2025-08-15T09:13:00-05:00 2024-09-30 420714325 RSM US LLP 30 South Wacker Dr Suite 3300 Chicago IL 606063392 990 2023-10-01 362174832 Silver Cross Hospital and Medical Centers SILV 8153007007 1900 Silver Cross Blvd New Lenox IL 60451 Vincent Pryor EVP & CFO 8153007007 2025-08-14 1 1 Rebekuh Eley P01247672 3126343400 2025-08-14 2023 2025-03-06 01:10:19Z Vincent Pryor 1900 Silver Cross Blvd New Lenox IL 60451 587807527 0 X www.silvercross.org X 1895 IL 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. 15 13 3755 391 1713967 539475 1714977 1636661 507316959 535325079 12617927 44632643 4820995 6213144 526470858 587807527 173665 199265 0 0 219815402 230027324 0 0 0 284042583 300738039 504031650 530964628 22439208 56842899 1038832678 1143623821 585325932 632340477 453506746 511283344 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. 0 0 504733550 199265 534989758 Provision of inpatient and outpatient health care services. Hospital inpatient and observation days for the time period covered by this return totaled 111,425. Total patients served totaled 274,676. 805886 0 291741 Community education programs, health professional education programs, student internships, support groups and support of free community clinic. 113768 0 43580 Health screenings and women's and children's services. 505653204 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 199 0 1 3755 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 1 1 IL X Vincent Pryor CFO 8153007007 1900 Silver Cross Blvd New Lenox IL 60451 Ruth Colby President/CEO (until 10/16/23) 1.00 43.00 X X 0 1398739 64361 Vincent Pryor Assistant Treasurer 1.00 41.00 X X 0 988016 60950 Michael Mutterer President/CEO 1.00 43.00 X X 0 600516 58776 Jean Kenol Chairman 1.00 1.00 X X 0 0 0 Michael Scudder First Vice Chairman 1.00 1.00 X X 0 0 0 Susan Prock Second Vice Chairman & Secretary 1.00 1.00 X X 0 0 0 Dr David Mikolajczak Treasurer 1.00 1.00 X X 0 0 0 Sid Bala Director 1.00 1.00 X 0 0 0 Vincent Cornelius Director 1.00 1.00 X 0 0 0 Terry D'Arcy Director 1.00 1.00 X 0 0 0 Mark Danielson MD Director 1.00 1.00 X 0 0 0 Jennifer Howard Director 1.00 1.00 X 0 0 0 Douglas Hutchison Jr Director (until 6/3/24) 1.00 1.00 X 0 0 0 Dr David Livingston Director 1.00 1.00 X 0 0 0 Dr Judith Mitchell Director 1.00 1.00 X 0 0 0 John Phelan Director 1.00 1.00 X 0 0 0 Mark Stofan Director (until 6/3/24) 1.00 1.00 X 0 0 0 Denise Winfrey Director 1.00 1.00 X 0 0 0 Jerome Daly CMO Essential Health Partners 40.00 0.00 X 297052 0 37779 Kay Novak Controller 40.00 1.00 X 271500 0 54066 Molly Brusca Exec. Dir. Medical Group Operations 40.00 0.00 X 274088 0 48733 Frank Butler Adm. Director Pharmacy Services 40.00 0.00 X 251110 0 49377 Matthew Boebel Associate VP Clinical Services 40.00 0.00 X 238289 0 46900 1332039 2987271 420942 549 0 1 0 Allied Anesthesia Associates 387 Shuman Blvd Naperville IL 60563 Medical Director Services 3955500 American Healthcare Staffing Association 3051 Willowood Road Edmond OK 73034 Contracted Labor 2399925 Cardiothoracic & Vascular Surgical 1901 S Myers Rd Suite 158 Oak Brook Terrace IL 60181 Surgical Call 1693644 Advocate Health & Hospitals 3075 Highland Pkwy Downers Grove IL 60515 EICU Services 1432747 Midwest Respiratory 903 N 129th Infantry Drive Joliet IL 60435 Medical Directorship 1165384 49 1126277 510384 1636661 Net Patient Revenue 622110 529469729 529469729 Cancer Center JV Income 621111 2873569 2873569 Department Revenue 900099 1747190 1019459 727731 Silver Oaks JV Income 621111 1373611 387375 986236 Surgery Center JV Income 621111 785310 785310 -924330 -924330 535325079 44323429 44323429 3726658 0 3726658 3726658 3726658 309214 0 309214 309214 309214 Cafeteria Revenue 722310 2486406 2486406 Accounts Payable Discounts 900099 80 80 2486486 587807527 533611112 1713967 50845787 X 199265 199265 185049826 173946836 11102990 7853911 7382676 471235 23250816 21855767 1395049 13872771 13040405 832366 9482208 9482208 788724 788724 375000 375000 95141 95141 54945004 54945004 956427 956427 38497362 38497362 5248758 4933833 314925 163255 163255 15567976 15567976 27186977 26779172 407805 12059055 11917933 141122 Medical Supplies 107586625 107586625 Public Aid State Tax 22277618 22277618 Non-Medical Supplies 2852185 2852185 UBI Tax 113290 113290 2542434 2542434 530964628 505653204 25311424 0 17388957 15862311 2277845 4316214 373910 78497 61495812 73222795 9586821 8842397 6618930 7211533 802561315 387674778 401297329 414886537 286120135 301499866 22220678 27136543 231452261 290567128 1038832678 1143623821 77343826 89735396 347445927 338630542 160536179 203974539 585325932 632340477 X 443923743 500463410 9583003 10819934 453506746 511283344 1038832678 1143623821 56842899 933699 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 52599 52599 0 Part II-B, Line 1: 44.6 percent of dues paid to Illinois Hospital Association are used by the organization for lobbying activities. 