MEMORIAL HEALTH SYSTEM: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: MEMORIAL HEALTH SYSTEM (EIN 37-1110690)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-14
IRS object ID: 201922269349301797
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-14T13:58:52-05:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	155 N WACKER DR	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	371110690	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MEMO	BusinessNameControlTxt
Phone	2177883198	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 NORTH FIRST STREET	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	627810001	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KATHRYN J KEIM	PersonNm
Person Title	SR VICE PRESIDENT & CFO	PersonTitleTxt
Phone	2177883830	PhoneNum
Signature	2019-08-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JESSICA A WAGENER	PreparerPersonNm
PTIN	P01622613	PTIN
Phone	3128792000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	170.27.135.13	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-08-14	IPDt
IP Tm	13:58:41	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	44E302E50A64F3E11F2F8B68A2E404E980E67C35	AtSubmissionCreationDeviceId
At Submission Filing Device Id	44E302E50A64F3E11F2F8B68A2E404E980E67C35	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	EDGAR J CURTIS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 NORTH FIRST STREET	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	627810001	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$364,786,034	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	5670	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MHSIL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1981	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	367	TotalEmployeeCnt
Total Volunteers	16	TotalVolunteersCnt
Total Gross UBI	$270,109	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$68,040,351	PYProgramServiceRevenueAmt
CY Program Service Revenue	$68,637,006	CYProgramServiceRevenueAmt
PY Investment Income	$2,617,926	PYInvestmentIncomeAmt
CY Investment Income	$5,495,443	CYInvestmentIncomeAmt
PY Other Revenue	$71,183	PYOtherRevenueAmt
CY Other Revenue	$822,792	CYOtherRevenueAmt
PY Total Revenue	$70,729,460	PYTotalRevenueAmt
CY Total Revenue	$74,955,241	CYTotalRevenueAmt
PY Grants And Similar Paid	$645,549	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$779,888	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$38,900,823	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$35,765,855	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$32,675,633	PYOtherExpensesAmt
CY Other Expenses	$34,169,705	CYOtherExpensesAmt
PY Total Expenses	$72,222,005	PYTotalExpensesAmt
CY Total Expenses	$70,715,448	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,492,545	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,239,793	CYRevenuesLessExpensesAmt
Total Assets BOY	$579,077,720	TotalAssetsBOYAmt
Total Assets EOY	$529,554,123	TotalAssetsEOYAmt
Total Liabilities BOY	$461,289,839	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$405,770,758	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$117,787,881	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$123,783,365	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$31,597,751	ExpenseAmt
Revenue	$1,594,968	RevenueAmt
Desc	INFORMATION TECHNOLOGYMEMORIAL HEALTH SYSTEM (MHS) CONTINUES TO IMPLEMENT LEADING EDGE TECHNOLOGY SOLUTIONS TO AUGMENT PATIENT SAFETY, QUALITY AND CLINICAL EFFECTIVENESS AND TO IMPROVE MHS'S BUSINESS PROCESSES. MHS'S STAFF OF EXPERIENCED INFORMATION TECHNOLOGY PROFESSIONALS IS ON THE CUTTING EDGE OF MEDICAL AND BUSINESS TECHNOLOGY. THEY SUPPORT A VAST ARRAY OF PATIENT CARE TECHNOLOGY AND BUSINESS APPLICATIONS. DURING FY2018, SIGNIFICANT INFORMATION TECHNOLOGY PROJECTS INCLUDED: ENHANCED INTEROPERABILITY THROUGH PATIENT INFORMATION EXCHANGE WITH OUR 2 LARGEST PARTNERED PHYSICIAN GROUPS FOR SEAMLESS FLOW OF PATIENT INFORMATION TO ADVANCE CARE AND IMPROVE EFFICIENCY; IMPLEMENTED IMPROVED DISASTER RECOVERY FOR OUR AFFILIATE LOCATIONS IN JACKSONVILLE, LINCOLN, AND TAYLORVILLE, ILLINOIS; INTRODUCED THE MEMORIAL APP, A CUSTOM-BUILT PATIENT APPLICATION THAT PROVIDES A WIDE ARRAY OF SELF-SERVICE OPTIONS FOR OUR PATIENTS IN THE AMBULATORY SETTING; EXPANDED UPON OUR USE OF CLOUD TECHNOLOGY TO REDUCE COSTS AND OPTIMIZE FTE ALLOCATION; AND INCREASED OUR NETWORK BANDWIDTH TO OUR AFFILIATE SITES TO PROVIDE BETTER RESPONSE TIME AND ACCOMMODATE FUTURE GROWTH.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$9,960,080	ExpenseAmt
Revenue	$7,153,579	RevenueAmt
Desc	BUILDING AND FACILITY EXPANSION AND IMPROVEMENTSMHS'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. SAFE, FUNCTIONAL FACILITIES ARE THE FOUNDATION OF THE HEALTHCARE SERVICES WE PROVIDE. CLINICAL PROJECTS THAT BEGAN IN FY 2018:-LOWER LEVEL C BUILDING PHARMACY - CREATE NEW CLEAN ROOM WORKPLACE TO COMPLY WITH NEW REGULATORY STANDARDS AND ADDED NEW MANUFACTURING SPACE WITH NEW BOX PICKER AND PILL PICKER ROBOTS.-NEW CATH LABS AND INTERVENTIONAL RADIOLOGY LAB - UPGRADE EQUIPMENT FOR TWO CATH LABS AND ONE IR LAB.-BAYLIS 4TH FLOOR RENOVATION - RENOVATIONS FOR MEMORIAL MEDICAL CENTER (MMC) VASCULAR SERVICES AND SOUTHERN ILLINOIS UNIVERSITY VASCULAR CLINIC.OTHER PROJECTS COMPLETED FOR THE MEDICAL CENTER INCLUDE:-FLOOR 2E ONCOLOGY - RENOVATION OF EXISTING ONCOLOGY UNIT TO INCLUDE LARGER PATIENT ROOMS .-BUILDING D WINDOW REPLACEMENT - REPLACEMENT OF WINDOWS WITH IMPROVED THERMAL BREAK.-FLOOR 4C INPATIENT (IP) RENOVATIONS - UPGRADED SPACE FOR IP PHYSICAL THERAPY/OCCUPATIONAL THERAPY SERVICES.-OPERATING ROOMS (OR) 2, 4, 18 RENOVATIONS - FINISH UPGRADES (ALL ORS); NEW LIGHTS (OR 2) AND CLEANSWEEP WITH INTEGRATION SYSTEM (OR 18).-COMPUTERIZED TOMOGRAPHY (CT) REPLACEMENT ROOM - MECHANICAL UPGRADES FOR NEW CT SCANNER.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,471,914	ExpenseAmt
Revenue	$56,359,655	RevenueAmt
Desc	SENIOR LEADERSHIPGUIDED BY THE VALUES OF MHS, SENIOR LEADERSHIP IS RESPONSIBLE FOR STRATEGIC PLANNING, PRIORITIZING AMONG COMPETING ISSUES AND ENGAGING IN DIALOGUE AND DECISION-MAKING THAT WILL ENABLE MHS TO ACHIEVE ITS MISSION (TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE), ITS VISION (TO BE A NATIONAL LEADER FOR EXCELLENCE IN PATIENT CARE) AND ITS STRATEGIC GOALS (TO ACHIEVE GREAT PATIENT OUTCOMES, BE A GREAT PLACE TO WORK, BE A GREAT PARTNER FOR PHYSICIANS, PROVIDE A GREAT REGIONAL PRESENCE AND DEMONSTRATE GREAT FINANCIAL STEWARDSHIP). IN FY18, MHS SENIOR LEADERSHIP REVIEWED AND CONFIRMED THE ORGANIZATION'S STRATEGIC PLAN, 5 YEAR GOALS AND MEASURES OF SUCCESS TO REFLECT EMERGING PRIORITIES RELATED TO HEALTH REFORM, QUALITY IMPROVEMENT, POPULATION HEALTH, CARE COORDINATION AND THE RESULTS OF OUR COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. IN ADDITION, THE LEADERSHIP TEAM EXECUTED THE HEALTH SYSTEM STRATEGIC AND FISCAL YEAR ACTION PLANS AND REPORTED RESULTS TO ITS BOARD. IN 2018 MMC, THE HEALTH SYSTEM'S FLAGSHIP HOSPITAL, RECEIVED THE 2018 AMERICAN HOSPITAL ASSOCIATION'S NOVA AWARD, ALONG WITH HSHS ST. JOHN'S HOSPITAL IN RECOGNITION OF THEIR WORK WITH SIU MEDICINE ON THE ENOS PARK ACCESS TO CARE COLLABORATIVE. THE NOVA AWARD RECOGNIZES HOSPITALS THAT COLLABORATE WITH OTHER COMMUNITY ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH STATUS BY LOOKING BEYOND PHYSICAL AILMENTS TO ADDRESS ECONOMIC AND SOCIAL BARRIERS TO CARE. THE ACCESS TO CARE PROGRAM IS A RESULT OF THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY MEMORIAL AND ST. JOHN'S HOSPITAL IN 2015. THE PROGRAM PLACED COMMUNITY HEALTH WORKERS WITHIN A NEIGHBORHOOD WITH SIGNIFICANT RISK FACTORS FOR SOCIAL DETERMINANTS OF HEALTH. DURING ITS FIRST THREE YEARS THE PROGRAM HAS ENROLLED 422 CLIENTS, INCREASED ACCESS TO PHYSICIANS, MENTAL HEALTH CARE, AND DENTAL CARE. UNNECESSARY USE OF THE EMERGENCY DEPARTMENT DECREASED. ADDITIONALLY, THE PROGRAM HAS INCREASED ACCESS TO FOOD AND NUTRITION, EMPLOYMENT, IMPROVED HOUSING, AND TRANSPORTATION. THE NEIGHBORHOOD HAS EXPERIENCED DECREASES IN CRIME, HOMELESSNESS AND PAROLEE RECIDIVISM. TO FURTHER ACCELERATE ADVANCEMENTS IN QUALITY, PATIENT SAFETY AND CLINICAL INNOVATION IN FY18, MHS AND THE MIDWEST HEALTH QUALITY ALLIANCE (MHQA) HOSTED ITS FOURTH ANNUAL FUNDAMENTALLY HUMAN PATIENT SAFETY AND SIMULATION SYMPOSIUM AT THE MEMORIAL CENTER FOR LEARNING AND INNOVATION. THE EVENT FOCUSED ON CURRENT WORK IN DIAGNOSTIC ERROR AND THE BURDEN OF HARM, WITH A SPECIFIC FOCUS ON THE COMMON CAUSES AND TARGETS FOR ERROR REDUCTIONS, THE POTENTIAL FOR SYSTEMS-BASED SOLUTIONS THAT CAPITALIZE ON TEAMWORK; TRAINING, TECHNOLOGY AND TUNING TO HELP PREVENT DIAGNOSTIC ERRORS. ADDITIONALLY, THERE WAS EXTENSIVE LEARNING AROUND IMPLEMENTING ENHANCED RECOVERY AFTER SURGERY PROTOCOLS, WHICH INCORPORATE PRE-SURGERY HYDRATION AND CARB LOADING; APPROPRIATE PRE-OP PATIENT EDUCATION ON EXPECTATIONS FOR PAIN AND DISCOMFORT; AND REDUCTION OF OPIOIDS.THE LEAN SIX SIGMA (LSS) PROCESS IMPROVEMENT PROGRAM GREW THIS YEAR SURPASSING 1/3 OF THE TOTAL STAFF CERTIFIED AS BLACK, GREEN AND WHITE BELTS, 25% GROWTH IN THE NUMBER LSS PROJECTS COMPLETED AND AN AVERAGE OF 35% IMPROVEMENT IN OUTCOMES. IN ADDITION TO IMPROVEMENTS IN QUALITY AND PATIENT SAFETY, THESE LSS PROJECTS REDUCED EXPENSES RELATED TO "REWORK AND "WASTE" BY $10.6 MILLION.IN THE AREA OF LEADERSHIP DEVELOPMENT AND LEARNING, MHS HAS WAS RECOGNIZED BY THE NATIONAL CENTER FOR HEALTHCARE LEADERSHIP (NCHL) AS ONE OF NATION'S TOP 10 BEST ORGANIZATIONS FOR LEADERSHIP DEVELOPMENT. THE BOLD AWARD RECOGNIZES HEALTH SYSTEMS THAT ARE LEADING THE FIELD IN PREPARING LEADERS FOR BETTER HEALTH OUTCOMES FOR ALL. THANKS TO THE GENEROUS SPONSORSHIP OF CIELO HEALTHCARE, HEALTH SYSTEMS WERE ABLE TO PARTICIPATE IN THE PROGRAM THIS YEAR AT NO COST. BOLD AWARDEES SCORED HIGHLY ON A COMPREHENSIVE SURVEY OF EVIDENCE-BASED LEADERSHIP DEVELOPMENT PRACTICES. 'TOP RANKING' AWARDEES RECOGNIZES HEALTH SYSTEMS THAT ARE LEADING THE FIELD IN PREPARING LEADERS FOR BETTER HEALTH OUTCOMES FOR ALL. BOLD AWARDEES SCORED HIGHLY ON A COMPREHENSIVE SURVEY OF EVIDENCE-BASED LEADERSHIP DEVELOPMENT PRACTICES. 'TOP RANKING' AWARDEES WERE THE ORGANIZATIONS SCORING HIGHEST OVERALL; 'PROGRAM OF DISTINCTION' AWARDEES RECOGNIZE ADDITIONAL HEALTH SYSTEMS FOR SCORING AMONG THE HIGHEST IN ONE OR MORE SURVEY DIMENSIONS. DURING FY2018, MHS'S FOUR HOSPITALS COMPLETED THE THIRD YEAR OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGIES TO ADDRESS PRIORITIES IDENTIFIED IN EACH HOSPITAL'S 2015 NEEDS ASSESSMENTS. ALL FOUR HOSPITALS HAD SELECTED MENTAL HEALTH AND OBESITY AS FINAL PRIORITIES. TWO SYSTEM-WIDE INITIATIVES TOOK PLACE TO ADDRESS THESE ISSUES. MENTAL HEALTH FIRST AID WAS IMPLEMENTED THROUGH ALL FOUR HOSPITALS IN THE COMMUNITIES THEY SERVE. MEMORIAL COVERED COSTS FOR TRAINING 29 CERTIFIED TRAINERS. IN FY17 AND FY18, THESE TRAINERS REACHED A TOTAL OF 1,438 COMMUNITY MEMBERS WITH EDUCATION TO IMPROVE MENTAL HEALTH LITERACY, EARLY IDENTIFICATION OF MENTAL HEALTH ISSUES, PEER INTERVENTION, AND REFERRAL OF COMMUNITY MEMBERS TO AVAILABLE RESOURCES. TO ADDRESS THE PRIORITY OF OBESITY, THE MEMORIAL WEIGHT LOSS AND WELLNESS CENTER EXPANDED ITS SERVICE OUTREACH. THIS PROGRAM PROVIDES A COMPREHENSIVE, MULTIDISCIPLINARY APPROACH TO SUPPORT INDIVIDUALS ON A PATH OF WELLNESS. THE CENTER OFFERS SURGICAL AND MEDICAL (NON-SURGICAL) WEIGHT LOSS SERVICES, DIABETES EDUCATION, THE CENTER FOR HEALTHY FAMILIES, SURGICAL OPTIMIZATION AND OUTPATIENT NUTRITION THERAPY TO INDIVIDUALS OF ALL AGES. IN FY18, THE CENTER HELD AN AVERAGE CENSUS OF 599 MEDICAL WEIGHT LOSS PATIENTS (NON-SURGICAL), COMPLETED 301 BARIATRIC SURGERIES, PROVIDED DIABETES EDUCATION TO 271 PATIENTS, AND PROVIDED FAMILY-BASED WELLNESS SERVICES TO 37 KIDS, TEENS AND THEIR FAMILIES. SERVICES ARE OFFERED IN SPRINGFIELD, JACKSONVILLE, LINCOLN, TAYLORVILLE (DIABETES SERVICES), DECATUR AND BLOOMINGTON. MMC'S ADDRESSED ITS ACCESS TO CARE PRIORITY THROUGH THE ENOS PARK ACCESS TO CARE PROGRAM, CONTINUING TO FUND COMMUNITY HEALTH WORKERS (CHWS) IN AN AT-RISK NEIGHBORHOOD, IN COLLABORATION WITH HSHS ST. JOHN'S HOSPITAL AND SIU MEDICINE. SINCE THE PROGRAM BEGAN, CHWS HAVE SERVED 422 INDIVIDUALS, WHO RECEIVED 1,604 PRIMARY CARE APPOINTMENTS, 236 SPECIALTY APPOINTMENTS, 525 MENTAL HEALTH APPOINTMENTS AND 159 DENTAL APPOINTMENTS. CHWS PROVIDED 6,354 TRANSPORTATIONS FOR CLIENTS. SIGNIFICANT COLLABORATIONS WERE BUILT WITH LOCAL SERVICE PROVIDERS AND THE POLICE DEPARTMENT. MMC'S MENTAL HEALTH PRIORITY WAS ADDRESSED THROUGH FINANCIAL SUPPORT OF MEMORIAL BEHAVIORAL HEALTH'S (MBH) MOSAIC PROGRAM, WHICH SOCIAL EMOTIONAL SCREENINGS AND BEHAVIORAL HEALTH APPOINTMENTS IN THE SCHOOL SETTING; 218 CHILDREN RECEIVED MENTAL HEALTH SERVICES IN THE 2017-2018 SCHOOL YEAR. TO ADDRESS OBESITY, MMC'S WEIGHT LOSS AND WELLNESS CENTER'S DIABETES SERVICES PARTNERED WITH THE SPRINGFIELD YMCA TO ATTAIN A CDC-RECOGNIZED DIABETES PREVENTION PROGRAM THROUGH THE PROCESS IDENTIFIED BY THE AMERICAN ASSOCIATION OF DIABETES EDUCATORS. THIS CERTIFICATION WAS ACHIEVED IN FY18. PASSAVANT AREA HOSPITAL (PAH) ADDRESSED ITS ACCESS TO CARE PRIORITY BY COLLABORATING WITH SIU MEDICINE TO SUPPORT A NEW FEDERALLY QUALIFIED HEALTH CENTER IN MORGAN COUNTY, WHICH SERVED 2,217 PATIENTS IN FY18. PAH ALSO PROVIDED FINANCIAL SUPPORT FOR MORGAN COUNTY HEALTH DEPARTMENT'S SEXUALLY TRANSMITTED DISEASE CLINIC, WHICH COULD NOT OPERATE WITHOUT THIS SUPPORT. THE PROGRAM SERVED 217 CLIENTS IN FY18. TO ADDRESS OBESITY, THE HOSPITAL SUPPORTS TWO WALKING FOR WELLNESS PROGRAMS IN THE COMMUNITY, WHICH HAD MORE THAN 10,000 INSTANCES OF PARTICIPATION, A 22% INCREASE IN PARTICIPATION IN FY18. TAYLORVILLE MEMORIAL HOSPITAL (TMH) IS COLLABORATING WITH THE CHRISTIAN COUNTY YMCA TO IMPLEMENT THE CDC'S NATIONAL DIABETES PREVENTION PROGRAM. THE PROGRAM'S DEVELOPMENT PLAN WAS APPROVED AND STARTED IN FY18. TMH ALSO BEGAN WORK TO IMPLEMENT CATCH (COORDINATED APPROACH TO CHILD HEALTH), AN EVIDENCE-BASED PROGRAM TO PREVENT CHILDHOOD OBESITY. THEY IDENTIFIED A PILOT SCHOOL TO LAUNCH THE PROGRAM IN THE FALL OF 2018. TMH IS ADDRESSING MENTAL HEALTH THROUGH SENIOR LIFE SOLUTIONS, WHICH PROVIDES GROUP MENTAL HEALTH THERAPY AND INDIVIDUALIZED PATIENT CARE PLANS FOR STRUGGLING SENIORS. THE PROGRAM REDUCES ANXIETY AND DEPRESSION AS WELL AS USE OF THE HOSPITAL EMERGENCY DEPARTMENT. ACCESS TO CARE WAS ADDRESSED BY COLLABORATING WITH SIU MEDICINE TO BEGIN A NEW FEDERALLY QUALIFIED HEALTH CENTER IN TAYLORVILLE, AND ACCESS TO PEDIATRIC DENTAL SERVICES WAS PROVIDED TO 15 CHILDREN THROUGH COLLABORATION WITH MILES OF SMILES, THE SCHOOL DISTRICT, HEAD START, A DENTAL GROUP, AND FUNDING FROM THE TMH FOUNDATION. ABRAHAM LINCOLN MEMORIAL HOSPITAL'S (ALMH) OBESITY PRIORITY WAS ADDRESSED THROUGH EXPANSION OF THE CATCH PROGRAM, WHICH ADDED AN ADDITIONAL ELEMENTARY SCHOOL, AFTER-SCHOOL PROGRAM AND THREE DAYCARES TO EXISTING SITES.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$4,489,617	ExpenseAmt
Grant	$779,888	GrantAmt
Revenue	$3,528,804	RevenueAmt
Desc	OTHER REVENUE INCLUDES PARTNERSHIP INCOME AND MISCELLANEOUS INCOME FOR MHS AND MEMORIAL HEALTH PARTNERS (MHP). MHP IS A DISREGARDED ENTITY OWNED 100% BY MHS. FOR FY2018, MHS RECORDED A LOSS IN MIDWEST HEALTHCARE QUALITY ALLIANCE, LLC (MHQA) AND LLHIE. A GAIN WAS RECORDED IN MID-AMERICA SERVICE SOLUTION AND BJC COLLABORATIVE. MHS ALSO HAD CARE COORDINATION PAYMENTS FOR MHP, AND A CHARGEBACK FOR STAFF TIME TO LINCOLN LAND HEALTH INFORMATION EXCHANGE, LLC IN WHICH MHS IS A 27.27% OWNER.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$4,489,617	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$779,888	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$3,528,804	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$51,519,362	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	37	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	367	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KATHRYN J KEIM SENIOR VP & CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2177883830	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 NORTH FIRST STREET	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	627810001	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOSEPH HURWITZ
BOARD MEMBER (FROM JAN 18)	0.70	0.70	Yes (X)	$0	$0	$0
RICHARD LEVI
BOARD MEMBER (THRU DEC 17)	0.70	0.70	Yes (X)	$0	$0	$0
NINA HARRIS
BOARD MEMBER	0.70	0.70	Yes (X)	$0	$0	$0
MICHAEL AIELLO
BOARD MEMBER (FROM JAN 18)	0.70	0.00	Yes (X)	$0	$0	$0
SERGIO PECORI
BOARD MEMBER (THRU DEC 17)	0.70	0.70	Yes (X)	$0	$0	$0
WILLIAM PUTMAN MD
BOARD MEMBER	0.70	0.00	Yes (X)	$0	$0	$0
MICHAEL NEUMEISTER MD
BOARD MEMBER	0.70	0.00	Yes (X)	$0	$0	$0
REGINALD BENTON
BOARD MEMBER	0.70	1.40	Yes (X)	$0	$0	$0
GINNY FANNING
BOARD MEMBER	0.70	1.40	Yes (X)	$0	$0	$0
JERRY KRUSE MD MSPH
BOARD MEMBER	0.70	0.00	Yes (X)	$0	$0	$0
SUSAN KOCH EDD
BOARD MEMBER	0.70	0.70	Yes (X)	$0	$0	$0
JOHN BLACKBURN
BOARD MEMBER	0.70	0.70	Yes (X)	$0	$0	$0
TODD WISE
BOARD MEMBER(THRUDEC17)/2NDVCHR	0.70	0.70	Yes (X)	$0	$0	$0	Yes (X)
DEAN ROBERT JR
2NDVCHR(THRUDEC17)/1STVCHR	0.70	0.70	Yes (X)	$0	$0	$0	Yes (X)
DALE BECKER
TREASURER	0.70	0.70	Yes (X)	$0	$0	$0	Yes (X)
RANDALL GERMERAAD
CHAIR(THRUDEC17)/BRDMEM	0.70	0.70	Yes (X)	$0	$0	$0	Yes (X)
DIANE RUTLEDGE PHD
1STVCHAIR(THRUDEC17)/CHAIR	0.70	0.70	Yes (X)	$0	$0	$0	Yes (X)
GEOFFREY ISRINGHAUSEN
SECRETARY	0.70	0.70	Yes (X)	$0	$0	$0	Yes (X)
EDGAR CURTIS EX-OFFICIO
PRESIDENT & CEO	25.00	25.00	Yes (X)	$1,276,987	$0	$309,395	Yes (X)
ROBERT KAY
SVP & CFO & ASST TREASURER	25.00	25.00		$635,808	$0	$228,839	Yes (X)
MITCHELL JOHNSON
SVP & CHIEF STRTGY OFFCR(THRUDEC17)	25.00	25.00		$511,017	$0	$123,219		Yes (X)
DAVID GRAHAM MD
SVP & CIO	25.00	25.00		$578,304	$0	$169,485		Yes (X)
ROBERT SCOTT
VP & CHRO	25.00	25.00		$371,234	$0	$69,426		Yes (X)
KEVIN ENGLAND
VPBUSDEV(THRUSEP17)/SVPBUSDEV	25.00	25.00		$332,583	$0	$181,598		Yes (X)
ANNA EVANS JD
GEN COUNSEL/VP INT AUDIT & COMPL	25.00	25.00		$440,199	$0	$137,801		Yes (X)
CHARLES CALLAHAN PHD
EVP & COO	25.00	25.00		$0	$706,687	$193,426		Yes (X)
SCOTT KIRIAKOS
SVP CLINICAL INTEGRATION (THRUDEC17)	25.00	25.00		$0	$501,652	$129,496		Yes (X)
RAJESH GOVINDAIAH MD
SVP & CMO	25.00	25.00		$604,745	$0	$86,664			Yes (X)
AIMEE ALLBRITTON PHD
VP & CLO	25.00	25.00		$388,380	$0	$70,012			Yes (X)
KIMBERLY BOURNE
PRESIDENT TMH & CEO TMH	0.00	50.00		$319,258	$0	$75,988			Yes (X)
J TRAVIS DOWELL
PRESIDENT MPS & VP MPS	0.00	50.00		$333,532	$0	$72,631			Yes (X)
DOLAN DALPOAS
PRESIDENT ALMH & CEO ALMH	0.00	50.00		$390,420	$0	$53,720			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,182,467	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,208,339	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,901,700	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	52	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
LEVI RAY & SHOUP INC
2401 W MONROE ST	SPRINGFIELD	IL	62704	IT CONSULTING SERVICES	$3,590,266
SPRINGFIELD CLINIC
PO BOX 19248	SPRINGFIELD	IL	62794	IT SERVICES	$1,561,165
BURWOOD GROUP INC
8582 SOLUTIONS CTR	CHICAGO	IL	60677	IT CONSULTING SERVICES	$1,443,264
MICROSOFT LICENSING GP INC
1950 N STEMMONS FWY STE 5010 LB842	DALLAS	TX	75207	ENTERPRISE SERVER SERVICES	$1,436,091
INFOR (US) INC
NW 7418 PO BOX 1450	MINNEAPOLIS	MN	55485	IT CONSULTING SERVICES	$722,096

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	36	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MANAGEMENT FEES	900099	$56,359,655	$56,139,829	$219,826
PROGRAM RELATED RENT	900099	$7,153,579	$7,153,579
IT REIMBURSED EXPENSES	900099	$1,594,968	$1,594,968
RELATED PSHIP INCOME	900099	-$326,180	-$326,180

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,854,984	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,854,984	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$68,637,006	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$917,773	TotalRevenueColumnAmt
Exclusion	$917,773	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$13,653,019	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$15,230,901	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,577,882	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,577,882	TotalRevenueColumnAmt
Exclusion	-$1,577,882	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$278,067,533	SecuritiesAmt
Other	$1,110,029	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$272,888,246	SecuritiesAmt
Other	$1,711,646	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,179,287	SecuritiesAmt
Other	-$601,617	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,577,670	TotalRevenueColumnAmt
Exclusion	$4,577,670	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	BILLING SERVICE	Desc
Business	561000	BusinessCd
Total Revenue Column	$2,400,030	TotalRevenueColumnAmt
Unrelated Business Revenue	$49,639	UnrelatedBusinessRevenueAmt
Exclusion	$2,350,391	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$644	TotalRevenueColumnAmt
Unrelated Business Revenue	$644	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,400,674	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$74,955,241	TotalRevenueColumnAmt
Related Or Exempt Func Income	$68,417,180	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$270,109	UnrelatedBusinessRevenueAmt
Exclusion	$6,267,952	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$736,076	TotalAmt
Program Services	$736,076	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$43,812	TotalAmt
Program Services	$43,812	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,471,914	TotalAmt
Program Services	$5,471,914	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$66,193	TotalAmt
Program Services	$66,193	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$23,727,109	TotalAmt
Program Services	$16,230,280	ProgramServicesAmt
Management And General	$7,496,829	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,818,430	TotalAmt
Program Services	$1,243,878	ProgramServicesAmt
Management And General	$574,552	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,731,175	TotalAmt
Program Services	$1,721,242	ProgramServicesAmt
Management And General	$1,009,933	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,951,034	TotalAmt
Program Services	$1,143,613	ProgramServicesAmt
Management And General	$807,421	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$934,942	TotalAmt
Management And General	$934,942	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$542,004	TotalAmt
Management And General	$542,004	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$128,250	TotalAmt
Management And General	$128,250	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$143,697	TotalAmt
Management And General	$143,697	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,658,812	TotalAmt
Program Services	$995,050	ProgramServicesAmt
Management And General	$2,663,762	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,627,877	TotalAmt
Management And General	$1,627,877	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,946,395	TotalAmt
Program Services	$1,521,455	ProgramServicesAmt
Management And General	$2,424,940	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,352,816	TotalAmt
Program Services	$9,274,532	ProgramServicesAmt
Management And General	$78,284	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,208,928	TotalAmt
Program Services	$2,843,384	ProgramServicesAmt
Management And General	$365,544	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$127,782	TotalAmt
Program Services	$54,263	ProgramServicesAmt
Management And General	$73,519	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$32,634	TotalAmt
Program Services	$17,208	ProgramServicesAmt
Management And General	$15,426	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$967,821	TotalAmt
Program Services	$967,821	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,041,885	TotalAmt
Program Services	$8,946,312	ProgramServicesAmt
Management And General	$95,573	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$174,516	TotalAmt
Management And General	$174,516	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
REPAIRS & MAINTENANCE	$217,804	$215,702	$2,102
FOOD & DIETARY	$39,392	$5,973	$33,419
MINOR PROJECT COSTS	$20,641	$20,641
RECRUITMENT	$3,496		$3,496

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13	TotalAmt
Program Services	$13	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$70,715,448	TotalAmt
Program Services	$51,519,362	ProgramServicesAmt
Management And General	$19,196,086	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,682,388	BOYAmt
EOY	$10,356,484	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,841,409	BOYAmt
EOY	$4,272,532	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,204,763	BOYAmt
EOY	$5,454,597	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$349,486,701	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$152,156,913	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$205,269,166	BOYAmt
EOY	$197,329,788	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$48,068,652	BOYAmt
EOY	$21,885,274	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,856,490	BOYAmt
EOY	$796,489	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$305,154,852	BOYAmt
EOY	$289,458,959	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$579,077,720	BOYAmt
EOY	$529,554,123	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,504,985	BOYAmt
EOY	$14,043,816	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$766,522	BOYAmt
EOY	$1,854,219	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$302,506,000	BOYAmt
EOY	$295,209,002	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$89,684,752	BOYAmt
EOY	$59,582,059	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$55,827,580	BOYAmt
EOY	$35,081,662	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$461,289,839	BOYAmt
EOY	$405,770,758	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$117,787,881	BOYAmt
EOY	$123,783,365	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$117,787,881	BOYAmt
EOY	$123,783,365	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$579,077,720	BOYAmt
EOY	$529,554,123	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,239,793	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,740,396	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$4,496,087	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Supported Organizations	11	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (11 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
MEMORIAL MEDICAL CENTER
370661220	3	0	$46,738,152	$0
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
370661230	3	0	$2,115,406	$0
ABRAHAM LINCOLN MEMORIAL HOSPITAL
370723793	3	0	$1,299,999	$0
TAYLORVILLE MEMORIAL HOSPITAL
370661250	3	0	$1,219,759	$0
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
370646367	7	0	$684,334	$0
SPRINGFIELD RESIDENTIAL SERVICES
371298589	7	0	$0	$0
ABRAHAM LINCOLN HEALTHCARE FOUNDATION
363492268	7	0	$0	$0
MEMORIAL MEDICAL CENTER FOUNDATION
371110301	7	0	$0	$0
MEMORIAL HOME SERVICES
370714225	7	0	$844,566	$0
MEMORIAL PHYSICIAN SERVICES
371181194	10	0	$3,418,223	$0
MEMORIAL HEALTH VENTURES
363492266	10	0	$39,216	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	11	SupportedOrganizationsTotalCnt
Support Sum	$56,359,655	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	0	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	0	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	0	SupportedOrgSectionC456Ind
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	0	OrganizationChangeSuprtOrgInd
Support Non Supported Org	Yes (1)	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Field	Value	IRS element (for citing)
Majority Dir Trst Supported Org	0	MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SECTION A, LINE 1	MEMORIAL HEALTH SYSTEM (37-1110690) AFFILIATES ARE DESIGNATED BY THE CLASS AND PURPOSE INDICATED IN SCHEDULE R, PART II. EACH SUPPORTED ORGANIZATION IS A SECTION 501(C)(3) PUBLIC CHARITY DESCRIBED IN INTERNAL REVENUE CODE SECTION 509(A)(1) OR SECTION 509(A)(2). THE SUPPORTED ORGANIZATIONS ARE NOT LISTED BY NAME IN MEMORIAL HEALTH SYSTEM'S GOVERNING DOCUMENTS; HOWEVER, FOR ALL SUPPORTED AFFILIATES, WITH THE EXCEPTION OF SPRINGFIELD RESIDENTIAL SERVICES, THE CORPORATE MEMBER IS DESCRIBED IN THE SUPPORTED ORGANIZATIONS GOVERNING DOCUMENTS AS HAVING CERTAIN RESERVED POWERS. FOR SPRINGFIELD RESIDENTIAL SERVICES, IT IS JUST A HISTORICAL RELATIONSHIP WITH MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS.
SECTION A, LINE 6	DURING FY2018, MEMORIAL HEALTH SYSTEM PROVIDED GRANTS OR ALLOCATIONS TO OTHER ORGANIZATIONS AND COMMUNITY GROUPS ON BEHALF OF ITS SUPPORTED ORGANIZATIONS. THE PURPOSE OF THESE GRANTS WAS TO FURTHER THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE SUPPORTED ORGANIZATIONS AND TO PROMOTE AND SUPPORT THE INTERESTS AND PURPOSES OF THOSE SUPPORTED ORGANIZATIONS SPECIFIED IN MEMORIAL HEALTH SYSTEM'S ORGANIZING DOCUMENTS.
SECTION C, LINE 1	MEMORIAL HEALTH SYSTEM IS THE PARENT AND SOLE CORPORATE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS. IN ITS CAPACITY AS THE SOLE CORPORATE MEMBER, MEMORIAL HEALTH SYSTEM PROVIDES OVERALL DIRECTION, MANAGEMENT AND CONTROL OVER ITS SUPPORTED ORGANIZATIONS. MEMORIAL HEALTH SYSTEM ALSO HAS CERTAIN RESERVED POWERS. FOR EXAMPLE, ALL CAPITAL AND OPERATING BUDGETS MUST BE APPROVED BY MEMORIAL HEALTH SYSTEM.

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$128,250	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$128,250	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	MEMORIAL HEALTH SYSTEM ENGAGES LOBBYISTS TO ASSIST IT IN SECURING FEDERAL GRANTS AND MONITORING STATE REGULATIONS IN SUPPORT OF FURTHERING THE MEMORIAL HEALTH SYSTEM MISSION WHICH IS "TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE". THIS INCLUDES ASSISTING MEMORIAL HEALTH SYSTEM IN DEVELOPING PRESENTATIONS TO THE ILLINOIS CONGRESSIONAL DELEGATION, REQUESTING APPROPRIATIONS FOR PRIORITY PROJECTS INVOLVING LOCAL PATIENT SAFETY, QUALITY IMPROVEMENT AND IMPROVED LOCAL ACCESS TO MEDICAL CARE. THE LOBBYISTS ALSO ASSIST MEMORIAL IN COMMUNICATING THE IMPORTANCE OF ADEQUATE MEDICAID FUNDING IN SUPPORT OF THE SUBSTANTIAL SERVICES MEMORIAL'S AFFILIATES PROVIDE TO THOSE IN POVERTY AND IN MONITORING LEGISLATIVE AND REGULATORY DEVELOPMENTS THAT WOULD AFFECT MEMORIAL HEALTH SYSTEM'S ABILITY TO CONTINUE DELIVERING ITS SUBSTANTIAL COMMUNITY BENEFIT.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$3,002,004	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$20,590,052	OtherCostOrOtherBasisAmt
Book Value	$23,592,056	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$165,661,005	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$69,986,645	OtherCostOrOtherBasisAmt
Depreciation	$88,284,873	DepreciationAmt
Book Value	$147,362,777	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$6,913,161	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$66,239,829	OtherCostOrOtherBasisAmt
Depreciation	$61,752,207	DepreciationAmt
Book Value	$11,400,783	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$1,078,665	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$16,015,340	OtherCostOrOtherBasisAmt
Depreciation	$2,119,833	DepreciationAmt
Book Value	$14,974,172	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$197,329,788	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
UNAMORTIZED BOND DISCOUNTS AND ISSUE COSTS	$576,000
DUE FROM AFFILIATES	$802,556
LIFE INSURANCE - VARIOUS AGREEMENTS	$3,576,287
ENVISION PLUS POLICY ASSET	$30,588
INTERCOMPANY DEBT FROM RELATED ENTITIES	$283,625,923
NOTES RECEIVABLES FROM AFFILIATES FOR SALE OF AR	$847,605

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$289,458,959	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION	$8,961,620
WORKERS' COMPENSATION	$345,216
RESERVE FOR POST EMPLOYMENT BENEFITS	$3,871,730
DUE TO AFFILIATES	$137,094
SWAP LIABILITY	$696,972
RESTORATION PLAN	$2,770,825
CONTRIBUTION PAYABLE	$250,000
CURRENT PORTION BENEFITS	$877,985
NOTES PAYABLE TO AFFILIATES FOR SALE OF AR	$400,220
QLICI LOANS	$16,770,000

Field	Value	IRS element (for citing)
Total Liability	$35,081,662	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE AUTHORITATIVE GUIDANCE IN ASC 740, INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDANCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. EACH OF MEMORIAL HEALTH SYSTEM'S SUBSIDIARIES, EXCLUDING THOSE DESCRIBED IN THE FOLLOWING PARAGRAPH, IS A SEPARATELY INCORPORATED NOT-FOR-PROFIT CORPORATION AS DESCRIBED UNDER SECTION 501(C)(3) OF THE CODE AND IS TAX-EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THEY DO, HOWEVER, OPERATE CERTAIN PROGRAMS THAT MAY RESULT IN UNRELATED BUSINESS INCOME. UPON REVIEW AS REQUIRED BY ASC 740, NO TAX PROVISION WAS RECORDED FOR THE YEARS ENDED SEPTEMBER 30, 2018 OR 2017. MEMORIAL HEALTH SYSTEM IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2014. MHS QALICB, LLC (QALICB), MCDEKK, LLC (MCDEKK), AND MEMORIAL HEALTH PARTNERS (MHP) ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES AND ARE EXEMPT FROM INCOME TAX. MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS (MHSCI) IS A TAXABLE FOR-PROFIT CORPORATION AND PASSAVANT PHYSICIAN ASSOCIATION (PPA) IS A TAXABLE NOT-FOR-PROFIT CORPORATION. BOTH ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES.	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
UNITED WAY OF CENTRAL ILLINOIS INC
1999 WEST WABASH AVENUE SUITE 107	SPRINGFIELD	IL	62704	370716060	501(C)(3)	$203,247	SUPPORT FOR UNITED WAY COMMUNITY FUND.
GREATER SPRINGFIELD CHAMBER OF COMMERCE
1011 S SECOND STREET	SPRINGFIELD	IL	62704	370710280	501(C)(6)	$98,000	SEE PART IVPARTICIPATE IN A PUBLIC AND PRIVATE ECONOMIC GROWTH PARTNERSHIP LED BY THE CHAMBER OF COMMERCE.
CONTACT MINISTRIES
1100 E ADAMS	SPRINGFIELD	IL	62703	371072627	501(C)(3)	$5,000	SEE PART IV PROVIDE SUPPORT FOR HOMELESS SHELTER, FOOD, CLOTHING, LIFE SKILLS EDUCATION, AND FINANCIAL ASSISTANCE FOR THE GREATER SPRINGFIELD COMMUNITY.
BOYS & GIRLS CLUBS OF CENTRAL ILLINOIS
300 S 15TH ST	SPRINGFIELD	IL	62703	370752849	501(C)(3)	$50,000	SEE PART IV PROVIDE SUPPORT TO INSPIRE AND ENABLE ALL YOUNG PEOPLE TO REACH THEIR FULL POTENTIAL AS PRODUCTIVE, CARING, AND RESPONSIBLE CITIZENS.
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
710 N 8TH ST	SPRINGFIELD	IL	62702	370646367	501(C)(3)	$137,980	SEE PART IVPROVIDE SUPPORT FOR MEMORIAL BEHAVIORAL HEALTH'S CHILDREN'S MOSAIC PROGRAM, WHICH INCREASES ACCESS TO MENTAL HEALTH SERVICES FOR CHILDREN AND FAMILIES. IN ADDITION, TO PROVIDE SUPPORT FOR INITIATION OF A MENTAL HEALTH FIRST AID PROJECT IN SANGAMON, LOGAN, MORGAN AND CHRISTIAN COUNTIES. THIS PROGRAM IS HELPING ALL FOUR MHS HOSPITALS ADDRESS MENTAL HEALTH, WHICH WAS A PRIORITY IDENTIFIED BY EACH HOSPITAL'S 2015 COMMUNITY HEALTH NEEDS ASSESSMENT.
MERCY COMMUNITIES INC
1344 N 5TH STREET	SPRINGFIELD	IL	62702	371383599	501(C)(3)	$10,000	SEE PART IVPROVIDE ASSISTANCE TO HOMELESS YOUNG WOMEN AND THEIR CHILDREN TO ACHIEVE STABILITY IN THEIR LIVES.
SPARC
232 BRUNS LANE	SPRINGFIELD	IL	62702	370717761	501(C)(3)	$14,500	SEE PART IVPROVIDE SUPPORT TO HELP INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES IMPROVE THE QUALITY OF THEIR LIVES.
SIU SCHOOL OF MEDICINE
PO BOX 19666	SPRINGFIELD	IL	62794	376005961	501(C)(3)	$109,349	SEE PART IVDONATION TO PROVIDE SUPPORT FOR THE ENOS PARK ACCESS TO CARE COLLABORATIVE, A PROGRAM THAT IS ADDRESSING ACCESS TO CARE, A PRIORITY IDENTIFIED BY MMC'S 2015 COMMUNITY HEALTH NEEDS ASSESSMENT. ADDITIONAL DONATION MADE FOR FURNISHING AND SUPPLIES FOR ACADEMIC RESOURCE CENTER. ADDITIONAL DONATION WAS MADE FOR CHARITY 5K RACE WHERE PROCEEDS OF RACE WENT TO MERCY COMMUNITIES.
GIRLS ON THE RUN OF CENTRAL ILLINOIS
907 CLOCKTOWER DRIVE	SPRINGFIELD	IL	62704	271822009	501(C)(3)	$7,500	SEE PART IVPROVIDE SUPPORT FOR POSITIVE YOUTH DEVELOPMENT FOR GIRLS, 3RD-8TH GRADE. LIFE SKILLS ARE TAUGHT THROUGH DYNAMIC INTERACTIVE LESSONS AND RUNNING GAMES. THE GOAL OF THE PROGRAM IS TO UNLEASH CONFIDENCE THROUGH ACCOMPLISHMENT WHILE ESTABLISHING A LIFETIME APPRECIATION OF HEALTH AND FITNESS.
CENTRAL IL FOOD BANK
1937 E COOK STREET	SPRINGFIELD	IL	62703	371106465	501(C)(3)	$5,000	SEE PART IVDONATION TO PROVIDE SUPPORT FOR CENTRAL ILLINOIS FOODBANK'S MISSION TO DISTRIBUTE FOOD AND GROCERY ITEMS TO OTHER CHARITABLE ORGANIZATIONS, AND TO WORK WITH ORGANIZATIONS TO DEVELOP CREATIVE SOLUTIONS TO END HUNGER IN 21 COUNTIES IN CENTRAL AND SOUTHERN ILLINOIS.
ILLINOIS STATE DENTAL
1010 SOUTH SECOND STREET	SPRINGFIELD	IL	62704	237244932	501(C)(3)	$25,000	SEE PART IVPROVIDE SUPPORT FOR FREE DENTAL CARE TO THE UNINSURED AND UNDERINSURED.
KIDZEUM
412 E ADAMS STREET	SPRINGFIELD	IL	62701	371320003	501(C)(3)	$50,000	SEE PART IVPROVIDE SUPPORT FOR THE KIDZEUM HEALTH AND SCIENCE MUSEUM WHICH HAS A VERY STRONG HEALTH EDUCATION COMPONENT FOR CHILDREN.
ONE SANGAMON SCHOOLS
PO BOX 20285	SPRINGFIELD	IL	62708			$10,000	SEE PART IVPROVIDE SUPPORT FOR BALLOT INITIATIVE TO SUPPORT SANGAMON COUNTY SALES TAX INCREASE FOR SCHOOL DISTRICT CAPITAL IMPROVEMENT PLANS.

Field	Value	IRS element (for citing)
Total501c3 Org	11	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
EDUCATION GRANT	9	$27,226
EDUCATION TUITION REIMBURSEMENT	11	$16,586

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	MHS PROVIDES GRANTS PRIMARILY TO LOCALLY MANAGED 501(C)(3) ORGANIZATIONS THAT SUPPORT OR SHARE THE MISSION OF MHS. REQUESTS TO SUPPORT INITIATIVES IN LINE WITH MHS'S COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES RECEIVE SPECIAL CONSIDERATION. SENIOR LEADERSHIP MUST APPROVE ALL GRANTS. MHS EMPLOYEES ARE VOLUNTEER BOARD MEMBERS OR PARTICIPATE AS VOLUNTEERS FOR SOME OF THE ORGANIZATIONS THAT MHS ASSISTS. WHEN AN ORGANIZATION IS GIVEN A DONATION, IT EITHER AGREES TO RESTRICT THE DONATION TO THE PURPOSE FOR WHICH IT WAS REQUESTED OR IT RECEIVES A LETTER DIRECTING THAT DONATION MAY BE USED ONLY FOR THE APPROVED GRANT'S PURPOSE. ADDITIONALLY, EMPLOYEES FREQUENTLY ATTEND MANY OF THE SPONSORED EVENTS OR MHS RECEIVES ACKNOWLEDGEMENT FROM THE ORGANIZATION ABOUT THE PROGRAM THAT WAS SUPPORTED BY THE GRANT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
EDGAR CURTIS EX-OFFICIO
PRESIDENT & CEO	$832,114	$0	$367,500	$0	$77,373	$0	$290,238	$0	$19,157	$0	$1,586,382	$0	$0	$0
ROBERT KAY
SVP & CFO & ASST TREASURER	$454,858	$0	$162,021	$0	$18,929	$0	$207,925	$0	$20,914	$0	$864,647	$0	$0	$0
MITCHELL JOHNSON
SVP & CHIEF STRTGY OFFCR(THRUDEC17)	$294,959	$0	$105,786	$0	$110,272	$0	$104,662	$0	$18,557	$0	$634,236	$0	$33,070	$0
DAVID GRAHAM MD
SVP & CIO	$408,145	$0	$144,817	$0	$25,342	$0	$152,989	$0	$16,496	$0	$747,789	$0	$0	$0
ROBERT SCOTT
VP & CHRO	$278,708	$0	$70,593	$0	$21,933	$0	$44,123	$0	$25,303	$0	$440,660	$0	$0	$0
KEVIN ENGLAND
VPBUSDEV(THRUSEP17)/SVPBUSDEV	$227,066	$0	$76,088	$0	$29,429	$0	$153,803	$0	$27,795	$0	$514,181	$0	$0	$0
ANNA EVANS JD
GEN COUNSEL/VP INT AUDIT & COMPL	$344,893	$0	$88,532	$0	$6,774	$0	$109,703	$0	$28,098	$0	$578,000	$0	$0	$0
CHARLES CALLAHAN PHD
EVP & COO	$0	$452,091	$0	$161,739	$0	$92,857	$0	$164,676	$0	$28,750	$0	$900,113	$0	$0
SCOTT KIRIAKOS
SVP CLINICAL INTEGRATION (THRUDEC17)	$0	$334,678	$0	$119,533	$0	$47,441	$0	$111,379	$0	$18,117	$0	$631,148	$0	$0
RAJESH GOVINDAIAH MD
SVP & CMO	$424,137	$0	$151,559	$0	$29,049	$0	$76,488	$0	$10,176	$0	$691,409	$0	$0	$0
AIMEE ALLBRITTON PHD
VP & CLO	$280,102	$0	$71,774	$0	$36,504	$0	$51,953	$0	$18,059	$0	$458,392	$0	$5,291	$0
KIMBERLY BOURNE
PRESIDENT TMH & CEO TMH	$241,281	$0	$61,208	$0	$16,769	$0	$50,856	$0	$25,132	$0	$395,246	$0	$0	$0
J TRAVIS DOWELL
PRESIDENT MPS & VP MPS	$237,164	$0	$60,248	$0	$36,120	$0	$48,090	$0	$24,541	$0	$406,163	$0	$19,796	$0
DOLAN DALPOAS
PRESIDENT ALMH & CEO ALMH	$271,997	$0	$67,999	$0	$50,424	$0	$53,315	$0	$405	$0	$444,140	$0	$20,384	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

COMPENSATION AND BENEFITS RECEIVED BY EDGAR CURTIS, PRESIDENT AND CEO OF MEMORIAL HEALTH SYSTEM, WAS COMPRISED OF THE FOLLOWING COMPONENTS; BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER COMPENSATION, RETIREMENT/DEFERRED COMPENSATION AND OTHER NONTAXABLE BENEFITS. BASE COMPENSATION FOR MR. CURTIS WAS DETERMINED BASED ON THE METHODS DESCRIBED IN PART I, LINE 3 CONDUCTED BY INDEPENDENT COMPENSATION CONSULTANTS. BASE COMPENSATION LEVELS WERE SET BY THE LEADERSHIP COMPENSATION COMMITTEE, A COMMITTEE OF THE MHS BOARD CONSISTING ENTIRELY OF MHS BOARD MEMBERS WHO ARE INDEPENDENT AND WHO ARE FREE OF ANY CONFLICTS OF INTEREST, AROUND THE MIDDLE OF THE MARKET SALARY DATA, AS MEASURED AND PRESENTED TO THE COMMITTEE BY THE INDEPENDENT COMPENSATION CONSULTANT. INCENTIVE COMPENSATION WAS CONTINGENT ON THE ACHIEVEMENT OF SPECIFIC PERFORMANCE METRICS OF MHS, AS REVIEWED AND APPROVED IN ADVANCE BY THE MHS BOARD. RETIREMENT COMPENSATION IN COLUMNS (B)(III) AND (C) IS THE YEAR'S NORMAL INCREASE IN TOTAL REITREMENT BENEFITS PROVIDED TO THE EXECUTIVE FOR HIS ENTIRE TERM OF SERVICE TO THE ORGANIZATION. THE RETIREMENT BENEFITS IN COLUMN (C) ARE UNVESTED, AND WILL BE FORFEITED IF THE EXECUTIVE DOES NOT SATISFY FUTURE SERVICE REQUIREMENTS.

PART I, LINE 4B

ONE OR MORE LISTED INDIVIDUALS PARTICIPATES IN NONQUALIFIED DEFERRED COMPENSATION PLANS MAINTAINED BY MEMORIAL HEALTH SYSTEM. MHS CREDITS ANNUAL CONTRIBUTION AMOUNTS TO THESE PLANS, AND THESE AMOUNTS SERVE TO PROVIDE SUPPLEMENTAL RETIREMENT INCOME TO THESE INDIVIDUALS. ALL CREDITED AMOUNTS ARE REVIEWED AND APPROVED BY A COMMITTEE OF THE MHS BOARD AS PART OF REASONABLE TOTAL COMPENSATION. ALL AMOUNTS CREDITED ARE UNVESTED WHILE THE EXECUTIVE IS REQUIRED TO PROVIDE SUBSTANTIAL FUTURE SERVICES, AND THEN ARE TAXED IN FULL WHEN THE SERVICE PERIOD IS COMPLETED AND THE AMOUNTS BECOME VESTED. ALL AMOUNTS CREDITED TO THESE EXECUTIVES UNDER THESE PLANS ARE INCLUDED IN COLUMN (C) AS UNVESTED, NONTAXABLE DEFERRED COMPENSATION WHEN FIRST CREDITED, AND THEN ARE AGAIN INCLUDED IN COLUMN (B)(III) WHEN THE AMOUNTS BECOME VESTED AND ARE SUBJECT TO TAX. THE FOLLOWING CURRENT OR FORMER OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES RECEIVED DEFERRED COMPENSATION PAYOUTS IN THE CALENDAR YEAR FROM THE ORGANIZATION OR A RELATED ORGANIZATION, MEMORIAL MEDICAL CENTER: AIMEE ALLBRITTON $7,312, DOLAN DALPOAS $28,932, J. TRAVIS DOWELL $24,293, KEVIN ENGLAND, $2,523, MITCH JOHNSON $95,159, AND SCOTT KIRIAKOS $33,517. TO BECOME ENTITLED TO THE BENEFITS PROVIDED, EACH COVERED EMPLOYEE MUST MEET SUBSTANTIAL REQUIREMENTS RELATING TO FURTHER EMPLOYMENT. UNTIL THOSE REQUIREMENTS ARE SATISFIED, IF EVER, THE EMPLOYEE IS NOT ENTITLED TO THESE AMOUNTS. IF THE EMPLOYEE WERE TO HAVE TERMINATED EMPLOYMENT VOLUNTARILY IN THE YEAR TO WHICH THIS RETURN APPLIES AND NOT MET THESE SUBSTANTIAL REQUIREMENTS, THESE SUPPLEMENTAL RETIREMENT BENEFITS WOULD HAVE BEEN FORFEITED. THESE SUPPLEMENTAL RETIREMENT BENEFITS ARE PART OF A RETIREMENT PROGRAM THAT PROVIDES RETIREMENT INCOME FOR ALL YEARS OF SERVICE THAT THE EMPLOYEE PROVIDES TO THE ORGANIZATION. ACCORDINGLY, ANY RETIREMENT BENEFITS SHOULD BE VIEWED AS APPLYING TO THE ENTIRE LENGTH OF THE EMPLOYEE'S SERVICE. THE LEADERSHIP COMPENSATION COMMITTEE OF THE MHS BOARD APPROVES ALL RETIREMENT BENEFITS, TOGETHER WITH ALL OTHER FORMS OF COMPENSATION AND BENEFITS FOR THESE AND OTHER SYSTEM LEADERS, IN A MANNER INTENDED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL INCOME TAX LAW.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ILLINOIS HEALTH FACILITIES AUTHORITY
A	362780046	45200P2U4	2003-12-17	$31,000,000	SEE PART VI	0	0	0
ILLINOIS FINANCE AUTHORITY
B	861091967	45200FJ59	2009-12-22	$147,401,639	SEE PART VI	0	0	0
ILLINOIS FINANCE AUTHORITY
C	861091967	45203HYQ9	2014-01-30	$60,465,495	SEE PART VI	0	0	0
ILLINOIS FINANCE AUTHORITY
D	861091967		2014-05-15	$60,000,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$15,920,000	$31,100,606	$329,438	$110,306	$19,254,302	$11,406,560	2004	Yes (1)	Yes (1)	Yes (1)
B	$5,465,000	$147,556,074	$1,350,000		$146,206,074		2011	0	Yes (1)	Yes (1)
C	$2,195,000	$60,471,350			$60,471,350		2015	0	Yes (1)	Yes (1)
D	$2,435,000	$60,000,000			$60,000,000		2015	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00030	0.00030	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01840	0.01840	Yes (1)
C	0	0		0				Yes (1)
D	0	0		0				Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
US BANCORP PIPER
A	0	0	0	Yes (1)	Yes (1)	Yes (1)	JAFFRAY FINANCIAL	18.800000000000	0	0	0	0	Yes (1)
(no name)
B	0	0	0	Yes (1)	0	0					0	0	Yes (1)
(no name)
C	0	Yes (1)	0	0	0	0					0	0	Yes (1)
(no name)
D	0	Yes (1)	0	0	Yes (1)	0					0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K SUPPLENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	SCHEDULE K PART I, COLUMN (F) CONTINUATIONS: ONE PURPOSE OF THE 2003 ISSUE WAS TO CURRENT REFUND $10,980,000 OF THE 1993 SERIES BONDS ISSUED ON 8/5/93 IN THE AMOUNT OF $21,245,000. PROCEEDS WERE ALSO USED TO PAY ISSUANCE EXPENSES AND TO PURCHASE EQUIPMENT AND SOFTWARE FOR MEMORIAL HEALTH SYSTEM. PROCEEDS WERE ALSO USED FOR CONSTRUCTION AND HEALTHCARE BUILDING IMPROVEMENTS AND TO CONSTRUCT AND EQUIP AN OUTPATIENT PSYCHIATRIC FACILITY. THE PURPOSE OF THE 2009 ISSUE WAS TO PAY ISSUANCE COSTS, CONSTRUCT AND EQUIP A REPLACEMENT HOSPITAL FACILITY FOR ABRAHAM LINCOLN MEMORIAL HOSPITAL, RENOVATE AND REMODEL TAYLORVILLE MEMORIAL HOSPITAL, RENOVATE, REMODEL, AND EQUIP MEMORIAL MEDICAL CENTER, CONSTRUCT A PARKING GARAGE ADJACENT TO MEMORIAL MEDICAL CENTER, CONSTRUCT AND EQUIP A WOUND CARE CENTER, RENOVATE A PAIN CLINIC, CONSTRUCT AND EQUIP A CONSOLIDATED IMAGING SERVICES AREA, PURCHASE VARIOUS PARCELS OF REAL PROPERTY IN SPRINGFIELD, IL AND TAYLORVILLE, IL FOR FUTURE EXPANSION OF EXISTING FACILITIES, CONSTRUCT AND EQUIP A SPACE FOR PHYSICAL THERAPY OWNED BY MEMORIAL MEDICAL CENTER AND LOCATED WITHIN THE NEW YMCA IN SPRINGFIELD, IL, AND ROUTINE CAPITAL EXPENDITURES. THE PURPOSE OF THE 2014A ISSUE WAS (A) TO REPAY TAXABLE DEBT IN THE AMOUNT OF $25,057,493 USED FOR PAYMENT OF THE COST OF ACQUIRING, CONSTRUCTING, RENOVATING, REMODELING AND EQUIPPING HEALTH FACILITIES AT MEMORIAL MEDICAL CENTER, AND (B) FOR PAYING ADDITIONAL COSTS OF THOSE PROJECTS NOT PREVIOUSLY FINANCED WITH THE TAXABLE DEBT. THE PURPOSE OF THE 2014B ISSUE WAS FOR THE PAYMENT OF ACQUIRING, CONSTRUCTING, RENOVATING, REMODELING AND EQUIPPING HEALTH FACILTIES AT MEMORIAL MEDICAL CENTER. THE PURPOSE OF THE 2015 ISSUE WAS TO CURRENT REFUND $22,432,282 OF THE CITY OF JACKSONVILLE ILLINOIS ADJUSTABLE RATE DEMAND INDUSTRIAL REVENUE IMPROVEMENT BONDS, SERIES 2006B. THE PROCEEDS WERE ALSO USED TO PAY ISSUANCE EXPENSES OF THE BOND ISSUANCE. SCHEDULE K PART II, LINE 3: TOTAL PROCEEDS ISSUED AMOUNT IN COLUMNS A, B, & C DOESN'T TIE TO PART I COLUMN (E) DUE TO INVESTMENT EARNINGS INCLUDED IN PART II, LINE 3. SCHEDULE K PART III, LINE 3B & 3D: MEMORIAL HEALTH SYSTEM'S INTERNAL COUNSEL, AS WELL AS EXTERNAL BOND COUNSEL, ROUTINELY REVIEWS MANAGEMENT AND SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATING TO FINANCED PROPERTY . SCHEDULE K PART IV, LINE 1: THE ARBITRAGE REBATE FILING IS ONLY REQUIRED EVERY 5 YEARS, AND NO REBATABLE ARBITRAGE HAS BEEN EARNED FOR ISSUES AT SUCH 5 YEAR ANNIVERSARIES. SCHEDULE K PART IV, LINE 2C: THE REBATE COMPUTATION FOR COLUMN A WAS PERFORMED ON 12/17/2013. THE REBATE COMPUTATION FOR COLUMN B WAS PERFORMED ON 12/22/2014, AND NO REBATABLE ARBITRAGE HAS BEEN EARNED FOR THESE ISSUES AT SUCH 5 YEAR ANNIVERSARIES. SCHEDULE K PART IV, LINE 4B: THE PROVIDER'S FULL NAME FOR COLUMN A IS U.S. BANCORP PIPER JAFFRAY FINANCIAL PRODUCTS INC.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	ILLINOIS FINANCE AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	861091967	BondIssuerEIN
Bond Issued	2015-11-30	BondIssuedDt
Issue Price	$22,778,000	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,554,000	RetiredAmt
Total Proceeds	$22,778,000	TotalProceedsAmt
Refunding Escrow	$22,432,282	RefundingEscrowAmt
Issuance Costs From Proceeds	$345,718	IssuanceCostsFromProceedsAmt
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.02650	PrivateBusUseByOthersPct
Total Private Business Use	0.02650	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LEVI RAY AND SHOUP INC
SEE PART V	$2,462,168	SEE PART V	0
SPRINGFIELD CLINIC LLP
SEE PART V	$873,979	SEE PART V	0
GREATER SPRINGFIELD CHAMBER OF COMMERCE
SEE PART V	$128,065	SEE PART V	0
HENRY HURWITZ
SEE PART V	$66,193	SEE PART V	0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: LEVI, RAY AND SHOUP, INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER IS THE OWNER OF LEVI, RAY AND SHOUP, INC(C) AMOUNT OF TRANSATION $2,462,168.(D) DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH SYSTEM PAID FEES TO LEVI, RAY AND SHOUP, INC. FOR SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2018. RICHARD H. LEVI IS A MEMBER OF MEMORIAL HEALTH SYSTEM'S BOARD OF DIRECTORS AND IS OWNER OF LEVI, RAY AND SHOUP, INC. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED. (E) SHARING OF ORGANIZATION REVENUES? = NO
(A) NAME OF PERSON: SPRINGFIELD CLINIC, LLP	(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER IS A PARTNER AND BOARD MEMBER OF SPRINGFIELD CLINIC, LLP(C) AMOUNT OF TRANSACTION $873,979(D) DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH SYSTEM PAID FEES TO SPRINGFIELD CLINIC, LLP FOR THE YEAR ENDED SEPTEMBER 30, 2018. A PHYSICIAN AND BOARD MEMBER OF THIS COMPANY, WILLIAM D PUTMAN, M.D., IS ALSO A MEMBER OF MEMORIAL HEALTH SYSTEM'S BOARD OF DIRECTORS. ALL FEES ARE NEGOTIATED AT ARM'S LENGTH AND ARE AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES? = NO
(A) NAME OF PERSON: GREATER SPRINGFIELD CHAMBER OF COMMERCE	(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER IS A BOARD MEMBER OF THE GREATER SPRINGFIELD CHAMBER OF COMMERCE(C) AMOUNT OF TRANSACTION $128,065.(D) DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH SYSTEM PAID FEES TO GREATER SPRINGFIELD CHAMBER OF COMMERCE FOR SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2018. DIANE RUTLEDGE IS A MEMBER OF MEMORIAL HEALTH SYSTEM'S BOARD OF DIRECTORS AND IS A MEMBER OF GREATER SPRINGFIELD CHAMBER OF COMMERCE. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES? = NO
(A) NAME OF PERSON: HENRY HURWITZ	(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; SON OF JOSEPH HURWITZ, MHS BOARD MEMBER(C) AMOUNT OF TRANSACTION $66,193.(D) DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH SYSTEM PAID COMPENSATION AND BENEFITS OF $66,193 TO HENRY HURWITZ RELATED TO EMPLOYMENT SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2018. HENRY HURWITZ IS THE SON OF JOSEPH HURWITZ, MEMBER OF MEMORIAL HEALTH SYSTEM'S BOARD OF DIRECTORS. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES? = NO

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENT CONT.	MORE THAN 3,200 STUDENTS ARE NOW BEING REACHED WITH CATCH MESSAGING, SUPPORTED BY THE HOSPITAL'S LEADERSHIP OF THE PROGRAM. ALMH'S BREASTFEEDING INITIATIVE CONTINUES TO GROW; BREASTFEEDING INITIATION RATES AT ALMH INCREASED FROM 64.1% IN FY17 TO 71.2% IN FY18. ALMH BUILT A COMMUNITY WALKING TRAIL ON ITS CAMPUS THAT OPENED IN 2017. TRAIL USE INCREASED FROM 4,452 LAPS IN FY17 TO 11,113 IN FY18. THE ALMH MARKET IS A LOCAL FARMER'S MARKET WHOSE AVERAGE WEEKLY ATTENDANCE IS 940 FROM MAY THROUGH EARLY FALL. THE MARKET OFFERED 904 FREE HEALTH SCREENINGS AND 21 WEEKLY POP CLUB ACTIVITIES, WHICH PROVIDE EDUCATION TO CHILDREN AGES 5-12 ABOUT THE FOOD SYSTEM AND HEALTHY EATING. TO ADDRESS MENTAL HEALTH, ALMH BROUGHT MENTAL HEALTH CLINICIANS WITH MEMORIAL BEHAVIORAL HEALTH'S MOSAIC PROGRAM INTO THE LOCAL JUNIOR HIGH SCHOOL TO OFFER SCREENINGS AND MENTAL HEALTH SERVICES WITHIN THE SCHOOL SETTING. ALSO IN FY2018, THE FOUR MHS HOSPITALS EACH COMPLETED NEW COMMUNITY HEALTH NEEDS ASSESSMENTS AND IDENTIFIED PRIORITIES TO ADDRESS IN FY2019-FY2021. THESE NEEDS ASSESSMENTS WERE DONE COLLABORATIVELY WITH LOCAL COUNTY HEALTH DEPARTMENTS AND INCLUDED INPUT FROM COMMUNITY ORGANIZATIONS THAT WORK WITH MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, COMMUNITY SURVEYS AND FOCUS GROUPS. SENIOR LEADERSHIP AT EACH HOSPITAL, AT THE HEALTH SYSTEM, AND THE MHS BOARD'S COMMUNITY BENEFIT COMMITTEE HELPED OVERSEE THE CHNA PROCESS, AND THE CHNA PRIORITIES AND IMPLEMENTATION STRATEGIES WERE APPROVED BY EACH HOSPITAL'S BOARD. PRIORITIES IDENTIFIED ARE: MMC/SANGAMON COUNTY: ACCESS TO CARE, MENTAL HEALTH, SUBSTANCE ABUSE AND MOTHER/INFANT HEALTH; PASSAVANT AREA HOSPITAL/MORGAN COUNTY: ACCESS TO CARE, MENTAL HEALTH; TAYLORVILLE MEMORIAL HOSPITAL/CHRISTIAN COUNTY: MENTAL HEALTH AND SUBSTANCE ABUSE; AND ABRAHAM LINCOLN MEMORIAL HOSPITAL/LOGAN COUNTY: OBESITY, MENTAL HEALTH, SUBSTANCE ABUSE AND CANCER. TO CONTINUE TO IMPROVE THE ORGANIZATION'S POPULATION HEALTH, CHRONIC DISEASE MANAGEMENT AND CARE COORDINATION CAPABILITIES AND INFRASTRUCTURE, A MEMORIAL AMBULATORY HEALTH STRATEGIC PLAN IS IN PLACE TO IMPROVE INFORMATION SHARING TO BETTER COORDINATE CARE ACROSS MULTIPLE SITES OF CARE. THIS PLAN LAYS OUT A ROAD MAP FOR BETTER COORDINATING THE CARE PROVIDED BY OUR MENTAL HEALTH AFFILIATE, HOME SERVICES, HOSPICE, PRIMARY CARE PHYSICIAN OFFICES, DURABLE MEDICAL EQUIPMENT COMPANY, EXPRESSCARE CLINICS, MEMORIAL WEIGHT LOSS AND WELLNESS PROGRAM AND MEMORIAL CARE COORDINATION SERVICES. THE FOCUS OF THE PLAN IS TO STRENGTHEN OUR DATA AND WORKFLOWS AROUND THE POPULATION HEALTH BUILDING BLOCKS OF PHYSICIAN LEADERSHIP, WELLNESS AND PREVENTION, CLINICAL PROTOCOLS, CHRONIC DISEASE MANAGEMENT, POPULATION TARGETING, NETWORK MANAGEMENT, UTILIZATION MANAGEMENT, CARE MAP ADHERENCE, CARE MANAGEMENT, OUTREACH AND PATIENT ENGAGEMENT. OTHER KEY SUCCESSES THIS YEAR DIRECTLY RELATED TO STRONG LEADERSHIP INCLUDE RETENTION OF THE MHS BOND RATING FROM MOODY'S INVESTOR SERVICES OF A1 WITH A STABLE OUTLOOK AS WELL AS RETAINING STANDARD & POOR'S RATING OF AA- WITH A STABLE OUTLOOK. MHS EMPLOYEE ENGAGEMENT SCORES AT THE 94TH PERCENTILE OF THE NATIONAL COMPARISON GROUP AND POSITIVE CAHPS SATISFACTION SCORES AT ALL MHS HOSPITALS, MEMORIAL PHYSICIAN SERVICES (MPS) AND MEMORIAL HOME SERVICES. THE ONGOING SUCCESS OF OUR MHS' GREAT PATIENT EXPERIENCE INITIATIVE RESULTED IN 14 OF OUR 24 PATIENT SATISFACTION SURVEYS ACROSS THE HEALTH SYSTEM SCORING AT OR ABOVE THE 75TH PERCENTILE OF THEIR RESPECTIVE NATIONAL PEER GROUPS. SENIOR LEADERSHIP TEAM ALSO LED A SYSTEM-WIDE "STRENGTHEN OUR FUTURE" INITIATIVE TO IMPROVE PROCESSES AND REDUCE COSTS WHILE IMPROVING QUALITY FOR PATIENTS. THROUGH THIS INITIATIVE, COSTS WERE REDUCED BY $38.3 MILLION IN FY18.
PART IV, LINE 24A	ONE SCHEDULE K WAS COMPLETED AT THE PARENT (MEMORIAL HEALTH SYSTEM) LEVEL ONLY. MEMORIAL HEALTH SYSTEM IS SHOWING THE ENTIRE LIABILITY ON THE BALANCE SHEET WITH AN INTERCOMPANY DEBT FROM RELATED ENTITIES, AS CAN BE SEEN ON SCHEDULE D.
FORM 990, PART VI, SECTION A, LINE 2	MEMORIAL HEALTH SYSTEM BOARD MEMBERS RICHARD LEVI AND SERGIO PECORI HAVE A BUSINESS RELATIONSHIP. MEMORIAL HEALTH SYSTEM BOARD MEMBER NINA HARRIS AND KEY EMPLOYEE MITCHELL JOHNSON HAVE A BUSINESS RELATIONSHIP. MEMORIAL HEALTH SYSTEM BOARD MEMBERS TODD WISE AND DIANE RUTLEDGE HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	THE CORPORATION CONTAINS 102 INDIVIDUAL MEMBERS WHO ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7A	THE INDIVIDUAL MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT THE CORPORATION'S BOARD OF DIRECTORS, AS WELL AS THE POWER AND AUTHORITY TO REMOVE MEMBER ELECTED DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	A FINAL DRAFT COPY OF THE MHS FORM 990 AND ALL ATTACHMENTS IS PROVIDED TO ALL OF THE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS AND A BOARD COMMITTEE PRIOR TO FILING. ALL QUESTIONS AND COMMENTS ARISING FROM THESE REVIEWS ARE ADDRESSED PRIOR TO SUBMISSION OF THE RETURN TO THE APPROPRIATE TAXING AUTHORITIES.
FORM 990, PART VI, SECTION B, LINE 12C	ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE CORPORATION ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A SPECIFIC DISCLOSURE STATEMENT WHICH IS ATTACHED TO THE POLICY. MEMORIAL HEALTH SYSTEM MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY IDENTIFYING ANY POTENTIAL CONFLICTS AT THE TIME EACH MEETING AGENDA IS PREPARED. ANY OFFICER OR DIRECTOR WHO HAS A CONFLICT IS NOTIFIED OF SUCH CONFLICT, AS WELL AS THEIR OBLIGATION TO ABSTAIN FROM THE DISCUSSION AND VOTE ON ANY CONFLICTED ISSUES(S). SUCH ABSTENTION(S), IF REQUIRED, ARE DOCUMENTED IN THE MINUTES OF EACH MEETING. BOARD MEMBERS ARE ALSO REQUIRED TO UPDATE THEIR CONFLICT OF INTEREST DISCLOSURE STATEMENTS PROMPTLY IN THE EVENT OF ANY CHANGE IN PERSONAL OR BUSINESS ACTIVITIES THAT WOULD REQUIRE SUCH DISCLOSURE.
FORM 990, PART VI, SECTION B, LINE 15	THE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS HAS APPOINTED A LEADERSHIP COMPENSATION COMMITTEE MADE UP OF PAST AND PRESENT INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS, AND HAS DELEGATED TO IT THE RESPONSIBILITY OF ADMINISTERING, OVERSEEING AND APPROVING ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVE LEADERSHIP, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER AND OTHER SENIOR VICE PRESIDENTS, WHO ARE KEY EMPLOYEES. THE BOARD HAS ADOPTED A LEADERSHIP COMPENSATION PHILOSOPHY STATEMENT DESCRIBING THE ROLE AND RESPONSIBILITIES OF THE COMMITTEE. THIS PHILOSOPHY EXPRESSLY STATES THE COMMITTEE'S INTENT, ON BEHALF OF THE CORPORATION, TO TAKE ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. THE COMMITTEE ANALYZES EVERY ELEMENT OF COMPENSATION (INCLUDING CURRENT, INCENTIVE AND DEFERRED COMPENSATION) AND BENEFITS (INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS). THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. IN CONNECTION WITH THE MOST RECENT REVIEW AND APPROVAL PROCESS, THE COMMITTEE RECEIVED PROFESSIONAL ADVICE FROM AN INDEPENDENT CONSULTANT AND OUTSIDE LEGAL COUNSEL. THE COMMITTEE CONSISTS ENTIRELY OF PAST AND PRESENT DISINTEREST MEMBERS OF THE BOARD OR DISINTERESTED COMMITTEE MEMBERS WHO UNDER STATE CORPORATE LAW MAY SERVE ON SUCH A COMMITTEE. THE COMMITTEE WORKS WITH ITS COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATE ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS OF MEMORIAL HEALTH SYSTEM, 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).
PART VII	COMPENSATION REPORTED FOR CERTAIN INDIVIDUALS ARE BASED ON THE EMPLOYER WHO ISSUED PAYMENT. HOURS ARE REPORTED TO REFLECT AVERAGE HOURS IN THEIR OPERATIONAL ROLE.
PART VIII, COLUMN (C)	DUE TO THE ENACTMENT OF IRC SECTION 512(A)(7) THERE IS A DISCREPANCY BETWEEN FORM 990, PART VIII, COLUMN C AND FORM 990-T, LINE 13. FORM 990-T HAS A GREATER AMOUNT OF UNRELATED BUSINESS INCOME DUE TO THE INCLUSION OF DISALLOWED QUALIFIED TRANSPORTATION FRINGE BENEFITS ON FORM 990-T, LINE 12.
FORM 990, PART XI, LINE 9:	NONOPERATING RECONCILING ITEMS -4,712,388. CHANGE IN UNRESTRICTED NET ASSETS 9,073,211. RELATED PARTNERSHIP BOOK/TAX DIFF 135,264.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MEMORIAL HEALTH PARTNERS LLC
701 NORTH 1ST STREET	SPRINGFIELD	IL	62781	463947269	TO COORDINATE PATIENT CARE ACTIVITIES ACROSS THE HEALTHCARE CONTINUUM	IL	$3,373,181	$3,256,944	MEMORIAL HEALTH SYSTEM
MHS QALICB LLC
701 NORTH 1ST STREET	SPRINGFIELD	IL	62781	475644450	TO FACILITATE NEW MARKETS TAX CREDITS TRANSACTIONS RELATED TO SIU	IL	$1,885,111	$20,010,005	MEMORIAL HEALTH SYSTEM
MCDEKK LLC
701 NORTH 1ST STREET	SPRINGFIELD	IL	62781	822701739	TO FACILITATE FACTORING OF RECEIVABLES	IL	$0	$410,221	MEMORIAL HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MEMORIAL MEDICAL CENTER
701 NORTH FIRST ST	SPRINGFIELD	IL	627810001	370661220	HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MEMORIAL HEALTH SYSTEM	Yes (1)
MEMORIAL HEALTH VENTURES
701 NORTH FIRST ST	SPRINGFIELD	IL	627810001	363492266	HEALTHCARE ACTIVITIES	IL	501(C)(3)	LINE 10	MEMORIAL HEALTH SYSTEM	Yes (1)
ABRAHAM LINCOLN MEMORIAL HOSPITAL
200 STAHLHUT DR	LINCOLN	IL	62656	370723793	HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MEMORIAL HEALTH SYSTEM	Yes (1)
TAYLORVILLE MEMORIAL HOSPITAL
201 EAST PLEASANT	TAYLORVILLE	IL	62568	370661250	HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MEMORIAL HEALTH SYSTEM	Yes (1)
MEMORIAL HOME SERVICES
720 NORTH BOND ST	SPRINGFIELD	IL	627024915	370714225	HOME HEALTH, HOSPICE, AND CONTINUOUS CARE SERVICES	IL	501(C)(3)	LINE 7	MEMORIAL HEALTH SYSTEM	Yes (1)
MEMORIAL PHYSICIAN SERVICES
701 NORTH FIRST ST	SPRINGFIELD	IL	627810001	371181194	HEALTH CLINICS	IL	501(C)(3)	LINE 10	MEMORIAL HEALTH SYSTEM	Yes (1)
MEMORIAL MEDICAL CENTER FOUNDATION
701 NORTH FIRST ST	SPRINGFIELD	IL	62781	371110301	GRANTS TO HOSPITALS, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS	IL	501(C)(3)	LINE 7	MEMORIAL MEDICAL CENTER	Yes (1)
TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION
201 EAST PLEASANT	TAYLORVILLE	IL	62568	371337485	GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALS	IL	501(C)(3)	LINE 7	TAYLORVILLE MEMORIAL HOSPITAL	Yes (1)
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
710 NORTH EIGHTH ST	SPRINGFIELD	IL	627026395	370646367	TRAINING, PSYCHIATRIC, AND RESIDENT SERVICES FOR MENTALLY ILL AND DISABLED	IL	501(C)(3)	LINE 7	MEMORIAL HEALTH SYSTEM	Yes (1)
ABRAHAM LINCOLN HEALTHCARE FOUNDATION
200 STAHLHUT DR	LINCOLN	IL	62656	363492268	GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALS	IL	501(C)(3)	LINE 7	MEMORIAL HEALTH SYSTEM	Yes (1)
SPRINGFIELD RESIDENTIAL SERVICES
710 NORTH EIGHTH ST	SPRINGFIELD	IL	62702	371298589	RESIDENTIAL HUD HOUSING PROJECT FOR MENTALLY ILL	IL	501(C)(3)	LINE 7	MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS	Yes (1)
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
1600 WEST WALNUT	JACKSONVILLE	IL	62650	370661230	HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MEMORIAL HEALTH SYSTEM	Yes (1)
PASSAVANT AREA HOSPITAL FOUNDATION
1600 WEST WALNUT	JACKSONVILLE	IL	62650	461037396	GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALS	IL	501(C)(3)	LINE 7	PASSAVANT MEM AREA HOSPITAL ASSOCIATION	Yes (1)
JACKSONVILLE CRNA'S INC
1600 WEST WALNUT	JACKSONVILLE	IL	62650	273083265	CRNA SERVICES	IL	501(C)(3)	LINE 10	PASSAVANT MEM AREA HOSPITAL ASSOCIATION	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC
701 NORTH FIRST ST	SPRINGFIELD	IL	62781	371190216	PROVIDE DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO PATIENTS	IL	N/A	C	Yes (1)
PASSAVANT PHYSICIAN ASSOCIATION
1600 WEST WALNUT	JACKSONVILLE	IL	62650	261200566	PHYSICIAN SERVICES	IL	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (1)	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (47 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MEMORIAL MEDICAL CENTER
A	$4,296,993	FMV
MEMORIAL PHYSICIAN SERVICES
A	$2,840,506	FMV
MEMORIAL PHYSICIAN SERVICES
B	$18,519,834	FMV
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
B	$225,000	FMV
MEMORIAL HEALTH VENTURES
C	$1,200,000	FMV
TAYLORVILLE MEMORIAL HOSPTIAL
B	$204,999	FMV
MEMORIAL MEDICAL CENTER
C	$23,499,026	FMV
MEMORIAL MEDICAL CENTER
J	$4,296,993	FMV
MEMORIAL PHYSICIAN SERVICES
J	$2,840,506	FMV
MEMORIAL MEDICAL CENTER
K	$247,861	FMV
MEMORIAL MEDICAL CENTER
M	$807,517	FMV
TAYLORVILLE MEMORIAL HOSPTIAL
M	$65,498	FMV
MEMORIAL MEDICAL CENTER
O	$160,414	FMV
MEMORIAL PHYSICIAN SERVICES
O	$2,337,143	FMV
ABRAHAM LINCOLN MEMORIAL HOSPITAL
O	$478,883	FMV
TAYLORVILLE MEMORIAL HOSPTIAL
O	$283,898	FMV
PASSAVANT AREA HOSPTIAL
O	$536,739	FMV
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
O	$680,230	FMV
MEMORIAL MEDICAL CENTER
P	$67,359,301	FMV
MEMORIAL PHYSICIAN SERVICES
P	$4,360,660	FMV
MEMORIAL MEDICAL CENTER
Q	$59,886,421	FMV
MEMORIAL HOME SERVICES
Q	$64,977	FMV
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Q	$63,696	FMV
MEMORIAL PHYSICIAN SERVICES
Q	$8,315,914	FMV
ABRAHAM LINCOLN MEMORIAL HOSPITAL
Q	$2,608,636	FMV
TAYLORVILLE MEMORIAL HOSPTIAL
Q	$2,542,324	FMV
PASSAVANT AREA HOSPTIAL
Q	$648,903	FMV
MEMORIAL HOME SERIVCES
Q	$1,233,242	FMV
MEMORIAL MEDICAL CENTER
L	$46,054,537	FMV
ABRAHAM LINCOLN MEMORIAL HOSPITAL
L	$1,299,999	FMV
TAYLORVILLE MEMORIAL HOSPTIAL
L	$1,220,764	FMV
MEMORIAL PHYSICIAN SERVICES
L	$5,403,854	FMV
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
L	$688,109	FMV
MEMORIAL HOME SERVICES
L	$624,740	FMV
PASSAVANT AREA HOSPTIAL
L	$2,000,928	FMV
MEMORIAL MEDICAL CENTER
N	$1,777,019	FMV
MEMORIAL PHYSICIAN SERVICES
N	$755,577	FMV
MEMORIAL MEDICAL CENTER
I	$7,212,771	FMV
MEMORIAL PHYSICIAN SERVICES
I	$764,057	FMV
ABRAHAM LINCOLN MEMORIAL HOSPITAL
I	$292,238	FMV
TAYLORVILLE MEMORIAL HOSPTIAL
I	$332,761	FMV
PASSAVANT AREA HOSPTIAL
I	$641,674	FMV
MEMORIAL MEDICAL CENTER
R	$6,892,491	FMV
MEMORIAL PHYSICIAN SERVICES
R	$738,672	FMV
ABRAHAM LINCOLN MEMORIAL HOSPITAL
R	$283,193	FMV
TAYLORVILLE MEMORIAL HOSPTIAL
R	$321,563	FMV
PASSAVANT AREA HOSPTIAL
R	$621,738	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V, LINE 2	FormAndLineReferenceDesc
Explanation	MEMORIAL HEALTH SYSTEM COLLECTED RENTAL INCOME FROM AFFILIATES DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2018. THE VALUES LISTED IN SCHEDULE R, PART V, LINE 2 WERE DETERMINED USING FAIR MARKET VALUE.	ExplanationTxt