PRESENCE CHICAGO HOSPITALS NETWORK: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PRESENCE CHICAGO HOSPITALS NETWORK (EIN 36-2235165)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201733199349317658
- Schema version
- 2016v3.1
- 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 H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T17:22:00-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 N Wacker Drive | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362235165 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Presence Chicago Hospitals Network | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JAMES H KELLEY | InCareOfNm |
| Business Name Control | PRES | BusinessNameControlTxt |
| Phone | 6309142791 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 SOUTH WACKER DRIVE | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES H KELLEY | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 6309142791 | PhoneNum |
| Signature | 2017-11-13 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACOB J ZEHNDER | PreparerPersonNm |
| PTIN | P01564049 | PTIN |
| Phone | 3128792000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 164.57.159.253 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 36964520173195000071 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 7D6F4A8AF469C3962AC110E0593D717C1921FD9E | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AA66391A3EB419599D985CB7941CE455993313B6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL ENGLEHART | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 SOUTH WACKER DRIVE | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,100,293,771 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.presencehealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1949 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 821 | TotalVolunteersCnt |
| Total Gross UBI | $4,186,495 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $296,079 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $729,175 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,385,094 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $168,187,617 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,076,348,628 | CYProgramServiceRevenueAmt |
| PY Investment Income | $16,544,074 | PYInvestmentIncomeAmt |
| CY Investment Income | -$215,088 | CYInvestmentIncomeAmt |
| PY Other Revenue | $14,073,848 | PYOtherRevenueAmt |
| CY Other Revenue | $20,559,819 | CYOtherRevenueAmt |
| PY Total Revenue | $199,534,714 | PYTotalRevenueAmt |
| CY Total Revenue | $1,100,078,453 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $16,374 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $121,609,267 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $447,752,936 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $142,296,141 | PYOtherExpensesAmt |
| CY Other Expenses | $641,685,491 | CYOtherExpensesAmt |
| PY Total Expenses | $263,905,408 | PYTotalExpensesAmt |
| CY Total Expenses | $1,089,454,801 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$64,370,694 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,623,652 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,901,077,970 | TotalAssetsBOYAmt |
| Total Assets EOY | $694,898,221 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,807,418,516 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $415,424,261 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $93,659,454 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $279,473,960 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O. | MissionDesc |
| Significant New Program Srvc | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $948,428,054 | ExpenseAmt |
| Revenue | $1,053,098,689 | RevenueAmt |
| Desc | FOR MORE THAN 100 YEARS, THE SISTERS OF THE HOLY FAMILY OF NAZARETH AND THE SISTERS OF THE RESURRECTION HAVE PROVIDED COMPASSIONATE CARE TO THOSE IN NEED--PARTICULARLY POOR, MARGINALIZED AND IMMIGRANT POPULATIONS. THIS IS THE FOUNDATION OF THE SISTERS SACRED HEALTH MINISTRY, WHICH IS EMBODIED IN THE SYSTEM OF HEALTH CARE CORPORATIONS COLLECTIVELY KNOWN AS PRESENCE HEALTH CARE. PRESENCE SAINT FRANCIS HOSPITAL (PSFH), FOUNDED IN 1901, IS A 367-BED, FULL SERVICE MEDICAL FACILITY. IN ADDITION TO THE HOSPITAL AND PHYSICIAN OFFICE CENTER ON THE MAIN CAMPUS, PRESENCE SAINT FRANCIS HOSPITAL OPERATES COMPREHENSIVE DIAGNOSTIC AND TREATMENT SERVICES IN VIRTUALLY EVERY HEALTH SPECIALTY INCLUDING CARDIOLOGY, ONCOLOGY, NEPHROLOGY, UROLOGY, AND ORTHOPEDICS. DEDICATED TO MEDICAL EDUCATION, THE HOSPITAL OFFERS OUTSTANDING RESIDENCIES IN INTERNAL MEDICINE, RADIOLOGY, TRANSITIONAL YEAR, AND OBSTETRICS/GYNEOCOLOGY. FOR THE CALENDAR YEAR ENDED DECEMBER 2016, PSFH PROVIDED PATIENT CARE OF 31,871 PATIENT DAYS AND HAD 7,859 ACUTE DISCHARGES. EMERGENCY ROOM VISITS TOTALED 35,510, SURGERIES TOTALED 4,954, AND OUTPATIENT REGISTRATIONS TOTALED 104,206. PSFH IS THE ONLY LEVEL 1 TRAUMA CENTER BETWEEN EVANSTON AND THE WISCONSIN STATE LINE, DESPITE THE EXTRAORDINARY EXPENSE OF MORE THAN $1 MILLION PER YEAR FOR SPECIALIZED PHYSICIANS, NURSES, TRAINING AND EQUIPMENT TO MAINTAIN THIS SPECIAL STATE DESIGNATION. PRESENCE SAINT FRANCIS HOSPITAL'S PARAMEDIC TRAINING PROGRAM HAS GRADUATED 1,565 EMS PROFESSIONALS SINCE ITS INCEPTION IN 1973 AND PROVIDES MONTHLY CONTINUING EDUCATION FOR MORE THAN 700 PARAMEDICS. VARIOUS OTHER COMMUNITY BENEFITS ARE PROVIDED INCLUDING FREE BLOOD PRESSURE, MELANOMA AND DIABETES SCREENINGS; HEALTH FAIRS SUCH AS HEALTHFEST, AND THE SUMMER SAFETY FAIR; SUPPORT GROUPS FOR SLEEP DISORDERS, BREAST CANCER, BARIATRICS AND DIABETES; EDUCATIONAL CLASSES ON NUTRITION, CHILDBIRTH AND CPR CERTIFICATION; AND COMMUNITY PARTNERSHIPS THROUGH LIFESOURCE BLOOD DRIVES, CAR SEAT SAFETY INSPECTIONS, OPERATION STARS AND STRIPES AND MEALS ON WHEELS. PRESENCE RESURRECTION MEDICAL CENTER (PRMC) IS AN AWARD-WINNING, 360-BED ACADEMIC TEACHING HOSPITAL LOCATED ON THE NORTHWEST SIDE OF CHICAGO. AS A FULL SERVICE MEDICAL CENTER OFFERING COMPREHENSIVE HEALTH SERVICES, THEY ARE DEDICATED TO PROVIDING QUALITY, COMPASSIONATE CARE TO ALL THEY SERVE. RECENTLY, PRMC OPENED A NEW FIVE-STORY PATIENT CARE ADDITION WITH 120 PRIVATE ROOMS. GUIDED BY THE LATEST RESEARCH, EVERY ASPECT OF THE NEW ADDITION PROMOTES HEALING. PRMC OFFERS A BROAD RANGE OF SERVICES - FROM A LEVEL II EMERGENCY DEPARTMENT AND THE FAMILY BIRTHPLACE TO TREATMENT FOR CANCER AND HEART DISEASE. THE MEDICAL STAFF OF NEARLY 500 DOCTORS, INCLUDING PRIMARY CARE PHYSICIANS AND SPECIALISTS IN 55 AREAS OF EXPERTISE, HAS A PROVEN TRACK RECORD OF EXCELLENCE. MANY ARE LEADERS IN THEIR FIELD, CONDUCTING CLINICAL RESEARCH AND TEACHING THE NEXT GENERATION OF CARE PROVIDERS. THE HOSPITAL PROVIDED PATIENT CARE THAT INCLUDED 55,781 ACUTE PATIENT DAYS AND ACUTE DISCHARGES OF 11,565. THERE WERE 11,745 REHAB PATIENT DAYS AND TOTAL REHAB DISCHARGES OF 915. THERE WERE 41,550 EMERGENCY ROOM VISITS, 2,895 INPATIENT SURGERIES, 4,519 OUTPATIENT SURGERIES and 163,652 OUTPATIENT REGISTRATIONS. PRESENCE HOLY FAMILY MEDICAL CENTER OPERATES A FAITH-BASED LONG-TERM ACUTE CARE HOSPITAL (LTACH) IN ILLINOIS, AND THE ONLY SUCH HOSPITAL IN THE NORTHWEST CHICAGOLAND AREA. PHFMC SPECIALIZES IN PROVIDING CARE FOR PATIENTS WHO ARE CRITICALLY ILL WITH COMPLEX CONDITIONS AND MUST BE HOSPITALIZED FOR AN EXTENDED PERIOD. BETWEEN JANUARY 2016 AND DECEMBER 2016, PHFMC PROVIDED PATIENT CARE OF 29,248 INPATIENT DAYS. OUTPATIENT SERVICES INCLUDE SAME DAY SURGERY, CARDIOLOGY, AND IMAGING. BETWEEN JANUARY 1, 2016 AND DECEMBER 31, 2016, PHFMC PROVIDED PATIENT CARE FOR 18,918 OUTPATIENT REGISTRATIONS AND 1,165 SURGERIES. KEYS TO RECOVERY OFFERS A VARIETY OF SUBSTANCE ABUSE TREATMENT PROGRAMS. BETWEEN JANUARY 2016 AND DECEMBER 2016, PHFMC PROVIDED PATIENT CARE OF 2,007 INPATIENT MEDICAL DETOX DAYS, 4,312 RESIDENTIAL PARTIAL HOSPITALIZATION DAYS, AND 3,021 TREATMENT DAYS FOR OUTPATIENT. FOR THE CALENDAR ENDED DECEMBER 2016, PRESENCE SAINT JOSEPH HOSPITALCHICAGOLAND PROVIDED PATIENT CARE OF 63,275 PATIENT DAYS. DISCHARGES TOTALED 11,919. THERE WERE 2,137 REHAB PATIENT DAYS AND 183 REHAB DISCHARGES. THERE WERE 8,080 PSYCH PATIENT DAYS AND 1,367 PSYCH DISCHARGES. THERE WERE 21,179 EMERGENCY ROOM VISITS, 101,581 OUTPATIENT REGISTRATIONS, AND 6,920 SURGERIES. PRESENCE SAINT JOSEPH HOSPITAL CHICAGO, FOUNDED IN 1868 BY THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, IS A FULL SERVICE HEALTH CARE FACILITY SERVING CHICAGO'S NORTH SIDE. WITH OVER 130 YEARS OF SERVICE, PRESENCE SAINT JOSEPH HOSPITAL CHICAGO HAS A HIGHLY TRAINED TEAM OF EXPERTS WITH SPECIALTIES INCLUDING CANCER CARE AND DIAGNOSTIC IMAGING SERVICES WITH OPEN AND CLOSED MRI. PRESENCE SAINTS MARY AND ELIZABETH (PSMEMC) RANKS NUMBER 26 OUT OF 118 CHICAGO METRO AREA HOSPITALS IN U.S. NEWS & WORLD REPORT'S 2014-15 "BEST HOSPITALS" RANKINGS. PSMEMC EARNED DISTINCTIONS AS HIGH-PERFORMING IN THREE SPECIALTIES: NEPHROLOGY, NEUROLOGY AND NEUROSURGERY AND UROLOGY. THE MEDICAL CENTER HAS AN OUTSTANDING HEALTH-CARE TEAM OF PRIMARY CARE DOCTORS, SPECIALISTS, NURSES AND STAFF WHO PROVIDE CARE. THEIR TEAM IS HIGHLY SKILLED, COMPASSIONATE, MULTILINGUAL AND ATTENTIVE TO PATIENT AND FAMILY NEEDS. ON STAFF, THEY HAVE MORE THAN 500 PHYSICIANS IN 40 SPECIALTIES. AS AN ACCREDITED CHEST PAIN CENTER, THEY HAVE ACHIEVED A HIGHER LEVEL OF EXPERTISE IN TREATING PATIENTS WITH CHEST PAIN AND OTHER HEART-ATTACK SYMPTOMS. PSMEMC IS ALSO A CERTIFIED PRIMARY STROKE CENTER, WHICH MEANS THEY CAN RAPIDLY DIAGNOSE AND TREAT STROKES. THE HOSPITAL PRESENCE SAINTS MARY AND ELIZBETH MEDICAL CENTER PROVIDED PATIENT CARE THAT INCLUDED 49,452 ACUTE PATIENT DAYS AND ACUTE DISCHARGES OF 12,037. THERE WERE 2,759 REHAB PATIENT DAYS AND TOTAL REHAB DISCHARGES OF 265. PSYCH PATIENT DAYS WERE 44,225 RESULTING IN DISCHARGES OF 5,904. EXTENDED CARE PATIENT DAYS WERE 8,514 RESULTING IN EXTENDED CARE DISCHARGES OF 418. THERE WERE 63,323 EMERGENCY ROOM VISITS, 2,610 INPATIENT SURGERIES AND 4,867 OUTPATIENT SURGERIES, AND 193,610 OUTPATIENT REGISTRATIONS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,976,700 | ExpenseAmt |
| Revenue | $26,721,973 | RevenueAmt |
| Desc | PRESENCE CHICAGO HOSPITALS NETWORK OPERATES PRESENCE RESURRECTION RETIREMENT COMMUNITY, PRESENCE CASA SAN CARLO RETIREMENT COMMUNITY, AND PRESENCE BETHLEHEM RETIREMENT COMMUNITY. PRESENCE RESURRECTION RETIREMENT COMMUNITY OFFERS 471 SPACIOUS, WELL-MAINTAINED INDEPENDENT LIVING APARTMENTS AND LICENSED ASSISTED LIVING APARTMENTS WITH A FOCUS ON THE COMFORT AND WELL BEING OF RESIDENTS WITH RESPECT FOR THE INDIVIDUAL AND VALUE FOR LIFE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,021,345 | ExpenseAmt |
| Revenue | $3,171,890 | RevenueAmt |
| Desc | PRESENCE CHICAGO HOSPITALS NETWORK OPERATES OUTPATIENT PHARMACIES. THESE PHARMACIES ARE PRIMARILY FOR THE CONVENIENCE OF PATIENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $11,149,265 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $3,801,918 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $979,575,364 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES H KELLEY | PersonNm |
| Phone | 3123083289 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 SOUTH WACKER DRIVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ANIL GOPINATH MD | ||||||||||
| DIRECTOR (TERM 5/2016) | 1.0 | 40.0 | Yes (X) | $0 | $331,994 | $36,090 | ||||
| GARY LIPINSKI MD | ||||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $0 | $408,840 | $22,206 | ||||
| SAM BAGCHI MD | ||||||||||
| DIRECTOR, PRESIDENT / CEO | 1.0 | 41.0 | Yes (X) | $0 | $650,989 | $150,847 | Yes (X) | |||
| MARK HANSON | ||||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS HUBERTY MD | ||||||||||
| DIRECTOR, CHAIR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| THOMAS RUSSE | ||||||||||
| DIRECTOR, VICE CHAIR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ANTHONY FILER | ||||||||||
| TREASURER (TERM 1/16) | 1.0 | 55.0 | $0 | $804,167 | $7,726 | Yes (X) | ||||
| JAMES H KELLEY | ||||||||||
| TREASURER | 1.0 | 55.0 | $0 | $439,434 | $93,832 | Yes (X) | ||||
| JEANNIE C FREY | ||||||||||
| SECRETARY SYS CH LEGL OFFC | 1.0 | 55.0 | $0 | $573,469 | $126,323 | Yes (X) | ||||
| JULIE ROKNICH | ||||||||||
| ASSISTANT SECRETARY | 1.0 | 54.0 | $0 | $189,987 | $29,914 | Yes (X) | ||||
| PATRICIA EDDY | ||||||||||
| ASSISTANT TREASURER | 1.0 | 54.0 | $0 | $164,402 | $29,313 | Yes (X) | ||||
| PATRICK QUINN | ||||||||||
| ASSISTANT TREASURER | 1.0 | 54.0 | $0 | $270,559 | $55,888 | Yes (X) | ||||
| PAULA J CAMPBELL | ||||||||||
| ASSISTANT TREASURER -TERM 8/16 | 1.0 | 54.0 | $0 | $293,454 | $5,179 | Yes (X) | ||||
| STEPHEN WALTER | ||||||||||
| TREASURER (TERM 5/16) | 1.0 | 54.0 | $0 | $85,675 | $0 | Yes (X) | ||||
| ANN ERRICHETTI | ||||||||||
| President | 1.0 | 42.0 | $0 | $631,440 | $27,105 | Yes (X) | ||||
| ROBERTA LUSKIN-HAWK MD | ||||||||||
| CEO/CHAIR/DIRECTOR EX-OFFC | 40.0 | 1.0 | $544,163 | $0 | $619,974 | Yes (X) | ||||
| MARTIN H JUDD | ||||||||||
| RGN PRESIDENT & CEO-MCC | 40.0 | 2.0 | $518,977 | $0 | $97,989 | Yes (X) | ||||
| ROBERT MICHAEL DAHL | ||||||||||
| RGN PRESIDENT & CEO-NWC | 40.0 | 0.0 | $310,123 | $0 | $65,355 | Yes (X) | ||||
| YOLANDE D WILSON-STUBBS | ||||||||||
| PRESIDENT- HFMC LTACH | 40.0 | 0.0 | $218,205 | $0 | $22,917 | Yes (X) | ||||
| LOWELL JOHNSON | ||||||||||
| CEO/CHAIR/DIRECTOR EX-OFFICIO | 40.0 | 0.0 | $674,000 | $0 | $0 | Yes (X) | ||||
| DAVID BORDO MD | ||||||||||
| REGIONAL CHF MED OFFNWC | 40.0 | 1.0 | $398,873 | $0 | $41,577 | Yes (X) | ||||
| DHRUVIL J PANDYA | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $1,027,847 | $0 | $30,578 | Yes (X) | ||||
| SHERMAN HSIEN-CHANG CHEN | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $548,858 | $0 | $28,594 | Yes (X) | ||||
| KIZITO C OJIAKO | ||||||||||
| INTENSIVIST | 40.0 | 0.0 | $434,358 | $0 | $38,671 | Yes (X) | ||||
| MARC A DORFMAN | ||||||||||
| CHAIR AND EXEC DIR MEDICAL ED | 40.0 | 0.0 | $410,575 | $0 | $43,121 | Yes (X) | ||||
| AMY D STEVENS | ||||||||||
| FMR PHP PRESIDENT (TERM 12/15) | 0.0 | 0.0 | $0 | $486,782 | $261 | Yes (X) | ||||
| DAVID E LUNDAL | ||||||||||
| FMR SVP INF TECH OPS-Trm 12/15 | 0.0 | 40.0 | $0 | $394,537 | $568,464 | Yes (X) | ||||
| DAVID R FIELD | ||||||||||
| FMR PHP FIN OFFC(Term 12/15) | 0.0 | 40.0 | $0 | $293,514 | $2,191 | Yes (X) | ||||
| MATTHEW A BROWN | ||||||||||
| CHR/EXEC DIR MED-TRM 12/15 | 0.0 | 40.0 | $0 | $315,834 | $35,486 | Yes (X) | ||||
| RICHARD J LAVACCHI | ||||||||||
| SYS VP SUPP SVCS-TRM 12/15 | 0.0 | 40.0 | $0 | $219,602 | $55,311 | Yes (X) | ||||
| RICHARD J SALZER | ||||||||||
| FMR SYS VP SPLY CHN-TRM 12/15 | 0.0 | 40.0 | $0 | $411,914 | $10,598 | Yes (X) | ||||
| ROBYN PARKER | ||||||||||
| PHP NWK DEV OFFC-TRM 12/15 | 0.0 | 40.0 | $0 | $240,845 | $13,507 | Yes (X) | ||||
| SANDRA BRUCE | ||||||||||
| FMR PRES/CEO/EX-OFFC-TRM 12/15 | 0.0 | 0.0 | $0 | $289,815 | $5,300 | Yes (X) | ||||
| THOMAS KOELBL | ||||||||||
| SYS VP HUMAN RES-TRM 12/15 | 0.0 | 41.0 | $0 | $482,189 | $29,746 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,085,979 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,979,442 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,294,063 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 392 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| STREAMWOOD MGMT SERVICES | |||||
| 5730 WEST ROOSEVELT RD | FOREST PARK | IL | 60644 | MANAGEMENT SERVICES | $5,650,788 |
| GE HEALTHCARE | |||||
| PO BOX 641936 | PITTSBURGH | PA | 15264 | BIO-MED SERVICES | $4,235,903 |
| US BANK CORPORATE TRUST | |||||
| PO BOX 70870 | ST PAUL | MN | 55170 | CLINICAL AGENCY | $3,427,498 |
| CONTINENTAL ANESTHESIA LTD | |||||
| 1301 W 22ND ST STE 601 | OAK BROOK | IL | 60523 | ANESTHESIA SERVICES | $2,249,171 |
| CARDIAC SURGERY ASSOCIATES SC | |||||
| 2650 WARRENVILLE ROAD SUITE 280 | DOWNERS GROVE | IL | 60515 | CARDIAC SERVICES | $1,952,540 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 126 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $3,098,595 | RelatedOrganizationsAmt |
| Government Grants | $286,499 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $3,385,094 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 621990 | $1,036,758,284 | $1,036,758,284 | $0 | $0 |
| MEANINGFUL USE & BC BONUS | 900099 | $8,429,990 | $8,429,990 | $0 | $0 |
| RETIREMENT COMMUNITY RENT | 623000 | $24,800,216 | $24,800,216 | $0 | $0 |
| INTERCOMPANY RENT | 900004 | $1,106,645 | $1,106,645 | $0 | $0 |
| PHARMACY | 446110 | $5,253,493 | $3,171,890 | $2,081,603 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,076,348,628 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $230 | TotalRevenueColumnAmt |
| Exclusion | $230 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,288,291 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,288,291 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,288,291 | TotalRevenueColumnAmt |
| Exclusion | $1,288,291 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $215,318 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$215,318 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$215,318 | TotalRevenueColumnAmt |
| Exclusion | -$215,318 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| 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 | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA & FOOD SERVICES | 722514 | $4,640,690 | $0 | $0 | $4,640,690 |
| CHILD CARE REVENUE | 624410 | $2,892,581 | $848,151 | $2,044,430 | $0 |
| PARKING REVENUE | 812930 | $1,145,355 | $1,088,152 | $57,203 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,592,902 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,589,643 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,259 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $19,271,528 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,100,078,453 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,086,792,971 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,186,495 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,713,893 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,374 | TotalAmt |
| Program Services | $16,374 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,397,700 | TotalAmt |
| Program Services | $2,397,700 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,352,619 | TotalAmt |
| Program Services | $362,352,619 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,470,966 | TotalAmt |
| Program Services | $14,470,966 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,060,509 | TotalAmt |
| Program Services | $42,060,509 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,471,142 | TotalAmt |
| Program Services | $26,471,142 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,597,532 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $109,597,532 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,905 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $281,905 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,600 | TotalAmt |
| Program Services | $1,600 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,256,864 | TotalAmt |
| Program Services | $139,256,864 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $907,305 | TotalAmt |
| Program Services | $907,305 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,442,526 | TotalAmt |
| Program Services | $4,442,526 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,967,566 | TotalAmt |
| Program Services | $1,967,566 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,441,199 | TotalAmt |
| Program Services | $28,441,199 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,975 | TotalAmt |
| Program Services | $727,975 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,115 | TotalAmt |
| Program Services | $116,115 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,049,058 | TotalAmt |
| Program Services | $20,049,058 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,211,564 | TotalAmt |
| Program Services | $60,211,564 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,859,190 | TotalAmt |
| Program Services | $30,859,190 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES & PHARMACY | $140,372,443 | $140,372,443 | $0 | $0 |
| TAXES AND ASSESSMENTS | $55,890,896 | $55,890,896 | $0 | $0 |
| BAD DEBT EXPENSE | $26,612,055 | $26,612,055 | $0 | $0 |
| NON-PATIENT SUPPLIES | $11,667,804 | $11,667,804 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,281,894 | TotalAmt |
| Program Services | $10,281,894 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,089,454,801 | TotalAmt |
| Program Services | $979,575,364 | ProgramServicesAmt |
| Management And General | $109,879,437 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,748,407 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,442,375 | BOYAmt |
| EOY | $262,185 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,020,481 | BOYAmt |
| EOY | $164,749,089 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,702,851 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,113,313 | BOYAmt |
| EOY | $24,619,945 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,671,143 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,135,471,761 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $646,646,037 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $738,777,082 | BOYAmt |
| EOY | $488,825,724 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750,944,866 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $637,372 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,020,080 | BOYAmt |
| EOY | $16,441,278 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,901,077,970 | BOYAmt |
| EOY | $694,898,221 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,135,097 | BOYAmt |
| EOY | $8,856,362 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,907 | BOYAmt |
| EOY | $18,217 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,649,934 | BOYAmt |
| EOY | $1,233,400 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $393,489,190 | BOYAmt |
| EOY | $14,000,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,302,736 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,102,825,652 | BOYAmt |
| EOY | $391,316,282 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,807,418,516 | BOYAmt |
| EOY | $415,424,261 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,180,046 | BOYAmt |
| EOY | $279,473,960 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $479,408 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,659,454 | BOYAmt |
| EOY | $279,473,960 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,901,077,970 | BOYAmt |
| EOY | $694,898,221 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $10,623,652 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $175,190,854 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A PART I | FormAndLineReferenceDesc |
| Explanation | CHANGE IN PUBLIC CHARITY STATUS DUE TO THE MERGING OF PRESENCE RESURRECTION MEDICAL CENTER, PRESENCE HOLY FAMILY MEDICAL CENTER, PRESENCE SAINT FRANCIS HOSPITAL, PRESENCE SAINT JOSEPH HOSPITAL CHICAGO, PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTERS INTO PRESENCE CHICAGO HOSPITALS NETWORK, THE PUBLIC CHARITY STATUS WAS CHANGED TO HOSPITAL DESCRIBED IN SECTION 170(B)(1)(A)(III) TO MORE ACCURATELY REFLECT THE STATUS OF THE ORGANIZATION. | ExplanationTxt |
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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $1,600 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,600 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B LINE 1I | FormAndLineReferenceDesc |
| Explanation | OTHER ACTIVITIES NATIONAL ASSOCIATION OF LONG TERM CARE HOSPITALS 9.22% OF MEMBERSHIP DUES ARE SPENT ON LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $479,407 | BeginningYearBalanceAmt |
| Contributions | $112,191 | ContributionsAmt |
| Other Expenditures | $85,928 | OtherExpendituresAmt |
| End Year Balance | $505,670 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $417,952 | BeginningYearBalanceAmt |
| Contributions | $152,656 | ContributionsAmt |
| Other Expenditures | $91,201 | OtherExpendituresAmt |
| End Year Balance | $479,407 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $390,210 | BeginningYearBalanceAmt |
| Contributions | $153,078 | ContributionsAmt |
| Other Expenditures | $125,336 | OtherExpendituresAmt |
| End Year Balance | $417,952 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $355,388 | BeginningYearBalanceAmt |
| Contributions | $157,376 | ContributionsAmt |
| Other Expenditures | $122,554 | OtherExpendituresAmt |
| End Year Balance | $390,210 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $344,301 | BeginningYearBalanceAmt |
| Contributions | $169,957 | ContributionsAmt |
| Other Expenditures | $158,870 | OtherExpendituresAmt |
| End Year Balance | $355,388 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,749,590 | OtherCostOrOtherBasisAmt |
| Book Value | $30,749,590 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $631,212,715 | OtherCostOrOtherBasisAmt |
| Depreciation | $348,759,340 | DepreciationAmt |
| Book Value | $282,453,375 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,544,347 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,315,871 | DepreciationAmt |
| Book Value | $21,228,476 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $427,479,487 | OtherCostOrOtherBasisAmt |
| Depreciation | $284,406,038 | DepreciationAmt |
| Book Value | $143,073,449 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,485,622 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,164,788 | DepreciationAmt |
| Book Value | $11,320,834 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $488,825,724 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| BLUE CROSS SETTLEMENTS | $79,324,635 |
| PLC SECURITY DEPOSITS & ENTRANCE FEES | $19,712,841 |
| MEDICARE SETTLEMENTS | $9,685,990 |
| MEDICAID SETTLEMENTS | $2,500,699 |
| DUE TO AFFILIATES | $261,261,208 |
| OTHER LONG TERM LIABILITIES | $18,830,909 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $391,316,282 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Intended use of endowment funds | FormAndLineReferenceDesc |
| Explanation | SCHEDULE D, PART V, LINE 4 TEMPORARILY RESTRICTED FUNDS WERE TRANSFERRED TO PRESENCE CARE TRANSFORMATION CORPORATION to be administered at the corporate services level for the benefit of the system's chapels within each hospital. FIN 48(ASC 740) Footnote SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE - PRESENCE HEALTH AND AFFILIATES RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. AS OF DECEMBER 31, 2016 AND 2015 PRESENCE HEALTH AND ITS AFFILIATES DO NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,827,630 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,827,630 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01580 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 114164 | PersonsServedCnt |
| Total Community Benefit Expns | $241,685,337 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $258,001,288 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$16,315,951 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 114164 | PersonsServedCnt |
| Total Community Benefit Expns | $258,512,967 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $258,001,288 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $511,679 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01580 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 128 | ActivitiesOrProgramsCnt |
| Persons Served | 55842 | PersonsServedCnt |
| Total Community Benefit Expns | $938,786 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,627 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $904,159 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 45 | ActivitiesOrProgramsCnt |
| Persons Served | 8185 | PersonsServedCnt |
| Total Community Benefit Expns | $75,807,073 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,777,764 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $58,029,309 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05460 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 765 | PersonsServedCnt |
| Total Community Benefit Expns | $3,057,203 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,865,862 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,191,341 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 170 | PersonsServedCnt |
| Total Community Benefit Expns | $75,407 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $75,407 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 33 | ActivitiesOrProgramsCnt |
| Persons Served | 4098 | PersonsServedCnt |
| Total Community Benefit Expns | $249,229 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $249,229 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 212 | ActivitiesOrProgramsCnt |
