2021-08-16T14:11:49-05:00 2020-09-30 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2019-10-01 363185353 SILVER CROSS HEALTH SYSTEM % VINCENT PRYOR CFO SILV 8153007007 1900 SILVER CROSS BLVD NEW LENOX IL 60451 VINCENT PRYOR SENIOR VP & CFO 8153007007 2021-08-16 true JACOB J ZEHNDER P01564049 3128792000 2019 2022-09-23 18:48:47Z VINCENT PRYOR 1900 SILVER CROSS BLVD NEW LENOX IL 60451 11359724 false X SILVERCROSS.ORG X 1981 IL See Schedule O. 16 14 11 0 0 0 0 8925709 9063516 1028001 2296208 0 0 9953710 11359724 82500 100667 0 0 6668692 6799355 0 0 196718 2483151 2163758 9234343 9063780 719367 2295944 68214621 76213276 49689276 55391987 18525345 20821289 X To establish, conduct and operate hospitals and community medical centers and to operate other facilities for the care of persons suffering from illnesses or disabilities or otherwise requiring inpatient or outpatient hospital care, community medical care or care in the home. false false 8501394 100667 9063516 Management services provided to affiliated charitable organizations. 8501394 true false false false false false false false false false true false true true true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 0 0 true 11 true false false false false false false false false false false true false X 16 14 false false false false false false false true true false false false true true true true true true true false IL X VINCENT PRYOR CFO 8153007007 1900 SILVER CROSS BLVD NEW LENOX IL 60451 X RUTH COLBY PRESIDENT/CEO 40.0 0.0 X X 1233576 0 80903 MARY BAKKEN CHIEF OPERATING OFFICER 40.0 0.0 X 943550 0 62730 VINCENT PRYOR ASST. TREASURER/CFO 40.0 0.0 X X 665673 0 218472 KEVIN LANE CIO (TERMED 7/17/19) 0.0 0.0 X 575135 0 47734 WAYNE AARDSMA CP MANAGED CARE 40.0 0.0 X 498823 0 57577 MARGARET GRICUS CHIEF NURSING OFFICER 40.0 0.0 X 457022 0 60986 GEOFF TRYON VP OPERATIONS 40.0 0.0 X 443140 0 44294 CHRIS UDOVICH MD CHIEF MEDICAL OFFICER 40.0 0.0 X 361063 0 88902 MARK JEPSON VP HUMAN RESOURCES 40.0 0.0 X 337525 0 55249 PAUL PAWLAK CEO (TERMED 9/30/17) 0.0 0.0 X 251519 0 0 SCOTT PADDOCK CHAIRMAN 1.0 0.0 X X 0 0 0 JOHN PHELAN FIRST VICE CHAIRMAN/TREASURER 1.0 0.0 X X 0 0 0 MICHAEL SCUDDER SECOND VICE CHAIRMAN 1.0 0.0 X X 0 0 0 JEAN KENOL SECRETARY 1.0 0.0 X X 0 0 0 TERRY D'ARCY DIRECTOR 1.0 0.0 X 0 0 0 DOUGLAS HUTCHISON JR DIRECTOR 1.0 0.0 X 0 0 0 DR DAVID LIVINGSTON DIRECTOR 1.0 0.0 X 0 0 0 AL MCCOWAN DIRECTOR 1.0 0.0 X 0 0 0 DR DAVID MIKOLAJCZAK DIRECTOR 1.0 0.0 X 0 0 0 DR JUDITH MITCHELL DIRECTOR 1.0 0.0 X 0 0 0 DR CORRINE NAWROCKI DIRECTOR 1.0 0.0 X 0 0 0 SUSAN PROCK DIRECTOR 1.0 0.0 X 0 0 0 JAMES ROOLF DIRECTOR 1.0 0.0 X 0 0 0 MARK STOFAN DIRECTOR 1.0 0.0 X 0 0 0 MARY TOTTEN DIRECTOR (TERMED 12/31/19) 0.0 0.0 X 0 0 0 5767026 0 716847 10 true true false LG LAW GROUP 200 W ADAMS ST SUITE 1900 CHICAGO IL 60606 LEGAL SERVICES 1639350 STARBRIDGE ADVISORS LLC 7491 N FEDERAL HWY STE C5-235 BOCA RATON FL 33487 CONSULTING 184111 KAUFMAN HALL ASSOCIATES LLC 52032 OLD ORCHARD RD STE N700 SKOKIE IL 60077 CONSULTING 150142 3 0 MANAGEMENT/CONSULTING SERVICES 561000 9063516 9063516 9063516 2296208 2296208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11359724 9063516 2296208 100667 100667 0 0 0 5562576 5562576 0 131154 131154 941893 941893 0 163732 163732 0 49675 49675 73243 73243 0 0 195516 195516 0 0 23660 2389 21271 0 0 32414 32414 16193 16193 0 0 0 0 471226 471226 189126 189126 MANAGEMENT SERVICES 264155 264155 FUNDRAISING EXPENSE 196718 196718 MEDICAL SERVICE PROGRAMS 44501 44501 DUES AND SUBSCRIPTIONS 236262 236262 371069 361299 9770 9063780 8501394 365668 196718 0 0 2821762 1538166 0 0 219148 852506 0 0 0 0 0 0 0 0 377082 479283 13639890 13639890 471224 0 26333054 32089358 0 0 22649736 22649736 0 0 15342615 18604227 68214621 76213276 2575815 3076424 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47113461 52315563 49689276 55391987 X 18525345 20821289 0 0 18525345 20821289 68214621 76213276 2295944 X false true X true false X X 2 SILVER CROSS HOSPITAL 362174832 3 true 0 8304676 SILVER CROSS FOUNDATION 363185350 7 true 0 196718 2 0 8501394 true false false false false true false false false false false false false false false false SCHEDULE A, PART IV, SEC A, LINE 6 All grants are approved