MEMORIAL HEALTH SYSTEM: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: MEMORIAL HEALTH SYSTEM (EIN 37-1110690)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-15
IRS object ID: 202232279349304473
Schema version: 2020v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-15T16:28:43-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	155 N WACKER DR	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	371110690	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MEMO	BusinessNameControlTxt
Phone	2177883198	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 NORTH FIRST STREET	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	627810001	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KATHRYN J KEIM	PersonNm
Person Title	SR VICE PRESIDENT & CFO	PersonTitleTxt
Phone	2177883830	PhoneNum
Signature	2022-08-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KATHRYN	PersonFirstNm
Person Last	KEIM	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JESSICA A WAGENER	PreparerPersonNm
PTIN	P01622613	PTIN
Phone	3128792000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KATHRYN J KEIM	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 NORTH FIRST STREET	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	627810001	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$635,580,009	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	5670	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHOOSEMEMORIAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1981	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	8332	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$332,437	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$77,632	CYContributionsGrantsAmt
PY Program Service Revenue	$83,011,917	PYProgramServiceRevenueAmt
CY Program Service Revenue	$87,841,972	CYProgramServiceRevenueAmt
PY Investment Income	$21,962,375	PYInvestmentIncomeAmt
CY Investment Income	-$11,298,074	CYInvestmentIncomeAmt
PY Other Revenue	$2,674,333	PYOtherRevenueAmt
CY Other Revenue	$5,998,842	CYOtherRevenueAmt
PY Total Revenue	$107,648,625	PYTotalRevenueAmt
CY Total Revenue	$82,620,372	CYTotalRevenueAmt
PY Grants And Similar Paid	$33,173	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$45,032,284	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$46,350,168	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$44,770,014	PYOtherExpensesAmt
CY Other Expenses	$53,830,035	CYOtherExpensesAmt
PY Total Expenses	$89,835,471	PYTotalExpensesAmt
CY Total Expenses	$100,180,203	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,813,154	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$17,559,831	CYRevenuesLessExpensesAmt
Total Assets BOY	$515,238,317	TotalAssetsBOYAmt
Total Assets EOY	$581,495,247	TotalAssetsEOYAmt
Total Liabilities BOY	$386,412,477	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$396,190,272	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$128,825,840	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$185,304,975	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$40,687,359	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,890,738	RevenueAmt
Desc	INFORMATION TECHNOLOGYMEMORIAL HEALTH SYSTEM (MHS) CONTINUES TO EMPLOY EXPERIENCED INFORMATION TECHNOLOGY PROFESSIONALS ON THE CUTTING EDGE OF MEDICAL AND BUSINESS TECHNOLOGY, IMPLEMENTING LEADING EDGE TECHNOLOGY SOLUTIONS TO ENSURE PATIENT SAFETY, QUALITY AND CLINICAL EFFECTIVENESS AND TO IMPROVE MHS'S CLINICAL AND BUSINESS PROCESSES. THEY SUPPORT A VAST ARRAY OF PATIENT CARE TECHNOLOGY AND BUSINESS APPLICATIONS. DURING FY2021, INFORMATION TECHNOLOGY IMPLEMENTED NUMEROUS SOLUTIONS TO SUPPORT THE HEALTH SYSTEM AND COMMUNITY DURING THE COVID-19 PANDEMIC, INCLUDING TELEHEALTH TECHNOLOGY, ONLINE SCHEDULING, REMOTE WORK TECHNOLOGY, RESPIRATORY CARE TESTING AND MASS VACCINATION CLINICS. OTHER SIGNIFICANT INFORMATION TECHNOLOGY PROJECTS IN FY2021 INCLUDED EXPANSION OF THE LAWSON INFOR BUSINESS TECHNOLOGY TO ALL HOSPITAL AFFILIATES; EXPANSION OF MHS PACS IMAGING AND DICTATION SYSTEMS TO 4 OF 5 AFFILIATE HOSPITALS; STAFFING A MANAGED SERVICE ORGANIZATION, 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 MHS HOSPITAL EHR TO THE 2021 REQUIREMENT FOR MEANINGFUL USE, PROMOTING INTEROPERABILITY AND CURES ACT; EXPANDED UPON MHS'S USE OF CLOUD TECHNOLOGY TO REDUCE COSTS AND OPTIMIZE FTE ALLOCATION; INITIATED IMPLEMENTATION OF A SECURITY OPERATIONS CENTER; REPLACED OUR BACKUP AND RECOVERY SOLUTION WITH STATE OF THE ART AIR GAP TECHNOLOGY; AND INCREASED MHS'S STORAGE AND NETWORK BANDWIDTH TO ALL AFFILIATE SITES TO PROVIDE BETTER RESPONSE TIME AND ACCOMMODATE FUTURE GROWTH.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$8,337,740	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$6,641,356	RevenueAmt
Desc	BUILDING AND FACILITY EXPANSION AND IMPROVEMENTSIN SUPPORT OF MHS'S MISSION, SAFE, FUNCTIONAL FACILITIES ARE THE FOUNDATION OF THE HEALTHCARE SERVICES WE PROVIDE. CLINICAL PROJECTS THAT BEGAN IN FY2021:-EMERGENCY DEPARTMENT (ED) #3 INFECTION PREVENTION MEASURES - TURNED ED#3 INTO A NEGATIVE AIR UNIT TO ASSIST IN REDUCING THE SPREAD OF AIRBORNE DISEASES. AIR PRESSURE MONITORING WILL BE COMPLETED EACH ROOM AS WELL AS THE ENTIRE UNIT. -320 EAST CARPENTER DRIVE THRU LAB - BUILT A 3 LANE DRIVE THRU LAB DRAW AND RESPIRATORY TESTING FACILITY ATTACHED TO EXISTING BUILDING AT 320 EAST CARPENTER. THIS ALLOWS FOR MHS TO ACCOMMODATE PATIENTS THAT REQUIRE OUTPATIENT ACCESS TO LAB AND TESTING.-SOUTH SIXTH DRIVE THRU LAB - BUILT A 3 LANE DRIVE THRU LAB DRAW AND RESPIRATORY TESTING FACILITY ATTACHED TO EXISTING BUILDING SOUTH SIXTH STREET BUILDING. THIS ALLOWS MHS TO ACCOMMODATE PATIENTS THAT REQUIRE OUTPATIENT ACCESS TO LAB AND TESTING.