2012-11-14T07:35:24-06:00 2011-12-31 990 2011-01-01 370661223 METHODIST MEDICAL CENTER OF ILLINOIS METH 3096725914 221 NE GLEN OAK AVE PEORIA IL 616360002 ROBERT A QUIN 3096724893 2012-10-16 2011 2016-02-24 21:20:13Z DEBBIE SIMON 221 NE GLEN OAK AVE PEORIA IL 616360002 427948799 0 X WWW.MYMETHODIST.NET X 1898 IL WE ARE COMMITTED TO DELIVERING OUTSTANDING HEALTHCARE. PERIOD. 10 4 3595 240 4085867 648476 1441759 1115092 362131206 374216858 -6957243 6073820 3167780 7444979 359783502 388850749 650000 1229963 0 0 168178915 178149213 0 0 0 185980469 205135403 354809384 384514579 4974118 4336170 463563224 433984380 293639417 314870159 169923807 119114221 X WE ARE COMMITTED TO DELIVERING OUTSTANDING HEALTHCARE. PERIOD. 0 0 355214966 1229963 381661837 PLEASE SEE COMMUNITY BENEFIT STATEMENT IN SCHEDULE O. 355214966 1 1 0 1 0 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 0 0 0 1 0 0 3595 1 1 1 0 0 0 0 0 0 0 0 0 X 10 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA IL X X TONY MOORE 3096725914 221 NORTHEAST GLEN OAK AVE PEORIA IL 61636 BRUCE ALKIRE 1.00 X 0 0 0 W MICHAEL BRYANT TO 072011 40.00 X X 547073 0 139174 BRIAN COHEN MD 1.00 X 419193 0 58001 JOHN ERWIN PHD 1.00 X 0 0 0 PETER JOHNSEN PHD FR 062011 1.00 X 0 0 0 ALEXIS KHAZZAM 1.00 X X 0 0 0 KEITH KNEPP MD FR 062011 1.00 X 245390 0 14665 THOMAS MULVEY MD TO 052011 1.00 X 0 0 0 MARK PETERSEN TO 052011 1.00 X 0 0 0 SCOTT REID DO 1.00 X 0 0 0 DEBORAH SIMON FR 072011 40.00 X X 434149 0 146051 DEVENDRA TRIVEDI MD 1.00 X X 0 3688 0 CALVIN MACKAY TO 072011 40.00 X 511771 0 78421 ROBERT QUIN FR 072011 40.00 X 254512 0 49330 RICK ANDERSON 40.00 X 372503 0 82040 ERICK LAINE 40.00 X 311128 0 39284 ALEXANDER ADLER 40.00 X 663591 0 43324 CHARLES EGLEY 40.00 X 647268 0 45707 KISHORE KARAMCHANDANI 40.00 X 621802 0 11094 JOEL KUPFER 40.00 X 672313 0 16576 DWAYNE MCQUITTY 40.00 X 930722 0 20600 6631415 3688 744267 234 0 1 0 METHODIST PHYSICIAN SERVICES PO BOX 87 PEORIA IL 61650 CONTRACT EMPLOYEES 11908671 MCKESSON TECHNOLOGIES INC PO BOX 98347 CHICAGO IL 606938347 IT SUPPLIER 5323936 PROFESSIONAL THERAPY SERVICES INC 2810 FRANK SCOTT PRKWAY WEST SUITE BELLEVILLE IL 62223 PHYSICAL THERAPY 3426483 PHILIPS MEDICAL SYSTEMS PO BOX 100355 ATLANTA GA 303840355 MAINTENANCE CONTRACT 2817296 U OF I COLLEGE OF MEDICINE AT PEORIA PO BOX 4196 SPRINGFIELD IL 62708 PHYSICIAN SERVICES 2432051 33 639574 92085 383433 1115092 NET PATIENT REVENUE 621990 244348434 244348434 LABORATORY SERVICES 621510 113898235 111184110 2714125 EDUCATION REVENUE 900099 7783725 7783725 SUBS & JOINT VENTURES 900099 3727096 3695186 31910 MANAGEMENT, IT AND SUP 561000 1623281 1623281 2836087 1472521 916659 446907 374216858 5053194 5053194 40020757 59300 38985343 74088 1035414 -14788 1020626 1020626 42284 38619 3665 3665 FMV PURCHASE ACCOUNTIN 900001 3999911 3999911 MISCELLANEOUS REVENUE 900099 1696765 1577217 119548 