Centegra Health System: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- Centegra Health System (EIN 36-3196559)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201401359349309310
- Schema version
- 2012v2.0
- 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) |
|---|---|---|
| Timestamp | 2014-05-15T15:07:00-07:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 W Nationwide Blvd Suite 500 | AddressLine1 |
| City | Columbus | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363196559 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Centegra Health System | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CENT | NameControl |
| Phone | 8157885800 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | David Tomlinson | Name |
| Title | EVP, CFO & CIO | Title |
| Date Signed | 2014-05-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KPMG LLC | Name |
| PTIN | P00294881 | PTIN |
| Phone | 6142492300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Michael Eesley | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 136563230 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.centegra.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | The primary mission of the Centegra Health System is to coordinate the delivery of quality healthcare services with the innovative and responsible use of resources and to promote wellness for the greater McHenry County area. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 793 | TotalNbrEmployees |
| Total Nbr Volunteers | 304 | TotalNbrVolunteers |
| Total Gross UBI | 13699548 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -535650 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 107379472 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 131956822 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1062299 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1718930 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 108441771 | TotalRevenuePriorYear |
| Total Revenue Current Year | 133675752 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 51179404 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 63360895 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 66824721 | OtherExpensePriorYear |
| Other Expenses Current Year | 83518966 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 118004125 | TotalExpensesPriorYear |
| Total Expenses Current Year | 146879861 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -9562354 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -13204109 | RevenuesLessExpensesCY |
| Total Assets BOY | 68280033 | TotalAssetsBOY |
| Total Assets EOY | 73190686 | TotalAssetsEOY |
| Total Liabilities BOY | 80685158 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 86879592 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -12405125 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -13688906 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The primary mission of the Centegra Health System is to coordinate the delivery of quality healthcare services with the innovative and responsible use of resources and to promote wellness for the greater McHenry County area. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 108919395 | Expense |
| Revenue | 131956822 | Revenue |
| Description | See Schedule O. | Description |
| Total Program Service Expense | 108919395 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 117 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 793 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAVID TOMLINSON | NamePerson |
| Telephone Number | 8157885800 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 385 Millennium Drive | AddressLine1 |
| City | Crystal | City |
| State | IL | State |
| ZIP Code | 60012 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (52 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Michael Gronberg | |||||||||
| Director | 0.34 | 0.00 | X | 234047 | 0 | 35221 | |||
| Parmod Narang | |||||||||
| Director | 0.34 | 1.67 | X | 0 | 0 | 0 | |||
| MICHAEL LUECHT | |||||||||
| Director | 0.34 | 1.66 | X | 0 | 0 | 0 | |||
| Jason Sciarro | |||||||||
| President & COO | 40.00 | 0.00 | X | 724714 | 0 | 96798 | X | ||
| Michael Eesley | |||||||||
| CEO | 40.00 | 0.00 | X | 1277730 | 0 | 446911 | X | ||
| Angela McAuley | |||||||||
| Director & VP | 0.34 | 1.66 | X | 0 | 0 | 0 | |||
| Charles Ruth | |||||||||
| Director | 0.34 | 2.66 | X | 0 | 0 | 0 | |||
| Kathy Powell | |||||||||
| Director | 0.34 | 3.66 | X | 0 | 0 | 0 | |||
| Jack Porter | |||||||||
| Director | 0.34 | 0.66 | X | 0 | 0 | 0 | |||
| JOSEPH KEENAN | |||||||||
| Director | 40.00 | 0.00 | X | 408049 | 0 | 0 | |||
| LISA GLOSSON | |||||||||
| VICE CHAIRMAN | 40.00 | 0.00 | X | 165926 | 0 | 42248 | |||
| Luke Johnsos | |||||||||
| Director | 0.34 | 1.66 | X | 0 | 0 | 0 | |||
| JOSEPH EMMONS | |||||||||
| Chairman | 40.00 | 0.00 | X | 266171 | 0 | 66012 | |||
| Mike Curran | |||||||||
| Vice Chairman | 0.34 | 0.66 | X | 0 | 0 | 0 | X | ||
| Tom Carey | |||||||||
| Treasurer | 0.34 | 4.66 | X | 0 | 0 | 0 | X | ||
| Terrence J Bugno | |||||||||
| Director | 0.34 | 0.66 | X | 0 | 0 | 0 | |||
| MANOJ PATEL | |||||||||
| Director | 40.00 | 0.00 | X | 241820 | 0 | 0 | |||
| Patrick Morehead | |||||||||
| Director | 0.34 | 1.66 | X | 0 | 0 | 0 | |||
| William Cox | |||||||||
| Secretary | 0.34 | 1.66 | X | 0 | 0 | 0 | X | ||
| Charie Zanck | |||||||||
| Chairman | 0.68 | 1.32 | X | 0 | 0 | 0 | X | ||
| CHRIS NEWKIRK | |||||||||
| Director | 0.34 | 0.00 | X | 0 | 0 | 0 | |||
| BERNADETTE SZCZEPANSKI | |||||||||
| VP HUMAN RESOUR | 40.00 | 0.00 | 219910 | 0 | 18963 | X | |||
| RACHEL SEBASTIAN | |||||||||
| VP SERVICE LINE | 40.00 | 0.00 | 280727 | 0 | 40770 | X | |||
