2025-08-15T16:02:46-05:00 2024-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-07-01 350985964 LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC LITT 8124822345 800 WEST NINTH STREET JASPER IN 47546 MATHEW GAUG COO 8124822345 2025-08-15 1 0 EMILIE M KNIERIEM CPA P01330194 3176334705 2025-08-15 2024 2025-03-06 01:10:19Z MEMORIAL HOSPITAL & HEALTH CARE CTR KEITH MILLER 800 WEST NINTH STREET JASPER IN 47546 105553497 0 X WWW.DEACONESSMEMORIAL.COM X 1950 IN PROVIDE HEALTH SERVICES CONSISTENT WITH THE NEEDS OF THE COMMUNITY. 15 14 0 168 13131 6613 900628 252023 275721646 71383448 7992343 2090762 5695493 834020 290310110 74560253 811753 14456 0 0 152570862 35746463 0 0 0 160087248 36240156 313469863 72001075 -23159753 2559178 359870735 375527229 95273749 104135811 264596986 271391418 X WE, THE BOARD, PHYSICIANS, STAFF, VOLUNTEERS AND AUXILIARY OF MEMORIAL HOSPITAL AND HEALTH CARE CENTER WILL PROVIDE EXCELLENT HEALTH CARE SERVICES TO THE PEOPLE OF THE COMMUNITIES WE SERVE. WE WILL PLEDGE OURSELVES TO CARE FOR EACH INDIVIDUAL IN A MANNER THAT REFLECTS THE PHYSICAL, PSYCHOLOGICAL AND SPIRITUAL HEALING MINISTRY OF JESUS CHRIST. WE WILL WORK TOGETHER TO CREATE AN ATMOSPHERE OF MUTUAL RESPECT, DIGNITY, COMPASSION AND JOY. WE WILL EFFECTIVELY AND EFFICIENTLY UTILIZE OUR RESOURCES IN PROVIDING HEALTH CARE. WE WILL BE GUIDED BY THE NEEDS OF THOSE WE SERVE AND AS NEEDS CHANGE, WE WILL CHANGE. WE WILL "BE FOR OTHERS!" 0 0 63712159 14456 72061047 GENERAL PRIMARY ACUTE CARE HOSPITAL EXPENSES INCURRED IN PROVIDING EXCELLENT HEALTH CARE SERVICES CONSISTENT WITH THE NEEDS OF THE COMMUNITY. SEE FORM 990, SCHEDULE H FOR ADDITIONAL SERVICES PROVIDED TO THE COMMUNITY. 63712159 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 IN X KEITH MILLER 8129960506 800 WEST NINTH STREET JASPER IN 47546 X JIM HUEBNER BOARD CHAIRPERSON 5.00 0.00 X X 0 0 0 KEITH MILLER CAO & INDIANA REGION PRES. 40.00 1.00 X X 0 0 0 BRENDA STALLINGS BOARD TREASURER 1.00 0.00 X X 0 0 0 SR RENEE CUNNINGHAM BOARD SECRETARY 30.00 1.00 X X 0 0 0 DONNA BALKA BOARD MEMBER 1.00 0.00 X 0 0 0 CHRISTIAN BLOME BOARD MEMBER 1.00 0.00 X 0 0 0 NEIL DAUBY BOARD MEMBER PARTIAL TERM 1.00 0.00 X 0 0 0 TONYA HEIM BOARD MEMBER 1.00 0.00 X 0 0 0 GARY KEEPES MD BOARD MEMBER 1.00 0.00 X 0 0 0 SHERRIL LUEKEN BOARD MEMBER 1.00 0.00 X 0 0 0 SHAWN MCCOY BOARD MEMBER 1.00 0.00 X 0 0 0 KRISTI NORD MD MED. STAFF PRES. 1.00 0.00 X 0 0 0 SOHAIL QADIR MD BOARD MEMBER 1.00 40.00 X 0 0 0 LYNN LINGAFELTER BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES PORTER MD BOARD MEMBER 1.00 0.00 X 0 0 0 NICK WERNE MD BOARD MEMBER 1.00 40.00 X 0 0 0 EDWARD W MILLER VP FINANCE/CFO 40.00 1.00 X 0 0 0 0 0 0 0 0 51378 200645 252023 NET PATIENT SERVICE REVENUE 621110 71383448 71383448 71383448 2089912 2089912 43256 60593 -17337 -17337 -17337 30933501 30932651 850 850 850 CAFETERIA REVENUE 900099 143500 143500 GAIN/LOSS ON JOINT VENTURE 900099 97808 97808 LAB REVENUE 621500 13131 13131 596918 579791 17127 851357 74560253 72061047 13131 2234052 X 14456 14456 29875574 27038671 2836903 489108 417942 71166 3659519 3127056 532463 1722262 1471671 250591 12882 11860 1022 18750 17262 1488 10927545 10060445 867100 23833 21356 2477 383095 379799 3296 5180931 3193113 1987818 121812 109152 12660 512191 301756 210435 4138966 2817978 1320988 354019 317225 36794 HOSPITAL SUPPLIES AND D 10880943 10787330 93613 HAF EXPENSE 3106914 3106914 DUES & SUB. 259842 232836 27006 LICENSES & TAXES 118783 106437 12346 199650 178900 20750 72001075 63712159 8288916 0 55715706 28031777 24975710 26255814 2277627 2592821 3587308 3722988 2752183 3482178 152241561 10491060 143570579 141750501 120692563 162791551 799226 6299059 6100373 359870735 375527229 27600682 23604679 62380530 62055000 769711 761228 4522826 17714904 95273749 104135811 X 264596986 271391418 264596986 271391418 359870735 375527229 X 2559178 4143733 91521 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1224000 1224000 105071060 1415016 103656044 45452946 9076044 36376902 493555 493555 141750501 RIGHT OF USE LIABILITY 2333825 RELATED PARTY PAYABLE 6966152 ACCRUED INTEREST 320252 PENSION LIABILITY 8094675 17714904 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 1 X 1 X 1 X 1 1 0 1 1 1308292 1308292 0.01820 26331141 8302632 18028509 0.25040 27639433 8302632 19336801 0.26860 30586 30586 0.00040 101811 101811 0.00140 380 380 0.00000 420 420 0.00000 133197 133197 0.00180 27772630 8302632 19469998 0.27040 2885846 12221260 12426304 -205044 X 1 1 1 1 MEMORIAL HOSPITAL & HEALTH CARE CENTER 800 W 9TH ST JASPER IN 47546 WWW.MHHCC.ORG 24-005102-1 X X X MEMORIAL HOSPITAL & HEALTH CARE CENTER 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X HTTPS://WWW.DEACONESSMEMORIAL.COM/COMMUNITY-NEEDS-ASSESSMENT/ X X 1 23 0 1 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.DEACONESSMEMORIAL.COM/PATIENT-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.DEACONESSMEMORIAL.COM/PATIENT-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.DEACONESSMEMORIAL.COM/PATIENT-VISITORS/FINANCIAL-ASSISTANCE/ X X X X X 1 X 0 X X X X 1 X 0 0 MEMORIAL HOSPITAL & HEALTH CARE CENTER PART V, SECTION B, LINE 5: A SERIES OF FOCUS GROUP AND ADVISORY COUNCIL MEETINGS WERE CONDUCTED TO PROVIDE AN OPPORTUNITY AND FORUM FOR COMMUNITY REPRESENTATIVES TO PARTICIPATE IN IDENTIFYING HEALTH NEEDS. THERE WERE 123 PEOPLE THAT PARTICIPATED IN THE FOCUS GROUP FEEDBACK PROCESS FOR THE 2023 CHNA. THE ADVISORY COUNCILS WERE DEVELOPED IN 2023 AS A WAY FOR THE HOSPITAL TO STAY CONNECTED WITH EACH COUNTY OUTSIDE OF DUBOIS COUNTY AND MEET ON A CONTINUED BASIS