Centegra Health System: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- Centegra Health System (EIN 36-3196559)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201101339349303585
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T12:06:47-07:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363196559 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Centegra Health System | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CENT | NameControl |
| Phone | 8157885800 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 385 Millennium Drive | AddressLine1 |
| City | Crystal Lake | City |
| State | IL | State |
| ZIP Code | 60012 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Robert Rosenberger | Name |
| Title | Sr. VP & CFO | Title |
| Date Signed | 2011-05-13 | DateSigned |
| 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 | Michael Eesley | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 385 Millennium Drive | AddressLine1 |
| City | Crystal Lake | City |
| State | IL | State |
| ZIP Code | 60012 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 83120678 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c | X | Organization501c |
| Web Site | www.centegra.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | The primary mission of the Centegra Health System is to coordinate the delivery of quality healthcare services with the innovative and responsible use of resources and to promote wellness for the greater McHenry County area. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 524 | TotalNbrEmployees |
| Total Nbr Volunteers | 378 | TotalNbrVolunteers |
| Total Gross UBI | -13539 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -13539 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 76490838 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 79990085 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -3515573 | InvestmentIncomePriorYear |
| Investment Income Current Year | 774605 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -234838 | OtherRevenuePriorYear |
| Other Revenue Current Year | -13539 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 72740427 | TotalRevenuePriorYear |
| Total Revenue Current Year | 80751151 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 36578948 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 37962003 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 54138593 | OtherExpensePriorYear |
| Other Expenses Current Year | 54753221 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 90717541 | TotalExpensesPriorYear |
| Total Expenses Current Year | 92715224 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -17977114 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -11964073 | RevenuesLessExpensesCY |
| Total Assets BOY | 61453650 | TotalAssetsBOY |
| Total Assets EOY | 81404381 | TotalAssetsEOY |
| Total Liabilities BOY | 80889502 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 98255875 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -19435852 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -16851494 | NetAssetsOrFundBalancesEOY |
| Mission Description | The primary mission of the Centegra Health System is to coordinate the delivery of quality healthcare services with the innovative and responsible use of resources and to promote wellness for the greater McHenry County area. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 76484512 | Expense |
| Revenue | 79990085 | Revenue |
| Description | See Schedule O. | Description |
| Total Program Service Expense | 76484512 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 80 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 524 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Robert Rosenberger | NamePerson |
| Telephone Number | 8157885800 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 385 Millennium Drive | AddressLine1 |
| City | Crystal | City |
| State | IL | State |
| ZIP Code | 60012 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (43 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Key EmployeeKeyEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Zbigniew Lorenc | |||||||||
| Vice President | 40.00 | X | 214542 | 0 | 19043 | ||||
| Yvonne A Yao | |||||||||
| Physician | 0. | 318450 | 0 | 35563 | X | ||||
| William Cox | |||||||||
| Secretary | 2.00 | X | 0 | 0 | 0 | X | |||
| Tom Carey | |||||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||||
| Terrence J Bugno | |||||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||||
| Suzan S Buchaklian | |||||||||
| Exec Director, Cardio & Pulmonary | 40.00 | 161978 | 0 | 18013 | X | ||||
| Susan Murphy | |||||||||
| CNO | 40.00 | X | 185982 | 0 | 19046 | ||||
| Susan Milford | |||||||||
| Vice President | 40.00 | X | 197128 | 0 | 25059 | ||||
| Scott L Padjen | |||||||||
| Director of Pharmacy | 40.00 | 149693 | 0 | 23152 | X | ||||
| Robert Turngren | |||||||||
| Vice President | 40.00 | X | 342065 | 0 | 27139 | ||||
| Robert Rosenberger | |||||||||
| CFO & Sr. VP | 40.00 | X | 350557 | 0 | 67568 | ||||
| Rachel L Sebastian | |||||||||
| Vice President | 40.00 | X | 125914 | 0 | 4373 | ||||
| Prashant K Sura | |||||||||
| Physician | 40.00 | 405972 | 0 | 30105 | X | ||||
| Paul Hills | |||||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||||
| Patrick Morehead | |||||||||
| Treasurer | 2.00 | X | 0 | 0 | 0 | X | |||
| Parmod Narang | |||||||||
| Director/MD | 1.00 | 0 | 0 | 0 | X | ||||
| Mike Curran | |||||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||||
| Michael Eesley | |||||||||
| CEO | 40.00 | X | 758227 | 0 | 261432 | X | |||
| Marcel T Hoffman | |||||||||
| Physician | 40.00 | 305680 | 0 | 40437 | X | ||||
| Luke Johnsos | |||||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||||
| Linda Alic | |||||||||
| Director/MD | 40.00 | 201079 | 0 | 41497 | X | ||||
| Leonard G Hering | |||||||||
| Physician | 40.00 | 268606 | 0 | 42445 | X | ||||
| Laura Walczak | |||||||||
| CNO | 40.00 | X | 153490 | 0 | 16801 | ||||
| Kathy Powell | |||||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||||
| Joseph Hursche | |||||||||
| VP of System Operations | 0. | 223391 | 0 | 6690 | X | ||||
| John T O'Connell | |||||||||
| Physician | 40.00 | 273040 | 0 | 38208 | X | ||||
| Joanne S Joyce | |||||||||
| In-House Counsel | 40.00 | 161895 | 0 | 20177 | X | ||||
| Joanna Knapik | |||||||||
| Director/MD | 40.00 | 182091 | 0 | 39579 | X | ||||
| Jason Sciarro | |||||||||
| President & COO | 40.00 | X | 445360 | 0 | 62087 | X | |||
| Jack Porter | |||||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||||
| Gail D Rudolph | |||||||||
| Vice President | 40.00 | X | 175829 | 0 | 16822 | ||||
| Dudley Brown Jr | |||||||||
| Director/MD | 40.00 | 330553 | 0 | 35998 | X | ||||
| Doris Hendrickson | |||||||||
| Vice President | 40.00 | X | 192491 | 0 | 3332 | ||||
| David Tomlinson | |||||||||
| Vice President | 40.00 | X | 223097 | 0 | 26120 | ||||
| David A Shinherr | |||||||||
| Exec Director, Ortho & Rehab | 40.00 | 168231 | 0 | 23674 | X | ||||
| D Michael Splitt | |||||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||||
| Christian Newkirk | |||||||||
| Chairman | 2.00 | X | 0 | 0 | 0 | X | |||
| Charles Ruth | |||||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||||
| Charie Zanck | |||||||||
| Vice Chairman | 2.00 | X | 0 | 0 | 0 | X | |||
| Bernadette S Szczepanski | |||||||||
| Director of HRD | 40.00 | 174497 | 0 | 12207 | X | ||||
| Barbara Johnson | |||||||||
| Sr. VP | 40.00 | X | 292455 | 0 | 70836 | ||||
| Angela McAuley | |||||||||
| Director & VP | 1.00 | X | 269037 | 0 | 21116 | X | |||
| Aaron Shepley | |||||||||
| Sr VP & Counsel | 40.00 | X | 302878 | 0 | 53724 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7554208 | TotalReportableCompFromOrg |
| Total Other Compensation | 1102243 | TotalOtherCompensation |
| Number Individuals GT100 K | 107 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Stans Office Technologies | |||||
| PO Box 1249 | Woodstock | IL | 60098 | Business Solutions | 375554 |
| PFS Group | |||||
| 7670 Woodway Suite 250 | Houston | TX | 77063 | Collections | 984049 |
| McKesson Information Solutions | |||||
| PO Box 98347 | Chicago | IL | 606938347 | Information Systems | 665886 |
| DR Systems | |||||
| 10140 Mesa Rim Rd | San Diego | CA | 92121 | Med Imaging Info Sys | 427153 |
| Dell Marketing LP | |||||
| 7489 Collection Center Drive | Chicago | IL | 60693 | Information Systems | 9621725 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 32 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Other Rev-Related 501(c)3 | 551114 | 962795 | 962795 |
| Exp Alloc-Related 501(c)3 | 551114 | 53669609 | 53669609 |
| Exp Alloc-Other relatedco | 621111 | 22494 | 22494 |
| Centegra Primary Care Ops | 621111 | 21246405 | 21246405 |
| Centegra Ins Svcs Operat | 524126 | 4088782 | 4088782 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 79990085 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1232132 | TotalRevenueColumn |
| Exclusion | $1,232,132 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1912000 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2369527 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -457527 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -457527 | TotalRevenueColumn |
| Exclusion | -$457,527 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DIS-Partnership Income | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | -13539 | TotalRevenueColumn |
| Unrelated Business Revenue | -13539 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -13539 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 80751151 | TotalRevenueColumn |
| Related Or Exempt Function Income | 79990085 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -13539 | UnrelatedBusinessRevenue |
| Exclusion | $774,605 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6108864 | Total |
| Program Services | 2692935 | ProgramServices |
| Management And General | 3415929 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 230081 | Total |
| Management And General | 230081 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24930944 | Total |
| Program Services | 18643278 | ProgramServices |
| Management And General | 6287666 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 939195 | Total |
| Program Services | 711202 | ProgramServices |
| Management And General | 227993 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3778501 | Total |
| Program Services | 2102553 | ProgramServices |
| Management And General | 1675948 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1974418 | Total |
| Program Services | 1214964 | ProgramServices |
| Management And General | 759454 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9332635 | Total |
| Program Services | 9332635 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 573831 | Total |
| Program Services | 18958 | ProgramServices |
| Management And General | 554873 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203116 | Total |
| Management And General | 203116 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34097 | Total |
| Program Services | 34097 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25939983 | Total |
| Program Services | 24401494 | ProgramServices |
| Management And General | 1538489 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2058013 | Total |
| Program Services | 2055110 | ProgramServices |
| Management And General | 2903 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4128938 | Total |
| Program Services | 3823722 | ProgramServices |
| Management And General | 305216 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4526689 | Total |
| Program Services | 4526689 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1515470 | Total |
| Program Services | 1462273 | ProgramServices |
| Management And General | 53197 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 303847 | Total |
| Program Services | 167775 | ProgramServices |
| Management And General | 136072 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 417815 | Total |
| Program Services | 98301 | ProgramServices |
| Management And General | 319514 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 215398 | Total |
| Program Services | 215398 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3628077 | Total |
| Program Services | 3626415 | ProgramServices |
| Management And General | 1662 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Supplies-Non Medical | 604488 | 496552 | 107936 |
| Miscellaneous | 198523 | 160360 | 38163 |
| Employee Recruitment | 128784 | 3075 | 125709 |
| Corporate Sponsorships | 167034 | 162284 | 4750 |
| Bad Debt Expense | 337123 | 337123 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 439360 | Total |
| Program Services | 197319 | ProgramServices |
| Management And General | 242041 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92715224 | Total |
| Program Services | 76484512 | ProgramServices |
| Management And General | 16230712 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35482077 | BOY |
| EOY | 49982356 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4100578 | BOY |
| EOY | 1646539 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1996597 | BOY |
| EOY | 2408820 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1313097 | BOY |
| EOY | 1708364 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2507148 | BOY |
| EOY | 2503732 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2912925 | LandBuildingsEquipmentBasis |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2912925 | BOY |
| EOY | 2912925 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12985702 | BOY |
| EOY | 19236275 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 800208 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155526 | BOY |
| EOY | 205162 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61453650 | BOY |
| EOY | 81404381 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14647006 | BOY |
| EOY | 15812502 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17030807 | BOY |
| EOY | 15558770 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49211689 | BOY |
| EOY | 66884603 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80889502 | BOY |
| EOY | 98255875 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -19435852 | BOY |
| EOY | -16851494 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -19435852 | BOY |
| EOY | -16851494 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61453650 | BOY |
| EOY | 81404381 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (2 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| Memorial Medical Center | |||||
| 362179764 | 3 | false | true | true | $21,853,679 |
| Northern Illinos Medical Center | |||||
| 362338884 | 3 | false | true | true | $32,780,519 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 2 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 54634198 | SumOfAmounts |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 2912925 | InvestmentCostOrOtherBasis |
| Book Value | 2912925 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2912925 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Rounding | $2 |
| Intercompany Accounts Payable | $59,866,054 |
| Accrued Professional Liability Claims | $7,018,547 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 66884603 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X | Identifier |
| Return Reference | Part X : FIN48 Footnote | ReturnReference |
| Explanation | ASC Topic 740, Income Taxes, addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under ASC Topic 740, the Health System must recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. ASC Topic 740 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods and requires increased disclosures. At the date of adoption, and as of June 30, 2010, the Health System does not have a liability for unrecognized tax benefits. The adoption of ASC Topic 740 had no impact on the consolidated financial statements of the Health System. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | false | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (28 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|
| Zbigniew Lorenc | ||||||
| 205186 | 9356 | 9150 | 9893 | 233585 | ||
| Yvonne A Yao | ||||||
| 318450 | 18738 | 16825 | 354013 | |||
| Suzan S Buchaklian | ||||||
| 161978 | 6844 | 11169 | 179991 | |||
| Susan Murphy | ||||||
| 177976 | 8006 | 7568 | 11478 | 205028 | ||
| Susan Milford | ||||||
| 188711 | 8417 | 8222 | 16837 | 222187 | ||
| Scott L Padjen | ||||||
| 149693 | 6302 | 16850 | 172845 | |||
| Robert Turngren | ||||||
| 328255 | 13810 | 10038 | 17101 | 369204 | ||
| Robert Rosenberger | ||||||
| 336163 | 14394 | 50508 | 17060 | 418125 | ||
| Prashant K Sura | ||||||
| 405972 | 19071 | 11034 | 436077 | |||
| Michael Eesley | ||||||
| 755835 | 250023 | 11409 | 1019659 | 2392 | ||
| Marcel T Hoffman | ||||||
| 305680 | 34762 | 5675 | 346117 | |||
| Linda Alic | ||||||
| 201079 | 24647 | 16850 | 242576 | |||
| Leonard G Hering | ||||||
| 268606 | 25730 | 16715 | 311051 | |||
| Laura Walczak | ||||||
| 146342 | 7148 | 16801 | 170291 | |||
| Joseph Hursche | ||||||
| 223391 | 751 | 5939 | 230081 | |||
| John T O'Connell | ||||||
| 273040 | 32533 | 5675 | 311248 | |||
| Joanne S Joyce | ||||||
| 161895 | 3550 | 16627 | 182072 | |||
| Joanna Knapik | ||||||
| 182091 | 22729 | 16850 | 221670 | |||
| Jason Sciarro | ||||||
| 423572 | 18012 | 45121 | 16966 | 507447 | 3776 | |
| Gail D Rudolph | ||||||
| 168201 | 7628 | 16822 | 192651 | |||
| Dudley Brown Jr | ||||||
| 330553 | 30978 | 5020 | 366551 | |||
| Doris Hendrickson | ||||||
| 184314 | 8177 | 2657 | 675 | 195823 | ||
| David Tomlinson | ||||||
| 214621 | 8476 | 9279 | 16841 | 249217 | ||
| David A Shinherr | ||||||
| 168231 | 6959 | 16715 | 191905 | |||
| Bernadette S Szczepanski | ||||||
| 174497 | 7187 | 5020 | 186704 | |||
| Barbara Johnson | ||||||
| 242576 | 10373 | 64683 | 6153 | 363291 | 39506 | 39506 |
| Angela McAuley | ||||||
| 256769 | 10268 | 9773 | 11343 | 290153 | 2000 | |
| Aaron Shepley | ||||||
| 290726 | 12152 | 36650 | 17074 | 356602 | ||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Sch J, Part I, Line 1b | Part I, Line 1b: Reason for not following policy regarding payment provisions for expenses | Centegra does not have a written policy regarding the payment of the items listed on schedule J, part I, line 1a; however, these expenses were reviewed and approved by management as prudent and fiscally responsible business decisions. |
| Sch J, Part I, Line 1a | Part I, Line 1a: Relevant information in regards to selections on 1a. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Carey Electric | |||
| Director | 146070 | Electrical Work | false |
| American Community Bank | |||
| Vice Chairman | 210454 | Certificate of Deposit | false |
| American Community Bank | |||
| Director | 210454 | Certificate of Deposit | false |
| Home State Bank | |||
| Director | 200000 | Certificate of Deposit | false |
| Home State Bank | |||
| Treasurer | 200000 | Certificate of Deposit | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Asset Acquisition Statements | Centegra purchased the Key Medical Group on February 1, 2010. To properly report the asset aquisition Centegra Health System is required to file two Form 8594's, one for Dr. Amsler and one for the Key Medical Group. These forms have been attached in PDF format to the return and will be sent in paper form the the Internal Revenue Service. | |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. | Form 990, Part VI, Line 19 |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Continued from above. 6. A voting member of any committee whose jurisdiction includes compensation matters and who receives compensation, directly or indirectly, form Centegra for services is precluded from voting on matters pertaining to that member's compensation. Physicians who receive compensation, directly or indirectly, from Centegra, whether as employees or independent contractors, are precluded from membership on any committee whose jurisdiction includes compensation matters and in which such physician may have a direct or indirect interest. 7. Each director, principal officer, and member of a committee with board-delegated powers shall annually sign a statement which affirms that such person has received a copy of the conflicts of interest policy; has read and understands the policy; has agreed to comply with the policy; and understands that Centegra is a charitable organization and that in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax exempt purposes. 8. To ensure that Centegra operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted by the Governors Affairs Committee of Centegra. The periodic reviews shall, at a minimum, include the following subjects: Whether acquisition of physician practices and other provider services result in inurement or impermissible private benefit. Whether partnership and joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payment for goods and services, further Centegra's charitable purposes and do not result in inurement or impermissible private benefit. Whether agreements to provide healthcare and agreements with other healthcare providers, employees, and third party payors further Centegra's charitable purposes and do not result in inurement or impermissible private benefit. Whether business transactions on behalf of Centegra or an entity controlled by it are the result of arms-length dealing and are no less advantageous than competitively available goods and services of like grade and quality. 9.In conducting the periodic reviews provided for in Article VII, Centegra may, but need not, use outside advisors. If outside experts are used, their use shall not relieve the board of its responsibility for ensuring the periodic reviews are conducted. | Form 990, Part VI, Line 12c |
| Form 990, Part VI, Line 11: Form 990 Review Process | The review process for the 990 included review by the Director of Accounting and Chief Financial Officer. The 990 also was sent to an outside auditor for review before submission to the IRS. | Form 990, Part VI, Line 11 |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Centegra Health System has a single class of members. | Form 990, Part VI, Line 6 |
| Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company | Management companies were used for the daily operations and management of the following services for the health system: Sodexho was used for Food & Nutrition, Plant Operations and Maintenance, and Environmental Services work. Dell (Perot) was used for the Information Systems area. Professional Business Consultants is used for the management of the Managed Care department. | Form 990, Part VI, Line 3 |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | Centegra Health System (CHS) has adopted specific conflict of interest policies for its governing and management staff. The policy includes, but is not limited to, when an individual, governor, committee member, officer, agent or employee believes that he or she, or a member of his or her immediate family might have or does have a real or apparent conflict, he or she should in addition to filing the disclosure notice required, abstain from making motions, voting, executing agreements, or taking any other similar direct action on behalf of CHS. Not withstanding, it is understood that both real and apparent conflicts of interest sometimes naturally occur in the course of conducting daily affairs. Conflicts occur because the many persons associated with CHS should be expected to have, and do in fact generally have multiple interests and affiliations, and various positions of responsibility within the community. The long-range interests of CHS do not require the termination of an association with persons who have real or apparent conflicts, if an effective method can render such conflicts harmless to all concerned. During fiscal year 2010, CHS purchased certain goods and/or services from organizations with director's affiliation. All transactions were competitively bid and conducted at arms length. The fees paid were at fair market value. Director Kathy Powell is an employee and Vice President of Home State Bank. Director Patrick Morehead is on the Board of Directors and a 1% owner of Home State Bank. Vice Chairman Charie Zanck is a Director of American Community Bank & Trust. Director Charles Ruth is the Board Chairman of American Community Bank & Trust. Rachel Sebastian, Vice President of Service Line Operations, is the daughter of the Chief Executive Officer, Michael Eesley. Rachel Sebastian reports directly to the President and Chief Operations Officer, Jason Sciarro. | Form 990, Part VI, Line 2 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Centegra Insurance Services Ltd | |||||||||||||||
| 23 Lime Tree Bay Ave Box 1051 | George Town | Grand Cayman | CJ | KY1-1102 | 363196559 | Malpractice Insurance Provider | CJ | 1179296 | 11778890 | NA | |||||
| Centegra Health Bridge Fitness Ctr LLC | |||||||||||||||
| 261277524 | Health & Fitness Center | -2436993 | 412441 | NIMED Corporation | 385 Millennium Drive | Crystal Lake | IL | 60012 | DE | ||||||
| DIS Holdings LLC | |||||||||||||||
| 363196559 | Medical Imaging Services | NA | 385 Millennium Drive | Crystal Lake | IL | 60012 | DE | ||||||||
| Centegra Primary Care LLC | |||||||||||||||
| 364085398 | Primary Care | -13690422 | 3320180 | NA | 385 Millennium Drive | Crystal Lake | IL | 60012 | DE | ||||||
Form990 Schedule R Part II Form990ScheduleRPartII (6 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 |
|---|---|---|---|---|---|---|---|---|---|
| Oak Creek Lodge | |||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363591359 | Hospital Operations | IL | 501(c)(3) | 3 | Centegra Health System |
| Health Bridge Corporation | |||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363196550 | Health & Fitness Center | IL | 501(c)(3) | 11c | Centegra Health System |
| Centegra Health System Foundation | |||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363726310 | Fundraising for Medical Centers | IL | 501(c)(3) | 11a | Centegra Health System |
| NIMED Corporation | |||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363199111 | Property Management | IL | 501(c)(3) | 11c | Centegra Health System |
| Memorial Medical Center | |||||||||
| 3701 Doty Road | Woodstock | IL | 60098 | 362179764 | Hospital Operations | IL | 501(c)(3) | 3 | Centegra Health System |
| Northern Illinois Medical Center | |||||||||
| 4201 Medical Center Drive | McHenry | IL | 60050 | 362338884 | Hospital Operations | IL | 501(c)(3) | 3 | Centegra Health System |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|
| Diagnostic Imaging Services Inc | ||||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363695328 | Imaging Center | IL | DIS Holdings LLC | S Corp | -13539 | 0.62460 |
| Centegra Management Services Inc | ||||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 364028114 | Management | IL | Centegra Health System | C Corp | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |