. COMMUNITY PASTORAL CARE PROGRAM - THE PURPOSE OF THIS PROGRAM IS TO: MAKE HEALTH CARE RESOURCES CONSISTENTLY AVAILABLE TO THE POOR AND UNDER-SERVED NEIGHBORHOODS OF PEORIA; MAKE THESE RESOURCES AVAILABLE THROUGH THE COMPASSIONATE CARING OF AREA CHURCHES TO THOSE PEOPLE LIVING IN PROXIMITY TO THOSE CONGREGATIONS; TO PROMOTE HEALTH IN OUR COMMUNITY THROUGH AREA CHURCH AND FAITH GROUPS; TO IMPROVE LIVES THROUGH CARING AND THROUGH HEALTH CARE RESOURCES; TO IMPROVE RELATIONSHIPS BETWEEN METHODIST AND AREA FAITH COMMUNITIES; TO TRAIN CONGREGATIONS TO MINISTER EFFECTIVELY TO PEOPLE WITH HEALTH CARE CONCERNS; TO GIVE THE CHURCHES THE RESOURCES TO ACTIVELY PROVIDE SPIRITUAL/EMOTIONAL SUPPORT TO PEOPLE GOING THROUGH DIFFICULT TIMES; TO PROVIDE AND PROMOTE, WITHIN THE COMMUNITY, HEALTH FAIRS, HEALTH SCREENINGS, AND CLINIC USE TO IMPROVE LIFE; TO HEIGHTEN THE AWARENESS AND EMPOWER PEOPLE TO BECOME HEALTH RESPONSIBLE FOR THEMSELVES AND THEIR FAMILIES. PARTNERING WITH METHODIST HOME HEALTH - IN 2012, THE PASTORAL CARE DEPARTMENT HAS PARTNERED WITH HOME HEALTH TO ATTEND TO THE SPIRITUAL AND EMOTIONAL NEEDS OF HOME HEALTH PATIENTS; THE GOAL OF THIS PARTNERSHIP IS TO BEGIN ADDRESSING THE ISOLATION MANY OF OUR HOME HEALTH PATIENTS EXPERIENCE; THIS EFFORT IS ALSO AIMED AT ADDRESSING THE EMOTIONAL AND SPIRITUAL NEEDS OF PATIENTS COPING WITH LONGER TERM HEALTH CONCERNS; THIS SERVICE IS INTENDED AS A BRIDGE TO RE-LINKING PATIENTS WITH CARING CHURCHES, WHEN THIS IS DESIRABLE TO THE PATIENT; THIS IS ALSO ANOTHER WAY IN WHICH WE CAN VALIDATE THE VALUE AND DIGNITY OF EACH PERSON'S LIFE AND ENCOURAGE COMPLIANCE WITH TREATMENT PLANS THAT HELP PATIENT'S MANAGE THEIR HEALTH AND THEIR LIVES. PASTORAL CARE DEPARTMENT EDUCATION - THE PASTORAL CARE DEPARTMENT EDUCATION PROGRAM TRAINING HAS BEEN PROVIDED FOR PEOPLE IN OVER 90 AREA CHURCHES. SINCE THE INCEPTION OF THE PROGRAM, OVER 300 INDIVIDUALS HAVE PARTICIPATED IN THE TRAINING PROVIDED BY THE PASTORAL CARE PROGRAM. COMMUNITY OUTREACH AMBULANCE EDUCATION - EACH AMBULANCE SQUAD IN THE PEORIA AREA EMS SYSTEM PREDETERMINES WHAT EMERGENCY MEDICAL SERVICES (EMS) EDUCATION IS NEEDED FOR THEIR AGENCY ANNUALLY. THE PLANS ARE SUBMITTED TO THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH FOR APPROVAL OR REVISION. EACH AGENCY IS RESPONSIBLE FOR OBTAINING THE EDUCATION RESOURCES. METHODIST PROVIDED 56 HOURS OF COMMUNITY EDUCATION IN 2011 FOR VARIOUS EMS AGENCIES. THIS EDUCATION WAS PROVIDED AT NO COST TO THE AGENCIES BEHAVIORAL HEALTH - METHODIST HAS IDENTIFIED BEHAVIORAL HEALTH AS ONE OF THE MOST CRITICAL ISSUES IN HEALTHCARE FOR THE LOCAL AREA. PROGRAMS ARE AVAILABLE FOR CHILDREN, ADOLESCENTS, ADULTS AND SENIORS, THROUGH