ADVOCATE SHERMAN HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- ADVOCATE SHERMAN HOSPITAL (EIN 36-2167920)
- Tax period
- 2009-05-01 to 2010-04-30
- Filed
- 2011-03-10
- IRS object ID
- 201100699349300805
- Schema version
- 2009v1.7
- 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 | 2011-03-10T22:04:00-06:00 | Timestamp |
| Tax Period End Date | 2010-04-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM MCGLADREY INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE SOUTH WACKER DRIVE SUITE 800 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 606063392 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-05-01 | 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 | VP Finance | Title |
| Phone | 8477429800 | Phone |
| Date Signed | 2011-03-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Zack Fortsch | Name |
| Phone | 3126343400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Richard Floyd | 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 | 228651870 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | HTTP://WWW.SHERMANHEALTH.ORG | 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 | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2198 | TotalNbrEmployees |
| Total Nbr Volunteers | 366 | TotalNbrVolunteers |
| Total Gross UBI | 214442 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -233774 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 275009 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1384962 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 226288175 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 222632053 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2040159 | InvestmentIncomePriorYear |
| Investment Income Current Year | 856240 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3774395 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3661064 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 232377738 | TotalRevenuePriorYear |
| Total Revenue Current Year | 228534319 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 12150 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 93330549 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 99700526 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 139347219 | OtherExpensePriorYear |
| Other Expenses Current Year | 141810424 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 232689918 | TotalExpensesPriorYear |
| Total Expenses Current Year | 241515950 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -312180 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -12981631 | RevenuesLessExpensesCY |
| Total Assets BOY | 436812960 | TotalAssetsBOY |
| Total Assets EOY | 499595524 | TotalAssetsEOY |
| Total Liabilities BOY | 354358715 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 327935351 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 82454245 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 171660173 | NetAssetsOrFundBalancesEOY |
| 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 | 214172501 | Expense |
| Grants | 1384962 | Grants |
| Revenue | 223147348 | Revenue |
| Description | While the Sherman Hospital ("Sherman") facility is a community hospital, it is also a regional heart center. In 1972, when the first open-heart surgery was performed at its facilities, the hospital facility became one of the first community hospitals in the nation performing open heart surgery. Today, the hospital facility is a recognized regional heart center for the far northwest suburbs of Chicago. According to the Illinois Hospital Association/Compdata statistics, the hospital consistently sees some of the most complex open heart cases in the state of Illinois (the "state"), and the hospital's mortality rate in cardiac surgery is consistently one of the lowest in the state. Sherman has received numerous national awards and recognition for excellence in quality. | Description |
| Total Program Service Expense | 214172501 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | 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 | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | 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 |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 221 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2198 | 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 |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | 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 (37 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | 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 | 34.00 | X | X | 467017 | 0 | 120935 | ||
| Terry Dunning | ||||||||
| Chairman | 4.00 | X | X | 6000 | 0 | 0 | ||
| Charles Burnidge | ||||||||
| Vice Chairman | 4.00 | X | X | 6000 | 0 | 0 | ||
| Audrey Reed | ||||||||
| Secretary | 4.00 | X | X | 6000 | 0 | 0 | ||
| Robert Cormier | ||||||||
| Treasurer | 4.00 | X | X | 5000 | 0 | 0 | ||
| David Bear | ||||||||
| Director | 4.00 | X | 2500 | 0 | 0 | |||
| Roger Bielinski MD | ||||||||
| Director | 4.00 | X | 5500 | 0 | 0 | |||
| Nathaniel Edmond | ||||||||
| Director | 4.00 | X | 2000 | 0 | 0 | |||
| William Hoffer | ||||||||
| Director | 4.00 | X | 6000 | 0 | 0 | |||
| Lane B Hoffman | ||||||||
| Director | 4.00 | X | 5500 | 0 | 0 | |||
| Sharon Jakle | ||||||||
| Director | 4.00 | X | 250 | 0 | 0 | |||
| Richard Jakle | ||||||||
| Director | 4.00 | X | 7000 | 0 | 0 | |||
| Joy Jensen | ||||||||
| Director | 4.00 | X | 27428 | 0 | 13707 | |||
| Pamela Jensen | ||||||||
| Director | 4.00 | X | 6000 | 0 | 0 | |||
| Kenneth Koehler | ||||||||
| Director | 4.00 | X | 3000 | 0 | 0 | |||
| Deepak Khurana MD | ||||||||
| Director | 4.00 | X | 15000 | 0 | 0 | |||
| Lawrence Kosinski MD | ||||||||
| Director | 4.00 | X | 250 | 0 | 0 | |||
| Dorothea Poulos MD | ||||||||
| Director | 4.00 | X | 51750 | 0 | 0 | |||
| Solomon Secemsky MD | ||||||||
| Director | 4.00 | X | 6500 | 0 | 0 | |||
| Albin Pagorski | ||||||||
| Director | 4.00 | X | 6250 | 0 | 0 | |||
| Linda Wallace | ||||||||
| Director | 4.00 | X | 3000 | 0 | 0 | |||
| Brian Ziegler | ||||||||
| Director | 4.00 | X | 2250 | 0 | 0 | |||
| Alan Kirk | ||||||||
| Director (Non-Voting) | 4.00 | X | 1500 | 0 | 0 | |||
| Shuja Valika MD | ||||||||
| Director (Non-Voting) | 4.00 | X | 15000 | 0 | 0 | |||
| Eric Krueger | ||||||||
| VP Finance/CFO | 34.00 | X | 266629 | 0 | 54364 | |||
| Linda Deering | ||||||||
| Executive VP/COO | 34.00 | X | 292118 | 0 | 58254 | |||
| Ian Jones | ||||||||
| VP Clinical Performance | 34.00 | 330830 | 0 | 59480 | X | |||
| Katie Bata | ||||||||
| VP Human Resources | 34.00 | 183113 | 0 | 36339 | X | |||
| Jane Bradford | ||||||||
| Exec Dir. Physician Svcs | 20.00 | 153740 | 0 | 11486 | X | |||
| Mary Martini | ||||||||
| VP Business Development | 34.00 | 160336 | 0 | 30468 | X | |||
| Judith Balcitis | ||||||||
| Chief Nursing Officer | 34.00 | 152935 | 0 | 19460 | X | |||
| Thomas Nitz | ||||||||
| VP Ancillary Services | 34.00 | 152689 | 0 | 21907 | X | |||
| William Kelty | ||||||||
| Dir. Information Services | 40.00 | 139048 | 0 | 25011 | X | |||
| Michael Mulay | ||||||||
| Controller | 30.00 | 137778 | 0 | 21047 | X | |||
| Patrick Uplegger | ||||||||
| Director of Pharmacy | 40.00 | 137176 | 0 | 11726 | X | |||
| Francis Muno | ||||||||
| Pharmacist | 39.00 | 126519 | 0 | 14078 | X | |||
| Frances Teti-Teal | ||||||||
| Dir. Birthing Center | 48.00 | 125428 | 0 | 20733 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3015034 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 518995 | TotalOtherCompensation |
| Number Individuals GT100 K | 63 | 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 |
|---|---|---|---|---|---|
| GE Medical Systems | |||||
| PO Box 96483 | Chicago | IL | 60693 | Medical Equipment Service | 2244012 |
| Aramark | |||||
| PO Box 651009 | Charlotte | NC | 282651009 | Food Service | 1656253 |
| Shepley Bullfinch Richardson & Abbott | |||||
| 2 Seaport Lane | Boston | MA | 02210 | Architectural | 1408282 |
| Alliance Rehab | |||||
| 1520 Kensington Road Ste 105 | Oak Brook | IL | 60523 | Rehab/Therapy | 1217448 |
| McKesson Information Solutions | |||||
| PO Box 98347 | Chicago | IL | 606938347 | Information Technology | 1154573 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 64 | NumberOfContractorsGT100K |
| Fundraising Events | 120690 | FundraisingEvents |
| Government Grants | 238413 | GovernmentGrants |
| All Other Contributions | 1025859 | AllOtherContributions |
| Total Contributions | 1384962 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Services | 621110 | 130442711 | 130442711 |
| Medicare/Medicaid | 621110 | 79268623 | 79268623 |
| Medicaid Assessment | 621110 | 12700656 | 12700656 |
| Paramedic Training | 621110 | 119383 | 119383 |
| Medical Records | 621110 | 76505 | 76505 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24175 | TotalRevenueColumn |
| Related Or Exempt Function Income | 24175 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 222632053 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 863239 | TotalRevenueColumn |
| Exclusion | $863,239 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 52402 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 59401 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -6999 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -6999 | TotalRevenueColumn |
| Related Or Exempt Function Income | -6999 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 42780 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 120690 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 58150 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -15370 | TotalRevenueColumn |
| Exclusion | -$15,370 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| Cafeteria Revenue | 721000 | 1486605 | $1,486,605 | |
| Miscellaneous Income | 900099 | 492245 | $492,245 | |
| Algonquin Road Surgery | 900099 | 456234 | 456234 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1241350 | TotalRevenueColumn |
| Related Or Exempt Function Income | 66060 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 214442 | UnrelatedBusinessRevenue |
| Exclusion | $960,848 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3676434 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 228534319 | TotalRevenueColumn |
| Related Or Exempt Function Income | 223147348 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 214442 | UnrelatedBusinessRevenue |
| Exclusion | $3,787,567 | 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 | 1953407 | Total |
| Management And General | 1953407 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81634122 | Total |
| Program Services | 72357907 | ProgramServices |
| Management And General | 9276215 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2598210 | Total |
| Program Services | 2598210 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8168104 | Total |
| Program Services | 8158837 | ProgramServices |
| Management And General | 9267 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5346683 | Total |
| Program Services | 5346683 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 967544 | Total |
| Program Services | 199836 | ProgramServices |
| Management And General | 767708 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 682941 | Total |
| Program Services | 682941 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147445 | Total |
| Program Services | 147445 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14703797 | Total |
| Program Services | 11690982 | ProgramServices |
| Management And General | 3012815 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1721037 | Total |
| Program Services | 1688148 | ProgramServices |
| Management And General | 32889 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1060249 | Total |
| Program Services | 385774 | ProgramServices |
| Management And General | 674475 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2071063 | Total |
| Program Services | 1853377 | ProgramServices |
| Management And General | 217686 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12067040 | Total |
| Program Services | 4730437 | ProgramServices |
| Management And General | 7336603 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 289687 | Total |
| Program Services | 86607 | ProgramServices |
| Management And General | 203080 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5507385 | Total |
| Program Services | 5507385 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27326745 | Total |
| Program Services | 27258661 | ProgramServices |
| Management And General | 68084 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6888516 | Total |
| Program Services | 6054719 | ProgramServices |
| Management And General | 833797 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 38480121 | 37291868 | 1188253 |
| Bad Debt Expense | 17767644 | 17767644 | |
| IL Medicaid Tax | 7666566 | 7666566 | |
| Equipment Rental | 1782627 | 1640813 | 141814 |
| Gift Shop/Coffee Shop | 399380 | 399380 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2280637 | Total |
| Program Services | 653281 | ProgramServices |
| Management And General | 1627356 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 241515950 | Total |
| Program Services | 214172501 | ProgramServices |
| Management And General | 27343449 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28246265 | BOY |
| EOY | 24999917 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44835491 | BOY |
| EOY | 39967383 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3356131 | BOY |
| EOY | 3843785 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3403798 | BOY |
| EOY | 3426889 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 620970575 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 215742648 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 343877240 | BOY |
| EOY | 405227927 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 7912288 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13094035 | BOY |
| EOY | 14217335 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 436812960 | BOY |
| EOY | 499595524 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25947726 | BOY |
| EOY | 28549431 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 270880486 | BOY |
| EOY | 267555803 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57530503 | BOY |
| EOY | 31830117 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 354358715 | BOY |
| EOY | 327935351 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82284930 | BOY |
| EOY | 170971782 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169315 | BOY |
| EOY | 688391 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82454245 | BOY |
| EOY | 171660173 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 436812960 | BOY |
| EOY | 499595524 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | $31,291 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 31291 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | 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 | 15177056 | OtherCostOrOtherBasis |
| Book Value | 15177056 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 408985310 | OtherCostOrOtherBasis |
| Depreciation | 92102200 | Depreciation |
| Book Value | 316883110 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2764149 | OtherCostOrOtherBasis |
| Depreciation | 698580 | Depreciation |
| Book Value | 2065569 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 183216978 | OtherCostOrOtherBasis |
| Depreciation | 119790841 | Depreciation |
| Book Value | 63426137 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10827082 | OtherCostOrOtherBasis |
| Depreciation | 3151027 | Depreciation |
| Book Value | 7676055 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 405227927 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Estimated Third-Party Payor Settlements | $18,060,731 |
| Accrued Medical Malpractice and Other | $10,523,989 |
| Construction Payable | $3,245,397 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 31830117 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X: | Identifier |
| Return Reference | Description of Uncertain Tax Positions Under FIN 48: | 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 Hospital and its not-for-profit affiliates file the applicable form 990s (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 (UBIT). UBIT is reported on form 990T, 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. Forms 990 and 1120 filed by Sherman and all affiliates are subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Forms 990 and 1120 filed by Sherman and all affiliates are no longer subject to examination for tax years before April 30, 2007. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Benefit Ball | NameOfEvent1 |
| Gross Receipts Event1 | 163470 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 120690 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 42780 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 990 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 42409 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 6600 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 8151 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 163470 | GrossReceiptsTotal |
| Charitable Contributions Total | 120690 | CharitableContributionsTotal |
| Gross Revenue Total Events | 42780 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 990 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 42409 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 6600 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 8151 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 58150 | DirectExpenseSummaryEvents |
| Net Income Summary | -15370 | 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 | 2926684 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2926684 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01310 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 40443154 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 28572513 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11870641 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05310 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 43369838 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 28572513 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14797325 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06620 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 344180 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 55950 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 288230 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 405418 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 119963 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 285455 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 314638 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 137186 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 177452 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 259217 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 95114 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 164103 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1323453 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 408213 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 915240 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00410 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 44693291 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 28980726 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15712565 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07030 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 783189 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 783189 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 783189 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 783189 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $5,324,964 | BadDebtExpenseAmount |
| Amount Attributable To | 2120488 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 61182020 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 81053689 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -19871669 | 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 | 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 |
| Physicans Profit Or Ownership | 0.49000 | PhysicansProfitOrOwnership |
Form990 Schedule H Part V Form990ScheduleHPartV (7 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| Sherman Hospital | |||||||
| 1425 N Randall Road | Elgin | IL | 601232300 | X | X | X | General healthcare |
| Sherman Health Imaging & Rehabilitation | |||||||
| 745 Fletcher Drive Suite 103 | Elgin | IL | 60123 | Imaging & PT Services | |||
| Sherman Health Resource Center | |||||||
| 1019 E Chicago Street | Elgin | IL | 60123 | Cardiac Rehab & PT | |||
| Sherman Immediate Care | |||||||
| 600 S Randall Road | Algonquin | IL | 60102 | Immediate Care | |||
| Sherman Immediate Care | |||||||
| 934 Center Street | Elgin | IL | 60103 | Immediate Care | |||
| Sherman Immediate Care | |||||||
| 2320 Royal Blvd | Elgin | IL | 60123 | Immediate Care | |||
| Sherman Immediate Care | |||||||
| 2000 McDonald Road | South Elgin | IL | 60177 | Immediate Care | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | 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. | AnnualCommunityBenefitExpln |
| Percent Of Total Expense Expln | Part I, Line 7f: Bad Debt Expense: $17,767,644 | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: 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 less amounts covered by third-party payors and less an estimated allowance for doubtful receivables. Management estimates this allowance based on its aging of its accounts receivable and its historical collections experience for each payor type. Recoveries of receivable 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. For the fiscal year ended April 30, 2010, Sherman reported provisions for bad debt expense of $17,767,646 of which it's estimated that 40% of this amount would have been reported as charity if the patient would have cooperated with the charity application processes. | BadDebtFootnote |
| Shortfall As Community Benefit | 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. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | 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. | DebtCollectionPolicy |
| General Explanation | 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 60% discount off charges based on their income level. Under this policy, Sherman provides a discount (up to 60%) 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. | GeneralExplanation |
| Needs Assessment | Part VI, Line 2: The Community Health Needs Assessment for 2011 will be 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 and Provena Mercy Medical Center in Aurora in addition to Sherman Hospital.Northern Illinois University Public Opinion Lab will be responsible for the survey using telephone and focus group methodology. The 2011 Illinois Behavioral Risk Factor Surveillance Systems (BRFSS) questionnaire will be administered so that it will be possible to compare Kane County results with Illinois and national estimates for adults aged 18 and older, as well as children. Results will be available in May of 2011. 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. | NeedsAssessment |
| Patient Education Assistance | 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. | PatientEducationAssistance |
| Community Information | 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 cover portions of Kane, McHenry, DuPage, Lake and Cook counties. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: 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. | CommunityBuildingActivities |
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 | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| 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 | |||||||||||||
| 459382 | 0 | 0 | 0 | 7635 | 0 | 100967 | 0 | 20744 | 0 | 588728 | 0 | 0 | 0 |
| Eric Krueger | |||||||||||||
| 256041 | 0 | 10000 | 0 | 588 | 0 | 35543 | 0 | 19439 | 0 | 321611 | 0 | 0 | 0 |
| Linda Deering | |||||||||||||
| 281311 | 0 | 0 | 0 | 10807 | 0 | 51578 | 0 | 7414 | 0 | 351110 | 0 | 0 | 0 |
| Ian Jones | |||||||||||||
| 318636 | 0 | 10000 | 0 | 2194 | 0 | 42068 | 0 | 18288 | 0 | 391186 | 0 | 0 | 0 |
| Katie Bata | |||||||||||||
| 172749 | 0 | 10000 | 0 | 364 | 0 | 24015 | 0 | 12800 | 0 | 219928 | 0 | 0 | 0 |
| Jane Bradford | |||||||||||||
| 149219 | 0 | 4000 | 0 | 521 | 0 | 5836 | 0 | 6270 | 0 | 165846 | 0 | 0 | 0 |
| Mary Martini | |||||||||||||
| 150205 | 0 | 10000 | 0 | 131 | 0 | 20130 | 0 | 15778 | 0 | 196244 | 0 | 0 | 0 |
| Judith Balcitis | |||||||||||||
| 142680 | 0 | 10000 | 0 | 255 | 0 | 19460 | 0 | 482 | 0 | 172877 | 0 | 0 | 0 |
| Thomas Nitz | |||||||||||||
| 142417 | 0 | 10000 | 0 | 272 | 0 | 6895 | 0 | 15506 | 0 | 175090 | 0 | 0 | 0 |
| William Kelty | |||||||||||||
| 122723 | 0 | 10000 | 0 | 6325 | 0 | 5303 | 0 | 20112 | 0 | 164463 | 0 | 0 | 0 |
| Michael Mulay | |||||||||||||
| 126109 | 0 | 4000 | 0 | 7669 | 0 | 5213 | 0 | 16194 | 0 | 159185 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 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 4a | Supplemental Executive Retirement Plan Participants: Richard Floyd - $90,642 Eric Krueger - $25,274 Linda Deering - $41,253 Ian Jones - $31,743 Katie Bata - $17,012 Mary Martini - $14,028 Judith Balcitis - $13,998 Thomas Nitz - $4,888 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
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 | 1 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 173800847 | TotalProceeds |
| Amount In Reserve Fund | 16875220 | AmountInReserveFund |
| Issuance Costs From Proceeds | 2395571 | IssuanceCostsFromProceeds |
| Working Capital Expenditures | 6933802 | 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) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Percentage Of Prvt Business Re UBI | 0.00600 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00600 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| 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 |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Brady & Jensen | |||
| Family member of Pam Jensen, Director is more than a 5% owner | 30764 | Legal fees | 0 |
| Juliet Dunning | |||
| Daughter of Terry Dunning, Chairman | 37461 | Gross wages | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 2 | Sharon Jakle and Richard Jakle have 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 | The organization's tax advisor prepares form 990. Management reviews form 990 with the tax advisor and submits the completed form to the audit committee for review and approval. The audit committee meets with the tax advisor to discuss and approve form 990 for filing. 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 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. 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 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. |
| 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 VII, Hours Per Week Worked at Related Organizations: | Richard Floyd: Sherman Health Systems-6 hrs; Sherman West Court-1hr; Sherman Home Health Corporation-1hr; Sherman Health Foundation-0.5hrs Eric Krueger: Sherman Health Systems-6 hrs; Sherman Health Foundation-0.5hrs Linda Deering: Sherman Health Systems-6hrs Ian Jones: Sherman Health Systems-6hrs Katie Bata: Sherman Health Systems-6hrs Judith L. Balcitis: Sherman Health Systems-6hrs Tom Nitz: Sherman West Court-1hr; Sherman Health Systems-6hrs Joy Jensen: Sherman Health Foundation-20hrs |
| Schedule K Supplental Information | Second GIC - Provider: Aegon Institutional Markets; Term: 1 year |
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 | 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 | |
| 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 | N/A | |
| Sherman Home Health Care Corporation | ||||||||||
| 915 Center Street Suite 2001A | Elgin | IL | 60120 | 363330085 | Services Include Skilled and Unskilled General Nursing and Infusion Therapy | IL | 501(c)(3) | Line 9 | Sherman Health Systems | |
| Sherman West Court | ||||||||||
| 1950 Larkin Avenue | Elgin | IL | 60123 | 363725580 | Provide Long-Term Nursing Care | IL | 501(c)(3) | Line 9 | Sherman Health Systems | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Health Visions Inc | ||||||||
| 1425 N Randall Road | Elgin | IL | 60123 | 363780082 | Physician Practice Management | IL | N/A | C |
| Sherman Group Practice Inc | ||||||||
| 1425 N Randall Road | Elgin | IL | 60123 | 262891035 | Physician Group | IL | N/A | C |
| Sherman Physicians Group Inc | ||||||||
| 1425 N Randall Road | Elgin | IL | 60123 | 264800497 | Physician Group | IL | N/A | C |
| 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 | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 1 | 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 | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Health Visions Inc | |
| N | 76526 |
| Health Visions Inc | |
| R | 3285000 |
| Sherman West Court | |
| R | 9510000 |
| Sherman Home Health Care Corporation | |
| R | 4865000 |
| Sherman Health Foundation | |
| R | 850000 |