| MICHAEL FORD | |||||||||
| VP CPC OPERAT | 40.00 | 0.00 | 228961 | 0 | 22633 | X | |||
| JOANNE KNAPIK | |||||||||
| PHYS PED HUNTLE | 40.00 | 0.00 | 175041 | 0 | 22880 | X | |||
| LINDA ALIC | |||||||||
| PHYS INT MEDCIN | 40.00 | 0.00 | 236261 | 0 | 10795 | X | |||
| JEFFREY SCHMIDT | |||||||||
| SVP CHWN | 40.00 | 0.00 | 0 | 0 | 0 | X | |||
| IRFAN HAFIZ | |||||||||
| VP MEDICAL AFFA | 40.00 | 0.00 | 0 | 0 | 0 | X | |||
| ROBERT GREEN | |||||||||
| FORMER CFO | 40.00 | 0.00 | 0 | 0 | 0 | X | |||
| MATTIAS CARLEN | |||||||||
| VP HEALTH & WEL | 40.00 | 0.00 | 144159 | 0 | 25775 | X | |||
| Gail D Rudolph | |||||||||
| Vice President | 40.00 | 0.00 | 178816 | 0 | 21597 | X | |||
| CHRISTOPHER WESTERKAMP | |||||||||
| VP REVENUE CYCL | 40.00 | 0.00 | 177278 | 0 | 6284 | X | |||
| David Tomlinson | |||||||||
| Vice President | 40.00 | 0.00 | 331725 | 0 | 38118 | X | |||
| Aaron Shepley | |||||||||
| Sr VP & Counsel | 40.00 | 0.00 | 428888 | 0 | 75451 | X | |||
| Robert Rosenberger | |||||||||
| CFO & Sr. VP | 40.00 | 0.00 | 627307 | 0 | 39398 | X | |||
| KUMAR NATHAN | |||||||||
| VP CLIN EFFECTI | 40.00 | 0.00 | 224423 | 0 | 31838 | X | |||
| Susan Milford | |||||||||
| Vice President | 40.00 | 0.00 | 286937 | 0 | 89719 | X | |||
| NEIL MURPHY | |||||||||
| SR VP CNO | 40.00 | 0.00 | 284790 | 0 | 5394 | X | |||
| Zbigniew Lorenc | |||||||||
| Vice President | 40.00 | 0.00 | 301170 | 0 | 24289 | X | |||
| Barbara Johnson | |||||||||
| Sr. VP | 40.00 | 0.00 | 369160 | 0 | 20728 | X | |||
| ROBIN PURDY | |||||||||
| CHIEF MED INFO | 40.00 | 0.00 | 300195 | 0 | 30787 | X | |||
| PASQUALE BERNARDI | |||||||||
| VP CPC PHYSICIA | 40.00 | 0.00 | 383405 | 0 | 23129 | X | |||
| David A Shinherr | |||||||||
| Exec Director, Ortho & Rehab | 40.00 | 0.00 | 199007 | 0 | 35107 | X | |||
| SCOTT L PADJEN | |||||||||
| DIRECTOR PHARMACY | 40.00 | 0.00 | 166672 | 0 | 33262 | X | |||
| JOHN M HEINRICH | |||||||||
| DIR MEDICAL IMAGING | 40.00 | 0.00 | 168924 | 0 | 33297 | X | |||
| JAMES C ADAMSON | |||||||||
| DIR RISK/REGULATORY MTTRS | 0.00 | 0.00 | 181085 | 0 | 31314 | X | |||
| MATTHEW TOWLER | |||||||||
| FORMER VP OF SUPPORT SERVICES | 1.00 | 39.00 | 229090 | 0 | 22461 | X | |||
| DOUGLAS A DOMASIAN | |||||||||
| Physician | 40.00 | 0.00 | 705485 | 0 | 23081 | X | |||
| OSCAR H HABHAB | |||||||||
| Physician | 40.00 | 0.00 | 581780 | 0 | 22859 | X | |||
| BENJAMIN J NAGER | |||||||||
| Physician | 40.00 | 0.00 | 564967 | 0 | 21951 | X | |||
| JOHN L PACINI | |||||||||
| Physician | 40.00 | 0.00 | 527472 | 0 | 824 | X | |||
| PAUL L GRINDSTAFF | |||||||||
| Physician | 40.00 | 0.00 | 481917 | 0 | 22902 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 12304009 | TotalReportableCompFromOrg |
| Total Other Compensation | 1482796 | TotalOtherCompensation |
| Number Individuals GT100 K | 107 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| REIMBURSEMENT TECHNOLOGIES | |||||
| 1000 RIVER ROAD STE 100 | CONSHOHOCKEN | PA | 19428 | Business Solutions | 892430 |
| PFS Group | |||||
| 7670 Woodway Suite 250 | Houston | TX | 77063 | Collections | 1122373 |
| MCHC SERVICE CORPORATION | |||||
| PO BOX 95468 | Chicago | IL | 60694 | BENEFITS | 2129706 |
| K&L GATES | |||||
| 70 W MADISON ST STE 3100 | CHICAGO | IL | 60602 | LEGAL | 1231646 |
| Dell Marketing LP | |||||
| 7489 Collection Center Drive | Chicago | IL | 60693 | Information Systems | 9137847 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 48 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Exp Alloc-Related 501(c)3 | 551114 | 60236364 | 60236364 | |
| Centegra Primary Care Ops | 621111 | 49269868 | 49269868 | |
| CENTEGRA LAB | 621500 | 13699548 | 13699548 | |
| Centegra Ins Svcs Operat | 524126 | 4436115 | 4436115 | |
| CENTEGRA HEALTH & WELLNES | 524298 | 2690091 | 2690091 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1624836 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1624836 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 131956822 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1455573 | TotalRevenueColumn |
| Exclusion | $1,455,573 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3150835 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2887478 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 263357 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 263357 | TotalRevenueColumn |
| Exclusion | $263,357 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 133675752 | TotalRevenueColumn |
| Related Or Exempt Function Income | 118257274 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 13699548 | UnrelatedBusinessRevenue |
| Exclusion | $1,718,930 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7402799 | Total |
| Program Services | 2116097 | ProgramServices |
| Management And General | 5286702 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46001581 | Total |
| Program Services | 28465118 | ProgramServices |
| Management And General | 17536463 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1277023 | Total |
| Program Services | 574225 | ProgramServices |
| Management And General | 702798 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5179859 | Total |
| Program Services | 1218496 | ProgramServices |
| Management And General | 3961363 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3499633 | Total |
| Program Services | 1756882 | ProgramServices |
| Management And General | 1742751 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8486028 | Total |
| Program Services | 8486028 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 768058 | Total |
| Program Services | 387 | ProgramServices |
| Management And General | 767671 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180000 | Total |
| Management And General | 180000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74771 | Total |
| Program Services | 74771 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34832455 | Total |
| Program Services | 29970921 | ProgramServices |
| Management And General | 4861534 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1657947 | Total |
| Program Services | 1657907 | ProgramServices |
| Management And General | 40 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4090277 | Total |
| Program Services | 3727475 | ProgramServices |
| Management And General | 362802 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6033301 | Total |
| Program Services | 6033301 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1901745 | Total |
| Program Services | 491235 | ProgramServices |
| Management And General | 1410510 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 288957 | Total |
| Program Services | 172274 | ProgramServices |
| Management And General | 116683 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 267961 | Total |
| Program Services | 74468 | ProgramServices |
| Management And General | 193493 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 453 | Total |
| Management And General | 453 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 543343 | Total |
| Program Services | 543343 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7165032 | Total |
| Program Services | 7164077 | ProgramServices |
| Management And General | 955 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| SUPPLIES HISTOLOGY MED SUPPL | 665717 | 665717 |
| SUPPLIES CHEMISTRY MED SUPPL | 912536 | 912536 |
| DRUGS & PHARM BLOOD & BLOOD CM | 1682243 | 1682243 |
| BAD DEBT PROVISION | 9895507 | 9895507 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4072635 | Total |
| Program Services | 3236387 | ProgramServices |
| Management And General | 836248 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 146879861 | Total |
| Program Services | 108919395 | ProgramServices |
| Management And General | 37960466 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21753239 | BOY |
| EOY | 8749406 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1601568 | BOY |
| EOY | 1601792 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4558139 | BOY |
| EOY | 7759085 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2658544 | BOY |
| EOY | 2249071 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4905 | BOY |
| EOY | 21 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2957894 | BOY |
| EOY | 3669764 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11226974 | LandBuildingsEquipmentBasis |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5113256 | BOY |
| EOY | 11226974 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28146754 | BOY |
| EOY | 27277992 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1304566 | BOY |
| EOY | 10491020 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 181168 | BOY |
| EOY | 165561 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68280033 | BOY |
| EOY | 73190686 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15241106 | BOY |
| EOY | 19401089 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 777603 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17348521 | BOY |
| EOY | -614656 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48095531 | BOY |
| EOY | 67315556 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80685158 | BOY |
| EOY | 86879592 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -12405125 | BOY |
| EOY | -13688906 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -12405125 | BOY |
| EOY | -13688906 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68280033 | BOY |
| EOY | 73190686 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -13204109 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 109243 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 11811085 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (2 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| Memorial Medical Center | |||||
| 362179764 | 3 | false | true | true | $21,082,726 |
| Northern Illinos Medical Center | |||||
| 362338884 | 3 | false | true | true | $39,153,638 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 2 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 60236364 | SumOfAmounts |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1235786 | InvestmentCostOrOtherBasis |
| Book Value | 1235786 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 9991188 | InvestmentCostOrOtherBasis |
| Book Value | 9991188 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11226974 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Rounding | $2 |
| INVESTMENT IN CIS | -$120,000 |
| INTERCOMPANY | $56,146,557 |
| ACCRUED IBNR FOR CIS | $11,288,997 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 67315556 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X | Identifier |
| Return Reference | Part X : FIN48 Footnote | ReturnReference |
| Explanation | 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 derecognition, classification, interest and penalties on income taxes, and accounting in interim periods and requires increased disclosures. As of June 30, 2013 and 2012, the Health System does not have a liability for unrecognized tax benefits. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | false | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (35 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|---|
| Zbigniew Lorenc | |||||||
| Vice President | 249763 | 48001 | 3406 | 14700 | 9589 | 325459 | |
| Susan Milford | |||||||
| Vice President | 223295 | 63642 | 66549 | 23170 | 376656 | 5506 | |
| SCOTT L PADJEN | |||||||
| DIRECTOR PHARMACY | 166672 | 33262 | 199934 | ||||
| ROBIN PURDY | |||||||
| CHIEF MED INFO | 271333 | 28862 | 14700 | 16087 | 330982 | ||
| Robert Rosenberger | |||||||
| CFO & Sr. VP | 469518 | 122153 | 35636 | 15893 | 23505 | 666705 | 19889 |
| RACHEL SEBASTIAN | |||||||
| VP SERVICE LINE | 243577 | 37150 | 17520 | 23250 | 321497 | ||
| PAUL L GRINDSTAFF | |||||||
| Physician | 481917 | 22902 | 504819 | ||||
| PASQUALE BERNARDI | |||||||
| VP CPC PHYSICIA | 322585 | 60820 | 23129 | 406534 | |||
| OSCAR H HABHAB | |||||||
| Physician | 581780 | 22859 | 604639 | ||||
| NEIL MURPHY | |||||||
| SR VP CNO | 225156 | 59634 | 5394 | 290184 | |||
| Michael Gronberg | |||||||
| Director | 234047 | 35221 | 269268 | ||||
| MICHAEL FORD | |||||||
| VP CPC OPERAT | 190978 | 37983 | 22633 | 251594 | |||
| Michael Eesley | |||||||
| CEO | 822323 | 451843 | 3564 | 435234 | 11677 | 1724641 | 261678 |
| MATTIAS CARLEN | |||||||
| VP HEALTH & WEL | 124601 | 6200 | 13358 | 25775 | 169934 | ||
| MATTHEW TOWLER | |||||||
| FORMER VP OF SUPPORT SERVICES | 193312 | 35778 | 22461 | 251551 | |||
| MANOJ PATEL | |||||||
| Director | 221400 | 20420 | 241820 | ||||
| LISA GLOSSON | |||||||
| VICE CHAIRMAN | 165926 | 42248 | 208174 | ||||
| LINDA ALIC | |||||||
| PHYS INT MEDCIN | 236261 | 10795 | 247056 | ||||
| KUMAR NATHAN | |||||||
| VP CLIN EFFECTI | 213992 | 10431 | 13925 | 17913 | 256261 | ||
| JOSEPH KEENAN | |||||||
| Director | 408049 | 408049 | |||||
| JOSEPH EMMONS | |||||||
| Chairman | 266171 | 66012 | 332183 | ||||
| JOHN M HEINRICH | |||||||
| DIR MEDICAL IMAGING | 168924 | 33297 | 202221 | ||||
| JOHN L PACINI | |||||||
| Physician | 527472 | 824 | 528296 | ||||
| JOANNE KNAPIK | |||||||
| PHYS PED HUNTLE | 175041 | 22880 | 197921 | ||||
| Jason Sciarro | |||||||
| President & COO | 564364 | 156422 | 3928 | 73224 | 23574 | 821512 | 19515 |
| JAMES C ADAMSON | |||||||
| DIR RISK/REGULATORY MTTRS | 181085 | 31314 | 212399 | ||||
| Gail D Rudolph | |||||||
| Vice President | 178816 | 5056 | 16541 | 200413 | |||
| DOUGLAS A DOMASIAN | |||||||
| Physician | 705485 | 23081 | 728566 | ||||
| David Tomlinson | |||||||
| Vice President | 276560 | 55165 | 14700 | 23418 | 369843 | ||
| David A Shinherr | |||||||
| Exec Director, Ortho & Rehab | 199007 | 35107 | 234114 | ||||
| CHRISTOPHER WESTERKAMP | |||||||
| VP REVENUE CYCL | 162608 | 14670 | 4786 | 1498 | 183562 | ||
| BERNADETTE SZCZEPANSKI | |||||||
| VP HUMAN RESOUR | 194953 | 24957 | 13327 | 5636 | 238873 | ||
| BENJAMIN J NAGER | |||||||
| Physician | 564967 | 21951 | 586918 | ||||
| Barbara Johnson | |||||||
| Sr. VP | 312899 | 56261 | 9966 | 10762 | 389888 | 56261 | |
| Aaron Shepley | |||||||
| Sr VP & Counsel | 333458 | 95430 | 52001 | 23450 | 504339 | 14724 | |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Sch J, Part I, Line 1b | Part I, Line 1b: Reason for not following policy regarding payment provisions for expenses | |
| Sch J, Part I, Line 1a | Part I, Line 1a: Relevant information in regards to selections on 1a. | 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. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IL Finance Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 861091967 | IssuerEIN |
| CUSIP Number | 45203HNF5 | CUSIPNumber |
| Date Issued | 2012-11-20 | DateIssued |
| Issue Price | 207317217 | IssuePrice |
| Description Of Purpose | Current Refunding; Project | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 153455543 | AmountRetired |
| Total Proceeds | 207317217 | TotalProceeds |
| Refunding Escrow | 162323247 | RefundingEscrow |
| Issuance Costs From Proceeds | 2279555 | IssuanceCostsFromProceeds |
| Capital Expenditures | 42714415 | CapitalExpenditures |
| Year Of Subst Completion | 2015 | YearOfSubstCompletion |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | false | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | true | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | true | EngageBondCounselContracts |
| Any Research Agreements | false | AnyResearchAgreements |
| Engage Bond Counsel Research | false | EngageBondCounselResearch |
| Prcntge Prvt Business Use By Others | 0.00750 | PrcntgePrvtBusinessUseByOthers |
| Total Private Business Use | 0.00750 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | false | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | true | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiled |
| Rebate Not Due Yet | true | RebateNotDueYet |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Written Proc To Monitor Reqs | true | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | true | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part VI | ReturnReference |
| Explanation | Centegra Health System is the sole member of Northern Illinois Medical Center, Memorial Medical Center-Woodstock and NIMED Corp. CHS was the conduit borrower of the proceeds and therefore is reporting the bond issue dated 11/20/2012 for the group on its Schedule K. Each organization will report their respective bond liabilities on their respective balance sheets. Part II, Line 6 - as reported on Form 8038, proceeds in the amount of $148,307,247 were used to currently refund outstanding bonds and proceeds in the amount of $14,016,000 were used to pay a termination payment related to a qualified hedge, aggregating $162,323,247 in use of proceeds reported on Line 6.Part II, Line 10 - as reported on Form 8038, proceeds of the bonds in the amount of $42,714,415 were spent on capital expenditures. This included $11,162,778 of the proceeds spent to refinance a taxable note, the proceeds of which were used to acquire certain land. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Carey Electric | |||
| Director | 488932 | Electrical Contracto | false |
| Rachel Sebastian | |||
| Family | 321497 | Employee compensatio | false |
| American Community Bank | |||
| Vice Chairman | 106282 | Certificate of Deposit | false |
| American Community Bank | |||
| Director | 107217 | Certificate of Deposit | false |
| Home State Bank | |||
| Director | 100000 | Certificate of Deposit | false |
| Home State Bank | |||
| Treasurer | 103027 | Certificate of Deposit | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | The business transactions with interested persons are arms length transactions. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (15 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Line 12c - Conflicts | 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 Responsiblity 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 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 of 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 of 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. Continued below. | |
| Form 990, Part III, Line 4a, Con't | OTHER PROGRAMS Together We Can Immunization Partnership Clinics were instituted at the Medical Centers and Medical Offices to provide immunizations for the unvaccinated children under age 18 in McHenry County. Clinics are held once a month at the medical centers and office buildings providing Hepatitis B, DPT, Hib, OPV, MMR and Td immunizations. Fees are based upon ability to pay with a maximum charge of $12.00 per immunization. The Medical Centers were the first hospitals in the state of Illinois to adopt the E.N.C.A.R.E. program (Emergency Nurses Cancel Alcohol Related Emergencies) program which lets nurses tell teenagers exactly what they have learned on the job -- that alcohol causes death, disability, and pain to thousands of teenagers, throughout the country, every year. The Medical Centers incorporate Independence Square into its physical therapy/rehabilitation program. Using Independence Square, disabled individuals can practice and master the skills required for personal hygiene, home maintenance, financial management, mobility, and social interaction in the security and privacy of the rehabilitation department. Independence Square utilizes these distinctive environments: apartment, ATM/Bank & Office, Boat Doak, Bus & Car,Cafe & Restaurant, Golf Course, Grocery Store, Pharmacy & Department Store, and Porch & Ambulation Course. Therapists and clinical staff are able to assess and evaluate the progress of each patient using a unique form of individual care. When individual confidence and proficiency return, discharge planning and community re-entry training complete the rehabilitation program. The Rehabilitation and Sports Medicine Clinic at Health Bridge Fitness Center provides sports medicine, aquatics, outpatient physical and occupational therapy programs. The Back to Work Program, an industrial injury prevention and rehabilitation program provides physical therapy, ergonomic consultation and back safety programs. The program also uses the aquatic pool located at the Rehabilitation and Sports Medicine Clinic at Health Bridge Fitness Center. The Centegra Pain Management Center specializes in providing advanced, innovative treatments, which succeed in relieving most types of pain. The physicians, pain psychologist, nurses, and staff are specially trained and experienced in the field of pain management. Educational materials on chronic pain were developed and made available to the community at trade/health fairs. The Neurotrauma Day Treatment Program serves individuals who have experienced traumatic brain injury and neurological impairments due to stroke, accident, or disease. It is a comprehensive program for patients requiring intensive, interdisciplinary services on an outpatient basis. The program facilitates the individual's function and independence in the home, work, school, and community with integrated and holistic treatment. Services include physical therapy, occupational therapy, speech therapy, neuropsychology, social work, nursing, vocational counseling, and recreational therapy. This program also has access to facilities at Health Bridge Fitness Center and may work in conjunction with the Back to Work Program. Centegra Health System is a learning center (clinical site) for students from a multitude of colleges and universities. Students have completed internships in programs such as nurse practitioner, nursing, nurse aide, physician assistant, social work, speech therapy, phlebotomy, diagnostic medical sonography, medical imaging, medical records, pharmacy, medical physics, surgical technology, professional counselor, substance abuse counselor, and medical assistant. Centegra Health System is also a learning site for 3rd and 4th year medical students from the University of Illinois Rockford. | |
| Form 990, Part III, Line 4a, Con't | EXERCISE PROGRAMS The Medical Centers, in conjuction with Centegra Health System offer specialized exercise programs that help participants get moving and stay active for a healthier lifestyle. These include: Low Back Water Class, Basketball League, Racquetball League, Seniors in Motion, Arthritis Water Exercise Program, Senior Citizen's Exercise Group, The Get Off Your Rocker Program designed for individuals at least 55 years of age to improve flexibility, strength, and endurance; and the Stroke Exercise Program which is a general physical conditioning exercise program for stroke patients to improve coordination and increase range of motion. Yoga, Tai Chi, Relaxation Management, Weight Management, and a variety of other programs are offered through Health Bridge Fitness Center. | |
| Form 990, Part III, Line 4a Con't | SUPPORT GROUPS Centegra Health System, in conjuction 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 three things: 1)Staff professionals who either act as facilitators of the group or function as "Guest Speakers," 2)Space offered free of charge, 3)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.*Bariatric Support Group is for those individuals who have had weight loss surgery.*Better Breathers Club is for those individuals with pulmonary disease and their families.*Caregivers' Support Group is for those who care for someone with a chronic or life-threatening illness.*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. The Medical Centers participate in conjunction with the Pioneer Center.*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.*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.*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 families and friends.*What's Aphasia? is a group for stroke survivors and family members who have an impairment of their ability to speak or comprehend words.*Wingspan is a group that provides the opportunity of open discussions, question and answer sessions, lectures, and social events for people recovering from strokes as well as their families.*Y-Me Breast Cancer Support Program is a national program designed to let participants listen to physicians, survivors, social workers, and nurses who have been invited to speak on topics such as handling anger, considered prostheses, and concerns about breast implant risks. | |
| Form 990, Part III, Line 4a Con't | OTHER COMMUNITY SERVICES The Medical Centers and Affiliates participate in various community projects, such as: Meals on Wheels, Immunization Clinics, National Depression/Anxiety Screening Day, free Flu Vaccination Clinics, and health and county business fairs in order to promote health and awareness in the community. Other community services are hospital tours for area schools, shadowing opportunites for area schools, Flight for Life Helicopter appearances, poison awareness programs, blood drives, mammograms, blood pressure, skin, and colorectal cancer screenings and lipid profiles. Glaucoma, hearing, and other screenings are offered in order to promote health and awareness in the community. The Medical Centers and Affiliates also distribute thousands of informational brochures, service listings, and flyers at the request of area schools, churches, and organizations on an ongoing basis. Centegra S.H.I.P. (Senior Health Insurance Program) provides trained volunteers on a weekly basis to answer questions regarding insurance coverage. Silver Key Club is the senior citizens group for Centegra Health System. It is a free membership group for people 55 years of age and older, which provides four issues of a senior newsletter each year, a health diary for members to list their medications and health history, and a discount in the hospital cafeteria at both NIMC and MMC. At certain times of the year, there are discounted screenings and/or special services available for members. Community education is also made available to Silver Key Members through early bird reservations, or through general news releases. Emergency Room Treatment Forms are parent/guardian permission forms to administer emergency treatment to minors in time of need. The Medical Centers sponsor blood drives every year and was able to provide numerous pints of blood to those in need.The Medical Centers provide Patient Express! transportation services for individuals who require transportation to the Medical Centers. The Patient Express! van is provided and is frequently used by the disabled and elderly individuals of the community. The service is provided free of charge, although donations are accepted to defray the costs of the service. In fiscal year 2013, the service provided 11,857 trips to those in need. The Referral Line is a toll-free phone line sponsored by the Medical Centers. It offers free, computerized service to callers who require information or physician referrals. A trained counselor staffs the line. Several medical specialties are represented, and physicians are on staff for referrals. The line also gives information regarding physician's office hours, locations, insurance, and languages spoken. Additionally, counselors give information on Self-Help and Support Groups. | |
| Form 990, Part III, Line 4a Con't | EDUCATION PROGRAMS The Medical Centers, in conjunction with Centegra Health System, work in cooperation with McHenry County College and Health Bridge Fitness Center to provide a complete series of specialized training for those interested in developing their knowledge of emergency basics, or in pursuing a career in the emergency health care field. There are three levels of training available: First Responder, Emergency Medical Technician - Basic, Emergency Medical Technician - Paramedic. A Medical Dispatcher Course designed to prepare individuals for employment as dispatchers for a public service agency providing dispatch to law enforcement fire service, and/or Emergency Medical Service is also offered. The Medical Centers offer a variety of classes that can help people save lives. The Medical Centers offer Red Cross first aid classes that include First Aid/CPR and a CPR Instructor Course. The Medical Centers' Occupational Health Departments also teach first aid classes on-site as requested by local businesses. Cardio-pulmonary resuscitation (CPR) classes help community members learn CPR prior to certification, or brush up on skills for re-certification. The Medical Centers also offer an American Heart Association Heartsaver CPR, International Trauma Life Support, Advanced Cardiac Life Support, and Pediatric Advanced Life Support training classes. The Medical Centers and Affiliates make a variety of educational programs designed to promote wellness available to all members of the community. Family health and wellness programs presented by the Medical Centers are designed to promote a healthier community. The Medical Centers offer low-cost education classes for expectant families including prenatal and cesarean birth classes, Very Important Sibling Classes, along with free hospital tours. At discharge, new parents are presented with the video, "Baby's First Months: What Do We Do Now". Supersitters is a program which teaches the responsibilities of being a babysitter and includes first aid and accident prevention. The Medical Centers provide various classes to assist with our busy life styles including Relaxation Training and Improving Your Blood Pressure. Lipid screeningsare offered twice each year. Nutrition related offerings include Food and Feelings, Healthy Heart Nutrition and Weight Management Programs. Still more educational programs are offered to assist members of the community to take charge of special needs in their lives, in their changing lifestyles for healthier lives, as well as programs to inform the community about Advanced Medical Directives. Other programs are the Critical Care Class, Stroke: Are You Doing All You Can?, You're In Control Diabetic Education Program, Men and Depression, and Understanding Medicare. Integrative programs include mindful eating, understanding the healing potential of food, and journaling. The Medical Centers sponsor several programs specializing in issues of concern for women as well as reduced fee mammograms, programs on osteoporosis, and programs on menopause. Making Peace with Your Body is a program to teach women body acceptance with an emphasis on what you can realistically change with diet and exercise. Additional Behavioral Health programs offered on a rotating basis include What To Do When Your Loved One Is Depressed, Relationship Addiction, Stepfamilies: Steps to Harmonious Living, and Mind/Body Medicine: An Introduction. Northern Illinois Medical Center's Sage Cancer Center, together with the American Cancer Society and Gavers Community Cancer Foundation, sponsor various Cancer Awareness Programs. The Center offers colorectal cancer screenings, reduced fee mammograms, skin cancer screenings, and reduced fee PSA screenings. Cancer awareness also includes programs on reduction of risk for cancer through good nutrition and healthy lifestyle habits. Northern Illinois Medical Center also sponsors celebrations of cancer survivorship. | |
| Form 990, Part III, Line 4a | STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Centegra Health System coordinates the delivery of health care services by assisting in the management of Northern Illinois Medical Center and Memorial Medical Center (The Medical Centers) and Centegra Health System Foundation, Health Bridge Corporation and NIMED Corporation (Affiliates). The Medical Centers' and the Affiliates' program accomplishments are summarized below: The Medical Centers provide optimum quality health care, delivered by competent hospital and medical center staff, to all who seek its services regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The primary mission of the Medical Centers is to enhance the health of the community as the preferred health care organization providing outstanding service and value. It is the Medical Centers' objective to serve the community with respect to providing health care services and education. Although reimbursement for services rendered is critical to the operation and stability of the Medical Centers, it is recognized that not all individuals possess the ability to purchase essential medical services. Therefore, in keeping with the Medical Centers' commitment to serve all members of its community, free care and/or subsidized care will be considered where the need and/or an individual's inability to pay exist. Medical Services are provided in a dignified manner to Medicare, Medicaid and indigent patients.The Medical Centers' services include, but are not limited to:*351 licensed-bed Comprehensive Medical Center*Level Two Trauma Center*Emergency Medicine Physicians, 24-hours a day*On-site Flight for Life Helicopter*TDD (Telephone Device for the Deaf) in ER: 815-385-0285 and 815-338-0008*Center for New Life including: Level Two Nursery, Antenatal Testing Center, Lamaze Classes, Breastfeeding Classes, Prenatal Classes, Hello Daddy & Dial-A-Dad pagers, and Very Important Sibling Classes*Obstetrics*Surgical and Ambulatory Treatment Services*Intensive and Intermediate Care Unit*Behavioral Health Unit: Adult & Chemical Dependency/Detox Programs, Inpatient Unit, and Partial-Hospitalization Program*Sage Cancer Center*Extended Care Unit*Three-level Cardiac Rehabilitation Program*Cardiac Surveillance*Cardiac Catherization Suite*Heart Failure Clinic*Pediatrics*Full-body CT scanner and Magnetic Resonance Imaging (MRI)*Mammography Screening*Center for Physical Rehabilitation: Inpatient Unit, Independence Square, Occupational, Physical and Speech Therapies, and Outpatient Therapies*Repiratory Therapy*Home Health Care*Back to Work Program for Industrial Injury Prevention and Rehabilitation*Sports Medicine Clinic*First Step Substance Abuse Center: 800-675-8448*McHenry County Crisis Line: 800-892-8900*Pharmacy Information Line: 815-338-9090*Associate Health Program: 815-334-3944*Occupational Health*Women's Diagnostic Services (in Medical Imaging)*Poison Control Hotline: 815-338-5975*Patient Express! Transportation*Extra Touch Program*Sleep Disorders Center*Pastoral Care*Social Service*Community Education Programs*Nutritional Therapy Services*Support Programs/Groups*Neurotrauma Day Treatment Program 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. | |
| Other Changes In Net Assets Or Fund Balances - Other Increases | TRANSFERS TO AFFILIATES = $11811085 | Form 990, Part XI, Line 9 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | BALANCING VARIANCE = $0 | Form 990, Part XI, Line 9 |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. | Form 990, Part VI, Line 19 |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | 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 Chief Executive Officer's compensation is determined by the Compensation Committee in relation to appropriate comparability data. Compensation for other members of the executive staff are developed by the CEO, reviewed by the Committee, evaluated against market data, and approved by the Committee.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 distibuted 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 Centgra and reports directly to the Compensation Committee. | Form 990, Part VI, Line 15a |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Continued from above. 6. A voting member of any committee whose jurisdiction includes compensation matters and who receives compensation, directly or indirectly, form 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. | Form 990, Part VI, Line 12c |
| Form 990, Part VI, Line 11b: Form 990 Review Process | The review process for the 990 includes compilation by internal staff, detailed review by an outside auditor, bond counsel and the 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. | Form 990, Part VI, Line 11b |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Centegra Health System is the sole member of Health Bridge Corporation. | Form 990, Part VI, Line 6 |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | 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. Not withstanding, it is understood 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 2012, CHS purchased certain goods and/or services from organizations with director's affiliation. 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 1% owner of Home State Bank. Vice Chairman Charie Zanck is a Director of American Community Bank & Trust. Director Charles Ruth is the Board Chairman of American Community Bank & Trust. Rachel Sebastian, Vice President of Service Line Operations, is the daughter of the Chief Executive Officer, Michael Eesley. Rachel Sebastian reports directly to the President and Chief Operations Officer, Jason Sciarro. | Form 990, Part VI, Line 2 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (5 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Centegra Insurance Services Ltd | ||||||||||||||||
| 23 Lime Tree Bay Ave Box 1051 | George Town | Grand Cayman | CJ | KY1-1102 | 363196559 | Malpractice Insurance Provider | CJ | 1507388 | 15380099 | NA | ||||||
| CENTEGRA HEALTH & WELLNESS NETWORK LLC | ||||||||||||||||
| 364740459 | CLINICALLY INTEGRATED HEALTHCARE NETWORK | -36501 | 773778 | NA | 385 MILLENNIUM DRIVE | CRYSTAL LAKE | IL | 60014 | DE | |||||||
| CENTEGRA CLINCIAL LABORATORIES LLC | ||||||||||||||||
| 364706465 | LABORATORY AND PATHOLOGY SERVICES | -535650 | 874738 | 385 MILLENNIUM DRIVE | CRYSTAL LAKE | IL | 60014 | DE | N/A | |||||||
| Centegra Health Bridge Fitness Ctr LLC | ||||||||||||||||
| 261277524 | Health & Fitness Center | HEALTH BRIDGE CORPORATION | 385 Millennium Drive | Crystal Lake | IL | 60012 | DE | |||||||||
| Centegra Primary Care LLC | ||||||||||||||||
| 364085398 | Primary Care | -15859666 | 17520998 | NA | 385 Millennium Drive | Crystal Lake | IL | 60012 | DE | |||||||
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Centegra Hospital-Huntley | ||||||||||
| 385 Millennium Dr | Crystal Lake | IL | 60012 | 453449737 | Hospital Operations | IL | 501(c)(3) | 3 | Centegra Health System | false |
| Oak Creek Lodge | ||||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363591359 | Hospital Operations | IL | 501(c)(3) | 3 | Centegra Health System | false |
| Health Bridge Corporation | ||||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363196550 | Health & Fitness Center | IL | 501(c)(3) | 11c | Centegra Health System | false |
| Centegra Health System Foundation | ||||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363726310 | Fundraising for Medical Centers | IL | 501(c)(3) | 11a | Centegra Health System | false |
| NIMED Corporation | ||||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363199111 | Property Management | IL | 501(c)(3) | 11c | Centegra Health System | false |
| Memorial Medical Center | ||||||||||
| 3701 Doty Road | Woodstock | IL | 60098 | 362179764 | Hospital Operations | IL | 501(c)(3) | 3 | Centegra Health System | false |
| Northern Illinois Medical Center | ||||||||||
| 4201 Medical Center Drive | McHenry | IL | 60050 | 362338884 | Hospital Operations | IL | 501(c)(3) | 3 | Centegra Health System | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Centegra Management Services Inc | BusinessNameLine1 |
Address US AddressUS
| 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 Activity | Management | PrimaryActivity |
| Legal Domicile State | IL | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Centegra Health System | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C Corp | TypeOfEntity |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |