2019-03-28T08:18:04-05:00 2018-06-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2017-07-01 370646367 MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS MENT 2177883922 701 NORTH FIRST STREET SPRINGFIELD IL 62781 JANICE GAMBACH PRESIDENT 2175251064 2019-03-28 1 JESSICA A WAGENER P01622613 3128792000 170.27.135.6 2019-03-28 08:17:42 CD P 44E302E50A64F3E11F2F8B68A2E404E980E67C35 44E302E50A64F3E11F2F8B68A2E404E980E67C35 2017 2019-02-21 02:37:17Z X MEMORIAL BEHAVIORAL HEALTH JANICE GAMBACH 701 NORTH FIRST STREET SPRINGFIELD IL 62781 29434686 0 5670 X WWW.MEMORIALBEHAVIORALHEALTH.ORG X 1962 IL TO IMPROVE THE HEALTH OF THE PEOPLE AND THE COMMUNITIES WE SERVE. 17 16 360 17 0 0 3593354 3334466 10398777 10087909 302411 1401606 323686 288530 14618228 15112511 1042 1202 0 0 12083959 10946384 0 0 4420 2791675 2410065 14876676 13357651 -258448 1754860 17934855 18495151 1958611 1781798 15976244 16713353 X TO IMPROVE THE HEALTH OF THE PEOPLE AND THE COMMUNITIES WE SERVE. 0 1 1763246 2246390 LINCOLN CENTER FOR DEVELOPMENTAL REHABILITATION (LCDR) PROVIDES DEVELOPMENTAL TRAINING SERVICES FOR DEVELOPMENTALLY DISABLED ADULTS. THE SERVICES ARE DESIGNED TO ENHANCE THE INDIVIDUAL'S SKILLS IN ACTIVITIES OF DAILY LIVING, TO LEAD THE INDIVIDUAL TO INDEPENDENCE AND ECONOMIC SELF-SUFFICIENCY THROUGH INSTRUCTION AND TRAINING. THE INDIVIDUAL IS PREPARED FOR LESS RESTRICTIVE INSTRUCTIONAL AND WORK SETTINGS. DEVELOPMENTAL TRAINING PROVIDES A THREE-FOLD APPROACH TO MEETING THE NEEDS OF THE DEVELOPMENTALLY DISABLED ADULT. THESE OBJECTIVES ARE (1) THERAPEUTIC DEVELOPMENTAL, (2) HUMAN INTERACTION DEVELOPMENT, AND (3) VOCATIONAL SKILLS. SERVICE UNITS ARE MEASURED BY CLIENT HOURS. LCDR OPERATED 244 DAYS AND PROVIDED 214,946 CLIENT HOURS OF SERVICE IN FISCAL YEAR 2018. 1109073 1242373 THE CRISIS/ACCESS PROGRAM PROVIDES RAPID RESPONSE TO INDIVIDUALS IN MENTAL HEALTH CRISIS, TO MEMBERS OF HIS/HER SUPPORT SYSTEM, AND THE COMMUNITY 24-HOURS/DAY. THE PROGRAM PROVIDES CRISIS INTERVENTION SERVICES, WALK-INS, & MOBILE SERVICES. SHORT-TERM CRISIS INTERVENTION OF THERAPY/COUNSELING AND PSYCHIATRIC CARE IS DESIGNED TO ADDRESS THE PRESENTING SYMPTOMS OF A PSYCHIATRIC EMERGENCY & TO AMELIORATE A CLIENT'S DISTRESS SO THAT RESOURCES & SUPPORTS CAN BE MOBILIZED & PLANNING FOR FURTHER TREATMENT CAN OCCUR. CRISIS WALK-IN IS SUPPORT & INTERVENTION OFFERED AT AN IDENTIFIED LOCATION ON AN UNSCHEDULED BASIS FOR THE PURPOSE OF STABILIZING OR RESOLVING A CRISIS SITUATION. MOBILE CRISIS SERVICE IS DELIVERED WHERE & WHEN THE CRISIS OCCURS TO ASSURE SERVICE BY MENTAL HEALTH PROFESSIONALS. MBH PROVIDED 5,204 CLIENT HOURS IN FISCAL YEAR 2018. 1008893 1258388 MEMORIAL BEHAVIORAL HEALTH-COUNSELING ASSOCIATES (MBH-CA) IS A TRADITIONAL COUNSELING PRACTICE HOUSING FOURTEEN LICENSED CLINICIANS. SERVICES ARE OFFERED TO PATIENTS WITH PRIVATE INSURANCE AND THOSE INVOLVED WITH EMPLOYEE ASSISTANCE PROGRAMS. MBH-CA CLINICIANS ASSIST PATIENTS IN ADDRESSING STRESS, LIFE TRANSITIONS, AND BEHAVIORAL HEALTH DISORDERS, INCLUDING SUBSTANCE USE. MBH-CA OPERATES FIVE DAYS A WEEK, MONDAY THROUGH FRIDAY FROM 7:30 AM TO 6:30 PM, EXCEPT ON HEALTH SYSTEM HOLIDAYS. MBH-CA PROVIDED 11,289 DUPLICATED PATIENT SERVICES DURING FISCAL YEAR 2018. 