2013-08-13T10:22:36-05:00 2012-09-30 411944416 MCGLADREY LLP 1 SOUTH WACKER SUITE 600 CHICAGO IL 60606 990 2011-10-01 371110690 MEMORIAL HEALTH SYSTEM MEMO 2177883198 701 NORTH FIRST STREET SPRINGFIELD IL 627810001 ROBERT W KAY 2177883198 2013-08-13 1 ZACHARY FORTSCH P00052725 3126343400 2011 2016-02-25 16:41:14Z EDGAR J CURTIS 701 NORTH FIRST STREET SPRINGFIELD IL 627810001 121811192 0 X WWW.MHSIL.COM X 1981 IL TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 17 13 278 0 516405 -951 0 0 57330196 57010826 901157 2288199 1933615 2111332 60164968 61410357 293447 230227 0 0 26428259 27008224 0 0 0 32634394 32408495 59356100 59646946 808868 1763411 138836542 163452152 62665324 65697312 76171218 97754840 X TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 31278289 18109412 INFORMATION TECHNOLOGYMEMORIAL HEALTH SYSTEM IS PROACTIVE IN IMPLEMENTING TECHNOLOGY THAT BOTH IMPROVES PATIENT SAFETY, QUALITY AND CLINICAL EFFECTIVENESS, AND IMPROVES MEMORIAL HEALTH SYSTEM'S BUSINESS PROCESSES. MEMORIAL HEALTH SYSTEM'S STAFF OF EXPERIENCED INFORMATION TECHNOLOGY PROFESSIONALS IS ON THE CUTTING EDGE OF MEDICAL TECHNOLOGY. THEY SUPPORT A VAST ARRAY OF PATIENT CARE AND BUSINESS APPLICATIONS. DURING FY12 SIGNIFICANT INFORMATION TECHNOLOGY PROJECTS INCLUDED: COMPLETED IMPLEMENTATION OF COMPUTERIZED PROVIDER ORDER ENTRY SYSTEM AND PHYSICIAN DOCUMENTATION REQUIRED FOR ALL PHYSICIANS AND PROVIDERS AT MEMORIAL MEDICAL CENTER, PROVIDED ACCESS TO MEMORIAL PHYSICIAN SERVICES AND SPRINGFIELD CLINIC ALLSCRIPTS ELECTRONIC HEALTH RECORD FOR ALL EMERGENCY ROOM AND EXPRESSCARE PHYSICIANS IN SEVEN SYSTEM LOCATIONS, REBUILT ALL NETWORK CLOSETS AT MMC, AND INITIATED THE DESIGN AND BUILD PHASES OF TWO MAJOR PROJECTS FOR PATIENT SAFETY AND EFFICIENCY OF PRACTICE: 1)LABORATORY SYSTEM MODERNIZATION AND REIMPLEMENTATION AND 2)BEDSIDE BARCODE MEDICATION ADMINISTRATION. 5030633 4283019 BUILDING AND FACILITY EXPANSION AND IMPROVEMENTSIN ORDER TO INCREASE CAPACITY TO MEET THE ONGOING COMMUNITY DEMAND FOR SERVICES, MEMORIAL HEALTH SYSTEM INVESTED IN SEVERAL SIGNIFICANT FACILITY IMPROVEMENTS IN FY12. ALL RENOVATIONS AND EXPANSION OF SERVICES WERE DEVELOPED AND DESIGNED WITH THE ASSISTANCE OF A HEALTHCARE DESIGN FIRM, AND WITH STRICT ADHERENCE TO PUBLIC HEALTH CODE FOR WORKFLOW CIRCULATION AND SPACE DIMENSIONS. EACH INCORPORATED SPECIFIC IMPROVEMENTS TO PROTECT HEALTHCARE PROVIDERS FROM INJURY OR HARM. THE TOP FOUR PROJECTS WERE:MHS BEGAN CONSTRUCTION OF A MEDICAL OFFICE BUILDING LOCATED ADJACENT TO PASSAVANT AREA HOSPITAL IN JACKSONVILLE, ILLINOIS. PHYSICIANS WITH MEMORIAL PHYSICIAN SERVICES AND SPRINGFIELD CLINIC WILL BE LOCATED IN THE OFFICE BUILDING, WHICH WILL IMPROVE MEDICAL SERVICES ACCESS IN THE JACKSONVILLE COMMUNITY. SCHEDULED FOR COMPLETION IN JUNE, 2013, $22 MILLION WAS SPENT ON THE PROJECT IN FY12. IN ORDER TO INCREASE AVAILABLE SPACE FOR LABORATORY SERVICES, MHS PURCHASED A BUILDING AT 2395 W. JEFFERSON IN SPRINGFIELD, IL. A PORTION OF LABORATORY SERVICES WAS RELOCATED TO THE REMODELED FACILITY. TOTAL COST OF THE PROJECT WAS APPROXIMATELY $2 MILLION.THE OFFICES OF VINE STREET CLINIC WERE REMODELED TO PROVIDE SPACE FOR ADDITIONAL CLINICAL STAFF, IMPROVE PATIENT SATISFACTION, AND INCREASE PATIENT PRIVACY. TOTAL COST OF THE RENOVATION WAS $1.2 MILLION. VINE STREET CLINIC WAS ACQUIRED BY MEMORIAL PHYSICIAN SERVICES IN 2010. AS PART OF MMC'S ONGOING EFFORT TO PROVIDE MODERN, EFFICIENT PATIENT CARE, THE 2G AREA OF THE MEDICAL CENTER WAS RENOVATED, ADDING 2 NEW PATIENT ROOMS. ADDITIONALLY, MEDICATION CARTS WERE LOCATED THROUGH THE MEDICAL CENTER TO IMPROVE BUILDING CODE COMPLIANCE AND INCREASE PATIENT SAFETY. 4310154 34150647 EXECUTIVE LEADERSHIPGUIDED BY THE VALUES OF MEMORIAL HEALTH SYSTEM, SENIOR LEADERSHIP IS RESPONSIBLE FOR STRATEGIC PLANNING, PRIORITIZING AMONG COMPETING ISSUES AND ENGAGING IN DIALOGUE AND DECISION-MAKING THAT WILL ENABLE MEMORIAL HEALTH SYSTEM TO ACHIEVE ITS MISSION AND VISION AND ACCOMPLISH ITS STRATEGIC GOALS. IN FY12, MHS SENIOR LEADERSHIP UPDATED THE ORGANIZATION'S STRATEGIC PLAN, 5 YEAR GOALS AND MEASURES OF SUCCESS TO REFLECT EMERGING PRIORITIES RELATED TO HEALTH REFORM, QUALITY IMPROVEMENT, POPULATION HEALTH AND CARE COORDINATION. IN ADDITION, THE METHOD OF MONITORING AND REPORTING ON HEALTH SYSTEM ACTION PLAN IMPLEMENTATION WAS REVISED. IN THE AREA OF INFORMATION SYSTEMS, MHS SUCCESSFULLY IMPLEMENTED A COMPUTERIZED PROVIDER ORDER ENTRY AT MEMORIAL MEDICAL CENTER. MHS ALSO PROVIDED LEADERSHIP FOR THE COMMUNITY TO INCORPORATE AND FUND THE LINCOLN LAND HEALTH INFORMATION EXCHANGE IN COLLABORATION WITH SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE, SPRINGFIELD CLINIC AND OTHER HOSPITALS AND HEALTH CARE PROVIDERS IN THE REGION. IN THE AREA OF SYSTEM FACILITY PLANNING AND MANAGEMENT, RENOVATION WAS COMPLETED FOR BAYLIS OUTPATIENT SURGERY CENTER AND CONSTRUCTION OF MEDICAL OFFICE BUILDINGS TO BE OCCUPIED BY PHYSICIANS ON THE CAMPUSES OF PASSAVANT AREA HOSPITAL IN JACKSONVILLE AND MEMORIAL MEDICAL CENTER IN SPRINGFIELD WAS INITIATED. ALSO COMPLETED WAS CONSTRUCTION OF A 600-CAR PARKING GARAGE ON THE MEMORIAL MEDICAL CENTER CAMPUS AND OPENED, IN PARTNERSHIP WITH THE YMCA, A NEW FACILITY HOUSING OUR RELOCATED SPORTS MEDICINE AND CARDIAC REHABILITATION PHASE 3 PROGRAMS TO IMPROVE ACCESS FOR THESE PATIENTS. THIS NEW FACILITY PROMOTES INDIVIDUAL RESPONSIBILITY AND IS AN EXCELLENT RESOURCE FOR AREA RESIDENTS TO IMPROVE THEIR OWN HEALTH AND WELLNESS. OTHER KEY SUCCESSES THIS YEAR DIRECTLY RELATED TO STRONG LEADERSHIP INCLUDE STRONG PERFORMANCE IN THE MEDICARE VALUE-BASED PURCHASING PROGRAM RELATED TO CLINICAL QUALITY AND PATIENT SATISFACTION OUTCOMES, AMONG THE LOWEST MEDICARE RE-ADMISSION RATES IN ILLINOIS, REAFFIRMATION OF MHS' A+/A1 BOND RATING BY MOODY'S AND STANDARD AND POORS, MHS EMPLOYEE ENGAGEMENT SCORES AT THE 94TH PERCENTILE OF THE NATIONAL COMPARISON GROUP AND SIGNIFICANTLY IMPROVED HCAHPS INPATIENT SATISFACTION SCORES AT MEMORIAL MEDICAL CENTER, AS PART OF MHS' GREAT PATIENT EXPERIENCE INITIATIVE. DURING FY12, MHS ALSO REVISED THE PATIENT COMPLAINT AND GRIEVANCE POLICY ACROSS ALL MHS AFFILIATES, SUBMITTED APPLICATIONS FOR LEVEL 1 MEDICAL HOME DESIGNATION FOR 14 MEMORIAL PHYSICIAN SERVICES PRIMARY CARE CLINICS, SUBMITTED A CERTIFICATE OF NEED APPLICATION TO THE ILLINOIS HEALTH FACILITIES SERVICES AND REVIEW BOARD FOR A MEMORIAL MEDICAL CENTER FACILITY EXPANSION PROJECT TO CREATE ALL-PRIVATE MEDICAL SURGICAL ROOMS AND ACHIEVE OTHER IMPROVEMENTS IN PATIENT SAFETY AND ACCESS. MHS' SENIOR LEADERSHIP TEAM ALSO LED A SYSTEM-WIDE INITIATIVE TO IMPROVE PROCESSES AND REDUCE COSTS WHILE IMPROVING QUALITY FOR PATIENTS THAT IS CALLED 'STRENGTHEN OUR FUTURE'. THROUGH THIS INITIATIVE, COSTS HAVE BEEN REDUCED BY OVER $12 MILLION IN FY12 AND AN ADDITIONAL $20 MILLION IN SAVINGS OPPORTUNITIES HAS BEEN IDENTIFIED FOR FY13. THIS IS A PART OF THE OVERALL STRATEGY TO IMPROVE QUALITY WHILE REDUCING COSTS. TOWARDS THIS END, MHS ALSO LAID THE FOUNDATION FOR A NEW 'BJC COLLABORATIVE' INVOLVING FOUR LEADING HEALTH SYSTEMS IN MISSOURI AND ILLINOIS. THE COLLABORATIVE WILL FOCUS ON WAYS THE MEMBERS CAN ADOPT BEST PRACTICES TO IMPROVE QUALITY, REDUCE COSTS AND BETTER RESPOND TO THE HEALTH CARE NEEDS OF THE POPULATIONS SERVED.MHS ADOPTED A NEW, EVIDENCE BASED LEADERSHIP COMPETENCY MODEL THIS YEAR. THE INDIVIDUALIZED LEADERSHIP DEVELOPMENT PLAN TEMPLATE AND PROCESS AND NEW LEADER ORIENTATION PROCESS WAS REVAMPED. GROUNDWORK WAS ALSO LAID FOR REVISING THE LEADERSHIP PERFORMANCE APPRAISAL AND MANAGEMENT PROCESS IN FY13. THE GOVERNANCE STRUCTURE RELATED TO CLINICAL QUALITY AND PATIENT SAFETY WAS REVISED, CREATING A GOVERNANCE TEAM COMPRISED OF 50% PRACTICING PHYSICIANS AND 50% SENIOR LEADERS THAT NOW DIRECTS THE DEPLOYMENT OF ORGANIZATIONAL RESOURCES TO IMPROVE CLINICAL PROCESSES AND OUTCOMES. LEAN SIX SIGMA PROCESS IMPROVEMENT TRAINING WAS IMPLEMENTED FOR PHYSICIAN AND ADMINISTRATIVE LEADERS THROUGHOUT THE ORGANIZATION.TO BETTER ALIGN LEADERSHIP PRIORITIES WITH THE MHS ORGANIZATIONAL STRUCTURE, ONE NEW SENIOR LEADER ROLE AND ONE NEW SYSTEM LEADER ROLE WERE CREATED BY REVISING JOB DESCRIPTIONS OF TWO INCUMBENT LEADERS. THE TWO POSITIONS WERE EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER AND VICE PRESIDENT AND ORGANIZATIONAL DEVELOPMENT AND CHIEF LEARNING OFFICER. A PHYSICIAN LEADERSHIP DEVELOPMENT PROGRAM AND CURRICULUM WAS INTRODUCED IN DECEMBER, 2012. 3059593 3059593 43678669 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 37 0 1 278 1 1 1 0 0 0 0 0 0 0 0 0 X 17 13 0 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 SENIOR VP & CFO 2177883198 701 NORTH FIRST STREET SPRINGFIELD IL 627810001 X JOSEPH M HURWITZ 2.00 X 0 0 0 JAMES P BRUNER 1.70 X X 0 0 0 JOHN D BLACKBURN 1.70 X 0 0 0 CAROL J HANSEN POSEGATE 0.80 X X 0 0 0 MARK H FERGUSON 1.60 X 0 0 0 DALE M BECKER 1.50 X X 0 0 0 CLIFTON R BAXTER 1.10 X 0 0 0 RICHARD LEVI 0.80 X 0 0 0 RANDALL S GERMERAAD 0.80 X 0 0 0 NINA M HARRIS 1.00 X 0 0 0 HOWARD A PETERS III 0.70 X 0 0 0 DIANE K RUTLEDGE PHD 1.00 X 0 0 0 SERGIO A PECORI 1.10 X 0 0 0 WILLIAM D PUTMAN MD 0.90 X 0 0 0 EDGAR J CURTIS EX-OFFICIO 50.00 X X 948393 0 180795 MICHAEL W NEUMEISTER MD 0.70 X 0 0 0 DEAN E ROBERT JR 0.70 X 0 0 0 GEOFFREY R ISRINGHAUSEN 0.70 X 0 0 0 ROBERT W KAY 50.00 X 371690 0 213172 FORREST G HESTER 50.00 X 486120 0 30333 MITCHELL L JOHNSON 50.00 X 345715 0 59155 ELAINE L YOUNG 50.00 X 247973 0 32487 DOUGLAS RAHN 25.00 X 0 537332 82273 RAJESH GOVINDAIAH MD 50.00 X 401967 0 54224 DAVID GRAHAM MD 50.00 X 453270 0 67245 BRAD WARREN 50.00 X 264603 0 54056 KEVIN R ENGLAND 50.00 X 317859 0 49525 ANNA N EVANS 50.00 X 381594 0 50198 EDWARD MCDOWALL 50.00 X 216108 0 36435 GARY CROMPTON 50.00 X 222313 0 25335 LAURA COSSEY 50.00 X 155752 0 16523 ROBERT T CLARKE 0.00 X 511823 0 0 5325180 537332 951756 14 1 1 0 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 IT CONSULTING SERVICES 5516630 AHEAD 150 SOUTH WACKER DRIVE 2520 CHICAGO IL 60606 IT CONSULTING SERVICES 2317236 HAROLD O'SHEA BUILDERS INC 3401 CONSTITUTION DR SPRINGFIELD IL 62711 CONSTRUCTION 1656493 MAINLINE INFORMATION SYSTEMS INC PO BOX 402989 ATLANTA GA 30384 IT MAINTENANCE 1565616 PRECEPTOR CONSULTING CORP 12242 COUNTRY DAY CIR FORT MYERS FL 33913 CONSULTING SERVICES 1203774 36 MANAGEMENT FEES 900099 34618395 34150647 467748 IT REIMBURSED EXPENSES 900099 18109412 18109412 PROGRAM RELATED RENT 900099 4283019 4283019 57010826 950006 950006 4325350 4539754 -214404 -214404 -214404 56904543 294731 55639720 221361 1264823 73370 1338193 1338193 BILLING SERVICE 561000 2324259 47700 2276559 501 BLDG SVCS 900099 957 957 MISC REVENUE 900099 520 520 2325736 61410357 56543078 516405 4350874 230227 230227 4310154 4310154 17536964 11147750 6389214 1767579 1123650 643929 2070858 1072071 998787 1322669 773849 548820 503312 503312 341098 341098 111000 111000 221193 221193 5076348 1360697 3715651 193991 193991 2550790 1376632 1174158 14294933 14227505 67428 2519412 1782449 736963 108683 34038 74645 154476 103888 50588 577152 577152 5591686 5440247 151439 40076 40076 MINOR PROJECT COSTS 86053 86053 0 REPAIRS & MAINTENANCE 29340 29340 0 DIETARY SUPPLIES 8252 2267 5985 MISCELLANEOUS 700 700 0 59646946 43678669 15968277 0 367585 795709 1520870 1582261 2897908 5038065 173367958 63835541 92582274 109532417 35712978 39366766 449786 492951 5305141 6643983 138836542 163452152 8255257 9819402 18071 18432 14901357 14488345 19405000 18280000 20085639 23091133 62665324 65697312 X 76171218 97754840 76171218 97754840 138836542 163452152 X 1763411 19820211 X X 0 1 1 X 1 1 X X X 0 0 0 MEMORIAL MEDICAL CENTER 370661220 3 0 1 1 0 MEMORIAL HOME SERVICES 370714225 9 0 1 1 0 ABRAHAM LINCOLN MEMORIAL HOSPITAL 370723793 3 0 1 1 0 TAYLORVILLE MEMORIAL HOSPITAL 370661250 3 0 1 1 0 MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS 370646367 7 0 1 1 0 SPRINGFIELD RESIDENTIAL SERVICES 371298589 9 0 1 1 0 ABRAHAM LINCOLN HEALTHCARE FOUNDATION 363492268 7 0 1 1 0 MEMORIAL MEDICAL CENTER FOUNDATION 371110301 7 0 1 1 0 8 0 0 0 0 0 0 0 0 0 1 111000 111000 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: MEMORIAL HEALTH SYSTEM ENGAGES LOBBYISTS TO ASSIST IT IN SECURING FEDERAL GRANTS AND MONITORING STATE REGULATIONS IN SUPPORT OF FURTHERING THE MEMORIAL HEALTH SYSTEM MISSION WHICH IS "TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE". THIS INCLUDES ASSISTING MEMORIAL HEALTH SYSTEM IN DEVELOPING PRESENTATIONS TO THE ILLINOIS CONGRESSIONAL DELEGATION, REQUESTING APPROPRIATIONS FOR PRIORITY PROJECTS INVOLVING LOCAL PATIENT SAFETY, QUALITY IMPROVEMENT AND IMPROVED LOCAL ACCESS TO MEDICAL CARE. THE LOBBYISTS ALSO ASSIST MEMORIAL IN COMMUNICATING THE IMPORTANCE OF ADEQUATE MEDICAID FUNDING IN SUPPORT OF THE SUBSTANTIAL SERVICES MEMORIAL'S AFFILIATES PROVIDE TO THOSE IN POVERTY AND IN MONITORING LEGISLATIVE AND REGULATORY DEVELOPMENTS THAT WOULD AFFECT MEMORIAL HEALTH SYSTEM'S ABILITY TO CONTINUE DELIVERING ITS SUBSTANTIAL COMMUNITY BENEFIT. 251493 19241317 19492810 42052151 39399828 20561530 60890449 0 1279710 48476076 42270747 7485039 768159 21899224 1003264 21664119 109532417 DEFERRED COMPENSATION 9869383 WORKERS' COMPENSATION 324899 RESERVE FOR POST EMPLOYMENT BENEFITS 2828200 DUE TO AFFILIATES 674400 SWAP LIABILITY 4838815 RESTORATION PLAN 4555436 23091133 61410357 59646946 1763411 2687045 17133166 19820211 21583622 50306550 2687045 2687045 47619505 221193 13569659 13790852 61410357 46575727 -12619799 -12619799 59195526 221193 230227 451420 59646946 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION COMPLETES AN EVALUATION OF ITS LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ACS 740-10 EACH YEAR. FOR FY12, NO UNCERTAIN TAX POSITIONS WERE IDENTIFIED, SO A FOOTNOTE WAS NOT REQUIRED. EACH YEAR MEMORIAL HEALTH SYSTEM COMPLIES WITH GUIDANCE PROVIDED BY THE RECOGNITION SUBSECTION OF THE INCOME TAXES TOPIC OF THE FASB ACCOUNTING STANDARDS CODIFICATION. THIS SUBTOPIC PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED IT EXPENSES 18,109,412. RENTAL EXPENSES REPORTED IN F/S AS EXPENSE 990 AS NET -4,539,754. ROUNDING 1. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES INCLUDED IN 990 REVENUE 4,539,754. REIMBURSED IT EXPENSES -18,109,412. NONOPERATING CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 382,828. NONOPERATING OTHER EXPENSE 8,612. NONOPERATING EXPENSE - PASSAVANT MOB PARKING 558,419. PART XIII, LINE 4B - OTHER ADJUSTMENTS: NONOPERATING CONTRIBUTION EXPENSE 230,227. 1 UNITED WAY OF CENTRAL ILLINOIS INC 1999 WEST WABASH AVENUE SUITE 107 SPRINGFIELD IL 62704 370716060 501(C)(3) 107458 SUPPORT FOR UNITED WAY COMMUNITY FUND. GREATER SPRINGFIELD CHAMBER OF COMMERCE 1011 S SECOND STREET SPRINGFIELD IL 62704 370710280 501(C)(6) 80050 PARTICIPATE IN A PUBLIC AND PRIVATE ECONOMIC GROWTH PARTNERSHIP LED BY THE CHAMBER OF COMMERCE. HOSPITAL SISTERS MISSION INC PO BOX 1665 SPRINGFIELD IL 62705 352271729 501(C)(3) 16224 RESPONDS TO THE SICK, POOR AND NEEDY THROUGH MEDICAL EQUIPMENT AND SUPPLY RECOVERY AND DISTRIBUTION PROGRAM AND EDUCATION AND AWARENESS OPPORTUNITIES. SPRINGFIELD URBAN LEAGUE INC 100 N 11TH STREET SPRINGFIELD IL 62703 370765550 501(C)(3) 7500 PROVIDE SUPPORT FOR ANNUAL AWARD DINNERS. 3 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: MHS PROVIDES GRANTS PRIMARILY TO LOCALLY MANAGED 501(C)(3) ORGANIZATIONS WHO SUPPORT OR SHARE THE VISION AND MISSION OF MHS. MHS EMPLOYEES ARE VOLUNTEER BOARD MEMBERS OF ORGANIZATIONS THAT MHS ASSISTS. THIS HELPS TO ENSURE THAT THE MISSION OF THE ORGANIZATION IS CONSISTENT WITH THE MHS MISSION. ADDITIONALLY, PROCEDURES ARE IN PLACE TO MONITOR AND ENSURE THAT GRANTS ARE USED FOR THEIR PRESCRIBED PURPOSE. GRANT REQUESTS ARE REVIEWED BY A COMMITTEE COMPOSED OF SENIOR LEADERSHIP TEAM MEMBERS. NO GRANT REQUESTS ARE APPROVED AND PAID WITHOUT THE SIGNATURE OF THIS GROUP. ADDITIONALLY, GRANT PAYMENT INCLUDES A LETTER DIRECTING THAT THE DONATION MAY ONLY BE USED FOR THE APPROVED GRANT'S PURPOSE. X 1 1 X X X X 0 1 0 0 0 0 0 1 0 EDGAR J CURTIS EX-OFFICIO 668771 0 233557 0 46065 0 165681 0 15114 0 1129188 0 0 0 ROBERT W KAY 351388 0 0 0 20302 0 196378 0 16794 0 584862 0 0 0 FORREST G HESTER 258327 0 64066 0 163727 0 30333 0 0 0 516453 0 0 0 MITCHELL L JOHNSON 246677 0 71239 0 27799 0 43357 0 15798 0 404870 0 0 0 ELAINE L YOUNG 198216 0 39321 0 10436 0 26543 0 5944 0 280460 0 0 0 DOUGLAS RAHN 0 408940 0 113362 0 15030 0 68337 0 13936 0 619605 0 0 RAJESH GOVINDAIAH MD 308222 0 87809 0 5936 0 51175 0 3049 0 456191 0 0 0 DAVID GRAHAM MD 307984 0 88278 0 57008 0 53551 0 13694 0 520515 0 0 0 BRAD WARREN 199349 0 58739 0 6515 0 35751 0 18305 0 318659 0 0 0 KEVIN R ENGLAND 252688 0 50500 0 14671 0 33917 0 15608 0 367384 0 0 0 ANNA N EVANS 267864 0 55257 0 58473 0 37009 0 13189 0 431792 0 0 0 EDWARD MCDOWALL 173834 0 35293 0 6981 0 23861 0 12574 0 252543 0 0 0 GARY CROMPTON 161897 0 33330 0 27086 0 22241 0 3094 0 247648 0 0 0 LAURA COSSEY 140514 0 14787 0 451 0 0 0 16523 0 172275 0 0 0 ROBERT T CLARKE 0 0 0 0 511823 0 0 0 0 0 511823 0 0 0 PART I, LINE 4B PART I, LINE 4B THE ORGANIZATION PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO THE FOLLOWING OFFICERS AND KEY EMPLOYEES: EDGAR J. CURTIS, $157,106, ROBERT W. KAY, $187,803, DOUGLAS L. RAHN, $59,762, FORREST G. HESTER, $21,758, MITCHELL L. JOHNSON, $34,782, ELAINE L. YOUNG, $19,730, KEVIN R. ENGLAND, $25,342, ANNA N. EVANS, $28,434, DAVID GRAHAM, M.D., $44,976, GARY CROMPTON $16,466, RAJESH GOVINDAIAH $42,600, EDWARD MCDOWALL $17,746, AND BRAD WARREN $28,841. 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. 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. ILLINOIS HEALTH FACILITIES AUTHORITY 362780046 45200P2U4 2003-12-17 31000000 SEE SCHEDULE K 0 0 0 ILLINOIS FINANCE AUTHORITY 861091967 45200FJ59 2009-12-22 147401639 SEE SCHEDULE K 0 0 0 31091579 11406560 329438 110306 19245275 2004 1 0 1 1 147552600 1350000 146202600 2011 0 0 1 1 0 1 1 0 1 0 0.00000 0.01300 0.01300 1 0 1 1 0 1 0 0.00130 0.02370 0.02500 1 1 1 1 PIPER JAFFRAY & CO 11.000000000000 0 0 0 NA 0 0 0 0 0 0 NA 0 0 0 NA 0 0 0 X SCHEDULE K SUPPLENTAL INFORMATION SCHEDULE K: ONE SCHEDULE K WAS COMPLETED AT THE PARENT LEVEL ONLY. HOWEVER, EACH AFFILIATE IS STILL SHOWING ITS ALLOCATION OF THE LIABILITY ON THE BALANCE SHEET. SCHEDULE K PART I, COLUMN (F) CONTINUATIONS: THE PURPOSE OF THE 2003 ISSUE WAS TO REFUND THE 1993 SERIES ISSUED ON 8/5/93 IN THE AMOUNT OF $11,406,560. PROCEEDS WERE ALSO USED TO PAY ISSUANCE EXPENSES AND TO PURCHASE EQUIPMENT AND SOFTWARE FOR MEMORIAL HEALTH SYSTEM. PROCEEDS WERE ALSO USED FOR CONSTRUCTION AND BUILDING IMPROVEMENTS AND TO CONSTRUCT AND EQUIP AN OUTPATIENT PSYCHIATRIC FACILITY. THE PURPOSE OF THE 2009 ISSUE WAS TO PAY ISSUANCE COSTS, CONSTRUCT AND EQUIP A REPLACEMENT HOSPITAL FACILITY FOR ABRAHAM LINCOLN MEMORIAL HOSPITAL, RENOVATE AND REMODEL TAYLORVILLE MEMORIAL HOSPITAL, RENOVATE, REMODEL, AND EQUIP MEMORIAL MEDICAL CENTER, CONSTRUCT A PARKING GARAGE ADJACENT TO MEMORIAL MEDICAL CENTER, CONSTRUCT AND EQUIP A WOUND CARE CENTER, RENOVATE A PAIN CLINIC, CONSTRUCT AND EQUIP A CONSOLIDATED IMAGING SERVICES AREA, PURCHASE VARIOUS PARCELS OF REAL PROPERTY IN SPRINGFIELD, IL AND TAYLORVILLE, IL FOR FUTURE EXPANSION OF EXISTING FACILITIES, CONSTRUCT AND EQUIP A SPACE FOR PHYSICAL THERAPY WITHIN THE NEW YMCA IN SPRINGFIELD, IL, AND ROUTINE CAPITAL EXPENDITURES. SCHEDULE K PART III, LINE 3B & 3D: MEMORIAL HEALTH SYSTEM'S INTERNAL COUNSEL ROUTINELY REVIEWS MANAGEMENT AND SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATING TO FINANCED PROPERTY. SCHEDULE K PART III, LINE 5: ISSUANCE COSTS ARE INCLUDED IN THESE PERCENTAGES. SCHEDULE K PART IV, LINE 1: THE ARBITRAGE REBATE FILING IS ONLY REQUIRED EVERY 5 YEARS; THE 2009 ISSUANCE HAS NOT YET MET THIS REQUIREMENT. SORLING NORTHRUP HANNA CULLEN & COCHRAN LTD ATTORNEYS AT LAW MARK H. FERGUSON, BOARD MEMBER 301530 ATTORNEY FEES 0 FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION CONTAINS 105 INDIVIDUAL MEMBERS WHO ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A THE INDIVIDUAL MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT THE CORPORATION'S BOARD OF DIRECTORS, AS WELL AS THE POWER AND AUTHORITY TO REMOVE MEMBER ELECTED DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B INDIVIDUAL MEMBERS OF THE CORPORATION HAVE NO VOTING RIGHTS WITH RESPECT TO THE MANAGEMENT, CONTROL OR OPERATION OF THE AFFAIRS AND PROPERTIES OF THE CORPORATION. ONLY THE BOARD OF DIRECTORS CAN MAKE DECISIONS IN THAT REGARD. FORM 990, PART VI, SECTION B, LINE 11 A FINAL DRAFT COPY OF THE MHS FORM 990 AND ALL ATTACHMENTS IS PROVIDED TO ALL OF THE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS AND A BOARD COMMITTEE PRIOR TO FILING. AT THE BOARD MEETING, A PRESENTATION IS MADE BY THE CFO TO THE BOARD, FOLLOWED BY A QUESTION AND ANSWER SESSION. ALL QUESTIONS AND COMMENTS ARISING FROM THESE REVIEWS ARE ADDRESSED PRIOR TO SUBMISSION OF THE RETURN TO THE APPROPRIATE TAXING AUTHORITIES. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE CORPORATION ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A SPECIFIC DISCLOSURE STATEMENT WHICH IS ATTACHED TO THE POLICY. MEMORIAL HEALTH SYSTEM MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY IDENTIFYING ANY POTENTIAL CONFLICTS AT THE TIME EACH MEETING AGENDA IS PREPARED. ANY OFFICER OR DIRECTOR WHO HAS A CONFLICT IS NOTIFIED OF SUCH CONFLICT, AS WELL AS THEIR OBLIGATION TO ABSTAIN FROM THE DISCUSSION AND VOTE ON ANY CONFLICTED ISSUES(S). SUCH ABSTENTION(S), IF REQUIRED, ARE DOCUMENTED IN THE MINUTES OF EACH MEETING. BOARD MEMBERS ARE ALSO REQUIRED TO UPDATE THEIR CONFLICT OF INTEREST DISCLOSURE STATEMENTS PROMPTLY IN THE EVENT OF ANY CHANGE IN PERSONAL OR BUSINESS ACTIVITIES THAT WOULD REQUIRE SUCH DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 THE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS HAS APPOINTED A LEADERSHIP COMPENSATION COMMITTEE MADE UP OF PAST AND PRESENT INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS, AND HAS DELEGATED TO IT THE RESPONSIBILITY OF ADMINISTERING, OVERSEEING AND APPROVING ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVE LEADERSHIP, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER AND OTHER SENIOR VICE PRESIDENTS, WHO ARE KEY EMPLOYEES. THE BOARD HAS ADOPTED A LEADERSHIP COMPENSATION PHILOSOPHY STATEMENT DESCRIBING THE ROLE AND RESPONSIBILITIES OF THE COMMITTEE. THIS PHILOSOPHY EXPRESSLY STATES THE COMMITTEE'S INTENT, ON BEHALF OF THE CORPORATION, TO TAKE ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. THE COMMITTEE ANALYZES EVERY ELEMENT OF COMPENSATION (INCLUDING CURRENT, INCENTIVE AND DEFERRED COMPENSATION) AND BENEFITS (INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS). THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. IN CONNECTION WITH THE MOST RECENT REVIEW AND APPROVAL PROCESS, THE COMMITTEE RECEIVED PROFESSIONAL ADVICE FROM AN INDEPENDENT CONSULTANT AND OUTSIDE LEGAL COUNSEL. THE COMMITTEE CONSISTS ENTIRELY OF PAST AND PRESENT DISINTERESTED MEMBERS OF THE BOARD OR DISINTERESTED COMMITTEE MEMBERS WHO UNDER STATE CORPORATE LAW MAY SERVE ON SUCH A COMMITTEE. THE COMMITTEE WORKS WITH ITS COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS OF MEMORIAL HEALTH SYSTEM, SUCH AS ARTICLES OF INCORPORATION AND ANY AMENDMENTS THERETO, ARE AVAILABLE TO THE GENERAL PUBLIC THROUGH THE ILLINOIS SECRETARY OF STATE'S OFFICE. THESE GOVERNING DOCUMENTS, AS WELL AS THE BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE UPON REQUEST FROM THE CORPORATION. AVERAGE HOURS PER WEEK FOR DOUGLAS RAHN PART VII, SECTION A. (23) DOUGLAS RAHN, SVP AND COO, DIVIDES AVERAGE HOURS WORKED PER WEEK BETWEEN MEMORIAL HEALTH SYSTEM (25 HOURS) AND MEMORIAL MEDICAL CENTER (25 HOURS), A RELATED ORGANIZATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 2,687,045. NONOPERATING RECONCILING ITEMS -2,006,970. CHANGE IN UNRESTRICTED NET ASSETS 19,140,136. TOTAL TO FORM 990, PART XI, LINE 5: 19,820,211. FAIR MARKET VALUE FOR RENTAL INCOME RECEIVED SCHEDULE R, PART V, LINE 2 MEMORIAL HEALTH SYSTEM COLLECTED RENTAL INCOME FROM AFFILIATES DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2012. THE VALUES LISTED IN SCHEDULE R, PART V, LINE 2 WERE DETERMINED USING FAIR MARKET VALUE. MEMORIAL MEDICAL CENTER 701 NORTH FIRST ST SPRINGFIELD IL 627810001 370661220 HOSPITAL SERVICES IL 501(C)(3) 170(B)(1)(A)(III) MEMORIAL HEALTH SYSTEM 0 MEMORIAL HEALTH VENTURES 701 NORTH FIRST ST SPRINGFIELD IL 627810001 363492266 HEALTHCARE ACTIVITIES IL 501(C)(3) 509(A)(3) TYPE II MEMORIAL HEALTH SYSTEM 0 ABRAHAM LINCOLN MEMORIAL HOSPITAL 200 STAHLHUT DR LINCOLN IL 62656 370723793 HOSPITAL SERVICES IL 501(C)(3) 170(B)(1)(A)(III) MEMORIAL HEALTH SYSTEM 0 TAYLORVILLE MEMORIAL HOSPITAL 201 EAST PLEASANT TAYLORVILLE IL 62568 370661250 HOSPITAL SERVICES IL 501(C)(3) 170(B)(1)(A)(III) MEMORIAL HEALTH SYSTEM 0 MEMORIAL HOME SERVICES 720 NORTH BOND ST SPRINGFIELD IL 627024915 370714225 HOME HEALTH, HOSPICE, AND CONTINUOUS CARE SERVICES IL 501(C)(3) 509(A)(2) MEMORIAL HEALTH SYSTEM 0 MEMORIAL PHYSICIAN SERVICES 701 NORTH FIRST ST SPRINGFIELD IL 627810001 371181194 HEALTH CLINICS IL 501(C)(3) 509(A)(3) TYPE II MEMORIAL HEALTH SYSTEM 0 MEMORIAL MEDICAL CENTER FOUNDATION 1 MEMORIAL PLAZA SPRINGFIELD IL 62781 371110301 GRANTS TO HOSPITALS, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS IL 501(C)(3) 170(B)(1)(A)(V) MEMORIAL HEALTH SYSTEM 0 TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION 201 EAST PLEASANT TAYLORVILLE IL 62568 371337485 GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALS IL 501(C)(3) 509(A)(3)TYPE III-FI N/A 0 MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS 710 NORTH EIGHTH ST SPRINGFIELD IL 627026395 370646367 TRAINING, PSYCHIATRIC, AND RESIDENT SERVICES FOR MENTALLY ILL AND DISABLED IL 501(C)(3) 170(B)(1)(A)(VI) MEMORIAL HEALTH SYSTEM 0 ABRAHAM LINCOLN HEALTHCARE FOUNDATION 200 STAHLHUT DR LINCOLN IL 62656 363492268 GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALS IL 501(C)(3) 170(B)(1)(A)(VI) N/A 0 MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC 701 NORTH FIRST ST SPRINGFIELD IL 62781 371190216 PROVIDE DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO PATIENTS IL MEMORIAL HOME SERIVES C HEALTHCARE NETWORK ASSOCIATES OF SANGAMON 720 NORTH BOND ST SPRINGFIELD IL 62702 364156479 HEALTHCARE ACTIVITIES IL MEMORIAL PHYSICIAN SERVICES C 1 1 1 0 0 1 0 0 1 1 1 1 1 1 1 1 0 0 MEMORIAL HEALTH VENTURES A 432311 FMV MEMORIAL HOME SERVICES A 128350 FMV MEMORIAL MEDICAL CENTER A 2244768 FMV MEMORIAL PHYSICIAN SERVICES A 1239943 FMV MEMORIAL PHYSICIAN SERVICES B 9180447 FMV MEMORIAL MEDICAL CENTER C 29611069 FMV MEMORIAL HEALTH VENTURES I 432311 FMV MEMORIAL HOME SERVICES I 128350 FMV MEMORIAL MEDICAL CENTER I 2244768 FMV MEMORIAL PHYSICIAN SERVICES I 1239943 FMV MEMORIAL MEDICAL CENTER J 142419 FMV MEMORIAL PHYSICIAN SERVICES J 458352 FMV MEMORIAL MEDICAL CENTER K 37364508 FMV ABRAHAM LINCOLN MEMORIAL HOSPITAL K 2294469 FMV TAYLORVILLE MEMORIAL HOSPITAL K 2102104 FMV MEMORIAL PHYSICIAN SERVICES K 3524029 FMV MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS K 447438 FMV MEMORIAL HOME SERVICES K 685337 FMV MEMORIAL HEALTH VENTURES K 634787 FMV MEMORIAL HEALTH VENTURES K 299906 FMV MEMORIAL HEALTH VENTURES P 190449 FMV MEMORIAL MEDICAL CENTER O 6895699 FMV MEMORIAL MEDICAL CENTER N 936751 FMV MEMORIAL MEDICAL CENTER L 557634 FMV MEMORIAL MEDICAL CENTER K 307994 FMV MEMORIAL MEDICAL CENTER P 7203634 FMV MEMORIAL HOME SERVICES P 293483 FMV MEMORIAL PHYSICIAN SERVICES P 1109075 FMV MEMORIAL PHYSICIAN SERVICES K 1663859 FMV MEMORIAL PHYSICIAN SERVICES O 652694 FMV ABRAHAM LINCOLN MEMORIAL HOSPITAL N 111299 FMV ABRAHAM LINCOLN MEMORIAL HOSPITAL P 185988 FMV TAYLORVILLE MEMORIAL HOSPITAL N 113124 FMV TAYLORVILLE MEMORIAL HOSPITAL P 145849 FMV MEMORIAL MEDICAL CENTER M 902918 FMV MEMORIAL HOME SERVICES M 56519 FMV MEMORIAL PHYSICIAN SERVICES N 60979 FMV MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS P 78070 FMV