TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) JONATHON T LOCKE MD...................................................................... BOARD MEMBER	2.00 ................. 0.00	X		0	0	0
(2) ROBIN KING...................................................................... BOARD MEMBER	2.00 ................. 0.00	X		0	0	0
(3) AIMEE FYKE...................................................................... BOARD MEMBER	2.00 ................. 0.00	X		0	0	0
(4) BRAD WIKE...................................................................... BOARD MEMBER	2.00 ................. 0.00	X		0	0	0
(5) JAMES STECK...................................................................... BOARD MEMBER	2.00 ................. 0.00	X		0	0	0
(6) GUSSIE REED...................................................................... BOARD MEMBER	2.00 ................. 0.00	X		0	0	0
(7) JOHN WADDOCK...................................................................... BOARD MEMBER	2.00 ................. 0.00	X		0	0	0
(8) DENNIS WHALEN...................................................................... BOARD MEMBER	2.00 ................. 0.00	X		0	0	0
(9) DOUGLAS CARLSON MD...................................................................... BOARD MEMBER	2.00 ................. 0.00	X		0	0	0
(10) MARY DEPAZ MD...................................................................... BOARD MEMBER	2.00 ................. 0.00	X		0	0	0
(11) CRISTOBAL VALDEZ...................................................................... BOARD MEMBER	2.00 ................. 0.00	X		0	0	0
(12) KELLY EVANS...................................................................... BOARD MEMBER (THRU OCT 18)	2.00 ................. 0.00	X		0	0	0
(13) EDWARD ELLIOTT MD...................................................................... BOARD MEMBER (THRU DEC 18)	2.00 ................. 0.00	X		0	0	0
(14) LARRY ALTENBAUMER...................................................................... CHAIR	2.00 ................. 0.00	X	X	0	0	0
(15) JACK O'RILEY...................................................................... VICE CHAIR	2.00 ................. 0.00	X	X	0	0	0
(16) TIMOTHY STONE JR...................................................................... BOARD MEMBER AND PRESIDENT & CEO	30.00 ................. 12.50	X	X	0	748,790	11,253
(17) GREG PAGLIUZZA...................................................................... SVP & CFO	40.00 ................. 2.00		X	680,174	0	13,983

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) KEVIN HORATH........................................................................ VICE PRESIDENT HUMAN RESOURCES	20.00 .......................20.00	X			261,223	0	5,777
(19) DEBORAH BRAGG........................................................................ SVP FINANCE	42.00 .......................3.00	X			254,943	0	5,541
(20) LINDA FAHEY........................................................................ SVP COO	40.00 .......................0.00	X			328,523	0	6,107
(21) JOHN RIDLEY........................................................................ VP PROF SERVICES	40.00 .......................0.00	X			297,409	0	25,311
(22) ROBYN REISING........................................................................ VP CNO	40.00 .......................0.00	X			181,910	0	3,603
(23) SHARON NORRIS........................................................................ VP CNO	40.00 .......................0.00	X			163,415	0	23,215
(24) DAVID SAMPLES........................................................................ VP SUPPORT SERVICES	40.00 .......................0.00	X			170,431	0	23,363
(25) KATHERINE ANDERSON ESQ........................................................................ VP LEGAL AFFAIRS & CORP COMPLIANCE	30.00 .......................25.00	X			0	251,574	10,688
(26) MARK BURMESTER........................................................................ SVP STRATEGY & PERFORMANCE	40.00 .......................0.00	X			295,838	0	19,288
(27) JIM BLACKWELL........................................................................ VP INFORMATION TECHNOLOGY	40.00 .......................0.00	X			147,477	0	14,861
(28) MIKE EDWARDS........................................................................ VP REVENUE CYCLE	40.00 .......................0.00	X			191,280	0	5,686
(29) PATRICK OCONNOR........................................................................ VP REVENUE CYCLE	40.00 .......................0.00	X			124,169	0	0
(30) LARRY HEGLAND MD........................................................................ CHIEF MEDICAL OFFICER	40.00 .......................0.00	X			166,497	0	1,792
(31) STEVEN SOBOL MD........................................................................ PHYSICIAN	40.00 .......................0.00		X		1,055,804	0	5,360
(32) JOHN WATERS MD........................................................................ PHYSICIAN	40.00 .......................0.00		X		827,471	0	17,334
(33) MOHAMMED HASNAIN MD........................................................................ PHYSICIAN	40.00 .......................0.00		X		800,946	0	24,956
(34) ROBERT KRAUS MD........................................................................ PHYSICIAN	40.00 .......................0.00		X		761,334	0	24,956
(35) TANSEL TURGUT MD........................................................................ PHYSICIAN	40.00 .......................0.00		X		752,253	0	25,372
(36) DAVID BAUMBERGER MD........................................................................ FORMER OFFICER	40.00 .......................0.00			X	481,978	0	19,260

(A) Name and business address	(B) Description of services	(C) Compensation
SHEARWATER HEALTH 20 BURTON HILLS BLVD SUITE 400 NASHVILLE,TN372156177	STAFFING	3,784,605
POINTCORE 800 NE GLEN OAK PEORIA,IL61603	COMPUTER SUPPORT	3,231,362
SURGICAL SPECIALISTS OF CENTRAL IL ONE MEMORIAL DR SUITE 300 DECATUR,IL62526	PHYSCIAN FEES	2,966,422
MID AMERICA EMERGENCY PHYSICIANS 701 N FIRST ST SPRINGFIELD,IL62781	PHYSCIAN FEES	2,071,684
WEATHERBY LOCUMS INC PO BOX 972633 DALLAS,TX75397	PHYSCIAN FEES	1,773,242
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 198

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

DECATUR MEMORIAL HOSPITAL

Employer identification number

37-0661199

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

DECATUR MEMORIAL HOSPITAL

Employer identification number

37-0661199

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization DECATUR MEMORIAL HOSPITAL

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization DECATUR MEMORIAL HOSPITAL		Employer identification number 37-0661199

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization DECATUR MEMORIAL HOSPITAL			Employer identification number 37-0661199
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

DECATUR MEMORIAL HOSPITAL

Employer identification number

37-0661199

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

49,810

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

79,000

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

128,810

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	A PORTION OF THE MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOMECARE AND HOSPICE COUNCIL, TRAUMA CENTER ASSN OF AMERICA, AND THE ILLINOIS HOSPITAL ASSOCIATION ARE DESIGNATED AS LOBBYING EXPENSES. THE AMOUNT REPORTED ON SCHEDULE C, PART II-B, LINE 1F REPRESENTS THE AMOUNTS SO DESIGNATED.

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

DECATUR MEMORIAL HOSPITAL

Employer identification number

37-0661199

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	14,577,500	14,996,073	14,956,170	15,056,012	15,420,861
b	Contributions ...
c	Net investment earnings, gains, and losses	361,029	-418,573	860,660	-99,842	-364,849
d	Grants or scholarships ...	63,971		262,374
e	Other expenditures for facilities and programs ...	136,143		558,383
f	Administrative expenses ....
g	End of year balance ......	14,738,415	14,577,500	14,996,073	14,956,170	15,056,012

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

Yes

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	1,379,068		1,379,068
b	Buildings ....	200,309,129	181,863,273	18,445,856
c	Leasehold improvements	3,178,765	2,969,965	208,800
d	Equipment ....	235,595,920	231,359,503	4,236,417
e	Other .....	10,144,389	9,683,943	460,446
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				24,730,587

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) INSURANCE RECEIVABLE				13,650,544
(2) 457B ASSETS				9,123,025
(3) PHYSICIANS RECEIVABLE				1,287,242
(4) NURSE ASSISTANCE PROGRAM				256,244
(5) DUE FROM AFFILIATES				74,285
(6) EXCESS WC INSURANCE RECOVERIES				224,360
(7) DEFERRED TAX ASSET				1,538,128
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				26,153,828

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
INSURANCE PAYABLE	13,650,544
DEFERRED TRUST	8,947,923
MALPRACTICE INSURANCE	5,677,589
CREDIT A/R BALANCES	2,941,959
PENSION LIABILITY	2,049,781
FUTURE RENT PAYMENTS	1,057,234
RETIRE HEALTH PLAN	466,842
CYCLOTRON DECOMMISSIONING 16 MEV	435,500
ILL FINANCING PARTNERS	24,968
ASBESTOS REMOVAL	169,796
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	35,422,136
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	THE SYSTEM HAD NO MATERIAL UNCERTAIN POSITIONS IN INCOME TAX LIABILITIES OR EXPENSES.
PART V, LINE 4	THE ENDOWMENT FUNDS ARE USED FOR CAPITAL PURCHASES, SCHOLARSHIPS, AND ASSISTING INDIGENT PEOPLE WITH THEIR HOSPITAL BILLS.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

DECATUR MEMORIAL HOSPITAL

Employer identification number

37-0661199

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 60000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	12,542,346		12,542,346	3.640 %
b	Medicaid (from Worksheet 3, column a) . . . . .	42,759,491	32,261,163	10,498,328	3.050 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	55,301,837	32,261,163	23,040,674	6.690 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	390,204		390,204	0.110 %
f	Health professions education (from Worksheet 5) . . .	3,952,670		3,952,670	1.150 %
g	Subsidized health services (from Worksheet 6) . . . .	2,497,504		2,497,504	0.730 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	23,297		23,297	0.010 %
j	Total. Other Benefits . .	6,863,675		6,863,675	2.000 %
k	Total. Add lines 7d and 7j .	62,165,512	32,261,163	29,904,349	8.690 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	60,000	60,000	0.020 %
3	Community support	4,022	4,022	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	37,961	37,961	0.010 %
8	Workforce development
9	Other	24,093	24,093	0.010 %
10	Total	126,076	126,076	0.040 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

6,923,412

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

1,833,792

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

94,023,845

Enter Medicare allowable costs of care relating to payments on line 5.....

98,923,565

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-4,899,720

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Other (describe)
1	DECATUR MEMORIAL HOSPITAL 2300 N EDWARD STREET DECATUR,IL62526 WWW.DMHCARES.COM 0000471	X	X	X	ACUTE CARE & LONG TERM CARE

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	DECATUR MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART VI

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART VI

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	DECATUR MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.DMHCARES.COM/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE/

The FAP application form was widely available on a website (list url):

