2025-07-02T09:13:59-05:00 2024-09-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-10-01 204560540 MIDWEST MEDICAL CENTER MIDW 8157771340 ONE MEDICAL CENTER DRIVE GALENA IL 61036 TRACY BAUER CEO 8157771340 2025-07-01 1 0 MICHAEL J PETERSON CPA P01833529 2187224705 2025-07-01 2023 2025-03-06 01:10:19Z TRACY BAUER ONE MEDICAL CENTER DRIVE GALENA IL 61036 44418899 0 X WWW.MIDWESTMEDICALCENTER.ORG X 2006 IL TO PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF THE CITY OF GALENA, ILLINOIS AND THE SURROUNDING AREA REGARDLESS OF A PATIENT'S ABILITY TO PAY. 11 11 293 12 0 0 333329 381476 36868269 43293566 519166 442166 170341 252732 37891105 44369940 6588 9118 0 0 18662799 21674868 0 0 0 17637246 20160278 36306633 41844264 1584472 2525676 49632897 64362726 41991794 54195947 7641103 10166779 X MIDWEST MEDICAL CENTER, INCLUDING THE GALENA-STAUSS SENIOR CARE COMMUNITY, WILL PROVIDE TO THE MEMBERS OF THE COMMUNITY CARING, COMPETENT, AND COST EFFECTIVE HEALTHCARE. 1 0 23949294 9118 35364580 MIDWEST MEDICAL CENTER OWNS AND OPERATES A 25-BED CRITICAL ACCESS HOSPITAL AND LEADS IN THE DELIVERY OF HEALTHCARE SERVICES TO ITS REGION WITH OVER 280 ASSOCIATES, INCLUDING 40 PHYSICIANS AND FOUR MID-LEVEL PRACTITIONERS, WHICH COORDINATE PATIENT CARE AS AN INTEGRATED UNIT. THE HOSPITAL AND ITS ASSOCIATES WORK SEAMLESSLY TO MEET THE NEEDS OF THE COMMUNITIES THEY SERVE. THE ACCOMPLISHMENTS WHICH FOLLOW ARE ATTRIBUTABLE TO THE HOSPITAL AND ALL OF ITS DEPARTMENTS AS A WHOLE. THE HOSPITAL IS A NON-PROFIT CORPORATION PROVIDING HEALTHCARE AND RESIDENTIAL SERVICES IN GALENA, ILLINOIS, AND NEIGHBORING COMMUNITIES. ALL OF THESE SERVICES ARE OFFERED UNDER THE MISSION OF THE ORGANIZATION, WHICH STATES THAT "MIDWEST MEDICAL CENTER, INCLUDING THE GALENA-STAUSS SENIOR CARE COMMUNITY, WILL PROVIDE TO THE MEMBERS OF THE COMMUNITY CARING, COMPETENT, AND COST EFFECTIVE HEALTHCARE." IN FISCAL YEAR 2024, THE HOSPITAL PROVIDED 928 ACUTE INPATIENT DAYS, 1,696 SWING BED DAYS, 4,887 EMERGENCY ROOM VISITS, 10,026 RADIOLOGY SERVICES, 127,233 LABORATORY TESTS, 46,934 PHYSICAL THERAPY TREATMENTS, AND 807 SURGICAL PROCEDURES AMONG MANY OF THE PATIENT SERVICES PROVIDED DURING THE YEAR.OUR SERVICES INCREASED AGAIN IN 2024 WHICH INCREASED PATIENT AND REVENUE GROWTH. IN JANUARY 2024 WE HIRED A FULL-TIME ORTHOPEDIC SURGEON AND IN THE FIRST NINE MONTHS AT MMC HE COMPLETED 124 SURGICAL CASES AND HAD 796 CLINIC VISITS. IN AUGUST 2024 WE HIRED A FULL TIME UROLOGIST AND HE COMPLETED 4 SURGERIES AND 72 CLINIC VISITS BY 09/30. IN JULY 2024 WE HIRED A FULL TIME RHEUMATOLOGIST AND HAD 118 CLINIC VISITS BY THE END OF THE FISCAL YEAR. HE DOES NOT DO SURGICAL CASES BUT INSTEAD DOES INFUSION/INJECTION TREATMENTS FOR HIS PATIENTS. 6689180 0 4703146 MIDWEST MEDICAL CENTER ALSO OPERATES TWO PHYSICIAN CLINICS KNOWN AS MIDWEST HEALTH CLINIC, ONE LOCATED IN GALENA, IL AND ONE LOCATED IN ELIZABETH, IL. THE CARE PROVIDED IN THE MIDWEST HEALTH CLINICS ARE COORDINATED WITH THE CARE OF MIDWEST MEDICAL CENTER'S HOSPITAL IN AN EFFORT TO CONTINUE TO PROVIDE LOW COST AND HIGH QUALITY PATIENT CARE FOR THE RESIDENTS OF GALENA AND ELIZABETH, IL AND THE SURROUNDING AREAS. THE HEALTH CLINICS OPERATES AS A PROVIDER-BASED RURAL HEALTH CLINIC TO MIDWEST MEDICAL CENTER'S HOSPITAL AND THE PRACTICE IS MADE UP OF FOUR FAMILY PRACTICE PHYSICIANS, AN INTERNAL MEDICINE PHYSICIAN, AND THREE MID-LEVEL PRACTITIONERS. ADDITIONAL SERVICES ARE ALSO PROVIDED IN THE CLINIC BY OUTREACH DOCTORS THAT PROVIDE SERVICES ON A LIMITED BASIS IN THE AREAS OF ORTHOPEDIC SURGERY, GENERAL SURGERY, AND OPHTHALMOLOGY. THE CLINIC PROVIDERS ALSO ENGAGE IN MANY ACTIVITIES WHICH PROMOTE THE WELL-BEING OF THE COMMUNITY AND PROVIDE HEALTH EDUCATION TO THE COMMUNITY. AN EXAMPLE OF THESE SERVICES IS DR. WELLS, DR. HARMSTON, DR. MATT GULLONE, DR. RICHARD FARRELL, AND DANIELLE SEEGMILLER PROVIDE EDUCATIONAL EXPERIENCES AND TRAINING TO MEDICAL STUDENTS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS AT MIDWEST HEALTH CLINIC FOR THOSE STUDENTS INTERESTED IN LEARNING ABOUT RURAL MEDICINE. ANOTHER EXAMPLE IS DR. MATT GULLONE, WHO SPECIALIZES IN SPORTS MEDICINE AND PROVIDES FREE CARE TO LOCAL ATHLETES DURING SPORTING EVENTS. THE CLINIC HAS ALSO BEEN VERY ACTIVE IN PROMOTING ANNUAL WELLNESS VISITS TO MEDICARE PATIENTS AND PROVIDING CHRONIC AND WOUND CARE MANAGEMENT. MIDWEST MEDICAL