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Centegra Health System: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
Centegra Health System (EIN 36-3196559)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201801359349306715
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-15T12:24:42-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1191 West Nationwide Blvd Ste 500AddressLine1Txt
CityColumbusCityNm
State AbbreviationOHStateAbbreviationCd
ZIP432152568ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363196559EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Centegra Health SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Doug FenstermakerInCareOfNm
Business Name ControlCENTBusinessNameControlTxt
Phone8157885800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1385 Millennium DriveAddressLine1Txt
CityCrystal LakeCityNm
State AbbreviationILStateAbbreviationCd
ZIP60012ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL EESLEYPersonNm
Person TitleCEOPersonTitleTxt
Phone8157885800PhoneNum
Signature2018-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMOLLIE P LONGHOUSEPreparerPersonNm
PTINP00294881PTIN
Phone6142492300PhoneNum
Preparation2018-05-15PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMichael EesleyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1385 Millennium DriveAddressLine1Txt
CityCrystal LakeCityNm
State AbbreviationILStateAbbreviationCd
ZIP60012ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$188,467,726GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.centegra.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionSee Schedule O narrative titled SummaryActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1032TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$164,537,715PYProgramServiceRevenueAmt
CY Program Service Revenue$185,373,606CYProgramServiceRevenueAmt
PY Investment Income$51,299PYInvestmentIncomeAmt
CY Investment Income$1,596,929CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$164,589,014PYTotalRevenueAmt
CY Total Revenue$186,970,535CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$92,968,116PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$118,404,918CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$89,142,456PYOtherExpensesAmt
CY Other Expenses$115,010,733CYOtherExpensesAmt
PY Total Expenses$182,110,572PYTotalExpensesAmt
CY Total Expenses$233,415,651CYTotalExpensesAmt
PY Revenues Less Expenses-$17,521,558PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$46,445,116CYRevenuesLessExpensesAmt
Total Assets BOY$111,755,357TotalAssetsBOYAmt
Total Assets EOY$81,623,440TotalAssetsEOYAmt
Total Liabilities BOY$145,202,311TotalLiabilitiesBOYAmt
Total Liabilities EOY$130,184,466TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$33,446,954NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$48,561,026NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSee Schedule OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$188,039,063ExpenseAmt
Revenue$185,373,606RevenueAmt
DescSee Schedule ODesc
Total Program Service Expenses$188,039,063TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document323IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1032EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDoug FenstermakerPersonNm
Phone8157885800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1385 Millenium DriveAddressLine1Txt
CityCrystalCityNm
State AbbreviationILStateAbbreviationCd
ZIP60012ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL EESLEY
CHIEF EXECUTIVE OFFICER40.00.0Yes (X)Yes (X)$2,416,525$0$45,659
CHARIE ZANCK
BOARD OF GOVERNORS2.02.0Yes (X)$0$0$0
CHARLES RUTH
BOARD OF GOVERNORS1.01.0Yes (X)$0$0$0
CHRIS NEWKIRK
BOARD OF GOVERNORS1.00.0Yes (X)$0$0$0
DAVE DOMEK
BOARD OF GOVERNORS1.02.0Yes (X)$0$0$0
IRFAN HAFIZ
SVP - CMO40.00.0Yes (X)$460,840$0$26,262
JACK PORTER
BOARD OF GOVERNORS- Term 12/161.00.0Yes (X)$0$0$0
KATHY POWELL
BOARD OF GOVERNORS1.02.0Yes (X)$0$0$0
LISA GLOSSON MD
BOARD OF GOVERNORS40.00.0Yes (X)$263,610$0$23,994
LUKE JOHNSOS
BOARD OF GOVERNORS- Term 3/171.01.0Yes (X)$0$0$0
Michael Luecht
BOARD OF GOVERNORS2.02.0Yes (X)$0$0$0
MIKE CURRAN
BOARD OF GOVERNORS1.00.0Yes (X)$0$0$0
TERRENCE BUGNO
BOARD OF GOVERNORS1.03.0Yes (X)$0$0$0
TOM CAREY
BOARD OF GOVERNORS2.00.0Yes (X)$0$0$0
WILLIAM BUSSE
BOARD OF GOVERNORS1.01.0Yes (X)$0$0$0
JASON SCIARRO
PRESIDENT / COO - Term 2/201738.02.0Yes (X)$1,027,854$0$104,999
DAVID TOMLINSON
EVP - CFO38.02.0Yes (X)$732,236$0$86,970
CHRISTOPHER WESTERKAMP
VP - REVENUE CYCLE40.00.0$176,418$0$22,020Yes (X)
AARON SHEPLEY
PRESIDENT CIS AND GEN COUNSEL40.00.0$692,469$0$81,464Yes (X)
BERNADETTE SZCZEPANSKI
SVP - HUMAN RESOURCES40.00.0$425,722$0$33,182Yes (X)
CYNTHIA ROONEY-OLSON
VP - CENTEGRA FOUNDATION0.040.0$303,620$0$40,576Yes (X)
ERIC ZORNOW
VP - FINANCE & TREASURY30.010.0$264,080$0$51,147Yes (X)
HADLEY STRENG
SVP - STRATEGY & DEVELOPMENT40.00.0$297,824$0$56,091Yes (X)
JUDITH ANDRONOWITZ
VP - CPC OPERATIONS40.00.0$102,698$136,785$41,742Yes (X)
KATHLEEN BAYER
SVP - CIO40.00.0$293,707$0$17,875Yes (X)
KUMAR NATHAN
PRESIDENT - CHH & CLINICAL EFF40.00.0$538,641$0$67,112Yes (X)
MATTIAS CARLEN
SVP - CHW & AMBULATORY SVC40.00.0$308,820$27,863$44,547Yes (X)
PASQUALE BERNARDI
PRESIDENT - CPC40.00.0$231,596$385,008$73,535Yes (X)
PEGGY NORTON-ROSKO
SVP - CNO40.00.0$345,737$0$47,472Yes (X)
