2018-11-14T12:50:58-06:00 2017-12-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2017-01-01 237061646 Presence Senior Services Chicagoland PRES 8777374636 100 North River Road Des Plaines IL 60016 TONYA MERSHON TAX OFFICER 2018-11-14 false JESSICA A WAGENER P01622613 3128792000 2017 2019-02-21 02:37:17Z SEE SCHEDULE O MICHAEL GORDON 18927 HICKORY CREEK DRIVE 300 MOKENA IL 60448 99328814 false 0928 X WWW.PRESENCEHEALTH.ORG X 1969 IL PRESENCE SENIOR SERVICES CHICAGOLAND (PSSC) CONNECTS PEOPLE TO THE MOST APPROPRIATE CARE, SERVICES AND SUPPORT AT THE RIGHT TIME. PSSC OFFERS A FULL CONTINUUM OF CARE INCLUDING INDEPENDENT LIVING, ASSISTED LIVING, SHORT-STAY REHABILITATION, MEMORY CARE, AND SKILLED NURSING CARE. PSSC SMOOTHS TRANSITIONS AND DELIVERS HIGH-QUALITY CARE THROUGH A PERSONALIZED APPROACH THROUGHOUT A PATIENT'S HEALTH JOURNEY. 4 0 0 182 0 830048 939961 100623666 97477718 6637 54100 343967 857035 101804318 99328814 0 0 52537039 52756629 0 0 44108332 43758493 96645371 96515122 5158947 2813692 53046522 55550812 1510431 985376 51536091 54565436 THE CORPORATION IS PART OF THE PRESENCE HEALTH SYSTEM AND ACTS IN ACCORDANCE WITH THE PRESENCE HEALTH MISSION, WHICH IS AS FOLLOWS: INSPIRED BY THE HEALING MINISTRY OF JESUS CHRIST AND AS PART OF PRESENCE HEALTH, A CATHOLIC HEALTH SYSTEM, PRESENCE SENIOR SERVICES - CHICAGOLAND PROVIDES HEALTHCARE SERVICES IN A COMPASSIONATE, HOLISTIC MANNER IN THE SPIRIT OF HEALING AND HOPE. false false 89226614 98334753 PRESENCE SENIOR SERVICES-CHICAGOLAND (PSSC) PROVIDED SKILLED NURSING CENTER AND OTHER SENIOR CARE SERVICES DURING THE CURRENT YEAR AND PARTICIPATES AS A PROVIDER OF SERVICES UNDER BOTH MEDICARE AND MEDICAID PROGRAMS. SERVICES INCLUDE NURSING & ANCILLARY SERVICES PROVIDED TO RESIDENTS. PSSC HAS A TOTAL OF 1,059 LICENSED BEDS. SKILLED NURSING DAYS WERE 290,532 AND ASSISTED/INDEPENDENT LIVING DAYS WERE 8,963 FOR TOTAL PATIENT DAYS OF 299,495 FOR THE PERIOD. 89226614 true true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 0 0 0 false false false false false false true false false false X 4 0 false false false false true true true true true false false false true true true true true true true false X ROBERT R LAMONT 6309142618 1000 REMINGTON BOULEVARD SUITE 100 BOLINGBROOK IL 60440 SUSAN ENRIGHT DIRECTOR, VICE CHAIR 1.0 44.0 X X 0 226038 30722 MICHAEL GORDON DIRECTOR, EX OFFICIO, INTERIM PRESIDENT/CEO, CHAIR (START 8/2017) 1.0 44.0 X X 0 297872 31670 JOSEPH G HUGAR DIRECTOR, EX-OFFICIO, PRESIDENT/CEO, CHAIR (END 8/2017) 1.0 46.0 X X 0 391663 33753 ANN SHERLINE DIRECTOR 1.0 40.0 X 0 136518 14623 PATRICIA EDDY ASSISTANT TREASURER, SYSTEM FINANCIAL OFFICER 1.0 54.0 X 0 331210 55715 JEANNIE C FREY SECRETARY; SYSTEM CHIEF LEGAL OFFICER 1.0 54.0 X 0 882091 125418 BETTINA JOHNSON ASSISTANT TREASURER; SYSTEM DIRECTOR (START 5/2017) 1.0 54.0 X 0 270133 29642 JAMES KELLEY TREASURER; CHIEF FINANCIAL OFFICER 1.0 54.0 X 0 930214 185845 PATRICK QUINN ASSISTANT TREASURER; SENIOR VICE PRESIDENT (END 2/2017) 1.0 54.0 X 0 87398 1191 JULIE ROKNICH ASSISTANT SECRETARY; SYS DIRECTOR SR ASSOCIATE GENERAL COUNSEL TRANSACTIONS 1.0 54.0 X 0 235311 31048 JEFFREY ROONEY ASSISTANT TREASURER; SVP FINANCIAL OPERATIONS (START 5/2017) 1.0 54.0 X 0 452460 109175 CORAZON B AMURAO STAFF NURSE I, SENIOR SERVICES 40.0 0 X 129768 0 15093 EDGAR AUF DEM GRABEN MANAGER, PHARMACY 40.0 0 X 144565 0 18392 SCOLASTICA KONE DIRECTOR OF NURSING, SENIOR SERVICES 40.0 0 X 157480 0 20546 LUCINDA J MCCLURG CLINICAL COORDINATOR, PHARMACY 40.0 0 X 135313 0 9904 CORAZON RABENA STAFF NURSE II, SENIOR SERVICES 40.0 0 X 127568 0 23173 ANTHONY FILER FORMER OFFICER (END 01/2016) 0.0 0.0 X 0 100273 0 694694 4341182 735909 36 true true false UNIDINE CORP 1000 WASHINGTON STREET SUITE 510 BOSTON MA 02118 FOOD SERVICES 2145929 US BANK CORPORATE TRUST PO BOX 70870 ST PAUL MN 55170 CLINICAL AGENCY 624324 MURPHY AND MILLER INC 600 W TAYLOR ST CHICAGO IL 60607 MAINTENANCE SERVICES 215700 PCL AVERNO CLINICAL LABORATORIES LLC 26051 NETWORK PLACE CHICAGO IL 60673 CLINICAL LAB SERVICES 180306 ALVAREZS CARPENTRY 27 W HAWLEY ST MUNDELEIN IL 60060 CARPENTRY SERVICES 148570 6 X 939961 939961 PATIENT CARE 623000 88483817 88483817 PHARMACY 900099 8993901 8993901 0 0 0 0 97477718 54100 54100 0 0 0 0 RESIDENT SERVICES 812900 217327 217327 FOOD SERVICES REVENUE 722320 30665 30665 DISCONTINUED OPERATIONS 900099 578707 578707 30336 30336 0 0 857035 99328814 98334753 0 54100 42387043 42387043 2007617 2007617 5254315 5254315 3107654 3107654 7227188 7227188 61320 61320 7068842 7068842 0 0 12432 12432 344114 344114 52485 52485 1850169 1850169 46116 46116 2010 2010 851467 851467 3245942 3245942 1515548 1515548 SUPPLIES AND DRUGS 16562429 16562429 TAXES AND ASSESSMENTS 1970133 1970133 REPAIRS AND MAINTENANCE 556058 556058 BAD DEBT EXPENSE 1721697 1721697 670543 670543 0 0 96515122 89226614 7288508 0 76133 80977 13769025 10180408 0 0 0 712398 651598 85822500 50317679 35791973 35504821 0 0 2696993 9133008 53046522 55550812 758400 227821 0 752031 757555 1510431 985376 X 51536091 54565436 51536091 54565436 53046522 55550812 X 2813692 215653 X false true X true false X 665133 593308 555312 830048 939961 3583762 129480372 128524526 91435069 100956989 98334753 548731709 0 0 0 130145505 129117834 91990381 101787037 99274714 552315471 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 552315471 6827310 217010 23489 17281 54100 7139190 0 6827310 217010 23489 17281 54100 7139190 0 0 0 0 0 0 0 136972815 129334844 92013870 101804318 99328814 559454661 0.9872 0.9805 0.0128 0.0195 X 11526353 11526353 52348576 37570875 14777701 20716264 12056061 8660203 1231307 690743 540564 35504821 DUE FROM AFFILIATES 6982520 MEDICARE SETTLEMENTS 1717513 RESIDENT REFUNDS 432975 9133008 SECURITY DEPOSITS AND ENTRANCE FEES 757555 DUE TO AFFILIATES 757555 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PRESENCE HEALTH RECOGNIZES 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. AS OF DECEMBER 31, 2017 AND 2016, PRESENCE HEALTH DOES NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS. true true false false false false false SUSAN ENRIGHT DIRECTOR, VICE CHAIR 0 201667 0 23067 0 1304 0 13940 0 16782 0 256760 0 0 MICHAEL GORDON DIRECTOR, EX OFFICIO, INTERIM PRESIDENT/CEO, CHAIR (START 8/2017) 0 266366 0 29324 0 2182 0 16200 0 15470 0 329542 0 0 JOSEPH G HUGAR DIRECTOR, EX-OFFICIO, PRESIDENT/CEO, CHAIR (END 8/2017) 0 266945 0 80759 0 43959 0 20654 0 13098 0 425416 0 23625 ANN SHERLINE DIRECTOR 0 136118 0 150 0 250 0 6988 0 7635 0 151141 0 0 ANTHONY FILER FORMER OFFICER (END 01/2016) 0 0 0 0 0 100273 0 0 0 0 0 100273 0 100273 PATRICIA EDDY ASSISTANT TREASURER, SYSTEM FINANCIAL OFFICER 0 253320 0 70781 0 7109 0 34287 0 21428 0 386925 0 0 JEANNIE C FREY SECRETARY; SYSTEM CHIEF LEGAL OFFICER 0 454279 0 304240 0 123571 0 103779 0 21639 0 1007509 0 88489 BETTINA JOHNSON ASSISTANT TREASURER; SYSTEM DIRECTOR (START 5/2017) 0 194870 0 68137 0 7126 0 13500 0 16142 0 299775 0 0 JAMES KELLEY TREASURER; CHIEF FINANCIAL OFFICER 0 665673 0 252994 0 11547 0 160503 0 25342 0 1116059 0 0 JULIE ROKNICH ASSISTANT SECRETARY; SYS DIRECTOR SR ASSOCIATE GENERAL COUNSEL TRANSACTIONS 0 206786 0 28324 0 202 