CAFETERIA 722210 984382 984382 760256 456631 303625 7441314 388850749 377129063 4085867 6520727 1229963 1229963 2693889 2693889 1393634 1393634 134655500 126102128 8553372 8740086 8184912 555174 21823758 20437503 1386255 8842346 8280676 561670 776819 776819 210788 210788 71880 71880 326715 326715 53274343 46455918 6818425 1503453 153666 1349787 34976304 34011267 965037 4291272 2972365 1318907 11448215 11075091 373124 791744 504322 287422 3331714 3331714 22559277 21924078 635199 9225980 9225980 INCOME TAXES 896817 896817 BAD DEBT EXPENSE 23340515 23340515 MEDICAL SUPPLIES 19456834 19456834 MEDICAID PROVIDER ASSES 9314563 9314563 9338170 9213471 124699 384514579 355214966 29299613 0 42770819 17420123 47489944 56662570 1257735 9570726 2926623 3166168 6949638 7010411 177508730 5364992 181458105 172143738 148528088 130444371 23626158 29068326 1681997 1500750 6874117 6997197 463563224 433984380 32604005 33398819 14327262 13427931 54400640 109180000 49565003 896645 25666897 27934212 117075610 130032552 293639417 314870159 X 156493661 106203404 9523186 8990848 3906960 3919969 169923807 119114221 463563224 433984380 X 4336170 -55145756 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 71880 71880 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: FEES PAID FOR LOBBYING FOR HOSPITAL RELATED ISSUES. 13430146 875797 -485319 887357 22449 12910818 12893992 907320 1009081 1380247 13430146 11526661 887757 1625606 1146032 12893992 15826355 1478221 -4720647 1057268 11526661 0.00000 0.30360 0.69640 0 0 1458352 1458352 106019629 1410217 104609412 745530 19016 726514 54909768 3021610 51888158 14375451 914149 13461302 172143738 METHODIST MEDICAL CENTER FOUNDATION 15774707 F AMERICAN HEALTHCARE SYSTEM 1226000 F CENTRAL ILLINOIS WORK INJURY RESOURCE 650396 F GREATER PEORIA SPECIALTY HOSPITAL 3974796 F CENTRAL ILLINOIS ENDOSCOPY CENTER 3699454 F CENTRAL ILLINOIS CANCER CARE CENTER 2347764 F REHABILITATION THERAPY SERVICES 1395209 F 29068326 DUE TO AFFILIATES 137774 SELF-INSURANCE RESERVE 18967790 LONG-TERM RETENTION INCENTIVES 3240781 ASBESTOS REMOVAL LIABILITY 1023680 DEFINED BENEFIT RETIREMENT PLAN LIA 106662527 130032552 388850749 384514579 4336170 -8519067 -46626689 -55145756 -50809586 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. CENTRAL AMERICA/CARIBBEAN 0 0 INVESTMENTS 19452963 0 0 0 0 0 0 19452963 0 19452963 0 0 0 0 0 0 1 1 X 1 X 1 X 1 1 1 0 1 1 7179784 7179784 0.01990 59582618 41837179 17745439 0.04910 66762402 41837179 24925223 0.06900 4211263 2327415 1883848 0.00520 5317227 4338503 978724 0.00270 9406160 7536712 1869448 0.00520 0 1711021 0 1711021 0.00470 20645671 14202630 6443041 0.01780 87408073 56039809 31368264 0.08680 152000 152000 0.00040 50000 50000 0.00010 277125 277125 0.00080 10000 10000 0.00000 489125 489125 0.00130 1 3499315 8748287 80065047 109143528 -29078481 X 1 1 2 1 METHODIST MEDICAL CENTER OF ILLINOIS

