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MEMORIAL HEALTH SYSTEM: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HEALTH SYSTEM (EIN 37-1110690)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-04
IRS object ID
201132169349301353
Schema version
2009v1.7
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)
Timestamp2011-08-04T16:16:32-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RSM MCGLADREY INCBusinessNameLine1

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 Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN371110690EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMEMONameControl
Phone2177883198Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 NORTH FIRST STREETAddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code627810001ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT W KAYName
TitleSenior VP & CFOTitle
Phone2177883198Phone
Date Signed2011-08-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameZACHARY FORTSCHName
Phone3126343400Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Code627810001ZIPCode
FieldValueIRS element (for citing)
Gross Receipts76053222GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.mhsil.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees233TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI560710TotalGrossUBI
Net Unrelated Business Txbl Income-8675NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year8103ContributionsGrantsCurrentYear
Program Service Revenue Prior Year44518054ProgramServiceRevenuePriorYear
Program Service Revenue CY49572822ProgramServiceRevenueCY
Investment Income Prior Year-143749InvestmentIncomePriorYear
Investment Income Current Year656769InvestmentIncomeCurrentYear
Other Revenue Prior Year-95666OtherRevenuePriorYear
Other Revenue Current Year1730852OtherRevenueCurrentYear
Total Revenue Prior Year44278639TotalRevenuePriorYear
Total Revenue Current Year51968546TotalRevenueCurrentYear
Grants And Similar Amnts CY178253GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20336962SalariesEtcPriorYear
Salaries Etc Current Year22641807SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year24237076OtherExpensePriorYear
Other Expenses Current Year28618217OtherExpensesCurrentYear
Total Expenses Prior Year44574038TotalExpensesPriorYear
Total Expenses Current Year51438277TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-295399RevenuesLessExpensesPriorYear
Revenues Less Expenses CY530269RevenuesLessExpensesCY
Total Assets BOY136245443TotalAssetsBOY
Total Assets EOY144243267TotalAssetsEOY
Total Liabilities BOY64858034TotalLiabilitiesBOY
Total Liabilities EOY63763910TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY71387409NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY80479357NetAssetsOrFundBalancesEOY
Mission DescriptionTo improve the health of the people and communities we serve.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense25564051Expense
Revenue10730071Revenue
DescriptionINFORMATION TECHNOLOGYMemorial Health System is proactive in implementing technology that both improves patient safety, quality and clinical effectiveness, and improves Memorial Health System's business processes. Memorial Health System's staff of experienced Information Technology professionals is on the cutting edge of medical technology. They support a vast array of patient care and business applications. During FY10 significant information technology projects included: Data Center stabilization and redundancy, implementation of Computerized Provider Order Entry system at Memorial Medical Center, implementation of Allscripts Electronic Health Record at Memorial Physician Services, implementation of the Pharmacy robot at Memorial Medical Center and establishment of the Health Information Exchange.As Memorial Health System becomes dependent on advanced technology, the stability and reliability of the computer data center is of paramount importance. The Data Center Stabilization project utilized national best practices for construction, placement, cooling and redundancy for power failures. This provides a stable and redundant environment for our clinical computer applications and prevents unplanned system down times.Memorial Health System has been on a journey to fully implement integrated electronic health records since 1995. At each stage of implementation the project has been carefully built and integrated to provide optimum patient safety, reduce medical errors, reduce staff documentation time, reduce errors due to interpreting hand-written orders, and improve communication among caregivers. Previously completed implementation phases of the electronic health record have been in the laboratory, emergency department, pharmacy, radiology, registration, surgery, and respiratory therapy. During FY10, Memorial Medical Center developed CPOE,which provides an electronic physician order system to encourage best practice standardization, reduce manual documentation time and errors associated with interpreting hand written orders, and implemented a robot to assist in filling routine prescriptions in the pharmacy. This reduces medication errors and confusion. Memorial Physician Services implemented the Allscripts Electronic Health Record, automating patient records for the physician practices.Another significant project provided Information Technology support for the activation of over 500 smart infusion IV pumps in patient-care areas at Memorial Medical Center. These pumps sound an alert if a drug that is being administered is programmed outside of the safe and normal dose, thus reducing medication errors. Information Technology created a wireless network that allows the online drug library in the Pharmacy to be updated to all of the pumps simultaneously, ensuring that all pumps have the most recent and accurate information. This eliminates the need to upgrade each pump manually and reduces variation among pumps and the possibility of medication errors. The U.S. Army Medical Research and Material Command helped to underwrite costs of this project for Memorial Medical Center. Memorial Physician Services is the primary care ambulatory practice group of Memorial Health System. After several years of evaluation and planning, Memorial Physician Services has fully implemented the Allscripts Enterprise electronic health record. This system facilitates all physician, nursing and staff documentation and all physician orders in an electronic format. Significant improvements in patient safety, staff efficiency and clinic flow are being realized.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4988170Expense
Revenue3948817Revenue
DescriptionBUILDING and FACILITY EXPANSION AND IMPROVEMENTSIn order to increase capacity to meet the ongoing community demand for services, Memorial Health System invested in several significant facility improvements and additions in FY10. All renovations and expansion of services were developed and designed with the assistance of a healthcare design firm, and with strict adherence to public health code for workflow circulation and space dimensions. Each incorporated specific improvements to protect healthcare providers from injury or harm. The top five projects were:Diagnostic Imaging Services - In order to provide improved diagnostic imaging services to meet existing and future community demand, phase 2 of our outpatient remodeling program was completed. By updating equipment and patient care space, MMC is able to provide improved diagnostic imaging services which will enhance a physician's ability to provide an early diagnosis of a multitude of conditions. Estimated cost of completion of this project is $9.9 million.Pharmacy Renovations - To meet one of the National Patient Safety Goals from Joint Commission, MMC completed major pharmacy renovations including the installation of a pharmaceutical dispensing robot. The dispensing robot will improve patient care through the accurate labeling of all medications, containers, and solutions, resulting in a reduction in the risk of medication errors for patients. Total cost of the project was $792,763. New Construction - To increase and improve medical services access in Lincoln, Illinois and in Taylorville, Illinois, new medical office buildings were constructed near the new site of Abraham Lincoln Memorial Hospital and adjacent to Taylorville Memorial Hospital. Each office building will provide space for specialists to provide care and services to underserved residents of the area. Total cost of the Lincoln project was $6.3 million. Total cost of the Taylorville project was $11.8 million.Pain Clinic - The building located at 501 N. 1st Street in Springfield was remodeled to house the MMC Pain Clinic. The project provided additional clinic space and improved access for patients being treated for chronic pain. Cost of the project was $1.4 million.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2417165Expense
Revenue34399851Revenue
DescriptionEXECUTIVE LEADERSHIPGuided by the values of Memorial Health System, Senior Leadership is responsible for strategic planning, prioritizing among competing issues and engaging in dialogue and decision-making that will enable Memorial Health System to achieve its mission and vision and accomplish its strategic goals. The organization continues to aspire to be a national leader as it provides safe, top-quality and clinically effective patient care. Memorial Health System is committed to a comprehensive leadership development and training program to assure that leaders possess key individual, team, system and participatory leadership competencies. The Memorial Health System Leadership Development Institute offers a wide variety of courses and development opportunities, directed by the Organizational Learning and Development division. The competency-based leadership development system includes a 360-degree feedback process, succession planning, formal individual development plans, mentoring, coaching, administrative fellowship and internship programs, performance appraisal system and Leadership Development Forum to identify emerging leaders and give them broader exposure to the System Leadership Team. New this year, managers were trained to complete monthly rounding on employees. Clinical managers were trained in rounding on patients. A non-negotiable daily Nurse Manager rounding on patients and family time was established to ensure clinical leaders had the time needed to complete this important task.Memorial Health System's investment in strong, strategic leadership sets the pace for our organization. FY10 was one of the most successful years as reflected in clinical outcomes, where Memorial Health System achieved benchmark-level performance for mortality rates; door-to-balloon times for patients experiencing heart attacks; hand hygiene compliance rates; and surgical site infection rates. Employee engagement is excellent. Memorial Health System-wide employee satisfaction scores are in the top 6% of the nation; Memorial Health System was designated a national Employer of Choice; Memorial Medical Center continued designation as a Nursing Magnet Hospital by the American Nurse Credentialing Center; and Memorial Health System reduced employee vacancy and turnover rates. Financially, Memorial Medical Center provided nearly $100 million in unreimbursed services to the people and communities it serves (including Medicare, Medicaid and unpaid patient accounts). Nearly $18 million in charity care was provided; Memorial Health System's charity care policy provides assistance up to 750% of the federal poverty level. At the same time, Memorial Health System's financial results exceeded the operating budget. Leadership completed a five-year financial plan and achieved A1 and A+ bond ratings from Moody's and Standard and Poors, respectively.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense2233777Expense
Grants178253Grants
Revenue0Revenue
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2233777TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt178253TotalOfOtherProgramServiceGrnt
Total Program Service Expense35203163TotalProgramServiceExpense
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 Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109627NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees233NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
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 Venture0InvestmentInJointVenture
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 Senior VP & CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2177883198TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1701 North First StreetAddressLine1
CitySpringfieldCity
StateILState
ZIP Code627810001ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Joseph M Hurwitz
Chairman2.00XX000
James P Bruner
1st Vice Chairman1.70XX000
John D Blackburn
2ND VICE CHAIRMAN1.70XX000
Carol J HANSEN Posegate
Secretary0.80XX000
Dwight H O'Keefe III
Treasurer1.50XX000
Mark H Ferguson
Immediate Past Chairman1.60X000
Clifton R Baxter
Member1.10X000
RICHARD LEVI
Member0.80X000
William R Enlow
Member1.00X000
Randall S Germeraad
Member0.80X000
Nina M Harris
Member1.00X000
Louis G Lower II
Member0.80X000
HOWARD A PETERS III
Member0.70X000
Diane K Rutledge PhD
Member1.00X000
SERGIO A PECORI
Member1.10X000
WILLIAM D PUTMAN MD
Member0.90X000
Edgar J Curtis Ex-Offi
PRESIDENT & CEO50.00XX7100580391716
Robert W Kay
Sr VP, CFO, & Asst Treas50.00X43686100
Forrest G Hester
Senior VP & CPO50.00409376062338X
MITCHELL L JOHNSON
Sr VP Mrktng & PLANNING50.00390104056921X
ELAINE L YOUNG
VP Finance50.00248765039012X
DOUGLAS RAHN
SR VP AND COO50.00053597085956X
DAVID GRAHAM MD
Senior VP & CIO50.00426844071761X
KEVIN R ENGLAND
VP BUSiness DeVeLopMeNT50.00318101060902X
ANNA N EVANS
VP & GENERAL COUNSEL50.00296746059018X
EDWARD MCDOWALL
VP MARKETING & COMMUNICA50.00228372042044X
ROBERT T CLARKE
FORMER PRESIDENT & CEO0.00238533300X
Mark E Weaver MD
Former Senior VP & CMO0.00576391082702X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6426951TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs535970TotalReportableCompFrmRltdOrgs
Total Other Compensation952370TotalOtherCompensation
Number Individuals GT100 K34NumberIndividualsGT100K
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 DRsPRINGFIELDID62711constrUCTION11113223
cerner corporation
po BOX 412702kansas cityMO64141it CONSULTING SERVICES2337027
MAINLINE INFORMATION SYStems INC
PO BOX 402989aTLANTAGA30384it mAINTENANCE1134987
Preceptor Consulting Corporation
12242 Country Day CircleFort MeyersFL33913IT CONSULTING SERVICES749182
MICROSOFT LICENSING GP
BANK OF AMERICA DEPT 842467 1401 ELDALLASTX75202IT CONSULTING SERVICES743819
FieldValueIRS element (for citing)
Number Of Contractors GT100 K30NumberOfContractorsGT100K
Related Organizations8103RelatedOrganizations
Noncash Contributions8103NoncashContributions
Total Contributions8103TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MANAGEMENT FEES9000993489393434399851494083
IT Reimbursed Expenses9000991073007110730071
PROGRAM RELATED RENT90009939488173948817
FieldValueIRS element (for citing)
Total Program Service Revenue49572822TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column902506TotalRevenueColumn
Exclusion$902,506ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column3836TotalRevenueColumn
Exclusion$3,836ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3502377Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3941232Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-438855Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-438855TotalRevenueColumn
Exclusion-$438,855ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities19884871Securities
Other9000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities19948293Securities
Other195151Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-63422Securities
Other-186151Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-249573TotalRevenueColumn
Exclusion-$249,573ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Billing Service561000209660066002$2,030,598
Misc Revenue90009972482$72,482
501 Bldg Svcs Chapa900099625625
FieldValueIRS element (for citing)
Total Other Revenue2169707TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column51968546TotalRevenueColumn
Related Or Exempt Function Income49078739RelatedOrExemptFunctionIncome
Unrelated Business Revenue560710UnrelatedBusinessRevenue
Exclusion$2,320,994ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total178253Total
Program Services178253ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2417165Total
Program Services2417165ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15848719Total
Program Services8249245ProgramServices
Management And General7599474ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1270485Total
Program Services661287ProgramServices
Management And General609198ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2027304Total
Program Services881950ProgramServices
Management And General1145354ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1078134Total
Program Services574253ProgramServices
Management And General503881ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total362426Total
Management And General362426ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total324354Total
Management And General324354ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total387740Total
Management And General387740ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total142500Total
Management And General142500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3937144Total
Program Services1579591ProgramServices
Management And General2357553ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total287907Total
Management And General287907ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1787805Total
Program Services741103ProgramServices
Management And General1046702ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total11502766Total
Program Services11248195ProgramServices
Management And General254571ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2243297Total
Program Services1417812ProgramServices
Management And General825485ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total161995Total
Program Services59590ProgramServices
Management And General102405ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total229268Total
Program Services158509ProgramServices
Management And General70759ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total739118Total
Program Services739118ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6338363Total
Program Services6192303ProgramServices
Management And General146060ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total26754Total
Management And General26754ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MINOR PROJECT COSTS548305475080
REPAIRS & MAINTENANCE4790747435472
MISCELLANEOUS3344440133043
DIETARY SUPPLIES1059922038396

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total51438277Total
Program Services35203163ProgramServices
Management And General16235114ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY122270EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3915834BOY
EOY2004473EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1206466BOY
EOY1452398EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1594304BOY
EOY1842135EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis146888795LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec52388431LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY94190701BOY
EOY94500364EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY28349218BOY
EOY36149753EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY186000BOY
EOY456000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6802920BOY
EOY7715874EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY136245443BOY
EOY144243267EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8042411BOY
EOY7687078EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY17369BOY
EOY17716EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY17502850BOY
EOY15301800EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY21480000BOY
EOY20470000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY17815404BOY
EOY20287316EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY64858034BOY
EOY63763910EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY71387409BOY
EOY80479357EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY71387409BOY
EOY80479357EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY136245443BOY
EOY144243267EOY
FieldValueIRS element (for citing)
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (6 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
MEMORIAL MEDICAL CENTER
3706612203011$0
MEMORIAL HOME SERVICES NFP
3707142259011$1,400,000
ABRAHAM LINCOLN MEMORIAL HOSPITAL
3707237933011$0
TAYLORVILLE MEMORIAL HOSPITAL
3706612503011$0
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
3706463677011$0
SPRINGFIELD RESIDENTIAL SERVICES
3712985899011$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs6TotalNumberOfSupportedOrgs
Sum Of Amounts1400000SumOfAmounts

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$387,740OtherActivitiesAmount
Total Lobbying Expenditures IIB387740TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationMEMORIAL HEALTH SYSTEM ENGAGES LOBBYISTS TO ASSIST IT IN SECURING FEDERAL GRANTS AND MONITORING STATE REGULATIONS IN SUPPORT OF FURTHERING THE MEMORIAL HEALTH SYSTEM MISSION, WHICH IS "TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE". THIS INCLUDES ASSISTING MEMORIAL HEALTH SYSTEM IN DEVELOPING PRESENTATIONS TO THE ILLINOIS CONGRESSIONAL DELEGATION REQUESTING APPROPRIATIONS FOR PRIORITY PROJECTS INVOLVING LOCAL PATIENT SAFETY, QUALITY IMPROVEMENT AND IMPROVED LOCAL ACCESS TO MEDICAL CARE. THE LOBBYISTS ALSO ASSIST MEMORIAL IN COMMUNICATING THE IMPORTANCE OF ADEQUATE MEDICAID FUNDING IN SUPPORT OF THE SUBSTANTIAL SERVICES MEMORIAL'S AFFILIATES PROVIDE TO THOSE IN POVERTY AND IN MONITORING LEGISLATIVE AND REGULATORY DEVELOPMENTS THAT WOULD AFFECT MEMORIAL HEALTH SYSTEM'S ABILITY TO CONTINUE DELIVERING ITS ALREADY SUBSTANTIAL COMMUNITY BENEFIT.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis251493InvestmentCostOrOtherBasis
Other Cost Or Other Basis17769672OtherCostOrOtherBasis
Book Value18021165BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis35915103InvestmentCostOrOtherBasis
Other Cost Or Other Basis36768431OtherCostOrOtherBasis
Depreciation13588242Depreciation
Book Value59095292BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1279709InvestmentCostOrOtherBasis
Other Cost Or Other Basis46472437OtherCostOrOtherBasis
Depreciation37961093Depreciation
Book Value9791053BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis768159InvestmentCostOrOtherBasis
Other Cost Or Other Basis7663791OtherCostOrOtherBasis
Depreciation839096Depreciation
Book Value7592854BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings94500364TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
UNAMORTIZED BOND DISCOUNTS AND ISSUE COSTS468025
DUE FROM AFFILIATES1153496
LIFE INSURANCE - VARIOUS AGREEMENTS6094353
FieldValueIRS element (for citing)
Total Book Value Other Assets7715874TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$10,197,478
WORKERS' COMPENSATION$301,169
RESERVE FOR POST EMPLOYMENT BENEFITS$1,688,127
DUE TO AFFILIATES$49,205
SWAP LIABILITY$4,327,921
SERP$3,723,416
FieldValueIRS element (for citing)
Total Of Amounts20287316TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationEffective 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 a material impact on the consolidated balance sheets, consolidated statements of operations and changes in net assets, and consolidated statements of cash flows.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Central Illinois Foodbank
2000 East Moffat StreetSpringfieldIL62702371106465501(c)(3)6414Provide support to organization that provides food to the Springfield area community.
Greater Springfield Chamber of Commerce
1011 S Second StreetSpringfieldIL62704370710280501(c)(6)50000Participate in a public and private economic growth partnership led by the Chamber of Commerce.
Boys and Girls Club of Springfield
300 S Fifteenth StreetSpringfieldIL62703370752849501(c)(3)5000Provide support for health and hygiene related projects.
Southern Illinois University School of Medicine
PO BOX 19602springfieldIL62702376005961501(a)(1)6000Provide support for a health education event.
United Way of Central Illinois Inc
1999 West Wabash Avenue Suite 107SpringfieldIL62704370716060501(c)(3)103339Provide support to the United Way Community Fund which provides essential services, including health care, food, shelter, and victim services, to residents of Central Illinois.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

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: MHS provides grants primarily to locally managed 501(c)(3) organizations who support or share our vision and mission. The organization usually has employees who are volunteer board members of the organization.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
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 (12 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
Edgar J Curtis Ex-Officio
564365013958106112036127303044301101774000
Robert W Kay
34770907753301161901927000392970668858000
Forrest G Hester
2544260153798011520336210287170471714000
MITCHELL L JOHNSON
2383060147187046110260040309170447025000
ELAINE L YOUNG
1696590790580480269140120980287777000
DOUGLAS RAHN
0347657018218306130056212029744062192600
DAVID GRAHAM MD
3080230118821000414650302960498605000
KEVIN R ENGLAND
22092409673904380195410413610379003000
ANNA N EVANS
218849077897000459790130390355764000
EDWARD MCDOWALL
16019306762705520238460181980270416000
ROBERT T CLARKE
00002385333000002385333000
Mark E Weaver MD
395835088686091870077341053610659093000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 4aMark Weaver, M.D., terminated employement with MHS effective September 30, 2009. As a result, he received severance pay in 2009 of $76,747.20. The terms and conditions of his severance included important covenants and restrictions of substantial value to MHS, including a general release and waiver of any and all claims as well as confidentiality requirements. Part 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
ILLINOIS HEALTH FACILITIES AUTHORITY
36278004645200P2U42003-12-1731000000See Schedule O00
Illinois Finance Authority
86109196745200FJ592009-12-22147401639See Schedule O00

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount DefeasedAmountDefeasedIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFund
31091579114065604397441924527520041011
147496704135000095210070001150936634

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
011100.000000.016000.016000
011100.002000.012000.014000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
Piper Jaffray & Co
11112.0000000000000NA00
NA
0000NA00

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Springfield Electric
Randall S. Germeraad,owns >5% interest145400routine parts purchases at FMV.0
Springfield Clinic LLP
William D. Putman, M.D., Board Member and Employee1157231Fees for the services provided.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 2Mark H. Ferguson and William R. Enlow, both Memorial Health System Board Members, are partners at the same law firm, Sorling, Northrup, Hanna, Cullen & Cochran, Ltd.
Form 990, Part VI, Section A, line 6The Corporation contains 108 individual members who electe the board of directors.
Form 990, Part VI, Section A, line 7aThe individual members of the Corporation have the power and authority to elect the Corporation's board of directors, as well as the power and authority to remove member elected directors.
Form 990, Part VI, Section A, line 7bIndividual members of the Corporation have no voting rights with respect to the management, control or operation of the affairs and properties of the Corporation. Only the board of directors can make decisions in that regard.
Form 990, Part VI, Section B, line 11IRS form 990, including all schedules and attachments, are provided to the board of directors for review.
Form 990, Part VI, Section B, line 12cAll officers, directors and key employees of the Corporation are required to review the Conflict of Interest Policy and complete a specific disclosure statement which is attached to the policy. Memorial Health System monitors and enforces its Conflict of Interest Policy by identifying any potential conflicts at the time each meeting agenda is prepared. Any officer or director who has a conflict is notified of such conflict, as well as their obligation to abstain from the discussion and vote on any conflicted issues(s). Such abstention(s), if required, are documented in the minutes of each meeting. Board members are also required to update their Conflict of Interest disclosure statements promptly in the event of any change in personal or business activities that would require such disclosure.
Form 990, Part VI, Section B, line 15The 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 C, line 19The governing documents of Memorial Health System, such as Articles of Incorporation and any Amendments thereto, are available to the general public through the Illinois Secretary of State's Office. These governing documents, as well as the bylaws, conflict of interest policy and financial statements, are available upon request from the Corporation.
Schedule K Supplental InformationSchedule K: One Schedule K was completed at the parent level only. However, each affiliate is still showing its allocation of the liability on the balance sheet. Schedule K Part I, Column (f) continuations: The purpose of the 2003 issue was to refund the 1993 Series issued on 8/5/93 in the amount of $11,406,560. Proceeds were also used to pay issuance expenses and to purchase equipment and software for Memorial Health System. Proceeds were also used for construction and building improvements and to construct and equip an outpatient psychiatric facility. The purpose of the 2009 issue was to pay issuance costs, construct and equip a replacement hospital facility for Abraham Lincoln Memorial Hospital, renovate and remodel Taylorville Memorial Hospital, renovate, remodel, and equip Memorial Medical Center, construct a parking garage adjacent to Memorial Medical Center, construct and equip a wound care center, renovate a pain clinic, construct and equip a consolidated imaging services area, purchase various parcels of real property in Springfield, IL and Taylorville, IL, construct and equip a space for physical therapy within the new YMCA in Springfield, IL, and routine capital expenditures. Schedule K Part II, Line 5: For the 2003 issuance, $329,438 was used for issuance costs and $110,306 relates to credit enhancement. For the 2009 issuance, the entire amount of $1,350,000 was used for issuance costs. Schedule K Part II, Line 8: For the 2009 issuance, as of September 30, 2010 the projects are not substantially complete. Schedule K Part II, Line 11: For the 2009 issuance, the balance of what has not been spent is in reserve funds. Schedule K Part III, Line 3c: Memorial Health System's internal counsel routinely reviews management and service contracts and research agreements relating to financed property. Schedule K Part III, Line 5: Issuance costs are included in these percentages. Schedule K Part III, Line 7: Memorial Health System adopted a post-issuance compliance policy in fiscal year 2011. Schedule K Part IV, Line 1: The Arbitrage Rebate filing is only required every 5 year; the 2009 issuance has not yet met this requirement. Schedule K Part IV, Line 5: Bond draws are not final as of September 30, 2010 for the 2009 issuance.
Schedule R, Part V, Line 2 Fair Market value for rental income received Memorial Health System collected rental income from affiliates during the fiscal year ended September 30, 2010. The values listed in Schedule R, Part V, Line 2 were determined using fair market value.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
MEMORIAL MEDICAL CENTER
701 NORTH FIRST STSPRINGFIELDIL627810001370661220HOSPITAL SERVICESIL501(C)(3)170(B)(1)(A)(iii)N/A
MEMORIAL HEALTH VENTURES
701 NORTH FIRST STSPRINGFIELDIL627810001363492266HEALTHCARE ACTIVITIESIL501(C)(3)509(A)(3) TYPE IIN/A
ABRAHAM LINCOLN MEMORIAL HOSPITAL
315 EIGHTH STLINCOLNIL62656370723793HOSPITAL SERVICESIL501(C)(3)170(B)(1)(A)(iii)N/A
TAYLORVILLE MEMORIAL HOSPITAL
201 EAST PLEASANTTAYLORVILLEIL62568370661250HOSPITAL SERVICESIL501(C)(3)170(B)(1)(A)(iii)N/A
MEMORIAL HOME SERVICES
720 NORTH BONDSPRINGFIELDIL627024915370714225HOME HEALTH, HOSPICE, AND CONTINUOUS CARE SERVICESIL501(C)(3)509(A)(2)N/A
MEMORIAL PHYSICIAN SERVICES
701 NORTH FIRST STSPRINGFIELDIL627810001371181194HEALTH CLINICSIL501(C)(3)509(A)(3) TYPE IIN/A
MEMORIAL MEDICAL CENTER FOUNDATION
1 MEMORIAL PLAZASPRINGFIELDIL62781371110301GRANTS TO HOSPITALS, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPSIL501(C)(3)170(B)(1)(A)(V)N/A
TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION
201 EAST PLEASANTTAYLORVILLEIL62568371337485GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALSIL501(C)(3)509(A)(3)TYPE III-FIN/A
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
710 NORTH EIGHTH STSPRINGFIELDIL627026395370646367TRAINING, PSYCHIATRIC, AND RESIDENT SERVICES FOR MENTALLY ILL AND DISABLEDIL501(C)(3)170(B)(1)(A)(VI)N/A
ABRAHAM LINCOLN HOSPITAL FOUNDATION
315 EIGHTH STLINCOLNIL62656363492268GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALSIL501(C)(3)170(B)(1)(A)(VI)N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC
701 NORTH FIRST STREETSPRINGFIELDIL62781371190216PROVIDE DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO PATIENTSILN/AC
HEALTHCARE NETWORK ASSOCIATES OF SANGAMON
720 NORTH BOND STSPRINGFIELDIL62702364156479HEALTHCARE ACTIVITIESILN/AC
HEALTHCARE NETWORK ASSOCIATES OF LINCOLN
720 NORTH BOND STSPRINGFIELDIL62702371331904HEALTHCARE ACTIVITIESILN/AC
HEALTHCARE NETWORK ASSOCIATES OF CENTRAL ILLINOIS
720 NORTH BOND STSPRINGFIELDIL62702371331905HEALTHCARE ACTIVITIESILN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
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 Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Memorial Health Ventures
A439210
Memorial Home Services
A113526
Memorial Medical Center
A2153717
Memorial Physician Services
A1029951