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SILVER CROSS HOSPITAL & MEDICAL CENTERS: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SILVER CROSS HOSPITAL & MEDICAL CENTERS (EIN 36-2174832)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-17
IRS object ID
201522299349300892
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-17T13:29:01-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE STE 4000AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362174832EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Silver Cross Hospital and Medical CentersBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% JOHN KREPPS CFOInCareOfNm
Business Name ControlSILVBusinessNameControlTxt
Phone8153007084PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 Silver Cross BlvdAddressLine1
Address Line2SuiteAddressLine2
CityNew LenoxCity
StateILState
ZIP Code60451ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Personjohn kreppsPersonNm
Person TitleCFOPersonTitleTxt
Phone8153007007PhoneNum
Signature2015-08-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANGELA M MOOREPreparerPersonNm
PTINP00244342PTIN
Phone8153007007PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN KREPPSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 Silver Cross BlvdAddressLine1
CityNew LenoxCity
StateILState
ZIP Code60451ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$335,721,395GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.silvercross.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1895FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee2507TotalEmployeeCnt
Total Volunteers544TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$946,954PYContributionsGrantsAmt
CY Contributions Grants$1,310,674CYContributionsGrantsAmt
PY Program Service Revenue$293,705,712PYProgramServiceRevenueAmt
CY Program Service Revenue$317,437,158CYProgramServiceRevenueAmt
PY Investment Income$9,415,849PYInvestmentIncomeAmt
CY Investment Income$8,375,497CYInvestmentIncomeAmt
PY Other Revenue$2,596,973PYOtherRevenueAmt
CY Other Revenue$2,779,185CYOtherRevenueAmt
PY Total Revenue$306,665,488PYTotalRevenueAmt
CY Total Revenue$329,902,514CYTotalRevenueAmt
PY Grants And Similar Paid$249,815PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$575,999CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$126,576,559PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$135,755,917CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$173,540,977PYOtherExpensesAmt
CY Other Expenses$183,157,551CYOtherExpensesAmt
PY Total Expenses$300,367,351PYTotalExpensesAmt
CY Total Expenses$319,489,467CYTotalExpensesAmt
PY Revenues Less Expenses$6,298,137PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,413,047CYRevenuesLessExpensesAmt
Total Assets BOY$710,073,502TotalAssetsBOYAmt
Total Assets EOY$725,870,229TotalAssetsEOYAmt
Total Liabilities BOY$453,628,109TotalLiabilitiesBOYAmt
Total Liabilities EOY$459,036,912TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$256,445,393NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$266,833,317NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO ESTABLISH, CONDUCT, MAINTAIN AND OPERATE HOSPITALS AND COMMUNITY MEDICAL CENTERS AND TO FURNISH OTHER FACILITIES FOR THE CARE OF PERSONS SUFFERING FROM ILLNESSES OR DISABILITIES REQUIRING HOSPITAL CARE, COMMUNITY MEDICAL CARE OR CARE IN THE HOME.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$299,070,036ExpenseAmt
Grant$575,999GrantAmt
Revenue$310,992,713RevenueAmt
DescProvision of inpatient and outpatient health care services. Hospital inpatient and observation days for the time period covered by this return totaled 88,522. Outpatient registrations totaled 219,028.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,303,901ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescCommunity education programs, health professional education programs, student internships, support groups and support of free community clinic.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$160,302ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescHealth screenings and women's and children's services.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,240,845TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$6,444,445TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$301,775,084TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document320IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2507EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOHN KREPPS CFOPersonNm
Phone8153007007PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 SILVER CROSS BLVDAddressLine1
CityNew LenoxCity
StateILState
ZIP Code60451ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STEVE MORRISSETTE
CHAIRMAN1.00.0Yes (X)Yes (X)$0$0$0
PAUL PAWLAK
PRESIDENT/CEO1.040.0Yes (X)Yes (X)$0$1,477,677$68,831
DOUGLAS HUTCHISON JR
First Vice Chairman1.00.0Yes (X)Yes (X)$0$0$0
MARK STOFAN
Second Vice Chairman1.00.0Yes (X)Yes (X)$0$0$0
AL MCCOWAN
SECRETARY1.00.0Yes (X)Yes (X)$0$0$0
SUSAN PROCK
TREASURER1.00.0Yes (X)Yes (X)$0$0$0
JACK CARLSTROM
DIRECTOR1.00.0Yes (X)$0$0$0
MARK DANIELSON MD
Director1.00.0Yes (X)$0$0$0
MICHAEL KENNY
Director1.00.0Yes (X)$0$0$0
DOUG MCFARLEN
DIRECTOR (TERM 10/14)1.00.0Yes (X)$0$0$0
DAVID MIKOLAJCZAK DO
Director1.00.0Yes (X)$0$0$0
SCOTT PADDOCK
Director1.00.0Yes (X)$0$0$0
JOHN PHELAN
Director1.00.0Yes (X)$0$0$0
JAMES ROOLF
Director1.00.0Yes (X)$0$0$0
MARY TOTTEN
Director1.00.0Yes (X)$0$0$0
CHRISTOPHER UDOVICH MD
DIRECTOR1.00.0Yes (X)$0$0$0
JOHN KREPPS
ASST. TREASURER1.040.0Yes (X)$0$363,443$55,687
MARYBETH ANTONE
ADM DIR PROCEDURAL CARE40.00.0$255,977$0$39,285Yes (X)
BRANDT FICK
ADM DIR EMERGENCY SERVICES40.00.0$171,227$0$32,774Yes (X)
MARY BRENCZEWSKI
Adm Dir Clinical Ser40.00.0$165,852$0$42,369Yes (X)
KAY NOVAK
DIRECTOR OF ACCOUNTING40.00.0$151,420$0$17,928Yes (X)
JOHN BUSLER
SHIFT COORDINATOR ICU40.00.0$146,408$0$19,935Yes (X)
WILLIAM BROWNLOW
ASST. TREASURER (TERM 9/13)0.00.0$0$708,280$46,699Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$890,884TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,549,400TotReportableCompRltdOrgAmt
Total Other Compensation$323,508TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K94IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
AMERICAN HEALTHCARE SERVICES ASSOC
PO BOX 945TRAVERSE CITYMI49685Consulting$1,558,602
Allied Anesthesia Assoc
40 Shuman Blvd Suite 275NAPERVILLEIL60563Anesthesia services$797,568
IMPACT ADVISORS LLC
931 W 75TH ST SUITE 137-304NAPERVILLEIL60563CONSULTING$753,320
CADENCE PHYSICIAN GROUP
25 N WINFIELD RDWINFIELDIL60190NEUROSURGERY$584,000
STRATEGIC SOURCING RESULTS
3041 n racine unite 100CHICAGOIL60657Consulting$563,510
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$305,825RelatedOrganizationsAmt
All Other Contributions$1,004,849AllOtherContributionsAmt
Total Contributions$1,310,674TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621110$309,017,824$309,017,824
DEPARTMENT REVENUE900099$6,547,330$6,547,330
CANCER CENTER JV INCOME621110$1,872,004$1,872,004
FieldValueIRS element (for citing)
Total Program Service Revenue$317,437,158TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,239,178TotalRevenueColumnAmt
Exclusion$5,239,178ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$645,352RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$645,352RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$645,352TotalRevenueColumnAmt
Exclusion$645,352ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,955,200SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,818,881SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,136,319SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,136,319TotalRevenueColumnAmt
Exclusion$3,136,319ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA REVENUE722514$2,129,958$2,129,958
A/P DISCOUNTS900099$3,875$3,875
FieldValueIRS element (for citing)
Other Revenue Total$2,133,833OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$329,902,514TotalRevenueColumnAmt
Related Or Exempt Func Income$317,437,158RelatedOrExemptFuncIncomeAmt
Exclusion$11,154,682ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$575,999TotalAmt
Program Services$575,999ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$101,924,989TotalAmt
Program Services$95,809,490ProgramServicesAmt
Management And General$6,115,499ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,896,197TotalAmt
Program Services$3,662,425ProgramServicesAmt
Management And General$233,772ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$22,347,786TotalAmt
Program Services$21,006,919ProgramServicesAmt
Management And General$1,340,867ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,586,945TotalAmt
Program Services$7,131,728ProgramServicesAmt
Management And General$455,217ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,036,556TotalAmt
Management And General$8,036,556ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,110,419TotalAmt
Management And General$1,110,419ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$145,000TotalAmt
Management And General$145,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$217,670TotalAmt
Program Services$155,493ProgramServicesAmt
Management And General$62,177ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,161,777TotalAmt
Program Services$19,161,777ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$770,703TotalAmt
Program Services$770,703ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,925,028TotalAmt
Program Services$17,925,028ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,581,259TotalAmt
Program Services$3,366,383ProgramServicesAmt
Management And General$214,876ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$151,195TotalAmt
Program Services$151,195ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$177,911TotalAmt
Program Services$177,911ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$25,680,145TotalAmt
Program Services$25,680,145ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$25,911,473TotalAmt
