Form 990 for tax year 2022
Filed by KATHERINE SHAW BETHEA HOSPITAL.
Totals
- Total revenue
- $140,869,438
- Total expenses
- $155,974,306
- Contributions and grants received
- $1,348,152
- Grants paid
- $92,282
- Program service revenue
- $138,172,133
- Investment income
- $281,288
- Other revenue
- $1,067,865
- Total assets, end of year
- $109,247,507
- Total liabilities, end of year
- $70,096,192
- Net assets or fund balances, end of year
- $39,151,315
- Program services expenses (Part IX)
- $134,083,000
- Management and general expenses
- $21,821,109
- Fundraising expenses
- $70,197
- Program service expenses (Part III)
- $134,083,000
Program services were 86.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1d · Related organizations
$102,167
-
1e · Government grants (contributions)
$1,245,985
-
2a · Program service revenue: NET PATIENT SERVICE REVENUE
total $137,855,126 · related or exempt $137,855,126
-
2b · Program service revenue: NET CLINIC SPACE RENTAL
total $317,007 · related or exempt $317,007
-
3 · Investment income
total $190,406 · excluded $190,406
-
7a · Gross sales of assets other than inventory
securities $633,865
-
7b · Less cost or other basis and sales expenses
securities $542,983
-
7c · Gain or loss
securities $90,882
-
7d · Net gain or loss
total $90,882 · excluded $90,882
-
11a · Other revenue: CAFETERIA SALES
total $458,694 · unrelated business $39,376 · excluded $419,318
-
11b · Other revenue: REVENUE SHARE
total $259,998 · excluded $259,998
-
11c · Other revenue: CANCELLATION OF DEBT
total $216,646 · excluded $216,646
-
11d · All other revenue
total $132,527 · excluded $132,527
-
11e · Other revenue, total
$1,067,865
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $82,282 · program services $82,282
-
2 · Grants to domestic individuals
total $10,000 · program services $10,000
-
5 · Compensation of officers, directors and key employees
total $2,700,243 · program services $446,830 · management and general $2,253,413
-
7 · Other salaries and wages
total $66,381,638 · program services $65,307,427 · management and general $1,011,496 · fundraising $62,715
-
8 · Pension plan contributions
total $2,550,832 · program services $1,899,279 · management and general $651,553
-
9 · Other employee benefits
total $11,613,583 · program services $8,716,767 · management and general $2,896,816
-
10 · Payroll taxes
total $4,109,629 · program services $3,891,322 · management and general $213,382 · fundraising $4,925
-
11b · Fees: legal
total $622,763 · program services $622,763
-
11c · Fees: accounting
total $123,558 · program services $91,433 · management and general $32,125
-
11d · Fees: lobbying
total $32,045 · management and general $32,045
-
11f · Fees: investment management
total $34,127 · management and general $34,127
-
11g · Fees: other
total $22,792,048 · program services $16,346,015 · management and general $6,445,653 · fundraising $380
-
12 · Advertising and promotion
total $236,909 · program services $175,580 · management and general $61,329
-
13 · Office expenses
total $17,316,691 · program services $15,872,620 · management and general $1,444,068 · fundraising $3
-
14 · Information technology
total $5,915,867 · program services $4,547,168 · management and general $1,368,088 · fundraising $611
-
16 · Occupancy
total $1,636,926 · program services $934,848 · management and general $702,078
-
17 · Travel
total $154,012 · program services $135,532 · management and general $18,480
-
19 · Conferences, conventions and meetings
total $219,804 · program services $178,826 · management and general $40,978
-
20 · Interest
total $900,134 · program services $602,046 · management and general $298,088
-
22 · Depreciation, depletion and amortization
total $7,065,477 · program services $5,264,141 · management and general $1,800,237 · fundraising $1,099
-
23 · Insurance
total $2,903,393 · program services $2,161,973 · management and general $741,420
-
24a · Other expenses: IPA/SALES & USE TAX
total $4,630,367 · program services $3,427,814 · management and general $1,202,553
-
24b · Other expenses: BAD DEBT EXPENSE
total $1,458,104 · program services $1,458,104
-
24c · Other expenses: REPAIRS AND MAINTENANCE
total $973,602 · program services $769,614 · management and general $203,988
-
24d · Other expenses: FOOD SUPPLY
total $686,227 · program services $512,983 · management and general $173,244
-
24e · All other expenses
total $824,045 · program services $627,633 · management and general $195,948 · fundraising $464
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $232,511 · end of year $263,292
-
2 · Savings and temporary cash investments
beginning of year $20,285,472 · end of year $7,469,772
-
4 · Accounts receivable
beginning of year $31,064,802 · end of year $25,923,697
-
8 · Inventories for sale or use
beginning of year $1,905,297 · end of year $1,817,881
-
9 · Prepaid expenses and deferred charges
beginning of year $1,647,567 · end of year $1,376,613
-
10a · Land, buildings and equipment: cost or other basis
$162,172,859
-
10b · Land, buildings and equipment: accumulated depreciation
$114,937,587
-
10c · Land, buildings and equipment, net
beginning of year $49,700,555 · end of year $47,235,272
-
11 · Investments: publicly traded securities
beginning of year $21,580,012 · end of year $15,962,413
-
13 · Investments: program-related
beginning of year $5,771,406 · end of year $5,719,400
-
14 · Intangible assets
end of year $3,479,167
-
17 · Accounts payable and accrued expenses
beginning of year $50,689,260 · end of year $50,240,812
-
19 · Deferred revenue
beginning of year $6,287,141
-
23 · Secured mortgages and notes payable
beginning of year $20,012,624 · end of year $19,855,380
-
27 · Net assets without donor restrictions
beginning of year $53,918,748 · end of year $37,871,466
-
28 · Net assets with donor restrictions
beginning of year $1,279,849 · end of year $1,279,849
Mission and programs · 2022
Mission
TO RESTORE, MAINTAIN, AND ENHANCE HEALTH BY PROVIDING SUPERIOR CARE NOW AND IN THE FUTURE.
