Civic Intelligence

Memorial Health System

990 • Fiscal year 2013 • EIN 37-1110690

Oct 01, 2012 to Sep 30, 2013 • Filed on Aug 01, 2014

701 North First Street62781-0001
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

71st percentile

0.58x

Higher debt load relative to assets than 71% of similar nonprofits.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2013

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2013

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2013

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2013

Asset Growth

95th percentile

35%

Faster asset growth than 95% of similar nonprofits.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Assets

Up

$221,282,146

Up $57,829,994 (+35%) from 2012

Net Assets

Down

$93,685,201

Down $4,069,639 (-4.2%) from 2012

Liabilities

Up

$127,596,945

Up $61,899,633 (+94%) from 2012

Revenue

-

No earlier filing loaded for comparison.

Expenses

Up

$62,730,049

Up $3,083,103 (+5.2%) from 2012

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$800M$600M$400M$200M$0Assets 2010: $144,243,267Liabilities 2010: $63,763,910Net Assets 2010: $80,479,3572010Assets 2011: $138,836,542Liabilities 2011: $62,665,324Net Assets 2011: $76,171,2182011Assets 2012: $163,452,152Liabilities 2012: $65,697,312Net Assets 2012: $97,754,8402012Assets 2013: $221,282,146Liabilities 2013: $127,596,945Net Assets 2013: $93,685,2012013Assets 2015: $280,951,548Liabilities 2015: $151,695,218Net Assets 2015: $129,256,3302015Assets 2018: $529,554,123Liabilities 2018: $405,770,758Net Assets 2018: $123,783,3652018Assets 2020: $515,238,317Liabilities 2020: $386,412,477Net Assets 2020: $128,825,8402020Assets 2021: $581,495,247Liabilities 2021: $396,190,272Net Assets 2021: $185,304,9752021Assets 2022: $556,755,508Liabilities 2022: $383,367,111Net Assets 2022: $173,388,3972022Assets 2024: $619,582,206Liabilities 2024: $396,419,457Net Assets 2024: $223,162,7492024

Highlighted filing

2013

Assets$221,282,146
Liabilities$127,596,945
Net Assets$93,685,201

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0-$100MExpenses 2010: $51,438,2772010Expenses 2011: $59,356,1002011Expenses 2012: $59,646,9462012Expenses 2013: $62,730,0492013Revenue 2015: $68,171,145Expenses 2015: $70,243,759Net Income 2015: -$2,072,6142015Revenue 2018: $74,955,241Expenses 2018: $70,715,448Net Income 2018: $4,239,7932018Revenue 2020: $107,648,625Expenses 2020: $89,835,471Net Income 2020: $17,813,1542020Revenue 2021: $82,620,372Expenses 2021: $100,180,203Net Income 2021: -$17,559,8312021Revenue 2022: $112,809,399Expenses 2022: $118,516,061Net Income 2022: -$5,706,6622022Revenue 2024: $226,754,645Expenses 2024: $225,643,573Net Income 2024: $1,111,0722024

Highlighted filing

2013

Revenue-
Expenses$62,730,049
Net Income-
Jump To
Filing Snapshot
Filing Period
Oct 1, 2012 to Sep 30, 2013
Signed
Aug 1, 2014
Return Version
2012v2.1
Gross Receipts
$150,778,434
Mission and Program Overview

Mission

To improve the health of the people and communities we serve.

Major Activities

Activity 2
Building and facility expansion and improvementsmemorial health system'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. Developing additional capacity to serve the community is a primary objective to fulfilling our mission both in the short term as well as in the long term. In 2013, memorial medical center, an affiliate of memorial health system, embarked on the most significant expansion project in the 113 year history of the organization. The total project cost is approximately $152m and encompasses four specific components. The patient care tower expansion will provide 114 private patient rooms. This addition will enable the medical center to one day provide all private rooms to its patients. Evidence has shown improved healthcare outcomes for patients staying in private rooms due to reduced hospital acquired infection rates and a more peaceful healing environment. The second component is a surgical suite expansion providing 6 new operating rooms to meet increasing case volumes. Memorial health system is also developing a center for learning and innovation designed to provide state of the art clinical training facilities for physicians, residents, medical students, nursing staff, and all other employees. This facility will also be used to improve medical education through partnership with the southern illinois school of medicine. Finally, the memorial medical center physical plant is undergoing a modernization to meet the increased demand of the aforementioned expansion while retrofitting equipment to improve utility consumption efficiency. Other clinical projects completed for the medical center include: 2 ct scanner replacements. At a cost of approximately $2.8m including equipment cost, the ct replacements provided current state of the art technology to improve diagnostic imaging capability at the medical center. Renovation of nursing unit. At a cost of approximately $1.7m, cosmetic renovation of the neuro unit in preparation for private patient rooms. Renovation of the special procedures area. At a cost of approximately $1.6m, the renovation included the addition of three additional gi procedure rooms to meet additional case volumes as well as renovation of the patient prep/recovery area to support expanded operations. Or laminar flow installations. At a cost of approximately $926k, memorial medical center added laminar flow capability to two additional operating rooms to allow for increased volumes in total joint replacement surgeries.
Activity 3
Senior leadershipguided 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 and vision and accomplish its strategic goals. In fy13, mhs senior leadership reviewed and confirmed the organization's strategic plan, 5 year goals and measures of success to reflect emerging priorities related to health reform, quality improvement, population health and care coordination. In addition, the method of monitoring and reporting on health system action plan implementation was implemented. In the area of information systems, mhs developed an implementation plan for bedside bar coding for medication administration at memorial medical center and patient portals at all mhs affiliates. A multi-disciplinary team met all fy13 milestones pertaining to the transition from icd-9 to icd-10 medical record coding. In the area of system facility planning and management, we completed construction and opened a new medical office building occupied by physicians on the campus of passavant area hospital in jacksonville and met all construction milestones for a new medical office building to be occupied by springfield clinic physicians on the memorial medical center campus in springfield. We also met all construction milestones on a 500-car parking garage adjacent to this new medical office building on the north side of the campus. Planning was completed, a certificate of need secured and construction initiated on the largest facility expansion in the history of memorial medical center. This advancing care by design project includes 114 new private patient rooms, expansion of surgical facilities, creation of a center for learning and innovation and infrastructure upgrades that will enable energy conservation for our entire campus. This project will improve patient access, safety and quality of care for decades to come at our flagship hospital. Other key successes this year directly related to strong leadership include strong performance in the medicare value-based purchasing program related to clinical quality and patient satisfaction outcomes, among the lowest medicare re-admission rates in illinois, reaffirmation of mhs' a+/a1 bond rating by moody's and standard and poors, mhs employee engagement scores at the 97th percentile of the national comparison group and significantly improved hcahps inpatient satisfaction scores at memorial medical center, as part of mhs' great patient experience initiative. Nine of our 15 patient satisfaction surveys across the health system were at or above the 75th percentile of their respective national peer groups. Physician satisfaction ratings at all three mhs hospitals were in the top 10% of their national physician peer groups. During fy13, all 12 memorial physician services primary care physician clinics received the highest possible level 3 patient centered medical home designation from the national commission on quality assurance (ncqa). An additional psychiatric advanced practice nurse and psychiatrist were recruited to help address a severe shortage of mental health providers in our region. Mhs' senior leadership team also led a system-wide initiative to improve processes and reduce costs while improving quality for patients that is called strengthen our future. Through this initiative, costs were reduced over $20 million in fy13 and an additional $10.3 million in savings opportunities has been identified for fy14. This is a part of the overall strategy to improve quality while reducing costs. Towards this end, mhs also implemented a new bjc collaborative involving four leading health systems in missouri and illinois. The collaborative will focus on ways the members can adopt best practices to improve quality, reduce costs and better respond to the health care needs of the populations served. During fy13, blessing health system in
Filing and Contact Details

Filer

EIN
37-1110690
Raw XML AppendixShowing 400 of 1,642 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Activity2/Description0BUILDING AND FACILITY EXPANSION AND IMPROVEMENTSMEMORIAL HEALTH SYSTEM'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. DEVELOPING ADDITIONAL CAPACITY TO SERVE THE COMMUNITY IS A PRIMARY OBJECTIVE TO FULFILLING OUR MISSION BOTH IN THE SHORT TERM AS WELL AS IN THE LONG TERM. IN 2013, MEMORIAL MEDICAL CENTER, AN AFFILIATE OF MEMORIAL HEALTH SYSTEM, EMBARKED ON THE MOST SIGNIFICANT EXPANSION PROJECT IN THE 113 YEAR HISTORY OF THE ORGANIZATION. THE TOTAL PROJECT COST IS APPROXIMATELY $152M AND ENCOMPASSES FOUR SPECIFIC COMPONENTS. THE PATIENT CARE TOWER EXPANSION WILL PROVIDE 114 PRIVATE PATIENT ROOMS. THIS ADDITION WILL ENABLE THE MEDICAL CENTER TO ONE DAY PROVIDE ALL PRIVATE ROOMS TO ITS PATIENTS. EVIDENCE HAS SHOWN IMPROVED HEALTHCARE OUTCOMES FOR PATIENTS STAYING IN PRIVATE ROOMS DUE TO REDUCED HOSPITAL ACQUIRED INFECTION RATES AND A MORE PEACEFUL HEALING ENVIRONMENT. THE SECOND COMPONENT IS A SURGICAL SUITE EXPANSION PROVIDING 6 NEW OPERATING ROOMS TO MEET INCREASING CASE VOLUMES. MEMORIAL HEALTH SYSTEM IS ALSO DEVELOPING A CENTER FOR LEARNING AND INNOVATION DESIGNED TO PROVIDE STATE OF THE ART CLINICAL TRAINING FACILITIES FOR PHYSICIANS, RESIDENTS, MEDICAL STUDENTS, NURSING STAFF, AND ALL OTHER EMPLOYEES. THIS FACILITY WILL ALSO BE USED TO IMPROVE MEDICAL EDUCATION THROUGH PARTNERSHIP WITH THE SOUTHERN ILLINOIS SCHOOL OF MEDICINE. FINALLY, THE MEMORIAL MEDICAL CENTER PHYSICAL PLANT IS UNDERGOING A MODERNIZATION TO MEET THE INCREASED DEMAND OF THE AFOREMENTIONED EXPANSION WHILE RETROFITTING EQUIPMENT TO IMPROVE UTILITY CONSUMPTION EFFICIENCY. OTHER CLINICAL PROJECTS COMPLETED FOR THE MEDICAL CENTER INCLUDE: 2 CT SCANNER REPLACEMENTS. AT A COST OF APPROXIMATELY $2.8M INCLUDING EQUIPMENT COST, THE CT REPLACEMENTS PROVIDED CURRENT STATE OF THE ART TECHNOLOGY TO IMPROVE DIAGNOSTIC IMAGING CAPABILITY AT THE MEDICAL CENTER. RENOVATION OF NURSING UNIT. AT A COST OF APPROXIMATELY $1.7M, COSMETIC RENOVATION OF THE NEURO UNIT IN PREPARATION FOR PRIVATE PATIENT ROOMS. RENOVATION OF THE SPECIAL PROCEDURES AREA. AT A COST OF APPROXIMATELY $1.6M, THE RENOVATION INCLUDED THE ADDITION OF THREE ADDITIONAL GI PROCEDURE ROOMS TO MEET ADDITIONAL CASE VOLUMES AS WELL AS RENOVATION OF THE PATIENT PREP/RECOVERY AREA TO SUPPORT EXPANDED OPERATIONS. OR LAMINAR FLOW INSTALLATIONS. AT A COST OF APPROXIMATELY $926K, MEMORIAL MEDICAL CENTER ADDED LAMINAR FLOW CAPABILITY TO TWO ADDITIONAL OPERATING ROOMS TO ALLOW FOR INCREASED VOLUMES IN TOTAL JOINT REPLACEMENT SURGERIES.
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IRS990/Activity3/Description0SENIOR LEADERSHIPGUIDED 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 AND VISION AND ACCOMPLISH ITS STRATEGIC GOALS. IN FY13, MHS SENIOR LEADERSHIP REVIEWED AND CONFIRMED THE ORGANIZATION'S STRATEGIC PLAN, 5 YEAR GOALS AND MEASURES OF SUCCESS TO REFLECT EMERGING PRIORITIES RELATED TO HEALTH REFORM, QUALITY IMPROVEMENT, POPULATION HEALTH AND CARE COORDINATION. IN ADDITION, THE METHOD OF MONITORING AND REPORTING ON HEALTH SYSTEM ACTION PLAN IMPLEMENTATION WAS IMPLEMENTED. IN THE AREA OF INFORMATION SYSTEMS, MHS DEVELOPED AN IMPLEMENTATION PLAN FOR BEDSIDE BAR CODING FOR MEDICATION ADMINISTRATION AT MEMORIAL MEDICAL CENTER AND PATIENT PORTALS AT ALL MHS AFFILIATES. A MULTI-DISCIPLINARY TEAM MET ALL FY13 MILESTONES PERTAINING TO THE TRANSITION FROM ICD-9 TO ICD-10 MEDICAL RECORD CODING. IN THE AREA OF SYSTEM FACILITY PLANNING AND MANAGEMENT, WE COMPLETED CONSTRUCTION AND OPENED A NEW MEDICAL OFFICE BUILDING OCCUPIED BY PHYSICIANS ON THE CAMPUS OF PASSAVANT AREA HOSPITAL IN JACKSONVILLE AND MET ALL CONSTRUCTION MILESTONES FOR A NEW MEDICAL OFFICE BUILDING TO BE OCCUPIED BY SPRINGFIELD CLINIC PHYSICIANS ON THE MEMORIAL MEDICAL CENTER CAMPUS IN SPRINGFIELD. WE ALSO MET ALL CONSTRUCTION MILESTONES ON A 500-CAR PARKING GARAGE ADJACENT TO THIS NEW MEDICAL OFFICE BUILDING ON THE NORTH SIDE OF THE CAMPUS. PLANNING WAS COMPLETED, A CERTIFICATE OF NEED SECURED AND CONSTRUCTION INITIATED ON THE LARGEST FACILITY EXPANSION IN THE HISTORY OF MEMORIAL MEDICAL CENTER. THIS ADVANCING CARE BY DESIGN PROJECT INCLUDES 114 NEW PRIVATE PATIENT ROOMS, EXPANSION OF SURGICAL FACILITIES, CREATION OF A CENTER FOR LEARNING AND INNOVATION AND INFRASTRUCTURE UPGRADES THAT WILL ENABLE ENERGY CONSERVATION FOR OUR ENTIRE CAMPUS. THIS PROJECT WILL IMPROVE PATIENT ACCESS, SAFETY AND QUALITY OF CARE FOR DECADES TO COME AT OUR FLAGSHIP HOSPITAL. OTHER KEY SUCCESSES THIS YEAR DIRECTLY RELATED TO STRONG LEADERSHIP INCLUDE STRONG PERFORMANCE IN THE MEDICARE VALUE-BASED PURCHASING PROGRAM RELATED TO CLINICAL QUALITY AND PATIENT SATISFACTION OUTCOMES, AMONG THE LOWEST MEDICARE RE-ADMISSION RATES IN ILLINOIS, REAFFIRMATION OF MHS' A+/A1 BOND RATING BY MOODY'S AND STANDARD AND POORS, MHS EMPLOYEE ENGAGEMENT SCORES AT THE 97TH PERCENTILE OF THE NATIONAL COMPARISON GROUP AND SIGNIFICANTLY IMPROVED HCAHPS INPATIENT SATISFACTION SCORES AT MEMORIAL MEDICAL CENTER, AS PART OF MHS' GREAT PATIENT EXPERIENCE INITIATIVE. NINE OF OUR 15 PATIENT SATISFACTION SURVEYS ACROSS THE HEALTH SYSTEM WERE AT OR ABOVE THE 75TH PERCENTILE OF THEIR RESPECTIVE NATIONAL PEER GROUPS. PHYSICIAN SATISFACTION RATINGS AT ALL THREE MHS HOSPITALS WERE IN THE TOP 10% OF THEIR NATIONAL PHYSICIAN PEER GROUPS. DURING FY13, ALL 12 MEMORIAL PHYSICIAN SERVICES PRIMARY CARE PHYSICIAN CLINICS RECEIVED THE HIGHEST POSSIBLE LEVEL 3 PATIENT CENTERED MEDICAL HOME DESIGNATION FROM THE NATIONAL COMMISSION ON QUALITY ASSURANCE (NCQA). AN ADDITIONAL PSYCHIATRIC ADVANCED PRACTICE NURSE AND PSYCHIATRIST WERE RECRUITED TO HELP ADDRESS A SEVERE SHORTAGE OF MENTAL HEALTH PROVIDERS IN OUR REGION. MHS' SENIOR LEADERSHIP TEAM ALSO LED A SYSTEM-WIDE INITIATIVE TO IMPROVE PROCESSES AND REDUCE COSTS WHILE IMPROVING QUALITY FOR PATIENTS THAT IS CALLED STRENGTHEN OUR FUTURE. THROUGH THIS INITIATIVE, COSTS WERE REDUCED OVER $20 MILLION IN FY13 AND AN ADDITIONAL $10.3 MILLION IN SAVINGS OPPORTUNITIES HAS BEEN IDENTIFIED FOR FY14. THIS IS A PART OF THE OVERALL STRATEGY TO IMPROVE QUALITY WHILE REDUCING COSTS. TOWARDS THIS END, MHS ALSO IMPLEMENTED A NEW BJC COLLABORATIVE INVOLVING FOUR LEADING HEALTH SYSTEMS IN MISSOURI AND ILLINOIS. THE COLLABORATIVE WILL FOCUS ON WAYS THE MEMBERS CAN ADOPT BEST PRACTICES TO IMPROVE QUALITY, REDUCE COSTS AND BETTER RESPOND TO THE HEALTH CARE NEEDS OF THE POPULATIONS SERVED. DURING FY13, BLESSING HEALTH SYSTEM IN
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IRS990/Description0INFORMATION TECHNOLOGYMEMORIAL HEALTH SYSTEM IS PROACTIVE IN IMPLEMENTING TECHNOLOGY THAT BOTH IMPROVES PATIENT SAFETY, QUALITY AND CLINICAL EFFECTIVENESS, AND IMPROVES MEMORIAL HEALTH SYSTEM'S BUSINESS PROCESSES. MEMORIAL HEALTH SYSTEM'S STAFF OF EXPERIENCED INFORMATION TECHNOLOGY PROFESSIONALS IS ON THE CUTTING EDGE OF MEDICAL AND BUSINESS TECHNOLOGY. THEY SUPPORT A VAST ARRAY OF PATIENT CARE AND BUSINESS APPLICATIONS. DURING FY13 SIGNIFICANT INFORMATION TECHNOLOGY PROJECTS INCLUDED: OPTIMIZATION OF COMPUTERIZED PROVIDER ORDER ENTRY SYSTEM AND PHYSICIAN DOCUMENTATION AT ALL AFFILIATE HOSPITALS, MAINTAINED MEANINGFUL USE STAGE 1 PERFORMANCE FOR ALL ELIGIBLE HOSPITALS AND PROVIDERS WHILE PREPARING FOR STAGE 2, IMPLEMENTED VOICE RECOGNITION SOFTWARE IN HOSPITAL AND AMBULATORY CLINICS, EXPANDED CONNECTIONS TO NEW FACILITIES WITHIN OUR NETWORK (JACKSONVILLE MEDICAL OFFICE BUILDING) AND BEYOND (YMCA AND HORACE MANN EMPLOYER BASED OUTREACH CLINIC), COMPLETED LABORATORY MODERNIZATION AND BEDSIDE BARCODE MEDICATION ADMINISTRATION, IMPLEMENTED LAPTOP AND EMAIL ENCRYPTION, CONTINUED PROGRESS TOWARD ICD-10 PREPAREDNESS, INITIATED MIGRATION FROM WINDOWS XP TO WINDOWS 7 AND CONTINUED THE DESIGN AND BUILD PHASES OF OUR ENTERPRISE DATA WAREHOUSE FOR BUSINESS INTELLIGENCE.
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