-SPRINGFIELD CLINIC 800 INTERIOR RENOVATIONS - REMODELED EXISTING SPACES ON 1ST, 2ND, AND 4TH FLOORS TO ACCOMMODATE ADDITIONAL WORKSTATIONS FOR EXPANDED TELEHEALTH AND CLINICAL SPACES FOR SPRINGFIELD CLINIC.-SPRINGFIELD CLINIC 900 INTERIOR RENOVATIONS - REMODELED EXISTING SPACES ON 1ST, 3RD, AND 4TH FLOORS TO ACCOMMODATE ADDITIONAL WORKSTATIONS FOR EXPANDED TELEHEALTH AND CLINICAL SPACES FOR SPRINGFIELD CLINIC.-FAMILY MATURITY SUITES 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.-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.OTHER PROJECTS COMPLETED FOR HEALTH SYSTEM INCLUDE:-KOKE MILL RENOVATION - INTERIOR FINISHES UPDATES IN MPS EXAM ROOMS, OFFICES, CORRIDORS WITHIN CLINICS, WAITING ROOMS. REPURPOSED CASEWORK IN EXAM ROOMS ON 1ST FLOOR OF MPS. NEW FLOORING AND PAIN IN EXPRESSCARE WAITING ROOM AND CORRIDOR TO EXAM ROOMS AND NEW RECEPTION DESK AND RELOCATE DOOR TO EXAM ROOMS, TO THE OTHER SIDE OF THE RECEPTION DESK.-7C/8C ROOF - REPLACED EXISTING ROOF AND INSTALLED NEW ROOFING MATERIALS TO ALLEVIATE LEAKING AT MMC.-932 N. RUTLEDGE RENOVATION - DEMO EXISTING CEILINGS, WALLS AND MEP AS NOTED ON THE ARCHITECTURAL DRAWINGS. INSTALL NEW WALLS CEILINGS AND MEP TO PREPARE FOR THE RELOCATION OF HUMAN RESOURCES FROM VARIOUS LOCATIONS TO 932 RUTLEDGE. ADDITIONAL CONSTRUCTION INCLUDES ADDITION OF NEW FIRE DETECTION SYSTEMS, NEW ADA REQUIRED ACCESS TO THE BUILDING, EXPANDED PARKING.-3T MRI ROOM UPGRADES - UPGRADES TO ROOM FOR NEW MRI INCLUDING FLOORING, PAINTING, FIRE PROTECTION, HVAC AND ELECTRICAL WORK AT MMC.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$6,801,086	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$72,982,864	RevenueAmt
Desc	SENIOR LEADERSHIP GUIDED BY THE VALUES OF MEMORIAL HEALTH SYSTEM, SENIOR LEADERSHIP IS RESPONSIBLE FOR STRATEGIC PLANNING, PRIORITIZING AMONG COMPETING ISSUES AND ENGAGING IN DIALOGUE AND DECISION-MAKING THAT WILL ENABLE MEMORIAL HEALTH SYSTEM TO ACHIEVE ITS MISSION (TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH), ITS VISION (TO BE THE HEALTH PARTNER OF CHOICE) AND ITS STRATEGIC GOALS (GREAT COLLEAGUES, GREAT PARTNER, GREAT ACCESS, GREAT EXPERIENCE, AND GREAT RESULTS).IN FY2021, MHS 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 SYSTEM WELL DURING THE COVID-19 PANDEMIC AND WAS A CATALYST FOR MANAGING AND RESPONDING TO THE PANDEMIC IN A COORDINATED, SYSTEMIZED FASHION. 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 SYSTEM MADE GREAT PROGRESS IN INTEGRATING A RECENTLY NEW AFFILIATE HOSPITAL, DECATUR MEMORIAL HOSPITAL, AND NEW PHYSICIAN GROUP, DECATUR MEDICAL GROUP, IN FY2021. WORK BEGAN IN FY2021 TO IMPLEMENT A COMMON EHR ACROSS ALL MEMORIAL HEALTH SYSTEM HOSPITALS, WHICH CURRENTLY HAS 4 DISTINCT SEPARATE EHRS IN ITS' 5 HOSPITALS. 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.FY2021 WAS AGAIN CHARACTERIZED BY THE DEMANDS OF THE ONGOING COVID-19 PANDEMIC. TWO DISTINCT COVID-19 SURGES STRESSED CAPACITY AND RESOURCES AS MEMORIAL HEALTH SYSTEM SERVED A SIGNIFICANT PROPORTION OF HOSPITALIZED COVID-19 PATIENTS IN OUR REGION. THE ORGANIZATION SUCCESSFULLY APPLIED 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 REQUIREMENTS CALL. 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 FY2022. DESPITE THESE CHALLENGES, THE ORGANIZATION SUCCESSFULLY COMPLETED MAJOR BUILDING PROJECTS ON SEVERAL CAMPUSES, LAUNCHED EXPANDED EQUITY, DIVERSITY, AND INCLUSION (EDI) AND COMMUNITY HEALTH INITIATIVES, AND ENHANCED CLINICAL PROGRAMS THROUGH KEY RECRUITMENTS AND ACCREDITATIONS. TAKEN TOGETHER, THE ORGANIZATION ENDED FY2021 IN A STRONG POSITION TO MAKE GOOD ON ITS PROMISE TO PROVIDE SERVICES THAT IMPROVE THE HEALTH OF BOTH INDIVIDUALS AND COMMUNITIES. DURING FY2021, MEMORIAL HEALTH SYSTEM'S FIVE HOSPITALS COMPLETED THE THIRD YEAR OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGIES TO ADDRESS PRIORITIES IDENTIFIED IN EACH HOSPITAL'S 2018 NEEDS ASSESSMENTS. ADDITIONALLY, THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND FINAL PRIORITIES SET TO BE ADDRESSED DURING FY22-24. PRIORITIES IDENTIFIED WERE: 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 IN EACH OF THESE PRIORITIES: ACCESS TO HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND RACIAL INEQUITY AND INEQUALITY. MEMORIAL HEALTH SYSTEM'S COMMUNITY HEALTH WORK SEEKS TO BUILD COLLABORATIONS BETWEEN COUNTY HEALTH DEPARTMENTS, OTHER LOCAL HOSPITALS AND 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 MHS BOARD'S COMMUNITY BENEFIT COMMITTEE HELP OVERSEE THE COMMUNITY BENEFIT ELEMENTS OF THE COMMUNITY HEALTH PROGRAM. MEMORIAL HEALTH SYSTEM 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 600,000 ANNUAL PROVIDER OFFICE VISITS, 35,000 BEHAVIORAL HEALTH SERVICES, 38,000 HOME HEALTH VISITS, AND 27,000 HOME HOSPICE DAYS IN FY2021. GROWING GREATLY FROM THE COVID-19 PANDEMIC, THE AMBULATORY GROUP LAUNCHED TWO NEW DRIVE-THROUGH LABS, ADDED SEVEN NEW PHYSICIANS AND ELEVEN NEW ADVANCED PRACTICE PROVIDERS GROWING TO A TOTAL OF 248 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 110,000 PATIENTS. THIS LARGE PRIMARY CARE INFRASTRUCTURE IS A KEY PART OF MEMORIAL HEALTH SYSTEM'S STRATEGY FOR NAVIGATING THE DYNAMIC AND EVER-CHANGING PAYER MARKET AND SHIFT FROM FEE-FOR-SERVICE HEALTH CARE TO FEE-FOR-VALUE. OTHER KEY SUCCESSES THIS YEAR DIRECTLY RELATED TO STRONG LEADERSHIP INCLUDE RETENTION OF THE MHS BOND RATING FROM MOODY'S INVESTOR SERVICES OF A1 WITH A STABLE OUTLOOK AND AA- WITH STABLE OUTLOOK FROM S&P.MHS COLLEAGUE ENGAGEMENT SCORES AT 78THE PERCENTILE OF THE NATIONAL COMPARISON GROUP. NEW TO THE SURVEY IN 2021 WAS THE INCLUSION OF QUESTIONS RELATED TO HOW ORGANIZATION LEADERSHIP RESPONDED TO THE PANDEMIC AND HOW THE ORGANIZATION LEADERSHIP KEPT COLLEAGUES INFORMED AND SAFE DURING THIS TIME. MEMORIAL HEALTH SYSTEM SCORES IN THE 94TH PERCENTILE OF THE NATIONAL COMPARISON GROUP FOR THEIR PANDEMIC RESPONSE. THE COVID-19 PANDEMIC CONTINUED TO NEGATIVELY IMPACT PATIENT EXPERIENCE THROUGHOUT FY2021 DUE IN PART TO VISITOR RESTRICTIONS, STAFFING SHORTAGES AND DECREASED OPPORTUNITY FOR PROACTIVE PATIENT-EXPERIENCE ROUNDING. DESPITE THESE CONTINUOUS OBSTACLES, IN FY2021, MEMORIAL HEALTH SYSTEM ROSE TO HAVE A TOTAL OF 11 OUT OF 28 PATIENT SATISFACTION SURVEYS ACROSS THE HEALTH SYSTEM SCORE AT OR ABOVE THE 75TH PERCENTILE OF THEIR RESPECTIVE NATIONAL PEER GROUPS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$3,705,623	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$6,327,014	RevenueAmt
Desc	OTHER REVENUE INCLUDES PARTNERSHIP INCOME AND MISCELLANEOUS INCOME FOR MHS AND MEMORIAL HEALTH PARTNERS (MHP). MHP IS A DISREGARDED ENTITY OWNED 100% BY MHS. A GAIN WAS RECORDED IN BJC COLLABORATIVE. MHS ALSO HAD CARE COORDINATION PAYMENTS FOR MHP.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$3,705,623	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$6,327,014	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$59,531,808	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	68	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	8332	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KATHRYN KEIM SENIOR VP & CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2177883830	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 NORTH FIRST STREET	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	627810001	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
EDGAR CURTIS EX-OFFICIO
PRESIDENT & CEO	25.00	25.00	Yes (X)	Yes (X)	$2,524,424	$0	$48,974
MITCHELL JOHNSON
FMR SVP & CHIEF STRATEGY OFFICER	0.00	0.00			$1,731,531	$0	$0	Yes (X)
DAVID GRAHAM MD
SVP&CHF QUALITY&INOVNOFFCR(THRUSEP20)	25.00	25.00			$1,162,469	$0	$229,575		Yes (X)
R SCOTT KIRIAKOS
FMR SVP CLINICAL INTEGRATION	0.00	0.00			$0	$1,386,470	$0	Yes (X)
CHARLES CALLAHAN PHD
PRESIDENT MHS HOSPITAL GROUP	25.00	25.00			$0	$896,825	$204,520		Yes (X)
ANNA EVANS JD
SVP & GENERAL COUNSEL	25.00	25.00			$667,797	$0	$204,229		Yes (X)
RAJESH GOVINDAIAH MD
SVP & CHIEF MEDICAL OFFICER	25.00	25.00			$760,316	$0	$91,050		Yes (X)
KATHRYN KEIM
SVP & CFO	25.00	25.00		Yes (X)	$697,715	$0	$120,514
KEVIN ENGLAND
SVP & CHIEF ADMINISTRATIVE OFFICER	25.00	25.00			$547,576	$0	$267,081		Yes (X)
AIMEE DAILY PHD
SVP & CHIEF TRANSFORMATION OFFICER	25.00	25.00			$198,512	$370,697	$96,957		Yes (X)
JAMESON ROSZHART
PRESIDENT MHS AMBULATORY GROUP	25.00	25.00			$546,628	$0	$109,731		Yes (X)
DREW EARLY
PRESIDENT & CEO DMH	0.00	50.00			$550,289	$0	$92,598			Yes (X)
ROBERT SCOTT
SVP & CHIEF HR OFFICER (THRUMAY21)	25.00	25.00			$478,964	$0	$92,664		Yes (X)
W SCOTT BOSTON MD
PRESIDENT & CEO PAH	0.00	50.00			$479,502	$0	$84,792			Yes (X)
MARSHA PRATER PHD
SVP & CHIEF NURSING OFFICER	25.00	25.00			$0	$522,715	$38,436		Yes (X)
J TRAVIS DOWELL
PRESIDENT & CEO MPS	0.00	50.00			$451,185	$0	$83,750			Yes (X)
DOLAN DALPOAS
PRES&CEO ALMH;INTERIM CHRO(FROMMAY21)	0.00	50.00			$435,854	$0	$55,769			Yes (X)
MARK BURMESTER
SYS ADMIN, STRATEGY DEV. (THRUFEB20)	0.00	50.00			$435,616	$0	$8,471			Yes (X)
JOSEPH HURWITZ
BOARD MEMBER	0.70	0.70	Yes (X)		$0	$0	$0
WILLIAM PUTMAN MD
BOARD MEMBER(FROM JAN21)	0.70	0.00	Yes (X)		$0	$0	$0
REGINALD BENTON
BOARD MEMBER	0.70	1.40	Yes (X)		$0	$0	$0
JERRY KRUSE MD MSPH
BOARD MEMBER	0.70	0.00	Yes (X)		$0	$0	$0
JOHN BLACKBURN
BOARD MEMBER	0.70	0.70	Yes (X)		$0	$0	$0
RANDALL GERMERAAD
BOARD MEMBER	0.70	0.70	Yes (X)		$0	$0	$0
LARRY ALTENBAUMER
BOARD MEMBER	0.70	1.40	Yes (X)		$0	$0	$0
AIMEE FYKE
BOARD MEMBER	0.70	1.40	Yes (X)		$0	$0	$0
JONATHAN LOCKE MD
BOARD MEMBER	0.70	0.70	Yes (X)		$0	$0	$0
DAVID GRIFFEN MD PHD
BOARD MEMBER	0.70	0.70	Yes (X)		$0	$0	$0
CHERYL MARTIN
BOARD MEMBER	0.70	0.00	Yes (X)		$0	$0	$0
RICHARD LEVI
BOARD MEMBER	0.70	0.70	Yes (X)		$0	$0	$0
BARBARA FARLEY
BOARD MEMBER(FROMJAN21)	0.70	0.70	Yes (X)		$0	$0	$0
NINA HARRIS
BRDMEM(THRUDEC20)/SECRETARY	1.40	1.40	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL AIELLO
2ND VICE CHAIR	1.40	1.40	Yes (X)	Yes (X)	$0	$0	$0
TODD WISE
1ST VICE CHAIR & TREASURER	1.40	1.40	Yes (X)	Yes (X)	$0	$0	$0
DEAN ROBERT JR
CHAIR	1.40	1.40	Yes (X)	Yes (X)	$0	$0	$0
DIANE RUTLEDGE PHD
BOARD MEMBER	1.40	1.40	Yes (X)	Yes (X)	$0	$0	$0
GEOFFREY ISRINGHAUSEN
SECRETARY(THRUDEC20)	1.40	1.40	Yes (X)	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,668,378	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,176,707	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,829,111	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	114	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HAROLD O'SHEA BUILDERS INC
3401 CONSITUTION DR	SPRINGFIELD	IL	62711	COMMERCIAL CONSTRUCTION	$13,057,872
MICROSOFT LICENSING GP INC
1950 N STEMMONS FWY STE 5010 LB 84	DALLAS	TX	75207	ENTERPRISE SERVER SERVICES	$6,544,743
HOUSTON-ALLIANT INSURANCE SERVICES
PO BOX 840919	DALLAS	TX	75284	INSURANCE	$5,251,954
AHEAD
75 REMITTANCE DRIVE DEPT 6980	CHICAGO	IL	606756980	IT SERVICES	$5,001,138
JUMP COMPANY
1120 S 6TH STREET STE 502	ST LOUIS	MO	63104	ADVERTISING	$4,130,161

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	102	CntrctRcvdGreaterThan100KCnt
Government Grants	$77,632	GovernmentGrantsAmt
Total Contributions	$77,632	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MANAGEMENT FEES	900099	$72,982,864	$72,700,752	$282,112
PROGRAM RELATED RENT	900099	$6,641,356	$6,641,356
MHP REVENUE	900099	$6,276,518	$6,276,518
IT REIMBURSED EXPENSES	900099	$1,890,738	$1,890,738
RELATED PARTNERSHIP RE	900099	$5,370	$5,370

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,126	TotalRevenueColumnAmt
Related Or Exempt Func Income	$45,126	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$87,841,972	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$941,045	TotalRevenueColumnAmt