INPATIENT, OUTPATIENT, PARTIAL HOSPITALIZATION, AND PHYSICIAN SERVICES. THE METHODIST MENTAL HEALTH CLINIC SERVES INDIVIDUALS AND FAMILIES WHO MAY NOT QUALIFY FINANCIALLY FOR OTHER BEHAVIORAL HEALTH SERVICES IN THE COMMUNITY. IN 2011, THERE WERE 2,493 INPATIENT MENTAL HEALTH ADMISSIONS RESULTING IN 21,207 DAYS OF CARE. THERE WERE 7,518 VISITS FOR OUTPATIENT BEHAVIORAL HEALTH SERVICES. CLINICAL STAFFING FOR BEHAVIORAL HEALTH SERVICES - METHODIST'S INPATIENT STAFF MEETS WITH COMMUNITY PROVIDERS AND LOCAL SCHOOL DISTRICT PERSONNEL TO DISCUSS CLINICAL ISSUES FOR SPECIFIC PATIENTS. THIS IS DONE ON A WEEKLY BASIS AND INVOLVES A MINIMUM OF THREE STAFF. TIME SPENT VARIES, BUT THE AVERAGE IS 60-90 MINUTES A WEEK, DISCUSSING CLINICAL ISSUES AND DISCHARGE ISSUES. THERE IS NO CHARGE TO PATIENTS, FAMILIES OR OTHER FACILITIES. SCHOOL TUTORING PROGRAM (CHILD/ADOLESCENT UNIT) - METHODIST PROVIDES TUTORING FOR CHILD AND ADOLESCENT PATIENTS HOSPITALIZED IN A METHODIST BEHAVIORAL HEALTH UNIT. THIS SERVICE ENSURES STUDENTS DO NOT FALL BEHIND IN THEIR CLASS WORK WHILE THEY ARE UNABLE TO ATTEND CLASS. ALTHOUGH METHODIST CHARGES THE HOME SCHOOL DISTRICT FOR THESE SERVICES, APPROXIMATELY 50% OF THE SERVICES ARE NOT REIMBURSED. BEHAVIORAL HEALTH SCREENINGS - PATIENTS ARE ALSO SCREENED IN THE DIABETES CARE CENTER AND CARDIOPULMONARY REHABILITATION AREAS FOR DEPRESSION OR OTHER POTENTIAL MENTAL DISORDERS. ALL PATIENTS COMPLETE A QUESTIONNAIRE, WHICH IS REVIEWED BY STAFF AND IF APPROPRIATE, FOLLOW UP APPOINTMENTS ARE SCHEDULED WITH A MENTAL HEALTH PROVIDER TO FURTHER ASSESS AND MAKE APPROPRIATE REFERRALS.
BASIC LIFE SUPPORT/CARDIO-PULMONARY RESUSCITATION; HEARTSAVER AUTOMATED EXTERNAL DEFIBRILLATOR & FIRST AID TRAINING METHODIST CONTINUES TO PROVIDE CLASSES FOR ALL LEVELS OF TRAINING FOR AMERICAN HEART ASSOCIATION'S APPROVED CARDIO-PULMONARY RESUSCITATION (CPR), WITH OR WITHOUT HEARTSAVER AUTOMATED EXTERNAL DEFIBRILLATOR (AED) & FIRST AID TRAINING WITH OR WITHOUT CPR/ AED FOR THE ADULT, CHILD, AND INFANT POPULATION. MONTHLY CPR INITIAL PROVIDER COURSES AND RENEWAL COURSES ARE CURRENTLY OFFERED AT METHODIST. AN INSTRUCTOR COURSE FOR CPR THAT INCLUDES FIRST AID COMPONENTS IS OFFERED ONCE EACH YEAR. ADDITIONAL ADVANCED AMERICAN HEART ASSOCIATION COURSES FOR HEALTHCARE PROFESSIONALS SUCH AS ADVANCED CARDIAC LIFE SUPPORT (ACLS) AND PEDIATRIC LIFE SUPPORT (PALS) COURSES USING THE MOST CURRENT EMERGENCY CARDIAC CARE GUIDELINES ALSO ARE OFFERED THROUGH THE COMMUNITY TRAINING CENTER. OVER THE PAST 5 YEARS, METHODIST HAS BEEN RESPONSIBLE FOR TRAINING OVER 3,200 SCOUTS, STUDENTS, SCHOOL TEACHERS, AND SCHOOL DISTRICT STAFF IN CPR AND AED. METHODIST HAS PROVIDED THIS TRAINING AT NO COST.
FORM 990, PART VI, SECTION A, LINE 6METHODIST HEALTH SERVICES CORPORATION, A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7AMETHODIST HEALTH SERVICES CORPORATION, AS THE SOLE MEMBER, MAY APPOINT AND REMOVE ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BMETHODIST HEALTH SERVICES CORPORATION, AS SOLE MEMBER, DIRECTS, APPROVES AND RECOMMENDS MERGERS, CONSOLIDATIONS, ACQUISITONS, DISSOLUTION, LIQUIDATION OR DISPOSITION, INIATES AND APPROVES BUDGETS AND LONG-RANGE STRATEGIC PLANS, INITIATES AND APPROVES THE FORMATION OF ANY PERSON CONTROLLED BY A SUBSIDIARY, APPROVES CONFLICT OF INTEREST POLICY, AND AMENDMENTS TO ARTICLES AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED INTERNALLY BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY THE RESPONSIBLE FUNCTIONAL AREA ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE PROFESSIONAL RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS IS CHARGED WITH THE OVERSIGHT OF THE EXECUTIVE COMPENSATION PACKAGE. IN DETERMINING AN EXECUTIVE COMPENSATION PROGRAM THAT ALIGNS A DESIRE TO RECRUIT AND RETAIN EXECUTIVES WITH THE MISSION OF MHSC, THIS COMMITTEE CONSIDERS SUCH FACTORS AS: THE ORGANIZATION'S TOTAL COMPENSATION PHILOSOPHY FOR ALL IT'S EMPLOYEES, THE COMPETITIVE MARKETPLACE, INCLUDING ORGANIZATION SIZE, COMPLEXITY AND SCOPE FACTORS CONSIDERED IN MARKET COMPARISONS, AND THE DESIRED MARKET POSITIONING OF ALL COMPENSATION AND BENEFITS COMPONENTS. THE METHODIST HEALTH SERVICES CORPORATION WANTS TO ENSURE THAT ALL EXECUTIVE COMPENSATION DECISIONS ARE COMPETITIVE, FAIR AND EQUITABLE, AS WELL AS COMPLIANT WITH APPROPRIATE REGULATORY GUIDELINES AND REPRESENTATIVE OF BEST MARKET PRACTICES. IT IS THE DESIRE OF MHSC AND THIS COMMITTEE TO HAVE PROPER DISCLOSURE, TO ENSURE THAT EXECUTIVE COMPENSATION DECISIONS DO NOT JEOPARDIZE CHARITABLE MISSION AND TAX-EXEMPT STATUS AND TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS. THE TOTAL COMPENSATION PROGRAM FOR EXECUTIVES OF THE METHODIST HEALTH SERVICES CORPORATION CONSISTS OF: *BASE COMPENSATION *SHORT TERM INCENTIVE PAY *EXECUTIVE BENEFITS, INCLUDING PENSION *EXECUTIVE SEVERANCE OTHER FACTORS, SUCH AS COMPETITIVE MARKET FORCES, INDIVIDUAL JOB PERFORMANCE, EACH INDIVIDUAL'S UNIQUE SKILLS AND EFFORTS, AND/OR INDIVIDUAL'S JOB RESPONSIBILITIES, ARE ALSO CONSIDERED IN THE MHSC TOTAL COMPENSATION DECISIONS. THE COMMITTEE ALSO RETAINS THE SERVICES OF INDEPENDENT OUTSIDE CONSULTANTS AND LEGAL ADVISORS TO ASSIST IN THE STRATEGIC REVIEW OF PROGRAMS AND ARRANGEMENTS RELATING TO EXECUTIVE COMPENSATION AND PERFORMANCE. THE EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. THE CEO'S COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, HAS VOLUNTARILY ADOPTED MANY OF OUR INDUSTRY'S GOVERNANCE "BEST PRACTICES." IOWA HEALTH SYSTEM HAS DONE SO TO FURTHER ASSURE OUR STAKEHOLDERS THAT OUR GOVERNANCE AND MANAGEMENT IS CONDUCTED RESPONSIBLY AND WARRANTS THE TRUST YOU PLACE IN US. IN SEPTEMBER 