TY 2019 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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) EDGAR CURTIS...................................................................... PRESIDENT&CEO MHS; BRDMBR MPS	25.00 ................. 25.00	X	X				0	1,647,768	49,361
(2) DOUGLAS RAHN DBA...................................................................... FORMER PRESIDENT&CEO PAH	0.00 ................. 0.00					X	0	1,263,270	0
(3) STEVEN SOBOL MD...................................................................... PHYSICIAN DMH	50.00 ................. 0.00				X		1,096,654	0	30,276
(4) CHARLES CALLAHAN PHD...................................................................... MHSHOSPPRES;PRESMMC/MMCF/MHSVC;CHRMHV	25.00 ................. 25.00	X	X				829,533	0	221,430
(5) RAYCHAUDHURI RATUL MD...................................................................... PHYSICIAN DMH	50.00 ................. 0.00				X		967,073	0	25,214
(6) JOHN WATERS MD...................................................................... PHYSICIAN DMH	50.00 ................. 0.00				X		902,250	0	22,296
(7) DAVID GRAHAM MD...................................................................... MHS SVP&CHIEF QLTY&INNOVATION OFF.	25.00 ................. 25.00			X			0	678,915	189,207
(8) JAMES BOHAN MD...................................................................... PHYSICIAN MPS	50.00 ................. 0.00				X		789,258	0	95,581
(9) TURGUT TANSEL MD...................................................................... PHYSICIAN DMH	50.00 ................. 0.00				X		842,698	0	37,467
(10) TIMOTHY STONE JR...................................................................... FORMER DMH PRESIDENT & CEO	0.00 ................. 0.00					X	733,073	0	77,372
(11) AMIR JOHN WAHAB MD...................................................................... BRDMEM ALMH(THRUJAN20)/MPS PHYSICIAN	50.00 ................. 0.00	X					619,460	0	140,482
(12) ANNA EVANS JD...................................................................... MHS SVP & GENERAL COUNSEL	25.00 ................. 25.00			X			0	572,544	161,107
(13) ROBERT KAY...................................................................... FORMER MHS SVP & CFO	0.00 ................. 0.00					X	0	687,024	43,009
(14) RAJESH GOVINDAIAH MD...................................................................... MHS SVP & CMO	25.00 ................. 25.00			X			0	632,072	93,900
(15) KATHRYN KEIM...................................................................... MHS SVP&CFO; SEC&TREAS MHV/MHSVC/MPS	25.00 ................. 25.00	X	X				0	616,905	106,609
(16) KEVIN ENGLAND...................................................................... MHS SVP&CAO; VCH&PRESMHV; VCHMHSVC	25.00 ................. 25.00	X	X				0	488,390	210,594
(17) AIMEE DAILY PHD...................................................................... MHS SVP & CHIEF TRANSFORM. OFF.	50.00 ................. 0.00			X			530,817	0	85,734

(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) VIRGINIA DOLAN MD........................................................................ BOARD MEMBER SRS	0.70 .......................0.70	X				515,542	0	87,907
(19) DAVID BAUMBERGER MD........................................................................ FORMER DMH CHIEF MEDICAL OFFICER	0.00 .......................0.00				X	546,597	0	77,321
(20) ROBERT SCOTT........................................................................ MHS SVP & CHRO	25.00 .......................25.00			X		0	509,009	85,609
(21) NICOLE FLORENCE MD........................................................................ BOARD MEMBER SRS	0.70 .......................0.70	X				502,781	0	105,538
(22) MARK HANSEN MD........................................................................ CHAIR MPS/MPS PHYSICIAN	50.00 .......................0.00	X	X			453,251	0	126,763
(23) DREW EARLY........................................................................ PRESIDENT&CEO DMH	50.00 .......................0.00	X	X			267,985	202,956	87,713
(24) MARSHA PRATER PHD........................................................................ MHS/MMC SVP & CNO	50.00 .......................0.00			X		520,426	0	36,367
(25) JAMESON ROSZHART........................................................................ MHS PRESAMBGRP; BM MHV/MPS/CHR MHSVC	35.00 .......................15.00	X	X			0	460,078	90,502
(26) J TRAVIS DOWELL........................................................................ PRESIDENT MPS & VP MPS	50.00 .......................0.00	X	X			0	409,177	97,906
(27) DOLAN DALPOAS........................................................................ PRESIDENT&CEO ALMH; BRDMBR MHSVC	49.30 .......................0.70	X	X			0	419,729	58,683
(28) ANTHONY GRIFFIN MD........................................................................ BOARD MEMBER MPS/MPS PHYSICIAN	50.00 .......................0.00	X				411,230	0	55,931
(29) GREG PAGLIUZZA........................................................................ FORMER DMH SVP & CFO	0.00 .......................0.00				X	398,775	0	58,646
(30) LARRY HEGLAND MD........................................................................ FORMER DMH CHIEF MEDICAL OFFICER	0.00 .......................0.00				X	422,945	0	27,520
(31) LINDA JONES DNS........................................................................ MMC VP OF ANCILLARY OPS	50.00 .......................0.00			X		412,875	0	34,088
(32) KIMBERLY BOURNE........................................................................ PRESIDENT&CEO TMH&TMHF; BRDMBR MHSVC	50.00 .......................0.00	X	X			0	355,681	82,286
(33) PATRICK OCONNOR........................................................................ FORMER DMH VP REVENUE CYCLE	0.00 .......................0.00				X	431,473	0	0
(34) LINDA FAHEY........................................................................ FORMER DMH SVP & COO	0.00 .......................0.00				X	377,932	0	37,240
(35) CHRISTOPHER RIVERA MD........................................................................ BOARD MEMBER MPS/MPS PHYSICIAN	50.00 .......................0.00	X				314,448	0	55,451
(36) MARK BURMESTER........................................................................ FRMRDMH OFF; MHSSYSADSTRAT(TRJAN20)	0.00 .......................0.00				X	247,459	67,329	55,788
(37) EVAN DAVIS........................................................................ VP CLIN OPS MMC/BOARD MEMBER MHV	50.00 .......................0.00	X				298,647	0	62,624
(38) MITCHELL ROGERS........................................................................ FORMER KE MMC SYSADMIN CARDIO SVCS	50.00 .......................0.00				X	314,893	0	44,600
(39) JOHN RIDLEY........................................................................ BRDMMEMMHSVC/SYSADMINAMBULATORY	50.00 .......................0.00	X				235,297	56,106	66,685
(40) W SCOTT BOSTON MD........................................................................ PRESIDENT&CEO PAH/CRNA; BRDMBR MHSVC	50.00 .......................0.00	X	X			0	301,443	47,456
(41) JENNIFER BOND........................................................................ MMC VP OF NURSING	50.00 .......................0.00			X		280,763	0	57,230
(42) KATHERINE ANDERSON ESQ........................................................................ FRMRDMH OFF; MHSSRGENCOUNS(TRMAY20)	0.00 .......................0.00				X	275,797	0	36,932
(43) RANDALL BRYANT........................................................................ VP, DECATUR MEDICAL GROUP	50.00 .......................0.00			X		201,195	61,151	36,634
(44) TRACY MIZEUR MD........................................................................ BOARD MEMBER ALMH/MPS PHYSICIAN	50.00 .......................0.00	X				259,157	0	29,261
(45) SHARON NORRIS........................................................................ FORMER DMH OFFICER	50.00 .......................0.00				X	235,838	0	49,974
(46) DEBORAH BRAGG........................................................................ FORMER DMH OFFICER	50.00 .......................0.00				X	250,785	0	33,145
(47) KEVIN HORATH........................................................................ FORMER DMH OFFICER	50.00 .......................0.00				X	247,725	0	32,300
(48) HARRY SCHMIDT........................................................................ FRMR PRES/CEO PAH/CRNA; BM MHSVC	50.00 .......................0.00				X	0	240,844	38,500
(49) DAVID KING........................................................................ MHS VP SUPPORT OPERATIONS	50.00 .......................0.00			X		225,187	0	40,124
(50) JENNIFER HARRIS........................................................................ FORMER KE MMC SYSADM,PERIOP SVCS	50.00 .......................0.00				X	239,321	0	16,887
(51) JANICE GAMBACH........................................................................ PRES SRS(TRDEC19);ADMIN MBH(TRJAN20)	2.50 .......................47.50	X	X			0	222,235	27,438
(52) TAMAR KUTZ........................................................................ BOARD MEMBER MHSVC; VP QUAL&OPS	50.00 .......................0.00	X				0	218,964	22,847
(53) DAVID SAMPLES........................................................................ FORMER DMH OFFICER; MHS SYSDIRCAP	0.00 .......................0.00				X	192,357	0	48,920
(54) JIM BLACKWELL........................................................................ FORMER DMH OFFICER	50.00 .......................0.00				X	164,328	0	35,664
(55) MELISSA HANSEN-SCHMADEKE........................................................................ MMCF EXECUTIVE DIRECTOR	50.00 .......................0.00			X		153,312	0	21,382
(56) MIKE EDWARDS........................................................................ FORMER DMH VP REVENUE CYCLE	0.00 .......................0.00				X	137,733	0	26,058
(57) PETER RUSSOTTO DPM........................................................................ BOARD MEMBER PAH	0.70 .......................0.00	X				119,055	0	0
(58) RAEDENA RYAN........................................................................ EXECUTIVE DIRECTOR TMHF	50.00 .......................0.00	X				75,577	0	38,987
(59) D JANE DAVIS........................................................................ BOARD MEMBER TMHF	0.70 .......................0.00	X				51,469	0	20,808
(60) LEIGH STEINER PHD........................................................................ CHAIR SRS	1.40 .......................1.40	X	X			0	375	0
(61) GREG EIMER........................................................................ BOARD MEMBER ALMH	0.70 .......................0.00	X				0	0	0
(62) ANDREW HAYES........................................................................ BOARD MEMBER ALMH	0.70 .......................0.70	X				0	0	0
(63) DON SIELAFF........................................................................ BOARD MEMBER ALMH	0.70 .......................0.00	X				0	0	0
(64) DENNIS CARROLL MD........................................................................ BOARD MEMBER ALMH(FROMFEB20)	0.70 .......................0.00	X				0	0	0
(65) CHRISTOPHER GRAUE........................................................................ BOARD MEMBER ALMH	0.70 .......................0.00	X				0	0	0
(66) WILLIAM BATES........................................................................ BOARD MEMBER ALMH(THRUJAN20)	1.40 .......................0.00	X				0	0	0
(67) MICHELLE BAUR........................................................................ BOARD MEMBER ALMH	0.70 .......................0.00	X				0	0	0
(68) CHRISTINE SHORT........................................................................ BRDMEM ALMH(THRUJAN20)/TREASALMH	0.70 .......................0.70	X	X			0	0	0
(69) JUNE KIDD........................................................................ TREASALMH(THRUJAN20)/CHRELECTALMH	1.40 .......................0.00	X	X			0	0	0
(70) KEITH SNYDER........................................................................ SECALMH(THRUJAN20)/CHRALMH	1.40 .......................0.00	X	X			0	0	0
(71) DAVID IRWIN........................................................................ CHRALMH(THRUJAN20)/IMPASTCHRALMH	1.40 .......................0.00	X	X			0	0	0
(72) BRUCE CARMITCHEL........................................................................ CHRELECTALMH(THRUJAN20)/SECALMH	1.40 .......................0.00	X	X			0	0	0
(73) DAVID CAMPBELL........................................................................ IMPASTCHRALMH(THRUJAN20)/BRDMEMALMH	1.40 .......................0.70	X	X			0	0	0
(74) SUSAN KOCH EDD........................................................................ BOARD MEMBER MMC(THRUJUNE20)	0.70 .......................0.70	X				0	0	0
(75) LYNNE BARKMEIER MD........................................................................ BOARD MEMBER MMC	0.70 .......................0.00	X				0	0	0
(76) JOSEPH HURWITZ........................................................................ BOARD MEMBER MMC	0.70 .......................0.70	X				0	0	0
(77) RICHARD LEVI........................................................................ BOARD MEMBER MMC(THRUDEC19)	0.70 .......................0.70	X				0	0	0
(78) WILLIAM PUTMAN MD........................................................................ BOARD MEMBER MMC(FROMJAN20)	0.70 .......................0.70	X				0	0	0
(79) NINA HARRIS........................................................................ BOARD MEMBER MMC	0.70 .......................0.70	X				0	0	0
(80) SERGIO PECORI........................................................................ BOARD MEMBER MMC	0.70 .......................0.00	X				0	0	0
(81) JARROD WALL MD PHD........................................................................ BOARD MEMBER MMC	0.70 .......................0.00	X				0	0	0
(82) LISA HARTZLER........................................................................ BOARD MEMBER MMC	0.70 .......................0.00	X				0	0	0
(83) JOHN BLACKBURN........................................................................ BOARD MEMBER MMC	0.70 .......................0.70	X				0	0	0
(84) RANDALL GERMERAAD........................................................................ BOARD MEMBER MMC	0.70 .......................0.70	X				0	0	0
(85) JAMES REED JR........................................................................ BRDMEMMMC/BRDMEMMMCF	1.10 .......................0.00	X				0	0	0
(86) TODD WISE........................................................................ 2VICECHRMMC(TRDEC19)/VCHRTRSMMC	1.40 .......................1.40	X	X			0	0	0
(87) DEAN ROBERT JR........................................................................ 1STVICECHRMMC(THRUDEC19)/CHRMMC	1.40 .......................1.40	X	X			0	0	0
(88) DALE BECKER........................................................................ TREASURER MMC(THRUDEC19)	1.40 .......................1.40	X	X			0	0	0
(89) DIANE RUTLEDGE PHD........................................................................ CHRMMC(THRUDEC19)/BRDMEMMMC	1.40 .......................1.40	X	X			0	0	0
(90) GEOFFREY ISRINGHAUSEN........................................................................ SECRETARY MMC	1.40 .......................1.40	X	X			0	0	0
(91) MICHAEL A AIELLO........................................................................ 2NDVICECHRMMC(FROMJAN20)	1.40 .......................1.40	X	X			0	0	0
(92) JENNIFER ISRINGHAUSEN........................................................................ BOARD MEMBER MMCF	0.20 .......................0.00	X				0	0	0
(93) DAVID GRIFFEN MD PHD........................................................................ BOARD MEMBER MMCF (THRUDEC19)	0.20 .......................0.70	X				0	0	0
(94) J WILLIAM ROBERTS........................................................................ BOARD MEMBER MMCF	0.20 .......................0.00	X				0	0	0
(95) SUSAN GLEASON........................................................................ BOARD MEMBER MMCF	0.30 .......................0.00	X				0	0	0
(96) J MARTIN GREEN........................................................................ BOARD MEMBER MMCF	0.20 .......................0.00	X				0	0	0
(97) VALERA YAZELL........................................................................ BOARD MEMBER MMCF	0.40 .......................0.00	X				0	0	0
(98) CHERYL MARTIN........................................................................ BOARD MEMBER MMCF (THRUDEC19)	0.40 .......................0.70	X				0	0	0
(99) TRICIA NELSON BECKER........................................................................ BOARD MEMBER MMCF	0.40 .......................0.00	X				0	0	0
(100) BRADY BIRD........................................................................ BOARD MEMBER MMCF(FROM JAN 20)	0.40 .......................0.00	X				0	0	0
(101) KIRSTEN KIENZLER........................................................................ BOARD MEMBER MMCF(FROM JAN 20)	0.40 .......................0.00	X				0	0	0
(102) WENDI WILLS EL-AMIN MD........................................................................ BOARD MEMBER MMCF(FROM JAN 20)	0.40 .......................0.00	X				0	0	0
(103) HENRY DALE SMITH JR........................................................................ BRDMEMMMCF(THRUDEC19)/VCHRMMCF	0.40 .......................0.00	X	X			0	0	0
(104) CHERRILYN MAYFIELD........................................................................ TREASURER MMCF	0.40 .......................0.00	X	X			0	0	0
(105) G VIRGINIA CONLEE........................................................................ SECRETARY MMCF	0.40 .......................0.00	X	X			0	0	0
(106) BRIDGET LAMONT........................................................................ CHAIR MMCF(THRU DEC 19)	0.40 .......................0.00	X	X			0	0	0
(107) ROB PIETROBURGO........................................................................ VCHRMMCF(THRUDEC19/CHRMMCF	0.40 .......................0.00	X	X			0	0	0
(108) PAVI GILL MD JD........................................................................ BOARD MEMBER TMH	0.70 .......................0.00	X				0	0	0
(109) JOHN FERRY DDS........................................................................ BOARD MEMBER TMH	0.70 .......................0.00	X				0	0	0
(110) BETH BROTHERTON JD........................................................................ BOARD MEMBER TMH(THRUDEC19)	0.70 .......................0.00	X				0	0	0
(111) ERIC KAHLE........................................................................ BOARD MEMBER TMH	0.70 .......................0.00	X				0	0	0
(112) JOHN DANIEL LITTEKEN........................................................................ BOARD MEMBER TMH	0.70 .......................0.00	X				0	0	0
(113) GARY SPURLING........................................................................ BOARD MEMBER TMH(THRUDEC19)	0.70 .......................0.00	X				0	0	0
(114) N TERESA FRANCE........................................................................ BOARD MEMBER TMH	0.70 .......................0.00	X				0	0	0
(115) WILLIAM COPE........................................................................ BOARD MEMBER TMH(FROMJAN20)	0.70 .......................0.00	X				0	0	0
(116) ASHLEY BASSO........................................................................ BOARD MEMBER TMH (FROMJAN20)	0.70 .......................0.00	X				0	0	0
(117) M ADAM MATHIAS........................................................................ BRDMEMTMH(THRUDEC19)/TREASTMH	1.40 .......................0.00	X	X			0	0	0
(118) ADAM VOCKS........................................................................ TREASTMH(THRUDEC19)/VCHRTMH	1.40 .......................0.00	X	X			0	0	0
(119) LINDA SMITH........................................................................ SECRETARY TMH	1.40 .......................0.00	X	X			0	0	0
(120) JUDGE RONALD SPEARS........................................................................ VCHRTMH(THRUDEC19)/CHRTMH	1.40 .......................0.00	X	X			0	0	0
(121) JAMES ADCOCK........................................................................ CHAIR TMH(THRUDEC19)	1.40 .......................0.00	X	X			0	0	0
(122) JUDITH SWIGERT........................................................................ BOARD MEMBER TMHF(THRUDEC19)	0.70 .......................0.00	X				0	0	0
(123) KENT RICHARDSON........................................................................ BOARD MEMBER TMHF	0.70 .......................0.00	X				0	0	0
(124) SHIRLEY DEFRATIES........................................................................ BOARD MEMBER TMHF	0.70 .......................0.00	X				0	0	0
(125) BLAKE DAVIS........................................................................ BOARD MEMBER TMHF (FROMJAN20)	0.70 .......................0.00	X				0	0	0
(126) MATTHEW HUTCHISON........................................................................ BOARD MEMBER TMHF	0.70 .......................0.00	X				0	0	0
(127) GREGORY PATRICK........................................................................ BOARD MEMBER TMHF	0.70 .......................0.00	X				0	0	0
(128) DANIEL MCNEELY........................................................................ BOARD MEMBER TMHF (FROMJAN20)	0.70 .......................0.00	X				0	0	0
(129) JERRY GARDNER DDS........................................................................ BOARD MEMBER TMHF(THRUDEC19)	0.70 .......................0.00	X				0	0	0
(130) CHERYL HUGGINS........................................................................ BOARD MEMBER TMHF	0.70 .......................0.00	X				0	0	0
(131) WILLIAM PERKINS........................................................................ BOARD MEMBER TMHF (FROMJAN20)	0.70 .......................0.00	X				0	0	0
(132) DWAYNE WHEELER........................................................................ BOARD MEMBER TMHF (FROMJAN20)	0.70 .......................0.00	X				0	0	0
(133) MELISSA LIVINGSTON........................................................................ BOARD MEMBER TMHF	0.70 .......................0.00	X				0	0	0
(134) DUANNE STOCK........................................................................ BOARD MEMBER TMHF	0.70 .......................0.00	X				0	0	0
(135) LACY GLENN........................................................................ BOARD MEMBER TMHF	0.70 .......................0.00	X				0	0	0
(136) DENNIS KENNEDY........................................................................ BOARD MEMBER TMHF(THRUOCT20)	0.70 .......................0.00	X				0	0	0
(137) LORETTA KAHLE........................................................................ BOARD MEMBER TMHF	0.70 .......................0.00	X				0	0	0
(138) MICHAEL BLAKEMAN........................................................................ BOARD MEMBER TMHF	0.70 .......................0.00	X				0	0	0
(139) MICHELLE CAPELLIN........................................................................ BM TMHF(TRDEC19)/BM TMH(FMJAN20)	0.70 .......................0.00	X				0	0	0
(140) RONALD MIZER DDS........................................................................ BRDMEMTMHF(THRUDEC19/SECTMHF	1.40 .......................0.00	X	X			0	0	0
(141) DAVID BRUMMER........................................................................ TREASURER TMHF	1.40 .......................0.00	X	X			0	0	0
(142) LINDSAY BARRY........................................................................ SECTMHF(THRUDEC19)/VPRESTMHF	1.40 .......................0.00	X	X			0	0	0
(143) BILLY WILLIAMS........................................................................ VPRESTMHF(THRUDEC19)/PRESTMHF	1.40 .......................0.00	X	X			0	0	0
(144) SCOTT MCCLURE........................................................................ PRESIDENT TMHF(THRUDEC19)	1.40 .......................0.00	X	X			0	0	0
(145) VEA CRAWFORD........................................................................ BOARD MEMBER SRS(FROMMAR20)	0.70 .......................0.70	X				0	0	0
(146) JOSH SABO........................................................................ BOARD MEMBER SRS(FROMMAR20)	0.70 .......................0.70	X				0	0	0
(147) ANNE MORGAN PHD........................................................................ BOARD MEMBER SRS	0.70 .......................0.70	X				0	0	0
(148) SAIF MOUILISH........................................................................ BOARD MEMBER SRS	0.70 .......................0.70	X				0	0	0
(149) SCOTT SABIN........................................................................ BOARD MEMBER SRS	0.70 .......................0.70	X				0	0	0
(150) ERICA SMITH........................................................................ BOARD MEMBER SRS	0.70 .......................0.70	X				0	0	0
(151) JANET STOVER........................................................................ BOARD MEMBER SRS (THRUFEB20)	0.70 .......................0.70	X				0	0	0
(152) IRIS WESLEY........................................................................ BOARD MEMBER SRS	0.70 .......................0.70	X				0	0	0
(153) KENNY WINSLOW........................................................................ BOARD MEMBER SRS	0.70 .......................0.70	X				0	0	0
(154) KARI WOLF MD........................................................................ BOARD MEMBER SRS	0.70 .......................0.70	X				0	0	0
(155) SANDY ROBINSON II........................................................................ BOARD MEMBER SRS(THRUFEB20)	0.70 .......................0.70	X				0	0	0
(156) DANIEL WRIGHT........................................................................ BOARD MEMBER SRS	0.70 .......................0.70	X				0	0	0
(157) WANDA LEE ROHLFS........................................................................ TREASURER SRS	1.40 .......................1.40	X	X			0	0	0
(158) BRENT BORAH........................................................................ VICE CHAIR SRS	1.40 .......................1.40	X	X			0	0	0
(159) TIFFANY NIELSON........................................................................ SECRETARY SRS	1.40 .......................1.40	X	X			0	0	0
(160) DIANA KNAEBE........................................................................ PRES SRS(FMJAN20);ADMIN MBH(FMJAN20)	2.50 .......................47.50	X	X			0	0	0
(161) KEITH BRADBURY........................................................................ BOARD MEMBER PAH	0.70 .......................0.00	X				0	0	0
(162) BARBARA FARLEY PHD........................................................................ BOARD MEMBER PAH	0.70 .......................0.00	X				0	0	0
(163) DANIEL HALLAM PHD MD........................................................................ BOARD MEMBER PAH	0.70 .......................0.00	X				0	0	0
(164) MARYJANE MILLION........................................................................ BOARD MEMBER PAH	0.70 .......................0.00	X				0	0	0
(165) STEPHEN SYMONS........................................................................ BOARD MEMBER PAH	0.70 .......................0.00	X				0	0	0
(166) BRADLEY WILSON........................................................................ BOARD MEMBER PAH	0.70 .......................0.00	X				0	0	0
(167) NANCY SPANGENBERG........................................................................ BRDMEMPAH/PAHF	0.70 .......................0.00	X				0	0	0
(168) DOUGLAS AWE........................................................................ SECPAHCRNA/BRDMPAHF	1.40 .......................0.00	X	X			0	0	0
(169) KELLY STAAKE........................................................................ TREASURER PAH/CRNA	1.40 .......................0.00	X	X			0	0	0
(170) GREG LEPPER........................................................................ BOARD MEMBER PAH	1.40 .......................0.00	X	X			0	0	0
(171) REGINALD BENTON........................................................................ IMMEDIATE PAST CHAIR PAH	1.40 .......................0.70	X	X			0	0	0
(172) GARY SCOTT........................................................................ CELECTPAH/VCHRCRNA	1.40 .......................0.00	X	X			0	0	0
(173) THOMAS VEITH........................................................................ CHAIR PAH/CRNA	1.40 .......................0.00	X	X			0	0	0
(174) JAMES HINCHEN MD........................................................................ BOARD MEMBER PAH/PAHF	0.70 .......................0.00	X	X			0	0	0
(175) CARON YATES........................................................................ BOARD MEMBER PAHF(FROMJAN20)	0.70 .......................0.00	X				0	0	0
(176) ALBAN HAXHINASTO........................................................................ BOARD MEMBER PAHF	0.70 .......................0.00	X				0	0	0
(177) KEITH LAPE PHD........................................................................ BOARD MEMBER PAHF	0.70 .......................0.00	X				0	0	0
(178) LISA MUSCH........................................................................ BOARD MEMBER PAHF	0.70 .......................0.00	X				0	0	0
(179) ERIC GIEBELHAUSEN MD........................................................................ BOARD MEMBER PAHF(FROMJAN20)	0.70 .......................0.00	X				0	0	0
(180) CARRIE COLE........................................................................ BOARD MEMBER PAHF(THRUDEC19)	0.70 .......................0.00	X				0	0	0
(181) GINNY FANNING........................................................................ VPNOM PAHF(TRSEP20);PAH BM(TRSEP20)	1.40 .......................0.70	X	X			0	0	0
(182) ANN PRATHER........................................................................ BM PAHF(TRDEC19)/VPSTEWARDSHIPGIFTS	1.40 .......................0.00	X	X			0	0	0
(183) MARY FERGURSON........................................................................ PAHF PRESIDENT	1.40 .......................0.00	X	X			0	0	0
(184) LINDA DONOVAN........................................................................ VPSTEWARDSHIPGIFTS(TRDEC19)/BMPAHF	1.40 .......................0.00	X	X			0	0	0
(185) CHESTER WYNN........................................................................ SECRETARY PAHF	1.40 .......................0.00	X	X			0	0	0
(186) STEVE TURNER........................................................................ TREASURER PAHF	1.40 .......................0.00	X	X			0	0	0
(187) TANYA ANDRICKS........................................................................ BM DMHF(TRMAR20);BM DMH(FRMAPR20)	0.70 .......................0.00	X				0	0	0
(188) JONATHAN LOCKE MD........................................................................ BOARD MEMBER DMH	0.70 .......................0.70	X				0	0	0
(189) MARY DEPAZ MD........................................................................ BOARD MEMBER DMH	0.70 .......................0.00	X				0	0	0
(190) DOUGLAS CARLSON MD........................................................................ BOARD MEMBER DMH	0.70 .......................0.00	X				0	0	0
(191) GUSSIE REED........................................................................ BOARD MEMBER DMH	0.70 .......................0.00	X				0	0	0
(192) JAMES STECK........................................................................ BOARD MEMBER DMH	0.70 .......................0.00	X				0	0	0
(193) ROBIN KING........................................................................ BOARD MEMBER DMH(THRUDEC19)	0.70 .......................0.00	X				0	0	0
(194) CRISTOBAL VALDEZ........................................................................ BOARD MEMBER DMH	0.70 .......................0.00	X				0	0	0
(195) JOHN WADDOCK........................................................................ BOARD MEMBER DMH	0.70 .......................0.00	X				0	0	0
(196) BRAD WIKE........................................................................ BOARD MEMBER DMH	0.70 .......................0.00	X				0	0	0
(197) AIMEE FYKE........................................................................ BRDMEMDMH(THRUDEC19);SECDMH	1.40 .......................0.70	X	X			0	0	0
(198) DENNIS WHALEN........................................................................ BRDMEMDMH(THRUDEC19);TREASDMH	1.40 .......................0.00	X	X			0	0	0
(199) LARRY ALTENBAUMER........................................................................ CHAIR DMH	1.40 .......................0.70	X	X			0	0	0
(200) JACK O'RILEY........................................................................ VICE CHAIR DMH	1.40 .......................0.00	X	X			0	0	0
(201) IRIS BEASLEY........................................................................ BOARD MEMBER DMHF	0.70 .......................0.00	X				0	0	0
(202) JOE CAPUTO........................................................................ BOARD MEMBER DMHF	0.70 .......................0.00	X				0	0	0
(203) LAKSHIMI JYOTHINAGARAM........................................................................ BOARD MEMBER DMHF(THRUDEC19)	0.70 .......................0.00	X				0	0	0
(204) JIM MASEY........................................................................ BOARD MEMBER DMHF	0.70 .......................0.00	X				0	0	0
(205) KIMBERLY RYKHUS........................................................................ BOARD MEMBER DMHF(THRUDEC19)	0.70 .......................0.00	X				0	0	0
(206) CHRIS WHITE........................................................................ BOARD MEMBER DMHF(THRUDEC19)	0.70 .......................0.00	X				0	0	0
(207) RASHANDA BOND-PARTEE........................................................................ BOARD MEMBER DMHF(FROMJAN20)	0.70 .......................0.00	X				0	0	0
(208) ALI DOOLIN-HUPP........................................................................ BOARD MEMBER DMHF(FROMJAN20)	0.70 .......................0.00	X				0	0	0
(209) KARA JOHNSTON........................................................................ BOARD MEMBER DMHF(FROMJAN20)	0.70 .......................0.00	X				0	0	0
(210) CALEB JUMP........................................................................ BOARD MEMBER DMHF(FROMJAN20)	0.70 .......................0.00	X				0	0	0
(211) RACHEL STRODE........................................................................ BOARD MEMBER DMHF(FROMJAN20)	0.70 .......................0.00	X				0	0	0
(212) MARK WOOD........................................................................ BOARD MEMBER DMHF(FROMJAN20)	0.70 .......................0.00	X				0	0	0
(213) WILLIAM SHADE........................................................................ BRDMEMDMHF(THRUDEC19);VCHRDMHF	1.40 .......................0.00	X	X			0	0	0
(214) BRENT MCHUGH........................................................................ CHRDMHF(THRUDEC19);BRDMEMDMHF	1.40 .......................0.00	X	X			0	0	0
(215) RYAN AUPPERLE........................................................................ VCHRDMHF(THRUDEC19);CHRDMHF	1.40 .......................0.00	X	X			0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
SIU SCHOOL OF MEDICINE PO BOX 19607 SPRINGFIELD,IL627949607	PHYSICIAN SERVICES	45,564,223
HAROLD O'SHEA BUILDERS INC 3401 CONSTITUTION DR SPRINGFIELD,IL62711	CONSTRUCTION	14,304,984
SPRINGFIELD CLINIC PO BOX 19260 SPRINGFIELD,IL627049260	PHYSICIAN SERVICES	13,481,515
CERNER CORPORATION 2800 ROCK CREEK PARKWAY KANSAS CITY,MO64117	COMPUTER SOFTWARE/SUPPORT	9,356,549
FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA STREET OMAHA,NE68154	CONTRACT LABOR	7,406,151
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 171

- 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.
right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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 ...............................3

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

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(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)
(A) DECATUR MEMORIAL HOSPITAL	370661199	3	Yes		2,455,613	0
(B) CHILDREN'S MUSEUM OF ILLINOIS	371235904	10		No	7,000	0
(C) BABY TALK	371291790	7		No	3,500	0
Total 3					2,466,113	0

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	2,108,711	1,969,241	1,627,489	3,586,238	2,003,444	11,295,123
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	2,108,711	1,969,241	1,627,489	3,586,238	2,003,444	11,295,123
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)..						3,626,443
6	Public support. Subtract line 5 from line 4.						7,668,680

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..	2,108,711	1,969,241	1,627,489	3,586,238	2,003,444	11,295,123
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	635,765	667,454	617,110	809,941	865,566	3,595,836
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	10,053	10,269	6,619	6,055	1,438	34,434
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	445,285	442,508	463,291	561,287	538,257	2,450,628
11	Total support. Add lines 7 through 10						17,376,021

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

55,475,081

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 2019 (line 6, column (f) divided by line 11, column (f)) .........

44.130 %

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

48.640 %

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2019

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) 2019

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 (explain in Part VI). 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) 2019

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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: MEMORIAL MEDICAL CENTER PART I LINE 3 HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B) (1) (A) (III). DECATER MEMORIAL HOSPITAL 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). JACKSONVILLE CRNA'S PART I LINE 10 AN ORGANIZATION THAT THE SUPPORT CRITERIA OF 509 (A)(2) AS SUPPORTED BY PART III OF SCHEDULE A. ABRAHAM LINCOLN MEMORIAL HOSPITAL 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 PHYSICIAN SERVICES PART I LINE 10 AN ORGANIZATION THAT THE SUPPORT CRITERIA OF 509 (A)(2) AS SUPPORTED BY PART III OF SCHEDULE A. 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 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). MEMORIAL HEALTH VENTURES PART I LINE 10 AN ORGANIZATION THAT THE SUPPORT CRITERIA OF 509 (A)(2) AS SUPPORTED BY PART III OF SCHEDULE A. 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). DECATUR MEMORIAL HEALTH FOUNDATION PART I LINE 12A IS 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. 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). 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).
PART III, SECTION C, LINE 15 & 16	THE SOFTWARE USED TO PREPARE THE MHS GROUP RETURN DOES NOT ALLOW FOR MULTIPLE PUBLIC CHARITY STATUS. ACCORDINGLY, THE ORGANIZATION HAS SEPARATELY DOCUMENTED THEIR PUBLIC SUPPORT PERCENTAGES AGGREGATED AS FOLLOWS: LINE 15 - PUBLIC SUPPORT PERCENTAGE FOR 2019: 99.2% LINE 16 - PUBLIC SUPPORT PERCENTAGE FOR 2018: 99.3%
PART IV, SECTION A	THE SOFTWARE USED TO PREPARE THE MHS GROUP RETURN DOES NOT ALLOW FOR MULTIPLE PUBLIC CHARITY STATUS. ACCORDINGLY, THE ORGANIZATION HAS SEPARATELY DOCUMENTED THEIR RESPONSES AS FOLLOWS: LINE 1 - NO. DECATUR MEMORIAL HEALTH FOUNDATION SUPPORTED ORGANIZATIONS ARE NOT LISTED BY NAME IN DECATUR MEMORIAL HEALTH FOUNDATION'S GOVERNING DOCUMENTS, HOWEVER THEY ARE DESIGNATED BY PURPOSE AS THE PROGRAMS ALIGN WITH THE ORGANIZATION'S EXEMPT PURPOSE. LINE 2 - NO LINE 3A - NO LINE 4A - NO LINE 5A - YES CHILDREN'S MUSEUM OF ILLINOIS - FEIN: 37-1235904 THE ADDITION OF THE ABOVE WAS TO SUPPORT COMMUNITY ORGANIZATIONS FOR PROGRAMS WHICH ALIGNED WITH THE ORGANIZATION'S EXEMPT PURPOSE. AUTHORITY UNDER THE ORGANIZATION'S ORGANIZING DOCUMENT AUTHORIZING SUCH ADDITION: ORGANIZATION'S BYLAWS: TO CONTRACT WITH OTHER ORGANIZATIONS, FOR-PROFIT AND NOT-FOR-PROFIT, WITH INDIVIDUALS, AND WITH GOVERNMENTAL AGENCIES IN FURTHERANCE OF THE ORGANIZATION'S PURPOSES; IN KEEPING WITH THE CHARITABLE MISSION OF DECATUR MEMORIAL HOSPITAL, TO CREATE HEALTHY COMMUNITIES THROUGH INVOLVEMENT IN EDUCATION, FAMILY SYSTEMS, AND ECONOMIC DEVELOPMENT; AND TO PROMOTE WELLNESS AND PREVENTATIVE CARE PROGRAMS WITH DECATUR MEMORIAL HOSPITAL, ITS AFFILIATES AND COMMUNITY GROUPS. THIS WAS EXECUTED UNDER THE EXISTING CORPORATE BYLAWS, AS AUTHORIZED. LINE 5B - NO LINE 6 - NO LINE 7 - NO LINE 8 - NO LINE 9A - NO LINE 9B - NO LINE 9C - NO LINE 10A - NO LINE 11 - NO LINE 11A - NO LINE 11B - NO LINE 11C - NO
PART IV, SECTION B	THE SOFTWARE USED TO PREPARE THE MHS GROUP RETURN DOES NOT ALLOW FOR MULTIPLE PUBLIC CHARITY STATUS. ACCORDINGLY, THE ORGANIZATION HAS SEPARATELY DOCUMENTED THEIR RESPONSES AS FOLLOWS: LINE 1 - YES LINE 2 - YES. PROVIDING BENEFIT TO THE UNRELATED SUPPORTED ORGANIZATION CARRIED OUT THE PURPOSE OF DECATUR MEMORIAL HEALTH FOUNDATION TO CREATE HEALTHY COMMUNITIES THROUGH INVOLVEMENT IN EDUCATION AND FAMILY SYSTEMS.

Schedule A (Form 990 or 990-EZ) 2019

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization MEMORIAL HEALTH SYSTEM GROUP

Part I Contributors	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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) 2019

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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|No

(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

180,524

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

180,524

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: $60,070 DECATUR MEMORIAL HOSPITAL: $58,492 PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION: $24,832 THE ABRAHAM LINCOLN MEMORIAL HOSPITAL: $17,484 TAYLORVILLE MEMORIAL HOSPITAL: $16,746 MEMORIAL HOME SERVICES: $ 2,900

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: $60,070 DECATUR MEMORIAL HOSPITAL: $58,492 PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION: $24,832 THE ABRAHAM LINCOLN MEMORIAL HOSPITAL: $17,484 TAYLORVILLE MEMORIAL HOSPITAL: $16,746 MEMORIAL HOME SERVICES: $ 2,900

Schedule C (Form 990 or 990EZ) 2019

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2019

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 ....	30,362,507	29,433,505	29,386,198	28,384,877	29,069,189
b	Contributions ...	14,195	831,113	9,674	17,776	14,970
c	Net investment earnings, gains, and losses	2,958,455	803,571	569,769	2,220,438	579,273
d	Grants or scholarships ...	34,425	121,432	158,361	287,264	906,307
e	Other expenditures for facilities and programs ...	1,551,780	485,182	284,028	856,778	280,079
f	Administrative expenses ....	109,642	99,068	89,747	92,851	92,169
g	End of year balance ......	31,639,310	30,362,507	29,433,505	29,386,198	28,384,877

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

Board designated or quasi-endowment SchDMd Bullet

6.910 %

Permanent endowment SchDMd Bullet

79.360 %

Term endowment SchDMd Bullet

13.730 %

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 .....	66,386,309	21,157,522		87,543,831
b	Buildings ....	1,127,468	523,691,835	271,867,904	252,951,399
c	Leasehold improvements	235,300	13,420,995	8,466,369	5,189,926
d	Equipment ....	5,623	308,154,919	228,307,474	79,853,068
e	Other .....		102,177,432	27,350,417	74,827,015
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					500,365,239

Schedule D (Form 990) 2019

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) INTEREST IN NET ASSETS OF FOUNDATIONS	151,252,573	C
(B) INVESTMENT IN PARTNERSHIPS	100	C
(C) BENEFICIAL INTEREST IN TRUST	70,460,561	C
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	221,713,234

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	501,962,709
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) 2019

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:	DECATUR MEMORIAL HOSPITAL'S ENDOWMENT FUNDS ARE USED FOR CAPITAL PURCHASES, SCHOLARSHIPS, AND ASSISTING INDIGENT PEOPLE WITH THEIR HOSPITAL BILLS. PASSAVANT MEMORIAL AREA HOSPITAL 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 FOUNDATION'S ENDOWMENT CONSISTS OF 36 INDIVIDUAL DONOR-RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE FOUNDATION HAS A POLICY OF APPROPRIATING FOR DISTRIBUTION EACH YEAR 5% OF ITS ENDOWMENT FUND'S MOVING AVERAGE FAIR VALUE OVER THE PRIOR 36 MONTHS AS OF SEPTEMBER 30 OF THE PRECEDING FISCAL YEAR IN WHICH THE DISTRIBUTION IS PLANNED. IN ESTABLISHING THIS POLICY, THE FOUNDATION CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENTS. ACCORDINGLY, OVER THE LONG TERM THE FOUNDATION EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT AN AVERAGE OF THE LONG-TERM RATE OF INFLATION. DECATUR MEMORIAL HEALTH FOUNDATION'S ENDOWMENT FUNDS ARE INTENDED FOR RESEARCH IN MEDICAL AND RADIATION ONCOLOGY, PERSONNEL TRAINING FOR ONCOLOGY, NURSING CONTINUING EDUCATION, AND TO FUND EQUIPMENT AND FACILITY DEVELOPMENT. 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 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:	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, 2020 OR 2019. MEMORIAL HEALTH SYSTEM IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2017. MHS QALICB, LLC (QALICB), MCDEKK, LLC (MCDEKK), AND MEMORIAL HEALTH PARTNERS (MHP) 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, PART V	THE PREVIOUS FOUR YEARS HAVE BEEN UPDATED TO REFLECT THE ADDITION OF DECATUR MEMORIAL HOSPITAL AND DECATUR MEMORIAL HEALTH FOUNDATION.

Schedule D (Form 990) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 10 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) 2019

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 2019 SIGNATURE EVENT (event type)	(c) Other events 4 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	643,212	38,744	19,193	701,149
2	Less: Contributions . . . .	232,170	28,709	13,063	273,942
3	Gross income (line 1 minus line 2) . . . . . .	411,042	10,035	6,130	427,207

4	Cash prizes . . . . .
5	Noncash prizes . . . .	67,642	1,179	214	69,035
6	Rent/facility costs . . . .	16,697	575	460	17,732
7	Food and beverages . . .	84,487	3,591	6,008	94,086
8	Entertainment . . . .	650	1,100	1,150	2,900
9	Other direct expenses . . .	72,422	1,760	5,585	79,767
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				263,520
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				163,687

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 . . . . .			116,800	116,800

2	Cash prizes . . . . .	94,500	94,500
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	10,604	10,604

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

105,104

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

11,696

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) 2019

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

100.000 %

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

13b

0 %

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

Name

KATHRYN J KEIM

Address

701 NORTH FIRST STREET SPRINGFIELD, IL62781

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

MELISSA HANSEN-SCHMADEKE

Gaming manager compensation right arrow

Description of services provided right arrow

OVERSAW THE RAFFLE PROCESS.

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 provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2019

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

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? . . . . . .

Yes

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) . . .	104	4,875	13,364,488		13,364,488	1.000 %
b	Medicaid (from Worksheet 3, column a) . . . . .	1	87,168	180,554,470	127,560,799	52,993,671	3.970 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	1	35	55,908	493,786	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	106	92,078	193,974,866	128,054,585	66,358,159	4.970 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	403	3,788	2,135,222	209,870	1,925,352	0.140 %
f	Health professions education (from Worksheet 5) . . .	96	2,170	14,613,703	3,740,910	10,872,793	0.820 %
g	Subsidized health services (from Worksheet 6) . . . .	3	159,527	26,557,179		26,557,179	1.990 %
h	Research (from Worksheet 7) .			232,412		232,412	0.020 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	154	17,678	55,285,899	107,609	55,178,290	4.140 %
j	Total. Other Benefits . .	656	183,163	98,824,415	4,058,389	94,766,026	7.110 %
k	Total. Add lines 7d and 7j .	762	275,241	292,799,281	132,112,974	161,124,185	12.080 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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	Economic development	3		65,136	65,136	0 %
3	Community support	3	1	91,090	91,090	0.010 %
4	Environmental improvements
5	Leadership development and training for community members	2		6,486	6,486	0 %
6	Coalition building	1	107	1,111	1,111	0 %
7	Community health improvement advocacy	2	40	10,114	10,114	0 %
8	Workforce development	2		7,602,978	7,602,978	0.570 %
9	Other
10	Total	13	148	7,776,915	7,776,915	0.580 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

33,060,113

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).....

304,872,806

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

329,029,581

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

-24,156,775

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) 2019

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?5Name, 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)								Other (describe)
1	MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781 HTTPS://WWW.MEMORIALMEDICAL.COM/ 0001487	X	X	X		X	X
2	THE 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
5	DECATUR MEMORIAL HOSPITAL 2300 NORTH EDWARD STREET DECATUR,IL62526 HTTPS://WWW.DMHCARES.COM/ 0000471	X	X				X	ACUTE CARE & LONG TERM CARE

Schedule H (Form 990) 2019

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

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): WWW.CHOOSEMEMORIAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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 19

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

Yes

If "Yes" (list url): WWW.CHOOSEMEMORIAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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) 2019

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 301.000000000000%

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)

Was widely publicized 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/FINANCIAL-HELP

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

WWW.MEMORIALMEDICAL.COM/FINANCIAL/FINANCIAL-HELP

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

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	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 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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

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)

	THE 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

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/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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 17

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

Yes

If "Yes" (list url): WWW.CHOOSEMEMORIAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	THE 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 301.000000000000%

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)

Was widely publicized 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/FINANCIAL-ASSISTANCE

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

WWW.ALMH.ORG/FINANCIAL/FINANCIAL-ASSISTANCE

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

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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

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/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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 17

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

Yes

If "Yes" (list url): WWW.CHOOSEMEMORIAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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) 2019

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 301.000000000000%

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)

Was widely publicized 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/FINANCIAL/FINANCIAL-ASSISTANCE

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

WWW.TAYLORVILLEMEMORIAL.ORG/FINANCIAL/FINANCIAL-ASSISTANCE

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

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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

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/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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 17

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

Yes

If "Yes" (list url): WWW.CHOOSEMEMORIAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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) 2019

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 301.000000000000%

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)

Was widely publicized 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/FINANCIAL/FINANCIAL-ASSISTANCE

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

WWW.PASSAVANTHOSPITAL.COM/FINANCIAL/FINANCIAL-ASSISTANCE

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

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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

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)

	DECATUR 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

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.DMHCARES.COM/PUBLIC-INFORMATION/QUALITY-DATA/COMMUNITY-HEALTH-NEEDS-ASS

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 19

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

Yes

If "Yes" (list url): WWW.DMHCARES.COM/PUBLIC-INFORMATION/QUALITY-DATA/COMMUNITY-HEALTH-NEEDS-ASS

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) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	DECATUR 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 301.000000000000%

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)

Was widely publicized 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.DMHCARES.COM/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE

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

WWW.DMHCARES.COM/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.DMHCARES.COM/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE

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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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 (MMC) COLLABORATED WITH HSHS ST. JOHN'S HOSPITAL AND THE SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH TO COMPLETE A CHNA IN TY2017/FY2018. MMC DID NOT RECEIVE ANY DIRECT WRITTEN COMMENTS ON THE 2015 CHNA OR IMPLEMENTATION STRATEGIES. FOR THE 2018 CHNA, COMMUNITY HEALTH NEEDS WERE PRIORITIZED BASED ON REVIEWS OF MULTIPLE SOURCES OF SECONDARY DATA, AS WELL AS PRIMARY DATA GATHERED A COMMUNITY ADVISORY COMMITTEE (CAC) COMPRISED OF 13 REPRESENTATIVES FROM COMMUNITY ORGANIZATIONS. THESE INCLUDED TWO FEDERALLY QUALIFIED HEALTH CENTERS (SIU CENTER FOR FAMILY MEDICINE AND CENTRAL COUNTIES HEALTH CENTERS); SANGAMON COUNTY DEPARTMENT OF COMMUNITY RESOURCES (COMMUNITY ACTION); MEMORIAL BEHAVIORAL HEALTH; CATHOLIC CHARITIES; LINCOLN LAND COMMUNITY COLLEGE'S OPEN DOOR MENTORSHIP PROGRAM; SIU SCHOOL OF MEDICINE'S DEPARTMENT OF EQUITY, DIVERSITY AND INCLUSION; SPRINGFIELD POLICE DEPARTMENT; SPRINGFIELD SCHOOL DISTRICT 186; SANGAMON COUNTY FARM BUREAU; GREATER SPRINGFIELD CHAMBER OF COMMERCE; SPRINGFIELD URBAN LEAGUE; AND UNITED WAY OF CENTRAL ILLINOIS. THE CAC MET ON OCTOBER 24, 2017, TO REVIEW OUTCOMES OF THE 2015 CHNA IMPLEMENTATION STRATEGIES, DISCUSS SOCIAL DETERMINANTS OF HEALTH, AND AN OVERVIEW OF SECONDARY DATA CONSULTED FOR THE 2018 CHNA. THE CAC HAD OPPORTUNITY TO PROVIDE INPUT ON KEY COMMUNITY ISSUES THEY WERE ADDRESSING. AT THE SECOND MEETING ON NOVEMBER 17, 2017, THE CAC REVIEWED DATA ON 18 IDENTIFIED PRIORITY NEEDS, INCLUDING SANGAMON COUNTY INCIDENCE RATES, EMERGENCY DEPARTMENT AND HOSPITALIZATION DATA, TRENDS OVER TIME AND DISPARITIES. THE CAC SHARED SPECIFIC INFORMATION ON HOW THESE ISSUES IMPACTED THEIR CLIENTS AND THE COMMUNITY, AND THEN COMPLETED A FORCED RANKING TO SELECT THE NINE ISSUES THAT WOULD BE INCLUDED ON A COMMUNITY SURVEY. THE UNIVERSITY OF ILLINOIS' SURVEY RESEARCH DEPARTMENT CONDUCTED A COMMUNITY SURVEY ON THESE NINE ISSUES FROM JANUARY 12-FEBUARY 12, 2018, AND PROVIDED A REPORT BACK TO THE HOSPITAL; 1,079 INDIVIDUALS COMPLETED THE SURVEY. THE CAC MET A FINAL TIME ON MARCH 20, 2018. MEMBERS RECEIVED A DETAILED REVIEW OF THE COMMUNITY SURVEY OUTCOMES. THE CAC ALSO COMPLETED AN ASSET AND GAPS ANALYSIS AND DISCUSSED POPULATIONS DISPROPORTIONATELY AFFECTED. USING THE PREDEFINED CRITERIA OF MAGNITUDE, SERIOUSNESS, FEASIBILITY AND TRIPLE AIM, THE CAC RECOMMENDED FOUR FINAL ISSUES AS THE TOP PRIORITIES FOR THE HOSPITALS TO ADDRESS IN SANGAMON COUNTY: ACCESS TO CARE, MENTAL HEALTH, SUBSTANCE ABUSE AND MOTHER/INFANT HEALTH. MMC ACCEPTED THIS RECOMMENDATION. A COMPLETE DESCRIPTION OF THE CHNA PROCESS IS PROVIDED IN MMC'S CHNA REPORT AT WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES.
THE ABRAHAM LINCOLN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: THE ABRAHAM LINCOLN MEMORIAL HOSPITAL (ALMH) COLLABORATED WITH THE LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH TO COMPLETE A CHNA IN TY2017/FY2018. ALMH DID NOT RECEIVE ANY DIRECT WRITTEN COMMENTS ON THE 2015 CHNA OR IMPLEMENTATION STRATEGIES. COMMUNITY AND INTERNAL ADVISORY COMMITTEES WERE USED TO ANALYZE HEALTH DATA AND SELECT THE PRIORITIES. THE COMMUNITY ADVISORY COMMITTEE (CAC) CONSISTED OF OVER 20 MEMBERS FROM THE ALMH COMMUNITY HEALTH COLLABORATIVE NETWORK INCLUDING A FEDERALLY QUALIFIED HEALTH CENTER (SIU FAMILY HEALTH CENTER), COMMUNITY ACTION PARTNERSHIP OF CENTRAL ILLINOIS, GATEWAY FOUNDATION, MOMS WHO CARE, HEARTLAND COMMUNITY COLLEGE, LINCOLN COLLEGE, LINCOLN PARK DISTRICT, MEMORIAL BEHAVIORAL HEALTH, LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH, SIU SCHOOL OF MEDICINE, LOGAN COUNTY PROBATION, CHESTNUT HEALTH SYSTEM AND THE SIU OFFICE OF POPULATION SCIENCE AND POLICY. THE INTERNAL ADVISORY COMMITTEE (IAC) INCLUDED A VARIETY OF STAKEHOLDERS INCLUDING REPRESENTATIVES FROM THE ALMH FOUNDATION, COMMUNITY ACTION PARTNERSHIP OF CENTRAL ILLINOIS, LINCOLN SCHOOL DISTRICT 27, PRIVATE BUSINESSES, LINCOLN AREA YMCA, LINCOLN POLICE DEPARTMENT, LINCOLN PARK DISTRICT, LOGAN COUNTY PARKS AND TRAILS FOUNDATION, LOGAN COUNTY REGIONAL PLANNING COMMISSION, LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH AND MEMORIAL BEHAVIORAL HEALTH. IN THE FALL AND WINTER OF 2017, THE CAC REVIEWED OUTCOMES OF THE 2015 CHNA IMPLEMENTATION STRATEGIES, DISCUSSED SOCIAL DETERMINANTS OF HEALTH, AND REVIEWED AN OVERVIEW OF SECONDARY DATA TO HELP DETERMINE PRIORITIES FOR THE 2018 CHNA. THE CAC HAD AN OPPORTUNITY TO PROVIDE INPUT ON KEY COMMUNITY ISSUES. THE DOT METHOD/DOTMOCRACY WAS THE METHOD CHOSEN TO NARROW THE LIST OF 25 POTENTIAL PRIORITIES. 10 AREAS OF NEED FOR LOGAN COUNTY WERE IDENTIFIED BASED ON THE PREDEFINED CRITERIA OF MAGNITUDE, SERIOUSNESS, FEASIBILITY AND TRIPLE AIM, ALONG WITH IDENTIFIED INCREASES IN OCCURRENCE AND TIMELINE TRENDING IDENTIFIED IN THE SECONDARY DATA. IN FEBRUARY/MARCH 2018, UNIVERSITY OF ILLINOIS AT SPRINGFIELD'S SURVEY RESEARCH PROGRAM CONDUCTED A COMMUNITY SURVEY. PARTICIPANTS WERE ASKED TO RANK THE 10 PRIORITIES AND WERE ENCOURAGED TO IDENTIFY ADDITIONAL CONCERNS. A TOTAL OF 565 INDIVIDUALS COMPLETED THE SURVEY. THE SURVEY SHOWED SIMILAR RESULTS FOR THE TOP 10 AREAS OF COMMUNITY CONCERN. THESE 10 PRIORITIES WERE PRESENTED TO THE IAC FOR REVIEW. ONCE AGAIN MAGNITUDE, SERIOUSNESS, FEASIBILITY AND TRIPLE AIM WERE TAKEN INTO CONSIDERATION. THE IAC RECEIVED A DETAILED REVIEW OF THE COMMUNITY SURVEY OUTCOMES, COMPLETED AN ASSET AND GAPS ANALYSIS AND DISCUSSED POPULATIONS DISPROPORTIONATELY AFFECTED. THE IAC RECOMMENDED FOUR FINAL ISSUES AS THE TOP PRIORITIES FOR THE HOSPITAL TO ADDRESS IN LOGAN COUNTY: MENTAL HEALTH, SUBSTANCE ABUSE, CANCER AND OBESITY. A COMPLETE DESCRIPTION OF THE CHNA PROCESS IS PROVIDED IN ALMH'S CHNA REPORT AT WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES.
TAYLORVILLE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: TAYLORVILLE MEMORIAL HOSPITAL (TMH) COLLABORATED WITH THE CHRISTIAN COUNTY DEPARTMENT OF PUBLIC HEALTH TO COMPLETE A CHNA IN TY2017/FY2018. TMH DID NOT RECEIVE ANY DIRECT WRITTEN COMMENTS ON THE 2015 CHNA OR IMPLEMENTATION STRATEGIES. FOR THE 2018 CHNA, COMMUNITY HEALTH NEEDS WERE PRIORITIZED BASED ON REVIEWS OF SECONDARY DATA, AS WELL AS PRIMARY DATA GATHERED FROM THE COMMUNITY ADVISORY COMMITTEE (CAC) COMPRISED OF TWELVE REPRESENTATIVES FROM COMMUNITY ORGANIZATIONS. THE CAC IS MADE UP OF REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE LOW-INCOME, MINORITY AND AT-RISK POPULATIONS IN CHRISTIAN COUNTY. TWELVE ORGANIZATIONS PARTICIPATED ON THE CAC. THESE INCLUDED: CENTRAL COUNTIES HEALTH CENTER (A FEDERALLY QUALIFIED HEALTH CENTER), GREATER TAYLORVILLE CHAMBER OF COMMERCE, CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION, SPRINGFIELD CLINIC, TAYLORVILLE MINISTERIAL ALLIANCE, CHRISTIAN COUNTY YMCA, TAYLORVILLE COMMUNITY UNIT SCHOOL DISTRICT #3, CHRISTIAN COUNTY PREVENTION COALITION, TAYLORVILLE POLICE DEPARTMENT, UNITED WAY OF CHRISTIAN COUNTY, SENIOR CITIZENS OF CHRISTIAN COUNTY, AND GATEWAY FOUNDATION. THE SECONDARY DATA SOURCES INCLUDED, COUNTY HEALTH RANKINGS AND ROADMAPS, CHRISTIAN COUNTY 2016 COMMUNITY HEALTH ASSESSMENT SURVEY, CENTRAL COUNTIES FEDERALLY QUALIFIED HEALTH CLINIC (REPORT MADE TO HRSA), IDPH STATISTICS ON INCIDENCES OF STDS, IDPH "CANCER IN ILLINOIS" REPORT 2017, IDPH ILLINOIS STATE CANCER REGISTRY DATA, AND THE ILLINOIS YOUTH SURVEY 2016. THE MOST SIGNIFICANT SOURCE OF SECONDARY DATA WAS COLLECTED AND ANALYZED THROUGH CONDUENT'S HEALTHY COMMUNITIES INSTITUTE DATA PLATFORM. THE CAC MET ON DECEMBER 12, 2017 WHERE TAYLORVILLE MEMORIAL HOSPITAL AND CHRISTIAN COUNTY DEPARTMENT OF PUBLIC HEALTH PROVIDED AN OVERVIEW OF OUTCOMES OF THE 2015 CHNA AND IMPLEMENTATION STRATEGIES FOR THE HOSPITAL AND THE HEALTH DEPARTMENT'S IPLAN. TAYLORVILLE MEMORIAL HOSPITAL CONTRACTED WITH THE UNIVERSITY OF ILLINOIS AT SPRINGFIELD SURVEY RESEARCH DEPARTMENT TO CONDUCT THE CHRISTIAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY FROM JANUARY 12 TO FEBRUARY 12, 2018. THE SURVEY TOOK PLACE ONLINE. BECAUSE EVERYONE DOES NOT HAVE COMPUTER ACCESS, PAPER COPIES OF THE SURVEY WERE ALSO AVAILABLE. A TOTAL OF 702 INDIVIDUALS COMPLETED THE SURVEY. THE CAC CONVENED FOR ITS FINAL MEETING ON MARCH 29, 2018. THE CAC MEMBERS IDENTIFIED THE TOP PRIORITIES AS: MENTAL HEALTH AND SUBSTANCE ABUSE. A COMPLETE DESCRIPTION OF THE CHNA PROCESS IS PROVIDED IN TMH'S CHNA REPORT AT WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES.
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 5: PASSAVANT AREA HOSPITAL (PAH) COLLABORATED WITH THE MORGAN COUNTY HEALTH DEPARTMENT (MCHD) TO COMPLETE ITS CHNA IN TY2017/FY2018. NO DIRECT WRITTEN FEEDBACK WAS RECEIVED, OTHER THAN SEVERAL ARTICLES IN THE NEWSPAPER COMMENDING THE COLLABORATION. COMMUNITY HEALTH NEEDS WERE PRIORITIZED BASED ON REVIEWS OF SECONDARY COMMUNITY DATA, AS WELL AS PRIMARY DATA GATHERED BY A COMMUNITY ADVISORY COMMITTEE (CAC) COMPRISED OF 15 REPRESENTATIVES FROM THE FOLLOWING COMMUNITY ORGANIZATIONS: JACKSONVILLE SCHOOL DISTRICT117/EARLY YEARS PROGRAM, SERVES CHILDREN AGES 3-18; PRAIRIE COUNCIL ON AGING; SIU CENTER FOR FAMILY MEDICINE (FQHC); MEMORIAL BEHAVIORAL HEALTH; CENTRAL COUNTIES HEALTH CENTER (FQHC); JACKSONVILLE POLICE DEPARTMENT; MORGAN COUNTY SHERIFF; MORGAN COUNTY PROBATION; MORGAN COUNTY EMERGENCY SERVICES; SALVATION ARMY; ILLINOIS DEPARTMENT OF HUMAN SERVICES; MIDWEST YOUTH SERVICES; ELM CITY CENTER; LOCUST STREET RESOURCE CENTER; AND HOME INSTEAD SENIOR CARE. NOVEMBER 2017-TWO CAC MEETINGS WERE HELD. THE FORMAT OF THE MEETINGS INCLUDED A SHORT INTRODUCTION OF THE CHNA, A SUMMARY OF THE OUTCOMES FROM THE 2015 CHNA AND AN EXPLANATION OF THE 2018 PROCESS. THIS WAS FOLLOWED BY AN ENGAGING SESSION IN WHICH ATTENDEES WERE ASKED TO IDENTIFY THREE OF THE COUNTY'S HIGHEST UNMET NEEDS. THE EXERCISE GAVE US A COMPREHENSIVE SNAPSHOT OF THE NEEDS IN OUR COMMUNITY ACCORDING TO OUR SERVICE PROVIDERS. THESE RESULTS WERE COMBINED AND CATEGORIZED ACCORDING TO THE COUNTY HEALTH RANKING MODEL INTO FOUR CATEGORIES: HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS AND PHYSICAL ENVIRONMENT. THE CAC WAS RECONVENED TO REVIEW HEALTH FACTORS AND START TO PRIORITIZE THEM BASED ON THEIR COLLECTIVE OPINIONS OF THE GREATEST NEED. THE GROUP WAS ASKED TO IDENTIFY A TOP-DOWN LIST OF THE FIVE HIGHEST-NEED PRIORITIES. THEY IDENTIFIED YOUTH SERVICES, MENTAL HEALTH, DRUG/ALCOHOL TREATMENT, STDS/EARLY SEXUAL HEALTH AND OBESITY. COMMON THEMES WERE ACCESS TO CARE, INFORMATION AND AFFORDABILITY. A SURVEY WAS CONDUCTED FOR MORGAN COUNTY BY THE UNIVERSITY OF ILLINOIS' SURVEY RESEARCH DEPARTMENT FROM JANUARY 12-FEBUARY 12, 2018. 797 INDIVIDUALS COMPLETED THE SURVEY. THE CACS CONVENED FOR ITS FINAL MEETING ON MARCH 22, 2018. THE CAC RECEIVED A DETAILED REVIEW OF THE OUTCOMES OF THE COMMUNITY SURVEY. CAC MEMBERS REVIEWED THE SURVEY RESULTS AND ENGAGED IN AN EXERCISE TO BEGIN MAPPING AVAILABLE COMMUNITY RESOURCES IN THE AREAS OF UNMET NEED. NEXT, THE CAC REVISITED THE COUNTY HEALTH RANKING MODEL. WE USED THIS MODEL TO APPLY OUR RESEARCH AND EXPLORE HOW HEALTH FACTORS UNIQUE TO MORGAN COUNTY COULD BE ADDRESSED IN OUR IMPLEMENTATION STRATEGY. THE PRIORITIES, ALONG WITH HEALTH FACTORS IDENTIFIED BY COMMUNITY MEMBERS WHO TOOK THE SURVEY, WERE CHARTED IN THE MODEL. AGENCY LEADERS WERE ASKED TO EVALUATE EACH FACTOR ON WHETHER THEIR ORGANIZATION HAS EXISTING PROACTIVE OR REACTIVE PROGRAMS. THIS EXERCISE CREATED A SNAPSHOT OF EXISTING RESOURCES AS THEY APPLY TO OUR HEALTH NEEDS, AND ALSO IDENTIFIED GAPS THAT EXIST IN SERVICES. UPON FINAL REVIEW OF THE RESEARCH AND FEEDBACK PROVIDED BY COMMUNITY RESOURCES, PAHS IDENTIFIED THREE PRIORITIES TO BE ADDRESSED: ACCESS TO CARE, SUBSTANCE ABUSE AND MENTAL HEALTH. A COMPLETE DESCRIPTION OF THE CHNA PROCESS IS PROVIDED IN PAH'S CHNA REPORT AT WWW.CHOOSEMEMORIAL.ORG/HEALTHYCOMMUNITIES.
DECATUR MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: DECATUR MEMORIAL HOSPITAL (DMH) COLLABORATED WITH THE MACON COUNTY HEALTH DEPARTMENT (MCHD) TO COMPLETE ITS CHNA IN TY2017/FY2018. NO DIRECT WRITTEN FEEDBACK WAS RECEIVED ON THIS PROCESS. COMMUNITY HEALTH NEEDS WERE PRIORITIZED BASED ON REVIEWS OF SECONDARY COMMUNITY DATA, AS WELL AS PRIMARY DATA GATHERED BY AN INTERNAL ADVISORY COMMITTEE (IAC) COMPRISED OF 6 REPRESENTATIVES FROM THROUGHOUT THE HOSPITAL. THE FOLLOWING COMMUNITY ORGANIZATIONS ALSO CONSULTED ON THIS PROCESS: DEVELOPMENT REVITALIZATION FOR THE CITY OF DECATUR, DECATUR ILLINOIS ECONOMIC DEVELOPMENT CORPORATION, AND HSHS ST. MARY'S HOSPITAL. A COMMUNITY SURVEY WAS CONDUCTED, WHICH IDENTIFIED MANY NEEDS THROUGHOUT THE COMMUNITY, MANY OF WHICH REGARDED ACCESS-ISSUES. 993 INDIVIDUALS COMPLETED THE SURVEY. IN SEPTEMBER 2018, A FOCUS GROUP OF 6 PARTICIPANTS MET TO FOCUS ON ACCESS NEEDS. UPON FINAL REVIEW OF THE RESEARCH AND FEEDBACK PROVIDED, DMH IDENTIFIED THREE PRIORITIES TO BE ADDRESSED: ACCESS TO CARE, SUBSTANCE ABUSE AND MENTAL HEALTH. A COMPLETE DESCRIPTION OF THE CHNA PROCESS IS PROVIDED IN DMH'S CHNA REPORT AT HTTPS://WWW.DMHCARES.COM/PUBLIC-INFORMATION/QUALITY-DATA/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/.
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 6A: MEMORIAL MEDICAL CENTER (MMC) CONDUCTED THE 2018 SANGAMON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH HSHS ST. JOHN'S HOSPITAL.
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 6B: MMC COLLABORATED WITH THE SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH ON THE CHNA, ASSISTING THE HEALTH DEPARTMENT IN COMPLETING ITS IPLAN FOR THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH. MMC AND COUNTY HEALTH DEPARTMENT PRODUCED SEPARATE REPORTS AND IMPLEMENTATION STRATEGIES.
THE ABRAHAM LINCOLN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: ALMH COLLABORATED WITH THE LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH ON THE CHNA, ASSISTING THE HEALTH DEPARTMENT IN COMPLETING ITS IPLAN FOR THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH. ALMH AND COUNTY HEALTH DEPARTMENT PRODUCED SEPARATE REPORTS AND IMPLEMENTATION STRATEGIES.
TAYLORVILLE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: TMH COLLABORATED WITH THE CHRISTIAN COUNTY HEALTH DEPARTMENT ON THE CHNA, ASSISTING THE HEALTH DEPARTMENT IN COMPLETING ITS IPLAN FOR THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH. TMH AND COUNTY HEALTH DEPARTMENT PRODUCED SEPARATE REPORTS AND IMPLEMENTATION STRATEGIES.
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 6B: PAH COLLABORATED WITH THE MORGAN COUNTY HEALTH DEPARTMENT ON THE NEEDS ASSESSMENT, ASSISTING THE HEALTH DEPARTMENT IN COMPLETING ITS IPLAN FOR THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH. PAH AND COUNTY HEALTH DEPARTMENT PRODUCED SEPARATE REPORTS AND IMPLEMENTATION STRATEGIES.
DECATUR MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: DMH COLLABORATED WITH THE MACON COUNTY HEALTH DEPARTMENT ON THE NEEDS ASSESSMENT, ASSISTING THE HEALTH DEPARTMENT IN COMPLETING ITS IPLAN FOR THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH. DMH AND COUNTY HEALTH DEPARTMENT PRODUCED SEPARATE REPORTS AND IMPLEMENTATION STRATEGIES.
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 7D: THE MEMORIAL HEALTH SYSTEM (MHS) COMMUNICATIONS TEAM ISSUED PRESS RELEASES TO COMMUNICATE CHNA OUTCOMES TO LOCAL MEDIA OUTLETS, WITH RESULTING COVERAGE BY THE LOCAL PAPER. MMC ALSO PROVIDED A PRESENTATION TO THE SPRINGFIELD CITIZENS CLUB ON DECEMBER 20, 2019. ALSO, THE MHS 2020 ANNUAL REPORT CONTAINS THE WEB ADDRESS TO DIRECT READERS TO THE CHNA REPORT. A PAPER COPY WILL BE PROVIDED TO ANYONE IN THE COMMUNITY UPON REQUEST.
THE ABRAHAM LINCOLN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: THE MHS COMMUNICATIONS TEAM ISSUED PRESS RELEASES TO COMMUNICATE CHNA OUTCOMES TO LOCAL MEDIA OUTLETS, WITH RESULTING COVERAGE BY THE LOCAL PAPER AND RADIO STATION. THE MHS 2020 ANNUAL REPORT CONTAINS THE WEB ADDRESS TO DIRECT READERS TO THE CHNA REPORT. A PAPER COPY WILL BE PROVIDED TO ANYONE IN THE COMMUNITY UPON REQUEST.
TAYLORVILLE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: THE MHS COMMUNICATIONS TEAM ISSUED PRESS RELEASES TO LOCAL MEDIA OUTLETS, WITH RESULTING COVERAGE BY THE LOCAL PAPER, THE BREEZE-COURIER, AND RADIO STATION WTIM-AM, TO ANNOUNCE THE COMPLETION OF THE COMMUNITY NEEDS ASSESSMENT IN DECEMBER 2018. TMH ALSO DISTRIBUTED NEWS RELEASES TO MORE THAN A DOZEN MEDIA CONTACTS IN THE TAYLORVILLE AREA. ALSO, THE MHS ANNUAL REPORT AND TMH COMMUNITY BENEFIT ANNUAL REPORT CONTAIN THE WEB ADDRESS TO DIRECT READERS TO THE CHNA REPORT. A PAPER COPY WILL BE PROVIDED TO ANYONE IN THE COMMUNITY UPON REQUEST.
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 7D: THE MHS COMMUNICATIONS TEAM ISSUED PRESS RELEASES TO COMMUNICATE CHNA OUTCOMES TO LOCAL MEDIA OUTLETS, WITH RESULTING COVERAGE BY THE JACKSONVILLE JOURNAL COURIER. PAH ALSO PROVIDED A PRESENTATION TO THE COMMUNITY OUTREACH COMMITTEE ON OCTOBER 28, 2018. ALSO, THE MHS 2020 ANNUAL REPORT CONTAINS THE WEB ADDRESS TO DIRECT READERS TO THE CHNA REPORT. A PAPER COPY WILL BE PROVIDED TO ANYONE IN THE COMMUNITY UPON REQUEST.
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 11: MEMORIAL MEDICAL CENTER'S (MMC) SANGAMON COUNTY CHNA IDENTIFIED NINE FINAL PRIORITIES THAT WERE RECOMMENDED BY ITS COMMUNITY ADVISORY COMMITTEE (CAC) TO BE INCLUDED ON THE COMMUNITY SURVEY. FOLLOWING THE SURVEY, THE CAC RECOMMENDED FOUR TOP PRIORITIES, WHICH MMC SELECTED AS ITS FINAL PRIORITIES TO ADDRESS IN 2019-2021 IMPLEMENTATION STRATEGY. FIRST, ACCESS TO CARE WILL BE ADDRESSED THROUGH A COMMUNITY HEALTH WORKER PROGRAM IN TWO AT-RISK NEIGHBORHOODS; BY PROVIDING SUPPORT TO SIU SCHOOL OF MEDICINE TO CONTINUE EDUCATING THE NEXT GENERATION OF PHYSICIANS; AND SUPPORT FOR BUILDING A NEW YMCA IN DOWNTOWN SPRINGFIELD. SECOND, MENTAL HEALTH WILL BE ADDRESSED BY CONTINUING TO OFFER MENTAL HEALTH FIRST AID TRAINING TO THE COMMUNITY; SUPPORT FOR THE CHILDREN'S MOSAIC MENTAL HEALTH PROGRAMS IN SCHOOLS; SUPPORT FOR GIRLS ON THE RUN; AND PROVIDING FUNDING FOR MEMORIAL BEHAVIORAL HEALTH TO COLLABORATE IN A NEW COMMUNITY OUTREACH AND ENGAGEMENT TEAM TO RESPOND TO CRISIS CALLS WITH THE SPRINGFIELD POLICE DEPARTMENT THAT DEAL WITH MENTAL ILLNESS, HOMELESSNESS AND SUBSTANCE ABUSE. THIRD, MMC WILL ADDRESS SUBSTANCE ABUSE THROUGH SYSTEM-WIDE WORK WITH MHS AFFILIATES TO COMBAT OPIOID ABUSE, AND WILL COORDINATE THE WORK WITH OTHER HOSPITALS AND MEDICAL GROUPS. ALSO, MHS IS DEVELOPING A SYSTEM-WIDE INITIATIVE TO EXPAND ACCESS TO SUBSTANCE USE SERVICES. THE FINAL PRIORITY, MOTHER/INFANT HEALTH, WILL BE ADDRESSED THROUGH SUPPORT OF THE NURSE FAMILY PARTNERSHIP IN COLLABORATION WITH OTHER COMMUNITY PROVIDERS AND, WITH HSHS ST. JOHN'S HOSPITAL AND THE SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH, ADDRESS INFANT MORTALITY, PARTICULARLY ACCIDENTAL ASPHYXIATION THROUGH MARCH 2020. THERE WERE FIVE NON-PRIORITIZED SIGNIFICANT HEALTH NEEDS THAT MMC DID NOT INCLUDE IN ITS IMPLEMENTATION STRATEGY. (1) HOUSING IS NOT A CORE COMPETENCY OF MMC, AND THERE ARE A NUMBER OF OTHER ORGANIZATIONS ALREADY ADDRESSING THIS ISSUE IN THE COMMUNITY. THE CAC DID NOT RECOMMEND THAT THE MMC SELECT THIS A FINAL PRIORITY. (2) VIOLENT CRIME - MMC DOES NOT HAVE THE EXPERTISE TO ADDRESS THIS ISSUE DIRECTLY OR THE RESOURCES TO LEAD AN INITIATIVE, ALTHOUGH IT DOES WORK WITH BOTH INDIVIDUALS AND ORGANIZATIONS ON ISSUES OF INDIVIDUAL AND PUBLIC SAFETY. (3) EDUCATION - THE CAC RECOMMENDED THAT THE MMC FOCUS ON OTHER INITIATIVES WHICH ARE A HIGHER PRIORITY. (4) FOOD ACCESS - THE ASSETS/GAPS PROCESS SHOWED THAT THIS ISSUE IS BEING ADDRESSED THROUGH NUMEROUS OTHER AGENCIES AND COMMUNITY RESOURCES. (5) CHILD ABUSE - ISSUES OF CHILD ABUSE ARE DEALT WITH ON AN INDIVIDUAL BASIS IN THE MMC EMERGENCY DEPARTMENT, MEMORIAL PHYSICIAN SERVICES AND MEMORIAL BEHAVIORAL HEALTH. HOWEVER, THE MMC DOES NOT HAVE THE EXPERTISE TO ADDRESS THIS ISSUE ON A COMMUNITY-WIDE BASIS. (6) ASTHMA - THIS ISSUE WAS NOT A HIGH PRIORITY IN THE COMMUNITY SURVEY OR FOR THE CAC. MMC CHOSE TO ADDRESS OTHER, HIGHER-PRIORITY ISSUES.
THE ABRAHAM LINCOLN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: THE ABRAHAM LINCOLN MEMORIAL HOSPITAL'S (ALMH) LOGAN COUNTY CHNA IDENTIFIED FOUR FINAL PRIORITIES TO ADDRESS IN THE 2019-2021 IMPLEMENTATION STRATEGY. FIRST, ALMH IS ADDRESSING OBESITY BY EXPANDING THE MEMORIAL WEIGHT LOSS AND WELLNESS CENTER PROGRAM INTO LOGAN COUNTY AND EASTERN MASON COUNTY, AND BY SUPPORTING BREASTFEEDING WITH A FREE SUPPORT GROUP THAT MEETS WEEKLY. SECOND, MENTAL HEALTH WILL BE ADDRESSED BY CONTINUING TO OFFER MENTAL HEALTH FIRST AID TRAINING TO THE COMMUNITY, SUPPORTING GIRLS ON THE RUN; AND OFFERING SENIOR LIFE SOLUTIONS PROGRAMMING TO LOGAN COUNTY. SENIOR LIFE SOLUTIONS ADDRESSES DEPRESSION AND ANXIETY IN THE SENIOR POPULATION THROUGH MENTAL HEALTH COUNSELING AND SUPPORT. THIRD, ALMH WILL ADDRESS SUBSTANCE ABUSE THROUGH SYSTEM-WIDE WORK WITH MHS AFFILIATES TO COMBAT OPIOID ABUSE, AND WILL COORDINATE THE WORK WITH OTHER HOSPITALS AND MEDICAL GROUPS. ALSO, MHS IS DEVELOPING A SYSTEM-WIDE INITIATIVE TO EXPAND ACCESS TO SUBSTANCE ABUSE. THE FINAL PRIORITY, CANCER, WILL BE ADDRESSED BY PROVIDING FREE MAMMOGRAPHY SCREENINGS, INCREASING SMOKING CESSATION SERVICES AND AWARENESS, DECREASING LUNG CANCER DEATH THROUGH INCREASED LUNG CANCER SCREENING. THE FOLLOWING AREAS WERE NOT IDENTIFIED AS PRIORITIES FOR THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT BY ALMH: CHILD ABUSE/DOMESTIC VIOLENCE, CHRONIC DISEASE MANAGEMENT, POVERTY, MOTHER/INFANT HEALTH, EDUCATION, AND DISCONNECTED YOUTH. ORGANIZATIONAL CAPACITY PROHIBITS ALMH FROM IMPLEMENTING PROGRAMS TO ADDRESS ALL SIGNIFICANT HEALTH NEEDS. ALMH CHOSE TO FOCUS EFFORTS AND RESOURCES ON A FEW KEY ISSUES IN ORDER TO DEVELOP A MEANINGFUL EVALUATION PLAN AND DEMONSTRATED IMPACT THAT COULD BE REPLICATED WITH OTHER PRIORITIES IN THE FUTURE. CHILD ABUSE/DOMESTIC VIOLENCE IS OFTEN A RESULT OF POVERTY AND MENTAL HEALTH ISSUES. ALMH DOES NOT HAVE THE EXPERTISE/COMPETENCIES TO ADDRESS THE ISSUE EFFECTIVELY. ALMH HAS CHOSEN TO ADDRESS MENTAL HEALTH. THE ALMH COMMUNITY HEALTH COLLABORATIVE WILL BE ADDRESSING BOTH MENTAL HEALTH AND POVERTY. CHRONIC DISEASE MANAGEMENT WAS NOT CHOSEN AS A PRIORITY THIS YEAR BECAUSE OTHER NEEDS WERE DEEMED A HIGHER PRIORITY AND THE ISSUE WAS CHOSEN AS A FOCUS FOR THE LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH. MOTHER/INFANT HEALTH WAS NOT CHOSEN AS A PRIORITY THIS YEAR BECAUSE OTHER NEEDS WERE DEEMED A HIGHER PRIORITY AND IT WAS NOT A PRIORITY ISSUE FOR COMMUNITY MEMBERS. EDUCATION AND DISCONNECTED YOUTH WERE NOT CHOSEN BECAUSE ALMH DOES NOT HAVE THE EXPERTISE/COMPETENCIES TO ADDRESS THE ISSUE EFFECTIVELY. HOWEVER, INTERVENTIONS TO ADDRESS POVERTY AND MENTAL HEALTH MAY OVERLAP INTO THESE AREAS.
TAYLORVILLE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: TAYLORVILLE MEMORIAL HOSPITAL (TMH) REVIEWED DATA, OFFERED ADDITIONAL INSIGHTS ON ISSUES AFFECTING THE COMMUNITY AND RANKED THE PRIORITIES USING THE DEFINED CRITERIA. THE CAC IDENTIFIED SIX PRIORITY HEALTH NEEDS: CANCER, DIABETES, OBESITY, MENTAL HEALTH, SUBSTANCE ABUSE, AND SEXUALLY TRANSMITTED DISEASES THAT WERE RECOMMENDED TO BE INCLUDED ON THE COMMUNITY SURVEY. FOLLOWING THE SURVEY, THE EXTERNAL ADVISORY GROUP, INCLUDING REPRESENTATIVES FROM PUBLIC HEALTH, SOCIAL SERVICES ORGANIZATIONS AND THOSE OFFERING CARE UNDERSERVED POPULATIONS, AS WELL AS RECOMMENDATIONS FROM THE MEMORIAL HEALTH SYSTEM INTERNAL ADVISORY TEAM, REVIEWED THE SURVEY RESULTS AND DATA AND RECOMMENDED TWO TOP PRIORITIES TO ADDRESS IN 2019-2021 IMPLEMENTATION STRATEGY. THE TWO FINAL PRIORITIES WERE SELECTED: MENTAL HEALTH AND SUBSTANCE ABUSE (DRUGS, ALCOHOL AND TOBACCO). THESE WERE APPROVED BY THE TAYLORVILLE MEMORIAL HOSPITAL BOARD ON JULY 10, 2018. MENTAL HEALTH WILL BE ADDRESSED BY CONTINUING TO OFFER MENTAL HEALTH FIRST AID TRAINING TO THE COMMUNITY, EXPANDING YOUTH-FOCUSED MENTAL HEALTH FIRST AID, SUPPORT FOR GIRLS ON THE RUN, CONTINUING TO OFFER SENIOR LIFE SOLUTIONS, AND DEVELOPING A "STEP-DOWN" PROGRAM FOR ON-GOING SUPPORT OF SENIOR LIFE SOLUTIONS GRADUATES. TMH WILL ADDRESS SUBSTANCE ABUSE THROUGH SYSTEM-WIDE WORK WITH MHS AFFILIATES TO COMBAT OPIOID ABUSE, AND WILL COORDINATE WORK WITH OTHER HOSPITALS AND MEDICAL GROUPS. ALSO, MHS IS DEVELOPING A SYSTEM-WIDE INITIATIVE TO EXPAND ACCESS TO SUBSTANCE ABUSE TREATMENT. TMH WILL ALSO CONTINUE DONATION OF NARCAN TO LOCAL LAW ENFORCEMENT IN CHRISTIAN COUNTY, FUND AN DRUG ABUSE PREVENTION PROGRAM FOR YOUTH IN TAYLORVILLE SCHOOLS BY THE GROUP OVERDOSE LIFELINE, DEVELOP RESOURCES FOR TOBACCO CESSATION FOR THE COMMUNITY IN COLLABORATION WITH THE AMERICAN LUNG ASSOCIATION, AND CONTINUE TO PROVIDE LEADERSHIP AND SUPPORT FOR THE INITIATIVES OF THE CHRISTIAN COUNTY PREVENTION COALITION AND FAMILIES ANONYMOUS PROGRAM. THERE WERE FOUR NON-PRIORITIZED SIGNIFICANT HEALTH NEEDS THAT TMH DID NOT INCLUDE IN ITS IMPLEMENTATION STRATEGY. (1) CANCER WAS NOT SELECTED BECAUSE IT WAS NOT RANKED BY THE CAC AS HAVING A HIGH PRIORITY AND THERE WAS OPPORTUNITY TO ADDRESS LUNG CANCER INCIDENCE WITH EFFORTS TO ADDRESS TOBACCO ABUSE. EXISTING ASSETS IN THE COMMUNITY WITH CANCER DIAGNOSIS AND TREATMENT WERE CONSIDERED TO BE WELL UTILIZED AND APPROPRIATE. THE CAC DID NOT RECOMMEND THAT THE HOSPITAL SELECT THIS AS A FINAL PRIORITY. (2 AND 3) OBESITY AND DIABETES WERE ELIMINATED FROM FURTHER CONSIDERATION BECAUSE THE ADVISORY GROUP MEMBERS BELIEVED THAT EFFORTS TO IMPROVE TREATMENT AND PREVENTION OF OBESITY WOULD ALSO POSITIVELY IMPACT INCIDENCE OF DIABETES. TMH ALREADY DEVOTES SIGNIFICANT RESOURCES TO ADDRESSING DIABETES EDUCATION AND SUPPORT. TMH IS PARTNERING WITH THE LOCAL YMCA'S DIABETES PREVENTION PROGRAM. THE DECISION WAS MADE TO APPLY ADDITIONAL RESOURCES TO OTHER SELECTED PRIORITIES. (4) SEXUALLY TRANSMITTED DISEASES WAS NOT SELECTED BECAUSE IT WAS CONSISTENTLY RANKED LOW ON THE LIST OF PRIORITIES WITH BOTH THE COMMUNITY AND THE CAC. THE DECISION WAS MADE TO APPLY ADDITIONAL RESOURCES TO THE OTHER SELECTED PRIORITIES.
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 11: PASSAVANT AREA HOSPITAL (PAH) AND MORGAN COUNTY CHNA IDENTIFIED EIGHT FINAL PRIORITIES THAT WERE RECOMMENDED BY ITS CAC TO BE INCLUDED ON THE COMMUNITY SURVEY. FOLLOWING THE SURVEY, THE CAC RECOMMENDED THREE TOP PRIORITIES, WHICH PAH SELECTED AS ITS FINAL PRIORITIES TO ADDRESS IN 2019-2021 IMPLEMENTATION STRATEGY. FIRST, ACCESS TO CARE IS BEING ADDRESSED THROUGH A COMMUNITY HEALTH WORKER PROGRAM IN ONE AT-RISK NEIGHBORHOOD; BY WORKING WITH INDIVIDUALS TO ADDRESS MEETING THEIR SELF-SUFFICIENCY MEASURES, HELPING CLIENTS IMPROVE THEIR SOCIAL DETERMINANTS OF HEALTH, AND GAINING UNDERSTANDING OF HOW TO ACCESS MEDICAL HEALTH SERVICES. PAH CONTINUES TO PROVIDE SUPPORT TO THE MORGAN COUNTY HEALTH DEPARTMENT (MCHD) STD CLINIC FOR PREVENTION, DETECTION AND TREATMENT OF STDS. SECOND, MENTAL HEALTH ACCESS IS BEING EXPANDED THROUGH TELEHEALTH PSYCHIATRIC SERVICES IN OUR CENTER FOR PSYCHIATRIC HEALTH; CONTINUING TO OFFER MENTAL HEALTH FIRST AID TRAINING TO THE COMMUNITY; AND SUPPORT FOR GIRLS ON THE RUN. THIRD, PAH WILL ADDRESS SUBSTANCE ABUSE THROUGH SYSTEM-WIDE WORK WITH MHS AFFILIATES TO COMBAT OPIOID ABUSE, AND WILL COORDINATE THE WORK WITH OTHER HOSPITALS AND MEDICAL GROUPS. ALSO, MHS IS DEVELOPING A SYSTEM-WIDE INITIATIVE TO EXPAND ACCESS TO SUBSTANCE ABUSE AND PAH IS REDUCING THE USE OF PRESCRIPTION OPIOIDS FOR TREATMENT OF PAIN FOR BOTH INPATIENT AND OUTPATIENT CASES. THERE WERE FIVE NON-PRIORITIZED SIGNIFICANT HEALTH NEEDS THAT PAH DID NOT INCLUDE IN ITS IMPLEMENTATION STRATEGY. 1) OBESITY-PAH WILL CONTINUE OFFERING THE WEIGHT LOSS & WELLNESS PROGRAM ALONG WITH THE WALKING FOR WELLNESS PARTNERSHIP WITH JACKSONVILLE HIGH SCHOOL AND FIRST CHRISTIAN CHURCH. HOWEVER, PAH DOES NOT HAVE COMPETENCIES TO ADDRESS THIS ISSUE AS A WHOLE. 2) ILLITERACY/EDUCATION-PAH WILL WORK WITH COMMUNITY PARTNERS TO PROVIDE EDUCATION RELATED TO IMPROVING HEALTH. PAH DOES NOT HAVE EXPERTISE/ COMPETENCIES TO ADDRESS THE ISSUE AS A WHOLE. 3) LICE AND BED BUGS-THE MCHD AND MORGAN COUNTY HOUSING ASSOCIATION HAVE A PLAN TO ADDRESS THE ISSUE EFFECTIVELY. 4) HOMELESSNESS-NEW DIRECTIONS WARMING & COOLING CENTER IS WORKING WITH ORGANIZATIONS ACROSS THE COMMUNITY TO ADDRESS THE ISSUE. 5) GANG/DRUG AFFILIATION/ TRAFFICKING/GUNS-THE MORGAN COUNTY SHERIFF'S DEPARTMENT, JACKSONVILLE POLICE DEPARTMENT AND MORGAN COUNTY PROBATION HAVE A SOLID PLAN TO ADDRESS THESE ISSUES IN THE COMMUNITY.
DECATUR MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: DECATUR MEMORIAL HOSPITAL (DMH) REVIEWED SECONDARY DATA, CONDUCTED A COMMUNITY SURVEY AND FOCUS GROUPS AND RANKED THE PRIORITIES USING FEEDBACK FROM THESE PRIMARY SOURCES. SURVEY RESPONDENTS WERE ASKED ABOUT THE THREE MOST IMPORTANT FACTORS FOR A HEALTHY COMMUNITY, THREE MOST IMPORTANT HEALTH PROBLEMS, THREE MOST DANGEROUS RISKY BEHAVIORS, AND THE TOP THREE UNMET NEEDS FOR MACON COUNTY. THE IAC REVIEWED THE SURVEY RESULTS AND DATA AND RECOMMENDED THREE TOP PRIORITIES TO ADDRESS IN THE 2019-2021 IMPLEMENTATION STRATEGY. THERE WERE MANY NEEDS IDENTIFIED THROUGH THE ASSESSMENT PROCESS THAT DMH WILL NOT BE DIRECTLY ADDRESSING, SUCH AS ACCESS TO SAFE NEIGHBORHOODS, DUE TO SCOPE OF NEED AND ABILITY TO MAKE AN IMPACT. THE FINAL PRIORITIES SELECTED WERE: MENTAL HEALTH, ACCESS TO CARE, AND SUBSTANCE USE. SINCE THE AFFILIATION OF DMH WITH MHS, MENTAL HEALTH IS BEING ADDRESSED BY CONTINUING TO OFFER FINANCIAL ASSISTANCE TO THE BABYTALK PROGRAM AND OFFERING VARIOUS SUPPORT GROUPS TO MACON COUNTY RESIDENTS. ACCESS TO CARE IS BEING SUPPORTED THROUGH CONTINUED FINANCIAL AND IN-KIND SUPPORT OF SIU SCHOOL OF MEDICINE, PROVIDING TOKENS FOR TRANSPORTATION TO INDIGENT PATIENTS/VISITORS, AND PROVIDING MEMORIAL WEIGHT LOSS AND WELLNESS SERVICES IN MACON COUNTY. SUBSTANCE USE IS BEING ADDRESSED THROUGH OUR PARTICIPATION ON THE MACON COUNTY SUBSTANCE USE TASK-FORCE, AS WELL AS HEALTH-SYSTEM WIDE STRATEGIES TO COMBAT THE USE OF OPIOIDS THROUGH PRESCRIPTION STEWARDSHIP.
LINE 13A	MHS USES AN AMOUNT IN EXCESS OF 300% OF THE FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR PROVIDING PARTIAL FINANCIAL ASSISTANCE TO THE UNINSURED. THE VALUE OF 301% WAS ENTERED TO SATISFY A MANDATORY FIELD ENTRY REQUIREMENT TO QUALIFY FOR ELECTRONIC FILING.

Schedule H (Form 990) 2019

Page 9

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?62
Name and address		Type of Facility (describe)
1	1 - DMH ENDOSCOPY CENTER 2 MEMORIAL DR PHYS PLZ WEST STE 102 DECATUR,IL62526	AMBULATORY ENDOSCOPY CENTER
2	2 - FORSYTH IMAGING CENTER 389 WEST WEAVER ROAD FORSYTH,IL62535	DIAGNOSTIC CENTER
3	3 - SOUTH SHORES IMAGING CENTER 1689 S FRANKLIN ST DECATUR,IL62521	DIAGNOSTIC CENTER
4	4 - SPORTS PERFORMANCE ENHANCEMENT CENTER 2122 NORTH 27TH ST DECATUR,IL62526	PHYSICAL THERAPY
5	5 - MEMORIAL PHYSICIAN SERVICES-KOKE MILL 3132 OLD JACKSONVILLE RD SPRINGFIELD,IL62704	MPS PHYSICIAN
6	6 - DMH SURGERY CENTER 304 W HAY SUITE 114 DECATUR,IL62526	AMBULATORY SURGERY CENTER
7	7 - MEMORIAL PHYS SVCS-JACKSONVILLE 15 FOUNDERS LANE SUITE 100 JACKSONVILLE,IL62650	MPS PHYSICIAN
8	8 - MEMORIAL PHYSICIAN SERVICES-LINCOLN 515 NORTH COLLEGE STREET LINCOLN,IL62526	MPS PHYSICIAN
9	9 - MEMORIAL PHYS SVCS-WOMEN'S HEALTHCARE 747 NORTH RUTLEDGE SPRINGFIELD,IL62701	MPS PHYSICIAN
10	10 - DMH HOME HEALTH CARE 2870 NORTH MAIN ST DECATUR,IL62526	HOME HEALTH AGENCY
11	11 - MEMORIAL PHYSICIAN SERVICES-CHATHAM 101 EAST PLUMMER CHATHAM,IL62629	MPS PHYSICIAN
12	12 - MEMORIAL EXPRESSCARE AT NORTH DIRKSEN 3220 ATLANTA STREET SPRINGFIELD,IL62702	ANCILLARY SERVICES
13	13 - DECATUR MEMORIAL EXPRESS CARES 2300 NORTH EDWARD ST DECATUR,IL62526	ANCILLARY SERVICES
14	14 - MEMORIAL EXPRESSCARE AT SOUTH SIXTH 2950 SOUTH SIXTH STREET SPRINGFIELD,IL62703	ANCILLARY SERVICES
15	15 - MEMORIAL PHYSICIAN SVCS-VINE STREET 3225 HEDLEY RD SPRINGFIELD,IL62711	MPS PHYSICIAN
16	16 - DECATUR MEDICAL GROUP CARDIOLOGY 2300 NORTH EDWARD ST DECATUR,IL62526	OUTPATIENT SERVICES
17	17 - MEMORIAL EXPRESSCARE AT KOKE MILL 3132 OLD JACKSONVILLE RD SPRINGFIELD,IL62704	ANCILLARY SERVICES
18	18 - DECATUR MEDICAL GROUP ENTA 101 W MCKINLEY COURT DECATUR,IL62526	OUTPATIENT SERVICES
19	19 - DECATUR MEDICAL GROUP GENERAL SURGERY 302 W HAY STREET SUITE 205 DECATUR,IL62526	OUTPATIENT SERVICES
20	20 - DECATUR MEDICAL GROUP NEPHROLOGY 241 W WEAVER STREET SUITE 210 FORSYTH,IL62535	OUTPATIENT SERVICES
21	21 - MEMORIAL EXPRESSCARE AT CHATHAM 101 EAST PLUMMER CHATHAM,IL62629	ANCILLARY SERVICES
22	22 - SPORTSCARE AT YMCA 4550 WEST ILES SPRINGFIELD,IL62711	OUTPATIENT SERVICES
23	23 - DECATUR MEDICAL GROUP VASCULAR 302 W HAY STREET SUITE 205 DECATUR,IL62526	OUTPATIENT SERVICES
24	24 - MEMORIAL PHYSICIAN SVCS-PETERSBURG 1 CENTRE DRIVE PETERSBURG,IL62675	MPS PHYSICIAN
25	25 - MEMORIAL INDUSTRIAL REHAB 775 ENGINEERING DRIVE SPRINGFIELD,IL62703	OUTPATIENT SERVICES
26	26 - DECATUR MEDICAL GROUP ORTHO 304 W HAY STREET SUITE 111 DECATUR,IL62526	OUTPATIENT SERVICES
27	27 - DECATUR MEDICAL GROUP NEUROLOGY 2 MEMORIAL DRIVE SUITE 207 DECATUR,IL62526	OUTPATIENT SERVICES
28	28 - DMH HOSPICE 2870 NORTH MAIN ST DECATUR,IL62526	HOSPICE AGENCY
29	29 - MEMORIAL PHYSICIAN SVCS-NORTH DIRKSEN 3220 ATLANTA STREET SPRINGFIELD,IL62707	MPS PHYSICIAN
30	30 - WOUND HEALING CENTER 901 NORTH FIRST STREET SPRINGFIELD,IL62702	OUTPATIENT SERVICES
31	31 - SPINEWORKS PAIN CENTER 501 NORTH FIRST STREET SPRINGFIELD,IL62702	OUTPATIENT SERVICES
32	32 - DECATUR MEDICAL GROUP PULMONOLOGY 2300 NORTH EDWARD ST DECATUR,IL62526	OUTPATIENT SERVICES
33	33 - DECATUR MEDICAL GROUP FORSYTH 241 WEAVER ROAD SUITE 145-C FORSYTH,IL62535	DMG PHYSICIAN
34	34 - DECATUR MEDICAL GRP GASTROENTEROLOGY 2 MEMORIAL DR PHYS PLZ WEST STE 101 DECATUR,IL62526	OUTPATIENT SERVICES
35	35 - DMH OCC HEALTH & WELLNESS PARTNERS 2122 NORTH 27TH ST DECATUR,IL62526	OUTPATIENT SERVICES
36	36 - DECATUR MED GRP INTERNAL MEDICINE ASSOCI 304 W HAY STREET SUITE 312 DECATUR,IL62526	OUTPATIENT SERVICES
37	37 - DECATUR MEDICAL GROUP PODIATRY 2 MEMORIAL DRIVE SUITE 305 DECATUR,IL62526	OUTPATIENT SERVICES
38	38 - DECATUR MED GRP INFECTIOUS DISEASE 304 W HAY STREET SUITE 212 DECATUR,IL62526	OUTPATIENT SERVICES
39	39 - DECATUR MEDICAL GROUP YOUNGERMAN ONE MEMORIAL DRIVE SUITE 110 DECATUR,IL62526	DMG PHYSICIAN
40	40 - DECATUR MEDICAL GROUP MT ZION 4775 E MARYLAND AVENUE DECATUR,IL62526	DMG PHYSICIAN
41	41 - DECATUR MEDICAL GROUP UROLOGY 302 W HAY STREET SUITE 200 DECATUR,IL62526	OUTPATIENT SERVICES
42	42 - MEMORIAL PHYSICIAN SVCS-SOUTH SIXTH 2950 SOUTH SIXTH STREET SPRINGFIELD,IL62703	MPS PHYSICIAN
43	43 - MEMORIAL PHYSICIAN SVCS-MACARTHUR 2115 SOUTH MACARTHUR BLVD SPRINGFIELD,IL62704	MPS PHYSICIAN
44	44 - DECATUR MEDICAL GROUP ROCK SPRINGS 330 N WYCKLES ROAD DECATUR,IL62526	DMG PHYSICIAN
45	45 - DECATUR MEDICAL GROUP MCCORMACK 241 WEAVER ROAD SUITE 240 FORSYTH,IL62535	DMG PHYSICIAN
46	46 - DECATUR MEDICAL GROUP WEST HAY 304 W HAY STREET SUITE 218 DECATUR,IL62526	DMG PHYSICIAN
47	47 - DECATUR MEDICAL GRP INTERNAL MEDICINE 2975 N WATER STREET DECATUR,IL62526	OUTPATIENT SERVICES
48	48 - DECATUR MEDICAL GROUP SOUTH SHORES 550 SOUTHLAND DRIVE SUITE 1 DECATUR,IL62526	DMG PHYSICIAN
49	49 - DECATUR MEDICAL GROUP SULLIVAN 1220 W JACKSON STREET SULLIVAN,IL61951	DMG PHYSICIAN
50	50 - JBS BEARDSTOWN 8460 ST LUKES DRIVE BEARDSTOWN,IL62618	OUTPATIENT SERVICES
51	51 - CONCORDIA VILLAGE 4101 WEST ILES AVENUE SPRINGFIELD,IL62711	OUTPATIENT SERVICES
52	52 - DECATUR MEDICAL GROUP SHELBYVILLE 415 N CEDAR STREET SHELBYVILLE,IL62565	DMG PHYSICIAN
53	53 - DECATUR MEDICAL GROUP ARTHUR 650 W COLUMBIA STREET ARTHUR,IL61911	DMG PHYSICIAN
54	54 - DMH HEALTH AND WELLNESS CENTER 2122 NORTH 27TH ST DECATUR,IL62526	WELLNESS CENTER
55	55 - TLEHEALTH 701 NORTH FIRST STREET SPRINGFIELD,IL62781	VIRTUAL CARE
56	56 - DECATUR MEDICAL GROUP MILLIKIN 150 S FAIRVIEW AVENUE DECATUR,IL62522	DMG PHYSICIAN
57	57 - DECATUR MEDICAL GROUP MONTICELLO 777 BRIDGE STREET MONTICELLO,IL61856	DMG PHYSICIAN
58	58 - DECATUR MEDICAL GRP SIGNATURE HEALTH 389 W WEAVER STREET SUITE 100 FORSYTH,IL62535	OUTPATIENT SERVICES
59	59 - MEMORIAL EXPRESSCARE AT NORTH WATER 3131 N WATER ST DECATUR,IL62526	ANCILLARY SERVICES
60	60 - DECATUR MEDICAL GROUP GERIATRIC PSYCH 102 W KENWOOD COURT SUITE 120 DECATUR,IL62526	OUTPATIENT SERVICES
61	61 - DECATUR MEDICAL GROUP SNAP MD 2300 NORTH EDWARD ST DECATUR,IL62526	OUTPATIENT SERVICES
62	62 - DECATUR MEDICAL GROUP GOWDAR 741 W PERSHING ROAD DECATUR,IL62526	DMG PHYSICIAN

Schedule H (Form 990) 2019

Page 10

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:	OTHER THAN USING THE FPG, MHS HOSPITALS QUALIFY UNINSURED PATIENTS FOR 100% FINANCIAL ASSISTANCE USING THE PRESUMPTIVE ELIGIBILITY CRITERIA AS DEFINED IN THE ILLINOIS FAIR BILLING ACT AND LISTED IN THE FAP. OTHER THAN USING THE FPG, AN UNINSURED PATIENT WITH ANNUAL FAMILY INCOME OVER 300% OF THE FPG WILL QUALIFY ONCE THE SUM OF THE ACCOUNT BALANCES ON ACCOUNTS WITHIN A 12 MONTH PERIOD EXCEED 25% OF THEIR ANNUAL FAMILY INCOME. OTHER THAN THE FPG FOR INSURED PATIENTS, CRITERIA INCLUDES PROOF OF ONE OR MORE OF THE PRESUMPTIVE ELIGIBILITY CATEGORIES LISTED IN THE FAP. IN THE EVENT OF AN ILLNESS WHICH IS CATASTROPHIC AND WHERE PROPER DOCUMENTATION HAS BEEN SUBMITTED, BUT THE PATIENT STILL OWES MONIES THAT CAUSES AN UNDUE HARDSHIP UPON THE HOUSEHOLD, THE VICE PRESIDENT OF REVENUE CYCLE ALONG WITH SENIOR LEADERSHIP MAY REVIEW AND DETERMINE IF AN ADDITIONAL FINANCIAL ASSISTANCE DISCOUNT IS MERITED. THE DEFINITION OF "CATASTROPHIC AND THE AMOUNT OF FINANCIAL ASSISTANCE WILL BE DETERMINED ON A CASE BY CASE BASIS, CONSIDERING ALL FINANCIAL, FAMILY, AND HEALTH CIRCUMSTANCES OF THE PATIENT.
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 WHICH IS INCLUDED IN THE MHS ANNUAL REPORT IS AVAILABLE ONLINE FROM ALL FIVE MHS HOSPITAL WEBSITES AS WELL AS THE WEBSITES OF OTHER MHS AFFILIATES: HTTPS://WWW.CHOOSEMEMORIAL.ORG/ABOUT/ANNUAL-REPORT. A STAND-ALONE 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 MMC, THE COSTING METHODOLOGY FOR CHARITY CARE, MEDICAID, AND OTHER MEANS TESTED PROGRAMS WAS DERIVED FROM MMC'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 PAYER TYPE OR WHETHER THE PATIENT WAS INPATIENT OR OUTPATIENT. DMH, ALMH, PAH AND TMH UTILIZED MEDICARE COSTING DATA FROM THE FY2020 MEDICARE COST REPORT AS FILED. THE ONLY CATEGORY BY WHICH MMC 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. THE REMAINING LINES ARE BASED ON DIRECT COSTS.
PART I, LINE 7G:	MHS HOSPITALS (MMC, DMH, ALMH, TMH, AND PAH) INCLUDED SUBSIDIZED HEALTH SERVICES FOR MEMORIAL PHYSICIAN SERVICES WHICH HAS PHYSICIAN CLINICS FOR $23,174,116.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 33,060,113.
PART I, LINE 3A	MHS HOSPITALS (ALMH, DMH, MMC, PAH AND TMH) USE AN AMOUNT LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES (FPG) AS A FACTOR IN DETERMINING ELIGIBILITY FOR PROVIDING FINANCIAL ASSISTANCE TO THE UNINSURED. INSURED PATIENTS MAY QUALIFY FOR FINANCIAL ASSISTANCE IF THE PATIENT HAS INCOME BELOW 300% OF FPG AND MEETS AT LEAST ONE OF THE PRESUMPTIVE ELIGIBILITY CATEGORIES LISTED IN THE FINANCIAL ASSISTANCE POLICY (FAP).
PART I, LINE 3B	MHS HOSPITALS USE AN AMOUNT IN EXCESS OF 300% OF THE FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR PROVIDING PARTIAL FINANCIAL ASSISTANCE TO THE UNINSURED. THE VALUE OF 301% WAS ENTERED TO SATISFY A MANDATORY FIELD ENTRY REQUIREMENT TO QUALIFY FOR ELECTRONIC FILING.
PART II, COMMUNITY BUILDING ACTIVITIES:	MHS PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITIES THAT ARE NOT ACCOUNTED FOR ELSEWHERE ON SCHEDULE H. MHS GROUP SUBORDINATES (MHS GROUP) SUPPORTED ECONOMIC DEVELOPMENT THROUGH SERVICE WITH OUR LOCAL CHAMBERS OF COMMERCE AND COMMUNITY COLLEGES. MHS GROUP PROMOTED HEALTH BY EXPANDING ACCESS TO CARE THROUGH FINANCIAL AND IN-KIND SUPPORT FOR OUR COMMUNITY UNITED WAY ORGANIZATIONS, LOCAL DAYS-OF-SERVICE, AND YMCAS. TWO OF THE MHS GROUP SUBORDINATES, PAH AND ALMH, HAVE CROSS-SECTIONAL COMMUNITY HEALTH COLLABORATIVES TO ADDRESS THE HIGHEST NEEDS OF ITS COMMUNITIES. COMMUNITY HEALTH IMPROVEMENT ADVOCACY IS PROMOTED THROUGH LEADERSHIP INVOLVEMENT WITH THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, AND SIU SCHOOL OF MEDICINE, AS WELL AS FUNDING TO THE FAITH COALITION FOR THE COMMON GOOD. AS ONE OF THE LARGEST LOCAL EMPLOYERS OUTSIDE OF STATE GOVERNMENT, MHS IS AN IMPORTANT ECONOMIC LINK THAT PROVIDES EMPLOYMENT AND BENEFITS FOR THOUSANDS OF FAMILIES. MHS ALSO COLLABORATES WITH OTHER ORGANIZATIONS TO EXPAND OPPORTUNITIES TO TRAIN AND RECRUIT HEALTHCARE PROFESSIONALS TO INCREASE ACCESS TO CARE IN RURAL AREAS.
PART III, LINE 2:	MEMORIAL HEALTH SYSTEM'S ACCOUNTING POLICY FOR BAD DEBT EXPENSE IS DESCRIBED ON PAGE 17 OF THE NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS IN THE MEMORIAL HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 3:	MEMORIAL HEALTH SYSTEM DOES NOT BELIEVE ANY AMOUNT OF BAD DEBT EXPENSES WOULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. ANY EXPENSES RELATED TO A PATIENT WHO IS ELIGIBLE UNDER THE FAP WOULD BE RECORDED AS CHARITY CARE RATHER THAN BAD DEBT.
PART III, LINE 4:	MEMORIAL HEALTH SYSTEM'S ACCOUNTING POLICY FOR BAD DEBT EXPENSE IS DESCRIBED ON PAGE 17 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 HOSPITALS' MEDICARE ALLOWABLE COST (SCHEDULE H, PART III, LINE 6) WAS CALCULATED AS FOLLOWS: MMC, DMH, ALMH, TMH, AND PAH UTILIZED MEDICARE COSTING DATA FROM THE FY2020 MEDICARE COST REPORT AS FILED. MMC WAS ABLE TO CAPTURE THE MEDICARE COSTING FOR INPATIENT MEDICAL SURGICAL, INPATIENT PSYCHIATRIC, INPATIENT REHABILITATION AND OUTPATIENT MEDICAL SURGICAL SERVICES DURING FY2019. 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. MMC'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. MMC'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. MMC'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-MMC 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 MMC AND SWEEPS THE MEDICARE PAYMENTS BACK TO IT. SOME OF THE PROFESSIONAL FEES BILLED BY PHYSICIAN BILLING SERVICE ARE CRNA, HEARING CENTER, SPINE WORKS CLINIC, HEART FAILURE CLINIC, CLINICAL PSYCHOLOGISTS, DIETARY CONSULTING, BARIATRIC SURGERY, EXPRESS CARE LAB AND RADIOLOGY SERVICES, 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 $329,029,581.THE TOTAL SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7 WAS $24,156,775. THE ENTIRE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT FOR MMC, DMH, ALMH, TMH, AND PAH. THIS SHORTFALL REFLECTS THE EXCESS COSTS INCURRED BY THE FOUR MHS HOSPITALS THAT CURRENT FEE-FOR-SERVICE PAYMENTS PRESENTLY DO NOT COVER. THESE ARE VITAL SERVICES TO THE COMMUNITY THESE HOSPITALS SERVE THAT CURRENT MEDICARE PAYMENTS DO NOT COVER.MEDICARE IS AN IMPORTANT PAYER TO THE COMMUNITIES OF SPRINGFIELD, DECATUR, LINCOLN, JACKSONVILLE, AND TAYLORVILLE. ACCORDINGLY, ALL MHS 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, MMC, DMH, ALMH, TMH, AND PAH 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 APPLICABLE MHS HOSPITAL, MHS 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 APPLICABLE MHS HOSPITAL, MHS WILL NOT PURSUE COLLECTION ACTION.PER THE FINANCIAL ASSISTANCE POLICY, IF MHS 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 MHS 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:	MHS REVIEWS 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 ORGANIZATION'S FOUNDATIONS. INFORMATION FROM THESE SOURCES HELPS PRIORITIZE MHS'S COMMUNITY BENEFIT INVESTMENTS AND HELPS ENSURE THOSE INITIATIVES ARE ALIGNED WITH OUR MISSION, VALUES, STRATEGIC PLAN AND BUDGET. PRIORITIES ARE ESTABLISHED BASED ON OVERALL NEED, LEADING CAUSES OF DEATH, IMPACT ON HEALTH STATUS, ORGANIZATIONAL CORE COMPETENCIES, AND RESOURCES TO MEANINGFULLY ADDRESS THE NEEDS. EACH MHS AFFILIATE HAS THE FLEXIBILITY TO DEVELOP SPECIFIC COMMUNITY BENEFIT INITIATIVES THAT ARE DESIGNED TO RESPOND TO THE NEEDS OF ITS PARTICULAR COMMUNITY. MHS UNDERSTANDS COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS IS AN IMPORTANT COMPONENT OF COMMUNITY HEALTH IMPROVEMENT EFFORTS AND RESPONDS TO DIRECT COMMUNITY REQUESTS AS APPROPRIATE.
PART VI, LINE 3:	MMC, DMH, ALMH, TMH, AND PAH PROACTIVELY INFORM PATIENTS ABOUT THEIR FINANCIAL ASSISTANCE POLICY AND THE ELIGIBILITY CRITERIA. A FINANCIAL ASSISTANCE LINK ON EACH MHS 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.MHS COLLEAGUES 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 MHS 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.MMC AND PAH 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.MHS 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.
PART VI, LINE 4:	MEMORIAL HEALTH SYSTEM INCLUDES FIVE HOSPITALS IN SANGAMON, LOGAN, CHRISTIAN, MACON AND MORGAN COUNTIES, SERVING A WIDE REGION OF CENTRAL AND SOUTHERN ILLINOIS, WHICH IS LARGELY RURAL AND AGRICULTURAL. IN SANGAMON COUNTY, PATIENTS COME FROM MORE THAN 40 OTHER COUNTIES AND ALSO FROM OUT OF STATE, MAKING MMC A SIGNIFICANT RESOURCE FOR HEALTHCARE SERVICES. SANGAMON COUNTY (POPULATION 195,348) COMPRISES 868 SQUARE MILES IN CENTRAL ILLINOIS. IT IS PRIMARILY A RURAL AREA THAT INCLUDES THE CITY OF SPRINGFIELD (POPULATION 117,000), WHICH IS THE COUNTY'S LARGEST CITY AS WELL AS THE STATE CAPITOL OF ILLINOIS AND THE COUNTY SEAT. SANGAMON COUNTY HAS EIGHT FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS (MUAS). THE OTHER HOSPITAL SERVING SANGAMON COUNTY IS ST. JOHN'S HOSPITAL, A 430-BED NONPROFIT HOSPITAL AFFILIATED WITH HOSPITAL SISTERS HEALTH SYSTEM. THE POPULATION OF SANGAMON COUNTY IS 82.2% WHITE, 13% BLACK, 2.1% ASIAN, AND 2.4% HISPANIC. PERSONS AGE 65 AND OLDER MAKE UP 17.9% OF SANGAMON COUNTY'S POPULATION, WHICH IS HIGHER THAN THE STATE AVERAGE OF 15.6%. THE MEDIAN HOUSEHOLD INCOME IS $60,446. A TOTAL OF 15.2% OF ALL COUNTY RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 24.4% OF CHILDREN UNDER THE AGE OF 6. IN TY2019/FY2020, 0.9% OF THE PATIENTS SERVED AT MMC RECEIVED PATIENT FINANCIAL ASSISTANCE (UNINSURED); 17% WERE ON MEDICAID, AND 32.6% RECEIVED MEDICARE. IN LOGAN COUNTY, ALMH IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA OF LOGAN COUNTY (POP. 28,925). THE CITY OF LINCOLN (POPULATION 13,685), WHERE ALMH IS LOCATED, IS THE COUNTY SEAT. LINCOLN CONTAINS ALMOST HALF OF THE COUNTY'S POPULATION. RACE/ETHNIC MAKEUP IS 89% WHITE, 8.3% BLACK AND 3.5% HISPANIC. THE MEDIAN HOUSEHOLD INCOME IS $57,899. PERSONS AGE 65 AND OLDER MAKE UP 18.3% OF LOGAN COUNTY'S POPULATION. 8.5% OF ALL RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL. HIGH SCHOOL GRADUATES MAKE UP 88.9% OF RESIDENTS. ONLY 20.4 PERCENT OF RESIDENTS HAVE EARNED A BACHELOR'S DEGREE OR HIGHER, IN COMPARISON TO THE STATE AVERAGE OF 34.1%. IN TY2019/FY2020, 2.1% OF PATIENTS SERVED AT ALMH RECEIVED PATIENT FINANCIAL ASSISTANCE (UNINSURED); 21.1% WERE ON MEDICAID, AND 49.6% RECEIVED MEDICARE. TMH IS ONE OF TWO HOSPITALS IN THE PRIMARY SERVICE AREA OF CHRISTIAN COUNTY (POP. 32,661). TMH IS LOCATED IN TAYLORVILLE, WHILE 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. CHRISTIAN COUNTY'S RACE/ETHNICITY INCLUDES 96.3% WHITE, 1.6% BLACK, AND 1.7% HISPANIC. THE MEDIAN HOUSEHOLD INCOME IS $52,415. THE COUNTY HAS AN AGING POPULATION: PERSONS AGE 65 AND OLDER MAKE UP 19.9% OF THE POPULATION, VS. 15.6 % FOR THE STATE OF ILLINOIS. 13% OF ALL PEOPLE LIVE BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 16.5% OF CHILDREN. CHRISTIAN COUNTY HAS NINE MEDICALLY UNDERSERVED AREAS. IN TY2019/FY2020, 2.1% OF PATIENTS SERVED AT TMH RECEIVED PATIENT FINANCIAL ASSISTANCE (UNINSURED); 20.6% WERE ON MEDICAID AND 52.3% RECEIVED MEDICARE. PASSAVANT AREA HOSPITAL IS LOCATED IN JACKSONVILLE, THE COUNTY SEAT OF MORGAN COUNTY. JACKSONVILLE IS HOME TO THE ILLINOIS SCHOOL FOR THE DEAF AND THE ILLINOIS SCHOOL FOR THE VISUALLY IMPAIRED, AS WELL AS TWO PRIVATE LIBERAL ARTS COLLEGES, A COMMUNITY COLLEGE AND SEVERAL INDUSTRIAL FACTORIES. IN 2016, THE ESTIMATED POPULATION OF MORGAN COUNTY WAS 33,976. RACE AND ETHNIC BREAKOUTS ARE 89.9% WHITE, 7% BLACK, 2.5% LATINO OR HISPANIC. IN MORGAN COUNTY, 2.9 PERCENT OF THE POPULATION SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME. PEOPLE OVER THE AGE OF 65 MAKE UP 20 PERCENT OF THE POPULATION. HIGH SCHOOL GRADUATES MAKE UP 91.7% OF THE POPULATION (2.8 PERCENT HIGHER THAN THE ILLINOIS AVERAGE. THE MEDIAN HOUSEHOLD INCOME IN MORGAN COUNTY IS $48,508. 14.6% OF PEOPLE LIVE BELOW THE POVERTY LINE (1.5% HIGHER THAN THE ILLINOIS AVERAGE OF 14%), INCLUDING 22.7%. IN TY2019/FY2020, 0.8% OF PATIENTS SERVED AT PAH RECEIVED PATIENT FINANCIAL ASSISTANCE (UNINSURED); 23.6% OF PATIENTS WERE ON MEDICAID; AND 37.93% RECEIVED MEDICARE. DECATUR MEMORIAL HOSPITAL IS LOCATED IN DECATUR, THE COUNTY SEAT OF MACON COUNTY. DECATUR IS CONSIDERED A METROPOLITAN STATISTICAL AREA AND IS HOME OF A PRIVATE UNIVERSITY AND PUBLIC COMMUNITY COLLEGE, AS WELL AS SEVERAL INDUSTRIAL FACTORIES SUCH AS ADM AND CATERPILLAR. DECATUR IS LISTED AS NUMBER 3 IN "THE FASTEST DECLINING LARGE CITIES" WHICH SHOWED A 7.1% POPULATION LOSS FROM 2010 TO 2019 BY THE UNITED STATES CENSUS BUREAU. THE POPULATION OF MACON COUNTY IS ESTIMATED AROUND 110,000 PEOPLE. RACE AND ETHNIC BREAKOUTS ARE 79.3% WHITE, 16.3% BLACK, AND 1% ASIAN. PEOPLE OVER THE AGE OF 65 MAKE UP 18.8% OF THE POPULATION. HIGH SCHOOL GRADUATES MAKE UP 94.3% OF THE POPULATION (6.3%HIGHER THAN THE ILLINOIS AVERAGE). THE MEDIAN HOUSEHOLD INCOME IN MACON COUNTY IS $67,188.
PART VI, LINE 5:	EACH MHS HOSPITAL 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. THEY DONATE NUMEROUS HOURS OF SERVICE IN THEIR OVERSIGHT ROLE, INCLUDING DURING THE CHNA PROCESS. ALL MHS HOSPITALS HAVE OPEN MEDICAL STAFF THAT ALLOW MEMBERSHIP TO ANYONE WHO MEETS THE CREDENTIALING REQUIREMENTS. ALL MHS HOSPITALS PROVIDE 24/7 EMERGENCY DEPARTMENTS THAT SERVE AS SAFETY NET PROVIDERS FOR THE UNINSURED AND UNDERINSURED WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. WE PROVIDE CARE TO ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION TO OUR STANDARD COMMUNITY BENEFIT PLANS, MEMORIAL HEALTH SYSTEM UTILIZES SURPLUS FUNDS TO IMPROVE PATIENT CARE, MEDICAL EDUCATION, RESEARCH, AND ACCESS TO HEALTH CARE, AS WELL AS UPGRADING HOSPITAL INFRASTRUCTURES. MMC SERVES AS THE REGIONAL BURN CENTER FOR CENTRAL AND SOUTHERN ILLINOIS AND IS THE REGIONAL REHABILITATION PROVIDER FOR COMPREHENSIVE INPATIENT AND OUTPATIENT REHAB. MMC'S REGIONAL CANCER CENTER APPLIES ITS RESOURCES AND RESEARCH TO OFFER THE LATEST IN CANCER EDUCATION AND TREATMENT. MMC'S TRANSPLANT SERVICES HAS COMPLETED HUNDREDS OF KIDNEY OR PANCREAS TRANSPLANTS AND OUR EMERGENCY DEPARTMENT IS A LEVEL 1 TRAUMA CENTER. MMC SUPPORTS PATIENTS FROM TWO FQHCS IN SANGAMON COUNTY. MHS COLLABORATES WITH COMMUNITY PARTNERS IN SANGAMON AND MORGAN COUNTIES TO PLACE COMMUNITY HEALTH WORKERS IN AT-RISK NEIGHBORHOODS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. MMC PROVIDES SIGNIFICANT FINANCIAL SUPPORT FOR THE SIU SCHOOL OF MEDICINE, WHO DOES NOT RECEIVE SUFFICIENT OPERATING SUPPORT FROM THE STATE OF ILLINOIS. MMC SERVES AS A MAJOR TEACHING HOSPITAL FOR SIU SOM AND COLLABORATES WITH LOCAL COLLEGES TO OFFER NURSING PROGRAMS TO HELP FILL THE GAP OF NURSING SHORTAGES. ALMH, DMH AND PAH PROVIDE REGULAR HEALTH SCREENINGS, SUPPORT GROUPS, AND COMMUNITY PROGRAMS, IN ADDITION TO THEIR GENERAL SERVICE LINES (INCLUDING GENERAL ACUTE INPATIENT CARE, ORTHOPEDICS, SURGERY, OUTPATIENT REHABILITATION, AND MORE). TMH IS WELL INTO A MULTI-YEAR FACILITY RENOVATION PROJECT TO REPLACE OUTDATED INPATIENT AND OUTPATIENT FACILITIES. AN INVESTMENT OF $57.7 MILLION WILL MODERNIZE THE AGING TMH STRUCTURE, WHICH WAS BUILT IN 1954/56, WITH SEVERAL ADDITIONS IN 1956, 1993 AND 2010. THE ORIGINAL 1954/1956 PORTION OF THE BUILDING BEING REPLACED IS A NEW MODERNIZED SECTION THAT WILL SUPPORT MAXIMUM EFFICIENCY AND OPERATIONAL IMPROVEMENTS NEEDED TO PROVIDE THE BEST PATIENT CARE AND EXPERIENCE FOR PATIENTS AND THEIR FAMILIES. MEMORIAL HEALTH SYSTEM, INCLUDING EACH OF OUR MHS HOSPITALS, HAS PROVIDED OUR COMMUNITIES A COORDINATED RESPONSE TO THE COVID-19 PANDEMIC. FROM COMMUNITY EDUCATION, COLLABORATION WITH LOCAL HEALTH DEPARTMENTS, EXPANDING TELEHEALTH AND PROVIDING RESPIRATORY CLINICS - WE HAVE BEEN A KEY PILLAR OF CENTRAL ILLINOIS' PANDEMIC RESPONSE. OUR COMMUNITY BENEFIT PROGRAMS PROVIDED SUPPLIES TO AID IN SOCIAL DISTANCING AND DONATED OVER 80,000 MASKS TO APPROXIMATELY 70 PARTNER ORGANIZATIONS FOR DISTRIBUTION THROUGHOUT OUR COMMUNITIES.
PART VI, LINE 6:	MEMORIAL HEALTH SYSTEM (MHS), A 501C3 CORPORATION, IS THE SOLE CORPORATE MEMBER OF THE ABRAHAM LINCOLN MEMORIAL HOSPITAL (ALMH), TAYLORVILLE MEMORIAL HOSPITAL (TMH), PASSAVANT MEMORIAL AREA HOSPITAL (PAH), DECATUR MEMORIAL HOSPITAL (DMH), AND MEMORIAL MEDICAL CENTER (MMC). OTHER AFFILIATES INCLUDE: MEMORIAL PHYSICIAN SERVICES, A PRIMARY CARE PHYSICIAN NETWORK THAT INCLUDES SEVERAL CLINICS LOCATED IN MEDICALLY UNDERSERVED OR HEALTH MANPOWER SHORTAGE AREAS; 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; AND FIVE HOSPITAL FOUNDATIONS, ALL OF WHICH ARE 501C3 ENTITIES. MHS AFFILIATES ENGAGE IN A WIDE RANGE OF PROGRAMS THAT PROMOTE COMMUNITY HEALTH, INCLUDING INTEGRATING SERVICES TO PROVIDE IMPROVED ACCESS AND STREAMLINING TRANSACTIONS BETWEEN DOCTOR'S OFFICES, HOSPITALS, HOME HEALTH AGENCIES, AND MENTAL HEALTH CLINICS. IN ADDITION TO HOSPITAL COMMUNITY BENEFIT ACTIVITIES, OTHER MHS AFFILIATES' COMMUNITY BENEFIT CONTRIBUTIONS TOTAL MORE THAN $9.2 MILLION. MEMORIAL PHYSICIAN SERVICES (MPS) OFFERS FIVE WALK-IN EXPRESSCARE LOCATIONS AND TELEHEALTH, IN ORDER TO IMPROVE PATIENT ACCESS. COMPRISED OF MORE THAN 165 PHYSICIANS, ADVANCED PRACTICE REGISTERED NURSES, DOCTOR OF NURSING PRACTICE AND PHYSICIAN ASSISTANTS, MPS PROVIDES 350,000+ PATIENTS VISITS EACH YEAR. PHYSICIAN OFFICES AND CLINICS ARE LOCATED IN SPRINGFIELD, JACKSONVILLE, BEARDSTOWN, LINCOLN, DECATUR, PETERSBURG AND CHATHAM. MPS PROVIDES COMMUNITY BENEFITS BY MENTORING AND PROVIDING HEALTH PROFESSION EDUCATIONAL OPPORTUNITIES FOR MEDICAL STUDENTS, ADVANCED PRACTICE REGISTERED NURSES, DOCTOR OF NURSING PRACTICE, PHYSICIAN ASSISTANTS AND CERTIFIED MEDICAL ASSISTANTS. MEMORIAL BEHAVIORAL HEALTH (MBH) CARES FOR CHILDREN AND ADULTS AT ITS MULTIPLE SITES OF CARE IN SPRINGFIELD, LINCOLN, AND JACKSONVILLE. SERVICES INCLUDE CRISIS INTERVENTION, PSYCHIATRIC SERVICES, SCREENING AND ASSESSMENT, OUTPATIENT THERAPY, CASE MANAGEMENT, SUPPORT GROUPS, EMPLOYMENT SERVICES, AND RESIDENTIAL CARE, AS WELL AS LEVEL 1 SUBSTANCE USE SERVICES TO ADULTS IN SPRINGFIELD. THE PSYCHIATRIC RESPONSE TEAM WORKS WITH FOUR AREA HOSPITAL EMERGENCY DEPARTMENTS. MBH ALSO PROVIDES COMMUNITY-BASED CRISIS INTERVENTION SERVICES AT LOCAL SCHOOLS, HOMELESS SHELTERS, AND WITH LOCAL LAW ENFORCEMENT. 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 CONFERENCE ATTENDED BY PROVIDERS THROUGHOUT THE STATE. MHS FOUNDATIONS PROVIDE GRANTS FOR PATIENT CARE, EDUCATION, AND CLINICAL RESEARCH. THESE ADDITIONAL FOUNDATION COMMUNITY BENEFITS TOTALED MORE THAN $1.6 MILLION. SUPPORT WAS GRANTED TO SIU SCHOOL OF MEDICINE, THE UNIVERSITY OF ILLINOIS AT CHICAGO, EMERGENCY MEDICAL SERVICES, PATIENT ASSISTANCE FUNDS, THE ALMH COMMUNITY HEALTH COLLABORATIVE, SCHOLARSHIPS, STOP THE BLEED PROGRAMS, AND MANY OTHER GROUPS AND PROGRAMS THROUGHOUT CENTRAL ILLINOIS.
PART VI, LINE 7, REPORTS FILED WITH STATES	IL
PART VI, LINE 4 CONTINUED	IN TY2019/FY2020, 2.5% OF PATIENTS SERVED AT DMH RECEIVED PATIENT FINANCIAL ASSISTANCE OR AN UNINSURED DISCOUNT; 15.9% OF PATIENTS WERE ON MEDICAID; AND 44.9% OF PATIENTS WERE ON MEDICARE.

Schedule H (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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 noncash assistance	(h) Purpose of grant or assistance
(1) ILLINOIS HOSPITAL RESEARCH AND EDUCATION FOUNDATION 1151 EAST WARRENVILLE ROAD NAPERVILLE,IL60566	23-7421930	501(C)(3)	53,496				SEE PART IV CONTRIBUTION TO THE ILLINOIS HEALTH RESEARCH EDUCATIONAL FUND TO DONATE TO GRANT PROGRAM FOR HOSPITALS TO COVER A PORTION OF THE NET LOSS SUSTAINED FROM THE ILLINOIS PROVIDER ASSESSMENT PROGRAM.
(2) KUMLER OUTREACH MINISTRIES 303 NORTH GRAND AVE EAST SPRINGFIELD,IL62702	37-0695489	501(C)(3)	8,900				SEE PART IV PHARMACEUTICAL ASSISTANCE
(3) MEMORIAL HOME SERVICES 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0714225	501(C)(3)	15,014				SEE PART IV PROVIDE GENERAL SUPPORT.
(4) MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661220	501(C)(3)	303,089				SEE PART IV PROVIDE SUPPORT FOR MCLI AND GENERAL SUPPORT.
(5) MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0646367	501(C)(3)	251,423				SEE PART IV PROVIDE GENERAL SUPPORT, MOSAIC PROGRAM TO PROVIDE CHILDREN'S MENTAL HEALTH SERVICES BY INCREASING THE NUMBER OF BEHAVIORAL HEALTH CLINICIANS SERVING SPRINGFIELD 186 SCHOOLS, AND COMMUNITY OUTREACH AND ENGAGEMENT TEAM (COET) TO RESPOND TO CRISIS CALLS WITH SIU MEDICINE AND THE SPRINGFIELD POLICE DEPARTMENT.
(6) PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661230	501(C)(3)	344,004	10,449	OTHER	SUPPLIES AND FOOD	SEE PART IV PROVIDE GENERAL SUPPORT, EQUIPMENT AND SUPPLIES, COMMUNITY HEALTH IMPROVEMENT, AND COMMUNITY HEALTH SUPPORT.
(7) SIU PHYSICIANS & SURGEONS INC DBA SIU HEALTHCARE PO BOX 19639 SPRINGFIELD,IL62794	36-4143823	501(C)(3)	2,567,356				SEE PART IV 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. THIS COLLABORATION AMONG THE MAJOR PHYSICIAN GROUPS IN THE COMMUNITY WILL IMPROVE THE COORDINATION OF CARE FOR ALL PATIENTS THROUGHOUT THE REGION. MMC HAS ALSO ENTERED INTO AN AGREEMENT WITH SIU HEALTHCARE TO CONTRIBUTE FROM MMC'S FUNDING FOR THE ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES ASSESSMENT PROGRAM TO SIU'S ALZHEIMERS DISEASE AND RELATED DISORDERS PROGRAM. MMC HAS ALSO CONTRIBUTED TOWARDS THE ACCESS TO CARE COLLABORATIVE, A PROGRAM THAT IS ADDRESSING ACCESS TO CARE.
(8) SIU SCHOOL OF MEDICINE 801 NORTH RUTLEDGE SPRINGFIELD,IL62702	37-6005961	501(C)(3)	3,799,876				SEE PART IV PROVIDE GENERAL SUPPORT.
(9) TAYLORVILLE MEMORIAL HOSPITAL 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661250	501(C)(3)	169,227	11,338	FMV	GENERAL AND COVID SUPPLIES AND FOOD	SEE PART IV ASSIST WITH CAPITAL PROJECT, MEDICAL TECHNOLOGIES AND PATIENT SERVICES, GENERAL AND COVID SUPPLIES AND FOOD.
(10) YMCA 701 SOUTH FOURTH STREET SPRINGFIELD,IL62703	37-0661263	501(C)(3)	5,200,000				SEE PART IV TO CONNECT PEOPLE OF ALL AGES AND BACKGROUNDS TO BRIDGE THE GAP IN COMMUNITY NEEDS SO THAT EVERYONE HAS THE OPPORTUNITY TO LEARN, GROW AND THRIVE.
(11) UNIVERISTY OF ILLINOIS FOUNDATION 1305 W GREEN ST URBANA,IL61801	37-6006007	501(C)(3)	1,500,000				SEE PART IV TO BUILD NURSING PROGRAMS IN PARTNERSHIP WITH UIS AND UIC NURSING FOR THE BENEFIT OF CENTRAL ILLINOIS.
(12) JACKSONVILLE PUBLIC SCHOOL DISTRICT #117 211 W STATE JACKSONVILLE,IL62650	37-6004176	501(C)(3)	21,000				SEE PART IV COMMUNITY HEALTH IMPROVEMENT.
(13) LINCOLN LAND COMMUNITY COLLEGE FOUNDATION 5250 SHEPERD RD SPRINGFIELD,IL62794	37-1360597	501(C)(3)	6,082,978				SEE PART IV EXPANDED NURSING EDUCATION PARTNERSHIP TO INCREASE ENROLLMENT CAPACITY FOR NURSING STUDENTS AND THE REGIONAL NURSING WORKFORCE TO BETTER SERVE PATIENTS THROUGHOUT CENTRAL AND SOUTHERN ILLINOIS.
(14) SPRINGFIELD AND CENTRAL ILLINOIS AFRICAN AMERICAN HISTORY MUSEUM 1440 MONUMENT AVE SPRINGFIELD,IL62702	02-0775028	501(C)(3)	7,500				SEE PART IV PROVIDED SUPPORT TO CONTINUE THE MUSEUMS MISSION OF IDENTIFYING, COLLECTING, MAINTAINING AND EXHIBITING THE HISTORIES OF AFRICAN AMERICANS WITH A FOCUS ON CENTRAL ILLINOIS.
(15) KIDZEUM 412 E ADAMS ST SPRINGFIELD,IL62701	37-1320003	501(C)(3)	50,000				SEE PART IV PROVIDE SUPPORT FOR THE KIDZEUM HEALTH AND SCIENCE MUSEUM WHICH HAS A VERY STRONG HEALTH EDUCATION COMPONENT FOR CHILDREN.
(16) GIRLS ON THE RUN SPRINGFIELD 907 CLOCKTOWER DR SPRINGFIELD,IL62704	27-1822009	501(C)(3)	7,500				SEE PART IV PROVIDE SUPPORT FOR POSITIVE YOUTH DEVELOPMENT FOR GIRLS, 3RD-8TH GRADE. LIFE SKILLS ARE TAUGHT THROUGH DYNAMIC INTERACTIVE LESSONS AND RUNNING GAMES. THE GOAL OF THE PROGRAM IS TO UNLEASH CONFIDENCE THROUGH ACCOMPLISHMENT WHILE ESTABLISHING A LIFETIME APPRECIATION OF HEALTH AND FITNESS.
(17) LINCOLN ECONOMIC ADVANCEMENT & DEVELOPMENT 1 BURWELL DR LINCOLN,IL626563086	84-3635858	501(C)(3)	150,000				SEE PART IV TO HELP THE ECONOMIC ADVANCEMENT AND DEVELOPMENT IN LINCOLN, IL.
(18) LOGAN COUNTY PO BOX 400 LINCOLN,IL62656	37-6001284			33,601	BOOK	DONATION OF OLD AMBULANCE GARAGE AND LAND	SEE PART IV DONATION OF OLD AMBULANCE GARAGE AND LAND.
(19) MEMORIAL HEALTH SYSTEM 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-1110690	501(C)(3)		34,000	FMV	FOOD DONATIONS TO HOSPITAL DURING COVID.	SEE PART IV FOOD DONATIONS TO HOSPITAL DURING COVID.
(20) DECATUR MEMORIAL HOSPITAL 701 NORTH FIRST STREET SPRINGFIELD,IL62781	37-0661199	501(C)(3)	175,055				SEE PART IV PROVIDE GENERAL SUPPORT.
(21) CHILDREN'S MUSEUM OF ILLINOIS 55 SOUTH COUNTRY CLUB RD DECATUR,IL62521	37-1235904	501(C)(3)	7,000				SEE PART IV 2020 MUSEUM SUMMER CAMP SPONSORSHIP.
(22) WEST CENTRAL MASS TRANSIT 1120 W WALNUT JACKSONVILLE,IL62650	87-0709277		30,000				SEE PART IV COMMUNITY HEALTH SUPPORT.

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) 2019

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) EDUCATIONAL ASSISTANCE PAYMENTS	228	870,732
(2) PRESCRIPTION DRUGS FOR PATIENTS	56	7,844
(3) SHELTER AND UTILITY ASSISTANCE FOR PATIENTS	89	56,333
(4) DIRECT CASH ASSISTANCE TO PATIENTS	92	33,789
(5) TRANSPORTATION ASSISTANCE FOR PATIENTS	145	34,679
(6) EMPLOYEE ASSISTANCE	144	65,680
(7) TAYLORVILLE CUPS ASSISTANCE	18	3,916
(8) PEDIATRIC DENTISTRY	4	6,252
(9) COMMUNITY HEALTH OUTREACH	24	2,000
(10) MEALS AND GROCERIES FOR PATIENTS	54	21,020

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 AND ITS SUBORDINATE ORGANIZATIONS INCLUDED IN THE GROUP RETURN (MHS) PROVIDE GRANTS AND ASSISTANCE PRIMARILY TO LOCALLY MANAGED 501(C)(3) ORGANIZATIONS, LOCAL GOVERNMENT AGENCIES 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) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 on 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 .........

Yes

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 on Line 1a? ..

Yes

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

Yes

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 nonfixed
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) 2019

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)
1EDGAR CURTIS PRESIDENT&CEO MHS; BRDMBR MPS	(i) (ii)	0 ------------- 952,518	0 ------------- 431,182	0 ------------- 264,068	0 ------------- 27,650	0 ------------- 21,711	0 ------------- 1,697,129	0 ------------- 0
2DOUGLAS RAHN DBA FORMER PRESIDENT&CEO PAH	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 1,263,270	0 ------------- 0	0 ------------- 0	0 ------------- 1,263,270	0 ------------- 1,047,921
3STEVEN SOBOL MD PHYSICIAN DMH	(i) (ii)	1,001,794 ------------- 0	90,591 ------------- 0	4,269 ------------- 0	4,200 ------------- 0	26,076 ------------- 0	1,126,930 ------------- 0	0 ------------- 0
4CHARLES CALLAHAN PHD MHSHOSPPRES;PRESMMC/MMCF/MHSVC;CHRMH	(i) (ii)	514,252 ------------- 0	194,411 ------------- 0	120,870 ------------- 0	188,840 ------------- 0	32,590 ------------- 0	1,050,963 ------------- 0	43,418 ------------- 0
5RAYCHAUDHURI RATUL MD PHYSICIAN DMH	(i) (ii)	941,713 ------------- 0	25,000 ------------- 0	360 ------------- 0	0 ------------- 0	25,214 ------------- 0	992,287 ------------- 0	0 ------------- 0
6JOHN WATERS MD PHYSICIAN DMH	(i) (ii)	898,554 ------------- 0	0 ------------- 0	3,696 ------------- 0	4,200 ------------- 0	18,096 ------------- 0	924,546 ------------- 0	0 ------------- 0
7DAVID GRAHAM MD MHS SVP&CHIEF QLTY&INNOVATION OFF.	(i) (ii)	0 ------------- 446,208	0 ------------- 162,444	0 ------------- 70,263	0 ------------- 170,378	0 ------------- 18,829	0 ------------- 868,122	0 ------------- 51,095
8JAMES BOHAN MD PHYSICIAN MPS	(i) (ii)	347,901 ------------- 0	38,850 ------------- 0	402,507 ------------- 0	27,650 ------------- 0	67,931 ------------- 0	884,839 ------------- 0	19,555 ------------- 0
9TURGUT TANSEL MD PHYSICIAN DMH	(i) (ii)	841,594 ------------- 0	0 ------------- 0	1,104 ------------- 0	4,200 ------------- 0	33,267 ------------- 0	880,165 ------------- 0	0 ------------- 0
10TIMOTHY STONE JR FORMER DMH PRESIDENT & CEO	(i) (ii)	425,812 ------------- 0	87,621 ------------- 0	219,640 ------------- 0	66,365 ------------- 0	11,007 ------------- 0	810,445 ------------- 0	0 ------------- 0
11AMIR JOHN WAHAB MD BRDMEM ALMH(THRUJAN20)/MPS PHYSICIAN	(i) (ii)	394,770 ------------- 0	44,484 ------------- 0	180,206 ------------- 0	27,650 ------------- 0	112,832 ------------- 0	759,942 ------------- 0	41,372 ------------- 0
12ANNA EVANS JD MHS SVP & GENERAL COUNSEL	(i) (ii)	0 ------------- 384,820	0 ------------- 141,913	0 ------------- 45,811	0 ------------- 128,754	0 ------------- 32,353	0 ------------- 733,651	0 ------------- 31,394
13ROBERT KAY FORMER MHS SVP & CFO	(i) (ii)	0 ------------- 399,870	0 ------------- 184,283	0 ------------- 102,871	0 ------------- 24,900	0 ------------- 18,109	0 ------------- 730,033	0 ------------- 0
14RAJESH GOVINDAIAH MD MHS SVP & CMO	(i) (ii)	0 ------------- 477,234	0 ------------- 119,972	0 ------------- 34,866	0 ------------- 87,299	0 ------------- 6,601	0 ------------- 725,972	0 ------------- 0
15KATHRYN KEIM MHS SVP&CFO; SEC&TREAS MHV/MHSVC/MPS	(i) (ii)	0 ------------- 443,391	0 ------------- 162,807	0 ------------- 10,707	0 ------------- 74,674	0 ------------- 31,935	0 ------------- 723,514	0 ------------- 0
16KEVIN ENGLAND MHS SVP&CAO; VCH&PRESMHV; VCHMHSVC	(i) (ii)	0 ------------- 313,249	0 ------------- 152,475	0 ------------- 22,666	0 ------------- 176,300	0 ------------- 34,294	0 ------------- 698,984	0 ------------- 0
17AIMEE DAILY PHD MHS SVP & CHIEF TRANSFORM. OFF.	(i) (ii)	337,310 ------------- 0	134,536 ------------- 0	58,971 ------------- 0	65,319 ------------- 0	20,415 ------------- 0	616,551 ------------- 0	24,887 ------------- 0
18VIRGINIA DOLAN MD BOARD MEMBER SRS	(i) (ii)	416,723 ------------- 0	13,745 ------------- 0	85,074 ------------- 0	27,312 ------------- 0	60,595 ------------- 0	603,449 ------------- 0	28,245 ------------- 0
19DAVID BAUMBERGER MD FORMER DMH CHIEF MEDICAL OFFICER	(i) (ii)	391,604 ------------- 0	104,427 ------------- 0	50,566 ------------- 0	51,083 ------------- 0	26,238 ------------- 0	623,918 ------------- 0	0 ------------- 0
20ROBERT SCOTT MHS SVP & CHRO	(i) (ii)	0 ------------- 331,450	0 ------------- 120,614	0 ------------- 56,945	0 ------------- 58,468	0 ------------- 27,141	0 ------------- 594,618	0 ------------- 22,519
21NICOLE FLORENCE MD BOARD MEMBER SRS	(i) (ii)	348,474 ------------- 0	32,666 ------------- 0	121,641 ------------- 0	24,900 ------------- 0	80,638 ------------- 0	608,319 ------------- 0	0 ------------- 0
22MARK HANSEN MD CHAIR MPS/MPS PHYSICIAN	(i) (ii)	315,116 ------------- 0	30,918 ------------- 0	107,217 ------------- 0	27,650 ------------- 0	99,113 ------------- 0	580,014 ------------- 0	0 ------------- 0
23DREW EARLY PRESIDENT&CEO DMH	(i) (ii)	238,248 ------------- 87,107	0 ------------- 99,480	29,737 ------------- 16,369	46,161 ------------- 9,273	24,830 ------------- 7,449	338,976 ------------- 219,678	0 ------------- 0
24MARSHA PRATER PHD MHS/MMC SVP & CNO	(i) (ii)	334,354 ------------- 0	121,199 ------------- 0	64,873 ------------- 0	25,710 ------------- 0	10,657 ------------- 0	556,793 ------------- 0	0 ------------- 0
25JAMESON ROSZHART MHS PRESAMBGRP; BM MHV/MPS/CHR MHSVC	(i) (ii)	0 ------------- 320,570	0 ------------- 129,155	0 ------------- 10,353	0 ------------- 60,107	0 ------------- 30,395	0 ------------- 550,580	0 ------------- 0
26J TRAVIS DOWELL PRESIDENT MPS & VP MPS	(i) (ii)	0 ------------- 247,557	0 ------------- 65,512	0 ------------- 96,108	0 ------------- 56,009	0 ------------- 41,897	0 ------------- 507,083	0 ------------- 22,354
27DOLAN DALPOAS PRESIDENT&CEO ALMH; BRDMBR MHSVC	(i) (ii)	0 ------------- 289,946	0 ------------- 74,302	0 ------------- 55,481	0 ------------- 58,264	0 ------------- 419	0 ------------- 478,412	0 ------------- 22,995
28ANTHONY GRIFFIN MD BOARD MEMBER MPS/MPS PHYSICIAN	(i) (ii)	344,914 ------------- 0	27,808 ------------- 0	38,508 ------------- 0	16,811 ------------- 0	39,120 ------------- 0	467,161 ------------- 0	13,936 ------------- 0
29GREG PAGLIUZZA FORMER DMH SVP & CFO	(i) (ii)	261,999 ------------- 0	6,228 ------------- 0	130,548 ------------- 0	36,967 ------------- 0	21,679 ------------- 0	457,421 ------------- 0	0 ------------- 0
30LARRY HEGLAND MD FORMER DMH CHIEF MEDICAL OFFICER	(i) (ii)	293,510 ------------- 0	17,363 ------------- 0	112,072 ------------- 0	15,965 ------------- 0	11,555 ------------- 0	450,465 ------------- 0	0 ------------- 0
31LINDA JONES DNS MMC VP OF ANCILLARY OPS	(i) (ii)	280,118 ------------- 0	72,454 ------------- 0	60,303 ------------- 0	24,167 ------------- 0	9,921 ------------- 0	446,963 ------------- 0	0 ------------- 0
32KIMBERLY BOURNE PRESIDENT&CEO TMH&TMHF; BRDMBR MHSVC	(i) (ii)	0 ------------- 263,657	0 ------------- 68,747	0 ------------- 23,277	0 ------------- 55,333	0 ------------- 26,953	0 ------------- 437,967	0 ------------- 1,706
33PATRICK OCONNOR FORMER DMH VP REVENUE CYCLE	(i) (ii)	0 ------------- 0	0 ------------- 0	431,473 ------------- 0	0 ------------- 0	0 ------------- 0	431,473 ------------- 0	0 ------------- 0
34LINDA FAHEY FORMER DMH SVP & COO	(i) (ii)	224,875 ------------- 0	108 ------------- 0	152,949 ------------- 0	35,601 ------------- 0	1,639 ------------- 0	415,172 ------------- 0	0 ------------- 0
35CHRISTOPHER RIVERA MD BOARD MEMBER MPS/MPS PHYSICIAN	(i) (ii)	253,484 ------------- 0	22,812 ------------- 0	38,152 ------------- 0	19,321 ------------- 0	36,130 ------------- 0	369,899 ------------- 0	19,904 ------------- 0
36MARK BURMESTER FRMRDMH OFF; MHSSYSADSTRAT(TRJAN20)	(i) (ii)	233,528 ------------- 67,090	0 ------------- 0	13,931 ------------- 239	32,584 ------------- 1,505	18,893 ------------- 2,806	298,936 ------------- 71,640	0 ------------- 0
37EVAN DAVIS VP CLIN OPS MMC/BOARD MEMBER MHV	(i) (ii)	227,068 ------------- 0	66,628 ------------- 0	4,951 ------------- 0	34,247 ------------- 0	28,377 ------------- 0	361,271 ------------- 0	0 ------------- 0
38MITCHELL ROGERS FORMER KE MMC SYSADMIN CARDIO SVCS	(i) (ii)	231,462 ------------- 0	59,981 ------------- 0	23,450 ------------- 0	41,661 ------------- 0	2,939 ------------- 0	359,493 ------------- 0	0 ------------- 0
39JOHN RIDLEY BRDMMEMMHSVC/SYSADMINAMBULATORY	(i) (ii)	202,530 ------------- 55,966	0 ------------- 0	32,767 ------------- 140	32,847 ------------- 948	28,632 ------------- 4,258	296,776 ------------- 61,312	0 ------------- 0
40W SCOTT BOSTON MD PRESIDENT&CEO PAH/CRNA; BRDMBR MHSVC	(i) (ii)	0 ------------- 196,817	0 ------------- 96,098	0 ------------- 8,528	0 ------------- 31,150	0 ------------- 16,306	0 ------------- 348,899	0 ------------- 0
41JENNIFER BOND MMC VP OF NURSING	(i) (ii)	207,309 ------------- 0	66,628 ------------- 0	6,826 ------------- 0	30,220 ------------- 0	27,010 ------------- 0	337,993 ------------- 0	0 ------------- 0
42KATHERINE ANDERSON ESQ FRMRDMH OFF; MHSSRGENCOUNS(TRMAY20)	(i) (ii)	252,822 ------------- 0	22,095 ------------- 0	880 ------------- 0	28,421 ------------- 0	8,511 ------------- 0	312,729 ------------- 0	0 ------------- 0
43RANDALL BRYANT VP, DECATUR MEDICAL GROUP	(i) (ii)	182,571 ------------- 50,470	12,416 ------------- 0	6,208 ------------- 10,681	12,405 ------------- 855	20,677 ------------- 2,697	234,277 ------------- 64,703	0 ------------- 0
44TRACY MIZEUR MD BOARD MEMBER ALMH/MPS PHYSICIAN	(i) (ii)	206,089 ------------- 0	21,081 ------------- 0	31,987 ------------- 0	19,041 ------------- 0	10,220 ------------- 0	288,418 ------------- 0	0 ------------- 0
45SHARON NORRIS FORMER DMH OFFICER	(i) (ii)	226,340 ------------- 0	0 ------------- 0	9,498 ------------- 0	20,061 ------------- 0	29,913 ------------- 0	285,812 ------------- 0	0 ------------- 0
46DEBORAH BRAGG FORMER DMH OFFICER	(i) (ii)	223,247 ------------- 0	0 ------------- 0	27,538 ------------- 0	28,303 ------------- 0	4,842 ------------- 0	283,930 ------------- 0	0 ------------- 0
47KEVIN HORATH FORMER DMH OFFICER	(i) (ii)	220,729 ------------- 0	0 ------------- 0	26,996 ------------- 0	28,779 ------------- 0	3,521 ------------- 0	280,025 ------------- 0	0 ------------- 0
48HARRY SCHMIDT FRMR PRES/CEO PAH/CRNA; BM MHSVC	(i) (ii)	0 ------------- 175,686	0 ------------- 0	0 ------------- 65,158	0 ------------- 37,407	0 ------------- 1,093	0 ------------- 279,344	0 ------------- 0
49DAVID KING MHS VP SUPPORT OPERATIONS	(i) (ii)	170,540 ------------- 0	48,689 ------------- 0	5,958 ------------- 0	29,881 ------------- 0	10,243 ------------- 0	265,311 ------------- 0	0 ------------- 0
50JENNIFER HARRIS FORMER KE MMC SYSADM,PERIOP SVCS	(i) (ii)	211,975 ------------- 0	27,160 ------------- 0	186 ------------- 0	16,136 ------------- 0	751 ------------- 0	256,208 ------------- 0	0 ------------- 0
51JANICE GAMBACH PRES SRS(TRDEC19);ADMIN MBH(TRJAN20)	(i) (ii)	0 ------------- 190,741	0 ------------- 24,927	0 ------------- 6,567	0 ------------- 16,364	0 ------------- 11,074	0 ------------- 249,673	0 ------------- 0
52TAMAR KUTZ BOARD MEMBER MHSVC; VP QUAL&OPS	(i) (ii)	0 ------------- 191,725	0 ------------- 23,293	0 ------------- 3,946	0 ------------- 20,662	0 ------------- 2,185	0 ------------- 241,811	0 ------------- 0
53DAVID SAMPLES FORMER DMH OFFICER; MHS SYSDIRCAP	(i) (ii)	172,749 ------------- 0	0 ------------- 0	19,608 ------------- 0	19,841 ------------- 0	29,079 ------------- 0	241,277 ------------- 0	0 ------------- 0
54JIM BLACKWELL FORMER DMH OFFICER	(i) (ii)	158,649 ------------- 0	0 ------------- 0	5,679 ------------- 0	16,906 ------------- 0	18,758 ------------- 0	199,992 ------------- 0	0 ------------- 0
55MELISSA HANSEN-SCHMADEKE MMCF EXECUTIVE DIRECTOR	(i) (ii)	140,152 ------------- 0	12,996 ------------- 0	164 ------------- 0	9,378 ------------- 0	12,004 ------------- 0	174,694 ------------- 0	0 ------------- 0
56MIKE EDWARDS FORMER DMH VP REVENUE CYCLE	(i) (ii)	113,635 ------------- 0	17,500 ------------- 0	6,598 ------------- 0	20,115 ------------- 0	5,943 ------------- 0	163,791 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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 1A	CHARTER TRAVEL IS OCCASIONALLY PROVIDED FOR EXECUTIVES/KEY EMPLOYEES ATTENDING OFF-SITE BUSINESS RELATED MEETINGS, SO AS TO MINIMIZE TRAVEL TIME AND ENABLE THEM TO WORK EFFICIENTLY AND SECURELY ON CONFIDENTIAL ORGANIZATION BUSINESS MATTERS. CHARTER TRAVEL IS NOT TAXABLE INCOME TO THE INDIVIDUAL BECAUSE IT IS STRICTLY RELATED TO BUSINESS TRAVEL.
PART I, LINE 3	THE REPORTED COMPENSATION AND BENEFITS RECEIVED BY EDGAR CURTIS, PRESIDENT AND CEO OF MEMORIAL HEALTH SYSTEM, FOR CALENDAR YEAR 2019 (BEFORE THE COVID-19 PANDEMIC), WAS COMPRISED OF THE FOLLOWING COMPONENTS: BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER COMPENSATION, RETIREMENT/DEFERRED COMPENSATION AND OTHER NONTAXABLE BENEFITS. MEMORIAL HEALTH SYSTEM, A RELATED ORGANIZATION OF MEMORIAL HEALTH SYSTEM GROUP, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: 1) COMPENSATION COMMITTEE; 2) INDEPENDENT COMPENSATION CONSULTANT; 3) COMPENSATION SURVEY OR STUDY; AND 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. BASE COMPENSATION LEVELS WERE SET BY THE LEADERSHIP COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE MHS BOARD CONSISTING ENTIRELY OF MHS BOARD MEMBERS WHO ARE INDEPENDENT AND WHO ARE FREE OF ANY CONFLICTS OF INTEREST. BASE COMPENSATION IS SET AT OR AROUND THE MIDDLE OF THE MARKET BASE SALARY DATA FOR HEALTHCARE ORGANIZATIONS SIMILAR TO MHS, AS MEASURED AND PRESENTED TO THE COMMITTEE BY AN INDEPENDENT COMPENSATION CONSULTANT. INCENTIVE COMPENSATION WAS CONDITIONED ON ACHIEVEMENT OF SPECIFIC, RIGOROUS PERFORMANCE MEASURES ACROSS ALL OF MHS, AND THOSE PERFORMANCE MEASURES WERE REVIEWED AND APPROVED IN ADVANCE BY THE LEADERSHIP COMPENSATION COMMITTEE. RETIREMENT BENEFITS IN COLUMN (B)(III) IS COMPRISED PRIMARILY OF THE DISTRIBUTION OF VESTED AMOUNTS OF $216,334 THAT WERE PREVIOUSLY DEPOSITED IN A DEFERRED COMPENSATION PLAN, BUT ARE NOW DISTRIBUTED DIRECTLY BECAUSE MR. CURTIS IS FULLY VESTED.
PART I, LINES 4A-B	THE FOLLOWING LISTED INDIVIDUALS RECEIVED THE FOLLOWING AMOUNTS IN THE FORM OF SEVERANCE BENEFITS, IN CONNECTION WITH A QUALIFYING TERMINATION OF EMPLOYMENT DURING OR PRIOR TO THE YEAR BEING REPORTED: LARRY HEGLAND $87,650, LINDA FAHEY $66,146, GREG PAGLIUZZA $79,471, AND TIMOTHY STONE JR. $121,238. ALL SEVERANCE PAY AMOUNTS WERE PROVIDED UNDER PREVIOUSLY APPROVED SEVERANCE PAY AGREEMENTS, AND ARE TRIGGERED ONLY BY CERTAIN TYPES OF EMPLOYMENT TERMINATION. CERTAIN LISTED INDIVIDUALS PARTICIPATE IN NONQUALIFIED DEFERRED COMPENSATION PLANS OF MEMORIAL HEALTH SYSTEM (MHS), A RELATED ORGANIZATION AND CENTRAL ORGANIZATION OF THE GROUP EXEMPTION. MHS CREDITS ANNUAL CONTRIBUTION AMOUNTS TO THESE PLANS, AND THESE AMOUNTS SERVE TO PROVIDE SUPPLEMENTAL RETIREMENT INCOME TO THESE INDIVIDUALS. ALL CREDITED AMOUNTS ARE REVIEWED AND APPROVED BY A COMMITTEE OF THE MHS BOARD AS PART OF REASONABLE TOTAL COMPENSATION. ALL AMOUNTS CREDITED ARE UNVESTED WHILE THE EXECUTIVE IS REQUIRED TO PROVIDE SUBSTANTIAL FUTURE SERVICES, AND THEN ARE TAXED IN FULL WHEN THE SERVICE PERIOD IS COMPLETED AND THE AMOUNTS BECOME VESTED. ALL AMOUNTS CREDITED TO THESE EXECUTIVES UNDER THESE PLANS ARE INCLUDED IN COLUMN (C) AS UNVESTED, NONTAXABLE DEFERRED COMPENSATION WHEN FIRST CREDITED, AND THEN ARE AGAIN INCLUDED IN COLUMN (B)(III) WHEN THE AMOUNTS BECOME VESTED AND ARE SUBJECT TO TAX. THE AMOUNTS INCLUDED IN COLUMN (F) FOR CERTAIN INDIVIDUALS REPRESENT AMOUNTS THAT WERE REPORTED ON PRIOR FORM 990S FOR PRIOR YEARS, AND SHOULD BE SUBTRACTED FROM THE TOTAL COMPENSATION IN COLUMN (E) TO RESULT IN A MORE ACCURATE TOTAL COMPENSATION FOR CALENDAR YEAR 2019. THE FOLLOWING CURRENT OR FORMER OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES RECEIVED DEFERRED COMPENSATION PAYOUTS IN THE CALENDAR YEAR FROM MHS OR A RELATED ORGANIZATION: DAVID BAUMBERGER, M.D. $46,825, JIM BLACKWELL $4,674, JAMES BOHAN, M.D. $343,318, KIMBERLY BOURNE $2,230, DEBORAH BRAGG $24,857, RANDALL BRYANT $3,699, MARK BURMESTER $11,041, CHARLES CALLAHAN, PH.D. $49,491, EDGAR CURTIS $216,334, AIMEE DAILY, PH.D. $28,299, DOLAN DALPOAS $29,972, VIRGINIA DOLAN, M.D. $28,378, J. TRAVIS DOWELL $24,769, MIKE EDWARDS $5,817, ANNA EVANS, J.D. $39,220, LINDA FAHEY $82,377, NICOLE FLORENCE, M.D. $55,280, ANTHONY GRIFFIN, M.D. $14,176, DAVID GRAHAM, M.D. $58,332, MARK HANSEN, M.D. $76,423, LARRY HEGLAND, M.D. $22,045, KEVIN HORATH $23,812, LINDA JONES, D.N.S. $29,207, ROBERT KAY $54,234, SHARON NORRIS $5,335, GREG PAGLIUZZA $46,424, MARSHA PRATER, PH.D. $47,491, DOUGLAS RAHN, D.B.A. $1,263,270, CHRISTOPHER RIVERA, M.D. $20,003, JOHN RIDLEY $27,619, MITCHELL ROGERS $14,050, DAVID SAMPLES $16,998, ROBERT SCOTT $26,432, TIMOTHY STONE, JR. $96,026, AND AMIR WAHAB, M.D. $112,294. TO BECOME ENTITLED TO THE BENEFITS PROVIDED, EACH COVERED EMPLOYEE MUST MEET SUBSTANTIAL REQUIREMENTS RELATING TO FURTHER EMPLOYMENT. UNTIL THOSE REQUIREMENTS ARE SATISFIED, IF EVER, THE EMPLOYEE IS NOT ENTITLED TO THESE AMOUNTS. IF THE EMPLOYEE WERE TO HAVE TERMINATED EMPLOYMENT VOLUNTARILY IN THE YEAR TO WHICH THIS RETURN APPLIES AND NOT MET THESE SUBSTANTIAL REQUIREMENTS, THESE SUPPLEMENTAL RETIREMENT BENEFITS WOULD HAVE BEEN FORFEITED. THESE SUPPLEMENTAL RETIREMENT BENEFITS ARE PART OF A RETIREMENT PROGRAM THAT PROVIDES RETIREMENT INCOME FOR ALL YEARS OF SERVICE THAT THE EMPLOYEE PROVIDES TO THE ORGANIZATION. ACCORDINGLY, ANY RETIREMENT BENEFITS SHOULD BE VIEWED AS APPLYING TO THE ENTIRE LENGTH OF THE EMPLOYEE'S SERVICE. THE LEADERSHIP COMPENSATION COMMITTEE OF THE MHS BOARD APPROVES ALL RETIREMENT BENEFITS, TOGETHER WITH ALL OTHER FORMS OF COMPENSATION AND BENEFITS FOR THESE AND OTHER SENIOR LEADERS, IN A MANNER INTENDED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL INCOME TAX LAW.
PART II	THE FOLLOWING INDIVIDUALS HAVE LISTED COMPENSATION, BUT THEY ARE NOT PAID FOR THEIR SERVICE AS BOARD MEMBERS (WHICH IS WHY THEY ARE LISTED). THEY INSTEAD ARE COMPENSATED FOR SUBSTANTIAL SERVICES THEY PROVIDE AS AN EMPLOYEE OF THE ORGANIZATION OR OF A RELATED ORGANIZATION. THE INDIVIDUALS FALLING INTO THIS CATEGORY ARE THE FOLLOWING: AMIR WAHAB, M.D., TRACY MIZEUR, M.D., ANTHONY GRIFFIN, M.D., CHRISTOPHER RIVERA, M.D., MARK HANSEN, M.D., J. TRAVIS DOWELL, D. JANE DAVIS, RAEDENA RYAN, VIRGINIA DOLAN, M.D., NICOLE FLORENCE, M.D., JAMESON ROSZHART, TAMAR KUTZ, HARRY SCHMIDT, W SCOTT BOSTON, M.D., DOLAN DALPOAS, KIMBERLY BOURNE, EVAN DAVIS, KATHRYN KEIM, EDGAR CURTIS, KEVIN ENGLAND, CHARLES CALLAHAN, JOHN RIDLEY AND JANICE GAMBACH.
PART VII QUESTION 5	DECATUR MEMORIAL HOSPITAL (DMH) BECAME AFFILIATED WITH MEMORIAL HEALTH SYSTEM ON 10/1/2019. PRIOR TO AFFILIATION, ILLINOIS HEALTH AND SCIENCE (IHS) WAS THE RELATED PARENT ORGANIZATION TO DMH. TIMOTHY STONE, JR., FORMER DMH PRESIDENT & CEO AND KATHERINE ANDERSON, ESQ., FORMER DMH VP LEGAL AFFAIRS & CORPORATE COMPLIANCE WERE BOTH PAID OUT OF THIS ORGANIZATION WHILE DOING WORK FOR DMH. TIMOTHY STONE, JR. RECEIVED $501,100, AND KATHERINE ANDERSON RECEIVED $256,784, IN COMPENSATION FROM IHS, WHICH IN EACH CASE IS INCLUDED IN THE COMPENSATION NUMBERS REPORTED IN THIS FORM 990.

Schedule J (Form 990) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 section 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 the 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

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2019

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) BRITTANY LIBKA	SEE PART V	22,372	SEE PART V		No
(2) MADELINE CALLAHAN	SEE PART V	56,085	SEE PART V		No
(3) COURTNEY PUTMAN	SEE PART V	43,628	SEE PART V		No
(4) CARRIE WALDEN	SEE PART V	55,236	SEE PART V		No
(5) KATHLEEN FAHEY	SEE PART V	12,861	SEE PART V		No
(6) RYAN BRAGG	SEE PART V	45,134	SEE PART V		No
(7) SHERYL ROBERTS	SEE PART V	129,572	SEE PART V		No
(8) LISA MOSES	SEE PART V	93,950	SEE PART V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: BRITTANY LIBKA(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; DAUGHTER OF BOARD MEMBER.(C) AMOUNT OF TRANSACTION $22,372.(D) MEMORIAL MEDICAL CENTER PAID COMPENSATION AND BENEFITS OF $22,445 TO BRITTANY LIBKA RELATED TO EMPLOYMENT SERVICES FOR THE FISCAL YEAR ENDED 9/30/2020. BRITTANY LIBKA IS THE DAUGHTER OF GEOFFREY ISRINGHAUSEN, MMC BOARD MEMBER. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES? = NO
(A) NAME OF PERSON: MADELINE CALLAHAN	(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; DAUGHTER OF CEO AND PRESIDENT OF THE HOSPITAL GROUP.(C) AMOUNT OF TRANSACTION $56,085.(D) MEMORIAL MEDICAL CENTER PAID COMPENSATION AND BENEFITS OF $56,085 TO MADELINE CALLAHAN RELATED TO EMPLOYMENT SERVICES FOR THE FISCAL YEAR ENDED 9/30/2020. MADELINE IS THE DAUGHTER OF CHARLES CALLAHAN. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES? = NO
(A) NAME OF PERSON: COURTNEY PUTMAN	(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; DAUGHTER OF MMC BOARD MEMBER(C) AMOUNT OF TRANSACTION $43,628.(D) MEMORIAL MEDICAL CENTER PAID COMPENSATION AND BENEFITS OF $43,628 TO COURTNEY PUTMAN RELATED TO EMPLOYMENT SERVICES FOR THE FISCAL YEAR ENDED 9/30/2020. COURTNEY PUTMAN IS THE DAUGHTER OF WILLIAM PUTMAN, MMC BOARD MEMBER. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES? = NO
(A) NAME OF PERSON: CARRIE WALDEN	(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; DAUGHTER OF MMC BOARD MEMBER(C) AMOUNT OF TRANSACTION $55,236.(D) MEMORIAL MEDICAL CENTER PAID COMPENSATION AND BENEFITS OF $55,236 TO CARRIE WALDEN RELATED TO EMPLOYMENT SERVICES FOR THE FISCAL YEAR ENDED 9/30/2020. CARRIE WALDEN IS THE DAUGHTER OF RANDALL S. GERMERAAD, MMC BOARD MEMBER. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES? = NO
(A) NAME OF PERSON: KATHLEEN FAHEY	(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; DAUGHTER OF FORMER DMH BOARD MEMBER(C) AMOUNT OF TRANSACTION $12,861.(D) DECATUR MEMORIAL HOSPITAL PAID COMPENSATION AND BENEFITS OF $12,861 TO KATHLEEN FAHEY RELATED TO EMPLOYMENT SERVICES FOR THE FISCAL YEAR ENDED 9/30/2020. KATHLEEN FAHEY IS THE DAUGHTER OF LINDA FAHEY, FORMER DMH BOARD MEMBER. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES? = NO
(A) NAME OF PERSON: RYAN BRAGG	(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; SON OF FORMER DMH OFFICER(C) AMOUNT OF TRANSACTION $45,134.(D) DECATUR MEMORIAL HOSPITAL PAID COMPENSATION AND BENEFITS OF $45,134 TO RYAN BRAGG RELATED TO EMPLOYMENT SERVICES FOR THE FISCAL YEAR ENDED 9/30/2020. RYAN BRAGG IS THE SON OF DEBORAH BRAGG, FORMER DMH OFFICER. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES? = NO
(A) NAME OF PERSON: SHERYL ROBERTS	(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; DAUGHTER OF PAH BOARD MEMBER(C) AMOUNT OF TRANSACTION $129,572.(D) PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION PAID COMPENSATION AND BENEFITS OF $129,572 TO SHERYL ROBERTS RELATED TO EMPLOYMENT SERVICES FOR THE FISCAL YEAR ENDED 9/30/20. SHERYL ROBERTS IS THE DAUGHTER OF NANCY SPANGENBERG, PAH BOARD MEMBER. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES? = NO
(A) NAME OF PERSON: LISA MOSES	(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; SISTER-IN-LAW OF TMH BOARD MEMBER(C) AMOUNT OF TRANSACTION $93,950.(D) TAYLORVILLE MEMORIAL HOSPITAL PAID COMPENSATION AND BENEFITS OF $93,950 TO LISA MOSES RELATED TO EMPLOYMENT SERVICES FOR THE YEAR ENDED 9/30/20. LISA MOSES IS THE SISTER-IN-LAW OF N. TERESA FRANCE, TMH BOARD MEMBER. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES? = NO

Schedule L (Form 990 or 990-EZ) 2019

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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 .......	X		2,629	COST/SALE OF COMPARABLE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	10	169,042	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 ...	X	1	4,691,717	FARMLAND APPRAISAL
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .	X	129	202,768	COVID PPE
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( FOOD DONATIONS TO HOSPITAL DURING COVID 19 PANDEMIC )	X	200	64,686	FMV ESTIMATE
26 Other ( LAMINATOR )	X	1	8,700	INVOICE
27 Other ( DECORATING EVENT )	X	3	1,068	FMV ESTIMATE
28 Other ( ATHLETIC PASS )	X	1	100	FMV ESTIMATE

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 isn't 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 nonstandard 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 didn't 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) (2019)

Page 2

Part IISupplemental 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, COLUMN (B):	COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS.
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) (2019)

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

MEMORIAL HEALTH SYSTEM GROUP

Employer identification number

90-0756744

Return Reference	Explanation
FORM 990, PART I	ALL PRIOR YEAR BALANCES HAVE BEEN UPDATED TO REFLECT THE ADDITION OF DECATUR MEMORIAL HOSPITAL AND DECATUR MEMORIAL HEALTH FOUNDATION TO THE GROUP RETURN.
FORM 990, PART V, LINE 2A	THE NUMBER OF EMPLOYEES REPORTED ON THE W-3 IS FOR ALL MEMORIAL HEALTH SYSTEM AFFILIATES. MEMORIAL HEALTH SYSTEM IS A COMMON PAY AGENT FOR ALL THE AFFILIATES AND REPORTS ALL EMPLOYEES UNDER ITS EIN.
FORM 990, PART VI, SECTION A, LINE 2	DIANE RUTLEDGE, PH.D., TODD WISE, AND LYNNE BARKMEIER, M.D.'S SPOUSE HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 4	DMH AND DMHF BYLAWS WERE AMENDED AND RESTATED FOR AFFILIATION WITH MEMORIAL HEALTH SYSTEM. ARTICLES OF INCORPORATION WERE AMENDED FOR AFFILIATION WITH MEMORIAL HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 6	MEMORIAL HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF THE FOLLOWING SUBORDINATES INCLUDED IN THIS GROUP RETURN: MEMORIAL MEDICAL CENTER, DECATUR MEMORIAL HOSPITAL, PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION, THE ABRAHAM LINCOLN MEMORIAL HOSPITAL, TAYLORVILLE MEMORIAL HOSPITAL, MEMORIAL PHYSICIAN SERVICES, MEMORIAL HOME SERVICES AND MEMORIAL HEALTH VENTURES. MEMORIAL HEALTH SYSTEM CORPORATION CONTAINS 104 INDIVIDUAL MEMBERS WHO ELECT THE BOARD OF DIRECTORS. OTHER SUBORDINATES INCLUDED IN THIS GROUP RETURN INCLUDE: SPRINGFIELD RESIDENTIAL SERVICES, WHICH 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. JACKSONVILLE CRNA'S AND PASSAVANT AREA HOSPITAL FOUNDATION'S SOLE CORPORATE MEMBER IS PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION. DECATUR MEMORIAL HEALTH FOUNDATION'S SOLE CORPORATE MEMBER IS DECATUR MEMORIAL HOSPITAL. TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION'S SOLE CORPORATE MEMBER IS TAYLORVILLE MEMORIAL HOSPITAL. MEMORIAL MEDICAL CENTER FOUNDATION'S BOARD OF DIRECTORS COMPRISE ITS MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 7A	MEMORIAL HEALTH SYSTEM, THE SOLE CORPORATE MEMBER OF MEMORIAL MEDICAL CENTER, DECATUR MEMORIAL HOSPITAL, PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION, THE ABRAHAM LINCOLN MEMORIAL HOSPITAL, TAYLORVILLE MEMORIAL HOSPITAL, MEMORIAL PHYSICIAN SERVICES, MEMORIAL HOME SERVICES AND MEMORIAL HEALTH VENTURES, ELECTS THE BOARD OF DIRECTS OF EACH OF THOSE SUBORDINATE ORGANIZATIONS INCLUDED IN THIS GROUP RETURN. OTHER SUBORDINATES INCLUDED IN THIS GROUP RETURN HAVE THEIR BOARD OF DIRECTORS SELECTED FROM THE BOARDS OF ITS RESPECTIVE SOLE CORPORATE MEMBER AS FOLLOWS: SPRINGFIELD RESIDENTIAL SERVICES (SOLE CORPORATE MEMBER: MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS), JACKSONVILLE CRNA'S AND PASSAVANT AREA HOSPITAL FOUNDATION (SOLE CORPORATE MEMBER: PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION), DECATUR MEMORIAL HEALTH FOUNDATION (SOLE CORPORATE MEMBER: DECATUR MEMORIAL HOSPITAL), TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION (SOLE CORPORATE MEMBER: TAYLORVILLE MEMORIAL HOSPITAL). MEMORIAL MEDICAL CENTER FOUNDATION BOARD OF DIRECTORS ELECTS ITS BOARD MEMBERS BASED ON SPECIFIED CRITERIA WITHIN ITS BYLAWS AS REPRESENTATIVES OF THE COMMUNITY OR A RELATIONSHIP (FORMAL OR INFORMAL) WITH MEMORIAL HEALTH SYSTEM OR MEMORIAL MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7B	THE RESPECTIVE BYLAWS OF MEMORIAL MEDICAL CENTER, DECATUR MEMORIAL HOSPITAL, PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION, THE ABRAHAM LINCOLN MEMORIAL HOSPITAL, TAYLORVILLE MEMORIAL HOSPITAL, MEMORIAL PHYSICIAN SERVICES, MEMORIAL HOME SERVICES AND MEMORIAL HEALTH VENTURES IMPOSE RESERVE POWERS OVER EACH SUBORDINATE BY THE SOLE CORPORATE MEMBER (MEMORIAL HEALTH SYSTEM) TO AMEND BYLAWS OR GOVERNING DOCUMENTS, APPROVAL OF BUDGETS, MATERIAL FINANCIAL TRANSACTIONS OVER SPECIFIED DOLLAR AMOUNTS AND OTHER SIGNIFICANT BUSINESS TRANSACTIONS.
FORM 990, PART VI, SECTION B, LINE 11B	A 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. 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 SUBORDINATE ORGANIZATIONS INCLUDED IN THE GROUP RETURN ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A SPECIFIC DISCLOSURE STATEMENT WHICH IS ATTACHED TO THE POLICY. MEMORIAL HEALTH SYSTEM AND ITS SUBORDINATES MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY IDENTIFYING ANY POTENTIAL CONFLICTS AT THE TIME EACH MEETING AGENDA IS PREPARED. ANY OFFICER OR DIRECTOR WHO HAS A CONFLICT IS NOTIFIED OF SUCH CONFLICT, AS WELL AS THEIR OBLIGATION TO ABSTAIN FROM THE DISCUSSION AND VOTE ON ANY CONFLICTED ISSUES(S). SUCH ABSTENTION(S), IF REQUIRED, ARE DOCUMENTED IN THE MINUTES OF EACH MEETING. BOARD MEMBERS ARE ALSO REQUIRED TO UPDATE THEIR CONFLICT OF INTEREST DISCLOSURE STATEMENTS PROMPTLY IN THE EVENT OF ANY CHANGE IN PERSONAL OR BUSINESS ACTIVITIES THAT WOULD REQUIRE SUCH DISCLOSURE.
FORM 990, PART VI, SECTION B, LINE 15	THE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS HAS APPOINTED A LEADERSHIP COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS AND HAS DELEGATED TO IT THE RESPONSIBILITY OF ADMINISTERING, OVERSEEING AND APPROVING ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVE LEADERSHIP, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE BOARD HAS ADOPTED A LEADERSHIP COMPENSATION PHILOSOPHY STATEMENT DESCRIBING THE ROLE AND RESPONSIBILITIES OF THE COMMITTEE. THIS PHILOSOPHY EXPRESSLY STATES THE COMMITTEE'S INTENT, ON BEHALF OF THE CORPORATION, TO TAKE ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. THE COMMITTEE ANALYZES EVERY ELEMENT OF COMPENSATION (INCLUDING CURRENT, INCENTIVE AND DEFERRED COMPENSATION) AND BENEFITS (INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS). THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. IN CONNECTION WITH THE MOST RECENT REVIEW AND APPROVAL PROCESS, THE COMMITTEE RECEIVED PROFESSIONAL ADVICE FROM AN INDEPENDENT CONSULTANT AND OUTSIDE LEGAL COUNSEL. THE COMMITTEE CONSISTS ENTIRELY OF DISINTERESTED MEMBERS OF THE BOARD OR DISINTERESTED COMMITTEE MEMBERS WHO UNDER STATE CORPORATE LAW MAY SERVE ON SUCH A COMMITTEE. THE COMMITTEE WORKS WITH ITS COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS 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 VII, SECTION B	FEES LISTED FOR CONSTUCTION AND COMPUTER SOFTWARE/SUPPORT MAY INCLUDE REIMBURSEMENT OF EXPENSES IN ADDITION TO PAYMENT FOR SERVICES.
FORM 990, PART IX, LINE 11G	PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 122,020,764. MANAGEMENT AND GENERAL EXPENSES 1,415,653. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 123,436,417. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 44,486,824. MANAGEMENT AND GENERAL EXPENSES 21,143,092. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,629,916. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 5,911,244. MANAGEMENT AND GENERAL EXPENSES 2,087. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,913,331. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 700,288. MANAGEMENT AND GENERAL EXPENSES 3,352,358. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,052,646.
FORM 990, PART XI, LINE 9:	CHANGE IN MINIMUM PENSION LIABILITY 144,481,803. TRANSFERS TO RELATED ORGANIZATIONS -139,436,727. BOOK/TAX DIFFERENCE 108,602. OTHER 33,529. NONOPERATING NET PERIOD BENEFIT COST -2,240,282. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -775,814. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATIONS 10,095,270.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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

