MEMORIAL HEALTH SYSTEM: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HEALTH SYSTEM (EIN 37-1110690)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-05
- IRS object ID
- 201622189349301222
- Schema version
- 2014v6.0
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-05T13:43:09-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 SOUTH WACKER SUITE 800 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | 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 | ROBERT W KAY | PersonNm |
| Person Title | SR VICE PRESIDENT & CFO | PersonTitleTxt |
| Phone | 2177883198 | PhoneNum |
| Signature | 2016-08-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ZACHARY A FORTSCH | PreparerPersonNm |
| PTIN | P00052725 | PTIN |
| Phone | 3126343400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | 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 | $146,941,244 | 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 | 11 | VotingMembersIndependentCnt |
| Total Employee | 313 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $470,956 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $67,659,615 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $67,631,433 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,859,039 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,734,629 | CYInvestmentIncomeAmt |
| PY Other Revenue | $620,857 | PYOtherRevenueAmt |
| CY Other Revenue | -$1,194,917 | CYOtherRevenueAmt |
| PY Total Revenue | $71,139,511 | PYTotalRevenueAmt |
| CY Total Revenue | $68,171,145 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,577,271 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $568,286 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,130,967 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $35,658,710 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $39,414,435 | PYOtherExpensesAmt |
| CY Other Expenses | $34,016,763 | CYOtherExpensesAmt |
| PY Total Expenses | $73,122,673 | PYTotalExpensesAmt |
| CY Total Expenses | $70,243,759 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,983,162 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,072,614 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $245,015,648 | TotalAssetsBOYAmt |
| Total Assets EOY | $280,951,548 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $130,539,740 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $151,695,218 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $114,475,908 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $129,256,330 | 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 | $33,233,537 | ExpenseAmt |
| Revenue | $1,559,320 | RevenueAmt |
| Desc | INFORMATION TECHNOLOGYMEMORIAL HEALTH SYSTEM IS PROACTIVE IN IMPLEMENTING TECHNOLOGY THAT BOTH IMPROVES PATIENT SAFETY, QUALITY AND CLINICAL EFFECTIVENESS, AND IMPROVES MEMORIAL HEALTH SYSTEM'S BUSINESS PROCESSES. MEMORIAL HEALTH SYSTEM'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 AND BUSINESS APPLICATIONS. DURING FY2015 SIGNIFICANT INFORMATION TECHNOLOGY PROJECTS INCLUDED COMPLETION OF MIGRATION OF OVER 5000 PCS TO WINDOWS 7, EMS ED AMBULANCE COMMUNICATION UPGRADE, MUTARE OR FAMILY COMMUNICATION PROJECT, THE IMPLEMENTATION OF BEDSIDE BARCODE MEDICATION ADMINISTRATION, VIDEO SECURITY PROJECT, CITRIX UPGRADE 2008 FOR CERNER MILLENNIUM, WIRELESS CONTROLLER UPGRADE. THE IMPLEMENTATION OF PATIENT EDUCATION SYSTEM (TIGR), HUGS INFANT SECURITY SYSTEM MIGRATION, LAPTOP AND EMAIL ENCRYPTION, VOICE RECOGNITION SOFTWARE IN HOSPITAL AND AMBULATORY CLINICS, MAINTAINED MEANINGFUL USE STAGE 1(PREPARING FOR STAGE 2), DATA CENTER REFRESH AT ALMH AND TMH, BROUGHT JACKSONVILLE MOB AND VINE STREET CLINIC ONTO THE ENTERPRISE NETWORK, FINALIZED THE DESIGN OF SECONDARY DATA CENTER, PATHNET (MIGRATION FROM CLASSIC LAB), IRHN NETWORK, SEPSIS RULE FOR CARE IMPROVEMENT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,761,387 | ExpenseAmt |
| Revenue | $1,099,418 | RevenueAmt |
| Desc | BUILDING AND FACILITY EXPANSION AND IMPROVEMENTSMEMORIAL HEALTH SYSTEM'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. DEVELOPING ADDITIONAL CAPACITY TO SERVE THE COMMUNITY IS A PRIMARY OBJECTIVE TO FULFILLING OUR MISSION BOTH IN THE SHORT TERM AS WELL AS IN THE LONG TERM. IN 2015, MEMORIAL MEDICAL CENTER, AN AFFILIATE OF MEMORIAL HEALTH SYSTEM, CONTINUED WORK ON THE MOST SIGNIFICANT EXPANSION PROJECT IN THE 113 YEAR HISTORY OF THE ORGANIZATION. THE TOTAL PROJECT COST IS APPROXIMATELY $152M AND ENCOMPASSES FOUR SPECIFIC COMPONENTS. IN MARCH 2015, THE FIRST PHASE OF THE SURGICAL SUITE EXPANSION OPENED PROVIDING 4 OF THE PLANNED 6 NEW OPERATING ROOMS TO MEET INCREASING CASE VOLUMES. IN MAY 2015, MEMORIAL OPENED THE CENTER FOR LEARNING AND INNOVATION. THE "MCLI" (MEMORIAL CENTER FOR LEARNING AND INNOVATION) IS DESIGNED TO PROVIDE STATE OF THE ART CLINICAL TRAINING FACILITIES FOR PHYSICIANS, RESIDENTS, MEDICAL STUDENTS, NURSING STAFF, AND ALL OTHER EMPLOYEES. THIS FACILITY IS ALSO TO BE USED TO IMPROVE MEDICAL EDUCATION THROUGH PARTNERSHIP WITH THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. IN NOVEMBER 2015, THE PATIENT CARE TOWER EXPANSION WAS COMPLETED AND OPERATIONAL PROVIDING 114 PRIVATE PATIENT ROOMS. THIS ADDITION WILL ENABLE THE MEDICAL CENTER TO ONE DAY PROVIDE ALL PRIVATE ROOMS TO ITS PATIENTS. EVIDENCE HAS SHOWN IMPROVED HEALTHCARE OUTCOMES FOR PATIENTS STAYING IN PRIVATE ROOMS DUE TO REDUCED HOSPITAL ACQUIRED INFECTION RATES AND A MORE PEACEFUL HEALING ENVIRONMENT. FINALLY, THE MEMORIAL MEDICAL CENTER PHYSICAL PLANT MODERNIZATION WAS BROUGHT ON LINE INCREMENTALLY TO PROVIDE THE UTILITIES NEEDED TO SUPPORT THE EXPANDED CAPACITY AS WELL AS INCORPORATING HIGH EFFICIENCY RETROFITS TO ACHIEVE SUSTAINABILITY GOALS FOR THE FUTURE OF THE MEDICAL CENTER. CLINICAL PROJECTS THAT BEGAN IN FY2015: - 4TH & CARPENTER SIU CENTER FOR FAMILY MEDICINE ADDITION & RENOVATION - EXPANDING THE EXISTING FACILITY WITH A 30,315 SQUARE FEET ADDITION CONTAINING ALL NEW CLINICAL SPACE AND RENOVATING THE EXISTING BUILDING TO INCREASE OFFICE AND TRAINING SPACE FOR SIU FEDERALLY QUALIFIED HEALTH CENTER (FQHC). - 4C/4A ORTHOPEDIC INPATIENT REHAB RENOVATION - TO PROVIDE INPATIENT REHAB AN ADEQUATE SPACE FOR AN OPEN CONCEPT PATIENT PRACTICE GYM AS WELL AS STORAGE FOR ALL THEIR EQUIPMENT AND WHEELCHAIRS. ADDITIONALLY, BUILDING OFFICES FOR SUPPORT STAFF. - RESIDENT SLEEP ROOMS - PROVIDE 6 NEW RESIDENT SLEEP ROOMS AT MEMORIAL MEDICAL CENTER ON 4A TO SUPPORT CLINICAL OPERATIONS. OTHER PROJECTS COMPLETED FOR THE MEDICAL CENTER INCLUDE: - 201 E. MADISON ADMINISTRATIVE BUILDING - AT A COST OF APPROXIMATELY $14M. REMODELED AND ADDED AN INTERIOR STRUCTURAL ADDITION CONSISTING OF 20,000 SQUARE FEET OF STRUCTURAL FLOOR SYSTEM IN THE EXISTING WAREHOUSE, BUILD-OUT OF OFFICE SPACE, UPGRADED THE HVAC AND LIGHTING AND PARKING LOT IMPROVEMENTS. - MEMORIAL INFORMATION SYSTEMS BUILDING VARIABLE AIR VOLUME (VAV) BOX CONVERSION - A SUSTAINABILITY MEASURE TO REDUCE OPERATIONAL COST. AT A COST OF APPROXIMATELY $600K, REPLACED ALL VAV BOXES THAT WERE ORIGINAL TO THE BUILDING WITH DUAL DAMPER VAV BOXES THAT INCREASED EFFICIENCY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,757,956 | ExpenseAmt |
| Revenue | $60,560,990 | RevenueAmt |
| Desc | SENIOR LEADERSHIPGUIDED BY THE VALUES OF MEMORIAL HEALTH SYSTEM, SENIOR LEADERSHIP IS RESPONSIBLE FOR STRATEGIC PLANNING, PRIORITIZING AMONG COMPETING ISSUES AND ENGAGING IN DIALOGUE AND DECISION-MAKING THAT WILL ENABLE MEMORIAL HEALTH SYSTEM 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 FY2015, 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. TO FURTHER ACCELERATE ADVANCEMENTS IN QUALITY, PATIENT SAFETY AND CLINICAL INNOVATION IN FY2015, MHS EXPANDED THE MIDWEST HEALTH QUALITY ALLIANCE (MHQA) AND LAUNCHED THE QUALITY ALLIANCE PATIENT SAFETY ORGANIZATION (QAPSO) A SUBSIDIARY OF MHQA, BOTH OF WHICH ARE HOUSED IN THE NEW MEMORIAL CENTER FOR LEARNING AND INNOVATION (MCLI). THE MHQA ACHIEVED "MULTI-SPECIALTY PORTFOLIO APPROVAL" FROM THE AMERICAN BOARD OF MEDICAL SPECIALTIES. THIS DESIGNATION ALLOWS THE MHQA TO ASSIST PHYSICIANS IN A WIDE RANGE OF MEDICAL SPECIALTIES AND SUB-SPECIALTIES TO ACHIEVE AND MAINTAIN THEIR SPECIALTY CERTIFICATIONS BY PROVIDING CONTINUING MEDICAL EDUCATION (CME) CURRICULUM ON-SITE ON THE MEMORIAL CAMPUS. THIS YEAR THE MHQA ALSO BECAME THE UMBRELLA ORGANIZATION FOR THE SOUTHERN ILLINOIS UNIVERSITY (SIU) OUTCOMES AND ANALYTICAL RESEARCH (SOAR) PROGRAM. SOAR'S MISSION IS TO UTILIZE AN EVIDENCE-BASED APPROACH TO IMPROVE HEALTHCARE QUALITY FOR THE PEOPLE OF CENTRAL AND SOUTHERN ILLINOIS IN PARTNERSHIP BETWEEN SIU SURGERY AND MEMORIAL. IN FY15 THE MHQA PLANNED ITS FIRST NATIONAL PATIENT SAFETY CONFERENCE IN THE MCLI FEATURING INSTITUTE OF MEDICINE AND FEDERAL AVIATION EXPERTS. WHILE THE PLANNING FOR THIS EVENT WAS COMPLETED IN FY15, THE EVENT TITLED "FUNDAMENTALLY HUMAN - AN INNOVATIVE EXPLORATION OF PATIENT SAFETY" WAS HELD THE FIRST WEEK OF FY16 ON OCTOBER 7, 2015. MHQA WAS ALSO INVITED TO DELIVER THREE POSTER PRESENTATIONS AND ONE PODIUM PRESENTATION AT THE 39TH INTERNATIONAL HOSPITAL FEDERATION WORLD WIDE CONGRESS. THE MHQA PROJECT "IMPROVING THE SUCCESS OF STRATEGIC MANAGEMENT USING BIG DATA" WAS AWARDED TOP PRIZE FOR BEST PRESENTATION AMONG A FIELD OF 119 PRESENTATIONS FROM 19 COUNTRIES. THE AGENCY FOR HEALTHCARE QUALITY AND RESEARCH IN EARLY FY2015 OFFICIALLY CERTIFIED QAPSO AS A FEDERALLY CERTIFIED PATIENT SAFETY ORGANIZATION. THE FEDERAL PATIENT AND SAFETY AND QUALITY IMPROVEMENT ACT OF 2005 ESTABLISHED PATIENT SAFETY ORGANIZATIONS (PSOS) TO IMPROVE PATIENT SAFETY AND REDUCE THE INCIDENCE OF ADVERSE PATIENT SAFETY EVENTS THROUGH DATA SHARING SUPPORTED BY STRONG FEDERAL CONFIDENTIALITY AND PRIVILEGE PROTECTIONS.MHS AND SOUTHERN ILLINOIS UNIVERSITY HEALTHCARE(SIU)WERE THE FIRST QAPSO CLIENTS. SINCE ACHIEVING FEDERAL PSO CERTIFICATION, TWO OTHER HEALTH SYSTEMS, TWO AMBULANCE COMPANIES, AND FIVE SKILLED NURSING HOMES HAVE JOINED QAPSO TO ACCELERATE THEIR PATIENT SAFETY AND QUALITY IMPROVEMENT EFFORTS. THE LARGEST MULTI-SPECIALTY PHYSICIAN GROUP IN THE REGION WAS EXTENDED AN INVITATION TO ALSO JOIN QAPSO IN FY15 AND IS EXPECTED TO JOIN THE ORGANIZATION IN FY16. THE LEAN SIX SIGMA(LSS)PROCESS IMPROVEMENT PROGRAM GREW THIS YEAR WITH 43% GROWTH IN THE NUMBER OF CERTIFIED BLACK, GREEN AND WHITE BELTS, 32% GROWTH IN THE NUMBER OF LLS PROJECTS COMPLETED AND AN AVERAGE OF 43% IMPROVEMENT IN OUTCOMES. IN ADDITION TO IMPROVEMENTS IN QUALITY AND PATIENT SAFETY, THESE LSS PROJECTS REDUCED EXPENSES RELATED TO "REWORK AND "WASTE" BY $5,300,000. IN THE AREA OF SYSTEM FACILITY PLANNING AND MANAGEMENT CONSTRUCTION MHS'S FLAGSHIP HOSPITAL SUBSTANTIALLY COMPLETED THE NEW CONSTRUCTION PHASE OF ITS MULTI-YEAR EXPANSION PROJECT FOR SEVERAL KEY PROJECT COMPONENTS INCLUDING THE CREATION OF 114 NEW PRIVATE PATIENT ROOMS, EXPANSION OF SURGICAL FACILITIES, CREATION OF A CENTER FOR LEARNING AND INNOVATION AND INFRASTRUCTURE UPGRADES THAT WILL ENABLE ENERGY CONSERVATION FOR OUR ENTIRE CAMPUS. THE FINAL PHASE, THE OPENING OF THE NEW ENTRANCE AND FRONT LOBBY OCCURRED IN EARLY FY16. THE PROJECT TITLED "ADVANCING CARE BY DESIGN" IS IMPROVING PATIENT ACCESS, SAFETY, COMFORT, PRIVACY AND QUALITY OF CARE FOR THOSE WE SERVE AND WILL DO SO FOR DECADES TO COME. AS PART OF ADVANCING CARE BY DESIGN, THE NEW MEMORIAL CENTER FOR LEARNING AND INNOVATION WAS COMPLETED AND OPENED IN THE SPRING OF 2015. HEALTH PROFESSIONS EDUCATION AND COMMUNITY HEALTH EDUCATION IS BEING ENHANCED THROUGH THE MCLI WHICH OFFERS NEW AND ADVANCED PROFESSIONAL EDUCATIONAL OPPORTUNITIES FOR MEMORIAL STAFF, SIU SCHOOL OF MEDICINE FACULTY, RESIDENTS AND STUDENTS AND OTHER REGIONAL HEALTHCARE ACADEMIC PARTNERS. FOR EXAMPLE, THE MCLI INCLUDES A STATE-OF-THE ART CLINICAL SIMULATION CENTER FEATURING TRAUMA, EMERGENCY, AMBULANCE, OBSTETRICS, INPATIENT NURSING, HOME AND OTHER CARE SETTINGS SUCH AS SURGICAL SKILLS LABORATORIES. MEMORIAL HAS ALSO PARTNERED WITH THE UNIVERSITY OF ILLINOIS - SPRINGFIELD AND UNIVERSITY OF ILLINOIS - CHICAGO TO INTRODUCE A NEW BACHELOR'S OF SCIENCE NURSING DEGREE (BSN) IN SPRINGFIELD. THIS PARTNERSHIP, BASED IN THE MCLI, WILL HELP DOWNSTATE ILLINOIS MEET THE GROWING DEMAND FOR HIGHLY QUALIFIED REGISTERED NURSES TO SERVE THE COMMUNITY. MEMORIAL COLLABORATES WITH COMMUNITY PROVIDERS TO SERVE LOW INCOME AND UNINSURED POPULATIONS. IN FY2015, MEMORIAL PURCHASED ADJACENT LAND AND BEGAN CONSTRUCTION ON A FACILITY EXPANSION FOR THE SIU FAMILY AND COMMUNITY MEDICINE CLINIC FEDERALLY QUALIFIED HEALTH CENTER (FQHC). THIS EXPANSION WILL DRAMATICALLY INCREASE THE NUMBER OF POOR AND VULNERABLE PATIENTS SERVED BY THE FQHC. IN ADDITION TO FUNDING THE FACILITY EXPANSION, MEMORIAL MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT SERVICES TO ALL REFERRED SIU FQHC PATIENTS, REGARDLESS OF ABILITY TO PAY. MMC ASSISTS THESE PATIENTS TO APPLY FOR ANY INSURANCE PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND ACCEPTS THE FQHC RECOMMENDED SLIDING SCALE FEE OR, IF THE PATIENT IS NOT ABLE TO PAY HIS/HER PORTION OF THE BILL, THE AMOUNT IS FORGIVEN UNDER THE HOSPITAL'S CHARITY CARE PROGRAM. ALSO IN FY2015, MEMORIAL RENOVATED A FORMER STATE OF ILLINOIS OFFICE BUILDING TO PROVIDE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE (SIUSM) ADMINISTRATIVE SUPPORT SPACE SO THAT MEMORIAL MEDICAL CENTER CAN REPURPOSE EXISTING SPACE WITHIN THE MAIN HOSPITAL FOR CLINICAL USE TO BETTER SERVE HOSPITAL PATIENTS. IN ADDITION, IN FY2015 MEMORIAL HEALTH SYSTEM COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT IDENTIFIED ACCESS TO CARE, OBESITY AND MENTAL HEALTH AS TOP COMMUNITY HEALTH PRIORITIES. AS PART OF THE CHNA PROCESS MMC COMPLETED AN "ENOS PARK ACCESS COLLABORATIVE" IMPLEMENTATION PLAN IN PARTNERSHIP WITH HSHS ST. JOHN'S HOSPITAL IN SPRINGFIELD AND THE SIU SCHOOL OF MEDICINE DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE FEDERALLY QUALIFIED HEALTH CENTER. STARTING IN FY16, MMC AND HSHS ST. JOHN'S HOSPITAL WILL EACH PROVIDE 50% OF THE FUNDING FOR COMMUNITY HEALTH WORKERS (CHW) AND AN ELEMENTARY SCHOOL-BASED MENTAL HEALTH COUNSELOR TO WORK IN THE COMMUNITY. THESE CHW AND MENTAL HEALTH COUNSELORS WILL IDENTIFY HEALTH NEEDS (INCLUDING SOCIAL DETERMINANTS OF HEALTH) AND BARRIERS TO ACCESSING NEEDED SERVICES FOR THE MOST VULNERABLE POPULATIONS IN A TARGETED RESIDENTIAL NEIGHBORHOOD WITH SIGNIFICANT LEVELS OF POVERTY AND OTHER RISK FACTORS. THEY WILL ALSO WORK WITH LOCAL HEALTH AND SOCIAL SERVICE PROVIDERS TO OVERCOME IDENTIFIED BARRIERS TO RECEIVE THE HELP THEY NEED. IN THE AREA OF INFORMATION SYSTEMS, THE TOUCHWORKS ELECTRONIC AMBULATORY HEALTH RECORD WAS IMPLEMENTED AT SIU SCHOOL OF MEDICINE FOR PHYSICIANS SO THAT MEMORIAL PHYSICIAN SERVICES (MPS), SPRINGFIELD CLINIC AND SIU SHARE THE SAME AMBULATORY HEALTH RECORD. THIS PROVIDES REAL-TIME INFORMATION SHARING TO BETTER COORDINATE CARE ACROSS MULTIPLE SITES OF CARE. TO CONTINUE TO IMPROVE THE ORGANIZATION'S POPULATION HEALTH, CHRONIC DISEASE MANAGEMENT AND CARE COORDINATION CAPABILITIES AND INFRASTRUCTURE, A MEMORIAL AMBULATORY HEALTH STRATEGIC PLAN WAS COMPLETED THIS YEAR. 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, P | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,217,814 | ExpenseAmt |
| Grant | $568,286 | GrantAmt |
| Revenue | -$197,119 | 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 FY15, MHS RECORDED A LOSS IN THE BJC COLLABORATIVE, LLC AND IN MIDWEST HEALTHCARE QUALITY ALLIANCE, LLC (MHQA). MHS ALSO HAD MISCELLANEOUS INCOME FOR ENERGY REBATES AT THE NORTH DIRKSEN AND 2401 W JEFFERSON LOCATIONS, 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 | $4,217,814 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $568,286 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | -$197,119 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $49,970,694 | 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 | 0 | 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 | 0 | 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 | 0 | 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 | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 313 | 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 |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | Yes (1) | 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 | ROBERT W KAY SENIOR VP & CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOSEPH HURWITZ | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES BRUNER | |||||||||
| BOARD MEMBER | 1.70 | Yes (X) | $0 | $0 | $0 | ||||
| MARK FERGUSON | |||||||||
| BOARD MEMBER | 1.60 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD LEVI | |||||||||
| BOARD MEMBER | 0.80 | Yes (X) | $0 | $0 | $0 | ||||
| NINA HARRIS | |||||||||
| BOARD MEMBER (THRU DEC 14) | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| HOWARD PETERS III | |||||||||
| BOARD MEMBER | 0.70 | Yes (X) | $0 | $0 | $0 | ||||
| SERGIO PECORI | |||||||||
| BOARD MEMBER | 1.10 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM PUTMAN MD | |||||||||
| BOARD MEMBER | 0.90 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL NEUMEISTER MD | |||||||||
| BOARD MEMBER | 0.70 | Yes (X) | $0 | $0 | $0 | ||||
| DEAN ROBERT JR | |||||||||
| BOARD MEMBER | 0.70 | Yes (X) | $0 | $0 | $0 | ||||
| REGINALD BENTON | |||||||||
| BOARD MEMBER | 0.70 | Yes (X) | $0 | $0 | $0 | 1.40 | |||
| JANET TERRY | |||||||||
| BOARD MEMBER | 0.70 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN BLACKBURN | |||||||||
| CHAIRMAN | 1.70 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| CAROL HANSEN POSEGATE | |||||||||
| SECRETARY (THRU DEC 14) | 0.80 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| DALE BECKER | |||||||||
| TREASURER | 1.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| RANDALL GERMERAAD | |||||||||
| 1ST VICE CHAIR | 0.80 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| DIANE RUTLEDGE PHD | |||||||||
| 2ND VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| GEOFFREY ISRINGHAUSEN | |||||||||
| MEM (THRU DEC 14)/SEC (FROM JAN 15) | 0.70 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| EDGAR CURTIS EX-OFFICIO | |||||||||
| PRESIDENT & CEO | 25.00 | Yes (X) | $1,223,546 | $0 | $1,084,551 | 25.00 | Yes (X) | ||
| ROBERT KAY | |||||||||
| SVP & CFO & ASST TREASURER | 25.00 | $371,032 | $0 | $484,865 | 25.00 | Yes (X) | |||
| MITCHELL JOHNSON | |||||||||
| SVP & CHIEF STRATEGY OFFICER | 25.00 | $401,156 | $0 | $197,768 | 25.00 | Yes (X) | |||
| DAVID GRAHAM MD | |||||||||
| SVP & CIO | 25.00 | $545,083 | $0 | $213,216 | 25.00 | Yes (X) | |||
| RAJESH GOVINDAIAH MD | |||||||||
| SVP & CMO | 25.00 | $549,528 | $0 | $73,600 | 25.00 | Yes (X) | |||
| ROBERT SCOTT | |||||||||
| VP & CHRO | 25.00 | $291,211 | $0 | $51,360 | 25.00 | Yes (X) | |||
| DOUGLAS RAHN DBA | |||||||||
| EVP & COO (THRU MARCH 14) | 25.00 | $526,877 | $145,288 | $291,895 | 25.00 | Yes (X) | |||
| KEVIN ENGLAND | |||||||||
| VP BUSINESS DEVELOPMENT | 25.00 | $343,704 | $0 | $266,480 | 25.00 | Yes (X) | |||
| ANNA EVANS JD | |||||||||
| GEN COUNSEL/VP INT AUDIT & COMPL | 25.00 | $407,065 | $0 | $171,844 | 25.00 | Yes (X) | |||
| CHARLES CALLAHAN PHD | |||||||||
| EVP & COO (FROM APRIL 14) | 25.00 | $0 | $557,424 | $91,923 | 25.00 | Yes (X) | |||
| MELISSA MCGLASSON | |||||||||
| VP FINANCE | 25.00 | $275,973 | $0 | $40,522 | 25.00 | Yes (X) | |||
| AIMEE ALLBRITTON PHD | |||||||||
| VP & CLO | 25.00 | $314,688 | $0 | $61,823 | 25.00 | Yes (X) | |||
| LAURA COSSEY | |||||||||
| SYS DIR INT AUDIT/COMPL | 50.00 | $183,105 | $0 | $31,352 | Yes (X) | ||||
| MADONNA CROMPTON | |||||||||
| SYS DIR CLINICAL INFORMATICS | 50.00 | $172,542 | $0 | $31,077 | Yes (X) | ||||
| JERRY MILLER | |||||||||
| ADMIN IS OPERATIONS | 50.00 | $173,321 | $0 | $32,447 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,778,831 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $702,712 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,124,723 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 46 | 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 |
|---|---|---|---|---|---|
| HAROLD O'SHEA BUILDERS INC | |||||
| 3401 CONSTITUTION DR | SPRINGFIELD | IL | 62711 | CONSTRUCTION | $10,442,638 |
| SIRIUS COMPUTER SOLUTIONS | |||||
| PO BOX 202289 | DALLAS | TX | 75320 | IT EQUIPMENT & SUPPORT SERVICES | $4,373,030 |
| BSA LIFESTRUCTURE INC | |||||
| PO BOX 6069 | INDIANAPOLIS | IN | 46206 | ARCHITECTURAL | $2,737,792 |
| CERNER CORPORATION | |||||
| PO BOX 412702 | KANSAS CITY | MO | 64141 | IT CONSULTING SERVICES | $2,625,539 |
| SPRINGFIELD CLINIC | |||||
| 1025 SOUTH SEVENTH ST | SPRINGFIELD | IL | 62703 | EHR-IT SUPPORT SERVICES | $2,476,290 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 49 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MANAGEMENT FEES | 900099 | $60,990,719 | $60,560,990 | $429,729 |
| PROGRAM RELATED RENT | 900099 | $5,278,513 | $5,278,513 | |
| IT REIMBURSED EXPENSES | 900099 | $1,559,320 | $1,559,320 | |
| MISCELLANEOUS INCOME | 900099 | $170,439 | $170,439 | |
| RELATED PARTNERSHIP IN | 900099 | -$367,558 | -$367,558 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $67,631,433 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,110,259 | TotalRevenueColumnAmt |
| Exclusion | $1,110,259 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,397,680 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,525,148 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$4,127,468 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,127,468 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$4,179,095 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,827 | UnrelatedBusinessRevenueAmt |
| Exclusion | $48,800 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $65,864,321 | SecuritiesAmt |
| Other | $5,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $65,244,951 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $619,370 | SecuritiesAmt |
| Other | $5,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $624,370 | TotalRevenueColumnAmt |
| Exclusion | $624,370 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| BILLING SERVICE | 561000 | $2,751,181 | $38,400 | $2,712,781 |
| ENERGY REBATES | 900099 | $181,370 | $181,370 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,932,551 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,171,145 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,022,609 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $470,956 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,677,580 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $568,286 | TotalAmt |
| Program Services | $568,286 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,757,956 | TotalAmt |
| Program Services | $4,757,956 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,514,446 | TotalAmt |
| Program Services | $14,796,127 | ProgramServicesAmt |
| Management And General | $9,718,319 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,729,719 | TotalAmt |
| Program Services | $1,044,002 | ProgramServicesAmt |
| Management And General | $685,717 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,965,545 | TotalAmt |
| Program Services | $1,693,364 | ProgramServicesAmt |
| Management And General | $1,272,181 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,691,044 | TotalAmt |
| Program Services | $1,037,609 | ProgramServicesAmt |
| Management And General | $653,435 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $719,456 | TotalAmt |
| Management And General | $719,456 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,416 | TotalAmt |
| Management And General | $373,416 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,000 | TotalAmt |
| Management And General | $75,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,159 | TotalAmt |
| Management And General | $252,159 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,086,719 | TotalAmt |
| Program Services | $2,375,551 | ProgramServicesAmt |
| Management And General | $2,711,168 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $856,038 | TotalAmt |
| Management And General | $856,038 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,189,191 | TotalAmt |
| Program Services | $1,540,034 | ProgramServicesAmt |
| Management And General | $1,649,157 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,218,493 | TotalAmt |
| Program Services | $11,136,837 | ProgramServicesAmt |
| Management And General | $81,656 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,039,932 | TotalAmt |
| Program Services | $2,149,394 | ProgramServicesAmt |
| Management And General | $890,538 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,201 | TotalAmt |
| Program Services | $67,190 | ProgramServicesAmt |
| Management And General | $84,011 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,114 | TotalAmt |
| Program Services | $116,651 | ProgramServicesAmt |
| Management And General | $29,463 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,221,631 | TotalAmt |
| Program Services | $1,221,631 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,270,223 | TotalAmt |
| Program Services | $7,211,133 | ProgramServicesAmt |
| Management And General | $59,090 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,561 | TotalAmt |
| Management And General | $148,561 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MINOR PROJECT COSTS | $126,679 | $126,679 | |
| REPAIRS & MAINTENANCE | $121,921 | $121,346 | $575 |
| FOOD & DIETARY | $19,054 | $6,308 | $12,746 |
| SALES TAX | $596 | $596 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379 | TotalAmt |
| Management And General | $379 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,243,759 | TotalAmt |
| Program Services | $49,970,694 | ProgramServicesAmt |
| Management And General | $20,273,065 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,952,632 | BOYAmt |
| EOY | $32,696,790 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,811,321 | BOYAmt |
| EOY | $2,333,011 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,678,010 | BOYAmt |
| EOY | $5,350,306 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $280,133,932 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $92,794,718 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,069,461 | BOYAmt |
| EOY | $187,339,214 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,829,768 | BOYAmt |
| EOY | $46,667,818 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,479,549 | BOYAmt |
| EOY | $1,663,711 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,194,907 | BOYAmt |
| EOY | $4,900,698 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,015,648 | BOYAmt |
| EOY | $280,951,548 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,751,428 | BOYAmt |
| EOY | $12,788,143 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,363 | BOYAmt |
| EOY | $18,729 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,621,684 | BOYAmt |
| EOY | $13,162,349 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,882,548 | BOYAmt |
| EOY | $99,496,090 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,265,717 | BOYAmt |
| EOY | $26,229,907 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,539,740 | BOYAmt |
| EOY | $151,695,218 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,475,908 | BOYAmt |
| EOY | $129,256,330 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,475,908 | BOYAmt |
| EOY | $129,256,330 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,015,648 | BOYAmt |
| EOY | $280,951,548 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,072,614 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,879,716 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $19,732,752 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | Yes (1) | $0 | $0 |
| PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION | ||||
| 370661230 | 3 | Yes (1) | $0 | $0 |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL | ||||
| 370723793 | 3 | Yes (1) | $0 | $0 |
| TAYLORVILLE MEMORIAL HOSPITAL | ||||
| 370661250 | 3 | Yes (1) | $0 | $0 |
| MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS | ||||
| 370646367 | 7 | Yes (1) | $0 | $0 |
| SPRINGFIELD RESIDENTIAL SERVICES | ||||
| 371298589 | 7 | Yes (1) | $0 | $0 |
| ABRAHAM LINCOLN HEALTHCARE FOUNDATION | ||||
| 363492268 | 7 | Yes (1) | $0 | $0 |
| MEMORIAL MEDICAL CENTER FOUNDATION | ||||
| 371110301 | 7 | Yes (1) | $0 | $0 |
| MEMORIAL HOME SERVICES | ||||
| 370714225 | 7 | Yes (1) | $0 | $0 |
| MEMORIAL PHYSICIAN SERVICES | ||||
| 371181194 | 9 | Yes (1) | $0 | $0 |
| MEMORIAL HEALTH VENTURES | ||||
| 363492266 | 9 | Yes (1) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 11 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | 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 | 0 | 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 (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SECTION A, LINE 1 | IN THE MEMORIAL HEALTH SYSTEM GOVERNING DOCUMENTS, THE SUPPORTED ORGANIZATIONS ARE NOT LISTED. HOWEVER, IN ALL SUPPORTED AFFILIATES, WITH THE EXCEPTION OF SPRINGFIELD RESIDENTAL 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 C, LINE 1 | MEMORIAL HEALTH SYSTEM SERVES AS THE SOLE CORPORATE MEMBER OF THE SUPPORTED ORGANIZATIONS. IN ITS CAPACITY AS THE SOLE CORPORATE MEMBER, MEMORIAL HEALTH SYSTEM HAS CERTAIN RESERVED POWERS THAT PROVIDE CONTROL OVER THE SUPPORTED ORGANIZATIONS. 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 | $75,000 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $75,000 | 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 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 | $1,451,239 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $23,098,249 | OtherCostOrOtherBasisAmt |
| Book Value | $24,549,488 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $111,843,474 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $68,045,664 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,414,952 | DepreciationAmt |
| Book Value | $138,474,186 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,597,177 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $61,866,218 | OtherCostOrOtherBasisAmt |
| Depreciation | $49,929,245 | DepreciationAmt |
| Book Value | $13,534,150 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $859,329 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $11,372,582 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,450,521 | DepreciationAmt |
| Book Value | $10,781,390 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $187,339,214 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $10,079,863 |
| WORKERS' COMPENSATION | $314,831 |
| RESERVE FOR POST EMPLOYMENT BENEFITS | $2,927,800 |
| DUE TO AFFILIATES | $21,422 |
| SWAP LIABILITY | $2,726,255 |
| RESTORATION PLAN | $8,559,736 |
| CONTRIBUTION PAYABLE | $1,600,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $26,229,907 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $78,818,548 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$2,879,716 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $43,404 | OtherRevenueAmt |
| Revenue Not Reported | -$2,836,312 | RevenueNotReportedAmt |
| Revenue Subtotal | $81,654,860 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $252,159 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$13,735,874 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$13,483,715 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $68,171,145 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $81,533,721 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $11,542,121 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $11,542,121 | ExpensesNotReportedAmt |
| Expenses Subtotal | $69,991,600 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $252,159 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $252,159 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $70,243,759 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | 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, 2015 OR 2014. MEMORIAL PROPERTIES (MP) 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 ASSOCATION (PPA) IS A TAXABLE NOT-FOR-PROFIT CORPORATION. BOTH ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | NONOPERATING CHANGE IN FV OF INT RATE SWAPS 43,404. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | REIMBURSED IT EXPENSES 1,559,320. RENTAL EXPENSES REPORTED IN F/S AS EXPENSE 990 AS NET -13,525,148. RELATED PARTNERSHIP INCOME BOOK/TAX DIFFERENCE 268. REIMBURSED EXEC SALARIES IN MGMT FEE -1,770,314. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES REPORTED IN F/S AS EXPENSE 990 AS NET 13,525,148. REIMBURSED IT EXPENSES -1,559,320. NONOPERATING OTHER EXPENSE -423,707. |
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 | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| UNITED WAY OF CENTRAL ILLINOIS INC | ||||||||
| 1999 WEST WABASH AVENUE SUITE 107 | SPRINGFIELD | IL | 62704 | 370716060 | 501(C)(3) | $151,603 | SUPPORT FOR UNITED WAY COMMUNITY FUND. | |
| GREATER SPRINGFIELD CHAMBER OF COMMERCE | ||||||||
| 1011 S SECOND STREET | SPRINGFIELD | IL | 62704 | 370710280 | 501(C)(6) | $90,050 | SEE PART IVPARTICIPATE IN A PUBLIC AND PRIVATE ECONOMIC GROWTH PARTNERSHIP LED BY THE CHAMBER OF COMMERCE. | |
| HOSPITAL SISTERS MISSION OUTREACH | ||||||||
| PO BOX 1665 | SPRINGFIELD | IL | 62705 | 352271729 | 501(C)(3) | $33,724 | SEE PART IV RESPONDS TO THE SICK, POOR AND NEEDY THROUGH MEDICAL EQUIPMENT AND SUPPLY RECOVERY AND DISTRIBUTION PROGRAM AND EDUCATION AND AWARENESS OPPORTUNITIES. | |
| 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. | |
| KIDZEUM OF HEALTH AND SCIENCE | ||||||||
| PO BOX 9863 | SPRINGFIELD | IL | 62791 | 371320003 | 501(C)(3) | $150,000 | SEE PART IVPROVIDE SUPPORT FOR THE KIDZEUM HEALTH AND SCIENCE MUSEUM WHICH HAS A VERY STRONG HEALTH EDUCATION COMPONENT FOR CHILDREN. | |
| CENTRAL ILLINOIS FOODBANK INC | ||||||||
| 1937 E COOK ST | SPRINGFIELD | IL | 62703 | 371106465 | 501(C)(3) | $9,664 | SEE PART IVPROVIDE SUPPORT TO COLLECT AND DISTRIBUTE FOOD TO CHARITABLE AGENCIES THAT SERVE PEOPLE IN NEED. | |
| ILLINOIS EXECUTIVE MANSION ASSOCIATION | ||||||||
| 410 E JACKSON STREET | SPRINGFIELD | IL | 62703 | 237244796 | 501(C)(3) | $10,000 | SEE PART IVPROVIDE COMMUNITY SUPPORT FOR FUNDRAISING TO REPAIR THE STATE OF ILLINOIS EXECUTIVE MANSION AND RELIEVE THE BURDEN FOR GOVERNMENT/TAXPAYERS. | |
| SPARC | ||||||||
| 1 SPARC CENTER PLAZA 232 BRUNS LANE | SPRINGFIELD | IL | 62702 | 370717761 | 501(C)(3) | $10,000 | SEE PART IVPROVIDE SUPPORT TO HELP INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES IMPROVE THE QUALITY OF THEIR LIVES. | LANE |
| SPRINGFIELD URBAN LEAGUE INC | ||||||||
| 100 NORTH ELEVENTH STREET | SPRINGFIELD | IL | 62703 | 370765550 | 501(C)(3) | $10,000 | SEE PART IVPROVIDE SUPPORT TO ASSIST INDIVIDUALS AND COMMUNITIES TO REACH THEIR FULLEST POTENTIAL AND TO CLOSE EQUALITY GAPS FOR PEOPLE AT ALL ECONOMIC LEVELS AND STAGES OF LIFE. | |
| AMERICAN LUNG ASSOCIATION OF THE UPPER MIDWEST | ||||||||
| 3000 KELLY LANE | SPRINGFIELD | IL | 62711 | 204392201 | 501(C)(3) | $9,900 | SEE PART IVPROVIDE SUPPORT TO RAISE FUNDS AND AWARENESS FOR LUNG CANCER AND ASTHMA. | |
| OLD STATE CAPITOL FOUNDATION | ||||||||
| PO BOX 502 | SPRINGFIELD | IL | 62705 | 371294171 | 501(C)(3) | $9,000 | SEE PART IVPROVIDE COMMUNITY SUPPORT FOR EDUCATION PROGRAM ON HISTORY OF MEDICAL CARE DURING THE CIVIL WAR AND THE PROGRESS OF MODERN MEDICINE. | |
| 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. | |
| ABRAHAM LINCOLN COUNCIL INC BSA | ||||||||
| 5231 S 6TH STREET | SPRINGFIELD | IL | 62703 | 370661493 | 501(C)(3) | $5,000 | SEE PART IVPROVIDE SUPPORT TO PREPARE YOUNG PEOPLE TO MAKE ETHICAL CHOICES OVER THEIR LIFETIME BY INSTILLING IN THEM THE VALUES OF THE SCOUT OATH & LAW. | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 12 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
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) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| 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 (15 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 | $743,747 | $0 | $393,803 | $0 | $85,996 | $0 | $1,041,582 | $0 | $42,969 | $0 | $2,308,097 | $0 | $0 | $0 |
| ROBERT KAY | ||||||||||||||
| SVP & CFO & ASST TREASURER | $355,760 | $0 | $0 | $0 | $15,272 | $0 | $466,001 | $0 | $18,864 | $0 | $855,897 | $0 | $0 | $0 |
| MITCHELL JOHNSON | ||||||||||||||
| SVP & CHIEF STRATEGY OFFICER | $270,158 | $0 | $115,610 | $0 | $15,388 | $0 | $157,516 | $0 | $40,252 | $0 | $598,924 | $0 | $0 | $0 |
| DAVID GRAHAM MD | ||||||||||||||
| SVP & CIO | $373,189 | $0 | $158,266 | $0 | $13,628 | $0 | $198,558 | $0 | $14,658 | $0 | $758,299 | $0 | $0 | $0 |
| RAJESH GOVINDAIAH MD | ||||||||||||||
| SVP & CMO | $370,799 | $0 | $158,281 | $0 | $20,448 | $0 | $66,406 | $0 | $7,194 | $0 | $623,128 | $0 | $0 | $0 |
| ROBERT SCOTT | ||||||||||||||
| VP & CHRO | $213,671 | $0 | $66,000 | $0 | $11,540 | $0 | $30,319 | $0 | $21,041 | $0 | $342,571 | $0 | $0 | $0 |
| DOUGLAS RAHN DBA | ||||||||||||||
| EVP & COO (THRU MARCH 14) | $324,344 | $119,496 | $188,757 | $0 | $13,776 | $25,792 | $193,948 | $77,435 | $15,277 | $5,235 | $736,102 | $227,958 | $0 | $0 |
| KEVIN ENGLAND | ||||||||||||||
| VP BUSINESS DEVELOPMENT | $224,527 | $0 | $82,352 | $0 | $36,825 | $0 | $213,478 | $0 | $53,002 | $0 | $610,184 | $0 | $0 | $0 |
| ANNA EVANS JD | ||||||||||||||
| GEN COUNSEL/VP INT AUDIT & COMPL | $302,277 | $0 | $93,785 | $0 | $11,003 | $0 | $147,179 | $0 | $24,665 | $0 | $578,909 | $0 | $0 | $0 |
| CHARLES CALLAHAN PHD | ||||||||||||||
| EVP & COO (FROM APRIL 14) | $0 | $357,710 | $0 | $161,616 | $0 | $38,098 | $0 | $69,971 | $0 | $21,952 | $0 | $649,347 | $0 | $0 |
| MELISSA MCGLASSON | ||||||||||||||
| VP FINANCE | $201,500 | $0 | $61,200 | $0 | $13,273 | $0 | $37,449 | $0 | $3,073 | $0 | $316,495 | $0 | $0 | $0 |
| AIMEE ALLBRITTON PHD | ||||||||||||||
| VP & CLO | $215,233 | $0 | $66,070 | $0 | $33,385 | $0 | $45,437 | $0 | $16,386 | $0 | $376,511 | $0 | $0 | $0 |
| LAURA COSSEY | ||||||||||||||
| SYS DIR INT AUDIT/COMPL | $154,946 | $0 | $24,348 | $0 | $3,811 | $0 | $12,526 | $0 | $18,826 | $0 | $214,457 | $0 | $0 | $0 |
| MADONNA CROMPTON | ||||||||||||||
| SYS DIR CLINICAL INFORMATICS | $154,387 | $0 | $11,784 | $0 | $6,371 | $0 | $21,434 | $0 | $9,643 | $0 | $203,619 | $0 | $0 | $0 |
| JERRY MILLER | ||||||||||||||
| ADMIN IS OPERATIONS | $149,104 | $0 | $23,527 | $0 | $690 | $0 | $9,851 | $0 | $22,596 | $0 | $205,768 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | CHARTER TRAVEL IS OCCASIONALLY PROVIDED FOR THE CONVENIENCE OF EXECUTIVES/KEY EMPLOYEES ATTENDING OFF-SITE BUSINESS RELATED MEETINGS. CHARTER TRAVEL IS NOT TAXABLE INCOME TO THE INDIVIDUAL BECAUSE IT IS RELATED TO BUSINESS TRAVEL. ROBERT SCOTT RECEIVED A TEMPORARY HOUSING ALLOWANCE IN CALENDAR YEAR 2014 IN THE AMOUNT OF $5,000, WHICH WAS TREATED AS TAXABLE COMPENSATION AND IS LISTED AS OTHER COMPENSATION ON SCHEDULE J, PART II, COLUMN (B)(III). |
| PART I, LINE 1B | MEMORIAL HEALTH SYSTEM DOES HAVE A BUSINESS TRAVEL POLICY THAT DISCUSSES REIMBURSEMENT OF TRAVEL EXPENSES AND RELATED APPROVALS. THE POLICY IS NOT SPECIFIC TO CHARTER TRAVEL, HOWEVER REIMBURSEMENT FOR CHARTER TRAVEL MUST FOLLOW THE APPROPRIATE SIGNATORY GUIDELINES. A WRITTEN POLICY DOES NOT EXIST REGARDING THE ISSUANCE OF A HOUSING ALLOWANCE, HOWEVER A WRITTEN CONTRACT OUTLINING THE TERMS AND CONDITIONS OF SUCH HOUSING ALLOWANCE WAS EXECUTED BETWEEN THE PARTIES. |
| 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 MHS BOARD AT THE 50TH PERCENTILE OF THE RELEVANT COMPENSATION RANGE, AS DETERMINED BY THE INDEPENDENT COMPENSATION CONSULTANTS. INCENTIVE COMPENSATION WAS CONTINGENT ON THE ACHIEVEMENT OF FOUR SPECIFIC PERFORMANCE METRICS OF MHS, AS DEFINED BY THE MHS BOARD. OTHER COMPENSATION IS COMPRISED PRIMARILY OF A PORTION OF MR. CURTIS' PAID TIME OFF BANK CASHED IN AND PAID TIME OFF DONATED BACK TO MEMORIAL MEDICAL CENTER FOUNDATION'S ANNUAL FUNDRAISING CAMPAIGN. RETIREMENT COMPENSATION REFLECTS AN INCREASE IN RETIREMENT BENEFITS OWED BY MHS UPON RETIREMENT OF MR. CURTIS. THIS CHANGE IS DRAMATICALLY IMPACTED BY ACTUARIAL ASSUMPTIONS OF THE RETIREMENT PLAN, WHICH HAVE HISTORICALLY INCLUDED DRAMATIC CHANGES IN THE DISCOUNT RATE. NORMAL RETIREMENT COMPENSATION FOR THE YEAR WAS $163,606. LASTLY, NONTAXABLE BENEFITS REFLECT THE VALUE OF HEALTH (MEDICAL, DENTAL, LIFE INSURANCE) BENEFITS RECEIVED DURING THE YEAR AS WELL AS CHANGES IN ACTUARIAL VALUE OF THE POSTRETIREMENT HEALTH CARE INSURANCE REIMBURSEMENT PLAN. |
| PART I, LINE 4B | THE ORGANIZATION OR A RELATED ORGANIZATION, MEMORIAL MEDICAL CENTER, PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO THE FOLLOWING OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES: AIMEE ALLBRITTON, PH.D., $24,887, CHARLES CALLAHAN, PH.D., $43,418, EDGAR CURTIS, $1,008,282, KEVIN ENGLAND, $187,960, ANNA EVANS, J.D., $129,404, RAJESH GOVINDAIAH, M.D., $51,100, DAVID GRAHAM, M.D., $180,558, MITCHELL JOHNSON, $124,471, ROBERT KAY, $437,801, MELISSA MCGLASSON, $20,808, DOUGLAS RAHN, D.B.A., $253,383, AND ROBERT SCOTT, $22,519. THESE BENEFITS ARE PROVIDED THROUGH A NONQUALIFIED DEFERRED COMPENSATION PLAN, UNDER WHICH THE BENEFITS BEING EARNED ARE SUBJECT TO A "SUBSTANTIAL RISK OF FORFEITURE." THE SUPPLEMENTAL RETIREMENT BENEFITS ARE STRUCTURED TO PROVIDE A RETENTION INCENTIVE THAT HAS BEEN DETERMINED BY THE LEADERSHIP COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM TO BE OF SUBSTANTIAL VALUE TO THE ORGANIZATION. 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: KEVIN ENGLAND, $10,152, AND DOUGLAS RAHN, D.B.A., $12,055. 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 SENIOR LEADERS, IN A MANNER INTENDED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL INCOME TAX LAW. |
| SCHEDULE J, PART II, COLUMN (D) | MEMORIAL HEALTH SYSTEM PROVIDES A POSTRETIREMENT HEALTH CARE INSURANCE REIMBURSEMENT PLAN TO CERTAIN EXECUTIVES AND PHYSICIANS TO REIMBURSE HEALTH INSURANCE COSTS INCURRED BY THE RETIREES AND THEIR SPOUSES. THE CHANGE IN THE ACTUARIAL VALUE OF THE PLAN IS REPORTED ON SCHEDULE J, PART II, COLUMN (D) AS A NONTAXABLE BENEFIT. SCHEDULE J, PART II, COLUMN (D) ALSO INCLUDES OTHER NONTAXABLE BENEFITS SUCH AS MEDICAL, DENTAL, AND LIFE INSURANCE. |
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 | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $9,730,000 | $31,100,606 | $329,438 | $110,306 | $19,254,302 | $11,406,560 | 2004 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $3,765,000 | $147,556,074 | $1,350,000 | $146,206,074 | 2011 | 0 | 0 | Yes (1) | Yes (1) | ||
| C | $60,471,350 | $60,471,350 | 2015 | 0 | 0 | 0 | Yes (1) | ||||
| D | $60,000,000 | $60,000,000 | 2015 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00000 | 0.00340 | 0.00340 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00000 | 0.01840 | 0.01840 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | ||
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 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: ONE SCHEDULE K WAS COMPLETED AT THE PARENT LEVEL ONLY. HOWEVER, EACH AFFILIATE IS STILL SHOWING ITS ALLOCATION OF THE LIABILITY ON THE BALANCE SHEET, AS CAN BE SEEN ON THE GROUP RETURN. 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. 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 L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| LEVI RAY AND SHOUP INC | |||
| SEE PART V BOARD MEMBER IS OWNER OF LEVI, RAY AND SHOUP, INC. | $242,977 | SEE PART VMEMORIAL HEALTH SYSTEM PAID FEES TO LEVI, RAY AND SHOUP, INC. FOR SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2015 IN THE AMOUNT OF $242,977. 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. | 0 |
| SPRINGFIELD CLINIC LLP | |||
| PART V BOARD MEMBER IS PARTNER AND BOARD MEMBER OF SPRINGFIELD CLINIC, LLP | $2,234,338 | SEE PART VMEMORIAL HEALTH SYSTEM PAID FEES TO SPRINGFIELD CLINIC FOR SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2015 IN THE AMOUNT OF $2,234,338. A PHYSICIAN AND BOARD MEMBER OF THIS COMPANY, WILLIAM D. PUTMAN, M.D. IS ALSO A BOARD MEMBER OF MEMORIAL HEALTH SYSTEM'S BOARD OF DIRECTORS. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | MEMORIAL HEALTH SYSTEM BOARD MEMBERS JAMES BRUNER, RICHARD LEVI, AND SERGIO PECORI ARE ALL ON THE ILLINOIS NATIONAL BANK BOARD OF DIRECTORS. MEMORIAL HEALTH SYSTEM BOARD MEMBER NINA HARRIS AND KEY EMPLOYEE MITCHELL JOHNSON ARE BOARD MEMBERS OF SECURITY BANK. WILLIAM PUTMAN, M.D. IS A MHS BOARD MEMBER AND IS A BOARD MEMBER OF SPRINGFIELD CLINIC, LLP. TODD WISE AND DIANE RUTLEDGE, PH.D. ARE BOTH MMC BOARD MEMBERS. MR. WISE IS AN OFFICER AND DIRECTOR OF UNITED COMMUNITY BANK, WHERE MS. RUTLEDGE IS ALSO A UCB BOARD MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE CORPORATION CONTAINS 101 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 A, LINE 7B | INDIVIDUAL MEMBERS OF THE CORPORATION HAVE NO VOTING RIGHTS WITH RESPECT TO THE MANAGEMENT, CONTROL OR OPERATION OF THE AFFAIRS AND PROPERTIES OF THE CORPORATION. ONLY THE BOARD OF DIRECTORS CAN MAKE DECISIONS IN THAT REGARD. |
| FORM 990, PART VI, SECTION B, LINE 11 | 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 DISINTERESTED 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 SITUATED 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). |
| FORM 990, PART XI, LINE 9: | NONOPERATING RECONCILING ITEMS 467,111. CHANGE IN UNRESTRICTED NET ASSETS 17,495,595. EXEC SALARIES IN MGMT FEE INCOME 1,770,314. RELATED PARTNERSHIP BOOK/TAX DIFF -268. |
| SCHEDULE R, PART V, LINE 2 | MEMORIAL HEALTH SYSTEM COLLECTED RENTAL INCOME FROM AFFILIATES DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2015. THE VALUES LISTED IN SCHEDULE R, PART V, LINE 2 WERE DETERMINED USING FAIR MARKET VALUE. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTH PARTNERS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 NORTH 1ST STREET | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62781 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463947269 | EIN |
| Primary Activities | TO COORDINATE PATIENT CARE ACTIVITIES ACROSS THE HEALTHCARE CONTINUUM | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Total Income | $115,440 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTH SYSTEM | BusinessNameLine1Txt |
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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIAL MEDICAL CENTER | |||||||||||
| 701 NORTH FIRST ST | SPRINGFIELD | IL | 627810001 | 370661220 | HOSPITAL SERVICES | IL | 501(C)(3) | 170(B)(1)(A) (III) | MEMORIAL HEALTH SYSTEM | Yes (1) | |
| MEMORIAL HEALTH VENTURES | |||||||||||
| 701 NORTH FIRST ST | SPRINGFIELD | IL | 627810001 | 363492266 | HEALTHCARE ACTIVITIES | IL | 501(C)(3) | 509(A)(2) | MEMORIAL HEALTH SYSTEM | Yes (1) | |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL | |||||||||||
| 200 STAHLHUT DR | LINCOLN | IL | 62656 | 370723793 | HOSPITAL SERVICES | IL | 501(C)(3) | 170(B)(1)(A) (III) | MEMORIAL HEALTH SYSTEM | Yes (1) | |
| TAYLORVILLE MEMORIAL HOSPITAL | |||||||||||
| 201 EAST PLEASANT | TAYLORVILLE | IL | 62568 | 370661250 | HOSPITAL SERVICES | IL | 501(C)(3) | 170(B)(1)(A) (III) | 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) | 170(B)(1)(A) (VI) | MEMORIAL HEALTH SYSTEM | Yes (1) | |
| MEMORIAL PHYSICIAN SERVICES | |||||||||||
| 701 NORTH FIRST ST | SPRINGFIELD | IL | 627810001 | 371181194 | HEALTH CLINICS | IL | 501(C)(3) | 509(A)(2) | 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) | 170(B)(1)(A) (VI) | 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) | 170(B)(1)(A) (VI) | 0 | N/A | |
| 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) | 170(B)(1)(A) (VI) | 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) | 170(B)(1)(A) (VI) | 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) | 170(B)(1)(A) (VI) | 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) | 170(B)(1)(A) (III) | 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) | 509(A)(3)TYPE I | PASSAVANT MEM AREA HOSPITAL ASSOCIATION | Yes (1) | |
| JACKSONVILLE CRNA'S INC | |||||||||||
| 1600 WEST WALNUT | JACKSONVILLE | IL | 62650 | 273083265 | CRNA SERVICES | IL | 501(C)(3) | 509(A)(3)TYPE I | 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | 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 | MEMORIAL HOME SERVICES | C | Yes (1) |
| PASSAVANT PHYSICIAN ASSOCIATION | |||||||||
| 1600 WEST WALNUT | JACKSONVILLE | IL | 62650 | 261200566 | PHYSICIAN SERVICES | IL | PASSAVANT MEM AREA HOSPITAL ASSOCIATION | 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 | 0 | 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 | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (43 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MEMORIAL HEALTH VENTURES | ||
| A | $501,187 | FMV |
| MEMORIAL HOME SERVICES | ||
| A | $126,387 | FMV |
| MEMORIAL MEDICAL CENTER | ||
| A | $2,465,253 | FMV |
| MEMORIAL PHYSICIAN SERVICES | ||
| A | $1,928,655 | FMV |
| MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS | ||
| A | $6,643 | FMV |
| MEMORIAL PHYSICIAN SERVICES | ||
| B | $9,177,562 | FMV |
| MEMORIAL HEALTH VENTURES | ||
| J | $501,187 | FMV |
| MEMORIAL HOME SERVICES | ||
| J | $126,387 | FMV |
| MEMORIAL MEDICAL CENTER | ||
| J | $2,465,253 | FMV |
| MEMORIAL PHYSICIAN SERVICES | ||
| J | $1,928,655 | FMV |
| MEMORIAL MEDICAL CENTER | ||
| K | $150,373 | FMV |
| MEMORIAL PHYSICIAN SERVICES | ||
| K | $458,352 | FMV |
| MEMORIAL MEDICAL CENTER | ||
| L | $335,379 | FMV |
| MEMORIAL HEALTH VENTURES | ||
| L | $332,617 | FMV |
| MEMORIAL PHYSICIAN SERVICES | ||
| L | $2,039,985 | FMV |
| MEMORIAL MEDICAL CENTER | ||
| M | $548,970 | FMV |
| MEMORIAL MEDICAL CENTER | ||
| N | $892,010 | FMV |
| MEMORIAL HOME SERVICES | ||
| N | $126,387 | FMV |
| MEMORIAL MEDICAL CENTER | ||
| O | $4,325,351 | FMV |
| MEMORIAL PHYSICIAN SERVICES | ||
| O | $353,967 | FMV |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL | ||
| O | $133,284 | FMV |
| TAYLORVILLE MEMORIAL HOSPITAL | ||
| O | $121,880 | FMV |
| MEMORIAL MEDICAL CENTER | ||
| P | $6,364,333 | FMV |
| MEMORIAL PHYSICIAN SERVICES | ||
| P | $496,460 | FMV |
| MEMORIAL MEDICAL CENTER | ||
| Q | $4,678,708 | FMV |
| MEMORIAL HOME SERVICES | ||
| Q | $110,083 | FMV |
| MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS | ||
| Q | $73,892 | FMV |
| MEMORIAL PHYSICIAN SERVICES | ||
| Q | $2,561,490 | FMV |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL | ||
| Q | $305,353 | FMV |
| TAYLORVILLE MEMORIAL HOSPITAL | ||
| Q | $227,729 | FMV |
| PASSAVANT AREA MEMORIAL HOSPITAL | ||
| Q | $180,781 | FMV |
| MEMORIAL MEDICAL CENTER | ||
| C | $29,624,835 | FMV |
| MEMORIAL MEDICAL CENTER | ||
| H | $183,114 | FMV |
| MEMORIAL HEALTH VENTURES | ||
| B | $2,500,000 | FMV |
| MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS | ||
| A | $26,448 | FMV |
| MEMORIAL MEDICAL CENTER | ||
| L | $45,629,115 | FMV |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL | ||
| L | $2,389,613 | FMV |
| TAYLORVILLE MEMORIAL HOSPITAL | ||
| L | $2,174,641 | FMV |
| MEMORIAL PHYSICIAN SERVICES | ||
| L | $3,472,873 | FMV |
| MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS | ||
| L | $530,244 | FMV |
| MEMORIAL HOME SERVICES | ||
| L | $775,522 | FMV |
| MEMORIAL HEALTH VENTURES | ||
| L | $411,098 | FMV |
| PASSAVANT AREA MEMORIAL HOSPITAL | ||
| L | $490,245 | FMV |