AMIR HEYDARI
PHYSICIAN - GENERAL SURGERY40.00.0$892,136$0$33,609Yes (X)
HAPREET BASRAN
PHYSICIAN - ORTHOPEDICS40.00.0$1,165,413$0$7,581Yes (X)
JUSTIN GENT
PHYSICIAN - ORTHOPEDICS40.00.0$879,217$0$35,844Yes (X)
PRIYESH PATEL
PHYSICIAN - ORTHOPEDICS40.00.0$940,149$0$37,908Yes (X)
WILLIAM COX
PHYSICIAN - ORTHOPEDICS40.00.0$1,470,574$0$37,860Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$14,229,886TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$549,656TotReportableCompRltdOrgAmt
Total Other Compensation$1,017,449TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K212IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CARDINAL HEALTH - AURORA DIVISION
7000 CARDINAL PLDUBLINOH43017HEALTHCARE SERVICES$26,504,953
HEALTHCARE AND FAMILY SERVICES
PO BOX 19491SPRINGFIELDIL62794HEALTHCARE SERVICES$13,972,039
DELL MARKETING LP
850 Asbury DriveBUFFALO GROVEIL60089MARKETING$13,932,645
CARDINAL HEALTH
PO BOX 70539CHICAGOIL60673HEALTHCARE SERVICES$6,875,772
MEDLINE INDUSTRIES
Dept Ch 14263PALATINEIL60055HEALTHCARE SERVICES$6,738,765
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K292CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Expense Allocation Rel 501 (c)551112$104,328,186$104,328,186
Centegra Primary Care Ops621110$71,792,382$71,792,382
CENTEGRA HEALTH & WELLNESS524298$8,590,553$8,590,553
All other revenue900099$662,485$662,485
FieldValueIRS element (for citing)
Total Program Service Revenue$185,373,606TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,519,170TotalRevenueColumnAmt
Exclusion$1,519,170ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,574,950SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,497,191SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$77,759SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$77,759TotalRevenueColumnAmt
Exclusion$77,759ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$186,970,535TotalRevenueColumnAmt
Related Or Exempt Func Income$185,373,606RelatedOrExemptFuncIncomeAmt
Exclusion$1,596,929ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,450,997TotalAmt
Management And General$9,450,997ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$93,129,978TotalAmt
Program Services$86,859,984ProgramServicesAmt
Management And General$6,269,994ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,161,483TotalAmt
Program Services$331,257ProgramServicesAmt
Management And General$1,830,226ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,374,072TotalAmt
Program Services$1,283,363ProgramServicesAmt
Management And General$7,090,709ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,288,388TotalAmt
Program Services$810,469ProgramServicesAmt
Management And General$4,477,919ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,897,085TotalAmt
Program Services$15,000ProgramServicesAmt
Management And General$2,882,085ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$336,000TotalAmt
Management And General$336,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$45,297,708TotalAmt
Program Services$36,604,933ProgramServicesAmt
Management And General$8,692,775ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,774,840TotalAmt
Program Services$2,774,147ProgramServicesAmt
Management And General$693ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,680,193TotalAmt
Program Services$2,942,234ProgramServicesAmt
Management And General$737,959ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$22,173,605TotalAmt
Program Services$22,168,865ProgramServicesAmt
Management And General$4,740ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,038,736TotalAmt
Program Services$135,811ProgramServicesAmt
Management And General$1,902,925ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$211,812TotalAmt
Program Services$98,192ProgramServicesAmt
Management And General$113,620ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$592,538TotalAmt
Program Services$410,680ProgramServicesAmt
Management And General$181,858ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,328,627TotalAmt
Program Services$1,328,627ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,662,476TotalAmt
Program Services$10,660,872ProgramServicesAmt
Management And General$1,604ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt Provision$11,296,949$11,296,949
FORMS$529,218$526,343$2,875
SUBSCRIPTIONS AND BOOKS$381,864$219,321$162,543
OTHER OFFICE SUPPLIES$319,214$242,952$76,262

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,489,868TotalAmt
Program Services$9,329,064ProgramServicesAmt
Management And General$1,160,804ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$233,415,651TotalAmt
Program Services$188,039,063ProgramServicesAmt
Management And General$45,376,588ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$29,824,270BOYAmt
EOY$10,300,049EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$848,422BOYAmt
EOY$2,795EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,858,261BOYAmt
EOY$9,879,616EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,216,443BOYAmt
EOY$384,082EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,997BOYAmt
EOY$1,227EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,118,536BOYAmt
EOY$6,641,501EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$247,950LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,827,017BOYAmt
