NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWESTERN MEMORIAL HEALTHCARE (EIN 36-2169179)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-15
- IRS object ID
- 201913199349301786
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-15T07:56:50-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S Wacker Drive Ste 800 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362169179 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Palos Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PALO | BusinessNameControlTxt |
| Phone | 7089234000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12251 S 80th Avenue | AddressLine1Txt |
| City | Palos Heights | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60463 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dr Terrence Moisan | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Phone | 7089234000 | PhoneNum |
| Signature | 2019-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rebekuh Eley | PreparerPersonNm |
| PTIN | P01247672 | PTIN |
| Phone | 3126343400 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 66.98.98.134 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-13 | IPDt |
| IP Tm | 13:47:09 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2A28FA2E2A09A40AF4F0A751499BE74D16D20E85 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dr Terrence Moisan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12251 S 80th Avenue | AddressLine1Txt |
| City | Palos Heights | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60463 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $413,822,244 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.paloshealth.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | Palos Community Hospital (Palos) is a 501(c)(3) community hospital whose primary objective is the provision of inpatient and outpatient services that are responsive to the health care needs of the residents of southwestern Cook County and northeastern sections of Will County. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 3453 | TotalEmployeeCnt |
| Total Volunteers | 1022 | TotalVolunteersCnt |
| Total Gross UBI | $39,537 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$35,594 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $583,649 | PYContributionsGrantsAmt |
| CY Contributions Grants | $319,913 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $398,082,739 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $400,506,251 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,271,874 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,255,415 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,132,698 | PYOtherRevenueAmt |
| CY Other Revenue | $9,672,534 | CYOtherRevenueAmt |
| PY Total Revenue | $409,070,960 | PYTotalRevenueAmt |
| CY Total Revenue | $411,754,113 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $214,602,501 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $218,350,732 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $197,488,252 | PYOtherExpensesAmt |
| CY Other Expenses | $209,916,335 | CYOtherExpensesAmt |
| PY Total Expenses | $412,090,753 | PYTotalExpensesAmt |
| CY Total Expenses | $428,267,067 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,019,793 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$16,512,954 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $762,361,023 | TotalAssetsBOYAmt |
| Total Assets EOY | $670,245,595 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $498,196,974 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $488,044,992 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $264,164,049 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $182,200,603 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The primary objective of Palos is to provide high quality patient care that is responsive to the health care needs of the residents of southwestern Cook County and northeastern sections of Will County. Palos is committed to a continued review and analysis of the changing needs of the community it serves and to respond with services based upon those needs. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $339,540,000 | ExpenseAmt |
| Revenue | $407,892,910 | RevenueAmt |
| Desc | Palos Hospital provides inpatient and outpatient health care services. The hospital has 425 licensed beds and is located 22 miles from downtown Chicago serving the southwest suburbs. During fiscal year 18, the hospital provided more than 87,431 patients days and more than 218,680 outpatient visits to the community. Please visit PalosHealth.com for additional information regarding our services. | Desc |
| Total Program Service Expenses | $339,540,000 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | Yes (1) | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 365 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3453 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Rauwolf | PersonNm |
| Phone | 7089234000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12251 S 80th Avenue | AddressLine1Txt |
| City | Palos Heights | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60463 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Edward Mulcahy | ||||||||||
| Chairman | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Dr Terrence Moisan | ||||||||||
| President & CEO | 40.00 | 1.00 | Yes (X) | Yes (X) | $837,795 | $0 | $44,931 | |||
| Lawrence Hunt | ||||||||||
| Vice Chairman | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jason Ley | ||||||||||
| Director | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Lucie Boyadjian | ||||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Dr Mark Sinibaldi | ||||||||||
| Director/Physician | 42.00 | 1.00 | Yes (X) | $388,125 | $0 | $46,810 | ||||
| Jack Vainauskas | ||||||||||
| Director | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Gary Collins | ||||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Timothy J McCarthy | ||||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Rosann S Demask | ||||||||||
| Director | 40.00 | Yes (X) | $346,557 | $0 | $48,423 | |||||
| Vincent Muscarello | ||||||||||
| Director | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Don Dixon | ||||||||||
| Secretary | 40.00 | 1.00 | Yes (X) | $399,977 | $0 | $47,023 | ||||
| Barbara J Medley | ||||||||||
| Asst. Secretary (Thru 1/12/18) | 40.00 | 1.00 | Yes (X) | $7,698 | $0 | $1,349 | ||||
