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PRESENCE HEALTH PARTNERS SERVICES: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
PRESENCE HEALTH PARTNERS SERVICES (EIN 36-2644178)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201101369349306940
Schema version
2009v1.7
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)
Timestamp2011-05-16T17:56:03-07:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362644178EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Our Lady of the Resurrection MedicalBusinessNameLine1
Business Name Line2CenterBusinessNameLine2
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 Signed2011-05-16DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonIvette EstradaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15645 W Addison StreetAddressLine1
CityChicagoCity
StateILState
ZIP Code60634ZIPCode
FieldValueIRS element (for citing)
Gross Receipts127548204GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.reshealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionResurrection 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers126TotalNbrVolunteers
Total Gross UBI90203TotalGrossUBI
Net Unrelated Business Txbl Income-129124NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year568562ContributionsGrantsPriorYear
Contributions Grants Current Year228398ContributionsGrantsCurrentYear
Program Service Revenue Prior Year135257556ProgramServiceRevenuePriorYear
Program Service Revenue CY125139514ProgramServiceRevenueCY
Investment Income Prior Year792569InvestmentIncomePriorYear
Investment Income Current Year1350751InvestmentIncomeCurrentYear
Other Revenue Prior Year848968OtherRevenuePriorYear
Other Revenue Current Year684164OtherRevenueCurrentYear
Total Revenue Prior Year137467655TotalRevenuePriorYear
Total Revenue Current Year127402827TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year61293502SalariesEtcPriorYear
Salaries Etc Current Year60469148SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year79719747OtherExpensePriorYear
Other Expenses Current Year79968186OtherExpensesCurrentYear
Total Expenses Prior Year141013249TotalExpensesPriorYear
Total Expenses Current Year140437334TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3545594RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-13034507RevenuesLessExpensesCY
Total Assets BOY88242373TotalAssetsBOY
Total Assets EOY80412861TotalAssetsEOY
Total Liabilities BOY19242683TotalLiabilitiesBOY
Total Liabilities EOY24400378TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY68999690NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY56012483NetAssetsOrFundBalancesEOY
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
Expense125139514Expense
DescriptionThe hospital provided patient care of 36,971 acute patient days and had 7,616 acute discharges. Skilled nursing patient days were 13,849 and discharges were 1,366. There were 39,971 emergency room visits, 3,642 surgeries and 33,774 outpatient visits.Description
Total Program Service Expense125139514TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
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
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
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 BodytrueForm990ProvidedToGoverningBody
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 PersonNicola Byrne Asst TreasurerNamePerson
Telephone Number8478133711TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerIndividual Trustee Or DirectorIndividualTrusteeOrDirectorKey EmployeeKeyEmployee
Tracy Boykin
ER Physician0.X125074025237
Tom Capobianco
Treasurer/CFO1.00071809297585X
Tivador Szabo
Director1.00000X
Sandra Bruce
President1.00090986432549XX
Russell Eisenburg
ER Physician40.00X130771953331
Robert Schwaner
ER Physician40.00X125603312250
Mary Hillard
VP, CNO40.00018395944616X
Linda Herman
ER Physician40.00X132873354750
Joseph F Toomey
President1.000222410846X
Joseph D'Silva MD
Director1.00000X
John Walton
Dir/Group EVP1.000802197116111XX
John A Orsini
Treasurer/CFO1.00000X
Jeannie C Frey
Sec/SVP Legal1.00043124286287X
Jay Kreuzer
Director1.00048762314128X
James Sykes
Asst Treasurer1.00024390331344X
Ivette Estrada
Dir/CEO40.00044695773089XX
Father Jason Malave
Director1.00000X
Dennis Fitzmaurice
VP, Professional Services40.00019243842818X
David Hines MD
Director1.00000X
David Bordo
Dir/ ER Physician40.00X140312264331
FieldValueIRS element (for citing)
Total Reportable Comp From Org5TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6185032TotalReportableCompFrmRltdOrgs
Total Other Compensation749272TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
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 Services680000
Shiftwise US Bank Corporate Trust
PO Box 70870St PaulMN551709705Clinical Agency1287186
Quest Diagnostics
POBox 12989ChicagoIL60693Laboratory Services139731
Lakeshore Anesthesia LTD
5645 W Addison StreetChicagoIL60634Anesthesia Services675000
Boston Neuro
PO Box 952195DallasTX75395Medical Supplies420150
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Related Organizations228398RelatedOrganizations
Total Contributions228398TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Serv RevenueDescription
Business Code621990BusinessCode
Total Revenue Column125139514TotalRevenueColumn
Related Or Exempt Function Income125139514RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue125139514TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1496128TotalRevenueColumn
Exclusion$1,496,128ExclusionAmount

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

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other145377Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-145377Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-145377TotalRevenueColumn
Exclusion-$145,377ExclusionAmount

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 Services6215009020390203
Auxiliary Revenue900099593961$593,961
FieldValueIRS element (for citing)
Total Other Revenue684164TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column127402827TotalRevenueColumn
Related Or Exempt Function Income125139514RelatedOrExemptFunctionIncome
Unrelated Business Revenue90203UnrelatedBusinessRevenue
Exclusion$1,944,712ExclusionAmount

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)
Total376397Total
Program Services376397ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total46776454Total
Program Services46776454ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2797202Total
Program Services2797202ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7015178Total
Program Services7015178ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3503917Total
Program Services3503917ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total24265Total
Management And General24265ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total69930Total
Program Services69930ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8329060Total
Program Services8329060ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total70Total
Program Services70ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total20861352Total
Program Services20861352ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1253108Total
Program Services1253108ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total133497Total
Program Services133497ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total80608Total
Program Services80608ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total1183119Total
Program Services1183119ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4782293Total
Program Services4782293ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total4383406Total
Program Services4383406ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Provision for Bad Debts1946757619467576
Medicaid Tax Assessments39940573994057
Dues and Subscriptions8162881628
Centralized Services1532421715324217

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total140437334Total
Program Services125088852ProgramServices
Management And General15348482ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY108884BOY
EOY4984EOY

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)
BOY18711227BOY
EOY14546214EOY

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)
BOY555102BOY
EOY636516EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY481155BOY
EOY369615EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis119508266LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec90642777LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY33032881BOY
EOY28865489EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY30202549BOY
EOY31553289EOY

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)
BOY5150575BOY
EOY4436754EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY88242373BOY
EOY80412861EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1417359BOY
EOY2276375EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY17825324BOY
EOY22124003EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY19242683BOY
EOY24400378EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY68999690BOY
EOY56012483EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY68999690BOY
EOY56012483EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY88242373BOY
EOY80412861EOY
FieldValueIRS element (for citing)
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$24,265GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$13,589OtherActivitiesAmount
Total Lobbying Expenditures IIB37854TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationDollars reported in line 1i are paid to support federal lobbying efforts on behalf of all Resurrection Health Care affiliates providing health care services.Explanation

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 Basis73638762OtherCostOrOtherBasis
Depreciation54597133Depreciation
Book Value19041629BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2299342OtherCostOrOtherBasis
Depreciation2135203Depreciation
Book Value164139BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis41809813OtherCostOrOtherBasis
Depreciation33910441Depreciation
Book Value7899372BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings28865489TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionOther AssetsDescription
Book Value4436754BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets4436754TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Malpractice Liability$16,782,364
DUE TO THIRD PARTY PAYORS$5,341,639
FieldValueIRS element (for citing)
Total Of Amounts22124003TotalOfAmounts
Total Revenue127402827TotalRevenue
Total Expenses140437334TotalExpenses
Excess Or Deficit For Year-13034507ExcessOrDeficitForYear
Other$47,300OtherAmount
Total Adjustments47300TotalAdjustments
Excess Or Deficit Per FS-12987207ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt127402827TotRevenueEtcAuditedFinclStmt
Revenue Subtotal127402827RevenueSubtotal
Total Revenue Per Form990127402827TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt140437334TotExpensesEtcAuditedFinclStmt
Expenses Subtotal140437334ExpensesSubtotal
Total Expenses Per Form990140437334TotalExpensesPerForm990

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 BalancesNet assets released from restrictions for purchases of land, $47300 building and equipment $0

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 Expense3293147TotalCommunityBenefitExpense
Net Community Benefit Expense3293147NetCommunityBenefitExpense
Percent Of Total Expense0.02340PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense21056023TotalCommunityBenefitExpense
Direct Offsetting Revenue9205959DirectOffsettingRevenue
Net Community Benefit Expense11850064NetCommunityBenefitExpense
Percent Of Total Expense0.08440PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense24349170TotalCommunityBenefitExpense
Direct Offsetting Revenue9205959DirectOffsettingRevenue
Net Community Benefit Expense15143211NetCommunityBenefitExpense
Percent Of Total Expense0.10780PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense448288TotalCommunityBenefitExpense
Direct Offsetting Revenue17965DirectOffsettingRevenue
Net Community Benefit Expense430323NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1303882TotalCommunityBenefitExpense
Direct Offsetting Revenue281100DirectOffsettingRevenue
Net Community Benefit Expense1022782NetCommunityBenefitExpense
Percent Of Total Expense0.00730PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1401784TotalCommunityBenefitExpense
Direct Offsetting Revenue6441DirectOffsettingRevenue
Net Community Benefit Expense1395343NetCommunityBenefitExpense
Percent Of Total Expense0.00990PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense55148TotalCommunityBenefitExpense
Direct Offsetting Revenue320DirectOffsettingRevenue
Net Community Benefit Expense54828NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3209102TotalCommunityBenefitExpense
Direct Offsetting Revenue305826DirectOffsettingRevenue
Net Community Benefit Expense2903276NetCommunityBenefitExpense
Percent Of Total Expense0.02070PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense27558272TotalCommunityBenefitExpense
Direct Offsetting Revenue9511785DirectOffsettingRevenue
Net Community Benefit Expense18046487NetCommunityBenefitExpense
Percent Of Total Expense0.12850PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense87657TotalCommunityBuildingExpense
Direct Offsetting Revenue19731DirectOffsettingRevenue
Net Community Building Expense67926NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense61125TotalCommunityBuildingExpense
Direct Offsetting Revenue1500DirectOffsettingRevenue
Net Community Building Expense59625NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense10880TotalCommunityBuildingExpense
Net Community Building Expense10880NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense159662TotalCommunityBuildingExpense
Direct Offsetting Revenue21231DirectOffsettingRevenue
Net Community Building Expense138431NetCommunityBuildingExpense
Percent Of Total Expense0.00100PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$4,469,381BadDebtExpenseAmount
Amount Reimbursed By Medicare53132338AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare70002421CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-16870083MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV

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 VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaDiscount 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.IncomeBasedCriteria
Annual Community Benefit ExplnA system wide Community Benefit Report is filed by Resurrection Health Care and its affiliates. The 2010 Community Benefit Report entitled "stronger together" is available on www.reshealth.org.AnnualCommunityBenefitExpln
Percent Of Total Expense ExplnOur total expense from Form 990, Part IX, line 25, column (A) was $140,437.334. The bad debt expense included in this amount was $19,467,576. For purposes of calculating line 7, column (f) Our Lady of the Resurrection Medical Center used the total expense which includes bad debt expense.PercentOfTotalExpenseExpln
Bad Debt FootnoteThe footnotes to Resurrection Health 's audited financial statements do not specifically address bad debt expense. The costing methodology used in determining the amounts reported in line 2 is based on the ratio of patient costs 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.BadDebtFootnote
Shortfall As Community BenefitThe shortfall of $16,870,083 on Part II Line 7 is the unreimbursed cost of providing for Medicare patients for Our Lady of the Resurrection Medical Center operations,the unreimbursed cost of medicare was calculated using the cost to charge ratios from the Medicare cost report ratios.ShortfallAsCommunityBenefit
Debt Collection PolicyCollection 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.DebtCollectionPolicy
Number Of Facility Type ExplnOur Lady of the Resurrection Medical Center does not have any organizations that are not licensed.NumberOfFacilityTypeExpln
General ExplanationThe State of Illinois, Office of the Attorney General. In Illinois, the Attorney General requires that we report charity care based on the cost-to-charge ratio of the Medicare Cost Report and gives the option of reporting bad debt as cost or charges.Needs Assessment (continued)9. The Heartland Alliance is an independent, non-sectarian, non-profit organization serving more than 200,000 people annually. The 2010 Report on Illinois Poverty contains poverty data from 2008 and therefore do not fully capture the effects of the recession.10. 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. Internal Sources for Assessing Community Needs1. 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. 2. 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. 3. 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. 4. 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.GeneralExplanation
Needs AssessmentIn order to ascertain the health care needs of the community served by Resurrection Health Care, a number of internal and external sources were reviewed. The 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), while the qualitative data relied upon the direct experience of RHC staff with clinical and health education responsibilities. External Sources for Assessing Community Needs1.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. 2.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. We Plan 2005-2010 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. 3.Taking a Closer Look at Illinois Uninsured (2009 edition) published by the Gilead Outreach & Referral Center, documents the most current demographics of uninsured individuals and families in Illinois. The report demonstrates that 1.6 million Illinoisans still lack basic health care coverage. 4.The Community Needs Index (CNI) is a standardized community need assessment tool offered by Thomson Reuters that demonstrates the link between community need and access to care. The CNI is a strong indicator of a community's demand for health care services. Specifically, the CNI score is an average of five different barrier scores that measure various socioeconomic indicators of each community: income, cultural, education, insurance and housing. The CNI tool uses a scale of 1 to 5: a score of 1 indicates the least need while a score of 5 represents the most need. This tool was applied to the Resurrection Health Care service area. 5. 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 use to address and understand the needs of individual communities. 6.2009 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.7.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.8. 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.NeedsAssessment
Patient Education 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 Heath 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.PatientEducationAssistance
Community InformationTo 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. 60630- Portage Park60634- Dunning60639- Belmont Cragin60641- Irving Park60706- Norridge60707- Elmwood ParkDemographic Information (Based on 2007 data)-The Our Lady of the Resurrection core community has a total population of 350,629, which is projected to decrease 2.3% by year 2012. -Within the core community there are a total of 118,047 households. Of those households, 44,315 include related children. The median home value is $273,668 and the median age is 37. -The core community is predominantly White. However, there is a significant Hispanic population. (45.8% White, 42.2 % Hispanic, 6.1% Black, and 3.8% Asian) -The core community has an average household income of $62,845 with a 6.2 % unemployment rate. -The population within the core community has varying levels of education with 16.1 % holding a bachelor's degree or greater. - Our Lady of the Resurrection Medical Center 's top five non-English languages are Polish, Spanish, Italian, Greek/Russian, and Arabic/Albanian.. Resurrection Health Care hospitals offer either personal or telephonic medical interpretation services. There were 20,965 medical interpretations provided via telephone alone in FY10 across the system, in 77 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 with in the core community that are at high risk for certain conditions. According to the Chicago Department of Public Health 2003 data, Dunning and Portage Park are at high risk for hypertension while Belmont Cragin and Irving Park women are at high risk for not having received a breast exam. -In 2003 Our Lady of the Resurrection Hospital core community's leading cause of death was heart disease. The second leading cause of death was cancer.CommunityInformation
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.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.CommunityBuildingActivities
Other InformationThe hospital's Board of Directors is composed of physicians, senior officers and community representatives. The primary focus of the Hospital Boards is on quality and performance improvement, including oversight of physician credentialing decisions. Our Lady of the Resurrection Medical Center has an open medical staff and extends privileges to qualified physicians in the community. As a not-for-profit organization, Resurrection Health Care applies surplus funds to improvements in patient care, medical education and research. Hospitals in the system which have negative operating margins, are able to continue to benefit from such investment because they are part of a system. Recent Capital Improvements, New Services, Technologies & Equipment:Opening of New Beginnings Prenatal Program-Serves low-income uninsured and underinsured mothers-Comprehensive prenatal and postpartum care-Delivery services-Multilingual education-Social services-Approved site for All Kids insurance enrollmentOtherInformation
Affiliated Health Care SystemA 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.All Resurrection Health 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. 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.AffiliatedHealthCareSystem
Reports Filed With StatesILReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
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 (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBonus Related OrgsBonusRelatedOrgs
Tracy Boykin
12507401885063871275977
Tom Capobianco
5993278329014295815677118765118765
Sandra Bruce
8018641225020299942413108000
Russell Eisenburg
130771934250190811361050
Robert Schwaner
1256033122501268283
Mary Hillard
176851225352208122857571087108
Linda Herman
13287335075040001383483
Joseph F Toomey
222410846223256
John Walton
6260658557030541918308176132176132
Jeannie C Frey
40762147000392875175292362123621
Jay Kreuzer
4100312250187850175144662073602
James Sykes
2277862495763872752471611716117
Ivette Estrada
36128236226368635200468567585675
Dennis Fitzmaurice
16071030268125502352563172831728
David Bordo
13623794525019081146745340743

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 Compensation 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 her salary is including 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 BruceJoseph F. Toomey Tom CapobiancoJohn OrsiniJames SykesJeannie C. FreyJohn WaltonJay KreuzerThe 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:Ivette EstradaDennis FitzmauriceMary HillardDavid BordoLinda HermanRussell EisenbergRobert SchwanerTracy Boykin
Sch J, Part I, Line 7Part I, Line 7: Non-Fixed payments not listed aboveIncentive payments were made to the following physicians:David Bordo Payments made as directed by the written employment agreement. The payments are paid if the physicians perform additional duties (on-call coverage, weekend coverage, etc.); meet certain productivity goals; or achieve other operating goals as defined in the contract.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 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 15bForm 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 12cForm 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 11Form 990, Part VI, Line 11: Form 990 Review ProcessA copy of the finalized form will be made available to the Our Lady of the Resurrection Medical Center Board of Directors before filing.
Form 990, Part VI, Line 7aForm 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 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe Corporation has one member, Resurrection Health Care Corporation.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Resurrection Ministries of New York
90 N Main StreetCasteltonNY12033141720818parent corpNY501(c )(3)3Resurrection Health Care Corporation
Resurrection Development Foundation
150 N River RoadDes PlainesIL60016363330929fundraisingIL501(c )(3)7Resurrection Health Care Corporation
Resurrection Home Health Services
5747 West DempsterMorton GroveIL60053362893936home careIL501(c )(3)3Resurrection Health Care Corporation
Resurrection Behavioral Health
1820 South 25th AvenueBroadviewIL60155362709982health careIL501(c )(3)3Resurrection Health Care Corporation
Resurrection Services
7447 West Talcott AvenueChicagoIL60631363330928health careIL501(c )(3)3Resurrection Health Care Corporation
Resurrection Senior Services
7435 West Talcott AvenueChicagoIL60631237061646senior livingIL501(c )(3)3Resurrection Health Care Corporation
Resurrection Ambulatory Services
7435 W Talcott AvenueChicagoIL60631364286236parent corpIL501(c )(3)3Resurrection Health Care Corporation
West Suburban Medical Center
3 Erie CourtOak ParkIL60302362182170health careIL501(c )(3)3Resurrection Health Care Corporation
Saint Joseph Hospital
2900 North Lake Shore DriveChicagoIL60657363200170health careIL501(c )(3)3Resurrection Health Care Corporation
Holy Family Health Care System Inc
100 N River RoadDes PlainesIL60016363495969health careIL501(c )(3)3Resurrection Health Care Corporation
Holy Family Medical Center
100 N River RoadDes PlainesIL60016362439318health careIL501(c )(3)3Resurrection Health Care Corporation
Saints Mary and Elizabeth Medical Center
2233 West Division StreetChicagoIL60622362171079health careIL501(c )(3)3Resurrection Health Care Corporation
Saint Francis Hospital
355 Ridge AvenueEvanstonIL60202362167800health careIL501(c )(3)3Resurrection Health Care Corporation
Westlake Community Hospital
1225 West Lake StreetMelrose ParkIL60160361649520health careIL501(c )(3)3Resurrection Health Care Corporation
Resurrection Medical Center
7435 West Talcott AvenueChicagoIL60631363330926health careIL501(c )(3)3Resurrection Health Care Corporation
Resurrection Health Care Corporation
7435 West Talcott AvenueChicagoIL60631362235165parent corp and senior livingIL501(c )(3)3na

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNADisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Belmont Harlem Surgery Center LLC
3101 North HarlemChicagoIL60634412237612med svcesILN/Afalsefalse
RESHealth Sleep Care Center of Evanston
665 W North AvenueLombardIL60148261519556med svcesILN/Afalsefalse
RESHealth Sleep Center of River Forest
665 W North Avenue 500LombardIL60148262189763med svcesILN/Afalsefalse
RESHealth Sleep Ctr of Chicago Northwest
665 W North Avenue 500LombardIL60148261519627med svcesILN/Afalsefalse
RESHealth Sleep Center of Lincoln Park
665 W North Avenue 500LombardIL60148261519667med svcsILN/Afalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 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 RoadDes PlainesIL60016363974620IL
RFCC Support LLC
medical servicesN/AC corp10101 Woodloch Forest DriveThe WoodlandsTX77380263026990IL
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
c228398
Resurrection Medical Center
o80104022