CENTER PARTICIPATES IN THE ILLINOIS RURAL COMMUNITY CARE ORGANIZATION (IRCCO), WHICH IS AN ACCOUNTABLE CARE ORGANIZATION (ACO). IRCCO IS A GROUP OF PHYSICIANS, HOSPITALS, AND CLINICS WHO VOLUNTARILY WORK TOGETHER WITH MEDICARE TO PROVIDE HIGH-QUALITY SERVICES AND COORDINATED CARE TO OUR MEDICARE PATIENTS THROUGH THE MEDICARE SHARED SAVINGS PROGRAM (MSSP). THE IRCCO MISSION IS TO: 1. IMPROVE THE HEALTH OF THE INDIVIDUAL SEEKING CARE AND SERVICES2. IMPROVE THE OVERALL HEALTH OF THE RURAL POPULATION SERVED 4652141 0 3030358 MIDWEST MEDICAL CENTER RECOGNIZES THAT THE AGING AND DISABLED POPULATION OF PATIENTS ARE OFTEN AN UNDERSERVED DEMOGRAPHIC OF THE POPULATION AND TO MEET THE HEALTHCARE NEEDS OF THESE PATIENTS THE HOSPITAL OPERATES THE GALENA-STAUSS SENIOR CARE COMMUNITY. THIS SENIOR CARE CAMPUS PROVIDES SENIOR CARE SERVICES THROUGH ITS 57-BED LONG-TERM CARE FACILITY AND AN ASSISTED LIVING FACILITY. THE SENIOR CARE CAMPUS PROVIDED 16,393 DAYS OF SKILLED NURSING AND INTERMEDIATE NURSING HOME CARE DAYS IN ADDITION TO THE ASSISTED LIVING. THE SENIOR CARE CAMPUS OFFERS SKILLED NURSING TO THE RESIDENTS AND PATIENTS IN BOTH SHORT-TERM REHABILITATION PROGRAMS AND LONG-TERM CARE RESIDENT PROGRAMS. SOME OF THE SPECIALIZED CARE SERVICES OFFERED INCLUDE IV THERAPY, WOUND CARE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY AMONG MANY OF THE CARE PROGRAMS PROVIDED. THE SENIOR CARE CAMPUS OPERATES IN CONJUNCTION WITH THE MIDWEST MEDICAL CENTER HOSPITAL TO PROVIDE A SMOOTH TRANSITION FOR PATIENTS NEEDING EXTENDED REHABILITATION OR LONG-TERM CARE SERVICES. THE COORDINATION OF FACILITIES ALSO ALLOWS THE ORGANIZATION TO SHARE MANY DEPARTMENTS AND SERVICES IN MIDWEST MEDICAL CENTER'S CONTINUED EFFORT TO PROVIDE HIGH QUALITY AND LOW-COST CARE TO THE COMMUNITY. 35290615 1 1 0 1 0 0 0 0 1 1 1 0 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 57 0 293 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X KELLI JACKSON 8157771340 ONE MEDICAL CENTER DRIVE GALENA IL 61036 DR BARB SLOAN CHAIR 2.00 0.15 X X 0 0 0 CARTER NEWTON VICE CHAIR 2.00 0.15 X X 0 0 0 JOEL HOLLAND TREASURER 2.00 0.15 X X 0 0 0 DONNA FERRY SECRETARY 2.00 0.15 X X 0 0 0 MATTHEW CAROLL BOARD MEMBER 2.00 0.15 X 0 0 0 CHRIS CURRAN BOARD MEMBER 2.00 0.15 X 0 0 0 HELEN KILGORE BOARD MEMBER 2.00 0.15 X 0 0 0 JOHN LORENZEN BOARD MEMBER 2.00 0.15 X 0 0 0 PASTOR MIKE NESBIT BOARD MEMBER (THRU DEC 2023) 2.00 0.15 X 0 0 0 DOUG RAHDEN BOARD MEMBER 2.00 0.15 X 0 0 0 TIM VINCENT BOARD MEMBER 2.00 0.15 X 0 0 0 LYNN ZEHNDER BOARD MEMBER 2.00 0.15 X 0 0 0 TRACY BAUER CEO 50.00 0.15 X 366837 0 14795 KELLI JACKSON CFO 50.00 X 147825 0 31699 KENNETH SCHIFFMAN MD ORTHOPEDIC SURGEON 40.00 X 454292 0 33838 MATTHEW GULLONE MD PHYSICIAN 40.00 X 333144 0 22348 GREG HARMSTON MD PHYSICIAN 40.00 X 296225 0 37254 MOIZ HASSAN PODIATRIC SURGEON 40.00 X 283141 0 37066 RICHARD FARRELL MD PHYSICIAN 40.00 X 283236 0 28555 2164700 0 205555 18 0 1 0 MERCY RADIOLOGISTS OF DUBUQUE PO BOX 3160 DUBUQUE IA 52004 RADIOLOGISTS 711142 RIVER VALLEY ARCHITECTS 3300 BIRCH STREET STE 1A EAU CLAIRE WI 54703 ARCHITECT SERVICES 543698 CBJ ORTHOPEDICS 11901 BRAMLETT ORLAND PARK IL 60467 ORTHOPEDIC SURGEON 513363 CT HORIZONS 845 N KINGSBURY ST UNIT 715 CHICAGO IL 60610 ER PHYSICIAN 463648 MICHAEL D GREEN MD 1340 W NEWPORT CHICAGO IL 60657 ER PHYSICIAN 363712 10 54465 37680 200278 89053 381476 HOSPITAL PATIENT REVENUE 621990 35364580 35364580 SENIOR CARE REVENUE 623000 4703146 4703146 CLINIC REVENUE 621110 3030358 3030358 FITNESS CENTER REVENUE 621990 195482 195482 43293566 440961 440961 74001 27110 46891 46891 46891 1205 0 1205 1205 1205 9360 54465 21849 -12489 -12489 CAFETERIA REVENUE 722514 218330 218330 218330 44369940 43098084 0 890380 X 9118 9118 580548 580548 16676210 15078244 1597966 469957 424867 45090 2808796 2449631 359165 1139357 984156 155201 41140 41140 70055 70055 24765 24765 6924679 5555862 1368817 144261 144261 87636 80737 6899 464482 464482 559083 559083 55707 46071 9636 1257549 1027883 229666 2269243 1854812 414431 528064 528064 MEDICAL SUPPLIES 3614526 3614465 61 SUPPLIES & OTHER 2675695 2552041 123654 BED ASSESSMENT 753660 368372 385288 PROVISION FOR BAD DEBT 589820 589820 99913 95453 4460 41844264 35290615 6553649 0 800 800 2632521 3794254 5087633 6964121 203533 206614 481747 502276 345903 400873 85134122 39877652 23638337 45256470 17217423 7212318 25000 25000 49632897 64362726 2492481 3235016 18671 19074 106568 98515 39124074 50193342 250000 650000 41991794 54195947 X 5991560 8457421 1649543 1709358 7641103 10166779 49632897 64362726 2525676 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 24765 24765 0 PART II-B, LINE 1: MIDWEST REGIONAL MEDICAL CENTER PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE ILLINOIS HOSPITAL ASSOCIATION (IHA) AND THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND MATERIALS. THE ORGANIZATIONS RECOGNIZE THAT A PORTION OF THE ACTIVITIES CONDUCTED BY BOTH IHA AND ICAHN ARE FUNDED IN CONJUNCTION WITH THE TOTAL ANNUAL DUES PAID. MIDWEST REGIONAL MEDICAL CENTER ESTIMATED THAT $24,765 OR 43.5% OUT OF THE TOTAL DUES PAID TO IHA AND ICAHN WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT IN ILLINOIS. 0 1 X 360130 15512 375642 347359 12771 360130 341429 5930 347359 335451 5978 341429 331333 4118 335451 0.00000 0.52883 0.47117 0 0 448597 448597 64089562 29739697 34349865 14604630 10137955 4466675 5991333 5991333 45256470 BOARD DESIGNATED INVESTMENTS FOR CAPITAL IMPROVEMENTS 4522213 C DONOR RESTRICTED-MEDICAL SCHOLARSHIPS 1502824 C UNDER BOND INDENTURE AGREEMENTS 1187281 C 7212318 AMOUNTS PAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAMS 650000 650000 PART IV, LINE 2B: THE ORGANIZATION HOLDS, IN TRUST, SECURITY DEPOSITS FROM THE RESIDENTS OF THE ASSISTED LIVING FACILITY. SECURITY DEPOSITS ARE REFUNDABLE UPON VACANCY. PART V, LINE 4: THE ENDOWMENTS CONSIST OF TWO DONOR-RESTRICTED FUNDS, WHICH WERE ESTABLISHED TO PROVIDE INVESTMENT INCOME FOR MEDICAL EDUCATION SCHOLARSHIPS. GOLF OUTING 63825 54465 9360 900 1789 10550 5286 3324 63825 54465 9360 900 1789 10550 5286 3324 21849 -12489 1 1 X 1 X 125.000000000000 1 X 1 1 1 0 1 0 149830 149830 0.00360 5787796 5733582 54214 0.00130 5937626 5733582 204044 0.00490 5219444 4912553 306891 0.00740 2595 2595 0.00010 5222039 4912553 309486 0.00750 11159665 10646135 513530 0.01240 0 351606 175797 12064676 12131633 -66957 X 1 1 1 1 MIDWEST MEDICAL CENTER ONE MEDICAL CENTER DRIVE GALENA IL 61036 WWW.MIDWESTMEDICALCENTER.ORG 0005488 X X X X PROVIDER BASED RURAL HEALTH CLINIC MIDWEST MEDICAL CENTER 1 1 0 1 X X X X X X X X X 21 1 0 0 1 X SEE PART V, SECTION C, LINE 7D X 1 21 1 SEE PART V, SECTION C, LINE 7D 0 1 X 150.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.MIDWESTMEDICALCENTER.ORG/PATIENTS-VISITORS/INSURANCE-PAYMENT X HTTPS://WWW.MIDWESTMEDICALCENTER.ORG/PATIENTS-VISITORS/INSURANCE-PAYMENT X HTTPS://WWW.MIDWESTMEDICALCENTER.ORG/PATIENTS-VISITORS/INSURANCE-PAYMENT X X X X X X X 1 X 0 X X X X X 1 X 0 0 MIDWEST MEDICAL CENTER PART V, SECTION B, LINE 5: MIDWEST MEDICAL CENTER FORMED FOCUS GROUPS REPRESENTING HEALTHCARE PROVIDERS, COMMUNITY LEADERS, COMMUNITY SERVICES PROVIDERS, SCHOOLS, A COMMUNITY COLLEGE, FAITH-BASED ORGANIZATIONS, LOCAL ELECTED OFFICIALS, PUBLIC HEALTH, AND OTHERS. MIDWEST MEDICAL CENTER PART V, SECTION B, LINE 7D: PART V, SECTION B, LINE 7A & 10A:HTTPS://WWW.MIDWESTMEDICALCENTER.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2022 MIDWEST MEDICAL CENTER PART V, SECTION B, LINE 11: THERE WERE MANY TOPICS IDENTIFIED THROUGH THE PROCESS OF COMPLETING THE COMMUNITY HEALTH NEEDS ASSESSMENT BY MIDWEST MEDICAL CENTER. THESE TOPICS WERE PRIORITIZED WITH THE FOCUS GROUPS AND THE FOLLOWING CORE HEALTH RELATED TOPICS WERE DISCUSSED AS BEING THE HIGHEST LEVEL OF CONCERN FOR COMMUNITY MEMBERS AND LEADERS: IMPROVE ACCESS TO MENTAL HEALTHCARE, IMPROVE ACCESS TO PHYSICAL HEALTHCARE, AND IMPROVE ACCESS TO TRANSPORTATION, INCREASE INFORMATION TO COMMUNITY ABOUT HEALTH AND WELLNESS SERVICES, AND INCREASE RESOURCES FOR SENIORS. MIDWEST MEDICAL CENTER REVIEWED THE ACTIVITIES AND DETERMINED THE FOLLOWING TOPICS NEEDED FURTHER REVIEW BY THE ORGANIZATION AND TOOK THE FOLLOWING ACTION STEPS THROUGH ITS IMPLEMENTATION PLAN AS WELL AS ONGOING MISSION AND OPERATIONS OF THE ORGANIZATION. - MMC WILL COMPLETE AND MAINTAIN A WEB-BASED LOCAL RESOURCE GUIDE FOR MENTAL HEALTH SERVICES AND OTHER MEDICAL RESOURCES. - MMC WILL CONSTRUCT A NEW OUTPATIENT WING THAT WILL INCLUDE ROOM FOR EXPANDING BEHAVIORAL HEALTH SERVICES. - MMC WILL EXPLORE AND EVALUATE THE POSSIBILITY OF ADDING INPATIENT MENTAL HEALTH SERVICES. - MMC WILL CONTINUE TO EVALUATE ESTABLISHING A PAIN CLINIC.- MMC WILL CREATE SPACE FOR AN INFUSION CENTER AND EXPLORE AND EVALUATE ADDING ONCOLOGY SERVICES AT THAT LOCATION.- MMC WILL CONTINUE TO EVALUATE THE NEED FOR LOCAL DIALYSIS SERVICES.- MMC WILL EXPLORE EXPANSION OF CARDIAC SERVICES- MMC WILL EXPLORE COLLABORATION WITH SURROUNDING HOSPITALS AND PROVIDERS TO FACILITATE OFFERING IDENTIFIED SERVICES LOCALLY- MMC WILL EXPLORE AND EVALUATE A THIRD-PARTY MARKETING CONSULTANT TO ASSIST WITH IDENTIFYING AND EXECUTING A MORE ROBUST PLAN FOR MARKETING MMC, ITS SERVICES AND ITS PARTNERS- MMC WILL EXPAND ITS DIRECT MARKETING CAMPAIGN- REGARDING EDUCATION, MMC WILL CONTINUE TO EXPLORE PARTNERSHIPS WITH LOCAL GROUPS AND AGENCIES FOR OPPORTUNITIES TO EXPAND EDUCATION ABOUT LOCAL RESOURCES FOR INSURANCE AND ASSISTANCE NAVIGATING MEDICARE AND MEDICAID- REGARDING HEALTH SCREENINGS, MMC WILL CONTINUE TO EXPLORE PARTNERSHIPS WITH LOCAL GROUPS AND AGENCIES FOR WAYS TO EXPAND ACCESS TO HEALTH SCREENINGS, ESPECIALLY FOR SENIORS AND UNDERSERVED AND UNSERVED COMMUNITY MEMBERS- REGARDING HOUSING OPPORTUNITIES FOR SENIORS, ALTHOUGH THESE ISSUES ARE BEYOND THE SCOPE OR CAPABILITY OF MMC TO RESOLVE, MMC WILL SUPPORT ANY ORGANIZED LOCAL GOVERNMENT OR COMMUNITY-BASED EFFORT TO ADDRESS THESE NEEDS TO THE EXTENT IT IS REASONABLE AND APPROPRIATE.FISCAL YEAR 2024 ACTIONS TAKE TO ADDRESS SIGNIFICANT NEEDS:- MMC CONTINUES TO MAINTAIN THE WEB-BASED LOCAL RESOURCE GUIDE FOR BEHAVIORAL HEALTH SERVICES AND OTHER MEDICAL RESOURCES- MMC COMPLETED THE NEW OUTPATIENT BEHAVIORAL HEALTH SUITE AND WAS OPEN TO PATIENTS SEPTEMBER 2024. WE CURRENTLY HAVE TWO LCPC PROVIDERS ON A PART-TIME BASIS AND CONTRACT WITH ONE PSYCHIATRIST VIA TELEHEALTH 1 DAY PER WEEK. IN MARCH 2025, WE HIRED A FULL TIME NURSE PRACTITIONER SPECIALIZING IN MENTAL HEALTH.- MMC HAS NOT EXPLORED INPATIENT MENTAL SERVICES DUE TO THE CONSTRUCTION OF THE OUTPATIENT EXPANSION AS WELL AS BEGINNING THE SURGICAL SUITE EXPANSION.- MMC CONTRACTED WITH AN ANESTHESIOLOGIST AND BEGAN THE PROCESS OF A PAIN CLINIC, WHICH STARTED SEEING PATIENTS IN NOVEMBER 2024.- MMC WAS STILL IN THE CONSTRUCTION PHASE FOR BUILDING THE INFUSION CENTER AND THAT WILL BE OPERATIONAL BY MAY 2025. AT THIS TIME, WE ARE OFFERING IV ANTIBIOTICS AND OTHER BIOLOGICS TO OUR INFUSION PROGRAM. WE WILL CONTINUE TO GROW THAT PROGRAM AND SOMETIME IN THE FUTURE WE MAY ADD CHEMO, BUT AT THIS TIME, WE ARE NOT OFFERING IT.- MMC DID A STUDY SEVERAL YEARS AGO TO EVALUATE THE NEED OF OFFERING DIALYSIS TO THE AREA. WE WOULD HAVE TO CONTRACT WITH ANOTHER COMPANY TO OFFER THOSE SERVICES, AND THE DEMAND WAS NOT THERE AT THAT TIME. WE WILL CONTINUE TO MONITOR BOTH DIALYSIS AND CARDIAC SERVICES, BUT FOR NOW, THOSE NEEDS ARE BEING MET WITH WHAT WE CURRENTLY OFFER.- MMC COLLABORATED WITH MEDICAL ASSOCIATES PROVIDERS TO OFFER OR TIME FOR THEIR PROVIDERS. THE SURGEONS UTILIZED THIS SERVICE, BUT NOT TO THE EXTENT THAT WE THOUGHT, THEY WOULD. THEY PERFORMED FOUR SURGERIES IN FISCAL YEAR 2024.- JANELLE KEEFER, OUR FOUNDATION AND MARKETING DIRECTOR, CONTINUES TO INCREASE OUR PRESENCE WITHIN THE COMMUNITY. WE ALSO KICKED OFF OUR FOUNDATION AND HAVE BEEN SLOW ON GROWING THAT PRESENCE AS WELL WITHIN THE COMMUNITY.- MMC DOES NOT FORMALLY PROVIDE EDUCATION TO THE PUBLIC REGARDING MEDICARE/MEDICAID. IF PATIENTS COME IN AND ASK, WE DO PROVIDE SOME EDUCATION AND MATERIALS, BUT NOTHING IS ADVERTISED.- MMC CONTINUES TO EDUCATE AND PROMOTE ANNUAL WELLNESS VISITS FOR MEDICARE PATIENTS.- MMC HAS NOT BEEN INVOLVED WITH HOUSING OPPORTUNITIES FOR SENIORS. WE CURRENTLY OPERATE OUR 24 APARTMENT ASSISTED LIVING AND 57 BED NURSING HOME. MIDWEST MEDICAL CENTER PART V, SECTION B, LINE 16J: THE POLICY IS OFFERED IF A PATIENT STATES ANY PROBLEM IN REGARD TO PAYING THEIR BILL. THERE IS ALSO A REFERENCE ON ALL PATIENT STATEMENTS THAT STATES FINANCIAL ASSISTANCE IS AVAILABLE. MIDWEST MEDICAL CENTER PART V, SECTION B, LINE 20E: PATIENTS ARE GIVEN THE OPPORTUNITY TO APPLY FOR CHARITY CARE PRIOR TO ANY COLLECTION PRACTICES NOTED EARLIER UNDER POLICIES OF MIDWEST MEDICAL CENTER. THE POLICY AND APPLICATION ARE OFFERED IF A PATIENT STATES ANY PROBLEM IN REGARD TO PAYING THEIR BILL. THERE IS ALSO A REFERENCE ON ALL PATIENT STATEMENTS THAT STATES FINANCIAL ASSISTANCE IS AVAILABLE. 2 1 - GALENA-STAUSS SENIOR CARE CAMPUS 215 SUMMIT STREET GALENA IL 61036 SKILLED NURSING FACILITY, ASSISTED LIVING 2 - MIDWEST HEALTH CLINIC - ELIZABETH 117 N MAIN STREET ELIZABETH IL 61028 PHYSICIAN CLINIC PART I, LINE 3C: MIDWEST MEDICAL CENTER PRIMARILY USES FEDERAL POVERTY GUIDELINES TO ESTABLISH CHARITY OR DISCOUNTED CARE TO THOSE IN NEED OF CARE IN THE COMMUNITY, HOWEVER THERE ARE OTHER CONSIDERATIONS GIVEN TO PATIENTS TO AVOID HAVING PATIENTS BE IN FINANCIAL DISTRESS DUE TO CONCERNS OVER THEIR MEDICAL BILLS. BELOW ARE THE GENERAL GUIDELINES AS DEFINED IN MIDWEST MEDICAL CENTER'S CHARITY CARE POLICY WHICH ARE FOLLOWED BY THE ORGANIZATION: PATIENT ACCOUNT GUARANTORS WITH AN ADJUSTED GROSS INCOME AT OR BELOW 125% OF THE FEDERAL POVERTY GUIDELINES FOR THE NUMBER OF DEPENDENTS IN THE DEBTOR'S HOUSEHOLD WILL BE ELIGIBLE FOR 100% CHARITY CARE. PATIENT ACCOUNT GUARANTORS WITH AN ADJUSTED GROSS INCOME GREATER THAN 125%, BUT EQUAL TO OR LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES FOR THE NUMBER OF DEPENDENTS IN THE DEBTOR'S HOUSEHOLD, WILL BE ELIGIBLE FOR PARTIAL FINANCIAL ASSISTANCE. PATIENT ACCOUNT GUARANTORS WITH INSUFFICIENT ASSETS TO PAY THE AMOUNT DUE, AND WHO DO NOT QUALIFY FOR CHARITY CARE ON THE BASIS OF THE FEDERAL POVERTY GUIDELINES, WILL BE ELIGIBLE FOR A CATASTROPHIC CHARITY ADJUSTMENT WHEN THE TOTAL AMOUNT DUE TO MIDWEST MEDICAL CENTER EQUALS AT LEAST 20% OF THE DEBTOR'S ADJUSTED GROSS INCOME. CATASTROPHIC CHARITY IS AN EIGHTY PERCENT (80%) ADJUSTMENT OFF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES. PART I, LINE 7: THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES (EXCLUDING THE PROVISION FOR BAD DEBTS) DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990. (THE COSTING METHODOLOGY FOR SUBSIDIZED HEALTH SERVICES FOR LINE 7G OF SCHEDULE H OF THE FORM 990 IS BASED ON COST ALLOCATIONS FROM THE MEDICARE COST REPORT. THIS ALLOCATION METHOD AND PRINCIPLES OF ALLOCATION WERE USED TO DERIVE A SPECIFIC AMOUNT OF COST ALLOCATION TO THE VARIOUS PROGRAMS AND COST CENTERS OPERATED BY THE HOSPITAL.) PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES AT MIDWEST MEDICAL CENTER INCLUDES THE OPERATION OF SEVERAL DEPARTMENTS. THE INPATIENT UNIT ALSO PROVIDES CARE TO OVERNIGHT OBSERVATION PATIENTS WHICH ARE KEPT FOR OBSERVATION IN FOLLOW UP CARE FROM THE EMERGENCY ROOM AS WELL AS PROVIDING A SIGNIFICANT NUMBER OF SWING BED SERVICES. IT IS THE GOAL OF MIDWEST MEDICAL CENTER TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 589,820. SCHEDULE H, PART I, LINE 7 THE MIDWEST MEDICAL CENTER'S HOSPITAL AND CLINIC EXPANSION AND RENOVATION PROJECT INCLUDES MULTIPLE ADDITIONS AND REMODELING TO THE EXISTING FACILITY. THE PHASED PROJECT AFFECTS CLINICAL, REHAB, FITNESS, SURGERY, ATRIUM/BISTRO AREAS, AND OTHER SUPPORT SPACES. THIS CONTRACT INCLUDES GENERAL CONSTRUCTION, PLUMBING, HVAC, ELECTRICAL, AND SITE IMPROVEMENTS. THIS INVESTMENT MORE SPECIFICALLY INCLUDES THE FOLLOWING: - THE CLINIC FEATURED A DEDICATED ENTRANCE THAT PROVIDED A CENTRALIZED ACCESS POINT FOR OUTPATIENT SERVICES. THIS ENTRANCE INCLUDED A DRIVE-UNDER CANOPY FOR PATIENTS, ALONG WITH A NEW LOBBY, ATRIUM, CONFERENCE CENTER, AND RESTROOMS.- A THREE-LEVEL CLINIC ADDITION INCLUDED A LOWER AND MAIN LEVEL TO EXPAND THE REHABILITATION DEPARTMENT AND WELLNESS CENTER, AS WELL AS A SECOND-FLOOR ADDITION AND REMODEL TO EXPAND PRIMARY CARE, BEHAVIORAL HEALTH, AND SPECIALTY CLINICS, AND TO ADD SPACE FOR MEDICAL INFUSION SERVICES.- THE PRIMARY CARE, BEHAVIORAL HEALTH, AND SPECIALTY CLINICS WERE REMODELED TO SUPPORT COLLABORATIVE, TEAM-BASED CARE BETWEEN PATIENTS AND PROVIDERS. THIS APPROACH ENSURED THAT PATIENTS' NEEDS WERE ADDRESSED THROUGH A COORDINATED EFFORT AMONG MULTIPLE PROVIDERS, IMPROVING BOTH HEALTH OUTCOMES AND THE PATIENT EXPERIENCE.- THE SPECIALTY CLINIC WAS EXPANDED FROM ITS PREVIOUS LOCATION IN CONVERTED INPATIENT ROOMS. THIS EXPANSION SUPPORTED FUTURE GROWTH IN THE RECRUITMENT OF MEDICAL AND SURGICAL SPECIALTIES, IMPROVING ACCESS TO CARE FOR THE PEOPLE OF GALENA, WHO PREVIOUSLY TRAVELED OVER AN HOUR FOR THESE SERVICES. - THE REHABILITATION DEPARTMENT WAS EXPANDED AND REMODELED TO ENLARGE THE WAITING AREA, RECEPTION AREA, AND TREATMENT SPACE FOR PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND CARDIAC/PULMONARY REHABILITATION. THIS ALLEVIATED CAPACITY CONSTRAINTS AND SUPPORTED FUTURE GROWTH IN BOTH PROVIDERS AND PATIENTS SERVED.THESE CONTRIBUTIONS MAY NOT BE CAPTURED DIRECTLY WITHIN THE COMMUNITY BENEFIT CALCULATIONS AS PRESENTED IN PART I OF SCHEDULE H. HOWEVER, THE SIGNIFICANT CAPITAL INVESTMENT IN THE COMMUNITY IS CERTAINLY A COMMITMENT TO CARE THAT WILL HAVE AN ONGOING IMPACT ON HEALTH OUTCOMES OF GALENA. PART II, COMMUNITY BUILDING ACTIVITIES: MIDWEST MEDICAL CENTER PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, THE ORGANIZATION BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. MIDWEST MEDICAL CENTER, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY. PART III, LINE 2: THE ORGANIZATION USES THE COST TO CHARGE RATIO TO ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE. PART III, LINE 4: IN EVALUATING THE COLLECTABILITY OF PATIENT AND RESIDENT RECEIVABLES, THE ORGANIZATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS OR RESIDENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS AND PATIENTS OR RESIDENTS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS AND RESIDENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. PART III, LINE 8: THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H TO THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE HOSPITAL, AND ALSO DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE HOSPITAL AS WELL AS HOSPITAL INPATIENT PHYSICIAN PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, RADIOLOGY PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN PROFESSIONAL SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT MIDWEST MEDICAL CENTER PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2024, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHO ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES IN A LOCAL SETTING, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. PART III, LINE 9B: UNDER THE HOSPITAL'S COLLECTION AND CHARITY CARE POLICIES, MIDWEST MEDICAL CENTER MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE HOSPITAL'S CHARITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE EITHER PRIOR TO ADMISSION OR FOLLOWING DISCHARGE. ALL INPATIENT SELF-PAY ADMISSIONS ARE SCREENED BY THE HOSPITAL'S BUSINESS OFFICE OR SOCIAL WORKERS TO ALLOW THESE PATIENTS THE ABILITY TO COMPLETE THEIR APPLICATION DURING THEIR STAY AT THE HOSPITAL, DEPENDING UPON THE PATIENT'S CONDITION, OR THE PATIENT'S RESPONSIBLE PARTY MAY BE CONTACTED TO COMPLETE AND RETURN THE FORMS AT A LATER TIME WHEN THEIR CARE ALLOWS THIS COMPLETION. DURING THE PATIENT ACCOUNT COLLECTION PROCESS, SELF-PAY PATIENTS ARE ALSO INFORMED OF THE HOSPITAL'S COLLECTION POLICIES AS WELL AS THE CHARITY CARE PROGRAM TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM. PART VI, LINE 2: MIDWEST MEDICAL CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES AND AREAS IT SERVES BY REVIEWING LOCAL DEMOGRAPHICS AND TRENDS IN PATIENT SERVICE UTILIZATION TO DETERMINE WHICH SERVICES COULD AND SHOULD BE MADE AVAILABLE TO THE COMMUNITY IN A COST-EFFECTIVE MANNER TO BE CONSISTENT WITH MIDWEST MEDICAL CENTER'S MISSION IN THE COMMUNITY. MIDWEST MEDICAL CENTER ALSO REVIEWS STATISTICS IN THE HOSPITAL, CLINIC, AND OTHER ORGANIZATIONAL DEPARTMENTS TO REVIEW THE CURRENT SERVICES BEING OFFERED AND ENSURE THAT RESOURCES ARE BEING APPROPRIATELY ALLOCATED TO AREAS IN NEED BY COMMUNITY MEMBERS AND PATIENTS. THE ORGANIZATION ALSO MEETS WITH LOCAL COMMUNITY MEMBERS AND ITS PHYSICIAN GROUP TO DETERMINE WHICH SERVICES MAY BENEFIT THE COMMUNITY. DURING FISCAL YEAR 2022, MIDWEST MEDICAL CENTER COMPLETED A FORMALIZED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY AND CONTINUES TO ACTIVELY RECRUIT PROVIDERS TO FULFILL THE PATIENT'S NEEDS. PART VI, LINE 3: UNINSURED AND UNDER-INSURED PATIENTS ARE ASKED TO MEET WITH THE ORGANIZATION'S REGISTRATION REPRESENTATIVE AT THE TIME SERVICE IS PROVIDED AND WHEN THE PATIENT'S BILL IS GENERATED. A REGISTRATION REPRESENTATIVE WILL EXPLAIN THE VARIOUS PAYMENT OPTIONS AVAILABLE TO THE PATIENT AS WELL AS THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND PROVIDE THE FINANCIAL ASSISTANCE APPLICATION. IF OTHER PROGRAMS ARE AVAILABLE TO THE PATIENT, SUCH AS THE ILLINOIS PUBLIC AID PROGRAMS, THESE PATIENTS ARE REFERRED TO THE APPROPRIATE GOVERNMENT AGENCY FOR FURTHER ASSISTANCE. INFORMATION ABOUT THE AVAILABILITY OF SUCH PROGRAMS IS ALSO AVAILABLE AT MIDWESTMEDICALCENTER.ORG. PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR MIDWEST MEDICAL CENTER ENCOMPASSES ALL PERSONS LIVING WITHIN A 30 TO 60 MILE RADIUS OF THE HOSPITAL. A TOTAL OF 21,588 PEOPLE LIVE IN THE 600 SQUARE MILE SERVICE AREA. THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 36 PERSONS PER SQUARE MILE, IS LESS THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 92 PERSONS PER SQUARE MILE. THE SERVICE AREA INCLUDES SEASONAL AND PART-TIME HOUSING RELATED TO RECREATION AND TOURISM IN THE GALENA TERRITORY AND APPLE CANYON LAKE. THE AVERAGE HOUSEHOLD SIZE IN THE AREA, AT 2.2, IS LOWER THAN BOTH ILLINOIS (3.0) AND THE U.S. (2.5) OVERALL AVERAGE. MEDIAN AGE IS 50.3 YEARS, WHICH IS HIGHER THAN ILLINOIS (38.6) AND THE U.S. (38) BENCHMARK. THE LARGEST LEVEL OF EDUCATION IS HIGH SCHOOL GRADUATE, FOLLOWED BY SOME COLLEGE. THE AREA'S UNEMPLOYMENT RATE OF 1.5%. MEDIAN FAMILY HOUSEHOLD INCOME IN THE SERVICE AREA IS $63,113, WHICH IS LOWER THAN THE STATEWIDE AVERAGE ($65,886) AND SLIGHTLY HIGHER THAN THE U.S. ($62,843). WITHIN THE SERVICE AREA, 9.56% OR 2,031 INDIVIDUALS FOR WHOM POVERTY STATUS IS DETERMINED ARE LIVING IN HOUSEHOLDS WITH INCOME BELOW THE FEDERAL POVERTY LEVEL (FPL). PART VI, LINE 5: MIDWEST MEDICAL CENTER IS AN INDEPENDENT COMMUNITY HOSPITAL GOVERNED BY A 12-MEMBER BOARD OF DIRECTORS WHO RESIDE WITHIN THE PRIMARY SERVICE AREA. MMC MANAGES A DIABETIC PROGRAM THAT ADDRESSES INDIVIDUALS DIAGNOSED WITH DIABETES. OUR PHARMACIST, DIETICIAN AND CARE COORDINATOR WORK WITH THE PATIENTS TO GET THEIR LEVELS UNDER CONTROL AND ALSO UTILIZE THE 340B PROGRAM TO HELP THOSE PATIENTS THAT CANNOT AFFORD THEIR MEDICATION. 340B IS FOR THOSE INDIVIDUALS THAT ARE UNINSURED OR UNDERINSURED. MMC ALSO RECENTLY IMPLEMENTED A DIABETIC PREVENTION PROGRAM (DPP) FOR INDIVIDUALS THAT ARE CLOSE TO BEING DIAGNOSED WITH DIABETES, BUT NOT QUITE THERE YET. THIS PROGRAM IS DESIGNED TO IMPLEMENT A LIFESTYLE CHANGE FOR PATIENTS THAT ARE CLOSE TO DEVELOPING DIABETES OR OTHER HEALTH CONDITIONS. FOR A VERY LOW COST, THESE PATIENTS HAVE ACCESS TO A CARE COORDINATOR, FITNESS STAFF AND DIETICIAN FOR A PERIOD OF 6 MONTHS. OUR PHYSICIANS HAVE STARTED DOING FREE OUTREACH DISCUSSIONS AGAIN WITH LOCAL INDEPENDENT LIVING GROUPS AND BUSINESSES ON THE AREA OF PRACTICE THEY COVER. MMC SHARES A COLLABORATIVE SPACE WITH REHABILITATION AND FITNESS AND IF FITNESS MEMBERS HAVE ANY AREAS OF CONCERN, A PHYSICAL THERAPIST WILL DO A FREE QUICK ASSESSMENT OF INJURIES AND OFFER A RECOMMENDATION OF ANY FOLLOW UP THE MEMBER MAY NEED. OUR FITNESS CENTER HOSTS A 5K WALK/RUN EACH FALL THAT BENEFITS THE LOCAL FOOD PANTRY. MMC OFFERS DISCOUNTED LAB SCREENS 3 TIMES PER YEAR THROUGHOUT THE COUNTY AND ALSO DOES FREE BLOOD PRESSURE CHECKS. WE HOST BLOOD DRIVES A FEW TIMES A YEAR TO SUPPORT THE LOCAL BLOOD BANKS. CURRENTLY WE CONDUCT SPORTS PHYSICALS AT TWO AREA SCHOOLS AND ALL PROCEEDS FROM THOSE PHYSICALS ARE DONATED BACK TO THE SCHOOLS. 1 NOTES RECEIVABLE FOR SCHOLARSHIPS FORGIVEN 6 9118 CURRENT NOTE RECEIVABLE BALANCE FORGIVENESS OF NOTES RECEIVABLE IS GOVERNED BY THE HOSPITAL'S MEDICAL EDUCATION SCHOLARSHIP PROGRAM AND FORGIVENESS IS GRANTED IF INDIVIDUALS FULFILL FUTURE SERVICE REQUIREMENTS WITH MIDWEST MEDICAL CENTER IN HEALTH PROFESSIONAL RELATED FIELDS. THE HOSPITAL TRACKS THIS INFORMATION ANNUALLY AND AWARDS THE FORGIVENESS BASED ON THE COMPLETION OF THE REQUIRED CRITERIA OF THE PROGRAM. PART I, LINE 2: MIDWEST MEDICAL CENTER TRACKS THE GRANTS PROVIDED THROUGH THE USE OF NOTES RECEIVABLE AS THE SCHOLARSHIP PROGRAMS ARE INTENDED TO SUPPLEMENT AND BE A FORM OF STUDENT LOANS FOR MEMBERS OF THE COMMUNITY PURSUING ADDITIONAL EDUCATION IN HEALTH RELATED FIELDS. PRIOR TO APPROVING A NOTE TO A PERSPECTIVE STUDENT, AN APPLICATION IS REVIEWED FOR APPROVAL BY THE HOSPITAL'S CONTROLLER TO ENSURE THAT ALL BACKGROUND INFORMATION ON THE CANDIDATE WAS PROVIDED. AFTER REVIEW BY THE CONTROLLER, THIS INFORMATION IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. EACH STUDENT MUST SIGN A PROMISSORY NOTE WITH MIDWEST MEDICAL CENTER THAT THEY COMMIT TO COMPLETE THE EDUCATIONAL PROGRAM AND THAT UPON GRADUATION THEY WILL PERFORM SERVICES FOR MIDWEST MEDICAL CENTER (PENDING AN AVAILABLE POSITION IN THE HOSPITAL AT THE TIME) OR THEY WILL REPAY THE NOTE WITH INTEREST. (THE REPAYMENT TERMS ENSURE THAT THE ENDOWED AND DONATED FUNDS ARE AVAILABLE IN FUTURE YEARS TO OTHER MEMBERS OF THE COMMUNITY OR THAT SERVICES ARE RETURNED TO THE COMMUNITY THROUGH SERVICE TO THE MEDICAL CENTER.) SERVICES PERFORMED AT MIDWEST MEDICAL CENTER RESULT IN FORGIVENESS OF NOTE RECEIVABLE AMOUNTS BASED ON HOURS WORKED. X X X 0 0 0 0 0 0 0 0 0 KENNETH SCHIFFMAN MD ORTHOPEDIC SURGEON 410901 0 1350 0 42041 0 16340 0 17498 0 488130 0 0 0 TRACY BAUER CEO 301130 0 27000 0 38707 0 14795 0 0 0 381632 0 0 0 MATTHEW GULLONE MD PHYSICIAN 223548 0 85838 0 23758 0 13358 0 8990 0 355492 0 0 0 GREG HARMSTON MD PHYSICIAN 251376 0 1350 0 43499 0 12026 0 25228 0 333479 0 0 0 MOIZ HASSAN PODIATRIC SURGEON 258591 0 1350 0 23200 0 10115 0 26951 0 320207 0 0 0 RICHARD FARRELL MD PHYSICIAN 260057 0 1350 0 21829 0 11591 0 16964 0 311791 0 0 0 KELLI JACKSON CFO 123765 0 12000 0 12060 0 6471 0 25228 0 179524 0 0 0 JASON FRANK FAMILY MEMBER OF KELLI JACKSON, CFO 69207 EMPLOYMENT COMPENSATION 0 PAMELA SMITH FAMILY MEMBER OF TRACY BAUER, CEO 66202 EMPLOYMENT COMPENSATION 0 PATRICIA BAUER FAMILY MEMBER OF TRACY BAUER, CEO 31264 EMPLOYMENT COMPENSATION 0 FORM 990, PART III, LINE 2 DURING FISCAL YEAR 2024, MMC BEGAN OFFERING A RHEUMATOLOGY AND UROLOGY SERVICE LINE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF MIDWEST MEDICAL CENTER IS MIDWEST MEDICAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF MIDWEST MEDICAL FOUNDATION HAVE THE RIGHT TO APPOINT MEMBERS OF THE BOARD OF DIRECTORS OR REMOVAL OF BOARD MEMBERS OF MIDWEST MEDICAL CENTER. THE MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS OF MIDWEST MEDICAL CENTER WILL ALSO BE BOARD MEMBERS OF MIDWEST MEDICAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS OF MIDWEST MEDICAL CENTER PREVIOUSLY ISSUED TAX-EXEMPT BONDS THROUGH THE ILLINOIS FINANCE AUTHORITY TO FINANCE THE CONSTRUCTION OF A REPLACEMENT HOSPITAL. UNDER THE TERMS OF THE BOND AGREEMENTS, THE ORGANIZATION IS LIMITED AS TO ISSUING NEW DEBT, PURCHASING SIGNIFICANT CAPITAL ASSETS, DISPOSING OF SIGNIFICANT ASSETS, AND/OR SETTING UP NEW CORPORATIONS OR SUBSTANTIALLY RESTRUCTURING THE CURRENT ORGANIZATION WITHOUT FIRST OBTAINING APPROVAL OF THE BOND TRUSTEES. IN TAX YEAR 2018 THE ORGANIZATION DID HAVE A CHANGE IN THEIR PARENT AND PAID OFF THE TAX-EXEMPT BONDS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS RECEIVED A COPY OF THE FINAL 990 FOR REVIEW AND APPROVAL THROUGH POSTING TO AN ELECTRONIC SECURE WEBSITE BY MANAGEMENT OF MIDWEST MEDICAL CENTER PRIOR TO ITS SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C SINCE MIDWEST MEDICAL CENTER IS PART OF A SMALL COMMUNITY, CONFLICTS OF INTEREST ARE GENERALLY KNOWN. THE BOARD OF DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE ANNUAL DISCLOSURE STATEMENTS. THESE ARE KEPT ON FILE AT THE HOSPITAL AND ALL MEMBERS OF THE BOARD OF DIRECTORS, INCLUDING MANAGEMENT WHICH ATTEND MEETINGS, ARE TOLD OF THE CONFLICTS. ANY MEMBERS WITH KNOWN CONFLICTS ABSTAIN FROM VOTING ON THESE CONFLICTS DURING MEETINGS AND ENGAGE IN ONLY LIMITED DISCUSSIONS ON THESE TOPICS. THE BOARD AND MANAGEMENT HOLD EACH OTHER ACCOUNTABLE THROUGH OBSERVATION AND ENFORCEMENT OF THE POLICY DURING MEETINGS AND AT ORGANIZATION FUNCTIONS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWS EVALUATIONS FOR THESE INDIVIDUALS, COMPARES DATA TO COMPETITIVE MARKET DATA OBTAINED FROM SALARY SURVEYS, AND CONSULTS WITH OUTSIDE ORGANIZATIONS AS NEEDED IN REVIEWING CONTRACTS. LEGAL AND OUTSIDE VALUATION SERVICES ARE OBTAINED IN ENSURING THE KEY EMPLOYEES, EXECUTIVES, AND PHYSICIANS' SALARIES ARE IN LINE WITH REASONABLE AND PRUDENT BUYER CONCEPTS AS WELL. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G EMERGENCY SERVICES: PROGRAM SERVICE EXPENSES 1,966,245. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,966,245. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 1,276,626. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,276,626. CLINIC SERVICES: PROGRAM SERVICE EXPENSES 905,747. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 905,747. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 214,169. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 214,169. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,193,075. MANAGEMENT AND GENERAL EXPENSES 1,368,817. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,561,892. MIDWEST MEDICAL FOUNDATION ONE MEDICAL CENTER DRIVE GALENA IL 61036 204560639 FUNDRAISING IL 501(C)3 LINE 12A, I MIDWEST MEDICAL CENTER 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0