2014-11-17T12:18:57-06:00 2013-12-31 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2013-01-01 363330928 Presence Healthcare Services % ANTHONY J FILER PRES 8478133727 100 North River Road Suite Des Plaines IL 60016 ANTHONY J FILER TREASURER 2014-11-17 Bernadette Durkin-Zita P00089845 2013 2015-11-30 17:44:51Z X HOWARD DRENTH 200 SOUTH WACKER DRIVE CHICAGO IL 60606 120559392 false 0928 X www.presencehealth.org X 1984 IL See Schedule O. 6 0 0 0 1284648 0 0 92657913 120553676 0 0 10921 5716 92668834 120559392 0 0 0 0 58687495 72356069 0 0 0 58627683 81720910 117315178 154076979 -24646344 -33517587 322481054 399038357 369064439 479139329 -46583385 -80100972 X See Schedule O. false false 118342713 71842915 PRESENCE HEALTHCARE SERVICES (PHS) PROVIDES THE COMMUNITY WITH NEARLY 263 HIGHLY QUALIFIED PHYSICIANS IN LOCATIONS THROUGHOUT THE CHICAGOLAND AREA. IT OFFERS ACCESS TO DOCTORS FROM VARIOUS DISCIPLINES AND ONE-STOP CLINICS FOR COMPREHENSIVE CARE AND TESTING. PHS PHYSICIANS HAVE PRACTICED IN THE COMMUNITIES THAT THEY SERVE FOR MANY YEARS. THE PHYSICIANS FOCUS ON LONG-TERM HEALTH, NOT JUST SHORT-TERM TREATMENT, AND TAKE THE TIME TO BUILD STRONG RELATIONSHIPS WITH THE COMMUNITY. PHS PHYSICIANS HAVE FLEXIBLE OFFICE HOURS AND EASY APPOINTMENT SCHEDULING, MAKING IT EASY FOR THE PEOPLE OF THE COMMUNITY TO GET THE HEALTH CARE THEY NEED, WHEN THEY NEED. 6780932 7466391 PRESENCE HEALTHCARE SERVICES ALSO OPERATES OUTPATIENT PHARMACIES. THESE PHARMACIES ARE PRIMARILY FOR THE CONVENIENCE OF PATIENTS. 21006928 22268338 PRESENCE HEALTHCARE SERVICES OWNS AND MANAGES A NUMBER OF MEDICAL OFFICE BUILDINGS PROVIDING MEMBERS OF THE COMMUNITY CONVENIENT ACCESS TO PHYSICIANS AND SPECIALISTS. 146130573 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true X 0 0 0 true true false false false false false false false false false X 6 0 false false false false true true true true true false false true true true true true true false false false X ANTHONY J FILER 8478133728 200 S WACKER CHICAGO IL 60606 X Brian Davis Director/BUSINESS UNIT CFO 41.0 1.0 X 250049 0 12623 Sunil Desai MD Director 1.0 42.0 X 0 389147 14904 Howard Drenth DIR/CEO PRESENCE HEALTH MD GRP 40.0 3.0 X 470239 0 109435 Dean Hobson Director 41.0 1.0 X 177489 0 29550 Jonathan Maks MD Director 41.0 1.0 X 294504 0 37913 Leslie Stern DIR/VICE PRESIDENT PMG OPS 41.0 1.0 X 282200 0 20559 Terry Williams Director (TERM EXPIRED 5/2013) 1.0 40.0 X 0 627511 457033 William Garrison DIRECTOR/VP (TERM EXP 1/2013) 41.0 1.0 X 376692 0 350162 Anthony J Filer Treasurer 1.0 50.0 X 0 878902 172661 Patrick Quinn Assistant Treasurer 1.0 40.0 X 0 290799 40263 Julie Roknich Assistant Secretary 1.0 40.0 X 0 173049 26630 Jeannie C Frey Secretary 1.0 50.0 X 0 653365 135768 John A Orsini CPA TREASURER (TERM EXP 1/2013) 1.0 42.0 X 0 228935 9651 Sandra Bruce PRESIDENT 1.0 50.0 X 0 1536136 46525 John Sabbia MD RGNL/INT CONSLTNT RSGNED 6/13 40.0 1.0 X 467281 0 232239 Steven Bujewski Physician 40.0 0.0 X 570098 0 18875 Ziauddin Ahmed Physician 40.0 0.0 X 474328 0 30787 Jan Wiacek Physician 40.0 0.0 X 439493 0 28543 Paul Gleixner Physician 40.0 0.0 X 537339 0 25960 Carrie Giordano Physician 40.0 0.0 X 546908 0 20909 John Walton Director, Group Executive V.P. 0.0 0.0 X 0 620854 36493 4886620 5398698 1857483 231 true