2012-08-22T15:32:32-05:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2011-01-01 370792770 GREENVILLE REGIONAL HOSPITAL INC GREE 6186641230 200 HEALTH CARE DRIVE GREENVILLE IL 622461156 SHERRY KOEHLER 6186641230 2012-08-22 1 JEFF PARKER P00970069 3149254300 2011 2016-02-24 21:20:13Z MICHAEL ZILM 200 HEALTH CARE DRIVE GREENVILLE IL 622461156 38005953 0 X WWW.GREENVILLEREGIONALHOSPITAL.COM X 1956 IL PROVIDE COMPASSIONATE CARE AND EXCELLENT SERVICE IN A MODERN AND EFFICIENT HEALTHCARE ORGANIZATION STAFFED BY HIGHLY TRAINED PROFESSIONALS. 13 12 552 750 0 0 457198 276732 30405442 36621899 52083 48090 1141907 1013575 32056630 37960296 325000 310000 0 0 16830172 20489590 0 24000 31645 16666346 17788423 33821518 38612013 -1764888 -651717 30568777 32824669 15865444 18436775 14703333 14387894 X PROVIDE COMPASSIONATE CARE AND EXCELLENT SERVICE IN A MODERN AND EFFICIENT HEALTHCARE ORGANIZATION STAFFED BY HIGHLY TRAINED PROFESSIONALS. 1 0 31566987 310000 35245662 GREENVILLE REGIONAL HOSPITAL IS A FULL-SERVICE, ACUTE CARE FACILITY OFFERING 42 LICENSED BEDS, A GERIATRIC BEHAVIORAL HEALTH UNIT, A 24-HOUR EMERGENCY DEPARTMENT, FAMILY BIRTH CENTER, SURGERY DEPARTMENT, REHABILITATION DEPARTMENT, SLEEP DISORDERS CENTER, OUTPATIENT PSYCHIATRIC/MENTAL HEALTH SERVICES, AND OUTPATIENT SPECIALTY CLINICS. DIAGNOSTIC SERVICES INCLUDE A LABORATORY, CARDIOPULMONARY DEPARTMENT, AND IMAGING SERVICES DEPARTMENT. THE HOSPITAL IS CERTIFIED BY THE HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP). IN ADDITION TO PROVIDING INPATIENT ACUTE CARE, GREENVILLE REGIONAL HOSPITAL OFFERS "SWING BEDS". MEDICARE PATIENTS QUALIFYING FOR TRANSITIONAL CARE CAN RECEIVE TREATMENT AT GREENVILLE REGIONAL THROUGH THE "SWING BED" PROGRAM. THE GERIATRIC BEHAVIORAL HEALTH UNIT IS A 10-BED INPATIENT UNIT INTENDED FOR SENIORS NEEDING MEDICATION ADJUSTMENT AND THERAPY PROGRAMS DESIGNED FOR BEHAVIORAL ISSUES. THE GERIATRIC BEHAVIORAL HEALTH UNIT SERVES SENIOR PATIENTS FROM A 150-MILE RADIUS. A PSYCHIATRIST DIRECTS THE CARE PROVIDED. WHITE OAKS SENIOR WELLNESS IS AN OUTPATIENT, GERIATRIC DAY-CARE PROGRAM INTENDED FOR PATIENTS DISCHARGED FROM A BEHAVIORAL HEALTH UNIT, OR THOSE EXPERIENCING BEHAVIORAL ISSUES. MEDICARE PATIENTS QUALIFYING FOR OUTPATIENT BEHAVIORAL HEALTH TREATMENTS CAN RECEIVE CARE THROUGH THE WHITE OAKS PROGRAM. THE HOSPITAL OWNS THREE CLINIC STRUCTURES ON THE HOSPITAL CAMPUS, AS WELL AS THREE CLINICS LOCATED IN NEARBY, RURAL COMMUNITIES. ALL SIX FACILITIES ARE CERTIFIED RURAL HEALTH CLINICS. THE CLINICS ARE UTILIZED BY PRIMARY CARE AND SPECIALTY PHYSICIANS, AS WELL AS MID-LEVEL PRACTITIONERS. BOND COUNTY EMERGENCY MEDICAL SERVICES IS BASED AT AND OPERATED BY THE HOSPITAL. THE SERVICE PROVIDES ADVANCED CARDIAC LIFE SUPPORT (ACLS) AND THE ORGANIZATION HAS ALSO ACHIEVED "RESOURCE HOSPITAL" STATUS. SOME YEARS AGO, THE HOSPITAL WAS ASKED BY THE BOND COUNTY BOARD TO ASSUME OPERATION OF THE AMBULANCE SERVICE AND PROVIDE EMERGENCY MEDICAL TREATMENT AT THE SCENE AFTER IT BECAME APPARENT THAT A PRIVATE COMPANY COULD NO LONGER REMAIN OPERATIONAL. THE HOSPITAL EMERGENCY DEPARTMENT IS STAFFED 24-HOURS PER DAY BY A PHYSICIAN. FOUR MAJOR TRAUMA SUITES, THREE EXAMINATION ROOMS, A TRIAGE ROOM, AND AN IV THERAPY ROOM ARE LOCATED WITHIN THE DEPARTMENT. WHEN NEEDED, HELICOPTER AMBULANCE SERVICE IS AVAILABLE. IN 2011, 205 INFANTS WERE DELIVERED AT THE GREENVILLE REGIONAL FAMILY BIRTH CENTER. PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPY ARE OFFERED ON BOTH AN INPATIENT AND OUTPATIENT BASIS. THE HOSPITAL HAS THE STATE-OF-THE-ART BIONESS FOOT DROP SYSTEM AVAILABLE. THE HOSPITAL IS THE ONLY FACILITY IN THE IMMEDIATE AREA OFFERING THIS TECHNOLOGY. THE HOSPITAL OUTPATIENT SPECIALTY CLINIC OFFERS 16 MEDICAL SPECIALTIES AND CONTAINS 13 EXAMINATION ROOMS. FOUR CLINICS CAN BE IN OPERATION SIMULTANEOUSLY. THE HOSPITAL MAY HOST AS MANY AS 100 CLINICS IN JUST 27 WORKING DAYS. FOR THE CONVENIENCE OF PATIENTS, SATURDAY CARDIOLOGY APPOINTMENTS ARE AVAILABLE. MEDICAL SPECIALTIES AVAILABLE AT THE HOSPITAL'S OUTPATIENT CLINIC ARE: CARDIOLOGY, OBSTETRICS/GYNECOLOGY, NEPHROLOGY, SPORTS MEDICINE, MEMORY, ORTHOPEDICS, ONCOLOGY, PULMONARY MEDICINE, EARS/NOSE/THROAT, HAND SURGERY, GASTROENTEROLOGY, NERVE CONDUCTION, UROLOGY, GENERAL AND VASCULAR SURGERY, ALLERGIES, AND SLEEP DISORDERS. THE HOSPITAL'S LABORATORY CAN PERFORM A WIDE ARRAY OF BLOOD, TISSUE, AND FLUID TESTING. THE IMAGING SERVICES DEPARTMENT OFFERS IN-HOUSE X-RAY, CAT SCAN, MRI, ULTRASOUND, NUCLEAR SCAN, BONE DENSITY, AND DIGITAL MAMMOGRAPHY TECHNOLOGY. MOBILE PET SCANS ARE ALSO AVAILABLE. THE HOSPITAL HAS THE CAPABILITY OF TRANSMITTING IMAGES TO ON-CALL RADIOLOGISTS FOR SCANS PERFORMED AFTER NORMAL BUSINESS HOURS. FAIR OAKS IS A 108-BED, MEDICARE AND MEDICAID CERTIFIED, SHORT-TERM REHABILITATION AND LONG-TERM CARE FACILITY ADJOINING THE HOSPITAL. ADULT DAY CARE AND RESPITE CARE ARE ALSO PROVIDED AT FAIR OAKS. EMERALD POINTE IS AN INDEPENDENT, SENIOR LIVING DEVELOPMENT LOCATED ON THE HOSPITAL CAMPUS. THE DEVELOPMENT CONSISTS OF A 15-UNIT APARTMENT BUILDING, FIVE DUPLEX STRUCTURES, AND A SINGLE UNIT PROVIDING 11 RESIDENCES. THE GREENVILLE REGIONAL HOSPITAL AUXILIARY SUPPORTS THE HEALTH CARE MISSION OF GREENVILLE REGIONAL HOSPITAL AND ITS AFFILIATED DIVISIONS. THE VOLUNTEER ORGANIZATION WAS FORMED IN 1957, THREE YEARS BEFORE THE HOSPITAL OPENED, AND HAS A PAID MEMBERSHIP OF APPROXIMATELY 750 INDIVIDUALS. THE AUXILIARY SUPPORTS THE HOSPITAL WITH VOLUNTEER SERVICE, AS WELL AS CHARITABLE CONTRIBUTIONS THAT ARE USED TO PURCHASE MEDICAL EQUIPMENT, CONSTRUCT NEW PATIENT CARE AREAS, AND RENOVATE EXISTING FACILITIES. ANNUALLY, IT IS ESTIMATED THAT APPROXIMATELY 1,000 BOND COUNTY RESIDENTS PARTICIPATE IN A GREENVILLE REGIONAL HOSPITAL AUXILIARY VOLUNTEER SERVICE OR FUND RAISING PROJECT. VOLUNTEERS ASSIST THE HOSPITAL BY SERVING AS LOBBY HOSTS AND HOSTESSES, AS WELL AS SURGICAL DEPARTMENT HOSTS AND HOSTESSES. THEY ASSIST AT COMMUNITY EDUCATION PROGRAMS, WHEN NEEDED. HOSPITAL AUXILIARY VOLUNTEERS PROVIDE A VARIETY OF SERVICES AT THE GREENVILLE REGIONAL HOSPITAL HEALTH FAIR, HELD EACH YEAR. THE VOLUNTEERS REGISTER ATTENDEES, SERVE AS GUIDES, STAFF INFORMATION AND HEALTH TESTING BOOTHS, AND PREPARE BLOOD TEST RESULTS FOR MAILING. DURING THE 2011 HEALTH FAIR, APPROXIMATELY 3,800 COMPREHENSIVE BLOOD TESTS WERE PERFORMED AND RETURNED TO PARTICIPANTS. IN 2011, THE HOSPITAL AUXILIARY SPONSORED OVER 20 FUND RAISING PROJECTS THAT INCLUDED: OPERATION OF A 22,000 SQUARE-FOOT THRIFT SHOP; OPERATION OF A HOSPITAL GIFT SHOP; A HOLIDAY BAZAAR; A BOOK FAIR; A BARBEQUE COOKOUT; FOUR, NEW BOOKS SALES; AN APPLE BUTTER PROJECT; A PEACH BUTTER PROJECT; THE LIGHT A LUMINARY FOR A LOVED ONE OR FRIEND PROJECT; TWO BAKE SALES; THREE CHOCOLATE SALES; TWO MICHE BAG SALES; A PANCAKE DAY CRAFT SALE; A "MINI BAZAAR"; CARD FLIGHTS; AND APPLE DAY SALES. PROCEEDS FROM THESE FUND RAISING PROJECTS RESULTED IN A GIFT OF $300,000 THAT WAS DESIGNATED FOR PHASE II IMPLEMENTATION OF AN ELECTRONIC HEALTH RECORDS' SYSTEM. WITHOUT THE CHARITABLE FINANCIAL SUPPORT PROVIDED BY THE HOSPITAL AUXILIARY, THE PURCHASE OF MEDICAL EQUIPMENT AND FACILITY RENOVATION WOULD NOT BE POSSIBLE AT GREENVILLE REGIONAL HOSPITAL. 31566987 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 24 0 1 552 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X SHERRY KOEHLER CFO 6186641230 200 HEALTH CARE DRIVE GREENVILLE IL 622461156 MORRIS BOND 5.00 X X 0 0 0 DR RICHARD FUNNEMAN 1.00 X 193268 0 3735 LEONARD TAYLOR 1.00 X 0 0 0 JEFF MOLLET 1.00 X 0 0 0 DOUG STROUD 1.00 X 0 0 0 SALLY BOLEN 1.00 X 0 0 0 BART CALDIERARO 1.00 X 0 0 0 BETTY IMBODEN 1.00 X 0 0 0 DR SUSAN HUGHEY-RASLER 1.00 X 13528 0 0 FRANK JOY 1.00 X 0 0 0 JILL YOUNG 1.00 X 0 0 0 ROSEMARY YORK 1.00 X 0 0 0 ERNIE CHAPPEL 1.00 X 0 0 0 DR RANDALL BERGEN 1.00 X 0 0 0 BILLY BRUCE 40.00 X 268597 0 18958 SHERRY KOEHLER 40.00 X 165112 0 1261 SARA MCPEAK 40.00 X 137518 0 3978 DR DAWN MCDAID 40.00 X 321760 0 3735 DR OME NWANZE 40.00 X 224103 0 4918 DR RAYMOND RYAN 40.00 X 300128 0 1417 DR ANNE BORWICK 40.00 X 221921 0 3735 DR CHRISTINA DOTHAGER 40.00 X 263711 0 304 2109646 0 42041 18 0 1 0 MIDWEST EMERGENCY DEPARTMENT SVCS 320 HIGHWAY 50 OFALLON IL 62269 ER PHYSICIAN COVERAGE 1397078 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 606809056 THERAPY SERVICES 923332 QUEST DIAGNOSTICS PO BOX 14730 ST LOUIS MO 631504730 REFERENCE LABS 227453 SPECIALCARE HOSPITAL MANAGEMENT 502 EARTH CITY PLAZA EARTH CITY MO 63045 MEDICAL STABILIZATION SVCS 198750 L & K FIRE PROTECTION 1501 E MAIN MARION IL 62959 CONSTRUCTION CONTRACTOR 119157 8 227675 49057 276732 NET PATIENT REVENUES 621110 34881275 34881275 EHR REIMBURSEMENTS 621110 1376237 1376237 LABORATORY 621500 194140 194140 PHARMACEUTICALS 446110 170247 170247 36621899 74109 74109 424601 0 424601 424601 424601 19638 45657 -26019 -26019 -26019 GIFT SHOP 453220 420918 420918 CAFETERIA 722210 106074 106074 LIFE RESIDENCY FEES 623990 61982 61982 588974 37960296 36621899 0 1061665 310000 310000 764496 76450 680401 7645 15653912 12547962 3105950 132252 106011 26241 2831972 2270070 561902 1106958 887322 219636 72268 72268 72964 72964 12544 12544 24000 24000 151559 121488 30071 4566936 3660794 906142 266781 213848 52933 1640845 1315279 325566 111548 89415 22133 468693 375698 92995 1937585 1937585 679394 544593 134801 CONTRACTED SERVICES 2929970 2348624 581346 PROVISION FOR BAD DEBT 2327766 2327766 PHYSICIAN SERVICES 1967512 1967512 EQUIPMENT & REPAIRS 252251 202201 50050 329807 251825 77982 38612013 31566987 7013381 31645 1463542 549376 4333979 6363703 70493 55298 429912 446145 557519 1075847 41797079 20381874 22064435 21415205 1421656 2771251 227241 147844 30568777 32824669 3354677 4441732 745644 643666 8930000 9997358 54478 148237 2780645 3205782 15865444 18436775 X 14697560 14378524 5773 9370 14703333 14387894 30568777 32824669 X -651717 336278 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 12544 1 0 0 12544 0 31919527 13467959 18451568 9560209 6913915 2646294 317343 317343 21415205 LIFE RESIDENCY FEES 1626235 ASSET RETIREMENT OBLIGATION 302547 DUE TO THIRD PARTY PAYORS 1277000 3205782 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE CONSOLIDATED AFFILIATES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE, THUS THERE IS NO PROVISION FOR INCOME TAXES AT DECEMBER 31, 2011 AND 2010. THE HOSPITAL APPLIES THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE CONSOLIDATED AFFILIATES INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE HOSPITAL IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS AND IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE FISCAL YEARS 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. X X 1 PATRICIA BOND 1303 SPRING DRIVE GREENVILLE IL 62246 GRANT WRITING & APPLICATION 0 0 24000 -24000 24000 -24000 IL PROFESSIONAL FUNDRAISING SCHEDULE G; PART I; LINE 2 GREENVILLE REGIONAL HOSPITAL, INC. EMPLOYS A PROFESSIONAL FUNDRAISER AND REPORTS THE SALARIES OF THIS INDIVIDUAL ON THIS RETURN. THE REVENUE GENERATED FROM THE FUNDRAISERS EFFORTS ARE RECORDED UNDER UTLAUT MEMORIAL FOUNDATION, A SISTER CORPORATION OF THE HOSPITAL. 1 1 1 X 1 X 1 1 0 1 1 1 534140 534140 0.01470 1 5331795 2511515 2820280 0.07770 2 5865935 2511515 3354420 0.09240 5 4095 140354 184960 -44606 0.00000 1 28723 28723 0.00080 2 9184559 7228654 1955905 0.05390 4 46798 46798 0.00130 12 4095 9400434 7413614 1986820 0.05600 14 4095 15266369 9925129 5341240 0.14840 4 115 679 679 0.00000 4 115 679 679 1 981736 98174 9076150 9263832 -187682 X 1 0 1 1 GREENVILLE REGIONAL HOSPITAL

200 HEALTHCARE DRIVE GREENVILLE IL 62246

X X X GREENVILLE REGIONAL HOSPITAL 1 1 1 150.000000000000 1 300.000000000000 1 X X X X X X X 1 1 X X X 0 0 1 X 0 1 5 FAIR OAKS NURSING HOME

200 HEALTH CARE DRIVE GREENVILLE IL 62246

SKILLED NURSING FACILITY GREENVILLE FAMILY WELLNESS CENTER

150 HEALTH CARE DRIVE GREENVILLE IL 62246

PHYSICIAN CLINIC GREENVILLE MEDICAL ASSOCIATES

101 HEALTHCARE DRIVE GREENVILLE IL 62246

PHYSICIAN CLINIC MCHCRACKEN-DAWDY-HALL FAMILY PRACTICE

201 HEALTHCARE DRIVE GREENVILLE IL 62246

PHYSICIAN CLINIC EMERALD POINTE

105 HONEY LOCUST LANE GREENVILLE IL 62246

INDEPENDENT LIVING FACILITY PART I, LINE 6A: THE UTLAUT MEMORIAL FOUNDATION'S ANNUAL REPORT CONTAINS THE COMMUNITY BENEFIT INFORMATION. PART I, LINE 7: THE COST TO CHARGE RATIO SHOWN IN THE MEDICARE COST REPORT IS APPLIED TO THE GROSS AMOUNTS FOR CHARITY, MEDICAID, ETC. TO DETERMINE THE TRUE COST OF THESE PROGRAMS. FOR THE OTHER SUBSIDIZED PROGRAMS, SOME COSTS ARE ESTIMATED BASED ON CERTAIN ALLOCATIONS: SQUARE FOOTAGE, STATISTICS, STAFF TIME, SUPPLIES USED, AND OTHER VARIOUS FACTORS. PART I, LINE 7G: THE SERVICE OF PHYSICIAN PRACTICE OPERATIONS INCLUDES COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. SOME OF THE COSTS INCLUDED IN THIS SUBSIDIZED SERVICE ARE SALARIES, BENEFITS, SUPPLIES, OUTSOURCED PHYSICIAN FEES, AND OTHER VARIOUS EXPENSES. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2327766. PART II: GREENVILLE REGIONAL HOSPITAL HOSTS A VARIETY OF COMMUNITY EVENTS. A NUMBER OF HOSPITAL ROOMS ARE USED FOR HEALTH-RELATED COMMUNITY FUNCTIONS. SUPPORT GROUPS THAT MEET WITHIN THE HOSPITAL INCLUDE: DIABETES; DEMENTIA CAREGIVERS; PARKINSON'S DISEASE; AND LOOK GOOD, FEEL BETTER. GOOD HEALTH, HEALTH IMPROVEMENT, AND QUALITY OF LIFE ARE PROMOTED THROUGH THE EDUCATION, INFORMATION, AND SUPPORT THAT IS PROVIDED DURING THE SESSIONS LISTED. INDIVIDUALS AFFLICTED WITH DIABETES AND PARKINSON'S DISEASE HAVE THE OPPORTUNITY TO RECEIVE IMPORTANT INFORMATION RELATED TO THEIR ILLNESS. TREATMENT REGIMES, MEDICATIONS AVAILABLE, AND SUGGESTIONS FOR COPING WITH THE DISEASES ARE OFFERED. PATIENTS DIAGNOSED WITH THESE DISEASES CAN INTERACT WITH OTHERS WHO ARE AFFLICTED WITH THESE CONDITIONS. INDIVIDUALS PROVIDING ASSISTANCE TO THOSE WITH DEMENTIA-RELATED CONDITIONS OR ALZHEIMER'S DISEASE ATTEND THE DEMENTIA CAREGIVERS SUPPORT GROUP. FAMILY MEMBERS ARE WELCOME TO ATTEND THE SUPPORT GROUP SESSIONS AND BENEFIT FROM THE INFORMATION PRESENTED AND THE SOCIAL INTERACTION THAT TAKES PLACE. WOMEN UNDERGOING TREATMENT FOR CANCER ARE INVITED TO THE LOOK GOOD, FEEL BETTER SUPPORT GROUP. COSMETICS, WIGS, HEAD COVERINGS, AND FASHION SUGGESTIONS ARE AMONG THE TOPICS COVERED DURING THESE SESSIONS. THOSE ATTENDING CAN ALSO GAIN VALUABLE PSYCHOLOGICAL REINFORCEMENT BY INTERACTING WITH OTHERS EXPERIENCING SIMILAR APPEARANCE-ALTERING SIDE EFFECTS CAUSED BY CHEMOTHERAPY AND RADIATION TREATMENTS. PART III, LINE 4: THE COST TO CHARGE RATIO FROM THE MOST RECENT MEDICARE COST REPORT IS APPLIED TO THE ORGANIZATION'S BAD DEBT EXPENSE FOR THE FISCAL YEAR. THE ORGANIZATION EMPLOYS A FINANCIAL COUNSELOR THAT WORKS WITH ALL SELF-PAY PATIENTS. BASED ON REVIEW OF TAX RETURNS, BANK STATEMENTS, AND OTHER FINANCIAL DOCUMENTS PROVIDED BY THE PATIENT, AN ESTIMATE EQUAL TO 10% OF BAD DEBT PATIENTS WOULD QUALIFY FOR CHARITY CARE BUT FAILED TO PROVIDE THE APPROPRIATE LEVEL OF DOCUMENTATION AND INFORMATION. PART III, LINE 8: THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT IS UTILIZED IN DETERMINING THE ORANIZATION'S COMMUNITY BENEFIT. GREENVILLE REGIONAL HOSPITAL PART V, SECTION B, LINE 19D: IF THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE AND HE/SHE REQUESTS A DISCOUNT, GREENVILLE REGIONAL HOSPITAL AWARDS A 38% REDUCTION. A "PROMPT PAY" MARKDOWN IS ALSO GRANTED (UP TO 20%) IF THE PATIENT PAYS WITHIN 10 DAYS OF SERVICE DATE. GREENVILLE REGIONAL HOSPITAL PART V, SECTION B, LINE 21: ALL PATIENTS ARE CHARGED THE SAME AMOUNT (GROSS CHARGES) AND ANY APPLICABLE DISCOUNTS FOR CHARITY CARE, PROMPT PAY, UNINSURED, MANAGED CARE, ETC. ARE APPLIED AFTER THE FACT. PART VI, LINE 2: GREENVILLE REGIONAL HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES USING A VARIETY OF FORMAL AND INFORMAL METHODS. NRC PICKER SURVEYS WERE UTILIZED TO MONITOR THE QUALITY OF SERVICES PROVIDED AT THE HOSPITAL. FEEDBACK REGARDING HEALTH CARE NEEDS IS RECEIVED CONTINUALLY FROM FREQUENT INTERACTION AND ENCOUNTERS WITHIN THE COMMUNITY. SERVING A CLOSELY-KNIT AREA, GREENVILLE REGIONAL HOSPITAL'S MANAGEMENT TEAM IS INVOLVED IN MANY COMMUNITY CLUBS, ORGANIZATIONS, CHURCHES, TEAMS, AND COMMITTEES. THE BOARD OF DIRECTORS REPRESENTS A DIVERSE, CROSS SECTION OF THE COMMUNITY. BOARD MEMBERS RECEIVE AND SHARE COMMENTS RELATED TO HEALTH CARE NEEDS AND NEW SERVICES DESIRED. AN EVALUATION FORM IS SENT TO EACH HEALTH FAIR PARTICIPANT. THESE INDIVIDUALS ARE AFFORDED THE OPPORTUNITY TO PROVIDE FEEDBACK REGARDING THE EVENT AND THEIR NEED FOR LOW COST HEALTH SCREENINGS AND TESTING. ANY HEALTH TRENDS DETECTED THROUGH THE TESTING OFFERED AT THE HEALTH FAIR CAN BE ASSESSED AND USED TO SHAPE SERVICES PROVIDED BY THE HOSPITAL. MONTHLY MEDICAL STAFF MEETINGS OFFER PHYSICIANS THE OPPORTUNITY TO INTERACT WITH HOSPITAL MANAGEMENT AND DISCUSS SERVICES NEEDED BY THEIR PATIENTS. IN 2011, THE HOSPITAL UTILIZED A CONSULTANT TO CONDUCT A MARKET RESEARCH SURVEY. THE STUDY GENERATED CONSUMER INFORMATION REGARDING HEALTH ISSUES, UNMET MEDICAL NEEDS, PHYSICIAN SHORTAGES, AND DESIRED SERVICES. PLANNING IS UNDERWAY TO PERFORM A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. THE PROJECT WILL BEGIN IN LATE 2012 AND WILL BE COMPLETED DURING 2013. PART VI, LINE 3: THE HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO WORKS WITH ALL SELF-PAY PATIENTS. THE COUNSELOR ASSESSES THE PATIENTS FINANCIAL POSITION AND WILL ASSIST THE PATIENT IN COMPLETING THE NECESSARY PAPERWORK TO APPLY FOR MEDICAID OR CHARITY CARE ASSISTANCE (IF APPLICABLE). PART VI, LINE 4: GREENVILLE REGIONAL HOSPITAL SERVES THE RESIDENTS OF BOND COUNTY AND THE SURROUNDING FOUR COUNTIES (FAYETTE, CLINTON, MONTGOMERY, AND MADISON). THE HOSPITAL HAS A PRIMARY AND SECONDARY MARKET AREA CONSISTING OF APPROXIMATELY 30,000 TO 32,000 INDIVIDUALS. THE MARKET AREA INCLUDES AN ABOVE AVERAGE NUMBER OF SENIOR CITIZENS. WHILE THE NATIONAL AND STATE AVERAGE FOR THOSE OVER THE AGE OF 60 IS APPROXIMATELY 12 PERCENT, THOSE OVER THE AGE OF 60 IN THE HOSPITAL'S PRIMARY MARKET AREA IS 22 PERCENT. THE MARKET AREA IS RURAL IN ITS COMPOSITION. THE AGRICULTURAL ECONOMY IS SIGNIFICANT WITHIN THE AREA. SOME MANUFACTURING DOES EXIST IN THE LOCAL COMMUNITIES. MEDICARE, MEDICAID, AND UNCOMPENSATED CARE PATIENTS COMPRISE A MAJORITY OF THOSE SERVED BY THE HOSPITAL. THE INCOME LEVELS OF THE MARKET AREA ARE NOT HIGH. MANY OF THE RESIDENTS IN THE REGION RELY ON THE HOSPITAL TO PROVIDE ROUTINE DIAGNOSTIC SERVICES SUCH AS LAB AND IMAGING SERVICES. THE HOSPITAL IS THE PRIMARY SOURCE OF AMBULANCE, EMERGENCY, AND REHABILITATION SERVICES. GREENVILLE REGIONAL IS THE ONLY FACILITY IN THE COUNTY, AND ONE OF ONLY TWO HOSPITALS IN THE AREA, THAT PROVIDES OBSTETRICAL SERVICES. THE NEXT CLOSEST OB UNIT WOULD REQUIRE A MINIMUM DRIVE TIME OF 30-40 MINUTES. THE HOSPITAL PROVIDES INFANT DELIVERY SERVICES FOR PATIENTS SPANNING AN 80 MILE RADIUS. GREENVILLE REGIONAL HOSPITAL IS THE LARGEST EMPLOYER IN BOND COUNTY WITH APPROXIMATELY 475 FULL- AND PART-TIME STAFF MEMBERS. THE FACILITY'S ANNUAL PAYROLL IS OVER $16.4 MILLION WITHOUT BENEFITS AND $20.5 MILLION WITH BENEFITS. THE HOSPITAL'S ECONOMIC IMPACT EXCEEDS $74 MILLION. PART VI, LINE 5: GREENVILLE REGIONAL HOSPITAL, AND ITS AFFILIATED DIVISIONS, EXISTS ONLY TO PROVIDE HEALTH CARE SERVICES FOR RESIDENTS OF THE AREA. IN 2011, THE HOSPITAL'S COMMUNITY BENEFIT TOTAL WAS DETERMINED TO BE APPROXIMATELY $6.3 MILLION. THE HOSPITAL IS INTENTIONALLY STRUCTURED AS A NOT-FOR-PROFIT ORGANIZATION IN THAT ITS ONLY PURPOSE IS TO SERVE OTHERS. NO SINGLE INDIVIDUAL OR GROUP OF INVESTORS PROFITS FROM THE ACTIVITIES OF THE HOSPITAL. AS IS EVIDENT BY THE FINANCIAL LOSSES REPORTED IN THIS DOCUMENT, THE HOSPITAL BOARD OF DIRECTORS IS COMMITTED TO SERVING THE HEALTH CARE NEEDS OF THE REGION. MEDICAL SERVICES CRITICAL TO THE HEALTH AND WELL-BEING OF THOSE SERVED BY THE HOSPITAL ARE PROVIDED EVEN THOUGH THE REVENUES GENERATED MAY NOT COVER THE OPERATIONAL COSTS. THE HOSPITAL'S "NOT-FOR-PROFIT" STATUS IS VITAL TO THE ORGANIZATION'S EXISTENCE. GREENVILLE REGIONAL ADHERES TO A "NON-DISCRIMINATION TREATMENT POLICY". REGARDLESS OF A PATIENT'S FINANCIAL OR HEALTH INSURANCE STATUS, CARE IS PROVIDED. NO PATIENT IS REFUSED TREATMENT BASED UPON THEIR ABILITY TO PAY. GREENVILLE REGIONAL HOSPITAL FUNDS ITS OWN "HEALTH CARE ASSISTANCE PROGRAM". IN 2011, $534,140 IN CHARITY ASSISTANCE (AT COST) WAS PROVIDED TO PATIENTS WHO QUALIFIED FOR BILLING REDUCTIONS UP TO 100 PERCENT. INCOME GUIDELINES AND FAMILY SIZE ARE USED TO DETERMINE ELIGIBILITY FOR THIS SELF-FUNDED PROGRAM. A COMMITTEE MAKES THE FINAL DETERMINATION OF ELIGIBILITY. THE HOSPITAL-OWNED, OBSTETRICS/GYNECOLOGY (OB/GYN) PROVIDER PRACTICE LOST $436,000 IN 2011. THE PRACTICE CONSISTS OF TWO OB/GYN SPECIALISTS AND TWO MIDWIVES. OBSTETRICAL PATIENTS FROM A WIDE GEOGRAPHICAL RADIUS USE THE GREENVILLE REGIONAL OBSTETRICAL DEPARTMENT. GREENVILLE REGIONAL IS ONE OF ONLY TWO HOSPITALS IN THE IMMEDIATE AREA THAT PROVIDE INFANT DELIVERY SERVICES. AN ANNUAL LOSS ASSOCIATED WITH PROVIDING INFANT DELIVERIES HAS BECOME AN EXPECTED PRACTICE. THE HOSPITAL'S BOARD OF DIRECTORS HAS ACCEPTED THE LOSS AS A RESULT OF THE PAYER MIX AND THE LACK OF OBSTETRICAL SERVICES WITHIN THE AREA. SEVEN OF EVERY TEN BIRTHS AT THE HOSPITAL ARE OF MEDICAID STATUS. THE STATE OF ILLINOIS MEDICAID PROGRAM DOES NOT MEET THE COST OF PROVIDING CARE. THE MEDICAID PAYMENT CYCLE RANGES FROM SEVEN TO EIGHT MONTHS, CREATING A CASH FLOW CRISIS. THE "LOW AND SLOW" CHALLENGE HAS BEEN A PROBLEM IN ILLINOIS FOR OVER 30 YEARS. THE BOARD OF DIRECTORS BELIEVES THAT THE AVAILABILITY OF INFANT DELIVERY SERVICES IS VITALLY IMPORTANT FOR THE HEALTH AND WELL BEING OF THE MULTI-COUNTY AREA SERVED BY THE HOSPITAL. GREENVILLE REGIONAL PROVIDES OUTPATIENT PSYCHIATRIC AND MENTAL HEALTH SERVICES, INCLUDING COUNSELING. THESE SERVICES ARE HIGHLY UTILIZED AS A RESULT OF NEED AND LIMITED AVAILABILITY WITHIN THE REGION. THE HOSPITAL-OWNED FAMILY, OB/GYN, PSYCHIATRIC, SPORTS MEDICINE, ONCOLOGY, PULMONOLOGY, AND SURGERY PRACTICES EXPERIENCED A LOSS OF $1.5M IN 2011. DURING THE 2011 FISCAL YEAR, THE OPERATIONAL LOSS AT FAIR OAKS NURSING HOME WAS $537K. THE BOARD OF DIRECTORS HAS COMMITTED TO THE EXISTENCE OF FAIR OAKS, EVEN THOUGH THE FACILITY OPERATES AT A LOSS OF APPROXIMATELY $1,471 PER DAY. THE RESIDENT PAYER MIX IS A SIGNIFICANT CAUSE OF THE LOSS. APPROXIMATELY 50 TO 60 PERCENT OF THE RESIDENTS ARE COVERED BY THE MEDICAID PROGRAM. THE ILLINOIS MEDICAID LONG-TERM CARE REIMBURSEMENT RATE RANKS 49TH LOWEST IN THE NATION. FAIR OAKS IS ONE OF ONLY TWO NURSING HOMES LOCATED IN BOND COUNTY. IF THE FAIR OAKS BEDS WERE NOT AVAILABLE, THE REMAINING FACILITY WOULD NOT BE ABLE TO ABSORB THE DISPLACED RESIDENTS. FAIR OAKS IS "HOME" FOR THE FACILITY'S APPROXIMATELY 65 RESIDENTS. THE BOARD OF DIRECTORS VIEWS THE NEED FOR THE FAIR OAKS SERVICES AS AN IMPORTANT PART OF THE ORGANIZATION'S MISSION. BOND COUNTY EMERGENCY MEDICAL SERVICES IS OPERATED BY THE HOSPITAL AND REPRESENTS A UNIQUE PRIVATE - PUBLIC PARTNERSHIP. GREENVILLE REGIONAL HOSPITAL IS A "COMMUNITY RESOURCE" THAT IMPROVES THE HEALTH AND QUALITY OF LIFE FOR THOSE RESIDING IN THE AREA. IN ADDITION TO THE AVAILABILITY OF EMERGENCY, DIAGNOSTIC, TREATMENT, AND REHABILITATION SERVICES, GREENVILLE REGIONAL HOSPITAL OFFERS MONTHLY SUPPORT MEETINGS AT NO CHARGE TO THE PARTICIPANTS. SUPPORT GROUPS ARE OFFERED ON THE TOPICS OF DEMENTIA, DIABETES, PARKINSON'S DISEASE, CHILDBIRTH EDUCATION, AND CANCER. DURING THE YEAR, THE HOSPITAL SPONSORS A STROKE SCREENING CLINIC, BREAST CANCER AWARENESS PROGRAM, DIABETES PROGRAM, AND A LOOK GOOD / FEEL BETTER PROGRAM FOR WOMEN AFFLICTED BY CANCER. A "WOMEN'S WELLNESS" PROGRAM IS HELD EACH YEAR. NO-COST LANGUAGE TRANSLATION IS PROVIDED FOR PATIENTS IN NEED OF THIS SERVICE. THE HOSPITAL OWNS MEDICAL CLINICS IN THREE, NEIGHBORING, SMALL COMMUNITIES. THESE MEDICAL OFFICES SAVE TIME AND COSTS FOR MANY WHO WOULD HAVE TO DRIVE GREATER DISTANCES TO RECEIVE PRIMARY CARE. ACCESS TO A PHYSICIAN IS MADE POSSIBLE BECAUSE OF THE CLINIC BUILDINGS OWNED BY THE HOSPITAL. THE FACILITIES ARE CERTIFIED RURAL HEALTH CLINICS. MID - LEVEL PRACTITIONERS AND PHYSICIANS STAFF THE OUTREACH FACILITIES. FOR THE PAST 30 YEARS, GREENVILLE REGIONAL HOSPITAL HAS SPONSORED A MULTI-FACETED HEALTH FAIR. THE EVENT IS ONE OF THE LARGEST HEALTH FAIRS IN THE ST. LOUIS METROPOLITAN AREA. THE EVENT FEATURES 14 FREE HEALTH TESTS, FOUR, LOW-COST COMPREHENSIVE BLOOD TESTS, AND PARTICIPATION BY OVER 40 NATIONAL, STATE, AND LOCAL ORGANIZATIONS. THE OPPORTUNITY COST INCURRED BY GREENVILLE REGIONAL HOSPITAL FOR OFFERING THESE DISCOUNTED SERVICES WAS $1,377,512. THE ORGANIZATION CONSIDERS THE OPPORTUNITY COST AS THE REDUCTION IN REVENUE THAT WOULD HAVE BEEN RECEIVED HAD THE HEALTH FAIR TESTING BEEN PROVIDED AT TYPICAL RETAIL PRICING. IN 2011, APPROXIMATELY 3,800 BLOOD TESTS WERE PERFORMED IN CONJUNCTION WITH THE HEALTH FAIR. THE PARTICIPANTS RECEIVE THE DIRECT COMMUNITY BENEFIT OF THE FREE AND REDUCED PRICE TESTING OFFERED BY THE HOSPITAL. PARTICIPANTS COULD CHOOSE FROM A COMPREHENSIVE BLOOD TEST, PROSTATE SPECIFIC ANTIGEN BLOOD TEST (PSA), HEMOGLOBIN A1-C, VITAMIN D BLOOD TEST, OR A COMBINATION OF THE FOUR BLOOD TESTS. MORE THAN 250 VOLUNTEERS ASSIST WITH THE EVENT. IN ADDITION TO THE SERVICES PROVIDED ON THE DAY OF THE HEALTH FAIR, THE HOSPITAL ALSO PERFORMS THE LOW-COST BLOOD TESTS AT 12 OFF-SITE LOCATIONS FOR THE EMPLOYEES OF AREA SCHOOLS, BUSINESSES, AND MANUFACTURERS. EMPLOYEES FROM SMALLER ENTERPRISES ARE INVITED TO PARTICIPATE IN A "BUSINESS EXPRESS" BLOOD TESTING DAY HELD AT THE HOSPITAL. ON THREE DISTINCT DAYS, GREENVILLE REGIONAL IS THE SITE FOR EMPLOYEES OF LOCAL BANKS, HOSPITAL STAFF MEMBERS, AND HEALTH FAIR VOLUNTEERS WHO HAVE A DESIRE TO RECEIVE THE LOW-COST BLOOD TESTS. THESE ADDED FEATURES, OFFERED FOR THE CONVENIENCE OF THE COMMUNITY, INCREASE ACCESS TO THE BENEFITS PROVIDED BY THE HEALTH FAIR. THROUGH THE YEARS, A NUMBER OF LIFE-THREATENING AND SERIOUS MEDICAL CONDITIONS HAVE BEEN DISCOVERED BY TESTING PERFORMED IN ASSOCIATION WITH THE EVENT. THE $797,310 VIOLA THOMPSON SCHOLARSHIP FUND, ADMINISTERED BY GREENVILLE REGIONAL HOSPITAL, PROVIDES TUITION ASSISTANCE FOR INDIVIDUALS PURSUING A HEALTH OR MEDICAL CAREER. IN 2011, SCHOLARSHIPS TOTALING $28,200 WERE AWARDED. NURSING STUDENTS, MEDICAL STUDENTS, PHYSICIAN RESIDENTS, AND GREENVILLE COLLEGE PSYCHOLOGY STUDENTS UTILIZE THE HOSPITAL AND SENIOR CARE FACILITIES FOR TRAINING AND LEARNING OPPORTUNITIES. THE HOSPITAL IS OFFERED AS A TRAINING SITE AT NO COST TO THE STUDENTS. THE HOSPITAL IS ALSO THE SITE OF REGULARLY SCHEDULED BLOOD COLLECTION DRIVES. THE SHRINERS CONDUCT AN ANNUAL, FREE, ORTHOPEDIC SCREENING CLINIC FOR CHILDREN. THESE ORGANIZATIONS ARE NOT CHARGED FOR USE OF THE HOSPITAL. THE LEMUAL RHODES CANCER FUND BOARD OF DIRECTORS MEETS AT THE HOSPITAL AND AWARDS FUNDING TO PATIENTS UNDERGOING TREATMENT FOR CANCER. EXERCISE CLASSES, RETIRED TEACHERS, COMMUNITY CLUBS, AND ORGANIZATIONS MEET AT THE HOSPITAL. NO FUNDS ARE PAID FOR USE OF THE FACILITY. TWO SCOREBOARDS LOCATED AT THE LOCAL HIGH SCHOOL ARE CO - SPONSORED BY THE HOSPITAL. GREENVILLE REGIONAL HOSPITAL SUPPORTS VARIOUS COMMUNITY ORGANIZATIONS AND ACTIVITIES THAT PROMOTE HEALTHY LIFESTYLES AND WORK TO IMPROVE QUALITY OF LIFE ISSUES.GREENVILLE REGIONAL HOSPITAL HAS A STRONG AND VIBRANT RELATIONSHIP WITH A NUMBER OF PUBLIC, PRIVATE, AND MEDICAL PROVIDERS WHO PARTNER WITH THE ORGANIZATION DURING THE YEAR. THE COOPERATING AGENCIES ASSIST WITH BOTH ON - GOING, AS WELL AS SPECIAL, PROJECTS. THE HOSPITAL PARTNERS WITH COUNTY GOVERNMENT TO OPERATE BOND COUNTY EMERGENCY MEDICAL SERVICES. THE BOND COUNTY HEALTH DEPARTMENT AND UNIVERSITY OF ILLINOIS COOPERATIVE EXTENSION JOIN WITH THE HOSPITAL IN SPONSORING THE ANNUAL "WOMEN'S WELLNESS" PROGRAM. THE HOSPITAL PARTNERS WITH THE BOND COUNTY HEALTH DEPARTMENT IN CONDUCTING THE "STROKE PREVENTION CLINIC" OFFERED IN MAY. THE AMERICAN CANCER SOCIETY SUPPORTS THE LOOK GOOD / FEEL BETTER PROGRAM SPONSORED BY THE HOSPITAL. GREENVILLE COLLEGE AND THE BOND COUNTY COMMUNITY UNIT TWO SCHOOL DISTRICT PARTNER PART VI, LINE 6: THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. 1 UTLAUT MEMORIAL FOUNDATION INC 200 HEALTH CARE DRIVE GREENVILLE IL 62246 371140166 501(C)(3) 310000 HOSPITAL / AUXILIARY ACTIVITY 1 SCHEDULE I, PART I, LINE 2 GRANTS ARE GIVEN FROM THE HOSPITAL / AUXILIARY TO THE FOUNDATION. OUR GENERAL LEDGER PROGRAM MONITORS THESE TRANSACTIONS. X X X 1 1 X X X X 0 0 0 0 0 0 0 0 0 DR RICHARD FUNNEMAN 192266 0 0 0 1002 0 0 0 3735 0 197003 0 0 0 BILLY BRUCE 195562 0 0 0 73035 0 0 0 18958 0 287555 0 0 0 SHERRY KOEHLER 155527 0 0 0 9585 0 0 0 1261 0 166373 0 0 0 DR DAWN MCDAID 321265 0 0 0 495 0 0 0 3735 0 325495 0 0 0 DR OME NWANZE 223545 0 0 0 558 0 0 0 4918 0 229021 0 0 0 DR RAYMOND RYAN 298783 0 0 0 1345 0 0 0 1417 0 301545 0 0 0 DR ANNE BORWICK 221101 0 0 0 820 0 0 0 3735 0 225656 0 0 0 DR CHRISTINA DOTHAGER 263506 0 0 0 205 0 0 0 304 0 264015 0 0 0 PART I, LINE 1A THE HOSPITAL PROVIDES COUNTRY CLUB MEMBERSHIP DUES AND A DISCRETIONARY SPENDING ACCOUNT IN THE AMOUNT OF $300 PER MONTH TO THE CEO. THIS MEMBERSHIP AND SPENDING ACCOUNT IS USED IN BUSINESS MATTERS FOR THE HOSPITAL. CITY OF GREENVILLE 376000403 396097AV0 2003-04-01 12000000 ADDITION TO BUILDING 1 0 0 CITY OF GREENVILLE 376000403 2011-10-20 10000000 REFUND A PRIOR ISSUE (04/01/03) CONSTRUCTION/ REMODEL PROJECTS AND EQUIPMENT 0 0 0 510000 8420000 12000000 357086 11642914 2004 0 0 1 1 2642 10000000 952249 7119136 110681 1817934 2013 1 0 0 1 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 X NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 GREENVILLE REGIONAL HOSPITAL, INC. PURCHASED THE ASSETS OF A PRIVATE PHYSICIAN PRACTICE: MCCRACKEN, DAWDY, HALL FAMILY PRACTICE CENTER. THE PHYSICIAN OFFICE NOW OPERATES ENTIRELY UNDER THE HOSPITAL'S TAX ID. FORM 990, PART VI, SECTION B, LINE 11 REVIEWED BY KEY EMPLOYEES (CFO, CEO, CNO) AND DISTRIBUTED TO THE BOARD OF DIRECTORS VIA EMAIL BEFORE FINAL SUBMISSION. AMPLE TIME IS ALLOWED FOR BOARD MEMBERS TO REVIEW THE 990 AND SUGGEST ANY CHANGES PRIOR TO FINAL SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, THE BOARD OF DIRECTORS AND ANY KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND MEMBERS OF MANAGEMENT COMPLETE A RELATIONSHIP/CONFLICT OF INTEREST QUESTIONAIRE. ANY CONFLICTS THAT ARISE ARE DEALT WITH ACCORDINGLY BY THE ORGANIZATION'S OFFICERS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD AND THE HOSPITAL'S HUMAN RESOURCES' COLLABORATE AND MAKE A FINAL DETERMINATION BY REVIEWING COMPARABLE SALARIES OF THE REGION. FORM 990, PART VI, SECTION C, LINE 19 GREENVILLE REGIONAL HOSPITAL MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST, BUT ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET TRANSFERS BETWEEN AFFILIATE 336,278. TOTAL TO FORM 990, PART XI, LINE 5: 336,278. SELECTION OF AUDITORS AND OVERSIGHT OF AUDIT FORM 990, PAGE 12, PART XII, LINE 2C THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT OVERSEES THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. GREENVILLE REGIONAL HEALTHCARE INC 200 HEALTHCARE DRIVE GREENVILLE IL 62246 371139987 HEALTHCARE IL 501(C)(3) LINE 11B, II N/A 0 UTLAUT MEMORIAL FOUNDATION INC 200 HEALTHCARE DRIVE GREENVILLE IL 62246 371140166 FUNDRAISING IL 501(C)(3) LINE 11B, II N/A 0 0 1 1 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 GREENVILLE REGIONAL HEALTHCARE INC C 130465 UTLAUT MEMORIAL FOUNDATION INC C 97210 UTLAUT MEMORIAL FOUNDATION INC B 310000