2003, THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS VOLUNTARILY ADOPTED OVER 40 CHANGES TO ITS GOVERNANCE STRUCTURE TO BETTER COMPLY WITH GOVERNANCE BEST PRACTICES AND THE INTENT AND APPLICABLE REQUIREMENTS OF THE SARBANES-OXLEY ACT OF 2003. IN ADDITION, GOVERNANCE POLICIES AND RELATED INFORMATION HAS BEEN ADDED TO THE IOWA HEALTH SYSTEM WEBSITE, WWW.IHS.ORG, INCLUDING BUT NOT LIMITED TO: OVER 130 CORPORATE COMPLIANCE POLICIES, INCLUDING CHARITY CARE AND CONFLICTS OF INTEREST POLICIES; GOVERNANCE BEST PRACTICE POLICIES; THE IDENTIFICATION OF BOARD MEMBERS AND BOARD COMMITTEES; COMPENSATION FOR HOSPITAL CEO'S; AND FINANCIAL INFORMATION FOR THE PAST SEVEN YEARS. COPIES OF THE DOCUMENTS ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -8,519,067. PENSION FUNDING LIABILITY -29,545,070. FOUNDATION INVESTMENT 59,699. CHANGE IN BARKER TRUST -654,840. FUND BALANCE TRANSFERS -16,486,478. TOTAL TO FORM 990, PART XI, LINE 5: -55,145,756.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (43 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ALLEN COLLEGE
1825 LOGAN AVENUEWATERLOOIA50703421351526EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALSIA501(C)(3)170(B)(1) (A)(II)ALLEN HEALTH SYSTEMS INC1
ALLEN HEALTH SYSTEMS INC
1825 LOGAN AVENUEWATERLOOIA50703421201924SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM1
ALLEN MEMORIAL HOSPITAL CORPORATION
1825 LOGAN AVENUEWATERLOOIA50703420698265HOSPITALIA501(C)(3)170(B)(1) (A)(III)ALLEN HEALTH SYSTEMS INC1
ANAMOSA AREA AMBULANCE SERVICE
101 GRANT WOOD DRIVEANAMOSAIA52205421466284PROVIDE AMBULANCE SERVICESIA501(C)(3)509(A)(2)ST LUKE'SJONES REGIONAL MEDICAL CENTER1
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
1200 PLEASANT STREETDES MOINESIA50309421233759PROPERTY HOLDING COMPANYIA501(C)(2)CENTRAL IOWA HEALTH SYSTEM1
CENTRAL IOWA HEALTH SYSTEM
1200 PLEASANT STREETDES MOINESIA50309421189791SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM1
CENTRAL IOWA HOSPITAL CORPORATION
1200 PLEASANT STREETDES MOINESIA50309420680452HOSPITALIA501(C)(3)170(B)(1) (A)(III)CENTRAL IOWA HEALTH SYSTEM1
FINLEY TRI-STATES HEALTH GROUP INC
350 NORTH GRANDVIEW AVENUEDUBUQUEIA52001421307495SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM1
HNC SERVICES
1200 PLEASANT STREETDES MOINESIA50309270987243SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(2)IOWA HEALTH SYSTEM1
INTEGRATED CARE ORGANIZATION
1200 PLEASANT STREETDES MOINESIA50309274665007PROMOTE, SUPPPORT THE INTERESTS AND PURPOSES OF AFFILIATES' HOSPITALSIA501(C)(3)509(A)(2)IOWA HEALTH SYSTEM1
INTRUST
11333 AURORA AVENUEURBANDALEIA50322421477471HOME HEALTH CAREIA501(C)(3)509(A)(2)IOWA HEALTH SYSTEM1
IOWA HEALTH FOUNDATION
2700 GRAND AVE SUITE 109DES MOINESIA50312421467682CHARITABLE FUNDRAISINGIA501(C)(3)509(A)(3), TYPE IIICENTRAL IOWA HEALTH SYSTEM1
IOWA HEALTH SYSTEM
1200 PLEASANT STREETDES MOINESIA50309421435199SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE III1
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
8101 BIRCHWOOD COURTJOHNSTONIA50131421411630PRIMARY HEALTH CARE SERVICESIA501(C)(3)170(B)(1) (A)(III)IOWA HEALTH SYSTEM1
MEMORIAL FOUNDATION OF ALLEN HOSPITAL
1825 LOGAN AVENUEWATERLOOIA50703421201138CHARITABLE FUNDRAISINGIA501(C)(3)170(B)(1) (A)(VI)ALLEN HEALTH SYSTEMS INC1
METHODIST HEALTH SERVICES CORPORATION
221 NORTHEAST GLEN OAK AVENUEPEORIAIL61636371111135HEALTHCAREIL501(C)(3)509(A)(3), TYPE IIIIOWA HEALTH SYSTEM1
METHODIST MEDICAL CENTER FOUNDATION
221 NORTHEAST GLEN OAK AVENUEPEORIAIL61636510186460FUNDRAISINGIL501(C)(3)170(B)(1) (A)(VI)METHODIST HEALTH SERVICES CORPORATION1
METHODIST MEDICAL CENTER OF ILLINOIS
221 NORTHEAST GLEN OAK AVENUEPEORIAIL61636370661223HEALTHCAREIL501(C)(3)170(B)(1) (A)(III)METHODIST HEALTH SERVICES CORPORATION1
METHODIST SERVICES INC
221 NORTHEAST GLEN OAK AVENUEPEORIAIL61636371111134OFFICE RENTALIL501(C)(3)509(A)(2)METHODIST HEALTH SERVICES CORPORATION1
NELLIE R SHERWOOD TRUST
1026 A AVENUE NECEDAR RAPIDSIA52402426061621PAY MEDICAL BILLS OF RETIRED TEACHERS UNABLE TO PAYIA501(C)(3)509(A)(3), TYPE IST LUKE'S METHODIST HOSPITAL1
NORTH CENTRAL IOWA MENTAL HEALTH CENTER INCORPORATED
720 KENYON DRIVEFORT DODGEIA50501420937390MENTAL HEALTH CAREIA501(C)(3)170(B)(1) (A)(III)TRINITY HEALTH SYSTEMS INC1
NORTHWEST IOWA HOSPITAL CORPORATION
2720 STONE PARK BLVDSIOUX CITYIA51104421019872HOSPITALIA501(C)(3)170(B)(1) (A)(III)IOWA HEALTH SYSTEM1
SELF INSURANCE TRUST AGREEMENT EST BY METHODIST MEDICAL CENTER OF ILLINOIS
221 NORTHEAST GLEN OAK AVENUEPEORIAIL61636376181831FUND SELF-INSURANCE PLANIL501(C)(3)509(A)(3), TYPE IIIMETHODIST MEDICAL CENER OF ILLINOIS1
SIOUXLAND PACE INC
313 COOK STREETSIOUX CITYIA51103261120134ALL-INCLUSIVE CARE FOR THE ELDERLYIA501(C)(3)170(B)(1) (A)(III)ST LUKE'S HEALTH SYSTEM INC1
ST LUKE'S HEALTH RESOURCES
2720 STONE PARK BLVDSIOUX CITYIA51104421059182OUTPATIENT CLINICS AND HEALTHCARE SERVICESIA501(C)(3)509(A)(2)ST LUKE'S HEALTH SYSTEM INC1
ST LUKE'S HEALTH SYSTEM INC
2720 STONE PARK BLVDSIOUX CITYIA51104421294091SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIIOWA HEALTH SYSTEM1
ST LUKE'S HEALTHCARE
1026 A AVENUE NECEDAR RAPIDSIA52402421487968SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM1
ST LUKE'S METHODIST HOSPITAL
1026 A AVENUE NECEDAR RAPIDSIA52402420504780HOSPITALIA501(C)(3)170(B)(1) (A)(III)ST LUKE'S HEALTHCARE1
ST LUKE'SJONES REGIONAL MEDICAL CENTER
1795 HIGHWAY 64 EASTANAMOSAIA52205421487967HOSPITALIA501(C)(3)170(B)(1) (A)(III)ST LUKE'S HEALTHCARE1
STL CARE COMPANY
1026 A AVENUE NECEDAR RAPIDSIA52402421276632IMPROVE PUBLIC HEALTH SERVICESIA501(C)(3)509(A)(2)ST LUKE'S HEALTHCARE1
THE DUBUQUE VISITING NURSE ASSOCIATION
350 NORTH GRANDVIEW AVENUEDUBUQUEIA52001420680410PUBLIC HEALTH SERVICES/HOME CAREIA501(C)(3)509(A)(2)FINLEY TRI-STATES HEALTH GROUP INC1
THE FINLEY HOSPITAL
350 NORTH GRANDVIEW AVENUEDUBUQUEIA52001420680354HOSPITALIA501(C)(3)170(B)(1) (A)(III)FINLEY TRI-STATES HEALTH GROUP INC1
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
2701 17TH STREETROCK ISLANDIL61201363678909MENTAL HEALTH CAREIL501(C)(3)170(B)(1) (A)(VI)TRINITY REGIONAL HEALTH SYSTEM1
TPG HEALTH
802 KENYON ROADFORT DODGEIA50501453791448SUPPORT SERVICES FOR MEDICAL CARE AND HEALTH SERVICESIA501(C)(3)170(B)(1) (A)(III)TRINITY HEALTH SYSTEMS INC1
TRINITY BUILDING CORPORATION
802 KENYON ROADFORT DODGEIA50501421376187PROPERTY HOLDING COMPANYIA501(C)(2)TRINITY HEALTH SYSTEMS INC1
TRINITY HEALTH FOUNDATION
802 KENYON ROADFORT DODGEIA50501421222381CHARITABLE FUNDRAISINGIA501(C)(3)170(B)(1) (A)(VI)TRINITY HEALTH SYSTEMS INC1
TRINITY HEALTH FOUNDATION
2701 17TH STREETROCK ISLANDIL61201363321751CHARITABLE FUNDRAISINGIL501(C)(3)170(B)(1) (A)(VI)TRINITY REGIONAL HEALTH SYSTEM1
TRINITY HEALTH SYSTEMS INC
802 KENYON ROADFORT DODGEIA50501421222877SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM1
TRINITY MEDICAL CENTER
2701 17TH STREETROCK ISLANDIL61201362739299HOSPITALIL501(C)(3)170(B)(1) (A)(III)TRINITY REGIONAL HEALTH SYSTEM1
TRINITY REGIONAL HEALTH SYSTEM
2701 17TH STREETROCK ISLANDIL61201363351952SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIL501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM1
TRINITY REGIONAL HOSPITAL AUXILIARY
802 KENYON ROADFORT DODGEIA50501426081474CHARITABLE FUNDRAISING AND VOLUNTEER SERVICESIA501(C)(3)509(A)(2)TRINITY REGIONAL MEDICAL CENTER1
TRINITY REGIONAL MEDICAL CENTER
802 KENYON ROADFORT DODGEIA50501421009175HOSPITALIA501(C)(3)170(B)(1) (A)(III)TRINITY HEALTH SYSTEMS INC1
UNITY HEALTHCARE
1518 MULBERRY AVENUEMUSCATINEIA52761420680337HOSPITALIA501(C)(3)170(B)(1) (A)(III)TRINITY REGIONAL HEALTH SYSTEM1

Form990 Schedule R Part III Form990ScheduleRPartIII (29 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Code VCodeVAmount
1776 WESTLAKES PARKWAY LC
4949 WESTOWN PARKWAY SUITE 200WEST DES MOINESIA50266205031651OWNERSHIP/RENTAL OF 2 COMMERCIAL OFFICE BUILDINGSIAN/AUNRELATED22964212309952010.33330
ALLEN MEMORIAL HOSPITAL ORTHOPEDIC CO-MANAGEMENT CO LLC
1825 LOGAN AVEWATERLOOIA50703453237125ORTHOPEDIC MANAGEMENT & ADMINISTRATIVE SERVICESIAN/ARELATED2292039683000.20000
CENTRAL ILLINOIS CANCER CARE CENTER LLC
7309 N KNOXVILLEPEORIAIL61614261128108RADIATION THERAPYILN/ARELATED10316131886570010.50000
CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC
1200 PLEASANT STDES MOINESIA50309273625869CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICESIAN/ARELATED28102287957000.20000
DES MOINES PARKING ASSOCIATES
1200 PLEASANT STDES MOINESIA50309382622972PARKING DECK OPERATIONSIARELATED5408013772221011.00000CENTRAL IA HEALTH PROP CORP
DUBUQUE ENDOSCOPY CENTER LC
1515 DELHI STREET SUITE 500DUBUQUEIA52001201597161AMBULATORY SURGERY CENTERIARELATED660133210769010.51000THE FINLEY HOSPITAL
ENSEVA - HIAWATHA LLC
524 PARK ROADWATERLOOIA50704453437363COLLOCATION FACILITYIARELATED26242203353000.52000IOWA HEALTH SYSTEM
FINLEY DEPT OF SURGERY CO-MGMT CO LLC
350 N GRANDVIEW AVEDUBUQUEIA52001422808785SURGERY DEPARTMENT MANAGEMENT SERVICESIAN/ARELATED101716208966000.50000
FINLEYHARTIG HOMECARE LLC
703 MAIN STDUBUQUEIA52001421487138SALE/RENTAL OF MEDICAL EQUIPMENTIAN/ARELATED132479842404010.50000
HEALTH CARE AFFILIATES OF THE TRI-STATES LLC
350 N GRANDVIEW AVEDUBUQUEIA52001421428503PROVIDE ACCESS TO LICENSED SOFTWAREIAN/ARELATED14037010.50000
HEALTH ENTERPRISES VENTURES LC
4250 GLASS ROAD NECEDAR RAPIDSIA52402391894290INVESTMENT VEHICLE OWNING CLINICAL JVSIAN/AUNRELATED89797817011000.55670$57,299
HY-VEEIOWA HEALTH LC
5820 WESTOWN PARKWAYWEST DES MOINESIA50266263293530PRIMARY CARE CLINICIAN/ARELATED-17570544300010.50000
IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC
1200 PLEASANT STREETDES MOINESIA50309030482623OUTPATIENT DIAGNOSTIC IMAGINGIAN/ARELATED13234292917182010.50000
IOWA HEALTH SYSTEM CONTRACTING SERVICES LC
1200 PLEASANT STREETDES MOINESIA50309421511142GROUP PURCHASINGIAN/ARELATED477589415888961011.00000
LAKEVIEW SURGERY CENTER LC
1200 PLEASANT STREETDES MOINESIA50309421516120SURGERY CENTERIAN/ARELATED34436924825696010.50000
MEDICAL LABORATORIES OF EASTERN IOWA LC
1026 A AVE NECEDAR RAPIDSIA52402421359640MEDICAL LABORATORY SERVICESIAN/ARELATED664320870817010.50000
METRO MRI CENTER LIMITED PARTNERSHIP
615 VALLEY VIEW DRIVE SUITE 102MOLINEIL61265363710164PROVIDE MRI AND OTHER MEDICAL SERVICESILN/ARELATED6008761499952010.33970
MR ASSOCIATES LLP
1455 SHERMAN ROADHIAWATHAIA52233421260463OWN AND OPERATE MR UNITIAN/ARELATED25401431416839010.33330
NE IA PHYSICAL THERAPY AND SPORTS MEDICINE LLC
1825 LOGAN AVEWATERLOOIA50703202124978ATHLETIC TRAINING AND SPORTS MEDICINEIAN/ARELATED-4107001
ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC
1200 PLEASANT STREETDES MOINESIA50309421508092AMBULATORY SURGERY CENTERIAN/ARELATED33148583461181010.50000
PIERCE STREET SAME DAY SURGERY LC
2730 PIERCE STREETSIOUX CITYIA51104205895205AMBULATORY SURGERY CENTERIAN/ARELATED9318163357708010.50000
QUAD CITY AMBULATORY SURGERY CENTER LLC
520 VALLEY VIEW DRIVE SUITE 300MOLINEIL61265364471903AMBULATORY SURGERY CENTER.ILN/ARELATED2557653500259010.50000
REHABILITATION THERAPY SERVICES LLC
416 ST MARKS CT 110PEORIAIL61603810584193REHABILATION THERAPYILRELATED4487321397476010.60030METHODIST MEDICAL CENTER OF ILLINOIS
THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC
1075 FIRST AVENUE SECEDAR RAPIDSIA52403721550812AMBULATORY SURGERY CENTER.IAN/ARELATED33103837115889010.50000
TRINITY BETTENDORF ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
4500 UTICA RIDGE RDBETTENDORFIA52722272562753ORTHOPEDIC SERVICE LINES ADMINISTRATIVE SERVICESIAN/ARELATED175377118891010.50000
TRI-WEBSTER LC
1610 COLLINS STWEBSTER CITYIA50595010740062MEDICAL BUILDING AND SURROUNDING PROPERTYIAN/ARELATED1107381715230010.50000
WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
1660 60TH STREETWEST DES MOINESIA50266271414600ORTHOPEDIC SERVICE LINES MANAGEMENTIAN/ARELATED24430626600010.20000
WEST LAKES MEDICAL EQUIPMENT LLC
5950 UNIVERSITY AVENUE SUITE 321WEST DES MOINESIA50266263300536MEDICAL EQUIPMENT SALES AND RENTALIAN/AUNRELATED59770171967010.50000$59,770
WEST LAKES SLEEP CENTER LLC
5950 UNIVERSITY AVENUE SUITE 2WEST DES MOINESIA50266263193923SLEEP DISORDER DIAGNOSTIC TESTING FACILITYIAN/ARELATED92541318508010.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
BROADBAND INC
1200 PLEASANT STDES MOINESIA50309273819741INFORMATION TECHNOLOGY MGMT.IAIHSC338870132386411.00000
CHARITABLE REMAINDER UNITRUST #1
INVESTMENTIASLHCFT
CHARITABLE REMAINDER UNITRUST #2
INVESTMENTIASLHCFT
CHARITABLE REMAINDER UNITRUST #3
INVESTMENTIASLHCFT
CHARITABLE REMAINDER UNITRUST #6
INVESTMENTIASLHCFT
IOWA HEALTH SYSTEM 457 DEF COMP PLAN
1415 WOODLAND AVE 2ND FLDES MOINESIA50309421435199INVESTMENTIAIHST26608745462701.00000
METHODIST HEALTH VENTURES INC
PO BOX 87PEORIAIL61650371140939PHARMACY/OFFICE STAFFINGILMHSCC86856624373931.00000
MEDIMORE INC
1200 PLEASANT STDES MOINESIA50309421414390MANAGED CAREIAIHSC2101701.00000
METHODIST PHYSICIAN SERVICES INC
PO BOX 87PEORIAIL61650363858550MEDICAL SERVICESILMHVIC1190867113059151.00000
PRECEDENCE INC
4622 PROGRESS DRIVE STE ADAVENPORTIA52807371288604MANAGED MENTAL CAREIARYCC5065344356571.00000
PROVIDER RESOURCE MANAGEMENT INC
PO BOX 87PEORIAIL61650371223550RESOURCE MANAGEMENTILMHSCC574271.00000
RURAL IOWA SPECIALTY PHYSICIAN CONSORTIUM INC
700 E UNIVERSITY AVEDES MOINESIA50316261271143SPECIALTY PHYSICIANS MEDICAL CAREIACIHCC4818601980550.57000
STL HEALTH RESOURCES CO
1026 A AVE NECEDAR RAPIDSIA52402421193499PHYSICIAN OFFICE RENTALIASLMHC32212955775051.00000
TRIMARK PHYSICIANS GROUP INC
802 KENYON ROADFORT DODGEIA50501421335554MEDICAL CLINICSIATHSC442162471.00000
TRINITY HEALTH ENTERPRISES INC
2701 17TH STROCK ISLANDIL61201363320141RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACYILTRHSC329583229574651.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CENTRAL ILLINOIS CANCER CARE CENTER LLC
R950000BASED ON GAAP, CASH, AND/OR FMV.
REHABILITATION THERAPY SERVICES LLC
R240000BASED ON GAAP, CASH, AND/OR FMV.
SELF INSURANCE TRUST AGREEMENT EST BY MMCI
C3000000BASED ON GAAP, CASH, AND/OR FMV.

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierSECTION 512(B)(13) CONTROLLED ENTITYIdentifier
Return ReferenceSCHEDULE R, PART II, COLUMN (G)ReturnReference
ExplanationTHE ORGANIZATION IS A MEMBER OF A CONSOLIDATED HEALTH SYSTEM AND HAS A COMMON PARENT ORGANIZATION, "IOWA HEALTH SYSTEM." FOR ENTITIES THAT ARE PART OF THE CONSOLIDATED HEALTH SYSTEM (WITH COMMON CONTROL) THE ATTRIBUTION RULES OF IRC SECTION 318 APPLY; MEANING THAT ALL ORGANIZATIONS ARE DEEMED TO HAVE CONTROL OF THE ORGANIZATIONS OWNED BY THE CONTROLLING ORGANIZATION. AS SUCH, WE ARE REPORTING ALL RELATED ORGANIZATIONS OF THE HEALTH SYSTEM IN PARTS II, III & IV. FOR PART V REPORTING, THE TRANSACTIONS DISCLOSED ARE THOSE BETWEEN THE DIRECTLY CONTROLLED PARENT-SUBSIDIARY ONLY.Explanation

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