STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MEMORIAL HEALTH SYSTEM: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HEALTH SYSTEM (EIN 90-0756744)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-03
IRS object ID
201242169349300424
Schema version
2010v3.4
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

FieldValueIRS element (for citing)
Timestamp2012-08-03T12:23:55-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11 SOUTH WACKER SUITE 600AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN900756744EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTH SYSTEM GROUP RETURNBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMEMONameControl
Phone2177883000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 NORTH FIRST STREETAddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code62781ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT W KAYName
TitleSENIOR VICE PRESIDENT & CFOTitle
Phone2177883198Phone
Date Signed2012-08-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3126343400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEDGAR J CURTISNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1701 NORTH FIRST STREETAddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code62781ZIPCode
FieldValueIRS element (for citing)
Gross Receipts950919800GrossReceipts
Group Return For Affiliates1GroupReturnForAffiliates
All Affiliates Included0AllAffiliatesIncluded
Group Exemption Number5670GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.MHSIL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission DescriptionTO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body101NbrVotingMembersGoverningBody
Nbr Independent Voting Members49NbrIndependentVotingMembers
Total Nbr Employees6255TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI6398378TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8342369ContributionsGrantsPriorYear
Contributions Grants Current Year4849898ContributionsGrantsCurrentYear
Program Service Revenue Prior Year682971780ProgramServiceRevenuePriorYear
Program Service Revenue CY697580334ProgramServiceRevenueCY
Investment Income Prior Year4264741InvestmentIncomePriorYear
Investment Income Current Year9334461InvestmentIncomeCurrentYear
Other Revenue Prior Year16186886OtherRevenuePriorYear
Other Revenue Current Year18813043OtherRevenueCurrentYear
Total Revenue Prior Year711765776TotalRevenuePriorYear
Total Revenue Current Year730577736TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year9287222GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3037265GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year283742163SalariesEtcPriorYear
Salaries Etc Current Year301090474SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year14319TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY36000TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year482249TotalFundrsngExpCurrentYear
Other Expense Prior Year377174135OtherExpensePriorYear
Other Expenses Current Year401154757OtherExpensesCurrentYear
Total Expenses Prior Year670217839TotalExpensesPriorYear
Total Expenses Current Year705318496TotalExpensesCurrentYear
Revenues Less Expenses Prior Year41547937RevenuesLessExpensesPriorYear
Revenues Less Expenses CY25259240RevenuesLessExpensesCY
Total Assets BOY809405620TotalAssetsBOY
Total Assets EOY802781836TotalAssetsEOY
Total Liabilities BOY459739516TotalLiabilitiesBOY
Total Liabilities EOY410250929TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY349666104NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY392530907NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense82718739Expense
Revenue90993030Revenue
DescriptionCARDIOVASCULARTHE PROGRAMS OF MEMORIAL MEDICAL CENTER'S HEART & VASCULAR SERVICES FOCUS ON REDUCING THE INCIDENCE OF CARDIAC AND VASCULAR DISEASE. THROUGH PREVENTION PROGRAMS AND THE LATEST DIAGNOSTIC AND TREATMENT PROCEDURES, OUR GOAL IS TO WORK WITH PATIENTS TO ACHIEVE GREAT PATIENT OUTCOMES AND OPTIMUM LONG-TERM HEALTH. IN FISCAL YEAR 2011, MEMORIAL MEDICAL CENTER'S CARDIAC CATH LAB PERFORMED 3,420 HEART CATHS, 1,779 CORONARY INTERVENTIONS, 2,120 ELECTROPHYSIOLOGY (EP) PROCEDURES, AND 1,084 VASCULAR CASES. RECOGNIZED AS A LEADER AND INNOVATOR IN HEART AND VASCULAR TECHNOLOGY, THE MEMORIAL HEART & VASCULAR SERVICES TEAM ALSO PERFORMED 330 CORONARY BYPASS AND VALVE SURGERIES. OTHER SERVICES INCLUDE NON-INVASIVE CARDIAC AND VASCULAR TESTING, CARDIAC AND PULMONARY REHABILITATION, VALVE CENTER, HEART FAILURE CLINIC, NUTRITION COUNSELING, AND SUPPORT GROUPS. MEMORIAL MEDICAL CENTER IS A NATIONAL LEADER IN OUR RESPONSE TIME FOR TREATING HEART ATTACKS. THE TIME IT TAKES TO RE-ESTABLISH BLOOD FLOW TO THE HEART IS CRITICAL IN SAVING A PATIENT'S LIFE. THE AMERICAN COLLEGE OF CARDIOLOGY USES 90 MINUTES AS THE RECOMMENDED STANDARD OF CARE FOR BALLOON ANGIOPLASTY, MEANING NO MORE THAN 90 MINUTES SHOULD ELAPSE FROM THE MOMENT THE PATIENT COMES THROUGH THE HOSPITAL DOORS UNTIL BALLOON ANGIOPLASTY IS COMPLETED AND BLOOD FLOW IS RESTORED TO THE HEART. MEMORIAL MEDICAL CENTER'S GOAL IS TO PERFORM THE PROCEDURE IN LESS THAN 80 MINUTES. MEMORIAL MEDICAL CENTER HAS BEEN RECOGNIZED BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION FOR ITS COMMITMENT AND SUCCESS IN IMPLEMENTING HIGHER STANDARDS OF CARE FOR HEART ATTACK PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense75321289Expense
Revenue71630372Revenue
DescriptionSURGICAL SERVICES DEPARTMENTTHE SURGICAL SERVICES DEPARTMENT AT MEMORIAL MEDICAL CENTER PROVIDES A WIDE VARIETY OF INPATIENT AND OUTPATIENT SERVICES IN BOTH THE MAIN SURGERY AND CARDIAC SURGERY DEPARTMENTS. BAYLIS DAY SURGERY IS UTILIZED FOR OUTPATIENT PROCEDURES. MEMORIAL MEDICAL CENTER PERFORMED 20,227 SURGICAL PROCEDURES IN FY11. MEMORIAL MEDICAL CENTER CONTINUES TO STRIVE FOR EXCELLENCE IN PATIENT CARE. IT HAS RECEIVED A RARE FIVEFOLD ACCREDITATION FOR ITS REHABILITATION SERVICES FROM THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF).MEMORIAL MEDICAL CENTER PROVIDES A WIDE RANGE OF CARDIAC, THORACIC AND VASCULAR PROCEDURES. PROCEDURES PERFORMED IN THE CARDIAC SURGERY AREA INCLUDE CORONARY ARTERY BYPASS GRAFTING, VALVE REPLACEMENTS, PACEMAKER INSERTIONS, AND OTHER VASCULAR PROCEDURES AND LUNG PROCEDURES.A VARIETY OF SURGERIES ARE ROUTINELY PERFORMED TO ASSIST PATIENTS WITH EAR, NOSE AND THROAT CONDITIONS. PROCEDURES SUCH AS TONSILLECTOMY, ADENOIDECTOMY, MYRINGOTOMY TUBE INSERTION, SEPTOPLASTY, FUNCTIONAL ENDOSCOPIC SINUS SURGERY, AND UVULOPALATOPLASTY (FOR TREATMENT OF SLEEP APNEA) ARE FREQUENTLY PERFORMED AT MEMORIAL MEDICAL CENTER. RIGID AND/OR FLEXIBLE ENDOSCOPIC TECHNIQUES ARE USED FOR ESOPHAGOSCOPY, BRONCHOSCOPY, AND DIRECT LARYNGOSCOPY PROCEDURES. FACIAL FRACTURES ARE TREATED USING VARIOUS PLATING SYSTEMS. MAJOR SURGERIES OF THE EAR ARE PERFORMED USING TECHNIQUES TO IMPROVE OR RESTORE HEARING LOSS. SURGERIES FOR THE DIAGNOSIS AND TREATMENT OF HEAD-AND-NECK CANCER ARE ALSO PERFORMED. AN OPERATIVE MICROSCOPE IS FREQUENTLY USED TO PROVIDE THE VISUALIZATION NECESSARY FOR MANY ENT PROCEDURES. STATE-OF-THE-ART COMPUTER-GUIDED TECHNOLOGY IS ALSO USED TO PROMOTE TREATMENT OF SOME ENT PROCEDURES. TECHNIQUES EMPLOYING THE USE OF A CO2 LASER ARE ALSO AVAILABLE.LAPAROSCOPIC TECHNOLOGY PROVIDES THE VISUALIZATION OF INTERNAL ORGANS WITH A TELESCOPE INSERTED THROUGH A SMALL ABDOMINAL INCISION. THIS TECHNOLOGY IS USED FOR DIAGNOSIS AND TREATMENT OF DISEASE. LAPAROSCOPIC TECHNIQUES ARE OFTEN USED TO REMOVE THE GALLBLADDER OR APPENDIX, OR FOR HERNIA REPAIR. A WIDE RANGE OF PROCEDURES FOR CANCER OF THE COLON, LIVER, BREAST AND OTHER ANATOMICAL SITES ARE PERFORMED IN CONJUNCTION WITH THE CARE PROVIDED TO PATIENTS WHO COME TO MEMORIAL'S REGIONAL CANCER CENTER. RADIOFREQUENCY TECHNOLOGY IS AVAILABLE TO ASSIST IN THE TREATMENT OF LIVER TUMORS. SENTINEL NODE MAPPING IS USED IN THE IDENTIFICATION OF LYMPH NODES IN BREAST AND MELANOMA CANCERS.A FULL RANGE OF SERVICES ARE AVAILABLE FOR PATIENTS NEEDING GYNECOLOGIC SURGERY. LAPAROSCOPIC PROCEDURES ARE PERFORMED FOR DIAGNOSTIC PURPOSES AND OPERATIVE TREATMENT. CO2 LASER THERAPY IS AVAILABLE FOR TREATMENT. A VARIETY OF OPERATIONS ARE COMPLETED TO ASSIST PATIENTS WITH REPRODUCTIVE DISORDERS, INCLUDING STERILIZATION REVERSAL, GIFT, AND IN-VITRO PROCEDURES. MALIGNANCIES INVOLVING THE REPRODUCTIVE ORGANS, INCLUDING CANCER OF THE CERVIX, UTERUS, AND OVARIES CAN BE TREATED WITH STATE-OF-THE-ART SURGICAL OPERATIONS, AND FACILITIES ARE AVAILABLE IN THE HOSPITAL FOR CHEMOTHERAPY OR RADIATION THERAPY.MEMORIAL'S NEUROSURGICAL SERVICE ENCOMPASSES THE AREAS OF GENERAL SPINE (CERVICAL/THORACIC/LUMBAR DISCECTOMY, LAMINECTOMY); COMPLEX SPINE (SPINAL FUSION AND INSTRUMENTATION); PERIPHERAL NERVE (CARPAL TUNNEL SYNDROME AND ULNAR DECOMPRESSION); AND BRAIN AND SPINAL-TUMOR SURGERY. STATE-OF-THE-ART TECHNOLOGY BASED ON COMPUTER GUIDANCE SERVICES KNOWN AS STEREOTACTIC RADIOIMAGING IS UTILIZED TO PROVIDE IMPROVED TREATMENTS FOR NEUROSURGICAL CONDITIONS, SUCH AS BRAIN TUMORS AND PHYSIOLOGIC-MOVEMENT DISORDERS. ALSO AVAILABLE TO OUR PHYSICIANS IS A HIGHLY SOPHISTICATED COMPUTERIZED NAVIGATIONAL TECHNIQUE REFERRED TO AS AN IMAGE-GUIDED SYSTEM. THIS SYSTEM OFFERS A THREE-DIMENSIONAL COMPUTERIZED ANATOMIC VISUALIZATION TO ASSIST THE NEUROSURGEON IN PINPOINTING THE OPERATIVE SITE AND PROMOTING PATIENT OUTCOMES.MEMORIAL MEDICAL CENTER OFFERS OUTPATIENT AND INPATIENT OPHTHALMIC SERVICES. STRABISMUS REPAIRS CORRECT EYE MUSCLE PROBLEMS IN SMALL CHILDREN. OCCULOPLASTIC PROCEDURES OFFER PLASTIC RECONSTRUCTION FOR PATIENTS OF ALL AGES. TREATMENT OPTIONS ARE AVAILABLE FOR PATIENTS WITH GLAUCOMA. CATARACT SURGERY IS FREQUENTLY PERFORMED ON PATIENTS IN THE AGING POPULATION. SPECIALTY TREATMENTS ARE AVAILABLE FOR PATIENTS WITH DISEASES AND INJURIES OF THE RETINA. THESE INCLUDE LASER THERAPY, VITRECTOMY, SCLERAL BUCKLING, PLACEMENT OF SILICONE OIL, RETINAL TACK PLACEMENT, AND CRYOTHERAPY. CORNEAL TRANSPLANTS ARE AVAILABLE FOR PATIENTS WHO HAVE SUFFERED DAMAGE TO THE CORNEA.INNOVATIVE TREATMENT OPTIONS ARE AVAILABLE FOR PATIENTS SEEKING TREATMENT FOR ORAL AND MAXILLOFACIAL PROBLEMS OR FACIAL FRACTURES. IN ADDITION TO ROUTINE DENTAL PROCEDURES, MEMORIAL OFFERS PROGRESSIVE SURGICAL TREATMENTS, INCLUDING THE USE OF A MANDIBULAR BONE TRANSPORT SYSTEM FOR TREATMENT OF PATIENTS WITH CANCER OF THE MANDIBLE. THE RIGID EXTERNAL DISTRACTION SYSTEM IS AVAILABLE FOR PATIENTS WITH CRANIOMAXILLOFACIAL ANOMALIES. ANOTHER TECHNICAL ADVANCEMENT IS THE MAXILLOFACIAL CEMENT SYSTEM USED FOR FACIAL-SKELETAL DEFORMITY REPAIRS AS WELL AS RIGID FIXATION FOR DENTAL-FACIAL DEFORMITY AND FRACTURE REPAIR.MEMORIAL PROVIDES COMPREHENSIVE CARE FOR PATIENTS SEEKING PLASTIC AND RECONSTRUCTIVE SURGERY. THESE PROCEDURES INCLUDE ROUTINE OUTPATIENT COSMETIC SURGERIES AS WELL AS EXTENSIVE RECONSTRUCTION OPERATIONS WHICH ARE AVAILABLE TO PATIENTS ADMITTED TO OUR REGIONAL BURN CENTER. MICROSURGERY TECHNIQUES ARE USED ON VARIOUS PLASTIC RECONSTRUCTIVE PROCEDURES SUCH AS REATTACHMENT AND RESTORATION OF AMPUTATED DIGITS OR LIMBS. A COMPREHENSIVE PLAN OF CARE IS OFFERED FOR PATIENTS WITH SKIN OR BREAST CANCER WHICH MAY INCLUDE THE USE OF TISSUE EXPANDERS, IMPLANTS OR VARIOUS FLAP RECONSTRUCTION TECHNIQUES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense62154064Expense
Revenue81794650Revenue
DescriptionORTHOPEDICSMEMORIAL MEDICAL CENTER'S ORTHOPEDICS SERVICE OFFERS STATE-OF-THE-ART INTERDISCIPLINARY CARE FOR BONE AND JOINT DISORDERS. WORKING WITH COMMUNITY ORTHOPEDIC SURGEONS, OUR TEAM OF HEALTHCARE PROFESSIONALS PROVIDES COMPREHENSIVE PATIENT EDUCATION, DIAGNOSTIC, SURGICAL AND REHABILITATION SERVICES FOR PATIENTS OF ALL AGES. THESE SERVICES ARE PROVIDED IN THE PREMIER TREATMENT FACILITIES IN THE REGION.MEMORIAL'S INNOVATIVE JOINTWORKS PROGRAM IS PART OF ORTHOPEDIC SERVICES. THROUGH JOINTWORKS, ABOUT 1,200 PATIENTS UNDERGO HIP AND KNEE REPLACEMENTS AT MEMORIAL MEDICAL CENTER ANNUALLY. AN EXPERIENCED TEAM OF ORTHOPEDIC SURGEONS, ANESTHESIOLOGISTS, NURSES, THERAPISTS, AND SOCIAL WORKERS GUIDES OUR PATIENTS FROM PRE-SURGERY EDUCATION THROUGH POST-SURGERY REHABILITATION.DURING FY 11, MEMORIAL MEDICAL CENTER'S ORTHOPEDICS SERVICE COMPLETED 4,822 ORTHOPEDIC PROCEDURES. THE JOINTWORKS PROGRAM PERFORMED 824 TOTAL KNEE REPLACEMENT PROCEDURES AND 394 TOTAL HIP REPLACEMENTS. OTHER ORTHOPEDIC SERVICES INCLUDED 123 CERVICAL FUSION PROCEDURES, 100 CLOSED REDUCTION OF FRACTURE OF THE FEMUR, AND 98 LUMBAR FUSION PROCEDURES. IN JANUARY, MEMORIAL ORTHOPEDICS BEGAN PARTICIPATING IN "OWN THE BONE", A NATIONAL DATABASE REGISTRY AND EDUCATION PROGRAM AIMED AT APPROPRIATE FOLLOW-UP CARE FOR FRAGILITY FRACTURE PATIENTS. IN JULY, THE JOINTWORKS PROGRAM RECEIVED CERTIFICATION FROM THE JOINT COMMISSION FOR HIP REPLACEMENT AND KNEE REPLACEMENT SURGERY. IN OCTOBER, MEMORIAL ORTHOPEDICS BEGAN AN INTERNAL REGISTRY FOR HIP AND KNEE REPLACEMENT SURGERY.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense378727295Expense
Grants3037265Grants
Revenue461506378Revenue
DescriptionSURGICAL PRODUCT LINE; 25,936 CASES; 41,118 PATIENT DAYS PULMONARY/THORACIC PRODUCT LINE; 13,004 CASES; 29,686 DAYSHEMATOLOGY/ONCOLOGY PRODUCT LINE; 35,148 CASES; 146,563 DAYSDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp378727295TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt3037265TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev461506378TotalOfOtherProgramServiceRev
Total Program Service Expense598921387TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership1ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096411NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees6255NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions1NonDeductibleContributions
Non Deductible Disclosure1NonDeductibleDisclosure
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members101NbrVotingGoverningBodyMembers
Number Independent Voting Members49NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT W KAY SVP & CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2177883198TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1701 NORTH FIRST STREETAddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code62781ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (119 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
A KRAIG KRAUSE
BOARD MEMBER ALMF0.70X000
CLYDE R REYNOLDS
TREASURER ALMF0.70X000X
ERIC D GRAUE
VICE CHAIR/CHAIR ALMF0.70X000X
FRANCES C GUZZARDO
BOARD MEMBER ALMF0.70X000
GAIL NUNNERY
BOARD MEMBER/VICE CHAIR ALMF0.70X000X
HAROLD L DRAKE
BOARD MEMBER ALMF0.70X000
JAMES R DREW
BOARD MEMBER ALMF0.70X000
JOAN GRAUE
BOARD MEMBER ALMF0.70X000
JUDITH N LOZIER
BOARD MEMBER ALMF0.70X000
KAREN SAMS DAVIS
BOARD MEMBER ALMF0.70X000
KENT E CROSS
BOARD MEMBER ALMF0.70X000
MARY ROSE MOREHEAD
BOARD MEMBER ALMF0.70X000
PAMELA K WHITE
BOARD MEMBER ALHMF0.70X000
ROBERT BD ARNEAUD
SECRETARY ALMF0.70X000X
SHIRLEY S EDWARDS
BOARD MEMBER ALMF0.70X000
A PATRICK DOOLIN
BOARD MEMBER ALMH0.70X000
BRADLEY E NEAL
CHAIR ELECT ALMH/BOARD MEM ALMF0.70X000
DAVID A CAMPBELL
PAST CHAIR ALMH/BOARD MEMBER ALMF0.70X000X
DENNIS M CARROLL MD
BOARD MEMBER ALMH0.70X000
JOANN MCCULLOUGH
AUX PRES BOARD MEMBER ALMH ALMF0.70X000
MARY BETH SPARKS
BOARD MEMBER ALMH/ALHF0.70X000
MARY CONRADY
CHAIRMAN ELECT/CHAIR ALMH0.70X000
MARY S MCLAUGHLIN
BOARD MEMBER ALMH0.70X000
MELISSA L COX MD
BOARD MEMBER ALMH0.70X000
REV ANDREW NYREN
BOARD MEMBER ALMH0.70X000
REV ROBERT HENDERSON
TREASURER ALMH0.70X000X
RICHARD A HAMM
BOARD MEMBER ALMH0.70X000
RICHARD BIVIN MD
BOARD MEMBER ALMH50.00X249769049769
RONALD SCHILLING
BOARD MEMBER ALMH0.70X000
STEVEN D AUGHENBAUGH
CHAIRMAN/SECRETARY ALMH0.70X000X
ELAINE YOUNG
SEC TREAS MHSVC/MHV50.00X024718744482X
KEVIN ENGLAND
DIR MHSVC/PRES MHV50.00X031374068774X
THOMAS WESTRICK
PRESIDENT MHSVC50.00X180143011227X
DOLAN DALPOAS
DIR MHSVC/PRES ALMH ALMF50.00X265113046356X
DANIEL RAAB
DIR MHSVC/PRES TMH TMHF50.00X244901042669X
CAROL J POSEGATE
SECRETARY MMC0.80X000X
CLIFTON R BAXTER
BOARD MEMBER MMC1.10X000
DALE M BECKER
TREASURER MMC MMCF0.80X000X
DEAN E ROBERT
BOARD MEMBER MMC0.40X000
DIANE K RUTLEDGE PHD
BOARD MEMBER MMC1.00X000
DWIGHT H O'KEEFE III
PAST CHAIR MMC/TREAS MMC1.50X000X
FRANK V AGUIRRE MD
BOARD MEMBER MMC0.60X000
J ERIC BLEYER MD
BOARD MEMBER MMC0.70X000
JAMES P BRUNER
1ST/2ND VICE CHAIR MMC1.70X000X
JERRY E KRUSE MD
BOARD MEMBER MMC0.30X000
JOHN D BLACKBURN
TREASURER/2ND VICE CHAIR MMC1.70X000X
JOSEPH M HURWITZ
1ST VICE CHAIR/CHAIR MMC1.00X000X
MARK H FERGUSON
PAST CHAIR/CHAIR MMC1.60X000X
MICHAEL A PICK MD
BOARD MEMBER MMC0.70X000
NINA M HARRIS
BOARD MEMBER MMC1.00X000
WILLIAM A SIMPSON
BOARD MEMBER MMC0.70X000
WILLIAM R ENLOW
BOARD MEMBER MMC1.00X000
EDGAR CURTIS
BRD MEMBER CEO MMC/MMCF/MPS50.00X0666927458534X
ROBERT KAY
BRD MEM MMC/VC MHSVC/SEC TR MPS50.00X0410448231627X
ANN COOMBE
BOARD MEMBER MMCF0.70X000
ANN P ROBERT
BOARD MEMBER MMCF0.70X000
BRADLEY J NIKLES
BOARD MEMBER MMCF ALMH0.70X000
BRIDGET L LAMONT
BOARD MEMBER MMCF0.70X000
CRAIG R SCHERMERHORN
CHAIR/VICE CHAIR MMCF0.70X000X
DAVID L GRIFFEN MD
BOARD MEMBER MMCF MMC0.70X000
DONALD A ALTORFER
BOARD MEMBER MMCF0.70X000
ELVIN G ZOOK MD
BOARD MEMBER MMCF0.70X000
GARY D NEUBAUER
BOARD MEMBER/SECREATARY MMCF0.70X000X
GEOFFREY ISRINGHAUSEN
BOARD MEMBER MMCF MMC0.70X000
J CHRISTOPHER SMITH
VICE CHAIR/CHAIR MMCF0.70X000X
JULIE CELLINI
BOARD MEMBER MMCF0.70X000
MICHAEL A AIELLO
BOARD MEMBER MMCF0.70X000
MICHAEL A MYERS
BOARD MEMBER MMCF0.70X000
MICHAEL E O'SHEA
BOARD MEMBER MMCF0.70X000
R LEE ALLEN
BOARD MEMBER MMCF0.70X000
ROY NEWMAN
BOARD MEMBER MMCF0.70X000
STEPHEN L PATTON
SECRETARY MMCF0.70X000X
MARK HANSEN MD
BOARD MEMBER MPS50.00X621070093472
MARSHALL HALE MD
CHAIR MPS50.00X300837058691X
PAUL KASA MD
BOARD MEMBER ALMH MPS50.00X213223043244
DOUGLAS RAHN
BD MEM MPS/CHAIR MHV MHSVC50.00X550825096033X
BERNADETTE SALISBURY
SECRETARY/VICE CHAIR TMH0.70X000X
CARL NIEMANN
BOARD MEMBER TMH0.70X000
DANIEL AUSTIN
BOARD MEMBER/SECRETARY TMH0.70X000X
DAVID KIEL MD
BOARD MEMBER TMH0.70X000
GARY A SPURLING
BOARD MEMBER TMH0.70X000
GARY MCNEELY
CHAIR/BOARD MEMBER TMH0.70X000X
HWA LONG CHEN MD
BOARD MEMBER TMH0.70X000
JAMES R ADCOCK
BOARD MEMBER TMH0.70X000
JERRY D GARDNER
VICE CHAIR/CHAIR TMH0.70X000X
RONALD MIZER DDS
BOARD MEMBER TMH0.70X000
LORETTA KAHLE
BOARD MEMBER TMH0.70X000
MARGARET J FRY
BOARD MEMBER TMH0.70X000
THOMAS F FORD
TREASURER TMH0.70X000X
YASER FREJI MD
BOARD MEMBER TMH0.70X000
BILL SMITH
VICE PRESIDENT TMHF0.70X000X
BONNIE BRUNS
SECRETARY TMHF0.70X000X
DAN LITTEKEN
BOARD MEMBER TMHF0.70X000
ERIC KAHLE
BOARD MEMBER TMHF0.70X000
JOHN CURTIN
BOARD MEMBER TMHF0.70X000
JUDY MOULTON
BOARD MEMBER TMHF0.70X000
LINDA SMITH
TREASURER TMHF0.70X000X
ROGER HICKMAN
BOARD MEMBER TMHF0.70X000
SR VIRGINIA WALSH
BOARD MEMBER TMHF0.70X000
WILLIAM CHASTAIN
BOARD MEMBER TMHF0.70X000
LEIGH STEINER
CHAIRMAN SRS0.70X000X
WILLIAM D MEYER
VICE CHAIRMAN SRS0.70X000X
MICHAEL MCGLASSON
TREASURER SRS0.70X000X
JANET STOVER
SECRETARY SRS0.70X000X
RANDALL GERMERAAD
BOARD MEMBER SRS0.70X000
JANICE GAMBACH
PRESIDENT SRS50.00X015248316680X
CHARLES CALLAHAN
BRD MEMBER MHV/VP OPS MMC50.00X287512050160X
TRAVIS DOWELL
PRESIDENT MPS50.00X250029047076X
JOHN FERRY DDS
PRESIDENT TMHF0.70000X
ELENA KEZELIS
EXEC DIR MMCF50.00161347014273X
MARSHA PRATER
SVP & CNO MMC50.002592040144348X
SCOTT KIRIAKOS
VP CLINICAL INTEGRATION MMC50.00307661056701X
DAVID J JOERGER
ADMIN PREOP SERVICE50.00183558015057X
FERINAND SALVACION MD
PHYSICIAN MMC50.006169610117036X
DAVID SANDERCOCK MD
PHYSICIAN MPS50.00362384073033X
JAMES GILDNER MD
PHYSICIAN MPS50.005386720110181X
STEVEN LILLPOP MD
PHYSICIAN MPS50.00373291080996X
VIRGINIA DOLAN MD
PHYSICIAN MPS50.00334072056618X
ROBERT CLARKE
FMR BRD MEM MMC/FMR CEO03822010X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6300572TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2172986TotalReportableCompFrmRltdOrgs
Total Other Compensation2027037TotalOtherCompensation
Number Individuals GT100 K19NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HAROLD O'SHEA BUILDERS INC
3401 CONSTITUTION DRSPRINGFIELDIL62711CONSTRUCTION32217451
SIU SCHOOL OF MEDICINE
PO BOX 19607SPRINGFIELDIL62794PHYSICIAN SERVICES13559672
O'SHEAMCCARTHY JV
1341 N ROCK HILL ROADST LOUISMO63124CONSTRUCTION10163875
MIDWEST EMERGENCY DEPARTMENT SPECIALIST
2000 SPRING RD SUITE 200OAKBROOKIL60523ER STAFFING3969537
SIEMENS MEDICAL SOLUTIONS
DEPT CH 14195PALATINEIL60055PREVENTIVE MAINTENANCE3115056
FieldValueIRS element (for citing)
Number Of Contractors GT100 K306NumberOfContractorsGT100K
Federated Campaigns6032FederatedCampaigns
Fundraising Events274248FundraisingEvents
Related Organizations588628RelatedOrganizations
Government Grants1677927GovernmentGrants
All Other Contributions2303063AllOtherContributions
Noncash Contributions14342NoncashContributions
Total Contributions4849898TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REV900099608606655608606655
PROGRAM RELATED REV9000996483933264839332
PARTNERSHIP INCOME53119073238987323898
HOME HEALTH SERVICES62161072297067229706
HOSPICE SERVICES62161057922805792280

