Civic Intelligence

Holy Family Surgery Center Foundation

EIN 47-4546833 • 501(c)3 • Deerfield, IL

Profile

To improve the availability, quality and education of healthcare provided to the honduran nuestros pequenos hermanos community and surrounding population in need.

510 Lake Cook Road 400Deerfield, IL 60015

www.holyfamilysurgerycenter.org

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 2021

Liabilities / Revenue

Score unavailable

No value available

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

Source year 2021

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2021

Top Officer Pay

99th percentile

$227,004

Higher top officer pay than 99% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2021

Asset Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2020 to 2021

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2020 to 2021

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Flat

$0

Flat from 2020

Liabilities

Flat

$0

Flat from 2020

Net Assets

Flat

$0

Flat from 2020

Operations
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

Flat

$0

Flat from 2020

Expenses

Flat

$0

Flat from 2020

Net Income

Flat

$0

Flat from 2020

Trend Graphs

Balance Sheet Trend

Asset GrowthScore unavailable

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

$600K$400K$200K$0Assets 2015: $202,173Liabilities 2015: $34,099Net Assets 2015: $168,0742015Assets 2016: $545,790Liabilities 2016: $35,445Net Assets 2016: $510,3452016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2021

Assets$0
Liabilities$0
Net Assets$0
Open 2021 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$1.5M$1.0M$500K$0Revenue 2015: $207,150Expenses 2015: $39,076Net Income 2015: $168,0742015Revenue 2016: $1,141,927Expenses 2016: $794,085Net Income 2016: $347,8422016Revenue 2017: $0Expenses 2017: $0Net Income 2017: $02017Revenue 2018: $0Expenses 2018: $0Net Income 2018: $02018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019Revenue 2020: $0Expenses 2020: $0Net Income 2020: $02020Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021

Highlighted filing

2021

Revenue$0
Expenses$0
Net Income$0
Open 2021 Filing

Filings

Most recent year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$0
Expenses
$0
Net income
$0
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2021Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2020Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2019Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2018Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2017Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2016Detailed filing. Detailed filing data is available for this year.$0.55$0.04$0.51$1.14$0.79$0.35
2015Detailed filing. Detailed filing data is available for this year.$0.20$0.03$0.17$0.21$0.04$0.17
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 14, 2022
Return Version
2021v4.2
Gross Receipts
$0
Mission and Program Overview

Mission

To improve the availability, quality and education of healthcare provided to the honduran nuestros pequenos hermanos community and surrounding population in need.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts-$0-
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Other Assets Total-$0-
Total Assets$0$0→ $0
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$0$0→ $0
Compensation and Service Providers
Top Officer Pay99th percentile

Board Members and Trustees

NameTitle
Andrew HayekChairman
Caitlin ZullaDirector
Cory RobertsDirector
Dr Hugh WestDirector
Reinhart KoehlerDirector
Claire CunninghamChief Executive Officer
Dr Peter DalyChief Medical Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$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
Insider Transactions and Loans

Loans and Receivables

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

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with 35% controlled entity
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“A complete copy of form 990 will be provided to the governing body prior to filing.”

Form 990, Part VI, Section C, Line 19

“During 2017, the organization transferred all of its assets and operations to sca medical missions (now one world surgery). The organization became inactive after the transfer and formally dissolved during 2021.”

Filing and Contact Details

Filer

Filer Name
Holy Family Surgery Center Foundation
EIN
47-4546833
Phone
8472673539
Address
510 LAKE COOK ROAD 400, DEERFIELD, IL 60015

Signing Officer

Name
Claire Cunningham
Title
Chief Executive Officer
Phone
8472673539
Signed
2022-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Claire Cunningham
Formed
2015
Legal Domicile
Mn
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
0

Preparer

Firm
Cliftonlarsonallen Llp
Address
1301 WEST 22ND STREET SUITE 1100, OAK BROOK, IL 60523
Preparer
Thomas G Andrews
Phone
6305738600
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

“The board of directors assumes responsibility for oversight of the audit and selection of an independent accountant. An audit of the organization's financial statements was not required for 2021.”

Raw XML Appendix369 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.

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IRS990/Desc0IN PRIOR YEARS, HOLY FAMILY SURGERY CENTER FOUNDATION (HFSCF) CONDUCTED MEDICAL MISSION TRIPS AND PROVIDED HIGH QUALITY SURGICAL SOLUTIONS TO HONDURAN CITIZENS. HFSCF ALSO PARTNERED WITH SCA MEDICAL MISSIONS (NOW ONE WORLD SURGERY)THAT COORDINATED THE VOLUNTEER TRIPS TO HONDURAS. DURING 2017, THE BOARDS OF DIRECTORS OF HFSCF AND SCA MEDICAL MISSIONS DETERMINED THAT IT WAS IN THE BEST INTEREST OF BOTH ORGANIZATIONS TO COMBINE THEIR OPERATIONS. EFFECTIVE JANUARY 1, 2017, HFSCF TRANSFERRED ALL OF ITS ASSETS, LIABILITIES, AND ITS OPERATIONS TO SCA MEDICAL MISSIONS (NOW ONE WORLD SURGERY). CONSIDERATION FOR THE TRANSFER WAS THE ASSUMPTION OF HFSC LIABILITIES BY SCA MEDICAL MISSIONS. HFSCF HAD NO FURTHER ACTIVITIES DURING 2017 AND THE CORPORATION REMAINED DORMANT THROUGH 2021. ON DECEMBER 29, 2021, THE BOARD OF DIRECTORS VOTED TO FORMALLY DISSOLVE HFSCF AND SUBMITTED ARTICLES OF DISSOLUTION WITH THE STATE OF MINNESOTA AS PART OF THE COMPLETE TERMINATION OF THE ENTITY.
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt626768
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IRS990/Form990PartVIISectionAGrp/PersonNm1ANDREW HAYEK
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt1CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6CHIEF EXECUTIVE OFFICER
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CHIEF EXECUTIVE OFFICER
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IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
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IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0PERSON(S) INVOLVED: DR. PETER DALY, ANDREW HAYEK, REINHART KOEHLER, CAITLIN ZULLA, CORY ROBERTS, DR. HUGH WEST, CLAIRE CUNNINGHAM
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1EXPLANATION OF INVOLVEMENT: THE OFFICERS AND DIRECTORS OF HOLY FAMILY SURGERY CENTER FOUNDATION ASSUMED THE SAME ROLES WITHIN THE SUCCESSOR ORGANIZATION, ONE WORLD SURGERY.
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION DISTRIBUTED ALL OF ITS ASSETS, LIABILITIES, AND OPERATIONS TO SCA MEDICAL MISSIONS (NOW ONE WORLD SURGERY) EFFECTIVE JANUARY 1, 2017.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2E:
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 2E:
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc2PART I, LINE 3:
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A COMPLETE COPY OF FORM 990 WILL BE PROVIDED TO THE GOVERNING BODY PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DURING 2017, THE ORGANIZATION TRANSFERRED ALL OF ITS ASSETS AND OPERATIONS TO SCA MEDICAL MISSIONS (NOW ONE WORLD SURGERY). THE ORGANIZATION BECAME INACTIVE AFTER THE TRANSFER AND FORMALLY DISSOLVED DURING 2021.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. AN AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS WAS NOT REQUIRED FOR 2021.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART XII, LINE 2C:
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ReturnHeader/TaxYr02021

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