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Centegra Health System: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
Centegra Health System (EIN 36-3196559)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-10
IRS object ID
201721309349303357
Schema version
2015v3.0
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)
Return2017-05-10T15:10:29-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

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 Begin2015-07-01TaxPeriodBeginDt

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% David TomlinsonInCareOfNm
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)
PersonDAVID TOMLINSONPersonNm
Person TitleEVP & CFOPersonTitleTxt
Phone8157885800PhoneNum
Signature2017-05-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMollie P LonghousePreparerPersonNm
PTINP00294881PTIN
Phone6142492300PhoneNum
Preparation2017-05-10PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$168,804,062GrossReceiptsAmt
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 Body15VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee856TotalEmployeeCnt
Total Volunteers300TotalVolunteersCnt
Total Gross UBI$93,457TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$14,286NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$154,095,179PYProgramServiceRevenueAmt
CY Program Service Revenue$164,537,715CYProgramServiceRevenueAmt
PY Investment Income$1,057,628PYInvestmentIncomeAmt
CY Investment Income$51,299CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$155,152,807PYTotalRevenueAmt
CY Total Revenue$164,589,014CYTotalRevenueAmt
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$79,853,469PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$92,968,116CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$100,027,578PYOtherExpensesAmt
CY Other Expenses$89,142,456CYOtherExpensesAmt
PY Total Expenses$179,881,047PYTotalExpensesAmt
CY Total Expenses$182,110,572CYTotalExpensesAmt
PY Revenues Less Expenses-$24,728,240PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$17,521,558CYRevenuesLessExpensesAmt
Total Assets BOY$93,821,738TotalAssetsBOYAmt
Total Assets EOY$111,755,357TotalAssetsEOYAmt
Total Liabilities BOY$120,034,081TotalLiabilitiesBOYAmt
Total Liabilities EOY$145,202,311TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$26,212,343NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$33,446,954NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSee Schedule OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$142,364,747ExpenseAmt
Revenue$164,444,258RevenueAmt
DescSee Schedule ODesc
Total Program Service Expenses$142,364,747TotalProgramServiceExpensesAmt
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 InvstfalseReportProgramRelatedInvstInd
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 Document404IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee856EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
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 Members15GoverningBodyVotingMembersCnt
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)
PersonDavid TomlinsonPersonNm
Phone8157885800PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL EESLEY
CHIEF EXECUTIVE OFFICER38.02.0Yes (X)Yes (X)$1,567,554$0$141,514
CHARIE ZANCK
Board of Governors1.01.0Yes (X)$0$0$0
CHARLES RUTH
Board of Governors1.01.0Yes (X)$0$0$0
CHRIS NEWKIRK
Board of Governors1.01.0Yes (X)$0$0$0
DAVE DOMEK
Board of Governors1.02.0Yes (X)$0$0$0
JACK PORTER
Board of Governors1.00.0Yes (X)$0$0$0
KATHY POWELL
Board of Governors1.04.0Yes (X)$0$0$0
LISA GLOSSON MD
Board of Governors40.00.0Yes (X)$244,619$0$18,633
LUKE JOHNSOS
Board of Governors1.01.0Yes (X)$0$0$0
MICHAEL LUECHT
Board of Governors2.02.0Yes (X)$0$0$0
MIKE CURRAN
Board of Governors2.00.0Yes (X)$0$0$0
PAT MOREHEAD
Board of Governors1.03.0Yes (X)$0$0$0
RICHARD LIND
Board of Governors1.00.0Yes (X)$293,680$0$14,812
TERRENCE BUGNO
Board of Governors1.03.0Yes (X)$0$0$0
TOM CAREY
Board of Governors2.01.0Yes (X)$0$0$0
WILLIAM BUSSE
Board of Governors1.01.0Yes (X)$0$0$0
IRFAN HAFIZ
SVP CHIEF MEDICAL OFFICER40.00.0Yes (X)$411,021$0$21,551
AARON SHEPLEY
PRESIDENT INSURANCE SERVICES40.00.0Yes (X)$571,556$0$66,668
DAVID TOMLINSON
EVP / CFO38.02.0Yes (X)$603,938$0$60,723
JASON SCIARRO
PRESIDENT / COO38.02.0Yes (X)$978,327$0$91,729
BERNADETTE SZCZEPANSKI
SVP HUMAN RESOURCES40.00.0$340,185$0$29,620Yes (X)
CHRISTOPHER WESTERKAMP
VP REVENUE CYCLE40.00.0$258,231$0$20,313Yes (X)
CYNTHIA ROONEY - OLSON
VP FOUNDATION0.040.0$290,607$0$33,671Yes (X)
ERIC ZORNOW
VP FINANCE & TREASURY30.010.0$233,748$0$40,852Yes (X)
HADLEY STRENG
VP STRATEGY & DEVELOPMENT40.00.0$245,703$0$27,925Yes (X)
JUDITH ANDRONOWITZ
VP QUALITY, PERFORMANCE ANALYT40.00.0$225,115$0$29,451Yes (X)
KUMAR NATHAN
SVP CLINICAL EFFECTIVENESS40.00.0$476,600$0$52,105Yes (X)
MATTIAS CARLEN
VP HEALTH & WELLNESS40.00.0$260,680$0$31,130Yes (X)
PASQUALE BERNARDI
SVP CHIEF OPERATING OFFICER40.00.0$508,141$0$55,963Yes (X)
PEGGY NORTON-ROSKO
SR VICE PRESIDENT, CNO40.00.0$144,199$0$16,072Yes (X)
AMIR HEYDARI
PHYSICIAN GENERAL SURGERY40.00.0$806,525$0$21,218Yes (X)
BENJAMIN J NAGER
PHYSICIAN NEUROLOGY40.00.0$704,429$0$34,228Yes (X)
DOUGLAS TOMASIAN
DIRECTOR OF CARDIOLOGY40.00.0$771,802$0$30,511Yes (X)
JASON TRAGER
PHYSICIAN CARDIOLOGY40.00.0$704,637$0$27,352Yes (X)
OSCAR HABHAB
PHYSICIAN EMERGENCY DEPT40.00.0$645,140$0$21,635Yes (X)
JEFFREY SCHMIDT
SVP CLINICAL INTEGRATION & PAY0.00.0$281,798$0$10,041Yes (X)
NEIL MURPHY
SVP / CNO0.00.0$169,439$0$10,326Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$11,737,674TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$908,043TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K191IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
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
Dell Marketing LP
PO Box 269005PlanoTX75026Information Services$10,710,880
MedAssets Inc
PO Box 405652AtlantaGA30384Technology$6,534,810
Precyse Solutions
PO Box 11407BirminghamAL35246Technology$2,220,650
ARUP Laboratories
PO Box 27964Salt Lake CityUT84127Laboratory Services$1,081,380
Valence Health Inc
540 W Madison Street Suite 1500ChicagoIL60661Technology$1,031,650
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K54CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Expense Allocation Rel 501 (c)551112$85,256,305$85,256,305
Centegra Primary Care Ops621110$63,511,995$63,511,995
Centegra Lab621500$2,100,929$2,046,701$54,228
Centegra Insurance Services524126$4,311,738$4,311,738
Centegra Health & Wellness524298$8,477,609$8,477,609