TO UPDATE THE HOSPITAL ON COUNTY NEEDS. MEMORIAL HOSPITAL & HEALTH CARE CENTER PART V, SECTION B, LINE 7D: THE MOST CURRENT TWO COMMUNITY HEALTH NEEDS ASSESSMENTS ARE AVAILABLE ON THE HOSPITAL'S MAIN WEBPAGE LABELED COMMUNITY NEEDS. MEMORIAL HOSPITAL & HEALTH CARE CENTER PART V, SECTION B, LINE 11: THE MOST CURRENT IMPLEMENTATION STRATEGY FOR THE TAX YEAR 2023 IS THE 2023 IMPLEMENTATION STRATEGY WHICH COVERS THE TAX YEARS 2023, 2024, AND 2025.THE KEY HEALTH ISSUES BEING ADDRESSED WITH REGARDS TO THE CONDUCTED NEEDS ASSESSMENT ARE ACCESS TO PRIMARY CARE, ACCESS TO MENTAL HEALTH SERVICES, OPPORTUNITIES REGARDING WOMEN'S SERVICES RELATED TO MAMMOGRAPHY, AND EDUCATING THE COMMUNITY ON HEALTH CARE TOPICS TO ADDRESS KEY MORTALITY RATES.ACCESS TO HEALTHCARE:-RE-DEPLOY THE PROVIDERS WHO ARE ACCEPTING NEW PATIENTS IN AN ADVERTISING CAMPAIGN.-CONTINUE TO RECRUIT, DEVELOP, AND TRAIN RESIDENTS IN THE MEMORIAL HOSPITAL FAMILY MEDICINE RESIDENCY PROGRAM TO MEET THE LONG-TERM NEEDS OF SOUTHWESTERN INDIANA BY 'GROWING OUR OWN.'-DEPLOY VIRTUAL HEALTH FOR PRIMARY CARE.-RECRUIT PHYSICIANS BASED ON THE MEDICAL STAFF DEVELOPMENT PLAN.-IMPLEMENT AN ELECTRONIC HEALTH RECORD TO ASSIST WITH ACCESS TO CARE. ACCESS TO MENTAL HEALTH SERVICES:-PARTICIPATE IN THE HRSA GRANT IN MARTIN COUNTY IN PARTNERSHIP WITH INDIANA UNIVERSITY.-DETERMINE PARTNERS IN THE COMMUNITIES WE SERVE TO ADDRESS MENTAL HEALTH CONCERNS SPECIFICALLY AROUND SUBSTANCE ABUSE.EDUCATING THE COMMUNITY ON HEALTH CARE TOPICS:-CONTINUE OUTREACH PROGRAMMING TO EDUCATE THE COMMUNITIES WE SERVE ON CARDIOLOGY, ONCOLOGY, MAMMOGRAPHY, AND STROKE.-ACHIEVE PRIMARY STROKE CERTIFICATION. MEMORIAL HOSPITAL & HEALTH CARE CENTER PART V, SECTION B, LINE 24: GROSS CHARGES FOR NON-MEDICALLY NECESSARY SERVICES (ELECTIVE SERVICES) INCLUDING COSMETIC, SURGICAL WEIGHT LOSS, EXPERIMENTAL (NON-FDA APPROVED DEVICES) PROCEDURES, SPECIALTY REPLACEMENT LENSES, HEARING AIDS, SERVICES DENIED BY INSURANCE FOR NO PRIOR AUTHORIZATION OR NON-EMERGENCY SERVICES PROVIDED AS A RESULT OF BEING OUT-OF-NETWORK ARE NOT ELIGIBLE FOR DISCOUNTED CHARGES OR FINANCIAL ASSISTANCE. 1 1 - SLEEP LAB 721 W 13TH STREET STE 202 JASPER IN 47546 SLEEP LAB PART I, LINE 3C: A PATIENT MAY QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE IF THE PATIENT'S HOUSEHOLD INCOME IS BETWEEN 200% AND 400% OF THE FEDERAL POVERTY GUIDELINES. PRESUMPTIVE ELIGIBILITY FOR FREE CARE WITH REQUIRED VERIFICATION IS AVAILABLE FOR DECEASED INDIVIDUALS WITH NO ESTATE AND NO SURVIVING SPOUSE; AND, FOR INDIVIDUALS IN HOMELESS SITUATIONS RECEIVING ASSISTANCE FROM SUPPORTIVE SERVICES SUCH AS GOVERNMENTAL, RELIGIOUS OR COMMUNITY SERVICES. PART I, LINE 7: MEMORIAL HOSPITAL AND HEALTH CARE CENTER CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO- CHARGES. OTHER BENEFIT AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. PART I, LINE 7G: THE ORGANIZATION DOES NOT PROVIDE ANY SUBSIDIZED HEALTH SERVICES ATTRIBUTABLE TO PHYSICIAN CLINICS. PART III, LINE 2: MEMORIAL HOSPITAL AND HEALTH CARE'S ANALYSIS AND ASSESSMENT OF THE BAD DEBT EXPENSE IS BASED ON THE EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO ITS SERVICE AREA AND THE HEALTHCARE INDUSTRY. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PART III, LINE 3: PART III, SECTION A. BAD DEBT EXPENSE CONSIDERED COMMUNITY BENEFIT: NO OTHER BAD DEBT AMOUNTS HAVE BEEN INCLUDED AS COMMUNITY BENEFIT. THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY AND EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON, THE ORGANIZATION BELIEVES IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE. PART III, LINE 4: FOOTNOTE TO ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: SEE PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS FOOTNOTE 1 UNDER HEADING "PATIENT SERVICE REVENUE" PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED SEPTEMBER 30, 2024: HOSPITAL STATEMENT OF REIMBURSABLE COST. PART III, LINE 9B: THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY INCLUDES PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED DURING THE FOLLOW-UP PERIOD AFTER A PATIENT IS DISCHARGED AND INCLUDES SPECIFIC INSTRUCTIONS FOR SELF-PAY WHO MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. PART VI, LINE 2: NEEDS ASSESSED: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED EVERY THREE YEARS. THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES WITH HOSPITAL COMMITTEES DEVELOPING STRATEGIC PLANS FOR THE HOSPITAL TO PROVIDE QUALITY CARE TO THE COMMUNITY MEMBERS. ADDITIONALLY, IN 2014, THE HOSPITAL IMPLEMENTED ADVISORY COUNCILS WITH THE ADJACENT COUNTIES TO DUBOIS COUNTY, INDIANA, AND MANAGEMENT COLLABORATES AND OBTAINS ONGOING FEEDBACK FOR NEEDED ASSISTANCE WITH THESE COUNCILS. THE COUNCIL'S PARTICIPANTS INCLUDE ECONOMIC DEVELOPMENT DIRECTORS, COUNTY HEALTH NURSE, CHAMBER OF COMMERCE LEADERS, EDUCATORS, EXECUTIVES, PASTORS, EMS, SHERIFFS, BUSINESS OWNERS, AND OTHER HEALTH CARE ORGANIZATION LEADERS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:APPROPRIATE SIGNAGE IS VISIBLE IN THE HOSPITAL AND ALL HOSPITAL-OWNED FACILITIES, SPECIFICALLY IN PATIENT ACCESS AREAS, CREATING AWARENESS FOR THE FINANCIAL ASSISTANCE PROGRAM AND THE FINANCIAL ASSISTANCE THAT IS AVAILABLE. THE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY (COLLECTIVELY THE "FAP PACKET") ARE AVAILABLE FOR DOWNLOAD AT THE HOSPITAL'S WEBSITE PROVIDED IN SCH H, PART V. THE FAP PACKET CAN BE OBTAINED FREE OF CHARGE FROM THE HOSPITAL'S MAIN REGISTRATION DESK, THE REGISTRATION AREA OF THE EMERGENCY ROOM, OR THE CASHIER/FINANCIAL COUNSELOR'S OFFICE. REQUESTS