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column3788463TotalRevenueColumn
Related Or Exempt Function Income2996565RelatedOrExemptFunctionIncome
Exclusion$791,898ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue697580334TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6525563TotalRevenueColumn
Exclusion$6,525,563ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column35067TotalRevenueColumn
Exclusion$35,067ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1539230Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real525480Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1013750Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1013750TotalRevenueColumn
Exclusion$1,013,750ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities219031438Securities
Other3312948Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities216628668Securities
Other2941887Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2402770Securities
Other371061Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2773831TotalRevenueColumn
Exclusion$2,773,831ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events301715GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events274248CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses246029FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column55686TotalRevenueColumn
Exclusion$55,686ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
REFERENCE LAB REVENUE62150052427465242746
CAFETERIA REVENUE7223204697329136683$4,560,646
EMPLOYMENT SERVICES561300723105723105

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column7080427TotalRevenueColumn
Related Or Exempt Function Income6139429RelatedOrExemptFunctionIncome
Unrelated Business Revenue295844UnrelatedBusinessRevenue
Exclusion$645,154ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue17743607TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column730577736TotalRevenueColumn
Related Or Exempt Function Income705924430RelatedOrExemptFunctionIncome
Unrelated Business Revenue6398378UnrelatedBusinessRevenue
Exclusion$17,193,493ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1970805Total
Program Services1970805ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total1066460Total
Program Services1066460ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3138607Total
Program Services1512183ProgramServices
Management And General1485607ManagementAndGeneral
Fundraising140817Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total170138Total
Program Services47447ProgramServices
Management And General24538ManagementAndGeneral
Fundraising98153Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total223627196Total
Program Services203928748ProgramServices
Management And General19622475ManagementAndGeneral
Fundraising75973Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total23662318Total
Program Services21430160ProgramServices
Management And General2232158ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total34527820Total
Program Services31216477ProgramServices
Management And General3241207ManagementAndGeneral
Fundraising70136Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total15964395Total
Program Services14376935ProgramServices
Management And General1570489ManagementAndGeneral
Fundraising16971Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2867416Total
Management And General2867416ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total762790Total
Management And General762790ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32235Total
Management And General32235ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total44669Total
Management And General44669ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total36000Total
Fundraising36000Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1330534Total
Program Services120106ProgramServices
Management And General1210428ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total69295216Total
Program Services57102551ProgramServices
Management And General12192665ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1172862Total
Program Services68922ProgramServices
Management And General1102392ManagementAndGeneral
Fundraising1548Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19184819Total
Program Services16037686ProgramServices
Management And General3126536ManagementAndGeneral
Fundraising20597Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total11595102Total
Program Services10232648ProgramServices
Management And General1362371ManagementAndGeneral
Fundraising83Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total18888910Total
Program Services17189140ProgramServices
Management And General1699770ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1258537Total
Program Services1114803ProgramServices
Management And General143631ManagementAndGeneral
Fundraising103Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total551206Total
Program Services362218ProgramServices
Management And General188988ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total8269372Total
Program Services6738132ProgramServices
Management And General1531240ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total31499370Total
Program Services26257075ProgramServices
Management And General5242295ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4020795Total
Program Services21328ProgramServices
Management And General3999467ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PATIENT SERV. SUPPLIES85026791850267910
PURCHASED CONTR. SERVIC3780372937348520455209
MANAGEMENT FEE3624801139865235849359
DRUGS1929427019294270
PROV. FOR UNCOLLECTABLE18149609166024901547119

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total33858514Total
Program Services29456840ProgramServices
Management And General4379806ManagementAndGeneral
Fundraising21868Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total705318496Total
Program Services598921387ProgramServices
Management And General105914860ManagementAndGeneral
Fundraising482249Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6214073BOY
EOY7850566EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY132342317BOY
EOY68055507EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2021755BOY
EOY1500704EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY104673675BOY
EOY128443126EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY26560BOY
EOY129793EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY10606969BOY
EOY10662837EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11011891BOY
EOY7862118EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis506587807LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec242959159LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY221218847BOY
EOY263628648EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY258582306BOY
EOY260997893EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY8253386BOY
EOY6381443EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY54453841BOY
EOY47269201EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY809405620BOY
EOY802781836EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY71853338BOY
EOY61483167EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY194323BOY
EOY224782EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY11086747BOY
EOY5687849EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY179018200BOY
EOY177033644EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY16870000BOY
EOY15070000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY180716908BOY
EOY150751487EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY459739516BOY
EOY410250929EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY304310763BOY
EOY346852884EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY40458307BOY
EOY40739279EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4897034BOY
EOY4938744EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY349666104BOY
EOY392530907EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY809405620BOY
EOY802781836EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses25259240ReconcilationRevenueExpenses
Reconcilation Other Changes17605563ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: MEMBER'S OF THE GROUP REASON FOR PUBLIC CHARITY STATUS BELOW: MEMORIAL MEDICAL CENTER PART I LINE 3 HOSPITAL OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III). ABRAHAM LINCOLN MEMORIAL HOSPITAL PART I LINE 3 HOSPITAL OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III). TAYLORVILLE MEMORIAL HOSPITAL PART I LINE 3 HOSPITAL OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III). MEMORIAL HEALTH VENTURES PART I LINE 11 AN ORGANIZATION ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(3). B TYPE II. LINE 11E NO, 11F NO, 11G (I)(II)(III) NO, 11H (I)SUPPORTS MMC (II)37-06612203 (III) (IV) YES, (V) YES (VI) YES (VII)$0 MEMORIAL HOME SERVICES PART I LINE 9. AN ORGANIZATION THAT NORMALLY RECEIVES: (1) MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIPS FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS- SUBJECT TO CERTAIN EXCEPTIONS, AND (2) NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME FROM BUSINESS ACQUIRED BY THE ORGANIZATION AFTER JUNE 30, 1975. MEMORIAL PHYSICIAN SERVICES PART I LINE 11 AN ORGANIZATION ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(3). B TYPE II. SPRINGFIELD RESIDENTIAL SERVICES PART I LINE 9. AN ORGANIZATION THAT NORMALLY RECEIVES: (1) MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIPS FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS- SUBJECT TO CERTAIN EXCEPTIONS, AND (2) NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME FROM BUSINESS ACQUIRED BY THE ORGANIZATION AFTER JUNE 30, 1975. MEMORIAL MEDICAL CENTER FOUNDATION PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). ABRAHAM LINCOLN HEALTHCARE FOUNDATION PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). TAYLORVILLE MEMORIAL HEALTHCARE FOUNDATION PART I LINE 11 AN ORGANIZATION ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1). B TYPE III. LINE 11E NO, 11F NO, 11G (I)(II)(III) NO, 11H (I)SUPPORTS TMH (II)37-06612503 (III) (IV) YES, (V) YES (VI) YES (VII)$21,541GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$74,938OtherActivitiesAmount
Total Lobbying Expenditures IIB74938TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationMEMORIAL MEDICAL CENTER (MMC) ENGAGES LOBBYISTS TO ASSIST IN SECURING FEDERAL GRANTS AND MONITORING STATE REGULATIONS IN SUPPORT OF FURTHERING THE MEMORIAL MEDICAL CENTER MISSION, WHICH IS "TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE". THIS INCLUDES ASSISTING MEMORIAL MEDICAL CENTER IN DEVELOPING PRESENTATIONS TO THE ILLINOIS CONGRESSIONAL DELEGATION REQUESTING APPROPRIATIONS FOR PRIORITY PROJECTS INVOLVING LOCAL PATIENT SAFETY, QUALITY IMPROVEMENT AND IMPROVED LOCAL ACESS TO MEDICAL CARE. THE LOBBYISTS ALSO ASSIST MMC IN COMMUNICATING THE IMPORTANCE OF ADEQUATE MEDICAID FUNDING IN SUPPORT OF THE SUBSTANTIAL SERVICES MMC'S AFFILIATES PROVIDE TO THOSE IN POVERTY AND IN MONITORING LEGISLATIVE AND REGULATORY DEVELOPMENTS THAT WOULD AFFECT MEMORIAL MEDICAL CENTER'S ABILITY TO CONTINUE DELIVERING ITS ALREADY SUBSTANTIAL COMMUNITY BENIFIT. ABRAHAM LINCOLN MEMORIAL HOSPITAL(ALMH) PAID FUNDS OF $15,517 TO HEALTHCARE ASSOCIATIONS TO AID AND ASSIST HOSPITALS REGARDING LEGISLATVE CHANGES. TAYLORVILLE MEMORIAL HOSPITAL(TMH) PAID FUNDS OF $14,752 TO HEALTHCARE ASSOCIATIONS TO AID AND ASSIST HOSPITALS REGARDING LEGISLATIVE CHANGES. MEMORIAL HOME SERVICES(MHSVC) PAID FUNDS OF $783 TO HEALTHCARE ASSOCIATIONS TO AID AND ASSIST HEALTHCARE ORGANIZATIONS REGARDING LEGISLATIVE CHANGES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance7410408BeginningOfYearBalance
Contributions48483Contributions
Investment Earnings Or Losses-47525InvestmentEarningsOrLosses
Other Expenditures42758OtherExpenditures
Administrative Expenses97366AdministrativeExpenses
End Of Year Balance7271242EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5942467BeginningOfYearBalance
Contributions1050046Contributions
Investment Earnings Or Losses599812InvestmentEarningsOrLosses
Grants Or Scholarships35500GrantsOrScholarships
Other Expenditures107317OtherExpenditures
Administrative Expenses39101AdministrativeExpenses
End Of Year Balance7410407EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5911356BeginningOfYearBalance
Contributions35189Contributions
Investment Earnings Or Losses194785InvestmentEarningsOrLosses
Grants Or Scholarships53949GrantsOrScholarships
Other Expenditures107863OtherExpenditures
Administrative Expenses37051AdministrativeExpenses
End Of Year Balance5942467EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.15000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.85000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis971929InvestmentCostOrOtherBasis
Other Cost Or Other Basis6685570OtherCostOrOtherBasis
Book Value7657499BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2808690InvestmentCostOrOtherBasis
Other Cost Or Other Basis247256629OtherCostOrOtherBasis
Depreciation116525905Depreciation
Book Value133539414BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2306853OtherCostOrOtherBasis
Depreciation1236940Depreciation
Book Value1069913BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis4978InvestmentCostOrOtherBasis
Other Cost Or Other Basis158946514OtherCostOrOtherBasis
Depreciation97228534Depreciation
Book Value61722958BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis87606644OtherCostOrOtherBasis
Depreciation27967780Depreciation
Book Value59638864BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings263628648TotalOfBookValueLandBuildings

Other Assets OtherAssets (10 entries)

DescriptionDescriptionBook ValueBookValue
DONOR RESTRICTED ASSETS - LITTLER TRUST21081634
UNCONSOLIDATED AFFILIATE14624075
INSURANCE RECOVERABLES4677086
UNAMORTIZED BOND DISCOUNTS AND ISSUE COSTS3574648
REAL ESTATE INVESTMENT1231005
CHARITABLE REMAINDER TRUST762302
PARTNERSHIP INVESTMENTS379996
DUE FROM AFFILIATES732375
CASH SURRENDER VALUE OF LIFE INSURANCE144599
OTHER RECEIVABLES61481
FieldValueIRS element (for citing)
Total Book Value Other Assets47269201TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$9,928,190
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$28,096,371
MINIMUM PENSION LIABILITY$71,954,894
RESERVE FOR POST EMPLOYMENT BENEFITS$8,836,610
SWAP LIABILITY$4,708,883
WORKERS' COMPENSATION AND PROFESSIONAL LIABILITY$20,859,269
OTHER$6,367,270
FieldValueIRS element (for citing)
Total Of Amounts150751487TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:MEMORIAL HOME SERVICES HAS ONE PERMANENTLY RESTRICTED ENDOWMENT FUND WITH INCOME TO BE USED FOR OPERATING EXPENSES. MEMORIAL MEDICAL CENTER FOUNDATION'S ENDOWMENT FUNDS CONSIST OF 30 INDIVIDUAL DONOR-RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE FOUNDATION HAS A POLICY OF APPROPRIATING FOR DISTRIBUTION EASH YEAR 5% OF ITS ENDOWMENT FUND'S MOVING AVERAGE FAIR VALUE OVER THE PRIOR 36 MONTHS AS OF SEPTEMBER 30 OF THE PRECEEDING FISCAL YEAR IN WHICH THE DISTRIBUTION IS PLANNED. IN ESTABLISHING THIS POLICY, THE FOUNDATION CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENTS. ACCORDINGLY, OVER THE LONG TERM, THE FOUNDATION EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT AN AVERAGE OF THE LONG-TERM RATE OF INFLATION.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:EFFECTIVE OCTOBER 1, 2008, MEMORIAL HEALTH SYSTEM ADOPTED GUIDANCE PROVIDED BY THE RECOGNITION SUBSECTION OF THE INCOME TAXES TOPIC OF THE FASB ACCOUNTING STANDARDS CODIFICATION. THIS SUBTOPIC PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ADOPTION OF THIS GUIDANCE DID NOT HAVE AN IMPACT ON THE FY 11 CONSOLIDATED BALANCE SHEETS, CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS, AND CONSOLIDATED STATEMENTS OF CASH FLOWS.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1WOODBURN KYLE & COMPANYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 EAST FIRST STREETAddressLine1
CityMADISONCity
StateINState
ZIP Code47250ZIPCode
FieldValueIRS element (for citing)
ActivityCONSULTING ON FUNDRAISINGActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts55324GrossReceipts
Amount Retained By Contractor36000AmountRetainedByContractor
Net To Organization19324NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts55324TotalGrossReceipts
Total Retained By Contractors36000TotalRetainedByContractors
Total Net To Organization19324TotalNetToOrganization
Licensed StatesILLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1FESTIVAL OF TREES (MMCF)NameOfEvent1
Gross Receipts Event1471553GrossReceiptsEvent1
Charitable Contributions Event1241140CharitableContributionsEvent1
Gross Revenue Event1230413GrossRevenueEvent1
Non Cash Prizes Event140665NonCashPrizesEvent1
Rent Facility Costs Event112452RentFacilityCostsEvent1
Food And Beverage Event142277FoodAndBeverageEvent1
Entertainment Event1550EntertainmentEvent1
Other Direct Expenses Event1100819OtherDirectExpensesEvent1
Name Of Event2GOLF OUTING (ALHF)NameOfEvent2
Gross Receipts Event229119GrossReceiptsEvent2
Charitable Contributions Event211182CharitableContributionsEvent2
Gross Revenue Event217937GrossRevenueEvent2
Cash Prizes Event2600CashPrizesEvent2
Rent Facility Costs Event24600RentFacilityCostsEvent2
Food And Beverage Event24272FoodAndBeverageEvent2
Other Direct Expenses Event2800OtherDirectExpensesEvent2
Total Number Of Other Events8TotalNumberOfOtherEvents
Gross Receipts Other Events75291GrossReceiptsOtherEvents
Charitable Contrib Other Events21926CharitableContribOtherEvents
Gross Revenue Other Events53365GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events10471NonCashPrizesOtherEvents
Rent Facility Costs Other Events1678RentFacilityCostsOtherEvents
Food And Beverage Other Events9115FoodAndBeverageOtherEvents
Entertainment Other Events500EntertainmentOtherEvents
Other Direct Expenses Other Events17230OtherDirectExpensesOtherEvents
Gross Receipts Total575963GrossReceiptsTotal
Charitable Contributions Total274248CharitableContributionsTotal
Gross Revenue Total Events301715GrossRevenueTotalEvents
Cash Prizes Total Events600CashPrizesTotalEvents
Non Cash Prizes Total Events51136NonCashPrizesTotalEvents
Rent Facility Costs Total Events18730RentFacilityCostsTotalEvents
Food And Beverage Total Events55664FoodAndBeverageTotalEvents
Entertainment Total Events1050EntertainmentTotalEvents
Other Direct Expenses Total Events118849OtherDirectExpensesTotalEvents
Direct Expense Summary Events246029DirectExpenseSummaryEvents
Net Income Summary55686NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF FUNDRAISING PAYMENTSIdentifier
Return ReferenceSCHEDULE G, PART I, LINE 2B, COLUMN (V)ReturnReference
ExplanationCONSULTING FEES FOR TAYLORVILLE MEMORIAL HOSPITAL FOUNDATIONExplanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Tailored To Ind HospitalsXPolicyTailoredToIndHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage750.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served12444PersonsServed
Total Community Benefit Expense17534958TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense17534958NetCommunityBenefitExpense
Percent Of Total Expense0.02490PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served78507PersonsServed
Total Community Benefit Expense78474067TotalCommunityBenefitExpense
Direct Offsetting Revenue65541840DirectOffsettingRevenue
Net Community Benefit Expense12932227NetCommunityBenefitExpense
Percent Of Total Expense0.01830PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served466PersonsServed
Total Community Benefit Expense214034TotalCommunityBenefitExpense
Direct Offsetting Revenue425419DirectOffsettingRevenue
Net Community Benefit Expense-211385NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served91417PersonsServed
Total Community Benefit Expense96223059TotalCommunityBenefitExpense
Direct Offsetting Revenue65967259DirectOffsettingRevenue
Net Community Benefit Expense30255800NetCommunityBenefitExpense
Percent Of Total Expense0.04320PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs71NumberOfActivitiesOrPrograms
Persons Served16652PersonsServed
Total Community Benefit Expense1284597TotalCommunityBenefitExpense
Direct Offsetting Revenue6470DirectOffsettingRevenue
Net Community Benefit Expense1278127NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs34NumberOfActivitiesOrPrograms
Persons Served2747PersonsServed
Total Community Benefit Expense23141475TotalCommunityBenefitExpense
Direct Offsetting Revenue4647278DirectOffsettingRevenue
Net Community Benefit Expense18494197NetCommunityBenefitExpense
Percent Of Total Expense0.02620PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served90PersonsServed
Total Community Benefit Expense4258TotalCommunityBenefitExpense
Net Community Benefit Expense4258NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Total Community Benefit Expense273691TotalCommunityBenefitExpense
Net Community Benefit Expense273691NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs25NumberOfActivitiesOrPrograms
Persons Served100PersonsServed
Total Community Benefit Expense893492TotalCommunityBenefitExpense
Net Community Benefit Expense893492NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs136NumberOfActivitiesOrPrograms
Persons Served19589PersonsServed
Total Community Benefit Expense25597513TotalCommunityBenefitExpense
Direct Offsetting Revenue4653748DirectOffsettingRevenue
Net Community Benefit Expense20943765NetCommunityBenefitExpense
Percent Of Total Expense0.02970PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs148NumberOfActivitiesOrPrograms
Persons Served111006PersonsServed
Total Community Benefit Expense121820572TotalCommunityBenefitExpense
Direct Offsetting Revenue70621007DirectOffsettingRevenue
Net Community Benefit Expense51199565NetCommunityBenefitExpense
Percent Of Total Expense0.07290PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Total Community Building Expense7941TotalCommunityBuildingExpense
Net Community Building Expense7941NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs27NumberOfActivitiesOrPrograms
Total Community Building Expense252625TotalCommunityBuildingExpense
Net Community Building Expense252625NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Total Community Building Expense1858TotalCommunityBuildingExpense
Net Community Building Expense1858NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs21NumberOfActivitiesOrPrograms
Total Community Building Expense3926TotalCommunityBuildingExpense
Net Community Building Expense3926NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs15NumberOfActivitiesOrPrograms
Persons Served20PersonsServed
Total Community Building Expense2629TotalCommunityBuildingExpense
Net Community Building Expense2629NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense12466TotalCommunityBuildingExpense
Net Community Building Expense12466NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served219PersonsServed
Total Community Building Expense63047TotalCommunityBuildingExpense
Net Community Building Expense63047NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense32900TotalCommunityBuildingExpense
Net Community Building Expense32900NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs90NumberOfActivitiesOrPrograms
Persons Served239PersonsServed
Total Community Building Expense377392TotalCommunityBuildingExpense
Net Community Building Expense377392NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,391,069BadDebtExpenseAmount
Amount Reimbursed By Medicare202111232AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare220981174CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-18869942MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities3NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursCritical Access HospitalCriticalAccessHospital
MEMORIAL MEDICAL CENTER
1701 NORTH FIRST STREETSPRINGFIELDIL62781XXXXX
ABRAHAM LINCOLN MEMORIAL HOSPITAL
9200 STALHUT DRIVELINCOLNIL62656XXXX
TAYLORVILLE MEMORIAL HOSPITAL
10201 E PLEASANTTAYLORVILLEIL62568XXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NOT REQUIREDBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities20NumberOfOtherFacilities

Other Facilities OtherFacilities (20 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SPINEWORKS PAIN CLINIC
501 NORTH FIRST STREETSPRINGFIELDIL62702OUTPATIENT SERVICES
KOKE MILL MEDICAL ASSOCIATES
3132 OLD JACKSONVILLE RDSPRINGFIELDIL62704MPS PHYSICIAN
FAMILY MEDICAL CENTER OF LINCOLN
515 NORTH COLLEGE STREETLINCOLNIL62526MPS PHYSICIAN
WOMEN'S HEALTHCARE
747 NORTH RUTLEDGESPRINGFIELDIL62701MPS PHYSICIAN
THE WOUND HEALING CENTER
901 NORTH FIRST STREETSPRINGFIELDIL62702OUTPATIENT SERVICES
FAMILY MEDICAL CENTER OF CHATHAM
101 EAST PLUMMERCHATHAMIL62629MPS PHYSICIAN
CAPITOL HEALTHCARE MEDICAL ASSOCIATES
2603 SOUTH SIXTHSPRINGFIELDIL62703MPS PHYSICIAN
JACKSONVILLE FAMILY MEDICAL ASSOCIATES
1602 WEST LAFAYETTEJACKSONVILLEIL62650MPS PHYSICIAN
JACKSONVILLE PEDIATRIC ASSOCIATES
1600 WEST WALNUTJACKSONVILLEIL62650MPS PHYSICIAN
MEMORIAL EXPRESSCARE AT SOUTH SIXTH
2950 SOUTH SIXTH STREETSPRINGFIELDIL62703ANCILLARY SERVICES
MEMORIAL INDUSTRIAL REHAB
775 ENGINERING DRIVESPRINGFIELDIL62703OUTPATIENT SERVICES
MEMORIAL EXPRESSCARE AT KOKE MILL
3132 OLD JACKSONVILLE RDSPRINGFIELDIL62704ANCILLARY SERVICES
MEMORIAL EXPRESSCARE AT NORTH DIRKSEN
3220 ATLANTA STREETSPRINGFIELDIL62702ANCILLARY SERVICES
MENARD MEDICAL CENTER
1 CENTRE DRIVEPETERSBURGIL62675OUTPATIENT SERVICES
JACKSONVILLE FAMILY PRATICE
800 WEST STATE STREETJACKSONVILLEIL62650MPS PHYSICIAN
NORTH DIRKSEN MEDICAL ASSOCIATES
3220 ATLANTA STREETSPRINGFIELDIL62707MPS PHYSICIAN
BENJAMIN MONTGOMERY MD
1606 WEST LAFAYETTEJACKSONVILLEIL62650MPS PHYSICIAN
SOUTH SIXTH MEDICAL ASSOCIATES
2950 SOUTH SIXTH STREETSPRINGFIELDIL62703MPS PHYSICIAN
DAVID COULTAS MD
1606 WEST LAFAYETTEJACKSONVILLEIL62650MPS PHYSICIAN
MICHELLE COLEN MD
800 WEST STATE STREETJACKSONVILLEIL62650MPS PHYSICIAN

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS AVAILABLE ON THE WEBSITES OF ALL THREE MEMORIAL HEALTH SYSTEM HOSPITALS, AS WELL AS ITS AFFILIATE WEBSITES.
PART I, LINE 7: THE COSTING METHODOLOGY FOR CHARITY CARE, MEDICAID, AND OTHER MEANS TESTED PROGRAMS WAS DERIVED FROM EACH HOSPITAL'S COST ACCOUNTING SYSTEM. THIS SYSTEM HAS THE ABILITY TO COMPUTE THE ACTUAL COST OF ALL MEDICAL PROCEDURES AT THE PATIENT-ACCOUNT LEVEL REGARDLESS OF PAYOR TYPE OR WHETHER THE PATIENT WAS INPATIENT OR OUTPATIENT. THE ONLY CATEGORY BY WHICH A COST TO CHARGE RATIO WAS UTILIZED FOR SCHEDULE H IS FOR THE DETERMINATION OF BAD DEBT EXPENSE AT COST IN PART III, SECTION A, LINE 2.
PART II: COMMUNITY BUILDING ACTIVITIESMEMORIAL MEDICAL CENTER PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITIES THAT ARE NOT ACCOUNTED FOR ELSEWHERE ON SCHEDULE H. IT SUPPORTS THE UNITED WAY OF CENTRAL ILLINOIS, WHICH, FOLLOWING AN EXTENSIVE COMMUNITY NEED ASSESSMENT, IS CREATING A CONTINUUM OF LEARNING FROM BIRTH THROUGH YOUNG ADULT. UNITED WAY ALSO FUNDS CRITICAL SERVICES SUCH AS ACCESS TO FOOD, SHELTER, HEALTHCARE AND VICTIM SERVICES.MEMORIAL MEDICAL CENTER SUPPORTS ECONOMIC DEVELOPMENT THROUGH THE MID-ILLINOIS MEDICAL DISTRICT AS WELL AS THE SPRINGFIELD CHAMBER OF COMMERCE'S QUANTUM GROWTH PARTNERSHIP, WHICH HAS A STRATEGIC PLAN TO IMPROVE THE LOCAL ECONOMY. AS THE LARGEST LOCAL EMPLOYER OUTSIDE OF STATE GOVERNMENT, MEMORIAL MEDICAL CENTER IS AN IMPORTANT ECONOMIC LINK THAT PROVIDES EMPLOYMENT AND BENEFITS FOR THOUSANDS OF FAMILIES. WORKFORCE DEVELOPMENT IS A KEY AREA OF INVOLVEMENT AS MEMORIAL MEDICAL CENTER COLLABORATES WITH OTHERS TO EXPAND OPPORTUNITIES TO TRAIN AND RECRUIT HEALTHCARE PROFESSIONALS TO EXPAND ACCESS IN RURAL AREAS.LEADERS FROM MEMORIAL MEDICAL CENTER ALSO VOLUNTEER ON A WIDE RANGE OF LOCAL NONPROFIT BOARDS SUCH AS THE UNITED WAY, HELPING HANDS HOMELESS SHELTER, SPRINGFIELD URBAN LEAGUE, CENTRAL ILLINOIS FOOD BANK, SANGAMON COUNTY CONTINUUM OF LEARNING, GIRL SCOUTS OF CENTRAL ILLINOIS, MID-ILLINOIS MEDICAL DISTRICT AT SPRINGFIELD, SPRINGFIELD YMCA, AND THE GREATER SPRINGFIELD CHAMBER OF COMMERCE. MEMORIAL MEDICAL CENTER ALSO SUPPORTS THE FUNDRAISING ACTIVITIES OF SUCH ORGANIZATIONS AS THE SPRINGFIELD URBAN LEAGUE, CENTRAL ILLINOIS FOOD BANK, YMCA, LOCAL AMERICAN CANCER SOCIETY, LOCAL AMERICAN HEART ASSOCIATION, SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINES SIMMONS CANCER INSTITUTE, UNITED WAY AND OTHERS. MMC ALSO COLLABORATES WITH LOCAL SCHOOLS TO OFFER MULTIPLE OPPORTUNITIES FOR STUDENTS TO EXPLORE HEALTHCARE CAREER OPTIONS. AS ONE OF THE LARGEST EMPLOYERS IN LOGAN COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL(ALMH) IS AN IMPORTANT ECONOMIC LINK THAT PROVIDES EMPLOYMENT AND BENEFITS FOR 280 FAMILIES. ALMH AND ABRAHAM LINCOLN HEALTHCARE FOUNDATION (ALHF) FINANCIALLY CONTRIBUTE TO THE LOGAN COUNTY ECONOMIC DEVELOPMENT PARTNERSHIP, LINCOLN ART & BALLOON FESTIVAL AND THE LOGAN COUNTY FOOD BANK. SUPPORT IS ALSO PROVIDED FOR THE LOCAL MULTIPLE SCLEROSIS WALK AND THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE. ALMH IS A MEMBER OF THE LINCOLN/LOGAN COUNTY CHAMBER OF COMMERCE AND THE LOGAN COUNTY ECONOMIC DEVELOPMENT PARTNERSHIP, WHICH ARE ACTIVELY WORKING TO IMPROVE THE ECONOMIC VITALITY OF LOGAN COUNTY. AN ALMH TEAM MEMBER SITS ON EACH OF THESE BOARDS. ALMH ALSO PROVIDED IN-KIND SUPPORT IN THE FORM OF MEETING SPACE FOR THE CHAMBER'S LEADERSHIP ACADEMY. THIS 8-WEEK PROGRAM PREPARES COMMUNITY MEMBERS FOR COMMUNITY LEADERSHIP ROLES. ABRAHAM LINCOLN MEMORIAL HOSPITAL'S COMMUNITY BUILDING ACTIVITIES INCLUDE STAFF WHO VOLUNTEER FOR LEADERSHIP ON LOCAL NONPROFIT BOARDS FOR ORGANIZATIONS THAT IMPACT THE HEALTH AND QUALITY OF LIFE FOR OUR COMMUNITY. AMONG THESE ARE THE LINCOLN/LOGAN COUNTY CHAMBER OF COMMERCE, THE LOGAN COUNTY ECONOMIC DEVELOPMENT PARTNERSHIP, THE LINCOLN ART & BALLOON FESTIVAL, TOGETHER FOR LINCOLN, LINCOLN ROTARY CLUB, ZONTA, LOGAN COUNTY BOARD OF HEALTH, UNITED WAY OF LOGAN COUNTY, LOGAN COUNTY FOOD BANK, LOCAL AMERICAN CANCER SOCIETY RELAY FOR LIFE, COMMUNITY CHILD CARE CONNECTION, COMMUNITY & CHILDREN'S HEALTH FAIR PLANNING COMMITTEE, 'FROM THE GROUND UP' COMMUNITY BEAUTIFICATION TEAM, APEX AT CITY CENTER TASK FORCE, CAPCIL (COMMUNITY ACTION OF CENTRAL ILLINOIS) HEALTH ADVISORY COMMITTEE, PROFESSIONAL CONSULTATION COMMITTEE FOR CLINICAL PASTORAL EDUCATION, LEPC (LOCAL EMERGENCY PLANNING COMMITTEE). TAYLORVILLE MEMORIAL HOSPITAL COMMUNITY BUILDING ACTIVITIES INCLUDE STAFF WHO VOLUNTEER FOR LEADERSHIP ON LOCAL NONPROFIT BOARDS FOR ORGANIZATIONS THAT IMPACT THE HEALTH AND QUALITY OF LIFE FOR OUR COMMUNITY. AMONG THESE ARE THE UNITED WAY OF CHRISTIAN COUNTY, CHRISTIAN COUNTY YMCA, TAYLORVILLE SERTOMA CLUB, AMERICAN CANCER SOCIETY RELAY FOR LIFE OF CHRISTIAN COUNTY, CHRISTIAN COUNTY ECONOMIC DEVELOPMENT CORPORATION AND TAYLORVILLE DEVELOPMENT ASSOCIATION.
PART III, LINE 4: MEMORIAL MEDICAL CENTER'S BAD DEBT EXPENSE AT COST WAS DETERMINED BY COMPUTING A COST TO CHARGE RATIO AND APPLYING THIS RATIO AGAINST BAD DEBT EXPENSE AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDED 9/30/2011.THE COST TO CHARGE RATIO WAS CALCULATED AS FOLLOWS:TOTAL OPERATING EXPENSES PER AUDITED FINANCIAL STMTS $555,332,384LESS:OTHER OPERATING REVENUE (BEFORE CAPITATION ADJ) (14,577,240)PURCHASED MEDICAL SERVICES CAPITATION (35,516,824)HOSPITAL PROVIDER ASSESSMENT (11,366,455)BAD DEBT EXPENSE (13,379,150)ADJUSTED OPERATING EXPENSES $480,492,715GROSS PATIENT SERVICE REVENUE (BEFORE CAPITATION) $1,537,050,557RATIO OF COST TO CHARGES FOR BAD DEBT COSTING 31.3%ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL USED THE METHOD PRESCRIBED IN WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.FOOTNOTE 2 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MEMORIAL HEALTH SYSTEM CONTAINS A SPECIFIC FOOTNOTE RELATING TO BAD DEBT EXPENSE, AS FOLLOWS:THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED AMOUNTS TO BE COLLECTED, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ITS REVIEW OF ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING. THIS REVIEW TAKES INTO CONSIDERATION RECENT WRITE OFF EXPERIENCE BY PAYOR CATEGORY, PAYOR AGREEMENT RATE CHANGES, AND OTHER FACTORS. THE RESULTS OF THIS EVALUATION IS USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, MEMORIAL HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES.THE HOSPITALS OF MEMORIAL HEALTH SYSTEM DO NOT INCLUDE BAD DEBT AMOUNTS IN COMMUNITY BENEFIT.
PART III, LINE 8: THE COSTING METHODOLOGY UTILIZED FOR THE DETERMINATION OF MEMORIAL MEDICAL CENTER'S MEDICARE ALLOWABLE COST (SCHEDULE H, PART III, LINE 6) WAS CALCULATED AS FOLLOWS:MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL UTILIZED MEDICARE COSTING DATA FROM THE FISCAL YEAR ENDED 9/30/2011 MEDICARE COST REPORT AS FILED. MEMORIAL MEDICAL CENTER WAS ABLE TO CAPTURE THE MEDICARE COSTING FOR INPATIENT MEDICAL SURGICAL, INPATIENT PSYCHIATRIC, INPATIENT REHABILITATION, AND OUTPATIENT MEDICAL SURGICAL SERVICES DURING THAT FISCAL PERIOD. THIS COSTING DATA EXCLUDED THE DIRECT MEDICAL EDUCATION COST FOR THE RESIDENCY PROGRAM ASSOCIATED WITH THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. THIS COST WAS INCLUDED IN THE HEALTH PROFESSIONS EDUCATION SECTION OF PART I, LINE 7 (F) OF SCHEDULE H.OTHER SECTIONS OF MEDICARE COST THAT WOULD NORMALLY BE EXCLUDED FROM THE MEDICARE COST REPORT BUT SHOULD BE INCLUDED FOR PURPOSES OF THIS SCHEDULE ARE THE FOLLOWING:1. MEMORIAL MEDICAL CENTER'S ESRD PROGRAM - THIS PROGRAM RELATED TO THE END-STAGE RENAL DIALYSIS PROGRAM. THE PROGRAM IS REFLECTED ON THE W/S I OF THE COST REPORT BUT DOES NOT HAVE A SETTLEMENT. 2. MEMORIAL MEDICAL CENTER'S OUTPATIENT CLINICAL LAB CHARGES - THESE MEDICARE OUTPATIENT CHARGES ARE PAID ON A FEE-FOR-SERVICE BASIS AND ARE NOT REFLECTED ON THE AS FILED MEDICARE COST REPORT. 3. MEMORIAL MEDICAL CENTER'S OUTPATIENT THERAPY SERVICES - THESE MEDICARE OUTPATIENT CHARGES RELATED TO THERAPEUTIC SERVICES, SUCH AS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY SERVICES, ARE SUBJECT TO A FEE-FOR-SERVICE PAYMENT METHOD AND NOT FILED ON THE MEDICARE COST REPORT.4. PART B PROFESSIONAL FEES - MEMORIAL MEDICAL CENTER HAS ITS PART B MEDICARE PROFESSIONAL FEES BILLED THROUGH A SEPARATE CORPORATION OF MEMORIAL HEALTH SYSTEM. THE BILLING SERVICE IS CALLED PHYSICIAN BILLING SERVICE. IT BILLS FOR THE PROFESSIONAL FEES ON BEHALF OF MEMORIAL MEDICAL CENTER AND SWEEPS THE MEDICARE PAYMENTS BACK TO IT. SOME OF THE PROFESSIONAL FEES BILLED BY PHYSICIAN BILLING SERVICE ARE CRNA, HEARING CENTER, SPINEWORKS CLINIC, HEART FAILURE CLINIC, CLINICAL PSYCHOLOGISTS, DIETARY CONSULTING, BARIATRIC SURGERY AND EKG INTERPRETATIONS. THESE SERVICES ARE TYPICALLY EXCLUDED FROM THE MEDICARE COST REPORT BUT SHOULD BE INCLUDED FOR PURPOSE OF SCHEDULE H.THE MEDICARE CHARGES ASSOCIATED WITH BULLET POINTS 1 THROUGH 4 ABOVE WERE APPLIED TO THE CALCULATED COST TO CHARGE RATIOS FROM THE MEDICARE COST REPORT TO DETERMINE ITS COST. THIS COST DATA, ALONG WITH THE COST DATA ALREADY COMPILED FROM THE AS FILED MEDICARE COST REPORT WAS THE BASIS FOR THE ALLOWABLE MEDICARE COST OF $192,483,728. THE TOTAL SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7 WAS $18,869,942. THE ENTIRE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT FOR MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL. THIS SHORTFALL REFLECTS THE EXCESS COSTS INCURRED BY MEMORIAL MEDICAL CENTER THAT CURRENT FEE-FOR-SERVICE PAYMENTS PRESENTLY DO NOT COVER. THESE ARE VITAL SERVICES TO THE COMMUNITY THESE THREE HOSPITALS SERVE THAT CURRENT MEDICARE PAYMENTS DO NOT COVER.IN THE COMMUNITY THAT MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLOVILLE MEMORIAL HOSPITAL SERVE, MEDICARE IS AN IMPORTANT PAYOR. ACCORDINGLY, ALL THREE HOSPITALS ACCEPT MEDICARE PATIENTS REGARDLESS OF WHETHER THEIR TREATMENTS WILL RESULT IN A SURPLUS OR DEFICIT TO THE HOSPITAL. BY PROVIDING THESE SERVICES TO MEDICARE PATIENTS, THE MHS HOSPITALS PROMOTE ACCESS TO HEALTH CARE AND PROVIDE A COMMUNITY BENEFIT. ADDITIONALLY, THE ELDERLY ARE OFTEN AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE SERVICES, CMS AND THE U.S. GOVERNMENT WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY. ACCORDINGLY, MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL HAVE LESSENED THE BURDENS OF GOVERNMENT BY PROVIDING SERVICES TO THIS AT-RISK POPULATION.
PART III, LINE 9B: MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL PROACTIVELY INFORM PATIENTS OF THEIR CHARITY CARE AND UNINSURED DISCOUNT ASSISTANCE AND THE ELIGIBILITY CRITERIA, WHICH EXTENDS UP TO 750% OF FEDERAL POVERTY GUIDELINES. A FINANCIAL ASSISTANCE/BILLING LINK ON EACH HOSPITAL WEBSITE GOES TO BILLING INFORMATION WHICH INCLUDES A LINK TO THE CHARITY CARE AND UNINSURED DISCOUNT PROGRAM INFORMATION AND APPLICATION. THE APPLICATION FORM IS AVAILABLE IN SPANISH AS WELL AS ENGLISH. FOREIGN LANGUAGE TRANSLATION ASSISTANCE IS AVAILABLE UPON REQUEST. INFORMATION ON THE AVAILABILITY OF CHARITY CARE AND UNINSURED DISCOUNT ASSISTANCE IS POSTED AT ALL PATIENT REGISTRATION POINTS, INCLUDING THE EMERGENCY DEPARTMENT. THE "PEACE OF MIND REGARDING PAYMENT" BROCHURE IS OFFERED TO EVERY PATIENT AT EVERY VISIT AND IS AVAILABLE IN SPANISH. EMPLOYEES IN PATIENT REGISTRATION, PATIENT FINANCIAL SERVICES AND SOCIAL SERVICES ARE TRAINED TO UNDERSTAND THE CHARITY CARE POLICY AND KNOW HOW TO DIRECT QUESTIONS TO THE APPROPRIATE HOSPITAL REPRESENTATIVE. HOSPITAL STAFF WHO REGULARLY INTERACT WITH PATIENTS ARE TRAINED AND KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY. IF NECESSARY, THEY ARE ABLE TO DIRECT PATIENT QUESTIONS REGARDING THE POLICY TO A KNOWLEDGEABLE HOSPITAL REPRESENTATIVE WHO IS ALSO ABLE TO DISCUSS WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID OR OTHER STATE PROGRAMS, AND ASSIST THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. EACH HOSPITAL EMPLOYS PATIENT FINANCIAL COUNSELORS WHOSE JOB IS TO VISIT ALL INPATIENTS WHO ARE IDENTIFIED AS SELF-PAY WITHIN 24 HOURS OF ADMISSION. THE FINANCIAL COUNSELORS PROVIDE INFORMATION ON CHARITY CARE AND UNINSURED DISCOUNTS AND, IF THE PATIENT HAS APPROPRIATE INFORMATION, COMPLETE THE CHARITY CARE APPLICATION ON THE SPOT. ANY SELF-PAY INPATIENT WHO MAY HAVE BEEN DISCHARGED WITHOUT A VISIT FROM THE FINANCIAL COUNSELOR RECEIVES A FOLLOW-UP PHONE CALL OR CHARITY CARE APPLICATION PACKET IN THE MAIL. IF INPATIENTS ARE IDENTIFIED AS BEING ELIGIBLE FOR MEDICAID OR OTHER GOVERNMENT BENEFITS, THIS APPLICATION PROCESS IS ALSO IMMEDIATELY STARTED WHILE THEY ARE PATIENTS. MEMORIAL MEDICAL CENTER EMPLOYS A FULL-TIME MEDICAID COORDINATOR WHO CONTINUES WORKING WITH PATIENTS POST-DISCHARGE TO WALK THEM THROUGH THE ENTIRE APPLICATION PROCESS. EVERY HOSPITAL BILLING STATEMENT INCLUDES FINANCIAL ASSISTANCE INFORMATION WITH A PHONE NUMBER TO CALL FOR INFORMATION. PATIENTS ARE ENCOURAGED TO INQUIRE ABOUT FINANCIAL ASSISTANCE AT ANY STAGE OF THE BILLING PROCESS.THE MHS HOSPITALS STRIVE TO HAVE A CONSISTENT AND COURTEOUS APPROACH TO COLLECTIONS. MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL OFFER FINANCIAL COUNSELING AND SCREENING TO PATIENTS TO ENSURE THAT ANY OTHER POTENTIAL THIRD PARTY COVERAGE UNDER OTHER GOVERNMENT PROGRAMS SUCH AS MEDICAID CAN BE IDENTIFIED. MEMORIAL MEDICAL CENTER WILL NOT REFER ACCOUNTS TO A COLLECTION AGENCY, FILE ANY LAWSUIT, OR GARNISH WAGES AGAINST ANY PARTICULAR PATIENT TO COLLECT MEDICAL DEBT UNTIL MMC VERIFIES THE FOLLOWING: REASONABLE BASIS FOR BELIEVING PATIENT OWES THE DEBT; MMC WILL MAKE ALL REASONABLE ATTEMPTS TO BILL THIRD PARTY PAYERS AND CONFIRM ANY REMAINING AMOUNTS ARE TRULY THE FINANCIAL RESPONSIBILITY OF THE PATIENT; WHEN THE PATIENT HAS INDICATED AN INABILITY TO PAY (MMC WILL VERIFY THE INABILITY TO PAY) AND MMC WILL OFFER A REASONABLE PAYMENT PLAN AND; THE PATIENT HAS BEEN GIVEN A REASONABLE OPPORTUNITY TO SUBMIT AN APPLICATION FOR CHARITY CARE. ALL HOSPITALS HAVE A CODE OF CONDUCT POLICY THAT SETS FORTH CERTAIN PRINCIPLES TO WHICH AGENCIES, REPRESENTATIVES AND COLLECTORS ARE EXPECTED TO ADHERE. THE AGENCIES ARE REQUIRED TO COMPLY WITH ALL OF THE RELEVANT TERMS OF THE FAIR PATIENT BILLING ACT, AND, IN PARTICULAR, SECTION 30(C) WHICH ENUMERATES CERTAIN PREREQUISITE CONDITIONS WHICH MUST BE SATISFIED BEFORE AN AGENCY CAN INITIATE ANY LEGAL ACTION AGAINST A PATIENT WHICH IS RELATED TO A FAILURE BY THAT PATIENT TO PAY A HOSPITAL BILL. THE AGENCIES ARE ALSO REQUIRED TO COMPLY WITH ALL OF THE RELEVANT TERMS OF THE ACA INTERNATIONAL CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY.ONCE A CHARITY CARE DETERMINATION IS MADE, ALL COLLECTION EFFORTS CEASE. IF AN ACCOUNT IS AT A COLLECTION AGENCY, THE ACCOUNT IS RETURNED BACK TO THE HOSPITAL FOR CHARITY PROCESSING.ALL PATIENT COMPLAINTS REGARDING DISSATISFACTION WITH SERVICES RENDERED OR BILLING ISSUES ARE HANDLED PROMPTLY AND IN A COURTEOUS MANNER TO ENSURE THAT CUSTOMER SERVICE REMAINS THE FOCUS OF ANY PATIENT CONCERN. ALL COMPLAINTS ARE CONSIDERED VALID AND PATIENT FEEDBACK IS WELCOME WITH RESPECT TO DISPUTED MATTERS.
PART VI, LINE 2: NEEDS ASSESSMENTTHE MISSION OF MEMORIAL HEALTH SYSTEM IS TO HELP MAINTAIN, RESTORE AND IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. THE COMMUNITY BENEFIT COMMITTEE OF THE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSEEING AND MAKING RECOMMENDATIONS WITH RESPECT TO ALL FORMS OF BENEFIT PROVIDED BY MHS AND ITS AFFILIATES, INCLUDING OUR CHARITY CARE POLICY AND PERFORMANCE. THE COMMITTEE OVERSEES THE COMMUNITY BENEFIT PROCESS FOR THE THREE MHS HOSPITALS: MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL. THE COMMITTEE ALSO APPROVES THE ANNUAL COMMUNITY BENEFIT POLICY AND COMMUNITY NEEDS ASSESSMENT AND RECOMMENDS TO THE BOARD THE ANNUAL COMMUNITY BENEFIT PLAN AND BUDGET. THE COMMITTEE MEETS QUARTERLY TO RECEIVE UPDATES ON THE COMMUNITY BENEFIT PROGRAMS AND ANNUALLY RATES THE SUCCESS IN MEETING THE COMMUNITY BENEFIT PLAN'S GOALS.MEMORIAL HEALTH SYSTEM PARTICIPATES IN NUMEROUS NEED ASSESSMENTS CONDUCTED BY LOCAL AGENCIES IN SANGAMON, LOGAN AND CHRISTIAN COUNTIES. THESE INCLUDE THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH'S "ILLINOIS PROJECT FOR LOCAL ASSESSMENTS OF NEEDS"(IPLAN) FOR LOCAL PUBLIC HEALTH DEPARTMENTS IN SANGAMON, LOGAN AND CHRISTIAN COUNTIES. MHS HAS PARTICIPATED IN ADDITIONAL NEED ASSESSMENTS CONDUCTED BY LOCAL UNITED WAYS, LOGAN COUNTY HEALTHY COMMUNITIES PARTNERSHIP, THE SANGAMON COUNTY MEDICAL SOCIETY, SANGAMON COUNTY COMMUNITY HEALTH INITIATIVE, LOCAL CHAMBERS OF COMMERCE, YMCAS AND OTHERS. ADDITIONAL INFORMATION TO ASSESS NEED COMES FROM HOSPITAL ADMISSIONS AND DISCHARGES, LEADING CAUSES OF MORTALITY AND MORBIDITY IN EACH COUNTY AS REPORTED BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH, AND THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTHY PEOPLE 2020. INFORMATION FROM ALL THESE SOURCES IS USED TO PRIORITIZE MHS'S COMMUNITY BENEFIT INITIATIVES, AND TO ASSURE THAT THOSE INITIATIVES ARE ALIGNED WITH MHS'S MISSION, STATEMENT OF VALUES, STRATEGIC PLAN AND BUDGET. PRIORITIES ARE ESTABLISHED BASED ON OVERALL NEED, LEADING CAUSES OF DEATH, IMPACT ON HEALTH STATUS, ORGANIZATIONAL CORE COMPETENCIES, RESOURCES AND WHEREWITHAL TO MEANINGFULLY ADDRESS THE NEED. EACH MEMORIAL AFFILIATE HAS THE FLEXIBILITY TO DEVELOP SPECIFIC COMMUNITY BENEFIT PROGRAMS AND INITIATIVES THAT ARE DESIGNED TO RESPOND TO THE NEEDS OF ITS PARTICULAR COMMUNITY. MEMORIAL HEALTH SYSTEM UNDERSTANDS THAT COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS IS AN IMPORTANT COMPONENT OF COMMUNITY HEALTH IMPROVEMENT EFFORTS AND RESPONDS TO DIRECT COMMUNITY REQUESTS FOR PROGRAMS AND ASSISTANCE.PRIORITY FOCUS AREAS FOR FY2011 COMMUNITY BENEFIT PROGRAMS WERE (1) IMPROVING ACCESS TO CARE, (2) INCREASING PUBLIC AWARENESS OF RISK FACTORS ASSOCIATED WITH CORONARY ARTERY DISEASE, (3) INCREASING PUBLIC AWARENESS OF RISK FACTORS ASSOCIATED WITH CANCER, (4) EXECUTING OTHER COMMUNITY BENEFIT PROGRAMS TO MEET DEFINED COMMUNITY NEEDS, IN COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS WHEN POSSIBLE, AND (5) PREPARING TO CONDUCT A COMMUNITY HEALTH NEED ASSESSMENT TO BE COMPLETED IN FY12 THAT MEETS THE GUIDELINES OF THE SECTION 9007 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE REQUIREMENTS OF IRS NOTICE 2011-52.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEMEMORIAL HEALTH SYSTEM HOSPITALS RECOGNIZE THAT THERE ARE UNFORTUNATE OCCASIONS WHEN PATIENTS ARE NOT FINANCIALLY ABLE TO PAY FOR THEIR MEDICAL CARE, AND ARE NOT ELIGIBLE FOR FEDERAL OR STATE MEDICAL ASSISTANCE PROGRAMS. SINCE THE PROVISION OF CARE IS NOT DEPENDENT ON THE PATIENT'S ABILITY TO PAY, MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL HAVE ESTABLISHED GUIDELINES IN WHICH A PATIENT MAY APPLY AND QUALIFY FOR CHARITY CARE ASSISTANCE. IT IS IMPORTANT THAT CHARITY CARE APPLICANTS COOPERATE WITH THE HOSPITAL'S NEED FOR ACCURATE AND DETAILED INFORMATION WITHIN A REASONABLE TIMEFRAME. IN THE ABSENCE OF A COMPLETED CHARITY APPLICATION, CHARITY MAY BE CONSIDERED WHEN SUPPORTED BY OTHER COLLABORATING CREDIT INFORMATION. IN CASES WHERE THE PATIENT DOES NOT PROVIDE INFORMATION FOR CHARITY CARE, MMC, ALMH AND TMH UTILIZE AN OUTSIDE TOOL FROM TRANSUNION CREDIT BUREAU TO EVALUATE THE PATIENT'S FINANCIAL STATUS AND CREDIT WORTHINESS. NOT ONLY DOES TRANSUNION SUPPLY THE USER WITH A CREDIT REPORT, BUT IT PROVIDES OTHER HELPFUL INFORMATION INCLUDING ESTIMATED MONTHLY INCOME AND ONE'S ELIGIBILITY FOR FINANCIAL ASSISTANCE. IN CASES WHERE REPORTS COME BACK INDICATING THAT THE PATIENT MEETS THE HOSPITAL'S CHARITY DEFINITION, THE PATIENT WILL BE GRANTED CHARITY. THIS IS TO PREVENT QUALIFYING CHARITY PATIENTS WHO DO NOT COMPLETE A CHARITY APPLICATION FROM BEING TURNED OVER FOR COLLECTIONS.
PART VI, LINE 4: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEMEMORIAL HEALTH SYSTEM HOSPITALS RECOGNIZE THAT THERE ARE UNFORTUNATE OCCASIONS WHEN PATIENTS ARE NOT FINANCIALLY ABLE TO PAY FOR THEIR MEDICAL CARE, AND ARE NOT ELIGIBLE FOR FEDERAL OR STATE MEDICAL ASSISTANCE PROGRAMS. SINCE THE PROVISION OF CARE IS NOT DEPENDENT ON THE PATIENT'S ABILITY TO PAY, MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL HAVE ESTABLISHED GUIDELINES IN WHICH A PATIENT MAY APPLY AND QUALIFY FOR CHARITY CARE ASSISTANCE. IT IS IMPORTANT THAT CHARITY CARE APPLICANTS COOPERATE WITH THE HOSPITAL'S NEED FOR ACCURATE AND DETAILED INFORMATION WITHIN A REASONABLE TIMEFRAME. IN THE ABSENCE OF A COMPLETED CHARITY APPLICATION, CHARITY MAY BE CONSIDERED WHEN SUPPORTED BY OTHER COLLABORATING CREDIT INFORMATION. IN CASES WHERE THE PATIENT DOES NOT PROVIDE INFORMATION FOR CHARITY CARE, MMC, ALMH AND TMH UTILIZE AN OUTSIDE TOOL FROM TRANSUNION CREDIT BUREAU TO EVALUATE THE PATIENT'S FINANCIAL STATUS AND CREDIT WORTHINESS. NOT ONLY DOES TRANSUNION SUPPLY THE USER WITH A CREDIT REPORT, BUT IT PROVIDES OTHER HELPFUL INFORMATION INCLUDING ESTIMATED MONTHLY INCOME AND ONE'S ELIGIBILITY FOR FINANCIAL ASSISTANCE. IN CASES WHERE REPORTS COME BACK INDICATING THAT THE PATIENT MEETS THE HOSPITAL'S CHARITY DEFINITION, THE PATIENT WILL BE GRANTED CHARITY. THIS IS TO PREVENT QUALIFYING CHARITY PATIENTS WHO DO NOT COMPLETE A CHARITY APPLICATION FROM BEING TURNED OVER FOR COLLECTIONS.
PART VI, LINE 6: EACH OF THE HOSPITAL'S BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS WHO RESIDE IN THAT HOSPITAL'S PRIMARY SERVICE AREA. THESE VOLUNTEERS GIVE NUMEROUS HOURS OF SERVICE IN THEIR OVERSIGHT ROLE AND ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, FUNDRAISING, AND GENERAL STEWARDSHIP. MORE THAN 500 PEOPLE VOLUNTEER AT THE THREE HOSPITALS AS ESCORTS, WAITING ROOM HOSTS AND HOSTESSES AND A WIDE RANGE OF OTHER VOLUNTEER ROLES.ALL MHS HOSPITALS HAVE OPEN MEDICAL STAFFS THAT ALLOW MEMBERSHIP TO ANYONE WHO MEETS CREDENTIALING REQUIREMENTS. ALL THREE HOSPITALS PARTICIPATE IN MEDICARE, MEDICAID, CHAMPUS, TRICARE AND OTHER GOVERNMENT PROGRAMS AND ARE DISPROPORTIONATE SHARE MEDICAID HOSPITALS THAT PROVIDE FINANCIAL ASSISTANCE AND SLIDING SCALE DISCOUNTS ACCORDING TO BOARD-APPROVED CHARITY CARE POLICIES. MEMORIAL MEDICAL CENTER SERVES AS THE REGIONAL BURN CENTER, SERVING ACUTELY BURNED PATIENTS FROM CENTRAL AND SOUTHERN ILLINOIS, AND IS THE REGIONAL REHABILITATION PROVIDER FOR SPINAL CORD INJURIES, CLOSED HEAD INJURIES, STROKES AND COMPREHENSIVE INPATIENT AND OUTPATIENT REHABILITATION.MEMORIAL MEDICAL CENTER MAINTAINS A 24-HOUR EMERGENCY DEPARTMENT THAT IS PART OF THE SOUTHERN ILLINOIS (LEVEL 1) TRAUMA CENTER. THE EMERGENCY DEPARTMENT HAS TRADITIONALLY SERVED AS A SAFETY NET HEALTHCARE PROVIDER FOR THE UNINSURED AND UNDERINSURED WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. IT PROVIDES SERVICES TO ALL PEOPLE REGARDLESS OF ABILITY TO PAY. TO HELP MEET COMMUNITY NEED AND ALLEVIATE USE OF THE EMERGENCY DEPARTMENT FOR NON-EMERGENT CARE, MHS OPERATES THREE EXPRESSCARE WALK-IN FACILITIES. THESE PROMPT-CARE SITES USE THE SAME CRITERIA FOR PATIENTS AS THE EMERGENCY DEPARTMENT: THE UNINSURED AND THOSE ON PUBLIC INSURANCE PROGRAMS RECEIVE THE SAME LEVEL OF CARE AND TREATMENT AS ANY OTHER PATIENTS. CHARITY CARE IS PROVIDED AS NEEDED.MEMORIAL MEDICAL CENTER COLLABORATES WITH COMMUNITY PROVIDERS TO SERVE THE LOW INCOME AND UNINSURED POPULATION. MMC PROVIDES DIAGNOSTIC, OUTPATIENT AND INPATIENT SERVICES FOR PATIENTS OF CENTRAL COUNTIES HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER THAT MEMORIAL MEDICAL CENTER WAS INSTRUMENTAL IN STARTING. MMC ALSO PROVIDES FREE AND REDUCED-COST INPATIENT AND OUTPATIENT SERVICES TO PATIENTS OF SOUTHERN ILLINOIS UNIVERSITY CENTER FOR FAMILY MEDICINE, A PRIMARY CARE MEDICAL GROUP THAT SERVES LOW INCOME MEDICAID AND MEDICARE POPULATIONS. MMC ALSO PROVIDES OPERATING EXPENSES FOR COORDINATED ACCESS TO COMMUNITY HEALTH (CATCH), A PROGRAM THAT IS INCREASING ACCESS TO CARE, PARTICULARLY PHYSICIAN SPECIALISTS, FOR UNINSURED ADULTS IN SANGAMON COUNTY. MMC PROVIDES CHARITY CARE FOR CATCH PATIENTS. MMC UTILIZES SURPLUS FUNDS TO IMPROVE PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. DURING FY11 MMC USED SURPLUS FUNDS TO EXPAND THE EMERGENCY DEPARTMENT BY EIGHT ROOMS TO MEET GROWING COMMUNITY NEED FOR ADDITIONAL ACCESS TO SERVICES. DURING THE PAST YEAR MMC'S REGIONAL CANCER CENTER MADE SEVERAL SIGNIFICANT RENOVATIONS,ADDING TWO NEW LINEAR ACCELERATORS TO ITS RADIATION THERAPY DEPARTMENT, DELIVERING HIGHER DOSES OF RADIATION MORE PRECISELY AND QUICKLY, REDUCING SIDE EFFECTS AND LONG-TERM COMPLICATIONS FOR CANCER PATIENTS. IT ALSO OPENED A NEW INFUSION SERVICES DEPARTMENT THAT IS DOUBLE THE SIZE OF THE PREVIOUS UNIT, OFFERING CHEMOTHERAPY AND OTHER INFUSION SERVICES TO ABOUT 1,000 PATIENTS ANNUALLY. IN FY11 MMC ALSO RENOVATED ITS OUTPATIENT IMAGING CENTER, IMPROVING ACCESS TO CARE AS WELL AS PATIENT SAFETY, PRIVACY AND COMFORT FOR MORE THAN 26,000 PATIENTS ANNUALLY, MANY WHO TRAVEL 60-75 MILES TO GET THESE SERVICES AT MMC. SURPLUS FUNDS ARE ALSO DEVOTED TO MEMORIAL'S COMMITMENT TO MEDICAL EDUCATION. MEMORIAL MEDICAL CENTER SERVES AS A TEACHING HOSPITAL FOR SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. MMC AND ALMH ALSO SERVE AS CLINICAL TRAINING SITES FOR MULTIPLE NURSING SCHOOLS AND OTHER UNIVERSITY AND COLLEGE HEALTH PROFESSIONAL TRAINING PROGRAMS IN THE REGION. THESE INCLUDE RADIOLOGY AND PHARMACY TECHNICIANS, CERTIFIED REGISTERED NURSE ANESTHESIOLOGISTS, CLINICAL LABORATORY SCIENTISTS, SPEECH PATHOLOGISTS, PHYSICAL AND OCCUPATIONAL THERAPISTS AND OTHERS. MMC ALSO SUPPORTS CLINICAL RESEARCH AND OFFERS NUMEROUS CANCER TRIALS THROUGH THE CENTRAL ILLINOIS COMMUNITY CLINICAL ONCOLOGY PROGRAM, WHICH RECEIVES SUPPORT FROM THE NATIONAL CANCER INSTITUTE. MORE THAN 450 RESEARCH PROJECTS AND PROTOCOLS ARE OPEN AT ANY GIVEN TIME. MMC PROVIDES FUNDING AND SUPPORT FOR THE SPRINGFIELD COMMITTEE ON RESEARCH IN HUMAN SUBJECTS, THE LOCAL INSTITUTIONAL REVIEW BOARD FOR CLINICAL RESEARCH TRIALS IN SPRINGFIELD.MMC, ALMH, AND TMH SURPLUS FUNDS ALSO PROVIDE SERVICES AND EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITIES WE SERVE THROUGH: EDUCATIONAL PROGRAMS THAT PROVIDE CLASSES AND INFORMATION ON A WIDE RANGE OF WELLNESS TOPICS; FREE AND LOW-COST HEALTH SCREENINGS; AND FREE SUPPORT GROUPS FOR PARTICULAR DISEASES/HEALTH ISSUES (SUCH AS BREAST CANCER, PROSTATE CANCER, KIDNEY/PANCREAS TRANSPLANT PATIENTS, STROKE/BRAIN INJURY, AND HEART FAILURE). MMC ALSO PAYS FOR PHARMACEUTICAL PRESCRIPTIONS FOR INDIGENT PATIENTS UPON DISCHARGE WHO CANNOT AFFORD TO FILL THEIR PRESCRIPTIONS. MMC SUPPORTS KUMLER OUTREACH MINISTRIES, A LOCAL PROGRAM THAT PROVIDES PHARMACEUTICAL ASSISTANCE TO THE INDIGENT. MMC ALSO COVERS THE COSTS FOR AMBULANCES AND MEDICARS THAT TRANSFER MEDICARE PATIENTS AND THE INDIGENT FROM THE HOSPITAL TO THEIR HOMES. ALMH HAS 25 STAFFED BEDS AND SERVICES OFFERED INCLUDE 24-HOUR EMERGENCY MEDICINE, GENERAL ACUTE INPATIENT CARE, INTENSIVE CARE, PAIN MANAGEMENT, ORTHOPEDICS, SURGERY AND THE FAMILY MATERNITY SUITES. ALMH ALSO OFFERS A FULL RANGE OF OUTPATIENT REHABILITATION, THERAPY, AND DIAGNOSTIC TESTING. WITH THE OPENING OF A NEW REPLACEMENT HOSPITAL IN MARCH, 2011, ALMH BEGAN OFFERING WARM-WATER THERAPY FOR PHYSICAL THERAPY PATIENTS AND ARTHRITIS PATIENTS SEEKING RELIEF FROM THEIR SYMPTOMS. A FIXED MRI UNIT AND UPGRADED CT SCAN OPENED UP A NUMBER OF NEW TESTS FOR LOCAL PATIENTS, WHO PREVISOULY HAD TO BE TRANSFERRED OUT OF THE COUNTY FOR THESE TESTS.ABRAHAM LINCOLN MEMORIAL HOSPITAL'S EMERGENCY DEPARTMENT HAS TRADITIONALLY SERVED AS A SAFETY NET HEALTHCARE PROVIDER FOR THE UNINSURED AND UNDERINSURED WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. TO HELP MEET COMMUNITY NEED AND ALLEVIATE USE OF THE EMERGENCY DEPARTMENT FOR NON-EMERGENT CARE, ABRAHAM LINCOLN MEMORIAL HOSPITAL COLLABORATES THROUGH THE HEALTHY COMMUNITIES PARTNERSHIP WITH THE LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH AND FAMILY MEDICAL CENTER (PART OF MEMORIAL PHYSICIAN SERVICES, AN MHS AFFILIATE) TO TAKE PRIMARY AND PREVENTIVE CARE TO SMALL RURAL COMMUNITIES IN LOGAN COUNTY VIA THE H.O.P.E. MOBILE. A NURSE PRACTITIONER AND PUBLIC HEALTH NURSE STAFF THIS MOBILE UNIT, WHICH MAKES WEEKLY VISITS TO OUTLYING RURAL COMMUNITIES IN LOGAN COUNTY. THIS PROGRAM, ESTABLISHED IN 1998, IS ESPECIALLY BENEFICIAL TO RURAL SENIORS: OVER 30% OF THE PATIENTS ARE AGED 61-80 YEARS OLD, AND OVER 40% ARE OVER THE AGE OF 81. IN FY2011, THE H.O.P.E. MOBILE PROVIDED 403 DENTAL APPOINTMENTS FOR LOW-INCOME CHILDREN AND PREGNANT WOMEN, AND 1,993 OTHER PRIMARY- AND PREVENTIVE-CARE MEDICAL SERVICES. ABRAHAM LINCOLN MEMORIAL HOSPITAL EMPLOYS THE PROGRAM COORDINATOR AND OVERSEES MAINTENANCE OF THE UNIT. ABRAHAM LINCOLN HEALTHCARE FOUNDATION CONTRIBUTES FUNDING AND ONGOING SUPPORT THAT MAKES THE PROGRAM POSSIBLE.TAYLORVILLE MEMORIAL HOSPITAL USES SURPLUS FUNDS TO CONTINUALLY IMPROVE PATIENT CARE. IN MARCH 2011 THE HOSPITAL OPENED A 32,000-SQUARE-FOOT FACILITY THAT IS HOME TO A NEW EMERGENCY DEPARTMENT, RADIOLOGY SERVICES AND OUTPATIENT SURGERY CENTER. THE NEW FACILITY IS DESIGNED FOR OUTPATIENT SERVICES, OFFERS CLOSE PARKING, AND IMPROVES PATIENT SAFETY. THE NEW EMERGENCY DEPARTMENT OFFERS 10 TREATMENT ROOMS, INCLUDING TWO LEVEL-TWO TRAUMA BAYS AND AN ISOLATION ROOM WITH NEGATIVE AIR FLOW FOR PATIENTS WHO ARE AT RISK OF AIRBORNE TRANSMISSION OF CONTAGIOUS DISEASES. CONVENIENTLY NEAR THE EMERGENCY DEPARTMENT IS THE NEW RADIOLOGY SERVICES AREA, WHICH ADDED A NEW MRI UNIT. FOR THE PAST 20 YEARS THE HOSPITAL RELIED ON A MOBILE MRI THAT HAD LIMITED AVAILABILITY. OTHER SERVICES OFFERED INCLUDE CT, DIGITAL MAMMOGRAPHY, ECHOCARDIOLOGY, ULTRASOUND/SONOGRAPHY AND NUCLEAR MEDICINE. THE NEW OUTPATIENT SURGERY CENTER OFFERS THREE OPERATING ROOMS WITH ADVANCED TECHNOLOGY AND NEW EQUIPMENT FOR A VARIETY OF OUTPATIENT SURGICAL PROCEDURES. TWO INDIVIDUAL PATIENT ASSESSMENT ROOMS OFFER A PLACE FOR PRIVATE INTERVIEWS. AN ADDITIONAL INVESTMENT THE HOSPITAL MADE WAS IMPROVING SAFETY IN ACCESSING THE HOSPITAL. A NEW ROADWAY NOW DIRECTLY CONNECTS THE HOSPITAL WITH ROUTE 29, PROVIDING AMBULANCES A MORE DIRECT AND SAFER ROUTE, AND DIVERTING THE MAJORITY OF THE HOSPITAL TRAFFIC AWAY FROM THE RESIDENTIAL AND SCHOOL AREA THAT PREVIOUSLY WAS THE ONLY WAY TO ACCESS THE HOSPITAL.
PART VI, LINE 7: MEMORIAL HEALTH SYSTEM, A 501(C)(3) CORPORATION, IS THE SOLE CORPORATE MEMBER OF ABRAHAM LINCOLN MEMORIAL HOSPITAL, A RURAL CRITICAL ACCESS HOSPITAL; TAYLORVILLE MEMORIAL HOSPITAL, A RURAL CRITICAL ACCESS HOSPITAL; AND MEMORIAL MEDICAL CENTER, A 500-BED TERTIARY CARE HOSPITAL THAT OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES. OTHER AFFILIATES INCLUDE: MEMORIAL PHYSICIAN SERVICES, A PRIMARY CARE PHYSICIAN NETWORK THAT INCLUDES SEVERAL CLINICS LOCATED IN MEDICALLY UNDERSERVED OR HEALTH MANPOWER SHORTAGE AREAS; MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, A MULTI-COUNTY OUTPATIENT MENTAL HEALTH NETWORK THAT PROVIDES SERVICE BASED ON A SLIDING-SCALE FEE SCHEDULE AND FREE CARE TO A WIDE RANGE OF PATIENTS WITH PSYCHIATRIC DISORDERS; MEMORIAL HOME SERVICES, A MULTI-COUNTY HOME CARE AND HOSPICE PROGRAM; A CHILD CARE CENTER; AND THREE HOSPITAL FOUNDATIONS, ALL OF WHICH ARE 501(C)(3) ENTITIES. HEALTH SYSTEM AFFILIATES INTEGRATE SERVICES TO PROVIDE IMPROVED ACCESS AND STREAMLINED TRANSITIONS BETWEEN THE DOCTORS OFFICES, HOSPITAL, HOME HEALTH AGENCY, NURSING HOME AND MENTAL HEALTH CLINICS. MEMORIAL HEALTH SYSTEM'S AFFILIATES ENGAGE IN A WIDE RANGE OF COMMUNITY BENEFIT ACTIVITIES. IN ADDITION TO THE HOSPITAL ACTIVITIES FOR MEMORIAL MEDICAL CENTER, ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL MENTIONED IN PART VI, LINE 5, OTHER AFFILIATE COMMUNITY BENEFITS INCLUDE THE FOLLOWING. MENTAL HEALTH CENTER'S OF CENTRAL ILLINOIS PROVIDES NUMEROUS COMMUNITY BENEFITS. JUST A FEW OF THESE INCLUDE PSYCHIATRIC CRISIS INTERVENTION WITH LOCAL SCHOOLS DEALING WITH SUICIDE OR OTHER TRAUMATIC EVENTS; CRISIS INTERVENTION TRAINING FOR LOCAL LAW ENFORCEMENT DEALING WITH MENTALLY ILL INDIVIDUALS; AND MENTALLY ILL HOMELESS PERSONS ADVOCACY AND COUNSELING. IN FY11, MHCCI DEVELOPED A SUICIDE PREVENTION TRAINING/WEBINAR FOR SCHOOL PERSONNEL AND ALSO RAISED AWARENESS ABOUT MENTAL ILLNESS THROUGH COMMUNITY EVENTS AND PRESENTATIONS. MHCCI IS COLLABORATING WITH LOCAL PARTNERS ON A PROJECT TO DEVELOP A PLAN FOR A COMMUNITY-BASED SYSTEM OF CARE THAT WILL TRANSFORM AND IMPROVE THE WAY MENTAL HEALTH SERVICES ARE PROVIDED TO CHILDREN AND YOUTH IN SPRINGFIELD.MEMORIAL PHYSICIAN SERVICES PROVIDES MEDICAL EDUCATION OPPORTUNITIES FOR PHYSICIANS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. A PHYSICIAN FROM MPS WORKED WITH THE SPRINGFIELD SCHOOL DISTRICT TO PROVIDE STRESS COPING TRAINING FOR TEACHER (FUNDING CAME FROM THE MEMORIAL MEDICAL CENTER FOUNDATION).MEMORIAL HOME SERVICES PROVIDES HOME HOSPICE CARE IN 14 ILLINOIS COUNTIES, OFFERING MEDICAL, SPIRITUAL AND EMOTIONAL SUPPORT FOR BOTH PATIENTS AND THEIR FAMILIES. MEMORIAL HOME SERVICES ALSO PROVIDED 129 FREE HEALTH SCREENING EVENTS THROUGHOUT THE YEAR, OFFERING 2,342 FREE BLOOD PRESSURE AND 1,000 GLUCOSE SCREENINGS IN A WIDE VARIETY OF COMMUNITY LOCATIONS; 21% OF THE BLOOD PRESSURE SCREENINGS AND 12% OF THE GLUCOSE SCREENINGS WERE ABNORMAL. THOSE PARTICIPANTS ARE REFERRED TO THEIR PHYSICIANS FOR FOLLOW-UP CARE. MEMORIAL HOME SERVICES ALSO DONATES WHEELCHAIRS AND OXYGEN TANKS FOR MULTIPLE LAND OF LINCOLN HONOR FLIGHTS, WHICH TAKE WORLD WAR II AND KOREAN WAR VETERANS ON FREE TOURS OF WAR MEMORIALS IN WASHINGTON, D.C.THE MEMORIAL MEDICAL CENTER FOUNDATION (MMCF) PROVIDES GRANTS FOR PATIENT CARE, EDUCATION AND RESEARCH. ELEVEN GRANTS WERE AWARDED IN FY11. THESE GRANTS INCLUDED FUNDING FOR A STROKE TELEMEDICINE PROGRAM FOR RURAL PATIENTS; A STUDY TO PREDICT AND TEST FOR THE PRESENCE OF CHLAMYDIA AND GONORRHEA IN WOMEN WHO VISIT THE MEDICAL CENTER'S EMERGENCY DEPARTMENT; SUPPORT FOR AN INDIGENT PHARMACEUTICAL PROGRAM; MEDICATION RECONCILIATIONS FOR SENIOR CITIZENS DISCHARGED FROM HOSPITALIZATION; A STUDY COMPARING RESULTS OF SURGICAL AND NON-SURGICAL TREATMENTS OF HAND FRACTURES; PURCHASE OF A PORTABLE PERIPHERAL BONE DENSITOMETER TO USE IN COMMUNITY HEALTH SCREENINGS; AND TRAINING FOR ELEMENTARY SCHOOL TEACHERS TO TEACH THEIR STUDENTS CRITICAL COPING SKILLS FOR CLASSROOM READINESS. MANY OF THE RESEARCH GRANTS WERE PROVIDED TO SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. THE FOUNDATION ALSO ADMINISTERS A CANCER PATIENT ASSISTANCE FUND THAT ASSISTS CANCER PATIENTS WITH UTILITIES, RENT AND OTHER BASIC EXPENSES WHILE UNDERGOING CANCER TREATMENT AND A TRANSPLANT PATIENT ASSISTANCE FUND THAT ASSISTS KIDNEY TRANSPLANT PATIENTS WITH THE COSTS OF ANTI-REJECTION MEDICATIONS. IN FY11, MMCF SUPPORTED A COMMUNITY-WIDE WOMEN'S HEALTH FAIR TO PROVIDE A VARIETY OF HEALTH SCREENINGS AND TO EDUCATE WOMEN ABOUT HEALTH ISSUES RANGING FROM CANCER TO BLOOD PRESSURE. THE ABRAHAM LINCOLN HEALTHCARE FOUNDATION (ALHF) UNDERWRITES THE OPERATING EXPENSES OF THE LOGAN COUNTY HEALTHY COMMUNITIES PARTNERSHIP AND THE H.O.P.E. MOBILE. IN VISITING RURAL COMMUNITIES, 1,993 PRIMARY AND PREVENTIVE HEALTH SERVICES WERE PROVIDED BY THE H.O.P.E MOBILE IN FY11. DENTAL APPOINTMENTS FOR LOW-INCOME CHILDREN AND PREGNANT WOMEN WERE ALSO PROVIDED BY THE H.O.P.E. MOBILE. THE HEALTHY COMMUNITIES PARTNERSHIP ALSO COLLABORATIVELY ADDRESSES ALCOHOL AND DRUG USE, TEEN PREGNANCY, DOMESTIC ABUSE, SENIOR HEALTH ISSUES, PARISH NURSING AND EDUCATION ON THE LOCAL COMMUNITY LEVEL. ALHF'S CONTRIBUTION TO THE HEALTHY COMMUNITIES PARTNERSHIP IN FY2011 WAS $104,231. THE ABRAHAM LINCOLN HEALTHCARE FOUNDATION ALSO PROVIDED $5,500 IN HEALTHCARE SCHOLARSHIPS TO LOCAL RESIDENTS PREPARING FOR A PHARMACY AND A NURSING DEGREE, $8,863 FOR PAIN MEDICATION FOR HOSPICE PATIENTS, $10,000 IN SUPPORT FOR A MEDI-CAR TRANSPORTATION SERVICE FOR WHEELCHAIR-BOUND RESIDENTS, AND PROVIDED OVER $9,600 IN PHARMACEUTICAL ASSISTANCE TO DISCHARGED PATIENTS WHO COULD NOT AFFORD TO FILL THEIR PRESCRIPTIONS. AN ACTIVE LIFELINE PROGRAM, WHICH PLACES EMERGENCY CALL AND RESPONSE UNITS IN THE HOMES OF SENIORS, IS MANAGED BY ALMH STAFF AND FUNDED BY THE FOUNDATION. TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION CONTINUES TO SUPPORT PROGRAMS WHICH ASSIST IN THE TRAINING OF FUTURE HEALTHCARE PROVIDERS IN OUR SERVICES AREA. IN ADDITION, A WIDE RANGE OF COMMUNITY HEALTH SCREENINGS, CLASSES, AND OTHER EDUCATIONAL EVENTS ARE REGULARLY UNDERTAKEN.
ILREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (28 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
PO BOX 19620SPRINGFIELDIL62794376005961115891774SOUTHERN ILLINOIS SCHOOL OF MEDICINE WITH THE PURPOSE THAT THE FUNDS WILL BE USED FOR MEDICAL RESEARCH. THE POST-TERTIARY CLINICAL SERVICES FUND APPLICATION EXPLICITLY LISTED THREE SOUTHERN ILLINOIS SCHOLL OF MEDICINE CANCER PROGRAMS. MEMORIAL MEDICAL CENTER IS THE PASS THROUGH AGENCY FOR THESE PROGRAM-RESTRICTED FUNDS AND THE SOUTHERN ILLINOIS SCHOOL OF MEDICINE'S CANCER PROGRAMS ARE LISTED AS THE BENEFICIARIES.
MEMORIAL MEDICAL CENTER FOUNDATION
1 MEMORIAL PLAZASPRINGFIELDIL62781371110301501 (C) (3)18000AS A SPECIAL REMEMBRANCE, MEMORIAL MEDICAL CENTER MAKES A DONATION TO THE MEMORIAL MEDICAL CENTER FOUNDATION IN MEMORY OF EMPLOYEES AND CERTAIN EMPLOYEE FAMILY MEMBERS UPON THEIR DEATH.
CITY OF LINCOLN
315 EIGHTH STREETLINCOLNIL62656376001283CITY OF LINCOLNDONATION OF LAND99360BOOKLAND
AMERICAN HEART ASSOCIATION
2524 FARRAGUT DRIVE SUITE ASPRINGFIELDIL62704370673511501 (C) (3)25000SPONSOR OF ANNUAL HEART WALK AND START WALKING INITIATIVES TO HELP EDUCATE AND IMPROVE THE CARDIOVASCULAR HEALTH OF THE PEOPLE AND COMMUNITIES SERVED.
SANGAMON COUNTY MEDICAL SOCIETY
230 WEST CARPENTER STREETSPRINGFIELDIL62702376027693501 (C) (3)50000FUNDING OF CATCH PROGRAM THAT PROVIDES SERVICES TO UNINSURED PATIENTS IN SANGAMON COUNTY.
LINCOLN ELEMENTARY SCHOOL DISTRICT NO 27
304 8TH STLINCOLNIL62656376003668LINCOLN SCHOOL DISTRDONATION OF A BUILDING AND LAND98466BOOKLAND
SIU SCHOOL OF MEDICINE
801 NORTH RUTLEDGESPRINGFIELDIL62702376005961115101503D ULTRA SOUND FOR TENDONS.
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
801 NORTH RUTLEDGESPRINGFIELDIL627023760059611156015STUDY EFFECT OF HBO ON HINDLIMB TRANSPLANTATION.
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
801 NORTH RUTLEDGESPRINGFIELDIL6270237600596111563307HAND FRACTURE BEST PRATICES.
MEMORIAL PHYSICAN SERVICES
3132 OLD JACKSONVILLE ROAD STE 200SPRINGFIELDIL62704379999999501 (C) (3)48200PROVIDE COPING SKILLS TRAINING FOR TEACHERS.
MEMORIAL MEDICAL CENTER
701 NORTH FIRST STREETSPRINGFIELDIL62781370661220501 (C) (3)10693PROVIDE COMFORT KITS FOR PSYCHIATRIC PATIENTS.
MEMORIAL MEDICAL CENTER
701 NORTH FIRST STREETSPRINGFIELDIL62781370661220501 (C) (3)75940DEVELOP STROKE TELEMEDICINE PROGRAM.
MEMORIAL MEDICAL CENTER
701 NORTH FIRST STREETSPRINGFIELDIL62781370661220501 (C) (3)10090PURCHASE BONE DENSITOMETER FOR JOINTWORKS PROGRAM.
MEMORIAL MEDICAL CENTER
701 NORTH FIRST STREETSPRINGFIELDIL62781370661220501 (C) (3)50300PROVIDE SUPPORT FOR NURSING DEVELOPMENT.
MEMORIAL MEDICAL CENTER
701 NORTH FIRST STREETSPRINGFIELDIL62781370661220501 (C) (3)16982PROVIDE GENERAL SUPPORT.
MEMORIAL HEALTH SYSTEM
701 NORTH FIRST STREETSPRINGFIELDIL62703378888888501 (C) (3)7010PROJECT CPR ANYTIME.
SIU SCHOOL OF MEDICINE
801 NORTH RUTLEDGESPRINGFIELDIL6270237600596111526314PROVIDE STD SCREENING IN THE EMERGENCY ROOM.
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
801 NORTH RUTLEDGESPRINGFIELDIL6270237600596111519184RESOLVE PRESCRIPTION DISCREPANCIES FOR SENIORS.
SIU SCHOOL OF MEDICINE
801 NORTH RUTLEDGESPRINGFIELDIL627023760059611155553PROVIDE GENERAL SUPPORT.
KUMLER OUTREACH MINISTRIES
303 NORTH GRAND AVENUE EASTSPRINGFIELDIL62702370695489501 (C) (3)16000PROVIDE PRESCRIPTIONS TO INDIGENT PATIENTS.
MEMORIAL HOME SERVICES
720 NORTH BOND STREETSPRINGFIELDIL62702370714225501 (C) (3)8724PROVIDE GENERAL SUPPORT.
NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE
303 EAST CHICAGO AVENUECHICAGOIL60611362167817501 (C) (3)75000PARTICIPATION IN THE BOOST MENTORING PROGRAM.
KUMLER OUTREACH MINISTRIES
303 NORTH GRAND AVENUE EASTSPRINGFIELDIL62702370695489501 (C) (3)22000TO ASSIST IN THE PHARMACEUTICAL ASSISTANCE PROGRAM.
MEMORIAL MEDICAL CENTER
701 NORTH FIRST STREETSPRINGFIELDIL62781370661220501 (C) (3)48107PROVIDE EQUIPMENT AND SUPPLIES.
MEMORIAL MEDICAL CENTER
701 NORTH FIRST STREETSPRINGFIELDIL62781370661220501 (C) (3)74139PROVIDE SUPPORT FOR EDUCATION.
ABRAHAM LINCOLN MEMORIAL HOSPITAL
315 EIGHTH STREETLINCOLNIL62656370723793501 (C) (3)136448VARIOUS INCLUDING SCHOLORSHIPS, CARE-A-VAN, MEDICAL TECHNOLOGIES, PATIENT PHARMACY.
MEMORIAL HOME SERVICES
315 EIGHTH STREETLINCOLNIL62656370714225501 (C) (3)8863UNDERWRITE COST OF PAIN MEDICATION FOR HOSPICE PATIENTS.
TAYLORVILLE MEMORIAL HOSPITAL
201 E PLEASANTTAYLORVILLEIL62568370661250501 (C) (3)40465TO BE USED IN THE PURCHASE OF SPECIFIC MEDICAL EQUIPMENT AND THE CONSTRUCTION OF THE CENTER.

Form990 Schedule I Part III Form990ScheduleIPartIII (9 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
EDUCATIONAL GRANTS153653666
TUITION REIMBURSEMENT135253045
SCHOLARSHIPS FOR EMPLOYEES2491730
EMPLOYEE ASSISTANCE WITH CATASTROPHIC EVENTS2828908
SHELTER AND UTILITY ASSISTANCE FOR PATIENTS239915
DIRECT CASH ASSISTANCE TO PATIENTS83992
PRESCRIPTION DRUG ASSISTANCE216208
SCHOLARSHIPS54000
EDUCATION SCHOLARSHIPS25500

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: ALL GRANTS AND ASSISTANCE ARE PROVIDED TO LOCALLY MANAGED, NON-PROFIT 501(C)(3) ORGANIZATIONS OR EMPLOYEES WHO MEET THE CRITERIA FOR FINANCIAL ASSISTANCE. EMPLOYEES ASSIST IN OVERSITE AS VOLUNTEER MEMBERS OF LOCAL AGENCY BOARD OF DIRECTORS. THE CAMPUS OF SIU SCHOOL OF MEDICINE IS ADJACENT TO THE MEMORIAL MEDICAL CENTER CAMPUS. GRANTS AND ASSISTANCE PROVIDED TO THE MEDICAL SCHOOL ARE MONITORED BY THE EXECUTIVE DIRECTOR OF MEMORIAL MEDICAL CENTER FOUNDATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICHARD BIVIN MD
175457024530718590168440329250299538000
ELAINE YOUNG
019035905197104857025047019435029166900
KEVIN ENGLAND
0233351064775015614031355037419038251400
THOMAS WESTRICK
1577280217250690000112270191370000
DOLAN DALPOAS
203547054953066130267830195730311469000
DANIEL RAAB
1806470500500142040241420185270287570000
EDGAR CURTIS
0640422000265050452498060360112546100
ROBERT KAY
0364084000463640201735029892064207500
MARK HANSEN MD
40566405876801566380427960506760714542000
MARSHALL HALE MD
285649013870013180190580396330359528000
PAUL KASA MD
20314308836012440116710315730256467000
DOUGLAS RAHN
38357401468960203550644890315440646858000
JANICE GAMBACH
01320740191190129000016680016916300
CHARLES CALLAHAN
2082140576030216950277040224560337672000
TRAVIS DOWELL
189187053625072170260140210620297105000
ELENA KEZELIS
1410490198390459000142730175620000
MARSHA PRATER
2409840001822001285730157750403552000
SCOTT KIRIAKOS
233410064336099150313770253240364362000
DAVID J JOERGER
15943102283701290000150570198615000
FERINAND SALVACION MD
462511015400004500908570261790733997000
DAVID SANDERCOCK MD
301033057176041750290630439700435417000
JAMES GILDNER MD
502737027926080090562470539340648853000
STEVEN LILLPOP MD
347626017601080640359750450210454287000
VIRGINIA DOLAN MD
2094520550000696200182230383950390690000
ROBERT CLARKE
000003822010000038220100

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 4BPART I, LINE 4B THE ORGANIZATION PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO THE FOLLOWING OFFICERS AND KEY EMPLOYEES: EDGAR J. CURTIS, $353,433, ROBERT W. KAY, $184,860, DOUGLAS L. RAHN, $48,372, FORREST G. HESTER, $25,781, MITCHELL L. JOHNSON, $18,515, ELAINE L. YOUNG, $21,527, KEVIN R. ENGLAND, $12,884, ANNA N. EVANS, $38,780, MARK E. WEAVER, M.D., $69,501, AND DAVID GRAHAM, M.D., $33,625. THESE BENEFITS ARE PROVIDED THROUGH A NONQUALIFIED DEFERRED COMPENSATION PLAN, UNDER WHICH THE BENEFITS BEING EARNED ARE SUBJECT TO A "SUBSTANTIAL RISK OF FORFEITURE." THE SUPPLEMENTAL RETIREMENT BENEFITS ARE STRUCTURED TO PROVIDE A RETENTION INCENTIVE THAT HAS BEEN DETERMINED BY THE LEADERSHIP COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM TO BE OF SUBSTANTIAL VALUE TO THE ORGANIZATION. TO BECOME ENTITLED TO THE BENEFITS PROVIDED, EACH COVERED EMPLOYEE MUST MEET SUBSTANTIAL REQUIREMENTS RELATING TO FURTHER EMPLOYMENT. UNTIL THOSE REQUIREMENTS ARE SATISFIED, IF EVER, THE EMPLOYEE IS NOT ENTITLED TO THESE AMOUNTS. IF THE EMPLOYEE WERE TO HAVE TERMINATED EMPLOYMENT VOLUNTARILY IN THE YEAR TO WHICH THIS RETURN APPLIES AND NOT MET THESE SUBSTANTIAL REQUIREMENTS, THESE SUPPLEMENTAL RETIREMENT BENEFITS WOULD HAVE BEEN FORFEITED. THESE SUPPLEMENTAL RETIREMENT BENEFITS ARE PART OF A RETIREMENT PROGRAM THAT PROVIDES RETIREMENT INCOME FOR ALL YEARS OF SERVICE THAT THE EMPLOYEE PROVIDES TO THE ORGANIZATION. ACCORDINGLY, ANY RETIREMENT BENEFITS SHOULD BE VIEWED AS APPLYING TO THE ENTIRE LENGTH OF THE EMPLOYEE'S SERVICE. THE LEADERSHIP COMPENSATION COMMITTEE OF THE MHS BOARD APPROVES ALL RETIREMENT BENEFITS, TOGETHER WITH ALL OTHER FORMS OF COMPENSATION AND BENEFITS FOR THESE AND OTHER SENIOR LEADERS, IN A MANNER INTENDED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL INCOME TAX LAW.
PART I, LINE 7MEMBERS OF SENIOR MANAGEMENT RECEIVE INCENTIVE COMPENSATION UNDER THE ANNUAL INCENTIVE COMPENSATION PLANS SPONSORED BY MEMORIAL HEALTH SYSTEM. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II). THE PLANS ARE DESIGNED TO CONDITION A PORTION OF COMPENSATION ON PERFORMANCE AGAINST PRE-DETERMINED ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM. THE LEADERSHIP COMPENSATION COMMITTEE OF THE BOARD HAS REVIEWED THE REASONABLENESS OF ALL SUCH PAYMENTS, AND HAS CONCLUDED, AS THE RESULT OF A PROCESS THAT IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER FEDERAL TAX LAW, THAT ALL SUCH AMOUNTS ARE REASONABLE AND DO NOT EXCEED FAIR MARKET VALUE FOR THE SERVICES PROVIDED.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
SUSAN K CURTIS SUNLEY
EMPLOYEE; DAUGHTER OF EDGAR J. CURTIS, CEO OF MEMORIAL HEALTH SYSTEM47447MEMORIAL MEDICAL CENTER PAID COMPENSATION OF $47,447 AND BENEFITS OF $8,563 TO SUSAN K. CURTIS SUNLEY RELATED TO EMPLOYMENT SERVICES FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2010. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.0
SANGAMON EYE ASSOCIATES INC
OWNER'S WIFE IS A BOARD MEMBER543320MEMORIAL MEDICAL CENTER LEASED PROPERTY FROM SANGAMON EYE ASSOCIATES, INC. FOR THE YEAR ENDED SEPTEMBER 30, 2011 IN THE AMOUNT OF $543,320. THE OWNER OF SANGAMON EYE ASSOCIATES, INC. IS THE HUSBAND OF CAROL J. HANSEN POSEGATE, A MEMBER OF THE MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS. THE LEASE IS UNDERTAKEN AT ARM'S LENGTH AND IS AT FAIR MARKET VALUE.0
SORLING NORTHRUP HANNA CULLEN & COCHRAN
BOARD MEMBER IS A PARTNER AT SORLING, NORTHRUP, HANNA, CULLEN, & COCHRAN140240MEMORIAL MEDICAL CENTER PAID FEES TO THE LAW OFFICE OF SORLING, NORTHRUP, HANNA, CULLEN & COCHRAN, LTD. FOR LEGAL SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2011 IN THE AMOUNT OF $140,240. WILLIAM R. ENLOW, A MEMBER OF THE BOARD OF DIRECTORS, IS A PARTNER AT SORLING, NORTHRUP, HANNA, CULLEN, & COCHRAN, LTD. ALL FEES ARE NEGOIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.0
SPRINGFIELD CLINIC
BOARD MEMBER IS EMPLOYEE OF SPRINGFIELD CLINIC1267774MEMORIAL MEDICAL CENTER PAID FEES TO SPRINGFIELD CLINIC, LLP FOR THE YEAR ENDED SEPTEMBER 30, 2011 IN THE AMOUNT OF $1,267,774. A PHYSICIAN OF THIS COMPANY, MICHAEL A. PICK, M.D., IS ALSO A MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS. ALL FEES ARE NEGOTIATED AT ARMS LENGTH AND ARE AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.0
SORLING NORTHRUP HANNA CULLEN & COCHRAN
BOARD MEMBER IS A PARTNER AT SORLING, NORTHRUP, HANNA, CULLEN, & COCHRAN140240MEMORIAL MEDICAL CENTER PAID FEES TO THE LAW OFFICE OF SORLING, NORTHRUP, CULLEN & COCHRAN, LTD FOR LEGAL SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2011 IN THE AMOUNT OF $140,240. MARK H. FERGUSON, A MEMBER OF THE BOARD OF DIRECTORS, IS A PARTNER AT SOLING, NORTHRUP, CULLEN & COCHRAN, LTD. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.0
GRANTS MEADOWS ASSOCIATES
CURRENT DIRECTOR, MARSHAL HALE, M.D. HAS A 33.33% OWNERSHIP INTEREST118268GRANTS MEADOW ASSOCIATES LEASES A MEDICAL OFFICE BUILDING LOCATED AT 1602 WEST LAFAYETTE, JACKSONVILLE, ILLINOIS TO THE REPORTING ORGANIZATION. THE AMOUNTS TRANSACTED BETWEEN THE REPORTING ORGANIZATION AND GRANTS MEADOW ASSOCIATES REFLECT THE FAIR MARKET VALUE OF GOODS AND SERVICES RECEIVED.0
BROWN HAY & STEPHENS
PAST BOARD MEMBER IS A PARTNER OF BROWN, HAY & STEPHENS LLP534500MEMORIAL MEDICAL CENTER PAID FEES TO THE LAW OFFICE OF BROWN, HAY & STEPHENS LLP, LTD FOR LEGAL SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2011 IN THE AMOUNT OF $534,500. DWIGHT H. O'KEEFE, A PAST MEMBER OF THE BOARD OF DIRECTORS, IS A PARTNER AT BROWN, HAY & STEPHENS LLP. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.0
MIDWEST EMERGENCY DEPARTMENT SPECIALISTS
BOARD MEMBER IS A KEY EMPLOYEE OF MIDWEST EMERGENCY DEPARTMENT SPECIALISTS4279087MEMORIAL MEDICAL CENTER PAID FEES TO MIDWEST EMERGENCY DEPARTMENT SPECIALISTS FOR EMERGENCY ROOM SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2011 IN THE AMOUNT OF $4,279,087. DAVID L. GRIFFEN, MD, PHD, A MEMBER OF THE BOARD OF DIRECTORS, IS A KEY EMPLOYEE AT MIDWEST EMERGENCY DEPARTMENT SPECIALISTS. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.0
CRAWFORD MURPHY & TILLY INC
BOARD MEMBER IS A PARTNER AT CRAWFORD MURPHY & TILLY254598MEMORIAL MEDICAL CENTER PAID FEES TO THE LAW OFFICE OF CRAWFORD, MURPHY & TILLY, INC FOR LEGAL SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2011 IN THE AMOUNT OF $254,598. CLIFTON R. BAXTER, A MEMBER OF THE BOARD OF DIRECTORS, IS A PARTNER AT CRAWFORD MURPHY & TILLY, INC. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2MARK H. FERGUSON AND WILLIAM R. ENLOW, BOTH MEMORIAL MEDICAL CENTER BOARD MEMBERS, ARE PARTNERS AT THE SAME LAW FIRM, SORLING, NORTHRUP, HANNA, CULLEN & COCHRAN, LTD.
FORM 990, PART VI, SECTION A, LINE 6MEMORIAL HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF THE AFFILIATES REPORTED IN THIS GROUP RETURN. MEMORIAL HEALTH SYSTEM CORPORATION CONTAINS 105 INDIVIDUAL MEMBERS WHO ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11A FINAL DRAFT COPY OF THE MHS GROUP FORM 990 AND ALL ATTACHMENTS IS PROVIDED TO ALL OF THE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS AND A BOARD COMMITTEE PRIOR TO FILING. AT THE BOARD MEETING, A PRESENTATION IS MADE BY THE CFO TO THE BOARD, FOLLOWED BY A QUESTION AND ANSWER SESSION. PRESENTATIONS ARE MADE TO THE AFFILIATE MEMBERS' BOARDS IN THE SAME TIME FRAME, ALTHOUGH COPIES OF THE COMPLETE FORM 990 AND ALL ATTACHMENTS ARE NOT PROVIDED PRIOR TO THOSE MEETINGS, EXCEPT TO BOARD MEMBERS WHO REQUEST COMPLETE COPIES. ALL QUESTIONS AND COMMENTS ARISING FROM THESE REVIEWS ARE ADDRESSED PRIOR TO SUBMISSION OF THE RETURN TO THE APPROPRIATE TAXING AUTHORITIES.
MEMORIAL HEALTH SYSTEM AND ITS SUBORDINATES MONITOR AND ENFORCE THEIR CONFLICT OF INTEREST POLICY BY IDENTIFYING ANY POTENTIAL CONFLICTS AT THE TIME EACH MEETING AGENDA IS PREPARED. ANY OFFICER OR DIRECTOR WHO HAS A CONFLICT IS NOTIFIED OF SUCH CONFLICT, AS WELL AS THEIR OBLIGATION TO ABSTAIN FROM THE DISCUSSION AND VOTE ON ANY CONFLICTED ISSUES(S). SUCH ABSTENTION(S), IF REQUIRED, ARE DOCUMENTED IN THE MINUTES OF EACH MEETING. BOARD MEMBERS ARE ALSO REQUIRED TO UPDATE THEIR CONFLICT OF INTEREST DISCLOSURE STATEMENTS PROMPTLY IN THE EVENT OF ANY CHANGE IN PERSONAL OR BUSINESS ACTIVITIES THAT WOULD REQUIRE SUCH DISCLOSURE.FORM 990, PART VI, SECTION B, LINE 12C
THE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS HAS APPOINTED A LEADERSHIP COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS, AND HAS DELEGATED TO IT THE RESPONSIBILITY OF ADMINISTERING, OVERSEEING AND APPROVING ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVE LEADERSHIP, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE BOARD HAS ADOPTED A LEADERSHIP COMPENSATION PHILOSOPHY STATEMENT DESCRIBING THE ROLE AND RESPONSIBILITIES OF THE COMMITTEE. THIS PHILOSOPHY EXPRESSLY STATES THE COMMITTEE'S INTENT, ON BEHALF OF THE CORPORATION, TO TAKE ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. THE COMMITTEE ANALYZES EVERY ELEMENT OF COMPENSATION (INCLUDING CURRENT, INCENTIVE AND DEFERRED COMPENSATION) AND BENEFITS (INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS). THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. IN CONNECTION WITH THE MOST RECENT REVIEW AND APPROVAL PROCESS, THE COMMITTEE RECEIVED PROFESSIONAL ADVICE FROM AN INDEPENDENT CONSULTANT AND OUTSIDE LEGAL COUNSEL. THE COMMITTEE CONSISTS ENTIRELY OF DISINTERESTED MEMBERS OF THE BOARD OR DISINTERESTED COMMITTEE MEMBERS WHO UNDER STATE CORPORATE LAW MAY SERVE ON SUCH A COMMITTEE. THE COMMITTEE WORKS WITH ITS COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES.FORM 990, PART VI, SECTION B, LINE 15
THE GOVERNING DOCUMENTS, SUCH AS ARTICLES OF INCORPORATION AND ANY AMENDMENTS THERTO, ARE AVAILABLE TO THE GENERAL PUBLIC THROUGH THE ILLINOIS SECRETARY OF STATE'S OFFICE. THESE GOVERNING DOCUMENTS, AS WELL AS THE BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -14,492,815. CHANGE IN MINIMUM PENSION LIABILITY 28,385,974. TRANSFERS 3,530,000. OTHER 182,404. TOTAL TO FORM 990, PART XI, LINE 5: 17,605,563.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsDirect Controlling Entity NADirectControllingEntityNA
MEMORIAL EXPRESSCARE LLC
701 NORTH FIRST STREETSPRINGFIELDIL62781263400528PROVIDES NON-EMERGENCY CARE SEVEN DAYS A WEEK WITHOUT APPOINTMENTIL-12940131143614N/A
HEALTHCARE NETWORK PROPERTIES LLC
701 NORTH FIRST STREETSPRINGFIELDIL62781371379377OWNS MEDICAL OFFICE BUILDINGSIL579173926290822N/A
KOKE MILL MEDICAL ASSOCIATESLLC
701 NORTH FIRST STREETSPRINGFIELDIL62781263400594HEALTHCARE SERVICESIL104872321585300N/A
FAMILY MEDICAL CENTER OF CHATHAM LLC
701 NORTH FIRST STREETSPRINGFIELDIL62781263405168HEALTHCARE SERVICESIL2587460329135N/A
WOMEN'S HEALTHCARE LLC
701 NORTH FIRST STREETSPRINGFIELDIL62781263400814HEALTHCARE SERVICESIL4364809717100N/A
NORTH DIRKSEN MEDICAL ASSOCIATES LLC
701 NORTH FIRST STREETSPRINGFIELDIL62781264655201HEALTHCARE SERVICESIL49582260989N/A
SOUTH SIXTH MEDICAL ASSOCIATES LLC
701 NORTH FIRST STREETSPRINGFIELDIL62781264655135HEALTHCARE SERVICESIL34215556072N/A
CAPITOL HEALTHCARE MEDICAL ASSOCIATES LLC
701 NORTH FIRST STREETSPRINGFIELDIL62781264326512HEALTHCARE SERVICESIL2320356347421N/A
FAMILY MEDICAL CENTER OF LINCOLN LLC
701 NORTH FIRST STREETSPRINGFIELDIL62781263400406HEALTHCARE SERVICESIL5480236701623N/A
MENARD MEDICAL CENTER LLC
701 NORTH FIRST STREETSPRINGFIELDIL62781263400715HEALTHCARE SERVICESIL1710095258369N/A
JACKSONVILLE LLC
701 NORTH FIRST STREETSPRINGFIELDIL62781263400645HEALTHCARE SERVICESIL4220639682967N/A
JACKSONVILLE PEDIATRIC ASSOCIATES LLC
701 NORTH FIRST STREETSPRINGFIELDIL62781263405138HEALTHCARE SERVICESIL2165976290481N/A
VINE STREET CLINICAL ASSOCIATES LLC
701 NORTH FIRST STREETSPRINGFIELDIL62781453180104PSYCHIATRIC HEALTHCARE SERVICESIL00N/A

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MENTAL HEALTH CENTERS OF CENTRAL ILLINOISBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1710 NORTH EIGHTH STREETAddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code62702ZIPCode
FieldValueIRS element (for citing)
EIN370646367EIN
Primary ActivitiesTO SERVE THE MENTALLY ILL, DEVELOPMENTALLY DISABLED, AND THEIR FAMILIESPrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status170(B)(1)(A)(VI)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssets
HEALTHCARE NETWORK ASSOCIATES OF SANGAMON INC
720 NORTH BOND STREETSPRINGFIELDIL62702364156479HEALTHCARE ACTIVITIESILN/AC1.00000
HEALTHCARE NETWORK ASSOCIATES OF LINCOLN INC
720 NORTH BOND STREETSPRINGFIELDIL62702371331904HEALTHCARE ACTIVITIESILN/AC1.00000
HEALTHCARE NETWORK ASSOCIATES OF CENTRAL ILLINOIS INC
720 NORTH BOND STREETSPRINGFIELDIL62702371331905HEALTHCARE ACTIVITIESILN/AC1.00000
MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC
701 NORTH FIRST STREETSPRINGFIELDIL62781371190216PROVIDE DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO PATIENTSILN/AC1.000006624839403015
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org1SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC
N723105COST BASIS
MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC
J165796COST - RENTAL EQUIPMENT

Form990 Schedule R Part VI Form990ScheduleRPartVI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateAll Partners C3 SAllPartnersC3SShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartner
RUTLEDGE JOINT VENTURES LLC
115 WEST JEFFERSON SUITE 401BLOOMINGTONIL61702371359387LONG TERM CARE, SKILLED NURSING AND SUB-ACUTE CAREIL023680020$8,6030
PRAIRIE DIAGNOSTIC CENTER LLC
619 E MASON ST SUITE 4P57SPRINGFIELDIL62701201258207FREE STANDING OUTPATIENT DIAGNOSTIC CARDIOVASCULAR IMAGING FACILITYIL000$2570
ORTHOPAEDIC SURGERY CENTER OF ILLINOIS LLC
720 NORTH BOND STREETSPRINGFIELDIL62702371366377AMABULATORY SURGICAL TREATMENT CENTERIL012831010$12,3660

Affiliate Listing AffiliateListing

Affiliate Affiliate (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINName ControlNameControl
MEMORIAL MEDICAL CENTER
701 NORTH FIRST STREETSPRINGFIELDIL62781370661220MEMO
THE ABRAHAM LINCOLN MEMORIAL HOSPITAL
200 STAHLUT DRIVELINCOLNIL62656370723793ABRA
TAYLORVILLE MEMORIAL HOSPITAL
201 EAST PLEASANTTAYLORVILLEIL62568370661250TAYL
MEMORIAL HEALTH VENTURES
701 NORTH FIRST STREETSPRINGFIELDIL62781363492266MEMO
MEMORIAL HOME SERVICES
720 NORTH BONDSPRINGFIELDIL62702370714225MEMO
MEMORIAL PHYSICIAN SERVICES
701 NORTH FIRST STREETSPRINGFIELDIL62781371181194MEMO
MEMORIAL MEDICAL CENTER FOUNDATION
1 MEMORIAL PLAZASPRINGFIELDIL62781371110301MEMO
ABRAHAM LINCOLN HEALTHCARE FOUNDATION
200 STAHLUT DRIVELINCOLNIL62656363492268ABRA
TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION INC
201 EAST PLEASANTTAYLORVILLEIL62568371337485TAYL
SPRINGFIELD RESIDENTIAL SERVICES
710 NORTH EIGHTH STREETSPRINGFIELDIL62702371298589SPRI