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$879,139TotalRevenueColumnAmt
Related Or Exempt Func Income$839,910RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$39,229UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$164,537,715TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$956,347TotalRevenueColumnAmt
Exclusion$956,347ExclusionAmt

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$3,310,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,215,048SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$905,048SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$905,048TotalRevenueColumnAmt
Exclusion-$905,048ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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$164,589,014TotalRevenueColumnAmt
Related Or Exempt Func Income$164,444,258RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$93,457UnrelatedBusinessRevenueAmt
Exclusion$51,299ExclusionAmt

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$9,458,966TotalAmt
Management And General$9,458,966ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$70,244,489TotalAmt
Program Services$63,990,161ProgramServicesAmt
Management And General$6,254,328ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,743,519TotalAmt
Program Services$343,730ProgramServicesAmt
Management And General$1,399,789ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,022,083TotalAmt
Program Services$1,384,203ProgramServicesAmt
Management And General$5,637,880ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,499,059TotalAmt
Program Services$886,976ProgramServicesAmt
Management And General$3,612,083ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$806,673TotalAmt
Program Services$122ProgramServicesAmt
Management And General$806,551ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$230,175TotalAmt
Management And General$230,175ManagementAndGeneralAmt

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$34,580,313TotalAmt
Program Services$26,093,893ProgramServicesAmt
Management And General$8,486,420ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,676,332TotalAmt
Program Services$1,675,388ProgramServicesAmt
Management And General$944ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,407,801TotalAmt
Program Services$3,244,988ProgramServicesAmt
Management And General$162,813ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$18,108,757TotalAmt
Program Services$18,107,131ProgramServicesAmt
Management And General$1,626ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,079,348TotalAmt
Program Services$174,387ProgramServicesAmt
Management And General$1,904,961ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$267,923TotalAmt
Program Services$111,566ProgramServicesAmt
Management And General$156,357ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$394,240TotalAmt
Program Services$165,854ProgramServicesAmt
Management And General$228,386ManagementAndGeneralAmt

