Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 10-01-2013 , 2013, and ending 09-30-2014
BCheck if applicable:
CName of organization
MEMORIAL HEALTH SYSTEM GROUP
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
701 NORTH FIRST STREET
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SPRINGFIELD, IL62781
D Employer identification number

90-0756744
E Telephone number

G Gross receipts $ 1,440,643,060
F Name and address of principal officer:
EDGAR J CURTIS
701 NORTH FIRST STREET
SPRINGFIELD,IL62781
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.MHSIL.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions) Click to see attachment
H(c)
Group exemption number MediumBullet5670
K Form of organization:
 
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 108
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 71
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 6,135
6 Total number of volunteers (estimate if necessary) ............. 6 1,697
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 9,062,387
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 7,950,268 6,258,308
9 Program service revenue (Part VIII, line 2g) ......... 728,089,507 762,563,035
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 14,183,840 20,836,975
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 19,811,394 22,922,825
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 770,035,009 812,581,143
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,908,273 3,400,496
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 307,706,432 312,273,517
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 5,400 5,400
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet293,730    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 407,797,159 428,284,069
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 717,417,264 743,963,482
19 Revenue less expenses. Subtract line 18 from line 12....... 52,617,745 68,617,661
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 935,250,593 1,045,885,419
21 Total liabilities (Part X, line 26)............. 364,278,584 445,636,499
22 Net assets or fund balances. Subtract line 21 from line 20..... 570,972,009 600,248,920
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 77,954,850 including grants of $   ) (Revenue $ 96,289,510 )
CARDIOVASCULARTHE 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, ITS GOAL IS TO WORK WITH PATIENTS TO ACHIEVE GREAT PATIENT OUTCOMES AND OPTIMUM LONG-TERM HEALTH. IN FISCAL YEAR 2014, MEMORIALMEDICAL CENTER'S CARDIAC CATH LAB PERFORMED 3,198 HEART CATHS, 1,547 CORONARY INTERVENTIONS, 1,165 ELECTROPHYSIOLOGY (EP) PROCEDURES, AND 1,096 VASCULAR CASES. RECOGNIZED AS A LEADER AND INNOVATOR IN HEART AND VASCULAR TECHNOLOGY, THE MEMORIAL HEART & VASCULAR SERVICES TEAM ALSO PERFORMED 325 CORONARY BYPASS AND VALVE SURGERIES. OTHER SERVICES INCLUDE NON-INVASIVE CARDIAC AND VASCULAR TESTING, CARDIAC AND PULMONARY REHABILITATION, HEART FAILURE CLINIC, NUTRITION COUNSELING, AND SUPPORT GROUPS.ONCE A PATIENT IS DIAGNOSED AND TREATED, CARDIAC AND PULMONARY REHABILITATION CARE CONTINUES. UTILIZING A TEAM OF REGISTERED NURSES, EXERCISE PHYSIOLOGISTS AND SUPPORT STAFF, THREE PHASES OF REHABILITATION ARE OFFERED. PHASE I OCCURS WITHIN 24 HOURS OF SURGERY, HELPING PATIENTS TO BECOME AMBULATORY AND PREPARE TO GO HOME. PHASE II TAKES PLACE IN THE HOSPITAL'S EXERCISE AREA, WHERE REHABILITATION EFFORTS ARE PRESCRIBED AND CLOSELY MONITORED BY THERAPISTS, PHYSIOLOGISTS, AND OTHER TEAM MEMBERS; PHASE III HAPPENS AT THE GUS AND FLORA KERASOTES YMCA, WHERE SESSIONS ARE SUPERVISED BY A REGISTERED NURSE AND INCLUDE AEROBIC CLASSES, RECUMBENT BICYCLES, TREADMILLS, STAIR MACHINES AND WHIRLPOOLS. FY14 VISITS FOR CARDIAC AND PULMONARY REHAB FOR PHASE I WERE 23,487; PHASE II WERE 10,743; PHASE III WERE 11,841. TELESCALES HOME MONITORING SYSTEM PROVIDES A TWO-WAY COMMUNICATION BETWEEN HEART FAILURE PATIENTS AND THEIR HEALTH CARE PROVIDERS AT MEMORIAL HEART AND VASCULAR SERVICES. THIS SYSTEM HAS BEEN ESPECIALLY BENEFICIAL FOR OUR PATIENTS IN OUTLYING AREAS TO REDUCE THE NUMBER OF TRIPS THAT ARE MADE TO THE HOSPITAL. FY14 PATIENTS MONITORED USING TELESCALES WERE 60.MEMORIAL MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED AND ADOPTED CARDIOVASCULAR DISEASE AS ONE OF THE AREAS OF FOCUS IN MEETING THE NEEDS OF THE COMMUNITY.-BETTER BREATHERS CLUB - 240 PARTICIPANTS; $1,088 COMMUNITYBENEFIT-COMMUNITY HEALTH EVENTS - 1,215 PARTICIPANTS; $19,463 COMMUNITYBENEFIT: CELEBRATE THE HEART OF THE WOMAN; BE AWARE WOMEN'S FAIR; CHOLESTEROL / BLOOD PRESSURE SCREENING PROVIDED AT COMMUNITY; HEALTH FAIRS-AMERICAN HEART ASSOCIATION HEART WALK EVENT PLANNING ESTIMATED 400 PARTICIPANTS; $3,001 COMMUNITY BENEFIT.-HEALTH JAM (PARTNERSHIP WITH U OF I 4-H EXTENSION, SIU, YMCA, ANDMMC) - 180 PARTICIPANTS; $2,515 COMMUNITY BENEFIT-KIDS HEART ADVANTAGE - 464 PARTICIPANTS; $8,330 COMMUNITY BENEFIT-HEAD PRO EDUCATION - $453 COMMUNITY BENEFIT-HEART SMARTS EDUCATION GROUP - 122 PARTICIPANTS; $5,459 COMMUNITYBENEFIT-LVRS REUNION - 36 PARTICIPANTS-EXPLORER POSTS - 143 PARTICIPANTS; $2,337 COMMUNITY BENEFIT
4b (Code:   ) (Expenses $ 74,602,578 including grants of $   ) (Revenue $ 80,054,481 )
MEDICALMEDICAL SERVICES ENCOMPASS A WIDE VARIETY OF HEALTH CARE SERVICES PROVIDED TO INPATIENTS, OUTPATIENTS AND EMERGENCY SERVICES PROVIDED IN URGENT CARE CENTERS AND THE EMERGENCY DEPARTMENT. A TOTAL OF 133,011 ENCOUNTERS WERE PROVIDED BY MEMORIAL MEDICAL CENTER IN FY14. OF THESE, 4,493 WERE INPATIENT STAYS WITH THE REMAINDER, 128,518 CLASSIFIED ASOUTPATIENT ENCOUNTERS. THE MAJOR DISEASE CLASSES FOR MEDICAL SERVICES INCLUDE DIABETES, OBESITY, BACTERIAL AND VIRAL INFECTIONS OF ALL SOURCES INCLUDING SEPSIS, MALIGNANCIES OF THE SKIN INCLUDING BASAL AND SQUAMOUS CELL CARCINOMAS AND MELANOMA, A VARIETY OF BLOOD DISORDERS INCLUDING ANEMIA (LOW RED BLOOD CELL COUNT), INFECTIONS OF THE CENTRAL NERVOUS SYSTEM INCLUDING MENINGITIS, ENDOCRINE DISORDERS, SLEEP DISORDERS, STOMACH ULCERS AND GASTROINTESTINAL UPSET, HERNIAS, MEDICAL COMPLICATIONS OF THE MOTHER DURING PREGNANCY, SKIN DISORDERS AND DISEASES OF THE CONNECTIVE TISSUE, INFLAMMATORY DISEASES INCLUDING RHEUMATOID ARTHRITIS, VENEREAL DISEASES, OPEN WOUNDS AND CLOSED FRACTURES OF BONES ACROSS ALL AREAS OF THE BODY, POISONING BY DRUGS, PHYSICAL ABUSE IN CHILDREN AND ADULTS, GENETIC SUSCEPTIBILITY TO HEREDITARY DISEASE, AND NEED FOR SCREENING AND PREVENTION ACTIVITIES FOR A VARIETY OF ACUTE AND CHRONIC DISEASES. MANY PATIENTS USING MEDICAL SERVICES ACCESS EMERGENCY DEPARTMENT SERVICES AND OUTPATIENT LABORATORY AND IMAGING STUDIES FOR DIAGNOSIS AND TREATMENT OF ACUTE AND CHRONIC ILLNESSES THAT ARE NOT UNDER THE MANAGEMENT OF A PRIMARY CARE PHYSICIAN. THESE PATIENTS RELY ON URGENT AND EMERGENCY CARE FOR THEIR UNDERMANAGED SYMPTOMS AND DISEASES THAT FLARE UP OR BECOME UNMANAGEABLE IN THE HOME SETTING. 63.7% OF SERVICES WERE DELIVERED TO PATIENTS WITH MEDICARE AND MEDICAID, AND AN ADDITIONAL 3.4% OF ENCOUNTERS WERE FOR PATIENTS WITH SELF-PAY STATUS. THE PERCENTAGE OF SELF-PAY PATIENTS DECREASED IN FY14 AS A RESULT OF THE FEDERALLY RUN INSURANCE EXCHANGE OPERATING IN THE STATE OF ILLINOIS AND PATIENTS' ACCESS TO MEDICAID. MEDICAID AND SELF-PAY PATIENTS ARE MEDICALLY VULNERABLE AND OFTEN REQUIRE HOSPITAL SERVICES AS A SUBSTITUTE FOR PRIMARY HEALTH CARE SERVICES BECAUSE OF DELAYS IN CARE AND DISEASES THAT ARE ADVANCED OR NOT IN CONTROL AT DIAGNOSIS. AN IMPORTANT PART OF THEIR HOSPITAL VISIT IS CONCENTRATED TEACHING ABOUT THEIR ILLNESS AND THE REQUIRED SELF-CARE AND FOLLOW-UP. $8 MILLION IN CHARITY CARE WAS PROVIDED TO THIS POPULATION AND THE HOSPITAL WROTE OFF AN ADDITIONAL $2.2 MILLION IN BAD DEBT FOR CARE PROVIDED.
4c (Code:   ) (Expenses $ 63,780,298 including grants of $   ) (Revenue $ 71,771,060 )
ORTHOPEDICSMEMORIAL MEDICAL CENTER'S ORTHOPEDICS SERVICE OFFERS STATE-OF-THE-ART INTERDISCIPLINARY CARE FOR BONE AND JOINT DISORDERS. WORKING WITH COMMUNITY ORTHOPEDIC SURGEONS, MMC'S 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, OVER 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 GUIDE PATIENTS FROM PRE-SURGERY EDUCATION THROUGH POST-SURGERY REHABILITATION.PRIOR TO JOINT REPLACEMENT SURGERY, MEMORIAL'S ORTHOPEDIC SERVICES OFFERED 134 FREE PATIENT AND FAMILY EDUCATION CLASSES IN FY14 AND PHYSICAL THERAPISTS AND ORTHOPEDIC SURGEONS PARTNERED TO PROVIDE 12 FREE PRE-OPERATIVE PREPARATION CLASSES DESIGNED TO BETTER PREPARE ALL ELECTIVE ORTHOPEDIC SURGICAL PATIENTS.DURING FY 14, MEMORIAL MEDICAL CENTER'S ORTHOPEDICS SERVICES COMPLETED 5,483 INPATIENT AND OUTPATIENT ORTHOPEDIC PROCEDURES. THE JOINTWORKS PROGRAM SERVED 830 KNEE REPLACEMENT PATIENTS AND 416 HIP REPLACEMENT PATIENTS. OTHER ORTHOPEDIC SERVICES INCLUDED 189 CERVICAL FUSION PROCEDURES, 365 FEMUR FRACTURE SURGICAL REPAIRS, AND 359 LUMBAR FUSION PROCEDURES.IN ADDITION, MORE THAN 400 FREE BONE DENSITY SCREENINGS WERE PROVIDED AT VARIOUS HEALTH FAIRS WITHIN THE COMMUNITY AND COLLABORATION WITH AREA PHYSICIANS RESULTED IN FOUR COMMUNITY EVENTS IN WHICH THEY SHARED THEIR EXPERTISE ON A VARIETY OF TOPICS WITHIN THE FIELD OF ORTHOPEDICS. THE JOINTWORKS PATIENT AND FAMILY ADVISORY PANEL CONVENED SEVEN TIMES THROUGHOUT FY14 AND CONTRIBUTED TO SEVERAL PROCESS IMPROVEMENTS FOR OUR PATIENTS.
(Code:   ) (Expenses $ 412,570,208 including grants of $ 3,400,496 ) (Revenue $ 522,031,783 )
4d Other program services (Describe in Schedule O.)
(Expenses $ 412,570,208 including grants of $ 3,400,496 ) (Revenue $ 522,031,783 )
4e Total program service expensesMediumBullet628,907,934
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions).... Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
Yes
 
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
320
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
6,135
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
Yes
 
