PRESENCE LIFE CONNECTIONS: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PRESENCE LIFE CONNECTIONS (EIN 37-1127787)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2017-03-10
- IRS object ID
- 201700699349300435
- Schema version
- 2015v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-03-10T14:29:27-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 N Wacker Drive | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371127787 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESENCE LIFE CONNECTIONS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JAMES H KELLEY | InCareOfNm |
| Business Name Control | PRES | BusinessNameControlTxt |
| Phone | 6309142791 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18927 HICKORY CREEK DRIVE 300 | AddressLine1Txt |
| City | MOKENA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60448 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES H KELLEY | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 3123083981 | PhoneNum |
| Signature | 2017-03-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACOB J ZEHNDER | PreparerPersonNm |
| PTIN | P01564049 | PTIN |
| Phone | 3128792000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOSEPH HUGAR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18927 HICKORY CREEK DRIVE 300 | AddressLine1Txt |
| City | MOKENA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60448 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $105,613,106 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.presencehealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 2 | TotalVolunteersCnt |
| Total Gross UBI | $225,875 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $121,374 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $617,517 | PYContributionsGrantsAmt |
| CY Contributions Grants | $565,919 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $104,727,615 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $100,590,549 | CYProgramServiceRevenueAmt |
| PY Investment Income | $826,159 | PYInvestmentIncomeAmt |
| CY Investment Income | $265,095 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,403,477 | PYOtherRevenueAmt |
| CY Other Revenue | $4,156,867 | CYOtherRevenueAmt |
| PY Total Revenue | $107,574,768 | PYTotalRevenueAmt |
| CY Total Revenue | $105,578,430 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $53,209,977 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $56,503,803 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $55,974,721 | PYOtherExpensesAmt |
| CY Other Expenses | $60,939,886 | CYOtherExpensesAmt |
| PY Total Expenses | $109,184,698 | PYTotalExpensesAmt |
| CY Total Expenses | $117,443,689 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,609,930 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$11,865,259 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $100,094,053 | TotalAssetsBOYAmt |
| Total Assets EOY | $112,295,509 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,808,565 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,284,038 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $67,285,488 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $101,011,471 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $100,021,903 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $82,494,867 | RevenueAmt |
| Desc | PRESENCE LIFE CONNECTIONS PROVIDES NURSING CARE FOR LONG-TERM RESIDENTS WHO NEED ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,093,605 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $4,513,211 | RevenueAmt |
| Desc | PRESENCE LIFE CONNECTIONS OPERATES 11 LONG-TERM CARE SENIOR RESIDENTIAL AND COMMUNITY-BASED SERVICE CAMPUSES. FACILITIES ARE LOCATED IN NORTHERN ILLINOIS WITH ONE LOCATION IN INDIANA. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,996,287 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $12,393,864 | RevenueAmt |
| Desc | PRESENCE LIFE CONNECTIONS OPERATES A PHARMACY IN KANKAKEE, IL THAT IS ONLY AVAILABLE TO ITS RESIDENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,945,481 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $4,900,558 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $117,057,276 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES H KELLEY | PersonNm |
| Phone | 3123083289 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 SOUTH WACKER | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JEAN BLAKE | ||||||||||
| SYSTEM CEO APPOINTEE/DIRECTOR | 1.0 | 40.0 | Yes (X) | $0 | $376,276 | $65,416 | ||||
| JOSEPH G HUGAR | ||||||||||
| CEO/DIRECTOR EX-OFFICIO | 40.0 | 10.0 | Yes (X) | $459,242 | $0 | $103,593 | Yes (X) | |||
| LAWRENCE PANKAU MD | ||||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $0 | $306,907 | $29,776 | ||||
| NANCY DOWD | ||||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| DR JAMES HAGEN | ||||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| LUCIA JONES | ||||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| THERESA KWIATKOWSKI | ||||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| FLORIDA FREEMAN | ||||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN LARSON | ||||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| SISTER MARIE MASON SSCM | ||||||||||
| CHAIR/DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| SALLIE MILLER | ||||||||||
| VICE CHAIR/DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| PHYLLIS NICHOLS | ||||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| TIM PHILLIPPE | ||||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| TOM SMITH | ||||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| ANTHONY J FILER | ||||||||||
| TREASURER | 1.0 | 62.0 | $0 | $1,401,909 | $1,209,330 | Yes (X) | ||||
| JEANNIE C FREY | ||||||||||
| SECRETARY | 1.0 | 63.0 | $0 | $577,236 | $125,759 | Yes (X) | ||||
| PATRICK QUINN | ||||||||||
| ASSISTANT TREASURER | 1.0 | 61.0 | $0 | $328,224 | $71,480 | Yes (X) | ||||
| JULIE ROKNICH | ||||||||||
| ASSISTANT SECRETARY | 1.0 | 60.0 | $0 | $217,095 | $30,640 | Yes (X) | ||||
| SUSAN A ENRIGHT | ||||||||||
| COO HOME CARE HOSP HOUS OPS | 40.0 | 0.0 | $264,530 | $0 | $29,101 | Yes (X) | ||||
| ELIZABETH H FLORCZAK | ||||||||||
| VICE PRESIDENT QUALITY | 40.0 | 0.0 | $157,958 | $0 | $25,716 | Yes (X) | ||||
| CHERYL WOLFE | ||||||||||
| CHIEF REHAB OFFICER-PLC | 40.0 | 0.0 | $151,962 | $0 | $6,223 | Yes (X) | ||||
| MICHAEL H BORN II | ||||||||||
| REGIONAL DIRECTOR PHARMACY-PLC | 40.0 | 0.0 | $197,956 | $0 | $30,983 | Yes (X) | ||||
| CONSTANCE NESTOR | ||||||||||
| RGN DIRECTOR, SUPPORT SERVICES | 40.0 | 0.0 | $158,751 | $0 | $17,024 | Yes (X) | ||||
| JANELLE L CHADWICK | ||||||||||
| DIR PLC OPERATIONS | 40.0 | 0.0 | $150,350 | $0 | $20,855 | Yes (X) | ||||
| NILIE WILD | ||||||||||
| STAFF NURSE I SR SERVICE | 40.0 | 0.0 | $140,826 | $0 | $19,346 | Yes (X) | ||||
| CRAIG J PROKUPEK | ||||||||||
| ADMINISTRATOR II SENIOR SVC | 40.0 | 0.0 | $138,313 | $0 | $39,517 | Yes (X) | ||||
| MICHAEL GORDON | ||||||||||
| FORMER VP OF FINANCE & CFO | 0.0 | 41.0 | $328,848 | $0 | $38,704 | Yes (X) | ||||
| CRAIG A CULVER | ||||||||||
| FORMER VP DEVELOPMENT | 0.0 | 40.0 | $0 | $167,868 | $4,263 | Yes (X) | ||||
| WENDELL D PROVOST | ||||||||||
| FORMER VP OF HR | 0.0 | 40.0 | $0 | $275,405 | $30,385 | Yes (X) | ||||
| PETER GOSCHY | ||||||||||
| FORMER VP NURSNG HM OPERATIONS | 0.0 | 42.0 | $0 | $281,132 | $32,395 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,148,736 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,932,052 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,930,506 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 25 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SELECT REHABILITATION INC | |||||
| PO BOX 809056 | CHICAGO | IL | 606809056 | THERAPY SERVICES | $8,172,005 |
| UNIDINE CORP | |||||
| 1000 WASHINGTON STREET SUITE 510 | BOSTON | MA | 02118 | FOOD SERVICE | $1,995,068 |
| TOTAL NURSES NETWORK | |||||
| 1515 N HARLEM | OAK PARK | IL | 60302 | NURSING SERVICES | $255,817 |
| HLS-WHEELING LLC | |||||
| 45 W HINZ RD | WHEELING | IL | 60090 | LAUNDRY SERVICE | $590,315 |
| SCRIPTFLEET GREAT LAKES | |||||
| PO BOX 2513 | ORLANDO | FL | 32802 | DELIVERY SERVICE | $415,944 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $85,331 | RelatedOrganizationsAmt |
| All Other Contributions | $480,588 | AllOtherContributionsAmt |
| Noncash Contributions | $16,454 | NoncashContributionsAmt |
| Total Contributions | $565,919 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| SKILLED NURSING CARE | 623000 | $82,494,867 | $82,494,867 | $0 | $0 |
| RESIDENTIAL | 623000 | $4,513,211 | $4,513,211 | $0 | $0 |
| PHARMACY | 446110 | $12,393,864 | $12,393,864 | $0 | $0 |
| DAY CARE | 623000 | $1,188,607 | $1,188,607 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $100,590,549 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,286 | TotalRevenueColumnAmt |
| Exclusion | $1,286 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,000 | TotalRevenueColumnAmt |
| Exclusion | $6,000 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $263,809 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $263,809 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $263,809 | TotalRevenueColumnAmt |
| Exclusion | $263,809 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $80,150 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $34,676 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,474 | TotalRevenueColumnAmt |
| Exclusion | $45,474 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| SACRED HEART HOME | 900099 | $2,659,035 | $2,659,035 | $0 | $0 |
| CONSULTING MGMT SERVICES | 561110 | $393,442 | $0 | $225,875 | $167,567 |
| CAFETERIA REVENUE | 722514 | $151,971 | $151,971 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $900,945 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $900,945 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,105,393 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $105,578,430 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $104,302,500 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $225,875 | UnrelatedBusinessRevenueAmt |
| Exclusion | $484,136 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,198,325 | TotalAmt |
| Program Services | $1,198,325 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,158,043 | TotalAmt |
| Program Services | $43,067,828 | ProgramServicesAmt |
| Management And General | $90,215 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,220,747 | TotalAmt |
| Program Services | $2,215,614 | ProgramServicesAmt |
| Management And General | $5,133 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,594,489 | TotalAmt |
| Program Services | $6,589,364 | ProgramServicesAmt |
| Management And General | $5,125 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,332,199 | TotalAmt |
| Program Services | $3,327,069 | ProgramServicesAmt |
| Management And General | $5,130 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,703 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $244,703 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,978 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $19,978 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,324,347 | TotalAmt |
| Program Services | $16,324,347 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,196 | TotalAmt |
| Program Services | $107,196 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $932,947 | TotalAmt |
| Program Services | $932,947 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359 | TotalAmt |
| Program Services | $359 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,872,037 | TotalAmt |
| Program Services | $4,866,261 | ProgramServicesAmt |
| Management And General | $5,776 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,102 | TotalAmt |
| Program Services | $156,102 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,530 | TotalAmt |
| Program Services | $41,530 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,249,322 | TotalAmt |
| Program Services | $2,249,322 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,150,314 | TotalAmt |
| Program Services | $5,149,357 | ProgramServicesAmt |
| Management And General | $957 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,993,109 | TotalAmt |
| Program Services | $2,993,109 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PATIENT SUPPLIES & DRUGS | $12,072,396 | $12,063,565 | $8,831 | $0 |
| BAD DEBT | $7,337,140 | $7,337,140 | $0 | $0 |
| NON PATIENT SUPPLIES | $4,247,427 | $4,247,427 | $0 | $0 |
| OTHER TAXES & ASSESSMENTS | $2,044,185 | $2,044,185 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,146,794 | TotalAmt |
| Program Services | $2,146,229 | ProgramServicesAmt |
| Management And General | $565 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,443,689 | TotalAmt |
| Program Services | $117,057,276 | ProgramServicesAmt |
| Management And General | $386,413 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,312,529 | BOYAmt |
| EOY | $13,016,778 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,249,940 | BOYAmt |
| EOY | $20,031,123 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,073,161 | BOYAmt |
| EOY | $811,857 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,327,943 | BOYAmt |
| EOY | $1,808,878 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $124,287,019 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $71,643,699 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,569,110 | BOYAmt |
| EOY | $52,643,320 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,101,732 | BOYAmt |
| EOY | $10,040,620 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $459,638 | BOYAmt |
| EOY | $13,942,933 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,094,053 | BOYAmt |
| EOY | $112,295,509 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,392,760 | BOYAmt |
| EOY | $9,616,273 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,915 | BOYAmt |
| EOY | $115,064 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $894,134 | BOYAmt |
| EOY | $813,772 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,366,756 | BOYAmt |
| EOY | $738,929 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,808,565 | BOYAmt |
| EOY | $11,284,038 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,831,863 | BOYAmt |
| EOY | $99,456,948 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,210,361 | BOYAmt |
| EOY | $1,311,259 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,264 | BOYAmt |
| EOY | $243,264 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,285,488 | BOYAmt |
| EOY | $101,011,471 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,094,053 | BOYAmt |
| EOY | $112,295,509 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$11,865,259 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $45,591,242 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,025,624 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $777,932 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $965,230 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $617,517 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $565,919 | CurrentTaxYearAmt |
| Total | $3,952,222 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $87,821,832 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $106,131,412 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $98,517,912 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $104,727,615 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $100,590,549 | CurrentTaxYearAmt |
| Total | $497,789,320 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $768,350 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $694,769 | CurrentTaxYearMinus3YearsAmt |
| Total | $1,463,119 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $89,615,806 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $107,604,113 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $99,483,142 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $105,345,132 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,156,468 | CurrentTaxYearAmt |
| Total | $503,204,661 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $503,204,661 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $251,756 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $436,042 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $804,189 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $818,279 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,286 | CurrentTaxYearAmt |
| Total | $2,317,552 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $57,825 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $77,739 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year | $225,875 | CurrentTaxYearAmt |
| Total | $361,439 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $309,581 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $513,781 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $804,189 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $818,279 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $233,161 | CurrentTaxYearAmt |
| Total | $2,678,991 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,667,984 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,607,041 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,255,256 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,403,476 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,879,518 | CurrentTaxYearAmt |
| Total | $9,813,275 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $91,593,371 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $109,724,935 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $101,542,587 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $107,566,887 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $105,269,147 | CurrentTaxYearAmt |
| Total | $515,696,927 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97578 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97796 | PublicSupportPY509Pct |
| Investment Income CY | 0.00520 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00577 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,977,843 | OtherCostOrOtherBasisAmt |
| Book Value | $3,977,843 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $93,092,482 | OtherCostOrOtherBasisAmt |
| Depreciation | $52,709,074 | DepreciationAmt |
| Book Value | $40,383,408 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,984,281 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,373,941 | DepreciationAmt |
| Book Value | $610,340 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,157,052 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,560,684 | DepreciationAmt |
| Book Value | $7,596,368 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,361 | OtherCostOrOtherBasisAmt |
| Book Value | $75,361 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $52,643,320 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $2,541,679 |
| DUE FROM AFFILIATES | $10,304,382 |
| DEFERRED COMPENSATION ASSET | $99,654 |
| MEDICARE SETTLEMENTS | $997,218 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $13,942,933 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| SECURITY DEPOSITS | $166,975 |
| CAPITAL ACCUMULATION | $99,654 |
| OTHER LONG TERM LIABILITIES | $472,300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $738,929 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FIN 48(ASC 740) Footnote | FormAndLineReferenceDesc |
| Explanation | PRESENCE HEALTH AND AFFILIATES 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, 2015 AND 2014, PRESENCE HEALTH AND AFFILIATES DO NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $63,530 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $63,530 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $24,355 | OtherDirectExpensesEvent1Amt |
| Event2 | FALL FESTIVAL | Event2Nm |
| Gross Receipts Event2 | $6,089 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $6,089 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $6,299 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $10,531 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $10,531 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $4,022 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $80,150 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $80,150 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $34,676 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $34,676 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $45,474 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEAN BLAKE | ||||||||||||||
| SYSTEM CEO APPOINTEE/DIRECTOR | $0 | $294,461 | $0 | $67,403 | $0 | $14,412 | $0 | $46,040 | $0 | $19,376 | $0 | $441,692 | $0 | $0 |
| JOSEPH G HUGAR | ||||||||||||||
| CEO/DIRECTOR EX-OFFICIO | $403,172 | $0 | $45,413 | $0 | $10,657 | $0 | $80,601 | $0 | $22,992 | $0 | $562,835 | $0 | $0 | $0 |
| LAWRENCE PANKAU MD | ||||||||||||||
| DIRECTOR | $0 | $249,621 | $0 | $5,951 | $0 | $51,335 | $0 | $15,900 | $0 | $13,876 | $0 | $336,683 | $0 | $0 |
| ANTHONY J FILER | ||||||||||||||
| TREASURER | $0 | $658,477 | $0 | $161,537 | $0 | $581,895 | $0 | $1,185,735 | $0 | $23,595 | $0 | $2,611,239 | $0 | $377,532 |
| JEANNIE C FREY | ||||||||||||||
| SECRETARY | $0 | $446,640 | $0 | $105,384 | $0 | $25,212 | $0 | $102,389 | $0 | $23,370 | $0 | $702,995 | $0 | $0 |
| PATRICK QUINN | ||||||||||||||
| ASSISTANT TREASURER | $0 | $234,711 | $0 | $62,409 | $0 | $31,104 | $0 | $49,265 | $0 | $22,215 | $0 | $399,704 | $0 | $18,512 |
| JULIE ROKNICH | ||||||||||||||
| ASSISTANT SECRETARY | $0 | $189,526 | $0 | $27,407 | $0 | $162 | $0 | $9,850 | $0 | $20,790 | $0 | $247,735 | $0 | $0 |
| SUSAN A ENRIGHT | ||||||||||||||
| COO HOME CARE HOSP HOUS OPS | $192,131 | $0 | $57,892 | $0 | $14,507 | $0 | $13,420 | $0 | $15,681 | $0 | $293,631 | $0 | $13,574 | $0 |
| ELIZABETH H FLORCZAK | ||||||||||||||
| VICE PRESIDENT QUALITY | $153,725 | $0 | $3,146 | $0 | $1,087 | $0 | $9,747 | $0 | $15,969 | $0 | $183,674 | $0 | $0 | $0 |
| CHERYL WOLFE | ||||||||||||||
| CHIEF REHAB OFFICER-PLC | $151,039 | $0 | $0 | $0 | $923 | $0 | $1,905 | $0 | $4,318 | $0 | $158,185 | $0 | $0 | $0 |
| MICHAEL H BORN II | ||||||||||||||
| REGIONAL DIRECTOR PHARMACY-PLC | $165,833 | $0 | $22,542 | $0 | $9,581 | $0 | $15,673 | $0 | $15,310 | $0 | $228,939 | $0 | $6,632 | $0 |
| CONSTANCE NESTOR | ||||||||||||||
| RGN DIRECTOR, SUPPORT SERVICES | $157,355 | $0 | $0 | $0 | $1,396 | $0 | $8,044 | $0 | $8,980 | $0 | $175,775 | $0 | $0 | $0 |
| JANELLE L CHADWICK | ||||||||||||||
| DIR PLC OPERATIONS | $128,268 | $0 | $16,006 | $0 | $6,076 | $0 | $7,091 | $0 | $13,764 | $0 | $171,205 | $0 | $4,061 | $0 |
| NILIE WILD | ||||||||||||||
| STAFF NURSE I SR SERVICE | $140,271 | $0 | $96 | $0 | $459 | $0 | $7,229 | $0 | $12,117 | $0 | $160,172 | $0 | $0 | $0 |
| CRAIG J PROKUPEK | ||||||||||||||
| ADMINISTRATOR II SENIOR SVC | $114,922 | $0 | $18,740 | $0 | $4,651 | $0 | $24,514 | $0 | $15,003 | $0 | $177,830 | $0 | $4,286 | $0 |
| MICHAEL GORDON | ||||||||||||||
| FORMER VP OF FINANCE & CFO | $223,540 | $0 | $80,729 | $0 | $24,579 | $0 | $15,900 | $0 | $22,804 | $0 | $367,552 | $0 | $17,810 | $0 |
| CRAIG A CULVER | ||||||||||||||
| FORMER VP DEVELOPMENT | $0 | $55,892 | $0 | $54,898 | $0 | $57,078 | $0 | $0 | $0 | $4,263 | $0 | $172,131 | $0 | $0 |
| WENDELL D PROVOST | ||||||||||||||
| FORMER VP OF HR | $0 | $191,169 | $0 | $61,652 | $0 | $22,584 | $0 | $15,444 | $0 | $14,941 | $0 | $305,790 | $0 | $14,505 |
| PETER GOSCHY | ||||||||||||||
| FORMER VP NURSNG HM OPERATIONS | $0 | $206,655 | $0 | $51,777 | $0 | $22,700 | $0 | $14,255 | $0 | $18,140 | $0 | $313,527 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DETERMINATION OF COMPENSATION OF ORGANIZATION'S CEO/EXECUTIVE DIRECTOR | SCHEDULE J, PART I, LINE 3 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 CORPORATIONS 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. |
| SEVERANCE PAYMENTS | SCHEDULE J, PART I, LINE 4A 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 INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR YEAR 2015: CRAIG CULVER $41,131 THE CORPORATION ALSO ACCRUED DEFERRED SEVERANCE FOR THE FOLLOWING INDIVIDUALS, WHICH WILL VEST IN A LATER YEAR: ANTHONY FILER $1,169,835 |
| PAYMENTS FROM A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, QUESTION 4B 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. UNDER THE PLAN, 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: ANTHONY FILER $558,057 PATRICK QUINN $ 21,921 MICHAEL GORDON $ 23,093 WENDELL PROVOST $ 19,262 SUSAN ENRIGHT $ 13,577 MICHAEL BORN II $ 9,440 JANELLE CHADWICK $ 5,406 CRIAG PROKUPEK $ 4,287 ALSO IN RESPONSE TO QUESTION 4B, THE FOLLOWING LISTED INDIVIDUALS PARTICIPATED IN THE ORGANIZATION'S SECTION 457(F) PLAN AND EARNED UNVESTED BENEFITS DURING 2015 WHICH ARE REPORTED IN COLUMN (C): JEANNIE FREY $ 86,489 PATRICK QUINN $ 24,076 JEAN BLAKE $ 33,555 JOSEPH HUGAR $ 68,202 BETH BROOKS $ 22,506 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Susan Puchalla | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Parent of Julie Roknich | RelationshipDescriptionTxt |
| Transaction | $41,609 | TransactionAmt |
| Transaction | Employee Wages | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (20 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, BOX C | DOING BUSINESS AS/ASSUMED NAMES PRESENCE LIFE CONNECTIONS ALSO OPERATES UNDER THE FOLLOWING ASSUMED NAMES: - PRESENCE COR MARIAE CENTER - PRESENCE FORTIN VILLA LEARNING CENTER - PRESENCE FOX KNOLL - PRESENCE HERITAGE DAY BREAK - PRESENCE HERITAGE ESTATES - PRESENCE HERITAGE HOUSE - PRESENCE HERITAGE LODGE - PRESENCE HERITAGE VILLAGE - PRESENCE INTERGENERATIONAL FACILITY - PRESENCE MCAULEY MANOR - PRESENCE OUR LADY OF VICTORY NURSING HOME - PRESENCE PINE VIEW CARE CENTER - PRESENCE SAINT ANNE CENTER - PRESENCE SAINT FRANCIS PLACE - PRESENCE SAINT JOSEPH ADULT DAY CENTER - PRESENCE SAINT JOSEPH CENTER - PRESENCE SAINT VINCENT COMMUNITY LIVING FACILITY - PRESENCE SAINT VINCENT SUPPORTED LIVING ARRANGEMENT - PRESENCE VILLA FRANCISCAN - PRESENCE LIFE CONNECTIONS INCORPORATED - PRESENCE SACRED HEART HOME FORM 990, PART I, LINE 1 MISSION STATEMENT/SIGNIFICANT ACTIVITY Presence Life Connections PROVIDES CARE TO THE ELDERLY IN COMMUNITIES PRIMARILY IN NORTHERN AND CENTRAL ILLINOIS THROUGH LONG-TERM CARE AND SENIOR RESIDENTIAL PROPERTIES IT OWNS AND OPERATES. |
| FORM 990, PART III, QUESTION 1 | MISSION STATEMENT 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 LIFE CONNECTIONS PROVIDES HEALTHCARE SERVICES IN A COMPASSIONATE, HOLISTIC MANNER IN THE SPIRIT OF HEALING AND HOPE. |
| FORM 990, PART I, QUESTION 5, AND PART V, QUESTION 2 | COMPENSATION AND FORM W-3 TRANSMITTAL OF WAGES AND TAX STATEMENT PRESENCE LIFE CONNECTIONS (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 CORPORATIONS 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, QUESTION 1A | FORM 1096 TRANSMITTAL OF U.S. INFORMATION RETURNS PRESENCE LIFE CONNECTIONS (THE "CORPORATION") REPORTS 0 ON FORM 990, PART V, QUESTION 1A AS IT IS NOT REQUIRED TO FILE FORM 1096, TRANSMITTAL OF U.S. INFORMATION RETURNS. ALL OF THE CORPORATIONS 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, QUESTION 6 | MEMBERS OR SHAREHOLDERS PRESENCE LIFE CONNECTIONS HAS ONE MEMBER, PRESENCE CARE TRANSFORMATION CORPORATION. |
| FORM 990, PART VI, QUESTION 7A | PERSONS WITH AUTHORITY TO ELECT MEMBERS OF THE GOVERNING BODY THE CORPORATIONS 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, QUESTION 7B | DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS PRESENCE CARE TRANSFORMATION CORPORATION, AS THE SOLE MEMBER OF PRESENCE LIFE CONNECTIONS, SHALL HAVE THE RESERVED POWERS AS DESIGNATED BELOW. PRESENCE CARE TRANSFORMATION CORPORATION RETAINS THE POWER OF INITIATION AND APPROVAL OF THE FOLLOWING RESPONSIBILITIES. PRESENCE CARE TRANSFORMATION CORPORATION MAY DELEGATE THE "INITIATION" OF ANY OR ALL OF THESE RESPONSIBILITIES TO PRESENCE LIFE CONNECTIONS FOR FINAL APPROVAL BY PRESENCE PRV HEALTH, BUT RETAINS THE POWER TO "INITIATE" THESE RESPONSIBILITIES. A) APPROVAL OF THE ADOPTION, AMENDMENT AND ALTERATION OF THESE BYLAWS AND TO ADOPT, AMEND AND ALTER THESE BYLAWS AS IS REASONABLY NECESSARY TO ENSURE COMPLIANCE WITH APPLICABLE LAW AND WITH THE SYSTEM; B) APPROVAL OF MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION OF PRESENCE LIFE CONNECTIONS OR ANY OF ITS SUBSIDIARIES; C) APPROVAL OF EXPENDITURE OF FUNDS OR DIVESTITURE OF ASSETS IN EXCESS OF THE ILLINOIS CON LIMIT SPECIFIED IN THE APPROVED CAPITAL BUDGET; D) APPROVAL OF EXPENDITURE OF FUNDS OR DIVESTITURE OF ASSETS NOT SPECIFIED IN THE APPROVED CAPITAL BUDGET AND ALLOCATION IN EXCESS OF $3 MILLION AND UP TO $10 MILLION; E) APPROVAL OF ANY VOLUNTARY FILING FOR BANKRUPTCY OR BANKRUPTCY COURT PROTECTION BY PRESENCE LIFE CONNECTIONS OR ANY OF ITS SUBSIDIARIES; F) APPROVAL OF ANY VOLUNTARY CHANGE TO FEDERAL TAX-EXEMPT STATUS UNDER CODE 501(C)(3) OF PRESENCE LIFE CONNECTIONS; G) ELECTION AND REMOVAL, WITH OR WITHOUT CAUSE, OF THE DIRECTORS AND CHAIR PERSONS OF PRESENCE LIFE CONNECTIONS; H) APPROVAL OF CONTRACTS OR PURCHASES, LITIGATION OR OTHER LEGAL SETTLEMENTS, BENEFITS PACKAGES OR OTHER MATTERS ABOVE AMOUNTS AS SPECIFIED FORM TIME TO TIME BY THE PRESENCE PRV HEALTH BOARD OF DIRECTORS; I) APPROVAL OF ALL TRANSFERS OF PROGRAMS AND ASSETS BY PRESENCE LIFE CONNECTIONS, WITHIN OR OUTSIDE OF THE SYSTEM; AND J) SELECTION OF THE AUDITORS FOR PRESENCE LIFE CONNECTIONS AND EACH OF ITS SUBSIDIARIES, AS WELL AS THE SELECTION OF THE BANKS AND OTHER FINANCIAL DEPOSITORIES UTILIZED AND THE PROCESS FOR APPROVING SIGNATORIES ON ALL ACCOUNTS EXCEPT FOR FOUNDATION ACCOUNTS. |
| FORM 990, PART VI, QUESTION 11B | FORM 990 REVIEW PROCESS THE CORPORATION PROVIDES A COMPLETE COPY OF ITS FORM 990 TO ALL MEMBERS OF THE GOVERNING BODY OF ITS ULTIMATE PARENT CORPORATION, PRESENCE HEALTH NETWORK, FOR REVIEW PRIOR TO FILING WITH THE IRS. THE BOARD OF DIRECTORS OF THE CORPORATION AND OTHER SUBSIDIARY ORGANIZATIONS WITHIN THE PRESENCE HEALTH SYSTEM ARE INTERNAL LIMITED FIDUCIARY BOARDS WHICH DO NOT RECEIVE A COMPLETED COPY OF THE FORM 990 PRIOR TO FILING. AS A RESULT, THE CORPORATION ANSWERS "NO", TO FORM 990, PART VI, LINE 11A. |
| FORM 990, PART VI, LINE 12C | PROCEDURES FOR ADDRESSING CONFLICTS OF INTEREST 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 CORPORATIONS 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 CORPORATIONS BOARD OR APPLICABLE COMMITTEE SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, ONLY DISINTERESTED DIRECTORS/COMMITTEE MEMBERS VOTE TO 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 THE 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, QUESTIONS 15A AND 15B, AND PART V, QUESTION 2A | COMPENSATION AND APPROVAL PROCESS FOR OFFICERS AND KEY EMPLOYEES COMPENSATION FOR THE CORPORATIONS CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED IN ACCORDANCE WITH WRITTEN POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF DIRECTORS OF PRESENCE HEALTH NETWORK, THE SYSTEM PARENT CORPORATION WHICH SHARES A MIRROR BOARD WITH PRESENCE CARE TRANSFORMATION CORPORATION (PCTC) AND PRESENCE CHICAGO HOSPITALS NETWORK (PCHN). SUCH POLICIES AND PROCEDURES ARE APPLIED BY THE HUMAN RESOURCES COMMITTEE OF THE SYSTEM PARENT CORPORATION, WHICH CONSISTS WHOLLY OF INDEPENDENT DIRECTORS. THE SYSTEM PARENT CORPORATION USES MARKET DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH BASE SALARIES AND TOTAL CASH COMPENSATION OPPORTUNITIES. THE SYSTEM PARENTS HUMAN RESOURCES COMMITTEE MONITORS EXECUTIVE TOTAL COMPENSATION AND APPROVES ALL COMPONENTS OF EXECUTIVE TOTAL COMPENSATION, ANNUALLY REVIEWING AND APPROVING COMPENSATION CHANGES FOR EACH EXECUTIVE, AND REGULARLY REPORTING ITS ACTIVITIES TO THE SYSTEM PARENTS BOARD. THE CORPORATION ANSWERS "NO" TO FORM 990, PART VI, QUESTION 15A AND 15B PER THE FORM 990 INSTRUCTIONS AS ALL COMPENSATION IS PAID BY A RELATED ORGANIZATION, PRESENCE CARE TRANSFORMATION CORPORATION, THE SYSTEMS STATUTORY EMPLOYER. |
| FORM 990, PART VI, LINE 19 | DOCUMENT AVAILABILITY THE CORPORATIONS 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. CONFLICTS 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 CORPORATIONS FORM 990. |
| FORM 990, PART VII, SECTIONS A & B | 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 XI, LINE 9 Other changes in net assets or fund balances INCREASE IN TEMPORARILY RESTRICTED NET ASSETS $ 100,898 NET ASSETS RELEASED FROM RESTRICTION $ 293,757 INTERCOMPANY $ 45,196,587 ============= TOTAL $ 45,591,242 |
| FORM 990, PART XII, LINE 2B | AUDITED FINANCIAL STATEMENTS 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 IX LINE 11G | DESCRIPTION:THERAPY SERVICES TOTAL FEES:6078536 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:DIETARY SERVICES TOTAL FEES:5841459 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TEMPORARY LABOR TOTAL FEES:1018449 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHARMACY TOTAL FEES:666227 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LAUNDRY TOTAL FEES:506157 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:169201 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER EXPENSES TOTAL FEES:2044318 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Presence Health Network | ||||||||||
| 200 South Wacker Drive | Chicago | IL | 60606 | 361649520 | Parent Corp | IL | 501(C)(3) | 11c III FI | na | false |
| Medicare Value Partners | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 363495969 | Health Care | IL | 501(C)(3) | 3 | PCHN | Yes (true) |
| Presence Holy Family Medical Center | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 362439318 | Health Care | IL | 501(C)(3) | 3 | PCHN | Yes (true) |
| Mount Loretto Nursing Home Inc | ||||||||||
| 302 Swart Hill Road | Amsterdam | NY | 12010 | 141363014 | Health Care | NY | 501(C)(3) | 3 | RM New York | Yes (true) |
| Presence Health Partners Services | ||||||||||
| 2380 E Dempster Ave Ste 236 | Des Plaines | IL | 60016 | 362644178 | Health Care | IL | 501(C)(3) | 3 | PCHN | Yes (true) |
| Presence Care Home | ||||||||||
| 18927 Hickory Creek Drive 300 | Mokena | IL | 60448 | 460483587 | Health Care | IL | 501(C)(3) | 9 | PLC | Yes (true) |
| Presence Care Transformation Corp | ||||||||||
| 1000 Remington Blvd Ste 100 | Bolingbrook | IL | 60440 | 363366652 | Mgmt Support | IL | 501(C)(3) | 11c III FI | PHN | false |
| Presence Home Care | ||||||||||
| 18927 Hickory Creek Drive 300 | Mokena | IL | 60448 | 460483581 | Health Care | IL | 501(C)(3) | 9 | PLC | Yes (true) |
| Presence Central and Suburban Hosp | ||||||||||
| 1000 Remington Blvd Ste 100 | Bolingbrook | IL | 60440 | 364195126 | Health Care | IL | 501(C)(3) | 3 | PCTC | Yes (true) |
| Laverna Terrace Housing Corporation | ||||||||||
| 18927 Hickory Creek Drive 300 | Mokena | IL | 60448 | 363438977 | Senior Living | IL | 501(C)(3) | 9 | PCTC | Yes (true) |
| Provena Self-Insurance Trust | ||||||||||
| 1000 Remington Blvd Suite 100 | Bolingbrook | IL | 60440 | 362987310 | Insurance | IL | 501(C)(3) | 11c III FI | na | false |
| Presence Behavioral Health | ||||||||||
| 1820 South 25th Avenue | Broadview | IL | 60155 | 362709982 | Health Care | IL | 501(C)(3) | 3 | PHS | Yes (true) |
| Presence Ambulatory Services | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 364286236 | Health Care | IL | 501(C)(3) | 9 | PCHN | Yes (true) |
| Presence Health Fdn Board of Trustees | ||||||||||
| 200 South Wacker Drive | Chicago | IL | 60606 | 363330929 | Fundraising | IL | 501(C)(3) | 7 | PCHN | Yes (true) |
| Presence Chicago Hospitals Network | ||||||||||
| 200 South Wacker Drive | Chicago | IL | 60606 | 362235165 | Mgmt Support | IL | 501(C)(3) | 11c III FI | PHN | false |
| Presence Home Care Services | ||||||||||
| 5747 West Dempster | Morton Grove | IL | 60053 | 362893936 | Home Care | IL | 501(C)(3) | 3 | PCHN | Yes (true) |
| Presence Resurrection Medical Center | ||||||||||
| 7435 West Talcott Avenue | Chicago | IL | 60631 | 363330926 | Health Care | IL | 501(C)(3) | 3 | PCHN | Yes (true) |
| Resurrection Nursing Home Inc | ||||||||||
| 90 North Main Street | Castleton | NY | 12033 | 141348691 | Health Care | NY | 501(C)(3) | 3 | RM New York | Yes (true) |
| Presence Senior Srvcs - Chicagoland | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 237061646 | Health Care | IL | 501(C)(3) | 3 | PCHN | Yes (true) |
| Presence Healthcare Services | ||||||||||
| 100 North River Road | Des Plaines | IL | 60016 | 363330928 | Health Care | IL | 501(C)(3) | 3 | PCHN | Yes (true) |
| Presence Saint Francis Hospital | ||||||||||
| 355 Ridge Avenue | Evanston | IL | 60202 | 362167800 | Health Care | IL | 501(C)(3) | 3 | PCHN | Yes (true) |
| Presence St Mary and Elizabeth Med Cntr | ||||||||||
| 2233 West Division Street | Chicago | IL | 60622 | 362171079 | Health Care | IL | 501(C)(3) | 3 | PCHN | Yes (true) |
| Presence Saint Joseph Hospital Chicago | ||||||||||
| 2900 North Lake Shore Drive | Chicago | IL | 60657 | 363200170 | Health Care | IL | 501(C)(3) | 3 | PCHN | Yes (true) |
| Presence Nazarethville | ||||||||||
| 300 North River Road | Des Plaines | IL | 60016 | 362801392 | Health Care | IL | 501(C)(3) | 9 | PSSC | Yes (true) |
| Arthur Merkle - Clara Knipprath Nursing | ||||||||||
| 1190 E 2900 N Road | Clifton | IL | 60927 | 362841358 | Health Care | IL | 501(C)(3) | 9 | PLC | Yes (true) |
| Rainbow Hospice and Palliative Care | ||||||||||
| 1550 Bishop Court | Mount Prospect | IL | 60056 | 363296367 | Health Care | IL | 501(C)(3) | 9 | PHCS | Yes (true) |
| Resurrection University | ||||||||||
| 1431 N Claremont | Chicago | IL | 60622 | 362182170 | Education | IL | 501(C)(3) | 2 | PCHN | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Bel Harlem Surg Ctr | |||||||
| 3101 North Harlem | Chicago | IL | 60634 | 412237162 | Medical Service | IL | N/A |
| RH Sleep Ctr - NW | |||||||
| 665 West North Ave 500 | Lombard | IL | 60148 | 261519627 | Medical Service | IL | N/A |
| RH Sleep Ctr - Evan | |||||||
| 665 West North Ave 500 | Lombard | IL | 60148 | 261519556 | Medical Service | IL | N/A |
| RH Sleep Ctr - LP | |||||||
| 665 West North Ave 500 | Lombard | IL | 60148 | 261519667 | Medical Service | IL | N/A |
| RH Sleep Ctr - RF | |||||||
| 665 West North Ave 500 | Lombard | IL | 60148 | 262189763 | Medical Service | IL | N/A |
| Alverno Clinic Lab | |||||||
| 2434 Interstate Plaza Drive | Hammond | IN | 46324 | 203240648 | Medical Service | IN | N/A |
| Prof Clinic Lab LLC | |||||||
| 113 E 4th St | Michigan City | IN | 46360 | 300711211 | Medical Service | IN | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| L Gilbraith Insurance SPC LTD | |||||||||||||
| 68 W Bay Road PO Box 1109 | Grand Cayman | CJ | Insurance | CJ | PCHN | Foreign Company | Yes (true) | ||||||
| Provena Health Assurance SPC | |||||||||||||
| 23 Lime Tree Bay Ave PO Box 1051 | Grand Cayman | CJ | Insurance | CJ | PCTC | Foreign Company | Yes (true) | 980420054 | |||||
| Presence Properties Inc | |||||||||||||
| Medical | PV | C Corp | Yes (true) | 363520630 | 100 North River Road | Des Plaines | IL | 60016 | IL | ||||
| Presence Service Corporation | |||||||||||||
| Medical | PCSHN | C Corp | Yes (true) | 364314354 | 2380 E Dempster Street | Des Plaines | IL | 60016 | IL | ||||
| Presence Ventures Inc | |||||||||||||
| Medical | PCTC | C Corp | Yes (true) | 371168085 | 100 North River Road | Des Plaines | IL | 60016 | IL | ||||
| Resurrection Medical Center Auxiliary | |||||||||||||
| Fundraising | PRMC | C Corp | Yes (true) | 366109825 | 7435 West Talcott Avenue | Chicago | IL | 60631 | IL | ||||
| Resurrection Ministries of New York | |||||||||||||
| Parent Corp | PCHN | C Corp | Yes (true) | 141720818 | 90 North Main Street | Castleton | NY | 12033 | NY | ||||
| Presence Health Care Preferred | |||||||||||||
| MGD Care Contract | PCHN | C Corp | Yes (true) | 363974620 | 100 North River Road | Des Plaines | IL | 60016 | IL | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PRESENCE CENTRAL & SUBURBAN HOSPITALS NETWORK | ||
| P | $100,847 | COST |
| PRESENCE CENTRAL & SUBURBAN HOSPITALS NETWORK | ||
| Q | $89,863 | COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART IV | FormAndLineReferenceDesc |
| Explanation | REIMBURSEMENTS FOR SHARED SERVICES PRESENCE CARE TRANSFORMATION CORPORATION (FKA PRESENCE PRV HEALTH) (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 CORPORATION. | ExplanationTxt |
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