ASCENSION LIVING BETHLEHEM WOODS VILLAGE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ASCENSION LIVING BETHLEHEM WOODS VILLAGE (EIN 23-7061646)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201343189349304369
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-11-14T13:37:51-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237061646 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Presence RHC Senior Services | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % David Wrigley | InCareOfName |
| Name Control | PRES | NameControl |
| Phone | 8478133710 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 North River Road | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Des Plaines | City |
| State | IL | State |
| ZIP Code | 60016 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TONY FILER | Name |
| Title | EVP/CFO PRSNCE HLTH | Title |
| Date Signed | 2013-11-11 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3128792000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Sandra Bruce | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 NORTH RIVER RD | AddressLine1 |
| City | DES PLAINES | City |
| State | IL | State |
| ZIP Code | 60016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 108012201 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.presencehealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1969 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | PRESENCE RHC SENIOR SERVICES PROVIDES COMPASSIONATE PATIENT CARE AND SERVICES FROM SURGERIES AND HOLISTIC CARE FOR UNEXPECTED ILLNESSES, TO FULLTIME NURSING CARE OR RETIREMENT COMMUNITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 80436 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1438071 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 52088498 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 102070075 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1412833 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3981016 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 280609 | OtherRevenuePriorYear |
| Other Revenue Current Year | 523039 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 53862376 | TotalRevenuePriorYear |
| Total Revenue Current Year | 108012201 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 34083701 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 60777475 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 29807930 | OtherExpensePriorYear |
| Other Expenses Current Year | 47082015 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 63891631 | TotalExpensesPriorYear |
| Total Expenses Current Year | 107859490 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -10029255 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 152711 | RevenuesLessExpensesCY |
| Total Assets BOY | 143995016 | TotalAssetsBOY |
| Total Assets EOY | 148071277 | TotalAssetsEOY |
| Total Liabilities BOY | 58667119 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 62590669 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 85327897 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 85480608 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 94351551 | Expense |
| Revenue | 102593114 | Revenue |
| Description | Presence RHC Senior Services provided inpatient care during the current year and participates as a provider of services under both Medicare & Medicaid programs. Services include nursing & ancillary services provided to residents. Available beds: Skilled 1,056: Intermediate 172: Sheltered 5: Assisted Living 47: for a total of 1,280 licensed beds. With 136 independent living beds, the total available beds are 1,414. Total patient days for the period are 355,712. | Description |
