STRATEGY STUDIO / PUBLIC DATA EXPLORER

St George Wellness Center: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
St George Wellness Center (EIN 36-4383845)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201103199349302225
Schema version
2010v3.4
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)
Timestamp2011-11-15T09:01:57-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RSM MCGLADREY INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1ONE SOUTH WACKER DRIVE SUITE 800AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606063392ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN364383845EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St George Wellness CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTGENameControl
Phone7082260555Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line115430 West AvenueAddressLine1
CityOrland ParkCity
StateILState
ZIP Code60462ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTimothy J BrosnanName
TitleChairmanTitle
Phone7082260555Phone
Date Signed2011-11-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameZACK FORTSCHName
Phone3126343400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Palos Health and Fitness CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonTimothy J BrosnanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line115430 West AvenueAddressLine1
CityOrland ParkCity
StateILState
ZIP Code60462ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4048217GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.palosfitness.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionPromote health and wellnessActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI643168TotalGrossUBI
Net Unrelated Business Txbl Income-162303NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3828096ProgramServiceRevenuePriorYear
Program Service Revenue CY3799084ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year249133OtherRevenueCurrentYear
Total Revenue Prior Year3828096TotalRevenuePriorYear
Total Revenue Current Year4048217TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1564056SalariesEtcPriorYear
Salaries Etc Current Year1608112SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2823642OtherExpensePriorYear
Other Expenses Current Year2585606OtherExpensesCurrentYear
Total Expenses Prior Year4387698TotalExpensesPriorYear
Total Expenses Current Year4193718TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-559602RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-145501RevenuesLessExpensesCY
Total Assets BOY11788173TotalAssetsBOY
Total Assets EOY11432826TotalAssetsEOY
Total Liabilities BOY1818160TotalLiabilitiesBOY
Total Liabilities EOY1608314TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9970013NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9824512NetAssetsOrFundBalancesEOY
Mission DescriptionThe Wellness Center, a sports fitness center, provides medically based health and education programs which contribute to the overall conditioning, rehabilitation, disease prevention and management of its membership.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2714539Expense
Revenue3405049Revenue
DescriptionThe primary purpose of St. George Wellness Center is to provide facilities and programs for medically based health and wellness activities including, but not limited to, conditioning, wellness, disease prevention, and community education initiatives. This is achieved through services provided by the organization's health and fitness center, which is a 78,000 square foot facility offering medically based health, fitness and education programs that contribute to the overall condition, rehabilitation, and disease prevention and management for members. All members participate in a fitness assessment process by which individualized fitness programs are developed. The wellness center serves approximately 5,200 members.Description
Total Program Service Expense2714539TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Hugh A Rose CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7089234000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112251 S 80th AveAddressLine1
CityPalos HeightsCity
StateILState
ZIP Code60463ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Timothy J Brosnan
Chairman2.00XX032460833736
Sister Margaret Wright
Director1.00XX000
Marion J Baron
Secretary1.00XX028386328605
Hugh A Rose
Treasurer1.00XX033724823575
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs945719TotalReportableCompFrmRltdOrgs
Total Other Compensation85916TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Power Wellness Management LLC
2055 W Army Trail RdAddisonIL60101PR & Management Services1885545
DuKane Contract Services Inc
1468 Louis Bork DriveBataviaIL60510Service Contract for Cleaning270156
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Membership Dues and As90009932408733240873
Personal Training Rela713940273958273958
Special Fitness Progra900099151558151166392
Guest Fees7139404312843128
Pro Shop Revenue7139403974239742

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column49825TotalRevenueColumn
Related Or Exempt Function Income13010RelatedOrExemptFunctionIncome
Unrelated Business Revenue36815UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue3799084TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionSpa Services and ProduDescription
Business Code713940BusinessCode
Total Revenue Column249133TotalRevenueColumn
Unrelated Business Revenue249133UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue249133TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4048217TotalRevenueColumn
Related Or Exempt Function Income3405049RelatedOrExemptFunctionIncome
Unrelated Business Revenue643168UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1608112Total
Program Services1263302ProgramServices
Management And General344810ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total153939Total
Management And General153939ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total238581Total
Management And General238581ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total498420Total
Program Services303615ProgramServices
Management And General194805ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total772366Total
Program Services617893ProgramServices
Management And General154473ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Service Contracts403279403279
Miscellaneous221733221733
Repairs and Maintenance156788156788
Management Fees14050012645014050

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4193718Total
Program Services2714539ProgramServices
Management And General1479179ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY432357BOY
EOY790949EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY35454BOY
EOY38709EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY13176BOY
EOY7435EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY15995EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18697284LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8117546LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11307186BOY
EOY10579738EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11788173BOY
EOY11432826EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1818160BOY
EOY1608314EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1818160BOY
EOY1608314EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9970013BOY
EOY9824512EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9970013BOY
EOY9824512EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11788173BOY
EOY11432826EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-145501ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3376720CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3258945CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3300223CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3216755CurrentTaxYearMinus1Year
Current Tax Year3405049CurrentTaxYear
Total16557692Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3376720CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3258945CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3300223CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3216755CurrentTaxYearMinus1Year
Current Tax Year3405049CurrentTaxYear
Total16557692Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50916557692PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3376720CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3258945CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3300223CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3216755CurrentTaxYearMinus1Year
Current Tax Year3405049CurrentTaxYear
Total16557692Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Prior Year Support Percentage0.99920PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00080PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15061606OtherCostOrOtherBasis
Depreciation5405788Depreciation
Book Value9655818BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis859836OtherCostOrOtherBasis
Depreciation392964Depreciation
Book Value466872BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2775842OtherCostOrOtherBasis
Depreciation2318794Depreciation
Book Value457048BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10579738TotalOfBookValueLandBuildings

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Timothy J Brosnan
030810800016500018375016603035958600
Marion J Baron
026736300016500018375012552031479000
Hugh A Rose
03207480001650001837508954036457700

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 3Power Wellness Management, LLC (PWM) handles the day to day management of the fitness center. PWM provides and pays the staff (which is reimbursed by St. George Wellness Center) and purchases all of the supplies, etc. St. George Wellness Center in turn pays PWM a management fee for these services in addition to paying PWM for its direct costs. PWM also handles all of the accounting functions on site.
Form 990, Part VI, Section A, line 7aSt. George Corporation, the sole member of the Wellness Center, appoints the Chairperson to the Wellness Center Board of Directors.
Form 990, Part VI, Section A, line 7bSt. George Corporation, the sole member of the Wellness Center, has reserve power for any major decisions such as selling the Wellness Center or significant renovations.
Form 990, Part VI, Section B, line 11Before filing the Form 990, the completed form is presented to the Board for their review and final approval.
Trustee's are required to complete a conflict of interest statement each year identifying any interests that could give rise to conflicts. These forms are reviewed and lists of potential conflicts are prepared and used to monitor trustee's involvement with decisions throughout the year.Form 990, Part VI, Section B, line 12c
All policies, governing documents and financial statements required to be available to the public are available upon request. Requests can be made from the Financial Department of Palos Community Hospital.Form 990, Part VI, Section C, line 19

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Palos Community Hospital
12251 S 80th AvenuePalos HeightsIL60463362169179Health Care ProviderIL501(c)(3)Line 3St George Corporation1
St George Corporation
12251 S 80th AvenuePalos HeightsIL60463364383840Health Care ProviderIL501(c)(3)Line 11a, I0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Palos Community HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeITransactionType
Amount Involved36936AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination