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PRESENCE HEALTH PARTNERS SERVICES: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PRESENCE HEALTH PARTNERS SERVICES (EIN 36-2644178)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201221369349308452
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T20:16:17-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362644178EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Our Lady of the Resurrection Medical CtrBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOURLNameControl
Phone7735948544Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15645 West Addison StreetAddressLine1
CityChicagoCity
StateILState
ZIP Code60634ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJohn A Orsini CPAName
TitleTreasurerTitle
Date Signed2012-05-15DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMartin JuddNameOfPrincipalOfficerPerson
Gross Receipts131971632GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.reshealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionFaithful to the spirit of our Sponsors, Resurrection Health Care exists to witness God's sustaining love through compassionate, family-centered care. Motivated by a reverence for life and respect for those we serve, we are committed to improving the health and well-being of our community. We promote a climate that empowers all of us to effectively steward our human and financial resources.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers142TotalNbrVolunteers
Total Gross UBI125342TotalGrossUBI
Net Unrelated Business Txbl Income-130567NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year228398ContributionsGrantsPriorYear
Contributions Grants Current Year182389ContributionsGrantsCurrentYear
Program Service Revenue Prior Year125139514ProgramServiceRevenuePriorYear
Program Service Revenue CY129375128ProgramServiceRevenueCY
Investment Income Prior Year1350751InvestmentIncomePriorYear
Investment Income Current Year1589318InvestmentIncomeCurrentYear
Other Revenue Prior Year684164OtherRevenuePriorYear
Other Revenue Current Year824797OtherRevenueCurrentYear
Total Revenue Prior Year127402827TotalRevenuePriorYear
Total Revenue Current Year131971632TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year60469148SalariesEtcPriorYear
Salaries Etc Current Year58345440SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year79968186OtherExpensePriorYear
Other Expenses Current Year80411408OtherExpensesCurrentYear
Total Expenses Prior Year140437334TotalExpensesPriorYear
Total Expenses Current Year138756848TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-13034507RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-6785216RevenuesLessExpensesCY
Total Assets BOY80412861TotalAssetsBOY
Total Assets EOY76759803TotalAssetsEOY
Total Liabilities BOY24400378TotalLiabilitiesBOY
Total Liabilities EOY27472738TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY56012483NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY49287065NetAssetsOrFundBalancesEOY
Mission DescriptionFaithful to the spirit of our Sponsors, Resurrection Health Care exists to witness God's sustaining love through compassionate, family-centered care. Motivated by a reverence for life and respect for those we serve, we are committed to improving the health and well-being of our community. We promote a climate that empowers all of us to effectively steward our human and financial resources.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense122929045Expense
DescriptionThe hospital provided patient care of 35,446 acute patient days and had 7,521 acute discharges. Skilled nursing patient days were 13,484 and discharges were 1,240. There were 41,695 emergency room visits, 3,614 surgeries and 116,581 outpatient visits.Description
Total Program Service Expense122929045TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDavid WrigleyNamePerson
Telephone Number8478133728TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 North River RdAddressLine1
CityDes PlainesCity
StateILState
ZIP Code60016ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekFormerFormerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorHighest Compensated EmployeeHighestCompensatedEmployeeOfficerOfficerKey EmployeeKeyEmployee
Tom Capobianco
Treas/EVP Fin/CFO RHCC0.00X069418442637
Tivador Szabo
Director1.00000X
Shirish Shah MD
Director1.00000X
Sarah Margulies
Physician40.00024369320825X
Sandra Bruce
President1.00090316330928X
Russell Eisenburg
ER Physician40.00029989634449X
Robert Schwaner
ER Physician40.00024960125433X
Nicola Byrne
Asst Treasurer1.00022546226915X
Maryanne Bajgrowicz
VP, CNO40.0001302036935X
Mary Hillard
VP, CNO0.00X0412981420
Linda Herman
ER Physician40.00030701616077X
Joseph D'Silva MD
Director1.000444000X
John Walton
Dir/Group EVP1.000638238103181XX
John Short
Dir/EVP/CEO40.00034744977223XX
John A Orsini CPA
Treasurer/CFO1.00032755856589X
Jeannie C Frey
Sec/SVP Legal1.00043959081847X
Jay Kreuzer
Director0.00X040526012810
James Sykes
Asst Treasurer1.00022438131001X
Ivette Estrada
Dir Asst Sec/EVP/CEO0.00X040943735023
Father Jason Malave
Director1.00000X
Dennis Fitzmaurice
VP, Professional Services40.00018169228332X
David Hines MD
Director1.00000X
David Bordo
Dir/ ER Physician40.00034087334575X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs6453394TotalReportableCompFrmRltdOrgs
Total Other Compensation666200TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Triad Hospitalist Group
5645 W Addison StreetChicagoIL60634Physician Services761670
Shiftwise US Bank Corporate Trust
PO Box 70870St PaulMN551709705Clinical Agency664386
GE Healthcare
PO BOX 96483ChicagoIL60693Medical Supplies1375539
Boston Neuro-Frmly Advancedbionics
PO Box 952195DallasTX75395Medical Supplies217884
Advantedge Healthcare Solutions
POBox 674336DetroitMI482674336Physician Billing Sv214255
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Related Organizations182389RelatedOrganizations
Total Contributions182389TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Serv RevenueDescription
Business Code621990BusinessCode
Total Revenue Column129375128TotalRevenueColumn
Related Or Exempt Function Income129375128RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue129375128TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1316865TotalRevenueColumn
Exclusion$1,316,865ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other272453Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other272453Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column272453TotalRevenueColumn
Exclusion$272,453ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Lab Services621500125342125342
Auxiliary Revenue900099699455$699,455
FieldValueIRS element (for citing)
Total Other Revenue824797TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column131971632TotalRevenueColumn
Related Or Exempt Function Income129375128RelatedOrExemptFunctionIncome
Unrelated Business Revenue125342UnrelatedBusinessRevenue
Exclusion$2,288,773ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total834340Total
Program Services834340ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total46023545Total
Program Services46023545ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2693681Total
Program Services2693681ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5387908Total
Program Services5387908ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3405966Total
Program Services3405966ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total33397Total
Program Services33397ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total65110Total
Program Services65110ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9119318Total
Program Services9119318ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total1834Total
Program Services1834ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total18932560Total
Program Services18932560ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1324967Total
Program Services1324967ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total161164Total
Program Services161164ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total28522Total
Program Services28522ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total1457126Total
Program Services1457126ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5932376Total
Program Services5932376ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2083637Total
Program Services2083637ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Recruiting7703977039
Provision for Bad Debts2131997121319971
IL Medicaid Tax39940593994059
Dues and Subscriptions5252552525
Centralized Services1582780315827803

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total138756848Total
Program Services122929045ProgramServices
Management And General15827803ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4984BOY
EOY5954EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14546214BOY
EOY14706488EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY636516BOY
EOY1103753EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY369615BOY
EOY221940EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis121316740LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec93919809LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28865489BOY
EOY27396931EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY31553289BOY
EOY33168630EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4436754BOY
EOY156107EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY80412861BOY
EOY76759803EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2276375BOY
EOY1286120EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22124003BOY
EOY26186618EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24400378BOY
EOY27472738EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY56012483BOY
EOY49287065EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY56012483BOY
EOY49287065EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY80412861BOY
EOY76759803EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-6785216ReconcilationRevenueExpenses
Reconcilation Other Changes59798ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1760349OtherCostOrOtherBasis
Book Value1760349BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis72889043OtherCostOrOtherBasis
Depreciation55676729Depreciation
Book Value17212314BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2520848OtherCostOrOtherBasis
Depreciation2195582Depreciation
Book Value325266BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis44146500OtherCostOrOtherBasis
Depreciation36047498Depreciation
Book Value8099002BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings27396931TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Malpractice Liability$17,917,825
Due to/from affiliates$3,653,027
Due to Third Part Payors$4,615,766
FieldValueIRS element (for citing)
Total Of Amounts26186618TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteRHC 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 technical merits of the position. RHC and Affiliates do not have any liabilities for unrecognized tax benefits.
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesEquity Transfer $59798

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3460533TotalCommunityBenefitExpense
Net Community Benefit Expense3460533NetCommunityBenefitExpense
Percent Of Total Expense0.03000PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense26833659TotalCommunityBenefitExpense
Direct Offsetting Revenue17496121DirectOffsettingRevenue
Net Community Benefit Expense9337538NetCommunityBenefitExpense
Percent Of Total Expense0.08000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense30294192TotalCommunityBenefitExpense
Direct Offsetting Revenue17496121DirectOffsettingRevenue
Net Community Benefit Expense12798071NetCommunityBenefitExpense
Percent Of Total Expense0.11000PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense697988TotalCommunityBenefitExpense
Direct Offsetting Revenue43559DirectOffsettingRevenue
Net Community Benefit Expense654429NetCommunityBenefitExpense
Percent Of Total Expense0.00560PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense923881TotalCommunityBenefitExpense
Direct Offsetting Revenue230360DirectOffsettingRevenue
Net Community Benefit Expense693521NetCommunityBenefitExpense
Percent Of Total Expense0.00590PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1287800TotalCommunityBenefitExpense
Net Community Benefit Expense1287800NetCommunityBenefitExpense
Percent Of Total Expense0.01100PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense6013TotalCommunityBenefitExpense
Net Community Benefit Expense6013NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense48686TotalCommunityBenefitExpense
Direct Offsetting Revenue130DirectOffsettingRevenue
Net Community Benefit Expense48556NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2964368TotalCommunityBenefitExpense
Direct Offsetting Revenue274049DirectOffsettingRevenue
Net Community Benefit Expense2690319NetCommunityBenefitExpense
Percent Of Total Expense0.02300PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense33258560TotalCommunityBenefitExpense
Direct Offsetting Revenue17770170DirectOffsettingRevenue
Net Community Benefit Expense15488390NetCommunityBenefitExpense
Percent Of Total Expense0.13300PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$4,407,047BadDebtExpenseAmount
Amount Reimbursed By Medicare57540663AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare57659223CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-118560MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Our Lady of the ResurrectionBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1Medical CenterAddressLine1
CityW Addison StCity
StateILState
ZIP Code60634ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Our Lady of the ResurrectionBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part VI - Additional InformationPart VI, 2: Needs Assessment continue..-RES-INFO is a widely utilized Resurrection Health Care telephone service/contact center that provides nurse advice, physician referrals, health information and health care class registrations to callers. Staffed by clinicians and other professionals, community members access RES-INFO by utilizing a toll-free number and the RHC Website. Summary reports indicate the types of health care providers callers seek, the symptoms they need assistance with, the health information they are seeking, and the health classes and seminars they would like to take. -The Resurrection Health Care Website (www.reshealth.org) provides an online health information library as well as information related to the full continuum of available health care services, the Resurrection financial assistance program, educational programs and screenings, an online physician search and online job application system, to name a few of the available topics. A parallel version of the site is also available in Spanish. Regular review of site usage statistics provides useful information about the health concerns of website visitors.-Resurrection Health Care clinical educators, health educators and physicians supply significant empirical research on the needs of the community. Resurrection Health Care operates several clinics in and around each hospital. Clinical and professional staffs also obtain patient data through health education, health screenings, health fairs and other clinical encounters.
