Presence Saint Francis Hospital: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- Presence Saint Francis Hospital (EIN 36-2167800)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201403219349306015
- Schema version
- 2013v3.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T12:32:09-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 NORTH WACKER DRIVE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362167800 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Presence Saint Francis Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ANTHONY J FILER | InCareOfNm |
| Business Name Control | PRES | BusinessNameControlTxt |
| Phone | 8473162352 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 355 Ridge Avenue | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Evanston | City |
| State | IL | State |
| ZIP Code | 60202 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANTHONY J FILER | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Signature | 2014-11-17 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BERNADETTE DURKIN-ZITA | PreparerPersonNm |
| PTIN | P00089845 | PTIN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERTA LUSKIN-HAWK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 355 RIDGE AVENUE | AddressLine1 |
| City | EVANSTON | City |
| State | IL | State |
| ZIP Code | 60202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $176,920,925 | 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 | 1969 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 252 | TotalVolunteersCnt |
| Total Gross UBI | $1,243,060 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $248,037 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,624,713 | PYContributionsGrantsAmt |
| CY Contributions Grants | $913,813 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $171,665,300 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $165,929,017 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,312,931 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,768,515 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,673,888 | PYOtherRevenueAmt |
| CY Other Revenue | $3,309,580 | CYOtherRevenueAmt |
| PY Total Revenue | $182,276,832 | PYTotalRevenueAmt |
| CY Total Revenue | $176,920,925 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $58,360,117 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $60,473,974 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $95,431,105 | PYOtherExpensesAmt |
| CY Other Expenses | $115,173,056 | CYOtherExpensesAmt |
| PY Total Expenses | $153,791,222 | PYTotalExpensesAmt |
| CY Total Expenses | $175,647,030 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $28,485,610 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,273,895 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $221,943,571 | TotalAssetsBOYAmt |
| Total Assets EOY | $220,355,197 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $46,431,171 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $43,568,902 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $175,512,400 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $176,786,295 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $157,534,185 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $165,929,017 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $157,534,185 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | 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 | false | 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 | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | 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 | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | 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 | ANTHONY J FILER | PersonNm |
| Phone | 8472971800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 S WACKER | AddressLine1 |
| City | chicago | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 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 |
|---|---|---|---|---|---|---|---|---|---|
| Howard Drenth | |||||||||
| Director | 1.0 | 42.0 | Yes (X) | $0 | $470,239 | $109,435 | |||
| Roberta Luskin-Hawk MD | |||||||||
| Director Ex-Officio/CEO CHAIR | 1.0 | 41.0 | Yes (X) | $0 | $464,784 | $111,724 | Yes (X) | ||
| Mary Lang Carney MD | |||||||||
| DIRECTOR/MED STAFF PRESIDENT | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Angelique Richard Phd | |||||||||
| DIR/VP PATIENT CARE SVS & CNO | 40.0 | 0.0 | Yes (X) | $280,850 | $0 | $186,944 | |||
| Jeffrey Murphy | |||||||||
| Ex-Officio/CEO FACILITY | 40.0 | 0.0 | Yes (X) | $623,374 | $0 | $600,025 | |||
| Joseph Marc Golan | |||||||||
| DIRECTOR (TERM ENDED 5/2013) | 1.0 | 40.0 | Yes (X) | $0 | $456,102 | $34,580 | |||
| Walter Falkowski MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Anthony J Filer | |||||||||
| Treasurer | 1.0 | 50.0 | $0 | $878,902 | $172,661 | Yes (X) | |||
| Patrick Quinn | |||||||||
| Assistant Treasurer | 1.0 | 40.0 | $0 | $290,799 | $40,263 | Yes (X) | |||
| Julie Roknich | |||||||||
| Assistant Secretary | 1.0 | 40.0 | $0 | $173,049 | $26,630 | Yes (X) | |||
| Jeannie C Frey | |||||||||
| SECRETARY | 1.0 | 50.0 | $0 | $653,365 | $135,768 | Yes (X) | |||
| John A Orsini CPA | |||||||||
| Treasurer (Term Exp 1/2013) | 1.0 | 42.0 | $0 | $228,935 | $9,651 | Yes (X) | |||
| Richard Lavacchi | |||||||||
| SYSTEM LEADER SUPPORT SERVICES | 40.0 | 0.0 | $227,637 | $0 | $31,973 | Yes (X) | |||
| Laura Concannon | |||||||||
| VP (RESIGNED 10/2013) | 40.0 | 0.0 | $350,863 | $0 | $194,111 | Yes (X) | |||
| Scott Chaney | |||||||||
| PHYSICIANS ASSISTANT | 40.0 | 0.0 | $140,685 | $0 | $31,272 | Yes (X) | |||
| Sisay Mersha | |||||||||
| MGR NURSING | 40.0 | 0.0 | $142,840 | $0 | $29,174 | Yes (X) | |||
| Dawn Leroy | |||||||||
| DIR NURSING | 40.0 | 0.0 | $134,677 | $0 | $21,167 | Yes (X) | |||
| Gabriel Delbene | |||||||||
| PHARMACIST NIGHT | 40.0 | 0.0 | $130,697 | $0 | $33,578 | Yes (X) | |||
| Yvonne Martinez | |||||||||
| STAFF NURSE II | 40.0 | 0.0 | $131,153 | $0 | $31,552 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,162,776 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,616,175 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,800,508 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 72 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Austin Anesthesia LLC | |||||
| 1301 W 22nd Street Suite 610 | Oak Brook | IL | 60523 | anesthesia services | $988,000 |
| Learning Care Group LLC | |||||
| 21333 Haggerty Road Ste | Novi | MI | 48375 | day care services | $736,102 |
| Cardiac Surgery Associates SC | |||||
| 2650 Warrenville Raod Suite 280 | Downers Grove | IL | 60515 | cardiac services | $427,004 |
| GE Healthcare | |||||
| PO Box 641936 | Pittsburgh | PA | 15264 | bio-med services | $365,000 |
| Healogics Wound Care Hyperbaric S | |||||
| 3087 Momentum Place | Chicago | IL | 60689 | wound care services | $353,336 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 29 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $888,035 | RelatedOrganizationsAmt |
| Government Grants | $25,778 | GovernmentGrantsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $913,813 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 621990 | $162,811,494 | $162,811,494 | $0 | $0 |
| MEDICARE/MEDICAID MEANINGFUL USE | 900099 | $3,117,523 | $3,117,523 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $165,929,017 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,768,515 | TotalRevenueColumnAmt |
| Exclusion | $6,768,515 | 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 |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 |
|---|---|---|---|---|---|
| CHILD CARE SERVICES | 624410 | $1,306,360 | $0 | $1,175,724 | $130,636 |
| LAB SERVICES | 621500 | $55,109 | $0 | $55,109 | $0 |
| CAFETERIA | 900099 | $813,999 | $0 | $12,227 | $801,772 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,134,112 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,134,112 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,309,580 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $176,920,925 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $165,929,017 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,243,060 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,835,035 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | 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 | $2,495,777 | TotalAmt |
| Program Services | $2,495,777 | 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 | $47,439,607 | TotalAmt |
| Program Services | $47,439,607 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,102,251 | TotalAmt |
| Program Services | $2,102,251 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,687,394 | TotalAmt |
| Program Services | $4,687,394 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,748,945 | TotalAmt |
| Program Services | $3,748,945 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,767,773 | TotalAmt |
| Management And General | $17,767,773 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,084 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $139,084 | 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 | $0 | TotalAmt |
| Program Services | $0 | 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 | $24,655,886 | TotalAmt |
| Program Services | $24,655,886 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,053 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $103,053 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,935 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $102,935 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | 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 | $3,175,013 | TotalAmt |
| Program Services | $3,175,013 | ProgramServicesAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | 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 | $423,419 | TotalAmt |
| Program Services | $423,419 | ProgramServicesAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,066,979 | TotalAmt |
| Program Services | $2,066,979 | ProgramServicesAmt |
| 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 | $11,698,008 | TotalAmt |
| Program Services | $11,698,008 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $826,032 | TotalAmt |
| Program Services | $826,032 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES AND DRUGS | $19,856,466 | $19,856,466 | $0 | $0 |
| BAD DEBT ALLOWANCES | $23,095,962 | $23,095,962 | $0 | $0 |
| MEDICARE ASSESSMENT | $8,237,071 | $8,237,071 | $0 | $0 |
| OTHER EXPENSES | $3,025,375 | $3,025,375 | $0 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,647,030 | TotalAmt |
| Program Services | $157,534,185 | ProgramServicesAmt |
| Management And General | $18,112,845 | 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 | $5,069,198 | BOYAmt |
| EOY | $3,872,275 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $29,213,449 | BOYAmt |
| EOY | $23,963,357 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,071,838 | BOYAmt |
| EOY | $4,197,679 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $179,083,483 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $126,058,093 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,102,907 | BOYAmt |
| EOY | $53,025,390 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,843,439 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | 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 | $29,642,740 | BOYAmt |
| EOY | $135,296,496 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,943,571 | BOYAmt |
| EOY | $220,355,197 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $637,503 | BOYAmt |
| EOY | $1,898,268 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | 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 | $45,793,668 | BOYAmt |
| EOY | $41,670,634 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,431,171 | BOYAmt |
| EOY | $43,568,902 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,512,400 | BOYAmt |
| EOY | $176,786,295 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | 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 | $175,512,400 | BOYAmt |
| EOY | $176,786,295 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,943,571 | BOYAmt |
| EOY | $220,355,197 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,273,895 | ReconcilationRevenueExpnssAmt |
| 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 | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,716,880 | OtherCostOrOtherBasisAmt |
| Book Value | $8,716,880 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $86,876,592 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,473,304 | DepreciationAmt |
| Book Value | $23,403,288 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,625 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,625 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $81,860,611 | OtherCostOrOtherBasisAmt |
| Depreciation | $61,060,952 | DepreciationAmt |
| Book Value | $20,799,659 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,596,775 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,491,212 | DepreciationAmt |
| Book Value | $105,563 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $53,025,390 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MISC. ACCOUNTS REC SHORT TERM | $243,097 |
| REINSURANCE RECEIVABLE | $2,582,126 |
| FAMILY HEALTH NETWORK | $60,091 |
| DUE FROM AFFILIATES | $132,371,210 |
| SUNDRY RECEIVABLE | $39,972 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $135,296,496 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $1,774,248 |
| DUE TO THIRD PARTY PAYORS | $12,728,260 |
| MALPRACTICE LIABILITY | $27,168,126 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $41,670,634 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FIN 48 (ASC740) Footnote | FormAndLineReferenceDesc |
| Explanation | PRESENCE HEALTH AND AFFILIATES RECOGNIZES 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, 2013 AND 2012, PRESENCE HEALTH AND AFFILIATES DOES 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 |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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) |
|---|---|---|
| Persons Served | 2397 | PersonsServedCnt |
| Total Community Benefit Expns | $6,513,829 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,513,829 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04270 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 65 | PersonsServedCnt |
| Total Community Benefit Expns | $31,983,167 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,686,826 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,444,285 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01510 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2462 | PersonsServedCnt |
| Total Community Benefit Expns | $38,496,996 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,686,826 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,958,114 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05780 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 30 | ActivitiesOrProgramsCnt |
| Persons Served | 5157 | PersonsServedCnt |
| Total Community Benefit Expns | $50,424 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $50,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 4016 | PersonsServedCnt |
| Total Community Benefit Expns | $14,030,187 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,172,457 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,857,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05810 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,650,780 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,019,202 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $631,578 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $20,335 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $55,239 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 681 | PersonsServedCnt |
| Total Community Benefit Expns | $59,364 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $59,364 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 55 | ActivitiesOrProgramsCnt |
| Persons Served | 9854 | PersonsServedCnt |
| Total Community Benefit Expns | $15,811,090 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,191,659 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,654,335 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06300 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 55 | ActivitiesOrProgramsCnt |
| Persons Served | 12316 | PersonsServedCnt |
| Total Community Benefit Expns | $54,308,086 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,878,485 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,612,449 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12080 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 100 | PersonsServedCnt |
| Total Community Benefit Expns | $112,324 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $112,324 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $837 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $837 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 103 | PersonsServedCnt |
| Total Community Benefit Expns | $733 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $733 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 203 | PersonsServedCnt |
| Total Community Benefit Expns | $113,894 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $113,894 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $23,095,962 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $54,040,508 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $60,907,249 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,866,741 | 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 | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Presence Saint Francis Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 355 Ridge Avenue | AddressLine1 |
| City | Evanston | City |
| State | IL | State |
| ZIP Code | 60202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://presencehealth.org/locations/ | WebsiteAddressTxt |
| State License | 0002402 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | level 1 trauma center | OtherDesc |
| Facility Reporting Group | A | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A - PRESENCE SAINT FRANCIS HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (true) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 600. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| Residency | Yes (X) | ResidencyInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 2 | In Presence Health's 2012 Schedule H (Form 990), it was indicated that the CHNA was completed in 2012. Although the quantitative and qualitative data was collected and compiled in 2012, the CHNA report was not made publicly available until the beginning of 2013. The CHNA completion date has been updated on this form to 2013 to be consistent with when the IRS deems the CHNA to be conducted (the date on which the CHNA report is published and made "widely available") |
| PART V, SECTION B, LINE 3 | A community health needs assessment (CHNA) is a collaborative community process of identifying and prioritizing a community's health needs, accomplished through the collection and analysis of data, including input from community stakeholders. In July 2012, a CHNA Steering Committee was formed to represent stakeholders within the PSFH community, as well as to provide oversight and input throughout the CHNA process. The committee's role is also to assist in the identification of data-driven community priorities and to engage stakeholders in community solutions through partnerships and collaboration. By taking on a community approach to both the assessment and implementation strategies, the goal is to ensure the data, processes, and outputs add value to all community partners, not just the hospital. Engagement of Public Health Expertise Presence Health formally engaged the Illinois Public Health Institute (IPHI) for assistance in planning and executing the CHNA process. IPHI served as an expert public health consultant throughout the CHNA timeline. Further, IPHI provided invaluable assistance in obtaining partnerships with the local and county Health Departments. Given the vast number of county hospitals served by the same Health Department in Cook County, resource allocation was difficult to obtain. As such, IPHI functioned as a liaison role between Presence Health and the Health Departments so as to obtain engagement through public data sharing and linkages with implementation plans. Conversations were facilitated between the Cook County Department of Public Health so as to continually inform all parties of CHNA process inputs and obtain both feedback and support. CHNA Steering Committee To provide community level oversight for the process, a diverse group of community stakeholders and Presence Saint Francis Hospital representatives from its service area (Evanston, Rogers Park, and West Ridge) were invited to participate on the CHNA Steering Committee. To ensure representative engagement, personal invitations were sent to organizations representing cultural, linguistic, racial, ethnic, and other minority groups. In addition, individuals with specialized qualifications in dealing with special populations or clinical groups were solicited for their