2017-11-15T07:44:22-06:00 2016-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2016-01-01 582460001 MEMORIAL HEALTH INC MEMO 9123508000 PO BOX 20389 SAVANNAH GA 314033089 LAURA DOW CFO 9123508000 2017-11-15 1 Amy Bibby P00445891 8282542254 12.25.12.224 2017-11-15 07:43:28 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 ADBFC64F84809A3D359AE279AE52D225AAF16287 2016 2021-01-29 14:40:06Z KERRY WATSON PO BOX 20389 SAVANNAH GA 314033089 65171687 0 X WWW.MEMORIALHEALTH.COM X 1997 GA TO SUPPORT MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, INC. 18 16 306 16 0 0 0 0 58310238 64980749 0 0 154745 190938 58464983 65171687 250273 288869 0 0 25369724 27457799 0 0 0 33650642 39096362 59270639 66843030 -805656 -1671343 58973619 52612995 11673713 13936414 47299906 38676581 TO PROVIDE ADMINISTRATIVE SUPPORT BY ENGAGING IN SUCH OTHER ACTIVITIES THAT BENEFIT, PERFORM THE FUNCTIONS OF, OR CARRY OUT THE PURPOSES OF MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, INC. AND AFFILIATES. 0 0 58605218 288869 64980749 TO PROVIDE ADMINISTRATIVE SUPPORT BY ENGAGING IN SUCH OTHER ACTIVITIES THAT BENEFIT, PERFORM THE FUNCTIONS OF, OR CARRY OUT THE PURPOSES OF MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, INC.THE ORGANIZATION ADMINISTERS AN ELECTRONIC MEDICAL RECORDS SOFTWARE PROGRAM INTENDED TO BENEFIT ITS SUPPORTED ORGANIZATION. EXPENSES TO BE REPORTED WITHIN THIS ENTITY ARE RELATED TO THE OPERATION AND MAINTENANCE OF THIS SOFTWARE SYSTEM AND ARE ALLOCATED TO THE ORGANIZATION BASED UPON ANNUAL TIME STUDIES. REVENUE TO BE RECOGNIZED IN CONJUNCTION WITH THIS SERVICE IS INTENDED TO DIRECTLY OFFSET OPERATIONAL EXPENSES AND WILL BE RECEIVED FROM SUPPORTED AND RELATED ORGANIZATIONS. 58605218 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 77 0 1 306 1 0 0 0 0 0 0 0 0 0 0 X 18 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X X LAURA DOW 9123508613 4600 WATERS AVENUE SAVANNAH GA 31404 J Harry Haslam Jr CHAIRMAN 1.00 3.00 X X 0 0 0 Marilyn Buck SECRETARY 1.00 2.00 X X 0 0 0 Arthur B Dana CPA CVS TREASURER 1.00 2.00 X X 0 0 0 Ira Berman BOARD MEMBER 1.00 2.00 X 0 0 0 Robert F Brown Jr BOARD MEMBER 1.00 41.00 X 0 332922 18702 E DANIEL DELOACH BOARD MEMBER 1.00 2.00 X 0 0 0 CATHY HILL BOARD MEMBER 1.00 2.00 X 0 0 0 Helen Downing BOARD MEMBER 1.00 2.00 X 0 0 0 ROBERT DOW HOFFMAN MD BOARD MEMBER 1.00 2.00 X 0 0 0 Curtis Lewis III BOARD MEMBER 1.00 2.00 X 0 0 0 Charles F McMillan Sr BOARD MEMBER 1.00 2.00 X 0 0 0 Mark E Murphy BOARD MEMBER, PHYSICIAN 1.00 2.00 X 0 0 0 Jackie Rabinowitz BOARD MEMBER 1.00 3.00 X 0 0 0 Frank Rossiter Jr BOARD MEMBER, PHYSICIAN 1.00 2.00 X 0 0 0 W Rex Templeton BOARD MEMBER 1.00 2.00 X 0 0 0 WILLIAM DONAHUE BOARD MEMBER 1.00 3.00 X 0 0 0 Susan Willetts BOARD MEMBER 1.00 2.00 X 0 0 0 Margaret Gill MBA President & CEO 1.00 42.00 X X 922034 0 19518 LEROY BURKE III BOARD MEMBER (RESIGNED 2/29/16) 0.00 X 0 0 0 JAY D GOLDSTEIN BOARD MEMBER (RESIGNED 2/29/16) 0.00 X 0 0 0 Laura Dow MACC CPA CHIEF FINANCIAL OFFICER 1.00 42.00 X 301492 0 14732 Ramon V Meguiar MD SENIOR VP & Chief Medical 1.00 42.00 X 489823 0 15639 Mary Chatman PhD RN COO & CNO 1.00 42.00 X 490837 0 19430 William Lee MHA MBA Chief Strategy Officer 1.00 42.00 X 331381 0 16495 KATHRYN MCCLELLAN VP OF INFORMATION SERVICE 1.00 42.00 X 303502 0 7631 Rebecca Keightley VP, Chief Communications O 1.00 42.00 X 201997 0 12935 JEFF WILSON JD SENIOR VP & GENERAL COUNSE 1.00 42.00 X 339551 0 12991 GUY PETRUZZELLI MD PHD MBA FACS VP OF ONCOLOGY PROGRAMS 1.00 42.00 X 489375 0 18873 KAREN BOYER MHA MBA RN VP OF PATIENT CARE SERVICE 1.00 42.00 X 0 250682 13054 JAMES WATSON JR VP OF REVENUE CYCLE & PATI 1.00 42.00 X 249990 0 14207 LAURIE MULGREW VP OF HEART & VASCULAR SERVICES 1.00 42.00 X 174659 0 7752 ALYSIA SHIRLEY CISA VP OF COMPLIANCE & AUDIT S 1.00 42.00 X 203299 0 16498 4497940 583604 208457 140 0 1 0 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 EHR SUPPORT 2339563 OPTIMUM HEALTHCARE IT LLC 1300 MARSH LANDING PKWY 105 JACKSONVILLE BEACH FL 32250 IT CONSULTING 2069953 MCKESSON TECHNOLOGIES 5995 WINDWARD PKWY ALPHARETTA GA 30005 SOFTWARE MAINT/SUPPORT 1978616 FIRST AMERICAN EQUIPMENT FINANCE 255 WOODCLIFF DR FAIRPORT NY 14450 EQUIPMENT LEASE 1531960 BE SMITH 8801 RENNER BLVD LENEXA KS 66219 CONSULTING 1411011 55 INFORMATION TECHNOLOGY 900099 38906157 38906157 PROGRAM SERVICE 900099 18914413 18914413 ACCOUNTING AND FINANCE 900099 3937735 3937735 OTHER PROGRAM SERVICE 900099 3222444 3222444 64980749 MISCELLANEOUS REVENUE 900099 190868 190868 PURCHASE DISCOUNTS 900099 70 70 190938 65171687 65171617 0 70 X 288869 288869 4938377 4938377 19426218 19426218 231302 184420 46882 1427772 1138382 289390 1434130 1143451 290679 2286613 2286613 385871 385871 9704471 9704471 973141 973141 1633433 1633433 11231231 11231231 742127 742127 244960 244960 33509 33509 107929 107929 7414828 7414828 3353559 3353559 BAD DEBT 701885 701885 MEDICAL SUPPLIES 282615 282615 MISCELLANEOUS 190 190 66843030 58605218 8237812 0 24366 303515 1142511 530816 2835791 2862493 63289150 14372979 54904112 48916171 66839 0 58973619 52612995 9239123 10010621 2434590 1164236 0 2761557 11673713 13936414 X 47299906 38676581 47299906 38676581 58973619 52612995 X -1671343 -6951982 X X 0 1 X 1 0 X X 1 MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER 311126469 3 1 0 58605218 1 0 58605218 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 16400 6150 10250 378500 118209 260291 60267880 14248620 46019260 2626370 2626370 48916171 DUE TO AFFILIATES 2761557 2761557 X Part X, Line 2: THE SYSTEM IS PARTIALLY COMPRISED OF ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTIONS 501(A) AND 501(C)(3) OF THE INTERNAL REVENUE CODE. WITH RESPECT TO ANY INCOME GENERATED BY ITS FOR-PROFIT SUBSIDIARIES OR UNRELATED BUSINESS INCOME, THE SYSTEM RECORDS INCOME TAXES USING THE LIABILITY METHOD UNDER WHICH THE DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR TO BE SETTLED. THE SYSTEM HAS EVALUATED ITS TAX POSITIONS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2016 AND 2015. Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 INVESTMENT IN CAPTIVE INSURANCE 1185055 Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 SELF INSURANCE PREMIUMS 5028943 0 0 0 0 0 0 6213998 0 6213998 1 0 1 0 0 0 1 Chatham County Safety Net Planning Co 24 Oglethorpe Professional Blvd 4th Floor Savannah GA 31406 261119132 501(c)(3) 42500 To support the operational needs of the council MedBank Foundation Inc POBox 15372 Savannah GA 31406 351418332 501(c)(3) 63000 To provide prescription assistance to low-income patients Georgia Chamber of Commerce 270 Peachtree Street NE Ste 2200 Atlanta GA 30303 581537370 501(c)(6) 13000 2015 Annual GA Initiative Investment Kids & Pros Inc PO Box 2093 Buford GA 30515 264298822 501(c)(3) 6500 Sponsor for 2015 Youth Football Camp Leukemia & Lymphoma Society PO Box 14254 Savannah GA 31416 135644916 501(c)(3) 10000 Sponsor for 2015 Light the Night Walk and Man & Woman of the Year Event March of Dimes SE GA Division 1776 Peachtree Street NW Ste 100 Atlanta GA 30309 131846366 501(c)(3) 5000 Support for March of Dimes Savannah Music Festival 200 East St Julian Street Ste 601 Savannah GA 31401 581401616 501(c)(3) 15000 Sponsor 2015 Savannah Music Festival Southern Shows Inc 810 Baxter Street Charlotte NC 28202 560753673 S Corp 10500 Sponsor 2015 Women's Show Series Susan G Komen for the Cure PO Box 1405 Savannah GA 31402 562583644 501(c)(3) 30000 Sponsor for 2015 Susan G Komen Savannah Race for the Cure United Way of the Coastal Empire 428 Bull Street Savannah GA 31401 580623603 C Corp 27800 Support for United Way of the Costal Empire SAVANNAH CHATHAM COUNTY PUBLIC 124 BULL STREET Savannah GA 31401 GOVT 22500 SUPPORT FOR BASEBALL TOURNEY AND JDRF union mission inc 120 FAHM ST Savannah GA 31401 580827524 501(C)(3) 5000 SUPPORT FOR RAISING HOPE 12 Part I, Line 2: THE COMMUNITY AFFAIRS AND CORPORATE COMMUNICATIONS OFFICES ARE RESPONSIBLE FOR EVALUATING THE COMMUNITY'S NEEDS AND DETERMINING WHICH NON-PROFIT ORGANIZATION'S MEET OUR GRANT CONTRIBUTION CRITERIA. X X X X X 0 0 0 0 0 0 0 0 0 Robert F Brown Jr BOARD MEMBER 0 328950 0 0 0 3972 0 5207 0 13495 0 351624 0 0 Margaret Gill MBA President & CEO 688349 0 231393 0 2292 0 6000 0 13518 0 941552 0 0 0 Laura Dow MACC CPA CHIEF FINANCIAL OFFICER 272806 0 27645 0 1041 0 5119 0 9613 0 316224 0 0 0 Ramon V Meguiar MD SENIOR VP & Chief Medical 395578 0 81950 0 12295 0 5927 0 9712 0 505462 0 0 0 Mary Chatman PhD RN COO & CNO 402170 0 85910 0 2757 0 6000 0 13430 0 510267 0 0 0 William Lee MHA MBA Chief Strategy Officer 292839 0 36000 0 2542 0 3000 0 13495 0 347876 0 0 0 KATHRYN MCCLELLAN VP OF INFORMATION SERVICE 272875 0 0 0 30627 0 2115 0 5516 0 311133 0 0 0 Rebecca Keightley VP, Chief Communications O 184164 0 15305 0 2528 0 3735 0 9200 0 214932 0 0 0 JEFF WILSON JD SENIOR VP & GENERAL COUNSE 251707 0 86291 0 1553 0 2229 0 10762 0 352542 0 0 0 GUY PETRUZZELLI MD PHD MBA FACS VP OF ONCOLOGY PROGRAMS 485731 0 0 0 3644 0 7682 0 11191 0 508248 0 0 0 KAREN BOYER MHA MBA RN VP OF PATIENT CARE SERVICE 0 230784 0 17410 0 2488 0 3381 0 9673 0 263736 0 0 JAMES WATSON JR VP OF REVENUE CYCLE & PATI 230410 0 18245 0 1335 0 4545 0 9662 0 264197 0 0 0 LAURIE MULGREW VP OF HEART & VASCULAR SERVICES 160441 0 12500 0 1718 0 0 0 7752 0 182411 0 0 0 ALYSIA SHIRLEY CISA VP OF COMPLIANCE & AUDIT S 198706 0 3500 0 1093 0 3475 0 13023 0 219797 0 0 0 Form 990, Part VI, Section B, line 11b THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO SENIOR MANAGEMENT WITHIN THE ORGANIZATION'S ACCOUNTING DEPARTMENT FOR INTERNAL REVIEW. A DRAFT IS THEN PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD FOR REVIEW. Form 990, Part VI, Section B, line 12c BOARD MEMBERS ARE REQUIRED TO UPDATE AND SUBMIT A NEW CONFLICT OF INTEREST STATEMENT ANNUALLY. THE CHAIRMAN OF THE BOARD, PRESIDENT, AND CHIEF EXECUTIVE OFFICER AND THE CORPORATE COMPLIANCE OFFICER SHALL BECOME FAMILIAR WITH THE STATEMENTS OF THE BOARD MEMBERS IN ORDER TO GUIDE THEIR CONDUCT SHOULD A CONFLICT ARISE AT SUCH TIMES AS ANY MATTER COMES BEFORE THE BOARD THAT MAY POTENTIALLY RESULT IN A CONFLICT OF INTEREST. THE AFFECTED BOARD MEMBER SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER OR NOT DISCLOSED IN A WRITTEN STATEMENT. THE AFFECTED BOARD MEMBER MAY MAKE A PRESENTATION TO THE BOARD OR A COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE MUST LEAVE THE MEETING DURING THE DISCUSSION OF AND THE VOTE ON THE TRANSACTION OR ARRANGEMENT CONSIDERED TO BE A CONFLICT OF INTEREST. Form 990, Part VI, Section B, line 15 THE ORGANIZATION USES SULLIVAN-COTTER (AN UNRELATED, INDEPENDENT THIRD PARTY COMPANY) TO ANALYZE APPROPRIATE COMPENSATION FOR THE CEO, EXECUTIVES, DIRECTORS AND TOP MANAGEMENT. FOR ALL OTHER POSITIONS, THE ORGANIZATION USES COMPENSATION ANALYST, SALARY.COM, TO ANALYZE COMPENSATION AND COMPILE DATA FOR COMPARABILITY. Form 990, Part VI, Section C, line 18 THE FORM 990 IS MADE AVAILABLE UPON REQUESTION. IN ADDITION, THE FORM 990 IS AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. Form 990, Part VI, Section C, line 19 THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF GEORGIA SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC AS THIS IS NOT A REQUIREMENT. Form 990, Part IX, line 11g Consulting: Program service expenses 4,905,426. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,905,426. Purchased Services: Program service expenses 4,569,258. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,569,258. CONTRACT LABOR: Program service expenses 70,868. Management and general expenses 0. Fundraising expenses 0. Total expenses 70,868. OTHER PROFESSIONAL FEES: Program service expenses 158,919. Management and general expenses 0. Fundraising expenses 0. Total expenses 158,919. Form 990, Part XI, line 9: NET EQUITY TRANSFERS FROM AFFILIATES -6,951,982. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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