Part VI - States Where Community Benefit Report FiledIL
Part VI - Affilated Health Care System Roles and PromotionEffective March 1, 2001, the Sisters of the Holy Family of Nazareth and the Sisters of the Resurrection began the co-sponsorship of Resurrection Health Care in order to assure the provision of ongoing quality healthcare services to the communities served by the sponsors. A single governance structure for the system includes board members from the community, physicians, senior officers and external business and health care executives with an interest in serving Resurrection Health Care's communities.Resurrection Health Care is the parent corporation of all subsidiary corporations including, but not limited to, our Hospital Corporations, Resurrection Senior Services, Resurrection Services (including all ambulatory corporations), Resurrection Home Health Services, Resurrection Behavioral Health and Resurrection Development Foundation, to name the most significant ministries. Resurrection Health Care provides acute healthcare, acute long term care, long-term care services, behavioral health services and ambulatory care services to communities primarily located in north and northwest Chicago, at various locations throughout Cook County in Illinois.All Resurrection Health Care acute care facilities have robust community relations and patient and family focused care initiatives. While each community is different, similar methods of community engagement are employed at each hospital. Also, the Resurrection Development Foundation is an Illinois not-for-profit corporation organized to solicit, receive and account for charitable contributions that benefit all Resurrection Health Care entities. The mission of the Foundation is to build relationships and develop partnerships across Chicago to enhance Catholic-sponsored health care services to all who need them.In addition, through its affiliations with area medical schools, Saints Mary and Elizabeth Medical Center offers residency programs in family medicine and podiatry.From the very beginnings of our various ministries decades ago, Resurrection Health Care has been called to be much more than a just a provider of health services. Resurrection Health Care strives to live out its Mission every day for every patient or resident. It has communicated its mandate to all of its ministries that we are committed to responding to the needs of those we are privileged to serve. Our vision is to delivering high quality care that is accessible to all. It is this culture of caring and giving that drives our diligent efforts to ensure we return the optimal value of our charitable assets to our local communities. In addition, the Sponsoring Congregations of Resurrection Health Care have promulgated criteria (called Sponsor Expectations) that are directed toward the governance and management of all affiliated corporations and provide guidance for decisions, policies and everyday practices. Sponsor Expectation 7 stipulates that "Resurrection Health Care will be a moral force in society, working with other organizations to address the needs of the poor and the marginalized and affect the change needed to insure that all will have access to safe, quality health care across the continuum of care."Finally, it is the expectation of our Sponsors that every affiliate corporation live out our Mission mandate: "Motivated by a reverence for life and respect for those we serve, we are committed to improving the health and well-being of our community."
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeResurrection Health Care Hospitals are faith based ministries that provide services based upon the ethical and religious directives of the Catholic Church. Resurrection Health Care operates five acute care hospitals and one long term acute care hospital. Resurrection Health Care's hospitals enhance the public health of our communities by:1.Ensuring our medical staff is open to all qualified physicians,2.All of our hospitals are accredited and in good standing with the Healthcare Facilities Accreditation Program (HFAP)3.Ensuring our board of directors is diverse and able to provide expertise, and made up of independent members of the communities we serve. Our board members must follow a conflict of interest policy.4.Surplus funds are reinvested into the organization to improve patient care though new programs and technology.5.Provide financial assistance and sliding scale discounts and have collection practices that are in compliance with state and federal guideline. In addition, we follow the financial assistance and charity guidelines of the Catholic Health Association.6.We participate in all government sponsored health care programs, Medicare, Medicaid, CHAMPUS, Tricare, SCHIP and others.7.We provide emergency room services in all of our communities and provide training to local fire departments and ambulances. Our emergency room participates with local police and fire departments in disaster drills.8.Our emergency room services and urgent care services are staffed by Board Certified Emergency Room Physicians and treat patients according to EMTALA guidelines and serve all patients regardless of ability to pay.9.Five of our hospitals qualified for disproportionate share.10.We have a significant commitment to the education and training of health professionals including doctors, nurses, radiology technicians and chaplains.In addition, we are committed to determining the needs of our communities and creating ways to meet those needs. The obligation to reach out to those in need and improve health flows directly from our Catholic identity and the heritage of our founding congregations. Below are a few examples of how Our Lady of the Resurrection Medical Center (OLR) promotes the health of the community served.Our Lady of the Resurrection Medical Center donates radiology exams at no cost to the Old Irving Park Community Clinic. In addition, the clinic's directors both serve on the OLR Neighborhood Community Relations Council.OLR also provides a unique program for improving interviewing skills for those individuals who are unemployed. This program improves the individual's personal ability and self-confidence at interviewing for jobs while dealing with their unemployment status.OLR partners with Alderman Ray Suarez to provide health screening to his constituents.OLR partners with St Bartholomew Catholic Church to provide health screenings and healthy living lectures and materials.Our Lady of the Resurrection Medical Center also subsidizes the New Beginnings Program. This is a program that provides prenatal, delivery and post-partum care for low income women and families.Finally, Our Lady of the Resurrection Medical Center offers numerous health and wellness fairs. Although these fairs are open to everyone in the community, they provide a significant source of information about personal health risk indicators as well as follow-up information, health resources and references to poor and low income individuals who have no other resource for this basic health care information. These programs are often sponsored by local elected officials (Mayors, Aldermen, and Congressmen) or local churches and congregations with Our Lady of the Resurrection providing the health care resources (staff, supplies, information, etc.).
Part VI - Community Building ActivitiesChicago is a diverse city of unique neighborhoods. Our Lady of the Resurrection Medical Center, like all Resurrection Health Care hospitals, has a Neighborhood Community Relations Committee made up of representatives of the hospital, local clergy, business groups, community service agencies and elected officials. These committees work together to identify community health needs and devise strategies and tactics to address those health needs together, with an overall goal of improving the health status of the community.Our Lady of the Resurrection Medical Center, through its parent corporation Resurrection Health Care, is part of Building a Healthier Chicago (BHC), a collaborative of local and national stakeholders working to strengthen efforts to promote the health of Chicago residents. BHC seeks to create integrated, effective and sustained community-wide partnerships for health promotion. Its goal is to improve the health of Chicago residents by providing information on policies and programs to help promote healthier lifestyle choices for Chicago residents as well as the prevention and treatment of high blood pressure.Our Lady of the Resurrection Medical Center engages in a variety of Community Building Activities. These activities include programs that address the root causes ofhealth problems, such as awareness of critical health care numbers, health care screenings and referrals, maternal and family outreach services, obesity awareness, the prevalence of diabetes and programs and services that promote fitness, weight loss, healthy nutrition and healthier lifestyles. For the reporting period, over 24,861 persons were engaged in some form of community health improvement and community building services and activities in the form of 45 programs.In addition, community building activities, whenever possible, were done in collaboration with other agencies and programs within the service area of Our Lady of the Resurrection Medical Center. It is our belief that working in collaboration with other community partners helps in building the foundation of a healthier community. Examples of community collaborations includes Illinois Kidney foundation, AA, Overeater Anonymous, 38th ward Alderman Tim Cullerton, Dr. Jorge Prieto Math and Science Academy, YMCA, Portage Park Chamber of Commerce, Polish American Association, Belmont-Central Chamber of Commerce, 16th district Chicago Police Department to name a few. For the reporting period, these collaborative efforts resulted in over 18,600 persons served.These community building, health improvement and collaborative efforts indicate our belief that our community responsibilities extend well beyond the walls of our facility.Other examples of community building activities include: "The e-CARES program in which connections are made between employees who wish to donate used household items and community members who are suffering from economic distress and hardships and who could use these donated items. Employees have connected directly with the marginalized individuals in the community to donate furniture, appliances, clothing, food and other items of need."Our Lady of the Resurrection Medical Center, through the parent corporation, maintains an ongoing partnership with Hospital Sisters Mission Outreach whose mission is the recovery and responsible redistribution of healthcare equipment and supplies to developing countries. The commitment attributes to local community health by being good stewards of our community resources and not contributing to the landfills within our communities. In addition, this activity promotes the health of the community that receives the equipment and supplies by giving them the tools that they need to better meet the health needs of their community. The Resurrection Health Care Mission statement declares that "motivated by a reverence for life and respect for those we serve, we are committed to improving the health and well-being of our community". Our Lady of the Resurrection Medical Center strives to uphold its Mission.
Part VI - Community InformationResurrection Health Care is a family of health care services providing advanced medical care and exceptional customer service with compassion and hope. Its hospitals, nursing homes, retirement communities, home health services, behavioral health programs and other services are conveniently located in many Chicagoland neighborhoods. Resurrection Health Care serves a diverse community of over two million people from forty (40) zip codes primarily located on the North/Northwest Side of Chicago and surrounding suburbs. This large and varied region requires comprehensive service to a number of populations: uninsured and poorly insured; all age categories-children, adults, seniors; various ethnic populations and immigrants; and individuals from various prominent disease categories. The primary service area of Resurrection Health Care hospitals in 2011 is characterized as follows: "The population is approximately 41.0% White, 33.2% Hispanic, 16.1% African-American, 7.0% Asian and 2.7% other non-Hispanic."The Hispanic population represents 33.2%of the population of the service area, compared to the national average of 16.1%."Approximately 19.6% of Resurrection Health Care's primary service area population is uninsured. "The unemployment rate in the primary service area is 10.6% of the total labor force The number of females of childbearing ages (15-44) is expected to decrease by 5.8% over the next five years."Individuals 65 and over are 11.2% of the primary service area."The overall population of the service area is expected to decrease by -0.2%over the next 5 years."The median 2011 household income for the primary service area is $51,223Resurrection Health Care is a not-for-profit Catholic organization sponsored by the Sisters of the Holy Family of Nazareth and the Sisters of the Resurrection.To determine our core community, a comprehensive list of factors were considered including inpatient, outpatient and emergency department patient origin, facility location, inpatient market share, net Resurrection Health Care market share, and ongoing community outreach efforts.The core communities served by Our Lady of the Resurrection Medical Center are as follows:60630- Portage Park60634- Dunning60639- Belmont Cragin60641- Irving ParkDemographic Information (Based on 2011 data)The Our Lady of the Resurrection core community has a total population of 288,969, which is projected to decrease 0.4% by year 2016. Within the core community there are a total of 94,003 households with an average household income of $61,732. The median home value is $257,982 and the median age is 36. The core community is predominantly White (40.2%). However, there is a significant Hispanic population (47.4% Hispanic, 5.8% Black, and 4.0% Asian). The population within the core community has varying levels of education with 19.9% holding a bachelor's degree or greater. Within the core community, 15.6% of the population is uninsured in 2011. By 2016, the uninsured population will drop to 5.3%.Our Lady of the Resurrection Medical Center's top five non-English languages are Polish, Spanish, Arabi, Russian, and Ukranian/Albanian of the 28 languages served. In addition, OLR also offers on-site medical interpreters with a staff of 3 Polish and 2 Spanish medical interpreters. Approximately 14,050 interpreted encounters were provided in FY11 for Spanish (5,607) and Polish (8,443). Resurrection Health Care hospitals offer either personal or telephonic medical interpretation services. There were 21,151 medical interpretations provided via telephone alone in FY11 across the system, in 71 different languages. Health Status Information Within the Our Lady of the Resurrection core community, 23 % of the population is uninsured based on 2007 data. The Belmont Cragin neighborhood has the highest number of uninsured (29,563) within the core community. There are areas within the core community that are at high risk for certain conditions.
