Liabilities / Assets
39th percentile
Higher debt load relative to assets than 39% of similar nonprofits.
EIN 27-3083265 • 501(c)3 • Jacksonville, IL
Profile
Provide professional crna services to the communities in the passavant memorial area hospital association's service area.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
39th percentile
Higher debt load relative to assets than 39% of similar nonprofits.
Liabilities / Revenue
23rd percentile
Higher debt load relative to revenue than 23% of similar nonprofits.
Net Margin
3rd percentile
Higher net margin than 3% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
11th percentile
Faster asset growth than 11% of similar nonprofits.
Revenue Growth
47th percentile
Faster revenue growth than 47% of similar nonprofits.
Assets
Down$263,557
Down $50,583 (-16%) from 2014
Liabilities
Down$6,364
Down $8,193,568 (-100%) from 2014
Net Assets
Up$257,193
Up $8,142,985 (+103%) from 2014
Revenue
Up$2,264,542
Up $120,151 (+5.6%) from 2014
Expenses
Down$4,981,947
Down $45,323 (-0.9%) from 2014
Net Income
Up-$2,717,405
Up $165,474 (+5.7%) from 2014
Most recent year
2015 • Form 990Detailed filing. Detailed filing data is available for this year.
Provide professional crna services to the communities in the passavant memorial area hospital association's service area.
To provide the services of certified registered nurse anesthetists to patients at passavant memorial area hospital association.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Accounts Receivable | $276,478 | $260,230 | ▼ $16,248 |
| Cash and Non-Interest-Bearing Accounts | $37,662 | $3,327 | ▼ $34,335 |
| Total Assets | $314,140 | $263,557 | ▼ $50,583 |
| Liabilities | |||
| Other Liabilities | $8,199,932 | $0 | ▼ $8,199,932 |
| Accounts Payable and Accrued Expenses | - | $6,364 | - |
| Total Liabilities | $8,199,932 | $6,364 | ▼ $8,193,568 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $-7,885,792 | $257,193 | ▲ $8,142,985 |
| Total Net Assets Fund Balance | $-7,885,792 | $257,193 | ▲ $8,142,985 |
| Total Liabilities and Net Assets / Fund Balance | $314,140 | $263,557 | ▼ $50,583 |
| Name | Title |
|---|---|
| Greg Lepper | Chairman (from Jan 15) |
| Chester Wynn | President & CEO |
| Douglas Rahn Dba | President & CEO |
| David Bolen | Vice President & CFO |
| Jan Terry | Mem(from Jan 15)/CHR (thru Dec 14) |
| Gary Scott | Secretary |
| Tom Veith | Treasurer (from Jan 15) |
| Reginald Benton | V.CHR(from Jan15)/treas(thru Dec14) |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $3,385,081 |
| Other Expenses | $1,596,866 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $2,708,065 | - | - | $2,708,065 |
| Fees for Services Other | $1,406,736 | - | - | $1,406,736 |
| Other Employee Benefits | $677,016 | - | - | $677,016 |
| Other Expenses | $5,404 | $1,801 | - | $7,205 |
| Office Expenses | $2,467 | $822 | - | $3,289 |
| Total Functional Expenses | $4,934,415 | $47,532 | $0 | $4,981,947 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“The sole member of the corporation is passavant memorial area hospital association.”
“The directors of jacksonville crna's, inc. Shall be members of the board of directors of the corporate member and shall be elected annually by the members.”
“Jacksonville crna's bylaws state the corporate member of the corporation shall be the passavant memorial area hospital association and there shall be no other members. The corporate member will have the power to remove the president with agreement with the board of directors, appoint directors of the corporation for one year terms, and remove any directors of the corporation with or without cause. Corporate member has the authority to change the bylaws, adopt capital or operating budgets, and strategic plans of the corporation. Corporate member can adopt any voluntary dissolution, merger, or consolidation of the corporation's assets. They may approve capital expenditures over $1,000,000, approve guaranty of debt over $250,000, with or without mortgage, and permit the corporation to enter into material transactions with another corporation affiliated with the corporate member. The corporate member may approve independent auditors, approve contracts providing healthcare to beneficiaries of managed care contracts, and approve applications to the il health facilities planning board. Members also approve sales/transfers of assets to non-affiliated entities, if assets are over $500,000. Corporate member approve of significant changes in the corporation's insurance and contracts involving goods/services with a value over $1,000,000 for capital or $1,500,000 in aggregate for operating and capital budgets, not previously approved. Corporate members approve of physician service contracts over $400,000, approve real estate transactions, and approve any changes to master or long-term institutional plans. Before the corporate member can approve any of the previously mentioned items, the corporate member must first receive approval from its corporate member, memorial health system.”
“A final draft copy of the crna form 990 and all attachments is provided to all of the passavant memorial area hospital association board of directors prior to filing. At the board meeting, a presentation is made by the cfo to the board, followed by a question and answer session. All questions and comments arising from this review are addressed prior to submission of the return to the appropriate taxing authorities.”
“All officers, directors, and key employees of the corporation are required to review the conflict of interest policy and complete a specific disclosure statement which is attached to the policy. Jacksonville crna's inc. Monitors and enforces its conflict of interest policy by identifying any potential conflicts at the time each meeting agenda is prepared. Any officer or director who has a conflict is notified of such conflict, as well as their obligation to abstain from the discussion and vote on any conflicted issue(s). Such abstention(s), if required, are documented in the minutes of each meeting. Board members are also required to update their conflict of interest disclosure statements promptly in the event of any change in personal or business activities that would require such disclosure.”
“Jacksonville crna's inc. Does not have any employees. All top management officials are employed by related organizations. Compensation for those top management officials are performed in accordance with those organizations procedures.”
“Copies of the organization's governing documents, conflict of interest policy, and financial statements are made available upon individual request. The audited financial statements are posted on the hospital's website. These documents are available for the same period of time as set forth in irc section 6104(d).”
“Purchased services: program service expenses 1,406,736. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,406,736.”
“Transfers-related organization 10,860,390.”
“The authoritative guidance in asc 740, income taxes, creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of this guidance, tax-exempt organizations could be required to record an obligation as the result of a tax position they have historically taken on various tax exposure items. Each of mhs's subsidiaries, excluding those described in the following paragraph, is a separately incorporated not-for-profit corporation as described under section 501(c)(3) of the code and is tax-exempt from federal income taxes on related income pursuant to section 501(a) of the code. They do, however, operate certain programs that may result in unrelated business income. Upon review as required by asc 740, income tax no tax provision was recorded for the years ended september 30, 2015 or 2014. Mp and mhp are considered disregarded entities for tax purposes and are exempt from income tax. Mhsci is a taxable for-profit corporation and ppa is a taxable not-for-profit corporation. Both are subject to federal and state income taxes.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 6364 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 276478 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 260230 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE THE SERVICES OF CERTIFIED REGISTERED NURSE ANESTHETISTS TO PATIENTS AT PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION. |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | DAVID A BOLEN |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2172459541 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1600 WEST WALNUT STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | JACKSONVILLE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IL |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 62650 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 37662 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 3327 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 1596866 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 2264542 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -2717405 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 3385081 |
| IRS990/CYTotalExpensesAmt | 0 | 4981947 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 2264542 |
| IRS990/DAFExcessBusinessHoldingsInd | 0 | 0 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/Desc | 0 | JACKSONVILLE CRNA'S, INC. PROVIDES PROFESSIONAL CRNA SERVICES TO THE COMMUNITIES IN THE PASSAVANT AREA HOSPITAL SERVICE AREA. IN FISCAL YEAR 2015, THOSE SERVICES WERE PROVIDED IN 5,877 CASES.REVENUE FOR JACKSONVILLE CRNA'S, INC. IS GENERATED FROM THE BILLINGS TO THOSE PATIENTS FOR WHICH SERVICES WERE PROVIDED.JACKSONVILLE CRNA'S, INC. PURCHASES THE SERVICES OF THE CRNA'S FROM PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DistributionToDonorInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 4934415 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1406736 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1406736 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 1.40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 291895 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 27496 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 11518 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | TOM VEITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | GREG LEPPER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | REGINALD BENTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | GARY SCOTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JAN TERRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DOUGLAS RAHN DBA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DAVID BOLEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | CHESTER WYNN |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 672165 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 202737 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 118576 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | TREASURER (FROM JAN 15) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHAIRMAN (FROM JAN 15) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | V.CHR(FROM JAN15)/TREAS(THRU DEC14) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | MEM(FROM JAN 15)/CHR (THRU DEC 14) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | VICE PRESIDENT & CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PRESIDENT & CEO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2010 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 2264542 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 4 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | IL |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | PROVIDE PROFESSIONAL CRNA SERVICES TO THE COMMUNITIES IN THE PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION'S SERVICE AREA. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -7885792 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 257193 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 822 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 2467 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 3289 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 10860390 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 677016 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 677016 |
| IRS990/OtherExpensesGrp/Desc | 0 | PROVISION FOR UNCOLLECT |
| IRS990/OtherExpensesGrp/Desc | 1 | CONTINUING MEDICAL EDUC |
| IRS990/OtherExpensesGrp/Desc | 2 | DUES AND SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 36800 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 8109 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 1801 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 110401 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 24326 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 5404 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 147201 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 32435 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 7205 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 8199932 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 2708065 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 2708065 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | DAVID A BOLEN |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE REV |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 2264542 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 2264542 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 1611690 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 2144391 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -2882879 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 3415580 |
| IRS990/PYTotalExpensesAmt | 0 | 5027270 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 2144391 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -2717405 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 0 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 2264542 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd | 0 | 1 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd | 0 | 0 |
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| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd | 0 | 0 |
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| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | THE AUTHORITATIVE GUIDANCE IN ASC 740, INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDANCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. EACH OF MHS'S SUBSIDIARIES, EXCLUDING THOSE DESCRIBED IN THE FOLLOWING PARAGRAPH, IS A SEPARATELY INCORPORATED NOT-FOR-PROFIT CORPORATION AS DESCRIBED UNDER SECTION 501(C)(3) OF THE CODE AND IS TAX-EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THEY DO, HOWEVER, OPERATE CERTAIN PROGRAMS THAT MAY RESULT IN UNRELATED BUSINESS INCOME. UPON REVIEW AS REQUIRED BY ASC 740, INCOME TAX NO TAX PROVISION WAS RECORDED FOR THE YEARS ENDED SEPTEMBER 30, 2015 OR 2014. MP AND MHP ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES AND ARE EXEMPT FROM INCOME TAX. MHSCI IS A TAXABLE FOR-PROFIT CORPORATION AND PPA IS A TAXABLE NOT-FOR-PROFIT CORPORATION. BOTH ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | CHESTER WYNN |
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| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | THE ORGANIZATION, OR A RELATED ORGANIZATION, MEMORIAL HEALTH SYSTEM, PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO THE FOLLOWING OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES: DOUGLAS RAHN, D.B.A., $253,383. THESE BENEFITS ARE PROVIDED THROUGH A NONQUALIFIED DEFERRED COMPENSATION PLAN, UNDER WHICH THE BENEFITS BEING EARNED ARE SUBJECT TO A "SUBSTANTIAL RISK OF FORFEITURE." THE SUPPLEMENTAL RETIREMENT BENEFITS ARE STRUCTURED TO PROVIDE A RETENTION INCENTIVE THAT HAS BEEN DETERMINED BY THE LEADERSHIP COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM TO BE OF SUBSTANTIAL VALUE TO THE ORGANIZATION. THE FOLLOWING CURRENT OR FORMER OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES RECEIVED DEFERRED COMPENSATION PAYOUTS IN THE CALENDAR YEAR FROM THE ORGANIZATION OR A RELATED ORGANIZATION, MEMORIAL HEALTH SYSTEM: DOUGLAS RAHN, D.B.A, $12,055. TO BECOME ENTITLED TO THE BENEFITS PROVIDED, EACH COVERED EMPLOYEE MUST MEET SUBSTANTIAL REQUIREMENTS RELATING TO FURTHER EMPLOYMENT. UNTIL THOSE REQUIREMENTS ARE SATISFIED, IF EVER, THE EMPLOYEE IS NOT ENTITLED TO THESE AMOUNTS. IF THE EMPLOYEE WERE TO HAVE TERMINATED EMPLOYMENT VOLUNTARILY IN THE YEAR TO WHICH THIS RETURN APPLIES AND NOT MET THESE SUBSTANTIAL REQUIREMENTS, THESE SUPPLEMENTAL RETIREMENT BENEFITS WOULD HAVE BEEN FORFEITED. THESE SUPPLEMENTAL RETIREMENT BENEFITS ARE PART OF A RETIREMENT PROGRAM THAT PROVIDES RETIREMENT INCOME FOR ALL YEARS OF SERVICE THAT THE EMPLOYEE PROVIDES TO THE ORGANIZATION. ACCORDINGLY, ANY RETIREMENT BENEFITS SHOULD BE VIEWED AS APPLYING TO THE ENTIRE LENGTH OF THE EMPLOYEE'S SERVICE. THE LEADERSHIP COMPENSATION COMMITTEE OF THE MHS BOARD APPROVES ALL RETIREMENT BENEFITS, TOGETHER WITH ALL OTHER FORMS OF COMPENSATION AND BENEFITS FOR THESE AND OTHER SENIOR LEADERS, IN A MANNER INTENDED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL INCOME TAX LAW. |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 4B |
| IRS990ScheduleJ/SupplementalNonqualRtrPlanInd | 0 | 1 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | THE SOLE MEMBER OF THE CORPORATION IS PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | THE DIRECTORS OF JACKSONVILLE CRNA'S, INC. SHALL BE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATE MEMBER AND SHALL BE ELECTED ANNUALLY BY THE MEMBERS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | JACKSONVILLE CRNA'S BYLAWS STATE THE CORPORATE MEMBER OF THE CORPORATION SHALL BE THE PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION AND THERE SHALL BE NO OTHER MEMBERS. THE CORPORATE MEMBER WILL HAVE THE POWER TO REMOVE THE PRESIDENT WITH AGREEMENT WITH THE BOARD OF DIRECTORS, APPOINT DIRECTORS OF THE CORPORATION FOR ONE YEAR TERMS, AND REMOVE ANY DIRECTORS OF THE CORPORATION WITH OR WITHOUT CAUSE. CORPORATE MEMBER HAS THE AUTHORITY TO CHANGE THE BYLAWS, ADOPT CAPITAL OR OPERATING BUDGETS, AND STRATEGIC PLANS OF THE CORPORATION. CORPORATE MEMBER CAN ADOPT ANY VOLUNTARY DISSOLUTION, MERGER, OR CONSOLIDATION OF THE CORPORATION'S ASSETS. THEY MAY APPROVE CAPITAL EXPENDITURES OVER $1,000,000, APPROVE GUARANTY OF DEBT OVER $250,000, WITH OR WITHOUT MORTGAGE, AND PERMIT THE CORPORATION TO ENTER INTO MATERIAL TRANSACTIONS WITH ANOTHER CORPORATION AFFILIATED WITH THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPROVE INDEPENDENT AUDITORS, APPROVE CONTRACTS PROVIDING HEALTHCARE TO BENEFICIARIES OF MANAGED CARE CONTRACTS, AND APPROVE APPLICATIONS TO THE IL HEALTH FACILITIES PLANNING BOARD. MEMBERS ALSO APPROVE SALES/TRANSFERS OF ASSETS TO NON-AFFILIATED ENTITIES, IF ASSETS ARE OVER $500,000. CORPORATE MEMBER APPROVE OF SIGNIFICANT CHANGES IN THE CORPORATION'S INSURANCE AND CONTRACTS INVOLVING GOODS/SERVICES WITH A VALUE OVER $1,000,000 FOR CAPITAL OR $1,500,000 IN AGGREGATE FOR OPERATING AND CAPITAL BUDGETS, NOT PREVIOUSLY APPROVED. CORPORATE MEMBERS APPROVE OF PHYSICIAN SERVICE CONTRACTS OVER $400,000, APPROVE REAL ESTATE TRANSACTIONS, AND APPROVE ANY CHANGES TO MASTER OR LONG-TERM INSTITUTIONAL PLANS. BEFORE THE CORPORATE MEMBER CAN APPROVE ANY OF THE PREVIOUSLY MENTIONED ITEMS, THE CORPORATE MEMBER MUST FIRST RECEIVE APPROVAL FROM ITS CORPORATE MEMBER, MEMORIAL HEALTH SYSTEM. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | A FINAL DRAFT COPY OF THE CRNA FORM 990 AND ALL ATTACHMENTS IS PROVIDED TO ALL OF THE PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION BOARD OF DIRECTORS PRIOR TO FILING. AT THE BOARD MEETING, A PRESENTATION IS MADE BY THE CFO TO THE BOARD, FOLLOWED BY A QUESTION AND ANSWER SESSION. ALL QUESTIONS AND COMMENTS ARISING FROM THIS REVIEW ARE ADDRESSED PRIOR TO SUBMISSION OF THE RETURN TO THE APPROPRIATE TAXING AUTHORITIES. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF THE CORPORATION ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A SPECIFIC DISCLOSURE STATEMENT WHICH IS ATTACHED TO THE POLICY. JACKSONVILLE CRNA'S INC. MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY IDENTIFYING ANY POTENTIAL CONFLICTS AT THE TIME EACH MEETING AGENDA IS PREPARED. ANY OFFICER OR DIRECTOR WHO HAS A CONFLICT IS NOTIFIED OF SUCH CONFLICT, AS WELL AS THEIR OBLIGATION TO ABSTAIN FROM THE DISCUSSION AND VOTE ON ANY CONFLICTED ISSUE(S). SUCH ABSTENTION(S), IF REQUIRED, ARE DOCUMENTED IN THE MINUTES OF EACH MEETING. BOARD MEMBERS ARE ALSO REQUIRED TO UPDATE THEIR CONFLICT OF INTEREST DISCLOSURE STATEMENTS PROMPTLY IN THE EVENT OF ANY CHANGE IN PERSONAL OR BUSINESS ACTIVITIES THAT WOULD REQUIRE SUCH DISCLOSURE. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | JACKSONVILLE CRNA'S INC. DOES NOT HAVE ANY EMPLOYEES. ALL TOP MANAGEMENT OFFICIALS ARE EMPLOYED BY RELATED ORGANIZATIONS. COMPENSATION FOR THOSE TOP MANAGEMENT OFFICIALS ARE PERFORMED IN ACCORDANCE WITH THOSE ORGANIZATIONS PROCEDURES. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON INDIVIDUAL REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE POSTED ON THE HOSPITAL'S WEBSITE. THESE DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF TIME AS SET FORTH IN IRC SECTION 6104(D). |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,406,736. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,406,736. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 8 | TRANSFERS-RELATED ORGANIZATION 10,860,390. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART VI, SECTION A, LINE 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION A, LINE 7A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION A, LINE 7B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION B, LINE 11 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART VI, SECTION B, LINE 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | FORM 990, PART IX, LINE 11G |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 8 | FORM 990, PART XI, LINE 9: |
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| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine1Txt | 1 | PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION |
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| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 8 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 9 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 10 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 11 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 12 | 0 |
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| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 14 | 0 |
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| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt | 1 | MEMORIAL HEALTH SYSTEM |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt | 2 | MEMORIAL HEALTH SYSTEM |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt | 3 | MEMORIAL HEALTH SYSTEM |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt | 4 | MEMORIAL HEALTH SYSTEM |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt | 5 | MEMORIAL HEALTH SYSTEM |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt | 6 | MEMORIAL MEDICAL CENTER |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt | 7 | MEMORIAL HEALTH SYSTEM |
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