FOR THE FAP PACKET CAN BE MADE VIA EMAILING FINANCIALASSISTANCE@MHHCC.ORG OR BY CALLING 812-996-0413. PART VI, LINE 4: DESCRIPTION OF COMMUNITY:AS A REGIONAL HEALTH CENTER, THE STAFF PROVIDES A COMPREHENSIVE RANGE OF MEDICAL CARE FOR RESIDENTS OF DUBOIS AND SURROUNDING COUNTIES WITH A POPULATION OF APPROXIMATELY 168,000 WITH AVERAGE HOUSEHOLDS RANGING BETWEEN 5,000 TO 16,200 FOR THE COUNTIES. THE UNEMPLOYMENT RATE HAS BEEN BETWEEN 3.1 AND 4.4 AND PERSONAL PER CAPITAL INCOME RANGES BETWEEN $36,000 AND $51,000. THE POVERTY RATE RANGES FROM 7.6 TO 11.1. MORE THAN 80% OF THE ADULTS HAVE HIGH SCHOOL DIPLOMAS AND OVER 10% HAVE BACHELOR'S DEGREES. IN DUBOIS COUNTY THE PERCENT IS HIGHER WITH 18.7% OF ADULTS AGED 25 AND OLDER HAVING BACHELOR'S DEGREAS OR MORE EDUCATION. LESS THAN 7% OF THE POPULATION IS REPORTED AS HISPANIC. PART VI, LINE 5: OTHER COMMUNITY HEALTH PROMOTION:THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE BY PROMOTING HEALTH OF THE COMMUNITY THROUGH THE FOLLOWING: THE MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. ANY SURPLUS FUNDS ARE APPLIED DIRECTLY OR INDIRECTLY TO IMPROVE PATIENT CARE SERVICES. ALSO, THE ORGANIZATION OPERATES UNDER THE PREMISE OF AN OPEN MEDICAL STAFF WITH REGARD TO QUALIFIED PHYSICIANS IN THE 9 COUNTY COMMUNITY IT SERVES, HOWEVER IT DOES NOT ACTIVELY PURSUE THOSE PHYSICIANS WHO HAVE NOT APPROACHED THE ORGANIZATION REGARDING THESE PRIVILEGES. PART VI, LINE 7, REPORTS FILED WITH STATES IN 1 MEMORIAL HOSPITAL FOUNDATION 800 WEST NINTH STREET JASPER IN 47546 351359445 501C3 14456 0 PERINATAL GRANT 1 A HOSPITAL AUTHORITY OF THE CITY OF JASPER 351692946 2021-04-06 63470000 SEE PART VI 0 0 0 A 1685000 63470000 42859717 598033 20012250 2022 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 PART I, COLUMN (F), DESCRIPTION OF PURPOSE: A PORTION OF THE PROCEEDS OF THE SERIES 2021 BONDS WERE USED FOR THE PURPOSE OF REFUNDING A PORTION OF THE SERIES 2013 BONDS. IN ADDITION, THE REMAINING PORTION OF THE SERIES 2021 BONDS, AS OF JUNE 30, 2021, WERE USED FOR THE PURPOSE OF FINANCING A PORTION OF THE COSTS OF CONSTRUCTION, EQUIPPING, AND RENOVATION AND IMPROVEMENT OF CERTAIN FACILITIES OF THE CORPORATION. BRENDA STALLINGS SEE PART V 882276 SEE PART V 0 SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: BRENDA STALLINGS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE HOSPITAL: BRENDA STALLINGS, MEMORIAL HOSPITAL BOARD MEMBER, IS THE PRESIDENT OF MATRIX INTEGRATION.(D) DESCRIPTION OF TRANSACTION: MATRIX INTEGRATION PROVIDES PROFESSIONAL INFORMATION TECHNOLOGY (IT) SERVICES TO MEMORIAL HOSPITAL. THE HOSPITAL PAID $882,276 FOR SERVICES TO MATRIX INTEGRATION IN THE CURRENT YEAR. FORM 990, PART VI, SECTION A, LINE 4 THE FOLLOWING UPDATES WERE MADE TO THE ORGANIZATION'S BYLAWS DURING THE YEAR: -THE SOLE CORPORATE MEMBER IS DEACONESS HEALTH SYSTEM; -THE MATTERS REQUIRING APPROVAL BY DEACONESS HEALTH SYSTEM (SEE PART VI LINE 7B NARRATIVE); -THE BOARD MAY CONSIST OF BETWEEN SEVEN AND TWENTY-ONE DIRECTORS, ONE OF WHOM SHALL BE THE PRESIDENT OF THE MEDICAL STAFF, ONE OF WHOM SHALL BE THE CAO OF THE CORPORATION (EACH OF WHOM SHALL SERVE EX OFFICIO, WITH VOTE), AND THREE (3) OF WHOM SHALL BE APPOINTED BY THE MEMBER (THE "MEMBER DIRECTORS"), ONE OF WHOM SHALL BE THE MEMBER CEO; FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS DEACONESS HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS APPOINTED TO THE BOARD ARE SUBJECT TO THE APPROVAL OF THE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B EACH OF THE FOLLOWING MATTERS SHALL REQUIRE THE SPECIFIC APPROVAL OF THE MEMBER, WHICH MAY BE EXERCISED UPON THE MEMBER'S INITIATIVE (EITHER BY ACTION OF THE BOARD OF DIRECTORS OF THE MEMBER OR VIA APPROVED MANAGEMENT AUTHORITY (E.G., VIA AUTHORITY SET FORTH IN THE DIVISION CHARTER, SUBJECT TO APPLICABLE PARAMETERS)) OR BY APPROVAL OF A RECOMMENDATION FROM THE BOARD OF THE CORPORATION: (A) ADOPTION BY THE CORPORATION OF ANNUAL OR LONG-TERM STRATEGIC PLANS, BUSINESS PLANS, CAPITAL BUDGETS AND OPERATING BUDGETS AND, THEREAFTER, ANY ACTION WHICH WILL RESULT IN A SUBSTANTIAL CHANGE IN ANY SUCH PLAN OR BUDGET OR IN THE EXPENDITURES OR REVENUE FORECAST IN ANY SUCH PLAN OR BUDGETS IN EXCESS OF THE APPLICABLE PARAMETERS; (B) ANY CREATION OR SUBSTANTIVE AMENDMENT OF A CONTRACT, LEASE OR OTHER AGREEMENT TO WHICH THE CORPORATION IS A PARTY WHICH INVOLVES AN OBLIGATION, OR A POTENTIAL OBLIGATION, ON THE PART OF THE CORPORATION IN EXCESS OF THE APPLICABLE PARAMETERS; INVOLVES A STRATEGIC AFFILIATION BY THE CORPORATION WITH ONE OR MORE OTHER ENTITIES; OR RELATES TO THE PURCHASE OF INSURANCE OR RELATED ISSUES INVOLVING A MATERIAL CHANGE IN INSURANCE LIMITS, DEDUCTIBLES, COINSURANCE OR OTHER ISSUES INVOLVING THE NATURE OF ANY TYPE OF INSURANCE OR THE CORPORATION'S PROGRAM OF INSURANCE IN EACH CASE EXCEPT WITH RESPECT TO TRANSACTIONS CONSISTENT WITH APPROVED BUDGETS OR APPLICABLE POLICIES; (C) ANY PURCHASE, LEASE AS LESSEE, OR OTHER ACQUISITION BY THE CORPORATION OF ANY BUSINESS, ASSET OR ASSETS AT AN AGGREGATE PRICE IN EXCESS OF THE APPLICABLE PARAMETERS, IN EACH CASE EXCEPT WITH RESPECT TO TRANSACTIONS CONSISTENT WITH APPROVED BUDGETS OR APPLICABLE POLICIES; (D) ANY SALE, LEASE AS LESSOR, EXCHANGE, GIFT, MORTGAGE, ENCUMBRANCE, OPTION OR OTHER DISPOSITION BY THE CORPORATION OF: ANY REAL PROPERTY OR INTEREST THEREIN WITH A VALUE IN EXCESS OF THE APPLICABLE PARAMETERS; OR ANY OTHER ASSET WITH A VALUE IN EXCESS OF THE APPLICABLE PARAMETERS, EXCEPT WITH RESPECT TO TRANSACTIONS CONSISTENT WITH APPROVED BUDGETS OR APPLICABLE POLICIES; (E) ANY RELEASE OR CANCELLATION BY THE CORPORATION OF A CLAIM OR RIGHT OF ACTION AGAINST ANOTHER PA1IY IN AN. AMOUNT, OR ANY SETTLEMENT OF LITIGATION, ARBITRATION OR OTHER PROCEEDINGS, IN EXCESS OF THE APPLICABLE PARAMETERS; (F) ANY PLAN OF CONSTRUCTION OR REMODELING INVOLVING AN EXPENDITURE BY THE CORPORATION IN EXCESS OF THE APPLICABLE PARAMETERS; (G) ANY BORROWING BY THE CORPORATION IN EXCESS OF THE APPLICABLE PARAMETERS; (H) ANY LOAN MADE BY THE CORPORATION TO ANOTHER PARTY THAT WOULD CAUSE THE AGGREGATE OF ALL LOANS MADE BY SUCH ENTITY AND ITS SUBSIDIARIES THEN OUTSTANDING TO EXCEED THE APPLICABLE PARAMETERS; (I) ADOPTION BY THE CORPORATION OF ANY INVESTMENT POLICIES, AND ANY MAKING, RETENTION OR DISPOSITION OF AN INVESTMENT BY THE CORPORATION INCONSISTENT WITH SUCH POLICIES; J) ANY SELECTION, REMOVAL, OR CHANGE IN THE COMPENSATION OR OTHER TERMS OF EMPLOYMENT OF THE CAO OR THE OFFICERS OF THE CORPORATION (WITH COMPENSATION FOR INDIVIDUALS SERVING IN EXECUTIVE ROLES FOR THE CORPORATION AT ALL TIMES BEING SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS OF THE MEMBER); (K) ANY SUBSTANTIAL CHANGE IN THE EMPLOYEE FRINGE BENEFITS OR PERSONNEL POLICIES OF THE CORPORATION; (I) ANY GENERAL PLAN FOR THE SOLICITATION BY THE CORPORATION OF CHARITABLE CONTRIBUTIONS, OR THE SOLICITATION OR ACCEPTANCE AS A GIFT BY THE CORPORATION OF ANY REAL PROPERTY OR ANY INTEREST THEREIN, EXCEPT FOR ROUTINE FUNDRAISING ACTIVITIES CONTEMPLATED BY A FUNDRAISING PROGRAM PREVIOUSLY APPROVED BY THE MEMBER; (M) ANY REPORT OR APPLICATION TO A PUBLIC OR QUASI-PUBLIC AGENCY OR THIRD PARTY PAYER BY THE CORPORATION; (N) ANY AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION, BYLAWS, OR OTHER ORGANIZATIONAL DOCUMENTS OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION (SUBJECT TO THE RESTRICTIONS CONTAINED IN ARTICLE XII HEREOF). (O) ANY MERGER, REORGANIZATION, CONSOLIDATION, CHANGE OF CONTROL, OR DISSOLUTION INVOLVING THE CORPORATION, OR ANY ACTION RELATED TO BANKRUPTCY OR INSOLVENCY INVOLVING THE CORPORATION; (P) ANY AGREEMENT TO INDEMNIFY A PERSON OR PERSONS BY THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; (Q) ANY TRANSACTION BY THE CORPORATION INVOLVING A DUALITY OF INTEREST; (R) ANY ACTION OR INACTION BY THE CORPORATION AT VARIANCE WITH THE POLICIES OF THE MEMBER; (S) ANY AGREEMENTS OR AFFILIATIONS INVOLVING THE CORPORATION AND ANY OTHER HOSPITALS OR HEALTH CARE SYSTEMS INVOLVING FINANCIAL COMMITMENTS IN EXCESS OF THE APPLICABLE PARAMETERS; (T) FORMATION OF ANY NEW ENTITY BY THE CORPORATION INVOLVING FINANCIAL COMMITMENTS IN EXCESS OF THE APPLICABLE PARAMETERS; (U) ANY ACQUISITION OF EQUITY OR MEMBERSHIP INTEREST BY THE CORPORATION IN ANOTHER ENTITY INVOLVING FINANCIAL COMMITMENTS IN EXCESS OF THE APPLICABLE PARAMETERS; (V) ANY ISSUANCE OF