by the Board of the Hospital, are made on its behalf, and are made out of funds received from the Hospital with the Hospital's full knowledge of how they will be spent. All grants made further the supported organization's mission and the amounts are de minimis. SCHEDULE A, PART IV, SEC C, LINE 1 Silver Cross Hospital, Silver Cross Foundation and the Health System are operated in connection with each other because they share the same top management and financial officials (CEO and CFO). These individuals manage both organizations and control the day to day operations of both organizations. They are both operated as part of an integrated health care system and are governed by the same policies. This close relationship and overlapping personnel demonstrate that the Hospital, Health System and Foundation are controlled and managed by the same persons and that the System is responsive to the needs of the Hospital and Foundation. The members of the Board of Directors for both Silver Cross Health System and Silver Cross Hospital are identical. All actions of the Board of Directors for Silver Cross Foundation require approval from the Board of Silver Cross Health System. 0 0 13239034 13239034 0 0 0 0 400856 400856 0 0 0 0 0 INVST IN HEALTH SERVICE SYSTEM 22649736 C 22649736 DUE FROM MIDWEST COMM REAL EST 8219772 DUE FROM HEALTH SRVC SYSTEMS 2598520 DUE FROM SILVER CROSS HOSPITAL 3555594 EXCESS INSURANCE RECOVERY REC 4160482 INTEREST RECEIVABLE 69859 18604227 0 DUE TO SILVER CROSS HOSPITAL 13874626 DUE TO MIDWEST COMMUNITY REAL ESTATE 7253 DUE TO HEALTH SERVICE SYSTEMS 36400 SELF-INSURANCE PATENT LIABILITY CLAIMS 38174415 DUE TO SILVER CROSS FOUNDATION 222869 52315563 X SCHEDULE D, PART X, LINE 2 The corporation accounts for tax positions in accordance with ASC Topic 740, Income Taxes. ASC Topic 740 clarifies the accounting for uncertainty in tax positions and also provides guidance on when the tax positions and also provides guidance on when the tax positions are recognized in an entity's financial statements and how the value of these positions are determined. The corporation does not have any liabilities recognized for uncertain tax positions. true WILL COUNTY CENTER FOR ECONOMIC DEVELOPMENT 116 N CHICAGO ST JOLIET IL 60432 363174683 501(C)(6) 28125 OPERATIONS UNITED WAY OF WILL COUNTY 54 N OTTAWA ST STE 300 JOLIET IL 60432 362515625 501(C)(3) 10000 MAPP WILL GRUNDY MEDICAL CLINIC 213 E CASS ST JOLIET IL 60432 363492306 501(C)(3) 35000 OPERATIONS JOLIET AREA COMMUNITY HOSPICE 250 WATER STONE CIRCLE JOLIET IL 60431 363191281 501(C)(3) 16667 OPERATIONS 3 1 SCHEDULE I, PART I, LINE 2 All gifts and grants are approved by the Board of Directors of Silver Cross Health System. Grants to community service organizations are made with the understanding that the monies may not be used for purposes other than as described in 501(c)(3) and 170 (b)(1)(A). Further monitoring is not done after grants are made. true true false false false false false true false RUTH COLBY PRESIDENT/CEO 732284 0 337838 0 163454 0 22400 0 58503 0 1314479 0 0 0 VINCENT PRYOR ASST. TREASURER/CFO 493573 0 172100 0 0 0 180366 0 38106 0 884145 0 0 0 MARY BAKKEN CHIEF OPERATING OFFICER 534080 0 287763 0 121707 0 22400 0 40330 0 1006280 0 0 0 MARGARET GRICUS CHIEF NURSING OFFICER 329546 0 88265 0 39211 0 22400 0 38586 0 518008 0 0 0 MARK JEPSON VP HUMAN RESOURCES 237495 0 66177 0 33853 0 22400 0 32849 0 392774 0 0 0 GEOFF TRYON VP OPERATIONS 308180 0 95622 0 39338 0 20863 0 23431 0 487434 0 0 0 WAYNE AARDSMA CP MANAGED CARE 357504 0 100936 0 40383 0 22400 0 35177 0 556400 0 0 0 CHRIS UDOVICH MD CHIEF MEDICAL OFFICER 278551 0 82512 0 0 0 56597 0 32305 0 449965 0 0 0 PAUL PAWLAK CEO (TERMED 9/30/17) 0 0 0 0 251519 0 0 0 0 0 251519 0 0 0 KEVIN LANE CIO (TERMED 7/17/19) 454976 0 84818 0 35341 0 16309 0 31425 0 622869 0 0 0 SCHEDULE J, PART I, LINE 4A Paul Pawlak received compensation in the amount of $929,835. As part of his CEO contract he was to receive 2 times his salary, 80% paid upon his resignation and the remaining 20% paid over the following year. SCHEDULE J, PART I, LINE 4B The Supplemental Executive Retirement Program (SERP) is a non-qualified compensation program designed to provide additional, market-competitive retirement benefits to certain management employees. The SERP was designed to provide retirement benefits that take into account an employee's total compensation without regard to the annual limit on compensation that applies under qualified retirement plans. The Board has reviewed and approved the SERP benefits, concluding that it is a market-competitive benefit and that the total retirement benefits and total compensation are reasonable when compared to the benefits and compensation provided by similarly situated organizations to employees in comparable positions. For the reporting year the following reported persons participated in the SERP and received the following employer-funded amounts: MARGARET GRICUS: $39,211 RUTH COLBY: $48,444 MARK JEPSON: $33,778 GEOFF TRYON: $39,338 KEVIN LANE: $35,341 MARY BAKKEN: $121,707 WAYNE AARDSMA: $40,383 SCHEDULE J, PART I, LINE 7 Bonuses are based on achieved pre-established goals and are Board approved before payout. FORM 990, PART I, LINE 1 To establish, conduct and operate hospitals and community medical centers and to operate other facilities for the care of persons suffering from illnesses or disabilities or otherwise requiring inpatient or outpatient hospital care, community medical care or care in the home. FORM 990, PART VI, LINE 11B The form 990 is prepared with the assistance of a public accounting firm. A copy of the form 990 is provided to the Chairman of the Governance and Management Effectiveness Committee for review prior to tax filing. Form 990, PART VI, LINE 12C Any conflict of interest on the part of a Director, Officer, or key employee shall be disclosed on an annual basis and, using a questionnaire tool, is monitored and reviewed by the Board. When any such interest becomes a matter of Board action, the Directors shall not vote or use personal influence on the matter and shall not be counted in the quorum for a meeting at which Board action is to be taken on the interest. If it is determined that a Director, Officer, or key employee is non-compliant with the conflict of interest policy, the individual may be subject to disciplinary actions up to and including dismissal. Form 990, PART VI, LINE 15A The Silver Cross Board of Directors establishes and provides oversight for the total compensation structure for the CEO position annually, using independent outside consultants and comparable data from similar positions in other comparable organizations. Decisions and proceedings are documented in the governing board minutes. At no time shall persons with a conflict of interest with respect to compensation arrangements be involved in the process. Form 990, PART VI, LINE 15B Key employee compensation is reviewed annually, using independent outside consultants and comparable data from similar positions in other comparable organizations. Form 990, PART VI, LINE 19 Governing documents, conflict of interest policy and financial statements are available to individuals upon request. Silver Cross Hospital and Medical Center 1900 Silver Cross Blvd New Lenox IL 60451 362174832 Hospital IL 501(c)(3) 3 SCHS true Silver Cross Foundation 1900 Silver Cross Blvd New Lenox IL 60451 363185350 Fundraising IL 501(c)(3) 7 SCHS true Midwest Community Real Estate Corp 1900 Silver Cross Blvd New Lenox IL 60451 363461020 Real estate IL 501(c)(3) 12b SCHS true Silver Cross Healthy Community Comm 1900 Silver Cross Blvd New Lenox IL 60451 263094005 Comm. dvlp. IL 501(c)(3) 10 SCH true Health Service Systems Inc 1900 Silver Cross Blvd New Lenox IL 60451 363263450 Healthcare serv. IL NA C 11495641 7522303 1.00000 true false false false false false false false false false false false true false false false true true true true SILVER CROSS HOSPITAL AND MEDICAL CENTERS L 8637636 FMV SILVER CROSS HOSPITAL AND MEDICAL CENTERS P 9619261 FMV SILVER CROSS HOSPITAL AND MEDICAL CENTERS Q 5092618 FMV SILVER CROSS HOSPITAL AND MEDICAL CENTERS R 2500000 FMV SILVER CROSS HOSPITAL AND MEDICAL CENTERS S 11300000 FMV SILVER CROSS FOUNDATION P 382382 FMV MIDWEST COMMUNITY REAL ESTATE CORP R 7253 FMV MIDWEST COMMUNITY REAL ESTATE CORP S 8219772 FMV HEALTH SERVICE SYSTEMS INC R 36400 FMV HEALTH SERVICE SYSTEMS INC S 2598520 FMV