2025-08-15T14:50:39-05:00 2024-09-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DR CHICAGO IL 60606 990 2023-10-01 371110690 MEMORIAL HEALTH SYSTEM MEMO 2177883198 701 NORTH FIRST STREET SPRINGFIELD IL 627810001 KATHRYN J KEIM SR VICE PRESIDENT & CFO 2177883830 2025-08-15 1 0 JESSICA A WAGENER P01622613 3128792000 2023 2025-03-06 01:10:19Z MEMORIAL HEALTH KATHRYN J KEIM 701 NORTH FIRST STREET SPRINGFIELD IL 627810001 337259915 0 5670 X HTTPS://MEMORIAL.HEALTH/ X 1981 IL TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH. 20 18 10595 18 612218 0 0 0 155329773 214553525 1974688 4757330 5993441 7443790 163297902 226754645 71961 50709 0 0 46589131 48588305 0 0 0 128815542 177004559 175476634 225643573 -12178732 1111072 578584448 619582206 385722367 396419457 192862081 223162749 X TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH. 0 0 39595565 1673950 IN FY24, THE INFORMATION TECHNOLOGY TEAM ADVANCED A BROAD RANGE OF STRATEGIC INITIATIVES THAT STRENGTHENED CLINICAL CARE, MODERNIZED ENTERPRISE SYSTEMS, AND IMPROVED OPERATIONAL EFFICIENCY ACROSS MEMORIAL HEALTH. CLINICAL AND INFRASTRUCTURE PROJECTS INCLUDED THE DEPLOYMENT OF STANDARDIZED DEROYAL DURABLE MEDICAL EQUIPMENT (DME) CABINETS AT LMH AND ALL URGENT CARE LOCATIONS, WITH A SUCCESSFUL CPSI ORDERS INTERFACE GO-LIVE AT LMH TO STREAMLINE SUPPLY MANAGEMENT AND REDUCE WASTE. NOVA BLOOD GLUCOSE METERS WERE IMPLEMENTED TO ENHANCE POINT-OF-CARE TESTING ACCURACY, AND NEUROVIRTUAL TECHNOLOGY WAS DEPLOYED IN THE SLEEP LAB TO EXPAND DIAGNOSTIC CAPABILITIES. ADDITIONAL CLINICAL MODERNIZATION EFFORTS INCLUDED THE MIM CONTOUR SOFTWARE UPGRADE, SUPPORTING IMAGING SERVICES ACROSS MULTIPLE AFFILIATES, AND THE 4MEDICA INTERFACE IMPLEMENTATION AT JERSEYVILLE HOSPITAL, IMPROVING LAB DATA INTEGRATION. AT DMH, WE COMPLETED CHEMISTRY LAB MODERNIZATION TO ENHANCE DIAGNOSTIC TESTING CAPABILITIES, ADDED AN OMNICELL CABINET FOR EMS OPERATIONS, AND UPGRADED THE IR BIPLANE IMAGING SYSTEM TO IMPROVE INTERVENTIONAL RADIOLOGY SERVICES.OPERATIONALLY, THE TEAM SUPPORTED THE TRANSITION OF NORTH DIRKSEN URGENT CARE TO SIU, ENSURING CONTINUITY OF SYSTEMS AND SERVICES DURING THE TRANSITION. WITHIN REVENUE CYCLE, THE TEAM COMPLETED 3M CODING MODULE UPDATES, SUPPORTING COMPLIANT AND EFFICIENT CODING WORKFLOWS. WE ALSO DELIVERED A TOUCHWORKS REGULATORY UPGRADE, KEEPING OUR AMBULATORY ELECTRONIC HEALTH RECORD PLATFORM CURRENT WITH EVOLVING HEALTHCARE REGULATIONS. IN SUPPORT OF IMPROVED PATIENT ACCESS AND CARE COORDINATION, WE IMPLEMENTED CATH LAB SCHEDULING ENHANCEMENTS AND TRANSITIONED SPEECH AND OCCUPATIONAL THERAPY CLINICAL DOCUMENTATION FROM WEBPT TO TOUCHWORKS, STREAMLINING THERAPY NOTES WITHIN THE ELECTRONIC HEALTH RECORD.IN INFRASTRUCTURE AND FINANCIAL STEWARDSHIP, WE EXECUTED A JAVA LICENSING REMEDIATION PROJECT, RESULTING IN APPROXIMATELY $656,000 IN ANNUAL COST SAVINGS, AND COMPLETED A DELL DATA CENTER ASSESSMENT TO GUIDE FUTURE TECHNOLOGY INVESTMENTS. COMMUNICATION RELIABILITY WAS STRENGTHENED THROUGH THE STANDARDIZATION OF THE AVAYA PHONE SYSTEM AT JMH, AND A CRITICAL CERNER CODE UPGRADE WAS COMPLETED TO MAINTAIN COMPLIANCE AND SYSTEM STABILITY.FINALLY, MEMORIAL HEALTH INITIATED TWO MAJOR ENTERPRISE SYSTEM MIGRATIONS. WE ENGAGED RPI INC. TO ASSIST WITH THE MIGRATION OF OUR INFOR LAWSON ENTERPRISE RESOURCE PLANNING (ERP) SYSTEM TO THE CLOUD-BASED INFOR CLOUDSUITE, MODERNIZING FINANCE AND SUPPLY CHAIN OPERATIONS. FOR HUMAN RESOURCES, WE PARTNERED WITH CROSSVUE TO IMPLEMENT WORKDAY HCM, TRANSITIONING OUR HR OPERATIONS FROM INFOR LAWSON TO A SCALABLE, CLOUD-BASED PLATFORM THAT SUPPORTS WORKFORCE MANAGEMENT AND ENHANCES EMPLOYEE EXPERIENCE.THESE COLLECTIVE ACCOMPLISHMENTS REFLECT MEMORIAL HEALTH'S ONGOING COMMITMENT TO LEVERAGING TECHNOLOGY TO IMPROVE PATIENT CARE, OPTIMIZE OPERATIONS, AND ENSURE A MODERN, RESILIENT IT ENVIRONMENT. 11138932 8294265 MEMORIAL HEALTH'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. SAFE, FUNCTIONAL FACILITIES ARE THE FOUNDATION OF THE HEALTHCARE SERVICES WE PROVIDE. CLINICAL PROJECTS THAT BEGAN IN FY 2024:- SMH AND BAYLIS MRI UPGRADES - PURCHASED NEW MRI'S AND UPDATED THE ROOMS TO ACCOMMODATE THE NEW EQUIPMENT. THIS INCLUDES DOORS, FLOORING, ELECTRICAL, AND PLUMBING WORK.- SMH CVOR WALLPAPER - RENOVATION OF 4 EXISTING OR ROOMS (W, X, Y, Z), 3 SUB STERILE ROOMS (D630, D627, & D626), AND DECONTAM AND STERILE ROOMS D635A&B IN THE CVOR. THE WORK IN THE ORS IS DIRECTLY TIED TO THE AGE AND CONDITION OF THE ROOMS - WE HAVE INFECTION CONTROL ISSUES, PATIENT RISK ISSUES, WORKFLOW AND EFFICIENCY ISSUES, FACILITY COMPLIANCE ISSUES, AND OVERALL DEGRADING CONDITIONS. CONSIDERING WE ARE NOT DOING A PATIENT CARE TOWER WHICH WOULD HAVE RELOCATED THIS UNIT AND GROWN THE ORS, WE NEED TO START ADDRESSING AS MUCH OF THOSE ISSUES AS POSSIBLE. THIS PROJECT ALSO HAS A DIRECT TIE TO THE CS/SP INTEGRATION PROJECT WITH THAT LOCAL FUNCTION MOVING DOWNSTAIRS TO THE MAIN, THIS OPENS UP REAL ESTATE TO ACTUALLY ADDRESS SOME OF CV'S STORAGE NEEDS.- JMH MEDIVATOR PASS THRU - TO REPLACE OUTDATED SCOPE CLEANERS, AND TO MAKE A MORE EFFECTIVE INFECTION CONTROL PROCEDURES IN THE SCOPE CLEANING ROOM PER 2022 JOINT COMMISSION PROCESS IMPROVEMENT RECOMMENDATION. - DMH BELIMED CART WASHER AND WATER PURIFICATION SYSTEM - REPLACE CART WASHER DUE TO AGING EQUIPMENT. EQUIPMENT REQUIRED REPAIRS FREQUENTLY IN WHICH THE WASHER WOULD BE OUT OF SERVICE FOR DAYS CAUSING THE NEED FOR COLLEAGUES TO HANDWASH ALL CASE CARTS, STERILIZATION CONTAINERS, BASIS, ETC. WHICH IMPACTS OTHER FUNCTIONS OF THE DEPARTMENT AND TURNOVER TIME FOR SURGERY. BASED ON UPCOMING AAMI STANDARDS, A WATER PURIFICATION SYSTEM WILL BE INSTALLED AT THIS TIME AS WELL. - DMH BLOOD BANK RENOVATION - MOVE BLOOD BANK TO MAIN LAB TO CREATE MORE EFFICIENT WORKSPACE FOR COLLEAGUES.OTHER PROJECTS COMPLETED FOR HEALTH SYSTEM INCLUDE:- NORTH DIRKSEN RENOVATIONS FOR SIU - COSMETIC UPGRADES TO COMMON AREAS FOR SIU TO MOVE THEIR PRACTICE INTO. THIS INCLUDES FLOORING AND PAINTING, STORAGE ROOM TURNED INTO PASSTHROUGH LAB AND SOME ELECTRICAL AND DATA WORK TO ACCOMMODATE SIU'S NEEDS.- STERILE PROCESSING AND CENTRAL SUPPLY INTEGRATION - DUE TO CVOR WORKLOAD MOVING DOWN INTO MAIN SP ADDITIONAL SPACE IS NEEDED TO ACCOMMODATE. MOVING CVOR DOWN IS NOT ONLY AN INFECTION PREVENTION INITIATIVE BUT ALSO AN EFFICIENCY IMPROVEMENT. THE SCOPE OF WORK INVOLVES TAKING DOWN THE WALL BETWEEN CS AND SP, EXPANDING STORAGE BUT ALSO ALLOWING THOSE SERVICES TO SHARE RESOURCES AND BECOME MORE EFFICIENT. A NEW VESTIBULE ON THE CS WILL BE PROVIDED AS WELL AS SOME NEW CLEAN ITEMS (LIGHTS) TO BE INSTALLED.- SIU BAYLIS 2ND FLOOR RENOVATIONS - SIU AND SMH HAVE AGREED TO A LEASE AND SIU OCCUPYING THE 2ND FLOOR OF THE BAYLIS BUILDING TO EXPAND SOME OF THEIR SERVICE LINES. AROUND 50% WAS GUTTED AND REBUILT TO BE MORE EFFICIENT AND MORE PATIENT CARE ROOMS. - LINEAR ACCELERATOR REPLACEMENTS AND RENOVATIONS - DUE TO AGING EQUIPMENT WE REPLACED BOTH SMH 1E LINEAR ACCELERATORS, DURING THIS TIME WE ALSO UPGRADED FINISHES AND BROUGHT MEP INFRASTRUCTURE UP TO DATE.- ARTIS BIPLANE IR AND ROOM RENOVATIONS - DUE TO THE AGE AND CONDITION OF SMH A137 BIPLANE EQUIPMENT IT WAS REPLACED TO CONTINUE SERVICES FOR PATIENTS AND BRING ADDITIONAL SERVICES. CONSIDERING THE SIZE OF THE NEW EQUIPMENT WE CREATED ADDITIONAL SPACE FOR THE EQUIPMENT AND FOR COLLEAGUES AROUND IT. THIS INVOLVED MOVING MECHANICALS OUT OF THAT ROOM ACROSS THE HALL AND REMOVING PART OF THE CONTROL ROOM SPACE TO GAIN IT BACK FOR PATIENT CARE.- DMH PHARMACY AHU REPLACEMENT - DUE TO THE AGING EQUIPMENT AND ISSUES CAUSING DIFFICULTIES WITH THE DAILY OPERATIONS OF THE DMH PHARMACY, THE AHU WAS REPLACED. THE NEW AHU WAS INSTALLED ON THE ROOF AND CONNECTED INTO THE EXISTING SUPPLY AND RETURN DUCTWORK. - DMH LAB RENOVATION - AREA WAS BUILT OUT TO ACCOMMODATE THE NEW BECKMAN COULTER AUTOMATION LINE AS THE OLD AUTOMATION LINE WAS END OF LIFE AND NEW LINE IS MUCH BIGGER THAN WHAT THE EXISTING SPACE COULD HOLD. WORK DONE INCLUDED DEMOLISHING INTERIOR WALLS, ADJUSTING HVAC, ELECTRICAL, PLUMBING, DATA, FLOORING, DRYWALL, PATCH AND PAINT. AN OPENING WAS CREATED FROM THE EXISTING LAB INTO THE NEW SPACE.- PHASE II BAYLIS PARKING RAMP REPAIRS - WE ARE LOOKING AT SEALING AND COATING ALL DECKS, REPAIRS TO ANY STRUCTURAL DAMAGE, REPAIRS TO CONCRETE STAIRS AND PANS FAILING, UTILITIES THAT ARE A LIFE SAFETY CONCERN DUE TO RUSTING AND EXPOSURE TO WEATHER. THESE REPAIRS WILL PROVIDE SAFETY TO PATIENTS, COLLEAGUES AT SMH AND SIU. THESE WILL ALSO HELP PROLONG THE LIFE OF THE RAMP STRUCTURE.- CHILLER 3 REBUILD - REBUILT CHILLER 3 DUE TO MANUFACTURER'S RECOMMENDATIONS OF 40,000 HOURS. AS PART OF THE BUILD, THE CHILLER CARRIES A NEW SEVEN-YEAR PARTS AND LABOR WARRANTY.- CHILLER 2 REBUILD - REBUILD CHILLER 2 AS IT WAS UNABLE TO OPERATE AT FULL LOAD CAPACITY. THIS GREATLY LIMITED ENGINEERING'S ABILITY TO MAINTAIN A PROPER TEMPERATURE SETTING WITHIN THE ENTIRE COMPLEX. THE ELECTRICAL SOFT STARTER WAS S PAST EXPECTED LIFE WITH NO AVAILABLE REPLACEMENT PARTS. DURING THE SUMMER OF 2023 ENGINEERING'S SECOND CARRIER CHILLER HAD A MAJOR ELECTRICAL FAULT WHICH REMOVED ALL REDUNDANCY. REPLACING THIS CRITICAL PART DURING DOWNTIME ALLOWS FOR CONTINUAL REDUNDANCY.- SPRINGFIELD CLINIC PARKING GARAGE REPAIRS - CONCRETE REPAIRS, PRE-CAS SEALANT AND DOUBLE-TEE JOINTS AND RESEALING THE PRE-CASE JOINTS. THIS WORK ALSO INCLUDED WATERPROOF URETHAN TRAFFIC COATING TO THE TOP DECK.- TMH ED AHU REPLACEMENT - REPLACEMENT OF THE AHU SERVICES TMH EMERGENCY DEPARTMENT.- CHATHAM PARKING LOT WORK - THE CHATHAM CLINIC HAS PARKING ISSUES FOR COLLEAGUES AND PATIENTS. THEY HAVE TRIED LEASING SPOTS FROM SURROUNDING BUSINESSES BUT AS BUSY AS THOSE ROADS ARE NOW AND WITHOUT CROSSWALKS, THIS IS NO LONGER CONSIDERED A SAFE OPTION. WE LOOKED BACK TO OUR PLOT OF LAND TO ADD PERMANENT SPOTS IN A SAFE WAY. WE CAN PROVIDE 8 MORE PARKING SPACES FOR COLLEAGUES AND TO HELP MAKE IT SAFER WITH ADDING A NEW LIGHT POLE AND REPLACING EXISTING POLES WITH NEW ONES. THIS LOT IS ALSO AROUND 27 YEARS OLD. IT HAS BEEN SEAL COATED BEFORE AND THIS OPTION WAS CONSIDERED AGAIN, WHICH WOULD HAVE PROLONGED THE LIFE ANOTHER WINTER OR TWO, BUT WE BELIEVE THIS IS THE RIGHT TIME TO ROTOMILL THE ENTIRE LOT IN LIEU OF THE SEALCOATING WORK. THERE IS SAVINGS IN JUST SEAL COATING THE LOT BUT AT THIS TIME WE RECOMMEND MILLING. MILLING IS RECOMMENDED TO OCCUR EVERY 20-30 YEARS; THIS WILL CORRECT A LOT OF THE ISSUES AND EXTEND THE LOTS LIFE RATHER THAN EVENTUALLY HAVING TO DO A COSTLY OVERHAUL AND REPLACEMENT. - TOP DECK MLC PARKING RAMP MAINTENANCE - THE GOAL OF THESE REPAIRS IS TO PROVIDE SAFETY FOR OUR SMH PATIENTS, STAFF, & COLLEAGUES THAT USE THE MLC RAMP. THESE REPAIRS ARE ALSO TO HELP PROLONG THE LIFE OF THE RAMP STRUCTURE.- OSCI UPGRADES - PROVIDE UPGRADES FOR A BETTER WORKFLOW TO GET BY UNTIL A NEW FACILITY IS APPROVED. THESE UPGRADES ALSO INCLUDE CORRECTING SOME COMPLIANCE ISSUES, WORKFLOW EFFICIENCY ISSUES AND WORK STANDARDIZATION PRACTICES.- G TUNNEL REPAIRS - THE G-SERVICE TUNNEL WAS ORIGINALLY CONSTRUCTED IN 1943, ALTHOUGH IT HAD SOME REPAIR WORK IN THE 1980'S IT IS IN NEED OF SIGNIFICANT REPAIRS IN TWO VITAL AREAS. THE FIRST AREA IS AT THE SERVICE BUILDING TUNNEL ENTRANCE AND THE SECOND IS THE LAB TUNNEL ENTRANCE. BOTH OF THESE AREAS HAVE DETERIORATION FROM WATER INTRUSION. THESE UTILITIES ARE VITAL TO THE OPERATIONS AT SMH AND WE NEEDED TO ADDRESS AND FIX THESE ISSUES AS SOON AS POSSIBLE. 