Program Services$25,911,473ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,523,703TotalAmt
Program Services$9,523,703ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$54,709,117$54,709,117
PUBLIC AID STATE TAX$14,254,558$14,254,558
DIETARY EXPENSE$830,713$830,713
DUES, BOOKS, SUBSCRIPTIONS$545,213$545,213

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$425,111TotalAmt
Program Services$425,111ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$319,489,467TotalAmt
Program Services$301,775,084ProgramServicesAmt
Management And General$17,714,383ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,891,411BOYAmt
EOY$16,463,619EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,637,621BOYAmt
EOY$2,602,772EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,881,516BOYAmt
EOY$1,253,606EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$61,489,422BOYAmt
EOY$47,638,591EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,817,359BOYAmt
EOY$1,695,013EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,817,274BOYAmt
EOY$1,778,602EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$596,054,122LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$136,200,169LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$474,464,157BOYAmt
EOY$459,853,953EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$113,364,521BOYAmt
EOY$142,067,630EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,340,581BOYAmt
EOY$4,162,581EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$42,369,640BOYAmt
EOY$48,353,862EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$710,073,502BOYAmt
EOY$725,870,229EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$32,138,277BOYAmt
EOY$37,968,194EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$392,511,594BOYAmt
EOY$387,296,082EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,978,238BOYAmt
EOY$33,772,636EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$453,628,109BOYAmt
EOY$459,036,912EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$246,546,898BOYAmt
EOY$256,720,269EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,048,100BOYAmt
EOY$4,011,103EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,850,395BOYAmt
EOY$6,101,945EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$256,445,393BOYAmt
EOY$266,833,317EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$710,073,502BOYAmt
EOY$725,870,229EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,413,047ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$160,442NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$185,565OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$42,588OtherActivitiesAmt
Total Lobbying Expenditures$42,588TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1iFormAndLineReferenceDesc
Explanation22.8% of dues paid to American Hospital Association and 38% of dues paid to Illinois Hospital Association are used by these organizations for lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,898,495BeginningYearBalanceAmt
Contributions$1,224,196ContributionsAmt
Investment Earnings Or Losses$527,701InvestmentEarningsOrLossesAmt
Other Expenditures$1,453,516OtherExpendituresAmt
Administrative Expenses$83,828AdministrativeExpensesAmt
End Year Balance$10,113,048EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,799,981BeginningYearBalanceAmt
Investment Earnings Or Losses$1,455,610InvestmentEarningsOrLossesAmt
Other Expenditures$1,291,913OtherExpendituresAmt
Administrative Expenses$65,183AdministrativeExpensesAmt
End Year Balance$9,898,495EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,944,269BeginningYearBalanceAmt
Contributions$2,640,930ContributionsAmt
Investment Earnings Or Losses$849,257InvestmentEarningsOrLossesAmt
Other Expenditures$2,418,434OtherExpendituresAmt
Administrative Expenses$216,041AdministrativeExpensesAmt
End Year Balance$9,799,981EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,192,893BeginningYearBalanceAmt
Contributions$571,496ContributionsAmt
Investment Earnings Or Losses$104,273InvestmentEarningsOrLossesAmt
Other Expenditures$2,871,640OtherExpendituresAmt
Administrative Expenses$52,753AdministrativeExpensesAmt
End Year Balance$8,944,269EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,722,097BeginningYearBalanceAmt
Contributions$3,425,991ContributionsAmt
Investment Earnings Or Losses$371,884InvestmentEarningsOrLossesAmt
Other Expenditures$128,970OtherExpendituresAmt
Administrative Expenses$198,109AdministrativeExpensesAmt
End Year Balance$11,192,893EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.60000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.40000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$25,269,734InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$14,801,161OtherCostOrOtherBasisAmt
Book Value$40,070,895BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$340,344,755OtherCostOrOtherBasisAmt
Depreciation$22,794,301DepreciationAmt
Book Value$317,550,454BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,180,425OtherCostOrOtherBasisAmt
Depreciation$1,967,426DepreciationAmt
Book Value$11,212,999BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$188,872,561OtherCostOrOtherBasisAmt
Depreciation$110,061,561DepreciationAmt
Book Value$78,811,000BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,585,486OtherCostOrOtherBasisAmt
Depreciation$1,376,881DepreciationAmt
Book Value$12,208,605BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$459,853,953TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$42,221,937
UNAMORTIZED BOND EXPENSES$1,682,487
BOND DISCOUNTS$2,890,219
ASSETS RESTRICTED-CURRENT LIAB$1,559,219
FieldValueIRS element (for citing)
Total Book Value Other Assets$48,353,862TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PROGRAMS$32,881,531
OTHER LONG-TERM LIABILITIES$891,105
FieldValueIRS element (for citing)
Total Liability$33,772,636TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D Part V Line 4All endowed funds are restricted to use by Silver Cross Hospital and Medical Centers. Some funds have no further restriction and the interest earned may be used for either operational or capital support. All restrictions regarding the uses of endowed funds are documented.
Schedule D Part X Line 2The Corporations account for tax positions in accordance with ASC Topic 740, Income Taxes. ASC Topic 740 clarifies the accounting for uncertainty in tax positions and also provides guidance on when the tax positions are recognized in an entity's financial statements and how the values of these positions are determined. The Corporations do not have any liabilities recognized for uncertain tax positions.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,071,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,071,000NetCommunityBenefitExpnsAmt
Total Expense0.02530TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,558,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,357,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,201,000NetCommunityBenefitExpnsAmt
Total Expense0.01940TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,629,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,357,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,272,000NetCommunityBenefitExpnsAmt
Total Expense0.04470TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,865,671TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$169,170DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,696,501NetCommunityBenefitExpnsAmt
Total Expense0.01160TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,282,575TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,282,575NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$605,315TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$605,315NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,753,561TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$169,170DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,584,391NetCommunityBenefitExpnsAmt
Total Expense0.01750TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,382,561TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,526,170DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,856,391NetCommunityBenefitExpnsAmt
Total Expense0.06220TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,211,000BadDebtExpenseAmt
Bad Debt Expense Attributable$2,319,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$97,703,000ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$111,694,000CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$13,991,000MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsInd
SILVER CROSS HOSPITAL
11900 SILVER CROSS BLVDNEW LENOXIL60451HTTP://SILVERCROSS.ORG0005827Yes (X)Yes (X)Yes (X)
SILVER CROSS EMERGICARE CENTER
212701 W 143 STHOMER GLENIL60441http://www.silvercross.org22001Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available Upon RequestRptAvailableUponRequestIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndAdopt Implementation StrategyAdoptImplementationStrategyIndExec Implementation StrategyExecImplementationStrategyIndDevelop Community Wide PlanDevelopCommunityWidePlanIndExec Community Wide PlanExecCommunityWidePlanIndInclude Operational PlanIncludeOperationalPlanIndAdopt BudgetAdoptBudgetIndPrioritize Health NeedsPrioritizeHealthNeedsIndPrioritize ServicesPrioritizeServicesIndAll Needs AddressedAllNeedsAddressedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareIndFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctExplained BasisExplainedBasisIndUninsured DiscountUninsuredDiscountIndState RegulationStateRegulationIndApp Financial Asst ExplnAppFinancialAsstExplnIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndPosted On WebsitePostedOnWebsiteIndAttached To InvoiceAttachedToInvoiceIndPosted In Emergency RoomPostedInEmergencyRoomIndPosted In Admission OfficePostedInAdmissionOfficeIndProvided On AdmissionProvidedOnAdmissionIndAvailable On RequestAvailableOnRequestIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLowest Negotiated RatesLowestNegotiatedRatesIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxt
Silver Cross Hospital and Medical Cen
1Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)14Yes (true)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (true)Yes (true)300.Yes (true)300.Yes (true)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
Silver Cross Emergicare Center
2Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)14Yes (true)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)falsefalseYes (true)Yes (true)300.Yes (true)300.Yes (true)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalseYes (X)HTTP://SILVERCROSS.ORG

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 3FormAndLineReferenceDesc
ExplanationThe Hospital takes into account the input from persons who represent the broad interests of the community and they are included in the development of the plan. The community involvement included inviting several members of the MAPP Collaborative Executive Committee, action team members, participants in the Forces of Change, and local Public Health System to assist with the assessment and planning phase. In addition, the Executive Committee is comprised of members that broadly represent the community and have the knowledge and expertise necessary to develop the Plan. The Executive committee is comprised of members representing local health care systems and clinics, several charitable organizations, government offices, local businesses, clergy, and individual community representatives. PART V, LINE 4 The other health care providers participating in the community health needs assessment include Adventist Bolingbrook Hospital, Edward Hospital, Presence St. Joseph Hospital, and the Will County Health Department. Part V, Line 7 The Community Health Needs Assessment (CHNA) was developed in 2014 with a three-year action cycle and timeframe to implement and is a continuous process. Throughout the plan action teams will be meeting to prioritize strategies, develop logic models for each strategy and develop action plans. The hospital continues to address all of the needs identified in the most recently conducted CHNA and uses the plan as a resource tool in order to align its programs and services offered to the community, as reported in our Community Benefits Report.ExplanationTxt

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 3cThe Hospital provides charity care assistance to patients who maintain a household income up to 300% above the Federal Poverty Level. In addition, the hospital provides a 50% discount off of hospital charges to all uninsured patients. Part I Line 6a Silver Cross Hospital completes an annual Community Benefits Report which is available on the Hospital website and upon request. Part I, Line 7 Community Benefits Data detail summary and reports along with financial reports were used to complete the information on Part 1, Line 7. Part II There are no Community Building Activities cost to report for Silver Cross Hospital that are not reportable in Part I of Schedule H. The Silver Cross Healthy Community Commission works with Silver Cross Hospital for on-going community health improvement advocacy. Pt III Line 2 Bad debt is calculated using costing methods including cost to charge ratio using financial statements to determine cost of care.
Part III, Line 3Estimated amount based on uninsured patients not qualifying for charity care.
Part III, Line 4Patient's accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the collectibility of patients' accounts receivable, the hospital analyzes their past history and identifies trends for each of their major payor sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (e.g., for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes patients without insurance), the hospital records a significant provision for bad debts 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 rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.
Part III, Line 8The Medicare loss sustained is a result of Medicare reimbursing at less than the operating cost. Costs were attained using the Medicare cost report.
Part III, Line 9bThe hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. The hospital does not pursue collection of amounts determined to qualify as charity care.
Part VI, Line 2Silver Cross Hospital participates with other healthcare and community organizations to create the Will County Health Needs Assessment and Plan through participation in a Community group called Mobilizing for Action through planning and Partnerships (MAPP) process. MAPP has enabled organizations to engage in county-wide strategic process to ensure that area residents receive the best possible public health services. Silver Cross Hospital has used the Will County Needs Assessment and Strategic Plan as a resource tool to develop its community programming. Silver Cross' programs and services fall into the following categories: Access to Healthcare, Awareness of Services, Prevention, and Management of Chronic Care Issues.
Part VI, Line 3Information regarding assistance for charity care is provided to patients by conducting interviews, posted notices on the hospital's website, and on the patient bill.
Part VI, Line 4Silver Cross Hospital cares for people that reside in areas primarily located in Will County, and portions of Grundy County and southwestern Cook County. Median incomes range broadly throughout the community with distinct pockets that have very low incomes. Our service area is composed of widely diverse cross sections of the population.
Part VI, Line 5Silver Cross Hospital promotes the health of the community by providing over 250 community outreach programs which promote healthier lifestyles and improve health including: educational seminars, health prevention screening, health prevention lectures, health fairs, expos, CPR/First Aid classes, prenatal classes, internships, speakers bureau presentation and support group meetings. Through these outreach programs Silver Cross Hospital touched the lives of 45,000 residents in our community. Impacting the health of thousands of individuals through education and prevention.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Silver Cross Healthy Community CommissionBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 Silver Cross BlvdAddressLine1
CityNew LenoxCity
StateILState
ZIP Code60451ZIPCode
FieldValueIRS element (for citing)
Recipient EIN263094005RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$218,499CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of Grantoperational supportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION SHALL ADVISE AND MONITOR THE INVESTMENTS OF ENDOWMENTS AND GENERAL FUNDS THROUGH ITS BOARD OF DIRECTORS AND THE SCHS BOARD OF DIRECTORS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL PAWLAK
PRESIDENT/CEO$0$698,673$0$420,118$0$358,886$0$17,850$0$50,981$0$1,546,508$0$420,118
JOHN KREPPS
ASST. TREASURER$0$269,031$0$70,858$0$23,554$0$17,850$0$37,837$0$419,130$0$70,858
WILLIAM BROWNLOW
ASST. TREASURER (TERM 9/13)$0$379,633$0$161,691$0$166,956$0$17,850$0$28,849$0$754,979$0$161,691
MARYBETH ANTONE
ADM DIR PROCEDURAL CARE$192,345$0$63,552$0$80$0$17,850$0$21,435$0$295,262$0$0$0
BRANDT FICK
ADM DIR EMERGENCY SERVICES$149,859$0$21,368$0$0$0$12,432$0$20,342$0$204,001$0$0$0
MARY BRENCZEWSKI
Adm Dir Clinical Ser$142,746$0$22,464$0$642$0$11,758$0$30,611$0$208,221$0$0$0
KAY NOVAK
DIRECTOR OF ACCOUNTING$139,678$0$11,341$0$401$0$10,954$0$6,974$0$169,348$0$0$0
JOHN BUSLER
SHIFT COORDINATOR ICU$144,222$0$2,186$0$0$0$0$0$19,935$0$166,343$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, Line 3FormAndLineReferenceDesc
ExplanationSilver Cross Health System, the parent organization of Silver Cross Hospital, uses the following to establish executive compensation: 1) Compensation committee 2) Independent compensation consultant PART I, LINE 4B The Supplemental Executive Retirement Program (SERP) is a non-qualified deferred compensation program designed to provide additional, market-competitive retirement benefits to certain management employees. The SERP was designed to provide retirement benefits that take into account an employee's total compensation, without regard to the annual limit on compensation that applies under qualified retirement plans. The Board has reviewed and approved the SERP benefit, concluding that it is a market-competitive benefit, and that total retirement benefits and total compensation are reasonable when compared to the benefits and compensation provided by similarly situated organizations to employees in comparable positions. For the reporting year, the following reported persons participated in the SERP and received the following payments: Paul Pawlak - $307,142 William Brownlow - $106,256 John Krepps - $23,554ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A86109196745200FXY02009-06-11$252,872,007REPLACEMENT HOSPITALfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