| Persons Served | 69060 | PersonsServedCnt |
| Total Community Benefit Expns | $80,127,698 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,678,253 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $60,449,445 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05690 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 212 | ActivitiesOrProgramsCnt |
| Persons Served | 183224 | PersonsServedCnt |
| Total Community Benefit Expns | $338,640,665 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $277,679,541 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $60,961,124 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07270 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,495 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,495 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $14,783 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,783 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 572 | PersonsServedCnt |
| Total Community Benefit Expns | $11,948 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,948 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $91 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $91 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 218 | PersonsServedCnt |
| Total Community Benefit Expns | $17,717 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,717 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $10,457 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,457 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 602 | PersonsServedCnt |
| Total Community Benefit Expns | $58,331 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,914 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $55,417 | NetCommunityBenefitExpnsAmt |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 37 | ActivitiesOrProgramsCnt |
| Persons Served | 1392 | PersonsServedCnt |
| Total Community Benefit Expns | $114,822 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,914 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $111,908 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $26,317,587 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $418,737,246 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $415,434,021 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,303,225 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 6 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (6 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRESENCE SAINT JOSEPH HOSPITAL CHICAG | ||||||||||||
| 1 | 2900 NORTH LAKE SHORE DRIVE | CHICAGO | IL | 60657 | presencehealth.org | 0005983 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| PRESENCE RESURRECTION MEDICAL CENTER | ||||||||||||
| 2 | 7435 W TALCOTT AVENUE | CHICAGO | IL | 60631 | presencehealth.org | 0006031 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| PRESENCE SAINT FRANCIS HOSPITAL | ||||||||||||
| 3 | 355 RIDGE AVENUE | EVANSTON | IL | 60202 | PRESENCEHEALTH.ORG | 0005991 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | LEVEL I TRAUMA CNTR |
| PRESENCE SAINT MARY OF NAZARETH HOSPI | ||||||||||||
| 4 | 2233 W DIVISION ST | CHICAGO | IL | 60622 | PRESENCEHEALTH.ORG | 0006007 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| PRESENCE SAINT ELIZABETH HOSPITAL | ||||||||||||
| 5 | 1431 N CLAREMONT | CHICAGO | IL | 60622 | PRESENCEHEALTH.ORG | 0006015 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| PRESENCE HOLY FAMILY MEDICAL CENTER | ||||||||||||
| 6 | 100 NORTH RIVER ROAD | DES PLAINES | IL | 60016 | PRESENCEHEALTH.ORG | 0006023 | Yes (X) | A | LT ACUTE CARE HOSPTL | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | presencehealth.org/community | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | presencehealth.org/community | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | presencehealth.org/financial-assista | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | presencehealth.org/financial | 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 |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | 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 (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5 | ALL PRESENCE HEALTH COOK COUNTY HOSPITALS PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY TO CONDUCT A COUNTY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT ALONG WITH 21 OTHER HOSPITALS, 7 PUBLIC HEALTH DEPARTMENTS, AND MORE THAN 100 COMMUNITY ORGANIZATIONS. STAKEHOLDER ENGAGEMENT THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY IS FOCUSED ON COMMUNITY-ENGAGED ASSESSMENT, PLANNING AND IMPLEMENTATION. STAKEHOLDERS AND COMMUNITY PARTNERS HAVE BEEN INVOLVED IN MULTIPLE WAYS THROUGHOUT THIS ASSESSMENT PROCESS, BOTH IN TERMS OF COMMUNITY INPUT DATA AND AS DECISION-MAKING PARTNERS. TO ENSURE MEANINGFUL ONGOING INVOLVEMENT, EACH REGIONS STAKEHOLDER ADVISORY TEAM MET MONTHLY DURING THE ASSESSMENT PHASE TO PROVIDE INPUT AT EVERY STAGE AND TO ENGAGE IN CONSENSUS-BASED DECISION MAKING. ADDITIONAL OPPORTUNITIES FOR STAKEHOLDER ENGAGEMENT DURING ASSESSMENT INCLUDED PARTICIPATION IN HOSPITALS COMMUNITY ADVISORY GROUPS AND COMMUNITY INPUT THROUGH SURVEYS AND FOCUS GROUPS. THE STAKEHOLDER ADVISORY TEAM MEMBERS BRING DIVERSE PERSPECTIVES AND EXPERTISE. THEY REPRESENT POPULATIONS AFFECTED BY HEALTH INEQUITIES INCLUDING DIVERSE RACIAL AND ETHNIC GROUPS; IMMIGRANTS AND REFUGEES; OLDER ADULTS; YOUTH; HOMELESS INDIVIDUALS; UNEMPLOYED; LESBIAN, GAY, BISEXUAL, QUEER, INTERSEX, AND ASEXUAL (LGBQIA) AND TRANSGENDER INDIVIDUALS; UNINSURED; AND VETERANS. WHEN REQUESTED, ALL STAKEHOLDER GROUPS PROVIDED INPUT. PLEASE SEE PART V, SECTION B, LINE 6B FOR A LIST OF COMMUNITY STAKEHOLDERS THAT PROVIDED INPUT ON THE CHNA PROCESS, MANY OF THEM AS REPRESENTATIVES OF VULNERABLE AND MARGINALIZED COMMUNITIES. ASSESSMENT FRAMEWORK AND METHODOLOGY THE COLLABORATIVE USED THE MAPP ASSESSMENT FRAMEWORK. THE MAPP FRAMEWORK PROMOTES A SYSTEM FOCUS, EMPHASIZING THE IMPORTANCE OF COMMUNITY ENGAGEMENT, PARTNERSHIP DEVELOPMENT, SHARED RESOURCES, SHARED VALUES, AND THE DYNAMIC INTERPLAY OF FACTORS AND FORCES WITHIN THE PUBLIC HEALTH SYSTEM. THE FOUR MAPP ASSESSMENTS ARE: - COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) - COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) - FORCES OF CHANGE ASSESSMENT (FOCA) - LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY CHOSE THIS COMMUNITY-DRIVEN ASSESSMENT MODEL TO ENSURE THAT THE ASSESSMENT AND IDENTIFICATION OF PRIORITY HEALTH ISSUES WAS INFORMED BY THE DIRECT PARTICIPATION OF STAKEHOLDERS AND COMMUNITY RESIDENTS. THE FOUR MAPP ASSESSMENTS WERE CONDUCTED IN PARTNERSHIP WITH COLLABORATIVE MEMBERS AND THE RESULTS WERE ANALYZED AND DISCUSSED IN MONTHLY STAKEHOLDER ADVISORY TEAM MEETINGS. |
| PART V, SECTION B, LINE 6A | THE FOLLOWING HOSPITALS PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY: ADVOCATE CHILDREN'S HOSPITAL (ADJUNCT) ADVOCATE CHRIST MEDICAL CENTER ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ADVOCATE LUTHERAN GENERAL HOSPITAL ADVOCATE SOUTH SUBURBAN MEDICAL CENTER ADVOCATE TRINITY HOSPITAL GOTTLIEB MEMORIAL HOSPITAL LOYOLA UNIVERSITY MEDICAL CENTER MERCY HOSPITAL & MEDICAL CENTER NORTHSHORE EVANSTON HOSPITAL NORTHSHORE GLENBROOK HOSPITAL NORTHSHORE HIGHLAND PARK HOSPITAL (ADJUNCT) NORTHSHORE SKOKIE HOSPITAL NORWEGIAN AMERICAN HOSPITAL PRESENCE HOLY FAMILY MEDICAL CENTER PRESENCE RESURRECTION MEDICAL CENTER PRESENCE SAINT FRANCIS HOSPITAL PRESENCE SAINT JOSEPH HOSPITAL PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER PROVIDENT HOSPITAL OF COOK COUNTY RML SPECIALTY HOSPITALS (CHICAGO & HINSDALE) ROSELAND COMMUNITY HOSPITAL RUSH OAK PARK RUSH UNIVERSITY MEDICAL CENTER STROGER HOSPITAL OF COOK COUNTY |
| PART V, SECTION B, LINE 6B | THE 2016 PRESENCE HEALTH COMMUNITY BENEFIT REPORT WAS MADE PUBLICLY AVAILABLE THROUGH A VARIETY OF WAYS TO SHARE THE INFORMATION WITH THE COMMUNITY AT LARGE: - PRINT VERSION OF REPORT THE REPORT WAS MAILED FROM THE SYSTEM OFFICE AND EACH HOSPITAL TO COMMUNITY PARTNERS, ELECTED OFFICIALS, AND LOCAL LEADERS. - WEBSITE A ROBUST COMMUNITY SECTION HAS BEEN DEVELOPED AND CAN BE FOUND ONLINE AT WWW.PRESENCEHEALTH.ORG/COMMUNITY. THIS SECTION INCLUDES AN ONLINE, DOWNLOADABLE FILE OF THE 2016 COMMUNITY BENEFIT REPORT AS WELL AS AN INTERACTIVE TOOL FOR EXPLORING THE COMMUNITY BENEFIT PROVIDED BY EACH MINISTRY. THROUGH THIS LINK, COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DOCUMENTS SPECIFIC TO THE HOSPITAL CAN BE DOWNLOADED, INCLUDING A COMMUNITY-FRIENDLY CHNA DOCUMENT, THE SOURCE DOCUMENTS OF ALL DATA REVIEWED, AN OVERALL CHNA REPORT, AND AN IMPLEMENTATION STRATEGY. - POWERPOINT PRESENTATION A STANDARD POWERPOINT OF THE ENTIRE 2016 COMMUNITY BENEFIT REPORT HAS BEEN MADE AVAILABLE. A CUSTOMIZED VERSION OF THIS PRESENTATION HAS ALSO BEEN CREATED FOR EACH MINISTRY TO SHARE WITH THE COMMUNITY, WHICH SHOWS THE LOCAL COMMUNITY BENEFIT CONTRIBUTIONS, PERSONS SERVED, AND THE 2016 PRIORITIZED COMMUNITY NEEDS. |
| PART V, SECTION B, LINE 7D | COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS. |
| PART V, SECTION B, LINE 11 | ALL COOK COUNTY PRESENCE HEALTH HOSPITALS PRIORITIZED THE FOLLOWING FOUR IDENTIFIED HEALTH NEEDS AS A RESULT OF STAKEHOLDER AND COMMUNITY INPUT AND ENGAGEMENT THROUGH THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY: - IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH WHILE REDUCING SOCIAL AND ECONOMIC INEQUITIES - IMPROVING MENTAL AND BEHAVIORAL HEALTH - PREVENTING AND REDUCING CHRONIC DISEASE (FOCUSED ON RISK FACTORS NUTRITION, PHYSICAL ACTIVITY, AND TOBACCO) - INCREASING ACCESS TO CARE AND COMMUNITY RESOURCES ALL IDENTIFIED HEALTH NEEDS ARE BEING ADDRESSED AT EACH HOSPITAL. WE HAVE IMPLEMENTED AN EVIDENCE-BASED APPROACH TO MEET EACH PRIORITIZED COMMUNITY NEED, EITHER BY DEVELOPING A NEW PROGRAM, STRENGTHENING AN EXISTING ONE, OR BORROWING A SUCCESSFUL MODEL FROM ANOTHER CONTEXT. WE PAID SPECIAL ATTENTION TO GAPS IN EXISTING SERVICES, THE NEEDS OF MARGINALIZED OR VULNERABLE POPULATIONS, AND WHETHER WORKING IN PARTNERSHIP WITH OTHER ORGANIZATIONS MIGHT HELP US ADDRESS NEEDS MORE HOLISTICALLY. THESE PROGRAMS EXIST ALONGSIDE OTHER COMMUNITY BENEFIT OPERATIONS AT PRESENCE HEALTH, SUCH AS A COMPREHENSIVE FINANCIAL ASSISTANCE POLICY AND A LARGE OUTLAY IN HEALTH PROFESSIONS EDUCATION, WHICH ALSO HELP ADDRESS COMMUNITY NEEDS WITHOUT THE USE OF FORMAL PROGRAM EVALUATION. BELOW ARE THE KEY INTERVENTIONS OUR HOSPITALS ARE IMPLEMENTING TO ADDRESS EACH PRIORITIZED HEALTH NEED. GOAL 1: REDUCE INEQUITIES AND IMPROVE SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH STRATEGY 1A. IMPROVE THE ECONOMIC VIBRANCY, BROAD PROSPERITY AND FINANCIAL SECURITY OF OUR COMMUNITIES ANCHOR MISSION UTILIZE THE MINISTRYS POSITION AS AN ANCHOR INSTITUTION TO DRIVE INVESTMENT IN VULNERABLE COMMUNITIES HEALTHCARE WORKFORCE COLLABORATIVE A SERIES OF PARTNERSHIPS AIMED AT ALIGNING AVAILABLE HEALTHCARE JOBS AND THE SKILLS OF CURRENT JOB SEEKERS SCHOOL-BASED CAREER PIPELINE (ACHIEVING DREAMS) WORK WITH OUR ACADEMIC PARTNERS TO PROVIDE EXPOSURE AND TRAINING FOR STUDENTS INTERESTED IN HEALTHCARE CAREERS YOUTH SUMMER EMPLOYMENT PROGRAM THAT EMPLOYS AT-RISK YOUTH (16-24) IN SUMMER JOBS AND APPRENTICESHIPS STRATEGY 1B. IMPROVE THE HEALTH, SAFETY AND ACCESSIBILITY OF HOUSING GREEN AND HEALTHY HOMES INITIATIVE PROGRAM TO REMEDIATE ENVIRONMENTAL HEALTH CONDITIONS THAT CAUSE POOR HEALTH SUCH AS ASTHMA TRIGGERS, LACK OF HOME VENTILATION AND LEAD PAINT. SUPPORTIVE HOUSING AND CARE LINKAGES FOR THE HOMELESS PROGRAM TO REMEDIATE HOMELESSNESS AND TRANSIENT LIVING BY PROVIDING CLOSER CARE COORDINATION AND REFERRALS TO TRANSITIONAL AND SUPPORTIVE HOUSING. ADVOCATING FOR THE EXPANSION OF AFFORDABLE HOUSING CREDITS IMPROVING THE LANDSCAPE OF AFFORDABLE HOUSING IN ILLINOIS BY ADVOCATING FOR GREATER USE OF HOUSING VOUCHERS AND MORE FINANCIAL SUPPORT FOR SUBSIDIZED HOUSING. SCREEN FOR HOUSING AND UTILITY SECURITY DEVELOP A SCREENING TOOL WITH OUR HOSPITAL AND HEALTH DEPARTMENT PARTNERS TO IDENTIFY PATIENTS AND COMMUNITY MEMBERS LIVING IN UNSTABLE HOUSING OR SUFFERING FROM UTILITY BURDENS. STRATEGY 1C. REDUCE VIOLENCE AND MITIGATE THE IMPACT IT HAS ON THE HEALTH AND WELL-BEING OF OUR NEIGHBORS. ANTI-BULLYING CAMPAIGN DEVELOP STRATEGIES IN COLLABORATION WITH LOCAL PARTNERS TO REDUCE BULLYING AND CIRCUMVENT CYCLES OF VIOLENCE. ANTI-HUMAN TRAFFICKING HUMAN TRAFFICKING VICTIMS ARE SUBJECTED TO FORCE, FRAUD OR COERCION FOR THE PURPOSE OF SEX OR FORCED LABOR, AND MANY CAN BE INTERDICTED AT HOSPITALS BY PROFESSIONALS TRAINED TO RECOGNIZE POSSIBLE EXPLOITATION. GUN VIOLENCE PREVENTION TASK FORCE SERVE ON A TASK FORCE COMPRISED OF COMMUNITY STAKEHOLDERS TO DEVELOP INTERVENTIONS FOR GUN VIOLENCE AND THE RESULTANT TRAUMA APPROPRIATE TO THE CIRCUMSTANCES OF THE COMMUNITY. SAFE PASSAGE ROUTES & SAFE HAVEN PROGRAM SAFE PASSAGE IS DESIGNED TO PROVIDE SAFE ROUTES FOR STUDENTS WHILE TRAVELING TO AND FROM SCHOOL. SAFE HAVEN PROGRAM ARE SITES (HOSPITALS, BUSINESSES, LIBRARIES) IDENTIFIED BY A SIGNED PLACED IN THE LOCATION, TO ALERT THE CHILD THAT THEY CAN FIND A FRIENDLY SHELTER INSIDE AND ASK FOR ASSISTANCE. STRATEGY 1D. IMPROVE ACCESS TO QUALITY, HEALTHY AFFORDABLE FOOD FARMERS MARKET SPONSOR AND HOST SEASONAL FARMERS MARKETS ON MINISTRY GROUNDS TO PROVIDE ACCESS TO HEALTHY FOOD TO COMMUNITY RESIDENTS, PATIENTS, AND ASSOCIATES. SURPLUS PROJECT UTILIZE EXCESS FOOD PRODUCED IN MINISTRY CAFETERIAS BY PACKAGING AND DISTRIBUTING TO SUMMER LUNCH PROGRAMS, HOMELESS SHELTERS AND FOOD BANKS. SNAP BENEFITS IMPROVE ENROLLMENT AND ADVOCATE FOR EXPANDED BENEFITS. GOAL 2: IMPROVE MENTAL HEALTH AND DECREASE SUBSTANCE ABUSE STRATEGY 2A. INCREASE AWARENESS OF MENTAL HEALTH CONDITIONS AND REDUCE STIGMA MENTAL HEALTH FIRST AID (MHFA) CERTIFICATE-BASED PROGRAM USING NATIONAL, EVIDENCE-BASED CURRICULUM THAT TEACHES THE SKILLS TO RESPOND TO THE SIGNS OF MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. TRAUMA-INFORMED COMMUNITIES PARTNER WITH LOCAL AND COUNTY HEALTH DEPARTMENTS TO ACHIEVE THE DESIGNATION BY HELPING TRAIN CITY AND COUNTY WORKFORCE IN TRAUMA-INFORMED SERVICE DELIVERY, PROVIDE RESOURCE GUIDES AND SUPPORT POLICY CHANGE. STRATEGY 2B. DEVELOP TELEHEALTH POLICY SOLUTIONS TO ADDRESS MENTAL HEALTH PROFESSIONAL SHORTAGES ADOLESCENT AND TEEN DRUG AND ALCOHOL PREVENTION PROVIDE INFORMATION OF LONG-TERM EFFECTS OF DRUG AND ALCOHOL USE TO REDUCE THE