2024-08-15T14:04:38-05:00 2023-09-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2022-10-01 363492268 ABRAHAM LINCOLN HEALTHCARE FOUNDATION ABRA 2177322161 701 NORTH FIRST STREET SPRINGFIELD IL 62781 KATHRYN J KEIM SENIOR VP & CFO 2177883830 2024-08-15 1 0 JESSICA A WAGENER P01622613 3128792000 2022 2024-08-08 14:25:15Z LINCOLN MEMORIAL FOUNDATION DOLAN C DALPOAS 701 NORTH FIRST STREET SPRINGFIELD IL 62781 3599540 0 X N/A X 1986 IL TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH. 16 15 0 122 0 0 1287835 142689 68717 58723 3211473 591975 112711 143644 4680736 937031 227592 83152 0 0 0 0 0 0 49087 678177 787464 905769 870616 3774967 66415 33562746 35947066 293207 151432 33269539 35795634 X TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH. 0 0 437564 0 0 ABRAHAM LINCOLN HOSPITAL FOUNDATION D/B/A LINCOLN MEMORIAL FOUNDATION'S (LMF) COMMUNITY HEALTH COLLABORATIVE HOUSES ALL COMMUNITY HEALTH INITIATIVES THAT EXTEND OUTSIDE THE WALLS OF LINCOLN MEMORIAL HOSPITAL (LMH). ITS VISION IS TO CREATE THE HEALTHIEST COMMUNITY IN THE NATION. CURRENT INITIATIVES INCLUDE THE LMH MARKET PROVIDING ACCESS TO FRESH PRODUCE AND FREE HEALTH SCREENINGS TO ALL IN OUR COMMUNITY; THE COORDINATED APROACH TO CHILD HEALTH (CATCH) PROGRAM PROMOTES HEALTHY EATING AND PHYSICAL ACTIVITY IMPACTING OVER 5 SCHOOLS WITH 3,200 LOCAL STUDENTS; SUPPORTING THE TRAILBLAZERS AND COLLABORATIVE MEETINGS; AND A GRANT FOR THE YMCA. 26661 31283 0 LMF USES CHARITABLE GIFTS TO PURCHASE MEDICAL EQUIPMENT AND PATIENT CARE ITEMS FOR LMH, WHICH IN THE PAST YEAR INCLUDED A PURCHASE OF UPGRADES TO THE FITNESS COURT, UPGRADES TO THE BIKE PATH, MAIN CAMPUS LANDSCAPING AND NECK WRAPS FOR PATIENTS. THE AUXILIARY GRANTS INCLUDED A COVER FOR THE GOLF CART THAT'S USED TO VALET PATIENTS, WHITE BOARDS IN PATIENT ROOMS, FIDGET BLANKETS FOR DEMENTIA PATIENTS AND SAFE SITTER SUPPLIES. 51869 51869 0 HEALTH EDUCATION AND OUTREACH PROGRAM IS A MAJOR TENET OF LMF FUNDING. IN ORDER TO ENSURE A SUPPLY OF TALENTED HEALTHCARE WORKERS DOWN THE ROAD, ALHF HAS ESTABLISHED A PROGRAM THAT PROVIDES EDUCATIONAL GRANTS TO LOCAL STUDENTS WITH COMMITMENTS TO RETURN TO THE HOSPITAL UPON GRADUATION. IN FY2023, LMF AWARDED 9 EDUCATIONAL GRANTS TO LOCAL STUDENTS AND COLLEAGUES. LMF ALSO HAS A FUND FOR LMH COLLEAGUES TO HAVE AN OPPORTUNITY TO FURTHER THEIR PROFESSIONAL CAREERS BY OBTAINING CERTIFICATIONS. LMF FUNDED 10 CERTIFICATIONS. LMF ALSO PROVIDED COLLEAGUE EMERGENCY ASSISTANCE TO 1 COLLEAGUE. 0 0 202755 LMF PROVIDES SERVICES TO COLLEAGUES AND VISITORS THROUGH THE HOSPITAL'S GIFT SHOP, LMF FUNDS THE LIFE LINE SERVICE FOR SENIORS, AND FUNDS THE FARMERS MARKET TO PROVIDE ACCESS TO FRESH FOOD TO THE COMMUNITY. 0 0 202755 516094 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 16 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X KATHRYN KEIM SENIOR VP & CFO 2177883830 701 NORTH FIRST STREET SPRINGFIELD IL 62781 DOLAN C DALPOAS PRESIDENT & CEO 0.70 49.30 X X 0 475618 63932 CHARLOTTE BENNETT BOARD MEMBER 0.70 0.00 X 0 0 0 DIANNE S BREEN BOARD MEMBER 0.70 0.00 X 0 0 0 DAVID A CAMPBELL BOARD MEMBER 0.70 0.00 X 0 0 0 LINDA MOURNING BOARD MEMBER 0.70 0.00 X 0 0 0 CATHY XAMIS BOARD MEMBER 0.70 0.00 X 0 0 0 A KRAIG KRAUSE BOARD MEMBER 0.70 0.00 X 0 0 0 GENEVIEVE L NEAL BOARD MEMBER 0.70 0.00 X 0 0 0 SAL POLLICE BOARD MEMBER 0.70 0.00 X 0 0 0 DERON K POWELL BOARD MEMBER 0.70 0.00 X 0 0 0 MICHAEL P SCHMIDT BOARD MEMBER 0.70 0.00 X 0 0 0 DEBRA CURRY SECRETARY 0.70 0.00 X X 0 0 0 MARY BETH SPARKS TREASURER 0.70 0.00 X X 0 0 0 CHRISTINE A SHORT VICE CHAIRMAN 0.70 0.00 X X 0 0 0 ERIC D GRAUE CHAIRMAN 0.70 0.00 X X 0 0 0 DAVID IRWIN BOARD MEMBER THRU FEB 23 0.70 0.00 X 0 0 0 ANDREW HAYES BOARD MEMBER THRU FEB 23 0.70 0.00 X 0 0 0 APRIL DOOLIN BOARD MEMBER THRU FEB 23 0.70 0.00 X 0 0 0 THOMAS MARTIN BOARD MEMBER THRU FEB 23 0.70 0.00 X 0 0 0 MICHAEL E MASKE BOARD MEMBER 0.70 0.00 X 0 0 0 KATHRYN KEIM SVP & CFO 0.70 49.30 X 0 774590 140444 0 1250208 204376 0 0 1 0 0 14111 128578 142689 LIFE LINE 900099 40046 40046 FARMERS MARKET 900099 18677 18677 58723 795314 795314 2401997 2605336 -203339 -203339 -203339 16716 14111 16845 -129 -129 816 1075 -259 -259 183285 39253 144032 144032 937031 202755 0 591587 31283 31283 51869 51869 114390 114390 36 36 7917 7312 605 115055 94103 17179 3773 35585 35585 827 827 1148 1038 110 34881 34881 3626 3626 PURCHASED SERVICES 422417 254422 135213 32782 HEALTHY BEHAVIORS 20020 20020 SALES TAX 15061 15061 DONOR RECOGNITION & CUL 11927 11927 4574 4574 870616 516094 305435 49087 615 315 2185908 326505 1704001 1589401 918 5758 18602 679494 219084 431401 460410 27312765 31625560 1921380 1926273 33562746 35947066 43045 25519 103601 99764 146561 26149 293207 151432 X 29667621 32593103 3601918 3202531 33269539 35795634 33562746 35947066 X 66415 2454155 5525 X 0 1 X 1 0 X 721340 1984558 1703181 1287835 142689 5839603 721340 1984558 1703181 1287835 142689 5839603 3453840 2385763 328917 277139 222516 381949 795314 2005835 5409 2118 22937 17532 47996 7893434 1180840 0.30220 0.31030 X THE LINCOLN MEMORIAL FOUNDATION (LMF) QUALIFIES AS PUBLICLY SUPPORTED BECAUSE IT MEETS THE 10% FACTS AND CIRCUMSTANCES TEST UNDER TREASURY REG. 1.170A-9(F) (1)-(4). LMF MAINTAINS A CONTINUOUS AND BONA FIDE PROGRAM FOR SOLICITATION OF FUNDS FROM THE GENERAL PUBLIC AND CARRIES ON ACTIVITIES DESIGNED TO ATTRACT SUPPORT FROM ORGANIZATIONS DESCRIBED IN SECTION 170(B)(1)(A)(I)-(VI) OF THE INTERNAL REVENUE CODE. THE FOLLOWING DISCUSSION PRESENTS THE APPLICABLE FACTS AND CIRCUMSTANCES.1. 10 PERCENT OF SUPPORT LIMITATION - LMF'S PUBLIC SUPPORT PERCENTAGE IS 28.52% FOR TY2022. THIS IS WELL ABOVE THE 10% THRESHOLD AND IS SLIGHTLY LESS THAN THE ONE THIRD PUBLIC SUPPORT SAFE HARBOR. LMF HAS BEEN ACCUMULATING INVESTMENTS IN ORDER TO SUPPORT THE CONSTRUCTION OF A PROPOSED CENTER FOR HEALTH AND WELLNESS WITHIN THE COMMUNITY. THIS NEW FACILITY HAS DRAWN ADDITIONAL DONATIONS AND PUBLIC SUPPORT. GOING FORWARD, LMF EXPECTS INCREASED BROAD PUBLIC DONATIONS, LOWER INVESTMENT INCOME, AND PLANS TO EXCEED THE ONE THIRD PUBLIC SUPPORT TEST BY TY2024.2. ATTRACTION OF PUBLIC SUPPORT - LMF IS ORGANIZED AND OPERATED TO ATTRACT NEW AND ADDITIONAL SUPPORT ON A CONTINUOUS BASIS. IT HAD THE SUPPORT OF 501 UNIQUE DONORS THIS YEAR. LMF IS ACTIVELY SEEKING NEW DONORS. A MAJOR CAPITAL CAMPAIGN FOR A CENTER FOR HEALTH AND WELLNESS WAS LAUNCHED IN 2018. LMF SEEKS SUPPORT THROUGH COMMUNITY MEETINGS AND EVENTS, DIRECT MAILINGS, WEBSITE DONATIONS, AND GIFTS FROM HOSPITAL EMPLOYEES. 3. SOURCES OF SUPPORT - THE MISSION OF LMF IS TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH. THIS MISSION TOUCHES THE LIVES OF ALL THE RESIDENTS OF THE COMMUNITY. LMF RECEIVES SUPPORT FROM INDIVIDUALS, FOUNDATIONS, AND CORPORATIONS. THE BROAD BASE OF SUPPORT IS GENERALLY REPRESENTATIVE OF THE PUBLIC IN LOGAN COUNTY ILLINOIS. THE LMF INVESTMENTS HAVE GROWN SUBSTANTIALLY OVER THE LAST FEW YEARS. THIS HAS CAUSED INVESTMENT INCOME TO GROW FASTER THAN DONATIONS, RESULTING IN THE ORGANIZATION NOT SURPASSING THE 33 1/3% PUBLIC SUPPORT PERCENTAGE. LMF IS PREPARED TO COMMIT FUNDS TO BE THE LEAD DONOR FOR THE CENTER FOR HEALTH AND WELLNESS ON THE LINCOLN MEMORIAL HOSPITAL CAMPUS. THE CENTER FOR HEALTH AND WELLNESS IS A PROPOSED 80,000 SQUARE FOOT, $25 MILLION DOLLAR FACILITY THAT WILL HOUSE HOSPITAL OUTPATIENT SERVICES. A COMMUNITY YMCA WILL ALSO BE LOCATED IN THE BUILDING. THE CENTER FOR HEALTH AND WELLNESS IS TEMPORARILY ON HOLD DUE TO SIGNIFICANT COST INCREASES. AFTER FUNDS ARE SPENT ON THIS NEW MISSION CRITICAL BUILDING, INVESTMENT INCOME WILL BE REDUCED TO A LEVEL THAT ALLOWS CONTRIBUTIONS TO EXCEED THE ONE THIRD PUBLIC SUPPORT SAFE HARBOR.4. REPRESENTATIVE GOVERNING BODY - THE BOARD OF DIRECTORS CONSISTS OF 20 LEADERS FROM THE COMMUNITY. THIS DIVERSE GROUP ENGAGES THE ENTIRE COMMUNITY IN SUPPORTING LMF. WITH THE EXCEPTION OF THE PRESIDENT & CEO OF LINCOLN MEMORIAL HOSPITAL, ALL LMF BOARD MEMBERS ARE INDEPENDENT OF LMF AND PROVIDE OVERSIGHT AND GUIDANCE TO THE LMF STAFF. 5. AVAILABILITY OF PUBLIC FACILITIES OR SERVICES; PUBLIC PARTICIPATION IN PROGRAMS OR POLICIES - LMF SUPPORTS THE HEALTH OF THE PEOPLE AND THE COMMUNITY WE SERVE. PROGRAMS INCLUDE HEALTHCARE CAREER SCHOLARSHIPS, CREATION OF COMMUNITY WALKING TRAILS, A PRODUCER ONLY HEALTHY FOODS FARMERS MARKET THAT PROVIDES FREE FOOD TO LOW INCOME INDIVIDUALS AND THE COORDINATED APPROACH TO CHILD'S HEALTH (CATCH) PROGRAM IMPACTING THE LIVES OF 3,200 LOCAL STUDENTS AND THEIR FAMILIES. LMF SUPPORTS LINCOLN MEMORIAL HOSPITAL BY PURCHASING EXPENSIVE MEDICAL EQUIPMENT, ECHOCARDIOGRAPHY. SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: GOLF OUTING FUNDRAISER - 2018 AMOUNT: $ 3,214. 2019 AMOUNT: $ 2,118. 2021 AMOUNT: $ 20,385. 2022 AMOUNT: $ 14,736. HEALING LIFE FUNDRAISER - TIS THE SEASON FUNDRAISER - 2018 AMOUNT: $ 2,195. 2021 AMOUNT: $ 1,747. 2022 AMOUNT: $ 1,980. 5K FUNDRAISER - GAMING - 2021 AMOUNT: $ 805. 2022 AMOUNT: $ 816. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 21762 6277 15485 657732 212807 444925 460410 CASH SURRENDER VALUE OF CHARITABLE LIFE INSURANCE 26323 FARM SUBJECT TO LIFE ESTATE 1899950 1926273 DUE TO AFFILIATES 26149 26149 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, 2023 OR 2022. MH IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2019. 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. GOLF OUTING 24441 9705 14736 1195 5244 4780 2408 TIS THE SEASON 6386 4406 1980 325 2178 100 615 30827 14111 16716 1195 5569 6958 100 3023 16845 -129 1 ABRAHAM LINCOLN MEMORIAL HOSPITAL 200 STAHLHUT DRIVE LINCOLN IL 62656 370723793 501(C)(3) 31283 0 SEE PART IVVARIOUS INCLUDING FITNESS COURT, BIKE PATH, LANDSCAPING, PATIENT SUPPLIES. 1 EDUCATION GRANTS 9 48526 EMPLOYEE CERTIFICATIONS 10 2743 COLLEAGUE ASSISTANCE 1 600 PART I, LINE 2: LINCOLN MEMORIAL FOUNDATION (LMF) WILL EITHER REIMBURSE THE GRANT RECIPIENT OR DIRECTLY PAY A VENDOR FOR THE GRANT EXPENDITURES. GRANT RECIPIENTS MUST SUBSTANTIATE THE EXPENDITURE WITH AN INVOICE OR RECEIPT PRIOR TO REIMBURSEMENT TO THE GRANT RECIPIENT OR DIRECT PAYMENT TO THIRD-PARTY VENDOR. ANY UNSPENT GRANT FUNDS REVERT BACK TO LMF. 0 1 0 0 0 0 0 0 0 KATHRYN KEIM SVP & CFO 0 567805 0 162530 0 44255 0 105436 0 35008 0 915034 0 0 DOLAN C DALPOAS PRESIDENT & CEO 0 333646 0 63369 0 78603 0 63803 0 129 0 539550 0 27016 PART I, LINE 3 MEMORIAL HEALTH, A RELATED ORGANIZATION OF LINCOLN MEMORIAL FOUNDATION, 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 DOLAN DALPOAS PARTICIPATES IN ONE OR MORE NONQUALIFIED DEFERRED COMPENSATION PLANS OF MEMORIAL HEALTH (MH), A RELATED ORGANIZATION. MH CREDITS ANNUAL CONTRIBUTION AMOUNTS TO THESE PLANS, AND THESE AMOUNTS SERVE TO PROVIDE SUPPLEMENTAL RETIREMENT INCOME. ALL CREDITED AMOUNTS ARE REVIEWED AND APPROVED BY A COMMITTEE OF THE MH 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. DOLAN DALPOAS RECEIVED DEFERRED COMPENSATION PAYOUTS IN THE CALENDAR YEAR FROM MH WHICH TOTALED $27,016. 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 MH 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. 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 OF CORPORATE, ADMINISTRATIVE AND OPERATIONAL ACTIONS WHICH INCLUDE, BUT ARE NOT LIMITED TO, THE ESTABLISHMENT OF, AND AMENDMENT TO, RULES AND REGULATIONS GOVERNING THE PRINCIPAL AND INCOME OF THE CORPORATION'S FUNDS; THE BORROWING OF ANY SUM, THE PRINCIPAL OF WHICH EXCEEDS $500,000, OR WHICH HAS A STATED TERM OF GREATER THAN ONE YEAR, OR WHICH IS SECURED BY A MORTGAGE OF ALL OR ANY PORTION OF THE CORPORATION'S REAL PROPERTY OR THE CREATION OF A SECURITY INTEREST IN THE CORPORATION'S ASSETS, INCLUDING PERSONAL PROPERTY AND REVENUES, FOR THE BENEFIT OF THE LENDER, LESSOR OR VENDOR, OR THE DEFEASANCE, ADVANCE PAYMENT OR CANCELLATION OF ANY OUTSTANDING DEBT OF THE CATEGORY DESCRIBED HEREIN; ANY GUARANTY OF ANY DEBT EXCEEDING $250,000; THE VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION, SALE OR TRANSFER OF ANY OR THE CORPORATION'S ASSETS WHICH EXCEEDS ONE PERCENT OF THE CORPORATION'S TOTAL ASSETS OR ANY CREATION OF A SUBSIDIARY OR AFFILIATE OF THE CORPORATION; THE APPROVAL OF ALL ANNUAL AND LONG TERM CAPITAL AND OPERATIONAL BUDGETS AND STRATEGIC PLANS; ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; THE SELECTION OF OR CHANGE OF INDEPENDENT AUDITORS; ANY AGREEMENT OR TRANSACTION, EITHER OF WHICH OF A MATERIAL NATURE, WITH ANOTHER CORPORATION CONTROLLED BY OR AFFILIATED WITH THE CORPORATE MEMBER OR WHICH IS A SUBSIDIARY OR AFFILIATE OF THE CORPORATE MEMBER; AND ANY GENERAL PLAN FOR THE SOLICITATION OF CHARITABLE CONTRIBUTIONS AND THE ACCEPTANCE OF A CONTRIBUTION WHICH IMPOSES A MATERIAL OBLIGATION. 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. ALHF 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 ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE CORPORATION ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A SPECIFIC DISCLOSURE STATEMENT WHICH IS ATTACHED TO THE POLICY. ABRAHAM LINCOLN MEMORIAL HOSPITAL FOUNDATION MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY IDENTIFYING ANY POTENTIAL CONFLICTS AT THE TIME EACH MEETING IS CALLED TO ORDER. 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 C, LINE 19 THE GOVERNING DOCUMENTS OF ABRAHAM LINCOLN HEALTHCARE FOUNDATION D/B/A LINCOLN MEMORIAL FOUNDATION, 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: CHANGE IN VALUE OF CHARITABLE LIFE INSURANCE 866. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 3,837. RECOVERIES OF PRIOR YEAR GRANTS 822. SPRINGFIELD MEMORIAL HOSPITAL 701 NORTH FIRST ST SPRINGFIELD IL 627810001 370661220 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH 0 LINCOLN MEMORIAL HOSPITAL 200 STAHLHUT DR LINCOLN IL 62656 370723793 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH 0 TAYLORVILLE MEMORIAL HOSPITAL 201 EAST PLEASANT TAYLORVILLE IL 62568 370661250 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH 0 JACKSONVILLE MEMORIAL HOSPITAL 1600 WEST WALNUT STREET JACKSONVILLE IL 62650 370661230 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH 0 DECATUR MEMORIAL HOSPITAL 2300 N EDWARD DECATUR IL 62526 370661199 HOSPITAL SERVICES IL 501(C)(3) LINE 3 MEMORIAL HEALTH 0 MEMORIAL HOME CARE 720 NORTH BOND SPRINGFIELD IL 62702 370714225 HOME HEALTH AND HOSPICE IL 501(C)(3) LINE 7 MEMORIAL HEALTH 0 SPRINGFIELD MEMORIAL FOUNDATION 701 N FIRST STREET SPRINGFIELD IL 62781 371110301 GRANTS TO HOSPITALS, 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 HOSPITALS, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS IL 501(C)(3) LINE 7 TAYLORVILLE MEMORIAL HOSPITAL 0 MEMORIAL BEHAVIORAL HEALTH 701 NORTH EIGHTH STREET SPRINGFIELD IL 627026395 370646367 TRAINING, PSYCHIATRIC, AND RESIDENT SERVICES FOR MENTALLY ILL AND DISABLED IL 501(C)(3) LINE 7 MEMORIAL HEALTH 0 SPRINGFIELD RESIDENTAL SERVICES 701 NORTH EIGHTH STREET SPRINGFIELD IL 62702 371298589 RESIDENTAL HUD HOUSING PROJECT FOR MENTALLY ILL IL 501(C)(3) LINE 7 MEMORIAL BEHAVIORAL HEALTH 0 JACKSONVILLE MEMORIAL FOUNDATION 1600 WEST WALNUT STREET JACKSONVILLE IL 62650 461037396 SUPPORTING THE HOSPITAL IL 501(C)(3) LINE 7 JACKSONVILLE MEMORIAL HOSPITAL 0 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 627810001 371181194 HEALTH CLINICS IL 501(C)(3) LINE 10 MEMORIAL HEALTH 0 MEMORIAL HEALTH VENTURES 701 NORTH FIRST ST SPRINGFIELD IL 62781 363492266 HEALTHCARE ACTIVITIES IL 501(C)(3) LINE 10 MEMORIAL HEALTH 0 DECATUR MEMORIAL FOUNDATION 2300 N EDWARD DECATUR IL 62526 454256254 GRANTS TO HOSPITALS, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS IL 501(C)(3) LINE 12A, I DECATUR MEMORIAL HOSPITAL 0 MEMORIAL HEALTH 701 NORTH FIRST ST SPRINGFIELD IL 627801000 371110690 PARENT IL 501(C)(3) LINE 12A, I DCE 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 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 1 1