DECATUR MEMORIAL HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- DECATUR MEMORIAL HOSPITAL (EIN 37-0661199)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-07-31
- IRS object ID
- 201232139349300308
- Schema version
- 2010v3.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-07-31T08:09:52-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LA ROSA & CO LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 N MERIDIAN ST STE 328 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370661199 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DECA | NameControl |
| Phone | 2178762107 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 N EDWARD ST | AddressLine1 |
| City | DECATUR | City |
| State | IL | State |
| ZIP Code | 625264163 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GARY PEACOCK | Name |
| Title | SENIOR VICE PRESIDENT & CFO | Title |
| Phone | 2178762107 | Phone |
| Date Signed | 2012-06-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL P MERKEL | Name |
| Phone | 3176348777 | Phone |
| Date Prepared | 2012-07-16 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KEN SMITHMIER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 N EDWARD ST | AddressLine1 |
| City | DECATUR | City |
| State | IL | State |
| ZIP Code | 62526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 313991170 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.DMHCARES.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1916 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | DMH SERVES THE HEALTHCARE NEEDS OF THE PEOPLE OF CENTRAL ILLINOIS THROUGH OPERATION OF A 280-BED ACUTE CARE HOSPITAL AND RELATED FACILITIES PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES. (SCHEDULE 0). | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2586 | TotalNbrEmployees |
| Total Nbr Volunteers | 603 | TotalNbrVolunteers |
| Total Gross UBI | 4733105 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 494026 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3148476 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3264148 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 277829235 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 265058381 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 11659172 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6572691 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 9920648 | OtherRevenuePriorYear |
| Other Revenue Current Year | 10521720 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 302557531 | TotalRevenuePriorYear |
| Total Revenue Current Year | 285416940 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1105289 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1351778 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 129575694 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 132904012 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 158477540 | OtherExpensePriorYear |
| Other Expenses Current Year | 153506049 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 289158523 | TotalExpensesPriorYear |
| Total Expenses Current Year | 287761839 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 13399008 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2344899 | RevenuesLessExpensesCY |
| Total Assets BOY | 390798888 | TotalAssetsBOY |
| Total Assets EOY | 362023608 | TotalAssetsEOY |
| Total Liabilities BOY | 123359579 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 102796329 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 267439309 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 259227279 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | DMH SERVES THE HEALTHCARE NEEDS OF THE PEOPLE OF CENTRAL ILLINOIS THROUGH OPERATION OF A 280-BED ACUTE CARE HOSPITAL AND RELATED FACILITIES PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES. (SCHEDULE 0). | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 124774565 | Expense |
| Grants | 1313778 | Grants |
| Revenue | 163750563 | Revenue |
| Description | OUTPATIENT SERVICES: DMH PROVIDES A FULL RANGE OF OUTPATIENT SERVICES (DIAGNOSTIC TESTS AND MEDICAL PROCEDURES NOT REQUIRING AN OVERNIGHT STAY). DMH DEPARTMENTS PROVIDING THE MOST SUBSTANTIAL SERVICES DURING THE YEAR INCLUDED CARDIOLOGY, LABORATORY, RADIOLOGY, ONCOLOGY, PHYSICAL THERAPY, SLEEP DISORDERS, SURGERY, GERIATRIC AND EMERGENCY MEDICINE. DURING THE FISCAL YEAR, PATIENTS MADE APPROXIMATELY 49,000 VISITS TO DMH'S EMERGENCY CARE CENTER AND RECEIVED APPROXIMATELY 279,000 OUTPATIENT TESTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 56911847 | Expense |
| Revenue | 74689476 | Revenue |
| Description | INPATIENT SERVICES: WITH 279 BEDS CURRENTLY IN SERVICE, DMH PROVIDED 49,996 DAYS OF INPATIENT CARE DURING THE FISCAL YEAR. DMH'S INPATIENTS INCLUDED THE YOUNG (NEWBORN INFANTS IN THE LEVEL I OR LEVEL II NURSERY), THE OLD (FOR EXAMPLE, PERSONS RECEIVING CARE THROUGH DMH'S SENIOR HEALTH AND WELLNESS CENTER OF EXCELLENCE), AND THE IN-BETWEEN. AREAS OF INPATIENT SERVICE INCLUDED GENERAL MEDICAL, SURGERY, ORTHOPEDICS, CARDIOLOGY, GERIATRICS, PEDIATRICS, INTENSIVE CARE, DIALYSIS, OBSTETRICS AND GYNECOLOGY, NURSERY, LONG-TERM CARE, AND TELEMETRY MONITORING. (CONTINUED ON SCHEDULE O). INPATIENT CARE WAS PROVIDED BY DMH'S TEAM OF HIGHLY-QUALIFIED, TALENTED STAFF (TODAY NUMBERING OVER 2,300 IN ALL), INCLUDING HOSPITALISTS, NURSES, AIDES, DIETICIANS, CASE MANAGEMENT STAFF, SOCIAL WORKERS, AND CHAPLAINS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 49080938 | Expense |
| Revenue | 31970610 | Revenue |
| Description | PROFESSIONAL SERVICES: AS THE EMPLOYER OF APPROXIMATELY 79 PHYSICIANS PLUS A COMPLEMENT OF OTHER PROVIDERS (PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS), DMH OFFERS A WIDE RANGE OF PROFESSIONAL PATIENT CARE AT APPROXIMATELY 39 OFFICES LOCATED THROUGHOUT THE SERVICE AREA. THESE SITES INCLUDE THREE "EXPRESS CARE" LOCATIONS OFFERING CARE FOR CASES THAT ARE TIME-SENSITIVE BUT NOT LIFE-THREATENING OR EMERGENT, AS WELL AS TWO CLINCS LOCATED IN AREA RETAILERS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 202014 | Expense |
| Grants | 38000 | Grants |
| Description | EDUCATION AND OUTREACH: DMH HAS CONCLUDED THAT, TO FULFILL ITS MISSION OF IMPROVING HEALTH, IT MUST BECOME INVOLVED IN THE EDUCATION, AWARENESS AND PREVENTION OF DISEASE AND ILLNESS THAT NEGATIVELY IMPACT HEALTH STATUS. IN AN EFFORT TO GIVE COMMUNITY RESIDENTS THE TOOLS NECESSARY TO MAKE HEALTHY LIFESTYLE DECISIONS, DMH SEEKS OUT OPPORTUNITIES AND ACTIVELY INVOLVES ITSELF IN THE LOCAL COMMUNITY, THROUGH MEASURES RANGING FROM PROGRAMS FOR LOCAL SCHOOLS TO DMH'S POPULAR "PRIME TIME" PROGRAM FOR SENIORS. IN RECENT YEARS, DMH HAS PARTICIPATED IN VARIOUS COMMUNITY HEALTH NEEDS ASSESSMENT INITIATIVES, AS A RESULT OF WHICH DMH HAS IDENTIFIED SIGNIFICANT CONCERNS SUCH AS ACCESS TO PRIMARY CARE PHYSICIANS AND SPECIALISTS, CARDIAC SCREENINGS, OBESITY, INDIGENT OUTPATIENT LONGITUDINAL CARE, DIABETES EDUCATION, AND INFANT MORTALITY. WITH THE LEADERSHIP OF A MULTIDISCIPLINARY COMMUNITY BENEFITS COMMITTEE, INCLUDING PARTICIPATION BY A DIVERSE GROUP OF COMMUNITY REPRESENTATIVES, DMH HAS TAKEN A PRIMARY ROLE IN CONFRONTING THESE ISSUES. AS JUST ONE EXAMPLE, DMH IS SPONSORING A LOCAL VERSION OF THE PREVENTION PLAN CHALLENGE, A NATIONAL WELLNESS INITIATIVE THAT FOCUSES ON PREVENTIVE CARE TO HELP PEOPLE LIVE HEALTHIER AND LOWER HEALTHCARE COSTS WITHIN THE COMMUNITY; THROUGH THIS COMPETITION AMONG LOCAL EMPLOYERS, DMH HOPES TO SPUR COMPANIES TO BUILD HEALTHIER WORKFORCES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 202014 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 38000 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 230969364 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 156 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 2586 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBBIE BRAGG ACCOUNTING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2178762051 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 N EDWARD ST | AddressLine1 |
| City | DECATUR | City |
| State | IL | State |
| ZIP Code | 625264163 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| STEVEN SOBOL MD | ||||||||
| DIRECTOR/PHY | 40.00 | X | 1418805 | 0 | 17733 | |||
| KENNETH SMITHMIER | ||||||||
| DIRECTOR/PRE | 40.00 | X | 723753 | 0 | 26983 | X | ||
