MEMORIAL GROUP INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL GROUP INC (EIN 37-1186035)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201323199349303447
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T10:08:28-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 N BROADWAY SUITE 600 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 631022733 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371186035 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL GROUP INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MEMORIAL HOSPITAL CONTROLLER | InCareOfName |
| Name Control | MEMO | NameControl |
| Phone | 6182575602 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 Memorial Drive | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Belleville | City |
| State | IL | State |
| ZIP Code | 622265399 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOE LANIUS | Name |
| Title | VP FINANCE | Title |
| Phone | 6182575602 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Donna J Larson | Name |
| Phone | 3142315544 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Mark J Turner President | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 Memorial Drive | AddressLine1 |
| City | Belleville | City |
| State | IL | State |
| ZIP Code | 622265399 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 55370678 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | MEMORIAL GROUP, INC WAS FORMED TO PLAN, DEVELOP, COORDINATE & DIRECT A FULL SERVICE COMMUNITY HEALTHCARE SYSTEM. MGI IS THE PARENT OF SEVERAL ENTITIES THAT PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 485 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 37575545 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 40010646 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 10422195 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1171499 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1025712 | OtherRevenuePriorYear |
| Other Revenue Current Year | 97939 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 49023452 | TotalRevenuePriorYear |
| Total Revenue Current Year | 41280084 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 46280381 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 52712885 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 21755783 | OtherExpensePriorYear |
| Other Expenses Current Year | 21010939 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 68036164 | TotalExpensesPriorYear |
| Total Expenses Current Year | 73723824 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -19012712 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -32443740 | RevenuesLessExpensesCY |
| Total Assets BOY | 62738903 | TotalAssetsBOY |
| Total Assets EOY | 52518825 | TotalAssetsEOY |
| Total Liabilities BOY | 12341761 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 13247638 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 50397142 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 39271187 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MEMORIAL GROUP, INC. WAS FORMED TO PLAN, DEVELOP, COORDINATE, AND DIRECT A FULL SERVICE COMMUNITY HEALTHCARE SYSTEM. MEMORIAL GROUP, INC. IS THE PARENT CORPORATION OF SEVERAL CORPORATIONS INCLUDING PROTESTANT MEMORIAL MEDICAL CENTER, INC. THE CONTROLLED CORPORATIONS PROVIDE COMMUNITY HEALTHCARE ACTIVITIES AND PROVIDE PATIENT CARE SERVICES TO SOUTHWEST ILLINOIS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 52152289 | Expense |
| Revenue | 40010646 | Revenue |
| Description | MEMORIAL MEDICAL GROUP, LLC IS A WHOLLY OWNED MEMORIAL GROUP, INC. DISREGARDED ENTITY. MEMORIAL MEDICAL GROUP, LLC IS ORGANIZED TO EMPLOY PHYSICIANS FOR THE MEMORIAL GROUP, INC. INTEGRATED HEALTH CARE DELIVERY SYSTEM THROUGH A NUMBER OF LIMITED LIABILITY COMPANIES OF WHICH MEMORIAL MEDICAL GROUP, LLC IS THE SOLE MEMBER. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6003486 | Expense |
| Description | MEMORIAL GROUP, INC. WAS FORMED TO PLAN, DEVELOP, COORDINATE, AND DIRECT A FULL SERVICE COMMUNITY HEALTHCARE SYSTEM. MEMORIAL GROUP, INC. IS THE PARENT CORPORATION OF SEVERAL OTHER ORGANIZATIONS INCLUDING PROTESTANT MEMORIAL MEDICAL CENTER, INC. THE CONTROLLED CORPORATIONS PROVIDE COMMUNITY HEALTHCARE ACTIVITIES AND PROVIDE PATIENT CARE SERVICES TO SOUTHWEST ILLINOIS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 58155775 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 36 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 485 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MEMORIAL HOSPITAL CONTROLLER | NamePerson |
| Telephone Number | 6182575602 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 MEMORIAL DRIVE | AddressLine1 |
| City | BELLEVILLE | City |
| State | IL | State |
| ZIP Code | 62226 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Average Hours Per Week RelatedAverageHoursPerWeekRelated | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| THOMAS HOLLOWAY | ||||||||
| CHAIRMAN, DIRECTOR | 0.35 | X | ||||||
| THOMAS BARNETT | ||||||||
| DIRECTOR | 0.35 | X | ||||||
| LARY ECKERT | ||||||||
| DIRECTOR | 0.35 | X | 1.35 | |||||
| RANDALL GANIM | ||||||||
| DIRECTOR | 0.35 | X | ||||||
| MYRON HANNA | ||||||||
| DIRECTOR | 0.35 | X | 0.35 | |||||
| ROGER LOWERY | ||||||||
| DIRECTOR | 0.35 | X | ||||||
| JEFFRY LUTZ | ||||||||
| DIRECTOR | 0.35 | X | 1.35 | |||||
| LESLIE MEHRTENS | ||||||||
| DIRECTOR | 0.35 | X | 1.0 | |||||
| ARTHUR PARRISH | ||||||||
| DIRECTOR | 0.35 | X | 1.35 | |||||
| MARK J TURNER | ||||||||
| PRESIDENT | 1.54 | 59.08 | X | 0 | 607129 | 178217 | ||
| JOE H LANIUS | ||||||||
| V.P. OF FINANCE | 33.0 | 27.62 | X | 191057 | 136469 | 74848 | ||
| JOHN ZIEGLER | ||||||||
| V.P. OF HUMAN RESOURCES | 1.54 | 59.0 | X | 0 | 169064 | 31291 | ||
| JAMES DAVIS | ||||||||
| V.P. OF PHYSICIAN SERVICES | 63.0 | 1.0 | X | 200319 | 0 | 33684 | ||
| RUTH HOLMES | ||||||||
| ADMINISTRATOR MEMORIAL EAST | 37.0 | 23.0 | X | 133641 | 95459 | 34634 | ||
| PRASAD KANDULA MD | ||||||||
| PHYSICIAN | 60.0 | 752976 | 0 | 36174 | X | |||
| DOUGLAS DOTHAGER MD | ||||||||
| PHYSICIAN | 60.0 | 712054 | 0 | 53023 | X | |||
| HATIM MAHMOOD MD | ||||||||
| PHYSICIAN | 60.0 | 709257 | 0 | 53263 | X | |||
| HANS MOOSA MD | ||||||||
| PHYSICIAN | 60.0 | 670851 | 0 | 52844 | X | |||
| SYED ABDUL-AZIZ MD | ||||||||
| PHYSICIAN | 60.0 | 669108 | 0 | 53023 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4039263 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1008121 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 601001 | TotalOtherCompensation |
| Number Individuals GT100 K | 77 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HDR ARCHITECTURE | |||||
| PO BOX 3480 | OMAHA | NE | 68103 | ARCHITECT SERVICES | 3766944 |
| ANESTHESIA ASSOCIATES | |||||
| PO BOX 23860 | BELLEVILEE | IL | 62223 | PHYSICIAN SERVICES | 3663500 |
| SOUTHWIND-THE ADVISORY BOARD | |||||
| PO BOX 7946 | BALTIMORE | MD | 21279 | CONSULTING SERVICES | 1038861 |
| CLIFTON LARSON ALLEN LLP | |||||
| 220 S 6TH STREET | MINNEAPOLIS | MN | 55402 | ACCOUNTING SERVICES | 924785 |
| STAFF CARE INC | |||||
| PO BOX 281923 | ATLANTA | GA | 30384 | CONTRACT LABOR | 833448 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 17 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEMORIAL MEDICAL GROUP LLC | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 40010646 | TotalRevenueColumn |
| Related Or Exempt Function Income | 40010646 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 40010646 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 880694 | TotalRevenueColumn |
| Exclusion | $880,694 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 14381399 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 14090594 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 290805 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 290805 | TotalRevenueColumn |
| Exclusion | $290,805 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CONTRIBUTION RECEIVED IN ACQUISITIONS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 97939 | TotalRevenueColumn |
| Exclusion | $97,939 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 97939 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 41280084 | TotalRevenueColumn |
| Related Or Exempt Function Income | 40010646 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,269,438 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 591140 | Total |
| Management And General | 591140 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42922442 | Total |
| Program Services | 35387003 | ProgramServices |
| Management And General | 7535439 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2608129 | Total |
| Program Services | 2167538 | ProgramServices |
| Management And General | 440591 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4436115 | Total |
| Program Services | 3651971 | ProgramServices |
| Management And General | 784144 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2155059 | Total |
| Program Services | 1784473 | ProgramServices |
| Management And General | 370586 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70200 | Total |
| Management And General | 70200 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 701806 | Total |
| Management And General | 701806 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6100 | Total |
| Management And General | 6100 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3429707 | Total |
| Program Services | 1159751 | ProgramServices |
| Management And General | 2269956 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2459665 | Total |
| Program Services | 1940761 | ProgramServices |
| Management And General | 518904 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2833117 | Total |
| Program Services | 2369074 | ProgramServices |
| Management And General | 464043 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134479 | Total |
| Program Services | 134479 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1180600 | Total |
| Program Services | 1180600 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2606668 | Total |
| Program Services | 2578725 | ProgramServices |
| Management And General | 27943 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PHYSICIAN PRACTICE EXPENSE | 4359027 | 4359027 | 0 | 0 |
| EDUCATIONAL PROGRAMS | 25936 | 25936 | 0 | 0 |
| PROPERTY TAXES | 44815 | 44815 | 0 | 0 |
| REPAIRS & MAINTENANCE | 195930 | 195930 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2962889 | Total |
| Program Services | 1175692 | ProgramServices |
| Management And General | 1787197 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73723824 | Total |
| Program Services | 58155775 | ProgramServices |
| Management And General | 15568049 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1108826 | BOY |
| EOY | 424591 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9607430 | BOY |
| EOY | 5518844 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 176570 | BOY |
| EOY | 176570 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1449824 | BOY |
| EOY | 450755 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 16548317 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1401848 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10888354 | BOY |
| EOY | 15146469 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39507899 | BOY |
| EOY | 30801596 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62738903 | BOY |
| EOY | 52518825 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12007868 | BOY |
| EOY | 12722658 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 333893 | BOY |
| EOY | 524980 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12341761 | BOY |
| EOY | 13247638 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50397142 | BOY |
| EOY | 39271187 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50397142 | BOY |
| EOY | 39271187 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62738903 | BOY |
| EOY | 52518825 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -32443740 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 2296702 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 19021083 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROTESTANT MEMORIAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370635502 | EIN |
| Type Of Organization | 03 | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Supported Organization Notified | true | SupportedOrganizationNotified |
| Organized In US | true | OrganizedInUS |
| Amount | $58,155,775 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 58155775 | SumOfAmounts |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 8339441 | InvestmentCostOrOtherBasis |
| Book Value | 8339441 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3642692 | OtherCostOrOtherBasis |
| Depreciation | 1401848 | Depreciation |
| Book Value | 2240844 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4566184 | OtherCostOrOtherBasis |
| Book Value | 4566184 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 15146469 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATED CORPORATION | Description |
| Amount | $524,980 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 524980 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART X, LINE 2-FIN 48 | Identifier |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | Explanation |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConducted |
| Total Expenditures | 1867581 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 1867581 | SubtotalAmountSpent |
| Total Amount Spent | 1867581 | TotalAmountSpent |
| Transfer To Foreign Corp | true | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | true | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK J TURNER | ||||||||||||||
| PRESIDENT | 0 | 590129 | 0 | 0 | 0 | 17000 | 0 | 158576 | 0 | 19641 | 0 | 785346 | 0 | 0 |
| JOE H LANIUS | ||||||||||||||
| V.P. OF FINANCE | 181140 | 129386 | 0 | 0 | 9917 | 7083 | 35237 | 25170 | 8424 | 6017 | 234718 | 167656 | 0 | 0 |
| JOHN ZIEGLER | ||||||||||||||
| V.P. OF HUMAN RESOURCES | 0 | 161149 | 0 | 0 | 0 | 7915 | 0 | 13861 | 0 | 17430 | 0 | 200355 | 0 | 0 |
| JAMES DAVIS | ||||||||||||||
| V.P. OF PHYSICIAN SERVICES | 187543 | 0 | 0 | 0 | 12776 | 0 | 18361 | 0 | 15323 | 0 | 234003 | 0 | 0 | 0 |
| RUTH HOLMES | ||||||||||||||
| ADMINISTRATOR MEMORIAL EAST | 129467 | 92477 | 0 | 0 | 4174 | 2982 | 10171 | 7265 | 10032 | 7166 | 153844 | 109890 | 0 | 0 |
| PRASAD KANDULA MD | ||||||||||||||
| PHYSICIAN | 710000 | 0 | 36670 | 0 | 6306 | 0 | 35995 | 0 | 179 | 0 | 789150 | 0 | 0 | 0 |
| DOUGLAS DOTHAGER MD | ||||||||||||||
| PHYSICIAN | 327545 | 0 | 381353 | 0 | 3156 | 0 | 35995 | 0 | 17028 | 0 | 765077 | 0 | 0 | 0 |
| HATIM MAHMOOD MD | ||||||||||||||
| PHYSICIAN | 705145 | 0 | 0 | 0 | 4112 | 0 | 35995 | 0 | 17268 | 0 | 762520 | 0 | 0 | 0 |
| HANS MOOSA MD | ||||||||||||||
| PHYSICIAN | 495145 | 0 | 160991 | 0 | 14715 | 0 | 35995 | 0 | 16849 | 0 | 723695 | 0 | 0 | 0 |
| SYED ABDUL-AZIZ MD | ||||||||||||||
| PHYSICIAN | 445145 | 0 | 220107 | 0 | 3856 | 0 | 35995 | 0 | 17028 | 0 | 722131 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II, 4B | Identifier |
| Explanation | DEFERRED COMPENSATION AND RETIREMENT CONTRIBUTIONS PER PART II(C): MARK TURNER, PRESIDENT: RETIREMENT CONTRIBUTION - 19,495 DEFERRED COMPENSATION - 139,081 JOE LANIUS, VICE PRESIDENT FINANCE: RETIREMENT CONTRIBUTION - 19,495 DEFERRED COMPENSATION - 40,912 JOHN ZIEGLER, VICE PRESIDENT HUMAN RESOURCES: RETIREMENT CONTRIBUTION - 9,902 DEFERRED COMPENSATION - 3,959 JAMES DAVIS, VICE PRESIDENT PHYSICIAN SERVICES: RETIREMENT CONTRIBUTION - 11,971 DEFERRED COMPENSATION - 6,390 RUTH HOLMES, ADMINISTRATOR MEMORIAL EAST: RETIREMENT CONTRIBUTION - 13,858 DEFERRED COMPENSATION - 3,579 PRASAD KANDULA, PHYSICIAN MEMORIAL MEDICAL GROUP: RETIREMENT CONTRIBUTION - 19,495 DEFERRED COMPENSATION - 16,500 DOUGLAS DOTHAGER, PHYSICIAN MEMORIAL MEDICAL GROUP RETIREMENT CONTRIBUTION - 19,495 DEFERRED COMPENSATION - 16,500 HATIM MAHMOOD, PHYSICIAN MEMORIAL MEDICAL GROUP: RETIREMENT CONTRIBUTION - 19,495 DEFERRED COMPENSATION - 16,500 HANS MOOSA, PHYSICIAN MEMORIAL MEDICAL GROUP: RETIREMENT CONTRIBUTION - 19,495 DEFERRED COMPENSATION - 16,500 SYED ABDUL-AZIZ, PHYSICIAN MEMORIAL MEDICAL GROUP: RETIREMENT CONTRIBUTION - 19,495 DEFERRED COMPENSATION - 16,500 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| REVIEW PROCESS | FORM 990, PART VI, LINE 11A | DIRECTORS OF MEMORIAL GROUP, INC. ARE PROVIDED A COPY OF THE TAX RETURN PRIOR TO FILING FOR REVIEW. ANY DISCREPANCIES OR QUESTIONS ARE THEN SUBMITTED TO THE VICE PRESIDENT OF FINANCE. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, LINE 12C | OFFICERS AND DIRECTORS OF MEMORIAL GROUP, INC. COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. TRANSACTIONS DISCLOSED ON THE STATEMENTS ARE REVIEWED BY THE BOARD. THE BOARD OR A DULY CONSTITUTED COMMITTEE THEREOF SHALL DETERMINE WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO MEMORIAL GROUP, INC. |
| COMPENSATION POLICIES | FORM 990, PART VI, LINE 15A & 15B | THE COMPENSATION COMMITTEE UTILIZES THE SERVICES OF AN INDEPENDENT CONSULTANT TO DEVELOP HOSPITAL SURVEY DATA TO COMPARE SALARIES AND BENEFITS FOR ALL CORPORATE OFFICERS (CEO AND VICE PRESIDENTS). BASED ON THE SURVEY RESULTS, THE COMPENSATION COMMITTEE ESTABLISHES COMPENSATION FOR THE ENSUING YEAR. |
| PUBLIC DISCLOSURE | FORM 990, PART VI, LINE 18 & 19 | UPON FILING FORM 990 AND SUPPORTING SCHEDULES, PUBLIC DISCLOSURE COPIES ARE AVAILABLE FOR PUBLIC INSPECTION IN THE OFFICE OF THE PRESIDENT OF MEMORIAL GROUP, INC. DURING REGULAR BUSINESS HOURS OF 8:30AM-5:00PM. COPIES ARE PROVIDED UPON REQUEST FOR A NOMINAL FEE. WRITTEN REQUESTS ARE HONORED WITHIN 30 DAYS AND REQUESTS IN PERSON ARE PROVIDED ON THE DAY OF REQUEST. MEMORIAL GROUP, INC. PROVIDES FOR PUBLIC INSPECTIONS THE MOST RECENT THREE YEARS OF FILINGS. MEMORIAL GROUP, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| RECONCILIATION OF NET ASSETS | FORM 990, PART XI, LINE 9 | ($8,064,000) FUND BALANCE TRANSFER FROM MEMORIAL GROUP, INC. TO PROTESTANT MEMORIAL CENTER, INC. (EIN#37-0635502), A RELATED 501(C)(3) ORGANIZATION TO MEMORIAL GROUP LLC. $8,000,000 FUND BALANCE TRANSFER FROM MEMORIAL CAPTIVE INSURANCE COMPANY, A RELATED CORPORATION WHOLLY OWNED BY MEMORIAL GROUP, INC. ($1,620,000) FUND BALANCE TRANSFER TO MEMORIAL CAPTIVE INSURANCE COMPANY, A RELATED CORPORATION WHOLLY OWNED BY MEMORIAL GROUP, INC. $20,705,083 FUND BALANCE TRANSFER FROM PROTESTANT MEMORIAL MEDICAL CENER, INC. (EIN#37-0635502), A RELATED 501(C)(3) ORGANIZATION TO MEMORIAL MEDICAL GROUP, LLC. $19,021,083 TOTAL OTHER CHANGES IN NET ASSETS OR FUND BALANCES. |
| BUSINESS RELATIONSHIPS | FORM 990, PART VI, LINE 2 | MARK TURNER, ARTHUR PARRISH, LARY ECKERT, AND RANDALL GANIM ALL HAVE A BUSINESS RELATIONSHIP AS A RESULT OF ALSO SERVING AS OFFICERS OR DIRECTORS OF MEMORIAL CAPTIVE INSURANCE COMPANY, A RELATED TAXABLE ENTITY. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| MEMORIAL MEDICAL GROUP LLC | |||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 272019352 | HEALTHCARE | IL | 40010646 | 16271731 | MGI |
| PC ASSOCIATES LLC | |||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 371595406 | HEALTHCARE | IL | 0 | MMG | |
| CA GROUP LLC | |||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 383810259 | HEALTHCARE | IL | 0 | MMG | |
| MSA ALLIANCE LLC | |||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 272019538 | HEALTHCARE | IL | 0 | MMG | |
| OA ASSOCIATES LLC | |||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 272025002 | HEALTHCARE | IL | 0 | MMG | |
| OB PRACTICE LLC | |||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 272795665 | HEALTHCARE | IL | 0 | MMG | |
| HBP GROUP LLC | |||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 273373032 | HEALTHCARE | IL | 0 | MMG | |
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| PROTESTANT MEMORIAL MEDICAL CENTER INC | ||||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 370635502 | HEALTHCARE | IL | 501(C)(3) | 3 | MGI | true |
| SOUTHWEST ILLINOIS HEALTH VENTURES INC | ||||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 371413286 | MANAGEMENT | IL | 501(C)(3) | 11-TYPE I | MGI | true |
| MEMORIAL FOUNDATION INC | ||||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 371186034 | FUNDRAISING | IL | 501(C)(3) | 11-TYPE I | MGI | true |
| MEMORIAL HOSP SELF INSURANCE TRUST FUND | ||||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 371064809 | INSURANCE | IL | 501(C)(3) | 11-TYPE I | MGI | true |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIAL CAPTIVE INSURANCE COMPANY | ||||||||||||||||||
| 1850 N CENTRAL AVE | PHOENIX | AZ | 85004 | 201267507 | INSURANCE | AZ | MGI | C CORP | 0 | 0 | 1.00000 | true | ||||||
| MEMORIAL CAPTIVE INSURANCE COMPANY | ||||||||||||||||||
| 981082415 | INSURANCE | MGI | C-CORP | 0 | 0 | 1.00000 | true | 94 SOLARIS 2ND FLOOR | GEORGETOWN | CAYMAN ISLANDS | CJ | KY1-1102 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| PROTESTANT MEMORIAL MEDICAL CENTER INC | ||
| B | 8064000 | CASH |
| PROTESTANT MEMORIAL MEDICAL CENTER INC | ||
| C | 20705083 | CASH |
| PROTESTANT MEMORIAL MEDICAL CENTER INC | ||
| N | 1000 | ASSET VALUE |
| PROTESTANT MEMORIAL MEDICAL CENTER INC | ||
| O | 1263247 | CASH |