ADVOCATE SHERMAN HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ADVOCATE SHERMAN HOSPITAL (EIN 36-2167920)
- Tax period
- 2012-05-01 to 2013-04-30
- Filed
- 2014-03-07
- IRS object ID
- 201420669349300332
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-03-07T15:58:54-06:00 | 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 | 362167920 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sherman Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SHER | NameControl |
| Phone | 8477429800 | 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 | 8477429800 | 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 | 270337186 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SHERMANHOSPITAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1887 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | To serve the community by consistently providing quality healthcare with compassion. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2446 | TotalNbrEmployees |
| Total Nbr Volunteers | 371 | TotalNbrVolunteers |
| Total Gross UBI | 163881 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -127205 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 453629 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 672473 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 278421060 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 263917271 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 815501 | InvestmentIncomePriorYear |
| Investment Income Current Year | -77861 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6969727 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4827152 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 286659917 | TotalRevenuePriorYear |
| Total Revenue Current Year | 269339035 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 114189306 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 121101855 | 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 | 175907766 | OtherExpensePriorYear |
| Other Expenses Current Year | 154189157 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 290102072 | TotalExpensesPriorYear |
| Total Expenses Current Year | 275296012 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3442155 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -5956977 | RevenuesLessExpensesCY |
| Total Assets BOY | 488443266 | TotalAssetsBOY |
| Total Assets EOY | 471584071 | TotalAssetsEOY |
| Total Liabilities BOY | 342089060 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 337648369 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 146354206 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 133935702 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | To make a positive difference through outstanding healthcare and service--every life, every moment, every day. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 170858131 | Expense |
| Grants | 5000 | Grants |
| Revenue | 221959422 | Revenue |
| Description | Sherman Hospital is a not-for-profit healthcare organization that provides acute inpatient and outpatient care to residents of the Elgin, IL community. Founded in 1888, Sherman Hospital has expanded services and has several immediate care centers to better serve its patients, their families and numerous communities. In fiscal year 2013, Sherman treated 14,809 inpatients and had 198,292 outpatient visits. There were 60,951 emergency room visits and 115,684 visits to three immediate care centers and one imaging center newly acquired in November 2012. Sherman also delivered 2,777 newborns over the same time period. The Hospital has provided more than $48,000,000 of community benefits as identified below (* as filed in annual Community Benefit Report): -Charity care (at cost) $2,454,174* -Language assistant services $554,984* -Government sponsored indigent health care $36,105,198* -Volunteer services $413,655* -Education $452,063* -Research $362,377* -Subsidized health services $597,657* -Bad debts (at cost) $7,819,100*These community benefits were pulled from the Illinois Community Benefit Report. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 35105298 | Expense |
| Revenue | 28376139 | Revenue |
| Description | Sherman Health has more than 30 years of cardiovascular excellence focusing on proactively preventing, diagnosing and treating an array of heart conditions. As an accredited Chest Pain Center through the Society of Cardiovascular Patient Care, Sherman is dedicated to the care of our cardiac patients. This accreditation means that we integrate the industry's best practices to provide the best possible outcomes in cardiac care. We have also received Platinum recognition from the American College of Cardiology/American Heart Association. This recognition is achieved by receiving a 90 percent or above performance rating for four consecutive quarters.Sherman's Heart Failure program has achieved Advanced Certification in Heart Failure designation for our best practices in caring for heart failure patients. Additionally, we have received gold level recognition from the American Heart Association's "Get With the Guidelines-Heart Failure" program for our commitment to improving quality care.For fiscal year 2013, Sherman experienced 807 inpatient cardiac cath cases and over 500 inpatient cardiovascular surgeries. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 16915994 | Expense |
| Revenue | 15835584 | Revenue |
| Description | Sherman Hospital is recognized as a center of excellence in treating diseases and injuries of muscles, bones and joints and is a leader in state-of-the-art orthopedic diagnostic and treatment options. Depending on the injury or illness, treatment can range from non-surgical options such as casts, splints and physical therapy to surgical options from minimally invasive arthroscopy to total joint replacement. For fiscal year 2013, Sherman performed over 1,000 inpatient orthopedic surgeries. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 222879423 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | 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 | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 1 | InvestTaxExemptBonds |
| Escrow Account | 1 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 1 | 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 | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 265 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2446 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| 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 | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | 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 | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | 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 | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| 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 (33 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 | 31.50 | 8.50 | X | X | 673976 | 0 | 154631 | ||
| Terry Dunning | |||||||||
| Chairman | 4.00 | X | X | 6000 | 0 | 0 | |||
| William Hoffer | |||||||||
| Vice Chairman | 4.00 | X | X | 6000 | 0 | 0 | |||
| Audrey Reed | |||||||||
| Secretary | 4.00 | 3.00 | X | X | 6000 | 0 | 0 | ||
| David Bear | |||||||||
| Treasurer | 4.00 | X | X | 5500 | 0 | 0 | |||
| Robert Cormier | |||||||||
| Director | 4.00 | X | 6000 | 0 | 0 | ||||
| Roger Bielinski MD | |||||||||
| Director | 4.00 | X | 6000 | 0 | 0 | ||||
| Nathaniel Edmond | |||||||||
| Director | 4.00 | X | 6000 | 0 | 0 | ||||
| Richard Jakle | |||||||||
| Director | 4.00 | X | 8000 | 0 | 0 | ||||
| Sharon Jakle | |||||||||
| Director | 4.00 | X | 2750 | 0 | 0 | ||||
| Joy Jensen | |||||||||
| Director | 4.00 | 20.00 | X | 24164 | 0 | 15572 | |||
| Pamela Jensen | |||||||||
| Director | 4.00 | X | 6000 | 0 | 0 | ||||
| Kenneth Koehler | |||||||||
| Director | 4.00 | X | 6000 | 0 | 0 | ||||
| Lawrence Kosinski MD | |||||||||
| Director | 4.00 | X | 5350 | 0 | 0 | ||||
| Ashok Mehta MD | |||||||||
| Director | 8.00 | X | 10050 | 0 | 0 | ||||
| Solomon Secemsky MD | |||||||||
| Director | 4.00 | X | 5525 | 0 | 0 | ||||
| Michael Shales | |||||||||
| Director | 4.00 | X | 500 | 0 | 0 | ||||
| Shujauddin Valika MD | |||||||||
| Director | 8.00 | X | 33000 | 0 | 0 | ||||
| Linda Wallace | |||||||||
| Director | 4.00 | X | 6000 | 0 | 0 | ||||
| Charles Burnidge | |||||||||
| Director | 4.00 | X | 2500 | 0 | 0 | ||||
| Eric Krueger | |||||||||
| Chief Financial Officer | 31.50 | 8.50 | X | 342501 | 0 | 66531 | |||
| Linda Deering | |||||||||
| Chief Operating Officer | 34.00 | 6.00 | X | 413807 | 0 | 74141 | |||
| Ian Jones | |||||||||
| VP Clinical Performance | 40.00 | 412883 | 0 | 73769 | X | ||||
| Katie Bata | |||||||||
| VP Human Resources | 33.00 | 7.00 | 260354 | 0 | 48454 | X | |||
| Jane Bradford | |||||||||
| Exec Dir. Physician Svcs | 20.00 | 20.00 | 192681 | 0 | 7386 | X | |||
| Mary Martini | |||||||||
| VP Professional Services | 40.00 | 232598 | 0 | 43755 | X | ||||
| Judith Balcitis | |||||||||
| Chief Nursing Officer | 40.00 | 235653 | 0 | 28432 | X | ||||
| Thomas Nitz | |||||||||
| VP Ancillary Services | 39.00 | 1.00 | 213997 | 0 | 39475 | X | |||
| Michael Mulay | |||||||||
| Controller | 40.00 | 150699 | 0 | 24823 | X | ||||
| Patrick Uplegger | |||||||||
| Director of Pharmacy | 40.00 | 150595 | 0 | 15259 | X | ||||
| Claudia Larsen | |||||||||
| Exec Director SFHC | 40.00 | 140155 | 0 | 7044 | X | ||||
| William Kelty | |||||||||
| Director of IT | 40.00 | 138578 | 0 | 27928 | X | ||||
| Donnis Boggs | |||||||||
| Pharmacy Clinical Coordinator | 41.00 | 138052 | 0 | 5855 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3847868 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 633055 | TotalOtherCompensation |
| Number Individuals GT100 K | 105 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Lamp Incorporated | |||||
| 460 North Grove Avenue | Elgin | IL | 60120 | Construction & Demo Mgmt | 2802447 |
| Cerner Corporation | |||||
| 2800 Rockcreek Parkway | Kansas City | MO | 64117 | Information Technology | 1457103 |
| Siemens Medical Solutions | |||||
| Dept CH14195 | Palatine | IL | 600554195 | Equipment Maintenance/Repairs | 1407302 |
| Accentus Inc | |||||
| 1541 South Waukegan Road | Waukegan | IL | 60085 | Medical Transcription Services | 1276363 |
| Aramark Corporation | |||||
| PO Box 8018 | Philadelphia | PA | 191018018 | Cafe Management Services | 1044656 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 74 | NumberOfContractorsGT100K |
| Fundraising Events | 96363 | FundraisingEvents |
| Government Grants | 574454 | GovernmentGrants |
| All Other Contributions | 1656 | AllOtherContributions |
| Total Contributions | 672473 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Services | 621110 | 250824114 | 250824114 |
| Medicare/Medicaid | 621110 | 12330226 | 12330226 |
| Algonquin Road Surgery | 900099 | 468680 | 468680 |
| Medical Records | 621110 | 130767 | 130767 |
| Paramedic Training | 621110 | 123461 | 123461 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40023 | TotalRevenueColumn |
| Related Or Exempt Function Income | 40023 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 263917271 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 825302 | TotalRevenueColumn |
| Exclusion | $825,302 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14720 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 917883 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -903163 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -903163 | TotalRevenueColumn |
| Exclusion | -$903,163 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 39412 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 96363 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 80268 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -40856 | TotalRevenueColumn |
| Exclusion | -$40,856 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| EHR Incentive | 621500 | 2189835 | 2189835 | |
| Cafeteria Revenue | 721000 | 1027668 | $1,027,668 | |
| Laboratory Income | 621500 | 407459 | $407,459 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1243046 | TotalRevenueColumn |
| Related Or Exempt Function Income | 64039 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 163881 | UnrelatedBusinessRevenue |
| Exclusion | $1,015,126 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4868008 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 269339035 | TotalRevenueColumn |
| Related Or Exempt Function Income | 266171145 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 163881 | UnrelatedBusinessRevenue |
| Exclusion | $2,331,536 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5000 | Total |
| Program Services | 5000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3532527 | Total |
| Management And General | 3532527 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97752034 | Total |
| Program Services | 87550277 | ProgramServices |
| Management And General | 10201757 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2804440 | Total |
| Program Services | 2804440 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10404510 | Total |
| Program Services | 10404510 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6608344 | Total |
| Program Services | 6608344 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 303846 | Total |
| Program Services | 303846 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 863752 | Total |
| Program Services | 863752 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 157806 | Total |
| Program Services | 157806 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15729307 | Total |
| Program Services | 12394236 | ProgramServices |
| Management And General | 3335071 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1013722 | Total |
| Program Services | 15817 | ProgramServices |
| Management And General | 997905 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1269317 | Total |
| Program Services | 320395 | ProgramServices |
| Management And General | 948922 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4819336 | Total |
| Program Services | 4709197 | ProgramServices |
| Management And General | 110139 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13995064 | Total |
| Program Services | 7209929 | ProgramServices |
| Management And General | 6785135 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 312841 | Total |
| Program Services | 201536 | ProgramServices |
| Management And General | 111305 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14575157 | Total |
| Program Services | 81375 | ProgramServices |
| Management And General | 14493782 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24355741 | Total |
| Program Services | 22774720 | ProgramServices |
| Management And General | 1581021 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8519731 | Total |
| Program Services | 7651196 | ProgramServices |
| Management And General | 868535 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 50383696 | 49202094 | 1181602 |
| IL Medicaid Tax | 7626880 | 7626880 | |
| Intercompany Mgmt Fees | 4267708 | 4267708 | |
| Center St. Demolition | 1965551 | 1965551 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4029702 | Total |
| Program Services | 1994073 | ProgramServices |
| Management And General | 2035629 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 275296012 | Total |
| Program Services | 222879423 | ProgramServices |
| Management And General | 52416589 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32182076 | BOY |
| EOY | 38639168 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58925655 | BOY |
| EOY | 48712151 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4502167 | BOY |
| EOY | 4826522 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2938439 | BOY |
| EOY | 3515346 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 548876656 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 203576115 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 363037382 | BOY |
| EOY | 345300541 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3001620 | BOY |
| EOY | 115 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23855927 | BOY |
| EOY | 30590228 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 488443266 | BOY |
| EOY | 471584071 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31277071 | BOY |
| EOY | 31522058 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2116777 | BOY |
| EOY | 2042686 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 260670052 | BOY |
| EOY | 257020545 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48025160 | BOY |
| EOY | 47063080 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 342089060 | BOY |
| EOY | 337648369 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145995503 | BOY |
| EOY | 133428702 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 358703 | BOY |
| EOY | 507000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146354206 | BOY |
| EOY | 133935702 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 488443266 | BOY |
| EOY | 471584071 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -5956977 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -6461527 | 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 | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $34,691 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 34691 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | Percentage of annual IHA and MCHC dues allocable to lobbying activities. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15177055 | OtherCostOrOtherBasis |
| Book Value | 15177055 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 348356350 | OtherCostOrOtherBasis |
| Depreciation | 62193764 | Depreciation |
| Book Value | 286162586 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2835677 | OtherCostOrOtherBasis |
| Depreciation | 1241832 | Depreciation |
| Book Value | 1593845 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 173239916 | OtherCostOrOtherBasis |
| Depreciation | 136049295 | Depreciation |
| Book Value | 37190621 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9267658 | OtherCostOrOtherBasis |
| Depreciation | 4091224 | Depreciation |
| Book Value | 5176434 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 345300541 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Deferred Finance Charges | 3025465 |
| Investment in and Advances to Affiliate and Other | 8779775 |
| Board Designated Assets for Capital Improvements | 96227 |
| Prepaid Medicaid Assessment Tax | 1262382 |
| Insurance Recoveries | 15328080 |
| Goodwill | 989966 |
| Intangibles | 1108333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 30590228 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Estimated Third-Party Payor Settlements | $26,513,738 |
| Accrued Medical Malpractice and Other | $20,549,342 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 47063080 | 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 G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Benefit Ball | NameOfEvent1 |
| Gross Receipts Event1 | 135775 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 96363 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 39412 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 500 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 104 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 61614 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 18050 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 135775 | GrossReceiptsTotal |
| Charitable Contributions Total | 96363 | CharitableContributionsTotal |
| Gross Revenue Total Events | 39412 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 500 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 104 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 61614 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 18050 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 80268 | DirectExpenseSummaryEvents |
| Net Income Summary | -40856 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 600.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2496111 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2496111 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00910 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 39579050 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27638873 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11940177 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04370 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 42075161 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27638873 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14436288 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05280 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 397072 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 50705 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 346367 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 576208 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 124145 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 452063 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 314243 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 122707 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 191536 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 391153 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 28776 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 362377 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1678676 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 326333 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1352343 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00500 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 43753837 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27965206 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15788631 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05780 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 487141 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 487141 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 487141 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 487141 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $32,071,000 | BadDebtExpenseAmount |
| Amount Attributable To | 7355651 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 81708565 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 105733422 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -24024857 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 Algonquin Road Surgery Center LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Free-standing ancillary surgery center | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.25500 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.49000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sherman Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1425 N Randall Road | AddressLine1 |
| City | Elgin | City |
| State | IL | State |
| ZIP Code | 601232300 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
| Other | General healthcare | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sherman Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 600.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 1 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Sherman Health ImagingRehabilitation | ||||
| 745 Fletcher Drive Suite 103 | Elgin | IL | 60123 | Imaging & PT Services |
| Sherman Outpatient Center | ||||
| 600 S Randall Road | Algonquin | IL | 60102 | Outpatient Services |
| Sherman Immediate Care | ||||
| 2320 Royal Blvd | Elgin | IL | 60123 | Immediate Care |
| Sherman Immediate Care | ||||
| 2000 McDonald Road | South Elgin | IL | 60177 | Immediate Care |
| Sherman Randall Road Imaging Center | ||||
| 1710 N Randall Road | Elgin | IL | 60123 | Imaging Services |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 6a: Part I, Line 6a. Sherman Hospital prepares and files the Annual Non-Profit Hospital Community Benefit Plan Report with the Attorney General's Office of the State of Illinois. | ||
| Part I, L7 Col(f): The following is from the text of the footnote to the audited financial statements describing patient receivables, provision for doubtful accounts and bad debt expense. "Patient receivables due directly from the patients are carried at their original charge for the service provided less amounts covered by third-party payors and less an estimated allowance for doubtful receivables. Management estimates this allowance based on the aging of its accounts receivable and its historical collection experience for each payor type. Recoveries of receivables previously written off are recorded as a reduction of bad debt expense when received. The past due status of receivables is determined on a case-by-case basis depending on the payor responsible. Interest is not charged on past due accounts." Self pay discounts are not included in bad debt expense in the financial statements. The organization's bad debt expense (at cost) as reported on lines 2 and 3 above were determined using a cost to charge ratio. | ||
| Part I, line 3a. Sherman provides emergent and medically necessary services to all patients without regard to the patient's ability to pay. Sherman's financial assistance policy applies to all Sherman facilities, and the amount of free care provided under the policy is determined by need and is not limited or rationed by budgeted amounts. Under the policy, Sherman will provide free care to individuals without insurance with incomes up to 200% of the Federal Poverty Level. Part I, Line 3b. For uninsured patients who do not qualify for charity care, Sherman provides a discount regardless of their ability to pay or income level. Under this program, Sherman provides a 30% discount off charges at the time of service. Consistent with the Hospital Uninsured Patient Discount Act (Illinois), uninsured patients may also be entitled to a 66% discount off charges based on their income level. Under this policy, Sherman provides a discount (up to 66%) on a sliding scale up to 600% of the Federal Poverty Level. Of the remaining balance, the patient's liability is capped at 25% of the family annual income. | ||
| Part II: Sherman Hospital serves as the Regional Hospital Coordinating Center (RHCC) for Emergency Medical Services Regional Planning Area IX, which is the Illinois Department of Public Health (IDPH) designation for the lead disaster planning hospital. The Region includes 12 full service hospitals and serves a population of approximately 1.4 million people. As the RHCC, Sherman Hospital is a recipient of the ASPR Hospital Preparedness Program grants through IDPH. We are responsible for meeting federally identified capabilities to prepare for all hazardous community health emergencies. One of our primary tasks is to build relationships and resources with municipal, county and state agencies to plan for multidisciplinary response to a community disaster or other healthcare emergency. Our activities seek to improve the resiliency of the population we serve. | ||
| Part III, Line 8: The costing methodology used to determine the amount reported on line 6 above was determined using a cost to charge ratio calculated using the IRS worksheets. | ||
| Part III, Line 9b: Part III, Line 9b. It is the policy of Sherman to offer patients a payment plan and/or charity assistance when it becomes known or even suspected that a patient needs financial assistance. Financial counselors are notified and every attempt is made to work with the patient or their family to help them complete an application. Financial counselors work with the patient to help determine if they are eligible for any federal programs, including Medicaid, or other third party payors. In the event no third party programs are identified, we then work with the patient to help them apply for charity discounts and payment plans. If a patient is known to qualify for charity care, it is our policy not to pursue collections against them. | ||
| Part V, Section B, Line 4: Centegra Hospital, Provena Hospital, Rush-Copley Hospital, Delnor Hospital, Advocate Good Shepherd Hospital | Sherman Hospital | |
| Part V, Section B, Line 20d: For uninsured patients who do not qualify for charity care, Sherman provides a discount regardless of their ability to pay or income level. Under this program, Sherman provides a 30% discount off charges at the time of service. Consistent with the Hospital Uninsured Patient Discount Act (Illinois), uninsured patients may also be entitled to a 66% discount off charges based on their income level. Under this policy, Sherman provides a discount (up to 66%) on a sliding scale up to 600% of the Federal Poverty Level. Of the remaining balance, the patient's liability is capped at 25% of the family annual income. | Sherman Hospital | |
| Part V, Section B, Line 21: See Part V, Section B, Line 19d explanation above. | Sherman Hospital | |
| Part VI, Line 2: The Community Health Needs Assessment for 2013 was conducted in collaboration with area hospitals and the Kane County Health Department. Hospitals participating include Delnor Community Hospital in Geneva, Provena St. Joseph's Hospital in Elgin, Rush Copley in Aurora, Provena Mercy Medical Center in Aurora and Advocate Good Shepherd Hospital in Barrington, in addition to Sherman Hospital.Northern Illinois University Public Opinion Lab was responsible for the survey using telephone and focus group methodology. The 2013 Illinois Behavioral Risk Factor Surveillance Systems (BRFSS) questionnaire was administered so that it was possible to compare Kane County results with Illinois and national estimates for adults aged 18 and older, as well as children. Results will include a comprehensive assessment that identifies local public health strengths, weaknesses and unmet health-related needs. Results will be utilized to mobilize the Community Wellness Department at Sherman Health to identify and act on strategic health issues in collaboration with other health agencies in our surrounding service areas. | ||
| Part VI, Line 3: Informing the public that charity care is available is an important element of Sherman's charity care program. Information about the policy is posted on the Sherman Health website. Patient bills include detailed information regarding the charity care policy is also provided to patients. A summary description of the financial assistance policy is available in patient registration areas and from financial counselors who are present on-site at the Hospital to assist patients in qualifying for governmental assistance programs and charity care. | ||
| Part VI, Line 4: Sherman Hospital is located in Elgin, Illinois which is approximately 40 miles northwest of Chicago. The Hospital's primary and secondary service areas, defined as those zip codes contributing approximately 90% of Hospital's total inpatients, cover portions of Kane, McHenry, DuPage, Lake and Cook counties and are comprised of the following communities:60014 Crystal Lake, IL60102 Algonquin, IL60103 Bartlett, IL60107 Streamwood, IL60110 Carpentersville, IL60118 Dundee, IL60120 Elgin, IL60123 Elgin, IL60124 Elgin, IL60136 Gilberts, IL60142 Huntley, IL60156 Lake in the Hills, IL60177 South Elgin, IL60010 Barrington, IL60013 Cary, IL60050 McHenry, IL60098 Woodstock, IL60133 Hanover Park, IL60140 Hampshire, IL60152 Marengo, IL60174 Saint Charles, IL60175 Saint Charles, IL60135 Genoa, IL60178 Sycamore, IL61008 Belvidere, ILFor FY13, the adult Hospital admissions were from the following age groups: pediatrics 3%15-44 34%45-64 23%65-74 17%>75 24%The gender of these admissions was 62% female and 38% male. | ||
| IL | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 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 | 497435 | 0 | 161987 | 0 | 14554 | 0 | 131867 | 0 | 22764 | 0 | 828607 | 0 | 0 | 0 |
| Eric Krueger | ||||||||||||||
| Chief Financial Officer | 281193 | 0 | 60573 | 0 | 735 | 0 | 44773 | 0 | 21758 | 0 | 409032 | 0 | 0 | 0 |
| Linda Deering | ||||||||||||||
| Chief Operating Officer | 314754 | 0 | 87997 | 0 | 11056 | 0 | 65794 | 0 | 8347 | 0 | 487948 | 0 | 0 | 0 |
| Ian Jones | ||||||||||||||
| VP Clinical Performance | 336743 | 0 | 71618 | 0 | 4522 | 0 | 53408 | 0 | 20361 | 0 | 486652 | 0 | 0 | 0 |
| Katie Bata | ||||||||||||||
| VP Human Resources | 190232 | 0 | 48513 | 0 | 21609 | 0 | 31443 | 0 | 17011 | 0 | 308808 | 0 | 0 | 0 |
| Jane Bradford | ||||||||||||||
| Exec Dir. Physician Svcs | 166072 | 0 | 3000 | 0 | 23609 | 0 | 6676 | 0 | 710 | 0 | 200067 | 0 | 0 | 0 |
| Mary Martini | ||||||||||||||
| VP Professional Services | 192132 | 0 | 39996 | 0 | 470 | 0 | 29591 | 0 | 14164 | 0 | 276353 | 0 | 0 | 0 |
| Judith Balcitis | ||||||||||||||
| Chief Nursing Officer | 190631 | 0 | 44302 | 0 | 720 | 0 | 27812 | 0 | 620 | 0 | 264085 | 0 | 0 | 0 |
| Thomas Nitz | ||||||||||||||
| VP Ancillary Services | 168844 | 0 | 39335 | 0 | 5818 | 0 | 24850 | 0 | 14625 | 0 | 253472 | 0 | 0 | 0 |
| Michael Mulay | ||||||||||||||
| Controller | 133738 | 0 | 10000 | 0 | 6961 | 0 | 4773 | 0 | 20050 | 0 | 175522 | 0 | 0 | 0 |
| Patrick Uplegger | ||||||||||||||
| Director of Pharmacy | 142900 | 0 | 3000 | 0 | 4695 | 0 | 5989 | 0 | 9270 | 0 | 165854 | 0 | 0 | 0 |
| William Kelty | ||||||||||||||
| Director of IT | 129939 | 0 | 3000 | 0 | 5639 | 0 | 5679 | 0 | 22249 | 0 | 166506 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | Sherman Hospital pays for dues and other expenses incurred at Elgin Country Club, which is used to entertain physician and board groups. Because Rick Floyd uses the club periodically, he reimburses Sherman for any time or expense deemed personal. None of the expenses are included in his taxable compensation. |
| Part I, Line 4b | Supplemental Executive Retirement Plan Participants: Richard Floyd - $119,617 Linda Deering - $54,438 Ian Jones - $41,576 Eric Krueger - $33,881 Katie Bata - $23,007 Mary Martini - $21,488 Thomas Nitz - $18,705 Judith Balcitis - $20,217 |
| Part I, Line 7 | The Executive Incentive Compensation Plan is linked to Sherman's strategic and fiscal-year business planning processes. The Plan is intended to focus attention on important, mission-critical performance goals and measures. The Plan also is intended to enhance the performance of the organization and its senior leadership. Prior to the start of the fiscal year and as a part of Sherman's business planning process, Sherman's President/CEO and his/her executive team will prepare a list of System Priorities (i.e., organization-wide goals and measures to be used to assess overall performance during the fiscal year). The list is presented to and discussed with the full Board. The full Board will approve the System Priorities. In a similar manner, a list of Individual Priorities will be developed for each executive. The System and Individual Priorities become the participants' incentive compensation performance plan. The shared System Priorities are intended to reinforce the concept of team performance among Sherman's senior leadership. Plan awards are determined after the close of the fiscal year and are calculated as percentages of participants' salaries paid for time worked during the fiscal year. |
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 | Illinois Finance Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 861091967 | IssuerEIN |
| CUSIP Number | 45200FBB4 | CUSIPNumber |
| Date Issued | 2007-10-31 | DateIssued |
| Issue Price | 168752200 | IssuePrice |
| Description Of Purpose | Construct and equip facility | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | 176267330 | TotalProceeds |
| Amount In Reserve Fund | 17491841 | AmountInReserveFund |
| Issuance Costs From Proceeds | 2395571 | IssuanceCostsFromProceeds |
| Working Capital Expenditures | 8783663 | WorkingCapitalExpenditures |
| Capital Expenditures | 147596255 | CapitalExpenditures |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.01000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.01000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 1 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 1 | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Royal Bank of | BusinessNameLine1 |
| Business Name Line2 | Canada | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 30.000000000000 | TermOfGIC |
| Regulatory Safe Harbor Satisfied | 1 | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | 1 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 0 | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule K Part IV, Arbitrage, Line 2c | Identifier |
| Return Reference | Date Rebate Computation Performed | ReturnReference |
| Explanation | Issuer Name: Illinois Finance Authority Date the Rebate Computation was Performed: 08/01/2012 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Juliet Dunning | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Daughter of Terry Dunning, Chairman | Relationship |
| Amount Of Transaction | 35162 | AmountOfTransaction |
| Description Of Transaction | Gross wages | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | Richard Jakle and Sharon Jakle had a family relationship. | |
| Form 990, Part VI, Section A, line 6 | The sole member of Hospital is Sherman Health Systems (SHS). | |
| Form 990, Part VI, Section A, line 7a | See Part VI, Section A, Line 7b explanation. | |
| Form 990, Part VI, Section A, line 7b | The following decisions of Hospital's board of directors requires approval from SHS, as its sole member: -To appoint the directors of the Corporation; -To remove a director of the Corporation at any time, with or without cause; -To appoint the Chairman and Vice Chairman of the Corporation, and all officers of the Corporation who are not also employees of the Corporation; -To unilaterally approve and amend the articles of incorporation and bylaws of the Corporation before the same become effective; -To approve, interpret or change the statement of the Corporation's purpose before the same becomes effective; -To approve each annual operating and capital budget and long-range plan of the Corporation before expenditures may be made therefrom; -To approve the appointment of independent auditors, all accounting policies, internal auditors (if any) and all investment guidelines; -To approve all contracts obligating the Corporation to expend or repay an amount in excess of $100,000, and which was not included in a previously approved annual budget; -To approve all plans of merger, consolidation or voluntary dissolution of the Corporation; -To approve the sale, lease, exchange, mortgage, pledge or other diposition of more than $100,000 in value of property and assets of the Corporation in any one year which is not within an approved budget; -To approve the creation of majority controlled or owned subsidiaries or affiliates by the Corporation; -To approve the Corporation's incurring debt, including intra-system debt, or obligating its assets in excess of an amount designated by the Member, unless such debt or obligation was included in a budget previously approved by the Member; -To approve corporate acquisitions by the Corporation of any joint venture; -To approve investments by the Corporation in excess of an amount designated by the Member, unless such investment was included in a budget previously approved by the Member | |
| Form 990, Part VI, Section B, line 11 | Sherman Hospital'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 Hospital ("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. | |
| Form 990, Part VI, Section B, line 15 | Market evaluations will be conducted 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 XI, line 9: | Book/Tax Difference Relating to Partnership Investments -101,720. Net Transfers to Affiliates -6,508,104. Net Assets Released from Restriction -149,322. Interest in Contributions of Sherman Health Foundation 297,619. | 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 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | |
| Sherman Health Systems | |||||||||||
| 1425 N Randall Road | Elgin | IL | 60123 | 363673380 | Maintain Health Service Institutions serving the Surrounding Community | IL | 501(c)(3) | Line 11a, I | 0 | N/A | |
| 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 | 0 | |
| Sherman West Court | |||||||||||
| 1950 Larkin Avenue | Elgin | IL | 60123 | 363725580 | Provide Long-Term Nursing Care | IL | 501(c)(3) | Line 9 | Sherman Health Systems | 0 | |
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 | 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 | 0 | |||||
| Sherman Group Practice Inc | ||||||||||||||
| 1435 N Randall Road | Elgin | IL | 60123 | 262891035 | Physician Group | IL | Health Visions Inc | C | 0 | |||||
| Sherman Health Insurance Company Ltd | ||||||||||||||
| 980703036 | Insurance Provider | Sherman Health Systems | C | 0 | PO Box 1159 | Grand Cayman | CJ | KY1-1102 | CJ | |||||
| Sherman Physician Group Inc | ||||||||||||||
| 1435 N Randall Road | Elgin | IL | 60123 | 264800497 | Physician Group | IL | Health Visions Inc | C | 0 | |||||
| The Delphi Group IV Inc | ||||||||||||||
| 1425 N Randall Road | Elgin | IL | 60123 | 364017279 | Health Cost Management | IL | Sherman Health Systems | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | 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 | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | 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 | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |