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Nonprofiteer
← KATHERINE SHAW BETHEA HOSPITAL

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 Knodle

    PAST CHAIRPERSON

    Total calculated
    $0
    Hours/week
    2.1
  • Colleen T Henkel

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1.4
  • Katie Pratt

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.9
  • Chris Hammitt

    TREASURER

    Total calculated
    $0
    Hours/week
    1.4
  • Rick Curia

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.9 + 1 related
  • Joseph 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 III

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.9 + 1 related
  • David Hellmich

    VICE-CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1.3 + 1 related
  • Richard Boysen

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1.4
  • Patrick King DDS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1.7
  • David 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 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 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 MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $25,500
    From this org
    $25,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    40
  • Ray 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 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 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 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 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 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 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 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 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

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.

  • KSB HOSPITAL FOUNDATION

    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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