2015-11-16T16:44:39-06:00 2014-12-31 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2014-01-01 237061646 Presence RHC Senior Services % ANTHONY J FILER PRES 8478133710 100 North River Road Des Plaines IL 60016 ANTHONY J FILER TREASURER 2015-11-16 Bernadette Durkin-Zita P00089845 3128792000 2014 2016-04-25 22:37:26Z JOSEPH HUGAR 100 NORTH RIVER ROAD DES PLAINES IL 60016 129948898 false 0928 X www.presencehealth.org X 1969 IL SEE SCHEDULE O 14 11 0 0 0 0 665133 593308 128300406 127535729 6827660 831064 1179966 988797 136973165 129948898 0 0 0 0 64910471 57315624 0 0 0 63688040 68642198 128598511 125957822 8374654 3991076 233438003 216219265 62639540 22892279 170798463 193326986 X SEE SCHEDULE 0 false false 118548534 0 128524526 PRESENCE RHC SENIOR SERVICES PROVIDED SKILLED NURSING AND OTHER SENIOR CARE SERVICES DURING THE CURRENT YEAR AND PARTICIPATES AS A PROVIDER OF SERVICES UNDER BOTH MEDICARE & MEDICAID PROGRAMS. SERVICES INCLUDE NURSING & ANCILLARY SERVICES PROVIDED TO RESIDENTS. LICENSED BEDS: SKILLED 1,085, INTERMEDIATE 148, SHELTERED 0, ASSISTED LIVING 111, INDEPENDENT LIVING 588, FOR A TOTAL OF 1,932 LICENSED BEDS. TOTAL PATIENT DAYS FOR THE PERIOD ARE 559,265. 118548534 true true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true X 0 0 0 false false false false false false false false false false X 14 11 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 200 S WACKER DRIVE CHICAGO IL 60606 LAWRENCE PANKAU MD DIRECTOR 1.0 41.0 X 0 324363 30877 TOM SMITH DIRECTOR 1.0 2.0 X 0 0 0 JEAN BLAKE DIRECTOR Ex-Officio 1.0 43.0 X 0 308604 58548 JO-ANN COSTANTINO TERM 814 DIRECTOR 1.0 2.0 X 0 0 0 LUCIA JONES Director 1.0 2.0 X 0 0 0 CONNIE MARCH DIRECTOR EX-OFF/CEO TERM 5/14 1.0 46.0 X X 0 386038 13338 SISTER MARIE MASON SSCM DIRECTOR/CHAIR 1.0 2.0 X X 0 0 0 SALLIE MILLER DIRECTOR/VICE CHAIR 1.0 2.0 X X 0 0 0 PAT GOMEZ DIRECTOR 1.0 2.0 X 0 0 0 DR JAMES HAGAN DIRECTOR 1.0 2.0 X 0 0 0 THERESA KWIATKOWSKI DIRECTOR 1.0 2.0 X 0 0 0 PHYLLIS NICHOLS DIRECTOR 1.0 2.0 X 0 0 0 NANCY DOWD Director 1.0 2.0 X 0 0 0 JOSEPH HUGAR Director Ex-Officio/CEO 1.0 43.0 X X 0 323436 34026 JOHN LARSON DIRECTOR 1.0 2.0 X 0 0 0 TIM PHILLIPPE Director 1.0 2.0 X 0 0 0 JEANNIE C FREY Secretary 1.0 50.0 X 0 538312 132604 ANTHONY J FILER Treasurer 1.0 50.0 X 0 806181 188879 PATRICK QUINN Assistant Treasurer 1.0 40.0 X 0 270651 48603 JULIE ROKNICH Assistant Secretary 1.0 40.0 X 0 196072 28035 JEANNETTE ASH DIR PHARMACY 40.0 0.0 X 172549 0 28309 EDGAR AUF DEM GRABEN MGR PHARMACY OPS-PLC 40.0 0.0 X 139839 0 19153 LUCINDA MC CLURG CLINICAL COORD PHARMACY 40.0 0.0 X 135100 0 9442 JAMES FARLEE ADMINISTRATOR SR SERVICES 40.0 0.0 X 132384 0 6395 NANCY RAZO RGN NURSING HOME ADMIN 40.0 0.0 X 131601 0 20530 711473 3153657 618739 29 false true false SELECT REHABILITATION PO BOX 809056 CHICAGO IL 608609056 REHABILITATION SVCS 8684410 GF BUILDERS 1148 LONGMEADOW DR GLENVIEW IL 60025 CONSTRUCTION 