2015-08-07T08:43:06-05:00 2014-09-30 411944416 MCGLADREY LLP 1 SOUTH WACKER SUITE 600 CHICAGO IL 60606 990 2013-10-01 900756744 MEMORIAL HEALTH SYSTEM GROUP MEMO 2177883000 701 NORTH FIRST STREET SPRINGFIELD IL 62781 ROBERT W KAY SR VICE PRESIDENT & CFO 2177883198 2015-08-07 1 ZACHARY A FORTSCH P00052725 3126343400 2013 2016-02-25 16:41:14Z EDGAR J CURTIS 701 NORTH FIRST STREET SPRINGFIELD IL 62781 1440643060 1 0 5670 X WWW.MHSIL.COM X TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 108 71 6135 1697 9062387 0 7950268 6258308 728089507 762563035 14183840 20836975 19811394 22922825 770035009 812581143 1908273 3400496 0 0 307706432 312273517 5400 5400 293730 407797159 428284069 717417264 743963482 52617745 68617661 935250593 1045885419 364278584 445636499 570972009 600248920 X TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 77954850 96289510 CARDIOVASCULARTHE PROGRAMS OF MEMORIAL MEDICAL CENTER'S HEART & VASCULAR SERVICES FOCUS ON REDUCING THE INCIDENCE OF CARDIAC AND VASCULAR DISEASE. THROUGH PREVENTION PROGRAMS AND THE LATEST DIAGNOSTIC AND TREATMENT PROCEDURES, ITS GOAL IS TO WORK WITH PATIENTS TO ACHIEVE GREAT PATIENT OUTCOMES AND OPTIMUM LONG-TERM HEALTH. IN FISCAL YEAR 2014, MEMORIALMEDICAL CENTER'S CARDIAC CATH LAB PERFORMED 3,198 HEART CATHS, 1,547 CORONARY INTERVENTIONS, 1,165 ELECTROPHYSIOLOGY (EP) PROCEDURES, AND 1,096 VASCULAR CASES. RECOGNIZED AS A LEADER AND INNOVATOR IN HEART AND VASCULAR TECHNOLOGY, THE MEMORIAL HEART & VASCULAR SERVICES TEAM ALSO PERFORMED 325 CORONARY BYPASS AND VALVE SURGERIES. OTHER SERVICES INCLUDE NON-INVASIVE CARDIAC AND VASCULAR TESTING, CARDIAC AND PULMONARY REHABILITATION, HEART FAILURE CLINIC, NUTRITION COUNSELING, AND SUPPORT GROUPS.ONCE A PATIENT IS DIAGNOSED AND TREATED, CARDIAC AND PULMONARY REHABILITATION CARE CONTINUES. UTILIZING A TEAM OF REGISTERED NURSES, EXERCISE PHYSIOLOGISTS AND SUPPORT STAFF, THREE PHASES OF REHABILITATION ARE OFFERED. PHASE I OCCURS WITHIN 24 HOURS OF SURGERY, HELPING PATIENTS TO BECOME AMBULATORY AND PREPARE TO GO HOME. PHASE II TAKES PLACE IN THE HOSPITAL'S EXERCISE AREA, WHERE REHABILITATION EFFORTS ARE PRESCRIBED AND CLOSELY MONITORED BY THERAPISTS, PHYSIOLOGISTS, AND OTHER TEAM MEMBERS; PHASE III HAPPENS AT THE GUS AND FLORA KERASOTES YMCA, WHERE SESSIONS ARE SUPERVISED BY A REGISTERED NURSE AND INCLUDE AEROBIC CLASSES, RECUMBENT BICYCLES, TREADMILLS, STAIR MACHINES AND WHIRLPOOLS. FY14 VISITS FOR CARDIAC AND PULMONARY REHAB FOR PHASE I WERE 23,487; PHASE II WERE 10,743; PHASE III WERE 11,841. TELESCALES HOME MONITORING SYSTEM PROVIDES A TWO-WAY COMMUNICATION BETWEEN HEART FAILURE PATIENTS AND THEIR HEALTH CARE PROVIDERS AT MEMORIAL HEART AND VASCULAR SERVICES. THIS SYSTEM HAS BEEN ESPECIALLY BENEFICIAL FOR OUR PATIENTS IN OUTLYING AREAS TO REDUCE THE NUMBER OF TRIPS THAT ARE MADE TO THE HOSPITAL. FY14 PATIENTS MONITORED USING TELESCALES WERE 60.MEMORIAL MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED AND ADOPTED CARDIOVASCULAR DISEASE AS ONE OF THE AREAS OF FOCUS IN MEETING THE NEEDS OF THE COMMUNITY.-BETTER BREATHERS CLUB - 240 PARTICIPANTS; $1,088 COMMUNITYBENEFIT-COMMUNITY HEALTH EVENTS - 1,215 PARTICIPANTS; $19,463 COMMUNITYBENEFIT: CELEBRATE THE HEART OF THE WOMAN; BE AWARE WOMEN'S FAIR; CHOLESTEROL / BLOOD PRESSURE SCREENING PROVIDED AT COMMUNITY; HEALTH FAIRS-AMERICAN HEART ASSOCIATION HEART WALK EVENT PLANNING ESTIMATED 400 PARTICIPANTS; $3,001 COMMUNITY BENEFIT.-HEALTH JAM (PARTNERSHIP WITH U OF I 4-H EXTENSION, SIU, YMCA, ANDMMC) - 180 PARTICIPANTS; $2,515 COMMUNITY BENEFIT-KIDS HEART ADVANTAGE - 464 PARTICIPANTS; $8,330 COMMUNITY BENEFIT-HEAD PRO EDUCATION - $453 COMMUNITY BENEFIT-HEART SMARTS EDUCATION GROUP - 122 PARTICIPANTS; $5,459 COMMUNITYBENEFIT-LVRS REUNION - 36 PARTICIPANTS-EXPLORER POSTS - 143 PARTICIPANTS; $2,337 COMMUNITY BENEFIT 74602578 80054481 MEDICALMEDICAL SERVICES ENCOMPASS A WIDE VARIETY OF HEALTH CARE SERVICES PROVIDED TO INPATIENTS, OUTPATIENTS AND EMERGENCY SERVICES PROVIDED IN URGENT CARE CENTERS AND THE EMERGENCY DEPARTMENT. A TOTAL OF 133,011 ENCOUNTERS WERE PROVIDED BY MEMORIAL MEDICAL CENTER IN FY14. OF THESE, 4,493 WERE INPATIENT STAYS WITH THE REMAINDER, 128,518 CLASSIFIED ASOUTPATIENT ENCOUNTERS. THE MAJOR DISEASE CLASSES FOR MEDICAL SERVICES INCLUDE DIABETES, OBESITY, BACTERIAL AND VIRAL INFECTIONS OF ALL SOURCES INCLUDING SEPSIS, MALIGNANCIES OF THE SKIN INCLUDING BASAL AND SQUAMOUS CELL CARCINOMAS AND MELANOMA, A VARIETY OF BLOOD DISORDERS INCLUDING ANEMIA (LOW RED BLOOD CELL COUNT), INFECTIONS OF THE CENTRAL NERVOUS SYSTEM INCLUDING MENINGITIS, ENDOCRINE DISORDERS, SLEEP DISORDERS, STOMACH ULCERS AND GASTROINTESTINAL UPSET, HERNIAS, MEDICAL COMPLICATIONS OF THE MOTHER DURING PREGNANCY, SKIN DISORDERS AND DISEASES OF THE CONNECTIVE TISSUE, INFLAMMATORY DISEASES INCLUDING RHEUMATOID ARTHRITIS, VENEREAL DISEASES, OPEN WOUNDS AND CLOSED FRACTURES OF BONES ACROSS ALL AREAS OF THE BODY, POISONING BY DRUGS, PHYSICAL ABUSE IN CHILDREN AND ADULTS, GENETIC SUSCEPTIBILITY TO HEREDITARY DISEASE, AND NEED FOR SCREENING AND PREVENTION ACTIVITIES FOR A VARIETY OF ACUTE AND CHRONIC DISEASES. MANY PATIENTS USING MEDICAL SERVICES ACCESS EMERGENCY DEPARTMENT SERVICES AND OUTPATIENT LABORATORY AND IMAGING STUDIES FOR DIAGNOSIS AND TREATMENT OF ACUTE AND CHRONIC ILLNESSES THAT ARE NOT UNDER THE MANAGEMENT OF A PRIMARY CARE PHYSICIAN. THESE PATIENTS RELY ON URGENT AND EMERGENCY CARE FOR THEIR UNDERMANAGED SYMPTOMS AND DISEASES THAT FLARE UP OR BECOME UNMANAGEABLE IN THE HOME SETTING. 63.7% OF SERVICES WERE DELIVERED TO PATIENTS WITH MEDICARE AND MEDICAID, AND AN ADDITIONAL 3.4% OF ENCOUNTERS WERE FOR PATIENTS WITH SELF-PAY STATUS. THE PERCENTAGE OF SELF-PAY PATIENTS DECREASED IN FY14 AS A RESULT OF THE FEDERALLY RUN INSURANCE EXCHANGE OPERATING IN THE STATE OF ILLINOIS AND PATIENTS' ACCESS TO MEDICAID. MEDICAID AND SELF-PAY PATIENTS ARE MEDICALLY VULNERABLE AND OFTEN REQUIRE HOSPITAL SERVICES AS A SUBSTITUTE FOR PRIMARY HEALTH CARE SERVICES BECAUSE OF DELAYS IN CARE AND DISEASES THAT ARE ADVANCED OR NOT IN CONTROL AT DIAGNOSIS. AN IMPORTANT PART OF THEIR HOSPITAL VISIT IS CONCENTRATED TEACHING ABOUT THEIR ILLNESS AND THE REQUIRED SELF-CARE AND FOLLOW-UP. $8 MILLION IN CHARITY CARE WAS PROVIDED TO THIS POPULATION AND THE HOSPITAL WROTE OFF AN ADDITIONAL $2.2 MILLION IN BAD DEBT FOR CARE PROVIDED. 63780298 71771060 ORTHOPEDICSMEMORIAL MEDICAL CENTER'S ORTHOPEDICS SERVICE OFFERS STATE-OF-THE-ART INTERDISCIPLINARY CARE FOR BONE AND JOINT DISORDERS. WORKING WITH COMMUNITY ORTHOPEDIC SURGEONS, MMC'S TEAM OF HEALTHCARE PROFESSIONALS PROVIDES COMPREHENSIVE PATIENT EDUCATION, DIAGNOSTIC, SURGICAL AND REHABILITATION SERVICES FOR PATIENTS OF ALL AGES. THESE SERVICES ARE PROVIDED IN THE PREMIER TREATMENT FACILITIES IN THE REGION.MEMORIAL'S INNOVATIVE JOINTWORKS PROGRAM IS PART OF ORTHOPEDIC SERVICES. THROUGH JOINTWORKS, OVER 1,200 PATIENTS UNDERGO HIP AND KNEE REPLACEMENTS AT MEMORIAL MEDICAL CENTER ANNUALLY. AN EXPERIENCED TEAM OF ORTHOPEDIC SURGEONS, ANESTHESIOLOGISTS, NURSES, THERAPISTS, AND SOCIAL WORKERS GUIDE PATIENTS FROM PRE-SURGERY EDUCATION THROUGH POST-SURGERY REHABILITATION.PRIOR TO JOINT REPLACEMENT SURGERY, MEMORIAL'S ORTHOPEDIC SERVICES OFFERED 134 FREE PATIENT AND FAMILY EDUCATION CLASSES IN FY14 AND PHYSICAL THERAPISTS AND ORTHOPEDIC SURGEONS PARTNERED TO PROVIDE 12 FREE PRE-OPERATIVE PREPARATION CLASSES DESIGNED TO BETTER PREPARE ALL ELECTIVE ORTHOPEDIC SURGICAL PATIENTS.DURING FY 14, MEMORIAL MEDICAL CENTER'S ORTHOPEDICS SERVICES COMPLETED 5,483 INPATIENT AND OUTPATIENT ORTHOPEDIC PROCEDURES. THE JOINTWORKS PROGRAM SERVED 830 KNEE REPLACEMENT PATIENTS AND 416 HIP REPLACEMENT PATIENTS. OTHER ORTHOPEDIC SERVICES INCLUDED 189 CERVICAL FUSION PROCEDURES, 365 FEMUR FRACTURE SURGICAL REPAIRS, AND 359 LUMBAR FUSION PROCEDURES.IN ADDITION, MORE THAN 400 FREE BONE DENSITY SCREENINGS WERE PROVIDED AT VARIOUS HEALTH FAIRS WITHIN THE COMMUNITY AND COLLABORATION WITH AREA PHYSICIANS RESULTED IN FOUR COMMUNITY EVENTS IN WHICH THEY SHARED THEIR EXPERTISE ON A VARIETY OF TOPICS WITHIN THE FIELD OF ORTHOPEDICS. THE JOINTWORKS PATIENT AND FAMILY ADVISORY PANEL CONVENED SEVEN TIMES THROUGHOUT FY14 AND CONTRIBUTED TO SEVERAL PROCESS IMPROVEMENTS FOR OUR PATIENTS. 412570208 3400496 522031783 412570208 3400496 522031783 628907934 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 1 0 1 1 320 0 1 6135 1 1 1 0 0 0 1 1 1 1 0 0 0 X 108 71 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X ROBERT W KAY SVP & CFO 2177883198 701 NORTH FIRST STREET SPRINGFIELD IL 62781 MARY ROSE MOREHEAD BOARD MEMBER ALMH 0.70 X 0 0 0 A PATRICK DOOLIN CHAIR ELECT (THRU DEC 13)/CHAIR ALMH 0.70 X X 0 0 0 BRADLEY NEAL BOARD MEMBER ALMH 0.70 X 0 0 0 DENNIS CARROLL MD BOARD MEMBER ALMH 0.70 X 0 0 0 NATALIE FULK-MARQUEZ TREAS ALMH (THRU DEC 13)/SEC ALMH 0.70 X X 0 0 0 TRACY MIZEUR MD BOARD MEMBER ALMH 50.00 X 304598 0 56731 MARY CONRADY BOARD MEMBER ALMH 0.70 X 0 0 0 RONALD SCHILLING SEC ALMH (THRU DEC 13)/CHAIR ELECT 0.70 X X 0 0 0 RICHARD BIVIN BOARD MEMBER ALMH (FROM JAN 14) 0.70 X 0 0 0 BILL BATES BOARD MEMBER ALMH 0.70 X 0 0 0 DAVID CAMPBELL BOARD MEMBER ALMH 0.70 X 0 0 0 GREG EIMER BOARD MEMBER ALMH 0.70 X 0 0 0 DERON POWELL MEMBER ALMH (THRU DEC 13)/TREAS ALMH 0.70 X X 0 0 0 BRADLEY NIKLES CHAIR ALMH (THRU DEC 13) 0.70 X X 0 0 0 CAROL HANSEN POSEGATE SECRETARY MMC 0.80 X X 0 0 0 SUSAN KOCH EDD BOARD MEMBER MMC 0.70 X 0 0 0 DALE BECKER TREASURER MMC 1.50 X X 0 0 0 DEAN ROBERT JR BOARD MEMBER MMC 0.70 X 0 0 0 DIANE RUTLEDGE PHD 2ND VICE CHAIR MMC (FROM JAN 14)/MEM 1.00 X X 0 0 0 LYNNE BARKMEIER MD BOARD MEMBER MMC (FROM JAN 14) 0.70 X 0 0 0 JAMES BRUNER CHAIR MMC (THRU DEC 13) 1.70 X X 0 0 0 JOHN BLACKBURN 1ST V CHR MMC (THRU DEC 13)/CHR MMC 1.70 X X 0 0 0 JOSEPH HURWITZ BOARD MEMBER MMC 2.00 X 0 0 0 MARK FERGUSON BOARD MEMBER MMC 1.60 X 0 0 0 MICHAEL PICK MD BOARD MEMBER MMC (THRU DEC 13) 0.80 X 0 0 0 NINA HARRIS BOARD MEMBER MMC (THRU DEC 13) 1.00 X 0 0 0 TODD WISE BOARD MEMBER MMC 0.70 X 0 0 0 RANDALL GERMERAAD 2 V CHR MMC (13)/1 V CHR MMC/CHR SRS 0.80 X X 0 0 0 MARK KUHNKE MD BOARD MEMBER MMC 0.70 X 0 0 0 ANN COOMBE MEM MMCF (THRU DEC 13)/SEC MMCF 0.40 X X 0 0 0 GERI LYNN ARRINDELL BOARD MEMBER MMCF 0.20 X 0 0 0 G VIRGINIA CONLEE BOARD MEMBER MMCF 0.40 X 0 0 0 BRIDGET LAMONT SEC MMCF (THRU DEC 13)/CHAIR MMCF 0.50 X X 0 0 0 CRAIG SCHERMERHORN BOARD MEMBER MMC 0.20 X 0 0 0 DAVID GRIFFEN MD PHD BOARD MEMBER MMCF MMC 0.80 X 0 0 0 ELVIN ZOOK MD VICE CHAIR MMCF (THRU DEC 13) 0.50 X X 0 0 0 GARY NEUBAUER TREASURER MMCF 0.20 X X 0 0 0 GEOFFREY ISRINGHAUSEN BOARD MEMBER MMC 0.70 X 0 0 0 J CHRISTOPHER SMITH CHAIR MMCF (THRU DEC 13) 0.30 X X 0 0 0 JULIE CELLINI BOARD MEMBER MMCF (THRU DEC 13) 0.20 X 0 0 0 JENNIFER ISRINGHAUSEN BOARD MEMBER MMCF 0.20 X 0 0 0 J WILLIAM ROBERTS BOARD MEMBER MMCF 0.20 X 0 0 0 ROB PIETROBURGO MEM MMCF (THRU DEC 13)/V CHAIR MMCF 0.40 X X 0 0 0 R LEE ALLEN BOARD MEMBER MMCF 0.10 X 0 0 0 ROY NEWMAN BOARD MEMBER MMCF (THRU DEC 13) 0.10 X 0 0 0 CHERRILYN MAYFIELD BOARD MEMBER MMCF (FROM JAN 14) 0.10 X 0 0 0 HENRY DALE SMITH JR BOARD MEMBER MMCF (FROM JAN 14) 0.10 X 0 0 0 VAL YAZELL BOARD MEMBER MMCF (FROM JAN 14) 0.10 X 0 0 0 DONALD YURDIN MD BOARD MEMBER MMCF (FROM JAN 14) 0.20 X 0 0 0 MARK HANSEN MD BOARD MEMBER MPS 50.00 X 526033 0 53903 MARSHALL HALE MD CHAIR MPS 50.00 X X 462389 0 60467 PAUL KASA MD BOARD MEMBER ALMH MPS 50.00 X 309261 0 58821 BERNADETTE SALISBURY CHAIR TMH (THRU DEC 13)/MEM TMH 0.70 X X 0 0 0 CARL NIEMANN BOARD MEMBER TMH 0.70 X 0 0 0 DANIEL AUSTIN V CHAIR TMH (THRU DEC 13)/CHAIR TMH 0.70 X X 0 0 0 GARY SPURLING SEC TMH (THRU DEC 13)/VICE CHAIR TMH 0.70 X X 0 0 0 JAMES ADCOCK MEMBER TMH (THRU DEC 13)/SEC TMH 0.70 X X 0 0 0 PAVI GILL MD BOARD MEMBER TMH 0.70 X 0 0 0 RONALD MIZER DDS BOARD MEMBER TMH 0.70 X 0 0 0 LORETTA KAHLE BOARD MEMBER TMH 0.70 X 0 0 0 MARGARET FRY BOARD MEMBER TMH 0.70 X 0 0 0 THOMAS FORD TREASURER TMH 0.70 X X 0 0 0 YASER FREIJ MD BOARD MEMBER TMH 0.70 X 0 0 0 JOHN DANIEL LITTEKEN BOARD MEMBER TMH 0.70 X 0 0 0 ERIC KAHLE VP TMHF (THRU DEC 13)/CHAIR TMHF 0.70 X X 0 0 0 SHELLY CAPELLIN MEMBER TMHF (THRU DEC 13)/TREAS TMHF 0.70 X X 0 0 0 WILLIAM COPE BOARD MEMBER TMHF 0.70 X 0 0 0 MEG KETTLEKAMP BOARD MEMBER TMHF 0.70 X 0 0 0 ROGER HICKMAN BOARD MEMBER TMHF 0.70 X 0 0 0 JUDY SWIGERT BOARD MEMBER TMHF 0.70 X 0 0 0 SR ANGELA LAQUET ASC BOARD MEMBER TMHF 40.00 X 80108 0 6176 GINA PRINZAVALLI TREASURER TMHF (THRU DEC 13) 0.70 X X 0 0 0 GLORIA BRUMMER SECRETARY TMHF 0.70 X X 0 0 0 JOHN FERRY DDS PRES TMHF (THRU DEC 13)/MEMBER TMHF 0.70 X X 0 0 0 ROBERT APPLETON BOARD MEMBER TMHF 0.70 X 0 0 0 SCOTT MCCLURE BOARD MEMBER TMHF 0.70 X 0 0 0 PENNY BLILER BOARD MEMBER TMHF 0.70 X 0 0 0 RICHARD SHAW BOARD MEMBER TMHF 0.70 X 0 0 0 GREGG FUERSTENAU MD BOARD MEMBER TMHF 0.70 X 0 0 0 MARY MCNEELY BOARD MEMBER TMHF 0.70 X 0 0 0 DAVID HIXENBAUGH MEM TMHF (THRU DEC 13)/V CHAIR TMHF 0.70 X X 0 0 0 JERRY GARDNER DDS BOARD MEMBER TMHF 0.70 X 0 0 0 JOYCE LANGEN BOARD MEMBER TMHF 0.70 X 0 0 0 DENNIS KENNEDY BOARD MEMBER TMHF 0.70 X 0 0 0 LEIGH STEINER BOARD MEMBER SRS 0.70 X 0 0 0 JANET STOVER VICE CHAIR SRS 0.70 X X 0 0 0 JANICE GAMBACH PRESIDENT SRS 0.70 49.30 X X 0 184411 35119 JENNIFER MORRISON SECRETARY SRS 0.70 X X 0 0 0 JOHN MILHISER BOARD MEMBER SRS 0.70 X 0 0 0 REG MILLS BOARD MEMBER SRS 0.70 X 0 0 0 MICHAEL MCGLASSON BOARD MEMBER SRS (THRU FEB 14) 0.70 X 0 0 0 MICHAEL O'SHEA TREASURER SRS 0.70 X X 0 0 0 WANDA LEE ROHLFS BOARD MEMBER SRS (FROM MARCH 14) 0.70 X 0 0 0 EVAN DAVIS BOARD MEMBER MHV (THRU DEC 13) 50.00 X 177434 0 14639 J TRAVIS DOWELL PRESIDENT MPS 50.00 X X 0 311432 100702 R SCOTT KIRIAKOS VP CLIN INT MMC/MEM MHV MHSVC 50.00 X 337093 0 87948 DOLAN DALPOAS PRESIDENT ALMH/MEMBER MHSVC 50.00 X X 0 290078 44985 DANIEL RAAB PRESIDENT TMH/TMHF/MEMBER MHSVC 50.00 X X 0 260536 48367 DOUGLAS RAHN DBA EVP COO MMC/CHR MHV 13 MHSVC/MEM MPS 25.00 25.00 X X 544472 0 364074 EDGAR CURTIS PRES & CEO MHS/PRES MMC/MEM MPS 25.00 25.00 X X 0 1096598 1058445 ROBERT KAY SVP/CFO SEC/TREAS MHSVC MHV MPS 25.00 25.00 X X 0 574877 213525 KEVIN ENGLAND VICE CHAIR/PRES MHV/VC MHSVC 25.00 25.00 X X 0 389969 242599 THOMAS WESTRICK PRESIDENT MHSVC 50.00 X X 0 208147 30067 CHARLES CALLAHAN PHD SVP & CQO/CHAIR MHV (FROM JAN 14) 50.00 X X 373642 0 75819 JAMESON ROSZHART BOARD MEMBER MHV (FROM JAN 14) 35.00 15.00 X 93442 48051 26378 ELAINE YOUNG VP FINANCE MHS (THRU JAN 2013) 25.00 25.00 X 0 541048 -22789 ELENA KEZELIS EXEC DIR MMCF 50.00 X 177097 0 31291 MARSHA PRATER PHD SVP & CNO MMC 50.00 X 515734 0 358189 DAVID JOERGER ADMIN PERIOP SRV MMC (THRU NOV 2013) 50.00 X 236540 0 29645 LINDA JONES DNS VP OPERATIONS MMC 50.00 X 303768 0 60575 DREW EARLY ADMIN ED/CARDIOLOGY MMC 50.00 X 207158 0 32557 HARRY SCHMIDT VP FACILITIES MANAGEMENT MMC 50.00 X 246110 0 44066 ANNA EVANS JD GEN COUNSEL/VP INT AUDIT & COMPL MHS 25.00 25.00 X 0 366061 138346 RAJESH GOVINDAIAH MD SVP & CMO MHS 25.00 25.00 X 0 360555 206281 DAVID GRAHAM MD SVP & CIO MHS 25.00 25.00 X 0 491801 98670 MITCHELL JOHNSON SVP & CHIEF STRATEGY OFFICER MHS 25.00 25.00 X 0 379635 115712 BRADLEY WARREN SVP & CPO MHS (THRU JAN 2013) 25.00 25.00 X 0 305822 13809 MELISSA MCGLASSON VP FINANCE MHS (FROM FEB 2013) 25.00 25.00 X 22715 209159 33921 AIMEE ALLBRITTON PHD INTERIM CHRO MHS (2013), VP & CLO 25.00 25.00 X 0 361168 65117 FERDINAND SALVACION MD PHYSICIAN MMC 50.00 X 701330 0 123926 DAVID SANDERCOCK MD PHYSICIAN MPS 50.00 X 523992 0 129522 JAMES GILDNER MD PHYSICIAN MPS 50.00 X 628290 0 112121 AMY HIGH MD PHYSICIAN MPS 50.00 X 554116 0 72406 STEVEN LILLPOP MD PHYSICIAN MPS 50.00 X 526013 0 121225 7851335 6379348 4343355 283 0 1 0 HAROLD O'SHEA BUILDERS INC 3401 CONSTITUTION DR SPRINGFIELD IL 62711 CONSTRUCTION 75149370 SIU SCHOOL OF MEDICINE PO BOX 19607 SPRINGFIELD IL 627949607 PHYSICIAN SERVICES 25666432 MID-AMERICA EMERGENCY PHYSICIANS INC KERBER ECK BRAECKEL LLP 1000 MY SPRINGFIELD IL 62701 ER STAFFING 7645318 SPRINGFIELD CLINIC PO BOX 19260 SPRINGFIELD IL 627049260 PHYSICIAN SERVICES 6324144 SIEMENS MEDICAL SOLUTIONS DEPT CH 14195 PALATINE IL 600554195 PREVENTIVE MAINTENANCE 2939930 126 8231 295486 527140 4314824 1112627 11874 6258308 PATIENT SERVICE REV 900099 686541476 686541476 PROGRAM RELATED REV 900099 53906386 53906386 HOSPICE SERVICES 621610 7222178 7222178 HOME HEALTH SERVICES 621610 6943920 6943920 PROGRAM RELATED RENT 621110 6191618 6191618 1757457 1757457 762563035 6573352 6573352 6054 6054 3153351 1680107 1473244 1473244 182446 27805 1262993 640302115 33702 625916210 162038 14385905 -128336 14257569 14257569 403871 295486 303562 100309 100309 REFERENCE LAB REVENUE 621500 7940542 7940542 CAFETERIA REVENUE 722320 4590274 114205 4476069 EMPLOYMENT SERVICES 561300 438055 438055 8380401 7401353 541780 437268 21349272 812581143 770146834 9062387 27113614 X 2439240 2439240 961256 961256 6263619 3651954 2500164 111501 44173 44173 235219702 213304735 21799522 115445 13206401 11968351 1238050 40798254 37466467 3304263 27524 16741368 15134661 1595787 10920 2406763 2406763 51092 51092 99413 99413 5400 5400 1698981 1698981 87250130 80879265 6370865 1124573 97555 1027018 15313139 12818956 2485977 8206 11920583 10681322 1237978 1283 16888498 15279014 1609484 1219568 1041151 178417 538776 328333 210443 8997957 8997957 38086254 29922134 8164120 4465029 16419 4448610 PATIENT SERV. SUPPLIES 81998396 81997923 473 MANAGEMENT FEE 49834980 49834980 PURCHASED MEDICAL SERVI 37524173 36154394 1369779 DRUGS 23144794 23144794 45720970 42577880 3129639 13451 743963482 628907934 114761818 293730 5925416 6668671 120857687 139804921 164509 132819 136368918 138826597 347551 146824 11556539 11005051 7564362 6962458 641549168 329018396 261336485 312530772 318828682 351845824 19018420 20545994 6291601 7368302 46990423 50047186 935250593 1045885419 80694222 91112697 316825 417574 280620 614110 167170427 222363316 11070000 8645000 104746490 122483802 364278584 445636499 X 505468281 528259711 60342576 66809793 5161152 5179416 570972009 600248920 935250593 1045885419 X 68617661 8354063 -47694813 X 0 1 X 1 1 1 X SCHEDULE A, PART I MEMBERS OF THE GROUP REASON FOR PUBLIC CHARITY STATUS BELOW: ABRAHAM LINCOLN MEMORIAL HOSPITAL PART I LINE 3 HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B) (1) (A) (III). MEMORIAL MEDICAL CENTER PART I LINE 3 HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B) (1) (A) (III). TAYLORVILLE MEMORIAL HOSPITAL PART I LINE 3 HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B) (1) (A) (III). MEMORIAL MEDICAL CENTER FOUNDATION PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). MEMORIAL HOME SERVICES PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). SPRINGFIELD RESIDENTIAL SERVICES PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). MEMORIAL HEALTH VENTURES PART I LINE 11 AN ORGANIZATION ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR SECTION 509(A)(2). B TYPE II. LINE 11E NO, 11F NO, 11G (I) (II) (III) NO, 11H (I) SUPPORTS MMC (II) 37-0661220 (III) 3 (IV) YES, (V) YES (VI) YES (VII) $0. MEMORIAL PHYSICIAN SERVICES PART I LINE 11 AN ORGANIZATION ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR SECTION 509(A)(2). B TYPE II. LINE 11E NO, 11F NO, 11G (I) (II) (III) NO, 11H (I) SUPPORTS MMC (II) 37-0661220 (III) 3 (IV) NO, (V) YES (VI) YES (VII) $0. TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION PART I LINE 11 AN ORGANIZATION ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR SECTION 509(A) (2). B TYPE III. LINE 11E NO, 11F NO, 11G (I) (II) (III) NO, 11H (I) SUPPORTS TMH (II) 37-0661250 (III) 3 (IV) YES, (V) YES (VI) YES (VII) $0. THE SOFTWARE USED TO PREPARE THE MHS GROUP RETURN DOES NOT ALLOW FOR MULTIPLE PUBLIC CHARITY STATUS. ACCORDINGLY, THE ABOVE ORGANIZATIONS HAVE SEPARATELY DOCUMENTED THEIR PUBLIC SUPPORT PERCENTAGES AGGREGATED AS FOLLOWS: PUBLIC SUPPORT PERCENTAGE FOR 2013 48.7% PUBLIC SUPPORT PERCENTAGE FOR 2012 43.7% RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 99413 0 0 0 99413 0 PART II-B, LINE 1: MEMORIAL MEDICAL CENTER ENGAGES LOBBYISTS TO ASSIST IT IN SECURING FEDERAL GRANTS AND MONITORING STATE REGULATIONS IN SUPPORT OF FURTHERING THE MEMORIAL MEDICAL CENTER MISSION, WHICH IS "TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE". THIS INCLUDES ASSISTING MEMORIAL MEDICAL CENTER 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 MEDICAL CENTER'S ABILITY TO CONTINUE DELIVERING ITS ALREADY SUBSTANTIAL COMMUNITY BENEFIT. THE FOLLOWING ORGANIZATIONS PAID FUNDS TO HEALTHCARE ASSOCIATIONS TO AID AND ASSIST HOSPITALS AND HEALTHCARE ENTITIES REGARDING LEGISLATIVE CHANGES. THESE COSTS INCLUDE AMOUNTS PAID DIRECTLY TO LOBBYISTS FROM THE VARIOUS ENTITIES AND ALSO INCLUDE AMOUNTS PAID INDIRECTLY TO LOBBYISTS THROUGH ASSOCIATION DUES. MEMORIAL MEDICAL CENTER: $52,854 ABRAHAM LINCOLN MEMORIAL HOSPITAL: $21,021 MEMORIAL HOME SERVICES: $3,119 TAYLORVILLE MEMORIAL HOSPITAL: $22,419 8666004 27768 1052498 123660 304976 80062 9237572 8179460 211378 723768 374978 73624 8666004 7271242 22786 1148366 -31300 -170435 -61199 8179460 7410408 48483 -47525 -42758 -97366 7271242 5942467 1050046 599812 35500 107317 39101 7410407 0.13800 0.55600 0.30600 0 1 1 971929 6661559 7633488 2808690 292464431 162576115 132697006 11545908 4396895 7149013 4978 204972538 147339730 57637786 122119135 14705656 107413479 312530772 DEFERRED COMPENSATION 13481455 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 33022795 MINIMUM PENSION LIABILITY 37177778 RESERVE FOR POST EMPLOYMENT BENEFITS 10251394 SWAP LIABILITY 2567998 WORKERS' COMPENSATION AND PROFESSIONAL LIABILITY 20571857 ENVIRONMENTAL HAZARDS LIABILITY 2803849 DUE TO AFFILIATES 2495954 CHARITABLE GIFT ANNUITY PAYABLE 105140 TENANT SECURITY DEPOSITS 3246 OTHER PAYABLES 2336 122483802 X PART V, LINE 4: MEMORIAL HOME SERVICES HAS ONE PERMANENTLY RESTRICTED ENDOWMENT FUND WITH INCOME TO BE USED FOR OPERATING EXPENSES. MEMORIAL MEDICAL CENTER FOUNDATION'S ENDOWMENT CONSISTS OF 36 INDIVIDUAL DONOR-RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE FOUNDATION HAS A POLICY OF APPROPRIATING FOR DISTRIBUTION EACH YEAR 5% OF ITS ENDOWMENT FUND'S MOVING AVERAGE FAIR VALUE OVER THE PRIOR 36 MONTHS AS OF SEPTEMBER 30 OF THE PRECEDING FISCAL YEAR IN WHICH THE DISTRIBUTION IS PLANNED. IN ESTABLISHING THIS POLICY, THE FOUNDATION CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENTS. ACCORDINGLY, OVER THE LONG TERM, THE FOUNDATION EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT AN AVERAGE OF THE LONG-TERM RATE OF INFLATION. TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION PROVIDES EDUCATION SCHOLARSHIPS TO STUDENTS SEEKING A CAREER IN HEALTHCARE. 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 MHS'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, INCOME TAX NO TAX PROVISION WAS RECORDED FOR THE YEARS ENDED SEPTEMBER 30, 2014 OR 2013. MP AND MHP ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES AND ARE EXEMPT FROM INCOME TAX. MHSCI IS A TAXABLE FOR-PROFIT CORPORATION AND PPA IS A TAXABLE NOT-FOR-PROFIT CORPORATION. BOTH ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. FESTIVAL OF TREES (MMCF) 510425 173164 337261 0 52291 12458 48881 650 94710 SHARING WISHES HOSPICE GALA 65833 52898 12935 0 0 5247 11645 8660 5769 7 123099 69424 53675 255 23693 4511 6248 9466 19078 699357 295486 403871 255 75984 22216 66774 18776 119557 303562 100309 1 1 X 1 X 300.000000000000 1 X 301.000000000000 1 1 0 1 1 4 9182 13229799 0 13229799 0.02050 1 83442 97178847 75421788 21757059 0.03370 3 430 302360 924181 -621821 0.00000 8 93054 110711006 76345969 34365037 0.05420 45 15446 1118383 0 1118383 0.00170 25 2016 11265281 4551741 6713540 0.01040 1 102 6679 0 6679 0.00000 4 163 314044 4393 309651 0.00050 46 1861 25978535 0 25978535 0.04030 121 19588 38682922 4556134 34126788 0.05290 129 112642 149393928 80902103 68491825 0.10710 2 3605 3605 0.00000 5 3528 3528 0.00000 16 34888 34888 0.00010 1 907 907 0.00000 7 5205 5205 0.00000 4 1355 1355 0.00000 5 18 5910 5910 0.00000 5 583 118596 118596 0.00020 17 375 150121 150121 0.00020 62 976 324115 324115 0.00050 1 3278276 202190594 207276780 -5086186 X 1 1 3 1 MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD IL 62781 HTTPS://WWW.MEMORIALMEDICAL.COM/ 0001487 X X X X X 2 ABRAHAM LINCOLN MEMORIAL HOSPITAL 200 STAHLHUT DRIVE LINCOLN IL 62656 HTTP://WWW.ALMH.ORG/ 0005728 X X X X 3 TAYLORVILLE MEMORIAL HOSPITAL 201 E PLEASANT TAYLORVILLE IL 62568 HTTPS://WWW.TAYLORVILLEMEMORIAL.ORG/ 0005447 X X X X SKILLED NURSING FACILITY MEMORIAL MEDICAL CENTER 1 1 X X X X X X X X X 11 1 1 1 X HTTPS://WWW.MEMORIALMEDICAL.COM/ X X X X X X X 0 0 1 1 300.000000000000 1 1 X X X X X X X X 1 1 X X X X X 1 0 1 X 0 0 ABRAHAM LINCOLN MEMORIAL HOSPITAL 2 1 X X X X X X X X X 11 1 1 1 X HTTPS://WWW.ALMH.ORG/ X X X X X X X 0 0 1 1 300.000000000000 1 1 X X X X X X X 1 1 X X X X X 1 0 1 X 0 0 TAYLORVILLE MEMORIAL HOSPITAL 3 1 X X X X X X X X X 11 1 1 1 X HTTPS://WWW.TAYLORVILLEMEMORIAL.ORG/ X X X X X X X 0 0 1 1 300.000000000000 1 1 X X X X X X 1 1 X X X X 1 0 1 X 0 0 MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 3: MEMORIAL MEDICAL CENTERMEMORIAL HEALTH SYSTEM'S THREE HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT THAT WAS COMPLETED IN TY 2011. MHS APPOINTED A JOINT INTERNAL ADVISORY TEAM TO REVIEW SECONDARY HEALTH DATA SOURCES FOR CHRISTIAN, LOGAN AND SANGAMON COUNTIES. EACH HOSPITAL THEN CONVENED LOCAL COMMUNITY REPRESENTATIVES TO SERVE ON AN EXTERNAL ADVISORY GROUP SPECIFIC TO THAT COMMUNITY. THE TEAM CHARTER: THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUP EXISTS TO HELP MEMORIAL HEALTH SYSTEM EVALUATE THE INITIAL PRIORITIES SELECTED BY THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM. THESE GROUPS, CONVENED BY EACH MHS HOSPITAL, WILL REVIEW EXISTING DATA AND OFFER INSIGHTS INTO COMMUNITY ISSUES AFFECTING THAT DATA. THEY WILL HELP IDENTIFY LOCAL COMMUNITY ASSETS AND GAPS IN THE PRIORITY AREAS AND WILL OFFER ADVICE ON WHICH ISSUES ARE THE HIGHEST PRIORITY. FOLLOWING ADOPTION OF THE PRIORITIES, EACH HOSPITAL HELD MEETINGS WITH COMMUNITY ORGANIZATIONS IN ITS COUNTY TO GAIN ADDITIONAL INPUT INTO THE IMPLEMENTATION PLAN. FOLLOWING ARE THOSE THAT PARTICIPATED IN THE EXTERNAL ADVISORY GROUPS. MEMORIAL MEDICAL CENTER CONVENED AN EXTERNAL ADVISORY COMMITTEE THAT INCLUDED THE FOLLOWING ORGANIZATIONS. THIS GROUP MET AND REVIEWED PERTINENT HEALTH DATA AVAILABLE ON SANGAMON COUNTY FROM THE HEALTHY COMMUNITIES INSTITUTE, PROVIDED INPUT ON THE DATA AND IMPACTS ON LOW-INCOME AND VULNERABLE POPULATIONS, AND HELPED IDENTIFY COMMUNITY ASSETS AND GAPS IN SERVICES. THEY RANKED THE FINAL PRIORITIES. SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH IS THE STATE'S TENTH LARGEST HEALTH DEPARTMENT SERVING A POPULATION OF MORE THAN 199,000. CENTRAL COUNTIES HEALTH CENTERS IS A FEDERALLY QUALIFIED HEALTH CENTER IN SPRINGFIELD, ILLINOIS, WHICH PROVIDES ACCESS TO PRIMARY MEDICAL AND DENTAL CARE FOR THE UNDERSERVED. SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE'S CENTER FOR FAMILY MEDICINE, A NEWLY ACCREDITED FEDERALLY QUALIFIED HEALTH CENTER IN SPRINGFIELD, ILLINOIS, PROVIDES A MEDICAL HOME TO A HIGH MEDICAID AND MEDICARE POPULATION. ST. JOHN'S HOSPITAL, A 431-BED CATHOLIC REGIONAL MEDICAL CENTER, OFFERS A COMPREHENSIVE ARRAY OF HEALTH CARE SERVICES TO PEOPLE IN CENTRAL AND SOUTHERN ILLINOIS. ST. JOHN'S CHILDREN'S HOSPITAL IS HOME TO A LEVEL III NEONATAL INTENSIVE CARE UNIT AND PEDIATRIC INTENSIVE CARE UNIT. MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION PROVIDING HIGH-QUALITY, COMPREHENSIVE BEHAVIORAL HEALTH AND REHABILITATION SERVICES. AN AFFILIATE OF MEMORIAL HEALTH SYSTEM, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS ONE OF THE LARGEST PROVIDERS OF BEHAVIORAL HEALTH SERVICES IN CENTRAL ILLINOIS, SERVING MORE THAN 9,000 INDIVIDUALS EACH YEAR. SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE IS A MEDICAL SCHOOL WHOSE MISSION IS TO ASSIST THE PEOPLE OF CENTRAL AND SOUTHERN ILLINOIS IN MEETING THEIR HEALTH CARE NEEDS THROUGH EDUCATION, RESEARCH, PATIENT CARE AND SERVICE TO THE PEOPLE.UNITED WAY OF CENTRAL ILLINOIS IS A NOT-FOR-PROFIT ORGANIZATION WITH A MISSION TO MOBILIZE RESOURCES TO MEET COMMUNITY NEEDS. UNITED WAY OF CENTRAL ILLINOIS IS THE LARGEST PRIVATE FUNDER OF HEALTH AND HUMAN SERVICE PROGRAMS IN SANGAMON COUNTY.KUMLER OUTREACH MINISTRIES IS AN ARM OF KUMLER UNITED METHODIST CHURCH IN SPRINGFIELD, ILLINOIS. KUMLER STRIVES TO HELP THE AT-RISK POPULATION OF THE GREATER SPRINGFIELD AREA OVERCOME THE SOCIAL, ECONOMIC AND SPIRITUAL CHALLENGES THEY FACE. IT OPERATES A FOOD PANTRY, CLOTHING MINISTRY AND PRESCRIPTION MEDICINE PROGRAM. SPRINGFIELD URBAN LEAGUE, INC., IS A NONPROFIT, NONPARTISAN, CIVIL RIGHTS AND COMMUNITY-BASED MOVEMENT THAT SERVES NEARLY 6,000 PEOPLE ANNUALLY, PROVIDING DIRECT SERVICES, RESEARCH AND POLICY ADVOCACY TO ASSIST INDIVIDUALS AND COMMUNITIES IN REACHING THEIR FULLEST POTENTIAL. PRIMARILY WORKING WITH AFRICAN AMERICANS, HISPANICS, AND OTHER EMERGING ETHNIC COMMUNITIES, IT WORKS TO CLOSE EQUALITY GAPS FOR PEOPLE AT ALL ECONOMIC LEVELS AND STAGES OF LIFE AND GIVES CITIZENS A CHANCE TO GIVE BACK AS VOLUNTEERS. SPRINGFIELD YMCA HELPS BUILD STRONG COMMUNITIES BY OFFERING SERVICES THAT REFLECT THE NEEDS AND INTERESTS OF ITS RESIDENTS. ITS MISSION IS TO PUT CHRISTIAN PRINCIPLES INTO PRACTICE THROUGH PROGRAMS AND SERVICES THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL. THE VISION IS "PREPARING FAMILIES TO MEET THE CHALLENGES OF TODAY AND TOMORROW THROUGH PROGRAMS, AND HEALTH INITIATIVES THAT DEVELOP INDIVIDUALS, STRENGTHEN FAMILIES, AND BUILD SAFE, CARING COMMUNITIES." ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 3: MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT THAT WAS COMPLETED IN TY 2011. MHS APPOINTED A JOINT INTERNAL ADVISORY TEAM TO REVIEW SECONDARY HEALTH DATA SOURCES FOR CHRISTIAN, LOGAN AND SANGAMON COUNTIES. EACH HOSPITAL THEN CONVENED LOCAL COMMUNITY REPRESENTATIVES TO SERVE ON AN EXTERNAL ADVISORY GROUP SPECIFIC TO THAT COMMUNITY. THE TEAM CHARTER: THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUP EXISTS TO HELP MEMORIAL HEALTH SYSTEM EVALUATE THE INITIAL PRIORITIES SELECTED BY THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM. THESE GROUPS, CONVENED BY EACH MHS HOSPITAL, WILL REVIEW EXISTING DATA AND OFFER INSIGHTS INTO COMMUNITY ISSUES AFFECTING THAT DATA. THEY WILL HELP IDENTIFY LOCAL COMMUNITY ASSETS AND GAPS IN THE PRIORITY AREAS AND WILL OFFER ADVICE ON WHICH ISSUES ARE THE HIGHEST PRIORITY. FOLLOWING ADOPTION OF THE PRIORITIES, EACH HOSPITAL HELD MEETINGS WITH COMMUNITY ORGANIZATIONS IN ITS COUNTY TO GAIN ADDITIONAL INPUT INTO THE IMPLEMENTATION PLAN. FOLLOWING ARE THOSE THAT PARTICIPATED IN THE EXTERNAL ADVISORY GROUPS. THE ABRAHAM LINCOLN MEMORIAL HOSPITAL EXTERNAL ADVISORY GROUP CONSISTS OF THE STEERING COMMITTEE FOR THE LOGAN COUNTY HEALTH COMMUNITIES PARTNERSHIP. THE HEALTHY COMMUNITIES PARTNERSHIP IS A COUNTY-WIDE COLLABORATION CONNECTING 46 LOCAL ORGANIZATIONS AND 12 CHURCHES THAT WORKS TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN LOGAN COUNTY. ITS GOALS ARE TO INCREASE HEALTHY OUTCOMES, INCREASE HEALTHY BEHAVIORS AND INCREASE ACCESS TO QUALITY HEALTHCARE SERVICES. THIS GROUP MET AND REVIEWED PERTINENT HEALTH DATA AVAILABLE ON LOGAN COUNTY FROM THE HEALTHY COMMUNITIES INSTITUTE. LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH PROVIDES HEALTH EDUCATION, INFORMATION, HOME HEALTH CARE, AND PUBLIC HEALTH SERVICES TO THE NEARLY 30,000 RESIDENTS OF LOGAN COUNTY. MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION PROVIDING HIGH-QUALITY, COMPREHENSIVE BEHAVIORAL HEALTH AND REHABILITATION SERVICES. AN AFFILIATE OF MEMORIAL HEALTH SYSTEM, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS ONE OF THE LARGEST PROVIDERS OF BEHAVIORAL HEALTH SERVICES IN CENTRAL ILLINOIS, SERVING MORE THAN 9,000 INDIVIDUALS EACH YEAR. MEMORIAL PHYSICIAN SERVICES FAMILY MEDICAL CENTER OF LINCOLN'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. MEMORIAL PHYSICIAN SERVICES IS DEDICATED TO PROVIDING HIGH-QUALITY, PATIENT-CENTERED CARE. ABRAHAM LINCOLN HEALTHCARE FOUNDATION RAISES FUNDS TO SUPPORT THE ABRAHAM LINCOLN MEMORIAL HOSPITAL'S (ALMH) MISSION TO MAINTAIN, RESTORE AND IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. THE FOUNDATION PROVIDES ONGOING FUNDING INITIATIVES OF THE LOGAN COUNTY HEALTHY COMMUNITIES PARTNERSHIP. TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 3: MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT THAT WAS COMPLETED IN TY 2011. MHS APPOINTED A JOINT INTERNAL ADVISORY TEAM TO REVIEW SECONDARY HEALTH DATA SOURCES FOR CHRISTIAN, LOGAN AND SANGAMON COUNTIES. EACH HOSPITAL THEN CONVENED LOCAL COMMUNITY REPRESENTATIVES TO SERVE ON AN EXTERNAL ADVISORY GROUP SPECIFIC TO THAT COMMUNITY. THE TEAM CHARTER: THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUP EXISTS TO HELP MEMORIAL HEALTH SYSTEM EVALUATE THE INITIAL PRIORITIES SELECTED BY THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM. THESE GROUPS, CONVENED BY EACH MHS HOSPITAL, WILL REVIEW EXISTING DATA AND OFFER INSIGHTS INTO COMMUNITY ISSUES AFFECTING THAT DATA. THEY WILL HELP IDENTIFY LOCAL COMMUNITY ASSETS AND GAPS IN THE PRIORITY AREAS AND WILL OFFER ADVICE ON WHICH ISSUES ARE THE HIGHEST PRIORITY. FOLLOWING ADOPTION OF THE PRIORITIES, EACH HOSPITAL HELD MEETINGS WITH COMMUNITY ORGANIZATIONS IN ITS COUNTY TO GAIN ADDITIONAL INPUT INTO THE IMPLEMENTATION PLAN. FOLLOWING ARE THOSE THAT PARTICIPATED IN THE EXTERNAL ADVISORY GROUPS. THE TAYLORVILLE MEMORIAL HOSPITAL EXTERNAL ADVISORY COMMITTEE, MADE UP OF REPRESENTATIVES FROM THE AGENCIES BELOW, ATTENDED MEETINGS HELD AT TAYLORVILLE MEMORIAL HOSPITAL. A DEMONSTRATION ON HOW TO NAVIGATE THE HEALTHY COMMUNITIES INSTITUTE WEBSITE WAS GIVEN SO MEMBERS COULD HAVE ACCESS TO THE DATA FOR FURTHER REVIEW. THE EXTERNAL ADVISORY COMMITTEE REVIEWED THE TOP FIVE SELECTED PRIORITIES. AN ONLINE SURVEY OF THE GROUP TO IDENTIFY EXISTING COMMUNITY ASSETS AS WELL AS GAPS IN SERVICES WAS ALSO DONE. THE EXTERNAL ADVISORY GROUP RANKED THE FIVE HEALTH NEEDS IN ORDER OF PRIORITY IN CHRISTIAN COUNTY.CHRISTIAN COUNTY HEALTH DEPARTMENT'S MISSION IS TO ENSURE A SAFE ENVIRONMENT, WATER AND FOOD SUPPLY, PREVENT INJURY, STOP OR CONTROL THE SPREAD OF COMMUNICABLE DISEASE AND INCREASE PERSONAL HEALTH. THE CHRISTIAN COUNTY HEALTH DEPARTMENT SERVES A POPULATION OF 35,000 RESIDENTS. UNITED WAY OF CHRISTIAN COUNTY IS A NON-PROFIT ORGANIZATION SERVING 23 LOCAL MEMBER AGENCIES ACROSS CHRISTIAN COUNTY. THE MISSION AT UNITED WAY OF CHRISTIAN COUNTY IS TO IMPROVE THE ORGANIZED CAPACITY OF PEOPLE TO CARE FOR ONE ANOTHER. SENIOR CITIZENS OF CHRISTIAN COUNTY HAS SERVED SENIORS FOR MORE THAN 30 YEARS. THIS ORGANIZATION OFFERS A WIDE RANGE OF ASSISTANCE TO LOCAL SENIORS THAT HELP THEM ADDRESS HEALTH AND QUALITY OF LIFE ISSUES. CHRISTIAN COUNTY YMCA IS A VALUES-BASED, NOT-FOR-PROFIT ORGANIZATION. ITS MISSION IS TO PUT CHRISTIAN PRINCIPLES INTO PRACTICE THROUGH PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL. PANA COMMUNITY HOSPITAL IS A CRITICAL ACCESS HOSPITAL SERVING PERSONS WHO RESIDE IN PORTIONS OF FOUR COUNTIES OF ILLINOIS INCLUDING CHRISTIAN, SHELBY, FAYETTE, AND MONTGOMERY. THE HOSPITAL IS LOCATED IN THE FAR SOUTHEAST CORNER OF CHRISTIAN COUNTY. FIRST PRESBYTERIAN CHURCH IN TAYLORVILLE HAS A LONG HISTORY OF LEADERSHIP ON HEALTH AND WELLNESS ISSUES IN THE COMMUNITY AND IS ACTIVE IN THE LOCAL MINISTERIAL ASSOCIATION. MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 4: IN TY 2011 THREE MEMORIAL HEALTH SYSTEM HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT. ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 4: IN TY 2011 THREE MEMORIAL HEALTH SYSTEM HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT. TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 4: IN TY 2011 THREE MEMORIAL HEALTH SYSTEM HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT. MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 7: DURING ITS TY2011 COMMUNITY HEALTH NEED ASSESSMENT PROCESS, MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS IDENTIFIED NINE PRIORITY HEALTH NEEDS. 1. IMPROVING ACCESS TO CARE2. CARDIOVASCULAR DISEASE3. DIABETES4. OBESITY5. CANCER (MULTIPLE TYPES)6. ASTHMA7. MOTHER/BABY8. MENTAL HEALTH9. IMMUNIZATION, FLU/PNEUMONIAREASONS FIVE PRIORITIES WERE NOT SELECTED:1. ASTHMA WAS ELIMINATED FROM FURTHER CONSIDERATION BECAUSE IT DOES NOT HAVE AS GREAT AN OVERALL IMPACT ON POPULATION HEALTH AS SOME OF THE OTHER NEEDS.2. ALTHOUGH MATERNAL/INFANT HEALTH IS A GREAT NEED, ST. JOHN'S HOSPITAL AND SIU FAMILY PRACTICE FEDERALLY QUALIFIED HEALTH CLINIC ALREADY HAD A STRONG COLLABORATION TO ADDRESS MOTHER/INFANT HEALTH AMONG LOW-INCOME POPULATIONS.3. MENTAL HEALTH ISSUES ARE A GREAT CONCERN FOR OUR COMMUNITIES, BUT AS HOSPITALS WE ARE NOT BEST EQUIPPED TO MEET THAT NEED. HOWEVER, ONE OF THE MEMORIAL AFFILIATES, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, IS ACTIVELY ADDRESSING ACCESS TO MENTAL HEALTH SERVICES ON MULTIPLE FRONTS.4. IMMUNIZATIONS FOR FLU AND PNEUMONIA NEED TO INCREASE. THE HOSPITALS ARE ALREADY PROACTIVELY ADDRESSING HOSPITAL-ACQUIRED FLU AND PNEUMONIA WITH OUR PATIENT POPULATION, BUT THEY ARE NOT WELL EQUIPPED TO ADDRESS COMMUNITY-ACQUIRED INFECTIOUS DISEASES.5. CANCER WAS NOT SELECTED AS A FINAL PRIORITY BECAUSE A NUMBER OF EXISTING CANCER INITIATIVES, BOTH FROM THE HOSPITALS AND OTHER ORGANIZATIONS, ARE ALREADY ACTIVE IN THE COMMUNITY. ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 7: DURING ITS TY2011 COMMUNITY HEALTH NEED ASSESSMENT PROCESS, MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS IDENTIFIED NINE PRIORITY HEALTH NEEDS. 1. IMPROVING ACCESS TO CARE2. CARDIOVASCULAR DISEASE3. DIABETES4. OBESITY5. CANCER (MULTIPLE TYPES)6. ASTHMA7. MOTHER/BABY8. MENTAL HEALTH9. IMMUNIZATION, FLU/PNEUMONIAREASONS FIVE PRIORITIES WERE NOT SELECTED:1. ASTHMA WAS ELIMINATED FROM FURTHER CONSIDERATION BECAUSE IT DOES NOT HAVE AS GREAT AN OVERALL IMPACT ON POPULATION HEALTH AS SOME OF THE OTHER NEEDS.2. ALTHOUGH MATERNAL/INFANT HEALTH IS A GREAT NEED, ST. JOHN'S HOSPITAL AND SIU FAMILY PRACTICE FEDERALLY QUALIFIED HEALTH CLINIC ALREADY HAD A STRONG COLLABORATION TO ADDRESS MOTHER/INFANT HEALTH AMONG LOW-INCOME POPULATIONS.3. MENTAL HEALTH ISSUES ARE A GREAT CONCERN FOR OUR COMMUNITIES, BUT AS HOSPITALS WE ARE NOT BEST EQUIPPED TO MEET THAT NEED. HOWEVER, ONE OF THE MEMORIAL AFFILIATES, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, IS ACTIVELY ADDRESSING ACCESS TO MENTAL HEALTH SERVICES ON MULTIPLE FRONTS.4. IMMUNIZATIONS FOR FLU AND PNEUMONIA NEED TO INCREASE. THE HOSPITALS ARE ALREADY PROACTIVELY ADDRESSING HOSPITAL-ACQUIRED FLU AND PNEUMONIA WITH OUR PATIENT POPULATION, BUT THEY ARE NOT WELL EQUIPPED TO ADDRESS COMMUNITY-ACQUIRED INFECTIOUS DISEASES.5. CANCER WAS NOT SELECTED AS A FINAL PRIORITY BECAUSE A NUMBER OF EXISTING CANCER INITIATIVES, BOTH FROM THE HOSPITALS AND OTHER ORGANIZATIONS, ARE ALREADY ACTIVE IN THE COMMUNITY. TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 7: DURING ITS TY2011 COMMUNITY HEALTH NEED ASSESSMENT PROCESS, MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS IDENTIFIED NINE PRIORITY HEALTH NEEDS. 1. IMPROVING ACCESS TO CARE2. CARDIOVASCULAR DISEASE3. DIABETES4. OBESITY5. CANCER (MULTIPLE TYPES)6. ASTHMA7. MOTHER/BABY8. MENTAL HEALTH9. IMMUNIZATION, FLU/PNEUMONIAREASONS FIVE PRIORITIES WERE NOT SELECTED:1. ASTHMA WAS ELIMINATED FROM FURTHER CONSIDERATION BECAUSE IT DOES NOT HAVE AS GREAT AN OVERALL IMPACT ON POPULATION HEALTH AS SOME OF THE OTHER NEEDS.2. ALTHOUGH MATERNAL/INFANT HEALTH IS A GREAT NEED, ST. JOHN'S HOSPITAL AND SIU FAMILY PRACTICE FEDERALLY QUALIFIED HEALTH CLINIC ALREADY HAD A STRONG COLLABORATION TO ADDRESS MOTHER/INFANT HEALTH AMONG LOW-INCOME POPULATIONS.3. MENTAL HEALTH ISSUES ARE A GREAT CONCERN FOR OUR COMMUNITIES, BUT AS HOSPITALS WE ARE NOT BEST EQUIPPED TO MEET THAT NEED. HOWEVER, ONE OF THE MEMORIAL AFFILIATES, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, IS ACTIVELY ADDRESSING ACCESS TO MENTAL HEALTH SERVICES ON MULTIPLE FRONTS.4. IMMUNIZATIONS FOR FLU AND PNEUMONIA NEED TO INCREASE. THE HOSPITALS ARE ALREADY PROACTIVELY ADDRESSING HOSPITAL-ACQUIRED FLU AND PNEUMONIA WITH OUR PATIENT POPULATION, BUT THEY ARE NOT WELL EQUIPPED TO ADDRESS COMMUNITY-ACQUIRED INFECTIOUS DISEASES.5. CANCER WAS NOT SELECTED AS A FINAL PRIORITY BECAUSE A NUMBER OF EXISTING CANCER INITIATIVES, BOTH FROM THE HOSPITALS AND OTHER ORGANIZATIONS, ARE ALREADY ACTIVE IN THE COMMUNITY. MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 11: MEMORIAL HEALTH SYSTEM USES AN AMOUNT OF EXCESS OF 300% OF THE FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR PROVIDING DISCOUNTED CARE. ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: MEMORIAL HEALTH SYSTEM USES AN AMOUNT OF EXCESS OF 300% OF THE FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR PROVIDING DISCOUNTED CARE. TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: MEMORIAL HEALTH SYSTEM USES AN AMOUNT OF EXCESS OF 300% OF THE FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR PROVIDING DISCOUNTED CARE. MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 20D: MMC, ALMH, AND TMH PROVIDE A SYSTEMATIC 70% CHARITY DISCOUNT FROM CHARGES TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME OR COOPERATION FOR ALL MEDICALLY NECESSARY HEALTH CARE SERVICES. PATIENT COOPERATION IS REQUIRED TO OBTAIN ADDITIONAL INCOME BASED DISCOUNTS AS DEFINED IN THE FAP. ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 20D: MMC, ALMH, AND TMH PROVIDE A SYSTEMATIC 70% CHARITY DISCOUNT FROM CHARGES TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME OR COOPERATION FOR ALL MEDICALLY NECESSARY HEALTH CARE SERVICES. PATIENT COOPERATION IS REQUIRED TO OBTAIN ADDITIONAL INCOME BASED DISCOUNTS AS DEFINED IN THE FAP. TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 20D: MMC, ALMH, AND TMH PROVIDE A SYSTEMATIC 70% CHARITY DISCOUNT FROM CHARGES TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME OR COOPERATION FOR ALL MEDICALLY NECESSARY HEALTH CARE SERVICES. PATIENT COOPERATION IS REQUIRED TO OBTAIN ADDITIONAL INCOME BASED DISCOUNTS AS DEFINED IN THE FAP. PART V, SECTION B, LINE 5A MHS FY14 COMMUNITY HEALTH NEED ASSESSMENT IMPLEMENTATION PLAN IS AVAILABLE ONLINE AT HTTP://WWW.CHOOSEMEMORIAL.ORG/PORTALS/6/COMMUNITY%20BENEFIT/FY14-COMMUNITY-BENEFIT-GOALS-AND-MEASURES.PDF. 17 SPINEWORKS PAIN CENTER 501 NORTH FIRST STREET SPRINGFIELD IL 62702 OUTPATIENT SERVICES MEMORIAL PHYSICIAN SERVICES-KOKE MILL 3132 OLD JACKSONVILLE RD SPRINGFIELD IL 62704 MPS PHYSICIAN MEMORIAL PHYSICIAN SERVICES-LINCOLN 515 NORTH COLLEGE STREET LINCOLN IL 62526 MPS PHYSICIAN MEMORIAL PHYS SVCS-WOMEN'S HEALTHCARE 747 NORTH RUTLEDGE SPRINGFIELD IL 62701 MPS PHYSICIAN WOUND HEALING CENTER 901 NORTH FIRST STREET SPRINGFIELD IL 62702 OUTPATIENT SERVICES MEMORIAL PHYSICIAN SERVICES-CHATHAM 101 EAST PLUMMER CHATHAM IL 62629 MPS PHYSICIAN MEMORIAL PHYS SVCS-CAPITAL HEALTHCARE 2603 SOUTH SIXTH SPRINGFIELD IL 62703 MPS PHYSICIAN MEMORIAL PHYSICIAN SERVICES-JACKSONVILLE 15 FOUNDERS LANE SUITE 100 JACKSONVILLE IL 62650 MPS PHYSICIAN MEMORIAL EXPRESSCARE AT SOUTH SIXTH 2950 SOUTH SIXTH STREET SPRINGFIELD IL 62703 ANCILLARY SERVICES MEMORIAL INDUSTRIAL REHAB 775 ENGINEERING DRIVE SPRINGFIELD IL 62703 OUTPATIENT SERVICES MEMORIAL EXPRESSCARE AT KOKE MILL 3132 OLD JACKSONVILLE RD SPRINGFIELD IL 62704 ANCILLARY SERVICES MEMORIAL EXPRESSCARE AT NORTH DIRKSEN 3220 ATLANTA STREET SPRINGFIELD IL 62702 ANCILLARY SERVICES MEMORIAL PHYSICIAN SERVICES-PETERSBURG 1 CENTRE DRIVE PETERSBURG IL 62675 MPS PHYSICIAN MEMORIAL PHYSICIAN SVCS-NORTH DIRKSEN 3220 ATLANTA STREET SPRINGFIELD IL 62707 MPS PHYSICIAN MEMORIAL PHYSICIAN SERVICES-SOUTH SIXTH 2950 SOUTH SIXTH STREET SPRINGFIELD IL 62703 MPS PHYSICIAN MEMORIAL PHYSICIAN SERVICES-VINE STREET 3225 HEDLEY RD SPRINGFIELD IL 62711 MPS PHYSICIAN SPORTSCARE AT YMCA 4550 WEST ILES SPRINGFIELD IL 62711 OUTPATIENT SERVICES PART I, LINE 3C: MEMORIAL HEALTH SYSTEM USES AN AMOUNT IN EXCESS OF 300% OF THE FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR PROVIDING DISCOUNTED CARE. THE VALUE OF 301% WAS ENTERED TO SATISFY A MANDATORY FIELD ENTRY REQUIREMENT TO QUALIFY FOR ELECTRONIC FILING. PART I, LINE 6A: MEMORIAL HEALTH SYSTEM (EIN: 37-1110690) PREPARED A COMMUNITY BENEFIT ANNUAL REPORT FOR THE ENTIRE HEALTH SYSTEM. A LINK TO THE REPORT IS AVAILABLE ONLINE FROM ALL THREE HOSPITAL WEBSITES AS WELL AS THE WEBSITES OF OTHER MHS AFFILIATES: HTTP://WWW.MEMORIALMEDICAL.COM/PORTALS/0/MASTER-DOCUMENTS/ABOUT-MEMORIAL/COMMUNITY-BENEFIT-ANNUAL-REPORT.PDF. A PDF VERSION IS AVAILABLE TO ANYONE UPON REQUEST. THE COMMUNITY BENEFIT ANNUAL REPORT IS ALSO INCLUDED WITHIN MEMORIAL HEALTH SYSTEM'S COMPLETE ANNUAL REPORT, WHICH IS DISTRIBUTED IN PRINT TO MEMBERS OF THE COMMUNITY AT LARGE. PART I, LINE 7: FOR MEMORIAL MEDICAL CENTER, THE COSTING METHODOLOGY FOR CHARITY CARE, MEDICAID, AND OTHER MEANS TESTED PROGRAMS WAS DERIVED FROM MEMORIAL MEDICAL CENTER'S COST ACCOUNTING SYSTEM. THIS SYSTEM HAS THE ABILITY TO COMPUTE THE ACTUAL COST OF ALL MEDICAL PROCEDURES AT THE PATIENT-ACCOUNT LEVEL REGARDLESS OF PAYOR TYPE OR WHETHER THE PATIENT WAS INPATIENT OR OUTPATIENT. ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL UTILIZED MEDICARE COSTING DATA FROM THE FISCAL YEAR ENDED 9/30/2014 MEDICARE COST REPORT AS FILED. THE ONLY CATEGORY BY WHICH MEMORIAL MEDICAL CENTER USED A COST TO CHARGE RATIO FOR SCHEDULE H IS FOR THE DETERMINATION OF BAD DEBT EXPENSE AT COST IN PART III, SECTION A, LINE 2. PART I, LN 7 COL(F): ABRAHAM LINCOLN MEMORIAL HOSPITAL, MEMORIAL MEDICAL CENTER, AND TAYLORVILLE MEMORIAL HOSPITAL TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $656,873,698. THE BAD DEBT EXPENSE INCLUDED IN PART IX, LINE 25, COLUMN (A) WAS $11,681,909. TOTAL EXPENSE LESS BAD DEBT EXPENSE TOTALED $645,191,789 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: MEMORIAL MEDICAL CENTER (MMC) PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITIES THAT ARE NOT ACCOUNTED FOR ELSEWHERE ON SCHEDULE H. MMC SUPPORTED PHYSICAL IMPROVEMENTS AND HOUSING WITH DONATIONS TO A NEIGHBORHOOD ASSOCIATION THAT IS ADDRESSING CRIME AND BLIGHTED PROPERTIES. ECONOMIC DEVELOPMENT WAS SUPPORTED THROUGH VOLUNTEER LEADERSHIP INVOLVEMENT IN THE GREATER SPRINGFIELD CHAMBER OF COMMERCE, MID-ILLINOIS MEDICAL DISTRICT AND OTHER ORGANIZATIONS. COMMUNITY SUPPORT IS PROVIDED BY LEADERSHIP ON THE BOARDS OF THE UNITED WAY OF CENTRAL ILLINOIS, ILLINOIS BOARD OF HIGHER EDUCATION, CENTRAL ILLINOIS FOOD BANK, AND OTHER ORGANIZATIONS. COALITION BUILDING WAS DONE LAST YEAR THROUGH MEMBERSHIP ON THE BOARD OF THE STAFF INVOLVEMENT IN THE YMCA OF SPRINGFIELD TO IMPROVE COMMUNITY ACCESS TO HEALTHY ACTIVITIES. COMMUNITY HEALTH IMPROVEMENT ADVOCACY IS SUPPORTED THROUGH LEADERSHIP INVOLVEMENT IN THE ILLINOIS HOSPITAL ASSOCIATION, VHA MID-AMERICA, SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE AND THE HELPING HANDS HOMELESS SHELTER. AS THE LARGEST LOCAL EMPLOYER OUTSIDE OF STATE GOVERNMENT, MMC IS AN IMPORTANT ECONOMIC LINK THAT PROVIDES EMPLOYMENT AND BENEFITS FOR THOUSANDS OF FAMILIES. WORKFORCE DEVELOPMENT IS A KEY AREA OF COMMUNITY BUILDING. MMC SUPPORTS ECONOMIC DEVELOPMENT THROUGH THE FINANCIAL SUPPORT OF SPRINGFIELD CHAMBER OF COMMERCE'S QUANTUM GROWTH PARTNERSHIP, A COLLABORATIVE COMMUNITY INITIATIVE WORKING TOWARD LONG-TERM IMPROVEMENT OF WORK AND EDUCATIONAL OPPORTUNITIES THROUGHOUT THE COMMUNITY. MMC WORKS WITH OTHER ORGANIZATIONS TO EXPAND OPPORTUNITIES TO TRAIN AND RECRUIT HEALTHCARE PROFESSIONALS TO INCREASE ACCESS TO CARE IN RURAL AREAS. MMC ALSO COLLABORATES WITH LOCAL SCHOOLS TO OFFER MULTIPLE OPPORTUNITIES FOR STUDENTS TO EXPLORE HEALTHCARE CAREER OPTIONS THROUGH MEMORIAL EXPLORER POST, TEENS EXPERIENCING NURSING SUMMER CAMP AND JOB SHADOWING OPPORTUNITIES FOR STUDENTS.AS ONE OF THE LARGEST EMPLOYERS IN LOGAN COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL (ALMH) IS AN IMPORTANT ECONOMIC LINK THAT PROVIDES EMPLOYMENT AND BENEFITS FOR 320 FAMILIES. ALMH PROVIDES DONATIONS TO THE LINCOLN/LOGAN COUNTY FOOD PANTRY. SUPPORT IS ALSO PROVIDED FOR THE LOCAL MULTIPLE SCLEROSIS WALK, UNITED WAY AND THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE. ALMH IS A MEMBER OF THE LINCOLN/LOGAN COUNTY CHAMBER OF COMMERCE WHICH IS ACTIVELY WORKING TO IMPROVE THE ECONOMIC VITALITY OF LOGAN COUNTY. ALMH ALSO PROVIDES IN-KIND SUPPORT IN THE FORM OF MEETING SPACE FOR THE CHAMBER OF COMMERCE AND VARIOUS COMMUNITY GROUPS. THE CHAMBER OF COMMERCE LEADERSHIP ACADEMY WHICH IS AN EIGHT-WEEK PROGRAM THAT PREPARES COMMUNITY MEMBERS FOR COMMUNITY LEADERSHIP ROLES. ABRAHAM LINCOLN MEMORIAL HOSPITAL'S COMMUNITY BUILDING ACTIVITIES INCLUDE STAFF WHO VOLUNTEERS FOR LEADERSHIP ON LOCAL NONPROFIT BOARDS FOR ORGANIZATIONS THAT IMPACT THE HEALTH AND QUALITY OF LIFE FOR OUR COMMUNITY. AMONG THESE ARE THE LINCOLN/LOGAN COUNTY CHAMBER OF COMMERCE, LINCOLN ROTARY CLUB, LOGAN COUNTY BOARD OF HEALTH, UNITED WAY OF LOGAN COUNTY, LINCOLN/LOGAN COUNTY FOOD PANTRY, LOCAL AMERICAN CANCER SOCIETY RELAY FOR LIFE, COMMUNITY/CHILDREN'S HEALTH FAIR PLANNING COMMITTEE, ILLINOIS COMMUNITY ACTION DEVELOPMENT CORPORATION, APEX AT CITY CENTER TASK FORCE, COMMUNITY ACTION PARTNERSHIP OF CENTRAL ILLINOIS' HEALTH ADVISORY COMMITTEE, PROFESSIONAL CONSULTATION COMMITTEE FOR CLINICAL PASTORAL EDUCATION AND THE LOCAL EMERGENCY PLANNING COMMITTEE. TAYLORVILLE MEMORIAL HOSPITAL (TMH) IS ONE OF THE LARGEST EMPLOYERS IN CHRISTIAN COUNTY AND PROVIDES EMPLOYMENT AND BENEFITS FOR APPROXIMATELY 380 FAMILIES. TMH IS A MEMBER OF THE GREATER TAYLORVILLE CHAMBER OF COMMERCE AND THE CHRISTIAN COUNTY ECONOMIC DEVELOPMENT CORPORATION, WHICH ARE WORKING TO IMPROVE THE ECONOMIC VITALITY OF CHRISTIAN COUNTY. COMMUNITY SUPPORT IS PROVIDED BY LEADERSHIP ON THE BOARDS OF THE UNITED WAY OF CHRISTIAN COUNTY, TAYLORVILLE DEVELOPMENT ASSOCIATION, AND TAYLORVILLE SERTOMA CLUB. THE TMH CEO SERVES AS CHAIRMAN FOR SERTOMA CLUB'S FIRST DAY SCHOOL SUPPLY PROGRAM AND SERVES AS CO-CHAIR FOR SERTOMA CLUB'S WARM WINTER PROJECT. TMH ACTIVELY PROMOTES AND SUPPORTS THE UNITED WAY OF CHRISTIAN COUNTY BY HOSTING THE ANNUAL UNITED WAY OF CHRISTIAN COUNTY KICK-OFF EVENT. TMH ALSO OFFERS INCENTIVES TO EMPLOYEES WHO MAKE CONTRIBUTIONS TO UNITED WAY. COALITION BUILDING WAS DONE THROUGH MEMBERSHIP IN THE CHRISTIAN COUNTY PREVENTION COALITION, WHICH IS DEDICATED TO STOPPING DRUG AND ALCOHOL ABUSE, ESPECIALLY ON THE PART OF YOUNG PEOPLE. COMMUNITY HEALTH IMPROVEMENT ADVOCACY IS SUPPORTED THROUGH LEADERSHIP INVOLVEMENT IN THE ILLINOIS HOSPITAL SMALL AND RURAL CONSTITUENCY SECTION. THIS SECTION OF THE ILLINOIS HOSPITAL ASSOCIATION SUPPORTS SMALL AND RURAL HOSPITALS AS THEY STRIVE TO PROVIDE NEEDED HEALTHCARE SERVICES TO THE COMMUNITIES THEY SERVE. LEADERS AND EMPLOYEES OF TMH SERVE ON SEVERAL OTHER COMMITTEES AND BOARDS, SUCH AS ILLINOIS RESPIRATORY CARE BOARD, RELAY FOR LIFE, LOCAL EMERGENCY PLANNING COMMITTEE OF CHRISTIAN COUNTY, AND CHRISTIAN COUNTY ECONOMIC DEVELOPMENT CORPORATION. IN ADDITION, THE TMH CEO SERVES AS THE INFORMATION TECHNOLOGY COMMITTEE CHAIR FOR THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK. PART III, LINE 4: MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS' (MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL) ACCOUNTING POLICY FOR BAD DEBT EXPENSE IS DESCRIBED ON PAGES 13, 14, AND 15 OF THE NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS IN THE MEMORIAL HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY UTILIZED FOR THE DETERMINATION OF MEMORIAL MEDICAL CENTER'S MEDICARE ALLOWABLE COST (SCHEDULE H, PART III, LINE 6) WAS CALCULATED AS FOLLOWS:MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL UTILIZED MEDICARE COSTING DATA FROM THE FISCAL YEAR ENDED 9/30/2014 MEDICARE COST REPORT AS FILED. MEMORIAL MEDICAL CENTER WAS ABLE TO CAPTURE THE MEDICARE COSTING FOR INPATIENT MEDICAL SURGICAL, INPATIENT PSYCHIATRIC, INPATIENT REHABILITATION, AND OUTPATIENT MEDICAL SURGICAL SERVICES DURING THAT FISCAL PERIOD. THIS COSTING DATA EXCLUDED THE DIRECT MEDICAL EDUCATION COST FOR THE RESIDENCY PROGRAM ASSOCIATED WITH THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. THIS COST WAS INCLUDED IN THE HEALTH PROFESSIONS EDUCATION SECTION OF PART I, LINE 7 (F) OF SCHEDULE H.OTHER SECTIONS OF MEDICARE COSTS THAT WOULD NORMALLY BE EXCLUDED FROM THE MEDICARE COST REPORT BUT SHOULD BE INCLUDED FOR PURPOSES OF THIS SCHEDULE ARE THE FOLLOWING:1. MEMORIAL MEDICAL CENTER'S ESRD PROGRAM - THIS PROGRAM IS RELATED TO THE END-STAGE RENAL DIALYSIS PROGRAM. THE PROGRAM IS REFLECTED ON THE W/S I OF THE COST REPORT BUT DOES NOT HAVE A SETTLEMENT. 2. MEMORIAL MEDICAL CENTER'S OUTPATIENT CLINICAL LAB CHARGES - THESE MEDICARE OUTPATIENT CHARGES ARE PAID ON A FEE-FOR-SERVICE BASIS AND ARE NOT REFLECTED ON THE AS FILED MEDICARE COST REPORT. 3. MEMORIAL MEDICAL CENTER'S OUTPATIENT THERAPY SERVICES - THESE MEDICARE OUTPATIENT CHARGES RELATED TO THERAPEUTIC SERVICES, SUCH AS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY SERVICES, ARE SUBJECT TO A FEE-FOR-SERVICE PAYMENT METHOD AND NOT FILED ON THE MEDICARE COST REPORT.4. PART B PROFESSIONAL FEES - MEMORIAL MEDICAL CENTER HAS ITS PART B MEDICARE PROFESSIONAL FEES BILLED THROUGH A SEPARATE CORPORATION OF MEMORIAL HEALTH SYSTEM. THE BILLING SERVICE IS CALLED PHYSICIAN BILLING SERVICE. IT BILLS FOR THE PROFESSIONAL FEES ON BEHALF OF MEMORIAL MEDICAL CENTER AND SWEEPS THE MEDICARE PAYMENTS BACK TO IT. SOME OF THE PROFESSIONAL FEES BILLED BY PHYSICIAN BILLING SERVICE ARE CRNA, HEARING CENTER, SPINEWORKS CLINIC, HEART FAILURE CLINIC, CLINICAL PSYCHOLOGISTS, DIETARY CONSULTING, BARIATRIC SURGERY AND EKG INTERPRETATIONS. THESE SERVICES ARE TYPICALLY EXCLUDED FROM THE MEDICARE COST REPORT BUT SHOULD BE INCLUDED FOR PURPOSE OF SCHEDULE H.THE MEDICARE CHARGES ASSOCIATED WITH BULLET POINTS 1 THROUGH 4 ABOVE WERE APPLIED TO THE CALCULATED COST TO CHARGE RATIOS FROM THE MEDICARE COST REPORT TO DETERMINE ITS COST. THIS COST DATA, ALONG WITH THE COST DATA ALREADY COMPILED FROM THE AS FILED MEDICARE COST REPORT WAS THE BASIS FOR THE ALLOWABLE MEDICARE COST OF $207,276,780. THE TOTAL SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7 WAS $5,086,186. THE ENTIRE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT FOR MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL. THIS SHORTFALL REFLECTS THE EXCESS COSTS INCURRED BY MEMORIAL MEDICAL CENTER THAT CURRENT FEE-FOR-SERVICE PAYMENTS PRESENTLY DO NOT COVER. THESE ARE VITAL SERVICES TO THE COMMUNITY THESE THREE HOSPITALS SERVE THAT CURRENT MEDICARE PAYMENTS DO NOT COVER.IN THE COMMUNITY THAT MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL SERVE, MEDICARE IS AN IMPORTANT PAYOR. ACCORDINGLY, ALL THREE HOSPITALS ACCEPT MEDICARE PATIENTS REGARDLESS OF WHETHER THEIR TREATMENTS WILL RESULT IN A SURPLUS OR DEFICIT TO THE HOSPITAL. BY PROVIDING THESE SERVICES TO MEDICARE PATIENTS, THE MHS HOSPITALS PROMOTE ACCESS TO HEALTH CARE AND PROVIDE A COMMUNITY BENEFIT. ADDITIONALLY, THE ELDERLY ARE OFTEN AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE SERVICES, CMS AND THE U.S. GOVERNMENT WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY. ACCORDINGLY, MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL HAVE LESSENED THE BURDENS OF GOVERNMENT BY PROVIDING SERVICES TO THIS AT-RISK POPULATION. PART III, LINE 9B: MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL WILL NOT PURSUE COLLECTION ACTION IN COURT AGAINST A FINANCIALLY QUALIFIED CHARITY CARE PATIENT WHO HAS CLEARLY DEMONSTRATED THAT HE OR SHE DOES NOT HAVE SUFFICIENT INCOME OR ASSETS TO MEET ANY PART OF THEIR FINANCIAL OBLIGATION TO THE APPLICABLE HOSPITAL. IF AN UNINSURED PATIENT HAS REQUESTED CHARITY ASSISTANCE AND/OR APPLIED FOR OTHER COVERAGE AND IS COOPERATING WITH THE HOSPITAL, THE HOSPITAL WILL NOT PURSUE COLLECTION ACTION UNTIL A DECISION HAS BEEN MADE THAT THERE IS NO LONGER A REASONABLE BASIS TO BELIEVE PATIENT MAY QUALIFY FOR CHARITY ASSISTANCE OR OTHER COVERAGE. IF AN UNINSURED PATIENT COMPLIES WITH A PAYMENT PLAN THAT HAS BEEN AGREED UPON BY THE HOSPITAL, THE HOSPITAL WILL NOT PURSUE COLLECTION ACTION. IF THE HOSPITAL HAS GIVEN THE PATIENT THE OPPORTUNITY TO ASSESS THE ACCURACY OF THE BILL AND HAS SUFFICIENT REASON TO BELIEVE THAT THE PATIENT DOES NOT QUALIFY FOR ADDITIONAL CHARITY CARE ASSISTANCE UNDER ALL TERMS OF THIS POLICY REGARDING HIS OR HER PARTIAL OBLIGATION, AND THE PATIENT CONTINUES WITH NON-PAYMENT, COLLECTION ACTION MAY BE TAKEN BY THE HOSPITAL TO ENFORCE THE TERMS OF ANY PAYMENT PLAN. ONCE CHARITY CARE STATUS IS DETERMINED, IT WILL BE APPLIED TO ALL OPEN ACCOUNTS AND WILL BE VALID FOR A PERIOD OF 6 MONTHS FROM DATE OF DETERMINATION AND 6 MONTHS RETROACTIVELY. PART III, LINE 2 MEMORIAL MEDICAL CENTER'S BAD DEBT EXPENSE AT COST WAS DETERMINED BY COMPUTING A COST TO CHARGE RATIO AND APPLYING THIS RATIO AGAINST BAD DEBT EXPENSE AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDED 9/30/2014.THE COST TO CHARGE RATIO WAS CALCULATED AS FOLLOWS:TOTAL OPERATING EXPENSES PER AUDITED FINANCIAL STMTS $568,963,397LESS:OTHER OPERATING REVENUE (BEFORE CAPITATION ADJ) (17,018,914)CAPITATION RISK SETTLEMENT (1,036,384)PURCHASED MEDICAL SERVICES CAPITATION (33,454,549)HOSPITAL PROVIDER ASSESSMENT (15,700,633)ADJUSTED OPERATING EXPENSES $503,825,685GROSS PATIENT SERVICE REVENUE (BEFORE CAPITATION) $1,871,175,652RATIO OF COST TO CHARGES FOR BAD DEBT COSTING 26.9%ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL USED THE METHOD PRESCRIBED IN WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS (MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL) DO NOT INCLUDE BAD DEBT AMOUNTS IN COMMUNITY BENEFIT. PART VI, LINE 2: IN ADDITION TO THE COMMUNITY HEALTH NEED ASSESSMENT PROCESS DESCRIBED IN PART V, SECTION B, MEMORIAL HEALTH SYSTEM HAS ALWAYS REVIEWED A VARIETY OF INFORMATION TO IDENTIFY COMMUNITY NEEDS. THESE INCLUDE HOSPITAL ADMISSIONS AND DISCHARGES, LEADING CAUSES OF MORTALITY AND MORBIDITY IN EACH COUNTY AS REPORTED BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH, AND THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTHY PEOPLE 2020. ADDITIONAL INFORMATION IS GLEANED FROM CONSUMER SURVEYS, PATIENT SURVEYS, MEDICAL STAFF SURVEYS, EVALUATIONS FROM COMMUNITY EDUCATION EVENTS, SUPPORT GROUP FEEDBACK, WEBMASTER QUESTIONS AND FEEDBACK, VOLUNTEER BOARD MEMBER AND COMMUNITY BENEFIT COMMITTEE FEEDBACK, REQUESTS FROM THE COMMUNITY AND GRANT APPLICATIONS TO THE MEMORIAL MEDICAL CENTER FOUNDATION. INFORMATION FROM ALL THESE SOURCES HELPED PRIORITIZE MHS'S COMMUNITY BENEFIT INITIATIVES IN TY13/FY14, AND TO ASSURE THAT THOSE INITIATIVES ARE ALIGNED WITH MHS'S MISSION, STATEMENT OF VALUES, STRATEGIC PLAN AND BUDGET. PRIORITIES ARE ESTABLISHED BASED ON OVERALL NEED, LEADING CAUSES OF DEATH, IMPACT ON HEALTH STATUS, ORGANIZATIONAL CORE COMPETENCIES, AND RESOURCES AND WHEREWITHAL TO MEANINGFULLY ADDRESS THE NEED. EACH MEMORIAL AFFILIATE HAS THE FLEXIBILITY TO DEVELOP SPECIFIC COMMUNITY BENEFIT PROGRAMS AND INITIATIVES THAT ARE DESIGNED TO RESPOND TO THE NEEDS OF ITS PARTICULAR COMMUNITY. MEMORIAL HEALTH SYSTEM UNDERSTANDS THAT COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS IS AN IMPORTANT COMPONENT OF COMMUNITY HEALTH IMPROVEMENT EFFORTS AND RESPONDS TO DIRECT COMMUNITY REQUESTS FOR PROGRAMS AND ASSISTANCE. PART VI, LINE 3: MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL PROACTIVELY INFORM PATIENTS OF THEIR CHARITY CARE AND UNINSURED DISCOUNT ASSISTANCE AND THE ELIGIBILITY CRITERIA, IN ACCORDANCE WITH SUCH POLICIES. A FINANCIAL ASSISTANCE/BILLING LINK ON EACH HOSPITAL WEBSITE GOES TO BILLING INFORMATION WHICH INCLUDES A LINK TO THE CHARITY CARE AND UNINSURED DISCOUNT PROGRAM INFORMATION AND APPLICATION. THE APPLICATION FORM IS AVAILABLE IN SPANISH AS WELL AS ENGLISH. FOREIGN LANGUAGE TRANSLATION ASSISTANCE IS AVAILABLE UPON REQUEST. INFORMATION ON THE AVAILABILITY OF CHARITY CARE AND UNINSURED DISCOUNT ASSISTANCE IS POSTED AT PRIMARY REGISTRATION SITES, INCLUDING THE EMERGENCY DEPARTMENT. THE "PEACE OF MIND REGARDING PAYMENT" BROCHURE IS AVAILABLE TO EVERY PATIENT AT EVERY VISIT AND IS AVAILABLE IN SPANISH. EMPLOYEES IN PATIENT REGISTRATION, PATIENT FINANCIAL SERVICES AND SOCIAL SERVICES ARE TRAINED TO UNDERSTAND THE CHARITY CARE POLICY AND KNOW HOW TO DIRECT QUESTIONS TO THE APPROPRIATE HOSPITAL REPRESENTATIVE. HOSPITAL STAFF WHO REGULARLY INTERACT WITH PATIENTS ARE TRAINED AND KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY. IF NECESSARY, THEY ARE ABLE TO DIRECT PATIENT QUESTIONS REGARDING THE POLICY TO A KNOWLEDGEABLE HOSPITAL REPRESENTATIVE WHO IS ALSO ABLE TO DISCUSS WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID OR OTHER STATE PROGRAMS, AND ASSIST THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. EACH HOSPITAL EMPLOYS PATIENT FINANCIAL COUNSELORS WHOSE PRIMARY GOAL IS TO VISIT ALL INPATIENTS WHO ARE IDENTIFIED AS SELF-PAY WITHIN 24 HOURS OF ADMISSION. THE FINANCIAL COUNSELORS PROVIDE INFORMATION ON CHARITY CARE AND UNINSURED DISCOUNTS AND, IF THE PATIENT HAS APPROPRIATE INFORMATION, COMPLETE THE CHARITY CARE APPLICATION ON THE SPOT. ANY SELF-PAY INPATIENT WHO MAY HAVE BEEN DISCHARGED WITHOUT A VISIT FROM THE FINANCIAL COUNSELOR RECEIVES A FOLLOW-UP PHONE CALL OR CHARITY CARE APPLICATION PACKET IN THE MAIL. IF INPATIENTS ARE IDENTIFIED AS BEING ELIGIBLE FOR MEDICAID OR OTHER GOVERNMENT BENEFITS, THIS APPLICATION PROCESS IS ALSO IMMEDIATELY STARTED WHILE THEY ARE PATIENTS. MEMORIAL MEDICAL CENTER EMPLOYS A FULL-TIME MEDICAID COORDINATOR(S) WHO CONTINUES TO WORK WITH PATIENTS POST-DISCHARGE TO WALK THEM THROUGH THE ENTIRE APPLICATION PROCESS. EVERY HOSPITAL BILLING STATEMENT INCLUDES FINANCIAL ASSISTANCE INFORMATION WITH A PHONE NUMBER TO CALL FOR INFORMATION. PATIENTS ARE ENCOURAGED TO INQUIRE ABOUT FINANCIAL ASSISTANCE AT ANY STAGE OF THE BILLING PROCESS.THE MHS HOSPITALS STRIVE TO HAVE A CONSISTENT AND COURTEOUS APPROACH TO COLLECTIONS. MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL OFFER FINANCIAL COUNSELING AND SCREENING TO PATIENTS TO ENSURE THAT ANY OTHER POTENTIAL THIRD PARTY COVERAGE UNDER OTHER GOVERNMENT PROGRAMS SUCH AS MEDICAID CAN BE IDENTIFIED. MEMORIAL MEDICAL CENTER WILL NOT REFER ACCOUNTS TO A COLLECTION AGENCY, FILE ANY LAWSUIT, OR GARNISH WAGES AGAINST ANY PARTICULAR PATIENT TO COLLECT MEDICAL DEBT UNTIL MMC VERIFIES THE FOLLOWING: REASONABLE BASIS FOR BELIEVING PATIENT OWES THE DEBT; MMC WILL MAKE ALL REASONABLE ATTEMPTS TO BILL THIRD PARTY PAYERS AND CONFIRM ANY REMAINING AMOUNTS ARE TRULY THE FINANCIAL RESPONSIBILITY OF THE PATIENT; WHEN THE PATIENT HAS INDICATED AN INABILITY TO PAY MMC WILL ATTEMPT TO VALIDATE THE INABILITY TO PAY AND MMC WILL OFFER A REASONABLE PAYMENT PLAN AND; THE PATIENT HAS BEEN GIVEN A REASONABLE OPPORTUNITY TO SUBMIT AN APPLICATION FOR CHARITY CARE. ALL HOSPITALS HAVE A CODE OF CONDUCT POLICY THAT SETS FORTH CERTAIN PRINCIPLES TO WHICH AGENCIES, REPRESENTATIVES AND COLLECTORS ARE EXPECTED TO ADHERE. THE AGENCIES ARE REQUIRED TO COMPLY WITH ALL OF THE RELEVANT TERMS OF THE ILLINOIS FAIR PATIENT BILLING ACT, AND, IN PARTICULAR, SECTION 30(C) WHICH ENUMERATES CERTAIN PREREQUISITE CONDITIONS WHICH MUST BE SATISFIED BEFORE AN AGENCY CAN INITIATE ANY LEGAL ACTION AGAINST A PATIENT WHICH IS RELATED TO A FAILURE BY THAT PATIENT TO PAY A HOSPITAL BILL. THE AGENCIES ARE ALSO REQUIRED TO COMPLY WITH ALL OF THE RELEVANT TERMS OF THE ACA INTERNATIONAL CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY.ONCE A CHARITY CARE DETERMINATION IS MADE, ALL COLLECTION EFFORTS CEASE. IF AN ACCOUNT IS AT A COLLECTION AGENCY, THE ACCOUNT IS RETURNED BACK TO THE HOSPITAL FOR CHARITY PROCESSING.ALL PATIENT COMPLAINTS REGARDING DISSATISFACTION WITH SERVICES RENDERED OR BILLING ISSUES ARE HANDLED PROMPTLY AND IN A COURTEOUS MANNER TO ENSURE THAT CUSTOMER SERVICE REMAINS THE FOCUS OF ANY PATIENT CONCERN. ALL COMPLAINTS ARE CONSIDERED VALID AND PATIENT FEEDBACK IS WELCOME WITH RESPECT TO DISPUTED MATTERS. PART VI, LINE 4: MEMORIAL MEDICAL CENTER (MMC), A NONPROFIT TERTIARY CARE HOSPITAL WITH 500 LICENSED BEDS, IS LOCATED IN THE STATE CAPITOL OF SPRINGFIELD, ILL. MMC IS ONE OF TWO PRIMARY TEACHING HOSPITALS FOR SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE, WHICH IS ADJACENT TO THE MMC CAMPUS. MMC IS A LEVEL 1 TRAUMA CENTER AND MAJOR REGIONAL HEALTHCARE PROVIDER FOR CENTRAL AND SOUTHERN ILLINOIS, WHICH IS LARGELY RURAL. ITS PRIMARY SERVICE AREA INCLUDES SANGAMON COUNTY (POP. 199,145) AND SEVEN ADJACENT RURAL AGRICULTURAL COUNTIES WHOSE COMBINED POPULATIONS TOTAL 203,000 (LOGAN, CHRISTIAN, CASS, MACOUPIN, MENARD, MONTGOMERY AND MORGAN COUNTIES). THERE ARE 10 OTHER HOSPITALS IN THIS PRIMARY SERVICE AREA INCLUDING, IN SPRINGFIELD, ST. JOHN'S HOSPITAL (431 BEDS) AND VIBRA HOSPITAL (A 50-BED, LONG-TERM ACUTE-CARE FACILITY). THE OTHER EIGHT HOSPITALS ARE LOCATED IN RURAL COMMUNITIES. ONE RURAL HOSPITAL HAS 93 BEDS; THE OTHER SEVEN HOSPITALS EACH HAVE FEWER THAN 50 BEDS. THERE ARE A TOTAL OF 29 MUAS (FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS) IN THE EIGHT COUNTIES THAT COMPRISE MMC'S PRIMARY SERVICE AREA. SANGAMON COUNTY, WHERE MMC IS LOCATED, HAS EIGHT OF THESE MUAS. THE POPULATION OF SANGAMON COUNTY IS 83.4% WHITE, 12.2% BLACK AND 4.4% OTHER. THE MEDIAN HOUSEHOLD INCOME IS $55,449. PERSONS AGE 65 AND OLDER MAKE UP 15% OF SANGAMON COUNTY'S POPULATION, WHICH IS HIGHER THAN THE STATE AVERAGE OF 13.5%. A TOTAL OF 14.2% OF ALL COUNTY RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 21.8% OF ALL CHILDREN AND 6.3% OF SENIORS. IN TY2013, 1.8% OF THE PATIENTS SERVED AT MMC RECEIVED UNINSURED/UNDERINSURED CHARITY CARE ASSISTANCE; 16.4% OF PATIENTS WERE ON MEDICAID; AND 29.9% WERE COVERED BY MEDICARE. MMC QUALIFIES FOR MEDICARE DISPROPORTIONATE SHARE REIMBURSEMENT. CARDIOVASCULAR DISEASES AND CANCER ARE THE LEADING CAUSES OF DEATH IN THE COUNTY.ABRAHAM LINCOLN MEMORIAL HOSPITAL (ALMH) IS A 25-BED RURAL CRITICAL ACCESS HOSPITAL LOCATED IN LINCOLN, ILL., APPROXIMATELY 30 MILES NORTHEAST OF THE STATE CAPITOL OF SPRINGFIELD. ALMH SERVES THE PEOPLE AND COMMUNITIES OF LOGAN AND EASTERN MASON COUNTIES, A LARGELY RURAL, AGRICULTURAL AREA. ALMH IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA OF LOGAN COUNTY (POP. 30,013). RACE/ETHNICITY INCLUDES 89.7% WHITE, 7.9% BLACK AND 2.4% OTHER BACKGROUNDS. THE MEDIAN HOUSEHOLD INCOME IS $46,647. PERSONS AGE 65 AND OLDER MAKE UP 16.4% OF LOGAN COUNTY'S POPULATION. 13.2% OF ALL RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 17.8% OF ALL CHILDREN AND 5.6% OF SENIORS. THERE IS ONE MUA IN LOGAN COUNTY. IN TY2013, 5.0% OF THE PATIENTS SERVED AT ALMH RECEIVED UNINSURED/UNDERINSURED CHARITY CARE ASSISTANCE; 21.9% OF THE PATIENTS WERE ON MEDICAID; AND 43.3% WERE COVERED BY MEDICARE. CARDIOVASCULAR DISEASES AND CANCER ARE THE LEADING CAUSES OF DEATH IN THE COUNTY.TAYLORVILLE MEMORIAL HOSPITAL (TMH) IS A 25-BED RURAL CRITICAL ACCESS HOSPITAL LOCATED IN TAYLORVILLE, ILL., APPROXIMATELY 27 MILES SOUTHEAST OF THE STATE CAPITOL OF SPRINGFIELD. TMH IS ONE OF TWO HOSPITALS IN THE PRIMARY SERVICE AREA OF CHRISTIAN COUNTY (POP. 34,298). THE OTHER, PANA COMMUNITY HOSPITAL, IS A CRITICAL ACCESS FACILITY IN THE SOUTHEAST CORNER OF THE COUNTY. CHRISTIAN COUNTY'S RACE/ETHNICITY INCLUDES 96.5% WHITE, 1.6% BLACK, AND 1.9% OTHER. THE MEDIAN HOUSEHOLD INCOME IS $45,145. PERSONS AGE 65 AND OLDER MAKE UP 18.2% OF CHRISTIAN COUNTY'S POPULATION. 14.9% OF ALL PEOPLE LIVE BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 24.8% OF CHILDREN AND 7.9% OF SENIORS. CHRISTIAN COUNTY HAS NINE MUAS. IN TY2013, 3.8% OF THE PATIENTS SERVED AT TMH RECEIVED UNINSURED/UNDERINSURED CHARITY CARE ASSISTANCE; 18.1% OF THE PATIENTS WERE ON MEDICAID AND 54.9% WERE COVERED BY MEDICARE. CARDIOVASCULAR DISEASES AND CANCER ARE THE LEADING CAUSES OF DEATH IN THE COUNTY. PART VI, LINE 5: EACH MHS HOSPITAL (MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL) HAS A BOARD OF DIRECTORS MADE UP OF MEDICAL, BUSINESS AND COMMUNITY LEADERS WHO RESIDE IN THAT HOSPITAL'S PRIMARY SERVICE AREA. THESE VOLUNTEERS DONATE NUMEROUS HOURS OF SERVICE IN THEIR OVERSIGHT ROLE AND ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, FUNDRAISING, AND GENERAL STEWARDSHIP. MORE THAN 500 PEOPLE VOLUNTEER AT THE THREE HOSPITALS AS ESCORTS, WAITING ROOM HOSTS AND HOSTESSES AND A WIDE RANGE OF OTHER VOLUNTEER ROLES. ALL MHS HOSPITALS HAVE OPEN MEDICAL STAFFS THAT ALLOW MEMBERSHIP TO ANYONE WHO MEETS CREDENTIALING REQUIREMENTS. ALL THREE HOSPITALS PARTICIPATE IN MEDICARE, MEDICAID, CHAMPUS, TRICARE AND OTHER GOVERNMENT PROGRAMS AND ARE DISPROPORTIONATE SHARE MEDICAID HOSPITALS THAT PROVIDE FINANCIAL ASSISTANCE AND SLIDING SCALE DISCOUNTS ACCORDING TO BOARD-APPROVED CHARITY CARE POLICIES. ALL THREE HOSPITALS ALSO PROVIDE 24/7 EMERGENCY DEPARTMENTS PROVIDING SERVICE TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY.MEMORIAL HEALTH SYSTEM UTILIZES SURPLUS FUNDS TO IMPROVE PATIENT CARE, MEDICAL EDUCATION AND RESEARCH.MEMORIAL MEDICAL CENTER SERVES AS THE REGIONAL BURN CENTER, SERVING ACUTELY BURNED PATIENTS FROM CENTRAL AND SOUTHERN ILLINOIS AND IS THE REGIONAL REHABILITATION PROVIDER FOR SPINAL CORD INJURIES, CLOSED HEAD INJURIES, STROKES AND COMPREHENSIVE INPATIENT AND OUTPATIENT REHABILITATION. MMC'S REGIONAL CANCER CENTER APPLIES ITS RESOURCES AND RESEARCH TO OFFER THE VERY LATEST IN CANCER EDUCATION, DETECTION, TREATMENT AND RESEARCH TO PATIENTS THROUGHOUT CENTRAL AND SOUTHERN ILLINOIS. MMC'S TRANSPLANT SERVICES HAS COMPLETED MORE THAN 800 KIDNEY AND COMBINED KIDNEY/PANCREAS TRANSPLANTS. MMC MAINTAINS A 24-HOUR EMERGENCY DEPARTMENT THAT IS A LEVEL 1 TRAUMA CENTER. THE EMERGENCY DEPARTMENT HAS TRADITIONALLY SERVED AS A SAFETY NET HEALTHCARE PROVIDER FOR THE UNINSURED AND UNDERINSURED WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. IT PROVIDES SERVICES TO ALL PEOPLE REGARDLESS OF ABILITY TO PAY. TO HELP MEET COMMUNITY NEED AND ALLEVIATE USE OF THE EMERGENCY DEPARTMENT FOR NON-EMERGENT CARE, MHS OPERATES THREE EXPRESSCARE WALK-IN FACILITIES. THESE PROMPT-CARE SITES USE THE SAME CRITERIA FOR PATIENTS AS THE EMERGENCY DEPARTMENT: THE UNINSURED AND THOSE ON PUBLIC INSURANCE PROGRAMS RECEIVE THE SAME LEVEL OF CARE AND TREATMENT AS ANY OTHER PATIENTS. CHARITY CARE IS PROVIDED AS NEEDED.MEMORIAL MEDICAL CENTER COLLABORATES WITH COMMUNITY PROVIDERS TO SERVE LOW INCOME AND UNINSURED POPULATIONS. MMC SUPPORTS PATIENTS FROM TWO FEDERALLY QUALIFIED HEALTH CENTERS IN SANGAMON COUNTY: CENTRAL COUNTIES HEALTH CENTER AND SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE'S CENTER FOR FAMILY MEDICINE. MMC PROVIDES INPATIENT AND OUTPATIENT SERVICES TO ALL REFERRED FQHC PATIENTS, REGARDLESS OF ABILITY TO PAY. MMC ASSISTS THESE PATIENTS IN APPLYING FOR ANY HEALTH REIMBURSEMENT PROGRAM FOR WHICH THEY MAY BE 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. IN PARTNERSHIP WITH ST. JOHN'S HOSPITAL, MMC ALSO PROVIDED OPERATING EXPENSES FOR COORDINATED ACCESS TO COMMUNITY HEALTH (CATCH), A PROGRAM THAT IS INCREASING ACCESS TO CARE, PARTICULARLY PHYSICIAN SPECIALISTS, FOR UNINSURED ADULTS IN SANGAMON COUNTY. MMC PROVIDES FREE INPATIENT, OUTPATIENT AND DIAGNOSTIC SERVICES FOR CATCH PATIENTS, WHICH IS A PORTION OF OUR CHARITY CARE. MMC ALSO PROVIDES FREE TEMPORARY SUPPLIES OF PHARMACEUTICALS PRESCRIBED FOR INDIGENT PATIENTS WHO ARE DISCHARGED FROM OUR EMERGENCY ROOM AND INPATIENT HOSPITAL. IN ADDITION WE FUND FREE PHARMACEUTICALS FOR LOW-INCOME AND HOMELESS PERSONS SERVED BY THE KUMLER OUTREACH MINISTRIES, A PROGRAM OF KUMLER METHODIST CHURCH. MMC ALSO COVERS THE COSTS FOR AMBULANCES AND MEDICARS THAT TRANSFER DISCHARGED MEDICARE PATIENTS AND THE INDIGENT FROM THE HOSPITAL TO NURSING HOMES OR TO THEIR OWN HOMES IN THE COMMUNITY. MMC IS COMMITTED TO HEALTH PROFESSIONS EDUCATION. MHS PROVIDES SIGNIFICANT FINANCIAL SUPPORT FOR SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE, A STATE UNIVERSITY THAT DOES NOT RECEIVE SUFFICIENT OPERATING SUPPORT FROM THE STATE OF ILLINOIS. MMC SERVES AS A MAJOR TEACHING HOSPITAL FOR SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE, WHICH HAS ABOUT 300 MEDICAL STUDENTS STUDYING IN SPRINGFIELD DURING THEIR SECOND THROUGH FOURTH YEARS OF MEDICAL SCHOOL, AND MORE THAN 300 RESIDENTS AND FELLOWS PARTICIPATING IN 23 DIFFERENT SPECIALTY PROGRAMS. DURING TY13, MMC COLLABORATED WITH SIU SCHOOL OF MEDICINE TO CREATE A NEW HAND TRANSPLANT PROGRAM. IN TY2013, MMC COLLABORATED WITH THE UNIVERSITY OF ILLINOIS SPRINGFIELD AND UNIVERSITY OF ILLINOIS CHICAGO TO BRING NEW BACHELOR OF SCIENCE AND MASTERS IN NURSING PROGRAMS TO THE SPRINGFIELD CAMPUS TO HELP INCREASE THE AVAILABILITY OF REGISTERED NURSES AND ADVANCED PRACTICE NURSES IN CENTRAL AND SOUTHERN ILLINOIS. MMC ALSO OFFERS CLINICAL TRAINING SITES FOR MULTIPLE OTHER NURSING SCHOOLS, PROVIDING CLINICAL EXPERIENCES TO HUNDREDS OF UNDERGRADUATE RN AND LPN STUDENTS ANNUALLY. CLINICAL EXPERIENCES ARE OFFERED TO STUDENTS FROM NUMEROUS OTHER UNIVERSITY AND COLLEGE HEALTH PROFESSIONAL TRAINING PROGRAMS IN THE REGION. THESE INCLUDE RADIOLOGY, PHARMACY, CERTIFIED REGISTERED NURSE ANESTHESISTS, CLINICAL LABORATORY SCIENTISTS, SPEECH PATHOLOGISTS, PHYSICAL AND OCCUPATIONAL THERAPISTS AND OTHERS. MMC SUPPORTS CLINICAL RESEARCH AND OFFERS NUMEROUS CANCER TRIALS THROUGH THE CENTRAL ILLINOIS COMMUNITY CLINICAL ONCOLOGY PROGRAM, WHICH RECEIVES SUPPORT FROM THE NATIONAL CANCER INSTITUTE. IN ADDITION, MMC PROVIDES FUNDING AND SUPPORT FOR THE SPRINGFIELD COMMITTEE ON RESEARCH IN HUMAN SUBJECTS, THE LOCAL INSTITUTIONAL REVIEW BOARD FOR CLINICAL RESEARCH TRIALS IN SPRINGFIELD. MORE THAN 450 RESEARCH PROJECTS AND PROTOCOLS ARE OPEN AT ANY GIVEN TIME. MMC ALSO USES SURPLUS FUNDS TO PROVIDE SERVICES AND EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITIES WE SERVE THROUGH EDUCATIONAL PROGRAMS THAT PROVIDE CLASSES AND INFORMATION ON A WIDE RANGE OF WELLNESS TOPICS. MMC CONDUCTS NUMEROUS FREE AND LOW-COST HEALTH SCREENINGS AND FREE SUPPORT GROUPS FOR COMMUNITY MEMBERS DEALING WITH BREAST CANCER, PROSTATE CANCER, DIABETES, KIDNEY/PANCREAS TRANSPLANT, STROKE/BRAIN INJURY, HEART FAILURE AND BARIATRIC WEIGHT LOSS. SURPLUS FUNDS ALSO IMPROVE PATIENT CARE BY ADDRESSING IMPORTANT IMPROVEMENTS TO THE MMC HOSPITAL INFRASTRUCTURE. DURING TY13/FY14, MMC CONTINUED WORK ON A MULTIPHASE EXPANSION PROJECT THAT WILL BE COMPLETED IN 2015 AND 2016. THE PROJECT INCLUDES CONSTRUCTION OF THREE NEW PATIENT FLOORS WITH 114 PRIVATE PATIENT ROOMS THAT WILL IMPROVE PATIENT SAFETY, PRIVACY AND COMFORT AND REDUCE THE RISK OF INFECTION. FOLLOWING CONSTRUCTION, EXISTING DOUBLE PATIENT ROOMS WILL BE CONVERTED TO PRIVATE ROOMS. THE NEW CONSTRUCTION ALSO INCLUDES EXPANDED SURGICAL CAPACITY WITH THE ADDITION OF SIX NEW OPERATING ROOMS. HEALTH PROFESSIONS EDUCATION WILL BE ENHANCED THROUGH A NEW FOUR-STORY CENTER FOR LEARNING AND INNOVATION FACILITY WHICH WILL OFFER NEW AND ADVANCED PROFESSIONAL EDUCATIONAL OPPORTUNITIES FOR MEMORIAL STAFF AS WELL AS SIU SCHOOL OF MEDICINE AND OTHER REGIONAL HEALTHCARE ACADEMIC PARTNERS. NEW CONFERENCE ROOM SPACE WILL ALSO ALLOW MEMORIAL TO OFFER ADDITIONAL PROFESSIONAL HEALTH EDUCATION EVENTS FOR THE COMMUNITY. DURING TY13/FY14, MMC ESTABLISHED A NEW CARE COORDINATION SERVICE TO HELP PATIENTS WITH COMPLEX MEDICAL NEEDS DEVELOP LONG-TERM HEALTHCARE GOALS AND ACCESS THE CARE THEY NEED. MMC IS ALSO A JOINT COMMISSION OF HEALTH CARE ORGANIZATION DESIGNATED PRIMARY STROKE CENTER AND MAINTAINS A TELESTROKE NETWORK WITH OTHER HOSPITALS IN THE REGION WHEREBY PATIENTS PRESENTING WITH STROKE SYMPTOMS CAN BE DIAGNOSED AND TRIAGED AT THEIR LOCAL HOSPITAL. ABRAHAM LINCOLN MEMORIAL HOSPITAL (ALMH) IS A RURAL CRITICAL ACCESS HOSPITAL WITH 25 STAFFED BEDS. SERVICES OFFERED INCLUDE 24-HOUR EMERGENCY MEDICINE, GENERAL ACUTE INPATIENT CARE, PAIN MANAGEMENT, ORTHOPEDICS, SURGERY AND FAMILY MATERNITY SUITES. ALMH ALSO OFFERS A FULL RANGE OF OUTPATIENT REHABILITATION AND THERAPY AS WELL AS DIAGNOSTIC TESTING. A FIXED MRI UNIT AND UPGRADED CT SCAN OFFER COMMUNITY MEMBERS LOCAL AND CONVENIENT ACCESS TO MANY DIAGNOSTIC TESTS. ALMH'S EMERGENCY DEPARTMENT HAS TRADITIONALLY SERVED AS A SAFETY NET HEALTHCARE PROVIDER FOR THE UNINSURED AND UNDERINSURED WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. ALMH OFFERS MEMORIAL JOINTWORKS, WHICH EDUCATES PATIENTS AND THEIR FAMILIES ABOUT WHAT TO EXPECT BEFORE, DURING AND AFTER HIP OR KNEE REPLACEMENT SURGERY. THIS PERSONALIZED AND AGGRESSIVE THERAPY APPROACH HAS SUCCESSFULLY ASSISTED PATIENTS TO REDUCE THEIR PAIN AND MAXIMIZE THEIR FUNCTION AND MOBILITY AFTER SURGERY. PART VI, LINE 6: MEMORIAL HEALTH SYSTEM, A 501(C)(3) CORPORATION, IS THE SOLE CORPORATE MEMBER OF ABRAHAM LINCOLN MEMORIAL HOSPITAL, A RURAL CRITICAL ACCESS HOSPITAL; TAYLORVILLE MEMORIAL HOSPITAL, A RURAL CRITICAL ACCESS HOSPITAL; AND MEMORIAL MEDICAL CENTER, A 500-BED TERTIARY CARE HOSPITAL THAT OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES. OTHER AFFILIATES INCLUDE: MEMORIAL PHYSICIAN SERVICES, A PRIMARY CARE PHYSICIAN NETWORK THAT INCLUDES SEVERAL CLINICS LOCATED IN MEDICALLY UNDERSERVED OR HEALTH MANPOWER SHORTAGE AREAS; MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, A MULTI-COUNTY OUTPATIENT MENTAL HEALTH NETWORK THAT PROVIDES SERVICE BASED ON A SLIDING-SCALE FEE SCHEDULE AND FREE CARE TO A WIDE RANGE OF PATIENTS WITH PSYCHIATRIC DISORDERS; MEMORIAL HOME SERVICES, A MULTI-COUNTY HOME CARE AND HOSPICE PROGRAM; A CHILD CARE CENTER; AND THREE HOSPITAL FOUNDATIONS, ALL OF WHICH ARE 501(C)(3) ENTITIES. DURING TY2013, PASSAVANT AREA HOSPITAL (PAH), A 93-BED NONPROFIT RURAL COMMUNITY HOSPITAL, AFFILIATED WITH MEMORIAL HEALTH SYSTEM. (PAH FILES A SEPARATE FORM 990).MEMORIAL HEALTH SYSTEM'S AFFILIATES ENGAGE IN A WIDE RANGE OF PROGRAMS AND ACTIVITIES THAT PROMOTE COMMUNITY HEALTH. HEALTH SYSTEM AFFILIATES INTEGRATE SERVICES TO PROVIDE IMPROVED ACCESS AND STREAMLINED TRANSITIONS BETWEEN THE DOCTORS' OFFICES, HOSPITAL, HOME HEALTH AGENCY, NURSING HOME AND MENTAL HEALTH CLINICS. PART VI, LINE 7, REPORTS FILED WITH STATES IL PART VI, LINE 5 ULTRASOUND GUIDED BIOPSIES AND A HEART FAILURE CLINIC ARE NOW OFFERED AT ALMH, OFFERING AN ADDITIONAL DIAGNOSTIC SERVICE TO THE COMMUNITY WE SERVE. ALMH PROVIDES FREE COMMUNITY WEEKLY BLOOD PRESSURE SCREENINGS THROUGH THE ALMH VOLUNTEER PROGRAM AND A WEEKLY BREASTFEEDING SUPPORT GROUP TO NEW MOTHERS IN THE SERVICE AREA. A COMMUNITY WEIGHT LOSS PROGRAM, MOVING FORWARD, WAS ESTABLISHED AND IS SERVING THE COMMUNITY IN RESPONSE TO NEEDS FOUND ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. OVER 40 INDIVIDUALS HAVE SUCCESSFULLY COMPLETED THE PROGRAM.TAYLORVILLE MEMORIAL HOSPITAL (TMH) IS A RURAL CRITICAL ACCESS HOSPITAL WITH OCCUPANCY FOR 25 STAFFED ACUTE AND SWING BEDS. SERVICES OFFERED INCLUDE OBSERVATION SERVICES, A 24-HOUR EMERGENCY DEPARTMENT, OUTPATIENT SURGERY, LABORATORY, REHABILITATION THERAPY, AND RADIOLOGY SERVICES WITH MRI, CT, DIGITAL MAMMOGRAPHY, ECHOCARDIOLOGY, ULTRASOUND/SONOGRAPHY AND NUCLEAR MEDICINE. TMH'S EMERGENCY DEPARTMENT CONTINUES TO SERVE AS A SAFETY NET HEALTHCARE PROVIDER FOR MANY OF THE COMMUNITY'S UNINSURED AND UNDERINSURED WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. DURING FY13/14, TMH UTILIZED SURPLUS FUNDS TO IMPLEMENT A NEW SERVICE LINE CALLED SENIOR LIFE SOLUTIONS (SLS). SLS PROVIDES GERIATRIC PSYCHIATRIC GROUP THERAPY FOR PATIENTS SUFFERING FROM ANXIETY AND DEPRESSION. LOW-DOSE CT SCANNING TO SCREEN FOR LUNG CANCER WAS ALSO ADDED TO RADIOLOGY SERVICES, ALLOWING PATIENTS AT RISK FOR LUNG CANCER TO BE SCREENED WITH A LOWER DOSE OF RADIATION BEFORE SYMPTOMS ARE PRESENT. EARLY INTERVENTION THERAPY SERVICES WERE DEVELOPED TO PROVIDE OCCUPATIONAL AND SPEECH THERAPY FOR THE COMMUNITY'S PEDIATRIC POPULATION. ALSO ADDED TO THERAPY SERVICES IS A BALANCE CLINIC FOR PATIENTS WITH FALL RISKS, AND THE STAR THERAPY PROGRAM WHICH IS SPECIFIC TO THE CARE AND REHABILITATION OF ONCOLOGY PATIENTS. IN THE AREA OF EQUIPMENT, A NONINVASIVE VENTILATION MECHANISM FOR TRANSPORTATION OF PATIENTS TO TERTIARY FACILITIES WAS ACQUIRED, AS WELL AS ADDITIONAL EMERGENCY PREPAREDNESS SUPPLIES AND EQUIPMENT FOR THE TREATMENT OF PEDIATRIC PATIENTS AND PATIENTS PRESENTING WITH SYMPTOMS OF EBOLA. PART VI, LINE 6 IN ADDITION TO THE HOSPITAL ACTIVITIES FOR MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL MENTIONED ELSEWHERE ON SCHEDULE H FORM 990, THE OTHER MEMORIAL HEALTH SYSTEM AFFILIATES' CONTRIBUTIONS TO COMMUNITY BENEFITS FOLLOW. MEMORIAL PHYSICIAN SERVICES (MPS) IS A PRIMARY CARE NETWORK OF 10 BRANCH CLINICS THAT SUPPORT A VARIETY OF OUTPATIENT SERVICES THROUGHOUT CENTRAL ILLINOIS. COMPRISED OF MORE THAN 95 PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND ADVANCED PRACTICE NURSES, IT EMPLOYS MORE THAN 300 PEOPLE AND PROVIDES 280,000+ PATIENT VISITS EACH YEAR. PHYSICIAN OFFICES AND CLINICS ARE LOCATED IN SPRINGFIELD, JACKSONVILLE, LINCOLN, PETERSBURG AND CHATHAM. ALL OF THE MPS PRIMARY CARE CLINICS ARE NCQA DESIGNATED LEVEL 3 PATIENT CENTERED MEDICAL HOMES. FOR PATIENTS WITHOUT AN ESTABLISHED PRIMARY CARE RELATIONSHIP, MPS HAS PARTNERED WITH MEMORIAL'S EXPRESSCARE URGENT CARE CLINICS TO FACILITATE PATIENTS' APPOINTMENTS AND THE ESTABLISHMENT OF MEDICAL HOME RELATIONSHIPS WITH THESE PATIENTS. MPS PROVIDES COMMUNITY BENEFITS BY MENTORING AND PROVIDING HEALTH PROFESSION EDUCATION OPPORTUNITIES FOR MEDICAL STUDENTS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS AND CERTIFIED MEDICAL ASSISTANTS. THE MPS OFFICE IN CHATHAM HOSTS A HEART FAILURE SUPPORT GROUP IN CONJUNCTION WITH MEMORIAL MEDICAL CENTER'S CARDIOVASCULAR SERVICES. MPS PARTICIPATES IN A VARIETY OF COMMUNITY HEALTH FAIRS, OFFERING FREE SCREENINGS AND HEALTH EDUCATION. DURING TY13, MPS AND MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS CONTINUED TO PARTNER ON AN INNOVATIVE APPROACH TO ADDRESS BEHAVIORAL HEALTH CONCERNS IN PRIMARY CARE SETTINGS, CREATING AN INTEGRATED CARE TEAM BETWEEN PRIMARY CARE PHYSICIANS, PATIENTS AND THERAPISTS. TO MEET A SEVERE SHORTAGE OF PSYCHIATRISTS IN THE REGION, MPS ACQUIRED A STRUGGLING PSYCHIATRIC PRIVATE PRACTICE WITH 3 PSYCHIATRISTS AND RECRUITED AN ADDITIONAL 5 PSYCHIATRISTS TO BRING THE TOTAL COMPLEMENT TO 8 PHYSICIAN PSYCHIATRISTS PLUS 2 ADVANCED PRACTICE NURSES AS OF THE END OF FY14. TO IMPROVE ACCESS FOR ELDERLY RESIDENTS OF A LOCAL NURSING HOME, MPS ESTABLISHED AN ON-SITE CLINIC AT THE NURSING HOME THIS YEAR. MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS (MHCCI) IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION PROVIDING HIGH-QUALITY, COMPREHENSIVE BEHAVIORAL HEALTH AND REHABILITATION SERVICES. IT IS ONE OF THE LARGEST PROVIDERS OF BEHAVIORAL HEALTH SERVICES IN CENTRAL ILLINOIS, SERVING MORE THAN 9,000 INDIVIDUALS EACH YEAR IN LOGAN, MASON, MENARD, MORGAN, SANGAMON AND SCOTT COUNTIES. ESTABLISHED IN 1947, MHCCI CARES FOR CHILDREN, ADOLESCENTS, AND ADULTS AND HAS SIX SITES OF CARE LOCATED IN SPRINGFIELD, LINCOLN, AND JACKSONVILLE. BEHAVIORAL SERVICES INCLUDE CRISIS INTERVENTION, PSYCHIATRIC AND MEDICAL SERVICES, SCREENING AND ASSESSMENT, OUTPATIENT THERAPY, CASE MANAGEMENT, GROUP EDUCATION AND SUPPORT, AND EMPLOYMENT SERVICES, AS WELL AS RESIDENTIAL CARE. MHCCI ALSO PROVIDES EVIDENCE-BASED TREATMENT TO CHILDREN AND ADOLESCENTS WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER. ITS PSYCHIATRIC RESPONSE TEAM WORKS WITH FOUR AREA HOSPITAL EMERGENCY DEPARTMENTS. REHABILITATION AND SUPPORT SERVICES FOR INDIVIDUALS WITH A DEVELOPMENTAL DISABILITY INCLUDE COMMUNITY AND ON-SITE EMPLOYMENT, DEVELOPMENTAL TRAINING, COMMUNITY SUPPORT AND 24-HOUR SUPERVISED RESIDENTIAL CARE. MHCCI ALSO PROVIDES PSYCHIATRIC CRISIS INTERVENTION WITH LOCAL SCHOOLS DEALING WITH SUICIDE OR OTHER TRAUMATIC EVENTS; CRISIS INTERVENTION TRAINING FOR LOCAL LAW ENFORCEMENT DEALING WITH MENTALLY ILL INDIVIDUALS; AND MENTALLY ILL HOMELESS PERSONS' ADVOCACY AND COUNSELING. MHCCI IS A MEMBER OF THE NATIONAL SUICIDE PREVENTION LIFELINE. IT STAFFS A HOTLINE ANSWERING CALLS FROM INDIVIDUALS IN CRISIS 24/7, 365 DAYS A YEAR. MHCCI ALSO SPONSORS PROFESSIONAL CONFERENCES ATTENDED BY PROVIDERS THROUGHOUT THE STATE. MHCCI IS COLLABORATING WITH LOCAL PARTNERS ON THE MOSAIC PROJECT TO INCREASE CAPACITY TO PROVIDE COMMUNITY-BASED MENTAL HEALTH SERVICES TO UNSERVED OR UNDER-SERVED CHILDREN IN SPRINGFIELD. IN TY2013, MORE THAN 8,000 CHILDREN RECEIVED MENTAL HEALTH SCREENINGS IN SCHOOLS AND PRIMARY CARE PHYSICIAN OFFICES, AND MORE THAN 1,000 CHILDREN AND FAMILIES RECEIVED MENTAL HEALTH SERVICES IN COMMUNITY SETTINGS. A PARENT SUPPORT GROUP IS OFFERED IN A TARGETED AT-RISK NEIGHBORHOOD. MEMORIAL HOME SERVICES PROVIDES HOME HEALTH, HOME HOSPICE AND HOME MEDICAL EQUIPMENT SERVICES ACROSS AN 18-COUNTY REGION IN CENTRAL ILLINOIS. HOME HEALTH OFFERS INDIVIDUALS ASSISTANCE IN RECOVERING FROM INJURY, SURGERY OR ILLNESS IN THE COMFORT OF THEIR OWN HOME. IT PROVIDES HOME NURSING CARE, HOME THERAPY SERVICES, ADVANCED WOUND CARE AND MATERNAL CHILD NURSING, AS WELL AS TELEHEALTH HOME MONITORING. MEMORIAL HOME SERVICES OFFERS HOME MEDICAL EQUIPMENT AND SUPPLIES, INCLUDING RESPIRATORY EQUIPMENT/SERVICES, WHEELCHAIR AND REHAB TECHNOLOGY AND HOME INFUSION THERAPY. MEMORIAL HOME SERVICES PROVIDES HOME HOSPICE CARE IN 14 ILLINOIS COUNTIES, ASSISTING PATIENTS AND FAMILIES AT END-OF-LIFE, INCLUDING SKILLED NURSING, VOLUNTEER SERVICES, SPIRITUAL AND EMOTIONAL CARE, AS WELL AS BEREAVEMENT SERVICES AFTER THE PASSING OF A LOVED ONE. ONGOING GRIEF SUPPORT GROUPS ARE OFFERED IN THREE COMMUNITIES. MEMORIAL HOME SERVICES ALSO COMPLETED 82 FREE HEALTH SCREENING EVENTS IN TY13, OFFERING 1,743 FREE BLOOD PRESSURE AND 480 GLUCOSE SCREENINGS IN A WIDE VARIETY OF COMMUNITY LOCATIONS. MEMORIAL HOME SERVICES ALSO DONATES WHEELCHAIRS AND OXYGEN TANKS FOR LAND OF LINCOLN HONOR FLIGHTS, WHICH TAKE WORLD WAR II AND KOREAN WAR VETERANS ON FREE TOURS OF WAR MEMORIALS IN WASHINGTON, D.C.THE MEMORIAL MEDICAL CENTER FOUNDATION (MMCF) PROVIDES GRANTS FOR PATIENT CARE, EDUCATION AND RESEARCH. IN TY13, MMCF AWARDED MORE THAN $435,000 IN 19 HEALTH-RELATED GRANTS FOR COMMUNITY AND HEALTH-SYSTEM INITIATIVES. THESE GRANTS ADVANCE PATIENT CARE, EDUCATION AND CLINICAL RESEARCH THAT BENEFIT THE PEOPLE AND COMMUNITIES SERVED BY MEMORIAL, AND INCLUDED PURCHASE OF TWO LIFELIKE HUMAN SIMULATORS FOR THE SURGICAL SKILLS LAB OF SIU SCHOOL OF MEDICINE. SIU SCHOOL OF MEDICINE RECEIVED NINE ADDITIONAL GRANTS FOR RESEARCH IN CANCER, PAIN MANAGEMENT, CARING FOR BURN PATIENTS, IN-HOME CASE WORKERS FOR EMERGENCY DEPARTMENT PATIENTS WITH PSYCHIATRIC COMPLAINTS, AND OTHER PROJECTS. FUNDING ALSO WENT TO MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS TO EXPAND INTEGRATED DEPRESSION CARE IN PHYSICIAN PRIMARY CARE OFFICES, HEALTH PROFESSIONS EDUCATION CONFERENCES, IMPROVEMENT OF PATIENT NUTRITION, AND OTHER INITIATIVES. THE FOUNDATION ALSO ADMINISTERS A CANCER PATIENT ASSISTANCE FUND THAT ASSISTS PATIENTS WITH UTILITIES, RENT AND OTHER BASIC EXPENSES WHILE UNDERGOING CANCER TREATMENT AND A TRANSPLANT PATIENT ASSISTANCE FUND THAT HELPS KIDNEY/PANCREAS TRANSPLANT PATIENTS WITH THE COSTS OF ANTI-REJECTION MEDICATIONS. ANOTHER FUND, SHARING WISHES, PROVIDES FINAL WISHES FOR HOSPICE PATIENTS. IN TY13, MMCF SUPPORTED A COMMUNITY-WIDE WOMEN'S HEALTH FAIR TO PROVIDE A VARIETY OF HEALTH SCREENINGS AND TO EDUCATE WOMEN ABOUT A WIDE RANGE OF HEALTH ISSUES. IT WAS ATTENDED BY MORE THAN 1,200 COMMUNITY MEMBERS, PLUS 400 VOLUNTEERS AND EXHIBITORS. MORE THAN 2,700 SCREENINGS AND 1,800 EDUCATIONAL CONTACTS WERE COMPLETED. ABRAHAM LINCOLN HEALTHCARE FOUNDATION UNDERWRITES THE OPERATING EXPENSES OF THE HEALTHY COMMUNITIES PARTNERSHIP, WHICH WAS MORE THAN $33,000 IN TY13. THE HEALTHY COMMUNITIES PARTNERSHIP (HCP) PROVIDES NETWORKING AND COLLABORATION AMONG A VARIETY OF COMMUNITY RESOURCES. HCP TASK FORCES COLLABORATIVELY ADDRESS ALCOHOL AND DRUG USE, OBESITY, DOMESTIC ABUSE, SENIOR HEALTH ISSUES, AND EDUCATION ON THE LOCAL COMMUNITY LEVEL. HCP ACTIVITIES ARE FUNDED BY THE FOUNDATION INCLUDING EVENTS TO PROMOTE SUBSTANCE-FREE AND HEALTHY LIFESTYLES. MORE THAN $9,000 IN PHARMACEUTICAL ASSISTANCE WAS PROVIDED TO DISCHARGED PATIENTS WHO COULD NOT AFFORD TO FILL THEIR PRESCRIPTIONS. ALHF ALSO SUPPORTS A LIFELINE PROGRAM, WHICH PLACES EMERGENCY CALL AND RESPONSE UNITS IN THE HOMES OF SENIORS. 1 SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 501(C)(3) 25000 SEE PART IVMEMORIAL MEDICAL CENTER IS AN ACUTE CARE, TEACHING HOSPITAL THAT IS A PRIMARY TEACHING HOSPITAL FOR THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. MEMORIAL MEDICAL CENTER CONTRIBUTES TO THE SOUTHERN ILLINOIS UNIVERSITY FOUNDATION'S ANNUAL FUNDRAISER, DENIM & DIAMONDS, WHICH BENEFITS THE SIMMONS CANCER INSTITUTE LOCATED ON MEMORIAL MEDICAL CENTER'S CAMPUS. MEMORIAL MEDICAL CENTER FOUNDATION 701 NORTH FIRST SPRINGFIELD IL 62794 371110301 501(C)(3) 10500 SEE PART IVAS A SPECIAL GIFT OF REMEMBRANCE, MEMORIAL MEDICAL CENTER MAKES A DONATION TO THE MEMORIAL MEDICAL CENTER FOUNDATION IN MEMORY OF EMPLOYEES AND CERTAIN EMPLOYEE FAMILY MEMBERS UPON THEIR DEATH. SIU PHYSICIANS & SURGEONS INC DBA SIU PO BOX 19639 SPRINGFIELD IL 62794 364143823 501(C)(3) 1349334 SEE PART IVMEMORIAL MEDICAL CENTER ENTERED INTO AN ELECTRONIC HEALTH RECORD DONATION AGREEMENT WITH SIU HEALTHCARE TO PROVIDE FUNDING TO ASSIST SIU HEALTHCARE WITH THE IMPLEMENATION OF THE ALLSCRIPTS TOUCHWORKS ELECTRONIC HEALTH RECORD. SIU HEALTHCARE ELECTED TO TRANSITION TO THE ALLSCRIPTS ELECTRONIC HEALTH RECORD IN COLLABORATION WITH MEMORIAL PHYSICIAN SERVICES, AN AFFILIATE OF MEMORIAL HEALTH SYSTEM, AND THE SPRINGFIELD CLINIC, LLP. UPON COMPLETION, THIS COLLABORATION AMONG THE MAJOR PHYSICIAN GROUPS IN THE COMMUNITY WILL IMPROVE THE COORDINATION OF CAREFOR ALL PATIENTS THROUGHOUT THE REGION. SANGAMON COUNTY MEDICAL SOCIETY 2040 TIMBERBROOKE DRIVE SPRINGFIELD IL 62702 376027693 501(C)(6) 20833 SEE PART IVMEMORIAL MEDICAL CENTER CONTRIBUTED MONEY TO THE SANGAMON COUNTY MEDICAL SOCIETY TO FUND THE COORDINATED ACCESS TO COMMUNITY HEALTH (CATCH) PROGRAM, WHICH PROVIDES MEDICAL ASSISTANCE TO LOW INCOME INDIVIDUALS. KUMLER OUTREACH MINISTRIES 303 NORTH GRAND AVE EAST SPRINGFIELD IL 62702 370695489 501(C)(3) 24000 PHARMACEUTICAL ASSISTANCE SPARC FKA SPRINGFIELD ARC INC 1 SPARC CENTER PLAZA 232 BRUNS LANE LANE SPRINGFIELD IL 62702 370717761 501(C)(3) 5000 TENT SPONSOR AT THE "MAINE" EVENT LOBSTER BAKE YOUNG MEN'S CHRISTIAN ASSOCIATION OF SPRINGFIELD 701 SOUTH 4TH STREET SPRINGFIELD IL 62703 370661263 501(C)(3) 20833 SEE PART IVMEMORIAL MEDICAL CENTER CONTRIBUTED MONEY TO THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF SPRINGFIELD (YMCA) TO FUND THE SPRINGFIELD HEALTHIER COMMUNITIES INITIATIVE IN WHICH THE YMCA WORKS IN COLLABORATION WITH COMMUNITY LEADERS TO CHANGE POLICIES AND PHYSICAL SURROUNDINGS TO BRING HEALTHY LIVING WITHIN REACH OF ALL PEOPLE. MIDWEST HEALTHCARE QUALITY ALLIANCE LLC 701 NORTH FIRST STREET SPRINGFIELD IL 62781 464411631 501(C)(3) 98908 FMV CONTRIBUTION SERVICES SEE PART IVMIDWEST HEALTHCARE QUALITY ALLIANCE, LLC (MHQA) IS A NOT-FOR-PROFIT LIMITED LIABILITY CORPORATION BETWEEN MEMORIAL HEALTH SYSTEM AND SOUTHERN ILLINOIS UNIVERSITY HEALTHCARE WITH A VISION "TO COLLECTIVELY ELEVATE OUR PATIENT CARE AND ORGANIZATIONAL OUTCOMES TO A NATIONAL LEVEL OF PERFORMANCE AND CREATE INNOVATIVE SOLUTIONS FOR THE FUTURE." THE MISSION OF MHQA IS "TO FOSTER HEALTHY POPULATIONS THROUGH INNOVATIVE RESEARCH, EDUCATION, AND PRACTICE." MEMORIAL MEDICAL CENTER CONTRIBUTES SERVICES (EMPLOYEE LABOR) TO MHQA AT FAIR MARKET VALUE TO ASSIST MHQA WITH ACHIEVING ITS ORGANIZATIONAL MISSION AND GOALS. SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 501(C)(3) 73340 SIMULAB TRAUMA MAN SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 501(C)(3) 16740 PSYCHIATRIC PATIENT CENTERED OUTCOMES SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 501(C)(3) 58900 GENITOURINARY CANCER PATIENTS MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD IL 62702 370661220 501(C)(3) 7500 SUMMIT FOR COORDINATED HEALTHCARE SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 501(C)(3) 39476 MOBILE APPLICATION FOR BURN PATIENTS SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 501(C)(3) 30685 ANTIVIRAL PROPHYLAXIS MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD IL 62781 370661220 501(C)(3) 21840 DIGITAL WOUND PHOTOGRAPHY TO PREVENT INFECTIONS MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD IL 62781 370661220 501(C)(3) 17699 NURSING CONFERENCES MEMORIAL MEDICAL CENTER 701 NORTH FIRST SPRINGFIELD IL 62781 370661220 501(C)(3) 17105 CENTER FOR LEARNING AND INNOVATION MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS 710 NORTH EIGHTH STREET SPRINGFIELD IL 62702 370646367 501(C)(3) 70780 IMPACT - INTEGRATED DEPRESSION CARE SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 501(C)(3) 27937 HUMAN HAIR REGENERATION SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 501(C)(3) 15367 TKA CALF PUMP SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 501(C)(3) 16762 PAIN MANAGEMENT AFTER CARPAL TUNNEL SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 501(C)(3) 31826 CHRONIC PAIN MANAGEMENT MEMORIAL MEDICAL CENTER 701 NORTH FIRST SPRINGFIELD IL 62781 370661220 501(C)(3) 23981 PROVIDE EQUIPMENT AND SUPPLIES MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD IL 62781 370661220 501(C)(3) 131022 PROVIDE SUPPORT FOR EDUCATION MULTIPLE SCLERORIS-ONE STEP AT A TIME 3309 ROBBINS RD 206 SPRINGFIELD IL 62702 471337237 501(C)(3) 20009 PROVIDE GENERAL SUPPORT MEMORIAL HOME SERVICES 720 N BOND STREET SPRINGFIELD IL 62702 370714225 501(C)(3) 15001 PROVIDE GENERAL SUPPORT MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS 710 NORTH EIGHTH STREET SPRINGFIELD IL 62702 370646367 501(C)(3) 12879 PROVIDE GENERAL SUPPORT SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD IL 62702 376005961 501(C)(3) 128474 PROVIDE GENERAL SUPPORT MEMORIAL MEDICAL CENTER 701 NORTH FIRST SPRINGFIELD IL 62781 370661220 501(C)(3) 7233 PROVIDE GENERAL SUPPORT TAYLORVILLE MEMORIAL HOSPITAL 201 EAST PLEASANT SPRINGFIELD IL 62568 370661250 501(C)(3) 88442 ASSIST WITH MEDICAL TECHNOLOGIES AND PATIENT SERVICES 11 2 EDUCATIONAL GRANTS - MEMORIAL MEDICAL CENTER'S EDUCATIONAL GRANT PROGRAM PROVIDES THE OPPORTUNITY FOR BOTH EMPLOYEES AND EXTERNAL CANDIDATES TO PURSUE ADDITIONAL EDUCATION IN EXCHANGE FOR A WORK COMMITMENT ONCE THE EDUCATION IS COMPLETED. EDUCATIONAL GRANTS ARE AVAILABLE TO THOSE PURSUING HEALTH CARE CAREERS THAT ARE DEEMED CRITICAL TO THE ORGANIZATION'S PRESENT OR PROJECTED STAFFING NEEDS (I.E., NURSING, RADIOLOGY, ETC.). GRANT APPLICATIONS FOR ALL OTHER CAREERS WILL BE REVIEWED ON A CASE-BY-CASE BASIS WITH A FINAL DETERMINATION TO BE MADE BY THE CHIEF HUMAN RESOURCES OFFICER. 211 481484 0 TUITION REIMBURSEMENT - FUNDING FOR THE EDUCATION OF MEMORIAL MEDICAL CENTER'S EMPLOYEES IS BASED UPON THE NEEDS OF THE ORGANIZATION AS WELL AS THE EMPLOYEE'S EDUCATIONAL GOALS. EMPLOYEES WILL BE AWARDED TUITION REIMBURSEMENT BASED ON THE EMPLOYEE'S PRESENT JOB SKILL NEEDS OR TO PREPARE THE EMPLOYEE FOR FUTURE ADVANCEMENT WITHIN MEMORIAL HEALTH SYSTEM. THE TUITION REIMBURSEMENT PROCESS REQUIRES EMPLOYEES TO RECEIVE PRIOR APPROVAL FROM THEIR MANAGERS FOR THE COURSEWORK. 180 260759 0 PRESCRIPTION DRUGS FOR PATIENTS 42 3478 SHELTER AND UTILITY ASSISTANCE FOR PATIENTS 51 18859 DIRECT CASH TO ASSISTANCE TO PATIENTS 91 24152 EMPLOYEE ASSISTANCE WITH CATASTROPHIC EVENTS 20 17246 SCHOLARSHIPS FOR EMPLOYEES 25 129131 TRANSPORTATION ASSISTANCE FOR PATIENTS 92 24147 PART I, LINE 2: MEMORIAL HEALTH SYSTEM (MHS) AFFILIATES PROVIDE GRANTS AND ASSISTANCE PRIMARILY TO LOCALLY MANAGED 501(C)(3) ORGANIZATIONS OR INDIVIDUALS WHO MEET THE CRITERIA FOR SUCH GRANTS AND/OR ASSISTANCE. REQUESTS TO SUPPORT INITIATIVES IN LINE WITH MHS'S COMMUNITY HEALTH NEED ASSESSMENT PRIORITIES RECEIVE SPECIAL CONSIDERATION. MHS AFFILIATES UTILIZE A COMBINATION OF METHODS TO ENSURE FUNDS ARE AWARDED TO ELIGIBLE APPLICANTS AND THE FUNDS ARE USED FOR ITS INTENDED PURPOSE THROUGH VARIOUS REPORTING AND MONITORING ACTIVITIES. X X X X 1 1 0 0 0 0 0 1 0 TRACY MIZEUR MD BOARD MEMBER ALMH 247581 0 17077 0 39940 0 47012 0 9719 0 361329 0 13656 0 MARK HANSEN MD BOARD MEMBER MPS 426274 0 28545 0 71214 0 59822 0 -5919 0 579936 0 34759 0 MARSHALL HALE MD CHAIR MPS 379449 0 35428 0 47512 0 62533 0 -2066 0 522856 0 22887 0 PAUL KASA MD BOARD MEMBER ALMH MPS 280590 0 23123 0 5548 0 42500 0 16321 0 368082 0 0 0 JANICE GAMBACH PRESIDENT SRS 0 160047 0 23074 0 1290 0 12682 0 22437 0 219530 0 0 EVAN DAVIS BOARD MEMBER MHV (THRU DEC 13) 151968 0 21162 0 4304 0 11921 0 2718 0 192073 0 0 0 J TRAVIS DOWELL PRESIDENT MPS 0 209595 0 58882 0 42955 0 44575 0 56127 0 412134 0 0 R SCOTT KIRIAKOS VP CLIN INT MMC/MEM MHV MHSVC 250465 0 70301 0 16327 0 75749 0 12199 0 425041 0 0 0 DOLAN DALPOAS PRESIDENT ALMH/MEMBER MHSVC 0 219332 0 60340 0 10406 0 44664 0 321 0 335063 0 0 DANIEL RAAB PRESIDENT TMH/TMHF/MEMBER MHSVC 0 189355 0 53635 0 17546 0 51664 0 -3297 0 308903 0 0 DOUGLAS RAHN DBA EVP COO MMC/CHR MHV 13 MHSVC/MEM MPS 430152 0 83994 0 30326 0 343387 0 20687 0 908546 0 0 0 EDGAR CURTIS PRES & CEO MHS/PRES MMC/MEM MPS 0 701528 0 1767 0 393303 0 1067579 0 -9134 0 2155043 0 0 ROBERT KAY SVP/CFO SEC/TREAS MHSVC MHV MPS 0 393877 0 154042 0 26958 0 237344 0 -23819 0 788402 0 11508 KEVIN ENGLAND VICE CHAIR/PRES MHV/VC MHSVC 0 261052 0 73291 0 55626 0 185192 0 57407 0 632568 0 0 THOMAS WESTRICK PRESIDENT MHSVC 0 178281 0 25070 0 4796 0 14517 0 15550 0 238214 0 0 CHARLES CALLAHAN PHD SVP & CQO/CHAIR MHV (FROM JAN 14) 265505 0 75008 0 33129 0 54469 0 21350 0 449461 0 0 0 JAMESON ROSZHART BOARD MEMBER MHV (FROM JAN 14) 62270 39791 0 8250 31172 10 6544 1494 11491 6849 111477 56394 0 0 ELAINE YOUNG VP FINANCE MHS (THRU JAN 2013) 0 5332 0 0 0 535716 0 14152 0 -36941 0 518259 0 57992 ELENA KEZELIS EXEC DIR MMCF 151265 0 21530 0 4302 0 11378 0 19913 0 208388 0 0 0 MARSHA PRATER PHD SVP & CNO MMC 261872 0 0 0 253862 0 324504 0 33685 0 873923 0 0 0 DAVID JOERGER ADMIN PERIOP SRV MMC (THRU NOV 2013) 163128 0 26206 0 47206 0 12838 0 16807 0 266185 0 0 0 LINDA JONES DNS VP OPERATIONS MMC 222847 0 61814 0 19107 0 52971 0 7604 0 364343 0 0 0 DREW EARLY ADMIN ED/CARDIOLOGY MMC 178128 0 25358 0 3672 0 14427 0 18130 0 239715 0 0 0 HARRY SCHMIDT VP FACILITIES MANAGEMENT MMC 163431 0 78582 0 4097 0 41790 0 2276 0 290176 0 8334 0 ANNA EVANS JD GEN COUNSEL/VP INT AUDIT & COMPL MHS 0 280016 0 79808 0 6237 0 114301 0 24045 0 504407 0 0 RAJESH GOVINDAIAH MD SVP & CMO MHS 0 342596 0 0 0 17959 0 199322 0 6959 0 566836 0 0 DAVID GRAHAM MD SVP & CIO MHS 0 344049 0 134124 0 13628 0 80411 0 18259 0 590471 0 0 MITCHELL JOHNSON SVP & CHIEF STRATEGY OFFICER MHS 0 261211 0 102889 0 15535 0 119995 0 -4283 0 495347 0 0 BRADLEY WARREN SVP & CPO MHS (THRU JAN 2013) 0 10408 0 0 0 295414 0 12012 0 1797 0 319631 0 62752 MELISSA MCGLASSON VP FINANCE MHS (FROM FEB 2013) 20333 145272 0 56100 2382 7787 5201 26519 371 1830 28287 237508 0 0 AIMEE ALLBRITTON PHD INTERIM CHRO MHS (2013), VP & CLO 0 230318 0 90851 0 39999 0 49982 0 15135 0 426285 0 0 FERDINAND SALVACION MD PHYSICIAN MMC 512794 0 67500 0 121036 0 99170 0 24756 0 825256 0 76233 0 DAVID SANDERCOCK MD PHYSICIAN MPS 425181 0 37216 0 61595 0 70936 0 58586 0 653514 0 34261 0 JAMES GILDNER MD PHYSICIAN MPS 463192 0 56321 0 108777 0 91975 0 20146 0 740411 0 0 0 AMY HIGH MD PHYSICIAN MPS 505955 0 39654 0 8507 0 47156 0 25250 0 626522 0 0 0 STEVEN LILLPOP MD PHYSICIAN MPS 393994 0 46631 0 85388 0 71018 0 50207 0 647238 0 35597 0 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 DEFERRED COMPENSATION PAYOUTS MADE DURING THE YEAR FOR COMPENSATION PREVIOUSLY EARNED IN PRIOR YEARS. RETIREMENT COMPENSATION REFLECTS AN INCREASE IN RETIREMENT BENEFITS OWED BY MHS UPON RETIREMENT OF MR. CURTIS. THIS INCREASE WAS 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 $155,527. IN 2013, MR. CURTIS ELECTED TO DEFER HIS INCENTIVE COMPENSATION OF $338,842 INTO HIS 457(F) PLAN. 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, LINES 4A-B DURING 2013, THE FOLLOWING LISTED INDIVIDUALS RECEIVED SEVERANCE OR SEPARATION PAYMENTS AFTER TERMINATION OF EMPLOYMENT, AND THESE AMOUNTS ARE INCLUDED IN THE AMOUNTS REPORTED ON SCHEDULE J FOR SUCH INDIVIDUALS: ELAINE YOUNG, $193,720; BRADLEY WARREN, $183,609. CERTAIN INDIVIDUALS LISTED IN SCHEDULE J ARE OR MAY BE ELIGIBLE TO RECEIVE SEVERANCE PAY UPON CERTAIN TYPES OF EMPLOYMENT TERMINATIONS. THESE ARRANGEMENTS ARE REVIEWED FROM TIME TO TIME TO ASSURE THAT THE POTENTIAL SEVERANCE PAY IS REASONABLE AND CONSISTENT WITH MARKET DATA FOR INDIVIDUALS IN SIMILAR POSITIONS AT SIMILAR ORGANIZATIONS. EXECUTIVE SEVERANCE ARRANGEMENTS REQUIRE THE SATISFACTION OF CONDITIONS AND ONGOING RESTRICTIVE COVENANTS THAT PROTECT THE INTERESTS OF THE ORGANIZATION. THE COMPENSATION REPORTED FOR THE LISTED INDIVIDUAL DAVID JOERGER INCLUDES AN INCENTIVE COMPENSATION PAYMENT OF $26,206 WHICH WAS EARNED DURING ACTIVE EXECUTIVE EMPLOYMENT, AND WHICH WAS PAID IN ACCORDANCE WITH A VOLUNTARY SEPARATION AGREEMENT BETWEEN THE INDIVIDUAL AND THE ORGANIZATION. THE ORGANIZATION, OR A RELATED ORGANIZATION, MEMORIAL HEALTH SYSTEM, PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO THE FOLLOWING OFFICERS AND KEY EMPLOYEES: AIMEE ALLBRITTON, PH.D., $32,187, CHARLES CALLAHAN, PH.D., $29,249, EDGAR CURTIS, $1,034,929, DOLAN DALPOAS, $22,240, J. TRAVIS DOWELL, $21,681, KEVIN ENGLAND, $159,975, ANNA EVANS, J.D., $96,651, JAMES GILDNER, M.D., $65,173, RAJESH GOVINDAIAH, M.D., $181,291, DAVID GRAHAM, M.D., $72,911, MARSHALL HALE, M.D., $29,883, MARK HANSEN, M.D., $27,172, AMY HIGH, M.D., $32,006, MITCHELL JOHNSON, $87,903, LINDA JONES, D.N.S., $22,760, PAUL KASA, M.D., $13,282, ROBERT KAY, $209,694, R. SCOTT KIRIAKOS, $43,099, STEVEN LILLPOP, M.D., $48,230, MELISSA MCGLASSON, $20,666, TRACY MIZEUR, M.D., $29,996, MARSHA PRATER, PH.D., $291,883, DANIEL RAAB, $19,809, DOUGLAS RAHN, D.B.A., $325,737, FERDINAND SALVACION, M.D., $84,020, DAVID SANDERCOCK, M.D., $50,786, HARRY SCHMIDT, $16,678, BRADLEY WARREN, $702, AND ELAINE YOUNG, $115. 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 AND KEY EMPLOYEES RECEIVED DEFERRED COMPENSATION PAYOUTS IN THE CALENDAR YEAR FROM THE ORGANIZATION OR A RELATED ORGANIZATION, MEMORIAL HEALTH SYSTEM: EDGAR CURTIS, $340,089, J. TRAVIS DOWELL, $33,414, KEVIN ENGLAND, $30,902, JAMES GILDNER, M.D., $66,077, MARSHALL HALE, M.D., $25,708, MARK HANSEN, M.D., $39,118, STEVEN LILLPOP, M.D., $64,136, TRACY MIZEUR, M.D., $39,670, MARSHA PRATER, PH.D., $232,634, DANIEL RAAB, $3,408, FERDINAND SALVACION, M.D., $102,405, DAVID SANDERCOCK, M.D., $38,557, BRADLEY WARREN, $72,012, AND ELAINE YOUNG, $295,113. 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. PART I, LINE 7 MEMBERS OF SENIOR MANAGEMENT RECEIVE INCENTIVE COMPENSATION UNDER THE ANNUAL INCENTIVE COMPENSATION PLANS SPONSORED BY MEMORIAL HEALTH SYSTEM. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II). THE PLANS ARE DESIGNED TO CONDITION A PORTION OF COMPENSATION ON PERFORMANCE AGAINST PRE-DETERMINED ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM. THE LEADERSHIP COMPENSATION COMMITTEE OF THE BOARD HAS REVIEWED THE REASONABLENESS OF ALL SUCH PAYMENTS, AND HAS CONCLUDED, AS THE RESULT OF A PROCESS THAT IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER FEDERAL TAX LAW, THAT ALL SUCH AMOUNTS ARE REASONABLE AND DO NOT EXCEED FAIR MARKET VALUE FOR THE SERVICES PROVIDED. 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. A NEGATIVE TOTAL FOR SCHEDULE J, PART II, COLUMN (D) INDICATES A DECREASE IN THE ACTUARIAL VALUE OF THE PLAN DUE TO CHANGES IN THE DISCOUNT RATE AND/OR OTHER ACTUARIAL ASSUMPTIONS. SCHEDULE J, PART II, COLUMN (D) ALSO INCLUDES OTHER NONTAXABLE BENEFITS SUCH AS MEDICAL, DENTAL, AND LIFE INSURANCE. SANGAMON PROFESSIONAL BUILDING LLC OWNER'S WIFE IS A BOARD MEMBER 559403 MEMORIAL MEDICAL CENTER LEASED PROPERTY FROM SANGAMON PROFESSIONAL BUILDING LLC FOR THE YEAR ENDED SEPTEMBER 30, 2014 IN THE AMOUNT OF $559,403. THE OWNER OF SANGAMON PROFESSIONAL BUILDING LLC IS THE HUSBAND OF CAROL J. HANSEN POSEGATE, A MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS. THE LEASE IS UNDERTAKEN AT ARM'S LENGTH AND IS AT FAIR MARKET VALUE. 0 SORLING NORTHRUP HANNA CULLEN & COCHRAN LTD BOARD MEMBER IS COO AT SORLING, NORTHRUP, HANNA, CULLEN & COCHRAN 410032 MEMORIAL MEDICAL CENTER PAID FEES TO THE LAW OFFICE OF SORLING, NORTHRUP, HANNA, CULLEN & COCHRAN, LTD FOR LEGAL SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2014 IN THE AMOUNT OF $410,032. MARK H. FERGUSON IS A MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS AND IS A PARTNER AND CHIEF OPERATING OFFICER AT SORLING, NORTHRUP, HANNA, CULLEN & COCHRAN, LTD. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED. 0 SPRINGFIELD CLINIC LLP BOARD MEMBER IS EMPLOYEE AND BOARD MEMBER OF SPRINGFIELD CLINIC, LLP 5703044 MEMORIAL MEDICAL CENTER PAID FEES TO SPRINGFIELD CLINIC, LLP FOR THE YEAR ENDED SEPTEMBER 30, 2014 IN THE AMOUNT OF $5,703,044. A PHYSICIAN AND BOARD MEMBER OF THIS COMPANY, MICHAEL A. PICK, M.D., WAS ALSO A MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS IN 2013. ALL FEES ARE NEGOTIATED AT ARM'S LENGTH AND ARE AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED. 0 MID-AMERICA EMERGENCY PHYSICIANS INC BOARD MEMBER IS A VOTING BOARD MEMBER OF MID-AMERICA EMERGENCY PHYSICIANS 7672527 MEMORIAL MEDICAL CENTER PAID MID-AMERICA EMERGENCY PHYSICIANS INC. $7,672,527 DURING FISCAL YEAR 2014. DAVID GRIFFEN, M.D. IS A VOTING MEMBER OF MID-AMERICA EMERGENCY PHYSICIANS AND A MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS. ALL FEES ARE NEGOTIATED AT ARM'S LENGTH AND ARE AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED. 0 SPRINGFIELD ELECTRIC SUPPLY BOARD MEMBER IS OWNER OF SPRINGFIELD ELECTRIC SUPPLY 239807 MEMORIAL MEDICAL CENTER PAID FEES TO SPRINGFIELD ELECTRIC SUPPLY FOR GOODS AND SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2014 IN THE AMOUNT OF $239,807. RANDALL S. GERMERAAD IS A MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS AND AN OWNER OF SPRINGFIELD ELECTRIC SUPPLY. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED. 0 LINE 24A ONE SCHEDULE K WAS COMPLETED AT THE PARENT (MEMORIAL HEALTH SYSTEM) LEVEL ONLY. HOWEVER, EACH AFFILIATE IS STILL SHOWING ITS ALLOCATION OF THE LIABILITY ON THE BALANCE SHEET, AS CAN BE SEEN ON THIS GROUP RETURN. FORM 990, PART VI, SECTION A, LINE 2 MARK KUHNKE, M.D. AND LYNNE BARKMEIER, M.D. ARE EMPLOYED BY SPRINGFIELD CLINIC, LLP, OF WHICH MICHAEL PICK, M.D. IS A BOARD MEMBER. DR. KUHNKE AND DR. BARKMEIER ARE BOTH BOARD MEMBERS OF MEMORIAL MEDICAL CENTER. DR. PICK WAS A BOARD MEMBER OF MEMORIAL MEDICAL CENTER THROUGH DECEMBER 31, 2013. FORM 990, PART VI, SECTION A, LINE 6 MEMORIAL HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF THE AFFILIATES REPORTED IN THIS GROUP RETURN EXCLUDING SPRINGFIELD RESIDENTIAL SERVICES, MEMORIAL MEDICAL CENTER FOUNDATION AND TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION. MEMORIAL HEALTH SYSTEM CORPORATION CONTAINS 105 INDIVIDUAL MEMBERS WHO ELECT THE BOARD OF DIRECTORS. SPRINGFIELD RESIDENTIAL SERVICES HAS A SELF-PERPETUATING BOARD OF DIRECTORS WHOSE MEMBERSHIP SHALL BE APPROVED BY OR BE MEMBERS OF THE BOARD OF DIRECTORS FOR MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS. MEMORIAL MEDICAL CENTER FOUNDATION'S MEMBERS ARE ITS BOARD OF DIRECTORS. MEMORIAL MEDICAL CENTER FOUNDATION'S BOARD OF DIRECTORS CONTAINS 15 DIRECTORS. TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION HAS NO CORPORATE MEMBERS. TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION'S BOARD OF DIRECTORS, WHICH CONTAINS 9 DIRECTORS, MANAGES AND CONTROLS THE PROPERTY AND BUSINESS. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER OF THE CORPORATION ELECTS THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS OF THE CORPORATION REQUIRE THE ADVANCE APPROVAL OF THE CORPORATE MEMBER FOR CORPORATE, ADMINISTRATIVE AND OPERATIONAL ACTIONS WHICH INCLUDE, BUT ARE NOT LIMITED TO, THE BORROWING OF ANY SUM, THE PRINCIPAL OF WHICH EXCEEDS $500,000, OR WHICH HAS A STATED TERM OF GREATER THAN ONE YEAR, OR WHICH IS SECURED BY A MORTGAGE OF ALL OR ANY PORTION OF THE CORPORATION'S REAL PROPERTY OR THE CREATION OF A SECURITY INTEREST IN THE CORPORATION'S ASSETS, INCLUDING PERSONAL PROPERTY AND REVENUES, FOR THE BENEFIT OF THE LENDER, LESSOR OR VENDOR, OR THE DEFEASANCE, ADVANCE PAYMENT OR CANCELLATION OF ANY OUTSTANDING DEBT OF THE CATEGORY DESCRIBED HEREIN; ANY VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION, SALE OR TRANSFER OF SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS (DEFINED AS 10% OR MORE), OR ANY CREATION OF A SUBSIDIARY OR AFFILIATE CORPORATION OF THE CORPORATION; ANY APPLICATION TO THE ILLINOIS HEALTH FACILITIES PLANNING BOARD FOR A PERMIT OR CERTIFICATE OF NEED FOR A PROPOSED ACTIVITY, WHETHER OR NOT INVOLVING A CAPITAL EXPENDITURE; THE APPROVAL OF ALL ANNUAL AND LONG-TERM CAPITAL OR OPERATIONAL BUDGETS OF THE CORPORATION; ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; APPROVAL OF ANY NEW OR CHANGES TO EXISTING LONG-TERM OR MASTER INSTITUTIONAL PLAN; THE SALE OF ANY OF THE CORPORATION'S REAL PROPERTY OR INTEREST THEREIN OR PURCHASES OF ADDITIONAL REAL ESTATE; AND THE APPROVAL OF CAPITAL EXPENDITURES IN EXCESS OF $1.5 MILLION. FORM 990, PART VI, SECTION B, LINE 11 A FINAL DRAFT COPY OF THE MHS GROUP FORM 990 AND ALL ATTACHMENTS IS PROVIDED TO ALL OF THE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS AND A BOARD COMMITTEE PRIOR TO FILING. AT THE BOARD MEETING, A PRESENTATION IS MADE BY THE CFO TO THE BOARD, FOLLOWED BY A QUESTION AND ANSWER SESSION. PRESENTATIONS ARE MADE TO THE AFFILIATE MEMBERS' BOARDS IN THE SAME TIME FRAME, ALTHOUGH COPIES OF THE COMPLETE FORM 990 AND ALL ATTACHMENTS ARE NOT PROVIDED PRIOR TO THOSE MEETINGS, EXCEPT TO BOARD MEMBERS WHO REQUEST COMPLETE COPIES. 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 REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A SPECIFIC DISCLOSURE STATEMENT WHICH IS ATTACHED TO THE POLICY. MEMORIAL HEALTH SYSTEM AND ITS SUBORDINATES 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 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. 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 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, 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. THESE DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF TIME AS SET FORTH IN IRC SECTION 6104(D). FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 57,305,980. MANAGEMENT AND GENERAL EXPENSES 29,067. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,335,047. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,704,209. MANAGEMENT AND GENERAL EXPENSES 36,474. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,740,683. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 21,457,797. MANAGEMENT AND GENERAL EXPENSES 5,031,326. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,489,123. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 411,279. MANAGEMENT AND GENERAL EXPENSES 1,271,595. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,682,874. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,403. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,403. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY -33,852,800. TRANSFERS -21,310,226. BOOK/TAX DIFFERENCE 191,553. OTHER 7,276,660. 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