true false Halley Consulting Group PO BOX 118 WESTERVILLE OH 43086 Consulting Services 1585844 TOTAL HEALTH LLC 780 S MCLEAN BLVD ELGIN IL 60123 HOME HEALTH SERVICES 1555102 World Cleaning Services 281 SHORE DR BURR RIDGE IL 60527 Cleaning Services 857361 Genzyme A Sanofi 62665 COLLECTIONS CENTER CHICAGO IL 606930626 Pharmaceutical Srvs 759694 Kelly Services 1212 SOLUTIONS CENTER CHICAGO IL 606771002 Temp Help Agency 655060 33 0 0 0 Resurrection Medical Grp 621990 90458914 90458914 0 0 Resurrection Pharmacies 446110 2421934 1861301 560633 0 Home Medical Equipment 900099 5171538 4447523 724015 0 Resurrection Properties 900099 22501290 22501290 0 0 120553676 0 0 0 0 0 0 0 0 0 0 VENDING MACHINE REVENUE 900099 5716 5716 0 0 5716 120559392 119274744 1284648 0 0 0 0 0 0 0 0 0 3110935 3110935 0 0 0 0 0 0 61893405 61893405 0 0 1303027 1303027 0 0 2749761 2749761 0 0 3298941 3298941 0 0 7946406 0 7946406 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11671771 11671771 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6694437 6694437 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1574946 1574946 0 0 0 0 0 0 13833291 13833291 0 0 1124199 1124199 0 0 BAD DEBT EXPENSE 18976032 18976032 0 0 Drugs 11384024 11384024 0 0 SUPPLIES 2654002 2654002 0 0 REPAIRS 1447215 1447215 0 0 4414587 4414587 154076979 146130573 7946406 0 0 758246 306202 0 0 0 0 18599271 10944201 0 0 0 0 0 0 520021 446274 0 0 203819486 115074214 82891578 88745272 0 0 0 0 0 0 8975615 4844876 210736323 293751532 322481054 399038357 9482331 7672327 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359582108 471467002 369064439 479139329 X -46583385 -80100972 0 0 0 0 -46583385 -80100972 322481054 399038357 X -33517587 X X false true X true false X Schedule A, Part I, Line 3 Reason for public charity status Presence Healthcare Services does not file a Schedule H, even though it marks the hospital box in schedule A, because the organization is not required to be licensed, registered or similarly recognized by the state as a hospital. 9632937 9632937 172341882 103677669 68664213 21844667 11396545 10448122 0 0 88745272 Due from Affiliates 293751532 293751532 0 Due to Affiliates 471467002 471467002 X ASC 740-10 FOOTNOTE Schedule D, Part X, Question 2 PRESENCE HEALTH 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 DOES NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS. true true false false false false false false false Brian Davis Director/BUSINESS UNIT CFO 154467 0 95582 0 0 0 3990 0 8633 0 262672 0 0 0 Sunil Desai MD Director 0 318613 0 30000 0 40534 0 0 0 14904 0 404051 0 0 Howard Drenth DIR/CEO PRESENCE HEALTH MD GRP 369778 0 100461 0 0 0 83307 0 26128 0 579674 0 0 0 Dean Hobson Director 173339 0 4150 0 0 0 8547 0 21003 0 207039 0 0 0 Jonathan Maks MD Director 291846 0 2658 0 0 0 11086 0 26827 0 332417 0 0 0 Leslie Stern DIR/VICE PRESIDENT PMG OPS 173044 0 109156 0 0 0 7458 0 13101 0 302759 0 0 0 Anthony J Filer Treasurer 0 629462 0 139487 0 109953 0 146954 0 25707 0 1051563 0 0 Patrick Quinn Assistant Treasurer 0 212851 0 35937 0 42011 0 23604 0 16659 0 331062 0 0 Julie Roknich Assistant Secretary 0 173049 0 0 0 0 0 5934 0 20696 0 199679 0 0 Jeannie C Frey Secretary 0 466882 0 186483 0 0 0 108779 0 26989 0 789133 0 36617 Terry Williams Director (TERM EXPIRED 5/2013) 0 190496 0 202330 0 234685 0 431830 0 25203 0 1084544 0 38002 Steven Bujewski Physician 378276 0 191822 0 0 0 9714 0 9161 0 588973 0 0 0 Ziauddin Ahmed Physician 320163 0 154165 0 0 0 8328 0 22459 0 505115 0 0 0 Jan Wiacek Physician 179259 0 260234 0 0 0 13324 0 15219 0 468036 0 0 0 Paul Gleixner Physician 329008 0 208331 0 0 0 16845 0 9115 0 563299 0 0 0 Carrie Giordano Physician 395028 0 151880 0 0 0 12003 0 8906 0 567817 0 0 0 John A Orsini CPA TREASURER (TERM EXP 1/2013) 0 48134 0 180801 0 0 0 8600 0 1051 0 238586 0 56655 John Sabbia MD RGNL/INT CONSLTNT RSGNED 6/13 209133 0 115315 0 142833 0 207522 0 24717 0 699520 0 33000 0 Sandra Bruce PRESIDENT 0 1046184 0 489952 0 0 0 17850 0 28675 0 1582661 0 0 William Garrison DIRECTOR/VP (TERM EXP 1/2013) 32518 0 62433 0 281741 0 340053 0 10109 0 726854 0 31157 0 John Walton Director, Group Executive V.P. 0 3739 0 0 0 617115 0 36485 0 8 0 657347 0 74054 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 4 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: TERRY WILLIAMS $234,685 WILLIAM GARRISON $281,741 JOHN SABBIA $142,833 JOHN WALTON $617,115 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 ): JEANNIE C. FREY $86,745 HOWARD DRENTH $67,495 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: SANDRA BRUCE $187,984 TERRY WILLIAMS $99,518 JEANNIE C. FREY $41,988 WILLIAM GARRISON $62,329 JOHN SABBIA $48,317 HOWARD DRENTH $36,216 BRIAN DAVIS $70,582 JOHN A. ORSINI $56,971 Mission Statement Form 990, Part I, Line 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 Healthcare Services PROVIDES HEALTHCARE SERVICES IN A COMPASSIONATE, HOLISTIC MANNER IN THE SPIRIT OF HEALING AND HOPE. COMPENSATION AND FORM W-3 TRANSMITTAL OF WAGES AND TAX STATEMENT FORM 990, PART I, QUESTION 5, AND PART V, QUESTION 2 Presence Healthcare Services (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 1096 TRANSMITTAL OF U.S. INFORMATION RETURNS FORM 990, PART V, QUESTION 1A Presence Healthcare Services (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. CHANGES TO ORGANIZATIONAL DOCUMENTS 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. MEMBERS OR SHAREHOLDERS FORM 990, PART VI, QUESTION 6 Presence Healthcare Services HAS ONE MEMBER, PRESENCE RHC CORPORATION. PERSONS WITH AUTHORITY TO ELECT MEMBERS OF THE GOVERNING BODY 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. DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS 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: 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. EXCLUSIVE POWERS: IN FURTHERANCE OF THE EXERCISE OF ITS GENERAL POWERS, THE CORPORATE MEMBER SHALL HAVE THE EXCLUSIVE POWER TO: A) AMEND OR REPEAL THE BYLAWS OF THE CORPORATION; B) APPOINT AND REMOVE ALL OFFICERS OF THE CORPORATIONAND ALL OF THE DIRECTORS OF THE CORPORATION, OTHER THAN ANY EX-OFFICIO DIRECTORS. C) APPROVE CAPITAL AND OPERATING BUDGETS, AND LONG-TERM CAPITAL EQUIPMENT PLANS FOR THE CORPORATION; D) APPROVE UNBUDGETED EXPENDITURES IN EXCESS OF THE LIMIT, ESTABLISHED BY THE CORPORATE MEMBER FROM TIME TO TIME; E) 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) APPROVE EXECUTION OF ANY DEEDS, MORTGAGES, BONDS, OR MAJOR EQUIPMENT LEASES, EXCEPT THOSE ENTERED INTO PURSUANT TO APPROVED BUDGETS. G) 