Health Bridge Corporation: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- Health Bridge Corporation (EIN 36-3196550)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201401359349307080
- Schema version
- 2012v2.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-15T12:51:00-07:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 W Nationwide Blvd Suite 500 | AddressLine1 |
| City | Columbus | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363196550 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Health Bridge Corporation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HEAL | NameControl |
| Phone | 8157885800 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 385 Millennium Drive | AddressLine1 |
| City | Crystal Lake | City |
| State | IL | State |
| ZIP Code | 60012 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | David Tomlinson | Name |
| Title | Exec V.P., CFO & CIO | Title |
| Date Signed | 2014-05-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KPMG LLP | Name |
| PTIN | P00294881 | PTIN |
| Phone | 6142492300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Michael S Eesley | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 385 Millennium Drive | AddressLine1 |
| City | Crystal Lake | City |
| State | IL | State |
| ZIP Code | 60012 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 11529009 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.centegra.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | See Schedule O. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 4 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 345 | TotalNbrEmployees |
| Total Nbr Volunteers | 5 | TotalNbrVolunteers |
| Total Gross UBI | 56368 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 24397 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 8739187 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 9286380 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5365 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1241 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2402002 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2187705 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 11146554 | TotalRevenuePriorYear |
| Total Revenue Current Year | 11475326 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 75430 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 49245 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4805907 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4310184 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6860523 | OtherExpensePriorYear |
| Other Expenses Current Year | 6918463 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11741860 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11277892 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -595306 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 197434 | RevenuesLessExpensesCY |
| Total Assets BOY | 22877029 | TotalAssetsBOY |
| Total Assets EOY | 24335111 | TotalAssetsEOY |
| Total Liabilities BOY | 18181038 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 19441686 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4695991 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4893425 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | See Schedule O. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 9053057 | Expense |
| Revenue | 11257738 | Revenue |
| Description | See Schedule O. | Description |
| Total Program Service Expense | 9053057 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 12 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 345 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 4 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | David Tomlinson | NamePerson |
| Telephone Number | 8157885800 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 385 Millennium Drive | AddressLine1 |
| City | Crystal Lake | City |
| State | IL | State |
| ZIP Code | 60012 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|---|
| D Michael Splitt | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Angela McAuley | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| William Cox | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Luke Johnsos | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Kathy Powell | ||||||||
| Chairman | 2.00 | 0.00 | X | 0 | 0 | 0 | ||
| Jason Sciarro | ||||||||
| President & COO | 1.00 | 39.00 | 0 | 724714 | 96798 | X | ||
| Robert Rosenberger | ||||||||
| Sr VP & CFO | 1.00 | 39.00 | 0 | 627307 | 39398 | X | ||
| Michael S Eesley | ||||||||
| CEO | 1.00 | 39.00 | 0 | 1277730 | 446911 | X | ||
| Mattias Carlen | ||||||||
| Vice President | 30.00 | 10.00 | 0 | 130801 | 25775 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp Frm Rltd Orgs | 2760552 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 608882 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Servicemaster by Thacker | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 281 | AddressLine1 |
| City | Carpentersville | City |
| State | IL | State |
| ZIP Code | 60110 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Housekeeping | DescriptionOfServices |
| Compensation | 230950 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Rent-Affiliate Exempt Org | 532000 | 333000 | 333000 |
| Other Rev-Aff Exempt Org | 900099 | 47510 | 47510 |
| Membership Dues | 713940 | 8905870 | 8905870 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 9286380 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 641 | TotalRevenueColumn |
| Exclusion | $641 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 16255 | Real |
| Personal | 250 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 16255 | Real |
| Personal | 250 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16505 | TotalRevenueColumn |
| Unrelated Business Revenue | 10505 | UnrelatedBusinessRevenue |
| Exclusion | $6,000 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 600 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 600 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 600 | TotalRevenueColumn |
| Exclusion | $600 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 28098 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 13715 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14383 | TotalRevenueColumn |
| Exclusion | $14,383 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 71679 | GrossSalesOfInventory |
| Cost Of Goods Sold | 39968 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31711 | TotalRevenueColumn |
| Exclusion | $31,711 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Net Enrollment Fees | 713940 | 187670 | 187670 | |
| Departmental Revenue | 713940 | 1783688 | 1783688 | |
| Child Care Revenue | 900099 | 107885 | $107,885 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45863 | TotalRevenueColumn |
| Unrelated Business Revenue | 45863 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2125106 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11475326 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11257738 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 56368 | UnrelatedBusinessRevenue |
| Exclusion | $161,220 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49245 | Total |
| Program Services | 49245 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124981 | Total |
| Management And General | 124981 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3617907 | Total |
| Program Services | 2849309 | ProgramServices |
| Management And General | 768598 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7112 | Total |
| Management And General | 7112 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 202178 | Total |
| Program Services | 84412 | ProgramServices |
| Management And General | 117766 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 358006 | Total |
| Program Services | 281950 | ProgramServices |
| Management And General | 76056 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 325904 | Total |
| Program Services | 274098 | ProgramServices |
| Management And General | 51806 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 325861 | Total |
| Program Services | 325861 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 678207 | Total |
| Program Services | 477133 | ProgramServices |
| Management And General | 201074 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24274 | Total |
| Management And General | 24274 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4326881 | Total |
| Program Services | 3989814 | ProgramServices |
| Management And General | 337067 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9349 | Total |
| Program Services | 6933 | ProgramServices |
| Management And General | 2416 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14267 | Total |
| Program Services | 3576 | ProgramServices |
| Management And General | 10691 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101453 | Total |
| Management And General | 101453 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14512 | Total |
| Program Services | 14512 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 655404 | Total |
| Program Services | 637233 | ProgramServices |
| Management And General | 18171 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85472 | Total |
| Management And General | 85472 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Miscellaneous Expense | 25863 | 6920 | 18943 |
| Provision-Uncollectible Accts | 34686 | 34686 | |
| Management Fee-Affiliate | 52200 | 52200 | |
| Credit Card Processing Fee | 177804 | 177804 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66326 | Total |
| Program Services | 52061 | ProgramServices |
| Management And General | 14265 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11277892 | Total |
| Program Services | 9053057 | ProgramServices |
| Management And General | 2224835 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1409565 | BOY |
| EOY | 155757 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2727937 | BOY |
| EOY | 3578 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 869379 | BOY |
| EOY | 906844 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14403 | BOY |
| EOY | 41495 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 18133231 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 8583885 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9641499 | BOY |
| EOY | 9549346 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8214246 | BOY |
| EOY | 13678091 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22877029 | BOY |
| EOY | 24335111 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2211643 | BOY |
| EOY | 1556140 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 722082 | BOY |
| EOY | 765286 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4665779 | BOY |
| EOY | 4227530 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2062606 | BOY |
| EOY | 1888520 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8518928 | BOY |
| EOY | 11004210 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18181038 | BOY |
| EOY | 19441686 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4695991 | BOY |
| EOY | 4893425 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4695991 | BOY |
| EOY | 4893425 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22877029 | BOY |
| EOY | 24335111 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 197434 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4817169 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5241741 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8303829 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8739187 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9286380 | CurrentTaxYear |
| Total | 36388306 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 123698 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 92655 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 127975 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 179998 | CurrentTaxYearMinus1Year |
| Current Tax Year | 166520 | CurrentTaxYear |
| Total | 690846 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4940867 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5334396 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8431804 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8919185 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9452900 | CurrentTaxYear |
| Total | 37079152 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 215469 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 239675 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 183195 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 182950 | CurrentTaxYearMinus1Year |
| Current Tax Year | 188176 | CurrentTaxYear |
| Total | 1009465 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 215469 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 239675 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 183195 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 182950 | CurrentTaxYearMinus1Year |
| Current Tax Year | 188176 | CurrentTaxYear |
| Total | 1009465 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 36069687 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 34401 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5837 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4504 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1365 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6641 | CurrentTaxYear |
| Total | 52748 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 2205 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25397 | CurrentTaxYear |
| Total | 27602 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 34401 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5837 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4504 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3570 | CurrentTaxYearMinus1Year |
| Current Tax Year | 32038 | CurrentTaxYear |
| Total | 80350 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1070663 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 928845 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1850122 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2164273 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1971359 | CurrentTaxYear |
| Total | 7985262 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6045931 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6269078 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10286430 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11087028 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11456297 | CurrentTaxYear |
| Total | 45144764 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.79900 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.78380 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00180 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00460 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 693700 | OtherCostOrOtherBasis |
| Book Value | 693700 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13467852 | OtherCostOrOtherBasis |
| Depreciation | 6582600 | Depreciation |
| Book Value | 6885252 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2708565 | OtherCostOrOtherBasis |
| Depreciation | 999105 | Depreciation |
| Book Value | 1709460 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1263114 | OtherCostOrOtherBasis |
| Depreciation | 1002180 | Depreciation |
| Book Value | 260934 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9549346 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due From Affiliate organizations | 13591341 |
| Deferred Financing Costs | 86750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 13678091 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due to Affiliate Organizations | Description |
| Amount | $11,004,210 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11004210 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X | Identifier |
| Return Reference | Part X : FIN48 Footnote | ReturnReference |
| Explanation | ASC Topic 740, Income Taxes, addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under ASC Topic 740, the Health System must recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. ASC Topic 740 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods and requires increased disclosures. As of June 30, 2013 and 2012, the Health System does not have a liability for unrecognized tax benefits. | Explanation |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agreement Ref Fundraising | false | AgreementRefFundraising |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Northwest Trail Run | NameOfEvent1 |
| Gross Receipts Event1 | 15620 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 15620 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 398 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 1535 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 250 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 2663 | OtherDirectExpensesEvent1 |
| Name Of Event2 | 5K Run/Walk | NameOfEvent2 |
| Gross Receipts Event2 | 12478 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 12478 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 1404 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 7465 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 28098 | GrossReceiptsTotal |
| Gross Revenue Total Events | 28098 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 398 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 2939 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 250 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 10128 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 13715 | DirectExpenseSummaryEvents |
| Net Income Summary | 14383 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
| Total Nbr Of501 C3 And Govt Grants | 0 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|
| Charitable Memberships | 88 | 40369 | Book | Memberships issued to persons in need. |
| Bridge Memberships | 686 | 8876 | Book | For patients at risk |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Grantmaker's Description of How Grants are Used | Identifier |
| Explanation | Health Bridge charitable memberships are approved by the CHBFC Charitable Board Members on a quarterly basis. These memberships are reviewed every six months and persons must re-apply for them after one year for a maximum term of two years. A monthly review is also completed to check the status of the memberships.Bridge memberships are a two month membership and must be prescribed by a Centegra physician or Centegra clinician. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| TitleTitle | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|
| Robert Rosenberger | |||||||
| Sr VP & CFO | 469518 | 122153 | 35636 | 15893 | 23505 | 666705 | 19889 |
| Michael S Eesley | |||||||
| CEO | 822323 | 451843 | 3564 | 435234 | 11677 | 1724641 | 261678 |
| Mattias Carlen | |||||||
| Vice President | 124601 | 6200 | 25775 | 156576 | |||
| Jason Sciarro | |||||||
| President & COO | 564364 | 156422 | 3928 | 73224 | 23574 | 821512 | 19515 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part III, Additional Information | Identifier |
| Return Reference | Part III, Additional Information | ReturnReference |
| Explanation | The following persons listed below participated in a supplemental nonqualified retirement plan:Michael Eesley $420,533Jason Sciarro $ 57,353Mattias Carlen $ 11,076 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part VI, Line 12c | 1. In connection with any actual or possible conflicts of interest, an interested person or other person subject to this policy must disclose the existence and nature of his or her financial interest in writing to the President of Centegra or the Chief Corporate Responsibility Officer or designee, who shall provide such written disclosure to the Governors Affairs Committee of Centegra, which shall consider all conflicts of interest issues and, if appropriate, to the directors and members of committees with board-delegated powers considering the proposed transaction or arrangement. The disclosure must occur, at minimum, annually, with a Conflict of Interest Disclosure Statement being submitted no later than January 31 st of each year. Copies of disclosure statements filed by Board members shall be distributed to the Board annually at the February Board meeting. 2. When a conflict of interest is disclosed at meeting of the board or committee thereof, after disclosure of the financial interest, the interested person shall leave the board or committee meeting while the financial interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. The interested person's leaving such meeting shall not affect whether a quorum exists at such meeting. 3. Procedures for Addressing the Transaction or Arrangement From Which the Conflict Arose. The chairperson of the board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the board or committee shall determine whether Centegra can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in Centegra's best interest and for its own benefit and whether the transaction is fair and reasonable to Centegra and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. 4. Violations of the Conflicts of Interest Policy: If the administration, the board, or a committee has a reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If, after hearing the response of the member and making such further investigation as may be warranted in the circumstances, the board or committee determines that the member has, in fact, failed to disclose an actual or possible conflict of interest, it shall refer the matter to the Governors Affairs Committee for consideration, which shall subsequently recommend appropriate disciplinary and corrective action to such board or committee. 5. The minutes of the board and all committees with board-delegated powers shall contain the names of the persons who disclosed or otherwise were found to have a financial interest in connection with an actual or possible conflict of interest, the nature of the financial interest, any action taken to determine whether a conflict of interest was present, and the board's or committee's decision as to whether a conflict of interest, in fact, existed. The names of the persons who were present for discussions and votes relating to the transaction or arrangement, the content of the discussion, including any alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection therewith. Continued below. | |
| Part III, Line 4a | The primary mission of Health Bridge Corporation is to assist individuals of the community in the achievement of a greater quality of life through health and fitness in a professional, customer-focused and state of the art environment. Health Bridge Corporation is an instrument and wholly owned subsidiary of Centegra Health System. HBC exists as a community benefit to improve the communitys overall health status. Its presence in McHenry County enhances Centegra Health System's image and diversifies its services. The organization provides wellness and fitness services to, and makes wellness and fitness facilities available to, a significant and broad segment of the community served by Centegra Health System and its tax-exempt affiliates, including Northern Illinois Medical Center-(NIMC) and Memorial Medical Center Woodstock-(Memorial). NIMC and Memorial are both tax-exempt hospitals that provide acute care services to the Chicago northwest suburban metropolitan area. The organization believes that its dues and rate structure permits a significant or broad segment of the community to utilize the organizations programs and facilities. The organization also offers charitable memberships based on evidence of hardship and need, consistent with the financial assistance policy applicable to all organizations within Centegra Health System. The organization also offers a variety of educational programs for free or at low fees to help defray costs, which is waived for those participants who are unable to pay. There were 88 charitable memberships provided during fiscal year 2013.The organization promotes the health of the community served by Centegra Health System and its tax-exempt affiliates through patient rehabilitation programs, including sports medicine, aquatics, outpatient physical and occupational therapy programs, industrial injury prevention and rehabilitation programs, specialized exercise programs and health screenings for various injuries, diseases and disorders. These programs are offered directly by the organization or indirectly through NIMC, which leases space at the organizations facility in Crystal Lake, Illinois. The organization also offers a variety of bridge memberships for rehabilitation, bariatric and cancer patients who receive care through Centegra Health System and its affiliated physicians. Bridge memberships are free 60-day memberships that allow rehabilitation, bariatric and cancer patients the opportunity to bridge the gap between therapy and or treatment and lifestyle modification. A total of 686 60-day bridge memberships were provided during the current fiscal year.The organization provides health education for the community served by Centegra Health System and its tax-exempt affiliates through programs designed to promote community wellness and to educate the community on the benefits of total health wellness. Community lectures are offered to the public and several of these lectures and programs are offered without charge. The organization participates in various health fairs and community affairs in order to promote health and awareness in the community. The operations and programs of the organization are integrated into and are an important component of the community benefits provided by Centegra Health System and its tax-exempt affiliates. Several of the community healthcare priorities set forth in the Centegra community benefits plan are furthered directly by the organization. These priorities include access to health care, accident prevention and treatment, cancer prevention, detection, treatment and support, heart disease screenings, immunization clinics, lung cancer, respiratory disease, tobacco use cessation, weight and obesity education, support and activities, physical activity-lectures, screenings, activities, fairs and workshops; and community development and support.Health Bridge services include, but are not limited to- Health Fitness facility, tennis courts, indoor and outdoor pools, instructors, and fitness classes Back to Work Program for Industrial Injury Prevention and Rehabilitation Sports Medicine clinic Physical Rehabilitation Occupational Health Community Educational Programs Support ProgramsRehabilitation and Sports Medicine Clinic at Health Bridge Fitness Center provides sports medicine, aquatics, outpatient physical and occupational therapy programs. The Back to Work Program, an industrial injury prevention and rehabilitation program, provides physical therapy, ergonomic consultation and back safety programs. This program also uses the aquatic pool located at the Rehabilitation and Sports Medicine Clinic.Health Bridge Corporation, as part of Centegra Health System, believes in total care that embraces the physical, psychological, spiritual, social and economic needs of the public served. In order to provide this care, Health Bridge supports a variety of services and educational programs. The organization sponsors many programs. In sponsoring programs, Health Bridge provides facilities as well as employees who act as facilitators for the group. In hosting programs, Health Bridge provides space free of charge or at a reduced or nominal fee to the group.SCREENINGSHealth Bridge held free screenings for:DiabetesMovement and Posture-screenings where participants are assessed and screened on posture, balance, bio-mechanics and then were educated on possible causes for deficiencies. Sports Injuries: Sports Injury screenings allow participants to meet with a Physical Therapist to have their injuries analyzed and then receive information on how to improve the injury. Health Bridge also offers reduced fee lipid screenings.EXERCISE PROGRAMSIn addition to providing the facilities, equipment and professional staff, Health Bridge offers specialized exercise programs which help participants get moving and stay active for a healthier lifestyle. These include-Arthritis Water Exercise Program focuses on progressive improvement in strength, endurance and range of motion. Multiple Sclerosis Water Exercise helps to improve muscle strength, balance and coordination Low Back Water Exercise classes were offered to improve flexibility, strength and enduranceSenior Exercise classes were offered to improve flexibility, strength and enduranceYoga, Meditation and Tai Chi classes are offered to help reduce stress and increase flexibilityA Health Bridge certified fitness professional guided and educated persons on how to develop a safe and effective fitness plan.Seniors in Motion and Fit over Fifty are exercise classes designed for the senior population and are available to the community.The Pre- & Post-Natal exercise class is a land and water exercise program designed to meet the special needs of mothers and mothers-to-be.There are a variety of Swim Lessons provided to the community-There are adult swim programs including, Masters Swim Workout, Adult Beginner Swim Lesson, and Adult Swim Stroke Improvement. These programs offer assistance on the basics of swimming up to training with a coach. There were 36 participants in adult swim lessons during this fiscal year. Children's Group Swim Lessons and Private Swim Lessons are offered and are Red Cross Certified. During this fiscal year, there were 6,703 participants in group lessons and 1,701 participants in private lessons. Free swim evaluations were held for the community.OFF-SITE PROGRAMSHealth Bridge provided massages at the Girls on the Run 5K and twice a month at Sage Cancer Center.A group fitness instructor led a Zumba class to warm up participants of the Heart Walk. Also, Zumba and Body Flow classes were held for a dance clinic. Health Bridge participates in various health fairs and various community fairs in order to promote health and awareness in the community. Health Bridge staff was able to have direct contact with the community to answer fitness questions and offer ways to increase activity. Health Bridge also offers assistance with corporate health fairs.COMMUNITY OUTREACHAn educational program offered to assist members of the community to live healthier lives is the Maximize Your Exercise lecture which describes all of the various essential components needed in designing an exercise program. This lecture is free to the community. Health Bridge held a 5K Run-Walk for the Centegra Health System Foundation. There were 174 participants. During the planning and implementation of this event Health Bridge used approximately 100 manager hours for the 5K race at an average rate of $20 per hour. Health Bridge staff participated in the holiday bell ringing for the Salvation Army in order to collect donations for needy families. Health Bridge provided free flu shots to members and associates of Centegra Health System.Child care staff had a card-making activity for the children being looked after. The cards were for U.S. Troops. Gift certificates for Health Bridge services were donated to other organizations for fundraising purposes with an associated cost of | |
| Part I, Line 1 | The primary mission of Health Bridge Corporation is to assist individuals of the community in the achievement of a greater quality of life through health and fitness in a professional, customer-focused and state of the art environment. Health Bridge Corporation is an instrument and wholly owned subsidiary of Centegra Health System. It exists as a community benefit to improve the community's overall health status. Its presence in McHenry County will enhance Centegra Health System's image and diversify its services. | |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | All documents are available upon request. | Form 990, Part VI, Line 19 |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | . The Board of Directors of Centegra Health System, through the Compensation Committee comprised of independent members free of conflict, reviewed executive compensation levels and other features of the compensation plan in accordance with the organization's approved compensation philosophy and strategy: oThe Committee is comprised of members of the Board of Directors, who are independent of Centegra management, have no personal interest in the compensation arrangements, are not related to, or under the control of any individual whose compensation arrangement is being reviewed and have no material business relationship with Centegra.oThe Chief Executive Officer's compensation is determined by the Compensation Committee in relation to appropriate comparability data. Compensation for other members of the executive staff are developed by the CEO, reviewed by the Committee, evaluated against market data, and approved by the Committee. oThe Committee approves all compensation decisions in advance of their implementation and documents its determinations and discussions. Its decisions and deliberations are thoroughly documented and meeting minutes are kept and distributed to the Committee members (for historical reference). The Compensation Committee uses a number of external resources and comparisons, and their review includes total compensation (cash compensation, plus benefits provided by Centegra) in relation to organizational performance and prevailing industry practices of comparably-sized organizations. They have engaged the services of a compensation consulting firm (Sullivan Cotter) specializing in the not-for-profit sector that has worked with Centegra and reports directly to the Compensation Committee. | Form 990, Part VI, Line 15b |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Continued from above. 6. A voting member of any committee whose jurisdiction includes compensation matters and who receives compensation, directly or indirectly, from Centegra for services is precluded from voting on matters pertaining to that member's compensation, Physicians who receive compensation, directly or indirectly, from Centegra, whether as employees or independent contractors, are precluded from membership on any committee whose jurisdiction includes compensation matters and in which such physician may have a direct or indirect interest. 7. Each director, principal officer, and member of a committee with board-delegated powers shall annually sign a statement which affirms that such person has received a copy of the conflicts of interest policy; has read and understands the policy; has agreed to comply with the policy; and understands that Centegra is a charitable organization and that in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax exempt purposes. 8. To ensure that Centegra operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted by the Governors Affairs Committee of Centegra. The periodic reviews shall, at a minimum, include the following subjects: Whether acquisition of physician practices and other provider services result in inurement or impermissible private benefit. Whether partnership and joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payment for goods and services, further Centegra's charitable purposes and do not result in inurement or impermissible private benefit. Whether agreements to provide healthcare and agreements with other healthcare providers, employees, and third party payors further Centegra's charitable purposes and do not result in inurement or impermissible private benefit. Whether business transactions on behalf of Centegra or an entity controlled by it are the result of arms-length dealing and are no less advantageous than competitively available goods and services of like grade and quality. 9.In conducting the periodic reviews provided for in Article VII, Centegra may, but need not, use outside advisors. If outside experts are used, their use shall not relieve the board of its responsibility for ensuring that periodic reviews are conducted. | Form 990, Part VI, Line 12c |
| Form 990, Part VI, Line 11b: Form 990 Review Process | The review process for the 990 include compilation by internal staff, detailed review by an outside auditor, bond counsel and the Controller and Chief Financial Officer, prior to submission to the IRS. The tax return will be made available for the Board to review after submission to the IRS. | Form 990, Part VI, Line 11b |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Centegra Health System is the sole member of Health Bridge Corporation. | Form 990, Part VI, Line 6 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (5 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Centegra Insurance Services Ltd | |||||||||||||||
| 23 Lime Tree Bay Ave Box 1051 | George Town | Grand Cayman | CJ | KY1-1102 | 363196559 | Malpractice Insurance Provider | CJ | Centegra Health System | |||||||
| Centegra Health & Wellness Network LLC | |||||||||||||||
| 364740459 | Clinically Integrated Healthcare Network | Centegra Health System | 385 Millennium Drive | Crystal Lake | IL | 60012 | DE | ||||||||
| Centegra Clinical Laboratories LLC | |||||||||||||||
| 364706465 | Laboratory and Pathology Services | Centegra Health System | 385 Millenium Drive | Crystal Lake | IL | 60012 | DE | ||||||||
| Centegra Primary Care LLC | |||||||||||||||
| 364085398 | Primary Care | Centegra Health System | 385 Millennium Drive | Crystal Lake | IL | 60012 | DE | ||||||||
| Centegra Health Bridge Fitness CenterLLC | |||||||||||||||
| 261277524 | Fitness center to promote community health and wellness | Health Bridge Corporation | 385 Millennium Drive | Crystal Lake | IL | 60012 | DE | 4918303 | 927812 | ||||||
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Centegra Hospital Huntley | ||||||||||
| 10400 Haligus Road | Huntley | IL | 60142 | 453449737 | Not yet constructed | IL | 501(c)(3) | 3 | NA | false |
| Oak Creek Lodge | ||||||||||
| 527 W South St | Woodstock | IL | 60098 | 363591359 | This company is currently inactive | IL | 501(c) (3) | 3 | Centegra Health System | false |
| Centegra Health System Foundation | ||||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363726310 | Fund raising | IL | 501(c) (3) | 11a | Centegra Health System | false |
| NIMED Corp | ||||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363199111 | Health care facilities | IL | 501(c) (3) | 11c | Centegra Health System | false |
| Memorial Medical Center - Woodstock | ||||||||||
| PO Box 1990 | Woodstock | IL | 60098 | 362179764 | Hospital | IL | 501(c) (3) | 3 | Centegra Health System | false |
| Northern Illinois Medical Center | ||||||||||
| 4201 Medical Center Drive | McHenry | IL | 60050 | 362338884 | Hospital | IL | 501(c) (3) | 3 | Centegra Health System | false |
| Centegra Health System | ||||||||||
| 385 Millennium Drive | Crystal Lake | IL | 60012 | 363196559 | Health system | IL | 501(c) (3) | 11c | NA | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Centegra Management Services Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 385 Millennium Drive | AddressLine1 |
| City | Crystal Lake | City |
| State | IL | State |
| ZIP Code | 60012 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364028114 | EIN |
| Primary Activity | Management of phys offices | PrimaryActivity |
| Legal Domicile State | IL | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Centegra Health System | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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