Sherman Health Systems: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- Sherman Health Systems (EIN 36-3673380)
- Tax period
- 2012-05-01 to 2013-04-30
- Filed
- 2014-03-07
- IRS object ID
- 201410669349300331
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-03-07T16:15:12-06:00 | Timestamp |
| Tax Period End Date | 2013-04-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S WACKER DRIVE STE 800 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-05-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363673380 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sherman Health Systems | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SHER | NameControl |
| Phone | 2247838718 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1425 N Randall Road | AddressLine1 |
| City | Elgin | City |
| State | IL | State |
| ZIP Code | 60123 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Eric Krueger | Name |
| Title | Chief Financial Officer | Title |
| Phone | 2247838718 | Phone |
| Date Signed | 2014-02-24 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Zack Fortsch | Name |
| PTIN | P00052725 | PTIN |
| Phone | 3126343400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Linda Deering | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1425 N Randall Road | AddressLine1 |
| City | Elgin | City |
| State | IL | State |
| ZIP Code | 60123 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 13394091 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SHERMANHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1989 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | Maintain health service institutions serving the surrounding community. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 2 | TotalNbrVolunteers |
| Total Gross UBI | 1579877 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -421282 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7246107 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6434803 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2189691 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3301558 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 915689 | OtherRevenuePriorYear |
| Other Revenue Current Year | 729499 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 10351487 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10465860 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1630509 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1499670 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4618676 | OtherExpensePriorYear |
| Other Expenses Current Year | 4128726 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6249185 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5628396 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4102302 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4837464 | RevenuesLessExpensesCY |
| Total Assets BOY | 120541894 | TotalAssetsBOY |
| Total Assets EOY | 138764043 | TotalAssetsEOY |
| Total Liabilities BOY | 13433527 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 12888617 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 107108367 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 125875426 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Establish and maintain institutions which provide comprehensive health services to meet the health needs of the community surrounding Elgin, IL. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5628396 | Expense |
| Revenue | 4854926 | Revenue |
| Description | Sherman Health Systems (SHS) supports the efforts of its three supported organizations: Sherman Home Health Care Corporation (SHHCC), Sherman West Court (SWC), and Sherman Hospital (SH).SHHCC was organized in 1984 and continues to be operated exclusively to provide quality home health care to the members of the surrounding community. SHHCC's services are provided as a benefit to all patients by relieving disease and suffering in the comfortable and familiar surroundings of home. Availability of services is non-discriminate to all people and includes indigent and destitute patients. In fiscal year 2013, SHHCC provided 12,394 skilled nursing and therapy visits to Medicare patients in addition to 4,865 similar type visits to non-Medicare patients. Home Medical Equipment was provided to some of those patients in 1,786 encounters. SHHCC's patient service fees are used solely to provide or support the provision of health care.SWC is a not-for-profit organization which specializes in rehabilitation and long-term care in the Fox Valley area. SWC focuses on bringing people back to the community with their previous level of function. SWC treats people in the workforce as well as the elderly population, and its services are open to all members of the community. During fiscal year 2013, SWC provided 26,315 total patient days of care. This includes 12,221 patient days to Medicare patients, 10,959 days to skilled care patients, and 3,135 days to Medicaid patients. SWC also provided in excess of $23,468 in charity care to individuals who have no means of paying for healthcare services. SWC provides community services to educate the elderly population on well-being.SHF was established in 2004 as the official fundraising and gift receiving arm of SHS. The Foundation encourages and receives contributions that are used to enhance the delivery of high quality, comprehensive healthcare services for those who live and work in the communities served by SHS. The Foundation accomplishes this through fundraising events, such as Music by the Water, and programs, such as the Seeds of Healing and Hope, which was established by the Foundation as a way for patients and family to show their thanks and appreciation by making a donation for the care provided by SHS.SH was founded in 1887 as a community hospital. Today, the hospital is a recognized regional heart center for the far northwest suburbs of Chicago. In 1972, when the first open-heart surgery was performed at its facility, the hospital became one of the first community hospitals in the nation performing open-heart surgery. SH has received numerous awards and recognition for excellence in quality, including Magnet designation for nursing excellence as well as a silver Illinois Performance Excellence award, which is the State of Illinois' equivalent of the national Baldrige Performance Excellence award. SH also received certification and accreditation of its Chest Pain clinic, Breast Center, and for Stroke care. SH completed the implementation of the Computerized Physician Order Entry (CPOE) system and met the criteria for Meaningful Use requirements ahead of the prescribed timelines set forth by the federal government. | Description |
| Total Program Service Expense | 5628396 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eric Krueger | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2247838718 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1425 N Randall Road | AddressLine1 |
| City | Elgin | City |
| State | IL | State |
| ZIP Code | 60123 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Richard Floyd | |||||||||
| President/CEO | 6.00 | 34.00 | X | X | 0 | 673976 | 154631 | ||
| Richard Jakle | |||||||||
| Chairman | 1.00 | X | X | 0 | 8000 | 0 | |||
| Terry Dunning | |||||||||
| Vice Chairman | 1.00 | X | X | 0 | 6000 | 0 | |||
| David Bear | |||||||||
| Treasurer | 1.00 | X | X | 0 | 5500 | 0 | |||
| William Hoffer | |||||||||
| Secretary | 1.00 | X | X | 0 | 6000 | 0 | |||
| Robert Cormier | |||||||||
| Director | 1.00 | X | 0 | 6000 | 0 | ||||
| Audrey Reed | |||||||||
| Director | 1.00 | 6.00 | X | 0 | 6000 | 0 | |||
| Roger Bielinski MD | |||||||||
| Director | 1.00 | X | 0 | 6000 | 0 | ||||
| Nathaniel Edmond | |||||||||
| Director | 1.00 | X | 0 | 6000 | 0 | ||||
| Lane B Hoffman | |||||||||
| Director | 1.00 | 0.50 | X | 0 | 5000 | 0 | |||
| Brian Ziegler | |||||||||
| Director | 1.00 | X | 0 | 5000 | 0 | ||||
| Pamela Jensen | |||||||||
| Director | 1.00 | X | 0 | 6000 | 0 | ||||
| Kenneth Koehler | |||||||||
| Director | 1.00 | X | 0 | 6000 | 0 | ||||
| Solomon Secemsky MD | |||||||||
| Director | 1.00 | X | 0 | 5525 | 0 | ||||
| Linda Wallace | |||||||||
| Director | 1.00 | X | 0 | 6000 | 0 | ||||
| Lawrence Kosinski MD | |||||||||
| Director | 1.00 | X | 0 | 5350 | 0 | ||||
| Michael Shales | |||||||||
| Director | 1.00 | X | 0 | 500 | 0 | ||||
| Sharon Jakle | |||||||||
| Director | 1.00 | X | 0 | 2750 | 0 | ||||
| Eric Krueger | |||||||||
| Assistant Treasurer | 6.00 | 34.00 | X | 0 | 342501 | 66531 | |||
| Linda Deering | |||||||||
| Assistant Secretary | 6.00 | 34.00 | X | 0 | 413807 | 74141 | |||
| Katie Bata | |||||||||
| VP Human Resources | 6.00 | 34.00 | 0 | 260354 | 48454 | X | |||
| Patricia Turner | |||||||||
| Exec Dir-Sherman Choice | 40.00 | 0 | 118426 | 11595 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1900689 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 355352 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Admin. Cost Sharing | 541900 | 4854926 | 4854926 | |
| Sherman Choice | 561000 | 860501 | 860501 | |
| Patient Services | 621500 | 719376 | 719376 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6434803 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3307003 | TotalRevenueColumn |
| Exclusion | $3,307,003 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3652285 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2922786 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 729499 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 729499 | TotalRevenueColumn |
| Exclusion | $729,499 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 5445 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -5445 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -5445 | TotalRevenueColumn |
| Exclusion | -$5,445 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10465860 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4854926 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1579877 | UnrelatedBusinessRevenue |
| Exclusion | $4,031,057 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72500 | Total |
| Program Services | 72500 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1186001 | Total |
| Program Services | 1186001 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 241169 | Total |
| Program Services | 241169 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22770 | Total |
| Program Services | 22770 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 196231 | Total |
| Program Services | 196231 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 798133 | Total |
| Program Services | 798133 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39529 | Total |
| Program Services | 39529 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 761043 | Total |
| Program Services | 761043 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 300 | Total |
| Program Services | 300 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 660610 | Total |
| Program Services | 660610 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1279733 | Total |
| Program Services | 1279733 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23587 | Total |
| Program Services | 23587 | ProgramServices |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Intercompany Mgmt Fees | Description |
| Total | 341107 | Total |
| Program Services | 341107 | ProgramServices |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5683 | Total |
| Program Services | 5683 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5628396 | Total |
| Program Services | 5628396 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44778 | BOY |
| EOY | 15387 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 369102 | BOY |
| EOY | 279313 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 346979 | BOY |
| EOY | 387091 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 65107518 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 20628219 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45687190 | BOY |
| EOY | 44479299 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71880281 | BOY |
| EOY | 88407903 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2213564 | BOY |
| EOY | 5195050 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 120541894 | BOY |
| EOY | 138764043 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1189632 | BOY |
| EOY | 1172311 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12104853 | BOY |
| EOY | 11577264 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139042 | BOY |
| EOY | 139042 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13433527 | BOY |
| EOY | 12888617 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 107108367 | BOY |
| EOY | 125875426 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 107108367 | BOY |
| EOY | 125875426 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 120541894 | BOY |
| EOY | 138764043 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 4837464 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 4405952 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 9523643 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (3 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | AmountAmount |
|---|---|---|---|
| Sherman Hospital | |||
| 362167920 | 3 | 1 | $0 |
| Sherman West Court | |||
| 363725580 | 9 | 1 | $0 |
| Sherman Home Health Care Corporation | |||
| 363330085 | 9 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 3 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29779950 | OtherCostOrOtherBasis |
| Book Value | 29779950 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31457910 | OtherCostOrOtherBasis |
| Depreciation | 17979357 | Depreciation |
| Book Value | 13478553 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3869658 | OtherCostOrOtherBasis |
| Depreciation | 2648862 | Depreciation |
| Book Value | 1220796 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 44479299 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Accrued Medical Malpractice & Liabilities | Description |
| Amount | $139,042 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 139042 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X, Line 2: | ReturnReference |
| Explanation | Sherman is primarily comprised of not-for-profit corporations as described in section 501(c)(3) of the Internal Revenue Code (Code). Section 501(c)(3) organizations are exempt from federal income taxes on related income on those entities pursuant to section 501(a) of the Code. None of Sherman's not-for-profit organizations have significant unrelated business activities. Sherman uses an asset and liability approach for financial accounting and reporting purposes as it relates to income taxes. Deferred tax liabilities and assets are determined based upon the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. Sherman Health Systems and its not-for-profit affiliates file the applicable Forms 990 (Return of Organization Exempt from Income Tax) annually. When these returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the following: the tax exempt status of each entity, the continued tax exempt status of bonds issued by the obligated group, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business taxable income (UBTI). UBTI is reported on Form 990-T, as appropriate. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. At April 30, 2013 and 2012, there were no unrecognized tax benefits identified or recorded as liabilities. | Explanation |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean - | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | Program Services | TypeOfActivitiesConducted |
| Specific Services Provided | Self Insurance | SpecificServicesProvided |
| Total Expenditures | 7106993 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 7106993 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 7106993 | TotalAmountSpent |
| Transfer To Foreign Corp | 1 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 1 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Richard Floyd | ||||||||||||||
| President/CEO | 0 | 497435 | 0 | 161987 | 0 | 14554 | 0 | 131867 | 0 | 22764 | 0 | 828607 | 0 | 0 |
| Eric Krueger | ||||||||||||||
| Assistant Treasurer | 0 | 281193 | 0 | 60573 | 0 | 735 | 0 | 44773 | 0 | 21758 | 0 | 409032 | 0 | 0 |
| Linda Deering | ||||||||||||||
| Assistant Secretary | 0 | 314754 | 0 | 87997 | 0 | 11056 | 0 | 65794 | 0 | 8347 | 0 | 487948 | 0 | 0 |
| Katie Bata | ||||||||||||||
| VP Human Resources | 0 | 190232 | 0 | 48513 | 0 | 21609 | 0 | 31443 | 0 | 17011 | 0 | 308808 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | See Form 990, Part VI, Section B, Line 15. |
| Part I, Line 4b | Supplemental Executive Retirement Plan Participants: Richard Floyd - $119,617 Eric Krueger - $33,881 Linda Deering - $54,438 Katie Bata - $23,007 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | Richard Jakle and Sharon Jakle have a family relationship. | |
| Form 990, Part VI, Section B, line 11 | Sherman Health System's (Sherman) financial staff gathers the necessary information for the tax advisor to prepare the Form 990. The tax advisor and financial management review the Form 990 and submit the completed form to the Finance Committee for review and approval. A copy of Form 990 is distributed to the organization's governing body prior to filing. | |
| Form 990, Part VI, Section B, line 12c | Each director, principal officer and member of a committee with board-delegated powers shall annually sign a statement, which affirms that such person: a) has received a copy of the conflict of interest policy, b) has read and understands the policy, c) has agreed to comply with the policy, and d) understands that Sherman Health Systems ("Sherman") is a charitable organization and that in order to maintain federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. All questionnaires are reviewed by the compliance officer and any conflicts are discussed with the Chairman of the Board of Directors or the Compliance Committee. To ensure that Sherman 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. | |
| Sherman Hospital, the master payor for all Sherman entities, conducts market evaluations on a periodic basis for all positions within Sherman. The evaluation process consists of review of established salary benchmarks for market competitiveness, and evaluation of turnover and retention. The independent salary and executive compensation committee is responsible for evaluating the performance of and establishing the compensation and benefits for the senior management of the parent corporation and its affiliates. Contemporaneous documentation is maintained for all decisions and deliberations. | ||
| Form 990, Part VI, Section C, line 19 | All organization governing documents, the conflict of interest policy, and financial statements are made available to the public upon request. | |
| Form 990, Part IX, line 11g | Purchased Services: Program service expenses 148,235. Management and general expenses 0. Fundraising expenses 0. Total expenses 148,235. Bank Fees: Program service expenses 2,568. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,568. Reference Lab: Program service expenses 407,459. Management and general expenses 0. Fundraising expenses 0. Total expenses 407,459. Flashnet/Internet Access: Program service expenses 2,022. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,022. Software Contracts: Program service expenses 25,198. Management and general expenses 0. Fundraising expenses 0. Total expenses 25,198. Security Services: Program service expenses 450. Management and general expenses 0. Fundraising expenses 0. Total expenses 450. Service Contracts: Program service expenses 20,021. Management and general expenses 0. Fundraising expenses 0. Total expenses 20,021. Housekeeping: Program service expenses 192,180. Management and general expenses 0. Fundraising expenses 0. Total expenses 192,180. | Other Fees |
| Form 990, Part XI, line 9: | Gain from Health Visions 2,350,689. Intercompany Net Asset Transfers 7,172,954. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Sherman Health Foundation | ||||||||||
| 1425 N Randall Road | Elgin | IL | 60123 | 320106211 | Provide charitable support to healthcare organization | IL | 501(c)(3) | Line 11a, I | Sherman Health Systems | 1 |
| Sherman Home Health Care Corporation | ||||||||||
| 901 Center Street Suite 2001A | Elgin | IL | 60120 | 363330085 | Services include skilled and unskilled general nursing | IL | 501(c)(3) | Line 9 | Sherman Health Systems | 1 |
| Sherman Hospital | ||||||||||
| 1425 N Randall Road | Elgin | IL | 60123 | 362167920 | Serve the community's healthcare needs | IL | 501(c)(3) | Line 3 | Sherman Health Systems | 1 |
| Sherman West Court | ||||||||||
| 1950 Larkin Avenue | Elgin | IL | 60123 | 363725580 | Provide long-term nursing care | IL | 501(c)(3) | Line 9 | Sherman Health Systems | 1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Visions Inc | |||||||||||||||||
| 1425 N Randall Road | Elgin | IL | 60123 | 363780082 | Physician practice management | IL | Sherman Health Systems | C | -3895305 | 4661394 | 1.00000 | 1 | |||||
| The Delphi Group IV Inc | |||||||||||||||||
| 1425 N Randall Road | Elgin | IL | 60123 | 364017279 | Health cost management | IL | Sherman Health Systems | C | 0.83000 | 1 | |||||||
| Sherman Group Practice Inc | |||||||||||||||||
| 1435 N Randall Road | Elgin | IL | 60123 | 262891035 | Physician group | IL | Health Visions Inc | C | 1.00000 | 1 | |||||||
| Sherman Physician Group Inc | |||||||||||||||||
| 1435 N Randall Road | Elgin | IL | 60123 | 264800497 | Physician group | IL | Health Visions Inc | C | 1.00000 | 1 | |||||||
| Sherman Health Insurance Company Ltd | |||||||||||||||||
| 980703036 | Insurance Provider | Sherman Health Systems | C | 1.00000 | 1 | PO Box 1159 | Grand Cayman | CJ | KY1-1102 | CJ | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (13 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Health Visions Inc | ||
| J | 536596 | Fair Market Value |
| Sherman Home Health Care Corporation | ||
| J | 75497 | Fair Market Value |
| Sherman Health Foundation | ||
| J | 55357 | Fair Market Value |
| Sherman Hospital | ||
| J | 2002960 | Fair Market Value |
| Health Visions Inc | ||
| O | 97267 | Fair Market Value |
| Sherman Home Health Care Corporation | ||
| O | 95806 | Fair Market Value |
| Sherman West Court | ||
| O | 54133 | Fair Market Value |
| Sherman Hospital | ||
| O | 2837997 | Fair Market Value |
| Sherman Hospital | ||
| P | 5337356 | Fair Market Value |
| Sherman Hospital | ||
| R | 1592334 | Fair Market Value |
| Sherman Hospital | ||
| S | 455162 | Fair Market Value |
| Sherman Hospital | ||
| S | 9000000 | Fair Market Value |
| Sherman Health Insurance Company | ||
| P | 199358 | Fair Market Value |