PROTESTANT MEMORIAL MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: PROTESTANT MEMORIAL MEDICAL CENTER (EIN 37-0635502)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-15
IRS object ID: 201623209349314322
Schema version: 2015v2.1
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 B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-15T16:09:15-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	211 N BROADWAY SUITE 600	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	631022733	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	370635502	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Protestant Memorial Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MEMORIAL HOSPITAL - CONTROLL	InCareOfNm
Business Name Control	PROT	BusinessNameControlTxt
Phone	6182575602	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4500 Memorial Drive	AddressLine1Txt
City	Belleville	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	622265399	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARK J TURNER	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	6182575602	PhoneNum
Signature	2016-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Donna J Larson	PreparerPersonNm
PTIN	P00043751	PTIN
Phone	3142315544	PhoneNum
Preparation	2016-11-09	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Mark J Turner President	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4500 Memorial Drive	AddressLine1Txt
City	Belleville	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	622265399	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$291,035,796	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.memhosp.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1947	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2891	TotalEmployeeCnt
Total Volunteers	323	TotalVolunteersCnt
Total Gross UBI	$80,466	TotalGrossUBIAmt
PY Contributions Grants	$87,600	PYContributionsGrantsAmt
CY Contributions Grants	$103,791	CYContributionsGrantsAmt
PY Program Service Revenue	$257,400,765	PYProgramServiceRevenueAmt
CY Program Service Revenue	$280,769,297	CYProgramServiceRevenueAmt
PY Investment Income	$953,390	PYInvestmentIncomeAmt
CY Investment Income	$978,255	CYInvestmentIncomeAmt
PY Other Revenue	$4,100,754	PYOtherRevenueAmt
CY Other Revenue	$3,677,516	CYOtherRevenueAmt
PY Total Revenue	$262,542,509	PYTotalRevenueAmt
CY Total Revenue	$285,528,859	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$127,784,757	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$130,505,698	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$111,556,129	PYOtherExpensesAmt
CY Other Expenses	$110,401,000	CYOtherExpensesAmt
PY Total Expenses	$239,340,886	PYTotalExpensesAmt
CY Total Expenses	$240,906,698	CYTotalExpensesAmt
PY Revenues Less Expenses	$23,201,623	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$44,622,161	CYRevenuesLessExpensesAmt
Total Assets BOY	$219,188,493	TotalAssetsBOYAmt
Total Assets EOY	$215,298,263	TotalAssetsEOYAmt
Total Liabilities BOY	$80,527,360	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$83,728,182	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$138,661,133	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$131,570,081	NetAssetsOrFundBalancesEOYAmt
Mission	MEMORIAL IS COMMITTED TO BEING THE HEALTHCARE PROVIDER OF CHOICE BY DELIVERING EXTRAORDINARY CARE AND COMPASSIONATE SERVICE TO PATIENTS OF SOUTHWEST ILLINOIS THROUGH EXPANDED SERVICES, PHYSICAL FACILITIES, AND ADVANCED TECHNOLOGY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$202,435,722	ExpenseAmt
Revenue	$269,366,188	RevenueAmt
Desc	GENERAL SHORT TERM ACUTE CARE HOSPITAL: 316 BEDS, 15,267 PATIENTS ADMITTED, 65,788 PATIENT DAYS, 69,954 EMERGENCY ROOM VISITS, 30,369 MEDICARE PATIENT DAYS, 352,808 OUTPATIENT DEPARTMENT VISITS, AND 10,541 MEDICAID PATIENT DAYS. SEE SCHEDULE O FOR ADDITIONAL STATISTICS AND VALUE OF COMMUNITY BENEFITS PROVIDED DURING 2015.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$10,207,952	ExpenseAmt
Revenue	$11,944,943	RevenueAmt
Desc	SKILLED NURSING FACILITY-MEMORIAL CARE CENTER: 108 BEDS, 1,180 PATIENTS ADMITTED, 26,312 PATIENT DAYS, 16,598 MEDICARE PATIENT DAYS, 71 MEDICAID PATIENT DAYS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$212,643,674	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	193	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2891	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MEMORIAL HOSPITAL - CONTROLL	PersonNm
Phone	6182575602	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4500 MEMORIAL DRIVE	AddressLine1Txt
City	BELLEVILLE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62226	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (28 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
LESLIE MEHRTENS
DIRECTOR	0.5	1.5	Yes (X)	$0	$0	$0
EDWARD HOERING
CHAIRMAN, DIRECTOR	0.5	1.35	Yes (X)	$0	$0	$0
LARY ECKERT
DIRECTOR	0.5	1.0	Yes (X)	$0	$0	$0
EDWARD ROSE MD
DIRECTOR	0.5	0.5	Yes (X)	$0	$0	$0
ROLAND THOUVENOT
DIRECTOR	0.5	1.0	Yes (X)	$0	$0	$0
ROBERT WANLESS MD
DIRECTOR	0.5	0.5	Yes (X)	$0	$228,422	$2,242
SCOTT GIVENS
DIRECTOR	0.5	0.5	Yes (X)	$0	$0	$0
JEFFRY LUTZ
DIRECTOR	0.5	1.35	Yes (X)	$0	$0	$0
REV ROB DYER
DIRECTOR	0.5	0.5	Yes (X)	$0	$0	$0
ROBERT GRAEBE
DIRECTOR	0.5	0.5	Yes (X)	$0	$0	$0
MARK STEGMAN
DIRECTOR	0.5	1.2	Yes (X)	$0	$0	$0
ROBERT MUELLER
DIRECTOR	0.5	1.2	Yes (X)	$0	$0	$0
BRAD RINGHOFER MD
DIRECTOR	0.5	0.5	Yes (X)	$0	$0	$0
MARK TURNER
PRESIDENT	55.0	5.5		$673,463	$0	$144,718	Yes (X)
JOE LANIUS
VP FINANCE	20.0	35.0		$0	$487,972	$66,496	Yes (X)
NANCY WESTON
VP NURSING SERVICES	65.0	0.0		$267,024	$0	$58,644	Yes (X)
RUTH HOLMES
ADMINISTRATOR MEMORIAL EAST	10.0	60.0		$0	$232,796	$54,544	Yes (X)
CHERYL CREASY
VP RISK MANAGEMENT	54.0	0.5		$164,638	$0	$24,225	Yes (X)
JAMES DAVIS
VP PHYSICIAN SERVICES	1.0	59.0		$0	$204,758	$26,005	Yes (X)
WILLIAM CASPERSON MD
VP MEDICAL AFFAIRS	60.0	0.0		$377,135	$0	$66,961	Yes (X)
AMY THOMAS
VICE PRESIDENT FINANCE	60.0	0.0		$225,752	$0	$23,124	Yes (X)
JOHN ZIEGLER
VP HUMAN RESOURCES	55.0	5.0		$202,821	$0	$27,546	Yes (X)
MICHAEL MCMANUS
CHIEF OPERATING OFFICER	55.0	0.0		$319,326	$0	$66,621	Yes (X)
LINDA FRITSCHE
TELEMETRY NURSE	60.0	0.0		$185,219	$0	$16,985		Yes (X)
MARIA GHORMLEY
EMERGENCY NURSE	60.0	0.0		$171,074	$0	$10,316		Yes (X)
STARLA ELLER
DIRECTOR SURGICAL SERVICES	60.0	0.0		$184,805	$0	$16,949		Yes (X)
GLEN KOHNZ
DIRECTOR PHARMACY	60.0	0.0		$153,192	$0	$14,696		Yes (X)
SARAH MATTINGLY
PHARMACIST	55.0	0.0		$149,892	$0	$6,861		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,074,341	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,153,948	TotReportableCompRltdOrgAmt
Total Other Compensation	$626,933	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	79	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CALIFORNIA EMERGENCY PHYSICIANS
2100 POWELL ST	EMERYVILLE	CA	94608	PHYSICIAN SERVICES	$6,231,526
CROTHALL HEALTHCARE
13028 COLLECTION CTR DR	CHICAGO	IL	60693	CONSULTING SERVICES	$4,266,306
ANESTHESIA ASSOCIATES
4500 MEMORIAL DR	BELLEVILLE	IL	62226	ANESTHESIA SERVICES	$2,836,821
FOCUS ONE SOLUTIONS
13609 CALIFORNIA STREET 500	OMAHA	NE	68154	NURSING SERVICES	$1,787,331
LOWRY ELECTRIC COMPANY
3000 MISSOURI AVENUE	ST LOUIS	MO	62025	ELECTRICAL CONTRACTO	$1,162,680

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	77	CntrctRcvdGreaterThan100KCnt
Related Organizations	$103,791	RelatedOrganizationsAmt
Total Contributions	$103,791	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES -
ACUTE CARE HOSP.	621110	$268,824,354	$268,743,888	$80,466
PATIENT SERVICES -
SKILLED NURS. FAC	621110	$11,944,943	$11,944,943

Field	Value	IRS element (for citing)
Total Program Service Revenue	$280,769,297	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$868,466	TotalRevenueColumnAmt
Exclusion	$868,466	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$51,000	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$51,000	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$51,000	TotalRevenueColumnAmt
Exclusion	$51,000	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,616,726	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,506,937	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$109,789	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$109,789	TotalRevenueColumnAmt
Exclusion	$109,789	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/COFFEE SHOP SALES	722210	$1,582,582	$1,582,582
VHA PATRONAGE PROG	621110	$541,834		$541,834
EMR INCENTIVE PAYMENT	900099	$1,071,879	$1,071,879

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$430,221	TotalRevenueColumnAmt
Exclusion	$430,221	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,626,516	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$285,528,859	TotalRevenueColumnAmt
Related Or Exempt Func Income	$281,230,665	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$80,466	UnrelatedBusinessRevenueAmt
Exclusion	$4,113,937	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,641,996	TotalAmt
Management And General	$2,641,996	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$97,378,827	TotalAmt
Program Services	$89,831,262	ProgramServicesAmt
Management And General	$7,547,565	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,031,524	TotalAmt
Program Services	$2,723,336	ProgramServicesAmt
Management And General	$308,188	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,229,538	TotalAmt
Program Services	$18,172,985	ProgramServicesAmt
Management And General	$2,056,553	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,223,813	TotalAmt
Program Services	$6,489,434	ProgramServicesAmt
Management And General	$734,379	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$365,293	TotalAmt
Management And General	$365,293	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$92,494	TotalAmt
Management And General	$92,494	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$23,916,478	TotalAmt
Program Services	$19,300,402	ProgramServicesAmt
Management And General	$4,616,076	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,479,515	TotalAmt
Management And General	$1,479,515	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$43,004,465	TotalAmt
Program Services	$42,167,443	ProgramServicesAmt
Management And General	$837,022	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,026,835	TotalAmt
Program Services	$3,617,463	ProgramServicesAmt
Management And General	$409,372	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$225,194	TotalAmt
Program Services	$157,456	ProgramServicesAmt
Management And General	$67,738	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,192,935	TotalAmt
Management And General	$1,192,935	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,129,836	TotalAmt
Program Services	$12,714,920	ProgramServicesAmt
Management And General	$1,414,916	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,684,776	TotalAmt
Program Services	$2,373,364	ProgramServicesAmt
Management And General	$311,412	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
REPAIRS & MAINTENANCE	$7,801,258	$5,464,016	$2,337,242
ASSOCIATION DUES	$278,752		$278,752
MICROFILMING	$29,218		$29,218
MEDICAL WASTE DISPOSAL	$277,555	$277,555

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,896,396	TotalAmt
Program Services	$9,354,038	ProgramServicesAmt
Management And General	$1,542,358	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$240,906,698	TotalAmt
Program Services	$212,643,674	ProgramServicesAmt
Management And General	$28,263,024	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,200	BOYAmt
EOY	$4,200	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$30,783,994	BOYAmt
EOY	$24,870,107	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$44,254,007	BOYAmt
EOY	$60,909,750	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,834,468	BOYAmt
EOY	$3,019,564	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,543,952	BOYAmt
EOY	$2,602,424	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$224,715,372	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$163,312,249	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$60,901,794	BOYAmt
EOY	$61,403,123	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$33,316,897	BOYAmt
EOY	$32,179,931	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$13,131,080	BOYAmt
EOY	$11,456,470	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$30,418,101	BOYAmt
EOY	$18,852,694	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$219,188,493	BOYAmt
EOY	$215,298,263	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$48,004,576	BOYAmt
EOY	$51,158,671	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,350,155	BOYAmt
EOY	$15,255,034	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,172,629	BOYAmt
EOY	$17,314,477	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$80,527,360	BOYAmt
EOY	$83,728,182	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$125,530,053	BOYAmt
EOY	$120,113,611	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,131,080	BOYAmt
EOY	$11,456,470	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$138,661,133	BOYAmt
EOY	$131,570,081	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$219,188,493	BOYAmt
EOY	$215,298,263	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$44,622,161	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,724,478	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$49,988,735	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$95,830	OtherActivitiesAmt
Total Lobbying Expenditures	$95,830	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1, LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	PROTESTANT MEMORIAL MEDICAL CENTER, INC. PAID MEMBERSHIP DUES TO ILINOIS HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. THESE ORGANIZATIONS ESTIMATED EXPENSES ALLOCATED TO LOBBYING ACTIVITIES TO BE 39% OF MEMBERSHIP DUES. PROTESTANT MEMORIAL MEDICAL CENTER, INC. ENGAGED AND PAID KANE CONSULTING $48,000 TO ASSIST MEMORIAL HOSPITAL WORKING WITH THE ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES (DHFS) ON THE MEDICAL CENTER'S MEDICAID REIMBURSEMENTS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,486,451	OtherCostOrOtherBasisAmt
Book Value	$1,486,451	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$31,296,546	OtherCostOrOtherBasisAmt
Depreciation	$24,933,779	DepreciationAmt
Book Value	$6,362,767	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,230,705	OtherCostOrOtherBasisAmt
Depreciation	$3,297,524	DepreciationAmt
Book Value	$933,181	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$186,625,153	OtherCostOrOtherBasisAmt
Depreciation	$135,080,946	DepreciationAmt
Book Value	$51,544,207	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,076,517	OtherCostOrOtherBasisAmt
Book Value	$1,076,517	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$61,403,123	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	NET ASSETS OF MEMORIAL FOUNDAT	Desc
Book Value	$11,456,470	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$11,456,470	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
AUXILIARY OTHER ASSETS	$133,900
DUE FROM AFFILIATED CORPS	$1,404,317
DUE FROM INSURANCE AFFILIATE	$17,314,477

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$18,852,694	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ESTIMATED PROFESSIONAL LIABILI	Desc
Amt	$17,314,477	Amt

Field	Value	IRS element (for citing)
Total Liability	$17,314,477	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$283,840,956	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$1,845,262	NetUnrealizedGainsInvstAmt
Other Revenue	$157,359	OtherRevenueAmt
Revenue Not Reported	-$1,687,903	RevenueNotReportedAmt
Revenue Subtotal	$285,528,859	RevenueSubtotalAmt
Total Revenue Per Form990	$285,528,859	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$247,912,131	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$7,005,433	OtherExpensesIncludedAmt
Expenses Not Reported	$7,005,433	ExpensesNotReportedAmt
Expenses Subtotal	$240,906,698	ExpensesSubtotalAmt
Total Expenses Per Form990	$240,906,698	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V	SCHEDULE D, PART V HAS NOT BEEN COMPLETED. THE ORGANIZATION ONLY REPORTS SUCH FUNDS ON THE BALANCE SHEET DUE TO AN AUDIT REQUIREMENT THAT THE INTEREST IN A RELATED FOUNDATION BE RECOGNIZED ON THE BOOKS. THE FUNDS HAVE BEEN ANALYZED ON FORM 990 OF MEMORIAL FOUNDATION, INC. (EIN#37-1186034).
PART X, LINE 2-FIN 48	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
PART XI, LINE 2D	$157,359 OF INVESTMENT INCOME OF MEMORIAL HOSPITAL SELF INSURANCE TRUST FUND (EIN#37-1064809), A RELATED 501(C)(3) ORGANIZATION IS INCLUDED ON THE AUDITED FINANCIAL STATEMENTS OF PROTESTANT MEMORIAL MEDICAL CENTER, INC.
PART XII, LINE 2D	$3,528,943 OF EXPENSES OF MEMORIAL HOSPITAL SELF INSURANCE TRUST FUND (EIN#37-1064809), A RELATED 501(C)(3) ORGANIZATION ARE INCLUDED IN THE AUDITED FINANCIAL STATEMENTS OF PROTESTANT MEMORIAL MEDICAL CENTER, INC. $3,476,490 OF INSURANCE EXPENSES ON THE AUDITED FINANCIAL STATEMENTS OF PROTESTANT MEMORIAL MEDICAL CENTER, INC. ARE INCLUDED IN OTHER CHANGES IN NET ASSETS ON THIS FORM 990 PART XI LINE 9 AND REPRESENT AN INSURANCE RELATIONSHIP WITH MEMORIAL CAPTIVE INSURANCE COMPANY (EIN#98-1082415), A RELATED ORGANIZATION.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	249.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,198,589	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,198,589	NetCommunityBenefitExpnsAmt
Total Expense	0.01300	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,526,279	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,764,251	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,762,028	NetCommunityBenefitExpnsAmt
Total Expense	0.00720	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,724,868	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,764,251	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,960,617	NetCommunityBenefitExpnsAmt
Total Expense	0.02020	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,882,197	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,882,197	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$552,007	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$552,007	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,434,204	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,434,204	NetCommunityBenefitExpnsAmt
Total Expense	0.00990	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,159,072	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,764,251	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,394,821	NetCommunityBenefitExpnsAmt
Total Expense	0.03010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$3,821,447	BadDebtExpenseAmt
Bad Debt Expense Attributable	$573,217	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$83,177,043	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$92,335,676	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,158,633	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4500 MEMORIAL DRIVE	AddressLine1Txt
City	BELLEVILLE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62226	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MEMHOSP.COM	WebsiteAddressTxt
State License	0001461	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	249.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCHEDULE H, PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCHEDULE H, PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCH. H, PART V, SEC. C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	PERSONS WHO REPRESENT THE COMMUNITY THE MAPP ASSESSMENT TEAMS CONDUCTED A COMPREHENSIVE ASSESSMENT OF THE ENTIRE POPULATION THROUGH THE USE OF COMMUNITY SURVEYS, A REVIEW OF POPULATION TRENDS, HEALTH OUTCOMES AND BEHAVIORS OVER THE LAST 5 YEARS. SECONDARY ASSESSMENTS OCCURRED AMONG KEY INFORMANTS AND FOCUS GROUPS FOR SELECT SEGMENTS OF THE POPULATION REPRESENTED BY PARTICIPATING HEALTH AND HUMAN SERVICE ORGANIZATIONS (I.E. THE HOMEBOUND ELDERLY, PERSONS WITH DISABILITIES, SENIOR CITIZENS, RESIDENTS OF COUNTY HOUSING AUTHORITIES, THE FAITH COMMUNITY, HEALTH ADVOCACY GROUPS, MEDICALLY MANAGED INDIVIDUALS AND THOSE PERSON WITH SERIOUS MENTAL ILLNESS). SEE COMMUNITY HEALTH NEEDS ASSESSMENT FOR LISTING OF HEALTHCARE COMMISSION MEMBERS AND AFFILIATES CONSULTED.
PART V, SECTION B, LINE 7, 10, 11	CHNA MADE WIDELY AVAILABLE THE HOSPITAL FACILITY POSTS THE CHNA, ALONG WITH ITS IMPLEMENTATION STRATEGY AT THE FOLLOWING SITE: http://www.memhosp.com/community-health-needs-assessment THE NEEDS IDENTIFIED IN THE MOST RECENT CHNA AND HOW THEY ARE BEING MET ARE DESCRIBED IN THE IMPLEMENTATION STRATEGY. THE ORGANIZATION DOES NOT HAVE ANY IDENTIFIED NEEDS THAT ARE NOT BEING ADDRESSED.
PART V, SECTION B, LINE 22D	ATTACHMENT A TO THE FINANCIAL ASSISTANCE POLICY DESCRIBED IN THE NOTE FOR PART I, LINE 3, AND THE UNINSURED DISCOUNT POLICY FOUND IN PART VI, PROVIDE THE FACTORS FOR DETERMINING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE PATIENTS.
PART V, SECTION B, LINES 16A-C	ACCESS THE FOLLOWING WEBSITE FOR THE THREE QUESTIONS LISTED ABOVE: www.memhosp.com/billing-financial

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MEMORIAL CARE CENTER
4315 MEMORIAL DRIVE	BELLEVILLE	IL	62226	SKILLED NURSING FACILITY
BELLEVILLE HEALTH & SPORTS CENTER
1001 SOUTH 74TH STREET	BELLEVILLE	IL	62223	SPORTS FACILITY

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C	FINANCIAL ASSISTANCE (CHARITY CARE) I. PURPOSE To describe the guidelines and process by which Memorial will grant charity care to patients. II. POLICY Memorial Hospital and Memorial Care Center (collectively "Memorial") are not-for-profit healthcare facilities established to meet the health care needs of the community. Individuals who need financial assistance and do not possess sufficient resources to pay all or a portion of Memorial's bill may be eligible for charity care according to the guidelines set forth in this policy. Charity care is available for all services provided by Memorial with the exception of the following: 1. Elective cosmetic surgery, elective sterilization and reverse sterilization procedures and screening tests 2. Any services not covered by Medicare. 3. Memorial Care Center services for long-term residential care. 4. Services not billed by Memorial (e.g., ambulance services, physician services, etc.) Patients who do not qualify for assistance pursuant to this policy may be eligible for discounts pursuant to AP 740 (Uninsured Patient Discount Policy). III. GUIDELINES 1. Eligibility for financial assistance will be based upon income guidelines approved by the Board of Directors, as well as the size of the patient's bill relative to the patient's household income. A. Eligibility based on income. Eligibility for financial assistance will be based upon income guidelines approved by the Memorial Board of Directors, based on federal poverty guidelines published by the United States Department of Health & Human Services ("Income Eligibility"). The Income Eligibility Guidelines, as amended from time to time by the Board of Directors, are set forth in Attachment A to this policy. B. Eligibility based on catastrophic medical expenses. Eligibility for financial assistance also will be based on the size of the patient's bill relative to the patient's household income. Payment responsibility for patients qualifying for Income Eligibility will be capped at ten percent (10%) of annual family income, as determined in the application process. Uninsured patients who face extraordinary medical expenses and who do not qualify for charity care based on Income Eligibility will qualify for financial assistance if their self-pay balances exceed ten percent (10%) of annual family income ("Medical Expense Eligibility"). Patients eligible on the basis of Medical Expense Eligibility will be responsible for the portion of the self-pay balance up to 10% of annual family income. Charity care will be granted to cover the excess amount. C. Eligibility based on Presumptive Mandated Categories. Eligibility for financial assistance also will be based on the following presumptive categories: Homelessness; deceased with no estate; mental incapacitation with no one to act on behalf; Medicaid eligibility, but not covered on date of service or non-covered service; Women, Infants, Children (WIC); Supplemental Nutrition Assistance Program (SNAP); Free Lunch and Breakfast Program; Low Income Home Energy Assistance Program (LIHEAP); Grant assistance for medical services; and Community medical care programs to low income. 2. Memorial will identify patients requiring financial assistance either prior to or and at any time during the billing and collection process. Memorial's Point of Service program will help to identify patients qualifying for financial assistance prior to service. Patients in the presumptive mandated categories may also be identified as eligible prior to receiving services. In addition, circumstances relating to a patient's (or a responsible party's) ability to pay may change subsequent to the rendering of medical services. Accordingly, a charity care determination can be made for a patient prior to, at the time of service or at any time during the billing and collection process. 3. The availability of charity care will be communicated to patients through a variety of means to ensure that Memorial's policy reaches persons in need of assistance. Communications to patients regarding the availability of charity care will be clear and concise and will include, but not be limited to, information provided by registration personnel, statements included on consent forms and patient statements, patient handbooks, signage within the hospital and publication on Memorial's website. Copies of Memorial's Application for Financial Assistance form ("Application Form") will be available for distribution in the Patient Access & Financial Services Department. Recognizing the sensitivity of patients and their families regarding the need for charity, all publications, forms, etc. will use the term "financial assistance" in lieu of "charity care"charity assistance." 4. Patients' specific questions about financial assistance should be directed to the Revenue Cycle Director or his/her designee. 5. All patients seeking financial assistance will be requested to complete an Application Form except for the patients in the presumptive financial categories (see section III Ic). Each patient or a patient representative will be requested to complete the Application Form in order for Memorial to determine eligibility for financial assistance on the basis of either Income Eligibility or Medical Expense Eligibility, provided that patients who demonstrate eligibility for any of the presumptive financial categories will be deemed eligible for charity assistance without an Application Form. It is the responsibility of the person seeking assistance to provide Memorial with sufficient and complete financial information to evaluate any request for charity care. Memorial personnel are available to assist with completion of the Application Form by telephone or in person. If translation is needed to facilitate completion of applications, it will be provided. Confidentiality of information and preservation of privacy shall be maintained for all patients who seek charity care. No information obtained in the application process will be released to third parties without the patient's written consent. 6. The patient or responsible party must apply to any local, state or federal government program for which the patient may be eligible for medical payment assistance when applicable. Memorial personnel will assist the patient or responsible party in the completion of any required application(s). A government application form may be substituted for the Application Form. 7. Any insurance benefit or third party obligation that is available for covering the cost of Memorial's services must be considered prior to the determination of charity care. This includes any medical liability, no-fault or insurance benefits. Memorial reserves the right to recover any amount previously approved for charity care that is subsequently paid by such insurance benefit or third party. 8. Memorial may consider the availability of liquid assets in determining charity care. In determining whether a patient qualifies for charity care, Memorial may also consider the extent to which the person has liquid assets (cash and investments) that could be used to meet the financial obligation. The patient's primary residence, automobile, pension assets and other personal property are specifically exempted from consideration in the determination of financial need. 9. A determination of the patient's eligibility for charity care will be made within fifteen (15) business days from the receipt of a completed Application Form, and collection efforts will be suspended pending such determination and otherwise in compliance with AP 730 (Billing and Collections Policy). Patients will be notified in writing of Memorial's decision to grant or to deny financial assistance. Charity care will be extended for any open account at the time of application and may continue for a period of six (6) months unless a change in patient financial status is determined. 10. Memorial offers payment plan options to patients eligible for charity care to successfully retire self-pay balances. Charity care patients are offered interest free payment plans to assist them in retiring their outstanding hospital bills. 11. Memorial will offer patients the opportunity to apply for charity care prior to referring an outstanding hospital bill to collection. Memorial will offer to conduct a financial assessment or will arrange for an alternative payment plan prior to sending a bill to collection. (Refer to AP 730 Billing and Collections Policy). 12. Memorial will train its Patient Access and Financial Services Department staff with regard to the availability of financial assistance under this policy. 13. Memorial will periodically evaluate its charity care program and will file annual reports as appropriate. Management will make periodic reports to the Board of Directors regarding charity care. This policy will be reviewed periodically by senior managers for possible revision. Any revisions recommended by management will be submitted to the Board of Direct
PART I, LINE 6A	SEE SCHEDULE O - COMMUNITY BENEFITS REPORT FILED WITH ILLINOIS OFFICE OF ATTORNEY GENERAL PREPARED BY PMMCI
PART I, LINE 7, COLUMN (F)	THE COST OF CHARITY AND OTHER COMMUNITY BENEFITS WERE DIVIDED BY ORGANIZATION'S TOTAL OPERATING EXPENSES, WHICH DID NOT INCLUDE BAD DEBT EXPENSE.
