2022-08-15T16:28:43-05:00 2021-09-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DR CHICAGO IL 60606 990 2020-10-01 371110690 MEMORIAL HEALTH SYSTEM MEMO 2177883198 701 NORTH FIRST STREET SPRINGFIELD IL 627810001 KATHRYN J KEIM SR VICE PRESIDENT & CFO 2177883830 2022-08-15 1 KATHRYN KEIM 999009999 JESSICA A WAGENER P01622613 3128792000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KATHRYN J KEIM 701 NORTH FIRST STREET SPRINGFIELD IL 627810001 635580009 0 5670 X WWW.CHOOSEMEMORIAL.COM X 1981 IL TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH. 19 16 8332 14 332437 0 0 77632 83011917 87841972 21962375 -11298074 2674333 5998842 107648625 82620372 33173 0 0 0 45032284 46350168 0 0 0 44770014 53830035 89835471 100180203 17813154 -17559831 515238317 581495247 386412477 396190272 128825840 185304975 X TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH. 0 0 40687359 0 1890738 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. 8337740 0 6641356 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. 6801086 0 72982864 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. 3705623 0 6327014 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. 3705623 0 6327014 59531808 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 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 X 68 0 1 8332 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 19 16 1 0 1 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 2524424 0 48974 MITCHELL JOHNSON FMR SVP & CHIEF STRATEGY OFFICER 0.00 0.00 X 1731531 0 0 DAVID GRAHAM MD SVP&CHF QUALITY&INOVNOFFCR(THRUSEP20) 25.00 25.00 X 1162469 0 229575 R SCOTT KIRIAKOS FMR SVP CLINICAL INTEGRATION 0.00 0.00 X 0 1386470 0 CHARLES CALLAHAN PHD PRESIDENT MHS HOSPITAL GROUP 25.00 25.00 X 0 896825 204520 ANNA EVANS JD SVP & GENERAL COUNSEL 25.00 25.00 X 667797 0 204229 RAJESH GOVINDAIAH MD SVP & CHIEF MEDICAL OFFICER 25.00 25.00 X 760316 0 91050 KATHRYN KEIM SVP & CFO 25.00 25.00 X 697715 0 120514 KEVIN ENGLAND SVP & CHIEF ADMINISTRATIVE OFFICER 25.00 25.00 X 547576 0 267081 AIMEE DAILY PHD SVP & CHIEF TRANSFORMATION OFFICER 25.00 25.00 X 198512 370697 96957 JAMESON ROSZHART PRESIDENT MHS AMBULATORY GROUP 25.00 25.00 X 546628 0 109731 DREW EARLY PRESIDENT & CEO DMH 0.00 50.00 X 550289 0 92598 ROBERT SCOTT SVP & CHIEF HR OFFICER (THRUMAY21) 25.00 25.00 X 478964 0 92664 W SCOTT BOSTON MD PRESIDENT & CEO PAH 0.00 50.00 X 479502 0 84792 MARSHA PRATER PHD SVP & CHIEF NURSING OFFICER 25.00 25.00 X 0 522715 38436 J TRAVIS DOWELL PRESIDENT & CEO MPS 0.00 50.00 X 451185 0 83750 DOLAN DALPOAS PRES&CEO ALMH;INTERIM CHRO(FROMMAY21) 0.00 50.00 X 435854 0 55769 MARK BURMESTER SYS ADMIN, STRATEGY DEV. (THRUFEB20) 0.00 50.00 X 435616 0 8471 JOSEPH HURWITZ BOARD MEMBER 0.70 0.70 X 0 0 0 WILLIAM PUTMAN MD BOARD MEMBER(FROM JAN21) 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 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 BOARD MEMBER 0.70 0.00 X 0 0 0 RICHARD LEVI BOARD MEMBER 0.70 0.70 X 0 0 0 BARBARA FARLEY BOARD MEMBER(FROMJAN21) 0.70 0.70 X 0 0 0 NINA HARRIS BRDMEM(THRUDEC20)/SECRETARY 1.40 1.40 X X 0 0 0 MICHAEL AIELLO 2ND VICE CHAIR 1.40 1.40 X X 0 0 0 TODD WISE 1ST VICE CHAIR & TREASURER 1.40 1.40 X X 0 0 0 DEAN ROBERT JR CHAIR 1.40 1.40 X X 0 0 0 DIANE RUTLEDGE PHD BOARD MEMBER 1.40 1.40 X X 0 0 0 GEOFFREY ISRINGHAUSEN SECRETARY(THRUDEC20) 1.40 1.40 X X 0 0 0 11668378 3176707 1829111 114 1 1 0 HAROLD O'SHEA BUILDERS INC 3401 CONSITUTION DR SPRINGFIELD IL 62711 COMMERCIAL CONSTRUCTION 13057872 MICROSOFT LICENSING GP INC 1950 N STEMMONS FWY STE 5010 LB 84 DALLAS TX 75207 ENTERPRISE SERVER SERVICES 6544743 HOUSTON-ALLIANT INSURANCE SERVICES PO BOX 840919 DALLAS TX 75284 INSURANCE 5251954 AHEAD 75 REMITTANCE DRIVE DEPT 6980 CHICAGO IL 606756980 IT SERVICES 5001138 JUMP COMPANY 1120 S 6TH STREET STE 502 ST LOUIS MO 63104 ADVERTISING 4130161 102 77632 77632 MANAGEMENT FEES 900099 72982864 72700752 282112 PROGRAM RELATED RENT 900099 6641356 6641356 MHP REVENUE 900099 6276518 6276518 IT REIMBURSED EXPENSES 900099 1890738 1890738 RELATED PARTNERSHIP RE 900099 5370 5370 45126 45126 87841972 941045 941045 16818341 12516517 4301824 4301824 12781 4289043 528204001 540443120 -12239119 -12239119 -12239119 BILLING SERVICE 561000 1695572 36098 1659474 TRANSFER FEES 900009 1446 1446 1697018 82620372 87559860 332437 -5349557 6801086 6801086 224035 224035 34676648 16533597 18143051 146833 70009 76824 2056224 837391 1218833 2445342 1329184 1116158 934765 934765 595651 595651 75000 75000 249147 249147 5458525 713193 4745332 3492892 938346 2554546 7815121 967085 6848036 19549389 18509195 1040194 3075327 2549878 525449 94092 27618 66474 208567 111343 97224 1090201 1090201 9063912 8695406 368506 274033 274033 RECRUITMENT 1594452 1594452 REPAIRS AND MAINTENANCE 112893 109260 3633 FOOD & DIETARY SUPPLIES 84882 1876 83006 MINOR PROJECT COSTS 61164 23083 38081 22 22 100180203 59531808 40648395 0 6167369 13664310 10666661 21944432 2296794 1848631 7299651 13364454 404921515 202059439 198199306 202862076 72619518 95202487 613977 618715 217375041 231990142 515238317 581495247 28380675 40673827 707701 1144695 203459000 195372000 61420185 58807293 92444916 100192457 386412477 396190272 X 128825840 185304975 128825840 185304975 515238317 581495247 X -17559831 23986163 50052803 X 0 1 X 1 1 1 X X 13 MEMORIAL MEDICAL CENTER 370661220 3 0 59570359 0 PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION 370661230 3 0 3552074 0 ABRAHAM LINCOLN MEMORIAL HOSPITAL 370723793 3 0 1839376 0 TAYLORVILLE MEMORIAL HOSPITAL 370661250 3 0 1743640 0 DECATUR MEMORIAL HOSPITAL 370661199 3 0 0 0 MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS 370646367 7 0 856058 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 644491 0 DECATUR MEMORIAL HEALTH FOUNDATION 454256254 7 0 0 0 MEMORIAL PHYSICIAN SERVICES 371181194 10 0 4771747 0 MEMORIAL HEALTH VENTURES 363492266 10 0 5118 0 13 72982863 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 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. 0 0 0 0 0 1 75000 0 0 0 75000 0 PART II-B, LINE 1: MEMORIAL HEALTH SYSTEM ENGAGES LOBBYISTS TO ASSIST IT IN SECURING FEDERAL GRANTS AND MONITORING STATE REGULATIONS IN SUPPORT OF FURTHERING 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. 2572585 20669470 23242055 139656601 116139423 122356954 133439070 31837 60363 35855 56345 5251114 92923970 77150324 21024760 945801 26670351 2516306 25099846 202862076 LIFE INSURANCE - VARIOUS AGREEMENTS 1560456 INTERCOMPANY DEBT FROM RELATED ENTITIES 183249204 DEFERRED TAX ASSET & VALUATION 28061 RIGHT OF USE ASSET 9354315 PREPAID PENSION 27379489 NONCURRENT INSURANCE RECOVERIES 10418617 231990142 DEFERRED COMPENSATION 15736003 PROFESSIONAL LIABILITY 47273329 RESERVE FOR POST EMPLOYMENT BENEFITS 17769044 DUE TO AFFILIATES 1601787 SWAP LIABILITY 397702 RESTORATION PLAN 6849014 UNAMORTIZED BOND PREMIUMS, DISCOUNTS AND ISSUE COSTS 1118104 ASC842 LIABILITY 9447474 100192457 X PART X, LINE 2: 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. X 1 1 X X X X 1 1 0 0 0 0 0 0 0 EDGAR CURTIS EX-OFFICIO PRESIDENT & CEO 1035255 0 352003 0 1137166 0 28150 0 20824 0 2573398 0 0 0 MITCHELL JOHNSON FMR SVP & CHIEF STRATEGY OFFICER 0 0 0 0 1731531 0 0 0 0 0 1731531 0 1280415 0 DAVID GRAHAM MD SVP&CHF QUALITY&INOVNOFFCR(THRUSEP20 367183 0 0 0 795286 0 215157 0 14418 0 1392044 0 436134 0 R SCOTT KIRIAKOS FMR SVP CLINICAL INTEGRATION 0 0 0 0 0 1386470 0 0 0 0 0 1386470 0 1274019 CHARLES CALLAHAN PHD PRESIDENT MHS HOSPITAL GROUP 0 570994 0 173645 0 152186 0 172985 0 31535 0 1101345 0 60296 ANNA EVANS JD SVP & GENERAL COUNSEL 431823 0 118944 0 117030 0 174896 0 29333 0 872026 0 60907 0 RAJESH GOVINDAIAH MD SVP & CHIEF MEDICAL OFFICER 512927 0 139169 0 108220 0 86814 0 4236 0 851366 0 42600 0 KATHRYN KEIM SVP & CFO 519506 0 142942 0 35267 0 89862 0 30652 0 818229 0 0 0 KEVIN ENGLAND SVP & CHIEF ADMINISTRATIVE OFFICER 347594 0 123165 0 76817 0 229511 0 37570 0 814657 0 25182 0 AIMEE DAILY PHD SVP & CHIEF TRANSFORMATION OFFICER 87446 304734 108150 0 2916 65963 13020 63233 3932 16772 215464 450702 0 24553 JAMESON ROSZHART PRESIDENT MHS AMBULATORY GROUP 403234 0 112112 0 31282 0 77148 0 32583 0 656359 0 5127 0 DREW EARLY PRESIDENT & CEO DMH 392165 0 77640 0 80484 0 61615 0 30983 0 642887 0 0 0 ROBERT SCOTT SVP & CHIEF HR OFFICER (THRUMAY21) 351233 0 96016 0 31715 0 64807 0 27857 0 571628 0 0 0 W SCOTT BOSTON MD PRESIDENT & CEO PAH 387023 0 76125 0 16354 0 53565 0 31227 0 564294 0 0 0 MARSHA PRATER PHD SVP & CHIEF NURSING OFFICER 0 359549 0 97901 0 65265 0 28219 0 10217 0 561151 0 0 J TRAVIS DOWELL PRESIDENT & CEO MPS 293669 0 58160 0 99356 0 55483 0 28267 0 534935 0 23465 0 DOLAN DALPOAS PRES&CEO ALMH;INTERIM CHRO(FROMMAY21 310131 0 59729 0 65994 0 55337 0 432 0 491623 0 25763 0 MARK BURMESTER SYS ADMIN, STRATEGY DEV. (THRUFEB20) 49289 0 0 0 386327 0 4853 0 3618 0 444087 0 0 0 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. 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 57250000 60465495 60465495 2015 0 0 1 1 B 7625000 148436538 42654388 105782150 2019 1 0 1 1 C 1510000 55510000 54930000 580000 2020 1 0 1 1 A 0 0 0 0 0 0 1 B 0 1 1 1 1 1 0.00070 0.00850 0.00920 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 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. LEVI RAY AND SHOUP SEE PART V 1281110 SEE PART V 0 CENTRAL ILLINOIS SECURITY SEE PART V 284032 SEE PART V 0 HENRY HURWITZ SEE PART V 224035 SEE PART V 0 (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 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. MEMORIAL HEALTH PARTNERS LLC 701 NORTH 1ST STREET SPRINGFIELD IL 62781 463947269 TO COORDINATE PATIENT CARE ACTIVITIES ACROSS THE HEALTHCARE CONTINUUM IL 6276518 5255425 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 2035731 14674905 MEMORIAL HEALTH SYSTEM MCDEKK LLC 701 NORTH 1ST STREET SPRINGFIELD IL 62781 822701739 TO FACILITATE FACTORING OF RECEIVABLES IL 0 10000 MEMORIAL HEALTH SYSTEM MEMORIAL MEDICAL CENTER 701 NORTH FIRST ST SPRINGFIELD IL 627810001 370661220 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH SYSTEM 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 1 ABRAHAM LINCOLN MEMORIAL HOSPITAL 200 STAHLHUT DR LINCOLN IL 62656 370723793 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH SYSTEM 1 TAYLORVILLE MEMORIAL HOSPITAL 201 EAST PLEASANT TAYLORVILLE IL 62568 370661250 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH SYSTEM 1 DECATUR MEMORIAL HOSPITAL 2300 N EDWARD DECATUR IL 62526 370661199 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH SYSTEM 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 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 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 1 MEMORIAL MEDICAL CENTER FOUNDATION 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