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) 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) APPROVE STATEGIC 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) APPROVE ANY CONTRACT FOR THE MANAGEMENT OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION OR ANY HEALTH CARE FACILITIES OWNED BY THE CORPORATION. K) 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 ANY ENTITY OTHER THAN THE MEMBER OR AN AFFILIATE. L) 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) APPROVE THE ESTABLISHMENT, TERMINATION, OR SALE OF ANY SIGNIFICANT JOINT VENTURE RELATIONSHIP BY THE CORPORATION. N) APPROVE THE ACQUISITION OR DEVELOPMENT OF ANY BUSINESS OR ACTIVITY UNRELATED TO THE PROVISION OF HEALTH CARE SERVICES. O) APPROVE THE CREATION OF ANY NEW AFFILIATE TO BE OWNED OR CONTROLLED BY THE CORPORATION. P) 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) 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) 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) SELECT INDEPENDENT AUDITORS FOR THE CORPORATION, IN CONNECTION WITH THE CONSOLIDATED AUDIT OF ALL SYSTEM ENTITIES. T) APPROVE OR CHANGE THE CORPORATION'S REGISTERED AGENT OR REGISTERED OFFICE, AS APPROPRIATE FROM TIME TO TIME. U) 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 REVIEW PROCESS 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. PROCEDURES FOR ADDRESSING CONFLICTS OF INTEREST 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. COMPENSATION AND APPROVAL PROCESS FOR OFFICERS AND KEY EMPLOYEES 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. DOCUMENT AVAILABILITY 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. COMMON PAYMASTER 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. AUDITED FINANCIAL STATEMENTS 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. 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 Presence Holy Family Medical Center 100 North River Road Des Plaines IL 60016 362439318 Health Care IL 501(C)(3) 3 PRHCC Mount Loretto Nursing Home Inc 302 Swart Hill Road Amsterdam NY 12010 141363014 Senior Living NY 501(C)(3) 3 RM New York PRESENCE OUR LADY OF RESURR MED CNTR 5645 West Addison Street Chicago IL 60634 362644178 Health Care IL 501(C)(3) 3 PRHCC Presence Care Home 18927 Hickory Creek Drive 300 Mokena IL 60448 460483587 Health Care IL 501(C)(3) 9 PLC Presence PRV Health 9223 W St Francis Road Frankfort IL 60423 363366652 Health Care IL 501(C)(3) 11 PHN false Presence Home Care 18927 Hickory Creek Drive 300 Mokena IL 60448 460483581 Health Care IL 501(C)(3) 9 PLC true Presence Hospitals PRV 9223 W St Francis Road Frankfort IL 60423 364195126 Health Care IL 501(C)(3) 3 PPRVH true Laverna Terrace Housing Corporation 18927 Hickory Creek Drive 300 Mokena IL 60448 363438977 Senior Living IL 501(C)(3) 9 PHPRV false Provena Self-Insurance Trust 9223 W St Francis Road Frankfort IL 60423 362987310 Insurance IL 501(C)(3) 9 PPRVH true Presence Life Connections 18927 Hickory Creek Drive 300 Mokena IL 60448 371127787 Health Care IL 501(C)(3) 7 PPRVH false Presence Behavioral Health 1820 South 25th Avenue Broadview IL 60155 362709982 Health Care IL 501(C)(3) 3 PHS Presence Ambulatory Services 100 North River Road Des Plaines IL 60016 364286236 Health Care IL 501(C)(3) 3 PRHCC Presence Health fndn bot 100 North River Road Des Plaines IL 60016 363330929 Fundraising IL 501(C)(3) 7 PRHCC Presence RHC Corporation 200 S Wacker Chicago IL 60606 362235165 Parent Corp IL 501(C)(3) 3 PHN Presence Home Care Services 5747 West Dempster Morton Grove IL 60053 362893936 Home Care IL 501(C)(3) 3 PRHCC Presence Resurrection Medical Center 7435 West Talcott Avenue Chicago IL 60631 363330926 Health Care IL 501(C)(3) 3 PRHCC Resurrection Nursing Home Inc 90 North Main Street Castleton NY 12033 141348691 Nursing NY 501(C)(3) 3 RM New York Presence RHC Senior Services 100 North River Road Des Plaines IL 60016 237061646 Nursing IL 501(C)(3) 3 PRHCC Presence Saint Francis Hospital 355 Ridge Avenue Evanston IL 60202 362167800 Health Care IL 501(C)(3) 3 PRHCC St Francis Hospital Aux OF EVANSTON 355 Ridge Avenue Evanston IL 60202 366143349 Fundraising IL 501(C)(3) 7 PSFH PRESENCE ST MARY & ELIZABETH MED CNTR 2233 West Division Street Chicago IL 60622 362171079 Health Care IL 501(C)(3) 3 PRHCC Presence Saint Joseph Hospital Chicago 2900 North Lake Shore Drive Chicago IL 60657 363200170 Health Care IL 501(C)(3) 3 PRHCC Presence Nazarethville 300 North River Road Des Plaines IL 60016 362801392 Nursing IL 501(C)(3) 11, Type II PRHC Snr Srv Arthur Merkle - Clara Knipprath Nursing 1190 E 2900 N Road Clifton IL 60927 362841358 Nursing IL 501(C)(3) 9 PLC Bel Harlem Surg Ctr 3101 North Harlem Chicago IL 60634 412237162 Medical Service IL PRHCS related 382257 false 0 false 0.67000 RH Sleep CTR Chi NW 665 West North Ave Lombard IL 60148 261519627 Medical Service IL PRHCS related -30635 false 0 false 0.55050 RH Sleep Ctr Evan 665 West North Ave Lombard IL 60148 261519556 Medical Service IL PRHCS related -31329 false 0 false 0.59640 RH Sleep Ctr LP 665 West North Ave Lombard IL 60148 261519667 Medical Service IL PRHCS related -8418 false 0 false 0.53860 RH Sleep CTR RF 665 West North Ave Lombard IL 60148 262189763 Medical Service IL PRHCS related -37186 false 0 false 0.56920 Alverno Clinical Laboratories LLC 2434 Interstate Plaza Drive Hammond IN 46324 203240648 Medical Service IN NA related 74797 6446354 false 0 false 0.33330 L GILBRAITH INSURANCE SPC LTD 68 W BAY ROAD PO BOX 1109 GRAND CAYMAN CJ INSURANCE CJ PRHCC FOREIGN COMPANY true Provena Health Assurance SPC 23 lime tree bay ave po box 1051 grand cayman CJ 980420054 insurance CJ PPRVH foreign company true PRESENCE PROPERTIES INC 9223 W ST FRANCIS ROAD FRANKFORT IL 60423 363520630 MEDICAL IL PPRVH C CORP true PRESENCE SERVICE CORPORATION 9223 W ST FRANCIS ROAD FRANKFORT IL 60423 364314354 MEDICAL IL PHPRV C CORP true PRESENCE VENTURES INC 9223 W ST FRANCIS ROAD FRANKFORT IL 60423 371168085 MEDICAL IL PPRVH C CORP true RESURRECTION MEDICAL CENTER AUX 7435 WEST TALCOTT AVENUE CHICAGO IL 60631 366109825 FUNDRAISING IL PR MED CTR C CORP true RESURRECTION MINISTRIES OF NEW YORK 90 NORTH MAIN STREET CASTLETON NY 12033 141720818 PARENT CORP NY PRHCC C CORP true PRESENCE HEALTH CARE PREFERRED 100 NORTH RIVER ROAD DES PLAINES IL 60016 363974620 MGD CARE CONT IL PRHCC C CORP true false false false false false false false false false false false false false false false true false false false PRESENCE RESURRECTION MEDICAL CENTER p 99598210 COST REIMBURSEMENTS FOR SHARED SERVICES SCHEDULE R, PART V 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.