2015-11-16T16:47:59-06:00 2014-12-31 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2014-01-01 362171079 Presence Saints Mary and Elizabeth Medical Center % ANTHONY J FILER PRES 3127702000 2233 West division Street CHICAGO IL 60622 ANTHONY J FILER TREASURER 2015-11-16 BERNADETTE DURKIN-ZITA P00089845 3128792000 2014 2016-02-25 16:41:14Z MARTIN JUDD 2233 WEST DIVISION STREET CHICAGO IL 60622 298755213 false X www.presencehealth.org X 1958 IL SEE SCHEDULE O 5 2 0 68 33973 18067 4204027 1669883 311171587 294169943 5015436 28016 2475079 2887371 322866129 298755213 0 0 0 0 115404939 115663087 0 0 0 193064989 153339312 308469928 269002399 14396201 29752814 320792567 344560884 68840737 62856240 251951830 281704644 X SEE SCHEDULE O false false 18597011 43261952 PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER IS AN IMPORTANT RESOURCE FOR SUCH HEALTH CARE SERVICES AS FAMILY MEDICINE, EMERGENCY CARE, AND MATERNAL AND CHILD HEALTH CARE. 195273460 223960950 THE HOSPITAL PROVIDED PATIENT CARE THAT INCLUDED 53,413 ACUTE PATIENT DAYS AND ACUTE ADMISSIONS OF 13,415. THERE WERE 3,342 REHAB PATIENT DAYS AND TOTAL REHAB ADMISSIONS OF 294. PSYCH PATIENT DAYS 49,825 RESULTING IN ADMISSIONS OF 6,245. EXTENDED CARE PATIENT DAYS WERE 7,319 RESULTING IN EXTENDED CARE ADMISSIONS OF 340. THERE WERE 66,984 EMERGENCY ROOM VISITS, 2,817 INPATIENT SURGERIES AND 4,819 OUTPATIENT SURGERIES. 25300659 28267021 PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER IS AN IMPORTANT RESOURCE WITHIN THE COMMUNITY FOR BEHAVIORAL HEALTH CARE SERVICES. 239171130 true true false false false false false false false true true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true X 0 0 0 true true false false false false false false false false false X 5 2 false false false false true true true true true false false false true true true true true false false false X ANTHONY J FILER 3123083289 2233 WEST DIVISION STREET CHICAGO IL 60622 X Jean Blake Director (Term 2/14) 1.0 43.0 X 0 308604 58548 Sister Mary Ellen Goeller PHJC Director 1.0 0.0 X 0 0 0 David DiLoreto Director 1.0 43.0 X 0 610992 151703 Martin Judd Director Ex-Officio/CEO, Chair 40.0 1.0 X X 472669 0 92041 Dougal Hewitt Director Ex-Officio/System CEO 1.0 40.0 X X 0 348288 69929 Dr Rajagopal Reddy Dir Ex-Officio/Med Staff Pres. 1.0 0.0 X X 0 0 0 Patrick Quinn Assistant Treasurer 1.0 40.0 X 0 270651 48603 Julie Roknich Assistant Secretary 1.0 40.0 X 0 196072 28035 Jeannie Frey Secretary 1.0 50.0 X 0 538312 132604 Anthony Filer Treasurer 1.0 50.0 X 0 806181 188879 Suzanne Lambert RGN CH NURSING OFF-MCC 40.0 0.0 X 276726 0 26682 John Hennelly RGN STRAT & GRTH OFF-MCC 40.0 0.0 X 209955 0 40420 Kizito Ojiako INTENSIVIST 40.0 0.0 X 479581 0 42538 Balvindar Sareen RGN CH MEDICAL OFF-MCC 40.0 0.0 X 395691 0 142476 Nimit Aggarwal INTENSIVIST 40.0 0.0 X 240848 0 12031 Michael Friedman MEDICAL DIRECTOR 40.0 0.0 X 222866 0 37750 Adolfo Llano MEDICAL DIRECTOR 40.0 0.0 X 206083 0 8925 2504419 3079100 1081164 106 false true false STREAMWOOD MANAGEMENT SERVICES 5730 WEST Roosevelt Rd FOREST PARK IL 60644 MANAGEMNET SERVICES 5902016 BEAR CONSTRUCTION 1501 ROHLWING ROLLING MEADOWS IL 600081336 CONSTRUCTION SERVICE 1312595 SELECT REHABILITATION INC 540 W FRONTAGE RD WINNETKA IL 60093 REHABILITATION SVCS 670135 GE HEALTHCARE FIN SERVICES 500 W MONROE ST CHICAGO IL 60661 EQUIPMENT LEASING 575209 CONTINENTAL ANESTHESIA LTD 1301 W 22ND ST STE 601 OAK BROOK IL 60523 ANESTHESIA SERVICES 354979 23 0 1177836 492047 0 1669883 NET PATIENT SERVICE REVEN 621990 292158248 292158248 0 MEANINGFUL USE/BLUE CROSS 900099 1966823 1966823 0 PHARMACY 446110 44872 44872 0 294169943 28016 28016 0 0 520000 520000 0 520000 520000 0 0 0 0 OTHER REVENUES 900099 1319980 1319980 0 0 CAFETERIA REVENUE 722514 1013418 0 0 1013418 REFERENCE LAB SERVICES 621990 33973 0 33973 0 2367371 298755213 295489923 33973 1561434 X 0 0 0 0 0 0 0 0 1118491 1118491 0 0 0 0 0 0 92619186 92619186 0 0 3506365 3506365 0 0 11719677 11719677 0 0 6699368 6699368 0 0 29642249 0 29642249 0 189020 0 189020 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27057388 27057388 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4627753 4627753 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2663126 2663126 0 0 0 0 0 0 13737139 13737139 0 0 4231662 4231662 0 0 MEDICAL SUPPLIES 33553835 33553835 0 0 TAXES AND MEDICAID ASSESM 22708452 22708452 0 0 ALVERNO CLINIC LAB SRVCS 8212186 8212186 0 0 BAD DEBT EXPENSE 2522045 2522045 0 0 4194457 4194457 269002399 239171130 29831269 0 0 481316 789283 0 0 0 0 35885389 55836373 0 0 0 0 0 0 3988045 4818820 4067234 953572 228661814 130590280 91138426 98071534 2541320 0 0 0 0 0 0 0 182690837 184091302 320792567 344560884 7502357 7744235 0 0 0 0 0 0 0 0 0 0 0 0 14011004 14011044 47327376 41100961 68840737 62856240 X 244951830 280216431 7000000 1488213 0 0 251951830 281704644 320792567 344560884 29752814 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7000000 5511787 1488213 3500000 3500000 7000000 3500000 3500000 false false 5370865 5370865 145766441 62689117 83077324 775588 736818 38770 76748920 67164345 9584575 0 0 0 98071534 ACCOUNTS RECEIV. CMHC GRANT 276246 RESERVE MENTAL HEALTH GRANT -276246 DUE FROM AFFILIATES 179948917 DUE FROM FQHC - EPIC COSTS 46500 REINSURANCE RECEIVABLE 2626000 CAPITATION RECEIVABLE 807559 FAMILY HEALTH NETWORK RECEIV. 658807 OTHER 3519 184091302 0 DUE TO THIRD PARTY PAYORS 4686961 ACCRUED PROF. LIABILITY INSURANCE 36414000 41100961 X INTENDED USE OF ENDOWMENT FUNDS Schedule D, Part V, Line 4 THE GRANTEE AGREES TO UNDERTAKE THE FOLLOWING OBLIGATIONS THAT WILL ENCOMPASS HOSPITAL-WIDE CAPITAL PROJECTS TO ADDRESS LIFE SAFETY CODE ISSUES, IMPROVE AND RENOVATE PATIENT CARE AREAS, ESTABLISH AND IMPROVE HEALTH INFORMATION TECHNOLOGY ("IT") AND IMPROVE PATIENT SAFETY, QUALITY OF CARE AND ACCESS TO CARE. FOR THIS GRANT AGREEMENT, THE SCOPE OF WORK INCLUDES THE FOLLOWING PROJECTS OR COMPONENTS THEREOF: A. ELEVATOR SEQUENCER AND HOIST WAY UPGRADES B. INSTALL SPRINKLER AND FIRE ALARMS FOR THE 9TH FLOOR OF THE HOSPITAL C. ACQUIRE NEW FETAL MONITORS D. RECONFIGURATION OF CURRENT ED WAITING ROOM AND TRIAGE AREA E. ACQUIRE NEW PATIENT MONITORS F. ACQUIRE NEW DIALYSIS MACHINES AND MONITORS G. ACQUIRE NEW DIGITAL RADIOGRAPHIC/FLUOROSCOPIC EQUIPMENT H. ACQUIRE NEW DEFIBRILLATORS I. ACQUIRE NEW BEDS FOR PSYCHIATRIC PATIENTS J. ACQUIRE AND INSTALL NEW WIRELESS SLAVE MONITORS K. ACQUIRE PORTABLE ECHO SYSTEM L. ACQUIRE PYXIS MEDSTATION M. RECONFIGURATION OF CURRENT ICCU/PACU FOR EHR IMPLEMENTATION AND NEW NURSE CALL SYSTEM N. INSTALL OXYGEN OUTLETS IN REHABILITATION GYM O. ACQUIRE ED CARTS FOR PATIENTS P. SAFE PATIENT HANDLING EQUIPMENT Q. EQUIPMENT FOR OPEN HEART PROCEDURES R. CARPETING AND FLOORING FOR HOSPITAL S. GI WAITING ROOM AND RECOVERY ROOM RENOVATIONS T. GI SCOPES, STERILE PROCESSING UNITS, AND TOWERS U. SURGICAL INSTRUMENTATION V. NERVE MONITOR W. URODYNAMIC SYSTEM X. SURGICAL TABLES Y. SURGICAL/PROCEDURAL LIGHTING AND INSTALLATION Z. GYRUS ENT EQUIPMENT AA. CYSTOSCOPY EQUIPMENT AND ROOM RENOVATION BB. CATHERIZATION LABORATORY EQUIPMENT AND ROOM RENOVATION CC. CASE CARD SYSTEM IN SURGERY DD. PREOPERATIVE HOLDING AREA RENOVATION EE. SURGERY TUBE STATION FOR DRUG TRANSPORTATION FF. EYE SURGERY INSTRUMENTATION GG. ED COMMUNICATION SYSTEM HH. ULTRASOUND EQUIPMENT II. SECURITY CAMERA SYSTEM JJ. PULMONARY FUNCTION EQUIPMENT FIN 48 (ASC 740) FOOTNOTE SCHEDULE D, PART X, LINE 2 PRESENCE HEALTH RECOGNIZES THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. AS OF DECEMBER 31, 2014 AND 2013, PRESENCE HEALTH DOES NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS. true true X true X true X 600. true true true false true true 10236 9986424 0 9986424 0.03750 1481 84326359 115872362 -31546003 0.00000 0 0 0 0 0.00000 11717 94312783 115872362 -21559579 0.03750 28 6670 541260 0 541260 0.00200 1 2 8843615 1622591 7221024 0.02710 0 0 0 0 0.00000 0 0 0 0 0.00000 6 9939 120440 0 120440 0.00050 35 16611 9505315 1622591 7882724 0.02960 35 28328 103818098 117494953 -13676855 0.06710 1 60 725 0 725 0.00000 1 60 725 0 725 0.00000 true 2522045 0 87162090 77770914 9391176 X true true 2 1 ST MARY OF NAZARETH HOSPITAL 2233 W DIVISION STREET CHICAGO IL 60622 WWW.PRESENCEHEALTH.ORG 0002584 X X X X A 2 ST ELIZABETH HOSPITAL 1431 N CLAREMONT chicago IL 60622 WWW.PRESENCEHEALTH.ORG 005314 X X X X A A 2 false false true X X X X X X X X X 13 true false false true X WWW.PRESENCEHEALTH.ORG/COMMUNITY-REPORTS X X true 13 true WWW.PRESENCEHEALTH.ORG/COMMUNITY-REPORTS false false true X 200. 600. X X X X X true true X X X X true X X X X X X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 4 IN PRESENCE HEALTH'S 2012 SCHEDULE H (FORM 990), IT WAS INDICATED THAT THE CHNA WAS COMPLETED IN 2012. ALTHOUGH THE QUANTITATIVE AND QUALITATIVE DATA WAS COLLECTED AND COMPILED IN 2012, THE CHNA REPORT WAS NOT MADE PUBLICLY AVAILABLE UNTIL THE BEGINNING OF 2013. THE CHNA COMPLETION DATE HAS BEEN UPDATED ON THIS FORM TO 2013 TO BE CONSISTENT WITH WHEN THE IRS DEEMS THE CHNA TO BE CONDUCTED (THE DATE ON WHICH THE CHNA REPORT IS PUBLISHED AND MADE "WIDELY AVAILABLE.") PART V, SECTION B, LINE 5 A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS A COLLABORATIVE COMMUNITY PROCESS OF IDENTIFYING AND PRIORITIZING A COMMUNITY'S HEALTH NEEDS, ACCOMPLISHED THROUGH THE COLLECTION AND ANALYSIS OF DATA, INCLUDING INPUT FROM COMMUNITY STAKEHOLDERS. IN JULY 2012, A CHNA STEERING COMMITTEE WAS FORMED TO REPRESENT STAKEHOLDERS WITHIN THE PSMEMC COMMUNITY, AS WELL AS TO PROVIDE OVERSIGHT AND INPUT THROUGHOUT THE CHNA PROCESS. THE COMMITTEE'S ROLE IS ALSO TO ASSIST IN THE IDENTIFICATION OF DATA-DRIVEN COMMUNITY PRIORITIES AND TO ENGAGE STAKEHOLDERS IN COMMUNITY SOLUTIONS THROUGH PARTNERSHIPS AND COLLABORATION. BY TAKING ON A COMMUNITY APPROACH TO BOTH THE ASSESSMENT AND IMPLEMENTATION STRATEGIES, THE GOAL IS TO ENSURE THE DATA, PROCESSES, AND OUTPUTS ADD VALUE TO ALL COMMUNITY PARTNERS, NOT JUST THE HOSPITAL. ENGAGEMENT OF PUBLIC HEALTH EXPERTISE PRESENCE HEALTH FORMALLY ENGAGED THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) FOR ASSISTANCE IN PLANNING AND EXECUTING THE CHNA PROCESS. IPHI SERVED AS AN EXPERT PUBLIC HEALTH CONSULTANT THROUGHOUT THE CHNA TIMELINE. FURTHER, IPHI PROVIDED INVALUABLE ASSISTANCE IN OBTAINING PARTNERSHIPS WITH THE LOCAL AND COUNTY HEALTH DEPARTMENTS. GIVEN THE VAST NUMBER OF COUNTY HOSPITALS SERVED BY THE SAME HEALTH DEPARTMENT IN COOK COUNTY, RESOURCE ALLOCATION WAS DIFFICULT TO OBTAIN. AS SUCH, IPHI FUNCTIONED AS A LIAISON ROLE BETWEEN PRESENCE HEALTH AND THE HEALTH DEPARTMENTS SO AS TO OBTAIN ENGAGEMENT THROUGH PUBLIC DATA SHARING AND LINKAGES WITH IMPLEMENTATION PLANS. CONVERSATIONS WERE FACILITATED BETWEEN THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH SO AS TO CONTINUALLY INFORM ALL PARTIES OF CHNA PROCESS INPUTS AND OBTAIN BOTH FEEDBACK AND SUPPORT. CHNA STEERING COMMITTEE TO PROVIDE COMMUNITY LEVEL OVERSIGHT FOR THE PROCESS, A DIVERSE GROUP OF COMMUNITY STAKEHOLDERS AND PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER REPRESENTATIVES FROM ITS SERVICE AREA (BELMONT CRAGIN, HERMOSA, HUMBOLDT PARK, LOGAN SQUARE AND WEST TOWN) WERE INVITED TO PARTICIPATE ON THE CHNA STEERING COMMITTEE. TO ENSURE REPRESENTATIVE ENGAGEMENT, PERSONAL INVITATIONS WERE SENT TO ORGANIZATIONS REPRESENTING CULTURAL, LINGUISTIC, RACIAL, ETHNIC, AND OTHER MINORITY GROUPS. IN ADDITION, INDIVIDUALS WITH SPECIALIZED QUALIFICATIONS IN DEALING WITH SPECIAL POPULATIONS OR CLINICAL GROUPS WERE SOLICITED FOR THEIR PARTICIPATION. FINALLY, EFFORTS WERE MADE TO INCLUDE INDIVIDUALS ON THE CHNA STEERING COMMITTEE WITH PUBLIC HEALTH EXPERTISE. THOSE WHO COMMITTED TO THE ASSESSMENT AND PLANNING PROCESS BECAME THE 20 MEMBERS OF THE CHNA STEERING COMMITTEE, WHICH CONTINUES TO MEET REGULARLY TO PROVIDE FEEDBACK AND OVERSIGHT, ASSESS PROGRESS, AND MODIFY PLANS AS NEEDED. THE AGENCIES REPRESENTED ON THE CHNA STEERING COMMITTEE ARE LISTED BELOW: - CEASEFIRE CHICAGO - WICKER PARK CHAMBER OF COMMERCE - LOGAN SQUARE NEIGHBORHOOD ASSOCIATION - BLOCK BY BLOCK - PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER - HEALTH CARE ALTERNATIVE SYSTEMS, INC. - BLOCK CLUB FEDERATION - NEAR NORTHWEST NEIGHBORHOOD NETWORK - ST. JOSEPH SERVICES - MATERNITY B.V.M. PARISH AND SCHOOL - HEALTHY SCHOOLS CAMPAIGN - PRIMECARE COMMUNITY HEALTH CENTER - CASA CENTRAL - TSA PARTNERS COMMUNITY HEALTH PROFILE THE COMMUNITY HEALTH PROFILE IS A COMPILATION OF SECONDARY DATA (DATA ALREADY PUBLISHED AND AVAILABLE) ABOUT A PARTICULAR COMMUNITY. THE PROFILE PROVIDES COMPARATIVE INFORMATION TO ASSIST IN UNDERSTANDING THE NEEDS AND PRIORITIES OF A COMMUNITY. THE COMMUNITY HEALTH PROFILE FOR PSMEMC ANALYZED OVER 50 INDICATORS. EXAMPLE INDICATORS INCLUDE: POPULATION TRENDS, RACE, INCOME, POVERTY LEVELS, AND PERCENTAGE OF UNINSURED, HEALTH PROFESSIONAL SHORTAGES, LEADING CAUSES OF DEATH, TEEN BIRTHS, BIRTH WEIGHTS, TOBACCO USE, PHYSICAL ACTIVITY, CRIME RATES, AND FOOD INSECURITY. THE COMMUNITY HEALTH PROFILE CAN BE FOUND ONLINE AT WWW.PRESENCEHEALTH.ORG/COMMUNITY. COMMUNITY INPUT REPORT THE COMMUNITY INPUT PROCESS WAS COMPLETED BETWEEN AUGUST AND OCTOBER 2012. THE PROCESS INCLUDED CREATING AND ADMINISTERING A COMMUNITY INPUT SURVEY IN SPANISH, POLISH AND RUSSIAN AS WELL AS ENGLISH, FACILITATING THREE FOCUS GROUPS, AND COMPLETING AN ASSET AND RESOURCES INVENTORY. THE COMMUNITY SURVEY EXPLORED RESIDENTS' PERCEPTIONS OF ISSUES SURROUNDING QUALITY OF LIFE, HEALTH, AND SOCIAL FACTORS AND COLLECTED RESPONDENTS' DEMOGRAPHICS INCLUDING INSURANCE COVERAGE. FIVE HUNDRED FIFTY-FOUR (554) COMMUNITY RESIDENTS COMPLETED THE SURVEY. THE COMMUNITY INPUT REPORT CAN BE FOUND ONLINE AT WWW.PRESENCEHEALTH.ORG/COMMUNITY. IN CONJUNCTION WITH THE CHNA STEERING COMMITTEE AND NUMEROUS COMMUNITY STAKEHOLDERS, AN INVENTORY OF COMMUNITY ASSETS WAS THEN CONDUCTED SO AS TO DETERMINE EXISTING HEALTH RESOURCES THAT COULD BE BUILT UPON OR COLLABORATED WITH TO CONDUCT THE WORK OF PSMEMC'S MINISTRY. THE COMMUNITY ASSET MATRIX CAN BE FOUND IN APPENDIX 1 OF THE COMMUNITY INPUT REPORT ONLINE AT WWW.PRESENCEHEALTH.ORG/COMMUNITY. PART V, SECTION B, LINE 7D PRINT COPIES ARE AVAILABLE UPON REQUEST. IN ADDITION, COPIES WERE MAILED TO COMMUNITY PARTNERS WHO COLLECTED COMMUNITY INPUT AND PARTICIPATED IN THE CHNA PROCESS FOR MORE SPECIFIC DISSEMINATION OF FINDINGS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE VIA EMAIL FOR DISSEMINATION TO THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS. PART V, SECTION C, LINE 11 PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER (PSMEMC) COORDINATED A BROAD ARRAY OF COMMUNITY STAKEHOLDERS FROM THE COMMUNITY AREAS OF BELMONT CRAGIN, HERMOSA, HUMBOLDT PARK, LOGAN SQUARE AND WEST TOWN TO FORM A CHNA STEERING COMMITTEE. THIS COMMITTEE'S ROLE WAS TO PROVIDE OVERSIGHT AND INPUT INTO THE PROCESS, AS WELL AS TO IDENTIFY DATA-DRIVEN COMMUNITY PRIORITIES SO AS TO ENGAGE IN COMMUNITY SOLUTIONS THROUGH PARTNERSHIPS AND COLLABORATIONS. THE CHNA STEERING COMMITTEE FOLLOWED A NINE-STEP PROCESS THAT INVOLVED THE FOLLOWING: IDENTIFY THE COMMUNITY AND ITS GEOGRAPHIC BOUNDARIES; FORMED A STEERING COMMITTEE; ADOPTED A MISSION, VISION AND VALUES; ANALYZED SECONDARY DATA; GATHERED COMMUNITY INPUT; IDENTIFIED KEY ISSUES; AND DEVELOPED HIGH-LEVEL ACTION PLANS AND COMMUNICATING RESULTS WITH THE COMMUNITY. PSMEMC THEN WORKED WITH THE CHNA STEERING COMMITTEE TO IDENTIFY THE PRIORITY ISSUES THAT WERE DEEMED MOST SIGNIFICANT IN THE COMMUNITY. THE COMMITTEE GENERATED A LIST OF THEIR IDENTIFIED CROSS-CUTTING THEMES AND COMMUNITY ISSUES. THE FOLLOWING THEMES SURFACED AND WERE PRIORITIZED BY THE CHNA STEERING COMMITTEE AS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY: - SAFETY, VIOLENCE, JOBS AND EDUCATION - MENTAL HEALTH & SUBSTANCE ABUSE - OBESITY AND DIABETES: PREVENTION & MANAGEMENT - HEALTH LITERACY THE CHNA STEERING COMMITTEE ALSO DETERMINED THAT ADDRESSING ECONOMIC DISPARITIES AND LANGUAGE BARRIERS SHOULD BE ADDRESSED THROUGHOUT ALL PRIORITIES AND STRATEGIES SO AS TO ENSURE A FOCUS ON THE MOST VULNERABLE AND UNDERSERVED POPULATIONS. PSMEMC TOOK STEPS TO ADDRESS ALL OF THESE NEEDS IN 2014 AS FOLLOWS: SAFETY, VIOLENCE, JOBS AND EDUCATION THE GOAL OF PSMEMC'S SAFETY AND VIOLENCE CHNA ACTION TEAM WAS TO HAVE A PLATFORM FOR YOUTH TO HAVE A VOICE, FOR PARENTS TO BE MORE DIRECTLY INVOLVED, TO INCREASE AWARENESS OF ALL THE PROGRAMS THAT ALREADY EXIST IN AFTER-SCHOOL PROGRAMS, AND TO ENCOURAGE YOUTH DEVELOPMENT OF LEADERSHIP SKILLS IN ORDER TO BECOME MORE PRODUCTIVE MEMBERS OF SOCIETY. TO THOSE ENDS, PSMEMC DEVELOPED SPECIFIC OBJECTIVES ALONG WITH STRATEGIES TO MEET THOSE OBJECTIVES. THE ACTION TEAM DEVELOPED A NEIGHBORHOOD RESOURCE DIRECTORY TO ASSIST NEIGHBORHOOD FAMILIES IN CONNECTING THE AVAILABLE SERVICES IN THE AREAS OF SOCIAL SERVICES, EDUCATION, EMPLOYMENT AND HEALTHCARE. THIS INVOLVED GATHERING INFORMATION AND CONTACTS FROM ALL THE TEAM MEMBERS ON PROGRAMS THAT ALREADY EXISTED AND CREATING A COMMUNITY ADVOCACY BOARD. MEASURES OF SUCCESS ARE CURRENTLY BEING DEVELOPED. IN AN EFFORT TO CREATE A PLATFORM FOR YOUTH TO SHARE THEIR EXPERIENCES, THE ACTION TEAM NEEDED TO BREAK DOWN THE TARGET AUDIENCE THEY WERE FOCUSING ON TO REALISTIC GOALS IN A THREE YEAR TERM, AND WHICH AREAS WILL BE PRIORITIZED THROUGHOUT THAT TIME SPAN. THROUGHOUT THE EMPLOYED STRATEGIES, PSMEMC FACILITATED THE WORK OF THE ACTION TEAM AS WELL AS ITS OWN INTERNAL PROGRAMS AROUND THIS IMPORTANT ISSUE. MENTAL HEALTH & SUBSTANCE ABUSE THE AIM OF PSMEMC'S MENTAL HEALTH CHNA ACTION TEAM WAS TO DEVELOP A STRONG CONTINUUM OF CARE BETWEEN ALL CARE GIVERS WITHIN THE TARGET POPULATION. PSMEMC WORKED TOWARDS THIS GOAL BY CREATING A COORDINATION OF CARE AND ACCESS TO CARE MODEL. PSMEMC CREATED COMPREHENSIVE LIST OF HEALTH CARE PROVIDERS. THIS WAS MADE POSSIBLE BY AN EXCHANGE OF INFORMATION AMONG THE HEALTHCARE PROVIDERS ALONG WITH INDIVIDUALS AND FAMILIES WITHIN THE TARGET POPULATION AREA TO INCREASE COMMUNITY AWARENESS OF PROVIDED SERVICES. PSMEMC FACILITATED THE WORK OF THE ACTION TEAM AS WELL AS ITS OWN INTERNAL PROGRAMS AROUND THIS IMPORTANT ISSUE. IN ADDITION, THE ACTION TEAM WILL WORK WITH THE PRESENCE HEALTH BEHAVIORAL HEALTH DEPARTMENT TO WORK ON SYSTEM-LEVEL STRATEGIES OF ADDRESSING MENTAL HEALTH IN THE COMMUNITY. OBESITY AND DIABETES: PREVENTION & MANAGEMENT PSMEMC'S OBESITY AND DIABETES CHNA ACTION TEAM WAS COMMITTED TO CREATING AWARENESS AND UTILIZATION OF AVAILABLE RESOURCES IN THE COMMUNITY. BY IDENTIFYING THESE RESOURCES, PSMEMC FACILITATED COLLABORATION BETWEEN THE ORGANIZATION AND THE BROADER COMMUNITY. THE ACTION TEAM'S OBJECTIVE WAS TO IDENTIFY EXISTING PROGRAMS AND APPROACHES TO THE PREVENTION AND TREATMENT OF THE IMPORTANT HEALTH PROBLEMS OF OBESITY AND DIABETES. TO ACCOMPLISH THIS, PSMEMC DEVELOPED SPECIFIC GOALS AND STRATEGIES. ONE SUCH GOAL WAS TO CREATE A UNIFIED CALENDAR OF ALL ONGOING EVENTS AND ACTIVITIES IN THE COMMUNITY WITH CONTINUED EVALUATION AND UPDATES. THIS INVOLVED CREATING A DIABETES/OBESITY ASSET MAP WHICH INCLUDED ALL ASSETS OF PHYSICAL ACTIVITY AND NUTRITION EDUCATION. THIS EDUCATION AND AWARENESS TOOL WAS A RESOURCE FOR PROVIDERS AND CLINICIANS TO PASS ALONG TO PATIENTS IN THE COMMUNITY. SMEMC FACILITATED THE WORK THE ACTION TEAM AS WELL AS ITS OWN INTERNAL PROGRAMS AROUND THIS ISSUE. ANOTHER GOAL WAS TO PLAN AND IMPLEMENT THREE ANNUAL SIGNATURE EVENTS IN THE COMMUNITY RELATED TO DIABETES OR OBESITY - MOVE FOR LIFE, PHYSICAL ACTIVITY PROMOTION, AND DIABETES AWARENESS MONTH CELEBRATION. PSMEMC FACILITATED THE WORK OF THE ACTION TEAM AS WELL AS ITS OWN INTERNAL PROGRAMS AROUND THIS ISSUE. AN EFFORT WAS MADE TO ENCOURAGE PHYSICIAN ENGAGEMENT TO "PRESCRIBE" PHYSICAL ACTIVITY. DR. JARAMILLO AND DR. MILAN WERE IDENTIFIED AS PHYSICIAN CHAMPIONS. HEALTH LITERACY THE PSMEMC HEALTH LITERACY CHNA ACTION TEAM'S OVERARCHING GOAL WAS TO IDENTIFY, ASSESS AND REPLICATE BEST PRACTICES IN HEALTH LITERACY TO ENSURE CLEAR, MEANINGFUL COMMUNICATIONS THAT SUPPORT ACTIVITIES TO POSITIVELY CHANGE INDIVIDUAL AND POPULATION HEALTH OUTCOMES IN THE COMMUNITIES SERVED. TO THAT END, THE ACTION TEAM ESTABLISHED A STRATEGY THAT RESPONDED TO THIS IMPORTANT NEED. FIRST, THE ACTION TEAM DEVELOPED GUIDING PRINCIPLES FOR HEALTH LITERACY. THIS MEANT INITIATING, RECRUITING AND RETAINING MEMBERS OF A COMMUNITY ADVISORY BOARD OF HEALTH LITERACY FOR ADVOCACY PURPOSES. A CHARTER FOR THE DEVELOPMENT OF THE BOARD WAS CREATED AND PRINCIPLES, APPROACHES, AND EDUCATIONAL TOOLS FOR COMMUNITY-INSPIRED HEALTH LITERACY WERE PRODUCED. THE TEAM THEN IMPLEMENTED A PILOT THAT TESTS THE EFFICACY OF THE DEVELOPED CHECKLIST (I.E., COMPREHENSION, TRUST, SELF-EFFICACY, PARTICIPATION RATES, IMPROVED USAGE OF HEALTH CARE AND COORDINATION). FINALLY, THE TEAM PUBLISHED OUTCOMES AND RESULTS TO IDENTIFY BEST PRACTICES FOR HEALTH LITERACY INTERVENTION FOR BROADER IMPLEMENTATION. PSMEMC FACILITATED THE WORK OF THE ACTION TEAM AS WELL AS ITS OWN INTERNAL PROGRAMS AROUND THIS IMPORTANT ISSUE. PART I, FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST Part I, LINE 3C - CHARITY CARE ELIGIBILITY CRITERIA THIS QUESTION IS NOT APPLICABLE BECAUSE PRESENCE HEALTH USES THE FEDERAL POVERTY GUIDELINES. PART I, LINE 6A PRESENCE HEALTH, THE SYSTEM PARENT CORPORATION OF PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER (PSMEMC), PUBLISHED A COMMUNITY BENEFIT REPORT FOR 2014, WHICH DETAILS THE COMBINED CHARITABLE IMPACT PRESENCE HEALTH FACILITIES HAVE WITHIN THE COMMUNITIES THEY SERVE. IN ADDITION TO THE COMMUNITY BENEFIT REPORT FOR 2014, PSMEMC PUBLISHES A MINISTRY-SPECIFIC IMPLEMENTATION STRATEGY WHICH OUTLINES THE GOALS AND OBJECTIVES PSMEMC HAS ESTABLISHED TO ADDRESS THE PRIORITIZED NEEDS OF ITS COMMUNITY. THE PRESENCE HEALTH SYSTEM IS REFERENCED IN THIS DOCUMENT, BUT OTHER HOSPITALS WITHIN THE PRESENCE HEALTH SYSTEM FILE THEIR OWN 990S AND SCHEDULE H. PART I LINE 6B THE 2014 PRESENCE HEALTH COMMUNITY BENEFIT REPORT WAS MADE PUBLICLY AVAILABLE THROUGH A VARIETY OF WAYS TO SHARE THE INFORMATION WITH THE COMMUNITY AT LARGE: - PRINT VERSION OF REPORT - THE REPORT WILL BE MAILED TO COMMUNITY PARTNERS, ELECTED OFFICIALS AND LOCAL LEADERS. - WEBSITE - A ROBUST COMMUNITY SECTION HAS BEEN DEVELOPED AND CAN BE FOUND ONLINE AT WWW.PRESENCEHEALTH.ORG/COMMUNITY. THIS SECTION INCLUDES AN ONLINE, DOWNLOADABLE FILE OF THE 2014 COMMUNITY BENEFIT REPORT. PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER HAS ITS OWN MINISTRY LINK ON THIS PAGE. THROUGH THIS LINK, COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DOCUMENTS SPECIFIC TO PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER CAN BE DOWNLOADED, INCLUDING A COMMUNITY-FRIENDLY CHNA FLIPBOOK, THE SOURCE DOCUMENTS OF ALL DATA REVIEWED, AN OVERALL CHNA REPORT, AND AN IMPLEMENTATION STRATEGY. - POWERPOINT PRESENTATION - A STANDARD POWERPOINT OF THE ENTIRE 2014 COMMUNITY BENEFIT REPORT HAS BEEN MADE AVAILABLE. A CUSTOMIZED VERSION OF THIS PRESENTATION HAS ALSO BEEN CREATED FOR PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER TO SHARE WITH THE COMMUNITY, WHICH SHOWS THE LOCAL COMMUNITY BENEFIT CONTRIBUTIONS, PERSONS SERVED, AND THE 2014 PRIORITIZED COMMUNITY NEEDS. PART I, LINE 7G COSTS FROM PHYSICIAN CLINICS ARE NOT INCLUDED IN SUBSIDIZED SERVICE TOTALS. PART I LINE 7, COLUMN F PER 2014 INSTRUCTIONS FOR SCHEDULE H (FORM 990), THE BAD DEBT EXPENSE OF $2,522,045 HAS BEEN REMOVED FROM THE DENOMINATOR IN CALCULATING THE PERCENTAGE OF TOTAL EXPENSE IN LINE 7. PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGY THE COST-TO-CHARGE RATIO WAS USED TO DETERMINE SCHEDULE H, PART I, LINE 7A, FINANCIAL ASSISTANCE AT COST. SCHEDULE H, PART I, LINE 7B, UNREIMBURSED MEDICAID, WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. THE REMAINING AMOUNTS REPORTED ON LINE 7 ARE REPORTED AT COST. PART II - COMMUNITY BUILDING ACTIVITIES COMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES AND SOCIAL DETERMINANTS OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL HAZARDS. PARTICIPATION IN COLLABORATIVE COMMUNITY EFFORTS TO PROMOTE PUBLIC HEALTH INITIATIVES IS ALSO INCLUDED, SUCH AS ENGAGEMENT IN COALITIONS AND ADVOCACY FOR HEALTH IMPROVEMENT. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER ENGAGES IN A VARIETY OF COMMUNITY-BUILDING ACTIVITIES WHICH ULTIMATELY IMPROVE THE HEALTH OF THE COMMUNITIES WE ARE PRIVILEGED TO SERVE, EVEN THOUGH THEY ARE NOT SPECIFIC HEALTH ACTIVITIES. EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDE: - ALL OF OUR HOSPITALS WORK TO SUPPORT DISASTER READINESS AND EMERGENCY PREPAREDNESS. THIS WORK GOES ABOVE AND BEYOND ANY LICENSURE REQUIREMENTS TO PROACTIVELY ENSURE OUR COMMUNITIES ARE SAFE AND PREPARED IF A DISASTER SHOULD PRESENT ITSELF. - PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER PARTICIPATES IN SEVERAL COMMUNITY COALITIONS, SUCH AS BUILDING A HEALTHIER CHICAGO. BUILDING A HEALTHIER CHICAGO IS A COLLABORATIVE OF MORE THAN 150 LOCAL AND NATIONAL STAKEHOLDERS INCLUDING: US DEPARTMENT OF HEALTH AND HUMAN SERVICES - REGION V, CHICAGO DEPARTMENT OF PUBLIC HEALTH, INSTITUTE OF MEDICINE IN CHICAGO, AND THE CHICAGO MEDICAL SOCIETY. THE GOAL OF BUILDING A HEALTHIER CHICAGO IS TO IMPROVE THE HEALTH OF CHICAGO'S RESIDENTS AND EMPLOYEES THROUGH THE INTEGRATION OF NEW AND EXISTING PUBLIC HEALTH, BUSINESS, MEDICINE AND COMMUNITY EFFORTS. THE GOALS ARE GEARED TOWARD ACHIEVING: REDUCTION OF HEALTH RISKS, IMPROVEMENT OF HEALTH SYSTEMS, AND ELIMINATION OF HEALTH DISPARITIES. IT IS OUR BELIEF THAT WORKING IN COLLABORATION WITH COMMUNITY PARTNERS HELPS TO BUILD THE FOUNDATION FOR A HEALTHIER COMMUNITY. PART III, BAD DEBT, MEDICARE AND COLLECTION PRACTICES PART III, SECTION A, LINE 2 THERE ARE NO ESTIMATES OF BAD DEBT INCLUDED. BAD DEBT IS AT TOTAL EXPENSE. PART III, SECTION A, LINE 3 THE PROVISION FOR FINANCIAL ASSISTANCE POLICY ALLOWS FOR ACCOUNTS IN BAD DEBT TO BE APPROVED FOR FINANCIAL ASSISTANCE IF THE PATIENT MEETS THE CRITERIA. THERE ARE POSSIBLE FINANCIAL ASSISTANCE ACCOUNTS IN BAD DEBT, ALTHOUGH THE EXACT PERCENTAGE IS UNKNOWN AS WE DO NOT HAVE THE APPROPRIATE TOOLS TO DETERMINE THIS PERCENTAGE ACCURATELY. PART III, SECTION A, LINE 4 FOR TAX RETURN PURPOSES THE BAD DEBT EXPENSE IS SHOWN ON PART IX, STATEMENT OF FUNCTIONAL EXPENSE. FOR AUDIT PURPOSES THE ORGANIZATION FOLLOWS ASU 2011-07 PRESENTATION. PATIENTS' ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENTS' ACCOUNTS RECEIVABLE, PRESENCE HEALTH ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOUCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, PRESENCE HEALTH ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH PATIENT RESPONSIBILITY (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 PATIENTS ARE SCREENED AGAINST PRESENCE HEALTH CHARITY CARE POLICY AND UNINSURED DISCOUNT POLICY. FOR ANY REMAINING PATIENT RESPONSIBILITY BALANCE, PRESENCE HEALTH RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE 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 STANDARD RATE (OR DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PART III, SECTION C, LINE 9B COLLECTION POLICIES ARE THE SAME FOR ALL PRESENCE HEALTH ENTITIES, WHICH INCLUDES PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER'S PATIENTS. PATIENTS ARE NOTIFIED OF THE FINANCIAL ASSISTANCE POLICY AT THE TIME OF REGISTRATION VIA POSTED NOTIFICATIONS AND ON EVERY ACCOUNT STATEMENT THAT IS SENT TO THEM. THIS INFORMATION IS AVAILABLE IN A NUMBER OF LANGUAGES. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE REVENUE CYCLE. PER THE PROVISION FOR FINANCIAL ASSISTANCE POLICY, THE COLLECTION PROCESS IS AS FOLLOWS: 1. PRE-LITIGATION REVIEW. PRIOR TO AN ACCOUNT BEING AUTHORIZED FOR THE FILING OF SUIT FOR NON-PAYMENT OF A PATIENT BILL, A FINAL REVIEW OF THE ACCOUNT WILL BE CONDUCTED AND APPROVED BY THE FINANCIAL COUNSELING REPRESENTATIVE (OR DESIGNEE) TO MAKE SURE THAT NO APPLICATION OF FINANCIAL ASSISTANCE WAS EVER RECEIVED AND THAT THERE EXISTS OBJECTIVE EVIDENCE THAT THE PATIENT DOES HAVE SUFFICIENT FINANCIAL MEANS TO PAY ALL OR PART OF HIS/HER BILL. PRIOR TO A COLLECTIONS SUIT BEING FILED, THE SELF-PAY COLLECTIONS DIRECTOR MUST REVIEW AND APPROVE. 2. RESIDENTIAL LIENS. NO HOSPITAL WILL PLACE A LIEN ON THE PRIMARY RESIDENCE OF A PATIENT WHO HAS BEEN DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE/CHARITY CARE, FOR PAYMENT OF THE PATIENT'S UNDISCOUNTED BALANCE DUE. FURTHER, IN NO CASE WILL ANY HOSPITAL EXECUTE A LIEN BY FORCING THE SALE OR FORECLOSURE OF THE PRIMARY RESIDENCE OF ANY PATIENT TO PAY FOR ANY OUTSTANDING MEDICAL BILL. 3. NO USE OF BODY ATTACHMENTS. NO HOSPITAL WILL USE BODY ATTACHMENT TO REQUIRE ANY PERSON, WHETHER RECEIVING FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNTS OR NOT, TO APPEAR IN COURT. 4. COLLECTION AGENCY REFERRALS. EACH HOSPITAL FINANCE ACCOUNTING WILL ENSURE THAT ALL COLLECTION AGENCIES USED TO COLLECT PATIENT BILLS PROMPTLY REFER ANY PATIENT WHO INDICATES FINANCIAL NEED, OR OTHERWISE APPEARS TO QUALIFY FOR FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNTS, TO A FINANCIAL COUNSELOR TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR SUCH A CHARITABLE DISCOUNT. FOR MORE INFORMATION ABOUT THE PRESENCE HEALTH FINANCIAL ASSISTANCE PROGRAM, SEE WWW.PRESENCEHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE. PART VI, 2 - NEED ASSESSMENT IN ADDITION TO CONDUCTING CHNAS EVERY THREE (3) YEARS, PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER JOINS FORCES WITH LOCAL COMMUNITY ORGANIZATIONS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY ON AN ONGOING BASIS. WE PARTICIPATE IN A VARIETY OF COALITIONS, COMMISSIONS, COMMITTEES, BOARDS, PARTNERSHIPS AND PANELS. OUR COMMUNITY OUTREACH WORKERS AND LIAISONS SPEND AMPLE TIME IN THE COMMUNITY PSMEMC SERVES, AND BRING BACK FIRST-HAND KNOWLEDGE OF COMMUNITY NEEDS. WE ALSO SOLICIT GUIDANCE AND INVITE INPUT FROM A GROUP OF EXTERNAL PARTICIPANTS TO REVIEW OUR COMMUNITY BENEFIT PLAN, NEIGHBORHOOD RELATIONS, AND DATA SUPPLEMENTS TO ADVISE US ON THE PRIORITY NEEDS AND DIRECTIONS WITH REGARD TO COMMUNITY NEEDS. EXTERNAL GROUP PARTICIPANTS INCLUDE REPRESENTATIVES FROM THE PUBLIC HEALTH DEPARTMENT, LOCAL ALDERMEN AND REPRESENTATIVES, LEADERS FROM COMMUNITY BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A WIDE RANGE OF AREAS INCLUDING: PUBLIC HEALTH, MINORITY POPULATIONS, HEALTH CARE DISPARITIES, MENTAL HEALTH, AND HEALTH AND SOCIAL SERVICES. SOLICITING FEEDBACK FROM THIS GROUP HELPS US TO ENSURE WE ARE AWARE OF THE MOST PRESSING COMMUNITY HEALTH NEEDS. PRESENCE HEALTH MINISTRIES ALSO COMPLETE MEDICAL STAFF DEVELOPMENT PLANS. THESE PLANS ARE CONDUCTED BY EXTERNAL CONSULTANTS, WHO PROVIDE AN INDEPENDENT ASSESSMENT OF THE NEED FOR PHYSICIANS BY SPECIALTY WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA AS DEFINED BY STARK REGULATIONS. WE ALSO REVIEW AND ANALYZE OUR OWN INTERNAL PATIENT DATA (INPATIENT AND EMERGENCY DEPARTMENT UTILIZATION) ON AN ANNUAL BASIS TO UNCOVER ANY NEW COMMUNITY HEALTH TRENDS. WE REVIEW PURCHASED AND PUBLICLY AVAILABLE DATA AND ANALYSES ON THE MARKET, DEMOGRAPHICS, AND HEALTH SERVICE UTILIZATION. PART VI, 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PRESENCE HEALTH HOSPITAL MINISTRIES PROACTIVELY COMMUNICATE THE AVAILABILITY OF OUR FINANCIAL ASSISTANCE/CHARITY CARE PROGRAMS BY USING MULTIPLE TYPES OF APPROPRIATE MEDIA AND IN MULTIPLE APPROPRIATE LANGUAGES. THE MECHANISMS USED BY PRESENCE HEALTH HOSPITALS TO COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE/CHARITY CARE INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: 1. SIGNAGE. SIGNS ARE POSTED PROMINENTLY THROUGHOUT HIGH TRAFFIC AREAS OF OUR MINISTRIES, AS WELL AS WITHIN OUR INPATIENT AND OUTPATIENT REGISTRATION/PATIENT ADMITTING AREAS AND EMERGENCY DEPARTMENTS. SIGNS STATE THAT PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNTS, AND DESCRIBE HOW TO OBTAIN MORE INFORMATION, INCLUDING IDENTIFICATION OF APPROPRIATE HOSPITAL REPRESENTATIVES BY TITLE. SIGNS ARE IN MULTIPLE LANGUAGES. 2. PROVISION OF FINANCIAL ASSISTANCE MATERIALS TO UNINSURED PATIENTS. PRESENCE HEALTH HOSPITALS PROVIDE A SUMMARY OF ITS FINANCIAL ASSISTANCE PROGRAMS AND A FINANCIAL ASSISTANCE APPLICATION TO ALL PERSONS RECEIVING HOSPITAL CARE THAT IT IDENTIFIES AS UNINSURED PATIENTS AT THE TIME OF IN-PERSON REGISTRATION, ADMISSION, OR SUCH LATER TIME THAT THE PATIENT IS FIRST IDENTIFIED AS AN UNINSURED PATIENT. FOR PATIENTS PRESENTING IN THE EMERGENCY DEPARTMENT, ALL PRESENCE HEALTH HOSPITALS PROVIDE SUCH FINANCIAL ASSISTANCE MATERIALS AT SUCH TIME AND IN SUCH MANNER AS IS CONSISTENT WITH THEIR OBLIGATIONS UNDER EMTALA TO ACCESS FOR AND STABILIZE ANY PATIENT WITH AN EMERGENCY MEDICAL CONDITION BEFORE MAKING INQUIRY OF THE PATIENT'S ABILITY TO PAY. 3. BROCHURES. BROCHURES, INFORMATION SHEETS AND SIMILAR FORMS OF WRITTEN COMMUNICATION REGARDING THE HOSPITAL'S FINANCIAL ASSISTANCE/CHARITY CARE POLICY ARE MAINTAINED IN APPROPRIATE AREAS OF THE HOSPITAL (E.G. EMERGENCY DEPARTMENT, ORGANIZED REGISTRATION AREAS, THE BUSINESS OFFICE). THESE COMMUNICATIONS STATE IN MULTIPLE LANGUAGES THAT THE HOSPITAL OFFERS FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNTS AND DESCRIBES HOW TO OBTAIN MORE INFORMATION. 4. WEBSITE. COMPREHENSIVE INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAMS - INCLUDING ELIGIBILITY CRITERIA, APPLICATION DETAILS, AND CONTACT INFORMATION - IS ALSO AVAILABLE ON OUR CONSUMER WEB SITE (HTTP://PRESENCEHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE). 5. BILLING NOTICES. EACH PRESENCE HEALTH HOSPITAL INCLUDES A NOTE ON OR WITH THE HOSPITAL BILL AND/OR STATEMENT REGARDING THE HOSPITAL'S FINANCIAL ASSISTANCE/CHARITY CARE PROGRAM AND HOW THE PATIENT MAY APPLY FOR CONSIDERATION UNDER THIS PROGRAM. 6. FINANCIAL COUNSELORS. EACH PRESENCE HEALTH HOSPITAL HAS ONE OR MORE FINANCIAL COUNSELORS WHOSE CONTACT INFORMATION IS LISTED OR PROVIDED WITH OTHER INFORMATION CONCERNING THE FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNT PROGRAM. THESE COUNSELORS ARE AVAILABLE TO DISCUSS ELIGIBILITY AND OTHER QUESTIONS CONCERNING THE PROGRAM, AND PROVIDE ASSISTANCE WITH APPLICATIONS. THEY ARE ALSO AVAILABLE TO MEET WITH PATIENTS DURING THEIR STAY IF THEY HAVE QUESTIONS ABOUT THEIR ABILITY TO PAY FOR SERVICES AND OUR FINANCIAL ASSISTANCE PROGRAMS. 7. NOTIFICATION OF DETERMINATION. WHEN A PRESENCE HEALTH HOSPITAL MAKES A DETERMINATION THAT A PATIENT'S BILL IS DISCOUNTED OR ADJUSTED BASED ON A DETERMINATION OF FINANCIAL NEED, THE HOSPITAL NOTIFIES THE PATIENT OF SUCH ELIGIBILITY DETERMINATION AND THAT THERE IS NO FURTHER COLLECTION ACTION TAKEN ON THE DISCOUNTED PORTION OF THE PATIENT'S BILL. PART VI, 4 - COMMUNITY INFORMATION PRESENCE HEALTH PROVIDES SERVICES AT 150 SITES, INCLUDING TWELVE ACUTE CARE HOSPITALS WITH A TOTAL OF 2,997 STAFFED BEDS AND OVER 90 PRIMARY AND SPECIALTY CARE CLINIC. THESE MINISTRIES OFFER A BROAD RANGE OF SERVICES FROM HIGHLY SPECIALIZED TERTIARY SERVICES TO AN EXTENDED NETWORK OF PRIMARY AND AMBULATORY CARE. PRESENCE HEALTH HAS IDENTIFIED A SEPARATE SERVICE AREA FOR EACH OF ITS ACUTE CARE HOSPITALS UTILIZING A CONSISTENT METHODOLOGY AND REFLECTING A COMBINATION OF GEOGRAPHIC LOCATION AND MARKET SHARE CRITERIA. THE TOTAL SERVICE AREA OF EACH MINISTRY REPRESENTS APPROXIMATELY 80% TO 90% OF THE TOTAL INPATIENT DISCHARGES FROM THAT FACILITY. THE PRIMARY SERVICE AREA (THE "PRIMARY SERVICE AREA") OF EACH FACILITY REPRESENTS APPROXIMATELY 65 TO 75% OF SUCH DISCHARGES AND THE SECONDARY SERVICE AREA (THE "SECONDARY SERVICE AREA") OF EACH FACILITY REPRESENTS APPROXIMATELY 15 TO 25% OF SUCH DISCHARGES. THE PRIMARY SERVICE AREAS AND SECONDARY SERVICE AREAS HAVE BEEN DETERMINED BY UTILIZING A PATIENT ORIGIN ANALYSIS TO IDENTIFY THOSE ZIP CODES THAT REPRESENT INPATIENT DISCHARGES. THESE ZIP CODES ARE THEN MAPPED TO IDENTIFY GEOGRAPHIC COVERAGE OF THE PRIMARY SERVICE AREAS AND SECONDARY SERVICE AREAS. MANY OF THE PRESENCE HEALTH HOSPITAL MINISTRIES FACILITIES ARE LOCATED IN POPULATION GROWTH AREAS. BASED UPON POPULATION ESTIMATES AND PROJECTIONS OBTAINED FROM CLARITAS, INC., THE POPULATION OF THE OUR HOSPITALS' COMBINED SERVICE AREA IS EXPECTED TO GROW AT