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$574,709TotalAmt
Program Services$574,709ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,360,678TotalAmt
Program Services$13,360,178ProgramServicesAmt
Management And General$500ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT PROVISION$9,845,678$9,845,678
FORMS$322,676$321,290$1,386
SUBSCRIPTIONS AND BOOKS$318,079$151,715$166,364
OTHER OFFICE SUPPLIES$267,460$204,528$62,932

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,901,614TotalAmt
Program Services$1,728,250ProgramServicesAmt
Management And General$1,173,364ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$182,110,572TotalAmt
Program Services$142,364,747ProgramServicesAmt
Management And General$39,745,825ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$30,272,658BOYAmt
EOY$29,824,270EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$847,296BOYAmt
EOY$848,422EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,951,903BOYAmt
EOY$9,858,261EOYAmt

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$2,816,957BOYAmt
EOY$3,216,443EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,299BOYAmt
EOY$1,997EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,534,624BOYAmt
EOY$5,118,536EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,827,017LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,955,235BOYAmt
EOY$2,827,017EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$32,141,483BOYAmt
EOY$33,063,013EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$11,198,110BOYAmt
EOY$26,884,922EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$96,173BOYAmt
EOY$112,476EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$93,821,738BOYAmt
EOY$111,755,357EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,696,456BOYAmt
EOY$23,619,030EOYAmt

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-$2,243,209BOYAmt
EOY-$2,125,274EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$99,580,834BOYAmt
EOY$123,708,555EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$120,034,081BOYAmt
EOY$145,202,311EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$26,212,343BOYAmt
EOY-$33,446,954EOYAmt

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-$26,212,343BOYAmt
EOY-$33,446,954EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$93,821,738BOYAmt
EOY$111,755,357EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$17,521,558ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$93,053NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$10,380,000OtherChangesInNetAssetsAmt
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$107,379,472CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$118,257,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$146,471,835CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$153,798,164CurrentTaxYearMinus1YearAmt
Current Tax Year$164,483,487CurrentTaxYearAmt
Total$690,390,232TotalAmt

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$107,379,472CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$118,257,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$146,471,835CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$153,798,164CurrentTaxYearMinus1YearAmt
Current Tax Year$164,483,487CurrentTaxYearAmt
Total$690,390,232TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,987,799CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$60,236,364CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,550,710CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,756,314CurrentTaxYearMinus1YearAmt
Current Tax Year$85,256,305CurrentTaxYearAmt
Total$344,787,492TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,987,799CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$60,236,364CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,550,710CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,756,314CurrentTaxYearMinus1YearAmt
Current Tax Year$85,256,305CurrentTaxYearAmt
Total$344,787,492TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$345,602,740PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,475,179CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,455,573CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$549,122CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$685,900CurrentTaxYearMinus1YearAmt
Current Tax Year$956,347CurrentTaxYearAmt
Total$5,122,121TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$784,809CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$331,901CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$297,015CurrentTaxYearMinus1YearAmt
Current Tax Year$54,228CurrentTaxYearAmt
Total$1,467,953TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,475,179CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,240,382CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$881,023CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$982,915CurrentTaxYearMinus1YearAmt
Current Tax Year$1,010,575CurrentTaxYearAmt
Total$6,590,074TotalAmt

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$108,854,651CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$120,497,656CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$147,352,858CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$154,781,079CurrentTaxYearMinus1YearAmt
Current Tax Year$165,494,062CurrentTaxYearAmt
Total$696,980,306TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.49586PublicSupportCY509Pct
Public Support PY5090.48560PublicSupportPY509Pct
Investment Income CY0.00945InvestmentIncomeCYPct
Investment Income PY0.01140InvestmentIncomePYPct
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$1,235,786InvestmentCostOrOtherBasisAmt
Book Value$1,235,786BookValueAmt
FieldValueIRS element (for citing)
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,591,231InvestmentCostOrOtherBasisAmt
Book Value$1,591,231BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,827,017TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
OTHER LIABILITIES - CIS$14,214,253
OTHER LIABILITIES - INTERCOMPA$108,747,360
OTHER LIABILITIES - CHWN$866,942
OTHER - INVESTMENT IN CIS-$120,000
FieldValueIRS element (for citing)
Total Liability$123,708,555TotalLiabilityAmt
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, 2016 and 2015, 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 (24 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$923,531$0$319,403$0$324,620$0$123,889$0$17,625$0$1,709,068$0$0$0
LISA GLOSSON MD
Board of Governors$232,288$0$0$0$12,331$0$7,399$0$11,234$0$263,252$0$0$0
RICHARD LIND
Board of Governors$293,680$0$0$0$0$0$0$0$14,812$0$308,492$0$0$0
AARON SHEPLEY
PRESIDENT INSURANCE SERVICES$429,994$0$141,562$0$0$0$44,856$0$21,812$0$638,224$0$0$0
DAVID TOMLINSON
EVP / CFO$457,428$0$146,510$0$0$0$34,105$0$26,618$0$664,661$0$0$0
JASON SCIARRO
PRESIDENT / COO$636,395$0$229,947$0$111,985$0$69,175$0$22,554$0$1,070,056$0$0$0
JEFFREY SCHMIDT
SVP CLINICAL INTEGRATION & PAY$281,798$0$0$0$0$0$0$0$10,041$0$291,839$0$0$0
NEIL MURPHY
SVP / CNO$169,439$0$0$0$0$0$0$0$10,326$0$179,765$0$0$0
BERNADETTE SZCZEPANSKI
SVP HUMAN RESOURCES$268,309$0$71,876$0$0$0$21,643$0$7,977$0$369,805$0$0$0
CHRISTOPHER WESTERKAMP
VP REVENUE CYCLE$208,727$0$49,504$0$0$0$19,433$0$880$0$278,544$0$0$0
CYNTHIA ROONEY - OLSON
VP FOUNDATION$237,327$0$53,280$0$0$0$16,394$0$17,277$0$324,278$0$0$0
ERIC ZORNOW
VP FINANCE & TREASURY$188,149$0$45,599$0$0$0$17,632$0$23,220$0$274,600$0$0$0
IRFAN HAFIZ
SVP CHIEF MEDICAL OFFICER$341,063$0$69,958$0$0$0$21,525$0$26$0$432,572$0$0$0
HADLEY STRENG
VP STRATEGY & DEVELOPMENT$197,915$0$47,788$0$0$0$3,887$0$24,038$0$273,628$0$0$0
JUDITH ANDRONOWITZ
VP QUALITY, PERFORMANCE ANALYT$183,961$0$41,154$0$0$0$15,919$0$13,532$0$254,566$0$0$0
KUMAR NATHAN
SVP CLINICAL EFFECTIVENESS$389,149$0$87,451$0$0$0$27,644$0$24,461$0$528,705$0$0$0
MATTIAS CARLEN
VP HEALTH & WELLNESS$202,297$0$58,383$0$0$0$17,777$0$13,353$0$291,810$0$0$0
PASQUALE BERNARDI
SVP CHIEF OPERATING OFFICER$412,343$0$95,798$0$0$0$33,540$0$22,423$0$564,104$0$0$0
AMIR HEYDARI
PHYSICIAN GENERAL SURGERY$806,525$0$0$0$0$0$0$0$21,218$0$827,743$0$0$0
BENJAMIN J NAGER
PHYSICIAN NEUROLOGY$691,429$0$0$0$13,000$0$7,800$0$26,428$0$738,657$0$0$0
DOUGLAS TOMASIAN
DIRECTOR OF CARDIOLOGY$758,802$0$0$0$13,000$0$7,800$0$22,711$0$802,313$0$0$0
JASON TRAGER
PHYSICIAN CARDIOLOGY$680,554$0$0$0$24,083$0$4,656$0$22,696$0$731,989$0$0$0
OSCAR HABHAB
PHYSICIAN EMERGENCY DEPT$632,140$0$0$0$13,000$0$7,800$0$13,835$0$666,775$0$0$0
PEGGY NORTON-ROSKO
SR VICE PRESIDENT, CNO$144,199$0$0$0$0$0$0$0$16,072$0$160,271$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm Sch J Part I Line 4bFormAndLineReferenceDesc
ExplanationThe following people received amounts as part of a supplemental non-qualified retirement plan: Name Title Amount MICHAEL EESLEY CHIEF EXECUTIVE OFFICER $118,000 JASON SCIARRO PRESIDENT / COO $63,205 DAVID TOMLINSON EVP / CFO $27,741 JUDITH ANDRONOWITZ VP QUALITY, PERFORMANCE $11,963 ANALYTICS AND TECHNOLOGY PASQUALE BERNARDI SVP CHIEF OPERATING $27,853 OFFICER - CPC MATTIAS CARLEN VP HEALTH & WELLNESS $13,532 IRFAN HAFIZ SVP CHIEF MEDICAL OFFICER $21,525 KUMAR NATHAN SVP CLINICAL EFFECTIVENESS $22,058 AARON SHEPLEY PRESIDENT INSURANCE $40,486 SERVICES / GENERAL COUNSEL BERNADETTE SZCZEPANSKI SVP HUMAN RESOURCES $17,594 CYNTHIA ROONEY - OLSON VP FOUNDATION $16,394 CHRISTOPHER WESTERKAMP VP REVENUE CYCLE $13,992 ERIC ZORNOW VP FINANCE & TREASURY $12,776ExplanationTxt

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$197,757,179DEVELOPE 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$164,876,189$0$30,645,5612016falsefalsefalseYes (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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part VICentegra 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 10As 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Organization's MissionForm 990 Part I Line 1 and 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 communities in and around 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 (Northern Illinois Medical Center) and Centegra Hospital- Woodstock (Memorial Medical Center), (The Medical Centers), and Centegra Health System Foundation, Health Bridge Corporation and NIMED Corporation (Affiliates). In March 2014, Centegra Health System Broke Ground At Centegra Hospital-Huntley. Centegra Hospital Huntley Opened in August 2016. 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 communities in and around the greater McHenry County area in Illinois. During its fiscal year 2016, Centegra Health System sponsored more than 200 community events. These events touched more than 191,000 individuals. The Medical Centers provide optimum quality health care, delivered by competent hospital and medical center staff, to all whom 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 $4.5 million of charity care, over $43.5 million of government sponsored indigent health care, approximately $5.4 million of other community benefits, and over 88,000 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-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 fitness centers and pools that serve 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 within 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 pre
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. It is understood, however, 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 CHS 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 CHS do not require the termination of an association with persons who have real or apparent conflicts, if an effective method can render such conflicts harmless to all concerned. During fiscal year 2016, CHS and its affiliates purchased certain goods, and or services, from organizations with directors' affiliations. All transactions were competitively bid and conducted at arms- length. The fees paid were at fair market value. During fiscal year 2016, Director Michael 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, Senior Vice President and Chief Operating Officer for Centegra Hospital - McHenry, is the daughter of Chief Executive Officer, Michael Eesley. Rachel Sebastian reports directly to the President and Chief Operating Officer, Jason Sciarro.
How Members or Shareholders Elect Governing BodyForm 990 Part VI Line 7a The powers and duties of the Centegra Health System (CHS) 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 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 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.
Form 990 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 the Centegra Health System (CHS) Director of Accounting and 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 1. 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 Compliance 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 of arrangement. A Conflict of Interest Disclosure Statement must be submitted annually. Copies of disclosure statements filed by Board members shall be distributed to the Board annually. 2. When a conflict of interest is disclosed at a 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 of Arrangement from Which the Conflict Arose: 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. 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. 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: 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. 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 discussions and votes relating to the transaction or arrangement, the content of the discussion, 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 manner 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 be conducted by the Governors Affairs Committee of Centegra. The 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 partnership and 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 the periodic reviews are conducted.
Compensation Review & Approval ProcessForm 990 Part VI Line 15a and 15B The Board of Directors 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 Directors, 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 sources 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 documenation 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.
Net AssetsForm 990, Part XI, Line 9 Equity Transfers $10,380,000
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:31833981
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION AGENCY FEES TOTAL FEES:797901
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER TOTAL FEES:1948431

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

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Centegra Insurance Services Ltd
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Centegra Primary Care LLC
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Centegra Clinical Laboratories LLC
Lab/Path SVC-$987,279$36,880Centegra HS385 Millennium DriveCrystal LakeIL60012364706465DE
Centegra Health & Wellness Network LLC
CNT MNG ORG-$720,854$1,878,933Centegra HS385 Millennium DriveCrystal LakeIL60012364740459IL
Centegra Health & Wellness Network ACO
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Northern Illinois Medical Center
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Centegra Health System Foundation
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Health Bridge Corporation
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Centegra Hospital Huntley Holdings
385 Millennium DriveCrystal LakeIL60012453449737support OrgIL501(c)(3)11CNIMCfalse
Memorial Medical Center
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OAK CREEK LODGE
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Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
Memorial Medical Center
C$1,380,000
Northern Illinois Medical Center
C$9,000,000
Memorial & Northern Illinois Medical Center
Q$79,652,855
MISC related entities
Q$5,603,450