221 NE GLEN OAK AVENUE PEORIA IL 61636

X X X X 2 GREATER PEORIA SPECIALTY HOSPITAL

500 W ROMEO B GARRETT AVE PEORIA IL 61605

X LONG TERM ACUTE CARE METHODIST MEDICAL CENTER OF ILLINOIS 1 1 1 200.000000000000 1 200.000000000000 1 X X X 1 1 X X X 1 X X X X 1 X X X X X X X 1 X X 0 1 GREATER PEORIA SPECIALTY HOSPITAL 2 1 1 200.000000000000 1 200.000000000000 1 X X X 1 1 X X X 1 X X X X 1 X X X X X X X 0 X X 0 1 29 METHODIST EAST CAMPUS

415 ST MARKS COURT PEORIA IL 61603

COLLGE OF NURSING; DAYCARE; ADMINISTRATION METHODIST PHYSICIANS MEDICAL PLAZA

214 NE GLEN OAK AVE PEORIA IL 61636

PHYSICIAN OFFICES; SLEEP LAB METHODIST HEART LUNG AND VASCULAR INST

112 CRESCENT AVE PEORIA IL 61603

PHYSICIAN OFFICES; MEDICAL IMAGING; CARDIOLOGY METHODIST ATRIUM

900 MAIN STREET PEORIA IL 61602

PHYSICIAN OFFICES; REHABILITATION METHODIST FAMILY MEDICAL CENTER

815 MAIN STREET PEORIA IL 61602

PHYSICIAN OFFICES MMG AT FARMINGTON

158 E FULTON AVENUE FARMINGTON IL 61531

PHYSICIAN OFFICES METHODIST CENTER FOR INTEGRATIVE MED

9101 N ALLEN ROAD PEORIA IL 61615

PHYSICIAN OFFICES MMG AT CHILLICOTHE

525 SWEETBRIAR CHILLICOTHE IL 61523

PHYSICIAN OFFICES; REHABILITATION MMG AT METAMORA

901 W WALNUT METAMORA IL 61548

PHYSICIAN OFFICES MMG AT PRINCEVILLE

223 EAST MAIN STREET PRINCEVILLE IL 61559

PHYSICIAN OFFICES METHODIST NORTH

2338 WEST SUDS PKWY PEORIA IL 61615

PHYSICIAN OFFICES; REHABILITATION; MEDICAL IMAGING; CARDIOLOGY MMG AT CANTON

2076 N MAIN STREET CANTON IL 61520

PHYSICIAN OFFICES MMG AT LACON

1112 E FIFTH STREET LACON IL 61540

PHYSICIAN OFFICES MMG AT MT HAWLEY - FAMILY MEDICINE

7725 N KNOXVILLE AVE PEORIA IL 61614

PHYSICIAN OFFICES MMG AT EAST PEORIA

200 RIVER ROAD EAST PEORIA IL 61611

PHYSICIAN OFFICES MMG AT KNOXVILLE

2709 N KNOXVILLE AVE PEORIA IL 61604

PHYSICIAN OFFICES METHODIST GLEN OAK MEDICAL CENTER

120 NE GLEN OAK AVE PEORIA IL 61602

ADMINISTRATION MMG AT STERLING

3335 N STERLING AVE PEORIA IL 61615

PHYSICIAN OFFICES METHODIST MEDPOINTE AT PEORIA

8914 N KNOXVILLE AVE PEORIA IL 61615

PHYSICIAN OFFICES METHODIST AT MORTON

1909 N MORTON AVE MORTON IL 61550

PHYSICIAN OFFICES; REHABILITATION METHODIST AT PEKIN

1800 BROADWAY PEKIN IL 61554

PHYSICIAN OFFICES MMG AT PEARTREE

6831 N PEAR TREE LANE PEORIA IL 61615

PHYSICIAN OFFICES MMG ON SOUTH JEFFERSON

2127 SE JEFFERSON PEORIA IL 61605

PHYSICIAN OFFICES MMG CARDIOLOGY

765 KELLOGG STREET GALESBURG IL 61401

PHYSICIAN OFFICES CENTRAL ILLINOIS CANCER CARE CENTER

7309 N KNOXVILLE AVE PEORIA IL 61614

OUTPATIENT RADIATION THERAPY CENTRAL ILLINOIS ENDOSCOPY CENTER

1001 MAIN ST SUITE 500B PEORIA IL 61606

OCCUPATIONAL ENDOSCOPY SERVICES ILLINOIS WORK INJURY RESOURCE CENTER

736 SW WASHINGTON ST SUITE 2 PEORIA IL 61602

OCCUPATIONAL MEDICINE MMG AT WASHINGTON

205 CUMMINGS LANE WASHINGTON IL 61571

PHYSICIAN OFFICES; REHABILITATION REHABILITATION THERAPY SERVICES

2988 COURT STREET PEKIN IL 61554

REHABILITATION 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. METHODIST MEDICAL CENTER OF ILLINOIS 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). GREATER PEORIA SPECIALTY HOSPITAL 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. 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 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 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 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. 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. REPORTS FILED WITH STATES PART VI, LINE 7 IL 1 BRADLEY UNIVERSITY 1501 WEST BRADLEY PEORIA IL 61625 370661494 501(C)(3) 200000 CAPITAL BUILDING CAMPAIGN HEARTLAND COMMUNITY HEALTH CLINIC 1701 WEST GARDEN ST PEORIA IL 61605 371270794 501(C)(3) 10000 PROGRAM SUPPORT HEARTLAND COMMERCE & ECONOMIC DEVELOPMENT FOUNDATION 100 SW WATER ST PEORIA IL 61602 371271212 501(C)(3) 152000 PROGRAM SUPPORT MORTON ECONOMIC DEVELOPMENT COUNCIL 415 W JEFFERSON ST MORTON IL 61550 261927395 501(C)(6) 25000 PROGRAM SUPPORT PEORIA CHARTER SCHOOL INITIATIVE 100 SW WATER ST PEORIA IL 61602 270681058 501(C)(3) 25000 PROGRAM SUPPORT PEORIA DISTRICT 150 FOUNDATION 3202 N WISCONSIN AVE PEORIA IL 61603 364200821 501(C)(3) 15000 PROGRAM SUPPORT UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE PO BOX 1649 PEORIA IL 61656 376000511 501(C)(3) 100000 PROGRAM SUPPORT QUALITY QUEST FOR HEALTH 416 MAIN ST SUITE 717 PEORIA IL 61602 263896631 501(C)(3) 250000 PROGRAM SUPPORT HEART OF ILLINOIS UNITED WAY 509 W HIGH STREET PEORIA IL 61605 370661504 501(C)(3) 79000 PROGRAM SUPPORT BRADLEY UNIVERSITY 1501 WEST BRADLEY PEORIA IL 61625 370661494 501(C)(3) 142060 PROGRAM SUPPORT EASTER SEALS UCP 501 E ARMSTRONG AVE PEORIA IL 61603 370686250 501(C)(3) 26000 PROGRAM SUPPORT ICC EDUCATIONAL FOUNDATION 1 COLLEGE DRIVE EAST PEORIA IL 61635 371207827 501(C)(3) 9400 PROGRAM SUPPORT KOMEN PEORIA RACE FOR THE CURE 4700 N UNIVERSITY AVE PEORIA IL 61614 371286285 501(C)(3) 8500 EVENT SPONSOR LINCOLN FOUNDATION FOR PERFORMANCE EXCELLANCE 1415 W DIEHL RD NAPERVILLE IL 60563 363952696 501(C)(3) 5000 EVENT SPONSOR PEORIA ART GUILD 203 HARRISON CT PEORIA IL 61602 237063821 501(C)(3) 5000 EVENT SPONSOR PEORIA PROMISE FOUNDATION 331 FULTON ST PEORIA IL 61602 134353454 501(C)(3) 25000 PROGRAM SUPPORT WD BOYCE COUNCIL 1014 NE MADISON AVE PEORIA IL 61603 370661188 501(C)(3) 19500 PROGRAM SUPPORT ILLINOIS CANCER CARE FOUNDATION 8940 N WOOD SAGE RD PEORIA IL 61615 371331017 501(C)(3) 5000 EVENT SPONSOR JUVENILE DIABETES RESEARCH FOUNDATION 11 S LASALLE ST CHICAGO IL 60603 231907729 501(C)(3) 8000 EVENT SPONSOR COMMUNITY FOUNDATION OF ILLINOIS 331 FULTON ST SUITE 310 PEORIA IL 61602 371283245 501(C)(3) 5000 EVENT SPONSOR PUBLIC EMPLOYEES - COMMUNITY CONCERNS 419 FULTON ST SUITE 207 PEORIA IL 61602 376001761 501(C)(3) 5000 EVENT SPONSOR WASHINGTON COMMUNITY HIGH SCHOOL 115 BONDURANT ST WASHINGTON IL 61571 376004693 501(C)(3) 12500 PROGRAM SUPPORT HEART OF ILLINOIS SENIOR GAMES 2218 N PROSPECT PEORIA IL 61603 376001768 501(C)(3) 5000 EVENT SPONSOR 22 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE 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. X X X X X 0 1 0 0 0 0 0 0 0 W MICHAEL BRYANT TO 072011 417845 0 0 0 129228 0 123386 0 15788 0 686247 0 79088 0 BRIAN COHEN MD 396025 0 0 0 23168 0 43346 0 14655 0 477194 0 0 0 KEITH KNEPP MD FR 062011 227645 0 0 0 17745 0 225 0 14440 0 260055 0 0 0 DEBORAH SIMON FR 072011 329949 0 0 0 104200 0 134809 0 11242 0 580200 0 0 0 CALVIN MACKAY TO 072011 300710 0 0 0 211061 0 67425 0 10996 0 590192 0 103700 0 ROBERT QUIN FR 072011 193533 0 0 0 60979 0 40572 0 8758 0 303842 0 0 0 RICK ANDERSON 311920 0 0 0 60583 0 66814 0 15226 0 454543 0 0 0 ERICK LAINE 269920 0 0 0 41208 0 24125 0 15159 0 350412 0 0 0 ALEXANDER ADLER 645671 0 0 0 17920 0 28849 0 14475 0 706915 0 0 0 CHARLES EGLEY 607336 0 0 0 39932 0 31232 0 14475 0 692975 0 0 0 KISHORE KARAMCHANDANI 599687 0 0 0 22115 0 6125 0 4969 0 632896 0 0 0 JOEL KUPFER 648845 0 0 0 23468 0 6125 0 10451 0 688889 0 0 0 DWAYNE MCQUITTY 891414 0 0 0 39308 0 6125 0 14475 0 951322 0 0 0 PART I, LINE 1A PART I, LINE 4B THE 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. ILLINOIS FINANCE AUTHORITY 861091967 2011-05-12 63780000 SEE PART VI 0 0 0 ILLINOIS FINANCE AUTHORITY 861091967 45203HAE2 2011-05-12 51220000 SEE PART VI 0 0 0 72506422 55540033 471772 16494617 2011 1 0 1 1 62036639 661528 13293368 48081744 2011 0 0 1 1 0 0 1 1 0 0.00000 0.00000 0.00000 1 0 0 1 1 0 0.00000 0.01810 0.01810 1 0 0 1 MORGAN STANLEY CAPITAL SECURITIES 33.500000000000 0 1 0 0 1 0 1 1 MORGAN STANLEY CAPITAL SECURITIES 33.500000000000 0 1 0 0 1 X PART I, COLUMN (F) DESCRIPTION OF PURPOSE LINE A - REFUND THE ILLINOIS FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS, (METHODIST MEDICAL CENTER) SERIES 1998. LINE B - REFINANCE BANK LINE OF CREDIT. DEBBIE ANDERSON FAMILY MEMBER OF KEY EMPLOYEE RICK ANDERSON 39171 EMPLOYEE OF METHODIST MEDICAL CENTER OF ILLINOIS 0 ELYSE BRYANT FAMILY MEMBER OF OFFICER W. MICHAEL BRYANT 10446 EMPLOYEE OF METHODIST MEDICAL CENTER OF ILLINOIS 0 MARION WILLEMSEN-REID FAMILY MEMBER OF BOARD MEMBER SCOTT REID 67578 EMPLOYEE OF METHODIST MEDICAL CENTER OF ILLINOIS 0 MID ILLINI SURGICAL ASSOCIATES COMMON BOARD MEMBER/OFFICER 483194 PURCHASED SERVICES 0 PEORIA METRO CONSTRUCTION COMMON BOARD MEMBER/OFFICER 336312 CONTRACTOR SERVICES 0 PEORIA-TAZEWELL PATHOLOGY GROUP COMMON BOARD MEMBER/OFFICER 534511 PURCHASED SERVICES 0 PROGRAM SERVICE ACCOMPLISHMENTS PART III, LINE 4A THE 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 6 METHODIST HEALTH SERVICES CORPORATION, A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A METHODIST HEALTH SERVICES CORPORATION, AS THE SOLE MEMBER, MAY APPOINT AND REMOVE ALL BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B METHODIST 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 11 THE 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 12C THE 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 15 THE 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 19 IOWA 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. ALLEN COLLEGE 1825 LOGAN AVENUE WATERLOO IA 50703 421351526 EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS IA 501(C)(3) 170(B)(1) (A)(II) ALLEN HEALTH SYSTEMS INC 1 ALLEN HEALTH SYSTEMS INC 1825 LOGAN AVENUE WATERLOO IA 50703 421201924 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM 1 ALLEN MEMORIAL HOSPITAL CORPORATION 1825 LOGAN AVENUE WATERLOO IA 50703 420698265 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) ALLEN HEALTH SYSTEMS INC 1 ANAMOSA AREA AMBULANCE SERVICE 101 GRANT WOOD DRIVE ANAMOSA IA 52205 421466284 PROVIDE AMBULANCE SERVICES IA 501(C)(3) 509(A)(2) ST LUKE'SJONES REGIONAL MEDICAL CENTER 1 CENTRAL IOWA HEALTH PROPERTIES CORPORATION 1200 PLEASANT STREET DES MOINES IA 50309 421233759 PROPERTY HOLDING COMPANY IA 501(C)(2) CENTRAL IOWA HEALTH SYSTEM 1 CENTRAL IOWA HEALTH SYSTEM 1200 PLEASANT STREET DES MOINES IA 50309 421189791 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM 1 CENTRAL IOWA HOSPITAL CORPORATION 1200 PLEASANT STREET DES MOINES IA 50309 420680452 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) CENTRAL IOWA HEALTH SYSTEM 1 FINLEY TRI-STATES HEALTH GROUP INC 350 NORTH GRANDVIEW AVENUE DUBUQUE IA 52001 421307495 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM 1 HNC SERVICES 1200 PLEASANT STREET DES MOINES IA 50309 270987243 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(2) IOWA HEALTH SYSTEM 1 INTEGRATED CARE ORGANIZATION 1200 PLEASANT STREET DES MOINES IA 50309 274665007 PROMOTE, SUPPPORT THE INTERESTS AND PURPOSES OF AFFILIATES' HOSPITALS IA 501(C)(3) 509(A)(2) IOWA HEALTH SYSTEM 1 INTRUST 11333 AURORA AVENUE URBANDALE IA 50322 421477471 HOME HEALTH CARE IA 501(C)(3) 509(A)(2) IOWA HEALTH SYSTEM 1 IOWA HEALTH FOUNDATION 2700 GRAND AVE SUITE 109 DES MOINES IA 50312 421467682 CHARITABLE FUNDRAISING IA 501(C)(3) 509(A)(3), TYPE III CENTRAL IOWA HEALTH SYSTEM 1 IOWA HEALTH SYSTEM 1200 PLEASANT STREET DES MOINES IA 50309 421435199 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III 1 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 8101 BIRCHWOOD COURT JOHNSTON IA 50131 421411630 PRIMARY HEALTH CARE SERVICES IA 501(C)(3) 170(B)(1) (A)(III) IOWA HEALTH SYSTEM 1 MEMORIAL FOUNDATION OF ALLEN HOSPITAL 1825 LOGAN AVENUE WATERLOO IA 50703 421201138 CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) ALLEN HEALTH SYSTEMS INC 1 METHODIST HEALTH SERVICES CORPORATION 221 NORTHEAST GLEN OAK AVENUE PEORIA IL 61636 371111135 HEALTHCARE IL 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 1 METHODIST MEDICAL CENTER FOUNDATION 221 NORTHEAST GLEN OAK AVENUE PEORIA IL 61636 510186460 FUNDRAISING IL 501(C)(3) 170(B)(1) (A)(VI) METHODIST HEALTH SERVICES CORPORATION 1 METHODIST MEDICAL CENTER OF ILLINOIS 221 NORTHEAST GLEN OAK AVENUE PEORIA IL 61636 370661223 HEALTHCARE IL 501(C)(3) 170(B)(1) (A)(III) METHODIST HEALTH SERVICES CORPORATION 1 METHODIST 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