2011-05-13T12:06:47-07:00 2010-06-30 990 2009-07-01 363196559 Centegra Health System CENT 8157885800 385 Millennium Drive Crystal Lake IL 60012 Robert Rosenberger 2011-05-13 2009 2016-02-24 21:20:13Z Michael Eesley 385 Millennium Drive Crystal Lake IL 60012 83120678 false false X www.centegra.org X 1982 IL The primary mission of the Centegra Health System is to coordinate the delivery of quality healthcare services with the innovative and responsible use of resources and to promote wellness for the greater McHenry County area. 19 7 524 378 -13539 -13539 0 76490838 79990085 -3515573 774605 -234838 -13539 72740427 80751151 0 0 36578948 37962003 0 0 54138593 54753221 90717541 92715224 -17977114 -11964073 61453650 81404381 80889502 98255875 -19435852 -16851494 The primary mission of the Centegra Health System is to coordinate the delivery of quality healthcare services with the innovative and responsible use of resources and to promote wellness for the greater McHenry County area. false false 76484512 79990085 See Schedule O. 76484512 true false false false false false false false false false true false true false false false false false false false false false false false true false false false false false false false false true true true false false false false true true false false false true 80 0 true 524 true true true true CJ false false false false false false false false 0 false false false false false false false false 19 7 true true false false true true false true true false false false false true true true true true true true true true IL X Robert Rosenberger 8157885800 385 Millennium Drive Crystal IL 60012 Zbigniew Lorenc 40.00 X 214542 0 19043 Yvonne A Yao 0. X 318450 0 35563 William Cox 2.00 X X 0 0 0 Tom Carey 1.00 X 0 0 0 Terrence J Bugno 1.00 X 0 0 0 Suzan S Buchaklian 40.00 X 161978 0 18013 Susan Murphy 40.00 X 185982 0 19046 Susan Milford 40.00 X 197128 0 25059 Scott L Padjen 40.00 X 149693 0 23152 Robert Turngren 40.00 X 342065 0 27139 Robert Rosenberger 40.00 X 350557 0 67568 Rachel L Sebastian 40.00 X 125914 0 4373 Prashant K Sura 40.00 X 405972 0 30105 Paul Hills 1.00 X 0 0 0 Patrick Morehead 2.00 X X 0 0 0 Parmod Narang 1.00 X 0 0 0 Mike Curran 1.00 X 0 0 0 Michael Eesley 40.00 X X 758227 0 261432 Marcel T Hoffman 40.00 X 305680 0 40437 Luke Johnsos 1.00 X 0 0 0 Linda Alic 40.00 X 201079 0 41497 Leonard G Hering 40.00 X 268606 0 42445 Laura Walczak 40.00 X 153490 0 16801 Kathy Powell 1.00 X 0 0 0 Joseph Hursche 0. X 223391 0 6690 John T O'Connell 40.00 X 273040 0 38208 Joanne S Joyce 40.00 X 161895 0 20177 Joanna Knapik 40.00 X 182091 0 39579 Jason Sciarro 40.00 X X 445360 0 62087 Jack Porter 1.00 X 0 0 0 Gail D Rudolph 40.00 X 175829 0 16822 Dudley Brown Jr 40.00 X 330553 0 35998 Doris Hendrickson 40.00 X 192491 0 3332 David Tomlinson 40.00 X 223097 0 26120 David A Shinherr 40.00 X 168231 0 23674 D Michael Splitt 1.00 X 0 0 0 Christian Newkirk 2.00 X X 0 0 0 Charles Ruth 1.00 X 0 0 0 Charie Zanck 2.00 X X 0 0 0 Bernadette S Szczepanski 40.00 X 174497 0 12207 Barbara Johnson 40.00 X 292455 0 70836 Angela McAuley 1.00 X X 269037 0 21116 Aaron Shepley 40.00 X 302878 0 53724 7554208 1102243 107 true true false Stans Office Technologies PO Box 1249 Woodstock IL 60098 Business Solutions 375554 PFS Group 7670 Woodway Suite 250 Houston TX 77063 Collections 984049 McKesson Information Solutions PO Box 98347 Chicago IL 606938347 Information Systems 665886 DR Systems 10140 Mesa Rim Rd San Diego CA 92121 Med Imaging Info Sys 427153 Dell Marketing LP 7489 Collection Center Drive Chicago IL 60693 Information Systems 9621725 32 0 Other Rev-Related 501(c)3 551114 962795 962795 Exp Alloc-Related 501(c)3 551114 53669609 53669609 Exp Alloc-Other relatedco 621111 22494 22494 Centegra Primary Care Ops 621111 21246405 21246405 Centegra Ins Svcs Operat 524126 4088782 4088782 79990085 1232132 1232132 0 0 0 1912000 2369527 -457527 -457527 -457527 0 0 0 DIS-Partnership Income 621400 -13539 -13539 -13539 80751151 79990085 -13539 774605 0 0 0 0 6108864 2692935 3415929 230081 230081 24930944 18643278 6287666 939195 711202 227993 3778501 2102553 1675948 1974418 1214964 759454 9332635 9332635 573831 18958 554873 203116 203116 0 0 34097 34097 25939983 24401494 1538489 2058013 2055110 2903 4128938 3823722 305216 4526689 4526689 0 1515470 1462273 53197 303847 167775 136072 0 417815 98301 319514 0 0 215398 215398 3628077 3626415 1662 Supplies-Non Medical 604488 496552 107936 Miscellaneous 198523 160360 38163 Employee Recruitment 128784 3075 125709 Corporate Sponsorships 167034 162284 4750 Bad Debt Expense 337123 337123 439360 197319 242041 92715224 76484512 16230712 0 35482077 49982356 4100578 1646539 0 1996597 2408820 0 0 1313097 1708364 0 2507148 2503732 2912925 2912925 2912925 12985702 19236275 0 0 800208 155526 205162 61453650 81404381 14647006 15812502 17030807 15558770 49211689 66884603 80889502 98255875 X -19435852 -16851494 -19435852 -16851494 61453650 81404381 X false true true X false false X X X false false false Memorial Medical Center 362179764 3 false true true 21853679 Northern Illinos Medical Center 362338884 3 false true true 32780519 2 54634198 2912925 2912925 2912925 Rounding 2 Intercompany Accounts Payable 59866054 Accrued Professional Liability Claims 7018547 66884603 Part X Part X : FIN48 Footnote 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. At the date of adoption, and as of June 30, 2010, 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. X false true X X X X X true true false false false false false false false false Zbigniew Lorenc 205186 9356 9150 9893 233585 Yvonne A Yao 318450 18738 16825 354013 Suzan S Buchaklian 161978 6844 11169 179991 Susan Murphy 177976 8006 7568 11478 205028 Susan Milford 188711 8417 8222 16837 222187 Scott L Padjen 149693 6302 16850 172845 Robert Turngren 328255 13810 10038 17101 369204 Robert Rosenberger 336163 14394 50508 17060 418125 Prashant K Sura 405972 19071 11034 436077 Michael Eesley 755835 2392 250023 11409 1019659 Marcel T Hoffman 305680 34762 5675 346117 Linda Alic 201079 24647 16850 242576 Leonard G Hering 268606 25730 16715 311051 Laura Walczak 146342 7148 16801 170291 Joseph Hursche 223391 751 5939 230081 John T O'Connell 273040 32533 5675 311248 Joanne S Joyce 161895 3550 16627 182072 Joanna Knapik 182091 22729 16850 221670 Jason Sciarro 423572 18012 3776 45121 16966 507447 Gail D Rudolph 168201 7628 16822 192651 Dudley Brown Jr 330553 30978 5020 366551 Doris Hendrickson 184314 8177 2657 675 195823 David Tomlinson 214621 8476 9279 16841 249217 David A Shinherr 168231 6959 16715 191905 Bernadette S Szczepanski 174497 7187 5020 186704 Barbara Johnson 242576 10373 39506 64683 6153 363291 39506 Angela McAuley 256769 10268 2000 9773 11343 290153 Aaron Shepley 290726 12152 36650 17074 356602 Sch J, Part I, Line 1b Part I, Line 1b: Reason for not following policy regarding payment provisions for expenses Centegra does not have a written policy regarding the payment of the items listed on schedule J, part I, line 1a; however, these expenses were reviewed and approved by management as prudent and fiscally responsible business decisions. Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Carey Electric Director 146070 Electrical Work false American Community Bank Vice Chairman 210454 Certificate of Deposit false American Community Bank Director 210454 Certificate of Deposit false Home State Bank Director 200000 Certificate of Deposit false Home State Bank Treasurer 200000 Certificate of Deposit false Asset Acquisition Statements Centegra purchased the Key Medical Group on February 1, 2010. To properly report the asset aquisition Centegra Health System is required to file two Form 8594's, one for Dr. Amsler and one for the Key Medical Group. These forms have been attached in PDF format to the return and will be sent in paper form the the Internal Revenue Service. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part VI, Line 12c 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, form 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 the periodic reviews are conducted. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process The review process for the 990 included review by the Director of Accounting and Chief Financial Officer. The 990 also was sent to an outside auditor for review before submission to the IRS. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Centegra Health System has a single class of members. Form 990, Part VI, Line 3 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company Management companies were used for the daily operations and management of the following services for the health system: Sodexho was used for Food & Nutrition, Plant Operations and Maintenance, and Environmental Services work. Dell (Perot) was used for the Information Systems area. Professional Business Consultants is used for the management of the Managed Care department. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Centegra Health System (CHS) has adopted specific conflict of interest policies for its governing and management staff. The policy includes, but is not limited to, when an individual, governor, committee member, officer, agent or employee believes that he or she, or a member of his or her immediate family might have or does have a real or apparent conflict, he or she should in addition to filing the disclosure notice required, abstain from making motions, voting, executing agreements, or taking any other similar direct action on behalf of CHS. Not withstanding, it is understood that both real and apparent conflicts of interest sometimes naturally occur in the course of conducting daily affairs. Conflicts occur because the many persons associated with CHS should be expected to have, and do in fact generally have multiple interests and affiliations, and various positions of responsibility within the community. The long-range interests of CHS do not require the termination of an association with persons who have real or apparent conflicts, if an effective method can render such conflicts harmless to all concerned. During fiscal year 2010, CHS purchased certain goods and/or services from organizations with director's affiliation. All transactions were competitively bid and conducted at arms length. The fees paid were at fair market value. Director Kathy Powell is an employee and Vice President of Home State Bank. Director Patrick Morehead is on the Board of Directors and a 1% owner of Home State Bank. Vice Chairman Charie Zanck is a Director of American Community Bank & Trust. Director Charles Ruth is the Board Chairman of American Community Bank & Trust. Rachel Sebastian, Vice President of Service Line Operations, is the daughter of the Chief Executive Officer, Michael Eesley. Rachel Sebastian reports directly to the President and Chief Operations Officer, Jason Sciarro. 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