| LARRY ALTENBAUMER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JAMES DAHL PHD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| WALTER SMITH | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| PHILLIP N JONES | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JONATHON T LOCKE MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ROY MOSSER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| N DUANE NOLAND | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| THOMAS KOWA | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DAVID SMITH | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ROBIN KING | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| BRAD WIKE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| SCOTT G STRIGLOS | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DAVID TYROLT | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| RON DRANE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| PAULA EISSFELDT | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| EDWARD ELLIOT MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| TIMOTHY D STONE | ||||||||
| EXEC. VP/COO | 40.00 | 416515 | 0 | 15177 | X | |||
| MICHAEL ZIA MD | ||||||||
| VICE PRES. | 40.00 | 289229 | 0 | 14853 | X | |||
| DAVID OPPENLANDER | ||||||||
| SENIOR VP & | 40.00 | 267797 | 0 | 11123 | X | |||
| LINDA FAHEY | ||||||||
| VP/CHIEF NUR | 40.00 | 244093 | 0 | 4724 | X | |||
| STEVEN WEBER MD | ||||||||
| PHYSICIAN | 40.00 | 1154279 | 0 | 17058 | X | |||
| THOMAS FULBRIGHT MD | ||||||||
| PHYSICIAN | 40.00 | 834653 | 0 | 11610 | X | |||
| JOHN WATERS MD | ||||||||
| PHYSICIAN | 40.00 | 815127 | 0 | 13213 | X | |||
| MOHAMMED HASNAIN MD | ||||||||
| PHYSICIAN | 40.00 | 742148 | 0 | 16007 | X | |||
| TANSEL TURGUT MD | ||||||||
| PHYSICIAN | 40.00 | 689679 | 0 | 15874 | X | |||
| GARY G PEACOCK | ||||||||
| SR. VP & CFO | 40.00 | 132775 | 0 | 960 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7728853 | TotalReportableCompFromOrg |
| Total Other Compensation | 165315 | TotalOtherCompensation |
| Number Individuals GT100 K | 126 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DENMAN LINEN SERVICES | |||||
| 1801 N 43RD | QUINCY | IL | 62305 | LINEN SERVICES | 1180920 |
| CONSOCIATE GROUP | |||||
| 111 E DECATUR ST | DECATUR | IL | 62525 | INSURANCE SERV | 882458 |
| EXECUTIVE HEALTH RESOURCE | |||||
| PO BOX 822688 | PHILADELPHIA | PA | 19182 | CLAIMS REVIEW | 760801 |
| IL CARDIOVASCULAR & THORACIC | |||||
| PO BOX 6232 | BLOOMINGTON | IL | 61701 | MEDICAL SERVICE | 536341 |
| SODEXHO INC & AFFILIATES | |||||
| 4880 PAYSPHER CIRCLE | CHICAGO | IL | 60674 | CLEANING SERV | 483779 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 160 | NumberOfContractorsGT100K |
| Related Organizations | 288182 | RelatedOrganizations |
| Government Grants | 1933902 | GovernmentGrants |
| All Other Contributions | 1042064 | AllOtherContributions |
| Total Contributions | 3264148 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| INPATIENT, OUTPATIENT, & PHYS | 900099 | 264706282 | 264706282 |
| DECATUR DIGESTIVE DISEASE CTR | 621990 | 352099 | 352099 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 265058381 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4250403 | TotalRevenueColumn |
| Exclusion | $4,250,403 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 436347 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 436347 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 436347 | TotalRevenueColumn |
| Exclusion | $436,347 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 30594285 | Securities |
| Other | 302233 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 28265141 | Securities |
| Other | 309089 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2329144 | Securities |
| Other | -6856 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2322288 | TotalRevenueColumn |
| Exclusion | $2,322,288 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| OTHER EXEMPT FUNCTION INC | 900099 | 5352268 | 5352268 | |
| RETAIL PHARMACY | 446110 | 1736631 | 1736631 | |
| DURABLE MEDICAL EQUIPMENT | 446199 | 1482179 | 1482179 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1514295 | TotalRevenueColumn |
| Unrelated Business Revenue | 1514295 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 10085373 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 285416940 | TotalRevenueColumn |
| Related Or Exempt Function Income | 270410649 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4733105 | UnrelatedBusinessRevenue |
| Exclusion | $7,009,038 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1351778 | Total |
| Program Services | 1351778 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3346171 | Total |
| Program Services | 1442247 | ProgramServices |
| Management And General | 1903924 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8736800 | Total |
| Program Services | 8736800 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98026145 | Total |
| Program Services | 80860725 | ProgramServices |
| Management And General | 17165420 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1549003 | Total |
| Program Services | 1277756 | ProgramServices |
| Management And General | 271247 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14279105 | Total |
| Program Services | 11778682 | ProgramServices |
| Management And General | 2500423 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6966788 | Total |
| Program Services | 5746829 | ProgramServices |
| Management And General | 1219959 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1000349 | Total |
| Management And General | 1000349 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 732470 | Total |
| Management And General | 732470 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60202 | Total |
| Management And General | 60202 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20725998 | Total |
| Program Services | 10293903 | ProgramServices |
| Management And General | 10432095 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 891172 | Total |
| Program Services | 576033 | ProgramServices |
| Management And General | 315139 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53756125 | Total |
| Program Services | 50639573 | ProgramServices |
| Management And General | 3116552 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5059809 | Total |
| Program Services | 4690060 | ProgramServices |
| Management And General | 369749 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11388 | Total |
| Program Services | 11388 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10674314 | Total |
| Program Services | 6949563 | ProgramServices |
| Management And General | 3724751 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 739737 | Total |
| Program Services | 527624 | ProgramServices |
| Management And General | 212113 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 339673 | Total |
| Program Services | 173087 | ProgramServices |
| Management And General | 166586 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3763865 | Total |
| Program Services | 2450482 | ProgramServices |
| Management And General | 1313383 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21768321 | Total |
| Program Services | 13733634 | ProgramServices |
| Management And General | 8034687 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3251984 | Total |
| Program Services | 1325496 | ProgramServices |
| Management And General | 1926488 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBT | 20653164 | 20653164 | |
| STATE MEDICAID TAX | 5180063 | 5180063 | |
| MISCELLANEOUS EXPENSE | 4897415 | 2570477 | 2326938 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 287761839 | Total |
| Program Services | 230969364 | ProgramServices |
| Management And General | 56792475 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81562 | BOY |
| EOY | 8707 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39127888 | BOY |
| EOY | 20245027 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40037073 | BOY |
| EOY | 39437191 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3427292 | BOY |
| EOY | 3323072 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6534840 | BOY |
| EOY | 4750858 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 355445400 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 235350130 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127020676 | BOY |
| EOY | 120095270 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169184351 | BOY |
| EOY | 168524645 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5385206 | BOY |
| EOY | 5638838 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 390798888 | BOY |
| EOY | 362023608 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37925522 | BOY |
| EOY | 35002654 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 590287 | BOY |
| EOY | 157437 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39480937 | BOY |
| EOY | 40659393 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20700000 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24662833 | BOY |
| EOY | 26976845 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123359579 | BOY |
| EOY | 102796329 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 229531672 | BOY |
| EOY | 220760235 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25944277 | BOY |
| EOY | 26097630 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11963360 | BOY |
| EOY | 12369414 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267439309 | BOY |
| EOY | 259227279 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 390798888 | BOY |
| EOY | 362023608 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2344899 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -5867131 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Form1120 Pol Filed | false | Form1120PolFiled |
| Form4720 Filed | false | Form4720Filed |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $22,375 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $37,827 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 60202 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
| Substantially All Dues Nondeduct | false | SubstantiallyAllDuesNondeduct |
| Only In House Lobbying | false | OnlyInHouseLobbying |
| Agree To Carryover Prior Year | false | AgreeToCarryoverPriorYear |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE C, PART II-B, LINE 1I | ReturnReference |
| Explanation | A PORTION OF THE MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE ILLINOIS HOSPITAL ASSOCIATION ARE DESIGNATED AS LOBBYING EXPENSES. THE AMOUNT REPORTED ON SCHEDULE C, PART II-B, LINE 1I REPRESENTS THE AMOUNTS SO DESIGNATED. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11963360 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 406054 | InvestmentEarningsOrLosses |
| End Of Year Balance | 12369414 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10910741 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1977035 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 75407 | GrantsOrScholarships |
| Other Expenditures | 849009 | OtherExpenditures |
| End Of Year Balance | 11963360 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 17589403 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 505233 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 50010 | GrantsOrScholarships |
| Other Expenditures | 7133885 | OtherExpenditures |
| End Of Year Balance | 10910741 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1337264 | OtherCostOrOtherBasis |
| Book Value | 1337264 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 164514887 | OtherCostOrOtherBasis |
| Depreciation | 95009693 | Depreciation |
| Book Value | 69505194 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1965852 | OtherCostOrOtherBasis |
| Depreciation | 572570 | Depreciation |
| Book Value | 1393282 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 178723196 | OtherCostOrOtherBasis |
| Depreciation | 134524522 | Depreciation |
| Book Value | 44198674 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8904201 | OtherCostOrOtherBasis |
| Depreciation | 5243345 | Depreciation |
| Book Value | 3660856 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 120095270 | TotalOfBookValueLandBuildings |
| Total Book Value Other Assets | 5638838 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (9 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $8,510,449 |
| MALPRACTICE INSURANCE | $5,206,004 |
| PENSION LIABILITY | $3,303,605 |
| DEFERRED TRUST | $2,972,598 |
| DEFERRED ILLINOIS PROVIDER TAX | $2,535,568 |
| RESERVE FOR A/R NOT ON BOOKS | $2,310,565 |
| RETIREE HEALTH PLAN | $818,617 |
| FUTURE RENT PAYMENTS | $719,439 |
| CAPTIVE INSURANCE | $600,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 26976845 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| INTENDED USES FOR ENDOWMENT FUNDS | SCHEDULE D, PAGE 2, PART V, LINE 4 | THE ENDOWMENT FUNDS ARE USED FOR CAPITAL PURCHASES, SCHOLARSHIPS, AND ASSISTING INDIGENT PEOPLE WITH THEIR HOSPITAL BILLS. THE ENDOWMENT FUNDS USED FOR THE PURPOSE OF MAKING SUCH EXPENDITURES DID NOT GENERATE POSITIVE INCOME FOR THE FISCAL YEAR. THEREFORE, NO FUNDS WERE RELEASED FOR SUCH EXPENDITURES FROM THE ENDOWMENT DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2011. |
| LIABILITY UNDER FIN 48 FOOTNOTE | SCHEDULE D, PAGE 3, PART X | THE SYSTEM HAD NO UNCERTAIN POSITIONS IN INCOME TAX LIABILITIES OR EXPENSES. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 6.00000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12299442 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 12299442 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04600 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29935842 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9425273 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20510569 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07680 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 42235284 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9425273 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 32810011 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12280 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 517794 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 517794 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 257764 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 257764 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1317814 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1317814 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00490 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25275 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 25275 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2118647 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2118647 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00790 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 44353931 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9425273 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 34928658 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13070 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 23 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 23 | NetCommunityBuildingExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 38000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 38000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 36900 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 36900 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 74923 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 74923 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $6,005,940 | BadDebtExpenseAmount |
| Amount Attributable To | 1654600 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 78186080 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 77582807 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 603273 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR DIG DISEASE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | AMBULATORY ENDOSCOPY CENTER | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.50000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 N EDWARD ST | AddressLine1 |
| City | DECATUR | City |
| State | IL | State |
| ZIP Code | 62526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | ACUTE CARE & LONG TERM CARE | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 9 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType | Address Line2Address/AddressLine2 |
|---|---|---|---|---|---|
| DMH MEDICAL GROUP | |||||
| 2300 N EDWARD ST | DECATUR | IL | 62526 | OUTPATIENT CLINICS | |
| SOUTH SHORES IMAGING CENTER | |||||
| 1689 S FRANKLIN ST | DECATUR | IL | 62521 | DIAGNOSTIC CENTER | |
| CENTRAL ILLINOIS SURGERY CENTER | |||||
| 304 W HAY SUITE 114 | DECATUR | IL | 62526 | AMBULATORY SURGERY CENTER | |
| FORSYTH IMAGING CENTER | |||||
| 389 W WEAVER ROAD | FORSYTH | IL | 62535 | DIAGNOSTIC CENTER | |
| DMH CORPORATE HEALTH SERVICES | |||||
| 2122 NORTH 27TH ST | DECATUR | IL | 62526 | OUTPATIENT CLINIC | |
| DECATUR DIGESTIVE DISEASE CENTER | |||||
| 2 MEMORIAL DR PHYS PLAZA WEST | DECATUR | IL | 62526 | AMBULATORY ENDOSCOPY CENTER | SUITE 102 |
| DMH HOME HEALTH CARE | |||||
| 3122 BRETTWOOD CIRCLE | DECATUR | IL | 62526 | HOME HEALTH AGENCY | |
| SPORTS ENHANCEMENT CENTER | |||||
| 2122 NORTH 27TH ST | DECATUR | IL | 62526 | PHYSICAL THERAPY | |
| DMH HOSPICE | |||||
| 3122 BRETTWOOD CIRCLE | DECATUR | IL | 62526 | HOSPICE AGENCY | |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE | PART I LINE 3C | AS INDICATED THE HOSPITAL USES FEDERAL POVERTY GUIDELINES ADDITIONALLY THERE MAY BE INSTANCES WHERE PATIENTS HAVE INCURRED A FINANCIAL HARDSHIP BUT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE GUIDELINES SUCH CASES ARE REVIEWED INDIVIDUALLY AND WHERE DEEMED APPROPRIATE EARNINGS ON RESTRICTED FUNDS ARE USED TO PAY THE PATIENTS BILLS |
| RELATED ORGANIZATION INFORMATION | PART I LINE 6A | THE HOSPITAL PREPARES THE ANNUAL COMMUNITY BENEFIT REPORT UNDER ITS OWN NAME |
| SUBSIDIZED HEALTH SERVICES EXPLANATION | PART I LINE 7G | THE HOSPITAL DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC |
| EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE | PART I LINE 7 COLUMN F | BAD DEBT EXPENSE INCLUDED ON FORM 990 BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON LINE 7 COLUMN F IS 20653165 |
| COSTING METHODOLOGY EXPLANATION | PART I LINE 7 | DMH DERIVED ALL NUMBERS IN LINE 7 FROM THE APPLICABLE IRS WORKSHEETS USING THE RATIO OF PATIENT COSTTOCHARGES |
| COMMUNITY BUILDING ACTIVITIES | PART II | PART VI LINE 5 LEADERSHIP DEVELPOMENT AND TRAINING FOR COMMUNITY MEMBERS DMH IS AN AVID SUPPORTER OF TRAINING INDIVIDUALS IN OUR COMMUNITY FOR EXAMPLE DMH DONATED MEDICAL EQUIPMENT TO A LOCAL JUNIOR COLLEGE THE DONATION INCLUDED A DECONTAMINATION TENT COMMUNITY HEALTH IMPROVEMENT ADVOCACY DMH DONATED 38000 TO QUALITY QUEST HEALTH OF ILLINOIS INC A NOTFORPROFIT INDEPENDENT SOURCE OF UNBIASED INFORMATION ON LOCAL HEALTHCARE QUALITY QUEST IDENTIFIES BEST PRACTICE CARE STANDARDS CARE THAT IS PROVEN BY SCIENCE TO BE EFFECTIVE BENEFICIAL AND VALUABLE AND THEY MEASURE PERFORMANCE TO DETERMINE HOW LOCAL HEALTHCARE PROVIDERS COMPARE AGAINST STANDARDS OF CARE THE GOAL IS TO IMPROVE THE QUALITY OF CARE IN OUR STATE REDUCE WASTE AND GET THE BEST VALUE FOR THE MONEY SPENT ON HEALTHCARE OTHER DMH SUPPORTS THE LOCAL HOMELESS SHELTER BY PROVIDING 36900 IN FOOD CONTRIBUTIONS OVER THE FISCAL YEAR DMH UNDERSTANDS THAT FEEDING THE HUNGRY SUPPORTS THE HEALTH OF THE INDIVIDUALS SERVED BY THE HOMELESS SHELTER |
| BAD DEBT EXPENSE EXPLANATION | PART III LINE 4 | FOOTNOTE DESCRIBING BAD DEBT NOTE THAT THE AUDITED FINANCIAL STATEMENTS DID NOT INCLUDE A SEPARATE FOOTNOTE WHICH APPLIED SOLELY TO BAD DEBT THE FOLLOWING IS AN EXCERPT FROM A BROADER FOOTNOTE CONTAINED IN THE FINANCIAL STATEMENTS THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDING PROVISIONS FOR BAD DEBT MANAGEMENT RELIES ON HISTORICAL EXPERIENCE ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES AND RECOMMENDATIONS MADE BY THE SYSTEMS EXTERNAL ADVISORS AND ACTUARIES IN MAKING JUDGMENTS AND ESTIMATES ACTUAL RESULTS COULD DIFFER FROM THOSE ESTIMATES LINE 2 OF PART III WAS CALCULATED USING THE HOSPITAL WIDE COSTTOCHARGE RATIO FROM THE APPLICABLE IRS WORKSHEET PROVISIONS FOR BAD DEBT EXPENSE ARE CALCULATED BY TAKING THE NET ACCOUNTS RECEIVABLE BY PAYOR CLASS WHICH IS SEGREGATED INTO 10 TIME PERIOD BUCKETS AND MULTIPLYING EACH BUCKET BY A CALCULATED PRIOR YEAR ACTUAL BAD DEBT EXPENSE PERCENT LINE 3 OF PART III WAS CALCULATED AS FOLLOWS THE HOSPITAL USED 20062010 AMERICAN COMMUNITY 5 YEAR ESTIMATES DATA FROM THE CENSUS BUREAU TO ESTIMATE THE PERCENTAGE OF ITS PATIENT POPULATION WHOSE HOUSEHOLD INCOME WAS UNDER ITS FULL CHARITY CARE ELIGIBILITY CRITERIA OF 200 OF THE FEDERAL POVERTY GUIDELINES FPG THIS PERCENTAGE WAS APPLIED TO THE HOSPITALS CHARGES TO ESTIMATE THE AMOUNT OF GROSS CHARGES THAT MET ITS FINANCIAL ASSISTANCE GUIDELINES THE HOSPITAL THEN SUBTRACTED THE CHARGES RELATED TO THE PATIENTS THAT WERE ELIGIBLE FOR GOVERNMENTAL ASSISTANCE PROGRAMS SUCH AS MEDICAID HOSPITAL CHARITY CARE ADJUSTMENTS WERE ALSO REMOVED BECAUSE THEY TOO WOULD NOT HAVE RESULTED IN BAD DEBTS THE REMAINING CHARGES RELATED TO UNINSURED PATIENTS WITH HOUSEHOLD INCOMES BELOW 200 OF FPG AND IT IS REASONABLE TO ASSUME THAT THEY RESULTED IN BAD DEBTS THIS TOTAL WAS THEN MULTIPLIED BY THE RATIO OF COSTSTOCHARGES FROM WORKSHEET 2 OF THE IRS INSTRUCTIONS TO CALCULATE THE COST OF PROVIDING THESE SERVICES THE HOSPITALS METHODOLOGY MOST LIKELY RESULTED IN A CONSERVATIVE ESTIMATE FOR A NUMBER OF REASONS FIRST IT EXCLUDES THE PATIENTS ABOVE 200 OF THE FPG THAT WERE ELIGIBLE FOR PARTIAL CHARITY ASSISTANCE FURTHERMORE THE ACTUAL 2010 PERCENTAGE OF THE HOSPITALS PATIENT BASE BELOW THE 200 OF FPG WAS LIKELY HIGHER THAN CENSUS ESTIMATES USED IN THIS CALCULATION DUE TO THE IMPACT OF THE RECENT RECESSION THEREFORE THE AMOUNT REPORTED IN PART III LINE 3 LIKELY UNDERSTATES THE AMOUNT OF BAD DEBT EXPENSE THAT COULD HAVE QUALIFIED FOR CHARITY ASSISTANCE HAD THE HOSPITAL RECEIVED A CHARITY CARE APPLICATION |
| MEDICARE EXPLANATION | PART III LINE 8 | THE HOSPITAL USED THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT IN CALCULATING THE AMOUNT ON LINE 6 OF PART III |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | THE HOSPITAL WILL NOT SEND A PATIENTS ACCOUNT TO A THIRDPARTY COLLECTION AGENCY PRIOR TO MAKING GOOD FAITH EFFORTS TO DETERMINE A PATIENTS ELIGIBILITY FOR FINANCIAL ASSISTANCE THE HOSPITAL WILL USE GOOD FAITH EFFORTS TO DETERMINE WHETHER A PATIENT IS INSURED PRIOR TO INITIATING ANY COLLECTION ACTION THE HOSPITAL WILL NOT PURSUE LEGAL ACTION FOR NONPAYMENT OF BILLS FOR ANY PATIENT RECEIVING FINANCIAL ASSISTANCE SO LONG AS SUCH PATIENT IS MAKING PAYMENTS IN ACCORDANCE WITH HISHER ESTABLISHED PAYMENT PLAN AS SET FORTH IN A PAYMENT AGREEMENT IN THE EVENT THE PATIENT IS UNABLE TO MAINTAIN SUCH PAYMENTS THE HOSPITAL WILL CONTACT THE PATIENT TO DETERMINE WHETHER AN ADJUSTMENT IS APPROPRIATE NOTWITHSTANDING THE FOREGOING THE HOSPITAL MAY TAKE LEGAL ACTION AGAINST PATIENTS RECEIVING FINANCIAL ASSISTANCE TO ENFORCE THE TERMS OF AN EXISTING PAYMENT PLAN WHERE THERE IS EVIDENCE THAT THE PATIENT OR HISHER FAMILY ANDOR GUARANTOR IF APPLICABLE HAS SUFFICIENT INCOME AND ASSETS TO MEET HISHER OBLIGATIONS UNDER THE EXISTING PAYMENT PLAN PROVIDED HOWEVER THE HOSPITAL WILL NOT PURSUE LEGAL ACTION FOR NONPAYMENT OF BILLS AGAINST ANY PATIENT RECEIVING FINANCIAL ASSISTANCE WHO HAS CLEARLY DEMONSTRATED THAT SHE DOES NOT HAVE SUFFICIENT INCOME AND ASSETS TO MEET HISHER FINANCIAL OBLIGATIONS TO THE HOSPITAL NOTWITHSTANDING THE FOREGOING THE HOSPITALS DEBT COLLECTION POLICY PLACES A MAXIMUM AMOUNT BASED UPON ANNUAL HOUSEHOLD PRETAX INCOME AND CASH BENEFITS FROM ALL SOURCES WITH CERTAIN ADJUSTMENTS THAT THE HOSPITAL OR ITS DESIGNATED THIRDPARTY COLLECTION AGENCY MAY COLLECT IN ANY TWELVE 12 MONTH PERIOD FOR HOSPITAL SERVICES FROM A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE |
| NEEDS ASSESSMENT | PART VI | PART VI LINE 2 NEEDS ASSESSMENT DECATUR MEMORIAL HOSPITAL HAS PROVIDED PERSONNEL TIME AND RESOURCES TO ASSIST IN THE MACON COUNTY HEALTH DEPARTMENT PLANNING PROCESSES INFORMATION DEFINING OUR SPECIFIC HEALTH ISSUES HAS BEEN OBTAINED THROUGH VARIOUS COMMUNITY MEETINGS AND ASSESSMENTS AS WELL AS INPUT FROM OUR PUBLIC AND COMMUNITY BOARD OF DIRECTORS FURTHER INFORMATION IS COLLECTED FROM CENSUS SURVEYS NATIONAL AND LOCAL HEALTH SURVEYS AND VARIOUS REPORTS PUBLISHED THROUGHOUT THE YEAR EMPLOYEES OF THE HOSPITAL VOLUNTEER TIME TO SERVE ON MANY LOCAL HEALTH COMMITTEES AND VOLUNTEER TO PARTICIPATE IN HEALTH FAIRS COMMUNITY HEALTH EVENTS AND OTHER COMMUNITY ORGANIZATIONS INCLUDING LEADERSHIP POSITIONS ON NOTFORPROFIT AND CIVIC BOARDS OF DIRECTORS SUCH AS THE UNITED WAY MACON COUNTY HEALTH DEPARTMENT DECATUR ECONOMIC DEVELOPMENT BOARD CENTRAL ILLINOIS HEALTH INFORMATION EXCHANGE BOARD OBESITY PREVENTION COALITION OF MACON COUNTY AND THE AMERICAN CANCER SOCIETY RELAY FOR LIFE FOR THE PAST FIFTEEN YEARS DMH HAS SPONSORED A DAY FOR HEARTS WITH SCREENINGS AND HEART EDUCATION FOR THE COMMUNITY ALL THESE INTERACTIONS CONTRIBUTE TO OUR UNDERSTANDING OF THE VARIOUS HEALTH CARE NEEDS OF OUR COMMUNITY COLON PROSTATE AND BREAST CANCER AWARENESS AND SCREENING PROGRAMS ATTEMPT TO IMPROVE CANCER SCREENING EARLY DIAGNOSIS AND IMPROVED OUTCOMES THE HEALTH ASSESSMENTS WE HAVE PERFORMED OVER THE PAST SEVERAL YEARS HAVE ALL INDICATED THE FOLLOWING SIGNIFICANT HEALTH CARE ACCESS AND PROVISION NEEDS WITHIN THE COMMUNITY ACCESS TO PRIMARY CARE PHYSICIANS AND SPECIALTISTS EVALUATION OF THE PHYSICIAN POPULATION RATIOS IN MACON COUNTY INDICATED THAT DECATUR WAS UNDERSERVED BOTH IN TERMS OF PRIMARY CARE PHYSICIANS AND SPECIALISTS THE WAITING TIME FOR A NEW PATIENT TO SEE A PRIMARY CARE PHYSICIAN IN THE COMMUNITY WAS AS LONG AS TWO TO THREE MONTHS BASED ON THIS INFORMATION DECATUR MEMORIAL HOSPITAL HAS RECRUITED AND CONTINUES TO RECRUIT PRIMARY AND SPECIALIST PHYSICIANS TO THE COMMUNITY COSTS OF RECRUITMENT WERE GENERALLY BORN BY THE HOSPITAL AND AMOUNTED TO OVER 1 MILLION DURING THE LAST FISCAL YEAR DECATUR MEMORIAL HOSPITAL ALSO SIGNIFICANTLY SUPPORTS THE SOUTHERN ILLINOIS UNIVERSITY FAMILY PRACTICE RESIDENCY PROGRAM WHICH GRADUATES UP TO SIX FAMILY PRACTITIONERS PER YEAR THE RETENTION RATE OF THE GRADUATES WITHIN CENTRAL ILLINOIS AREA HAS BEEN VERY HIGH SUPPORT FOR THE RESIDENCY PROGRAM COSTS IN EXCESS OF 3000000 A YEAR OUR EMPLOYED PHYSICIANS CONTRIBUTE VOLUNTEER TEACHING HOURS TOWARDS RESIDENT TRAINING IN ADDITION TO PHYSICIANS IT HAS BECOME APPARENT OTHER HEALTH CARE PROFESSIONALS ARE ALSO IN VERY SHORT SUPPLY PROVISION OF ADEQUATE COMMUNITY HEALTH DEPENDS ON AN ADEQUATE SUPPLY OF SUCH PROFESSIONALS AS SUCH DECATUR MEMORIAL HOSPITAL HAS VOLUNTEERED HOURS ON PLANNING AND CURRICULUM DESIGN AT OUR TWO NURSING SCHOOLS AND CONTRIBUTES OVER 2500 HOURS OF UNCOMPENSATED TEACHING AND CLINICAL EXPERIENCE TO NURSING STUDENTS IN THE DECATUR NURSING PROGRAMS ADDITIONAL TRAINING PROGRAMS FOR OTHER ALLIED HEALTH PROFESSIONALS HAVE ALSO BEEN UNDERTAKEN AND SUPPORTED BY DECATUR MEMORIAL HOSPITAL THE HOSPITAL ALSO SUPPORTS THE PARISH NURSE PROGRAM THIS PROGRAM HAS SUBSTANTIALLY IMPROVED THE ABILITY OF COMMUNITY MEMBERS TO OBTAIN BASIC HEALTH INFORMATION AND SCREENING FROM TRAINED PARISH NURSES CARDIAC SCREENINGS RECOGNIZING THAT CORONARY HEART DISEASE IS THE NUMBER ONE CAUSE OF DEATH IN MACON COUNTY DECATUR MEMORIAL HOSPITAL OFFERS FREE BLOOD PRESSURE AND CHOLESTEROL SCREENINGS TO THE COMMUNITY FURTHUR TO ASSIST THOSE PATIENTS WHO ARE LIVING WITH THE DIAGNOSIS OF HEART FAILURE DMH PROVIDES A FREE HEART FAILURE TELEMONITORING PROGRAM THIS PROGRAM ASSISTS PATIENTS AND THEIR CAREGIVERS IN MONITORING DAILY VITAL SIGNS ALLOWING PATIENTS BETTER ONGOING STABILITY AND PROACTIVE MANAGEMENT OF THEIR CONDITION OBESITY MACON COUNTY HAS THE HIGHEST OBESITY STATISTICS IN THE STATE OF ILLINOIS THE INCIDENCE OF OBESITY IN MACON COUNTY AS WELL AS THROUGHOUT THE COUNTRY IS ON THE RISE DECATUR MEMORIAL HOSPITAL PROVIDES EDUCATIONAL PROGRAMS RELATED TO WEIGHT AND WEIGHT CONTROL AND HAS INSTITUTED A COMPREHENSIVE WEIGHT MANAGEMENT AND BARIATRIC PROGRAM TO ASSIST THE MEMBERS OF THE COMMUNITY IN APPROPRIATE WEIGHT LOSS METHODS PROFESSIONAL DMH STAFF MEMBERS ATTEND NUMEROUS HEALTH FAIR EVENTS THROUGHOUT THE YEAR AND ARE AVAILABLE TO PROVIDE INFORMATIONAL TOPICS ON WEIGHT MANAGEMENT AND HEALTHY LIFESTYLES TO AREA RESIDENTS DMH OFFERS MONTHLY SUPPORT GROUPS FOR WEIGHT MANAGEMENT AND BARIATRIC PATIENTS THE DMH WELLNESS CENTER HOLDS A 5K RACE FOR WEIGHT MANAGEMENT CLIENTS AND COMMUNITY MEMBERS AS AN ANNUAL EXERCISE EVENT DIABETES LIFETIME RISK FOR DEVELOPING DIABETICS IN THIS COUNTRY IS NOW APPROACHING 40 LOWER SOCIAL ECONOMIC GROUPS HAVE ADDITIONAL CHALLENGES IN TERMS OF APPROPRIATE DIET CONTROL AND EDUCATION DECATUR MEMORIAL HOSPITAL PROVIDES DIABETIC EDUCATION AND COMMUNITY PROGRAMS DMH OFFERS A 10HOUR COMPREHENSIVE DIABETES EDUCATION PROGRAM THAT IS ACCREDITED BY THE AMERICAN DIABETES ASSOCIATION OUR DIABETES EDUCATORS ARE AVAILABLE TO OFFER EDUCATIONAL PRESENTATIONS TO COMMUNITY MEMBERS AND ATTEND VARIOUS HEALTH FAIRS IN THE COMMUNITY TO SHARE INFORMATION ABOUT DIABETES AND TO GIVE INFORMATION ABOUT OUR PROGRAMS THAT ARE AVAILABLE FOR DIABETES EDUCATION THE DIABETES EDUCATORS HAVE DEVELOPED A PREDIABETES EDUCATION PROGRAM AND HAVE PARTNERED WITH THE DECATUR YMCA TO OFFER A SIXWEEK PROGRAM THERE AS WELL AS AT DMH DMH ALSO OFFERS A MONTHLY DIABETES SUPPORT GROUP FOR COMMUNITY MEMBERS INDIGENT OUTPATIENT LONGITUDINAL CARE DECATUR MEMORIAL HOSPITAL HAS SUPPORTED THE COMMUNITY HEALTH IMPROVEMENT CENTER CHIC THEIR PRIMARY PATIENT BASE IS THE LOWER SOCIAL ECONOMIC GROUP OF PATIENTS OUR HOSPITALIST SERVICE CARES FOR ALL CHIC PEDIATRIC INPATIENTS AS WELL AS NEWBORNS WITHOUT A PHYSICIAN THE COST OF AMBULANCE AND TAXI FARES ARE PAID BY DMH WHEN SUCH TRANSPORTATION IS REQUIRED FOR THE CARE OF PATIENTS WITHOUT THE MEANS TO PAY FOR SUCH SERVICES ALSO FOR A NOMINAL 10 PER YEAR MEMBERS OF OUR COMMUNITY MAY ACCESS ALL THE SERVICES OF OUR PRIME TIME PROGRAM INCLUDING VAN TRANSPORTATION DUE TO THE HIGH PERCENTAGE OF INDIGENT PATIENTS SEEN IN OUR EMERGENCY ROOM DECATUR MEMORIAL HOSPITAL PROVIDES A SUBSTANTIAL SUBSIDY TO THE EMERGENCY ROOM PHYSICIANS IN ORDER TO ALLOW THEM TO PROVIDE COMPETITIVE SALARIES TO THE PROVIDERS ONCOLOGY SCREENINGS HEALTH FAIRS AND MORE DECATUR MEMORIAL HOSPITAL PARTICIPATES IN A LOCALLY SPONSORED EVENT CALLED COME TOGETHER LETS WALK THIS EVENT WHICH WAS CREATED OUT OF A GRASSROOTS EFFORT BY LOCAL VOLUNTEERS SERVES AS A FUNDRAISER FOR BREAST OVARIAN AND CERVICAL CANCER PATIENTS PROCEEDS FROM THIS EVENT ARE USED TO HELP FINANCE CANCER PREVENTION AND SCREENING PROGRAMS FOR WOMEN IN OUR COMMUNITY DMH CANCER RESEARCH AND DMH WOMENS HEALTH CENTER ALSO RECEIVE SUPPORT FROM THESE FUNDS FOR OUTREACH PROGRAMS THE DMH CANCER CARE INSTITUTE ALONG WITH CARPENTERS LOCAL 742 AND TH MACON COUNTY HEALTH DEPARTMENT SPONSOR A FREE PROSTATE CANCER SCREENING EVENT EVERY YEAR IN SEPTEMBER FOR PROSTATE CANCER AWARENESS MONTH APPROXIMATELY 300 MEN RECEIVE PSA BLOOD TESTING AND DIGITAL RECTAL EXAMS FREE OF CHARGE RESULTS ARE SCREENED AND SENT TO THE PATIENTS PHYSICIAN OF CHOICE THE DMH CANCER CARE INSTITUTE PARTICIPATES IN SEVERAL CORPORATE HEALTH FAIRS DURING THE YEAR WHERE CANCER PREVENTION EDUCATIONAL MATERIALS ARE HANDED OUT THE DMH CANCER CARE INSTITUTE ALSO PROVIDES AWARENESS OF SKIN CANCER USING THE DERMASCAN SCREENING TOOL THIS UNIT ALLOWS PARTICIPANTS TO VIEW PREVIOUSLY SUNDAMAGED SKIN AND LEARN HOW TO PREVENT FURTHERFUTURE SKIN DAMAGE ART THERAPY IS ALSO PROVIDED AT THE CANCER CENTER OF DECATUR THIS PROGRAM IS INTENDED FOR PATIENTS AND THEIR FAMILIES UTILIZING THE CANCER CENTER BUT IS OPEN TO THE GENERAL PUBLIC CERAMICS AND PAINTING ARE JUST A COUPLE ACTIVITIES DESIGNED TO CREATE A HEALING ENVIRONMENT TO ALLOW PEOPLE TO EXPRESS THEMSELVES THROUGH ART OTHER DMH PROVIDES SUPPORT FOR THE PRENATAL CARE CLINIC THAT SERVES INDIGENT MOTHERS WHO DELIVER AT DECATUR MEMORIAL HOSPITAL WE SUPPORT BABY TALK AS A PROGRAM DESIGNED TO IMPROVE INFANT LITERACY OUTCOMES OTHER MOTHERBABY INITIATIVES INCLUDE LACTATION COUNSELOR SUPPORT AND EDUCATION SINCE THE DEMOGRAPHIC STUDIES OF MACON COUNTY SHOW AN INCREASE IN THE POPULATIONS AVERAGE AGE DMH SENIOR LIFE ENRICHMENT PROGRAM HELPS PATIENTS AND FAMILIES COPE WITH THE CHALLENGES OF AGING THE PROGRAM OFFERS A VARIETY OF ASSESSMENTS EDUCATION AND INTERVENTIONS FOR THIS SEGMENT OF THE COMMUNITY PRIME TIME IS LOCATED WITHIN THE DMH SENIOR LIFE ENRICHMENT CENTER THAT PROVIDES FREE TRANSPORTATION TO THE COMMUNITY FOR HEALTH RELATED NEEDS THE CENTER ALSO PROVIDES ASSISTANCE WITH ANSWERING QUESTIONS OR COMPLETING FORMS FOR LIVING WILLS AT NO CHARGE THROUGHOUT THE YEAR EDUCATIONAL SESSIONS ARE HOSTED AT THE CENTER FREE TO THE PUBLIC THIS PROGRAM ALSO SPONSORS THE ALZHEIMERS ASSOCIATIONS ANNUAL WALK TO HELP RAISE FUNDS FOR ALZHEIMERS DISEASE SUPPORT |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | PART VI LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE DECATUR MEMORIAL HOSPITALS BUSINESS OFFICE HAS FIVE FINANCIAL COUNSELORS WHO REVIEW PATIENT ACCOUNTS FOR POSSIBLE CHARITYFINANCIAL ASSISTANCE CONSIDERATION THE HOME PAGE OF THE HOSPITALS WEBSITE WWWDMHCARESCOM CONTAINS LINKS TO ALL INFORMATION CONCERNING THE CHARITY CARE FINANCIAL ASSISTANCE PROGRAM INCLUDING THE POLICIES PATIENT FINANCIAL WORKSHEET FORMS AND PAYMENT AGREEMENT FORMS POSTERS ARE PLACED IN OUR PATIENT REGISTRATION AREA IN VISIBLE LOCATIONS WHERE PATIENTS AND THEIR FAMILIES CAN SEE THEM THESE POSTERS ARE 24 BY 31 IN ADDITION TO OUR PATIENT REGISTRATION AREA IN KIRKLAND LOBBY WE ALSO PLACED POSTERS IN OUR EMERGENCY CARE CENTER AND IN OUR IMAGING CENTERS IN SOUTH SHORES AND FORSYTH TENT CARDS AND PATIENT BROCHURES ARE PLACED IN THE PATIENT REGISTRATION BOOTHS ACCESSIBLE TO ALL PATIENTS AND THEIR FAMILIES PATIENT ACCOUNT STATEMENTS INCLUDE THE PHONE NUMBER FOR FINANCIAL ASSISTANCE |
| COMMUNITY INFORMATION | PART VI | PART VI LINE 4 POPULATIONS AND COMMUNITIES SERVED DECATUR MEMORIAL HOSPITAL IS LOCATED IN DECATUR ILLINOIS THE CITY HAS A POPULATION OF 76000 WHICH REPRESENTS A POPULATION DECLINE OF 58 SINCE 2000 MACON COUNTY WITHIN WHICH IT RESIDES HAS A POPULATION OF APPROXIMATELY 110750 THE OVERALL MARKET AREA FOR DECATUR MEMORIAL HOSPITAL INCLUDES APPROXIMATELY 250000 RESIDENTS THE DEMOGRAPHICS OF MACON COUNTY INDICATE AN AGING POPULATION PROJECTIONS FOR THE NEXT TEN YEARS SUGGEST RELATIVELY FLAT POPULATION GROWTH WITH A CONTINUED GRADUAL INCREASE IN THE AGED POPULATION THERE ARE APPROXIMATELY 20000 MEDICAID RECIPIENTS LOCATED IN MACON COUNTY MEDICARE IS THE LARGEST INPATIENT CARE PAYOR CATEGORY THE UNEMPLOYMENT RATE IN THE DECATUR METRO AREA TENDS TO BE HIGHER THAN THE US AVERAGE RECENT JOB GROWTH WAS 034 THE POVERTY RATE FOR MACON COUNTY IS 157 AND 209 FOR THE CITY OF DECATUR |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | PART VI LINE 5 BACKGROUND DECATUR MEMORIAL HOSPITAL SINCE ITS INCEPTION IN 1916 HAS CONTINUOUSLY RESPONDED TO THE HEALTH CARE NEEDS OF COMMUNITIES IT SERVES AS AN INDEPENDENT COMMUNITY HOSPITAL WITH A LOCAL COMMUNITY BOARD OF DIRECTORS THE HOSPITAL HAS ALWAYS HAD AS ITS PRIMARY FOCUS THE HEALTH CARE NEEDS OF DECATUR MACON COUNTY AND SURROUNDING COUNTIES AS PART OF ITS OVERALL MISSION DECATUR MEMORIAL HOSPITAL HAS CONTINUOUSLY PROVIDED BOTH INTELLECTUAL AND FINANCIAL RESOURCES TO OUR COMMUNITIES FOR EXPERTISE AND ASSISTANCE IN ASSESSMENT OF HEALTH CARE NEEDS SUPPORT OF VARIOUS COMMUNITY SERVICES AND AGENCIES IN ADDRESSING THE IDENTIFIED NEEDS AND THE CONTINUAL HEALTH EDUCATION OF PATIENTS THE COMMUNITY AND THE OTHER RELEVANT PUBLICS DECATUR MEMORIAL HOSPITAL HAS PARTICPATED DIRECTLY IN CHARITY AND INDIGENT CARE FOR A SIGNIFICANT SEGMENT OF OUR COMMUNITY GOALS AND OBJECTIVES FOR PROVIDING COMMUNITY BENEFITS DECATUR MEMORIAL HOSPITAL HAS EMBRACED THE PHILOSOPHY THAT TO IMPROVE THE HEALTH OF PEOPLE AN ORGANIZATION MUST BECOME INVOLVED IN THE EDUCATION AWARENESS AND PREVENTION OF DISEASE AND ILLNESS THAT NEGATIVELY IMPACT A PERSONS HEALTH STATUS WE STRIVE TO GIVE COMMUNITY RESIDENTS TOOLS TO EMPOWER THEM TO MAKE LIFESTYLE DECISIONS THAT WILL MAINTAIN AND ENHANCE A DESIRABLE QUALITY OF LIFE TO HELP PEOPLE REACH THIS GOAL DECATUR MEMORIAL HOSPITAL SEEKS OUT OPPORTUNITIES AND ACTIVELY INVOLVES ITSELF IN THE COMMUNITY SEE ALSO RESPONSE TO PART VI LINE 2 ABOVE FOR EXAMPLES OF MANY WAYS IN WHICH THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY |
| AFFILIATED HEALTH CARE INFORMATION | PART VI | PART VI LINE 6 AS INDICATED THE HOSPITAL AND ITS RELATED FACILITIES PROVIDE COMPREHENSIVE INPATIENT OUTPATIENT AND PHYSICIAN SERVICES ALL OF WHICH BENEFIT AND PROMOTE THE HEALTH OF THE COMMUNITY THE HOSPITAL IS AFFILIATED WITH DMH HEALTH SYSTEMS INC WHICH SUPPORTS AND BENEFITS THE HOSPITAL BY PROVIDING FINANCIAL AND MANAGEMENT ASSISTANCE IN CONNECTION WITH THE ACTIVITIES OF THE HOSPITAL AND ITS AFFILIATES AND BY HOLDING TITLE TO CERTAIN ASSETS USED IN CONNECTION WITH HOSPITAL ACTIVITIES THE HOSPITAL IS ALSO AFFILIATED WITH DECATUR MEMORIAL FOUNDATION WHOSE MISSION IS TO SUPPORT AND BENEFIT THE HOSPITAL BY CONDUCTING FUND DEVELOPMENT ACTIVITIES HOLDING TITLE TO CERTAIN ASSETS AND OVERSEEING THEIR PRUDENT AND EFFECTIVE INVESTMENT AND MANAGEMENT TOGETHER THE ACTIVITIES OF THE HOSPITAL AND ITS AFFILIATES EFFECTIVELY AND EFFICIENTLY ADDRESS THE HEALTH NEEDS OF THE COMMUNITY IT SERVES |
| LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED | PART VI | ILLINOIS |
| DECATUR MEMORIAL HOSPITAL LINE NUMBER 1 PART V LINE 3 | PART V LINE 3 | THE HOSPITAL CONDUCTED A FOCUS GROUP CONSISTING OF 19 PARTICIPANTS REPRESENTING KEY COMMUNITY AGENCIES AND ORGANIZATIONS INCLUDING EMPLOYERS HEALTHCARE WORKERS EDUCATORS CHURCHES AND THE CITY THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE FOCUS GROUP MIKE CASSELL DMH DIRECTOR OF MARKETING TINA CLONEY RD RHD MILLIKIN UNIVERSITY DEBBIE DURBIN RN MACON COUNTY HEALTH DEPARTMENT BEN ESPARAZ MD DMH MEDICAL STAFF LINDA FAHEY RN DMH VP AND CHIEF NURSING EXECUTIVE BILL FRANCISCO DECATUR TRADES AND LABOR LEE HALL PSYD PSYCHOLOGY SPECIALISTS PATRICK HOBAN ECONOMIC DEVELOPMENT COUNCIL RYAN MCCRADY CITY OF DECATUR JULIE MOORE DECATUR CITY COUNCIL MARTIN OPKALIKE MD DMH MEDICAL GROUP DAVID OPPENLANDER DMH SENIOR VP AND CFO DANA RAY MD CHIC CLINIC NICOLE ROPP DMH SIX SIGMA MASTER BLACK BELT DAN SMALLWOOD CARPENTERS LOCAL UNION TIMOTHY STONE DMH EXECUTIVE VP AND COO JULIE TRUEBLOOD DMH ADMINISTRATIVE ASSISTANT OVERSEER THOMAS WALKER DECATUR CHURCHES MICHAEL ZIA MD DMH VP OF QUALITY MEDICAL AFFAIRS |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| SIU DECATUR FAMILY PRACTICE CENTER | |||||||
| 250 W KENWOOD | DECATUR | IL | 62526 | 376005961 | 501 | 1313778 | GENERAL SUPPORT |
| QUALITY QUEST HEALTH OF IL | |||||||
| 416 MAIN ST SUITE 717 | PEORIA | IL | 61602 | 263896631 | 501 | 38000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES | Identifier |
| Return Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | ReturnReference |
| Explanation | SOUTHERN ILLINOIS UNIVERSITY (SIU) SCHOOL OF MEDICINE SPONSORS AN ACGME-ACCREDITED FAMILY RESIDENCY PROGRAM FOR WHICH DMH SERVES AS A PRIMARY PARTICIPATING INSTITUTION. AS PART OF THE PROGRAM, SIU OPERATES A FAMILY MEDICINE CLINIC ADJACENT TO THE DMH CAMPUS. THE EXISTENCE AND OPERATION OF THE CLINIC BENEFITS DMH AND ITS SERVICE AREA BY ENHANCING THE RECRUITMENT OF APPROPRIATELY-TRAINED PHYSICIANS TO THE COMMUNITY, ASSISTING DMH IN PROVIDING UNDERSERVED POPULATIONS WITH ACCESS TO PRIMARY CARE MEDICAL SERVICES, AND PROVIDING OTHER SERVICES TO AND FOR THE BENEFIT OF DMH'S PATIENT POPULATION. IN RECOGNITION OF THE ABOVE, DMH SUPPORTS THE PROGRAM BY PROVIDING A BUDGETED, AGREED-UPON AMOUNT FOR EACH ACADEMIC YEAR TO FUND MEDICAL EDUCATION AND RESEARCH THROUGH THE PROGRAM, INCLUDING COSTS INCURRED BY SIU TO SUPERVISE AND TEACH THE RESIDENTS ON-SITE AT THE CLINIC AND AT DMH. THE AMOUNT IS AGREED UPON PRIOR TO THE START OF EACH YEAR. UPON COMPLETION OF EACH ACADEMIC YEAR, SIU REPORTS BACK TO DMH REGARDING HOW FUNDS WERE ACTUALLY EXPENDED IN CONNECTION WITH THE PROGRAM. QUALITY QUEST HEALTH OF ILLINOIS IS A SEC. 501(C)(3) ORGANIZATION WHICH IDENTIFIES BEST PRACTICE CARE STANDARDS - CARE THAT IS PROVEN BY SCIENCE TO BE EFFECTIVE, BENEFICIAL AND VALUABLE. THEY MEASURE PERFORMANCE TO DETERMINE HOW LOCAL HEALTHCARE PROVIDERS COMPARE AGAINST STANDARDS OF CARE WITH THE GOAL OF IMPROVING THE QUALITY OF CARE IN THE STATE, REDUCE WASTE, AND GET THE BEST VALUE FOR THE MONEY SPENT ON HEALTHCARE. THE GRANT FROM DMH WAS USED FOR GENERAL SUPPORT OF QUALITY QUEST. DMH OFFICER TIM STONE IS ALSO ON THE BOARD OF QUALITY QUEST HEALTH OF ILLINOIS AND RECEIVES MONTHLY FINANCIAL INFORMATION RELATED TO QUALITY QUEST, INCLUDING INFORMATION RELATED TO USE OF GRANT FUNDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Travel For Companions | X | TravelForCompanions |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|
| STEVEN SOBOL MD | ||||
| 995578 | 423227 | 3675 | 14058 | 1436538 |
| KENNETH SMITHMIER | ||||
| 723753 | 3675 | 23308 | 750736 | |
| TIMOTHY D STONE | ||||
| 416515 | 3675 | 11502 | 431692 | |
| MICHAEL ZIA MD | ||||
| 289229 | 3675 | 11178 | 304082 | |
| DAVID OPPENLANDER | ||||
| 267797 | 11123 | 278920 | ||
| LINDA FAHEY | ||||
| 244093 | 3661 | 1063 | 248817 | |
| STEVEN WEBER MD | ||||
| 644122 | 510157 | 3675 | 13383 | 1171337 |
| THOMAS FULBRIGHT MD | ||||
| 830653 | 4000 | 3675 | 7935 | 846263 |
| JOHN WATERS MD | ||||
| 814827 | 300 | 3675 | 9538 | 828340 |
| MOHAMMED HASNAIN MD | ||||
| 549105 | 193043 | 3675 | 12332 | 758155 |
| TANSEL TURGUT MD | ||||
| 689679 | 3675 | 12199 | 705553 | |
| GARY G PEACOCK | ||||
| 132775 | 960 | 133735 | ||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FRINGE OR EXPENSE EXPLANATION | Identifier |
| Return Reference | SCHEDULE J, PAGE 1, PART I, LINE 1A | ReturnReference |
| Explanation | DURING THE YEAR, DMH PAID FOR CHARTER TRAVEL IN ONE INSTANCE. DMH SHARED WITH SEVERAL OTHER HOSPITALS THE COST OF A CHARTER PLANE HIRED TO PICK UP THEIR RESPECTIVE REPRESENTATIVES (IN DMH'S CASE, TIMOTHY STONE) TO TRAVEL TO A VHA MEETING IN KANSAS CITY, MO. THE DECISION TO USE THIS MEANS OF TRANSPORTATION WAS BASED UPON COST AND AVAILABILITY OF COMMERCIAL FLIGHTS. DMH PAID FOR AIRLINE TICKETS AND MEALS FOR TWO BUSINESS TRIPS TAKEN BY MR. SMITHMIER, CEO, WHERE HE WAS ACCOMPANIED BY HIS SPOUSE. MR. SMITHMIER'S W-2 INCLUDED 2,163 RELATED TO HIS SPOUSE'S SHARE OF COST OF ATTENDING THE TRIPS. DMH MAINTAINS A CORPORATE MEMBERSHIP IN THE DECATUR CLUB, IN THE NAME OF DMH. THE INVOICE FOR ANNUAL DUES IS SENT TO DMH. THE INVOICE FOR MONTHLY DUES IS SENT TO DMH, ATTN: KENNETH SMITHMIER, CEO. MR. SMITHMIER PAYS THE MONTHLY DUES DIRECTLY AND DMH REIMBURSES HIM FOR THE ENTIRE AMOUNT OF SUCH DUES. ALL USAGE OF THE DECATUR CLUB MEMBERSHIP IS FOR BUSINESS PURPOSES, WHETHER BY MR. SMIHTMIER OR OTHER EXECUTIVES, WITH MONTHLY STATEMENTS DOCUMENTING ACTUAL USAGE. NEITHER MR. SMITHMIER NOR ANY OTHER DMH EXECUTIVE MAKE PERSONAL USE OF THE DECATUR CLUB MEMBERSHIP. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|
| CITY OF DECATUR MACON COUNTY IL | ||||||
| 376001308 | 2010-12-22 | 6280000 | REFUND 1996 ISSUE | false | false | false |
| CITY OF DECATUR MACON COUNTY IL | ||||||
| 376001308 | 2010-12-22 | 5000000 | REFUND 1996 ISSUE | false | false | false |
| CITY OF DECATUR MACON COUNTY IL | ||||||
| 376001308 | 2010-12-22 | 4405000 | REFUND 1996 ISSUE | false | false | false |
| CITY OF DECATUR MACON COUNTY IL | ||||||
| 376001308 | 2010-12-22 | 2675000 | REFUND 1996 ISSUE | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Other Spent ProceedsOtherSpentProceeds | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|
| 471000 | 6280000 | 6280000 | true | false | true | true |
| 375000 | 5000000 | 5000000 | true | false | true | true |
| 330375 | 4405000 | 4405000 | true | false | true | true |
| 200625 | 2675000 | 2675000 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| false | false | false | false | false | true |
| false | false | false | false | false | true |
