2023-08-15T21:20:25-05:00 2022-09-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DR CHICAGO IL 60606 990 2021-10-01 371110690 MEMORIAL HEALTH SYSTEM MEMO 2177883198 701 NORTH FIRST STREET SPRINGFIELD IL 627810001 KATHRYN J KEIM SR VICE PRESIDENT & CFO 2177883830 2023-02-09 KATHRYN KEIM 999009999 JESSICA A WAGENER P01622613 3128792000 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MEMORIAL HEALTH KATHRYN J KEIM 701 NORTH FIRST STREET SPRINGFIELD IL 627810001 1354108467 0 5670 X HTTPS://MEMORIAL.HEALTH/ X 1981 IL TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH. 19 16 11055 16 437253 0 77632 5000 87841972 102883940 -11298074 3379547 5998842 6540912 82620372 112809399 0 428517 0 0 46350168 47987798 0 0 0 53830035 70099746 100180203 118516061 -17559831 -5706662 581495247 556755508 396190272 383367111 185304975 173388397 X TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH. 0 0 38680076 1865915 INFORMATION TECHNOLOGYMEMORIAL HEALTH (MH) CONTINUES TO EMPLOY EXPERIENCED INFORMATION TECHNOLOGY (IT) PROFESSIONALS, PROVIDING TECHNOLOGY SUPPORT AND IMPLEMENTING LEADING EDGE TECHNOLOGY SOLUTIONS TO ENSURE PATIENT SAFETY, QUALITY AND CLINICAL EFFECTIVENESS AND IMPROVE MH'S CLINICAL AND BUSINESS PROCESSES. THEY SUPPORT A VAST ARRAY OF PATIENT CARE TECHNOLOGY AND BUSINESS APPLICATIONS. DURING FY2022, IT EVOLVED SEVERAL SOLUTIONS TO SUPPORT THE HEALTH SYSTEM AND COMMUNITY DURING THE COVID-19 PANDEMIC, INCLUDING TELEHEALTH TECHNOLOGY, ONLINE SCHEDULING, AND REMOTE WORK TECHNOLOGY. OTHER SIGNIFICANT INFORMATION TECHNOLOGY PROJECTS IN FY2022 INCLUDED THE COMPLETION OF THE LAWSON INFOR BUSINESS TECHNOLOGY EXPANSION TO ALL HOSPITAL AFFILIATES; COMPLETED THE EXPANSION OF MH PACS IMAGING AND DICTATION SYSTEMS TO ALL AFFILIATE HOSPITALS; BEGAN TESTING AND IMPLEMENTATION PLANNING FOR THE EXPANSION OF THE SPRINGFIELD MEMORIAL HOSPITAL CERNER ELECTRONIC HEALTH RECORD TO DECATUR MEMORIAL AND JACKSONVILLE MEMORIAL HOSPITALS IN EARLY 2023 TO ACHIEVE STANDARDIZATION AND OPTIMUM SERVICE TO OUR PATIENTS AND PROVIDERS; CONTINUED HOSTING AND UPGRADING THE COMMUNITY TOUCHWORKS AMBULATORY ELECTRONIC HEALTH RECORD FOR THE SPRINGFIELD CLINIC, SIU HEALTH, ORTHOPEDIC CENTERS OF CENTRAL ILLINOIS AND MEMORIAL PHYSICIAN SERVICES; UPGRADED THE MH HOSPITAL EHR TO THE 2022 REQUIREMENT FOR MEANINGFUL USE, PROMOTING INTEROPERABILITY AND CURES ACT; EXPANDED UPON MH'S USE OF CLOUD TECHNOLOGY TO REDUCE COSTS AND OPTIMIZE FTE ALLOCATION; CONTINUED IMPLEMENTATION OF A SECURITY OPERATIONS CENTER; AND INCREASED MH'S STORAGE AND NETWORK BANDWIDTH TO ALL AFFILIATE SITES TO PROVIDE BETTER RESPONSE TIME AND ACCOMMODATE FUTURE GROWTH. 9003987 7526193 BUILDING AND FACILITY EXPANSION AND IMPROVEMENTSIN SUPPORT OF MH'S MISSION, SAFE, FUNCTIONAL FACILITIES ARE THE FOUNDATION OF THE HEALTHCARE SERVICES WE PROVIDE. CLINICAL PROJECTS THAT BEGAN IN FY 2022:MEMORIAL HEALTH IMAGING EQUIPMENT REPLACEMENT AND ROOM UPGRADES - BEGAN THE REPLACEMENT OF IMAGING EQUIPMENT AT ALL FIVE HOSPITALS. WHILE EQUIPMENT WAS REPLACED, ROOM RENOVATIONS WERE COMPLETED. CONSTRUCTION BEGAN IN FY22 AND WILL CONTINUE INTO FY23. IN SPRINGFIELD, THERE WERE TWO IMAGING ROOMS (A120 & A163) AND THREE CATH LABS (1, 2 & 5).BAYLIS DAY SURGERY MED GAS COLUMNS & UPGRADES - REMOVE EXISTING COLUMNS, DISCONNECTING EXISTING POWER, DATA AND MEDICAL GAS LINES. RESUPPORT THE NEW MOUNTING PLATES AND INSTALL NEW COLUMNS. RECONNECT POWER, DATA AND MEDICAL GASES AND CERTIFY. PAINTING OF EACH OPERATING ROOM (OR) IS PART OF THE ROOM UPGRADESSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE (SIUSOM) 2ND FLOOR BUILD OUT - RENOVATE EXISTING 2ND FLOOR OFFICE SPACES AT 720 N BOND INTO NEW ENT EXAM, CONSULT, AND NURSE STATION ROOMS. 501 PAIN CENTER REMODEL - TRANSPLANT PERSONNEL WERE MOVED FROM THIS BUILDING AND THEIR OFFICES WERE TURNED BACK INTO EXAM ROOMS FOR THE PAIN CENTER.5G NURSES STATION REMODEL - RENOVATE 5G NURSES STATION FOR A MORE SECURE ENVIRONMENT FOR COLLEAGUES BY ENCLOSING IT WITH GLASS AND A LOCKED DOOR. INCREASED VISUAL SIGHT LINES TO PATIENTS AT THE NURSES STATION.OTHER PROJECTS COMPLETED FOR HEALTH SYSTEM INCLUDE:SPRINGFIELD CLINIC JACKSONVILLE MEDICAL OFFICE BUILDING - ADDED ADDITIONAL 36,000 SQ FT TO EXISTING MEDICAL OFFICE BUILDING FOR SPRINGFIELD CLINIC.320 E CARPENTER WELLNESS CENTER - PROJECT SCOPE INVOLVES THE RENOVATION OF BOTH FLOORS BUT SALVAGING AS MUCH OF THE INTERIOR STRUCTURE AS POSSIBLE. THIS WOULD PUT THE FULL WELLNESS PROGRAM UNDER ONE ROOF, INCLUDES TELE-HEALTH, CONSULTATION, DIETICIANS, EXAM ROOMS, PT, KITCHEN, AND MORE.FAMILY MATURITY SUITES (FMS) RENOVATIONS - RENOVATION OF THE FMS 7G & 7B UNITS. SCOPE INCLUDES A COMPLETE FINISH UPGRADE TO 7B & 7G FMS, THIS INCLUDES PATIENT ROOMS, AND PATIENT BATHROOMS WITH NEW JACUZZI TUBS IN 7B AND SHOWERS IN 7G, NURSERY, WAITING ROOM, RECEPTION AND NS. NEW CASEWORK THROUGHOUT, NEW HEAD WALLS IN PATIENT ROOMS, AND NEW CORRIDOR FINISHES.3G CORRIDOR - REPLACE DAMAGED AND WORN SHEET VINYL IN 3G CORRIDORS WITH LVT PLANK FLOORING AND WALL BASE TO MATCH NEW STANDARDS. REPLACE EXISTING WOOD HANDRAILS WITH VINYL WOOD GRAIN HANDRAILS. REPLACE WALL PROTECTION COVERS TO MATCH PAINT COLOR. WE RECOMMEND WE ALSO AT THIS TIME REPLACE OLD ROOM SIGN WITH NEW STANDARD SIGNAGE SEEN IN PCT AND 2G. REPLACE FLOORING IN PATIENT ROOMS AND PATIENT RESTROOMS AS WELL AS PAINT THREE OF THE WALLS IN THE PATIENT ROOMS AND ALL WALLS IN BATHROOMS.CHILLER 4 REBUILD - REBUILD CHILLER 4 DUE TO MANUFACTURER'S RECOMMENDATIONS OF 40,000 HOURS. AS PART OF THE BUILD, THE CHILLER WILL CARRY A NEW SEVEN-YEAR PARTS AND LABOR WARRANTY.B BUILDING ROOF REPLACEMENT - REPLACE EXISTING EPDM ROOF AND INSULATION. INSTALL NEW ALUMINUM COPING AS SPECIFIED. EXISTING ROOF HAS BECOME COMPROMISED AND NEEDS REPLACEMENT DO TO SOME MOISTURE INFILTRATION TO THE OCCUPIED SPACES BELOW. 7480854 75805300 SENIOR LEADERSHIP GUIDED BY THE VALUES OF MEMORIAL HEALTH, SENIOR LEADERSHIP IS RESPONSIBLE FOR STRATEGIC PLANNING, PRIORITIZING AMONG COMPETING ISSUES AND ENGAGING IN DIALOGUE AND DECISION-MAKING THAT WILL ENABLE MEMORIAL HEALTH TO ACHIEVE ITS MISSION (TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH), ITS VISION (TO BE THE HEALTH PARTNER OF CHOICE), REALIZE ITS STRATEGIC GOALS, AND EXECUTE ITS STRATEGIC PRIORITIES TO BETTER SERVE CENTRAL ILLINOIS AND CONFRONT THE MANY CHALLENGES FACING THE HEALTHCARE INDUSTRY. IN FY2021, MH SENIOR LEADERSHIP CONSTRUCTED A NEW STRATEGIC PLAN TERMED "DESTINATION 2025" THAT WAS MADE EFFECTIVE FY2022, THREE-YEAR GOALS AND MEASURES OF SUCCESS TO REFLECT EMERGING PRIORITIES RELATED TO HEALTH REFORM, QUALITY IMPROVEMENT, POPULATION HEALTH, CARE COORDINATION AND THE RESULTS OF OUR COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS UPDATED STRATEGIC PLAN TOOK INTO ACCOUNT LEARNINGS FROM THE COVID-19 PANDEMIC AND EMERGING TRENDS AS A RESULT OF THE PANDEMIC. BOTH ITS PREVIOUS AND CURRENT STRATEGIC PLAN SERVED MEMORIAL HEALTH WELL DURING THE COVID-19 PANDEMIC AND WAS A CATALYST FOR MANAGING AND RESPONDING TO THE PANDEMIC IN A COORDINATED, SYSTEMIZED FASHION. THIS UPDATED PLAN IS ALSO THE FOUNDATION FOR THE ORGANIZATION TO SUCCESSFULLY PREVAIL THRU THE CHALLENGES THE HEALTHCARE INDUSTRY IS FACING NATIONALLY. LEADERSHIP WAS ABLE TO RESPOND EFFICIENTLY AND EFFECTIVELY IN A DYNAMIC, EVER- CHANGING ENVIRONMENT AS THE COVID-19 PANDEMIC EVOLVED. WHILE MANY PRIORITIES AND INITIATIVES HAD TO BE PUT ON PAUSE DUE TO THE COVID-19 PANDEMIC, MEMORIAL HEALTH MADE GREAT PROGRESS IN INTEGRATING A RECENTLY NEW AFFILIATE HOSPITAL, DECATUR MEMORIAL HOSPITAL, AND NEW PHYSICIAN GROUP, DECATUR MEDICAL GROUP, IN FY2022. WORK BEGAN IN FY2021 TO IMPLEMENT A COMMON EHR ACROSS ALL MEMORIAL HEALTH HOSPITALS, WHICH CURRENTLY HAS 4 DISTINCT SEPARATE EHRS IN ITS' 5 HOSPITALS. DECATUR MEMORIAL HOSPITAL AND JACKSONVILLE MEMORIAL, THE TWO LARGEST HOSPITALS IN MEMORIAL HEALTH OUTSIDE OF SPRINGFIELD MEMORIAL HOSPITAL, ARE SCHEDULED TO TRANSITION TO THE CERNER EHR IN FY2023. IN ADDITION, THE LEADERSHIP TEAM EXECUTED THE HEALTH SYSTEM STRATEGIC REALIZATION PLANS (AS ADJUSTED DUE TO THE COVID-19 PANDEMIC) AND REPORTED RESULTS TO ITS BOARD.FY2022 WAS AGAIN CHARACTERIZED BY THE DEMANDS OF THE ONGOING COVID-19 PANDEMIC AS WELL AS A NATIONAL LABOR SHORTAGE THAT COMBINED CREATED MANY OPERATIONAL CHALLENGES. THE ORGANIZATION IS SUCCESSFULLY APPLYING METHODS DRAWN FROM ITS ESTABLISHED LEAN SIX SIGMA-BASED QUALITY AND SAFETY PROGRAM, ADMINISTERED VIA AN ADAPTIVE HOSPITAL INCIDENT COMMAND LEADERSHIP STRUCTURE, TO MEET THESE CHALLENGES. THE ACUTE RESPIRATORY CARE HEALTHSYSTEM (ARCH) MODEL ESTABLISHED IN FY2020 EVOLVED BEYOND HOSPITAL SERVICES TO INCLUDE COMMUNITY-BASED WALK-IN AND DRIVE-THROUGH TESTING/VACCINATION SITES TO ENHANCE REGIONAL ACCESS. ARCH ALLOCATED PATIENT REFERRALS, RESOURCES, AND PROTOCOLS THROUGH SIX PHASES OF PANDEMIC INTENSITY AMONG FIVE CENTRAL ILLINOIS REGIONAL CAMPUSES TO BEST MANAGE LARGE FLUCTUATIONS IN DEMAND. A NATIONAL LABOR SHORTAGE COMPOUNDED BY HEALTHCARE WORKFORCE FATIGUE PROPELLED INCREASED RELIANCE UPON HIGH-COST AGENCY STAFFING TO MEET THE REQUIREMENTS OF SERVING THE MEMORIAL HEALTH COMMUNITIES. WORKFORCE AND MATERIALS COST INFLATION PLACED INCREASING PRESSURE ON OPERATING MARGIN AS THE FISCAL YEAR ENDED AND WILL CONTINUE TO BE A MANAGEMENT FOCUS IN FY2023. GIVEN THE RISE IN INFLATION, MEMORIAL HEALTH WAS ACTIVE IN FY2022 RENEGOTIATING HIGHER RATE INCREASES WITH ALL PAYORS AND WILL CONTINUE TO BE AGGRESSIVE IN THIS SPACE MOVING INTO FY2023. ADDITIONALLY, JACKSONVILLE MEMORIAL HOSPITAL ACHIEVED CRITICAL ACCESS STATUS (CAH) IN FY2022, MAKING IT THE 3RD CAH IN MEMORIAL HEALTH. GIVEN THE COST-BASED REIMBURSEMENT SYSTEM OF CAHS, MEMORIAL HEALTH FEELS IT HAS SOLIDIFIED JACKSONVILLE MEMORIAL HOSPITAL'S ABILITY TO SERVE THE JACKSONVILLE COMMUNITY LONG-TERM. DURING FY2022, MEMORIAL HEALTH'S FIVE HOSPITALS COMPLETED THE FIRST YEAR OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGIES TO ADDRESS PRIORITIES IDENTIFIED IN EACH HOSPITAL'S 2021 NEEDS ASSESSMENTS. PRIORITIES IDENTIFIED TO BE ADDRESSED DURING FY22-24 ARE - SPRINGFIELD MEMORIAL HOSPITAL/SANGAMON COUNTY: ACCESS TO HEALTH, MENTAL/BEHAVIORAL HEALTH, AND ECONOMIC DISPARITIES; JACKSONVILLE MEMORIAL HOSPITAL/MORGAN COUNTY: MENTAL HEALTH, OBESITY, AND CANCERS; TAYLORVILLE MEMORIAL HOSPITAL/CHRISTIAN COUNTY: MENTAL HEALTH, OBESITY, AND LUNG HEALTH; AND LINCOLN MEMORIAL HOSPITAL/LOGAN COUNTY: OBESITY, YOUTH MENTAL HEALTH, AND SUBSTANCE USE. DECATUR MEMORIAL HOSPITAL/MACON COUNTY: ACCESS TO HEALTH, ECONOMIC DISPARITIES, AND MENTAL/BEHAVIORAL HEALTH. ADDITIONALLY, MENTAL HEALTH WAS NAMED AS A SYSTEM PRIORITY AND THREE MAJOR CONTRIBUTING FACTORS WERE IDENTIFIED WITHIN EACH OF THESE PRIORITIES: ACCESS TO HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND RACIAL INEQUITY AND INEQUALITY. MEMORIAL HEALTH'S COMMUNITY HEALTH WORK SEEKS TO BUILD COLLABORATIONS BETWEEN COUNTY HEALTH DEPARTMENTS, OTHER LOCAL HOSPITALS, DIRECT-SERVICE ORGANIZATIONS, AND TRUSTED COMMUNITY LEADERS WHO ARE ALREADY DOING THE WORK, IN ORDER TO MEET THE NEEDS OF OUR COMMUNITIES AND PROMOTE EQUITY, DIVERSITY, AND INCLUSION. SENIOR LEADERSHIP, CEOS AT EACH HOSPITAL, AND THE MH BOARD'S COMMUNITY BENEFIT COMMITTEE HELP OVERSEE THE COMMUNITY BENEFIT ELEMENTS OF THE COMMUNITY HEALTH PROGRAM. MEMORIAL HEALTH PROVIDES PATIENT-CENTERED CARE THROUGH AN AMBULATORY ORGANIZATIONAL STRUCTURE THAT WAS DEVELOPED IN FY2019 TO ENSURE STRATEGIC ALIGNMENT FOR PROVIDING CARE OUTSIDE OF AN ACUTE CARE SETTING. THIS STRUCTURE PUSHES COORDINATION OF CARE BETWEEN OUR MENTAL HEALTH, HOME SERVICES, HOSPICE, PRIMARY CARE, SPECIALTY CARE, URGENT CARE, WELLNESS, POPULATION HEALTH AND DURABLE MEDICAL EQUIPMENT AFFILIATES. IN TOTAL, THE AMBULATORY GROUP PROVIDED NEARLY 648,000 ANNUAL PROVIDER OFFICE VISITS, 38,000 BEHAVIORAL HEALTH SERVICES, 33,000 HOME HEALTH VISITS, AND 23,000 HOME HOSPICE DAYS IN FY2022. ADDED SEVENTEEN NEW PHYSICIANS AND FORTY TWO ADVANCED PRACTICE PROVIDERS (INCLUDES UC APPS) GROWING TO A TOTAL OF 274 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS IN THE LAST FISCAL YEAR. THE BULK OF THE PHYSICIANS AND ADVANCED PRACTICE PROVIDERS PRACTICE IN THE PRIMARY CARE SETTING SERVING A PANEL OF OVER 125,000 PATIENTS. THIS LARGE PRIMARY CARE INFRASTRUCTURE IS A KEY PART OF MEMORIAL HEALTH'S STRATEGY FOR NAVIGATING THE DYNAMIC AND EVER-CHANGING PAYER MARKET AND SHIFT FROM FEE-FOR-SERVICE HEALTH CARE TO FEE-FOR-VALUE. FROM A BOND RATING PERSPECTIVE, MOODY'S HAS AFFIRMED OUR A1 RATING, BUT REVISED MEMORIAL HEALTH'S OUTLOOK FROM STABLE TO NEGATIVE. S&P HAS DOWNGRADED MEMORIAL HEALTH'S RATING FROM AA- TO A+ WITH A STABLE OUTLOOK. MEMORIAL HEALTH COLLEAGUE ENGAGEMENT SCORES AT 80TH PERCENTILE OF THE NATIONAL PEER GROUP CONSISTING OF OVER 428 HEALTH CARE SYSTEMS THAT EMPLOY OVER 2 MILLION HEALTHCARE WORKERS. 5379 COLLEAGUES PROVIDED FEEDBACK THROUGH THE SURVEY, FOR AN OVERALL PARTICIPATION RATE OF 63%. FOR THE SECOND YEAR IN A ROW, THE HIGHEST SCORING CATEGORY ON THE SURVEY WAS DEPARTMENT LEADERSHIP, SCORING AT THE 86TH PERCENTILE. THE COVID-19 PANDEMIC CONTINUED TO NEGATIVELY IMPACT PATIENT EXPERIENCE THROUGHOUT FY2022 DUE IN PART TO VISITOR RESTRICTIONS, STAFFING SHORTAGES, MASKING REQUIREMENTS AND DECREASED OPPORTUNITY FOR PROACTIVE PATIENT-EXPERIENCE ROUNDING. DUE TO THESE CONTINUOUS OBSTACLES AND THE NEED TO CONCENTRATE RESOURCES ON CLINICAL STAFFING AND PATIENT SAFETY, MEMORIAL HEALTH CLOSED THE FISCAL YEAR WITH 8 OUT OF 28 PATIENT SATISFACTION SURVEYS ACROSS THE HEALTH SYSTEM SCORE AT OR ABOVE THE 75TH PERCENTILE OF THEIR RESPECTIVE NATIONAL PEER GROUPS. 6747166 428517 17686652 OTHER REVENUE INCLUDES PARTNERSHIP INCOME AND MISCELLANEOUS INCOME FOR MH AND MEMORIAL HEALTH PARTNERS (MHP). MHP IS A DISREGARDED ENTITY OWNED 100% BY MH. A GAIN WAS RECORDED IN BJC COLLABORATIVE. MH ALSO HAD CARE COORDINATION PAYMENTS FOR MHP. 6747166 428517 17686652 61912083 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 1 0 0 1 460 0 1 11055 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 19 16 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X KATHRYN KEIM SENIOR VP & CFO 2177883830 701 NORTH FIRST STREET SPRINGFIELD IL 627810001 EDGAR CURTIS EX-OFFICIO PRESIDENT & CEO 25.00 25.00 X X 2161450 0 21506 JOHN WADDOCK BOARD MEMBER (FROM JAN22) 0.70 0.00 X 0 0 0 MITCHELL ROGERS FORMER SYSADMIN CARDIO SVCS 10.00 0.00 X 447070 0 2232 DAVID GRAHAM MD FORMERSVP&CHF QUALITY&INOVNOFFCR 0.00 0.00 X 466383 0 0 CHARLES CALLAHAN PHD PRESIDENT MH HOSPITAL GROUP 25.00 25.00 X 0 1079087 113627 KIMBERLY BOURNE PRESIDENT&CEO TMH&TMF 0.00 50.00 X 416255 0 58752 ANNA EVANS JD SVP & GENERAL COUNSEL 25.00 25.00 X 741884 0 205010 RAJESH GOVINDAIAH MD SVP & CHIEF PHYSICIAN EXECUTIVE 25.00 25.00 X 724103 0 210393 KATHRYN KEIM SVP & CFO 25.00 25.00 X 795373 0 101242 KEVIN ENGLAND SVP & CHIEF ADMINISTRATIVE OFFICER 25.00 25.00 X 591705 0 265968 HARRY SCHMIDT FORMER PRES & CEO PAH/FORMER HCE 0.00 0.00 X 643964 0 0 AIMEE DAILY PHD SVP & CHIEF TRANSFORMATION OFFICER 25.00 25.00 X 613624 0 79475 JAMESON ROSZHART PRESIDENT MH AMBULATORY GROUP 25.00 25.00 X 666947 0 92321 DREW EARLY PRESIDENT & CEO DMH 0.00 50.00 X 564541 0 76535 ROBERT SCOTT FORMER SVP & CHIEF HR OFFICER (THRU MAY21) 0.00 0.00 X 514363 0 29326 W SCOTT BOSTON MD PRESIDENT & CEO JMH 0.00 50.00 X 517909 0 70918 MARSHA PRATER PHD SVP & CHIEF NURSING OFFICER 25.00 25.00 X 0 580024 10444 J TRAVIS DOWELL PRESIDENT & CEO MMG 0.00 50.00 X 431530 0 61322 DOLAN DALPOAS PRES&CEO LMH;INTERIM CHRO(THRU FEB22) 25.00 25.00 X 536349 0 32345 JOSEPH HURWITZ BOARD MEMBER 0.70 0.70 X 0 0 0 WILLIAM PUTMAN MD BOARD MEMBER 0.70 0.00 X 0 0 0 REGINALD BENTON BOARD MEMBER 0.70 1.40 X 0 0 0 JERRY KRUSE MD MSPH BOARD MEMBER 0.70 0.00 X 0 0 0 JOHN BLACKBURN BOARD MEMBER 0.70 0.70 X 0 0 0 RANDALL GERMERAAD BOARD MEMBER 0.70 0.70 X 0 0 0 LARRY ALTENBAUMER BOARD MEMBER (THRU DEC21) 0.70 1.40 X 0 0 0 AIMEE FYKE BOARD MEMBER 0.70 1.40 X 0 0 0 JONATHAN LOCKE MD BOARD MEMBER 0.70 0.70 X 0 0 0 DAVID GRIFFEN MD PHD BOARD MEMBER 0.70 0.70 X 0 0 0 CHERYL MARTIN BRDMEM(THRUDEC21)/2NDVCHR&TREAS 0.70 0.00 X X 0 0 0 RICHARD LEVI BOARD MEMBER 0.70 0.70 X 0 0 0 BARBARA FARLEY BOARD MEMBER 0.70 0.70 X 0 0 0 NINA HARRIS BRDMEM(THRUDEC21)/SECRETARY 1.40 1.40 X X 0 0 0 MICHAEL AIELLO 2NDVCHR(THRUDEC21)/1STVCHR 1.40 1.40 X X 0 0 0 TODD WISE 1STVCHR&TREAS(THRUDEC21)/CHR 1.40 1.40 X X 0 0 0 DEAN ROBERT JR CHAIR(THRUDEC21)/BRDMEM 1.40 1.40 X X 0 0 0 DIANE RUTLEDGE PHD BOARD MEMBER 1.40 1.40 X 0 0 0 10833450 1659111 1431416 139 1 1 0 HAROLD O'SHEA BUILDERS INC 3401 CONSITUTION DR SPRINGFIELD IL 62711 COMMERCIAL CONSTRUCTION 7870547 HOUSTON-ALLIANT INSURANCE SERVICES PO BOX 840919 DALLAS TX 75284 INSURANCE 6201155 JUMP COMPANY 1120 S 6TH STREET STE 502 ST LOUIS MO 63104 ADVERTISING 5525211 ALLSCRIPTS 222 W MERCHANDIS MART PLAZE 2024 CHICAGO IL 60654 EHR/IT SERVICES 4398867 NAVIA BENEFITS SOLUTION 600 NACHES AVE SW RENTON WA 98057 CONSUMER DIRECTED BENEFITS PROVIDER 2842386 134 5000 5000 MANAGEMENT FEES 561000 75805300 75469438 335862 MHP REVENUE 900099 17535226 17535226 PROGRAM RELATED RENT 900099 7526193 7526193 IT REIMBURSED EXPENSES 900099 1865915 1865915 RELATED PARTNERSHIP RE 900099 -41002 -41002 192308 142621 49687 102883940 1974945 1974945 18046229 13212332 4833897 4833897 16139 4817758 1229491338 1228086736 1404602 1404602 1404602 BILLING SERVICE 561000 1706895 35565 1671330 TRANSFER FEES 900009 120 120 1707015 112809399 102498511 437253 9868635 428517 428517 7480854 7480854 508615 508615 30664463 14942433 15722030 3882132 1891717 1990415 2620724 1034254 1586470 2831010 1358558 1472452 1432873 1432873 642335 642335 75000 75000 309796 309796 7470221 2259072 5211149 4678217 1073363 3604854 22065872 945885 21119987 19318832 18025011 1293821 3909689 3150165 759524 187027 58136 128891 376544 125360 251184 826880 826880 8112678 7595016 517662 155944 155944 RECRUITMENT 211576 211576 REPAIRS AND MAINTENANCE 121076 112712 8364 FOOD & DIETARY SUPPLIES 113463 3812 109651 MINOR PROJECT COSTS 91186 91186 537 537 118516061 61912083 56603978 0 13664310 8406936 21944432 10254958 1848631 21836130 13364454 13051641 438037850 217737564 202862076 220300286 95202487 72052760 618715 619074 231990142 210233723 581495247 556755508 40673827 32438240 1144695 581658 195372000 186974000 58807293 56081981 100192457 107291232 396190272 383367111 X 185304975 173388397 185304975 173388397 581495247 556755508 X -5706662 -13335119 7125203 X 0 1 X 1 1 1 X X 16 SPRINGFIELD MEMORIAL HOSPITAL 370661220 3 0 54050693 0 JACKSONVILLE MEMORIAL HOSPITAL 370661230 3 0 3219281 0 LINCOLN MEMORIAL HOSPITAL 370723793 3 0 1876309 0 TAYLORVILLE MEMORIAL HOSPITAL 370661250 3 0 1502228 0 DECATUR MEMORIAL HOSPITAL 370661199 3 0 9048102 0 MEMORIAL BEHAVIORAL HEALTH 370646367 7 0 1119357 0 SPRINGFIELD RESIDENTIAL SERVICES 371298589 7 0 0 0 LINCOLN MEMORIAL FOUNDATION 363492268 7 0 0 0 SPRINGFIELD MEMORIAL FOUNDATION 371110301 7 0 0 0 MEMORIAL HOME CARE 370714225 7 0 663578 0 DECATUR MEMORIAL FOUNDATION 454256254 7 0 0 0 TAYLORVILLE MEMORIAL FOUNDATION 371337485 7 0 0 0 JACKSONVILLE MEMORIAL FOUNDATION 461037396 7 0 0 0 MEMORIAL MEDICAL GROUP 371181194 10 0 4321395 0 MEMORIAL HEALTH VENTURES 363492266 10 0 4357 0 JACKSONVILLE CRNA'S INC 273093265 10 0 0 0 16 75805300 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SECTION A, LINE 1 MEMORIAL HEALTH'S (37-1110690) SUPPORTED ORGANIZATIONS ARE NOT LISTED BY NAME IN MEMORIAL HEALTH'S GOVERNING DOCUMENTS. HOWEVER, MEMORIAL HEALTH IS LISTED IN THE SUPPORTED ORGANIZATIONS' GOVERNING DOCUMENTS AS THE SOLE CORPORATE MEMBER (PARENT) OF THE SUPPORTED ORGANIZATION (SPRINGFIELD MEMORIAL HOSPITAL, JACKSONVILLE MEMORIAL HOSPITAL, LINCOLN MEMORIAL HOSPITAL, TAYLORVILLE MEMORIAL HOSPITAL, DECATUR MEMORIAL HOSPITAL, MEMORIAL BEHAVIORAL HEALTH, LINCOLN MEMORIAL FOUNDATION, TAYLORVILLE MEMORIAL FOUNDATION, JACKSONVILLE MEMORIAL FOUNDATION, MEMORIAL HOME CARE, MEMORIAL MEDICAL GROUP, MEMORIAL HEALTH VENTURES) OR IS THE SOLE CORPORATE MEMBER (PARENT) OF THE SOLE CORPORATE MEMBER (SUBSIDIARY) LISTED IN THE SUPPORTED ORGANIZATION'S GOVERNING DOCUMENTS (SPRINGFIELD RESIDENTIAL SERVICES, JACKSONVILLE CRNA'S, SPRINGFIELD MEMORIAL FOUNDATION, DECATUR MEMORIAL FOUNDATION). ALL SUPPORTED ORGANIZATIONS ARE CONSIDERED RELATED ORGANIZATIONS OF THE FILING ORGANIZATION AND ARE DISCLOSED ON SCHEDULE R, PART II. MEMORIAL HEALTH HAS SUPPORTED THESE RELATED ORGANIZATIONS SINCE EACH ORGANIZATION BECAME A RELATED ORGANIZATION IN FURTHERANCE OF MEMORIAL HEALTH'S TAX-EXEMPT MISSION, THUS DEMONSTRATING THE EXISTENCE OF A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN THE SUPPORTING ORGANIZATION AND ITS SUPPORTED ORGANIZATIONS. ALL SUPPORTED ORGANIZATIONS OF MEMORIAL HEALTH ARE DESIGNATED BY THE CLASS AND/OR PURPOSE, WHICH AS STATED IN MEMORIAL HEALTH'S GOVERNING DOCUMENTS IS DESCRIBED AS FOLLOWS: "TO ESTABLISH, ACQUIRE, SUPPORT, ERECT, MAINTAIN, OWN AND EQUIP HEALTH CARE PROVIDERS AND INSTITUTIONS, INCLUDING, WITHOUT LIMITING THE FOREGOING, HOSPITALS, NURSING HOMES, SKILLED NURSING FACILITIES, INTERMEDIATE CARE FACILITIES AND AMBULATORY CARE CENTERS; TO CONDUCT, SPONSOR, SUPPORT, PROMOTE, DEVELOP, OWN AND OPERATE CHARITABLE, EDUCATIONAL, SCIENTIFIC AND SCHOLASTIC PROGRAMS AND ACTIVITIES AND OTHER ACTIVITIES AND PROGRAMS ANCILLARY TO AND IN SUPPORT OF THE FOREGOING; TO FOSTER, PROMOTE, SUPPORT, DEVELOP, ENCOURAGE, MAINTAIN, RECEIVE AND ACCEPT FUNDS, GIFTS AND CONTRIBUTIONS FOR AND ON BEHALF OF SUCH ACTIVITIES; AND TO ESTABLISH, CONDUCT, SPONSOR, ACQUIRE, OWN, MAINTAIN AND OPERATE SUCH OTHER ENTITIES AND ACTIVITIES WHICH IN THE OPINION OF THE BOARD OF DIRECTORS AND AT ITS DISCRETION, WILL SUPPORT THE FOREGOING, EXCLUSIVELY FOR THE BENEFIT OF AN TO CARRY OUT SOME OR ALL OF THE PURPOSES OF ORGANIZATIONS DESCRIBED IN EITHER SECTION 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR ANY SUBSEQUENT LAW OF THE UNITED STATES. IN NO INSTANCES, HOWEVER, WILL THE CORPORATION ENGAGE IN THE PRACTICE OF MEDICINE." SECTION D, LINE 3 MH EXISTS TO SUPPORT THE SUPPORTED ORGANIZATIONS AS AN ADMINISTRATIVE PARENT ORGANIZATION. EACH SUPPORTED ORGANIZATION POOLS ITS INVESTMENTS UNDER MH INVESTMENT POLICY AND GOVERNANCE. THE ASSETS AND INCOME OF MH ARE USED TO SUPPORT THE OPERATION AND ADMINISTRATION TO SUPPORT ALL SUPPORTED ORGANIZATIONS. SECTION E, LINE 3A MH IS THE PARENT AND SOLE CORPORATE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS. SECTION E, LINE 3B : MEMORIAL HEALTH IS THE PARENT AND SOLE CORPORATE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS. IN ITS CAPACITY AS THE SOLE CORPORATE MEMBER, MEMORIAL HEALTH PROVIDES OVERALL DIRECTION, MANAGEMENT AND CONTROL OVER ITS SUPPORTED ORGANIZATIONS. MEMORIAL HEALTH ALSO HAS CERTAIN RESERVED POWERS. FOR EXAMPLE, ALL CAPITAL AND OPERATING BUDGETS MUST BE APPROVED BY MEMORIAL HEALTH. SECTION A, LINE 5A (I) TAYLORVILLE MEMORIAL FOUNDATION (TMF)(EIN: 37-1337485), JACKSONVILLE MEMORIAL FOUNDATION (TMF) (EIN: 46-1037396), & JACKSONVILLE CRNA'S INC. (CRNA)(EIN: 27-3093265) (II) JMF AND CRNA HAS JMH AS ITS SOLE CORPORATE MEMBER. JMH HAS MH AS ITS SOLE CORPORATE MEMBER. JMF AND CRNA HAVE HISTORICALLY BEEN SUPPORTED BY MH DUE TO ITS SUBSIDIARY RELATIONSHIP WITH JMH, AS MH INDIRECTLY CONTROLS BOARD MEMBERSHIP AND OPERATIONAL POWERS OF BOTH JMF AND CRNA THROUGH GOVERNING DOCUMENT RESERVE POWERS OF JMH. TMF HAS TMH AS ITS SOLE CORPORATE MEMBER. TMH HAS MH AS ITS SOLE CORPORATE MEMBER. TMF HAVE HISTORICALLY BEEN SUPPORTED BY MH DUE TO ITS SUBSIDIARY RELATIONSHIP WITH TMH, AS MH INDIRECTLY CONTROLS BOARD MEMBERSHIP AND OPERATIONAL POWERS OF TMF THROUGH GOVERNING DOCUMENT RESERVE POWERS OF TMH. (III) AUTHORITY AS REQUIRED BY MEMORIAL HEALTH'S GOVERNING DOCUMENTS (IV) ACQUISITION OF SUPPORTED ORGANIZATIONS THROUGH BOARD APPROVAL AND AMENDMENT TO GOVERNING DOCUMENTS 0 0 0 0 0 1 75000 0 0 0 75000 0 PART II-B, LINE 1: MEMORIAL HEALTH ENGAGES LOBBYISTS TO ASSIST IT IN SECURING FEDERAL GRANTS AND MONITORING STATE REGULATIONS IN SUPPORT OF FURTHERING THE MEMORIAL HEALTH MISSION, WHICH IS "TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH". THIS INCLUDES ASSISTING MEMORIAL HEALTH IN DEVELOPING PRESENTATIONS TO THE ILLINOIS CONGRESSIONAL DELEGATION, REQUESTING APPROPRIATIONS FOR PRIORITY PROJECTS INVOLVING LOCAL PATIENT SAFETY, QUALITY IMPROVEMENT AND IMPROVED LOCAL ACCESS TO MEDICAL CARE. THE LOBBYISTS ALSO ASSIST MEMORIAL IN COMMUNICATING THE IMPORTANCE OF ADEQUATE MEDICAID FUNDING IN SUPPORT OF THE SUBSTANTIAL SERVICES MEMORIAL'S AFFILIATES PROVIDE TO THOSE IN POVERTY AND IN MONITORING LEGISLATIVE AND REGULATORY DEVELOPMENTS THAT WOULD AFFECT MEMORIAL HEALTH'S ABILITY TO CONTINUE DELIVERING ITS SUBSTANTIAL COMMUNITY BENEFIT. 2573376 20673379 23246755 171261627 97458910 132956274 135764263 46812 45388 42002 50198 5445627 94146202 82136297 17455532 853666 45532863 2602991 43783538 220300286 LIFE INSURANCE - VARIOUS AGREEMENTS 1224875 INTERCOMPANY DEBT FROM RELATED ENTITIES 175257514 DEFERRED TAX ASSET & VALUATION 21061 RIGHT OF USE ASSET 4221384 NONCURRENT INSURANCE RECOVERIES 15200637 EMPLOYEE LOAN 13066696 OP LEASE RECEIVABLE 1241556 210233723 DEFERRED COMPENSATION 20122637 PROFESSIONAL LIABILITY 54338790 RESERVE FOR POST EMPLOYMENT BENEFITS 10921554 DUE TO AFFILIATES 4747186 SWAP LIABILITY 34063 RESTORATION PLAN 4757717 UNAMORTIZED BOND PREMIUMS, DISCOUNTS AND ISSUE COSTS 1071351 ASC842 LIABILITY 4227659 CAPITAL LEASE CURRENT 234670 CAPITAL LEASE NONCURRENT 6835605 107291232 X PART X, LINE 2: EACH OF MEMORIAL HEALTH'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, NO TAX PROVISION WAS RECORDED FOR THE YEARS ENDED SEPTEMBER 30, 2022 OR 2021. MEMORIAL HEALTH IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2017. MH 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 ASSOCIATION (PPA) IS A TAXABLE NOT-FOR-PROFIT CORPORATION. BOTH ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. 1 EDUCATION GRANT 96 424462 MEMORIAL HEALTH'S EDUCATIONAL GRANT PROGRAM PROVIDES THE OPPORTUNITY FOR COLLEAGUES TO PURSUE ADDITIONAL EDUCATION IN EXCHANGE FOR A WORK COMMITMENT ONCE THE EDUCATION IS COMPLETED. EDUCATION GRANTS ARE AVAILABLE TO THOSE PURSUING HEALTH CARE CAREERS THAT ARE DEEMED CRITICAL TO THE ORGANIZATION'S PRESENT OR PROJECTED STAFFING NEEDS. GRANT APPLICATIONS FOR ALL OTHER CAREERS WILL BE REVIEWED ON A CASE-BY-CASE BASIS WITH A FINAL DETERMINATION TO BE MADE BY THE MH WORKFORCE STRATEGIES ADVISORY COUNCIL. TUITION REIMBURSMENT 1 4055 FUNDING FOR THE EDUCATION OF MEMORIAL HEALTH'S COLLEAGUES IS BASED UPON THE NEEDS OF THE ORGANIZATION AS WELL AS THE COLLEAGUE'S EDUCATIONAL GOALS. COLLEAGUES WILL BE AWARDED TUITION REIMBURSEMENT BASED ON THE COLLEAGUE'S PRESENT JOB SKILL NEEDS OR TO PREPARE THE COLLEAGUE FOR FUTURE ADVANCEMENT WITHIN MEMORIAL HEALTH. THE TUITION REIMBURSEMENT PROCESS REQUIRES COLLEAGUES TO RECEIVE PRIOR APPROVAL FROM THEIR MANAGERS FOR THE COURSEWORK. PART 1 LINE 2 EDUCATIONAL GRANTS - MEMORIAL HEALTH'S EDUCATIONAL GRANT PROGRAM PROVIDES THE OPPORTUNITY FOR COLLEAGUES TO PURSUE ADDITIONAL EDUCATION IN EXCHANGE FOR A WORK COMMITMENT ONCE THE EDUCATION IS COMPLETED. EDUCATION GRANTS ARE AVAILABLE TO THOSE PURSUING HEALTH CARE CAREERS THAT ARE DEEMED CRITICAL TO THE ORGANIZATION'S PRESENT OR PROJECTED STAFFING NEEDS. GRANT APPLICATIONS FOR ALL OTHER CAREERS WILL BE REVIEWED ON A CASE-BY-CASE BASIS WITH A FINAL DETERMINATION TO BE MADE BY THE MH WORKFORCE STRATEGIES ADVISORY COUNCIL. TUITION REIMBURSEMENT - FUNDING FOR THE EDUCATION OF MEMORIAL HEALTH'S COLLEAGUES IS BASED UPON THE NEEDS OF THE ORGANIZATION AS WELL AS THE COLLEAGUE'S EDUCATIONAL GOALS. COLLEAGUES WILL BE AWARDED TUITION REIMBURSEMENT BASED ON THE COLLEAGUE'S PRESENT JOB SKILL NEEDS OR TO PREPARE THE COLLEAGUE FOR FUTURE ADVANCEMENT WITHIN MEMORIAL HEALTH. THE TUITION REIMBURSEMENT PROCESS REQUIRES COLLEAGUES TO RECEIVE PRIOR APPROVAL FROM THEIR MANAGERS FOR THE COURSEWORK. X 1 1 X X X X 1 1 0 0 0 0 0 0 0 HARRY SCHMIDT FORMER PRES & CEO PAH/FORMER HCE 0 0 0 0 643964 0 0 0 0 0 643964 0 437589 0 KIMBERLY BOURNE PRESIDENT&CEO TMH&TMF 279837 0 85382 0 51036 0 31310 0 27442 0 475007 0 22880 0 EDGAR CURTIS EX-OFFICIO PRESIDENT & CEO 1026739 0 543849 0 590862 0 0 2182956 21506 0 2182956 2182956 0 0 MITCHELL ROGERS FORMER SYSADMIN CARDIO SVCS 19261 0 0 0 427809 0 2024 449302 208 0 449302 449302 115198 0 DAVID GRAHAM MD FORMERSVP&CHF QUALITY&INOVNOFFCR 0 0 0 0 466383 0 0 466383 0 0 466383 466383 0 0 CHARLES CALLAHAN PHD PRESIDENT MH HOSPITAL GROUP 0 626826 0 268283 0 183978 0 1192714 0 32386 0 2304187 0 89353 ANNA EVANS JD SVP & GENERAL COUNSEL 425856 0 183771 0 132257 0 172510 946894 32500 0 946894 946894 61429 0 RAJESH GOVINDAIAH MD SVP & CHIEF PHYSICIAN EXECUTIVE 389472 0 223414 0 111217 0 206280 934496 4113 0 934496 934496 42600 0 KATHRYN KEIM SVP & CFO 550719 0 235549 0 9105 0 70376 896615 30866 0 896615 896615 0 0 KEVIN ENGLAND SVP & CHIEF ADMINISTRATIVE OFFICER 318752 0 190288 0 82665 0 234329 857673 31639 0 857673 857673 25182 0 AIMEE DAILY PHD SVP & CHIEF TRANSFORMATION OFFICER 389095 0 167094 0 57435 0 59299 693099 20176 0 693099 693099 25240 0 JAMESON ROSZHART PRESIDENT MH AMBULATORY GROUP 435966 0 187911 0 43070 0 60082 759268 32239 0 759268 759268 20080 0 DREW EARLY PRESIDENT & CEO DMH 419160 0 128956 0 16425 0 45088 641076 31447 0 641076 641076 0 0 ROBERT SCOTT FORMER SVP & CHIEF HR OFFICER (THRU 131247 0 75866 0 307250 0 18717 543689 10609 0 543689 543689 27467 0 W SCOTT BOSTON MD PRESIDENT & CEO JMH 384371 0 117611 0 15927 0 40534 588827 30384 0 588827 588827 0 0 MARSHA PRATER PHD SVP & CHIEF NURSING OFFICER 0 356580 0 151255 0 72189 0 590468 0 10266 0 1180758 0 0 J TRAVIS DOWELL PRESIDENT & CEO MMG 291178 0 89856 0 50496 0 32229 492852 29093 0 492852 492852 23715 0 DOLAN DALPOAS PRES&CEO LMH;INTERIM CHRO(THRU FEB22 366411 0 103623 0 66315 0 32219 568694 126 0 568694 568694 26610 0 PART I, LINE 3 THE REPORTED COMPENSATION AND BENEFITS RECEIVED BY EDGAR CURTIS, PRESIDENT AND CEO OF MEMORIAL HEALTH (MH), FOR CALENDAR YEAR 2021 WAS COMPRISED OF THE FOLLOWING COMPONENTS: BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER COMPENSATION, AND OTHER NONTAXABLE BENEFITS. BASE COMPENSATION FOR MR. CURTIS WAS DETERMINED BASED ON THE METHODS DESCRIBED IN PART I, LINE 3 CONDUCTED BY INDEPENDENT COMPENSATION CONSULTANTS. BASE COMPENSATION LEVELS WERE SET BY THE LEADERSHIP COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE MH BOARD CONSISTING ENTIRELY OF MH 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 MH, AS MEASURED AND PRESENTED TO THE COMMITTEE BY THE INDEPENDENT COMPENSATION CONSULTANT. INCENTIVE COMPENSATION WAS CONTINGENT ON THE ACHIEVEMENT OF SPECIFIC, RIGOROUS PERFORMANCE MEASURES ACROSS ALL OF MH, AND THOSE PERFORMANCE MEASURES WERE REVIEWED AND APPROVED IN ADVANCE BY THE LEADERSHIP COMPENSATION COMMITTEE. RETIREMENT BENEFITS IN COLUMN (B)(III) IS COMPRISED OF A $275,508 DISTRIBUTION OF VESTED AMOUNTS FROM A PENSION BENEFIT WHICH HAS BEEN EARNED OVER MANY YEARS OF SERVICE THAT WAS PREVIOUSLY ACCUMULATED WITH HIS TOTAL PENSION OBLIGATION, BUT IS DISTRIBUTED DIRECTLY BECAUSE MR. CURTIS IS FULLY VESTED. ALSO INCLUDED IN RETIREMENT BENEFITS IN COLUMN (B)(III) IS A VESTED AMOUNT OF $208,184 THAT WAS PREVIOUSLY DEPOSITED IN A DEFERRED COMPENSATION PLAN, BUT ARE NOW ALSO DISTRIBUTED DIRECTLY DUE TO BEING FULLY VESTED. 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:, DAVID GRAHAM M.D. $466,373, MITCHELL ROGERS $214,069, AND ROBERT SCOTT $217,357. ALL SEVERANCE PAY AMOUNTS WERE PROVIDED UNDER PREVIOUSLY APPROVED SEVERANCE PAY AGREEMENTS, AND ARE TRIGGERED ONLY BY CERTAIN TYPES OF EMPLOYMENT TERMINATION. PART I, LINES 4A-B CERTAIN LISTED INDIVIDUALS PARTICIPATE IN NONQUALIFIED DEFERRED COMPENSATION PLANS MAINTAINED BY MEMORIAL HEALTH (MH). MH 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 MH 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 2021. THE FOLLOWING CURRENT OR FORMER OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES RECEIVED DEFERRED COMPENSATION PAYOUTS IN THE CALENDAR YEAR FROM MH OR A RELATED ORGANIZATION: KIMBERLY BOURNE $37,214, CHARLES CALLAHAN, PH.D. $148,159, EDGAR CURTIS $483,692, AIMEE DAILY PH.D. $38,632, DOLAN DALPOAS $52,015, J. TRAVIS DOWELL $34,747, KEVIN ENGLAND $55,147, ANNA EVANS, J.D. $124,599, RAJESH GOVINDAIAH $102,288, MARSHA PRATER PH.D. $45,804, MITCHELL ROGERS $152,740, JAMESON ROSZHART $34,893, HARRY SCHMIDT $643,964, AND ROBERT SCOTT $41,593. 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 MH BOARD APPROVES ALL RETIREMENT BENEFITS, TOGETHER WITH ALL OTHER FORMS OF COMPENSATION AND BENEFITS FOR THESE AND OTHER SYSTEM LEADERS, IN A MANNER INTENDED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL INCOME TAX LAW. A ILLINOIS FINANCE AUTHORITY 861091967 45203HYQ9 2014-01-30 60465495 SEE PART VI 1 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45204EU22 2019-02-05 148436538 SEE PART VI 0 0 0 C ILLINOIS FINANCE AUTHORITY 861091967 2020-09-11 55510000 SEE PART VI 0 0 0 A 58600000 60465495 60465495 2015 0 0 1 1 B 11725000 148436538 42654388 105782150 2019 1 0 1 1 C 3090000 55510000 54930000 580000 2020 1 0 1 1 A 0 1 1 1 1 1 0.00000 0.00180 0.00180 0 0 1 B 0 1 1 1 1 1 0.02070 0.00080 0.02150 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/30/2019 PART 1 COLUMN (F) THE PURPOSE OF THE 2014A ISSUE WAS (A) TO REPAY TAXABLE DEBT IN THE AMOUNT OF $25,057,493 USED FOR PAYMENT OF THE COST OF ACQUIRING, CONSTRUCTING, RENOVATING, REMODELING AND EQUIPPING HEALTH FACILITIES AT SPRINGFIELD MEMORIAL HOSPITAL, AND (B) FOR PAYING ADDITIONAL COSTS OF THOSE PROJECTS NOT PREVIOUSLY FINANCED WITH THE TAXABLE DEBT. THE 2014A SERIES WAS PARTIALLY REFUNDED BY THE TAXABLE 2020A ISSUE. AS OF SEPTEMBER 30, 2022, $1,400,000 OF THE 2014A SERIES REMAINED OUTSTANDING. THE PURPOSE OF THE 2015 ISSUE WAS TO CURRENT REFUND $22,432,282 OF THE CITY OF JACKSONVILLE ILLINOIS ADJUSTABLE RATE DEMAND INDUSTRIAL REVENUE IMPROVEMENT BONDS, SERIES 2006B. THE PROCEEDS WERE ALSO USED TO PAY ISSUANCE EXPENSES OF THE BOND ISSUANCE. THE PURPOSE OF THE 2019 ISSUE WAS TO REFINANCE THE 2009 SERIES AND UPGRADE THE SPRINGFIELD CAMPUS'S EMERGENCY POWER SYSTEM; UPGRADE MEMORIAL HEALTHS REVENUE CYCLE SOFTWARE; RENOVATE AND EQUIP SPRINGFIELD MEMORIAL HOSPITAL'S OR, ICU AND SEVERAL OTHER AREAS IN SPRINGFIELD MEMORIAL HOSPITAL, AND ROUTINE CAPITAL EXPENDITURES. THE PURPOSE OF THE TAX-EXEMPT 2020 ISSUE WAS TO FULLY REFINANCE THE 2014B SERIES FOR $55,510,000 AND PAY ASSOCIATED ISSUANCE COSTS. PART II LINE 11 $22,432,282 OF THE 2015 ISSUE WAS USED TO REFUND THE 2006B SERIES. $105,782,150 OF THE 2019 ISSUE WAS USED TO REFINANCE THE 2009 SERIES. PART III LINE 3B & 3D MEMORIAL HEALTH'S INTERNAL COUNSEL, AS WELL AS EXTERNAL BOND COUNSEL, ROUTINELY REVIEWS MANAGEMENT AND SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATING TO FINANCED PROPERTY. PART IV LINE 1 THE ARBITRAGE REBATE FILING IS ONLY REQUIRED EVERY 5 YEARS, AND NO REBATABLE ARBITRAGE HAS BEEN EARNED FOR ISSUES AT SUCH 5 YEAR ANNIVERSARIES. PART IV LINE 2C THE REBATE COMPUTATION FOR COLUMN A WAS PERFORMED ON 01/30/2019 AND COLUMN D WAS PERFORMED ON 12/11/2020. HENRY HURWITZ SEE PART V 257491 SEE PART V 0 HURWITZ ENTERPRISE SEE PART V 108800 SEE PART V 0 LEVI RAY AND SHOUP SEE PART V 1465647 SEE PART V 0 CENTRALL ILLINOIS SECURITY SEE PART V 183206 SEE PART V 0 (A) NAME OF PERSON: HENRY HURWITZ (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; SON OF JOSEPH HURWITZ, MH BOARD MEMBER(C) AMOUNT OF TRANSACTIONS: $257,491(D) DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH PAID COMPENSATION AND BENEFITS OF $257,491 TO HENRY HURWITZ RELATED TO EMPLOYMENT SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2022. HENRY HURWITZ IS THE SON OF JOSEPH HURWITZ, MEMBER OF MEMORIAL HEALTH'S BOARD OF DIRECTORS. 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: HURWITZ ENTERPRISE (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER IS 100% OWNER HURWITZ ENTERPRISE(C) AMOUNT OF TRANSACTIONS: $108,800(D) DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH PAID FEES OF $108,800 TO HURWITZ ENTERPRISE FOR THE YEAR ENDED SEPTEMBER 30, 2022. JOSEPH HURWITZ IS A MEMBER OF MEMORIAL HEALTH'S BOARD OF DIRECTORS. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES: NO (A) NAME OF PERSON: LEVI, RAY AND SHOUP (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER IS 100% OWNER OF LEVI, RAY AND SHOUP(C) AMOUNT OF TRANSACTIONS: $1,465,646.96(D) DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH PAID FEES TO LEVI, RAY AND SHOUP FOR SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2022. RICHARD LEVI IS A MEMBER OF MEMORIAL HEALTH'S BOARD OF DIRECTORS AND IS PRESIDENT AND 100% OWNER OF LEVI, RAY AND SHOUP. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES: NO (A) NAME OF PERSON: CENTRALL ILLINOIS SECURITY (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER IS 100% OWNER OF CENTRAL ILLINOIS SECURITY(C) AMOUNT OF TRANSACTIONS: $183,206.26(D) DESCRIPTION OF TRANSACTION: MEMORIAL PAID FEES TO CENTRAL ILLINOIS SECURITY FOR SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2022. RICHARD LEVI IS A MEMBER OF MEMORIAL HEALTH'S BOARD OF DIRECTORS AND IS PRESIDENT AND 100% OWNER OF CENTRAL ILLINOIS SECURITY. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES: NO FORM 990, PART VI, SECTION A, LINE 2 MICHAEL AIELLO AND ED CURTIS HAVE A BUSINESS RELATIONSHIP. ED CURTIS AND JERRY KRUSE HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE MH FORM 990 AND ALL ATTACHMENTS IS PROVIDED TO ALL OF THE MEMORIAL HEALTH 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 CORPORATION ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A SPECIFIC DISCLOSURE STATEMENT WHICH IS ATTACHED TO THE POLICY. MEMORIAL HEALTH 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 BOARD OF DIRECTORS HAS APPOINTED A LEADERSHIP COMPENSATION COMMITTEE MADE UP OF PAST AND PRESENT 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 AND OTHER SENIOR VICE PRESIDENTS, WHO ARE KEY EMPLOYEES. 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 PAST AND PRESENT DISINTEREST 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 SITUATE 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, SUCH AS ARTICLES OF INCORPORATION AND ANY AMENDMENTS THERETO, ARE AVAILABLE TO THE GENERAL PUBLIC THROUGH THE ILLINOIS SECRETARY OF STATE'S OFFICE. THESE GOVERNING DOCUMENTS, AS WELL AS THE BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE UPON REQUEST FROM THE CORPORATION. THESE DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF TIME AS SET FORTH IN IRC SECTION 6104(D). FORM 990, PART XI, LINE 9: NONOPERATING RECONCILING ITEMS 3,440,691. CHANGE IN UNRESTRICTED NET ASSETS 3,677,553. INCOME STATEMENT BOOK/TAX DIFF 6,959. MEMORIAL HEALTH PARTNERS LLC 701 NORTH 1ST STREET SPRINGFIELD IL 62781 463947269 TO COORDINATE PATIENT CARE ACTIVITIES ACROSS THE HEALTHCARE CONTINUUM IL 17535226 1076535 MEMORIAL HEALTH MHS QALICB LLC 701 NORTH 1ST STREET SPRINGFIELD IL 62781 475644450 TO FACILITATE NEW MARKETS TAX CREDITS TRANSACTIONS RELATED TO SIU IL 2193360 14194895 MEMORIAL HEALTH MCDEKK LLC 701 NORTH 1ST STREET SPRINGFIELD IL 62781 822701739 TO FACILITATE FACTORING OF RECEIVABLES IL 0 10000 MEMORIAL HEALTH SPRINGFIELD MEMORIAL HOPSITAL 701 NORTH FIRST ST SPRINGFIELD IL 627810001 370661220 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH 1 JACKSONVILLE MEMORIAL HOSPITAL 1600 WEST WALNUT STREET JACKSONVILLE IL 62650 370661230 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH 1 LINCOLN MEMORIAL HOSPITAL 200 STAHLHUT DR LINCOLN IL 62656 370723793 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH 1 TAYLORVILLE MEMORIAL HOSPITAL 201 EAST PLEASANT TAYLORVILLE IL 62568 370661250 HOSPITAL SERVICES IL 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