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
(1)ABRAHAM LINCOLN HEALTHCARE FOUNDATION 200 STAHLHUT DR LINCOLN,IL62656 36-3492268	GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALS	IL	501(C)(3)	LINE 7	MEMORIAL HEALTH SYSTEM		No
(2)MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS 710 NORTH EIGHTH ST SPRINGFIELD,IL62702 37-0646367	TRAINING, PSYCHIATRIC, AND RESIDENT SERVICES FOR MENTALLY ILL AND DISABLED	IL	501(C)(3)	LINE 7	MEMORIAL HEALTH SYSTEM		No
(3)HEARTLAND RISK MANAGEMENT 2300 NORTH EDWARD ST DECATUR,IL62526 45-4256254	SUPPORTING THE HOSPITAL	IL	501(C)(3)	LINE 12A, I	DECATUR MEMORIAL HOSPITAL	Yes
(4)MEMORIAL HEALTH SYSTEM 701 NORTH FIRST ST SPRINGFIELD,IL62781 37-1110690	PARENT	IL	501(C)(3)	LINE 12C, III-FI	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

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	10,516,949	8,791,567	100.000 %	Yes
(2) PASSAVANT PHYSICIAN ASSOCIATION 1600 WEST WALNUT STREET JACKSONVILLE,IL62650 26-1200566	PHYSICIAN SERVICES	IL	PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION	C	369,405	25,835	100.000 %	Yes

Schedule R (Form 990) 2019

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) ............................

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

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	126,426	COST BASIS
(2) MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC	K	102,057	COST - RENTAL EQUIPMENT
(3) MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC	H	124,360	COST BASIS
(4) MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC	S	2,180,232	COST BASIS
(5) HEARTLAND RISK MANAGEMENT	M	681,085	CASH PAYMENT
(6) PASSAVANT PHYSICIAN ASSOCIATION	R	786,943	FMV

Schedule R (Form 990) 2019

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	-364,314	5,021,170		No			No	50.000 %
(2) ORTHOPAEDIC SURGERY CENTER OF ILLINOIS LLC 701 N FIRST STREETSPRINGFIELD,IL62781 37-1366377	AN AMBULATORY SURGICAL TREATMENT CENTER	IL	RELATED		No	449,059	1,266,524		No			No	50.000 %

Schedule R (Form 990) 2019

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) 2019

Additional Data

Software ID:
Software Version:

- TIN:

TY 2019 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	701 NORTH FIRST STREET SPRINGFIELD, IL 62781	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
DECATUR MEMORIAL HOSPITAL	2300 N EDWARD STREET DECATUR, IL 625264163	37-0661199	DECA
DECATUR MEMORIAL HEALTH FOUNDATION	2300 N EDWARD STREET DECATUR, IL 625264163	37-1169605	DECA

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	179
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	141
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	10,999
6	Total number of volunteers (estimate if necessary) .............	6	2,426
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	9,439,827
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,660,344	67,933,948
9	Program service revenue (Part VIII, line 2g) .........	1,010,061,527	1,245,944,316
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	19,222,793	39,891,573
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	18,025,005	30,910,942
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,053,969,669	1,384,680,779
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	10,641,948	22,825,095
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)	427,884,744	590,293,529
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 246,239
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	571,498,817	753,264,313
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,010,025,509	1,366,382,937
19	Revenue less expenses. Subtract line 18 from line 12.......	43,944,160	18,297,842
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,711,737,458	1,959,133,277
21	Total liabilities (Part X, line 26).............	600,993,645	715,900,048
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,110,743,813	1,243,233,229

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,059,420,009 including grants of $ 21,083,304 ) (Revenue $ 1,203,903,501 )
	HOSPITALSMEMORIAL HEALTH SYSTEM INCLUDES FIVE HOSPITALS, MEMORIAL MEDICAL CENTER (MMC), DECATUR MEMORIAL HOSPITAL (DMH), PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION (PAH), THE ABRAHAM LINCOLN MEMORIAL HOSPITAL (ALMH), AND TAYLORVILLE MEMORIAL HOSPITAL (TMH). THE HOSPITALS PROVIDE A WIDE VARIETY OF HEALTH CARE SERVICES TO INPATIENTS, OUTPATIENTS AND EMERGENCY DEPARTMENT SERVICES. 169,029 PATIENT DAYS, 33,138 DISCHARGES, AND 764,755 OUTPATIENT VISITS WERE PROVIDED BY THE HOSPITALS IN FY2020. IN FY2020, $21 MILLION IN CHARITY CARE WAS PROVIDED BY MHS HOSPITALS. JACKSONVILLE CRNA PROVIDES PROFESSIONAL CERTIFIED REGISTERED NURSE ANESTHETIST SERVICES TO THE COMMUNITIES IN THE PAH SERVICE AREA. FOR FY2020, SERVICES WERE PROVIDED FOR 4,301 CASES. IN FY2020, ALL FIVE HOSPITALS SUSPENDED ELECTIVE PROCEDURES FROM MARCH THRU MAY 2020 DUE TO COVID-19. REDEPLOYED COLLEAGUES HELPED WITH ENTRANCE SCREENING, SAFETY MONITORING, AND PERSONAL PROTECTIVE EQUIPMENT CONSERVATION.IN FY2020, MMC OPENED A NEW 15-BED INTENSIVE CARE UNIT AND RENOVATED 4 OPERATING ROOMS. THE COMPREHENSIVE STROKE CENTER EARNED THE AMERICAN HEART ASSOCIATION'S/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS WITH TARGET STROKE HONOR ROLL DESIGNATION WHICH RECOGNIZES MMC'S STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES. IN FY2020, DMH EARNED THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION AS A DESIGNATED PRIMARY STROKE CENTER. ALSO IN FY2020, DMH WAS ADDED TO THE HEALTHY COMMUNITIES INSTITUTE DATABASE WHICH INCLUDES CRUCIAL INFORMATION ABOUT THE HEALTH NEEDS AND DISPARITIES FOR THE COMMUNITY.IN FY2020, PAH EARNED DESIGNATION AS A BABY-FRIENDLY HOSPITAL, RECOGNIZING OPTIMAL CARE FOR MOTHERS WHO WANT TO BREASTFEED THEIR NEWBORNS. TO EARN THIS HONOR, FAMILY MATERNITY SUITES NURSES IMPLEMENTED POLICIES THAT ENCOURAGE BREASTFEEDING AND PROVIDE SUPPORT AND EDUCATION FOR NURSING MOTHERS.IN FY2020, ALMH WAS HONORED WITH A PERFORMANCE LEADERSHIP AWARD BY THE CHARTIS CENTER FOR RURAL HEALTH AND THE NATIONAL ORGANIZATION OF STATE OFFICES OF RURAL HEALTH WITH SPECIAL RECOGNITION FOR OVERALL EXCELLENCE IN THE OUTCOMES AND PATIENT PERSPECTIVE CATEGORIES. ALMH WAS ALSO NAMED TO THE PRACTICE GREENHEALTH TOP 25 ENVIRONMENTAL EXCELLENCE LIST IN FY2020, WHICH IS THE MOST PRESTIGIOUS HONOR GIVEN TO HEALTHCARE ORGANIZATIONS FOR SUSTAINABILITY. PRACTICE GREENHEALTH PROVIDES TOOLS AND RESOURCES TO PROMOTE ENVIRONMENTAL STEWARDSHIP WITHIN THE HEALTHCARE INDUSTRY NATIONWIDE.ON MARCH 11, 2020, TMH MOVED INTO ITS NEW FACILITY. THE MOVE MARKED THE COMPLETION OF THE FIRST PHASE OF THE TWO-PHASE CONSTRUCTION PROJECT TO REPLACE THE ORIGINAL 1954 HOSPITAL. BEFORE THE BUILDING OPENED TO PATIENTS, TMH HOSTED SEVERAL COMMUNITY EVENTS TO SHOWCASE THE NEW FACILITY, WHICH FEATURES 25 PRIVATE ROOMS AND PROVIDES MORE CONVENIENT ACCESS TO AN ARRAY OF OUTPATIENT SERVICES.ALSO IN FY2020, TMH WAS HONORED BY THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN) FOR ITS ONGOING COMMITMENT TO QUALITY CARE. TMH RANKED HIGHLY IN ALL FOUR OF ICAHN'S QUALITY OUTCOMES AREAS AND WAS ALSO AWARDED A FOUR-STAR HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) RATING FOR A HIGH-QUALITY PATIENT EXPERIENCE.

4b	(Code: ) (Expenses $ 78,002,822 including grants of $ 41,877 ) (Revenue $ 48,233,683 )
	PHYSICIANSMEMORIAL PHYSICIAN SERVICES (MPS) IS A PROVIDER NETWORK OF 11 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. MPS ALSO OFFERS FOUR WALK-IN EXPRESSCARE LOCATIONS TO IMPROVE PATIENT ACCESS, AS WELL AS A WALK-IN CLINIC IN A RETAIL SETTING. COMPRISED OF MORE THAN 165 PHYSICIANS, ADVANCED PRACTICE REGISTERED NURSES, DOCTOR OF NURSING PRACTICE AND PHYSICIAN ASSISTANTS. MPS EMPLOYS MORE THAN 450 SUPPORT PERSONNEL AND PROVIDED 244,585 PRIMARY CARE PATIENTS VISITS AND 106,876 URGENT CARE VISITS FOR FY2020. 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 AND AN EMPLOYER-BASED CLINIC LOCATED IN BEARDSTOWN. ALL OF THE MPS PRIMARY CARE CLINICS ARE NCQA DESIGNATED LEVEL 3 PATIENT CENTERED MEDICAL HOMES. MPS PROVIDES COMMUNITY BENEFITS BY MENTORING AND PROVIDING HEALTH PROFESSION EDUCATIONAL OPPORTUNITIES FOR MEDICAL STUDENTS, ADVANCED PRACTICE REGISTERED NURSES, DOCTOR OF NURSING PRACTICE, PHYSICIAN ASSISTANTS AND CERTIFIED MEDICAL ASSISTANTS.DMH IS THE EMPLOYER OF 87 PHYSICIANS PLUS A COMPLEMENT OF OTHER PROVIDERS. THIS ALLOWS DMH TO OFFER A WIDE RANGE OF PROFESSIONAL PATIENT CARE AT APPROXIMATELY 30 OFFICES LOCATED THROUGHOUT THE SERVICE AREA. THESE SITES INCLUDE TWO EXPRESSCARE LOCATIONS OFFERING CARE FOR CASES THAT ARE TIME-SENSITIVE BUT NOT LIFE-THREATENING OR EMERGENT.IN FY2020, STANDING UP RESPIRATORY CLINICS IN SPRINGFIELD AND DECATUR PROVIDED COVID-19 TESTS TO THE COMMUNITIES. STAFF LOGGED MORE THAN 47,000 PATIENT ENCOUNTERS, INCLUDING MORE THAN 20,000 COVID019 TESTS AND MORE THAN 21,000 TELEHEALTH VISITS.

4c	(Code: ) (Expenses $ 6,411,517 including grants of $ 2,100 ) (Revenue $ 7,206,307 )
	AMBULATORY & OTHERMEMORIAL HEALTH SYSTEM OPERATES THREE AMBULATORY AFFILIATES THAT ARE INCLUDED IN THE GROUP 990 RETURN: MEMORIAL HOME SERVICES (MHSVC), MEMORIAL HEALTH VENTURES (MHV), AND SPRINGFIELD RESIDENTIAL SERVICES (SRS).MHSVC PROVIDES HOME HEALTH, HOSPICE AND MEDICAL EQUIPMENT SERVICES ACROSS A 14-COUNTY REGION IN CENTRAL ILLINOIS. HOME HEALTH SERVICES INCLUDE SKILLED, HIGH-TECH NURSING, HOME HEALTH AIDES, PALLIATIVE CARE, SPECIALIZED WOUND CARE, TELEHEALTH, NUTRITIONAL SERVICES, SOCIAL SERVICES, AND REHABILITATION. HOSPICE SERVICES INCLUDE PAIN AND SYMPTOM MANAGEMENT, BEREAVEMENT CARE, VOLUNTEER SERVICES, AS WELL AS EMOTIONAL AND SPIRITUAL CARE FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES. THE HOSPICE PROGRAM ALSO HAS ON-STAFF MEDICAL SOCIAL WORKERS, HOME HEALTH AIDES, A CHAPLAIN AND DIETARY COUNSELING. HOME HEALTH RECORDED A TOTAL OF 21,834 VISITS IN FY2020 AND 1,371 ADMISSIONS. THE HOSPICE AVERAGE DAILY CENSUS IN FY2020 WAS 74.4 DAYS WITH 632 ADMISSIONS, FOR A TOTAL OF 27,222 DAYS.MHV OWNS AND PROVIDES OVERSIGHT FOR JOINT VENTURES WITH ENTITIES ENTERED INTO BY MEMORIAL HEALTH SYSTEM. ALL OF THESE VENTURES MUST BE IN KEEPING WITH THE HEALTH CARE SYSTEM MISSION OF PROVIDING CONTINUUM OF CARE TO PATIENTS IN CENTRAL ILLINOIS. THEY INCLUDE A LONG TERM CARE FACILITY, AN AMBULATORY SURGICAL TREATMENT CENTER, AND EQUIPMENT LEASING. THE PARTNERSHIP WITH THE EQUIPMENT LEASING COMPANY WAS DISSOLVED ON SEPTEMBER 1, 2020. IN FY2020, MEMORIAL HOSPICE AT HERITAGE, A 19 BED SKILLED NURSING UNIT, CONTINUED TO HELP MEET THE UNIQUE NEEDS OF HOSPICE PATIENTS AND FAMILIES WHO MAY NEED A FACILITY SETTING FOR END-OF-LIFE CARE. THE AMBULATORY SURGICAL TREATMENT CENTER COMPLETED 3,548 SURGICAL AND PAIN PROCEDURES IN FY2020.SRS PROVIDES HOUSING FACILITIES AND SERVICES TO NON-ELDERLY ADULTS DIAGNOSED WITH MENTAL ILLNESSES BY MEANS OF CONSTRUCTING A HUD HOUSING PROJECT. DURING FY2020, A TOTAL OF 17 CLIENTS RESIDED IN THE FACILITY.

	(Code: ) (Expenses $ 1,847,054 including grants of $ 1,697,814 ) (Revenue $ )
	FOUNDATIONSMEMORIAL HEALTH SYSTEM UTILIZES FOUNDATIONS TO PROVIDE GRANTS TO SUPPORT PATIENT CARE, EDUCATION, AND COMMUNITY HEALTH OUTREACH IN ADDITION TO FACILITATING PARTNERSHIPS AND COLLABORATION TO IMPROVE THE HEALTH OF THE COMMUNITY. THE FOUR FOUNDATIONS INCLUDED IN THE MEMORIAL HEALTH SYSTEM GROUP 990 RETURN ARE MEMORIAL MEDICAL CENTER FOUNDATION (MMCF), DECATUR MEMORIAL HEALTH FOUNDATION (DMHF), TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION (TMHF), AND PASSAVANT AREA HOSPITAL FOUNDATION (PAHF).IN FY2020, MMCF PROVIDED $549,380 IN GRANTS TO ORGANIZATIONS. THIS INCLUDED $377,166 IN GRANTS TO MEMORIAL HEALTH SYSTEM AFFILIATES AND $172,214 IN GRANTS TO SIU SCHOOL OF MEDICINE. IN FY2020, MMCF PROVIDED $236,371 IN GRANTS TO INDIVIDUALS. THESE GRANTS INCLUDE PATIENT ASSISTANCE OF $153,665, EDUCATIONAL GRANTS OF $55,144, AND ASSISTANCE TO EMPLOYEES WITH CATASTROPHIC EVENTS AND COVID RELIEF OF $27,562.IN FY2020, DMHF PROVIDED $190,305 IN GRANTS TO ORGANIZATIONS. THIS INCLUDED $175,055 IN GRANTS TO DECATUR MEMORIAL HOSPITAL AND $7,000 IN GRANTS TO CHILDREN'S MUSEUM OF ILLINOIS. IN FY2020, DMHF PROVIDED $35,674 IN GRANTS TO INDIVIDUALS. THESE GRANTS INCLUDED EDUCATIONAL GRANTS OF $6,898 AND ASSISTANCE TO EMPLOYEES WITH CATASTROPHIC EVENTS AND COVID RELIEF OF $26,526.IN FY2020, TMHF PROVIDED $180,565 IN GRANTS TO TAYLORVILLE MEMORIAL HOSPITAL.IN FY2020, TMHF PROVIDED $61,882 IN GRANTS TO INDIVIDUALS. THESE GRANTS INCLUDED EDUCATIONAL GRANTS OF $46,879 AND PEDIATRIC DENTISTRY OF $6,252.IN FY2020, PAHF PROVIDED $425,400 IN GRANTS TO ORGANIZATIONS. THIS INCLUDED $354,453 IN GRANTS TO MEMORIAL HEALTH SYSTEM AFFILIATES AND $70,947 IN GRANTS TO COMMUNITY ORGANIZATIONS.IN FY2020, PAHF PROVIDED $18,237 IN GRANTS TO INDIVIDUALS. THESE GRANTS INCLUDED EDUCATIONAL ASSISTANCE OF $9,480 AND ASSISTANCE TO EMPLOYEES WITH CATASTROPHIC EVENTS AND COVID RELIEF OF $8,757.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 1,847,054 including grants of $ 1,697,814 ) (Revenue $ )
4e	Total program service expenses1,145,681,402

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	17,092,971	10,111,965	3,685,354

1a	Federated campaigns..		1a	3,629
b	Membership dues..		1b
c	Fundraising events..		1c	273,942
d	Related organizations		1d	1,217,858
e	Government grants (contributions)		1e	57,645,434

f	All other contributions, gifts, grants, and similar amounts not included above		1f	8,793,085

g	Noncash contributions included in lines 1a - 1f:$		1g	5,140,710

h Total. Add lines 1a-1f.......		67,933,948

		Business Code
2a	PATIENT SERVICE REV	900099	1,173,201,322	1,173,201,322
b	PROGRAM RELATED REV	900099	63,895,171	63,895,171
c	HOSPICE SERVICES	621610	3,596,756	3,596,756
d	HOME HEALTH SERVICES	621610	3,449,894	3,449,894
e	PROGRAM RELATED RENT	621110	223,268	223,268
f	All other program service revenue.		1,577,905	1,577,905
g	Total. Add lines 2a–2f .....		1,245,944,316

3 Investment income (including dividends, interest, and othersimilar amounts) ......			9,595,190			9,595,190
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		5,677,105	6a
b	Less: rental expenses		3,378,333	6b
c	Rental income or (loss)		2,298,772	6c
d	Net rental income or (loss).......			2,298,772	275,533	1,036,613	986,626
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	79,322	1,478,775,150	7a
b	Less: cost or other basis and sales expenses	480,583	1,448,077,506	7b
c	Gain or (loss)	-401,261	30,697,644	7c
d	Net gain or (loss).........			30,296,383			30,296,383
8a	Gross income from fundraising events (not including $ 273,942of contributions reported on line 1c). See Part IV, line 18 ....
			8a	427,207
b	Less: direct expenses ...		8b	263,520
c	Net income or (loss) from fundraising events..			163,687			163,687
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	116,800
b	Less: direct expenses ...		9b	105,104
c	Net income or (loss) from gaming activities..			11,696			11,696
10a	Gross sales of inventory, less returns and allowances ..
			10a	1,167,539
b	Less: cost of goods sold ..		10b	486,809
c	Net income or (loss) from sales of inventory..			680,730		680,730
Business Code			Miscellaneous Revenue
11a	340B PHARMACY		622110	7,293,523	7,293,523
b	REFERENCE LAB REVENUE		621500	6,542,286		6,542,286
c	CAFETERIA REVENUE		722320	5,313,958	1,050,479	228,742	4,034,737
d	All other revenue ....			8,606,290	4,779,640	951,456	2,875,194
e	Total. Add lines 11a–11d ......			27,756,057
12	Total revenue. See instructions.....			1,384,680,779	1,259,343,491	9,439,827	47,963,513

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	21,722,850	21,722,850
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	1,102,245	1,102,245
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	10,753,943	7,185,315	3,478,844	89,784
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	1,083,191	968,533	114,658
7	Other salaries and wages........	455,003,672	396,094,810	58,816,778	92,084
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	17,184,114	15,218,685	1,964,326	1,103
9	Other employee benefits .......	71,469,650	62,526,589	8,916,453	26,608
10	Payroll taxes ...........	34,798,959	29,750,414	5,037,550	10,995
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	490,836	100	490,736
c	Accounting ...........	1,161,283		1,161,283
d	Lobbying ...........	180,524		180,524
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,230,703		1,230,703
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	199,032,310	173,119,120	25,913,190
12	Advertising and promotion ....	1,979,365	459,273	1,519,098	994
13	Office expenses .......	19,567,130	17,246,811	2,310,872	9,447
14	Information technology ......	24,101,979	15,506,488	8,593,600	1,891
15	Royalties ..	13,797	13,797
16	Occupancy ...........	27,806,424	22,014,381	5,792,043
17	Travel ............	997,751	807,501	190,250
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	741,180	250,526	490,654
20	Interest ...........	9,022,785	8,864,036	158,749
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	52,809,552	42,650,086	10,159,466
23	Insurance ...	10,682,322	1,818,754	8,863,568
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	137,137,241	137,135,556	1,685
b	MANAGEMENT FEE	69,143,743		69,143,743
c	PHARMACEUTICAL SUPPLIES	51,156,055	51,156,055
d	PURCHASED MEDICAL SERVI	39,871,168	39,871,168
e	All other expenses	106,138,165	100,198,309	5,926,523	13,333
25	Total functional expenses. Add lines 1 through 24e	1,366,382,937	1,145,681,402	220,455,296	246,239
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 ........			8,357,647	1	8,216,121
2	Savings and temporary cash investments .........			126,273,101	2	125,904,660
3	Pledges and grants receivable, net ......			296,487	3	127,959
4	Accounts receivable, net .............			214,335,924	4	190,884,251
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			28,660,642	7	16,644,727
8	Inventories for sale or use ............			17,650,240	8	18,791,908
9	Prepaid expenses and deferred charges ......			9,845,974	9	9,928,608
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,036,357,403
b	Less: accumulated depreciation	10b	535,992,164	456,471,688	10c	500,365,239
11	Investments—publicly traded securities .			676,673,201	11	773,479,588
12	Investments—other securities. See Part IV, line 11 .....			67,717,610	12	221,713,234
13	Investments—program-related. See Part IV, line 11 ..			8,346,368	13	8,818,651
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			97,108,576	15	84,258,331
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,711,737,458	16	1,959,133,277

17	Accounts payable and accrued expenses .....	164,894,302	17	141,609,879
18	Grants payable ...	986,679	18	388,193
19	Deferred revenue .........	1,889,203	19	4,458,460
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	31,479,090	23	67,480,807
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	401,744,371	25	501,962,709
26	Total liabilities. Add lines 17 through 25..	600,993,645	26	715,900,048

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	989,742,817	27	1,114,072,065
28	Net assets with donor restrictions ...........	121,000,996	28	129,161,164
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	1,110,743,813	32	1,243,233,229
33	Total liabilities and net assets/fund balances ........	1,711,737,458	33	1,959,133,277