9583008 1322794 1432609 1455226 63246 10819939 8643826 1470792 723742 1173087 82265 9583008 11592874 1538196 -1203425 3196982 86837 8643826 11783946 1908303 1086739 3105803 80311 11592874 10597849 1227157 655919 626192 70787 11783946 0.00000 0.80000 0.20000 0 0 23035112 19750829 42785941 407326188 135399332 271926856 34223317 11532088 22691229 284491794 232031013 52460781 33734075 8712345 25021730 414886537 Due from Affiliates 200317305 Assets Restricted-Current Liabilities 4464 Investment in Subsidiaries 52053930 Operating Lease Right of Use 38191429 290567128 Due to Third Party Programs 33702958 Due to Affiliates 129765107 Current Portion of Operating Lease 4751591 Long Term Operating Lease 35754883 203974539 X 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. 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 consolidated financial statements and how the values of these positions are determined. The Corporations do not have any liabilities recognized for uncertain tax positions. 1 1 X 1 X 1 X 1 1 0 1 1 0 0 2730723 0 2730723 0.00510 0 0 75640176 53364618 22275558 0.04200 0 0 0 0 0.00000 78370899 53364618 25006281 0.04710 0 0 1470769 350412 1120357 0.00210 0 0 805886 0 805886 0.00150 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 269699 0 269699 0.00050 2546354 350412 2195942 0.00410 80917253 53715030 27202223 0.05120 1 4626000 2255175 230310000 252447000 -22137000 X 1 1 1 Silver Cross Ambulatory Surgery Center LLC Outpatient Surgical Procedures 0.27460 0.27590 0.44950 1 1 Silver Cross Hospital and Medical Centers 1900 Silver Cross Blvd New Lenox IL 604519509 www.silvercross.org 0005827 X X X Silver Cross Hospital and Medical Center 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X https://www.silvercross.org/About/Caring-Community/Community-Benefit X 1 23 1 https://www.silvercross.org/about/Caring-Community/Community-Benefit 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X 1 X https://www.silvercross.org/Patient-Family/After-Visit/Financial-Assistance X https://www.silvercross.org/Patient-Family/After-Visit/Financial-Assistance X https://www.silvercross.org/Patient-Family/After-Visit/Financial-Assistance X X X X X X 1 X 0 X X X X 1 X 0 0 Silver Cross Hospital and Medical Centers Part V, Section B, Line 5: Facility name: Silver Cross Hospital and Medical CentersDescription: 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. Silver Cross Hospital and Medical Centers Part V, Section B, Line 6a: The Hospital's CHNA was conducted with the following area hospitals: Amita Health Adventist Bolingbrook Hospital, Edward-Elmhurst Hospitals, and Ascension Amita Health St. Joseph Medical Center. Silver Cross Hospital and Medical Centers Part V, Section B, Line 6b: Non-hospital organizations participating in the CHNA include the following: Will County Health Dept., Agape Missions NFP, Agency on Aging Northeastern IL, Aunt Martha's Youth Services, Bluestem Earth Festival, Bolingbrook Fire Dept., Braidwood Area Healthy Community Coalition, Breast Intentions of IL, Catholic Charities, Channahon Park District, Chestnut Health Systems, Child and Family Connections #15, Child Care Resources and Referral, CITGO Petroleum Corp., Coldwell Banker Residential, Community Alliance & Action Network, Community Lifeline Ministries Inc., Cornerstone Services, C.W. Avery Family YMCA, Easterseals Joliet Region Inc., Food Allergy Research & Education, Forest Park Center, Franciscan Communities Inc-Marian Village, Glenwood Rehab Center, Governor's State University, Greater Joliet Area YMCA, Guardian Angel Community Services, Harvey Brooks Foundation, Heritage Woods of Plainfield IL, Dept. of Children & Family Services IL, Dept. of Employment Security, J.F. Holder Foundation, Joliet Fire Dept., Joliet Junior College, Joliet Police Dept., Joliet Public School District 86, Joliet Township Govt., Lakewood Nursing Center, Lewis University, Mari Gallagher Research & Consulting Group, Mokena Police Dept., Mount Zion Baptist Church, New Life Church, Pace Suburban Bus, Plainfield Counseling Center LLC., Amita Home Care, PT Solutions Physical Therapy, Rasmussen College, Riverwalk Holmes Apartments, Senior Services Center of Will County, Silver Cross Healthy Community Commission IL, Dept. of Public Health, Stepping Stones, TEC Services Consulting Inc., Trinity Services of Will County, United Way of Will County, University of Illinois Extension, University of St. Francis, Valley View School District, VNA Healthcare, Warren Sharpe Community Center, Will County Adult Detention Facility, Will County Board, Will County Board of Heath, Will County Health Dept., Will County Circuit Clerk, Will County Community Health Center, Will County Emergency Mgmt. Agency, Will County Executive's Office, Will County Forest Preserve District, Will County Land Use, Will County GIS, Will County Medical Reserve Corps, Will County residents, Will County Veteran's Assistance Commission, Will County Sheriff's Office, Will Grundy Center for Independent Living, Will Grundy Medical Clinic, Joliet Township Government. Silver Cross Hospital and Medical Centers Part V, Section B, Line 11: Facility name: Silver Cross Hospital and Medical Centers Description: To stabilize the built environment, the Hospital continued to advance faith-driven community outreach by providing health information to large groups of parishioners at more than 75 churches through educational newsletters and booths at fairs, etc. about the importance of regular check-ups and 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 $200,000 to fund the Commission's work of scholarships for healthcare workforce support of $27,000 for nursing graduates who pursue a nursing career. Lastly, the development grants and quality of life initiatives to over 50,000 individuals. The hospital has partnered with Lewis University College of Nursing to provide student loan repayment support of $27,000 for nursing graduates who pursue a nursing career, and also started loan repayment programs with the University of St. Francis and Joliet Junior College for other healthcare related professions such as radiology and lab technicians. Lastly, the hospital partnered with various other organizations to promote health and wellness in the community, such as a community walk day and the promotion of healthy eating initiatives throughout the community. Silver Cross Hospital and Medical Centers Part V, Section B, Line 13b: 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 1 - Silver Cross Emergicare Center 12701 W 143rd Street Homer Glen IL 60491 ER-24 Hours Part I, Line 3c: The Hospital provides charity care assistance to patients who maintain a household income up to 400 percent above the federal poverty level. In addition, the Hospital provides a 50 percent discount off of the standard hospital charges to all uninsured patients. Part I, Line 6a: Silver Cross Hospital completes an annual community benefits report which is available on the Hospital website and upon request. 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. Part II, Community Building Activities: Silver Cross Hospital promotes the health of the community by providing over 100 community outreach programs every year which promote healthier lifestyles and improved health. 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. Part III, Line 2: Bad debt is calculated using costing methods including cost to charge ratio from previous years cost report, using financial statements to determine cost of care. 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. 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. 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. 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. Part VI, Line 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 a 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's programs and services fall into the following categories: access to healthcare, prevention and awareness of services. Management of chronic care issues, behavioral health and substance use disorders, and awareness of services. Part VI, Line 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. Part VI, Line 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 about $95,000 and the total population is approximately 790,000. Our service area is composed of widely diverse cross sections of the population. Part VI, Line 6: Silver Cross Hospital is the individual hospital providing inpatient and outpatient health services to the community. The parent organization is Silver Cross Health System which acts as the ownership organization of the Hospital and other entities and provides oversight and management services to its member organizations. Other member organizations include Silver Cross Foundation which is a fundraising entity, Midwest Community Real Estate Corp. which is the real estate management entity, and Silver Cross Healthy Community Commission which is an entity dedicated to improving healthcare access in the community and assisting in developing additional healthcare workers. Part VI, Line 7, Reports Filed With States IL 1 Silver Cross Healthy Community Commission 1900 Silver Cross Blvd New Lenox IL 60451 263094005 501(c)(3) 199265 0 Operations 1 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. 0 1 0 0 0 0 0 1 0 Ruth Colby President/CEO (until 10/16/23) 0 855218 0 320046 0 223475 0 19800 0 44561 0 1463100 0 0 Vincent Pryor Assistant Treasurer 0 629273 0 200747 0 157996 0 19800 0 41150 0 1048966 0 0 Michael Mutterer President/CEO 0 464662 0 135854 0 0 0 19800 0 38976 0 659292 0 0 Jerome Daly CMO Essential Health Partners 221807 0 75245 0 0 0 17618 0 20161 0 334831 0 0 0 Kay Novak Controller 247316 0 24184 0 0 0 16820 0 37246 0 325566 0 0 0 Molly Brusca Exec. Dir. Medical Group Operations 237844 0 35894 0 350 0 16424 0 32309 0 322821 0 0 0 Frank Butler Adm. Director Pharmacy Services 230941 0 20169 0 0 0 15023 0 34354 0 300487 0 0 0 Matthew Boebel Associate VP Clinical Services 197251 0 40688 0 350 0 14950 0 31950 0 285189 0 0 0 Part I, Line 3 Silver Cross Health System, the parent organization of Silver Cross Hospital and Medical Centers, 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 - $208,730 and Vincent Pryor - $157,996. 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 1 0 0 B IFAFirst MidwestPNC Banks 861091967 000000000 2010-12-27 25000000 Replacement hospital 0 0 0 C IFAFirst MidwestPNC Banks 861091968 000000000 2015-01-28 26860000 Refunding prior bonds 1 0 0 D Illinois Finance Authority 861091969 45203HY22 2015-04-22 305234798 Refunding prior bonds 0 0 0 A 33220000 8665000 89337313 1153764 839288 88498025 87344261 2008 1 0 1 1 B 10260000 25001110 198077 24803033 24756276 46757 2010 0 0 1 1 C 26860000 21376291 186033 21190258 21190258 2015 1 1 1 1 D 16405000 323222225 3155647 320066578 320066578 2015 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: Illinois Finance Authority Date the Rebate Computation was Performed: 06/13/2023 Issuer Name: IFA/First Midwest/PNC Banks Date the Rebate Computation was Performed: 12/27/2020 Issuer Name: IFA/First Midwest/PNC Banks Date the Rebate Computation was Performed: 08/15/2024 Issuer Name: Illinois Finance Authority Date the Rebate Computation was Performed: 04/28/2020 Part I, Line A, Column E Difference in issue price and total proceeds in Part II-3, Column A due to interest income on debt service reserve, bond sinking fund, and interest fund held with trustee. Part I, Line A, Column F The 2008A bonds were issued solely for the refinancing of the 2005B and 2005D bond issues, originally issued 12/8/05. Part I, Line B, Column E Difference in issue price and total proceeds in Part II-3, Column B due to interest received before full proceeds spent. Part I, Line B, Column F 2010A bonds were issued to finance the construction and equipping of a replacement hospital. Part I, Line C, Column E Difference in issue price and total proceeds in Part II-3, Column 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. Part I, Line C, Column F The 2015A&B bonds were issued solely for the refinancing of the 2005A, B, C, & D bonds dated 12/8/05 with CUSIP numbers 45200bsw9 and 45200bsy5. Part I, Line D, Column E Difference in issue price and total proceeds in Part II-3, Column 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. Part I, Line D, Column F The 2015 bonds were issued solely for the refinancing of the 2009 bond issue dated 6/11/09 with CUSIP number 45200fxy0. Part I, Line C, Column C The final payment of $25,000 for 2015A&B bonds due 8/15/24 was made early during FY23 and all 2015A&B bonds have now been paid off and complete. Part II, Line 15, Columns C and 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. 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. Part IV, Line 2C, Column A Issuer Name: Illinois Finance Authority The calculation for computing no rebate due was performed on 06/13/2023 Part IV, Line 2C, Column B Issuer Name: IFA/First Midwest/PNC Banks The calculation for computing no rebate due was performed on 12/27/2020 Part IV, Line 2C, Column C Issuer Name: IFA/First Midwest/PNC Banks The calculation for computing no rebate due was performed on 04/10/2020 Part IV, Line 2C, Column D Issuer Name: Illinois Finance Authority The calculation for computing no rebate due was performed on 04/28/2020 Form 990, Part VI, Section A, line 6 Silver Cross Health System is the sole corporate member of Silver Cross Hospital and Medical Centers. Form 990, Part VI, Section A, line 7a Silver Cross Health System may appoint members to the Board of Directors of Silver Cross Hospital and Medical Centers. Form 990, Part VI, Section A, line 7b All decisions made by the Board of Directors of Silver Cross Hospital and Medical Centers are subject to the approval of the Board of Directors of Silver Cross Health System. Form 990, Part VI, Section B, 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. Form 990, Part VI, Section B, 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 noncompliant with the conflict of interest policy, the individual may be subject to disciplinary actions up to and including dismissal. Form 990, Part VI, Section B, line 15 Silver Cross Hospital and Medical Centers does not compensate its CEO and other officers and directors. Form 990, Part VI, Section C, line 19 Governing documents, conflict of interest policy and financial statements are available to individuals upon request. Form 990, Part IX, line 11g Consulting: Program service expenses 80,264. Management and general expenses 0. Fundraising expenses 0. Total expenses 80,264. Medical Education: Program service expenses 4,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,000. Contracted Labor: Program service expenses 7,952,095. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,952,095. Other Purchased Services: Program service expenses 37,100,874. Management and general expenses 0. Fundraising expenses 0. Total expenses 37,100,874. Medical Director Fees: Program service expenses 9,807,771. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,807,771. Silver Cross Health System 1900 Silver Cross Blvd New Lenox IL 60451 363185353 Parent organization to health system IL 501(c)(3) Line 12b, II N/A 0 Silver Cross Foundation 1900 Silver Cross Blvd New Lenox IL 60451 363185350 Fundraising IL 501(c)(3) Line 7 SCHS 1 Midwest Community Real Estate Corp 1900 Silver Cross Blvd New Lenox IL 60451 363461020 Real estate management IL 501(c)(3) Line 12b, II SCHS 1 Silver Cross Healthy Community Commission 1900 Silver Cross Blvd New Lenox IL 60451 263094005 Community development IL 501(c)(3) Line 12a, I SCH 1 Childerguard 1900 Silver Cross Blvd New Lenox IL 60451 366132746 Fundraising IL 501(c)(3) Line 12c, III-FI N/A 0 UCMCSCH Oncology JV LLC 1850 Silver Cross Blvd New Lenox IL 60451 322436795 Cancer diagnosis and treatment IL University of Chicago Medical Center Related 3152972 19244898 0 0 0.60000 Prime Medical Imaging 1900 Silver Cross Blvd New Lenox IL 60451 825161758 Outpatient radiological services IL Silver Cross Hospital and Medical Centers N/A -62237 1361937 0 0 0.51000 Essential Health Partners LLC 1900 Silver Cross Blvd New Lenox IL 60451 833093990 Healthcare provider network IL Silver Cross Hospital and Medical Centers Related -3833585 14596492 0 0 0.60000 Silver Cross MSO LLC 1900 Silver Cross Blvd New Lenox IL 60451 853005773 Managed care IL Silver Cross Health System Related 518256 101054483 0 1 0.86670 Health Services Systems Inc 1900 Silver Cross Blvd New Lenox IL 60451 363262450 Physician services IL Silver Cross Health System C 1 0 1 1 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 1 Silver Cross Healthy Community Commission B 199265 FMV Silver Cross Foundation C 1126277 FMV Midwest Community Real Estate Corp K 731616 FMV Midwest Community Real Estate Corp K 125905 FMV Silver Cross Health System M 9482208 FMV Silver Cross Health System P 1467998 FMV Silver Cross Foundation P 263846 FMV Silver Cross Health System Q 6254692 FMV Midwest Community Real Estate Corp Q 2108552 FMV Silver Cross Foundation Q 479951 FMV Silver Cross Health System R 8250000 FMV Midwest Community Real Estate Corp R 2900000 FMV Silver Cross Foundation S 2225000 FMV Midwest Community Real Estate Corp S 650000 FMV