LEVEL OF ADOLESCENT DRUG AND ALCOHOL DRUG ABUSE AND PROMOTE POSITIVE MENTAL HEALTH AMONG TEENS IN OUR COMMUNITY. PARTNER WITH ADDICTION AND RECOVERY GROUPS PROVIDE SPACE, RESOURCES AND SUPPORT FOR COMMUNITY-BASED ADDICTION AND RECOVERY PARTNERS. STRATEGY 2C. INCREASE ACCESS TO SUBSTANCE ABUSE INTERVENTIONS AND RECOVERY PROGRAMS ADOLESCENT AND TEEN DRUG AND ALCOHOL PREVENTION PROVIDE INFORMATION OF LONG-TERM EFFECTS OF DRUG AND ALCOHOL USE TO REDUCE THE LEVEL OF ADOLESCENT DRUG AND ALCOHOL DRUG ABUSE AND PROMOTE POSITIVE MENTAL HEALTH AMONG TEENS IN OUR COMMUNITY. PARTNER WITH ADDICTION AND RECOVERY GROUPS PROVIDE SPACE, RESOURCES AND SUPPORT FOR COMMUNITY-BASED ADDICTION AND RECOVERY PARTNERS. GOAL 3: PREVENT AND REDUCE CHRONIC DISEASE STRATEGY 3A. CREATE A HEALTHY CARE DELIVERY COMMUNITY AMERICAN LUNG ASSOCIATION TOBACCO 21 ACT INCREASING THE MINIMUM AGE OF SALE FOR TOBACCO PRODUCTS TO AT LEAST 21 YEARS OLD WILL SIGNIFICANTLY REDUCE YOUTH TOBACCO USE AND SAVE THOUSANDS OF LIVES. SMOKE FREE FAITH INCREASE SMOKING CESSATION ATTEMPTS USING EVIDENCE-BASED STRATEGIES BY ADULT SMOKERS IN FAITH COMMUNITY SETTINGS. CAMPUS FIT LOOP CREATE VISIBLE, MARKED WALKING TRAILS ON AND AROUND OUR MINISTRIES TO ENCOURAGE ACTIVITY AND PHYSICAL FITNESS. RETHINK YOUR DRINK REDUCE SUGARY BEVERAGE CONSUMPTION TO AMELIORATE CHRONIC DISEASE. SODIUM REDUCTION INITIATIVE REDUCE SODIUM CONSUMPTION FROM FOOD SERVED ON THE HOSPITAL CAMPUS. STRATEGY 3B. PROVIDE EFFECTIVE PROGRAMMING AND PARTNERSHIPS FOR AT-RISK COMMUNITY MEMBERS TO LEAD ACTIVE LIVES A-LIST DIABETES PREVENTION PROGRAM DIABETES SCREENING AND EDUCATION PROGRAM FOCUSING ON THE PREVENTION OF TYPE 2 DIABETES THROUGH LIFESTYLE AND NUTRITION THERAPY. WERE OUT WALKING (WOW) PROGRAM WOW IS A 12 WEEK PROGRAM THAT CREATES A SUPPORTIVE ENVIRONMENT TO MOTIVATE THOSE WHO LIVE, WORK AND PLAY IN EVANSTON TO LEAD HEALTHIER LIVES. FITNESS PRESCRIPTION PROGRAM IMPROVE ACCESS TO AFFORDABLE FITNESS RESOURCES THROUGH SHARED-USE AGREEMENTS AND PARTNERSHIPS WITH PARK DISTRICTS, YMCAS, AND LOCAL GREEN SPACES. LETS MOVE OUR NUMBERS PROVIDES FREE HEALTH SCREENINGS FOR CHOLESTEROL AND DIABETES, FOLLOWED BY CONSULTATION WITH A NURSE OR CERTIFIED DIABETIC NURSE EDUCATOR ON HOW INDIVIDUALS CAN IMPROVE THEIR HEALTH STATUS AND PREVENT CHRONIC DISEASE. GOAL 4: INCREASE ACCESS TO CARE AND COMMUNITY RESOURCES STRATEGY 4A. FURTHER ALIGN AND PARTNER WITH OUR FAITH COMMUNITIES TO PROVIDE CARE, ADVOCATE FOR COVERAGE AND PROMOTE HEALTH AND WELLNESS FAITH COMMUNITY NURSING A PRACTICE SPECIALTY THAT FOCUSES ON THE INTENTIONAL CARE OF THE SPIRIT, PROMOTION OF AN INTEGRATIVE MODEL OF HEALTH AND PREVENTION AND MINIMIZATION OF ILLNESS WITHIN THE CONTEXT OF A COMMUNITY OF FAITH. FAITH LEADER HEALTH AND WELLNESS A PROGRAM THAT FOCUSES ON SELF-CARE AND SUPPORT FOR FAITH LEADERS, ESPECIALLY THOSE WHO MINISTER IN VULNERABLE AND DISADVANTAGED COMMUNITIES. STRATEGY 4B. INCREASE CAPACITY AND AVAILABILITY OF CLINICAL AND COMMUNITY RESOURCES FOR VULNERABLE POPULATIONS FQHC AND FREE CLINIC PARTNER SUPPORT PROVIDE FINANCIAL, REFERRAL, AND IN-KIND SUPPORT TO LOCAL FQHCS AND FREE CLINICS. CANCER PREVENTION SCREENINGS PROVIDES LOW INCOME AND UNINSURED INDIVIDUALS WITH FREE MAMMOGRAMS AND FOLLOW-UP TESTING FOR BREAST CANCER, AS WELL AS COLORECTAL FIT KIT SCREENINGS, WITH SUPPORT FROM THE SILVER LINING FOUNDATION AND THE SUSAN G. KOMEN FOUNDATION. STRATEGY 4C. IMPROVE COMMUNITY MEMBERS EFFECTIVE USE OF THE HEALTH SYSTEM AND COMMUNITY RESOURCES OPEN ENROLLMENT EXPANDING ACCESS TO INSURANCE AND SOCIAL SERVICE BENEFITS BY PROVIDING ENROLLMENT SUPPORT AND RESOURCES, ON CAMPUS AND AT COMMUNITY PARTNER SITES. WELLNESS SCREENINGS DEVELOP COMMUNITY ACCESS POINTS (HEALTH FAIRS, SCREENINGS, ETC.) TO IMP |
| PART V, SECTION B, LINE 13H | PATIENTS WITH INSURANCE WHO FACE OUT-OF-POCKET EXPENSES ARE PRESUMPTIVELY ELIGIBLE FOR FULL WRITE-OFF OF OUT-OF-POCKET EXPENSES WITH AN INCOME UP TO 200% OF THE FPL AND DISCOUNTS ON THEIR OUT-OF-POCKET EXPENSES WITH AN INCOME UP TO 400% OF THE FPL. |
| PART V, SECTION B, LINE 14 | FEDERAL POVERTY GUIDELINES ARE ALSO USED IN DETERMINING THE BASIS OF CALCULATING AMOUNTS CHARGED TO PATIENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LABOURE CLINIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2913 N COMMONWEALTH | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60657 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | MEDICAL CARE CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST | PART I, LINE 3C IN ADDITION TO THE FEDERAL POVERTY GUIDELINES (FPG), WITH FPG FAMILY INCOME LIMIT FOR ELIGIBLITY OF FREE CARE OF 200% AND FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR DISCOUNTED CARE OF 600% THE FOLLOWING ELIGIBLITY CRITERIA ARE EXPLAINED IN THE FINANCIAL ASSISTANCE POLICY. PRESUMPTIVE ELIGIBILITY CRITERIA ANY PATIENT MEETING ANY OF THE CRITERIA SET FORTH BELOW WILL BE CONSIDERED PRESUMPTIVELY ELIGIBLE FOR FINANCIAL ASSISTANCE WITHOUT FURTHER DOCUMENTATION REQUIREMENTS. IN SUCH SITUATIONS, THE PATIENT IS DEEMED TO HAVE A FAMILY INCOME OF 200% OR LESS OF THE FEDERAL POVERTY LEVEL, AND THEREFORE ELIGIBLE FOR A 100% REDUCTION FROM MEDICALLY NECESSARY HOSPITAL CHARGES (I.E. FULL CHARITY WRITE OFF). PATIENTS WILL RECEIVE A MINIMUM OF ONE (1) STATEMENT TO PROVIDE A SUMMARY OF SERVICES AND ACCOUNT INFORMATION. PRESUMPTIVE ELIGIBILITY FOR 100% FINANCIAL ASSISTANCE WILL BE MADE FOR PATIENTS MEETING ANY OF THE FOLLOWING CRITERIA: A. PATIENT IS HOMELESS (WITH SUCH STATUS VERIFIED AFTER REVIEW OF AVAILABLE FACTS). B. PATIENT IS DECEASED WITH NO ESTATE. C. PATIENT IS MENTALLY OR PHYSICALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS/HER BEHALF. D. PATIENT IS CURRENTLY ELIGIBLE FOR MEDICAID, BUT WAS NOT ON A PRIOR DATE OF SERVICE OR FOR NON-COVERED SERVICES. E. PATIENT IS ENROLLED OR COVERED BY THE WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM (WIC). F. PATIENT IS ENROLLED OR COVERED BY THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR FOOD STAMP ELIGIBILITY (LINK). G. PATIENT IS ENROLLED OR COVERED BY THE ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM (ELIGIBLE FOR FREE AND REDUCED PRICE SCHOOL MEALS). H. PATIENT IS ENROLLED OR COVERED BY THE LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP). I. PATIENT OR FAMILY IS A QUALIFIED PARTICIPANT IN AN ORGANIZED COMMUNITY-BASED PROGRAM FOR PROVIDING ACCESS TO MEDICAL CARE THAT ACCESSES AND DOCUMENTS LIMITED LOW-INCOME FINANCIAL STATUS CRITERIA. J. PATIENT RECEIVES OR QUALIFIES FOR FREE CARE FROM A COMMUNITY CLINIC AFFILIATED WITH THE HOSPITAL OR KNOWN TO HAVE ELIGIBILITY STANDARDS SUBSTANTIALLY EQUIVALENT TO THAT OF THE HOSPITAL UNDER THIS POLICY, AND THE COMMUNITY CLINIC REFERS THE PATIENT TO THE HOSPITAL FOR TREATMENT OR FOR A PROCEDURE. K. PATIENT IS A RECIPIENT OF GRANT ASSISTANCE FOR MEDICAL SERVICES. L. PATIENT PARTICIPATES IN STATE-FUNDED PRESCRIPTION PROGRAMS. M. PATIENT OR PATIENTS FAMILY IS ENROLLED IN ILLINOIS HOUSING DEVELOPMENT AUTHORITYS RENTAL HOUSING SUPPORT PROGRAM. N. PATIENT OR PATIENTS FAMILY HAS BEEN DETERMINED BY AN INDEPENDENT THIRD-PARTY REPORTING AGENCY TO HAVE FAMILY INCOME OF 200% OR LESS THAN THE FEDERAL POVERTY LEVEL. O. PATIENT OR PATIENTS FAMILYS INABILITY TO PAY ANY PORTION OF PATIENT-LIABILITY AMOUNT HAS BEEN VERIFIED BY AN INDEPENDENT THIRD-PARTY AGENCY. APPLICATION OF CATASTROPHIC DISCOUNT. THE CATASTROPHIC DISCOUNT WILL BE AVAILABLE TO PATIENTS WHO HAVE MEDICAL EXPENSES OVER A 12-MONTH PERIOD FOR MEDICALLY NECESSARY SERVICES FROM A PRESENCE HEALTH HOSPITAL THAT EXCEED 15% OF THE PATIENTS FAMILYS ANNUAL GROSS INCOME, EVEN AFTER PAYMENT BY THIRD-PARTY PAYERS. ANY PATIENT RESPONSIBILITY IN EXCESS OF 15% WILL BE WRITTEN OFF TO CHARITY. SERVICES THAT ARE NOT MEDICALLY NECESSARY WILL NOT BE ELIGIBLE FOR THIS DISCOUNT. UNINSURED SELF-PAY DISCOUNT 1. THERE IS NO APPLICATION PROCESS FOR THE PATIENT TO RECEIVE THE UNINSURED SELF-PAY DISCOUNT. THE DISCOUNT IS APPLIED BASED ON THE ACCOUNTS SELF-PAY/UNINSURED STATUS. 2. PATIENTS RECEIVING PRE-NEGOTIATED DISCOUNTS (PACKAGE PRICING) FOR HOSPITAL SERVICES WILL NOT BE ELIGIBLE FOR THE UNINSURED SELF-PAY DISCOUNT. 3. IF A PATIENT IS SUBSEQUENTLY APPROVED FOR FINANCIAL ASSISTANCE, THE UNINSURED SELF-PAY DISCOUNT WILL BE REVERSED SO THAT THE FULL AMOUNT CAN BE RECOGNIZED AS A CHARITY DISCOUNT. FINANCIAL ASSISTANCE FOR CERTAIN CRIME VICTIMS. INDIVIDUALS WHO ARE DEEMED ELIGIBLE BY THE STATE OF ILLINOIS TO RECEIVE ASSISTANCE UNDER THE VIOLENT CRIME VICTIMS COMPENSATION ACT OR THE SEXUAL ASSAULT VICTIMS COMPENSATION ACT SHALL FIRST BE EVALUATED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BASED ON THE FINANCIAL ASSISTANCE GUIDELINES AND THE ELIGIBILITY CRITERIA. APPLICATIONS FOR REIMBURSEMENT UNDER SUCH CRIME VICTIMS FUNDS WILL BE MADE ONLY TO THE EXTENT OF ANY REMAINING PATIENT LIABILITY AFTER THE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION IS MADE. FINANCIAL ASSISTANCE FOR INSURED PATIENTS. FINANCIAL ASSISTANCE IN THE FORM OF 100% DISCOUNTS (FREE CARE) ARE AVAILABLE FOR PATIENT-LIABILITY AMOUNTS REMAINING AFTER INSURANCE PAYMENTS, FOR INSURED PATIENTS WHO ARE ILLINOIS RESIDENTS WITH FAMILY GROSS INCOME LESS THAN OR UP TO 200% OF THE FEDERAL POVERTY GUIDELINES. FOR INSURED PATIENTS WITH FAMILY GROSS INCOME BETWEEN 200% AND 400% OF THE FEDERAL POVERTY GUIDELINES, THE EXPECTED PATIENT PAYMENT WILL BE THE LESSER OF PATIENTS OUT OF POCKET (OOP) LIABILITY REDUCED BY 100% OF THE HOSPITALS MEDICARE COST-TO-CHARGE RATIO OR THE AMOUNT THE PATIENT WOULD HAVE BEEN RESPONSIBLE FOR HAD THEY BEEN UNINSURED. THE AMOUNT OF FINANCIAL ASSISTANCE WILL BE DETERMINED ONCE ALL THIRD-PARTY PAYMENT AMOUNTS HAVE BEEN IDENTIFIED. IN ADDITION, INSURED PATIENTS WITH HIGH HOSPITAL BILLS MAY RECEIVE A CATASTROPHIC DISCOUNT. FINANCIAL ASSISTANCE FOR STUDENTS. FINANCIAL ASSISTANCE FOR VERIFIED FULL-TIME ENROLLED STUDENTS WITH INCOME OF 200% OR LESS OF THE FEDERAL POVERTY LEVEL WILL BE ELIGIBLE FOR A 100% REDUCTION FROM CHARGES (I.E., FULL CHARITY WRITE-OFF). |
| PART I LINE 6A | PRESENCE HEALTH NETWORK, THE PARENT OF PRESENCE CHICAGO HOSPITALS NETWORK PUBLISHED A COMMUNITY BENEFIT REPORT WITH 2016 DATA, WHICH DETAILS THE COMBINED CHARITABLE IMPACT OUR MINISTRIES HAVE WITHIN THE COMMUNITIES WE SERVE AS WELL AS THE IMPACT OF EACH INDIVIDUAL MINISTRY. EACH MINISTRY CREATES MINISTRY-SPECIFIC IMPLEMENTATION STRATEGIES FOLLOWING THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS WHICH OUTLINE THE GOALS AND OBJECTIVES THEY HAVE ESTABLISHED TO ADDRESS THE PRIORITIZED NEEDS OF THEIR COMMUNITIES. |
| PART I LINE 6B | THE 2016 PRESENCE HEALTH COMMUNITY BENEFIT REPORT WAS MADE PUBLICLY AVAILABLE THROUGH A VARIETY OF WAYS TO SHARE THE INFORMATION WITH THE COMMUNITY AT LARGE: - PRINT VERSION OF REPORT THE REPORT WAS MAILED FROM THE SYSTEM OFFICE AND EACH HOSPITAL TO COMMUNITY PARTNERS, ELECTED OFFICIALS, AND LOCAL LEADERS. - WEBSITE A ROBUST COMMUNITY SECTION HAS BEEN DEVELOPED AND CAN BE FOUND ONLINE AT WWW.PRESENCEHEALTH.ORG/COMMUNITY. THIS SECTION INCLUDES AN ONLINE, DOWNLOADABLE FILE OF THE 2016 COMMUNITY BENEFIT REPORT AS WELL AS AN INTERACTIVE TOOL FOR EXPLORING THE COMMUNITY BENEFIT PROVIDED BY EACH MINISTRY. THROUGH THIS LINK, COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DOCUMENTS SPECIFIC TO THE HOSPITAL CAN BE DOWNLOADED, INCLUDING A COMMUNITY-FRIENDLY CHNA DOCUMENT, THE SOURCE DOCUMENTS OF ALL DATA REVIEWED, AN OVERALL CHNA REPORT, AND AN IMPLEMENTATION STRATEGY. - POWERPOINT PRESENTATION A STANDARD POWERPOINT OF THE ENTIRE 2016 COMMUNITY BENEFIT REPORT HAS BEEN MADE AVAILABLE. A CUSTOMIZED VERSION OF THIS PRESENTATION HAS ALSO BEEN CREATED FOR EACH MINISTRY TO SHARE WITH THE COMMUNITY, WHICH SHOWS THE LOCAL COMMUNITY BENEFIT CONTRIBUTIONS, PERSONS SERVED, AND THE 2016 PRIORITIZED COMMUNITY NEEDS. |
| PART I LINE 7, COLUMN F | PER 2016 INSTRUCTIONS FOR SCHEDULE H (FORM 990), THE BAD DEBT EXPENSE OF $26,317,584 HAS BEEN REMOVED FROM THE DENOMINATOR IN CALCULATING THE PERCENTAGE OF TOTAL EXPENSE IN LINE 7. |
| PART I LINE 7G | COSTS FROM PHYSICIAN CLINICS ARE NOT INCLUDED IN SUBSIDIZED SERVICE TOTALS. |
| PART I LINE 7 | THE COST-TO-CHARGE RATIO WAS USED TO DETERMINE SCHEDULE H, PART I, LINE 7A, FINANCIAL ASSISTANCE AT COST. SCHEDULE H, PART I, LINE 7B, UNREIMBURSED MEDICAID, WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. THE REMAINING AMOUNTS REPORTED ON LINE 7 ARE REPORTED AT COST. Part I - Provider List attached to the FAP During calendar year 2017 certain Presence Health hospitals were audited for Section 501(r) compliance. The IRS determined that based on its interpretation of Treasury Regulations Section 1.501(r)-4(b)(1)(iii)(F), the provider list attached to the hospitals FAP should include all providers of medically necessary hospital services, indicating whether or not such providers are not covered by the FAP. Presence is making this change to comply with the IRS interpretation. |
| PART II. COMMUNITY BUILDING ACTIVITIES | COMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT IMPROVE THE COMMUNITYS HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL HAZARDS. PARTICIPATION IN COLLABORATIVE COMMUNITY EFFORTS TO PROMOTE PUBLIC HEALTH INITIATIVES IS ALSO INCLUDED, SUCH AS ENGAGEMENT IN COALITIONS AND ADVOCACY FOR HEALTH IMPROVEMENT. THESE ACTIVITIES STRENGTHEN THE COMMUNITYS CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. PRESENCE HEALTH HOSPITAL MINISTRIES ENGAGE IN A VARIETY OF COMMUNITY-BUILDING ACTIVITIES WHICH ULTIMATELY IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE ARE PRIVILEGED TO SERVE, EVEN THOUGH THEY ARE NOT SPECIFIC HEALTH ACTIVITIES. EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDE: - THE WORK OF ALL OF OUR HOSPITALS IN SUPPORT OF DISASTER READINESS AND EMERGENCY PREPAREDNESS. THIS WORK GOES ABOVE AND BEYOND ANY LICENSURE REQUIREMENTS TO PROACTIVELY ENSURE THAT OUR COMMUNITIES ARE SAFE AND PREPARED IF A DISASTER SHOULD PRESENT ITSELF. - COMMUNITY SUPPORT: DONATIONS FROM OUR MINISTRIES TO ORGANIZATIONS ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS. - COALITION BUILDING: PRESENCE SAINTS MARY & ELIZABETH MEDICAL CENTER AND PRESENCE RESURRECTION MEDICAL CENTER LED COMMUNITY VISIONING ACTIVITIES, INVITING COMMUNITY STAKEHOLDERS AND RESIDENTS TO HELP THE HOSPITALS IMAGINE THE HEALTHY FUTURE OF THE HOSPITAL CAMPUS AND NEIGHBORHOODS. - WORKFORCE DEVELOPMENT: PRESENCE SAINT JOSEPH HOSPITAL PARTNERS WITH LOCAL SCHOOLS TO PROVIDE INTERNSHIP OPPORTUNITIES IN HEALTHCARE CAREERS AND STRENGTHEN THE SCHOOL-TO-JOB PIPELINE. |
| PART III, SECTION A, LINE 2 | THE BAD DEBT REPORTED ON PART III, LINE 2 AGREES WITH THE FINANCIAL STATEMENTS ACCOUNT. THIS ACCOUNT REDUCES THE REVENUE RECOGNIZED RELATED TO THE ACCOUNT THAT IS DEEMED UNCOLLECTIBLE TO ZERO. |
| PART III, SECTION A, LINE 3 | THE PROVISION FOR FINANCIAL ASSISTANCE POLICY ALLOWS FOR ACCOUNTS IN BAD DEBT TO BE APPROVED FOR FINANCIAL ASSISTANCE IF THE PATIENT MEETS THE CRITERIA. IT IS POSSIBLE THAT THERE ARE FINANCIAL ASSISTANCE ACCOUNTS IN BAD DEBT, ALTHOUGH THE EXACT PERCENTAGE IS UNKNOWN AS WE DO NOT HAVE THE APPROPRIATE TOOLS TO DETERMINE THIS PERCENTAGE ACCURATELY. |
| PART III, SECTION A, LINE 4 | FOR TAX RETURN PURPOSES THE BAD DEBT EXPENSE IS SHOWN ON PART IX, STATEMENT OF FUNCTIONAL EXPENSE. FOR AUDIT PURPOSES THE ORGANIZATION FOLLOWS ASU 2011-07 PRESENTATION. PATIENTS ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENTS ACCOUNTS RECEIVABLE, PRESENCE HEALTH ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, PRESENCE HEALTH ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH PATIENT RESPONSIBILITY (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE PATIENTS ARE SCREENED AGAINST PRESENCE HEALTH CHARITY CARE POLICY AND UNINSURED DISCOUNT POLICY. FOR ANY REMAINING PATIENT RESPONSIBILITY BALANCE, PRESENCE HEALTH RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE IN THE PERIOD OF SERVICE ON THE BASIS OF ITS 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 RATE (OR DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. |
| PART III, SECTION B, LINE 8 | PRESENCE HEALTH COMPUTES THE MEDICARE SURPLUS (OR SHORTFALL) BASED ON A RATIO OF COST TO CHARGES. PRESENCE HEALTH BELIEVES IT IS IMPORTANT FOR THE COMMUNITY AND THE IRS TO BE MADE AWARE OF GOVERNMENT SHORTFALLS, SPECIFICALLY MEDICARE. HOWEVER, WE ACKNOWLEDGE THAT MEDICARE SHORTFALLS MAY BE EXPERIENCED BY OTHER THAN NON-PROFIT HEALTHCARE ORGANIZATIONS. AS SUCH, PRESENCE HEALTH DOES NOT BELIEVE THAT MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. |
| PART III, SECTION C, LINE 9B | COLLECTION POLICIES ARE THE SAME FOR ALL PRESENCE HEALTH HOSPITALS. PATIENTS ARE NOTIFIED OF THE FINANCIAL ASSISTANCE POLICY AT THE TIME OF REGISTRATION VIA POSTED NOTIFICATIONS AND ON EVERY ACCOUNT STATEMENT THAT IS SENT TO THEM. THIS INFORMATION IS AVAILABLE IN ALL LANGUAGES SPOKEN BY AT LEAST 1,000 HOUSEHOLDS OF LIMITED ENGLISH PROFICIENCY IN THE AREA SERVED BY THE HOSPITAL ENTITY, PER FINAL RULE 501(R) GIUDELINES. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE REVENUE CYCLE. PER THE PROVISION FOR FINANCIAL ASSISTANCE POLICY, THE COLLECTION PROCESS IS AS FOLLOWS: 1. PRE-LITIGATION REVIEW: PRIOR TO AN ACCOUNT BEING AUTHORIZED FOR THE FILING OF SUIT FOR NON-PAYMENT OF A PATIENT BILL, A FINAL REVIEW OF THE ACCOUNT WILL BE CONDUCTED AND APPROVED BY THE FINANCIAL COUNSELING REPRESENTATIVE (OR DESIGNEE) TO MAKE SURE THAT NO APPLICATION OF FINANCIAL ASSISTANCE WAS EVER RECEIVED AND THAT THERE EXISTS OBJECTIVE EVIDENCE THAT THE PATIENT DOES HAVE SUFFICIENT FINANCIAL MEANS TO PAY ALL OR PART OF HIS/HER BILL. PRIOR TO A COLLECTIONS SUIT BEING FILED, THE SELF-PAY COLLECTIONS DIRECTOR MUST REVIEW AND APPROVE. 2. RESIDENTIAL LIENS: NO HOSPITAL WILL PLACE A LIEN ON THE PRIMARY RESIDENCE OF A PATIENT WHO HAS BEEN DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE/CHARITY CARE, FOR PAYMENT OF THE PATIENT'S UNDISCOUNTED BALANCE DUE. FURTHER, IN NO CASE WILL ANY HOSPITAL EXECUTE A LIEN BY FORCING THE SALE OR FORECLOSURE OF THE PRIMARY RESIDENCE OF ANY PATIENT TO PAY FOR ANY OUTSTANDING MEDICAL BILL. 3. NO USE OF BODY ATTACHMENTS: NO HOSPITAL WILL USE BODY ATTACHMENT TO REQUIRE ANY PERSON, WHETHER RECEIVING FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNTS OR NOT, TO APPEAR IN COURT. 4. COLLECTION AGENCY REFERRALS: EACH HOSPITAL FINANCE ACCOUNTING WILL ENSURE THAT ALL COLLECTION AGENCIES USED TO COLLECT PATIENT BILLS PROMPTLY REFER ANY PATIENT WHO INDICATES FINANCIAL NEED, OR OTHERWISE APPEARS TO QUALIFY FOR FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNTS, TO A FINANCIAL COUNSELOR TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR SUCH A CHARITABLE DISCOUNT. IN CASES WHERE A PATIENT HAS BEEN BILLED BUT IS LATER DETERMINED TO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY WITHIN THE APPLICATION PERIOD, THE CHARGE IS REVERSED AND THE APPROPRIATE AMOUNT APPLIED TO CHARITY, AND THE PATIENT IS PROVIDED A REFUND IF THE FINAL PATIENT RESPONSIBILITY IS LESS THAN THE PATIENT ALREADY PAID. FOR MORE INFORMATION ABOUT PRESENCE HEALTHS FINANCIAL ASSISTANCE PROGRAM, VISIT HTTP://PRESENCEHEALTH.ORG/FINANCIAL-ASSISTANCE. |
| PART VI, LINE 2 NEEDS ASSESSMENT | PRESENCE HEALTH MINISTRIES JOIN FORCES WITH LOCAL COMMUNITY ORGANIZATIONS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) ARE COMPLETED FOR THE INDIVIDUAL COUNTIES WE SERVE WITH COMMUNITY PARTNERS EVERY 3 YEARS AS REQUIRED. TO SUPPLEMENT THE CHNA, PRESENCE HOSPITALS ALSO REVIEW AND ANALYZE INPATIENT AND EMERGENCY DEPARTMENT UTILIZATION ON AN ANNUAL BASIS TO UNCOVER ANY NEW COMMUNITY HEALTH TRENDS. IN ADDITION TO ASSESSING THE HEALTH NEEDS, PRESENCE HOSPITAL MINISTRIES ALSO COMPLETE MEDICAL STAFF DEVELOPMENT PLANS. THE PLANS ARE CONDUCTED BY EXTERNAL CONSULTANTS, WHO PROVIDE AN INDEPENDENT ASSESSMENT OF THE NEED FOR PHYSICIANS BY SPECIALTY WITHIN THE HOSPITALS PRIMARY SERVICE AREA AS DEFINED BY STARK REGULATIONS. IDENTIFYING COMMUNITY NEEDS IS JUST ONE STEP IN THE CHNA PROCESS. THE MOST CRITICAL STEP IS PRIORITIZING AND ALIGNING EXPERTISE TO MAKE AN IMPACT ON THE IDENTIFIED NEEDS. TO FACILITATE THIS PROCESS, THE BOARD OF DIRECTORS OF EACH HOSPITAL MINISTRY HAS APPOINTED A COMMUNITY LEADERSHIP BOARD THAT IS ULTIMATELY RESPONSIBLE FOR THE OVERSIGHT AND DIRECTION OF THE COMMUNITY BENEFIT INITIATIVES. ON A TRIENNIAL BASIS THIS ADVISORY BOARD, WHICH IS MADE UP OF COMMUNITY MEMBERS, APPROVES THE HOSPITALS IMPLEMENTATION STRATEGY PURSUANT TO AUTHORITY DELEGATED BY THE HOSPITAL MINISTRYS BOARD OF DIRECTORS. THIS PLAN IDENTIFIES THE PRIORITIES AND ACTIONS THAT WILL TAKE PLACE TO TRANSFORM COMMUNITY HEALTH. |
| PART VI, 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PRESENCE HEALTH HOSPITAL MINISTRIES PROACTIVELY COMMUNICATE THE AVAILABILITY OF OUR FINANCIAL ASSISTANCE/CHARITY CARE PROGRAMS BY USING MULTIPLE TYPES OF APPROPRIATE MEDIA AND IN MULTIPLE APPROPRIATE LANGUAGES. THE MECHANISMS USED BY PRESENCE HEALTH HOSPITALS TO COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE/CHARITY CARE INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: 1. SIGNAGE: SIGNS ARE POSTED PROMINENTLY THROUGHOUT HIGH TRAFFIC AREAS OF OUR MINISTRIES, AS WELL AS WITHIN OUR INPATIENT AND OUTPATIENT REGISTRATION/PATIENT ADMITTING AREAS AND EMERGENCY DEPARTMENTS. SIGNS STATE THAT PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNTS, AND DESCRIBE HOW TO OBTAIN MORE INFORMATION, INCLUDING IDENTIFICATION OF APPROPRIATE HOSPITAL REPRESENTATIVES BY TITLE. SIGNS AT EVERY HOSPITAL ARE IN ALL LANGUAGES SPOKEN BY AT LEAST 1,000 HOUSEHOLDS OF LIMITED ENGLISH PROFICIENCY IN ANY PRESENCE HEALTH HOSPITAL SERVICE AREA (18 LANGUAGES). 2. PROVISION OF FINANCIAL ASSISTANCE MATERIALS TO UNINSURED PATIENTS: PRESENCE HEALTH HOSPITALS PROVIDE A SUMMARY OF ITS FINANCIAL ASSISTANCE PROGRAMS AND A FINANCIAL ASSISTANCE APPLICATION TO ALL PERSONS RECEIVING HOSPITAL CARE THAT IT IDENTIFIES AS UNINSURED PATIENTS AT THE TIME OF IN-PERSON REGISTRATION, ADMISSION, OR SUCH LATER TIME THAT THE PATIENT IS FIRST IDENTIFIED AS AN UNINSURED PATIENT. FOR PATIENTS PRESENTING IN THE EMERGENCY DEPARTMENT, ALL PRESENCE HEALTH HOSPITALS PROVIDE SUCH FINANCIAL ASSISTANCE MATERIALS AT SUCH TIME AND IN SUCH MANNER AS IS CONSISTENT WITH THEIR OBLIGATIONS UNDER EMTALA TO ACCESS AND STABILIZE THE PATIENT BEFORE MAKING INQUIRY OF THE PATIENTS ABILITY TO PAY. 3. FLIERS: FLIERS, INFORMATION SHEETS AND SIMILAR FORMS OF WRITTEN COMMUNICATION REGARDING THE HOSPITALS FINANCIAL ASSISTANCE/CHARITY CARE POLICY ARE MAINTAINED IN APPROPRIATE AREAS OF THE HOSPITAL (E.G. EMERGENCY DEPARTMENT, ORGANIZED REGISTRATION AREAS, THE BUSINESS OFFICE). THESE COMMUNICATIONS STATE IN MULTIPLE LANGUAGES THAT THE HOSPITAL OFFERS FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNTS AND DESCRIBES HOW TO OBTAIN MORE INFORMATION. 4. WEBSITE: COMPREHENSIVE INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAMS INCLUDING ELIGIBILITY CRITERIA, APPLICATION DETAILS, AND CONTACT INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE (HTTP://PRESENCEHEALTH.ORG/FINANCIAL-ASSISTANCE). 5. BILLING NOTICES: EACH PRESENCE HEALTH HOSPITAL INCLUDES A NOTE ON OR WITH THE HOSPITAL BILL AND/OR STATEMENT REGARDING THE HOSPITALS FINANCIAL ASSISTANCE/CHARITY CARE PROGRAM AND HOW THE PATIENT MAY APPLY FOR CONSIDERATION UNDER THIS PROGRAM. 6. FINANCIAL COUNSELORS: EACH PRESENCE HEALTH HOSPITAL HAS ONE OR MORE FINANCIAL COUNSELORS WHOSE CONTACT INFORMATION IS LISTED OR PROVIDED WITH OTHER INFORMATION CONCERNING THE FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNT PROGRAM. THESE COUNSELORS ARE AVAILABLE TO DISCUSS ELIGIBILITY AND OTHER QUESTIONS CONCERNING THE PROGRAM, AND PROVIDE ASSISTANCE WITH APPLICATIONS. THEY ARE ALSO AVAILABLE TO MEET WITH PATIENTS DURING THEIR STAY IF THEY HAVE QUESTIONS ABOUT THEIR ABILITY TO PAY FOR SERVICES AND OUR FINANCIAL ASSISTANCE PROGRAMS. 7. NOTIFICATION OF DETERMINATION: WHEN A PRESENCE HEALTH HOSPITAL MAKES A DETERMINATION THAT A PATIENTS BILL IS DISCOUNTED OR ADJUSTED BASED ON A DETERMINATION OF FINANCIAL NEED, THE HOSPITAL NOTIFIES THE PATIENT OF SUCH ELIGIBILITY DETERMINATION AND THAT THERE IS NO FURTHER COLLECTION ACTION TAKEN ON THE DISCOUNTED PORTION OF THE PATIENTS BILL. |
| PART VI, 4: COMMUNITY INFORMATION | PRESENCE HEALTH SYSTEM MINISTRIES, INCLUDING THE CORPORATION'S HOSPITALS, PROVIDE SERVICES AT 150 SITES, INCLUDING ELEVEN ACUTE CARE HOSPITALS WITH A TOTAL OF 3,188 STAFFED BEDS AND OVER 90 PRIMARY AND SPECIALTY CARE CLINICS. THESE MINISTRIES OFFER A BROAD RANGE OF SERVICES FROM HIGHLY SPECIALIZED TERTIARY SERVICES TO AN EXTENDED NETWORK OF PRIMARY AND AMBULATORY CARE. THE CORPORATION HAS IDENTIFIED A SEPARATE SERVICE AREA FOR EACH OF ITS ACUTE CARE HOSPITALS UTILIZING A CONSISTENT METHODOLOGY AND REFLECTING A COMBINATION OF GEOGRAPHIC LOCATION AND MARKET SHARE CRITERIA. THE TOTAL SERVICE AREA OF EACH MINISTRY REPRESENTS APPROXIMATELY 80% TO 90% OF THE TOTAL INPATIENT DISCHARGES FROM THAT FACILITY. THE PRIMARY SERVICE AREA (THE "PRIMARY SERVICE AREA") OF EACH FACILITY REPRESENTS APPROXIMATELY 65 TO 75% OF SUCH DISCHARGES AND THE SECONDARY SERVICE AREA (THE "SECONDARY SERVICE AREA") OF EACH FACILITY REPRESENTS APPROXIMATELY 15 TO 25% OF SUCH DISCHARGES. THE PRIMARY SERVICE AREAS AND SECONDARY SERVICE AREAS HAVE BEEN DETERMINED BY UTILIZING A PATIENT ORIGIN ANALYSIS TO IDENTIFY THOSE ZIP CODES THAT REPRESENT INPATIENT DISCHARGES. THESE ZIP CODES ARE THEN MAPPED TO IDENTIFY GEOGRAPHIC COVERAGE OF THE PRIMARY SERVICE AREAS AND SECONDARY SERVICE AREAS. MANY OF THE PRESENCE HEALTH HOSPITAL MINISTRY FACILITIES ARE LOCATED IN POPULATION GROWTH AREAS. BASED UPON POPULATION ESTIMATES AND PROJECTIONS OBTAINED FROM CLARITAS, INC., THE POPULATION OF THE OUR HOSPITALS COMBINED SERVICE AREA IS EXPECTED TO GROW AT A RATE OF 1.9% ANNUALLY BETWEEN 2012 AND 2017, COMPARED WITH A GROWTH RATE OF 1.3% AND 1.6% PER YEAR IN THE CHICAGO MSA AND IN ILLINOIS, RESPECTIVELY. OF PRESENCES TOTAL SERVICE AREA POPULATION, 10.7% IS OVER THE AGE OF 65, COMPARED TO 11.1% AND 12.3% IN THE CHICAGO MSA AND IN ILLINOIS, RESPECTIVELY. PRESENCE HOLY FAMILY MEDICAL CENTER (PHFMC): THE PRESENCE HOLY FAMILY MEDICAL CENTER CHNA SERVICE AREA INCLUDES THE ZIP CODES 60016 AND 60018, WHICH CORRESPOND TO THE COMMUNITIES OF DES PLAINES CITY AND UNINCORPORATED MAINE TOWNSHIP. THE TOTAL POPULATION OF ZIP CODES 60016 AND 60018 IN 2010 WAS 89,789, MAKING UP THE SERVICE AREA OF PHFMC. PHFMC IS A LONG-TERM ACUTE CARE HOSPITAL, SERVING A SPECIALTY POPULATION OF MEDICALLY-COMPLEX PATIENTS. PHFMC SPECIALIZES IN PROVIDING CARE FOR PATIENTS WHO ARE CRITICALLY ILL WITH COMPLEX CONDITIONS AND MUST BE HOSPITALIZED FOR AN EXTENDED PERIOD. IT IS THE ONLY SUCH HOSPITAL IN NORTHWEST CHICAGOLAND. Demographics. In the past ten years, the population of Des Plaines decreased just slightly (0.6%), though much less than Chicago (7.0%), while in contrast the Illinois and U.S. populations saw increases of 3% and 10%, respectively. Within Des Plaines, about twice as many people live in the 60016 zip code (59,690) than in the 60018 zip code (30,099). Roughly a quarter of the population is under 20 years of age in Des Plaines and in the two zip codes, percentages that are similar to those for Cook County, Chicago, Illinois and the U.S. Seventeen percent (17%) of Des Plaines residents are over 65 years of age, a slightly higher percentage than is seen in the Chicago, Cook County, Illinois and the U.S. which range from 10% to 13%. Between 2000 and 2010, the proportion of Caucasians in Des Plaines decreased from 84% to 77%, while the percentage of Hispanic/Latinos and Asians increased. An increasing number of residents are Asian and Hispanic/Latino. The zip code 60016 has an increasing Asian population, while the zip code 60018 has an increasing Hispanic/Latino population. Spanish is the top language spoken by those with limited English, followed by Polish. Roughly 4.3% of students in Des Plaines have limited English skills, about half the percentage of Illinois students overall and about a quarter of the percentage for Chicago students. Socioeconomics In Des Plaines, the median household income was $60,875, about $8,000 higher than the median for Illinois and the U.S. The poverty rate in Des Plaines is roughly half the poverty rate in Illinois and the U.S. with 6.2% of Des Plaines residents living in poverty. The percent of children living in poverty in Des Plaines, 10.3%, is more than 7 percentage points lower than the Illinois rate, half the U.S. rate and below the Community Health Rankings (CHR) benchmark. One in five Des Plaines residents are living at or below 200% of the federal poverty level, 9% and 12% below the Illinois and U.S. rates, respectively. The percentage of students eligible for free or reduced lunch varies by school from 15.1% in some schools to 70% in other schools. In Des Plaines, 87% of students graduated high school and 13% of the population over 25 are without a high school degree. About 13% of Des Plaines residents over 25 do not have a high school degree, very similar to the Illinois rate but about two points lower than U.S. rate and 8 points below the Chicago rate. Although the unemployment rate more than doubled in Des Plaines from 2000 to the 2006-2010 average (2.5% to 6.4%) it was still lower than the rates for Chicago, Illinois and the U.S. Access to Care The percentage of uninsured is the same for Des Plaines and Illinois (13.1%) but about four and two points lower than Cook County the U.S. rates, respectively. The current percent in Des Plaines is higher than the CHR benchmark of 11%. A higher percentage of the 60018 population are enrolled in Medicaid (22%) than the 60016 population (17%), though both are below the Cook County (25%) and Illinois (21%) percentages. Spanish, Russian and Polish were the languages for which interpreters were most requested at PHFMC in 2011, making up over 90% of the 654 total requests. Des Plaines is not considered a Health Professional Shortage Area by the United States Department of Health and Human Services. A full Community Health Profile of demographic and other health indicators can be found of Presence Holy Family Medical Center at www.presencehealth.org/community PRESENCE RESURRECTION MEDICAL CENTER (PRMC): PRIMARY SERVICE AREA: 60631 CHICAGO - NORWOOD PARK 60634 CHICAGO - DUNNING 60706 HARWOOD HEIGHTS/NORRIDGE 60656 CHICAGO - ORIOLE PARK/ O'HARE 60630 CHICAGO - JEFFERSON PARK 60068 PARK RIDGE 60714 NILES 60646 CHICAGO - EDGEBROOK 60641 CHICAGO - IRVING PARK 60016 DES PLAINES Demographics Portage Park (64,124) and Irving Park (53,359) are the most populous communities in the service area. Between 2000 and 2010 all but two of the communities saw population decreases with Irving Park having the largest decrease. The percentage of population under 20 in the communities ranged between 19% and 27%. Compared to Chicago, Cook County, Illinois and the United States, communities in the service area had a high proportion of population over 65. In 2010, the percentage of the population over 65 in the communities ranged from 9% to 22%. The percentage of the Caucasian population decreased in all the community areas between 2000 and 2010, although the percentage of the Caucasian population remains over 80% in Edison Park, Norwood Park, Jefferson Park, Harwood Heights, Norridge and Park Ridge. Over 40% of the population in Irving Park and Portage Park are Hispanic/Latino. Asian residents are increasing in all communities particularly in Niles, Forest Glen and Jefferson Park. There are several languages spoken in the PRMC service area. Over 20% of the population in Dunning, Harwood Heights, Irving Park, Niles, Norridge and Portage Park identifies as having limited English speaking skills. Polish and Spanish are the languages most often spoken by those with limited English speaking skills. Polish is the most often used language in Dunning, Harwood Heights, Norridge and Portage Park, while Spanish is the top language in Irving Park. The high schools in the service area report a smaller percentage of students with limited English-speaking skills than Chicago overall. Socioeconomics Forest Glen and Park Ridge had the highest median household incomes in the service area. Irving Park, Portage Park, Harwood Heights, Niles and Norridge had similar median household incomes of around $53,000. All the community areas have poverty rates below Chicago and Cook County. The highest rates of poverty are in Portage Park and Irving Park in the PRMC service area. Similarly, Portage Park and Irving Park have the highest percentage of children living in poverty and the greatest proportion of residents living 200% below the poverty line. The southwest part of the service area (Portage Park and Irving Park) has the greatest proportion of schools with more than 70% of the students eligible for free and reduced lunch. All of the high schools in the service area have graduation rates higher than the Chicago citywide rate of 73.8%. The high schools in Portage Park, Irving Park and Dunning have the lowest high school graduation rates in the service area. Twenty-two percent of the residents under 25 years of age in Irving Park do not have a high school degree while that rate was few |
| PART VI, 5: PROMOTION OF COMMUNITY HEALTH | PRESENCE HEALTH HOSPITALS ARE FAITH-BASED MINISTRIES THAT PROVIDE SERVICES BASED UPON THE ETHICAL AND RELIGIOUS DIRECTIVES OF THE CATHOLIC CHURCH. PRESENCE HEALTH HOSPITALS ENHANCE THE PUBLIC HEALTH OF OUR COMMUNITIES BY: 1. ENSURING OUR MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS. 2. ALL OF OUR HOSPITALS ARE ACCREDITED AND IN GOOD STANDING WITH THE JOINT COMMISSION ACCREDITATION OF HEALTHCARE ORGANIZATIONS. 3. ENSURING OUR BOARD OF DIRECTORS IS DIVERSE AND ABLE TO PROVIDE EXPERTISE, AND MADE UP OF INDEPENDENT MEMBERS OF THE COMMUNITIES WE SERVE. OUR BOARD MEMBERS MUST FOLLOW A CONFLICT OF INTEREST POLICY. 4. REINVESTING SURPLUS FUNDS INTO THE ORGANIZATION TO IMPROVE PATIENT CARE THOUGH NEW PROGRAMS AND TECHNOLOGY. 5. PROVIDING FINANCIAL ASSISTANCE, SLIDING SCALE DISCOUNTS AND HAS COLLECTION PRACTICES THAT ARE IN COMPLIANCE WITH STATE AND FEDERAL GUIDELINES. IN ADDITION, WE FOLLOW THE FINANCIAL ASSISTANCE AND CHARITY GUIDELINES OF THE CATHOLIC HEALTH ASSOCIATION. 6. PARTICIPATING IN ALL GOVERNMENT SPONSORED HEALTH CARE PROGRAMS, MEDICARE, MEDICAID, CHAMPUS, TRICARE, SCHIP AND OTHERS. 7. PROVIDING EMERGENCY ROOM SERVICES IN ALL OF OUR COMMUNITIES AND PROVIDING TRAINING TO LOCAL FIRE DEPARTMENTS AND AMBULANCES. OUR EMERGENCY ROOM PARTICIPATES WITH LOCAL POLICE AND FIRE DEPARTMENTS IN DISASTER DRILLS. 8. STAFFING BOARD CERTIFIED EMERGENCY ROOM PHYSICIANS IN OUR EMERGENCY ROOM AND URGENT CARE SERVICES. WE TREAT PATIENTS ACCORDING TO EMTALA GUIDELINES AND SERVE ALL PATIENTS REGARDLESS OF ABILITY TO PAY. IN ADDITION, WE ARE COMMITTED TO DETERMINING THE NEEDS OF OUR COMMUNITIES AND CREATING WAYS TO MEET THOSE NEEDS. THE OBLIGATION TO REACH OUT TO THOSE IN NEED AND IMPROVE HEALTH FLOWS DIRECTLY FROM OUR CATHOLIC IDENTITY AND THE HERITAGE OF OUR FOUNDING CONGREGATIONS. IN EACH OF THE COMMUNITIES WE SERVE, WE WORK WITH OTHERS INCLUDING CHARITABLE ORGANIZATIONS, COMMUNITY HEALTH PROVIDERS, ELECTED OFFICIALS, BUSINESS LEADERS, SCHOOLS, CHURCHES, AND RESIDENTS TO LOOK AT THE OVERALL HEALTH OF THE COMMUNITY AND IDENTIFY THE GREATEST NEEDS. WE THEN MAKE A PLAN AND DEVELOP STRATEGIES TOGETHER WITH OUR COMMUNITIES TO ADDRESS THE HIGHEST PRIORITY HEALTH NEEDS. THE HIGHEST PRIORITY NEEDS AND THE PROGRAMS WEVE DEVELOPED TO MEET THESE NEEDS ARE IDENTIFIED IN PART V SECTION C IN THE DESCRIPTION FOR PART V SECTION B LINE 11. |
| Part VI, Line 6 Affiliated Health Care System | THE PROVENA HEALTH AND RESURRECTION HEALTH CARE SYSTEMS COMBINED ON NOVEMBER 1, 2011 TO FORM A NEW HEALTH SYSTEM, PRESENCE HEALTH, CREATING A COMPREHENSIVE FAMILY OF NOT-FOR-PROFIT HEALTH CARE SERVICES AND THE SINGLE LARGEST CATHOLIC HEALTH SYSTEM BASED IN ILLINOIS. PRESENCE HEALTH EMBODIES THE ACT OF BEING PRESENT IN EVERY MOMENT WE SHARE WITH THOSE WE SERVE AND IS THE CORNERSTONE OF A PATIENT, RESIDENT AND FAMILY-CENTERED CARE ENVIRONMENT. "PRESENCE" HEALTH EMBODIES THE WAY WE CHOOSE TO BE PRESENT IN OUR COMMUNITIES, AS WELL AS WITH ONE ANOTHER AND THOSE WE SERVE. PRESENCE HEALTH IS SPONSORED BY PRESENCE HEALTH MINISTRIES, A PUBLIC JURIDIC PERSON COMPRISED INITIALLY OF FIVE CONGREGATIONS OF CATHOLIC RELIGIOUS WOMEN: THE FRANCISCAN SISTERS OF THE SACRED HEART, THE SERVANTS OF THE HOLY HEART OF MARY, THE SISTERS OF THE HOLY FAMILY OF NAZARETH, SISTERS OF MERCY OF THE AMERICAS AND THE SISTERS OF THE RESURRECTION. AS WAS THE CASE FROM OUR VERY BEGINNINGS, PRESENCE HEALTH IS CALLED TO BE MUCH MORE THAN JUST A PROVIDER OF HEALTH SERVICES. PRESENCE HEALTH HAS INSTILLED WITHIN ALL OF ITS MINISTRIES THAT ARE COMMITTED TO RESPONDING TO THE NEEDS OF THOSE WE ARE PRIVILEGED TO SERVE; DELIVERING HIGH QUALITY CARE THAT IS ACCESSIBLE TO ALL. IT IS THIS CULTURE OF CARING AND GIVING THAT DRIVES OUR DILIGENT EFFORTS TO ENSURE WE RETURN THE OPTIMAL VALUE OF OUR CHARITABLE ASSETS TO OUR LOCAL COMMUNITIES. AS A NOT-FOR-PROFIT HEALTH SYSTEM, PRESENCE HEALTH INVESTS A SIGNIFICANT PORTION OF ITS OPERATING CAPITAL INTO THE COMMUNITY THROUGH PROGRAMS TO SERVE VULNERABLE POPULATIONS, SUCH AS THE POOR AND UNINSURED, MANAGE CHRONIC CONDITIONS, AND PROMOTE HEALTH EDUCATION AND PROMOTION OUTREACH AND INITIATIVES. IN FISCAL YEAR 2016, THIS INCLUDED $161 MILLION IN COMMUNITY BENEFIT ACTIVITIES. PRESENCE HEALTH THUS TAKES A SYSTEMS APPROACH TO ITS COMMUNITY BENEFIT EFFORTS, AND THEREFORE ENSURES ITS MEMBER HOSPITALS AND OTHER ENTITIES AND AFFILIATES ARE HELPING TO PROMOTE AND ADDRESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE. FOR MORE INFORMATION ON PRESENCE HEALTH, VISIT WWW.PRESENCEHEALTH.ORG |
| Part VI, Line 7 State Filing Of Community Benefit Report | PRESENCE HEALTH FILES ITS ANNUAL COMMUNITY BENEFIT REPORT IN ILLINOIS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSEPHINUM ACADEMY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1501 N OAKLEY | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60622 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 362167764 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $10,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | SCHOLARSHIP MEDICAL COVERAGE FOR EVENTS | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | All organizations which are recipients of grant funds are tax-exempt organizations described in 501(c)(3) and therefore the corporation does not monitor the use of those funds. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANIL GOPINATH MD | ||||||||||||||
| DIRECTOR (TERM 5/2016) | $0 | $313,191 | $0 | $0 | $0 | $18,803 | $0 | $13,250 | $0 | $22,840 | $0 | $368,084 | $0 | $0 |
| ANTHONY FILER | ||||||||||||||
| TREASURER (TERM 1/16) | $0 | $63,489 | $0 | $0 | $0 | $740,678 | $0 | $5,841 | $0 | $1,885 | $0 | $811,893 | $0 | $527,027 |
| GARY LIPINSKI MD | ||||||||||||||
| DIRECTOR | $0 | $368,541 | $0 | $20,000 | $0 | $20,299 | $0 | $7,950 | $0 | $14,256 | $0 | $431,046 | $0 | $0 |
| JAMES H KELLEY | ||||||||||||||
| TREASURER | $0 | $432,039 | $0 | $0 | $0 | $7,395 | $0 | $80,634 | $0 | $13,198 | $0 | $533,266 | $0 | $0 |
| JEANNIE C FREY | ||||||||||||||
| SECRETARY SYS CH LEGL OFFC | $0 | $448,798 | $0 | $0 | $0 | $124,671 | $0 | $104,479 | $0 | $21,844 | $0 | $699,792 | $0 | $86,745 |
| JULIE ROKNICH | ||||||||||||||
| ASSISTANT SECRETARY | $0 | $189,804 | $0 | $0 | $0 | $183 | $0 | $9,052 | $0 | $20,862 | $0 | $219,901 | $0 | $0 |
| PATRICIA EDDY | ||||||||||||||
| ASSISTANT TREASURER | $0 | $159,817 | $0 | $0 | $0 | $4,585 | $0 | $18,641 | $0 | $10,672 | $0 | $193,715 | $0 | $0 |
| PATRICK QUINN | ||||||||||||||
| ASSISTANT TREASURER | $0 | $237,924 | $0 | $0 | $0 | $32,635 | $0 | $39,294 | $0 | $16,594 | $0 | $326,447 | $0 | $23,604 |
| PAULA J CAMPBELL | ||||||||||||||
| ASSISTANT TREASURER -TERM 8/16 | $0 | $284,718 | $0 | $0 | $0 | $8,736 | $0 | $0 | $0 | $5,179 | $0 | $298,633 | $0 | $0 |
| SAM BAGCHI MD | ||||||||||||||
| DIRECTOR, PRESIDENT / CEO | $0 | $550,586 | $0 | $40,000 | $0 | $60,403 | $0 | $124,792 | $0 | $26,055 | $0 | $801,836 | $0 | $0 |
| AMY D STEVENS | ||||||||||||||
| FMR PHP PRESIDENT (TERM 12/15) | $0 | $6,396 | $0 | $0 | $0 | $480,386 | $0 | $131 | $0 | $130 | $0 | $487,043 | $0 | $473,689 |
| DAVID E LUNDAL | ||||||||||||||
| FMR SVP INF TECH OPS-Trm 12/15 | $0 | $387,911 | $0 | $0 | $0 | $6,626 | $0 | $544,022 | $0 | $24,442 | $0 | $963,001 | $0 | $0 |
| DAVID R FIELD | ||||||||||||||
| FMR PHP FIN OFFC(Term 12/15) | $0 | $70,171 | $0 | $0 | $0 | $223,343 | $0 | $0 | $0 | $2,191 | $0 | $295,705 | $0 | $0 |
| ANN ERRICHETTI | ||||||||||||||
| President | $0 | $474,597 | $0 | $50,000 | $0 | $106,843 | $0 | $7,789 | $0 | $19,316 | $0 | $658,545 | $0 | $0 |
| MATTHEW A BROWN | ||||||||||||||
| CHR/EXEC DIR MED-TRM 12/15 | $0 | $314,570 | $0 | $260 | $0 | $1,004 | $0 | $13,250 | $0 | $22,236 | $0 | $351,320 | $0 | $0 |
| RICHARD J LAVACCHI | ||||||||||||||
| SYS VP SUPP SVCS-TRM 12/15 | $0 | $193,929 | $0 | $260 | $0 | $25,413 | $0 | $37,581 | $0 | $17,730 | $0 | $274,913 | $0 | $0 |
| RICHARD J SALZER | ||||||||||||||
| FMR SYS VP SPLY CHN-TRM 12/15 | $0 | $129,105 | $0 | $0 | $0 | $282,809 | $0 | $0 | $0 | $10,598 | $0 | $422,512 | $0 | $90,365 |
| ROBYN PARKER | ||||||||||||||
| PHP NWK DEV OFFC-TRM 12/15 | $0 | $203,505 | $0 | $30,630 | $0 | $6,710 | $0 | $11,731 | $0 | $1,776 | $0 | $254,352 | $0 | $0 |
| SANDRA BRUCE | ||||||||||||||
| FMR PRES/CEO/EX-OFFC-TRM 12/15 | $0 | $16,341 | $0 | $0 | $0 | $273,474 | $0 | $5,300 | $0 | $0 | $0 | $295,115 | $0 | $0 |
| THOMAS KOELBL | ||||||||||||||
| SYS VP HUMAN RES-TRM 12/15 | $0 | $332,092 | $0 | $260 | $0 | $149,837 | $0 | $13,250 | $0 | $16,496 | $0 | $511,935 | $0 | $0 |
| ROBERTA LUSKIN-HAWK MD | ||||||||||||||
| CEO/CHAIR/DIRECTOR EX-OFFC | $368,756 | $0 | $0 | $0 | $175,407 | $0 | $601,944 | $0 | $18,030 | $0 | $1,164,137 | $0 | $0 | $0 |
| MARTIN H JUDD | ||||||||||||||
| RGN PRESIDENT & CEO-MCC | $442,234 | $0 | $0 | $0 | $76,743 | $0 | $96,018 | $0 | $1,971 | $0 | $616,966 | $0 | $64,961 | $0 |
| DAVID BORDO MD | ||||||||||||||
| REGIONAL CHF MED OFFNWC | $378,195 | $0 | $1,707 | $0 | $18,971 | $0 | $18,550 | $0 | $23,027 | $0 | $440,450 | $0 | $0 | $0 |
| ROBERT MICHAEL DAHL | ||||||||||||||
| RGN PRESIDENT & CEO-NWC | $301,119 | $0 | $0 | $0 | $9,004 | $0 | $45,377 | $0 | $19,978 | $0 | $375,478 | $0 | $0 | $0 |
| YOLANDE D WILSON-STUBBS | ||||||||||||||
| PRESIDENT- HFMC LTACH | $217,197 | $0 | $0 | $0 | $1,008 | $0 | $5,638 | $0 | $17,279 | $0 | $241,122 | $0 | $0 | $0 |
| DHRUVIL J PANDYA | ||||||||||||||
| PHYSICIAN | $821,493 | $0 | $179,975 | $0 | $26,379 | $0 | $13,250 | $0 | $17,328 | $0 | $1,058,425 | $0 | $0 | $0 |
| SHERMAN HSIEN-CHANG CHEN | ||||||||||||||
| PHYSICIAN | $530,328 | $0 | $0 | $0 | $18,530 | $0 | $13,250 | $0 | $15,344 | $0 | $577,452 | $0 | $0 | $0 |
| KIZITO C OJIAKO | ||||||||||||||
| INTENSIVIST | $401,576 | $0 | $14,260 | $0 | $18,522 | $0 | $15,900 | $0 | $22,771 | $0 | $473,029 | $0 | $0 | $0 |
| MARC A DORFMAN | ||||||||||||||
| CHAIR AND EXEC DIR MEDICAL ED | $383,378 | $0 | $10,016 | $0 | $17,181 | $0 | $18,550 | $0 | $24,571 | $0 | $453,696 | $0 | $0 | $0 |
| LOWELL JOHNSON | ||||||||||||||
| CEO/CHAIR/DIRECTOR EX-OFFICIO | $674,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $674,000 | $0 | $0 | $0 | |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III | DETERMINATION OF COMPENSATION OF ORGANIZATION'S CEO/EXECUTIVE DIRECTOR SCHEDULE J, PART I, LINE 3 COMPENSATION FOR THE CORPORATION'S CEO AND OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED IN ACCORDANCE WITH WRITTEN POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF DIRECTORS OF THE CORPORATION AND THE CORPORATIONS ULTIMATE PARENT, PRESENCE HEALTH NETWORK. SUCH POLICIES AND PROCEDURES ARE APPLIED BY THE HUMAN RESOURCES COMMITTEE OF PRESENCE HEALTH NETWORK, WHICH CONSISTS WHOLLY OF INDEPENDENT DIRECTORS. PRESENCE HEALTH NETWORK USES MARKET DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH BASE SALARIES AND TOTAL CASH COMPENSATION OPPORTUNITIES. THE HUMAN RESOURCES COMMITTEE MONITORS EXECUTIVE TOTAL COMPENSATION, ANNUALLY REVIEWING AND APPROVING COMPENSATION CHANGES FOR EACH EXECUTIVE, AND REGULARLY REPORTING ITS ACTIVITIES TO THE BOARD. SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A PRESENCE HAS THREE SEVERANCE PLANS DEPENDING UPON LEVEL. THESE PLANS ALLOW INDIVIDUALS WHOSE JOBS HAVE BEEN ELIMINATED AND WHO HAVE NOT BEEN ABLE TO FIND A SIMILAR POSITION WITHIN THE SYSTEM TIME TO TRANSITION. THE NUMBER OF WEEKS OF WAGE CONTINUATION ARE BASED UPON LENGTH OF SERVICE. THE PLANS ARE NOT FUNDED. THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR YEAR 2016: AMY D STEVENS $296,774 ANTHONY FILER $527,027 DAVID R FIELD $200,429 RICHARD J SALZER $137,436 ROBERTA LUSKIN-HAWK, MD $24,179 THE CORPORATION ALSO ACCRUED DEFERRED SEVERANCE FOR THE FOLLOWING INDIVIDUALS, WHICH WILL VEST IN A LATER YEAR: DAVID E LUNDAL $464,431 ROBERTA LUSKIN-HAWK, MD $583,394 |
| PAYMENTS FROM A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, QUESTION 4B IN ORDER TO ENHANCE THE ABILITY OF PRESENCE HEALTH TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT PERSONNEL BY PROVIDING ELIGIBLE EXECUTIVES WITH ADDITIONAL RETIREMENT BENEFITS ON A DEFERRED BASIS, PRESENCE HEALTH NETWORK MAINTAINS AN UNFUNDED SUPPLEMENTAL RETIREMENT PLAN (THE "PLAN") FOR A SELECT GROUP OF MANAGEMENT, WHICH IS INTENDED TO COMPLY WITH SECTION 457(F), AND SECTION 409A OF THE INTERNAL REVENUE CODE. PRESENCE HEALTH NETWORK CREDITS TO SUCH ELIGIBLE EXECUTIVE'S RETIREMENT ACCOUNT AN AMOUNT BASED ON A PERCENTAGE OF SALARY. EARNINGS AND/OR LOSSES ON INVESTMENTS ARE CREDITED AT A RATE EQUAL TO THE RATE OF RETURN OVER THE SAME PERIOD ON INVESTMENT OPTIONS SELECTED BY THE ELIGIBLE EXECUTIVE. ELIGIBLE EXECUTIVES ARE ENTITLED TO RECEIVE BENEFITS ON THE EARLIEST OF (I) JANUARY 1 OF THE THIRD CALENDAR YEAR BEGINNING AFTER THE YEAR IN WHICH SUCH CONTRIBUTION IS CREDITED, (II) ATTAINING AGE 62, OR (III) ATTAINING THE AGE OF 60 IF THE ELIGIBLE EXECUTIVE HAS COMPLETED TEN (10) YEARS OF SERVICE. THE FOLLOWING LISTED INDIVIDUALS BECAME VESTED IN SUPPLEMENTAL RETIREMENT BENEFITS UNDER THE SERP, AND THEREFORE HAD BENEFITS INCLUDED IN THEIR TAXABLE INCOME: AMY D STEVENS $183,612 ANN ERRICHETTI $92,263 ANTHONY FILER $5,874 JEANNIE C FREY $94,713 MARTIN H JUDD $64,975 PATRICK QUINN $25,318 RICHARD J SALZER $103,375 ROBERTA LUSKIN-HAWK, MD $62,822 THOMAS KOELBL $121,585 ALSO IN RESPONSE TO QUESTION 4B, THE FOLLOWING LISTED INDIVIDUALS PARTICIPATED IN THE ORGANIZATION'S SECTION 457(F) PLAN AND EARNED UNVESTED BENEFITS DURING 2016 WHICH ARE REPORTED IN COLUMN (C): DAVID E LUNDAL $66,340 JAMES H KELLEY $80,634 JEANNIE C FREY $88,579 MARTIN H JUDD $77,468 PATRICIA EDDY $16,622 PATRICK QUINN $24,559 RICHARD J LAVACCHI $22,106 ROBERT MICHAEL DAHL $41,266 SAM BAGCHI, MD $111,998 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (20 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, BOX C | DOING BUSINESS AS/ASSUMED NAMES PRESENCE CHICAGO HOSPITALS NETWORK ALSO OPERATES UNDER THE FOLLOWING ASSUMED NAMES: - CANA HEALTH - NEW BEGINNINGS PRENATAL PROGRAM - PROGRAMA PRENATAL NEUVA PROGRAM - PRESENCE RESURRECTION RETIREMENT COMMUNITY - PRESENCE ANSWERING SERVICE - PRESENCE INFUSION CARE-EVANSTON - PRESENCE INFUSION CARE-PARK RIDGE - HARBORVIEW RECOVERY CENTER - KEYS TO RECOVERY - SFH PROF BLDG PHARMACY - PRESENCE NAZARETH FAMILY CENTER PHARMACY - THE APOTHECARY-CHICAGO - PRESENCE SAINT ELIZABETH HOSPITAL - PRESENCE SAINT MARY OF NAZARETH HOSPITAL - PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER - PRESENCE SAINT JOSEPH HOSPITAL-CHICAGO - PRESENCE SAINT FRANCIS HOSPITAL - PRESENCE RESURRECTION MEDICAL CENTER - PRESENCE HOLY FAMILY MEDICAL CENTER - PSMEMC CENTER FOR CANCER AND SPECIALTY CARE PHARMACY - PSMEMC INFUSION |
| FORM 990, PART I, LINE 1 | MISSION STATEMENT/SIGNIFICANT ACTIVITY INSPIRED BY THE HEALING MINISTRY OF JESUS CHRIST, WE PRESENCE HEALTH, A CATHOLIC HEALTH SYSTEM, PROVIDE COMPASSIONATE, HOLISTIC CARE WITH A SPIRIT OF HEALING AND HOPE IN THE COMMUNITIES WE SERVE. |
| FORM 990, PART III, QUESTION 1 | MISSION STATEMENT THE CORPORATION IS PART OF THE PRESENCE HEALTH SYSTEM AND ACTS IN ACCORDANCE WITH THE PRESENCE HEALTH MISSION, WHICH IS AS FOLLOWS: INSPIRED BY THE HEALING MINISTRY OF JESUS CHRIST AND AS PART OF PRESENCE HEALTH, A CATHOLIC HEALTH SYSTEM, PRESENCE CHICAGO HOSPITALS NETWORK PROVIDES HEALTHCARE SERVICES IN A COMPASSIONATE, HOLISTIC MANNER IN THE SPIRIT OF HEALING AND HOPE. FORM 990, PART III, QUESTION 2 NEW PROGRAM SERVICES IN 2016 PRESENCE RESURRECTION MEDICAL CENTER, PRESENCE HOLY FAMILY MEDICAL CENTER, PRESENCE SAINT FRANCIS HOSPITAL, PRESENCE SAINT JOSEPH HOSPITAL CHICAGO, PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTERS MERGED INTO PRESENCE CHICAGO HOSPITALS NETWORK. IN ADDITION, THE APOTHECARY-CHICAGO, SAINT FRANCIS HOSPITAL PROFESSIONAL BUILDING PHARMACY, AND PRESENCE NAZARETH FAMILY CENTER PHARMACY WERE TRANSFERRED FROM PRESENCE HEALTHCARE SERVICES. FORM 990, PART III, QUESTION 3 SIGNIFICANT CHANGES TO PROGRAM SERVICES SYSTEM SERVICES WERE TRANSFERRED TO PRESENCE CARE TRANSFORMATION CORPORATION, A RELATED TAX-EXEMPT ORGANIZATION. PRESENCE HEALTH MANAGEMENT SERVICES ORGANIZATION, LLC, A DISREGARDED ENTITY, OPERATIONS WERE TRANSFERRED TO PRESENCE HEALTH PARTNERS SERVICES, A RELATED TAX-EXEMPT ORGANIZATION. |
| FORM 990, PART I, QUESTION 5, AND PART V, QUESTION 2 | COMPENSATION AND FORM W-3 TRANSMITTAL OF WAGES AND TAX STATEMENT PRESENCE CHICAGO HOSPITALS NETWORK (THE "CORPORATION") REPORTS 0 EMPLOYEES ON FORM 990, PART I, QUESTION 5 AND FORM 990, PART V, QUESTION 2A AS IT IS NOT REQUIRED TO FILE FORM W-3, TRANSMITTAL OF WAGES AND TAX STATEMENT. THE CORPORATIONS COMPENSATION IS PAID BY PRESENCE CARE TRANSFORMATION CORPORATION ("PCTC"), WHICH ISSUES THE FORMS W-2 AND W-3, AND THE EXPENSE IS TRANSFERRED TO THE CORPORATION. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO THE CORPORATION FROM PCTC. |
| FORM 990, PART V, QUESTION 1A | FORM 1096 TRANSMITTAL OF U.S. INFORMATION RETURNS PRESENCE CHICAGO HOSPITALS NETWORK (THE "CORPORATION") REPORTS 0 ON FORM 990, PART V, QUESTION 1A AS IT IS NOT REQUIRED TO FILE FORM 1096, TRANSMITTAL OF U.S. INFORMATION RETURNS. ALL OF THE CORPORATIONS ACCOUNTS PAYABLE REPORTABLE ON FORM 1096 ARE PAID BY PRESENCE CARE TRANSFORMATION CORPORATION ("PCTC"), WHICH ISSUES ALL FORMS 1099, AND THE EXPENSE IS TRANSFERRED TO THE CORPORATION. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO THE CORPORATION FROM PCTC. |
| FORM 990, PART VI, QUESTION 4 | CHANGES TO ORGANIZATIONAL DOCUMENTS THE CORPORATION'S ARTICLES OF INCORPORATION WERE AMENDED EFFECTIVE JANUARY 1, 2016 TO CHANGE THE CORPORATION'S NAME TO "PRESENCE CHICAGO HOSPITAL NETWORKTO UPDATE THE ORGANIZATION'S PURPOSE TO SPECIFICALLY REFERENCE ITS ACTIVITIES OF MAINTAINING AND OPERATING HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE CORPORATION'S BYLAWS WERE AMENDED JANUARY 1, 2016 TO REFLECT ITS NAME CHANGE TO "PRESENCE CHICAGO HOSPITALS NETWORK." THE BYLAWS WERE ALSO AMENDED TO REFLECT THE CORPORATION'S CHARITABLE PURPOSES AS STATED IN ITS ARTICLES OF INCORPORATION BY INCLUDING THE CORPORATION'S PURPOSE STATEMENT, AS WELL AS A PROVISION CLARIFYING THAT THE CORPORATION IS NOT PERMITTED TO USE CONTRIBUTIONS TO CARRY ON ACTIVITIES THAT ARE NOT CHARITABLE, RELIGIOUS, SCIENTIFIC, OR EDUCATIONAL UNDER SECTION 170(C)(2). THE FOLLOWING CHANGES WERE MADE RELATED TO THE CORPORATION'S GOVERNANCE: (1) THE CORPORATION'S SOLE MEMBER CHANGED FROM PRESENCE HEALTH NETWORK TO PRESENCE CARE TRANSFORMATION CORPORATION, (2) A MINIMUM AND MAXIMUM NUMBER OF DIRECTORS THAT WILL COMPRISE THE BOARD IS STATED, AND (3) ADDITIONAL RESPONSIBILITIES ARE ASSIGNED TO THE PRESIDENT. |
| FORM 990, PART VI, QUESTION 6 | MEMBERS OR SHAREHOLDERS PRESENCE CHICAGO HOSPITALS NETWORK HAS ONE MEMBER, PRESENCE CARE TRANSFORMATION CORPORATION. |
| FORM 990, PART VI, QUESTION 7A | PERSONS WITH AUTHORITY TO ELECT MEMBERS OF THE GOVERNING BODY THE CORPORATIONS SOLE MEMBER, PRESENCE CARE TRANSFORMATION CORPORATION, HAS THE POWER TO APPOINT MEMBERS OF THE GOVERNING BODY, OTHER THAN EX-OFFICIO DIRECTORS. |
| FORM 990, PART VI, QUESTION 7B | DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS PRESENCE CARE TRANSFORMATION CORPORATION (THE "MEMBER"), THROUGH ITS BOARD OF DIRECTORS, HAS CERTAIN GENERAL AND RESERVED POWERS WITH RESPECT TO THE FOLLOWING. GENERAL POWERS: THE MEMBER SHALL PROVIDE OVERSIGHT AND SUPPORT FOR THE ACTIVITIES OF THE CORPORATION, FOR THE PURPOSE OF ASSURING THAT ALL ACTIONS OF THE CORPORATION ARE CONSISTENT WITH THE MISSION AND VALUES OF THE SYSTEM; THE PURPOSES OF THE CORPORATION; THE ETHICAL AND RELIGIOUS DIRECTIVES; THE PRESENCE HEALTH SYSTEM STRATEGIC PLAN; AND BEST PRACTICES. RESERVED POWERS: IN FURTHERANCE OF THE EXERCISE OF ITS GENERAL POWERS AND RESPONSIBILITIES, THE MEMBER SHALL HAVE THE SOLE POWER TO TAKE THE ACTIONS SPECIFIED BELOW WITH RESPECT TO THE FOLLOWING MATTERS PERTAINING TO THE CORPORATION AND EACH HOSPITAL MINISTRY, SUBJECT TO ANY NOTICES OR FURTHER APPROVALS REQUIRED BY APPLICABLE CIVIL OR CANON LAW, OR THE MEMBER'S BYLAWS: A. BYLAWS. AMEND OR REPEAL THE BYLAWS OF THE CORPORATION. B. OFFICERS AND DIRECTORS. APPOINT AND REMOVE ALL OFFICERS OF THE CORPORATION AND ALL DIRECTORS OF THE CORPORATION, OTHER THAN ANY EX-OFFICIO DIRECTORS. C. BUDGETS. APPROVE CAPITAL AND OPERATING BUDGETS, AND LONG-TERM CAPITAL EQUIPMENT PLANS FOR THE CORPORATION, INCLUDING EACH HOSPITAL MINISTRY. D. UNBUDGETED EXPENDITURES. APPROVE UNBUDGETED EXPENDITURES IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER FROM TIME TO TIME. E. DEBT, SALE, LEASE AND OTHER REAL PROPERTY TRANSACTIONS. APPROVE ANY BORROWING OR SIGNIFICANT INCURRENCE OF DEBT BY THE CORPORATION IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER FROM TIME TO TIME, OR ANY SALE, PURCHASE, ALIENATION, EXCHANGE, SIGNIFICANT LEASES (OTHER THAN IN THE ORDINARY COURSE) OR ENCUMBRANCES OF THE CORPORATION'S REAL PROPERTY, EXCEPT THOSE MADE PURSUANT TO APPROVED BUDGETS. F. REAL ESTATE DOCUMENTS, EQUIPMENT LEASES. APPROVE EXECUTION OF ANY DEEDS, MORTGAGES, BONDS, OR MAJOR EQUIPMENT LEASES, EXCEPT THOSE ENTERED INTO PURSUANT TO APPROVED BUDGETS. G. SIGNIFICANT UNBUDGETED TRANSACTIONS. APPROVE ANY OTHER SIGNIFICANT AND UNBUDGETED SALE, PURCHASE, EXCHANGE, LEASE (OTHER THAN IN THE ORDINARY COURSE) TRANSFER, LITIGATION OR LEGAL SETTLEMENT, BENEFITS PACKAGES, ENCUMBRANCE OR OTHER DISPOSITION OR OTHER SIGNIFICANT TRANSACTION INVOLVING THE NON-REAL-ESTATE ASSETS OF THE CORPORATION IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER FROM TIME TO TIME. H. MATERIAL CHANGES IN SERVICES. APPROVE MATERIAL CHANGES IN THE KIND OF SERVICES RENDERED AT ANY HOSPITAL MINISTRY, SUCH AS THE ADDITION OR DISCONTINUATION OF ANY MAJOR SERVICE LINE (E.G., OBSTETRICS) OR CHANGE IN THE FUNDAMENTAL NATURE OF SERVICES PROVIDED BY THE CORPORATION THROUGH ANY HOSPITAL MINISTRY (E.G., A CHANGE REQUIRING A DIFFERENT KIND OF LICENSE). I. STRATEGIC PLAN. APPROVE STRATEGIC PLANS FOR THE CORPORATION AND EACH HOSPITAL MINISTRY, CONSISTENT WITH AND IN FURTHERANCE OF SYSTEM MISSION AND VALUES, AND RESPONSIVE TO THE NEEDS OF THE COMMUNITIES SERVED BY THE CORPORATION AND SUPPORT THE ABILITY OF THE CORPORATION AND ITS AFFILIATES TO PROVIDE HIGH-QUALITY CARE AND SERVICES. J. MANAGEMENT CONTRACTS. APPROVE ANY CONTRACT FOR THE MANAGEMENT OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION OR ANY INDIVIDUAL HOSPITAL MINISTRY OWNED BY THE CORPORATION. K. BUSINESS NAME, LOGO. APPROVE ANY SELECTION OR MODIFICATION OF THE BUSINESS NAME OR LOGO OF THE CORPORATION OR ANY HOSPITAL MINISTRY OR ANY PROGRAM OR DIVISION, OR THE USE OF ANY CORPORATE OR BUSINESS NAME OF THE CORPORATION OR ANY HOSPITAL MINISTRY BY AN ENTITY OTHER THAN THE MEMBER OR AN AFFILIATE. L. ADMINISTRATIVE SERVICES. PROVIDE OR ASSURE THE PROVISION OF APPROPRIATE INSURANCE COVERAGE, STANDARDIZED EMPLOYEE BENEFITS, INFORMATION SYSTEMS AND TECHNOLOGY, FINANCIAL MANAGEMENT SERVICES, LEGAL, MARKETING, RISK MANAGEMENT AND OTHER ADMINISTRATIVE SERVICES NECESSARY TO SUPPORT THE CORPORATION'S OPERATIONS. M. SIGNIFICANT JOINT VENTURES. APPROVE THE ESTABLISHMENT, TERMINATION, OR SALE OF ANY SIGNIFICANT JOINT VENTURE RELATIONSHIP BY THE CORPORATION GENERALLY OR WITH RESPECT TO ONE OR MORE HOSPITAL OR OTHER MINISTRIES OPERATED BY THE CORPORATION. N. UNRELATED BUSINESS ACTIVITY. APPROVE THE ACQUISITION OR DEVELOPMENT OF ANY BUSINESS OR ACTIVITY UNRELATED TO THE PROVISION OF HEALTH CARE SERVICES. O. NEW AFFILIATES. APPROVE THE CREATION OF ANY NEW AFFILIATE TO BE OWNED OR CONTROLLED BY THE CORPORATION. P. CONTRIBUTIONS TO MEMBER. DIRECT AND APPROVE ANY CONTRIBUTIONS, DONATIONS OR OTHER ASSET TRANSFERS WITHOUT CONSIDERATION TO THE MEMBER OR ANY AFFILIATE, IN FURTHERANCE OF THE MISSION AND VALUES. Q. CONTRIBUTION ACCEPTANCE. APPROVE ACCEPTANCE OF A CONTRIBUTION THAT IMPOSES A MATERIAL OBLIGATION ON THE CORPORATION, IF APPROVED BY THE CORPORATION'S APPLICABLE FOUNDATION OR FUNDRAISING AFFILIATE AS CONSISTENT WITH THE CORPORATION'S AND SYSTEM'S MISSION AND GOALS. R. BANKING. DEFINE THE CRITERIA FOR THE SELECTION OF BANKS AND OTHER FINANCIAL DEPOSITORIES TO BE USED BY THE CORPORATION, AND AUTHORIZE THE PROCESS BY WHICH SIGNATORIES ON ALL BANK AND SIMILAR ACCOUNTS OF THE CORPORATION ARE APPROVED. S. AUDITORS. SELECT INDEPENDENT AUDITORS FOR THE CORPORATION, IN CONNECTION WITH THE CONSOLIDATED AUDIT OF ALL SYSTEM ENTITIES. T. REGISTERED AGENT. APPROVE OR CHANGE THE CORPORATION'S REGISTERED AGENT OR REGISTERED OFFICE, AS APPROPRIATE FROM TIME TO TIME. U. TAX-EXEMPTION. APPROVE ANY VOLUNTARY CHANGE TO THE CORPORATION'S STATUS OF AN ORGANIZATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS AMENDED FROM TIME TO TIME. |
| FORM 990, PART VI, QUESTION 11B | FORM 990 REVIEW PROCESS THE CORPORATION PROVIDES A COMPLETE COPY OF ITS FORM 990 TO ALL MEMBERS OF THE GOVERNING BODY OF ITS ULTIMATE PARENT CORPORATION, PRESENCE HEALTH NETWORK, FOR REVIEW PRIOR TO FILING WITH THE IRS. THE BOARD OF DIRECTORS OF THE CORPORATION AND OTHER SUBSIDIARY ORGANIZATIONS WITHIN THE PRESENCE HEALTH SYSTEM ARE INTERNAL LIMITED FIDUCIARY BOARDS WHICH DO NOT RECEIVE A COMPLETED COPY OF THE FORM 990 PRIOR TO FILING. AS A RESULT, THE CORPORATION ANSWERS "NO", TO FORM 990, PART VI, LINE 11A. |
| FORM 990, PART VI, LINE 12C | PROCEDURES FOR ADDRESSING CONFLICTS OF INTEREST THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT THE INTERESTS OF PRESENCE HEALTH NETWORK AND ALL OF ITS AFFILIATED MINISTRIES (COLLECTIVELY "PRESENCE HEALTH") WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF ANY DIRECTOR, TRUSTEE, OFFICER, CORPORATE MEMBER APPOINTEE, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, SENIOR LEADERS, AND OTHERS IN A RECENT POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER PRESENCE HEALTH ("INTERESTED PERSONS"), AND CLARIFY THE STANDARDS OF CONDUCT, DUTIES AND OBLIGATIONS OF INTERESTED PERSONS IN THE CONTEXT OF POTENTIAL CONFLICTS OF INTEREST BY PROVIDING A METHOD FOR DISCLOSING AND RESOLVING SUCH POTENTIAL CONFLICTS. NO PRESENCE HEALTH ENTITY WILL ENGAGE IN ANY CONTRACT, TRANSACTION OR ARRANGEMENT INVOLVING A CONFLICT OF INTEREST UNLESS DISINTERESTED MEMBERS OF THE APPLICABLE BOARD OF DIRECTORS OR OTHER GOVERNING BODY DETERMINE BY A MAJORITY VOTE THAT APPROPRIATE SAFEGUARDS TO PROTECT THE CHARITABLE MISSION OF PRESENCE HEALTH HAVE BEEN IMPLEMENTED. TO FACILITATE THIS POLICY, ALL INTERESTED PERSONS HAVE A CONTINUING OBLIGATION TO PROMPTLY DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ALL DISCLOSURES MUST BE PROVIDED TO THE SYSTEM COMPLIANCE OFFICER AND GENERAL COUNSEL IN A WRITTEN DESCRIPTION OF THE MATERIAL FACTS. DISCLOSURE SHALL BE ON A CONFLICTS OF INTEREST QUESTIONNAIRE OR SIMILAR FORMAT AS DESCRIBED IN THE CONFLICTS OF INTEREST POLICY. ALL INTERESTED PERSONS SHALL ALSO COMPLETE A QUESTIONNAIRE BASED ON THE ASSUMPTION OF THE BOARD (OR OTHER RELEVANT) POSITION, AND THEREAFTER ON AT LEAST AN ANNUAL BASIS OR WHEN AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT ARISES. AT ANY TIME THAT AN ACTUAL, APPARENT OR A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED TO THE CORPORATIONS BOARD OF DIRECTORS, WHETHER THROUGH THE VOLUNTARY SUBMISSION OF A DISCLOSURE STATEMENT BY AN INTERESTED PERSON, OR BY A DISCLOSURE BY A PERSON OTHER THAN THE SUBJECT INTERESTED PERSON, THE CORPORATIONS BOARD OR APPLICABLE COMMITTEE SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, ONLY DISINTERESTED DIRECTORS/COMMITTEE MEMBERS VOTE TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT IS FOUND TO EXIST THE INTERESTED PERSON WILL GENERALLY BE REQUIRED TO RECUSE HIM OR HERSELF DURING ANY MEETING IN WHICH THE BOARD OF DIRECTORS OR APPLICABLE COMMITTEE CONDUCTS THE EVALUATION OF THE SUBJECT TRANSACTION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. TO ENSURE THAT THE PRESENCE HEALTH OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS EXEMPT STATUS, TRANSACTIONS INVOLVING INTERESTED PERSONS ARE ONLY APPROVED IF, AFTER EXERCISING REASONABLE DUE DILIGENCE, THE BOARD DETERMINES THEY ARE FAIR AND REASONABLE, TAKING INTO ACCOUNT FACTORS SUCH AS WHETHER PRESENCE HEALTH COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT. HOWEVER, LENDING MONEY OR GUARANTYING AN OBLIGATION OF A DIRECTOR, OFFICER, OR EMPLOYEE OF PRESENCE HEALTH (EXCLUSIVE OF CUSTOMARY INSURANCE COVERAGE FOR ACTS DONE IN CONNECTION WITH SUCH INDIVIDUALS SERVICE TO OR EMPLOYMENT BY PRESENCE HEALTH) IS STRICTLY PROHIBITED. FORM 990 PART VI, QUESTIONS 15A AND 15B, AND PART V, QUESTION 2A COMPENSATION AND APPROVAL PROCESS FOR OFFICERS AND KEY EMPLOYEES COMPENSATION FOR THE CORPORATIONS CEO AND OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED IN ACCORDANCE WITH WRITTEN POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF DIRECTORS OF THE SYSTEMS PARENT, PRESENCE HEALTH NETWORK ("PHN"), AND APPLIED BY THE HUMAN RESOURCES COMMITTE OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS USES MARKET DATE COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH BASE SALARIES AND TOTAL CASH COMPENSATION OPPORTUNITIES. THE HUMAN RESOURCES COMMITTEE MONITORS EXECUTIVE TOTAL COMPENSATION BY APPROVING ALL COMPONENTS OF EXECUTIVE TOTAL COMPENSATION, AND ANNUALLY REVIEWING AND APPROVING COMPENSATION CHANGES FOR EACH EXECUTIVE. THE CORPORATION ANSWERS "YES" TO FORM 990, PART VI, QUESTION 15A AND 15B AS PHNS BOARD OF DIRECTORS HAS ULTIMATE CONTROL OVER ALL SUBSIDIARY ORGANIZATIONS. |
| FORM 990, PART VI, LINE 19 | DOCUMENT AVAILABILITY THE CORPORATIONS ARTICLES OF INCORPORATION ARE ON FILE WITH THE STATE OF ILLINOIS. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE CORPORATION, TOGETHER WITH ITS AFFILIATES, ARE AVAILABLE FROM THE NATIONAL DISSEMINATION AGENT AS REQUIRED BY PRESENCE HEALTH SYSTEMS BOND DOCUMENTS. CONFLICTS OF INTEREST POLICIES ARE NOT MADE AVAILABLE TO THE PUBLIC, HOWEVER A SUMMARY OF THE CURRENT POLICY IS ANNUALLY INCLUDED IN SCHEDULE O OF THE CORPORATIONS FORM 990. |
| FORM 990, PART VII, SECTIONS A & B | STATUTORY EMPLOYER PRESENCE CARE TRANSFORMATION CORPORATION ("PCTC") (FEIN 36-3366652) ACTS AS THE AGENT FOR THE CORPORATION. CASH IS SWEPT FROM THE CORPORATION ON A DAILY BASIS TO PCTC AND PCTC ISSUES ALL PAYROLL AND ACCOUNTS PAYABLE CHECKS ON BEHALF OF AND AS AGENT FOR THE CORPORATION AND THE APPROPRIATE ACCOUNTING ENTRIES ARE RECORDED. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS SUPPORT SERVICES TRANSFERRED TO PRESENCE CARE TRANSFORMATION CORPORATION (4,056,936) L GILBRAITH TRANSFERRED TO PRESENCE CARE TRANSFORMATION CORPORATION (236,138) PRESENCE HEALTH MANAGEMENT SERVICES ORGANIZATION TRANSFERRED TO PRESENCE HEALTH PARTNERS SERVICES (6,779,224) PRESENCE HEALTH MANAGEMENT SERVICES ORGANIZATION NET LOSS THROUGH 10.03.2016 7,962,731 TRANSFER TO AFFILIATE 19,506,010 OTHER TRANSFERS FROM AFFILIATES 145,235,963 ------------ TOTAL $175,190,854 |
| FORM 990, PART XII, LINE 2B | AUDITED FINANCIAL STATEMENTS AN INDEPENDENT ACCOUNTANT ANNUALLY AUDITS THE CONSOLIDATED FINANCIAL STATEMENTS OF PRESENCE HEALTH NETWORK AND ITS AFFILIATES. THE AUDIT OPINION IS ISSUED ON THE CONSOLIDATED FINANCIAL STATEMENTS AND EACH AFFILIATE IS NOT SEPARATELY AUDITED. PART XII, LINES 3A & 3B PRESENCE HEALTH NETWORK COMPLETES A CONSOLIDATED A-133 AUDIT WHICH INCLUDES ALL ENTITIES FOR WHICH IT IS A PARENT ORGANIZATION WHETHER THEY EXPENDED FEDERAL FUNDS DURING THE YEAR OR NOT. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:AGENCY LABOR TOTAL FEES:4941542 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:39428529 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:BIOMED SERVICES TOTAL FEES:10036604 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:DIETARY SERVICES TOTAL FEES:7741510 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LAB SERVICES TOTAL FEES:36347643 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER TOTAL FEES:40761036 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESENCE HEALTH MGMT SERVICES ORG LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2380 EAST DEMPSTER AVE STE 236 | AddressLine1Txt |
| City | DES PLAINES | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463100255 | EIN |
| Primary Activities | HEALTH MGMT | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Total Income | $3,787,591 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PCHN TO 103 | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Presence Health Network | ||||||||||
| 200 South Wacker Drive | Chicago | IL | 60606 | 361649520 | Parent Corp | IL | 501(C)(3) | 12c III FI | na | false |
| Medicare Value Partners | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 363495969 | Health Care | IL | 501(C)(3) | 10 | PHPS | Yes (true) |
| Mount Loretto Nursing Home Inc | ||||||||||
| 302 Swart Hill Road | Amsterdam | NY | 12010 | 141363014 | Health Care | NY | 501(C)(3) | 3 | RM New York | Yes (true) |
| Presence Health Partners Services | ||||||||||
| 2380 E Dempster Ave STE 236 | Des Plaines | IL | 60016 | 362644178 | Health Care | IL | 501(C)(3) | 12b | PHN | false |
| Presence Care Home | ||||||||||
| 18927 Hickory Creek Drive 300 | Mokena | IL | 60448 | 460483587 | Health Care | IL | 501(C)(3) | 10 | PLC | Yes (true) |
| Presence Care Transformation Corporation | ||||||||||
| 1000 Remington BLVD STE 100 | Bolingbrook | IL | 60440 | 363366652 | Mgmt Support | IL | 501(C)(3) | 12c III FI | PHN | false |
| Presence Home Care | ||||||||||
| 18927 Hickory Creek Drive 300 | Mokena | IL | 60448 | 460483581 | Health Care | IL | 501(C)(3) | 10 | PLC | Yes (true) |
| PRESENCE CENTRAL AND SUBURBAN HOSP | ||||||||||
| 1000 Remington BLVD STE 100 | Bolingbrook | IL | 60440 | 364195126 | Health Care | IL | 501(C)(3) | 3 | PCTC | Yes (true) |
| Laverna Terrace Housing Corporation | ||||||||||
| 18927 Hickory Creek Drive 300 | Mokena | IL | 60448 | 363438977 | Senior Living | IL | 501(C)(3) | 10 | PLC | Yes (true) |
| Presence Life Connections | ||||||||||
| 18927 Hickory Creek DR 300 | Mokena | IL | 60448 | 371127787 | Health Care | IL | 501(C)(3) | 10 | PCTC | Yes (true) |
| Presence Behavioral Health | ||||||||||
| 1820 South 25th Avenue | Broadview | IL | 60155 | 362709982 | Health Care | IL | 501(C)(3) | 3 | PCTC | Yes (true) |
| Presence Ambulatory Services | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 364286236 | Health Care | IL | 501(C)(3) | 10 | PCTC | Yes (true) |
| PRESENCE HEALTH FDN BOARD OF TRUSTEES | ||||||||||
| 200 South Wacker Drive | Chicago | IL | 60606 | 363330929 | Fundraising | IL | 501(C)(3) | 7 | PHN | false |
| Resurrection Nursing Home Inc | ||||||||||
| 90 North Main Street | Castleton | NY | 12033 | 141348691 | Health Care | NY | 501(C)(3) | 3 | RM New York | Yes (true) |
| Presence Senior Services - Chicagoland | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 237061646 | Health Care | IL | 501(C)(3) | 10 | PCTC | Yes (true) |
| Presence Healthcare Services | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 363330928 | Health Care | IL | 501(C)(3) | 10 | PCTC | Yes (true) |
| ARTHUR MERKLE - CLARA KNIPPRATH NURSING | ||||||||||
| 1190 E 2900 N Road | Clifton | IL | 60927 | 362841358 | Health Care | IL | 501(C)(3) | 10 | PLC | Yes (true) |
| Rainbow Hospice and Palliative Care | ||||||||||
| 1550 Bishop Court | Mount Prospect | IL | 60056 | 363296367 | Health Care | IL | 501(C)(3) | 10 | PLC | Yes (true) |
| Resurrection University | ||||||||||
| 1431 N Claremont | Chicago | IL | 60622 | 362182170 | Education | IL | 501(C)(3) | 2 | PHN | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|
| Bel Harlem Surg Ctr | ||||||||
| 3101 North Harlem | Chicago | IL | 60634 | 412237162 | Medical Service | IL | na | |
| RH Sleep Ctr - NW | ||||||||
| 665 West North Ave 500 | Lombard | IL | 60148 | 261519627 | Medical Service | IL | na | |
| RH Sleep Ctr - Evan | ||||||||
| 665 West North Ave 500 | Lombard | IL | 60148 | 261519556 | Medical Service | IL | na | |
| RH Sleep Ctr - LP | ||||||||
| 665 West North Ave 500 | Lombard | IL | 60148 | 261519667 | Medical Service | IL | na | |
| RH Sleep Ctr - RF | ||||||||
| 665 West North Ave 500 | Lombard | IL | 60148 | 262189763 | Medical Service | IL | na | |
| Alverno Clinic Lab | ||||||||
| 2434 Interstate Plaza Drive | Hammond | IN | 46324 | 203240648 | Medical Service | IN | na | |
| Prof Clinic Lab LLC | ||||||||
| 113 E 4th St | Michigan City | IN | 46360 | 300711211 | Medical Service | IN | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| L Gilbraith Insurance SPC LTD | |||||||||||||
| 68 W Bay Road PO Box 1109 | Grand Cayman | CJ | Insurance | CJ | PHN | Foreign Company | false | ||||||
| Provena Health Assurance SPC | |||||||||||||
| 23 Lime Tree Bay Ave PO Box 1051 | Grand Cayman | CJ | Insurance | CJ | PCTC | Foreign Company | Yes (true) | 980420054 | |||||
| Presence Properties Inc | |||||||||||||
| Medical | PV | C Corp | Yes (true) | 363520630 | 100 North River Road | Des Plaines | IL | 60016 | IL | ||||
| Presence Service Corporation | |||||||||||||
| Medical | PCTC | C Corp | Yes (true) | 364314354 | 2380 E Dempster Street | Des Plaines | IL | 60016 | IL | ||||
| Presence Ventures Inc | |||||||||||||
| Medical | PCTC | C Corp | Yes (true) | 371168085 | 100 North River Road | Des Plaines | IL | 60016 | IL | ||||
| Resurrection Medical Center Auxiliary | |||||||||||||
| Fundraising | PCHN | C Corp | Yes (true) | 366109825 | 7435 West Talcott Avenue | Chicago | IL | 60631 | IL | ||||
| Resurrection Ministries of New York | |||||||||||||
| Parent Corp | PCHN | C Corp | Yes (true) | 141720818 | 90 North Main Street | Castleton | NY | 12033 | NY | ||||
| Presence Health Care Preferred | |||||||||||||
| MGD Care Contract | PCHN | C Corp | Yes (true) | 363974620 | 100 North River Road | Des Plaines | IL | 60016 | IL | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES | ||
| c | $3,056,342 | CASH |
| PRESENCE CARE TRANSFORMATION CORPORATION | ||
| m | $106,907,303 | COST ALLOCATION |
| PRESENCE CARE TRANSFORMATION CORPORATION | ||
| p | $929,932,321 | COST |
| PRESENCE CARE TRANSFORMATION CORPORATION | ||
| r | $4,293,074 | BOOK VALUE |
| PRESENCE HEALTH PARTNERS SERVICES | ||
| s | $34,247,965 | BOOK VALUE |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | REIMBURSEMENTS FOR SHARED SERVICES | FormAndLineReferenceDesc |
| Explanation | PRESENCE CARE TRANSFORMATION CORPORATION (FEIN: 36-3366652) PAYS ALL OF THE COMPENSATION AND ACCOUNTS PAYABLE FOR ALL ENTITIES UNDER THE PRESENCE HEALTH SYSTEM AS THE DESIGNATED PAYMENT AGENT FOR SUCH ENTITIES. CASH IS DEPOSITED INTO AN ACCOUNT BY PRESENCE HEALTH ENTITIES AND SWEPT ON A MONTHLY BASIS TO REIMBURSE PRESENCE CARE TRANSFORMATION CORPORATION FOR THESE EXPENSES AT COST. THE AMOUNTS REPORTED ON PART V OF SCHEDULE R REFLECT THE TOTAL CASH TRANSFERS TO/FROM PRESENCE CARE TRANSFORMATION | ExplanationTxt |