Exclusion	$941,045	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$16,818,341	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$12,516,517	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,301,824	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,301,824	TotalRevenueColumnAmt
Unrelated Business Revenue	$12,781	UnrelatedBusinessRevenueAmt
Exclusion	$4,289,043	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$528,204,001	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$540,443,120	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$12,239,119	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$12,239,119	TotalRevenueColumnAmt
Exclusion	-$12,239,119	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
BILLING SERVICE	561000	$1,695,572	$36,098	$1,659,474
TRANSFER FEES	900009	$1,446	$1,446

Field	Value	IRS element (for citing)
Other Revenue Total	$1,697,018	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$82,620,372	TotalRevenueColumnAmt
Related Or Exempt Func Income	$87,559,860	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$332,437	UnrelatedBusinessRevenueAmt
Exclusion	-$5,349,557	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,801,086	TotalAmt
Program Services	$6,801,086	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$224,035	TotalAmt
Program Services	$224,035	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$34,676,648	TotalAmt
Program Services	$16,533,597	ProgramServicesAmt
Management And General	$18,143,051	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$146,833	TotalAmt
Program Services	$70,009	ProgramServicesAmt
Management And General	$76,824	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,056,224	TotalAmt
Program Services	$837,391	ProgramServicesAmt
Management And General	$1,218,833	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,445,342	TotalAmt
Program Services	$1,329,184	ProgramServicesAmt
Management And General	$1,116,158	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$934,765	TotalAmt
Management And General	$934,765	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$595,651	TotalAmt
Management And General	$595,651	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$75,000	TotalAmt
Management And General	$75,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$249,147	TotalAmt
Management And General	$249,147	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,458,525	TotalAmt
Program Services	$713,193	ProgramServicesAmt
Management And General	$4,745,332	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,492,892	TotalAmt
Program Services	$938,346	ProgramServicesAmt
Management And General	$2,554,546	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,815,121	TotalAmt
Program Services	$967,085	ProgramServicesAmt
Management And General	$6,848,036	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$19,549,389	TotalAmt
Program Services	$18,509,195	ProgramServicesAmt
Management And General	$1,040,194	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,075,327	TotalAmt
Program Services	$2,549,878	ProgramServicesAmt
Management And General	$525,449	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$94,092	TotalAmt
Program Services	$27,618	ProgramServicesAmt
Management And General	$66,474	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$208,567	TotalAmt
Program Services	$111,343	ProgramServicesAmt
Management And General	$97,224	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,090,201	TotalAmt
Program Services	$1,090,201	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,063,912	TotalAmt
Program Services	$8,695,406	ProgramServicesAmt
Management And General	$368,506	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$274,033	TotalAmt
Management And General	$274,033	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
RECRUITMENT	$1,594,452	$1,594,452
REPAIRS AND MAINTENANCE	$112,893	$3,633	$109,260
FOOD & DIETARY SUPPLIES	$84,882	$83,006	$1,876
MINOR PROJECT COSTS	$61,164	$38,081	$23,083

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$22	TotalAmt
Program Services	$22	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$100,180,203	TotalAmt
Program Services	$59,531,808	ProgramServicesAmt
Management And General	$40,648,395	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,167,369	BOYAmt
EOY	$13,664,310	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,666,661	BOYAmt
EOY	$21,944,432	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,296,794	BOYAmt
EOY	$1,848,631	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,299,651	BOYAmt
EOY	$13,364,454	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$404,921,515	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$202,059,439	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$198,199,306	BOYAmt
EOY	$202,862,076	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$72,619,518	BOYAmt
EOY	$95,202,487	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$613,977	BOYAmt
EOY	$618,715	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$217,375,041	BOYAmt
EOY	$231,990,142	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$515,238,317	BOYAmt
EOY	$581,495,247	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$28,380,675	BOYAmt
EOY	$40,673,827	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$707,701	BOYAmt
EOY	$1,144,695	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$203,459,000	BOYAmt
EOY	$195,372,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$61,420,185	BOYAmt
EOY	$58,807,293	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$92,444,916	BOYAmt
EOY	$100,192,457	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$386,412,477	BOYAmt
EOY	$396,190,272	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$128,825,840	BOYAmt
EOY	$185,304,975	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$128,825,840	BOYAmt
EOY	$185,304,975	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$515,238,317	BOYAmt