564994 1092 709088 OTHER DEVELOPMENTAL DISABILITY PROGRAMS 6367214 110 4842153 OTHER MENTAL HEALTH PROGRAMS 11783 10440 HOUSING SERVICES 6943991 1202 5561681 10825203 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 23 0 1 360 1 0 0 0 0 0 0 0 0 0 1 0 X 17 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 IL X LAURA RAPAPORT ACCOUNTING MNGR 2175887759 701 NORTH FIRST STREET SPRINGFIELD IL 32781 X MICHAEL O'SHEA DIRECTOR 0.35 0.35 X 0 0 0 JENNIFER MORRISON DIRECTOR 0.35 0.35 X 0 0 0 DR VIRGINIA DOLAN DIRECTOR & MPS PHYSICIAN 0.70 49.30 X 0 512625 105486 GINA LATHAN DIRECTOR (THRU 2/28/18) 0.50 X 0 0 0 JOHN MILHISER DIRECTOR 0.35 0.35 X 0 0 0 ANNE MORGAN DIRECTOR 0.70 X 0 0 0 WANDA LEE ROHLFS DIRECTOR 0.35 0.35 X 0 0 0 SCOTT SABIN DIRECTOR 0.70 X 0 0 0 JANET S STOVER DIRECTOR 0.70 X 0 0 0 DANIEL WRIGHT DIRECTOR 0.70 X 0 0 0 REVEREND JERRY DOSS DIRECTOR 0.70 X 0 0 0 REVEREND ROBERT FREEMAN DIRECTOR 0.70 X 0 0 0 SAIF MOUILISH DIRECTOR 0.70 X 0 0 0 TIFFANY NIELSON PHD DIRECTOR 0.70 X 0 0 0 SANDY ROBINSON II CHAIR 0.35 0.35 X X 0 0 0 CATHERINE J GONZALEZ JD VICE CHAIR 0.35 0.35 X X 0 0 0 BRENT BORAH TREASURER 0.35 0.35 X X 0 0 0 LEIGH STEINER PHD SECRETARY 0.35 0.35 X X 0 0 3688 JANICE GAMBACH PRESIDENT 47.50 2.50 X 0 208017 24750 EMILY EBERT FINANCE DIRECTOR 47.50 2.50 X 0 91506 37761 ROBERT S KIRIAKOS SR VICE PRES, CLINICAL INTEGRATION 5.00 45.00 X 0 501652 129496 JAMESON ROSZHART VP AMBULAROTY NETWORKS & CLINICAL INTEGRATION 5.00 45.00 X 0 295392 68995 ROBYN LUKE ADMINISTRATOR ADMINISTRATIVE SERVICES 50.00 X 111378 0 5062 CYNTHIA A BUTLER ADMINISTRATOR CLINICAL SERVICES 50.00 X 127062 0 14329 BETTEANNE MACINTOSH PSYCHIATRIST 50.00 X 158937 0 29989 397377 1609192 419556 3 0 1 0 0 17210 398564 2481687 437005 114875 3334466 MENTAL HEALTH SERVICES 621400 7279845 7279845 DD SERVICES 621400 2797624 2797624 HOUSING SERVICES 621400 10440 10440 10087909 171248 171248 67607 0 67607 67607 67607 15304507 125442 14136586 63005 1167921 62437 1230358 1230358 206683 122584 84099 84099 TRAINING REIMBURSEMENT 900099 47483 47483 CONFERENCE REVENUE 900099 19237 19237 PARTNERSHIP INCOME 900099 18935 18935 51169 51169 136824 15112511 10308832 0 1469213 1202 1202 354764 83817 270947 8030032 6964567 1061549 3916 548104 512321 36215 -432 1399110 1155811 242651 648 614374 571705 42381 288 210 120 90 33868 32018 1850 1526 1526 130556 112349 18207 845 837 8 279766 224371 55395 119214 104870 14344 416145 362895 53250 179882 164907 14975 13908 6590 7318 371831 336051 35780 104510 104003 507 MANAGEMENT FEES 626474 626474 FOOD & DIETARY SUPPLIES 65180 60592 4588 MEMBERSHIP DUES 34546 5579 28967 PROVISION FOR UNCOLLECT 18913 18913 12691 1685 11006 13357651 10825203 2528028 4420 680 730 3979758 1350176 2779196 1906610 189447 141255 11036547 7731388 3579821 3305159 7354078 11720412 51875 70809 17934855 18495151 1779279 1690614 179332 91184 1958611 1781798 X 15976244 16713353 15976244 16713353 17934855 18495151 1754860 -1017751 0 X 0 1 X 1 1 1 X 3594448 3465618 3630471 3593354 3334466 17618357 3594448 3465618 3630471 3593354 3334466 17618357 1469327 16149030 296161 253265 257036 257485 238855 1302802 100507 60742 33744 245155 136824 576972 19498131 49175742 0.82820 0.85450 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: REIMBURSEMENT FROM SUBSIDIARY - 2016 AMOUNT: $ 182,273. MENTAL HEALTH TRAINING - REGISTRATION FEES - 2013 AMOUNT: $ 27,440. 2014 AMOUNT: $ 8,173. 2015 AMOUNT: $ 7,770. 2016 AMOUNT: $ 11,952. 2017 AMOUNT: $ 47,483. RECORD COPY FEES - 2014 AMOUNT: $ 15,400. 2015 AMOUNT: $ 12,002. 2016 AMOUNT: $ 11,576. 2017 AMOUNT: $ 8,220. OTHER REVENUE - 2013 AMOUNT: $ 54,349. 2014 AMOUNT: $ 195. 2015 AMOUNT: $ 3,772. 2016 AMOUNT: $ 3,504. 2017 AMOUNT: $ 17,585. PROMPT PAY INTEREST - 2014 AMOUNT: $ 43,367. 2015 AMOUNT: $ 6,657. 2016 AMOUNT: $ 25,232. 2017 AMOUNT: $ 12,067. PARTNERSHIP INCOME - 2013 AMOUNT: $ 18,718. 2014 AMOUNT: $ -35,773. 2015 AMOUNT: $ -11,645. 2016 AMOUNT: $ -17,500. 2017 AMOUNT: $ 18,935. NON-RECORD FEES - 2014 AMOUNT: $ 7,120. 2015 AMOUNT: $ 8,578. 2016 AMOUNT: $ 12,577. 2017 AMOUNT: $ 13,297. TRAINING CONFERENCES - 2014 AMOUNT: $ 22,260. 2015 AMOUNT: $ 6,610. 2016 AMOUNT: $ 15,541. 2017 AMOUNT: $ 19,237. 0 0 0 0 0 1 1526 0 0 0 1526 0 PART II-B, LINE 1: MBH IS A DUES PAYING MEMBER OF THE ILLINOIS ASSOCIATION OF REHABILITATION FACILITIES, INC. (IARF). A PERCENTAGE OF MBH'S DUES TO IARF GO TOWARDS LOBBYING ACTIVITIES. 996667 996667 7273232 5467101 1806131 11753 2878 8875 2441631 1997571 444060 313264 263838 49426 3305159 X PART X, LINE 2: MBH IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE UNITED STATE INTERNAL REVENUE CODE. MBH IS NOT CONSIDERED A PRIVATE FOUNDATION. IN ACCORDANCE WITH FASB ACS 740-10 WHICH ADDRESSES INCOME TAXES, MBH BELIEVES THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS RESULTING IN LIABILITIES THAT WOULD HAVE BEEN REQUIRED FOR THE YEAR ENDED JUNE 30, 2018. MBH'S FORM 990 FOR 2015, 2016, AND 2017 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS), GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. 0 1 0 0 0 0 0 0 0 DR VIRGINIA DOLAN DIRECTOR & MPS PHYSICIAN 0 433982 0 19262 0 59381 0 56341 0 49145 0 618111 0 34520 JANICE GAMBACH PRESIDENT 0 179802 0 22922 0 5293 0 14765 0 9985 0 232767 0 0 ROBERT S KIRIAKOS SR VICE PRES, CLINICAL INTEGRATION 0 334678 0 119533 0 47441 0 111379 0 18117 0 631148 0 0 JAMESON ROSZHART VP AMBULAROTY NETWORKS & CLINICAL IN 0 228714 0 57150 0 9528 0 42965 0 26030 0 364387 0 0 BETTEANNE MACINTOSH PSYCHIATRIST 157812 0 150 0 975 0 4938 0 25051 0 188926 0 0 0 PART I, LINE 3 MEMORIAL HEALTH SYSTEM, A RELATED ORGANIZATION OF MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: 1) COMPENSATION COMMITTEE; 2) INDEPENDENT COMPENSATION CONSULTANT; 3) COMPENSATION SURVEY OR STUDY; AND 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B MEMORIAL HEALTH SYSTEM, A RELATED ORGANIZATION OF MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS, PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO THE FOLLOWING DIRECTOR AND KEY EMPLOYEES: DR. VIRGINIA DOLAN, $22,448, ROBERT KIRIAKOS, $76,779, AND JAMESON ROSZHART, $22,288. THESE BENEFITS ARE PROVIDED THROUGH A NONQUALIFIED DEFERRED COMPENSATION PLAN, UNDER WHICH THE BENEFITS BEING EARNED ARE SUBJECT TO A "SUBSTANTIAL RISK OF FORFEITURE". THE SUPPLEMENTAL RETIREMENT BENEFITS ARE STRUCTURED TO PROVIDE A RETENTION INCENTIVE THAT HAS BEEN DETERMINED BY THE LEADERSHIP COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM TO BE OF SUBSTANTIAL VALUE TO THE ORGANIZATION. THE FOLLOWING DIRECTOR AND KEY EMPLOYEES RECEIVED DEFERRED COMPENSATION PAYOUTS IN THE CALENDAR YEAR FROM A RELATED ORGANIZATION: DR. VIRGINIA DOLAN, $40,017 AND ROBERT KIRIAKOS, $33,517. PART I, LINE 7 MEMBERS OF SENIOR MANAGEMENT RECEIVE COMPENSATION UNDER PLANS SPONSORED BY MEMORIAL HEALTH SYSTEM. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II COLUMN (B) (II). THE PLANS ARE DESIGNED TO CONDITION A PORTION OF COMPENSATION ON PERFORMANCE AGAINST PREDETERMINED FINANCIAL, MISSION, AND INDIVIDUAL GOALS APPROVED IN ADVANCE BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM. THE LEADERSHIP COMPENSATION COMMITTEE OF THE BOARD HAS REVIEWED THE REASONABLENESS OF ALL SUCH PAYMENTS, AND HAS CONCLUDED, AS THE RESULT OF A PROCESS THAT IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER FEDERAL TAX LAW, THAT ALL SUCH AMOUNTS ARE REASONABLE AND DID NOT EXCEED FAIR MARKET VALUE FOR THE SERVICES RENDERED. X 2 114875 FMV 0 0 1 0 PART I, COLUMN (B): THE NUMBER OF ITEMS RECEIVED = 2 MULTI-PASSENGER VANS. FORM 990, PART III, LINE 3 BEGINNING IN AUGUST 2017, MEMORIAL BEHAVIORAL HEALTH (MBH) TRANSFERRED ADULT PSYCHIATRY SERVICES TO SOUTHERN ILLINOIS UNIVERSITY-CENTER FOR FAMILY MEDICINE, WHICH HAS BETTER SELF-SUSTAINING PSYCHIATRY RATES. THIS TRANSITION OCCURRED DUE TO THE BENEFITS OF INTEGRATED CARE AND ACCESSIBILITY OF CRITICAL BUT LIMITED PSYCHIATRY SERVICES. THE TOTAL REVENUE, NET OF GRANTS, FOR ADULT AND CHILD PSYCHIATRIC SERVICE DECREASED FROM $543,000 IN FY17 TO $173,000 IN FY18. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERSHIP OF THE CORPORATION CONSISTS OF ONE CORPORATE MEMBER, MEMORIAL HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER OF THE CORPORATION ELECTS THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS OF THE CORPORATION REQUIRE THE ADVANCE APPROVAL OF THE CORPORATE MEMBER FOR CORPORATE, ADMINISTRATIVE AND OPERATIONAL ACTIONS WHICH INCLUDE, BUT ARE NOT LIMITED TO, THE APPROVAL OF ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATING BUDGET, AMENDMENT, ALTERATION OR REPEAL OF THE ARTICLES OF INCORPORATION OR BYLAWS, CREATION OR ELIMINATION OF A PROGRAM OR SERVICE, APPROVAL OF BORROWING WHICH EXCEEDS $250,000, APPROVAL OF ANY QUANTITY OF DEBT WHICH EXCEEDS $250,000, APPROVAL OF ANY DISSOLUTION, MERGER OR CONSOLIDATION OR SALE OF THE ASSETS OF THE CORPORATION WHICH EXCEED $250,000, APPROVAL OF THE ORGANIZATION OF AN AFFILIATE/SUBSIDIARY, APPROVAL FOR APPLICATION OF CERTIFICATE OF NEED, APPROVAL TO ADOPT ANY LONG-TERM OR MASTER INSTITUTIONAL PLAN, APPROVAL TO SELL OR PURCHASE REAL PROPERTY WHICH EXCEEDS $250,000, APPROVAL TO CHANGE INSURANCE SPECIFICATIONS OR LIMITS, APPROVAL TO SELECT OR CHANGE INDEPENDENT AUDITORS AND LEGAL COUNSEL, APPROVAL TO ENTER INTO, RENEW OR MODIFY CONTRACTS TO PROVIDE COVERED MENTAL HEALTH CARE SERVICES TO BENEFICIARIES OF HEALTH MAINTENANCE ORGANIZATIONS, HEALTH CARE SERVICE PLANS, INDEPENDENT PRACTICE ASSOCIATIONS, PREFERRED PROVIDER ORGANIZATIONS, INSURANCE COMPANIES AND OTHER PURCHASERS OF HEALTH SERVICES, APPROVAL TO ENTER INTO ANY CONTRACT OR AGREEMENT WHICH I) PROVIDES FOR THE PAYMENT OR PERFORMANCE BY EITHER PARTY EXCEEDING AN AGGREGATE VALUE OF $250,000, II) IS NOT TERMINABLE WITHOUT PAYMENT OR PENALTY OF 60 DAYS OR LESS NOTICE III)IS BETWEEN THE CORPORATION OR AN AFFILIATE AND AN OFFICER, DIRECTOR OR KEY EMPLOYEE THEREOF. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT PREPARES AND REVIEWS THE RETURN. AN OUTSIDE TAX ADVISOR THEN REVIEWS THE RETURN, PROVIDING COMMENTS AND GUIDANCE AS NEEDED. MBH BOARD MEMBERS ARE THEN PROVIDED WITH A FINAL COPY OF FORM 990 AND ITS SUPPORTING SCHEDULES FOR REVIEW AT A REGULARLY SCHEDULED BOARD MEETING. REVIEW, DISCUSSION, AND RATIFICATION OF THE FORM ARE AN AGENDA ITEM. FORM 990, PART VI, SECTION B, LINE 12C MBH BOARD MEMBERS RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY ANNUALLY. BOARD MEMBERS COMPLETE CONFLICT OF INTEREST STATEMENTS ON AN ANNUAL BASIS; BOARD MEMBERS ARE REMINDED TO UPDATE THEIR STATEMENTS IF CIRCUMSTANCES CHANGE. BOARD MEMBERS ARE REMINDED OF THE NEED TO ABSTAIN FROM VOTING WHEN BOARD RESOLUTIONS REQUIRE SUCH ACTION. BOARD MEMBERS ARE APPRAISED BY MANAGEMENT OF POTENTIAL CONFLICTS WITH MEETING AGENDA ITEMS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION DETERMINATIONS OF MBH'S PRESIDENT AND OTHER OFFICERS WERE CONDUCTED BY MEMORIAL HEALTH SYSTEM'S MANAGEMENT, A RELATED ORGANIZATION OF THE FILING ORGANIZATION. MBH'S PRESIDENT IS AN EMPLOYEE OF MEMORIAL HEALTH SYSTEM (MHS). MHS ANNUALLY ENGAGES A CONSULTING FIRM TO CONDUCT A COMPENSATION REVIEW, WHICH INCLUDES A COMPARABILITY STUDY FOR ALL EXECUTIVES. MHS'S LEADERSHIP COMPENSATION COMMITTEE, A PART OF ITS BOARD OF DIRECTORS, REVIEWS THE CONSULTANT REPORT. COMPENSATION COMMITTEE DECISIONS AND REPORTS ARE CONTEMPORANEOUSLY DOCUMENTED IN THE BOARD OF DIRECTOR AND COMPENSATION COMMITTEE MINUTES AS APPROPRIATE. MBH'S FINANCE DIRECTOR IS ALSO AN MHS EMPLOYEE. HER COMPENSATION IS REVIEWED ANNUALLY BY THE HR DEPARTMENT. THIS REVIEW INCLUDES A COMPARABILITY STUDY AND BENEFITS ANALYSIS. ONE OFFICER IS AN EMPLOYEE OF AN AFFILIATED ORGANIZATION, MEMORIAL PHYSICIANS SERVICES. HER COMPENSATION IS REVIEWED BY THE SAME OUTSIDE CONSULTING FIRM THAT REVIEWS THE COMPENSATION OF MBH'S PRESIDENT. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS OF MENTAL HEALTH CENTER OF CENTRAL ILLINOIS, 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). PART VII, SECTION A JANICE GAMBACH AND EMILY EBERT WERE EMPLOYED BY A RELATED ORGANIZATION, MEMORIAL HEALTH SYSTEM (MBH'S CORPORATE PARENT ORGANIZATION), AND THEREFORE ARE REPORTED AS A MEMORIAL HEALTH SYSTEM EMPLOYEE FOR TAX REPORTING PURPOSES (W-2). HOWEVER, THESE TWO OFFICER'S COMPENSATION EXPENSE IS ALLOCATED TO MBH ACCORDING TO THE TIME SPENT IN LEADERSHIP TO MBH AND THEREFORE INCLUDED ON PART IX, LINE 5. 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 1 MEMORIAL HEALTH SYSTEM 701 NORTH FIRST ST SPRINGFIELD IL 627810001 371110690 PARENT IL 501(C)(3) LINE 12B, II N/A 0 MEMORIAL MEDICAL CENTER 701 NORTH FIRST ST SPRINGFIELD IL 627810001 370661220 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH SYSTEM 0 MEMORIAL HEALTH VENTURES 701 NORTH FIRST ST SPRINGFIELD IL 627810001 363492266 HEALTHCARE ACTIVITIES IL 501(C)(3) LINE 10 MEMORIAL HEALTH SYSTEM 0 ABRAHAM LINCOLN MEMORIAL HOSPITAL 315 EIGHTH ST LINCOLN IL 62656 370723793 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH SYSTEM 0 TAYLORVILLE MEMORIAL HOSPITAL 201 EAST PLEASANT TAYLORVILLE IL 62568 370661250 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH SYSTEM 0 MEMORIAL HOME SERVICES 720 NORTH BOND SPRINGFIELD IL 627024915 370714225 HOME HEALTH, HOSPICE, AND CONTINUOUS CARE SERVICES IL 501(C)(3) LINE 7 MEMORIAL HEALTH SYSTEM 0 MEMORIAL PHYSICIAN SERVICES 701 NORTH FIRST ST SPRINGFIELD IL 627810001 371181194 HEALTH CLINICS IL 501(C)(3) LINE 10 MEMORIAL HEALTH SYSTEM 0 MEMORIAL MEDICAL CENTER FOUNDATION 1 MEMORIAL PLAZA SPRINGFIELD IL 62781 371110301 GRANTS TO HOSPITALS, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS IL 501(C)(3) LINE 7 MEMORIAL MEDICAL CENTER 0 TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION INC 201 EAST PLEASANT TAYLORVILLE IL 62568 371337485 GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALS IL 501(C)(3) LINE 7 N/A 0 ABRAHAM LINCOLN HEALTHCARE FOUNDATION 315 EIGHTH ST LINCOLN IL 62656 363492268 GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALS IL 501(C)(3) LINE 7 MEMORIAL HEALTH SYSTEM 0 PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION 1600 WEST WALNUT STREET JACKSONVILLE IL 62650 370661230 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH SYSTEM 0 PASSAVANT AREA HOSPITAL FOUNDATION 1600 WEST WALNUT STREET JACKSONVILLE IL 62650 461037396 SUPPORTING THE HOSPITAL IL 501(C)(3) LINE 7 PASSAVANT MEMORIAL AREA HOSPITAL 0 JACKSONVILLE CRNA'S INC 1600 WEST WALNUT STREET JACKSONVILLE IL 62650 273093265 CRNA SERVICES IL 501(C)(3) LINE 10 PASSAVANT MEMORIAL AREA HOSPITAL 0 MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS 701 NORTH FIRST STREET SPRINGFIELD IL 62781 371190216 PROVIDE DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO PATIENTS IL N/A C 0 PASSAVANT PHYSICIAN ASSOCIATION 1600 WEST WALNUT STREET JACKSONVILLE IL 62650 261200566 PHYSICIAN SERVICES IL N/A C 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 1 SPRINGFIELD RESIDENTIAL SERVICES S 172567 COST