participation. Finally, efforts were made to include individuals on the CHNA Steering Committee with public health expertise. Those who committed to the assessment and planning process became the 23 members of the CHNA Steering Committee, which continues to meet regularly to provide feedback and oversight, assess progress, and modify plans as needed. The agencies represented on the CHNA Steering Committee are listed below: -Oakton School PTA -Cook County Commissioner Larry Suffredin's Office -Presence Saint Francis Hospital -St. Hillary Catholic Church -Holmestead Communications -Former Evanston Police Chief -PEER Services, Inc. -Trilogy -Former Evanston Mayor -Consortium to Lower Obesity in Chicago Children (CLOCC) -McGaw YMCA -Rogers Park Business Alliance -CJE SeniorLife -Howard Area Community Center -ACCESS Community Health Network -Evanston Health Department -Saint Nicholas -Evanston/Skokie School District 65 Community Health Profile The Community Health Profile is a compilation of secondary data (data already published and available) about a particular community. The profile provides comparative information to assist in understanding the needs and priorities of a community. The Community Health Profile for PSFH analyzed over 50 indicators. Example indicators include: population trends, race, income, poverty levels, and percentage of uninsured, health professional shortages, leading causes of death, teen births, birth weights, tobacco use, physical activity, crime rates, and food insecurity. The Community Health Profile can be found online at www.presencehealth.org/community. Community Input Report The community input process was completed between August and October 2012. The process included creating and administering a community input survey in Spanish, Polish and Russian as well as English, facilitating three focus groups, and completing an asset and resources inventory. The community survey explored residents' perceptions of issues surrounding quality of life, health, and social factors and collected respondents' demographics including insurance coverage. Nine hundred twenty-one (921) community residents completed the survey. The Community Input Report can be found online at www.presencehealth.org/community. In conjunction with the CHNA Steering Committee and numerous community stakeholders, an inventory of community assets was then conducted so as to determine existing health resources that could be built upon or collaborated with to conduct the work of PSFH's ministry. The Community Asset Matrix can be found in Appendix 1 of the Community Input Report online at www.presencehealth.org/community. |
| PART V, SECTION B, LINE 5D | The CHNA Report was made widely available to the general public on our website. The specific URL is provided here: http://www.presencehealth.org/sites/default/files/pdfs/CommunityReports/PS FH/CHNA_Report_PSFH.pdf. Print copies are available upon request. In addition, copies were mailed to community partners who collected community input and participated in the CHNA process for more specific dissemination of findings. Partners were also provided links to the website via email for dissemination to their mailing lists and respective constituents. PART V, SECTION B, LINE 12I Federal Poverty Guidelines are also used in determining the basis of calculating amounts charged to patients. |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST | PART I, LINE 3C This question is not applicable because Presence Health uses the Federal Poverty Guidelines. PART I, LINE 6A Presence Health, the System parent corporation of Presence Saint Francis Hospital (PSFH), published a Community Benefit Report for 2013, which details the combined charitable impact Presence Health facilities have within the communities they serve. In addition to the Community Benefit Report for 2013, PSFH publishes a ministry-specific Implementation Strategy which outlines the goals and objectives PSFH has established to address the prioritized needs of its community. The Presence Health system is referenced in this document, but other hospitals within the Presence Health system file their own 990s and Schedule H. |
| PART I, LINE 6B | The 2013 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 will be mailed 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 2013 Community Benefit Report. Presence Saint Francis Hospital has its own ministry link on this page. Through this link, Community Health Needs Assessment (CHNA) documents specific to Presence Saint Francis Hospital can be downloaded, including a community-friendly CHNA flipbook, the source documents of all data reviewed, an overall CHNA Report, and an Implementation Strategy. - PowerPoint presentation. A standard PowerPoint of the entire 2013 Community Benefit Report has been made available. A customized version of this presentation has also been created for Presence Saint Francis Hospital to share with the community, which shows the local community benefit contributions, persons served, and the 2013 prioritized community needs. |
| PART I, LINE 7G | Costs from physician clinics are not included in subsidized service totals. PART I, LINE 7K, COLUMN F Per 2013 Instructions for Schedule H (Form 990), the Bad Debt Expense of $23,095,962 has been removed from the denominator in calculating the percentage of total expense in Line 7. |
| PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGY | 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 II. COMMUNITY BUILDING ACTIVITIES | Community building activities include programs that improve the community's health and safety by addressing the root causes and social determinants 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 community's capacity to promote the health and well-being of its residents by offering the expertise and resources of the health care organization. Presence Saint Francis Hospital engages in a variety of community building activities which ultimately improve the health of the communities we are privileged to serve, even though they are not specific health activities. Examples of community building activities include: - All of our hospitals work to support disaster readiness and emergency preparedness. This work goes above and beyond any licensure requirements to proactively ensure our communities are safe and prepared if a disaster should present itself. |
| PART III. BAD DEBT, MEDICARE, & COLLECTION PRACTICES | PART III, SECTION A, LINE 2 There are no estimates of bad debt included. Bad debt is at total expense. 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. There are possible 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 COLLECTIBILITY 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 | The organization computes the Medicare shortfall based on a ratio of cost to charges. Presence Saint Francis Hospital 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 Saint Francis Hospital 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 entities, which includes Presence Saint Francis Hospital's patients. 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 a number of languages. 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: - 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. - 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. - 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. - 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. For more information about the Presence Health Financial Assistance Program, see www.presencehealth.org/patients-and-visitors/financial-assistance. |
| PART IV. MANAGEMENT COMPANIES AND JOINT VENTURES | PSFH has no joint ventures |
| PART V. FACILITY INFORMATION | PART V, SECTION A Presence Saint Francis Hospital 355 Ridge Avenue Evanston, IL 60202 http://presencehealth.org/locations/hospitals/presence-saint-francis-hospi tal Presence Saint Francis Hospital is a licensed hospital and a general medical and surgical facility. |
| PART VI, 2: NEEDS ASSESMENT | In addition to conducting CHNAs every three (3) years, Presence Saint Francis Hospital joins forces with local community organizations to assess the health needs of the community on an ongoing basis. We participate in a variety of coalitions, commissions, committees, boards, partnerships and panels. Our community outreach workers and liaisons spend ample time in the community PSFH serves, and bring back first-hand knowledge of community needs. We also solicit guidance and invite input from a group of external participants to review our community benefit plan, neighborhood relations, and data supplements to advise us on the priority needs and directions with regard to community needs. External group participants include representatives from the Public Health Department, local aldermen and representatives, leaders from community based organizations, foundations, churches, colleges, coalitions and associations. These participants are experts in a wide range of areas including: public health, minority populations, health care disparities, mental health, and health and social services. Soliciting feedback from this group helps us to ensure we are aware of the most pressing community health needs. Presence Health ministries also complete medical staff development plans. These plans are conducted by external consultants, who provide an independent assessment of the need for physicians by specialty within the hospital's primary service area as defined by Stark regulations. We also review and analyze our own internal patient data (Inpatient and Emergency Department utilization) on an annual basis to uncover any new community health trends. We review purchased and publicly available data and analyses on the market, demographics, and health service utilization. |
| 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 are in multiple 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 for and stabilize any patient with an emergency medical condition before making inquiry of the patient's ability to pay. 3. Brochures. Brochures, information sheets and similar forms of written communication regarding the hospital's 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 consumer Web site (http://presencehealth.org/patients-and-visitors/financial-assistance). 5. Billing Notices. Each Presence Health hospital includes a note on or with the hospital bill and/or statement regarding the hospital's 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 counselor 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 patient's 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 patient's bill. |
| PART VI, 4: COMMUNITY INFORMATION | Presence Health provides services at 150 sites, including twelve acute care hospitals with a total of 2,997 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. Presence Health 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 ministries facilities are located in population growth areas. Based upon population estimates and projections obtained from Claritas, Inc., the population of 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 Presence's 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. The Presence Saint Francis Hospital CHNA service area includes Evanston (60201, 60202, and 60203), Rogers Park (60626), and West Ridge (60645). The total population of zip codes 60201, 60202, 60203, 60626 and 60645 in 2010 was 201,419, making up the service area of PSFH. Demographics While the U.S. and Illinois population increased 10% and 3% respectively, the city of Chicago lost 7% of its population from 2000 to 2010. Similarly, Rogers Park lost 13% of its population during this time period. The population in Evanston and West Ridge remained relatively unchanged. Evanston (74,486) and West Ridge (71,942) have about the same size population, while Rogers Park has about 20,000 fewer residents than the other two communities. About a quarter of the population in all these communities is under 20 years of age, percentages that are quite similar to Chicago, Cook County, Illinois and the U.S. Between 8% (in zip code 60626-Rogers Park) and 12% (in Evanston) of the population are over 65. The largest racial group in Evanston is White (over 60%) with about 20% of the population identifying as Black and about 8% Hispanic/Latino. In West Ridge, the Asian and Hispanic/Latino population combined is slightly larger (44%) than the White population (40%). In Rogers Park both the Black and Hispanic/Latino populations each comprise about 25% of the total while the White proportion is near 40%. One in five of the residents in West Ridge are limited English speakers, compared to about 15% in Rogers Park and just over 5% in Evanston. While Spanish is the most common language spoken in all areas, West Ridge stands out for the diversity of languages spoken. Socioeconomic While the median income for West Ridge, at $47,323, is similar to Chicago as a whole, the median income for Rogers Park is considerably lower, at $39,482. The median income for Evanston is almost $20,000 more than for Chicago, at $68,107. As might be expected, only 10% of Evanston residents and 10% or less of Evanston children live below the poverty line. Fifteen percent of the residents and almost 25% of children in West Ridge live in poverty. In Rogers Park, 23% of residents and 37% of the children are living in poverty. Nearly half of Rogers Park residents are living below 200% of the FPL. Seventy percent or more of students receive free or reduced lunch in all schools in Rogers Park. Most schools in Evanston have 50% or less of students receiving free or reduced lunch, though there are higher rates in south Evanston. Only 6% of residents in Evanston lack a high school degree, compared with 18%-20% in Rogers Park and West Ridge. Almost two-thirds of Evanston residents over 25 have a college degree, compared to only one-third of Chicago residents. For the period 2006-2010, West Ridge had the highest unemployment rate at 7.9% followed by Rogers Park at 7.5% and Evanston at 6.8%. Access to Care The percentage of people uninsured in Chicago (19.8%) is higher than the national and state averages; the uninsured rate in Evanston (8.3%) is more than 10 percentage points lower than Chicago. About 30% of residents in the West Ridge and Rogers Park zip codes are enrolled in Medicaid. While the rates of self-pay among ER outpatients at PSFH were similar to the state (18% and 15% respectively), 45% of outpatients at PSFH were on Medicaid, compared to only 34% statewide. There were 3,839 requests for interpreters at PSFH in FY2011. Over half of the requests were for Spanish, which was the most common language spoken in these communities, followed by Russian. There were requests for a wide variety of language interpretation, with 60 different languages requested over the year. There are no primary care shortages in Evanston. However, Rogers Park has a shortage for all residents and West Ridge has a shortage for low-income residents. There is no shortage of mental health services in Evanston. However, like most of North Chicago, West Ridge and Rogers Park both have mental health shortages for low-income residents. A full Community Health Profile of demographic and other health indicators can be found of Presence Saint Francis Hospital at www.presencehealth.org/community. |
| PART VI, 5: PROMOTION OF COMMUNITY HEALTH | Presence Health hospitals are faith-based ministries that provide services consistent with the Ethical and Religious Directives for Catholic Health Care Services. Presence Health enhances the public health of our communities by: 1. Ensuring our medical staff is open to all qualified physicians. 2. Ensuring 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 includes 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 thRough new programs and technology. 5. Providing financial assistance, sliding scale discounts and having 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 provide 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. The PSFH Senior Leadership Team and the Governing Board have a strong commitment to community health initiatives. Community initiatives and activities have ongoing monitoring and evaluation for program effectiveness. The following programs are existing community benefit programs PSFH sponsors in the community. LINKS PROGRAM Family Focus and LINKS collaborate with PSFH's clinical dietician to promote healthy eating habits and physical activity for low income children. Participants enrolled in the program receive free health education information and counseling for body mass index. WOMEN OUT WALKING The Women Out Walking (WOW) Program is a 12 week program sponsored by the Department of Health which encourages women to increase their daily physical activity. PSFH donates $4,000 to this program and also provides dieticians, physicians and other speakers to educate women on the importance of preventative screenings. PSFH provides free health screenings at the beginning and end of the program to monitor the success of participants. KNOW YOUR NUMBERS Screenings of blood glucose, blood pressure, cholesterol and weight are offered free to the community at a variety of health fairs. Individuals receive a Know Your Numbers card with an explanation of what the numbers mean and health information provided by a registered nurse. |
| PART VI, 6: AFFILIATED HEALTH CARE SYSTEM | The Provena Health and Resurrection Health Care systems came together 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 in Illinois. The name 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 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 its net gains from operations 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 2013, this included $199 million in community benefit activities. Presence Health 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, 7: STATE FILING OF COMMUNITY BENEFIT REPORT Presence Health files its annual community benefit report in Illinois. |
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 |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Howard Drenth | ||||||||||||||
| Director | $0 | $369,778 | $0 | $100,461 | $0 | $0 | $0 | $83,307 | $0 | $26,128 | $0 | $579,674 | $0 | $0 |
| Roberta Luskin-Hawk MD | ||||||||||||||
| Director Ex-Officio/CEO CHAIR | $0 | $370,226 | $0 | $94,558 | $0 | $0 | $0 | $82,397 | $0 | $29,327 | $0 | $576,508 | $0 | $25,179 |
| Anthony J Filer | ||||||||||||||
| Treasurer | $0 | $629,462 | $0 | $139,487 | $0 | $109,953 | $0 | $146,954 | $0 | $25,707 | $0 | $1,051,563 | $0 | $0 |
| Patrick Quinn | ||||||||||||||
| Assistant Treasurer | $0 | $212,851 | $0 | $35,937 | $0 | $42,011 | $0 | $23,604 | $0 | $16,659 | $0 | $331,062 | $0 | $0 |
| Julie Roknich | ||||||||||||||
| Assistant Secretary | $0 | $173,049 | $0 | $0 | $0 | $0 | $0 | $5,934 | $0 | $20,696 | $0 | $199,679 | $0 | $0 |
| Jeannie C Frey | ||||||||||||||
| SECRETARY | $0 | $466,882 | $0 | $186,483 | $0 | $0 | $0 | $108,779 | $0 | $26,989 | $0 | $789,133 | $0 | $36,617 |
| Richard Lavacchi | ||||||||||||||
| SYSTEM LEADER SUPPORT SERVICES | $178,678 | $0 | $48,959 | $0 | $0 | $0 | $11,733 | $0 | $20,240 | $0 | $259,610 | $0 | $21,730 | $0 |
| Scott Chaney | ||||||||||||||
| PHYSICIANS ASSISTANT | $140,685 | $0 | $0 | $0 | $0 | $0 | $6,164 | $0 | $25,108 | $0 | $171,957 | $0 | $0 | $0 |
| Sisay Mersha | ||||||||||||||
| MGR NURSING | $142,840 | $0 | $0 | $0 | $0 | $0 | $6,471 | $0 | $22,703 | $0 | $172,014 | $0 | $0 | $0 |
| Dawn Leroy | ||||||||||||||
| DIR NURSING | $134,677 | $0 | $0 | $0 | $0 | $0 | $3,402 | $0 | $17,765 | $0 | $155,844 | $0 | $0 | $0 |
| Gabriel Delbene | ||||||||||||||
| PHARMACIST NIGHT | $130,697 | $0 | $0 | $0 | $0 | $0 | $6,502 | $0 | $27,076 | $0 | $164,275 | $0 | $0 | $0 |
| Yvonne Martinez | ||||||||||||||
| STAFF NURSE II | $131,153 | $0 | $0 | $0 | $0 | $0 | $6,349 | $0 | $25,203 | $0 | $162,705 | $0 | $0 | $0 |
| Angelique Richard Phd | ||||||||||||||
| DIR/VP PATIENT CARE SVS & CNO | $192,723 | $0 | $53,059 | $0 | $35,068 | $0 | $170,359 | $0 | $16,585 | $0 | $467,794 | $0 | $11,617 | $0 |
| Jeffrey Murphy | ||||||||||||||
| Ex-Officio/CEO FACILITY | $340,230 | $0 | $196,213 | $0 | $86,931 | $0 | $576,148 | $0 | $23,877 | $0 | $1,223,399 | $0 | $48,348 | $0 |
| John A Orsini CPA | ||||||||||||||
| Treasurer (Term Exp 1/2013) | $0 | $48,134 | $0 | $180,801 | $0 | $0 | $0 | $8,600 | $0 | $1,051 | $0 | $238,586 | $0 | $56,655 |
| Joseph Marc Golan | ||||||||||||||
| DIRECTOR (TERM ENDED 5/2013) | $0 | $169,442 | $0 | $108,175 | $0 | $178,485 | $0 | $12,750 | $0 | $21,830 | $0 | $490,682 | $0 | $12,919 |
| Laura Concannon | ||||||||||||||
| VP (RESIGNED 10/2013) | $247,086 | $0 | $52,837 | $0 | $50,940 | $0 | $172,035 | $0 | $22,076 | $0 | $544,974 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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's sole member, PRESENCE RHC corporation (PRHCC) and PRHCC's sole member, the system parent corporation. Such policies and procedures are applied by the human resources committee of the system parent corporation, which consists wholly of independent directors. The parent corporation 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 and approves all components of 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 2013: JEFFREY MURPHY $86,931 LAURA CONCANNON $50,940 ANGELIQUE RICHARD $35,068 JOSEPH MARC GOLAN $178,485 |
| 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. Under the Plan, 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 participated in the organization's section 457(f) plan and earned unvested benefits during 2013 which are reported in column (c): JEFFREY MURPHY $30,821 JEANNIE C. FREY $86,745 HOWARD DRENTH $67,495 ROBERTA LUSKIN-HAWK $62,944 PATRICK QUINN $23,604 ANTHONY J. FILER $146,954 Also in response to Question 4B, the following listed individuals became vested in supplemental retirement benefits under the SERP, and therefore had benefits included in their taxable income: JEFFREY MURPHY $89,830 JEANNIE C. FREY $41,988 HOWARD DRENTH $36,216 ROBERTA LUSKIN-HAWK $25,189 LAURA CONCANNON $15,403 JOSEPH MARC GOLAN $34,536 ANGELIQUE RICHARD $23,199 RICHARD LAVACCHI $21,738 JOHN A. ORSINI $56,971 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, QUESTION 1 | 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. MISSION STATEMENT FORM 990, PART III, QUESTION 1 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 SAINT FRANCIS HOSPITAL PROVIDES HEALTHCARE SERVICES IN A COMPASSIONATE, HOLISTIC MANNER IN THE SPIRIT OF HEALING AND HOPE. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A 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 2013, PSFH PROVIDED PATIENT CARE OF 32,513 PATIENT DAYS AND HAD 7,540 ACUTE DISCHARGES. EMERGENCY ROOM VISITS TOTALED 35,958, SURGERIES TOTALED 5,029, AND OUTPATIENT VISITS TOTALED 85,332. 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 1,500 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. |
| FORM 990, PART I, QUESTION 5 AND PART V, QUESTION 2 | PRESENCE SAINT FRANCIS HOSPITAL (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 CORPORATION'S COMPENSATION IS PAID BY PRESENCE RESURRECTION MEDICAL CENTER ("PRMC"), 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 PRMC. |
| FORM 990, PART V, QUESTION 1A | PRESENCE SAINT FRANCIS HOSPITAL (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 CORPORATION'S ACCOUNTS PAYABLE REPORTABLE ON FORM 1096 ARE PAID BY PRESENCE RESURRECTION MEDICAL CENTER ("PRMC"), 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 PRMC. |
| FORM 990, PART VI, QUESTION 4 | THE BYLAWS OF THE CORPORATION WERE AMENDED EFFECTIVE DECEMBER 6, 2013 TO CLARIFY MEMBER'S POWERS AND TO FURTHER FACILITATE UNIFORMITY IN ORGANIZATION BETWEEN ENTITIES FROM THE RESURRECTION AND PROVENA HEALTHCARE SYSTEMS INTO ONE SYSTEM, KNOWN AS PRESENCE HEALTH. |
| FORM 990, PART VI, QUESTION 6 | PRESENCE SAINT FRANCIS HOSPITAL HAS ONE MEMBER, PRESENCE RHC CORPORATION. |
| FORM 990, PART VI, QUESTION 7A | THE CORPORATION'S SOLE MEMBER, PRESENCE RHC CORPORATION, HAS THE POWER TO APPOINT MEMBERS OF THE GOVERNING BODY, OTHER THAN EX-OFFICIO DIRECTORS. |
| FORM 990, PART VI, QUESTION 7B | PRESENCE RHC CORPORATION (THE "MEMBER"), THROUGH ITS BOARD OF DIRECTORS, HAS CERTAIN RESERVE POWERS WITH RESPECT TO THE FOLLOWING. GENERAL POWERS AND RESPONSIBILITIES: 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. MEMBER 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, 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. 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, 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 (E.G., A CHANGE REQUIRING A DIFFERENT KIND OF LICENSE). I) STRATEGIC PLAN. APPROVE STRATEGIC PLANS FOR THE CORPORATION 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 HEALTH CARE FACILITIES OWNED BY THE CORPORATION. K) BUSINESS NAME, LOGO. APPROVE ANY SELECTION OR MODIFICATION OF THE BUSINESS NAME OR LOGO OF THE CORPORATION OR ANY PROGRAM OR DIVISION OF THE CORPORATION, OR THE USE OF ANY CORPORATE OR BUSINESS NAME OF THE CORPORATION 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. 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. APPROVAL AND RECOMMENDATION POWERS: TO BE EFFECTIVE, THE ACTIONS SET FORTH BELOW MUST BE APPROVED BY BOTH THE CORPORATION'S BOARD OF DIRECTORS AND THE MEMBER. SUCH ACTIONS MAY BE INITIATED EITHER BY THE MEMBER OR THE CORPORATION'S BOARD. A) ADOPTION, AMENDMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OF THE CORPORATION; B) ADOPTION OF ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION. |
| FORM 990, PART VI, QUESTION 11B | THE DRAFT FORM 990 IS PREPARED BY THE CORPORATION'S ACCOUNTING FIRM WITH ASSISTANCE FROM THE SYSTEM FINANCE DEPARTMENT. THE RETURN IS THEN REVIEWED BY MANAGEMENT, INCLUDING SENIOR LEADERS FROM LEGAL, COMPLIANCE, HUMAN RESOURCES AND THE SYSTEM CEO FOR ACCURACY AND COMPLETENESS. AS NECESSARY, MANAGEMENT CONSULTS WITH EXTERNAL LEGAL AND OTHER EXPERTS TO ASSURE ACCURACY. THE FINAL FORM 990 IS PROVIDED TO THE CORPORATION'S BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, LINE 12C | 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 CORPORATION'S 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 CORPORATION'S 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 INDIVIDUAL'S SERVICE TO OR EMPLOYMENT BY PRESENCE HEALTH) IS STRICTLY PROHIBITED. |
| FORM 990 PART VI, QUESTIONS 15A AND 15B, AND PART V QUESTION 2A | COMPENSATION FOR THE CORPORATION'S CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED IN ACCORDANCE WITH WRITTEN POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF DIRECTORS OF THE CORPORATION'S SOLE MEMBER, PRESENCE RHC CORPORATION (PRHCC) AND PRHCC'S SOLE MEMBER, PRESENCE HEALTH NETWORK, THE SYSTEM PARENT CORPORATION. SUCH POLICIES AND PROCEDURES ARE APPLIED BY THE HUMAN RESOURCES COMMITTEE OF THE SYSTEM PARENT CORPORATION, WHICH CONSISTS WHOLLY OF INDEPENDENT DIRECTORS. THE SYSTEM PARENT CORPORATION USES MARKET DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH BASE SALARIES AND TOTAL CASH COMPENSATION OPPORTUNITIES. THE SYSTEM PARENT'S HUMAN RESOURCES COMMITTEE MONITORS EXECUTIVE TOTAL COMPENSATION AND APPROVES ALL COMPONENTS OF EXECUTIVE TOTAL COMPENSATION, ANNUALLY REVIEWING AND APPROVING COMPENSATION CHANGES FOR EACH EXECUTIVE, AND REGULARLY REPORTING ITS ACTIVITIES TO THE SYSTEM PARENT'S BOARD. |
| FORM 990, PART VI, LINE 19 | THE CORPORATION'S 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 SYSTEM'S 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 CORPORATION'S FORM 990. |
| FORM 990, PART VII, SECTIONS A & B | PRESENCE RESURRECTION MEDICAL CENTER ("PRMC") (FEIN 36-3330926) ACTS AS THE AGENT FOR THE CORPORATION. CASH IS SWEPT FROM THE CORPORATION ON A DAILY BASIS TO PRMC AND PRMC 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 5 | THE CHANGE IN THE UNREALIZED GAIN (LOSSES) ON THE RESURRECTION HEALTH CARE INVESTMENT PORTFOLIO IS RECORDED IN ITS ENTIRETY IN THE BOOKS AND RECORDS OF PRESENCE RHC CORPORATION. |
| FORM 990, PART XII, LINE 2B | 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. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:12407220 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SPECIALISTS TOTAL FEES:12248666 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Presence Health Network | ||||||||||
| 200 South Wacker | Chicago | IL | 60606 | 361649520 | Health Care | IL | 501(C)(3) | 3 | na | false |
| Medicare Value Partners | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 363495969 | Health Care | IL | 501(C)(3) | 3 | PRHCC | Yes (true) |
| Presence Holy Family Medical Center | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 362439318 | Health Care | IL | 501(C)(3) | 3 | PRHCC | Yes (true) |
| Mount Loretto Nursing Home Inc | ||||||||||
| 302 Swart Hill Road | Amsterdam | NY | 12010 | 141363014 | Senior Living | NY | 501(C)(3) | 3 | RM New York | Yes (true) |
| PRESENCE OUR LADY OF RESURR MED CNTR | ||||||||||
| 5645 West Addison Street | Chicago | IL | 60634 | 362644178 | Health Care | IL | 501(C)(3) | 3 | PRHCC | Yes (true) |
| Presence Care Home | ||||||||||
| 18927 Hickory Creek Drive 300 | Mokena | IL | 60448 | 460483587 | Health Care | IL | 501(C)(3) | 9 | PLC | Yes (true) |
| Presence PRV Health | ||||||||||
| 9223 W St Francis Road | Frankfort | IL | 60423 | 363366652 | Health Care | IL | 501(C)(3) | 11 - type 1 | PHN | false |
| Presence Home Care | ||||||||||
| 18927 Hickory Creek Drive 300 | Mokena | IL | 60448 | 460483581 | Health Care | IL | 501(C)(3) | 9 | PLC | Yes (true) |
| Presence Hospitals PRV | ||||||||||
| 9223 W St Francis Road | Frankfort | IL | 60423 | 364195126 | Health Care | IL | 501(C)(3) | 3 | PPRVH | Yes (true) |
| Laverna Terrace Housing Corporation | ||||||||||
| 18927 Hickory Creek Drive 300 | Mokena | IL | 60448 | 363438977 | Senior Living | IL | 501(C)(3) | 9 | PHPRV | Yes (true) |
| Provena Self-Insurance Trust | ||||||||||
| 9223 W St Francis Road | Frankfort | IL | 60423 | 362987310 | Insurance | IL | 501(C)(3) | 9 | PPRVH | Yes (true) |
| Presence Life Connections | ||||||||||
| 18927 Hickory Creek Drive 300 | Mokena | IL | 60448 | 371127787 | Health Care | IL | 501(C)(3) | 7 | PPRVH | Yes (true) |
| Presence Behavioral Health | ||||||||||
| 1820 South 25th Avenue | Broadview | IL | 60155 | 362709982 | Health Care | IL | 501(C)(3) | 3 | PHS | Yes (true) |
| Presence Ambulatory Services | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 364286236 | Health Care | IL | 501(C)(3) | 3 | PRHCC | Yes (true) |
| Presence Health fndn bot | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 363330929 | Fundraising | IL | 501(C)(3) | 7 | PRHCC | Yes (true) |
| Presence RHC Corporation | ||||||||||
| 200 S Wacker | Chicago | IL | 60606 | 362235165 | Parent Corp | IL | 501(C)(3) | 3 | PHN | false |
| Presence Home Care Services | ||||||||||
| 5747 West Dempster | Morton Grove | IL | 60053 | 362893936 | Home Care | IL | 501(C)(3) | 3 | PRHCC | Yes (true) |
| Presence Resurrection Medical Center | ||||||||||
| 7435 West Talcott Avenue | Chicago | IL | 60631 | 363330926 | Health Care | IL | 501(C)(3) | 3 | PRHCC | Yes (true) |
| Resurrection Nursing Home Inc | ||||||||||
| 90 North Main Street | Castleton | NY | 12033 | 141348691 | Nursing | NY | 501(C)(3) | 3 | RM New York | Yes (true) |
| Presence RHC Senior Services | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 237061646 | Nursing | IL | 501(C)(3) | 3 | PRHCC | Yes (true) |
| Presence Healthcare Services | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 363330928 | Health Care | IL | 501(C)(3) | 3 | PRHCC | Yes (true) |
| St Francis Hospital Aux OF EVANSTON | ||||||||||
| 355 Ridge Avenue | Evanston | IL | 60202 | 366143349 | Fundraising | IL | 501(C)(3) | 7 | PSFH | Yes (true) |
| PRESENCE ST MARY & ELIZABETH MED CNTR | ||||||||||
| 2233 West Division Street | Chicago | IL | 60622 | 362171079 | Health Care | IL | 501(C)(3) | 3 | PRHCC | Yes (true) |
| Presence Saint Joseph Hospital Chicago | ||||||||||
| 2900 North Lake Shore Drive | Chicago | IL | 60657 | 363200170 | Health Care | IL | 501(C)(3) | 3 | PRHCC | Yes (true) |
| Presence Nazarethville | ||||||||||
| 300 North River Road | Des Plaines | IL | 60016 | 362801392 | Nursing | IL | 501(C)(3) | 11, Type II | PRHC Snr Srv | Yes (true) |
| Arthur Merkle - Clara Knipprath Nursing | ||||||||||
| 1190 E 2900 N Road | Clifton | IL | 60927 | 362841358 | Nursing | IL | 501(C)(3) | 9 | PLC | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| Bel Harlem SurG CNTR | |||||||
| 3101 N Harlem | Chicago | IL | 60634 | 412237162 | Medical Service | IL | PRHCS |
| RH SLEEP CTR CHI NW | |||||||
| 665 W N AVE | Lombard | IL | 60148 | 261519627 | Medical Service | IL | PRHCS |
| RH SLEEP CTR EVAN | |||||||
| 665 W N AVE | Lombard | IL | 60148 | 261519556 | Medical Service | IL | PRHCS |
| RH SLEEP CTR LP | |||||||
| 665 W N AVE | Lombard | IL | 60148 | 261519667 | Medical Service | IL | PRHCS |
| RH SLEEP CTR RF | |||||||
| 665 W N AVE | Lombard | IL | 60148 | 262189763 | Medical Service | IL | PRHCS |
| Alverno Clin LAB | |||||||
| 2434 Int PLZ | Hammond | IN | 46324 | 203240648 | Medical Service | IN | NA |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | EINEIN | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| L GILBRAITH INSURANCE SPC LTD | |||||||||||||
| 68 W BAY ROAD PO BOX 1109 | GRAND CAYMAN | CJ | INSURANCE | CJ | PRHCC | FOREIGN COMPANY | Yes (true) | ||||||
| Provena Health Assurance SPC | |||||||||||||
| 23 lime tree bay ave po box 1051 | grand cayman | CJ | INSURANCE | CJ | PPRVH | foreign company | Yes (true) | 980420054 | |||||
| PRESENCE PROPERTIES INC | |||||||||||||
| MEDICAL | PPRVH | C CORP | Yes (true) | 363520630 | 9223 W ST FRANCIS ROAD | FRANKFORT | IL | 60423 | IL | ||||
| PRESENCE SERVICE CORPORATION | |||||||||||||
| MEDICAL | PHPRV | C CORP | Yes (true) | 364314354 | 9223 W ST FRANCIS ROAD | FRANKFORT | IL | 60423 | IL | ||||
| PRESENCE VENTURES INC | |||||||||||||
| MEDICAL | PPRVH | C CORP | Yes (true) | 371168085 | 9223 W ST FRANCIS ROAD | FRANKFORT | IL | 60423 | IL | ||||
| RESURRECTION MEDICAL CENTER AUX | |||||||||||||
| FUNDRAISING | PR MED CTR | C CORP | Yes (true) | 366109825 | 7435 WEST TALCOTT AVENUE | CHICAGO | IL | 60631 | IL | ||||
| RESURRECTION MINISTRIES OF NEW YORK | |||||||||||||
| PARENT CORP | PRHCC | C CORP | Yes (true) | 141720818 | 90 NORTH MAIN STREET | CASTLETON | NY | 12033 | NY | ||||
| PRESENCE HEALTH CARE PREFERRED | |||||||||||||
| MGD CARE CONT | PRHCC | 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 |
| 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 | false | 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 | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES | ||
| c | $887,993 | CASH |
| PRESENCE RESURRECTION MEDICAL CENTER | ||
| p | $112,500,000 | COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule R, Part V | FormAndLineReferenceDesc |
| Explanation | Presence Resurrection Medical Center (FEIN: 36-3330926) pays all of the compensation and accounts payable for all entities under the Presence Health System that were historically part of the Resurrection Health Care System ("Legacy Resurrection Entities"). Cash is deposited into an account by all Legacy Resurrection Entities and swept on a monthly basis to reimburse Presence Resurrection Medical Center for these expenses at cost. The amounts reported on Part V of Schedule R reflect the total cash transfers to/from Presence Resurrection Medical Center. | ExplanationTxt |