EQUITY OR MEMBERSHIP INTEREST BY THE CORPORATION WITH A VALUE IN EXCESS OF THE APPLICABLE PARAMETERS; (W) THE CORPORATION ENTERING A NEW LINE OF BUSINESS, OR CEASING OR MATERIALLY ALTERING ANY EXISTING LINE OF BUSINESS, IN EACH CASE INVOLVING A FINANCIAL IMPACT OR COMMITMENT IN EXCESS OF THE APPLICABLE PARAMETERS; (X) HIRING OR CHANGING OUTSIDE FINANCIAL AUDITORS BY THE CORPORATION; (Y) CREATING COMMITTEES OF THE GOVERNING BOARD OF THE CORPORATION OR CHANGING THE PURPOSES, AUTHORITY, SIZE OR COMPOSITION OF ANY EXISTING COMMITTEES; (Z) GUARANTEEING ANY OBLIGATIONS OF ANY OTHER PERSON OR ENTITY BY THE CORPORATION INVOLVING POTENTIAL FINANCIAL OBLIGATIONS IN EXCESS OF THE APPLICABLE PARAMETERS; (AA) ADOPTION OF ANY CHANGES TO THE CHARITY CARE POLICY OF THE CORPORATION EXCEPT TO THE EXTENT CONSISTENT WITH POLICIES PREVIOUSLY APPROVED BY THE MEMBER; (BB) ANY OTHER MATTERS INVOLVING THE CORPORATION AS MAY BE REQUIRED BY LAW TO BE SUBMITTED TO THE MEMBER OR AS TO WHICH THE GOVERNING BOARD OF THE CORPORATION DETERMINES BY RESOLUTION THAT SUBMISSION IS ADVISABLE; AND (CC) SUCH OTHER MATERIAI MATTERS RELATED TO THE CORPORATION AS MAY BE DETERMINED APPROPRIATE FROM TIME TO TIME BY RESOLUTION OF THE BOARD OF THE MEMBER OR BY INCLUSION IN THE CHARTER OF AN OPERATING DIVISION COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS FOR REVIEWING THE FORM 990 INCLUDES A REVIEW BY THE DIRECTOR OF FINANCE AND CHIEF FINANCIAL OFFICER. A COPY OF THE FORM 990 IS MADE AVAILABLE FOR THE BOARD OF DIRECTORS FOR REVIEW UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD CHAIRPERSON EVALUATES SITUATIONS WHERE POSSIBLE CONFLICTS MAY EXIST, BOARD MEMBERS ARE INFORMED OF ANY POTENTIAL CONFLICT OF INTEREST PRIOR TO DISCUSSIONS TAKE PLACE AT THE BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE COMPENSATION FOR ORGANIZATION'S OFFICERS IS CONDUCTED BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE, COMPOSED OF THE BOARD'S EXECUTIVE COMMITTEE EXCLUDING THE CEO, REVIEWS EXTERNAL SURVEY INFORMATION PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT, AND VOTES ON ANY COMPENSATION AND BENEFIT CHANGES FOR THE CEO AND APPROVES THE SAME FOR OTHER MEMBERS OF ADMINISTRATIVE STAFF. THESE ACTIONS ARE DOCUMENTED IN MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 10,060,445. MANAGEMENT AND GENERAL EXPENSES 867,100. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,927,545. FORM 990, PART XI, LINE 9: OTHER CHANGE IN NET ASSETS 91,521. PART XI, LINE 2C, OVERSIGHT OF THE AUDIT: THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS; NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR. THE AUDITORS ARE SELECTED BY THE COUNCIL MEMBERS OF THE AMERICAN PROVIDENCE OF LITTLE COMPANY OF MARY SISTERS. 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