Memorial Health System
- Assets
- $263.6k
- Revenue
- $2.3m
- Investments
- $0.0
- Employees
- 0
- Location
- Jacksonville, IL
- Founding
- 04/2010
- Data as of
- 09/2015
- EIN
- 27-3083265
Organization Overview
Memorial Health System is located in Jacksonville, IL. The organization was established in 2010. According to its NTEE Classification (E21) the organization is classified as: Community Health Systems, under the broad grouping of Health Care and related organizations. This organization is a subordinate organization within an affiliated group for tax-exemption purposes. Memorial Health System is a 501(c)(3) and as such, is described as a "Charitable or Religous organization or a private foundation" by the IRS.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2015
Describe the Organization's Mission:
Part 3 - Line 1
TO PROVIDE THE SERVICES OF CERTIFIED REGISTERED NURSE ANESTHETISTS TO PATIENTS AT PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION.
Describe the Organization's Program Activity:
Part 3 - Line 4a
JACKSONVILLE CRNA'S, INC. PROVIDES PROFESSIONAL CRNA SERVICES TO THE COMMUNITIES IN THE PASSAVANT AREA HOSPITAL SERVICE AREA. IN FISCAL YEAR 2015, THOSE SERVICES WERE PROVIDED IN 5,877 CASES.REVENUE FOR JACKSONVILLE CRNA'S, INC. IS GENERATED FROM THE BILLINGS TO THOSE PATIENTS FOR WHICH SERVICES WERE PROVIDED.JACKSONVILLE CRNA'S, INC. PURCHASES THE SERVICES OF THE CRNA'S FROM PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION.
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Board, Officers & Key Employees
| Name (title) | Role | Hours | Compensation |
|---|---|---|---|
Greg Lepper Chairman (from Jan 15) | OfficerTrustee | 0.7 | $0 |
Tom Veith Treasurer (from Jan 15) | OfficerTrustee | 0.7 | $0 |
Reginald Benton V.chr(from Jan15)/treas(thru Dec14) | OfficerTrustee | 0.7 | $0 |
Gary Scott Secretary | OfficerTrustee | 0.7 | $0 |
Douglas Rahn Dba President & CEO | OfficerTrustee | 5 | $0 |
Jan Terry Mem(from Jan 15)/chr (thru Dec 14) | OfficerTrustee | 0.7 | $0 |
Financial Statements
| Statement of Revenue | |
|---|---|
| Total Revenue from Contributions, Gifts, Grants & Similar | $0 |
| Investment income | $0 |
| Tax Exempt Bond Proceeds | $0 |
| Royalties | $0 |
| Net Rental Income | $0 |
| Net Gain/Loss on Asset Sales | $0 |
| Net Income from Fundraising Events | $0 |
| Net Income from Gaming Activities | $0 |
| Net Income from Sales of Inventory | $0 |
| Miscellaneous Revenue | $0 |
| Total Revenue | $2,264,542 |
| Statement of Expenses | |
|---|---|
| Grants and other assistance to domestic individuals. | $0 |
| Grants and other assistance to Foreign Orgs/Individuals | $0 |
| Benefits paid to or for members | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation to disqualified persons | $0 |
| Other salaries and wages | $2,708,065 |
| Pension plan accruals and contributions | $0 |
| Other employee benefits | $677,016 |
| Payroll taxes | $0 |
| Fees for services: Management | $0 |
| Fees for services: Legal | $0 |
| Fees for services: Accounting | $0 |
| Fees for services: Lobbying | $0 |
| Fees for services: Fundraising | $0 |
| Fees for services: Investment Management | $0 |
| Fees for services: Other | $1,406,736 |
| Advertising and promotion | $0 |
| Office expenses | $3,289 |
| Information technology | $0 |
| Royalties | $0 |
| Occupancy | $0 |
| Travel | $0 |
| Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
| Conferences, conventions, and meetings | $0 |
| Interest | $0 |
| Payments to affiliates | $0 |
| Depreciation, depletion, and amortization | $0 |
| Insurance | $0 |
| All other expenses | $0 |
| Total functional expenses | $4,981,947 |
| Balance Sheet | |
|---|---|
| Cash—non-interest-bearing | $3,327 |
| Savings and temporary cash investments | $0 |
| Pledges and grants receivable | $0 |
| Accounts receivable, net | $260,230 |
| Loans from Officers, Directors, or Controlling Persons | $0 |
| Loans from Disqualified Persons | $0 |
| Notes and loans receivable | $0 |
| Inventories for sale or use | $0 |
| Prepaid expenses and deferred charges | $0 |
| Investments—publicly traded securities | $0 |
| Investments—other securities | $0 |
| Investments—program-related | $0 |
| Intangible assets | $0 |
| Other assets | $0 |
| Total assets | $263,557 |
| Accounts payable and accrued expenses | $6,364 |
| Grants payable | $0 |
| Deferred revenue | $0 |
| Tax-exempt bond liabilities | $0 |
| Escrow or custodial account liability | $0 |
| Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
| Secured mortgages and notes payable | $0 |
| Unsecured mortgages and notes payable | $0 |
| Other liabilities | $0 |
| Total liabilities | $6,364 |
| Net assets without donor restrictions | $257,193 |
| Net assets with donor restrictions | $0 |
| Capital stock or trust principal, or current funds | $0 |
| Paid-in or capital surplus, or land, building, or equipment fund | $0 |
| Total liabilities and net assets/fund balances | $257,193 |
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