B86109196745200FLE72008-06-18$85,528,084Refunding prior bondsfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
C86109196745200BSW92005-12-08$92,224,786Refunding & capitalYes (true)falsefalse
ILLINOIS FINANCE AUTHORITY
D86109196745200BSY52005-12-08$33,625,000Refunding & capitalYes (true)falsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$275,000$0$263,373,596$21,286,277$49,944,701$0$3,955,535$0$0$185,041,232$3,145,851$02012falsefalseYes (true)Yes (true)
B$3,910,000$0$87,789,515$9,035,200$1,153,764$0$839,288$0$0$0$76,761,262$02008Yes (true)falseYes (true)Yes (true)
C$9,735,000$69,350,000$94,676,525$1,820,288$659,983$0$994,324$1,976,955$0$45,702,490$43,522,485$02007falseYes (true)Yes (true)Yes (true)
D$8,675,000$10,625,000$34,868,735$1,786,307$0$0$269,556$701,346$0$12,229,983$19,881,543$02007Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalse0.00000falseYes (true)
Bfalsefalsefalsefalse0.000000.000000.00000falsefalse0.00000falseYes (true)
Cfalsefalsefalsefalse0.000000.000000.00000falsefalse0.00000falseYes (true)
Dfalsefalsefalsefalse0.000000.000000.00000falsefalse0.00000falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalse0falseYes (true)
0
BYes (true)falsefalsefalse0falseYes (true)
0
CYes (true)Yes (true)falsefalse0falseYes (true)
0
DYes (true)Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part IFormAndLineReferenceDesc
ExplanationTHE 2009 BONDS (LINE A) WERE ISSUED TO FINANCE THE CONSTRUCTION AND EQUIPPING OF A REPLACEMENT HOSPITAL. THE 2008A BONDS (LINE B) WERE ISSUED SOLELY FOR THE REFINANCING OF THE 2005B AND 2005D BOND ISSUES, ORIGINALLY ISSUED 12/8/05. THE 2005A AND 2005B BONDS (LINE C) WERE ORIGINALLY ISSUED 12/8/05. THE 2005 BONDS HAVE BEEN DEFEASED BY THE 6/18/08 BOND ISSUE; THE 2005A BONDS REMAIN. THE 2005C AND 2005D BONDS (LINE D) WERE ORIGINALLY ISSUED 12/8/05. THE 2005A, B, C, AND D BOND ISSUES WERE USED TO CONSTRUCT AND EQUIP A NEW EMERGENCY DEPARTMENT, ADD PATIENT ROOMS TO THE EXISTING HOSPITAL FACILITY, EXPAND AND RENOVATE EXISTING PATIENT CARE AREAS, CONSTRUCT ADDITIONAL PARKING SPACE AND PURCHASE ROUTINE EQUIPMENT. SCHEDULE K, PART IV, LINE 2 - THE 2005 BONDS ISSUED ORIGINALLY AT VARIABLE RATES ARE NOW ISSUED AT FIXED RATES AS PART OF THE REFINANCING IN 2008 (SEE NOTE FOR SCHEDULE K, PART I ABOVE). SCHEDULE K, PART IV, LINE 2C - REBATE COMPUTATION DATES ARE: COLUMN B - 2008 BONDS - 3/25/14 COLUMN C - 2005 BONDS - 3/11/11ExplanationTxt

Schedule K IRS990ScheduleK

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1TO ESTABLISH, CONDUCT, MAINTAIN AND OPERATE HOSPITALS AND COMMUNITY MEDICAL CENTERS AND TO FURNISH OTHER FACILITIES FOR THET CARE OF PERSONS SUFFERING FROM ILLNESSES OR DISABILITIES. Part III, Line 4D Other program services Medical records, chemical dependency, cardiac rehab, recycling, EMS courses. PART VI, LINE 6 Silver Cross Health System is the sole corporate member of Silver Cross Hospital and Medical Centers.
Part VI, LINE 7aSilver Cross Health System may appoint members to the Board of Directors of Silver Cross Hospital and Medical Centers.
Part VI, Line 7bAll decisions made by the Directors of Silver Cross Hospital and Medical Centers are subject to the approval of the Board of Directors of Silver Cross Health System.
Part VI, Line 11BThe form is provided to the Chairman of the Governance and Management Effectiveness Committee of the Board of Directors. The form is prepared with the assistance of a public accounting firm.
Part VI, Line 12cAny conflict of interest on the part of a Director, Officer, or Key Employee shall be disclosed on an annual basis using a questionnaire tool and is monitored and reviewed by the Corporate Compliance Officer. Indentified conflicts may be reviewed by the Board and when such interest becomes a matter of Board action, the Directors shall not vote or use personal influence on the matter and shall not be counted in a quorum for a meeting at which Board action is to be taken on the interest. IF IT IS DETERMINED THAT A DIRECTOR, OFFICER, OR KEY EMPLOYEE IS NON-COMPLIANT WITH THE CONFLICT OF INTEREST POLICY, THE INDIVIDUAL MAY BE SUBJECT TO DISCIPLINARY ACTIONS UP TO AND INCLUDING DISMISSAL.
Part VI, Line 15Silver Cross Health System, the parent organization of Silver Cross Hospital, uses the following to establish executive compensation: 1) Compensation Committee 2) Independent Compensation Consultant 3) Compensation Survey 4) Approval by the Board of Directors
Part VI, Line 19Governing documents, conflicts of interest policy and financial statements are available to individuals upon request.
OTHER CHANGES TO FUND BALANCEOther changes in fund balance consists of distributions from temporarily and permanently restricted funds AND PLEDGE WRITEOFFS. Distributions from temporarily and permanentlly restricted funds ($99,087) Writeoffs of pledges to temporarily and permanently restricted funds ($86,478) ------------- Total ($185,565)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SILVER CROSS HEALTH CONNECTIONS LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 SILVER CROSS BLVDAddressLine1
CityNEW LENOXCity
StateILState
ZIP Code60451ZIPCode
FieldValueIRS element (for citing)
EIN453127542EIN
Primary ActivitiesMANAGED CAREPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SCHBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
SILVER CROSS HEALTH SYSTEM
1900 Silver Cross BlvdNew LenoxIL60451363185353HEALTH SYSTEMIL501(c)(3)11aNAfalse
SILVER CROSS FOUNDATION
1900 Silver Cross BlvdNew LenoxIL60451363185350FUNDRAISINGIL501(c)(3)7SCHSYes (true)
MIDWEST COMMUNITY REAL ESTATE CORP
1900 Silver Cross BlvdNew LenoxIL60451363461020REAL EST MNGTIL501(c)(3)11bSCHSYes (true)
SILVER CROSS MEDICAL ASSOCIATES
1900 Silver Cross BlvdNew LenoxIL60451364179805MEDICAL CAREIL501(c)(3)11aSCHSYes (true)
SILVER CROSS HEALTHY COMMUNITY COMM
1900 Silver Cross BlvdNew LenoxIL60451263094005COMM DEVEPTIL501(C)(3)11aSCHYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
HEALTH SERVICES SYSTEMS INC
1900 Silver Cross BlvdNew LenoxIL60451363262450PHYSICIAN SVSILNACfalse
SILVER CROSS MANAGED CARE ORGANIZATION
1900 Silver Cross BlvdNew LenoxIL60451363876019HEALTHCARE MNgmntILNACfalse
PREFERRED PROVIDER ORG OF JOLIET
1900 Silver Cross BlvdNew LenoxIL60451363330680HEALTHCARE SUILNACfalse$43,514$130,6020.50000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Midwest Community Real Estate Corporation
q$3,289,734FMV
Midwest Community Real Estate Corporation
s$1,550,000FMV
Midwest Community Real Estate Corporation
k$1,010,973FMV
Midwest Community Real Estate Corporation
r$144,790FMV
Silver Cross Healthy Community Commission
b$218,499FMV
Silver Cross Foundation
c$305,825FMV
Silver Cross Foundation
r$850,000FMV
Silver Cross Foundation
p$212,193FMV
Silver Cross Foundation
s$455,887FMV
PPO Joliet
m$85,520FMV