Centegra Health System: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- Centegra Health System (EIN 36-3196559)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-15
- IRS object ID
- 201531359349301763
- Schema version
- 2013v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-15T08:29:17-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 West Nationwide Blvd Ste 500 | AddressLine1 |
| City | Columbus | City |
| State | OH | State |
| ZIP Code | 432152568 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363196559 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Centegra Health System | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % David Tomlinson | InCareOfNm |
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 8157885800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 385 Millennium Drive | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Crystal Lake | City |
| State | IL | State |
| ZIP Code | 60012 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID TOMLINSON | PersonNm |
| Person Title | EVP, CFO, & CIO | PersonTitleTxt |
| Phone | 8157885800 | PhoneNum |
| Signature | 2015-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Mollie P Longhouse | PreparerPersonNm |
| PTIN | P00294881 | PTIN |
| Phone | 8157885800 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Michael Eesley | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 385 Millennium Drive | AddressLine1 |
| City | Crystal Lake | City |
| State | IL | State |
| ZIP Code | 60012 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $148,477,858 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.centegra.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | See Schedule O narrative titled Summary | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 811 | TotalEmployeeCnt |
| Total Volunteers | 233 | TotalVolunteersCnt |
| Total Gross UBI | $331,901 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$30,698 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $131,956,822 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $146,803,736 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,718,930 | PYInvestmentIncomeAmt |
| CY Investment Income | $704,101 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $133,675,752 | PYTotalRevenueAmt |
| CY Total Revenue | $147,507,837 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $63,360,895 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $76,862,307 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $83,518,966 | PYOtherExpensesAmt |
| CY Other Expenses | $87,733,331 | CYOtherExpensesAmt |
| PY Total Expenses | $146,879,861 | PYTotalExpensesAmt |
| CY Total Expenses | $164,595,638 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$13,204,109 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$17,087,801 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $73,190,686 | TotalAssetsBOYAmt |
| Total Assets EOY | $73,793,941 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $86,879,592 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $101,766,114 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$13,688,906 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$27,972,173 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $131,173,847 | ExpenseAmt |
| Revenue | $146,471,835 | RevenueAmt |
| Desc | 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'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 2014, Centegra Health System sponsored more than 259 community events. These events touched more than 250,000 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 $8.4 million of charity care, over $40 million of government sponsored indigent health care, and $4.6 million of other community benefits. 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 and medical oncology * Labor and delivery and on-site 24/7 obstetrics and neonatology hospitalists * Intensive care * Medical-Surgical care and 24/7 hospitalist care * Outpatient surgery * State-of-the-art medical imaging 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 Centers' and the 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 and are free of charge. 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 of 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: * Alcoholics' Anonymous is a twelve-step program for individuals recovering from alcohol dependence. * Alcoholics' Anonymous, Women's Group is a special group for women. * Al-Anon is a twelve-step program group for codependent individuals. * Arthritis Support Group is for individuals with arthritis. * A.W.A.K.E. Support Group is for those individuals with sleep apnea * Better Breathers Club is for those individuals with pulmonary disease and their families. * Cancer Transitions focuses on the needs of cancer survivors who have finished treatment with the last two years. * Caregivers' Support Group is for those who care for someone with a chronic or life-threatening illness. * Creating Expressions links artistic experience with the emotional benefits of cancer management. * Diabetes Support Group is for individuals with Diabetes and their families. * Epilepsy Support Group is for individuals with Epilepsy and their families. * Families' Anonymous is a support group for families with chemically dependent members. * Fibromyalgia Support Group is for those suffering from Fibromyalgia. * Get Help Live Longer is a smoking cessation education and support group. * Hat's Off is a group for women diagnosed with any type of cancer meeting every month. * Headwinds is a support group offered to survivors of traumatic brain injury and their family members and caregivers. * HOPE: High on Positive Energy is for women living with breast cancer * Participation in conjunction with the Pioneer Center, providing information on topics such managing behavioral problems and the financial issues of long-term care. * Infertility Support Group is a group for couples or individuals experiencing infertility problems. * Living with Grief, sponsored by Centegra Pastoral Care, offers support for adults grieving the loss of a loved one. * Looking Beyond is for people diagnosed with Cancer, their family members, and friends. * 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. * Make Today Count is a group for anyone with a life-threatening illness as well as their family and friends. * McHenry County Crisis Line provides 24-hour mental health information, referral services, and crisis assistance. * Multiple Sclerosis (MS) Support Group is under the Illinois Chapter of the National Multiple Sclerosis Society. The group is open to persons with MS, their family members and others interested in the treatment and management of the disease. * Narcotics Anonymous is a twelve-step support program for those recovering from narcotics dependence. * Nuts and Bolts is a unique support group for stroke survivors who are 55 years of age or younger. The emphasis of this group is on assisting the families as they adapt to the special lifestyle changes of the young stroke survivor. * Pathfinders is a support group for adults with any cancer diagnosis. * Partnering Through Care is for those living with cancer and their care partners. * Partners in Cancer Transitions is a monthly educational support group for cancer survivors and their care partners. * Perinatal Grief Support Group is for anyone who has experienced the loss of a newborn or an infant through miscarriage, ectopic pregnancy, or Sudden Infant Death Syndrome (SIDS). * St. Peregrine's Cancer Support Group is a non-denominational support group for patients and their f | Desc |
| Total Program Service Expenses | $131,173,847 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 314 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 811 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | David Tomlinson | PersonNm |
| Phone | 8157885800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 385 Millenium Drive | AddressLine1 |
| City | Crystal | City |
| State | IL | State |
| ZIP Code | 60012 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL EESLEY | ||||||||||
| CEO | 38.0 | 2.0 | Yes (X) | Yes (X) | $1,553,325 | $0 | $141,386 | |||
| CHARIE ZANCK | ||||||||||
| Board of Governors | 2.0 | 1.0 | Yes (X) | |||||||
| CHARLES RUTH | ||||||||||
| Board of Governors | 1.0 | 1.0 | Yes (X) | |||||||
| CHRIS NEWKIRK | ||||||||||
| Board of Governors | 1.0 | 0.0 | Yes (X) | |||||||
| JACK PORTER | ||||||||||
| Board of Governors | 1.0 | 0.0 | Yes (X) | |||||||
| KATHY POWELL | ||||||||||
| Board of Governors | 1.0 | 2.0 | Yes (X) | |||||||
| LUKE JOHNSOS | ||||||||||
| Board of Governors | 1.0 | 1.0 | Yes (X) | |||||||
| MICHAEL LUECHT | ||||||||||
| Treasurer | 2.0 | 2.0 | Yes (X) | |||||||
| MIKE CURRAN | ||||||||||
| Chairman | 2.0 | 0.0 | Yes (X) | |||||||
| PAT MOREHEAD | ||||||||||
| Board of Governors | 1.0 | 3.0 | Yes (X) | |||||||
| RICHARD LIND | ||||||||||
| Board of Governors | 1.0 | 0.0 | Yes (X) | $157,825 | $0 | $4,499 | ||||
| TERRENCE BUGNO | ||||||||||
| Board of Governors | 1.0 | 3.0 | Yes (X) | |||||||
| TOM CAREY | ||||||||||
| Vice Chair | 2.0 | 1.0 | Yes (X) | |||||||
| WILLIAM COX | ||||||||||
| Secretary | 2.0 | 1.0 | Yes (X) | |||||||
| ANGELA MCAULEY | ||||||||||
| Board of Governors | 1.0 | 1.0 | Yes (X) | |||||||
| DAVID TOMLINSON | ||||||||||
| SVP / CIO / CFO | 38.0 | 2.0 | Yes (X) | $427,445 | $0 | $58,158 | ||||
| JASON SCIARRO | ||||||||||
| PRESIDENT / COO | 38.0 | 2.0 | Yes (X) | $890,680 | $0 | $95,331 | ||||
| AARON SHEPLEY | ||||||||||
| SVP ADMINISTRATIVE AFFAIRS | 40.0 | 0.0 | $454,719 | $0 | $68,769 | Yes (X) | ||||
| BERNADETTE SZCZEPANSKI | ||||||||||
| VP HRD | 40.0 | 0.0 | $249,108 | $0 | $27,218 | Yes (X) | ||||
| CHRISTOPHER WESTERKAMP | ||||||||||
| VP REVENUE CYCLE | 40.0 | 0.0 | $211,072 | $0 | $3,527 | Yes (X) | ||||
| ERIC ZORNOW | ||||||||||
| VP FINANCE & TREASURY | 30.0 | 10.0 | $157,419 | $0 | $34,472 | Yes (X) | ||||
| IRFAN HAFIZ | ||||||||||
| Chief Medical Officer | 40.0 | 0.0 | $232,421 | $0 | $24,358 | Yes (X) | ||||
| JEFFREY SCHMIDT | ||||||||||
| SVP CLINICAL INTEGRATION & PAY | 40.0 | 0.0 | $230,184 | $0 | $21,330 | Yes (X) | ||||
| JUDITH ANDRONOWITZ | ||||||||||
| VP INFORMATION TECHNOLOGY | 40.0 | 0.0 | $172,367 | $0 | $28,451 | Yes (X) | ||||
| KUMAR NATHAN | ||||||||||
| VP CLINICAL EFFECTIVENESS | 40.0 | 0.0 | $360,058 | $0 | $58,951 | Yes (X) | ||||
| MATTHEW TOWLER | ||||||||||
| VP SUPPORT SERVICES | 40.0 | 0.0 | $189,915 | $0 | $41,930 | Yes (X) | ||||
| MATTIAS CARLEN | ||||||||||
| VP HEALTH & WELLNESS | 10.0 | 30.0 | $186,008 | $0 | $36,096 | Yes (X) | ||||
| NEIL MURPHY | ||||||||||
| SVP / CNO | 40.0 | 0.0 | $282,792 | $0 | $10,065 | Yes (X) | ||||
| PASQUALE BERNARDI | ||||||||||
| VP CPC PHYSICIAN EXECUTIVE | 40.0 | 0.0 | $393,642 | $0 | $54,478 | Yes (X) | ||||
| ROBERT GREEN | ||||||||||
| EXEC VP/CFO | 38.0 | 2.0 | $433,995 | $0 | $18,017 | Yes (X) | ||||
| SUSAN MILFORD | ||||||||||
| SVP STRATEGY & DEVELOPMENT | 30.0 | 10.0 | $276,397 | $0 | $88,024 | Yes (X) | ||||
| BENJAMIN J NAGER | ||||||||||
| PHYSICIAN NEUROLOGY | 40.0 | 0.0 | $680,801 | $0 | $30,750 | Yes (X) | ||||
| DOUGLAS TOMASIAN | ||||||||||
| DIRECTOR OF CARDIOLOGY | 40.0 | 0.0 | $717,801 | $0 | $31,093 | Yes (X) | ||||
| GEORGE W URBAN | ||||||||||
| PHYSICIAN INTERNAL MEDICINE | 40.0 | 0.0 | $599,761 | $0 | $29,622 | Yes (X) | ||||
| OSCAR H HABHAB | ||||||||||
| PHYSICIAN EMERGENCY DEPT | 40.0 | 0.0 | $569,713 | $0 | $26,747 | Yes (X) | ||||
| THOMAS G SALVI | ||||||||||
| PHYSICIAN INTERNAL MEDICINE | 40.0 | 0.0 | $585,645 | $0 | $28,961 | Yes (X) | ||||
| BARBARA JOHNSON | ||||||||||
| SVP HRD | 0.0 | 0.0 | $276,161 | $0 | $13,686 | Yes (X) | ||||
| ROBERT ROSENBERGER | ||||||||||
| SVP/CFO | 0.0 | 2.0 | $403,689 | $0 | $28,385 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,692,943 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,004,304 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 146 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Dell Marketing LP | |||||
| PO Box 677654 | Dallas | TX | 75267 | Information Services | $11,038,101 |
| McKesson Technologies Inc | |||||
| 5995 Windward Parkway | Alpharetta | GA | 30005 | Technology | $4,427,563 |
| Kahlerslater | |||||
| 111 W Wisconsin Ave | Milwaukee | WI | 53203 | Architectural Svcs | $3,159,225 |
| metropolitan chicago healthcare cou | |||||
| PO Box 95468 | Chicago | IL | 60694 | Benefits & fEES | $1,847,480 |
| Korda Nemeth Engineering Inc | |||||
| 1650 Watermark Drive Suite 200 | Columbus | OH | 43215 | Engineering | $1,318,701 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 61 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Expense Allocation Rel 501 (c) | 551112 | $65,550,710 | $65,550,710 | |
| Centegra Primary Care Ops | 621110 | $55,126,149 | $55,126,149 | |
| Centegra Lab | 621500 | $14,058,900 | $13,726,999 | $331,901 |
| Centegra Insurance Services | 524126 | $4,266,440 | $4,266,440 | |
| Centegra Health & Wellness | 524298 | $6,134,598 | $6,134,598 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,666,939 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,666,939 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $146,803,736 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $549,122 | TotalRevenueColumnAmt |
| Exclusion | $549,122 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,125,000 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $970,021 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $154,979 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $154,979 | TotalRevenueColumnAmt |
| Exclusion | $154,979 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $147,507,837 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $146,471,835 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $331,901 | UnrelatedBusinessRevenueAmt |
| Exclusion | $704,101 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,274,256 | TotalAmt |
| Management And General | $8,274,256 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,441,831 | TotalAmt |
| Program Services | $51,434,273 | ProgramServicesAmt |
| Management And General | $5,007,558 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,438,867 | TotalAmt |
| Program Services | $295,302 | ProgramServicesAmt |
| Management And General | $1,143,565 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,857,562 | TotalAmt |
| Program Services | $1,301,769 | ProgramServicesAmt |
| Management And General | $5,555,793 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,849,791 | TotalAmt |
| Program Services | $790,100 | ProgramServicesAmt |
| Management And General | $3,059,691 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $854,727 | TotalAmt |
| Program Services | $27,018 | ProgramServicesAmt |
| Management And General | $827,709 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,399 | TotalAmt |
| Management And General | $266,399 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,369,795 | TotalAmt |
| Program Services | $44,265,032 | ProgramServicesAmt |
| Management And General | $6,104,763 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,794,149 | TotalAmt |
| Program Services | $1,791,278 | ProgramServicesAmt |
| Management And General | $2,871 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,327,266 | TotalAmt |
| Program Services | $3,919,600 | ProgramServicesAmt |
| Management And General | $407,666 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,461,035 | TotalAmt |
| Program Services | $6,470,075 | ProgramServicesAmt |
| Management And General | -$9,040 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,992,389 | TotalAmt |
| Program Services | $514,440 | ProgramServicesAmt |
| Management And General | $1,477,949 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,749 | TotalAmt |
| Program Services | $82,524 | ProgramServicesAmt |
| Management And General | $87,225 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,329 | TotalAmt |
| Program Services | $159,456 | ProgramServicesAmt |
| Management And General | $242,873 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $641,158 | TotalAmt |
| Program Services | $641,158 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,721,973 | TotalAmt |
| Program Services | $10,721,473 | ProgramServicesAmt |
| Management And General | $500 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Bad Debt Provision | $2,155,599 | $2,155,599 |
| Drugs & PHarm Blood & Blood CM | $1,525,474 | $1,525,474 |
| Supplies Chemistry Med Suppl | $1,023,303 | $1,023,303 |
| Supplies Histology Med Suppl | $654,350 | $654,350 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,373,636 | TotalAmt |
| Program Services | $3,401,623 | ProgramServicesAmt |
| Management And General | $972,013 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,595,638 | TotalAmt |
| Program Services | $131,173,847 | ProgramServicesAmt |
| Management And General | $33,421,791 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,749,406 | BOYAmt |
| EOY | $5,491,949 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,601,792 | BOYAmt |
| EOY | $1,347,254 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,759,085 | BOYAmt |
| EOY | $14,652,355 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,249,071 | BOYAmt |
| EOY | $3,012,493 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21 | BOYAmt |
| EOY | $1,555 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,669,764 | BOYAmt |
| EOY | $3,351,934 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,921,589 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,226,974 | BOYAmt |
| EOY | $1,921,589 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,277,992 | BOYAmt |
| EOY | $32,786,168 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,491,020 | BOYAmt |
| EOY | $11,140,885 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,561 | BOYAmt |
| EOY | $87,759 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,190,686 | BOYAmt |
| EOY | $73,793,941 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,401,089 | BOYAmt |
| EOY | $15,915,732 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $777,603 | BOYAmt |
| EOY | $276,311 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$614,656 | BOYAmt |
| EOY | -$2,060,437 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,315,556 | BOYAmt |
| EOY | $87,634,508 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,879,592 | BOYAmt |
| EOY | $101,766,114 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$13,688,906 | BOYAmt |
| EOY | -$27,972,173 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$13,688,906 | BOYAmt |
| EOY | -$27,972,173 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,190,686 | BOYAmt |
| EOY | $73,793,941 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$17,087,801 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,804,534 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp (3 entries)
| EINEIN | Organization TypeOrganizationTypeDesc | Governing Document ListedGoverningDocumentListedInd | Supported Org NotifiedSupportedOrgNotifiedInd | US OrganizedUSOrganizedInd | SupportSupportAmt |
|---|---|---|---|---|---|
| Northern Illinois Medical Center | |||||
| 362338884 | 03 | false | Yes (true) | Yes (true) | $42,607,961 |
| Memorial Medical Center | |||||
| 362179764 | 03 | false | Yes (true) | Yes (true) | $22,942,749 |
| Centegra Hospital - Huntley | |||||
| 453449737 | 03 | false | Yes (true) | Yes (true) | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 3 | SupportedOrganizationsTotalCnt |
| Support Sum | $65,550,710 | SupportSumAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,235,786 | InvestmentCostOrOtherBasisAmt |
| Book Value | $1,235,786 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $685,803 | InvestmentCostOrOtherBasisAmt |
| Book Value | $685,803 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,921,589 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LIABILITIES - CIS | $13,022,430 |
| OTHER LIABILITIES - INTERCOMPANY | $74,012,183 |
| OTHER LIABILITIES - CHWN | $719,895 |
| OTHER - INVESTMENT IN CIS | -$120,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $87,634,508 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FIN 48 (ASC 740) FOOTNOTE | FormAndLineReferenceDesc |
| Explanation | Schedule D, Part X, Line 2 ASC 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, 2014 and 2013, the Health System does not have a liability for unrecognized tax benefits. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL EESLEY | ||||||||||||||
| CEO | $1,103,127 | $0 | $449,064 | $0 | $1,134 | $0 | $123,402 | $0 | $17,984 | $0 | $1,694,711 | $0 | $0 | $0 |
| RICHARD LIND | ||||||||||||||
| Board of Governors | $157,825 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,499 | $0 | $162,324 | $0 | $0 | $0 |
| DAVID TOMLINSON | ||||||||||||||
| SVP / CIO / CFO | $375,965 | $0 | $45,503 | $0 | $5,977 | $0 | $25,871 | $0 | $32,287 | $0 | $485,603 | $0 | $0 | $0 |
| JASON SCIARRO | ||||||||||||||
| PRESIDENT / COO | $784,519 | $0 | $105,132 | $0 | $1,029 | $0 | $63,191 | $0 | $32,140 | $0 | $986,011 | $0 | $0 | $0 |
| BARBARA JOHNSON | ||||||||||||||
| SVP HRD | $276,161 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $13,686 | $0 | $289,847 | $0 | $0 | $0 |
| ROBERT ROSENBERGER | ||||||||||||||
| SVP/CFO | $403,689 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $28,385 | $0 | $432,074 | $0 | $0 | $0 |
| AARON SHEPLEY | ||||||||||||||
| SVP ADMINISTRATIVE AFFAIRS | $370,705 | $0 | $84,014 | $0 | $0 | $0 | $40,630 | $0 | $28,139 | $0 | $523,488 | $0 | $31,937 | $0 |
| BERNADETTE SZCZEPANSKI | ||||||||||||||
| VP HRD | $222,890 | $0 | $26,218 | $0 | $0 | $0 | $18,936 | $0 | $8,282 | $0 | $276,326 | $0 | $0 | $0 |
| CHRISTOPHER WESTERKAMP | ||||||||||||||
| VP REVENUE CYCLE | $202,353 | $0 | $8,719 | $0 | $0 | $0 | $1,782 | $0 | $1,745 | $0 | $214,599 | $0 | $0 | $0 |
| ERIC ZORNOW | ||||||||||||||
| VP FINANCE & TREASURY | $150,068 | $0 | $7,351 | $0 | $0 | $0 | $3,965 | $0 | $30,507 | $0 | $191,891 | $0 | $0 | $0 |
| IRFAN HAFIZ | ||||||||||||||
| Chief Medical Officer | $232,421 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $24,358 | $0 | $256,779 | $0 | $0 | $0 |
| JEFFREY SCHMIDT | ||||||||||||||
| SVP CLINICAL INTEGRATION & PAY | $230,184 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $21,330 | $0 | $251,514 | $0 | $0 | $0 |
| JUDITH ANDRONOWITZ | ||||||||||||||
| VP INFORMATION TECHNOLOGY | $164,549 | $0 | $7,818 | $0 | $0 | $0 | $3,637 | $0 | $24,814 | $0 | $200,818 | $0 | $0 | $0 |
| KUMAR NATHAN | ||||||||||||||
| VP CLINICAL EFFECTIVENESS | $320,146 | $0 | $39,912 | $0 | $0 | $0 | $24,681 | $0 | $34,270 | $0 | $419,009 | $0 | $4,038 | $0 |
| MATTHEW TOWLER | ||||||||||||||
| VP SUPPORT SERVICES | $189,915 | $0 | $0 | $0 | $0 | $0 | $12,957 | $0 | $28,973 | $0 | $231,845 | $0 | $0 | $0 |
| MATTIAS CARLEN | ||||||||||||||
| VP HEALTH & WELLNESS | $165,960 | $0 | $20,048 | $0 | $0 | $0 | $11,076 | $0 | $25,020 | $0 | $222,104 | $0 | $0 | $0 |
| NEIL MURPHY | ||||||||||||||
| SVP / CNO | $245,523 | $0 | $37,269 | $0 | $0 | $0 | $0 | $0 | $10,065 | $0 | $292,857 | $0 | $0 | $0 |
| PASQUALE BERNARDI | ||||||||||||||
| VP CPC PHYSICIAN EXECUTIVE | $353,253 | $0 | $40,389 | $0 | $0 | $0 | $22,310 | $0 | $32,168 | $0 | $448,120 | $0 | $0 | $0 |
| ROBERT GREEN | ||||||||||||||
| EXEC VP/CFO | $393,909 | $0 | $0 | $0 | $40,086 | $0 | $0 | $0 | $18,017 | $0 | $452,012 | $0 | $0 | $0 |
| SUSAN MILFORD | ||||||||||||||
| SVP STRATEGY & DEVELOPMENT | $239,491 | $0 | $36,906 | $0 | $0 | $0 | $57,682 | $0 | $30,342 | $0 | $364,421 | $0 | $0 | $0 |
| BENJAMIN J NAGER | ||||||||||||||
| PHYSICIAN NEUROLOGY | $680,801 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $30,750 | $0 | $711,551 | $0 | $0 | $0 |
| DOUGLAS TOMASIAN | ||||||||||||||
| DIRECTOR OF CARDIOLOGY | $717,801 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $31,093 | $0 | $748,894 | $0 | $0 | $0 |
| GEORGE W URBAN | ||||||||||||||
| PHYSICIAN INTERNAL MEDICINE | $599,761 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $29,622 | $0 | $629,383 | $0 | $0 | $0 |
| OSCAR H HABHAB | ||||||||||||||
| PHYSICIAN EMERGENCY DEPT | $569,713 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $26,747 | $0 | $596,460 | $0 | $0 | $0 |
| THOMAS G SALVI | ||||||||||||||
| PHYSICIAN INTERNAL MEDICINE | $585,645 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $28,961 | $0 | $614,606 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| RELEVANT INFORMATION REGARDING COMPENSTATION BENEFITS | Schedule J, Part I, Line 1b Centegra does not have a written policy regarding payment of the items listed on Schedule J, Part I, line 1a; however, these expenses were reviewed and approved by management as prudent and fiscally responsible business decisions. |
| Received Severance, Supplemental NQ Retirement, Equity-Based Compensation | Schedule J, Part I, Line 4 The following people received amounts as part of a supplemental non-qualified retirement plan: Name Title Amount MICHAEL EESLEY CEO $420,534 AARON SHEPLEY SVP ADMINISTRATIVE AFFAIRS 36,417 BERNADETTE SZCZEPANSKI VP HRD 14,924 JASON SCIARRO PRESIDENT / COO 57,353 DAVID TOMLINSON SVP / CIO / CFO 20,053 SUSAN MILFORD SVP STRATEGY & DEVELOPMENT 51,519 KUMAR NATHAN VP CLINICAL EFFECTIVENESS 19,001 PASQUALE BERNARDI VP CPC PHYSICIAN EXECUTIVE 22,310 MATTHEW TOWLER VP SUPPORT SERVICES 12,957 MATTIAS CARLEN VP HEALTH & WELLNESS 11,076 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| IL Finance Authority | ||||||||
| A | 861091967 | 45203HNF5 | 2012-11-20 | $207,317,217 | Current refunding; Project | false | false | false |
| Il Finance Authority | ||||||||
| B | 861091967 | 45203HZS4 | 2014-06-11 | $197,757,179 | Develop a third system hospital | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate 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 | $0 | 2014 | Yes (true) | false | false | Yes (true) |
| B | $0 | $0 | $197,757,179 | $0 | $0 | $0 | $1,844,347 | $0 | $0 | $7,779,455 | $0 | $188,133,377 | 2016 | false | false | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0.00750 | 0.00750 | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | false | 0 | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | Yes (true) | Yes (true) | false | false | 0 | false | Yes (true) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part VI | Centegra 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. |
Schedule L IRS990ScheduleL
Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp (2 entries)
| Relationship With OrgRelationshipWithOrgTxt | Cash GrantCashGrantAmt | Type Of AssistanceTypeOfAssistanceTxt |
|---|---|---|
| AMERICAN COMMUNITY BANK | ||
| BOARD OF GOVERNOR | $107,217 | CERTIFICATE OF DEPOSIT |
| RACHEL SEBASTIAN | ||
| DAUGHTER OF CEO | $318,092 | EMPLOYEE COMPENSATION |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Rachel Sebastian | |||
| Officer's family member | $367,741 | Employee Compensation | false |
| Carey Electric | |||
| Board Member | $268,022 | Electrical Services | false |
| Metropol Chicago Healthcare Coun M | |||
| Officer is on Board | $299,570 | Fees | false |
| MCHC - Employee Benefit Plan Trust | |||
| Related to MCHC | $678,080 | EmpBen Stop Loss Claims W | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part IV | FormAndLineReferenceDesc |
| Explanation | ALL BUSINESS TRANSACTIONS WITH INTERESTED PERSONS ARE ARM'S LENGTH TRANSACTIONS, SEE CONFLICT OF INTEREST DISCLOSURE FOR FORM 990, PART VI, LINE 2. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Summary | Form 990, Part I, 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. |
| 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 2014, 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. Director Kathy Powell is an employee and Vice President of Home State Bank. Director Patrick Morehead is on the Board of Directors and a 2% owner of Home State Bank. Director Charie Zanck is the CEO and Vice Chairman of American Community Bank & Trust. Director Charles Ruth is the Board Chairman of American Community Bank & Trust. Director Tom Carey is Vice-President, Carey Electric Contracting, Inc. Director Chris Newkirk is a shareholder of American Community Bank & Trust. Rachel Sebastian, Vice President and Site Administrator for Centegra Hospital - McHenry, is the daughter of the Chief Executive Officer, Michael Eesley. Rachel Sebastian reports directly to the President and Chief Operating Officer, Jason Sciarro. |
| HOW MEMBER OR SHAREHOLDERS ELECT GOVERNING BODY | Form 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 PROCESS | Form 990, Part VI, Line 11b The review process for the Form 990 includes compilation by internal staff, detailed review by an outside tax preparer, bond counsel, and the Centegra Health System (CHS) Controller 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 CONFLICTS | Form 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 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 of 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. 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 PROCESS | FORM 990, PART VI, LINE 15A 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 BASED ON 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. THE COMPENSATION 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 Available | Form 990, Part VI, Line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Postal CodeForeignAddress/PostalCode | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Centegra Insurance Services Ltd | ||||||||||||||
| PO Box 1051 | Grand Cayman | CJ | KY1-1102 | Malprctce INS | CJ | $2,189,923 | $20,629,985 | Centegra HS | ||||||
| Centegra Primary Care LLC | ||||||||||||||
| Phys Practice | -$17,259,568 | $25,149,739 | Centegra HS | 385 Millennium Drive | Crystal Lake | IL | 60012 | 364085398 | IL | |||||
| Centegra Clinical Laboratories LLC | ||||||||||||||
| Lab/Path SVC | -$1,292,388 | $1,080,600 | CENTEGRA HS | 385 Millennium Drive | Crystal Lake | IL | 60012 | 364706465 | DE | |||||
| Centegra Health & Wellness Network LLC | ||||||||||||||
| CNT MNG ORG | -$154,333 | $856,423 | Centegra HS | 385 Millennium Drive | Crystal Lake | IL | 60012 | 364740459 | IL | |||||
| Centegra Health Bridge Fitness Ctr LLC | ||||||||||||||
| FITNESS CTR | $0 | $0 | HLTH BRIDGE | 385 millennium drive | crystal lake | IL | 60012 | 261277524 | DE | |||||
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Northern Illinois Medical Center | ||||||||||
| 4201 Medical Center Drive | McHenry | IL | 60050 | 362338884 | Hospital | IL | 501(c)(3) | 3 | Centegra HS | false |
| Centegra Health System Foundation | ||||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363723610 | Fundraising | IL | 501(c)(3) | 11a | Centegra HS | false |
| NIMED Corporation | ||||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363119911 | Property MGMT | IL | 501(c)(3) | 11c | Centegra HS | false |
| Health Bridge Corporation | ||||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363196550 | HEALTH FT CTR | IL | 501(c)(3) | 11c | Centegra HS | false |
| Oak Creek Lodge | ||||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363591359 | Hospital | IL | 501(c)(3) | 3 | Centegra HS | false |
| Centegra Hospital Huntley | ||||||||||
| 10400 Haligus Road | Huntley | IL | 60142 | 453449737 | Hospital | IL | 501(c)(3) | 3 | Centegra Hs | false |
| Memorial Medical Center | ||||||||||
| 3701 Doty Road | Woodstock | IL | 60098 | 362179764 | Hospital | IL | 501(c)(3) | 3 | Centegra hs | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Centegra Management Services inc | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 385 Millennium Drive | AddressLine1 |
| City | Crystal Lake | City |
| State | IL | State |
| ZIP Code | 60012 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364028114 | EIN |
| Primary Activities | Management | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Centegra Hs | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corp | EntityTypeTxt |
| Share Of Total Income | -$695,000 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $7,126,000 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |