Morris Hospital

“Part I, Line 1/Part III, Line 1 Briefly describe the organizations mission or most significant activities: Morris Hospital & Healthcare centers exist to provide healthcare in a general short term hospital and delivering primary healthcare services in the outpatient setting. Part III, Line 4 Describe the organizations program service accomplishments: The mission of Morris Hospital & Healthcare Centers is to improve the health of area residents. This is the focal point that steers strategy and decision making and gives meaning and focus to staff as they go about their daily work. As long as our actions and activities are focused on improving the health of area residents, we know that we are doing whats right for our community. We carry out our mission every day by serving the hundreds of patients who walk through our doors for inpatient care, outpatient testing, emergency care, surgery and rehabilitation services. There are so many other ways we carry out our mission daily beyond traditional hospital services, including our free patient transportation service, free exercise classes for seniors, financial assistance program, education and training for pre-hospital providers, student mentoring experiences, student career exploration, free health screenings and education programs. Theres also the behind-the-scenes support that we provide for community social service agencies, including preparing daily meals for clients of Mobile Meals, providing clean linens and meals for the local PADS, meals for St. Vincent Table, and monetary support for the Will-Grundy Medical Clinic and We Care of Grundy County. Delivering quality patient care remains the highest priority at Morris Hospital & Healthcare Centers, as event by a number of significant accomplishments in 2016 including making the full conversion to electronic medication reconciliation and electronic discharge instructions. Additionally, a year-long comprehensive unit based safety program concluded on 2 South that resulted in increased reporting of errors and a decline in C. diff infections. 400 employees took the annual Patient Safety Culture Survey, which provides excellent feedback on employees perception of safety throughout the organization. Morris Hospitals commitment to quality and service is further evident in the creation of a Patient and Family Advisory Council that facilitate open relationships between patients, family members and the healthcare team while identifying opportunities for improvement. Morris Hospital also achieved a milestone for soaring above the 90th percentile for the first time for outpatient services combined on the patient satisfaction surveys. As further evidence of Morris Hospitals commitment to safety, it became one of 72 hospitals in the nation to receive its 10th consecutive A grade for patient safety from Leapfrog Group. Meanwhile, the Morris Hospital Cardiac Rehabilitation program was re-certified by the American Association of Cardiovascular and Pulmonary Rehabilitation. Indisputably, the greatest quality achievement in 2016 was the launch of a daily safety huddle in April 2016. Every day at 10 a.m., the entire management team gathers along with representatives from infection prevention and security to report on any potential safety events that have occurred in the past 24 hours, as well as any potential safety issues anticipated in the coming 24 hours. Morris Hospital continued to expand services in 2016. Two additional physician offices were added in Ottawa to accommodate Morris Hospitals expanding services in this community which now include ob/gyn, cardiologist, pediatrics, and family medicine. Dr. Mike Cichon, a general practitioner in Dwight, completed an affiliation agreement that merged his practice with Morris Hospital & Healthcare Centers, and an addition was completed on the Morris OB/GYN Specialists office resulting in four additional exam rooms to accommodate the growing practice. Eight new physicians joined the medical staff in 20”

“Form 990, part vi, section a, line 8a minutes and agenda of the full board of morris hospital are maintained. The full board meets every month. Meeting dates applicable to 2016 are as follows: 01/25/2016 02/22/2016 03/28/2016 04/25/2016 05/23/2016 06/27/2016 07/25/2016 08/22/2016 09/26/2016 10/24/2016 11/28/2016 12/12/2016”

“Form 990, part vi, line 8b minutes and agenda of the following committees of morris hospital have been and are maintained. Finance committee meetings: 01/25/2016 02/22/2016 03/22/2016 04/25/2016 05/23/2016 06/21/2016 07/25/2016 08/16/2016 09/19/2016 10/24/2016 11/28/2016 12/20/2016 executive committee meeting: 04/19/2016 long range planning committee meetings: 02/23/2016 03/29/2016 04/26/2016 05/24/2016 06/28/2016 07/26/2016 08/23/2016 09/27/2016 10/25/2016 11/29/2016 pi/quality committee meetings: 02/15/2016 04/18/2016 06/13/2016 07/18/2016 08/15/2016 09/19/2016 10/17/2016 11/14/2016 12/12/2016 recruiting/retention committee meetings: 01/07/2016 03/28/2016 04/25/2016 05/23/2016 06/27/2016 07/25/2016 08/22/2016 09/26/2016 10/24/2016 nominating committee meetings: 05/05/2016 06/07/2016 08/02/2016 09/21/2016 physician compensation committee: 06/02/2016 06/13/2016 06/29/2016 07/14/2016 07/28/2016 08/11/2016 09/29/2016 11/18/2016”

“Form 990, part vi, section b, line 11b a draft of the 990, as prepared by bdo usa, llp, was reviewed by members of the finance committee along with the cfo and accounting manager of morris hospital. A joint special board meeting of the morris hospital, morris hospital foundation and morris hospital auxiliary boards was held to provide a formal presentation of the final 990's of each respective organization prior to the filing.”

“Form 990, part vi, section b, line 12b directors, officers, members of the board, key agents, and key employees are required to complete a statement which requires the following: (1) disclose for in the prior two years, any products or services that he/she may have provided personally to morris hospital and healthcare centers or any of its affiliates other than in his/her capacity as a director, committee member, officer, or other senior management position. (2) disclose for in the prior two years, any direct or indirect ownership interest that he/she may have in any company with which morris hospital and healthcare centers or any of its affiliates conducts business, including the purchase or sale of products and services (except ownership of less than 1% interest in a publicly traded company). (3) disclose for in the prior two years, whether he/she may have served as a board member, employee, consultant or in any other capacity to a business or company that provides products or services to morris hospital and healthcare centers or any of its affiliates. (4) disclose for in the prior two years, whether he/she has been involved in any legal or administrative proceeding, real estate or other business transaction, including the purchase of goods or services, involving morris hospital and healthcare centers or any of its affiliates either personally or through a company in which he/she has a direct or indirect ownership or for which he/she has served as a board member, employee, consultant or in any other capacity. (5) disclose for in the prior two years, whether he/she has served as a board member, employee, consultant or in any other capacity with respect to a business or company that provides servicces in competition with morris hospital and healthcare centers or any of its affiliates. Competition meaning providing a product or service which is the same as (materially similiar to) a product or service provided by morris hospital and healthcare centers or any of its affiliates same geographic area, or to patients in the same geograhpic area. (6) disclose for in the prior two years, whether he/she has had any employment, appointment or other relationship with a government entity having regulatory authority over a morris hospital and healthcare centers or any of its affiliates. (7) disclose for in the prior two years, whether to the best of his/her knowledge, any member of his/her immediate family have personally, or company with which that individual had an ownership, employment, consulting or board relationship, provided goods or services to, or otherwise conducted a business relationship with morris hospital and healthcare centers or any of its affiliates. (8) disclose for in the prior year, whether he/she has had any member of his/her immediate family employed by morris hospital and healthcare centers or any of its affiliates. (immediate family members would include spouse, ancestors, children, grandchildren, great-grand children, siblings (whether by whole or half-blood), and the spouses of children, grandchildren, great-grand children and siblings). (9) disclose for in the prior two years, whether he/she has been aware of any other events, transactions, arrangements or other situations that have occurred or that may occur in the future, including pending or contemplated transactions or arrangements, that could be perceived as a conflict or duality of interest or that believe should be examined by morris hopsital and healthcare center's board of directors in accordance with the terms and intent of the morris hospital and healthcare center's conflicts and dualities of interest policy.”

“Form 990, part vi, section b, line 12c periodic reviews are made that at a minimum include: (1) whether compensation arrangements and benefits are reasonable and are the result of arm's length bargaining (2) whether acquisitions of physician practices and other provider services result in inurement or impermissable private benefit (3) whether partnership and joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payments for goods and services, further the corporation's charitable purposes and do not result in inurement or impermissible private benefit (4) whether agreements to provide healthcare and agreements with other health care providers, employees and third party payors further corporation's charitable purposes and do not result in inurement or impermissible private benefit”

“Form 990, part vi, section b, line 15a & 15b the hospital has a compensation committee which meets several times per year that with the assistance of internal sources (human resources) and external advisors: assesses and evaluates the appropriateness of the compensation and benefits of upper management which includes ceo, cfo and other top management officials which includes key employees.”

“Form 990, part vi, section c, line 19 the documents are made available upon request.”

“Form 990, part xi, line 9 change in fair value of interest swap agreements: $145,604 net assets released from restriction: $386,753 total: $532,357”