Civic Intelligence

Epilepsy Health Management

EIN 46-3666960 • 501(c)3 • Lake IN The Hills, IL

RevokedPub. 78 Eligible990-N Coverage

Profile

Epilepsy health management provides a patient centered model of care that wraps a care team around each patient.

Revocation date: May 15, 2019

4230 Greenfield LaneLake IN The Hills, IL 60156

n/A

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2022

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2022

Net Margin

34th percentile

-7.0%

Higher net margin than 34% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2022

Asset Growth

51st percentile

-1.5%

Faster asset growth than 51% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

10th percentile

-76%

Faster revenue growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Assets

Down

$116,133

Down $1,724 (-1.5%) from 2021

Liabilities

-

No earlier filing loaded for comparison.

Net Assets

Down

$116,133

Down $1,724 (-1.5%) from 2021

Revenue

Down

$24,777

Down $80,371 (-76%) from 2021

Expenses

Up

$26,502

Up $6,365 (+32%) from 2021

Net Income

Down

-$1,725

Down $86,736 (-102%) from 2021

Trend Graphs

Balance Sheet Trend

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

$150K$100K$50K$0Assets 2021: $117,857Net Assets 2021: $117,8572021Assets 2022: $116,133Net Assets 2022: $116,1332022

Highlighted filing

2022

Assets$116,133
Liabilities-
Net Assets$116,133

Operations Trend

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

$150K$100K$50K$0-$50KRevenue 2021: $105,148Expenses 2021: $20,137Net Income 2021: $85,0112021Revenue 2022: $24,777Expenses 2022: $26,502Net Income 2022: -$1,7252022

Highlighted filing

2022

Revenue$24,777
Expenses$26,502
Net Income-$1,725

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
May 16, 2023
Return Version
2022v5.0
Gross Receipts
$24,777
Mission and Program Overview

Mission

Epilepsy health management provides a patient centered model of care that wraps a care team around each patient.

Program Services

DescriptionGrantsExpenses
CARE COORDINATION FOR DISABLED CHILDREN AND ADULTS WITH EPILEPSY. IN ADDITION, EPILEPSY IN-SERVICES/EDUCATION IS PROVIDED FOR SCHOOL PERSONNEL.-$24,110
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
GAIL KELLEYPresident-$0--
AMANDA MARRAZZOSecretary-$0--
PETER RYBINSKITreasurer-$0--
MARVIN ROSSIMedical Dire-$0--
NANCY MONICADirector-$0--
Filing and Contact Details

Filer

Filer Name
Epilepsy Health Management
EIN
46-3666960
Phone
8153211287
Address
4230 GREENFIELD LANE, LAKE IN THE HILLS, IL 60156

Signing Officer

Name
Peter Rybinski
Title
Treasurer
Phone
8152764113
Signed
2023-05-16
Discuss with paid preparer
Yes

Preparer

Firm
Miller Verchota Inc Cpas
Address
444 N IL ROUTE 31 STE 104, CRYSTAL LAKE, IL 60012
Preparer
Emily Fornwall CPA
Phone
8154778000
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 16

Expenses state reporting fees 111 supplies 63 information technology 907 medical reimbursement 721 telephone expense 859 penalty 320 total 2,981

Form 990-ez, Part III

Epilepsy health management provides a patient centered model of care that wraps a care team around each patient.

Raw XML Appendix133 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
IRS990EZ/ActivitiesNotPreviouslyRptInd0false
IRS990EZ/BooksInCareOfDetail/PersonNm0PETER RYBINSKI
IRS990EZ/BooksInCareOfDetail/PhoneNum08153211287
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt045 COMMONS CIRCLE
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0HAWTHORNE WOODS
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0IL
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd060047
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt0117858
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt0116133
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/ContributionsGiftsGrantsEtcAmt024777
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt0-1725
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt023465
IRS990EZ/FiledScheduleAInd0true
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form1120PolFiledInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt0117858
IRS990EZ/Form990TotalAssetsGrp/EOYAmt0116133
IRS990EZ/GrossReceiptsAmt024777
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MethodOfAccountingAccrualInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0117858
IRS990EZ/NetAssetsOrFundBalancesEOYAmt0116133
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0117858
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt0116133
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt01.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt11.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt21.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt31.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt41.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0GAIL KELLEY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1AMANDA MARRAZZO
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2PETER RYBINSKI
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3MARVIN ROSSI
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4NANCY MONICA
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3MEDICAL DIRE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4DIRECTOR
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherExpensesTotalAmt02981
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0EPILEPSY HEALTH MANAGEMENT PROVIDES A PATIENT CENTERED MODEL OF CARE THAT WRAPS A CARE TEAM AROUND EACH PATIENT.
IRS990EZ/PrintingPublicationsPostageAmt056
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0CARE COORDINATION FOR DISABLED CHILDREN AND ADULTS WITH EPILEPSY. IN ADDITION, EPILEPSY IN-SERVICES/EDUCATION IS PROVIDED FOR SCHOOL PERSONNEL.
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt024110
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt026502
IRS990EZ/TotalProgramServiceExpensesAmt024110
IRS990EZ/TotalRevenueAmt024777
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0N/A
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt024777
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0105148
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt086000
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0215925
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.47960
IRS990ScheduleA/PublicSupportPY170Pct00.49680
IRS990ScheduleA/PublicSupportTotal170Amt0103561
IRS990ScheduleA/SubstantialContributorsTotAmt0112364
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt024777
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0105148
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt086000
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0215925
IRS990ScheduleA/TotalSupportAmt0215925
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0EXPENSES STATE REPORTING FEES 111 SUPPLIES 63 INFORMATION TECHNOLOGY 907 MEDICAL REIMBURSEMENT 721 TELEPHONE EXPENSE 859 PENALTY 320 TOTAL 2,981
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1EPILEPSY HEALTH MANAGEMENT PROVIDES A PATIENT CENTERED MODEL OF CARE THAT WRAPS A CARE TEAM AROUND EACH PATIENT.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART III
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0PETER RYBINSKI
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum08152764113
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-05-16
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0EPILEPSY HEALTH MANAGEMENT
ReturnHeader/Filer/BusinessNameControlTxt0EPIL
ReturnHeader/Filer/EIN0463666960
ReturnHeader/Filer/PhoneNum08153211287
ReturnHeader/Filer/USAddress/AddressLine1Txt04230 GREENFIELD LANE
ReturnHeader/Filer/USAddress/CityNm0LAKE IN THE HILLS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IL
ReturnHeader/Filer/USAddress/ZIPCd060156
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0364387304
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MILLER VERCHOTA INC CPAS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0444 N IL ROUTE 31 STE 104
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0CRYSTAL LAKE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd060012
ReturnHeader/PreparerPersonGrp/PhoneNum08154778000
ReturnHeader/PreparerPersonGrp/PreparationDt02023-05-16
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0EMILY FORNWALL CPA
ReturnHeader/ReturnTs02023-05-17T16:54:33-04:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0PETER
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0RYBINSKI
ReturnHeader/TaxPeriodBeginDt02022-01-01
ReturnHeader/TaxPeriodEndDt02022-12-31
ReturnHeader/TaxYr02022

Document Assets

No mirrored PDF or thumbnail assets are attached yet.