Civic Intelligence

Shelby Memorial Hospital Foundation Inc

990 • Fiscal year 2014 • EIN 37-1294401

Sep 01, 2013 to Aug 31, 2014 • Filed on Apr 01, 2015

200 South Cedar StreetSuite62565

(217) 774-3961

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

13th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Liabilities / Revenue

13th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Net Margin

94th percentile

59%

Higher net margin than 94% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Top Officer Pay

87th percentile

$174,615

Higher top officer pay than 87% of similar nonprofits.

Top officer pay equals 105.0% of source-year revenue.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Asset Growth

70th percentile

9.5%

Faster asset growth than 70% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Up

$1,231,279

Up $106,974 (+9.5%) from 2013

Net Assets

Up

$1,231,279

Up $106,974 (+9.5%) from 2013

Liabilities

Flat

$0

Flat from 2013

Revenue

$166,257

No earlier filing loaded for comparison.

Expenses

Down

$67,624

Down $8,975 (-12%) from 2013

Net Income

$98,633

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.5M$1.0M$500K$0Assets 2012: $1,061,922Liabilities 2012: $0Net Assets 2012: $1,061,9222012Assets 2013: $1,124,305Liabilities 2013: $0Net Assets 2013: $1,124,3052013Assets 2014: $1,231,279Liabilities 2014: $0Net Assets 2014: $1,231,2792014Assets 2015: $1,204,686Liabilities 2015: $4,727Net Assets 2015: $1,199,9592015Assets 2016: $1,285,348Liabilities 2016: $0Net Assets 2016: $1,285,3482016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2014

Assets$1,231,279
Liabilities$0
Net Assets$1,231,279

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300K$200K$100K$0Expenses 2012: $267,6142012Expenses 2013: $76,5992013Revenue 2014: $166,257Expenses 2014: $67,624Net Income 2014: $98,6332014Revenue 2015: $74,793Expenses 2015: $37,762Net Income 2015: $37,0312015Revenue 2016: $78,145Expenses 2016: $26,006Net Income 2016: $52,1392016Revenue 2017: $65,018Expenses 2017: $15,390Net Income 2017: $49,6282017

Highlighted filing

2014

Revenue$166,257
Expenses$67,624
Net Income$98,633
Jump To
Filing Snapshot
Filing Period
Sep 1, 2013 to Aug 31, 2014
Signed
Apr 1, 2015
Return Version
2013v4.0
Gross Receipts
$259,621
Mission and Program Overview

Mission

Donate funds received by the foundation to hshs good shepherd hospital for financial assistance including renovations, equipment purchase and operating expenses.

Donated funds received by the foundation & distributed to shelby memorial hospital for financial assistance including renovations, equipment purchases, & operating expenses.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$944,134$1,080,272▲ $136,138
Savings and Temporary Cash Investments$180,171$151,007▼ $29,164
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Land, Buildings, and Equipment, Net$0--
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$1,124,305$1,231,279▲ $106,974
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$0$0→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$1,015,612$1,162,701▲ $147,089
Temporarily Rstr Net Assets$88,693$48,578▼ $40,115
Permanently Rstr Net Assets$20,000$20,000→ $0
Total Net Assets Fund Balance$1,124,305$1,231,279▲ $106,974
Total Liabilities and Net Assets / Fund Balance$1,124,305$1,231,279▲ $106,974
Compensation and Service Providers

Employees

NameTitleOtherTotal
Philip MillerCFO$126,599$126,599
Brad JiterDirector$68,783$68,783
Lorrie HaydenSecretary$56,183$56,183

Board Members and Trustees

NameTitle
Marilyn SearsHospital President/CEO
Richard FirnhaberPresident
Kathy TiceVice President
Elaine BeeryDirector
Glenna TaylorDirector
Jim FinksDirector
Judy BehlDirector
Kurt StremmingDirector

Highest Paid Contractors

ContractorServicesLocationCompensation
None---
Revenue and Support

Revenue Composition

Contributions and Grants
$62,618
Program Service Revenue
$0
Investment Income
$103,639
Other Revenue
$0
All Other Contributions
$62,618
Change in Net Assets
$98,633
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$49,434
Other Expenses$18,190
Total Fundraising Expense$17,933
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$49,434--$49,434
Other Expenses$175-$17,933$175
Office Expenses-$82-$82
Total Functional Expenses$49,609$82$17,933$67,624
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
37-0512290-501(c)(3)Support of Hospital$40,598
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No
Filing and Contact Details

Filer

EIN
37-1294401
In Care Of
% PHILIP MILLER
Phone
2177743961

Signing Officer

Name
Philip Miller
Title
CFO
Phone
2177743961
Signed
2015-04-01
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Marilyn Sears
Formed
1987
Legal Domicile
Il
Voting Board Members
9
Independent Board Members
7
Employees
0
Volunteers
0

Preparer

Preparer
Donna J Larson
Phone
2177743961
Supplemental Narrative

Additional Explanations

Members

Form 990, part vi, line 6 the sole member of the organization is shelby memorial hospital association, a tax exempt organization.

Election of Governing Body

Form 990, part vi, line 7a the sole member elects the members of the governing body from a nomination list submitted by the governing body.

Decisions Subject to Member Approval

Form 990, part vi, line 7b certain decisions of the governing body are subject to approval by the member including: to alter, amend, or repeal the articles of incorporation or by-laws of the corporation, or adopt any by-laws for any subsidiary; approve the annual operating budget of the corporation or approve any formal long-range plan of the corporation; approve any transaction for which the corporation would be required to obtain certificate of need approval under illinois law; borrow funds or incur debt, whether secured or unsecured; approve or adopt any plan of merger or consolidation, or any sale, lease, exchange, mortgage, pledge, or other disposition of all or substantially all (10% or more) of the property and assets of the corporation; select auditors or legal counsel for the corporation; create or acquire any subsidiary or affiliate corporation, or create any other corporation of which the corporation is a member; to dissolve the corporation or adopt any plan of dissolution; and to review and approve any requests for grants to be made to any entity other than the member. The sole member also appoints the chief executive officer of the corporation.

Review Process

Form 990, part vi, line 11 the 990 is reviewed by the cfo for accuracy. No review was or will be conducted by the organization's governing body.

Compliance With Conflict of Interest Policy

Form 990, part vi, line 12c officers, directors or trustees, and key employees are required to disclose annually interests that could give rise to conflicts. The organization also holds quarterly meetings with employees.

Process for Making Documents Available to the Public

Form 990, part vi, line 19 the organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Business Relationships

Form 990, part vi, line 2 richard firnhaber and kurt stremming have a business relationship.

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IRS990/OtherExpensesGrp/Desc0FUNDRAISING EXPENSE
IRS990/OtherExpensesGrp/Desc1DUES & FEES
IRS990/OtherExpensesGrp/FundraisingAmt017933
IRS990/OtherExpensesGrp/ProgramServicesAmt0175
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IRS990/OtherExpensesGrp/TotalAmt1175
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IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt020000
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt020000
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt00
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IRS990/PriorPeriodAdjustmentsAmt0-24197
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt058171
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt076599
IRS990/PYInvestmentIncomeAmt030469
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt00
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt012041
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt076599
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt088640
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt00
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IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt098633
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0true
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/RentalIncomeOrLossGrp/PersonalAmt00
IRS990/RentalIncomeOrLossGrp/RealAmt00
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0180171
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0151007
IRS990ScheduleA/CertificationInd0X
IRS990ScheduleA/Contribution35ControlledInd0false
IRS990ScheduleA/ContributionControllerInd0false
IRS990ScheduleA/ContributionFamilyInd0false
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IRS990ScheduleA/SupportedOrgInformationGrp/EIN0370512290
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd0true
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeDesc003
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt040598
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine10SHELBY MEMORIAL HOSPITAL ASSOCIATION INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrgNotifiedInd0true
IRS990ScheduleA/SupportedOrgInformationGrp/USOrganizedInd0true
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt040598
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/RecipientTable/CashGrantAmt040598
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0SUPPORT OF HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine10SHELBY MEMORIAL HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientEIN0370512290
IRS990ScheduleI/RecipientTable/USAddress/AddressLine10200 S CEDAR ST SHELBYVILLE IL 6
IRS990ScheduleI/RecipientTable/USAddress/City0SHELBYVILLE
IRS990ScheduleI/RecipientTable/USAddress/State0IL
IRS990ScheduleI/RecipientTable/USAddress/ZIPCode062565
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0PART I, LINE 2 THE ORGANIZATION MAKES GRANTS TO SHELBY MEMORIAL HOSPITAL FOR PRE-APPROVED PROGRAMS AND TO OTHER PUBLICLY SUPPORTED CHARITIES FOR HEALTH CARE RELATED PROGRAMS.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PROCEDURE FOR MONITORING USE OF GRANT FUNDS
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990/ScheduleJRequiredInd0true
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0166697
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt06668
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt01250
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0MARILYN SEARS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0HOSPITAL PRESIDENT/CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0174615
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE TOP MANAGEMENT OFFICIAL IS EMPLOYED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION USES THE FOLLOWING FACTORS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0ESTABLISH COMPENSATION
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FORM 990, PART VI, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS SHELBY MEMORIAL HOSPITAL ASSOCIATION, A TAX EXEMPT ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990, PART VI, LINE 7A THE SOLE MEMBER ELECTS THE MEMBERS OF THE GOVERNING BODY FROM A NOMINATION LIST SUBMITTED BY THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2FORM 990, PART VI, LINE 7B CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MEMBER INCLUDING: TO ALTER, AMEND, OR REPEAL THE ARTICLES OF INCORPORATION OR BY-LAWS OF THE CORPORATION, OR ADOPT ANY BY-LAWS FOR ANY SUBSIDIARY; APPROVE THE ANNUAL OPERATING BUDGET OF THE CORPORATION OR APPROVE ANY FORMAL LONG-RANGE PLAN OF THE CORPORATION; APPROVE ANY TRANSACTION FOR WHICH THE CORPORATION WOULD BE REQUIRED TO OBTAIN CERTIFICATE OF NEED APPROVAL UNDER ILLINOIS LAW; BORROW FUNDS OR INCUR DEBT, WHETHER SECURED OR UNSECURED; APPROVE OR ADOPT ANY PLAN OF MERGER OR CONSOLIDATION, OR ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL (10% OR MORE) OF THE PROPERTY AND ASSETS OF THE CORPORATION; SELECT AUDITORS OR LEGAL COUNSEL FOR THE CORPORATION; CREATE OR ACQUIRE ANY SUBSIDIARY OR AFFILIATE CORPORATION, OR CREATE ANY OTHER CORPORATION OF WHICH THE CORPORATION IS A MEMBER; TO DISSOLVE THE CORPORATION OR ADOPT ANY PLAN OF DISSOLUTION; AND TO REVIEW AND APPROVE ANY REQUESTS FOR GRANTS TO BE MADE TO ANY ENTITY OTHER THAN THE MEMBER. THE SOLE MEMBER ALSO APPOINTS THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3FORM 990, PART VI, LINE 11 THE 990 IS REVIEWED BY THE CFO FOR ACCURACY. NO REVIEW WAS OR WILL BE CONDUCTED BY THE ORGANIZATION'S GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4FORM 990, PART VI, LINE 12C OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE ORGANIZATION ALSO HOLDS QUARTERLY MEETINGS WITH EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6FORM 990, PART VI, LINE 2 RICHARD FIRNHABER AND KURT STREMMING HAVE A BUSINESS RELATIONSHIP.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0MEMBERS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1ELECTION OF GOVERNING BODY
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2DECISIONS SUBJECT TO MEMBER APPROVAL
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3REVIEW PROCESS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4COMPLIANCE WITH CONFLICT OF INTEREST POLICY
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6BUSINESS RELATIONSHIPS
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false

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