Civic Intelligence

Northwestern Memorial Healthcare

EIN 65-1293967 • 501(c)3 • Dekalb, IL

Profile

Kishwaukee physician group exists as one of the area's leading physician groups, providing health care to all area residents. All care given is characterized by excellence and innovation with the goal of keeping our communities healthy.

One Kish Hospital DriveDekalb, IL 60115

www.kishhealth.org

Siviq Scores

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

Liabilities / Assets

50th percentile

0.21x

Higher debt load relative to assets than 50% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2015

Liabilities / Revenue

36th percentile

0.16x

Higher debt load relative to revenue than 36% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2015

Net Margin

90th percentile

53%

Higher net margin than 90% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2015

Top Officer Pay

93rd percentile

$1,002,496

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 3.8% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2015

Asset Growth

100th percentile

689%

Faster asset growth than 100% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2014 to 2015

Revenue Growth

99th percentile

1118%

Faster revenue growth than 99% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2014 to 2015

Assets

Up

$20,104,004

Up $17,557,189 (+689%) from 2014

Liabilities

Up

$4,319,879

Up $3,582,606 (+486%) from 2014

Net Assets

Up

$15,784,125

Up $13,974,583 (+772%) from 2014

Revenue

Up

$26,498,171

Up $24,322,518 (+1118%) from 2014

Expenses

Up

$12,548,899

Up $6,750,381 (+116%) from 2014

Net Income

Up

$13,949,272

Up $17,572,137 (+485%) from 2014

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0Assets 2012: $1,339,053Liabilities 2012: $554,469Net Assets 2012: $784,5842012Assets 2013: $1,970,705Liabilities 2013: $663,608Net Assets 2013: $1,307,0972013Assets 2014: $2,546,815Liabilities 2014: $737,273Net Assets 2014: $1,809,5422014Assets 2015: $20,104,004Liabilities 2015: $4,319,879Net Assets 2015: $15,784,1252015

Highlighted filing

2015

Assets$20,104,004
Liabilities$4,319,879
Net Assets$15,784,125

Operations Trend

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

$30M$20M$10M$0-$10MRevenue 2012: $878,823Expenses 2012: $1,841,938Net Income 2012: -$963,1152012Revenue 2013: $1,521,040Expenses 2013: $4,023,838Net Income 2013: -$2,502,7982013Revenue 2014: $2,175,653Expenses 2014: $5,798,518Net Income 2014: -$3,622,8652014Revenue 2015: $26,498,171Expenses 2015: $12,548,899Net Income 2015: $13,949,2722015

Highlighted filing

2015

Revenue$26,498,171
Expenses$12,548,899
Net Income$13,949,272

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
May 1, 2014 to Apr 30, 2015
Signed
Jan 20, 2016
Return Version
2014v6.0
Gross Receipts
$26,498,171
Mission and Program Overview

Mission

Kishwaukee physician group exists as one of the area's leading physician groups, providing health care to all area residents. All care given is characterized by excellence and innovation with the goal of keeping our communities healthy.

To provide excellent and innovative health care to all area residents.

Balance Sheet Detail
LineBeginningEndChange
Assets
Intangible Assets-$10,072,895-
Cash and Non-Interest-Bearing Accounts$502,035$4,360,978▲ $3,858,943
Land, Buildings, and Equipment, Net$1,484,752$2,747,512▲ $1,262,760
Accounts Receivable$501,116$2,417,385▲ $1,916,269
Prepaid Expenses and Deferred Charges$26,268$381,922▲ $355,654
Inventories for Sale or Use-$3,457-
Total Assets$2,546,815$20,104,004▲ $17,557,189
Other Assets Total$32,644$119,855▲ $87,211
Liabilities
Accounts Payable and Accrued Expenses$505,570$3,199,129▲ $2,693,559
Other Liabilities$231,703$1,120,750▲ $889,047
Total Liabilities$737,273$4,319,879▲ $3,582,606
Net Assets / Fund Balance
Unrestricted Net Assets$1,809,542$15,784,125▲ $13,974,583
Total Net Assets Fund Balance$1,809,542$15,784,125▲ $13,974,583
Total Liabilities and Net Assets / Fund Balance$2,546,815$20,104,004▲ $17,557,189

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,683,487$455,414$2,138,901
Leasehold Improvements$605,263$361,392$966,655
Buildings$342,797$112,858$455,655
Land$115,965-$115,965
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Azeem Haleem MdDirector, Physician, UrologyFT$442,437$98,878$541,315
William AsihenePhysician, General SurgeonFT$384,363$48,433$432,796
Christine WeisPhysician, Family MedicineFT$207,422$69,954$277,376
Erik Englehart MdVice-chair,physician Family MedicineFT$182,379$81,633$264,012
Shaun MathenPhysician, Family MedicineFT$180,752$61,242$241,994
Pitamber PersaudPhysician, Interman MedicineFT$202,988$37,370$240,358
Gori KhanPhysician, Interman MedicineFT$185,524$44,660$230,184
Abe ChackoPractice Administrator, Ex OfficioFT$130,967$22,205$153,172

Board Members and Trustees

NameTitle
Michael CullenChair
Kevin PoortenPresident & CEO, Kishhealth System
Joseph RobertsDirector
Tom MatyaDirector
Michael Kulisz DoDirector, Chief Medical Officer
Jack Wagoner MdPhysician, Family Medicine
Rakesh Patel MdPhysician, Family Medicine
Sajit Bux MdPhysician, Family Medicine
Shakeel Ahmad MdPhysician, Family Medicine
Loren FoelskeVP and CFO, Kishhealth System
Roger Heath BellVP and CIO
Joseph DantVP Business Development
Michele McclellandVP of Human Resources

Highest Paid Contractors

ContractorServicesLocationCompensation
Kishhealth SystemManagement ServicesONE KISH HOSPITAL DRIVE, Dekalb, IL 60115$523,002
Reinhart Boerner VandeurenLegal Services1000 N WATER STREET, Milwaukee, WI 53202$209,634
ChmbBilling Services901 WARRENVILLE ROAD, Lisle, IL 60532$138,383
Revenue and Support

Revenue Composition

Contributions and Grants
$20,750,001
Program Service Revenue
$5,424,245
Investment Income
$905
Other Revenue
$323,020
Change in Net Assets
$13,949,272

Audited Revenue Reconciliation

Revenue per Audited Statements
$5,630,710
Revenue Not Reported on Financial Statements
$20,867,461
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$20,867,461
Total Revenue per Audited Statements
$5,630,710
Total Revenue per Form 990
$26,498,171
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$8,119,038
Other Expenses$4,429,861
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,092,513$601,949-$5,694,462
Occupancy$619,403$321,964-$941,367
Other Employee Benefits$842,134$88,101-$930,235
Current Officers, Directors, Trustees, and Key Employees$925,505--$925,505
Fees for Services Other$220,868$583,357-$804,225
Depreciation Depletion$686,495$8,494-$694,989
Fees for Services Legal-$438,784-$438,784
Payroll Taxes$352,649$35,651-$388,300
Insurance$273,976$1,798-$275,774
Fees for Services Management$1,702$273,853-$275,555
Pension Plan Contributions$160,810$19,726-$180,536
Information Technology$848$146,365-$147,213
Advertising-$125,422-$125,422
Office Expenses$78,788$43,467-$122,255
Conferences and Meetings$47,795--$47,795
Travel$471$33,258-$33,729
Other Expenses$7,055$656-$7,711
Fees for Services Accounting-$1,045-$1,045
Total Functional Expenses$9,792,935$2,755,964$0$12,548,899

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$12,548,899
Expenses per Audited Statements$12,407,033
Total Expenses per Audited Statements$12,407,033
Expenses Not Reported on Financial Statements$141,866
Other Expense Adjustments$141,866
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Christine EnglehartMs. Englehart Is a Family Member of Board Member Dr. Erik EnglehartCompensation in Her Position as Kpg Area Administrative Coordinator.No$72,125
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$1,120,750
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
Yes
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

Governance Explanations

Form 990, Part VI, Section A, Line 4

The bylaws were amended to change the number of board members from a minimum of three to a minimum of eight and maximum of eight to a maximum of fourteen.

Form 990, Part VI, Section A, Line 6

Kishhealth system is the sole member of kishwaukee physicians group, inc.

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

Per the organization's by-laws, kishhealth system, as sole member, reserves the power to elect or remove, with or without cause, any members of the board and approve, evaluate or remove, with or without cause, the practice administrator and any kpg officers.

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

Kishhealth system (khs) serves as the sole member and parent organization of kishwaukee physicians group (kpg). The bylaws of kpg state that kpg's board may not take action pertaining to the following without approval from the khs board: a. Adopting, amending, altering or repealing kpg's organizational documents b. Filing a voluntary petition of bankruptcy on behalf of kpg or authorizing a voluntary dissolution of kpg c. Electing or removing, with or without cause, any members of the board and approving, evaluating or removing, with or without cause, the practice administrator and any kpg officers and establishing compensation for such individuals, if any. D. Approving the strategic plan, annual operating and capital budgets of kpg and material deviations from such plans or budgets e. Approving any change in corporate membership of kpg or any plan of consolidation of kpg f. Establishing an affiliate of kpg g. Purchasing, selling, leasing, pledging or hypothecating any kpg property or entering into any contract for such purpose other than in the ordinary course of kpg's business. H. Entering into any contract or agreement that contemplates kpg spending in excess of $100,000 in any 12-month period and approving any management contract for the full operating of kpg. I. Approving all compensation paid to physician employees and/or physicians contracting with kpg, including compensation for both clinical and administrative duties,through compensation parameters established by the khs board's compensation committee; the compensation committee shall review such parameters annually to ensure that physician compensation represents fair market value for services rendered. J. Exercising any rights that kpg has as a shareholder or member of any subsidiary entity, including an affiliate. K. Approving and/or determining (1) the creation of new health services to be provided by kpg and the location of such health services; (2) the discontinuance of any health services provided by kpg and (3) the third-party payor arrangements (including without limitation, managed care plans) that kpg participates in and the negotiation and approval of such arrangements. L. Approving the creation and implementation of arrangements among kpg, khs, and/or one or more affiliates, including transferring money or property among such entities. M. Overseeing the quality of care provided to patients of kpg. N. Approving financial, accounting, human resources, employee benefit, and other policies and procedures (except patient care policies and procedures) and the appointment of auditors, legal counsel, vendors, contractors and consultants for kpg. O. Approving personnel decisions, including, without limitation, decisions to hire or terminate the employment of kpg personnel.

Form 990, Part VI, Section B, Line 11

A draft copy of form 990 is provided to the governing body (board of directors) and the goverance committee for review by the return preparer prior to filing. The organization's ceo, cfo, and other members of the accounting department are also provided a copy of the return for their review. The chair of the audit committee and the audit committee members are also provided draft copies and review. 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

Individuals covered by the organization's conflict of interest policy and considered interested persons, include members of the board of directors of any entity within the health system, kishhealth system officers, any committee member, any individual with ultimate responsibility for implementing board decisions or supervising the management, administration, or operation of the organization, and immediate family members of those listed. It is the duty of these interested persons to self-disclose any conflicts of interest. Conflicts of interest are investigated by appointed members of the kishhealth system governance committee on an ongoing basis. If it is determined that an individual failed to disclose an actual or possible conflict of interest, it shall inform the individual of such a belief and afford him an opportunity to explain. After said explanation, the board shall take appropriate disciplinary and corrective action as deemed necessary. An interested person deemed to have a conflict must not be present during discussion or votes related to the transaction. The conflict of interest policy is reviewed by the board annually and updated as needed.

Form 990, Part VI, Section B, Line 15

Kishwaukee physician group, inc. Is not directly involved in determining the compensation of the ceo, executive director, or top management, as the individuals are employed through kishhealth system. Kishhealth system does comply with the requirements noted above. Through the oversight of the board of directors executive compensation committee, the kishhealth system executive total compensation program will be competitively positioned in the market place of relevant organizations and fall within the safe harbor guidelines established by the intermediate sanctions rules. The executive compensation committee is made up of three members of the board of directors who meet the board approved definition of "independent directors". Annually the executive compensation committee contracts with sullivan, cotter and associates, an independent human resources consulting firm to provide the committee analysis and comparability data. Using the supplied data the compensation committee approves each executive's total cash compensation and provides contemporaneous substantiation of the deliberation and decision. Total cash compensation is defined as the sum of base salaries plus incentive awards. Based on the comparability data and the performance of each executive in meeting goals and strategic objectives, the executive compensation committee approves increases and incentive awards for each executive within the guidelines established. The executive compensation committee reports on all compensation matters to the full board of directors.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, conflict of interest policy and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Kishwaukee Physician Group Inc
EIN
65-1293967
Phone
8157561521
Address
ONE KISH HOSPITAL DRIVE, DEKALB, IL 60115
Doing Business As
Kish Healthsystem Physician Group

Signing Officer

Name
Loren Foelske
Title
Vice President - Finance, Khs
Phone
8157561521
Signed
2016-01-20
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kevin P Poorten
Formed
2006
Legal Domicile
Il
Voting Board Members
12
Independent Board Members
1
Employees
60
Volunteers
8

Preparer

Firm
Cliftonlarsonallen Llp
Address
114 E EVERETT, DIXON, IL 61021
Preparer
Kelly Jackson Hardy
Phone
8152859300
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Book/tax difference in amortization of intangibles 25,311.

Form 990, Part XI, Line 2C, Responsibility for Oversight of Financial Stmts

Responsibility for oversight of financial statements: no changes in this process were made during the tax year. The organization maintains an independent audit committee which is responsible for oversight of the audited financial statements. This committee is also responsible for the selection of the independent auditor. Members of the audit committee are also members of the kishhealth system board of directors. Kishealth system is the parent corporation of kishwaukee physicians group, inc.

Financial Statement Notes

PART X, LINE 2:

Kishwaukee physician group is a tax-exempt organization under section 501(c)(3) of the internal revenue code. Kishwaukee physician group files a form 990 (return of organization exempt from income tax) annually. When these returns are 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 percent 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. At april 30, 2015 and 2014, there were no unrecognized tax benefits identified or recorded.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Reclassification of bad debt expense 116,555. Contributions from kishhealth system 20,750,001. Nonoperating income 905.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Tax amortization of goodwill 25,311. Reclassification of bad debt expense 116,555.

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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/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT & CEO, KISHHEALTH SYSTEM
IRS990/Form990PartVIISectionAGrp/TitleTxt1CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE-CHAIR,PHYSICIAN FAMILY MEDICINE
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR, PHYSICIAN, UROLOGY
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR, CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt5PRACTICE ADMINISTRATOR, EX OFFICIO
IRS990/Form990PartVIISectionAGrp/TitleTxt6PHYSICIAN, FAMILY MEDICINE
IRS990/Form990PartVIISectionAGrp/TitleTxt7PHYSICIAN, FAMILY MEDICINE
IRS990/Form990PartVIISectionAGrp/TitleTxt8PHYSICIAN, FAMILY MEDICINE
IRS990/Form990PartVIISectionAGrp/TitleTxt9PHYSICIAN, FAMILY MEDICINE
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12VP AND CFO, KISHHEALTH SYSTEM
IRS990/Form990PartVIISectionAGrp/TitleTxt13VP BUSINESS DEVELOPMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt14VP AND CIO
IRS990/Form990PartVIISectionAGrp/TitleTxt15VP OF HUMAN RESOURCES
IRS990/Form990PartVIISectionAGrp/TitleTxt16PHYSICIAN, FAMILY MEDICINE
IRS990/Form990PartVIISectionAGrp/TitleTxt17PHYSICIAN, GENERAL SURGEON
IRS990/Form990PartVIISectionAGrp/TitleTxt18PHYSICIAN, FAMILY MEDICINE
IRS990/Form990PartVIISectionAGrp/TitleTxt19PHYSICIAN, INTERMAN MEDICINE
IRS990/Form990PartVIISectionAGrp/TitleTxt20PHYSICIAN, INTERMAN MEDICINE
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IRS990/MissionDesc0KISHWAUKEE PHYSICIAN GROUP EXISTS AS ONE OF THE AREA'S LEADING PHYSICIAN GROUPS, PROVIDING HEALTH CARE TO ALL AREA RESIDENTS. ALL CARE GIVEN IS CHARACTERIZED BY EXCELLENCE AND INNOVATION WITH THE GOAL OF KEEPING OUR COMMUNITIES HEALTHY.
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