Health Bridge Corporation: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
Health Bridge Corporation (EIN 36-3196550)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201331359349307263
Schema version
2011v1.5
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

FieldValueIRS element (for citing)
Timestamp2013-05-15T13:01:14-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363196550EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Health Bridge CorporationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEALNameControl
Phone8157885800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1385 Millennium DriveAddressLine1
CityCrystal LakeCity
StateILState
ZIP Code60012ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRobert T GreenName
TitleExecutive VP, CFOTitle
Date Signed2013-05-15DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMichael S EesleyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1385 Millennium DriveAddressLine1
CityCrystal LakeCity
StateILState
ZIP Code60012ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11170665GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.centegra.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionThe 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees582TotalNbrEmployees
Total Nbr Volunteers1TotalNbrVolunteers
Total Gross UBI55231TotalGrossUBI
Net Unrelated Business Txbl Income2205NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8303828ProgramServiceRevenuePriorYear
Program Service Revenue CY8739187ProgramServiceRevenueCY
Investment Income Prior Year8832InvestmentIncomePriorYear
Investment Income Current Year5365InvestmentIncomeCurrentYear
Other Revenue Prior Year2003212OtherRevenuePriorYear
Other Revenue Current Year2402002OtherRevenueCurrentYear
Total Revenue Prior Year10315872TotalRevenuePriorYear
Total Revenue Current Year11146554TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year92809GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY75430GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4618727SalariesEtcPriorYear
Salaries Etc Current Year4805907SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6048748OtherExpensePriorYear
Other Expenses Current Year6860523OtherExpensesCurrentYear
Total Expenses Prior Year10760284TotalExpensesPriorYear
Total Expenses Current Year11741860TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-444412RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-595306RevenuesLessExpensesCY
Total Assets BOY21641812TotalAssetsBOY
Total Assets EOY22877029TotalAssetsEOY
Total Liabilities BOY16350515TotalLiabilitiesBOY
Total Liabilities EOY18181038TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5291297NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4695991NetAssetsOrFundBalancesEOY
Mission DescriptionThe 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense9276174Expense
Revenue10903460Revenue
DescriptionSee Schedule O.Description
Total Program Service Expense9276174TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees582NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMichael EesleyNamePerson
Telephone Number8157885800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1385 Millennium DriveAddressLine1
CityCrystal LakeCity
StateILState
ZIP Code60012ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
Mike Splitt
Director1.00X000
Luke Johnsos
Director1.00X000
William Cox
Director1.00X000
Kathy Powell
Chairman2.00X000
Jason Sciarro
President & COO2.00060949286546X
Robert Rosenberger
Sr VP & CFO2.00044955088573X
Michael S Eesley
CEO2.0001139818404262X
Susan Milford
Vice President0.00026457084755X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs2463430TotalReportableCompFrmRltdOrgs
Total Other Compensation664136TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Servicemaster by ThackerBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 281AddressLine1
CityCarpentersvilleCity
StateILState
ZIP Code60110ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesHousekeepingDescriptionOfServices
Compensation129077Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Rent-Affiliate Exempt Org532000323304323304
Other Rev-Aff Exempt Org9000992732427324
Membership Dues71394083885598388559
FieldValueIRS element (for citing)
Total Program Service Revenue8739187TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1365TotalRevenueColumn
Exclusion$1,365ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real7036Real
Personal1062Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real7036Real
Personal1062Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column8098TotalRevenueColumn
Unrelated Business Revenue5598UnrelatedBusinessRevenue
Exclusion$2,500ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other4000Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other4000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4000TotalRevenueColumn
Exclusion$4,000ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events24111GrossIncomeFundraisingEvents
Fundraising Direct Expenses24111FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Net Enrollment Fees713940244223244223
Departmental Revenue71394019200501920050
Child Care Revenue900099100752$100,752

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column128879TotalRevenueColumn
Unrelated Business Revenue49633UnrelatedBusinessRevenue
Exclusion$79,246ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2393904TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11146554TotalRevenueColumn
Related Or Exempt Function Income10903460RelatedOrExemptFunctionIncome
Unrelated Business Revenue55231UnrelatedBusinessRevenue
Exclusion$187,863ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total75430Total
Program Services75430ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3966397Total
Program Services3017215ProgramServices
Management And General949182ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5822Total
Management And General5822ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total467469Total
Program Services136583ProgramServices
Management And General330886ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total366219Total
Program Services278440ProgramServices
Management And General87779ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total353476Total
Program Services293301ProgramServices
Management And General60175ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total334602Total
Program Services334602ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total714662Total
Program Services502750ProgramServices
Management And General211912ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total23841Total
Management And General23841ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4199993Total
Program Services3876495ProgramServices
Management And General323498ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total11978Total
Program Services10086ProgramServices
Management And General1892ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8083Total
Program Services6182ProgramServices
Management And General1901ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total111101Total
Management And General111101ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total623099Total
Program Services605475ProgramServices
Management And General17624ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total82579Total
Management And General82579ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Uniforms2969729198499
Cost of Goods Sold5027250272
Management Fee-Affiliate5220052200
Credit Card Processing Fee169306169306

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total95634Total
Program Services60145ProgramServices
Management And General35489ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11741860Total
Program Services9276174ProgramServices
Management And General2465686ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1166472BOY
EOY1409565EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2726571BOY
EOY2727937EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY827023BOY
EOY869379EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY42791BOY
EOY14403EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17572085LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7930586LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9942641BOY
EOY9641499EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6936314BOY
EOY8214246EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21641812BOY
EOY22877029EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2299968BOY
EOY2211643EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY697940BOY
EOY722082EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5080778BOY
EOY4665779EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2223319BOY
EOY2062606EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6048510BOY
EOY8518928EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16350515BOY
EOY18181038EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5291297BOY
EOY4695991EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5291297BOY
EOY4695991EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21641812BOY
EOY22877029EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-595306ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Total0Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4538153CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4817169CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5241741CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8303829CurrentTaxYearMinus1Year
Current Tax Year8739187CurrentTaxYear
Total31640079Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years157105CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years123698CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years92655CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year127975CurrentTaxYearMinus1Year
Current Tax Year179998CurrentTaxYear
Total681431Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4695258CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4940867CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5334396CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8431804CurrentTaxYearMinus1Year
Current Tax Year8919185CurrentTaxYear
Total32321510Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years226454CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years215469CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years239675CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year183195CurrentTaxYearMinus1Year
Current Tax Year182950CurrentTaxYear
Total1047743Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years226454CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years215469CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years239675CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year183195CurrentTaxYearMinus1Year
Current Tax Year182950CurrentTaxYear
Total1047743Total
FieldValueIRS element (for citing)
Public Support Total50931273767PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135373CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34401CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5837CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4504CurrentTaxYearMinus1Year
Current Tax Year1365CurrentTaxYear
Total181480Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year2205CurrentTaxYear
Total2205Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135373CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34401CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5837CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4504CurrentTaxYearMinus1Year
Current Tax Year3570CurrentTaxYear
Total183685Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1381528CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1070663CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years928845CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1850122CurrentTaxYearMinus1Year
Current Tax Year2164273CurrentTaxYear
Total7395431Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6212159CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6045931CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6269078CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10286430CurrentTaxYearMinus1Year
Current Tax Year11087028CurrentTaxYear
Total39900626Total
FieldValueIRS element (for citing)
Public Support Percentage5090.78380PublicSupportPercentage509
Prior Year Support Percentage0.77130PriorYearSupportPercentage
Investment Income Percentage0.00460InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis693700OtherCostOrOtherBasis
Book Value693700BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13006722OtherCostOrOtherBasis
Depreciation6096198Depreciation
Book Value6910524BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2708565OtherCostOrOtherBasis
Depreciation908035Depreciation
Book Value1800530BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1163098OtherCostOrOtherBasis
Depreciation926353Depreciation
Book Value236745BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9641499TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Due From Affiliate organizations8115930
Deferred Financing Costs98316
FieldValueIRS element (for citing)
Total Book Value Other Assets8214246TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to Affiliate OrganizationsDescription
Amount$8,518,928Amount
FieldValueIRS element (for citing)
Total Of Amounts8518928TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteASC 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. At the date of adoption, and as of June 30, 2012, the Health System does not have a liability for unrecognized tax benefits. The adoption of ASC Topic 740 had no impact on the consolidated financial statements of the Health System.
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesCHBFC, LLC equity-HBC became sole member 9-14-10 $ -0

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Northwest Trail RunNameOfEvent1
Gross Receipts Event112475GrossReceiptsEvent1
Gross Revenue Event112475GrossRevenueEvent1
Other Direct Expenses Event112475OtherDirectExpensesEvent1
Name Of Event25K Run/WalkNameOfEvent2
Gross Receipts Event211636GrossReceiptsEvent2
Gross Revenue Event211636GrossRevenueEvent2
Other Direct Expenses Event211636OtherDirectExpensesEvent2
Gross Receipts Total24111GrossReceiptsTotal
Gross Revenue Total Events24111GrossRevenueTotalEvents
Other Direct Expenses Total Events24111OtherDirectExpensesTotalEvents
Direct Expense Summary Events24111DirectExpenseSummaryEvents

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Charitable Memberships11954150BookMemberships issued to persons in need.
Bridge Memberships28021280BookOffered to physical therapy graduates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Susan Milford
23778826762206320021555349325
Robert Rosenberger
3845855819567706668721886538123
Michael S Eesley
7830973529263795393378108841544080256440
Jason Sciarro
5384946823527636454921997696038

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part III, Additional InformationIdentifier
Return ReferencePart III, Additional InformationReturnReference
ExplanationThe following persons listed below participated in a supplemental nonqualified retirement plan:Michael Eesley $378,678Jason Sciarro $ 49,849Robert Rosenberger $ 51,987Susan Milford $ 48,500Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Line 12c1. 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 Govemors 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.
Form 990, Part V, Line 1cThere were no W2-G forms issued by the organization.
Form 990, Part III, Line 4a, Con't.Health Bridge services include, but are not limited to- Health Fitness facility, 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:DiabetesSports 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.LECTURES/WORKSHOPSFamily health and wellness programs presented by Health Bridge are designed to promote a healthier community. Educational programs are offered to assist members of the community to take charge of special needs in their lives and their changing lifestyles, for healthier lives. Community lectures are offered between one and three times per month. Topics are chosen from ideas received from the community. Educational programs held at Health Bridge that are free to the community consisted of the following:Fall FoodsFreedom from Smoking LectureGardening LectureLove and Logic ParentingMaximize Your ExerciseOrganics and Whole GrainsQuick Family MealsVeggie Garden Your Way to 5-a-DayEXERCISE 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 flexibility.A Health Bridge certified fitness professional guided and educated persons on how to develop a safe and effective fitness plan. The Crossed the Bridge Support Group is offered at no charge to graduates of the following programs and services: Bridge to Weight Loss; Lifestyle Therapy & Lifestyle Therapy for Teens; nutrition consultations. Facilitators rotate each month and include a Registered Dietitian and Wellness Coach.
Form 990, Part III, Line 4a Con't.The purpose of the group is to offer ongoing support, motivation, accountabilityand education to those who have successfully completed a lifestyle change program. The Crossed the Bridge Support Group is offered at no charge to graduates of the following programs and services: Bridge to Weight Loss, Lifestyle Therapy, Lifestyle Therapy for Teens and nutrition consultations. Facilitators rotate each month and include a Registered Dietitician and Wellness Coach. The purpose of the group is to offer ongoing support, motiviation, accountability, and education to those who have successfully completed a lifestyle change program. Free tennis activities and classes were offered throughout the year and included; Pickleball Mixer, USTA Play Day Event and Tennis in 4 Weeks. Seniors in Motion and Fit over Fifty are exercise classes designed for the senior population and are available to the community.The Pre-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 46 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 6,447 participants in group lessons and 1,534 participants in private lessons. Free swim evaluations were held for the community.OFF-SITE PROGRAMSCommunity workshops and community outreach programs offered free of charge include: Girls on the Run and an Ask the Dietitian Booth at the Women's Care Fair at McHenry County College. Health Bridge provided massages at the Girls on the Run 5K and twice a month at Sage Cancer Center. A group fitness instructor led a class of Hannah Beardsley students through a Body Vive class. 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. A registered dietician took community members on a tour of a local grocery store and gave them information on how to locate products and bring home foods that enhance a healthy lifestyle. A personal trainer led a guided nature hike at a McHenry County Conservation District location. Exercises for strength and flexibility were integrated into the hike. A registered dietician presented a Fueling for Sport lecture to athletes and coaches at Huntley, Hampshire, McHenry and Woodstock high schools. Topics of discussion involved the importance of carbohydrates, fat and protein for better performance and how to structure meals, snacks and fluids around sports, practices and games. An exercise class was held at Prairie Ridge High School. A Careers as a Registered Dietician lecture was held at a Healthcare Forum where a registered dietician spoke to a group of Girl Scouts and their parents. COMMUNITY OUTREACHHealth Bridge held a 5K Run-Walk for the Centegra Cardiac Care. There were 313 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 elderly persons at nursing homes. A Health Bridge associate read a story to a preschool class. He also spoke about his role at Health Bridge and the importance of exercise. Gift certificates for Health Bridge services were donated to other organizations for fundraising purposes with an associated cost of $8,744.
Form 990, Part III, Line 4a Con't.Food drives were held at Health Bridge to collect items for the Algonquin Lake in the Hills Food Pantry. Child care staff created and donated holiday treats to the Grafton Township Food Pantry. Several service desk and locker room associates volunteered at the Centegra Breakfast with Santa assisting with activities. These same associates also volunteered at the 5K community event and also spent the fifth Saturday of every month distributing food at the local Food Pantry. Health Bridge participated in the McHenry County Wrap-Around Family Holiday gift giving program. Health Bridge sponsored two (2) families and employees bought everything on the families "wish lists". In partnering with Wellness Place of Palatine, Health Bridge offered free lectures to men concerned about prostate health. In order to train new leaders, a conference room and studio space was donated to the Girls on the Run program. The facilities of Health Bridge were made available for a local police department to conduct their physical readiness testing of their officers. Fitness coaching and fitness staff held an event and lecture in order to help a group of Boy Scouts and Girl Scouts earn their Physical Fitness badge. A Big Brothers/Big Sisters pool party was held at Health Bridge. Child care staff supervised children going through an obstacle couse for a Heart Walk event. Child care staff also provided babysitting services to parents attending a Love and Logic Parenting lecture.CHBFC held a Community Day where the outdoor pool was open to the community free of charge. Personal Training Seminars were offered throughout the year and topics included exercise programming, fitness concepts and personal training. School supplies were collected at CHBFC for children in need in the community. A registered dietician spoke to a group of women about healthy nutrition tips for meal preparation, dining out, and stats and tips on nutrition for children, with a focus on obesity among our youth. The American Association of University Women is a non-for- profit group whose mission is to promote education among women. A presentation was held at a Leadership of Greater McHenry County meeting where leaders are working on a Youth Empowerment Program. Part of this program focuses on health and wellness. Information presented included statistics on rates of obesity in children and teens of McHenry County, health consequences and simple strategies for parents and kids to improve health.McHenry County College students visited Health Bridge for an orientation of the facility and to gain insight on careers in the fitness field. This visit helped to fulfill a class requirement in the fitness program at McHenry County College. A registered dietician met with individuals who were participating in the Freedom from Smoking class. Information was provided to help participants make healthy snack choices and to combat weight gain related to smoking cessation. For National Nutrition Month a registered dietician created a community nutrition newsletter with nutrition challenges. Also a booth was held with samples of healthier food options and nutrition pamphlets were distributed. A nutrition consultation with a Registered Dietician was raffled off as part of the Healthy Huntley Days event. A Health Bridge Registered Dietician sat on a panel of dietetic specialists to discuss her role as a Board Certified Specialist in Sports Dietetics to a group of Northern Illinois University dietetic interns.
Form 990, Part III, Line 4aThe 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 community's overall health status. Its presence in McHenry County will enhance Centegra Health System's image and diversify 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 organization's 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 119 charitable memberships provided during fiscal year.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 organization's 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 280 60-day bridge memberships were provided during 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.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableAll 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 ConflictsContinued 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 11: Form 990 Review ProcessThe review process for the 990 return included review by the Director of Accounting of the health system.Form 990, Part VI, Line 11
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderCentegra Health System has a single class of members.Form 990, Part VI, Line 6

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Centegra Health Bridge Fitness CenterLLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1385 Millennium DriveAddressLine1
CityCrystal LakeCity
StateILState
ZIP Code60012ZIPCode
FieldValueIRS element (for citing)
EIN261277524EIN
Primary ActivitiesFitness center to promote community health and wellnessPrimaryActivities
Legal Domicile StateDELegalDomicileState
Total Income4615133TotalIncome
EOY Assets444147EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Health Bridge CorporationBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Oak Creek Lodge
527 W South StWoodstockIL60098363591359This company is currently inactiveIL501(c) (3)3Centegra Health Systemfalse
Centegra Health System Foundation
385 Millennium DriveCrystal LakeIL60012363726310Fund raisingIL501(c) (3)11aCentegra Health Systemfalse
NIMED Corporation
385 Millennium DriveCrystal LakeIL60012363199111Health care facilitiesIL501(c) (3)11cCentegra Health Systemfalse
Memorial Medical Center - Woodstock
PO Box 1990WoodstockIL60098362179764HospitalIL501(c) (3)3Centegra Health Systemfalse
Northern Illinois Medical Center
4201 Medical Center DriveMcHenryIL60050362338884HospitalIL501(c) (3)3Centegra Health Systemfalse
Centegra Health System
385 Millennium DriveCrystal LakeIL60012363196559Health systemIL501(c) (3)11cNAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Centegra Management Services IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1385 Millennium DriveAddressLine1
CityCrystal LakeCity
StateILState
ZIP Code60012ZIPCode
FieldValueIRS element (for citing)
EIN364028114EIN
Primary ActivityManagement of phys officesPrimaryActivity
Legal Domicile StateILLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Centegra Health SystemBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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