| Total Program Service Expense | 94351551 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | David Wrigley | NamePerson |
| Telephone Number | 8478133728 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 North River Rd | AddressLine1 |
| City | Des Plaines | City |
| State | IL | State |
| ZIP Code | 60016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| TIM PHILLIPPE | |||||||||
| CHAIR | 1.0 | 0.0 | X | X | |||||
| SALLIE MILLER | |||||||||
| VICE-CHAIR | 1.0 | 40.0 | X | X | |||||
| SANDRA B BRUCE | |||||||||
| PRESIDENT | 3.0 | 50.0 | X | X | 0 | 1337831 | 39710 | ||
| CONNIE MARCH | |||||||||
| DIRECTOR/CEO UNTIL 09/12 | 1.0 | 40.0 | X | X | 0 | 455318 | 22596 | ||
| SISTERE MARIE MASON | |||||||||
| SECRETARY | 1.0 | 0.0 | X | X | |||||
| DENNIS SONNENBERG | |||||||||
| TREASURER | 1.0 | 0.0 | X | X | |||||
| NANCY DOWD | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| FLORIDA FREEMAN | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| PAT GOMEZ | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| DR JAMES HAGAN | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| THERESA KWIATKOWSKI | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| MICHAEL NABOLOTNY MD | |||||||||
| DIRECTOR THROUGH 09/12 | 1.0 | 0.0 | X | ||||||
| PHYLLIS NICHOLS | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| LAWRENCE PANKAU MD | |||||||||
| DIRECTOR THROUGH 09/12 | 1.0 | 0.0 | X | ||||||
| PAUL SKIEM | |||||||||
| DIRECTOR | 1.0 | 40.0 | X | 0 | 411955 | 75891 | |||
| TOM SMITH | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| SISTER ELIZABETH TREMBCZYNSKI | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| MICHAEL KAPLAN | |||||||||
| ADMINISTRATOR SENIOR SERVICES | 40.0 | 0.0 | 0 | 123032 | 29495 | X | |||
| CORAZON B AMURAO | |||||||||
| STAFF NURSE I SENIOR SERVICE | 40.0 | 0.0 | 0 | 114013 | 12760 | X | |||
| VIOLETA BADILLO | |||||||||
| STAFF NURSE II SENIOR SERVICE | 40.0 | 0.0 | 0 | 108350 | 28076 | X | |||
| ABEL B ZABOROWSKI | |||||||||
| SR PHY THERAPIST SR SERVICE | 40.0 | 0.0 | 0 | 104493 | 21915 | X | |||
| SUSAN M AHLGREN | |||||||||
| ADMINISTRATOR SENIOR SERVICES | 40.0 | 0.0 | 0 | 151047 | 9584 | X | |||
| JOHN BAIRD | |||||||||
| DIRECTOR/EVP (THRU 9/30/11) | 0.0 | 40.0 | 0 | 441480 | 78895 | X | |||
| JOHN WALTON | |||||||||
| DIR/GROUP EVP (THRU 10/31/11) | 0.0 | 0.0 | 0 | 847278 | 12739 | X | |||
| NICOLA BYRNE | |||||||||
| VICE PRESIDENT (THRU 12/16/11) | 0.0 | 0.0 | 0 | 273437 | 31174 | X | |||
| JOHN A ORSINI | |||||||||
| EXECUTIVE VICE PRESIDENT | 0.0 | 40.0 | 0 | 603387 | 95694 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4971621 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 458529 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| US FOODSERVICE INC | |||||
| PO BOX 98420 | LOMBARD | IL | 60693 | DIETARY SUPPLIES | 3059189 |
| CERES FOOD GROUP INC | |||||
| 5150 N NORTHWEST HIGHWAY | CHICAGO | IL | 60630 | DIETARY SUPPLIES | 967583 |
| PROFESSIONAL MEDICAL INC | |||||
| PO BOX 1243 | ELMHURST | IL | 60499 | MEDICAL SUPPLIES | 843452 |
| TWINMED MEDICAL SUPPLIES SERVICES | |||||
| PO BOX 54390 | MELROSE PLACE | CA | 900540390 | MEDICAL SUPPLIES | 711473 |
| MEDLINE INDUSTRIES | |||||
| DEPT CH 14400 | CHICAGO | IL | 600554400 | MEDICAL SUPPLIES | 348593 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 25 | NumberOfContractorsGT100K |
| Related Organizations | 1341742 | RelatedOrganizations |
| All Other Contributions | 96329 | AllOtherContributions |
| Total Contributions | 1438071 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient care | 623000 | 102030121 | 102030121 |
| RENTAL REVENUE - RELATED ENTITIES | 900099 | 39954 | 39954 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 102070075 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3981016 | TotalRevenueColumn |
| Exclusion | $3,981,016 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Beauty & Barber | 812900 | 111652 | 111652 |
| Laundry | 812300 | 108315 | 108315 |
| Meals | 722320 | 70215 | 70215 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 232857 | TotalRevenueColumn |
| Related Or Exempt Function Income | 232857 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 523039 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 108012201 | TotalRevenueColumn |
| Related Or Exempt Function Income | 102593114 | RelatedOrExemptFunctionIncome |
| Exclusion | $3,981,016 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47685879 | Total |
| Program Services | 47685879 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9585456 | Total |
| Program Services | 9585456 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3506140 | Total |
| Program Services | 3506140 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27345 | Total |
| Program Services | 27345 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5076364 | Total |
| Management And General | 5076364 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8431575 | Total |
| Management And General | 8431575 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50026 | Total |
| Program Services | 50026 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 616085 | Total |
| Program Services | 616085 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153 | Total |
| Program Services | 153 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2279958 | Total |
| Program Services | 2279958 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43680 | Total |
| Program Services | 43680 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17122 | Total |
| Program Services | 17122 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1310034 | Total |
| Program Services | 1310034 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5074373 | Total |
| Program Services | 5074373 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -1228701 | Total |
| Program Services | -1228701 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Provision for bad debt | 6001603 | 6001603 |
| TAXES & ASSESSMENTS | 3384804 | 3384804 |
| DUES AND SUBSCRIPTIONS | 87091 | 87091 |
| MEDICAL SUPPLIES | 15560265 | 15560265 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 350238 | Total |
| Program Services | 350238 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107859490 | Total |
| Program Services | 94351551 | ProgramServices |
| Management And General | 13507939 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2667201 | BOY |
| EOY | 2046592 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22544513 | BOY |
| EOY | 24005090 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 139477 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 107453859 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 49821892 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58403362 | BOY |
| EOY | 57631967 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2314500 | BOY |
| EOY | 2319949 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58065440 | BOY |
| EOY | 61928202 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143995016 | BOY |
| EOY | 148071277 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5147357 | BOY |
| EOY | 9359034 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53519762 | BOY |
| EOY | 53231635 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58667119 | BOY |
| EOY | 62590669 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85327897 | BOY |
| EOY | 85480608 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85327897 | BOY |
| EOY | 85480608 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143995016 | BOY |
| EOY | 148071277 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 152711 | ReconcilationRevenueExpenses |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| General Explanation | PRESENCE RHC SENIOR SERVICES (PRHCSS) DOES NOT FILE A SCHEDULE H, EVEN THOUGH PRHCSS MARKS THE HOSPITAL BOX IN SCHEDULE A, BECAUSE THEY ARE NOT REQUIRED TO BE LICENSED, REGISTERED OR SIMILARLY RECOGNIZED BY THE STATE AS A HOSPITAL. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16606353 | OtherCostOrOtherBasis |
| Book Value | 16606353 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 66108257 | OtherCostOrOtherBasis |
| Depreciation | 35716977 | Depreciation |
| Book Value | 30391280 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 966118 | OtherCostOrOtherBasis |
| Depreciation | 510379 | Depreciation |
| Book Value | 455739 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23577291 | OtherCostOrOtherBasis |
| Depreciation | 13405224 | Depreciation |
| Book Value | 10172067 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 194840 | OtherCostOrOtherBasis |
| Depreciation | 189312 | Depreciation |
| Book Value | 6528 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 57631967 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Board designated funds | 61438902 |
| Sundry Receivables | 489300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 61928202 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due to parent & affiliate | Description |
| Amount | $53,231,635 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 53231635 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ASC 740-10 Footnote | Identifier |
| Return Reference | Schedule D, Part X | ReturnReference |
| Explanation | PRESENCE RHC CORPORATION and affiliates recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the techinical merits of the position. PRESENCE Health Care and affiliates do not have any liabilities for unrecognized tax benefits. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SANDRA B BRUCE | ||||||||||||||
| PRESIDENT | 0 | 1102304 | 0 | 235527 | 0 | 0 | 0 | 12500 | 0 | 27210 | 0 | 1377541 | 0 | 0 |
| CONNIE MARCH | ||||||||||||||
| DIRECTOR/CEO UNTIL 09/12 | 0 | 318406 | 0 | 0 | 0 | 136912 | 0 | 0 | 0 | 22596 | 0 | 477914 | 0 | 19138 |
| PAUL SKIEM | ||||||||||||||
| DIRECTOR | 0 | 367945 | 0 | 44010 | 0 | 0 | 0 | 55652 | 0 | 20239 | 0 | 487846 | 0 | 41160 |
| JOHN BAIRD | ||||||||||||||
| DIRECTOR/EVP (THRU 9/30/11) | 0 | 405964 | 0 | 35516 | 0 | 0 | 55758 | 0 | 23137 | 0 | 520375 | 0 | 35516 | |
| JOHN WALTON | ||||||||||||||
| DIR/GROUP EVP (THRU 10/31/11) | 0 | 253898 | 0 | 0 | 0 | 593380 | 0 | 12500 | 0 | 239 | 0 | 860017 | 0 | 593380 |
| NICOLA BYRNE | ||||||||||||||
| VICE PRESIDENT (THRU 12/16/11) | 0 | 55597 | 0 | 0 | 0 | 217840 | 0 | 12320 | 0 | 18854 | 0 | 304611 | 0 | 217840 |
| JOHN A ORSINI | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | 0 | 571824 | 0 | 31563 | 0 | 0 | 0 | 74171 | 0 | 21523 | 0 | 699081 | 0 | 0 |
| MICHAEL KAPLAN | ||||||||||||||
| ADMINISTRATOR SENIOR SERVICES | 0 | 123032 | 0 | 0 | 0 | 0 | 0 | 6149 | 0 | 23346 | 0 | 152527 | 0 | 0 |
| SUSAN M AHLGREN | ||||||||||||||
| ADMINISTRATOR SENIOR SERVICES | 0 | 124275 | 0 | 0 | 0 | 26772 | 0 | 7552 | 0 | 2032 | 0 | 160631 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 2012: JOHN WALTON $593,380 NICOLA BYRNE $217,840 |
| Payments From a Supplemental Non Qualified Retirement Plan | Schedule J, Part I, Question 4B | The following listed individuals participated in the organization's section 457(f) plan and earned unvested benefits during 2012 which are reported in column (C): PAUL SKIEM $43,152 JOHN BAIRD $43,258 JOHN A. ORSINI $61,671 Also in response to question 4B, the following individuals became vested in supplemental retirement benefits under the SERP, and therefore had benefits included in their taxable income: SANDRA BRUCE $235,527 PAUL SKIEM $44,010 JOHN BAIRD $35,516 JOHN A. ORSINI $31,563 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION AND FORM W-3 TRANSMITTAL OF WAGES AND TAX STATEMENT | FORM 990, PART I, QUESTION 5, AND PART V, QUESTION 2 | PRESENCE RHC SENIOR SERVICES (PRHCSS) 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. PRHCSS COMPENSATION IS PAID BY PRESENCE RESURRECTION MEDICAL CENTER (PRMC) WHICH ISSUES THE FORMS W-2 AND W-3, AND THE EXPENSE IS TRANSFERRED TO PRHCSS FROM PRMC. |
| FORM 1096 TRANSMITTAL OF U.S. INFORMATION RETURNS | FORM 990, PART V, QUESTION 1A | PRESENCE RHC SENIOR SERVICES (PRHCSS) 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 PRHCSS' 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 PRHCSS. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO PRHCSS FROM PRMC. |
| CHANGES TO ORGANIZATIONAL DOCUMENTS | FORM 990, PART VI, QUESTION 4 | THE ARTICLES AND BYLAWS OF THIS CORPORATION WERE AMENDED EFFECTIVE AUGUST 30, 2012, TO CHANGE THE CORPORATION'S NAME TO "PRESENCE RHC SENIOR SERVICES." |
| MEMBERS OR SHAREHOLDERS | FORM 990, PART VI, QUESTION 6 | PRESENCE RHC SENIOR SERVICES HAS ONE MEMBER, PRESENCE RHC CORPORATION. |
| PERSONS WITH AUTHORITY TO ELECT MEMBERS OF THE GOVERNING BODY | FORM 990, PART VI, QUESTION 7A | THE 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 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, PHILOSOPHY AND PURPOSES OF THE SPONSORING CONGREGATIONS; THE ETHICAL AND RELIGIOUS DIRECTIVES; THE MISSION STATEMENT AND CORE VALUES OF THE RESURRECTION HEALTH CARE SYSTEM; AND BEST PRACTICES IN HEALTH CARE AND RELATED ACTIVITIES. EXCLUSIVE POWERS: IN FURTHERANCE OF THE EXERCISE OF ITS GENERAL POWERS AND RESPONSIBILITIES, THE MEMBER SHALL HAVE THE EXCLUSIVE POWER TO: A) AMEND OR REPEAL THE BYLAWS OF THE CORPORATION; B) APPOINT AND REMOVE ALL OFFICERS OF THE CORPORATION, OTHER THAN THE PRESIDENT (WHO SITS EX OFFICIO), AND ALL DIRECTORS OF THE CORPORATION; 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 MEMBER FROM TIME TO TIME; E) APPROVE ANY BORROWING OR SIGNIFICANT INCURRENCE OF DEBT BY THE CORPORATION, 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, SIGNIFICANT LEASE (OTHER THAN IN THE ORDINARY COURSE) TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OR OTHER SIGNIFICANT TRANSACTION INVOLVING THE NON-REAL-ESTATE ASSETS OF THE CORPORATION; H) DIRECT AND APPROVE ANY CONTRIBUTIONS, DONATIONS OR OTHER ASSET TRANSFERS WITHOUT CONSIDERATION TO THE MEMBER OR ANY AFFILIATE, IN FURTHERANCE OF SYSTEM MISSION, GOALS AND VALUES; I) 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., CHANGE FROM GENERAL TO LONG TERM ACUTE CARE); J) APPROVE STRATEGIC PLANS FOR THE CORPORATION THAT FURTHER SYSTEM MISSION AND VALUES, AND SUPPORT THE ABILITY OF THE CORPORATION AND ITS AFFILIATES TO PROVIDE HIGH-QUALITY CARE AND SERVICES; K) APPROVE ANY CONTRACT FOR THE MANAGEMENT OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION; L) 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; M) PROVIDE INSURANCE COVERAGE, STANDARDIZED EMPLOYEE PAYROLL STANDARDS AND BENEFITS, INFORMATION SYSTEMS AND TECHNOLOGY, FINANCIAL MANAGEMENT SERVICES, LEGAL, MARKETING, RISK MANAGEMENT AND OTHER ADMINISTRATIVE SERVICES NECESSARY TO SUPPORT THE CORPORATION'S OPERATIONS; N) APPROVE THE ESTABLISHMENT, TERMINATION, SALE OR SIGNIFICANT JOINT VENTURE RELATIONSHIP BY THE CORPORATION; O) APPROVE THE ACQUISITION OR DEVELOPMENT OF ANY BUSINESS OR ACTIVITY UNRELATED TO THE PROVISION OF HEALTH CARE SERVICES; P) APPROVE ANY MATERIAL AGREEMENT OR TRANSACTION WITH ANOTHER AFFILIATE; Q) APPROVE ANY MATERIAL AFFILIATION WITH A MEDICAL SCHOOL OR RESEARCH FACILITY; R) APPROVE ACCEPTANCE OF A CONTRIBUTION THAT IMPOSES A MATERIAL OBLIGATION ON THE CORPORATION, IF APPROVED BY THE CORPORATION'S AFFILIATE, THE RESURRECTION DEVELOPMENT FOUNDATION, AS CONSISTENT WITH THE CORPORATION'S AND SYSTEM'S MISSION AND GOALS; S) SELECT INDEPENDENT AUDITORS FOR THE SYSTEM ENTITIES, INCLUDING THE CORPORATION. APPROVAL AND RECOMMENDATION POWERS: NONE OF THE ACTIONS SET FORTH BELOW SHALL BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE MEMBER. THE BOARD SHALL ADOPT RESOLUTIONS APPROVING ANY SUCH PROPOSED ACTION, PRIOR TO SUBMITTING THE MATTER TO THE MEMBER FOR ITS APPROVAL. THE ACTIONS SET FORTH BELOW MAY ALSO BE INITIATED BY THE MEMBER IN THE ABSENCE OF A RECOMMENDATION BY THE BOARD, SUBJECT TO THE BOARD'S SUBSEQUENT APPROVAL AND THE MEMBER'S FINAL APPROVAL. 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 ASSISTENCE 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 MADE AVAILABLE TO THE CORPORATION'S BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. |
| PROCEDURES FOR ADDRESSING CONFLICTS OF INTEREST | FORM 990, PART VI, QUESTION 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 PRESENCE HEALTH NETWORK 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 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 MAY 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 OR 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 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, 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 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. |
| DOCUMENT AVAILABILITY | FORM 990, PART VI, QUESTION 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 OUR 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 PRESENCE RHC SENIOR SERVICES(PRHCSS). CASH IS SWEPT FROM PRHCSS ON A DAILY BASIS TO PRMC AND PRMC ISSUES ALL PAYROLL AND ACCOUNTS PAYABLE CHECKS ON BEHALF OF AND AS AGENT FOR PRHCSS AND THE APPROPRIATE ACCOUNTING ENTRIES ARE RECORDED. |
| AUDITED FINANCIAL STATEMENTS | FORM 990, PART XII, LINE 2B | PRESENCE HEALTH NETWORK (AND AFFILIATES) HAS ITS CONSOLIDATED FINANCIAL STATEMENTS AUDITED BY AN INDEPENDENT ACCOUNTANT ANNUALLY. THE AUDIT OPINION IS ISSUED ON THE CONSOLIDATED FINANCIAL STATEMENTS AND EACH AFFILIATE IS NOT SEPARATELY AUDITED. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (27 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Presence Health Network | ||||||||||
| 7435 West Talcott Avenue | Chicago | IL | 60631 | 361649520 | Health Care | IL | 501(C)(3) | 3 | na | |
| Resurrection University | ||||||||||
| 3 Erie Court | Oak Park | IL | 60302 | 362182170 | education | IL | 501(C)(3) | 3 | PRHCC | |
| 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 | |
| Provena Care Home | ||||||||||
| 19065 Hickory Creek Drive | 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-Type I | PHN | |
| Presence Home Care | ||||||||||
| 19065 Hickory Creek Drive | Mokena | IL | 60448 | 460483581 | Health Care | IL | 501(C)(3) | 9 | PLC | |
| Presence Hospitals PRV | ||||||||||
| 9223 W St Francis Road | Frankfort | IL | 60423 | 364195126 | Health Care | IL | 501(C)(3) | 3 | PPRVH | |
| Laverna Terrace Housing Corp | ||||||||||
| 19065 Hickory Creek Drive | Mokena | IL | 60448 | 363438977 | senior living | IL | 501(C)(3) | 9 | PHPRV | true |
| Provena Self-Insurance Trust | ||||||||||
| 9223 W St Francis Road | Frankfort | IL | 60423 | 362987310 | Insurance | IL | 501(C)(3) | 9 | PPRVH | |