EOY$247,950EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$33,063,013BOYAmt
EOY$18,419,938EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$10,078,944EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$26,884,922BOYAmt
EOY$25,602,175EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$112,476BOYAmt
EOY$65,163EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$111,755,357BOYAmt
EOY$81,623,440EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,619,030BOYAmt
EOY$36,805,575EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY-$2,125,274BOYAmt
EOY-$2,007,421EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$123,708,555BOYAmt
EOY$95,386,312EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$145,202,311BOYAmt
EOY$130,184,466EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$33,446,954BOYAmt
EOY-$48,561,026EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$33,446,954BOYAmt
EOY-$48,561,026EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$111,755,357BOYAmt
EOY$81,623,440EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$46,445,116ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,138,069NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$29,192,975OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$118,257,274CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$146,471,835CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$153,798,164CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$164,444,258CurrentTaxYearMinus1YearAmt
Current Tax Year$185,373,606CurrentTaxYearAmt
Total$768,345,137TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$118,257,274CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$146,471,835CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$153,798,164CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$164,444,258CurrentTaxYearMinus1YearAmt
Current Tax Year$185,373,606CurrentTaxYearAmt
Total$768,345,137TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$60,236,364CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$65,550,710CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,756,314CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$85,256,305CurrentTaxYearMinus1YearAmt
Current Tax Year$104,328,186CurrentTaxYearAmt
Total$386,127,879TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$60,236,364CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$65,550,710CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,756,314CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$85,256,305CurrentTaxYearMinus1YearAmt
Current Tax Year$104,328,186CurrentTaxYearAmt
Total$386,127,879TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$382,217,258PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,455,573CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$549,122CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$685,900CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$956,347CurrentTaxYearMinus1YearAmt
Current Tax Year$1,519,170CurrentTaxYearAmt
Total$5,166,112TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$784,809CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$331,901CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$297,015CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,457CurrentTaxYearMinus1YearAmt
Total$1,507,182TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,240,382CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$881,023CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$982,915CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,049,804CurrentTaxYearMinus1YearAmt
Current Tax Year$1,519,170CurrentTaxYearAmt
Total$6,673,294TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$120,497,656CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$147,352,858CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$154,781,079CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$165,494,062CurrentTaxYearMinus1YearAmt
Current Tax Year$186,892,776CurrentTaxYearAmt
Total$775,018,431TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.49317PublicSupportCY509Pct
Public Support PY5090.49580PublicSupportPY509Pct
Investment Income CY0.00861InvestmentIncomeCYPct
Investment Income PY0.00945InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$247,950InvestmentCostOrOtherBasisAmt
Book Value$247,950BookValueAmt
FieldValueIRS element (for citing)
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$247,950TotalBookValueLandBuildingsAmt
Total Book Value Program Rltd$0TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
OTHER LIABILITIES - INTERCOMPA$94,080,386
OTHER LIABILITIES - CHWN$1,425,926
OTHER LIABILITIES-$120,000
FieldValueIRS element (for citing)
Total Liability$95,386,312TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm Sch D Part X Line 2FormAndLineReferenceDesc
ExplanationASC Topic 740, Income Taxes, addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under ASC Topic 740 the Health System must recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. ASC Topic 740 also provides guidance on de-recognition, classification, interest and penalties on income taxes, and accounting in the interim periods and requires increased disclosures. As of June 30, 2017 and 2016, the Health System does not have a liability for unrecognized tax benefits.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL EESLEY
CHIEF EXECUTIVE OFFICER$1,257,880$0$532,806$0$625,839$0$24,155$0$21,504$0$2,462,184$0$449,966$0
IRFAN HAFIZ
SVP - CMO$299,675$0$117,026$0$44,139$0$26,228$0$34$0$487,102$0$0$0
LISA GLOSSON MD
BOARD OF GOVERNORS$230,597$0$5,124$0$27,889$0$7,485$0$16,509$0$287,604$0$0$0
JASON SCIARRO
PRESIDENT / COO - Term 2/2017$549,709$0$342,697$0$135,448$0$75,644$0$29,355$0$1,132,853$0$0$0
DAVID TOMLINSON
EVP - CFO$400,707$0$227,466$0$104,063$0$57,173$0$29,797$0$819,206$0$0$0
CHRISTOPHER WESTERKAMP
VP - REVENUE CYCLE$143,379$0$0$0$33,039$0$21,478$0$542$0$198,438$0$0$0
AARON SHEPLEY
PRESIDENT CIS AND GEN COUNSEL$390,241$0$219,887$0$82,341$0$53,390$0$28,074$0$773,933$0$0$0
BERNADETTE SZCZEPANSKI
SVP - HUMAN RESOURCES$252,269$0$132,936$0$40,517$0$23,511$0$9,671$0$458,904$0$0$0
CYNTHIA ROONEY-OLSON
VP - CENTEGRA FOUNDATION$212,048$0$53,169$0$38,403$0$19,511$0$21,065$0$344,196$0$0$0
ERIC ZORNOW
VP - FINANCE & TREASURY$176,942$0$58,371$0$28,767$0$19,995$0$31,152$0$315,227$0$0$0
HADLEY STRENG
SVP - STRATEGY & DEVELOPMENT$191,866$0$76,462$0$29,496$0$21,591$0$34,500$0$353,915$0$0$0
JUDITH ANDRONOWITZ
VP - CPC OPERATIONS$87,554$78,693$0$44,000$15,144$14,092$17,632$0$14,191$9,919$134,521$146,704$0$0
KATHLEEN BAYER
SVP - CIO$220,705$0$50,000$0$23,002$0$0$0$17,875$0$311,582$0$0$0
KUMAR NATHAN
PRESIDENT - CHH & CLINICAL EFF$363,226$0$122,657$0$52,758$0$33,634$0$33,478$0$605,753$0$0$0
MATTIAS CARLEN
SVP - CHW & AMBULATORY SVC$220,789$0$59,362$26,770$28,669$1,093$22,978$0$21,569$0$353,367$27,863$0$0
PASQUALE BERNARDI
PRESIDENT - CPC$195,556$180,583$0$180,616$36,040$23,809$34,365$0$15,707$13,463$281,668$398,471$0$0
PEGGY NORTON-ROSKO
SVP - CNO$206,054$0$102,408$0$37,275$0$17,570$0$29,902$0$393,209$0$0$0
AMIR HEYDARI
PHYSICIAN - GENERAL SURGERY$602,684$0$41,278$0$248,174$0$6,804$0$26,805$0$925,745$0$0$0
HAPREET BASRAN
PHYSICIAN - ORTHOPEDICS$864,999$0$167,148$0$133,266$0$6,229$0$1,352$0$1,172,994$0$0$0
JUSTIN GENT
PHYSICIAN - ORTHOPEDICS$687,192$0$128,413$0$63,612$0$4,786$0$31,058$0$915,061$0$0$0
PRIYESH PATEL
PHYSICIAN - ORTHOPEDICS$699,592$0$135,588$0$104,969$0$5,053$0$32,855$0$978,057$0$0$0
WILLIAM COX
PHYSICIAN - ORTHOPEDICS$1,177,932$0$219,716$0$72,926$0$7,950$0$29,910$0$1,508,434$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM SCH J PART I LINE 4AFormAndLineReferenceDesc
ExplanationTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: JASON SCIARRO PRESIDENT / COO Form Sch J Part I Line 4b The following people received amounts as part of a supplemental non-qualified retirement plan: NAME TITLE AMOUNT IRFAN HAFIZ BOARD OF GOVERNORS / SVP CMO $22,261 LISA GLOSSON BOARD OF GOVERNORS $7,485 MICHAEL EESLEY CHIEF EXECUTIVE OFFICER $18,000 JASON SCIARRO PRESIDENT / COO $69,490 DAVID TOMLINSON EVP / CFO $50,600 AARON SHEPLEY PRESIDENT INSURANCE SERVICES / GENERAL COUNSEL $48,891 PASQUALE BERNARDI PRESIDENT - CPC $28,866 KUMAR NATHAN PRESIDENT - CHH & CLINICAL EFFECTIVENESS $27,877 BERNADETTE SZCZEPANSKI SVP - HUMAN RESOURCES $19,468 PEGGY NORTON-ROSKO SVP - CNO / CHW ADMINISTRATOR $17,570 MATTIAS CARLEN SVP - AMBULATORY SVCS AND CHW $16,583 CYNTHIA ROONEY - OLSON VP FOUNDATION $16,918 HADLEY STRENG SVP - STRATEGY & DEVELOPMENT $15,292 ERIC ZORNOW VP FINANCE & TREASURY $14,593 JUDITH ANDRONOWITZ VP - CPC OPERATIONS $13,162 CHRISTOPHER WESTERKAMP VP - REVENUE CYCLE $15,780 WILLIAM COX PHYSICIAN, ORTHOPEDICS $7,950 HAPREET BASRAN PHYSICIAN, ORTHOPEDICS $6,229 PRIYESH PATEL PHYSICIAN, ORTHOPEDICS $5,053 AMIR HEYDARI PHYSICIAN, GENERAL SURGERY $6,804 JUSTIN GENT PHYSICIAN, ORTHOPEDICS $4,786ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
IL Finance Authority
A86109196745203HNF52012-11-20$207,317,217Current refunding; Projectfalsefalsefalse
Il Finance Authority
B86109196745203HZS42014-06-11$197,757,179Develop a third system hospitalfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$153,455,543$0$207,317,217$0$0$162,323,247$2,279,555$0$0$42,714,415$0$02014Yes (true)falsefalseYes (true)
B$0$0$197,757,179$0$0$0$2,235,429$0$0$195,521,613$0$1362016falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0.007500.00750Yes (true)
BfalsefalseYes (true)Yes (true)false0Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
BYes (true)Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART VIFormAndLineReferenceDesc
ExplanationCentegra Health System (CHS) is the sole member of Northern Illinois Medical Center, Memorial Medical Center -Woodstock, Centegra Hospital-Huntley and NIMED Corp. CHS was a conduit borrower of the proceeds of the 2012 and 2014 bonds and therefore is reporting the bond issues dated 11/20/2012 and 06/11/2014 for the group on its Schedule K. Each organization will report their respective bond liabilities on their respective balance sheets. SCHEDULE K, PART II, LINE 10 As reported on Form 8038, proceeds of the 11/20/2012 bond, in the amount of $42,714,415, were spent on capital expenditures. This included $14,016,000 of the proceeds spent to pay a termination payment related to a qualified hedge.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORGANIZATION'S MISSIONForm 990 Part III Line 1 The primary mission of the Centegra Health System is to inspire and engage our community in their health and wellness. We coordinate the delivery of quality health care services with the innovative and responsible use of resources to promote wellness for the greater McHenry County area in Illinois.
PROGRAM SERVICE ACCOMPLISHMENTSForm 990 Part III Line 4a Executive Summary Centegra Health System (Centegra) coordinates the delivery of health care services by assisting in the management of Centegra Hospital- McHenry, Centegra Hospital-Huntley (both facilities within Northern Illinois Medical Center), Centegra Hospital- Woodstock (Memorial Medical Center), (The Medical Centers), and Centegra Health System Foundation, Health Bridge Corporation and NIMED Corporation (Affiliates). Centegra's mission is to inspire and engage our community in their health and wellness. We provide quality health care services with innovative and responsible use of resources and promote wellness for the greater McHenry County area in Illinois. During its fiscal year 2017, Centegra Health System sponsored more than 230 community events. These events focused on the high priority issues facing the county: obesity, cardiovascular health, active communities and behavioral health. The Medical Centers provide optimum quality health care, delivered by competent hospital and medical center staff, to all who seek its services regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The primary mission of the Medical Centers is to enhance the health of the community as the preferred health care organization providing outstanding service and value. It is the Medical Centers' objective to serve the community with respect to providing health care services and education. Although reimbursement for services rendered is critical to the operation and stability of the Medical Centers, it is recognized that not all individuals possess the ability to purchase essential medical services. Therefore, in keeping with the Medical Centers' commitment to serve all members of its community, free care and/or subsidized care will be considered where the need and/or an individual's inability to pay exist. Medical Services are provided in a dignified manner to Medicare, Medicaid and indigent patients. System-wide, community benefits included approximately $6.5 million of charity care, over $65.0 million of government sponsored indigent health care, approximately $5.3 million of other community benefits, and over 82,000 community benefit hours. *The Medical Centers' services include, but are not limited to: Centegra Hospital-McHenry is a 179-bed facility located about 50 miles outside of Chicago. The hospital is the region's leading provider of advanced cardiovascular treatments through the Centegra Cardiovascular & Thoracic Center. It is also home to the Centegra Hip & Knee Replacement Center, the Centegra Sage Cancer Center and the Centegra Family Birth Center. As part of Centegra Health System, Centegra Hospital-McHenry achieved Magnet designation for nursing excellence. Centegra Hospital-McHenry provides sophisticated treatments and advanced technology to address the most serious medical conditions. These include: *Open-heart surgery and heart catheterizations *Joint replacement surgeries *A Level II Trauma Center and on-site Flight for Life helicopter *Certified chest pain and stroke centers *Advanced cancer treatments including radiation oncology and infusion services *Labor and delivery and on-site 24/7 obstetrics hospitalists and neonatologists *Intensive care *Medical-Surgical care and 24/7 hospitalist care *Outpatient surgery Centegra Hospital - Huntley opened its doors in August 2016 as a 384,135 square-foot, 128 bed facility. Centegra Hospital- Huntley provides sophisticated treatments and advanced technology to address the most serious medical conditions. These include: Level II Trauma emergency department 8-bed intensive care unit Family Birth Center Chest Pain Center Cardiac Catheterization Laboratory and Cardiology Services A full range of diagnostic imaging including radiology, ultrasound, MRI scanning and nuclear medicine Helipad for transporting patients Centegra Hospital-Woodstock is a 106-bed facility located about 60 miles outside of Chicago. The hospital provides exceptional inpatient and outpatient care and has won top awards for patient safety and satisfaction. As part of Centegra Health System, Centegra Hospital-Woodstock achieved Magnet designation for nursing excellence. Centegra Hospital - Woodstock provides sophisticated treatments and advanced technology to address the most serious medical conditions, including: *A Level II Trauma Center and on-site Flight for Life helicopter *Certified chest pain and stroke centers *Intensive care *Medical-Surgical care and 24/7 hospitalist care *Outpatient surgery *Inpatient behavioral health services *Weight-loss surgery through the Centegra Healthy Living Institute *State-of-the-art medical imaging Centegra Health System Foundation provides fund-raising services for Centegra Health System in conjunction with the Medical Centers. The proceeds of these activities are used to purchase medical equipment and supplies, therefore enabling the Medical Centers to better serve the community. Health Bridge Corporation provides various rehabilitation services for the Medical Centers in conjunction with Centegra Health System, by providing a fitness center and pool that serves the community in various capacities and sponsors and hosts assorted educational programs. NIMED Corporation aids in the management of the Medical Centers and several satellite locations within the Centegra Health System organization. The Medical Centersthe Affiliates' program accomplishments are summarized below. SUPPORT GROUPS Centegra Health System, in conjunction with the Medical Centers and Affiliates, sponsors or hosts many support groups for its patients as well as the community. The following ongoing support groups are held at the Medical Centers, Affiliates or in the community. By supporting these groups, the Medical Centers and Affiliates are able to provide one or all of the following: *Staff professionals who either act as facilitators of the group or function as Guest Speakers, *Space offered free or at minimal charge, *Free marketing to educate the community about these services. Programs sponsored by the Medical Centers and or Affiliates in conjunction with Centegra Health System include: Oncology Support Groups - *Cancer Transitions focuses on the needs of cancer survivors who have finished treatment with the last two years. *Caring for the Caregiver is a group for those offering care to anyone with a serious illness. The group provides an opportunity to connect with others who understand the unique experience of being a caregiver. Education and support are offered on relevant topics to assist successful management of the challenges of caregiving. *Creating Expressions links artistic experience with the emotional benefits of cancer management. *Growing Together Through Cancer Transitions is a monthly group for cancer survivors who have completed the Cancer Transitions program. Education and support is offered through the group experience to increase personal empowerment and wellness in body, mind and spirit toward the goal of long term cancer survivorship. *Centegra STAR Program Guided Patient Services (GPS) where participants receive valuable information and resources that aid them before, during and after diagnosis and treatment. Members of the Survivorship Training and Rehabilitation (STAR) certified team are available to address questions and concerns while patients participate in assessments to help create a personalized plan of care. *H.O.P.E.: High on Positive Energy is for women living with breast cancer *Look Good Feel Better is a free program offered by the American Cancer Society and teaches beauty techniques to women who are currently undergoing cancer treatment. *Partners in Cancer Transitions, a monthly support group for cancer survivors and their care partners. *Pathfinders, a support group for men and women living with cancer and their care partners. *Wig Boutique: This American Cancer Society program helps women with cancer select a free wig. *Young Ribbons, a support group or those diagnosed with breast cancer younger than the age of 45. This support group helps participants connect with other breast cancer survivors to share, learn and support one another during and after treatment.
