BEACON MEDICAL GROUP INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: BEACON MEDICAL GROUP INC (EIN 35-1536132)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-14
IRS object ID: 201213199349306336
Schema version: 2011v1.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-14T16:32:53-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE STE 2600	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	351536132	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HEALTH SYSTEM INC	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% JEFFREY COSTELLO	InCareOfName
Name Control	MEMO	NameControl
Phone	5746473549	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	615 N MICHIGAN STREET	AddressLine1
City	SOUTH BEND	City
State	IN	State
ZIP Code	46601	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JEFFREY COSTELLO	Name
Title	CFO	Title
Date Signed	2012-11-14	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	PHILIP NEWBOLD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	615 N MICHIGAN STREET	AddressLine1
City	SOUTH BEND	City
State	IN	State
ZIP Code	46601	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	90544313	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	QUALITYOFLIFE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1981	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	MEMORIAL HEALTH SYSTEM, INC. IS COMMITTED TO IMPROVING THE QUALITY OF LIFE OF THE PEOPLE IN OUR COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	951	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	2071687	TotalGrossUBI
Contributions Grants Prior Year	1966424	ContributionsGrantsPriorYear
Contributions Grants Current Year	2628344	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	67793807	ProgramServiceRevenuePriorYear
Program Service Revenue CY	81205762	ProgramServiceRevenueCY
Investment Income Prior Year	604115	InvestmentIncomePriorYear
Investment Income Current Year	154362	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2403293	OtherRevenuePriorYear
Other Revenue Current Year	1383530	OtherRevenueCurrentYear
Total Revenue Prior Year	72767639	TotalRevenuePriorYear
Total Revenue Current Year	85371998	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	329745	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	248560	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	60258564	SalariesEtcPriorYear
Salaries Etc Current Year	73826588	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	31507624	OtherExpensePriorYear
Other Expenses Current Year	32526351	OtherExpensesCurrentYear
Total Expenses Prior Year	92095933	TotalExpensesPriorYear
Total Expenses Current Year	106601499	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-19328294	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-21229501	RevenuesLessExpensesCY
Total Assets BOY	99994316	TotalAssetsBOY
Total Assets EOY	106397632	TotalAssetsEOY
Total Liabilities BOY	46648276	TotalLiabilitiesBOY
Total Liabilities EOY	61570630	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	53346040	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	44827002	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	MEMORIAL HEALTH SYSTEM, INC. IS COMMITTED TO IMPROVING THE QUALITY OF LIFE OF THE PEOPLE IN OUR COMMUNITY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	66874455	Expense
Revenue	55262791	Revenue
Description	MEMORIAL HEALTH SYSTEM, INC. (THE "CORPORATION") OPERATES MEMORIAL MEDICAL GROUP. MEMORIAL MEDICAL GROUP (MMG) IS A MULTI-SPECIALTY CARE NETWORK OF PHYSICIANS AND ALSO INCLUDES THE MED-POINT IMMEDIATE CARE CENTERS AND CENTER FOR OCCUPATIONAL HEALTH. IN ADDITION TO THE PHYSICIAN PRACTICES, MMG OPERATES A HIGH COMPLEXITY CORE LABORATORY FOR THE SUPPORT OF ITS EMPLOYED PHYSICIANS. THE CENTER FOR OCCUPATIONAL HEALTH (COH) AND WORKER'S COMPENSATION SERVICES FOR 1500 CLIENT COMPANIES IN ST. JOSEPH AND LAPORTE COUNTIES. MMG ALSO OPERATES MED-POINT URGENT CARE CENTERS TO SUPPLEMENT THE SERVICES OF THE MEDICAL GROUP AND COH. MMG OPERATES MED-POINT EXPRESS, A RETAIL BASED WALK-IN CLINIC AT VARIOUS RETAIL SUPERCENTERS OR GROCERY STORES. IN ADDITION TO THE CORPORATION'S PRIMARY CARE NETWORK, MEMORIAL MEDICAL GROUP MANAGES THE OPERATION OF SEVERAL HOSPITAL BASED PRACTICES FOR THE HOSPITALISTS, TRAUMA ORTHOPEDIC SURGEON, AND PEDIATRIC INTENSIVISTS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	20431613	Expense
Grants	248560	Grants
Revenue	25567367	Revenue
Description	MEMORIAL HEALTH SYSTEM, INC. (THE "CORPORATION") WAS ESTABLISHED AS THE PARENT CORPORATION OF MEMORIAL HOSPITAL OF SOUTH BEND, INC. (THE "HOSPITAL") IN 1981 TO DEVELOP A FULL SPECTRUM OF HEALTH-RELATED SERVICES FOR NORTH CENTRAL INDIANA AND SOUTHWESTERN MICHIGAN. THE CORPORATION IS COMMUNITY-OWNED AND NOT-FOR-PROFIT. ALONG WITH ITS SUBSIDIARIES, THE CORPORATION SERVES THE GREATER COMMUNITY THROUGHOUT THE CONTINUM OF CARE FROM HEALTH PROMOTION AND SICKNESS PREVENTION TO DIAGNOSIS, INPATIENT, OUTPATIENT AND HOME CARE SERVICES. IT CONTROLS MEMORIAL HEALTH FOUNDATION, THE HOSPITAL'S PHILANTHROPIC ARM, AND MEMORIAL HOME CARE, INC., COLLECTIVELY REFERRED TO AS THE "SYSTEM". THE CORPORATION PROVIDES CORPORATE SERVICES TO THE ABOVE MENTIONED AFFILIATED ORGANIZATIONS AND THE HOSPITAL. ALONG WITH ITS OWN AFFILIATED ORGANIZATIONS, MEMORIAL HEALTH SYSTEM, INC. HAS FORMED SEVERAL JOINT VENTURES WHICH FURTHERS ITS WORK IN THE CONTINUUM OF CARE.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	329206	Expense
Revenue	375604	Revenue
Description	MEMORIAL HEALTH SYSTEM, INC. (THE "CORPORATION") OPERATES MEMORIAL MEDICAL GROUP (MMG). ALONG WITH THE PRIMARY CARE NETWORK, MMG ALSO OPERATES THE MEMORIAL MEDICAL GROUP CLINICAL RESEARCH INSTITUTE (CLINICAL RESEARCH). CLINICAL RESEARCH IS CURRENTLY FOCUSED ON PHARMACOLOGY STUDIES. THE PHARMACOLOGY STUDIES INVOLVE PATIENTS WITH SPECIFIC CONDITIONS OR DISEASES. CLINICAL RESEARCH HAS BROUGHT THE FOLLOWING POSITIVE BENEFITS TO MMG: IMPROVED PATIENT CARE - BRINGS MMG PHYSICIANS AND NURSES CLOSER TO LEADING-EDGE MEDICINE. CORPORATE POSITIONING - CLINICAL RESEARCH CAN ENHANCE MMG'S IDENTITY AND BRAND, IT CAN PROVIDE A MEANS TO MEET PHYSICIANS' ACADEMIC NEEDS AND ENHANCE PHYSICIAN RECRUITMENT.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	557692	Expense
Revenue	2459	Revenue
Description	MANAGED CARE SERVICES	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	557692	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	2459	TotalOfOtherProgramServiceRev
Total Program Service Expense	88192966	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	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	true	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	false	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	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	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	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	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	221	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	951	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
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
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	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	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JEFFREY COSTELLO	NamePerson
Telephone Number	5746473549	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	615 N MICHIGAN STREET	AddressLine1
City	SOUTH BEND	City
State	IN	State
ZIP Code	46601	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
JOHN HILER
DIRECTOR - CHAIR	2.0	X	X	3407	0	0
RICHARD WARNER CSC
DIRECTOR - THRU MAR 2011	2.0	X		0	0	0
VIVIAN SALLIE
DIRECTOR - SECRETARY	2.0	X	X	2355	0	0
RAFAT ANSARI MD
DIRECTOR - MED DIRECTOR	4.0	X		0	0	0
LARRY HARDING
DIRECTOR - TREASURER	2.0	X	X	2355	0	0
VINCENT HENDERSON MD
DIRECTOR & EMPLOYED PHYSICIAN	40.0	X		354760	0	31520
TODD SCHURZ
DIRECTOR - VICE CHAIR	2.0	X	X	3501	0	0
PHILIP NEWBOLD
PRESIDENT & CEO	40.0	X	X	1675637	0	42358
BIPIN DOSHI
DIRECTOR	2.0	X		2607	0	0
JAMES KEENAN
DIRECTOR - THRU MAR 2011	2.0	X		2073	0	0
WES WILLIAMS
DIRECTOR - THRU NOV 2011	2.0	X		2844	0	0
RICHARD RICE
DIRECTOR	2.0	X		2844	0	0
TRACY D GRAHAM
DIRECTOR	2.0	X		1061	0	0
NAJEEB KHAN
DIRECTOR	2.0	X		0	0	0
WELLINGTON JONES III
DIRECTOR	2.0	X		2355	0	0
JEFFREY COSTELLO
ASSISTANT TREASURER & CFO	40.0		X	608049	0	32936
MICHAEL O'NEIL
COO	40.0		X	257401	0	23936
GREG CONRAD
ASST SECRETARY & VP	8.0		X	42692	128075	19452
MICHAEL GORDON
EXECUTIVE DIRECTOR	40.0			217266	0	31287	X
STEPHEN SMITH
EMPLOYED PHYSICIAN	40.0			1207771	0	27045		X
ROBERT YOUNT
EMPLOYED PHYSICIAN	40.0			1020433	0	24501		X
RAMANAK MITRA
EMPLOYED PHYSICIAN	40.0			954618	0	28275		X
WALTER LANGHEINRICH
EMPLOYED PHYSICIAN	40.0			955839	0	24904		X
JOSEPH SCHNITTKER
EMPLOYED PHYSICIAN	40.0			805202	0	32041		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8125070	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	128075	TotalReportableCompFrmRltdOrgs
Total Other Compensation	318255	TotalOtherCompensation
Number Individuals GT100 K	124	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
CERNER CORPORATION
2800 ROCKCREEK PKWY	KANSAS CITY	MO	46117	IS SFTWR MAINTENANCE	2043208
WOODCOX BLDG CONTRACTORS
51175 PRESCOTT AVE	SOUTH BEND	IN	46637	CONSTRUCTION MANAGER	1447879
MCKESSON INFORMATION SOLUTIONS LLC
PO BOX 98347	CHICAGO	IL	60693	IS SFTWR MAINTENANCE	1330965
BVK
250 W COVENTRY COURT	MILWAUKEE	WI	53217	ADVERTISING	883977
ALLSCRIPTS LLC
8529 SIX FORKS ROAD	RALEIGH	NC	27615	IS SFTWR MAINTENANCE	845237

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	40	NumberOfContractorsGT100K
Related Organizations	514674	RelatedOrganizations
Government Grants	2113670	GovernmentGrants
Total Contributions	2628344	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
NET PATIENT REV	621110	55262791	55132043	130748
CLINICAL TRIAL REV	621500	375604	375604
MGT ADMIN SVCS	561499	24302348	22383456	1918892
JOINT VENTURES	621110	624626	619979	4647
AFFILIATE RENT	531120	640393			$640,393

Field	Value	IRS element (for citing)
Total Program Service Revenue	81205762	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	142421	TotalRevenueColumn
Exclusion	$142,421	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	83221	TotalRevenueColumn
Exclusion	$83,221	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2912830	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1952352	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	960478	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	960478	TotalRevenueColumn
Exclusion	$960,478	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	3221904	Securities
Other	10000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	3140200	Securities
Other	79763	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	81704	Securities
Other	-69763	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	11941	TotalRevenueColumn
Exclusion	$11,941	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 (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
MEDICAL DIRECTORSHIP	621110	252892	$252,892
PROFESSIONAL CALL VOLUME - ASK A NURSE	621300	67080	$67,080
ACCOUNTING SERVICES FOR JOINT VENTURE	541200	17400		17400

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2459	TotalRevenueColumn
Related Or Exempt Function Income	2459	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	339831	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	85371998	TotalRevenueColumn
Related Or Exempt Function Income	78513541	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2071687	UnrelatedBusinessRevenue
Exclusion	$2,158,426	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	69130	Total
Program Services	69130	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	179430	Total
Program Services	179430	ProgramServices

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	3348107	Total
Program Services	254186	ProgramServices
Management And General	3093921	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	56928775	Total
Program Services	51979929	ProgramServices
Management And General	4948846	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1900076	Total
Program Services	1651120	ProgramServices
Management And General	248956	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	8305229	Total
Program Services	6930794	ProgramServices
Management And General	1374435	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3344401	Total
Program Services	2784821	ProgramServices
Management And General	559580	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	539099	Total
Management And General	539099	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	172921	Total
Program Services	14856	ProgramServices
Management And General	158065	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	5788	Total
Program Services	3356	ProgramServices
Management And General	2432	ManagementAndGeneral

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	4029467	Total
Program Services	2968603	ProgramServices
Management And General	1060864	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1808163	Total
Program Services	1071019	ProgramServices
Management And General	737144	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7318391	Total
Program Services	4615536	ProgramServices
Management And General	2702855	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	38178	Total
Program Services	27479	ProgramServices
Management And General	10699	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2619514	Total
Program Services	2136239	ProgramServices
Management And General	483275	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	276389	Total
Program Services	176325	ProgramServices
Management And General	100064	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	338309	Total
Program Services	307368	ProgramServices
Management And General	30941	ManagementAndGeneral

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	4999329	Total
Program Services	3380512	ProgramServices
Management And General	1618817	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1195884	Total
Program Services	1102158	ProgramServices
Management And General	93726	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	4188105	4188105
BAD DEBT EXPENSE	2944207	2944207
LICENSES & TAXES	1164421	789845	374576
GENERAL DUES & SUBSCRIPTIONS	524124	364949	159175

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	364062	Total
Program Services	252999	ProgramServices
Management And General	111063	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	106601499	Total
Program Services	88192966	ProgramServices
Management And General	18408533	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5781	BOY
EOY	5781	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2859523	BOY
EOY	6626725	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	304670	BOY
EOY	396954	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	5963233	BOY
EOY	8223770	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	106522	BOY
EOY	106522	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5304783	BOY
EOY	5877805	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	112953244	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	51836403	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	61948591	BOY
EOY	61116841	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	3871168	BOY
EOY	3980513	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	15623397	BOY
EOY	16670770	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	4006648	BOY
EOY	3391951	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	99994316	BOY
EOY	106397632	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	11775949	BOY
EOY	16280847	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	26636	BOY
EOY	22383	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	34845691	BOY
EOY	45267400	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	46648276	BOY
EOY	61570630	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	53346040	BOY
EOY	44827002	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	53346040	BOY
EOY	44827002	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	99994316	BOY
EOY	106397632	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-21229501	ReconcilationRevenueExpenses
Reconcilation Other Changes	12710463	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	831024	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1265409	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1791723	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1966424	CurrentTaxYearMinus1Year
Current Tax Year	2628344	CurrentTaxYear
Total	8482924	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	63654671	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	62463577	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	66413343	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	67805369	CurrentTaxYearMinus1Year
Current Tax Year	81208221	CurrentTaxYear
Total	341545181	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	64485695	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	63728986	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	68205066	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	69771793	CurrentTaxYearMinus1Year
Current Tax Year	83836565	CurrentTaxYear
Total	350028105	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	29878877	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	22391069	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	20657376	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	19468541	CurrentTaxYearMinus1Year
Current Tax Year	20415589	CurrentTaxYear
Total	112811452	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	29878877	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	22391069	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	20657376	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	19468541	CurrentTaxYearMinus1Year
Current Tax Year	20415589	CurrentTaxYear
Total	112811452	Total

Field	Value	IRS element (for citing)
Public Support Total509	237216653	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2904040	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3258293	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2405482	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4228947	CurrentTaxYearMinus1Year
Current Tax Year	3133702	CurrentTaxYear
Total	15930464	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4830	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4867	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4893	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4963	CurrentTaxYearMinus1Year
Current Tax Year	17400	CurrentTaxYear
Total	36953	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2908870	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3263160	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2410375	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4233910	CurrentTaxYearMinus1Year
Current Tax Year	3151102	CurrentTaxYear
Total	15967417	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	583054	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	388924	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	395391	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	325266	CurrentTaxYearMinus1Year
Current Tax Year	319972	CurrentTaxYear
Total	2012607	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	67977619	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	67381070	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	71010832	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	74330969	CurrentTaxYearMinus1Year
Current Tax Year	87307639	CurrentTaxYear
Total	368008129	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.64460	PublicSupportPercentage509
Prior Year Support Percentage	0.60097	PriorYearSupportPercentage
Investment Income Percentage	0.04339	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.04451	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$5,788	OtherActivitiesAmount
Total Lobbying Expenditures IIB	5788	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	OTHER ACTIVITIES	Identifier
Return Reference	PART II-B	ReturnReference
Explanation	MEMORIAL HEALTH SYSTEM, INC PAYS FOR THE MEMBERSHIP FEES TO SEVERAL NATIONAL ORGANIZATIONS FOR ITS EMPLOYEES. THESE NATIONAL ORGANIZATIONS INDICATE A PORTION OF THE MEMBERSHIP FEES ARE USED FOR LOBBYING PURPOSES. THE MEMBERSHIP FEES PAID WERE FOR THE FOLLOWING ORGANIZATIONS: -AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS -INDIANA CPA SOCIETY -AMERICA COLLEGE OF HEALTH CARE EXECUTIVES -AMERICAN DIETETIC ASSOCIATION -FINANCIAL EXECUTIVE INSTITUTE -MEDICAL GROUP MANAGEMENT ASSOCIATION -AMERICAN ACADEMY OF FAMILY PHYSICIANS -AMERICAN COLLEGE OF PHYSICIANS -AMERICAN COLLEGE OF CARDIOLOGY -AMERICAN HOSPITAL ASSOCIATION -AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS -INDIANA STATE MEDICAL SOCIETY -SOCIETY FOR HUMAN RESOURCE MANAGMENT	Explanation

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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16819050	OtherCostOrOtherBasis
Book Value	16819050	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	50088232	OtherCostOrOtherBasis
Depreciation	16811301	Depreciation
Book Value	33276931	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1959397	OtherCostOrOtherBasis
Depreciation	1480610	Depreciation
Book Value	478787	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	44086565	OtherCostOrOtherBasis
Depreciation	33544492	Depreciation
Book Value	10542073	BookValue

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildings
Total Of Book Value Land Buildings	61116841	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (8 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN HOME CARE	12366886	C
INVESTMENT IN VHA	200000	C
INVETMENT IN STRATUM MEDICAL	95000	C
LAPORTE MEDICAL GROUP SURGICAL	15766	C
MEMORIAL SPINE & NEUROSCIENCE	172699	C
COMMUNITY HEALTH ALLIANCE	2235416	C
MEMORIAL LIGHTHOUSE IMAGING JV	11851	C
MICHIANA LINEN SERVICES JV	1573152	C

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	16670770	TotalOfBookValueProgramRelated
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ACCRUED SUPPLEMENTAL BENEFITS	$4,122,106
ACCRUED PENSION	$40,962,596
DUE TO AFFILIATES	$182,698

Field	Value	IRS element (for citing)
Total Of Amounts	45267400	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	false	AmountsBudgetedForCharityCare
Annual Community Benefit Report	false	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	260157	TotalCommunityBenefitExpense
Net Community Benefit Expense	260157	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9027703	TotalCommunityBenefitExpense
Net Community Benefit Expense	9027703	NetCommunityBenefitExpense
Percent Of Total Expense	0.11570	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9287860	TotalCommunityBenefitExpense
Net Community Benefit Expense	9287860	NetCommunityBenefitExpense
Percent Of Total Expense	0.11900	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	60700	TotalCommunityBenefitExpense
Net Community Benefit Expense	60700	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	60700	TotalCommunityBenefitExpense
Net Community Benefit Expense	60700	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9348560	TotalCommunityBenefitExpense
Net Community Benefit Expense	9348560	NetCommunityBenefitExpense
Percent Of Total Expense	0.11970	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$2,270,346	BadDebtExpenseAmount
Amount Attributable To	227035	AmountAttributableTo
Amount Reimbursed By Medicare	10283915	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	13660982	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3377067	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
MEMORIAL SPINE & NEU
SPINAL INJECTIONS & OTHER MIN	0.50000	0.50000
LAPORTE MEDICAL GROU
OUTPATIENT SURGERY CENTER	0.50187		0.18023
PHYSICIAN'S HOSPITAL
LONGTERM ACUTE CARE FACILITY	0.33981	0.25243	0.39320

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	RIVERCREST SPECIALTY HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1625 EAST JEFFERSON BLVD	AddressLine1
City	MISHAWAKA	City
State	IN	State
ZIP Code	46545	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
Other	LONG TERM ACUTE CARE	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	RIVERCREST SPECIALTY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	100	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	false	NondiscrimEmergencyCarePolicy
No Emergency Care	X	NoEmergencyCare
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	35	NumberOfOtherFacilities

Other Facilities OtherFacilities (35 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MEMORIAL ADVANCED CARDIOVASCULAR INSTITU
610 N MICHIGAN SUITE 400	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
LAPORTE MEDICAL GROUP
900 I STREET	LAPORTE	IN	46350	PHYSICIAN PRACTICE OUTPATIENT SERVICES
MAIN STREET MEDICAL GROUP
6913 N MAIN STREET SUITE 300	GRANGER	IN	46530	PHYSICIAN PRACTICE OUTPATIENT SERVICES
LAPORTE LAB
900 I STREET	LAPORTE	IN	46350	LAB SERVICES
IRELAND ROAD MEDICAL GROUP
1815 E IRELAND RD	SOUTH BEND	IN	46614	PHYSICIAN PRACTICE OUTPATIENT SERVICES
LAPORTE SURGERY CENTER
900 I STREET	LAPORTE	IN	46350	OUTPATIENT SURGERY
MICHIANA ARTHRITIS AND OSTEOARTHRITIS CE
707 N MICHIGAN SUITE 102	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
FAMILY PRACTICE CENTER
714 SOUTH MICHIGAN STREET	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
NAVARRE PEDIATRIC SATELLITE
6913 N MAIN STREET SUITE 200	GRANGER	IN	46530	PHYSICIAN PRACTICE OUTEPATIENT SERVICES
RADIATION ONCOLOGY
615 N MICHIGAN STREET	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
MEMORIAL SPINE & NEUROSCIENCE CENTER
100 NAVARRE SUITE 4405	SOUTH BEND	IN	46601	SPINE & OUTPATIENT SURGERY PROCEDURES
WOMEN'S REPRODUCTIVE MEDICINE
100 NAVARRE SUITE 4470	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
MEMORIAL HOSPITALISTS
100 NAVARRE SUITE 5500	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
NAVARRE PEDIATRIC GROUP
100 NAVARRE SUITE 4400	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
SCHWARTZ-WEIKAMP MEDICAL GROUP
4630 VISTULA ROAD	MISHAWAKA	IN	46544	PHYSICIAN PRACTICE OUTPATIENT SERVICES
PORTAGE MEDICAL GROUP
3575 PORTAGE ROAD	SOUTH BEND	IN	46628	PHYSICIAN PRACTICE OUTPATIENT SERVICES
DR BRYAN BOYER
100 NAVARRE SUITE 5500	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
MATERNALFETAL MEDICINE
100 NAVARRE SUITE 4400	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
SOUTHEAST CLINIC
1708 S HIGH STREET	SOUTH BEND	IN	46613	PHYSICIAN PRACTICE OUTPATIENT SERVICES
MEMORIAL CRITICAL KIDS
615 N MICHIGAN	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
CENTRAL CLINIC
813 S MICHIGAN STREET	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
CENTER FOR OCCUPATIONAL HEALTH
2301 N BENDIX DRIVE	SOUTH BEND	IN	46628	PHYSICIAN PRACTIVE OUTPATIENT SERVICES
SPORTS MEDICINE INSTITUTE
111 W JEFFERSON BLVD SUITE 100	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
PEDIATRIC HEMATOLOGY AND ONCOLOGY
615 N MICHIGAN	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
MEDPOINT EXPRESS - VALPARAISO
2400 NORTHLAND DRIVE	VALPARAISO	IN	46383	PHYSICIAN PRACTICE OUTPATIENT SERVICES
DEVELOPMENTAL PEDIATRICS
615 N MICHIGAN	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
MEDPOINT EXPRESS - ERSKINE
926 ERSKINE PLAZA	SOUTH BEND	IN	46614	PHYSICIAN PRACTICE OUTPATIENT SERVICES
MEDPOINT EXPRESS - ELKHART
3900 E BRISTOL STREET	ELKHART	IN	46514	PHYSICIAN PRACTICE OUTPATIENT SERVICES
LAKEVILLE FAMILY PRACTICE
601 N MICHIGAN	LAKEVILLE	IN	46536	PHYSICIAN PRACTICE OUTPATIENT SERVICES
BARIATRIC SERVICES
6913 N MAIN STREET	GRANGER	IN	46530	PHYSICIAN PRACTICE OUTPATIENT SERVICES
MEMORIAL CARDIOTHORACIC SURGERY
707 N MICHIGAN ST SUITE 501	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
MEMORIAL MEDICAL GROUP BEHAVIORAL HEALTH
420 N NILES AVE 3RD FLOOR	SOUTH BEND	IN	46617	PHYSICIAN PRACTICE OUTPATIENT SERVICES
MEMORIAL NORTHCENTRAL NEUROSURGERY
100 NAVARRE PLACE SUITE 6600	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
MEMORIAL NORTHCENTRAL NEUROSURGERY
500 ARCADE BLVD SUITE 110	ELKHART	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES
MEMORIAL PEDIATRIC SPECIALTIES
100 NAVARRE PLACE SUITE 4475	SOUTH BEND	IN	46601	PHYSICIAN PRACTICE OUTPATIENT SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifier	ExplanationExplanation
SCHEDULE H, PART I, LINE 3c	NOT APPLICABLE
SCHEDULE H, PART I, LINE 6a	MEMORIAL HEALTH SYSTEM, INC. IS A 33.98% OWNER IN PHYSICIAN'S HOSPITAL, LLC, WHICH IS A JOINT VENTURE PARTNERSHIP AND DOES NOT FILE A COMMUNITY BENEFIT REPORT. MEMORIAL HEALTH SYSTEM, INC., OPERATES SEVERAL PHYSICIAN CLINICS THAT PROVIDE SERVICES TO INDIVIDUALS, REGARDLESS OF THEIR ABILITY TO PAY. MEMORIAL'S CENTRAL CLINIC IS LOCATED AT THE SOUTH BEND HOMELESS SHELTER, WHILE THE SOUTHEAST CLINIC IS LOCATED IN A NEIGHBORHOOD WITH HISTORICALLY LOW INCOME LEVELS.
SCHEDULE H, PART I, LINE 7, COLUMN F	BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES OF $3,016,651
SCHEDULE H, PART I, LINE 7	DONATIONS - THE ACTUAL COST OF THE DONATION OR DEPARTMENTAL NET CONTRIBUTION, WHICHEVER IS APPROPRIATE, FROM THE GENERAL LEDGER RECORDS AND REPORTS ARE INCLUDED.
SCHEDULE H, PART III, LINE 4	THE CORPORATION EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYOR CLASS, AND THE ANTICIPATED FUTURE UNCOLLECTIBLE AMOUNTS BASED ON HISTORICAL EXPERIENCE. ACCOUNTS RECEIVABLES ARE CHARGED TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. COSTING METHODOLOGY IS THE SAME AS TAX FORM 990, SCHEDULE H, WORKSHEET 2 METHODOLOGY. PATIENT CARE COST ADJUSTED BY NON-PATIENT ACTIVITY, EXPENSES, AND PATIENT CARE CHARGES.
SCHEDULE H, PART III, LINE 8	PARTICIPATION IN THE GOVERNMENTAL MEDICARE PROGRAM DOES NOT PROVIDE THE OPPORTUNITY FOR A HEALTH PROVIDER TO NEGOTIATE A REIMBURSMENT RATE OR STRUCTURE THAT WOULD ALLOW THE PROVIDER TO COVER THE COST OF THE MEDICAL SERVICE RENDERED TO THE PROGRAM PARTICIPTANT, AS WOULD BE THE CASE IN CONTRACTUAL NEGOTIATIONS WITH COMMERCIAL INSURANCE COMPANIES. NOR IS THE PROVIDER ALLOWED TO PROVIDE ONLY THE SERVICES FOR WHICH REIMBURSMENT COVERS THE DIRECT COST OF CARE. THIS PRODUCES THE SAME SHORTFALL OUTCOME AS DOES THE PARTICIPATION IN THE MEDICAID PROGRAM. THE MEDICAID PROGRAM IS RECOGNIZED AS A COMMUNITY BENEFIT ON SCHEDULE H AND ON COMMUNITY BENEFIT REPORTS FOR MOST STATES. THE QUALITY AND COST OF THE PATIENT CARE IS THE SAME REGARDLESS OF PAYOR SOURCE. HENCE THE ACCEPTANCE OF MEDICARE REIMBURSMENT REPRESENTS A REDUCTION OR RELIEF OF THE GOVERNMENT BURDEN TO PAY THE FULL COST OF CARE PROVIDED.
SCHEDULE H, PART III, LINE 9b	The collection policy and procedures are as follows related to patients who are known to qualify for charity care or financial assistance: To ensure that Memorial fulfills its mission and commitment to the poor, Memorial shall annually plan for and provide free health care and health-related services to the poor and qualified uninsured/underinsured. A patient is considered for Financial Assistance if all other State and Federal assistance opportunities have been exhausted. The Federal Income and Poverty Guidelines will serve as a guide in determining those patients that may qualify for Financial Assistance. All patients shall be treated consistently in the approval process including Medicare and non Medicare patients. PURPOSE: To provide financial assistance to those patients who cannot afford to pay and to provide discounted care to uninsured patients receiving healthcare services from Memorial Health System. PROCEDURE: 1.Memorial Health System will assist patients in making a determination regarding whether or not the patient may be able to qualify for some form of entitlement through a Federal or State Government program and complete the appropriate applications for assistance. It is required that the patient will assist in the determination and application process. If the patient does not qualify for any Federal or State Assistance, we will start the Financial Assistance Approval process. 2.Identify patients potentially eligible for Financial Assistance through the pre-registration, admission, eligibility process, or through self pay account review and collection activities. 3.Provide to the patient a Financial Evaluation form. 4.Obtain or receive a signed, completed Financial Evaluation Form from the patient. 5.Determine eligibility by obtaining the following information from the patient: a)Gross income and most recent W-2 b)Prior years tax return (including all schedules) c)Last 3 pay stubs (if unemployed, Work One statement of earnings) d)Employment status and future earnings capacity e)Family size f)Medical expenses including drugs and medical supplies g)Last three bank statements If the patient does not have a prior year tax return, we will make our determination based on current income. A credit report may be run to substantiate documentation. There may be circumstances where a patient may not be able to provide all the above documentation needed to approve financial assistance. It will be up to the discretion of the Department Director and/or the CFO to grant approval in this circumstance. 6.Determine the amount of Financial Assistance by utilizing the Federal Poverty guidelines as a basis for qualification levels. Gross Annual income plus cash assets are used as the basis for income calculations. Financial Assistance will be granted for those patients who are homeless. If a patient is deceased and has no estate, we will grant charity on any outstanding self pay account balances. Documentation that an estate has not been filed will be attached to the Financial Assistance approval form. Note: Approval may be made based on Medical indigence. ie: Patients who have excessive pharmacy, oxygen, or ongoing medical expense. This amount would be deducted from their gross income. Financial Assistance will not be granted for non-medically necessary services. 7.Complete the Financial Assistance Approval form and forward to the Collection Coordinator. 8.The Collection Coordinator will review the Financial Assistance application to ensure that it is complete. The Coordinator will approve or deny the application before sending it to the Patient Account Manager for approval. Depending on the dollar amount of the financial assistance write off, approval signatures are required. The approval guidelines are as follows: $1.00 to $2,500.00 Collection Coordinator $2,501.00 to $10,000.00 Patient Account Service Manager $10,001.00 to $25,000.00 Director, Patient Account Services $25,001.00 and above Vice President, CFO 9. After all the appropriate signatures have been obtained, the Financial Assistance write off along with the corresponding documentation will be forwarded to Cash Application for write off. 10.Send determination letter to notify patient of the approval for Financial Assistance. 11.Financial Assistance approvals will apply retroactively to all open accounts with existing balances (including accounts in collections) and will be active for 6 months following the date of approval. 12.The document will be placed in the Financial Assistance file drawer under the date the write off was posted. UNINSURED SELF PAY DISCOUNTS For those patients who have no insurance and do not meet the above financial assistance guidelines, Memorial Health System will provide an uninsured discount based on the following tiered structure: 30% discount if account is paid within 30 days from date of service 20% discount if account is paid within 90 days from date of service 10% discount if patient chooses to participate in the CarePayment financing Any exceptions must be approved by the Department Manager or Director.
SCHEDULE H, PART V, SECTION B, LINE 19d	PHYSICIANS HOSPITAL, LLC IS NOT AN EXEMPT ORGINIZATION, AND BECAUSE IT IS A LONG TERM ACUTE CARE HOSPITAL, IT DOES NOT PROVIDE EMERGENCY SERVICES. PHYSICIANS HOSPITAL DOES HAVE A FINANCIAL ASSISTANCE POLICY, HOWEVER IT HAS NOT IMPLEMENTED SECTION 501(r).
SCHEDULE H, PART VI, LINE 3	PHYSICIAN'S HOSPITAL, LLC IS DEDICATED TO SERVICING THE HEALTH CARE NEEDS OF ITS PATIENTS NEEDING FINANCIAL ASSISTANCE. PATIENTS NEED ONLY REQUEST FINANCIAL ASSISTANCE, AND COMPLETE AND SIGN A FINANCIAL ASSISTANCE APPLICATION TO BE CONSIDERED.
SCHDULE H, PART VI, LINE 4	ESTABLISHED IN 1830, ST JOSEPH COUNTY INDIANA HAS BECOME THE FOURTH LARGEST COUNTY IN INDIANA. THE COUNTY SPANS 467 SQUARE MILES, WHICH INCLUDES A COMFORTABLE MIX OF RURAL CULTRUAL HERITAGE AND URBAN AMENITIES. THE POPULATION FOR ST. JOSEPH COUNTY IN 2011 WAS 266,700 INDIVIDUALS. THE RACE IN THE COUNTY IS 80% CAUCASIANS, 11.8% AFRICAN AMERICAN, AND HISPANICS REPRESENT 6.6%, WITH 1.6% LISTED AS OTHER. OUR SERVICE AREA INCLUDES PATIENTS FROM ST. JOSEPH COUNTY AND SURROUNDING COUNTIES IN INDIANA AND MICHIGAN.
SCHEDULE H, PART VI, LINE 6	MEMORIAL HEALTH SYSTEM, INC. IS A 33.98% OWNER IN PHYSICIAN'S HOSPITAL, LLC. PHYSICIAN'S HOSPITAL, LLC, DOING BUSINESS AS RIVERCREST SPECIALTY HOSPITAL (THE "HOSPITAL") PROVIDES INPATIENT LONG-TERM ACUTE CARE SERVICES. THE HOSPITAL OPERATES A 30 BED, FREESTANDING SPECIALTY ACUTE CARE HOSPITAL LOCATED IN MISHAWAKA, INDIANA. THE HOSPITAL PROVIDES SHORT-TERM, COMPREHENSIVE REHABILITATION SERVICES TO PATIENTS, AND ITS PROGRAMS ARE DESIGNED TO RESTORE PHYSICAL FUNCTIONS FOLLOWING AN ACUTE ILLNESS OR TRAUMA. INPATIENT THERAPY AND SUPPORT SERVICES PROVIDED BY THE HOSPITAL INCLUDE PHYSICAL, OCCUPATIONAL, SPEECH AND RECREATION THERAPY, RADIOLOGY, VENTILATORS, LABORATORY AND DIETARY SERVICES.
SCHEDULE H, PART VI, LINE 7	MEMORIAL HEALTH SYSTEM, INC. IS A 33.98% OWNER IN PHYSICIAN'S HOSPITAL, LLC. PHYSICIAN'S HOSPITAL LLC, DOES NOT CURRENTLY FILE A COMMUNITY BENEFIT REPORT AS IT IS NOT AN EXEMPT ORGANIZATION. MEMORIAL HEALTH SYSTEM, INC REPORTS ITS SHARE OF THE NON-CONTROLLING INCOME (LOSS) IN PHYSICIANS HOSPITAL, LLC AS RELATED INCOME.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DOWNTOWN SOUTH BEND INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	217 S MICHIGAN ST	AddressLine1
City	SOUTH BEND	City
State	IN	State
ZIP Code	46601	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	351546291	EINOfRecipient
IRC Section	501(c)(6)	IRCSection
Amount Of Cash Grant	50000	AmountOfCashGrant
Purpose Of Grant	2011 PLEDGE	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS/TUITION REIMBURSMENT	TypeOfGrant
Number Of Recipients	112	NumberOfRecipients
Amount Of Cash Grant	179430	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE I, PART II	CHARITABLE DONATIONS	PART OF THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. IN ORDER TO FULFILL THIS GOAL, OUR ADMINISTRATORS HAVE THE ABILITY TO MAKE DONATIONS TO ORGANIZATIONS THAT IMPROVE THE HEALTH AND WELL BEING OF OUR COMMUNITY.
SCHEDULE I, PART III	SCHOLARSHIPS / TUITION REIMBURSMENT	FOR SCHOLARSHIPS THE INDIVIDUAL MUST MEET SEVERAL REQUIREMENTS TO QUALIFY. IN ORDER TO QUALIFY FOR A SCHOLARSHIP THE INDIVIDUAL MUST (1) APPLY ON-LINE (INTRANET) AND WITHIN THE ACCEPTABLE TIME PARAMETERS FOR THE SEMESTER OF FUNDS BEING REQUESTED, (2) MAINTAIN A GRADE OF C OR BETTER, (3) PAY FOR TUITION/BOOKS AND SUBMIT CORRESPONDING ORIGINAL RECEIPTS FOR REIMBURSEMENT. REIMBURSED UP TO THE AMOUNT AWARDED BY THE SCHOLARSHIP COMMITTEE. (4) MEET ANY ADDITIONAL REQUIREMENTS OF THE SPECIFIC SCHOLARSHIP FUND, AND (5) MEET ELIGIBILITY REQUIREMENTS WHICH INCLUDE: (A) EMPLOYED BY MEMORIAL HEALTH SYSTEM, INC. (B) ENROLLED IN A QUALIFIED PROGRAM; (C) SUBMITTED A POSITIVE RECOMMENDATION EACH SEMESTER FROM THE IMMEDIATE SUPERVISOR; AND (D) SUBMITTED A POSITIVE RECOMMENDATION EACH SEMESTER FROM THE SCHOOL.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
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	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	true	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

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
VINCENT HENDERSON MD
349614	0	0	0	5146	0	14722	0	16798	0	386280	0	0	0
JEFFREY COSTELLO
282072	0	303186	0	22791	0	17402	0	15534	0	640985	0	203250	0
MICHAEL O'NEIL
219135	0		0	38266	0	12672	0	11264	0	281337	0	0	0
PHILIP NEWBOLD
559219	0	891563	0	224855	0	22046	0	20312	0	1717995	0	448804	0
MICHAEL GORDON
211801	0	0	0	5465	0	10811	0	20476	0	248553	0	0	0
GREG CONRAD
41676	125028	0	0	1016	3047	2133	6398	2730	8191	47555	142664	0	0
STEPHEN SMITH
1182771	0	25000	0	0	0	9800	0	17245	0	1234816	0	0	0
ROBERT YOUNT
991776	0	25000	0	3657	0	9800	0	14701	0	1044934	0	0	0
RAMANAK MITRA
953928	0	0	0	690	0	9800	0	18475	0	982893	0	0	0
WALTER LANGHEINRICH
929597	0	25000	0	1242	0	9800	0	15104	0	980743	0	0	0
JOSEPH SCHNITTKER
777880	0	25000	0	2322	0	9800	0	22241	0	837243	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 1A	MEMORIAL HEALTH SYSTEM, INC. REIMBURSES DIRECTORS FOR THE TAX EFFECT OF THE 1099 REPORTABLE BENEFITS FOR HEALTH CLUB MEMBERSHIP, WITH MEMORIAL HEALTH SYSTEM'S HEALTH AND LIFESTYLE CENTER AND SPOUSAL TRAVEL. THIS REPORTING IMPACTS 11 CURRENT BOARD MEMBERS. MEMORIAL HEALTH SYSTEM ALSO REIMBURSES FOR DIRECT EXPENSES RELATED TO ANY TRAVEL ON THE ORGANIZATION'S BEHALF. SOCIAL CLUB MEMBERSHIPS INCLUDED IN TAXABLE COMPENSATION - 2 EMPLOYEES (JEFFERY COSTELLO, AND MICHAEL O'NEIL) SPOUSAL TRAVEL INCLUDED IN TAXABLE COMPENSATION -1 EMPLOYEE (PHILIP NEWBOLD) CHARTER TRAVEL WAS PROVIDED FOR INVESTMENT COMMITTEE MEMBERS TO TRAVEL TO THE INVESTMENT ADVISOR, LOCATED IN MINNEAPOLIS, MN. THE CHARTER TRAVEL ALLOWED THE ORGINIZATION TO REDUCE THE OVERALL COST OF TRAVEL, BY ELIMINATING THE NEED FOR OVERNIGHT ACCOMIDATIONS. THE CHARTER TRAVEL ALSO REDUCED THE TIME UNPAID BOARD MEMBERS HAD TO COMMIT. CHARTER TRAVEL WAS PROVIDED FOR 2 INDIVIDUALS LISTED ON PART VII, SECTION LINE 1A (JEFFREY COSTELLO, JAMES KEENAN).
PART I, LINE 4B	EMPLOYEE 2011 EARNED 457(f) PHILIP NEWBOLD $191,729 MICHAEL O'NEIL $16,110 JEFFERY COSTELLO $0 MEMORIAL HEALTH SYSTEM PROVIDES A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) TO CERTAIN EXECUTIVES. THE PLAN PROVIDES FOR AN ADDED RETIREMENT BENEFIT OVER THE QUALIFIED RETIREMENT PROGRAM. QUALIFIED INDIVIDUALS ARE ELIGIBLE TO RECEIVE A BENEFIT, IN THE FORM OF AN AFTER TAX LUMP SUM, WHICH IS THE ACTUARIAL EQUIVALENT OF AN ANNUITY, EQUAL TO 65% OF THE AVERAGE OF THEIR LAST FIVE YEARS OF PRERETIREMENT EARNINGS, OR 70% WITH MORE THAN 25 YEARS OF SERVICE, WITH OFFSETS FOR THE VALUE OF SOCIAL SECURITY AND QUALIFIED RETIREMENT PLAN BENEFITS. PARTICIPANTS VEST INTO THE SERP AFTER FIVE YEARS OF SERVICE. THE INCREASE IN VALUE OF THE BENEFIT EACH YEAR IS INCLUDED IN THE TAXABLE COMPENSATION OF VESTED SERP PARTICIPANTS. SUCH AMOUNTS ARE INCLUDED IN PART II COLUMN (B)(iii). IF A VESTED EMPLOYEE LEAVES EMPLOYMENT, THE ANNUAL VALUE OF THE BENEFIT IS CONVERTED TO A LUMP SUM AND PAID TO THE PARTICIPANT AFTER FULFILLING THE TERMS OF THEIR NON-COMPETE AGREEMENT. ON 12/31/2011 MEMORIAL HEALTH SYSTEM TERMINATED THE SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM.	SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (457(F))
PART I, LINE 6A & 6B	THE ORGANIZATION HAS TWO INCENTIVE PLANS (EMPLOYEE AND MANAGEMENT) WHICH HAVE A NET OPERATING INCOME TO BUDGET MEASUREMENT FOR THE PAYOUT THRESHOLD. THE EMPLOYEE PLAN SHARES THE EXCESS OVER BUDGET NET OPERATING INCOME WITH THE NON-MANAGMENT EMPLOYEES FOR MEMORIAL HEALTH SYSTEM, INC AND THE AFFILIATED ENTITIES, WHICH INCLUDES MEMORIAL HOSPITAL OF SOUTH BEND, INC. THE EMPLOYEE INCENTIVE HAS A MAXIMUM CAP OF $2,500,00. THE MANAGEMENT INCENTIVE PLAN PAYS A SLIDING PERCENTAGE OF BASE COMPENSATION IF THE NET OPERATING INCOME IS EQUAL TO OR GREATER THAN 80% OF THE BUDGETED NET OPERATING INCOME. THE SLIDING SCALE CAPS WHEN OPERATING INCOME REACHES 120% OF THE BUDGETED OPERATING INCOME. THE CEO IS COVERED UNDER A DEFERRED COMPENDATION PLAN. THE PLAN SETS ASIDE HALF OF THE CEO'S ANNUAL BONUS AWARD AS DEFERRED COMPENSATION TO BE PAID IN FUTURE YEARS AT A RATE OF 20% PER YEAR PLUS ACCRUED INTEREST. IN ORDER TO RECEIVE THE FUTURE BENEFITS UNDER THE PLAN, THE CEO MUST CONTINUE TO REMAIN EMPLOYED BY THE ORGANIZATION. THE PLAN WAS TERMINATED AND BENEFITS UNDER THE PLAN WERE PAID IN FULL ON 12/31/2011.
PART I, LINE 7	BRYAN BOYER, MD IS ELIGIBLE FOR AN INCENTIVE BASED UPON EXCEEDING GROSS PROFESSIONAL BILLINGS. THE INCENTIVE IS A COMPONENT OF THE EMPLOYMENT CONTRACT WITH DR. BOYER. DAVID HORNBACK, MD IS ELIGIBLE FOR AN INCENTIVE BASED UPON NET PROFESSIONAL BILLINGS. THE INCENTIVE IS A COMPONENT OF THE EMPLOYMENT CONTRACT WITH DR HORNBACK. FACULTY INCENTIVE FOR FAMILY PRACTICE RESIDENCY CLINICS PROVIDES FOR AN INCENTIVE PAYMENT WHEN COLLECTIONS FOR PERSONALLY RENDERED SERVICES EXCEED A THRESHOLD. THESE INCENTIVE ARE CAPPED. PHYSICIAN RELATIONS INCENTIVE PLAN PROVIDES FOR AN INCENTIVE PAYMENT TO EMPLOYEES IN A PHYSICIANS RELATIONS POSITION BASED UPON ATTAINMENT OF SATISFACTION SCORES. PAID AS A PERCENTAGE OF BASE PAY UP TO 5%.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	RAFAT ANSARI MD	NamePerson

Field	Value	IRS element (for citing)
Relationship	DIRECTOR	Relationship
Amount Of Transaction	259189	AmountOfTransaction
Description Of Transaction	LEASES OFFICE SPACE	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (28 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIPS - VINCENT HENDERSON & RICK RICE
FORM 990, PART VI, SECTION A, LINE 4	IN MARCH 2011, MEMORIAL HEALTH SYSTEM INC (MHS) AND ELKHART GENERAL HOSPITAL INC (EGH) COMPLETED A MEMORANDUM OF UNDERSTANDING TO FORM AN AFFILIATION. EFFECTIVE DECEMBER 1, 2011, A NEWLY FORMED CORPORATION, BEACON HEALTH SYSTEM, INC (BEACON), BECAME THE SOLE CORPORATE MEMBER FOR BOTH MHS AND EGH.
FORM 990, PART VI, SECTION A, LINE 6	BEACON HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF MEMORIAL HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7a	THE CORPORATE MEMBER SHALL APPOINT THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM AND SHALL HAVE SUCH POWERS OF ADVANCE APPROVAL REGARDING CORPORATE ACTIONS AS ARE DELINEATED IN THE BY-LAWS OF MEMORIAL HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7b	DECISIONS OF THE BOARD OF DIRECTORS MUST BE APPROVED BY THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11b	THE ORGANIZATION INCORPORATES NUMEROUS PARTIES IN THE PRODUCTION AND REVIEW OF THE FORM 990 AND ASSOCIATED SCHEDULES. SENIOR ACCOUNTING STAFF AND MANAGEMENT COMPLETE THE FORM 990 AND SCHEDULES. THE FORMS AND SCHEDULES ARE REVIEWED BY THE CONTROLLER, AND CFO. SUBSEQUENT TO THOSE STEPS, THE ORGANIZATION ENGAGED ERNST & YOUNG US, LLP TO REVIEW THE COMPLETED FORM 990 AND APPROPRIATE SCHEDULES. PRIOR TO FILING THE RETURN, THE COMPENSATION COMMITTEE OF THE ORGANIZATION AND CEO CONDUCT A GENERAL OVERVIEW OF THE FORM 990, INCLUDING APPLICABLE COMPENSATION SCHEDULES. IN ADDITION, THE BOARD OF DIRECTORS AND THE AUDIT COMMITTEE WILL RECEIVE A COPY OF THE 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12c	THERE ARE THREE SEPARATE FORMS THAT ARE SENT OUT THROUGH THE INTERNAL AUDIT DEPARTMENT TO KEY EMPLOYEES OR BOARD MEMBERS REGARDING CONFLICT OF INTEREST. THEY ARE AS FOLLOWS: 1. THE FIRST IS A CONFLICT OF INTEREST STATEMENT THAT IS SENT TO SENIOR LEVEL ADMINISTRATION, MANAGEMENT, AND SELECT STAFF SUCH AS PURCHASING DEPARTMENT EMPLOYEES. THE PURPOSE OF THE STATEMENT IS TO REQUIRE EMPLOYEES TO DISCLOSE ANY POTENTIAL CONFLICT OF INTERESTS THEY MAY HAVE. THE STATEMENTS ARE SENT IN JANUARY OF EACH YEAR AND WE PURSUE THE REPLIES TO GET A 100% RESPONSE RATE. IN THE CURRENT YEAR WE SENT OUT OVER 250 STATEMENTS AND ACHIEVED A 100% RESPONSE RATE. EACH RESPONSE IS REVIEWED BY THE DIRECTOR OF INTERNAL AUDIT AND THE RESULTS ARE REPORTED TO THE CEO OF MEMORIAL HEALTH SYSTEM, INC AS WELL AS THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. 2.THE SECOND STATEMENT IS THE BOARD DUALITY OF INTEREST STATEMENT THAT IS SENT TO CURRENT BOARD MEMBERS, FORMER BOARD MEMBERS FROM THE LAST FIVE YEARS, THE FIVE HIGHEST COMPENSATED EMPLOYEES FROM THE PREVIOUS YEAR, EMPLOYEES THAT ARE ON THE GRANT AND SCHOLARSHIP COMMITTEES, AND OTHER KEY EMPLOYEES. THE DUALITY OF INTEREST STATEMENTS WERE SENT OUT IN JUNE, 2011. THE REPLIES ARE REVIEWED BY THE DIRECTOR OF INTERNAL AUDIT WHO SUMMARIZES THE RESULTS, WHICH ARE REVIEWED BY AN INDEPENDENT PARTY. THE RESULTS ARE REPORTED TO THE CEO OF MEMORIAL HEALTH SYSTEM, INC AND THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. 3. THE THIRD STATEMENT IS ENTITLED "CODE OF ETHICS FOR SENIOR FINANCIAL OFFICERS." THE STATEMENT REQUIRES AN ACKNOWLEDGMENT FORM TO BE SIGNED BY MEMORIAL HEALTH SYSTEM, INC'S KEY FINANCIAL EMPLOYEES THAT MEMORIAL HEALTH SYSTEMS, INC'S FINANCIAL INFORMATION IS TO THE BEST OF THEIR KNOWLEDGE TRUE AND ACCURATE. THIS STATEMENT WAS SENT OUT IN JANUARY, 2011. SIGNED ACKNOWLEDGEMENTS ARE KEPT BY THE DIRECTOR OF INTERNAL AUDIT. IN 2011, TWELVE DESIGNATED EMPLOYEES WERE REQUESTED TO SIGN THE FORM AND 100% COMPLIED WITH THIS REQUEST. ANY POTENTIAL CONFLICTS OF INTERESTS ARE REVIEWED BY INDEPENDENT PARTIES BOTH INTERNAL AND EXTERNAL TO THE ORGANIZATION, AND IF NECESSARY, CORRECTIVE ACTION WOULD BE TAKEN TO RESOLVE A TRUE CONFLICT. THE INDIVIDUAL WITH THE POTENTIAL CONFLICT OF INTEREST IS EXCLUDED FROM ALL REVIEW PROCEEDINGS
FORM 990, PART VI, SECTION B, LINE 15a & 15b	AN EXTENSIVE EXAMINATION IS CONDUCTED USING COMPARABLE MARKET DATA AND IT IS THEN REVIEWED BY AN INDEPENDENT CONSULTANT HIRED BY, AND REPORTING TO, THE BOARD OF DIRECTORS. RECOMMENDATIONS ARE PRESENTED TO THE COMPENSATION COMMITTEE OF THE MEMORIAL HEALTH SYSTEM, INC BOARD FOR DELIBERATION AND FINAL DECISION. DELIBERATION AND FINAL DECISION ARE PERFORMED BY THE INDEPENDENT MEMBERS OF THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE DISTRIBUTED QUARTERLY TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE AS PART OF THE CONTINUING DISCLOSURES FOR THE MEMORIAL HEALTH SYSTEM, INC. BONDS.
FORM 990, PART XI, LINE 5	CASH TRANSFERS FROM MEMORIAL HOSPITAL OF SOUTH BEND: $ 28,513,083 WRITE OFF INTER COMPANY MEMORIAL HOSPITAL OF SOUTH BEND $- 2,919,982 WRITE OFF INTER COMPANY MEMORIAL HEALTH FOUNDATION $- 1,043,051 CHANGE IN PENSION LIABILITY $-12,572,569 ACCRUED HEALTH INSURANCE LIABLILITY TRUE UP -BETWEEN MEMORIAL HOSPITAL AND MEMORIAL HEALTH SYSTEM $ 841,936 UNREALIZED GAIN\LOSS ON INVESTMENT $- 108,955 TOTAL $ 12,710,462
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:JOHN HILER TITLE:DIRECTOR - CHAIR HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:RICHARD WARNER, CSC TITLE:DIRECTOR - THRU MAR 2011 HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:VIVIAN SALLIE TITLE:DIRECTOR - SECRETARY HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:RAFAT ANSARI, MD TITLE:DIRECTOR - MED DIRECTOR HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:LARRY HARDING TITLE:DIRECTOR - TREASURER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:VINCENT HENDERSON, MD TITLE:DIRECTOR & EMPLOYED PHYSICIAN HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:TODD SCHURZ TITLE:DIRECTOR - VICE CHAIR HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:PHILIP NEWBOLD TITLE:PRESIDENT & CEO HOURS:4	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:BIPIN DOSHI TITLE:DIRECTOR HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:JAMES KEENAN TITLE:DIRECTOR - THRU MAR 2011 HOURS:2	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:WES WILLIAMS TITLE:DIRECTOR - THRU NOV 2011 HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:RICHARD RICE TITLE:DIRECTOR HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:TRACY D GRAHAM TITLE:DIRECTOR HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:NAJEEB KHAN TITLE:DIRECTOR HOURS:2	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:WELLINGTON JONES III TITLE:DIRECTOR HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:JEFFREY COSTELLO TITLE:ASSISTANT TREASURER & CFO HOURS:4	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:MICHAEL O'NEIL TITLE:COO HOURS:2	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:GREG CONRAD TITLE:ASST SECRETARY & VP HOURS:32	FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 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	Direct Controlling Entity NADirectControllingEntityNA
MEMORIAL HOSPITAL OF SOUTH BEND INC
615 N MICHIGAN ST	SOUTH BEND	IN	46601	350868132	HOSPITAL	IN	501(c)(3)	3	BEACON	true
MEMORIAL HEALTH FOUNDATION INC
615 N MICHIGAN ST	SOUTH BEND	IN	46601	351536129	FINANCIAL SUP	IN	501(c)(3)	9	MHS	true
ELKHART GENERAL HOSPITAL
600 EAST BOULEVARD	ELKHART	IN	46514	350877574	HOSPITAL	IN	501(C)(3)	3	BEACON	true
BEACON HEALTH SYSTEM INC
600 EAST BOULEVARD	ELKHART	IN	46514		PARENT ORG	IN	501(C)(3)	11C-III-FI		false	N/A
MEMORIAL ENDOWMENT FUND FOR MEMORIAL HOS
PO BOX 1602	SOUTH BEND	IN	46634	356068581	ENDOWMENT	IN	501(C)(3)	11D III-O	MEMORIAL HOS	true

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
LAPORTE MEDICAL GROUP SURGICAL CENTER
11221 ROE AVE SUITE 320	LEAWOOD	KS	66211	260505795	SURGICAL CENTER	KS	MEMORIAL HEALTH	RELATED	24739	1055717	false	false	0.50187
MICHIANA LINEN SERVICES LLC
600 EAST BLVD	ELKHART	IN	46515		LINEN SERVICES	IN	MEMORIAL HEALTH	UNRELATED	37397	1738299	false	false	0.64000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HOME CARE INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	615 N MICHIGAN ST	AddressLine1
City	SOUTH BEND	City
State	IN	State
ZIP Code	46601	ZIPCode

Field	Value	IRS element (for citing)
EIN	351901068	EIN
Primary Activity	HOME MEDICAL	PrimaryActivity
Legal Domicile State	IN	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Share Of Total Income	22286263	ShareOfTotalIncome
Share Of EOY Assets	13742061	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	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	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (22 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MEMORIAL HOME CARE INC
a iv	79099	ACTUAL CHARGES
MEMORIAL HOSPITAL OF SOUTH BEND INC
a iv	642868	ACTUAL CHARGES
MEMORIAL HOME CARE INC
j	114453	ACTUAL CHARGES
MEMORIAL HOSPITAL OF SOUTH BEND INC
j	204612	ACTUAL CHARGES
MEMORIAL HEALTH FOUNDATION INC
b	1043051	ACTUAL CHARGES
MEMORIAL HOSPITAL OF SOUTH BEND INC
c	25593094	CASH TRANSFERS
MEMORIAL HEALTH FOUNDATION INC
c	289280	CASH TRANSFERS
MEMORIAL HOME CARE INC
k	5090962	PHYSICIAN CHARG
MEMORIAL HOSPITAL OF SOUTH BEND INC
k	246641735	PHYSICIAN CHARG
MEMORIAL HOSPITAL OF SOUTH BEND INC
l	21288665	ACTUAL CHARGES
MEMORIAL HOME CARE INC
l	1117905	ACTUAL CHARGES
MEMORIAL HEALTH FOUNDATION INC
l	437365	ACTUAL CHARGES
MEMORIAL HEALTH FOUNDATION INC
n	522324	ACTUAL CHARGES
MEMORIAL HOME CARE INC
p	3760484	ACTUAL CHARGES
MEMORIAL HOSPITAL OF SOUTH BEND INC
p	27186057	ACTUAL CHARGES
MEMORIAL HEALTH FOUNDATION INC
p	155000	ACTUAL CHARGES
MEMORIAL HEALTH FOUNDATION INC
q	1058314	ACTUAL CHARGES
MEMORIAL HOME CARE INC
q	3701587	ACTUAL CHARGES
MEMORIAL HOSPITAL OF SOUTH BEND INC
q	41212189	ACTUAL CHARGES
MEMORIAL HEALTH FOUNDATION INC
r	1058314	ACTUAL CHARGES
MEMORIAL HOME CARE INC
r	4422440	ACTUAL CHARGES
MEMORIAL HOSPITAL OF SOUTH BEND INC
r	41221885	ACTUAL CHARGES