| Presence Life Connections | ||||||||||
| 19065 Hickory Creek Drive | Mokena | IL | 60448 | 371127787 | Health Care | IL | 501(C)(3) | 7 | PPRVH | |
| Presence Behavioral Health | ||||||||||
| 1820 South 25th Avenue | Broadview | IL | 60155 | 362709982 | Health Care | IL | 501(C)(3) | 3 | PHS | |
| Presence Ambulatory Services | ||||||||||
| 7435 West Talcott Avenue | Chicago | IL | 60631 | 364286236 | Health Care | IL | 501(C)(3) | 3 | PRHCC | |
| Resurrection Development Fdn Board BOT | ||||||||||
| 150 North River Road | Des Plaines | IL | 60016 | 363330929 | Fundraising | IL | 501(C)(3) | 7 | PRHCC | |
| Presence RHC Corporation | ||||||||||
| 7435 West Talcott Avenue | Chicago | IL | 60631 | 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 Healthcare Services | ||||||||||
| 7447 West Talcott Avenue | Chicago | IL | 60631 | 363330928 | Health Care | 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 | |
| Saint Francis Hospital Aux of Evanston | ||||||||||
| 355 Ridge Avenue | Evanston | IL | 60202 | 366143349 | Fundraising | IL | 501(C)(3) | 7 | PSFH | |
| Presence St Mary and Elizabeth Med Ctr | ||||||||||
| 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 | |
| Rainbow Hospice & Pall Care | ||||||||||
| 1550 Bishop Court | Mt Prospect | IL | 60056 | 363296367 | Hospice | IL | 501(C)(3) | 9 | PHCS | |
| Presence Nazarethville | ||||||||||
| 300 North River Road | Des Plaines | IL | 60016 | 362801392 | Nursing | IL | 501(C)(3) | 11, Type II | PRHC Snr Srv | |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|
| RH SLEEP CTR LP | ||||||
| 665 W N AVE | LOMBARD | IL | 60148 | 261519667 | SLEEP CENTER | IL |
| RH SLEEP CTR EVAN | ||||||
| 665 W N AVE | LOMBARD | IL | 60148 | 261519556 | SLEEP CENTER | IL |
| RH SLEEP CTR CHI NW | ||||||
| 665 W N AVE | LOMBARD | IL | 60148 | 261519627 | SLEEP CENTER | IL |
| RH SLEEP CTR RF | ||||||
| 665 W N AVE | LOMBARD | IL | 60148 | 262819763 | SLEEP CENTER | IL |
Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| L Gilbraith Insurance SPC LTD | |||||||||||||
| 68 W Bay Road PO Box 1109 | Grand Cayman | CJ | Insurance | CJ | PRHCC | Foreign Company | false | ||||||
| Provena Assurance Corporation | |||||||||||||
| Medical | PPRVH | C Corp | 9223 W St Francis Road | Frankfort | IL | 60423 | 980420054 | IL | |||||
| Presence Properties Inc | |||||||||||||
| Medical | PPRVH | C Corp | 9223 W St Francis Road | Frankfort | IL | 60423 | 363520630 | IL | |||||
| Presence Service Corporation | |||||||||||||
| Medical | PHPRV | C Corp | 9223 W St Francis Road | Frankfort | IL | 60423 | 364314354 | IL | |||||
| Presence Ventures Inc | |||||||||||||
| Medical | PPRVH | C Corp | 9223 W St Francis Road | Frankfort | IL | 60423 | 371168085 | IL | |||||
| Resurrection Medical Center Auxiliary | |||||||||||||
| Fundraising | PR Med Ctr | C Corp | 7435 West Talcott Avenue | Chicago | IL | 60631 | 366109825 | IL | |||||
| Resurrection Ministries of New York | |||||||||||||
| Parent Corp | PRHCC | C Corp | 90 North Main Street | Castleton | NY | 12033 | 141720818 | NY | |||||
| Presence Health Care Preferred | |||||||||||||
| MGD Care Contract | PRHCC | C Corp | 100 North River Road | Des Plaines | IL | 60016 | 363974620 | IL | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Resurrection Development Foundation BOT | ||
| C | 1341742 | CASH |
| PRESENCE RESURRECTION MEDICAL CENTER | ||
| P | 111230146 | FMV |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Reimbursements for Shared Services | Identifier |
| Return Reference | Form 990, Schedule R, Part V | ReturnReference |
| 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. | Explanation |