PART I, LINE 7	CHARITY CARE AND OTHER COMMUNITY BENEFITS WERE CALCULATED IN ACCORDANCE WITH STATE OF ILLINOIS REQUIREMENTS FOR COMMUNITY BENEFITS REPORT. THE MEDICARE COST TO CHARGE RATIO WAS USED FROM THE MEDICARE COST REPORT.
PART III, LINE 4	THE AMOUNT ON LINE 2 REPRESENTS THE AMOUNT WRITTEN OFF TO BAD DEBT EXPENE DURING 2015. THE ORGANIZATION DID NOT EMPLOY A METHODOLOGY TO ITS ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE AS THERE ARE NO SUPPORTING STATISTICS AVAILABLE. RATHER, THE AMOUNT INCLUDED ON LINE 3 REPRESENTS AN ESTIMATED 15% OF THE TOTAL BAD DEBT EXPENSE REPORTED ON LINE 2. SEE PAGES 7 & 8 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED TO FORM 990.
PART III, LINE 8	MEDICARE COST REPORT IS FILED FOLLOWING COST REPORT GUIDELINES. MEDICARE PAYMENT SHORTFALLS SHOULD BE REFLECTED AS COMMUNITY BENEFIT AS THE FEDERAL GOVERNMENT PROSPECTIVELY SETS THE HOSPITAL PAYMENT RATES; THE RATES ARE NOT NEGOTIABLE AND CONSEQUENTLY NO LONGER COVER THE HOSPITAL'S COST TO PROVIDE SERVICES TO MEDICARE BENEFICIARIES.
PART III, LINE 9B	BILLING AND COLLECTIONS I. PURPOSE To insure billing and collection efforts are fair, consistent and in accordance with applicable law. II. POLICY Memorial Hospital and Memorial Care Center (collectively, "Memorial") are not-for-profit healthcare facilities established to meet the health care needs of the community. Accordingly, Memorial shall pursue patient accounts fairly and consistently pursuant to the law and only after offering patients the opportunity to apply for charity care pursuant to AP 700 ("Financial Assistance Policy") and/or applying a discount pursuant to AP 740 ("Uninsured Patient Discount Policy"). III. GUIDELINES 1. Bill Information. When Memorial bills a patient for health care services, it shall provide the following information: (a) the date or dates that health care services were provided to the patient; (b) a brief description of the services; (c) the amount owed for services; (d) contact information for addressing billing inquiries to Memorial; (e) notice that the patient may obtain an itemized bill upon request; and (f) a statement regarding how an uninsured patient may apply for consideration under the Financial Assistance Policy on or with each Memorial bill sent to an uninsured patient. 2. Bill Inquiries. Memorial will provide patients with a telephone number to inquire about or dispute a bill. Memorial will return calls made by patients promptly, and in any case no later than two business days after receipt. If Memorial receives correspondence from the patient regarding a bill, Memorial will respond within ten business days of receipt. 3. Collections; Limitation on Collections. (a) In General. Memorial and its agents will not pursue a collection action against a patient until the patient has had the opportunity to assess the accuracy of the bill and apply for financial assistance under the Financial Assistance Policy or establish a reasonable payment plan under the Financial Assistance Policy or this policy. (b) Approval of Collection Actions. Memorial will not refer an account to collections, and will not permit any collection agency, law firm or individual to initiate legal action for non-payment of a hospital bill against a patient, without the written approval of the Revenue Cycle Director or his/her designee. Such action will only be approved if it is reasonably believed that the conditions for pursuing the action under this Policy are met. (c) Special Considerations for Uninsured Patients. An uninsured patient will have sixty days following the date of discharge or receipt of care or thirty days following the initial bill (whichever is longer) to submit an application for financial assistance or to request a reasonable payment plan. Thereafter, Memorial may pursue collection action against an uninsured patient only when: (i) the patient has not paid his or her bill (as adjusted pursuant to the Uninsured Patient Discount Policy) during such time and has not contacted Memorial about payment; (ii) the patient has informed Memorial that he or she has applied for a government sponsored healthcare program but the patient's application has been denied; (iii) the patient has agreed to a reasonable payment plan with Memorial and the patient has failed to make payments in accordance with that reasonable payment plan; or (iv) the patient requests a reasonable payment plan but fails to agree to a plan within thirty days of that request. (d) Other Considerations. (i) Memorial will not pursue legal action for non-payment of bills against patients who qualify for financial assistance and who have clearly demonstrated that they have neither sufficient income nor assets to meet their financial obligation. (ii) Legal action may be taken by Memorial to enforce the terms of the payment plan when there is evidence that the responsible party has sufficient income and/or assets to meet his or her financial obligation. (iii) Memorial will not place a lien on the primary residence of a patient receiving financial assistance unless the value of the property clearly indicates an ability to assume significant financial obligations. Further, Memorial will not execute a lien by forcing the sale or foreclosure of the primary residence of a patient receiving financial assistance to pay for an outstanding medical bill. (iv) Memorial will not use body attachment to require any person, whether receiving financial assistance or not, to appear in court. (e) Adoption of Standards by Collection Agencies. Memorial will ensure that the guidelines outlined above are adhered to by any external collection agency, law firm or individual engaged to assist in obtaining payment on outstanding bills from patients. 4. Periodic Review. Memorial will review this policy periodically for compliance with the federal Fair Debt Collection Practices Act, the Illinois Fair Patient Billing Act and the Illinois Hospital Uninsured Patient Discount Act.
PART V	1 HOSPITAL & 1 SKILLED NURSING FACILITY ILLINOIS
NEEDS ASSESSMENT	SEE SCHEDULE O - COMMUNITY BENEFITS REPORT REGARDING COMMUNITY NEEDS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	FINANCIAL ASSISTANCE IS COMMUNICATED VIA SIGNS POSTED THROUGHOUT THE HOSPITAL, NEWSPAPER, BROCHURES, WEBSITE, AND PATIENT BILLING STATEMENTS.
COMMUNITY INFORMATION	SEE SCHEDULE O - COMMUNITY BENEFIT REPORT FOR DESCRIPTION OF THE GEOGRAPHIC AND DEMOGRAPHIC PROFILES OF PATIENTS SERVED.
PROMOTION OF COMMUNITY HEALTH	SEE SCHEDULE O - COMMUNITY BENEFIT REPORT REGARDING SUBSIDIZED COMMUNITY OUTREACH, COMMUNITY EDUCATION, SUPPORT GROUPS AND SCREENINGS
OTHER INFORMATION REQUIRED	SEE SCHEDULE O - COMMUNITY BENEFITS REPORT FOR A DESCRIPTION OF ACTIVITIES THAT FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. ADDITIONALLY, THE FOLLOWING IS THE UNINSURED PATIENT DISCOUNT POLICY: UNINSURED PATIENT DISCOUNT I. PURPOSE To describe the guidelines and process by which Memorial will grant uninsured patients a discount from billed charges. II. POLICY Memorial Hospital and Memorial Care Center (collectively "Memorial") are not-for-profit healthcare facilities established to meet the health care needs of the community. In an effort to provide affordable health care services, patients who lack private or public health insurance will receive an automatic discount from Memorial's billed charges. Memorial will discuss financial responsibility with patients prior to services being provided pursuant to the Point of Service Policy (AP 750). The uninsured patient discount is available for all services provided by Memorial with the exception of the following: 1. Elective cosmetic surgery, elective sterilization and reverse sterilization procedures and procedures or other services not covered by Medicare. 2. Memorial Care Center services for long-term residential care. 3. Non-medical services (e.g., social and vocational services). 4. Services not billed by Memorial (e.g., ambulance services, physician services etc.) This policy will be interpreted and applied in a manner consistent with the Illinois Hospital Uninsured Patient Discount Act. III. GUIDELINES 1. Eligibility for the discount. An "uninsured patient" is defined as: Any patient who is not covered under a policy of health insurance and is not a beneficiary under a public or private health insurance, health benefit, or other health coverage program, including high deductible health insurance plans, workers' compensation, accident liability insurance or other third party liability or no fault insurance. Patients that are insured but not covered for a particular service do not qualify for the uninsured patient discount. The availability of the uninsured discount is contingent upon the uninsured patient applying, at Memorial's request, for coverage under public programs (i.e., Medicare, Medicaid, etc.) if Memorial determines there is a basis to believe the patient may be eligible for such programs. 2. Calculation of the discount. The discount is calculated as the difference between billed charges and one hundred thirty-five percent (135%) of cost, using the total cost-to-charge ratio from Memorial's most recently filed Medicare cost report (Worksheet C, Part I). 3. Maximum annual collection. The maximum amount collected from an eligible patient in a twelve-month period is twenty-five percent (25%) of the family's annual household income. The twelve-month period begins as of the first date of service eligible for discount. For subsequent services to be counted toward the maximum, the patient must inform Memorial that he/she had received prior discounted services from Memorial. The annual cap is applicable only to services provided at Memorial and does not include services provided at other hospital facilities. 4. Communication to Patients. Memorial will include a statement on all patient bills that financial assistance may be available on the remaining account balance, pursuant to AP 700 (Financial Assistance Policy). POINT OF SERVICE I. PURPOSE To describe the guidelines and process by which Memorial will collect patient payments prior to service. II. POLICY Memorial Hospital and Memorial Care Center (collectively "Memorial") are not-for-profit healthcare facilities established to meet the health care needs of the community. As healthcare continues to evolve it is necessary to educate patients regarding their financial liability prior to service. Discussing financial responsibility before service is provided will improve the patient experience as well as increase revenue and reduce costs for the organization. III. GUIDELINES 1. Patient responsibility will be determined using payment estimation software or communication (online or phone call) to the patient's benefit administrator. 2. Guidelines for the payment of the patient's responsibility are based on estimated amount due. a. All patients will be asked to pay 100% of estimated balance due. b. Patients that pay their total estimated amount due prior to service being rendered will receive a 10% prompt pay discount. c. Patients with an estimated balance due of $100.00 or less and who do not pay 100% will be asked to establish a payment plan of at least $25.00 per month until the balance is paid in full. d. Patients whose estimated balance due is more than $100.00 and who cannot pay 100% will be asked to pay 50% with an automated payment plan for the remaining balance not to exceed 12 months. e. Patients whose estimated balance due is more than $100.00 and who cannot pay 100% or 50% will set up an automated payment plan for the entire estimated balance not to exceed 12 months. 3. Patients will be offered payment options of cash, check, credit/debit card, or electronic funds transfer. 4. Patients will be pre-screened for financial assistance based on information they provide to staff regarding income and presumptive eligibility per Financial Assistance Charity Care Policy (AP700). 5. Uninsured patients will receive up-front estimates of patient liability per Uninsured Patient Discount Policy (AP 740). 6. Patients that refuse to either pay their estimated balance or fail to cooperate in establishing a payment plan within the above guidelines will be notified that their test may be postponed. a. An exception to postponement will be made if the ordering physician determines that a delay in testing would be harmful to the patient's health. b. Emergency services will not be delayed based on a patient's ability to pay. 7. Patients will be billed per the collection guidelines included in the Billing and Collections Policy (AP 730). 8. If the actual patient responsibility is less than the original estimate the patient paid, the patient will be refunded if there are no other outstanding accounts. Otherwise, the credit will be applied towards any outstanding balance(s).
STATE FILING OF COMMUNITY BENEFIT REPORT	IL,

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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
MARK TURNER
PRESIDENT	$673,463	$0	$0	$0	$0	$0	$126,372	$0	$18,346	$0	$818,181	$0	$0	$0
JOE LANIUS
VP FINANCE	$0	$487,972	$0	$0	$0	$0	$0	$52,325	$0	$14,171	$0	$554,468	$0	$0
NANCY WESTON
VP NURSING SERVICES	$267,024	$0	$0	$0	$0	$0	$44,053	$0	$14,591	$0	$325,668	$0	$0	$0
RUTH HOLMES
ADMINISTRATOR MEMORIAL EAST	$0	$232,796	$0	$0	$0	$0	$0	$38,879	$0	$15,665	$0	$287,340	$0	$0
ROBERT WANLESS MD
DIRECTOR	$0	$228,422	$0	$0	$0	$0	$0	$0	$0	$2,242	$0	$230,664	$0	$0
CHERYL CREASY
VP RISK MANAGEMENT	$164,638	$0	$0	$0	$0	$0	$8,969	$0	$15,256	$0	$188,863	$0	$0	$0
JAMES DAVIS
VP PHYSICIAN SERVICES	$0	$204,758	$0	$0	$0	$0	$0	$12,232	$0	$13,773	$0	$230,763	$0	$0
WILLIAM CASPERSON MD
VP MEDICAL AFFAIRS	$377,135	$0	$0	$0	$0	$0	$54,990	$0	$11,971	$0	$444,096	$0	$0	$0
LINDA FRITSCHE
TELEMETRY NURSE	$185,219	$0	$0	$0	$0	$0	$4,526	$0	$12,459	$0	$202,204	$0	$0	$0
MARIA GHORMLEY
EMERGENCY NURSE	$171,074	$0	$0	$0	$0	$0	$4,241	$0	$6,075	$0	$181,390	$0	$0	$0
AMY THOMAS
VICE PRESIDENT FINANCE	$225,752	$0	$0	$0	$0	$0	$13,482	$0	$9,642	$0	$248,876	$0	$0	$0
JOHN ZIEGLER
VP HUMAN RESOURCES	$202,821	$0	$0	$0	$0	$0	$12,219	$0	$15,327	$0	$230,367	$0	$0	$0
STARLA ELLER
DIRECTOR SURGICAL SERVICES	$184,805	$0	$0	$0	$0	$0	$9,823	$0	$7,126	$0	$201,754	$0	$0	$0
MICHAEL MCMANUS
CHIEF OPERATING OFFICER	$319,326	$0	$0	$0	$0	$0	$49,749	$0	$16,872	$0	$385,947	$0	$0	$0
GLEN KOHNZ
DIRECTOR PHARMACY	$153,192	$0	$0	$0	$0	$0	$7,570	$0	$7,126	$0	$167,888	$0	$0	$0
SARAH MATTINGLY
PHARMACIST	$149,892	$0	$0	$0	$0	$0	$6,759	$0	$102	$0	$156,753	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II, 4B	FormAndLineReferenceDesc
Explanation	DEFERRED COMPENSATION AND RETIREMENT CONTRIBUTIONS PER PART II(C): ROBERT WANLESS, DIRECTOR: RETIREMENT CONTRIBUTION - NONE DEFERRED COMPENSATION - NONE MARK TURNER, PRESIDENT: RETIREMENT CONTRIBUTION - $16,140 DEFERRED COMPENSATION - $110,232 JOE H. LANIUS, VICE PRESIDENT FINANCE: RETIREMENT CONTRIBUTION - $16,140 DEFERRED COMPENSATION - $36,185 CHERYL CREASY, VICE PRESIDENT RISK MANAGEMENT: RETIREMENT CONTRIBUTION - $8,969 DEFERRED COMPENSATION - NONE WILLIAM CASPERSON, VICE PRESIDENT MEDICAL AFFAIRS: RETIREMENT CONTRIBUTION - $16,140 DEFERRED COMPENSATION - $38,850 NANCY WESTON, VICE PRESIDENT NURSING SERVICES: RETIREMENT CONTRIBUTION - $16,140 DEFERRED COMPENSATION - $27,913 RUTH HOLMES, ADMINISTRATOR MEMORIAL EAST: RETIREMENT CONTRIBUTION - $14,348 DEFERRED COMPENSATION - $24,531 JAMES DAVIS, VICE PRESIDENT PHYSICIAN SERVICES: RETIREMENT CONTRIBUTION - $12,232 DEFERRED COMPENSATION - NONE AMY THOMAS, VICE PRESIDENT FINANCE: RETIREMENT CONTRIBUTION - $13,482 DEFERRED COMPENSATION - NONE JOHN ZIEGLER, VICE PRESIDENT HUMAN RESOURCES: RETIREMENT CONTRIBUTION - $12,219 DEFERRED COMPENSATION - NONE MICHAEL MCMANUS, CHIEF OPERATING OFFICER: RETIREMENT CONTRIBUTION - $16,140 DEFERRED COMPENSATION - $33,609 LINDA FRITSCHE, TELEMETRY NURSE: RETIREMENT CONTRIBUTION - $4,526 DEFERRED COMPENSATION - NONE STARLA ELLER, DIRECTOR SURGICAL SERVICES: RETIREMENT CONTRIBUTION - $9,823 DEFERRED COMPENSATION - NONE MARIA GHORMLEY, EMERGENCY NURSE: RETIREMENT CONTRIBUTION - $4,241 DEFERRED COMPENSATION - NONE GLEN KOHNZ, DIRECTOR PHARMACY: RETIREMENT CONTRIBUTION - $7,570 DEFERRED COMPENSATION - NONE SARAH MATTINGLY, PHARMACIST: RETIREMENT CONTRIBUTION - $6,759 DEFERRED COMPENSATION - NONE	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	SOUTHWEST ILLINOIS DEVELOPMENT AUTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	371234684	BondIssuerEIN
CUSIP	84553AAE2	CUSIPNum
Bond Issued	2013-12-06	BondIssuedDt
Issue Price	$156,712,718	IssuePriceAmt
Purpose	CAPITAL BUILDING PROJECTS	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$15,586,237	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$114,474	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$15,471,763	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART II	FormAndLineReferenceDesc
Explanation	ON DECEMBER 6, 2013, SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY ISSUED TO MEMORIAL GROUP, INC. REVENUE BONDS IN THE ORIGINAL PAR AMOUNT OF $156,712,718. OF THE TOTAL INDEBTEDNESS, $15,586,237 WAS ALLOCATED TO PROTESTANT MEMORIAL MEDICAL CENTER, INC. AND $16,763,777 WAS ALLOCATED TO SOUTHWEST ILLINOIS HEALTH VENTURES, INC. MEMORIAL GROUP, INC. WAS ALLOCATED $124,362,704. DURING 2015, INDEBTEDNESS OF $124,362,704 WAS TRANSFERRED FROM MEMORIAL GROUP, INC. TO METRO EAST SERVICES, INC.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SUSAN MCMANUS	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	COO FAMILY MEMBER	RelationshipDescriptionTxt
Transaction	$27,867	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART 1, LINE 1	BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES: PROTESTANT MEMORIAL MEDICAL CENTER OPERATES AN ACUTE CARE HOSPITAL AND SKILLED NURSING FACILITY WHOSE MISSION IS TO PROVIDE EXCEPTIONAL HEALTHCARE AND COMPASSIONATE SERVICE TO THE RESIDENTS OF SOUTHWEST ILLINOIS. COMMUNITY BENEFIT INFORMATION - SEE COPY OF COMMUNITY BENEFIT REPORT ATTACHED TO FORM 990.
