2013-11-15T10:08:28-06:00 2012-12-31 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2012-01-01 371186035 MEMORIAL GROUP INC % MEMORIAL HOSPITAL CONTROLLER MEMO 6182575602 4500 Memorial Drive Suite Belleville IL 622265399 JOE LANIUS 6182575602 2013-11-15 true Donna J Larson 3142315544 2012 2016-03-07 17:11:31Z Mark J Turner President 4500 Memorial Drive Belleville IL 622265399 55370678 false X N/A X 1985 IL 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. 9 9 485 0 0 0 0 37575545 40010646 10422195 1171499 1025712 97939 49023452 41280084 0 0 0 0 46280381 52712885 0 0 0 21755783 21010939 68036164 73723824 -19012712 -32443740 62738903 52518825 12341761 13247638 50397142 39271187 X 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. false false 52152289 40010646 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. 6003486 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. 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BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Central America and the Caribbean 0 0 Investments 1867581 0 0 0 0 1867581 1867581 true false true false false false X X X X X X false true false false false false false false false MARK J TURNER 0 590129 0 0 0 17000 0 158576 0 19641 0 785346 0 0 JOE H LANIUS 181140 129386 0 0 9917 7083 35237 25170 8424 6017 234718 167656 0 0 JOHN ZIEGLER 0 161149 0 0 0 7915 0 13861 0 17430 0 200355 0 0 JAMES DAVIS 187543 0 0 0 12776 0 18361 0 15323 0 234003 0 0 0 RUTH HOLMES 129467 92477 0 0 4174 2982 10171 7265 10032 7166 153844 109890 0 0 PRASAD KANDULA MD 710000 0 36670 0 6306 0 35995 0 179 0 789150 0 0 0 DOUGLAS DOTHAGER MD 327545 0 381353 0 3156 0 35995 0 17028 0 765077 0 0 0 HATIM MAHMOOD MD 705145 0 0 0 4112 0 35995 0 17268 0 762520 0 0 0 HANS MOOSA MD 495145 0 160991 0 14715 0 35995 0 16849 0 723695 0 0 0 SYED ABDUL-AZIZ MD 445145 0 220107 0 3856 0 35995 0 17028 0 722131 0 0 0 PART II, 4B 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 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. 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