| Roger A Russell | ||||||||||
| VP Finance/Treasurer | 40.00 | 1.00 | Yes (X) | $374,882 | $0 | $58,048 | ||||
| Mary C Denisienko | ||||||||||
| VP Human Resources | 40.00 | $185,777 | $0 | $22,558 | Yes (X) | |||||
| Patricia Heerlein | ||||||||||
| VP Clinical Services | 40.00 | $261,320 | $0 | $32,852 | Yes (X) | |||||
| William Earman | ||||||||||
| Physician | 40.00 | $551,768 | $0 | $12,114 | Yes (X) | |||||
| Chaher Alhandalous | ||||||||||
| Hospitalist | 40.00 | $503,078 | $0 | $41,524 | Yes (X) | |||||
| Michael Lynch | ||||||||||
| Physician | 40.00 | $440,106 | $0 | $42,568 | Yes (X) | |||||
| Imad Qayyum | ||||||||||
| Physician | 40.00 | $427,015 | $0 | $23,614 | Yes (X) | |||||
| Beatrice Correa-Rivera | ||||||||||
| Hospitalist | 40.00 | $399,781 | $0 | $29,378 | Yes (X) | |||||
| Charles E Reiter III | ||||||||||
| Former Officer | 0.00 | $249,323 | $0 | $1,624 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,373,202 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $452,816 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 169 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Walsh Construction II LLC | |||||
| 929 W Adams Street | Chicago | IL | 60607 | Construction Services | $36,796,662 |
| Epic Systems Corporation | |||||
| 1979 Milky Way | Verona | WI | 53593 | Computer Software Services | $5,719,044 |
| ARAMARK | |||||
| 12483 Collection Center Drive | Chicago | IL | 60693 | Equipment Services | $5,016,226 |
| Dan King Therapy Services | |||||
| 7061 Willow Springs Road | Countryside | IL | 60525 | Physician Services | $1,149,384 |
| Radiology & Nuclear Consultants | |||||
| 270 W Loop road | Wheaton | IL | 60189 | Physical Therapy Services | $1,135,303 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 69 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $5,000 | FundraisingAmt |
| All Other Contributions | $314,913 | AllOtherContributionsAmt |
| Total Contributions | $319,913 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Revenue | 621110 | $387,462,143 | $387,422,606 | $39,537 |
| Provider Tax Revenue | 900099 | $13,643,118 | $13,643,118 | |
| Surgi Center JV Revenu | 900099 | -$599,010 | -$599,010 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $400,506,251 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,885,777 | TotalRevenueColumnAmt |
| Exclusion | $1,885,777 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,249,690 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,437,769 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $811,921 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $811,921 | TotalRevenueColumnAmt |
| Exclusion | $811,921 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $630,362 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$630,362 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$630,362 | TotalRevenueColumnAmt |
| Exclusion | -$630,362 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $5,000 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Intercompany Revenue | 900099 | $3,997,873 | $3,997,873 | |
| Gainsharing Revenue | 900099 | $1,729,671 | $1,729,671 | |
| Cafeteria Revenue | 900099 | $1,473,954 | $1,473,954 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,659,115 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,659,115 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,860,613 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $411,754,113 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $407,853,373 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $39,537 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,541,290 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,758,134 | TotalAmt |
| Management And General | $2,758,134 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,323 | TotalAmt |
| Management And General | $249,323 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,787,348 | TotalAmt |
| Program Services | $142,932,528 | ProgramServicesAmt |
| Management And General | $31,854,820 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,277,089 | TotalAmt |
| Program Services | $6,637,732 | ProgramServicesAmt |
| Management And General | $1,639,357 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,062,159 | TotalAmt |
| Program Services | $15,869,198 | ProgramServicesAmt |
| Management And General | $4,192,961 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,216,679 | TotalAmt |
| Program Services | $9,826,317 | ProgramServicesAmt |
| Management And General | $2,390,362 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,469,627 | TotalAmt |
| Management And General | $4,469,627 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $632,677 | TotalAmt |
| Management And General | $632,677 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,129 | TotalAmt |
| Management And General | $97,129 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,850 | TotalAmt |
| Management And General | $165,850 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,062,059 | TotalAmt |
| Program Services | $8,106,834 | ProgramServicesAmt |
| Management And General | $7,955,225 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500,279 | TotalAmt |
| Program Services | $207 | ProgramServicesAmt |
| Management And General | $500,072 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,363,598 | TotalAmt |
| Program Services | $1,334,020 | ProgramServicesAmt |
| Management And General | $3,029,578 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,105,561 | TotalAmt |
| Program Services | $227,149 | ProgramServicesAmt |
| Management And General | $9,878,412 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,800,566 | TotalAmt |
| Program Services | $5,883,291 | ProgramServicesAmt |
| Management And General | $917,275 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,686 | TotalAmt |
| Program Services | $389,039 | ProgramServicesAmt |
| Management And General | $26,647 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,885 | TotalAmt |
| Program Services | $96,947 | ProgramServicesAmt |
| Management And General | $22,938 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,589,505 | TotalAmt |
| Program Services | $11,589,505 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,906,085 | TotalAmt |
| Program Services | $26,345,614 | ProgramServicesAmt |
| Management And General | $6,560,471 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,662,470 | TotalAmt |
| Program Services | $8,775,756 | ProgramServicesAmt |
| Management And General | $886,714 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies/Drugs | $64,424,497 | $64,424,497 | |
| Bad Debt Expense | $20,092,937 | $20,092,937 | |
| IL Bed Tax Assessment | $14,598,168 | $14,598,168 | |
| Repairs and Maintenance | $6,693,032 | $6,693,032 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,216,724 | TotalAmt |
| Program Services | $2,410,261 | ProgramServicesAmt |
| Management And General | $3,806,463 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $428,267,067 | TotalAmt |
| Program Services | $339,540,000 | ProgramServicesAmt |
| Management And General | $88,727,067 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,155 | BOYAmt |
| EOY | $6,155 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,832,233 | BOYAmt |
| EOY | $12,909,028 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,273,758 | BOYAmt |
| EOY | $45,224,660 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,502 | BOYAmt |
| EOY | $10,287 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,504,064 | BOYAmt |
| EOY | $9,143,109 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,879,686 | BOYAmt |
| EOY | $2,983,369 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $859,852,227 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $305,375,349 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $549,082,101 | BOYAmt |
| EOY | $554,476,878 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,659,605 | BOYAmt |
| EOY | $28,239,811 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,073 | BOYAmt |
| EOY | $138,033 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,878,846 | BOYAmt |
| EOY | $17,114,265 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $762,361,023 | BOYAmt |
| EOY | $670,245,595 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,968,351 | BOYAmt |
| EOY | $106,358,624 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,195,000 | BOYAmt |
| EOY | $349,830,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,033,623 | BOYAmt |
| EOY | $31,856,368 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,196,974 | BOYAmt |
| EOY | $488,044,992 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,810,330 | BOYAmt |
| EOY | $181,817,973 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $353,719 | BOYAmt |
| EOY | $382,630 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,164,049 | BOYAmt |
| EOY | $182,200,603 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $762,361,023 | BOYAmt |
| EOY | $670,245,595 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$16,512,954 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$197,190 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$65,253,302 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $36,326 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $36,326 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Palos Community Hospital paid $91,350 in dues to Illinois Health and Hospital Association, of which $35,627 was attributed to lobbying activity, as well as $14,500 in dues to National Hospice and Palliative Care Organization, of which $699 was attributed to lobbying activity. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,096,527 | OtherCostOrOtherBasisAmt |
| Book Value | $33,096,527 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $598,604,699 | OtherCostOrOtherBasisAmt |
| Depreciation | $171,852,063 | DepreciationAmt |
| Book Value | $426,752,636 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $165,770 | OtherCostOrOtherBasisAmt |
| Book Value | $165,770 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $223,524,460 | OtherCostOrOtherBasisAmt |
| Depreciation | $133,523,286 | DepreciationAmt |
| Book Value | $90,001,174 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,460,771 | OtherCostOrOtherBasisAmt |
| Book Value | $4,460,771 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $554,476,878 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Tax Exempt Bond Liability Premium | $2,088,963 |
| Supplemental Executive Retirement Plan Liability | $644,397 |
| Professional Liability Insurance Reserve | $26,524,130 |
| Due To Affiliates | $2,598,878 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $31,856,368 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Hospital has received determination letters from the Internal Revenue Service (IRS) stating that they are exempt from the payment of income taxes under Section 501(c)(3) of the Internal Revenue Code. Palos Medical Group is a disregarded entity and is considered part of the Hospital for income tax filing purposes. SGA is incorporated under the laws of the Cayman Islands, which imposes no tax on income or capital gains. However, SGA is subject to U.S. federal corporate taxation to the extent that it generates income that is effectively connected with a U.S. trade or business. SGA is not engaged in any such trade or business in the U.S. Accordingly, income taxes are not provided for in the accompanying consolidated financial statements. CHC, the Imaging Center and Sigma are also disregarded entities for income tax purposes. The Hospital follows the FASB-issued guidance for accounting for uncertainty in income taxes. The Hospital files a Form 990 (Return of Organization Exempt from Income Tax) annually. When this return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the following: the tax exempt status of each entity, the continued tax exempt status of bonds issued by the obligated group, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business taxable income (UBTI). UBTI is reported on Form 990-T, as appropriate. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more-likely-than-not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for unrecognized tax benefits in the accompanying consolidated balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Upon the adoption of the FASB-issued guidance at January 1, 2007, and since that date through December 31, 2018, there were no unrecognized tax benefits identified and recorded as a liability. Forms 990 and 990-T filed by The Hospital are subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Forms 990 and 990-T filed by The Hospital are no longer subject to examination for the years 2014 and prior. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $100,000 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $100,000 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $100,000 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,561,933 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,561,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,674,528 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,671,709 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,002,819 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05150 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,236,461 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,671,709 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,564,752 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05780 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $778,073 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $62,760 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $715,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $237,499 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $183,027 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $54,472 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,341,369 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,994,699 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,346,670 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01550 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $66,181 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $66,181 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,423,122 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,240,486 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,182,636 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01760 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,659,583 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,912,195 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,747,388 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07540 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $20,092,937 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $135,468,255 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $139,169,449 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,701,194 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Palos Community Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12251 S 80th Avenue | AddressLine1Txt |
| City | Palos Heights | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60463 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | State License #: 0003210 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Palos Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.paloshealth.com/about-us/ | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | https://paloscommunity.healthforecast.net | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | paloshealth.com/app/files/public/2316/Financial-Assistance-Policy-2018.pdf | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | paloshealth.com/app/files/public/1996/Financial-Assistance-App-2016.pdf | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.paloshealth.com/patients-visitors/billing/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Palos Community Hospital | Part V, Section B, Line 5: The surveys asked respondents about health status of their communities and priority health needs. Survey collection efforts were concentrated in communities and populations that are typically underrepresented in assessment processes, such as veterans, individuals living with mental illness, communities of color, older adults, caregivers, teens and young adults, LGBTQ community members, adults and teens experiencing homelessness, families with children, faith communities, adults with disabilities, and children and adults living with chronic conditions such as diabetes and asthma. |
| Palos Community Hospital | Part V, Section B, Line 6a: The 2018 Community Health Needs Assessment was conducted through a membership collaborative called the Alliance for Health Equity. The member hospitals and health systems include: Advocate Aurora Children's Hospital, Advocate Aurora Christ Medical Center, Advocate Aurora Illinois Masonic Medical Center, Advocate Aurora Lutheran General Hospital, Advocate Aurora South Suburban Hospital, Advocate Aurora Trinity Hospital, AMITA Adventist Medical Center La Grange, AMITA Alexian Borthers Behavioral Health Hospital Hoffman Estates, AMITA Alexian Brothers Medical Center Elk Grove Village, AMITA Holy Family Medical Center, AMITA Resurrection Medical Center, AMITA Saint Francis Hospital, AMITA Saint Joseph Hospital, AMITA Saints Mary and Elizabeth Medical Center, AMITA St. Alexius Medical Center Hoffman Estates, Ann & Robert H. Lurie Children's Hospital, Gottlieb Memorial Hospital, Holy Cross Hospital, Ingalls Memorial Hospital, Loretto Hospital, Loyola University Medical Center, MacNeal Hospital, Mercy Hospital & Medical Center, Northwestern Memorial Hospital, Norwegian American Hospital, Palos Health, Roseland Community Hospital, Rush Oak Park, Rush University Medical Center, Schwab Rehab Hospital, Sinai Health System, South Shore Hospital, Swedish Covenant Hospital, University of Chicago Medicine and University of Illinois Hospital & Health Sciences System. |
| Palos Community Hospital | Part V, Section B, Line 11: Palos Hospital formed an internal, multi-disciplinary committee to review the results of the CHNA and to evaluate, discuss and prioritize health issues identified. The group used criteria focused on magnitude, scope/severity, Palos' ability to impact and the risk of inaction in determination of the areas of opportunity on which to focus. In consideration of the top health priorities identified through the CHNA process and taking into account hospital resources and overall alignment with the hospital's mission, goals and strategic priorities it was determined that Palos would focus on developing and/or supporting strategies and initiatives to improve: - Access to Health Care Services - Mental Health & Substance Abuse - Chronic Disease - Transportation and HousingIn acknowledging the wide range of priority health issues identified in the CHNA process, Palos Hospital determined that it could only effectively focus on those which it deemed most pressing, most under-addressed, and most within its ability to influence. As a consequence there were areas of opportunity identified in the CHNA which Palos had not prioritized to address due to the availability of other community-based programs and services to better address these opportunities and the low volume of respondents within the Palos Hospital service area requiring services. The areas of opportunity not addressed include: - Age-related illness - Cancers - Lung disease/Tobacco use - Motor vehicle crash injuries - Oral health |
| Part V, Section B, Line 3 | Primary data was collected through community input surveys and community resident focus groups. More than 250 community input surveys were collected from individuals 18 or older living in the Palos Community Hospital service area. Secondary data for numerous health indicators was collected and collated by Cook County Department of Public Health. The Illinois Public Health Institute (IPHI) conducted all administration of the surveys and focus groups, data collection and data analysis. |
| Part V, Section B, Line 16i | To be in compliance with section 501(r)(4)(v), Palos Community Hospital translated its FAP, FAP application form, and plain language summary of the FAP in the languages spoken by each LEP language group as described in Treas. Reg. 1.501(r)-4. The languages determined include Spanish, Polish, and Arabic and Palos posted translations to the Hospital's website before filing the Form 990.Please visit the following URL: www.paloshealth.com/patients-visitors/billing/financial-assistance/. |
| Part V, Section B, line 22 | It is the policy of Palos Community Hospital to provide quality medical health care to all persons regardless of race, creed, gender, national origin, handicap, age, ability to pay or other protected status. PCH recognizes that not all individuals possess the ability or means to purchase essential medical services, and further, that our mission is to serve our community with respect to providing health care services and health care education. Therefore, in keeping with PCH's commitment to serve all members of the community, free and/or discounted care ("Financial Assistance") will be considered where the need and/or inability to pay are identified as set forth in the Financial Assistance Policy. This policy was also extended to all clinically-necessary procedures and was not limited to emergency care only. Palos has created a set of discounts for patients without insurance that ranged from free care for those who earned less than 200% of the FPG to a 80% discount off of regularly billed charges for any uninsured patient who earned less than 600% of the FPG. Palos also created a policy to help those who are underinsured. Similar to its uninsured policy, the underinsured policy creates a set of discounts that can be applied to co-payments and deductibles owed for those patients that earn less than 400% of the FPG. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Palos Primary Care Center | ||||
| 15300 West Avenue Suite 122 | Orland Park | IL | 60462 | Primary Care Center, Physician Group and Imaging Center |
| 2 - Palos Home Health Care | ||||
| 15295 E 127th St | Lemont | IL | 60439 | Home Health Care |
| 3 - Palos Diagnostic & Women's Center | ||||
| 17333 S LaGrange Rd | Tinley Park | IL | 60477 | Diagnostic Testing and Women's Health |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Palos has created a set of discounts for patients without insurance that ranged from free care for those who earned less than 200% of the FPG to a 80% discount off of regularly billed charges for any uninsured patient who earned less than 600% of the FPG. Palos also created a policy to help those who are underinsured. Similar to its uninsured policy, the underinsured policy creates a set of discounts that can be applied to co-payments and deductibles owed for those patients that earn less than 400% of the FPG.All self-pay patients are provided information regarding our charity care program at the time of registration and are asked to complete a one-page application. This enables the Hospital to expedite the charity care approval process. For balances after insurance, patients are made aware of our charity care program via the statement they receive. Additional information is available on the Hospital's website.The Financial Counselors see approximately 20 patients daily for assistance with screening for Medicaid applications, financial assistance, payment plans, estimated pricing for services, account review/inquiries/complaints, Medicare liability, etc. The Financial Counselors assist patients with current, past and future visits. The Financial Counselors and Self Pay Collectors processed 3,229 financial assistance applications in 2018. There were 2,550 charity adjustments including 1,511 presumptive eligibility charity adjustments. |
| Part I, Line 7: | Cost amounts reported in Item 7 were calculated using available data including the overall hospital cost to charge ratio as well as direct and indirect costs for certain specific departments of the hospital. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 20,092,937. |
| Part III, Line 2: | Estimated bad debt expense is calculated by totaling the amounts from patient accounts written off as uncollectible plus an estimate of the uncollectible portion of accounts receivable, aged by financial class, all multiplied by the appropriate cost to charge ratio. |
| Part III, Line 3: | Information to determine this amount is not available. |
| Part III, Line 4: | Patient receivables due directly from patients are carried at the original charge for the service provided less amounts covered by third-party payors and less, in 2017, estimated allowances for doubtful accounts. During 2017, management estimated the allowance for doubtful accounts based on the aging of its accounts receivable and its historical collection experience for each payor type. Recoveries of accounts receivable previously written off as uncollectible were recorded as an increase of net patient services revenue when received. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzed contractually due amounts and provided an allowance for doubtful accounts (for example, for unexpected 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). Patients who meet certain criteria under the Hospital's charity care policy are eligible for discounts from the Hospital's established rates. The difference betweenthe standard rates (or the discounted rates if applicable) and the amounts actually collected after all reasonable collection efforts have been exhausted were charged off against the allowance for doubtful accounts.The past due status of receivables is determined on a case-by-case basis depending on the payor responsible. Interest is generally not charged on past due accounts.The Hospital's allowance for doubtful accounts for self-pay patients was $12,155, or approximately 18 percent of patient accounts receivable, at December 31, 2017. The Hospital's self-pay write-offs were $24,848 in 2017. At December 31, 2017, the Hospital did not maintain a material allowance for doubtful accounts from third-party payors, nor did it have significant write-offs from third-party payors. |
| Part III, Line 8: | Medicare costs are calculated using the hospital wide cost to charge ratio. Palos does include the Medicare shortfall in its Illinois state community benefit report as Palos continues to treat its Medicare community despite the fact that its costs for these patients exceed reimbursement. |
| Part III, Line 9b: | It is the policy of Palos not to pursue collection practices against patient balances known to qualify under the financial assistance policy. |
| Part VI, Line 2: | In addition to the CHNA, Palos Hospital monitors trends in diseases, medical conditions, utilization of medical services and demographics that may affect the patients served and community at large. Palos uses this information as it designs and modifies programs and services to meet the needs to if patients and community either on its own or in collaboration with other entities. This information has demonstrated the need to focus on the management of an aging patient population, chronic health conditions, the incidence of readmission, and coordination of care from pre-hospitalization to post-acute. |
| Part VI, Line 3: | At the time of registration, each patient is referred to a copy of Palos' financial assistance policy and asked to fill out a simple registration form that may help them qualify for charity care. This policy lays out the eligibility requirements and what the patient must do to qualify. Also at registration, any patient without insurance is advised as to what other programs they may qualify for and are given assistance in applying as necessary. Palos employs a company that helps patients apply for Medicaid coverage and SSI disability. Upon discharge, each patient receives a summary bill that includes information related to eligibility for financial assistance. All inpatients without insurance are visited by a financial counselor who helps direct the patient and their families to the appropriate level of assistance. Brochures explaining the charity care policy are displayed and available at registration areas and in the Emergency Department. Palos also displays the plain language summary of the financial assistance policy on the website along with the financial assistance application. |
| Part VI, Line 4: | Zip codes within the Palos Hospital service area include: 60462, 60467, 60463, 60464, 60465, 60482, 60445, 60452, 60477, 60487, 60453, 60455, 60457, 60458, 60459, 60415, 60805, 60655, 60803, 60439, 60441, 60491, 60423, 60448, 60451Of those living within the service area of Palos Hospital:Household poverty rates range from 3% to 23% of households in the communities served.Three of the cities served by Palos Hospital have over 25% of children living in poverty (Bridgeview, Chicago Ridge, and d Hickory Hills). Over 10% of older adults are living in poverty in Justice, Crestwood, and Bridgeview.There more than 20,000 limited English speaking households, accounting for 4.1% of households in thearea.One-third of households (33.2%) in the communities served by Palos Community Hospital are "Housing Cost-Burdened", meaning they spend over 30% of household income on housing costs. |
| Part VI, Line 5: | Palos Hospital is an acute care facility with 425 licensed beds, 14 operating rooms, nearly 600 physicians on the medical staff and approximately 3,000 employees. Within the service area, Palos serves as a valuable resource for health education and wellness initiatives for residents. Palos continues to monitor the health care needs of its service area to insure the need for the services it offers and evaluate the opportunity to develop new programs and services as necessary. Palos works with and in support of other not-for-profit, educational, governmental, civic or community organizations, as appropriate, to promote health and wellness through awareness, education, research, access or support. During 2018, Palos Hospital offered more than 100 disease prevention and/or wellness focused programs with more than 2,500 participants. Programs range from how to eat a more plant based diet to better understanding the latest in the management/treatment of atrial fibrillation. Palos Hospital supports the local farmer's market, which accepts the LINK card, which is a debit card distributed to those qualified for food stamps). Through participation in many community events throughout the surrounding communities, Palos Hospital serves as a resource for health information. Additionally, the organization uses direct mail to publish articles intended to inform area residents about certain health conditions, community education opportunities offered through the hospital by subject matter experts as well related services available. To support local non-profit organizations, Palos provided more than 20 speaking presentations throughout 2018. Topics covered during these presentations include anxiety, heart health and nutrition. Palos has a very active community volunteer program. In 2018, we managed more than 600 volunteers, ranging in age from 15 to 94 years of age. Volunteers drive for our Home Delivered Meals Program as well as assist patients and visitors navigate our facilities. Palos Hospital sponsors several events throughout the southwest surburbs with purposes that align with the organization's mission, such as the Southwest Half Marathon and American Cancer Society's Making Strides Against Breast Cancer.Each year, a few community cancer screening programs, as well as the direction of the Cancer Program at Palos, are designed in response to our community's needs based on guidance provided by the Palos Oncology Committee. This group, consisting of hospital leaders, caregivers and physicians, provides direction on how to better meet the needs of cancer patients in our community. Palos Hospital is governed by the Board of Directors, comprised of community leaders from the hospital's service area. Employees of Palos Hospital are encouraged to volunteer in our community through various events throughout the year in the service area. Palos serves as a Senior Health Insurance Program (SHIP) site. This is a free statewide health insurance counseling service for Medicare beneficiaries and their caregivers. The hospital provides office space and other resources to support volunteers offering community members information and resources regarding applying for Medicare and Medicare coverage.Palos provides financial assistance to people with limited means. Uninsured or underinsured individuals may be eligible for discounts on the cost of care. Financial counselors are available to help patients determine terms befitting of the financial situation, as well as provide patients with information regarding local, state and federal assistance programs.For the purpose of disease prevention, Palos provides the influenza vaccination to all employees, medical staff members, volunteers and patients during flu season. To help heart failure and COPD inpatients transition from the hospital to home, Palos Community Hospital offers the Heart Failure/COPD Wellness Clinic. As a non-profit, Palos Hospital returns surplus funds to the organization for the enhancement of care and quality services delivered to our community. |
| Part VI, Line 6: | Palos Community Hospital is not part of an affiliated health care system. |
| Part VI, Line 7, Reports Filed With States | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Terrence Moisan | ||||||||||||||
| President & CEO | $717,817 | $0 | $18,375 | $0 | $101,603 | $0 | $20,625 | $0 | $24,306 | $0 | $882,726 | $0 | $0 | $0 |
| Dr Mark Sinibaldi | ||||||||||||||
| Director/Physician | $361,227 | $0 | $7,875 | $0 | $19,023 | $0 | $20,625 | $0 | $26,185 | $0 | $434,935 | $0 | $7,750 | $0 |
| Rosann S Demask | ||||||||||||||
| Director | $306,356 | $0 | $8,500 | $0 | $31,701 | $0 | $20,291 | $0 | $28,132 | $0 | $394,980 | $0 | $12,518 | $0 |
| Don Dixon | ||||||||||||||
| Secretary | $328,829 | $0 | $8,750 | $0 | $62,398 | $0 | $35,000 | $0 | $12,023 | $0 | $447,000 | $0 | $40,881 | $0 |
| Roger A Russell | ||||||||||||||
| VP Finance/Treasurer | $289,905 | $0 | $7,875 | $0 | $77,102 | $0 | $31,502 | $0 | $26,546 | $0 | $432,930 | $0 | $57,551 | $0 |
| Mary C Denisienko | ||||||||||||||
| VP Human Resources | $157,323 | $0 | $6,545 | $0 | $21,909 | $0 | $13,348 | $0 | $9,210 | $0 | $208,335 | $0 | $0 | $0 |
| Patricia Heerlein | ||||||||||||||
| VP Clinical Services | $237,520 | $0 | $6,250 | $0 | $17,550 | $0 | $13,414 | $0 | $19,438 | $0 | $294,172 | $0 | $0 | $0 |
| William Earman | ||||||||||||||
| Physician | $549,018 | $0 | $1,250 | $0 | $1,500 | $0 | $0 | $0 | $12,114 | $0 | $563,882 | $0 | $0 | $0 |
| Chaher Alhandalous | ||||||||||||||
| Hospitalist | $474,703 | $0 | $28,375 | $0 | $0 | $0 | $14,699 | $0 | $26,825 | $0 | $544,602 | $0 | $0 | $0 |
| Michael Lynch | ||||||||||||||
| Physician | $383,536 | $0 | $38,500 | $0 | $18,070 | $0 | $20,625 | $0 | $21,943 | $0 | $482,674 | $0 | $0 | $0 |
| Imad Qayyum | ||||||||||||||
| Physician | $401,945 | $0 | $6,594 | $0 | $18,476 | $0 | $0 | $0 | $23,614 | $0 | $450,629 | $0 | $0 | $0 |
| Beatrice Correa-Rivera | ||||||||||||||
| Hospitalist | $353,466 | $0 | $28,375 | $0 | $17,940 | $0 | $20,625 | $0 | $8,753 | $0 | $429,159 | $0 | $0 | $0 |
| Charles E Reiter III | ||||||||||||||
| Former Officer | $0 | $0 | $0 | $0 | $249,323 | $0 | $0 | $0 | $1,624 | $0 | $250,947 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Lines 4a-b | Charles E. Reiter, III received a severance payment of $249,323 during 2018. The following individuals participate in a 457(f) plan and the amounts are the contributions to each plan during 2018: Dr. Terrence Moisan - $67,576 Roger Russell - $10,877 Rosann S. Demask - $12,518 Mary C. Denisienko - $2,360 Dr. Mark Sinibaldi - $10,877 Don Dixon - $14,375 The following individuals report amounts vested under a 457(f) plan on Part II, column B(iii). Dr. Terrence Moisan - $84,103 Roger Russell - $59,102 Rosann S. Demask - $13,698 Dr. Mark Sinibaldi - $19,023 Mary C. Denisienko - $3,409 Don Dixon - $43,898 |
| Part I, Line 7 | Discretionary bonuses paid to executives were directed/approved by the Board of Directors. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Ill Fin AuthorityPalos Comm Hospital | ||||||||
| A | 861091967 | 45200F2Z1 | 2010-05-06 | $151,146,301 | Fund construction of new bed tower and modernization of existing bed tower | 0 | Yes (1) | 0 |
| Ill Fin AuthorityPalos Comm Hospital | ||||||||
| B | 861091967 | NoneAvail | 2015-10-01 | $232,015,000 | Refinanced Series 2015A bonds and advance refund Series 2007A bonds | 0 | Yes (1) | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Refunding EscrowRefundingEscrowAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $24,060,000 | $151,146,301 | $1,950,637 | $149,195,664 | 2012 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $5,650,000 | $232,015,000 | $1,149,829 | 2015 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | $230,865,171 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Date Rebate Computation Performed | FormAndLineReferenceDesc |
| Explanation | Issuer Name: Ill Fin Authority/Palos Comm Hospital Date the Rebate Computation was Performed: 02/25/2015 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Child of Patricia Heerlein | |||
| See Part V | $46,706 | Employee compensation | 0 |
| Child of Edward Mulcahy | |||
| See Part V | $79,094 | Employee compensation | 0 |
| Child of Mark Sinibaldi | |||
| See Part V | $46,995 | Employee compensation | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Sch. L, Part IV, Business Transactions Involving Interested Persons: | FormAndLineReferenceDesc |
| Explanation | Patricia Heerlein's daughter is employed by PCH.Edward Mulcahy's daughter is employed by PCH.Mark Sinibaldi's son is employed by PCH. | ExplanationTxt |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail (2 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| St George Corporation | |||||||||
| Short-term Investments | 2018-09-30 | $60,345,302 | Bank Statement | 364383840 | 12251 S 80th Avenue | Palos Heights | IL | 60463 | 501(c)(3) |
| St George Corporation | |||||||||
| Cash | 2018-04-12 | $8,400,000 | Cash | 364383840 | 12251 S 80th Avenue | Palos Heights | IL | 60463 | 501(c)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | Yes (1) | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | 0 | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II, Line 2e: | FormAndLineReferenceDesc |
| Explanation | Person(s) Involved: St. George Corporation is the sole corporate member of Palos Community Hospital. The following officers and directors listed on Form 990, Part VII are directors on St. George Corporation:Edward MulcahyLawrence HuntJason LeyDr. Terrence MoisanDr. Vincent MuscarelloDr. Mark SinibaldiJack Vainauskas | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | St. George Corporation is the sole Corporate Member. |
| Form 990, Part VI, Section A, line 7a | St. George Corporation holds the power to appoint members of the governing body. |
| Form 990, Part VI, Section A, line 7b | St. George Corporation can exercise action on the following matters: (a) removal of directors, with or without cause; (b) all amendments to the bylaws or the Corporation's Articles of Incorporation; (c) the sale or transfer of substantially all of the property of the corporation, except for leases in excess of one year; (d) all long term borrowing in excess of one year; (e) merger or consolidation by the Corporation with any other institution, hospital, corporation or legal entity; (f) formal affiliation with a medical school or research facility; (g) acceptance of any gift, bequest or legacy that imposes a permanent or continuing obligation on the Corporation for a period of more than one year; (h) decisions to authorize voluntary dissolution of the Corporation or to revoke proceedings therefor; (i) adoption of a plan for the distribution of the assets of the Corporation; and (j) any other matters required by law to be submitted to the Corporate Member or which the Board determines by resolution to submit. |
| Form 990, Part VI, Section B, line 11b | Senior management reviewed the Form 990 that was prepared by our tax advisors with the information we provided to them. Once reviewed by senior management it was made available to our Board prior to filing. |
| Form 990, Part VI, Section B, line 12c | On an annual basis directors, key personnel (VP, department heads (budget administrators)), and all purchasing staff must complete a Conflict of Interest Form disclosing any conflict of interest that may exist or be perceived to exist between themselves and/or family members and vendors, contractors and others with whom Palos has a contract/transaction agreement. Annual disclosure statements of key personnel are reviewed by the VP of Human Resources. Any issue identified as part of this annual disclosure is referred to the Compliance Officer, in consultation with General Counsel, for disposition. The full Board reviewed the disclosure statement of each Director that identified an interest. |
| Form 990, Part VI, Section B, line 15 | Palos engaged an independent consultant to complete a market analysis of executive positions. The market analysis included base rates, bonuses and benefits resulting in a total remuneration benchmark. They compared Palos executives to executives in organizations of similar size and with similar characteristics. The consultants presented their report and findings to the Compensation Committee of the Board. The independent members of the Compensation Committee approved compensation and this approval was documented in the minutes at the time of approval. |
| Form 990, Part VI, Section C, line 19 | All policies, governing documents and financial statements required to be available to the public are available upon request. Requests can be made from the Finance Department of Palos Community Hospital. Documents are available for the same period of disclosure as set forth in IRC Section 6104(d). |
| Form 990, Part XI, line 9: | Net Asset Transfer to St. George Corporation -68,753,302. Net Asset Transfer from St. George Corporation 3,500,000. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Palos Medical Group LLC | |||||||||
| 12251 S 80th Avenue | Palos Heights | IL | 60463 | 271472342 | Health Care | IL | $21,530,598 | $12,161,620 | Palos Community Hospital |
| Chicago Health Colleagues LLC | |||||||||
| 12251 S 80th Avenue | Palos Heights | IL | 60463 | 362169179 | Health Care | IL | $1,729,671 | $1,170,070 | Palos Community Hospital |
| Palos Imaging LLC | |||||||||
| 12251 S 80th Avenue | Palos Heights | IL | 60463 | 364836347 | Health Care | IL | $5,839,732 | $3,644,947 | Palos Community Hospital |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St George Corporation | |||||||||||
| 12251 S 80th Avenue | Palos Heights | IL | 60463 | 364383840 | Holding Company | IL | 501(c)(3) | Line 12b, II | N/A | 0 | |
| South Campus Partners Inc | |||||||||||
| 15300 West Avenue | Orland Park | IL | 60462 | 320517854 | Health Care | IL | 501(c)(3) | Line 3 | Yes (1) | Palos Community Hospital | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Palos Health Surgery Center LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15300 West Avenue | AddressLine1Txt |
| City | Orland Park | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60462 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352634975 | EIN |
| Primary Activities | Health Care | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Palos Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Share Of EOY Assets | $856,800 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.50500 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St George Assurance LTD | BusinessNameLine1Txt |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1159 878 W Bay Road | AddressLine1Txt |
| City | Grand Cayman | CityNm |
| Country | CJ | CountryCd |
| Foreign Postal | KY1-1102 | ForeignPostalCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 981313176 | EIN |
| Primary Activities | Captive Insurance | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountryCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Palos Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $11,255 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $28,657,805 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St George Assurance LTD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionTypeTxt |
| Involved | $8,400,000 | InvolvedAmt |
| Method Of Amount Determination | Cash | MethodOfAmountDeterminationTxt |