Civic Intelligence

Northern Illinois Home Medical Supply

EIN 36-4469371 • 501(c)3 • Sterling, IL

Profile

Provide high quality, home medical equipment services and supplies to our community in a caring, efficient and cost-effective manner.

3312 River RoadSterling, IL 61081

nihms.wordpress.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

68th percentile

0.22x

Higher debt load relative to assets than 68% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

67th percentile

0.21x

Higher debt load relative to revenue than 67% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2017

Net Margin

18th percentile

-14%

Higher net margin than 18% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

94th percentile

$278,157

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 16.3% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2017

Asset Growth

13th percentile

-15%

Faster asset growth than 13% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

9th percentile

-35%

Faster revenue growth than 9% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets68th percentile

Assets

Down

$1,620,824

Down $286,110 (-15%) from 2016

Liabilities

Up

$352,045

Up $256,756 (+269%) from 2016

Net Assets

Down

$1,268,779

Down $542,866 (-30%) from 2016

Operations
Liabilities / Revenue67th percentileNet Margin18th percentile

Revenue

Down

$1,703,080

Down $905,577 (-35%) from 2016

Expenses

Down

$1,945,946

Down $322,851 (-14%) from 2016

Net Income

Down

-$242,866

Down $582,726 (-171%) from 2016

Trend Graphs

Balance Sheet Trend

Asset Growth13th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$2.0M$1.5M$1.0M$500K$0Assets 2010: $1,225,749Liabilities 2010: $99,568Net Assets 2010: $1,126,1812010Assets 2011: $1,381,261Liabilities 2011: $113,348Net Assets 2011: $1,267,9132011Assets 2012: $1,586,033Liabilities 2012: $117,510Net Assets 2012: $1,468,5232012Assets 2013: $1,793,794Liabilities 2013: $128,411Net Assets 2013: $1,665,3832013Assets 2014: $1,293,353Liabilities 2014: $49,080Net Assets 2014: $1,244,2732014Assets 2015: $1,552,533Liabilities 2015: $80,748Net Assets 2015: $1,471,7852015Assets 2016: $1,906,934Liabilities 2016: $95,289Net Assets 2016: $1,811,6452016Assets 2017: $1,620,824Liabilities 2017: $352,045Net Assets 2017: $1,268,7792017

Highlighted filing

2017

Assets$1,620,824
Liabilities$352,045
Net Assets$1,268,779
Open 2017 Filing

Operations Trend

Revenue Growth9th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $1,921,7772010Expenses 2011: $1,914,1782011Expenses 2012: $1,897,7702012Expenses 2013: $2,004,5882013Revenue 2014: $2,230,559Expenses 2014: $2,051,669Net Income 2014: $178,8902014Revenue 2015: $2,309,555Expenses 2015: $2,082,043Net Income 2015: $227,5122015Revenue 2016: $2,608,657Expenses 2016: $2,268,797Net Income 2016: $339,8602016Revenue 2017: $1,703,080Expenses 2017: $1,945,946Net Income 2017: -$242,8662017

Highlighted filing

2017

Revenue$1,703,080
Expenses$1,945,946
Net Income-$242,866
Open 2017 Filing

Filings

Most recent year

2017 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$1,620,824
Liabilities
$352,045
Net assets
$1,268,779
Revenue
$1,703,080
Expenses
$1,945,946
Net income
-$242,866
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.62$0.35$1.27$1.70$1.95$0.24
2016Detailed filing. Detailed filing data is available for this year.$1.91$0.10$1.81$2.61$2.27$0.34
2015Detailed filing. Detailed filing data is available for this year.$1.55$0.08$1.47$2.31$2.08$0.23
2014Detailed filing. Detailed filing data is available for this year.$1.29$0.05$1.24$2.23$2.05$0.18
2013XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.79$0.13$1.67$2.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.59$0.12$1.47$1.90
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.38$0.11$1.27$1.91
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.23$0.10$1.13$1.92
Latest Detailed Filing

The latest 2017 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2016 below.

Jump To
Filing Snapshot
Filing Period
May 1, 2015 to Apr 30, 2016
Signed
Nov 29, 2016
Return Version
2015v2.1
Gross Receipts
$2,608,657
Mission and Program Overview

Mission

Provide high quality, home medical equipment services and supplies to our community in a caring, efficient and cost-effective manner.

Supply people of sterling, rock falls & dixon with medical equipment and supplies in their homes

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$990,084$1,101,223▲ $111,139
Accounts Receivable$368,071$447,344▲ $79,273
Inventories for Sale or Use$92,359$116,042▲ $23,683
Land, Buildings, and Equipment, Net$36,512$108,330▲ $71,818
Cash and Non-Interest-Bearing Accounts$20,310$93,616▲ $73,306
Prepaid Expenses and Deferred Charges$45,197$40,379▼ $4,818
Total Assets$1,552,533$1,906,934▲ $354,401
Liabilities
Accounts Payable and Accrued Expenses$80,748$95,289▲ $14,541
Total Liabilities$80,748$95,289▲ $14,541
Net Assets / Fund Balance
Unrestricted Net Assets$1,471,785$1,811,645▲ $339,860
Total Net Assets Fund Balance$1,471,785$1,811,645▲ $339,860
Total Liabilities and Net Assets / Fund Balance$1,552,533$1,906,934▲ $354,401

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$53,734$791,757$845,491
Leasehold Improvements$54,596$2,768$57,364
Compensation and Service Providers
Top Officer Pay94th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Melissa Sheppard MillerExecutive DirectorFT$74,418$28,279$102,697

Board Members and Trustees

NameTitle
Robert LesageChairman
John BensonDirector
Katie PrattDirector
Kevin MarxDirector
Shane BrownDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$2,606,638
Investment Income
$2,019
Other Revenue
$0
Change in Net Assets
$339,860

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,579,997
Revenue Not Reported on Financial Statements
$1,028,660
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$1,028,660
Total Revenue per Audited Statements
$1,579,997
Total Revenue per Form 990
$2,608,657
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,531,157
Salaries, Compensation, and Employee Benefits$737,640
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$429,984--$429,984
Occupancy$136,508$18,289-$154,797
Other Employee Benefits$125,765--$125,765
Current Officers, Directors, Trustees, and Key Employees-$115,211-$115,211
Office Expenses$76,430--$76,430
Insurance$42,533--$42,533
Payroll Taxes$35,911$6,387-$42,298
All Other Expenses$38,270--$38,270
Information Technology$34,748--$34,748
Fees for Services Accounting$34,044--$34,044
Advertising-$27,848-$27,848
Depreciation Depletion$26,327--$26,327
Pension Plan Contributions$24,382--$24,382
Fees for Services Other-$15,093-$15,093
Other Expenses$9,572--$9,572
Travel$6,406--$6,406
Conferences and Meetings$3,649--$3,649
Fees for Services Legal$35--$35
Total Functional Expenses$2,085,969$182,828$0$2,268,797

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$2,268,797
Expenses per Audited Statements$1,240,137
Total Expenses per Audited Statements$1,240,137
Expenses Not Reported on Financial Statements$1,028,660
Other Expense Adjustments$1,028,660
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1

“The board of directors, by resolution adopted by a majority of the directors in office, may designate and appoint one or more committees, each of which shall consist of two or more directors, which committees, to the extent provided in said resolution, shall have and exercise the authority of the board of directors in the management of the corporation, except that no such committee shall have the authority of the board of directors in reference to amending, altering, or repealing the bylaws; electing, appointing or removing any such committee or any director or officer of the corporation; amending the articles of incorporation; restating articles of incorporation; adopting a plan of merger or adopting a plan of consolidation with another corporation; authorizing the sale, lease, exchange or mortgage of all or substantially all of the property and assets of the corporation; authorizing the voluntary dissolution of the corporation or revoking proceedings therefore; adopting a plan for the distribution of the assets of the corporation; or amending, altering or repealing any resolution of the board of directors which by its terms provides that it shall not be amended, altered or repealed by such committee. The designation and appointment of any such committee and the delegation thereto of authority shall not operate to relieve the board of directors, or any individual director, of any responsibility imposed upon him by law.”

Form 990, Part VI, Section A, Line 6

“Per the organization's by-laws, there shall be two members: cgh medical center and katherine shaw bethea hospital.”

Form 990, Part VI, Section A, Line 7A

“The governing body consists of five directors, two of which are chosen by the board of directors of cgh medical center and two of which are chosen by the katherine shaw bethea hospital. The fifth director is determined based upon discussion of the other four directors with a majority vote of those four required to approve the fifth director.”

Form 990, Part VI, Section A, Line 7B

“All of article i, sections 3, 9 and 11 of article iv, all of article v, all of article x and article xvi, may only be altered, amended or repealed by new by-laws approved by the board of directors of katherine shaw bethea hospital and the board of directors of cgh medical center. No offices or service centers may be established or eliminated without the prior written approval of the board of directors of both katherine shaw bethea hospital and cgh medical center.”

Form 990, Part VI, Section B, Line 11

“The form 990 is prepared by an independent accounting firm. A draft copy of form 990 is reviewed by the executive director and the treasurer of the board prior to filing. All other board members are notified that form 990 is available for their review if they would like to review it. If changes are necessary, they are reported to the return preparer and incorporated into the final return.”

Form 990, Part VI, Section B, Line 12C

“Any possible conflict of interest on the part of a director shall be disclosed to the board. When any such interest becomes a matter of board action, such director shall not vote or use personal influence on the matter, and shall not be counted in the quorum for a meeting at which the board action is to be taken on the matter. The director may, however, briefly state a position on the matter, and answer pertinent questions of the board members. The minutes of all actions taken on such matter clearly document that these requirements have been met.”

Form 990, Part VI, Section B, Line 15

“All wage/salary ranges are researched and compared to selected compensation survey data to determine required market adjustments. Position descriptions must be maintained on a current basis and will be used as a basis of comparison to market data. This process will take place at least once per year. Additional comparisons will be conducted any time the marketplace indicates pressure on key positions. Overall market adjustments are effective the first full pay of july of each year, with additional adjustments made as conditions so warrant. Compensation for the corporation's director is approved by the board. The board reviews the executive director's salary annually and sets it. The review process and determination is documented in the board minutes.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Northern Illinois Home Medical Supply
EIN
36-4469371
Phone
8156264041
Address
3312 RIVER ROAD, STERLING, IL 61081

Signing Officer

Name
Melissa Sheppard Miller
Title
Executive Director
Phone
8156264041
Signed
2016-11-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Melissa Sheppard Miller
Formed
2001
Legal Domicile
Il
Voting Board Members
5
Independent Board Members
3
Employees
15
Volunteers
5

Preparer

Firm
Cliftonlarsonallen Llp
Address
114 E EVERETT, DIXON, IL 61021
Preparer
Todd M Etheridge
Phone
8152859300
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

“Effective november 29, 2006, the organization was approved by the internal revenue service (irs) for tax exempt status under section 501(c)(3) of the internal revenue code and is classified by the irs as other than a private foundation. The organization files a form 990 (return of organization exempt from income tax) annually. When this return is 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 include such matters as the following: the tax exempt status of the entity 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 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. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50% likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for unrecognized tax benefits in the accompanying statements of financial position along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Presently, there are no ongoing tax audits or unresolved disputes with the tax authorities that the organization currently files or has filed with.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Med supplies expense 521,151. Med equip expense 360,443. Bad debt expense 147,066.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Med supplies expense 521,151. Med equip expense 360,443. Bad debt expense 147,066.”

Raw XML AppendixShowing 400 of 507 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/ActivityOrMissionDesc0SUPPLY PEOPLE OF STERLING, ROCK FALLS & DIXON WITH MEDICAL EQUIPMENT AND SUPPLIES IN THEIR HOMES
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IRS990/Desc0THE PRIMARY EXEMPT PURPOSE OF NORTHERN ILLINOIS HOME MEDICAL SUPPLY (NIHMS) IS TO SERVE THE CONSUMERS OF STERLING, ROCK FALLS, DIXON, AND OUTLYING AREAS WITH MEDICAL EQUIPMENT AND SUPPLIES IN THEIR HOMES. AMOUNTS CHARGED AND COLLECTED FOR SUCH SERVICES WILL BE BASED UPON THE RESPONSIBLE PARTY'S FINANCIAL STATUS IN COMPARISON WITH THE FEDERAL POVERTY GUIDELINES. NIHMS WILL PROVIDE CHARITY CARE TO ANY NIHMS PATIENT QUALIFYING WITHIN THE OUTLINE REQUIREMENTS. CHARITY CARE WAS ESTIMATED AT A COST OF APPROXIMATELY $5,000 FOR THE YEAR ENDED APRIL 30, 2016. NORTHERN ILLINOIS HOME MEDICAL SUPPLY LEASES AND/OR SELLS MEDICAL EQUIPMENT INCLUDING WALKERS, WHEELCHAIRS, OXYGEN, ETC. THE HOME MEDICAL EQUIPMENT IS DESIGNED TO ASSIST THOSE PATIENTS THAT HAVE BEEN DISCHARGED FROM HOSPITALS AND/OR THOSE WHO NEED CONTINUOUS CARE.
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IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
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IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0PROVIDE HIGH QUALITY, HOME MEDICAL EQUIPMENT SERVICES AND SUPPLIES TO OUR COMMUNITY IN A CARING, EFFICIENT AND COST-EFFECTIVE MANNER.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
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IRS990/NetAssetsOrFundBalancesEOYAmt01811645
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt018289
IRS990/OccupancyGrp/ProgramServicesAmt0136508
IRS990/OccupancyGrp/TotalAmt0154797
IRS990/OfficeExpensesGrp/ProgramServicesAmt076430
IRS990/OfficeExpensesGrp/TotalAmt076430
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0125765
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0125765
IRS990/OtherExpensesGrp/Desc0MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc1BAD DEBT EXPENSE
IRS990/OtherExpensesGrp/Desc2REPAIRS & MAINTENANCE
IRS990/OtherExpensesGrp/Desc3COLLECTION FEES
IRS990/OtherExpensesGrp/ProgramServicesAmt0881594
IRS990/OtherExpensesGrp/ProgramServicesAmt1147066
IRS990/OtherExpensesGrp/ProgramServicesAmt232745
IRS990/OtherExpensesGrp/ProgramServicesAmt39572
IRS990/OtherExpensesGrp/TotalAmt0881594
IRS990/OtherExpensesGrp/TotalAmt1147066
IRS990/OtherExpensesGrp/TotalAmt232745
IRS990/OtherExpensesGrp/TotalAmt39572
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0429984
IRS990/OtherSalariesAndWagesGrp/TotalAmt0429984
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt06387
IRS990/PayrollTaxesGrp/ProgramServicesAmt035911
IRS990/PayrollTaxesGrp/TotalAmt042298
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt024382
IRS990/PensionPlanContributionsGrp/TotalAmt024382
IRS990/PoliticalCampaignActyInd00
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IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt040379
IRS990/PrincipalOfficerNm0MELISSA SHEPPARD MILLER
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621610
IRS990/ProgramServiceRevenueGrp/BusinessCd1532420
IRS990/ProgramServiceRevenueGrp/Desc0MEDICAL EQUIP RENTAL
IRS990/ProgramServiceRevenueGrp/Desc1MEDICAL SUPPLY SALES
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt01532568
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt11074070
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt01532568
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt11074070
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt01860
IRS990/PYOtherExpensesAmt01307497
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt02307695
IRS990/PYRevenuesLessExpensesAmt0227512
IRS990/PYSalariesCompEmpBnftPaidAmt0774546
IRS990/PYTotalExpensesAmt02082043
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt02309555
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0339860
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt02606638
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0990084
IRS990/SavingsAndTempCashInvstGrp/EOYAmt01101223
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt02019
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt01860
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt02241
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt02357
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt05968
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt014445
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt02606638
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt02307696
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt02228318
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt02199091
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt02092412
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt011434155
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt02019
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt01860
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt02241
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt02357
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt05968
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt014445
IRS990ScheduleA/InvestmentIncomeCYPct00.00130
IRS990ScheduleA/InvestmentIncomePYPct00.00150
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.99870
IRS990ScheduleA/PublicSupportPY509Pct00.99850
IRS990ScheduleA/PublicSupportTotal509Amt011434155
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt02606638
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt02307696
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt02228318
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt02199091
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt02092412
IRS990ScheduleA/Total509Grp/TotalAmt011434155
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt02608657
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt02309556
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt02230559
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt02201448
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt02098380
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt011448600
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt053734
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0791757
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0845491
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt01028660
IRS990ScheduleD/ExpensesSubtotalAmt01240137
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt054596
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt02768
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt057364
IRS990ScheduleD/OtherExpensesNotIncludedAmt01028660
IRS990ScheduleD/OtherRevenuesNotIncludedAmt01028660
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt01028660
IRS990ScheduleD/RevenueSubtotalAmt01579997
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0EFFECTIVE NOVEMBER 29, 2006, THE ORGANIZATION WAS APPROVED BY THE INTERNAL REVENUE SERVICE (IRS) FOR TAX EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS CLASSIFIED BY THE IRS AS OTHER THAN A PRIVATE FOUNDATION. THE ORGANIZATION FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS 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 INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF THE ENTITY 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 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. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING STATEMENTS OF FINANCIAL POSITION ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. PRESENTLY, THERE ARE NO ONGOING TAX AUDITS OR UNRESOLVED DISPUTES WITH THE TAX AUTHORITIES THAT THE ORGANIZATION CURRENTLY FILES OR HAS FILED WITH.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1MED SUPPLIES EXPENSE 521,151. MED EQUIP EXPENSE 360,443. BAD DEBT EXPENSE 147,066.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2MED SUPPLIES EXPENSE 521,151. MED EQUIP EXPENSE 360,443. BAD DEBT EXPENSE 147,066.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0108330
IRS990ScheduleD/TotalExpensesPerForm990Amt02268797
IRS990ScheduleD/TotalRevenuePerForm990Amt02608657
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt01579997
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt01240137
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt1150
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0193454
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1233198
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt011017
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt110501
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt015220
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt116197
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt024000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0KEVIN MARX
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1SHANE BROWN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0243691
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1260046
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0COMPENSATION FOR THE INDIVIDUALS IN PART II IS DETERMINED BY THE RELATED ORGANIZATIONS CGH MEDICAL CENTER AND KSB HOSPITAL. THESE ORGANIZATIONS USE COMPENSATION COMMITTEES, INDEPENDENT CONSULTANTS, COMPENSATION SURVEYS AND STUDIES AND APPROVAL IS MADE BY THE BOARD OR COMPENSATION COMMITTEES.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE BOARD OF DIRECTORS, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS IN OFFICE, MAY DESIGNATE AND APPOINT ONE OR MORE COMMITTEES, EACH OF WHICH SHALL CONSIST OF TWO OR MORE DIRECTORS, WHICH COMMITTEES, TO THE EXTENT PROVIDED IN SAID RESOLUTION, SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION, EXCEPT THAT NO SUCH COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN REFERENCE TO AMENDING, ALTERING, OR REPEALING THE BYLAWS; ELECTING, APPOINTING OR REMOVING ANY SUCH COMMITTEE OR ANY DIRECTOR OR OFFICER OF THE CORPORATION; AMENDING THE ARTICLES OF INCORPORATION; RESTATING ARTICLES OF INCORPORATION; ADOPTING A PLAN OF MERGER OR ADOPTING A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION; AUTHORIZING THE SALE, LEASE, EXCHANGE OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION; AUTHORIZING THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOKING PROCEEDINGS THEREFORE; ADOPTING A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION; OR AMENDING, ALTERING OR REPEALING ANY RESOLUTION OF THE BOARD OF DIRECTORS WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED OR REPEALED BY SUCH COMMITTEE. THE DESIGNATION AND APPOINTMENT OF ANY SUCH COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS, OR ANY INDIVIDUAL DIRECTOR, OF ANY RESPONSIBILITY IMPOSED UPON HIM BY LAW.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PER THE ORGANIZATION'S BY-LAWS, THERE SHALL BE TWO MEMBERS: CGH MEDICAL CENTER AND KATHERINE SHAW BETHEA HOSPITAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE GOVERNING BODY CONSISTS OF FIVE DIRECTORS, TWO OF WHICH ARE CHOSEN BY THE BOARD OF DIRECTORS OF CGH MEDICAL CENTER AND TWO OF WHICH ARE CHOSEN BY THE KATHERINE SHAW BETHEA HOSPITAL. THE FIFTH DIRECTOR IS DETERMINED BASED UPON DISCUSSION OF THE OTHER FOUR DIRECTORS WITH A MAJORITY VOTE OF THOSE FOUR REQUIRED TO APPROVE THE FIFTH DIRECTOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ALL OF ARTICLE I, SECTIONS 3, 9 AND 11 OF ARTICLE IV, ALL OF ARTICLE V, ALL OF ARTICLE X AND ARTICLE XVI, MAY ONLY BE ALTERED, AMENDED OR REPEALED BY NEW BY-LAWS APPROVED BY THE BOARD OF DIRECTORS OF KATHERINE SHAW BETHEA HOSPITAL AND THE BOARD OF DIRECTORS OF CGH MEDICAL CENTER. NO OFFICES OR SERVICE CENTERS MAY BE ESTABLISHED OR ELIMINATED WITHOUT THE PRIOR WRITTEN APPROVAL OF THE BOARD OF DIRECTORS OF BOTH KATHERINE SHAW BETHEA HOSPITAL AND CGH MEDICAL CENTER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. A DRAFT COPY OF FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND THE TREASURER OF THE BOARD PRIOR TO FILING. ALL OTHER BOARD MEMBERS ARE NOTIFIED THAT FORM 990 IS AVAILABLE FOR THEIR REVIEW IF THEY WOULD LIKE TO REVIEW IT. IF CHANGES ARE NECESSARY, THEY ARE REPORTED TO THE RETURN PREPARER AND INCORPORATED INTO THE FINAL RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5ANY POSSIBLE CONFLICT OF INTEREST ON THE PART OF A DIRECTOR SHALL BE DISCLOSED TO THE BOARD. WHEN ANY SUCH INTEREST BECOMES A MATTER OF BOARD ACTION, SUCH DIRECTOR SHALL NOT VOTE OR USE PERSONAL INFLUENCE ON THE MATTER, AND SHALL NOT BE COUNTED IN THE QUORUM FOR A MEETING AT WHICH THE BOARD ACTION IS TO BE TAKEN ON THE MATTER. THE DIRECTOR MAY, HOWEVER, BRIEFLY STATE A POSITION ON THE MATTER, AND ANSWER PERTINENT QUESTIONS OF THE BOARD MEMBERS. THE MINUTES OF ALL ACTIONS TAKEN ON SUCH MATTER CLEARLY DOCUMENT THAT THESE REQUIREMENTS HAVE BEEN MET.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6ALL WAGE/SALARY RANGES ARE RESEARCHED AND COMPARED TO SELECTED COMPENSATION SURVEY DATA TO DETERMINE REQUIRED MARKET ADJUSTMENTS. POSITION DESCRIPTIONS MUST BE MAINTAINED ON A CURRENT BASIS AND WILL BE USED AS A BASIS OF COMPARISON TO MARKET DATA. THIS PROCESS WILL TAKE PLACE AT LEAST ONCE PER YEAR. ADDITIONAL COMPARISONS WILL BE CONDUCTED ANY TIME THE MARKETPLACE INDICATES PRESSURE ON KEY POSITIONS. OVERALL MARKET ADJUSTMENTS ARE EFFECTIVE THE FIRST FULL PAY OF JULY OF EACH YEAR, WITH ADDITIONAL ADJUSTMENTS MADE AS CONDITIONS SO WARRANT. COMPENSATION FOR THE CORPORATION'S DIRECTOR IS APPROVED BY THE BOARD. THE BOARD REVIEWS THE EXECUTIVE DIRECTOR'S SALARY ANNUALLY AND SETS IT. THE REVIEW PROCESS AND DETERMINATION IS DOCUMENTED IN THE BOARD MINUTES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd1N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0CGH MEDICAL CENTER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1KSB HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0363479824
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1361000540
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0GOVT UNIT - SEC 115
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1IL

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