WWW.DMHCARES.COM/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE/

A plain language summary of the FAP was widely available on a website (list url):
WWW.DMHCARES.COM/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	DECATUR MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	DECATUR MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
DECATUR MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: THE HOSPITAL HOSTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUP WHERE THE FOLLOWING ATTENDEES MET TO DISCUSS THE RESULTS OF A SURVEY COMPLETED BY PATIENTS AND COMMUNITY MEMBERS. EIGHT DECATUR MEMORIAL HOSPITAL EMPLOYEES AND VOLUNTEERS WERE SELECTED TO PARTICIPATE IN THE FOCUS GROUP. DURING THE ONE-HOUR SESSION, THE GROUP FOCUSED ATTENTION ON A HIGH-PRIORITY ITEM FROM THE COMMUNITY SURVEY: PATIENT ACCESS.COMMITTEE MEMBERS:DARIN BUTTZ - DMH, DIRECTOR, HEALTH AND WELLNESSSARAH MCCHESNEY, DMH, ASSISTANT TO PRESIDENTANDREW TAYLOR, ECONOMIC DEVELOPMENT CORPORATION, ECONOMIC DEVELOPMENT OFFICERERIKKA BOBBITT, DMH, CLINICAL INFORMATICS EDUCATORKAREN SCHNELLER, DMH, DIRECTOR, DECATUR MEMORIAL FOUNDATIONEMILY MOCNY, DMH, PERFORMANCE MANAGER/PLANNERFOCUS GROUP ATTENDEES:TYRONE WHITE, DMH, ENGINEERINGJAMES WASHINGTON, DMH, ENGINEERINGBONNIE ENGEL, DMH, VOLUNTEERSUE MILLARD, DMH, VOLUNTEERTINA GRACE, DMH, ENVIRONMENTAL SERVICESGAIL DANIELS, DMH, ENVIRONMENTAL SERVICES
DECATUR MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: THE FOLLOWING STRATEGIES HAVE BEEN DEVELOPED TO ADDRESS THE IDENTIFIED TOP THREE HEALTH NEEDS OF THE COMMUNITY.1.ACCESS TO PRIMARY CARE PHYSICIANSACCESS TO PRIMARY CARE PHYSICIANS IS VITAL TO OUR COMMUNITY MEMBERS. PRIMARY CARE PHYSICIANS ARE GENERALLY THE ENTRYWAY INTO THE HEALTHCARE SYSTEM. THIS LEADS TO PREVENTION OF DISEASE AND DISABILITY, DETECTION AND TREATMENT OF HEALTH CONDITIONS, BETTER QUALITY OF LIFE, PREVENTABLE DEATH AND A GREATER LIFE EXPECTANCY. DMH ACTIVELY WORKS TO INCREASE ACCESS TO PRIMARY CARE PHYSICIANS THROUGH RECRUITMENT AND STRONG COLLABORATIVE RELATIONSHIPS.RECRUITMENT EFFORT: -ACTIVITY: DMH AND THE DMH MEDICAL GROUP WILL PROACTIVELY RECRUIT PRIMARY CARE PHYSICIANS AND ADVANCED PRACTITIONER PROVIDERS (I.E. NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS) TO JOIN THE DMH MEDICAL GROUP.-GOAL: THE DMH MEDICAL GROUP WILL RECRUIT 2-3 ADDITIONAL PRIMARY CARE PROVIDERS TO THE SERVICE AREA BY 2021. PRIMARY CARE PROVIDERS MAY INCLUDE INTERNAL MEDICINE, FAMILY MEDICINE, PEDIATRICS AND/OR OB/GYN PHYSICIANS, AS WELL AS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS.COLLABORATIVE EFFORT:-ACTIVITY: DMH AND THE DMH MEDICAL GROUP WILL CONTINUE TO COLLABORATE WITH LOCAL AND REGIONAL HEALTHCARE ORGANIZATIONS TO IMPROVE PRIMARY CARE ACCESS FOR ALL AGE GROUPS THROUGHOUT DMH'S PRIMARY AND SECONDARY SERVICE AREAS.-GOALS: 1. PARTNER WITH SIU SCHOOL OF MEDICINE IN EXPANDING DMH'S RURAL PRIMARY CARE CLINIC HOURS OF OPERATIONS AND SERVICES IN ARTHUR, SHELBYVILLE, MONTICELLO AND SULLIVAN.2. CONTINUE TO PARTNER WITH THE TWO EXISTING FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) IN THE PRIMARY SERVICE AREA, CROSSING HEALTHCARE FQHC AND SIU SCHOOL OF MEDICINE'S FQHC, TO INCREASE ON-CAMPUS PATIENT VISIT VOLUMES BY 3% - 5% 2021.3. DMH WILL PARTNER WITH SIU SCHOOL OF MEDICINE AND SPRINGFIELD CLINIC IN ESTABLISHING A COMPREHENSIVE REGIONAL DIABETES CENTER, STAFFED WITH ENDOCRINOLOGISTS, DIABETIC EDUCATORS, PHARMACISTS AND NURSE PRACTITIONERS. DIABETES CENTER WILL BE OPEN IN LATE 2019/EARLY 2020.2. ACCESS TO MEDICAL SPECIALISTSIN AN EFFORT TO MAINTAIN AND GROW APPROPRIATE HEALTHCARE SERVICES, DMH CONTINUES TO RECRUIT PROVIDERS IN A VARIETY OF SPECIALTIES AND COLLABORATES WITH OTHER HEALTHCARE ORGANIZATIONS TO INCREASE CARE OPTIONS FOR THE COMMUNITY. DMH FULLY UNDERSTANDS AND SUPPORTS THE NEED TO OFFER CARE LOCALLY. DMH HAS INVESTED IN SPECIALTY SERVICES TO ENSURE THE AVAILABILITY OF HIGH QUALITY CARE CLOSE TO HOME FOR ITS PATIENTS. WITH A MEDICAL STAFF OF NEARLY 350 PROVIDERS, DMH OFFERS 45+ SPECIALTIES.-ACTION: DMH WILL CONTINUE TO PROVIDE A COMPREHENSIVE CONTINUUM OF MEDICAL SPECIALTY SERVICES TO MEET THE GROWING HEALTHCARE NEEDS OF THE COMMUNITIES SERVED. ADDITIONALLY, DMH WILL COLLABORATE WITH OTHER REGIONAL HEALTHCARE PROVIDERS TO ENSURE ACCESS TO SPECIALTY SERVICES WITHIN THE PRIMARY SERVICE AREA.-GOALS: 1. DMH WILL INCREASE MEDICAL SUB-SPECIALTY SERVICES ACCESS THROUGH PHYSICIAN RECRUITMENT EFFORTS, EXPANDING OFFICE HOURS FOR CERTAIN SUB-SPECIALTIES, COLLABORATION WITH OTHER REGIONAL HEALTHCARE PROVIDERS, AND/OR IMPLEMENTING VIRTUAL TECHNOLOGY HEALTHCARE APPLICATIONS, (I.E. TELEHEALTH, VIRTUAL HEALTH VISITS, E-VISITS).2. INCREASE SPECIALTY VISITS BY 10% BY 2021.3. ACCESS TO MENTAL HEALTH PROVIDERS AND SERVICESON OCTOBER 1, 2015 DMH OPENED A 20-BED GERIATRIC PSYCHIATRY UNIT. WITH A MISSION IS TO IMPROVE THE MENTAL HEALTH OF INDIVIDUALS AGES 55 AND OLDER IN CENTRAL ILLINOIS, THE UNIT PROVIDES QUALITY MENTAL HEALTH SERVICES WITH STAFF WHO ARE EDUCATED ON THE MOST CURRENT TREATMENT INTERVENTIONS FOR BOTH PATIENTS AND THEIR FAMILIES. THE DIRECT ADMISSION PROCESS PREVENTS PATIENTS FROM EXPERIENCING LONG WAIT TIMES IN EMERGENCY ROOMS WHEN SUFFERING FROM CONFUSION, DEPRESSION OR OTHER FORMS OF MENTAL ILLNESS. THE UNIT'S STAFF WORK WITH A TEAM OF EXPERTS COMPOSED OF PSYCHIATRISTS, HOSPITALISTS, MEDICAL SPECIALISTS, NUTRITIONISTS, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS TO PROVIDE A MULTIDISCIPLINARY TEAM APPROACH. THE UNIT IS STAFFED 24 HOURS SEVEN DAYS A WEEK WITH REGISTERED NURSES. TWO LICENSED SOCIAL WORKERS AND A CERTIFIED RECREATIONAL THERAPIST ARE ALSO ON STAFF. DISCHARGED PATIENTS HAVE THE OPPORTUNITY TO ATTEND DMH'S INTENSIVE OUTPATIENT PROGRAM FOR CONTINUED CARE. -ACTION: DMH WILL PROVIDE SPECIFIC EDUCATIONAL INFORMATION TO AREA PROVIDERS ON MENTAL HEALTH ISSUES IMPACTING SENIORS AGE 55 AND OLDER AND HOW PROVIDERS CAN EASILY MAKE A REFERRAL TO THE PROGRAM. ALL ASSESSMENTS ARE FREE REGARDLESS IF THE PATIENT IS ADMITTED TO THE PROGRAM. TYPICALLY, INDIVIDUALS WILL ACTIVELY PARTICIPATE IN GROUP THERAPY SESSION FOR 3-6 MONTHS DEPENDING ON INDIVIDUAL NEEDS. ALL PATIENTS IN THE PROGRAM ARE SEEN FOR MEDICATION MANAGEMENT BY A PSYCHIATRIST ON A MONTHLY BASIS.-GOALS: 1. INCREASE AWARENESS OF THE INTENSIVE OUTPATIENT PROGRAM AND PROVIDE BOTH MORNING AND AFTERNOON GROUP SESSIONS.2. CONSISTENTLY RUN AT 80% CAPACITY3. HIRE ADDITIONAL PROVIDERS TO PROVIDE MEDICATION MANAGEMENT TO DISCHARGED PATIENTS IN AREA NURSING HOMES.
DECATUR MEMORIAL HOSPITAL	PART V, SECTION B, LINE 13H: DMH USES INCOME LEVEL AND FAMILY SIZE TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE. THE MAXIMUM QUALIFYING INCOME LEVEL INCREASES WITH THE SIZE OF THE FAMILY.
SCHEDULE H, PART V, SECTION B, LINES 7 AND 10	WWW.DMHCARES.COM/PUBLIC-INFORMATION/QUALITY-DATA/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?10
Name and address		Type of Facility (describe)
1	1 - DMH MEDICAL GROUP 2300 N EDWARD STREET DECATUR,IL62526	OUTPATIENT CLINICS
2	2 - FORSYTH IMAGING CENTER 389 W WEAVER ROAD FORSYTH,IL62535	DIAGNOSTIC CENTER
3	3 - DMH ENDOSCOPY CENTER 2 MEMORIAL DR PHYS PLAZA WEST STE 102 DECATUR,IL62526	AMBULATORY ENDOSCOPY CENTER
4	4 - DMH SURGERY CENTER 304 W HAY SUITE 114 DECATUR,IL62526	AMBULATORY SURGERY CENTER
5	5 - SOUTH SHORES IMAGING CENTER 1689 S FRANKLIN STREET DECATUR,IL62521	DIAGNOSTIC CENTER
6	6 - SPORTS PERFORMANCE ENHANCEMENT CENTER 2122 N 27TH STREET DECATUR,IL62526	PHYSCIAL THERAPY
7	7 - DMH HOME HEALTH CARE 2870 N MAIN STREET DECATUR,IL62526	HOME HEALTH AGENCY
8	8 - DMH HOSPICE 2870 N MAIN STREET DECATUR,IL62526	HOSPICE AGENCY
9	9 - DMH OCC HEALTH & WELLNESS PARTNERS 2122 N 27TH STREET DECATUR,IL62526	OUTPATIENT CLINIC
10	10 - DMH HEALTH & WELLNESS CENTER 2122 N 27TH STREET DECATUR,IL62526	WELLNESS CENTER

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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 PATIENT'S BILLS.
PART I, LINE 6A:	THE HOSPITAL PREPARES THE ANNUAL COMMUNITY BENEFIT REPORT UNDER ITS OWN NAME.
PART I, LINE 7:	THE HOSPITAL DERIVED ALL NUMBERS IN LINE 7 FROM THE APPLICABLE IRS WORKSHEETS, USING THE RATIO OF PATIENT COST-TO-CHARGES.
PART I, LINE 7G:	THE HOSPITAL DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.SCHEDULE H, PART I, LINE 7 COLUMN (F)TOTAL EXPENSES TOTALED $344,219,975 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:	ECONOMIC DEVELOPMENT - DMH SUPPORTS THE ECONOMIC DEVELOPMENT CORPORATION OF DECATUR AND MACON COUNTY (EDC). EDC IS A NON-PROFIT PUBLIC-PRIVATE PARTNERSHIP RESPONSIBLE FOR NON-RETAIL BUSINESS ATTRACTION, EXPANSION AND RETENTION EFFORTS IN DECATUR & MACON COUNTY. COMPOSED OF A COMBINATION OF LEADING PRIVATE SECTOR EMPLOYERS, LABOR, EDUCATIONAL INSTITUTIONS AND A VARIETY OF GOVERNMENTAL BODIES, THE EDC IS UNIQUELY POSITIONED TO ADDRESS THE NEEDS OF MACON COUNTY'S EXISTING BUSINESS AND EMPLOYER BASE ALONG WITH PROSPECTIVE BUSINESSES LOOKING TO LOCATE IN AND AROUND THE DECATUR, ILLINOIS AREA. PRESIDENT & CEO TIM STONE WAS CHAIRMAN OF THE EDC THROUGH SEPTEMBER 30, 2019. COMMUNITY HEALTH IMPROVEMENT ADVOCACY - DMH SUPPORTS A PROGRAM WHEREBY INDIGENT OR QUALIFYING PATIENTS WHO COULD NOT AFFORD TRANSPORTATION FOR HEALTH CARE ARE PROVIDED TAXI AND DECATUR AMBULANCE SERVICE TRANSPORTATION AT NO COST. IN ADDITION, DMH PROVIDES PHARMACY FOR THE INDIGENT AND/OR THOSE THAT QUALIFY. CROSSING HEALTHCARE ACCESS CLINIC IS LOCATED WITHIN THE HOSPITAL'S EMERGENCY ROOM AREA. THE CLINIC PROVIDES HEALTH CARE TO LOW INCOME FAMILIES. COMMUNITY SUPPORT - DMH SUPPORTED THE FRIENDS OF WILL, DECATUR CHRISTIAN SCHOOL, AND THE COMMUNITY FOUNDATION. OTHER - DMH SUPPORTED THE LOCAL HOMELESS SHELTER BY PROVIDING FOOD CONTRIBUTIONS. DMH ACTIVELY PARTICIPATED AND CONTRIBUTED TO THE WSOY COMMUNITY FOOD DRIVE.
PART III, LINE 2:	LINE 2 OF PART III WAS CALCULATED USING THE HOSPITAL WIDE COST-TO-CHARGE RATIO FROM 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.
PART III, LINE 3:	LINE 3 OF PART III WAS CALCULATED AS FOLLOWS: THE HOSPITAL USED 2010-2019 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). ADDED TO THIS PERCENTAGE WAS AN ESTIMATED PERCENTAGE OF THE POPULATION THAT IS ABOVE THE 200% POVERTY LEVEL AND LESS THAN 600% OF THE POVERTY LEVEL. THIS COMBINED PERCENTAGE WAS THEN DECREASED BY THE PERCENTAGE OF ILLINOIS RESIDENTS WHO HAVE GAINED INSURANCE THROUGH THE AFFORDABLE CARE ACT. THIS ADJUSTED PERCENTAGE WAS APPLIED TO THE HOSPITAL'S CHARGES TO ESTIMATE THE AMOUNT OF GROSS CHARGES THAT MET ITS FINANCIAL ASSISTANCE GUIDELINES. THE HOSPITAL THEN SUBTRACTED THE CHARGES RELATED TO PATIENTS THAT WERE ELIGIBLE FOR GOVERNMENTAL ASSISTANCE PROGRAMS SUCH AS MEDICAID. HOSPITAL CHARITY CARE ADJUSTMENTS WERE ALSO REMOVED BECAUSE IT WOULD NOT HAVE RESULTED IN BAD DEBTS. THE REMAINING CHARGES RELATED TO UNINSURED PATIENTS WITH HOUSEHOLD INCOMES BELOW 600% OF THE FPG, AND IT IS REASONABLE TO ASSUME THAT IT RESULTED IN HOSPITAL BAD DEBTS. THIS TOTAL WAS THEN MULTIPLIED BY THE RATIO OF COSTS-TO-CHARGES FROM APPLICABLE IRS WORKSHEET TO CALCULATE THE COST OF PROVIDING THESE SERVICES.
PART III, LINE 4:	DECATUR MEMORIAL HOSPITAL'S ACCOUNTING POLICY FOR BAD DEBT EXPENSE IS DESCRIBED ON PAGE 13 OF THE NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS IN THE DECATUR MEMORIAL HOSPITAL'S CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE HOSPITAL USED THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT IN CALCULATING LINE 6 OF PART III. THE HOSPITAL DID RECOGNIZE THE SHORTFALL REPORTED IN PART III, LINE 7, IN ITS COMMUNITY BENEFIT REPORT. THE SHORTFALL IS INCLUDED IN THE GOVERNMENT-SPONSORED PROGRAM SERVICES LINE OF THE COMMUNITY BENEFIT REPORT. THE SHORTFALL AMOUNT WAS CALCULATED USING INTERNAL RECORDS.
PART III, LINE 9B:	THE HOSPITAL WILL NOT SEND A PATIENT'S ACCOUNT TO A THIRD-PARTY COLLECTIONS AGENCY PRIOR TO MAKING GOOD FAITH EFFORTS TO DETERMINE A PATIENT'S 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 HIS/HER 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 HIS/HER FAMILY AND/OR GUARANTOR, IF APPLICABLE) HAS SUFFICIENT INCOME AND ASSETS TO MEET HIS/HER OBLIGATIONS UNDER THE EXISTING PAYMENT PLAN; PROVIDED HOWEVER, THE HOSPITAL WILL NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST ANY PATIENT RECEIVING FINANCIAL ASSISTANCE WHO HAS CLEARLY DEMONSTRATED THAT HE/SHE DOES NOT HAVE SUFFICIENT INCOME AND ASSETS TO MEET HIS/HER FINANCIAL OBLIGATIONS TO THE HOSPITAL. NOTWITHSTANDING THE FOREGOING, THE HOSPITAL'S DEBT COLLECTION POLICY PLACES A MAXIMUM AMOUNT, BASED UPON ANNUAL HOUSEHOLD PRE-TAX INCOME AND CASH BENEFITS FROM ALL SOURCES WITH CERTAIN ADJUSTMENTS THAT THE HOSPITAL (OR ITS DESIGNATED THIRD-PARTY COLLECTION AGENCY) MAY COLLECT IN ANY TWELVE (12) MONTH PERIOD FOR HOSPITAL SERVICES FROM A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:	DECATUR MEMORIAL HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS TO EVALUATE THE HEALTH OF THE COMMUNITY, IDENTIFY HIGH PRIORITY HEALTH NEEDS, AND DEVELOP STRATEGIES TO ADDRESS THE NEEDS OF THE COMMUNITY. THE 2019-2021 DECATUR MEMORIAL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPRESENT A COMBINATION OF QUANTITATIVE AND QUALITATIVE INFORMATION FROM REPUTABLE STATISTICAL SOURCES AND FOCUS GROUP FEEDBACK PROVIDED BY COMMUNITY LEADERS. THE ASSESSMENT PROCESS INCLUDED A COMBINATION OF SECONDARY DATA, INCLUDING IPLAN, U.S. CENSUS DATA, AND REFERENCE TO HEALTHY PEOPLE 2020, AMONG OTHER SOURCES. VALUABLE INPUT FROM FOCUS GROUP PARTICIPANTS PROVIDED PRIMARY DATA FOR THE ASSESSMENT. DECATUR MEMORIAL HOSPITAL UTILIZED THE SIX STEP ASSESSMENT PROCESS OUTLINED BELOW. STEP 1: ESTABLISHING THE ASSESSMENT INFRASTRUCTURE PARTICIPANTS IN THE ASSESSMENT INCLUDED DECATUR MEMORIAL HOSPITAL, MILLIKIN UNIVERSITY, MACON COUNTY HEALTH DEPARTMENT, DECATUR TRADES AND LABOR, PSYCHOLOGY SPECIALISTS, ECONOMIC DEVELOPMENT CORPORATION, CITY OF DECATUR, DECATUR CITY COUNCIL, DMH MEDICAL GROUP PHYSICIANS, CROSSING HEALTHCARE, CARPENTERS LOCAL UNION #742, AND DECATUR CHURCHES. DECATUR MEMORIAL HOSPITAL'S ROLE IN THE ASSESSMENT PROCESS WAS TO COORDINATE THE OVERALL ASSESSMENT PROCESS, PROVIDE MEETING SPACE, MOTIVATE COMMUNITY ORGANIZATIONS TO PARTICIPATE IN THE ASSESSMENT PROCESS, COLLECT AND ANALYZE SECONDARY DATA, CONDUCT A FOCUS GROUP TO COLLECT PRIMARY DATA, MOTIVATE COMMUNITY ORGANIZATIONS TO ACT ON THE IDENTIFIED PRIORITY HEALTH ISSUES, IDENTIFY PRIORITY HEALTH ISSUES, AND DEVELOP AND IMPLEMENT INITIATIVES TO ADDRESS PRIORITY ISSUES. PARTNERING ORGANIZATIONS PROVIDED FOCUS GROUP PARTICIPANTS AND INPUT.STEP 2: DEFINING PURPOSE AND SCOPE (DEFINING THE COMMUNITY)THE PURPOSE OF THE ASSESSMENT WAS TO EVALUATE THE CURRENT HEALTH NEEDS OF THE COMMUNITY, THE RESOURCES CURRENTLY IN PLACE TO MEET THOSE NEEDS AS WELL AS IDENTIFYING MAJOR GAPS BETWEEN THE TWO. DATA FROM THE ASSESSMENT IS USED TO DEVELOP AN ACTION PLAN TO BRIDGE THE GAP AND BETTER MEET THE HEALTH NEEDS OF THE COMMUNITY. THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOCUSES ON PRIMARY AND SECONDARY INFORMATION FOR MACON COUNTY, ILLINOIS, INCLUDING THE CITY OF DECATUR AND NEARBY TOWNS. THIS WAS DETERMINED BECAUSE THE MAJORITY OF PATIENTS RESIDE IN MACON COUNTY (MORE THAN 70% OF PATIENTS). IN SOME INSTANCES, DATA WAS NOT AVAILABLE FOR MACON COUNTY, SO CITY OF DECATUR DATA WAS USED.STEP 3: COLLECTING AND ANALYZING DATAPRIMARY DATA WAS COLLECTED FROM JULY 30, 2018 TO AUGUST 19, 2018. THE COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUP MET ON SEPTEMBER 6, 2018, WHERE COMMUNITY LEADERS PROVIDED INPUT REGARDING COMMUNITY HEALTH STRENGTHS AND CONCERNS, AS WELL AS TOP HEALTH CONCERNS SEEN THROUGHOUT THE MACON COUNTY AREA. THIS DIVERSE GROUP OF INDIVIDUALS WAS CHOSEN TO PARTICIPATE IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUP BECAUSE OF THEIR INSIGHT TO THE COMMUNITY'S POPULATION, INCLUDING HEALTH NEEDS. SECONDARY DATA WAS COLLECTED THROUGH SEVERAL SOURCES. THE ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS (IPLAN) IS A COMMUNITY HEALTH ASSESSMENT AND PLANNING PROCESS THAT IS CONDUCTED EVERY FIVE YEARS BY LOCAL HEALTH JURISDICTIONS IN ILLINOIS. BASED ON THE ASSESSMENT PROTOCOL FOR EXCELLENCE IN PUBLIC HEALTH (APEX-PH) MODEL, IPLAN IS GROUNDED IN THE CORE FUNCTIONS OF PUBLIC HEALTH AND ADDRESSES PUBLIC HEALTH PRACTICE STANDARDS. ADDITIONAL RESOURCES WERE UTILIZED THROUGHOUT THE PROCESS, INCLUDING BUT NOT LIMITED TO, U. S. CENSUS BUREAU AMERICAN FACT FINDER, SOCIAL IMPACT RESEARCH CENTER AT HEARTLAND ALLIANCE, ILLINOIS DISTRICT REPORT CARD, AND ILLINOIS COUNTY BEHAVIORAL RISK FACTOR SURVEY.STEP 4: SELECTING PRIORITIESTHE FOCUS GROUP PARTICIPANTS DISCUSSED THE PRIORITY IN WHICH COMMUNITY HEALTH NEEDS SHOULD BE ADDRESSED AND DETERMINED IT BEST TO FOCUS ON SERVICES THAT IMPACTED THE COMMUNITY AS A WHOLE VS. PATIENT SPECIFIC SERVICES. STEP 5: DOCUMENTING AND COMMUNICATING RESULTSTHE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUP WAS RECORDED FOR FUTURE REFERENCE AND RESULTS WERE TALLIED TO DETERMINE THE AREA'S TOP STRENGTHS/VALUES, BARRIERS/CONCERNS, AND THE TOP 3 HEALTH NEEDS. THESE RESULTS WILL BE PRESENTED TO EACH FOCUS GROUP PARTICIPANT AS WELL AS DECATUR MEMORIAL HOSPITAL'S SENIOR LEADERSHIP TEAM.STEP 6: PLANNING FOR ACTION AND MONITORING PROGRESSFOLLOWING THE COMPLETION OF THE 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, AN IMPLEMENTATION PLAN WAS CREATED TO MEET THE APPLICABLE IDENTIFIED NEEDS. EFFORTS ARE MEASURED APPROPRIATELY AND PROGRESS WILL BE REPORTED REGULARLY. 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 AND SPECIALISTS 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 MORE THAN $1,089,590 DURING THE LAST FISCAL YEAR.DMH ALSO SIGNIFICANTLY SUPPORTS THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE FAMILY PRACTICE RESIDENCY PROGRAM, WHICH GRADUATES UP TO SIX FAMILY PRACTITIONERS PER YEAR. THE RETENTION RATE OF THE GRADUATES WITHIN CENTRAL ILLINOIS HAS BEEN VERY HIGH. SUPPORT FOR THE RESIDENCY PROGRAM COSTS IN EXCESS OF $5,052,000 A YEAR. OUR EMPLOYED PHYSICIANS CONTRIBUTE VOLUNTEER TEACHING HOURS TOWARDS RESIDENT TRAINING.IN ADDITION TO PHYSICIANS, IT HAS BECOME APPARENT THAT 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 (DMH) HAS VOLUNTEERED HOURS ON PLANNING AND CURRICULUM DESIGN AT OUR TWO NURSING SCHOOLS AND CONTRIBUTES MORE THAN 2,500 HOURS OF UNCOMPENSATED TEACHING AND CLINICAL EXPERIENCE TO NURSING STUDENTS IN THE DECATUR NURSING PROGRAMS. OUR MEDICAL STAFF AND PERSONNEL ALSO PARTICIPATE IN CLINICAL TRAINING AND SUPPORT FOR RESIDENT PHYSICIANS IN FAMILY MEDICINE AS WELL AS PHYSICIAN ASSISTANT STUDENTS. ADDITIONAL TRAINING PROGRAMS FOR OTHER ALLIED HEALTH PROFESSIONALS HAVE ALSO BEEN UNDERTAKEN AND SUPPORTED BY DMH.HEART, LUNG AND STROKE HEART: CORONARY HEART DISEASE IS THE NUMBER ONE CAUSE OF DEATH IN MACON COUNTY. DECATUR MEMORIAL HOSPITAL (DMH) OFFERS A WIDE VARIETY OF EDUCATION TO THE COMMUNITY TO PROMOTE HEART HEALTHY LIVING. THE CARDIAC REHABILITATION DEPARTMENT OFFERS FREE MONTHLY EDUCATIONAL PROGRAM THAT IS OPEN TO THE PUBLIC. MONTHLY NUTRITION CLASSES OFFER COOKING DEMONSTRATIONS AND COMPLIMENTARY CHAIR YOGA TO ENCOURAGE HEART HEALTHY LIVING HABITS. DMH OFFERS CARDIAC INFORMATION AT MULTIPLE HEALTH FAIRS IN THE AREA, WHICH INCLUDE FREE BLOOD PRESSURE SCREENINGS. HEART DISEASE PREVENTION IS THE FOCUS AND INCLUDES TOPICS SUCH AS EXERCISE, SMOKING CESSATION, HEART HEALTHY DIET, MEDICATION MANAGEMENT AND BLOOD PRESSURE CONTROL. COMMUNITY EVENTS INCLUDE THE ANNUAL DAY FOR HEARTS OPEN HOUSE EVENT AND HEARTS AROUND THE WORLD DINNER, BOTH FOCUSED ON RAISING FUNDS TO SUPPORT THE PREVENTION OF HEART DISEASE IN OUR COMMUNITY.LUNG: THE LUNG CENTER IS CONVENIENTLY LOCATED ON THE CAMPUS OF DECATUR MEMORIAL HOSPITAL AND PROVIDES A COMPREHENSIVE PULMONARY PROGRAM. THESE SERVICES INCLUDE PULMONARY FUNCTION TESTING, SLEEP STUDIES, PULMONARY REHABILITATION AND A JCAHO ACCREDITED COPD PROGRAM. THE FOCUS OF THE COPD PROGRAM IS TO MAINTAIN A HEALTHIER LIFESTYLE WITH A CHRONIC DISEASE AND PREVENT READMISSIONS TO THE HOSPITAL. PATIENT EDUCATION IS PROVIDED FOR BOTH INPATIENTS AND OUTPATIENTS FOCUSED ON SMOKING CESSATION AND LIFESTYLE CHANGES THAT PROMOTE AN IMPROVED QUALITY OF LIFE. DAYS FOR LUNGS, IS A PULMONARY CENTERED EVENT RECOGNIZED IN OCTOBER. THIS EVENT IS OPEN TO THE COMMUNITY AND PROVIDES A VENUE TO PROMOTE EDUCATION ON LUNG DISEASE, FREE SCREENINGS, MEDICATION EDUCATION AND CURRENT TREATMENT OPTIONS. STROKE: IDENTIFICATION OF THE NEED TO EDUCATE THE COMMUNITY WE SERVE ABOUT STROKE RISK FACTORS, OPTIONS FOR TREATMENT, AND INTERVENTIONS THAT WILL HELP TO MITIGATE LONG TERM DISABILITY AFTER STROKE, HAS RESULTED IN INCREASED EFFORTS TO PROVIDE INFORMATION REGARDING GOOD LIFESTYLE AND TREATMENT CHOICES. INFORMATION IS PROVIDED AT HEALTH FAIRS ABOUT SMOKING CESSATION, HEALTHY DIET, DIABETES MONITORING, WEIGHT CONTROL, BLOOD PRESSURE CONTROL, ALONG WITH BLOOD PRESSURE SCREENING. ALL THIS COMES TOGETHER TO FORM A SOLID EDUCATIONAL FOUNDATION FOR PROMOTION OF HEALTHY LIFESTYLE ADJUSTMENTS TARGETED AT DECREASING THE CHANCE OF STROKE.
PART VI, LINE 3:	THE HOME PAGE OF THE HOSPITAL'S WEBSITE, WWW.DMHCARES.COM, CONTAINS LINKS TO ALL INFORMATION CONCERNING THE CHARITY CARE / FINANCIAL ASSISTANCE PROGRAM, INCLUDING THE POLICIES AND PATIENT FINANCIAL APPLICATION 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". 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.
PART VI, LINE 4:	DECATUR MEMORIAL HOSPITAL (DMH) IS LOCATED IN DECATUR, ILLINOIS. THE CITY HAS A 2010 CENSUS POPULATION OF 76,000, WHICH REPRESENTS A POPULATION DECLINE OF 5.8% SINCE 2000. MACON COUNTY, WITHIN WHICH IT RESIDES, HAS A POPULATION OF APPROXIMATELY 110,750. THE OVERALL MARKET AREA FOR DECATUR MEMORIAL HOSPITAL INCLUDES APPROXIMATELY 250,000 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. THE POVERTY RATE FOR MACON COUNTY IS 17.3%. THE 2017 AVERAGE UNEMPLOYMENT RATE FOR DECATUR/MACON COUNTY WAS 5.2 DOWN FROM 6.4 IN 2016.
PART VI, LINE 5:	BACKGROUND - DECATUR MEMORIAL HOSPITAL, SINCE ITS INCEPTION IN 1916, HAS CONTINUOUSLY RESPONDED TO THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. AS AN INDEPENDENT COMMUNITY HOSPITAL WITH A LOCAL 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 OTHER RELEVANT PUBLICS. DECATUR MEMORIAL HOSPITAL HAS PARTICIPATED DIRECTLY IN CHARITY AND INDIGENT CARE FOR A SIGNIFICANT SEGMENT OF OUR COMMUNITY.GOALS AND OBJECTIVES FOR PROVIDING COMMUNITY BENEFITS DECATUR MEMORIAL HOSPITAL HAS EMBRACED THE PHILOSOPHY THAT TO IMPROVE THE HEALTH OF THE PEOPLE IN CENTRAL ILLINOIS, AN ORGANIZATION MUST BECOME INVOLVED IN THE EDUCATION, AWARENESS, AND PREVENTION OF DISEASE AND ILLNESS THAT NEGATIVELY IMPACT A PERSON'S HEALTH STATUS. WE STRIVE TO GIVE COMMUNITY RESIDENTS TOOLS TO EMPOWER THEM TO MAKE LIFESTYLE DECISIONS THAT WILL MAINTAIN AND ENHANCE A DESIRABLE QUALITY OF LIFE. TO HELP PEOPLE REACH THIS GOAL, DECATUR MEMORIAL HOSPITAL SEEKS OUT OPPORTUNITIES AND ACTIVELY INVOLVES ITSELF IN THE COMMUNITY. WE ACTIVELY SUPPORT LOCAL HEALTH CARE EDUCATION PROGRAMS, HEALTH FAIRS, SCREENINGS, AND LOCAL ACCESS TO ADVANCED CARE.DECATUR MEMORIAL HOSPITAL IS, AND ALWAYS HAS BEEN, VERY MINDFUL OF ITS MISSION REGARDING CHARITY CARE. BY HOSPITAL POLICY, THE THRESHOLD FOR THE PROVISION OF CHARITY CARE IS VERY LIBERAL, AND WAS FURTHER EXPANDED IN FISCAL 2009 TO SIX TIMES THE FEDERAL POVERTY GUIDELINES. FOR PATIENTS WHOSE INCOME IS ABOVE THESE THRESHOLDS, WE REVIEW THE PERTINENT FACTORS INCLUDING THE MAGNITUDE OF THE BILL AND THE INDIVIDUAL'S FINANCIAL SITUATION, AND OFFER A SLIDING SCALE DISCOUNT AND EXTENDED PAYMENT TERMS TO THOSE INDIVIDUALS. APPROVAL OR DENIAL OF THESE GUIDELINES IS MADE WITHOUT REGARD TO RACE, CREED, NATIONAL ORIGIN, SEX OR AGE. THE HOSPITAL DOES NOT PLACE LIMITS ON THE AGGREGATE AMOUNTS OF CHARITY CARE PROVIDED IN ANY YEAR. SEE ALSO RESPONSE TO PART VI, LINE 2 ABOVE FOR EXAMPLES OF MANY WAYS IN WHICH THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY.
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 ILLINOIS HEALTH AND SCIENCE 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 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.
PART VI, LINE 7, REPORTS FILED WITH STATES	IL
PART VI, LINE 2 CONT	THE FAST (FACE, ARM, SPEECH, TIME) ACRONYM, IS TAUGHT TO OUR PATIENTS AND THE COMMUNITY TO HELP IDENTIFY SYMPTOMS OF STROKE. THE COMMUNITY IS INVITED TO AN ANNUAL EVENT, WORLD STROKE DAY, IN OCTOBER WHERE THEY CAN HEAR EXPERTS SPEAK ABOUT STROKE. WE OFFER FREE ULTRASOUND SCREENING OF THE CAROTID ARTERIES, BLOOD PRESSURE SCREENINGS AND GLUCOSE READINGS IN ORDER TO PROMOTE THE EDUCATION FOCUSED FOR STROKE AWARENESS. CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IS THE THIRD LEADING CAUSE OF DEATH IN AMERICA. COPD IS A WIDELY UNDER DIAGNOSED ILLNESS AND, HOPING TO IMPROVE DIAGNOSIS AND TREATMENT, DECATUR MEMORIAL HOSPITAL OFFERS FREE SPIROMETRY AND PULSE OXIMETRY SCREENING AT LOCAL HEALTH FAIRS. FREE EDUCATION IS GIVEN ON THE DIAGNOSIS, MANAGEMENT, AND PREVENTION OF COPD. DMH HAS PARTNERED WITH THE ILLINOIS TOBACCO QUITLINE TO PROVIDE NO COST TOBACCO CESSATION SERVICES TO THE COMMUNITY. OUR PULMONOLOGISTS AND RESPIRATORY THERAPISTS ARE ACTIVE IN SPEAKING AT EDUCATIONAL PROGRAMS. THE CARDIOPULMONARY STAFF PROVIDES ONGOING EDUCATION FOR ISSUES SURROUNDING LIVING WITH COPD. OBESITY ACROSS THE UNITED STATES, AS WELL AS IN MACON COUNTY, OVERWEIGHT AND OBESITY RATES CONTINUE TO CLIMB. DECATUR MEMORIAL HOSPITAL'S HEALTH AND WELLNESS CENTER HAS INSTITUTED COMPREHENSIVE WEIGHT MANAGEMENT AND BARIATRIC PROGRAMS TO ASSIST THE MEMBERS OF THE COMMUNITY IN APPROPRIATE WEIGHT LOSS METHODS. THESE PROGRAMS USE AN INTERDISCIPLINARY APPROACH TO PREVENTING AND TREATING NUTRITION-RELATED ILLNESSES. DMH OFFERS FACE-TO-FACE MONTHLY SUPPORT GROUPS FOR BARIATRIC PATIENTS AND WEEKLY MEETINGS FOR THE WEIGHT MANAGEMENT PARTICIPANTS, IN ADDITION TO ENROLLMENT IN SOCIAL MEDIA GROUPS FOR ACCOUNTABILITY. NUTRITION COACHING IS A SERVICE THAT IS AVAILABLE TO MEMBERS OF CROSSFIT ENHANCE AND THE HEALTH AND WELLNESS GYM. IT IS PROVIDED ONSITE BY REGISTERED DIETITIANS. PROFESSIONAL DMH STAFF MEMBERS ATTEND NUMEROUS HEALTH FAIR EVENTS, SEMINARS, AND WORKSHOPS THROUGHOUT THE YEAR TO PROVIDE INFORMATION ON WEIGHT MANAGEMENT AND HEALTHY LIFESTYLES TO LOCAL RESIDENTS. DMH HEALTH AND WELLNESS ALSO HOLDS A VARIETY OF EVENTS THROUGHOUT THE YEAR INCLUDING A 5K RACE, POWERLIFTING MEET, AND STRONGMAN COMPETITION TO PROMOTE HEALTHY BEHAVIORS FOR COMMUNITY MEMBERS.DIABETES ACCORDING TO THE CENTER FOR DISEASE CONTROL (CDC), 23.1 MILLION PEOPLE IN THE U.S. HAVE BEEN DIAGNOSED WITH EITHER TYPE 1 OR TYPE 2 DIABETES, AND AN ESTIMATED 7.2 MILLION ARE STILL UNDIAGNOSED. DECATUR MEMORIAL HOSPITAL PROVIDES DIABETIC EDUCATION AND COMMUNITY PROGRAMS. DMH OFFERS A 10-HOUR COMPREHENSIVE DIABETES EDUCATION PROGRAM (DSME) THAT IS ACCREDITED BY THE AMERICAN DIABETES ASSOCIATION. THE DSME PROGRAM CONNECTS PEOPLE WITH DIABETES EDUCATORS WHO CAN TEACH THEM THE PROBLEM SOLVING AND COPING SKILLS THEY NEED TO SUCCESSFULLY SELF-MANAGE DIABETES AND ITS COMPLICATIONS. IN ADDITION, MEDICAL NUTRITION THERAPY IS OFFERED FOR GESTATIONAL DIABETICS, PATIENTS DIAGNOSED WITH PRE-DIABETES, OR PATIENTS THAT HAVE ALREADY BEEN THROUGH THE DSME PROGRAM THROUGH GRADUATE PROGRAM. THE DSME GRADUATE PROGRAM ALSO OFFERS OPPORTUNITY TO SIT DOWN FOR 1-1 FOLLOW-UP WITH A NURSE EDUCATOR. THE NURSE EDUCATOR IS AVAILABLE FOR INSULIN INSTRUCTION AS WELL. FURTHERMORE, DMH OFFERS BOTH PROFESSIONAL AND PERSONAL USE CONTINUOUS GLUCOSE MONITORING WHICH CAN BE USED TO DETECT TRENDS, TRACKING PATTERNS, AND GLUCOSE LEVEL EXCURSIONS ABOVE OR BELOW THE DESIRED RANGE, FACILITATING THERAPY ADJUSTMENTS IN PERSONS (AGE 18 AND OLDER) WITH DIABETES. THE CGM PROVIDES MORE COMPLETE INSIGHT INTO THE PATIENTS' GLYCEMIC PROFILES. OUR DIABETES EDUCATORS ARE AVAILABLE TO OFFER EDUCATIONAL PRESENTATIONS TO COMMUNITY MEMBERS AND ATTEND NUMEROUS HEALTH FAIRS IN THE COMMUNITY TO SHARE INFORMATION ABOUT DIABETES AND TO GIVE INFORMATION ABOUT PROGRAMS THAT ARE AVAILABLE FOR DIABETES EDUCATION. DMH ALSO OFFERS A MONTHLY DIABETES SUPPORT GROUP FOR COMMUNITY MEMBERS.INDIGENT OUTPATIENT LONGITUDINAL CARE DECATUR MEMORIAL HOSPITAL (DMH) IS A STRONG SUPPORTER OF CROSSING HEALTHCARE (CROSSING). IN APRIL 2014, DMH ENTERED INTO A PARTNERSHIP WITH CROSSING TO CREATE AN ACCESS CLINIC (CROSSING AT DMH) THAT IS CLOSELY ALIGNED TO THE ACCOUNTABLE CARE ORGANIZATION MODEL. SINCE 1972, CROSSING HAS BEEN PROVIDING PRIMARY OUTPATIENT MEDICAL CARE TO MACON COUNTY AND SURROUNDING COUNTIES AND OPERATES AS A NON-PROFIT ORGANIZATION COMPRISED OF MEDICAL PROFESSIONALS WHO ARE DRIVEN TO PROVIDE QUALITY CARE AND SERVICE TO THE COMMUNITY. CROSSING EMPLOYS NEARLY 80 PEOPLE AND TREAT MORE THAN 12,000 PEOPLE EACH YEAR. CROSSING AT DMH CLINIC, LOCATED ADJACENT TO THE DECATUR MEMORIAL HOSPITAL EMERGENCY CARE CENTER, PROVIDES PRIMARY CARE SERVICES TO NON-EMERGENT PATIENTS WHO HAVE MEDICAID, OR ARE UNINSURED. PATIENTS PRESENTING AT THE EMERGENCY CARE CENTER ARE IMMEDIATELY SCREENED. IF THE PATIENT DOES NOT MEET THE CRITERIA AS AN EMERGENCY PATIENT AND IF THE PATIENT DOES NOT HAVE A PRIMARY CARE PHYSICIAN, THEY ARE GIVEN THE OPTION TO SEEK CARE AT THE CLINIC. PATIENTS WHO OPT TO BE SEEN AT THE CLINIC CAN ALSO CHOOSE TO BECOME A CROSSING PATIENT FOR ONGOING CARE. THE CROSSING AT DMH CLINIC IS DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER AND SEEKS TO PROVIDE THE CORRECT LEVEL OF HEALTHCARE AT A CONVENIENT LOCATION WHICH IMPROVES ACCESSIBILITY WHILE LOWERING COSTS. CROSSING AT DMH IS OPEN FROM 10 A.M.-8 P.M., MONDAY THROUGH SATURDAY, AND IS STAFFED BY ONE PHYSICIAN OR NON-PHYSICIAN PROVIDER, A NURSE AND A CLERICAL EMPLOYEE. THE GOAL OF THE CLINIC IS TO LINK SUCH PATIENTS MORE PERMANENTLY TO A PRIMARY CARE PROVIDER AT THE COMMUNITY CLINIC BY PROVIDING THEM IMMEDIATE CARE RIGHT NEXT TO THE EMERGENCY DEPARTMENT THEN FOLLOW-UP CARE AT THE CLINIC WITH THE SAME PROVIDER. THE HOSPITAL PROVIDES SPACE AND INITIAL STAFFING FOR MEDICAL SCREENING EXAMS TO SUPPORT THIS ACCESS CLINIC. A SPECIALLY TRAINED NURSE MUST COMPLETE A MEDICAL SCREENING EXAM ON ALL PATIENTS WHO ARRIVE AT THE EMERGENCY DEPARTMENT. EVEN THOUGH THE CLINIC IS OPEN NOW FOR 10 HOURS A DAY, THE LAW REQUIRES THAT THIS MEDICAL SCREENING EXAM BE DONE CONSISTENTLY THE SAME WAY 24/7. DATA HAS SHOWN 14.6 PERCENT OF THE PATIENTS AT THE CROSSING CLINIC DID NOT HAVE A PREVIOUSLY ESTABLISHED RELATIONSHIP WITH A PRIMARY CARE PROVIDER.FURTHERMORE, 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, MEMBERS OF OUR COMMUNITY MAY ACCESS ALL THE SERVICES OF OUR PRIME TIME PROGRAM, INCLUDING FREE VAN TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS. DUE TO THE HIGH PERCENTAGE OF INDIGENT PATIENTS SEEN IN OUR EMERGENCY ROOM, DMH PROVIDES A SUBSTANTIAL SUBSIDY TO THE EMERGENCY ROOM PHYSICIANS IN ORDER TO ALLOW THEM TO PROVIDE COMPETITIVE SALARIES TO THE PROVIDERS. IN A RESPONSE TO THE COMMUNITY NEEDS ASSESSMENT REGARDING CHILD AND TEENAGE HEALTH PROBLEMS, DMH CONTINUES TO EXPLORE ALTERNATE AND COMPLEMENTARY CARE DELIVERY MODELS, INCLUDING TELEMEDICINE LINKS TO SPECIALTY CARE IN SPRINGFIELD. ONCOLOGY: SCREENINGS, HEALTH FAIRS AND MORE THE DMH CANCER CARE INSTITUTE PARTICIPATES IN COMMUNITY HEALTH FAIRS AND EVENTS THROUGHOUT THE YEAR. DURING THE HEALTH FAIRS, EDUCATIONAL MATERIALS ARE PRESENTED TO RAISE AWARENESS ON SUCH TOPICS AS: COLORECTAL CANCER, LUNG CANCER, AS WELL AS MELANOMA AND SKIN CANCER. THROUGHOUT MARCH 2019, CCI INCORPORATED AN EXTENSIVE MARKETING CAMPAIGN THAT WAS HELD THROUGH THE MONTH OF MARCH THROUGH THE FIRST WEEK OF APRIL, PARTICIPATED IN THE ST. PATRICK'S DAY PARADE AND DISTRIBUTED FLYERS AND PENCILS; AND DISTRIBUTED MATERIALS AT MACON COUNTY HEALTH DEPARTMENT, DECATUR PUBLIC LIBRARY AND CROSSINGS HEALTH CARE CENTER. IN JUNE 2019, DMH PARTNERED WITH CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS AND ST. MARY'S HOSPITAL TO RECOGNIZE ABOUT 1,200 CANCER SURVIVORS AND THEIR FAMILY MEMBERS FOR NATIONAL CANCER SURVIVORS DAY (NCSD). THE EVENT IS CELEBRATION OF LIFE THAT FEATURES DINNER, GUEST SPEAKERS, AND ENCOURAGEMENT FOR THE SURVIVORS. DECATUR MEMORIAL HOSPITAL PARTICIPATES IN A LOCALLY SPONSORED EVENT CALLED COME TOGETHER, LET'S WALK. THIS EVENT TAKES PLACE IN JUNE AND WAS CREATED OUT OF A GRASSROOTS EFFORT BY LOCAL VOLUNTEERS, SERVES AS A FUNDRAISER FOR BREAST, OVARIAN AND CERVICAL CANCER PATIENTS. PROCEEDS FROM THIS BENEFIT ARE USED TO HELP FINANCE CANCER PREVENTION AND SCREENING PROGRAMS FOR WOMEN IN OUR COMMUNITY. DMH CANCER RESEARCH AND THE DMH WOMEN'S HEALTH CENTER ALSO RECEIVES SUPPORT FROM THESE FUNDS FOR OUTREACH PROGRAMS. DMH CANCER INSTITUTE PARTICIPATED IN THE MACON COUNTY RELAY FOR LIFE IN JULY 2019 WITH THE THEME OF CHRISTMAS.
PART VI, LINE 2 CONT	DMH ALSO CO-SPONSORED THE ANNUAL KERBYSTRONG 100 AT THE MACON SPEEDWAY IN JULY. THE PRIMARY MISSION OF THIS EVENT WAS TO EDUCATE THE COMMUNITY ABOUT COLORECTAL CANCER SCREENING; PROCEEDS FROM THE EVENT BENEFIT PATIENTS WHO NEED IMMEDIATE FINANCIAL ASSISTANCE AND TO SUPPORT A CANCER NAVIGATOR.THE DMH CANCER CARE INSTITUTE ALONG WITH THE CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, THE CARPENTERS LOCAL 742 AND THE MACON COUNTY HEALTH DEPARTMENT SPONSOR A FREE PROSTATE CANCER SCREENING EVENT EVERY YEAR IN SEPTEMBER FOR PROSTATE CANCER AWARENESS MONTH. MEN RECEIVE PSA BLOOD TESTING AND DIGITAL RECTAL EXAMS FREE OF CHARGE. RESULTS ARE SCREENED AND SENT TO THE PATIENT'S PHYSICIAN OF CHOICE. THE PROSTATE CANCER SCREENING SAW A 9% INCREASE FROM 153 PARTICIPANTS IN 2018 TO 167 PARTICIPANTS IN 2019. OF THE 167 PARTICIPANTS, 116 RECEIVED NORMAL SCREENING RESULTS AND 51 RECEIVED ABNORMAL SCREENING RESULTS. THERE A NO KNOWN CANCER DIAGNOSES AT THIS TIME. CCI SPONSORED A NEW EVENT THIS YEAR FOR WOMEN, LADIES NIGHT OUT. THIS WAS A MOVIE NIGHT THAT PARTICIPANTS GET ENTRY TO THE MOVIE, DRINK, POPCORN AND BAG WITH INFORMATION.THE EARLY DETECTION CONNECTION IS A BREAST CANCER AWARENESS EVENT HELP IN OCTOBER. COMMUNITY MEMBERS DRIVE TO ONE OF THREE LOCATIONS WHERE DMH EMPLOYEES AND VOLUNTEERS GO TO THE CAR TO DISTRIBUTE EDUCATIONAL MATERIALS, A FREE GIFT, AND A PANERA BAGEL. 1300 BAGS WERE DISTRIBUTED IN 2019.IN NOVEMBER 2019, THE DMH CANCER CARE INSTITUTE HOSTED THE SHINE A LIGHT ON LUNG CANCER EVENT AT THE CANCER CENTER. THE EVENT PROVIDES EDUCATION, INSPIRATION AND SUPPORT FOR THOSE IMPACTED BY LUNG CANCER AND THOSE AT RISK. PHYSICIAN SPEAKERS, ENTERTAINMENT, AND REFRESHMENTS ARE PROVIDED. WE HAD 55 ATTENDEES FOR THE SHINE A LIGHT EVENT IN 2019.IN DECEMBER 2019, WE GATHERED TOGETHER WITH SUPPORT GROUP MEMBERS IN AN EVENT CALLED THE COMMUNITY OF HOPE CELEBRATION. THIS CELEBRATION TAKES THE PLACE OF OUR REGULARLY SCHEDULED DECEMBER SUPPORT GROUP MEETINGS AND ALLOWS ALL GROUPS TO COME TOGETHER AND ENJOY THE HOLIDAY SEASON. WE PROVIDE LIGHT REFRESHMENTS AND ENTERTAINMENT IN THE LOBBY OF THE CANCER CARE INSTITUTE. WE HAD 65 ATTENDEES FOR THE COMMUNITY OF HOPE EVENT IN 2019.MONTHLY CANCER SUPPORT GROUPS ARE OFFERED FREE OF CHARGE FOR PATIENTS AND THEIR CAREGIVERS. IN ADDITION, BEREAVEMENT SERVICES ARE PROVIDED WEEKLY FOR CHILDREN WHO HAVE LOST A LOVED ONE AND MONTHLY FOR ADULTS, AT NO COST. 93 SUPPORT GROUPS WERE HELD IN 2019 FOR ADULTS, CHILDREN, AND CAREGIVERS10 CLASSES (2 EDUCATIONAL SERIES, "STRENGTH FOR THE JOURNEY")15 CLASSES (3 GRIEF SERIES, "GROWING THROUGH GRIEF")24 CLASSES (3 SMOKING CESSATION SERIES, "FREEDOM FROM SMOKING")2 ENHANCE CLASSES FOR WOMEN'S SKIN/HAIR CARE AFTER CANCER TREATMENT IN 2019 (NEW)1 HEALING ARTS CLASS (NEW) GROOMED FOR MEN'S HAIR/SKIN CARE VOUCHERS (NEW)MAINTAINING GOOD NUTRITION IS ESPECIALLY IMPORTANT IF YOU HAVE CANCER, AS BOTH THE ILLNESS AND THE ASSOCIATED TREATMENT CAN AFFECT YOUR APPETITE. ADDITIONALLY, CANCER AND CANCER TREATMENTS CAN ALTER YOUR BODY'S ABILITY TO TOLERATE AND UTILIZE IMPORTANT NUTRIENTS. AT THE CANCER CARE INSTITUTE, WE HAVE A TEAM OF REGISTERED DIETITIANS THAT PROVIDE COMPLIMENTARY SERVICES TO HELP PATIENTS MAINTAIN PROPER NUTRITION BEFORE, DURING AND AFTER CANCER TREATMENT. IN 2019, OVER 150 COMPLIMENTARY NUTRITIONAL VISITS WERE PROVIDED TO PATIENTS. AT THE CANCER CARE INSTITUTE, THE REGISTERED DIETITIAN WORKS WITH PATIENTS CLOSELY TO IDENTIFY AREAS OF IMPROVEMENT THROUGH NUTRITION INTERVENTIONS. THE DIETITIAN WILL COMPLETE A NUTRITION CARE PLAN THAT SUITS THE NEEDS OF THE PATIENT AND THEIR FAMILY. OUR REGISTERED DIETITIANS SEE PATIENTS ON AN INDIVIDUAL BASIS WITH FOLLOW UP AND MONITORING AS OFTEN AS DESIRED BY THE PATIENT IN ORDER TO MEET HIS OR HER NUTRITIONAL GOALS. THE REGISTERED DIETITIANS OCCASIONALLY OFFER GROUP CLASSES ON VARIETY OF NUTRITION TOPICS. WOMEN AND CHILDREN'S HEALTH REALIZING THE IMPORTANCE OF EDUCATION TO THE HEALTH OF WOMEN AND CHILDREN, DMH OFFERS FREE CLASSES TO THE COMMUNITY INCLUDING EDUCATION FOR GRANDPARENTS, SIBLINGS, NEWBORN CARE AND BREAST FEEDING, PRENATAL EDUCATION, AND INFANT CPR. STAFF FROM THE FAMILY BIRTH CENTER AND PEDIATRICS PARTICIPATES IN HEALTH FAIRS DURING THE YEAR TO PROVIDE WRITTEN EDUCATIONAL MATERIALS INCLUDING SAFE SLEEP ENVIRONMENT FOR INFANTS, NUTRITION, IMMUNIZATIONS, AND HEALTH NEEDS FOR WOMEN AND CHILDREN. RECOGNIZING THAT WOMEN ARE OFTEN THE PRIMARY DECISION MAKERS FOR MEDICAL ISSUES IN THE FAMILY UNIT, EDUCATION ABOUT MEN IS ALSO AVAILABLE DURING HEALTH FAIRS TO EDUCATE WOMEN ON THE MEDICAL NEEDS OF THEIR LOVED ONES. A LACTATION CONSULTANT AND SEVERAL LACTATION COUNSELORS PROVIDE EDUCATION BEFORE, DURING AND AFTER CHILDBIRTH. DMH PARTICIPATES IN A PROGRAM TO PROVIDE INDIGENT MOTHERS WITH BREAST PUMPS. COMMUNITY BASED CARE OUR MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE OF CENTRAL ILLINOIS BY PROVIDING THE HIGHEST QUALITY CARE OF COLLABORATING WITH PATIENTS TO IMPROVE THEIR HEALTH, PROMOTE INDEPENDENCE, AND MAINTAIN DIGNITY IN THE COMFORT OF THEIR HOME. WE DELIVER HOME CARE AND HOSPICE CARE INCLUDING SERVICES FROM NURSING, THERAPY, SOCIAL WORKER, AND BATH AIDES. OUR HOSPICE TEAM PARTICIPATES IN COMMUNITY HEALTH FAIRS THROUGHOUT THE YEAR TO PROVIDE EDUCATIONAL INFORMATION TO THE COMMUNITY. WE ARE ALSO INVOLVED WITH THE MACON COUNTY EMERGENCY MANAGEMENT AGENCY AS AN INTEGRATED PARTNER WITH DISASTER AND RECOVER PLANNING FOR OUR COMMUNITY. COMMUNITY SERVICE HOURS DMH REGULARLY SCHEDULES OUTREACH ACTIVITIES DESIGNED TO EDUCATE OUR POPULATION AS WELL AS PERFORM HEALTH-RELATED SERVICES SUCH AS SCREENINGS AND SUPPORT GROUPS. THESE EFFORTS INCLUDE EVERYTHING FROM ORGANIZING AND PARTICIPATING IN VARIOUS COMMUNITY HEALTH FAIRS, TO HOSTING SEMINARS FOR THE PUBLIC FEATURING PHYSICIANS AND SERVICES. ADDITIONALLY, STAFF VOLUNTEERS ASSIST IN PLANNING AND PARTICIPATING IN HEALTH-RELATED EVENTS TO RAISE CHARITABLE FUNDS FOR LOCAL AND NATIONAL ORGANIZATIONS SUCH AS THE AMERICAN HEART ASSOCIATION, OR COME TOGETHER, LET'S WALK, A LOCAL EFFORT TO FUND CANCER INITIATIVES FOR THE AREA. IN FISCAL YEAR 2019, DMH EMPLOYEES CONTRIBUTED 4,076 VOLUNTEER HOURS IN OUTREACH ACTIVITIES TO HELP IMPROVE THE HEALTH OF 12,332 PEOPLE OF CENTRAL ILLINOIS.

Schedule H (Form 990) 2018

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
DECATUR MEMORIAL HOSPITAL

Employer identification number
37-0661199

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) SIU DECATUR FAMILY PRACTICE CENTER 102 W KENWOOD DECATUR,IL62526	37-6005961	501(C)(3)	4,617,018				GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

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.

Schedule I (Form 990) 2018

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

DECATUR MEMORIAL HOSPITAL

Employer identification number

37-0661199

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1TIMOTHY STONE JR BOARD MEMBER AND PRESIDENT & CEO	(i) (ii)	0 ------------- 644,322	0 ------------- 104,468	0 ------------- 0	0 ------------- 4,125	0 ------------- 7,128	0 ------------- 760,043	0 ------------- 0
2GREG PAGLIUZZA SVP & CFO	(i) (ii)	337,661 ------------- 0	342,513 ------------- 0	0 ------------- 0	0 ------------- 0	13,983 ------------- 0	694,157 ------------- 0	0 ------------- 0
3KEVIN HORATH VICE PRESIDENT HUMAN RESOURCES	(i) (ii)	216,560 ------------- 0	44,663 ------------- 0	0 ------------- 0	3,785 ------------- 0	1,992 ------------- 0	267,000 ------------- 0	0 ------------- 0
4DEBORAH BRAGG SVP FINANCE	(i) (ii)	220,031 ------------- 0	34,912 ------------- 0	0 ------------- 0	3,824 ------------- 0	1,717 ------------- 0	260,484 ------------- 0	0 ------------- 0
5LINDA FAHEY SVP COO	(i) (ii)	285,278 ------------- 0	43,245 ------------- 0	0 ------------- 0	4,125 ------------- 0	1,982 ------------- 0	334,630 ------------- 0	0 ------------- 0
6JOHN RIDLEY VP PROF SERVICES	(i) (ii)	259,406 ------------- 0	38,003 ------------- 0	0 ------------- 0	4,125 ------------- 0	21,186 ------------- 0	322,720 ------------- 0	0 ------------- 0
7ROBYN REISING VP CNO	(i) (ii)	181,910 ------------- 0	0 ------------- 0	0 ------------- 0	2,704 ------------- 0	899 ------------- 0	185,513 ------------- 0	0 ------------- 0
8SHARON NORRIS VP CNO	(i) (ii)	153,415 ------------- 0	10,000 ------------- 0	0 ------------- 0	2,561 ------------- 0	20,654 ------------- 0	186,630 ------------- 0	0 ------------- 0
9DAVID SAMPLES VP SUPPORT SERVICES	(i) (ii)	170,317 ------------- 0	114 ------------- 0	0 ------------- 0	2,627 ------------- 0	20,736 ------------- 0	193,794 ------------- 0	0 ------------- 0
10KATHERINE ANDERSON ESQ VP LEGAL AFFAIRS & CORP COMPLIANCE	(i) (ii)	0 ------------- 251,574	0 ------------- 0	0 ------------- 0	0 ------------- 3,773	0 ------------- 6,915	0 ------------- 262,262	0 ------------- 0
11MARK BURMESTER SVP STRATEGY & PERFORMANCE	(i) (ii)	295,838 ------------- 0	0 ------------- 0	0 ------------- 0	4,125 ------------- 0	15,163 ------------- 0	315,126 ------------- 0	0 ------------- 0
12JIM BLACKWELL VP INFORMATION TECHNOLOGY	(i) (ii)	147,477 ------------- 0	0 ------------- 0	0 ------------- 0	2,239 ------------- 0	12,622 ------------- 0	162,338 ------------- 0	0 ------------- 0
13MIKE EDWARDS VP REVENUE CYCLE	(i) (ii)	191,280 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	5,686 ------------- 0	196,966 ------------- 0	0 ------------- 0
14LARRY HEGLAND MD CHIEF MEDICAL OFFICER	(i) (ii)	166,497 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	1,792 ------------- 0	168,289 ------------- 0	0 ------------- 0
15STEVEN SOBOL MD PHYSICIAN	(i) (ii)	1,001,130 ------------- 0	54,674 ------------- 0	0 ------------- 0	4,125 ------------- 0	1,235 ------------- 0	1,061,164 ------------- 0	0 ------------- 0
16JOHN WATERS MD PHYSICIAN	(i) (ii)	827,471 ------------- 0	0 ------------- 0	0 ------------- 0	4,125 ------------- 0	13,209 ------------- 0	844,805 ------------- 0	0 ------------- 0
17MOHAMMED HASNAIN MD PHYSICIAN	(i) (ii)	787,989 ------------- 0	12,957 ------------- 0	0 ------------- 0	4,125 ------------- 0	20,831 ------------- 0	825,902 ------------- 0	0 ------------- 0
18ROBERT KRAUS MD PHYSICIAN	(i) (ii)	742,726 ------------- 0	17,055 ------------- 0	1,553 ------------- 0	4,125 ------------- 0	20,831 ------------- 0	786,290 ------------- 0	0 ------------- 0
19TANSEL TURGUT MD PHYSICIAN	(i) (ii)	752,253 ------------- 0	0 ------------- 0	0 ------------- 0	4,125 ------------- 0	21,247 ------------- 0	777,625 ------------- 0	0 ------------- 0
20DAVID BAUMBERGER MD FORMER OFFICER	(i) (ii)	394,285 ------------- 0	87,693 ------------- 0	0 ------------- 0	4,125 ------------- 0	15,135 ------------- 0	501,238 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 1A

DURING THE YEAR, DMH PAID FOR CHARTER TRAVEL IN TWO INSTANCES. DMH SHARED WITH TWO OTHER HOSPITALS THE COST OF A CHARTER PLANE HIRED TO PICK UP THEIR RESPECTIVE REPRESENTATIVE (IN DMH'S CASE, TIMOTHY STONE, JR.) TO TRAVEL TO A VHA BOARD MEETING IN KANSAS CITY, MO; THE DECISION TO USE THIS MEANS OF TRAVEL WAS BASED UPON COST AND AVAILABILITY OF COMMERCIAL FLIGHTS. DMH PAID HOUSING EXPENSES FOR THE FIRST THREE MONTHS OF EMPLOYMENT FOR MR. EDWARDS, VICE PRESIDENT REVENUE CYCLE. MR. EDWARDS' 2018 W-2 INCLUDED $5,905 RELATED TO HIS HOUSING EXPENSES AND IS REPORTED IN PART II (B) COLUMN I ON SCHEDULE J. DMH PAID HOUSING EXPENSES FOR THE FIRST SEVERAL MONTHS OF EMPLOYMENT OF MR. PAGLIUZZA, SENIOR VICE PRESIDENT & CHIEF FINANCIAL OFFICER. MR. PAGLIUZZA'S 2018 W-2 BOX 5 INCLUDED $2,750 RELATED TO HIS HOUSING EXPENSES AND $4,852 FOR MOVING EXPENSES PAID ON BEHALF OF MR. PAGLIUZZA.

PART I, LINE 3

THE COMPENSATION COMMITTEE OF THE ILLINOIS HEALTH & SCIENCE (IHS), A RELATED ORGANIZATION OF DECATUR MEMORIAL HOSPITAL, BOARD OF DIRECTORS ENGAGED THE SERVICES OF MERCER, AN INDEPENDENT CONSULTANT, TO DETERMINE THE BASE SALARY AND EXECUTIVE INCENTIVE PLAN FOR TIMOTHY STONE, PRESIDENT & CEO OF IHS. THE SALARY RECOMMENDATION WAS BASED UPON MARKET DATA FROM HEALTH SYSTEMS OF SIMILAR SIZE AND SCOPE. UPON RECOMMENDATION OF THE COMPENSATION COMMITTEE, THE IHS BOARD OF DIRECTORS APPROVED THIS SALARY AND INCENTIVE PLAN FOR THE PRESIDENT & CEO.

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

DECATUR MEMORIAL HOSPITAL

Employer identification number

37-0661199

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) KATLHEEN FAHEY	EMPLOYEE; DAUGHTER OF LINDA FAHEY, SVP COO	31,285	COMPENSATION		No
(2) MEGHAN SAMPLES	EMPLOYEE; DAUGHTER OF DAVID SAMPLES, VP SUPPORT SERVICES	44,635	COMPENSATION		No
(3) SARAH REISING	EMPLOYEE; DAUGHTER-IN-LAW OF ROBYN REISING, VP CNO	13,094	COMPENSATION		No
(4) RYAN BRAGG	EMPLOYEE; SON OF DEBORAH BRAGG, SVP FINANCE	36,000	COMPENSATION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

DECATUR MEMORIAL HOSPITAL

Employer identification number

37-0661199

Return Reference	Explanation
PART I, LINE 1 CONT	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.
FORM 990, PART VI, SECTION A, LINE 2	DEBORAH BRAGG, KEVIN HORATH, AND TIMOTHY STONE HAVE A BUSINESS RELATIONSHIP. TIMOTHY STONE, DENNIS WHALEN, JOHN WADDOCK, AND CRISTOBAL VALDEZ HAVE A BUSINESS RELATIONSHIP. TIMOTHY STONE, GUSSIE REED, CRISTOBAL VALDEZ, AND JOHN WADDOCK HAVE A BUSINESS RELATIONSHIP. DEBORAH BRAGG, DAVID SAMPLES, KEVIN HORATH, AND ROBYN REISING HAVE A BUSINESS RELATIONSHIP. KATHERINE ANDERSON AND MARK BURMESTER HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS ILLINOIS HEALTH AND SCIENCE, AN ILLINOIS NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS BEING DESCRIBED IN SEC. 501(C)(3), IRC.
FORM 990, PART VI, SECTION A, LINE 7A	AS THE SOLE CORPORATE MEMBER OF DMH, ILLINOIS HEALTH AND SCIENCE HAS THE RIGHT TO APPROVE ALL DIRECTORS OF DMH, AND TO REMOVE ANY DIRECTOR SO APPROVED. ALL DIRECTORS OF ILLINOIS HEALTH AND SCIENCE ARE ALSO DIRECTORS OF DMH.
FORM 990, PART VI, SECTION A, 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 ILLINOIS HEALTH AND SCIENCE, 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 AFFILIATES, AND APPOINTMENT OF THE INDEPENDENT AUDITOR.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE ACCOUNTING DEPARTMENT OF THE HOSPITAL AND BY THE AFFILIATE VICE PRESIDENT FINANCE PRIOR TO FILING. FURTHER, A COPY OF THE FORM 990, ALONG WITH AN EXPLANATORY NOTE, IS PROVIDED FOR REVIEW TO THE BOARD VIA AN INTRANET SITE. THE FORM 990 IS ALSO REVIEWED AND DISCUSSED AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING.
FORM 990, PART VI, SECTION B, 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. THE ACCOUNTING DEPARTMENT MONITORS AND PERIODICALLY REVIEWS TRANSACTIONS BETWEEN THE ORGANIZATION AND BOARD MEMBERS OR ENTITIES WITH WHICH THEY ARE AFFILIATED.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION PROCESS FOR TOP OFFICIAL - THE BOARD OF DIRECTORS OF ILLINOIS HEALTH AND SCIENCE (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 THIRTEEN 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 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 JANUARY 2019, DMH OBTAINED SUCH AN UPDATE REPORT FROM ITS INDEPENDENT COMPENSATION CONSULTING FIRM, COVERING THE FOLLOWING INDIVIDUALS: STONE (CEO), RIDLEY (VP PROF SERVICES), HEGLAND (CMO), FAHEY (EVP & COO), BRAGG (SVP FINANCE), ANDERSON (VP LEGAL), SAMPLES (VP SUPPORT SERVICES), NORRIS (CNO), BURMESTER (SVP STRATEGY), HORATH (VP HR), PAGLIUZZA (SVP & CFO), MIKE EDWARDS (VP REV CYCLE), RANDY BRYANT (VP MED GRP) AND JIM BLACKWELL (VP OF IT). ALL DETERMINATIONS OF THE BOARD AND EXECUTIVE COMMITTEE ARE THOROUGHLY AND TIMELY DOCUMENTED IN APPROPRIATE MINUTES AND SUPPORTING MATERIALS.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS OF DMH, SUCH AS ARTICLES OF INCORPORATION AND ANY AMENDMENTS THERETO, ARE AVAILABLE TO THE GENERAL PUBLIC THROUGH THE ILLINOIS SECRETARY OF STATE'S OFFICE. THESE GOVERNING DOCUMENTS, AS WELL AS THE BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE UPON REQUEST FROM THE CORPORATION. THESE DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF TIME AS SET FORTH IN IRC SECTION 6104(D).
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 18,378,832. MANAGEMENT AND GENERAL EXPENSES 14,624,065. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,002,897. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 14,423,413. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,423,413. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,360. MANAGEMENT AND GENERAL EXPENSES 393,501. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 399,861.
FORM 990, PART XI, LINE 9:	BOOK/TAX DIFFERENCES IN INCOME FROM PARTNERSHIPS -1,992,662. CHANGE IN MINIMUM PENSION LIABILITY -811,493. CHANGE OF VALUE OF FUNDS HELD IN TRUST 84,152. VALUATION ADJUSTMENT -119,499,964.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

DECATUR MEMORIAL HOSPITAL

Employer identification number

37-0661199

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ILLINOIS HEALTH AND SCIENCE 2300 N EDWARD STREET DECATUR,IL625264163 37-1169606	SUPPORTING THE HOSPITAL	IL	501(C)(3)	LINE 12A, I	N/A		No
(2)DECATUR MEMORIAL HEALTH FOUNDATION 2300 N EDWARD STREET DECATUR,IL625264163 37-1169605	SUPPORTING THE HOSPITAL	IL	501(C)(3)	LINE 12A, I	DECATUR MEMORIAL HOSPITAL	Yes
(3)HEARTLAND RISK MANAGEMENT 2300 N EDWARD STREET DECATUR,IL625264163 45-4256254	SUPPORTING THE HOSPITAL	AZ	501(C)(3)	LINE 12A, I	DECATUR MEMORIAL HOSPITAL	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) DMH WORLDWIDE LTD 2300 N EDWARDS STREET DECATUR,IL62526 27-1901157	RADIOPHARMACY	IL	N/A	C				No
(2) C-MOLECULAR 2300 N EDWARDS STREET DECATUR,IL62526 47-3601111	RADIOPHARMACY	DE	N/A	C				No

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

Yes

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) DECATUR MEMORIAL FOUNDATION	K	1,718,429	CASH PAYMENT
(2) DECATUR MEMORIAL FOUNDATION	O	216,934	CASH PAYMENT
(3) HEARTLAND RISK MANAGEMENT	M	4,578,823	CASH PAYMENT

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: DMH'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE OF CENTRAL ILLINOIS, SEE SCHEDULE O 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 QUALITY 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	2,710
6	Total number of volunteers (estimate if necessary) .............	6	317
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	4,762,223
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,533,258	4,424,476
9	Program service revenue (Part VIII, line 2g) .........	295,624,345	292,993,115
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	9,120,774	8,103,497
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	14,548,622	18,457,526
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	323,826,999	323,978,614
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	4,527,973	4,617,018
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	162,213,451	173,451,584
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	167,051,102	166,151,373
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	333,792,526	344,219,975
19	Revenue less expenses. Subtract line 18 from line 12.......	-9,965,527	-20,241,361
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	304,698,433	176,222,335
21	Total liabilities (Part X, line 26).............	87,197,627	102,925,498
22	Net assets or fund balances. Subtract line 21 from line 20.....	217,500,806	73,296,837

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 138,730,112 including grants of $ 4,617,018 ) (Revenue $ 192,859,127 )
	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 37,000 VISITS TO DMH'S EMERGENCY CARE CENTER AND RECEIVED APPROXIMATELY 251,000 OUTPATIENT TESTS.

4b	(Code: ) (Expenses $ 61,706,727 including grants of $ ) (Revenue $ 29,910,657 )
	PROFESSIONAL SERVICES: AS THE EMPLOYER OF 63 PHYSICIANS PLUS A COMPLEMENT OF OTHER PROVIDERS (PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS), DMH OFFERS A WIDE RANGE OF PROFESSIONAL PATIENT CARE AT APPROXIMATELY 30 OFFICES LOCATED THROUGHOUT THE SERVICE AREA. THESE SITES INCLUDE TWO "EXPRESS CARE" LOCATIONS OFFERING CARE FOR CASES THAT ARE TIME-SENSITIVE BUT NOT LIFE-THREATENING OR EMERGENT.

4c	(Code: ) (Expenses $ 61,249,058 including grants of $ ) (Revenue $ 85,825,987 )
	INPATIENT SERVICES: WITH 280 BEDS CURRENTLY IN SERVICE, DMH PROVIDED 42,352 DAYS OF INPATIENT CARE DURING THE FISCAL YEAR. DMH'S INPATIENTS INCLUDED THE YOUNG (NEWBORN INFANTS IN THE LEVEL I OR LEVEL II NURSERY), THE OLD (FOR EXAMPLE, PERSONS RECEIVING CARE THROUGH DMH'S SENIOR HEALTH AND WELLNESS CENTER OF EXCELLENCE), AND THE IN-BETWEEN. AREAS OF INPATIENT SERVICE INCLUDED GENERAL MEDICAL, SURGERY, ORTHOPEDICS, CARDIOLOGY, GERIATRICS, PEDIATRICS, INTENSIVE CARE, DIALYSIS, OBSTETRICS AND GYNECOLOGY, NURSERY, LONG-TERM CARE, AND TELEMETRY MONITORING. INPATIENT CARE WAS PROVIDED BY DMH'S TEAM OF HIGHLY-QUALIFIED, TALENTED STAFF (TODAY NUMBERING OVER 2,300 IN ALL), INCLUDING HOSPITALISTS, NURSES, AIDES, DIETICIANS, CASE MANAGEMENT STAFF, SOCIAL WORKERS, AND CHAPLAINS.

	(Code: ) (Expenses $ 163,950 including grants of $ ) (Revenue $ )
	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; HEART, LUNG, & STROKE SCREENINGS; CHRONIC OBSTRUCTIVE PULMONARY DISEASE; OBESITY; DIABETES; INDIGENT OUTPATIENT LONGITUDINAL CARE; ONCOLOGY SCREENINGS; HEALTH FAIRS; AND WOMEN AND CHILDREN'S HEALTH. 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.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 163,950 including grants of $ ) (Revenue $ )
4e	Total program service expenses261,849,847

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	7,943,075	1,000,364	287,706

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	6,121
e	Government grants (contributions)		1e	3,523,928

f	All other contributions, gifts, grants, and similar amounts not included above		1f	894,427

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		4,424,476

		Business Code
2a	PATIENT SERVICE REV	900099	292,993,115	292,993,115
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		292,993,115

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,361,786		2,540,384	1,821,402
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		945,175
b	Less: rental expenses		0
c	Rental income or (loss)		945,175
d	Net rental income or (loss)......			945,175		312,144	633,031
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	74,832	10,725,068
b	Less: cost or other basis and sales expenses	55,934	7,002,255
c	Gain or (loss)	18,898	3,722,813
d	Net gain or (loss).....			3,741,711			3,741,711
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a		1,137,091
b	Less: cost of goods sold ..b		503,112
c	Net income or (loss) from sales of inventory..			633,979		633,979
Business Code			Miscellaneous Revenue
11a	340B PHARMACY REVENUE		900099	6,455,704	6,455,704
b	CAFETERIA, CATERING &		722320	2,216,734	2,216,734
c	WELLNESS SERVICES		713940	935,081		935,081
d	All other revenue ....			7,270,853	6,930,218	340,635
e	Total. Add lines 11a–11d ......			16,878,372
12	Total revenue. See Instructions......			323,978,614	308,595,771	4,762,223	6,196,144

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	4,617,018	4,617,018
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	3,779,041		3,779,041
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	1,401,333	1,401,333
7	Other salaries and wages	135,055,793	107,100,134	27,955,659
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,893,245	1,501,356	391,889
9	Other employee benefits .......	22,514,037	17,853,780	4,660,257
10	Payroll taxes ...........	8,808,135	6,984,909	1,823,226
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	870,845		870,845
c	Accounting ...........	884,929		884,929
d	Lobbying ...........	128,810		128,810
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	47,826,171	32,808,605	15,017,566
12	Advertising and promotion ....	827,947	526,155	301,792
13	Office expenses .......	8,400,047	5,215,144	3,184,903
14	Information technology ......	6,192,327	5,357,765	834,562
15	Royalties ..	630	630
16	Occupancy ...........	12,994,798	8,560,006	4,434,792
17	Travel ............	488,811	331,998	156,813
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	374,472	241,790	132,682
20	Interest ...........	718,585	473,350	245,235
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	17,206,287	10,074,625	7,131,662
23	Insurance ...	6,706,277	1,226,162	5,480,115
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PATIENT SERVICE SUPPLIE	32,697,952	32,555,282	142,670
b	PHARMACEUTICAL SUPPLIES	14,684,811	14,630,471	54,340
c	HOSPITAL PROVIDER ASSES	9,132,643	9,132,643
d	RELATED PARTY BAD DEBT	4,363,397		4,363,397
e	All other expenses	1,651,634	1,256,691	394,943
25	Total functional expenses. Add lines 1 through 24e	344,219,975	261,849,847	82,370,128	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			8,330	1	7,367
2	Savings and temporary cash investments .........			7,491,930	2	6,904,351
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			44,074,402	4	37,920,730
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....			60,319,602	7	16,650,000
8	Inventories for sale or use ........			3,123,027	8	3,189,269
9	Prepaid expenses and deferred charges ......			3,224,123	9	2,967,836
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	450,607,271
b	Less: accumulated depreciation	10b	425,876,684	98,924,152	10c	24,730,587
11	Investments—publicly traded securities .			61,100,164	11	57,375,205
12	Investments—other securities. See Part IV, line 11 .....			262,991	12	323,162
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			5,499,462	14
15	Other assets. See Part IV, line 11 ...........			20,670,250	15	26,153,828
16	Total assets. Add lines 1 through 15 (must equal line 34)...			304,698,433	16	176,222,335

17	Accounts payable and accrued expenses .....	40,458,918	17	50,810,841
18	Grants payable ...		18	213,431
19	Deferred revenue .........	319,746	19
20	Tax-exempt bond liabilities .........	4,131,000	20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23	16,479,090
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	42,287,963	25	35,422,136
26	Total liabilities. Add lines 17 through 25..	87,197,627	26	102,925,498

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	180,880,021	27	36,958,569
28	Temporarily restricted net assets ...........	22,043,285	28	21,599,853
29	Permanently restricted net assets	14,577,500	29	14,738,415
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	217,500,806	33	73,296,837
34	Total liabilities and net assets/fund balances ........	304,698,433	34	176,222,335