2013-11-14T13:37:51-06:00 2012-12-31 ERNST & YOUNG US LLP 155 NORTH WACKER DRIVE CHICAGO IL 60606 990 2012-01-01 237061646 Presence RHC Senior Services % David Wrigley PRES 8478133710 100 North River Road Suite Des Plaines IL 60016 TONY FILER 2013-11-11 3128792000 2012 2016-02-25 16:41:14Z Sandra Bruce 100 NORTH RIVER RD DES PLAINES IL 60016 108012201 false 0928 X www.presencehealth.org X 1969 IL 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. 14 12 0 12 0 80436 1438071 52088498 102070075 1412833 3981016 280609 523039 53862376 108012201 0 0 0 0 34083701 60777475 0 0 0 29807930 47082015 63891631 107859490 -10029255 152711 143995016 148071277 58667119 62590669 85327897 85480608 X 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. false false 94351551 102593114 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. 94351551 true true 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 false false false false false false false false false false X 14 12 false false false false true true true true true false false true true true true true true false false false X David Wrigley 8478133728 100 North River Rd Des Plaines IL 60016 X TIM PHILLIPPE 1.0 0.0 X X SALLIE MILLER 1.0 40.0 X X SANDRA B BRUCE 3.0 50.0 X X 0 1337831 39710 CONNIE MARCH 1.0 40.0 X X 0 455318 22596 SISTERE MARIE MASON 1.0 0.0 X X DENNIS SONNENBERG 1.0 0.0 X X NANCY DOWD 1.0 0.0 X FLORIDA FREEMAN 1.0 0.0 X PAT GOMEZ 1.0 0.0 X DR JAMES HAGAN 1.0 0.0 X THERESA KWIATKOWSKI 1.0 0.0 X MICHAEL NABOLOTNY MD 1.0 0.0 X PHYLLIS NICHOLS 1.0 0.0 X LAWRENCE PANKAU MD 1.0 0.0 X PAUL SKIEM 1.0 40.0 X 0 411955 75891 TOM SMITH 1.0 0.0 X SISTER ELIZABETH TREMBCZYNSKI 1.0 0.0 X MICHAEL KAPLAN 40.0 0.0 X 0 123032 29495 CORAZON B AMURAO 40.0 0.0 X 0 114013 12760 VIOLETA BADILLO 40.0 0.0 X 0 108350 28076 ABEL B ZABOROWSKI 40.0 0.0 X 0 104493 21915 SUSAN M AHLGREN 40.0 0.0 X 0 151047 9584 JOHN BAIRD 0.0 40.0 X 0 441480 78895 JOHN WALTON 0.0 0.0 X 0 847278 12739 NICOLA BYRNE 0.0 0.0 X 0 273437 31174 JOHN A ORSINI 0.0 40.0 X 0 603387 95694 0 4971621 458529 0 true true false 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 25 1341742 96329 1438071 Patient care 623000 102030121 102030121 RENTAL REVENUE - RELATED ENTITIES 900099 39954 39954 102070075 3981016 3981016 0 0 0 0 0 0 0 0 0 Beauty & Barber 812900 111652 111652 Laundry 812300 108315 108315 Meals 722320 70215 70215 232857 232857 523039 108012201 102593114 3981016 0 0 0 0 0 0 47685879 47685879 0 9585456 9585456 3506140 3506140 0 27345 27345 0 0 0 5076364 5076364 8431575 8431575 50026 50026 616085 616085 153 153 0 2279958 2279958 43680 43680 0 17122 17122 1310034 1310034 0 5074373 5074373 -1228701 -1228701 Provision for bad debt 6001603 6001603 TAXES & ASSESSMENTS 3384804 3384804 DUES AND SUBSCRIPTIONS 87091 87091 MEDICAL SUPPLIES 15560265 15560265 350238 350238 107859490 94351551 13507939 0 2667201 2046592 0 0 0 0 22544513 24005090 0 0 0 0 0 0 0 139477 0 0 107453859 49821892 58403362 57631967 0 0 0 0 0 0 2314500 2319949 58065440 61928202 143995016 148071277 5147357 9359034 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53519762 53231635 58667119 62590669 X 85327897 85480608 0 0 0 0 85327897 85480608 143995016 148071277 X 152711 X X false true X true true true X 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16606353 16606353 66108257 35716977 30391280 966118 510379 455739 23577291 13405224 10172067 194840 189312 6528 57631967 Board designated funds 61438902 Sundry Receivables 489300 61928202 0 Due to parent & affiliate 53231635 53231635 X ASC 740-10 Footnote Schedule D, Part X 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. X X X X true true false false false false false SANDRA B BRUCE 0 1102304 0 235527 0 0 0 12500 0 27210 0 1377541 0 0 CONNIE MARCH 0 318406 0 0 0 136912 0 0 0 22596 0 477914 0 19138 PAUL SKIEM 0 367945 0 44010 0 0 0 55652 0 20239 0 487846 0 41160 JOHN BAIRD 0 405964 0 35516 0 0 55758 0 23137 0 520375 0 35516 JOHN WALTON 0 253898 0 0 0 593380 0 12500 0 239 0 860017 0 593380 NICOLA BYRNE 0 55597 0 0 0 217840 0 12320 0 18854 0 304611 0 217840 JOHN A ORSINI 0 571824 0 31563 0 0 0 74171 0 21523 0 699081 0 0 MICHAEL KAPLAN 0 123032 0 0 0 0 0 6149 0 23346 0 152527 0 0 SUSAN M AHLGREN 0 124275 0 0 0 26772 0 7552 0 2032 0 160631 0 0 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 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. 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 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 L Gilbraith Insurance SPC LTD 68 W Bay Road PO Box 1109 Grand Cayman CJ Insurance CJ PRHCC Foreign Company false Provena Assurance Corporation 9223 W St Francis Road Frankfort IL 60423 980420054 Medical IL PPRVH C Corp Presence Properties Inc 9223 W St Francis Road Frankfort IL 60423 363520630 Medical IL PPRVH C Corp Presence Service Corporation 9223 W St Francis Road Frankfort IL 60423 364314354 Medical IL PHPRV C Corp Presence Ventures Inc 9223 W St Francis Road Frankfort IL 60423 371168085 Medical IL PPRVH C Corp Resurrection Medical Center Auxiliary 7435 West Talcott Avenue Chicago IL 60631 366109825 Fundraising IL PR Med Ctr C Corp Resurrection Ministries of New York 90 North Main Street Castleton NY 12033 141720818 Parent Corp NY PRHCC C Corp Presence Health Care Preferred 100 North River Road Des Plaines IL 60016 363974620 MGD Care Contract IL PRHCC C Corp false false true false false false false false false false false false false false false true false false false Resurrection Development Foundation BOT C 1341742 CASH PRESENCE RESURRECTION MEDICAL CENTER P 111230146 FMV Reimbursements for Shared Services Form 990, 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.