773140 SIMPLEXGRINNEL DEPT CH 10320 PALATINE IL 600550320 ELEVATOR MAINTENANCE 143383 AFFILIATED DIALYSIS OF GLEN ELLYN 800 ROOSEVELT ROAD GLEN ELLYN IL 60137 HEMODIALYSIS 189491 HANNA Z INTERIORS 441 GREENBRIAR LANE RIVERWOODS IL 60015 INTERIOR DESIGN 188652 7 0 590031 3277 0 593308 PATIENT CARE 623000 100950633 100950633 0 0 RENTAL REVENUE 900099 18016746 18016746 0 0 PHARMACY 900099 8568350 8568350 0 0 127535729 217010 217010 0 0 0 0 0 614054 614054 614054 614054 0 0 0 RESIDENT SERVICES 812900 146096 146096 0 0 FOOD SERVICE REVENUE 722320 685110 685110 0 0 OTHER REVENUE 900099 157591 157591 0 0 988797 129948898 128524526 0 831064 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45108335 45108335 0 0 2084736 2084736 0 0 6900696 6900696 0 0 3221857 3221857 0 0 7077019 0 7077019 0 332269 0 332269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19403400 19403400 0 0 47015 47015 0 0 2666729 2666729 0 0 0 0 0 0 0 0 0 0 3207958 3207958 0 0 131206 131206 0 0 0 0 0 0 13233 13233 0 0 1100536 1100536 0 0 0 0 0 0 5076923 5076923 0 0 1018393 1018393 0 0 MEDICAL SUPPLIES / DRUGS 16266405 16266405 0 0 BAD DEBT 5334547 5334547 0 0 FOOD SERVICE SUPPLIES 3559281 3559281 0 0 ASSESSMENTS & TAXES 2305748 2305748 0 0 1101536 1101536 125957822 118548534 7409288 0 0 1730754 5684572 0 0 0 0 22551595 24569248 0 0 0 0 0 0 646028 489963 12500 0 144984487 72367209 95344749 72617278 0 0 0 0 0 0 2256303 0 110896074 112858204 233438003 216219265 6021546 6823793 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56617994 16068486 62639540 22892279 X 170798463 193326986 0 0 0 0 170798463 193326986 233438003 216219265 X 3991076 18537447 X X false true X true false X SCHEDULE A DISCLOSURE FOR NOT FILING SCHEDULE H PRESENCE RHC SENIOR SERVICES (PRHCSS) DOES NOT FILE A SCHEDULE H, EVEN RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16658385 16658385 94555705 49755377 44800328 21657525 11373770 10283755 12112872 11238062 874810 72617278 DUE FROM AFFILIATES 112486344 BORSATO MUSEUM 297647 OTHER ASSETS 74213 112858204 0 MEMBERSHIP AND SECURITY DEPOSITS 14896735 MEDICARE SETTLEMENT 516412 DEFERRED REVENUE 655339 16068486 X FIN 48(ASC 740) Footnote SCHEDULE D, PART X PRESENCE RHC CORPORATION AND AFFILIATES RECOGNIZE 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 TECHINICAL MERITS OF THE POSITION. PRESENCE HEALTH CARE AND AFFILIATES DO NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS. false true false false false false false LAWRENCE PANKAU MD DIRECTOR 0 209259 0 115104 0 0 0 15600 0 15277 0 355240 0 0 JEAN BLAKE DIRECTOR Ex-Officio 0 292188 0 0 0 16416 0 35131 0 23417 0 367152 0 0 JEANNIE C FREY Secretary 0 474603 0 0 0 63709 0 104089 0 28515 0 670916 0 43893 ANTHONY J FILER Treasurer 0 682424 0 0 0 123757 0 149460 0 39419 0 995060 0 78612 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 CONNIE MARCH DIRECTOR EX-OFF/CEO TERM 5/14 0 257414 0 50000 0 78624 0 0 0 13338 0 399376 0 86063 JOSEPH HUGAR Director Ex-Officio/CEO 0 229854 0 0 0 93582 0 23625 0 10401 0 357462 0 0 JEANNETTE ASH DIR PHARMACY 142985 0 29564 0 0 0 9795 0 18514 0 200858 0 0 0 EDGAR AUF DEM GRABEN MGR PHARMACY OPS-PLC 139839 0 0 0 0 0 9927 0 9226 0 158992 0 0 0 NANCY RAZO RGN NURSING HOME ADMIN 131601 0 0 0 0 0 5303 0 15227 0 152131 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. 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: JEANNIE C. FREY 53,929 ANTHONY J. FILER 93,113 PATRICK QUINN 22,168 CONNIE MARCH 66,052 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): JEANNIE C. FREY 88,489 ANTHONY J. FILER 146,460 PATRICK QUINN 23,958 JOSEPH HUGAR 23,625 JEAN BLAKE 35,131 MISSION STATEMENT FORM 990, PART I, LINE 1 PRESENCE RHC SENIOR SERVICES PROVIDES COMPASSIONATE PATIENT CARE AND SERVICES FROM SURGERIES AND HOLISTIC CARE FOR UNEXPECTED ILLNESSES, TO FULLTIME NURSING CARE OR RETIREMENT COMMUNITIES. 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 RHC SENIOR SERVICES 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 RHC SENIOR SERVICES (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 RHC SENIOR SERVICES (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 RHC SENIOR SERVICES 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 THE ACTIONS SPECIFIED BELOW WITH RESPECT TO THE FOLLOWING MATTERS, SUBJECT TO ANY NOTICES OR FURTHER APPROVALS REQUIRED BY APPLICABLE CIVIL OR CANON LAW, OR THE MEMBER'S BYLAWS: A) BYLAWS. AMEND OR REPEAL THE BYLAWS OF THE CORPORATION. B) OFFICERS AND DIRECTORS. APPOINT AND REMOVE ALL OFFICERS OF THE CORPORATION AND ALL DIRECTORS OF THE CORPORATION, OTHER THAN ANY EX-OFFICIO DIRECTORS. C) BUDGETS. APPROVE CAPITAL AND OPERATING BUDGETS, AND LONG-TERM CAPITAL EQUIPMENT PLANS FOR THE CORPORATION. D) UNBUDGETED EXPENDITURES. APPROVE UNBUDGETED EXPENDITURES IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER FROM TIME TO TIME. E) DEBT, SALE, LEASE AND OTHER REAL PROPERTY TRANSACTIONS. APPROVE ANY BORROWING OR SIGNIFICANT INCURRENCE OF DEBT BY THE CORPORATION IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER FROM TIME TO TIME, OR ANY SALE, PURCHASE, ALIENATION, EXCHANGE, SIGNIFICANT LEASES (OTHER THAN IN THE ORDINARY COURSE) OR ENCUMBRANCES OF THE CORPORATION'S REAL PROPERTY, EXCEPT THOSE MADE PURSUANT TO APPROVED BUDGETS. F) REAL ESTATE DOCUMENTS, EQUIPMENT LEASES. APPROVE EXECUTION OF ANY DEEDS, MORTGAGES, BONDS, OR MAJOR EQUIPMENT LEASES, EXCEPT THOSE ENTERED INTO PURSUANT TO APPROVED BUDGETS. G) SIGNIFICANT UNBUDGETED TRANSACTIONS. APPROVE ANY OTHER SIGNIFICANT AND UNBUDGETED SALE, PURCHASE, EXCHANGE, LEASE (OTHER THAN IN THE ORDINARY COURSE) TRANSFER, LITIGATION OR LEGAL SETTLEMENT, BENEFITS PACKAGES, ENCUMBRANCE OR OTHER DISPOSITION OR OTHER SIGNIFICANT TRANSACTION INVOLVING THE NON-REAL-ESTATE ASSETS OF THE CORPORATION IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER FROM TIME TO TIME. H) MATERIAL CHANGES IN SERVICES. APPROVE MATERIAL CHANGES IN THE KIND OF SERVICES RENDERED, SUCH AS THE ADDITION OR DISCONTINUATION OF ANY MAJOR SERVICE LINE (E.G., OBSTETRICS) OR CHANGE IN THE FUNDAMENTAL NATURE OF SERVICES PROVIDED BY THE CORPORATION (E.G., A CHANGE REQUIRING A DIFFERENT KIND OF LICENSE). I) STRATEGIC PLAN. APPROVE STRATEGIC PLANS FOR THE CORPORATION CONSISTENT WITH AND IN FURTHERANCE OF SYSTEM MISSION AND VALUES, AND RESPONSIVE TO THE NEEDS OF THE COMMUNITIES SERVED BY THE CORPORATION AND SUPPORT THE ABILITY OF THE CORPORATION AND ITS AFFILIATES TO PROVIDE HIGH-QUALITY CARE AND SERVICES. J) MANAGEMENT CONTRACTS. APPROVE ANY CONTRACT FOR THE MANAGEMENT OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION OR ANY HEALTH CARE FACILITIES OWNED BY THE CORPORATION. K) BUSINESS NAME, LOGO. APPROVE ANY SELECTION OR MODIFICATION OF THE BUSINESS NAME OR LOGO OF THE CORPORATION OR ANY PROGRAM OR DIVISION OF THE CORPORATION, OR THE USE OF ANY CORPORATE OR BUSINESS NAME OF THE CORPORATION BY AN ENTITY OTHER THAN THE MEMBER OR AN AFFILIATE. L) ADMINISTRATIVE SERVICES. PROVIDE OR ASSURE THE PROVISION OF APPROPRIATE INSURANCE COVERAGE, STANDARDIZED EMPLOYEE BENEFITS, INFORMATION SYSTEMS AND TECHNOLOGY, FINANCIAL MANAGEMENT SERVICES, LEGAL, MARKETING, RISK MANAGEMENT AND OTHER ADMINISTRATIVE SERVICES NECESSARY TO SUPPORT THE CORPORATION'S OPERATIONS. M) SIGNIFICANT JOINT VENTURES. APPROVE THE ESTABLISHMENT, TERMINATION, OR SALE OF ANY SIGNIFICANT JOINT VENTURE RELATIONSHIP BY THE CORPORATION. N) UNRELATED BUSINESS ACTIVITY. APPROVE THE ACQUISITION OR DEVELOPMENT OF ANY BUSINESS OR ACTIVITY UNRELATED TO THE PROVISION OF HEALTH CARE SERVICES. O) NEW AFFILIATES. APPROVE THE CREATION OF ANY NEW AFFILIATE TO BE OWNED OR CONTROLLED BY THE CORPORATION. P) CONTRIBUTIONS TO MEMBER. DIRECT AND APPROVE ANY CONTRIBUTIONS, DONATIONS OR OTHER ASSET TRANSFERS WITHOUT CONSIDERATION TO THE MEMBER OR ANY AFFILIATE, IN FURTHERANCE OF THE MISSION AND VALUES. Q) CONTRIBUTION ACCEPTANCE. APPROVE ACCEPTANCE OF A CONTRIBUTION THAT IMPOSES A MATERIAL OBLIGATION ON THE CORPORATION, IF APPROVED BY THE CORPORATION'S APPLICABLE FOUNDATION OR FUNDRAISING AFFILIATE AS CONSISTENT WITH THE CORPORATION'S AND SYSTEM'S MISSION AND GOALS. R) BANKING. DEFINE THE CRITERIA FOR THE SELECTION OF BANKS AND OTHER FINANCIAL DEPOSITORIES TO BE USED BY THE CORPORATION, AND AUTHORIZE THE PROCESS BY WHICH SIGNATORIES ON ALL BANK AND SIMILAR ACCOUNTS OF THE CORPORATION ARE APPROVED. S) AUDITORS. SELECT INDEPENDENT AUDITORS FOR THE CORPORATION, IN CONNECTION WITH THE CONSOLIDATED AUDIT OF ALL SYSTEM ENTITIES. T) REGISTERED AGENT. APPROVE OR CHANGE THE CORPORATION'S REGISTERED AGENT OR REGISTERED OFFICE, AS APPROPRIATE FROM TIME TO TIME. U) TAX-EXEMPTION. APPROVE ANY VOLUNTARY CHANGE TO THE CORPORATION'S STATUS OF AN ORGANIZATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS AMENDED FROM TIME TO TIME. 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 SAFEGUARDS TO PROTECT THE CHARITABLE MISSION OF PRESENCE HEALTH HAVE BEEN IMPLEMENTED. TO FACILITATE THIS POLICY, ALL INTERESTED PERSONS HAVE A CONTINUING OBLIGATION TO PROMPTLY DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ALL DISCLOSURES MUST BE PROVIDED TO THE SYSTEM COMPLIANCE OFFICER AND GENERAL COUNSEL IN A WRITTEN DESCRIPTION OF THE MATERIAL FACTS. DISCLOSURE SHALL BE ON A CONFLICTS OF INTEREST QUESTIONNAIRE OR SIMILAR FORMAT AS DESCRIBED IN THE CONFLICTS OF INTEREST POLICY. ALL INTERESTED PERSONS SHALL ALSO COMPLETE A QUESTIONNAIRE BASED ON THE ASSUMPTION OF THE BOARD (OR OTHER RELEVANT) POSITION, AND THEREAFTER ON AT LEAST AN ANNUAL BASIS OR WHEN AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT ARISES. AT ANY TIME THAT AN ACTUAL, APPARENT OR A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED TO THE CORPORATION'S BOARD OF DIRECTORS, WHETHER THROUGH THE VOLUNTARY SUBMISSION OF A DISCLOSURE STATEMENT BY AN INTERESTED PERSON, OR BY A DISCLOSURE BY A PERSON OTHER THAN THE SUBJECT INTERESTED PERSON, THE CORPORATION'S BOARD OR APPLICABLE COMMITTEE SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. 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, QUESTIONS 15A AND 15B AND PART V, QUESTION 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, SECTIONS 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 FEE DETAIL FORM 990, PART IX, LINE 11G TEMPORARY SERVICES $ 61,369 MAINTENANCE $ 609,049 OUTSOURCED FOOD SERVICES $ 6,298,379 OTHER OUTSIDE SERVICES $ 12,434,603 TOTAL $ 19,403,400 OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 Prior Period Adj - HRNRC $ (20,550,811) PRIOR PERIOD ADJ - SFNRC $ 7,221,488 PRIOR PERIOD ADJ - SLC $ (4,851,860) NET ASSETS RELEASED TO CAPITAL $ (356,264) TOTAL OTHER CHANGES IN NET ASSETS $ (18,537,447) Prior period adjustment -Accounting entries to remove entities that have been disposed of in prior years, HFNR, SFNR and SLC. AUDITED FINANCIAL STATEMENTS FORM 990, PART XII, LINE 2B AN INDEPENDENT ACCOUNTANT ANNUALLY AUDITS THE CONSOLIDATED FINANCIAL STATEMENTS OF PRESENCE HEALTH NETWORK AND ITS AFFILIATES. THE AUDIT OPINION IS ISSUED ON THE CONSOLIDATED FINANCIAL STATEMENTS AND EACH AFFILIATE IS NOT SEPARATELY AUDITED. FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY FEES, PURCHASED TOTAL FEES:19403400 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 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 St Mary and Elizabeth Med Cntr 2233 West Division Street Chicago IL 60622 362171079 Health Care IL 501(C)(3) 3 PRHCC 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 ROAD 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 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 564440 CASH PRESENCE RESURRECTION MEDICAL CENTER P 123498489 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.