A RATE OF 1.9% ANNUALLY BETWEEN 2012 AND 2017, COMPARED WITH A GROWTH RATE OF 1.3% AND 1.6% PER YEAR IN THE CHICAGO MSA AND IN ILLINOIS, RESPECTIVELY. OF PRESENCE'S TOTAL SERVICE AREA POPULATION, 10.7% IS OVER THE AGE OF 65, COMPARED TO 11.1% AND 12.3% IN THE CHICAGO MSA AND IN ILLINOIS, RESPECTIVELY. THE PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER CHNA SERVICE AREA INCLUDES WEST TOWN (60642, 60622), BELMONT CRAGIN (60639), HERMOSA (60639), LOGAN SQUARE (60647), AND HUMBOLDT PARK (60651). THE TOTAL POPULATION OF THESE ZIP CODES IN 2010 WAS 315,103, MAKING UP THE SERVICE AREA OF PSMEMC. DEMOGRAPHICS DEMOGRAPHICALLY, BELMONT CRAGIN, HERMOSA AND HUMBOLDT PARK ARE QUITE SIMILAR. LOGAN SQUARE AND WEST TOWN SHARE SOME SIMILARITIES BUT DIFFER SOMEWHAT FROM THE OTHER THREE COMMUNITIES. HUMBOLDT PARK HAS THE HIGHEST RATES OF POVERTY AND A LARGER BLACK POPULATION. WHILE IT LOST 14% OF ITS POPULATION FROM 2000 TO 2010, HUMBOLDT PARK HAD ONE OF THE LARGEST POPULATIONS OF INDIVIDUALS UNDER 20 YEARS OLD. AT THE SAME TIME, HOWEVER, THE HUMBOLDT PARK AREA HAD ONE OF THE LARGEST INCREASES IN SENIOR CITIZENS, FROM 6% TO 9% OF THE TOTAL POPULATION. WEST TOWN AND LOGAN SQUARE HAVE THE HIGHEST MEDIAN INCOMES AND LOWER RATES OF POVERTY; LOGAN SQUARE IS PREDOMINANTLY HISPANIC/LATINO, WHEREAS WEST TOWN IS THE ONLY AREA THAT IS PREDOMINANTLY WHITE, AS OF 2010. WEST TOWN IS ALSO THE LARGEST COMMUNITY AREA, WITH 81,000 RESIDENTS. BELMONT CRAGIN AND HERMOSA ARE LARGELY HISPANIC/LATINO; HERMOSA IS THE SMALLEST COMMUNITY AREA, WITH ONLY 25,000 RESIDENTS. BELMONT CRAGIN AND HERMOSA ARE MADE UP OF ALMOST ONE-THIRD YOUNG RESIDENTS, UNDER THE AGE OF 20. UP TO 40% OF RESIDENTS IN BELMONT CRAGIN DO NOT SPEAK ENGLISH WELL, COMPARED TO ONLY ABOUT 12% IN WEST TOWN. SOCIOECONOMIC HUMBOLDT PARK HAD THE HIGHEST RATES OF CHILDREN LIVING IN POVERTY, ALMOST 50%; ALL THE AREAS HAD AT LEAST ONE IN FIVE CHILDREN LIVING IN POVERTY. AS WOULD BE EXPECTED, THIS TRANSLATED INTO ALMOST ALL SCHOOLS IN THE REGION HAVING 70% OR MORE OF STUDENTS ELIGIBLE FOR FREE OR REDUCED LUNCH; SOME SCHOOLS IN LOGAN SQUARE AND WEST TOWN HAD LOWER RATES. SPANISH IS THE MOST COMMON LANGUAGE AMONG THOSE WHO DON'T SPEAK ENGLISH WELL, FOLLOWED BY POLISH (IN BELMONT CRAGIN, HERMOSA AND WEST TOWN). TAGALOG WAS ALSO FREQUENTLY SPOKEN AND WEST TOWN HAS A POPULATION THAT SPEAKS OTHER SLAVIC LANGUAGES. IN HUMBOLDT PARK, BELMONT CRAGIN AND HERMOSA, AT LEAST ONE-THIRD OF ADULTS OVER 25 DO NOT HAVE A HIGH SCHOOL DEGREE; ONLY 19% IN LOGAN SQUARE AND 13% IN WEST TOWN LACK A HIGH SCHOOL DEGREE. SIMILARLY, THE UNEMPLOYMENT RATES IN HUMBOLDT PARK, BELMONT CRAGIN AND HERMOSA WERE ALL ABOVE THE CHICAGO AVERAGE OF 11.1%. UNEMPLOYMENT WAS ONLY 7.5% IN LOGAN SQUARE AND 6% IN WEST TOWN. IT IS LIKELY THAT UNEMPLOYMENT IS ACTUALLY HIGHER IN HUMBOLDT PARK. ACCESS TO CARE IN TERMS OF ACCESS TO HEALTHCARE, 20% OF CHICAGOANS ARE UNINSURED, WHICH IS HIGHER THAN THE NATIONAL RATE OF 15%. OVER 40% OF RESIDENTS IN THE BELMONT CRAGIN, HERMOSA AND HUMBOLDT PARK ZIP CODES ARE ENROLLED IN MEDICAID. AMONG PATIENTS WHO CAME TO THE PSMEMC EMERGENCY ROOM (ER) BUT DID NOT HAVE TO STAY AT THE HOSPITAL, 52% WERE ON MEDICAID, COMPARED TO THE STATE AVERAGE OF 34%. THE PERCENT SELF-PAYING WAS THE SAME AT BOTH PSMEMC AND THE STATE. AS REFLECTED IN THE LANGUAGES SPOKEN IN THE COMMUNITY, 90% OF REQUESTS FOR INTERPRETERS AT PSMEMC WERE FOR EITHER SPANISH OR POLISH. ACCORDING TO THE U.S. BUREAU OF HEALTH PROFESSIONS, BELMONT CRAGIN, HERMOSA, LOGAN SQUARE AND HUMBOLDT PARK ALL HAVE A SHORTAGE OF PRIMARY CARE PHYSICIANS (FAMILY MEDICINE, GENERAL INTERNAL MEDICINE, PEDIATRICS OR OB/GYN); IN WEST TOWN, THERE IS A SHORTAGE AMONG LOW-INCOME RESIDENTS. HOWEVER, WEST TOWN AND HUMBOLDT PARK BOTH HAVE SHORTAGES OF MENTAL HEALTH SERVICES, WHILE LOGAN SQUARE, HERMOSA AND BELMONT CRAGIN LACK MENTAL HEALTH SERVICES FOR LOW-INCOME RESIDENTS. A FULL COMMUNITY HEALTH PROFILE OF DEMOGRAPHIC AND OTHER HEALTH INDICATORS CAN BE FOUND OF PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER AT WWW.PRESENCEHEALTH.ORG/COMMUNITY. PART VI, 5 - PROMOTION OF COMMUNITY HEALTH PRESENCE HEALTH HOSPITALS ARE FAITH-BASED MINISTRIES THAT PROVIDE SERVICES CONSISTENT WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES. PRESENCE HEALTH ENHANCES THE PUBLIC HEALTH OF OUR COMMUNITIES BY: 1. ENSURING OUR MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS. 2. ENSURING ALL OF OUR HOSPITALS ARE ACCREDITED AND IN GOOD STANDING WITH THE JOINT COMMISSION ACCREDITATION OF HEALTHCARE ORGANIZATIONS. 3. ENSURING OUR BOARD OF DIRECTORS IS DIVERSE AND ABLE TO PROVIDE EXPERTISE, AND INCLUDES INDEPENDENT MEMBERS OF THE COMMUNITIES WE SERVE. OUR BOARD MEMBERS MUST FOLLOW A CONFLICT OF INTEREST POLICY. 4. REINVESTING SURPLUS FUNDS INTO THE ORGANIZATION TO IMPROVE PATIENT CARE THOUGH NEW PROGRAMS AND TECHNOLOGY. 5. PROVIDING FINANCIAL ASSISTANCE, SLIDING SCALE DISCOUNTS AND HAVING COLLECTION PRACTICES THAT ARE IN COMPLIANCE WITH STATE AND FEDERAL GUIDELINES. IN ADDITION, WE FOLLOW THE FINANCIAL ASSISTANCE AND CHARITY GUIDELINES OF THE CATHOLIC HEALTH ASSOCIATION. 6. PARTICIPATING IN ALL GOVERNMENT SPONSORED HEALTH CARE PROGRAMS, MEDICARE, MEDICAID, CHAMPUS, TRICARE, SCHIP AND OTHERS. 7. PROVIDING EMERGENCY ROOM SERVICES IN ALL OF OUR COMMUNITIES AND PROVIDE TRAINING TO LOCAL FIRE DEPARTMENTS AND AMBULANCES. OUR EMERGENCY ROOM PARTICIPATES WITH LOCAL POLICE AND FIRE DEPARTMENTS IN DISASTER DRILLS. 8. STAFFING BOARD CERTIFIED EMERGENCY ROOM PHYSICIANS IN OUR EMERGENCY ROOM AND URGENT CARE SERVICES. WE TREAT PATIENTS ACCORDING TO EMTALA GUIDELINES AND SERVE ALL PATIENTS REGARDLESS OF ABILITY TO PAY. IN ADDITION, WE ARE COMMITTED TO DETERMINING THE NEEDS OF OUR COMMUNITIES AND CREATING WAYS TO MEET THOSE NEEDS. THE OBLIGATION TO REACH OUT TO THOSE IN NEED AND IMPROVE HEALTH FLOWS DIRECTLY FROM OUR CATHOLIC IDENTITY AND THE HERITAGE OF OUR FOUNDING CONGREGATIONS. THE PSMEMC SENIOR LEADERSHIP TEAM AND THE GOVERNING BOARD HAVE A STRONG COMMITMENT TO COMMUNITY HEALTH INITIATIVES. COMMUNITY INITIATIVES AND ACTIVITIES HAVE ONGOING MONITORING AND EVALUATION FOR PROGRAM EFFECTIVENESS. THE FOLLOWING PROGRAMS ARE EXISTING COMMUNITY BENEFIT PROGRAMS PSMEMC SPONSORS IN THE COMMUNITY. LIFESMART PSMEMC PROVIDES A 10 WEEK PROGRAM TO SENIORS AND WOMEN IN THE COMMUNITY TO PROVIDE HEALTH EDUCATION ON TOPICS SUCH AS NUTRITION, EXERCISE, DOMESTIC VIOLENCE AND CARDIOVASCULAR DISEASE. THE PROGRAM IS HELD IN SEVEN DIFFERENT LOCATIONS THROUGHOUT THE COMMUNITY, INCLUDING JULIA CENTER WOMEN'S GROUP, SCHOOLS AND PARENT GROUPS. SCREENINGS ARE PROVIDED IN THE FIRST AND LAST SESSIONS TO OBSERVE THE PROGRESS EACH INDIVIDUAL HAS MADE. JOSEPHINUM ACADEMY HEALTH SESSIONS PSMEMC TEACHES HEALTH CLASS AT THIS SCHOOL ON TOPICS SUCH AS ABSTINENCE, THE REPRODUCTIVE SYSTEM, HEALTHY RELATIONSHIPS AND HEALTHY NUTRITION. LET'S MOVE OUR NUMBERS THE LET'S MOVE OUR NUMBERS PROGRAM PROVIDES COMMUNITY EDUCATION AND SCREENING PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS BOTH IN THE COMMUNITY AND MAIN HOSPITAL LOCATION. COMPONENTS OF THE PROGRAM INCLUDE: BLOOD PRESSURE, BLOOD GLUCOSE, BLOOD LIPID PANEL, BODY MASS INDEX (BMI) AND/OR BODY FAT ANALYSIS. HEALTH EDUCATION TOPICS ON CHRONIC DISEASE INCLUDE OBESITY, HYPERTENSION, HEART DISEASE, STROKE, DIABETES, AND CANCER. THE RESULTS ARE GIVEN TO THE DIABETIC NURSE EDUCATOR FOR ANY FOLLOW-UP THAT IS NEEDED. BLOCK BY BLOCK BLOCK-BY-BLOCK IS AN INITIATIVE OF THE GREATER HUMBOLDT PARK COMMUNITY CAMPAIGN AGAINST DIABETES. THE PROGRAM WAS DEVELOPED BY COMMUNITY ORGANIZATIONS, LOCAL UNIVERSITIES, AND HOSPITALS WORKING TOGETHER TO IMPROVE THE HEALTH OF THE COMMUNITY. THE CAMPAIGN IS A ONE-OF-THE-KIND, COMMUNITY DRIVEN, STUDY/INTERVENTION DESIGNED TO REDUCE THE IMPACT OF DIABETES IN THE HUMBOLDT PARK COMMUNITY. THE BLOCK BY BLOCK CAMPAIGN FOCUSES ON A 72 BLOCK AREA IN CHICAGO WHERE DIABETES PREVALENCE RATES ARE HIGHEST. PSMEMC SUPPORTS THIS PROGRAM BY PROVIDING A SECRETARY TO HELP ORGANIZE THE EDUCATIONAL SESSIONS WITH LOCAL RESIDENTS. ILLINOIS BREAST AND CERVICAL CANCER PROGRAM PSMEMC'S COMMUNITY EDUCATION DEPARTMENT PROVIDES BREAST AND CERVICAL HEALTH EDUCATION THROUGHOUT THE CHNA SERVICE AREA, PARTICULARLY FOR WOMEN WHO ARE UNINSURED. THE EDUCATORS ALSO HELP WOMEN APPLY FOR FINANCIAL AID. PRESENCE HEALTH PHYSICIANS PROVIDE ACCESS TO CARE FOR WOMEN WHO ARE MOST VULNERABLE IN THE COMMUNITY. CHILDREN'S AWARENESS OF NUTRITION, DIABETES AND OBESITY (CANDO) CAMP THE CANDO CAMP IS A THREE WEEK PROGRAM THAT TARGETS CHILDREN (AGES 11-14) TO TEACH THEM HOW TO LIVE HEALTHIER LIFESTYLES. THE FOLLOWING TOPICS ARE COVERED IN THE PROGRAM: OBESITY, HEALTH AND NUTRITION, ABSTINENCE, BULLYING AND EDUCATION. THIS PROGRAM WILL BE EXPANDED INTO LOCAL SCHOOLS IN APRIL. pMEMC EDUCATORS RECEIVE GRANT FUNDING TO PROVIDE THIS PROGRAM IN THE COMMUNITY. DIABETES EMPOWERMENT CENTER PSMEMC'S DIABETIC EDUCATORS PROVIDE COMMUNITY TRAINING AND WILL DETERMINE IF THEIR INITIATIVES CAN BE LINKED TO THE CHNA ACTION TEAM'S WORK. PART VI, 6 - AFFILIATED HEALTH CARE SYSTEM THE PROVENA HEALTH AND RESURRECTION HEALTH CARE SYSTEMS CAME TOGETHER ON NOVEMBER 1, 2011 TO FORM A NEW HEALTH SYSTEM, PRESENCE HEALTH, CREATING A COMPREHENSIVE FAMILY OF NOT-FOR-PROFIT HEALTH CARE SERVICES AND THE SINGLE LARGEST CATHOLIC HEALTH SYSTEM IN ILLINOIS. THE NAME PRESENCE HEALTH EMBODIES THE ACT OF BEING PRESENT IN EVERY MOMENT WE SHARE WITH THOSE WE SERVE AND IS THE CORNERSTONE OF A PATIENT, RESIDENT AND FAMILY-CENTERED CARE ENVIRONMENT. "PRESENCE" HEALTH EMBODIES THE WAY WE CHOOSE TO BE PRESENT IN OUR COMMUNITIES, AS WELL AS WITH ONE ANOTHER AND THOSE WE SERVE. PRESENCE HEALTH IS SPONSORED BY FIVE CONGREGATIONS OF CATHOLIC RELIGIOUS WOMEN: THE FRANCISCAN SISTERS OF THE SACRED HEART, THE SERVANTS OF THE HOLY HEART OF MARY, THE SISTERS OF THE HOLY FAMILY OF NAZARETH, SISTERS OF MERCY OF THE AMERICAS AND THE SISTERS OF THE RESURRECTION. AS WAS THE CASE FROM OUR VERY BEGINNINGS, PRESENCE HEALTH IS CALLED TO BE MUCH MORE THAN JUST A PROVIDER OF HEALTH SERVICES. PRESENCE HEALTH HAS INSTILLED WITHIN ALL OF ITS MINISTRIES THAT ARE COMMITTED TO RESPONDING TO THE NEEDS OF THOSE WE ARE PRIVILEGED TO SERVE; DELIVERING HIGH QUALITY CARE THAT IS ACCESSIBLE TO ALL. IT IS THIS CULTURE OF CARING AND GIVING THAT DRIVES OUR DILIGENT EFFORTS TO ENSURE WE RETURN THE OPTIMAL VALUE OF OUR CHARITABLE ASSETS TO OUR LOCAL COMMUNITIES. AS A NOT-FOR-PROFIT HEALTH SYSTEM, PRESENCE HEALTH INVESTS A SIGNIFICANT PORTION OF ITS OPERATING CAPITAL INTO THE COMMUNITY THROUGH PROGRAMS TO SERVE VULNERABLE POPULATIONS, SUCH AS THE POOR AND UNINSURED, MANAGE CHRONIC CONDITIONS, AND PROMOTE HEALTH EDUCATION AND PROMOTION OUTREACH AND INITIATIVES. IN FISCAL YEAR 2014, THIS INCLUDED $180 MILLION IN COMMUNITY BENEFIT ACTIVITIES. PRESENCE HEALTH TAKES A SYSTEMS APPROACH TO ITS COMMUNITY BENEFIT EFFORTS, AND THEREFORE ENSURES ITS MEMBER HOSPITALS AND OTHER ENTITIES AND AFFILIATES ARE HELPING TO PROMOTE AND ADDRESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE. FOR MORE INFORMATION ON PRESENCE HEALTH, VISIT WWW.PRESENCEHEALTH.ORG. PART VI, 7 - STATE FILING OF COMMUNITY BENEFIT REPORT PRESENCE HEALTH FILES ITS ANNUAL COMMUNITY BENEFIT REPORT IN ILLINOIS. true true false false false false false Patrick Quinn Assistant Treasurer 0 239708 0 0 0 30943 0 23958 0 24645 0 319254 0 18512 Julie Roknich Assistant Secretary 0 196072 0 0 0 0 0 7126 0 20909 0 224107 0 0 Jean Blake Director (Term 2/14) 0 292188 0 0 0 16416 0 35131 0 23417 0 367152 0 0 David DiLoreto Director 0 558119 0 0 0 52873 0 125008 0 26695 0 762695 0 43084 Jeannie Frey Secretary 0 474603 0 0 0 63709 0 104089 0 28515 0 670916 0 43893 Martin Judd Director Ex-Officio/CEO, Chair 432755 0 0 0 39914 0 92041 0 0 0 564710 0 30127 0 Anthony Filer Treasurer 0 682424 0 0 0 123757 0 149460 0 39419 0 995060 0 78612 Dougal Hewitt Director Ex-Officio/System CEO 0 338508 0 0 0 9780 0 60703 0 9226 0 418217 0 0 Suzanne Lambert RGN CH NURSING OFF-MCC 250107 0 0 0 26619 0 17456 0 9226 0 303408 0 12915 0 John Hennelly RGN STRAT & GRTH OFF-MCC 198133 0 0 0 11822 0 10497 0 29923 0 250375 0 11820 0 Kizito Ojiako INTENSIVIST 479581 0 0 0 0 0 15600 0 26938 0 522119 0 0 0 Balvindar Sareen RGN CH MEDICAL OFF-MCC 329404 0 0 0 66287 0 110362 0 32114 0 538167 0 3160 0 Nimit Aggarwal INTENSIVIST 240848 0 0 0 0 0 12031 0 0 0 252879 0 0 0 Michael Friedman MEDICAL DIRECTOR 222866 0 0 0 0 0 13697 0 24053 0 260616 0 0 0 Adolfo Llano MEDICAL DIRECTOR 189416 0 16667 0 0 0 0 0 8925 0 215008 0 0 0 DETERMINATION OF COMPENSATION OF ORGANIZATION'S CEO/EXECUTIVE DIRECTOR SCHEDULE J, PART I, LINE 3 COMPENSATION FOR THE CORPORATION'S CEO AND OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED IN ACCORDANCE WITH WRITTEN POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF DIRECTORS OF THE CORPORATION AND THE CORPORATION'S SOLE MEMBER, PRESENCE HEALTH NETWORK. SUCH POLICIES AND PROCEDURES ARE APPLIED BY THE HUMAN RESOURCES COMMITTEE OF PRESENCE HEALTH NETWORK, WHICH CONSISTS WHOLLY OF INDEPENDENT DIRECTORS. PRESENCE HEALTH NETWORK USES MARKET DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH BASE SALARIES AND TOTAL CASH COMPENSATION OPPORTUNITIES. THE HUMAN RESOURCES COMMITTEE MONITORS EXECUTIVE TOTAL COMPENSATION, ANNUALLY REVIEWING AND APPROVING COMPENSATION CHANGES FOR EACH EXECUTIVE, AND REGULARLY REPORTING ITS ACTIVITIES TO THE BOARD. SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A PRESENCE HAS THREE SEVERANCE PLANS DEPENDING UPON LEVEL. THESE PLANS ALLOW INDIVIDUALS WHOSE JOBS HAVE BEEN ELIMINATED AND WHO HAVE NOT BEEN ABLE TO FIND A SIMILAR POSITION WITHIN THE SYSTEM TIME TO TRANSITION. THE NUMBER OF WEEKS OF WAGE CONTINUATION ARE BASED UPON LENGTH OF SERVICE. THE PLANS ARE NOT FUNDED. THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR YEAR 2014: BALVINDAR SAREEN $54,035 THE CORPORATION ALSO ACCRUED DEFERRED SEVERANCE FOR THE FOLLOWING INDIVIDUALS, WHICH WILL VEST IN A LATER YEAR: BALVINDAR SAREEN $97,362 PAYMENTS FROM A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, QUESTION 4B IN ORDER TO ENHANCE THE ABILITY OF PRESENCE HEALTH TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT PERSONNEL BY PROVIDING ELIGIBLE EXECUTIVES WITH ADDITIONAL RETIREMENT BENEFITS ON A DEFERRED BASIS, PRESENCE HEALTH NETWORK MAINTAINS AN UNFUNDED SUPPLEMENTAL RETIREMENT PLAN (THE "PLAN") FOR A SELECT GROUP OF MANAGEMENT, WHICH IS INTENDED TO COMPLY WITH SECTION 457(F), AND SECTION 409A OF THE INTERNAL REVENUE CODE. THE PLAN, PRESENCE HEALTH NETWORK CREDITS TO SUCH ELIGIBLE EXECUTIVE'S RETIREMENT ACCOUNT AN AMOUNT BASED ON A PERCENTAGE OF SALARY. EARNINGS AND/OR LOSSES ON INVESTMENTS ARE CREDITED AT A RATE EQUAL TO THE RATE OF RETURN OVER THE SAME PERIOD ON INVESTMENT OPTIONS SELECTED BY THE ELIGIBLE EXECUTIVE. ELIGIBLE EXECUTIVES ARE ENTITLED TO RECEIVE BENEFITS ON THE EARLIEST OF (I) JANUARY 1 OF THE THIRD CALENDAR YEAR BEGINNING AFTER THE YEAR IN WHICH SUCH CONTRIBUTION IS CREDITED, (II) ATTAINING AGE 62, OR (III) ATTAINING THE AGE OF 60 IF THE ELIGIBLE EXECUTIVE HAS COMPLETED TEN (10) YEARS OF SERVICE. THE FOLLOWING LISTED INDIVIDUALS BECAME VESTED IN SUPPLEMENTAL RETIREMENT BENEFITS UNDER THE SERP, AND THEREFORE HAD BENEFITS INCLUDED IN THEIR TAXABLE INCOME: ANTHONY FILER $93,113 JEANNIE FREY $53,929 DAVID DILORETO $43,093 MARTIN JUDD $30,134 PATRICK QUINN $22,168 SUZANNE LAMBERT $12,918 BALVINDAR SAREEN $12,252 JOHN HENNELLY $11,822 ALSO IN RESPONSE TO QUESTION 4B, THE FOLLOWING LISTED INDIVIDUALS PARTICIPATED IN THE ORGANIZATION'S SECTION 457(F) PLAN AND EARNED UNVESTED BENEFITS DURING 2014 WHICH ARE REPORTED IN COLUMN (C): DAVID DILORETO $112,008 DOUGAL HEWITT $47,703 MARTIN JUDD $73,841 JEANNIE FREY $88,489 ANTHONY FILER $146,460 PATRICK QUINN $23,958 JEAN BLAKE $35,131 SIGNIFICANT ACTIVITIES FORM 990, PART I, LINE I INSPIRED BY THE HEALING MINISTRY OF JESUS CHRIST, WE PRESENCE HEALTH, A CATHOLIC HEALTH SYSTEM, PROVIDE COMPASSIONATE, HOLISTIC CARE WITH ASPIRIT OF HEALING AND HOPE IN THE COMMUNITIES WE SERVE. MISSION STATEMENT FORM 990, PART III, QUESTION 1 THE CORPORATION IS PART OF THE PRESENCE HEALTH SYSTEM AND ACTS IN ACCORDANCE WITH THE PRESENCE HEALTH MISSION, WHICH IS AS FOLLOWS: INSPIRED BY THE HEALING MINISTRY OF JESUS CHRIST AND AS PART OF PRESENCE HEALTH, A CATHOLIC HEALTH SYSTEM, PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER PROVIDES HEALTHCARE SERVICES IN A COMPASSIONATE, HOLISTIC MANNER IN THE SPIRIT OF HEALING AND HOPE. COMPENSATION AND FORM W-3 TRANSMITTAL OF WAGES AND TAX STATEMENT FORM 990, PART I, QUESTION 5, AND PART V, QUESTION 2 PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER (THE "CORPORATION")REPORTS 0 EMPLOYEES ON FORM 990, PART I, QUESTION 5 AND FORM 990, PART V,QUESTION 2A AS IT IS NOT REQUIRED TO FILE FORM W-3, TRANSMITTAL OF WAGES AND TAX STATEMENT. THE CORPORATION'S COMPENSATION IS PAID BY PRESENCE RESURRECTION MEDICAL CENTER ("PRMC"), WHICH ISSUES THE FORMS W-2 AND W-3,AND THE EXPENSE IS TRANSFERRED TO THE CORPORATION. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO THE CORPORATION FROM PRMC. FORM 1096 TRANSMITTAL OF U.S. INFORMATION RETURNS FORM 990, PART V, QUESTION 1A PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER (THE "CORPORATION")REPORTS 0 ON FORM 990, PART V, QUESTION 1A AS IT IS NOT REQUIRED TO FILE FORM 1096, TRANSMITTAL OF U.S. INFORMATION RETURNS. ALL OF THE CORPORATION'S ACCOUNTS PAYABLE REPORTABLE ON FORM 1096 ARE PAID BY PRESENCE RESURRECTION MEDICAL CENTER ("PRMC"), WHICH ISSUES ALL FORMS 1099, AND THE EXPENSE IS TRANSFERRED TO THE CORPORATION. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO THE CORPORATION FROM PRMC. MEMBERS OR SHAREHOLDERS FORM 990, PART VI, QUESTION 6 PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER HAS ONE MEMBER, PRESENCE RHC CORPORATION. PERSONS WITH AUTHORITY TO ELECT MEMBERS OF THE GOVERNING BODY FORM 990, PART VI, QUESTION 7A THE CORPORATION'S SOLE MEMBER, PRESENCE RHC CORPORATION, HAS THE POWER TO APPOINT MEMBERS OF THE GOVERNING BODY, OTHER THAN EX-OFFICIO DIRECTORS. DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS FORM 990, PART VI, QUESTION 7B PRESENCE RHC CORPORATION (THE "MEMBER"), THROUGH ITS BOARD OF DIRECTORS, HAS CERTAIN RESERVE POWERS WITH RESPECT TO THE FOLLOWING. GENERAL POWERS AND RESPONSIBILITIES: THE MEMBER SHALL PROVIDE OVERSIGHT AND SUPPORT FOR THE ACTIVITIES OF THE CORPORATION, FOR THE PURPOSE OF ASSURING THAT ALL ACTIONS OF THE CORPORATION ARE CONSISTENT WITH THE MISSION AND VALUES OF THE SYSTEM; THE PURPOSES OF THE CORPORATION; THE ETHICAL AND RELIGIOUS DIRECTIVES; THE PRESENCE HEALTH SYSTEM STRATEGIC PLAN; AND BEST PRACTICES. MEMBER RESERVED POWERS: IN FURTHERANCE OF THE EXERCISE OF ITS GENERAL POWERS AND RESPONSIBILITIES, THE MEMBER SHALL HAVE THE SOLE POWER TO TAKE THEACTIONS SPECIFIED BELOW WITH RESPECT TO THE FOLLOWING MATTERS, SUBJECT TOANY NOTICES OR FURTHER APPROVALS REQUIRED BY APPLICABLE CIVIL OR CANONLAW, OR THE MEMBER'S BYLAWS: A) BYLAWS. AMEND OR REPEAL THE BYLAWS OF THE CORPORATION; B) OFFICERS AND DIRECTORS. APPOINT AND REMOVE ALL OFFICERS OF THE CORPORATION AND ALL DIRECTORS OF THE CORPORATION, OTHER THAN ANYEX-OFFICIO DIRECTORS; C) BUDGETS. APPROVE CAPITAL AND OPERATING BUDGETS, AND LONG-TERM CAPITAL EQUIPMENT PLANS FOR THE CORPORATION; D) UNBUDGETED EXPENDITURES. APPROVE UNBUDGETED EXPENDITURES IN EXCESSOF THE LIMIT ESTABLISHED BY THE MEMBER FROM TIME TO TIME; E) DEBT, SALE, LEASE AND OTHER REAL PROPERTY TRANSACTIONS. APPROVE ANY BORROWING OR SIGNIFICANT INCURRENCE OF DEBT BY THE CORPORATION IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER FROM TIME TO TIME, OR ANY SALE, PURCHASE, ALIENATION, EXCHANGE, SIGNIFICANT LEASES (OTHER THAN IN THE ORDINARY COURSE) OR ENCUMBRANCES OF THE CORPORATION'S REAL PROPERTY,EXCEPT THOSE MADE PURSUANT TO APPROVED BUDGETS; F) REAL ESTATE DOCUMENTS, EQUIPMENT LEASES. APPROVE EXECUTION OF ANY DEEDS, MORTGAGES, BONDS, OR MAJOR EQUIPMENT LEASES, EXCEPT THOSE ENTERED INTO PURSUANT TO APPROVED BUDGETS; G) SIGNIFICANT UNBUDGETED TRANSACTIONS. APPROVE ANY OTHER SIGNIFICANT AND UNBUDGETED SALE, PURCHASE, EXCHANGE, LEASE (OTHER THAN IN THE ORDINARY COURSE) TRANSFER, LITIGATION OR LEGAL SETTLEMENT, BENEFITS PACKAGES, ENCUMBRANCE OR OTHER DISPOSITION OR OTHER SIGNIFICANT TRANSACTION INVOLVING THE NON-REAL-ESTATE ASSETS OF THE CORPORATION IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER FROM TIME TO TIME; H) MATERIAL CHANGES IN SERVICES. APPROVE MATERIAL CHANGES IN THE KINDOF SERVICES RENDERED, SUCH AS THE ADDITION OR DISCONTINUATION OF ANY MAJOR SERVICE LINE (E.G., OBSTETRICS) OR CHANGE IN THE FUNDAMENTAL NATURE OF SERVICES PROVIDED BY THE CORPORATION (E.G., A CHANGE REQUIRING A DIFFERENT KIND OF LICENSE); I) STRATEGIC PLAN. APPROVE STRATEGIC PLANS FOR THE CORPORATION CONSISTENT WITH AND IN FURTHERANCE OF SYSTEM MISSION AND VALUES, AND RESPONSIVE TO THE NEEDS OF THE COMMUNITIES SERVED BY THE CORPORATION AND SUPPORT THE ABILITY OF THE CORPORATION AND ITS AFFILIATES TO PROVIDE HIGH-QUALITY CARE AND SERVICES; J) MANAGEMENT CONTRACTS. APPROVE ANY CONTRACT FOR THE MANAGEMENT OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION OR ANY HEALTH CARE FACILITIES OWNED BY THE CORPORATION; K) BUSINESS NAME, LOGO. APPROVE ANY SELECTION OR MODIFICATION OF THE BUSINESS NAME OR LOGO OF THE CORPORATION OR ANY PROGRAM OR DIVISION OF THE CORPORATION, OR THE USE OF ANY CORPORATE OR BUSINESS NAME OF THE CORPORATION BY AN ENTITY OTHER THAN THE MEMBER OR AN AFFILIATE; L) ADMINISTRATIVE SERVICES. PROVIDE OR ASSURE THE PROVISION OF APPROPRIATE INSURANCE COVERAGE, STANDARDIZED EMPLOYEE BENEFITS, INFORMATION SYSTEMS AND TECHNOLOGY, FINANCIAL MANAGEMENT SERVICES, LEGAL, MARKETING, RISK MANAGEMENT AND OTHER ADMINISTRATIVE SERVICES NECESSARY TO SUPPORT THE CORPORATION'S OPERATIONS; M) SIGNIFICANT JOINT VENTURES. APPROVE THE ESTABLISHMENT,TERMINATION, OR SALE OF ANY SIGNIFICANT JOINT VENTURE RELATIONSHIP BY THECORPORATION; N) UNRELATED BUSINESS ACTIVITY. APPROVE THE ACQUISITION OR DEVELOPMENT OF ANY BUSINESS OR ACTIVITY UNRELATED TO THE PROVISION OF HEALTH CARE SERVICES; O) NEW AFFILIATES. APPROVE THE CREATION OF ANY NEW AFFILIATE TO BE OWNED OR CONTROLLED BY THE CORPORATION; P) CONTRIBUTIONS TO MEMBER. DIRECT AND APPROVE ANY CONTRIBUTIONS, DONATIONS OR OTHER ASSET TRANSFERS WITHOUT CONSIDERATION TO THE MEMBER OR ANY AFFILIATE, IN FURTHERANCE OF THE MISSION AND VALUES; Q) CONTRIBUTION ACCEPTANCE. APPROVE ACCEPTANCE OF A CONTRIBUTION THAT IMPOSES A MATERIAL OBLIGATION ON THE CORPORATION, IF APPROVED BY THE CORPORATION'S APPLICABLE FOUNDATION OR FUNDRAISING AFFILIATE AS CONSISTENT WITH THE CORPORATION'S AND SYSTEM'S MISSION AND GOALS; R) BANKING. DEFINE THE CRITERIA FOR THE SELECTION OF BANKS AND OTHER FINANCIAL DEPOSITORIES TO BE USED BY THE CORPORATION, AND AUTHORIZE THE PROCESS BY WHICH SIGNATORIES ON ALL BANK AND SIMILAR ACCOUNTS OF THE CORPORATION ARE APPROVED; S) AUDITORS. SELECT INDEPENDENT AUDITORS FOR THE CORPORATION, IN CONNECTION WITH THE CONSOLIDATED AUDIT OF ALL SYSTEM ENTITIES; T) REGISTERED AGENT. APPROVE OR CHANGE THE CORPORATION'S REGISTERED AGENT OR REGISTERED OFFICE, AS APPROPRIATE FROM TIME TO TIME; U) TAX-EXEMPTION. APPROVE ANY VOLUNTARY CHANGE TO THE CORPORATION'S STATUS OF AN ORGANIZATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS AMENDED FROM TIME TO TIME. APPROVAL AND RECOMMENDATION POWERS: TO BE EFFECTIVE, THE ACTIONS SET FORTH BELOW MUST BE APPROVED BY BOTH THE CORPORATION'S BOARD OF DIRECTORS AND THE MEMBER. SUCH ACTIONS MAY BE INITIATED EITHER BY THE MEMBER OR THE CORPORATION'S BOARD. A) ADOPTION, AMENDMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OF THE CORPORATION; B) ADOPTION OF ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION. FORM 990 REVIEW PROCESS FORM 990, PART VI, QUESTION 11B The Corporation provides a complete copy of its Form 990 to all members of the governing boards of its ultimate parent corporations, Presence Health Network and Presence RHC Corporation, for review prior to filing with the IRS. The board of directors of the Corporation and other subsidiary organizations within the Presence Health system are internal limited fiduciary boards which do not receive a completed copy of the Form 990 prior to filing. As a result, the Corporation answers "no," to Form 990, Part VI, line 11a. PROCEDURES FOR ADDRESSING CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT THE INTERESTS OF PRESENCE HEALTH NETWORK AND ALL OF ITS AFFILIATED MINISTRIES (COLLECTIVELY "PRESENCE HEALTH") WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF ANY DIRECTOR, TRUSTEE, OFFICER, CORPORATE MEMBER APPOINTEE, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, SENIOR LEADERS, AND OTHERS IN A RECENT POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER PRESENCE HEALTH("INTERESTED PERSONS"), AND CLARIFY THE STANDARDS OF CONDUCT, DUTIES AND OBLIGATIONS OF INTERESTED PERSONS IN THE CONTEXT OF POTENTIAL CONFLICTS OF INTEREST BY PROVIDING A METHOD FOR DISCLOSING AND RESOLVING SUCH POTENTIAL CONFLICTS. NO PRESENCE HEALTH ENTITY WILL ENGAGE IN ANY CONTRACT, TRANSACTION OR ARRANGEMENT INVOLVING A CONFLICT OF INTEREST UNLESS DISINTERESTED MEMBERS OF THE APPLICABLE BOARD OF DIRECTORS OR OTHER GOVERNING BODY DETERMINE BY A MAJORITY VOTE THAT APPROPRIATE SAFE GUARDS TO PROTECT THE CHARITABLE MISSION OF PRESENCE HEALTH HAVE BEEN IMPLEMENTED. TO FACILITATE THIS POLICY, ALL INTERESTED PERSONS HAVE A CONTINUING OBLIGATION TO PROMPTLY DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ALL DISCLOSURES MUST BE PROVIDED TO THE SYSTEM COMPLIANCE OFFICER AND GENERAL COUNSEL IN A WRITTEN DESCRIPTION OF THE MATERIAL FACTS. DISCLOSURE SHALL BE ON A CONFLICTS OF INTEREST QUESTIONNAIRE OR SIMILAR FORMAT AS DESCRIBED IN THE CONFLICTS OF INTEREST POLICY. ALL INTERESTED PERSONS SHALL ALSO COMPLETE A QUESTIONNAIRE BASED ON THE ASSUMPTION OF THE BOARD(OR OTHER RELEVANT) POSITION, AND THEREAFTER ON AT LEAST AN ANNUAL BASIS OR WHEN AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT ARISES. AT ANY TIME THAT AN ACTUAL, APPARENT OR A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED TO THE CORPORATION'S BOARD OF DIRECTORS, WHETHER THROUGH THE VOLUNTARY SUBMISSION OF A DISCLOSURE STATEMENT BY AN INTERESTED PERSON, OR BY A DISCLOSURE BY A PERSON OTHER THAN THE SUBJECT INTERESTED PERSON, THE CORPORATION'S BOARD OR APPLICABLE COMMITTEE SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, ONLY DISINTERESTED DIRECTORS/COMMITTEE MEMBERS VOTE TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT IS FOUND TO EXIST THE INTERESTED PERSON WILL GENERALLY BE REQUIRED TO RECUSE HIM OR HERSELF DURING ANY MEETING IN WHICH THE BOARD OF DIRECTORS OR APPLICABLE COMMITTEE CONDUCTS THE EVALUATION OF THE SUBJECT TRANSACTION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. TO ENSURE THAT THE PRESENCE HEALTH OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS EXEMPT STATUS, TRANSACTIONS INVOLVING INTERESTED PERSONS ARE ONLY APPROVED IF, AFTER EXERCISING REASONABLE DUE DILIGENCE, THE BOARD DETERMINES THEY ARE FAIR AND REASONABLE, TAKING INTO ACCOUNT FACTORS SUCH AS WHETHER PRESENCE HEALTH COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT. HOWEVER, LENDING MONEY OR GUARANTYING AN OBLIGATION OF A DIRECTOR, OFFICER, OR EMPLOYEE OF PRESENCE HEALTH (EXCLUSIVE OF CUSTOMARY INSURANCE COVERAGE FOR ACTS DONE IN CONNECTION WITH SUCH INDIVIDUAL'S SERVICE TO OR EMPLOYMENT BY PRESENCE HEALTH) IS STRICTLY PROHIBITED. COMPENSATION AND APPROVAL PROCESS FOR OFFICERS AND KEY EMPLOYEES FORM 990, PART VI, lineS 15A AND 15B, AND PART V, line 2A COMPENSATION FOR THE CORPORATION'S CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED IN ACCORDANCE WITH WRITTEN POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF DIRECTORS OF THE CORPORATION'S SOLE MEMBER, PRESENCE RHC CORPORATION (PRHCC) AND PRHCC'S SOLE MEMBER, PRESENCE HEALTH NETWORK, THE SYSTEM PARENT CORPORATION. SUCH POLICIES AND PROCEDURES ARE APPLIED BY THE HUMAN RESOURCES COMMITTEE OF THE SYSTEM PARENT CORPORATION, WHICH CONSISTS WHOLLY OF INDEPENDENT DIRECTORS. THE SYSTEM PARENT CORPORATION USES MARKET DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH BASE SALARIES AND TOTAL CASH COMPENSATION OPPORTUNITIES. THE SYSTEM PARENT'S HUMAN RESOURCES COMMITTEE MONITORS EXECUTIVE TOTAL COMPENSATION AND APPROVES ALL COMPONENTS OF EXECUTIVE TOTAL COMPENSATION, ANNUALLY REVIEWING AND APPROVING COMPENSATION CHANGES FOR EACH EXECUTIVE, AND REGULARLY REPORTING ITS ACTIVITIES TO THE SYSTEM PARENT'S BOARD. THE CORPORATION ANSWERS "NO" TO FORM 990. PART VI, QUESTION 15A AND 15B AS ALL COMPENSATION IS PAID BY A RELATED ORGANIZATION, PRESENCE RESURRECTION MEDICAL CENTER, THE SYSTEM'S STATUTORY EMPLOYER. DOCUMENT AVAILABILITY FORM 990, PART VI, LINE 19 THE CORPORATION'S ARTICLES OF INCORPORATION ARE ON FILE WITH THE STATE OF ILLINOIS. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE CORPORATION, TOGETHER WITH ITS AFFILIATES, ARE AVAILABLE FROM THE NATIONAL DISSEMINATION AGENT AS REQUIRED BY PRESENCE HEALTH SYSTEM'S BOND DOCUMENTS. CONFLICTS OF INTEREST POLICIES ARE NOT MADE AVAILABLE TO THE PUBLIC, HOWEVER A SUMMARY OF THE CURRENT POLICY IS ANNUALLY INCLUDED IN SCHEDULE O OF THE CORPORATION'S FORM 990. STATUTORY EMPLOYER FORM 990, PART VII, SECTION A & B PRESENCE RESURRECTION MEDICAL CENTER ("PRMC") (FEIN 36-3330926) ACTS AS THE PAYROLL AGENT FOR THE CORPORATION. CASH IS SWEPT FROM THE CORPORATION ON A DAILY BASIS TO PRMC AND PRMC ISSUES ALL PAYROLL AND ACCOUNTS PAYABLE CHECKS ON BEHALF OF AND AS PAYROLL AGENT FOR THE CORPORATION AND THE APPROPRIATE ACCOUNTING ENTRIES ARE RECORDED. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 THE CHANGE IN THE UNREALIZED GAIN (LOSSES) ON THE RESURRECTION HEALTH CARE INVESTMENT PORTFOLIO IS RECORDED IN ITS ENTIRETY IN THE BOOKS AND RECORDS OF PRESENCE RHC CORPORATION. AUDITED FINANCIAL STATEMENTS FORM 990, PART XII, LINE 2B AN INDEPENDENT ACCOUNTANT ANNUALLY AUDITS THE CONSOLIDATED FINANCIALSTATEMENTS OF PRESENCE HEALTH NETWORK AND ITS AFFILIATES. THE AUDIT OPINION IS ISSUED ON THE CONSOLIDATED FINANCIAL STATEMENTS AND EACH AFFILIATE IS NOT SEPARATELY AUDITED. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:7637295 FORM 990 PART IX LINE 11G DESCRIPTION:BIOMED EQUIPMENT MAINTENANCE TOTAL FEES:1918500 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED CAFETERIA MGMT TOTAL FEES:11287214 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:6214379 Presence Health Network 200 South Wacker Chicago IL 60606 361649520 Parent Corp IL 501(C)(3) 11C III-FI na false Medicare Value Partners 100 North River Road Des Plaines IL 60016 363495969 Health Care IL 501(C)(3) 3 PRHCC true Presence Holy Family Medical Center 100 North River Road Des Plaines IL 60016 362439318 Health Care IL 501(C)(3) 3 PRHCC true Mount Loretto Nursing Home Inc 302 Swart Hill Road Amsterdam NY 12010 141363014 Health Care NY 501(C)(3) 3 RM New York true Presence Our Lady of the Res Med Cntr 5645 West Addison Street Chicago IL 60634 362644178 Health Care IL 501(C)(3) 3 PRHCC true Presence Care Home 18927 Hickory Creek Drive 300 Mokena IL 60448 460483587 Health Care IL 501(C)(3) 9 PLC true Presence PRV Health 1000 REMINGTON BLVD SUITE 100 BOLINGBROOK IL 60440 363366652 Mgmt Support IL 501(C)(3) 11C III-FI PHN false Presence Home Care 18927 Hickory Creek Drive 300 Mokena IL 60448 460483581 Health Care IL 501(C)(3) 9 PLC true Presence Hospitals PRV 1000 REMINGTON BLVD SUITE 100 BOLINGBROOK IL 60440 364195126 Health Care IL 501(C)(3) 3 PPRVH true Laverna Terrace Housing Corporation 18927 Hickory Creek Drive 300 Mokena IL 60448 363438977 Senior Living IL 501(C)(3) 9 PPRVH true Provena Self-Insurance Trust 1000 REMINGTON BLVD SUITE 100 BOLINGBROOK IL 60440 362987310 Insurance IL 501(C)(3) 11C III-FI na false Presence Life Connections 18927 Hickory Creek Drive 300 Mokena IL 60448 371127787 Health Care IL 501(C)(3) 7 PPRVH true Presence Behavioral Health 1820 South 25th Avenue Broadview IL 60155 362709982 Health Care IL 501(C)(3) 3 PHS true Presence Ambulatory Services 100 North River Road Des Plaines IL 60016 364286236 Health Care IL 501(C)(3) 3 PRHCC true Presence Health Fdn Board of Trustees 200 S Wacker Chicago IL 60606 363330929 Fundraising IL 501(C)(3) 7 PRHCC true Presence RHC Corporation 200 S Wacker Chicago IL 60606 362235165 Mgmt Support IL 501(C)(3) 11C III-FI PHN false Presence Home Care Services 5747 West Dempster Morton Grove IL 60053 362893936 Home Care IL 501(C)(3) 3 PRHCC true Presence Resurrection Medical Center 7435 West Talcott Avenue Chicago IL 60631 363330926 Health Care IL 501(C)(3) 3 PRHCC true Resurrection Nursing Home Inc 90 North Main Street Castleton NY 12033 141348691 Health Care NY 501(C)(3) 3 RM New York true Presence RHC Senior Services 100 North River Road Des Plaines IL 60016 237061646 Health Care IL 501(C)(3) 3 PRHCC true Presence Healthcare Services 100 North River Road Des Plaines IL 60016 363330928 Health Care IL 501(C)(3) 3 PRHCC true Presence Saint Francis Hospital 355 Ridge Avenue Evanston IL 60202 362167800 Health Care IL 501(C)(3) 3 PRHCC true St Francis Hospital Aux of Evanston 355 Ridge Avenue Evanston IL 60202 366143349 Fundraising IL 501(C)(3) 7 PSFH true Presence Saint Joseph Hospital Chicago 2900 North Lake Shore Drive Chicago IL 60657 363200170 Health Care IL 501(C)(3) 3 PRHCC true Presence Nazarethville 300 North River Road Des Plaines IL 60016 362801392 Health Care IL 501(C)(3) 9 PRHC Snr Srv true Arthur Merkle - Clara Knipprath Nursing 1190 E 2900 N Road Clifton IL 60927 362841358 Health Care IL 501(C)(3) 9 PLC true Rainbow Hospice and Palliative Care 1550 Bishop Court Mount Prospect IL 60056 363296367 Health Care IL 501(C)(3) 9 PHCS true BEL HARLEM SURG CTR 3101 North Harlem Chicago IL 60634 412237162 Medical Service IL na RH SLEEP CTR - NW 665 W N AVE Lombard IL 60148 261519627 Medical Service IL na RH SLEEP CTR - EVAN 665 W N AVE Lombard IL 60148 261519556 Medical Service IL na RH SLEEP CTR - LP 665 W N AVE Lombard IL 60148 261519667 Medical Service IL na RH SLEEP CTR - RF 665 W N AVE Lombard IL 60148 262189763 Medical Service IL na ALVERNO CLINIC LAB 2434 INTERSTATE PL DR HAMMOND IN 46324 203240648 MEDICAL SERVICE IN na PROF CLINIC LAB LLC 113 E 4TH ST MICHIGAN CITY IN 46360 300711211 MEDICAL SERVICE IN NA Presence Properties Inc 100 North River Road Des Plaines IL 60016 363520630 Medical IL PV C Corp true Presence Service Corporation 2380 E Dempster Street Des Plaines IL 60016 364314354 Medical IL PHPRV C Corp true Presence Ventures Inc 100 North River Road Des Plaines IL 60016 371168085 Medical IL PPRVH C Corp true Resurrection Medical Center Auxiliary 7435 West Talcott Avenue Chicago IL 60631 366109825 Fundraising IL PR Med Ctr C Corp true Resurrection Ministries of New York 90 North Main Street Castleton NY 12033 141720818 Parent Corp NY PRHCC C Corp true Presence Health Care Preferred 100 North River Road Des Plaines IL 60016 363974620 MGD Care Contract IL PRHCC C Corp true L GILBRAITH INSURANCE SPC LTD 68 W BAY RD PO BOX 1109 GRAND CAYMAN CJ 000000000 INSURANCE CJ PRHCC FOREIGN COMPANY true PROVENA HEALTH ASSURANCE SPC 23 LIME TREE BAY AVE PO BOX 1051 GRAND CAYMAN CJ 980420054 INSURANCE CJ PPRVH FOREIGN COMPANY true false false true false false false false false false false false false false false false true false false false PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES c 1177836 CASH PRESENCE RESURRECTION MEDICAL CENTER p 271944223 COST Reimbursements for Shared Services Form 990, Schedule R, Part V PRESENCE RESURRECTION MEDICAL CENTER (FEIN: 36-3330926) PAYS ALL OF THE COMPENSATION AND ACCOUNTS PAYABLE FOR ALL ENTITIES UNDER THE PRESENCE HEALTH SYSTEM THAT WERE HISTORICALLY PART OF THE RESURRECTION HEALTH CARE SYSTEM ("LEGACY RESURRECTION ENTITIES"). CASH IS DEPOSITED INTO AN ACCOUNT BY ALL LEGACY RESURRECTION ENTITIES AND SWEPT ON A MONTHLY BASIS TO REIMBURSE PRESENCE RESURRECTION MEDICAL CENTER FOR THESE EXPENSES AT COST. THE AMOUNTS REPORTED ON PART V OF SCHEDULE R REFLECT THE TOTAL CASH TRANSFERS TO/FROM PRESENCE RESURRECTION MEDICAL CENTER.