Skip to content
Nonprofiteer
← MEMORIAL HEALTH SYSTEM

Form 990 for tax year 2022

Filed by MEMORIAL HEALTH SYSTEM.

Totals

Total revenue
$19,089,437
Total expenses
$19,755,247
Contributions and grants received
$4,999,651
Grants paid
$64,204
Program service revenue
$13,254,745
Investment income
$152,234
Other revenue
$682,807
Total assets, end of year
$19,652,884
Total liabilities, end of year
$1,908,683
Net assets or fund balances, end of year
$17,744,201
Program services expenses (Part IX)
$15,486,532
Management and general expenses
$4,268,715
Fundraising expenses
$0
Program service expenses (Part III)
$15,486,532

Program services were 78.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $1,772

  • 1d · Related organizations

    $314,754

  • 1e · Government grants (contributions)

    $4,618,165

  • 1f · All other contributions, gifts and grants

    $64,960

  • 2a · Program service revenue: MENTAL HEALTH SERVICES

    total $10,851,397 · related or exempt $10,851,397

  • 2b · Program service revenue: DVLPMENT DISABLED SVCS

    total $2,391,336 · related or exempt $2,391,336

  • 2c · Program service revenue: HOUSING SERVICES

    total $12,012 · related or exempt $12,012

  • 3 · Investment income

    total $226,859 · excluded $226,859

  • 6a · Gross rents

    real property $265,933

  • 6b · Less rental expenses

    real property $51,878

  • 6c · Rental income or loss

    real property $214,055

  • 6d · Net rental income or loss

    total $214,055 · excluded $214,055

  • 7a · Gross sales of assets other than inventory

    securities $1,590,523

  • 7b · Less cost or other basis and sales expenses

    securities $1,665,148

  • 7c · Gain or loss

    securities -$74,625

  • 7d · Net gain or loss

    total -$74,625 · excluded -$74,625

  • 10a · Gross sales of inventory

    $361,865

  • 10b · Cost of goods sold

    $123,973

  • 10c · Net income from sales of inventory

    total $237,892 · related or exempt $237,892

  • 11a · Other revenue: CAPITATION REVENUE

    total $184,807 · related or exempt $184,807

  • 11b · Other revenue: COMMISSIONS

    total $10,428 · related or exempt $10,428

  • 11c · Other revenue: PROMPT PAY INTEREST

    total $3,141 · related or exempt $3,141

  • 11d · All other revenue

    total $32,484 · related or exempt $32,484

  • 11e · Other revenue, total

    $230,860

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $64,204 · program services $64,204

  • 5 · Compensation of officers, directors and key employees

    total $193,910 · program services $73,055 · management and general $120,855

  • 7 · Other salaries and wages

    total $12,560,367 · program services $10,399,540 · management and general $2,160,827

  • 8 · Pension plan contributions

    total $764,692 · program services $682,047 · management and general $82,645

  • 9 · Other employee benefits

    total $2,133,495 · program services $1,711,994 · management and general $421,501

  • 10 · Payroll taxes

    total $997,196 · program services $860,377 · management and general $136,819

  • 11b · Fees: legal

    total $193 · management and general $193

  • 11c · Fees: accounting

    total $39,250 · program services $5,495 · management and general $33,755

  • 11d · Fees: lobbying

    total $883 · management and general $883

  • 11g · Fees: other

    total $118,938 · program services $104,528 · management and general $14,410

  • 13 · Office expenses

    total $352,893 · program services $225,850 · management and general $127,043

  • 14 · Information technology

    total $380,352 · program services $261,896 · management and general $118,456

  • 16 · Occupancy

    total $526,558 · program services $449,690 · management and general $76,868

  • 17 · Travel

    total $196,094 · program services $188,063 · management and general $8,031

  • 19 · Conferences, conventions and meetings

    total $15,122 · program services $2,485 · management and general $12,637

  • 22 · Depreciation, depletion and amortization

    total $228,377 · program services $192,058 · management and general $36,319

  • 23 · Insurance

    total $131,802 · program services $129,946 · management and general $1,856

  • 24a · Other expenses: MANAGEMENT FEES

    total $900,456 · management and general $900,456

  • 24b · Other expenses: PROVISION FOR UNCOLLECT

    total $74,618 · program services $74,618

  • 24c · Other expenses: FOOD & DIETARY SUPPLIES

    total $59,834 · program services $58,310 · management and general $1,524

  • 24e · All other expenses

    total $16,013 · program services $2,376 · management and general $13,637

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $415 · end of year $365

  • 2 · Savings and temporary cash investments

    beginning of year $1,273,616 · end of year $872,149

  • 4 · Accounts receivable

    beginning of year $1,997,864 · end of year $2,559,244

  • 9 · Prepaid expenses and deferred charges

    beginning of year $144,646 · end of year $158,382

  • 10a · Land, buildings and equipment: cost or other basis

    $10,787,803

  • 10b · Land, buildings and equipment: accumulated depreciation

    $8,104,884

  • 10c · Land, buildings and equipment, net

    beginning of year $2,788,922 · end of year $2,682,919

  • 11 · Investments: publicly traded securities

    beginning of year $13,566,287 · end of year $13,335,170

  • 12 · Investments: other securities

    beginning of year $40,000 · end of year $40,000

  • 15 · Other assets

    beginning of year $8,384 · end of year $4,655

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,965,302 · end of year $1,713,811

  • 19 · Deferred revenue

    beginning of year $173,653 · end of year $193,983

  • 25 · Other liabilities

    beginning of year $4,797 · end of year $889

  • 27 · Net assets without donor restrictions

    beginning of year $17,676,382 · end of year $17,744,201

Mission and programs · 2022

Mission

TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH.

Activities or mission (Part I)

TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEATLH.

  • 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 11,708 CLIENT CONTACTS RELATED TO THIS PROGRAM IN FISCAL YEAR 2023.

    Expenses $3,042,093 · Revenue $2,043,499

  • MEMORIAL BEHAVIORAL HEALTH-COUNSELING ASSOCIATES (MBH-CA) IS A TRADITIONAL COUNSELING PRACTICE HOUSING EIGHTEEN 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 16,251 CLIENT CONTACTS DURING FISCAL YEAR 2023.

    Expenses $2,093,241 · Revenue $2,135,614

  • MBH - BEHAVIORAL THERAPY SERVICES (MBH-BTS) IS THE OUTPATIENT BEHAVIORAL HEALTH PROVIDER OF CHOICE FOR BOTH PEDIATRIC AND ADULT MEDICAID RECIPIENTS FOR SANGAMON AND MENARD COUNTIES. MBH-BTS THERAPISTS PROVIDE OFFICE-BASED AND TELEHEALTH SERVICES AND ARE COMMITTED TO THE DEVELOPMENT OF COORDINATED NETWORKS OF COMPREHENSIVE SERVICES, WHICH PROVIDES CARE IN THE LEAST RESTRICTIVE, MOST NORMATIVE ENVIRONMENT CLINICALLY APPROPRIATE. THERAPISTS ALSO PROVIDE AFTER-HOURS AND WEEKEND ON-CALL COVERAGE FOR THE SASS (SCREENING, ASSESSMENT, AND SUPPORT SERVICES) PROGRAM TO MEET THE CONTRACTUAL REQUIREMENTS SET BY THE STATE OF ILLINOIS FOR CRISIS INTERVENTION. MBH PROVIDED 23,714 CLIENT CONTACTS RELATED TO THIS PROGRAM IN FISCAL YEAR 2023.

    Expenses $1,807,954 · Revenue $2,686,667

  • OTHER DEVELOPMENTAL DISABILITY PROGRAMS:EXPENSES $2,340,970; INCLUDING GRANTS OF $374; REVENUE $481,439OTHER MENTAL HEALTH PROGRAMS:EXPENSES $6,184,739; INCLUDING GRANTS OF $63,830; REVENUE $6,364,266HOUSING SERVICES:EXPENSES $17,535; INCLUDING GRANTS OF $0; REVENUE $12,012

    Expenses $8,543,244 · Grants $64,204 · Revenue $6,857,717

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Tiffany Nielson PhD

    VICE CHAIR(THRU2/23)/CHAIR(FROM3/23)

    Total calculated
    $0
    Hours/week
    0.7

  • Vea Crawford

    DIR(THRU 2/23)/VICE CHAIR(FROM 3/23)

    Total calculated
    $0
    Hours/week
    0.7

  • Joshua Sabo

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.7

  • Evan Westlake

    DIR(THRU 2/23)/TREASURER(FROM 3/23)

    Total calculated
    $0
    Hours/week
    0.7

  • Leigh Steiner PhD

    CHAIR(THRU2/23)/DIRECTOR(FROM3/23)

    Total calculated
    $0
    Hours/week
    0.7

  • Dr Virginia Dolan

    DIRECTOR & MMG PHYSICIAN

    Total calculated
    $538,780
    From this org
    $0
    From related orgs
    $478,838
    Other
    $59,942
    Hours/week
    0.7 + 49.3 related

    Schedule J breakdown matched by us

    Base
    $0 + $408,697 related
    Bonus
    $0 + $12,325 related
    Other
    $0 + $57,816 related
    Deferred
    $0 + $25,387 related
    Nontaxable benefits
    $0 + $34,555 related
    Filer's total
    $0 + $538,780 related

  • Dr Nicole Florence

    DIRECTOR & MMG PHYSICIAN

    Total calculated
    $333,883
    From this org
    $0
    From related orgs
    $289,885
    Other
    $43,998
    Hours/week
    0.7 + 49.3 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,730 related
    Bonus
    $0
    Other
    $0 + $32,155 related
    Deferred
    $0 + $8,003 related
    Nontaxable benefits
    $0 + $35,995 related
    Filer's total
    $0 + $333,883 related

  • Faye Lewis

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.7

  • Anne Morgan PhD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.7

  • Darcella Speed

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.7

  • Marquitta Thomas

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.7

  • Lisa Vinson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.7

  • Iris Wesley

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.7

  • Dr Kari Wolf

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.7

  • Daniel Wright

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.7

  • Jonna Cooley PhD

    DIRECTOR (THRU FEB 23)

    Total calculated
    $0
    Hours/week
    0.5

  • Wanda Lee Rohlfs

    TREASURER (THRU FEB 23)

    Total calculated
    $0
    Hours/week
    0.5

  • Kenneth Winslow

    DIRECTOR (THRU FEB 23)

    Total calculated
    $0
    Hours/week
    0.5

  • Diana Knaebe

    SYSTEM ADMIN MBH/BOARD PRST

    Total calculated
    $233,251
    From this org
    $0
    From related orgs
    $197,983
    Other
    $35,268
    Hours/week
    47.5 + 2.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $178,371 related
    Bonus
    $0 + $18,566 related
    Other
    $0 + $1,046 related
    Deferred
    $0 + $12,346 related
    Nontaxable benefits
    $0 + $22,922 related
    Filer's total
    $0 + $233,251 related

  • Katie Keim

    SENIOR VICE PRESIDENT & CFO

    Total calculated
    $915,034
    From this org
    $0
    From related orgs
    $774,590
    Other
    $140,444
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $567,805 related
    Bonus
    $0 + $162,530 related
    Other
    $0 + $44,255 related
    Deferred
    $0 + $105,436 related
    Nontaxable benefits
    $0 + $35,008 related
    Filer's total
    $0 + $915,034 related

  • Jameson Roszhart

    PRESIDENT MH AMBULATORY GROUP

    Total calculated
    $796,464
    From this org
    $0
    From related orgs
    $670,745
    Other
    $125,719
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $467,927 related
    Bonus
    $0 + $133,865 related
    Other
    $0 + $68,953 related
    Deferred
    $0 + $93,148 related
    Nontaxable benefits
    $0 + $32,571 related
    Filer's total
    $0 + $796,464 related

  • Dr Brad Hughes

    PSYCHIATRIC MEDICAL DIRECTOR

    Total calculated
    $247,472
    From this org
    $222,656
    From related orgs
    $0
    Other
    $24,816
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $171,995
    Bonus
    $50,250
    Other
    $411
    Deferred
    $4,688
    Nontaxable benefits
    $20,128
    Filer's total
    $247,472

  • Emily Legner

    REG DIR,MNTL HLTH CRISIS SYS OF CARE

    Total calculated
    $182,384
    From this org
    $150,895
    From related orgs
    $0
    Other
    $31,489
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $121,752
    Bonus
    $29,048
    Other
    $95
    Deferred
    $3,553
    Nontaxable benefits
    $27,936
    Filer's total
    $182,384

  • Amber Olson

    REG DIR, BHVRL HLTH CLINICAL OPS

    Total calculated
    $160,917
    From this org
    $139,598
    From related orgs
    $0
    Other
    $21,319
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $130,186
    Bonus
    $9,318
    Other
    $94
    Deferred
    $9,887
    Nontaxable benefits
    $11,432
    Filer's total
    $160,917

  • Monica Farquhar

    DIRECTOR, MBH

    Total calculated
    $135,672
    From this org
    $115,160
    From related orgs
    $0
    Other
    $20,512
    Hours/week
    50

  • Heather Sweet

    REG DIR, BHVRL HLTH OPS&PRAC TRNSFRM

    Total calculated
    $149,304
    From this org
    $103,546
    From related orgs
    $0
    Other
    $45,758
    Hours/week
    50

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
MEMORIAL HEALTH SYSTEM, A RELATED ORGANIZATION OF MEMORIAL BEHAVIORAL HEALTH, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S SYSTEM ADMINISTRATOR/BOARD PRESIDENT (EQUIVALENT TO 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 MEMORIAL BEHAVIORAL HEALTH, PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO THE FOLLOWING OFFICER AND KEY EMPLOYEES: KATIE KEIM, $81,601 AND JAMESON ROSZHART, $66,598. 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 DIRECTORS, OFFICER, & KEY EMPLOYEE RECEIVED DEFERRED COMPENSATION PAYOUTS IN THE CALENDAR YEAR FROM A RELATED ORGANIZATION: DR. VIRGINIA DOLAN, $57,060, DR. NICOLE FLORENCE, $31,837, KATIE KEIM, $35,867, AND JAMESON ROSZHART $60,550

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS

    C · PROVIDE DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO PATIENTS · IL

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202401359349304640

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.