Additional Support Groups and Services:*A.W.A.K.E. (Alert, Well and Keeping Energetic) Support Group is a sleep disorder support group for patients and family members affected by sleep disordered breathing. The A.W.A.K.E. Support Group is part of the American Sleep Apnea Association. *ADHD Parent Support Group a free support group for parents of children with Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) this group provides opportunities for parents to share, collaborate and communicate about some of the challenges involved in raising children with ADD or ADHD. *Breastfeeding Support groups are held to support all breastfeeding moms. *Centegra Crisis Services in partnership with the McHenry County Mental Health Board offers 24-hour crisis line and 24-hour onsite response team. *Diabetes Support Group is for individuals with diabetes and their families. *Eating Disorder Support Group, a monthly eating disorder support group led by a mental health professional and a registered dietitian *Free Freshstart/Tobacco Cessation: Centegra has partnered with the American Cancer Society to empower participants towards quitting a tobacco habit. Freshstart provides information about effective strategies and helps motivate and prepare participants to make a successful quit attempt. *Living with Grief, sponsored by Centegra Pastoral Care, offers support for adults grieving the loss of a loved one. *Stroke Support Group *Weight-Loss Surgery Support Group for patients that have had weight-loss surgery EDUCATION PROGRAMS The Medical Centers and Affiliates make a variety of educational programs designed to promote wellness available to all members of the community. The Medical Centers, in conjunction with Centegra Health System, work in cooperation with McHenry County College to provide a complete series of specialized training for those interested in developing their knowledge of emergency basics, or in pursuing a career in the emergency health care field. There are three levels of training available: First Responder, Emergency Medical Technician - Basic, Emergency Medical Technician - Paramedic. An Emergency Medical Dispatcher Course designed to prepare individuals for employment as dispatchers for a public service agency providing dispatch to law enforcement fire service, and/or Emergency Medical Service is also offered. The Medical Centers offer a variety of classes that can help people save lives. The Medical Centers, in conjunction with Centegra's Health Bridge Fitness Centers, offer Red Cross first aid classes that include First Aid and Cardio-Pulmonary Resuscitation (CPR). Classes help community members learn CPR prior to certification, or brush up on skills for re-certification. The Medical Centers also offer a CPR Instructor Course, International Trauma Life Support, Advanced Cardiac Life Support, and Pediatric Advanced Life Support training classes. Family health and wellness programs presented by the Medical Centers are designed to promote a healthier community. The Medical Centers offer low-cost education classes for expectant families including prenatal and cesarean birth classes, along with free hospital tours. Centegra's Healthy Living Institute offers a variety of education programs to support healthy habits toward weight loss or weight maintenance. Lipid screenings are offered periodically during the year. Integrative programs include mindful eating, understanding the healing potential of food, and journaling. Still more educational programs are offered to assist members of the community take charge of special needs in their lives, to change their lifestyles for healthier lives, as well as programs to inform the community about Advance Medical Directives, including living wills, durable power of attorney issues, organ donations, and Understanding Medicare. The Medical Centers sponsor several programs specializing in issues of concern for women including reduced fee mammograms, programs on osteoporosis, and programs on menopause. The annual Centegra Health Strong Woman Event is a program designed to give health information across a variety of topics to women in McHenry County and the surrounding area. Centegra Hospital - McHenry's Sage Cancer Center and Centegra Gavers Breast Center, together with the American Cancer Society, Gavers Community Cancer Foundation, and McHenry County College, sponsor various Cancer Awareness Programs. Centegra Health System offers colorectal cancer screenings, reduced fee mammograms, skin, oral, head and neck cancer screenings, and reduced fee prostrate (PSA) screenings. Cancer awareness also includes programs on reduction of risk for cancer through good nutrition and healthy lifestyle habits. Centegra Health System also sponsors celebrations of cancer survivorship. In addition, Centegra Health System is a learning center (clinical site) for students from a multitude of colleges and universities. Students have completed internships in programs such as nurse practitioner, nursing, nurse aide, physician assistant, social work, speech therapy, phlebotomy, diagnostic medical sonography, medical imaging, medical records, pharmacy, medical physics, surgical technology, professional counselor, substance abuse counselor, and medical assistant. Centegra Health System is also a learning site for 3rd and 4th year medical students from Rosalind Franklin University. OTHER COMMUNITY SERVICES The Medical Centers and Affiliates participate in various community events and initiatives including community health fairs and county business fairs in order to promote health and awareness in the community. Other community services are career shadowing opportunities for area students, Flight for Life Helicopter appearances, poison awareness programs, blood drives, and a variety of health screenings (blood pressure, diabetes, skin cancer, colorectal cancer, glaucoma, hearing, etc.) to promote health and awareness in the community. The Medical Centers and Affiliates also distribute thousands of informational brochures, service listings, and flyers at the request of area schools, churches, and organizations on an ongoing basis. The Referral Line (877-CENTEGRA) is a toll-free phone line sponsored by the Medical Centers. It offers free, computerized service to callers who require information or physician referrals. A trained counselor staffs the line. Several medical specialties are represented, and physicians are on staff for referrals. The line also gives information regarding physician's office hours, locations, insurance, and languages spoken. Additionally, counselors give information on Self-Help and Support Groups. The Medical Centers sponsor blood drives every year and are able to provide numerous pints of blood to those in need. The Medical Centers provide Patient Express! transportation services for individuals who require transportation to the Medical Centers. The Patient Express! van is provided and is frequently used by the disabled and elderly individuals of the community. The service is provided free of charge, although donations are accepted to defray the costs of the service. EXERCISE PROGRAMS The Medical Centers, in conjunction with Centegra Health System and Centegra Health Bridge Fitness Centers offer specialized exercise programs that help participants get moving and stay active for a healthier lifestyle. These programs include Aquatics, Individual and Group Fitness, Mind/Body including Pilates, Tai Chi, Yoga, Sports Performance, and Tennis Racquetball & Basketball.
REHABILITATION / PHYSICAL THERAPY PROGRAMSThrough the Centegra Hospital - McHenry's acute inpatient rehabilitation/physical therapy programs, disabled individuals can practice and master the skills required for personal hygiene, home maintenance, financial management, mobility, and social interaction in the security and privacy of the rehabilitation department. Using distinctive environments such as, apartment, car, cafe & restaurant, and an ambulation course, therapists and clinical staff are able to assess and evaluate the progress of each patient using a unique form of individual care. When individual confidence and proficiency return, discharge planning and community re-entry training complete the rehabilitation program. The Medical Centers also provide extensive Cardiac Rehabilitation and Pulmonary Rehabilitation programs. Integrated into the Cardiac Rehabilitation Program is the Centegra WellBridge program. This is a wellness membership that promotes community health by providing patients who have completed Phase II or Phase III with a supervised exercise area at Centegra Health Bridge Fitness Centers at a very low cost. Outpatient rehabilitation care and Sports Medicine Clinics at Health Bridge Fitness Centers and other locations provide sports medicine, aquatics, outpatient physical and occupational therapy programs. The Centegra Industrial Rehabilitation programs help area employers with injured employees rebuild their strength and abilities for a safe and speedy return to work. The program includes work hardening, work conditioning, functional capacity evaluations, physical and occupational therapy. Worksite Services and Programs include ergonomic consultations and evaluations as well as other educational and safety programs. The Centegra Neuro-Rehabilitation Center serves individuals who have experienced traumatic brain injury and neurological impairments due to stroke, accident, or disease. It is a comprehensive program for patients requiring intensive, interdisciplinary services on an outpatient basis. The program facilitates the individual's function and independence in the home, work, school, and community with integrated and holistic treatment. Services include physical therapy, occupational therapy, speech therapy, neuropsychology, social work, nursing, vocational counseling, and recreational therapy. This program also has access to facilities at Centegra Health Bridge Fitness Center and may work in conjunction with the Centegra Industrial Rehabilitation Program. The Centegra Milestones Therapy Center provides outpatient therapy services for children from birth through age 21. Centegra Milestones Therapy Center provides individual therapy sessions with occupational, speech and physical therapists as well as a variety of playgroups where children learn and interact in a safe and stimulating environment. BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS, DIRECTORS, ETC. Form 990 Part VI Line 2 Centegra Health System (CHS) has adopted specific conflict of interest policies for its governing and management staff. The policy includes, but is not limited to, when an individual, governor, committee member, officer, agent or employee believes that he or she, or a member of his or her immediate family might have or does have a real or apparent conflict, he or she should in addition to filing the disclosure notice required, abstain from making motions, voting, executing agreements, or taking any other similar direct action on behalf of CHS. During fiscal year 2017, Centegra Health System purchased certain goods, and or services from organizations with directors' affiliation. All transactions were competitively bid and were conducted at arms-length. The fees paid were at fair market value. During fiscal year 2017, Director Micheal Curran is an Officer / Director of Curran Contracting Company, supplier of excavation and asphalt pavement services. Director Charles Ruth is the Board ChAirman of American Community Bank & Trust and Chief Executive Officer of Alliance Contractors. Director Tom Carey is Vice-President and majority owner, Carey Electric Contracting, Inc., supplier of electrical contracting services. Rachel Sebastian, President, Centegra Hospital - McHenry is the daughter of Chief Executive Officer, Michael Eesley. Thru February 2017, Rachel Sebastian reported to President and Chief Operating Officer, Jason Sciarro. Subsequent to February 2017, Rachel Sebastian reported to the Chief Executive Officer, Micheal Eesley. Matthew Eesley is the son of Chief Executive Officer, Michael Eesley. During fiscal year 2017, Matthew Eesley was the Director, Centegra Physician Care Outpatient Services, reporting to Mattias Carlen, Senior-Vice President - Ambulatory Services and CHW. HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY Form 990 Part VI Line 7a The powers and duties of the Centegra Health System members in fulfilling the purposes and objectives of the Corporation shall include, but not be limited to, the taking of action with respect to the following matters: The election of governors and the filling of vacancies on the Board of Governors, which shall be in accordance with the procedures set forth in the Bylaws. The Nominating Committee shall select one candidate for each position on the Board having a term to be voted upon for the office of governor at the next annual meeting of members. The Nominating Committee shall consider and approve a list of candidates and submit such list to the Board of Governors not less than 10 days prior to the date of the last meeting of the Board of Governors prior to the date on which notice of the annual meeting of members is to be sent, and the candidates set forth on such list shall be subject to approval by the Board of Governors. The names of the candidates so selected by the Nominating Committee and approved by the Board of Governors shall be included in the notice of the annual meeting of the members of the Corporation and shall be presented to the members of the Corporation at the annual meeting. The voting members of the Corporation may nominate candidates for the positions on the Board of Governors. Nominations by such members may be effected by means of written nomination signed by not less than 20 voting members in good standing, accompanied by a written statement of such nominee indicating a willingness to serve as a governor of the Corporation if elected. Any such nomination must be received by the Nominating Committee of the Corporation not less than 60 days prior to the annual meeting of members in order to be considered at such annual meeting. All elections shall be by secret ballot if there are more nominees than vacancies to be filled on the Board. All voting members present in person or by proxy at a meeting at which an election occurs shall be entitled to vote for governors. To be valid a ballot must not have more votes than there are vacancies. If there are more nominees than vacancies to be filled on the Board, those nominees who receive the most votes shall be elected to the Board of Governors. Members shall not be entitled to cumulate their votes in the election of governors.
REVIEW PROCESSForm 990 Part VI Line 11b The review process for the Form 990 includes compilation by internal staff, detailed review by an outside tax preparer, and review by the Centegra Health System (CHS) Chief Financial Officer, prior to submission to the IRS. The tax return will be made available for the Board to review after submission to the IRS.
EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTSForm 990 Part VI Line 12c Explanation of Monitoring and Enforcement of Conflicts As stated in Centegra's bylaws, the bylaws recognize that both real and apparent conflicts of interest sometimes naturally occur in the course of conducting daily affairs. Conflicts occur because the many persons associated with Centegra should be expected to have and do, in fact, generally have multiple interests and affiliations and various positions of responsibility within the community. The long-range interests of Centegra do not require the termination of all association with persons who may have real or apparent conflicts if a prescribed and effective method can render such conflicts harmless to all concerned. Centegra health system has a conflict of interest policy that is intended to address such matters. 1. duty to disclose: in connection with any actual or possible conflicts of interest, an interested person or other person subject to this policy must disclose the existence and nature of his or her financial interest in writing to the president of Centegra or the chief corporate responsibility officer or designee, who shall provide such written disclosure to the governors affairs committee of Centegra, which shall consider all conflicts of interest issues and, if appropriate, to the directors and members of committees with board-delegated powers considering the proposed transaction or arrangement. The disclosure must occur, at minimum, annually, with a conflict of interest disclosure statement being submitted no later than January 31st of each year. Copies of disclosure statements filed by board members shall be distributed to the board annually at the February board meeting. 2. Determining whether a conflict of interest exists: when a conflict of interest is disclosed at meeting of the board or committee thereof, after disclosure of the financial interest, the interested person shall leave the board or committee meeting while the financial interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. The interested person's leaving such meeting shall not affect whether a quorum exists at such meeting. 3. Procedures for addressing the transaction or arrangement from which the conflict arose: a. the chairperson of the board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. B. After exercising due diligence, the board or committee shall determine whether Centegra can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. c. if a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in Centegra's best interest and for its own benefit and whether the transaction is fair and reasonable to Centegra and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. 4. Violations of the conflicts of interest policy: a. if the administration, the board, or a committee has a reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. b. if, after hearing the response of the member and making such further investigation as may be warranted in the circumstances, the board or committee determines that the member has, in fact, failed to disclose an actual or possible conflict of interest, it shall refer the matter to the governors affairs committee for consideration, which shall subsequently recommend appropriate disciplinary and corrective action to such board or committee. 5. The minutes of the board and all committees with board-delegated powers shall contain the names of the persons who disclosed or otherwise were found to have a financial interest in connection with an actual or possible conflict of interest, the nature of the financial interest, any action taken to determine whether a conflict of interest was present, and the board's or committee's decision as to whether a conflict of interest, in fact, existed. The names of the persons who were present for discussion and votes relating to the transaction or arrangement, the content of the discussions, including any alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection therewith. 6. A voting member of any committee whose jurisdiction includes compensation matters and who receives compensation, directly or indirectly, from Centegra for services is precluded from voting on matters pertaining to that member's compensation, physicians who receive compensation, directly or indirectly from Centegra, whether as employees or independent contractors, are precluded from membership on any committee whose jurisdiction includes compensation matters and in which such physician may have a direct or indirect interest. 7. Each director, principal officer, and member of a committee with board-delegated powers shall annually sign a statement which affirms that such person has received a copy of the conflicts of interest policy; has read and understands the policy; has agreed to comply with the policy; and understands that Centegra is a charitable organization and that in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax exempt purposes. 8. To ensure that Centegra operates in a matter consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall, at a minimum, include the following subjects: whether acquisition of physician practices and other provider services result in inurement or impermissible private benefit. Whether joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payment for goods and services, further Centegra's charitable purposes and do not result in inurement or impermissible private benefit. Whether agreements to provide healthcare and agreements with other healthcare providers, employees, and third party payors further Centegra's charitable purposes and do not result in inurement or impermissible private benefit. Whether business transactions on behalf of Centegra or an entity controlled by it are the result of arms-length dealing and are no less advantageous than competitively available goods and services of like grade and quality. 9. In conducting the periodic reviews provided for in article vii, Centegra may, but need not, use outside advisors. If outside experts are used, their use shall not relieve the board of its responsibility for ensuring that periodic reviews are conducted.
COMPENSATION REVIEW & APPROVAL PROCESS- OFFICERS & KEY EMPLOYEESForm 990 Part VI Line 15a & 15b The Board of Governors of Centegra Health System, through the Compensation Committee comprised of independent members free of conflict, reviewed executive compensation levels and other features of the compensation plan in accordance with the organization's approved compensation philosophy and strategy: The Committee is comprised of members of the Board of Governors, who are independent of Centegra management, have no personal interest in the compensation arrangements, are not related to, or under the control of any individual whose compensation arrangement is being reviewed and have no material business relationship with Centegra. The C-Suite's compensation is determined by the Compensation Committee in relation to comparable peers or 990 market data. Compensation for other members of the executive staff is recommended by the CEO, reviewed by the Committee, and evaluated against market data based on comparable peers. The Committee approves all compensation decisions in advance of their implementation and documents its determinations and discussions. Its decisions and deliberations are thoroughly documented and meeting minutes are kept and distributed to the Committee members (for historical reference). The Compensation Committee uses a number of external resources and comparisons, and their review includes total compensation (cash compensation, plus benefits provided by Centegra) in relation to organizational performance and prevailing industry practices of comparably-sized organizations. They have engaged the services of a compensation consulting firm (Sullivan Cotter) specializing in the not-for-profit sector that has worked with Centegra and reports directly to the Compensation Committee. Reasonableness letters and documentation are provided to the organization after each review.
OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLEForm 990 Part VI Line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
RECONCILIATION OF NET ASSETSForm 990 Part XI Line 9 Equity Transfers $29,192,975

Schedule R IRS990ScheduleR

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Northern Illinois Medical Center
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Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

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