Civic Intelligence

Ksb Hospital Foundation

990EZ • Fiscal year 2020 • EIN 84-1787288

Jan 01, 2020 to Dec 31, 2020 • Filed on Jun 23, 2021

Organization ProfileWWW.KSBHOSPITAL.COM/FOUNDATION
403 East First StreetDixon, IL 61021

(815) 285-5901

Siviq Scores

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

Liabilities / Assets

55th percentile

0.00x

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

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Liabilities / Revenue

55th percentile

0.00x

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

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Net Margin

22nd percentile

-20%

Higher net margin than 22% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Top Officer Pay

76th percentile

$0

Higher top officer pay than 76% of similar nonprofits.

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

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Asset Growth

16th percentile

-27%

Faster asset growth than 16% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

42nd percentile

-22%

Faster revenue growth than 42% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Balance Sheet
Liabilities / Assets55th percentile

Assets

Down

$38,397

Down $14,170 (-27%) from 2019

Net Assets

Down

$38,397

Down $14,170 (-27%) from 2019

Liabilities

Flat

$0

Flat from 2019

Revenue And Expenses
Liabilities / Revenue55th percentileNet Margin22nd percentile

Revenue

Down

$72,207

Down $20,652 (-22%) from 2019

Expenses

Up

$86,377

Up $46,085 (+114%) from 2019

Net Income

Down

-$14,170

Down $66,737 (-127%) from 2019

Historical Trend

Balance Sheet Trend

Asset Growth16th percentile

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

$1.0M$500K$0Assets 2019: $52,567Liabilities 2019: $0Net Assets 2019: $52,5672019Assets 2020: $38,397Liabilities 2020: $0Net Assets 2020: $38,3972020Assets 2021: $379,600Liabilities 2021: $0Net Assets 2021: $379,6002021Assets 2022: $588,992Liabilities 2022: $0Net Assets 2022: $588,9922022Assets 2023: $809,454Liabilities 2023: $0Net Assets 2023: $809,4542023Assets 2024: $171,030Liabilities 2024: $0Net Assets 2024: $171,0302024

Highlighted filing

2020

Assets$38,397
Liabilities$0
Net Assets$38,397
Open 2020 Filing

Operations Trend

Revenue Growth42nd percentile

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

$1.5M$1.0M$500K$0-$500K-$1.0MRevenue 2019: $92,859Expenses 2019: $40,292Net Income 2019: $52,5672019Revenue 2020: $72,207Expenses 2020: $86,377Net Income 2020: -$14,1702020Revenue 2021: $372,669Expenses 2021: $31,466Net Income 2021: $341,2032021Revenue 2022: $358,275Expenses 2022: $148,883Net Income 2022: $209,3922022Revenue 2023: $458,327Expenses 2023: $237,865Net Income 2023: $220,4622023Revenue 2024: $407,732Expenses 2024: $1,046,156Net Income 2024: -$638,4242024

Highlighted filing

2020

Revenue$72,207
Expenses$86,377
Net Income-$14,170
Open 2020 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Jun 23, 2021
Return Version
2020v4.0
Gross Receipts
$72,207
Mission and Program Overview

Mission

To raise funds to support ksb's mission to restore, maintain and enhance health by providing superior care now and in the future.

Raise funds to support KSB Hospital's mission to restore, maintain and enhance health by providing superior care now and in the future.

Program Services

DescriptionGrantsExpenses
Flu Shot Drive-Thru Clinic: Provided Influenza vaccinations to over 2,000 community members in order to reduce the incidence and severity of influenza throughout the communities we serve.$0$41,678
COVID-19 Relief - Provided relief to employees who suffered financial losses as a result of staff furloughs resulting from the pandemic.$0$30,459
New Mother Baskets - Baskets of supplies are given to new mothers for babies born at KSB Hospital.$0$4,500
Compensation and Service Providers
Top Officer Pay76th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
DAVID SCHREINERPresident-$0--
DAVID HELLMICHVice President-$0--
RICK CURIATreasurer-$0--
SUZANNE RAVLINSecretary-$0--
JESSI MARSHALLDirector-$0--
RACHEL RYDZYNSKIDirector-$0--
RYAN MILLERFoundation DirectorPT$0--
Filing and Contact Details

Filer

Filer Name
Ksb Hospital Foundation
EIN
84-1787288
Phone
8152855901
Address
403 EAST FIRST STREET, DIXON, IL 61021

Signing Officer

Name
David Schreiner
Title
President
Phone
8152855500
Signed
2021-06-23
Supplemental Narrative

Additional Explanations

Form 990-EZ, Part I, Line 10

“Grantee Name: Katherine Shaw Bethea Hospital Grantee Address: 403 East First Street, Dixon, IL 61021 Grantee Relationship: Sole Member of KSB Hospital Foundation Date of Gift: Multiple Amount Given: 67,171”

Form 990-EZ, Part I, Line 16

“CAMPAIGN SUPPLIES”

Raw XML Appendix200 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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IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0DIXON
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IRS990EZ/ExcessOrDeficitForYearAmt0-14170
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt60
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0DAVID SCHREINER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1DAVID HELLMICH
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2RICK CURIA
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3SUZANNE RAVLIN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4JESSI MARSHALL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5RACHEL RYDZYNSKI
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6RYAN MILLER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1VICE PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6FOUNDATION DIRECTOR
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd00
IRS990EZ/OrganizationHadUBIInd00
IRS990EZ/OtherAssetsTotalDetail/BOYAmt02500
IRS990EZ/OtherAssetsTotalDetail/EOYAmt00
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherExpensesTotalAmt03750
IRS990EZ/OtherRevenueTotalAmt00
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd00
IRS990EZ/PrimaryExemptPurposeTxt0Raise funds to support KSB Hospital's mission to restore, maintain and enhance health by providing superior care now and in the future.
IRS990EZ/PrintingPublicationsPostageAmt02825
IRS990EZ/ProgramServiceRevenueAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0Flu Shot Drive-Thru Clinic: Provided Influenza vaccinations to over 2,000 community members in order to reduce the incidence and severity of influenza throughout the communities we serve.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt1COVID-19 Relief - Provided relief to employees who suffered financial losses as a result of staff furloughs resulting from the pandemic.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt2New Mother Baskets - Baskets of supplies are given to new mothers for babies born at KSB Hospital.
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt10
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt20
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt041678
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt130459
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt24500
IRS990EZ/ProhibitedTaxShelterTransInd00
IRS990EZ/RelatedOrganizationCtrlEntInd00
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IRS990EZ/SaleOfAssetsGrossAmt00
IRS990EZ/SchoolOperatingInd00
IRS990EZ/SpecialEventsDirectExpensesAmt00
IRS990EZ/SpecialEventsNetIncomeLossAmt00
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0IL
IRS990EZ/SubjectToProxyTaxInd00
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt086377
IRS990EZ/TotalProgramServiceExpensesAmt076637
IRS990EZ/TotalRevenueAmt072207
IRS990EZ/TransactionWithControlEntInd00
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0HTTPS://WWW.KSBHOSPITAL.COM/FOUNDATION/
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
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IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd01
IRS990ScheduleA/IRSWrittenDeterminationInd0X
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0361000540
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt067171
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0KATHERINE SHAW BETHEA HOSPITAL
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt067171
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/ExplanationTxt0Grantee Name: Katherine Shaw Bethea Hospital Grantee Address: 403 East First Street, Dixon, IL 61021 Grantee Relationship: Sole Member of KSB Hospital Foundation Date of Gift: Multiple Amount Given: 67,171
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1CAMPAIGN SUPPLIES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990-EZ, Part I, Line 10
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990-EZ, Part I, Line 16
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL2
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/LastSubmissionRqrOOBCd00
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ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd00
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/PersonNm0David Schreiner
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/PhoneNum08152855500
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-06-23
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0KSB HOSPITAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0KSBH
ReturnHeader/Filer/EIN0841787288
ReturnHeader/Filer/PhoneNum08152855901
ReturnHeader/Filer/USAddress/AddressLine1Txt0403 EAST FIRST STREET
ReturnHeader/Filer/USAddress/CityNm0DIXON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IL
ReturnHeader/Filer/USAddress/ZIPCd061021
ReturnHeader/ReturnTs02021-06-22T17:36:07-07:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2020 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$38,397
Liabilities
$0
Net assets
$38,397
Revenue
$72,207
Expenses
$86,377
Net income
-$14,170
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.17$0.00$0.17$0.41$1.05$0.64
2023Detailed filing. Detailed filing data is available for this year.$0.81$0.00$0.81$0.46$0.24$0.22
2022Detailed filing. Detailed filing data is available for this year.$0.59$0.00$0.59$0.36$0.15$0.21
2021Detailed filing. Detailed filing data is available for this year.$0.38$0.00$0.38$0.37$0.03$0.34
2020Detailed filing. Detailed filing data is available for this year.$0.04$0.00$0.04$0.07$0.09$0.01
2019Detailed filing. Detailed filing data is available for this year.$0.05$0.00$0.05$0.09$0.04$0.05
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2020 filings • 501(c)3 • <$500k nonprofits