2022-08-15T17:46:14-05:00 2021-09-30 ERNST & YOUNG US LLP 1101 NEW YORK AVE NW WASHINGTON DC 20005 990 2020-10-01 362174832 Silver Cross Hospital and Medical Centers % VINCENT PRYOR CFO SILV 8153007007 1900 Silver Cross Blvd New Lenox IL 60451 Vincent Pryor EXECUTIVE VP & CFO 8153007007 2022-08-15 true Vincent Pryor 999009999 AMBER GAZICA P01391011 2023276000 3 2020 2022-09-23 18:48:47Z Vincent Pryor 1900 Silver Cross Blvd New Lenox IL 60451 547023078 false X www.silvercross.org X 1895 IL SEE SCHEDULE O 15 13 3470 587 0 0 2234415 2075446 423287287 474080342 21806264 60228361 5159010 3311502 452486976 539695651 154658 181636 0 0 176864383 190418924 0 0 0 222145124 254466266 399164165 445066826 53322811 94628825 939990029 1037780601 558364483 560990976 381625546 476789625 TO ESTABLISH, CONDUCT, MAINTAIN AND OPERATE HOSPITALS AND COMMUNITY MEDICAL CENTERS AND TO FURNISH OTHER FACILITIES FOR THE CARE OF PERSONS SUFFERING FROM ILLNESSES OR INJURY. false false 423483149 181636 473900422 PROVISION OF INPATIENT AND OUTPATIENT HEALTH CARE SERVICES. HOSPITAL INPATIENT AND OBSERVATION DAYS FOR THE TIME PERIOD COVERED BY THIS RETURN TOTALED 102,040. TOTAL PATIENTS SERVED TOTALED 262,336. 81497 0 169369 COMMUNITY EDUCATION PROGRAMS, HEALTH PROFESSIONAL EDUCATION PROGRAMS, STUDENT INTERNSHIPS, SUPPORT GROUPS AND SUPPORT OF FREE COMMUNITY CLINIC. 50175 0 10551 HEALTH SCREENINGS AND WOMEN'S AND CHILDREN'S SERVICES. 423614821 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 234 0 true 3470 true false false false false false false false false false false false false X 15 13 false false false false true true true true true false false false true true true true true false false true true IL X VINCENT PRYOR CFO 8153007007 1900 SILVER CROSS BLVD New Lenox IL 60451 RUTH COLBY PRESIDENT/CEO 40.0 0.0 X X 0 1288445 66833 VINCENT PRYOR ASST. TREASURER 40.0 0.0 X X 0 772826 218481 JEROME DALY CMO ESSENTIAL HEALTH PARTNERS 40.0 0.0 X 315092 0 34394 MARYBETH ANTONE ADM DIR PROCEDURAL CARE 40.0 0.0 X 294561 0 48511 KAY NOVAK CONTROLLER 40.0 0.0 X 278706 0 49468 MIGUEL VIGO ADM DIR REVENUE CYCLE 40.0 0.0 X 258585 0 45980 FRANK BUTLER ADM DIR PHARMACY SERVICES 40.0 0.0 X 237671 0 45997 SCOTT PADDOCK CHAIRMAN (TERM 11/30/20) 1.0 0.0 X 0 0 0 JOHN PHELAN CHAIRMAN 1.0 0.0 X X 0 0 0 MICHAEL SCUDDER SECOND VICE CHAIRMAN 1.0 0.0 X X 0 0 0 JEAN KENOL FIRST VICE CHAIRMAN 1.0 0.0 X X 0 0 0 TERRY D'ARCY DIRECTOR 1.0 0.0 X 0 0 0 DOUGLAS HUTCHISON JR DIRECTOR 1.0 0.0 X 0 0 0 DAVID LIVINGSTON DIRECTOR 1.0 0.0 X 0 0 0 AL MCCOWAN DIRECTOR (TERM 5/27/21) 1.0 0.0 X 0 0 0 DAVID MIKOLAJCZAK DO TREASURER 1.0 0.0 X X 0 0 0 DR JUDITH MITCHELL DIRECTOR 1.0 0.0 X 0 0 0 CORRINE NAWROCKI DO DIRECTOR 1.0 0.0 X 0 0 0 SUSAN PROCK SECRETARY 1.0 0.0 X X 0 0 0 JAMES ROOLF DIRECTOR (TERM 5/27/21) 1.0 0.0 X 0 0 0 MARK STOFAN DIRECTOR 1.0 0.0 X 0 0 0 VINCENT CORNELIUS DIRECTOR 1.0 0.0 X 0 0 0 DENISE WINFREY DIRECTOR 1.0 0.0 X 0 0 0 1384615 2061271 509664 219 false true false ADVOCATE HEALTH HOSPITALS 3075 HIGHLAND PKWY DOWNERS GROVE IL 60515 EICU SERVICES 1315741 AMERICAN HEALTHCARE STAFFING ASSOC 3051 WILLOWOOD ROAD EDMOND OK 73034 CONTRACTED LABOR 2382199 FASTAFF PO BOX 911452 DENVER CO 80291 CONTRACTED LABOR 2371900 CARDIOTHORACIC VASCULAR SURGICAL 9500 BORMET DRIVE STE 204 MOKENA IL 60448 MEDICAL DIRECTOR SVC 1190073 ALLIED ANESTHESIA ASSOCIATES 387 SHUMAN BLVD NAPERVILLE IL 60563 MEDICAL DIRECTOR SVC 1130000 45 1620046 455400 2075446 NET PATIENT REVENUE 622110 459846979 459846979 DEPARTMENT REVENUE 900099 10099591 10099591 CANCER CENTER JV INCOME 621111 2654934 2654934 SURGERY CENTER JV INCOME 621111 798415 798415 SILVER OAKS JV INCOME 621111 189298 189298 491125 491125 474080342 59117456 59117456 0 0 1653710 1653710 0 1653710 1653710 8438332 7327427 1110905 1110905 1110905 0 0 0 0 0 0 0 0 0 CAFETERIA REVENUE 722310 1657790 1657790 AP DISCOUNTS 900099 2 2 1657792 539695651 474080342 63539863 181636 181636 0 0 0 0 0 150491349 141461868 9029481 9865344 9273423 591921 18911351 17776670 1134681 11150880 10481827 669053 8517370 8517370 350775 350775 180000 180000 37521 37521 0 367585 287274 80311 40709933 40709933 738898 738898 29388100 29388100 0 0 4982592 4683636 298956 126424 126424 0 0 14061728 14061728 0 30555644 30097309 458335 10612727 10471605 141122 MEDICAL SUPPLIES 90743706 90743706 PUBLIC AID STATE TAX 18439217 18439217 NON MEDICAL SUPPLIES 2214718 2214718 DIETARY CHARGES 1020846 1020846 1418482 1418482 445066826 423614821 21452005 0 29259920 8114649 2250282 2218765 547476 471434 46678688 64741575 0 0 0 0 0 0 2470305 10342039 3931960 4534556 729718989 304065912 418174997 425653077 362285774 400538586 0 0 16681111 20455822 0 0 57709516 100710098 939990029 1037780601 77324229 76761590 0 0 0 0 374797082 366081697 0 0 0 0 0 0 0 0 106243172 118147689 558364483 560990976 X 369841599 465196756 11783947 11592869 381625546 476789625 939990029 1037780601 X 94628825 666432 -131178 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 37521 37521 false false SCHEDULE C, PART II-B, LINE 1i 37% OF DUES PAID TO ILLINOIS HOSPITAL ASSOCIATION ARE USED BY THE ORGANIZATION FOR LOBBYING ACTIVITIES. 11783946 1908303 1086739 3105803 80311 11592874 10597849 1227157 655919 626192 70787 11783946 10141418 1197094 284824 957129 68358 10597849 9856337 634504 416756 701192 64987 10141418 10608735 1314114 628147 2631907 62752 9856337 0.00000 0.70000 0.30000 false false 23035112 19750829 42785941 401949685 98962567 302987118 19608346 8401030 11207316 241573997 191741462 49832535 23801020 4960853 18840167 425653077 DUE FROM AFFILIATES 68523436 ASSETS RESTRICTED-CURRENT LIAB 29 INVESTMENT IN SUBSIDIARIES 12073972 OPERATING LEASE RIGHT OF USE 20112661 100710098 0 DUE TO THIRD PARTY PROGRAMS 77333748 OTHER LONG-TERM LIABILITIES 4639390 DUE TO AFFILIATES 15797020 CURRENT PORTION OF OPERATING LEASE 3568683 LONG TERM OPERATING LEASE 16808848 118147689 X SCHEDULE D, PART V, LINE 4 ALL ENDOWED FUNDS ARE RESTRICTED TO USE BY SILVER CROSS HOSPITAL AND MEDICAL CENTERS. SOME FUNDS HAVE NO FURTHER RESTRICTION AND THE INTEREST EARNED MAY BE USED FOR EITHER OPERATIONAL OR CAPITAL SUPPORT. ALL RESTRICTIONS REGARDING THE USES OF ENDOWED FUNDS ARE DOCUMENTED. SCHEDULE D, PART X, LINE 2 THE CORPORATIONS ACCOUNT FOR TAX POSITIONS IN ACCORDANCE WITH ASC TOPIC 740, INCOME TAXES. ASC TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND ALSO PROVIDES GUIDANCE ON WHEN THE TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THE CORPORATIONS DO NOT HAVE ANY LIABILITIES RECOGNIZED FOR UNCERTAIN TAX POSITIONS. true true X true X true X true true false true true 5594000 5594000 0.01260 44372000 30431000 13941000 0.03130 49966000 30431000 19535000 0.04390 81497 81497 0.00020 3654830 3654830 0.00830 271613 271613 0.00060 4007940 4007940 0.00910 53973940 30431000 23542940 0.05300 true 3507000 1402099 184474000 199883000 -15409000 X true true SILVER CROSS AMBULA- OUTPATIENT SURGICAL PROCEDURE 0.2746 0.4497 1 1 SILVER CROSS HOSPITAL AND MEDICAL CTR 1900 SILVER CROSS BLVD NEW LENOX IL 60451 https://www.silvercross.org 0005827 X X X 1 Silver Cross Hospital and Medical Ctr 1 false false true X X X X X X X X X 20 true true true true X SEE SECTION C X true 20 true SEE SECTION C false true X 200. 400. X X X true true X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, LINE 5 THE HOSPITAL PARTICIPATES IN THE DEVELOPMENT OF THE COMMUNITY NEEDS ASSESSMENT THROUGH THE WILL COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) COLLABORATIVE WHICH IS COMPRISED OF A BROAD RANGE OR REPRESENTATIVES FROM THE COMMUNITY INCLUDING INDIVIDUALS FROM THE WILL COUNTY HEALTH DEPARTMENT, UNITED WAY, AUNT MARTHA'S (FQHC) AND OTHER COMMUNITY, SPIRITUAL, AND EDUCATIONAL LEADERS AND HEALTH CARE FACILITIES. SCHEDULE H, PART V, LINE 6A THE HOSPITAL'S CHNA WAS CONDUCTED WITH THE FOLLOWING AREA HOSPITALS: ADVENTIST BOLINGBROOK HOSPITAL, EDWARD HOSPITAL, PRESENCE HEALTH, AND PRESENCE ST. JOSEPH MEDICAL CENTER. SCHEDULE H, PART V, LINE 6B NON-HOSPITAL ORGANIZATIONS PARTICIPATING IN THE CHNA INCLUDE THE FOLLOWING: WILL COUNTY HEALTH DEPT., AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, ALL OUR KIDS NETWORK, AQUINO CLINICAL SERVICES, AUNT MARTHA'S YOUTH SERVICES, BRIDGES TO A NEW DAY, CATHOLIC CHARITIES, CASA OF WILL COUNTY, CENTER FOR ECONOMIC DEVELOPMENT, CHESTNUT HEALTH SYSTEMS, CHILD CARE RESOURCES AND REFERRAL, COMMUNITY SERVICE COUNCIL OF WILL COUNTY, CRETE MONEE SCHOOL DISTRICT, CRISIS LINE OF WILL AND GRUNDY COUNTY, EASTER SEALS, GREATER JOLIET AREA YMCA, GOVERNOR'S STATE UNIVERSITY, GUARDIAN ANGEL COMMUNITY SERVICES, HARVEY BROOKS FOUNDATION, HOUSING AUTHORITY OF JOLIET, IMAGE BUILDERS, JOLIET JUNIOR COLLEGE, JOLIET TOWNSHIP, JOLIET TOWNSHIP HIGH SCHOOL/TESS, LEWIS UNIVERSITY, LINDEN OAKS AT EDWARD HOSPITAL, LUTHERAN SOCIAL SERVICES, MOUNT ZION BAPTIST CHURCH, MORNING STAR MISSION, NAMI, NATIONAL HOOK-UP OF BLACK WOMEN, NEW LIFE CHURCH, NORTHERN ILLINOIS FOOD BANK, PROVENA HOME CARE, PRESENCE VILLA FRANCISCAN, RUSH UNIVERSITY, SENIOR SERVICES CENTER OF WILL COUNTY, SERVICE INC., STEPPING STONES, THREE RIVERS MANUFACTURERS' ASSOCIATION, TRINITY SERVICES, UNIVERSITY OF ILLINOIS EXTENSION, UNITED WAY, UNIVERSITY OF ST. FRANCIS, WARREN SHARPE COMMUNITY CENTER, WILL COUNTY CENTER FOR COMMUNITY CONCERNS, WILL COUNTY COMMUNITY DEVELOPMENT, WILL COUNTY COMMUNITY FOUNDATION, WILL COUNTY COMMUNITY HEALTH CENTER, WILL COUNTY EMA, WILL COUNTY EXECUTIVE'S OFFICE, WILL COUNTY FOREST PRESERVE DISTRICT, WILL COUNTY LAN, WILL COUNTY LAND USE, WILL COUNTY REGIONAL OFFICE OF EDUCATION, WILL COUNTY SHERIFF'S OFFICE, WILL COUNTY STATE'S ATTORNEY'S OFFICE, WILL GRUNDY MEDICAL CLINIC, WORKFORCE INVESTMENT BOARD OF WILL COUNTY. SCHEDULE H, PART V, LINE 7A https://www.silvercross.org/about/caring-community/community-benefit/ SCHEDULE H, PART V, LINE 7B https://the-will-county-mapp-collaborative-willcountygis.hub.arcgis.com/ SCHEDULE H, PART V, LINE 10A https://www.silvercross.org/app/files/public/c538ec20-9523-46fc-a6fe-42eac fd40dc7/implementation-plan-2021-2023--final-8-27-2020-------.pdf SCHEDULE H, PART V, LINE 11 In consideration of the significant needs identified through the CHNA process and taking into account the hospital's organizational resources, it was determined that Silver Cross Hospital will focus on developing and supporting strategies to 1)improve access to health services, 2) Improve access to food and nutrition, 3) Behavioral health and substance abuse disorders and 4)Stabilizing the built environment. To increase access to and awareness of health care services: The hospital advanced community outreach programs with a monthly health educational community news letters, e-blasts, videos, website, and social media platforms. The hospital provided 3,598 physician referrals and 1,015 referral services to patients, including 108 referrals made to Medicare and Medicaid patients; the hospital supported the Will-Grundy Medical Clinic through free services as well as $35,000 in monetary donations to the uninsured and underinsured; the hospital accepted patients from the Will-Grundy Medical Clinic for surgical procedures and related services; the hospital provided free physician recruitment services for Will County Community Health Center; the hospital donated time and services to Catholic Charities Annual Back to School fairs and provided free immunizations, lead screenings, dental check-ups, hair cuts, school supplies and school physicals to uninsured/underinsured children; the hospital provides care for patients regardless of insurance coverage or their ability to pay as exemplified by 27% of all visits to the emergency department are classified as non-emergent, 39% percent of those were public aid or uninsured patients; the hospital provided over $1,922 in taxi services to residents who did not have transportation and the hospital has worked with Pace Transportation and city officials to upgrade the Will County public transportation system; the hospital has increased robotic surgery services, offering the community four surgical robots including the area's only Mako Robotic Arm Assisted surgery robot and performing over 12,000 robotic procedures; the hospital continues to treat a large portion of the Medicaid and uninsured obstetric population in our community by delivering 1,142 babies which represents 37% of all Silver Cross deliveries. The hospital also provides additional level resources for newborns needing extended care in our Level 3 nursery. Silver Cross continues to partner with Ann and Robert H. Lurie Childrens' Hospital to provide neonatal care for all high risk deliveries and Rush University Medical Center for high risk pregnancies. The hospital actively participates in the Joliet Area Breastfeeding Alliance (JABA) and International Lactation Consultation Association and reaches out to mothers in the community who may want to breastfeed regardless of whether they delivered their infant in our facility. The hospital provides expanded emergency and urgent care services in the ED, FEC and Urgent Care facilities serving 68,172 patients; serve as a resource hospital for the EMS system training 33 paramedics from 14 different Fire Departments. Silver Cross Hospital also invested over $90,000 and another $9,000 in advertising fees in a partnership with Zipnosis, a national source for asynchronous health services, to provide patients with access to doctors 7 days a week through virtual consults from anywhere, for a small fee. Additionally, the hospital provides smart phone apps to store health information and emergency contacts to over 800 persons and making the App available in the iTunes App Store. Silver Cross Hospital partners with Teladoc, a national source for telehealth services, to provide patients with quick access to a doctor 24 hours, 7 days a week through the convenience of phone and video consultations for a small fee. Over $54,576 in services were saved as patients received care at a discounted price by going to Teladoc instead of an ER or Urgent Care. 2) To address behavioral health and substance abuse, Silver Cross Hospital and US Healthvest have joined forces to offer the community a new psychiatric hospital of 110 beds on the west side of Silver Cross campus with easy access to I-355 and Route 6. The Certificate of Need application was granted and the behavioral health hospital opened on January 31, 2019. The hospital coordinated and enhanced access to behavioral and substance use disorders by providing psychiatric, behavioral, and chemical dependency services for children as young as 12 and adults 18 years and older. The hospital works with Silver Oaks to ensure patients in the emergency department are screened timely by mental health experts. The hospital continued to work with the Will County Health Department to provide adequate mental health services for patients. The hospital provided over 100 community outreach programs touching more than 200,000 residents. The hospital provided educational programs for nursing homes, homeless shelters and local agencies along with participating in the HERO (Heroin Epidemic Relief Organization) and HELPS (Heroin Education Leads to Preventative Solutions) which assists in promoting awareness of the dangers of heroin and help families cope with the epidemic. 3) To address food and nutrition, the hospital has partnered with the Northern Illinois Food Bank to address food insecurity and chronic disease management. The hospital has addressed food insecurity through the mobile Rx Pantry Program by staffing mobile pantries and having distributed over 180 meals each month to families. The hospital addressed food insecurity through the mobile Rx Pantry Program by staffing mobile pantries and having distributed over 180 meals each month to families. The hospital has partnered with Warren Sharpe Community Center to serve over 250 meals a week to needy children. The hospital works to decrease Chronic Care issues, such as cancer, stroke, diabetes, pulmonary disease and obesity, and increase awareness of available resources for healthy lifestyles in Will County through the following activities: educational e-newsletters to more than 80,000 email addresses, a website, and a monthly breast cancer support group directed toward women's health. The hospital provided discounted cardiac screenings and 36,698 e-news letters for the Silver Cross Experience and 4,100 I-Matter e-newsletters (women's health) to area residents. The hospital partners with University of Chicago Medicine Comprehensive Cancer Center to give patients access to cutting-edge clinical trials, advanced technology and over 50 multi-disciplinary team conferences which presented 358 breast cancer cases and 42 lung conferences where 197 lung cancer cases were presented with a fully integrated team of providers with recommendation to the patient's doctor within 24 hours. University of Chicago Comprehensive Cancer Center at Silver Cross Hospital offers state-of-the-art prone breast radiation technique that treats women with larger/dense breasts reduced dose and exposure to other organs such as the heart and lungs. The hospital provided nearly 70 free colon cancer kit screenings to the community. The hospital provided 500 Stroke Awareness Kits and Stroke Risk Assessments to community residents. The hospital offered free glucose screenings to detect diabetes of people in the community. The hospital provided programs and distributed health information to decrease obesity for both children and adults through Backyard Basics Classes, Sow it Forward-Junior Entrepreneur Program, Kids in the Kitchen, Warren-Sharepe Food Pantry and the Green Sprout Urban Farm/Community Garden, PACT Camp - Police and Children Together (in collaboration with the Joliet Police and Forest Park Community pantries and having distributed over 180 meals each month to families. The hospital addressed food insecurity through the mobile Rx Pantry Program by staffing mobile pantries and having distributed over 180 meals each month to families. The hospital Center). The hospital supported Will County MAPP in continuing the local 'Rethink Your Drink' campaign to reduce sugar consumption. The Hospital continues to offer a free Pulmonary Support Group for patients and the community as part of the Pulmonary Rehabilitation Program in which 188 patients with pulmonary disease attended. The hospital continues to provide support to obese persons with a comprehensive bariatric program designated as a Center of Excellence and offered free support group and exercise program with a certified trainer to 152 people. 4) To stabilize the built environment, The hospital continued to advance faith-driven community outreach by providing health information to over 160 parishioners through educational news letters about regular check ups and the importance of screenings and provided additional community support through the Silver Cross Healthy Community Commission ("the Commission") which was launched with community leaders. This year Silver Cross provided approximately $225,000 to fu SCHEDULE H, PART V, LINE 16A https://www.silvercross.org/app/files/public/0477a93c-65fa-45b7-adc3-2651b 935bde6/Financial%20Assistance%20Policy%20(FAP).pdf SCHEDULE H, PART V, LINE 16B https://www.silvercross.org/app/files/public/1326/request-for-assistance-o n-medical-bill.pdf SCHEDULE H, PART V, LINE 16C https://www.silvercross.org/app/files/public/d3b3d8ab-1fb2-4534-9f7d-d7686 037889b/Plain%20Language%20Summary.pdf SCHEDULE H, PART V, LINES 1-12 Silver Cross Hospital annually works with both financial and tax auditors as as other hospitals and organizations to improve both their CHNA reports and their understanding of how better to address the community health needs of the community we serve. As with each new CHNA they do, Silver Cross will implement some recommendations for improvement and enhancement of their ability to provide outstanding healthcare to the people in the Will County and surrounding areas. SCHEDULE H, PART V, LINES 13-20 Silver Cross Hospital continually works to improve their policies and procedures in regards to the financial assistance policy and education to patients of those policies. Using both outside consultants and auditors, Silver Cross annually looks at its FAP and strives to make enhancements and improvements to ensure that all qualified patients have access to financial assistance and have an understanding of the hospital's FAP. Silver Cross will also continue to update their AGB calculations for both current year calculations and review previous year's calculations and make any adjustments if deemed to be necessary to the financial assistance policy. 1 SILVER CROSS EMERGICARE CENTER 12701 W 143RD STREET HOMER GLEN IL 60491 ER-24 HOURS SCHEDULE H, PART I, LINE 3C THE HOSPITAL PROVIDES CHARITY CARE ASSISTANCE TO PATIENTS WHO MAINTAIN A HOUSEHOLD INCOME UP TO 400% ABOVE THE FEDERAL POVERTY LEVEL. IN ADDITION, THE HOSPITAL PROVIDES A 50% DISCOUNT OFF OF THE STANDARD HOSPITAL CHARGES TO ALL UNINSURED PATIENTS. SCHEDULE H, PART I, LINE 6A SILVER CROSS HOSPITAL COMPLETES AN ANNUAL COMMUNITY BENEFITS REPORT WHICH IS AVAILABLE ON THE HOSPITAL WEBSITE AND UPON REQUEST. SCHEDULE H, PART I, LINE 7 COMMUNITY BENEFITS DATA DETAIL AND SUMMARY REPORTS ALONG WITH FINANCIAL REPORTS WERE USED TO COMPLETE THE INFORMATION ON PART I LINE 7. NO BAD DEBT IS INCLUDED IN THE CHARITY CARE AND PUBLIC AID AMOUNTS IN THIS SECTION. THE COST/CHARGE RATIO FROM THE MOST RECENT MEDICARE COST REPORT WAS USED TO CALCULATE THE COST OF CHARITY CARE AND BAD DEBT. SCHEDULE H, PART II THERE ARE NO COMMUNITY BUILDING ACTIVITES COSTS TO REPORT FOR SILVER CROSS HOSPITAL THAT ARE NOT REPORTABLE IN PART I OF SCHEDULE H. THE SILVER CROSS HEALTHY COMMUNITY COMMISSION WORKS WITH SILVER CROSS HOSPITAL FOR ONGOING COMMUNITY HEALTH IMPROVEMENT ADVOCACY. SCHEDULE H, PART III, LINE 2 BAD DEBT IS CALCULATED USING COSTING METHODS INCLUDING COST TO CHARGE RATIO, USING FINANCIAL STATEMENTS TO DETERMINE COST OF CARE. SCHEDULE H, PART III, LINE 3 THIS IS AN ESTIMATED AMOUNT BASED ON UNINSURED PATIENTS NOT ATTEMPTING TO QUALIFY FOR CHARITY CARE. BAD DEBT IS INCLUDED AS A COMMUNITY BENEFIT BUT CALCULATED AT COST. FOR THOSE PATIENTS THAT WE BELIEVE TO BE UNABLE TO PAY, WE DO NOT SEEK OUT COLLECTION OF THE BAD DEBT AND THEREFORE BELIEVE THAT THE COST OF THE CARE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 4 PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES THEIR PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF THEIR MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATIONS ANALYZE CONTRACTUALLY DUE AMOUNTS AND PROVIDE AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (E.G. FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES PATIENTS WITHOUT INSURANCE), THE CORPORATIONS RECORD A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, LINE 8 THE MEDICARE LOSS SUSTAINED IS A RESULT OF MEDICARE REIMBURSING AT LESS THAN THE OPERATING COST. COSTS WERE OBTAINED USING THE MEDICARE COST REPORT. WE BELIEVE THESE SHOULD BE CONSIDERED A COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS WHICH QUALIFY AS CHARITY CARE. SCHEDULE H, PART VI, QUESTION 2 SILVER CROSS HOSPITAL PARTICIPATES WITH OTHER HEALTHCARE AND COMMUNITY ORGANIZATIONS TO CREATE THE WILL COUNTY HEALTH NEEDS ASSESSMENT AND PLAN THROUGH PARTICIPATION IN A COMMUNITY GROUP CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). MAPP HAS ENABLED ORGANIZATIONS TO ENGAGE IN COUNTY-WIDE STRATEGIC PROCESS TO ENSURE THAT AREA RESIDENTS RECEIVE THE BEST POSSIBLE PUBLIC HEALTH SERVICES. SILVER CROSS HOSPITAL HAS USED THE WILL COUNTY NEEDS ASSESSMENT AND STRATEGIC PLAN AS A RESOURCE TOOL TO DEVELOP ITS COMMUNITY PROGRAMMING. SILVER CROSS' PROGRAMS AND SERVICES FALL INTO THE FOLLOWING CATEGORIES: ACCESS TO HEALTHCARE, PREVENTION AND MANAGEMENT OF CHRONIC CARE ISSUES, BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERS, AND AWARENESS OF SERVICES. SCHEDULE H, PART VI, QUESTION 3 INFORMATION REGARDING ASSISTANCE FOR CHARITY CARE IS PROVIDED TO PATIENTS BY CONDUCTING INTERVIEWS, POSTING NOTICES IN THE HOSPITAL, INFORMATION ON THE HOSPITAL'S WEBSITE, AND ON THE PATIENT BILL. REGISTRATION PERSONNEL PROVIDE FINANCIAL ASSISTANCE INFORMATION TO PATIENTS WITH NO INSURANCE COVERAGE. A FINANCIAL COUNSELING OFFICE WORKS WITH PATIENTS TO ASSIST THEM IN APPLICATIONS FOR CHARITY CARE. SCHEDULE H, PART VI, QUESTION 4 SILVER CROSS HOSPITAL CARES FOR PEOPLE WHO RESIDE IN AREAS PRIMARILY LOCATED IN WILL COUNTY AND PORTIONS OF GRUNDY COUNTY AND SOUTHWESTERN COOK COUNTY. MEDIAN INCOMES RANGE BROADLY THROUGHOUT THE COMMUNITY WITH DISTINCT POCKETS THAT HAVE VERY LOW INCOME LEVELS. MEDIAN INCOME IN THE SILVER CROSS SERVICE AREA IS $91,792 AND THE TOTAL POPULATION IS 786,451. OUR SERVICE AREA IS COMPOSED OF WIDELY DIVERSE CROSS SECTIONS OF THE POPULATION. SCHEDULE H, PART VI, QUESTION 5 SILVER CROSS HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING OVER 100 COMMUNITY OUTREACH PROGRAMS WHICH PROMOTE HEALTHIER LIFESTYLES AND HEALTH IMPROVEMENT. THESE INCLUDE EDUCATIONAL SEMINARS, HEALTH PREVENTION SCREENINGS, HEALTH PREVENTION LECTURES, HEALTH FAIRS, EXPOS, CPR/FIRST AID CLASSES, PRENATAL CLASSES, INTERNSHIPS, SPEAKERS BUREAU PRESENTATIONS, AND SUPPORT GROUP MEETINGS. THROUGH THESE PROGRAMS SILVER CROSS HOSPITAL HAS TOUCHED THE LIVES OF 220,000 RESIDENTS IN OUR COMMUNITY, IMPACTING THE HEALTH OF THOUSANDS OF INDIVIDUALS. SCHEDULE H, PART VI, QUESTION 6 SILVER CROSS HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. SCHEDULE H, PART VI, LINE 7 SILVER CROSS HOSPITAL FILES A COMMUNITY BENEFIT REPORT IN THE STATE OF ILLINOIS. true SILVER CROSS HEALTHY COMMUNITY COMMISSION 1900 Silver Cross Blvd New Lenox IL 60451 263094005 501(C)(3) 181636 OPERATIONS 1 0 SCHEDULE I, PART I, LINE 2 All grants were provided to Silver Cross Healthy Community Commission, a related 501(c)(3) affiliate, and as such no procedures for monitoring the use of grant funds was necessary. false true false false false false false true false RUTH COLBY PRESIDENT/CEO 752644 307551 228250 24225 42608 1355278 VINCENT PRYOR ASST. TREASURER 538847 209303 24676 182191 36290 991307 MARYBETH ANTONE ADM DIR PROCEDURAL CARE 249020 42541 3000 24255 24256 343072 KAY NOVAK CONTROLLER 235405 40651 2650 24225 25243 328174 MIGUEL VIGO ADM DIR REVENUE CYCLE 219795 38640 150 22764 23216 304565 FRANK BUTLER ADM DIR PHARMACY SERVICES 220061 17460 150 20869 25128 283668 JEROME DALY CMO ESSENTIAL HEALTH PARTNERS 314942 0 150 8886 25508 349486 PART I, LINE 3 SILVER CROSS HEALTH SYSTEM, THE PARENT ORGANIZATION OF SILVER CROSS HOSPITAL, USES THE FOLLOWING TO ESTABLISH EXECUTIVE COMPENSATION: 1) COMPENSATION COMMITTEE, 2) INDEPENDENT COMPENSATION CONSULTANT. PART I, LINE 4B THE SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) IS A NON-QUALIFIED COMPENSATION PROGRAM DESIGNED TO PROVIDE ADDITIONAL, MARKET-COMPETITIVE RETIREMENT BENEFITS TO CERTAIN MANAGEMENT EMPLOYEES. THE SERP WAS DESIGNED TO PROVIDE RETIREMENT BENEFITS THAT TAKE INTO ACCOUNT AN EMPLOYEE'S TOTAL COMPENSATION WITHOUT REGARD TO THE ANNUAL LIMIT ON COMPENSATION THAT APPLIES UNDER QUALIFIED RETIREMENT PLANS. THE BOARD HAS REVIEWED AND APPROVED THE SERP BENEFITS, CONCLUDING THAT IT IS A MARKET-COMPETITIVE BENEFIT AND THAT THE TOTAL RETIREMENT BENEFITS AND TOTAL COMPENSATION ARE REASONABLE WHEN COMPARED TO THE BENEFITS AND COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS TO EMPLOYEES IN COMPARABLE POSITIONS. FOR THE REPORTING YEAR THE FOLLOWING REPORTED PERSONS PARTICIPATED IN THE SERP AND RECEIVED THE FOLLOWING EMPLOYER-FUNDED AMOUNTS: RUTH COLBY - $155,866. PART I, LINE 7 LEADERSHIP HAS PARTIAL CALCULATED COMPENSATION EACH YEAR BASED ON INDIVIDUAL AND CORPORATE GOALS APPROVED BY EXECUTIVE LEADERSHIP. A ILLINOIS FINANCE AUTHORITY 861091967 45200fle7 2008-06-18 85528084 REFUNDING PRIOR BONDS true false false B IFAFIRST MIDWESTPNC BANKS 861091967 000000000 2010-12-27 25000000 REPLACEMENT HOSPITAL false false false C IFAFIRST MIDWESTPNC BANKS 861091968 000000000 2015-01-28 26860000 REFUNDING PRIOR BONDS false false false D ILLINOIS FINANCE AUTHORITY 861091969 45203hy22 2015-04-22 305234798 REFUNDING PRIOR BONDS false false false A 16820000 8665000 89308992 0 1153764 0 839288 0 0 0 87317940 0 2008 true false true true B 7695000 0 25001110 0 0 0 198077 0 0 24756276 46757 0 2012 false false true true C 24540000 0 21376291 0 0 0 186033 0 0 0 21190258 0 2015 true true true true D 11470000 0 323222225 0 0 0 3155647 0 0 0 320066578 0 2015 false true true true A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true C false false false false 0.00000 0.00000 0.00000 false false false true D false false false false 0.00000 0.00000 0.00000 false false false true A false true false false 0 false 0 false true B false true true false 0 false 0 false true C false true true false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true SCHEDULE K, PART I, LINE 1A COLUMN E - DIFFERENCE IN ISSUE PRICE AND TOTAL PROCEEDS IN PART II-3 COL A DUE TO INTEREST INCOME ON DEBT SERVICE RESERVE, BOND SINKING FUND, AND INTEREST FUND HELD WITH TRUSTEE. COLUMN F - THE 2008A BONDS WERE ISSUED SOLELY FOR THE REFINANCING OF THE 2005B AND 2005D BOND ISSUES, ORIGINALLY ISSUED 12/8/05. SCHEDULE K, PART I, LINE B COLUMN E DIFFERENCE IN ISSUE PRICE AND TOTAL PROCEEDS IN PART II-3 COL B DUE TO INTEREST RECEIVED BEFORE FULL PROCEEDS SPENT. COLUMN F - 2010A BONDS WERE ISSUED TO FINANCE THE CONSTRUCTION AND EQUIPPING OF A REPLACEMENT HOSPITAL. SCHEDULE K, PART I, LINE C COLUMN E - DIFFERENCE IN ISSUE PRICE AND TOTAL PROCEEDS IN PART II-3 COL C DUE TO INTEREST RECEIVED IN REFUNDING ESCROW ACCOUNT AS WELL AS THE TRANSFER OF FUNDS FROM CLOSING OUT THE DEBT SERVICE RESERVE, BOND SINKING FUND, AND INTEREST FUNDS FROM THE ESCROWED 2005 ISSUANCE. COLUMN F - THE 2015A&B BONDS WERE ISSUED SOLELY FOR THE REFINANCING OF THE 2005 A, B, C,&D BONDS DATED 12/8/05 WITH CUSIP NUMBERS 45200BSW9 AND 45200BSY5. SCHEDULE K, PART I, LINE D COLUMN E - DIFFERENCE IN ISSUE PRICE AND TOTAL PROCEEDS IN PART II-3 COL C DUE TO INTEREST RECEIVED IN REFUNDING ESCROW ACCOUNT AS WELL AS THE TRANSFER OF FUNDS FROM CLOSING OUT THE DEBT SERVICE RESERVE, BOND SINKING FUND, AND INTEREST FUNDS FROM THE ESCROWED 2009 ISSUANCE. COLUMN F - THE 2015 BONDS WERE ISSUED SOLELY FOR THE REFINANCING OF THE 2009 BOND ISSUE DATED 6/11/09 WITH CUSIP NUMBER 45200FXY0. SCHEDULE K, PART II, LINE 2A THE 2008 BONDS WERE RESTRUCTURED TO INCLUDE A SWAP AGREEMENT WITH BARCLAY'S. THIS RESTRUCTURING CREATED THE ABILITY TO ELIMINATE THE 2008 DEBT SERVICE RESERVE FUND AND USE THE FUNDS TO PARTIALLY DEFEASE SOME OF THE 2008 BONDS DUE IN 2030, THE FINAL YEAR OF THE DEBT. SCHEDULE K, PART II, LINE 15 COLUMN C & D - BOTH OF THE ADVANCED REFUNDING ESCROWS THAT WERE PART OF THE 2015A/B AND 2015C ISSUES HAVE BEEN CLOSED OUT AND ALL BONDS HAVE BEEN REFUNDED THAT WERE PART OF THE ESCROWS. SCHEDULE K, PART IV, LINE 2C: COLUMN A THE MOST RECENT ARBITRAGE REBATE DATE IS 6/18/2018. COLUMN B THE MOST RECENT ARBITRAGE REBATE DATE IS 4/28/2019. COLUMN C THE MOST RECENT ARBITRAGE REBATE DATE IS 4/10/2020. COLUMN D - THE MOST RECENT ARBITRAGE REBATE DATE IS 4/28/2020. PART I, LINE 1 TO ESTABLISH, CONDUCT, MAINTAIN AND OPERATE HOSPITALS AND COMMUNITY MEDICAL CENTERS AND TO FURNISH OTHER FACILITIES FOR THE CARE OF PERSONS SUFFERING FROM ILLNESSES OR INJURY. PART VI, LINE 6 SILVER CROSS HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF SILVER CROSS HOSPITAL AND MEDICAL CENTERS. PART VI, LINE 7A SILVER CROSS HEALTH SYSTEM MAY APPOINT MEMBERS TO THE BOARD OF DIRECTORS OF SILVER CROSS HOSPITAL AND MEDICAL CENTERS. PART VI, LINE 7B ALL DECISIONS MADE BY THE DIRECTORS OF SILVER CROSS HOSPITAL AND MEDICAL CENTERS ARE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF SILVER CROSS HEALTH SYSTEM. Part VI, LINE 11B THE FORM 990 IS PROVIDED TO THE CHAIRMAN OF THE GOVERNANCE AND MANAGEMENT EFFECTIVENESS COMMITTEE OF THE BOARD OF DIRECTORS. THE FORM IS PREPARED WITH THE ASSISTANCE OF A PUBLIC ACCOUNTING FIRM. Part VI, LINE 12C ANY CONFLICT OF INTEREST ON THE PART OF A DIRECTOR, OFFICER, OR KEY EMPLOYEE SHALL BE DISCLOSED ON AN ANNUAL BASIS USING A QUESTIONNAIRE TOOL AND IS MONITORED AND REVIEWED BY THE CORPORATE COMPLIANCE OFFICER. IDENTIFIED CONFLICTS MAY BE REVIEWED BY THE BOARD AND WHEN SUCH INTEREST BECOMES A MATTER OF BOARD ACTION, THE DIRECTORS SHALL NOT VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND SHALL NOT BE COUNTED IN A QUORUM FOR A MEETING AT WHICH BOARD ACTION IS TO BE TAKEN ON THE INTEREST. IF IT IS DETERMINED THAT A DIRECTOR, OFFICER, OR KEY EMPLOYEE IS NON-COMPLIANT WITH THE CONFLICT OF INTEREST POLICY, THE INDIVIDUAL MAY BE SUBJECT TO DISCIPLINARY ACTIONS UP TO AND INCLUDING DISMISSAL. Part VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO INDIVIDUALS UPON REQUEST. Part XI, LINE 9 OTHER CHANGES IN FUND BALANCE: THIS CONSISTS OF DISTRIBUTIONS FROM TEMPORARILY AND PERMANENTLY RESTRICTED FUNDS TOTALLING $(131,178). SILVER CROSS HEALTH SYSTEM 1900 Silver Cross Blvd New Lenox IL 60451 363185353 PARENT IL 501(c)(3) 12A NA false SILVER CROSS FOUNDATION 1900 Silver Cross Blvd New Lenox IL 60451 363185350 FUNDRAISING IL 501(c)(3) 7 SCHS true MIDWEST COMMUNITY REAL ESTATE CORP 1900 Silver Cross Blvd New Lenox IL 60451 363461020 REAL EST MGMT IL 501(c)(3) 12B SCHS true SILVER CROSS HEALTHY COMMUNITY COMM 1900 Silver Cross Blvd New Lenox IL 60451 263094005 COMM DEVLPMNT IL 501(C)(3) 12A SCH true UCMCSCH ONCOLOGY JV LLC 1850 SILVER CROSS BLVD NEW LENOX IL 60451 352436795 DIAG & TREATM IL UCMC RELATED 2483955 9924190 false 0 false 0.60000 PRIME MEDICAL IMAGING 1900 SILVER CROSS BLVD NEW LENOX IL 60451 825161758 RADIOLOGICAL IL SCH RELATED -270218 745123 false 0 true 0.51000 SILVER CROSS MSO LLC 1900 SILVER CROSS BLVD NEW LENOX IL 60451 853005773 MANAGED CARE IL SCH RELATED 0 0 false 0 true 0.60000 HEALTH SERVICES SYSTEMS INC 1900 Silver Cross Blvd New Lenox IL 60451 363262450 PHYSICIAN SVC IL NA C false true true true false false false false false false true false true true true true true true true Midwest Community Real Estate Corporation q 3044386 FMV Midwest Community Real Estate Corporation s 1100000 FMV Midwest Community Real Estate Corporation k 98638 FMV Silver Cross Healthy Community Commission b 181636 FMV Silver Cross Foundation c 1620046 FMV Silver Cross Foundation q 270033 FMV Silver Cross Foundation p 201100 FMV Silver Cross Foundation s 2594727 FMV SILVER CROSS HEALTH SYSTEM M 8517370 FMV SILVER CROSS HEALTH SYSTEM Q 4907826 FMV SILVER CROSS HEALTH SYSTEM P 1743043 FMV SILVER CROSS HEALTH SYSTEM R 9060900 FMV