2017-03-10T14:29:27-06:00 2015-12-31 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2015-01-01 371127787 PRESENCE LIFE CONNECTIONS % JAMES H KELLEY PRES 6309142791 18927 HICKORY CREEK DRIVE 300 MOKENA IL 60448 JAMES H KELLEY TREASURER 3123083981 2017-03-10 true JACOB J ZEHNDER P01564049 3128792000 2015 2021-01-29 14:40:06Z SEE SCHEDULE O JOSEPH HUGAR 18927 HICKORY CREEK DRIVE 300 MOKENA IL 60448 105613106 false X www.presencehealth.org X 1997 IL SEE SCHEDULE O 14 11 0 2 225875 121374 617517 565919 104727615 100590549 826159 265095 1403477 4156867 107574768 105578430 0 0 0 0 53209977 56503803 0 0 0 55974721 60939886 109184698 117443689 -1609930 -11865259 100094053 112295509 32808565 11284038 67285488 101011471 X SEE SCHEDULE O false false 100021903 0 82494867 PRESENCE LIFE CONNECTIONS PROVIDES NURSING CARE FOR LONG-TERM RESIDENTS WHO NEED ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. 6093605 0 4513211 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. 8996287 0 12393864 PRESENCE LIFE CONNECTIONS OPERATES A PHARMACY IN KANKAKEE, IL THAT IS ONLY AVAILABLE TO ITS RESIDENTS. 1945481 0 4900558 117057276 true true false false false false false false false false true false false true true true false true false false false false false false true false false false false true false false false false false false true false false false false false false true true true false false true X 0 0 true 0 true true true false false false false false false false false false X 14 11 false false false false true true true true true false true true false true true true true true false false false X JAMES H KELLEY 3123083289 200 SOUTH WACKER CHICAGO IL 60606 X JEAN BLAKE SYSTEM CEO APPOINTEE/DIRECTOR 1.0 40.0 X 0 376276 65416 JOSEPH G HUGAR CEO/DIRECTOR EX-OFFICIO 40.0 10.0 X X 459242 0 103593 LAWRENCE PANKAU MD DIRECTOR 1.0 40.0 X 0 306907 29776 NANCY DOWD DIRECTOR 1.0 6.0 X 0 0 0 DR JAMES HAGEN DIRECTOR 1.0 6.0 X 0 0 0 LUCIA JONES DIRECTOR 1.0 6.0 X 0 0 0 THERESA KWIATKOWSKI DIRECTOR 1.0 6.0 X 0 0 0 FLORIDA FREEMAN DIRECTOR 1.0 6.0 X 0 0 0 JOHN LARSON DIRECTOR 1.0 6.0 X 0 0 0 SISTER MARIE MASON SSCM CHAIR/DIRECTOR 1.0 6.0 X X 0 0 0 SALLIE MILLER VICE CHAIR/DIRECTOR 1.0 6.0 X X 0 0 0 PHYLLIS NICHOLS DIRECTOR 1.0 6.0 X 0 0 0 TIM PHILLIPPE DIRECTOR 1.0 6.0 X 0 0 0 TOM SMITH DIRECTOR 1.0 6.0 X 0 0 0 ANTHONY J FILER TREASURER 1.0 62.0 X 0 1401909 1209330 JEANNIE C FREY SECRETARY 1.0 63.0 X 0 577236 125759 PATRICK QUINN ASSISTANT TREASURER 1.0 61.0 X 0 328224 71480 JULIE ROKNICH ASSISTANT SECRETARY 1.0 60.0 X 0 217095 30640 SUSAN A ENRIGHT COO HOME CARE HOSP HOUS OPS 40.0 0.0 X 264530 0 29101 ELIZABETH H FLORCZAK VICE PRESIDENT QUALITY 40.0 0.0 X 157958 0 25716 CHERYL WOLFE CHIEF REHAB OFFICER-PLC 40.0 0.0 X 151962 0 6223 MICHAEL H BORN II REGIONAL DIRECTOR PHARMACY-PLC 40.0 0.0 X 197956 0 30983 CONSTANCE NESTOR RGN DIRECTOR, SUPPORT SERVICES 40.0 0.0 X 158751 0 17024 JANELLE L CHADWICK DIR PLC OPERATIONS 40.0 0.0 X 150350 0 20855 NILIE WILD STAFF NURSE I SR SERVICE 40.0 0.0 X 140826 0 19346 CRAIG J PROKUPEK ADMINISTRATOR II SENIOR SVC 40.0 0.0 X 138313 0 39517 MICHAEL GORDON FORMER VP OF FINANCE & CFO 0.0 41.0 X 328848 0 38704 CRAIG A CULVER FORMER VP DEVELOPMENT 0.0 40.0 X 0 167868 4263 WENDELL D PROVOST FORMER VP OF HR 0.0 40.0 X 0 275405 30385 PETER GOSCHY FORMER VP NURSNG HM OPERATIONS 0.0 42.0 X 0 281132 32395 2148736 3932052 1930506 25 true true false SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 606809056 THERAPY SERVICES 8172005 UNIDINE CORP 1000 WASHINGTON STREET SUITE 510 BOSTON MA 02118 FOOD SERVICE 1995068 TOTAL NURSES NETWORK 1515 N HARLEM OAK PARK IL 60302 NURSING SERVICES 255817 HLS-WHEELING LLC 45 W HINZ RD WHEELING IL 60090 LAUNDRY SERVICE 590315 SCRIPTFLEET GREAT LAKES PO BOX 2513 ORLANDO FL 32802 DELIVERY SERVICE 415944 16 0 85331 480588 16454 565919 SKILLED NURSING CARE 623000 82494867 82494867 0 0 RESIDENTIAL 623000 4513211 4513211 0 0 PHARMACY 446110 12393864 12393864 0 0 DAY CARE 623000 1188607 1188607 0 0 100590549 1286 1286 0 6000 6000 0 0 0 0 263809 0 0 0 263809 263809 263809 80150 34676 45474 45474 0 0 SACRED HEART HOME 900099 2659035 2659035 0 0 CONSULTING MGMT SERVICES 561110 393442 0 225875 167567 CAFETERIA REVENUE 722514 151971 151971 0 0 900945 900945 4105393 105578430 104302500 225875 484136 X 0 0 0 0 0 0 0 0 1198325 1198325 0 0 0 0 0 0 43158043 43067828 90215 0 2220747 2215614 5133 0 6594489 6589364 5125 0 3332199 3327069 5130 0 244703 0 244703 0 19978 0 19978 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16324347 16324347 0 0 107196 107196 0 0 932947 932947 0 0 359 359 0 0 0 0 0 0 4872037 4866261 5776 0 156102 156102 0 0 0 0 0 0 41530 41530 0 0 2249322 2249322 0 0 0 0 0 0 5150314 5149357 957 0 2993109 2993109 0 0 PATIENT SUPPLIES & DRUGS 12072396 12063565 8831 0 BAD DEBT 7337140 7337140 0 0 NON PATIENT SUPPLIES 4247427 4247427 0 0 OTHER TAXES & ASSESSMENTS 2044185 2044185 0 0 2146794 2146229 565 117443689 117057276 386413 0 0 0 0 12312529 13016778 0 0 18249940 20031123 0 0 0 0 0 0 1073161 811857 1327943 1808878 124287019 71643699 56569110 52643320 10101732 10040620 0 0 0 0 0 0 459638 13942933 100094053 112295509 15392760 9616273 0 0 154915 115064 0 0 0 0 0 0 894134 813772 0 0 16366756 738929 32808565 11284038 X 65831863 99456948 1210361 1311259 243264 243264 67285488 101011471 100094053 112295509 X -11865259 0 0 0 0 45591242 X X false true X true false X 1025624 777932 965230 617517 565919 3952222 87821832 106131412 98517912 104727615 100590549 497789320 768350 694769 1463119 0 0 89615806 107604113 99483142 105345132 101156468 503204661 0 0 0 503204661 251756 436042 804189 818279 7286 2317552 57825 77739 225875 361439 309581 513781 804189 818279 233161 2678991 0 1667984 1607041 1255256 1403476 3879518 9813275 91593371 109724935 101542587 107566887 105269147 515696927 0.97578 0.97796 0.00520 0.00577 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3977843 3977843 93092482 52709074 40383408 1984281 1373941 610340 25157052 17560684 7596368 75361 75361 52643320 OTHER RECEIVABLES 2541679 DUE FROM AFFILIATES 10304382 DEFERRED COMPENSATION ASSET 99654 MEDICARE SETTLEMENTS 997218 13942933 0 SECURITY DEPOSITS 166975 CAPITAL ACCUMULATION 99654 OTHER LONG TERM LIABILITIES 472300 738929 X FIN 48(ASC 740) Footnote 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. GOLF OUTING 63530 63530 24355 FALL FESTIVAL 6089 6089 6299 1 10531 10531 4022 80150 80150 34676 34676 45474 true true false false false false false JEAN BLAKE SYSTEM CEO APPOINTEE/DIRECTOR 0 294461 0 67403 0 14412 0 46040 0 19376 0 441692 0 0 JOSEPH G HUGAR CEO/DIRECTOR EX-OFFICIO 403172 0 45413 0 10657 0 80601 0 22992 0 562835 0 0 0 LAWRENCE PANKAU MD DIRECTOR 0 249621 0 5951 0 51335 0 15900 0 13876 0 336683 0 0 ANTHONY J FILER TREASURER 0 658477 0 161537 0 581895 0 1185735 0 23595 0 2611239 0 377532 JEANNIE C FREY SECRETARY 0 446640 0 105384 0 25212 0 102389 0 23370 0 702995 0 0 PATRICK QUINN ASSISTANT TREASURER 0 234711 0 62409 0 31104 0 49265 0 22215 0 399704 0 18512 JULIE ROKNICH ASSISTANT SECRETARY 0 189526 0 27407 0 162 0 9850 0 20790 0 247735 0 0 SUSAN A ENRIGHT COO HOME CARE HOSP HOUS OPS 192131 0 57892 0 14507 0 13420 0 15681 0 293631 0 13574 0 ELIZABETH H FLORCZAK VICE PRESIDENT QUALITY 153725 0 3146 0 1087 0 9747 0 15969 0 183674 0 0 0 CHERYL WOLFE CHIEF REHAB OFFICER-PLC 151039 0 0 0 923 0 1905 0 4318 0 158185 0 0 0 MICHAEL H BORN II REGIONAL DIRECTOR PHARMACY-PLC 165833 0 22542 0 9581 0 15673 0 15310 0 228939 0 6632 0 CONSTANCE NESTOR RGN DIRECTOR, SUPPORT SERVICES 157355 0 0 0 1396 0 8044 0 8980 0 175775 0 0 0 JANELLE L CHADWICK DIR PLC OPERATIONS 128268 0 16006 0 6076 0 7091 0 13764 0 171205 0 4061 0 NILIE WILD STAFF NURSE I SR SERVICE 140271 0 96 0 459 0 7229 0 12117 0 160172 0 0 0 CRAIG J PROKUPEK ADMINISTRATOR II SENIOR SVC 114922 0 18740 0 4651 0 24514 0 15003 0 177830 0 4286 0 MICHAEL GORDON FORMER VP OF FINANCE & CFO 223540 0 80729 0 24579 0 15900 0 22804 0 367552 0 17810 0 CRAIG A CULVER FORMER VP DEVELOPMENT 0 55892 0 54898 0 57078 0 0 0 4263 0 172131 0 0 WENDELL D PROVOST FORMER VP OF HR 0 191169 0 61652 0 22584 0 15444 0 14941 0 305790 0 14505 PETER GOSCHY FORMER VP NURSNG HM OPERATIONS 0 206655 0 51777 0 22700 0 14255 0 18140 0 313527 0 0 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 Susan Puchalla Parent of Julie Roknich 41609 Employee Wages false 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 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 true Presence Holy Family Medical Center 100 North River Road Des Plaines IL 60016 362439318 Health Care IL 501(C)(3) 3 PCHN 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) 3 PCHN true Presence Care Home 18927 Hickory Creek Drive 300 Mokena IL 60448 460483587 Health Care IL 501(C)(3) 9 PLC 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 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 Drive 300 Mokena IL 60448 363438977 Senior Living IL 501(C)(3) 9 PCTC 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 true Presence Ambulatory Services 100 North River Road Des Plaines IL 60016 364286236 Health Care IL 501(C)(3) 9 PCHN true Presence Health Fdn Board of Trustees 200 South Wacker Drive Chicago IL 60606 363330929 Fundraising IL 501(C)(3) 7 PCHN 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 true Presence Resurrection Medical Center 7435 West Talcott Avenue Chicago IL 60631 363330926 Health Care IL 501(C)(3) 3 PCHN 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 Senior Srvcs - Chicagoland 100 North River Road Des Plaines IL 60016 237061646 Health Care IL 501(C)(3) 3 PCHN true Presence Healthcare Services 100 North River Road Des Plaines IL 60016 363330928 Health Care IL 501(C)(3) 3 PCHN true Presence Saint Francis Hospital 355 Ridge Avenue Evanston IL 60202 362167800 Health Care IL 501(C)(3) 3 PCHN true Presence St Mary and Elizabeth Med Cntr 2233 West Division Street Chicago IL 60622 362171079 Health Care IL 501(C)(3) 3 PCHN true Presence Saint Joseph Hospital Chicago 2900 North Lake Shore Drive Chicago IL 60657 363200170 Health Care IL 501(C)(3) 3 PCHN true Presence Nazarethville 300 North River Road Des Plaines IL 60016 362801392 Health Care IL 501(C)(3) 9 PSSC true Arthur Merkle - Clara Knipprath Nursing 1190 E 2900 N Road Clifton IL 60927 362841358 Health Care IL 501(C)(3) 9 PLC true Rainbow Hospice and Palliative Care 1550 Bishop Court Mount Prospect IL 60056 363296367 Health Care IL 501(C)(3) 9 PHCS true Resurrection University 1431 N Claremont Chicago IL 60622 362182170 Education IL 501(C)(3) 2 PCHN true 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 L Gilbraith Insurance SPC LTD 68 W Bay Road PO Box 1109 Grand Cayman CJ Insurance CJ PCHN Foreign Company true Provena Health Assurance SPC 23 Lime Tree Bay Ave PO Box 1051 Grand Cayman CJ 980420054 Insurance CJ PCTC Foreign Company true Presence Properties Inc 100 North River Road Des Plaines IL 60016 363520630 Medical IL PV C Corp true Presence Service Corporation 2380 E Dempster Street Des Plaines IL 60016 364314354 Medical IL PCSHN C Corp true Presence Ventures Inc 100 North River Road Des Plaines IL 60016 371168085 Medical IL PCTC C Corp true Resurrection Medical Center Auxiliary 7435 West Talcott Avenue Chicago IL 60631 366109825 Fundraising IL PRMC C Corp true Resurrection Ministries of New York 90 North Main Street Castleton NY 12033 141720818 Parent Corp NY PCHN C Corp true Presence Health Care Preferred 100 North River Road Des Plaines IL 60016 363974620 MGD Care Contract IL PCHN C Corp true false false false false false false false false false false false false false false true true true false false PRESENCE CENTRAL & SUBURBAN HOSPITALS NETWORK P 100847 COST PRESENCE CENTRAL & SUBURBAN HOSPITALS NETWORK Q 89863 COST SCHEDULE R, PART IV 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.