FORM 990, PART VI, LINES 6, 7A, 7B	GOVERANCE AND DISCLOUSRE: PROTESTANT MEMORIAL MEDICAL CENTER, INC. HAS TWO CLASSES OF MEMBERS - COMMUNITY AND CORPORATE. COMMUNITY MEMBERS, WHICH INCLUDE BOTH INDIVIDUALS AND LOCAL AREA CHURCHES, HAVE THE EXCLUSIVE POWER TO APPROVE NOMINEES FOR ELECTION AS ELECTED DIRECTORS. THE CORPORATE MEMBER, MEMORIAL GROUP, INC HAS THE POWER TO ELECT, REMOVE, AND REPLACE ANY DIRECTOR, APPROVE AMMENDMENTS TO GOVERNING DOCUMENTS AND TO MAKE INVESTMENT POLICY.
FORM 990, PART VI, LINE 11A	REVIEW PROCESS: DIRECTORS OF PROTESTANT MEMORIAL MEDICAL CENTER , INC. ARE PROVIDED A COPY OF THE TAX RETURN PRIOR TO FILING FOR REVIEW. ANY DISCREPANCIES OR QUESTIONS ARE THEN SUBMITTED TO THE VICE PRESIDENT OF FINANCE.
FORM 990, PART VI, LINE 12C	CONFLICT OF INTEREST POLICY: OFFICERS AND DIRECTORS OF PROTESTANT MEMORIAL MEDICAL CENTER, INC. COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. TRANSACTIONS DISCLOSED ON THE STATEMENTS ARE REVIEWED BY THE BOARD. THE BOARD OR A DULY CONSTITUTED COMMITTEE THEREOF SHALL DETERMINE WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE.
FORM 990, PART VI, LINE 15A & 15B	COMPENSATION POLICIES: THE COMPENSATION COMMITTEE UTILIZES THE SERVICES OF AN INDEPENDENT CONSULTANT TO DEVELOP HOSPITAL SURVEY DATA TO COMPARE SALARIES AND BENEFITS FOR MEMORIAL'S CORPORATE OFFICERS (CEO AND VICE PRESIDENTS). BASED ON THE SURVEY RESULTS, THE COMPENSATION COMMITTEE ESTABLISHES COMPENSATION FOR THE ENSUING YEAR.
FORM 990, PART VI, LINES 18 & 19	PUBLIC DISCLOSURE: UPON FILING FORM 990 AND SUPPORTING SCHEDULES, PUBLIC DISCLOSURE COPIES ARE AVAILABLE FOR PUBLIC INSPECTION IN THE OFFICE OF THE PRESIDENT OF PROTESTANT MEMORIAL MEDICAL CENTER, INC. DURING REGULAR BUSINESS HOURS OF 8:30AM-5:00PM. COPIES ARE PROVIDED UPON REQUEST FOR A NOMINAL FEE. WRITTEN REQUESTS ARE HONORED WITHIN 30 DAYS. REQUESTS IN PERSON ARE PROVIDED ON THE DAY OF REQUEST. PROTESTANT MEMORIAL MEDICAL CENTER, INC. PROVIDES FOR PUBLIC INSPECTION THE MOST RECENT THREE YEARS OF FILINGS. PROTESTANT MEMORIAL MEDICAL CENTER, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART VI, LINE 2	GOVERANCE & DISCLOSURE: MARK TURNER, WILLIAM CASPERSON, AND LARY ECKERT ALL HAVE A BUSINESS RELATIONSHIP AS A RESULT OF ALSO SERVING AS OFFICERS OR DIRECTORS OF MEMORIAL CAPTIVE INSURANCE COMPANY, A RELATED TAXABLE ENTITY.
FORM 990, PART XI, LINE 9	RECONCILIATION OF NET ASSETS - LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: ($38,920,357) FUND BALANCE TRANSFER TO MEMORIAL GROUP, INC., A RELATED 501(C)(3) ORGANIZATION. ($3,520,000) FUND BALANCE TRANSFER TO MEMORIAL HOSPITAL SELF INSURANCE TRUST FUND, A RELATED 501(C)(3) ORGANIZATION. ($1,674,610) NET CHANGE IN INTEREST IN MEMORIAL FOUNDATION, INC., A RELATED 501(C)(3) ORGANIZATION. $4,849,067 FUND BALANCE TRANSFER FROM SOUTHWEST ILLINOIS HEALTH VENTURES, INC., A RELATED 501(C)(3) ORGANIZATION. ($10,722,835) FUND BALANCE TRANSFER TO METRO EAST SERVICES, A RELATED 501(C)(3) ORGANIZATION. ($49,988,735) TOTAL TO FORM 990, PART XI, LINE 9.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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 HOSP SELF INSURANCE TRUST FUND
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	371064809	INSURANCE	IL	501(C)(3)	11-TYPE I	MGI	false
MEMORIAL FOUNDATION INC
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	371186034	FUNDRAISING	IL	501(C)(3)	11-TYPE I	MGI	false
SOUTHWEST ILLINOIS HEALTH VENTURES INC
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	371413286	MANAGEMENT	IL	501(C)(3)	11-TYPE I	MGI	false
MEMORIAL GROUP INC
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	371186035	MANAGEMENT	IL	501(C)(3)	11-III-FI	NA	false
METRO EAST SERVICES INC
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	460838901	HEALTHCARE	IL	501(C)(3)	3	MGI	false

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
MEMORIAL CAPTIVE INSURANCE CO
1850 N CENTRAL AVENUE STE 1700	PHOENIX	AZ	85004	201267507	INSURANCE	AZ	MGI	C CORP	$0	$0	false
MEMORIAL CAPTIVE INSURANCE COMPANY
				981082415	INSURANCE		MGI	C-CORP	$0	$0	false	94 SOLARIS 2ND FLOOR	GEORGETOWN	CAYMAN ISLANDS	CJ	CJ

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