| false | false | false | false | false | true |
| false | false | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | true | false | false | false | false |
| false | true | false | false | false | false |
| false | true | false | false | false | false |
| false | true | false | false | false | false |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE K | ReturnReference |
| Explanation | CITY OF DECATUR MACON COUNTY IL PART I COLUMN C NONE OF THE BOND ISSUES IN PART I HAD A CUSIP NUMBER AND THEREFORE THE RESPONSE IN COLUMN C FOR EACH IS NONE ACCORDING TO IRS INSTRUCTIONS HOWEVER ENTERING NONE IN COLUMN C CREATES AN EFILE ERROR THEREFORE COLUMN C HAS BEEN LEFT BLANK BUT AS INDICATED SHOULD BE NONE FOR EACH ISSUE SCHEDULE K OTHER INFORMATION AS INDICATED IN COLUMN F EACH ISSUE IN PART I WAS A CURRENT REFUNDING ISSUE USED TO REFINANCE 1996 BONDS ALL PROCEEDS OF EACH ISSUE WERE USED EXCLUSIVELY FOR THIS PURPOSE | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| BUSEY BANKFIRSTECHBUSEY WEALTH | |||
| SEE PART V | 100555 | BANK & BOND FEES | false |
| STRIGLOS COMPANIES | |||
| SEE PART V | 137276 | OFFICE SUPPLIES | false |
| CANCER CARE SPECIALISTS OF CENT IL | |||
| SEE PART V | 129943 | MED SERV/EMR SUPPORT | false |
| CANCER CARE SPECIALISTS OF CENT IL | |||
| SEE PART V | 45625 | EMR SUPPORT REV | false |
| BAKERS DOZEN LLC | |||
| SEE PART V | 514777 | OFFICE SPACE RENTAL | false |
| ROY MOSSER | |||
| SEE PART V | 1515830 | OFFICE SPACE RENTAL | false |
| HICKORY POINT BANK | |||
| SEE PART V | 864202 | BANK FEES, INTEREST | false |
| JOHN FAHEY MD | |||
| SEE PART V | 208374 | COMPENSATION/BENEFIT | false |
| MILLIKIN UNIVERSITY | |||
| SEE PART V | 164266 | CLINIC & NURSING REV | false |
| MILLIKIN UNIVERSITY | |||
| SEE PART V | 16852 | NURSING EDUCATION | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE L PART V | ReturnReference |
| Explanation | PART IV LINE 1B DIRECTOR RON DRANE IS MANAGING DIRECTOR OF BUSEY WEALTH MANAGEMENT PART IV LINE 2B DIRECTOR SCOTT STRIGLOS OWNS STRIGLOS COMPANIES INC PART IV LINES 3B 4B 5B DIRECTOR EDWARD ELLIOTT IS AN OWNER OF CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS HE IS ALSO AN OWNER OF BAKERS DOZEN LLC PART IV LINE 6B ROY MOSSER IS A DIRECTOR OF DMH PART IV LINE 7B DIRECTORS KENNETH SMITHMIER AND DAVID SMITH ARE ON THE HICKORY POINT BANK BOARD OF DIRECTORS PART IV LINE 8B JOHN FAHEY MD IS THE SPOUSE OF DMH OFFICER LINDA FAHEY PART IV LINES 9B 10B DIRECTOR JAMES DAHL IS A DEAN OF MILLIKIN UNIVERSITY | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ADDITIONAL INFORMATION | FORM 990 | FORM 990, PART I, ITEM 1 AND FORM 990, PART III, ITEM 1: DMH'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE OF CENTRAL ILLINOIS, RELYING ON ITS CORE FOUNDATIONS OF COMMITTED PHYSICIANS, CONSTRUCTIVE CULTURE, RESPONSIBLE GOVERNANCE, PROCESS INNOVATION, MANAGERIAL COMPETENCE, AND ENGAGED EMPLOYEES. WITH A HISTORY DATING BACK TO 1916, DMH TODAY ENCOMPASSES TWELVE STATE-OF-THE-ART CENTERS OF EXCELLENCE WHICH FOCUS ON THE CUTTING EDGE OF MEDICINE TODAY AND PROVIDE THE COMMUNITY WITH AWARD-WINNING HEALTH CARE. APPROXIMATELY 250,000 PERSONS RESIDE IN DMH'S SERVICE AREA, INCLUDING SUBSTANTIAL NUMBERS OF MEDICARE AND MEDICAID BENEFICIARIES, AS WELL AS PERSONS WHO DO NOT QUALIFY FOR EITHER PROGRAM AND THUS SEEK CARE PURSUANT TO DMH'S FINANCIAL ASSISTANCE (CHARITY CARE) PROGRAM. THE LOCAL COMMUNITY HAS BEEN HIT HARD BY THE RECENT ECONOMIC DECLINES. IN RESPONSE TO THESE CONDITIONS, DMH HAS EXPANDED ITS THRESHOLD FOR PROVISION OF FINANCIAL ASSISTANCE TO SIX TIMES THE FEDERAL POVERTY GUIDELINES; FOR THESE AND OTHER PATIENTS, DMH OFFERS SLIDING SCALE DISCOUNTS AND EXTENDED PAYMENT TERMS IN AN EFFORT TO ENSURE THAT PATIENTS ARE ABLE TO OBTAIN NECESSARY MEDICAL CARE. DURING THE FISCAL YEAR, DMH PROVIDED SIGNIFICANT FREE OR DISCOUNTED SERVICES TO PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE AS WELL AS OTHER FORMS OF COMMUNITY BENEFIT PROGRAMS, GRANTS AND SERVICES. SEE SCHEDULE H FOR MORE DETAIL. |
| SECOND ACHIEVEMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4B | INPATIENT CARE WAS PROVIDED BY DMH'S TEAM OF HIGHLY-QUALIFIED, TALENTED STAFF (TODAY NUMBERING OVER 2,300 IN ALL), INCLUDING HOSPITALISTS, NURSES, AIDES, DIETICIANS, CASE MANAGEMENT STAFF, SOCIAL WORKERS, AND CHAPLAINS. |
| ALL OTHER ACHIEVEMENTS DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | EDUCATION AND OUTREACH: DMH HAS CONCLUDED THAT, TO FULFILL ITS MISSION OF IMPROVING HEALTH, IT MUST BECOME INVOLVED IN THE EDUCATION, AWARENESS AND PREVENTION OF DISEASE AND ILLNESS THAT NEGATIVELY IMPACT HEALTH STATUS. IN AN EFFORT TO GIVE COMMUNITY RESIDENTS THE TOOLS NECESSARY TO MAKE HEALTHY LIFESTYLE DECISIONS, DMH SEEKS OUT OPPORTUNITIES AND ACTIVELY INVOLVES ITSELF IN THE LOCAL COMMUNITY, THROUGH MEASURES RANGING FROM PROGRAMS FOR LOCAL SCHOOLS TO DMH'S POPULAR "PRIME TIME" PROGRAM FOR SENIORS. IN RECENT YEARS, DMH HAS PARTICIPATED IN VARIOUS COMMUNITY HEALTH NEEDS ASSESSMENT INITIATIVES, AS A RESULT OF WHICH DMH HAS IDENTIFIED SIGNIFICANT CONCERNS SUCH AS ACCESS TO PRIMARY CARE PHYSICIANS AND SPECIALISTS, CARDIAC SCREENINGS, OBESITY, INDIGENT OUTPATIENT LONGITUDINAL CARE, DIABETES EDUCATION, AND INFANT MORTALITY. WITH THE LEADERSHIP OF A MULTIDISCIPLINARY COMMUNITY BENEFITS COMMITTEE, INCLUDING PARTICIPATION BY A DIVERSE GROUP OF COMMUNITY REPRESENTATIVES, DMH HAS TAKEN A PRIMARY ROLE IN CONFRONTING THESE ISSUES. AS JUST ONE EXAMPLE, DMH IS SPONSORING A LOCAL VERSION OF THE PREVENTION PLAN CHALLENGE, A NATIONAL WELLNESS INITIATIVE THAT FOCUSES ON PREVENTIVE CARE TO HELP PEOPLE LIVE HEALTHIER AND LOWER HEALTHCARE COSTS WITHIN THE COMMUNITY; THROUGH THIS COMPETITION AMONG LOCAL EMPLOYERS, DMH HOPES TO SPUR COMPANIES TO BUILD HEALTHIER WORKFORCES. |
| RELATED PARTY INFORMATION AMONG OFFICERS | FORM 990, PAGE 6, PART VI, LINE 2 | KENNETH SMITHMIER ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER DAVID SMITH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER PAULA EISSFELDT DIRECTOR DIRECTOR BUSIENSS RELATIONSHIP KENNETH SMITHMIER JAMES DAHL DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KENNETH SMITHMIER WALTER SMITH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER PAULA EISSFELDT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER JAMES DAHL DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER DAVID SMITH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP LARRY ALTENBAUMER WALTER SMITH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID TYROLT ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID TYROLT RON DRANE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID SMITH PAULA EISSFELDT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID SMITH KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID SMITH LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID SMITH JAMES DAHL DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID SMITH ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DAVID SMITH WALTER SMITH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DUANE NOLAND JAMES DAHL DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROY MOSSER RON DRANE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP WALTER SMITH RON DRANE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP WALTER SMITH LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP WALTER SMITH JAMES DAHL DIRECTOR DIRECTOR BUSINESS RELATIONSHIP WALTER SMITH ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP WALTER SMITH DAVID SMITH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP WALTER SMITH KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP RON DRANE DAVID TYROLT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP RON DRANE ROY MOSSER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP RON DRANE THOMAS KOWA DIRECTOR DIRECTOR BUSINESS RELATIONSHIP RON DRANE WALTER SMITH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP THOMAS KOWA RON DRANE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JAMES DAHL DUANE NOLAND DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JAMES DAHL LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JAMES DAHL ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JAMES DAHL DAVID SMITH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JAMES DAHL WALTER SMITH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JAMES DAHL KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP PAULA EISSFELDT KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP PAULA EISSFELDT DAVID SMITH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP PAULA EISSFELDT LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROBIN KING LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROBIN KING KENNETH SMITHMIER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROBIN KING DAVID TYROLT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROBIN KING JAMES DAHL DIRECTOR DIRECTOR BUSINESS REALTIONSHIP ROBIN KING DAVID SMITH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROBIN KING WALTER SMITH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS DMH HEALTH SYSTEMS, INC., AN ILLINOIS NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS BEING DESCRIBED IN SEC. 501(C)(3), IRC. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | AS THE SOLE CORPORATE MEMBER OF DMH, DMH HEALTH SYSTEMS HAS THE RIGHT TO APPROVE ALL DIRECTORS OF DMH, AND TO REMOVE ANY DIRECTOR SO APPROVED. |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | FORM 990, PAGE 6, PART VI, LINE 7B | THE DMH BOARD OF DIRECTORS GENERALLY OVERSEES AND DIRECTS ALL ACTIVITIES, ASSETS AND OPERATIONS OF DMH, SUBJECT TO THE RIGHTS AND AUTHORITY SPECIFICALLY RESERVED TO DMH HEALTH SYSTEMS, AS THE SOLE CORPORATE MEMBER, IN THE DMH BYLAWS. THESE RIGHTS PERTAIN TO THE APPOINTMENT AND REMOVAL OF DIRECTORS, ELECTION OF THE PRESIDENT AND TREASURER, NOMINATION OF OTHER OFFICERS, AMENDMENT OF ARTICLES AND BYLAWS, APPROVAL OF BUDGETS AND LONG RANGE PLANS, APPROVAL OF ANY MERGER OR CONSOLIDATION, APPROVAL OF SIGNIFICANT TRANSACTIONS, APPROVAL OF DISSOLUTION, CREATION OF ANY SUBSIDIARIES OR AFFILITATES, AND APPOINTMENT OF THE INDEPENDENT AUDITOR. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE FORM 990, ALONG WITH AN EXPLANATORY NOTE, IS PROVIDED FOR REVIEW TO THE BOARD VIA AN INTRANET SITE PRIOR TO FILING. ALSO, THE FORM 990 IS REVIEWED AND DISCUSSED AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | ANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE TO THE CEO. A LIST OF POTENTIAL CONFLICTS IS PREPARED AND IS AVAILABLE FOR REFERENCE PRIOR TO EACH BOARD AND COMMITTEE MEETING. THE CFO'S OFFICE MONITORS AND PERIODICALLY REVIEWS TRANSACTIONS BETWEEN THE ORGANIZATION AND BOARD MEMBERS OR ENTITIES WITH WHICH THEY ARE AFFILIATED. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS OF DMH HEALTH SYSTEMS (THE SOLE CORPORATE MEMBER OF DMH) HAS ADOPTED AN EXECUTIVE COMPENSATION POLICY AND PROCEDURE SETTING FORTH THE AUTHORITY AND PROCESS REGARDING COMPENSATION DETERMINATIONS FOR THE TOP EXECUTIVES OF DMH AND ITS AFFILIATES (THE CEO AND FIVE OTHER EXECUTIVES). PURSUANT TO THE POLICY, THE BOARD HAS DELEGATED TO THE EXECUTIVE COMMITTEE THE RESPONSIBILITY TO REVIEW INDEPENDENT MARKET DATA, ASSESS THE COMPARABILITY OF SUCH DATA, AND MAKE RECOMMENDATIONS TO THE BOARD REGARDING COMPENSATION PROPOSED TO BE PAID. IN CARRYING OUT THEIR RESPECTIVE COMPENSATION-RELATED RESPONSIBILITIES, THE BOARD AND EXECUTIVE COMMITTEE EXCLUDE ANY PERSON DEEMED TO HAVE A CONFLICT OF INTEREST WITHIN THE MEANING OF APPLICABLE TREASURY REGULATIONS (INCLUDING ANY PHYSICIANS EMPLOYED BY DMH OR ON ITS MEDICAL STAFF). AS PROVIDED IN THE POLICY, THE EXECUTIVE COMMITTEE CONDUCTS AN IN-DEPTH TOTAL COMPENSATION ANALYSIS USUALLY EVERY TWO YEARS WITH THE ASSISTANCE OF AN INDEPENDENT NATIONALLY-RECOGNIZED COMPENSATION CONSULTING FIRM. IN THE OFF-YEARS BETWEEN IN-DEPTH REVIEWS, THE COMMITTEE TYPICALLY HAS OBTAINED FROM ITS CONSULTING FIRM AN UPDATED ASSESSMENT TO CONFIRM CONTINUED COMPARABILITY WITH MARKET DATA. CONSISTENT WITH THE FOREGOING, IN SEPTEMBER 2011, DMH OBTAINED SUCH AN UPDATE REPORT FROM ITS INDEPENDENT COMPENSATION CONSULTING FIRM, COVERING THE FOLLOWING INDIVIDUALS: SMITHMIER (CEO), STONE (COO), PEACOCK (CFO), ZIA (VPMA), AND FAHEY (CNO). ALL DETERMINATIONS OF THE BOARD AND EXECUTIVE COMMITTEE ARE THOROUGHLY AND TIMELY DOCUMENTED IN APPROPRIATE MINUTES AND SUPPORTING MATERIALS. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | SEE RESPONSE TO FORM 990, PART VI.B, LINE 15A ABOVE. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL INFORMATION OF DMH ARE AVAILABLE TO THE PUBLIC UPON SPECIFIC REQUEST TO DMH ADMINISTRATION. |
| ADDITIONAL INFORMATION | FORM 990, PART VII | GARY PEACOCK (FORMER SENIOR VP AND CFO) RETIRED IN JANUARY 2010. DMH ENGAGED IN A CONSULTING CONTRACT WITH MR. PEACOCK FROM JANUARY 16, 2010 THROUGH DECEMBER 31, 2010. MR. PEACOCK'S CONTRACT WAS FOR 2,000 PER MONTH PLUS 150 PER HOUR FOR EACH HOUR WORKED. OVER THE COURSE OF THE CONTRACT MR. PEACOCK WAS PAID 26,024. MR. PEACOCK HANDLED A BROAD RANGE OF TRANSITION-RELATED MATTERS INCLUDING (I) THE PENDING IRS AUDIT OF DMH AND DMH FOUNDATION; (II) OTHER FINANCE OR ACCOUNTING RELATED ISSUES INCLUDING WITHOUT LIMITATION THOSE PERTAINING TO INVESTMENTS, RETIREMENT BENEFIT PLANS, AND DMH'S INDEPENDENT AUDIT FUNCTION; (III) QUESTIONS ASSOCIATED WITH DMH'S PAST AND CURRENT OUTSTANDING BONDS AND OTHER INDEBTEDNESS; AND (IV) MATTERS ASSOCIATED WITH PHYSICIAN RELATIONSHIPS HISTORICALLY UNDER HIS SUPERVISION. IN OCTOBER 2011 MR. PEACOCK WAS REHIRED AS SENIOR VP & CFO. |
| ADDITIONAL INFORMATION | FORM 990, PART XI | ON SEPT. 30, 2011, DECATUR MEMORIAL HOSPITAL AUXILIARY, EIN: 37-6036506, A RELATED SEC. 501(C)(3) ORGANIZATION, WAS COMBINED INTO DMH. ASSETS CONSISTING OF CASH OF 155,227 AND INVENTORY OF 248,146 WERE TRANSFERRED TO DMH PURSUANT TO A COMBINATION, ASSIGNMENT, AND ASSUMPTION AGREEMENT EFFECTIVE SEPTEMBER 30, 2011. |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 5 | OTHER CHANGES IN NET ASSETS CONSIST OF THE FOLLOWING: BOOK/TAX DIFFERENCES IN INCOME FROM PARTNERSHIPS (INCREASE OF 144,573); TRANSFER OF NET ASSETS FROM DECATUR MEMORIAL AUXILIARY IN CONJUNCTION WITH COMBINATION OF AUXILIARY INTO HOSPITAL (INCREASE OF 300,857); CHANGE IN MINIMUM PENSION LIABILITY (DECREASE OF 629,985); TRANSFER OF CAPITAL FROM AFFILIATE (INCREASE OF 151,301); CHANGE OF VALUE OF FUNDS HELD IN TRUST (INCREASE OF 1,183,894); AND UNREALIZED LOSSES ON INVESTMENTS (DECREASE OF 7,017,771). |
| ADDITIONAL INFORMATION | FORM 990, PART XII | DECATUR MEMORIAL HOSPITAL WAS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF DMH HEALTH SYSTEMS AND AFFILIATED ORGANIZATIONS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| DMH HEALTH SYSTEMS | ||||||||||
| 2300 N EDWARD ST | DECATUR | IL | 625264163 | 371169606 | SUPP. DMH | IL | 501C3 | 11A | NA | false |
| DECATUR MEMORIAL FOUNDATION | ||||||||||
| 2300 N EDWARD ST | DECATUR | IL | 625264163 | 371169605 | SUPP. DMH | IL | 501C3 | 11A | NA | false |
| DECATUR MEMORIAL AUXILIARY | ||||||||||
| 2300 N EDWARD ST | DECATUR | IL | 625264163 | 376036506 | SUPP. DMH | IL | 501C3 | 9 | NA | false |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECATUR DIGESTIVE DISEASE CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 MEMORIAL DRIVE | AddressLine1 |
| Address Line2 | SUITE 102 | AddressLine2 |
| City | DECATUR | City |
| State | IL | State |
| ZIP Code | 62526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161678954 | EIN |
| Primary Activity | ENDOSCOPY | PrimaryActivity |
| Legal Domicile State | IL | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 353075 | ShareOfTotalIncome |
| Share Of EOY Assets | 171999 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Percentage Ownership | 0.50000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DMH WORLDWIDE LTD | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 N EDWARD ST | AddressLine1 |
| City | DECATUR | City |
| State | IL | State |
| ZIP Code | 62526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271901157 | EIN |
| Primary Activity | CONSULTING | PrimaryActivity |
| Legal Domicile State | IL | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (18 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| DECATUR MEMORIAL AUXILIARY | ||
| R | 403373 | COMBINATION TRANSFER |
| DECATUR MEMORIAL FOUNDATION | ||
| C | 119172 | CASH TRANSFER |
| DECATUR MEMORIAL AUXILIARY | ||
| C | 169010 | CASH TRANSFER |
| DECATUR DIGESTIVE DISEASE CTR LLC | ||
| R | 330000 | CASH TRANSFER |
| DECATUR MEMORIAL FOUNDATION | ||
| J | 1349635 | CASH PAYMENT |
| DECATUR MEMORIAL FOUNDATION | ||
| N | 305379 | CASH PAYMENT |
| DECATUR MEMORIAL AUXILIARY | ||
| N | 415748 | CASH PAYMENT |
| DECATUR DIGESTIVE DISEASE CENTER | ||
| N | 475840 | CASH PAYMENT |
| DECATUR MEMORIAL FOUNDATION | ||
| P | 209085 | CASH PAYMENT |
| DECATUR MEMORIAL AUXILIARY | ||
| R | 403373 | COMBINATION TRANSFER |
| DECATUR MEMORIAL FOUNDATION | ||
| C | 119172 | CASH TRANSFER |
| DECATUR MEMORIAL AUXILIARY | ||
| C | 169010 | CASH TRANSFER |
| DECATUR DIGESTIVE DISEASE CTR LLC | ||
| R | 330000 | CASH TRANSFER |
| DECATUR MEMORIAL FOUNDATION | ||
| J | 1349635 | CASH PAYMENT |
| DECATUR MEMORIAL FOUNDATION | ||
| N | 305379 | CASH PAYMENT |
| DECATUR MEMORIAL AUXILIARY | ||
| N | 415748 | CASH PAYMENT |
| DECATUR DIGESTIVE DISEASE CENTER | ||
| N | 475840 | CASH PAYMENT |
| DECATUR MEMORIAL FOUNDATION | ||
| P | 209085 | CASH PAYMENT |
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