Form 990 for tax year 2022
Filed by SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP.
Totals
- Total revenue
- $41,776,379
- Total expenses
- $43,836,544
- Contributions and grants received
- $11,309,535
- Grants paid
- $0
- Program service revenue
- $30,322,604
- Investment income
- $144,240
- Other revenue
- $0
- Total assets, end of year
- $29,351,919
- Total liabilities, end of year
- $7,870,954
- Net assets or fund balances, end of year
- $21,480,965
- Program services expenses (Part IX)
- $37,152,998
- Management and general expenses
- $6,683,546
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $37,152,998
Program services were 84.8% 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.
-
1e · Government grants (contributions)
$11,309,535
-
2a · Program service revenue: PATIENT SERVICE REVENUE
total $18,349,834 · related or exempt $18,349,834
-
2b · Program service revenue: PHARMACY REVENUE
total $5,569,005 · related or exempt $5,569,005
-
2c · Program service revenue: ASSESSMENT FEES
total $3,379,842 · related or exempt $3,379,842
-
2d · Program service revenue: OTHER
total $2,222,561 · related or exempt $2,222,561
-
2e · Program service revenue: CASE MANAGEMENT FEES
total $748,357 · related or exempt $748,357
-
2f · All other program service revenue
total $53,005 · related or exempt $53,005
-
3 · Investment income
total $144,240 · excluded $144,240
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $384,771 · management and general $384,771
-
7 · Other salaries and wages
total $25,400,804 · program services $22,712,508 · management and general $2,688,296
-
8 · Pension plan contributions
total $606,879 · program services $496,639 · management and general $110,240
-
9 · Other employee benefits
total $4,662,184 · program services $3,815,292 · management and general $846,892
-
10 · Payroll taxes
total $1,391,965 · program services $1,139,113 · management and general $252,852
-
11a · Fees: management
total $4,149 · management and general $4,149
-
11b · Fees: legal
total $92,102 · program services $30,427 · management and general $61,675
-
11g · Fees: other
total $2,614,676 · program services $2,351,401 · management and general $263,275
-
13 · Office expenses
total $3,675,685 · program services $3,269,485 · management and general $406,200
-
16 · Occupancy
total $1,546,754 · program services $905,208 · management and general $641,546
-
17 · Travel
total $301,392 · program services $231,253 · management and general $70,139
-
19 · Conferences, conventions and meetings
total $177,344 · program services $154,341 · management and general $23,003
-
20 · Interest
total $107,273 · program services $107,273
-
22 · Depreciation, depletion and amortization
total $774,437 · management and general $774,437
-
23 · Insurance
total $193,075 · program services $57,551 · management and general $135,524
-
24a · Other expenses: MISCELLANEOUS
total $1,661,090 · program services $1,661,090
-
24b · Other expenses: SMALL EQUIPMENT
total $241,964 · program services $221,417 · management and general $20,547
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $10,649,205 · end of year $9,219,730
-
2 · Savings and temporary cash investments
beginning of year $1,058,942 · end of year $1,065,213
-
3 · Pledges and grants receivable
beginning of year $1,270,271 · end of year $775,097
-
4 · Accounts receivable
beginning of year $3,045,886 · end of year $3,032,455
-
8 · Inventories for sale or use
beginning of year $336,576 · end of year $227,710
-
9 · Prepaid expenses and deferred charges
beginning of year $463,205 · end of year $371,640
-
10a · Land, buildings and equipment: cost or other basis
$22,599,496
-
10b · Land, buildings and equipment: accumulated depreciation
$8,434,606
-
10c · Land, buildings and equipment, net
beginning of year $14,064,811 · end of year $14,164,890
-
12 · Investments: other securities
beginning of year $263,527 · end of year $240,222
-
15 · Other assets
beginning of year $0 · end of year $254,962
-
17 · Accounts payable and accrued expenses
beginning of year $958,286 · end of year $886,285
-
19 · Deferred revenue
beginning of year $327,503 · end of year $277,411
-
23 · Secured mortgages and notes payable
beginning of year $3,345,231 · end of year $3,106,086
-
25 · Other liabilities
beginning of year $2,980,273 · end of year $3,601,172
-
27 · Net assets without donor restrictions
beginning of year $23,541,130 · end of year $21,480,965
Mission and programs · 2022
Mission
TO PROVIDE PRIMARY MEDICAL AND DENTAL HEALTHCARE.
Activities or mission (Part I)
TO WORK FOR THE PRESERVATION AND ENHANCEMENT OF HEALTH FOR CITIZENS OF SOUTHERN ILLINOIS.
-
FEDERALLY QUALIFIED RURAL HEALTH CLINIC - PROVIDES QUALITY PRIMARY HEALTHCARE, DENTAL SERVICES AND PHARMACY REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY TO UNDERSERVED RURAL COMMUNITIES.
Expenses $32,407,957 · Revenue $24,839,848
-
SHAWNEE ALLIANCE FOR SENIORS PROGRAMS - SHAWNEE ALLIANCE CARE COORDINATORS HELP OLDER ADULTS AND THEIR CAREGIVERS CONNECT TO SERVICES AVAILABLE IN THE COMMUNITY WHICH ENABLE THEM TO MAINTAIN THEIR INDEPENDENCE. CARE COORDINATORS MAKE HOME VISITS TO EVALUATE THE OLDER ADULTS' ABILITY TO FUNCTION INDEPENDENTLY. THE EVALUATION IS COMPREHENSIVE AND PROVIDES THE CARE COORDINATORS WITH INFORMATION NEEDED TO ADVISE THE OLDER ADULT AND THEIR CAREGIVER ON PROGRAMS AND SERVICES AVAILABLE TO MEET THEIR NEEDS.
Expenses $4,745,041 · Revenue $5,482,756
As filed on the 2022 return.
Listed in Part VII
-
Kelley HessianKELLEY HESSIAN
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Dale RitzelDALE RITZEL
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Paula ReevesPAULA REEVES
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Susan MurraySUSAN MURRAY
ASST. SEC/TREAS.
- Total calculated
- $0
- Hours/week
- 1
-
Jose LlamasJOSE LLAMAS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Shane CarsrudSHANE CARSRUD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Kevin LipeKEVIN LIPE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Carl FlowersCARL FLOWERS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Carolin HarveyCAROLIN HARVEY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Julian ValdesJULIAN VALDES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Arun SubramanianARUN SUBRAMANIAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
George MarinGEORGE MARIN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Patsy JensenPATSY JENSEN
CEO
- Total calculated
- $254,210
- From this org
- $214,062
- From related orgs
- $0
- Other
- $40,148
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $212,062
- Bonus
- $2,000
- Other
- $0
- Deferred
- $26,990
- Nontaxable benefits
- $13,158
- Filer's total
- $254,210
-
Jeffrey CooperJEFFREY COOPER
CFO
- Total calculated
- $195,860
- From this org
- $170,708
- From related orgs
- $0
- Other
- $25,152
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $165,708
- Bonus
- $5,000
- Other
- $0
- Deferred
- $1,200
- Nontaxable benefits
- $23,952
- Filer's total
- $195,860
-
Clare WilliamsCLARE WILLIAMS
PHYSICIAN
- Total calculated
- $494,164
- From this org
- $445,654
- From related orgs
- $0
- Other
- $48,510
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $244,130
- Bonus
- $100,524
- Other
- $101,000
- Deferred
- $21,600
- Nontaxable benefits
- $26,910
- Filer's total
- $494,164
-
Aaron NewcombAARON NEWCOMB
PHYSICIAN
- Total calculated
- $404,495
- From this org
- $348,233
- From related orgs
- $0
- Other
- $56,262
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $183,450
- Bonus
- $120,126
- Other
- $44,657
- Deferred
- $14,391
- Nontaxable benefits
- $41,871
- Filer's total
- $404,495
-
Matin NekzadMATIN NEKZAD
PHYSICIAN
- Total calculated
- $399,439
- From this org
- $343,987
- From related orgs
- $0
- Other
- $55,452
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $268,881
- Bonus
- $7,000
- Other
- $68,106
- Deferred
- $24,480
- Nontaxable benefits
- $30,972
- Filer's total
- $399,439
-
Jeffrey RipperdaJEFFREY RIPPERDA
PHYSICIAN
- Total calculated
- $359,325
- From this org
- $302,877
- From related orgs
- $0
- Other
- $56,448
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $182,433
- Bonus
- $83,444
- Other
- $37,000
- Deferred
- $18,480
- Nontaxable benefits
- $37,968
- Filer's total
- $359,325
-
Sherry JonesSHERRY JONES
PHYSICIAN
- Total calculated
- $429,043
- From this org
- $385,282
- From related orgs
- $0
- Other
- $43,761
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $371,862
- Bonus
- $13,420
- Other
- $0
- Deferred
- $25,992
- Nontaxable benefits
- $17,769
- Filer's total
- $429,043
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 survey or study
- 3 · Approval by the board or compensation committee
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 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, LINE 7
- PHYSICIANS RECEIVE INCENTIVE BONUSES BASED ON PRODUCTIVITY LEVELS
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
No itemized grants to organizations on this return.
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 partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
CHC ACCESS PARTNERSHIP LLC
CONTRACT · IL
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 1 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202411239349302361
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