TY 2015 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) MARY ROSE MOREHEAD...................................................................... BOARD MEMBER ALMH	0.70 .................	X		0	0
(2) BRADLEY NEAL...................................................................... BOARD MEMBER ALMH (THRU JAN 16)	0.70 .................	X		0	0
(3) KEITH SNYDER...................................................................... BOARD MEMBER ALMH (FROM FEB 16)	0.70 .................	X		0	0
(4) PAUL KASA MD...................................................................... BOARD MEMBER ALMH MPS	50.00 .................	X		339,731	76,280
(5) AMIR JOHN WAHAB...................................................................... BOARD MEMBER ALMH (FROM FEB 16)	50.00 .................	X		560,356	89,029
(6) RICHARD BIVIN MD...................................................................... BOARD MEMBER ALMH (THRU JAN 16)	50.00 .................	X		345,835	85,066
(7) GREG EIMER...................................................................... BOARD MEMBER ALMH	0.70 .................	X		0	0
(8) BRADLEY NIKLES...................................................................... BOARD MEMBER ALMH	0.70 .................	X		0	0
(9) MELISSA COX MD...................................................................... BOARD MEMBER ALMH	0.70 .................	X		0	0
(10) DAVE IRWIN...................................................................... BOARD MEMBER ALMH	0.70 .................	X		0	0
(11) LISA KRAMER...................................................................... BRDMEMALMH(THRUJAN16)/TREAS	0.70 .................	X	X	0	0
(12) A PATRICK DOOLIN...................................................................... IMMEDPASTCHRALMH(THRUJAN16)/BRDMEM	0.70 .................	X	X	0	0
(13) RONALD SCHILLING...................................................................... CHRALMH(THRUJAN15)/IMMEDPASTCHR	0.70 .................	X	X	0	0
(14) BILL BATES...................................................................... SECALMH(THRUJAN16)/CHRELECT	0.70 .................	X	X	0	0
(15) DAVID CAMPBELL...................................................................... TREASALMH(THRUJAN15)/SEC(FROMFEB16)	0.70 .................	X	X	0	0
(16) DERON POWELL...................................................................... CHRELECTALMH(THRUJAN16)/CHR	0.70 .................	X	X	0	0
(17) SUSAN KOCH EDD...................................................................... BOARD MEMBER MMC	0.70 .................	X		0	0

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) LYNNE BARKMEIER MD........................................................................ BOARD MEMBER MMC (FROM JAN 16)	0.70 .......................	X					0	0	0
(19) JAMES BRUNER........................................................................ BOARD MEMBER MMC (THRU DEC 15)	1.70 .......................	X					0	0	0
(20) JOSEPH HURWITZ........................................................................ BOARD MEMBER MMC	2.00 .......................	X					0	0	0
(21) MARK FERGUSON........................................................................ BOARD MEMBER MMC (THRU DEC 15)	1.60 .......................	X					0	0	0
(22) CRAIG SCHERMERHORN........................................................................ BOARD MEMBER MMC	0.70 .......................	X					0	0	0
(23) KEVIN COAKLEY MD........................................................................ BOARD MEMBER MMC	0.70 .......................	X					0	0	0
(24) NINA HARRIS........................................................................ BOARD MEMBER MMC	1.00 .......................	X					0	0	0
(25) TODD WISE........................................................................ BOARD MEMBER MMC	0.70 .......................	X					0	0	0
(26) MARK KUHNKE MD........................................................................ BOARD MEMBER MMC	0.70 .......................	X					0	0	0
(27) DEAN ROBERT JR........................................................................ BRDMEMMMC/2NDVICECHR(FROMJAN16)	0.70 .......................	X	X				0	0	0
(28) LISA HARTZLER........................................................................ BOARD MEMBER MMC (FROM JAN 16)	0.80 .......................	X	X				0	0	0
(29) DALE BECKER........................................................................ TREASURER MMC	1.50 .......................	X	X				0	0	0
(30) DIANE RUTLEDGE PHD........................................................................ 2VCHRMMC(THRUDEC15)/1VCHR(THRUJAN16)	1.00 .......................	X	X				0	0	0
(31) JOHN BLACKBURN........................................................................ CHRMMC(THRUDEC15)/BRDMEM(FROMJAN16)	1.70 .......................	X	X				0	0	0
(32) GEOFFREY ISRINGHAUSEN........................................................................ SECRETARY MMC	0.70 .......................	X	X				0	0	0
(33) RANDALL GERMERAAD........................................................................ 1VCMMC(THRUDEC15)/CHR/BRDMEMSRS	0.80 .......................	X	X				0	0	0
(34) JAMES REED JR........................................................................ BRDMEMMMC(FROMJAN16)/BRDMEMMMCF	0.20 .......................	X					0	0	0
(35) JENNIFER ISRINGHAUSEN........................................................................ BOARD MEMBER MMCF	0.30 .......................	X					0	0	0
(36) DAVID GRIFFEN MD PHD........................................................................ BOARD MEMBER MMCF	0.20 .......................	X					0	0	0
(37) J WILLIAM ROBERTS........................................................................ BOARD MEMBER MMCF	0.20 .......................	X					0	0	0
(38) R LEE ALLEN........................................................................ BOARD MEMBER MMCF	0.10 .......................	X					0	0	0
(39) J MARTIN GREEN........................................................................ BOARD MEMBER MMCF	0.10 .......................	X					0	0	0
(40) HENRY DALE SMITH JR........................................................................ BOARD MEMBER MMCF	0.40 .......................	X					0	0	0
(41) VALERA YAZELL........................................................................ BOARD MEMBER MMCF	0.40 .......................	X					0	0	0
(42) DONALD YURDIN MD........................................................................ BOARD MEMBER MMCF	0.30 .......................	X					0	0	0
(43) CHERYL MARTIN........................................................................ BOARD MEMBER MMCF (FROM JAN 16)	0.30 .......................	X					0	0	0
(44) CHERRILYN MAYFIELD........................................................................ BRDMEMMMCF(THRUDEC15)/TREAS	0.50 .......................	X	X				0	0	0
(45) ANN COOMBE........................................................................ TREASURER MMCF (THRU DEC 15)	0.00 .......................	X	X				0	0	0
(46) G VIRGINIA CONLEE........................................................................ SECRETARY MMCF	0.40 .......................	X	X				0	0	0
(47) BRIDGET LAMONT........................................................................ CHAIR MMCF	0.50 .......................	X	X				0	0	0
(48) ROB PIETROBURGO........................................................................ VICE CHAIR MMCF	0.40 .......................	X	X				0	0	0
(49) MARK HANSEN MD........................................................................ BOARD MEMBER MPS	50.00 .......................	X					605,263	0	94,507
(50) MARSHALL HALE MD........................................................................ CHAIR MPS	50.00 .......................	X	X				518,467	0	93,522
(51) LINDA SMITH........................................................................ BOARD MEMBER TMH (FROM JAN 16)	0.70 .......................	X					0	0	0
(52) CARL NIEMANN........................................................................ BOARD MEMBER TMH	0.70 .......................	X					0	0	0
(53) PAVI GILL MD JD........................................................................ BOARD MEMBER TMH	0.70 .......................	X					0	0	0
(54) RONALD MIZER DDS........................................................................ BOARD MEMBER TMH	0.70 .......................	X					0	0	0
(55) LORETTA KAHLE........................................................................ BOARD MEMBER TMH (THRU DEC 15)	0.70 .......................	X					0	0	0
(56) MARGARET PEG FRY........................................................................ BOARD MEMBER TMH	0.70 .......................	X					0	0	0
(57) YASER FREIJ MD........................................................................ BOARD MEMBER TMH (THRU DEC 15)	0.70 .......................	X					0	0	0
(58) JOHN FERRY DDS........................................................................ BOARD MEMBER TMH	0.70 .......................	X					0	0	0
(59) JUDGE RONALD SPEARS........................................................................ BOARD MEMBER TMH (FROM JAN 16)	0.70 .......................	X					0	0	0
(60) RICHARD WILSON........................................................................ BOARD MEMBER TMH (FROM JAN 16)	0.70 .......................	X					0	0	0
(61) DANIEL AUSTIN........................................................................ CHAIR TMH (THRU DEC 15)	0.70 .......................	X	X				0	0	0
(62) GARY SPURLING........................................................................ VCTMH(THRUDEC15)/CHRTMH(FROMJAN16)	0.70 .......................	X	X				0	0	0
(63) JAMES ADCOCK........................................................................ SECTMH(THRUDEC15)/VCTMH(FROMJAN16)	0.70 .......................	X	X				0	0	0
(64) JOHN DANIEL LITTEKEN........................................................................ BOARD MEMBER TMH/SECTMH(FROM JAN 16)	0.70 .......................	X	X				0	0	0
(65) THOMAS FORD........................................................................ TREASURER TMH	0.70 .......................	X	X				0	0	0
(66) WILLIAM COPE........................................................................ BOARD MEMBER TMHF	0.70 .......................	X					0	0	0
(67) MEG KETTLEKAMP........................................................................ BOARD MEMBER TMHF (THRU DEC 15)	0.70 .......................	X					0	0	0
(68) ROGER HICKMAN........................................................................ BOARD MEMBER TMHF (THRU DEC 15)	0.70 .......................	X					0	0	0
(69) JUDY SWIGERT........................................................................ BOARD MEMBER TMHF	0.70 .......................	X					0	0	0
(70) SR ANGELA LAQUET ASC........................................................................ BOARD MEMBER TMHF	40.00 .......................	X					89,150	0	12,923
(71) KENT RICHARDSON........................................................................ BOARD MEMBER TMHF	0.70 .......................	X					0	0	0
(72) WILLIAM APPLETON........................................................................ BOARD MEMBER TMHF	0.70 .......................	X					0	0	0
(73) PENNY BLILER........................................................................ BOARD MEMBER TMHF	0.70 .......................	X					0	0	0
(74) RICHARD SHAW........................................................................ BOARD MEMBER TMHF	0.70 .......................	X					0	0	0
(75) GREGG FUERSTENAU EDD........................................................................ BOARD MEMBER TMHF	0.70 .......................	X					0	0	0
(76) MARY MCNEELY........................................................................ BOARD MEMBER TMHF	0.70 .......................	X					0	0	0
(77) JERRY GARDNER DDS........................................................................ BOARD MEMBER TMHF	0.70 .......................	X					0	0	0
(78) JOYCE LANGEN........................................................................ BOARD MEMBER TMHF	0.70 .......................	X					0	0	0
(79) DENNIS KENNEDY........................................................................ BOARD MEMBER TMHF (THRU DEC 15)	0.70 .......................	X					0	0	0
(80) DAVID HIXENBAUGH........................................................................ BOARD MEMBER TMHF	0.70 .......................	X					0	0	0
(81) NANCY HANDEGAN........................................................................ BOARD MEMBER TMHF (FROM JAN 16)	0.70 .......................	X					0	0	0
(82) MELISSA LIVINGSTON........................................................................ BOARD MEMBER TMHF (FROM JAN 16)	0.70 .......................	X					0	0	0
(83) BILLY WILLIAMS........................................................................ BOARD MEMBER TMHF (FROM JAN 16)	0.70 .......................	X					0	0	0
(84) ERIC KAHLE........................................................................ CHRTMHF(THRUDEC15)/BRDMEMTMHF	0.70 .......................	X	X				0	0	0
(85) MICHELLE CAPELLIN........................................................................ VCTMHF(THRUDEC15)/PRESTMHF(FRMJAN16)	0.70 .......................	X	X				0	0	0
(86) MIKE BLAKEMAN........................................................................ BRDMEMTMHF(THRUDEC15)/TREAS	0.70 .......................	X	X				0	0	0
(87) GLORIA BRUMMER........................................................................ SECRETARY TMHF	0.70 .......................	X	X				0	0	0
(88) SCOTT MCCLURE........................................................................ TREASTMHF(THRUDEC15)/VPTMHF	0.70 .......................	X	X				0	0	0
(89) LEIGH STEINER........................................................................ BOARD MEMBER SRS	0.70 .......................	X					0	0	7,000
(90) JOHN MILHISER........................................................................ BOARD MEMBER SRS	0.70 .......................	X					0	0	0
(91) WANDA LEE ROHLFS........................................................................ BOARD MEMBER SRS	0.70 .......................	X					0	0	0
(92) BRENT BORAH........................................................................ BOARD MEMBER SRS	0.70 .......................	X					0	0	0
(93) JANICE GAMBACH........................................................................ PRESIDENT SRS	0.70 .......................49.30	X	X				0	200,998	22,078
(94) JENNIFER MORRISON........................................................................ VICE CHAIR SRS	0.70 .......................	X	X				0	0	0
(95) CATHERINE GONZALEZ JD........................................................................ TREASURER SRS	0.70 .......................	X	X				0	0	0
(96) MICHAEL O'SHEA........................................................................ CHAIR SRS	0.70 .......................	X	X				0	0	0
(97) SANDY ROBINSON II........................................................................ SECRETARY SRS	0.70 .......................	X	X				0	0	0
(98) JAMESON ROSZHART........................................................................ BRDMEM MHV/BRDMEM MHSVC	35.00 .......................15.00	X					0	190,494	38,810
(99) J TRAVIS DOWELL........................................................................ PRESIDENT MPS	50.00 .......................	X	X				0	339,058	69,463
(100) R SCOTT KIRIAKOS........................................................................ SVPCLININTMMC/BRDMEMMHV/CHAIR MHSVC	50.00 .......................	X	X				416,215	0	116,640
(101) DOLAN DALPOAS........................................................................ PRESIDENT ALMH/BRDMEM MHSVC	49.30 .......................0.70	X	X				0	404,920	53,419
(102) KIMBERLY BOURNE........................................................................ PRES TMH&TMHF/BRDMEMMHSVC	50.00 .......................	X	X				0	256,133	58,773
(103) DOUGLAS RAHN DBA........................................................................ MHSVCBRDMEM/PRES PAH&CRNA	50.00 .......................	X	X				0	665,844	174,949
(104) EDGAR CURTIS........................................................................ PRES&CEOMHS/PRESMMC/BRDMEMMPS	25.00 .......................25.00	X	X				0	1,638,194	298,081
(105) ROBERT KAY........................................................................ SVP/CFO SEC/TREAS MHSVC MHV MPS	25.00 .......................25.00	X	X				0	604,312	210,666
(106) KEVIN ENGLAND........................................................................ VP BUS DEVELOP/VC/PRES MHV/VC MHSVC	25.00 .......................25.00	X	X				0	335,068	156,732
(107) CHARLES CALLAHAN PHD........................................................................ EVPCOOMMC/CHRMHV/MPSBRDMEM/PRESMHSVC	25.00 .......................25.00	X	X				697,718	0	109,010
(108) BABU ELADASARI MD........................................................................ PPA PHYSICIAN, PAH BRDMEM	0.70 .......................50.00	X					6,625	312,155	44,396
(109) DOUGLAS AWE........................................................................ BRDMEM PAH	0.70 .......................	X					0	0	0
(110) KEITH BRADBURY........................................................................ BRDMEM PAH	0.70 .......................0.70	X					0	0	0
(111) BARBARA FARLEY PHD........................................................................ BRDMEM PAH (FROM OCT 15)	0.70 .......................	X					0	0	0
(112) ERIC GIEBELHAUSEN MD........................................................................ BRDMEM PAH	0.70 .......................	X					0	0	0
(113) DONALD HEADEN........................................................................ BRDMEM PAH	0.70 .......................0.70	X					0	0	0
(114) JAMES HINCHEN MD........................................................................ BRDMEM PAH	0.70 .......................	X					0	0	0
(115) GILBERT JOEHL........................................................................ BRDMEM PAH/BRDMEM PAHF	0.70 .......................0.70	X					0	0	0
(116) PHYLLIS LAPE PHD........................................................................ BRDMEM PAH	0.70 .......................	X					0	0	0
(117) STEVEN LILLPOP MD........................................................................ BRDMEM PAH	0.70 .......................50.00	X					616,876	0	114,350
(118) NANCY SPANGENBERG........................................................................ BRDMEM PAH	0.70 .......................	X					0	0	0
(119) KELLY STAAKE........................................................................ BRDMEM PAH	0.70 .......................	X					0	0	0
(120) GINNY FANNING........................................................................ BRDMEM PAH/VP OF NOMINATIONS PAHF	0.70 .......................0.70	X	X				0	0	0
(121) GREG LEPPER........................................................................ CHRCRNA/CHRPAH/BRDMEMPAHF	0.70 .......................1.40	X	X				0	0	0
(122) REGINALD BENTON........................................................................ VCHRCRNA/CHR-ELECTPAH(FROMJAN16)	0.70 .......................1.40	X	X				0	0	0
(123) GARY SCOTT........................................................................ SEC CRNA/SEC PAH/BRD MEM PAHF	0.70 .......................1.40	X	X				0	0	0
(124) THOMAS VEITH........................................................................ TREASURER CRNA/TREASURER PAH	0.70 .......................1.40	X	X				0	0	0
(125) MARY FERGURSON........................................................................ PRESIDENT PAHF	0.70 .......................	X	X				0	0	0
(126) LINDA DONOVAN........................................................................ VP OF STEWARDSHIP AND GIFTS PAHF	0.70 .......................	X	X				0	0	0
(127) CHESTER WYNN........................................................................ SECRETARY PAHF	0.70 .......................	X	X				0	0	0
(128) STEVE TURNER........................................................................ TREASURER PAHF	0.70 .......................	X	X				0	0	0
(129) FRANK CUMMINGS........................................................................ BRDMEM PAHF	0.70 .......................	X					0	0	0
(130) ALBAN HAXHINASTO........................................................................ BRDMEM PAHF	0.70 .......................	X					0	0	0
(131) HOBART HINDERLITER........................................................................ BRDMEM PAHF (THRU FEB 16)	0.70 .......................	X					0	0	0
(132) KEITH R LAPE PHD........................................................................ BRDMEM PAHF	0.70 .......................	X					0	0	0
(133) LISA MUSCH........................................................................ BRDMEM PAHF	0.70 .......................	X					0	0	0
(134) RON TENDICK........................................................................ BRDMEM PAHF (THRU MAR 16)	0.70 .......................	X					0	0	0
(135) JAN TERRY........................................................................ BRDMEM PAHF (THRU DEC 15)	0.70 .......................	X					0	0	0
(136) CARRIE COLE........................................................................ BRDMEM PAHF (FROM JAN 16)	0.70 .......................	X					0	0	0
(137) DIANA OLINGER........................................................................ BRDMEM PAHF (FROM JAN 16)	0.70 .......................	X					0	0	0
(138) ANN PRATHER........................................................................ BRDMEM PAHF (FROM JAN 16)	0.70 .......................	X					0	0	0
(139) ELENA KEZELIS........................................................................ EXEC DIR MMCF	50.00 .......................			X			188,079	0	34,569
(140) MARSHA PRATER PHD........................................................................ SVP & CNO MMC	50.00 .......................			X			583,810	0	265,126
(141) LINDA JONES DNS........................................................................ VP OPERATIONS MMC	50.00 .......................			X			337,502	0	63,012
(142) HARRY SCHMIDT........................................................................ VP FACILITIES MANAGEMENT MMC	50.00 .......................			X			230,586	0	60,590
(143) ANNA EVANS JD........................................................................ GEN COUNSEL/VP INT AUDIT & COMPL MHS	25.00 .......................25.00			X			0	321,959	209,408
(144) RAJESH GOVINDAIAH MD........................................................................ SVP & CMO MHS	25.00 .......................25.00			X			0	583,666	79,924
(145) DAVID GRAHAM MD........................................................................ SVP & CIO MHS	25.00 .......................25.00			X			0	551,715	150,310
(146) MITCHELL JOHNSON........................................................................ SVP & CHIEF STRATEGY OFFICER MHS	25.00 .......................25.00			X			0	382,883	202,282
(147) ROBERT SCOTT........................................................................ VP & CHRO MHS	25.00 .......................25.00			X			0	327,000	57,611
(148) JENNIFER HARRIS........................................................................ ADMIN PERIOPERATIVE SERVICES	50.00 .......................			X			192,841	0	10,381
(149) MITCHELL ROGERS........................................................................ ADMIN CARDIOVASCULAR SERVICES	50.00 .......................			X			285,589	0	37,194
(150) FERDINAND SALVACION MD........................................................................ PHYSICIAN MMC	50.00 .......................				X		685,417	0	119,942
(151) JAMES GILDNER MD........................................................................ PHYSICIAN MPS	50.00 .......................				X		626,435	0	117,040
(152) CHRISTINA SCHEIBLER-VENTRESS MD........................................................................ PHYSICIAN MPS	50.00 .......................				X		596,425	0	92,590
(153) JAMES BOHAN MD........................................................................ PHYSICIAN MPS	50.00 .......................				X		579,891	0	92,758
(154) DAVID SANDERCOCK MD........................................................................ PHYSICIAN MPS	50.00 .......................				X		567,322	0	95,704
(155) DANIEL RAAB........................................................................ PRES TMH&TMHF/BRDMEMMHSVC(THRUDEC14)	50.00 .......................					X	0	262,260	46,244
(156) DREW EARLY........................................................................ ADMIN ED/CARDIO (THRU JUNE 14) MMC	50.00 .......................					X	219,771	0	38,292
(157) CHARLES SHEAFF MD........................................................................ PHYSICIAN AND MEDICAL DIRECTOR	0.70 .......................50.00					X	286,300	72,623	49,518

(A) Name and business address	(B) Description of services	(C) Compensation
HAROLD O'SHEA BUILDERS INC 3401 CONSTITUTION DR SPRINGFIELD,IL62711	CONSTRUCTION	57,746,190
SIU SCHOOL OF MEDICINE PO BOX 19607 SPRINGFIELD,IL627949607	PHYSICIAN SERVICES	28,862,966
SPRINGFIELD CLINIC PO BOX 19260 SPRINGFIELD,IL627049260	PHYSICIAN SERVICES	10,191,922
MID-AMERICA EMERGENCY PHYSICIANS INC KERBER ECKBRAECKEL LLP SPRINGFIELD,IL62701	ER STAFFING	8,080,570
CERNER CORPORATION PO BOX 959156 ST LOUIS,MO631959156	HEALTH INFORMATION TECHNOLOGY	6,427,556
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 138

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
SCHEDULE A, PART I	MEMBERS OF THE GROUP REASON FOR PUBLIC CHARITY STATUS BELOW: ABRAHAM LINCOLN MEMORIAL HOSPITAL PART I LINE 3 HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B) (1) (A) (III). MEMORIAL MEDICAL CENTER PART I LINE 3 HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B) (1) (A) (III). PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION PART I LINE 3 HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B) (1) (A) (III). TAYLORVILLE MEMORIAL HOSPITAL PART I LINE 3 HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B) (1) (A) (III). MEMORIAL MEDICAL CENTER FOUNDATION PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). MEMORIAL HOME SERVICES PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). SPRINGFIELD RESIDENTIAL SERVICES PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). MEMORIAL HEALTH VENTURES PART I LINE 9 AN ORGANIZATION THAT THE SUPPORT CRITERIA OF 509 (A)(2) AS SUPPORTED BY PART III OF SCHEDULE A. MEMORIAL PHYSICIAN SERVICES PART I LINE 9 AN ORGANIZATION THAT THE SUPPORT CRITERIA OF 509 (A)(2) AS SUPPORTED BY PART III OF SCHEDULE A. TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). JACKSONVILLE CRNA'S PART I LINE 9 AN ORGANIZATION THAT THE SUPPORT CRITERIA OF 509 (A)(2) AS SUPPORTED BY PART III OF SCHEDULE A. PASSAVANT AREA HOSPITAL FOUNDATION PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). THE SOFTWARE USED TO PREPARE THE MHS GROUP RETURN DOES NOT ALLOW FOR MULTIPLE PUBLIC CHARITY STATUS. ACCORDINGLY, THE ABOVE ORGANIZATIONS HAVE SEPARATELY DOCUMENTED THEIR PUBLIC SUPPORT PERCENTAGES AGGREGATED AS FOLLOWS: SCHEDULE A PART II LINE 14-PUBLIC SUPPORT PERCENTAGES FOR 2015: SRS 95.2%; MHSVC 45.2%; MMCF 66.5%; TMHF 75.8%; PAHF 98.9% LINE 15-PUBLIC SUPPORT PERCENTAGES FOR 2014: SRS 93.8%; MHSVC 41.6%; MMCF 68.4%; TMHF 78.1%; PAHF NA
SCHEDULE A, PART III	LINE 15-PUBLIC SUPPORT PERCENTAGE FOR 2015: MPS 99.4%;MHV 99.6%; CRNA 100.0% LINE 16-PUBLIC SUPPORT PERCENTAGE FOR 2014: MPS 99.5%;MHV 99.5%; CRNA NA LINE 17-PUBLIC SUPPORT PERCENTAGE FOR 2015: MPS .57%;MHV .39%; CRNA 0.00% LINE 18-PUBLIC SUPPORT PERCENTAGE FOR 2014: MPS .49%;MHV .47%; CRNA NA

Return Reference

Explanation

SCHEDULE A, PART I

MEMBERS OF THE GROUP REASON FOR PUBLIC CHARITY STATUS BELOW: ABRAHAM LINCOLN MEMORIAL HOSPITAL PART I LINE 3 HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B) (1) (A) (III). MEMORIAL MEDICAL CENTER PART I LINE 3 HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B) (1) (A) (III). PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION PART I LINE 3 HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B) (1) (A) (III). TAYLORVILLE MEMORIAL HOSPITAL PART I LINE 3 HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B) (1) (A) (III). MEMORIAL MEDICAL CENTER FOUNDATION PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). MEMORIAL HOME SERVICES PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). SPRINGFIELD RESIDENTIAL SERVICES PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). MEMORIAL HEALTH VENTURES PART I LINE 9 AN ORGANIZATION THAT THE SUPPORT CRITERIA OF 509 (A)(2) AS SUPPORTED BY PART III OF SCHEDULE A. MEMORIAL PHYSICIAN SERVICES PART I LINE 9 AN ORGANIZATION THAT THE SUPPORT CRITERIA OF 509 (A)(2) AS SUPPORTED BY PART III OF SCHEDULE A. TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). JACKSONVILLE CRNA'S PART I LINE 9 AN ORGANIZATION THAT THE SUPPORT CRITERIA OF 509 (A)(2) AS SUPPORTED BY PART III OF SCHEDULE A. PASSAVANT AREA HOSPITAL FOUNDATION PART I LINE 7 IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). THE SOFTWARE USED TO PREPARE THE MHS GROUP RETURN DOES NOT ALLOW FOR MULTIPLE PUBLIC CHARITY STATUS. ACCORDINGLY, THE ABOVE ORGANIZATIONS HAVE SEPARATELY DOCUMENTED THEIR PUBLIC SUPPORT PERCENTAGES AGGREGATED AS FOLLOWS: SCHEDULE A PART II LINE 14-PUBLIC SUPPORT PERCENTAGES FOR 2015: SRS 95.2%; MHSVC 45.2%; MMCF 66.5%; TMHF 75.8%; PAHF 98.9% LINE 15-PUBLIC SUPPORT PERCENTAGES FOR 2014: SRS 93.8%; MHSVC 41.6%; MMCF 68.4%; TMHF 78.1%; PAHF NA

SCHEDULE A, PART III

LINE 15-PUBLIC SUPPORT PERCENTAGE FOR 2015: MPS 99.4%;MHV 99.6%; CRNA 100.0% LINE 16-PUBLIC SUPPORT PERCENTAGE FOR 2014: MPS 99.5%;MHV 99.5%; CRNA NA LINE 17-PUBLIC SUPPORT PERCENTAGE FOR 2015: MPS .57%;MHV .39%; CRNA 0.00% LINE 18-PUBLIC SUPPORT PERCENTAGE FOR 2014: MPS .49%;MHV .47%; CRNA NA

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization MEMORIAL HEALTH SYSTEM GROUP

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization MEMORIAL HEALTH SYSTEM GROUP			Employer identification number 90-0756744
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose 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

(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

(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

(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) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ..............................................................................................................	Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(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) 2015

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

125,418

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

125,418

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	MEMORIAL HEALTH SYSTEM ENGAGES LOBBYISTS TO ASSIST IT IN SECURING FEDERAL GRANTS AND MONITORING STATE REGULATIONS IN SUPPORT OF FURTHERING MEMORIAL HEALTH SYSTEM'S MISSION, WHICH IS "TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE". THIS INCLUDES ASSISTING MEMORIAL HEALTH SYSTEM IN DEVELOPING PRESENTATIONS TO THE ILLINOIS CONGRESSIONAL DELEGATION REQUESTING APPROPRIATIONS FOR PRIORITY PROJECTS INVOLVING LOCAL PATIENT SAFETY, QUALITY IMPROVEMENT AND IMPROVED LOCAL ACCESS TO MEDICAL CARE. THE LOBBYISTS ALSO ASSIST MEMORIAL IN COMMUNICATING THE IMPORTANCE OF ADEQUATE MEDICAID FUNDING IN SUPPORT OF THE SUBSTANTIAL SERVICES MEMORIAL'S AFFILIATES PROVIDE TO THOSE IN POVERTY AND IN MONITORING LEGISLATIVE AND REGULATORY DEVELOPMENTS THAT WOULD AFFECT MEMORIAL 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: $46,033 PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION: $29,386 ABRAHAM LINCOLN MEMORIAL HOSPITAL: $19,350 MEMORIAL PHYSICIAN SERVICES: $ 2,757 MEMORIAL HOME SERVICES: $ 4,325 TAYLORVILLE MEMORIAL HOSPITAL: $23,567

Return Reference

Explanation

PART II-B, LINE 1:

MEMORIAL HEALTH SYSTEM ENGAGES LOBBYISTS TO ASSIST IT IN SECURING FEDERAL GRANTS AND MONITORING STATE REGULATIONS IN SUPPORT OF FURTHERING MEMORIAL HEALTH SYSTEM'S MISSION, WHICH IS "TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE". THIS INCLUDES ASSISTING MEMORIAL HEALTH SYSTEM IN DEVELOPING PRESENTATIONS TO THE ILLINOIS CONGRESSIONAL DELEGATION REQUESTING APPROPRIATIONS FOR PRIORITY PROJECTS INVOLVING LOCAL PATIENT SAFETY, QUALITY IMPROVEMENT AND IMPROVED LOCAL ACCESS TO MEDICAL CARE. THE LOBBYISTS ALSO ASSIST MEMORIAL IN COMMUNICATING THE IMPORTANCE OF ADEQUATE MEDICAID FUNDING IN SUPPORT OF THE SUBSTANTIAL SERVICES MEMORIAL'S AFFILIATES PROVIDE TO THOSE IN POVERTY AND IN MONITORING LEGISLATIVE AND REGULATORY DEVELOPMENTS THAT WOULD AFFECT MEMORIAL 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: $46,033 PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION: $29,386 ABRAHAM LINCOLN MEMORIAL HOSPITAL: $19,350 MEMORIAL PHYSICIAN SERVICES: $ 2,757 MEMORIAL HOME SERVICES: $ 4,325 TAYLORVILLE MEMORIAL HOSPITAL: $23,567

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

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? ...........

Yes No

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? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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" on Form 990, Part IV, line 8.

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.

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)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	12,661,077	12,566,252	11,521,169	10,981,342	10,073,124
b	Contributions ...	14,970	1,107,070	501,283	264,661	22,786
c	Net investment earnings, gains, and losses	677,746	-470,568	1,052,498	723,768	1,148,366
d	Grants or scholarships ...	904,938	189,207	123,660		31,300
e	Other expenditures for facilities and programs ...	280,079	263,145	304,976	374,978	170,435
f	Administrative expenses ....	92,169	89,325	80,062	73,624	61,199
g	End of year balance ......	12,076,607	12,661,077	12,566,252	11,521,169	10,981,342

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

9.900 %

Permanent endowment SchDMd Bullet

70.400 %

Temporarily restricted endowment SchDMd Bullet

19.700 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

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' on 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 ...	5,122,052	7,870,624		12,992,676
b	Buildings	3,025,061	449,548,868	196,967,180	255,606,749
c	Leasehold improvements		11,490,604	5,426,041	6,064,563
d	Equipment ...	4,978	258,745,249	179,192,698	79,557,529
e	Other ...		71,605,598	19,179,206	52,426,392
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					406,647,909

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) UNAMORTIZED BOND DISCOUNTS AND ISSUE COSTS				1,462,908
(2) DUE FROM AFFILIATES				809,698
(3) BENEFICIAL INTEREST IN TRUSTS				55,138,608
(4) INSURANCE RECOVERIES				3,603,750
(5) NET EDUCATIONAL GRANTS/TUITION REIMBURSEMENT RECEIVABLE				55,351
(6) AR CLEARING				198,596
(7) CHARITABLE REMAINDER TRUST				756,153
(8) CASH SURRENDER VALUE OF LIFE INSURANCE				144,822
(9) REAL ESTATE INVESTMENT				2,301,973
(10) LONG TERM ASSET				157,400
(11) LONG TERM PLEDGE RECEIVABLE				2,233,226
(12) PHYSICIAN LOANS				189,567
(13) FARM LAND				16,045,636
(14) INTEREST IN NET ASSETS OF PAHF				4,165,584
(15) ACCRUED INTEREST				289,447
(16) MEANINGFUL USE RECEIVABLE				431,724
(17) MALPRACTICE RECEIVABLE				3,506,200
(18) WORKERS COMP RECEIVABLE				396,419
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				91,887,062

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
DEFERRED COMPENSATION	3,512,305
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS	40,603,024
MINIMUM PENSION LIABILITY	22,547,117
RESERVE FOR POST EMPLOYMENT BENEFITS	13,131,015
SWAP LIABILITY	4,251,598
WORKERS' COMPENSATION AND PROFESSIONAL LIABILITY	35,587,723
ENVIRONMENTAL HAZARDS LIABILITY	2,088,980
DUE TO AFFILIATES	1,029,787
CHARITABLE GIFT ANNUITY PAYABLE	208,326
TENANT SECURITY DEPOSITS	3,877
OTHER PAYABLES	207,076
SELF INSURANCE ACCRUAL	1,122,601
SERP/RESTORATION PENSION PLAN	2,123,559
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	126,416,988
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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:

PASSAVANT MEMORIAL AREA HOSPTIAL ASSOCIATION'S ENDOWMENT CONSISTS OF 10 DONOR-RESTRICTED FUNDS WITH INCOME TO BE USED FOR CAPITAL PURCHASES, OPERATIONS, SCHOLARSHIPS, AND INDIGENT CARE. MEMORIAL HOME SERVICES PERMANENTLY RESTRICTED ENDOWMENT FUND WITH INCOME TO BE USED FOR OPERATING EXPENSES. MEMORIAL MEDICAL CENTER'S FOUNDATION 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'S NET INCOME REALIZED FROM THE FUND SHALL BE DISTRIBUTED AT LEAST ANNUALLY TO, FOR OR ON BEHALF OF ONE OR MORE GRADUATES FROM HIGH SCHOOLS IN CHRISTIAN COUNTY, ILLINOIS, WHO ARE ENROLLED IN ADVANCED STUDY AND EXHIBIT A DESIRE TO PURSUE A COURSE LEADING TO A DEGREE THAT WOULD BENEFIT TAYLORVILLE MEMORIAL HOSPITAL. PASSAVANT AREA HOSPITAL FOUNDATION (PAHF) HAS TWO PERMANENTLY RESTRICTED ENDOWMENT FUNDS WITH INCOME TO BE USED AS THE GOVERNING BODY DEEMS FIT. PAHF HAS ONE TEMPORARILY RESTRICTED ENDOWMENT FUND THAT'S INCOME IS TO BE USED FOR A SPECIFIC PURPOSE.

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, 2016 OR 2015. MEMORIAL PROPERTIES (MP), MEMORIAL HEALTH PARTNERS (MHP), AND MHS QALICB, LLC (QALICB) ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES AND ARE EXEMPT FROM INCOME TAX. MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS (MHSCI) IS A TAXABLE FOR-PROFIT CORPORATION AND PASSAVANT PHYSICIAN ASSOCATION (PPA) IS A TAXABLE NOT-FOR-PROFIT CORPORATION. BOTH ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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" on 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 arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

YesNo

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)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

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 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on 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 5 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	573,870	61,556	43,509	678,935
2	Less: Contributions . . . .	186,760	49,936	20,547	257,243
3	Gross income (line 1 minus line 2) . . . . . .	387,110	11,620	22,962	421,692

4	Cash prizes . . . . .
5	Noncash prizes . . . .	62,195		15,490	77,685
6	Rent/facility costs . . . .	12,785	5,872	1,802	20,459
7	Food and beverages . . .	60,171	8,466	2,666	71,303
8	Entertainment . . . .	700	14,622	200	15,522
9	Other direct expenses . . .	105,912	4,589	20,079	130,580
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				315,549
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				106,143

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .			23,593	23,593

2	Cash prizes . . . . .			1,986	1,986
3	Noncash prizes . . . .			643	643
4	Rent/facility costs . . . .
5	Other direct expenses . . .	105,912	4,589	20,079	130,580

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes100.000 %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

6,388

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

17,205

Enter the state(s) in which the organization conducts gaming activities: IL

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

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? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

0 %

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

100.000 %

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

JAN FELLHAUER

Address

1600 W WALNUT
JACKSONVILLE,IL62650

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

JAN FELLHAUER

Gaming manager compensation right arrow

$ 103,226

Description of services provided right arrow

MANAING DUCK RACE EVENT

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other 30000.0000000000 %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 30100.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

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	2,461	7,724,188		7,724,188	0.810 %
b	Medicaid (from Worksheet 3, column a) . . . . .	1	105,374	157,158,866	113,474,680	43,684,186	4.590 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	5	107,835	164,883,054	113,474,680	51,408,374	5.400 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	53	14,191	1,681,392	440	1,680,952	0.180 %
f	Health professions education (from Worksheet 5) . . .	29	2,578	11,861,932	3,524,350	8,337,582	0.880 %
g	Subsidized health services (from Worksheet 6) . . . .	3	98	19,361,096		19,361,096	2.030 %
h	Research (from Worksheet 7) .	7		436,280		436,280	0.050 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	53	14,373	42,424,068		42,424,068	4.450 %
j	Total. Other Benefits . .	145	31,240	75,764,768	3,524,790	72,239,978	7.590 %
k	Total. Add lines 7d and 7j .	150	139,075	240,647,822	116,999,470	123,648,352	12.990 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	2		4,126	4,126	0 %
2	Economic development	6		57,167	57,167	0.010 %
3	Community support	20	150	50,703	50,703	0.010 %
4	Environmental improvements
5	Leadership development and training for community members	10		10,102	10,102	0 %
6	Coalition building	5	433	7,263	7,263	0 %
7	Community health improvement advocacy	6		11,139	11,139	0 %
8	Workforce development	7	742	120,965	120,965	0.010 %
9	Other	1		471	471	0 %
10	Total	57	1,325	261,936	261,936	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

15,871,414

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

218,420,134

Enter Medicare allowable costs of care relating to payments on line 5.....

246,522,849

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-28,102,715

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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) 2015

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?4 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
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
4	PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION 1600 W WALNUT ST JACKSONVILLE,IL62650 HTTPS://WWW.PASSAVANTHOSPITAL.COM/ 0001792	X	X				X

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	MEMORIAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000% and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.MEMORIALMEDICAL.COM/FINANCIAL-ASSISTANCE-BILLING

The FAP application form was widely available on a website (list url):

WWW.MEMORIALMEDICAL.COM/FINANCIAL-ASSISTANCE-BILLING

A plain language summary of the FAP was widely available on a website (list url):
WWW.MEMORIALMEDICAL.COM/FINANCIAL-ASSISTANCE-BILLING

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	MEMORIAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ABRAHAM LINCOLN MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000% and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.ALMH.ORG/FINANCIAL-ASSISTANCE-BILLING

The FAP application form was widely available on a website (list url):

WWW.ALMH.ORG/FINANCIAL-ASSISTANCE-BILLING

A plain language summary of the FAP was widely available on a website (list url):
WWW.ALMH.ORG/FINANCIAL-ASSISTANCE-BILLING

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	ABRAHAM LINCOLN MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	TAYLORVILLE MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000% and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.TAYLORVILLEMEMORIAL.ORG

The FAP application form was widely available on a website (list url):

WWW.TAYLORVILLEMEMORIAL.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.TAYLORVILLEMEMORIAL.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	TAYLORVILLE MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

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)

	PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIA
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIA
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000% and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.PASSAVANTHOSPITAL.COM

The FAP application form was widely available on a website (list url):

WWW.PASSAVANTHOSPITAL.COM

A plain language summary of the FAP was widely available on a website (list url):
WWW.PASSAVANTHOSPITAL.COM

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIA
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 5: MEMORIAL MEDICAL CENTER CONDUCTED A JOINT COMMUNITY HEALTH NEED ASSESSMENT (CHNA) OF SANGAMON COUNTY IN TY2014/FY2015 WITH HSHS ST. JOHN'S HOSPITAL AND THE SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH. A COMMUNITY ADVISORY COMMITTEE WAS CONVENED TO ASSIST IN REVIEWING AND RANKING SECONDARY DATA ON COMMUNITY HEALTH ISSUES AND TO HELP IDENTIFY COMMUNITY ASSETS AND GAPS. THIS GROUP MET THREE TIMES BETWEEN SEPTEMBER AND NOVEMBER 2014. THE FOLLOWING ORGANIZATIONS PARTICIPATED: CENTRAL COUNTIES HEALTH CENTERS AND SIU SCHOOL OF MEDICINE CENTER FOR FAMILY MEDICINE (BOTH FEDERALLY QUALIFIED HEALTH CLINICS IN SANGAMON COUNTY); MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS (SERVING RESIDENTS WITH MENTAL HEALTH NEEDS, PARTICULARLY LOW-INCOME, VULNERABLE AND HOMELESS INDIVIDUALS); EASTSIDE MINISTERIAL ALLIANCE (REPRESENTED BY SERVING JESUS WILLINGLY URBAN MINISTRY, WHICH SERVES LOW-INCOME AND MINORITY RESIDENTS); SPRINGFIELD SCHOOL DISTRICT 186 (HAS 15,000 STUDENTS, INCLUDING THOSE LIVING IN THE MOST AT-RISK NEIGHBORHOODS IN THE COUNTY); SPRINGFIELD URBAN LEAGUE (SERVING 9,000 MINORITY AND LOW-INCOME INDIVIDUALS); UNITED WAY OF CENTRAL ILLINOIS (SERVING ALL RESIDENTS, WITH A FOCUS ON LOW-INCOME AND VULNERABLE POPULATIONS); SANGAMON COUNTY FARM BUREAU (SERVING THOSE LIVING IN RURAL AREAS); THE UNIVERSITY OF ILLINOIS AT SPRINGFIELD'S SURVEY RESEARCH OFFICE; SANGAMON COUNTY MEDICAL SOCIETY; AND ILLINOIS DEPARTMENT OF PUBLIC HEALTH, DIVISION OF HEALTH POLICY. THE COMMUNITY ADVISORY COMMITTEE NARROWED A LIST OF 12 PRIORITY HEALTH ISSUES TO NINE TOPICS, WHICH WERE THEN PRESENTED TO THE COMMUNITY AT LARGE THROUGH FIVE COMMUNITY FORUMS AND A COMMUNITY-WIDE SURVEY IN OCTOBER 2014. THREE FORUMS WERE HELD IN SPRINGFIELD, INCLUDING TWO WITHIN ZIP CODES 62702 AND 62703, WHICH REPRESENT AREAS OF THE CITY WITH POOR HEALTH AND SOCIOECONOMIC INDICATORS AND LARGER MINORITY POPULATIONS. TWO FORUMS TARGETED RURAL AREAS OF THE COUNTY. CONGRUENT TO THE COMMUNITY FORUMS, AN ONLINE COMMUNITY SURVEY WAS CONDUCTED BY THE UIS SURVEY RESEARCH OFFICE FROM SEPT. 22-OCT. 20, 2014. HARD COPIES OF THE SURVEY WERE ALSO DISTRIBUTED TO ORGANIZATIONS PARTICIPATING ON THE COMMUNITY ADVISORY COMMITTEE, THROUGH THE HEALTH DEPARTMENT'S WOMEN, INFANT, CHILDREN (WIC) PROGRAM, AND OTHER COMMUNITY ORGANIZATIONS. HARD COPIES WERE ALSO DISTRIBUTED AT THE FIVE COMMUNITY FORUMS. UIS ANALYZED 781 COMPLETED SURVEYS, WHICH RANKED THE NINE PRIORITIES SELECTED BY THE COMMUNITY ADVISORY COMMITTEE. FOLLOWING THE SURVEY, THE PRIORITY OF ACCESS TO CARE WAS SELECTED BY BOTH MEMORIAL AND ST. JOHN'S HOSPITAL, AND WE RESEARCHED A WAY TO COLLABORATIVELY ADDRESS THE ISSUE. FOCUSING ON A TARGETED AT-RISK NEIGHBORHOOD WITHIN ZIP CODE 62702, WE GAINED ADDITIONAL COMMUNITY INPUT BY WORKING WITH THE UIS SURVEY RESEARCH PROGRAM TO CONDUCT FOUR FOCUS GROUPS WITHIN THE ENOS PARK NEIGHBORHOOD TO IDENTIFY SPECIFIC ISSUES AFFECTING ACCESS TO CARE. THE FOCUS GROUPS TARGETED SENIORS, YOUNG ADULTS, SINGLE MOTHERS AND LOCAL SOCIAL SERVICE PROVIDERS. A COMPLETE DESCRIPTION OF THE PROCESS IS PROVIDED IN MMC'S CHNA REPORT AT WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES.
ABRAHAM LINCOLN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: ABRAHAM LINCOLN MEMORIAL HOSPITAL COLLABORATED WITH THE LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH. THE CHNA CONVENED AN INTERNAL ADVISORY COMMITTEE CONSISTING OF LEADERSHIP FROM THE HOSPITAL, LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, MEMORIAL PHYSICIAN SERVICES AND ABRAHAM LINCOLN HEALTHCARE FOUNDATION. THIS GROUP REVIEWED SECONDARY HEALTH AND SOCIOECONOMIC DATA INDICATORS FOR THE COUNTY. AN EXTERNAL ADVISORY COMMITTEE, CONSISTING OF ORGANIZATIONS PARTICIPATING IN LOGAN COUNTY'S HEALTHY COMMUNITIES PARTNERSHIP, OFFERED INPUT INTO IDENTIFIED NEEDS. HEALTHY COMMUNITIES PARTNERSHIP (HCP) IS A COMMUNITY HEALTH COALITION THAT WAS ESTABLISHED IN 1996. MORE THAN 30 ORGANIZATIONS, CHURCHES, PRIVATE INDIVIDUALS, AND BUSINESSES ARE REPRESENTED IN THE PARTNERSHIP. MEMBERS INCLUDE LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH, LINCOLN PARK DISTRICT, DEPARTMENT OF HUMAN SERVICES, LOGAN COUNTY HOUSING AUTHORITY, PARISH NURSES, LOGAN COUNTY EMERGENCY MANAGEMENT ASSOCIATION, COMMUNITY ACTION, AND THE UNIVERSITY OF ILLINOIS EXTENSION OFFICE. ADDITIONALLY, HEALTHCARE PROVIDERS INCLUDING MEMORIAL PHYSICIAN SERVICES, SPRINGFIELD CLINIC, MEMORIAL BEHAVIORAL HEALTH, SAFE HAVEN HOSPICE, CHESTNUT HEALTH SYSTEM, AND ILLINOIS INSTITUTE FOR ADDICTION AND RECOVERY ARE PART OF THE HEALTHY COMMUNITIES PARTNERSHIP. THE EXTERNAL ADVISORY COMMITTEE NARROWED 26 NEEDS TO 10 TOP ISSUES, THEN RANKED THOSE ISSUES TO IDENTIFY TOP PRIORITIES. THESE PRIORITIES WERE THEN ADDRESSED BY AN INTERNAL ADVISORY COMMITTEE, WHICH RANKED AND SELECTED THE FINAL ISSUES. A COMPLETE DESCRIPTION OF THE RANKING PROCESS IS PROVIDED IN THE WRITTEN CHNA REPORT AT WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES.
TAYLORVILLE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: TAYLORVILLE MEMORIAL HOSPITAL'S COMMUNITY HEALTH NEED ASSESSMENT WAS CARRIED OUT IN CONJUNCTION WITH CHRISTIAN COUNTY HEALTH DEPARTMENT'S ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS (IPLAN). IPLAN IS REQUIRED OF PUBLIC HEALTH DEPARTMENTS BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH. DURING THE 2015 COMMUNITY HEALTH NEED ASSESSMENT PROCESS, THE HOSPITAL AND HEALTH DEPARTMENT CREATED AN EXTERNAL ADVISORY TEAM TO PROVIDE INPUT ON PRIORITY HEALTH NEEDS. THIS GROUP CONSISTED OF UNITED WAY OF CHRISTIAN COUNTY, SENIOR CITIZENS OF CHRISTIAN COUNTY, CHRISTIAN COUNTY YMCA, TAYLORVILLE MINISTERIAL ASSOCIATION, TAYLORVILLE SCHOOL DISTRICT, AND CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION. THIS GROUP PROVIDED INPUT ON A LIST OF 22 IDENTIFIED PRIORITIES AND RANKED THE LIST, NARROWING IT TO EIGHT TOP ISSUES. THE COMMITTEE ALSO PROVIDED INFORMATION ON ASSETS AND GAPS IN THE COMMUNITY IN EACH OF THE IDENTIFIED AREAS. A COMPLETE DESCRIPTION OF THE PROCESS IS PROVIDED IN THE WRITTEN CHNA REPORT AT WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES.
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 5: PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION (PAH) MET AND RECEIVED INPUT FROM MANY INDIVIDUALS/ORGANIZATIONS IN THE COMMUNITY WHO HAVE KNOWLEDGE AND EXPERTISE IN THE AREAS OF ITS IDENTIFIED NEEDS. PAH COLLABORATED WITH PUBLIC HEALTH, PROBATION, LAW ENFORCEMENT, SUBSTANCE ABUSE COUNSELORS, COLLEGE HEALTH OFFICIALS, HIGH SCHOOL ADMINISTRATORS, AND NURSES, TEENS, AND ITS OWN HOSPITAL PERSONNEL. A COMPLETE DESCRIPTION OF THE RANKING PROCESS IS PROVIDED IN THE WRITTEN CHNA REPORT AT WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES.
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 6A: MEMORIAL MEDICAL CENTER CONDUCTED THE 2015 SANGAMON COUNTY COMMUNITY HEALTH NEED ASSESSMENT IN COLLABORATION WITH HSHS ST. JOHN'S HOSPITAL, A 430- BED NONPROFIT HOSPITAL IN SANGAMON COUNTY.
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 6B: IN ADDITION TO MMC CONDUCTING THE NEED ASSESSMENT WITH HSHS ST. JOHN'S HOSPITAL, THE SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH RECEIVED PERMISSION FROM THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH) TO CONDUCT A PILOT PROJECT TO COMPLETE ITS ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS (IPLAN) IN A THREE-YEAR CYCLE TO ALIGN WITH THE HOSPITALS' CHNA REQUIREMENTS, RATHER THAN THE FIVE-YEAR IPLAN CYCLE REQUIRED BY IDPH. ASSISTING WITH THE CHNA PROCESS WAS SIU SCHOOL OF MEDICINE'S DEPARTMENT OF COMMUNITY HEALTH AND SERVICE AND THE UNIVERSITY OF ILLINOIS' SURVEY RESEARCH DEPARTMENT. MMC AND HSHS ST. JOHN'S HOSPITAL COLLABORATED ON A JOINT COMMUNITY INITIATIVE, BUT EACH HOSPITAL AS WELL AS THE HEALTH DEPARTMENT PRODUCED SEPARATE CHNA REPORTS AND IMPLEMENTATION STRATEGIES.
ABRAHAM LINCOLN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: ALMH CONDUCTED THE LOGAN COUNTY COMMUNITY HEALTH NEED ASSESSMENT IN COLLABORATION WITH THE LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH. THIS ASSISTED THE HEALTH DEPARTMENT IN COMPLETING ITS REQUIRED ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS (IPLAN), AS MANDATED EVERY FIVE YEARS BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH. THE HOSPITAL AND COUNTY HEALTH DEPARTMENT PRODUCED SEPARATE REPORTS AND IMPLEMENTATION STRATEGIES.
TAYLORVILLE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: THE CHRISTIAN COUNTY HEALTH DEPARTMENT CONDUCTED ITS ILLINOIS PLANNING FOR LOCAL ASSESSMENT OF NEED (IPLAN) WITH TMH'S COMMUNITY HEALTH NEED ASSESSMENT PROCESS. THIS ASSISTED THE HEALTH DEPARTMENT IN COMPLETING ITS REQUIRED IPLAN, AS MANDATED EVERY FIVE YEARS BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH. THE HOSPITAL AND COUNTY HEALTH DEPARTMENT PRODUCED SEPARATE REPORTS AND IMPLEMENTATION STRATEGIES.
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 6B: PAH COLLABORATED WITH 12 COMMUNITY ORGANIZATIONS. THEY WERE: MORGAN COUNTY HEALTH DEPARTMENT, ILLINOIS SCHOOL FOR THE DEAF, ILLINOIS SCHOOL FOR THE VISUALLY IMPAIRED, JACKSONVILLE SCHOOL DISTRICT #117, THE WELLS CENTER, PRAIRIELAND UNITED WAY, HEAD START, MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, MACMURRAY COLLEGE, ILLINOIS COLLEGE, LINCOLN LAND COMMUNITY COLLEGE, AND JACKSONVILLE AREA CENTER FOR INDEPENDENT LIVING.
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 11: MEMORIAL MEDICAL CENTER'S COMMUNITY SURVEY IN SANGAMON COUNTY RANKED NINE HEALTH PRIORITIES IDENTIFIED BY THE COMMUNITY ADVISORY COMMITTEE. IN ORDER THEY ARE: 1.MENTAL HEALTH2.CHILD ABUSE3.OVERWEIGHT/OBESITY4.ACCESS TO CARE5.HEART DISEASE 6.DIABETES7.DENTAL CARE 8.FOOD INSECURITY9.ASTHMA MEMORIAL PRESENTED THE NINE PRIORITIES FROM THE COMMUNITY SURVEY TO AN INTERNAL ADVISORY COMMITTEE. THIS GROUP USED THE DEFINED CRITERIA OF TRIPLE AIM IMPACT, MAGNITUDE OF THE ISSUE, SERIOUSNESS OF THE ISSUE, AND FEASIBILITY TO ADDRESS THE ISSUE GIVEN AVAILABLE RESOURCES. MMC SELECTED THREE FINAL PRIORITIES AFTER REVIEWING INPUT FROM THE COMMUNITY ADVISORY COMMITTEE, COMMUNITY FORUMS, THE COMMUNITY SURVEY, AND MEMORIAL'S INTERNAL ADVISORY TEAM. THESE PRIORITIES WILL BE ADDRESSED IN THE IMPLEMENTATION STRATEGY OVER THE NEXT THREE YEARS, FROM FY2016-FY2018. THE PRIORITIES ARE: ACCESS TO CARE, MENTAL HEALTH AND OBESITY. OUTCOMES FROM THE TY2015/FY2016 IMPLEMENTATION STRATEGY INCLUDE THE FOLLOWING. 1. ACCESS TO CARE: IN COLLABORATION WITH ST. JOHN'S HOSPITAL AND SIU CENTER FOR FAMILY MEDICINE FEDERALLY QUALIFIED HEALTH CENTER (FQHC), AN ACCESS PROGRAM WAS CREATED IN ENOS PARK, A VULNERABLE NEIGHBORHOOD IN ZIP CODE 62702. A NEW COMMUNITY HEALTH WORKER PROGRAM SERVED 111 CLIENTS IN THE FIRST YEAR, CONNECTING THEM TO 339 PRIMARY CARE APPOINTMENTS, 44 MENTAL HEALTH APPOINTMENTS AND 40 DENTAL TREATMENTS, AS WELL AS NUMEROUS OTHER HEALTH AND SOCIAL SERVICES. A TOTAL OF 455 NEIGHBORHOOD RESIDENTS WERE IMPACTED, INCLUDING 19 CHILDREN IN A BIKE CLUB AND 27 IN A SUMMER ENRICHMENT PROGRAM. COLLABORATION WITH THE MOSAIC CHILDREN'S MENTAL HEALTH PROJECT HAS PLACED A BEHAVIORAL HEALTH CONSULTANT WITHIN THE NEIGHBORHOOD ELEMENTARY SCHOOL. A STEERING COMMITTEE HAS BEEN CREATED, AS WELL AS AN ACTIVE COMMUNITY ADVISORY COMMITTEE MADE UP OF NEIGHBORHOOD RESIDENTS AND A PROVIDER ALLIANCE MADE UP OF LOCAL HEALTH AND SOCIAL SERVICE ORGANIZATIONS. ACCESS TO CARE WAS ALSO IMPROVED BY MMC PROVIDING FINANCIAL SUPPORT FOR A 30,315 SQUARE FOOT EXPANSION OF THE SIU CENTER FOR FAMILY MEDICINE FQHC, WHICH OPENED IN 2016. THE EXPANSION OF SPACE HAS ALLOWED THE FQHC TO HIRE ADDITIONAL PROVIDERS. MMC ALSO IMPROVED ACCESS TO CARE THROUGH FINANCIAL SUPPORT OF SIU SCHOOL OF MEDICINE AND SERVING AS A TEACHING HOSPITAL FOR THE EDUCATION OF NEW PHYSICIANS (NEARLY HALF SELECT PRIMARY CARE FOR THEIR RESIDENCIES). ACCESS TO NECESSARY MEDICATIONS WAS INCREASED BY SUPPORT OF KUMLER OUTREACH MINISTRIES' PHARMACEUTICAL ASSISTANCE PROGRAM FOR PEOPLE WHO CANNOT AFFORD TO PAY FOR PRESCRIPTION MEDICATIONS.2. MENTAL HEALTH: MMC IS PROVIDING SIGNIFICANT FINANCIAL SUPPORT TO THE CHILDREN'S MOSAIC PROJECT OF MEMORIAL BEHAVIORAL HEALTH (MBH) TO INCREASE THE NUMBER OF CHILD-SERVING SITES WITH THE CAPACITY TO CONDUCT SOCIAL/EMOTIONAL SCREENINGS AND IDENTIFY CHILDREN IN DISTRESS. MOSAIC PROVIDES MENTAL HEALTH SERVICES ON-SITE TO INCREASE ACCESS TO INTERVENTION IN SPRINGFIELD PUBLIC SCHOOLS, PHYSICIAN PRACTICES, AND IN THE COMMUNITY. MORE THAN 11,250 SCREENINGS WERE COMPLETED IN FY2016, AND 1,390 CHILDREN RECEIVED ON-SITE INTERVENTIONS. MMC IS ALSO COLLABORATING WITH MBH AND THE THREE OTHER MEMORIAL HEALTH SYSTEM HOSPITALS TO OFFER MENTAL HEALTH FIRST AID, AN EVIDENCE-BASED PROGRAM, TO LOCAL COMMUNITIES. MMC FUNDED THE COST TO BRING NATIONAL INSTRUCTORS TO CENTRAL ILLINOIS; A TOTAL OF 27 INDIVIDUALS WERE TRAINED AND CERTIFIED TO SERVE FOUR COUNTIES, AND 20 ALSO RECEIVED ADDITIONAL CERTIFICATION IN YOUTH MENTAL HEALTH FIRST AID. MMC HAD ALSO INTENDED TO EXPAND ITS INPATIENT PSYCHIATRIC BEDS, BUT THE PROJECT WAS PUT ON HOLD DUE TO CONSTRAINTS OF THE CAPITAL BUDGET, AND THE INITIATIVE WAS REMOVED FROM THE IMPLEMENTATION STRATEGY. 3. OBESITY: MMC EXPANDED ACCESS TO THE MEMORIAL WEIGHT LOSS AND WELLNESS CENTER BY IMPLEMENTING THE PROGRAM AT ABRAHAM LINCOLN MEMORIAL HOSPITAL (LOGAN COUNTY) AND PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION (MORGAN COUNTY). A FEASIBILITY STUDY WAS COMPLETED FOR TAYLORVILLE MEMORIAL HOSPITAL (CHRISTIAN COUNTY). THE WEIGHT LOSS AND WELLNESS CENTER IS BASED ON THE NATIONALLY RECOGNIZED, EVIDENCE-BASED MODEL OF GEISINGER HEALTH SYSTEM. IT INCLUDES A MEDICAL (NON-SURGICAL) WEIGHT LOSS PROGRAM; ACCREDITED BARIATRIC SURGERY PROGRAM; DIABETES SERVICES; OUTPATIENT NUTRITION SERVICES; AND FITNESS. IT PROVIDES PHYSICIANS A COMPREHENSIVE RESOURCE FOR THEIR PATIENTS TO OBTAIN INDIVIDUALIZED COUNSELING AND EDUCATION. THERE IS NO OTHER PROGRAM OFFERING THIS SPECIALIZED APPROACH IN CENTRAL ILLINOIS. ADDITIONALLY, IN 2016 THE MEMORIAL WEIGHT LOSS AND WELLNESS CENTER ADDED A PEDIATRIC AND FAMILY COMPONENT TO THE PROGRAM IN SANGAMON COUNTY, WHICH HAS BEEN REQUESTED BY PHYSICIANS AND COMMUNITY MEMBERS. MMC IS ALSO COLLABORATING WITH THE SPRINGFIELD YMCA TO ESTABLISH THE CENTER FOR DISEASE CONTROL'S DIABETES PREVENTION PROGRAM, WHICH FOCUSES ON HEALTHY EATING AND PHYSICAL ACTIVITY TO PREVENT PEOPLE WITH PRE-DIABETES FROM DEVELOPING THE DISEASE. MMC IS FINANCIALLY SUPPORTING THE YMCA'S WORK ON COMMUNITY HEALTH AND OBESITY INITIATIVES, SUPPORTS A COMMUNITY GARDEN AND EDUCATION PROGRAM AT A LOW-INCOME APARTMENT COMPLEX, AND SUPPORTS GIRLS ON THE RUN OF CENTRAL ILLINOIS. MEMORIAL MEDICAL CENTER DID NOT SELECT THE FOLLOWING ISSUES AS ITS FINAL PRIORITIES:1.CHILD ABUSE - CONSIDERING FEASIBILITY, THIS ISSUE IS NOT A CORE COMPETENCY FOR THE HOSPITAL TO ADDRESS. MEMORIAL WILL PARTICIPATE ON COMMUNITY INITIATIVES TO ADDRESS THIS ISSUE, BUT IS NOT POSITIONED TO LEAD SUCH AN INITIATIVE. 2.HEART/CARDIOVASCULAR DISEASE - MEMORIAL IS ALREADY VERY INVOLVED IN ADDRESSING CARDIOVASCULAR ISSUES, BOTH WITHIN ITS PATIENT POPULATION AND IN THE COMMUNITY AT LARGE. DATA SHOWS THAT CARDIOVASCULAR INDICATORS FOR SANGAMON COUNTY ARE GRADUALLY IMPROVING OVER TIME. MEMORIAL WILL CONTINUE TO ADDRESS CARDIOVASCULAR ISSUES, BUT IT WAS FELT THAT A FOCUS ON OBESITY MIGHT BE A WAY TO ADDRESS A SIGNIFICANT CONTRIBUTING FACTOR. 3.DIABETES IS A SIGNIFICANT ISSUE IN SANGAMON COUNTY AND IMPACTS MANY PEOPLE. WHILE MEMORIAL HAS ALREADY TAKEN MEASURES TO ADDRESS DIABETES, IT HAS ELECTED TO FOCUS EFFORTS MORE DIRECTLY ON OBESITY, WHICH IS A CONTRIBUTING FACTOR TO BOTH DIABETES AND CARDIOVASCULAR DISEASE. 4.DENTAL CARE DID NOT RANK HIGH IN FEASIBILITY FOR MEMORIAL, EITHER IN EXPERTISE OR RESOURCES. THE COMMUNITY DOES HAVE A FEDERALLY QUALIFIED HEALTH CENTER THAT OFFERS DENTAL SERVICES. 5.FOOD INSECURITY DID NOT RANK AS HIGH A PRIORITY FOR THE HOSPITAL TO ADDRESS AS THE OTHER ISSUES. IT WAS FELT THAT IT WOULD BE MORE FEASIBLE TO ADDRESS THIS THROUGH A BROADER COMMUNITY COLLABORATIVE.6.ASTHMA, ALTHOUGH AN IMPORTANT ISSUE, DID NOT RANK AS HIGH USING THE DEFINED CRITERIA AS DID THE OTHER SELECTED PRIORITIES. ADDITIONALLY, OTHER COMMUNITY ORGANIZATIONS (HSHS ST. JOHN'S HOSPITAL, THE COUNTY HEALTH DEPARTMENT AND SIU SCHOOL OF MEDICINE) ARE WORKING ON THIS ISSUE.
ABRAHAM LINCOLN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: FOR ABRAHAM LINCOLN MEMORIAL HOSPITAL, THE LOGAN COUNTY CHNA EXTERNAL ADVISORY COMMITTEE IDENTIFIED THE FOLLOWING AS TOP PRIORITY HEALTH NEEDS: 1.CHRONIC DISEASE MANAGEMENT (DIABETES/CARDIOVASCULAR DISEASE)2.OBESITY3.INCREASED DRUG USE IN TEENS4.PREGNANT WOMEN SMOKING5.ACCESS TO HEALTHCARE6.INCREASING CHILD ABUSE RATE7.MENTAL HEALTH8.DRUG ADDICTION/HEROIN USE9.BULLYING10.TEEN BIRTH RATEFOUR FINAL PRIORITIES WERE SELECTED BY ALMH. OUTCOMES FROM ITS TY2015/FY2016 IMPLEMENTATION STRATEGY INCLUDE THE FOLLOWING. 1.OBESITY - THE IMPLEMENTATION STRATEGY IDENTIFIES THE EXPANSION OF THE MEMORIAL WEIGHT LOSS AND WELLNESS CENTER, AN EVIDENCE-BASED PROGRAM, TO BE ADDED TO ALMH, INCREASING ACCESS TO THESE SERVICES TO PEOPLE IN LOGAN COUNTY. ADDITIONALLY, ALMH IS WORKING WITH LOGAN COUNTY SCHOOLS TO OFFER THE CENTER FOR DISEASE CONTROL'S CATCH PROGRAM TO ADDRESS CHILDHOOD OBESITY. ALMH IS ALSO CONDUCTING PUBLIC EDUCATION CAMPAIGNS IN THE COMMUNITY AND SCHOOLS USING THE 5-2-1-0 MESSAGE TO PROMOTE HEALTHY BEHAVIORS FOR CHILDREN AND FAMILIES. ALMH SUPPORTS THE GIRLS ON THE RUN PROGRAM WITH LOCAL SCHOOLS. THE HOSPITAL IS ALSO WORKING TO INCREASE ACCESS TO OUTDOOR TRAILS OR PHYSICAL ACTIVITY AND INCREASE THE NUMBER OF NEW MOTHERS WHO BREASTFEED THEIR CHILDREN. 2.CHRONIC DISEASE MANAGEMENT (CARDIOVASCULAR DISEASE/DIABETES) - THE HOSPITAL PROVIDES DIABETES EDUCATION THROUGH A MONTHLY DIABETES SUPPORT GROUP. THE GROUP IS HELD IN PARTNERSHIP WITH THE LOCAL SENIOR CENTER. THE HOSPITAL ALSO OFFERS AN ANNUAL WOMEN'S HEALTH EDUCATION EVENT THAT FOCUSES ON AWARENESS OF NUTRITION, PHYSICAL ACTIVITIES AND PREVENTATIVE BEHAVIORS. A VARIETY OF FREE SCREENINGS ARE OFFERED TO THE COMMUNITY THROUGHOUT THE YEAR INCLUDING WEEKLY BLOOD PRESSURE CLINICS, AND LIPID PROFILE AND BLOOD SUGAR TESTS AT THE ALMH MARKET, A PRODUCER-ONLY FARMERS MARKET. FREE SCREENINGS ARE PROVIDED ANNUALLY AT A COMMUNITY HEALTH EXPO THAT IS COORDINATED BY HEALTHY COMMUNITIES PARTNERSHIP IN COOPERATION WITH THE LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH AND LINCOLN PARK DISTRICT. THE SCREENINGS INCLUDE LIPID PROFILE, BLOOD SUGAR, PULSE OXIMETER AND BONE DENSITY SCREENINGS. FREE COLORECTAL CANCER SCREENING KITS ARE ALSO DISTRIBUTED TO THE PUBLIC IN PARTNERSHIP WITH THE REGIONAL CANCER PARTNERSHIP.3.ACCESS TO HEALTHCARE - ALMH PROVIDES PHARMACEUTICAL AND TRANSPORTATION ASSISTANCE FOR PATIENTS DISCHARGED FROM THE EMERGENCY DEPARTMENT OR INPATIENTS WHO CANNOT AFFORD TO FILL THEIR PRESCRIBED MEDICATIONS. THE HOSPITAL ALSO HELPS INCREASE ACCESS TO HEALTHCARE BY TRAINING THE NEXT GENERATION OF HEALTHCARE PROVIDERS THROUGH CLINICAL EDUCATION ROTATIONS FOR NURSING AND ALLIED HEALTH STUDENTS. THE HOSPITAL IS ALSO INCREASING ACCESS TO CONCUSSION EDUCATION AND CARE BY OFFERING FREE BASELINE NEUROLOGICAL TESTING TO ATHLETES AGES 10 AND OLDER, IN COLLABORATION WITH LOCAL SCHOOLS, SPORTS PROGRAMS AND COLLEGES. AN ANNUAL FREE NURSING CAMP IS HELD FOR LOCAL TEENAGERS TO PROMOTE INTEREST IN THE HEALTHCARE FIELD. 4.MENTAL HEALTH - ALMH HAS COLLABORATED WITH THE THREE OTHER MEMORIAL HEALTH SYSTEM HOSPITALS AND MEMORIAL BEHAVIORAL HEALTH TO OFFER MENTAL HEALTH FIRST AID TRAINING TO THE COMMUNITIES IT SERVES, IN PARTNERSHIP WITH OTHER COMMUNITY AGENCIES. TWO PROFESSIONALS IN LOGAN COUNTY HAVE SUCCESSFULLY COMPLETED CERTIFICATION TO PROVIDE THE TRAINING.THE FOLLOWING PRIORITIES WERE NOT SELECTED FOR THE FOLLOWING REASONS: -TEEN BIRTH RATE WAS ELIMINATED FROM FURTHER CONSIDERATION BECAUSE IT DOES NOT HAVE AS GREAT AN OVERALL IMPACT ON POPULATION HEALTH AS SOME OF THE OTHER NEEDS.-INCREASED DRUG USE AND INCREASING CHILD ABUSE RATES ARE GREAT CONCERNS FOR OUR COMMUNITIES, BUT AS A HOSPITAL, ALMH IS NOT BEST EQUIPPED TO MEET THAT NEED. HOWEVER, THE LOCAL HEALTH COALITION, HEALTHY COMMUNITIES PARTNERSHIP, WILL BE SUPPORTING EFFORTS OF ITS PARTNER ORGANIZATIONS TO ADDRESS THESE ISSUES. -THE HIGH RATE OF LOGAN COUNTY WOMEN WHO SMOKE DURING PREGNANCY IS ALARMING. THE ISSUE IS BEING ADDRESSED BY THE LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH. THE HOSPITAL WILL SUPPORT ITS EFFORTS THROUGH THE HEALTHY COMMUNITIES PARTNERSHIP.-BULLYING WAS NOT CHOSEN AS A PRIORITY AS THE PROGRAM IS BEING ADDRESSED IN LOCAL SCHOOLS.
TAYLORVILLE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: THE CHNA FOR CHRISTIAN COUNTY AND TAYLORVILLE MEMORIAL HOSPITAL IDENTIFIED EIGHT TOP PRIORITIES: ACCESS TO MENTAL HEALTH SERVICES, ACCESS TO PEDIATRIC DENTAL SERVICES, OBESITY, HEART DISEASE, LUNG CANCER, COLORECTAL CANCER, DIABETES, AND BREAST CANCER. THREE FINAL PRIORITIES WERE SELECTED BY TMH AND ARE ADDRESSED IN ITS TY2015/FY2016 IMPLEMENTATION STRATEGY. 1.OBESITY - THE IMPLEMENTATION STRATEGY IDENTIFIED CONDUCTING A FEASIBILITY STUDY TO SEE WHETHER THE MEMORIAL WEIGHT LOSS AND WELLNESS CENTER, AN EVIDENCE-BASED PROGRAM, SHOULD BE ADDED TO SERVICES OFFERED BY TMH TO INCREASE ACCESS TO THIS CARE FOR PEOPLE IN CHRISTIAN COUNTY. TMH HAS IDENTIFIED THE NEED FOR EDUCATION AND WILL IMPLEMENT IN 2017. TMH ALSO STARTED WORKING WITH THE LOCAL YMCA TO EXPLORE THE FEASIBILITY OF IMPLEMENTING THE CDC'S DIABETES PREVENTION PROGRAM. ADDITIONALLY, TMH SPONSORED A COMMUNITY-WIDE WEIGHT LOSS INCENTIVE CHALLENGE THAT HAD 450 PARTICIPANTS AND SPONSORED GIRLS ON THE RUN, WHICH EXPANDED IN CHRISTIAN COUNTY DURING 2016. 2.MENTAL HEALTH - TMH COLLABORATED WITH THE THREE OTHER MEMORIAL HEALTH SYSTEM HOSPITALS AND MEMORIAL BEHAVIORAL HEALTH TO OFFER ITS COMMUNITY ACCESS TO MENTAL HEALTH FIRST AID (MHFA). IN 2016, TWENTY-SEVEN PEOPLE BECAME CERTIFIED TRAINERS IN THIS NATIONAL PROGRAM, WITH FOUR OF THEM FROM CHRISTIAN COUNTY. THESE TRAINERS ARE NOW OFFERING FREE MHFA TRAINING BACK TO MEMBERS OF THE COMMUNITY. TMH ALSO STAFFS AND PROVIDES PROGRAM SUPPORT FOR SENIOR LIFE SOLUTIONS, IN COLLABORATION WITH CHRISTIAN COUNTY MENTAL HEALTH, WHICH SUPPORTS SENIORS IN DEALING WITH DEPRESSION AND ANXIETY. IN 2016 THERE WERE 87 PARTICIPANTS. PROGRAM OUTCOMES INCLUDED LOWER GENERALIZED ANXIETY FOR PARTICIPANTS AND NONE RETURNED TO THE EMERGENCY DEPARTMENT FOR MENTAL HEALTH ISSUES. 3.PEDIATRIC DENTAL CARE - TMH LED A COLLABORATIVE WORK GROUP OF LOCAL SCHOOLS, DENTISTS, AND PUBLIC HEALTH TO EXPLORE WAYS TO ADDRESS ACCESS TO PEDIATRIC DENTAL SERVICES. A PILOT PROJECT BEGAN IN THE 2016-17 SCHOOL YEAR THAT INCLUDES ACCESS TO DENTAL CARE AND TRANSPORTATION FROM SCHOOL FOR CHILDREN IDENTIFIED IN NEED OF SERVICES. OF NOTE IS THAT TMH MADE A CHANGE TO ITS PRIORITIES AND IMPLEMENTATION STRATEGY FOR FY2017. TMH BROADENED THE PRIORITY OF PEDIATRIC DENTAL CARE TO ACCESS TO CARE. DURING FY16, SEVERAL PHYSICIANS RETIRED OR RELOCATED THEIR PRACTICES FROM TAYLORVILLE, INCREASING LOCAL ISSUES OF ACCESS TO CARE. TMH DISCUSSED THE ISSUE WITH ITS CHNA COMMUNITY ADVISORY COMMITTEE, WHICH AGREED THAT ACCESS TO CARE SHOULD BE ADDED AS PRIORITY. THIS CHANGE HAS BEEN APPROVED BY THE HOSPITAL BOARD. THE GOALS FOR ACCESS TO PEDIATRIC DENTAL SERVICES WILL BE INCLUDED AS AN OBJECTIVE WITHIN THAT PRIORITY. AN ADDITIONAL FY2017 GOAL UNDER ACCESS TO CARE INCLUDES COLLABORATION WITH THE CHRISTIAN COUNTY COALITION TO DEVELOP AN ACTION PLAN TO ADDRESS TOBACCO, ALCOHOL AND OTHER DRUG USE BY YOUTH IN CHRISTIAN COUNTY. TAYLORVILLE MEMORIAL DID NOT SELECT THE FOLLOWING PRIORITIES FROM ITS 2015 CHNA FOR THE FOLLOWING REASONS. -HEART DISEASE AND DIABETES WERE ELIMINATED FROM FURTHER CONSIDERATION BECAUSE THE ADVISORY GROUP MEMBERS FELT THAT EFFORTS TO IMPROVE TREATMENT OF OBESITY WOULD ALSO IMPACT THE INCIDENCE AND MORBIDITY OF HEART DISEASE AND DIABETES. -LUNG CANCER WAS NOT CHOSEN BECAUSE, ALTHOUGH IT WAS RANKED AS A HIGH PRIORITY BY THE ADVISORY GROUP, IT WAS PERCEIVED BY THE ADVISORY GROUP THAT THERE WOULD BE LITTLE OPPORTUNITY TO MAKE ADDITIONAL IMPACT BEYOND WHAT IS ALREADY BEING DONE BY THE CHRISTIAN COUNTY HEALTH DEPARTMENT.-COLORECTAL CANCER WAS NOT CHOSEN BECAUSE IT CONSISTENTLY RANKED AS A LOWER PRIORITY AMONG THE ADVISORY GROUP MEMBERS. THE HOSPITAL CURRENTLY OFFERS ADVANCED COLONOSCOPY SERVICES, AND ANNUAL COLORECTAL CANCER EDUCATION FOR THE COMMUNITY. -BREAST CANCER WAS NOT CHOSEN BECAUSE IT WAS RANKED AS A LOWER PRIORITY AMONG THE ADVISORY GROUP MEMBERS. FREE MAMMOGRAMS ARE AVAILABLE TO LOW INCOME WOMEN WHO QUALIFY FOR THE ILLINOIS BREAST AND CERVICAL CANCER PROGRAM AND THE CUPS FOR THE CURE FUND AT TAYLORVILLE MEMORIAL HOSPITAL IS ALSO AVAILABLE TO OFF-SET COSTS OF MAMMOGRAPHY FOR OTHER WOMEN.
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 11: IN REVIEW OF THE SURVEY DATA, PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION IDENTIFIED 9 PRIORITIES. THEY WERE: ACCESS TO CARE, MENTAL HEALTH, EARLY SEXUAL ACTIVITY/TEEN PREGNANCY, OBESITY, DENTAL CARE, SUBSTANCE MISUSE, COLON CANCER, SEXUALLY TRANSMITTED DISEASES, AND TOBACCO. ACCESS TO CARE, MENTAL HEALTH, AND OBESITY WERE CHOSEN AS THE FINAL PRIORITIES. MENTAL HEALTH WAS IDENTIFIED AS THE TOP PRIORITY. THE HOSPITAL OPENED A 10-BED INPATIENT PSYCHIATRIC UNIT IN JULY 2016. THIS INCREASED THE AVAILABILITY OF LOCAL PSYCHIATRIC SERVICES, REDUCED LONG DRIVES TO OTHER COMMUNITIES AND REDUCED LONG WAIT TIMES FOR THE NUMBER OF AVAILABLE PSYCHIATRIC BEDS. THE HOSPITAL ALSO SUPPORTS COMMUNITY EFFORTS TO REDUCE THE STIGMA OF MENTAL HEALTH AND IMPROVE UNDERSTANDING OF REFERRALS TO AVAILABLE COMMUNITY RESOURCES. SUPPORT OF COMMUNITY EFFORTS INCLUDE THE MORGAN SCOTT SUICIDE PREVENTION TASK FORCE AND MENTAL HEALTH FIRST AID (MHFA), WHICH IS AN EVIDENCE-BASED PROGRAM THAT OFFERS A FIVE-DAY INTENSIVE TRAINING SESSION TO COMMUNITY MEMBERS TO BECOME CERTIFIED MHFA TRAINERS. THESE CERTIFIED TRAINERS IN TURN GO OUT IN THE COMMUNITY TO PROVIDE AN EIGHT-HOUR EDUCATION SESSION TO COMMUNITY MEMBERS SUCH AS TEACHERS, POLICE, FIRST RESPONDERS, CHURCHES, YOUTH LEADERS AND OTHERS TO TEACH THEM HOW TO IDENTIFY MENTAL HEALTH ISSUES, HOW TO REFER PEOPLE TO RESOURCES, AND ENCOURAGE COMMUNITY SUPPORT OF THOSE STRUGGLING WITH ISSUES THAT MAY CONTRIBUTE TO MENTAL ILLNESS. THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), THE FEDERAL AGENCY THAT LEADS PUBLIC HEALTH EFFORTS TO ADVANCE THE BEHAVIORAL HEALTH OF THE NATION, ENDORSES MHFA AND RECENTLY ESTABLISHED GRANT FUNDING FOR MHFA AS PART OF THE PRESIDENT'S INITIATIVE TO INCREASE ACCESS TO MENTAL HEALTH SERVICES. MHFA IS ON THE NATIONAL REGISTRY OF EVIDENCE BASED PRACTICES (NREPP). ALL INTERVENTIONS ON THE REGISTRY HAVE BEEN INDEPENDENTLY ASSESSED AND RATED FOR QUALITY OF RESEARCH AND READINESS FOR DISSEMINATION. MHFA HAS BEEN SHOWN TO INCREASE UNDERSTANDING OF MENTAL HEALTH DISORDERS, KNOWLEDGE OF AVAILABLE RESOURCES, AND CONFIDENCE IN AND LIKELIHOOD TO HELP AN INDIVIDUAL IN DISTRESS.OBESITY WAS IDENTIFIED AS A HIGH PRIORITY. MEMORIAL AND PASSAVANT ARE WORKING TOGETHER TO IMPLEMENT THE MEMORIAL WEIGHT LOSS AND WELLNESS CENTER PROGRAM AT PASSAVANT, EXPANDING ACCESS TO THE PROGRAM INTO MORGAN COUNTY. THE HOSPITAL IS WORKING TO IMPROVE ATTITUDES ABOUT HEALTHY LIFESTYLES THROUGH MONTHLY EDUCATION PROGRAMS WITH GRADE SCHOOL CHILDREN USING THE 5-2-1-0 CURRICULUM, AN EVIDENCE BASED HEALTHY LIFESTYLES CURRICULUM URGING STUDENTS TO EAT FIVE SERVINGS OF FRUITS AND VEGETABLES, LIMIT SCREEN TIME TO TWO HOURS OR LESS, EXERCISE AT LEAST ONE HOUR EVERY DAY AND HAVE ZERO SUGARY DRINKS. PAH ALSO SUPPORTS THE LOCAL FARMER'S MARKET THROUGH ADVERTISING MARKET DATES AND 5-2-1-0.PLUS, THE HOSPITAL, IN PARTNERSHIP WITH SCHOOL DISTRICT 117 OPERATES THE WALKING FOR WELLNESS PROGRAM, PROVIDING A HEATED LOCATION FOR DAILY WALKING EXERCISE ON DAYS WHEN SCHOOL IS IN SESSION, NOVEMBER THROUGH APRIL. PASSAVANT PROVIDES FINANCIAL SUPPORT FOR GIRLS ON THE RUN IN SCHOOLS LOCATED IN THE COUNTIES THAT PASSAVANT SERVESACCESS TO CARE WAS IDENTIFIED AS A TOP PRIORITY. PASSAVANT, IN COLLABORATION WITH THE MORGAN COUNTY HEALTH DEPARTMENT AND SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE HAS SECURED APPROVAL FOR AND OPENED A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). PASSAVANT IS PROVIDING LEADERSHIP AND FINANCIAL SUPPORT TOWARDS OPERATION OF THE SIU CENTER FOR FAMILY MEDICINE IN MORGAN COUNTY. IN ADDITION, THE HOSPITAL IS FINANCIALLY SUPPORTING THE OPERATIONS OF A WALK-IN STD CLINIC RUN BY THE MORGAN COUNTY HEALTH DEPARTMENT. WITHOUT PASSAVANT'S SUPPORT, THE CLINIC WOULD NOT BE ABLE TO OFFER SERVICES. ADDITIONALLY, PASSAVANT FINANCIALLY SUPPORTS WEST CENTRAL MASS TRANSIT WHICH PROVIDES RIDES TO COMMUNITY MEMBERS TO AND FROM THE HOSPITAL.ACCESS TO DENTAL CARE WAS NOT CHOSEN BECAUSE THE HOSPITAL DOES NOT HAVE THE EXPERTISE TO ADDRESS THE ISSUE. COLON CANCER WAS NOT CHOSEN BECAUSE IT CONSISTENTLY RANKED AS A LOW PRIORITY AMONG COMMUNITY MEMBERS. THE HOSPITAL CURRENTLY OFFERS ADVANCED COLONOSCOPY SERVICES, ANNUAL COLORECTAL CANCER EDUCATION FOR THE COMMUNITY, AND PARTNERS WITH A LOCAL CANCER FOUNDATION TO PROVIDE FREE COLORECTAL SCREENINGS TO COMMUNITY MEMBERS EACH YEAR. SUBSTANCE MISUSE WAS NOT CHOSEN BECAUSE IT DID NOT RANK AS A HIGH PRIORITY AMONG THE ADVISORY COMMITTEE, IN THE COMMUNITY FORUM, OR ON THE SURVEY. IT WAS PERCEIVED BY THE ADVISORY COMMITTEE THAT THERE WOULD BE LITTLE OPPORTUNITY TO MAKE ADDITIONAL IMPACT BEYOND WHAT IS BEING DONE THROUGH THE PARTNERSHIP FOR A HEALTHY COMMUNITY, WHICH IS A COLLABORATION OF LOCAL LAW ENFORCEMENT, EDUCATION INSTITUTIONS, HEALTH PROVIDERS, AND THE WELLS CENTER - A DRUG AND ALCOHOL TREATMENT FACILITY. EARLY SEXUAL ACTIVITY/TEEN PREGNANCY WAS NOT CHOSEN BECAUSE THE MORGAN COUNTY HEALTH DEPARTMENT IS ALREADY ADDRESSING THIS DISPARITY IN THE SCHOOLS, AND IT WOULD BE A DUPLICATION OF SERVICES. TOBACCO RANKED SIGNIFICANTLY LOWER THAN OTHER PRIORITIES IN THE FORUM AND THE SURVEY. IT WAS COMMUNICATED THAT IT WOULD BE DIFFICULT TO MAKE A SIGNIFICANT IMPACT AS THE MORGAN COUNTY HEALTH DEPARTMENT IS PARTNERING WITH THE ILLINOIS QUITLINE TO OFFER SMOKING CESSATION PRODUCTS. SEXUALLY TRANSMITTED DISEASES WILL BE ADDRESSED AS AN ACCESS TO CARE INITIATIVE IN PARTNERSHIP WITH THE HEALTH DEPARTMENT, RATHER THAN A STAND-ALONE PRIORITY. THE HOSPITAL WILL CONTINUE TO SUPPORT THE HEALTH DEPARTMENT'S STD CLINIC WHICH WAS REOPENED IN 2014 USING FUNDS ALLOCATED BY THE HOSPITAL. THIS NEED CONTINUES TO BE MET THROUGH THIS PARTNERSHIP ESTABLISHED AS A RESULT OF THE 2012 CHNA.
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 22D: FOR TAX YEAR 2015, MMC, ALMH, PAH, AND TMH CALCULATED A MAXIMUM AMOUNT CHARGED TO PATIENTS TREATED AT THE HOSPITAL THAT QUALIFIED UNDER THEIR FINANCIAL ASSISTANCE POLICY. MMC, ALMH, PAH, AND TMH CALCULATED THIS MAXIMUM AMOUNT OR THE AMOUNTS GENERALLY BILLED TO PATIENTS WHO HAVE INSURANCE COVERAGE BY ANALYZING ON A LOOK BACK BASIS ALL HISTORICALLY PAID CLAIMS DURING CALENDAR YEAR 2015. ALL PAYER CATEGORIES WERE TAKEN INTO CONSIDERATION WITH THE EXCEPTION OF MEDICAID, SELF PAY, AND REFERENCE LAB ACCOUNTS. ADJUSTMENTS TO CERTAIN SPECIAL PAYER CATEGORIES SUCH AS BLUE CROSS AND HEALTH ALLIANCE CAPITATION WERE TAKEN INTO CONSIDERATION DURING THIS ANALYSIS.UPON REVIEW OF THESE CLAIMS, THE UNINSURED DISCOUNT WAS SET AT 70% OF BILLED CHARGES TO ENSURE THAT PATIENTS ARE NOT CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED TO PATIENTS WHO HAVE INSURANCE COVERAGE.
ABRAHAM LINCOLN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 22D: FOR TAX YEAR 2015, MMC, ALMH, PAH, AND TMH CALCULATED A MAXIMUM AMOUNT CHARGED TO PATIENTS TREATED AT THE HOSPITAL THAT QUALIFIED UNDER THEIR FINANCIAL ASSISTANCE POLICY. MMC, ALMH, PAH, AND TMH CALCULATED THIS MAXIMUM AMOUNT OR THE AMOUNTS GENERALLY BILLED TO PATIENTS WHO HAVE INSURANCE COVERAGE BY ANALYZING ON A LOOK BACK BASIS ALL HISTORICALLY PAID CLAIMS DURING CALENDAR YEAR 2015. ALL PAYER CATEGORIES WERE TAKEN INTO CONSIDERATION WITH THE EXCEPTION OF MEDICAID, SELF PAY, AND REFERENCE LAB ACCOUNTS. ADJUSTMENTS TO CERTAIN SPECIAL PAYER CATEGORIES SUCH AS BLUE CROSS AND HEALTH ALLIANCE CAPITATION WERE TAKEN INTO CONSIDERATION DURING THIS ANALYSIS.UPON REVIEW OF THESE CLAIMS, THE UNINSURED DISCOUNT WAS SET AT 70% OF BILLED CHARGES TO ENSURE THAT PATIENTS ARE NOT CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED TO PATIENTS WHO HAVE INSURANCE COVERAGE.
TAYLORVILLE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 22D: FOR TAX YEAR 2015, MMC, ALMH, PAH, AND TMH CALCULATED A MAXIMUM AMOUNT CHARGED TO PATIENTS TREATED AT THE HOSPITAL THAT QUALIFIED UNDER THEIR FINANCIAL ASSISTANCE POLICY. MMC, ALMH, PAH, AND TMH CALCULATED THIS MAXIMUM AMOUNT OR THE AMOUNTS GENERALLY BILLED TO PATIENTS WHO HAVE INSURANCE COVERAGE BY ANALYZING ON A LOOK BACK BASIS ALL HISTORICALLY PAID CLAIMS DURING CALENDAR YEAR 2015. ALL PAYER CATEGORIES WERE TAKEN INTO CONSIDERATION WITH THE EXCEPTION OF MEDICAID, SELF PAY, AND REFERENCE LAB ACCOUNTS. ADJUSTMENTS TO CERTAIN SPECIAL PAYER CATEGORIES SUCH AS BLUE CROSS AND HEALTH ALLIANCE CAPITATION WERE TAKEN INTO CONSIDERATION DURING THIS ANALYSIS.UPON REVIEW OF THESE CLAIMS, THE UNINSURED DISCOUNT WAS SET AT 70% OF BILLED CHARGES TO ENSURE THAT PATIENTS ARE NOT CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED TO PATIENTS WHO HAVE INSURANCE COVERAGE.
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 22D: FOR TAX YEAR 2015, MMC, ALMH, PAH, AND TMH CALCULATED A MAXIMUM AMOUNT CHARGED TO PATIENTS TREATED AT THE HOSPITAL THAT QUALIFIED UNDER THEIR FINANCIAL ASSISTANCE POLICY. MMC, ALMH, PAH, AND TMH CALCULATED THIS MAXIMUM AMOUNT OR THE AMOUNTS GENERALLY BILLED TO PATIENTS WHO HAVE INSURANCE COVERAGE BY ANALYZING ON A LOOK BACK BASIS ALL HISTORICALLY PAID CLAIMS DURING CALENDAR YEAR 2015. ALL PAYER CATEGORIES WERE TAKEN INTO CONSIDERATION WITH THE EXCEPTION OF MEDICAID, SELF PAY, AND REFERENCE LAB ACCOUNTS. ADJUSTMENTS TO CERTAIN SPECIAL PAYER CATEGORIES SUCH AS BLUE CROSS AND HEALTH ALLIANCE CAPITATION WERE TAKEN INTO CONSIDERATION DURING THIS ANALYSIS.UPON REVIEW OF THESE CLAIMS, THE UNINSURED DISCOUNT WAS SET AT 70% OF BILLED CHARGES TO ENSURE THAT PATIENTS ARE NOT CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED TO PATIENTS WHO HAVE INSURANCE COVERAGE.

Schedule H (Form 990) 2015

Page 8

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	1 - SPINEWORKS PAIN CENTER 501 NORTH FIRST STREET SPRINGFIELD,IL62702	OUTPATIENT SERVICES
2	2 - MEMORIAL PHYSICIAN SERVICES-KOKE MILL 3132 OLD JACKSONVILLE RD SPRINGFIELD,IL62704	MPS PHYSICIAN
3	3 - MEMORIAL PHYSICIAN SERVICES-LINCOLN 515 NORTH COLLEGE STREET LINCOLN,IL62526	MPS PHYSICIAN
4	4 - MEMORIAL PHYS SVCS-WOMEN'S HEALTHCARE 747 NORTH RUTLEDGE SPRINGFIELD,IL62701	MPS PHYSICIAN
5	5 - WOUND HEALING CENTER 901 NORTH FIRST STREET SPRINGFIELD,IL62702	OUTPATIENT SERVICES
6	6 - MEMORIAL PHYSICIAN SERVICES-CHATHAM 101 EAST PLUMMER CHATHAM,IL62629	MPS PHYSICIAN
7	7 - MEMORIAL PHYS SVCS-CAPITAL HEALTHCARE 2603 SOUTH SIXTH SPRINGFIELD,IL62703	MPS PHYSICIAN
8	8 - MEMORIAL PHYS SVCS-JACKSONVILLE 15 FOUNDERS LANE SUITE 100 JACKSONVILLE,IL62650	MPS PHYSICIAN
9	9 - MEMORIAL EXPRESSCARE AT SOUTH SIXTH 2950 SOUTH SIXTH STREET SPRINGFIELD,IL62703	ANCILLARY SERVICES
10	10 - MEMORIAL INDUSTRIAL REHAB 775 ENGINEERING DRIVE SPRINGFIELD,IL62703	OUTPATIENT SERVICES
11	11 - MEMORIAL EXPRESSCARE AT KOKE MILL 3132 OLD JACKSONVILLE RD SPRINGFIELD,IL62704	ANCILLARY SERVICES
12	12 - MEMORIAL EXPRESSCARE AT NORTH DIRKSEN 3220 ATLANTA STREET SPRINGFIELD,IL62702	ANCILLARY SERVICES
13	13 - MEMORIAL PHYSICIAN SERVICES-PETERSBURG 1 CENTRE DRIVE PETERSBURG,IL62675	MPS PHYSICIAN
14	14 - MEMORIAL PHYSICIAN SVCS-NORTH DIRKSEN 3220 ATLANTA STREET SPRINGFIELD,IL62707	MPS PHYSICIAN
15	15 - MEMORIAL PHYSICIAN SERVICES-SOUTH SIXTH 2950 SOUTH SIXTH STREET SPRINGFIELD,IL62703	MPS PHYSICIAN
16	16 - MEMORIAL PHYSICIAN SERVICES-VINE STREET 3225 HEDLEY RD SPRINGFIELD,IL62711	MPS PHYSICIAN
17	17 - SPORTSCARE AT YMCA 4550 WEST ILES SPRINGFIELD,IL62711	OUTPATIENT SERVICES

Schedule H (Form 990) 2015

Page 9

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
PART I, LINE 3C:	MEMORIAL HEALTH SYSTEM QUALIFIES UNINSURED PATIENTS FOR 100% FINANCIAL ASSISTANCE USING THE PRESUMPTIVE ELIGIBILITY CRITERIA AS DEFINED IN THE ILLINOIS FAIR BILLING ACT. MEMORIAL HEALTH SYSTEM ADDS THE FOLLOWING ASSETS TO THE APPLICANT'S INCOME BEFORE COMPARISON TO THE FPG GUIDELINES: CHECKING AND SAVINGS ACCOUNT BALANCES, STOCKS, CERTIFICATE OF DEPOSIT AND MUTUAL FUNDS. AN ASSET EXCLUSION OF $2,000 IF SINGLE OR $3,000 IF MARRIED PLUS $500 FOR EACH ADDITIONAL DEPENDENT IS APPLIED.
PART I, LINE 6A:	MEMORIAL HEALTH SYSTEM (EIN: 37-1110690) PREPARED A COMMUNITY BENEFIT ANNUAL REPORT FOR THE ENTIRE HEALTH SYSTEM. A LINK TO THE REPORT IS AVAILABLE ONLINE FROM ALL FOUR HOSPITAL WEBSITES AS WELL AS THE WEBSITES OF OTHER MHS AFFILIATES: HTTPS://WWW.MEMORIALMEDICAL.COM/PORTALS/0/MASTER-DOCUMENTS/COMMUNITY%20BENEFIT/FY16-MHS-COMMUNITY-BENEFIT-ANNUAL-REPORT.PDF. A PDF VERSION IS AVAILABLE TO ANYONE UPON REQUEST. THE COMMUNITY BENEFIT ANNUAL REPORT IS ALSO INCLUDED WITHIN MEMORIAL HEALTH SYSTEM'S COMPLETE ANNUAL REPORT, WHICH IS DISTRIBUTED IN PRINT TO MEMBERS OF THE COMMUNITY AT LARGE.
PART I, LINE 7:	FOR MEMORIAL MEDICAL CENTER, THE COSTING METHODOLOGY FOR CHARITY CARE, MEDICAID, AND OTHER MEANS TESTED PROGRAMS WAS DERIVED FROM MEMORIAL MEDICAL CENTER'S COST ACCOUNTING SYSTEM. THIS SYSTEM HAS THE ABILITY TO COMPUTE THE ACTUAL COST OF ALL MEDICAL PROCEDURES AT THE PATIENT-ACCOUNT LEVEL REGARDLESS OF PAYOR TYPE OR WHETHER THE PATIENT WAS INPATIENT OR OUTPATIENT. ABRAHAM LINCOLN MEMORIAL HOSPITAL, PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION AND TAYLORVILLE MEMORIAL HOSPITAL UTILIZED MEDICARE COSTING DATA FROM THE FISCAL YEAR ENDED 9/30/2015 MEDICARE COST REPORT AS FILED. THE ONLY CATEGORY BY WHICH MEMORIAL MEDICAL CENTER USED A COST TO CHARGE RATIO FOR SCHEDULE H IS FOR THE DETERMINATION OF BAD DEBT EXPENSE AT COST IN PART III, SECTION A, LINE 2.
PART I, LINE 7G:	MEMORIAL HEALTH SYSTEM INCLUDED SUBSIDIZED HEALTH SERVICES FOR MEMORIAL PHYSICIAN SERVICES WHICH HAS PHYSICIAN CLINICS FOR $17,765,355.
PART I, LN 7 COL(F):	TOTAL EXPENSE LESS BAD DEBT EXPENSE TOTALED $952,352,475 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
PART I, LINE 3B	MEMORIAL HEALTH SYSTEM USES AN AMOUNT IN EXCESS OF 300% OF THE FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR PROVIDING DISCOUNTED CARE. THE VALUE OF 301% WAS ENTERED TO SATISFY A MANDATORY FIELD ENTRY REQUIREMENT TO QUALIFY FOR ELECTRONIC FILING.
PART II, COMMUNITY BUILDING ACTIVITIES:	MEMORIAL MEDICAL CENTER PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITIES THAT ARE NOT ACCOUNTED FOR ELSEWHERE ON SCHEDULE H. MMC SUPPORTED PHYSICAL IMPROVEMENTS AND HOUSING WITH DONATIONS TO A NEIGHBORHOOD ASSOCIATION THAT IS ADDRESSING BLIGHTED PROPERTIES AND LOCAL CRIME. ECONOMIC DEVELOPMENT WAS SUPPORTED THROUGH VOLUNTEER LEADERSHIP INVOLVEMENT IN THE GREATER SPRINGFIELD CHAMBER OF COMMERCE, THE MID-ILLINOIS MEDICAL DISTRICT AND DOWNTOWN SPRINGFIELD. COMMUNITY SUPPORT INCLUDED LEADERSHIP PARTICIPATION ON BOARDS AND COMMITTEES FOR SALVATION ARMY, BOY SCOUTS, SPARC, MERCY COMMUNITIES SHELTER, HELPING HANDS HOMELESS SHELTER, CENTRAL ILLINOIS FOOD BANK, YMCA, ILL. DEPARTMENT OF PUBLIC HEALTH ABUSE PREVENTION, AND UNITED WAY OF CENTRAL ILLINOIS. COMMUNITY SUPPORT ALSO INCLUDED CONTRIBUTION TO SPRINGFIELD URBAN LEAGUE, GIRL SCOUTS, BOY SCOUTS, SPRINGFIELD PUBLIC SCHOOLS FOUNDATION, AND THE CENTRAL ILLINOIS AFRICAN AMERICAN HISTORY MUSEUM. LEADERSHIP DEVELOPMENT INCLUDED LEADING AND EDUCATION FOR ILLINOIS WOMEN IN LEADERSHIP, YOUNG PROFESSIONALS NETWORK AND THE CENTRAL ILLINOIS ORGANIZATION DEVELOPMENT NETWORK. COALITION BUILDING INCLUDED PARTICIPATION ON THE BOARD OF YMCA OF SPRINGFIELD TO IMPROVE COMMUNITY ACCESS TO HEALTHY ACTIVITIES, WORK WITH THE AMERICAN CANCER SOCIETY, THE BREASTFEEDING TASK FORCE OF WEST CENTRAL ILLINOIS, AND PARTICIPATION IN ADDRESSING THE ISSUE OF HIGH SPEED RAILROADS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY WAS SUPPORTED THROUGH LEADERSHIP INVOLVEMENT IN THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION, VHA MID-AMERICA, SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE, THE FOUNDATION FOR REHABILITATION PSYCHOLOGY, AND THE UNITED WAY HEALTH VISION COUNCIL. A DONATION WAS ALSO MADE TO FAITH COALITION FOR THE COMMON GOOD. AS THE LARGEST LOCAL EMPLOYER OUTSIDE OF STATE GOVERNMENT, MMC IS AN IMPORTANT ECONOMIC LINK THAT PROVIDES EMPLOYMENT AND BENEFITS FOR THOUSANDS OF FAMILIES. WORKFORCE DEVELOPMENT IS A KEY AREA OF COMMUNITY BUILDING. MMC SUPPORTS ECONOMIC DEVELOPMENT THROUGH FINANCIAL SUPPORT OF SPRINGFIELD CHAMBER OF COMMERCE'S QUANTUM GROWTH PARTNERSHIP, A COLLABORATIVE COMMUNITY INITIATIVE WORKING TOWARD LONG-TERM IMPROVEMENT OF WORK AND EDUCATIONAL OPPORTUNITIES THROUGHOUT THE COMMUNITY, AND ALSO SUPPORTS THE SANGAMON CEO YOUTH MENTORSHIP PROGRAM. MMC WORKS WITH OTHER ORGANIZATIONS TO EXPAND OPPORTUNITIES TO TRAIN AND RECRUIT HEALTHCARE PROFESSIONALS TO INCREASE ACCESS TO CARE IN RURAL AREAS. MMC AND SIU SCHOOL OF MEDICINE JOINTLY OFFERED AN EXPLORER POST PROGRAM FOR HIGH SCHOOL YOUTH TO EXPLORE HEALTHCARE CAREER OPPORTUNITIES. MMC ALSO COLLABORATES WITH LOCAL SCHOOLS TO OFFER MULTIPLE OPPORTUNITIES FOR STUDENTS TO EXPLORE HEALTHCARE CAREER OPTIONS, INCLUDING TEENS EXPERIENCING NURSING SUMMER CAMP AND JOB SHADOWING. AS ONE OF THE LARGEST EMPLOYERS IN LOGAN COUNTY, ABRAHAM LINCOLN MEMORIAL HOSPITAL (ALMH) IS AN IMPORTANT ECONOMIC LINK THAT PROVIDES EMPLOYMENT AND BENEFITS FOR APPROXIMATELY 315 FAMILIES. EACH YEAR, ALMH PROVIDES DONATIONS TO THE LINCOLN/LOGAN COUNTY FOOD PANTRY. SUPPORT IS ALSO PROVIDED FOR THE LOCAL MULTIPLE SCLEROSIS WALK, UNITED WAY OF LOGAN COUNTY, THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE AND THE COLON CANCER 5K HELD IN LOGAN COUNTY. ALMH IS A MEMBER OF THE LINCOLN/LOGAN COUNTY CHAMBER OF COMMERCE WHICH IS ACTIVELY WORKING TO IMPROVE THE ECONOMIC VITALITY OF LOGAN COUNTY. ALMH ALSO PROVIDES IN-KIND SUPPORT IN THE FORM OF MEETING SPACE FOR THE CHAMBER OF COMMERCE AND VARIOUS COMMUNITY GROUPS. ABRAHAM LINCOLN MEMORIAL HOSPITAL'S COMMUNITY BUILDING ACTIVITIES INCLUDE STAFF WHO VOLUNTEER FOR LOCAL NONPROFIT ORGANIZATIONS AND INITIATIVES THAT IMPACT THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITY INCLUDING THE, LINCOLN ROTARY CLUB, COMMUNITY/CHILDREN'S WELLNESS EXPO, COMMUNITY ACTION PARTNERSHIP OF CENTRAL ILLINOIS' HEALTH ADVISORY COMMITTEE, ZONTA CLUB AND THE LOCAL EMERGENCY PLANNING COMMITTEE.TAYLORVILLE MEMORIAL HOSPITAL (TMH) IS ONE OF THE LARGEST EMPLOYERS IN CHRISTIAN COUNTY AND PROVIDES EMPLOYMENT AND BENEFITS FOR APPROXIMATELY 350 FAMILIES. TMH IS A MEMBER OF THE GREATER TAYLORVILLE CHAMBER OF COMMERCE AND THE CHRISTIAN COUNTY ECONOMIC DEVELOPMENT CORPORATION, WHICH ARE WORKING TO IMPROVE THE ECONOMIC VITALITY OF CHRISTIAN COUNTY. COMMUNITY SUPPORT IS PROVIDED BY LEADERSHIP ON THE BOARD OF THE UNITED WAY OF CHRISTIAN COUNTY. COALITION BUILDING WAS DONE THROUGH MEMBERSHIP IN THE CHRISTIAN COUNTY PREVENTION COALITION, WHICH IS DEDICATED TO STOPPING DRUG AND ALCOHOL ABUSE, ESPECIALLY ON THE PART OF YOUNG PEOPLE. COMMUNITY HEALTH IMPROVEMENT ADVOCACY IS SUPPORTED THROUGH LEADERSHIP INVOLVEMENT IN THE ILLINOIS HOSPITAL SMALL AND RURAL CONSTITUENCY SECTION. THIS SECTION OF THE ILLINOIS HOSPITAL ASSOCIATION SUPPORTS SMALL AND RURAL HOSPITALS AS THEY STRIVE TO PROVIDE NEEDED HEALTHCARE SERVICES TO THE COMMUNITIES THEY SERVE. LEADERS AND EMPLOYEES OF TMH SERVE ON SEVERAL OTHER COMMITTEES AND BOARDS, SUCH AS SPRINGFIELD REGIONAL EMERGENCY PREPAREDNESS, LOCAL EMERGENCY PLANNING COMMITTEE OF CHRISTIAN COUNTY, AND CHRISTIAN COUNTY ECONOMIC DEVELOPMENT CORPORATION. PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION'S COMMUNITY BUILDING ACTIVITIES INCLUDE PROMOTING ECONOMIC DEVELOPMENT BY SUPPORTING THE JACKSONVILLE AREA CHAMBER OF COMMERCE, JACKSONVILLE MAIN STREET, AND THE JACKSONVILLE REGIONAL ECONOMIC DEVELOPMENT CORPORATION, SUPPORTING ORGANIZATIONS WHO PROMOTE AND ADVOCATE FOR COMMUNITY HEALTH IMPROVEMENT, ALONG WITH SUPPORTING LOCAL SCHOOLS AND OTHER LOCAL NON-PROFIT ORGANIZATIONS.
PART III, LINE 4:	MEMORIAL HEALTH SYSTEM'S ACCOUNTING POLICY FOR BAD DEBT EXPENSE IS DESCRIBED ON PAGE 15 OF THE NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS IN THE MEMORIAL HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE COSTING METHODOLOGY UTILIZED FOR THE DETERMINATION OF MEMORIAL HEALTH SYSTEM'S MEDICARE ALLOWABLE COST (SCHEDULE H, PART III, LINE 6) WAS CALCULATED AS FOLLOWS: MEMORIAL MEDICAL CENTER, PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL UTILIZED MEDICARE COSTING DATA FROM THE FISCAL YEAR ENDED 9/30/2016 MEDICARE COST REPORT AS FILED. MEMORIAL MEDICAL CENTER WAS ABLE TO CAPTURE THE MEDICARE COSTING FOR INPATIENT MEDICAL SURGICAL, INPATIENT PSYCHIATRIC, INPATIENT REHABILITATION AND OUTPATIENT MEDICAL SURGICAL SERVICES DURING THAT FISCAL PERIOD. THIS COSTING DATA EXCLUDED THE DIRECT MEDICAL EDUCATION COST FOR THE RESIDENCY PROGRAM ASSOCIATED WITH THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. THIS COST WAS INCLUDED IN THE HEALTH PROFESSIONAL EDUCATION SECTION OF PART I, LINE 7 (F) OF SCHEDULE H.OTHER SECTIONS OF MEDICARE COSTS THAT WOULD NORMALLY BE EXCLUDED FROM THE MEDICARE COST REPORT BUT SHOULD BE INCLUDED FOR PURPOSES OF THIS SCHEDULE ARE THE FOLLOWING:1. MEMORIAL MEDICAL CENTER'S ESRD PROGRAM-THIS PROGRAM IS RELATED TO THE END-STAGE RENAL DIALYSIS PROGRAM. THE PROGRAM IS REFLECTED ON THE W/S I OF THE COST REPORT BUT DOES NOT HAVE A SETTLEMENT.2. MEMORIAL MEDICAL CENTER'S OUTPATIENT CLINICAL LAB CHARGES-THESE MEDICARE OUTPATIENT CHARGES ARE PAID ON A FEE-FOR-SERVICE BASIS AND ARE NOT REFLECTED ON THE AS FILED MEDICARE COST REPORT.3. MEMORIAL MEDICAL CENTER'S OUTPATIENT THERAPY SERVICES-THESE MEDICARE OUTPATIENT CHARGES RELATED TO THERAPEUTIC SERVICES, SUCH AS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY SERVICES, ARE SUBJECT TO A FEE-FOR-SERVICE PAYMENT METHOD AND NOT FILED ON THE MEDICARE COST REPORT.4. PART B PROFESSIONAL FEES-MEMORIAL MEDICAL CENTER HAS ITS PART B MEDICARE PROFESSIONAL FEES BILLED THROUGH A SEPARATE CORPORATION OF MEMORIAL HEALTH SYSTEM. THE BILLING SERVICE IS CALLED PHYSICIAN BILLING SERVICE. IT BILLS FOR THE PROFESSIONAL FEES ON BEHALF OF MEMORIAL MEDICAL CENTER AND SWEEPS THE MEDICARE PAYMENTS BACK TO IT. SOME OF THE PROFESSIONAL FEES BILLED BY PHYSICIAN BILLING SERVICE ARE CRNA, HEARING CENTER, SPINEWORKS CLINIC, HEART FAILURE CLINIC, CLINICAL PSYCHOLOGISTS, DIETARY CONSULTING, BARIATRIC SURGERY AND EKG INTERPRETATIONS. THESE SERVICES ARE TYPICALLY EXCLUDED FROM THE MEDICARE COST REPORT BUT SHOULD BE INCLUDED FOR PURPOSE OF SCHEDULE H.THE MEDICARE CHARGES ASSOCIATED WITH BULLET POINTS 1 THROUGH 4 ABOVE WERE APPLIED TO THE CALCULATED COST TO CHARGE RATIOS FROM THE MEDICARE COST REPORT TO DETERMINE ITS COST. THIS COST DATA, ALONG WITH THE COST DATA ALREADY COMPILED FROM THE AS FILED MEDICARE COST REPORT WAS THE BASIS FOR ALLOWABLE MEDICARE COST OF $246,522,849.THE TOTAL SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7 WAS $28,303,547. THE ENTIRE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT FOR MEMORIAL MEDICAL CENTER, PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL. THIS SHORTFALL REFLECTS THE EXCESS COSTS INCURRED BY THE FOUR HOSPITALS THAT CURRENT FEE-FOR-SERVICE PAYMENTS PRESENTLY DO NOT COVER. THESE ARE VITAL SERVICES TO THE COMMUNITY THESE THREE HOSPITALS SERVE THAT CURRENT MEDICARE PAYMENTS DO NOT COVER.MEDICARE IS AN IMPORTANT PAYER TO THE COMMUNITIES OF SPRINGFIELD, LINCOLN, JACKSONVILLE, AND TAYLORVILLE. ACCORDINGLY, ALL FOUR HOSPITALS ACCEPT MEDICARE PATIENTS REGARDLESS OF WHETHER THEIR TREATMENT WILL RESULT IN A PAYMENT OR NOT. BY PROVIDING THESE SERVICES TO MEDICARE PATIENTS, THE MHS HOSPITALS PROMOTE ACCESS TO HEALTH CARE THAT MIGHT NOT BE PROVIDED OTHERWISE. ELDERLY ARE OFTEN CONSIDERED AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES, BOTH AT THE URBAN AND RURAL COMMUNITY LEVEL. WITHOUT TAX EXEMPT HOSPITALS, CMS AND THE U.S. GOVERNMENT WOULD HAVE TO BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY.
PART III, LINE 9B:	PER THE FINANCIAL ASSISTANCE POLICY, MEMORIAL MEDICAL CENTER, PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION, ABRAHAM LINCOLN MEMORIAL HOSPITAL, AND TAYLORVILLE MEMORIAL HOSPITAL WILL NOT PURSUE COLLECTION ACTION IN COURT AGAINST A PATIENT WHO QUALIFIES FOR FINANCIAL ASSISTANCE IF THE PATIENT HAS CLEARLY DEMONSTRATED THAT HE OR SHE DOES NOT HAVE SUFFICIENT INCOME OR ASSETS TO MEET ANY PART OF THEIR FINANCIAL OBLIGATION TO THE APPLICABLE HOSPITAL. PER THE FINANCIAL ASSISTANCE POLICY, IF AN UNINSURED PATIENT HAS REQUESTED FINANCIAL ASSISTANCE AND/OR APPLIED FOR OTHER COVERAGE AND IS COOPERATING WITH THE HOSPITAL, THE HOSPITAL WILL NOT PURSUE COLLECTION ACTION UNTIL A DECISION HAS BEEN MADE THAT THERE IS NO LONGER A REASONABLE BASIS TO BELIEVE THE PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER COVERAGE.PER THE FINANCIAL ASSISTANCE POLICY, IF AN UNINSURED PATIENT COMPLIES WITH A PAYMENT PLAN THAT HAS BEEN AGREED UPON BY THE HOSPITAL, THE HOSPITAL WILL NOT PURSUE COLLECTION ACTION.PER THE FINANCIAL ASSISTANCE POLICY, IF THE HOSPITAL HAS GIVEN THE PATIENT THE OPPORTUNITY TO ASSESS THE ACCURACY OF THE BILL AND HAS SUFFICIENT REASON TO BELIEVE THAT THE PATIENT DOES NOT QUALIFY FOR ADDITIONAL FINANCIAL ASSISTANCE UNDER ALL TERMS OF THIS POLICY REGARDING HIS OR HER PARTIAL OBLIGATION, AND THE PATIENT CONTINUES WITH NON-PAYMENT, COLLECTION ACTION MAY BE TAKEN BY THE HOSPITAL TO ENFORCE THE TERMS OF ANY PAYMENT PLAN. ONCE FINANCIAL ASSISTANCE STATUS IS DETERMINED, IT WILL BE APPLIED TO ALL OPEN ACCOUNTS AND WILL BE VALID FOR A PERIOD OF 6 MONTHS FROM DATE OF DETERMINATION AND 6 MONTHS RETROACTIVELY.
PART VI, LINE 2:	IN ADDITION TO THE COMMUNITY HEALTH NEED ASSESSMENT PROCESS DESCRIBED IN PART V, SECTION B, MEMORIAL HEALTH SYSTEM HAS ALWAYS REVIEWED A VARIETY OF INFORMATION TO IDENTIFY COMMUNITY NEEDS. THESE INCLUDE HOSPITAL ADMISSIONS AND DISCHARGES, LEADING CAUSES OF MORTALITY AND MORBIDITY IN EACH COUNTY AS REPORTED BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH, AND THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTHY PEOPLE 2020. ADDITIONAL INFORMATION IS GLEANED FROM CONSUMER SURVEYS, PATIENT SURVEYS, MEDICAL STAFF SURVEYS, EVALUATIONS FROM COMMUNITY EDUCATION EVENTS, SUPPORT GROUP FEEDBACK, WEBMASTER AND SOCIAL MEDIA QUESTIONS AND FEEDBACK, VOLUNTEER BOARD MEMBER AND COMMUNITY BENEFIT COMMITTEE FEEDBACK, REQUESTS FROM THE COMMUNITY AND GRANT APPLICATIONS TO THE MEMORIAL MEDICAL CENTER FOUNDATION. INFORMATION FROM ALL THESE SOURCES HELPED PRIORITIZE MHS'S COMMUNITY BENEFIT INITIATIVES IN TY15/FY16, AND TO ASSURE THAT THOSE INITIATIVES ARE ALIGNED WITH MHS'S MISSION, STATEMENT OF VALUES, STRATEGIC PLAN AND BUDGET. PRIORITIES ARE ESTABLISHED BASED ON OVERALL NEED, LEADING CAUSES OF DEATH, IMPACT ON HEALTH STATUS, ORGANIZATIONAL CORE COMPETENCIES, RESOURCES AND WHEREWITHAL TO MEANINGFULLY ADDRESS THE NEED. EACH MEMORIAL AFFILIATE HAS THE FLEXIBILITY TO DEVELOP SPECIFIC COMMUNITY BENEFIT PROGRAMS AND INITIATIVES THAT ARE DESIGNED TO RESPOND TO THE NEEDS OF ITS PARTICULAR COMMUNITY. MEMORIAL HEALTH SYSTEM UNDERSTANDS THAT COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS IS AN IMPORTANT COMPONENT OF COMMUNITY HEALTH IMPROVEMENT EFFORTS AND RESPONDS TO DIRECT COMMUNITY REQUESTS FOR PROGRAMS AND ASSISTANCE. TO FACILITATE THIS PROCESS, MEMORIAL HEALTH SYSTEM NOW HAS A LINK ON ITS WEBSITE FOR COMMUNITY ORGANIZATIONS TO ELECTRONICALLY REQUEST SUPPORT FOR THEIR PROGRAMS, SERVICES AND INITIATIVES THAT ALIGN WITH IDENTIFIED COMMUNITY HEALTH NEED PRIORITIES.
PART VI, LINE 3:	MEMORIAL MEDICAL CENTER, PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION, ABRAHAM LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL PROACTIVELY INFORM PATIENTS ABOUT THEIR FINANCIAL ASSISTANCE POLICY AND THE ELIGIBILITY CRITERIA. A FINANCIAL ASSISTANCE LINK ON EACH HOSPITAL'S WEBSITE GOES TO THE FINANCIAL ASSISTANCE POLICY AND APPLICATION. THE POLICY AND APPLICATION FORM ARE AVAILABLE IN ENGLISH AND SPANISH. FOREIGN LANGUAGE TRANSLATION ASSISTANCE IS AVAILABLE UPON REQUEST. INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED AT PRIMARY REGISTRATION SITES, INCLUDING THE EMERGENCY DEPARTMENT. THE "PEACE OF MIND REGARDING PAYMENT" BROCHURE IS AVAILABLE TO EVERY PATIENT AT EVERY VISIT AND IS AVAILABLE IN BOTH ENGLISH AND SPANISH.EMPLOYEES IN PATIENT REGISTRATION, PATIENT FINANCIAL SERVICES AND SOCIAL SERVICES ARE TRAINED TO UNDERSTAND THE FINANCIAL ASSISTANCE POLICY AND KNOW HOW TO DIRECT QUESTIONS TO THE APPROPRIATE HOSPITAL REPRESENTATIVE WHO CAN ANSWER SPECIFIC QUESTIONS ABOUT THE FINANCIAL ASSISTANCE POLICY. THEY ALSO REFER PATIENTS TO MEDICAID COORDINATORS WHO CAN EXPLAIN THE AVAILABILITY OF VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID OR OTHER STATE PROGRAMS AND ASSIST THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS.MEMORIAL MEDICAL CENTER AND PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION CONTRACT WITH FULL-TIME MEDICAID COORDINATORS. THEIR GOAL IS TO VISIT ALL INPATIENTS WHO ARE IDENTIFIED AS SELF-PAY WITHIN ONE DAY OF ADMISSION. IF AN INPATIENT IS IDENTIFIED AS BEING POTENTIALLY ELIGIBLE FOR MEDICAID OR OTHER GOVERNMENT BENEFITS, THE APPLICATION PROCESS IS STARTED IMMEDIATELY. THE MEDICAID COORDINATORS WILL CONTINUE TO WORK WITH A PATIENT POST-DISCHARGE TO WALK THEM THROUGH THE ENTIRE APPLICATION PROCESS. THEY ALSO CONTACT A SELF-PAY OUTPATIENT WITH OVER $1,000 IN CHARGES AND OFFER TO HELP THEM WITH THE MEDICAID APPLICATION PROCESS. IF THE MEDICAID COORDINATORS DETERMINE THAT THE PATIENT IS OVER INCOME FOR MEDICAID THEY CONTACT THE FINANCIAL ASSISTANCE REPRESENTATIVE SO THAT A FINANCIAL ASSISTANCE APPLICATION CAN BE SENT TO THE PATIENT.EVERY HOSPITAL BILLING STATEMENT INCLUDES FINANCIAL ASSISTANCE INFORMATION WITH A PHONE NUMBER TO CALL FOR INFORMATION. PATIENTS ARE ENCOURAGED TO INQUIRE ABOUT FINANCIAL ASSISTANCE AT ANY STAGE OF THE BILLING PROCESS.THE MHS HOSPITALS STRIVE TO HAVE A CONSISTENT AND COURTEOUS APPROACH TO COLLECTIONS. THE MHS HOSPITALS WILL NOT REFER ACCOUNTS TO A COLLECTION AGENCY, FILE ANY LAWSUIT, OR GARNISH WAGES AGAINST ANY PARTICULAR PATIENT TO COLLECT MEDICAL DEBT UNTIL THE MHS HOSPITALS VERIFY THE FOLLOWING: REASONABLE BASIS FOR BELIEVING PATIENT OWES THE DEBT; THE MHS HOSPITALS WILL MAKE ALL REASONABLE ATTEMPTS TO BILL THIRD PARTY PAYERS AND CONFIRM ANY REMAINING AMOUNTS ARE TRULY THE FINANCIAL RESPONSIBILITY OF THE PATIENT; WHEN THE PATIENT HAS INDICATED AN INABILITY TO PAY THE MHS HOSPITALS WILL ATTEMPT TO VALIDATE THE INABILITY TO PAY AND THE MHS HOSPITALS WILL OFFER A REASONABLE PAYMENT PLAN AND; THE PATIENT HAS BEEN GIVEN A REASONABLE OPPORTUNITY TO SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE.ALL MHS HOSPITALS HAVE A CODE OF CONDUCT POLICY THAT SETS FORTH CERTAIN PRINCIPLES TO WHICH AGENCIES, REPRESENTATIVES AND COLLECTORS ARE EXPECTED TO ADHERE. THE AGENCIES ARE REQUIRED TO COMPLY WITH ALL OF THE RELEVANT TERMS OF THE ILLINOIS FAIR PATIENT BILLING ACT, AND, IN PARTICULAR, SECTION 30(C ) WHICH ENUMERATES CERTAIN PREREQUISITE CONDITIONS WHICH MUST BE SATISFIED BEFORE AN AGENCY CAN INITIATE ANY LEGAL ACTION AGAINST A PATIENT WHICH IS RELATED TO A FAILURE BY THAT PATIENT TO PAY A HOSPITAL BILL. THE AGENCIES ARE ALSO REQUIRED TO COMPLY WITH ALL OF THE RELEVANT TERMS OF THE ACA INTERNATIONAL CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY.ONCE A FINANCIAL ASSISTANCE DETERMINATION IS MADE, ALL COLLECTION EFFORTS CEASE. IF AN ACCOUNT IS AT A COLLECTION AGENCY, THE ACCOUNT IS RETURNED BACK TO THE HOSPITAL FOR FINANCIAL ASSISTANCE PROCESSING.ALL PATIENT COMPLAINTS REGARDING DISSATISFACTION WITH SERVICES RENDERED OR BILLING ISSUES ARE HANDLED PROMPTLY AND IN A COURTEOUS MANNER TO ENSURE THAT CUSTOMER SERVICE REMAINS THE FOCUS OF ANY PATIENT CONCERN. ALL COMPLAINTS ARE CONSIDERED VALID AND PATIENT FEEDBACK IS WELCOME WITH RESPECT TO DISPUTED MATTERS.
PART VI, LINE 4:	MEMORIAL MEDICAL CENTER (MMC), A NONPROFIT TERTIARY CARE HOSPITAL WITH 500 LICENSED BEDS, IS LOCATED IN SPRINGFIELD, ILLINOIS. MMC IS A TEACHING HOSPITAL FOR SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE, WHICH IS ADJACENT TO THE HOSPITAL CAMPUS. MMC IS A LEVEL 1 TRAUMA CENTER AND MAJOR REGIONAL HEALTHCARE PROVIDER FOR CENTRAL AND SOUTHERN ILLINOIS, WHICH IS LARGELY RURAL. ALTHOUGH MMC SERVES PATIENTS FROM A WIDE RANGE OF COUNTIES, THE MAJORITY OF MMC'S COMMUNITY OUTREACH EFFORTS ARE FOCUSED ON SANGAMON COUNTY, WHERE MMC IS LOCATED. SANGAMON COUNTY (POP. 198,712), IS 877 SQUARE MILES AND IS LOCATED IN THE CENTER OF THE STATE. ALTHOUGH THE MAJORITY OF THE COUNTY IS RURAL, IT INCLUDES THE CITY OF SPRINGFIELD, (POP. 116,565), WHICH IS BOTH THE COUNTY SEAT AND STATE CAPITOL. SANGAMON COUNTY HAS EIGHT FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS (MUAS). THE POPULATION OF SANGAMON COUNTY IS 82.8% WHITE, 12.5% BLACK AND 4.7% OTHER. PERSONS AGE 65 AND OLDER MAKE UP 16% OF SANGAMON COUNTY'S POPULATION, WHICH IS HIGHER THAN THE STATE AVERAGE OF 14.2%. THE MEDIAN HOUSEHOLD INCOME IS $55,565. A TOTAL OF 15.3% OF ALL COUNTY RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 24.2% OF ALL CHILDREN AND 6.1% OF SENIORS OVER AGE 65. RESIDENTS UNDER THE AGE OF 65 WITH A DISABILITY TOTAL 10.1% OF THE POPULATION, WHILE 33.2% OF PEOPLE OVER AGE 65 HAVE A DISABILITY. IN TY2015/FY2016, .5% OF THE PATIENTS SERVED AT MMC RECEIVED PATIENT FINANCIAL ASSISTANCE (UNINSURED); 20.9% OF PATIENTS WERE ON MEDICAID; AND 29.9% RECEIVED MEDICARE. OTHER HOSPITALS IN SANGAMON COUNTY INCLUDE HSHS ST. JOHN'S HOSPITAL, A 430-BED NONPROFIT HOSPITAL AFFILIATED WITH HOSPITAL SISTERS HEALTH SYSTEM, AND VIBRA HOSPITAL (A 50-BED, LONG-TERM, ACUTE-CARE FACILITY). ABRAHAM LINCOLN MEMORIAL HOSPITAL (ALMH) IS A 25-BED RURAL CRITICAL ACCESS HOSPITAL LOCATED IN LINCOLN, IL., APPROXIMATELY 30 MILES NORTHEAST OF SPRINGFIELD. ALMH SERVES THE PEOPLE AND COMMUNITIES OF LOGAN AND EASTERN MASON COUNTIES AND IS A LARGELY RURAL, AGRICULTURAL AREA. ALMH IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA OF LOGAN COUNTY (POP. 29,494). RACE/ETHNICITY INCLUDES 89.1% WHITE, 8.2% BLACK AND 2.7% OTHER BACKGROUNDS. THE MEDIAN HOUSEHOLD INCOME IS $49,882. PERSONS AGE 65 AND OLDER MAKE UP 17.3% OF LOGAN COUNTY'S POPULATION. 13.2% OF ALL RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL. THERE ARE NO OTHER HOSPITALS PRESENT IN LOGAN COUNTY. IN TY2015/FY2016, 3.3% OF PATIENTS SERVED AT ALMH RECEIVED PATIENT FINANCIAL ASSISTANCE, 24.1% OF PATIENTS WERE COVERED BY MEDICAID AND 43.8% OF PATIENTS WERE COVERED BY MEDICARE.TAYLORVILLE MEMORIAL HOSPITAL (TMH) IS A NOT-FOR-PROFIT 25-BED RURAL CRITICAL ACCESS HOSPITAL LOCATED IN TAYLORVILLE, ILL., APPROXIMATELY 27 MILES SOUTHEAST OF SPRINGFIELD. TMH IS ONE OF TWO HOSPITALS IN THE PRIMARY SERVICE AREA OF CHRISTIAN COUNTY (POP. 34,800). THE OTHER, PANA COMMUNITY HOSPITAL, IS A CRITICAL ACCESS FACILITY IN THE SOUTHEAST CORNER OF THE COUNTY. THE MAJORITY OF THE PATIENTS SERVED BY TMH COME FROM CHRISTIAN COUNTY, WHERE THE HOSPITAL FOCUSES THE MAJORITY OF ITS COMMUNITY OUTREACH EFFORTS AND HEALTH IMPROVEMENT INITIATIVES. CHRISTIAN COUNTY'S RACE/ETHNICITY INCLUDES 96.3% WHITE, 2.1% BLACK, AND 1.6% OTHER. THE MEDIAN HOUSEHOLD INCOME IS $45,334. THE COUNTY HAS AN AGING POPULATION: PERSONS AGE 65 AND OLDER MAKE UP 17.2% OF CHRISTIAN COUNTY'S POPULATION, VS. 13.5 % FOR THE STATE OF ILLINOIS. 14.6% OF ALL PEOPLE LIVE BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 21.9% OF CHILDREN AND 7.8% OF SENIORS. CHRISTIAN COUNTY HAS NINE MEDICALLY UNDERSERVED AREAS. IN TY2015/FY2016, 2.2% OF THE PATIENTS SERVED AT TMH RECEIVED PATIENT FINANCIAL ASSISTANCE; 20.3% OF THE PATIENTS WERE ON MEDICAID AND 52.5% WERE COVERED BY MEDICARE.PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION (PAH) IS A 131-LICENSED BED HOSPITAL LOCATED IN JACKSONVILLE, IL., APPROXIMATELY 40 MILES WEST OF SPRINGFIELD. THE MAIN COUNTIES THAT PAH SERVES INCLUDE CASS, MORGAN, SCOTT, MACOUPIN AND GREENE COUNTIES (PAH HAS AT LEAST 25% OF THE MARKET IN THESE ZIP CODES). THERE IS A SMALLER, SECONDARY MARKET WHERE PAH HAS AT LEAST 5%, BUT LESS THAN 25% OF THE MARKET. THE SECONDARY MARKET INCLUDES ZIP CODES IN BROWN, SCHUYLER, AND PIKE COUNTIES. OVER 90% OF CASES COME FROM THE PRIMARY MARKET. PAH PROVIDES ALMOST 90% OF THE EMERGENCY DEPARTMENT VISITS FOR RESIDENTS OF MORGAN COUNTY AND OVER 60% OF THE OUTPATIENT SURGERIES. OF THE TOTAL PATIENTS SERVED BY PAH DURING TY2015/FY2016, 1.6% RECEIVED PATIENT FINANCIAL ASSISTANCE; AND 26.1% ARE ON MEDICAID, AND 54.5% WERE COVERED BY MEDICARE. IN THE PAH SERVICE AREA, ONE PRECINCT IN MORGAN COUNTY IS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED POPULATION, THREE TOWNSHIPS IN MACOUPIN COUNTY ARE MEDICALLY UNDERSERVED AREAS (MUAS), WHILE CASS, GREENE, BROWN AND SCOTT COUNTIES ARE ALL MUA'S. PAH IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA OF MORGAN COUNTY (POP. 34,828). THE MEDIAN HOUSEHOLD INCOME IS $46,524. 18.5% OF ALL RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL. THERE ARE NO OTHER HOSPITALS PRESENT IN MORGAN COUNTY. THE COUNTIES WHICH MAKE UP PASSAVANT'S SERVICE AREA ARE ALL RURAL AREAS.
PART VI, LINE 5:	EACH MHS HOSPITAL (MMC, PAH, ALMH, AND TMH) HAS A BOARD OF DIRECTORS MADE UP OF MEDICAL, BUSINESS AND COMMUNITY LEADERS WHO RESIDE IN THAT HOSPITAL'S PRIMARY SERVICE AREA. VOLUNTEER BOARD MEMBERS ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS NOR FAMILY MEMBERS THEREOF. THESE VOLUNTEERS DONATE NUMEROUS HOURS OF SERVICE IN THEIR OVERSIGHT ROLE AND ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, FUNDRAISING, AND GENERAL STEWARDSHIP. MORE THAN 600 PEOPLE VOLUNTEER AT THE FOUR HOSPITALS AS ESCORTS, WAITING ROOM HOSTS AND HOSTESSES AND A WIDE RANGE OF OTHER VOLUNTEER ROLES. ALL MHS HOSPITALS HAVE OPEN MEDICAL STAFFS THAT ALLOW MEMBERSHIP TO ANYONE WHO MEETS CREDENTIALING REQUIREMENTS. ALL FOUR HOSPITALS PARTICIPATE IN MEDICARE, MEDICAID, CHAMPUS, TRICARE AND OTHER GOVERNMENT PROGRAMS AND ARE DISPROPORTIONATE SHARE MEDICAID HOSPITALS THAT PROVIDE FINANCIAL ASSISTANCE AND SLIDING SCALE DISCOUNTS ACCORDING TO BOARD-APPROVED FINANCIAL ASSISTANCE POLICIES. ALL FOUR HOSPITALS ALSO PROVIDE 24/7 EMERGENCY DEPARTMENTS PROVIDING SERVICE TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY.MEMORIAL HEALTH SYSTEM UTILIZES SURPLUS FUNDS TO IMPROVE PATIENT CARE, MEDICAL EDUCATION, RESEARCH AND ACCESS TO HEALTH CARE.MEMORIAL MEDICAL CENTER SERVES AS THE REGIONAL BURN CENTER, SERVING ACUTELY BURNED PATIENTS FROM CENTRAL AND SOUTHERN ILLINOIS AND IS THE REGIONAL REHABILITATION PROVIDER FOR SPINAL CORD INJURIES, CLOSED HEAD INJURIES, STROKES AND COMPREHENSIVE INPATIENT AND OUTPATIENT REHABILITATION. MMC'S REGIONAL CANCER CENTER APPLIES ITS RESOURCES AND RESEARCH TO OFFER THE VERY LATEST IN CANCER EDUCATION, DETECTION, TREATMENT AND RESEARCH TO PATIENTS THROUGHOUT CENTRAL AND SOUTHERN ILLINOIS. MMC'S TRANSPLANT SERVICES HAS COMPLETED MORE THAN 800 KIDNEY AND COMBINED KIDNEY/PANCREAS TRANSPLANTS. MMC MAINTAINS A 24-HOUR EMERGENCY DEPARTMENT THAT IS A LEVEL 1 TRAUMA CENTER. THE EMERGENCY DEPARTMENT HAS TRADITIONALLY SERVED AS A SAFETY NET HEALTHCARE PROVIDER FOR THE UNINSURED AND UNDERINSURED WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. IT PROVIDES SERVICES TO ALL PEOPLE REGARDLESS OF ABILITY TO PAY. TO HELP MEET COMMUNITY NEED AND ALLEVIATE USE OF THE EMERGENCY DEPARTMENT FOR NON-EMERGENT CARE, MHS OPERATES THREE EXPRESSCARE WALK-IN FACILITIES. THESE PROMPT-CARE SITES USE THE SAME CRITERIA FOR PATIENTS AS THE EMERGENCY DEPARTMENT: THE UNINSURED AND THOSE ON PUBLIC INSURANCE PROGRAMS RECEIVE THE SAME LEVEL OF CARE AND TREATMENT AS ANY OTHER PATIENTS. PATIENT FINANCIAL ASSISTANCE IS PROVIDED AS NEEDED.MEMORIAL MEDICAL CENTER COLLABORATES WITH COMMUNITY PROVIDERS TO SERVE LOW INCOME AND UNINSURED POPULATIONS. MMC SUPPORTS PATIENTS FROM TWO FEDERALLY QUALIFIED HEALTH CENTERS IN SANGAMON COUNTY: CENTRAL COUNTIES HEALTH CENTER AND SOUTHERN ILLINOIS UNIVERSITY'S CENTER FOR FAMILY MEDICINE. MMC PROVIDES INPATIENT AND OUTPATIENT SERVICES TO ALL REFERRED FQHC PATIENTS, REGARDLESS OF ABILITY TO PAY. MMC ASSISTS THESE PATIENTS IN APPLYING FOR ANY HEALTH REIMBURSEMENT PROGRAM FOR WHICH THEY MAY BE ELIGIBLE AND ACCEPTS THE FQHC RECOMMENDED SLIDING SCALE FEE OR, IF THE PATIENT IS NOT ABLE TO PAY HIS/HER PORTION OF THE BILL, THE AMOUNT IS FORGIVEN UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. MMC, IN PARTNERSHIP WITH ST. JOHN'S HOSPITAL AND SOUTHERN ILLINOIS UNIVERSITY'S FEDERALLY QUALIFIED HEALTH CENTER, SUPPORT THE ENOS PARK ACCESS COLLABORATIVE. MMC AND ST. JOHN'S EACH PROVIDE 50% OF THE FUNDING FOR COMMUNITY HEALTH WORKERS (CHW) AND A MENTAL HEALTH COUNSELOR BASED AT THE NEIGHBORHOOD ELEMENARY SCHOOL. THESE CHW'S AND COUNSELOR IDENTIFY HEALTH NEEDS (INCLUDING SOCIAL DETERMINANTS OF HEALTH) AND BARRIERS TO ACCESSING NEEDED SERVICES FOR THE MOST VULNERABLE POPULATIONS IN A TARGETED RESIDENTIAL NEIGHBORHOOD WITH SIGNIFICANT LEVELS OF POVERTY AND OTHER RISK FACTORS. THEY ALSO WORK WITH LOCAL HEALTH AND SOCIAL SERVICE PROVIDERS TO OVERCOME IDENTIFIED BARRIERS FOR THEIR HIGH-RISK CLIENTS. MMC ALSO PROVIDES FREE TEMPORARY SUPPLIES OF PHARMACEUTICALS PRESCRIBED FOR INDIGENT PATIENTS WHO ARE DISCHARGED FROM ITS EMERGENCY ROOM AND INPATIENT HOSPITAL. IN ADDITION MMC FUNDS FREE PHARMACEUTICALS FOR LOW-INCOME AND HOMELESS PERSONS SERVED BY THE KUMLER OUTREACH MINISTRIES, A PROGRAM OF KUMLER METHODIST CHURCH. MMC ALSO COVERS THE COSTS FOR AMBULANCES AND MEDICARS THAT TRANSFER DISCHARGED MEDICARE PATIENTS AND THE INDIGENT FROM THE HOSPITAL TO NURSING HOMES OR TO THEIR OWN HOMES IN THE COMMUNITY. MMC IS COMMITTED TO HEALTH PROFESSIONS EDUCATION. MHS PROVIDES SIGNIFICANT FINANCIAL SUPPORT FOR SOUTHERN ILLINOIS UNIVERSITY, A STATE UNIVERSITY THAT DOES NOT RECEIVE SUFFICIENT OPERATING SUPPORT FROM THE STATE OF ILLINOIS. MMC SERVES AS A MAJOR TEACHING HOSPITAL FOR SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE, WHICH HAS ABOUT 300 MEDICAL STUDENTS STUDYING IN SPRINGFIELD DURING THEIR SECOND THROUGH FOURTH YEARS OF MEDICAL SCHOOL, AND MORE THAN 300 RESIDENTS AND FELLOWS PARTICIPATING IN 23 DIFFERENT SPECIALTY PROGRAMS. MMC IS COLLABORATING WITH THE UNIVERSITY OF ILLINOIS SPRINGFIELD AND UNIVERSITY OF ILLINOIS CHICAGO TO OFFER A NEW BACHELOR OF SCIENCE AND MASTERS IN NURSING PROGRAMS TO THE SPRINGFIELD CAMPUS TO HELP INCREASE THE AVAILABILITY OF REGISTERED NURSES AND ADVANCED PRACTICE NURSES IN CENTRAL AND SOUTHERN ILLINOIS. MMC ALSO OFFERS CLINICAL TRAINING SITES FOR MULTIPLE OTHER NURSING SCHOOLS, PROVIDING CLINICAL EXPERIENCES TO HUNDREDS OF UNDERGRADUATE RN AND LPN STUDENTS ANNUALLY. CLINICAL EXPERIENCES ARE OFFERED TO STUDENTS FROM NUMEROUS OTHER UNIVERSITY AND COLLEGE HEALTH PROFESSIONAL TRAINING PROGRAMS IN THE REGION. THESE INCLUDE RADIOLOGY, PHARMACY, CERTIFIED REGISTERED NURSE ANESTHESISTS, CLINICAL LABORATORY SCIENTISTS, SPEECH PATHOLOGISTS, PHYSICAL AND OCCUPATIONAL THERAPISTS AND OTHERS.MMC SUPPORTS CLINICAL RESEARCH AND OFFERS NUMEROUS CANCER TRIALS THROUGH THE CENTRAL ILLINOIS COMMUNITY CLINICAL ONCOLOGY PROGRAM, WHICH RECEIVES SUPPORT FROM THE NATIONAL CANCER INSTITUTE. IN ADDITION, MMC PROVIDES FUNDING AND SUPPORT FOR THE SPRINGFIELD COMMITTEE ON RESEARCH IN HUMAN SUBJECTS, THE LOCAL INSTITUTIONAL REVIEW BOARD FOR CLINICAL RESEARCH TRIALS IN SPRINGFIELD. MORE THAN 450 RESEARCH PROJECTS AND PROTOCOLS ARE OPEN AT ANY GIVEN TIME. MMC ALSO USES SURPLUS FUNDS TO PROVIDE SERVICES AND EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITIES IT SERVES THROUGH EDUCATIONAL PROGRAMS THAT PROVIDE CLASSES AND INFORMATION ON A WIDE RANGE OF WELLNESS TOPICS. MMC CONDUCTS NUMEROUS FREE AND LOW-COST HEALTH SCREENINGS AND FREE SUPPORT GROUPS FOR COMMUNITY MEMBERS DEALING WITH BREAST CANCER, PROSTATE CANCER, DIABETES, KIDNEY/PANCREAS TRANSPLANT, STROKE/BRAIN INJURY, HEART FAILURE, AND WEIGHT LOSS AND WELLNESS.SURPLUS FUNDS ALSO IMPROVE PATIENT CARE BY ADDRESSING IMPORTANT IMPROVEMENTS TO THE MMC HOSPITAL INFRASTRUCTURE. DURING TY2015/FY2016, MMC COMPLETED WORK ON A MULTIPHASE EXPANSION PROJECT. THE PROJECT INCLUDED CONSTRUCTION OF THREE NEW PATIENT FLOORS WITH 114 PRIVATE PATIENT ROOMS THAT WILL IMPROVE PATIENT SAFETY, PRIVACY AND COMFORT AND REDUCE THE RISK OF INFECTION. EXISTING DOUBLE PATIENT ROOMS WERE CONVERTED TO PRIVATE ROOMS. THE NEW CONSTRUCTION ALSO INCLUDED EXPANDED SURGICAL CAPACITY WITH THE ADDITION OF SIX NEW OPERATING ROOMS. HEALTH PROFESSIONS EDUCATION WAS ENHANCED THROUGH A NEW FOUR-STORY MEMORIAL CENTER FOR LEARNING AND INNOVATION FACILITY WHICH OFFERS NEW AND ADVANCED PROFESSIONAL EDUCATIONAL OPPORTUNITIES FOR MEMORIAL STAFF AS WELL AS SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE AND OTHER REGIONAL HEALTHCARE ACADEMIC PARTNERS. TO FURTHER ACCELERATE ADVANCEMENTS IN QUALITY, PATIENT SAFETY AND CLINICAL INNOVATION, MMC EXPANDED THE MIDWEST HEALTH QUALITY ALLIANCE(MHQA) AND THE QUALITY ALLIANCE PATIENT SAFETY ORGANIZATION(QAPSO), BOTH OF WHICH ARE HOUSED IN THE NEW MEMORIAL CENTER FOR LEARNING AND INNOVATION. THE QAPSO MAINTAINED NATIONAL CERTIFICATION FROM THE AGENCY FOR HEALTHCRE RESEARCH AND QUALITY AND THE MHQA MAINTAINED MULTI-SPECIALTY PORTFOLIO APPROVAL DESIGNATION FROM THE AMERICAN BOARD OF MEDICAL SPECIALTIES. THIS DESIGNATION ALLOWS THE MHQA TO ASSIST PHYSICIANS IN A WIDE RANGE OF SPECIALTIES AND SUBSPECIALTIES TO ACHIEVE AND MAINTAIN THEIR SPECIALTY CERTIFICATIONS BY PROVIDING CONTINUING MEDICAL EDUCATION(CME) CURRICULUM ON-SITE ON THE MMC CAMPUS. NEW CONFERENCE CENTER SPACE ALSO ALLOWS MEMORIAL TO OFFER ADDITIONAL PROFESSIONAL AND COMMUNITY HEALTH EDUCATION EVENTS. DURING TY2015/FY2016, MMC EXPANDED MEMORIAL CARE COORDINATION SERVICES TO HELP PATIENTS WITH COMPLEX MEDICAL NEEDS ACHIEVE LONG-TERM HEALTHCARE GOALS AND ACCESS THE CARE THEY NEED. IN TY2015/FY2016 MMC MAINTAINED COMPREHENSIVE STROKE CENTER CERTIFICATION, THE HIGHEST LEVEL OF STROKE CERTIFICATION AWARDED BY THE JOINT COMMISSION OF ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). MEMORIAL CONTINUES TO MAINTAIN A TELESTROKE NETWORK WITH OTHER HOSPITALS IN THE REGION WHEREBY PATIENTS PRESENTING WITH STROKE SYMPTOMS CAN BE DIAGNOSED AND TRIAGED AT THEIR LOCAL HOSPITAL.
PART VI, LINE 6:	MEMORIAL HEALTH SYSTEM, A 501(C)(3) CORPORATION, IS THE SOLE CORPORATE MEMBER OF ABRAHAM LINCOLN MEMORIAL HOSPITAL (ALMH), A RURAL CRITICAL ACCESS HOSPITAL; TAYLORVILLE MEMORIAL HOSPITAL (TMH), A RURAL CRITICAL ACCESS HOSPITAL; PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION (PAH), A 93 BED HOSPITAL; AND MEMORIAL MEDICAL CENTER (MMC), A 500-BED TERTIARY CARE HOSPITAL THAT OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES. OTHER AFFILIATES INCLUDE: MEMORIAL PHYSICIAN SERVICES, A PRIMARY CARE PHYSICIAN NETWORK THAT INCLUDES SEVERAL CLINICS LOCATED IN MEDICALLY UNDERSERVED OR HEALTH MANPOWER SHORTAGE AREAS; MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS DBA "MEMORIAL BEHAVIORAL HEALTH", A MULTI-COUNTY OUTPATIENT MENTAL HEALTH NETWORK THAT PROVIDES SERVICE BASED ON A SLIDING-SCALE FEE SCHEDULE AND FREE CARE TO A WIDE RANGE OF PATIENTS WITH PSYCHIATRIC DISORDERS; MEMORIAL HOME SERVICES, A MULTI-COUNTY HOME CARE AND HOSPICE PROGRAM; A CHILD CARE CENTER; PASSAVANT PHYSICIAN ASSOCIATION, A PHYSICIAN NETWORK LOCATED IN JACKSONVILLE, IL; AND FOUR HOSPITAL FOUNDATIONS, ALL OF WHICH ARE 501(C)(3) ENTITIES.MEMORIAL HEALTH SYSTEM'S AFFILIATES ENGAGE IN A WIDE RANGE OF PROGRAMS AND ACTIVITIES THAT PROMOTE COMMUNITY HEALTH. HEALTH SYSTEM AFFILIATES INTEGRATE SERVICES TO PROVIDE IMPROVED ACCESS AND STREAMLINED TRANSITIONS BETWEEN THE DOCTORS' OFFICES, HOSPITAL, HOME HEALTH AGENCY, NURSING HOME AND MENTAL HEALTH CLINICS. IN ADDITION TO THE HOSPITAL ACTIVITIES PREVIOUSLY DESCRIBED FOR MMC, ALMH, PAH AND TMH, ALL OTHER MEMORIAL HEALTH SYSTEM AFFILIATES' CONTRIBUTIONS TO COMMUNITY BENEFITS CONSIST OF THE FOLLOWING:MEMORIAL PHYSICIAN SERVICES (MPS) IS A PRIMARY CARE NETWORK OF 10 BRANCH CLINICS THAT SUPPORT A VARIETY OF OUTPATIENT SERVICES THROUGHOUT CENTRAL ILLINOIS. PATIENTS MAY BE CARED FOR IN A CLINIC, NURSING HOME, HOSPITAL OR VIRTUAL SETTING. COMPRISED OF MORE THAN 100 PHYSICIANS, PHYSICIAN ASSISTANTS AND ADVANCED PRACTICE NURSES, IT EMPLOYS MORE THAN 340 SUPPORT PERSONNEL AND PROVIDES 295,000+ PATIENT VISITS EACH YEAR. PHYSICIAN OFFICES AND CLINICS ARE LOCATED IN SPRINGFIELD, JACKSONVILLE, LINCOLN, PETERSBURG AND CHATHAM. MPS ALSO HAS AN ON-SITE CLINIC AT A LOCAL NURSING HOME TO IMPROVE ACCESS FOR ELDERLY RESIDENTS. ALL OF THE MPS PRIMARY CARE CLINICS ARE NCQA DESIGNATED LEVEL 3 PATIENT CENTERED MEDICAL HOMES. FOR PATIENTS WITHOUT AN ESTABLISHED PRIMARY CARE RELATIONSHIP, MPS HAS PARTNERED WITH MEMORIAL'S EXPRESSCARE CLINICS TO FACILITATE PATIENT APPOINTMENTS AND THE ESTABLISHMENT OF MEDICAL HOME RELATIONSHIPS WITH THESE PATIENTS. MPS PROVIDES COMMUNITY BENEFITS BY MENTORING AND PROVIDING HEALTH PROFESSION EDUCATION OPPORTUNITIES FOR MEDICAL STUDENTS, ADVANCED PRACTICE NURSES, PHYSICIAN ASSISTANTS AND CERTIFIED MEDICAL ASSISTANTS.MEMORIAL HEALTH VENTURES MANAGES JOINT VENTURES IN WHICH MHS HAS ENTERED WITH OTHER HEALTHCARE PROFESSIONALS AND ORGANIZATIONS. OPERATIONS INCLUDE MHS'S OUTPATIENT SERVICE AND MEMORIAL EXPRESSCARE.MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS (DBA MEMORIAL BEHAVIORAL HEALTH (MBH)) IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION PROVIDING HIGH-QUALITY, COMPREHENSIVE BEHAVIORAL HEALTH AND REHABILITATION SERVICES. IT IS ONE OF THE LARGEST PROVIDERS OF BEHAVIORAL HEALTH SERVICES IN CENTRAL ILLINOIS, SERVING MORE THAN 9,000 INDIVIDUALS EACH YEAR IN LOGAN, MASON, MENARD, MORGAN, SANGAMON AND SCOTT COUNTIES. ESTABLISHED IN 1947, MBH CARES FOR CHILDREN, ADOLESCENTS, AND ADULTS AND HAS SIX SITES OF CARE LOCATED IN SPRINGFIELD, LINCOLN, AND JACKSONVILLE. BEHAVIORAL SERVICES INCLUDE CRISIS INTERVENTION, PSYCHIATRIC AND MEDICAL SERVICES, SCREENING AND ASSESSMENT, OUTPATIENT THERAPY, CASE MANAGEMENT, GROUP EDUCATION AND SUPPORT, AND EMPLOYMENT SERVICES, AS WELL AS RESIDENTIAL CARE. MBH ALSO PROVIDES TREATMENT TO CHILDREN AND ADOLESCENTS WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER. ITS PSYCHIATRIC RESPONSE TEAM WORKS WITH FOUR AREA HOSPITAL EMERGENCY DEPARTMENTS. REHABILITATION AND SUPPORT SERVICES FOR INDIVIDUALS WITH A DEVELOPMENTAL DISABILITY INCLUDE COMMUNITY AND ON-SITE EMPLOYMENT, DEVELOPMENTAL TRAINING, COMMUNITY SUPPORT AND 24-HOUR SUPERVISED RESIDENTIAL CARE. MBH ALSO PROVIDES PSYCHIATRIC CRISIS INTERVENTION WITH LOCAL SCHOOLS DEALING WITH SUICIDE OR OTHER TRAUMATIC EVENTS; CRISIS INTERVENTION TRAINING FOR LOCAL LAW ENFORCEMENT DEALING WITH MENTALLY ILL INDIVIDUALS; AND MENTALLY ILL HOMELESS PERSONS' ADVOCACY AND COUNSELING. MBH IS A MEMBER OF THE NATIONAL SUICIDE PREVENTION LIFELINE. IT STAFFS A HOTLINE ANSWERING CALLS FROM INDIVIDUALS IN CRISIS 24/7, 365 DAYS A YEAR. MBH ALSO SPONSORS PROFESSIONAL CONFERENCES ATTENDED BY PROVIDERS THROUGHOUT THE STATE. MBH IS COLLABORATING WITH LOCAL PARTNERS ON THE CHILDREN'S MOSAIC PROJECT TO INCREASE CAPACITY TO PROVIDE COMMUNITY-BASED MENTAL HEALTH SERVICES TO UNSERVED OR UNDER-SERVED CHILDREN IN SPRINGFIELD. IN TY2015/FY2016, MORE THAN 13,000 CHILDREN RECEIVED MENTAL HEALTH SCREENINGS IN SCHOOLS AND PRIMARY CARE PHYSICIAN OFFICES, AND MORE THAN 1,300 CHILDREN AND FAMILIES RECEIVED MENTAL HEALTH SERVICES IN COMMUNITY SETTINGS. A PARENT SUPPORT GROUP IS OFFERED IN A TARGETED AT-RISK NEIGHBORHOOD.MEMORIAL HOME SERVICES PROVIDES HOME HEALTH, HOME HOSPICE AND HOME MEDICAL EQUIPMENT SERVICES ACROSS CENTRAL ILLINOIS. HOME HEALTH OFFERS INDIVIDUALS ASSISTANCE IN RECOVERING FROM INJURY, SURGERY OR ILLNESS IN THE COMFORT OF THEIR OWN HOME. IT PROVIDES HOME NURSING CARE, AS WELL AS HOME THERAPY SERVICES, MATERNAL CHILD NURSING, AND TELEHEALTH HOME MONITORING.MEMORIAL HOME SERVICES OFFERS HOME MEDICAL EQUIPMENT AND SUPPLIES, INCLUDING RESPIRATORY EQUIPMENT/SERVICES, WHEELCHAIR AND REHAB TECHNOLOGY AND HOME INFUSION THERAPY. MEMORIAL HOME SERVICES ALSO PROVIDES HOME HOSPICE CARE, ASSISTING PATIENTS AND FAMILIES AT END-OF-LIFE, INCLUDING SKILLED NURSING, VOLUNTEER SERVICES, SPIRITUAL AND EMOTIONAL CARE, AS WELL AS BEREAVEMENT SERVICES AFTER THE PASSING OF A LOVED ONE. MEMORIAL HOME SERVICES ALSO COMPLETED 58 FREE HEALTH SCREENING EVENTS IN TY2015/FY2016, OFFERING 779 FREE BLOOD PRESSURE AND 360 GLUCOSE SCREENINGS IN A WIDE VARIETY OF COMMUNITY LOCATIONS.THE MEMORIAL MEDICAL CENTER FOUNDATION (MMCF) PROVIDES GRANTS FOR PATIENT CARE, EDUCATION AND CLINICAL RESEARCH. IN TY2015/FY2016, MMCF AWARDED MORE THAN $537,000 IN 32 HEALTH-RELATED GRANTS FOR COMMUNITY AND HEALTH-SYSTEM INITIATIVES THAT BENEFIT THE PEOPLE AND COMMUNITIES SERVED BY MEMORIAL. SIU SCHOOL OF MEDICINE RECEIVED SEVEN GRANTS, INCLUDING FUNDS FOR LABORATORY EQUIPMENT, SIMULATION MANNEQUINS, AND DEVELOPMENT OF EDUCATION MATERIALS FOR VASCULAR PATIENTS. SIU RESEARCH GRANTS INCLUDED RESEARCH FOR DNA/RNA, STEM CELLS, AND CELL GROWTH TO HEAL FRACTURES. THE UNIVERSITY OF ILLINOIS AT SPRINGFIELD RECEIVED FUNDING FOR ANATOMICAL MODELS FOR USE IN ANATOMY AND PHYSIOLOGY CLASSES. A LOCAL PROGRAM FOR LOW-INCOME MOTHERS RECEIVED FUNDING TO CONDUCT EDUCATION ON HEALTH TOPICS. THE FOUNDATION ALSO ADMINISTERS A CANCER PATIENT ASSISTANCE FUND THAT PROVIDES FUNDING TO PATIENTS FOR UTILITIES, RENT AND OTHER BASIC EXPENSES WHILE UNDERGOING CANCER TREATMENT, AND A TRANSPLANT PATIENT ASSISTANCE FUND THAT HELPS KIDNEY/PANCREAS TRANSPLANT PATIENTS WITH THE COST OF ANTI-REJECTION MEDICATIONS, TRANSPORTATION EXPENSES AND LODGING. ANOTHER FUND, SHARING WISHES, HELPS GRANT WISHES OF HOSPICE PATIENTS. IN TY2015/FY2016, MMCF SUPPORTED A COMMUNITY-WIDE WOMEN'S HEALTH FAIR TO PROVIDE A VARIETY OF HEALTH SCREENINGS AND TO EDUCATE WOMEN ABOUT A WIDE RANGE OF HEALTH ISSUES. ABRAHAM LINCOLN HEALTHCARE FOUNDATION (ALHF) UNDERWRITES THE OPERATING EXPENSES OF THE HEALTHY COMMUNITIES PARTNERSHIP, WHICH WAS MORE THAN $100,000 IN FY16. THE HEALTHY COMMUNITIES PARTNERSHIP (HCP) PROVIDES NETWORKING AND COLLABORATION AMONG A VARIETY OF COMMUNITY RESOURCES. HCP TASK FORCES COLLABORATIVELY ADDRESS ALCOHOL AND DRUG USE, OBESITY, AND CHRONIC DISEASE MANAGEMENT ON THE LOCAL COMMUNITY LEVEL. HCP ACTIVITIES ARE FUNDED BY THE FOUNDATION INCLUDING EVENTS TO PROMOTE SUBSTANCE-FREE AND HEALTHY LIFESTYLES. THE FOUNDATION ALSO PROVIDED MORE THAN $3,100 IN PHARMACEUTICAL ASSISTANCE TO DISCHARGED PATIENTS WHO COULD NOT AFFORD TO FILL THEIR PRESCRIPTIONS. ALHF ALSO COORDINATED A PRODUCER-ONLY FARMERS MARKET FROM MAY 2016 TO OCTOBER 2016 INCREASING LOCAL ACCESS TO FRUITS AND VEGETABLES AND CREATING A WELLNESS DESTINATION INCLUDING FITNESS CLASSES, COOKING DEMONSTRATIONS, AND CHILDREN'S WELLNESS PROGRAMMING.
PART VI, LINE 7, REPORTS FILED WITH STATES	IL
LINE 5 CONT.	MEMORIAL MEDICAL CENTER (MMC) WAS AWARDED THE 2016 AMERICAN HOSPITAL ASSOCIATION MCKESSON QUEST FOR QUALITY AWARD - THE TOP QUALITY AWARD IN THE UNITED STATES. LIKEWISE, MMC ACHIEVED 2 OF THE 4 STATEWIDE ILLINOIS HOSPITAL ASSOCIATION EXCELLENCE ACHIEVEMENT AWARDS FOR WORK RELATED TO PALLIATIVE CARE AND THE TREATMENT OF PATIENTS WITH ACUTE HEART PROBLEMS. MMC ALSO RECEIVED ITS 3RD MAGNET HOSPITAL DESIGNATION FOR NURSING EXCELLENCE FROM THE AMERICAN NURSES CREDENTIALING CENTER, A STATUS ACHIEVED BY ONLY 3% OF THE HOSPITALS IN THE UNITED STATES. THE MMC REHABILITATION PROGRAM ALSO ACHIEVED A 5-FOLD ACCREDITATION FROM THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) IN THE AREAS OF COMPREHENSIVE INPATIENT, COMPREHENSIVE OUTPATIENT, CLOSED HEAD INJURIES, SPINAL CORD INJURIES AND STROKES. MMC IS ONE OF ONLY 4 FACILITIES TO RECEIVE A 5-FOLD CARF ACCREDITATION FOR REHABILITATION AND THE ONLY FACILITY IN ILLINOIS. MMC RECEIVED ACCREDITATION FOR ITS LUNG VOLUME REDUCTION PROGRAM FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS, ONE OF ONLY FIVE HOSPITALS IN THE UNITED STATES TO RECEIVE THIS DESIGNATION. IN FY2016, MEMORIAL BEGAN CONSTRUCTION ON A FACILITY EXPANSION FOR THE SIU FAMILY AND COMMUNITY MEDICINE CLINIC FEDERALLY QUALIFIED HEALTH CENTER. THIS EXPANSION WILL DRAMATICALLY INCREASE THE NUMBER OF POOR AND VULNERABLE PATIENTS SERVED BY THE FQHC. IN ADDITION TO FUNDING THE FACILITY EXPANSION, MEMORIAL MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT SERVICES TO ALL REFERRED SIU FQHC PATIENTS, REGARDLESS OF ABILITY TO PAY. MMC ASSISTS THESE PATIENTS TO APPLY FOR ANY INSURANCE PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND ACCEPTS THE FQHC RECOMMENDED SLIDE SCALE FEE OR, IF THE PATIENT IS NOT ABLE TO PAY HIS/HER PORTION OF THE BILL, THE AMOUNT IS FORGIVEN UNDER THE HOSPITAL'S CHARITY CARE PROGRAM.IN THE AREA OF INFORMATION SYSTEMS, THE TOUCHWORKS ELECTRONIC AMBULATORY HEALTH RECORD HAS BEEN ENHANCED FOR SIU SCHOOL OF MEDICINE PHYSICIANS SO THAT MEMORIAL PHYSICIAN SERVICES, SPRINGFIELD CLINIC AND SIU SHARE THE SAME AMBULATORY HEALTH RECORD. THIS PROVIDES REAL-TIME INFORMATION SHARING TO BETTER COORDINATE CARE ACROSS MULTIPLE SITES OF CARE. TO CONTINUE TO IMPROVE THE ORGANIZATION'S POPULATION HEALTH, CHRONIC DISEASE MANAGEMENT AND CARE COORDINATION CAPABILITIES AND INFRASTRUCTURE, A MEMORIAL AMBULATORY HEALTH STRATEGIC PLAN BEGAN TO BE IMPLEMENTED THIS YEAR. IN TY2015/FY2016, OTHER SERVICES WERE DEVELOPED TO BETTER MEET THE NEEDS OF THE POPULATIONS SERVED BY MHS. FOR EXAMPLE, MMC EXPANDED ITS DAVINCI ROBOTIC SURGERY PROGRAM TO PROVIDE LESS INVASIVE SURGERIES WITH SHORTER RECOVERY TIMES AND LESS PAIN FOR PATIENTS. MMC ALSO LAUNCHED AN ADVANCED HERNIA CENTER AND RETAINED ITS LEVEL 1 TRAUMA CENTER.ABRAHAM LINCOLN MEMORIAL HOSPITAL (ALMH) IS A RURAL CRITICAL ACCESS HOSPITAL WITH 25 STAFFED BEDS. SERVICES OFFERED INCLUDE 24-HOUR EMERGENCY MEDICINE, GENERAL ACUTE INPATIENT CARE, PAIN MANAGEMENT, ORTHOPEDICS, SURGERY AND FAMILY MATERNITY SUITES. ALMH ALSO OFFERS A FULL RANGE OF OUTPATIENT REHABILITATION AND THERAPY AS WELL AS DIAGNOSTIC TESTING. A FIXED MRI UNIT AND UPGRADED CT SCAN OFFER COMMUNITY MEMBERS LOCAL AND CONVENIENT ACCESS TO MANY DIAGNOSTIC TESTS. ALMH'S EMERGENCY DEPARTMENT HAS TRADITIONALLY SERVED AS A SAFETY NET HEALTHCARE PROVIDER FOR THE UNINSURED AND UNDERINSURED WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. ALMH OFFERS MEMORIAL JOINTWORKS, WHICH EDUCATES PATIENTS AND THEIR FAMILIES ABOUT WHAT TO EXPECT BEFORE, DURING AND AFTER HIP OR KNEE REPLACEMENT SURGERY. THIS PERSONALIZED AND AGGRESSIVE THERAPY APPROACH HAS SUCCESSFULLY ASSISTED PATIENTS TO REDUCE THEIR PAIN AND MAXIMIZE THEIR FUNCTION AND MOBILITY AFTER SURGERY.ULTRASOUND GUIDED BIOPSIES AND A HEART FAILURE CLINIC ARE NOW OFFERED AT ALMH, OFFERING AN ADDITIONAL DIAGNOSTIC SERVICE TO THE COMMUNITY. ALMH PROVIDES FREE COMMUNITY WEEKLY BLOOD PRESSURE SCREENINGS THROUGH THE ALMH VOLUNTEER PROGRAM AND A WEEKLY BREASTFEEDING SUPPORT GROUP TO NEW MOTHERS IN THE SERVICE AREA. ALMH OFFERS MEMORIAL WEIGHT LOSS AND WELLNESS CENTER SERVICES IN RESPONSE TO NEEDS FOUND ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. TAYLORVILLE MEMORIAL HOSPITAL (TMH) IS A RURAL CRITICAL ACCESS HOSPITAL WITH OCCUPANCY FOR 25 STAFFED ACUTE AND SWING BEDS. SERVICES OFFERED INCLUDE OBSERVATION SERVICES, A 24-HOUR EMERGENCY DEPARTMENT, OUTPATIENT SURGERY, LABORATORY, REHABILITATION THERAPY, AND RADIOLOGY SERVICES WITH MRI, CT, 3D MAMMOGRAPHY, ECHOCARDIOLOGY, ULTRASOUND/SONOGRAPHY AND NUCLEAR MEDICINE. TMH'S EMERGENCY DEPARTMENT CONTINUES TO SERVE AS A SAFETY NET HEALTHCARE PROVIDER FOR MANY OF THE COMMUNITY'S UNINSURED AND UNDERINSURED WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. DURING TY2015/FY2016, TMH UTILIZED SURPLUS FUNDS TO UPGRADE EQUIPMENT INCLUDING 3D MAMMOGRAM WHICH WILL OFFER MORE DETAIL AND SPECIFICITY, C-ARM FOR RADIOLOGY WHICH WILL BOTH IMPROVE DIAGNOSTIC CAPABILITY AS WELL AS PAIN MANAGEMENT FOR PATIENTS, SCOPE FOR COLONOSCOPY WHICH WILL ENHANCE SERVICES. NEW GLIDE SCOPES FOR ANESTHESIA IMPROVE VISIBLITY WHICH WILL ENHANCE PATIENT SAFTEY. NEW EYE STRETCHERS WILL ALLOW TMH CUSTOMERS INCREASED COMFORT WHILE AFFORDING STAFF BETTER ERGONOMICS TO PREVENT INJURIES. A NEW COMPUTER T-SYSTEM WAS IMPLEMENTED IN THE EMERGENCY ROOM TO ENHANCE DOCUMENTATION AND ENSURE COMPLIANCE. TO REDUCE THE RISK OF LEGIONELLA DISEASE, A DEADLY RESPIRATORY INFECTION, TMH UPGRADED THE HOT WATER SYSTEM. IMPLEMENTATION OF SIU TELEHEALTH WILL ALLOW SPECIALTY SERVICES FOR ITS CUSTOMERS AS WELL AS CONVENIENCE. PURCHASING A NEW CENTRIFUGE FOR LAB ALLOWS THE LAB TO DO TEMPERATURE ADJUSTMENT TO SPECIMENS TO IMPROVE EFFICIENCY.PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION (PAH) IS A HOSPITAL WITH 103 STAFFED BEDS, IS STAFFED BY OVER 800 FULL AND PART-TIME EMPLOYEES, AND AN ACTIVE MEDICAL STAFF OF 70 PHYSICIANS. SERVICES OFFERED INCLUDE 24-HOUR EMERGENCY MEDICINE, GENERAL ACUTE INPATIENT CARE, WOUND CARE, ORTHOPEDICS, AND SURGERY, AS WELL AS A FULL RANGE OF OUTPATIENT REHABILITATION AND THERAPY AND DIAGNOSTIC TESTING. A FIXED MRI UNIT AND UPGRADED CT SCAN OFFER COMMUNITY MEMBERS LOCAL AND CONVENIENT ACCESS TO MANY DIAGNOSTIC TESTS. PAH'S EMERGENCY DEPARTMENT HAS TRADITIONALLY SERVED AS A SAFETY NET HEALTHCARE PROVIDER FOR THE UNINSURED AND UNDERINSURED WHO DO NOT HAVE PRIMARY CARE PHYSICIANS.PAH USED SURPLUS FUNDS TO IMPROVE COMMUNITY HEALTH BY OPENING A SPECIALTY CLINIC AND BEGAN CONSTRUCTION FOR RADIATION THERAPY, BOTH OF WHICH EXPAND SERVICES PROVIDED TO COMMUNITY MEMBERS. PAH ALSO COLLABORATED WITH THE MIA WARE FOUNDATION IN PROVIDING FREE MAMMOGRAMS FOR THOSE WHO CANNOT AFFORD THEM. PAH COMPLETED CONSTRUCTION ON AN INPATIENT PSYCHIATRIC UNIT AND OPENED FOR PATIENTS IN JULY 2016. PAH INCREASED THE COMMUNITY ACCESS TO CANCER SCREENINGS BY PARTNERING WITH THE NATIONAL KIDNEY FOUNDATION TO OFFER KIDNEY MOBILE SCREENINGS. PAH ALSO SPONSORED A SKIN CANCER SCREENING EVENT IN COOPERATION WITH A LOCAL DERMATOLOGIST, PROVIDING FREE SKIN CANCER SCREENINGS. PAH HOSTS SEVERAL SUPPORT GROUPS FOR THE COMMUNITY: BEREAVED PARENTS, ALZHEIMER'S, BREASTFEEDING, DIABETES, GRIEF, GRANDPARENTS RAISING CHILDREN, PARKINSON'S AND NEUROMUSCULAR DISORDERS.PAH PROVIDES CASH AND IN-KIND DONATIONS TO AREA NON-PROFIT ORGANIZATIONS. PAH PROVIDES FREE MEDICARE CONSULTING SERVICES TO SENIORS. PAH PROVIDES SPEAKERS, SCREENINGS AND HEALTH FAIRS FOR FREE AT THE JACKSONVILLE AREA SENIOR CENTER. IT ALSO CONDUCTS A "COMMUNITY HEALTH CHECK" ON A QUARTERLY BASIS TO PROVIDE FREE CHOLESTEROL SCREENINGS. IN TY2015/FY 2016, PAH PROVIDED $1.5 MILLION IN CHARITY CARE CHARGES.PAH HAS ALSO COLLABORATED WITH THE MORGAN COUNTY HEALTH DEPARTMENT IN HELPING TO FUND A CLINIC TO DIAGNOSE AND TREAT SEXUALLY TRANSMITTED DISEASES. PAH PROVIDES FINANCIAL SUPPORT TO THIS CLINIC, AS WELL AS PHYSICIANS AND NURSES VOLUNTEERING THEIR TIME TO SEE PATIENTS AT THE CLINIC. PAH ALSO WORKS WITH LOCAL SCHOOLS TO IMPROVE CURRICULUM ON REPRODUCTIVE HEALTH, AND SUPPORTS THE PARTNERSHIP FOR SUBSTANCE MISUSE, A LOCAL COALITION, IN ITS WORK TO ADDRESS ADOLESCENT SUBSTANCE ABUSE.
LINE 6 CONT.	TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION (TMHF) PROVIDES GRANTS TO SUPPORT PATIENT CARE, EDUCATION AND COMMUNITY HEALTH OUTREACH IN ADDITION TO FACILITATING PARTNERSHIPS AND COLLABORATION TO IMPROVE THE HEALTH OF THE COMMUNITY SERVED BY TMH. IN TY2015/FY2016, TMHF AWARDED NEARLY $27,000 IN GRANTS TO THE COMMUNITY AND TAYLORVILLE MEMORIAL HOSPITAL. MAMMOGRAPHY ASSISTANCE GRANTS FROM THE "CUPS FUND" TOTALING $4,685 WERE PROVIDED TO WOMEN IN CHRISTIAN COUNTY WHO WERE UNINSURED OR DO NOT HAVE HEALTH INSURANCE. THE FOUNDATION ALSO ADMINISTERS THREE COLLEGE SCHOLARSHIPS THAT AWARDED $6,500 TO BENEFIT THOSE PURSUING EDUCATION IN NURSING AND OTHER HEALTHCARE RELATED FIELDS.PASSAVANT PHYSICIAN ASSOCIATION (PPA) IS A GROUP OF 6 PHYSICIAN OFFICES THAT OFFER A VARIETY OF SERVICES: SURGERY; EAR, NOSE & THROAT; PSYCHIATRIC; INTERNAL MEDICINE; WOUND CARE; AND OBSTETRICS/GYNECOLOGY. COMPRISED OF MORE THAN 17 PHYSICIANS AND MID-LEVEL PROVIDERS, IT EMPLOYS MORE THAN 50 PEOPLE AND PROVIDES 25,000+ PATIENT VISITS EACH YEAR. PPA PROVIDES COMMUNITY BENEFITS BY PROVIDING COMMUNITY EDUCATION PROGRAMS ON VARIOUS TOPICS, SUCH AS STROKE, DIABETES, DEPRESSION, HOSPICE CARE, AND PATIENT SAFETY.JACKSONVILLE CRNA'S IS A GROUP OF CERTIFIED REGISTERED NURSE ANESTHETISTS WHO PROVIDE SERVICES TO PATIENTS AT PAH.PASSAVANT AREA HOSPITAL FOUNDATION (PAHF) SERVES TO ESTABLISH AND MAINTAIN RELATIONSHIPS THAT GENERATE PHILANTHROPIC SUPPORT TO ENHANCE PASSAVANT MEMORIAL AREA HOSPITAL'S (PAH) ABILITY TO PROVIDE EXCELLENCE IN HEALTHCARE. UNDER PAHF'S BYLAWS, PAH IS ITS SOLE MEMBER. PAHF IS LED BY A 15-MEMBER BOARD OF ELECTED TRUSTEES WITH DAILY OPERATIONS CARRIED OUT BY THE EXECUTIVE DIRECTOR. TRUSTEES HAVE THE RESPONSIBILITY TO ALLOCATE CHARITABLE FUNDS IN SUPPORT OF THE HOSPITAL'S PRIORITIES TO PURCHASE NEW MEDICAL EQUIPMENT AND TECHNOLOGY; FUND CAPITAL CONSTRUCTION AND REMODELING PROJECTS; AND IMPROVE PATIENT SERVICES AND COMMUNITY OUTREACH.

Schedule H (Form 990) 2015

Additional Data

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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," on 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

2015

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

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? ........................

Yes No

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 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) ELIZABETH ANN SETON 700 NORTH 7TH STREET STE B SPRINGFIELD,IL62702	37-1364980	501(C)(3)	20,000	HEALTHY MINDS, BODIES, AND FAMILIES
(2) ILLINOIS HOSPITAL RESEARCH AND EDUCATION FOUNDATION 1151 EAST WARRENVILLE ROAD NAPERVILLE,IL60566	23-7421930	501(C)(3)	154,140	TO ADDRESS THE DISPARATE AND NEGATIVE EFFECTS OF THE ILLINOIS MEDICAID PROGRAM EXPERIENCED BY HOSPITALS AND HEALTHCARE SYSTEMS IN ILLINOIS.
(3) KUMLER OUTREACH MINISTRIES 303 NORTH GRAND AVE EAST SPRINGFIELD,IL62702	37-0695489	501(C)(3)	24,000	PHARMACEUTICAL ASSISTANCE
(4) LINCOLN LAND COMMUNITY COLLEGE 5250 SHEPHERD ROAD SPRINGFIELD,IL62794	37-1360597	501(C)(3)	30,000	PROVIDE RADIOGRAPHY
(5) MIDWEST HEALTHCARE QUALITY ALLIANCE LLC 701 NORTH FIRST STREET SPRINGFIELD,IL62781	46-4411631		24,885	HEALTHCARE SAFETY SYMPOSIUM
(6) MEMORIAL HOME SERVICES 720 NORTH BOND STREET SPRINGFIELD,IL62702	37-0714225	501(C)(3)	15,253	PROVIDE GENERAL SUPPORT
(7) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	10,000	DIABETES EDUCATION SCHOLARSHIPS
(8) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	12,000	OBESITY SCIENCE MONTHLY FORUMS
(9) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	6,389	PERCEPTIONS OF THE RAPID RESPONSE EVENT
(10) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	44,860	FEEDING TUBE PLACEMENT SIMULATION
(11) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	6,200	MEDICAL-SURGICAL NURSING CONFERENCE
(12) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	6,600	CRITICAL CARE NURSING CERTIFICATION
(13) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	9,000	HEART FAILURE CONFERENCE
(14) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	128,425	MENTICE ENDOVASCULAR SIMULATOR
(15) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	29,886	NEONATAL SIMULATION MANNEQUIN
(16) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	10,806	TACTICAL EMERGENCY CASUALTY CARE
(17) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	38,000	CHILD CARE NURSING ROOM
(18) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	10,000	SECURITY TEAM TRAINING
(19) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	8,280	PATIENT & FAMILY ADVISORY
(20) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	35,870	PROVIDE GENERAL SUPPORT
(21) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	33,913	PROVIDE EQUIPMENT AND SUPPLIES
(22) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	110,574	PROVIDE SUPPORT FOR EDUCATION
(23) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	21,531	PROVIDE SUPPORT FOR CENTER FOR LEARNING AND INNOVATION
(24) MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS 710 NORTH EIGHTH STREET SPRINGFIELD,IL62702	37-0646367	501(C)(3)	18,272	PROVIDE GENERAL SUPPORT
(25) PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION 1600 WEST WALNUT STREET JACKSONVILLE,IL62650	37-0661230	501(C)(3)	889,938	BEHAVIORAL HEALTH UNIT
(26) PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION 1600 WEST WALNUT STREET JACKSONVILLE,IL62650	37-0661230	501(C)(3)	100,000	MAMMOGRAPHY SUPPORT
(27) PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION 1600 WEST WALNUT STREET JACKSONVILLE,IL62650	37-0661230	501(C)(3)	100,000	TRU D ROBOT INFECTION CONTROL
(28) PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION 1600 WEST WALNUT STREET JACKSONVILLE,IL62650	37-0661230	501(C)(3)	6,000	NURSING EDUCATION
(29) PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION 1600 WEST WALNUT STREET JACKSONVILLE,IL62650	37-0661230	501(C)(3)	4,495	WOUND CLINIC NURSING EDUCATION
(30) PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION 1600 WEST WALNUT STREET JACKSONVILLE,IL62650	37-0661230	501(C)(3)	141,000	TRANSITIONAL CARE UNIT
(31) PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION 1600 WEST WALNUT STREET JACKSONVILLE,IL62650	37-0661230	501(C)(3)	75,000	COMMUNITY HEALTH IMPROVEMENT
(32) PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION 1600 WEST WALNUT STREET JACKSONVILLE,IL62650	37-0661230	501(C)(3)	7,661	LIFELINE SUPPORT
(33) PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION 1600 WEST WALNUT STREET JACKSONVILLE,IL62650	37-0661230	501(C)(3)	1,000	MAIN LOBBY RENOVATIONS
(34) SIU PHYSICIANS & SURGEONS INC DBA SIU HEALTHCARE PO BOX 19639 SPRINGFIELD,IL62794	36-4143823	501(C)(3)	3,783,232	MEMORIAL MEDICAL CENTER ENTERED INTO AN ELECTRONIC HEALTH RECORD DONATION AGREEMENT WITH SIU HEALTHCARE TO PROVIDE FUNDING TO ASSIST SIU HEALTHCARE WITH THE IMPLEMENTATION 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 CARE FOR ALL PATIENTS THROUGHOUT THE REGION. MEMORIAL MEDICAL CENTER DONATED CORNERSTONE BONE, ACF SPACER TISSUE AND NEURO VALVE/RESERVOIR SUPPLIES TO SIU LAB FOR RESEARCH.
(35) SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD,IL62702	37-6005961	501(C)(3)	53,864	PROMOTE HEALTH LITERACY IN VASCULAR SURGERY
(36) SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD,IL62702	37-6005961	501(C)(3)	14,962	AUGMENT FRACTURE HEALING WITH STEM CELLS
(37) SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD,IL62702	37-6005961	501(C)(3)	14,145	PREHOSPITAL DIFFICULT AIRWAY SIMULATION
(38) SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD,IL62702	37-6005961	501(C)(3)	16,124	STEM CELLS ABILITY TO FORM CARTILAGE
(39) SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD,IL62702	37-6005961	501(C)(3)	19,995	ADVANCEMENT OF PCR METHODOLOGY
(40) SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD,IL62702	37-6005961	501(C)(3)	16,301	HEAL WOUNDS WITH BIOENGINEERED SKIN
(41) SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD,IL62702	37-6005961	501(C)(3)	205,074	PROVIDE GENERAL SUPPORT
(42) TAYLORVILLE MEMORIAL HOSPITAL 201 E PLEASANT ST TAYLORVILLE,IL62568	37-0661250	501(C)(3)	14,044	ASSIST WITH MEDICAL TECHNOLOGIES AND PATIENT SERVICES
(43) UNIVERSITY OF ILLINOIS-SPRINGFIELD ONE UNIVERISTY PLAZA SPRINGFIELD,IL62703	37-6000511	501(C)(3)	5,866	ENHANCE COURSE LEARNINGS THROUGH ANATOMICAL MODELS
(44) YOUNG MEN'S CHRISTIAN ASSOCIATION OF SPRINGFIELD 701 SOUTH 4TH STREET SPRINGFIELD,IL62703	37-0661263	501(C)(3)	50,000	MEMORIAL 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.

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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.	203	949,399
(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.	241	354,008
(3) PRESCRIPTION DRUGS FOR PATIENTS	32	5,431
(4) SHELTER AND UTILITY ASSISTANCE FOR PATIENTS	70	33,961
(5) DIRECT CASH TO ASSISTANCE TO PATIENTS	103	32,554
(6) EMPLOYEE ASSISTANCE WITH CATASTROPHIC EVENTS	50	35,700
(7) SCHOLARSHIPS FOR EMPLOYEES	12	17,800
(8) TRANSPORTATION ASSISTANCE FOR PATIENTS	84	14,741
(9) EDUCATIONAL GRANTS	4	24,000

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) PROVIDES GRANTS AND ASSISTANCE PRIMARILY TO LOCALLY MANAGED 501(C)(3) ORGANIZATIONS OR INDIVIDUALS WHO MEET THE CRITERIA FOR 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MEMORIAL HEALTH SYSTEM GROUP

Employer identification number

90-0756744

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .........

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? ..

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on 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 ............

Were any amounts reported on 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 .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

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 on 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 in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1PAUL KASA MDBOARD MEMBER ALMH MPS	(i) (ii)	305,618 ------------- 0	28,266 ------------- 0	5,847 ------------- 0	44,439 ------------- 0	31,841 ------------- 0	416,011 ------------- 0	0 ------------- 0
2AMIR JOHN WAHABBOARD MEMBER ALMH (FROM FEB 16)	(i) (ii)	440,721 ------------- 0	44,257 ------------- 0	75,378 ------------- 0	55,477 ------------- 0	33,552 ------------- 0	649,385 ------------- 0	0 ------------- 0
3RICHARD BIVIN MDBOARD MEMBER ALMH (THRU JAN 16)	(i) (ii)	299,128 ------------- 0	26,974 ------------- 0	19,733 ------------- 0	48,766 ------------- 0	36,300 ------------- 0	430,901 ------------- 0	0 ------------- 0
4MARK HANSEN MDBOARD MEMBER MPS	(i) (ii)	399,531 ------------- 0	0 ------------- 0	205,732 ------------- 0	61,457 ------------- 0	33,050 ------------- 0	699,770 ------------- 0	27,172 ------------- 0
5MARSHALL HALE MDCHAIR MPS	(i) (ii)	422,960 ------------- 0	39,991 ------------- 0	55,516 ------------- 0	69,227 ------------- 0	24,295 ------------- 0	611,989 ------------- 0	29,883 ------------- 0
6JANICE GAMBACHPRESIDENT SRS	(i) (ii)	0 ------------- 175,527	0 ------------- 24,480	0 ------------- 991	0 ------------- 14,026	0 ------------- 8,052	0 ------------- 223,076	0 ------------- 0
7JAMESON ROSZHARTBRDMEM MHV/BRDMEM MHSVC	(i) (ii)	0 ------------- 159,385	0 ------------- 27,500	0 ------------- 3,609	0 ------------- 18,159	0 ------------- 20,651	0 ------------- 229,304	0 ------------- 0
8J TRAVIS DOWELLPRESIDENT MPS	(i) (ii)	0 ------------- 221,998	0 ------------- 62,468	0 ------------- 54,592	0 ------------- 49,651	0 ------------- 19,812	0 ------------- 408,521	0 ------------- 32,187
9R SCOTT KIRIAKOSSVPCLININTMMC/BRDMEMMHV/CHAIR MHSVC	(i) (ii)	290,433 ------------- 0	114,040 ------------- 0	11,742 ------------- 0	98,981 ------------- 0	17,659 ------------- 0	532,855 ------------- 0	0 ------------- 0
10DOLAN DALPOASPRESIDENT ALMH/BRDMEM MHSVC	(i) (ii)	0 ------------- 253,912	0 ------------- 69,826	0 ------------- 81,182	0 ------------- 52,999	0 ------------- 420	0 ------------- 458,339	0 ------------- 44,337
11KIMBERLY BOURNEPRES TMH&TMHF/BRDMEMMHSVC	(i) (ii)	0 ------------- 194,362	0 ------------- 55,000	0 ------------- 6,771	0 ------------- 38,599	0 ------------- 20,174	0 ------------- 314,906	0 ------------- 0
12DOUGLAS RAHN DBAMHSVCBRDMEM/PRES PAH&CRNA	(i) (ii)	0 ------------- 348,424	0 ------------- 129,319	0 ------------- 188,101	0 ------------- 158,767	0 ------------- 16,182	0 ------------- 840,793	0 ------------- 111,808
13EDGAR CURTISPRES&CEOMHS/PRESMMC/BRDMEMMPS	(i) (ii)	0 ------------- 769,588	0 ------------- 373,620	0 ------------- 494,986	0 ------------- 279,426	0 ------------- 18,655	0 ------------- 1,936,275	0 ------------- 134,689
14ROBERT KAYSVP/CFO SEC/TREAS MHSVC MHV MPS	(i) (ii)	0 ------------- 421,891	0 ------------- 165,014	0 ------------- 17,407	0 ------------- 190,738	0 ------------- 19,928	0 ------------- 814,978	0 ------------- 0
15KEVIN ENGLANDVP BUS DEVELOP/VC/PRES MHV/VC MHSVC	(i) (ii)	0 ------------- 223,600	0 ------------- 78,132	0 ------------- 33,336	0 ------------- 132,592	0 ------------- 24,140	0 ------------- 491,800	0 ------------- 0
16CHARLES CALLAHAN PHDEVPCOOMMC/CHRMHV/MPSBRDMEM/PRESMHSVC	(i) (ii)	433,481 ------------- 0	169,918 ------------- 0	94,319 ------------- 0	86,446 ------------- 0	22,564 ------------- 0	806,728 ------------- 0	21,001 ------------- 0
17BABU ELADASARI MDPPA PHYSICIAN, PAH BRDMEM	(i) (ii)	0 ------------- 287,272	0 ------------- 0	6,625 ------------- 24,883	398 ------------- 15,585	0 ------------- 28,413	7,023 ------------- 356,153	0 ------------- 0
18STEVEN LILLPOP MDBRDMEM PAH	(i) (ii)	491,328 ------------- 0	52,849 ------------- 0	72,699 ------------- 0	77,641 ------------- 0	36,709 ------------- 0	731,226 ------------- 0	0 ------------- 0
19ELENA KEZELISEXEC DIR MMCF	(i) (ii)	161,199 ------------- 0	23,063 ------------- 0	3,817 ------------- 0	13,422 ------------- 0	21,147 ------------- 0	222,648 ------------- 0	0 ------------- 0
20MARSHA PRATER PHDSVP & CNO MMC	(i) (ii)	291,565 ------------- 0	0 ------------- 0	292,245 ------------- 0	251,622 ------------- 0	13,504 ------------- 0	848,936 ------------- 0	0 ------------- 0
21LINDA JONES DNSVP OPERATIONS MMC	(i) (ii)	241,409 ------------- 0	66,954 ------------- 0	29,139 ------------- 0	56,359 ------------- 0	6,653 ------------- 0	400,514 ------------- 0	0 ------------- 0
22HARRY SCHMIDTVP FACILITIES MANAGEMENT MMC	(i) (ii)	182,226 ------------- 0	43,185 ------------- 0	5,175 ------------- 0	58,210 ------------- 0	2,380 ------------- 0	291,176 ------------- 0	0 ------------- 0
23ANNA EVANS JDGEN COUNSEL/VP INT AUDIT & COMPL MHS	(i) (ii)	0 ------------- 315,392	0 ------------- 0	0 ------------- 6,567	0 ------------- 186,844	0 ------------- 22,564	0 ------------- 531,367	0 ------------- 0
24RAJESH GOVINDAIAH MDSVP & CMO MHS	(i) (ii)	0 ------------- 402,178	0 ------------- 157,144	0 ------------- 24,344	0 ------------- 72,551	0 ------------- 7,373	0 ------------- 663,590	0 ------------- 0
25DAVID GRAHAM MDSVP & CIO MHS	(i) (ii)	0 ------------- 385,722	0 ------------- 150,155	0 ------------- 15,838	0 ------------- 135,023	0 ------------- 15,287	0 ------------- 702,025	0 ------------- 0
26MITCHELL JOHNSONSVP & CHIEF STRATEGY OFFICER MHS	(i) (ii)	0 ------------- 250,690	0 ------------- 54,843	0 ------------- 77,350	0 ------------- 184,702	0 ------------- 17,580	0 ------------- 585,165	0 ------------- 0
27ROBERT SCOTTVP & CHRO MHS	(i) (ii)	0 ------------- 247,636	0 ------------- 69,190	0 ------------- 10,174	0 ------------- 41,158	0 ------------- 16,453	0 ------------- 384,611	0 ------------- 0
28JENNIFER HARRISADMIN PERIOPERATIVE SERVICES	(i) (ii)	169,420 ------------- 0	23,295 ------------- 0	126 ------------- 0	9,735 ------------- 0	646 ------------- 0	203,222 ------------- 0	0 ------------- 0
29MITCHELL ROGERSADMIN CARDIOVASCULAR SERVICES	(i) (ii)	207,451 ------------- 0	57,750 ------------- 0	20,388 ------------- 0	34,279 ------------- 0	2,915 ------------- 0	322,783 ------------- 0	0 ------------- 0
30FERDINAND SALVACION MDPHYSICIAN MMC	(i) (ii)	486,535 ------------- 0	89,229 ------------- 0	109,653 ------------- 0	85,750 ------------- 0	34,192 ------------- 0	805,359 ------------- 0	84,020 ------------- 0
31JAMES GILDNER MDPHYSICIAN MPS	(i) (ii)	485,353 ------------- 0	39,166 ------------- 0	101,916 ------------- 0	89,369 ------------- 0	27,671 ------------- 0	743,475 ------------- 0	0 ------------- 0
32CHRISTINA SCHEIBLER-VENTRESS MDPHYSICIAN MPS	(i) (ii)	440,093 ------------- 0	46,509 ------------- 0	109,823 ------------- 0	65,430 ------------- 0	27,160 ------------- 0	689,015 ------------- 0	0 ------------- 0
33JAMES BOHAN MDPHYSICIAN MPS	(i) (ii)	374,729 ------------- 0	38,092 ------------- 0	167,070 ------------- 0	71,558 ------------- 0	21,200 ------------- 0	672,649 ------------- 0	0 ------------- 0
34DAVID SANDERCOCK MDPHYSICIAN MPS	(i) (ii)	423,072 ------------- 0	43,559 ------------- 0	100,691 ------------- 0	60,199 ------------- 0	35,505 ------------- 0	663,026 ------------- 0	50,786 ------------- 0
35DANIEL RAABPRES TMH&TMHF/BRDMEMMHSVC(THRUDEC14)	(i) (ii)	0 ------------- 72,773	0 ------------- 33,002	0 ------------- 156,485	0 ------------- 39,257	0 ------------- 6,987	0 ------------- 308,504	0 ------------- 0
36DREW EARLYADMIN ED/CARDIO (THRU JUNE 14) MMC	(i) (ii)	188,820 ------------- 0	27,033 ------------- 0	3,918 ------------- 0	15,785 ------------- 0	22,507 ------------- 0	258,063 ------------- 0	0 ------------- 0
37CHARLES SHEAFF MDPHYSICIAN AND MEDICAL DIRECTOR	(i) (ii)	245,797 ------------- 72,623	22,165 ------------- 0	18,338 ------------- 0	21,719 ------------- 4,357	23,442 ------------- 0	331,461 ------------- 76,980	0 ------------- 0

Schedule J (Form 990) 2015

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 LEADERSHIP COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE OF 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 OF $134,689 MADE DURING THE YEAR FOR COMPENSATION PREVIOUSLY EARNED IN PRIOR YEARS, PAID TIME OFF BANK CASHED IN AND PAID TIME OFF DONATED BACK TO MEMORIAL MEDICAL CENTER FOUNDATION'S ANNUAL FUNDRAISING CAMPAIGN. RETIREMENT COMPENSATION REFLECTS AN INCREASE IN RETIREMENT BENEFITS OWED BY MHS UPON RETIREMENT OF MR. CURTIS. NORMAL RETIREMENT COMPENSATION FOR THE YEAR WAS $175,524. 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, LINE 4B	THE ORGANIZATION, OR A RELATED ORGANIZATION, MEMORIAL HEALTH SYSTEM, PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO THE FOLLOWING OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES: RICHARD BIVIN, M.D., $28,563, JAMES BOHAN, M.D. $37,608, KIMBERLY BOURNE, $20,508, CHARLES CALLAHAN, PH.D., $60,296, EDGAR CURTIS, $830,131, DOLAN DALPOAS, $25,763, J. TRAVIS DOWELL, $23,465, KEVIN ENGLAND, $269,432, ANNA EVANS, J.D., $276,182, JAMES GILDNER, M.D., $59,298, RAJESH GOVINDAIAH, M.D., $56,645, DAVID GRAHAM, M.D., $244,326, MARSHALL HALE, M.D., $35,277, MARK HANSEN, M.D., $27,507, MITCHELL JOHNSON, $193,723, LINDA JONES, D.N.S., $25,034, PAUL KASA, M.D., $14,529, ROBERT KAY, $246,489, R. SCOTT KIRIAKOS, $408,419, MARSHA PRATER, PH.D., $161,614, DANIEL RAAB, $7,125, DOUGLAS RAHN, D.B.A., $1,495, MITCHELL ROGERS $21,533, JAMESON ROSZHART, $5,127, FERDINAND SALVACION, M.D., $67,400, CHRISTINA SCHEIBLER-VENTRESS, M.D., $47,219, HARRY SCHMIDT, $39,792, ROBERT SCOTT, $25,408, DAVID SANDERCOCK, M.D. $36,443, STEVEN LILLPOP M.D. $50,245, AND AMIR WAHAB, M.D. $31,927. 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, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES RECEIVED DEFERRED COMPENSATION PAYOUTS IN THE CALENDAR YEAR FROM THE ORGANIZATION OR A RELATED ORGANIZATION, MEMORIAL HEALTH SYSTEM: RICHARD BIVIN, M.D., $15,136, JAMES BOHAN, M.D. $147,777, CHARLES CALLAHAN, PH.D. $30,486, EDGAR CURTIS $397,398, DOLAN DALPAOS $63,415, J. TRAVIS DOWELL $43,332, KEVIN ENGLAND, $8,436, JAMES GILDNER, M.D., $76,172, MARSHALL HALE, M.D., $33,972, MARK HANSEN, M.D., $177,253, MITCHELL JOHNSON $61,159, MARSHA PRATER, PH.D., $275,500, DANIEL RAAB, $76,241, DOUGLAS RAHN, D.B.A, $164,686, FERDINAND SALVACION, M.D., $90,814, CHRISTINA SCHEIBLER-VENTRESS, M.D., $93,845, DAVID SANDERCOCK, M.D. $83,616, AND AMIR WAHAB, M.D. $57,243. 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.
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. SCHEDULE J, PART II, COLUMN (D) ALSO INCLUDES OTHER NONTAXABLE BENEFITS SUCH AS MEDICAL, DENTAL, AND LIFE INSURANCE.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting 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
(1) MITCH ROGERS	KEY EMPLOYEE	14,750	EDUCATIONAL GRANT	EDUCATION

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) HENRY HURWITZ	EMPLOYEE; SON OF JOSEPH HURWITZ, MMC BOARD MEMBER	36,749	SEE PART VMEMORIAL MEDICAL CENTER PAID COMPENSATION AND BENEFITS OF $36,749 TO HENRY HURWITZ RELATED TO EMPLOYMENT SERVICES FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2015. HENRY HURWITZ IS THE SON OF JOSEPH HURWITZ, MEMBER OF MEMORIAL MEDICAL CENTER'S BOARD OF DIRECTORS. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.		No
(2) SPRINGFIELD ELECTRIC SUPPLY	BOARD MEMBER IS OWNER OF SPRINGFIELD ELECTRIC SUPPLY	102,415	SEE PART VMEMORIAL MEDICAL CENTER PAID FEES TO SPRINGFIELD ELECTRIC SUPPLY FOR GOODS AND SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2016 IN THE AMOUNT OF $102,415. RANDALL S. GERMERAAD IS CHAIRMAN 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
(3) CLINICAL RADIOLOGISTS SC	BOARD MEMBER IS DIRECTOR, SHAREHOLDER AT CLINICAL RADIOLOGISTS, SC	856,542	SEE PART VMEMORIAL MEDICAL CENTER PAID FEES TO CLINICAL RADIOLOGISTS, SC FOR THE YEAR ENDED SEPTEMBER 30, 2016 IN THE AMOUNT OF $856,542. KEVIN J. COAKLEY, M.D. IS A DIRECTOR & SHAREHOLDER AT CLINICAL RADIOLOGISTS AS WELL AS A MMC BOARD MEMBER. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.		No
(4) SHERYL ROBERTS	DAUGHTER OF PAH BOARD MEMBER	84,242	SEE PART VPASSAVANT AREA HOSPITAL PAID COMPENSATION AND BENEFITS OF $84,242 TO SHERYL ROBERTS RELATED TO EMPLOYMENT SERVICES FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2015. SHERYL ROBERTS IS THE DAUGHTER OF NANCY SPANGENBERG, MEMBER OF PASSAVANT AREA HOSPITAL'S BOARD OF DIRECTORS. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MEMORIAL HEALTH SYSTEM GROUP

Employer identification number

90-0756744

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	4	72,171	AVG OF HIGH & LOW PRICE
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 32B:	MEMORIAL MEDICAL CENTER FOUNDATION HAS AN ACCOUNT WITH A LOCAL BROKER THAT RECEIVES AND SELLS DONATIONS OF STOCK. THE BROKER SELLS THE STOCK WHEN DIRECTED AND SENDS MMC FOUNDATION A CHECK FOR THE PROCEEDS.

Schedule M (Form 990) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

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 990-EZ 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

2015

Open to Public
Inspection

Name of the organization

MEMORIAL HEALTH SYSTEM GROUP

Employer identification number

90-0756744

Return Reference	Explanation
FORM 990, LINE H(B)	IN FY2016, PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION, JACKSONVILLE CRNA'S INC., AND PASSAVANT AREA HOSPITAL FOUNDATION APPROVED TO BE INCLUDED AS SUBORDINATES UNDER THE GROUP EXEMPTION NUMBER 5670.
PART IV, 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	TODD WISE AND DIANE RUTLEDGE, PH.D. ARE BOTH MMC BOARD MEMBERS. MR. WISE IS AN OFFICER AND DIRECTOR OF UNITED COMMUNITY BANK, WHERE MS. RUTLEDGE IS ALSO A UCB BOARD MEMBER. LYNNE BARKMEIER, M.D.'S SPOUSE IS ALSO ON THE UCB BOARD. NINA HARRIS, A MMC BOARD MEMBER AND MITCHELL JOHNSON, A MMC KEY EMPLOYEE ARE BOTH BOARD MEMBERS AT SECURITY BANK. MARK KUHNKE, M.D. AND LYNNE BARKMEIER, M.D. ARE MMC BOARD MEMBERS. THESE TWO ARE ALL EMPLOYED BY SPRINGFIELD CLINIC, LLP.
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, JACKSONVILLE CRNA'S, PASSAVANT AREA HOSPITAL FOUNDATION AND TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION. MEMORIAL HEALTH SYSTEM CORPORATION CONTAINS 100 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. JACKSONVILLE CRNA'S AND PASSAVANT AREA HOSPITAL FOUNDATION'S SOLE CORPORATE MEMBER IS PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION, WHICH IS INCLUDED IN THE GROUP RETURN. TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION HAS NO CORPORATE MEMBERS. TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION'S BOARD OF DIRECTORS, WHICH CONTAINS 20 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. PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION'S, JACKSONVILLE CRNA'S, AND PASSAVANT AREA HOSPITAL FOUNDATION'S BYLAWS STATE CORPORATE MEMBERS SHALL ELECT THE DIRECTORS OF THE CORPORATION IN CONJUNCTION WITH THE BOARD OF GOVERNORS AND BOARD OF DIRECTORS. THE CORPORATE MEMBER WILL WORK WITH THE BOARD OF DIRECTORS TO ELECT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE CORPORATE MEMBER WILL APPROVE OF THE CAPITAL AND OPERATING BUDGETS, STRATEGIC PLANS, AND APPROVE ANY VOLUNTARY DISSOLUTION, MERGER, OR CONSOLIDATION. CORPORATE MEMBERS APPROVE ANY AMENDMENT TO BYLAWS OR ARTICLES OF INCORPORATION. IN ADDITION, MEMBERS HAVE THE POWER TO REMOVE THE PRESIDENT WITH MUTUAL AGREEMENT OF THE BOARD OF DIRECTORS OR THE REMOVAL OF ANY DIRECTOR WITH CAUSE. THE CORPORATE MEMBER HAS APPROVAL POWER FOR THE CAPITAL EXPENDITURES OVER $1,000,000, GUARANTY OF DEBT GREATER THAN $250,000, WITH OR WITHOUT A MORTGAGE, OR OTHER TRANSACTIONS MATERIAL IN NATURE WITH AFFILIATE CORPORATIONS. CORPORATE MEMBERS HAVE THE POWER TO APPROVE INDEPENDENT AUDITORS, APPROVE CONTRACTS TO PROVIDE HEALTHCARE TO BENEFICIARIES OF MANAGED CARE CONTRACTS AND APPROVAL OF APPLICATIONS TO THE IL HEALTH FACILITIES PLANNING BOARD. MEMBERS ALSO APPROVE SALES/TRANSFERS OF ASSETS TO NON-AFFILIATE ENTITIES, IF ASSETS ARE OVER $500,000. CORPORATE MEMBERS APPROVE OF SIGNIFICANT CHANGES IN THE CORPORATION'S INSURANCE AND CONTRACTS INVOLVING GOODS/SERVICES WITH A VALUE OVER $1,000,000 FOR CAPITAL OR $1,500,000 IN AGGREGATE FOR OPERATING AND CAPITAL BUDGETS, NOT PREVIOUSLY APPROVED. CORPORATE MEMBERS APPROVE OF PHYSICIAN SERVICE CONTRACTS OVER $400,000, APPROVE REAL ESTATE TRANSACTIONS, AND APPROVE ANY CHANGES TO MASTER OR LONG-TERM INSTITUTIONAL PLANS.
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. 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. PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION (PAH) PARTICIPATES IN SEVERAL NATIONAL AND REGIONAL SURVEYS WHERE DATA IS OBTAINED ON VARIOUS POSITIONS SUCH AS CEO, CFO, CNO, ETC. THIS INFORMATION IS THEN PROVIDED TO THE BOARD EXECUTIVE COMMITTEE FOR REVIEW AND APPROVAL. FOR OTHER OFFICERS AND KEY EMPLOYEES, A CUSTOMIZED SURVEY CONDUCTED BY INTEGRATED HEALTHCARE STRATEGIES COMPARES THE COMPENSATION DATA PROVIDED BY THE ORGANIZATION TO THE STATISTICAL INFORMATION THEY HAVE. INTEGRATED HEALTHCARE STRATEGIES GENERATES A TRUE MARKET AVERAGE REPORT THAT COMPARES THE ORGANIZATIONS SALARIES FOR A POSITION AND ASSOCIATED MINIMUM, 1ST QUARTILE, MIDPOINT, 3RD QUARTILE, AND MAXIMUM SALARY POINTS. THE KEY EMPLOYEE DATA IS REVIEWED BY OUR CEO, CFO, AND HR DIRECTOR AND MARKET COMPARATIVE SALARY ADJUSTMENTS ARE MADE AS NECESSARY.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS OF MEMORIAL HEALTH SYSTEM AND ITS SUBORDINATES, 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 SERVICES: PROGRAM SERVICE EXPENSES 81,469,270. MANAGEMENT AND GENERAL EXPENSES 325,665. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,794,935. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,941,775. MANAGEMENT AND GENERAL EXPENSES 189,874. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,131,649. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 26,119,915. MANAGEMENT AND GENERAL EXPENSES 8,395,167. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,515,082. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,102,579. MANAGEMENT AND GENERAL EXPENSES 2,288,969. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,391,548.
FORM 990, PART XI, LINE 9:	CHANGE IN MINIMUM PENSION LIABILITY -25,836,338. TRANSFERS 18,237,219. BOOK/TAX DIFFERENCE -219,960. OTHER -1,466,383.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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	5,439,201	21,992,866	MEMORIAL PHYSICIAN SERVICES
(2) WOMEN'S HEALTHCARE LLC 701 NORTH 1ST STREET SPRINGFIELD,IL62781 26-3400814	HEALTHCARE SERVICES	IL			MEMORIAL PHYSICIAN SERVICES
(3) VINE STREET CLINICAL ASSOCIATES LLC 701 NORTH FIRST STREET SPRINGFIELD,IL62781 45-3180104	PSYCHIATRIC HEALTHCARE SERVICES	IL			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	8,597,698	2,809,236	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?
(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	Yes	No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

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	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	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?
(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		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	11,714,507	11,970,157	100.000 %	Yes
(2) PASSAVANT PHYSICIAN ASSOCIATION 1600 WEST WALNUT STREET JACKSONVILLE,IL62650 26-1200566	PHYSICIAN SERVICES	IL	PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION	C	4,165,673	1,121,320	100.000 %	Yes

Schedule R (Form 990) 2015

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

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 .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

Yes

g Sale of assets to related organization(s) ............................

Yes

h Purchase of assets from related organization(s) ............................

Yes

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

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	369,021	COST BASIS
(2) MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC	K	177,065	COST - RENTAL EQUIPMENT
(3) MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC	H	167,652	COST BASIS
(4) MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC	F	750,000	COST BASIS
(5) PASSAVANT PHYSICIAN ASSOCIATION	R	3,580,673	FMV

Schedule R (Form 990) 2015

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
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)		Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	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	440,335	5,607,134		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	940,090	1,590,000		No			No	50.000 %

Schedule R (Form 990) 2015

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

TY 2015 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
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION	1600 WEST WALNUT STREET JACKSONVILLE, IL 62650	37-0661230	PASS
JACKSONVILLE CRNA'S INC	1600 WEST WALNUT STREET JACKSONVILLE, IL 62650	27-3083265	JACK
PASSAVANT AREA HOSPITAL FOUNDATION	1600 WEST WALNUT STREET JACKSONVILLE, IL 62650	46-1037396	PASS

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
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	148
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	109
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	7,708
6	Total number of volunteers (estimate if necessary) .............	6	1,816
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	7,663,896
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	13,380,918	5,562,374
9	Program service revenue (Part VIII, line 2g) .........	922,007,292	963,143,815
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	18,380,713	17,001,842
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	20,152,938	22,524,922
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	973,921,861	1,008,232,953
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	6,125,027	7,869,125
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)	380,440,157	419,015,218
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 382,827
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	498,267,928	541,339,546
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	884,833,112	968,223,889
19	Revenue less expenses. Subtract line 18 from line 12.......	89,088,749	40,009,064
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,283,117,786	1,325,701,893
21	Total liabilities (Part X, line 26).............	576,930,437	575,315,489
22	Net assets or fund balances. Subtract line 21 from line 20.....	706,187,349	750,386,404

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	Signature of officer	Date

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4a	(Code: ) (Expenses $ 103,003,732 including grants of $ ) (Revenue $ 106,559,793 )
	MEDICALMEDICAL SERVICES INCLUDE A WIDE VARIETY OF HEALTH CARE SERVICES PROVIDED TO INPATIENTS, OUTPATIENTS AND EMERGENCY DEPARTMENT SERVICES. A TOTAL OF 142,911 ENCOUNTERS WERE PROVIDED BY MEMORIAL MEDICAL CENTER IN FY2016, 5,011 INPATIENT STAYS AND 137,900 OUTPATIENT ENCOUNTERS. THE MAJOR DISEASE CLASSES FOR MEDICAL SERVICES INCLUDE DIABETES, OBESITY, BACTERIAL AND VIRAL INFECTIONS, MALIGNANCIES OF THE SKIN, BLOOD DISORDERS, ENDOCRINE DISORDERS, SLEEP DISORDERS, STOMACH ULCERS AND GASTROINTESTINAL UPSET, HERNIAS, SKIN DISORDERS AND DISEASES OF THE CONNECTIVE TISSUE, INFLAMMATORY DISEASES, VENEREAL DISEASES, OPEN WOUNDS, POISONING BY DRUGS, PHYSICAL ABUSE, GENETIC SUSCEPTIBILITY TO HEREDITARY DISEASE, AND SCREENING AND PREVENTION ACTIVITIES FOR A VARIETY OF ACUTE AND CHRONIC DISEASES. MANY PATIENTS USE MEDICAL SERVICES TO ACCESS EMERGENCY DEPARTMENT SERVICES AND OUTPATIENT LABORATORY AND IMAGING STUDIES FOR DIAGNOSIS AND TREATMENT OF TRAUMA AND ACUTE AND CHRONIC ILLNESSES THAT ARE NOT UNDER THE MANAGEMENT OF A PRIMARY CARE PROVIDER. THESE PATIENTS RELY ON URGENT AND EMERGENCY CARE FOR DISEASES THAT FLARE UP OR BECOME UNMANAGEABLE IN THE COMMUNITY OR HOME SETTING. 55.0% OF SERVICES WERE DELIVERED TO PATIENTS WITH MEDICARE AND MEDICAID, AND AN ADDITIONAL 1.5% OF ENCOUNTERS WERE FOR PATIENTS WITH SELF-PAY STATUS. THE PERCENTAGE OF SELF-PAY PATIENTS SHOWED A SLIGHT DECREASE FROM FY2015 AS A RESULT OF ACCESS TO STATE SPONSORED MEDICAID AND THE FEDERALLY RUN INSURANCE EXCHANGE OPERATING IN THE STATE OF ILLINOIS. $1 MILLION IN CHARITY CARE WAS PROVIDED TO THE MEDICAL SERVICES POPULATION AND THE HOSPITAL WROTE OFF AN ADDITIONAL $1.9 MILLION IN BAD DEBT FOR CARE PROVIDED.

4b	(Code: ) (Expenses $ 96,980,927 including grants of $ ) (Revenue $ 109,259,332 )
	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 1,300 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 122 FREE PATIENT AND FAMILY EDUCATION CLASSES IN FY2016.DURING FY2016, MEMORIAL MEDICAL CENTER'S ORTHOPEDICS SERVICES COMPLETED 5,095 INPATIENT AND OUTPATIENT ORTHOPEDIC PROCEDURES. THE JOINTWORKS PROGRAM SERVED 852 KNEE REPLACEMENT PATIENTS AND 458 HIP REPLACEMENT PATIENTS. OTHER SERVICES INCLUDED 269 CERVICAL FUSION PROCEDURES, 181 FEMUR FRACTURE SURGICAL REPAIRS, AND 302 LUMBAR FUSION PROCEDURES.IN ADDITION, MORE THAN 806 FREE BONE DENSITY SCREENINGS WERE PROVIDED AT VARIOUS HEALTH FAIRS WITHIN THE COMMUNITY AND COLLABORATION WITH AREA PHYSICIANS RESULTED IN NINE 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 FY2016 AND CONTRIBUTED TO SEVERAL PROCESS IMPROVEMENTS FOR OUR PATIENTS.

4c	(Code: ) (Expenses $ 93,766,707 including grants of $ ) (Revenue $ 103,703,786 )
	CARDIOVASCULARHE 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 FY2016, MEMORIAL MEDICAL CENTER'S CARDIAC CATH LAB PERFORMED 3,158 HEART CATHS, 1,377 CORONARY INTERVENTIONS, 1,309 ELECTROPHYSIOLOGY (EP) PROCEDURES, AND 1,799 VASCULAR CASES. ALSO, IN FY2016 THE CARDIAC CATH LAB IMPLEMENTED THREE NEW PROCEDURES: TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR), WATCHMAN AND CARDIOMEMS HF SYSTEM PROCEDURES. TAVR IS A MINIMALLY INVASIVE SURGICAL PROCEDURE THAT REPAIRS THE VALVE WITHOUT REMOVING THE OLD, DAMAGED VALVE. A REPLACEMENT VALVE IS INSERTED INTO THE AORTIC VALVE'S PLACE. THE WATCHMAN PROCEDURE IS A PROCEDURE DESIGNED TO PREVENT LAA BLOOD CLOTS FROM ENTERING THE BLOODSTREAM AND POTENTIALLY CAUSING A STROKE. DURING THE CARDIOMEMS PROCEDURE, A SMALL PRESSURE-SENSING DEVICE IS IMPLANTED DIRECTLY INTO THE PATIENT'S PULMONARY ARTERY. THIS DEVICE SENDS INFORMATION TO THE PATIENT'S DOCTOR ALLOWING THE DOCTOR TO ALTER THE PATIENT'S TREATMENT AND MEDICATIONS, IF NECESSARY. THE CARDIAC CATH LAB PERFORMED 15 TAVR PROCEDURES, 12 WATCHMAN CASES, AND 4 CARDIOMEMS PROCEDURES. RECOGNIZED AS A LEADER AND INNOVATOR IN HEART AND VASCULAR TECHNOLOGY, THE MEMORIAL HEART & VASCULAR SERVICES TEAM ALSO PERFORMED 379 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. FY2016 VISITS FOR CARDIAC AND PULMONARY REHAB FOR PHASE I WAS 26,453; PHASE II WAS 11,751; PHASE III WAS 14,955. 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. FY2016 PATIENTS MONITORED USING TELESCALES WAS 42.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. -HEART FAILURE SUPPORT GROUP - 72 PARTICIPANTS; $4,779 COMMUNITY BENEFIT-COMMUNITY HEALTH EVENTS - 1,241 PARTICIPANTS; $14,402 COMMUNITY BENEFIT -CELEBRATE THE HEART OF A WOMAN -BE AWARE WOMEN'S FAIR -CHOLESTEROL / BLOOD PRESSURE SCREENING PROVIDED AT COMMUNITY HEALTH FAIRS-AMERICAN HEART ASSOCIATION HEART WALK EVENT PLANNING - ESTIMATED 1500 PARTICIPANTS-HEALTH PRO EDUCATION - $8,559 COMMUNITY BENEFIT-LVRS REUNION - 53 PARTICIPANTS

	(Code: ) (Expenses $ 518,768,260 including grants of $ 7,869,125 ) (Revenue $ 643,811,478 )
	OTHER PROGRAM SERVICES INCLUDE SURGICAL (14,142 CASES; 28,031 PATIENT DAYS), PULMONARY/THORACIC (13,725 CASES; 28,790 DAYS), HEMATOLOGY/ONCOLOGY (33,788 CASES; 196,442 DAYS), NEUROLOGY (16,012 CASES; 31,938 DAYS), HOSPICE, AND HOME HEALTH SERVICES.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 518,768,260 including grants of $ 7,869,125 ) (Revenue $ 643,811,478 )
4e	Total program service expenses812,519,626

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,576,204	7,449,282	3,748,189

1a	Federated campaigns..		1a	6,766
b	Membership dues..		1b
c	Fundraising events..		1c	257,243
d	Related organizations		1d	871,789
e	Government grants (contributions)		1e	2,688,503

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,738,073

g	Noncash contributions included in lines 1a-1f:$ 72,171
h Total.Add lines 1a-1f.......		5,562,374

		Business Code
2a	PATIENT SERVICE REV	900099	885,057,966	885,057,966
b	PROGRAM RELATED REV	900099	54,831,458	54,831,458
c	HOSPICE SERVICES	621610	7,177,923	7,177,923
d	HOME HEALTH SERVICES	621610	7,148,138	7,148,138
e	PROGRAM RELATED RENT	621110	4,609,459	4,609,459
f	All other program service revenue.			4,318,871	4,318,871
g Total.Add lines 2a–2f.....			963,143,815

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			9,317,477			9,317,477
4 Income from investment of tax-exempt bond proceeds			494			494
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		3,422,847
b	Less: rental expenses		975,607
c	Rental income or (loss)		2,447,240
d	Net rental income or (loss)......			2,447,240	190,574	24,749	2,231,917
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	519,000	51,218,073
b	Less: cost or other basis and sales expenses	933,472	43,119,730
c	Gain or (loss)	-414,472	8,098,343
d	Net gain or (loss).....			7,683,871			7,683,871
8a	Gross income from fundraising events (not including $ 257,243of contributions reported on line 1c). See Part IV, line 18 ....
	a		421,692
b	Less: direct expenses ...b		315,549
c	Net income or (loss) from fundraising events..			106,143			106,143
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		23,593
b	Less: direct expenses ...b		6,388
c	Net income or (loss) from gaming activities..			17,205			17,205
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..
Business Code			Miscellaneous Revenue
11a	REFERENCE LAB REVENUE		621500	6,207,772		6,207,772
b	CAFETERIA REVENUE		722320	5,381,976		222,078	5,159,898
c	EMPLOYMENT SERVICES		561300	369,021		369,021
d	All other revenue ....			7,995,565		840,276	7,155,289
e	Total. Add lines 11a–11d ......			19,954,334
12	Total revenue. See Instructions......			1,008,232,953	963,334,389	7,663,896	31,672,294

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	6,369,616	6,369,616
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	1,499,509	1,499,509
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 ....	8,032,809	5,461,791	2,458,294	112,724
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	183,343	104,485	78,858
7	Other salaries and wages	306,071,805	272,153,249	33,758,459	160,097
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	25,141,873	22,432,174	2,709,699
9	Other employee benefits .......	58,183,426	51,685,832	6,447,445	50,149
10	Payroll taxes ...........	21,401,962	18,735,758	2,654,397	11,807
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,554,535		1,554,535
c	Accounting ...........	88,940		88,940
d	Lobbying ...........	125,418		125,418
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,079,292		1,079,292
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	126,833,214	115,633,539	11,199,675
12	Advertising and promotion ....	2,775,029	265,427	2,509,162	440
13	Office expenses .......	17,298,435	14,425,275	2,859,889	13,271
14	Information technology ......	16,668,715	14,971,950	1,696,275	490
15	Royalties ..
16	Occupancy ...........	17,241,591	15,622,217	1,619,374
17	Travel ............	1,326,462	1,115,840	210,622
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	720,480	312,532	407,948
20	Interest ...........	13,001,403	13,001,403
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	50,925,252	41,067,254	9,857,998
23	Insurance ...	4,568,088	11,571	4,556,517
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	98,000,993	98,000,993
b	MANAGEMENT FEE	63,218,519		63,218,519
c	PHARMACEUTICAL SUPPLIES	36,585,156	36,585,156
d	PURCHASED MEDICAL SERVI	32,927,906	32,927,906
e	All other expenses	56,400,118	50,136,149	6,230,120	33,849
25	Total functional expenses. Add lines 1 through 24e	968,223,889	812,519,626	155,321,436	382,827
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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			7,272,016	1	4,428,480
2	Savings and temporary cash investments .........			126,079,299	2	116,504,133
3	Pledges and grants receivable, net ......			277,369	3	181,231
4	Accounts receivable, net .............			170,380,446	4	236,722,442
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 ....			455,755	7	11,865,524
8	Inventories for sale or use ........			12,665,247	8	13,910,605
9	Prepaid expenses and deferred charges ......			8,176,023	9	8,741,208
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	807,413,034
b	Less: accumulated depreciation	10b	400,765,125	412,345,757	10c	406,647,909
11	Investments—publicly traded securities .			410,622,571	11	399,196,024
12	Investments—other securities. See Part IV, line 11 .....			24,869,340	12	25,059,145
13	Investments—program-related. See Part IV, line 11 ..			9,596,933	13	10,558,130
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			100,377,030	15	91,887,062
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,283,117,786	16	1,325,701,893

17	Accounts payable and accrued expenses .....	109,373,235	17	90,740,752
18	Grants payable ...	624,636	18	644,954
19	Deferred revenue .........	376,062	19	569,310
20	Tax-exempt bond liabilities .........	302,377,653	20	355,290,371
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 ..	6,444,871	23	1,653,114
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	157,733,980	25	126,416,988
26	Total liabilities. Add lines 17 through 25..	576,930,437	26	575,315,489

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	603,539,449	27	652,479,668
28	Temporarily restricted net assets ...........	73,941,103	28	71,555,700
29	Permanently restricted net assets	28,706,797	29	26,351,036
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	706,187,349	33	750,386,404
34	Total liabilities and net assets/fund balances ........	1,283,117,786	34	1,325,701,893