0 11060 0 19988 0 266359 0 0 JEFFREY ROONEY ASSISTANT TREASURER; SVP FINANCIAL OPERATIONS (START 5/2017) 0 426943 0 0 0 25517 0 92014 0 17161 0 561634 0 0 EDGAR AUF DEM GRABEN MANAGER, PHARMACY 139749 0 1500 0 3316 0 10286 0 8106 0 162957 0 0 0 SCOLASTICA KONE DIRECTOR OF NURSING, SENIOR SERVICES 155382 0 1500 0 599 0 9392 0 11154 0 178026 0 0 0 CORAZON RABENA STAFF NURSE II, SENIOR SERVICES 127239 0 250 0 78 0 7987 0 15186 0 150741 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COMPENSATION FOR THE CORPORATION'S CEO AND OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED IN ACCORDANCE WITH WRITTEN POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF DIRECTORS OF THE CORPORATION AND THE CORPORATION'S ULTIMATE PARENT, PRESENCE HEALTH NETWORK. SUCH POLICIES AND PROCEDURES ARE APPLIED BY THE HUMAN RESOURCES COMMITTEE OF PRESENCE HEALTH NETWORK, WHICH CONSISTS WHOLLY OF INDEPENDENT DIRECTORS. PRESENCE HEALTH NETWORK USES MARKET DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH BASE SALARIES AND TOTAL CASH COMPENSATION OPPORTUNITIES. THE HUMAN RESOURCES COMMITTEE MONITORS EXECUTIVE TOTAL COMPENSATION, ANNUALLY REVIEWING AND APPROVING COMPENSATION CHANGES FOR EACH EXECUTIVE, AND REGULARLY REPORTING ITS ACTIVITIES TO THE BOARD. Schedule J, Part I, Line 4a Severance or change-of-control payment PRESENCE HAS THREE SEVERANCE PLANS DEPENDING UPON LEVEL. THESE PLANS ALLOW INDIVIDUALS WHOSE JOBS HAVE BEEN ELIMINATED AND WHO HAVE NOT BEEN ABLE TO FIND A SIMILAR POSITION WITHIN THE SYSTEM TIME TO TRANSITION. THE NUMBER OF WEEKS OF WAGE CONTINUATION ARE BASED UPON LENGTH OF SERVICE. THE PLANS ARE NOT FUNDED. THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR YEAR 2017: ANTHONY FILER - $100,273 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan IN ORDER TO ENHANCE THE ABILITY OF PRESENCE HEALTH TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT PERSONNEL BY PROVIDING ELIGIBLE EXECUTIVES WITH ADDITIONAL RETIREMENT BENEFITS ON A DEFERRED BASIS, PRESENCE HEALTH NETWORK MAINTAINS AN UNFUNDED SUPPLEMENTAL RETIREMENT PLAN (THE "PLAN") FOR A SELECT GROUP OF MANAGEMENT, WHICH IS INTENDED TO COMPLY WITH SECTION 457(F), AND SECTION 409A OF THE INTERNAL REVENUE CODE. PRESENCE HEALTH NETWORK CREDITS TO SUCH ELIGIBLE EXECUTIVE'S RETIREMENT ACCOUNT AN AMOUNT BASED ON A PERCENTAGE OF SALARY. EARNINGS AND/OR LOSSES ON INVESTMENTS ARE CREDITED AT A RATE EQUAL TO THE RATE OF RETURN OVER THE SAME PERIOD ON INVESTMENT OPTIONS SELECTED BY THE ELIGIBLE EXECUTIVE. ELIGIBLE EXECUTIVES ARE ENTITLED TO RECEIVE BENEFITS ON THE EARLIEST OF (I)JANUARY 1 OF THE THIRD CALENDAR YEAR BEGINNING AFTER THE YEAR IN WHICH SUCH CONTRIBUTION IS CREDITED, (II) ATTAINING AGE 62, OR (III) ATTAINING THE AGE OF 60 IF THE ELIGIBLE EXECUTIVE HAS COMPLETED TEN (10) YEARS OF SERVICE. THE FOLLOWING LISTED INDIVIDUALS BECAME VESTED IN SUPPLEMENTAL RETIREMENT BENEFITS UNDER THE SERP, AND THEREFORE HAD BENEFITS INCLUDED IN THEIR TAXABLE INCOME: PATRICK QUINN $25,013 JEANNIE C FREY $93,573 JOSEPH G HUGAR $25,371 ALSO IN RESPONSE TO QUESTION 4B, THE FOLLOWING LISTED INDIVIDUALS PARTICIPATED IN THE ORGANIZATION'S SECTION 457(F) PLAN AND EARNED UNVESTED BENEFITS DURING 2017 WHICH ARE REPORTED IN COLUMN (C): JAMES H KELLEY $147,003 JEANNIE C FREY $87,579 JEFFREY ROONEY $83,914 JOSEPH G HUGAR $20,654 PATRICIA EDDY $25,002 GENERAL INFORMATION LINE 4 PRESENCE BETHLEHEM WOODS RETIREMENT COMMUNITY; PRESENCE CASA SAN CARLO RETIREMENT COMMUNITY; PRESENCE MARYHAVEN NURSING AND REHABILITATION CENTER; PRESENCE NAZARETHVILLE; PRESENCE RESURRECTION LIFE CENTER; PRESENCE RESURRECTION NURSING AND REHABILITATION CENTER; PRESENCE SAINT BENEDICT NURSING AND REHABILITATION CENTER; PRESENCE VILLA SCALABRINI NURSING AND REHABILITATION CENTER Form 990, Part V, Line 2a COMPENSATION AND FORM W-3 TRANSMITTAL OF WAGES AND TAX STATEMENT PRESENCE SENIOR SERVICES - CHICAGOLAND (THE "CORPORATION") REPORTS 0 EMPLOYEES ON FORM 990, PART I, QUESTION 5 AND FORM 990, PART V, QUESTION 2A AS IT IS NOT REQUIRED TO FILE FORM W-3, TRANSMITTAL OF WAGES AND TAX STATEMENT. THE CORPORATION'S COMPENSATION IS PAID BY PRESENCE CARE TRANSFORMATION CORPORATION ("PCTC"), WHICH ISSUES THE FORMS W-2 AND W-3, AND THE EXPENSE IS TRANSFERRED TO THE CORPORATION. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO THE CORPORATION FROM PCTC. Form 990, Part V, Line 1a FORM 1096 TRANSMITTAL OF US INFORMATION RETURNS PRESENCE SENIOR SERVICES - CHICAGOLAND (THE "CORPORATION") REPORTS 0 ON FORM 990, PART V, QUESTION 1A AS IT IS NOT REQUIRED TO FILE FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. ALL OF THE CORPORATION'S ACCOUNTS PAYABLE REPORTABLE ON FORM 1096 ARE PAID BY PRESENCE CARE TRANSFORMATION CORPORATION ("PCTC"), WHICH ISSUES ALL FORMS 1099, AND THE EXPENSE IS TRANSFERRED TO THE CORPORATION. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO THE CORPORATION FROM PCTC. Form 990, Part VI, Line 6 Classes of members or stockholders PRESENCE SENIOR SERVICES - CHICAGOLAND HAS ONE MEMBER, PRESENCE CARE TRANSFORMATION CORPORATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE CORPORATION'S SOLE MEMBER, PRESENCE CARE TRANSFORMATION CORPORATION, HAS THE POWER TO APPOINT MEMBERS OF THE GOVERNING BODY, OTHER THAN EX-OFFICIO DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders PRESENCE CARE TRANSFORMATION CORPORATION (THE "MEMBER"), THROUGH ITS BOARD OF DIRECTORS, HAS CERTAIN GENERAL AND RESERVED POWERS WITH RESPECT TO THE FOLLOWING. GENERAL POWERS: THE MEMBER SHALL PROVIDE OVERSIGHT AND SUPPORT FOR THE ACTIVITIES OF THE CORPORATION, FOR THE PURPOSE OF ASSURING THAT ALL ACTIONS OF THE CORPORATION ARE CONSISTENT WITH THE MISSION AND VALUES OF THE SYSTEM; THE PURPOSES OF THE CORPORATION; THE ETHICAL AND RELIGIOUS DIRECTIVES; THE PRESENCE HEALTH SYSTEM STRATEGIC PLAN; AND BEST PRACTICES. RESERVED POWERS: IN FURTHERANCE OF THE EXERCISE OF ITS GENERAL POWERS AND RESPONSIBILITIES, THE MEMBER SHALL HAVE THE SOLE POWER TO TAKE THE ACTIONS SPECIFIED BELOW WITH RESPECT TO THE FOLLOWING MATTERS, SUBJECT TO ANY NOTICES OR FURTHER APPROVALS REQUIRED BY APPLICABLE CIVIL OR CANON LAW, OR THE MEMBER'S BYLAWS: A) BYLAWS - AMEND OR REPEAL THE BYLAWS OF THE CORPORATION. B) OFFICERS AND DIRECTORS - APPOINT AND REMOVE ALL OFFICERS OF THE CORPORATION AND ALL DIRECTORS OF THE CORPORATION, OTHER THAN ANY EX OFFICIO DIRECTORS. C) BUDGETS - APPROVE CAPITAL AND OPERATING BUDGETS, AND LONG-TERM CAPITAL EQUIPMENT PLANS FOR THE CORPORATION. D) UNBUDGETED EXPENDITURES - APPROVE UNBUDGETED EXPENDITURES IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER FROM TIME TO TIME. E) DEBT, SALE, LEASE AND OTHER REAL PROPERTY TRANSACTIONS - APPROVE ANY BORROWING OR SIGNIFICANT INCURRENCE OF DEBT BY THE CORPORATION IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER FROM TIME TO TIME, OR ANY SALE, PURCHASE, ALIENATION, EXCHANGE, SIGNIFICANT LEASES (OTHER THAN IN THE ORDINARY COURSE) OR ENCUMBRANCES OF THE CORPORATION'S REAL PROPERTY, EXCEPT THOSE MADE PURSUANT TO APPROVED BUDGETS. F) REAL ESTATE DOCUMENTS, EQUIPMENT LEASES - APPROVE EXECUTION OF ANY DEEDS, MORTGAGES, BONDS, OR MAJOR EQUIPMENT LEASES, EXCEPT THOSE ENTERED INTO PURSUANT TO APPROVED BUDGETS. G) SIGNIFICANT UNBUDGETED TRANSACTIONS - APPROVE ANY OTHER SIGNIFICANT AND UNBUDGETED SALE, PURCHASE, EXCHANGE, LEASE (OTHER THAN IN THE ORDINARY COURSE) TRANSFER, LITIGATION OR LEGAL SETTLEMENT, BENEFITS PACKAGES, ENCUMBRANCE OR OTHER DISPOSITION OR OTHER SIGNIFICANT TRANSACTION INVOLVING THE NON-REAL-ESTATE ASSETS OF THE CORPORATION IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER FROM TIME TO TIME. H) MATERIAL CHANGES IN SERVICES - APPROVE MATERIAL CHANGES IN THE KIND OF SERVICES RENDERED, SUCH AS THE ADDITION OR DISCONTINUATION OF ANY MAJOR SERVICE LINE (E G, OBSTETRICS) OR CHANGE IN THE FUNDAMENTAL NATURE OF SERVICES PROVIDED BY THE CORPORATION (E G, A CHANGE REQUIRING A DIFFERENT KIND OF LICENSE). I) STRATEGIC PLAN - APPROVE STRATEGIC PLANS FOR THE CORPORATION CONSISTENT WITH AND IN FURTHERANCE OF SYSTEM MISSION AND VALUES, AND RESPONSIVE TO THE NEEDS OF THE COMMUNITIES SERVED BY THE CORPORATION AND SUPPORT THE ABILITY OF THE CORPORATION AND ITS AFFILIATES TO PROVIDE HIGH-QUALITY CARE AND SERVICES. J) MANAGEMENT CONTRACTS - APPROVE ANY CONTRACT FOR THE MANAGEMENT OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION OR ANY HEALTH CARE FACILITIES OWNED BY THE CORPORATION. K) BUSINESS NAME, LOGO - APPROVE ANY SELECTION OR MODIFICATION OF THE BUSINESS NAME OR LOGO OF THE CORPORATION OR ANY PROGRAM OR DIVISION OF THE CORPORATION, OR THE USE OF ANY CORPORATE OR BUSINESS NAME OF THE CORPORATION BY AN ENTITY OTHER THAN THE MEMBER OR AN AFFILIATE. L) ADMINISTRATIVE SERVICES - PROVIDE OR ASSURE THE PROVISION OF APPROPRIATE INSURANCE COVERAGE, STANDARDIZED EMPLOYEE BENEFITS, INFORMATION SYSTEMS AND TECHNOLOGY, FINANCIAL MANAGEMENT SERVICES, LEGAL, MARKETING, RISK MANAGEMENT AND OTHER ADMINISTRATIVE SERVICES NECESSARY TO SUPPORT THE CORPORATION'S OPERATIONS. M) SIGNIFICANT JOINT VENTURES - APPROVE THE ESTABLISHMENT, TERMINATION, OR SALE OF ANY SIGNIFICANT JOINT VENTURE RELATIONSHIP BY THE CORPORATION. N) UNRELATED BUSINESS ACTIVITY - APPROVE THE ACQUISITION OR DEVELOPMENT OF ANY BUSINESS OR ACTIVITY UNRELATED TO THE PROVISION OF HEALTH CARE SERVICES. O) NEW AFFILIATES - APPROVE THE CREATION OF ANY NEW AFFILIATE TO BE OWNED OR CONTROLLED BY THE CORPORATION. P) CONTRIBUTIONS TO MEMBER - DIRECT AND APPROVE ANY CONTRIBUTIONS, DONATIONS OR OTHER ASSET TRANSFERS WITHOUT CONSIDERATION TO THE MEMBER OR ANY AFFILIATE, IN FURTHERANCE OF THE MISSION AND VALUES. Q) CONTRIBUTION ACCEPTANCE - APPROVE ACCEPTANCE OF A CONTRIBUTION THAT IMPOSES A MATERIAL OBLIGATION ON THE CORPORATION, IF APPROVED BY THE CORPORATION'S APPLICABLE FOUNDATION OR FUNDRAISING AFFILIATE AS CONSISTENT WITH THE CORPORATION'S AND SYSTEM'S MISSION AND GOALS. R) BANKING - DEFINE THE CRITERIA FOR THE SELECTION OF BANKS AND OTHER FINANCIAL DEPOSITORIES TO BE USED BY THE CORPORATION, AND AUTHORIZE THE PROCESS BY WHICH SIGNATORIES ON ALL BANK AND SIMILAR ACCOUNTS OF THE CORPORATION ARE APPROVED. S) AUDITORS - SELECT INDEPENDENT AUDITORS FOR THE CORPORATION, IN CONNECTION WITH THE CONSOLIDATED AUDIT OF ALL SYSTEM ENTITIES. T) REGISTERED AGENT - APPROVE OR CHANGE THE CORPORATION'S REGISTERED AGENT OR REGISTERED OFFICE, AS APPROPRIATE FROM TIME TO TIME. U) TAX EXEMPTION - APPROVE ANY VOLUNTARY CHANGE TO THE CORPORATION'S STATUS OF AN ORGANIZATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS AMENDED FROM TIME TO TIME. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT THE INTERESTS OF PRESENCE HEALTH NETWORK AND ALL OF ITS AFFILIATED MINISTRIES (COLLECTIVELY "PRESENCE HEALTH") WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF ANY DIRECTOR, TRUSTEE, OFFICER, CORPORATE MEMBER APPOINTEE, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, SENIOR LEADERS, AND OTHERS IN A RECENT POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER PRESENCE HEALTH ("INTERESTED PERSONS"), AND CLARIFY THE STANDARDS OF CONDUCT, DUTIES AND OBLIGATIONS OF INTERESTED PERSONS IN THE CONTEXT OF POTENTIAL CONFLICTS OF INTEREST BY PROVIDING A METHOD FOR DISCLOSING AND RESOLVING SUCH POTENTIAL CONFLICTS. NO PRESENCE HEALTH ENTITY WILL ENGAGE IN ANY CONTRACT, TRANSACTION OR ARRANGEMENT INVOLVING A CONFLICT OF INTEREST UNLESS DISINTERESTED MEMBERS OF THE APPLICABLE BOARD OF DIRECTORS OR OTHER GOVERNING BODY DETERMINE BY A MAJORITY VOTE THAT APPROPRIATE SAFEGUARDS TO PROTECT THE CHARITABLE MISSION OF PRESENCE HEALTH HAVE BEEN IMPLEMENTED. TO FACILITATE THIS POLICY, ALL INTERESTED PERSONS HAVE A CONTINUING OBLIGATION TO PROMPTLY DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ALL DISCLOSURES MUST BE PROVIDED TO THE SYSTEM COMPLIANCE OFFICER AND GENERAL COUNSEL IN A WRITTEN DESCRIPTION OF THE MATERIAL FACTS. DISCLOSURE SHALL BE ON A CONFLICTS OF INTEREST QUESTIONNAIRE OR SIMILAR FORMAT AS DESCRIBED IN THE CONFLICTS OF INTEREST POLICY. ALL INTERESTED PERSONS SHALL ALSO COMPLETE A QUESTIONNAIRE BASED ON THE ASSUMPTION OF THE BOARD (OR OTHER RELEVANT) POSITION, AND THEREAFTER ON AT LEAST AN ANNUAL BASIS OR WHEN AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT ARISES. AT ANY TIME THAT AN ACTUAL, APPARENT OR A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED TO THE CORPORATION'S BOARD OF DIRECTORS, WHETHER THROUGH THE VOLUNTARY SUBMISSION OF A DISCLOSURE STATEMENT BY AN INTERESTED PERSON, OR BY A DISCLOSURE BY A PERSON OTHER THAN THE SUBJECT INTERESTED PERSON, THE CORPORATION'S BOARD OR APPLICABLE COMMITTEE SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT IS FOUND TO EXIST THE INTERESTED PERSON WILL GENERALLY BE REQUIRED TO RECUSE HIM OR HERSELF DURING ANY MEETING IN WHICH THE BOARD OF DIRECTORS OR APPLICABLE COMMITTEE CONDUCTS THE EVALUATION OF THE SUBJECT TRANSACTION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. TO ENSURE THAT PRESENCE HEALTH OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS EXEMPT STATUS, TRANSACTIONS INVOLVING INTERESTED PERSONS ARE ONLY APPROVED IF, AFTER EXERCISING REASONABLE DUE DILIGENCE, THE BOARD DETERMINES THEY ARE FAIR AND REASONABLE, TAKING INTO ACCOUNT FACTORS SUCH AS WHETHER PRESENCE HEALTH COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT. HOWEVER, LENDING MONEY OR GUARANTYING AN OBLIGATION OF A DIRECTOR, OFFICER, OR EMPLOYEE OF PRESENCE HEALTH (EXCLUSIVE OF CUSTOMARY INSURANCE COVERAGE FOR ACTS DONE IN CONNECTION WITH SUCH INDIVIDUALS SERVICE TO OR EMPLOYMENT BY PRESENCE HEALTH) IS STRICTLY PROHIBITED. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION FOR THE CORPORATION'S CEO IS DETERMINED IN ACCORDANCE WITH WRITTEN POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF DIRECTORS OF THE SYSTEMS PARENT, PRESENCE HEALTH NETWORK ("PHN"), AND APPLIED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS USES MARKET DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH BASE SALARIES AND TOTAL CASH COMPENSATION OPPORTUNITIES. THE HUMAN RESOURCES COMMITTEE MONITORS EXECUTIVE TOTAL COMPENSATION BY APPROVING ALL COMPONENTS OF EXECUTIVE TOTAL COMPENSATION, AND ANNUALLY REVIEWING AND APPROVING COMPENSATION CHANGES FOR EACH EXECUTIVE. THE CORPORATION ANSWERS "YES" TO FORM 990, PART VI, QUESTION 15A AS PHN'S BOARD OF DIRECTORS HAS ULTIMATE CONTROL OVER ALL SUBSIDIARY ORGANIZATIONS. Form 990, Part VI, Line 15b Process to establish compensation of other employees COMPENSATION FOR THE CORPORATION'S OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED IN ACCORDANCE WITH WRITTEN POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF DIRECTORS OF THE SYSTEMS PARENT, PRESENCE HEALTH NETWORK ("PHN"), AND APPLIED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS USES MARKET DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH BASE SALARIES AND TOTAL CASH COMPENSATION OPPORTUNITIES. THE HUMAN RESOURCES COMMITTEE MONITORS EXECUTIVE TOTAL COMPENSATION BY APPROVING ALL COMPONENTS OF EXECUTIVE TOTAL COMPENSATION, AND ANNUALLY REVIEWING AND APPROVING COMPENSATION CHANGES FOR EACH EXECUTIVE. THE CORPORATION ANSWERS "YES" TO FORM 990, PART VI, QUESTION 15B AS PHN'S BOARD OF DIRECTORS HAS ULTIMATE CONTROL OVER ALL SUBSIDIARY ORGANIZATIONS. Form 990, Part VI, Line 19 Required documents available to the public THE CORPORATION'S ARTICLES OF INCORPORATION ARE ON FILE WITH THE STATE OF ILLINOIS. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE CORPORATION, TOGETHER WITH ITS AFFILIATES, ARE AVAILABLE FROM THE NATIONAL DISSEMINATION AGENT AS REQUIRED BY PRESENCE HEALTH SYSTEMS BOND DOCUMENTS. CONFLICT OF INTEREST POLICIES ARE NOT MADE AVAILABLE TO THE PUBLIC, HOWEVER A SUMMARY OF THE CURRENT POLICY IS ANNUALLY INCLUDED IN SCHEDULE O OF THE CORPORATION'S FORM 990. Form 990, Part VII, Section A STATUTORY EMPLOYER PRESENCE CARE TRANSFORMATION CORPORATION ("PCTC") (FEIN 36-3366652) ACTS AS THE AGENT FOR THE CORPORATION. CASH IS SWEPT FROM THE CORPORATION ON A DAILY BASIS TO PCTC AND PCTC ISSUES ALL PAYROLL AND ACCOUNTS PAYABLE CHECKS ON BEHALF OF AND AS AGENT FOR THE CORPORATION AND THE APPROPRIATE ACCOUNTING ENTRIES ARE RECORDED. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER - Total Revenue: 30336, Related or Exempt Function Revenue: 30336, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER FROM AFFILIATES - 215653; Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENT AN INDEPENDENT ACCOUNTANT ANNUALLY AUDITS THE CONSOLIDATED FINANCIAL STATEMENTS OF PRESENCE HEALTH NETWORK AND ITS AFFILIATES. THE AUDIT OPINION IS ISSUED ON THE CONSOLIDATED FINANCIAL STATEMENTS AND EACH AFFILIATE IS NOT SEPARATELY AUDITED. Form 990, Part XII, Line 3a PART XII, LINES 3A AND 3B PRESENCE HEALTH NETWORK COMPLETES A CONSOLIDATED A-133 AUDIT WHICH INCLUDES ALL ENTITIES FOR WHICH IT IS A PARENT ORGANIZATION WHETHER THEY EXPENDED FEDERAL FUNDS DURING THE YEAR OR NOT. PRESENCE HEALTH NETWORK 200 SOUTH WACKER DRIVE CHICAGO IL 60606 361649520 PARENT CORP IL 501(c)(3) Type III-FI NA false MEDICARE VALUE PARTNERS 100 NORTH RIVER ROAD DES PLAINES IL 60016 363495969 HEALTH CARE IL 501(c)(3) 10 PHPS true MOUNT LORETTO NURSING HOME INC 302 SWART HILL ROAD AMSTERDAM NY 12010 141363014 HEALTH CARE NY 501(c)(3) 3 RM NEW YORK true PRESENCE HEALTH PARTNERS SERVICES 2380 E DEMPSTER AVE STE 236 DES PLAINES IL 60016 362644178 HEALTH CARE IL 501(c)(3) Type II PHN false PRESENCE CARE HOME 18927 HICKORY CREEK DR 300 MOKENA IL 60448 460483587 HEALTH CARE IL 501(c)(3) 10 PLC true PRESENCE CARE TRANSFORMATION CORPORATION 1000 REMINGTON BLVD STE 100 BOLINGBROOK IL 60440 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI PHN false PRESENCE HOME CARE 18927 HICKORY CREEK DR 300 MOKENA IL 60448 460483581 HEALTH CARE IL 501(c)(3) 10 PLC true PRESENCE CENTRAL AND SUBURBAN HOSP 1000 REMINGTON BLVD STE 100 BOLINGBROOK IL 60440 364195126 HEALTH CARE IL 501(c)(3) 3 PCTC true LAVERNA TERRACE HOUSING CORPORATION 18927 HICKORY CREEK DR 300 MOKENA IL 60448 363438977 SENIOR LIVING IL 501(c)(3) 10 PLC true PRESENCE LIFE CONNECTIONS 18927 HICKORY CREEK DR 300 MOKENA IL 60448 371127787 HEALTH CARE IL 501(c)(3) 10 PCTC true PRESENCE BEHAVIORAL HEALTH 1820 SOUTH 25TH AVENUE BROADVIEW IL 60155 362709982 HEALTH CARE IL 501(c)(3) 3 PCTC true PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES 200 SOUTH WACKER DRIVE CHICAGO IL 60606 363330929 FUNDRAISING IL 501(c)(3) 7 PHN false PRESENCE CHICAGO HOSPITALS NETWORK 200 SOUTH WACKER DRIVE CHICAGO IL 60606 362235165 HEALTH CARE IL 501(c)(3) 3 PCTC true RESURRECTION NURSING HOME INC 90 NORTH MAIN STREET CASTLETON NY 12033 141348691 HEALTH CARE NY 501(c)(3) 3 RM NEW YORK true PRESENCE AMBULATORY SERVICES 100 NORTH RIVER ROAD DES PLAINES IL 60016 364286236 HEALTH CARE IL 501(c)(3) 10 PCTC true PRESENCE HEALTHCARE SERVICES 100 NORTH RIVER ROAD DES PLAINES IL 60016 363330928 HEALTH CARE IL 501(c)(3) 10 PCTC true ARTHUR MERKLE - CLARA KNIPPRATH NURSING 1190 E 2900 N ROAD CLIFTON IL 60927 362841358 HEALTH CARE IL 501(c)(3) 10 PLC true RAINBOW HOSPICE AND PALLIATIVE CARE 1550 BISHOP COURT MOUNT PROSPECT IL 60056 363296367 HEALTH CARE IL 501(c)(3) 10 PLC true RESURRECTION UNIVERSITY 1431 N CLAREMONT CHICAGO IL 60622 362182170 EDUCATION IL 501(c)(3) 2 PHN false BEL HARLEM SURG CTR 3101 NORTH HARLEM CHICAGO IL 60634 412237162 MEDICAL SERVICE IL NA N/A RH SLEEP CTR - NW 665 WEST NORTH AVE 500 LOMBARD IL 60148 261519627 MEDICAL SERVICE IL NA N/A RH SLEEP CTR - EVAN 665 WEST NORTH AVE 500 LOMBARD IL 60148 261519556 MEDICAL SERVICE IL NA N/A RH SLEEP CTR - LP 665 WEST NORTH AVE 500 LOMBARD IL 60148 261519667 MEDICAL SERVICE IL NA N/A ALVERNO CLINIC LAB 2434 INTERSTATE PLAZA DRIVE HAMMOND IN 46324 203240648 MEDICAL SERVICE IN NA N/A PROF CLINIC LAB LLC 113 E 4TH ST MICHIGAN CITY IN 46360 300711211 MEDICAL SERVICE IN NA N/A L GILBRAITH INSURANCE SPC LTD 68 W BAY ROAD PO BOX 1109 GRAND CAYMAN CJ INSURANCE CJ PHN C Corporation false PROVENA HEALTH ASSURANCE SPC 23 LIME TREE BAY AVE PO BOX 1051 GRAND CAYMAN CJ 980420054 INSURANCE CJ PCTC C Corporation true PRESENCE PROPERTIES INC 100 NORTH RIVER ROAD DES PLAINES IL 60016 363520630 MEDICAL IL PV C Corporation true PRESENCE SERVICE CORPORATION 2380 E DEMPSTER ROAD DES PLAINES IL 60016 364314354 MEDICAL IL PCTC C Corporation true PRESENCE VENTURES INC 100 NORTH RIVER ROAD DES PLAINES IL 60016 371168085 MEDICAL IL PCTC C Corporation true RESURRECTION MEDICAL CENTER AUXILIARY 7435 WEST TALCOTT AVENUE CHICAGO IL 60631 366109825 FUNDRAISING IL PCHN C Corporation true RESURRECTION MINISTRIES OF NEW YORK 90 NORTH MAIN STREET CASTLETON NY 12033 141720818 PARENT CORP NY PCHN C Corporation true false false true false false false false false false false false false true false false true false false true PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES C 939961 CASH PRESENCE CARE TRANSFORMATION CORPORATION S 215651 BOOK VALUE PRESENCE CARE TRANSFORMATION CORPORATION M 7156974 COST ALLOCATION PRESENCE CARE TRANSFORMATION CORPORATION P 11209460 COST Schedule R, Part V REIMBURSEMENTS FOR SHARED SERVICES PRESENCE CARE TRANSFORMATION CORPORATION (FEIN 36-3366652) PAYS ALL OF THE COMPENSATION AND ACCOUNTS PAYABLE FOR ALL ENTITIES UNDER THE PRESENCE HEALTH SYSTEM AS THE DESIGNATED PAYMENT AGENT FOR SUCH ENTITIES, CASH IS DEPOSITED INTO AN ACCOUNT BY PRESENCE HEALTH ENTITIES AND SWEPT ON A MONTHLY BASIS TO REIMBURSE PRESENCE CARE TRANSFORMATION CORPORATION FOR THESE EXPENSES AT COST. THE AMOUNTS REPORTED ON PART V OF SCHEDULE R REFLECT THE TOTAL CASH TRANSFERS TO/FROM PRESENCE CARE TRANSFORMATION.