EOY	$581,495,247	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$17,559,831	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$23,986,163	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$50,052,803	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
Supported Organizations	13	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (13 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
MEMORIAL MEDICAL CENTER
370661220	3	0	$59,570,359	$0
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
370661230	3	0	$3,552,074	$0
ABRAHAM LINCOLN MEMORIAL HOSPITAL
370723793	3	0	$1,839,376	$0
TAYLORVILLE MEMORIAL HOSPITAL
370661250	3	0	$1,743,640	$0
DECATUR MEMORIAL HOSPITAL
370661199	3	0	$0	$0
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
370646367	7	0	$856,058	$0
SPRINGFIELD RESIDENTIAL SERVICES
371298589	7	0	$0	$0
ABRAHAM LINCOLN HEALTHCARE FOUNDATION
363492268	7	0	$0	$0
MEMORIAL MEDICAL CENTER FOUNDATION
371110301	7	0	$0	$0
MEMORIAL HOME SERVICES
370714225	7	0	$644,491	$0
DECATUR MEMORIAL HEALTH FOUNDATION
454256254	7	0	$0	$0
MEMORIAL PHYSICIAN SERVICES
371181194	10	0	$4,771,747	$0
MEMORIAL HEALTH VENTURES
363492266	10	0	$5,118	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	13	SupportedOrganizationsTotalCnt
Support Sum	$72,982,863	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	0	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	0	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	0	SupportedOrgSectionC456Ind
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	0	OrganizationChangeSuprtOrgInd
Support Non Supported Org	0	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (1)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (1)	OfficersCloseRelationshipInd
Supported Org Voice Investment	Yes (1)	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	Yes (1)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (1)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SECTION A, LINE 1	MEMORIAL HEALTH SYSTEM'S (37-1110690) SUPPORTED ORGANIZATIONS ARE NOT LISTED BY NAME IN MEMORIAL HEALTH SYSTEM'S GOVERNING DOCUMENTS. HOWEVER, MEMORIAL HEALTH SYSTEM IS LISTED IN THE SUPPORTED ORGANIZATIONS' GOVERNING DOCUMENTS AS THE SOLE CORPORATE MEMBER (PARENT) OF THE SUPPORTED ORGANIZATION (MEMORIAL MEDICAL CENTER, THE PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION, THE ABRAHAM LINCOLN MEMORIAL HOSPITAL, TAYLORVILLE MEMORIAL HOSPITAL, DECATUR MEMORIAL HOSPITAL, MENTAL HEALTH CENTERS OF ILLINOIS, ABRAHAM LINCOLN HEALTHCARE FOUNDATION, MEMORIAL HOME SERVICES, MEMORIAL PHYSICIAN SERVICES, 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, MEMORIAL MEDICAL CENTER FOUNDATION, DECATUR MEMORIAL HEALTH FOUNDATION). ALL SUPPORTED ORGANIZATIONS ARE CONSIDERED RELATED ORGANIZATIONS OF THE FILING ORGANIZATION AND ARE DISCLOSED ON SCHEDULE R, PART II. MEMORIAL HEALTH SYSTEM HAS SUPPORTED THESE RELATED ORGANIZATIONS SINCE EACH ORGANIZATION BECAME A RELATED ORGANIZATION IN FURTHERANCE OF MEMORIAL HEALTH SYSTEM'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 SYSTEM ARE DESIGNATED BY THE CLASS AND/OR PURPOSE, WHICH AS STATED IN MEMORIAL HEALTH SYSTEM'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	MHS EXISTS TO SUPPORT THE SUPPORTED ORGANIZATIONS AS AN ADMINISTRATIVE PARENT ORGANIZATION. EACH SUPPORTED ORGANIZATION POOLS ITS INVESTMENTS UNDER MHS INVESTMENT POLICY AND GOVERNANCE. THE ASSETS AND INCOME OF MHS ARE USED TO SUPPORT THE OPERATION AND ADMINISTRATION TO SUPPORT ALL SUPPORTED ORGANIZATIONS.
SECTION E, LINE 3A	MHS IS THE PARENT AND SOLE CORPORATE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS.
SECTION E, LINE 3B	MEMORIAL HEALTH SYSTEM IS THE PARENT AND SOLE CORPORATE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS. IN ITS CAPACITY AS THE SOLE CORPORATE MEMBER, MEMORIAL HEALTH SYSTEM PROVIDES OVERALL DIRECTION, MANAGEMENT AND CONTROL OVER ITS SUPPORTED ORGANIZATIONS. MEMORIAL HEALTH SYSTEM ALSO HAS CERTAIN RESERVED POWERS. FOR EXAMPLE, ALL CAPITAL AND OPERATING BUDGETS MUST BE APPROVED BY MEMORIAL HEALTH SYSTEM.

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$75,000	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$75,000	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,572,585	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$20,669,470	OtherCostOrOtherBasisAmt
Book Value	$23,242,055	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$139,656,601	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$116,139,423	OtherCostOrOtherBasisAmt
Depreciation	$122,356,954	DepreciationAmt
Book Value	$133,439,070	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$31,837	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$60,363	OtherCostOrOtherBasisAmt
Depreciation	$35,855	DepreciationAmt
Book Value	$56,345	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$5,251,114	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$92,923,970	OtherCostOrOtherBasisAmt
Depreciation	$77,150,324	DepreciationAmt
Book Value	$21,024,760	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$945,801	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$26,670,351	OtherCostOrOtherBasisAmt
Depreciation	$2,516,306	DepreciationAmt
Book Value	$25,099,846	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$202,862,076	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
LIFE INSURANCE - VARIOUS AGREEMENTS	$1,560,456
INTERCOMPANY DEBT FROM RELATED ENTITIES	$183,249,204
DEFERRED TAX ASSET & VALUATION	$28,061
RIGHT OF USE ASSET	$9,354,315
PREPAID PENSION	$27,379,489
NONCURRENT INSURANCE RECOVERIES	$10,418,617

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$231,990,142	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION	$15,736,003
PROFESSIONAL LIABILITY	$47,273,329
RESERVE FOR POST EMPLOYMENT BENEFITS	$17,769,044
DUE TO AFFILIATES	$1,601,787
SWAP LIABILITY	$397,702
RESTORATION PLAN	$6,849,014
UNAMORTIZED BOND PREMIUMS, DISCOUNTS AND ISSUE COSTS	$1,118,104
ASC842 LIABILITY	$9,447,474

Field	Value	IRS element (for citing)
Total Liability	$100,192,457	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	EACH OF MEMORIAL HEALTH SYSTEM'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 TAXES, NO TAX PROVISION WAS RECORDED FOR THE YEARS ENDED SEPTEMBER 30, 2021 OR 2020. 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 ASSOCIATION (PPA) IS A TAXABLE NOT-FOR-PROFIT CORPORATION. BOTH ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
EDGAR CURTIS EX-OFFICIO
PRESIDENT & CEO	$1,035,255	$0	$352,003	$0	$1,137,166	$0	$28,150	$0	$20,824	$0	$2,573,398	$0	$0	$0
MITCHELL JOHNSON
FMR SVP & CHIEF STRATEGY OFFICER	$0	$0	$0	$0	$1,731,531	$0	$0	$0	$0	$0	$1,731,531	$0	$1,280,415	$0
DAVID GRAHAM MD
SVP&CHF QUALITY&INOVNOFFCR(THRUSEP20	$367,183	$0	$0	$0	$795,286	$0	$215,157	$0	$14,418	$0	$1,392,044	$0	$436,134	$0
R SCOTT KIRIAKOS
FMR SVP CLINICAL INTEGRATION	$0	$0	$0	$0	$0	$1,386,470	$0	$0	$0	$0	$0	$1,386,470	$0	$1,274,019
CHARLES CALLAHAN PHD
PRESIDENT MHS HOSPITAL GROUP	$0	$570,994	$0	$173,645	$0	$152,186	$0	$172,985	$0	$31,535	$0	$1,101,345	$0	$60,296
ANNA EVANS JD
SVP & GENERAL COUNSEL	$431,823	$0	$118,944	$0	$117,030	$0	$174,896	$0	$29,333	$0	$872,026	$0	$60,907	$0
RAJESH GOVINDAIAH MD
SVP & CHIEF MEDICAL OFFICER	$512,927	$0	$139,169	$0	$108,220	$0	$86,814	$0	$4,236	$0	$851,366	$0	$42,600	$0
KATHRYN KEIM
SVP & CFO	$519,506	$0	$142,942	$0	$35,267	$0	$89,862	$0	$30,652	$0	$818,229	$0	$0	$0
KEVIN ENGLAND
SVP & CHIEF ADMINISTRATIVE OFFICER	$347,594	$0	$123,165	$0	$76,817	$0	$229,511	$0	$37,570	$0	$814,657	$0	$25,182	$0
AIMEE DAILY PHD
SVP & CHIEF TRANSFORMATION OFFICER	$87,446	$304,734	$108,150	$0	$2,916	$65,963	$13,020	$63,233	$3,932	$16,772	$215,464	$450,702	$0	$24,553
JAMESON ROSZHART
PRESIDENT MHS AMBULATORY GROUP	$403,234	$0	$112,112	$0	$31,282	$0	$77,148	$0	$32,583	$0	$656,359	$0	$5,127	$0
DREW EARLY
PRESIDENT & CEO DMH	$392,165	$0	$77,640	$0	$80,484	$0	$61,615	$0	$30,983	$0	$642,887	$0	$0	$0
ROBERT SCOTT
SVP & CHIEF HR OFFICER (THRUMAY21)	$351,233	$0	$96,016	$0	$31,715	$0	$64,807	$0	$27,857	$0	$571,628	$0	$0	$0
W SCOTT BOSTON MD
PRESIDENT & CEO PAH	$387,023	$0	$76,125	$0	$16,354	$0	$53,565	$0	$31,227	$0	$564,294	$0	$0	$0
MARSHA PRATER PHD
SVP & CHIEF NURSING OFFICER	$0	$359,549	$0	$97,901	$0	$65,265	$0	$28,219	$0	$10,217	$0	$561,151	$0	$0
J TRAVIS DOWELL
PRESIDENT & CEO MPS	$293,669	$0	$58,160	$0	$99,356	$0	$55,483	$0	$28,267	$0	$534,935	$0	$23,465	$0
DOLAN DALPOAS
PRES&CEO ALMH;INTERIM CHRO(FROMMAY21	$310,131	$0	$59,729	$0	$65,994	$0	$55,337	$0	$432	$0	$491,623	$0	$25,763	$0
MARK BURMESTER
SYS ADMIN, STRATEGY DEV. (THRUFEB20)	$49,289	$0	$0	$0	$386,327	$0	$4,853	$0	$3,618	$0	$444,087	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2020 WAS COMPRISED OF THE FOLLOWING COMPONENTS: BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER COMPENSATION, RETIREMENT/DEFERRED COMPENSATION AND OTHER NONTAXABLE BENEFITS. BASE COMPENSATION FOR MR. CURTIS WAS DETERMINED BASED ON THE METHODS DESCRIBED IN PART I, LINE 3 CONDUCTED BY INDEPENDENT COMPENSATION CONSULTANTS. BASE COMPENSATION LEVELS WERE SET BY THE LEADERSHIP COMPENSATION COMMITTEE, 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 THE INDEPENDENT COMPENSATION CONSULTANT. INCENTIVE COMPENSATION WAS CONTINGENT ON THE 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 OF AN $830,845 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 $216,334 THAT WAS PREVIOUSLY DEPOSITED IN A DEFERRED COMPENSATION PLAN, BUT ARE NOW ALSO DISTRIBUTED DIRECTLY DUE TO BEING FULLY VESTED.
PART I, LINES 4A-B	CERTAIN LISTED INDIVIDUALS PARTICIPATE IN NONQUALIFIED DEFERRED COMPENSATION PLANS MAINTAINED BY MEMORIAL HEALTH SYSTEM (MHS). 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 2020 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, MEMORIAL MEDICAL CENTER: MARK BURMESTER $71,298, CHARLES CALLAHAN, PH.D. $80,488, EDGAR CURTIS $1,047,179, AIMEE DAILY, PH.D. $32,375, DOLAN DALPOAS $41,962, J. TRAVIS DOWELL $31,338, KEVIN ENGLAND $49,384, ANNA EVANS, J.D. $109,601, RAJESH GOVINDAIAH, M.D. $77,612, DAVID GRAHAM, M.D. $647,242, MITCHELL JOHNSON $1,731,531, R. SCOTT KIRIAKOS $1,386,470, MARSHA PRATER, PH.D. $47,491, AND JAMESON ROSZHART $7,444. 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 SYSTEM LEADERS, IN A MANNER INTENDED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL INCOME TAX LAW.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A	861091967	45203HYQ9	2014-01-30	$60,465,495	SEE PART VI	Yes (1)	0	0
ILLINOIS FINANCE AUTHORITY
B	861091967	45204EU22	2019-02-05	$148,436,538	SEE PART VI	0	0	0
ILLINOIS FINANCE AUTHORITY
C	861091967		2020-09-11	$55,510,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$57,250,000	$60,465,495	$60,465,495	2015	0	Yes (1)	Yes (1)
B	$7,625,000	$148,436,538	$42,654,388	2019	Yes (1)	Yes (1)	Yes (1)	$105,782,150
C	$1,510,000	$55,510,000		2020	Yes (1)	Yes (1)	Yes (1)		$54,930,000	$580,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct
A	0	0	0	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00070	0.00850	0.00920
C	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)
B	Yes (1)	0	Yes (1)
C	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 MEMORIAL MEDICAL CENTER, 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, 2021, $2,750,000 OF THE 2014A SERIES REMAINED OUTSTANDING. THE PURPOSE OF THE 2019 ISSUE WAS TO REFINANCE THE 2009 SERIES AND UPGRADE THE SPRINGFIELD CAMPUS'S EMERGENCY POWER SYSTEM; UPGRADE MEMORIAL HEALTH SYSTEMS REVENUE CYCLE SOFTWARE; RENOVATE AND EQUIP MEMORIAL MEDICAL CENTER'S OR, ICU AND SEVERAL OTHER AREAS IN MEMORIAL MEDICAL CENTER, 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	$105,782,150 OF THE 2019 ISSUE WAS USED TO REFINANCE THE 2009 SERIES.
PART II, LINE 3	TOTAL PROCEEDS ISSUED AMOUNT IN COLUMNS A & B DOESN'T TIE TO PART I COLUMN (E) DUE TO INVESTMENT EARNINGS INCLUDED IN PART II, LINE 3.
PART III, LINE 3B & 3D	MEMORIAL HEALTH SYSTEM'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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LEVI RAY AND SHOUP
SEE PART V	$1,281,110	SEE PART V	0
CENTRAL ILLINOIS SECURITY
SEE PART V	$284,032	SEE PART V	0
HENRY HURWITZ
SEE PART V	$224,035	SEE PART V	0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
(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: $1,281,110(D)DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH SYSTEM PAID FEES TO LEVI, RAY AND SHOUP FOR SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2021. RICHARD LEVI IS A MEMBER OF MEMORIAL HEALTH SYSTEM'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: $284,032.30(D)DESCRIPTION OF TRANSACTION: MEMORIAL SYSTEM PAID FEES TO CENTRAL ILLINOIS SECURITY FOR SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2021. RICHARD LEVI IS A MEMBER OF MEMORIAL HEALTH SYSTEM'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
(A) NAME OF PERSON: HENRY HURWITZ	(B)RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; SON OF JOSEPH HURWITZ, MHS BOARD MEMBER(C)AMOUNT OF TRANSACTIONS: $224,035(D)DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH SYSTEM PAID COMPENSATION AND BENEFITS OF $224,035 TO HENRY HURWITZ RELATED TO EMPLOYMENT SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2021. HENRY HURWITZ IS THE SON OF JOSEPH HURWITZ, MEMBER OF MEMORIAL HEALTH SYSTEM'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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART IV, LINE 24A	ONE SCHEDULE K WAS COMPLETED AT THE PARENT (MEMORIAL HEALTH SYSTEM) LEVEL ONLY. MEMORIAL HEALTH SYSTEM IS SHOWING THE ENTIRE LIABILITY ON THE BALANCE SHEET WITH AN INTERCOMPANY DEBT FROM RELATED ENTITIES, AS CAN BE SEEN ON SCHEDULE D.
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	MICHAEL AIELLO, ED CURTIS AND NINA HARRIS HAVE A BUSINESS RELATIONSHIP. TODD WISE AND DIANE RUTLEDGE HAVE A BUSINESS RELATIONSHIP. ED CURTIS AND JERRY KRUSE HAVE A BUSINESS RELATIONSHIP. DEAN ROBERT, JR AND JOHN BLACKBURN HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 4	BYLAWS WERE CHANGED AND THE CORPORATION NO LONGER HAS MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11B	A DRAFT COPY OF THE MHS 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 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 SYSTEM MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY IDENTIFYING ANY POTENTIAL CONFLICTS AT THE TIME EACH MEETING AGENDA IS PREPARED. ANY OFFICER OR DIRECTOR WHO HAS A CONFLICT IS NOTIFIED OF SUCH CONFLICT, AS WELL AS THEIR OBLIGATION TO ABSTAIN FROM THE DISCUSSION AND VOTE ON ANY CONFLICTED ISSUES(S). SUCH ABSTENTION(S), IF REQUIRED, ARE DOCUMENTED IN THE MINUTES OF EACH MEETING. BOARD MEMBERS ARE ALSO REQUIRED TO UPDATE THEIR CONFLICT OF INTEREST DISCLOSURE STATEMENTS PROMPTLY IN THE EVENT OF ANY CHANGE IN PERSONAL OR BUSINESS ACTIVITIES THAT WOULD REQUIRE SUCH DISCLOSURE.
FORM 990, PART VI, SECTION B, LINE 15	THE MEMORIAL HEALTH SYSTEM 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 SYSTEM, SUCH AS ARTICLES OF INCORPORATION AND ANY AMENDMENTS THERETO, ARE AVAILABLE TO THE GENERAL PUBLIC THROUGH THE ILLINOIS SECRETARY OF STATE'S OFFICE. THESE GOVERNING DOCUMENTS, AS WELL AS THE BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE UPON REQUEST FROM THE CORPORATION. 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 -4,938,492. CHANGE IN UNRESTRICTED NET ASSETS 54,991,924. INCOME STATEMENT BOOK/TAX DIFF -629.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MEMORIAL HEALTH PARTNERS LLC
701 NORTH 1ST STREET	SPRINGFIELD	IL	62781	463947269	TO COORDINATE PATIENT CARE ACTIVITIES ACROSS THE HEALTHCARE CONTINUUM	IL	$6,276,518	$5,255,425	MEMORIAL HEALTH SYSTEM
MHS QALICB LLC
701 NORTH 1ST STREET	SPRINGFIELD	IL	62781	475644450	TO FACILITATE NEW MARKETS TAX CREDITS TRANSACTIONS RELATED TO SIU	IL	$2,035,731	$14,674,905	MEMORIAL HEALTH SYSTEM
MCDEKK LLC
701 NORTH 1ST STREET	SPRINGFIELD	IL	62781	822701739	TO FACILITATE FACTORING OF RECEIVABLES	IL	$0	$10,000	MEMORIAL HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MEMORIAL MEDICAL CENTER
701 NORTH FIRST ST	SPRINGFIELD	IL	627810001	370661220	HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MEMORIAL HEALTH SYSTEM	Yes (1)
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
1600 WEST WALNUT STREET	JACKSONVILLE	IL	62650	370661230	HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MEMORIAL HEALTH SYSTEM	Yes (1)
ABRAHAM LINCOLN MEMORIAL HOSPITAL
200 STAHLHUT DR	LINCOLN	IL	62656	370723793	HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MEMORIAL HEALTH SYSTEM	Yes (1)
TAYLORVILLE MEMORIAL HOSPITAL
201 EAST PLEASANT	TAYLORVILLE	IL	62568	370661250	HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MEMORIAL HEALTH SYSTEM	Yes (1)
DECATUR MEMORIAL HOSPITAL
2300 N EDWARD	DECATUR	IL	62526	370661199	HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MEMORIAL HEALTH SYSTEM	Yes (1)
ABRAHAM LINCOLN HEALTHCARE FOUNDATION
200 STAHLHUT DR	LINCOLN	IL	62656	363492268	GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALS	IL	501(C)(3)	LINE 7	MEMORIAL HEALTH SYSTEM	Yes (1)
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
710 NORTH EIGHTH STREET	SPRINGFIELD	IL	62702	370646367	TRAINING, PSYCHIATRIC, AND RESIDENT SERVICES FOR MENTALLY ILL AND DISABLED	IL	501(C)(3)	LINE 7	MEMORIAL HEALTH SYSTEM	Yes (1)
SPRINGFIELD RESIDENTIAL SERVICES
710 NORTH EIGHTH STREET	SPRINGFIELD	IL	62702	371298589	RESIDENTIAL HUD HOUSING PROJECT FOR MENTALLY ILL	IL	501(C)(3)	LINE 7	MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS	0
MEMORIAL HOME SERVICES
720 NORTH BOND	SPRINGFIELD	IL	627024915	370714225	HOME HEALTH AND HOSPICE	IL	501(C)(3)	LINE 7	MEMORIAL HEALTH SYSTEM	Yes (1)
MEMORIAL MEDICAL CENTER FOUNDATION
701 N FIRST STREET	SPRINGFIELD	IL	62781	371110301	GRANTS TO HOSPITALS, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS	IL	501(C)(3)	LINE 7	MEMORIAL MEDICAL CENTER	0
TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION INC
201 EAST PLEASANT	TAYLORVILLE	IL	62568	371337485	GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALS	IL	501(C)(3)	LINE 7	TAYLORVILLE MEMORIAL HOSPITAL	0
PASSAVANT AREA HOSPITAL FOUNDATION
1600 WEST WALNUT STREET	JACKSONVILLE	IL	62650	461037396	SUPPORTING THE HOSPITAL	IL	501(C)(3)	LINE 7	PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION	0
MEMORIAL PHYSICIAN SERVICES
701 NORTH FIRST ST	SPRINGFIELD	IL	627810001	371181194	HEALTH CLINICS	IL	501(C)(3)	LINE 10	MEMORIAL HEALTH SYSTEM	Yes (1)
MEMORIAL HEALTH VENTURES
701 NORTH FIRST ST	SPRINGFIELD	IL	627810001	363492266	HEALTHCARE ACTIVITIES	IL	501(C)(3)	LINE 10	MEMORIAL HEALTH SYSTEM	Yes (1)
JACKSONVILLE CRNA'S INC
1600 WEST WALNUT STREET	JACKSONVILLE	IL	62650	273083265	CRNA SERVICES	IL	501(C)(3)	LINE 10	PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION	0
DECATUR MEMORIAL HEALTH FOUNDATION
2300 N EDWARD	DECATUR	IL	62526	454256254	GRANTS TO HOSPITALS, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS	IL	501(C)(3)	LINE 12A, I	DECATUR MEMORIAL HOSPITAL	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC
701 NORTH FIRST ST	SPRINGFIELD	IL	62781	371190216	PROVIDE DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO PATIENTS	IL	N/A	C	Yes (1)
PASSAVANT PHYSICIAN ASSOCIATION
1600 WEST WALNUT	JACKSONVILLE	IL	62650	261200566	PHYSICIAN SERVICES	IL	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (45 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MEMORIAL PHYSICIAN SERVICES
A	$3,329,204	FMV
MEMORIAL MEDICAL CENTER
A	$2,891,724	FMV
DECATUR MEMORIAL HOSPITAL
A	$404,024	FMV
MEMORIAL PHYSICIAN SERVICES
B	$36,832,770	FMV
PASSAVANT MEMORIAL AREA HOSPTIAL ASSOCIATION
B	$1,905,597	FMV
DECATUR MEMORIAL HOSPITAL
B	$3,042,759	FMV
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
B	$106,615	FMV
MEMORIAL MEDICAL CENTER
C	$68,901,890	FMV
MEMORIAL HEALTH VENTURES
C	$900,000	FMV
ABRAHAM LINCOLN MEMORIAL HOSPITAL
C	$8,882,770	FMV
MEMORIAL MEDICAL CENTER
K	$333,840	FMV
MEMORIAL MEDICAL CENTER
L	$57,530,427	FMV
MEMORIAL HOME SERVICES
L	$362,380	FMV
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
L	$891,974	FMV
MEMORIAL PHYSICIAN SERVICES
L	$6,373,377	FMV
ABRAHAM LINCOLN MEMORIAL HOSPITAL
L	$1,839,564	FMV
TAYLORVILLE MEMORIAL HOSPTIAL
L	$1,743,640	FMV
PASSAVANT MEMORIAL AREA HOSPTIAL ASSOCIATION
L	$3,508,649	FMV
MEMORIAL MEDICAL CENTER
M	$817,241	FMV
MEMORIAL MEDICAL CENTER
O	$217,943,440	FMV
MEMORIAL HOME SERVICES
O	$4,710,976	FMV
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
O	$5,663,997	FMV
MEMORIAL PHYSICIAN SERVICES
O	$36,719,713	FMV
ABRAHAM LINCOLN MEMORIAL HOSPITAL
O	$10,984,922	FMV
TAYLORVILLE MEMORIAL HOSPTIAL
O	$13,758,749	FMV
PASSAVANT MEMORIAL AREA HOSPTIAL ASSOCIATION
O	$29,297,395	FMV
DECATUR MEMORIAL HOSPITAL
O	$77,548,934	FMV
MEMORIAL MEDICAL CENTER
P	$83,892,425	FMV
MEMORIAL HOME SERVICES
P	$993,575	FMV
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
P	$1,404,178	FMV
MEMORIAL PHYSICIAN SERVICES
P	$3,450,782	FMV
ABRAHAM LINCOLN MEMORIAL HOSPITAL
P	$2,242,112	FMV
TAYLORVILLE MEMORIAL HOSPTIAL
P	$1,671,556	FMV
PASSAVANT MEMORIAL AREA HOSPTIAL ASSOCIATION
P	$12,209,890	FMV
DECATUR MEMORIAL HOSPITAL
P	$28,503,449	FMV
MEMORIAL MEDICAL CENTER
Q	$423,603,711	FMV
MEMORIAL HOME SERVICES
Q	$2,610,824	FMV
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Q	$1,586,295	FMV
SPRINGFIELD RESIDENTIAL SERVICES
Q	$57,879	FMV
MEMORIAL PHYSICIAN SERVICES
Q	$9,025,322	FMV
ABRAHAM LINCOLN MEMORIAL HOSPITAL
Q	$6,588,207	FMV
TAYLORVILLE MEMORIAL HOSPTIAL
Q	$23,630,962	FMV
PASSAVANT MEMORIAL AREA HOSPTIAL ASSOCIATION
Q	$42,587,401	FMV
MEMORIAL MEDICAL CENTER FOUNDATION
Q	$744,339	FMV
DECATUR MEMORIAL HOSPITAL
Q	$22,483,204	FMV