SWEDISH COVENANT HEALTH: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- SWEDISH COVENANT HEALTH (EIN 36-2179813)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-12
- IRS object ID
- 201612259349302176
- Schema version
- 2014v6.0
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-12T10:51:24-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S Wacker Drive Ste 800 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362179813 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWEDISH COVENANT HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SWED | BusinessNameControlTxt |
| Phone | 7738788200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5145 N CALIFORNIA AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60625 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS J GARVEY | PersonNm |
| Person Title | SENIOR VP & CFO | PersonTitleTxt |
| Phone | 7738788200 | PhoneNum |
| Signature | 2016-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Wayne Harder | PreparerPersonNm |
| PTIN | P00294296 | PTIN |
| Phone | 3126343400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS J GARVEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5145 N CALIFORNIA AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60625 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $291,222,358 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.swedishcovenant.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1907 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | Providing excellent healthcare services for our culturally diverse communities for over 120 years. | ActivityOrMissionDesc |
| Voting Members Governing Body | 24 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 2233 | TotalEmployeeCnt |
| Total Volunteers | 162 | TotalVolunteersCnt |
| Total Gross UBI | $2,813,093 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $501,774 | PYContributionsGrantsAmt |
| CY Contributions Grants | $324,033 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $241,686,328 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $259,348,588 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,162,954 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,408,516 | CYInvestmentIncomeAmt |
| PY Other Revenue | $19,166,926 | PYOtherRevenueAmt |
| CY Other Revenue | $26,141,221 | CYOtherRevenueAmt |
| PY Total Revenue | $270,517,982 | PYTotalRevenueAmt |
| CY Total Revenue | $291,222,358 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $962,433 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $954,750 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $119,059,824 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $119,276,648 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $133,132,311 | PYOtherExpensesAmt |
| CY Other Expenses | $138,848,247 | CYOtherExpensesAmt |
| PY Total Expenses | $253,154,568 | PYTotalExpensesAmt |
| CY Total Expenses | $259,079,645 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $17,363,414 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $32,142,713 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $442,054,712 | TotalAssetsBOYAmt |
| Total Assets EOY | $446,778,668 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $272,555,069 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $277,220,750 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $169,499,643 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $169,557,918 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Our Mission is to provide a continuum of excellent healthcare services. Rooted in The Evangelical Covenant Church, the hospital is dedicated to serving the physical, spiritual and psychological needs of our culturally diverse communities. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $225,291,205 | ExpenseAmt |
| Grant | $954,750 | GrantAmt |
| Revenue | $284,158,235 | RevenueAmt |
| Desc | Since 1886, Swedish Covenant Hospital (SCH) has been dedicated to providing community benefit healthcare services and healthcare education. As part of its mission as a not-for-profit, church-based community hospital, Swedish Covenant has served as an educational center, health rehabilitation center, illness prevention center, social support services center, and community center. Swedish Covenant Hospital serves as a solid community structure through employment of over 1,797 individuals.Recognizing its mission to the community, Swedish Covenant Hospital offers the following quality medical healthcare services regardless of race, creed, sex, national origin, handicap, age or ability to pay:General Medicine, Surgery, ICUSwedish Covenant Hospital continually offers the latest technology to meet the vast needs of the community. During the fiscal year, SCH serviced 13,570 inpatients and more than 273,000 outpatients at a total cost of $212,631,515.Physical Medicine/Rehab ServicesSCH is dedicated to providing a comprehensive Rehab Unit that combines the disciplines of physical therapy, speech therapy, occupational therapy and social work to help patients regain their strength and skills. The Rehab unit features a special room that simulates a home environment so patients can practice with home-like carpeting, furniture and fixtures while supervised by nurses. During the fiscal year, 214,981 inpatient and outpatient treatments for rehab, speech and occupational therapy were provided for a total cost of $4,643,987.Cardiac Care and RehabThe Cardiac Rehabilitation program offered by Swedish Covenant Hospital has improved the lives of many individuals with such innovative programs as "Coronary Heart Disease Reversal." SCH also offers a state-of-the-art Cardiac Catheterization Lab, and other diagnostic and preventive programs. During the fiscal year, SCH provided 30,558 treatments and 1,751 procedures by the Cardiac Rehab program and Cardiac Catheterization Lab, respectively, for a total cost of $7,072,750.In addition to the program services listed above, Swedish Covenant Hospital also offers the following services to the community:Health Screening, Health Promotions, Education, PreventionSCH offers year-round health screenings to members of the community. Blood pressure screening events are provided in collaboration with the hospital's Stroke Education Coordinator.Each year free or reduced-cost cancer screenings are offered to the community. These included prostate, skin, cervical and breast screenings. Additionally, dozens of programs led by oncologists and dietitians from the hospital address topics of cancer prevention, treatment, nutrition, fitness and other healthy lifestyle recommendations.The hospital also has an in-house smoking cessation program, which offers customized treatment plans and ongoing group support.During the fiscal year Swedish Covenant Hospital served a total of 15,631 persons through participation in health promotions, education, and prevention for a total cost of $340,353.Community Wellness and Prevention programs continue to serve the community with 225 events held at the Hospital or in the community through collaboration with community partners. These events include health fairs, screenings, daytime and evening lectures, seminars, classes, Speakers' Bureau presentations, children's events and other health related activities. Throughout the year the Hospital collaborated with dozens of community organizations to provide wellness and prevention programs.Swedish Covenant Hospital publishes periodic health and wellness information which is distributed through mailings and web-based programs to 985,265 households throughout the surrounding community for a cost of $54,015.During the fiscal year, Swedish Covenant Hospital also offered transportation services to 3,269 members of the community at a net cost of $136,426.Interpreter ServicesSwedish Covenant Hospital provides in-house interpreters for patients who speak Korean, Spanish, and Russian, the primary non-English languages in the community. In FY 2015, the interpreters participated in a total of 1,983 sessions. Additionally, SCH uses professional telephone interpretive assistance and had a total of 167,070 telephonic interpretation minutes in 74 languages. For deaf or hearing impaired patients who request sign language interpreters, the Hospital provides interpreters through CAIRS and Chicago Hearing Society. SCH incurred a total cost of $412,159 for interpreter services serving a total of 41,690 persons.Medical Education ProgramSwedish Covenant Hospital is an independent teaching hospital, with residency programs in family medicine, osteopathic internal medicine, and podiatric surgery. Swedish Covenant Hospital also has fellowship programs in Critical Care Medicine and Pulmonary Critical Care Medicine.Swedish Covenant Hospital utilizes board-certified physicians who are employed by Swedish Covenant Management Services, a wholly-owned subsidiary of Swedish Covenant Hospital to provide teaching, training and supervision of the residents in Swedish Covenant Hospital's Family Medicine (12 residents), Internal Medicine (24 residents), Podiatric Surgery (6 residents) residency programs as well as the Critical Care (2 fellows) and Pulmonary Critical Care Fellowships (3 fellows). As part of Swedish Covenant Hospital's teaching affiliation agreement with Midwestern University Chicago College of Osteopathic Medicine (MWU/CCOM), Swedish Covenant Hospital is a training site for residents in emergency medicine and critical care.Swedish Covenant Hospital has an affiliation agreement with Rush University which allows for the Hospital to be a training site for their OB/GYN residents.In addition to the above, during the fiscal year ended September 30, 2015, Swedish Covenant Hospital voluntarily provided $6,521,194 at cost in charity care/uninsured discounts and provided $21,774,724 at cost in unreimbursed Medicaid services. | Desc |
| Total Program Service Expenses | $225,291,205 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 278 | IRPDocumentCnt |
| IRP Document W2 G | 1 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2233 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 24 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THOMAS GARVEY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7738788200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5145 N CALIFORNIA AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60625 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES L ADAIR | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KURT D ANDERSON | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| LYLE BANKS | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| MICHAEL BAUGHMAN | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| RONALD D CURRAN MD | ||||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $34,167 | $788,742 | $30,201 | ||||
| VINCENT DIBENEDETTO | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| H CLARK FEDERER MD | ||||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $340,685 | $27,136 | ||||
| MAUREEN T GIRARD | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| W J WESLEY KEE | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| DAVID J KOO | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| BRUCE MCNULTY MD | ||||||||||
| DIRECTOR | 7.50 | 1.00 | Yes (X) | $25,000 | $0 | $0 | ||||
| REV MARK A NILSON | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| CHRISTOPHER J OLSON | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| BEA REYNA-HICKEY | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| CHRIS SULLIVAN | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| JEFFREY M TILKIN MD | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $13,933 | $0 | $0 | |||||
| LAWRENCE P ANDERSON | ||||||||||
| DIRECTOR | 1.00 | 42.00 | Yes (X) | $0 | $591,281 | $27,429 | ||||
| DAVID A DWIGHT | ||||||||||
| DIRECTOR | 1.00 | 42.00 | Yes (X) | $0 | $657,813 | $38,110 | ||||
| ARMINIO SURUCCI MD | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| REV GARY B WALTER | ||||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $151,200 | $113,208 | ||||
| THOMAS M PYRA | ||||||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| JUDITH A PINS | ||||||||||
| VICE CHAIR | 1.00 | Yes (X) | $15,131 | $0 | $0 | Yes (X) | ||||
| DAVID R PUTMAN | ||||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| MARK NEWTON | ||||||||||
| PRESIDENT & CEO | 40.00 | 3.00 | Yes (X) | $0 | $962,414 | $19,750 | Yes (X) | |||
| THOMAS J GARVEY | ||||||||||
| SENIOR VP & CFO | 40.00 | 3.00 | $416,644 | $0 | $58,790 | Yes (X) | ||||
| JUDITH A BORENSTEIN | ||||||||||
| GENERAL COUNSEL | 40.00 | 3.00 | $360,816 | $0 | $35,282 | Yes (X) | ||||
| ANTHONY GUACCIO | ||||||||||
| SENIOR VP & COO | 40.00 | 1.00 | $488,047 | $0 | $67,219 | Yes (X) | ||||
| DEREK J KELLY MD | ||||||||||
| VP & CHIEF MEDICAL OFFICER | 40.00 | $382,949 | $0 | $18,206 | Yes (X) | |||||
| MARY SHEHAN RN | ||||||||||
| SENIOR VP, CNO | 40.00 | $303,657 | $0 | $8,561 | Yes (X) | |||||
| KATHRYN DONOFRIO RN | ||||||||||
| SENIOR VP, CNO | 40.00 | $166,449 | $0 | $19,562 | Yes (X) | |||||
| KAREN M SHEEHAN | ||||||||||
| SENIOR VP & CIO | 40.00 | $279,180 | $0 | $25,460 | Yes (X) | |||||
| JANIS A RUEPING | ||||||||||
| VP QUALITY IMPVMT/RISK MGM | 40.00 | 1.00 | $255,137 | $0 | $41,230 | Yes (X) | ||||
| MICHAEL FEINZIMER | ||||||||||
| PHYSICIAN | 40.00 | $221,180 | $0 | $1,716 | Yes (X) | |||||
| JONATHAN LIND | ||||||||||
| VP OPERATIONS | 40.00 | $213,456 | $0 | $24,561 | Yes (X) | |||||
| PATRICIA KING | ||||||||||
| ASSOCIATE GENERAL COUNSEL | 40.00 | $208,049 | $0 | $22,477 | Yes (X) | |||||
| TONY VANCAUWELAERTMD | ||||||||||
| FORMER DIRECTOR,PHYSICIAN | 0.00 | 40.00 | $0 | $303,331 | $15,326 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,383,795 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,795,466 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $594,224 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 80 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MIDWESTERN UNIVERSITY | |||||
| 555 31ST STREET | DOWNERS GROVE | IL | 60515 | HEALTH CARE | $937,798 |
| ANDERSON MIKOS ARCHITECTS LTD | |||||
| 17W110 2ND ST SUITE 200 | OAKBROOK TERRACE | IL | 60181 | ARCHITECT SERVICES | $867,782 |
| NEPHRON DIALYSIS CTR LTD | |||||
| 5140 N CALIFORNIA AVE STE 510 | CHICAGO | IL | 60625 | HEALTH CARE | $659,095 |
| PEDIATRIC FACULTY FOUNDATION LURIE CHILD | |||||
| 225 E CHICAGO AVE BOX 152 | CHICAGO | IL | 60611 | HEALTH CARE | $614,395 |
| QUEST DIAGNOSTICS | |||||
| 12989 COLLECTION CENTER DR | CHICAGO | IL | 60693 | HEALTH CARE | $581,376 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Government Grants | $263,806 | GovernmentGrantsAmt |
| All Other Contributions | $60,227 | AllOtherContributionsAmt |
| Total Contributions | $324,033 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| HEALTH CARE SERVICES | 900099 | $257,010,935 | $257,010,935 | |
| LABORATORY SERVICES | 621500 | $2,337,653 | $2,337,653 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $259,348,588 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$247,024 | TotalRevenueColumnAmt |
| Exclusion | -$247,024 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,299,289 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,299,289 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,299,289 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,299,289 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,655,540 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,655,540 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,655,540 | TotalRevenueColumnAmt |
| Exclusion | $5,655,540 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CHRPP REBATE | 900099 | $9,357,953 | $9,357,953 | |
| CHILD CARE CENTER | 624410 | $1,021,511 | $546,071 | $475,440 |
| PARKING GARAGE FEES | 812930 | $956,284 | $956,284 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,506,184 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,506,184 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $19,841,932 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $291,222,358 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $284,158,235 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,813,093 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,408,516 | 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 | $954,750 | TotalAmt |
| Program Services | $954,750 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,223,449 | TotalAmt |
| Program Services | $921,164 | ProgramServicesAmt |
| Management And General | $1,302,285 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,719 | TotalAmt |
| Program Services | $116,185 | ProgramServicesAmt |
| Management And General | $103,534 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,937,640 | TotalAmt |
| Program Services | $87,416,942 | ProgramServicesAmt |
| Management And General | $8,520,698 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,819,457 | TotalAmt |
| Program Services | $1,635,874 | ProgramServicesAmt |
| Management And General | $183,583 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,012,708 | TotalAmt |
| Program Services | $10,847,278 | ProgramServicesAmt |
| Management And General | $1,165,430 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,063,675 | TotalAmt |
| Program Services | $6,304,296 | ProgramServicesAmt |
| Management And General | $759,379 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,028,219 | TotalAmt |
| Management And General | $3,028,219 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $227,431 | TotalAmt |
| Management And General | $227,431 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,100 | TotalAmt |
| Management And General | $116,100 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,500 | TotalAmt |
| Management And General | $217,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,262,034 | TotalAmt |
| Program Services | $23,569,990 | ProgramServicesAmt |
| Management And General | $3,692,044 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $819,213 | TotalAmt |
| Program Services | $396,149 | ProgramServicesAmt |
| Management And General | $423,064 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $630,880 | TotalAmt |
| Program Services | $540,475 | ProgramServicesAmt |
| Management And General | $90,405 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,437,343 | TotalAmt |
| Program Services | $4,106,915 | ProgramServicesAmt |
| Management And General | $330,428 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,252 | TotalAmt |
| Program Services | $252,392 | ProgramServicesAmt |
| Management And General | $122,860 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,786,442 | TotalAmt |
| Management And General | $8,786,442 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,234,511 | TotalAmt |
| Program Services | $17,868,788 | ProgramServicesAmt |
| Management And General | $1,365,723 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,021,090 | TotalAmt |
| Program Services | $9,009,962 | ProgramServicesAmt |
| Management And General | $1,011,128 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER OPERATING SUPPLIE | $40,726,756 | $40,616,396 | $110,360 |
| IDPA TAX | $12,709,392 | $12,709,392 | |
| EQUIPMENT REPAIR & MAIN | $6,328,127 | $6,236,554 | $91,573 |
| PROPERTY & SALES TAX | $2,197,841 | $265,911 | $1,931,930 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,730,116 | TotalAmt |
| Program Services | $1,521,792 | ProgramServicesAmt |
| Management And General | $208,324 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,079,645 | TotalAmt |
| Program Services | $225,291,205 | ProgramServicesAmt |
| Management And General | $33,788,440 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $288,035 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $11,897,913 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $993,799 | BOYAmt |
| EOY | $543,629 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,652,044 | BOYAmt |
| EOY | $30,947,891 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,303,416 | BOYAmt |
| EOY | $3,784,892 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,752,038 | BOYAmt |
| EOY | $4,446,796 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $475,095,084 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $288,103,678 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,551,595 | BOYAmt |
| EOY | $186,991,406 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,816,422 | BOYAmt |
| EOY | $133,415,456 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,667,943 | BOYAmt |
| EOY | $592,357 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,317,455 | BOYAmt |
| EOY | $73,870,293 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $442,054,712 | BOYAmt |
| EOY | $446,778,668 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,222,328 | BOYAmt |
| EOY | $39,720,768 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,843,930 | BOYAmt |
| EOY | $167,269,819 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,488,811 | BOYAmt |
| EOY | $70,230,163 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $272,555,069 | BOYAmt |
| EOY | $277,220,750 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,467,998 | BOYAmt |
| EOY | $168,484,197 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,031,645 | BOYAmt |
| EOY | $1,073,721 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,499,643 | BOYAmt |
| EOY | $169,557,918 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $442,054,712 | BOYAmt |
| EOY | $446,778,668 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $32,142,713 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$13,467,349 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$18,617,089 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $146,885 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $217,500 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $364,385 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | In the course of regular business activities, the hospital or its lobbyist perform some lobbying activities on matters of interest to itself and its patients. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,383,248 | BeginningYearBalanceAmt |
| Contributions | $2,587,312 | ContributionsAmt |
| Investment Earnings Or Losses | -$164,316 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,746,011 | OtherExpendituresAmt |
| End Year Balance | $22,060,233 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,747,291 | BeginningYearBalanceAmt |
| Contributions | $2,850,273 | ContributionsAmt |
| Investment Earnings Or Losses | $477,914 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,692,230 | OtherExpendituresAmt |
| End Year Balance | $21,383,248 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,575,237 | BeginningYearBalanceAmt |
| Contributions | $1,532,811 | ContributionsAmt |
| Investment Earnings Or Losses | $115,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,475,757 | OtherExpendituresAmt |
| End Year Balance | $20,747,291 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,626,213 | BeginningYearBalanceAmt |
| Contributions | $8,677,201 | ContributionsAmt |
| Investment Earnings Or Losses | $127,001 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,855,178 | OtherExpendituresAmt |
| End Year Balance | $20,575,237 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,814,654 | BeginningYearBalanceAmt |
| Contributions | $1,270,179 | ContributionsAmt |
| Investment Earnings Or Losses | $20,979 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $479,599 | OtherExpendituresAmt |
| End Year Balance | $19,626,213 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.17840 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.82160 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,960,138 | OtherCostOrOtherBasisAmt |
| Book Value | $7,960,138 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $206,553,629 | OtherCostOrOtherBasisAmt |
| Depreciation | $91,342,827 | DepreciationAmt |
| Book Value | $115,210,802 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $550,932 | OtherCostOrOtherBasisAmt |
| Depreciation | $550,932 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $230,437,044 | OtherCostOrOtherBasisAmt |
| Depreciation | $176,237,060 | DepreciationAmt |
| Book Value | $54,199,984 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,593,341 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,972,859 | DepreciationAmt |
| Book Value | $9,620,482 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $186,991,406 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| CMB BOND & EQUITY FUND - FMV | $124,066,502 | F |
| US BANK | $9,346,348 | F |
| MERRILL LYNCH - FMV | $2,606 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $133,415,456 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (10 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER INVESTMENTS | $879,216 |
| CAPTIVE RECOVERIES A/R | $1,628,937 |
| CHRPP RECOVERIES A/R | $6,178,000 |
| DUE FROM AFFILIATES | $55,641,103 |
| ASSETS WHOSE USE IS LIMITED | $3,624,951 |
| ALL OTHER CURRENT ASSETS | $536,226 |
| ACA 400 | $2,319,613 |
| PA TAX ASSESSMENT | $1,946,891 |
| STOP LOSS REIMBURSEMENTS | $570,947 |
| TRANSITIONAL CARE PAYMENT | $544,409 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $73,870,293 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED LONG TERM MALPRACTICE LIABILITY | $18,913,658 |
| FAIR VALUE OF INTEREST RATE SWAPS | $18,295,741 |
| ASSET RETIREMENT OBLIGATION | $1,705,061 |
| DUE TO THIRD PARTY PAYERS | $17,840,703 |
| NMTC DEBT ISSUE | $13,475,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $70,230,163 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The earnings are to be used for education, charity care, and other hospital programs. Swedish Covenant Hospital is the related beneficiary of the endowment funds held by Swedish Covenant Hospital Foundation. |
| Part X, Line 2: | The Hospital is a not-for-profit organization under the laws of Illinois. The Internal Revenue Service has determined that the Hospital is a not-for-profit organization described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, the Hospital has not provided for income taxes in the accompanying financial statements. The Hospital and its not-for-profit subsidiaries each file Form 990 (Return of Organization Exempt from Income Tax), and the for-profit subsidiary files Form 1120 (U.S. Corporation Income Tax Return) annually. When these returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the obligated group, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business income (UBI). UBI is reported on Internal Revenue Service Form 990-T, as appropriate. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the tax position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50% likely to be realized on settlement with the applicable taxing authority. The portion of the benefits reflected as a liability for unrecognized tax benefits in the accompanying consolidated statements of financial position along with any associated interest and penalties that would be payable to the taxing authorities upon examination. At September 30, 2015 and 2014, there were no unrecognized tax benefits identified or recorded as liabilities. The Forms 990, Forms 990-T and Forms 1120 filed by the Hospital are subject to examination for up to three years from the extended due date of each return. These returns are no longer subject to examination for tax years ended before September 30, 2012. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | 0 | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,637,718 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,637,718 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02580 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,527,966 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $79,476,079 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$948,113 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $85,165,684 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $79,476,079 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,689,605 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02580 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $932,512 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $932,512 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,868,421 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,970,648 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $897,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,034,560 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,034,560 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $954,750 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $954,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,790,243 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,970,648 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,819,595 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01480 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $91,955,927 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $82,446,727 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,509,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04060 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,476 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,476 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,476 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,476 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,312,952 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $83,497,445 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $79,409,573 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $4,087,872 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 CHICAGO CK ENTERPRISES LLC | |||
| OUTPATIENT MEDICAL SERVICES | 0.05300 | 0.00000 | 0.94700 |
| 2 CK PROPERTY DEVELOPMENT LLC | |||
| PROPERTY MANAGMENT SERVICES | 0.36800 | 0.00000 | 0.63200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWEDISH COVENANT HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5145 N CALIFORNIA AVENUE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60625 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.swedishcovenant.org | WebsiteAddressTxt |
| State License | 00002717 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | I/P & OP HOSPITAL SERVICES, SKILLED NURSING FACILITY | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWEDISH COVENANT HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.swedishcovenant.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.schosp.org | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.swedishcovenant.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.swedishcovenant.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.swedishcovenant.org | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SWEDISH COVENANT HOSPITAL | Part V, Section B, Line 5: The Community Health Needs Assessment was produced in cooperation with the Metropolitan Chicago Healthcare Council (MCHC). The project also received input from several Community Health Needs Assessment Focus Groups, which were comprised of representatives of the partnering organizations as well as other citizens chosen for their relevant experience and interests. The sample design used for this effort consisted of a random sample of 515 individuals age 18 and older in the Swedish Covenant Hospital Service Area. Once the interviews were completed, these were weighted in proportion to the actual population distribution so as to appropriately represent the Swedish Covenant Hospital Service Area as a whole. All administration of the surveys, data collection and data analysis was conducted by Professional Research Consultants, Inc. (PRC). For statistical purposes, the maximum rate of error associated with a sample size of 515 respondents is 4.4% at the 95 percent level of confidence.The sample design and the quality control procedures used in the data collection ensure that the sample is representative. Thus, the findings may be generalized to the total population of community members in the defined area with a high degree of confidence.As part of the Community Health Needs Assessment, seven focus groups were held among key informants in the community on June 21-22 and July 11-12, 2012, each focusing on needs within different geographies or among certain populations. These key informant focus groups allowed for input from persons with special knowledge of or expertise in public health, as well as others who represent the interests of key cultural groups represented in communities served by Swedish Covenant Hospital. In all, 50 key informants participated, including physicians, other health professionals, social service providers, business leaders, minority organizations and other community leaders.Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Participants included a representative of public health, as well as several individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions. Specific names/titles of those participating are available upon request. |
| SWEDISH COVENANT HOSPITAL | Part V, Section B, Line 11: In acknowledging the wide range of priority health issues that emerged from the CHNA process, Swedish Covenant Hospital determined that it could only effectively focus on those which it deemed most pressing, most under-addressed, and most within its ability to influence. The hospital focused on 7 of the 14 identified needs. Listed below are the seven needs which are being addressed and how they being addressed:1. Access to health servicesSCH continues to identify improper utilization of the Emergency Department and direct patients to Erie Foster Avenue Health Center for follow up care or to establish future medical home. Hospital employees served as Certified Application Counselors to assist consumers with enrollment on the health insurance marketplace. These employees also helped eligible individuals enroll in Medicaid and Medicare throughout the year. The hospital also opened an on-site marketplace assistance center in partnership with ACA Enroll, which was open five days per week during open enrollment. As part of the hospital's Care Transitions Program, recently discharged patients are called to assess educational and social support needs. Patients identified as at risk for readmission receive a home visit by a Wellness Coach, who performs medication reconciliation, education and assistance in scheduling physician appointments and needed transportation. 2. Heart disease and strokeAs part of the hospital's Primary Stroke Center certification, SCH's Stroke Education Coordinator provides blood pressure screenings throughout the community along with education related to warning signs/risk factors for heart disease and stroke. At blood pressure screenings, participants with abnormally high levels are referred for follow-up with their physician or a community health clinic. Discharge Navigators play a leading role in patient follow up and support. Discharge Navigators call patients who were at high risk for readmission, with the majority of these patients receiving multiple calls. The navigator may help to explain medications, assist with getting physician appointments or arrange services such as oxygen delivery, meals on wheels, and home health providers. Patients at risk for re-admission are visited at home by a Wellness Coach to review prescribed medications and provide disease specific education. If appropriate, 90-day home telemonitoring is also available for patients at risk for readmission.3. Nutrition, physical activity and weightThe hospital provides community education regarding healthy eating and fitness. More than 40 programs in FY15 featured nutrition, cooking, diabetes prevention or fitness. Partners included Whole Foods Market, Mariano's, Oak Street Health, The Breakers and Peterson Garden Project. A key partner in this priority is Galter LifeCenter, the certified medical fitness facility on campus (and the only certified medical fitness facility in Chicago), which offers a number of programs in collaboration with SCH, including Fundamental Fitness and Total Control.4. Mental health and mental disordersThe hospital continues to seek ways to provide appropriate resources for mentally ill individuals and to decrease improper use of Emergency Department (ED) services. The hospital maintains an active partnership with Lutheran Social Services of Illinois (LSSI) Project IMPACT on site in the ED. In 2015, 3,657 patients were seen by Project Impact in SCH's ED; 630 patients lacked health insurance. Initiating treatment and intensive case management for uninsured patients in acute crisis holds promise for reducing the number in need of state hospitalization and repeat ED visits. Project IMPACT maintains a Certified Addictions Counselor (CAC) as part of the care team in the hospital's ED. In May 2015 LSSI expanded services on the hospital campus by opening the Welcoming Center in the Foster Medical Pavilion. The Welcoming Center is a behavioral health program that provides open-access to treatment for individuals struggling with emotional stress, mental health symptoms, and substance abuse, no appointments necessary. The center is a safe alternative to seeking care in the emergency room and uses a warm, compassionate environment that is more like a living room than an office. 5. Cancer Swedish Covenant Hospital has a cancer affiliation with Rush University Medical Center. This affiliation results in service and treatment enhancements including: increased access to care, enhanced surgical services, radiation therapy, imaging and specialty care; new research opportunities; increased opportunities for medical students; and lifestyle enhancement for cancer patients through the use of the Galter LifeCenter. The hospital's Integrated Cancer Care Program (ICCP) augments standard cancer care with psychosocial support, nutrition counseling and supplementation, exercise programming, rehabilitation, palliative care planning; as well as complementary treatments. The hospital is committed to serve the uninsured and underinsured in our local service area. The SCH Community Breast Health Program serves approximately 4,000 underserved, low-income women each year. 6. Maternal, infant and child healthIn FY15, SCH opened the Outpatient Breastfeeding Clinic. It is housed on campus in the Women's Health Center. It is the only clinic of its kind in the city of Chicago. Women receive hands-on professional breastfeeding support that is billed directly to insurance, including Medicaid. Before our clinic opened, women's options for breastfeeding support were limited to a few suburban clinics, or private home visit lactation consultants who require payment of $200-250 up front. Our service allows women to take advantage of the insurance provisions of the ACA, which cover multiple visits for lactation support without cost-sharing by the patient. The hospital continues to educate physicians and the community about the importance of fetal development during final weeks of pregnancy to minimize Early Elective Delivery. 7. Respiratory diseasesIn FY15, the hospital's new Heart & Lung Center, which centralizes the outpatient cardiology and respiratory services, began to see patients. The Center expands the hospital's ability to provide Pulmonary Function Testing and adds services including Pulmonary Stress Testing using a metabolic cart, and body Plethysmography, which enables physicians to detect certain pulmonary conditions that conventional testing cannot. Use of the new metabolic cart has been extremely successful to wean ventilator patients in the intensive care units. The Respiratory Department participates in health fairs and screenings throughout the year, providing community members with 1-1 free respiratory screenings utilizing spirometry. Each appointment lasts approximately 10 minutes and results are provided to the patient who in turn is instructed to give to their physicians. In FY16, the department will begin providing free inhaler evaluations and demonstrations, in an effort to combat COPD readmissions. All individuals attending a consultation will be given a spacer (if needed) along with individualized instruction. These demonstrations will also be available in Spanish. Listed below are the health priorities not chosen for action and the reasons as to why they were not selected:Injury & Violence Prevention: Other community organizations have infrastructure and programs in place to better meet this need. Limited resources excluded this as an area chosen for action. Chronic Kidney Disease: SCH regularly partners with organizations including the National Kidney Foundation to provide free screenings to the ethnicities most vulnerable to this disease. SCH feels that efforts outlined herein to improve access to health services will also have a positive impact on chronic kidney disease and that a separate set of specific initiatives was not necessary.Family Planning: The partnership with Erie Family Health will positively impact outreach regarding family planning education. Erie and other community organizations have infrastructure and programs in place to better meet this need. Infectious Diseases: Advisory committee members felt that more pressing health needs existed. Limited resources and lower priority excluded this as an area chosen for action.Sexually Transmitted Diseases: SCH believes that this priority area falls more within the purview of the county health department and other community organizations. Limited resources excluded this as an area chosen for action. Substance Abuse: Other community organizations have infrastructure and programs in place to better meet this need. Limited resources excluded this as an area chosen for action. HIV: SCH believes this area falls more within the purview of the county health department and other community organizations. Limited resources excluded this as an area chosen for action. |
| Part V, Section B, Line 16 | Financial Assistance Policy Website Availability |
| SWEDISH COVENANT HOSPITAL Part V, Section B, line 16a website: | www.swedishcovenant.org |
| SWEDISH COVENANT HOSPITAL Part V, Section B, line 16b website: | www.swedishcovenant.org |
| SWEDISH COVENANT HOSPITAL Part V, Section B, line 16c website: | www.swedishcovenant.org |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| LIFE CENTER ON THE GREEN INC | ||||
| 5157 N FRANCISCO AVENUE | CHICAGO | IL | 60625 | PHYSICAL REHABILITATION SERVICES |
| SWEDISH COVENANT HOME HEALTH CARE | ||||
| 6141 N CICERO AVENUE | CHICAGO | IL | 60646 | HOME HEALTH CARE SERVICES |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Each net community benefit expense is divided by total hospital expenses (excluding bad debt expense) to determine the percent of community benefits provided for fiscal year 2015. Costing Methodology - For all community benefits, we utilize the cost to charge ratio to calculate the benefit. The net operating costs are calculated by taking the total operating costs less the following: the PA tax and the non-patient care activity costs. The net gross charges are calculated as follows: gross charges less charges for community benefits. Net operating costs divided by net gross charges provides the cost to charge ratio.Part I - Line 7d - column dFor Schedule H, line 7b, column (c) the $78,527,966 in the Community Benefit Expense includes the provider assessment tax of $12,709,392. Had the provider tax been excluded, the total Community Benefit expense would have been $65,818,574. On Schedule H, line 7b, column (d), the direct offsetting revenue of $79,476,079 includes the provider tax revenue of $35,432,229 million. Had the public aid provider revenue been excluded from Schedule H, the direct offsetting revenue would have been $44,043,850. Using an adjusted total community benefit expense of $65,818,574 noted above, minus an adjusted direct offsetting revenue amount of $44,043,850, also noted above, the resulting community benefit dollar amount on Schedule H, line 7b, column (e) would have been $21,774,724. On Schedule H, line 7b, column (f) percentage of total expense would have increased from 0% to 8.46%.The PA tax benefit is not reimbursement for direct patient care and therefore we believe it should be excluded from the Schedule H calculations. |
| Part II, Community Building Activities: | Members of Swedish Covenant Hospital staff work with other organizations and participate in many activities to advocate for health improvement in our community. These include:Involvement with the Association for Community Safety Net Hospitals, participation in the Medicaid Rate Reform Tag Group, community meetings, chambers of commerce, education, and seeking of resources with regard to the planning and development of the Emergency Department Renovation Project on the hospital campus to enhance emergency health care services in the community. During the 2015 fiscal year, Swedish Covenant Hospital joined with other area hospitals to develop the Healthy Chicago Hospital Collaborative. The Healthy Chicago Hospital Collaborative is a collaboration of Chicago-based hospitals that strives to promote a collective impact on health outcomes in the city of Chicago through an environment that fosters learning, sharing of resources, data and best practices. Members of the Swedish Covenant Hospital Staff have also worked to establish an affiliation with Rush University Medical Center to allow our emergency room physicians to communicate with Rush University Medical Center neurologists using robotic equipment which enables the Rush neurologists to remotely examine Swedish Covenant emergency department patients for signs of a stroke. This resource can improve patient outcomes by early and accurate diagnosis of stroke. |
| Part III, Line 2: | The costing methodology is applying the cost-to-charge ratio of 20% to total bad debt expense. |
| Part III, Line 3: | There are no bad debt amounts included in community benefits. |
| Part III, Line 4: | This statement is extracted from the SCH consolidated financial statements. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for uncollectible accounts and a provision for uncollectible accounts (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible.The difference between the discounted rates and the amounts actually collected after all reasonable collection efforts have been exhausted is written off against the allowance for uncollectible accounts in the period they are determined uncollectible. |
| Part III, Line 8: | The hospital has used the standard single apportionment step down cost allocation methodology for the allocation of allowable costs (as defined by the Medicare principles of reimbursement) to the revenue cost centers. Allowable allocated costs are divided by the revenues in each ancillary department and by the days in each nursing unit to determine the appropriate ratios and cost per diems to be applied to the related Medicare ancillary charges and nursing unit days to determine the cost of Medicare services. |
| Part III, Line 9b: | Charity Care Patients:If a patient has been determined to meet Hospital Charity Care Guidelines no collection agencies, lien attachments or attempts to possess real or personal property will be made.During the fiscal year 2014, the organization policy of using the Federal Poverty Guidelines to determine eligibility for providing free care to low income individuals was amended from 200% to 300% of the family income limit.The organization has a policy of Presumptive Charity Care for health care services provided to uninsured patients who are presumed eligible for charity care based on criteria demonstrating financial need.Effective January 1, 2014, the regulations adopted by the Illinois Attorney General (77 Ill. Admin. Code Part 4500, Hospital Financial Assistance under the Fair Patient Billing Act), require that a presumptive charity determination take place as soon as possible after the receipt of health care services from the hospital and prior to the issuance of any bill for those health care services by the hospital. According to the regulations, a patient's financial need must be determined by use of presumptive charity criteria (which may be accomplished through software/screening) without further scrutiny by the hospital.Financial Assistance:Patients with a self-pay balance and without the resources to pay their obligations will be assessed for financial assistance by the Credit Services Department. The assessment involves an evaluation for eligibility for all appropriate levels of assistance, including governmental or partial reductions or complete charity care. |
| Part VI, Line 2: | Needs AssessmentIn the spring of 2012, Swedish Covenant Hospital (SCH) embarked on a comprehensive Community health Needs Assessment (CHNA) process to identify and address the key issues for our community.Swedish Covenant Hospital is a comprehensive health care facility providing health and wellness services to Chicago's North and Northwest side communities. This 323-bed hospital is one of the few independent, nonprofit hospitals in the area. Its 600 physicians and 2,200 employees remain focused on the hospital's mission of providing compassionate, high quality care in a healing environment. An established teaching hospital, Swedish Covenant Hospital offers a range of medical programs, including the latest cardiac, cancer, orthopedic, surgical, women's health, back health and emergency services.To address concerns about healthcare access, SCH created a partnership with Erie Family Health Center. In July 2013, Erie opened the Erie Foster Avenue Health Center on the hospital's campus. Erie Foster Avenue Health Center is a Federally Qualified Health Center which provides care to patients who come through the emergency department at SCH and might not have a medical home. Swedish Covenant Hospital (SCH) maintains a department dedicated to addressing its outreach objectives of serving the entire community, not only those who come through its doors. Building on a long tradition of service, the Community Relations Department utilizes hospital strengths alongside those of other well-established community partners. This strategy allows SCH to better understand and reach the most vulnerable sectors of the community, while meeting pressing healthcare needs. The goal is to improve the community's health status by empowering citizens to make healthy lifestyle choices. The Community Benefit Plan (Community Health Needs Assessment Implementation Strategy) identifies seven priority health issues to be addressed for providing community benefit. The implementation strategy is intended to exist over a three year time period, after which a new needs assessment and benefit plan will be developed. The following is a list of the seven priorities of the Community Benefit Plan, out of 14 community needs identified, to be addressed on an ongoing basis and reported on annually through FY16. 1. Access to health services 2. Heart disease and stroke 3. Nutrition, physical activity and weight4. Mental health and mental disorders5. Cancer6. Maternal infant and child health7. Respiratory diseases |
| Part VI, Line 3: | Patient Education of eligibility for AssistanceCharity or discounted care is available for medically necessary services as defined by Medicare, to patients who meet the financial and documentation criteria defined below. Each situation is reviewed on an individual case-by-case basis. While not absolutely essential, the need for potential charity or discounted care should be established in advance of admission or rendering of service, or shortly thereafter.Notices in English, Greek, Korean, Russian, Spanish and Urdu about the availability of Charity or Discounted Care are posted in the Emergency Room registration area, and the inpatient and outpatient registration areas. The information is also contained in the Patient Handbook, given to all patients upon inpatient admission. Patients and families are encouraged to speak to a financial counselor for more information and assistance. The Guidelines, along with the financial questionnaire, are posted in English, Greek, Korean, Russian, Spanish and Urdu on the hospital's website.In order to be eligible for charity or discounted care, the patient must be willing to provide verification of income by filling out the Patient Financial Statement. The patient is responsible to voluntarily submit any and all documentation in order to be eligible to receive this discount. During the registration and information gathering process, the financial counselors determine if the patient qualifies for medical assistance from other existing financial resources such as Medicare, Medicaid, Kid Care, Family Care or other state or federal programs. If the patient refuses to apply for existing financial resources or to provide information necessary to the application process, charity or discounted care cannot be granted. If the application for existing financial resources is denied, or has been previously denied, consideration for charity or discounted care will then be given.Once the Financial Assistance Application form is received, Credit Services Department determines the eligibility for charity or discount care. SCH suspends the collection process while the Financial Assistance Application is being reviewed. The only criteria considered for Financial Assistance is income and family size. Income is evaluated against the matrix of Federal Poverty Guidelines to determine whether full or partial discount can be approved. Documentation of income is submitted in the form of paycheck stubs, income tax returns, Social Security checks, and other documents that are indicative of income. If the information submitted is not perceived to be accurate or reliable, SCH reserves the right to request additional documentation to substantiate income or family size.The insured patient with a large balance due to deductibles and/or co-payments may be eligible for charity or discounted care. In order to qualify, the patient must complete the Patient Financial Statement and return it to the financial counselors for evaluation and recommendation.If a patient has been determined to meet the Hospital Charity Care Guidelines, no referral to collection agencies, legal actions, lien attachments or attempts to possess real or personal property is pursued.No legal action is taken against uninsured patients for the first one hundred twenty (120) days after discharge.Illinois residents who have a family income that is no more than 600% of the Federal Poverty Guidelines (as determined each year), and who do not have any health insurance (or coverage under workers' compensation, accident liability insurance, or other third party liability) as documented through SCH's insurance verification procedures, receive a discount in accordance with the Hospital Uninsured Patient Discount Act (210 ILCS 89/) (the Act). |
| Part VI, Line 4: | Community InformationSCH's community, as defined for the purposes of the hospital's 2012 Community Health Needs Assessment, included each of the residential ZIP Codes that comprise the hospital's Primary Service Area (PSA) and Secondary Service Area (SSA), including: 60613, 60618, 60625, 60626, 60630, 60640, 60641, 60645, 60646, 60659, 60660 and 60712. This encompasses approximately a 5 mile radius surrounding the hospital and was determined because the majority of SCH's patients originate from this area. The population of the hospital's service area is estimated at 631,311 people. It is predominantly non-Hispanic White (63.66%), but also has substantial Hispanic (28.75%) and Asian (10.87%) populations. As throughout the state and nation, our population is aging, with 10.94% currently age 65 and older. This is projected to increase in coming years, as is the need for services to meet the health needs of this older population. Median household income is below the state average at $48,386, and 12.37% of the families in our population remain below the poverty level. The hospital serves a very diverse multicultural community, with the Albany Park neighborhood serving as a key entry point for many new immigrants. To better address the needs of our highly diverse community, the hospital works regularly with dozens of community stakeholders including local ethnic groups, legislators, and community and business organizations, including: the Albany Park Community Center, Centro Romero, Polish American Association, Erie Family Health, Heartland Health, Chicago Department of Public Health, Korean American Community Services, Asian Human Services, Cambodian Association, North River Commission and the Albany Park Chamber of Commerce. These organizations serve as a link between the hospital and the many surrounding niche communities, and the hospital's Community and Government Relations teams communicate regularly online and in-person to propose solutions to issues including Access to Care and health reform. The Spanish and Korean languages represent the majority of interpretative assistance requested at the hospital. To meet this need on an inpatient and outpatient basis, the hospital employs full time Spanish and Korean interpreters. The Korean interpreter also serves as Korean Community Relations Manager, facilitating deeper, ongoing communication between the hospital and its local Korean community partners and physicians. In addition, the hospital uses a telephonic interpretative service to meet interpretative needs in other languages, as well as for Korean and Spanish interpretation when the interpreters are not present.To better serve the Korean community, the hospital partners each year with Korean American Community Services (KACS), the Korean Medical Society and the Korean Nurses Association to host an annual Korean Health Fair at the hospital. This is an annual event, targeting the uninsured and underinsured working population. Nearly 200 Koreans residing in the greater Chicago area attend this event to receive free or reduced cost screenings and services. KACS coordinates the event collaboratively with the hospital's Korean Community Relations Manager.In FY2015, Swedish Covenant Hospital delivered 225 community programs to more than 15,000 individuals in partnership with nearly 100 community organizations, legislators, chambers of commerce, local businesses and schools. Topics included nutrition, fitness, stroke awareness, heart health, cancer prevention, joint health, pregnancy, diabetes education, women's health and pediatrics. Ongoing partnerships exist between many organizations but highlights include Oak Street Health (monthly wellness talks), Peterson Garden Project (on-campus community garden and monthly wellness talks at Fearless Food Kitchen), Budlong Elementary School (healthy nutrition for kids; laboratory tours; career chats), American Cancer Society (cancer screening events), 47th Ward Alderman Ameya Pawar (Annual Wellness Fair and senior activities), Whole Foods Market Sauganash (healthy eating and lifestyle choices), Marianos (community events), The Breakers (health events for seniors), Purple Asparagus (Delicious Nutritious Adventures at Budlong School), Centro Romero (health fair and ACA collaboration), Vietnamese Association of IL (breast cancer awareness and mammography), Casa Ecuatoriana (wellness info and mammography), Korean American Community Services (annual Korean Health Fair at SCH), Indo-American Center (community health talks), and Sulzer Regional Library (health fair). |
| Part VI, Line 5: | In keeping with the Hospital's mission to provide a continuum of excellent healthcare services, any surplus funds are invested in capital improvements related to patient care or in community benefit programs.The hospital extends medical staff privileges to all qualified physicians in the communities it serves, in accordance with our medical staff development process. The hospital has an active Board of Directors who meet every two months. In addition to reviewing the hospital's financial results, they discuss the hospital's plans and programs in support of our efforts to enhance the health care environment for the entire community we service. The hospital operates the "HouseCalls" program to provide medical care to the homebound.The Hospital helps community members gain access to health care services by assisting low income families in applying for the Illinois Department of Public Aid's KidCare and FamilyCare programs. |
| Part VI, Line 7, Reports Filed With States | IL |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERIE FAMILY HEALTH CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 W SUPERIOR ST 3RD FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60622 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 363088628 | RecipientEIN |
| Cash Grant | $945,000 | CashGrantAmt |
| Purpose Of Grant | To help defray the costs of uncompensated care to lower income and medically underserved patients at the Health Center. | PurposeOfGrantTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The mission of Swedish Covenant Hospital is to provide excellent healthcare services for our culturally diverse community. In pursuit of this mission, the hospital will fund or otherwise sponsor programs which advance our mission. If a grant is approved by the Board of Directors, yearly progress reports will be required, with a final report required at the conclusion of the project. An annual audit may be requested, if appropriate. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RONALD D CURRAN MD | ||||||||||||||
| DIRECTOR | $34,167 | $742,050 | $0 | $0 | $0 | $46,692 | $0 | $11,631 | $0 | $18,570 | $34,167 | $818,943 | $0 | $0 |
| H CLARK FEDERER MD | ||||||||||||||
| DIRECTOR | $0 | $318,358 | $0 | $0 | $0 | $22,327 | $0 | $7,212 | $0 | $19,924 | $0 | $367,821 | $0 | $0 |
| LAWRENCE P ANDERSON | ||||||||||||||
| DIRECTOR | $0 | $396,339 | $0 | $84,558 | $0 | $110,384 | $0 | $7,800 | $0 | $29,412 | $0 | $628,493 | $0 | $0 |
| DAVID A DWIGHT | ||||||||||||||
| DIRECTOR | $0 | $499,292 | $0 | $0 | $0 | $158,521 | $0 | $7,800 | $0 | $30,956 | $0 | $696,569 | $0 | $27,119 |
| REV GARY B WALTER | ||||||||||||||
| DIRECTOR | $0 | $151,200 | $0 | $0 | $0 | $0 | $0 | $27,400 | $0 | $85,808 | $0 | $264,408 | $0 | $0 |
| MARK NEWTON | ||||||||||||||
| PRESIDENT & CEO | $0 | $602,447 | $0 | $176,806 | $0 | $183,161 | $0 | $7,800 | $0 | $12,596 | $0 | $982,810 | $0 | $0 |
| THOMAS J GARVEY | ||||||||||||||
| SENIOR VP & CFO | $320,150 | $0 | $63,682 | $0 | $32,812 | $0 | $42,104 | $0 | $16,687 | $0 | $475,435 | $0 | $0 | $0 |
| JUDITH A BORENSTEIN | ||||||||||||||
| GENERAL COUNSEL | $226,209 | $0 | $36,294 | $0 | $98,313 | $0 | $24,134 | $0 | $11,148 | $0 | $396,098 | $0 | $46,764 | $0 |
| ANTHONY GUACCIO | ||||||||||||||
| SENIOR VP & COO | $353,411 | $0 | $70,687 | $0 | $63,949 | $0 | $45,095 | $0 | $22,124 | $0 | $555,266 | $0 | $17,403 | $0 |
| DEREK J KELLY MD | ||||||||||||||
| VP & CHIEF MEDICAL OFFICER | $302,860 | $0 | $42,039 | $0 | $38,050 | $0 | $0 | $0 | $18,206 | $0 | $401,155 | $0 | $11,681 | $0 |
| MARY SHEHAN RN | ||||||||||||||
| SENIOR VP, CNO | $216,472 | $0 | $43,793 | $0 | $43,392 | $0 | $7,755 | $0 | $806 | $0 | $312,218 | $0 | $8,822 | $0 |
| KATHRYN DONOFRIO RN | ||||||||||||||
| SENIOR VP, CNO | $139,130 | $0 | $6,090 | $0 | $21,229 | $0 | $5,105 | $0 | $14,457 | $0 | $186,011 | $0 | $0 | $0 |
| KAREN M SHEEHAN | ||||||||||||||
| SENIOR VP & CIO | $200,394 | $0 | $30,865 | $0 | $47,921 | $0 | $7,627 | $0 | $17,833 | $0 | $304,640 | $0 | $8,409 | $0 |
| JANIS A RUEPING | ||||||||||||||
| VP QUALITY IMPVMT/RISK MGM | $166,012 | $0 | $25,623 | $0 | $63,502 | $0 | $21,265 | $0 | $19,965 | $0 | $296,367 | $0 | $42,398 | $0 |
| MICHAEL FEINZIMER | ||||||||||||||
| PHYSICIAN | $221,180 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,716 | $0 | $222,896 | $0 | $0 | $0 |
| JONATHAN LIND | ||||||||||||||
| VP OPERATIONS | $161,446 | $0 | $24,238 | $0 | $27,772 | $0 | $5,730 | $0 | $18,830 | $0 | $238,016 | $0 | $9,908 | $0 |
| PATRICIA KING | ||||||||||||||
| ASSOCIATE GENERAL COUNSEL | $186,281 | $0 | $8,303 | $0 | $13,465 | $0 | $6,457 | $0 | $16,020 | $0 | $230,526 | $0 | $0 | $0 |
| TONY VANCAUWELAERTMD | ||||||||||||||
| FORMER DIRECTOR,PHYSICIAN | $0 | $285,831 | $0 | $0 | $0 | $17,500 | $0 | $7,650 | $0 | $7,676 | $0 | $318,657 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | As part of their compensation package, vice presidents of the organization are offered a $900 reimbursement for membership dues to the health club of their choice. This benefit is treated as taxable compensation. |
| Part I, Line 3 | The Hospital and Covenant Ministries of Benevolence follow the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation for the CEO and other officers and executive leaders of the corporation. The process includes review of comparability data, retention of an outside compensation consultant, and contemporaneous substantiation of the deliberation and decision through detailed minutes of the compensation committee and full board meetings where executive compensation is considered. |
| Part I, Line 4b | Executive Benefit Plan Covenant Ministries of Benevolence (CMB) provides certain supplemental retirement benefits to its officers and key employees. These benefits are provided through a nonqualified deferred compensation plan, under which a portion of the benefits being earned are subject to a substantial risk of forfeiture. The supplemental retirement benefits are structured to provide a retention incentive that has been determined by the Compensation Committee of CMB's Board to be of substantial value to the organization. The Committee approves all retirement benefits, together with all other forms of compensation and benefits for these and other executives, in a manner intended to qualify for the rebuttable presumption of reasonableness under the intermediate sanctions rules of federal income tax law. The following individuals participated in the Executive Benefit Plan: Lawrence Anderson - $64,289 David Dwight - $64,365 Mark Newton - $76,024 Judith Borenstein - $26,856 Thomas Garvey - $45,391 Anthony Guaccio - $41,534 Derek Kelley - $38,083 Mary Shehan - $27,227 Karen Sheehan - $23,779 Janis Rueping - $19,439 Jonathan Lind - $17,541 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Illinois Finance Authority | ||||||||
| A | 861091967 | 45200FEW5 | 2008-04-08 | $60,000,000 | 2008A IFA Revenue Bonds - Cap Adds & Ref of 01/16/98 & 07/22/99 issues. | 0 | 0 | 0 |
| Illinois Finance Authority | ||||||||
| B | 861091967 | 45200FR35 | 2010-02-02 | $99,390,260 | 2010A IFA Revenue Bonds - Ref of 11/17/03 & 06/17/08 issues. | 0 | 0 | 0 |
| Illinois Finance Authority | ||||||||
| C | 861091967 | 2010-11-03 | $20,000,000 | 2010C IFA Revenue Bonds - Cap Adds | 0 | 0 | 0 | |
| Illinois Finance Authority | ||||||||
| D | 861091967 | 2011-06-28 | $20,000,000 | 2011A IFA Revenue Bonds - Cap Adds & Construction | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $8,536,000 | $60,846,284 | $11 | $837,840 | $7,508,444 | $52,500,000 | 2009 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $7,120,000 | $99,390,260 | $9,932,548 | $1,982,568 | $88,150,000 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| C | $5,406,203 | $20,001,820 | $450,693 | $19,002,109 | $999,711 | 2014 | 0 | 0 | Yes (1) | Yes (1) | |
| D | $11,320,000 | $20,098,509 | $15,509 | $10,110,526 | $10,004,191 | 2015 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | ||
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | 0.01500 | 0.01500 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
| D | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K Supplental Information | Form 990 - Schedule K - Part I - Line B - Column f The original 8038 filing for the 2010A bonds listed the issue date of the 2008B refunded bond incorrectly as April 8, 2008. The correct issue date of the 2008B refunded bond is June 17, 2008. |
| Part IV, Line 2c, columns B & C | The rebate computations were performed on August 04, 2015. |
| Form 990 - Schedule K - Part II - Line 3 | The total amount of proceeds of the bond issues entered on Part II Line 3 include the investment earnings. |
| Part II, Line 4, columns A,C and D | The amounts shown here consist solely of sinking fund deposits. |
| Part II, Line 4, column B | The amount shown here consists of $9,346,348 in a reasonably required reserve or replacement fund and $586,200 of sinking fund deposits. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Brooke Newton | |||
| Family member of Mark Newton (CEO of Swedish Covenant Hospital) | $60,622 | Wages paid as an employee of Swedish Covenant Hospital | 0 |
| Emily Flatley | |||
| Family member of Mark Newton (CEO of Swedish Covenant Hospital) | $40,105 | Wages paid as an employee of Swedish Covenant Hospital. | 0 |
| Elizabeth Pyra | |||
| Family member of Thomas M. Pyra (Member of the Board of Directors) | $60,309 | Wages paid as an employee of Swedish Covenant Hospital | 0 |
| Anne Pyra | |||
| Family member of Thomas M. Pyra (Member of the Board of Directors) | $55,876 | Wages paid as an employee of Swedish Covenant Hospital | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Many of the persons listed on Part VII have a business relationship with each other by virtue of sitting on related Swedish Covenant Hospital entity boards. Kurt D. Anderson, Director, and Lawrence P. Anderson, Director, have a family relationship. |
| Form 990, Part VI, Section A, line 6 | The sole member is Covenant Ministries of Benevolence (CMB). |
| Form 990, Part VI, Section A, line 7a | The member elects the Board of Directors. |
| Form 990, Part VI, Section A, line 7b | S 3.1 of the Bylaws grant reserved powers to the member, such as approval of amendments to the Bylaws of the corporation, approval of certain acquisitions, dispositions and financing, and the power to elect or remove the members of the Board of Directors of the Corporation. |
| Form 990, Part VI, Section B, line 11 | The draft Form 990 was reviewed by multiple levels of management and by the CFO of Swedish Covenant Hospital. In addition, Swedish Covenant Hospital's external public accounting firm reviews the return prior to filing. After filing, the Form 990 is provided to the Board of Directors and key provisions are discussed. |
| Form 990, Part VI, Section B, line 12c | Swedish Covenant Hospital has an Administrative Policy on conflict of interest, identifying the parameters of a conflict of interest and the requirement to disclose any such conflict of interest. Each September, the policy is distributed to the board members, key employees, directors and officers. They are asked to sign acknowledging receipt of policy and to disclose if they have any conflicts of interest. If someone is absent from the meeting or fails to return the acknowledgement, there is a follow-up with the individual until the signed acknowledgement is provided. If a person becomes an interested person he or she may be considered in determining whether a quorum is present. The interested person may make a short statement relating to the transaction or arrangement in question, but shall not vote on the motion addressing the actual or potential conflict. |
| Form 990, Part VI, Section B, line 15 | The Hospital and Covenant Ministries of Benevolence follow the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation for the CEO and other officers and executive leaders of the corporation. The process includes review of comparability data, retention of an outside compensation consultant, and contemporaneous substantiation of the deliberation and decision through detailed minutes of the compensation committee and full board meetings where executive compensation is considered. The Governance Committee of Swedish Covenant Hospital has established the executive compensation program to enable the Organization to recruit, motivate and retain highly qualified executives to successfully carry out its Mission Statement and Core Values. The program also serves to align the interests of our executive officers with those of our community by placing a reasonable portion of compensation at risk through performance goals that, if achieved, are expected to increase the aggregate health level of the communities we serve and contribute to the long-term success of the Organization. Additionally, the executive compensation program will enable the Organization to reward performance that emphasizes teamwork and close collaboration among executive officers, supports Organizational excellence by leveraging enterprise-wide capabilities, drives efficiencies and integrates care and services for the benefit of our communities. The program will also assist the Organization in rewarding the achievement of specific annual, long-term and strategic goals, and align executive officers' interests with those of the communities we serve by rewarding performance that meets or exceeds established goals, with the ultimate objective of increasing community health. The overall executive compensation program aligns short- and long-term performance with the goals of the Organization and ensures cost-effective and efficient use of capital resources by offering the appropriate amounts and mix of compensation. Base Salary represents a fixed compensation component set at a level commensurate with the roles and responsibilities if each individual executive position to attract, motivate and retain top executive talent. The Annual Incentive Plan is a variable short-term performance-based compensation component with target award amounts set by the Governance Committee for each eligible executive position. Payouts reflect the degree to which the Organization and the individual executives have performed against predetermined 12-month metrics. Resulting total cash compensation levels may be below or above target amounts based on the Organization's performance against its short-term goals. Goals are sometimes set at a "stretch" level such that target performance may result in above-median levels of compensation. The Annual Incentive plan is intended to align the executive compensation program with the Organization's business strategy, and strengthen the relationship between pay and performance. The Long-Term Incentive Plan is a variable three-year performance-based compensation component with target award amounts set by the Governance Committee for each eligible executive position. Payouts reflect the degree to which the Organization and the individual executives have performed against predetermined 12-, 24- and 36-month metrics. Resulting total cash levels may be below or above target amounts based on the Organization's performance against its long-term goals. Goals are sometimes set at a "stretch" level such that target performance may result in above-median levels of compensation. The Long-Term Incentive Plan is intended to align the executive compensation program with the Organization's business strategy, strengthen the relationship between pay and performance, reinforce the link between the interests of executives and the long-range vision of the Board of Directors and promote the retention of executive talent. Qualified and non-qualified retirement benefit plans are provided by the Organization to help meet the executives' pre- and post-retirement financial needs, serve as a backstop for our performance-based programs and promote the retention of executive talent. The Board of Directors and the Governance Committee are comprised of voluntary citizens of the community who perform their duties without compensation for hours devoted to Board work. The Governance Committee includes an executive from the Covenant Ministries of Benevolence, the controlling member of Swedish Covenant Hospital. A majority of voting members of the Governance Committee are independent, and the Committee is responsible for the development of the philosophy, policy and objectives that guide the Organization's executive pay programs as well as establishing our performance standards and determining the compensation of our senior executives. The Governance Committee retains Pearl Meyer as their independent compensation consultant to assist the Committee in the continued development and evaluation of the Organization's compensation policies and practices and the Committee's determination of compensation. The Governance Committee has the sole authority to retain and terminate the independent compensation consultant and to review and approve the consultant's fees and other retention terms. The Governance Committee has the authority to approve new executive compensation plans and material amendments to existing executive compensation plans. The Governance Committee provides the Board with reports on its actions and decisions following every Governance Committee meeting. Management provides data, analysis and recommendations for the Governance Committee's consideration regarding the Organization's executive compensation programs and policies and assists the Governance Committee in carrying out its responsibilities. Management also provides information to the Governance Committee's independent compensation consultant in connection with the consultant's role in advising the Governance Committee. The CEO typically attends the Committee meetings. The Governance Committee also meets regularly in executive session outside the presence of management. While the Governance Committee considers the recommendations of the CEO and the input received from its independent compensation consultant, most compensation decisions for the Organization's executives are made by management within their prescribed parameters dictated by the Governance Committee. The Governance Committee retains its independent compensation consultant to conduct a comprehensive review of the total compensation provided to the Organization's executives relative to competitive and comparable market practices, ensure that the Organization's compensation programs provide total compensation opportunities that are reasonable for purposes of Intermediate Sanctions (IRC Section 4958), assess the competitiveness of the Organization's compensation programs with respect to healthcare industry peer organizations, assist the Governance Committee with its charter review, review annual disclosures and the compensation of "disqualified individuals" whose compensation is subject to a reasonableness review under IRC Section 4958, provide an opinion letter to the Governance Committee regarding the reasonableness of the compensation of the Organization's executives and other "disqualified persons and help to create a rebuttable presumption of reasonableness with regard to executive compensation. |
| Form 990, Part VI, Section C, line 18 | A copy of the organization's Form 990 is available upon request by contacting the Swedish Covenant Hospital administration department at 773/878-8200. |
| Form 990, Part VI, Section C, line 19 | The governing documents, conflict of interest policy, and financial statements are available upon request, for the same period of disclosure as set forth in IRC Section 6104(d), by contacting the Swedish Covenant Hospital administration department at 773/878-8200. |
| FORM 990,PART VIII,LINES 7A - 7C | Publicly traded securities held in an investment pool and allocated by Covenant Ministries of Benevolence on a percentage basis. |
| Form 990, Part IX, line 11g | CONSULTING FEES: Program service expenses 427,287. Management and general expenses 904,319. Fundraising expenses 0. Total expenses 1,331,606. PHYSICIANS FEES: Program service expenses 3,853,321. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,853,321. OUTSIDE PROFESSIONAL FEES: Program service expenses 2,732,112. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,732,112. AGENCY FEES: Program service expenses 1,397,256. Management and general expenses 42,026. Fundraising expenses 0. Total expenses 1,439,282. COLLECTION EXPENSE: Program service expenses 95,104. Management and general expenses 1,204,786. Fundraising expenses 0. Total expenses 1,299,890. PURCHASED SERVICES: Program service expenses 15,064,910. Management and general expenses 1,540,913. Fundraising expenses 0. Total expenses 16,605,823. |
| Form 990, Part XI, line 9: | Net assets released from restriction 8,426. equity transfer to Covenant Ministries of Benevolence Net restricted funds transfers from Swedish Covenant Hospital Foundation 1,480,721. Equity transfer to Swedish Covenant Management Services Inc. -20,000,000. Other changes in restricted funds -106,236. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Evangelical Covenant Church (ECC) | |||||||||||
| 8303 W Higgins Road | Chicago | IL | 60631 | 362167730 | Church | IL | 501(c)(3) | Line 1 | N/A | 0 | |
| Covenant Ministries of Benevolence (CMB) | |||||||||||
| 5145 N California Avenue | Chicago | ID | 60625 | 363486813 | Management/Support Services | IL | 501(c)(3) | Line 11a, I | 0 | Evangelical Covenant Church (ECC) | |
| Swedish Covenant Faculty Group (SCFG) | |||||||||||
| 5145 N California Avenue | Chicago | IL | 60625 | 363686216 | Patient Treatment/Education | IL | 501(c)(3) | Line 11a, I | Yes (1) | Swedish Covenant Hospital (SCH) | |
| Swedish Covenant Hospital Foundation (SCHF) | |||||||||||
| 5145 N California Avenue | Chicago | IL | 60625 | 205055155 | Support of Swedish Covenant Hospital | IL | 501(c)(3) | Line 7 | Yes (1) | Swedish Covenant Hospital (SCH) | |
| SC Insurance Company | |||||||||||
| 6970 E Chauncey Lane Suite 100 | Phoenix | AZ | 85054 | 273312053 | Insurance | AZ | 501(c)(3) | Line 11a, I | Yes (1) | Swedish Covenant Hospital (SCH) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Covenant Village of PortlandLP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 NE Mason St | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97211 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364356838 | EIN |
| Primary Activities | Assisted Living Community | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Covenant International Insurance Company Ltd | |||||||||||||||||
| Crawford House 50 Cedar Avenue | Hamilton | BD | Insurance | BD | N/A | C | 0 | ||||||||||
| Covenant Trust Company | |||||||||||||||||
| Financial Services | N/A | C | 0 | 8303 W Higgins Road 6th Floor | Chicago | IL | 60631 | 363583163 | IL | ||||||||
| Swedish Covenant Management Services Inc (SCMS) | |||||||||||||||||
| Physician Practice Management | C | Yes (1) | 5145 N California Avenue | Chicago | IL | 60625 | 364073303 | IL | Swedish Covenant Hospital | -$12,204,003 | $16,100,389 | 1.00000 | |||||
| Swedish Covenant Managed Health Care Alliance (SCMCA) | |||||||||||||||||
| Physician - Hospital Organization | N/A | C | 0 | 2740 W Foster Suite 409 | Chicago | IL | 60625 | 364118659 | IL | ||||||||
| St Francis Health Care Ltd | |||||||||||||||||
| Independent Group of Physicians | N/A | C | Yes (1) | 2740 W Foster Avenue Suite 002 | Chicago | IL | 60625 | 363208131 | IL | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Swedish Covenant Hospital Foundation | ||
| M | $626,919 | Cash Value |
| Swedish Covenant Hospital Foundation | ||
| S | $1,480,071 | Cash Value |
| Swedish Covenant Management Services Inc | ||
| R | $38,445,949 | Cash Value |
| SC Insurance Company | ||
| M | $6,913,020 | Cash Value |
| SC Insurance Company | ||
| L | $240,000 | Cash Value |