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Nonprofiteer
← KATHERINE SHAW BETHEA HOSPITAL

Form 990 for tax year 2023

Filed by KATHERINE SHAW BETHEA HOSPITAL.

Totals

Total revenue
$157,158,268
Total expenses
$161,608,306
Contributions and grants received
$1,546,788
Grants paid
$70,954
Program service revenue
$154,006,638
Investment income
$527,912
Other revenue
$1,076,930
Total assets, end of year
$103,111,013
Total liabilities, end of year
$68,402,871
Net assets or fund balances, end of year
$34,708,142
Program services expenses (Part IX)
$142,492,098
Management and general expenses
$19,116,208
Fundraising expenses
$0
Program service expenses (Part III)
$142,492,098

Program services were 88.2% 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

    $82,107

  • 1e · Government grants (contributions)

    $1,464,681

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $153,678,599 · related or exempt $153,678,599

  • 2b · Program service revenue: NET CLINIC SPACE RENTAL

    total $328,039 · related or exempt $328,039

  • 3 · Investment income

    total $267,069 · excluded $267,069

  • 7a · Gross sales of assets other than inventory

    securities $3,645,587

  • 7b · Less cost or other basis and sales expenses

    securities $3,384,744

  • 7c · Gain or loss

    securities $260,843

  • 7d · Net gain or loss

    total $260,843 · excluded $260,843

  • 11a · Other revenue: CAFETERIA SALES

    total $528,784 · unrelated business $64,283 · excluded $464,501

  • 11b · Other revenue: INCENTIVE PAYMENT

    total $282,133 · excluded $282,133

  • 11c · Other revenue: REVENUE SHARE

    total $166,913 · excluded $166,913

  • 11d · All other revenue

    total $99,100 · excluded $99,100

  • 11e · Other revenue, total

    $1,076,930

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $68,954 · program services $68,954

  • 2 · Grants to domestic individuals

    total $2,000 · program services $2,000

  • 5 · Compensation of officers, directors and key employees

    total $3,302,357 · program services $970,477 · management and general $2,331,880

  • 7 · Other salaries and wages

    total $66,843,224 · program services $66,493,557 · management and general $349,667

  • 8 · Pension plan contributions

    total $2,027,602 · program services $1,503,216 · management and general $524,386

  • 9 · Other employee benefits

    total $11,939,761 · program services $9,039,185 · management and general $2,900,576

  • 10 · Payroll taxes

    total $4,190,986 · program services $3,986,084 · management and general $204,902

  • 11b · Fees: legal

    total $124,331 · program services $124,331

  • 11c · Fees: accounting

    total $186,160 · program services $147,118 · management and general $39,042

  • 11d · Fees: lobbying

    total $32,124 · management and general $32,124

  • 11f · Fees: investment management

    total $1,350 · management and general $1,350

  • 11g · Fees: other

    total $19,567,458 · program services $15,238,628 · management and general $4,328,830

  • 12 · Advertising and promotion

    total $224,392 · program services $167,353 · management and general $57,039

  • 13 · Office expenses

    total $18,884,965 · program services $17,313,021 · management and general $1,571,944

  • 14 · Information technology

    total $3,810,813 · program services $2,826,138 · management and general $984,675

  • 16 · Occupancy

    total $1,899,735 · program services $1,016,798 · management and general $882,937

  • 17 · Travel

    total $137,041 · program services $121,812 · management and general $15,229

  • 19 · Conferences, conventions and meetings

    total $205,734 · program services $162,192 · management and general $43,542

  • 20 · Interest

    total $883,759 · program services $590,043 · management and general $293,716

  • 22 · Depreciation, depletion and amortization

    total $6,794,744 · program services $4,977,166 · management and general $1,817,578

  • 23 · Insurance

    total $3,151,356 · program services $2,345,591 · management and general $805,765

  • 24a · Other expenses: BAD DEBT EXPENSE

    total $9,663,108 · program services $9,663,108

  • 24b · Other expenses: IPA/SALES & USE TAX

    total $5,789,761 · program services $4,285,770 · management and general $1,503,991

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $727,170 · program services $551,917 · management and general $175,253

  • 24d · Other expenses: FOOD SUPPLY

    total $714,740 · program services $533,647 · management and general $181,093

  • 24e · All other expenses

    total $434,681 · program services $363,992 · management and general $70,689

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $263,292 · end of year $226,456

  • 2 · Savings and temporary cash investments

    beginning of year $7,469,772 · end of year $2,890,132

  • 4 · Accounts receivable

    beginning of year $25,923,697 · end of year $32,752,815

  • 8 · Inventories for sale or use

    beginning of year $1,817,881 · end of year $1,680,102

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,376,613 · end of year $1,373,259

  • 10a · Land, buildings and equipment: cost or other basis

    $164,039,236

  • 10b · Land, buildings and equipment: accumulated depreciation

    $120,320,833

  • 10c · Land, buildings and equipment, net

    beginning of year $47,235,272 · end of year $43,718,403

  • 11 · Investments: publicly traded securities

    beginning of year $15,962,413 · end of year $13,510,638

  • 13 · Investments: program-related

    beginning of year $5,719,400 · end of year $5,116,137

  • 14 · Intangible assets

    beginning of year $3,479,167

  • 15 · Other assets

    beginning of year $0 · end of year $1,843,071

  • 17 · Accounts payable and accrued expenses

    beginning of year $50,240,812 · end of year $48,795,615

  • 19 · Deferred revenue

    end of year $22,019

  • 23 · Secured mortgages and notes payable

    beginning of year $19,855,380 · end of year $17,723,609

  • 25 · Other liabilities

    beginning of year $0 · end of year $1,861,628

  • 27 · Net assets without donor restrictions

    beginning of year $37,871,466 · end of year $34,708,142

  • 28 · Net assets with donor restrictions

    beginning of year $1,279,849 · end of year $0

Mission and programs · 2023

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 2023, KATHERINE SHAW BETHEA HOSPITAL (KSB) HAD 2,718 INPATIENT VISITS AND 242,921 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 $183,000 IN 2023.KSB PROVIDES 24-HOUR EMERGENCY MEDICAL SERVICES STAFFED BY FULL-TIME PHYSICIANS. PATIENTS ARE TREATED REGARDLESS OF INSURANCE OR ABILITY PAY. ER VISITS IN 2023 WERE 19,644.

    Expenses $142,492,098 · Grants $70,954 · Revenue $154,006,638

As filed on the 2023 return.

Listed in Part VII

  • Lynette Knodle

    BOARD MEMBER

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

    PAST-CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1.4
  • Chris Hammitt

    VICE-CHAIRPERSON

    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
    $148,899
    From this org
    $147,279
    From related orgs
    $0
    Other
    $1,620
    Hours/week
    9
  • Ray Neisewander III

    BOARD MEMBER

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

    CHAIRPERSON

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

    TREASURER

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

    SECRETARY

    Total calculated
    $0
    Hours/week
    1.7
  • David Schreiner

    CEO AND BOARD MEMBER

    Total calculated
    $1,085,021
    From this org
    $1,049,137
    From related orgs
    $0
    Other
    $35,884
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $785,283
    Bonus
    $475
    Other
    $263,379
    Deferred
    $1,620
    Nontaxable benefits
    $34,264
    Filer's total
    $1,085,021
  • Linda Clemen

    VP-CHIEF NURSING OFFICER

    Total calculated
    $290,703
    From this org
    $268,217
    From related orgs
    $0
    Other
    $22,486
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $267,742
    Bonus
    $475
    Other
    $0
    Deferred
    $1,800
    Nontaxable benefits
    $20,686
    Filer's total
    $290,703
  • Suzanne Ravlin

    VP-CHIEF LEGAL OFFICER (TERM ENDED)

    Total calculated
    $68,205
    From this org
    $68,205
    From related orgs
    $0
    Other
    $0
    Hours/week
    40 + 1 related
  • Ray Sharp

    VP-CHIEF INFORMATION OFFIC

    Total calculated
    $312,338
    From this org
    $266,248
    From related orgs
    $0
    Other
    $46,090
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $265,773
    Bonus
    $475
    Other
    $0
    Deferred
    $1,800
    Nontaxable benefits
    $44,290
    Filer's total
    $312,338
  • Austin Frazier

    VP-CHIEF FINANCIAL OFFICER

    Total calculated
    $398,095
    From this org
    $352,455
    From related orgs
    $0
    Other
    $45,640
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $336,980
    Bonus
    $15,475
    Other
    $0
    Deferred
    $1,350
    Nontaxable benefits
    $44,290
    Filer's total
    $398,095
  • Drew Fenner

    VP-CHIEF QUALITY OFFICER

    Total calculated
    $276,026
    From this org
    $230,386
    From related orgs
    $0
    Other
    $45,640
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $229,911
    Bonus
    $475
    Other
    $0
    Deferred
    $1,350
    Nontaxable benefits
    $44,290
    Filer's total
    $276,026
  • Ryan Miller

    VP-CHIEF PEOPLE OFFICER

    Total calculated
    $260,400
    From this org
    $234,820
    From related orgs
    $0
    Other
    $25,580
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $234,345
    Bonus
    $475
    Other
    $0
    Deferred
    $843
    Nontaxable benefits
    $24,737
    Filer's total
    $260,400
  • Joyce Johnson MD

    MEDICAL STAFF PRESIDENT

    Total calculated
    $530,875
    From this org
    $525,209
    From related orgs
    $0
    Other
    $5,666
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $240,587
    Bonus
    $189,622
    Other
    $95,000
    Deferred
    $5,666
    Nontaxable benefits
    $0
    Filer's total
    $530,875
  • Monther Elbzour MD

    PHYSICIAN

    Total calculated
    $2,049,758
    From this org
    $2,008,870
    From related orgs
    $0
    Other
    $40,888
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,895,930
    Bonus
    $112,940
    Other
    $0
    Deferred
    $1,230
    Nontaxable benefits
    $39,658
    Filer's total
    $2,049,758
  • Sohail Hanif MD

    PHYSICIAN

    Total calculated
    $1,589,314
    From this org
    $1,548,486
    From related orgs
    $0
    Other
    $40,828
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,539,059
    Bonus
    $9,427
    Other
    $0
    Deferred
    $1,170
    Nontaxable benefits
    $39,658
    Filer's total
    $1,589,314
  • Kurt Crowe MD

    PHYSICIAN

    Total calculated
    $887,950
    From this org
    $841,860
    From related orgs
    $0
    Other
    $46,090
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $781,385
    Bonus
    $60,475
    Other
    $0
    Deferred
    $1,800
    Nontaxable benefits
    $44,290
    Filer's total
    $887,950
  • Stephen Gabriel

    PHYSICIAN

    Total calculated
    $870,438
    From this org
    $836,174
    From related orgs
    $0
    Other
    $34,264
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $741,694
    Bonus
    $94,480
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $34,264
    Filer's total
    $870,438
  • Fadi Mohamad Mustapha

    PHYSICIAN

    Total calculated
    $1,025,688
    From this org
    $984,230
    From related orgs
    $0
    Other
    $41,458
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $941,667
    Bonus
    $42,563
    Other
    $0
    Deferred
    $1,800
    Nontaxable benefits
    $39,658
    Filer's total
    $1,025,688

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
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
DAVID SCHREINER RECEIVED CONTRIBUTIONS TO A SERP PLAN IN THE AMOUNT OF $263,379.

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 assets $294,652 · controlled entity

    Directly controlled by KATHERINE SHAW BETHEA HOSPITAL

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202433209349303658

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