Part VI - Patient Education of Eligibility for AssistanceThe hospital maintains effective methods of communicating the availability of Financial Assistance/Charity Care discounts to all patients, in multiple appropriate media and in multiple appropriate languages. The mechanisms that the Hospital will use to communicate the availability of Financial Assistance/Charity Care will include, but are not limited to the following:1.Signage. Signs shall be conspicuously posted in the admission, registration and other appropriate areas of the hospital stating that patients may be eligible for Financial Assistance/Charity Care discounts, and describing how to obtain more information, including identification of appropriate hospital representatives by title. Such signs shall be prepared in English, Spanish, and any other language that is the primary language of at least 5% of the patients served by the hospital annually.2.Provision of Financial Assistance Materials to Uninsured Patients. RHC hospitals will provide a summary of its Financial Assistance Programs and a Financial Assistance application to all persons receiving hospital care that it identifies as Uninsured Patients at the time of in-person registration, admission, or such later time at which the patient is first identified as an Uninsured Patient. For patients presenting in the Emergency Department, all RHC hospitals will provide such Financial Assistance materials at such time and in such manner as is consistent with their obligations under EMTALA to assess and stabilize the patient before making inquiry of the patient's ability to pay.3.Brochures. Brochures, information sheets and/or similar forms of written communication regarding the hospital's Financial Assistance/Charity Care policy shall be maintained in appropriate areas of the hospital (e.g., the Emergency Department, organized registration areas, and the Business Office) stating in at least English, Spanish and Polish, that the hospital offers Financial Assistance/Charity Care discounts, and describing how to obtain more information.4.Website. Each RHC's section of the Resurrection Health Care website must include: a notice in a prominent place that financial assistance is available at the hospital; a description of the financial assistance application process; and a copy of the RHC hospital financial assistance application form.5.Billing Notices. Each RHC hospital shall include a note on or with the Hospital bill and/or statement regarding the hospital's Financial Assistance/Charity Care program, and how the patient may apply for consideration under this program.6.Financial Counselors. Each RHC hospital shall have one or more financial counselors whose contact information is listed or provided with other information concerning the hospital's Financial Assistance/Charity Care discount program, who are available to discuss eligibility and other questions concerning the program, and to provide assistance with applications.7.Notification of Determination. When an RHC hospital has made a determination that a patient's bill is discounted or adjusted in whole or in part based on a determination of financial need, the hospital will notify the patient of such eligibility determination, and that there is no further collection action taken on the discounted portion of the patient's bill.
Part VI - Needs AssessmentIn order to ascertain the health care needs of the community served by Resurrection Health Care, a number of primary data sources sources were reviewed. This quantitative data focused on published health status indicators as well as our own direct measures of expressed community needs (via phone calls, website and survey responses). In addition, qualitative data was used which was obtained from the direct experience of RHC staff with clinical and health education responsibilities. For the upcoming fiscal year, we will be complementing these primary data sources with a formal process to obtain and utilize secondary data sources within the communities themselves.The current sources for assessing community health status and needs include the following:-Metropolitan Chicago Healthcare Council (MCHC) Needs Assessment is a comprehensive, data driven approach to determine the health status, and understand the behaviors and needs of the residents of Cook, Lake, and DuPage counties. This study can be used to address and understand the needs of individual communities. -Chicago Department of Public Health - Casting Chicago's Health Care Safety Net: A 12-Year Review of Chicago's Community-Based Primary Care System. The report highlights the changes that occurred in Chicago's community-based health care safety net system between 1990-2002. The report also explores, for the same 12-year period, changes in related indicators: general population characteristics, health status and insurance coverage. -Metro Chicago Information Center (MCIC) is an organization that details information on community needs assessments for the city of Chicago. The information identifies the demographics and community needs by categorizing the city into six distinct areas or communities. -We Plan 2005-2010 (in conjunction with The Cook County Department of Public Health) summarizes the process of assessment - a systematic collection and analysis in order to provide a basis for decision making - and community strategic planning. This information is a compilation of data and analysis, measurable objectives, available resources, interventions and preliminary implementation steps for three priority health indicators: chronic disease, violence and access to Care. -2009 Report on Chicago Region Poverty: In this ninth annual comprehensive analysis of poverty indicators in Illinois, the report explains that unemployment and poverty are correlated; rising unemployment precipitates an increase in poverty. With the Illinois unemployment rate already over 9 percent, the ripple effect on Illinoisans is severe, according to researchers-Illinois Department of Public Health (IDPH) publishes The Illinois Project for Local Assessment of Needs (IPLAN), a community health assessment and planning process and online tool that is conducted every five years (2006 is most current data) by local health jurisdictions in Illinois. -Healthy People 2020 is an updated initiative by the U.S. Department of Health and Human Services, composed of federal, state and territorial departments, to strategically focus on initiatives which can be measured and which promote healthy living and disease prevention. Their website offers information on many leading indicators that are currently being measured. In addition, all community benefit activities are reported and organized using the Community Benefit Inventory for Social Accountability (CBISA) software which utilizes the Healthy People 2010/2020 categories in its database.In addition to the data sources mentioned above, we also use available internal resources that arise from our direct connection to the community we serve. These sources include:-Resurrection Health Care's Strategic Planning Process, includes comprehensive assessments of service area demographics, identified needs, health care trends, market share, financial outcomes, capital needs, and other factors.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsCollection policies are the same for all RHC entities which includes Our Lady of the Resurrection Medical Center's patients. Patients are notified of Our Lady of the Resurrection Medical Center's financial assistance policy at time of registration via posted notifications and on every account statement that is sent. We make this available in a number of languages. On receipt of the information, we will determine eligibility for financial assistance and notify the patient as quickly as possible. The Hospital does not pursue collection of amounts from patients who are being reviewed for financial assistance eligibility or who are determined to qualify for charity care.If at any point in the collection process, documentation is received that indicates the patient is potentially eligible for financial assistance but has not applied for it, the account is referred back for a financial assistance review.In addition, all patients having difficulty paying their bills are directed to financial counselors. The financial counselors will work with our patients to qualify them for charity care or government program such as Medicaid. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off in accordance with our financial assistance policy. If there is any remaining balance, only that balance would be subject to our debt collection policy.If a patient has requested and/or filled out a financial aid application, all debt collection activities stop until eligibility for financial assistance can be determined. Our policy provides that once we have received the necessary documentation we will not refer any accounts for collection until we can determine whether the individual is insured and not eligible for financial assistance.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitThe shortfall of $118,560 on Part III, Line 7 is the unreimbursed cost of providing services for Medicare patients and should be treated as community benefit.
Part III, Line 4 - Bad Debt ExpenseThe footnotes to Resurrection Health Care's audited financial statements do not specifically address bad debt expense, rather, the footnote describes Resurrection Health Care's patient accounts receivable policy. Patient accounts receivable are stated at net realizable value. Resurrection Health Care evaluates the collectability of its accounts receivable based on the length of time the receivable is outstanding, payer class, historical collection experience, and trends in health care insurance programs. Accounts receivable are charged to the allowance for uncollectible accounts when they are deemed uncollectible. The costing methodology used in determining the amounts reported on line 2 is based on the ratio of patient care cost to charges. The bad debt (at cost) was calculated by applying the organization's cost to charge ratio to the organization's provision for uncollectible accounts receivable. Resurrection Health Care makes every effort to identify those patients who are eligible for charity care or other financial assistance by strictly adhering to its Charity Care policy. We believe that Resurrection has a population of patients who are uninsured or underinsured but who do not complete the charity care assessment. Although Resurrection responded to Part III, Line 3 as 0, the response would be accurately noted as unknown. We strongly believe, despite significant proactive measures, there are a percentage of bad debts that could be considered community benefit. However, at this time we do not believe we have the appropriate tools to determine this percentage accurately.
Part I, Line 7, Column F - Explanation of Bad Debt ExpensePer the 990H instructions, the bad debt expense amount of $21,319,971 has been removed from the denominator in calculating percentage of total expenses for scheduled H Part I line 7.
Part I, Line 7 - Explanation of Costing MethodologyPer the 990H instructions, the cost to charge ratio used to determine 7a. Financial assistance at cost and 7b. Unreimbursed Medicaid was derived from Worksheet 2, Ratio of Patient Care Cost to Charges.
Part I, Line 6a - Related Organization Community Benefit ReportResurrection Health care, the parent corporation of Our Lady of the Resurrection Medical Center, publishes an annual Report to Our Communities, which details the combined charitable impact our facilities, have within the communities we serve. This report is inclusive of our hospital and non-hospital ministries. The report is distributed to federal, local and state officials, community leaders, religious leaders and other groups. It is also posted on the World Wide Web and widely available on our consumer Web site (www.reshealth.org.)
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)Discount for Low-Income Uninsured Patients. Financial Assistance/Charity Care discounts or discounted fee schedules is available for Medically Necessary Hospital Services provided to Uninsured Patients who are unable to pay all or part of the otherwise applicable charge for their care due to financial need, as documented in accordance with this Policy. Patients demonstrating financial need based on household income at or below one hundred percent (100%) of the Federal Poverty Level, combined with a general lack of liquid assets, will receive a one hundred percent (100%) discount on Medically Necessary Hospital Services. Patients generally lacking liquid assets who have household income between one hundred percent (100%) and up to four hundred percent (400%) of the Federal Poverty Level will receive a sliding-scale discount for such hospital care, at levels approved by the RHC Executive Leadership Team.Payment Caps Under Illinois Uninsured Patient Discount Act. To the extent required by the Illinois Uninsured Patient Discount Act, and subject to other eligibility standards and exclusions as set forth by such law including standards based on asset level, Uninsured Patients who are Illinois residents having household income of up to six hundred percent (600%) of the Federal Poverty Level shall not be required to pay to an RHC hospital more than twenty five percent (25%) of such patient's family gross income within a twelve (12) month period.Other Payment Caps. An Uninsured Patient who is eligible for Financial Assistance/Charity Care at an RHC Hospital pursuant to the criteria set forth in Section 5.1 or 5.3 below shall be eligible for a payment cap based on RHC's charitable commitment to catastrophic medical expenses assistance based on medical indigence, as follows:For an eligible Uninsured Patient who demonstrates that s/he has a household income of four hundred percent (400%) or less of the Federal Poverty Level, such patient's payment obligation within any 12-month period is limited to the higher of: (a) ten percent (10%) of the patient's annual gross household income; or (b) ten percent (10%) of the patient's Non-Retirement Household Liquid Assets.For an eligible Uninsured Patient who demonstrates that s/he has a household income over four hundred percent (400%) of the Federal Poverty Level, or less, such patient's payment obligation within any 12-month period is limited to the higher of: (a) fifteen percent (15%) of annual gross household income; or (b) fifteen percent (15%) of the patient's Non-Retirement Household Liquid Assets.Financial Assistance/Charity Care for Insured Patients. Subject to insurance and governmental program restrictions (which may limit the ability to grant a discount on co-pays or deductibles, versus discounts on co-insurance), insured individuals, federal program beneficiaries and other individuals who are not automatically eligible for Financial Assistance/Charity Care hereunder but who demonstrate medical indigence or other financial need, may receive a Financial Assistance/Charity Care discount in similar or different amounts as are available to Uninsured Patients under this policy, as determined appropriate under the circumstances by RHC Patient Financial Services.Discounts for Uninsured, Medically Indigent Patients. Uninsured Patients whose household income is greater than four hundred percent (400%) of the Federal Poverty Level or who do not meet the automatic eligibility criteria set forth in Section 5 below, will nevertheless be eligible to receive a financial assistance/charity care discount based on a determination of medical indigence, by virtue of having medical bills from an RHC hospital in an amount equal to or greater than fifteen percent (15%) of their household income and available assets. Such Financial Assistance/Charity Care discount for uninsured higher income but medically indigent patients shall be one that is reasonable in relation to the individual patient's househousehold financial circumstances and the health status of the patient.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBonus Related OrgsBonusRelatedOrgs
Tom Capobianco
341261352923403002337736821
Sarah Margulies
243693147236102264518
Sandra Bruce
9031631225018678934091
Russell Eisenburg
2998961599318456334345
Robert Schwaner
2496011225013183275034
Nicola Byrne
22546226915252377
Mary Hillard
308411045714204271810457
Linda Herman
30701616077323093
John Walton
6382389010413077741419
John Short
3474495623220991424672
John A Orsini CPA
298683437951279438414728875
Jeannie C Frey
40208737503514903035752143737503
Jay Kreuzer
449640076412588222418070
James Sykes
224381248406161255382
Ivette Estrada
1792402301972477310250444460
Dennis Fitzmaurice
161914197782763070221002419778
David Bordo
33955616119184563754481317

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part III, Additional InformationPart III, Additional InformationResurrection Health Care Corporation's (RHCC) Compensation and Benefits Committee establishes the compensation methodology used to determine key executive compensation and monitors the compensation for compliance including approving the compensation for all members of the affiliated group including Our Lady of the Resurrection Medical Center. The CEO of Our Lady of the Resurrection Medical Center is paid by Resurrection Medical Center and his salary is included in this review. To assure that RHCC and it's affiliates complies with Intermediate Sanctions guidelines on reasonable compensation, the RHCC Compensation and Benefits Committee monitors executive total compensation by approving all components of executive total compensation, positioning RHCC executive total compensation competitively and appropriately, annually reviewing and approving compensation changes for each executive, and reporting its activities regularly to the Resurrection Health Care Board. Avg. Hours Worked For Related Organizations Form 990, Part VII, Section A, Line 1A The following individuals are employees of Resurrection Medical Center and generally work 40 hours per week. Approximately 1 hour of their regular work week is devoted to Our Lady of the Resurrection Medical Center. Sandra Bruce John WaltonNicola Byrne John Orsini James Sykes Jeannie C. Frey The following individuals are paid by Resurrection Medical Center, the entity that pays all of the systems employees. They generally work 40 hours per week for Our Lady of the Resurrection Medical Center:John Short Dennis FizmauriceMaryanne Bajgrowicz David J BordoLinda L Herman Russell EisenbergRobert A Schwaner Sarah M Margulies
Sch J, Part I, Line 7Part I, Line 7: Non-Fixed payments not listed aboveBonus payments were made to the following officers:John Orsini - Payments made as directed by the written employment agreement.Additional pay was made to the following officers:John WaltonPayments made to compensate for additional duties assumed during the vacancy of the CFO position.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part XI, line 5Other changes in net assets $59,798 is the net assets released from restrictions for purchases of land, building and equipment.
Form 990, Part VII, Section A & BResurrection Medical Center (RMC) FEIN 36-3330926 acts as the agent / common paymaster for Our Lady of the Resurrection Medical Center (OLR). Cash is swept from OLR on a daily basis to RMC and RMC issues all payroll and accounts payable checks on behalf of and as agent for OLR and the appropriate accounting entries are recorded.
Form 990 Part I Question 5 & Part V 1-2Compensation and Form W-3 Transmittal of Wages and Tax StatementOur Lady of the Resurrection Medical Center (OLR) reports 0 employees on Form 990 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. As discussed in the note regarding Common Paymaster below, OLR's compensation is paid by Resurrection Medical Center (RMC) and transferred to OLR. The compensation amounts reported in this 990 reflect the amount transferred to OLR from RMC.All Compensation presented is for the period January 1, 2010 to December 31, 2010.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableOur Lady of the Resurrection Medical Centers articles of incorporation are on file with the State of Illinois. Resurrection Health Care Corporation and Affiliates audited financial statements are available from the national dissemination agent as required by our bond documents. Conflicts of interest policies are not made available to the public.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCompensation at Resurrection Health Care Corporation (RHCC) and its affiliates is based upon a Board of Directors approved strategy that guides the corporations in establishing total compensation opportunities for the organization's executives. The overall purposes of the RHCC total compensation program are to enable the organization to recruit, motivate, reward, recognize, and retain highly talented executives with the skills required to align performance measures with RHCCs Mission, Vision, and strategic initiatives, and to achieve outstanding results on a continuous basis. To ensure RHC attracts and retains high quality executives with the appropriate skills, the organization uses external labor market data to validate its base salaries and total cash compensation opportunities. The marketplace in which RHCC assesses total compensation is both regional and national in scope and is primarily comprised of comparable healthcare systems and hospitals. To assure that RHCC complies with Intermediate Sanctions guidelines on reasonable compensation, the Board's Compensation and Benefits Committee closely monitors executive total compensation by approving all components of executive total compensation, positioning RHCC executive total compensation competitively and appropriately, annually reviewing and approving compensation changes for each executive, and reporting its activities regularly to the Board.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe compliance department coordinates an annual conflict of interest survey to determine the compliance with the conflict of interest policy and takes the required actions based on the survey results including reporting to the audit and compliance committee.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessThe returns were prepared by the Resurrection accounting staff with assistance by the community benefit, payroll, human resources, and legal departments after which point the returns were reviewed by the Business Unit Chief Financial Officer. Any unusual items were discussed with outside advisors.Form 990, Part VI, Line 11
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe sole member, Resurrection Health Care Corporation, elects members of the governing body.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe Corporation has one member, Resurrection Health Care Corporation.Form 990, Part VI, Line 6

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Mount Loretto Nursing Home Inc
302 Swart Hill RoadAmsterdamNY12010141363014senior livingNY501 c 33Resurrection Ministries of New Yorkfalse
Resurrection Nursing Home Inc
90 N Main StreetCasteltonNY12033141348691senior livingNY501 c 33Resurrection Ministries of New Yorkfalse
Cana West Ministry Services
7435 W Talcott AveChicagoIL60631362182170health careIL501(c )(3)3Resurrection Health Care Corporationfalse
Cana Lakes Health Care
7435 W Talcott AveChicagoIL60631361649520health careIL501(c )(3)3Resurrection Health Care Corporationfalse
Resurrection Ministries of New York
90 N Main StreetCasteltonNY12033141720818senior livingNY501(c )(3)3Resurrection Health Care Corporationfalse
Resurrection Development Foundation
150 N River RoadDes PlainesIL60016363330929fundraisingIL501(c )(3)7Resurrection Health Care Corporationfalse
Resurrection Home Health Services
5747 West DempsterMorton GroveIL60053362893936home careIL501(c )(3)3Resurrection Health Care Corporationfalse
Resurrection Behavioral Health
1820 South 25th AvenueBroadviewIL60155362709982health careIL501(c )(3)3Resurrection Health Care Corporationfalse
Resurrection Services
7447 West Talcott AvenueChicagoIL60631363330928health careIL501(c )(3)3Resurrection Health Care Corporationfalse
Resurrection Senior Services
7435 West Talcott AvenueChicagoIL60631237061646senior livingIL501(c )(3)3Resurrection Health Care Corporationfalse
Resurrection Ambulatory Services
7435 W Talcott AvenueChicagoIL60631364286236parent corpIL501(c )(3)3Resurrection Health Care Corporationfalse
Saint Joseph Hospital
2900 North Lake Shore DriveChicagoIL60657363200170health careIL501(c )(3)3Resurrection Health Care Corporationfalse
Holy Family Health Care System Inc
100 N River RoadDes PlainesIL60016363495969health careIL501(c )(3)3Resurrection Health Care Corporationfalse
Holy Family Medical Center
100 N River RoadDes PlainesIL60016362439318health careIL501(c )(3)3Resurrection Health Care Corporationfalse
Saints Mary and Elizabeth Medical Center
2233 West Division StreetChicagoIL60622362171079health careIL501(c )(3)3Resurrection Health Care Corporationfalse
Saint Francis Hospital
355 Ridge AvenueEvanstonIL60202362167800health careIL501(c )(3)3Resurrection Health Care Corporationfalse
Resurrection Medical Center
7435 West Talcott AvenueChicagoIL60631363330926health careIL501(c )(3)3Resurrection Health Care Corporationfalse
Resurrection Health Care Corporation
7435 West Talcott AvenueChicagoIL60631362235165parent corp and senior livingIL501(c )(3)3nafalse

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Belmont Harlem Surgery Center LLC
3101 North HarlemChicagoIL60634412237612med svcesILResurrection ServiceRelatedfalsefalse
RESHealth Sleep Care Center of Evanston
665 W North AvenueLombardIL60148261519556med svcesILResurrection ServiceRelatedfalsefalse
RESHealth Sleep Center of River Forest
665 W North Avenue 500LombardIL60148262189763med svcesILResurrection ServiceRelatedfalsefalse
RESHealth Sleep Ctr of Chicago Northwest
665 W North Avenue 500LombardIL60148261519627med svcesILResurrection ServiceRelatedfalsefalse
RESHealth Sleep Center of Lincoln Park
665 W North Avenue 500LombardIL60148261519667med svcsILResurrection ServiceRelatedfalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
L Gilbraith Insurance SPC Ltd
68 West Bay Road PO Box 1109Grand CaymanCJInsuranceCJN/AForeign Company
Resurrection Healthcare Preferred
Mgd care contractingN/AC corp100 N River RdDes PlainesIL60016363974620IL
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Resurrection Development Foundation
c182389
Resurrection Medical Center
o82140036