7350167 76582320 GUIDED BY THE VALUES OF MEMORIAL HEALTH, SENIOR LEADERSHIP IS RESPONSIBLE FOR STRATEGIC PLANNING, PRIORITIZING AMONG COMPETING ISSUES AND ENGAGING IN DIALOGUE AND DECISION-MAKING THAT WILL ENABLE MEMORIAL HEALTH TO ACHIEVE ITS MISSION (TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH), ITS VISION (TO BE THE HEALTH PARTNER OF CHOICE), REALIZE ITS' STRATEGIC GOALS, AND EXECUTE ITS' STRATEGIC PRIORITIES TO BETTER SERVE CENTRAL ILLINOIS AND CONFRONT THE MANY CHALLENGES FACING THE HEALTHCARE INDUSTRY. IN FY21, MHS SENIOR LEADERSHIP CONSTRUCTED A NEW STRATEGIC PLAN TERMED "DESTINATION 2025" THAT WAS MADE EFFECTIVE FY22, 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 CONSIDERED LEARNINGS FROM THE COVID-19 PANDEMIC AND EMERGING TRENDS AS A RESULT OF THE PANDEMIC. BOTH ITS PREVIOUS AND CURRENT STRATEGIC PLAN SERVED MEMORIAL HEALTH WELL DURING THE COVID-19 PANDEMIC AND WAS A CATALYST FOR MANAGING AND RESPONDING TO THE PANDEMIC IN A COORDINATED, SYSTEMIZED FASHION. THIS UPDATED PLAN IS ALSO THE FOUNDATION FOR THE ORGANIZATION TO SUCCESSFULLY PREVAIL THRU THE CHALLENGES THE HEALTHCARE INDUSTRY IS FACING NATIONALLY. LEADERSHIP WAS ABLE TO RESPOND EFFICIENTLY AND EFFECTIVELY IN A DYNAMIC, EVER- CHANGING ENVIRONMENT AS THE COVID-19 PANDEMIC EVOLVED. WHILE MANY PRIORITIES AND INITIATIVES HAD TO BE PUT ON PAUSE DUE TO THE COVID-19 PANDEMIC, MEMORIAL HEALTH MADE GREAT PROGRESS IN INTEGRATING A NEW AFFILIATE HOSPITAL, DECATUR MEMORIAL HOSPITAL, AND NEW PHYSICIAN GROUP, DECATUR MEDICAL GROUP. MEMORIAL HEALTH HAS EMBARKED ON A REFRESH OF THE MEMORIAL HEALTH ENTERPRISE STRATEGY WITH THE GOAL OF REFINING OUR STRATEGIC VISION AND DEVELOPING A PLAN TO ACHIEVE THAT VISION WITH CONSIDERATION FOR GROWTH, TRANSFORMATION, AND PERFORMANCE IMPROVEMENT OPPORTUNITIES. MEMORIAL HAS ENGAGED AN INDUSTRY LEADING STRATEGIC CONSULTANT, KAUFMAN HALL, TO SUPPORT THEM IN THIS EFFORT AND ARE LOOKING TO GAIN VALUABLE INSIGHT AS THE ORGANIZATION NAVIGATES ITS' PATH TO THE FUTURE AND BETTER SERVE ITS' COMMUNITIES. IT IS ANTICIPATED THAT THIS WORK WILL BE FINALIZED BY THE END OF CY25. DURING FY24, MH MANAGEMENT ENGAGED CHARTIS, A HEALTHCARE CONSULTING FIRM, TO ASSESS THE CURRENT EHR ENVIRONMENT AND MH'S VISION FOR AN INTEGRATED EHR PLATFORM, REVIEW INDUSTRY EHR VENDORS, DEVELOP A 10-YEAR COMPARATIVE COST MODEL FOR EHR OPTIONS, AND ASSIST WITH THE ESTABLISHMENT OF AN INTEGRATION ROADMAP. CHARTIS HAS WORKED WITH MH LEADERS AND INDUSTRY EHR VENDORS TO DEVELOP A DETAILED COST MODEL. AFTER REVIEW OF THE CHARTIS MATERIALS, MH INFORMATION SYSTEM INPUT, AND MH LEADERSHIP DISCUSSION, MH SENIOR LEADERSHIP DETERMINED TO PROCEED ALL (INPATIENT AND AMBULATORY) MH EHR PLATFORMS TO THE EPIC EHR SOFTWARE APPLICATION. EPIC IS AN EHR PLATFORM DEVELOPED BY EPIC SYSTEMS CORPORATION, A PRIVATELY OWNED AMERICAN SOFTWARE COMPANY THAT IS A WORLDWIDE INDUSTRY LEADER IN EHR SYSTEMS. THE IMPLEMENTATION ACROSS MH IS TARGETED FOR THE SPRING/SUMMER OF 2027. WHILE COVID-19 WAS STILL CIRCULATING, MEMORIAL HEALTH'S FY24 WAS CHARACTERIZED MORE BY RECOVERY FROM THE ECONOMIC AND CULTURAL IMPACTS OF THE PANDEMIC AS THE CLINICAL SEVERITY OF THE DISEASE WANED. THE ONGOING NATIONAL HEALTHCARE LABOR SHORTAGE, WAGE RATE PRESSURES, AND INFLATION PROVIDED SIGNIFICANT COST INCREASES WHILE CONTINUED SHIFTS IN PAYER MIX TOWARDS MORE GOVERNMENTAL PAYERS PUT DOWNWARD PRESSURE ON REIMBURSEMENT RATE. IN RESPONSE, MEMORIAL HEALTH SUCCESSFULLY MET $206.8 MILLION SAVINGS THROUGH REDUCTION OF COSTS, IMPROVED PROCESSES, AND ENHANCED REVENUES THROUGH A PROGRAM CALLED "STRENGTHEN OUR FUTURE." A FEW SPECIFIC INITIATIVES IN FY24 OF THE "STRENGTHEN OUR FUTURE" PLAN INCLUDED CHARGEMASTER PRICE OPTIMIZATION WORTH OVER $8 MILLION ANNUALLY, IMPLEMENTING A TARGETED REDUCTION IN FORCE OF 20% OF ALL MEMORIAL HEALTH LEADERSHIP AND 4% OF ALL COLLEAGUES THAT LED TO $42 MILLION IN SAVINGS IN FY24, AND REDUCING CONTRACT LABOR SPEND BY $18 MILLION.IN FY22, THE HISTORIC RELIANCE AND COST-INFLATION ASSOCIATED WITH AGENCY LABOR CONTRIBUTED TO MEMORIAL'S FINANCIAL CHALLENGES. IN FY23, SIGNIFICANT PROGRESS WAS MADE IN REDUCING RELIANCE ON COSTLY AGENCY LABOR, WITH EFFORTS AND SAVINGS GAINS CONTINUING TO BE REALIZED IN FY24. GIVEN THE RISE IN INFLATION, MEMORIAL HEALTH CONTINUES TO BE ACTIVE IN RENEGOTIATING HIGHER RATE INCREASES WITH ALL PAYERS. DURING FY24, MEMORIAL HEALTH'S FIVE HOSPITALS COMPLETED THE THIRD YEAR OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGIES TO ADDRESS PRIORITIES IDENTIFIED IN EACH HOSPITAL'S 2021 NEEDS ASSESSMENTS. PRIORITIES IDENTIFIED TO BE ADDRESSED DURING FY22-24 ARE - SPRINGFIELD MEMORIAL HOSPITAL/SANGAMON COUNTY: ACCESS TO HEALTH, MENTAL/BEHAVIORAL HEALTH, AND ECONOMIC DISPARITIES; JACKSONVILLE MEMORIAL HOSPITAL/MORGAN COUNTY: MENTAL HEALTH, OBESITY, AND CANCERS; TAYLORVILLE MEMORIAL HOSPITAL/CHRISTIAN COUNTY: MENTAL HEALTH, OBESITY, AND LUNG HEALTH; AND LINCOLN MEMORIAL HOSPITAL/LOGAN COUNTY: OBESITY, YOUTH MENTAL HEALTH, AND SUBSTANCE USE. DECATUR MEMORIAL HOSPITAL/MACON COUNTY: ACCESS TO HEALTH, ECONOMIC DISPARITIES, AND MENTAL/BEHAVIORAL HEALTH. ADDITIONALLY, MENTAL HEALTH WAS NAMED AS A SYSTEM PRIORITY AND THREE MAJOR CONTRIBUTING FACTORS WERE IDENTIFIED WITHIN EACH OF THESE PRIORITIES: ACCESS TO HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND RACIAL INEQUITY AND INEQUALITY. MEMORIAL HEALTH'S COMMUNITY HEALTH WORK SEEKS TO BUILD COLLABORATIONS BETWEEN COUNTY HEALTH DEPARTMENTS, OTHER LOCAL HOSPITALS, DIRECT-SERVICE ORGANIZATIONS, AND TRUSTED COMMUNITY LEADERS WHO ARE ALREADY DOING THE WORK, IN ORDER TO MEET THE NEEDS OF OUR COMMUNITIES AND PROMOTE EQUITY, DIVERSITY, AND INCLUSION. SENIOR LEADERSHIP, CEOS AT EACH HOSPITAL, AND THE MH BOARD'S COMMUNITY BENEFIT COMMITTEE HELP OVERSEE THE COMMUNITY BENEFIT ELEMENTS OF THE COMMUNITY HEALTH PROGRAM. MEMORIAL HEALTH PROVIDES PATIENT-CENTERED CARE THROUGH AN AMBULATORY ORGANIZATIONAL STRUCTURE THAT WAS DEVELOPED IN FY19 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 FOR FY24, THE AMBULATORY GROUP PROVIDED OVER 292,000 PRIMARY CARE VISITS, OVER 160,000 URGENT CARE VISITS, AND ALMOST 82,000 SPECIALTY CARE VISITS. EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS PRACTICE IN THE PRIMARY CARE SETTING SERVING A PANEL OF OVER 140,000 PATIENTS. THIS LARGE PRIMARY CARE INFRASTRUCTURE IS A KEY PART OF MEMORIAL HEALTH'S STRATEGY FOR NAVIGATING THE DYNAMIC AND EVER-CHANGING PAYER MARKET AND SHIFT FROM FEE-FOR-SERVICE HEALTH CARE TO FEE-FOR-VALUE. FROM A BOND RATING PERSPECTIVE, MOODY'S HAS AFFIRMED MEMORIAL HEALTH'S LONG-TERM RATING OF A1 STABLE RATING. S&P HAS ALSO AFFIRMED MEMORIAL HEALTH'S RATING OF A+ WITH A STABLE OUTLOOK. WITH THE EFFECTS OF COVID-19 PANDEMIC WANING IN SOME RESPECTS, PATIENT EXPERIENCE LEADERS ACROSS MEMORIAL HEALTH CENTERED THEIR EFFORTS AROUND A RETURN TO STANDARD OPERATIONS THROUGHOUT FY23 AND FY24 THROUGH A "BACK TO BASICS" CAMPAIGN. THE CAMPAIGN STRESSED THE IMPORTANCE OF CONNECTED CARE AND RETAUGHT TACTICS SUCH AS PROVIDING SECOND-LEVEL INTRODUCTIONS, GREETING, AND GUIDING PATIENTS, WALKING SHOULDER TO SHOULDER AND ASKING PATIENT PERMISSION TO PROVIDE CARE BEFORE DOING SO WHEN APPROPRIATE. IN ADDITION, PER THE RECOMMENDATION OF INDUSTRY LEADERS IN PATIENT EXPERIENCE, MEMORIAL HEALTH MOVED TO EVALUATE PATIENT EXPERIENCE THROUGH TOP BOX SCORES RATHER THAN PERCENTILE RANK. THE CHANGE IN REPORTING PROVIDES COLLEAGUES WITH A MORE DIRECT UNDERSTANDING OF PATIENTS' PERCEPTIONS OF THEIR CARE. MEMORIAL HEALTH CLOSED FY24 WITH 16 OUT OF 26 PATIENT SATISFACTION SURVEYS ACROSS THE HEALTH SYSTEM SCORE AT OR ABOVE THE 75TH PERCENT IN TOP BOX SCORES. 128151844 50709 128194847 THROUGH MEMORIAL HEALTH PARTNERS (MHP), MEMORIAL HEALTH HAS ENTERED INTO RISK-BASED CONTRACTS TO PROVIDE IN-NETWORK MEDICAL SERVICES VIA SPRINGFIELD MEMORIAL HOSPITAL (SMH). UNDER THESE ARRANGEMENTS, MHP RECEIVES CAPITATION PAYMENTS BASED ON THE DEMOGRAPHIC CHARACTERISTICS OF COVERED MEMBERS IN EXCHANGE FOR PROVIDING CERTAIN MEDICAL SERVICES TO THOSE MEMBERS. DURING FY2024, MHP HAD MORE THAN 11,500 MEMBER LIVES COVERED IN ITS NETWORK AND RECOGNIZED BOTH CAPITATION REVENUES FOR THAT COVERAGE AS WELL AS PURCHASED MEDICAL SERVICE EXPENSES PAID TO MEMBERS' PROVIDERS, INCLUDING SMH. 128151844 50709 128194847 186236508 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 1 1 1 0 0 0 0 1 1 1 1 0 0 1 X 344 0 1 10595 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 20 18 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X KATHRYN KEIM SENIOR VP & CFO 2177883830 701 NORTH FIRST STREET SPRINGFIELD IL 627810001 EDGAR CURTIS EX-OFFICIO PRESIDENT & CEO 25.00 25.00 X X 1829103 0 55097 CHARLES CALLAHAN PHD PRS.MHHOSPGROUP(THRUJUN24) 25.00 25.00 X 0 953637 153449 RAJESH GOVINDAIAH MD SVP & CPE (THRUJUN24) 25.00 25.00 X 695157 0 100376 KATHRYN KEIM SVP & CFO 25.00 25.00 X 646710 0 140043 AIMEE DAILY PHD SVP & CTO(THRUSEP23) 25.00 25.00 X 609788 0 95300 JAMESON ROSZHART PRSMHAMGRPTRJN24;PRS&CEOSMH&MBHFRMJL24 25.00 25.00 X 554864 0 125137 KEVIN ENGLAND SVP & CAO 25.00 25.00 X 552217 0 116854 ANNA EVANS JD SVP & GENERAL COUNSEL 25.00 25.00 X 512035 0 154835 MARSHA PRATER PHD SVP & CNO (THRUSEP23) 25.00 25.00 X 0 614580 38900 DREW EARLY PRESIDENT & CEO DMH 0.00 50.00 X 482729 0 105714 ELISABETH KLAR SVP & CHIEF HUMANRESOFF 25.00 25.00 X 405962 0 100976 AKINDELE ADARAMOLA MD CHIEF MEDICAL OFFICER SMH 0.00 50.00 X 413884 0 87889 J TRAVIS DOWELL PRESIDENT & CEO MMG (THRU JUN24) 0.00 50.00 X 400643 0 97691 DOLAN DALPOAS PRESIDENT & CEO LMH 0.00 50.00 X 388408 0 61937 KIMBERLY BOURNE PRS&CEOTMH&TMF;BRDMBRMEMHOMECARE 0.00 50.00 X 351342 0 89822 ROBERT SCOTT FORMER SVP & CHIEF HR OFFICER 0.00 0.00 X 235700 0 0 JOHN WADDOCK BOARD MEMBER 0.70 1.40 X 0 0 0 JOSEPH HURWITZ BOARD MEMBER 0.70 0.00 X 0 0 0 WILLIAM PUTMAN MD BOARD MEMBER 0.70 0.00 X 0 0 0 REGINALD BENTON BOARD MEMBER 0.70 0.70 X 0 0 0 JERRY KRUSE MD MSPH BOARD MEMBER 0.70 0.00 X 0 0 0 JOHN BLACKBURN BOARD MEMBER (THRU DEC23) 0.70 0.00 X 0 0 0 RANDALL GERMERAAD BOARD MEMBER 0.70 0.00 X 0 0 0 AIMEE FYKE BOARD MEMBER 0.70 1.40 X 0 0 0 JONATHAN LOCKE MD BOARD MEMBER (THRU DEC23) 0.70 0.70 X 0 0 0 DAVID GRIFFEN MD PHD BOARD MEMBER (FRM JAN24) 0.70 1.40 X 0 0 0 DIANE RUTLEDGE PHD BOARD MEMBER 0.70 0.00 X 0 0 0 DEAN ROBERT JR IMPSTCHRTRDEC23/BRDMRFRMJAN24 1.40 0.70 X 0 0 0 JENNIFER GILL BOARD MEMBER 0.70 0.00 X 0 0 0 SERGIO PECORI BOARD MEMBER 0.70 0.00 X 0 0 0 GUSSIE REED BOARD MEMBER (FRM JAN24) 0.70 1.40 X 0 0 0 ERIC GRAUE BOARD MEMBER (FRM JAN24) 0.70 1.40 X 0 0 0 BARBARA FARLEY BRDMBRTHRDEC23/2NDVIRFRMJAN24 1.40 0.70 X X 0 0 0 CHERYL MARTIN 2VCHR&TRSDC23/1VCHR&TRSFRMJAN24 1.40 1.40 X X 0 0 0 NINA HARRIS SECRETARY 1.40 1.40 X X 0 0 0 MICHAEL AIELLO 1STVCHR(THRDEC23)/CHR(FRMJAN24) 1.40 1.40 X X 0 0 0 TODD WISE CHR(THRDEC23)/IMPSTCHR(FRMJAN24) 1.40 1.40 X X 0 0 0 8078542 1568217 1524020 186 1 1 0 HEALTH ALLIANCE MEDICAL PLANS 3310 FIELDS DR CHAMPAIGN IL 61822 INSURANCE 5425382 JUMP COMPANY 1120 S 6TH STREET STE 502 ST LOUIS MO 63104 ADVERTISING 4799804 ALLSCRIPTS 222 W MERCHANDIS MART PLAZE 2024 CHICAGO IL 60654 EHR/IT SERVICES 4249326 HAROLD O'SHEA BUILDERS INC 3401 CONSTITUTION DR SPRINGFIELD IL 62711 COMMERCIAL CONSTRUCTION 3811554 MOREDIRECT INC 3401 N FEDERAL HIGHWAY STE 216 BOCA RATON FL 33431 EHR/IT SERVICES 3430141 20 MHP REVENUE 621110 128002937 128002937 MANAGEMENT FEES 561000 76582319 76076442 505877 PROGRAM RELATED RENT 532000 8294265 8294265 IT REIMBURSED EXPENSES 561000 1673950 1673950 RELATED PARTNERSHIP RE 621110 54 54 214553525 2609136 2609136 19327590 14165269 5162321 5162321 22340 5139981 98488195 96057193 282808 2431002 -282808 2148194 2148194 BILLING SERVICE 561000 2044011 38400 2005611 HOSTING 518210 90024 90024 INTERPRETER SERVICES 541930 45601 45601 101833 101833 2281469 226754645 214239505 612218 11902922 50709 50709 7350167 7350167 345094 345094 31926690 15766953 16159737 2685030 1677563 1007467 4308061 2476786 1831275 1973263 781714 1191549 1912867 1912867 666452 666452 186250 186250 104169 104169 9747430 4080903 5666527 4341560 1355211 2986349 5308423 981416 4327007 18055358 16952038 1103320 4140461 3409152 731309 270632 89889 180743 169525 9676 159849 3668185 3668185 9595309 8719720 875589 200373 200373 PURCHASED MEDICAL SERVI 118459739 118459739 FOOD & DIETARY SUPPLIES 114136 1697 112439 REPAIRS AND MAINTENANCE 47796 44016 3780 MINOR PROJECT COSTS 12242 12242 3652 3638 14 225643573 186236508 39407065 0 8675582 3483344 3322803 15359540 65125128 121192605 11185906 15102195 449000640 248061995 212068537 200938645 84569244 73971212 411914 530194 193225334 189004471 578584448 619582206 25418062 30434971 661619 1474807 178049999 170205000 86154740 83170939 95437947 111133740 385722367 396419457 X 192862081 223162749 192862081 223162749 578584448 619582206 X 1111072 8531882 20657714 X 0 1 X 1 1 