Activities or mission (Part I)
RESTORE, MAINTAIN, AND ENHANCE HEALTH BY PROVIDING SUPERIOR CARE NOW AND IN THE FUTURE.
-
IN 2022, KATHERINE SHAW BETHEA HOSPITAL (KSB) HAD 3,057 INPATIENT VISITS AND 224,192 OUTPATIENT VISITS. KSB IS COMMITTED TO PROVIDING THE HIGHEST QUALITY OF HEALTHCARE REGARDLESS OF ABILITY TO PAY. KSB SUBSIDIZES THE COST OF TREATING PATIENTS WHO ARE UNABLE TO PAY AND THOSE WHO RECEIVE GOVERNMENT ASSISTANCE WHERE REIMBURSEMENT IS LIMITED. THE COST OF CHARITY CARE, BASED ON THE HOSPITAL'S COST-TO-CHARGE RATIO, PROVIDED BY THE HOSPITAL, WAS APPROXIMATELY $187,000 IN 2022.KSB PROVIDES 24-HOUR EMERGENCY MEDICAL SERVICES STAFFED BY FULL-TIME PHYSICIANS. PATIENTS ARE TREATED REGARDLESS OF INSURANCE OR ABILITY PAY. ER VISITS IN 2022 WERE 19,360.
Expenses $134,083,000 · Grants $92,282 · Revenue $138,172,133
As filed on the 2022 return.
Listed in Part VII
-
Lynette KnodleLYNETTE KNODLE
PAST CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 2.1
-
Colleen T HenkelCOLLEEN T HENKEL
CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 1.4
-
Katie PrattKATIE PRATT
SECRETARY
- Total calculated
- $0
- Hours/week
- 0.9
-
Chris HammittCHRIS HAMMITT
TREASURER
- Total calculated
- $0
- Hours/week
- 1.4
-
Rick CuriaRICK CURIA
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.9 + 1 related
-
Joseph Welty MDJOSEPH WELTY MD
BOARD MEMBER / PHYSICIAN
- Total calculated
- $125,542
- From this org
- $123,922
- From related orgs
- $0
- Other
- $1,620
- Hours/week
- 7
-
Ray Neisewander IIIRAY NEISEWANDER III
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.9 + 1 related
-
David HellmichDAVID HELLMICH
VICE-CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 1.3 + 1 related
-
Richard BoysenRICHARD BOYSEN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1.4
-
Patrick King DDSPATRICK KING DDS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1.7
-
David SchreinerDAVID SCHREINER
CEO AND BOARD MEMBER
- Total calculated
- $1,001,845
- From this org
- $968,996
- From related orgs
- $0
- Other
- $32,849
- Hours/week
- 40 + 1 related
Schedule J breakdown matched by us
- Base
- $584,984
- Bonus
- $14,950
- Other
- $369,062
- Deferred
- $1,620
- Nontaxable benefits
- $31,229
- Filer's total
- $1,001,845
-
Linda ClemenLINDA CLEMEN
VP-CHIEF NURSING OFFICER
- Total calculated
- $295,788
- From this org
- $269,983
- From related orgs
- $0
- Other
- $25,805
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $269,033
- Bonus
- $950
- Other
- $0
- Deferred
- $6,831
- Nontaxable benefits
- $18,974
- Filer's total
- $295,788
-
Suzanne RavlinSUZANNE RAVLIN
VP-CHIEF LEGAL OFFICER
- Total calculated
- $394,072
- From this org
- $393,308
- From related orgs
- $0
- Other
- $764
- Hours/week
- 40 + 1 related
Schedule J breakdown matched by us
- Base
- $393,308
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $764
- Filer's total
- $394,072
-
Pratip Nag MDPRATIP NAG MD
CHIEF MEDICAL OFFICER
- Total calculated
- $25,500
- From this org
- $25,500
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Ray SharpRAY SHARP
VP-CHIEF INFORMATION OFFICER
- Total calculated
- $269,673
- From this org
- $262,106
- From related orgs
- $0
- Other
- $7,567
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $261,156
- Bonus
- $950
- Other
- $0
- Deferred
- $6,554
- Nontaxable benefits
- $1,013
- Filer's total
- $269,673
-
Austin FrazierAUSTIN FRAZIER
VP-CHIEF FINANCIAL OFFICER
- Total calculated
- $116,296
- From this org
- $105,637
- From related orgs
- $0
- Other
- $10,659
- Hours/week
- 40 + 2 related
-
Drew FennerDREW FENNER
VP-CHIEF QUALITY OFFICER
- Total calculated
- $235,961
- From this org
- $208,416
- From related orgs
- $0
- Other
- $27,545
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $207,466
- Bonus
- $950
- Other
- $0
- Deferred
- $5,252
- Nontaxable benefits
- $22,293
- Filer's total
- $235,961
-
Ryan MillerRYAN MILLER
VP-CHIEF PEOPLE OFFICER
- Total calculated
- $235,568
- From this org
- $208,044
- From related orgs
- $0
- Other
- $27,524
- Hours/week
- 40 + 2 related
Schedule J breakdown matched by us
- Base
- $207,094
- Bonus
- $950
- Other
- $0
- Deferred
- $5,304
- Nontaxable benefits
- $22,220
- Filer's total
- $235,568
-
Monther Elbzour MDMONTHER ELBZOUR MD
PHYSICIAN
- Total calculated
- $1,843,499
- From this org
- $1,816,957
- From related orgs
- $0
- Other
- $26,542
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $1,816,482
- Bonus
- $475
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $26,542
- Filer's total
- $1,843,499
-
Sohail Hanif MDSOHAIL HANIF MD
PHYSICIAN
- Total calculated
- $1,174,177
- From this org
- $1,147,407
- From related orgs
- $0
- Other
- $26,770
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $1,146,932
- Bonus
- $475
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $26,770
- Filer's total
- $1,174,177
-
Thomas Hernandez MDTHOMAS HERNANDEZ MD
PHYSICIAN
- Total calculated
- $791,069
- From this org
- $785,015
- From related orgs
- $0
- Other
- $6,054
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $718,540
- Bonus
- $66,475
- Other
- $0
- Deferred
- $1,355
- Nontaxable benefits
- $4,699
- Filer's total
- $791,069
-
Kurt Crowe MDKURT CROWE MD
PHYSICIAN
- Total calculated
- $846,540
- From this org
- $803,741
- From related orgs
- $0
- Other
- $42,799
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $803,266
- Bonus
- $475
- Other
- $0
- Deferred
- $2,608
- Nontaxable benefits
- $40,191
- Filer's total
- $846,540
-
Stephen GabrielSTEPHEN GABRIEL
PHYSICIAN
- Total calculated
- $814,362
- From this org
- $781,211
- From related orgs
- $0
- Other
- $33,151
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $720,261
- Bonus
- $60,950
- Other
- $0
- Deferred
- $1,922
- Nontaxable benefits
- $31,229
- Filer's total
- $814,362
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
Answered no
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINES 4A-B
- DAVID SCHREINER RECEIVED CONTRIBUTIONS TO A SERP PLAN IN THE AMOUNT OF $369,061.
- PART I, LINE 7
- CERTAIN PHYSICIANS THAT ARE CONSIDERED "PERSONS OF INTEREST" RECEIVE BONUSES BASED ON NET CASH COLLECTIONS OF THEIR INDIVIDUAL PRACTICE.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
$20,000
GENERAL OPERATING SUPPORT
-
GENERAL OPERATING SUPPORT
-
SAUK VALLEY COMMUNITY COLLEGE
$8,193
GENERAL OPERATING SUPPORT
-
GENERAL OPERATING SUPPORT
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · TO RAISE FUNDS TO SUPPORT KSB'S MISSION · IL · controlled entity
Directly controlled by KATHERINE SHAW BETHEA HOSPITAL
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
KSB VENTURES INC
C · HOLD PARTNERSHIP INVESTMENT · IL · 100% owned · share of income $238,163 · share of assets $1,513,560 · controlled entity
Directly controlled by KATHERINE SHAW BETHEA HOSPITAL
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 8 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303189349306395
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