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
Yes
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
108
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
71
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
IL
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletROBERT W KAY SVP & CFO701 NORTH FIRST STREETSPRINGFIELDIL62781 (217) 788-3198
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) MARY ROSE MOREHEAD........................................................................
BOARD MEMBER ALMH
 .70
.......................   		X           0 0 0
(2) A PATRICK DOOLIN........................................................................
CHAIR ELECT (THRU DEC 13)/CHAIR ALMH
 .70
.......................   		X   X       0 0 0
(3) BRADLEY NEAL........................................................................
BOARD MEMBER ALMH
 .70
.......................   		X           0 0 0
(4) DENNIS CARROLL MD........................................................................
BOARD MEMBER ALMH
 .70
.......................   		X           0 0 0
(5) NATALIE FULK-MARQUEZ........................................................................
TREAS ALMH (THRU DEC 13)/SEC ALMH
 .70
.......................   		X   X       0 0 0
(6) TRACY MIZEUR MD........................................................................
BOARD MEMBER ALMH
 50.00
.......................   		X           304,598 0 56,731
(7) MARY CONRADY........................................................................
BOARD MEMBER ALMH
 .70
.......................   		X           0 0 0
(8) RONALD SCHILLING........................................................................
SEC ALMH (THRU DEC 13)/CHAIR ELECT
 .70
.......................   		X   X       0 0 0
(9) RICHARD BIVIN........................................................................
BOARD MEMBER ALMH (FROM JAN 14)
 .70
.......................   		X           0 0 0
(10) BILL BATES........................................................................
BOARD MEMBER ALMH
 .70
.......................   		X           0 0 0
(11) DAVID CAMPBELL........................................................................
BOARD MEMBER ALMH
 .70
.......................   		X           0 0 0
(12) GREG EIMER........................................................................
BOARD MEMBER ALMH
 .70
.......................   		X           0 0 0
(13) DERON POWELL........................................................................
MEMBER ALMH (THRU DEC 13)/TREAS ALMH
 .70
.......................   		X   X       0 0 0
(14) BRADLEY NIKLES........................................................................
CHAIR ALMH (THRU DEC 13)
 .70
.......................   		X   X       0 0 0
(15) CAROL HANSEN POSEGATE........................................................................
SECRETARY MMC
 .80
.......................   		X   X       0 0 0
(16) SUSAN KOCH EDD........................................................................
BOARD MEMBER MMC
 .70
.......................   		X           0 0 0
(17) DALE BECKER........................................................................
TREASURER MMC
 1.50
.......................   		X   X       0 0 0
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) DEAN ROBERT JR........................................................................
BOARD MEMBER MMC
 .70
.......................   		X           0 0 0
(19) DIANE RUTLEDGE PHD........................................................................
2ND VICE CHAIR MMC (FROM JAN 14)/MEM
 1.00
.......................   		X   X       0 0 0
(20) LYNNE BARKMEIER MD........................................................................
BOARD MEMBER MMC (FROM JAN 14)
 .70
.......................   		X           0 0 0
(21) JAMES BRUNER........................................................................
CHAIR MMC (THRU DEC 13)
 1.70
.......................   		X   X       0 0 0
(22) JOHN BLACKBURN........................................................................
1ST V CHR MMC (THRU DEC 13)/CHR MMC
 1.70
.......................   		X   X       0 0 0
(23) JOSEPH HURWITZ........................................................................
BOARD MEMBER MMC
 2.00
.......................   		X           0 0 0
(24) MARK FERGUSON........................................................................
BOARD MEMBER MMC
 1.60
.......................   		X           0 0 0
(25) MICHAEL PICK MD........................................................................
BOARD MEMBER MMC (THRU DEC 13)
 .80
.......................   		X           0 0 0
(26) NINA HARRIS........................................................................
BOARD MEMBER MMC (THRU DEC 13)
 1.00
.......................   		X           0 0 0
(27) TODD WISE........................................................................
BOARD MEMBER MMC
 .70
.......................   		X           0 0 0
(28) RANDALL GERMERAAD........................................................................
2 V CHR MMC (13)/1 V CHR MMC/CHR SRS
 .80
.......................   		X   X       0 0 0
(29) MARK KUHNKE MD........................................................................
BOARD MEMBER MMC
 .70
.......................   		X           0 0 0
(30) ANN COOMBE........................................................................
MEM MMCF (THRU DEC 13)/SEC MMCF
 .40
.......................   		X   X       0 0 0
(31) GERI LYNN ARRINDELL........................................................................
BOARD MEMBER MMCF
 .20
.......................   		X           0 0 0
(32) G VIRGINIA CONLEE........................................................................
BOARD MEMBER MMCF
 .40
.......................   		X           0 0 0
(33) BRIDGET LAMONT........................................................................
SEC MMCF (THRU DEC 13)/CHAIR MMCF
 .50
.......................   		X   X       0 0 0
(34) CRAIG SCHERMERHORN........................................................................
BOARD MEMBER MMC
 .20
.......................   		X           0 0 0
(35) DAVID GRIFFEN MD PHD........................................................................
BOARD MEMBER MMCF MMC
 .80
.......................   		X           0 0 0
(36) ELVIN ZOOK MD........................................................................
VICE CHAIR MMCF (THRU DEC 13)
 .50
.......................   		X   X       0 0 0
(37) GARY NEUBAUER........................................................................
TREASURER MMCF
 .20
.......................   		X   X       0 0 0
(38) GEOFFREY ISRINGHAUSEN........................................................................
BOARD MEMBER MMC
 .70
.......................   		X           0 0 0
(39) J CHRISTOPHER SMITH........................................................................
CHAIR MMCF (THRU DEC 13)
 .30
.......................   		X   X       0 0 0
(40) JULIE CELLINI........................................................................
BOARD MEMBER MMCF (THRU DEC 13)
 .20
.......................   		X           0 0 0
(41) JENNIFER ISRINGHAUSEN........................................................................
BOARD MEMBER MMCF
 .20
.......................   		X           0 0 0
(42) J WILLIAM ROBERTS........................................................................
BOARD MEMBER MMCF
 .20
.......................   		X           0 0 0
(43) ROB PIETROBURGO........................................................................
MEM MMCF (THRU DEC 13)/V CHAIR MMCF
 .40
.......................   		X   X       0 0 0
(44) R LEE ALLEN........................................................................
BOARD MEMBER MMCF
 .10
.......................   		X           0 0 0
(45) ROY NEWMAN........................................................................
BOARD MEMBER MMCF (THRU DEC 13)
 .10
.......................   		X           0 0 0
(46) CHERRILYN MAYFIELD........................................................................
BOARD MEMBER MMCF (FROM JAN 14)
 .10
.......................   		X           0 0 0
(47) HENRY DALE SMITH JR........................................................................
BOARD MEMBER MMCF (FROM JAN 14)
 .10
.......................   		X           0 0 0
(48) VAL YAZELL........................................................................
BOARD MEMBER MMCF (FROM JAN 14)
 .10
.......................   		X           0 0 0
(49) DONALD YURDIN MD........................................................................
BOARD MEMBER MMCF (FROM JAN 14)
 .20
.......................   		X           0 0 0
(50) MARK HANSEN MD........................................................................
BOARD MEMBER MPS
 50.00
.......................   		X           526,033 0 53,903
(51) MARSHALL HALE MD........................................................................
CHAIR MPS
 50.00
.......................   		X   X       462,389 0 60,467
(52) PAUL KASA MD........................................................................
BOARD MEMBER ALMH MPS
 50.00
.......................   		X           309,261 0 58,821
(53) BERNADETTE SALISBURY........................................................................
CHAIR TMH (THRU DEC 13)/MEM TMH
 .70
.......................   		X   X       0 0 0
(54) CARL NIEMANN........................................................................
BOARD MEMBER TMH
 .70
.......................   		X           0 0 0
(55) DANIEL AUSTIN........................................................................
V CHAIR TMH (THRU DEC 13)/CHAIR TMH
 .70
.......................   		X   X       0 0 0
(56) GARY SPURLING........................................................................
SEC TMH (THRU DEC 13)/VICE CHAIR TMH
 .70
.......................   		X   X       0 0 0
(57) JAMES ADCOCK........................................................................
MEMBER TMH (THRU DEC 13)/SEC TMH
 .70
.......................   		X   X       0 0 0
(58) PAVI GILL MD........................................................................
BOARD MEMBER TMH
 .70
.......................   		X           0 0 0
(59) RONALD MIZER DDS........................................................................
BOARD MEMBER TMH
 .70
.......................   		X           0 0 0
(60) LORETTA KAHLE........................................................................
BOARD MEMBER TMH
 .70
.......................   		X           0 0 0
(61) MARGARET FRY........................................................................
BOARD MEMBER TMH
 .70
.......................   		X           0 0 0
(62) THOMAS FORD........................................................................
TREASURER TMH
 .70
.......................   		X   X       0 0 0
(63) YASER FREIJ MD........................................................................
BOARD MEMBER TMH
 .70
.......................   		X           0 0 0
(64) JOHN DANIEL LITTEKEN........................................................................
BOARD MEMBER TMH
 .70
.......................   		X           0 0 0
(65) ERIC KAHLE........................................................................
VP TMHF (THRU DEC 13)/CHAIR TMHF
 .70
.......................   		X   X       0 0 0
(66) SHELLY CAPELLIN........................................................................
MEMBER TMHF (THRU DEC 13)/TREAS TMHF
 .70
.......................   		X   X       0 0 0
(67) WILLIAM COPE........................................................................
BOARD MEMBER TMHF
 .70
.......................   		X           0 0 0
(68) MEG KETTLEKAMP........................................................................
BOARD MEMBER TMHF
 .70
.......................   		X           0 0 0
(69) ROGER HICKMAN........................................................................
BOARD MEMBER TMHF
 .70
.......................   		X           0 0 0
(70) JUDY SWIGERT........................................................................
BOARD MEMBER TMHF
 .70
.......................   		X           0 0 0
(71) SR ANGELA LAQUET ASC........................................................................
BOARD MEMBER TMHF
 40.00
.......................   		X           80,108 0 6,176
(72) GINA PRINZAVALLI........................................................................
TREASURER TMHF (THRU DEC 13)
 .70
.......................   		X   X       0 0 0
(73) GLORIA BRUMMER........................................................................
SECRETARY TMHF
 .70
.......................   		X   X       0 0 0
(74) JOHN FERRY DDS........................................................................
PRES TMHF (THRU DEC 13)/MEMBER TMHF
 .70
.......................   		X   X       0 0 0
(75) ROBERT APPLETON........................................................................
BOARD MEMBER TMHF
 .70
.......................   		X           0 0 0
(76) SCOTT MCCLURE........................................................................
BOARD MEMBER TMHF
 .70
.......................   		X           0 0 0
(77) PENNY BLILER........................................................................
BOARD MEMBER TMHF
 .70
.......................   		X           0 0 0
(78) RICHARD SHAW........................................................................
BOARD MEMBER TMHF
 .70
.......................   		X           0 0 0
(79) GREGG FUERSTENAU MD........................................................................
BOARD MEMBER TMHF
 .70
.......................   		X           0 0 0
(80) MARY MCNEELY........................................................................
BOARD MEMBER TMHF
 .70
.......................   		X           0 0 0
(81) DAVID HIXENBAUGH........................................................................
MEM TMHF (THRU DEC 13)/V CHAIR TMHF
 .70
.......................   		X   X       0 0 0
(82) JERRY GARDNER DDS........................................................................
BOARD MEMBER TMHF
 .70
.......................   		X           0 0 0
(83) JOYCE LANGEN........................................................................
BOARD MEMBER TMHF
 .70
.......................   		X           0 0 0
(84) DENNIS KENNEDY........................................................................
BOARD MEMBER TMHF
 .70
.......................   		X           0 0 0
(85) LEIGH STEINER........................................................................
BOARD MEMBER SRS
 .70
.......................   		X           0 0 0
(86) JANET STOVER........................................................................
VICE CHAIR SRS
 .70
.......................   		X   X       0 0 0
(87) JANICE GAMBACH........................................................................
PRESIDENT SRS
 .70
.......................49.30 		X   X       0 184,411 35,119
(88) JENNIFER MORRISON........................................................................
SECRETARY SRS
 .70
.......................   		X   X       0 0 0
(89) JOHN MILHISER........................................................................
BOARD MEMBER SRS
 .70
.......................   		X           0 0 0
(90) REG MILLS........................................................................
BOARD MEMBER SRS
 .70
.......................   		X           0 0 0
(91) MICHAEL MCGLASSON........................................................................
BOARD MEMBER SRS (THRU FEB 14)
 .70
.......................   		X           0 0 0
(92) MICHAEL O'SHEA........................................................................
TREASURER SRS
 .70
.......................   		X   X       0 0 0
(93) WANDA LEE ROHLFS........................................................................
BOARD MEMBER SRS (FROM MARCH 14)
 .70
.......................   		X           0 0 0
(94) EVAN DAVIS........................................................................
BOARD MEMBER MHV (THRU DEC 13)
 50.00
.......................   		X           177,434 0 14,639
(95) J TRAVIS DOWELL........................................................................
PRESIDENT MPS
 50.00
.......................   		X   X       0 311,432 100,702
(96) R SCOTT KIRIAKOS........................................................................
VP CLIN INT MMC/MEM MHV MHSVC
 50.00
.......................   		X           337,093 0 87,948
(97) DOLAN DALPOAS........................................................................
PRESIDENT ALMH/MEMBER MHSVC
 50.00
.......................   		X   X       0 290,078 44,985
(98) DANIEL RAAB........................................................................
PRESIDENT TMH/TMHF/MEMBER MHSVC
 50.00
.......................   		X   X       0 260,536 48,367
(99) DOUGLAS RAHN DBA........................................................................
EVP COO MMC/CHR MHV 13 MHSVC/MEM MPS
 25.00
.......................25.00 		X   X       544,472 0 364,074
(100) EDGAR CURTIS........................................................................
PRES & CEO MHS/PRES MMC/MEM MPS
 25.00
.......................25.00 		X   X       0 1,096,598 1,058,445
(101) ROBERT KAY........................................................................
SVP/CFO SEC/TREAS MHSVC MHV MPS
 25.00
.......................25.00 		X   X       0 574,877 213,525
(102) KEVIN ENGLAND........................................................................
VICE CHAIR/PRES MHV/VC MHSVC
 25.00
.......................25.00 		X   X       0 389,969 242,599
(103) THOMAS WESTRICK........................................................................
PRESIDENT MHSVC
 50.00
.......................   		X   X       0 208,147 30,067
(104) CHARLES CALLAHAN PHD........................................................................
SVP & CQO/CHAIR MHV (FROM JAN 14)
 50.00
.......................   		X   X       373,642 0 75,819
(105) JAMESON ROSZHART........................................................................
BOARD MEMBER MHV (FROM JAN 14)
 35.00
.......................15.00 		X           93,442 48,051 26,378
(106) ELAINE YOUNG........................................................................
VP FINANCE MHS (THRU JAN 2013)
 25.00
.......................25.00 		      X     0 541,048 -22,789
(107) ELENA KEZELIS........................................................................
EXEC DIR MMCF
 50.00
.......................   		      X     177,097 0 31,291
(108) MARSHA PRATER PHD........................................................................
SVP & CNO MMC
 50.00
.......................   		      X     515,734 0 358,189
(109) DAVID JOERGER........................................................................
ADMIN PERIOP SRV MMC (THRU NOV 2013)
 50.00
.......................   		      X     236,540 0 29,645
(110) LINDA JONES DNS........................................................................
VP OPERATIONS MMC
 50.00
.......................   		      X     303,768 0 60,575
(111) DREW EARLY........................................................................
ADMIN ED/CARDIOLOGY MMC
 50.00
.......................   		      X     207,158 0 32,557
(112) HARRY SCHMIDT........................................................................
VP FACILITIES MANAGEMENT MMC
 50.00
.......................   		      X     246,110 0 44,066
(113) ANNA EVANS JD........................................................................
GEN COUNSEL/VP INT AUDIT & COMPL MHS
 25.00
.......................25.00 		      X     0 366,061 138,346
(114) RAJESH GOVINDAIAH MD........................................................................
SVP & CMO MHS
 25.00
.......................25.00 		      X     0 360,555 206,281
(115) DAVID GRAHAM MD........................................................................
SVP & CIO MHS
 25.00
.......................25.00 		      X     0 491,801 98,670
(116) MITCHELL JOHNSON........................................................................
SVP & CHIEF STRATEGY OFFICER MHS
 25.00
.......................25.00 		      X     0 379,635 115,712
(117) BRADLEY WARREN........................................................................
SVP & CPO MHS (THRU JAN 2013)
 25.00
.......................25.00 		      X     0 305,822 13,809
(118) MELISSA MCGLASSON........................................................................
VP FINANCE MHS (FROM FEB 2013)
 25.00
.......................25.00 		      X     22,715 209,159 33,921
(119) AIMEE ALLBRITTON PHD........................................................................
INTERIM CHRO MHS (2013), VP & CLO
 25.00
.......................25.00 		      X     0 361,168 65,117
(120) FERDINAND SALVACION MD........................................................................
PHYSICIAN MMC
 50.00
.......................   		        X   701,330 0 123,926
(121) DAVID SANDERCOCK MD........................................................................
PHYSICIAN MPS
 50.00
.......................   		        X   523,992 0 129,522
(122) JAMES GILDNER MD........................................................................
PHYSICIAN MPS
 50.00
.......................   		        X   628,290 0 112,121
(123) AMY HIGH MD........................................................................
PHYSICIAN MPS
 50.00
.......................   		        X   554,116 0 72,406
(124) STEVEN LILLPOP MD........................................................................
PHYSICIAN MPS
 50.00
.......................   		        X   526,013 0 121,225
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 7,851,335 6,379,348 4,343,355
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet283
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
HAROLD O'SHEA BUILDERS INC3401 CONSTITUTION DRSPRINGFIELDIL62711 CONSTRUCTION 75,149,370
SIU SCHOOL OF MEDICINEPO BOX 19607SPRINGFIELDIL627949607 PHYSICIAN SERVICES 25,666,432
MID-AMERICA EMERGENCY PHYSICIANS INCKERBER ECK BRAECKEL LLP 1000 MYSPRINGFIELDIL62701 ER STAFFING 7,645,318
SPRINGFIELD CLINICPO BOX 19260SPRINGFIELDIL627049260 PHYSICIAN SERVICES 6,324,144
SIEMENS MEDICAL SOLUTIONSDEPT CH 14195PALATINEIL600554195 PREVENTIVE MAINTENANCE 2,939,930
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet126
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 8,231
b Membership dues....1b  
c Fundraising events....1c 295,486
d Related organizations...1d 527,140
e Government grants (contributions)1e 4,314,824
f All other contributions, gifts, grants, and
similar amounts not included above1f 		1,112,627
g Noncash contributions included in lines
1a-1f:$ 		11,874
h Total. Add lines 1a-1f.......MediumBullet 6,258,308
Program Service RevenueAmt Business Code
2a PATIENT SERVICE REV 900099 686,541,476 686,541,476    
b PROGRAM RELATED REV 900099 53,906,386 53,906,386    
c HOSPICE SERVICES 621610 7,222,178 7,222,178    
d HOME HEALTH SERVICES 621610 6,943,920 6,943,920    
e PROGRAM RELATED RENT 621110 6,191,618 6,191,618    
f All other program service revenue . 1,757,457 1,757,457    
g Total. Add lines 2a–2f........MediumBullet 762,563,035
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 6,573,352     6,573,352
4 Income from investment of tax-exempt bond proceeds..MediumBullet 6,054     6,054
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 3,153,351  
b Less: rental expenses 1,680,107  
c Rental income or (loss) 1,473,244  
d Net rental income or (loss).......MediumBullet 1,473,244 182,446 27,805 1,262,993
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 640,302,115 33,702
b Less: cost or other basis and sales expenses 625,916,210 162,038
c Gain or (loss) 14,385,905 -128,336
d Net gain or (loss)..........MediumBullet 14,257,569     14,257,569
8a Gross income from fundraising events (not including
$ 295,486
of contributions reported on line 1c). See Part IV, line 18 ..
a 403,871
b Less: direct expenses ...b 303,562
c Net income or (loss) from fundraising events..MediumBullet 100,309   100,309
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a REFERENCE LAB REVENUE 621500 7,940,542   7,940,542  
b CAFETERIA REVENUE 722320 4,590,274   114,205 4,476,069
c EMPLOYMENT SERVICES 561300 438,055   438,055  
d All other revenue .... 8,380,401 7,401,353 541,780 437,268
e Total. Add lines 11a–11d ...... MediumBullet 21,349,272
12 Total revenue. See Instructions......MediumBullet 812,581,143 770,146,834 9,062,387 27,113,614
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 2,439,240 2,439,240
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 961,256 961,256
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 6,263,619 3,651,954 2,500,164 111,501
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 44,173 44,173    
7 Other salaries and wages 235,219,702 213,304,735 21,799,522 115,445
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 13,206,401 11,968,351 1,238,050  
9 Other employee benefits ....... 40,798,254 37,466,467 3,304,263 27,524
10 Payroll taxes ........... 16,741,368 15,134,661 1,595,787 10,920
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 2,406,763   2,406,763  
c Accounting ........... 51,092   51,092  
d Lobbying ........... 99,413   99,413  
e Professional fundraising services. See Part IV, line 17 5,400 5,400
f Investment management fees ...... 1,698,981   1,698,981  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 87,250,130 80,879,265 6,370,865  
12 Advertising and promotion .... 1,124,573 97,555 1,027,018  
13 Office expenses ....... 15,313,139 12,818,956 2,485,977 8,206
14 Information technology ...... 11,920,583 10,681,322 1,237,978 1,283
15 Royalties ..        
16 Occupancy ........... 16,888,498 15,279,014 1,609,484  
17 Travel ............ 1,219,568 1,041,151 178,417  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 538,776 328,333 210,443  
20 Interest ........... 8,997,957 8,997,957    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 38,086,254 29,922,134 8,164,120  
23 Insurance .............. 4,465,029 16,419 4,448,610  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PATIENT SERV. SUPPLIES 81,998,396 81,997,923 473  
b MANAGEMENT FEE 49,834,980   49,834,980  
c PURCHASED MEDICAL SERVI 37,524,173 36,154,394 1,369,779  
d DRUGS 23,144,794 23,144,794    
e All other expenses 45,720,970 42,577,880 3,129,639 13,451
25 Total functional expenses. Add lines 1 through 24e 743,963,482 628,907,934 114,761,818 293,730
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 5,925,416 1 6,668,671
2 Savings and temporary cash investments ......... 120,857,687 2 139,804,921
3 Pledges and grants receivable, net ........... 164,509 3 132,819
4 Accounts receivable, net ............. 136,368,918 4 138,826,597
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net ............. 347,551 7 146,824
8 Inventories for sale or use .............. 11,556,539 8 11,005,051
9 Prepaid expenses and deferred charges .......... 7,564,362 9 6,962,458
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 641,549,168
b Less: accumulated depreciation ..... 10b 329,018,396 261,336,485 10c 312,530,772
11 Investments—publicly traded securities .......... 318,828,682 11 351,845,824
12 Investments—other securities. See Part IV, line 11 ..... 19,018,420 12 20,545,994
13 Investments—program-related. See Part IV, line 11 ..... 6,291,601 13 7,368,302
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 46,990,423 15 50,047,186
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 935,250,593 16 1,045,885,419
Liabilities 17 Accounts payable and accrued expenses ......... 80,694,222 17 91,112,697
18 Grants payable ................. 316,825 18 417,574
19 Deferred revenue ................ 280,620 19 614,110
20 Tax-exempt bond liabilities ............. 167,170,427 20 222,363,316
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 11,070,000 23 8,645,000
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 104,746,490 25 122,483,802
26 Total liabilities. Add lines 17 through 25......... 364,278,584 26 445,636,499
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 505,468,281 27 528,259,711
28 Temporarily restricted net assets ........... 60,342,576 28 66,809,793
29 Permanently restricted net assets ........... 5,161,152 29 5,179,416
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 570,972,009 33 600,248,920
34 Total liabilities and net assets/fund balances ........ 935,250,593 34 1,045,885,419
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
812,581,143
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
743,963,482
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
68,617,661
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
570,972,009
5
Net unrealized gains (losses) on investments ...............
5
8,354,063
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-47,694,813
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
600,248,920
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MEMORIAL HEALTH SYSTEM GROUP
 
Employer identification number

90-0756744
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
MEMORIAL HEALTH SYSTEM GROUP
 
Employer identification number

90-0756744
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
MEMORIAL HEALTH SYSTEM GROUP
  		Employer identification number

90-0756744
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
MEMORIAL HEALTH SYSTEM GROUP
  		Employer identification number

90-0756744
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
MEMORIAL HEALTH SYSTEM GROUP
  		Employer identification number

90-0756744
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
MEMORIAL HEALTH SYSTEM GROUP
 
Employer identification number

90-0756744
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
99,413
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
99,413
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: MEMORIAL MEDICAL CENTER ENGAGES LOBBYISTS TO ASSIST IT 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 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 MEDICAL CENTER'S ABILITY TO CONTINUE DELIVERING ITS ALREADY SUBSTANTIAL COMMUNITY BENEFIT. THE FOLLOWING ORGANIZATIONS PAID FUNDS TO HEALTHCARE ASSOCIATIONS TO AID AND ASSIST HOSPITALS AND HEALTHCARE ENTITIES REGARDING LEGISLATIVE CHANGES. THESE COSTS INCLUDE AMOUNTS PAID DIRECTLY TO LOBBYISTS FROM THE VARIOUS ENTITIES AND ALSO INCLUDE AMOUNTS PAID INDIRECTLY TO LOBBYISTS THROUGH ASSOCIATION DUES. MEMORIAL MEDICAL CENTER: $52,854 ABRAHAM LINCOLN MEMORIAL HOSPITAL: $21,021 MEMORIAL HOME SERVICES: $3,119 TAYLORVILLE MEMORIAL HOSPITAL: $22,419
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MEMORIAL HEALTH SYSTEM GROUP
 
Employer identification number

90-0756744
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 8,666,004 8,179,460 7,271,242 7,410,408 5,942,467
b Contributions ........ 27,768 211,378 22,786 48,483 1,050,046
c Net investment earnings, gains, and losses 1,052,498 723,768 1,148,366 -47,525 599,812
d Grants or scholarships ..... 123,660   -31,300   35,500
e Other expenditures for facilities
and programs ........ 		304,976 374,978 -170,435 -42,758 107,317
f Administrative expenses .... 80,062 73,624 -61,199 -97,366 39,101
g End of year balance ...... 9,237,572 8,666,004 8,179,460 7,271,242 7,410,407
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet13.800 %
b
Permanent endowment SchDMd Bullet55.600 %
c
Temporarily restricted endowment SchDMd Bullet30.600 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ................. 971,929 6,661,559 7,633,488
b Buildings ................ 2,808,690 292,464,431 162,576,115 132,697,006
c Leasehold improvements ............   11,545,908 4,396,895 7,149,013
d Equipment ................ 4,978 204,972,538 147,339,730 57,637,786
e Other .................   122,119,135 14,705,656 107,413,479
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 312,530,772
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
DEFERRED COMPENSATION 13,481,455
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 33,022,795
MINIMUM PENSION LIABILITY 37,177,778
RESERVE FOR POST EMPLOYMENT BENEFITS 10,251,394
SWAP LIABILITY 2,567,998
WORKERS' COMPENSATION AND PROFESSIONAL LIABILITY 20,571,857
ENVIRONMENTAL HAZARDS LIABILITY 2,803,849
DUE TO AFFILIATES 2,495,954
CHARITABLE GIFT ANNUITY PAYABLE 105,140
TENANT SECURITY DEPOSITS 3,246
OTHER PAYABLES 2,336
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 122,483,802
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
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 CONSISTS OF 36 INDIVIDUAL DONOR-RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE FOUNDATION HAS A POLICY OF APPROPRIATING FOR DISTRIBUTION EACH YEAR 5% OF ITS ENDOWMENT FUND'S MOVING AVERAGE FAIR VALUE OVER THE PRIOR 36 MONTHS AS OF SEPTEMBER 30 OF THE PRECEDING 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. TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION PROVIDES EDUCATION SCHOLARSHIPS TO STUDENTS SEEKING A CAREER IN HEALTHCARE.
PART X, LINE 2: THE AUTHORITATIVE GUIDANCE IN ASC 740, INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDANCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. EACH OF MHS'S SUBSIDIARIES, EXCLUDING THOSE DESCRIBED IN THE FOLLOWING PARAGRAPH, IS A SEPARATELY INCORPORATED NOT-FOR-PROFIT CORPORATION AS DESCRIBED UNDER SECTION 501(C)(3) OF THE CODE AND IS TAX-EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THEY DO, HOWEVER, OPERATE CERTAIN PROGRAMS THAT MAY RESULT IN UNRELATED BUSINESS INCOME. UPON REVIEW AS REQUIRED BY ASC 740, INCOME TAX NO TAX PROVISION WAS RECORDED FOR THE YEARS ENDED SEPTEMBER 30, 2014 OR 2013. MP AND MHP ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES AND ARE EXEMPT FROM INCOME TAX. MHSCI IS A TAXABLE FOR-PROFIT CORPORATION AND PPA IS A TAXABLE NOT-FOR-PROFIT CORPORATION. BOTH ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MEMORIAL HEALTH SYSTEM GROUP
 
Employer identification number

90-0756744
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

FESTIVAL OF TREES (MMCF)
(event type) 		(b) Event #2

SHARING WISHES HOSPICE GALA
(event type) 		(c) Other events

7
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 510,425 65,833 123,099 699,357
2 Less: Contributions . . 173,164 52,898 69,424 295,486
3 Gross income (line 1
minus line 2) . . . 		337,261 12,935 53,675 403,871
VerticalDirectExpenses 4 Cash prizes . . . 0 0 255 255
5 Noncash prizes . . 52,291 0 23,693 75,984
6 Rent/facility costs . . 12,458 5,247 4,511 22,216
7 Food and beverages . 48,881 11,645 6,248 66,774
8 Entertainment . . . 650 8,660 9,466 18,776
9 Other direct expenses . 94,710 5,769 19,078 119,557
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 303,562
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow 100,309
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MEMORIAL HEALTH SYSTEM GROUP
 
Employer identification number

90-0756744
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		4 9,182 13,229,799 0 13,229,799 2.050 %
b Medicaid (from Worksheet 3,
column a) .... 		1 83,442 97,178,847 75,421,788 21,757,059 3.370 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		3 430 302,360 924,181 -621,821 0 %
d Total Financial Assistance
and Means-Tested
Government Programs . 		8 93,054 110,711,006 76,345,969 34,365,037 5.420 %
Other Benefits
 45 15,446 1,118,383 0 1,118,383 0.170 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		25 2,016 11,265,281 4,551,741 6,713,540 1.040 %
g Subsidized health services
(from Worksheet 6) .. 		1 102 6,679 0 6,679 0 %
h Research (from Worksheet 7) 4 163 314,044 4,393 309,651 0.050 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		46 1,861 25,978,535 0 25,978,535 4.030 %
j Total. Other Benefits .. 121 19,588 38,682,922 4,556,134 34,126,788 5.290 %
k Total. Add lines 7d and 7j . 129 112,642 149,393,928 80,902,103 68,491,825 10.710 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 2   3,605   3,605 0 %
2 Economic development 5   3,528   3,528 0 %
3 Community support 16   34,888   34,888 0.010 %
4 Environmental improvements 1   907   907 0 %
5 Leadership development and training for community members 7   5,205   5,205 0 %
6 Coalition building 4   1,355   1,355 0 %
7 Community health improvement advocacy 5 18 5,910   5,910 0 %
8 Workforce development 5 583 118,596   118,596 0.020 %
9 Other 17 375 150,121   150,121 0.020 %
10 Total 62 976 324,115   324,115 0.050 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
3,278,276
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
202,190,594
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
207,276,780
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-5,086,186
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?3
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 MEMORIAL MEDICAL CENTER
701 NORTH FIRST STREET
SPRINGFIELD,IL62781
HTTPS://WWW.MEMORIALMEDICAL.COM/
0001487 		X X   X   X X      
2 ABRAHAM LINCOLN MEMORIAL HOSPITAL
200 STAHLHUT DRIVE
LINCOLN,IL62656
HTTP://WWW.ALMH.ORG/
0005728 		X X     X   X      
3 TAYLORVILLE MEMORIAL HOSPITAL
201 E PLEASANT
TAYLORVILLE,IL62568
HTTPS://WWW.TAYLORVILLEMEMORIAL.ORG/
0005447 		X X     X   X   SKILLED NURSING FACILITY  
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MEMORIAL MEDICAL CENTER
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 11
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 300.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ABRAHAM LINCOLN MEMORIAL HOSPITAL
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		2
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 11
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 300.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
TAYLORVILLE MEMORIAL HOSPITAL
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		3
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 11
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 300.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 3: MEMORIAL MEDICAL CENTERMEMORIAL HEALTH SYSTEM'S THREE HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT THAT WAS COMPLETED IN TY 2011. MHS APPOINTED A JOINT INTERNAL ADVISORY TEAM TO REVIEW SECONDARY HEALTH DATA SOURCES FOR CHRISTIAN, LOGAN AND SANGAMON COUNTIES. EACH HOSPITAL THEN CONVENED LOCAL COMMUNITY REPRESENTATIVES TO SERVE ON AN EXTERNAL ADVISORY GROUP SPECIFIC TO THAT COMMUNITY. THE TEAM CHARTER: THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUP EXISTS TO HELP MEMORIAL HEALTH SYSTEM EVALUATE THE INITIAL PRIORITIES SELECTED BY THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM. THESE GROUPS, CONVENED BY EACH MHS HOSPITAL, WILL REVIEW EXISTING DATA AND OFFER INSIGHTS INTO COMMUNITY ISSUES AFFECTING THAT DATA. THEY WILL HELP IDENTIFY LOCAL COMMUNITY ASSETS AND GAPS IN THE PRIORITY AREAS AND WILL OFFER ADVICE ON WHICH ISSUES ARE THE HIGHEST PRIORITY. FOLLOWING ADOPTION OF THE PRIORITIES, EACH HOSPITAL HELD MEETINGS WITH COMMUNITY ORGANIZATIONS IN ITS COUNTY TO GAIN ADDITIONAL INPUT INTO THE IMPLEMENTATION PLAN. FOLLOWING ARE THOSE THAT PARTICIPATED IN THE EXTERNAL ADVISORY GROUPS. MEMORIAL MEDICAL CENTER CONVENED AN EXTERNAL ADVISORY COMMITTEE THAT INCLUDED THE FOLLOWING ORGANIZATIONS. THIS GROUP MET AND REVIEWED PERTINENT HEALTH DATA AVAILABLE ON SANGAMON COUNTY FROM THE HEALTHY COMMUNITIES INSTITUTE, PROVIDED INPUT ON THE DATA AND IMPACTS ON LOW-INCOME AND VULNERABLE POPULATIONS, AND HELPED IDENTIFY COMMUNITY ASSETS AND GAPS IN SERVICES. THEY RANKED THE FINAL PRIORITIES. SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH IS THE STATE'S TENTH LARGEST HEALTH DEPARTMENT SERVING A POPULATION OF MORE THAN 199,000. CENTRAL COUNTIES HEALTH CENTERS IS A FEDERALLY QUALIFIED HEALTH CENTER IN SPRINGFIELD, ILLINOIS, WHICH PROVIDES ACCESS TO PRIMARY MEDICAL AND DENTAL CARE FOR THE UNDERSERVED. SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE'S CENTER FOR FAMILY MEDICINE, A NEWLY ACCREDITED FEDERALLY QUALIFIED HEALTH CENTER IN SPRINGFIELD, ILLINOIS, PROVIDES A MEDICAL HOME TO A HIGH MEDICAID AND MEDICARE POPULATION. ST. JOHN'S HOSPITAL, A 431-BED CATHOLIC REGIONAL MEDICAL CENTER, OFFERS A COMPREHENSIVE ARRAY OF HEALTH CARE SERVICES TO PEOPLE IN CENTRAL AND SOUTHERN ILLINOIS. ST. JOHN'S CHILDREN'S HOSPITAL IS HOME TO A LEVEL III NEONATAL INTENSIVE CARE UNIT AND PEDIATRIC INTENSIVE CARE UNIT. MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION PROVIDING HIGH-QUALITY, COMPREHENSIVE BEHAVIORAL HEALTH AND REHABILITATION SERVICES. AN AFFILIATE OF MEMORIAL HEALTH SYSTEM, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS ONE OF THE LARGEST PROVIDERS OF BEHAVIORAL HEALTH SERVICES IN CENTRAL ILLINOIS, SERVING MORE THAN 9,000 INDIVIDUALS EACH YEAR. SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE IS A MEDICAL SCHOOL WHOSE MISSION IS TO ASSIST THE PEOPLE OF CENTRAL AND SOUTHERN ILLINOIS IN MEETING THEIR HEALTH CARE NEEDS THROUGH EDUCATION, RESEARCH, PATIENT CARE AND SERVICE TO THE PEOPLE.UNITED WAY OF CENTRAL ILLINOIS IS A NOT-FOR-PROFIT ORGANIZATION WITH A MISSION TO MOBILIZE RESOURCES TO MEET COMMUNITY NEEDS. UNITED WAY OF CENTRAL ILLINOIS IS THE LARGEST PRIVATE FUNDER OF HEALTH AND HUMAN SERVICE PROGRAMS IN SANGAMON COUNTY.KUMLER OUTREACH MINISTRIES IS AN ARM OF KUMLER UNITED METHODIST CHURCH IN SPRINGFIELD, ILLINOIS. KUMLER STRIVES TO HELP THE AT-RISK POPULATION OF THE GREATER SPRINGFIELD AREA OVERCOME THE SOCIAL, ECONOMIC AND SPIRITUAL CHALLENGES THEY FACE. IT OPERATES A FOOD PANTRY, CLOTHING MINISTRY AND PRESCRIPTION MEDICINE PROGRAM. SPRINGFIELD URBAN LEAGUE, INC., IS A NONPROFIT, NONPARTISAN, CIVIL RIGHTS AND COMMUNITY-BASED MOVEMENT THAT SERVES NEARLY 6,000 PEOPLE ANNUALLY, PROVIDING DIRECT SERVICES, RESEARCH AND POLICY ADVOCACY TO ASSIST INDIVIDUALS AND COMMUNITIES IN REACHING THEIR FULLEST POTENTIAL. PRIMARILY WORKING WITH AFRICAN AMERICANS, HISPANICS, AND OTHER EMERGING ETHNIC COMMUNITIES, IT WORKS TO CLOSE EQUALITY GAPS FOR PEOPLE AT ALL ECONOMIC LEVELS AND STAGES OF LIFE AND GIVES CITIZENS A CHANCE TO GIVE BACK AS VOLUNTEERS. SPRINGFIELD YMCA HELPS BUILD STRONG COMMUNITIES BY OFFERING SERVICES THAT REFLECT THE NEEDS AND INTERESTS OF ITS RESIDENTS. ITS MISSION IS TO PUT CHRISTIAN PRINCIPLES INTO PRACTICE THROUGH PROGRAMS AND SERVICES THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL. THE VISION IS "PREPARING FAMILIES TO MEET THE CHALLENGES OF TODAY AND TOMORROW THROUGH PROGRAMS, AND HEALTH INITIATIVES THAT DEVELOP INDIVIDUALS, STRENGTHEN FAMILIES, AND BUILD SAFE, CARING COMMUNITIES."
ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 3: MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT THAT WAS COMPLETED IN TY 2011. MHS APPOINTED A JOINT INTERNAL ADVISORY TEAM TO REVIEW SECONDARY HEALTH DATA SOURCES FOR CHRISTIAN, LOGAN AND SANGAMON COUNTIES. EACH HOSPITAL THEN CONVENED LOCAL COMMUNITY REPRESENTATIVES TO SERVE ON AN EXTERNAL ADVISORY GROUP SPECIFIC TO THAT COMMUNITY. THE TEAM CHARTER: THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUP EXISTS TO HELP MEMORIAL HEALTH SYSTEM EVALUATE THE INITIAL PRIORITIES SELECTED BY THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM. THESE GROUPS, CONVENED BY EACH MHS HOSPITAL, WILL REVIEW EXISTING DATA AND OFFER INSIGHTS INTO COMMUNITY ISSUES AFFECTING THAT DATA. THEY WILL HELP IDENTIFY LOCAL COMMUNITY ASSETS AND GAPS IN THE PRIORITY AREAS AND WILL OFFER ADVICE ON WHICH ISSUES ARE THE HIGHEST PRIORITY. FOLLOWING ADOPTION OF THE PRIORITIES, EACH HOSPITAL HELD MEETINGS WITH COMMUNITY ORGANIZATIONS IN ITS COUNTY TO GAIN ADDITIONAL INPUT INTO THE IMPLEMENTATION PLAN. FOLLOWING ARE THOSE THAT PARTICIPATED IN THE EXTERNAL ADVISORY GROUPS. THE ABRAHAM LINCOLN MEMORIAL HOSPITAL EXTERNAL ADVISORY GROUP CONSISTS OF THE STEERING COMMITTEE FOR THE LOGAN COUNTY HEALTH COMMUNITIES PARTNERSHIP. THE HEALTHY COMMUNITIES PARTNERSHIP IS A COUNTY-WIDE COLLABORATION CONNECTING 46 LOCAL ORGANIZATIONS AND 12 CHURCHES THAT WORKS TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN LOGAN COUNTY. ITS GOALS ARE TO INCREASE HEALTHY OUTCOMES, INCREASE HEALTHY BEHAVIORS AND INCREASE ACCESS TO QUALITY HEALTHCARE SERVICES. THIS GROUP MET AND REVIEWED PERTINENT HEALTH DATA AVAILABLE ON LOGAN COUNTY FROM THE HEALTHY COMMUNITIES INSTITUTE. LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH PROVIDES HEALTH EDUCATION, INFORMATION, HOME HEALTH CARE, AND PUBLIC HEALTH SERVICES TO THE NEARLY 30,000 RESIDENTS OF LOGAN COUNTY. MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION PROVIDING HIGH-QUALITY, COMPREHENSIVE BEHAVIORAL HEALTH AND REHABILITATION SERVICES. AN AFFILIATE OF MEMORIAL HEALTH SYSTEM, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS ONE OF THE LARGEST PROVIDERS OF BEHAVIORAL HEALTH SERVICES IN CENTRAL ILLINOIS, SERVING MORE THAN 9,000 INDIVIDUALS EACH YEAR. MEMORIAL PHYSICIAN SERVICES FAMILY MEDICAL CENTER OF LINCOLN'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. MEMORIAL PHYSICIAN SERVICES IS DEDICATED TO PROVIDING HIGH-QUALITY, PATIENT-CENTERED CARE. ABRAHAM LINCOLN HEALTHCARE FOUNDATION RAISES FUNDS TO SUPPORT THE ABRAHAM LINCOLN MEMORIAL HOSPITAL'S (ALMH) MISSION TO MAINTAIN, RESTORE AND IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. THE FOUNDATION PROVIDES ONGOING FUNDING INITIATIVES OF THE LOGAN COUNTY HEALTHY COMMUNITIES PARTNERSHIP.
TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 3: MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT THAT WAS COMPLETED IN TY 2011. MHS APPOINTED A JOINT INTERNAL ADVISORY TEAM TO REVIEW SECONDARY HEALTH DATA SOURCES FOR CHRISTIAN, LOGAN AND SANGAMON COUNTIES. EACH HOSPITAL THEN CONVENED LOCAL COMMUNITY REPRESENTATIVES TO SERVE ON AN EXTERNAL ADVISORY GROUP SPECIFIC TO THAT COMMUNITY. THE TEAM CHARTER: THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUP EXISTS TO HELP MEMORIAL HEALTH SYSTEM EVALUATE THE INITIAL PRIORITIES SELECTED BY THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM. THESE GROUPS, CONVENED BY EACH MHS HOSPITAL, WILL REVIEW EXISTING DATA AND OFFER INSIGHTS INTO COMMUNITY ISSUES AFFECTING THAT DATA. THEY WILL HELP IDENTIFY LOCAL COMMUNITY ASSETS AND GAPS IN THE PRIORITY AREAS AND WILL OFFER ADVICE ON WHICH ISSUES ARE THE HIGHEST PRIORITY. FOLLOWING ADOPTION OF THE PRIORITIES, EACH HOSPITAL HELD MEETINGS WITH COMMUNITY ORGANIZATIONS IN ITS COUNTY TO GAIN ADDITIONAL INPUT INTO THE IMPLEMENTATION PLAN. FOLLOWING ARE THOSE THAT PARTICIPATED IN THE EXTERNAL ADVISORY GROUPS. THE TAYLORVILLE MEMORIAL HOSPITAL EXTERNAL ADVISORY COMMITTEE, MADE UP OF REPRESENTATIVES FROM THE AGENCIES BELOW, ATTENDED MEETINGS HELD AT TAYLORVILLE MEMORIAL HOSPITAL. A DEMONSTRATION ON HOW TO NAVIGATE THE HEALTHY COMMUNITIES INSTITUTE WEBSITE WAS GIVEN SO MEMBERS COULD HAVE ACCESS TO THE DATA FOR FURTHER REVIEW. THE EXTERNAL ADVISORY COMMITTEE REVIEWED THE TOP FIVE SELECTED PRIORITIES. AN ONLINE SURVEY OF THE GROUP TO IDENTIFY EXISTING COMMUNITY ASSETS AS WELL AS GAPS IN SERVICES WAS ALSO DONE. THE EXTERNAL ADVISORY GROUP RANKED THE FIVE HEALTH NEEDS IN ORDER OF PRIORITY IN CHRISTIAN COUNTY.CHRISTIAN COUNTY HEALTH DEPARTMENT'S MISSION IS TO ENSURE A SAFE ENVIRONMENT, WATER AND FOOD SUPPLY, PREVENT INJURY, STOP OR CONTROL THE SPREAD OF COMMUNICABLE DISEASE AND INCREASE PERSONAL HEALTH. THE CHRISTIAN COUNTY HEALTH DEPARTMENT SERVES A POPULATION OF 35,000 RESIDENTS. UNITED WAY OF CHRISTIAN COUNTY IS A NON-PROFIT ORGANIZATION SERVING 23 LOCAL MEMBER AGENCIES ACROSS CHRISTIAN COUNTY. THE MISSION AT UNITED WAY OF CHRISTIAN COUNTY IS TO IMPROVE THE ORGANIZED CAPACITY OF PEOPLE TO CARE FOR ONE ANOTHER. SENIOR CITIZENS OF CHRISTIAN COUNTY HAS SERVED SENIORS FOR MORE THAN 30 YEARS. THIS ORGANIZATION OFFERS A WIDE RANGE OF ASSISTANCE TO LOCAL SENIORS THAT HELP THEM ADDRESS HEALTH AND QUALITY OF LIFE ISSUES. CHRISTIAN COUNTY YMCA IS A VALUES-BASED, NOT-FOR-PROFIT ORGANIZATION. ITS MISSION IS TO PUT CHRISTIAN PRINCIPLES INTO PRACTICE THROUGH PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL. PANA COMMUNITY HOSPITAL IS A CRITICAL ACCESS HOSPITAL SERVING PERSONS WHO RESIDE IN PORTIONS OF FOUR COUNTIES OF ILLINOIS INCLUDING CHRISTIAN, SHELBY, FAYETTE, AND MONTGOMERY. THE HOSPITAL IS LOCATED IN THE FAR SOUTHEAST CORNER OF CHRISTIAN COUNTY. FIRST PRESBYTERIAN CHURCH IN TAYLORVILLE HAS A LONG HISTORY OF LEADERSHIP ON HEALTH AND WELLNESS ISSUES IN THE COMMUNITY AND IS ACTIVE IN THE LOCAL MINISTERIAL ASSOCIATION.
MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 4: IN TY 2011 THREE MEMORIAL HEALTH SYSTEM HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT.
ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 4: IN TY 2011 THREE MEMORIAL HEALTH SYSTEM HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT.
TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 4: IN TY 2011 THREE MEMORIAL HEALTH SYSTEM HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT.
MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 7: DURING ITS TY2011 COMMUNITY HEALTH NEED ASSESSMENT PROCESS, MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS IDENTIFIED NINE PRIORITY HEALTH NEEDS. 1. IMPROVING ACCESS TO CARE2. CARDIOVASCULAR DISEASE3. DIABETES4. OBESITY5. CANCER (MULTIPLE TYPES)6. ASTHMA7. MOTHER/BABY8. MENTAL HEALTH9. IMMUNIZATION, FLU/PNEUMONIAREASONS FIVE PRIORITIES WERE NOT SELECTED:1. ASTHMA WAS ELIMINATED FROM FURTHER CONSIDERATION BECAUSE IT DOES NOT HAVE AS GREAT AN OVERALL IMPACT ON POPULATION HEALTH AS SOME OF THE OTHER NEEDS.2. ALTHOUGH MATERNAL/INFANT HEALTH IS A GREAT NEED, ST. JOHN'S HOSPITAL AND SIU FAMILY PRACTICE FEDERALLY QUALIFIED HEALTH CLINIC ALREADY HAD A STRONG COLLABORATION TO ADDRESS MOTHER/INFANT HEALTH AMONG LOW-INCOME POPULATIONS.3. MENTAL HEALTH ISSUES ARE A GREAT CONCERN FOR OUR COMMUNITIES, BUT AS HOSPITALS WE ARE NOT BEST EQUIPPED TO MEET THAT NEED. HOWEVER, ONE OF THE MEMORIAL AFFILIATES, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, IS ACTIVELY ADDRESSING ACCESS TO MENTAL HEALTH SERVICES ON MULTIPLE FRONTS.4. IMMUNIZATIONS FOR FLU AND PNEUMONIA NEED TO INCREASE. THE HOSPITALS ARE ALREADY PROACTIVELY ADDRESSING HOSPITAL-ACQUIRED FLU AND PNEUMONIA WITH OUR PATIENT POPULATION, BUT THEY ARE NOT WELL EQUIPPED TO ADDRESS COMMUNITY-ACQUIRED INFECTIOUS DISEASES.5. CANCER WAS NOT SELECTED AS A FINAL PRIORITY BECAUSE A NUMBER OF EXISTING CANCER INITIATIVES, BOTH FROM THE HOSPITALS AND OTHER ORGANIZATIONS, ARE ALREADY ACTIVE IN THE COMMUNITY.
ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 7: DURING ITS TY2011 COMMUNITY HEALTH NEED ASSESSMENT PROCESS, MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS IDENTIFIED NINE PRIORITY HEALTH NEEDS. 1. IMPROVING ACCESS TO CARE2. CARDIOVASCULAR DISEASE3. DIABETES4. OBESITY5. CANCER (MULTIPLE TYPES)6. ASTHMA7. MOTHER/BABY8. MENTAL HEALTH9. IMMUNIZATION, FLU/PNEUMONIAREASONS FIVE PRIORITIES WERE NOT SELECTED:1. ASTHMA WAS ELIMINATED FROM FURTHER CONSIDERATION BECAUSE IT DOES NOT HAVE AS GREAT AN OVERALL IMPACT ON POPULATION HEALTH AS SOME OF THE OTHER NEEDS.2. ALTHOUGH MATERNAL/INFANT HEALTH IS A GREAT NEED, ST. JOHN'S HOSPITAL AND SIU FAMILY PRACTICE FEDERALLY QUALIFIED HEALTH CLINIC ALREADY HAD A STRONG COLLABORATION TO ADDRESS MOTHER/INFANT HEALTH AMONG LOW-INCOME POPULATIONS.3. MENTAL HEALTH ISSUES ARE A GREAT CONCERN FOR OUR COMMUNITIES, BUT AS HOSPITALS WE ARE NOT BEST EQUIPPED TO MEET THAT NEED. HOWEVER, ONE OF THE MEMORIAL AFFILIATES, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, IS ACTIVELY ADDRESSING ACCESS TO MENTAL HEALTH SERVICES ON MULTIPLE FRONTS.4. IMMUNIZATIONS FOR FLU AND PNEUMONIA NEED TO INCREASE. THE HOSPITALS ARE ALREADY PROACTIVELY ADDRESSING HOSPITAL-ACQUIRED FLU AND PNEUMONIA WITH OUR PATIENT POPULATION, BUT THEY ARE NOT WELL EQUIPPED TO ADDRESS COMMUNITY-ACQUIRED INFECTIOUS DISEASES.5. CANCER WAS NOT SELECTED AS A FINAL PRIORITY BECAUSE A NUMBER OF EXISTING CANCER INITIATIVES, BOTH FROM THE HOSPITALS AND OTHER ORGANIZATIONS, ARE ALREADY ACTIVE IN THE COMMUNITY.
TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 7: DURING ITS TY2011 COMMUNITY HEALTH NEED ASSESSMENT PROCESS, MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS IDENTIFIED NINE PRIORITY HEALTH NEEDS. 1. IMPROVING ACCESS TO CARE2. CARDIOVASCULAR DISEASE3. DIABETES4. OBESITY5. CANCER (MULTIPLE TYPES)6. ASTHMA7. MOTHER/BABY8. MENTAL HEALTH9. IMMUNIZATION, FLU/PNEUMONIAREASONS FIVE PRIORITIES WERE NOT SELECTED:1. ASTHMA WAS ELIMINATED FROM FURTHER CONSIDERATION BECAUSE IT DOES NOT HAVE AS GREAT AN OVERALL IMPACT ON POPULATION HEALTH AS SOME OF THE OTHER NEEDS.2. ALTHOUGH MATERNAL/INFANT HEALTH IS A GREAT NEED, ST. JOHN'S HOSPITAL AND SIU FAMILY PRACTICE FEDERALLY QUALIFIED HEALTH CLINIC ALREADY HAD A STRONG COLLABORATION TO ADDRESS MOTHER/INFANT HEALTH AMONG LOW-INCOME POPULATIONS.3. MENTAL HEALTH ISSUES ARE A GREAT CONCERN FOR OUR COMMUNITIES, BUT AS HOSPITALS WE ARE NOT BEST EQUIPPED TO MEET THAT NEED. HOWEVER, ONE OF THE MEMORIAL AFFILIATES, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, IS ACTIVELY ADDRESSING ACCESS TO MENTAL HEALTH SERVICES ON MULTIPLE FRONTS.4. IMMUNIZATIONS FOR FLU AND PNEUMONIA NEED TO INCREASE. THE HOSPITALS ARE ALREADY PROACTIVELY ADDRESSING HOSPITAL-ACQUIRED FLU AND PNEUMONIA WITH OUR PATIENT POPULATION, BUT THEY ARE NOT WELL EQUIPPED TO ADDRESS COMMUNITY-ACQUIRED INFECTIOUS DISEASES.5. CANCER WAS NOT SELECTED AS A FINAL PRIORITY BECAUSE A NUMBER OF EXISTING CANCER INITIATIVES, BOTH FROM THE HOSPITALS AND OTHER ORGANIZATIONS, ARE ALREADY ACTIVE IN THE COMMUNITY.
MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 11: MEMORIAL HEALTH SYSTEM USES AN AMOUNT OF EXCESS OF 300% OF THE FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR PROVIDING DISCOUNTED CARE.
ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: MEMORIAL HEALTH SYSTEM USES AN AMOUNT OF EXCESS OF 300% OF THE FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR PROVIDING DISCOUNTED CARE.
TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: MEMORIAL HEALTH SYSTEM USES AN AMOUNT OF EXCESS OF 300% OF THE FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR PROVIDING DISCOUNTED CARE.
MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 20D: MMC, ALMH, AND TMH PROVIDE A SYSTEMATIC 70% CHARITY DISCOUNT FROM CHARGES TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME OR COOPERATION FOR ALL MEDICALLY NECESSARY HEALTH CARE SERVICES. PATIENT COOPERATION IS REQUIRED TO OBTAIN ADDITIONAL INCOME BASED DISCOUNTS AS DEFINED IN THE FAP.
ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 20D: MMC, ALMH, AND TMH PROVIDE A SYSTEMATIC 70% CHARITY DISCOUNT FROM CHARGES TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME OR COOPERATION FOR ALL MEDICALLY NECESSARY HEALTH CARE SERVICES. PATIENT COOPERATION IS REQUIRED TO OBTAIN ADDITIONAL INCOME BASED DISCOUNTS AS DEFINED IN THE FAP.
TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 20D: MMC, ALMH, AND TMH PROVIDE A SYSTEMATIC 70% CHARITY DISCOUNT FROM CHARGES TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME OR COOPERATION FOR ALL MEDICALLY NECESSARY HEALTH CARE SERVICES. PATIENT COOPERATION IS REQUIRED TO OBTAIN ADDITIONAL INCOME BASED DISCOUNTS AS DEFINED IN THE FAP.
PART V, SECTION B, LINE 5A MHS FY14 COMMUNITY HEALTH NEED ASSESSMENT IMPLEMENTATION PLAN IS AVAILABLE ONLINE AT HTTP://WWW.CHOOSEMEMORIAL.ORG/PORTALS/6/COMMUNITY%20BENEFIT/FY14-COMMUNITY-BENEFIT-GOALS-AND-MEASURES.PDF.
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?17
Name and address Type of Facility (describe)
1 SPINEWORKS PAIN CENTER
501 NORTH FIRST STREET
SPRINGFIELD,IL62702 		OUTPATIENT SERVICES
2 MEMORIAL PHYSICIAN SERVICES-KOKE MILL
3132 OLD JACKSONVILLE RD
SPRINGFIELD,IL62704 		MPS PHYSICIAN
3 MEMORIAL PHYSICIAN SERVICES-LINCOLN
515 NORTH COLLEGE STREET
LINCOLN,IL62526 		MPS PHYSICIAN
4 MEMORIAL PHYS SVCS-WOMEN'S HEALTHCARE
747 NORTH RUTLEDGE
SPRINGFIELD,IL62701 		MPS PHYSICIAN
5 WOUND HEALING CENTER
901 NORTH FIRST STREET
SPRINGFIELD,IL62702 		OUTPATIENT SERVICES
6 MEMORIAL PHYSICIAN SERVICES-CHATHAM
101 EAST PLUMMER
CHATHAM,IL62629 		MPS PHYSICIAN
7 MEMORIAL PHYS SVCS-CAPITAL HEALTHCARE
2603 SOUTH SIXTH
SPRINGFIELD,IL62703 		MPS PHYSICIAN
8 MEMORIAL PHYSICIAN SERVICES-JACKSONVILLE
15 FOUNDERS LANE SUITE 100
JACKSONVILLE,IL62650 		MPS PHYSICIAN
9 MEMORIAL EXPRESSCARE AT SOUTH SIXTH
2950 SOUTH SIXTH STREET
SPRINGFIELD,IL62703 		ANCILLARY SERVICES
10 MEMORIAL INDUSTRIAL REHAB
775 ENGINEERING DRIVE
SPRINGFIELD,IL62703 		OUTPATIENT SERVICES
11 MEMORIAL EXPRESSCARE AT KOKE MILL
3132 OLD JACKSONVILLE RD
SPRINGFIELD,IL62704 		ANCILLARY SERVICES
12 MEMORIAL EXPRESSCARE AT NORTH DIRKSEN
3220 ATLANTA STREET
SPRINGFIELD,IL62702 		ANCILLARY SERVICES
13 MEMORIAL PHYSICIAN SERVICES-PETERSBURG
1 CENTRE DRIVE
PETERSBURG,IL62675 		MPS PHYSICIAN
14 MEMORIAL PHYSICIAN SVCS-NORTH DIRKSEN
3220 ATLANTA STREET
SPRINGFIELD,IL62707 		MPS PHYSICIAN
15 MEMORIAL PHYSICIAN SERVICES-SOUTH SIXTH
2950 SOUTH SIXTH STREET
SPRINGFIELD,IL62703 		MPS PHYSICIAN
16 MEMORIAL PHYSICIAN SERVICES-VINE STREET
3225 HEDLEY RD
SPRINGFIELD,IL62711 		MPS PHYSICIAN
17 SPORTSCARE AT YMCA
4550 WEST ILES
SPRINGFIELD,IL62711 		OUTPATIENT SERVICES
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 3: MEMORIAL MEDICAL CENTERMEMORIAL HEALTH SYSTEM'S THREE HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT THAT WAS COMPLETED IN TY 2011. MHS APPOINTED A JOINT INTERNAL ADVISORY TEAM TO REVIEW SECONDARY HEALTH DATA SOURCES FOR CHRISTIAN, LOGAN AND SANGAMON COUNTIES. EACH HOSPITAL THEN CONVENED LOCAL COMMUNITY REPRESENTATIVES TO SERVE ON AN EXTERNAL ADVISORY GROUP SPECIFIC TO THAT COMMUNITY. THE TEAM CHARTER: THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUP EXISTS TO HELP MEMORIAL HEALTH SYSTEM EVALUATE THE INITIAL PRIORITIES SELECTED BY THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM. THESE GROUPS, CONVENED BY EACH MHS HOSPITAL, WILL REVIEW EXISTING DATA AND OFFER INSIGHTS INTO COMMUNITY ISSUES AFFECTING THAT DATA. THEY WILL HELP IDENTIFY LOCAL COMMUNITY ASSETS AND GAPS IN THE PRIORITY AREAS AND WILL OFFER ADVICE ON WHICH ISSUES ARE THE HIGHEST PRIORITY. FOLLOWING ADOPTION OF THE PRIORITIES, EACH HOSPITAL HELD MEETINGS WITH COMMUNITY ORGANIZATIONS IN ITS COUNTY TO GAIN ADDITIONAL INPUT INTO THE IMPLEMENTATION PLAN. FOLLOWING ARE THOSE THAT PARTICIPATED IN THE EXTERNAL ADVISORY GROUPS. MEMORIAL MEDICAL CENTER CONVENED AN EXTERNAL ADVISORY COMMITTEE THAT INCLUDED THE FOLLOWING ORGANIZATIONS. THIS GROUP MET AND REVIEWED PERTINENT HEALTH DATA AVAILABLE ON SANGAMON COUNTY FROM THE HEALTHY COMMUNITIES INSTITUTE, PROVIDED INPUT ON THE DATA AND IMPACTS ON LOW-INCOME AND VULNERABLE POPULATIONS, AND HELPED IDENTIFY COMMUNITY ASSETS AND GAPS IN SERVICES. THEY RANKED THE FINAL PRIORITIES. SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH IS THE STATE'S TENTH LARGEST HEALTH DEPARTMENT SERVING A POPULATION OF MORE THAN 199,000. CENTRAL COUNTIES HEALTH CENTERS IS A FEDERALLY QUALIFIED HEALTH CENTER IN SPRINGFIELD, ILLINOIS, WHICH PROVIDES ACCESS TO PRIMARY MEDICAL AND DENTAL CARE FOR THE UNDERSERVED. SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE'S CENTER FOR FAMILY MEDICINE, A NEWLY ACCREDITED FEDERALLY QUALIFIED HEALTH CENTER IN SPRINGFIELD, ILLINOIS, PROVIDES A MEDICAL HOME TO A HIGH MEDICAID AND MEDICARE POPULATION. ST. JOHN'S HOSPITAL, A 431-BED CATHOLIC REGIONAL MEDICAL CENTER, OFFERS A COMPREHENSIVE ARRAY OF HEALTH CARE SERVICES TO PEOPLE IN CENTRAL AND SOUTHERN ILLINOIS. ST. JOHN'S CHILDREN'S HOSPITAL IS HOME TO A LEVEL III NEONATAL INTENSIVE CARE UNIT AND PEDIATRIC INTENSIVE CARE UNIT. MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION PROVIDING HIGH-QUALITY, COMPREHENSIVE BEHAVIORAL HEALTH AND REHABILITATION SERVICES. AN AFFILIATE OF MEMORIAL HEALTH SYSTEM, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS ONE OF THE LARGEST PROVIDERS OF BEHAVIORAL HEALTH SERVICES IN CENTRAL ILLINOIS, SERVING MORE THAN 9,000 INDIVIDUALS EACH YEAR. SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE IS A MEDICAL SCHOOL WHOSE MISSION IS TO ASSIST THE PEOPLE OF CENTRAL AND SOUTHERN ILLINOIS IN MEETING THEIR HEALTH CARE NEEDS THROUGH EDUCATION, RESEARCH, PATIENT CARE AND SERVICE TO THE PEOPLE.UNITED WAY OF CENTRAL ILLINOIS IS A NOT-FOR-PROFIT ORGANIZATION WITH A MISSION TO MOBILIZE RESOURCES TO MEET COMMUNITY NEEDS. UNITED WAY OF CENTRAL ILLINOIS IS THE LARGEST PRIVATE FUNDER OF HEALTH AND HUMAN SERVICE PROGRAMS IN SANGAMON COUNTY.KUMLER OUTREACH MINISTRIES IS AN ARM OF KUMLER UNITED METHODIST CHURCH IN SPRINGFIELD, ILLINOIS. KUMLER STRIVES TO HELP THE AT-RISK POPULATION OF THE GREATER SPRINGFIELD AREA OVERCOME THE SOCIAL, ECONOMIC AND SPIRITUAL CHALLENGES THEY FACE. IT OPERATES A FOOD PANTRY, CLOTHING MINISTRY AND PRESCRIPTION MEDICINE PROGRAM. SPRINGFIELD URBAN LEAGUE, INC., IS A NONPROFIT, NONPARTISAN, CIVIL RIGHTS AND COMMUNITY-BASED MOVEMENT THAT SERVES NEARLY 6,000 PEOPLE ANNUALLY, PROVIDING DIRECT SERVICES, RESEARCH AND POLICY ADVOCACY TO ASSIST INDIVIDUALS AND COMMUNITIES IN REACHING THEIR FULLEST POTENTIAL. PRIMARILY WORKING WITH AFRICAN AMERICANS, HISPANICS, AND OTHER EMERGING ETHNIC COMMUNITIES, IT WORKS TO CLOSE EQUALITY GAPS FOR PEOPLE AT ALL ECONOMIC LEVELS AND STAGES OF LIFE AND GIVES CITIZENS A CHANCE TO GIVE BACK AS VOLUNTEERS. SPRINGFIELD YMCA HELPS BUILD STRONG COMMUNITIES BY OFFERING SERVICES THAT REFLECT THE NEEDS AND INTERESTS OF ITS RESIDENTS. ITS MISSION IS TO PUT CHRISTIAN PRINCIPLES INTO PRACTICE THROUGH PROGRAMS AND SERVICES THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL. THE VISION IS "PREPARING FAMILIES TO MEET THE CHALLENGES OF TODAY AND TOMORROW THROUGH PROGRAMS, AND HEALTH INITIATIVES THAT DEVELOP INDIVIDUALS, STRENGTHEN FAMILIES, AND BUILD SAFE, CARING COMMUNITIES."
ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 3: MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT THAT WAS COMPLETED IN TY 2011. MHS APPOINTED A JOINT INTERNAL ADVISORY TEAM TO REVIEW SECONDARY HEALTH DATA SOURCES FOR CHRISTIAN, LOGAN AND SANGAMON COUNTIES. EACH HOSPITAL THEN CONVENED LOCAL COMMUNITY REPRESENTATIVES TO SERVE ON AN EXTERNAL ADVISORY GROUP SPECIFIC TO THAT COMMUNITY. THE TEAM CHARTER: THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUP EXISTS TO HELP MEMORIAL HEALTH SYSTEM EVALUATE THE INITIAL PRIORITIES SELECTED BY THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM. THESE GROUPS, CONVENED BY EACH MHS HOSPITAL, WILL REVIEW EXISTING DATA AND OFFER INSIGHTS INTO COMMUNITY ISSUES AFFECTING THAT DATA. THEY WILL HELP IDENTIFY LOCAL COMMUNITY ASSETS AND GAPS IN THE PRIORITY AREAS AND WILL OFFER ADVICE ON WHICH ISSUES ARE THE HIGHEST PRIORITY. FOLLOWING ADOPTION OF THE PRIORITIES, EACH HOSPITAL HELD MEETINGS WITH COMMUNITY ORGANIZATIONS IN ITS COUNTY TO GAIN ADDITIONAL INPUT INTO THE IMPLEMENTATION PLAN. FOLLOWING ARE THOSE THAT PARTICIPATED IN THE EXTERNAL ADVISORY GROUPS. THE ABRAHAM LINCOLN MEMORIAL HOSPITAL EXTERNAL ADVISORY GROUP CONSISTS OF THE STEERING COMMITTEE FOR THE LOGAN COUNTY HEALTH COMMUNITIES PARTNERSHIP. THE HEALTHY COMMUNITIES PARTNERSHIP IS A COUNTY-WIDE COLLABORATION CONNECTING 46 LOCAL ORGANIZATIONS AND 12 CHURCHES THAT WORKS TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN LOGAN COUNTY. ITS GOALS ARE TO INCREASE HEALTHY OUTCOMES, INCREASE HEALTHY BEHAVIORS AND INCREASE ACCESS TO QUALITY HEALTHCARE SERVICES. THIS GROUP MET AND REVIEWED PERTINENT HEALTH DATA AVAILABLE ON LOGAN COUNTY FROM THE HEALTHY COMMUNITIES INSTITUTE. LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH PROVIDES HEALTH EDUCATION, INFORMATION, HOME HEALTH CARE, AND PUBLIC HEALTH SERVICES TO THE NEARLY 30,000 RESIDENTS OF LOGAN COUNTY. MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION PROVIDING HIGH-QUALITY, COMPREHENSIVE BEHAVIORAL HEALTH AND REHABILITATION SERVICES. AN AFFILIATE OF MEMORIAL HEALTH SYSTEM, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS IS ONE OF THE LARGEST PROVIDERS OF BEHAVIORAL HEALTH SERVICES IN CENTRAL ILLINOIS, SERVING MORE THAN 9,000 INDIVIDUALS EACH YEAR. MEMORIAL PHYSICIAN SERVICES FAMILY MEDICAL CENTER OF LINCOLN'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. MEMORIAL PHYSICIAN SERVICES IS DEDICATED TO PROVIDING HIGH-QUALITY, PATIENT-CENTERED CARE. ABRAHAM LINCOLN HEALTHCARE FOUNDATION RAISES FUNDS TO SUPPORT THE ABRAHAM LINCOLN MEMORIAL HOSPITAL'S (ALMH) MISSION TO MAINTAIN, RESTORE AND IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. THE FOUNDATION PROVIDES ONGOING FUNDING INITIATIVES OF THE LOGAN COUNTY HEALTHY COMMUNITIES PARTNERSHIP.
TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 3: MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT THAT WAS COMPLETED IN TY 2011. MHS APPOINTED A JOINT INTERNAL ADVISORY TEAM TO REVIEW SECONDARY HEALTH DATA SOURCES FOR CHRISTIAN, LOGAN AND SANGAMON COUNTIES. EACH HOSPITAL THEN CONVENED LOCAL COMMUNITY REPRESENTATIVES TO SERVE ON AN EXTERNAL ADVISORY GROUP SPECIFIC TO THAT COMMUNITY. THE TEAM CHARTER: THE EXTERNAL COMMUNITY HEALTH NEED ASSESSMENT ADVISORY GROUP EXISTS TO HELP MEMORIAL HEALTH SYSTEM EVALUATE THE INITIAL PRIORITIES SELECTED BY THE MHS COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM. THESE GROUPS, CONVENED BY EACH MHS HOSPITAL, WILL REVIEW EXISTING DATA AND OFFER INSIGHTS INTO COMMUNITY ISSUES AFFECTING THAT DATA. THEY WILL HELP IDENTIFY LOCAL COMMUNITY ASSETS AND GAPS IN THE PRIORITY AREAS AND WILL OFFER ADVICE ON WHICH ISSUES ARE THE HIGHEST PRIORITY. FOLLOWING ADOPTION OF THE PRIORITIES, EACH HOSPITAL HELD MEETINGS WITH COMMUNITY ORGANIZATIONS IN ITS COUNTY TO GAIN ADDITIONAL INPUT INTO THE IMPLEMENTATION PLAN. FOLLOWING ARE THOSE THAT PARTICIPATED IN THE EXTERNAL ADVISORY GROUPS. THE TAYLORVILLE MEMORIAL HOSPITAL EXTERNAL ADVISORY COMMITTEE, MADE UP OF REPRESENTATIVES FROM THE AGENCIES BELOW, ATTENDED MEETINGS HELD AT TAYLORVILLE MEMORIAL HOSPITAL. A DEMONSTRATION ON HOW TO NAVIGATE THE HEALTHY COMMUNITIES INSTITUTE WEBSITE WAS GIVEN SO MEMBERS COULD HAVE ACCESS TO THE DATA FOR FURTHER REVIEW. THE EXTERNAL ADVISORY COMMITTEE REVIEWED THE TOP FIVE SELECTED PRIORITIES. AN ONLINE SURVEY OF THE GROUP TO IDENTIFY EXISTING COMMUNITY ASSETS AS WELL AS GAPS IN SERVICES WAS ALSO DONE. THE EXTERNAL ADVISORY GROUP RANKED THE FIVE HEALTH NEEDS IN ORDER OF PRIORITY IN CHRISTIAN COUNTY.CHRISTIAN COUNTY HEALTH DEPARTMENT'S MISSION IS TO ENSURE A SAFE ENVIRONMENT, WATER AND FOOD SUPPLY, PREVENT INJURY, STOP OR CONTROL THE SPREAD OF COMMUNICABLE DISEASE AND INCREASE PERSONAL HEALTH. THE CHRISTIAN COUNTY HEALTH DEPARTMENT SERVES A POPULATION OF 35,000 RESIDENTS. UNITED WAY OF CHRISTIAN COUNTY IS A NON-PROFIT ORGANIZATION SERVING 23 LOCAL MEMBER AGENCIES ACROSS CHRISTIAN COUNTY. THE MISSION AT UNITED WAY OF CHRISTIAN COUNTY IS TO IMPROVE THE ORGANIZED CAPACITY OF PEOPLE TO CARE FOR ONE ANOTHER. SENIOR CITIZENS OF CHRISTIAN COUNTY HAS SERVED SENIORS FOR MORE THAN 30 YEARS. THIS ORGANIZATION OFFERS A WIDE RANGE OF ASSISTANCE TO LOCAL SENIORS THAT HELP THEM ADDRESS HEALTH AND QUALITY OF LIFE ISSUES. CHRISTIAN COUNTY YMCA IS A VALUES-BASED, NOT-FOR-PROFIT ORGANIZATION. ITS MISSION IS TO PUT CHRISTIAN PRINCIPLES INTO PRACTICE THROUGH PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL. PANA COMMUNITY HOSPITAL IS A CRITICAL ACCESS HOSPITAL SERVING PERSONS WHO RESIDE IN PORTIONS OF FOUR COUNTIES OF ILLINOIS INCLUDING CHRISTIAN, SHELBY, FAYETTE, AND MONTGOMERY. THE HOSPITAL IS LOCATED IN THE FAR SOUTHEAST CORNER OF CHRISTIAN COUNTY. FIRST PRESBYTERIAN CHURCH IN TAYLORVILLE HAS A LONG HISTORY OF LEADERSHIP ON HEALTH AND WELLNESS ISSUES IN THE COMMUNITY AND IS ACTIVE IN THE LOCAL MINISTERIAL ASSOCIATION.
MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 4: IN TY 2011 THREE MEMORIAL HEALTH SYSTEM HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT.
ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 4: IN TY 2011 THREE MEMORIAL HEALTH SYSTEM HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT.
TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 4: IN TY 2011 THREE MEMORIAL HEALTH SYSTEM HOSPITALS (MEMORIAL MEDICAL CENTER IN SANGAMON COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LOGAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IN CHRISTIAN COUNTY) COLLABORATED ON A JOINT COMMUNITY HEALTH NEED ASSESSMENT.
MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 7: DURING ITS TY2011 COMMUNITY HEALTH NEED ASSESSMENT PROCESS, MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS IDENTIFIED NINE PRIORITY HEALTH NEEDS. 1. IMPROVING ACCESS TO CARE2. CARDIOVASCULAR DISEASE3. DIABETES4. OBESITY5. CANCER (MULTIPLE TYPES)6. ASTHMA7. MOTHER/BABY8. MENTAL HEALTH9. IMMUNIZATION, FLU/PNEUMONIAREASONS FIVE PRIORITIES WERE NOT SELECTED:1. ASTHMA WAS ELIMINATED FROM FURTHER CONSIDERATION BECAUSE IT DOES NOT HAVE AS GREAT AN OVERALL IMPACT ON POPULATION HEALTH AS SOME OF THE OTHER NEEDS.2. ALTHOUGH MATERNAL/INFANT HEALTH IS A GREAT NEED, ST. JOHN'S HOSPITAL AND SIU FAMILY PRACTICE FEDERALLY QUALIFIED HEALTH CLINIC ALREADY HAD A STRONG COLLABORATION TO ADDRESS MOTHER/INFANT HEALTH AMONG LOW-INCOME POPULATIONS.3. MENTAL HEALTH ISSUES ARE A GREAT CONCERN FOR OUR COMMUNITIES, BUT AS HOSPITALS WE ARE NOT BEST EQUIPPED TO MEET THAT NEED. HOWEVER, ONE OF THE MEMORIAL AFFILIATES, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, IS ACTIVELY ADDRESSING ACCESS TO MENTAL HEALTH SERVICES ON MULTIPLE FRONTS.4. IMMUNIZATIONS FOR FLU AND PNEUMONIA NEED TO INCREASE. THE HOSPITALS ARE ALREADY PROACTIVELY ADDRESSING HOSPITAL-ACQUIRED FLU AND PNEUMONIA WITH OUR PATIENT POPULATION, BUT THEY ARE NOT WELL EQUIPPED TO ADDRESS COMMUNITY-ACQUIRED INFECTIOUS DISEASES.5. CANCER WAS NOT SELECTED AS A FINAL PRIORITY BECAUSE A NUMBER OF EXISTING CANCER INITIATIVES, BOTH FROM THE HOSPITALS AND OTHER ORGANIZATIONS, ARE ALREADY ACTIVE IN THE COMMUNITY.
ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 7: DURING ITS TY2011 COMMUNITY HEALTH NEED ASSESSMENT PROCESS, MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS IDENTIFIED NINE PRIORITY HEALTH NEEDS. 1. IMPROVING ACCESS TO CARE2. CARDIOVASCULAR DISEASE3. DIABETES4. OBESITY5. CANCER (MULTIPLE TYPES)6. ASTHMA7. MOTHER/BABY8. MENTAL HEALTH9. IMMUNIZATION, FLU/PNEUMONIAREASONS FIVE PRIORITIES WERE NOT SELECTED:1. ASTHMA WAS ELIMINATED FROM FURTHER CONSIDERATION BECAUSE IT DOES NOT HAVE AS GREAT AN OVERALL IMPACT ON POPULATION HEALTH AS SOME OF THE OTHER NEEDS.2. ALTHOUGH MATERNAL/INFANT HEALTH IS A GREAT NEED, ST. JOHN'S HOSPITAL AND SIU FAMILY PRACTICE FEDERALLY QUALIFIED HEALTH CLINIC ALREADY HAD A STRONG COLLABORATION TO ADDRESS MOTHER/INFANT HEALTH AMONG LOW-INCOME POPULATIONS.3. MENTAL HEALTH ISSUES ARE A GREAT CONCERN FOR OUR COMMUNITIES, BUT AS HOSPITALS WE ARE NOT BEST EQUIPPED TO MEET THAT NEED. HOWEVER, ONE OF THE MEMORIAL AFFILIATES, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, IS ACTIVELY ADDRESSING ACCESS TO MENTAL HEALTH SERVICES ON MULTIPLE FRONTS.4. IMMUNIZATIONS FOR FLU AND PNEUMONIA NEED TO INCREASE. THE HOSPITALS ARE ALREADY PROACTIVELY ADDRESSING HOSPITAL-ACQUIRED FLU AND PNEUMONIA WITH OUR PATIENT POPULATION, BUT THEY ARE NOT WELL EQUIPPED TO ADDRESS COMMUNITY-ACQUIRED INFECTIOUS DISEASES.5. CANCER WAS NOT SELECTED AS A FINAL PRIORITY BECAUSE A NUMBER OF EXISTING CANCER INITIATIVES, BOTH FROM THE HOSPITALS AND OTHER ORGANIZATIONS, ARE ALREADY ACTIVE IN THE COMMUNITY.
TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 7: DURING ITS TY2011 COMMUNITY HEALTH NEED ASSESSMENT PROCESS, MEMORIAL HEALTH SYSTEM'S THREE HOSPITALS IDENTIFIED NINE PRIORITY HEALTH NEEDS. 1. IMPROVING ACCESS TO CARE2. CARDIOVASCULAR DISEASE3. DIABETES4. OBESITY5. CANCER (MULTIPLE TYPES)6. ASTHMA7. MOTHER/BABY8. MENTAL HEALTH9. IMMUNIZATION, FLU/PNEUMONIAREASONS FIVE PRIORITIES WERE NOT SELECTED:1. ASTHMA WAS ELIMINATED FROM FURTHER CONSIDERATION BECAUSE IT DOES NOT HAVE AS GREAT AN OVERALL IMPACT ON POPULATION HEALTH AS SOME OF THE OTHER NEEDS.2. ALTHOUGH MATERNAL/INFANT HEALTH IS A GREAT NEED, ST. JOHN'S HOSPITAL AND SIU FAMILY PRACTICE FEDERALLY QUALIFIED HEALTH CLINIC ALREADY HAD A STRONG COLLABORATION TO ADDRESS MOTHER/INFANT HEALTH AMONG LOW-INCOME POPULATIONS.3. MENTAL HEALTH ISSUES ARE A GREAT CONCERN FOR OUR COMMUNITIES, BUT AS HOSPITALS WE ARE NOT BEST EQUIPPED TO MEET THAT NEED. HOWEVER, ONE OF THE MEMORIAL AFFILIATES, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, IS ACTIVELY ADDRESSING ACCESS TO MENTAL HEALTH SERVICES ON MULTIPLE FRONTS.4. IMMUNIZATIONS FOR FLU AND PNEUMONIA NEED TO INCREASE. THE HOSPITALS ARE ALREADY PROACTIVELY ADDRESSING HOSPITAL-ACQUIRED FLU AND PNEUMONIA WITH OUR PATIENT POPULATION, BUT THEY ARE NOT WELL EQUIPPED TO ADDRESS COMMUNITY-ACQUIRED INFECTIOUS DISEASES.5. CANCER WAS NOT SELECTED AS A FINAL PRIORITY BECAUSE A NUMBER OF EXISTING CANCER INITIATIVES, BOTH FROM THE HOSPITALS AND OTHER ORGANIZATIONS, ARE ALREADY ACTIVE IN THE COMMUNITY.
MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 11: MEMORIAL HEALTH SYSTEM USES AN AMOUNT OF EXCESS OF 300% OF THE FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR PROVIDING DISCOUNTED CARE.
ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: MEMORIAL HEALTH SYSTEM USES AN AMOUNT OF EXCESS OF 300% OF THE FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR PROVIDING DISCOUNTED CARE.
TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: MEMORIAL HEALTH SYSTEM USES AN AMOUNT OF EXCESS OF 300% OF THE FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR PROVIDING DISCOUNTED CARE.
MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 20D: MMC, ALMH, AND TMH PROVIDE A SYSTEMATIC 70% CHARITY DISCOUNT FROM CHARGES TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME OR COOPERATION FOR ALL MEDICALLY NECESSARY HEALTH CARE SERVICES. PATIENT COOPERATION IS REQUIRED TO OBTAIN ADDITIONAL INCOME BASED DISCOUNTS AS DEFINED IN THE FAP.
ABRAHAM LINCOLN MEMORIAL HOSPITAL PART V, SECTION B, LINE 20D: MMC, ALMH, AND TMH PROVIDE A SYSTEMATIC 70% CHARITY DISCOUNT FROM CHARGES TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME OR COOPERATION FOR ALL MEDICALLY NECESSARY HEALTH CARE SERVICES. PATIENT COOPERATION IS REQUIRED TO OBTAIN ADDITIONAL INCOME BASED DISCOUNTS AS DEFINED IN THE FAP.
TAYLORVILLE MEMORIAL HOSPITAL PART V, SECTION B, LINE 20D: MMC, ALMH, AND TMH PROVIDE A SYSTEMATIC 70% CHARITY DISCOUNT FROM CHARGES TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME OR COOPERATION FOR ALL MEDICALLY NECESSARY HEALTH CARE SERVICES. PATIENT COOPERATION IS REQUIRED TO OBTAIN ADDITIONAL INCOME BASED DISCOUNTS AS DEFINED IN THE FAP.
PART V, SECTION B, LINE 5A MHS FY14 COMMUNITY HEALTH NEED ASSESSMENT IMPLEMENTATION PLAN IS AVAILABLE ONLINE AT HTTP://WWW.CHOOSEMEMORIAL.ORG/PORTALS/6/COMMUNITY%20BENEFIT/FY14-COMMUNITY-BENEFIT-GOALS-AND-MEASURES.PDF.
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MEMORIAL HEALTH SYSTEM GROUP
 
Employer identification number
90-0756744
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) SIU SCHOOL OF MEDICINE
801 NORTH RUTLEDGE
SPRINGFIELD,IL62702 		37-6005961 501(C)(3) 25,000       SEE PART IVMEMORIAL MEDICAL CENTER IS AN ACUTE CARE, TEACHING HOSPITAL THAT IS A PRIMARY TEACHING HOSPITAL FOR THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. MEMORIAL MEDICAL CENTER CONTRIBUTES TO THE SOUTHERN ILLINOIS UNIVERSITY FOUNDATION'S ANNUAL FUNDRAISER, DENIM & DIAMONDS, WHICH BENEFITS THE SIMMONS CANCER INSTITUTE LOCATED ON MEMORIAL MEDICAL CENTER'S CAMPUS.
(2) MEMORIAL MEDICAL CENTER FOUNDATION
701 NORTH FIRST
SPRINGFIELD,IL62794 		37-1110301 501(C)(3) 10,500       SEE PART IVAS A SPECIAL GIFT OF 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.
(3) SIU PHYSICIANS & SURGEONS INC DBA SIU
PO BOX 19639
SPRINGFIELD,IL62794 		36-4143823 501(C)(3) 1,349,334       SEE PART IVMEMORIAL MEDICAL CENTER ENTERED INTO AN ELECTRONIC HEALTH RECORD DONATION AGREEMENT WITH SIU HEALTHCARE TO PROVIDE FUNDING TO ASSIST SIU HEALTHCARE WITH THE IMPLEMENATION OF THE ALLSCRIPTS TOUCHWORKS ELECTRONIC HEALTH RECORD. SIU HEALTHCARE ELECTED TO TRANSITION TO THE ALLSCRIPTS ELECTRONIC HEALTH RECORD IN COLLABORATION WITH MEMORIAL PHYSICIAN SERVICES, AN AFFILIATE OF MEMORIAL HEALTH SYSTEM, AND THE SPRINGFIELD CLINIC, LLP. UPON COMPLETION, THIS COLLABORATION AMONG THE MAJOR PHYSICIAN GROUPS IN THE COMMUNITY WILL IMPROVE THE COORDINATION OF CAREFOR ALL PATIENTS THROUGHOUT THE REGION.
(4) SANGAMON COUNTY MEDICAL SOCIETY
2040 TIMBERBROOKE DRIVE
SPRINGFIELD,IL62702 		37-6027693 501(C)(6) 20,833       SEE PART IVMEMORIAL MEDICAL CENTER CONTRIBUTED MONEY TO THE SANGAMON COUNTY MEDICAL SOCIETY TO FUND THE COORDINATED ACCESS TO COMMUNITY HEALTH (CATCH) PROGRAM, WHICH PROVIDES MEDICAL ASSISTANCE TO LOW INCOME INDIVIDUALS.
(5) KUMLER OUTREACH MINISTRIES
303 NORTH GRAND AVE EAST
SPRINGFIELD,IL62702 		37-0695489 501(C)(3) 24,000       PHARMACEUTICAL ASSISTANCE
(6) SPARC FKA SPRINGFIELD ARC INC
1 SPARC CENTER PLAZA 232 BRUNS LANE
LANE
SPRINGFIELD,IL62702 		37-0717761 501(C)(3) 5,000       TENT SPONSOR AT THE "MAINE" EVENT LOBSTER BAKE
(7) YOUNG MEN'S CHRISTIAN ASSOCIATION OF SPRINGFIELD
701 SOUTH 4TH STREET
SPRINGFIELD,IL62703 		37-0661263 501(C)(3) 20,833       SEE PART IVMEMORIAL MEDICAL CENTER CONTRIBUTED MONEY TO THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF SPRINGFIELD (YMCA) TO FUND THE SPRINGFIELD HEALTHIER COMMUNITIES INITIATIVE IN WHICH THE YMCA WORKS IN COLLABORATION WITH COMMUNITY LEADERS TO CHANGE POLICIES AND PHYSICAL SURROUNDINGS TO BRING HEALTHY LIVING WITHIN REACH OF ALL PEOPLE.
(8) MIDWEST HEALTHCARE QUALITY ALLIANCE LLC
701 NORTH FIRST STREET
SPRINGFIELD,IL62781 		46-4411631 501(C)(3)   98,908 FMV CONTRIBUTION SERVICES SEE PART IVMIDWEST HEALTHCARE QUALITY ALLIANCE, LLC (MHQA) IS A NOT-FOR-PROFIT LIMITED LIABILITY CORPORATION BETWEEN MEMORIAL HEALTH SYSTEM AND SOUTHERN ILLINOIS UNIVERSITY HEALTHCARE WITH A VISION "TO COLLECTIVELY ELEVATE OUR PATIENT CARE AND ORGANIZATIONAL OUTCOMES TO A NATIONAL LEVEL OF PERFORMANCE AND CREATE INNOVATIVE SOLUTIONS FOR THE FUTURE." THE MISSION OF MHQA IS "TO FOSTER HEALTHY POPULATIONS THROUGH INNOVATIVE RESEARCH, EDUCATION, AND PRACTICE." MEMORIAL MEDICAL CENTER CONTRIBUTES SERVICES (EMPLOYEE LABOR) TO MHQA AT FAIR MARKET VALUE TO ASSIST MHQA WITH ACHIEVING ITS ORGANIZATIONAL MISSION AND GOALS.
(9) SIU SCHOOL OF MEDICINE
801 NORTH RUTLEDGE
SPRINGFIELD,IL62702 		37-6005961 501(C)(3) 73,340       SIMULAB TRAUMA MAN
(10) SIU SCHOOL OF MEDICINE
801 NORTH RUTLEDGE
SPRINGFIELD,IL62702 		37-6005961 501(C)(3) 16,740       PSYCHIATRIC PATIENT CENTERED OUTCOMES
(11) SIU SCHOOL OF MEDICINE
801 NORTH RUTLEDGE
SPRINGFIELD,IL62702 		37-6005961 501(C)(3) 58,900       GENITOURINARY CANCER PATIENTS
(12) MEMORIAL MEDICAL CENTER
701 NORTH FIRST STREET
SPRINGFIELD,IL62702 		37-0661220 501(C)(3) 7,500       SUMMIT FOR COORDINATED HEALTHCARE
(13) SIU SCHOOL OF MEDICINE
801 NORTH RUTLEDGE
SPRINGFIELD,IL62702 		37-6005961 501(C)(3) 39,476       MOBILE APPLICATION FOR BURN PATIENTS
(14) SIU SCHOOL OF MEDICINE
801 NORTH RUTLEDGE
SPRINGFIELD,IL62702 		37-6005961 501(C)(3) 30,685       ANTIVIRAL PROPHYLAXIS
(15) MEMORIAL MEDICAL CENTER
701 NORTH FIRST STREET
SPRINGFIELD,IL62781 		37-0661220 501(C)(3) 21,840       DIGITAL WOUND PHOTOGRAPHY TO PREVENT INFECTIONS
(16) MEMORIAL MEDICAL CENTER
701 NORTH FIRST STREET
SPRINGFIELD,IL62781 		37-0661220 501(C)(3) 17,699       NURSING CONFERENCES
(17) MEMORIAL MEDICAL CENTER
701 NORTH FIRST
SPRINGFIELD,IL62781 		37-0661220 501(C)(3) 17,105       CENTER FOR LEARNING AND INNOVATION
(18) MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
710 NORTH EIGHTH STREET
SPRINGFIELD,IL62702 		37-0646367 501(C)(3) 70,780       IMPACT - INTEGRATED DEPRESSION CARE
(19) SIU SCHOOL OF MEDICINE
801 NORTH RUTLEDGE
SPRINGFIELD,IL62702 		37-6005961 501(C)(3) 27,937       HUMAN HAIR REGENERATION
(20) SIU SCHOOL OF MEDICINE
801 NORTH RUTLEDGE
SPRINGFIELD,IL62702 		37-6005961 501(C)(3) 15,367       TKA CALF PUMP
(21) SIU SCHOOL OF MEDICINE
801 NORTH RUTLEDGE
SPRINGFIELD,IL62702 		37-6005961 501(C)(3) 16,762       PAIN MANAGEMENT AFTER CARPAL TUNNEL
(22) SIU SCHOOL OF MEDICINE
801 NORTH RUTLEDGE
SPRINGFIELD,IL62702 		37-6005961 501(C)(3) 31,826       CHRONIC PAIN MANAGEMENT
(23) MEMORIAL MEDICAL CENTER
701 NORTH FIRST
SPRINGFIELD,IL62781 		37-0661220 501(C)(3) 23,981       PROVIDE EQUIPMENT AND SUPPLIES
(24) MEMORIAL MEDICAL CENTER
701 NORTH FIRST STREET
SPRINGFIELD,IL62781 		37-0661220 501(C)(3) 131,022       PROVIDE SUPPORT FOR EDUCATION
(25) MULTIPLE SCLERORIS-ONE STEP AT A TIME
3309 ROBBINS RD 206
SPRINGFIELD,IL62702 		47-1337237 501(C)(3) 20,009       PROVIDE GENERAL SUPPORT
(26) MEMORIAL HOME SERVICES
720 N BOND STREET
SPRINGFIELD,IL62702 		37-0714225 501(C)(3) 15,001       PROVIDE GENERAL SUPPORT
(27) MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
710 NORTH EIGHTH STREET
SPRINGFIELD,IL62702 		37-0646367 501(C)(3) 12,879       PROVIDE GENERAL SUPPORT
(28) SIU SCHOOL OF MEDICINE
801 NORTH RUTLEDGE
SPRINGFIELD,IL62702 		37-6005961 501(C)(3) 128,474       PROVIDE GENERAL SUPPORT
(29) MEMORIAL MEDICAL CENTER
701 NORTH FIRST
SPRINGFIELD,IL62781 		37-0661220 501(C)(3) 7,233       PROVIDE GENERAL SUPPORT
(30) TAYLORVILLE MEMORIAL HOSPITAL
201 EAST PLEASANT
SPRINGFIELD,IL62568 		37-0661250 501(C)(3) 88,442       ASSIST WITH MEDICAL TECHNOLOGIES AND PATIENT SERVICES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
11
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) EDUCATIONAL GRANTS - MEMORIAL MEDICAL CENTER'S EDUCATIONAL GRANT PROGRAM PROVIDES THE OPPORTUNITY FOR BOTH EMPLOYEES AND EXTERNAL CANDIDATES TO PURSUE ADDITIONAL EDUCATION IN EXCHANGE FOR A WORK COMMITMENT ONCE THE EDUCATION IS COMPLETED. EDUCATIONAL GRANTS ARE AVAILABLE TO THOSE PURSUING HEALTH CARE CAREERS THAT ARE DEEMED CRITICAL TO THE ORGANIZATION'S PRESENT OR PROJECTED STAFFING NEEDS (I.E., NURSING, RADIOLOGY, ETC.). GRANT APPLICATIONS FOR ALL OTHER CAREERS WILL BE REVIEWED ON A CASE-BY-CASE BASIS WITH A FINAL DETERMINATION TO BE MADE BY THE CHIEF HUMAN RESOURCES OFFICER. 211 481,484 0    
(2) TUITION REIMBURSEMENT - FUNDING FOR THE EDUCATION OF MEMORIAL MEDICAL CENTER'S EMPLOYEES IS BASED UPON THE NEEDS OF THE ORGANIZATION AS WELL AS THE EMPLOYEE'S EDUCATIONAL GOALS. EMPLOYEES WILL BE AWARDED TUITION REIMBURSEMENT BASED ON THE EMPLOYEE'S PRESENT JOB SKILL NEEDS OR TO PREPARE THE EMPLOYEE FOR FUTURE ADVANCEMENT WITHIN MEMORIAL HEALTH SYSTEM. THE TUITION REIMBURSEMENT PROCESS REQUIRES EMPLOYEES TO RECEIVE PRIOR APPROVAL FROM THEIR MANAGERS FOR THE COURSEWORK. 180 260,759 0    
(3) PRESCRIPTION DRUGS FOR PATIENTS 42 3,478      
(4) SHELTER AND UTILITY ASSISTANCE FOR PATIENTS 51 18,859      
(5) DIRECT CASH TO ASSISTANCE TO PATIENTS 91 24,152      
(6) EMPLOYEE ASSISTANCE WITH CATASTROPHIC EVENTS 20 17,246      
(7) SCHOLARSHIPS FOR EMPLOYEES 25 129,131      
(8) TRANSPORTATION ASSISTANCE FOR PATIENTS 92 24,147      
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: MEMORIAL HEALTH SYSTEM (MHS) AFFILIATES PROVIDE GRANTS AND ASSISTANCE PRIMARILY TO LOCALLY MANAGED 501(C)(3) ORGANIZATIONS OR INDIVIDUALS WHO MEET THE CRITERIA FOR SUCH GRANTS AND/OR ASSISTANCE. REQUESTS TO SUPPORT INITIATIVES IN LINE WITH MHS'S COMMUNITY HEALTH NEED ASSESSMENT PRIORITIES RECEIVE SPECIAL CONSIDERATION. MHS AFFILIATES UTILIZE A COMBINATION OF METHODS TO ENSURE FUNDS ARE AWARDED TO ELIGIBLE APPLICANTS AND THE FUNDS ARE USED FOR ITS INTENDED PURPOSE THROUGH VARIOUS REPORTING AND MONITORING ACTIVITIES.
Schedule I (Form 990) 2013


Additional Data


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Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MEMORIAL HEALTH SYSTEM GROUP
 
Employer identification number

90-0756744
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)TRACY MIZEUR MDBOARD MEMBER ALMH (i)
(ii)		 247,581
0 		17,077
0 		39,940
0 		47,012
0 		9,719
0 		361,329
0 		13,656
0
(2)MARK HANSEN MDBOARD MEMBER MPS (i)
(ii)		 426,274
0 		28,545
0 		71,214
0 		59,822
0 		-5,919
0 		579,936
0 		34,759
0
(3)MARSHALL HALE MDCHAIR MPS (i)
(ii)		 379,449
0 		35,428
0 		47,512
0 		62,533
0 		-2,066
0 		522,856
0 		22,887
0
(4)PAUL KASA MDBOARD MEMBER ALMH MPS (i)
(ii)		 280,590
0 		23,123
0 		5,548
0 		42,500
0 		16,321
0 		368,082
0 		0
0
(5)JANICE GAMBACHPRESIDENT SRS (i)
(ii)		 0
160,047 		0
23,074 		0
1,290 		0
12,682 		0
22,437 		0
219,530 		0
0
(6)EVAN DAVISBOARD MEMBER MHV (THRU DEC 13) (i)
(ii)		 151,968
0 		21,162
0 		4,304
0 		11,921
0 		2,718
0 		192,073
0 		0
0
(7)J TRAVIS DOWELLPRESIDENT MPS (i)
(ii)		 0
209,595 		0
58,882 		0
42,955 		0
44,575 		0
56,127 		0
412,134 		0
0
(8)R SCOTT KIRIAKOSVP CLIN INT MMC/MEM MHV MHSVC (i)
(ii)		 250,465
0 		70,301
0 		16,327
0 		75,749
0 		12,199
0 		425,041
0 		0
0
(9)DOLAN DALPOASPRESIDENT ALMH/MEMBER MHSVC (i)
(ii)		 0
219,332 		0
60,340 		0
10,406 		0
44,664 		0
321 		0
335,063 		0
0
(10)DANIEL RAABPRESIDENT TMH/TMHF/MEMBER MHSVC (i)
(ii)		 0
189,355 		0
53,635 		0
17,546 		0
51,664 		0
-3,297 		0
308,903 		0
0
(11)DOUGLAS RAHN DBAEVP COO MMC/CHR MHV 13 MHSVC/MEM MPS (i)
(ii)		 430,152
0 		83,994
0 		30,326
0 		343,387
0 		20,687
0 		908,546
0 		0
0
(12)EDGAR CURTISPRES & CEO MHS/PRES MMC/MEM MPS (i)
(ii)		 0
701,528 		0
1,767 		0
393,303 		0
1,067,579 		0
-9,134 		0
2,155,043 		0
0
(13)ROBERT KAYSVP/CFO SEC/TREAS MHSVC MHV MPS (i)
(ii)		 0
393,877 		0
154,042 		0
26,958 		0
237,344 		0
-23,819 		0
788,402 		0
11,508
(14)KEVIN ENGLANDVICE CHAIR/PRES MHV/VC MHSVC (i)
(ii)		 0
261,052 		0
73,291 		0
55,626 		0
185,192 		0
57,407 		0
632,568 		0
0
(15)THOMAS WESTRICKPRESIDENT MHSVC (i)
(ii)		 0
178,281 		0
25,070 		0
4,796 		0
14,517 		0
15,550 		0
238,214 		0
0
(16)CHARLES CALLAHAN PHDSVP & CQO/CHAIR MHV (FROM JAN 14) (i)
(ii)		 265,505
0 		75,008
0 		33,129
0 		54,469
0 		21,350
0 		449,461
0 		0
0
(17)JAMESON ROSZHARTBOARD MEMBER MHV (FROM JAN 14) (i)
(ii)		 62,270
39,791 		0
8,250 		31,172
10 		6,544
1,494 		11,491
6,849 		111,477
56,394 		0
0
(18)ELAINE YOUNGVP FINANCE MHS (THRU JAN 2013) (i)
(ii)		 0
5,332 		0
0 		0
535,716 		0
14,152 		0
-36,941 		0
518,259 		0
57,992
(19)ELENA KEZELISEXEC DIR MMCF (i)
(ii)		 151,265
0 		21,530
0 		4,302
0 		11,378
0 		19,913
0 		208,388
0 		0
0
(20)MARSHA PRATER PHDSVP & CNO MMC (i)
(ii)		 261,872
0 		0
0 		253,862
0 		324,504
0 		33,685
0 		873,923
0 		0
0
(21)DAVID JOERGERADMIN PERIOP SRV MMC (THRU NOV 2013) (i)
(ii)		 163,128
0 		26,206
0 		47,206
0 		12,838
0 		16,807
0 		266,185
0 		0
0
(22)LINDA JONES DNSVP OPERATIONS MMC (i)
(ii)		 222,847
0 		61,814
0 		19,107
0 		52,971
0 		7,604
0 		364,343
0 		0
0
(23)DREW EARLYADMIN ED/CARDIOLOGY MMC (i)
(ii)		 178,128
0 		25,358
0 		3,672
0 		14,427
0 		18,130
0 		239,715
0 		0
0
(24)HARRY SCHMIDTVP FACILITIES MANAGEMENT MMC (i)
(ii)		 163,431
0 		78,582
0 		4,097
0 		41,790
0 		2,276
0 		290,176
0 		8,334
0
(25)ANNA EVANS JDGEN COUNSEL/VP INT AUDIT & COMPL MHS (i)
(ii)		 0
280,016 		0
79,808 		0
6,237 		0
114,301 		0
24,045 		0
504,407 		0
0
(26)RAJESH GOVINDAIAH MDSVP & CMO MHS (i)
(ii)		 0
342,596 		0
0 		0
17,959 		0
199,322 		0
6,959 		0
566,836 		0
0
(27)DAVID GRAHAM MDSVP & CIO MHS (i)
(ii)		 0
344,049 		0
134,124 		0
13,628 		0
80,411 		0
18,259 		0
590,471 		0
0
(28)MITCHELL JOHNSONSVP & CHIEF STRATEGY OFFICER MHS (i)
(ii)		 0
261,211 		0
102,889 		0
15,535 		0
119,995 		0
-4,283 		0
495,347 		0
0
(29)BRADLEY WARRENSVP & CPO MHS (THRU JAN 2013) (i)
(ii)		 0
10,408 		0
0 		0
295,414 		0
12,012 		0
1,797 		0
319,631 		0
62,752
(30)MELISSA MCGLASSONVP FINANCE MHS (FROM FEB 2013) (i)
(ii)		 20,333
145,272 		0
56,100 		2,382
7,787 		5,201
26,519 		371
1,830 		28,287
237,508 		0
0
(31)AIMEE ALLBRITTON PHDINTERIM CHRO MHS (2013), VP & CLO (i)
(ii)		 0
230,318 		0
90,851 		0
39,999 		0
49,982 		0
15,135 		0
426,285 		0
0
(32)FERDINAND SALVACION MDPHYSICIAN MMC (i)
(ii)		 512,794
0 		67,500
0 		121,036
0 		99,170
0 		24,756
0 		825,256
0 		76,233
0
(33)DAVID SANDERCOCK MDPHYSICIAN MPS (i)
(ii)		 425,181
0 		37,216
0 		61,595
0 		70,936
0 		58,586
0 		653,514
0 		34,261
0
(34)JAMES GILDNER MDPHYSICIAN MPS (i)
(ii)		 463,192
0 		56,321
0 		108,777
0 		91,975
0 		20,146
0 		740,411
0 		0
0
(35)AMY HIGH MDPHYSICIAN MPS (i)
(ii)		 505,955
0 		39,654
0 		8,507
0 		47,156
0 		25,250
0 		626,522
0 		0
0
(36)STEVEN LILLPOP MDPHYSICIAN MPS (i)
(ii)		 393,994
0 		46,631
0 		85,388
0 		71,018
0 		50,207
0 		647,238
0 		35,597
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 3 COMPENSATION AND BENEFITS RECEIVED BY EDGAR CURTIS, PRESIDENT AND CEO OF MEMORIAL HEALTH SYSTEM, WAS COMPRISED OF THE FOLLOWING COMPONENTS; BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER COMPENSATION, RETIREMENT/DEFERRED COMPENSATION AND OTHER NONTAXABLE BENEFITS. BASE COMPENSATION FOR MR. CURTIS WAS DETERMINED BASED ON THE METHODS DESCRIBED IN PART I, LINE 3 CONDUCTED BY INDEPENDENT COMPENSATION CONSULTANTS. BASE COMPENSATION LEVELS WERE SET BY THE MHS BOARD AT THE 50TH PERCENTILE OF THE RELEVANT COMPENSATION RANGE, AS DETERMINED BY THE INDEPENDENT COMPENSATION CONSULTANTS. INCENTIVE COMPENSATION WAS CONTINGENT ON THE ACHIEVEMENT OF FOUR SPECIFIC PERFORMANCE METRICS OF MHS, AS DEFINED BY THE MHS BOARD. OTHER COMPENSATION IS COMPRISED PRIMARILY OF DEFERRED COMPENSATION PAYOUTS MADE DURING THE YEAR FOR COMPENSATION PREVIOUSLY EARNED IN PRIOR YEARS. RETIREMENT COMPENSATION REFLECTS AN INCREASE IN RETIREMENT BENEFITS OWED BY MHS UPON RETIREMENT OF MR. CURTIS. THIS INCREASE WAS DRAMATICALLY IMPACTED BY ACTUARIAL ASSUMPTIONS OF THE RETIREMENT PLAN, WHICH HAVE HISTORICALLY INCLUDED DRAMATIC CHANGES IN THE DISCOUNT RATE. NORMAL RETIREMENT COMPENSATION FOR THE YEAR WAS $155,527. IN 2013, MR. CURTIS ELECTED TO DEFER HIS INCENTIVE COMPENSATION OF $338,842 INTO HIS 457(F) PLAN. LASTLY, NONTAXABLE BENEFITS REFLECT THE VALUE OF HEALTH (MEDICAL, DENTAL, LIFE INSURANCE) BENEFITS RECEIVED DURING THE YEAR AS WELL AS CHANGES IN ACTUARIAL VALUE OF THE POSTRETIREMENT HEALTH CARE INSURANCE REIMBURSEMENT PLAN.
PART I, LINES 4A-B DURING 2013, THE FOLLOWING LISTED INDIVIDUALS RECEIVED SEVERANCE OR SEPARATION PAYMENTS AFTER TERMINATION OF EMPLOYMENT, AND THESE AMOUNTS ARE INCLUDED IN THE AMOUNTS REPORTED ON SCHEDULE J FOR SUCH INDIVIDUALS: ELAINE YOUNG, $193,720; BRADLEY WARREN, $183,609. CERTAIN INDIVIDUALS LISTED IN SCHEDULE J ARE OR MAY BE ELIGIBLE TO RECEIVE SEVERANCE PAY UPON CERTAIN TYPES OF EMPLOYMENT TERMINATIONS. THESE ARRANGEMENTS ARE REVIEWED FROM TIME TO TIME TO ASSURE THAT THE POTENTIAL SEVERANCE PAY IS REASONABLE AND CONSISTENT WITH MARKET DATA FOR INDIVIDUALS IN SIMILAR POSITIONS AT SIMILAR ORGANIZATIONS. EXECUTIVE SEVERANCE ARRANGEMENTS REQUIRE THE SATISFACTION OF CONDITIONS AND ONGOING RESTRICTIVE COVENANTS THAT PROTECT THE INTERESTS OF THE ORGANIZATION. THE COMPENSATION REPORTED FOR THE LISTED INDIVIDUAL DAVID JOERGER INCLUDES AN INCENTIVE COMPENSATION PAYMENT OF $26,206 WHICH WAS EARNED DURING ACTIVE EXECUTIVE EMPLOYMENT, AND WHICH WAS PAID IN ACCORDANCE WITH A VOLUNTARY SEPARATION AGREEMENT BETWEEN THE INDIVIDUAL AND THE ORGANIZATION. THE ORGANIZATION, OR A RELATED ORGANIZATION, MEMORIAL HEALTH SYSTEM, PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO THE FOLLOWING OFFICERS AND KEY EMPLOYEES: AIMEE ALLBRITTON, PH.D., $32,187, CHARLES CALLAHAN, PH.D., $29,249, EDGAR CURTIS, $1,034,929, DOLAN DALPOAS, $22,240, J. TRAVIS DOWELL, $21,681, KEVIN ENGLAND, $159,975, ANNA EVANS, J.D., $96,651, JAMES GILDNER, M.D., $65,173, RAJESH GOVINDAIAH, M.D., $181,291, DAVID GRAHAM, M.D., $72,911, MARSHALL HALE, M.D., $29,883, MARK HANSEN, M.D., $27,172, AMY HIGH, M.D., $32,006, MITCHELL JOHNSON, $87,903, LINDA JONES, D.N.S., $22,760, PAUL KASA, M.D., $13,282, ROBERT KAY, $209,694, R. SCOTT KIRIAKOS, $43,099, STEVEN LILLPOP, M.D., $48,230, MELISSA MCGLASSON, $20,666, TRACY MIZEUR, M.D., $29,996, MARSHA PRATER, PH.D., $291,883, DANIEL RAAB, $19,809, DOUGLAS RAHN, D.B.A., $325,737, FERDINAND SALVACION, M.D., $84,020, DAVID SANDERCOCK, M.D., $50,786, HARRY SCHMIDT, $16,678, BRADLEY WARREN, $702, AND ELAINE YOUNG, $115. 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. THE FOLLOWING CURRENT OR FORMER OFFICERS AND KEY EMPLOYEES RECEIVED DEFERRED COMPENSATION PAYOUTS IN THE CALENDAR YEAR FROM THE ORGANIZATION OR A RELATED ORGANIZATION, MEMORIAL HEALTH SYSTEM: EDGAR CURTIS, $340,089, J. TRAVIS DOWELL, $33,414, KEVIN ENGLAND, $30,902, JAMES GILDNER, M.D., $66,077, MARSHALL HALE, M.D., $25,708, MARK HANSEN, M.D., $39,118, STEVEN LILLPOP, M.D., $64,136, TRACY MIZEUR, M.D., $39,670, MARSHA PRATER, PH.D., $232,634, DANIEL RAAB, $3,408, FERDINAND SALVACION, M.D., $102,405, DAVID SANDERCOCK, M.D., $38,557, BRADLEY WARREN, $72,012, AND ELAINE YOUNG, $295,113. 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 7 MEMBERS 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 J, PART II, COLUMN (D) MEMORIAL HEALTH SYSTEM PROVIDES A POSTRETIREMENT HEALTH CARE INSURANCE REIMBURSEMENT PLAN TO CERTAIN EXECUTIVES AND PHYSICIANS TO REIMBURSE HEALTH INSURANCE COSTS INCURRED BY THE RETIREES AND THEIR SPOUSES. THE CHANGE IN THE ACTUARIAL VALUE OF THE PLAN IS REPORTED ON SCHEDULE J, PART II, COLUMN (D) AS A NONTAXABLE BENEFIT. A NEGATIVE TOTAL FOR SCHEDULE J, PART II, COLUMN (D) INDICATES A DECREASE IN THE ACTUARIAL VALUE OF THE PLAN DUE TO CHANGES IN THE DISCOUNT RATE AND/OR OTHER ACTUARIAL ASSUMPTIONS. SCHEDULE J, PART II, COLUMN (D) ALSO INCLUDES OTHER NONTAXABLE BENEFITS SUCH AS MEDICAL, DENTAL, AND LIFE INSURANCE.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MEMORIAL HEALTH SYSTEM GROUP
 
Employer identification number

90-0756744
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) SANGAMON PROFESSIONAL BUILDING LLC
  		OWNER'S WIFE IS A BOARD MEMBER 559,403 MEMORIAL MEDICAL CENTER LEASED PROPERTY FROM SANGAMON PROFESSIONAL BUILDING LLC FOR THE YEAR ENDED SEPTEMBER 30, 2014 IN THE AMOUNT OF $559,403. THE OWNER OF SANGAMON PROFESSIONAL BUILDING LLC IS THE HUSBAND OF CAROL J. HANSEN POSEGATE, A MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS. THE LEASE IS UNDERTAKEN AT ARM'S LENGTH AND IS AT FAIR MARKET VALUE.   No
(2) SORLING NORTHRUP HANNA CULLEN & COCHRAN LTD
  		BOARD MEMBER IS COO AT SORLING, NORTHRUP, HANNA, CULLEN & COCHRAN 410,032 MEMORIAL MEDICAL CENTER PAID FEES TO THE LAW OFFICE OF SORLING, NORTHRUP, HANNA, CULLEN & COCHRAN, LTD FOR LEGAL SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2014 IN THE AMOUNT OF $410,032. MARK H. FERGUSON IS A MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS AND IS A PARTNER AND CHIEF OPERATING OFFICER AT SORLING, NORTHRUP, HANNA, CULLEN & COCHRAN, LTD. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.   No
(3) SPRINGFIELD CLINIC LLP
  		BOARD MEMBER IS EMPLOYEE AND BOARD MEMBER OF SPRINGFIELD CLINIC, LLP 5,703,044 MEMORIAL MEDICAL CENTER PAID FEES TO SPRINGFIELD CLINIC, LLP FOR THE YEAR ENDED SEPTEMBER 30, 2014 IN THE AMOUNT OF $5,703,044. A PHYSICIAN AND BOARD MEMBER OF THIS COMPANY, MICHAEL A. PICK, M.D., WAS ALSO A MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS IN 2013. ALL FEES ARE NEGOTIATED AT ARM'S LENGTH AND ARE AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.   No
(4) MID-AMERICA EMERGENCY PHYSICIANS INC
  		BOARD MEMBER IS A VOTING BOARD MEMBER OF MID-AMERICA EMERGENCY PHYSICIANS 7,672,527 MEMORIAL MEDICAL CENTER PAID MID-AMERICA EMERGENCY PHYSICIANS INC. $7,672,527 DURING FISCAL YEAR 2014. DAVID GRIFFEN, M.D. IS A VOTING MEMBER OF MID-AMERICA EMERGENCY PHYSICIANS AND A MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS. ALL FEES ARE NEGOTIATED AT ARM'S LENGTH AND ARE AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.   No
(5) SPRINGFIELD ELECTRIC SUPPLY
  		BOARD MEMBER IS OWNER OF SPRINGFIELD ELECTRIC SUPPLY 239,807 MEMORIAL MEDICAL CENTER PAID FEES TO SPRINGFIELD ELECTRIC SUPPLY FOR GOODS AND SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2014 IN THE AMOUNT OF $239,807. RANDALL S. GERMERAAD IS A MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS AND AN OWNER OF SPRINGFIELD ELECTRIC SUPPLY. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MEMORIAL HEALTH SYSTEM GROUP
 
Employer identification number

90-0756744
Return Reference Explanation
LINE 24A ONE SCHEDULE K WAS COMPLETED AT THE PARENT (MEMORIAL HEALTH SYSTEM) LEVEL ONLY. HOWEVER, EACH AFFILIATE IS STILL SHOWING ITS ALLOCATION OF THE LIABILITY ON THE BALANCE SHEET, AS CAN BE SEEN ON THIS GROUP RETURN.
FORM 990, PART VI, SECTION A, LINE 2 MARK KUHNKE, M.D. AND LYNNE BARKMEIER, M.D. ARE EMPLOYED BY SPRINGFIELD CLINIC, LLP, OF WHICH MICHAEL PICK, M.D. IS A BOARD MEMBER. DR. KUHNKE AND DR. BARKMEIER ARE BOTH BOARD MEMBERS OF MEMORIAL MEDICAL CENTER. DR. PICK WAS A BOARD MEMBER OF MEMORIAL MEDICAL CENTER THROUGH DECEMBER 31, 2013.
FORM 990, PART VI, SECTION A, LINE 6 MEMORIAL HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF THE AFFILIATES REPORTED IN THIS GROUP RETURN EXCLUDING SPRINGFIELD RESIDENTIAL SERVICES, MEMORIAL MEDICAL CENTER FOUNDATION AND TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION. MEMORIAL HEALTH SYSTEM CORPORATION CONTAINS 105 INDIVIDUAL MEMBERS WHO ELECT THE BOARD OF DIRECTORS. SPRINGFIELD RESIDENTIAL SERVICES HAS A SELF-PERPETUATING BOARD OF DIRECTORS WHOSE MEMBERSHIP SHALL BE APPROVED BY OR BE MEMBERS OF THE BOARD OF DIRECTORS FOR MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS. MEMORIAL MEDICAL CENTER FOUNDATION'S MEMBERS ARE ITS BOARD OF DIRECTORS. MEMORIAL MEDICAL CENTER FOUNDATION'S BOARD OF DIRECTORS CONTAINS 15 DIRECTORS. TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION HAS NO CORPORATE MEMBERS. TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION'S BOARD OF DIRECTORS, WHICH CONTAINS 9 DIRECTORS, MANAGES AND CONTROLS THE PROPERTY AND BUSINESS.
FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER OF THE CORPORATION ELECTS THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS OF THE CORPORATION REQUIRE THE ADVANCE APPROVAL OF THE CORPORATE MEMBER FOR CORPORATE, ADMINISTRATIVE AND OPERATIONAL ACTIONS WHICH INCLUDE, BUT ARE NOT LIMITED TO, THE BORROWING OF ANY SUM, THE PRINCIPAL OF WHICH EXCEEDS $500,000, OR WHICH HAS A STATED TERM OF GREATER THAN ONE YEAR, OR WHICH IS SECURED BY A MORTGAGE OF ALL OR ANY PORTION OF THE CORPORATION'S REAL PROPERTY OR THE CREATION OF A SECURITY INTEREST IN THE CORPORATION'S ASSETS, INCLUDING PERSONAL PROPERTY AND REVENUES, FOR THE BENEFIT OF THE LENDER, LESSOR OR VENDOR, OR THE DEFEASANCE, ADVANCE PAYMENT OR CANCELLATION OF ANY OUTSTANDING DEBT OF THE CATEGORY DESCRIBED HEREIN; ANY VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION, SALE OR TRANSFER OF SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS (DEFINED AS 10% OR MORE), OR ANY CREATION OF A SUBSIDIARY OR AFFILIATE CORPORATION OF THE CORPORATION; ANY APPLICATION TO THE ILLINOIS HEALTH FACILITIES PLANNING BOARD FOR A PERMIT OR CERTIFICATE OF NEED FOR A PROPOSED ACTIVITY, WHETHER OR NOT INVOLVING A CAPITAL EXPENDITURE; THE APPROVAL OF ALL ANNUAL AND LONG-TERM CAPITAL OR OPERATIONAL BUDGETS OF THE CORPORATION; ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; APPROVAL OF ANY NEW OR CHANGES TO EXISTING LONG-TERM OR MASTER INSTITUTIONAL PLAN; THE SALE OF ANY OF THE CORPORATION'S REAL PROPERTY OR INTEREST THEREIN OR PURCHASES OF ADDITIONAL REAL ESTATE; AND THE APPROVAL OF CAPITAL EXPENDITURES IN EXCESS OF $1.5 MILLION.
FORM 990, PART VI, SECTION B, LINE 11 A 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.
FORM 990, PART VI, SECTION B, LINE 12C ALL 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 AND ITS SUBORDINATES 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 15 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 C, LINE 19 THE GOVERNING DOCUMENTS, 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. THESE DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF TIME AS SET FORTH IN IRC SECTION 6104(D).
FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 57,305,980. MANAGEMENT AND GENERAL EXPENSES 29,067. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,335,047. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,704,209. MANAGEMENT AND GENERAL EXPENSES 36,474. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,740,683. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 21,457,797. MANAGEMENT AND GENERAL EXPENSES 5,031,326. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,489,123. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 411,279. MANAGEMENT AND GENERAL EXPENSES 1,271,595. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,682,874. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,403. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,403.
FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY -33,852,800. TRANSFERS -21,310,226. BOOK/TAX DIFFERENCE 191,553. OTHER 7,276,660.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MEMORIAL HEALTH SYSTEM GROUP
 
Employer identification number

90-0756744
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) HEALTHCARE NETWORK PROPERTIES LLC
701 NORTH FIRST STREET
SPRINGFIELD,IL62781
37-1379377 		OWNS MEDICAL OFFICE BUILDINGS IL 5,969,987 26,038,987 MEMORIAL PHYSICIAN SERVICES
 
(2) WOMEN'S HEALTHCARE LLC
701 NORTH 1ST STREET
SPRINGFIELD,IL62781
26-3400814 		HEALTHCARE SERVICES IL 4,921,841 836,084 MEMORIAL PHYSICIAN SERVICES
 
(3) VINE STREET CLINICAL ASSOCIATES LLC
701 NORTH FIRST STREET
SPRINGFIELD,IL62781
45-3180104 		PSYCHIATRIC HEALTHCARE SERVICES IL 1,507,554 128,556 MEMORIAL PHYSICIAN SERVICES
 
(4) MEMORIAL EXPRESSCARE LLC
701 NORTH FIRST STREET
SPRINGFIELD,IL62781
26-3400528 		PROVIDES NON-EMERGENCY CARE SEVEN DAYS A WEEK WITHOUT APPOINTMENT IL 8,054,165 1,689,476 MEMORIAL HEALTH VENTURES
 




Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) MEMORIAL HEALTH SYSTEM

701 NORTH FIRST STREET

SPRINGFIELD,IL627810001
37-1110690 		UMBRELLA IL 501(C)(3) 509(A)(3) TYPE II N/A
 
No
(2) MEMORIAL MEDICAL CENTER

701 NORTH FIRST STREET

SPRINGFIELD,IL627810001
37-0661220 		HOSPITAL SERVICES IL 501(C)(3) 170(B)(1)(A) (III) MEMORIAL HEALTH SYSTEM
 
 
No
(3) MEMORIAL HEALTH VENTURES

701 NORTH FIRST STREET

SPRINGFIELD,IL627810001
36-3492266 		HEALTHCARE ACTIVITIES IL 501(C)(3) 509(A)(3) TYPE II MEMORIAL HEALTH SYSTEM
 
 
No
(4) ABRAHAM LINCOLN MEMORIAL HOSPITAL

200 STAHLHUT DRIVE

LINCOLN,IL62656
37-0661250 		HOSPITAL SERVICES IL 501(C)(3) 170(B)(1)(A) (III) MEMORIAL HEALTH SYSTEM
 
 
No
(5) TAYLORVILLE MEMORIAL HOSPITAL

201 EAST PLEASANT

TAYLORVILLE,IL62568
37-0661250 		HOSPITAL SERVICES IL 501(C)(3) 170(B)(1)(A) (III) MEMORIAL HEALTH SYSTEM
 
 
No
(6) MEMORIAL HOME SERVICES

720 NORTH BOND STREET

SPRINGFIELD,IL627024915
37-0714225 		HOME HEALTH AND HOSPICE IL 501(C)(3) 509 (C) (2) MEMORIAL HEALTH SYSTEM
 
 
No
(7) MEMORIAL PHYSICIAN SERVICES

701 NORTH FIRST STREET

SPRINGFIELD,IL627810001
37-1181194 		HEALTH CLINICS IL 501(C)(3) 509(A)(3) TYPE II MEMORIAL HEALTH SYSTEM
 
 
No
(8) MEMORIAL MEDICAL CENTER FOUNDATION

1 MEMORIAL PLAZA

SPRINGFIELD,IL62781
37-1110301 		GRANTS TO HOSPITALS, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS IL 501(C)(3) 170(B)(1)(A) MEMORIAL MEDICAL CENTER
 
 
No
(9) TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION

201 EAST PLEASANT

TAYLORVILLE,IL62568
37-1337485 		GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALS IL 501(C)(3) 509(A)(3)TYPE III-FI N/A
 
No
(10) MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS

710 NORTH EIGHTH STREET

SPRINGFIELD,IL627026395
37-0646367 		TRAINING, PSYCHIATRIC, AND RESIDENT SERVICES FOR MENTALLY ILL AND DISABLED IL 501(C)(3) 170(B)(1)(A) (VI) MEMORIAL HEALTH SYSTEM
 
 
No
(11) ABRAHAM LINCOLN MEMORIAL HOSPITAL FOUNDATION

200 STAHLHUT DRIVE

LINCOLN,IL62656
36-3492268 		GRANTS TO HOSPITALS AND OTHER CHARITABLE ORGANIZATIONS IL 501(C)(3) 170(B)(1)(A) (VI) MEMORIAL HEALTH SYSTEM
 
 
No
(12) SPRINGFIELD RESIDENTIAL SERVICES

710 NORTH EIGHTH STREET

SPRINGFIELD,IL62702
37-1298589 		RESIDENTIAL HUD HOUSING PROJECT FOR MENTALLY ILL IL 501(C)(3) 170(B)(1)(A) (VI) MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
 
 
No
(13) PASSAVANT AREA HOSPITAL FOUNDATION

1600 WEST WALNUT ST

JACKSONVILLE,IL62650
46-1037396 		SUPPORTING THE HOSPITAL IL 501(C)(3) 170(B)(1)(A) (III) MEMORIAL HEALTH SYSTEM
 
 
No
(14) PASSAVANT AREA HOSPITAL ASSOC

1600 WEST WALNUT ST

JACKSONVILLE,IL62650
37-0661230 		HOSPITAL SERVICES IL 501(C)(3) 170(B)(1)(A) (III) PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
 
 
No
(15) JACKSONVILLE CRNA'S INC

1600 WEST WALNUT ST

JACKSONVILLE,IL62650
27-3093265 		CRNA SERVICES IL 501(C)(3) 509(A)(3) TYPE II  
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC

701 NORTH FIRST STREET
SPRINGFIELD,IL62781
37-1190216 		PROVIDE DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO PATIENTS IL MEMORIAL HOME SERVICES
  		C     100.000 %   No
(2) PASSAVANT PHYSICIAN ASSOCIATION

1600 WEST WALNUT STREET
JACKSONVILLE,IL62650
26-1200566 		PHYSICIAN SERVICES IL PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
  		C     100.000 %   No










Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
Yes
 
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
Yes
 
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
Yes
 
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC

 O 438,055 COST BASIS
(2) MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC

 K 134,925 COST - RENTAL EQUIPMENT
(3) MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC

 H 149,267 COST BASIS
(4) MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC

 B -417,662 COST BASIS


Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No
(1) RUTLEDGE JOINT VENTURES LLC

115 WEST JEFFERSON SUITE 401BLOOMINGTON,IL617023188
37-1359387 		LONG TERM CARE, SKILLED NURSING AND SUB-ACUTE CARE IL RELATED
 
No
 512,359 2,984,107
 
No
  
 
No
 50.000 %
(2) ORTHOPAEDIC SURGERY CENTER OF ILLINOIS LLC

720 NORTH BOND STREETSPRINGFIELD,IL62702
37-1366377 		AN AMBULATORY SURGICAL TREATMENT CENTER IL RELATED
 
No
 1,009,586 1,218,945
 
No
  
 
No
 50.000 %




























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


Software ID:  
Software Version:  






TY 2013 AffiliateListing
Name:
MEMORIAL HEALTH SYSTEM GROUP
EIN: 90-0756744

Name Address EIN Name control
MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET
SPRINGFIELD,
IL
62781
37-0661220
 MEMO
THE ABRAHAM LINCOLN MEMORIAL HOSPITAL 200 STAHLHUT DRIVE
LINCOLN,
IL
62656
37-0723793
 ABRA
TAYLORVILLE MEMORIAL HOSPITAL 201 EAST PLEASANT
TAYLORVILLE,
IL
62568
37-0661250
 TAYL
MEMORIAL HEALTH VENTURES 701 NORTH FIRST STREET
SPRINGFIELD,
IL
62781
36-3492266
 MEMO
MEMORIAL HOME SERVICES 720 NORTH BOND
SPRINGFIELD,
IL
62702
37-0714225
 MEMO
MEMORIAL PHYSICIAN SERVICES 701 NORTH FIRST STREET
SPRINGFIELD,
IL
62781
37-1181194
 MEMO
MEMORIAL MEDICAL CENTER FOUNDATION 1 MEMORIAL PLAZA
SPRINGFIELD,
IL
62781
37-1110301
 MEMO
TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION INC 201 EAST PLEASANT
TAYLORVILLE,
IL
62568
37-1337485
 TAYL
SPRINGFIELD RESIDENTIAL SERVICES 710 NORTH EIGHTH STREET
SPRINGFIELD,
IL
62702
37-1298589
 SPRI