1 X X 16 SPRINGFIELD MEMORIAL HOSPITAL 370661220 3 0 48118376 0 JACKSONVILLE MEMORIAL HOSPITAL 370661230 3 0 4185907 0 LINCOLN MEMORIAL HOSPITAL 370723793 3 0 2365291 0 TAYLORVILLE MEMORIAL HOSPITAL 370661250 3 0 2111274 0 DECATUR MEMORIAL HOSPITAL 370661199 3 0 11584431 0 MEMORIAL BEHAVIORAL HEALTH 370646367 7 0 1125480 0 SPRINGFIELD RESIDENTIAL SERVICES 371298589 7 0 0 0 LINCOLN MEMORIAL FOUNDATION 363492268 7 0 0 0 SPRINGFIELD MEMORIAL FOUNDATION 371110301 7 0 0 0 MEMORIAL HOME CARE 370714225 7 0 933436 0 DECATUR MEMORIAL FOUNDATION 454256254 7 0 0 0 TAYLORVILLE MEMORIAL FOUNDATION 371337485 7 0 0 0 JACKSONVILLE MEMORIAL FOUNDATION 461037396 7 0 0 0 MEMORIAL MEDICAL GROUP 371181194 10 0 5298973 0 MEMORIAL HEALTH VENTURES 363492266 10 0 1706 0 JACKSONVILLE CRNA'S INC 273093265 10 0 0 0 16 75724874 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'S (37-1110690) SUPPORTED ORGANIZATIONS ARE NOT LISTED BY NAME IN MEMORIAL HEALTH'S GOVERNING DOCUMENTS. HOWEVER, MEMORIAL HEALTH IS LISTED IN THE SUPPORTED ORGANIZATIONS' GOVERNING DOCUMENTS AS THE SOLE CORPORATE MEMBER (PARENT) OF THE SUPPORTED ORGANIZATION (SPRINGFIELD MEMORIAL HOSPITAL, JACKSONVILLE MEMORIAL HOSPITAL, LINCOLN MEMORIAL HOSPITAL, TAYLORVILLE MEMORIAL HOSPITAL, DECATUR MEMORIAL HOSPITAL, MEMORIAL BEHAVIORAL HEALTH, LINCOLN MEMORIAL FOUNDATION, TAYLORVILLE MEMORIAL FOUNDATION, JACKSONVILLE MEMORIAL FOUNDATION, MEMORIAL HOME CARE, MEMORIAL MEDICAL GROUP, MEMORIAL HEALTH VENTURES) OR IS THE SOLE CORPORATE MEMBER (PARENT) OF THE SOLE CORPORATE MEMBER (SUBSIDIARY) LISTED IN THE SUPPORTED ORGANIZATION'S GOVERNING DOCUMENTS (SPRINGFIELD RESIDENTIAL SERVICES, JACKSONVILLE CRNA'S, SPRINGFIELD MEMORIAL FOUNDATION, DECATUR MEMORIAL FOUNDATION). ALL SUPPORTED ORGANIZATIONS ARE CONSIDERED RELATED ORGANIZATIONS OF THE FILING ORGANIZATION AND ARE DISCLOSED ON SCHEDULE R, PART II. MEMORIAL HEALTH HAS SUPPORTED THESE RELATED ORGANIZATIONS SINCE EACH ORGANIZATION BECAME A RELATED ORGANIZATION IN FURTHERANCE OF MEMORIAL HEALTH'S TAX-EXEMPT MISSION, THUS DEMONSTRATING THE EXISTENCE OF A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN THE SUPPORTING ORGANIZATION AND ITS SUPPORTED ORGANIZATIONS. ALL SUPPORTED ORGANIZATIONS OF MEMORIAL HEALTH ARE DESIGNATED BY THE CLASS AND/OR PURPOSE, WHICH AS STATED IN MEMORIAL HEALTH'S GOVERNING DOCUMENTS IS DESCRIBED AS FOLLOWS: "TO ESTABLISH, ACQUIRE, SUPPORT, ERECT, MAINTAIN, OWN AND EQUIP HEALTH CARE PROVIDERS AND INSTITUTIONS, INCLUDING, WITHOUT LIMITING THE FOREGOING, HOSPITALS, NURSING HOMES, SKILLED NURSING FACILITIES, INTERMEDIATE CARE FACILITIES AND AMBULATORY CARE CENTERS; TO CONDUCT, SPONSOR, SUPPORT, PROMOTE, DEVELOP, OWN AND OPERATE CHARITABLE, EDUCATIONAL, SCIENTIFIC AND SCHOLASTIC PROGRAMS AND ACTIVITIES AND OTHER ACTIVITIES AND PROGRAMS ANCILLARY TO AND IN SUPPORT OF THE FOREGOING; TO FOSTER, PROMOTE, SUPPORT, DEVELOP, ENCOURAGE, MAINTAIN, RECEIVE AND ACCEPT FUNDS, GIFTS AND CONTRIBUTIONS FOR AND ON BEHALF OF SUCH ACTIVITIES; AND TO ESTABLISH, CONDUCT, SPONSOR, ACQUIRE, OWN, MAINTAIN AND OPERATE SUCH OTHER ENTITIES AND ACTIVITIES WHICH IN THE OPINION OF THE BOARD OF DIRECTORS AND AT ITS DISCRETION, WILL SUPPORT THE FOREGOING, EXCLUSIVELY FOR THE BENEFIT OF AN TO CARRY OUT SOME OR ALL OF THE PURPOSES OF ORGANIZATIONS DESCRIBED IN EITHER SECTION 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR ANY SUBSEQUENT LAW OF THE UNITED STATES. IN NO INSTANCES, HOWEVER, WILL THE CORPORATION ENGAGE IN THE PRACTICE OF MEDICINE." SECTION D, LINE 3 MH EXISTS TO SUPPORT THE SUPPORTED ORGANIZATIONS AS AN ADMINISTRATIVE PARENT ORGANIZATION. EACH SUPPORTED ORGANIZATION POOLS ITS INVESTMENTS UNDER MH INVESTMENT POLICY AND GOVERNANCE. THE ASSETS AND INCOME OF MH ARE USED TO SUPPORT THE OPERATION AND ADMINISTRATION TO SUPPORT ALL SUPPORTED ORGANIZATIONS. SECTION E, LINE 3A MH IS THE PARENT AND SOLE CORPORATE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS. SECTION E, LINE 3B MEMORIAL HEALTH IS THE PARENT AND SOLE CORPORATE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS. IN ITS CAPACITY AS THE SOLE CORPORATE MEMBER, MEMORIAL HEALTH PROVIDES OVERALL DIRECTION, MANAGEMENT AND CONTROL OVER ITS SUPPORTED ORGANIZATIONS. MEMORIAL HEALTH ALSO HAS CERTAIN RESERVED POWERS. FOR EXAMPLE, ALL CAPITAL AND OPERATING BUDGETS MUST BE APPROVED BY MEMORIAL HEALTH. 0 0 0 0 0 1 186250 0 0 0 186250 0 PART II-B, LINE 1: MEMORIAL HEALTH ENGAGES LOBBYISTS TO ASSIST IT IN SECURING FEDERAL GRANTS AND MONITORING STATE REGULATIONS IN SUPPORT OF FURTHERING THE MEMORIAL HEALTH MISSION, WHICH IS "TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH". THIS INCLUDES ASSISTING MEMORIAL HEALTH IN DEVELOPING PRESENTATIONS TO THE ILLINOIS CONGRESSIONAL DELEGATION, REQUESTING APPROPRIATIONS FOR PRIORITY PROJECTS INVOLVING LOCAL PATIENT SAFETY, QUALITY IMPROVEMENT AND IMPROVED LOCAL ACCESS TO MEDICAL CARE. THE LOBBYISTS ALSO ASSIST MEMORIAL IN COMMUNICATING THE IMPORTANCE OF ADEQUATE MEDICAID FUNDING IN SUPPORT OF THE SUBSTANTIAL SERVICES MEMORIAL'S AFFILIATES PROVIDE TO THOSE IN POVERTY AND IN MONITORING LEGISLATIVE AND REGULATORY DEVELOPMENTS THAT WOULD AFFECT MEMORIAL HEALTH'S ABILITY TO CONTINUE DELIVERING ITS SUBSTANTIAL COMMUNITY BENEFIT. 2521938 24448918 26970856 179322314 116018470 154076936 141263848 42247 49953 54296 37904 7120793 96585773 91189759 12516807 844258 22045976 2741004 20149230 200938645 LIFE INSURANCE - VARIOUS AGREEMENTS 981911 INTERCOMPANY DEBT FROM RELATED ENTITIES 159405189 DEFERRED TAX ASSET & VALUATION 26660 RIGHT OF USE ASSET 3532697 NONCURRENT INSURANCE RECOVERIES 18812169 EMPLOYEE LOAN 5851443 OP LEASE RECEIVABLE 394130 SWAP ASSET 272 189004471 DEFERRED COMPENSATION 26193916 PROFESSIONAL LIABILITY 57627344 RESERVE FOR POST EMPLOYMENT BENEFITS 11852932 DUE TO AFFILIATES 349414 RESTORATION PLAN 4059424 UNAMORTIZED BOND PREMIUMS, DISCOUNTS AND ISSUE COSTS 876420 ASC842 LIABILITY 3576030 CAPITAL LEASE CURRENT 243180 CAPITAL LEASE NONCURRENT 6355080 111133740 X PART X, LINE 2: EACH OF MH'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 AND STATE 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 FISCAL YEARS ENDED SEPTEMBER 30, 2024 OR 2023. MH IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2020. QALICB, MCDEKK, AND MHP ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES AND ARE EXEMPT FROM INCOME TAX. MHSCI IS A TAXABLE FOR-PROFIT CORPORATION SUBJECT TO FEDERAL AND STATE INCOME TAXES. 1 EDUCATION GRANT 23 50709 PART I, LINE 2: MEMORIAL HEALTH'S EDUCATIONAL GRANT PROGRAM PROVIDES THE OPPORTUNITY FOR COLLEAGUES TO PURSUE ADDITIONAL EDUCATION IN EXCHANGE FOR A WORK COMMITMENT ONCE THE EDUCATION IS COMPLETED. EDUCATION GRANTS ARE AVAILABLE TO THOSE PURSUING HEALTH CARE CAREERS THAT ARE DEEMED CRITICAL TO THE ORGANIZATION'S PRESENT OR PROJECTED STAFFING NEEDS. GRANT APPLICATIONS FOR ALL OTHER CAREERS WILL BE REVIEWED ON A CASE-BY-CASE BASIS WITH A FINAL DETERMINATION TO BE MADE BY THE MH WORKFORCE STRATEGIES ADVISORY COUNCIL. X 1 1 X X X X 1 1 0 0 0 0 0 0 0 EDGAR CURTIS EX-OFFICIO PRESIDENT & CEO 1126301 0 0 0 702802 0 31250 0 23847 0 1884200 0 0 0 CHARLES CALLAHAN PHD PRS.MHHOSPGROUP(THRUJUN24) 0 664548 0 0 0 289089 0 117438 0 36011 0 1107086 0 135582 RAJESH GOVINDAIAH MD SVP & CPE (THRUJUN24) 560912 0 0 0 134245 0 96237 0 4139 0 795533 0 47154 0 KATHRYN KEIM SVP & CFO 597929 0 0 0 48781 0 105250 0 34793 0 786753 0 0 0 AIMEE DAILY PHD SVP & CTO(THRUSEP23) 332559 0 0 0 277229 0 86768 0 8532 0 705088 0 29670 0 JAMESON ROSZHART PRSMHAMGRPTRJN24;PRS&CEOSMH&MBHFRMJL 486620 0 0 0 68244 0 91308 0 33829 0 680001 0 25420 0 KEVIN ENGLAND SVP & CAO 474706 0 0 0 77511 0 92848 0 24006 0 669071 0 26986 0 ANNA EVANS JD SVP & GENERAL COUNSEL 453311 0 0 0 58724 0 120707 0 34128 0 666870 0 37107 0 MARSHA PRATER PHD SVP & CNO (THRUSEP23) 0 291390 0 0 0 323190 0 31153 0 7747 0 653480 0 0 DREW EARLY PRESIDENT & CEO DMH 443534 0 0 0 39195 0 71577 0 34137 0 588443 0 0 0 ELISABETH KLAR SVP & CHIEF HUMANRESOFF 387257 0 0 0 18705 0 68820 0 32156 0 506938 0 0 0 AKINDELE ADARAMOLA MD CHIEF MEDICAL OFFICER SMH 396245 0 0 0 17639 0 85348 0 2541 0 501773 0 0 0 J TRAVIS DOWELL PRESIDENT & CEO MMG (THRU JUN24) 346984 0 0 0 53659 0 65068 0 32623 0 498334 0 24677 0 DOLAN DALPOAS PRESIDENT & CEO LMH 326352 0 0 0 62056 0 61810 0 127 0 450345 0 27961 0 KIMBERLY BOURNE PRS&CEOTMH&TMF;BRDMBRMEMHOMECARE 296715 0 0 0 54627 0 59860 0 29962 0 441164 0 25633 0 ROBERT SCOTT FORMER SVP & CHIEF HR OFFICER 0 0 0 0 235700 0 0 0 0 0 235700 0 217571 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 2023 WAS COMPRISED OF THE FOLLOWING COMPONENTS: BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER COMPENSATION, 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 A $421,069 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 $209,583 THAT WAS PREVIOUSLY DEPOSITED IN A DEFERRED COMPENSATION PLAN, BUT ARE NOW ALSO DISTRIBUTED DIRECTLY DUE TO BEING FULLY VESTED. THE FOLLOWING LISTED INDIVIDUALS RECEIVED THE FOLLOWING AMOUNTS IN THE FORM OF SEVERANCE BENEFITS, IN CONNECTION WITH A QUALIFYING TERMINATION OF EMPLOYMENT DURING OR PRIOR TO THE YEAR BEING REPORTED: AIMEE DAILY, PH.D. $100,733 AND MARSHA PRATER $88,166. ALL SEVERANCE PAY AMOUNTS WERE PROVIDED UNDER PREVIOUSLY APPROVED SEVERANCE PAY AGREEMENTS AND ARE TRIGGERED ONLY BY CERTAIN TYPES OF EMPLOYMENT TERMINATION. PART I, LINES 4A-B CERTAIN LISTED INDIVIDUALS PARTICIPATE IN NONQUALIFIED DEFERRED COMPENSATION PLANS OF MEMORIAL HEALTH SYSTEM (MHS), A RELATED ORGANIZATION AND CENTRAL ORGANIZATION OF THE GROUP EXEMPTION. MHS CREDITS ANNUAL CONTRIBUTION AMOUNTS TO THESE PLANS, AND THESE AMOUNTS SERVE TO PROVIDE SUPPLEMENTAL RETIREMENT INCOME TO THESE INDIVIDUALS. ALL CREDITED AMOUNTS ARE REVIEWED AND APPROVED BY A COMMITTEE OF THE MHS BOARD AS PART OF REASONABLE TOTAL COMPENSATION. ALL AMOUNTS CREDITED ARE UNVESTED WHILE THE EXECUTIVE IS REQUIRED TO PROVIDE SUBSTANTIAL FUTURE SERVICES, AND THEN ARE TAXED IN FULL WHEN THE SERVICE PERIOD IS COMPLETED AND THE AMOUNTS BECOME VESTED. ALL AMOUNTS CREDITED TO THESE EXECUTIVES UNDER THESE PLANS ARE INCLUDED IN COLUMN (C) AS UNVESTED, NONTAXABLE DEFERRED COMPENSATION WHEN FIRST CREDITED, AND THEN ARE AGAIN INCLUDED IN COLUMN (B)(III) WHEN THE AMOUNTS BECOME VESTED AND ARE SUBJECT TO TAX. THE AMOUNTS INCLUDED IN COLUMN (F) FOR CERTAIN INDIVIDUALS REPRESENT AMOUNTS THAT WERE REPORTED ON PRIOR FORM 990S FOR PRIOR YEARS, AND SHOULD BE SUBTRACTED FROM THE TOTAL COMPENSATION IN COLUMN (E) TO RESULT IN A MORE ACCURATE TOTAL COMPENSATION FOR CALENDAR YEAR 2023. 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: KIMBERLY BOURNE $32,840, CHARLES CALLAHAN, PH.D. $212,811, EDGAR CURTIS $630,652, AIMEE DAILY PH.D. $33,293, DOLAN DALPOAS $37,558, J. TRAVIS DOWELL $27,697, KEVIN ENGLAND $48,066, ANNA EVANS, J.D. $50,852, RAJESH GOVINDAIAH $94,237, JAMESON ROSZHART $32,071, AND ROBERT SCOTT $235,700. TO BECOME ENTITLED TO THE BENEFITS PROVIDED, EACH COVERED EMPLOYEE MUST MEET SUBSTANTIAL REQUIREMENTS RELATING TO FURTHER EMPLOYMENT. UNTIL THOSE REQUIREMENTS ARE SATISFIED, IF EVER, THE EMPLOYEE IS NOT ENTITLED TO THESE AMOUNTS. IF THE EMPLOYEE WERE TO HAVE TERMINATED EMPLOYMENT VOLUNTARILY IN THE YEAR TO WHICH THIS RETURN APPLIES AND NOT MET THESE SUBSTANTIAL REQUIREMENTS, THESE SUPPLEMENTAL RETIREMENT BENEFITS WOULD HAVE BEEN FORFEITED. THESE SUPPLEMENTAL RETIREMENT BENEFITS ARE PART OF A RETIREMENT PROGRAM THAT PROVIDES RETIREMENT INCOME FOR ALL YEARS OF SERVICE THAT THE EMPLOYEE PROVIDES TO THE ORGANIZATION. ACCORDINGLY, ANY RETIREMENT BENEFITS SHOULD BE VIEWED AS APPLYING TO THE ENTIRE LENGTH OF THE EMPLOYEE'S SERVICE. THE LEADERSHIP COMPENSATION COMMITTEE OF THE MHS BOARD APPROVES ALL RETIREMENT BENEFITS, TOGETHER WITH ALL OTHER FORMS OF COMPENSATION AND BENEFITS FOR THESE AND OTHER SENIOR LEADERS, IN A MANNER INTENDED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL INCOME TAX LAW. A ILLINOIS FINANCE AUTHORITY 861091967 45204EU22 2019-02-05 148436538 SEE PART VI 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 2020-09-11 55510000 SEE PART VI 0 0 0 C ILLINOIS FINANCE AUTHORITY 861091967 2015-11-30 22778000 SEE PART VI 0 0 0 A 20975000 148436538 42654388 105782150 2019 1 0 1 1 B 6410000 55510000 54930000 580000 2020 1 0 1 1 C 10703000 22778000 270707 22432282 2015 1 0 1 1 A 0 1 1 1 1 1 0.00080 0.02100 0.02180 0 0 1 B 0 0 0 0 0 0 1 C 0 1 1 1 0 0.01950 0.01950 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 PART I, COLUMN (F) THE PURPOSE OF THE 2015 ISSUE WAS TO CURRENT REFUND $22,432,282 OF THE CITY OF JACKSONVILLE ILLINOIS ADJUSTABLE RATE DEMAND INDUSTRIAL REVENUE IMPROVEMENT BONDS, SERIES 2006B. THE PROCEEDS WERE ALSO USED TO PAY ISSUANCE EXPENSES OF THE BOND ISSUANCE. THE PURPOSE OF THE 2019 ISSUE WAS TO REFINANCE THE 2009 SERIES AND UPGRADE THE SPRINGFIELD CAMPUS'S EMERGENCY POWER SYSTEM; UPGRADE MEMORIAL 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 3 TOTAL PROCEEDS ISSUED AMOUNT IN COLUMNS A & B DOES NOT TIE TO PART I COLUMN (E) DUE TO INVESTMENT EARNINGS INCLUDED IN PART II, LINE 3. PART II, LINE 11 $22,432,282 OF THE 2015 ISSUE WAS USED TO REFUND THE 2006B SERIES. $105,782,150 OF THE 2019 ISSUE WAS USED TO REFINANCE THE 2009 SERIES. PART III, LINE 3B & 3D MEMORIAL HEALTH 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 RELATABLE ARBITRAGE HAS BEEN EARNED FOR ISSUES AT SUCH 5 YEAR ANNIVERSARIES. ELISABETH KLAR EMPLOYEE RETENTION X 203274 203274 0 0 1 DREW EARLY EMPLOYEE RETENTION X 211365 211365 0 0 1 AKINDELE ADARAMOLA MD EMPLOYEE RETENTION X 206100 206100 0 0 1 JENNIFER BOND EMPLOYEE RETENTION X 142515 142515 0 0 1 EVAN DAVIS EMPLOYEE RETENTION X 141795 141795 0 0 1 JANELL FRONTONE EMPLOYEE RETENTION X 126000 126000 0 0 1 1031049 HENRY HURWITZ SEE PART V 345094 SEE PART V 0 HURWITZ ENTERPRISE SEE PART V 116220 SEE PART V 0 MADELINE SCHULTE SEE PART V 74218 SEE PART V 0 (A) NAME OF PERSON: HENRY HURWITZ (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; SON OF JOSEPH HURWITZ, MH BOARD MEMBER(C) AMOUNT OF TRANSACTIONS: $345,094(D) DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH PAID COMPENSATION AND BENEFITS OF $345,094 TO HENRY HURWITZ RELATED TO EMPLOYMENT SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2024. HENRY HURWITZ IS THE SON OF JOSEPH HURWITZ, MEMBER OF MEMORIAL HEALTH'S BOARD OF DIRECTORS. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES: NO (A) NAME OF PERSON: HURWITZ ENTERPRISE (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER IS 100% OWNER HURWITZ ENTERPRISE(C) AMOUNT OF TRANSACTIONS: $116,220(D) DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH PAID FEES OF $116,220 TO HURWITZ ENTERPRISE FOR THE YEAR ENDED SEPTEMBER 30, 2024. JOSEPH HURWITZ IS A MEMBER OF MEMORIAL HEALTH'S BOARD OF DIRECTORS. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES: NO (A) NAME OF PERSON: MADELINE SCHULTE (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; DAUGHTER OF CHARLES CALLAHAN, KEY EMPLOYEE(C) AMOUNT OF TRANSACTIONS: $74,218(D) DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH PAID COMPENSATION AND BENEFITS OF $74,218 TO MADELINE SCHULTE RELATED TO EMPLOYMENT SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2024. MADELINE SCHULTE IS THE DAUGHTER OF CHARLES CALLAHAN, KEY EMPLOYEE OF MEMORIAL HEALTH. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES: NO PART V, LINE 1A THE NUMBER OF VENDORS REPORTED ON THE 1096 IS FOR ALL MEMORIAL HEALTH AFFILIATES. MEMORIAL HEALTH IS A COMMON PAY AGENT FOR ALL THE AFFILIATES AND REPORTS ALL VENDORS UNDER ITS EIN. PART V, LINE 2A THE NUMBER OF EMPLOYEES REPORTED ON THE W-3 IS FOR ALL MEMORIAL HEALTH AFFILIATES. MEMORIAL HEALTH 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, JENNIFER GILL, SERGIO PECORI, JOE HURWITZ, AND ED CURTIS HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE MH FORM 990 AND ALL ATTACHMENTS IS PROVIDED TO ALL OF THE MEMORIAL HEALTH BOARD OF DIRECTORS AND A BOARD COMMITTEE PRIOR TO FILING. ALL QUESTIONS AND COMMENTS ARISING FROM THESE REVIEWS ARE ADDRESSED PRIOR TO SUBMISSION OF THE RETURN TO THE APPROPRIATE TAXING AUTHORITIES. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE CORPORATION ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A SPECIFIC DISCLOSURE STATEMENT WHICH IS ATTACHED TO THE POLICY. MEMORIAL HEALTH MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY IDENTIFYING ANY POTENTIAL CONFLICTS AT THE TIME EACH MEETING AGENDA IS PREPARED. ANY OFFICER OR DIRECTOR WHO HAS A CONFLICT IS NOTIFIED OF SUCH CONFLICT, AS WELL AS THEIR OBLIGATION TO ABSTAIN FROM THE DISCUSSION AND VOTE ON ANY CONFLICTED ISSUES(S). SUCH ABSTENTION(S), IF REQUIRED, ARE DOCUMENTED IN THE MINUTES OF EACH MEETING. BOARD MEMBERS ARE ALSO REQUIRED TO UPDATE THEIR CONFLICT OF INTEREST DISCLOSURE STATEMENTS PROMPTLY IN THE EVENT OF ANY CHANGE IN PERSONAL OR BUSINESS ACTIVITIES THAT WOULD REQUIRE SUCH DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 THE MEMORIAL HEALTH BOARD OF DIRECTORS HAS APPOINTED A LEADERSHIP COMPENSATION COMMITTEE MADE UP OF PAST AND PRESENT INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS, AND HAS DELEGATED TO IT THE RESPONSIBILITY OF ADMINISTERING, OVERSEEING AND APPROVING ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVE LEADERSHIP, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER AND OTHER SENIOR VICE PRESIDENTS, WHO ARE KEY EMPLOYEES. THE BOARD HAS ADOPTED A LEADERSHIP COMPENSATION PHILOSOPHY STATEMENT DESCRIBING THE ROLE AND RESPONSIBILITIES OF THE COMMITTEE. THIS PHILOSOPHY EXPRESSLY STATES THE COMMITTEE'S INTENT, ON BEHALF OF THE CORPORATION, TO TAKE ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. THE COMMITTEE ANALYZES EVERY ELEMENT OF COMPENSATION (INCLUDING CURRENT, INCENTIVE AND DEFERRED COMPENSATION) AND BENEFITS (INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS). THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. IN CONNECTION WITH THE MOST RECENT REVIEW AND APPROVAL PROCESS, THE COMMITTEE RECEIVED PROFESSIONAL ADVICE FROM AN INDEPENDENT CONSULTANT AND OUTSIDE LEGAL COUNSEL. THE COMMITTEE CONSISTS ENTIRELY OF PAST AND PRESENT DISINTEREST MEMBERS OF THE BOARD OR DISINTERESTED COMMITTEE MEMBERS WHO UNDER STATE CORPORATE LAW MAY SERVE ON SUCH A COMMITTEE. THE COMMITTEE WORKS WITH ITS COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATE ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS OF MEMORIAL HEALTH, SUCH AS ARTICLES OF INCORPORATION AND ANY AMENDMENTS THERETO, ARE AVAILABLE TO THE GENERAL PUBLIC THROUGH THE ILLINOIS SECRETARY OF STATE'S OFFICE. THESE GOVERNING DOCUMENTS, AS WELL AS THE BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE UPON REQUEST FROM THE CORPORATION. THESE DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF TIME AS SET FORTH IN IRC SECTION 6104(D). FORM 990, PART XI, LINE 9: NONOPERATING RECONCILING ITEMS -4,081,949. CHANGE IN UNRESTRICTED NET ASSETS 24,621,437. INCOME STATEMENT BOOK/TAX DIFF 118,226. MEMORIAL HEALTH PARTNERS LLC 701 NORTH 1ST STREET SPRINGFIELD IL 62781 463947269 TO COORDINATE PATIENT CARE ACTIVITIES ACROSS THE HEALTHCARE CONTINUUM IL 128002937 4347912 MEMORIAL HEALTH MHS QALICB LLC 701 NORTH 1ST STREET SPRINGFIELD IL 62781 475644450 TO FACILITATE NEW MARKETS TAX CREDITS, DISSOLVED AS OF 9/30/2024 IL MEMORIAL HEALTH MCDEKK LLC 701 NORTH 1ST STREET SPRINGFIELD IL 62781 822701739 TO FACILITATE FACTORING OF RECEIVABLES; DISSOLVED IN FY24 IL MEMORIAL HEALTH SPRINGFIELD MEMORIAL HOPSITAL 701 NORTH FIRST ST SPRINGFIELD IL 627810001 370661220 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH 1 JACKSONVILLE MEMORIAL HOSPITAL 1600 WEST WALNUT STREET JACKSONVILLE IL 62650 370661230 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH 1 LINCOLN MEMORIAL HOSPITAL 200 STAHLHUT DR LINCOLN IL 62656 370723793 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH 1 TAYLORVILLE MEMORIAL HOSPITAL 201 EAST PLEASANT TAYLORVILLE IL 62568 370661250 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH 1 DECATUR MEMORIAL HOSPITAL 2300 N EDWARD DECATUR IL 62526 370661199 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH 1 MEMORIAL HOME CARE 720 NORTH BOND SPRINGFIELD IL 627024915 370714225 HOME HEALTH AND HOSPICE IL 501(C)(3) LINE 7 MEMORIAL HEALTH 1 SPRINGFIELD MEMORIAL FOUNDATION 701 NORTH FIRST ST SPRINGFIELD IL 627810001 371110301 GRANTS TO HOSPITAL, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS IL 501(C)(3) LINE 7 SPRINGFIELD MEMORIAL HOSPITAL 0 TAYLORVILLE MEMORIAL FOUNDATION 201 EAST PLEASANT TAYLORVILLE IL 62568 371337485 GRANTS TO OTHER CHARITABLE ORGANIZATINS AND HOSPITALS IL 501(C)(3) LINE 7 TAYLORVILLE MEMORIAL HOSPITAL 0 MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS 701 NORTH FIRST ST SPRINGFIELD IL 627026395 370646367 TRAINING, PSYCHIATRIC, AND RESIDENT SERVICES FOR MENTALLY ILL AND DISABLED IL 501(C)(3) LINE 7 MEMORIAL HEALTH 1 SPRINGFIELD RESIDENTAL SERVICES 701 NORTH FIRST ST SPRINGFIELD IL 62702 371298589 RESIDENTIAL HUD HOUSING PROJECT FOR MENTALLY ILL IL 501(C)(3) LINE 7 MEMORIAL BEHAVORIAL HEALTH 0 JACKSONVILLE MEMORIAL FOUNDATION 1600 WEST WALNUT STREET JACKSONVILLE IL 62650 471037396 GRANTS TO HOSPITAL, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS IL 501(C)(3) LINE 7 JACKSONVILLE MEMORIAL HOSPITAL 0 LINCOLN MEMORIAL FOUNDATION 200 STAHLHUT DR LINCOLN IL 62656 363492268 GRANTS TO OTHER CHARITABLE ORGANIZATINS AND HOSPITALS IL 501(C)(3) LINE 7 MEMORIAL HEALTH 1 JACKSONVILLE CRNA'S INC 1600 WEST WALNUT STREET JACKSONVILLE IL 62650 273093265 CRNA SERVICES IL 501(C)(3) LINE 10 JACKSONVILLE MEMORIAL HOSPITAL 0 MEMORIAL MEDICAL GROUP 701 NORTH FIRST ST SPRINGFIELD IL 62781 371181194 HEALTH CLINICS IL 501(C)(3) LINE 10 MEMORIAL HEALTH 1 MEMORIAL HEALTH VENTURES 701 NORTH FIRST ST SPRINGFIELD IL 62781 363492266 HEALTHCARE ACTIVITIES IL 501(C)(3) LINE 10 MEMORIAL HEALTH 1 DECATUR MEMORIAL FOUNDATION 2300 N EDWARD DECATUR IL 62526 454256254 GRANTS TO HOSPITAL, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS IL 501(C)(3) LINE 12A, I DECATUR MEMORIAL HOSPITAL 0 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 1 1 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 MEMORIAL MEDICAL GROUP A 3686692 FMV SPRINGFIELD MEMORIAL HOSPITAL A 4233822 FMV DECATUR MEMORIAL HOSPITAL A 357347 FMV MEMORIAL MEDICAL GROUP B 30210756 FMV DECATUR MEMORIAL HOSPITAL B 915696 FMV MEMORIAL HOME CARE B 4569975 FMV SPRINGFIELD MEMORIAL HOSPITAL C 34356796 FMV JACKSONVILLE MEMORIAL HOSPITAL C 11705180 FMV LINCOLN MEMORIAL HOSPITAL C 12770952 FMV TAYLORVILLE MEMORIAL HOSPITAL C 6502420 FMV SPRINGFIELD MEMORIAL HOSPITAL K 385458 FMV SPRINGFIELD MEMORIAL HOSPITAL L 49464532 FMV MEMORIAL HOME CARE L 509139 FMV MEMORIAL BEHAVIORAL HEALTH L 1159279 FMV MEMORIAL MEDICAL GROUP L 6942964 FMV LINCOLN MEMORIAL HOSPITAL L 2359052 FMV TAYLORVILLE MEMORIAL HOSPITAL L 2111751 FMV JACKSONVILLE MEMORIAL HOSPITAL L 4240843 FMV DECATUR MEMORIAL HOSPITAL L 11548896 FMV SPRINGFIELD MEMORIAL HOSPITAL M 1327363 FMV TAYLORVILLE MEMORIAL HOSPITAL M 83078 FMV SPRINGFIELD MEMORIAL HOSPITAL N 199880 FMV SPRINGFIELD MEMORIAL HOSPITAL O 297313405 FMV MEMORIAL HOME CARE O 9820221 FMV MEMORIAL BEHAVIORAL HEALTH O 12755630 FMV MEMORIAL MEDICAL GROUP O 60104071 FMV LINCOLN MEMORIAL HOSPITAL O 22985894 FMV TAYLORVILLE MEMORIAL HOSPITAL O 22304198 FMV JACKSONVILLE MEMORIAL HOSPITAL O 44617954 FMV DECATUR MEMORIAL HOSPITAL O 160381201 FMV SPRINGFIELD MEMORIAL HOSPITAL P 47765851 FMV MEMORIAL HOME CARE P 253404 FMV MEMORIAL BEHAVIORAL HEALTH P 76130 FMV MEMORIAL MEDICAL GROUP P 262315 FMV LINCOLN MEMORIAL HOSPITAL P 678869 FMV TAYLORVILLE MEMORIAL HOSPITAL P 520701 FMV JACKSONVILLE MEMORIAL HOSPITAL P 1744380 FMV DECATUR MEMORIAL HOSPITAL P 9837486 FMV DECATUR MEMORIAL FOUNDATION P 215292 FMV MEMORIAL HEALTH VENTURES Q 675006 FMV SPRINGFIELD MEMORIAL HOSPITAL Q 519342965 FMV MEMORIAL HOME CARE Q 2705053 FMV MEMORIAL BEHAVIORAL HEALTH Q 1701912 FMV SPRINGFIELD RESIDENTIAL SERVICES Q 53697 FMV MEMORIAL MEDICAL GROUP Q 8038755 FMV LINCOLN MEMORIAL HOSPITAL Q 16182733 FMV TAYLORVILLE MEMORIAL HOSPITAL Q 17052594 FMV JACKSONVILLE MEMORIAL HOSPITAL Q 44924725 FMV SPRINGFIELD MEMORIAL FOUNDATION Q 916295 FMV LINCOLN MEMORIAL FOUNDATION Q 85588 FMV DECATUR MEMORIAL HOSPITAL Q 141955265 FMV DECATUR MEMORIAL FOUNDATION Q 2581480 FMV